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Background
Declining intrinsic capacity (IC), encompassing domains such as locomotion, cognitive
function, vitality, vision, hearing, and psychological well-being, is prevalent among
older adults, impacting independence and quality of life (QoL). This study aims to
develop and evaluate the Physiotherapy-led Person-Centered Integrated Care for
Older People (PTICOPE) based on the WHO-ICOPE framework to enhance IC among
older adults in Malaysia.
Methods
This is a 12-week, multicenter, randomized controlled trial involving 70 communitydwelling older adults aged 60–75, recruited from three Pusat Aktiviti Warga Emas
(PAWE) (Activity Center for Older Adults) in the Northern region of Malaysia.
Participants will be randomized to either the intervention group, receiving the PTICOPE
module workbook and guided use, or the control group, receiving general IC
information, healthcare education, and self-care management. Primary outcomes,
including locomotor, psychological, cognitive, vitality, visual, and hearing functions
using validated scales, will be collected at baseline, 4th, 8th, and 12th week of
the study period. Secondary outcomes will evaluate QoL, activities of daily living,
urogenital health, and oral health at baseline and 12th week. The normality of data will
be checked. The independent t-tests, Chi-square tests, paired t-tests, and Repeated
measures ANOVA will be used for data analysis, with a significant level at p<0.05.
Discussion
This study will develop a PTICOPE based on the WHO-ICOPE framework and test its
efficacy in the older population residing in the community. The findings of this study
hold the potential to establish an evidence-based approach for enhancing IC among
community-dwelling older adults.
Keyword: Intrinsic capacity, Older adults, Physiotherapy, World Health Organization,
Ethics: Ethics approval was obta