title: Effects of comprehensive geriatric assessment and targeted intervention on mobility in persons aged 75 years and over: a randomized controlled trial.
abstract: OBJECTIVE
  To assess the effect of a comprehensive geriatric assessment and individually tailored intervention on mobility in older people. In addition, the effectiveness of the geriatric intervention was evaluated among a subgroup of persons with musculoskeletal pain.
  
  
  METHODS
  Three-year geriatric development project with randomized assignment to intervention and control group.
  
  
  METHODS
  Research centre, community and assisted living facilities.
  
  
  METHODS
  Seven hundred and eighty-one Finnish persons aged 75-98 years were assigned to an intervention (n = 404) or control (n = 377) group.
  
  
  METHODS
  A comprehensive geriatric assessment with a multifactorial intervention lasting two years. The intervention included individualized referrals, recommendations, physical activity counselling and supervised resistance training.
  
  
  METHODS
  Perceived limitation in walking 400m was gathered annually during the intervention and at the one-year post-intervention follow-up.
  
  
  RESULTS
  The proportion of persons with mobility limitation at the beginning, at the two-year intervention and at the one-year post-intervention follow-up was 16%, 15%, 12% and 14%, respectively, in the intervention group. In the control group, the corresponding proportions were 19%, 18%, 23% and 26%. The treatment effect was significant at the end of the two-year intervention (odds ratio 0.82, 95% confidence interval 0.70-0.96, P = 0.013), and at the one-year post-intervention follow-up (0.84, 0.75-0.94, P = 0.002). The parallel positive effect of the intervention on mobility was even greater among persons with musculoskeletal pain.
  
  
  CONCLUSIONS
  The comprehensive geriatric assessment and individually tailored multifactorial intervention had a positive effect on mobility, underlining their importance in health promotion and disability prevention in older people.
authors: Gerontology Research Centre, Department of Health Sciences, University of Jyväskylä, Finland. katri.lihavainen@jyu.fi
authors: Katri
authors: K
authors: Lihavainen
authors: Sarianna
authors: S
authors: Sipilä
authors: Taina
authors: T
authors: Rantanen
authors: Markku
authors: M
authors: Kauppinen
authors: Raimo
authors: R
authors: Sulkava
authors: Sirpa
authors: S
authors: Hartikainen
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003376:Counseling; D005260:Female; D005387:Finland; D015577:Geriatric Assessment / Q000379:methods*; D006304:Health Status; D006801:Humans; D008297:Male; D051346:Mobility Limitation; D009043:Motor Activity; D059352:Musculoskeletal Pain / Q000175:diagnosis; D010043:Outcome and Process Assessment, Health Care / Q000706:statistics & numerical data; D057285:Precision Medicine; D055070:Resistance Training