Features and effectiveness of reablement for community dwelling older adults: a systematic review and meta-analysis
Date and Time
Wednesday, November 11, 2026
Theme / Track
Ageing well, longevity and social context
Presentation Format
Poster Presentation
Problem and Significance:
As the global population ages, functional decline and care complexity are rising. Traditional home care models often foster dependence; in contrast, reablement is a person-centred, holistic approach which aims to restore autonomy. Reablement research is fragmented due to inconsistent terminology. Therefore, this review aimed to systematically identify programs aligned with the recent consensus definition of reablement and determine their effectiveness.
Methods and Topics:
Following PRISMA guidelines, five e-databases were searched for primary studies. To be included, studies needed to align with one or more of the aims of reablement (enhancing independence; participation in meaningful activities of daily living; reducing long-term care needs) and all characteristics (multiple visits; holistic; multi-disciplinary, comprehensive assessment) outlined in the consensus definition. Meta-analyses were conducted to explore effectiveness of outcomes relating to reablement aims.
Results:
Of 5,503 citations identified, 3,602 unique titles and abstracts were screened. Following a full-text review of 139 papers, 24 studies met inclusion criteria. Mapping revealed that while comprehensive assessments and multidisciplinary collaboration were consistent features, active involvement of social networks remains a significant gap. Meta-analysis of six studies demonstrated an improvement in independence for Activities of Daily Living (SMD 0.168, 95% CI 0.068, 0.269) compared to usual care. Differences in physical functioning were not statistically significant.
Conclusions and Audience:
Few studies currently report interventions fully aligned with the consensus definition. While reablement effectively improves ADL independence, substantial heterogeneity exists. Standardized reporting of reablement features is essential to facilitate better evidence synthesis and refine clinical effectiveness for aging populations.
Keywords
Community, Home Care, Integrated Care, Models of Care, Rehabilitation
Authors
Professor Lucy Lewis, Deputy Dean of Graduate Research, College of Nursing and Health Sciences, Flinders University.
Associate Professor Claire Baldwin, College of Nursing and Health Sciences, Flinders University.
Dr. Jasmine Petersen Research Fellow College of Nursing and Health Sciences, Flinders University.