Understanding in the Australian aged care sector of reablement interventions for people living with dementia: a qualitative content analysis

BMC Health Services Research

Wendy Hudson¹  Claire M. C. O’Connor²  Christopher J. Poulos²  Joan Jackman³  Meredith Gresham⁴  Lindy Clemson⁵  Helen Radoslovich⁶  Ian D. Cameron⁷  Roslyn G. Poulos⁸  Katherine S. McGilton⁹ 

[1]Brightwater Care Group

[2]Centre for Positive Ageing, HammondCare

[3]Dementia Australia

[4]Dementia Centre, HammondCare

[5]Faculty of Health Sciences, University of Sydney

[6]Helping Hand Aged Care

[7]John Walsh Centre for Rehabilitation Research, Faculty of Medicine and Health, University of Sydney

[8]School of Public Health and Community Medicine, University of New South Wales

[9]University of Toronto

关键词: Function;    Dementia;    Cognitive impairment;    Service sector;    Activities of daily living;    Qualitative content analysis;   

DOI  :  10.1186/s12913-020-4977-1

来源: DOAJ

【 摘 要 】

Abstract Background Reablement has potential for enhancing function and independence in people with dementia. In order to enhance the use of evidence-based reablement in this population, this study sought to understand the current practices and needs of the sector around these interventions. Methods A purposive sample of 22 Australian aged and community-care providers participated in a semi-structured interview. Qualitative content analysis was applied to the data, with key themes interpreted within the context of the study aims: to explore (1) what reablement interventions are currently being offered to people living with dementia in Australia, and (2) what are key factors that will contribute to enhanced uptake of reablement interventions in dementia practice. Results Four themes emerged: (1) ‘what reablement interventions are being offered’, outlined a range of exercise and cognitive/social interventions, with only a proportion generated from a clear evidence-base, (2) ‘what’s in a name’, illustrated the range of terms used to describe reablement, (3) ‘whose role is it’, highlighted the confusion around the range of health professionals involved in providing reablement interventions, and (4) ‘perceived barriers and enablers to providing reablement to people living with dementia’, described a range of factors that both hinder and support current reablement practice. Conclusions Reablement interventions currently provided for people living with dementia in Australia are variable, with confusion around the definition of reablement, and apparently limited use of evidence-informed interventions. A multifaceted approach involving an evidence-informed and freely-accessible resource, and taking into account the varied levels of influence within the aged care sector would support uptake and implementation of reablement interventions for people living with dementia.

【 授权许可】

Unknown