Journal
CLINICAL REHABILITATION
Volume 30, Issue 8, Pages 741-749Publisher
SAGE PUBLICATIONS LTD
DOI: 10.1177/0269215515603220
Keywords
Reablement; older people; personal care services; multimorbidity; disability; independence; systematic review; randomized controlled trial; non-randomized controlled trial; public policy
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Funding
- Scottish Government Health and Social Care Directorate
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Objective: To determine whether publically funded reablement services' have any effect on patient health or use of services. Design: Systematic review of randomized controlled trials and non-randomized studies in which reablement interventions were compared with 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. 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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