Sammendrag
As a result of the ageing population worldwide, there has been a
growing international interest in a new intervention termed ‘reablement’.
Reablement is an early and time-limited home-based intervention with
emphasis on intensive, goal-oriented and interdisciplinary rehabilitation
for older adults in need of rehabilitation or at risk of functional decline.
The aim of this qualitative study was to describe how older adults
experienced participation in reablement. Eight older adults participated in
semi-structured interviews. A qualitative content analysis was used as the
analysis strategy. Four main themes emerged from the participants’
experiences of participating in reablement: ‘My willpower is needed’,
‘Being with my stuff and my people’, ‘The home-trainers are essential’,
and ‘Training is physical exercises, not everyday activities’. The first three
themes in particular reflected the participants’ driving forces in the
reablement process. Driving forces are intrinsic motivation in interaction
with extrinsic motivation. Intrinsic motivation was based on the person’s
willpower and responsibility, and extrinsic motivation was expressed to
be strengthened by being in one’s home environment with ‘own’ people,
as well as by the co-operation with the reablement team. The reablement
team encouraged and supported the older adults to regain confidence in
performing everyday activities as well as participating in the society. Our
findings have practical significance for politicians, healthcare providers
and healthcare professionals by contributing to an understanding of how
intrinsic and extrinsic motivation influence reablement. Some persons
need apparently more extrinsic motivational support also after the time-
limited reablement period is completed. The municipal health and care
services need to consider individualised follow-up programmes after the
intensive reablement period in order to maintain the achieved skills to
perform everyday activities and participate in society.
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