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  • 1.
    Ahlstrand, Inger
    et al.
    Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för rehabilitering.
    Björk, Mathilda
    Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för rehabilitering.
    Thyberg, Ingrid
    Linköping University, Department of Clinical and Experimental Medicine, Rheumatology. Linköping University, Faculty of Health Sciences.
    Börsbo, Björn
    Linköping University, Department of Clinical and Experimental Medicine, Rehabilitation Medicine. Linköping University, Faculty of Health Sciences.
    Falkmer, Torbjörn
    Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för rehabilitering.
    Smärta och dagliga aktiviteter vid Reumatoid artrit ur ett patientperspektiv2011Conference paper (Other academic)
    Abstract [sv]

    Bakgrund: Smärta vid Reumatoid artrit (RA) ärett välkänt symtom som orsakar lidande ochaktivitetsbegränsning. Traditionellt mäts smärtainom reumatologin som smärtintensitet på enVisuell Analog Skala (VAS). Kunskapen kring hurpatienter med RA upplever smärta och dess konsekvenser är begränsad. Patientens egenbeskrivning behövs som underlag för behandlingsplanering och för att utveckla nya metoderför att beskriva problematiken.Syfte: Syftet med studien är att beskriva smärtavid RA ur ett patientperspektiv med fokus på hursmärtan påverkar dagliga aktiviteter.Metod: Patienter med diagnostiserad RA i syd-östra Sverige identifierades via Svenska Reumatologiregistret. Urvalet baserades på minst 5 årssjukdomsduration och minst 40 mm smärtintensitet på VAS vid de två senaste besöken på reumatologklinik. Sammanlagt 33 patienter, 7 män och26 kvinnor, deltog i sju fokusgrupper. Gruppernaformades utifrån kön och ålder. Intervjuguideninnehöll frågor som: Hur beskriver patienter medRA sin smärta? Vad påverkar smärtan? Vilkakonsekvenser har smärtan för aktivitetsutförande,aktivitetsbalans och undvikande av aktivitet? Enkvalitativ innehållsanalys görs.Resultat/förväntat resultat: Analyser hittills visar patienternas frustration över att inteklara det man vill eller behöver göra, beroendeav andra, minskade möjligheter till delaktigheti sociala sammanhang. Och närståendes betydelse. Analyserna visar att smärtan är relaterad till Göteborg6-8 april 201134trötthet, stress och sinnesstämning och att arbeteeller andra aktiviteter medverkar till att glömmabort smärtan och uppehålla förmåga. Analysenslutförs under hösten.Konklusion: Denna studie förväntas genererany angelägen kunskap om och förståelse försmärta.

  • 2.
    Alfredsson Ågren, Kristin
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Hemmingsson, Helena
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Kjellberg, Anette
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Internet use among adolescents with intellectual disabilities at home and school2016In: Abstract book: International Conference on Cerebral Palsy and other Childhood-onset Disabilities Stockholm 1–4 June 2016, 2016Conference paper (Other academic)
    Abstract [en]

    Background: Today everyday life depends on having access to, understand and use internet inorder to participate and take part in societal resources. This understanding can be complex forpersons with intellectual disabilities (ID) due to their cognitive impairments. It is even statedthat internet-use can be yet another part of daily life activities they are excluded from. Internet-use is claimed to involve risks, but also benefits for persons with ID, but there is a shortage inempirical studies with the target group ́s own opinion regarding this. Broader knowledge isacquired of internet-use in everyday life for adolescents with ID, as a precondition toparticipation. 

    Aim: This study aims to explore and describe internet-use and doing internet activities at homeand at school among adolescents with mild and moderate intellectual disabilities. Method: The study has a qualitative inductive design using observations and interviews in thetwo settings; at home and at school. Participants are six adolescents with mild and moderate ID,from special schools in the middle-region of Sweden, between the ages 13-20, that use internetto some extent. Data was collected at 2 occasions/participant for about 2hours/participant/setting. The analysis was done using a qualitative content analysis.

    Result: Preliminary results show that adolescents with mild and moderate ID use internet both athome and in school, to a greater extent than was expected, but the doings of internet-activitiesvaries in the different settings. Both facilitating and hindering aspects are described by theparticipants. Pictures on the internet seem to be of support when using and navigating theinternet.

