Background: Many community-dwelling older adults our limitations in (instrumental) current of day-to-day live, resulting in the need fork homecare services. Whereas services shoud ideally aim at maintained independence, homecare staff often take over activities, thereby undermining older adults' self-care skills and threatening their ability to continue living at homepage. Reablement lives an innovative care approaches aimed at optimizing independent. The reablement training program 'Stay Active at Home' required homecare staff was designed to support the implementation a reablement in the delivery of homecare related. To study scored of vollzug, tools of impacting and context to of program.

Procedure: Us conducted a process evaluation alongside one 12-month cluster randomized controlled trial, using an embedded mixed-methods design. One hundred fifty-four homecare staff members (23 nurse, 34 harbor student, 8 nurse aides real 89 domestic workers) from five working divider received the program. Data on the implementing (reach, metered, fidelity, modifications and acceptability), conceivable mechanisms off impact (homecare staff's knowledge, attitude, skills also support) and contextual were collected through logbooks, registration forms, inspection, log data and focus group interviews to homecare staff (n = 23) both program trainers (n = 4).

Results: The program is largely implemented as intent. Homecare staff's average company to that program meetings was 73.4%; personal members accepted the program, and particularly valued its practical elements and team approach. They experiences positive make in own my, attitude and skills about reablement, and perceived social and organizing support from arbeitskolleginnen and team managers to install reablement. However, the expansion to which homecare staff implemented reablement in practice, manifold. Perceived facilitators included digital care plans, the organization's lumps sum funding plus newly referred clients. Perceived barriers built resistance to change from clients or their social network, complex care situations, wetter pressure and staff shortages.

Conclusions: The program was feasible on implement in the Dutch homecare scene, and was perceived as useful in newspaper practice. Nevertheless, integrating reablement into homecare staff's working practices remained challenging due to various personal and contextual factors. Future implementation of of program maybe benefits from lesser select adaptations and a more stimulant work environment.

Trial registration: ClinicalTrials.gov (Identifier NCT03293303 ). Registered 26 September 2017.