Tailoring reablement: A grounded theory study of establishing reablement in a community setting in Norway

Moe, Cathrine Fredriksen; Brinchmann, Berit Støre

doi:10.1111/hsc.12471

Cited by 28 publications

(38 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Discussions and reflections give professionals the opportunity to learn from each other and develop a shared professional platform that includes a rehabilitative approach, interdisciplinary competence, and relationships. The importance of this structural factor when a municipality establishes reablement is also emphasised in other studies (Hjelle et al, 2016;Moe & Brinchmann, 2017). Accordingly, we find it essential that both structural and personal factors are given sufficient attention over time to prevent the emergence of traditional professional attitudes and practice.…”

Section: Discussionmentioning

confidence: 62%

Ideal and reality; Community healthcare professionals’ experiences of user‐involvement in reablement

Jokstad

Skovdahl

Landmark

et al. 2018

Health Soc Care Community

View full text Add to dashboard Cite

Many welfare states offer reablement, also known as restorative care, as an intervention to promote healthy ageing and support older adults in regaining or maintaining their independence in daily life. Reablement is a time‐limited, intensive, multidisciplinary, person‐centred and goal‐directed rehabilitative intervention. Reablement emanates from the user’s goals, thus user‐involvement is a key factor. The aim of our study was to explore healthcare professionals’ experiences of user‐involvement in reablement. The context for the study was an urban municipality in south‐eastern Norway where reablement had been implemented into home‐care services 1.5 years prior to the study. Eighteen healthcare professionals recruited from home‐care services participated in focus groups. The material was analysed using qualitative content analysis. The findings resulted in one main theme: Transforming user‐involvement from ideal to reality—a demanding process, and four sub‐themes: (a) An ideal of self‐determination and co‐operation; (b) Diverse ability to commit to what user‐involvement requires; (c) Continuous co‐creation processes; and (d) Challenged by old traditions. User‐involvement is a valued ideal that professionals strive towards when providing healthcare. Two main strategies that professionals use to enable user‐involvement were identified here: spending sufficient time and having patience with users during the initial stage of an intervention, and starting an intervention by introducing small tasks that users can master. It was also seen that if the time and arenas for interdisciplinary meetings were lacking, professionals could demonstrate traditional attitudes and practice when faced with limited user‐involvement in the intervention. There is a need for follow‐up over time at the structural, personal, and cultural levels to develop reablement as an intervention with a strong person‐centred approach. The findings of this study have relevance for practice development in several reablement settings.

show abstract

Section: Discussionmentioning

confidence: 62%

Ideal and reality; Community healthcare professionals’ experiences of user‐involvement in reablement

Jokstad

Skovdahl

Landmark

et al. 2018

Health Soc Care Community

View full text Add to dashboard Cite

show abstract

“…Three reablement services, located in different areas in England, participated in the evaluation. All services adhered to the care pathway described in the introduction and which is typical to reablement services provided to older people in England and other countries (Aspinal et al, ; Moe & Brinchmann, ; Pettersson & Iwarsson, ). As is the case with the majority of reablement services in England, they all accepted referrals from hospital‐based discharge teams and the local authority's central social care “intake and assessment” team.…”

Section: Methodsmentioning

confidence: 99%

The Hopkins Rehabilitation Engagement Rating Scale – Reablement Version (HRERS‐RV): Development and psychometric properties

Mayhew

Beresford

Laver‐Fawcett

et al. 2018

Health Soc Care Community

View full text Add to dashboard Cite

Patient or user engagement with health and social care interventions is receiving increased attention and interest within practice settings and research. An English evaluation of three reablement services wished to include a measure of user‐engagement so as to explore its association with outcomes. As no measure of reablement engagement existed, an existing measure designed for use with physical rehabilitation patients (the Hopkins Rehabilitation Engagement Rating Scale) was adapted and its psychometric properties were tested. The adapted version was completed by reablement staff at the time an individual (n = 129) was discharged from one of the three reablement services. Outcomes data (Barthel Index, Nottingham Extended Activities of Daily Living Scale, General Health Questionnaire‐12) collected by the evaluation study at baseline (that is, at entry into reablement), discharge and 6 months postdischarge was used for some psychometric testing. Internal consistency and construct, predictive and discriminant validity were investigated. The adapted scale measured a single construct and had good internal consistency. Tests of predictive and discriminant validity were positive. Findings from a separate, small‐scale (n = 31) test–retest study offer an early indication that this is acceptable. There was, however, evidence of a ceiling effect and we consider ways this may be ameliorated. The Hopkins Rehabilitation Engagement Rating Scale – Reablement Version offers a means by which user engagement in reablement can be measured using a staff‐completed instrument. The association between engagement and reablement outcomes, revealed when testing for predictive validity, supports the argument for greater attention and investment in research on user engagement in reablement. More broadly, researching engagement within the context of an intervention often delivered by multiple practitioners offers the opportunity to further understand this concept which, in the past, has particularly focused on interventions delivered by a single practitioner. In addition, future work should include developing a companion measure completed by service users.

show abstract

“…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%

“…Fifteen qualitative studies and two mixed method/feasibility/implementation studies investigated inquiries based on HCPs experiences or perspectives on reablement (44,46,50,(52)(53)(54)(55)(56)(57)(58)(59)(60)(61)(62)(63)(64)76), but none of these speci cally aimed at investigating or exploring HCPs' experiences related to PA facilitation. However, some of the studies -of which ve were Norwegian (53-55, 58, 60), two were Danish (51, 62), one Australian (44) and one from the USA (46), brought up perspectives from HCPs related to activity training or exercises, which are presented in the following.…”

Section: Hcps' Perspectivesmentioning

confidence: 99%

“…However, the family members could also be a barrier to (physical) activity, by taking over the older adults daily activities. Several studies reported that the knowledge and values related to the bene ts of PA and active aging sometimes were met with skepticism or resistance from older adults themselves, family members, HCPs or by habitual traditions of running healthcare services (46,60,64,76).…”

Section: Hcps' Perspectivesmentioning

confidence: 99%

See 1 more Smart Citation

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

Mjøsund

Moe

Burton

et al. 2019

Preprint

View full text Add to dashboard Cite

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.

show abstract

Tailoring reablement: A grounded theory study of establishing reablement in a community setting in Norway

Cited by 28 publications

References 19 publications

Ideal and reality; Community healthcare professionals’ experiences of user‐involvement in reablement

Ideal and reality; Community healthcare professionals’ experiences of user‐involvement in reablement

The Hopkins Rehabilitation Engagement Rating Scale – Reablement Version (HRERS‐RV): Development and psychometric properties

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

Contact Info

Product

Resources

About