Development and content of a community-based reablement programme (I-MANAGE): a co-creation study

Objectives As age increases, people generally start experiencing problems related to independent living, resulting in an increased need for long-term care services. Investing in sustainable solutions to promote independent living is therefore essential. Subsequently, reablement is a concept attracti...

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Main Authors: Geert Goderis, Gertrudis I J M Kempen, Jolanda C M van Haastregt, Hilde Verbeek, Ellen Vlaeyen, Ines Mouchaers, Silke F Metzelthin
Format: Article
Language:English
Published: BMJ Publishing Group 2023-08-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/13/8/e070890.full
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author Geert Goderis
Gertrudis I J M Kempen
Jolanda C M van Haastregt
Hilde Verbeek
Ellen Vlaeyen
Ines Mouchaers
Silke F Metzelthin
author_facet Geert Goderis
Gertrudis I J M Kempen
Jolanda C M van Haastregt
Hilde Verbeek
Ellen Vlaeyen
Ines Mouchaers
Silke F Metzelthin
author_sort Geert Goderis
collection DOAJ
description Objectives As age increases, people generally start experiencing problems related to independent living, resulting in an increased need for long-term care services. Investing in sustainable solutions to promote independent living is therefore essential. Subsequently, reablement is a concept attracting growing interest. Reablement is a person-centred, holistic approach promoting older adults’ active participation through daily, social, leisure and physical activities. The aim of this paper is to describe the development and content of I-MANAGE, a model for a reablement programme for community-dwelling older adults.Design The development of the programme was performed according to the Medical Research Council framework as part of the TRANS-SENIOR international training and research network. A co-creation design was used, including literature research, observations, interviews, and working group sessions with stakeholders.Setting and participants The interviews and working group sessions took place in the Dutch long-term home care context. Stakeholders invited to the individual interviews and working group sessions included care professionals, policymakers, client representatives, informal caregiver representatives, informal caregivers, and scientific experts.Results The co-creation process resulted in a 5-phase interdisciplinary primary care programme, called I-MANAGE. The programme focuses on improving the self-management and well-being of older adults by working towards their meaningful goals. During the programme, the person’s physical and social environment will be put to optimal use, and sufficient support will be provided to informal caregivers to reduce their burden. Lastly, the programme aims for continuity of care and better communication and coordination.Conclusion The I-MANAGE programme can be tailored to the local practices and resources and is therefore suitable for the use in different settings, nationally and internationally. If the programme is implemented as described, it is important to closely monitor the process and results.
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spelling doaj.art-6dbc99629004432886c8cd31e20185b92024-11-15T10:05:12ZengBMJ Publishing GroupBMJ Open2044-60552023-08-0113810.1136/bmjopen-2022-070890Development and content of a community-based reablement programme (I-MANAGE): a co-creation studyGeert Goderis0Gertrudis I J M Kempen1Jolanda C M van Haastregt2Hilde Verbeek3Ellen Vlaeyen4Ines Mouchaers5Silke F Metzelthin6Department of Public Health and Primary Care, Academic Centre for General Practice, KU Leuven, Leuven, BelgiumDepartment of Health Services Research, Faculty of Health Medicine and Life Sciences, CAPHRI Care and Public Health Research Institute, Maastricht University, Maastricht, The NetherlandsDepartment of Health Services Research, Faculty of Health Medicine and Life Sciences, CAPHRI Care and Public Health Research Institute, Maastricht University, Maastricht, The NetherlandsDepartment of Health Services Research, Faculty of Health Medicine and Life Sciences, CAPHRI Care and Public Health Research Institute, Maastricht University, Maastricht, The NetherlandsDepartment of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, KU Leuven, Leuven, BelgiumDepartment of Health Services Research, Faculty of Health Medicine and Life Sciences, CAPHRI Care and Public Health Research Institute, Maastricht University, Maastricht, The NetherlandsDepartment of Health Services Research, Faculty of Health Medicine and Life Sciences, CAPHRI Care and Public Health Research Institute, Maastricht University, Maastricht, The NetherlandsObjectives As age increases, people generally start experiencing problems related to independent living, resulting in an increased need for long-term care services. Investing in sustainable solutions to promote independent living is therefore essential. Subsequently, reablement is a concept attracting growing interest. Reablement is a person-centred, holistic approach promoting older adults’ active participation through daily, social, leisure and physical activities. The aim of this paper is to describe the development and content of I-MANAGE, a model for a reablement programme for community-dwelling older adults.Design The development of the programme was performed according to the Medical Research Council framework as part of the TRANS-SENIOR international training and research network. A co-creation design was used, including literature research, observations, interviews, and working group sessions with stakeholders.Setting and participants The interviews and working group sessions took place in the Dutch long-term home care context. Stakeholders invited to the individual interviews and working group sessions included care professionals, policymakers, client representatives, informal caregiver representatives, informal caregivers, and scientific experts.Results The co-creation process resulted in a 5-phase interdisciplinary primary care programme, called I-MANAGE. The programme focuses on improving the self-management and well-being of older adults by working towards their meaningful goals. During the programme, the person’s physical and social environment will be put to optimal use, and sufficient support will be provided to informal caregivers to reduce their burden. Lastly, the programme aims for continuity of care and better communication and coordination.Conclusion The I-MANAGE programme can be tailored to the local practices and resources and is therefore suitable for the use in different settings, nationally and internationally. If the programme is implemented as described, it is important to closely monitor the process and results.https://bmjopen.bmj.com/content/13/8/e070890.full
spellingShingle Geert Goderis
Gertrudis I J M Kempen
Jolanda C M van Haastregt
Hilde Verbeek
Ellen Vlaeyen
Ines Mouchaers
Silke F Metzelthin
Development and content of a community-based reablement programme (I-MANAGE): a co-creation study
BMJ Open
title Development and content of a community-based reablement programme (I-MANAGE): a co-creation study
title_full Development and content of a community-based reablement programme (I-MANAGE): a co-creation study
title_fullStr Development and content of a community-based reablement programme (I-MANAGE): a co-creation study
title_full_unstemmed Development and content of a community-based reablement programme (I-MANAGE): a co-creation study
title_short Development and content of a community-based reablement programme (I-MANAGE): a co-creation study
title_sort development and content of a community based reablement programme i manage a co creation study
url https://bmjopen.bmj.com/content/13/8/e070890.full
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