    Conclusion: Deeper knowledge regarding internet-use from the target groups own perspectivehas been gained. The results can be used in the different occupational settings and in furtherresearch to survey internet use and participation in internet-activities

  • 3.
    Alfredsson Ågren, Kristin
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Holstein, Jane
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    How can an entrepreneurial mind-set be encouraged among occupational therapy students? An example from Linköping University, Sweden.2014Conference paper (Other academic)
    Abstract [en]

    Introduction

    The structures of social and health care are changing, and public health related problems in Western Europe are increasing, such as an increased elderly population, obesity and mental health problems in young people. In order to meet the need of the clients in occupational therapy practice we have to look into new ways to approach the changing times. A way to support the students’ preparedness for action in the field is to encourage the use of an entrepreneurial mindset through different learning methods. An entrepreneurial mindset is defined as “a way to see the possibilities and make something out of them”.

    Objectives

    To describe learning methods to raise awareness and promote an entrepreneurialmind-set among OT students and teachers.Description/ReportThe learning methods for the students varies from working with a specific design problem in groups, discussing literature about entrepreneurship in seminars and get supervision from Innovation office. To enhance the teachers awareness about entrepreneurial mind-set workshops about how to find new non-traditional fieldwork placements in a creative way was conducted.

    Results/Discussion

    Our experiences of how the entrepreneurial mind-set can be encouraged are that entrepreneurship can be looked upon in different ways and should be seen close to the reality that one work in. Follow-up from workshops with teachersas well evaluations from the students about the entrepreneurial mind set will be presented. Primary results show that students feel more prepared for a new and creative way of thinking and that teachers have more entrepreneurial mind-set than they think in the beginning.

    Conclusion

    An increased entrepreneurial mindset can be learned/trained and used as a way of dealing with the future challengesin the health care sector for occupational therapists.

  • 4.
    Alfredsson Ågren, Kristin
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Holstein, Jane
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Hur kan ett entreprenöriellt förhållningssätt främjas hos studenter på arbetsterapeutprogrammet?2015Conference paper (Other academic)
    Abstract [sv]

    Bakgrund: Strukturerna för den offentliga sektorn och hälso- och sjukvården förändras ständigt, och folkhälsorelaterade problem ökar. Exempel på detta är en ökad andel äldre i befolkningen, eller fetma och psykisk ohälsa hos unga människor. För att möta dessa förändringar och behoven hos klienter i arbetsterapeutisk verksamhet måste nya förhållningssätt användas. Ett sätt att under utbildningen utveckla studenters handlingsberedskap inför framtida insatser kan vara att medvetandegöra och främja ett entreprenöriellt förhållningssättgenom olika lärmoment. Entreprenöriellt förhållningssätt definieras som"ett sätt att se möjligheterna och göra något av dem".

    Syfte: Syftet är att beskriva och utvärdera lärmoment för att främja entreprenöriellt förhållningssätt hos studenter på Arbetsterapeutprogrammet.

    Metod: Två huvudsakliga lärmoment användes för studenterna, och uppföljande utvärderingar genomfördes via enkät med öppna och slutna frågor. Utöver detta anordnades workshop för lärare, som följdes av utvärdering.

    Resultat/preliminärt resultat: Lärmomenten för studenter innebar att arbeta i projektform i gruppmed ett aktivitetsproblem för en specifik målgrupp utifrån Design för alla under handledning. Uppföljande seminarium utifrån specifik litteratur genomfördes. Studenternas utvärdering visar vikten av att ha lärmoment om design och entreprenörskap i utbildningen. Många studenteruppgav att de kunde använda denna kunskap i arbetsterapeutisk verksamhet. Workshop genomfördes med lärare där begrepp inom entreprenörskap diskuterades och kreativa sätt att utveckla lärmoment för studenter inom detta lyftes. I utvärderingen uppgav merparten av lärarna entreprenöriellt förhållningssätt som viktigt inom utbildningen.

    Slutsats: Vikten av lärares förståelse för entreprenöriellt förhållningssätt identifierades. Entreprenöriellt förhållningssätt kan främjas genom att kombinera fler lärmoment för studenter. Genom detta kan studenter utveckla handlingsberedskap gällande utmaningar i ett föränderligt samhälle.

