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ASSIST: a reablement program for older adults in Sweden - a feasibility study
Karolinska Inst, Div Occupat Therapy, Dept Neurobiol Caring Sci & Soc, Stockholm, Sweden..
Karolinska Inst, Div Occupat Therapy, Dept Neurobiol Caring Sci & Soc, Stockholm, Sweden..
Karolinska Inst, Div Occupat Therapy, Dept Neurobiol Caring Sci & Soc, Stockholm, Sweden.;Acad Primary Hlth Care Ctr, Stockholm, Sweden..
KTH, School of Engineering Sciences in Chemistry, Biotechnology and Health (CBH), Biomedical Engineering and Health Systems, Health Informatics and Logistics.ORCID iD: 0000-0003-1126-3781
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2022 (English)In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 22, no 1, article id 618Article in journal (Refereed) Published
Abstract [en]

Background Western countries emphasise the provision of assistive home care by implementing reablement services. Reablement services are offered to a limited degree in Sweden, and systematic research regarding outcomes and how reablement can be tailored to maximize benefits for older adults has been lacking. This study aimed to evaluate the feasibility of a novel reablement program (ASSIST 1.0) regarding study design and outcome measures, as well as fidelity, adherence, and acceptability of the program in a Swedish context. Method A non-randomised, quasi-experimental, mixed-method, pre/post-test design was applied with an intervention group receiving ASSIST 1.0 (n = 7) and a control group receiving regular home care (n = 10). ASSIST 1.0 was developed to empower older adults to increase their perceived performance and satisfaction of performing activities in everyday life as well as increase their perceived health, self-efficacy, and well-being. ASSIST 1.0 was founded on the concept of reablement and included three components: i) goal setting with The Canadian Occupational Performance Measure (COPM), ii) provided support to home care staff to enhance their provision of reablement, and iii) explored the incorporation and use of an information- and communication technology (ICT) to facilitate information transfer. Results Using COPM for goal setting with older adults and providing support to the staff via workshops were valuable components in the delivery of ASSIST 1.0. The ICT product encountered several challenges and could not be evaluated. COPM and EQ-5D were deemed the most important instruments. Organisational and political barriers affected the feasibility. Although, the fidelity and adherence were complied the staff perceived the program to be acceptable. Conclusion The ASSIST 1.0 program was feasible in regard of study design, delivering the intervention, and evaluating instruments that detected a change. A logical progression would be to conduct a full-scale trial. In addition, a usability study to evaluate the technological component is also recommended. With minor improvements, the ASSIST 1.0 program has the potential to contribute to the development of a home care organisation that could enhance older adults possibility to age in place at home.

Place, publisher, year, edition, pages
Springer Nature , 2022. Vol. 22, no 1, article id 618
Keywords [en]
ADL, Aging in place, Home rehabilitation, Home care services, Information- and communication technology, Occupational therapy, Person-centred care, Quick response code, Restorative care
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:kth:diva-316138DOI: 10.1186/s12877-022-03185-2ISI: 000829933500001PubMedID: 35879678Scopus ID: 2-s2.0-85134765370OAI: oai:DiVA.org:kth-316138DiVA, id: diva2:1686496
Note

QC 20220810

Available from: 2022-08-10 Created: 2022-08-10 Last updated: 2022-08-10Bibliographically approved

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Meijer, Sebastiaan

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