The content of reablement: Exploring occupational and physiotherapy interventions

Zingmark, Magnus; Evertsson, Bodil; Haak, Maria

doi:10.1177/0308022618792188

Cited by 19 publications

(22 citation statements)

References 20 publications

(37 reference statements)

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“…The results indicate that the interventions reported are complex, include a mix of actions targeting different levels of functioning and the environment, involve collaboration with the client, relatives and home care staff (Table ). Our results verify those previously found (Zingmark et al, ) that instruction and advice is prevalent in approximately 40% of all cases. The results indicate that advising relatives seems to be more prevalent in relation to occupational therapy which is similar to a recent trial (Zingmark et al, ).…”

Section: Discussionsupporting

confidence: 93%

“…Our results verify those previously found (Zingmark et al, ) that instruction and advice is prevalent in approximately 40% of all cases. The results indicate that advising relatives seems to be more prevalent in relation to occupational therapy which is similar to a recent trial (Zingmark et al, ). However, advising relatives was only reported in around 10% of all cases.…”

Section: Discussionsupporting

confidence: 93%

“…Reablement has been described as an intensive time-limited intervention (Aspinal et al, 2016) (Table 3). Our results verify those previously found (Zingmark et al, 2019) that instruction and advice is prevalent in approximately 40% of all cases. The results indicate that advising relatives seems to be more prevalent in relation to occupational therapy which is similar to a recent trial (Zingmark et al, 2019).…”

Section: Discussionsupporting

confidence: 93%

“…There were differences regarding the number of contacts and duration of the intervention between the professions indicating that for physiotherapists, the intervention was ongoing over a longer period, compared to occupational therapists. These results are similar to a previous Swedish study (Zingmark et al, ) but, regarding the number of contacts, in contrast to a Norwegian study by Tuntland et al (). Reablement has been described as an intensive time‐limited intervention (Aspinal et al, ), usually over a period of 4–12 weeks.…”

Section: Discussionsupporting

confidence: 91%

“…In line with a study conducted in one Swedish municipality, the most prevalent focus was on walking indoors for both professions followed by self-care for occupational therapists and body functions for physiotherapists (Zingmark, Evertsson, & Haak, 2019). Noteworthy is that for occupational therapist, training in activity was reported for only 13% of all cases, whereas technical aids were provided in 82%.…”

Section: Discussionsupporting

confidence: 68%

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

Zingmark

Evertsson

Haak

2020

Health Soc Care Community

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Reablement is a multidisciplinary, home‐based intervention implemented for people at risk of functional decline and losing independence aiming to optimise functioning and independence in activities of daily living. There is limited knowledge about what characterises the intervention and the role of different professionals. The purpose of this study was to explore the characteristics and differences of occupational therapy and physiotherapy interventions in terms of focus, content and duration within the context of reablement in Swedish municipalities. Web‐based surveys were used to collect data from 43 municipalities representing 25% of the population in Sweden. Data on intervention characteristics were reported for all cases receiving occupational therapy (n = 1,395) and physiotherapy (n = 1,006) over a 15‐week period. Data were presented descriptively, and differences between occupational therapy and physiotherapy were analysed using Chi‐square tests. The results indicated that reablement in Sweden was implemented for adults in all ages (19–103 years, median 81.0 years); 72% had home help. For both professions, a baseline assessment was made in fewer than half of all cases. There were significant differences between occupational therapists and physiotherapists regarding the focus and content as well as the number of contacts and duration of the intervention. For occupational therapists, walking indoors and self‐care were the largest focus areas, whereas for physiotherapists walking indoors and body function were the largest focus areas. For most cases, the intervention was completed within five sessions over a 6‐week period. This study provides the first picture of occupational therapy and physiotherapy within Swedish reablement contexts. In relation to the results, the focus of interventions, how assessments are made and how the intervention is implemented over time are issues that can be further elaborated.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 68%

See 3 more Smart Citations

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

Zingmark

Evertsson

Haak

2020

Health Soc Care Community

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Valuable aspects of home rehabilitation in Sweden: Experiences from older adults

Johansson

Bravell

Karlsson

et al. 2021

Health Science Reports

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Background and aim Home rehabilitation is an increasing service in many countries due to the aging population. The body of knowledge in home rehabilitation is growing but results are inconsistent, and there is still lack of knowledge from user perspectives to guide practice and home rehabilitation programs. The purpose of this study was to explore valuable aspects of home rehabilitation experienced by older adults. Methods Fourteen older persons (nine older adults and five next of kins) were interviewed about their experiences of receiving rehabilitation in their homes. Nine de‐identified interviews were analyzed as secondary data and with qualitative content analysis. Results A familiar home environment, inclusive collaboration, and the mastering of everyday life were aspects of value for older adults in home rehabilitation. Creating a tailor‐made rehabilitation together with competent staff, building trust, and providing a sense of security in their homes were also considered valuable. Conclusion When using the home as an arena for rehabilitation and collaboration, interventions can be planned based on the older adult's unique conditions and the knowledge and skills of the multidisciplinary team, including the older adult and their next of kin. A valuable home rehabilitation can then be achieved that creates motivation, which in the long term probably also generates desired effects for the older adult. More research is needed on older adult's experiences of content in home rehabilitation programs so that practice develops in accordance with citizens' needs, individual resources, and relationships.

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Exploring behavior change techniques for reablement: A scoping review

Azim

Burton

Ariza‐Vega

et al. 2022

Brazilian Journal of Physical Therapy

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The content of reablement: Exploring occupational and physiotherapy interventions

Cited by 19 publications

References 20 publications

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

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

Valuable aspects of home rehabilitation in Sweden: Experiences from older adults

Exploring behavior change techniques for reablement: A scoping review

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