Reablement
Conditions
Keywords
Reablement, Interprofessional Collaboration
Brief summary
The increasing emphasis on reablement reflects a shift in the caring culture of long-term care policies and systems. However, inconsistent findings regarding its effectiveness highlight the need to better understand how reablement interventions work across different care settings, including community-based services. With Taiwan integrating reablement into the National 10-Year Long-Term Care Plan 2.0, identifying effective approaches within Taiwan's long-term care context has become increasingly important. This study aims to examine a collaborative reablement service model. investigators use the data from a county-level claims dataset in which collaborative reablement services were implemented in adult day care centers. Investigators investigate whether participation in collaborative reablement services is associated with improvements in physical and psychological health.
Interventions
BEHAVIORALindividualized reablement
Reablement was integrated into routine adult day service centers for 3 months. Both groups received usual ADS services and two daily 15-20-minute group-based reablement sessions. The enhanced reablement group additionally received individualized reablement. Physiotherapists or occupational therapists conducted assessments, collaborative goal setting, and tailored activity plans. Care assistants delivered individualized activities for 15-20 minutes daily, with weekly therapist review and adjustment. Staff received standardized training, and intervention delivery was supported by activity logs, Goal Attainment Scaling, supervision, and checklist-based monitoring.
Sponsors
National Taiwan University
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Individuals were aged 65 years or older and able to follow instructions
Exclusion criteria
* Adult day services utilization data were non-registered in local government administrative records
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Activities of Daily Living (ADL) | Baseline (March 2023) and follow-up (October 2023). | ADLs was measured using the Barthel Index (0-100). |
| Change in Instrumental Activities of Daily Living (IADLs) | Baseline (March 2023) and follow-up (October 2023). | IADLs were assessed using an 8-item scale (0-24). |
| Change in physical performance | Baseline (March 2023) and follow-up (October 2023). | Physical performance was evaluated using the Short Physical Performance Battery (SPPB; 0-12). |
| Change in cognitive function | Baseline (March 2023) and follow-up (October 2023). | Cognitive function was assessed using the Short Portable Mental Status Questionnaire (SPMSQ; 0-10), with higher scores indicating greater cognitive impairment. |
Countries
Taiwan
Outcome results
None listed