title: Reablement in community-dwelling older adults: a randomised controlled trial.
abstract: BACKGROUND
  There has been an increasing interest in reablement in Norway recently and many municipalities have implemented this form of rehabilitation despite a lack of robust evidence of its effectiveness. The aim of this study was to investigate the effectiveness of reablement in home-dwelling older adults compared with usual care in relation to daily activities, physical functioning, and health-related quality of life.
  
  
  METHODS
  This is a parallel-group randomised controlled trial conducted in a rural municipality in Norway. Sixty-one home-dwelling older adults with functional decline were randomised to an intervention group (n = 31) or a control group (n = 30). The intervention group received ten weeks of multicomponent home-based rehabilitation. The Canadian Occupational Performance Measure (COPM) was used to measure self-perceived activity performance and satisfaction with performance. In addition, physical capacity and health-related quality of life were measured. The participants were assessed at baseline and at 3- and 9-month follow-ups.
  
  
  RESULTS
  There were significant improvements in mean scores favouring reablement in COPM performance at 3 months with a score of 1.5 points (p = 0.02), at 9 months 1.4 points (p = 0.03) and overall treatment 1.5 points (p = 0.01), and for COPM satisfaction at 9 months 1.4 points (p = 0.03) and overall treatment 1.2 points (p = 0.04). No significant group differences were found concerning COPM satisfaction at 3 months, physical capacity or health-related quality of life.
  
  
  CONCLUSIONS
  A 10-week reablement program resulted in better activity performance and satisfaction with performance on a long-term basis, but not the other outcomes measured.
  
  
  BACKGROUND
  The trial was registered in ClinicalTrials.gov November 20, 2012, identifier NCT02043262 .
authors.affiliation: Department of Global Public Health and Primary Care, University of Bergen, Faculty of Medicine and Dentistry, P.O. Box 7804, 5018, Bergen, Norway. Hanne.Kristin.Tuntland@hib.no.|Bergen University College, Centre for Care Research Western Norway, P.O. Box 7030, 5020, Bergen, Norway. Hanne.Kristin.Tuntland@hib.no.
authors.forename: Hanne
authors.initials: H
authors.lastname: Tuntland
authors.affiliation: Department of Global Public Health and Primary Care, University of Bergen, Faculty of Medicine and Dentistry, P.O. Box 7804, 5018, Bergen, Norway. Mona.Aaslund@uib.no.
authors.forename: Mona Kristin
authors.initials: MK
authors.lastname: Aaslund
authors.affiliation: Bergen University College, Centre for Evidence-based Practice, P.O. Box 7030, 5020, Bergen, Norway. Birgitte.Espehaug@hib.no.
authors.forename: Birgitte
authors.initials: B
authors.lastname: Espehaug
authors.affiliation: Bergen University College, Centre for Care Research Western Norway, P.O. Box 7030, 5020, Bergen, Norway. Oddvar.Forland@hib.no.|Haraldsplass Institute of Nursing, Deaconess University College, Ulriksdal 10, 5009, Bergen, Norway. Oddvar.Forland@hib.no.
authors.forename: Oddvar
authors.initials: O
authors.lastname: Førland
authors.affiliation: Diakonhjemmet Hospital, National Advisory Unit on Rehabilitation in Rheumatology, P.O. Box 23, Vinderen, 0319, Oslo, Norway. Ingvild.Kjeken@diakonsyk.no.|Oslo and Akershus University College of Applied Sciences, Program of Occupational Therapy, Prosthetics and Orthotics, P.O. Box 4, St. Olavs plass, 0130, Oslo, Norway. Ingvild.Kjeken@diakonsyk.no.
authors.forename: Ingvild
authors.initials: I
authors.lastname: Kjeken
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology*; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006699:Home Care Services / Q000458:organization & administration*; D006801:Humans; D057187:Independent Living / Q000523:psychology*; D008297:Male; D009664:Norway; D017060:Patient Satisfaction; D015397:Program Evaluation; D011788:Quality of Life; D020127:Recovery of Function; D012424:Rural Population; D016896:Treatment Outcome