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Sverker, Annette M.
Alternative names
Publications (10 of 34) Show all publications
Bergström, M., Thyberg, I., Sverker, A., Östlund, G., Larsson Ranada, Å., Björk, M. & Valtersson, E. (2019). Närståendes betydelse för delaktighet i vardagen hos personer med reumatoid artrit.. Best Practice
Open this publication in new window or tab >>Närståendes betydelse för delaktighet i vardagen hos personer med reumatoid artrit.
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2019 (Swedish)In: Best Practice, ISSN 1329-1874Article in journal (Other (popular science, discussion, etc.)) Published
National Category
Nursing
Identifiers
urn:nbn:se:liu:diva-161560 (URN)
Available from: 2019-10-25 Created: 2019-11-05
Marcusson, J., Nord, M., Johansson, M., Alwin, J., Levin, L.-Å., Dannapfel, P., . . . Andersson, A. (2019). Proactive healthcare for frail elderly persons: study protocol for a prospective controlled primary care intervention in Sweden. BMJ Open, 9(5), Article ID e027847.
Open this publication in new window or tab >>Proactive healthcare for frail elderly persons: study protocol for a prospective controlled primary care intervention in Sweden
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2019 (English)In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 9, no 5, article id e027847Article in journal (Refereed) Published
Abstract [en]

Introduction The provision of healthcare services is not dedicated to promoting maintenance of function and does not target frail older persons at high risk of the main causes of morbidity and mortality. The aim of this study is to evaluate the effects of a proactive medical and social intervention in comparison with conventional care on a group of persons aged 75 and older selected by statistical prediction.

Methods and analysis In a pragmatic multicentre primary care setting (n=1600), a prediction model to find elderly (75+) persons at high risk of complex medical care or hospitalisation is used, followed by proactive medical and social care, in comparison with usual care. The study started in April 2017 with a run-in period until December 2017, followed by a 2-year continued intervention phase that will continue until the end of December 2019. The intervention includes several tools (multiprofessional team for rehabilitation, social support, medical care home visits and telephone support). Primary outcome measures are healthcare cost, number of hospital care episodes, hospital care days and mortality. Secondary outcome measures are number of outpatient visits, cost of social care and informal care, number of prescribed drugs, health-related quality of life, cost-effectiveness, sense of security, functional status and ability. We also study the care of elderly persons in a broader sense, by covering the perspectives of the patients, the professional staff and the management, and on a political level, by using semistructured interviews, qualitative methods and a questionnaire.

Ethics and dissemination Approved by the regional ethical review board in Linköping (Dnr 2016/347-31). The results will be presented in scientific journals and scientific meetings during 2019–2022 and are planned to be used for the development of future care models.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2019
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:liu:diva-158828 (URN)10.1136/bmjopen-2018-027847 (DOI)000471192800310 ()31122995 (PubMedID)2-s2.0-85066870821 (Scopus ID)
Note

Funding Agencies|County Council of Ostergotland; Linkoping University [2016186-14]

Available from: 2019-07-15 Created: 2019-07-15 Last updated: 2019-11-07Bibliographically approved
Sverker, A., Thyberg, I., Valtersson, E., Björk, M., Hjalmarsson, S. & Östlund, G. (2019). Time to update the ICF by including socioemotional qualities of participation?: The development of a ‘patient ladder of participation’ based on interview data of people with early rheumatoid arthritis (The Swedish TIRA study). Disability and Rehabilitation
Open this publication in new window or tab >>Time to update the ICF by including socioemotional qualities of participation?: The development of a ‘patient ladder of participation’ based on interview data of people with early rheumatoid arthritis (The Swedish TIRA study)
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2019 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165Article in journal (Refereed) Epub ahead of print
Abstract [en]

Purpose: The aim of was to identify and illustrate in what situations and with what qualities people with early RA experience participation in every day’s life.

Methods: 59 patients (age 18-63 years) were interviewed; 25 men and 34 women. Content analysis was used to identify meaning units which were sorted based on type of situations described and later on, categories based on quality aspects of participation were developed.

Results: Participation was described as: 1. being part of a group, where a sense of belonging arose. 2. In doing activities with others for example at work or in leisure. 3. When sharing everyday chores and responsibilities for example in domestic duties. 4. When experiencing influence on actions such as when being asked for opinions on how to conduct a specific task. 5. When having the possibility to give direction of goals in rehabilitation, or elsewhere. 6. When sharing decision making and experiencing a high degree of influence in the situation.

Conclusions: Participation from an individual’s perspective is about belonging and having influence that mediates a positive feeling of being included and that you matter as a person. The results are important when using participation as a goal in clinical care. It’s important to expand participation beyond the definitions in ICF and guidelines to include the patients’ socio-emotional participation in order to promote health.

