Outcomes of reablement and their measurement: Findings from an evaluation of English reablement services

• DOI: 10.1111/hsc.12814
• Publication Date: 2019-08-01T11:00:25Z
• Authors: Bryony Beresford; Emese Mayhew; Ana Duarte; Rita Faria; Helen Weatherly; Rachel Mann; Gillian Parker; Fiona Aspinal; Mona Kanaan
• Keywords: Aged, 80 and over; 1. No poverty; Original Articles; Home Care Services; 3. Good health; Government Programs; 03 medical and health sciences; 0302 clinical medicine; Caregivers; Activities of Daily Living; Quality of Life; Humans; Community Health Services; Independent Living; Prospective Studies; Aged

Reablement – or restorative care is a central feature of many western governments' approaches to supporting and enabling older people stay in their own homes minimise demand for social care. Existing evidence supports this approach although further research required strengthen the certainty conclusions being drawn. In countries where reablement has been rolled out nationally, an additional priority develop base on models delivery emerging. This paper reports prospective cohort study individuals referred three English services, each representing different model service delivery. Outcomes included healthcare- care–related quality life, functioning, mental health resource use (service costs, informal carer time, out-of-pocket costs). contrast with majority other studies, self-report measures were predominant source outcomes data. Furthermore, no previous evaluation used global measure health. data collected entry service, discharge 6 months post discharge. A number challenges encountered during insufficient recruited two sites allow comparison models. Findings from descriptive analyses align studies positive changes observed across all outcome domains. Improvements at were, most, retained follow-up. Patterns change functional ability point importance assessing functioning terms basic extended activities daily living. economic highlight collecting time also demonstrate viability direct users. The demonstrates challenges, value, including evaluations reablement.