@article{0dafb465697642db8486675ac7938c1e,
title = "Effectiveness of a reablement training program on self-efficacy and outcome expectations regarding client activation in homecare staff: A cluster randomized controlled trial",
abstract = "Training and supporting homecare staff in reablement aims to change staff behavior from {"}doing for{"} to {"}doing with{"} older adults, i.e., supporting client activation. We evaluated the effectiveness of the reablement training program {"}Stay Active at Home{"} (SAaH) on staff self-efficacy and outcome expectations regarding client activation in a cluster randomized controlled trial. Ten Dutch homecare nursing teams, comprising 135 nursing team members and 178 domestic workers, were randomized into the intervention group (SAaH) or control group (usual care). Data on self-efficacy and outcome expectations were collected at baseline, 6 and 12 months using scales developed for this study. Mixed-effects regression showed no differences between the study groups on either outcome. Therefore, widespread implementation of SAaH in its current form cannot be recommended. More research is needed on the development and psychometric properties of scales to assess staff behavior and behavioral determinants (e.g., self-efficacy and outcomes expectations) regarding client activation. (C) 2021 The Author(s). Published by Elsevier Inc.",
keywords = "Home and community-based care services, Reablement, Function-focused care, Staff behavior change, Self-efficacy, Outcome expectations, FUNCTION-FOCUSED CARE, OLDER-PEOPLE, IMPACT, INTERVENTION",
author = "T. Rooijackers and {van Rossum}, E. and G.A.R. Zijlstra and G.I.J.M. Kempen and V.L. Passos and S.F. Metzelthin",
note = "Funding Information: This work was supported by the Netherlands Organization for Health Research and Development [ZonMw 50–53120–98-014], The Hague, The Netherlands. They had no role in the study design, data collection, data analysis, decision to publish, or the preparation of the manuscript. Funding Information: The authors would like to thank all participating homecare clients, homecare staff, and team managers of the healthcare organization MeanderGroep Zuid-Limburg. Furthermore, they would like to thank program trainers Jos? Blezer and Thecla Terken and program champions Marijke Hennen and Mandy Boosten (MeanderGroep Zuid-Limburg) for their contribution to the implementation of the training program; Henny Geelen and Maria Wetzels (Citizen Power Limburg) for their valuable practice insights as representatives of older adults and informal caregivers; Marja Veenstra (Citizen Power Limburg), Jos? van Dorst (Dutch Nurses Association), Bem Bruls (General Practitioners Eastern South-Limburg), Wiro Gruisen (CZ health insurance), Lisette Ars (healthcare organization Envida), Roger Ruijters, Tessa Schreibers, Margreet Bruinsma, and Karin Pieters (Meandergroep Zuid-Limburg) for their guidance and advice as part of the steering group; and Astrid van den Bosch, Ine Hesdahl, Anne Cla?en, and Felix Euler-Schmidt for their contribution to the data entry. This work was supported by the Netherlands Organization for Health Research and Development [ZonMw 50?53120?98-014], The Hague, The Netherlands. They had no role in the study design, data collection, data analysis, decision to publish, or the preparation of the manuscript. Publisher Copyright: {\textcopyright} 2021 The Author(s)",
year = "2021",
month = jan,
day = "1",
doi = "10.1016/j.gerinurse.2021.11.009",
language = "English",
volume = "43",
pages = "104--112",
journal = "Geriatric Nursing",
issn = "0197-4572",
publisher = "Elsevier Inc.",
}