AN EVALUATION OF THE REABLEMENT SERVICE PROGRAMME ON PHYSICAL ABILITY, CARE NEEDS AND CARE PLAN PACKAGES.

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Abstract

AbstractPurpose: In response to aging population and rising prevalence of disability Reablement initiatives have been introduced yet the evidence base concerning the long term effects remains inconclusive. The purpose of this paper is to examine the impact of Reablement on physical independence, care plans and care packages post discharge for older adults. Design/methodological approach: A retrospective cohort design was used to examine patient records who had completed a Reablement programme. Measures on internationally renowned and psychometrically strong tools, completed by trained health care professionals, were examined pre-and post-intervention with a consecutive sample (n=416) of participants since the introduction of the Reablement programme. Findings: Reablement had a significant impact on physical independence living scores and a corresponding reduction in care needs and care plans post discharge enabling the person to stay at home. Originality/ value: The study’s findings present empirical evidence on the value of Reablement health service programme developed to promote independent living at home following a short illness, for older people. Whist no examination on financial data was recorded in this study, the increase in physical ability and corresponding reduction in care needs and care plans post discharge indicates a reduction in costs and a better standard of living.
LanguageEnglish
Pages1-10
JournalJournal of Integrated Care
Volumen/a
DOIs
Publication statusAccepted/In press - 31 Jan 2018

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Independent Living
Health Services
Delivery of Health Care
Costs and Cost Analysis
Population

Keywords

  • Reablement
  • rehabilitation
  • restorative home care
  • independent living
  • older people

