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Alfredsson Ågren, K., Hemmingsson, H. & Kjellberg, A. (2023). Internet activities and social and community participation among young people with learning disabilities. British Journal of Learning Disabilities, 51(2), 125-134
Open this publication in new window or tab >>Internet activities and social and community participation among young people with learning disabilities
2023 (English)In: British Journal of Learning Disabilities, ISSN 1354-4187, E-ISSN 1468-3156, Vol. 51, no 2, p. 125-134Article in journal (Refereed) Published
Abstract [en]

BackgroundA digital lag has been reported on access to the internet and performing internet activities for young people with learning disabilities in everyday life. AimThe aim of this study is to explore environmental opportunities and challenges when performing internet activities and how internet use influences social and community participation for young people with learning disabilities from the perspectives of the target group. MethodsAn inductive design was applied, with focused observations and follow-up interviews of 15 internet-using young persons with learning disabilities in their everyday settings. The data was analysed interpretatively using open coding. FindingsThe environment offered both opportunities and challenges in terms of the design of digital devices and digital support. Support from peers was often preferred. All participants performed internet activities related to social participation although not all used social media. Searching for information was performed, however, finding the information or understanding it was challenging and led to restricted participation in the community. ConclusionMore examples of internet use positively influencing social participation were found, contrary to community participation. It is indicated that concrete learning situations when using the internet for social participation were more adapted to the participants and promoted this type of participation, contrary to situations of internet use influencing community participation.

Place, publisher, year, edition, pages
WILEY, 2023
Keywords
adaptative methods; digital divide; digital inclusion; intellectual disability; technology
National Category
Human Aspects of ICT
Identifiers
urn:nbn:se:liu:diva-191837 (URN)10.1111/bld.12519 (DOI)000921730400001 ()
Available from: 2023-02-21 Created: 2023-02-21 Last updated: 2024-02-29Bibliographically approved
Alfredsson Ågren, K., Hemmingsson, H. & Kjellberg, A. (2020). Access to and Use of the Internet among Adolscents and Young Adults with Intellectual Disabilities in Everyday Settings.. Journal of Intellectual & Developmental Disability (1), 89-98
Open this publication in new window or tab >>Access to and Use of the Internet among Adolscents and Young Adults with Intellectual Disabilities in Everyday Settings.
2020 (English)In: Journal of Intellectual & Developmental Disability, ISSN 1366-8250, E-ISSN 1469-9532, no 1, p. 89-98Article in journal (Refereed) Published
Abstract [en]

Background: The aim is to explore and describe access to the internet and how it is used among adolescents and young adults with mild and moderate intellectual disabilities in their everyday settings. Method: Data were collected through observations of and interviews with 15 participants with intellectual disabilities, aged 13-25, on access and use of the internet in school or work and at home or in their free time. A qualitative content analysis was used. Results: Main findings were categorised into: Access to the internet in different settings, Challenges when using the internet and Strategies to handle the digital environment and take part in internet activities.Conclusions: This study revealed that participants had access to internet connections and to a high number of internet-enabled devices. Participants use the internet through strategies when doing internet activities, for example using pictures and reducing the number of internet-enabled devices used in their everyday settings.

Place, publisher, year, edition, pages
Taylor & Francis, 2020
Keywords
Intellectual disability, accessibility, internet use, digital divide, youth, developmental disabilities
National Category
Occupational Therapy Other Medical Sciences
Identifiers
urn:nbn:se:liu:diva-151985 (URN)10.3109/13668250.2018.1518898 (DOI)000510209300011 ()
Available from: 2018-10-12 Created: 2018-10-12 Last updated: 2023-10-18
Alfredsson Ågren, K., Kjellberg, A. & Hemmingsson, H. (2020). Digital participation? Internet use among adolescents with and without intellectual disabilities: A comparative study. New Media and Society, 22(12), 2128-2145
Open this publication in new window or tab >>Digital participation? Internet use among adolescents with and without intellectual disabilities: A comparative study
2020 (English)In: New Media and Society, ISSN 1461-4448, E-ISSN 1461-7315, Vol. 22, no 12, p. 2128-2145Article in journal (Refereed) Published
Abstract [en]

