systematic review and meta-analysis of reablement interventions for people in permanent residential aged care homes.
Background Most evidence for reablement comes from community-based interventions. Objective To determine the effect of reablement interventions provided in permanent residential aged care (PRAC) homes on residents' level of function in activities of daily living (ADL) and quality of life (QoL). Desi...
| Publicado en: | Age & Ageing Vol. 51; no. 10; pp. 1 - 13 |
|---|---|
| Autores principales: | , , , , , |
| Formato: | Artículo |
| Publicado: |
Oxford University Press / USA
Oct2022
|
| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=159980076&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 159980076 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Oct2022 vid: 51 iid: 10 pid: 622 pub: Oxford University Press / USA artinfo: ui: 159980076 10.1093/ageing/afac208 ppf: 1 ppct: 12 formats: tig: atl: systematic review and meta-analysis of reablement interventions for people in permanent residential aged care homes. aug: au: Rahja, Miia Laver, Kate Whitehead, Craig Pietsch, Ann Oliver, Eliza Crotty, Maria affil: Division of Rehabilitation, Aged and Palliative Care, Flinders Health and Medical Research Institute, Flinders University , Bedford Park, 5042, South Australia , Australia Division of Rehabilitation, Aged and Palliative Care, Southern Adelaide Local Health Network , Bedford Park, 5042, South Australia , Australia Adelaide , 5000, South Australia , Australia su: Activities of daily living Quality of life Elder care Psychology information storage & retrieval systems CINAHL database Medical databases Meta-analysis Medical information storage & retrieval systems Systematic reviews Health outcome assessment Physical activity Dementia Residential care Quality assurance MEDLINE Grey literature sug: subj: Activities of daily living Quality of life Elder care Continuing Care Retirement Communities Other Residential Care Facilities Psychology information storage & retrieval systems CINAHL database Medical databases Meta-analysis Medical information storage & retrieval systems Systematic reviews Health outcome assessment Physical activity Dementia Residential care Quality assurance MEDLINE Grey literature ab: Background Most evidence for reablement comes from community-based interventions. Objective To determine the effect of reablement interventions provided in permanent residential aged care (PRAC) homes on residents' level of function in activities of daily living (ADL) and quality of life (QoL). Design Systematic review and meta-analysis. Setting PRAC homes. Subjects Residents in PRAC. Methods Six databases and grey literature were searched until November 2021. Quantitative studies involving a control group or pre-post evaluation were included. Outcomes of interest were the effectiveness of the reablement intervention on overall ADL or QoL in the last available follow-up. Results Twelve studies involving 2,620 residents were included. The reablement interventions varied; the primary focus areas were organisational approaches (e.g. educating staff; n = 10) and improving physical function (e.g. increasing physical activity; n = 9). Not all studies could be pooled in the meta-analysis due to reported data and heterogeneity. There was no significant effect of reablement intervention versus usual care on ADL function (five studies, standardised mean difference (SMD): 0.17, 95% confidence interval (CI): −0.25 to 0.59, very low quality evidence). Reablement appeared more beneficial than usual care in improving QoL; however, the overall effect was not statistically significant (four studies, SMD: 0.73, 95% CI: −0.07 to 1.52; very low quality evidence). Conclusions Few studies focus on reablement in PRAC homes and their clinical heterogeneity is considerable. There is insufficient evidence for reablement in terms of improving ADL or QoL for residents in PRAC. Tools that are more sensitive to change may be beneficial. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
|---|