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A scoping review exploring reablement models of training and client assessment for older people in primary health care

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posted on 2023-05-21, 05:57 authored by Bramble, M, Sarah YoungSarah Young, Sarah PriorSarah Prior, Hazel MaxwellHazel Maxwell, Steven CampbellSteven Campbell, Annette MarlowAnnette Marlow, Doherty, D

Aim: The aim of this scoping review is to explore the evidence by which community service providers have integrated reablement models of staff training and client assessment into practice.

Background: The concept of reablement, which has emerged during the last two decades globally, has recently been defined by health experts from 11 countries through a Delphi study. Reablement is seen as a way to support integrated frameworks that achieve person-centred, long-term care and assistance across community settings. International research indicates there is some evidence of developing models of reablement that include staff training and individual components of client assessment. However, evidence of integrating reablement into interdisciplinary practice continues to be sparse.

Methods: The review adopted the preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) approach. Inclusion criteria for the review related to community care, primary care, long-term care, and residential care. Populations of interest included service providers, interdisciplinary staff, trainers, and assessors.

Results: A total of 11 papers were reviewed. The studies varied in their approach to reablement training and client assessment frameworks. Three studies included assessment of staff well-being. All included evidence-based, person-centred components that can be integrated across health care settings. Single disciplinary approaches were used in all studies and some included training evaluation.

Conclusion: This review has identified that currently reablement models are not yet embedded as frameworks for practice by community service providers in primary health care settings. Different programmes of training and assessment are being designed based on single disciplinary approaches and the context in which they are delivered. Further developmental work is required to integrate the components of discipline-specific training programmes within interdisciplinary frameworks. This will achieve not only an integrated framework for delivery across settings but also further the success of 'ageing in place' policy.

Funding

Family Based Care Association North West Inc.

History

Publication title

Primary Health Care Research and Development

Volume

23

Issue

e11

Pagination

1-8

ISSN

1463-4236

Department/School

Tasmanian School of Medicine

Publisher

Cambridge Univ Press

Place of publication

United Kingdom

Rights statement

The Author(s), 2022. Published by Cambridge University Press. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.

Repository Status

  • Open

Socio-economic Objectives

Health system performance (incl. effectiveness of programs); Evaluation of health and support services not elsewhere classified; Health related to ageing

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