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Andy Cochrane, Mairead Furlong, Sinead McGilloway, David W Molloy, Michael Stevenson, Michael Donnelly
BACKGROUND: Reablement, also known as restorative care, is one possible approach to home-care services for older adults at risk of functional decline. Unlike traditional home-care services, reablement is frequently time-limited (usually six to 12 weeks) and aims to maximise independence by offering an intensive multidisciplinary, person-centred and goal-directed intervention. OBJECTIVES: To assess the effects of time-limited home-care reablement services (up to 12 weeks) for maintaining and improving the functional independence of older adults (aged 65 years or more) when compared to usual home-care or wait-list control group...
October 11, 2016: Cochrane Database of Systematic Reviews
Glenda Cook, Cathy Bailey, Philip Hodgson, Joanne Gray, Emma Barron, Christine McMillan, Roy Marston, Eleanor Binks, Joanne Rose
The aim of this study was to examine sheltered housing tenants' views of health and well-being, the strategies they adopted to support their well-being, and their use of health and social care services through a Health Needs Assessment. Sheltered housing in the UK is a form of service-integrated housing for people, predominantly over 60. The study used a parallel, three-strand mixed method approach to encompass the tenants' perceptions of health and well-being (n = 96 participants), analysis of the service's health and well-being database, and analysis of emergency and elective hospital admissions (n = 978 tenant data sets for the period January to December 2012)...
October 10, 2016: Health & Social Care in the Community
Hanne Tuntland, Mona Kristin Aaslund, Eva Langeland, Birgitte Espehaug, Ingvild Kjeken
BACKGROUND: The Canadian Occupational Performance Measure (COPM) is an occupational therapy instrument designed to help participants identify, prioritize, and evaluate performance of important occupations. OBJECTIVE: To investigate the validity, responsiveness, interpretability, and feasibility of the COPM when used by various health professions in home-dwelling older adults receiving reablement. Reablement is a new form of multidisciplinary home-based rehabilitation for older adults experiencing functional decline...
2016: Journal of Multidisciplinary Healthcare
Phillip J Whitehead, Marion F Walker, Ruth H Parry, Zaid Latif, Ian D McGeorge, Avril E R Drummond
OBJECTIVES: The objective of this study was to test the feasibility of conducting a randomised controlled trial (RCT) of an intervention targeted at activities of daily living (ADL), delivered by an occupational therapist, in homecare reablement. DESIGN: Feasibility parallel group RCT. SETTING: Single-site local authority homecare reablement service. PARTICIPANTS: People referred for homecare reablement with ability to consent...
2016: BMJ Open
Rachel Mann, Bryony Beresford, Gillian Parker, Parvaneh Rabiee, Helen Weatherly, Rita Faria, Mona Kanaan, Alison Laver-Fawcett, Gerald Pilkington, Fiona Aspinal
BACKGROUND: Reablement is a time-limited intervention that aims to support people to regain independence and enable them to resume their daily activities after they return home from an in-patient care setting, or to maintain independence to enable them to remain at home. There is some evidence that reablement can enhance independence and has the potential to contain costs. However, reablement services are funded and provided in different ways and by different organisations, and there is limited research evidence about the effectiveness of different reablement service models...
2016: BMC Health Services Research
Gill Lewin, Karyn Concanen, David Youens
The Home Independence Program (HIP), an Australian restorative home care/reablement service for older adults, has been shown to be effective in reducing functional dependency and increasing functional mobility, confidence in everyday activities, and quality of life. These gains were found to translate into a reduced need for ongoing care services and reduced health and aged care costs over time. Despite these positive outcomes, few Australian home care agencies have adopted the service model - a key reason being that few Australian providers employ health professionals, who act as care managers under the HIP service model...
2016: Clinical Interventions in Aging
Annie Tessier, Marie-Dominique Beaulieu, Carrie Anna Mcginn, Renée Latulippe
The ageing of the population and the increasing need for long-term care services are global issues. Some countries have adapted homecare programs by introducing an intervention called reablement, which is aimed at optimizing independence. The effectiveness of reablement, as well as its different service models, was examined. A systematic literature review was conducted using MEDLINE, CINAHL, PsycINFO and EBM Reviews to search from 2001 to 2014. Core characteristics and facilitators of reablement implementation were identified from international experiences...
May 2016: Healthcare Policy, Politiques de Santé
Fiona Aspinal, Jon Glasby, Tine Rostgaard, Hanne Tuntland, Rudi G J Westendorp
As the overwhelming majority of older people prefer to remain in their own homes and communities, innovative service provision aims to promote independence of older people despite incremental age associated frailty. Reablement is one such service intervention that is rapidly being adopted across high-income countries and projected to result in significant cost-savings in public health expenditure by decreasing premature admission to acute care settings and long-term institutionalisation. It is an intensive, time-limited intervention provided in people's homes or in community settings, often multi-disciplinary in nature, focussing on supporting people to regain skills around daily activities...
September 2016: Age and Ageing
Egil Kjerstad, Hanne Kristin Tuntland
BACKGROUND: In the face of a growing number of older adults in the population, policy-makers in high-income countries are seeking new ways to reduce the expected growth in long-term care expenditure. Research shows that disability is an important determinant of long-term care utilization. In this context, reablement has received increased attention. Reablement is a form of home-based rehabilitation, which focuses on improving independent functioning in daily activities perceived as important by the older adult...
December 2016: Health Economics Review
Sharon Lawn, Tania Westwood, Sarah Jordans, Julianne O'Connor
An expanding ageing population has placed increased demands on healthcare resources in many countries. Enhancing community aged care support workers' role to support greater client self-management and reablement is therefore timely. This paper presents perceptions of the impact of an Australian practice change initiative designed to enhance knowledge, skills and confidence of support workers to support behaviour change in clients with complex healthcare needs. A comprehensive training program was delivered in 2013...
