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Health services research
Original research
Development and content of a community-based reablement programme (I-MANAGE): a co-creation study
  1. Ines Mouchaers1,2,3,
  2. Hilde Verbeek1,2,
  3. Gertrudis I J M Kempen1,2,
  4. Jolanda C M van Haastregt1,2,
  5. Ellen Vlaeyen4,5,
  6. Geert Goderis3,
  7. Silke F Metzelthin1,2
  1. 1Department of Health Services Research, Faculty of Health Medicine and Life Sciences, CAPHRI Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands
  2. 2Living Lab in Ageing and Long-Term Care, Maastricht, The Netherlands
  3. 3Department of Public Health and Primary Care, Academic Centre for General Practice, KU Leuven, Leuven, Belgium
  4. 4Department of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, KU Leuven, Leuven, Belgium
  5. 5Faculty of Medicine and Life Sciences, UHasselt, Hasselt, Belgium
  1. Correspondence to Ines Mouchaers; i.mouchaers{at}maastrichtuniversity.nl

Abstract

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.

  • health services for the aged
  • patient-centered care
  • primary health care
  • quality of life
  • rehabilitation medicine

Data availability statement

Data are available upon reasonable request. The data sets used and/or analysed during the current study available from the corresponding author on reasonable request.

https://creativecommons.org/licenses/by/4.0/

This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.

https://doi.org/10.1136/bmjopen-2022-070890

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    Data availability statement

    Data are available upon reasonable request. The data sets used and/or analysed during the current study available from the corresponding author on reasonable request.

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    Footnotes

    • Twitter @inesmouchaers

    • Contributors All authors—IM, HV, GIJMK, JCMvH, EV, GG, SFM—were involved in the development of the I-MANAGE programme. IM wrote the first draft of the article. All authors reviewed the manuscript and approved the final version. IM and SFM act as guarantor for the manuscript.

    • Funding This work was supported by the European Union’s Horizon 2020 research and innovation programme under the Marie Skłodowska-Curie grant agreement No 812656 as part of the TRANS-SENIOR project (www.trans-senior.eu).

    • Competing interests None declared.

    • Patient and public involvement Patients and/or the public were involved in the design, or conduct, or reporting, or dissemination plans of this research. Refer to the Methods section for further details.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.