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Centre for Policy on Ageing | |
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Driving forces for home-based reablement
— a qualitative study of older adults' experiences | | Author(s) | Kari Margrete Hjelle, Hanne Tuntland, Odivar Forland, Herdis Alvsvag |
| Journal title | Health and Social Care in the Community, vol 25, no 5, September 2017 |
| Publisher | Wiley, September 2017 |
| Pages | pp 1581-1589 |
| Source | http://wileyonlinelibrary.com/journal/hsc |
| Keywords | Independence ; Self care capacity ; Home care services ; Rehabilitation ; Aftercare ; Qualitative Studies ; Norway. |
| Annotation | Reablement is an early and time-limited home-based intervention with emphasis on intensive, goal-oriented and interdisciplinary rehabilitation for older adults in need of rehabilitation or at risk of functional decline. This qualitative Norwegian study aimed to describe how older adults experienced participation in reablement. Eight older adults participated in semi-structured interviews. A qualitative content analysis was used as the analysis strategy. Four main themes emerged from the participants' experiences of participating in reablement: 'my willpower is needed', 'being with my stuff and my people', 'the home-trainers are essential', and 'training is physical exercises, not everyday activities'. The first three themes in particular reflected the participants' driving forces in the reablement process. Driving forces are intrinsic motivation in interaction with extrinsic motivation. Intrinsic motivation was based on the person's willpower and responsibility, and extrinsic motivation was expressed to be strengthened by being in one's home environment with 'own' people, as well as by the co-operation with the reablement team. The reablement team encouraged and supported the older adults to regain confidence in performing everyday activities as well as participating in the society. The findings contribute to an understanding of how intrinsic and extrinsic motivation influence reablement. Some people also apparently need more extrinsic motivational support after the time-limited reablement period is completed. Municipal health and care services need to consider individualised follow-up programmes after the intensive reablement period, in order to maintain the achieved skills to perform everyday activities and participate in society. (RH). |
| Accession Number | CPA-170922216 A |
| Classmark | C3: CA: NH: LM: LN: 3DP: 76N |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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