Cite this

@article{d5a85388b84c43488b97c227268c3c48,
title = "AN EVALUATION OF THE REABLEMENT SERVICE PROGRAMME ON PHYSICAL ABILITY, CARE NEEDS AND CARE PLAN PACKAGES.",
abstract = "AbstractPurpose: In response to aging population and rising prevalence of disability Reablement initiatives have been introduced yet the evidence base concerning the long term effects remains inconclusive. The purpose of this paper is to examine the impact of Reablement on physical independence, care plans and care packages post discharge for older adults. Design/methodological approach: A retrospective cohort design was used to examine patient records who had completed a Reablement programme. Measures on internationally renowned and psychometrically strong tools, completed by trained health care professionals, were examined pre-and post-intervention with a consecutive sample (n=416) of participants since the introduction of the Reablement programme. Findings: Reablement had a significant impact on physical independence living scores and a corresponding reduction in care needs and care plans post discharge enabling the person to stay at home. Originality/ value: The study’s findings present empirical evidence on the value of Reablement health service programme developed to promote independent living at home following a short illness, for older people. Whist no examination on financial data was recorded in this study, the increase in physical ability and corresponding reduction in care needs and care plans post discharge indicates a reduction in costs and a better standard of living.",
keywords = "Reablement, rehabilitation, restorative home care, independent living, older people",
author = "P Slater and Felicity Hasson",
note = "Reference text: References Allen, K. & Glasby, J. (2010), ‘The billion dollar question’: embedding prevention in older people’s services – 10 ‘high impact’ changes”, HSMC Policy Paper 8. University of Birmingham, available at: https://www.birmingham.ac.uk/Documents/college-social-sciences/social-policy/HSMC/publications/PolicyPapers/Policy-paper-8.pdf (accessed 19th November 2017) Aspinal F, Glasby J, Rostgaard T, Tuntland H, Westendorp RG. (2016), “New horizons: reablement–supporting older people towards independence”, Age Ageing, Vol. 45, pp71–6. Birkeland A, Tuntland H, Forland O, Jakobsen FF & Langeland E (2017), “Interdisciplinary collaboration in reablement - a qualitative study”, Journal of Multidisciplinary Healthcare, Vol. 5, No. 10, pp 195-203. Bridges, E. & James, V. (2012), “Getting back on your feet: Reablement in Wales, WRVS Positive about age practical for life”. Cardiff, Wales, available at: https://www.royalvoluntaryservice.org.uk/Uploads/Documents/Reports{\%}20and{\%}20Reviews/getting_back_on_your_feet_reablement_in_wales_report.pdf (accessed 19th November 2017) Chumney, D., Nollinger, K., Shesko, K., Skop, K., Spencer, M. and Newton, R. (2010), “Ability of Functional Independence Measure to accurately predict functional outcome of stroke-specific population: Systematic Review”, Journal of Rehabilitation Research and Development, Vol. 47, No. 1, pp17 – 30. Cochrane A, Furlong M, McGilloway S, Molloy DW, Stevenson M, Donnelly M. (2016), “Time-limited home-care reablement services for maintaining and improving the functional independence of older adults”, Cochrane Database Systematic Review, Vol. 10:CD010825. Care Services Efficiency Delivery Programme (2008), “Benefits of homecare Reablement for people at different level of need”. Care Services Improvement Partnership, London, available at: https://www.scie-socialcareonline.org.uk/benefits-of-homecare-re-ablement-for-people-at-different-levels-of-need/r/a11G00000017wdfIAA (accessed 19th November 2017) Deloitee (2016) 2016 Global health care outlook: battling costs while improving care., available at: https://www2.deloitte.com/content/dam/Deloitte/global/Documents/Life-Sciences-Health-Care/gx-lshc-2016-health-care-outlook.pdf (accessed 26th January 2017) Feldman, C. (2011), “Mental Health Reablement Pilot Evaluation Report”. London, Camden and Islington NHS Foundation Trust, England. Francis, J., Fisher, M. & Rutter, D. (2011), “Reablement: a cost-effective route to better outcomes”. Social Care institute for Excellence, United Kingdom, available at: http://www.scie.org.uk/publications/briefings/files/briefing36.pdf (accessed 20th November 2017). Ghatorae. H. (2013), “Reablement in Glasgow, Qualitative and Quantitative Research. The Research and Practice Development team”. Social Work Services, Glasgow City Council, Scotland. Glendinning, C., Jones, K., Baxter, K., Rabiee, P., Curtis, L.A., Wilde, A., Arksey, H. & Forder, J.E. (2010), “Home care Reablement services: investigating the longer term impacts (prospective longitudinal study)”, Social Policy Research Unit, York, available at: http://php.york.ac.uk/inst/spru/pubs/1882/ (accessed 19th November 2017). Hjelle KM, Tuntland H, F{\o}rland O, Alvsv{\aa}g H. (2016), “Driving forces for home-based reablement; a qualitative study of older adults’ experiences”, Health Social Care in the Community, Vol. 25, No. 5, pp1581-1589. Kjerstad E & Tutland K.H (2016), “Reablement in community-dwelling older adults: a cost-effectiveness analysis alongside a randomized controlled