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Development and content of a community-based reablement programme (I-MANAGE): a co-creation study.

Ines Mouchaers1,2,3, Hilde Verbeek4,2, Gertrudis I J M Kempen4,2

  • 1Department of Health Services Research, Faculty of Health Medicine and Life Sciences, CAPHRI Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands i.mouchaers@maastrichtuniversity.nl.

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Summary

This study introduces I-MANAGE, a reablement program designed to enhance independent living for older adults. The program supports self-management and well-being through personalized goals and caregiver support.

Keywords:
health services for the agedpatient-centered careprimary health carequality of liferehabilitation medicine

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Area of Science:

  • Gerontology
  • Public Health
  • Primary Care

Background:

  • Aging populations necessitate sustainable solutions for independent living.
  • Reablement, a person-centered approach, is gaining traction for promoting older adult participation.
  • This paper details the development of the I-MANAGE reablement program.

Purpose of the Study:

  • To describe the development and content of the I-MANAGE model.
  • To create a reablement program for community-dwelling older adults.
  • To promote self-management and well-being in older adults.

Main Methods:

  • Developed using the Medical Research Council framework and TRANS-SENIOR network.
  • Employed a co-creation design involving literature reviews, observations, interviews, and stakeholder working groups.
  • Conducted in the Dutch long-term home care setting with diverse stakeholders.

Main Results:

  • A 5-phase interdisciplinary primary care program, I-MANAGE, was developed.
  • The program focuses on achieving meaningful goals, optimizing environments, and supporting informal caregivers.
  • Key aims include enhanced self-management, well-being, continuity of care, and improved communication.

Conclusions:

  • I-MANAGE is adaptable to local contexts and resources, suitable for national and international implementation.
  • Close monitoring of the process and outcomes is crucial for successful implementation.
  • The program offers a scalable solution to support aging in place and reduce caregiver burden.