Place, publisher, year, edition, pages
Taylor & Francis, 2019
Keywords
Critical incident technique; patient perspective; qualitative study; rheumatoid arthritis rehabilitation; social participation
National Category
Nursing
Research subject
Public Health Sciences
Identifiers
urn:nbn:se:liu:diva-161572 (URN)10.1080/09638288.2018.1518494 (DOI)30634866 (PubMedID)2-s2.0-85059905050 (Scopus ID)
Available from: 2019-11-05 Created: 2019-11-05 Last updated: 2019-11-12Bibliographically approved
Cedersund, E., Sverker, A. M. & Olaison, A. (2018). Bridging between social and medical perspectives: Old people´s experiences of a new health care model. . In: : . Paper presented at The 24th Nordic Congress of Gerontology, May 2-4, in Oslo, Norway.
Open this publication in new window or tab >>Bridging between social and medical perspectives: Old people´s experiences of a new health care model. 
2018 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Social Work
Identifiers
urn:nbn:se:liu:diva-153794 (URN)
Conference
The 24th Nordic Congress of Gerontology, May 2-4, in Oslo, Norway
Available from: 2019-01-10 Created: 2019-01-10 Last updated: 2019-01-18Bibliographically approved
Östlund, G., Björk, M., Thyberg, I., Valtersson, E. & Sverker, A. (2018). Womens situation-specific strategies in managing participation restrictions due to early rheumatoid arthritis: A gender comparison. Musculoskeletal Care, 16(2), 251-259
Open this publication in new window or tab >>Womens situation-specific strategies in managing participation restrictions due to early rheumatoid arthritis: A gender comparison
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2018 (English)In: Musculoskeletal Care, ISSN 1478-2189, E-ISSN 1557-0681, Vol. 16, no 2, p. 251-259Article in journal (Refereed) Published
Abstract [en]

Introduction

The present study explored how women describe their use of situation‐specific strategies when managing rheumatoid arthritis (RA). The aim was also to compare women's strategies with those of men, and see the extent to which they used the same strategies.

Methods

The data were collected using semi‐structured interviews based on the critical incident technique. The sample consisted of women with early rheumatic arthritis (n = 34), and the results were compared with data reported in a previous study on men (n = 25) from the same cohort. The patient‐described participation restrictions due to RA were firstly linked to the domains of the International Classification of Functioning, Disability and Health (ICF). The different strategies used were then categorized. The study was approved by the Research Ethics Committee of the Faculty of Health Sciences, Linköping University, Sweden.

Results

The study found that women used four situation‐specific strategies: adjustment, avoidance, interaction and acceptance. The same strategies had been found previously in interviews with men with RA. Women and men used these strategies to a similar extent in the ICF domains of mobility; major life arenas; domestic life; interpersonal interactions and relationships; and community, social and civic life. However, some differences were found, relating to the reported activities in self‐care and domestic life, in which women reported using strategies to a greater extent than men.

Conclusions

Women and men used four types of situation‐specific strategies in managing RA; adjustment, avoidance, interaction and acceptance. These situation‐specific strategies provide useful knowledge, in terms of multidisciplinary rehabilitation and for patients' significant others.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2018
Keywords
chronic disease; coping strategies; gender perspective; rehabilitation; rheumatology
National Category
Nursing
Identifiers
urn:nbn:se:liu:diva-152537 (URN)10.1002/msc.1225 (DOI)000435802900002 ()29316201 (PubMedID)2-s2.0-85040178068 (Scopus ID)
Available from: 2019-03-07 Created: 2019-03-07 Last updated: 2019-07-05Bibliographically approved
Björk, M., Thyberg, I., Valtersson, E., Stenström, B. & Sverker, A. (2017). Disability in the feet related to participation in daily life in patients with early RA: – an interview study in the Swedish TIRA project. In: : . Paper presented at Annual European Congress of Rheumatology EULAR, 2017; OP0143-HPR.
Open this publication in new window or tab >>Disability in the feet related to participation in daily life in patients with early RA: – an interview study in the Swedish TIRA project
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2017 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Social Work
Identifiers
urn:nbn:se:liu:diva-161542 (URN)
Conference
Annual European Congress of Rheumatology EULAR, 2017; OP0143-HPR
Available from: 2017-07-10 Created: 2019-11-05
Östlund, G., Thyberg, I., Björk, M., Valtersson, E. & Sverker, A. M. (2017). Hur hanterar män med reumatoid artrit delaktighetsinskränkningar i vardagslivet?. Best Practice, 31(9), 10-13
Open this publication in new window or tab >>Hur hanterar män med reumatoid artrit delaktighetsinskränkningar i vardagslivet?
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2017 (Swedish)In: Best Practice, ISSN 1329-1874, Vol. 31, no 9, p. 10-13Article in journal (Other academic) Published
National Category
Medical and Health Sciences Health Sciences
Identifiers
urn:nbn:se:liu:diva-161549 (URN)
Available from: 2017-07-10 Created: 2019-11-04
Bergström, M., Sverker, A. M., Larsson Ranada, Å., Valtersson, E., Thyberg, I., Östlund, G. & Björk, M. (2017). Significant others as both barriers and facilitators for participation in daily activities in persons with rheumatoid arthritis: an interview study within the Swedish TIRA project. In: : . Paper presented at Annual European Congress of Rheumatology EULAR, 2017.
Open this publication in new window or tab >>Significant others as both barriers and facilitators for participation in daily activities in persons with rheumatoid arthritis: an interview study within the Swedish TIRA project
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2017 (English)Conference paper, Poster (with or without abstract) (Other academic)
National Category
Medical and Health Sciences Health Sciences
Identifiers
urn:nbn:se:liu:diva-161566 (URN)
Conference
Annual European Congress of Rheumatology EULAR, 2017
Available from: 2017-07-10 Created: 2019-11-05 Last updated: 2019-11-05
Sverker, A., Östlund, G., Börjesson, M., Hägerström, M. & Gåfvels, C. (2017). The Importance of Social Work in Healthcare forIndividuals with Rheumatoid Arthritis. Quality in Primary Care, 25(3), 138-147
Open this publication in new window or tab >>The Importance of Social Work in Healthcare forIndividuals with Rheumatoid Arthritis
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2017 (English)In: Quality in Primary Care, ISSN 1479-1072, E-ISSN 1479-1064, Vol. 25, no 3, p. 138-147Article, review/survey (Refereed) Published
Abstract [en]

