Top

BMC Health Services Research

Published in:

Open Access 01-12-2021 | Care | Research article

Reablement professionals’ perspectives on client characteristics and factors associated with successful home-based reablement: a qualitative study

Authors: Mads Nibe Stausholm, Louise Pape-Haugaard, Ole Kristian Hejlesen, Pernille Heyckendorff Secher

Published in: BMC Health Services Research | Issue 1/2021

Abstract

Background

To understand what is needed to achieve a successful Danish home-based reablement service from the perspective of reablement professionals.

Methods

Semi-structured interviews and observations were conducted with nine professionals within a municipal visitation unit in the Northern Denmark Region. Thematic analysis was used to analyze the interviews.

Results

Four major themes emerged during this study: “Heterogeneity of clients and mixed attitudes towards the reablement intervention”, “Shared understanding and acknowledging the need for help as the first step in reablement”, “Commitment and motivation are essential for successful reablement”, and “Homecare helpers as most important team players”. The findings indicate that the clients had both mixed characteristics and attitudes about participating in the reablement intervention. Essential factors for successful reablement included a shared understanding of the reablement intervention, commitment, and motivation in terms of client involvement and staff group collaboration.

Conclusions

Shared understanding of the reablement intervention, commitment, and motivation was found to be essential factors and the driving forces in relation to successful reablement.

Available only for authorised users

World Health Organization (WHO). Global Health and Aging. 2011.

Mitzner TL, Beer JM, McBride SE, Rogers WA, Fisk AD. Older Adults’ Needs for Home Health Care and the Potential for Human Factors Interventions. Proc Hum Factors Ergon Soc Annu Meet. 2009;53(11):718–22. Available from: http://journals.sagepub.com/doi/10.1177/154193120905301118.

Rowe JW, Berkman L, Fried L, Fulmer T, Jackson J, Naylor M, et al. Preparing for better health and health care for an aging population: A vital direction for health and health care.About the Vital Directions for Health and Health Care Series. 2016; Available from: https://nam.edu/wp-content/uploads/2016/09/Preparing-for-Better-Health-and-Health-Care-for-an-Aging-Population.pdf.

Landers S, Madigan E, Leff B, Rosati RJ, McCann BA, Hornbake R, et al. The Future of Home Health Care: A Strategic Framework for Optimizing Value. Home Heal Care Manag Pract. 2016;28(4):262–78.CrossRef

Wiles JL, Leibing A, Guberman N, Reeve J, Allen RES. The meaning of “aging in place” to older people. Gerontologist. 2012;52(3):357–66.PubMedCrossRef

Harrefors C, Sävenstedt S, Axelsson K. Elderly people’s perceptions of how they want to be cared for: An interview study with healthy elderly couples in Northern Sweden. Scand J Caring Sci. 2009;23(2):353–60.PubMedCrossRef

Chiang YH, Hsu HC, Chen CL, Chen CF, Chang-Lee SN, Chen YM, et al. Evaluation of reablement home care: Effects on care attendants, care recipients, and family caregivers. Int J Environ Res Public Health. 2020;17(23):1–15.CrossRef

Cochrane A, Mcgilloway S, Furlong M, Dw M, Stevenson M, Donnelly M. Home-care “re-ablement” services for maintaning and improving older adults’ functional independence (protocol). Cochrane Database Syst Rev. 2013;2013(11):1–12.

Langeland E, Tuntland H, Folkestad B, Førland O, Jacobsen FF, Kjeken I. A multicenter investigation of reablement in Norway: a clinical controlled trial. BMC Geriatr. 2019;19(1):1–12.CrossRef

10.

Tessier A, Beaulieu M, Mcginn C, Latulippe R. Effectiveness of Reablement: A Systematic Review. Healthc Policy. 2016;11(4):49–59.PubMedPubMedCentral

11.

Sims-Gould J, Tong C, Wallis-Mayer L, Maureen C. Reablement. Reactivation, Rehabilitation and Restorative Interventions With Older Adults in Receipt of Home Care: A Systematic Review. AMDA - Soc Post-Acute Long-Term Care Med. 2017;18(8):653–563.

12.

Ryburn B, Wellls Y, Foreman P. Enabling independence: Restorative approaches to home care provision for frail older adults. Heal Soc Care Community. 2009;17(3):225–34.CrossRef

13.

