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Updated: Sep 3, 2025

Development of a Novel Task-oriented Rehabilitation Program using a Bimanual Exoskeleton Robotic Hand
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Reablement - relevant factors for implementation: an exploratory sequential mixed-methods study design.

Theres Wess1, Wolfgang Steiner2, Mona Dür3

  • 1Department of Physiotherapy, University of Applied Sciences, Favoritenstraße 226, 1100, Vienna, Austria. theres.wess@fh-campuswien.ac.at.

BMC Health Services Research
|July 28, 2022
PubMed
Summary
This summary is machine-generated.

Implementing reablement services for older adults requires focusing on individual characteristics, teamwork, and communication. Expert insights highlight engagement and a shared vision as crucial for successful home-based healthcare implementation.

Keywords:
Community-dwelling older adultsConsolidated Framework of Implementation ResearchElderly peopleMixed-methods-designRe-ablementRehabilitation at homeRestorative care

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Area of Science:

  • Healthcare services research
  • Implementation science
  • Geriatric care

Background:

  • Reablement is an established home-based healthcare service for older adults.
  • Its goal is to reduce long-term care needs and enhance self-determination.
  • Factors facilitating reablement implementation remain unclear.

Purpose of the Study:

  • To identify factors crucial for reablement implementation.
  • To assess the importance of these factors from expert perspectives.

Main Methods:

  • Exploratory sequential mixed-methods design.
  • Literature search and framework analysis using the Consolidated Framework of Implementation Research (CFIR).
  • Online survey of international reablement experts.

Main Results:

  • Identified 40 potentially relevant factors clustered into five CFIR domains.
  • Experts rated 35 factors as relevant for reablement implementation.
  • Characteristics of individuals, including teamwork and communication, were most relevant.

Conclusions:

  • Reablement implementation is complex, emphasizing individual characteristics.
  • Expert participants stressed engagement and a strong shared vision.
  • Effective communication and teamwork training are vital for successful reablement services.