trial”, Health Economic Review, Vol. 6 No.15, doi: 10.1186/s13561-016-0092-8 Legg L, Gladman J, Drummond A, Davidson A. (2016), “A systematic review of the evidence on home care reablement services”, Clinical Rehabilitation, Vol. 30, No.8, pp741–749. Lewin, G. & Van der Meulen, 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, Vol. 18, pp 91–99. Lewin, G.F., Alfonso, H.S. & Alan, J.J. (2013), “Evidence of the long term cost effectiveness of home care Reablement programmes”, Clinical Interventions in Aging, Vol. 8, pp1273-1281. Lewin, G., Allan, J., Patterson, C., Knuiman, M., Boldy, D. and Hendrie, D. (2014), “A comparison of home-care and healthcare service use of older Australians randomized to receive a restorative or a conventional home-care service”, Health and Social Care in the Community, Vol. 22, No. 3, pp328-36. Mann R, Beresford B, Parker G, Rabiee P, Weatherly H, Faria R, Kanaan M, Laver-Fawcett A, Pilkington G & 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 Vol. 6, pp 375 https://doi.org/10.1186/s12913-016-1600-6 McLeod, B., Mair, M. & RP&M Associates Ltd (2009), “Evaluation of City of Edinburgh Council Home Care Re-Ablement Service”. Scottish Government Social Research, Scotland, available at: http://www.gov.scot/Publications/2009/11/25100200/0 (accessed 18th November 2017) Newbronner, L., Baxter, M., Chamberlain, R., Maddison, J., Arksey, H. and Glendinning, C. (2007), “Research into the Longer Term Effects/Impacts of Reablement Services” Available at: www.york.ac.uk/inst/spru/pubs/276 (accessed 18th November 2017) Newbronner, L., Baxter, M., Chamberlain, R., Maddison, J., Arksey, H. and Glendinning, C. (2007), “Research into the Longer Term Effects/Impacts of Reablement Services”, Social Policy Research Unit, University of York, York. Parsons J.G., Sheridan N., Rouse P., Robinson E., Connolly M. (2013), “A Randomized Controlled Trial to Determine the Effect of a Model of Restorative Home Care on Physical Function and Social Support among Older People”, Archives of Physical Medicine and Rehabilitation, Vol. 94, No. 6, pp1015–22. Poulos CJ, Bayer A, Beaupre L, Clare L, Poulos RG, Wang RH, Zuidema S, McGilton KS (2017), “A comprehensive approach to reablement in dementia”, Alzheimer’s Dement NY, Vol. 3, No. 3, pp 450-458. PwC (2015), “Connected and coordinated: personalised service delivery for the elderly”. Price Waterhouse Cooper, available at: http://www.pwc.com/global-health. (accessed 20th November 2017] Reidy, H., Webber, M., Rayner, S. & Jones, M. (2013), “Evaluation of the Southwark Reablement service”. Kings College London; Social Care Workforce Research Unit; The University of York; South London and Maudsley NHS Trust; Southwark Council, England. Rostgaard T & Graff L (2017), “Reablement in Denmark- better help, better quality of life?”, Innovation in Aging, Vol, 1. No. 1, pp648. Rostgaard T, (2015), “Socially Investing in Older People – Reablement as a Social Care Policy Response?” IAGG-ER 8th Congress Dublin (23rd-26th April 2015). Ryburn, B., Wells, Y., & Foreman, P. (2009), “Enabling independence: restorative approaches to home care provision for frail older adults”, Health and Social Care in the Community, Vol. 17, pp 225 – 234. Sims-Gould J, Tong CE, Wallis-Mayer L & Ashe MC (2017), “Reablement, Reactivation, Rehabilitation and Restorative Interventions with Older Adults in Receipt of Home Care: A Systematic Review”, Journal of the American Medical Directors Association, Vol. 18, No. 8, pp 653-663. Tessier A, Beaulieu M-D, Mcginn CA & Latilippe R (2016), “Effectiveness of Reablement: A Systematic Review”, Healthcare Policy, Vol. 11, No. 4, pp 49-59. Tinetti M, Baker D, Gallo WT, Nanda A, Charpentier P, O’Leary J. (2002), “Evaluation of restorative care vs usual care for older adults receiving an acute episode of home care”, Journal of the American Medical Association, Vol. 287, No. 16, pp2098–2105. Tuntland H, Aaslund M, Espehaug B, F{\o}rland O, Kjeken I, (2015), “Reablement in Community-Dwelling Older Adults: A Randomised Controlled Trial”, BMC Geriatrics Vol.15, No. 15, pp145 Turner-Stokes L, Nyein K, Turner-Stokes T, and Gatehouse, C. (1999), “The UK FIM+FAM: development and evaluation”, Clinical Rehabilitation, Vol. 13, pp 277–87. United Nations, Department of Economic and Social Affairs, Population Division (2015), “World Population Prospects: The 2015 Revision, Key Findings and Advance Tables”. Working Paper No. ESA/P/WP.241. Whitehead P, Worthington E, Parry R, Walker M, Drummond A. (2015),”Interventions to reduce dependency in personal activities of daily living in community dwelling adults who use homecare services: a systematic review”, Clinical Rehabilitation. Vol. 29, No. 11, pp1064–1076. World Health Organisation (2011), “Global Health and Aging”, WHO, Geneva Wilde A, Glendinning C. (2012), “If they’re helping me then how can I be independent?” The perceptions and experience of users of home-care reablement services”, Health Social Care in the Community, Vol. 20, No. 6, 583–590. Wood, C. & Salter, J. (2012), “The Home Cure”, Demos, London.",
year = "2018",
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day = "31",
doi = "10.1108/JICA-11-2017-0042",
language = "English",
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TY - JOUR