Internet use is an integrated part of everyday life, especially among young people. However, knowledge of this for young people with disabilities is scarce. This study investigates digital participation of adolescents with intellectual disabilities by comparing aspects of Internet use among adolescents with and without intellectual disabilities. Cross-sectional comparative design was used and a national survey from the Swedish Media Council was cognitively adapted for adolescents with intellectual disabilities aged 13-20 years. The results reveal that a significantly lower proportion of the 114 participating adolescents with intellectual disabilities had access to Internet-enabled devices and performed Internet activities, except for playing games, than the reference group (n = 1161). The greatest difference was found in searching for information. Analyses indicate that adolescents with intellectual disabilities are following a similar pattern of Internet use as the reference group, but a digital lag is prevalent, and a more cognitively accessible web could be beneficial.

Place, publisher, year, edition, pages
SAGE PUBLICATIONS LTD, 2020
Keywords
Accessibility; digital divide; digital inequality; digital participation; intellectual disability; Internet use; online risks; questionnaire designs; survey method; youth
National Category
Human Computer Interaction
Identifiers
urn:nbn:se:liu:diva-162754 (URN)10.1177/1461444819888398 (DOI)000498737100001 ()
Note

Funding Agencies|Linkoping University, Sweden; Foundation Solstickan, Stockholm, Sweden; Swedish Association of Occupational Therapy, Stockholm, Sweden

Available from: 2019-12-18 Created: 2019-12-18 Last updated: 2021-05-01
Alfredsson Ågren, K., Kjellberg, A. & Hemmingsson, H. (2020). Internet opportunities and risks for adolescents with intellectual disabilities: a comparative study of parents' perceptions.. Scandinavian Journal of Occupational Therapy, 27(8), 601-613
Open this publication in new window or tab >>Internet opportunities and risks for adolescents with intellectual disabilities: a comparative study of parents' perceptions.
2020 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 27, no 8, p. 601-613Article in journal (Refereed) Published
Abstract [en]

Background: In contemporary society internet and digital competencies are used to perform activities.

Aim: The aim of this study is to investigate opportunities and risks of internet use as perceived by the parents of adolescents with intellectual disabilities (ID) in comparison with a national reference group of parents of adolescents.

Methods: This was a cross-sectional study with group comparisons using a national survey. Analyses were carried out using Fisher's exact test and logistic regression to control for confounding factors.

Results: A significantly higher proportion of parents of adolescents with ID perceive opportunities associated with internet use and playing games, and a lower proportion perceive risks with negative consequences, compared with the reference group. Significantly more parents of adolescents with ID perceive their adolescent never use smartphones and social media compared with the reference group. Fewer parents of adolescents with ID have concerns about online risks for their adolescents compared with the reference group.

Conclusion and Significance: The results provide new knowledge for occupational therapists to support positive risk-taking in internet-use for adolescents with ID, in collaboration with their parents, to enable the development of digital competencies and digital participation in everyday life in a digitalised society.

Place, publisher, year, edition, pages
Taylor & Francis, 2020
Keywords
Digitalisation, digital competence, digital participation, intellectual disability, internet use, online risks, parents, participation, positive risk-taking, youths
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:liu:diva-168057 (URN)10.1080/11038128.2020.1770330 (DOI)000545335500001 ()32538241 (PubMedID)
Note

Funding: Faculty of Medicine and Health Sciences, Linköping University, Linköping, Sweden

