The increasing emphasis on reablement reflects a shift in the caring culture of long-term care policies and systems. However, inconsistent findings regarding its effectiveness highlight the need to better understand how reablement interventions work across different care settings, including community-based services. With Taiwan integrating reablement into the National 10-Year Long-Term Care Plan 2.0, identifying effective approaches within Taiwan's long-term care context has become increasingly important. This study aims to examine a collaborative reablement service model. investigators use the data from a county-level claims dataset in which collaborative reablement services were implemented in adult day care centers. Investigators investigate whether participation in collaborative reablement services is associated with improvements in physical and psychological health.
Study Type
OBSERVATIONAL
Enrollment
160
Reablement was integrated into routine adult day service centers for 3 months. Both groups received usual ADS services and two daily 15-20-minute group-based reablement sessions. The enhanced reablement group additionally received individualized reablement. Physiotherapists or occupational therapists conducted assessments, collaborative goal setting, and tailored activity plans. Care assistants delivered individualized activities for 15-20 minutes daily, with weekly therapist review and adjustment. Staff received standardized training, and intervention delivery was supported by activity logs, Goal Attainment Scaling, supervision, and checklist-based monitoring.
Institute of Health Policy and Management, College of Public Health, National Taiwan University
Taipei, Taiwan
Change in Activities of Daily Living (ADL)
ADLs was measured using the Barthel Index (0-100).
Time frame: Baseline (March 2023) and follow-up (October 2023).
Change in Instrumental Activities of Daily Living (IADLs)
IADLs were assessed using an 8-item scale (0-24).
Time frame: Baseline (March 2023) and follow-up (October 2023).
Change in physical performance
Physical performance was evaluated using the Short Physical Performance Battery (SPPB; 0-12).
Time frame: Baseline (March 2023) and follow-up (October 2023).
Change in cognitive function
Cognitive function was assessed using the Short Portable Mental Status Questionnaire (SPMSQ; 0-10), with higher scores indicating greater cognitive impairment.
Time frame: Baseline (March 2023) and follow-up (October 2023).
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.