People with rheumatoid arthritis (RA), often associatedwith psychosocial problems and reduced quality of life, benefitfrom the guidance of trained medical social workers. Thisstudy explores the effectiveness of psychosocial treatmentin patients with RA using a structured interview to detectpsychosocial problems for 100 patients. These individualswere offered regular sessions with a medical social worker.Three types of mixed-problems were found: mixed problemsrelated to RA, mixed problems related to the life situation, andmixed problems related to a combination of RA and the lifesituation. The RA patients who reported mixed-problems attime of their diagnosis received psychosocial treatment froma medical social worker regardless of the mixed problems theyexperienced. In addition, we found that disease-related mixedproblems seemed more treatable than other problems. Socialwork in somatic healthcare seems most successful in patientswith sickness-related social and psychosocial problems.

Place, publisher, year, edition, pages
Insight Medical Publishing Group, 2017
Keywords
Rheumatoid arthritis; Social work; Psychosocial problems; Psychosocial treatment; Somatic healthcare
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:liu:diva-154964 (URN)
Available from: 2019-03-07 Created: 2019-03-07 Last updated: 2019-03-08
Dale, R. A., Sverker, A., Hasselberg, M., Östlund, G. & Hensing, G. (2017). Young adults' experiences with near-injury situations: a critical incident study in Sweden. International Journal of Child, Youth & Family Studies, 8(1), 97-111
Open this publication in new window or tab >>Young adults' experiences with near-injury situations: a critical incident study in Sweden
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2017 (English)In: International Journal of Child, Youth & Family Studies, ISSN 1920-7298, E-ISSN 1920-7298, Vol. 8, no 1, p. 97-111Article in journal (Refereed) Published
Abstract [en]

As injuries are the main health threat for young adults (18–29 years) in industrial countries, a better understanding of injury risk is needed for this population. Using the Critical Incident Technique, this study explores how young people experience situations that have the potential to cause physical injury (i.e., near-injury situations). Clearly, understanding how and why near-injury situations arise can be used to develop strategies to help prevent severe injury. Content analysis was used to categorize the characteristics of the experiences into unexpected risk in ordinary tasksduty first, and price for learning. Young adults’ exposures to new or unusual environmental conditions, especially in unexpected risk in ordinary tasks, should be considered when planning injury prevention strategies. A combination of individual, social, and contextual demands and expectations was identified in both work- and sports-related experiences with near-injury situations. The price for learning, which arises from the added risk involved in learning situations, is another condition that was identified and requires further attention. The Critical Incident Technique proved to be a useful method for identifying near-injury situations that might otherwise have been difficult to recall. Young adults’ efforts to display their ability to handle difficult situations at work and in their everyday lives was identified as a major contributor to near-injury situations.

Place, publisher, year, edition, pages
University of Victoria School of Child and Youth Care, 2017
Keywords
young adults; lived experiences; near-injury; Critical Incident Technique; qualitative study
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:liu:diva-154962 (URN)10.18357/ijcyfs81201716855 (DOI)000404812400005 ()
Available from: 2019-03-07 Created: 2019-03-07 Last updated: 2019-07-05Bibliographically approved
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