Available from: 2020-08-13 Created: 2020-08-13 Last updated: 2021-03-22Bibliographically approved
Alfredsson Ågren, K., Kjellberg, A. & Hemmingsson, H. (2019). A comparartive study on internet usage in adolescents with intellectual disabilities and a reference group in Sweden. In: Journal of Intellectual Disability Research, JIDR: Future4All; Comparative Policy and Practice. Paper presented at IASSIDD 2019 The World Congress of the INterantional Association for the Scientific Study of Intellectual and Developmental Disabilities (pp. 710-726). John Wiley & Sons, 63, Article ID 7.
Open this publication in new window or tab >>A comparartive study on internet usage in adolescents with intellectual disabilities and a reference group in Sweden
2019 (English)In: Journal of Intellectual Disability Research, JIDR: Future4All; Comparative Policy and Practice, John Wiley & Sons, 2019, Vol. 63, p. 710-726, article id 7Conference paper, Oral presentation with published abstract (Refereed)
Place, publisher, year, edition, pages
John Wiley & Sons, 2019
National Category
Occupational Therapy
Identifiers
urn:nbn:se:liu:diva-159695 (URN)10.1111/jir.12654 (DOI)
Conference
IASSIDD 2019 The World Congress of the INterantional Association for the Scientific Study of Intellectual and Developmental Disabilities
Available from: 2019-08-19 Created: 2019-08-19 Last updated: 2024-01-02
Holstein, J., Liedberg, G. M., Öhman, A. & Kjellberg, A. (2019). Validity and utility of the Swedish version of the Cultural Competence Assessment Instrument. British Journal of Occupational Therapy, 82(7), 422-432
Open this publication in new window or tab >>Validity and utility of the Swedish version of the Cultural Competence Assessment Instrument
2019 (English)In: British Journal of Occupational Therapy, ISSN 0308-0226, E-ISSN 1477-6006, Vol. 82, no 7, p. 422-432Article in journal (Refereed) Published
Abstract [en]

Introduction: Global migration as well as migration to Sweden has increased during the last few decades. A self-rating instrument that measures cultural competence could support occupational therapists' professional knowledge when they encounterclients from different cultural backgrounds. The purpose of this study was to evaluate the content validity and utility of the Swedish version of the Cultural Competence Assessment Instrument among occupational therapists. Nineteen occupational therapists participated in four focus groups.

Method: Qualitative analysis was used to evaluate content validity and utility.

Results: The results revealed that all 24 items of the Cultural Competence Assessment Instrument were valid, even though six of the items were in need of reformulations and exemplifications. The category Interactions with clients showed that the Cultural Competence Assessment Instrument – Swedish version could be utilised individually to raise awareness on cultural issues inpractice. The category Workplace and its organisational support showed that the Cultural Competence Assessment Instrument – Swedish version had potential for use in different workplaces, and indicated the importance of organisational support in the development of communications and cultural competence.

Conclusion: The evaluation indicated positive content validity for the Cultural Competence Assessment Instrument – Swedish version, and that it had the potential to be utilised in the Swedish context.

Keywords
Instrument development, occupational therapy, qualitative research, ethnicity, cultural competence
National Category
Occupational Therapy
Identifiers
urn:nbn:se:liu:diva-156137 (URN)10.1177/0308022619825813 (DOI)000473502900005 ()
Available from: 2019-04-05 Created: 2019-04-05 Last updated: 2023-01-27
Wennberg, B., Janeslätt, G., Kjellberg, A. & Gustafsson, P. A. (2018). Effectiveness of time-related interventions in children with ADHD aged 9-15 years: a randomized contolled study. European Child and Adolescent Psychiatry, 27(3), 329-342
Open this publication in new window or tab >>Effectiveness of time-related interventions in children with ADHD aged 9-15 years: a randomized contolled study
2018 (English)In: European Child and Adolescent Psychiatry, ISSN 1018-8827, E-ISSN 1435-165X, Vol. 27, no 3, p. 329-342Article in journal (Refereed) Published
Abstract [en]

