title: Reablement in a community setting.
abstract: OBJECTIVE
  When older adults experience a decrease in functional independence including decreased ability to perform activities of daily living (ADL) tasks, rehabilitation services are required. The aim of this pilot study was to evaluate if a home-based reablement program influenced the ADL ability of older adults.
  
  
  METHODS
  Ninety-one older adults (80 ± 9 years) were allocated to a 12-weeks home-based reablement program consisting of ADL task performance training by a home carer supervised by an occupational therapist. ADL ability was measured at baseline, at 12 weeks and at follow-up (range: 310-592 d) using the ADL-Interview (ADL-I).
  
  
  RESULTS
  Overall, ADL ability improved significantly over time (p = 0.041). Post-hoc t-tests indicated that the improvements occurred between baseline and end of intervention (p = 0.042) and were maintained at follow-up 10 months after intervention (p = 0.674). There were no effects related to age (p = 0.787) or to whether the older adult had received help previously (p = 0.120).
  
  
  CONCLUSIONS
  A 12-weeks home-based reablement program was found to improve ADL ability among older adults regardless of whether they previously received help. This implies that receiving home care services should not be considered a barrier to participation in a reablement program. [Box: see text].
authors.affiliation: The Health and Care Administration, Department of Rehabilitation, Municipality of Copenhagen , Copenhagen , Denmark .
authors.forename: Annette
authors.initials: A
authors.lastname: Winkel
authors.forename: Henning
authors.initials: H
authors.lastname: Langberg
authors.forename: Eva Ejlersen
authors.initials: EE
authors.lastname: Wæhrens
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006699:Home Care Services; D006801:Humans; D008297:Male; D010865:Pilot Projects; D012111:Residence Characteristics
keywords: Activities of daily living; home rehabilitation; older adults; reablement program