T1 - AN EVALUATION OF THE REABLEMENT SERVICE PROGRAMME ON PHYSICAL ABILITY, CARE NEEDS AND CARE PLAN PACKAGES.

AU - Slater, P

AU - Hasson, Felicity

N1 - Reference text: References Allen, K. & Glasby, J. (2010), ‘The billion dollar question’: embedding prevention in older people’s services – 10 ‘high impact’ changes”, HSMC Policy Paper 8. University of Birmingham, available at: https://www.birmingham.ac.uk/Documents/college-social-sciences/social-policy/HSMC/publications/PolicyPapers/Policy-paper-8.pdf (accessed 19th November 2017) Aspinal F, Glasby J, Rostgaard T, Tuntland H, Westendorp RG. (2016), “New horizons: reablement–supporting older people towards independence”, Age Ageing, Vol. 45, pp71–6. Birkeland A, Tuntland H, Forland O, Jakobsen FF & Langeland E (2017), “Interdisciplinary collaboration in reablement - a qualitative study”, Journal of Multidisciplinary Healthcare, Vol. 5, No. 10, pp 195-203. Bridges, E. & James, V. (2012), “Getting back on your feet: Reablement in Wales, WRVS Positive about age practical for life”. Cardiff, Wales, available at: https://www.royalvoluntaryservice.org.uk/Uploads/Documents/Reports%20and%20Reviews/getting_back_on_your_feet_reablement_in_wales_report.pdf (accessed 19th November 2017) Chumney, D., Nollinger, K., Shesko, K., Skop, K., Spencer, M. and Newton, R. (2010), “Ability of Functional Independence Measure to accurately predict functional outcome of stroke-specific population: Systematic Review”, Journal of Rehabilitation Research and Development, Vol. 47, No. 1, pp17 – 30. Cochrane A, Furlong M, McGilloway S, Molloy DW, Stevenson M, Donnelly M. (2016), “Time-limited home-care reablement services for maintaining and improving the functional independence of older adults”, Cochrane Database Systematic Review, Vol. 10:CD010825. Care Services Efficiency Delivery Programme (2008), “Benefits of homecare Reablement for people at different level of need”. Care Services Improvement Partnership, London, available at: https://www.scie-socialcareonline.org.uk/benefits-of-homecare-re-ablement-for-people-at-different-levels-of-need/r/a11G00000017wdfIAA (accessed 19th November 2017) Deloitee (2016) 2016 Global health care outlook: battling costs while improving care., available at: https://www2.deloitte.com/content/dam/Deloitte/global/Documents/Life-Sciences-Health-Care/gx-lshc-2016-health-care-outlook.pdf (accessed 26th January 2017) Feldman, C. (2011), “Mental Health Reablement Pilot Evaluation Report”. London, Camden and Islington NHS Foundation Trust, England. Francis, J., Fisher, M. & Rutter, D. (2011), “Reablement: a cost-effective route to better outcomes”. Social Care institute for Excellence, United Kingdom, available at: http://www.scie.org.uk/publications/briefings/files/briefing36.pdf (accessed 20th November 2017). Ghatorae. H. (2013), “Reablement in Glasgow, Qualitative and Quantitative Research. The Research and Practice Development team”. Social Work Services, Glasgow City Council, Scotland. Glendinning, C., Jones, K., Baxter, K., Rabiee, P., Curtis, L.A., Wilde, A., Arksey, H. & Forder, J.E. (2010), “Home care Reablement services: investigating the longer term impacts (prospective longitudinal study)”, Social Policy Research Unit, York, available at: http://php.york.ac.uk/inst/spru/pubs/1882/ (accessed 19th November 2017). Hjelle KM, Tuntland H, Førland O, Alvsvåg H. (2016), “Driving forces for home-based reablement; a qualitative study of older adults’ experiences”, Health Social Care in the Community, Vol. 25, No. 5, pp1581-1589. Kjerstad E & Tutland K.H (2016), “Reablement in community-dwelling older adults: a cost-effectiveness analysis alongside a randomized controlled trial”, Health Economic Review, Vol. 6 No.15, doi: 10.1186/s13561-016-0092-8 Legg L, Gladman J, Drummond A, Davidson A. (2016), “A systematic review of the evidence on home care reablement services”, Clinical Rehabilitation, Vol. 30, No.8, pp741–749. Lewin, G. & Van der Meulen, 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, Vol. 18, pp 91–99. Lewin, G.F., Alfonso, H.S. & Alan, J.J. (2013), “Evidence of the long term cost effectiveness of home care Reablement programmes”, Clinical Interventions in Aging, Vol. 8, pp1273-1281. Lewin, G., Allan, J., Patterson, C., Knuiman, M., Boldy, D. and Hendrie, D. (2014), “A comparison of home-care and healthcare service use of older Australians