Specific problems with time and timing that affect daily routines, homework, school work, and social relations have been recognized in children with ADHD. The primary treatments for children with ADHD do not specifically focus on time-related difficulties. The aim of this randomized controlled study (RCT) was to investigate how multimodal interventions, consisting of training in time-processing ability (TPA) and compensation with time-assistive devices (TAD), affect TPA and daily time management (DTM) in children with ADHD and time difficulties, compared with only educational intervention. Thirty-eight children on stable medication for ADHD in the 9–15-year age range were randomly allocated to an intervention or a control group. The children’s TPA was measured with a structured assessment (KaTid), and the children’s DTM was rated by a parent questionnaire (Time-Parent scale) and by children’s self-reporting (Time-Self-rating). The intervention consisted of time-skill training and compensation with TAD. Data were analysed for differences in TPA and in DTM between the control and intervention groups in the 24-week follow-up. Children in the intervention group increased their TPA significantly (p = 0.019) more compared to the control group. The largest increase was in orientation to time. In addition, the parents in the intervention group rated their children’s DTM as significantly (p = 0.01) improved compared with the parents in the control group. According to the children, their DTM was not significantly changed. In conclusion, a multimodal intervention consisting of time-skill training and TAD improved TPA and DTM in children with ADHD aged 9–15 years.

Place, publisher, year, edition, pages
Springer, 2018
Keywords
Children, ADHD, Time perception, Time-assistive devices, Intervention
National Category
Occupational Therapy
Identifiers
urn:nbn:se:liu:diva-142298 (URN)10.1007/s00787-017-1052-5 (DOI)000427592600009 ()2-s2.0-85030099032 (Scopus ID)
Note

Funding agencies: Stiftelsen Sunnerdahls Handikappfond; Medical Research Council of Southeast Sweden Stiftelsen Probilia [FORSS-305331, FORSS-565411]; Habilitering Halsa, SLSO; Riksforbundet for Rorelsehindrade Barn och Ungdomar (RBU); Vardalstiftelsen Ideprovningsprojekt 

Available from: 2017-10-25 Created: 2017-10-25 Last updated: 2021-10-04Bibliographically approved
Bolic Baric, V., Hellberg, K., Kjellberg, A. & Hemmingsson, H. (2018). Internet Activities During Leisure: A Comparison Between Adolescents With ADHD and Adolescents From the General Population. Journal of Attention Disorders, 22(12), 1131-1139
Open this publication in new window or tab >>Internet Activities During Leisure: A Comparison Between Adolescents With ADHD and Adolescents From the General Population
2018 (English)In: Journal of Attention Disorders, ISSN 1087-0547, E-ISSN 1557-1246, Vol. 22, no 12, p. 1131-1139Article in journal (Refereed) Published
Abstract [en]

Objective: Adolescents’ leisure activities are increasingly focusing on Internet activities, and today, these coexist with traditional leisure activities such as sport and meeting friends. The purpose of the present study was to investigate leisure activities, particularly Internet activities, among boys and girls with ADHD, and compare these with boys and girls from the general population. The objective was also to explore how traditional leisure activities and Internet activities interrelate among adolescents with ADHD. 

Method: Adolescents with ADHD (n = 102) were compared with adolescents from the general population on leisure activities and Internet use. 

Results: Leisure activities among adolescents with ADHD tended to focus on Internet activities, particularly online games. Internet activities were broadening leisure activities among adolescents with ADHD, rather than being a substitute for traditional leisure activities. 

Conclusion: Internet activities may provide adolescents with ADHD accessible means of social interaction.

