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- Author or Editor: Silke Metzelthin x
This chapter looks at the evidence regarding the effectiveness of reablement for older people themselves. The most commonly examined client-level outcomes are daily functioning, physical function and quality of life. The evidence relating to each of these is described in separate sections, while that pertaining to less commonly used measures is described together. When assessing the evidence, most weight is given to studies with more rigorous research methodologies which are considered to be higher on the evidence hierarchy. Overall, the evidence that reablement enables older adults to have better personal outcomes than if they had received conventional home care, was found to be relatively weak, although in relation to outcomes such as quality of life or wellbeing, perhaps promising. On the other hand, there is little evidence that the outcomes for reablement participants are any worse than for non-participants and service evaluations found that the majority were satisfied with the service and what they felt they had achieved.
Numerous countries have been developing a reablement approach for several years. However, the stage of implementation, as well as the scaling up, differs across each country. The aim of this chapter is to consider key issues relating to the implementation of reablement to determine the shared issues for development, refinement, and spread. The chapter is informed by i-PAHRIS and Context and Implementation of Complex Interventions (CICI) implementation frameworks. Issues relating to the history and current status of reablement, target groups, characteristics, and key contextual factors at a participant, local, and national level are considered across New Zealand, Australia, Norway, Denmark, and the Netherlands. This allows for consideration of the key common features in the composition of reablement across the five countries/regions together with an illustration of differences in structuring reablement.
