• norsk
    • English
  • English 
    • norsk
    • English
  • Login
View Item 
  •   Home
  • Faculty of Medicine
  • Department of Global Public Health and Primary Care
  • Department of Global Public Health and Primary Care
  • View Item
  •   Home
  • Faculty of Medicine
  • Department of Global Public Health and Primary Care
  • Department of Global Public Health and Primary Care
  • View Item
JavaScript is disabled for your browser. Some features of this site may not work without it.

Reablement in home-dwelling older adults

Tuntland, Hanne
Doctoral thesis
Thumbnail
View/Open
dr-thesis-2017-Hanne-Tuntland.pdf (1.985Mb)
URI
https://hdl.handle.net/1956/15926
Date
2017-06-02
Metadata
Show full item record
Collections
  • Department of Global Public Health and Primary Care [2508]
Abstract
Background: Reablement is an alternative approach to home-based services for older adults at risk of functional decline. It is time-limited and aims to promote independence by offering a multidisciplinary, individualised and goal-directed intervention. The Canadian Occupational Performance Measure (COPM) is an instrument designed to help participants identify, prioritise and evaluate occupational performance (COPM-P) and satisfaction with performance (COPM-S) of important occupations. The COPM is the main instrument for goal determination and evaluation in Norwegian reablement. Objectives: To investigate psychometric properties of the COPM used on an interprofessional basis, to explore potential factors predicting outcomes following reablement, and to evaluate the effectiveness of reablement in home-dwelling older adults. Methods: The PhD project is based on two cohort studies (the psychometric study and the prediction study) and one randomised controlled trial (the effectiveness study). Results: The results show that the COPM has adequate content validity, construct validity and feasibility in a population of home-dwelling older adults, and a moderate responsiveness to change. The minimal important changes are 3.0 and 3.2 points for COPM-P and COPM-S, respectively. High baseline scores of COPM-P and COPM-S, female gender, having fracture as the major health condition and high motivation for rehabilitation predict better outcomes. Home-dwelling older adults benefit from reablement by improving their self-perceived performance and satisfaction with performance in prioritised daily occupations. Conclusion: This PhD project demonstrates that the psychometric properties of the COPM are adequate in an older, heterogeneous and home-dwelling population. The results support the use of COPM in clinical practice and research in this population. Furthermore, the results show that diagnosis, gender, motivation and functional level are significant predictors of outcomes of reablement. Lastly, this thesis confirms that reablement is an effective intervention when it comes to improving performance and satisfaction in everyday life.
Has parts
Paper 1: Tuntland H, Aaslund MK, Langeland E, Espehaug B, Kjeken I. Psychometric properties of the Canadian Occupational Performance Measure in home-dwelling older adults. J Multidiscip Healthc 2016, 9: 411-434. The article is available at: http://hdl.handle.net/1956/15907

Paper 2: Tuntland H, Kjeken I, Langeland, E, Folkestad B, Espehaug B, Førland O, Aaslund MK. Predictors of outcomes following reablement in community-dwelling older adults. Clin Interv Aging 2017, 12: 55-63. The article is available at: http://hdl.handle.net/1956/15925

Paper 3a: Tuntland H, Espehaug B, Forland O, Hole AD, Kjerstad E, Kjeken I. Reablement in community-dwelling adults: study protocol for a randomised controlled trial. BMC Geriatr 2014, 14 (149): 1-9. The article is available at: http://hdl.handle.net/1956/9199

Paper 3b: Tuntland H, Aaslund MK, Espehaug B, Førland O, Kjeken I. Reablement in community-dwelling older adults: a randomised controlled trial. BMC Geriatr 2015, 15 (145): 1-11. The article is available at: http://hdl.handle.net/1956/11442
Publisher
The University of Bergen
Copyright
Copyright the author. All rights reserved

Contact Us | Send Feedback

Privacy policy
DSpace software copyright © 2002-2019  DuraSpace

Service from  Unit
 

 

Browse

ArchiveCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsDocument TypesJournalsThis CollectionBy Issue DateAuthorsTitlesSubjectsDocument TypesJournals

My Account

Login

Statistics

View Usage Statistics

Contact Us | Send Feedback

Privacy policy
DSpace software copyright © 2002-2019  DuraSpace

Service from  Unit