Evidence map›Paper›PMID 25587088›Full record

SynthesisClinical rehabilitation2015

Interventions to reduce dependency in personal activities of daily living in community dwelling adults who use homecare services: a systematic review.

Phillip J Whitehead, Esme J Worthington, Ruth H Parry, Marion F Walker, Avril E R Drummond

Open access · hybridAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Clinical rehabilitation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 6 pooled it
14.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 6 syntheses or guidelines pooled it, 91 citations in OpenAlex.

  1. Pooled it
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  6. Effectiveness of Reablement: A Systematic Review.Healthcare policy = Politiques de sante · 2016
    Pooled it
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  12. Article
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  14. Mapping of Reablement Research - A Scoping Review of Reviews.Journal of multidisciplinary healthcare · 2026
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Phillip J WhiteheadFaculty of Medicine and Health Sciences, University of Nottingham, UK phillip.j.whitehead@nottingham.ac.uk.
Esme J WorthingtonFaculty of Medicine and Health Sciences, University of Nottingham, UK.
Ruth H ParryFaculty of Medicine and Health Sciences, University of Nottingham, UK.
Marion F WalkerFaculty of Medicine and Health Sciences, University of Nottingham, UK.
Avril E R DrummondFaculty of Medicine and Health Sciences, University of Nottingham, UK.
University of Nottingham · GB

Funding

Department of Health DRF-2012-05-131
6 · The paper itself

Abstract

objectivesTo identify interventions that aim to reduce dependency in activities of daily living (ADL) in homecare service users. To determine: content; effectiveness in improving ability to perform ADL; and whether delivery by qualified occupational therapists influences effectiveness. DATA SOURCES: The Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, AMED, CINAHL, PsycINFO, OTseeker, PEDro, Web of Science, CIRRIE, and ASSIA. REVIEW

methodsWe included: randomised controlled trials, non-randomised controlled trials and controlled before and after studies. Two reviewers independently screened studies for inclusion, assessed risk of bias and extracted data. A narrative synthesis of the findings was conducted.

resultsThirteen studies were included, totalling 4975 participants. Ten (77%) were judged to have risk of bias. Interventions were categorised as those termed 're-ablement' or 'restorative homecare' (n=5/13); and those involving separate components which were not described using this terminology (n=8/13). Content of the intervention and level of health professional input varied within and between studies. Effectiveness on ADL: eight studies included an ADL outcome, five favoured the intervention group, only two with statistical significance, both these were controlled before and after studies judged at high risk of bias. ADL outcome was reported using seven different measures. Occupational therapy: there was insufficient evidence to determine whether involvement of qualified occupational therapists influenced effectiveness.

conclusionThere is limited evidence that interventions targeted at personal ADL can reduce homecare service users' dependency with activities, the content of evaluated interventions varies greatly.

Indexed as

Activities of Daily LivingDependency, PsychologicalAdultAgedAge FactorsCase-Control StudiesExercise TherapyFemaleHome Care ServicesHumansIndependent LivingMaleMiddle AgedOccupational TherapyPatient Care TeamPrognosisHomecare servicesoccupational therapypersonal activities of daily livingre-ablementrestorative homecare

Identifiers

PMID25587088
PMCPMC4607918
OpenAlexW2110770911

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.