Whitehead PJ, Worthington EJ, Parry RH, Walker MF, Drummond AER. Interventions to reduce dependency in personal activities of daily living in community dwelling adults who use homecare services: a systematic review. Clin Rehabil. 2015;29(11):1064–76.PubMedPubMedCentralCrossRef

14.

Cochrane A, Furlong M, McGilloway S, Molloy D, Stevenson M, Donelly M. Time-limited home-care reablement services for improving and maintaining the functional independence of older adults. Ir J Med Sci. 2014;183(7 SUPPL. 1):S381-2. Available from: http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed16&NEWS=N&AN=71611358..

15.

Legg L, Gladman J, Drummond A, Davidson A. A systematic review of the evidence on home care reablement services. Clin Rehabil. 2016;30(8):741–9.PubMedCrossRef

16.

Aspinal F, Glasby J, Rostgaard T, Tuntland H, Westendorp RGJ. New horizons: Reablement - supporting older people towards independence. Age Ageing. 2016;45(5):572–6.PubMedCrossRef

17.

Lewin G, Concanen K, Youens D. The home independence program with non-health professionals as care managers: An evaluation. Clin Interv Aging. 2016;11:807–17.PubMedPubMedCentralCrossRef

18.

Mclean S, Nurmatov U, Liu JL, Pagliari C, Car J, Sheikh A. Telehealthcare for chronic obstructive pulmonary disease: Cochrane Review and meta-analysis. Br J Gen Pract. 2012;62(604):739–49.CrossRef

19.

Schmidt C. Serviceloven § 83a. København; Available from: https://danskelove.dk/serviceloven/83.

20.

Ergoterapeut F. Ny lovgivning om rehabiliteringsforløb og hjemmehjælp. 2015. Available from: https://www.etf.dk/aktuelt/nyheder/ny-lovgivning-om-rehabiliteringsforloeb-og-hjemmehjaelp.

21.

Petersen A, Graff L, Rostgaard T, Kjellberg J, Kjellberg P. Rehabilitering på ældreområdet. 2017.

22.

King AII, Parsons M, Robinson E. A restorative home care intervention in New Zealand: Perceptions of paid caregivers. Heal Soc Care Community. 2012;20(1):70–9.CrossRef

23.

Hjelle KM, Skutle O, Førland O, Alvsvåg H. The reablement team’s voice: A qualitative study of how an integrated multidisciplinary team experiences participation in reablement. J Multidiscip Healthc. 2016;9:575–85.PubMedPubMedCentralCrossRef

24.

Wilde A, Glendinning C. “If they’re helping me then how can I be independent?” The perceptions and experience of users of home-care re-ablement services. Heal Soc Care Community. 2012;20(6):583–90.CrossRef

25.

Smeets RGM, Kempen GIJM, Zijlstra GAR, van Rossum E, de Man-van Ginkel JM, Hanssen WAG, et al. Experiences of home-care workers with the ‘Stay Active at Home’ programme targeting reablement of community-living older adults: An exploratory study. Heal Soc Care Community. 2020;28(1):291–9.CrossRef

26.

Gustafsson L-K, Anbäcken E-M, Elfström M, Zander V, Östlund G. Working with short-term goal-directed reablement with older adults: Strengthened by a collaborative approach. Nord J Nurs Res. 2019;39(4):178–85.CrossRef

27.

Bødker MN, Langstrup H, Christensen U. What constitutes ‘good care’ and ‘good carers’? The normative implications of introducing reablement in Danish home care. Heal Soc Care Community. 2019;27(5):e871–8.

28.

Jakobsen FA, Vik K. Health professionals’ perspectives of next of kin in the context of reablement. Disabil Rehabil. 2019;41(16):1882–9. https://doi.org/10.1080/09638288.2018.1450452.CrossRefPubMed

29.

Liaaen J, Vik K. Becoming an enabler of everyday activity: Health professionals in home care services experiences of working with reablement. Int J Older People Nurs. 2019;14(4):1–8.CrossRef

30.

Rabiee P, Glendinning C. Organisation and delivery of home care re-ablement: What makes a difference? Heal Soc Care Community. 2011;19(5):495–503.CrossRef

31.

