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A scoping review exploring reablement models of training and client assessment for older people in primary health care

Bramble, M, Young, S ORCID: 0000-0003-3384-670X, Prior, S ORCID: 0000-0001-5782-9141, Maxwell, H ORCID: 0000-0003-0610-4698, Campbell, S ORCID: 0000-0003-4830-8488, Marlow, A ORCID: 0000-0002-8606-7497 and Doherty, D 2022 , 'A scoping review exploring reablement models of training and client assessment for older people in primary health care' , Primary Health Care Research and Development, vol. 23, no. e11 , pp. 1-8 , doi: https://doi.org/10.1017/S1463423621000918.

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Abstract

Aim:The aim of this scoping review is to explore the evidence by which community service providers have integrated reablement models of staff training and client assessment into practice.Background:The concept of reablement, which has emerged during the last two decades globally, has recently been defined by health experts from 11 countries through a Delphi study. Reablement is seen as a way to support integrated frameworks that achieve person-centred, long-term care and assistance across community settings. International research indicates there is some evidence of developing models of reablement that include staff training and individual components of client assessment. However, evidence of integrating reablement into interdisciplinary practice continues to be sparse.Methods:The review adopted the preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) approach. Inclusion criteria for the review related to community care, primary care, long-term care, and residential care. Populations of interest included service providers, interdisciplinary staff, trainers, and assessors.Results:A total of 11 papers were reviewed. The studies varied in their approach to reablement training and client assessment frameworks. Three studies included assessment of staff well-being. All included evidence-based, person-centred components that can be integrated across health care settings. Single disciplinary approaches were used in all studies and some included training evaluation.Conclusion:This review has identified that currently reablement models are not yet embedded as frameworks for practice by community service providers in primary health care settings. Different programmes of training and assessment are being designed based on single disciplinary approaches and the context in which they are delivered. Further developmental work is required to integrate the components of discipline-specific training programmes within interdisciplinary frameworks. This will achieve not only an integrated framework for delivery across settings but also further the success of ‘ageing in place’ policy.

Item Type: Article
Authors/Creators:Bramble, M and Young, S and Prior, S and Maxwell, H and Campbell, S and Marlow, A and Doherty, D
Keywords: reablement, assessment, community, frameworks, interdisciplinary, training
Journal or Publication Title: Primary Health Care Research and Development
Publisher: Cambridge Univ Press
ISSN: 1463-4236
DOI / ID Number: https://doi.org/10.1017/S1463423621000918
Copyright Information:

The Author(s), 2022. Published by Cambridge University Press. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.

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