Table 3.
Summary of interventions.
Intervention | Study | Details |
---|---|---|
Re-ablement/ Restorative homecare | Glendinning25, King27, Lewin28,29, Tinetti35 | A programme or package of homecare where there was a ‘re-ablement/restorative’ philosophy in which the aim was to improve ability to manage activities independently. This involved a series of different practices and the exact combination of which varied within and between studies and sites. Services were usually time limited, goal-focussed and involved a different approach by paid care workers. |
Nurse-led health promotion/care coordination | Marek30, Markle-Reid31,32 | A registered nurse acted as a named contact for the participant, coordinated services and implemented strategies to bolster health and wellbeing such as: providing education and monitoring illnesses. |
Cluster care | Fedlman24 | Reorganisation of homecare services into teams to deliver care to ‘clusters’ of individuals in a locality rather than one-to-one blocks of time. Reduced contact time meant that care workers’ role was based on specific tasks rather than time allocated. |
Assistive technology | Gottlieb26 | Assessment by a case manager followed by the provision of assistive devices (equipment) to increase independence with ADL (meals, bathing, toileting, dressing, mobility). Case managers received training from occupational therapists. |
Specialist inter-professional stroke care | Markle-Reid33 | Comprehensive rehabilitation services provided by multidisciplinary team with specialist stroke training and expertise involving: rehabilitation, education, support and case management. |
Goal-setting | Parsons34 | Use of a goal-facilitation tool to set objectives for the homecare episode was implemented by a trained assessor and then goals were passed onto the homecare agency staff. |
Occupational therapy bathing intervention | Zingmark36 | Assessment of individual needs by an occupational therapist. Interventions were then tailored in order to maximise their performance in bathing. |