A systematic review of the evidence on home care reablement services

Objective To determine whether publically funded ‘reablement services’ have any effect on patient health or use of services. Design Systematic review of randomised controlled trials and non-randomized studies in which reablement interventions were compared to no care or usual care in people ref...

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Main Authors: Legg, Lynn, Gladman, John R.F., Drummond, Avril E.R., Davidson, Alex
Format: Article
Published: SAGE 2015
Subjects:
Online Access:https://eprints.nottingham.ac.uk/40865/
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author Legg, Lynn
Gladman, John R.F.
Drummond, Avril E.R.
Davidson, Alex
author_facet Legg, Lynn
Gladman, John R.F.
Drummond, Avril E.R.
Davidson, Alex
author_sort Legg, Lynn
building Nottingham Research Data Repository
collection Online Access
description Objective To determine whether publically funded ‘reablement services’ have any effect on patient health or use of services. Design Systematic review of randomised controlled trials and non-randomized studies in which reablement interventions were compared to no care or usual care in people referred to public funded personal care services. Data sources included: Cochrane central register of controlled trials, EPOC register of studies, trials registers, Medline, Embase, and Cinhal. Searches were from 2000 up to end February 2015. Setting Not applicable. Participants Investigators’ definition of the target population for reablement interventions. Main outcome measures Use of publically-funded personal care services and dependence in personal activities of daily living (PADL). Results We found no studies fulfilling our inclusion criteria that assessed the effectiveness of reablement interventions. We did note the lack of an agreed understanding of the nature of reablement. Conclusions Reablement is an ill-defined intervention targeted towards an ill-defined and potentially highly heterogeneous population/ patient group. There is no evidence to suggest it is effective at either of its goals, increasing personal independence or reducing use of personal care services.
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spelling nottingham-408652020-05-04T17:17:09Z https://eprints.nottingham.ac.uk/40865/ A systematic review of the evidence on home care reablement services Legg, Lynn Gladman, John R.F. Drummond, Avril E.R. Davidson, Alex Objective To determine whether publically funded ‘reablement services’ have any effect on patient health or use of services. Design Systematic review of randomised controlled trials and non-randomized studies in which reablement interventions were compared to no care or usual care in people referred to public funded personal care services. Data sources included: Cochrane central register of controlled trials, EPOC register of studies, trials registers, Medline, Embase, and Cinhal. Searches were from 2000 up to end February 2015. Setting Not applicable. Participants Investigators’ definition of the target population for reablement interventions. Main outcome measures Use of publically-funded personal care services and dependence in personal activities of daily living (PADL). Results We found no studies fulfilling our inclusion criteria that assessed the effectiveness of reablement interventions. We did note the lack of an agreed understanding of the nature of reablement. Conclusions Reablement is an ill-defined intervention targeted towards an ill-defined and potentially highly heterogeneous population/ patient group. There is no evidence to suggest it is effective at either of its goals, increasing personal independence or reducing use of personal care services. SAGE 2015-09-15 Article PeerReviewed Legg, Lynn, Gladman, John R.F., Drummond, Avril E.R. and Davidson, Alex (2015) A systematic review of the evidence on home care reablement services. Clinical Rehabilitation, 30 (8). pp. 741-749. ISSN 1477-0873 Reablement older people personal care services multimorbidity disability independence systematic review randomized controlled trial non-randomized controlled trial public policy http://journals.sagepub.com/doi/10.1177/0269215515603220 doi:10.1177/0269215515603220 doi:10.1177/0269215515603220
spellingShingle Reablement
older people
personal care services
multimorbidity
disability
independence
systematic review
randomized controlled trial
non-randomized controlled trial
public policy
Legg, Lynn
Gladman, John R.F.
Drummond, Avril E.R.
Davidson, Alex
A systematic review of the evidence on home care reablement services
title A systematic review of the evidence on home care reablement services
title_full A systematic review of the evidence on home care reablement services
title_fullStr A systematic review of the evidence on home care reablement services
title_full_unstemmed A systematic review of the evidence on home care reablement services
title_short A systematic review of the evidence on home care reablement services
title_sort systematic review of the evidence on home care reablement services
topic Reablement
older people
personal care services
multimorbidity
disability
independence
systematic review
randomized controlled trial
non-randomized controlled trial
public policy
url https://eprints.nottingham.ac.uk/40865/
https://eprints.nottingham.ac.uk/40865/
https://eprints.nottingham.ac.uk/40865/