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A systematic review of the evidence on home care reablement services

Legg, Lynn; Gladman, John R.F.; Drummond, Avril E.R.; Davidson, Alex

Authors

Lynn Legg

JOHN GLADMAN john.gladman@nottingham.ac.uk
Professor of Medicine of Older People

AVRIL DRUMMOND avril.drummond@nottingham.ac.uk
Professor of Healthcare Research

Alex Davidson



Abstract

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.

Journal Article Type Article
Publication Date Sep 15, 2015
Journal Clinical Rehabilitation
Print ISSN 0269-2155
Electronic ISSN 1477-0873
Publisher SAGE Publications
Peer Reviewed Peer Reviewed
Volume 30
Issue 8
APA6 Citation Legg, L., Gladman, J. R., Drummond, A. E., & Davidson, A. (2015). A systematic review of the evidence on home care reablement services. Clinical Rehabilitation, 30(8), https://doi.org/10.1177/0269215515603220
DOI https://doi.org/10.1177/0269215515603220
Keywords Reablement, older people, personal care services, multimorbidity, disability, independence, systematic review, randomized controlled trial, non-randomized controlled trial, public policy
Publisher URL http://journals.sagepub.com/doi/10.1177/0269215515603220
Copyright Statement Copyright information regarding this work can be found at the following address: http://eprints.nottingh.../end_user_agreement.pdf

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://eprints.nottingham.ac.uk/end_user_agreement.pdf





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