Birkeland A, Tuntland H, Førland O, Jakobsen F, Langeland E. Interdisciplinary collaboration in reablement-a qualitative study. J Multidiscip Healthc. 2017;10:195–203.PubMedPubMedCentralCrossRef

32.

Steihaug S, Lippestad JW, Werner A. Between ideals and reality in home-based rehabilitation. Scand J Prim Health Care. 2016;34(1):46–54.PubMedPubMedCentralCrossRef

33.

Moe A, Brataas HV. Interdisciplinary collaboration experiences in creating an everyday rehabilitation model: A pilot study. J Multidiscip Healthc. 2016;9:173–82.PubMedPubMedCentralCrossRef

34.

Randström KB, Wengler Y, Asplund K, Svedlund M. Working with “hands-off” support: A qualitative study of multidisciplinary teams’ experiences of home rehabilitation for older people. Int J Older People Nurs. 2014;9(1):25–33.PubMedCrossRef

35.

Hjelle KM, Skutle O, Alvsvåg H, Førland O. Reablement teams’ roles: a qualitative study of interdisciplinary teams’ experiences. J Multidiscip Healthc. 2018;11:305–16. Available from: https://www.dovepress.com/reablement-teams-roles-a-qualitative-study-of-interdisciplinary-teams--peer-reviewed-article-JMDH.

36.

Moe A, Ingstad K, Brataas HV. Patient influence in home-based reablement for older persons: Qualitative research. BMC Health Serv Res. 2017;17(1):1–10.CrossRef

37.

Hjelle KM, Tuntland H, Førland O, Alvsvåg H. Driving forces for home-based reablement; a qualitative study of older adults’ experiences. Heal Soc Care Community. 2017;25(5):1581–9.CrossRef

38.

Excellence S. care institute for. Outcome measurement - what does succesful reablement look like?. Maximising the potential of reablement. 2013. Available from: https://www.scie.org.uk/publications/guides/guide49/measuringoutcomes.asp.

39.

Kafle NP. Hermeneutic phenomenological research method simplified. Bodhi An Interdiscip J. 2013;5(1):181–200.CrossRef

40.

Laverty SM. Hermeneutic Phenomenology and Phenomenology: A Comparison of Historical and Methodological Considerations. Int J Qual Methods. 2017;2(3):21–35.CrossRef

41.

Owen D, Noonan M. Preparing and conducting interviews to collect data. Nurse Res. 2013;20(5):28–32.CrossRef

42.

Virginia B, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77–101.CrossRef

43.

Krippendorff K, Hayes AF. Answering the Call for a Standard Reliability Measure for Coding Data. Commun Methods Meas. 2007;1(1):77–89.CrossRef

44.

Anney VN. Ensuring the quality of the findings of qualitative research: looking at trustworthiness criteria. J Emerg Trends Educ Res Policy Stud. 2014;5(2):272–81.

45.

Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. Int J Qual Heal Care. 2007;19(6):349–57.CrossRef

46.

Cohen J. A coefficient of agreement for nominal scales. Educ Psychol Meas. 1960;20(1):37–46.

47.

Mchugh ML. Lessons in biostatistics Interrater reliability: the kappa statistic. Biochem Medica. 2012;22(3):276–82.CrossRef

48.

Shrout PE. Measurement reliability and agreement. Fundam Stat Soc Res. 2010;2802(98):384–402.

49.

Altman DG. Practical statistics for Medical Research. 1st ed. London: Chapman & Hall; 1991. 1–623 p.

50.

Fleiss L, Fleiss L, Levin B, Paik MC. The measurement of interrater agreement. Stat Methods Rates Proportions (2Nd Ed. 1981;212–236. Available from: http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.456.3830.

51.

Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33(1):159–74.CrossRefPubMed

52.

Jokstad K, Skovdahl K, Landmark TH, Haukelien B. H. Ideal and reality; Community healthcare professionals’ experiences of user-involvement in reablement. Heal Soc Care Community. 2019;27(4):907–16.

53.

Holm AL, Berland AK, Severinsson E. Older Patients’ Involvement in Shared Decision-Making—A Systematic Review. Open J Nurs. 2016;6(6):170–85. Available from: http://www.scirp.org/journal/ojn%5Cnhttp://dx.doi.org/10.4236/ojn.2016.63018%5Cnhttp://creativecommons.org/licenses/by/4.0/.

