Reablement, Reactivation, Rehabilitation and Restorative Interventions With Older Adults in Receipt of Home Care: A Systematic Review

Becoming an enabler of everyday activity: Health professionals in home care services experiences of working with reablement

“…Reablement is an approach to home‐based rehabilitation for older persons who have been experiencing a decline in functioning and the ability to participate in everyday activities (Cochrane et al, ; Sims‐Gould, Tong, Wallis‐Mayer, & Ashe, ; Tuntland, Aaslund, Espehaug, Førland, & Kjeken, ). The intervention aims at improving participation in everyday activities at home and in the local community and to reduce the need for ongoing service support by focusing on personal goals and individual needs (Aspina, Glasby, Rostgaard, Tuntland, & Westenforp, ).…”

Characteristics of occupational therapy and physiotherapy within the context of reablement in Swedish municipalities: A national survey

“…Reablement is a multidisciplinary, time‐limited, person‐centred, home‐based intervention for people who are at risk of functional decline and at risk of losing independence, for example after a period of illness or an accident (Aspinal, Glasby, Rostgaard, Tuntland, & Westendorp, ). While reablement has been described as an intervention for people in all ages irrespective of diagnosis, there has been a clear emphasis on older people in the literature (Aspinal et al, ; Sims‐Gould, Tong, Wallis‐Mayer, & Ashe, ; Tessier, Beaulieu, Mcginn, & Latulippe, ). The focus of reablement is to support the person to regain, retain or gain independence in activities of daily living (ADL), allowing people to remain in their ordinary housing, living independent and fulfilling lives, and reducing the need for social support services such as home help (Tessier et al, ).…”

“…A recent randomised controlled trial conducted in Norway adds evidence on the positive effects on performance and satisfaction with performance of (ADL) and cost‐effectiveness (Kjerstad & Tuntland, ; Tuntland, Aaslund, Espehaug, Førland, & Kjeken, ). In sharp contrast however, Legg, Gladman, Drummond, and Davidson () conclude, in another review, that there is a lack of evidence on positive outcomes of reablement due to the problem of evaluating and interpreting the results of an intervention that lacks a clear definition, is poorly described and is implemented for a broadly defined population (Legg et al, ; Sims‐Gould et al, ). Thus, several facets of reablement need to be further elaborated to address the unclarities surrounding the intervention.…”

“…One such facet is the actual content of the intervention and the role of different professionals. While reablement is described as a multidisciplinary intervention, occupational therapists and physiotherapists have been described as key professionals in the role as supervisors for home care staff (Sims‐Gould et al, ) or implementing assessment and initial intervention before home care is granted (Zingmark & Bernspång, ). Detailed descriptions of intervention components have been presented in previous study protocols (Langeland et al, ; Tuntland et al, ), but to what extent interventions were delivered according to these protocols has not been presented in detail.…”

“…Detailed descriptions of intervention components have been presented in previous study protocols (Langeland et al, ; Tuntland et al, ), but to what extent interventions were delivered according to these protocols has not been presented in detail. Sims‐Gould and colleagues concluded, in their review, that descriptions of the actual content of interventions were often briefly described as was the focus of interventions and collaboration between professionals and the client (Sims‐Gould et al, ). While reablement has been implemented in several countries over many years, it is reasonable to assume that there is variation between countries and settings how the intervention is delivered.…”