randomized to receive a restorative or a conventional home-care service”, Health and Social Care in the Community, Vol. 22, No. 3, pp328-36. Mann R, Beresford B, Parker G, Rabiee P, Weatherly H, Faria R, Kanaan M, Laver-Fawcett A, Pilkington G & 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 Vol. 6, pp 375 https://doi.org/10.1186/s12913-016-1600-6 McLeod, B., Mair, M. & RP&M Associates Ltd (2009), “Evaluation of City of Edinburgh Council Home Care Re-Ablement Service”. Scottish Government Social Research, Scotland, available at: http://www.gov.scot/Publications/2009/11/25100200/0 (accessed 18th November 2017) Newbronner, L., Baxter, M., Chamberlain, R., Maddison, J., Arksey, H. and Glendinning, C. (2007), “Research into the Longer Term Effects/Impacts of Reablement Services” Available at: www.york.ac.uk/inst/spru/pubs/276 (accessed 18th November 2017) Newbronner, L., Baxter, M., Chamberlain, R., Maddison, J., Arksey, H. and Glendinning, C. (2007), “Research into the Longer Term Effects/Impacts of Reablement Services”, Social Policy Research Unit, University of York, York. Parsons J.G., Sheridan N., Rouse P., Robinson E., Connolly M. (2013), “A Randomized Controlled Trial to Determine the Effect of a Model of Restorative Home Care on Physical Function and Social Support among Older People”, Archives of Physical Medicine and Rehabilitation, Vol. 94, No. 6, pp1015–22. Poulos CJ, Bayer A, Beaupre L, Clare L, Poulos RG, Wang RH, Zuidema S, McGilton KS (2017), “A comprehensive approach to reablement in dementia”, Alzheimer’s Dement NY, Vol. 3, No. 3, pp 450-458. PwC (2015), “Connected and coordinated: personalised service delivery for the elderly”. Price Waterhouse Cooper, available at: http://www.pwc.com/global-health. (accessed 20th November 2017] Reidy, H., Webber, M., Rayner, S. & Jones, M. (2013), “Evaluation of the Southwark Reablement service”. Kings College London; Social Care Workforce Research Unit; The University of York; South London and Maudsley NHS Trust; Southwark Council, England. Rostgaard T & Graff L (2017), “Reablement in Denmark- better help, better quality of life?”, Innovation in Aging, Vol, 1. No. 1, pp648. Rostgaard T, (2015), “Socially Investing in Older People – Reablement as a Social Care Policy Response?” IAGG-ER 8th Congress Dublin (23rd-26th April 2015). Ryburn, B., Wells, Y., & Foreman, P. (2009), “Enabling independence: restorative approaches to home care provision for frail older adults”, Health and Social Care in the Community, Vol. 17, pp 225 – 234. Sims-Gould J, Tong CE, Wallis-Mayer L & Ashe MC (2017), “Reablement, Reactivation, Rehabilitation and Restorative Interventions with Older Adults in Receipt of Home Care: A Systematic Review”, Journal of the American Medical Directors Association, Vol. 18, No. 8, pp 653-663. Tessier A, Beaulieu M-D, Mcginn CA & Latilippe R (2016), “Effectiveness of Reablement: A Systematic Review”, Healthcare Policy, Vol. 11, No. 4, pp 49-59. Tinetti M, Baker D, Gallo WT, Nanda A, Charpentier P, O’Leary J. (2002), “Evaluation of restorative care vs usual care for older adults receiving an acute episode of home care”, Journal of the American Medical Association, Vol. 287, No. 16, pp2098–2105. Tuntland H, Aaslund M, Espehaug B, Førland O, Kjeken I, (2015), “Reablement in Community-Dwelling Older Adults: A Randomised Controlled Trial”, BMC Geriatrics Vol.15, No. 15, pp145 Turner-Stokes L, Nyein K, Turner-Stokes T, and Gatehouse, C. (1999), “The UK FIM+FAM: development and evaluation”, Clinical Rehabilitation, Vol. 13, pp 277–87. United Nations, Department of Economic and Social Affairs, Population Division (2015), “World Population Prospects: The 2015 Revision, Key Findings and Advance Tables”. Working Paper No. ESA/P/WP.241. Whitehead P, Worthington E, Parry R, Walker M, Drummond A. (2015),”Interventions to reduce dependency in personal activities of daily living in community dwelling adults who use homecare services: a systematic review”, Clinical Rehabilitation. Vol. 29, No. 11, pp1064–1076. World Health Organisation (2011), “Global Health and Aging”, WHO, Geneva Wilde A, Glendinning C. (2012), “If they’re helping me then how can I be independent?” The perceptions and experience of users of home-care reablement services”, Health Social Care in the Community, Vol. 20, No. 6, 583–590. Wood, C. & Salter, J. (2012), “The Home Cure”, Demos, London.

