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Reviewing the reablement approach to caring for older people

Published online by Cambridge University Press:  25 January 2019

Daniel Doh*
Affiliation:
Access Care Network Australia, Osborne Park, Western Australia, Australia
Ricki Smith
Affiliation:
Access Care Network Australia, Osborne Park, Western Australia, Australia
Paula Gevers
Affiliation:
The Smith Family, Perth, Western Australia, Australia
*
*Corresponding author. Email: [email protected]

Abstract

In this paper we tell of our critical review of reablement – an emerging global practice model in community- and home-based care for older people. Whereas the reablement approach is gaining global acceptance, there are questions and concerns among researchers and policy makers about what reablement means and how it is used in practice. We examined the literature on reablement between 2005 and 2017 using clearly defined inclusion criteria. We focused on identifying within authors’ accounts its essential features and how it is practised. In our examination of conceptualisation, we found nine essential features of reablement, the most predominant being the wish to improve the functionality of clients so they can continue to live in their own homes. Of course, we found variability in policy and geographic contexts, but we were not perturbed by this. Rather, we found the under-representation of social connectivity for clients to be regrettable. We constructed a typology of four theoretical types of reablement to help us reflect on the current state of research and practice, and we tentatively offer this for the consideration of the research, practice and policy communities.

Type
Review Article
Copyright
Copyright © Cambridge University Press 2019

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References

Aspinal, F, Glasby, J, Rostgaard, T, Tuntland, H and Westendorp, RG (2016) New horizons: reablement supporting older people towards independence. Age and Ageing 45, 574578.10.1093/ageing/afw094CrossRefGoogle ScholarPubMed
Benevolent Society (2011) New Ways of Restoring and Supporting the Independence of Older People (Research to Practice Briefing No. 6). Paddington, NSW: Benevolent Society.Google Scholar
Booth, A, Sutton, A and Papaioannou, D (2016) Systematic Approaches to a Successful Literature Review. Thousand Oaks, CA: Sage.Google Scholar
Bridges, E and James, V (2012) Getting Back on Your Feet: Reablement in Wales. Cardiff, UK: Women's Royal Voluntary Service.Google Scholar
Care Services Efficiency Delivery (2010) Homecare Reablement Toolkit: Intermediate Care and Homecare Reablement – What's in a Name? Department of Health, UK.Google Scholar
Cochrane, A, Furlong, M, McGilloway, S, Molloy, DW, Stevenson, M and Donnelly, M (2016) Time-limited home-care reablement services for maintaining and improving the functional independence of older adults. Cochrane Database of Systematic Reviews 2016, Issue 10. Art. No.:CD010825.10.1002/14651858.CD010825.pub2CrossRefGoogle Scholar
Cochrane, A, McGilloway, S, Furlong, M, Molloy, DW, Stevenson, M and Donnelly, M (2013) Home care reablement services for maintaining and improving older adults’ functional independence. Cochrane Database of Systematic Reviews 2013, Issue 11. Art. No.:CD010825.Google Scholar
Francis, J, Fisher, M and Rutter, D (2011) Reablement: A Cost-effective Route to Better Outcomes. London: Social Care Institute for Excellence.Google Scholar
Glendinning, C, Jones, K, Baxter, K, Rabiee, P, Curtis, L, Wilde, A and Forder, J (2010) Home Care Re-ablement Services: Investigating the Longer-term Impacts (Prospective Longitudinal Study). York, UK: Social Policy Research Unit, University of York.Google Scholar
Glendinning, C and Newbronner, E (2008) The effectiveness of home care reablement – developing the evidence base. Journal of Integrated Care 16, 3239.10.1108/14769018200800031CrossRefGoogle Scholar
Grant, MJ and Booth, A (2009) A typology of reviews: an analysis of 14 review types and associated methodologies. Health Information and Libraries Journal 26, 91108.10.1111/j.1471-1842.2009.00848.xCrossRefGoogle ScholarPubMed
Hjelle, KM, Tuntland, H, Førland, O and Alvsvåg, H (2017) Driving forces for home-based reablement: a qualitative study of older adults’ experiences. Health and Social Care in the Community 25, 15811589.10.1111/hsc.12324CrossRefGoogle ScholarPubMed
Jones, KC, Baxter, K, Curtis, LA, Arksey, H, Forder, JE, Glendinning, C and Rabiee, P (2009) Investigating the longer term impact of home care re-ablement services: the short-term outcomes and costs of home care re-ablement services. Working Paper DHR 2378. Social Policy Research Unit, University of York.Google Scholar
King, AI, Parsons, M, Robinson, E and Jörgensen, D (2012) Assessing the impact of a restorative home care service in New Zealand: a cluster randomised controlled trial. Health and Social Care in the Community 20, 365374.10.1111/j.1365-2524.2011.01039.xCrossRefGoogle ScholarPubMed
Kjerstad, E and Tuntland, HK (2016) Reablement in community-dwelling older adults: a cost-effectiveness analysis alongside a randomized controlled trial. Health Economics Review 6, 110.10.1186/s13561-016-0092-8CrossRefGoogle ScholarPubMed
Leeds City Council Communications (2011) Helping You Get Your Confidence Back to Live Independently in Your Own Home and Community (Programme brochure). Leeds, UK: Leeds City Council Communications.Google Scholar
