A systematic review of the evidence on home care reablement services.

OBJECTIVE

To determine whether publically funded 'reablement services' have any effect on patient health or use of services.

DESIGN

Systematic review of randomized controlled trials and non-randomized studies in which reablement interventions were compared with no care or usual care in people referred to public-funded personal care services. Data sources included: Cochrane Central Register of Controlled Trials, EPOC register of studies, trials registers, Medline, EMBASE, and CINHAL. Searches were from 2000 up to end February 2015.

SETTING

Not applicable.

PARTICIPANTS

Investigators' definition of the target population for reablement interventions.

MAIN OUTCOME MEASURES

Use of publically funded personal care services and dependence in personal activities of daily living.

RESULTS

We found no studies fulfilling our inclusion criteria that assessed the effectiveness of reablement interventions. We did note the lack of an agreed understanding of the nature of reablement.

CONCLUSIONS

Reablement is an ill-defined intervention targeted towards an ill-defined and potentially highly heterogeneous population/patient group. There is no evidence to suggest it is effective at either of its goals; increasing personal independence or reducing use of personal care services.