Reablement for people with cognitive impairment or dementia living in the community: current approach to practice and practitioner-led targets for practice change through audit and feedback.
Purpose: To explore (1) current reablement practice for community-dwelling people living with cognitive impairment or dementia, and (2) allied health practitioner perspectives around implementing reablement. Materials and methods: Phase one: retrospective clinical file audit for people with cognitiv...
| Publicado en: | Disability & Rehabilitation Vol. 48; no. 13; pp. 4168 - 4186 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Jun2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=194641314&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 194641314 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09638288 B73 jtl: Disability & Rehabilitation issn: 09638288 maglogo: Y pubinfo: dt: Jun2026 vid: 48 iid: 13 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 194641314 189786714 194641314 194641314 10.1080/09638288.2025.2597119 194641314 ppf: 4168 ppct: 18 formats: tig: atl: Reablement for people with cognitive impairment or dementia living in the community: current approach to practice and practitioner-led targets for practice change through audit and feedback. aug: au: O'Connor, Claire M.C. Houlden, Sasha Poulos, Christopher J. Kurrle, Susan Anstey, Kaarin J. affil: School of Psychology, University of New South Wales, Sydney, Australia sug: subj: Cognition Disorders Rehabilitation Dementia Rehabilitation Community Living Audit Feedback Attitude of Health Personnel Allied Health Personnel Program Evaluation Funding Source Australia Human Male Female Aged Aged, 80 and Over Retrospective Design Record Review Qualitative Studies Focus Groups Psychological Tests Thematic Analysis Family Community Health Services Activities of Daily Living Implementation Science Multidisciplinary Care Team Documentation Aged: 65+ years Aged, 80 & over Male Female ab: Purpose: To explore (1) current reablement practice for community-dwelling people living with cognitive impairment or dementia, and (2) allied health practitioner perspectives around implementing reablement. Materials and methods: Phase one: retrospective clinical file audit for people with cognitive impairment or dementia (n = 20) who had recently completed an allied health program with one of four participating Australian community aged care providers. An audit matrix facilitated evaluation of clinical audit outcomes against evidence-informed reablement criteria. Phase two: feedback and consultation via focus groups with the allied health workforce (n = 18) within each participating organisation. Qualitative content analysis identified barriers, facilitators, and targets for dementia reablement practice change. Results: Dementia reablement practice was variably aligned with evidence-informed recommendations. Allied health practitioner-identified barriers to implementation of dementia reablement related to the person with cognitive impairment or dementia, the person's family, logistics and practicalities, and program sustainability. Enablers related to the client and their family, the team, and the system. Identified potential practice changes were around assessment, promoting reablement, the reablement approach, and improving documentation. Conclusions: A tailored implementation plan that addresses the barriers and enablers to reablement is needed to enhance practice and access to services for people living with cognitive impairment or dementia. IMPLICATIONS FOR REHABILITATION: Dementia reablement (or 'rehabilitation') is an important approach for supporting people to maximise their independence and functioning. The small clinical audit conducted for this study identified that the evidence-informed nature of current dementia reablement practice is variable. There is a need for greater dementia and reablement education for health and allied health practitioners. Allied health practitioners should promote reablement to their clients with dementia and adjust their reablement approach to meet the person's individual needs, for example, by including assessment of functional cognition. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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