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Björk, Mathilda, ProfessorORCID iD iconorcid.org/0000-0002-1607-187X
Publications (10 of 67) Show all publications
Bergström, M., Larsson Ranada, Å., Sverker, A. M., Thyberg, I. & Björk, M. (2023). A dyadic exploration of support in everyday life of persons with RA and their significant others. Scandinavian Journal of Occupational Therapy, 30(5), 616-627
Open this publication in new window or tab >>A dyadic exploration of support in everyday life of persons with RA and their significant others
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2023 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 30, no 5, p. 616-627Article in journal (Refereed) Published
Abstract [en]

Background Support from significant others is important for participation in everyday life for persons with rheumatoid arthritis (RA). Meanwhile, significant others also experience limitations. Aims To explore how support is expressed by persons with RA and significant others, and how support relates to participation in everyday life of persons with RA. Material and methods Sixteen persons with RA and their significant others participated in individual semi-structured interviews. The material was analyzed using dyadic analysis. Results Persons with RA and significant others reported that RA and support had become natural parts of everyday life, especially emotional support. The reciprocal dynamics of support were also expressed as imperative. Also, support from people outside of the dyads and well-functioning communication facilitated everyday life. Conclusions Significant others and the support they give are prominent factors and facilitators in everyday life of persons with RA. Concurrently, the support persons with RA provide is important, along with support from outside of the dyads. Significance The results indicate that the interaction between persons with RA and the social environment is central to gain insight into how support should be provided for optimal participation in everyday life. Significant others can preferably be more involved in the rehabilitation process.

Place, publisher, year, edition, pages
Taylor & Francis Ltd, 2023
Keywords
Dyadic analysis; participation; rehabilitation; rheumatic disease; social environment; qualitative research
National Category
Occupational Therapy
Identifiers
urn:nbn:se:liu:diva-181667 (URN)10.1080/11038128.2021.2007997 (DOI)000723939000001 ()34846249 (PubMedID)
Note

Funding Agencies|Swedish Rheumatism Association under Stig Thunes Fund [20181001, ST201905]; Region Ostergotland [LIO-921841, LIO-938209]; Swedish Association of Occupational Therapists

Available from: 2021-12-07 Created: 2021-12-07 Last updated: 2023-11-16
Turesson, C., Liedberg, G. & Björk, M. (2022). Development of a Digital Support Application With Evidence-Based Content for Sustainable Return to Work for Persons With Chronic Pain and Their Employers: User-Centered Agile Design Approach. JMIR Human Factors, 9(1), Article ID e33571.
Open this publication in new window or tab >>Development of a Digital Support Application With Evidence-Based Content for Sustainable Return to Work for Persons With Chronic Pain and Their Employers: User-Centered Agile Design Approach
2022 (English)In: JMIR Human Factors, E-ISSN 2292-9495, Vol. 9, no 1, article id e33571Article in journal (Refereed) Published
Abstract [en]

Background: Persons with chronic pain experience a lack of support after completing rehabilitation and the responsibility for the return-to-work (RTW) process is taken over by the employer. In addition, employers describe not knowing how to support their employees. Smartphone apps have been increasingly used for self-management, but there is a lack of available eHealth apps with evidence-based content providing digital support for persons with chronic pain and their employers when they return to work.

Objective: This study aims to describe the development of a digital support application with evidence-based content that includes a biopsychosocial perspective on chronic pain for sustainable RTW for persons with chronic pain and their employers (SWEPPE [Sustainable Worker Digital Support for Persons With Chronic Pain and Their Employers]).

Methods: A user-centered agile design approach was applied. The multidisciplinary project team consisted of health care researchers, a user representative, and a software team. A total of 2 reference groups of 7 persons with chronic pain and 4 employers participated in the development process and usability testing. Mixed methods were used for data collection. The design was revised using feedback from the reference groups. The content of SWEPPE was developed based on existing evidence and input from the reference groups.

Results: The reference groups identified the following as important characteristics to include in SWEPPE: keeping users motivated, tracking health status and work situation, and following progress. SWEPPE was developed as a smartphone app for the persons with chronic pain and as a web application for their employers. SWEPPE consists of six modules: the action plan, daily self-rating, self-monitoring graphs, the coach, the library, and shared information with the employer. The employers found the following functions in SWEPPE to be the most useful: employees' goals related to RTW, barriers to RTW, support wanted from the employer, and the ability to follow employees' progress. The persons with chronic pain found the following functions in SWEPPE to be the most useful: setting a goal related to RTW, identifying barriers and strategies, and self-monitoring. Usability testing revealed that SWEPPE was safe, useful (ie, provided relevant information), logical, and easy to use with an appealing interface.

