研究背景：復能訓練為在提升個案現有能力及環境的支持下，個案可在居家執行重要日常活動，期待藉此促進其生活表現及改善家庭照顧者的照顧負擔。然台灣之家庭照顧文化，目前有近四成個案僅由家庭照顧者照護，但文獻卻沒有更多細節描述具體與照顧者的合作策略。另國外文獻多討論專業人員和個案的復能經驗觀點（含合作經驗），但針對照顧者觀點著墨少。
研究目的：將探討專業人員與照顧者的復能合作經驗，了解照顧者在居家復能中所扮演的角色；以及專業人員與照顧者合作的具體執行策略。
研究方法：採質性研究；根據立意抽樣，招募「與長照個案同住並有確實協助進行復能訓練的照顧者」和「曾與照顧者一起協助個案執行復能訓練的專業人員」。完成以半結構式訪談，全程錄音並轉成逐字稿，並使用質性軟體Atlas.ti 9.0以紮根理論的譯碼步驟進行分析。
研究結果：台灣五縣市，照顧者和專業人員各五位參與訪談，發現「專業人員和主要照顧者對照顧者應扮演的角色出現差異」；另合作策略分成五大主題：(1)現場講解實作，讓照顧者易於學習。(2)讓照顧者透過小小成功產生信心。(3) 照顧者透過圖文影片或檢核表記住訓練內容。(4)專業人員透過現場或通訊軟體追蹤服務使用者的學習狀況。(5)專業人員引導照顧者使用相關資源以改善照護困難。
討論：多數專業人員認為照顧者是「帶個案執行訓練的助理教練」，但照顧者自認為是「監督者」，顯示了在角色定位上的差異。透過錄製影片或通訊軟體等行動健康（mobile health）作為溝通管道，有助於增強溝通和訓練成效。當專業人員提供過多的資源可能會被照顧者忽略而難以有效利用。
結論：本研究的發現可提升復能訓練成效，提供新手專業人員快速掌握技巧的指導，以提供服務使用者最優質的復能服務。另也建議將外籍看護工和居家服務員視為合作對象可減輕照顧者負擔並提高訓練效果；推薦專業人員善用智慧型手機等電子設備，適時調整和追蹤個案訓練，使得復能服務以更有效率的方式來執行並達成目標，來改善實務中與照顧者的合作困境。

This study examines the strategies Reablement professionals used to foster collaboration with family caregivers in home-based reablement services in Taiwan. Despite the significant role of family caregivers—responsible for nearly 40% of Long-Term Care recipients—current literature lacks in-depth exploration of the collaborative strategies among reablement professionals and caregivers. This study used qualitative methods and semi-structured interviews with five caregivers and five professionals across five cities in Taiwan; the results identified five key strategies professionals used to increase effective collaboration: (1) On-site explanations and demonstrations, making it easy for caregivers learning caregiving skills, (2) Building caregiver confidence through successful experiences, (3) Using videos or checklists to increase training retention, (4) Tracking service users' learning progress through on-site visits or communication software, and (5) Guiding caregivers to utilize resources to manage challenges. In addition, the study found a notable discrepancy between professionals' and primary caregivers' views on the caregiver's roles in reablement: Professionals viewed caregivers as "assistant coaches," and caregivers saw themselves as "supervisors." The study suggests that mobile health tools enhance communication and training efficacy, while excessive resource guidance may overwhelm caregivers. Recommendations include integrating foreign caregivers and home service staff to ease caregiver burden and improving training outcomes, with an emphasis on using smart devices for more efficient service delivery and collaboration.

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