title: Predictors of outcomes following reablement in community-dwelling older adults.
abstract: BACKGROUND
  Reablement is a rehabilitation intervention for community-dwelling older adults, which has recently been implemented in several countries. Its purpose is to improve functional ability in daily occupations (everyday activities) perceived as important by the older person. Performance and satisfaction with performance in everyday life are the major outcomes of reablement. However, the evidence base concerning which factors predict better outcomes and who receives the greatest benefit in reablement is lacking.
  
  
  OBJECTIVE
  The objective of this study was to determine the potential factors that predict occupational performance and satisfaction with that performance at 10 weeks follow-up.
  
  
  METHODS
  The sample in this study was derived from a nationwide clinical controlled trial evaluating the effects of reablement in Norway and consisted of 712 participants living in 34 municipalities. Multiple linear regression was used to investigate possible predictors of occupational performance (COPM-P) and satisfaction with that performance (COPM-S) at 10 weeks follow-up based on the Canadian Occupational Performance Measure (COPM).
  
  
  RESULTS
  The results indicate that the factors that significantly predicted better COPM-P and COPM-S outcomes at 10 weeks follow-up were higher baseline scores of COPM-P and COPM-S respectively, female sex, having a fracture as the major health condition and high motivation for rehabilitation. Conversely, the factors that significantly predicted poorer COPM-P and COPM-S outcomes were having a neurological disease other than stroke, having dizziness/balance problems as the major health condition and having pain/discomfort. In addition, having anxiety/depression was a predictor of poorer COPM-P outcomes. The two regression models explained 38.3% and 38.8% of the total variance of the dependent variables of occupational performance and satisfaction with that performance, respectively.
  
  
  CONCLUSIONS
  The results indicate that diagnosis, functional level, sex and motivation are significant predictors of outcomes following reablement.
authors.affiliation: Department of Global Public Health and Primary Care, Faculty of Medicine and Dentistry, University of Bergen; Centre for Care Research Western Norway, Bergen University College, Bergen.
authors.forename: Hanne
authors.initials: H
authors.lastname: Tuntland
authors.affiliation: National Advisory Unit on Rehabilitation in Rheumatology, Diakonhjemmet Hospital; Department of Occupational Therapy, Prosthetics and Orthotics, Faculty of Health Sciences, Oslo and Akershus University College of Applied Sciences, Oslo.
authors.forename: Ingvild
authors.initials: I
authors.lastname: Kjeken
authors.affiliation: Centre for Care Research Western Norway, Bergen University College, Bergen; Department of Nursing, Faculty of Health and Social Sciences, Bergen University College.
authors.forename: Eva
authors.initials: E
authors.lastname: Langeland
authors.affiliation: Centre for Care Research Western Norway, Bergen University College, Bergen; Uni Research Rokkan Centre.
authors.forename: Bjarte
authors.initials: B
authors.lastname: Folkestad
authors.affiliation: Centre for Evidence-Based Practice, Bergen University College.
authors.forename: Birgitte
authors.initials: B
authors.lastname: Espehaug
authors.affiliation: Centre for Care Research Western Norway, Bergen University College, Bergen; Faculty of Health Studies, VID Specialized University, Campus Bergen, Bergen, Norway.
authors.forename: Oddvar
authors.initials: O
authors.lastname: Førland
authors.affiliation: Department of Global Public Health and Primary Care, Faculty of Medicine and Dentistry, University of Bergen.
authors.forename: Mona Kristin
authors.initials: MK
authors.lastname: Aaslund
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002170:Canada; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D009042:Motivation; D009664:Norway; D009788:Occupational Therapy / Q000379:methods* / Q000706:statistics & numerical data*; D017060:Patient Satisfaction; D011446:Prospective Studies; D012737:Sex Factors; D055815:Young Adult
keywords: Canadian Occupational Performance Measure; aged; frailty; home-based rehabilitation; sex