Conclusions: This study reports the development of a digital support application for persons with chronic pain and their employers. SWEPPE fulfilled the need of support after an interdisciplinary pain rehabilitation program with useful functions such as setting a goal related to RTW, identification of barriers and strategies for RTW, self-monitoring, and sharing information between the employee and the employer. The user-centered agile design approach contributed to creating SWEPPE as a relevant and easy-to-use eHealth intervention. Further studies are needed to examine the effectiveness of SWEPPE in a clinical setting.

Place, publisher, year, edition, pages
Toronto, ON, Canada: JMIR Publications Inc., 2022
Keywords
agile design process; chronic pain; digital support; eHealth; mobile phone; return to work; self-management; smartphone apps; user-centered design
National Category
Occupational Therapy
Identifiers
urn:nbn:se:liu:diva-184169 (URN)10.2196/33571 (DOI)000787631400019 ()35285814 (PubMedID)
Projects
SWEPPE project
Note

Funding: Swedish Rheumatism Association - Swedish Research Council for Health, Working Life and Welfare [Dnr 2019-01264]

Available from: 2022-04-06 Created: 2022-04-06 Last updated: 2023-05-04Bibliographically approved
Svanholm, F., Liedberg, G., Lofgren, M. & Björk, M. (2022). Factors of importance for return to work, experienced by patients with chronic pain that have completed a multimodal rehabilitation program - a focus group study. Disability and Rehabilitation, 44(5), 736-744
Open this publication in new window or tab >>Factors of importance for return to work, experienced by patients with chronic pain that have completed a multimodal rehabilitation program - a focus group study
2022 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 44, no 5, p. 736-744Article in journal (Refereed) Published
Abstract [en]

Background and purpose:To reduce the individual, societal, and economic burden of the high sick leave rates due to chronic pain, it is essential to find effective strategies for increasing return to work (RTW). Although multimodal rehabilitation programs (MMRPs) may have positive effects on RTW, the results are inconsistent. This study explores the factors that contribute to decreasing sick leave and increasing RTW in patients with chronic pain who completed a MMRP. Method:Four focus groups and three individual interviews were conducted. In total, 18 patients were interviewed. All patients had chronic pain and had completed a MMRP. They were either employed or unemployed, either working to some degree or fully on sick leave. The data were analysed using qualitative content analysis. Results:Three main categories were identified: Knowledge and understanding-prerequisites for tailored solutions; Individual adaptations-necessary but difficult to implement; and Stakeholder collaboration-needs improvement. Conclusion:The participants described a variety of facilitating and limiting factors that created complex prerequisites for RTW. This finding makes it clear that these patients need tailored interventions and strong collaboration among all stakeholders throughout the rehabilitation process. Tailored interventions and collaborations could improve the effectiveness of MMRPs.

Place, publisher, year, edition, pages
Taylor & Francis, 2022
Keywords
Chronic pain; return to work; rehabilitation; qualitative method
National Category
Other Health Sciences
Identifiers
urn:nbn:se:liu:diva-168573 (URN)10.1080/09638288.2020.1780479 (DOI)000547985400001 ()32580604 (PubMedID)
Note

Funding Agencies|Swedish Research for Health, Working Life and Welfare [2016-07414]; County council of _Osterg_otland [LiO-582141]

Available from: 2020-08-27 Created: 2020-08-27 Last updated: 2023-04-26
Högstedt, E., Igelström, K., Korhonen, L., Käcker, P., Marteinsdottir, I. & Björk, M. (2022). ‘It’s like it is designed to keep me stressed’ — Working sustainably with ADHD or autism. Scandinavian Journal of Occupational Therapy, 1-12
Open this publication in new window or tab >>‘It’s like it is designed to keep me stressed’ — Working sustainably with ADHD or autism
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2022 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, p. 1-12Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background

Adults with attention deficit/hyperactivity disorder (ADHD) or autism spectrum disorder (ASD) face multiple challenges in obtaining and maintaining employment.

Aims

To identify and describe how adults with ADHD or ASD experienced their ability to work and what factors affected their ability to find a sustainable work situation over time.

Methods

Individual in-depth interviews were performed with 20 purposively sampled participants with ADHD/ASD. Data were analysed inductively using reflexive thematic analysis.ResultsThree themes were identified, describing (1) one’s own cognitive abilities and challenges, (2) enablement by flexibility and acceptance in the work environment, and (3) accumulated stress that makes the work situation unsustainable over time.

Conclusions

Over time, a lack of continuity and predictability of support measures caused great stress and exhaustion, with severe consequences for working life and in life in general. Adaptations needed to be individually tailored and include nonoccupational factors.

