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

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.