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https://www.readbyqxmd.com/read/28730744/improving-hospital-discharge-arrangements-for-people-who-are-homeless-a-realist-synthesis-of-the-intermediate-care-literature
#1
REVIEW
Michelle Cornes, Martin Whiteford, Jill Manthorpe, Joanne Neale, Richard Byng, Nigel Hewett, Michael Clark, Alan Kilmister, James Fuller, Robert Aldridge, Michela Tinelli
This review presents a realist synthesis of "what works and why" in intermediate care for people who are homeless. The overall aim was to update an earlier synthesis of intermediate care by capturing new evidence from a recent UK government funding initiative (the "Homeless Hospital Discharge Fund"). The initiative made resources available to the charitable sector to enable partnership working with the National Health Service (NHS) in order to improve hospital discharge arrangements for people who are homeless...
July 20, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28656740/tailoring-reablement-a-grounded-theory-study-of-establishing-reablement-in-a-community-setting-in-norway
#2
Cathrine Moe, Berit Støre Brinchmann
Reablement is an interprofessional, home-based rehabilitation service that aims to enable senior residents to cope with everyday life and to prevent functional impairments. Systematic accounts of what practitioners actually do when establishing reablement are lacking. This study aims to generate a grounded theory of practitioners' patterns of action when establishing reablement. The study is located in Norway, and grounded theory is the methodological approach. Data were collected from January 2014 to August 2016 through participant observations, focus group interviews and individual interviews...
June 27, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28503067/interdisciplinary-collaboration-in-reablement-a-qualitative-study
#3
Arvid Birkeland, Hanne Tuntland, Oddvar Førland, Frode Fadnes Jakobsen, Eva Langeland
BACKGROUND: In-depth knowledge regarding interdisciplinary collaboration, a key feature in reablement, is scarce. OBJECTIVE: To elucidate how the interdisciplinary collaboration in reablement worked in a Norwegian context. SAMPLE AND METHODS: Seven focus group interviews were conducted with 33 health care providers working in interdisciplinary reablement teams in seven municipalities across the country. The focus group interviews were transcribed and an hermeneutical analysis was conducted...
2017: Journal of Multidisciplinary Healthcare
https://www.readbyqxmd.com/read/28462741/medicines-reablement-in-intermediate-health-and-social-care-services
#4
Kate Gerrish, Sara Laker, Sarah Wright, Wendy Stainrod
Aim To evaluate a medicines reablement initiative involving health and social care, to include consideration of the training package, proportion of patients reabled successfully, and patient and staff perspectives of the service. BACKGROUND: Intermediate care services provide short-term intervention to support patients with chronic conditions transition from hospital to community-based services and involves maximising patients' independence through reablement. The term 'medicines reablement' describes the process of rehabilitating patients to be independent with their medication...
May 2, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28214234/reablement-reactivation-rehabilitation-and-restorative-interventions-with-older-adults-in-receipt-of-home-care-a-systematic-review
#5
REVIEW
Joanie Sims-Gould, Catherine E Tong, Lutetia Wallis-Mayer, Maureen C Ashe
OBJECTIVE: To systematically review the impact of reablement, reactivation, rehabilitation, and restorative (4R) programs for older adults in receipt of home care services. DESIGN: Systematic review. DATA SOURCES: We searched the following electronic bibliographic databases: MEDLINE, EMBASE, PsycINFO, CINAHL (Cumulative Index to Nursing and Allied Health), SPORTDiscus and The Cochrane Library and reference lists. STUDY SELECTION: Randomized controlled trials that describe original data on the impact of home-based rehabilitative care and were written in English...
February 14, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28096681/the-relatives-voice-how-do-relatives-experience-participation-in-reablement-a-qualitative-study
#6
Kari Margrete Hjelle, Herdis Alvsvåg, Oddvar Førland
BACKGROUND: Reablement is an early and time-limited home-based model of rehabilitation intervention with an emphasis on intensive, goal-oriented, and multidisciplinary assistance for persons experiencing functional decline. When rehabilitation in general takes place in the person's own home, in contrast to an institution, relatives may have larger responsibilities in helping and supporting the family member. Although there is evidence, showing that family caregivers, such as spouses and children, experience burdens and demanding situations related to their caregiving role, there are currently few publications exploring relatives' experiences of participating in reablement...