  • 5.
    Alfredsson Ågren, Kristin
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Kjellberg, Anette
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Medvetna relationer skapar bra interventioner2012In: Arbetsterapeuten, ISSN 0345-0988, no 3, 32-33 p.Article in journal (Other academic)
    Abstract [sv]

    IRM är utvecklad av professor Renée Taylor, som är doktor i klinisk psykologi och professor i arbetsterapi vid University of Illinois i Chicago. Modellen beskrivs i hennes bok från 2008 The Intentional Relationship – Occupational Therapy and Use of Self. Syftet med modellen är att erbjuda en specifik begreppsapparat för ett medvetet användande av sig själv som arbetsterapeut och den behandlar händelser som förekommer i relationer mellan personer i en interventionsprocess. Dessa händelser påverkar såväl aktivitetsengagemang som utfall av intervention.

  • 6.
    Alm, Tina
    et al.
    Linköping University, Department of Neuroscience and Locomotion.
    Franzén, Daniel
    Linköping University, Department of Neuroscience and Locomotion.
    Arbetssökandes upplevelser av utredningsperioden på Arbetsförmedlingen Rehabilitering2005Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    Work has a great influence on most of individuals in society. It influences both identity as well as the structure of the day. Unemployed people are often affected in a negative way through economic and psychological problems. In order to help people with reduced work capacity back to the labour market and decrease unemployment, the Labour Market Board works with vocational rehabilitation. The aim of this study is to investigate experiences of vocational rehabilitation within the Labour Market Board among unemployed people. A qualitative method was used by which interviews were made with 11 unemployed persons who participated in an investigation as a part of vocational rehabilitation within the Labour Market Board. The result shows both positive and negative experiences of the investigation period. The identified experiences were sorted into code groups: Support, Insight, Confidence in the investigation and result, Belief in the future, Motivation, and Participation. Both the actions of the personnel and the presence of the group members influenced the experiences. The support given by the personnel and how it is experienced is of great importance for the future of the unemployed. When the investigation was pursued during a short period of time, there was a lack of confidence in the investigation and result. A suggestions for future studies is to design a questionnaire that can be used in a larger study including a large number of individuals who are participating in vocational rehabilitation within the Labour Market Board.

  • 7.
    Andersson, Lena B.
    et al.
    Östergötlands Läns Landsting, Local Health Care Services in Central Östergötland, Department of Rehabilitation in Central County.
    Marcusson, Jan
    Linköping University, Department of Clinical and Experimental Medicine, Division of Neuroscience. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in Central Östergötland, Department of Geriatric Medicine in Linköping.
    Wressle, Ewa
    Linköping University, Department of Clinical and Experimental Medicine, Division of Neuroscience. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in Central Östergötland, Department of Geriatric Medicine in Linköping.
    Health-related quality of life and activities of daily living in 85-year-olds in sweden2014In: Health and Social Care in the Community, ISSN 0966-0410, Vol. 22, no 4, 368-374 p.Article in journal (Refereed)
    Abstract [en]

    Few studies have examined health-related quality of life (HRQoL) with respect to daily living and health factors for relatively healthy elderly individuals. To this end, this study examines 85-year-olds’ reported HRQoL in relation to social support, perceived health, chronic diseases, health care use and instrumental activities of daily living. Data were collected from 360 participants (55% response rate) between March 2007 and March 2008 using a postal questionnaire and a home visit interview.  HRQoL was assessed using the EQ-5D-3L. For the items in the EQ-5D-3L, more problems were related to lower HRQoL. Restricted mobility and occurrence of pain/discomfort was common.  Lower HRQoL was associated with increased risk for depression, increased use of medication, increased number of chronic diseases, and more problems with instrumental activities of daily living (IADL). Health care use and health care costs was correlated to lower HRQoL.  HRQoL is of importance to health care providers and must be considered together with IADL in the elderly population when planning interventions. These should take into account the specific needs and resources of the older individuals.

  • 8.
    Andreassen, Maria
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Öhman, Annika
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Larsson Ranada, Åsa
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Assessing occupational performance in special housing in Sweden2017In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014Article in journal (Refereed)
    Abstract [en]

    Background: Assessing occupational performance is commonly done by occupational therapists[OT] working in special housing in municipal elder care. Assessments should be relevant and evidence-based. Even so, we know little about how assessment of occupational performance is conducted in special housing.

    Aim: The aim of this study was to identify OTs’ use and perceptions of different methods to assess occupational performance for elderly clients living in special housing.  

    Method: An email questionnaire was sent to OTs working in special housing in Sweden. Data was analyzed using descriptive and parametric statistics.

