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Control as a Core Component of User Involvement in Reablement: A Qualitative Study
Kari Jokstad1,2, Solveig Hauge1, Bjørg Th Landmark1
1Faculty of Health and Social Sciences, University of South-Eastern Norway, Drammen, Norway.
Journal of Multidisciplinary Healthcare
|October 16, 2020
Summary
Older adults in reablement (restorative care) express involvement through inner strength and dreams, not just professional-set goals. Rethinking user involvement is crucial for better reablement services.
Area of Science:
- Gerontology
- Rehabilitation Science
- Healthcare User Experience
Background:
- Reablement (restorative care) aims to optimize functional ability for older adults' independence.
- User involvement is central to reablement, emphasizing user goals and a 'hands-off' professional approach.
Purpose of the Study:
- To explore user involvement in reablement from the perspective of older adults receiving the intervention.
- To understand how users perceive and enact their involvement in restorative care.
Main Methods:
- Explorative qualitative design utilizing thematic content analysis.
- Semi-structured interviews with ten users of reablement services in Norway.
Main Results:
- Users experience control by balancing professional guidance with their own inner strength, decision-making, and aspirations.
- Identified themes include a 'wait and see' attitude, differing professional goals versus user dreams, and the desire to control schedules.
Conclusions:
- User involvement may be overemphasized when defined solely by user-set goals; users actively co-create with professionals.
- Reablement logic may not align with user understanding, suggesting a need to rethink and develop the concept further.
- User involvement manifests in diverse ways beyond a simple willingness to participate.
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