2017: Journal of Multidisciplinary Healthcare
https://www.readbyqxmd.com/read/28096664/predictors-of-outcomes-following-reablement-in-community-dwelling-older-adults
#7
Hanne Tuntland, Ingvild Kjeken, Eva Langeland, Bjarte Folkestad, Birgitte Espehaug, Oddvar Førland, Mona Kristin Aaslund
BACKGROUND: Reablement is a rehabilitation intervention for community-dwelling older adults, which has recently been implemented in several countries. Its purpose is to improve functional ability in daily occupations (everyday activities) perceived as important by the older person. Performance and satisfaction with performance in everyday life are the major outcomes of reablement. However, the evidence base concerning which factors predict better outcomes and who receives the greatest benefit in reablement is lacking...
2017: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/27843324/the-reablement-team-s-voice-a-qualitative-study-of-how-an-integrated-multidisciplinary-team-experiences-participation-in-reablement
#8
Kari Margrete Hjelle, Olbjørg Skutle, Oddvar Førland, Herdis Alvsvåg
BACKGROUND: Reablement is an early and time-limited home-based rehabilitation intervention that emphasizes intensive, goal-oriented, and multidisciplinary assistance for people experiencing functional decline. Few empirical studies to date have examined the experiences of the integrated multidisciplinary teams involved in reablement. Accordingly, the aim of this study was to explore and describe how an integrated multidisciplinary team in Norway experienced participation in reablement...
2016: Journal of Multidisciplinary Healthcare
https://www.readbyqxmd.com/read/27726122/time-limited-home-care-reablement-services-for-maintaining-and-improving-the-functional-independence-of-older-adults
#9
REVIEW
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
https://www.readbyqxmd.com/read/27723175/older-uk-sheltered-housing-tenants-perceptions-of-well-being-and-their-usage-of-hospital-services
#10
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
https://www.readbyqxmd.com/read/27621647/psychometric-properties-of-the-canadian-occupational-performance-measure-in-home-dwelling-older-adults
#11
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
https://www.readbyqxmd.com/read/27531732/occupational-therapy-in-homecare-re-ablement-services-others-results-of-a-feasibility-randomised-controlled-trial
#12
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
https://www.readbyqxmd.com/read/27514660/models-of-reablement-evaluation-more-a-study-protocol-of-a-quasi-experimental-mixed-methods-evaluation-of-reablement-services-in-england
#13
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
https://www.readbyqxmd.com/read/27382264/the-home-independence-program-with-non-health-professionals-as-care-managers-an-evaluation
#14
COMPARATIVE STUDY
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
https://www.readbyqxmd.com/read/27232236/effectiveness-of-reablement-a-systematic-review
#15
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
https://www.readbyqxmd.com/read/27209329/new-horizons-reablement-supporting-older-people-towards-independence
#16
REVIEW
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
https://www.readbyqxmd.com/read/27165345/reablement-in-community-dwelling-older-adults-a-cost-effectiveness-analysis-alongside-a-randomized-controlled-trial
#17
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
https://www.readbyqxmd.com/read/27050326/support-workers-as-agents-for-health-behavior-change-an-australian-study-of-the-perceptions-of-clients-with-complex-needs-support-workers-and-care-coordinators
#18
Sharon Lawn, Tania Westwood, Sarah Jordans, Julianne O'Connor
An expanding aging population has placed increased demands on health care resources in many countries. Enhancing community aged care support workers' role to support greater client self-management and reablement is therefore timely. This article presents perceptions of the impact of an Australian practice change initiative designed to enhance knowledge, skills, and confidence of support workers to support behavior change in clients with complex health care needs. A comprehensive training program was delivered in 2013...
April 6, 2016: Gerontology & Geriatrics Education
https://www.readbyqxmd.com/read/26806390/driving-forces-for-home-based-reablement-a-qualitative-study-of-older-adults-experiences
#19
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
https://www.readbyqxmd.com/read/26537789/reablement-in-community-dwelling-older-adults-a-randomised-controlled-trial
#20
RANDOMIZED CONTROLLED TRIAL
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...
November 4, 2015: BMC Geriatrics
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