Life In The Slower Lane

Here is the requested structured PICO analysis for the uploaded article.

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Full Title (verbatim and exact):

“Rehabilitation, reablement, and restorative care approaches in the aged care sector: a scoping review of systematic reviews”

Gough et al., BMC Geriatrics (2025) 25:44

DOI: https://doi.org/10.1186/s12877-025-05680-8

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Type of Article:

Scoping review of systematic reviews

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PICO Analysis:

Population:

• Older adults aged ≥60 years receiving aged care services, including:
  • People living in residential aged care, home care, or transition care
  • Sub-populations included people with dementia, cognitive impairment, hip fractures, low functional ability, or at risk of falls(See page 4–5 for population eligibility criteria and sub-population breakdown)

Intervention:

• Broadly defined “3R approaches”:
  • Rehabilitation
  • Reablement
  • Restorative care
• These included multi-component interventions such as:
  • Physical activity programs
  • Occupational and physiotherapy
  • Technology-enhanced interventions (e.g. VR, exergaming)
  • Goal-setting and cognitive rehabilitation(Interventions varied across settings and study types – see Table 2 on page 7 and themes on pages 6–8)

Comparator:

• No comparison group
  • This was a scoping review of systematic reviews with no direct intervention vs control analysis
  • However, some included reviews compared 3R approaches to usual care or alternative interventions, but these comparisons were not uniformly analysed in this review

Outcome:

• The review summarised outcomes across three domains:
  • Person-centred outcomes: Functional independence, quality of life, cognitive function, activities of daily living (ADLs), falls risk
  • Process outcomes: Description of intervention delivery, professional roles (OT, PT, nursing), care setting dynamics
  • Health system outcomes: Gaps in cost-effectiveness data, limitations in definitions influencing policy and funding models

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