    Results: The findings, based on data from 660 respondents, showed that OTs regularly assessed occupational performance but did not use standardized assessment instruments or structured methods to any great extent. In general, OTs reported that they were not pleased with their ability to assess their clients; however, OTs with higher education and with responsibility for fewer clients were more pleased with their assessments and stated that they had more knowledge about assessment methods. Conclusion: To support OTs in using structured assessments of occupational performance in everyday practice, organization as well as structures in the work environment and educational development need to be taken into consideration.

  • 9.
    Barns, Angela
    et al.
    Curtin University, Perth, Western Australia, Australia.
    Svanholm, Frida
    Linköping University, Department of Medical and Health Sciences.
    Kjellberg, Anette
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Thyberg, Ingrid
    Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences. Östergötlands Läns Landsting, Heart and Medicine Center, Department of Rheumatology.
    Falkmer, Torbjörn
    Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Östergötlands Läns Landsting, Anaesthetics, Operations and Specialty Surgery Center, Pain and Rehabilitation Center. Curtin University, Perth, Western Australia, Australia.
    Living in the present: Women's everyday experiences of living with rheumatoid arthritis2015In: SAGE Open, ISSN 2158-2440, E-ISSN 2158-2440, Vol. 5, no 4, 1-13 p.Article in journal (Refereed)
    Abstract [en]

    This article presents the findings from a qualitative research project exploring eight women’s experiences of living with rheumatoid arthritis (RA). Through semistructured interviews, the women provided insights into the physical, emotional, and social impacts of RA and the “work” involved in negotiating its influence in the everyday life. In narrating their experiences of adapting to RA, the women express a common desire for “normalcy,” to return to a time and space before the disruption of RA. The women’s accounts also emphasized the interrelatedness between bodily experience and constructions of self, highlighting the corporeal nature of RA and the constant shaping and reshaping of personal meanings and values.

  • 10.
    Berg, Jessica
    Swedish National Road and Transport Research Institute (VTI), Linköping, Sweden.
    Mobility changes during the first years of retirement2016In: Quality in Ageing and Older Adults, ISSN 1471-7794, Vol. 17, no 2, 131-140 p.Article in journal (Refereed)
    Abstract [en]

    Purpose – Mobility is an important aspect of well-being, activity and participation. Retiring from paid work is a transition in later life when people need to adjust to a new daily structure and fill the day with activities other than work. Life-course transitions influence demands for mobility and choice of travel mode as people adapt to new circumstances and learning processes. The purpose of this paper is to explore how mobility strategies develop during the first years of retirement.

    Design/methodology/approach – A qualitative analysis based on initial interviews with a total of 27 retired people during their first year of retirement and again, about three years later.

    Findings – Important changes during the first years of retirement included illness or a decline in physical health. Mobility had become a means of achieving certain goals after an illness, such as learning to walk, being able to drive or enjoying the time that was left. While some enjoyed not having commitments, others experienced difficulties in filling the day. The results indicate four dimensions of mobility: means of carrying out activities which are needed and desired; resources for creating activities; a leisure activity in itself; and subordinate to staying at home.

    Originality/value – Gives a deeper understanding of the mobility challenges people ultimately face in later life, and how these are managed, which is important for transport planning and public health policy aimed at improving mobility, activity participation and well-being in later life.

  • 11.
    Björk, Mathilda
    et al.
    Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Department of Rheumatology. Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Thyberg, Mikael
    Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Anaesthetics, Operations and Specialty Surgery Center, Pain and Rehabilitation Center.
    Valtersson, Eva
    Linköping University, Department of Medical and Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in Central Östergötland, Department of Activity and Health. Linköping University, Faculty of Medicine and Health Sciences.
    Katz, Patricia
    University of California, San Francisco, USA.
    Validation and internal consistency of the Swedish version of the Valued Life Activities scale.2016In: Clinical Rehabilitation, ISSN 0269-2155, E-ISSN 1477-0873, Vol. 30, no 12, 1211-1219 p.Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: The objective was to create a linguistically and culturally validated Swedish version of the Valued Life Activities scale. The aim was also to describe its content and concurrent validity and its internal consistency in persons with rheumatoid arthritis.

    METHODS: The Valued Life Activities scale was translated to Swedish and culturally adapted. In order to describe the content validity, both the Swedish and original Valued Life Activities scale were linked to the International Classification of Functioning, Disability and Health. The concurrent validity and internal consistency were evaluated in 737 patients with rheumatoid arthritis. To establish concurrent validity, the scale was correlated to disease activity, activity limitations, and life satisfaction. Internal consistency was assessed with Cronbach's alpha.