Significance

The study shows that adults with ADHD/ASD need long-term interventions that flexibly adapt to individual needs, as they vary over time. The findings suggest that occupational therapists and other health care providers, employers, employment services and other involved agencies should pay a greater deal of attention to stability and predictability over time.

Place, publisher, year, edition, pages
Taylor & Francis Ltd, 2022
Keywords
Attention deficit/hyperactivity disorder, autism spectrum disorder, employment, qualitative research, thematic analysis, vocational rehabilitation
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-190010 (URN)10.1080/11038128.2022.2143420 (DOI)000884286200001 ()36379218 (PubMedID)
Funder
Medical Research Council of Southeast Sweden (FORSS), FORSS-910651Medical Research Council of Southeast Sweden (FORSS), FORSS-931117Swedish Research Council, 2018-02131
Note

Funding: Medical Research Council of Southeast Sweden [FORSS-910651, FORSS-931117]; Swedish Research Council [2018-02131]

Available from: 2022-11-16 Created: 2022-11-16 Last updated: 2023-12-28
Svanholm, F., Liedberg, G., Löfgren, M. & Björk, M. (2022). Stakeholders experience of collaboration in the context of interdisciplinary rehabilitation for patients with chronic pain aiming at return to work. Disability and Rehabilitation, 44(26), 8388-8399
Open this publication in new window or tab >>Stakeholders experience of collaboration in the context of interdisciplinary rehabilitation for patients with chronic pain aiming at return to work
2022 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 44, no 26, p. 8388-8399Article in journal (Refereed) Published
Abstract [en]

Background and purpose Chronic pain is a major reason for sick leave worldwide. Interdisciplinary pain rehabilitation programs (IPRPs), workplace interventions, and stakeholder collaboration may support patients in their return to work (RTW). Few studies have examined stakeholders experiences of important components in the RTW rehabilitation process for patients with chronic pain, especially in the context of IPRP. This study explores and describes stakeholders experiences with stakeholder collaboration and factors related to RTW for patients with chronic pain who have participated in IPRP. Methods Six focus groups, three pair and four individual interviews were conducted with a total of 28 stakeholder representatives from three societal and three health care stakeholders. Data were analyzed using qualitative content analysis. Results The participants revealed that stakeholder collaboration and a tailored RTW rehabilitation plan were important strategies although they noted that these strategies were not working sufficiently efficient as presently implemented. The different stakeholders paradigms and organizational prerequisites were described as hindrances of such strategies and that the degree of tailoring depended on individual attitudes. Conclusions More knowledge transfer and flexibility, clearer responsibilities, and better coordination throughout the RTW rehabilitation process may increase the efficiency of stakeholder collaboration and support for patients.

Place, publisher, year, edition, pages
Taylor & Francis Ltd, 2022
Keywords
Chronic pain; stakeholder collaboration; return to work; rehabilitation; qualitative method
National Category
Nursing
Identifiers
urn:nbn:se:liu:diva-182630 (URN)10.1080/09638288.2021.2018051 (DOI)000745522600001 ()35060831 (PubMedID)
Note

Funding Agencies|Swedish Research for Health, Working Life and Welfare [2016-07414]; County Council of Ostergotland [LiO-582141]

Available from: 2022-02-01 Created: 2022-02-01 Last updated: 2023-04-26Bibliographically approved
Boonen, A., Putrik, P., Marques, M. L., Alunno, A., Abasolo, L., Beaton, D., . . . Ramiro, S. (2021). EULAR Points to Consider (PtC) for designing, analysing and reporting of studies with work participation as an outcome domain in patients with inflammatory arthritis. Annals of the Rheumatic Diseases, 80(9), 1116-1123, Article ID annrheumdis-2020-219523.
Open this publication in new window or tab >>EULAR Points to Consider (PtC) for designing, analysing and reporting of studies with work participation as an outcome domain in patients with inflammatory arthritis
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2021 (English)In: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 80, no 9, p. 1116-1123, article id annrheumdis-2020-219523Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Clinical studies with work participation (WP) as an outcome domain pose particular methodological challenges that hamper interpretation, comparison between studies and meta-analyses.

OBJECTIVES: To develop Points to Consider (PtC) for design, analysis and reporting of studies of patients with inflammatory arthritis that include WP as a primary or secondary outcome domain.

METHODS: The EULAR Standardised Operating Procedures were followed. A multidisciplinary taskforce with 22 experts including patients with rheumatic diseases, from 10 EULAR countries and Canada, identified methodologic areas of concern. Two systematic literature reviews (SLR) appraised the methodology across these areas. In parallel, two surveys among professional societies and experts outside the taskforce sought for additional methodological areas or existing conducting/reporting recommendations. The taskforce formulated the PtC after presentation of the SLRs and survey results, and discussion. Consensus was obtained through informal voting, with levels of agreement obtained anonymously.

