‘Best fit’ caring skills of an interprofessional team in short‐term goal‐directed reablement: older adults’ perceptions

Gustafsson, Lena‐Karin; Östlund, Gunnel; Zander, Viktoria; Elfström, Magnus; Anbäcken, Els-Marie

doi:10.1111/scs.12650

Cited by 21 publications

(19 citation statements)

References 44 publications

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“…A Swedish study was conducted to illuminate older adults' perceptions of a multi-professional team's ca reablement (Gustafsson et al, 2019), and concluded that health professionals' caring skills need to be addres A Norwegian RCT on the effectiveness of reablement in home-dwelling older adults (Tuntland et al, 2015) an as "an intensive, multidisciplinary, multicomponent, person-centered, home-based type of rehabilitation, whe purposes" (Langeland et al, 2015: 2).…”

mentioning

confidence: 99%

Reablement through time and space: A scoping review of how the concept of ‘reablement’ for older people has been defined and operationalised

Clotworthy

Kusumastuti

Westendorp

2020

Preprint

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Background: While the field of rehabilitation has determined a common definition of professional practice, legislators and healthcare professionals in various Western countries have been struggling to reach consensus about how the newer offer of ‘reablement’ should be organised, operationalised, and understood as a health service for older adults. International research indicates that a great deal of confusion, ambiguity, and disagreement has arisen regarding the terminology and the structure of these programmes, and they may not be adequately supporting older people. Could a clarification of the concept help reablement become more effective in theory and in practice?Methods: We conducted a qualitative and quantitative scoping review to determine how reablement has developed through time and space. Eligible articles (n=86) had to focus on any of the defined features of current reablement programmes; there were no restrictions on study designs or publication dates. In articles published from 1947–2019, we identified themes and patterns, commonalities, and differences in how various countries described and defined reablement. We also performed an analysis using computer software to construct and visualise term maps based on significant words extracted from the article abstracts.Results: The fundamental principles of reablement have a long history. However, these programmes have undergone a widespread expansion since the early 2000s with an intention to reduce costs related to providing long-term care services and in-home assistance to growing older populations. As reablement programmes have developed internationally, they have begun to overemphasise training older people to (re)gain their skills and confidence in maintaining or improving functional ability related to activities of daily living (ADLs). Conclusions: Reablement programmes are fundamentally intended to be person-centred and should support older people in attaining their self-defined goals to be both more physically independent at home and socially involved in their communities. However, the rapid implemention of these programmes without clear evidence for the full scope of their potential effects and impact means that they may not adequately consider older people’s own goals. A continued lack of agreement about what reablement is (and what it should achieve) may lead to ineffective programmes and unclear guidance on which outcomes to measure.

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confidence: 99%

Reablement through time and space: A scoping review of how the concept of ‘reablement’ for older people has been defined and operationalised

Clotworthy

Kusumastuti

Westendorp

2020

Preprint

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“…A 2017 Swedish systematic review stated that "re-ablement services are in a period of strong development, but the terms and definitions used remain unclear, and the scientific evidence is still weak" (Pettersson and Iwarsson, 2017). In 2019, a Swedish study was conducted to illuminate older adults' perceptions of a multi-professional team's caring skills as success factors for health support in short-term goal-directed reablement (Gustafsson et al, 2019), and concluded that health professionals' caring skills need to be addressed as an evidence base in the area of homecare for the elderly.…”

Section: North America (Canada/united States)mentioning

confidence: 99%

Reablement through time and space: A scoping review of how the concept of ‘reablement’ for older people has been defined and operationalised