April 6, 2016: Gerontology & Geriatrics Education
Kari Margrete Hjelle, Hanne Tuntland, Oddvar Førland, Herdis Alvsvåg
As a result of the ageing population worldwide, there has been a growing international interest in a new intervention termed 'reablement'. Reablement is an early and time-limited home-based intervention with emphasis on intensive, goal-oriented and interdisciplinary rehabilitation for older adults in need of rehabilitation or at risk of functional decline. The aim of this qualitative study was to describe how older adults experienced participation in reablement. Eight older adults participated in semi-structured interviews...
January 24, 2016: Health & Social Care in the Community
Hanne Tuntland, Mona Kristin Aaslund, Birgitte Espehaug, Oddvar Førland, Ingvild Kjeken
BACKGROUND: There has been an increasing interest in reablement in Norway recently and many municipalities have implemented this form of rehabilitation despite a lack of robust evidence of its effectiveness. The aim of this study was to investigate the effectiveness of reablement in home-dwelling older adults compared with usual care in relation to daily activities, physical functioning, and health-related quality of life. METHODS: This is a parallel-group randomised controlled trial conducted in a rural municipality in Norway...
2015: BMC Geriatrics
Eva Langeland, Hanne Tuntland, Oddvar Førland, Eline Aas, Bjarte Folkestad, Frode F Jacobsen, Ingvild Kjeken
No abstract text is available yet for this article.
2015: BMC Geriatrics
Lynn Legg, John Gladman, Avril Drummond, Alex Davidson
OBJECTIVE: To determine whether publically funded 'reablement services' have any effect on patient health or use of services. DESIGN: Systematic review of randomized controlled trials and non-randomized studies in which reablement interventions were compared with no care or usual care in people referred to public-funded personal care services. Data sources included: Cochrane Central Register of Controlled Trials, EPOC register of studies, trials registers, Medline, EMBASE, and CINHAL...
August 2016: Clinical Rehabilitation
Eva Langeland, Eva Langland, Hanne Tuntland, Oddvar Førland, Eline Aas, Bjarte Folkestad, Frode F Jacobsen, Ingvild Kjeken
BACKGROUND: Reablement is a promising new rehabilitation model, which is being implemented in some Western countries to meet current and future needs for home-based services. There is a need for further investigation of the effects of reablement among community-dwelling adults in terms of clinical and economic outcomes. This study will investigate the effectiveness of reablement in home-dwelling adults compared with standard treatment in terms of daily activities, physical functioning, health-related quality of life, coping, mental health, use of health care services, and costs...
2015: BMC Geriatrics
Raymond R Bond, Maurice D Mulvenna, Dewar D Finlay, Suzanne Martin
Reablement is new paradigm to increase independence in the home amongst the ageing population. And it remains a challenge to design an optimal electronic system to streamline and integrate reablement into current healthcare infrastructure. Furthermore, given reablement requires collaboration with a range of organisations (including national healthcare institutions and community/voluntary service providers), such a system needs to be co-created with all stakeholders involved. Thus, the purpose of this study is, (1) to bring together stakeholder groups to elicit a comprehensive set of requirements for a digital reablement system, (2) to utilise emerging technologies to implement a system and a data model based on the requirements gathered and (3) to involve user groups in a usability assessment of the system...
August 2015: Journal of Biomedical Informatics
Hanne Tuntland, Birgitte Espehaug, Oddvar Forland, Astri Drange Hole, Egil Kjerstad, Ingvild Kjeken
BACKGROUND: As a result of the ageing population, there is an urgent need for innovation in community health-care in order to achieve sustainability. Reablement is implemented in primary care in some Western countries to help meet these challenges. However, evidence to support the use of such home-based rehabilitation is limited. Reablement focuses on early, time-intensive, multidisciplinary, multi-component and individualised home-based rehabilitation for older adults with functional decline...
2014: BMC Geriatrics
Anna Moran, Susan A Nancarrow, Pamela Enderby
This research aims to describe the factors associated with successful employment of allied health and social care assistants in community-based rehabilitation services (CBRS) in England. The research involved the thematic analysis of interviews and focus groups with 153 professionally qualified and assistant staff from 11 older people's interdisciplinary community rehabilitation teams. Data were collected between November 2006 and December 2008. Assistants were perceived as a focal point for care delivery and conduits for enabling a service to achieve goals within interdisciplinary team structures...
July 2015: Health & Social Care in the Community
Annette Winkel, Henning Langberg, Eva Ejlersen Wæhrens
PURPOSE: When older adults experience a decrease in functional independence including decreased ability to perform activities of daily living (ADL) tasks, rehabilitation services are required. The aim of this pilot study was to evaluate if a home-based reablement program influenced the ADL ability of older adults. METHODS: Ninety-one older adults (80 ± 9 years) were allocated to a 12-weeks home-based reablement program consisting of ADL task performance training by a home carer supervised by an occupational therapist...
2015: Disability and Rehabilitation
Gill F Lewin, Helman S Alfonso, Janine J Alan
BACKGROUND: The objectives of this study were to determine whether older individuals who participated in a reablement (restorative) program rather than immediately receiving conventional home care services had a reduced need for ongoing support and lower home care costs over the next 57 months (nearly 5 years). MATERIALS AND METHODS: Data linkage was used to examine retrospectively the service records of older individuals who had received a reablement service versus a conventional home care service to ascertain their use of home care services over time...
2013: Clinical Interventions in Aging
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