Feasibility of LifeFul, a relationship and reablement-focused culture change program in residential aged care

Low, Lee‐Fay; Venkatesh, Shruti; Clemson, Lindy; Merom, Dafna; Casey, Anne-Nicole; Brodaty, Henry

doi:10.1186/s12877-018-0822-3

Cited by 16 publications

(23 citation statements)

References 36 publications

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“…Based on the framework of Medical Research Council guidance, any problems that undermine the feasibility of the evaluation process should be addressed [ 29 ]. Previous studies have reported that participant recruitment, retention, acceptability, and compliance, as well as the expected sample size for predicting the study outcomes through pilot tests, need to interpret carefully [ 30 ]. Although the present study showed it is feasible to assess LTCRL among home care workers in Taiwan, we suggest that future studies should be interpreted carefully, and we present our findings with caution in terms of the feasibility issues.…”

Section: Discussionmentioning

confidence: 99%

Developing an assessment scale for long-term care reablement literacy in home care workers in Taiwan using a modified Delphi method

Chiu

Chen

et al. 2020

BMC Geriatr

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Background Reablement is a philosophy of change in long-term care (LTC). Assessing the knowledge and competence of LTC professionals who provide reablement services is vital in LTC research. This study aimed to develop a scale for the assessment of long-term care reablement literacy (LTCRL) and employ this scale to assess the performance of home care workers in Taiwan. Methods To develop this scale, we employed the modified Delphi technique based on the theoretical framework of health literacy and the content of service delivery in reablement. Home care workers from northern, central, and southern Taiwan were selected through purposive sampling (N = 119). Participants answered a self-administered questionnaire that included items related to basic demographic characteristics and questions to assess LTCRL. Results Based on the experts’ consensus on the procedure of the modified Delphi technique, the LTCRL assessment sale consists of 29 questions on four aspects of knowledge acquisition: the abilities to access/obtain, understand, process/appraise, and apply/use. The results revealed that higher education levels and better Chinese language proficiency are associated with higher LTCRL outcomes among home care workers. Conclusions The LTCRL assessment scale based on a modified Delphi technique is useful and feasible for evaluating LTCRL in home care workers who provide reablement services in Taiwan.

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Section: Discussionmentioning

confidence: 99%

Developing an assessment scale for long-term care reablement literacy in home care workers in Taiwan using a modified Delphi method

Chiu

Chen

et al. 2020

BMC Geriatr

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“…Previous research has shown that nursing homes in America have implemented restorative care programs to meet mandates and receive additional reimbursement [9,37]. A survey in the US showed that the most common restorative care activities were walking, passive and active range of motion, and dressing/grooming [9], which were primarily focused on physical and daily function; engagement with social and recreational activities to improve quality of life has not been emphasized [38].…”

Section: Discussionmentioning

confidence: 99%

“…To minimize the possibility of misunderstanding, the strategy of treating family members as part of the community rather than visitors can contribute to stabilizing residents in the whole program has been suggested [38]. Also, in goal-oriented intervention, such as restorative care, the involvement of informal caregivers can help to set a realistic and achievable goal [46].…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have shown that front-line staff are usually willing to learn this new philosophy of care and change their beliefs and behaviors and increase the number of restorative care strategies provided to residents [31]. In addition to considering the program acceptable, staff have indicated that such interventions could help them build a better relationship with residents at the individual level through taking time to comprehend residents’ needs [38].…”

Section: Discussionmentioning

confidence: 99%

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The Implementation of Restorative Care and Factors Associated with Resident Outcomes in Long-Term Care Facilities in Taiwan

Wang

Liu

Chang

et al. 2019

IJERPH

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This study aimed to analyze how restorative care is implemented in long-term care facilities and factors associated with resident outcomes in Taiwan. A one-group pre-test and post-test design was adopted in 24 long-term care facilities by collecting a sample of 310 participants at the baseline and 210 at six months. Participants were residents aged 65 or over, and were being constrained, used diapers, or were bedridden, or a combination of these. Their physical and mental functions were measured using Activities of Daily Living (ADLs), Instrumental Activities of Daily Living (IADLs), Mini-Mental State Examination (MMSE), Geriatric Depression Scale-15 (GDS-15), and EuroQol-5D (EQ-5D). Mean differences in the outcomes were analyzed, and mixed effect models were used to examine influencing factors. The results showed that most of the participants had good family support. However, participants with better family support were more likely to drop out. Improvements were found in the residents’ outcomes on physical function, depression and quality of life. Social support was a significant influencing factor on most of the outcomes. In conclusion, restorative care was found to have positive effects on residents’ physical function and helped maintain mental function. Sufficient support and communication between participants, families, and staff in facilities are key factors leading to positive outcomes.

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“…A trend towards developing better collaboration is evident in a paper about the feasibility of LifeFul, a relationship and reablement-focused "culture change program" in residential aged care (Low et al, 2018). However, the authors stated that one of the main challenges to successfully implementing reablement has been compliance by staff.…”

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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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Background : While the field of rehabilitation has determined a common definition of professional practice, legislators and healthcare professionals in various Western countries have struggled 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 there is confusion, ambiguity, and disagreement about the terminology and the structure of these programmes, and they may not be adequately supporting older people’s self-identified goals. Could an analysis of the concept’s genealogy illuminate how reablement can be more effective and beneficial 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 mid-2000s with an intention to reduce costs related to providing long-term care services and in-home assistance to growing older populations. Despite theoretical aspirations to offer person-centred and goal-directed reablement, very few countries have been able to implement programmes that adequately promote older people’s goals, social involvement, or participation in their local community in a safe, culturally sensitive and adaptable way. Conclusions : Reablement is meant to support older people in attaining their self-defined goals to be both more physically independent at home and socially involved in their communities. However, until legislators, health professionals, and older people can collectively reach consensus about how person-centred reablement can be more effectively implemented and supported in professional homecare practice, it will be difficult to determine a conceptual description of reablement as a service that is unique, separate, and distinct from standard rehabilitation.

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Feasibility of LifeFul, a relationship and reablement-focused culture change program in residential aged care

Cited by 16 publications

References 36 publications

Developing an assessment scale for long-term care reablement literacy in home care workers in Taiwan using a modified Delphi method

Developing an assessment scale for long-term care reablement literacy in home care workers in Taiwan using a modified Delphi method

The Implementation of Restorative Care and Factors Associated with Resident Outcomes in Long-Term Care Facilities in Taiwan

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

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