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

Tuntland, Hanne; Aaslund, Mona Kristin; Espehaug, Birgitte; Førland, Oddvar; Kjeken, Ingvild
Journal article, Peer reviewed
This article is distributed under the terms of the creative commons attribution 4.0 international license (http://​creativecommons.​org/​licenses/​by/​4.​0/​), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the creative commons license, and indicate if changes were made. the creative commons public domain dedication waiver (http://​creativecommons.​org/​publicdomain/​zero/​1.​0/​) applies to the data made available in this article, unless otherwise stated.
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URI
https://hdl.handle.net/10642/2907
Date
2015-11-04
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  • HV - Institutt for rehabiliteringsvitenskap og helseteknologi [467]
Original version
Tuntland, H., Aaslund, M.K., Espehaug, B., Førland, O. & Kjeken, I. (2015). Reablement in community-dwelling older adults: a randomised controlled trial. BMC Geriatrics, 15(145). doi: 10.1186/s12877-015-0142-9   http://dx.doi.org/10.1186/s12877-015-0142-9
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.
Publisher
BioMed Central
Series
BMC Geriatrics;15(145)

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