Reablement in community-dwelling older adults: a randomised controlled trial

Hanne Tuntland, Mona Kristin Aaslund, Birgitte Espehaug, Oddvar Førland, Ingvild Kjeken, Hanne Tuntland, Mona Kristin Aaslund, Birgitte Espehaug, Oddvar Førland, Ingvild Kjeken

Abstract

Background: There has been an increasing interest in reablement in Norway recently and many municipalities have implemented this form of rehabilitation despite a lack of robust evidence of its effectiveness. The aim of this study was to investigate the effectiveness of reablement in home-dwelling older adults compared with usual care in relation to daily activities, physical functioning, and health-related quality of life.

Methods: This is a parallel-group randomised controlled trial conducted in a rural municipality in Norway. Sixty-one home-dwelling older adults with functional decline were randomised to an intervention group (n = 31) or a control group (n = 30). The intervention group received ten weeks of multicomponent home-based rehabilitation. The Canadian Occupational Performance Measure (COPM) was used to measure self-perceived activity performance and satisfaction with performance. In addition, physical capacity and health-related quality of life were measured. The participants were assessed at baseline and at 3- and 9-month follow-ups.

Results: There were significant improvements in mean scores favouring reablement in COPM performance at 3 months with a score of 1.5 points (p = 0.02), at 9 months 1.4 points (p = 0.03) and overall treatment 1.5 points (p = 0.01), and for COPM satisfaction at 9 months 1.4 points (p = 0.03) and overall treatment 1.2 points (p = 0.04). No significant group differences were found concerning COPM satisfaction at 3 months, physical capacity or health-related quality of life.

Conclusion: A 10-week reablement program resulted in better activity performance and satisfaction with performance on a long-term basis, but not the other outcomes measured.

Trial registration: The trial was registered in ClinicalTrials.gov November 20, 2012, identifier NCT02043262 .

Figures

Fig. 1
Fig. 1
Flowchart of participants throughout the trial
Fig. 2
Fig. 2
Number of prioritised (dark grey staples) activity limitations in 61 participants assessed with the Canadian Occupational Performance Measure (COPM). Activities described by >20 participants are listed under each category, with the number of participants who prioritised this activity in parentheses

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Source: PubMed

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