Summary of relevance
- •Problem or issue: Inactivity among older people effects their physical fitness and is associated to frailty, fall risks, and diminishing physical functionality.
- •What is already known: Reablement programs implemented or supported by healthcare professionals have shown positive impact on retaining and restoring needed skills.
- •What this paper adds: This review provides evidence that reablement intervention helps older people to regain functional ability with heterogeneous results relating to quality of life, hospitalisation, and unplanned emergency departments visits.
Abstract
Background
Reablement intervention programs are designed to support independence for older people
by helping them retain and restore capacity with regularly used needed skills. This
comprehensive systematic review and meta-analysis sought to update and synthesise
evidence for the effectiveness of reablement programs for older people.
Aim
To examine the effect of the reablement programs for older people over 65 years of
age. Reablement intervention programs are designed to support independence for older
people by helping them retain and restore capacity with regularly used needed skills.
Methods
This systematic review and meta-analysis were performed adhering to the Preferred
Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Several databases
were searched. No language restrictions were applied. The Cochrane Risk of Bias tool
and ReMan5.3.3 were used for quality assessment and meta-analysis.
Results
The effectiveness of the reablement programs for older people was examined on outcomes
of Activities of Daily Living, Instrumental Activities of Daily Living, quality of
life, unplanned emergency departments visits and hospitalisation. Ten studies comprising
3,247 older people showed the positive benefits of the reablement programs on Activities
of Daily Living, and Instrumental Activities of Daily Living. However, there were
no observed significant differences on improving quality of life, hospitalisation
and unplanned emergency visits in our meta-analysis.
Conclusions
Published research on reablement programs is currently limited. While well-designed
reablement intervention programs can have a positive impact on function among older
people there is heterogeneity of results in the literature with respect to quality
of life, hospitalisation and unplanned visits to the emergency department. Additional
research and studies with rigorous methodological quality are needed in this important
space.
Keywords
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Article info
Publication history
Published online: June 21, 2022
Accepted:
May 31,
2022
Received in revised form:
May 22,
2022
Received:
March 20,
2022
Footnotes
Trial registration: PROSPERO Registration CRD42020206585.
Identification
Copyright
© 2022 Australian College of Nursing Ltd. Published by Elsevier Ltd.