Clotworthy

Kusumastuti

Westendorp

2020

Preprint

View full text Add to dashboard Cite

Background While the field of rehabilitation has determined a common definition of professional practice, legislators and healthcare professionals in various Western countries have been struggling to reach consensus about how the newer offer of ‘reablement’ should be organised, operationalised, and understood as a health service for older adults. International research indicates that a great deal of confusion, ambiguity, and disagreement has arisen regarding the terminology and the structure of these programmes, and they may not be adequately supporting older people. Could a clarification of the concept help reablement become more effective in theory and in practice? Methods We conducted a qualitative and quantitative scoping review to determine how reablement has developed through time and space. Eligible articles (n=86) had to focus on any of the defined features of current reablement programmes; there were no restrictions on study designs or publication dates. In articles published from 1947–2019, we identified themes and patterns, commonalities, and differences in how various countries described and defined reablement. We also performed an analysis using computer software to construct and visualise term maps based on significant words extracted from the article abstracts. Results The fundamental principles of reablement have a long history. However, these programmes have undergone a widespread expansion since the early 2000s with an intention to reduce costs related to providing long-term care services and in-home assistance to growing elderly populations. As reablement programmes have developed internationally, they have begun to overemphasise training older people to (re)gain their skills and confidence in maintaining or improving functional ability related to activities of daily living (ADLs). Conclusions Reablement programmes are fundamentally intended to be person-centred and should support older people in attaining their self-defined goals to be both more physically independent at home and socially involved in their communities. However, the rapid implemention of these programmes without clear evidence for the full scope of their potential effects and impact means that they may not adequately support older people’s needs. A continued lack of agreement about what reablement is (and what it should achieve) may lead to ineffective programmes and unclear guidance on which outcomes to measure.

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“…After screening 2,304 unique records, of which 236 were examined in full-text, 43 articles met our eligibility criteria and served as the overall data material for the scoping review (illustrated in Figure 1-Prisma Flow Diagram). Among these studies were 12 intervention studies, including ve RCTs (30)(31)(32)(33)(34), ve non-randomized controlled trials (35)(36)(37)(38)(39) and two non-controlled pre-post study (40,41), in addition to one RCT long-term follow up study (42); four studies with mixed design/other (43)(44)(45)(46); three studies based on quantitative research (47)(48)(49); and 23 qualitative studies, of which 15 focused on HCPs' perspectives (50)(51)(52)(53)(54)(55)(56)(57)(58)(59)(60)(61)(62)(63)(64), six on older adults' perspectives (65)(66)(67)(68)(69)(70) and two on family members perspectives (71,72).…”

Section: Data Charting Processmentioning

confidence: 99%

Integration of physical activity in reablement for community dwelling older adults: a systematic scoping review

Mjøsund

Moe

Burton

et al. 2019

Preprint

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Introduction: Reablement is a rehabilitative intervention provided to homecare receivers (mostly older adults) with the aim of improving function and independence. There is limited evidence of the effectiveness of reablement and the content of these interventions is variable. Physical activity (PA) is known to be important for improving and maintaining function among older adults, but it is unclear how PA is integrated in reablement.Objective: To map existing evidence of how PA strategies are integrated and explored in studies of reablement for community dwelling older adults and to identify knowledge gaps.Methods: An apriori protocol was published. Studies investigating or exploring time-limited (within 6 months), interdisciplinary reablement for community-dwelling older adults, published in English, Norwegian, Danish, Swedish and German were considered for inclusion. PubMed, Cochrane central register of controlled trials, Embase, PsycINFO, AMED, PEDro, CINAHL and Google Scholar were searched for studies published between 1996 and July 2019, in addition to reference and citation searches. Study selection and data extraction were made independently by two reviewers.Results: Forty-three studies were included. Exercise strategies and practice of daily activities were reported to be included in the majority of intervention studies, but in most cases, no information was provided about the degree or intensity of which PA was involved, or how PA interventions were targeted to individual needs. Interventions aiming to increase general PA levels or reduce sedentary behavior were rarely described. None of the studies explored older adults’, health care providers’ or family members’ experiences with PA in a reablement setting, but some of the studies touched upon themes related to PA experiences. Some studies reported outcomes of physical fitness, including mobility, strength and balance, but there was insufficient evidence for any synthesis of these results. None of the studies reported PA levels among older adults receiving reablement.Conclusion: There is limited evidence regarding how PA is integrated in reablement, including how PA strategies are targeted to older adults’ individual needs and preferences in a reablement setting. The feasibility, and effectiveness of PA interventions, as well as experiences or barriers related to PA in a reablement setting should be further investigated.

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‘Best fit’ caring skills of an interprofessional team in short‐term goal‐directed reablement: older adults’ perceptions

Cited by 21 publications

References 44 publications

Reablement through time and space: A scoping review of how the concept of ‘reablement’ for older people has been defined and operationalised

Reablement through time and space: A scoping review of how the concept of ‘reablement’ for older people has been defined and operationalised

Reablement through time and space: A scoping review of how the concept of ‘reablement’ for older people has been defined and operationalised

Integration of physical activity in reablement for community dwelling older adults: a systematic scoping review

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