RESULTS: Two overarching principles and nine PtC were formulated. The taskforce recommends to align the work-related study objective to the design, duration, and outcome domains/measurement instruments of the study (PtC: 1-3); to identify contextual factors upfront and account for them in analyses (PtC: 4); to account for interdependence of different work outcome domains and for changes in work status over time (PtC: 5-7); to present results as means as well as proportions of patients reaching predefined meaningful categories (PtC: 8) and to explicitly report volumes of productivity loss when costs are an outcome (PtC:9).

CONCLUSION: Adherence to these EULAR PtC will improve the methodological quality of studies evaluating WP.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2021
Keywords
ankylosing, arthritis, health care, outcome and process assessment, psoriatic, rheumatoid, spondylitis
National Category
Rheumatology and Autoimmunity
Identifiers
urn:nbn:se:liu:diva-177215 (URN)10.1136/annrheumdis-2020-219523 (DOI)000686232600020 ()33832966 (PubMedID)2-s2.0-85104032349 (Scopus ID)
Note

Funding: European League Against Rheumatism [EPI021]; NIHR Manchester Biomedical Research CentreNational Institute for Health Research (NIHR); Versus ArthritisVersus Arthritis [20380]

Available from: 2021-06-22 Created: 2021-06-22 Last updated: 2024-01-24Bibliographically approved
LoMartire, R., Dahlström, Ö., Björk, M., Vixner, L., Frumento, P., Constan, L., . . . Äng, B. O. (2021). Predictors of Sickness Absence in a Clinical Population With Chronic Pain. Journal of Pain, 22(10), 1180-1194
Open this publication in new window or tab >>Predictors of Sickness Absence in a Clinical Population With Chronic Pain
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2021 (English)In: Journal of Pain, ISSN 1526-5900, E-ISSN 1528-8447, Vol. 22, no 10, p. 1180-1194Article in journal (Refereed) Published
Abstract [en]

Chronic pain-related sickness absence is an enormous socioeconomic burden globally. Optimized interventions are reliant on a lucid understanding of the distribution of social insurance benefits and their predictors. This register-based observational study analyzed data for a 7-year period from a population-based sample of 44,241 chronic pain patients eligible for interdisciplinary treatment (IDT) at specialist clinics. Sequence analysis was used to describe the sickness absence over the complete period and to separate the patients into subgroups based on their social insurance benefits over the final 2 years. The predictive performance of features from various domains was then explored with machine learning-based modeling in a nested cross-validation procedure. Our results showed that patients on sickness absence increased from 17% 5 years before to 48% at the time of the IDT assessment, and then decreased to 38% at the end of follow-up. Patients were divided into 3 classes characterized by low sickness absence, sick leave, and disability pension, with eight predictors of class membership being identified. Sickness absence history was the strongest predictor of future sickness absence, while other predictors included a 2008 policy, age, confidence in recovery, and geographical location. Information on these features could guide personalized intervention in the specialized healthcare. PERSPECTIVE: This study describes sickness absence in patients who visited a Swedish pain specialist interdisciplinary treatment clinic during the period 2005 to 2016. Predictors of future sickness absence are also identified that should be considered when adapting IDT programs to the patient's needs.

Place, publisher, year, edition, pages
Philadelphia, PA, United States: Churchill Livingstone, 2021
Keywords
Chronic pain, epidemiology, machine learning, productivity loss, sickness absence
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:liu:diva-177214 (URN)10.1016/j.jpain.2021.03.145 (DOI)000705022800004 ()33819574 (PubMedID)2-s2.0-85105356711 (Scopus ID)
Note

Funding: Swedish Research Council (Vetenskapsradet)Swedish Research Council [2015-02512]; Swedish Research Council for Health Working Life & Welfare (Forte) [FORTE: 2016-07414, 2017-00177]

Available from: 2021-06-22 Created: 2021-06-22 Last updated: 2022-05-24Bibliographically approved
Areskoug-Josefsson, K., Hjalmarsson, S., Björk, M. & Sverker, A. M. (2020). Co-Creation of a Working Model to Improve Sexual Health for Persons Living with Rheumatological Diseases. Open Journal of Rheumatology and Autoimmune Diseases, 10(3), 109-124
Open this publication in new window or tab >>Co-Creation of a Working Model to Improve Sexual Health for Persons Living with Rheumatological Diseases
2020 (English)In: Open Journal of Rheumatology and Autoimmune Diseases, ISSN 2163-9914, Vol. 10, no 3, p. 109-124Article in journal (Refereed) Published
Abstract [en]

