The prevention
of disability in elderly people poses a challenge for health
care and social services. We conducted a three-year,
randomized, controlled trial of the effect of annual inhome comprehensive geriatric assessments and followup for people living in the community who were 75 years
of age or older. The 215 people in the intervention group
were seen at home by gerontologic nurse practitioners
who, in collaboration with geriatricians, evaluated problems and risk factors for disability, gave specific recommendations, and provided health education. The 199
people in the control group received their regular medical
care. The main outcome measures were the prevention
of disability, defined as the need for assistance in performing the basic activities of daily living (bathing, dressing, feeding, grooming, transferring from bed to chair, and
moving around inside the house) or the instrumental activities of daily living (e.g., cooking, handling finances and
medication, housekeeping, and shopping), and the prevention of nursing home admissions
The prevention
of disability in elderly people poses a challenge for health
care and social services. We conducted a three-year,
randomized, controlled trial of the effect of annual inhome comprehensive geriatric assessments and followup for people living in the community who were 75 years
of age or older. The 215 people in the intervention group
were seen at home by gerontologic nurse practitioners
who, in collaboration with geriatricians, evaluated problems and risk factors for disability, gave specific recommendations, and provided health education. The 199
people in the control group received their regular medical
care. The main outcome measures were the prevention
of disability, defined as the need for assistance in performing the basic activities of daily living (bathing, dressing, feeding, grooming, transferring from bed to chair, and
moving around inside the house) or the instrumental activities of daily living (e.g., cooking, handling finances and
medication, housekeeping, and shopping), and the prevention of nursing home admissions
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