Place, publisher, year, edition, pages
Sage Publications, 2018
Keywords
adolescent ADHD, computer games, principal components analysis, peer relationships
National Category
Public Health, Global Health, Social Medicine and Epidemiology Social Sciences Interdisciplinary
Identifiers
urn:nbn:se:liu:diva-123871 (URN)10.1177/1087054715613436 (DOI)000444488700005 ()26610742 (PubMedID)
Available from: 2016-01-12 Created: 2016-01-12 Last updated: 2024-01-10Bibliographically approved
Alfredsson Ågren, K., Kjellberg, A. & Hemmingsson, H. (2018). Internet use among adolescents with intellectual disabilities in Sweden. In: 18th International WFOT18 Congress on Occupational Therapy Connected in Diversity, Positioned for Impact, Cape Town, South Africa, 21-25 May 2018: . Paper presented at WFOT18 World Federation of Occupational Therapists congress 2018 Cape Town, South Africa, 21-25 May..
Open this publication in new window or tab >>Internet use among adolescents with intellectual disabilities in Sweden
2018 (English)In: 18th International WFOT18 Congress on Occupational Therapy Connected in Diversity, Positioned for Impact, Cape Town, South Africa, 21-25 May 2018, 2018Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Introduction: Internet is an integral part of everyday life today. In Sweden 98% of adolescents are reported using internet. However, adolescents with intellectual disabilities are often excluded in national surveys, since questions are not adapted for the target group. Statistics remain therefore limited regarding internet-use among adolescents with intellectual disabilities. Objectives: To investigate and describe internet-use among adolescents with intellectual disabilities through an adapted version of a nationwide survey in Sweden. Method: A cross-sectional study was conducted using an adapted version of a survey from the Swedish Media Council on media-use among adolescents. Cognitive adaptations were included and it was accessible through the web and in paper. The sample was drawn from three municipalities using a total-selection of pupils in secondary- and upper secondary special schools. 265 surveys were sent out and the response rate was approximately 32%. Data was analyzed through descriptive statistics. Results: The result gives demographic data on the participants and descriptive statistics on the access to devices for internet-connection. Further, data are provided on activities done in leisure time and whether internet is used or not, together with perceptions of doings on internet from the participants. Conclusion: Stepwise adaptations of the survey with different levels of cognitive support enabled the participation of adolescents with intellectual disabilities and the result gives increased knowledge of internet-use among adolescents with intellectual disabilities. Finally, future comparative analysis are possible due to the national survey being used implying the voices of adolescents with intellectual disabilities being heard.

National Category
Occupational Therapy
Identifiers
urn:nbn:se:liu:diva-148183 (URN)
Conference
WFOT18 World Federation of Occupational Therapists congress 2018 Cape Town, South Africa, 21-25 May.
Available from: 2018-06-01 Created: 2018-06-01 Last updated: 2020-08-19
Svensson, E., Kåhlin, I. & Kjellberg, A. (2018). Residential environment impact scale: Utilization of the Swedish version. Scandinavian Journal of Occupational Therapy, 25(6), 419-427
Open this publication in new window or tab >>Residential environment impact scale: Utilization of the Swedish version
2018 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 25, no 6, p. 419-427Article in journal (Refereed) Published
Abstract [en]

Background: The Residential Environment Impact Scale (REIS) is an assessment and consulting instrument designed to examine the impact of the residential environment on its residents and to develop recommendations for adapting this environment. Since REIS is new for occupational therapists in Sweden it is important to evaluate its utilization potential.

Aim: The aim was to examine the utility of the Swedish version of the Residential Environment Impact Scale (REIS-S) for adults living in residential settings.

Material and methods: Twenty-two occupational therapists conducted 28 REIS-S assessments in residential settings including 92 older persons and persons with disabilities. In total, 44 questionnaires were answered before and after conduction of the assessment. The data was analyzed using qualitative methods of analysis.

Results: The REIS-S showed both positive and negative dimensions of utility among occupational therapists working in residential settings. It provided support for making recommendations and contributed to effective assessments but was found time-consuming. The clinical relevance with REIS-S was positive since it met the needs expressed by the occupational therapists.

Conclusions: REIS-S seems promising according to utility in Swedish residential settings for adults. However, psychometrically testing is required for further establishing the utilization of the instrument.

Place, publisher, year, edition, pages
Taylor & Francis, 2018
Keywords
Adults, assessment, residential environment, utility, participation
National Category
Occupational Therapy
Identifiers
urn:nbn:se:liu:diva-142015 (URN)10.1080/11038128.2017.1369158 (DOI)000458235400002 ()2-s2.0-85028555994 (Scopus ID)
Available from: 2017-10-23 Created: 2017-10-23 Last updated: 2020-08-19Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-3666-4469

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