    RESULTS: The equivalence of meaning between the Swedish and the original Valued Life Activities scale was ensured by harmonization review. Content validity was high when linked to the International Classification of Functioning, Disability and Health. Concurrent validity showed a strong correlation with the activity limitations (r = 0.87), moderate with life satisfaction (r = -0.61), and weak with disease activity (r = 0.38). Internal consistency was excellent (Cronbach's alpha = 0.97).

    CONCLUSIONS: The Swedish Valued Life Activities scale has been tested in a large and well-characterized sample and found to be a linguistically valid and culturally adapted self-reported measure of participation. Content validity of the Valued Life Activities scale was excellent, concurrent validity strong, and the internal consistency excellent. Since both individual preferences and International Classification of Functioning, Disability and Health concepts of disability are taken into account, the Swedish Valued Life Activities scale appears to be a promising new scale addressing important aspects of participation.

  • 12.
    Blomster, Mirjam
    et al.
    Linköping University, Department of Neuroscience and Locomotion.
    Wikström, Martina
    Linköping University, Department of Neuroscience and Locomotion.
    Vilka aktiviteter iranska kvinnor fyller sin vardag med - En dimension av delaktighet2005Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    Immigrant women suffer more from bad health than Swedish people and immigrant men. To develop and maintain physical health, mental health and satisfaction in life, participation in meaningful occupations is important. Further, participation and influence in the society is an essential condition for health. Many occupational therapists have difficulty in treating patients with another cultural backgrounds, due to lack of knowledge. Further, several assessments that occupational therapists use are not adapted to different cultures. The aim of the study was to investigate how women from Iran participate in Swedish society. More specifically, the aim was to investigate what occupations the women fill their everday life with, and whetter they were satisfied with their occupations. An occupational diary was used to collect data. To name the occupations, ICF was used as inspiration. The result showed that most women in general were satisfied with their everday life. The occupations most frequently performed by the women during the day were, “applied knowledge” and “exercise”. The result also implied that the women performed most of the occupations alone or with family. “Recreation outside home” and “work and occupy” were occupations that were done in most cases together with a friend or another person not related to the family.

  • 13.
    Bolic Baric, Vedrana
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Medicine and Health Sciences.
    Support in school and the occupational transition process: Adolescents and young adults with neuropsychiatric disabilities2016Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The overall aim of this thesis was to describe and explore the experiences of support in school of adolescents and young adults with neuropsychiatric disabilities. Furthermore, the aim was to explore support that influences the occupational transition to upper secondary school, further education and work. The two first studies investigated computer use in educational activities and during leisure activities by adolescents with attention deficit hyperactivity disorder (ADHD). Study II also aimed to explore how traditional leisure activities and Internet activities interrelate among adolescents with ADHD. In Studies I and II data was collected using a questionnaire focusing on information and communication technology (ICT) use in school and leisure. Adolescents with ADHD (n = 102) aged 12-18 years were compared with adolescents with physical disabilities (Study I) and adolescents from the general population (Studies I and II). In Study III the aim was to describe the experiences of support at school among young adults with AS and ADHD, and to explore what support they, in retrospect, described as influencing learning. Study IV aimed to describe the occupational transition process to upper secondary school, further education and/or work and to explore what support influenced the process from the perspectives of young adults with AS or ADHD. Studies III (n=13) and IV (n=15) used qualitative semi-structured interviews with young adults with AS or ADHD, aged 18-30 years and were analysed using hermeneutics according to Gadamer.

    The findings of Study I showed that students with ADHD reported significantly less frequent use of computers for almost all educational activities compared with students with physical disabilities and students from the general population. They reported low satisfaction with computer use in school and a desire to use computers more often and for more activities in school compared with students with physical disabilities. Study II showed that Internet activities among adolescents with ADHD during leisure, tended to focus on online games. Furthermore, analysis demonstrated that Internet activities were broadening leisure activities among adolescents with ADHD, rather than being a substitute for traditional leisure activities. Study III found that young adults with AS or ADHD experienced difficulties at school that included academic, social, and emotional aspects, all of which influenced learning. Support addressing difficulties with academic performance was described as insufficient and only occasionally provided in school. In conclusion, support for learning among students with AS or ADHD needs to combine academic and psychosicial support. The findings of Study IV identified three different pathways following compulsory school. Support influencing the occupational transition process included: occupational transition preparation in compulsory school, practical work experience in a safe environment, and support beyond the workplace. Support from community-based day centres was described both as an important step towards work in the regular labour market, as well as being too far away from the regular labour market.