54.

Enemark Larsen A. G C. Utility of the Canadian Occupational Performance Measure as an admission and outcome measure in interdisciplinary community-based geriatric rehabilitation. Scand J Occup Ther. 2012;19(2):204–13.

55.

Wressle E, Eeg-Olofsson AM, Marcusson J, Henriksson C. Improved client participation in the rehabilitation process using a client-centred goal formulation structure. J Rehabil Med. 2002;34(1):5–11.PubMedCrossRef

56.

Latham GP. The benefits motivational goal-setting. Acad Manag. 1995;18(4):126–9.

57.

Valtorta N, Hanratty B. Loneliness, isolation and the health of older adults: Do we need a new research agenda? J R Soc Med Suppl. 2012;105(12):518–22.CrossRef

58.

Cott CA. Client-centered rehabilitaion: Client perspectives. Disabil Rehabil. 2004;26(24):1411–22.PubMedCrossRef

59.

Tuntland H, Kjeken I, Langeland E, Folkestad B, Espehaug B, Førland O, et al. Predictors of outcomes following reablement in community-dwelling older adults. Clin Interv Aging. 2017;12:55–63.

60.

Whitehead PJ, Walker MF, Parry RH, Latif Z, McGeorge ID, Drummond AER. Occupational Therapy in HomEcare Re-ablement Services (OTHERS): results of a feasibility randomised controlled trial. BMJ Open. 2016;6(8):e011868.PubMedPubMedCentralCrossRef

61.

Kallio H, Pietilä AM, Johnson M, Kangasniemi M. Systematic methodological review: developing a framework for a qualitative semi-structured interview guide. J Adv Nurs. 2016;72(12):2954–65.PubMedCrossRef

62.

Koelsch LE. Reconceptualizing the member check interview. Int J Qual Methods. 2013;12(1):168–79.CrossRef

63.

Sutton J, Austin Z. Qualitative ResearcH: Data Collection, Analysis and Management. Res Prim. 2015;68(3):226–31.

64.

Cutcliffe JR, McKenna HP. Expert qualitative researchers and the use of audit trails. J Adv Nurs. 2004;45(2):126–33.PubMedCrossRef

65.

van Nes F, Abma T, Jonsson H, Deeg D. Language differences in qualitative research: Is meaning lost in translation? Eur J Ageing. 2010;7(4):313–6.PubMedPubMedCentralCrossRef

66.

Assaf S. Counseling and Knowledge of Danger Signs of Pregnancy Complications in Haiti, Malawi, and Senegal. Matern Child Health J. 2018;22(11):1659–67. https://doi.org/10.1007/s10995-018-2563-5.CrossRefPubMedPubMedCentral

67.

Cicchetti DV, Sparrow SA. Developing criteria for establishing interrater reliability of specific items: applications to assessment of adaptive behavior. Am J Ment Defic. 1981;86(2):127–37. Available from: http://www.ncbi.nlm.nih.gov/pubmed/7315877.

Title: Reablement professionals’ perspectives on client characteristics and factors associated with successful home-based reablement: a qualitative study
Authors: Mads Nibe Stausholm
Louise Pape-Haugaard
Ole Kristian Hejlesen
Pernille Heyckendorff Secher
Publication date: 01-12-2021
Publisher: BioMed Central
Keyword: Care
Published in: BMC Health Services Research / Issue 1/2021
Electronic ISSN: 1472-6963
DOI: https://doi.org/10.1186/s12913-021-06625-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Reablement professionals’ perspectives on client characteristics and factors associated with successful home-based reablement: a qualitative study

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 1/2021

Playful strategies to foster the well-being of pediatric cancer patients in the Brazilian Unified Health System: a design thinking approach

The lost productivity cost of absenteeism due to COVID-19 in health care workers in Iran: a case study in the hospitals of Mashhad University of Medical Sciences

Prevalence and associated factors of hypertension among veterans of the Indian Gorkha regiments living in Pokhara Metropolitan City, Nepal

Realist evaluation of Schwartz rounds® for enhancing the delivery of compassionate healthcare: understanding how they work, for whom, and in what contexts

Outcomes of pregnancy-related referrals from rural health facilities to two central hospitals in Harare, Zimbabwe: a prospective descriptive study

Transportation as a barrier to colorectal cancer care