Cochrane · systematic review · CD010825
Time‐limited home‐care reablement services for maintaining and improving the functional independence of older adults
Cochrane, A, Furlong, M, McGilloway, S, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library
Consumers and CommunicationAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 7 · 100%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Reablement compared with usual home‐care for maintaining independence
Population: adults aged ≥ 65 years
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Functional status** ADL and IADL (Lewin 2013) COPM (Tuntland 2015) Lower scores indicate greater independence Reablement vs usual home‐care | no estimate extracted | 2 studies · 249 participants | Very low Downgraded: risk of bias, imprecision |
Mortality*** Reablement vs usual home‐care | no estimate extracted | 2 studies · 811 participants | Very low Downgraded: risk of bias, imprecision |
Unplanned hospital admission** Reablement vs usual home‐care | no estimate extracted | 1 study · 750 participants | Very low Downgraded: risk of bias, imprecision |
Quality of life** AAQ (Lewin 2013) COOP/Wonka (overall health; Tuntland 2015) Lower scores indicate improvement Reablement vs usual home‐care | no estimate extracted | 2 studies · 249 participants | Very low Downgraded: risk of bias, imprecision |
Level of emerging personal care needs (approved for higher level of care)*** Reablement vs usual home‐care | no estimate extracted | 1 study · 750 participants | Very low Downgraded: risk of bias, imprecision |
Living arrangements (transferred to residential care) Reablement vs usual home‐care | no estimate extracted | 1 study · 750 participants | Very low Downgraded: risk of bias, imprecision |
Cost effectiveness*** Total aggregated costs for home‐ and healthcare (emergency department and unplanned hospital admissions) Reablement vs usual home‐care | no estimate extracted | 1 study · 750 participants | Very low Downgraded: risk of bias, imprecision |