Impact of 12 weeks of physiotherapy-led integrated care of older people on intrinsic capacity and quality of life among community-dwelling older adults: a randomised controlled trial.
Objective To examine the effects of a Physiotherapy-led, Person-Centred Integrated Care (PTICOPE) programme on intrinsic capacity (IC) (locomotion, vitality, psychological, cognitive, vision, hearing), and quality of life (QoL) among community-dwelling older adults. Methods Seventy-one older adults...
| Publicado en: | Age & Ageing Vol. 55; no. 3; pp. 1 - 13 |
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| Autores principales: | , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Mar2026
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=192797137&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 192797137 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Mar2026 vid: 55 iid: 3 pid: 622 pub: Oxford University Press / USA artinfo: ui: 192797137 10.1093/ageing/afag072 ppf: 1 ppct: 12 formats: tig: atl: Impact of 12 weeks of physiotherapy-led integrated care of older people on intrinsic capacity and quality of life among community-dwelling older adults: a randomised controlled trial. aug: au: Noordin, Nurhazrina Siriphorn, Akkradate Yu, Chye Wah Justine, Maria affil: Centre for Physiotherapy Studies, Faculty of Health Sciences, Universiti Teknologi MARA, Puncak Alam Campus, Bandar Puncak Alam, 42300 Puncak Alam, Selangor, Malaysia Department of Physical Therapy, Faculty of Allied Health Sciences, Chulalongkorn University, Bangkok 10330, Thailand Faculty of Allied Health Professions. AIMST University - School of Physiotherapy, 08100 Bedong, Kedah, Malaysia su: Malaysia Competency assessment (Law) Health status indicators Evaluation of human services programs Blind experiment Randomized controlled trials Patient-centered care Social context Quality of life Interpersonal relations Health education Hearing Physical therapy Medical protocols Repeated measures design Independent living Cognitive testing Statistical sampling Questionnaires Vision testing Treatment effectiveness Descriptive statistics Analysis of covariance Maximum likelihood statistics Control groups Pre-tests & post-tests Geriatric assessment Neuropsychological tests Comparative studies Data analysis software Confidence intervals Integrated health care delivery Human locomotion Physical activity Sensitivity & specificity (Statistics) sug: subj: Competency assessment (Law) Health status indicators Evaluation of human services programs Blind experiment Randomized controlled trials Patient-centered care Social context Quality of life Interpersonal relations Health education Hearing Malaysia Marketing Research and Public Opinion Polling Offices of Mental Health Practitioners (except Physicians) Physical therapy Medical protocols Repeated measures design Independent living Cognitive testing Statistical sampling Questionnaires Vision testing Treatment effectiveness Descriptive statistics Analysis of covariance Maximum likelihood statistics Control groups Pre-tests & post-tests Geriatric assessment Neuropsychological tests Comparative studies Data analysis software Confidence intervals Integrated health care delivery Human locomotion Physical activity Sensitivity & specificity (Statistics) keyword: cognition community copyrightHolder:British Geriatrics Society copyrightYear:2026 https://dx.doi.org/10.1093/ageing/afag072 inLanguage:en integrated treatment intrinsic capacity locomotion older adult older adults older people physiotherapy publisher:Oxford University Press quality of life randomization sameAs:https://pubmed.ncbi.nlm.nih.gov/41934512/ sensitivity analysis vision world health organization cognition community copyrightHolder:British Geriatrics Society copyrightYear:2026 https://dx.doi.org/10.1093/ageing/afag072 inLanguage:en integrated treatment intrinsic capacity locomotion older adult older adults older people physiotherapy publisher:Oxford University Press quality of life randomization sameAs:https://pubmed.ncbi.nlm.nih.gov/41934512/ sensitivity analysis vision world health organization ab: Objective To examine the effects of a Physiotherapy-led, Person-Centred Integrated Care (PTICOPE) programme on intrinsic capacity (IC) (locomotion, vitality, psychological, cognitive, vision, hearing), and quality of life (QoL) among community-dwelling older adults. Methods Seventy-one older adults were randomised to PTICOPE (n = 35) or control health education (n = 36) for 12 weeks. PTICOPE included centre-based physiotherapy and home-based multidomain activities targeting all IC domains. IC was assessed using the Short Physical Performance Battery, Mini-Mental State Examination, Mini Nutritional Assessment–Short Form, Geriatric Depression Scale-15, Snellen acuity, and whispered-voice test at baseline and Weeks 4, 8, and 12. QoL was measured using the World Health Organization Quality of Life–Brief Version at baseline and Week 12. Primary analyses used intention-to-treat linear mixed-effects models adjusting for baseline values and education level. Per-protocol analyses included participants attending ≥10 sessions. Results PTICOPE improved locomotion (0.87; P = .030; ηp = 0.13), with smaller significant gains in vitality (0.67; P = .014; ηp = 0.09) and cognition (1.09; P = .035; ηp = 0.01). Changes in the psychological, visual, and auditory domains were not clinically meaningful. QoL improved across all domains: physical health (+6.2), psychological (+4.9), social relationships (+4.0), and environment (+4.1), all P <.001 with medium-to-large effect sizes. Sensitivity analyses confirmed similar patterns. Conclusions PTICOPE enhanced key IC domains, locomotion, vitality, and cognition, and produced meaningful improvements in QoL. These findings support physiotherapy-led, person-centred care as an effective community strategy for healthy ageing. Trials Registration Thai Clinical Trials (Number: TCTR20241029007). pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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