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. 2016 May;11(4):49-59.

Effectiveness of Reablement: A Systematic Review

Annie Tessier  1 , Marie-Dominique Beaulieu  2 , Carrie Anna Mcginn  1 , Renée Latulippe  1
Affiliations

Effectiveness of Reablement: A Systematic Review

Annie Tessier et al. Healthc Policy. 2016 May.

Abstract
in English, French

The ageing of the population and the increasing need for long-term care services are global issues. Some countries have adapted homecare programs by introducing an intervention called reablement, which is aimed at optimizing independence. The effectiveness of reablement, as well as its different service models, was examined. A systematic literature review was conducted using MEDLINE, CINAHL, PsycINFO and EBM Reviews to search from 2001 to 2014. Core characteristics and facilitators of reablement implementation were identified from international experiences. Ten studies comprising a total of 14,742 participants (including four randomized trials, most of excellent or good quality) showed a positive impact of reablement, especially on health-related quality of life and service utilization. The implementation of reablement was studied in three regions, and all observed a reduction in healthcare service utilization. Considering its effectiveness and positive impact observed in several countries, the implementation of reablement is a promising avenue to be pursued by policy makers.

Le vieillissement de la population et l'augmentation des besoins en services de longue durée sont des préoccupations mondiales. Certains pays ont adapté leurs programmes de soutien à domicile en y intégrant une intervention nommée « autonomisation », laquelle vise à opti-miser l'indépendance des clients. Nous avons examiné l'efficacité de l'autonomisation ainsi que ses divers modèles de services. Nous avons procédé à une revue systématique à l'aide des bases de données MEDLINE, CINAHL et PsycINFO ainsi que des revues fondées sur les données probantes, entre 2001 et 2014. Un examen d'expériences internationales a permis de déterminer les caractéristiques clés de l'autonomisation et les facteurs favorisant le succès de son implantation.

Dix études qui représentent un échantillon de 14 742 participants (dont quatre essais cliniques aléatoires, pour la plupart de bonne à excellente qualité) montrent un effet positif de l'autonomisation, particulièrement sur le plan de la qualité de vie liée à la santé et sur le plan de l'utilisation des services. Nous avons étudié l'implantation de l'autonomisation dans trois régions, lesquelles ont toutes connu une réduction de l'utilisation des services de soins de santé. En raison de son efficacité et de l'impact positif observé dans plusieurs pays, l'implantation de l'autonomisation est une avenue prometteuse que devraient considérer les responsables de politiques.

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