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Evaluation of Reablement Home Care: Effects on Care Attendants, Care Recipients, and Family Caregivers

Yu-Hsien Chiang, Hui-Chuan Hsu, Chiung-Ling Chen, Chen-Fen Chen, Shu-Nu Chang-Lee, Ya-Mei Chen and Shang-Wei Hsu
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Yu-Hsien Chiang: Department of Gerontechnology and Service Management, Nan Kai University of Technology, Nantou 542021, Taiwan
Hui-Chuan Hsu: Research Center of Health Equity, School of Public Health, College of Public Health, Taipei Medical University, Taipei 11031, Taiwan
Chiung-Ling Chen: Department of Occupational Therapy, Chung Shan Medical University, Taichung 40201, Taiwan
Chen-Fen Chen: Department of Social Welfare, Chinese Culture University, Taipei 11114, Taiwan
Shu-Nu Chang-Lee: Department of Long-Term Care, National Quemoy University, Kinmen 89250, Taiwan
Ya-Mei Chen: Institute of Health Policy and Management, National Taiwan University, Taipei 10617, Taiwan
Shang-Wei Hsu: National Defense of Medical Center, School of Public Health, Taipei 11490, Taiwan

IJERPH, 2020, vol. 17, issue 23, 1-15

Abstract: Background: The traditional home care model entails caring “for” people with disabilities, not “with” them. Reablement care has been applied to long-term care, but the evidence for care attendants, home care recipients, and family caregivers simultaneously is limited. Methods: First, a survey was conducted to explore the needs of home care recipients and family caregivers to achieve independence at home to develop the reablement home care model for home care. Then, an intervention with two groups was implemented. The experimental group included a total of 86 people who participated in the reablement home care model. The control group included 100 people and received usual home care. The self-reliance concept, job satisfaction, and sense of achievement for care attendants; quality of life for home care users; and caregiving burden for family caregivers were assessed. Results: The reablement home care model improved the job satisfaction and achievement of home care attendants, improved mutual support and independence in the self-reliance concept and quality of life among the users, and reduced the stress of the users and family caregivers. Conclusion: The reablement home care model improved the outcomes for providers, care recipients, and family caregivers. Reablement home care is suggested in long-term care policies.

Keywords: home care; care assistants; family caregivers; older adults; reablement; long-term care (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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