Effectiveness of Implementing a Reablement Model in Community-Based Long-Term Care Centers

This study will examine whether a reablement approach can help people receiving community-based long-term care maintain or improve their independence, daily functioning, and quality of life. Approximately 300 adults from eight long-term care facilities across Taiwan will participate. The 12-week reablement program includes group and individualized activities designed to support mobility, cognitive function, daily activities, and social participation. Participants' physical and cognitive function, daily living abilities, emotional well-being, quality of life, and personal goals will be assessed before and after the program. The study will also include observations and interviews with care providers, participants, and family members to understand their experiences with the program and identify factors that support successful implementation. The findings are expected to help develop a practical reablement model for community-based long-term care in Taiwan and provide guidance for improving care quality, independence, and healthy aging.

Inclusion Criteria: * Aged 18 years or older and assessed as CMS Level 2 or above. * Regularly receiving adult day care services and attending at least two days per week. * Able to understand simple instructions and participate in activities with assistance. Exclusion Criteria: * Severe cognitive impairment or severe visual or hearing impairment that interferes with participation in activities or assessments. * A major fall within the past three months or acute symptoms that prevent participation in assessments or study procedures. * Concurrent participation in another intensive rehabilitation program or research intervention. * Clear unwillingness to participate in the study intervention or inability to complete the three-month intervention period.