Background: Sexual health needs are insufficiently met for persons living with rheumatological diseases and it is necessary to create better ways to meet these needs.Objective: To co-create a working model to improve sexual health for persons living with rheumatological diseases, that can be used by rheumatological teams in regular rheumatology practice.Design: This study applied a co-creation design with three key features: 1) it took a systems perspective with emergent multiple interactive entities; 2) the research process was viewed as a creative endeavour with strong links to design, while human imagination and the individual experience of patient and staff were at the core of the creative design effort; 3) the process of the co-creative efforts was as important as the generated product.Results: A model defining the role of the patient, the professionals, and the team in optimizing sexual health for persons living with rheumatological diseases was co-created. The model can be seen as a practice guideline, which includes the support needed from and to each participant in the process of promoting sexual health, while being within the professional scope of the professionals’ knowledge and capacity, and in line with the needs of the persons living with rheumatological diseases.Discussion and Conclusions: The co-creative work process identified crucial factors in promoting sexual health, resulting in a useful model for patients, professionals and teams. Co-creation was experienced to be a useful research design to improve rheumatological care, through valuing and using the competence of all research members equally.

Place, publisher, year, edition, pages
Scientific Research Publishing, 2020
Keywords
Co-Creation, Rheumatology, Sexual Health, Sexuality, Care, Sweden
National Category
Occupational Therapy
Identifiers
urn:nbn:se:liu:diva-172258 (URN)10.4236/ojra.2020.103013 (DOI)
Available from: 2020-12-29 Created: 2020-12-29 Last updated: 2021-05-05Bibliographically approved
Wilkie, R., Björk, M., Costa-Black, K. M., Parker, M. & Pransky, G. (2020). Managing work participation for people with rheumatic and musculoskeletal diseases.. Baillière's Best Practice & Research: Clinical Rheumatology, 34(2), Article ID 101517.
Open this publication in new window or tab >>Managing work participation for people with rheumatic and musculoskeletal diseases.
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2020 (English)In: Baillière's Best Practice & Research: Clinical Rheumatology, ISSN 1521-6942, E-ISSN 1532-1770, Vol. 34, no 2, article id 101517Article, review/survey (Refereed) Published
Abstract [en]

Improving work participation for individuals with rheumatic and musculoskeletal diseases (RMDs), has gained increasing interest over the last 10 years. New approaches are based upon increasing adoption of a biopsychosocial approach to improving work participation, incorporating evidence that health professionals within multidisciplinary teams have a key and critical role. In particular, interaction between health professionals and employers, and rehabilitation services that are linked to the workplace are key elements for improving work participation for people with RMDs. This review outlines recent research that underpins approaches for health professionals to develop their role in improving work participation for people with RMDs based on recent research; it outlines how to measure work-related outcomes in clinical practice, models of work participation, and approaches for health professionals to improve work participation outcomes. The potential for developing the role of health professionals in future years is also outlined.

Place, publisher, year, edition, pages
Elsevier, 2020
Keywords
Absenteeism, Biopsychosocial, Employment, Health professionals, Multidisciplinary team, Occupational rehabilitation, Presenteeism, Vocational, Work, Work disability
National Category
Occupational Therapy
Identifiers
urn:nbn:se:liu:diva-165460 (URN)10.1016/j.berh.2020.101517 (DOI)000576791800009 ()32321677 (PubMedID)2-s2.0-85083304235 (Scopus ID)
Note

Artikeln har två poster i Web of Science, 000576791800009 samt 000576791800010/2020-10-30

Available from: 2020-05-04 Created: 2020-05-04 Last updated: 2021-05-06Bibliographically approved
Björk, M., Bergström, M., Sverker, A. & Brodin, N. (2020). Measures of Participation in Persons With Musculoskeletal Conditions. Arthritis care & research, 72, 486-498
Open this publication in new window or tab >>Measures of Participation in Persons With Musculoskeletal Conditions
2020 (English)In: Arthritis care & research, ISSN 2151-464X, E-ISSN 2151-4658, Vol. 72, p. 486-498Article in journal (Refereed) Published
Abstract [en]

n/a

Place, publisher, year, edition, pages
WILEY, 2020
National Category
Health Sciences
Identifiers
urn:nbn:se:liu:diva-171494 (URN)10.1002/acr.24226 (DOI)000582403700024 ()33091247 (PubMedID)
Available from: 2020-11-19 Created: 2020-11-19 Last updated: 2021-05-05
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-1607-187X

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