PY - 2018/1/31

Y1 - 2018/1/31

N2 - AbstractPurpose: In response to aging population and rising prevalence of disability Reablement initiatives have been introduced yet the evidence base concerning the long term effects remains inconclusive. The purpose of this paper is to examine the impact of Reablement on physical independence, care plans and care packages post discharge for older adults. Design/methodological approach: A retrospective cohort design was used to examine patient records who had completed a Reablement programme. Measures on internationally renowned and psychometrically strong tools, completed by trained health care professionals, were examined pre-and post-intervention with a consecutive sample (n=416) of participants since the introduction of the Reablement programme. Findings: Reablement had a significant impact on physical independence living scores and a corresponding reduction in care needs and care plans post discharge enabling the person to stay at home. Originality/ value: The study’s findings present empirical evidence on the value of Reablement health service programme developed to promote independent living at home following a short illness, for older people. Whist no examination on financial data was recorded in this study, the increase in physical ability and corresponding reduction in care needs and care plans post discharge indicates a reduction in costs and a better standard of living.

AB - AbstractPurpose: In response to aging population and rising prevalence of disability Reablement initiatives have been introduced yet the evidence base concerning the long term effects remains inconclusive. The purpose of this paper is to examine the impact of Reablement on physical independence, care plans and care packages post discharge for older adults. Design/methodological approach: A retrospective cohort design was used to examine patient records who had completed a Reablement programme. Measures on internationally renowned and psychometrically strong tools, completed by trained health care professionals, were examined pre-and post-intervention with a consecutive sample (n=416) of participants since the introduction of the Reablement programme. Findings: Reablement had a significant impact on physical independence living scores and a corresponding reduction in care needs and care plans post discharge enabling the person to stay at home. Originality/ value: The study’s findings present empirical evidence on the value of Reablement health service programme developed to promote independent living at home following a short illness, for older people. Whist no examination on financial data was recorded in this study, the increase in physical ability and corresponding reduction in care needs and care plans post discharge indicates a reduction in costs and a better standard of living.

KW - Reablement

KW - rehabilitation

KW - restorative home care

KW - independent living

KW - older people

U2 - 10.1108/JICA-11-2017-0042

DO - 10.1108/JICA-11-2017-0042

M3 - Article

VL - n/a

SP - 1

EP - 10

JO - Journal of Integrated Care

T2 - Journal of Integrated Care

JF - Journal of Integrated Care

SN - 1476-9018

ER -