Legg, L, Gladman, J, Drummond, A and Davidson, A (2016) A systematic review of the evidence on home care reablement services. Clinical Rehabilitation 30, 741749.CrossRefGoogle ScholarPubMed
Lewin, GF, Alfonso, HS and Alan, JJ (2013 a) Evidence for the long term cost effectiveness of home care reablement programs. Clinical Interventions in Aging 8, 12731281.10.2147/CIA.S49164CrossRefGoogle Scholar
Lewin, G, Allan, J, Patterson, C, Knuiman, M, Boldy, D and Hendrie, D (2014) A comparison of the home-care and healthcare service use and costs of older Australians randomised to receive a restorative or a conventional home-care service. Health and Social Care in the Community 22, 328336.10.1111/hsc.12092CrossRefGoogle ScholarPubMed
Lewin, G, De San Miguel, K, Knuiman, M, Alan, J, Boldy, D, Hendrie, D and Vandermeulen, S (2013 b) A randomised controlled trial of the Home Independence Program: an Australian restorative home-care program for older adults. Health and Social Care in the Community 21, 6978.10.1111/j.1365-2524.2012.01088.xCrossRefGoogle ScholarPubMed
Lewin, G and Vandermeulen, S (2010) A non-randomised controlled trial of the Home Independence Program (HIP): an Australian restorative programme for older home-care clients. Health and Social Care in the Community 18, 9199.Google ScholarPubMed
Mann, R, Beresford, B, Parker, G, Rabiee, P, Weatherly, H, Faria, R and Aspinal, F (2016) Models of reablement evaluation (MoRE): a study protocol of a quasi-experimental mixed methods evaluation of reablement services in England. BMC Health Services Research 16, 375.10.1186/s12913-016-1600-6CrossRefGoogle ScholarPubMed
Miller, E (2013) Embedding Outcomes in the Reablement Model in North Lanarkshire. Glasgow, UK: Economic and Social Research Council, University of Strathclyde.Google Scholar
Moe, CF and Brinchmann, BS (2016) Optimising Capacity – A Service User and Caregiver Perspective on Reablement. Norway: Nord University. Bodø.Google Scholar
Parker, G (2014) Intermediate care, reablement or something else? A research note about the challenges of defining services. University of York, Working Paper WP 2630.Google Scholar
Pitts, J, Sanderson, H, Webster, A and Skelhorn, L (2011) A New Reablement Journey. London: Ambrey Associates.Google Scholar
Poulos, CJ, Bayer, A, Beaupre, L, Clare, L, Poulos, RG, Wang, RH and McGilton, KS (2017) A comprehensive approach to reablement in dementia. Alzheimer's and Dementia: Translational Research and Clinical Interventions 3, 450458.Google ScholarPubMed
Rabiee, P, Glendinning, C, Arksey, H, Baxter, K, Jones, KC, Forder, JE and Curtis, LA (2009) The Organisation and Content of Home Care Re-ablement Services: Interim Report. London: Department of Health.Google Scholar
Reidy, H, Webber, M, Rayner, S and Jones, M (2013) Evaluation of the Southwark Reablement Service. London: Kings College.Google Scholar
Social Care Institute for Excellence (2012) Reablement: key issues for commissioners of adult social care. United Kingdom; 2012 Mar. Report No.: 52Google Scholar
Social Care Institute for Excellence (2013) Maximising the Potential of Reablement (SCIE Guide No. 49). London: Social Care Institute for Excellence.Google Scholar
Tessier, A, Beaulieu, M-D, Mcginn, CA and Latulippe, R (2016) Effectiveness of reablement: a systematic review. Healthcare Policy 11, 4959.Google ScholarPubMed
Tuntland, H (2017) Reablement in Home-dwelling Older Adults (PhD thesis). University of Bergen, Bergen, Norway.Google Scholar
Tuntland, H, Aaslund, MK, Espehaug, B, Førland, O and Kjeken, I (2015) Reablement in community-dwelling older adults: a randomised controlled trial. BMC Geriatrics 15, 145.10.1186/s12877-015-0142-9CrossRefGoogle ScholarPubMed
Tuntland, H, Espehaug, B, Forland, O, Hole, AD, Kjerstad, E and Kjeken, I (2014) Reablement in community-dwelling adults: study protocol for a randomised controlled trial. BMC Geriatrics 14, 139.10.1186/1471-2318-14-139CrossRefGoogle ScholarPubMed
UK Department of Health (2007) Homecare reablement – efficiency delivery: supporting sustainable transformation. Department of Health, Discussion Document.Google Scholar
Van Dijk, HM, Cramm, JM, Van Exel, JOB and Nieboer, AP (2015) The ideal neighbourhood for ageing in place as perceived by frail and non-frail community-dwelling older people. Ageing & Society 35, 17711795.10.1017/S0144686X14000622CrossRefGoogle Scholar
Vernooij-Dassen, M and Jeon, Y H (2016) Social health and dementia: the power of human capabilities. International Psychogeriatrics 28, 701703.10.1017/S1041610216000260CrossRefGoogle ScholarPubMed
Welsh Reablement Alliance (2011) Welsh Reablement Alliance: Position Statement. UK: Welsh Reablement Alliance. Cardiff.Google Scholar
Wilde, A and Glendinning, C (2012) ‘If they're helping me then how can I be independent?’ The perceptions and experience of users of home-care re-ablement services. Health and Social Care in the Community 20, 583590.10.1111/j.1365-2524.2012.01072.xCrossRefGoogle ScholarPubMed
Wiles, JL, Leibing, A, Guberman, N, Reeve, J and Allen, RE (2012) The meaning of ‘aging in place’ to older people. The Gerontologist 52, 357366.10.1093/geront/gnr098CrossRefGoogle Scholar
Winkel, A, Langberg, H and Wæhrens, EE (2015) Reablement in a community setting. Disability and Rehabilitation 37, 13471352.CrossRefGoogle Scholar