{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T07:04:53Z","timestamp":1777532693215,"version":"3.51.4"},"reference-count":36,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2011,10,17]],"date-time":"2011-10-17T00:00:00Z","timestamp":1318809600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2012,4]]},"abstract":"<jats:p>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.<\/jats:p>\n                  <jats:p>Design: Three-year geriatric development project with randomized assignment to intervention and control group.<\/jats:p>\n                  <jats:p>Setting: Research centre, community and assisted living facilities.<\/jats:p>\n                  <jats:p>Participants: Seven hundred and eighty-one Finnish persons aged 75\u201398 years were assigned to an intervention ( n\u2009=\u2009404) or control ( n\u2009=\u2009377) group.<\/jats:p>\n                  <jats:p>Intervention: A comprehensive geriatric assessment with a multifactorial intervention lasting two years. The intervention included individualized referrals, recommendations, physical activity counselling and supervised resistance training.<\/jats:p>\n                  <jats:p>Measurements: Perceived limitation in walking 400m was gathered annually during the intervention and at the one-year post-intervention follow-up.<\/jats:p>\n                  <jats:p>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\u20130.96, P\u2009=\u20090.013), and at the one-year post-intervention follow-up (0.84, 0.75\u20130.94, P\u2009=\u20090.002). The parallel positive effect of the intervention on mobility was even greater among persons with musculoskeletal pain.<\/jats:p>\n                  <jats:p>Conclusion: 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.<\/jats:p>","DOI":"10.1177\/0269215511423269","type":"journal-article","created":{"date-parts":[[2011,10,18]],"date-time":"2011-10-18T01:10:11Z","timestamp":1318900211000},"page":"314-326","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":33,"title":["Effects of comprehensive geriatric assessment and targeted intervention on mobility in persons aged 75 years and over: a randomized controlled trial"],"prefix":"10.1177","volume":"26","author":[{"given":"Katri","family":"Lihavainen","sequence":"first","affiliation":[{"name":"Gerontology Research Centre, Department of Health Sciences, University of Jyv\u00e4skyl\u00e4, Jyv\u00e4skyl\u00e4, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarianna","family":"Sipil\u00e4","sequence":"additional","affiliation":[{"name":"Gerontology Research Centre, Department of Health Sciences, University of Jyv\u00e4skyl\u00e4, Jyv\u00e4skyl\u00e4, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taina","family":"Rantanen","sequence":"additional","affiliation":[{"name":"Gerontology Research Centre, Department of Health Sciences, University of Jyv\u00e4skyl\u00e4, Jyv\u00e4skyl\u00e4, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markku","family":"Kauppinen","sequence":"additional","affiliation":[{"name":"Gerontology Research Centre, Department of Health Sciences, University of Jyv\u00e4skyl\u00e4, Jyv\u00e4skyl\u00e4, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raimo","family":"Sulkava","sequence":"additional","affiliation":[{"name":"Institute of Public Health and Clinical Nutrition, School of Medicine, University of Eastern Finland, School, Kuopio, Finland"},{"name":"Kuopio University Hospital, Kuopio, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sirpa","family":"Hartikainen","sequence":"additional","affiliation":[{"name":"Kuopio Research Centre of Geriatric Care, University of Eastern Finland, Kuopio, Finland"},{"name":"Clinical Pharmacology and Geriatric Pharmacotherapy Unit, School of Pharmacy, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2011,10,17]]},"reference":[{"key":"bibr1-0269215511423269","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a116746"},{"key":"bibr2-0269215511423269","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2004.52571.x"},{"key":"bibr3-0269215511423269","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-010-9717-2"},{"key":"bibr4-0269215511423269","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199503023320902"},{"key":"bibr5-0269215511423269","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2003.08.003"},{"key":"bibr6-0269215511423269","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.50.6s.1.x"},{"key":"bibr7-0269215511423269","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.89.6.930"},{"key":"bibr8-0269215511423269","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glq052"},{"key":"bibr9-0269215511423269","doi-asserted-by":"publisher","DOI":"10.1136\/ard.57.10.588"},{"key":"bibr10-0269215511423269","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.20060372"},{"key":"bibr11-0269215511423269","doi-asserted-by":"publisher","DOI":"10.1159\/000315490"},{"key":"bibr12-0269215511423269","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2009.06.005"},{"key":"bibr13-0269215511423269","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4637.2003.03042.x"},{"key":"bibr14-0269215511423269","volume-title":"Motor control. 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