    In conclusion, this thesis revealed that support in school among students with AS or ADHD needs to combine academic and psychosocial support. Despite being regarded as facilitating learning, individuals with ADHD or AS reported limited computer and Internet use in school. Based on the results it is suggested that Internet activities may provide adolescents with neuropsychiatric disabilities with new opportunities for social interaction and educational activities. On the basis of the results it is suggested that the occupational transition process should be viewed as a longitudinal one, starting in compulsory school and continuing on until young adults obtain and are able to remain in work or further education. This thesis revealed that extended transition planning, inter-service collaboration and support from communitybased day centres were aspects of the environment that influenced the occupational transition process.

    List of papers
    1. Computer use in educational activities by students with ADHD
    Open this publication in new window or tab >>Computer use in educational activities by students with ADHD
    Show others...
    2013 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 20, no 5, 357-364 p.Article in journal (Refereed) Published
    Abstract [en]

    Aim: The aim of this study was to investigate computer use in educational activities by students with attention deficit hyperactivity disorder (ADHD) in comparison with that of students with physical disabilities and students from the general population.

    Methods: The design of the study was cross-sectional with group comparison. Students with ADHD (n = 102) were pair-matched in terms of age and sex with students with physical disabilities and students from the general population (n = 940) were used as a reference group.

    Results: The study showed that less than half of the students with ADHD had access to a computer in the classroom. Students with ADHD reported significantly less frequent use of computers for almost all educational activities compared with students with physical disabilities and students from the general population. Students with ADHD reported low satisfaction with computer use in school. In addition, students with ADHD reported a desire to use computers more often and for more activities in school compared with students with physical disabilities.

    Conclusions: These results indicate that occupational therapists should place more emphasize on how to enable students with ADHD to use computers in educational activities in school.

    Place, publisher, year, edition, pages
    Informa Healthcare, 2013
    Keyword
    Information and communication technology (ICT), computer access, school-based practice, physical disabilities
    National Category
    Occupational Therapy
    Identifiers
    urn:nbn:se:liu:diva-86782 (URN)10.3109/11038128.2012.758777 (DOI)000323943600006 ()
    Available from: 2013-01-04 Created: 2013-01-04 Last updated: 2016-01-12Bibliographically approved
    2. Internet Activities During Leisure: A Comparison Between Adolescents With ADHD and Adolescents From the General Population
    Open this publication in new window or tab >>Internet Activities During Leisure: A Comparison Between Adolescents With ADHD and Adolescents From the General Population
    2015 (English)In: Journal of Attention Disorders, ISSN 1087-0547, E-ISSN 1557-1246Article in journal (Refereed) Epub ahead of print
    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, 2015
    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)26610742 (PubMedID)
    Available from: 2016-01-12 Created: 2016-01-12 Last updated: 2017-03-27Bibliographically approved
    3. Support for learning- goes beyond academic support: voices of students with Asperger’s disorder and ADHD
    Open this publication in new window or tab >>Support for learning- goes beyond academic support: voices of students with Asperger’s disorder and ADHD
    2016 (English)In: Autism, ISSN 1362-3613, E-ISSN 1461-7005, Vol. 20, no 2, 183-195 p.Article in journal (Refereed) Published
    Abstract [en]

    The purpose of this study was to describe and explore the experiences of support at school among young adults with Asperger’s disorder (AS) and attention-deficit/hyperactivity disorder (ADHD), and also to examine what support they, in retrospect, described as influencing learning. Purposive sampling was used to enroll participants. Data were collected through semi-structured interviews with thirteen young adults aged between 20-29 years. A qualitative analysis, based on interpreting people’s experiences was conducted by grouping and searching for patterns in data. The findings indicate that the participants experienced difficulties at school that included academic, social and emotional conditions, all of which could influence learning. Support for learning included small groups, individualized teaching methods, teachers who cared, and practical and emotional support. These clusters together confirm the overall understanding that support for learning aligns academic and psychosocial support. In conclusion, academic support combined with psychosocial support at school seems to be crucial for learning among students with AS and ADHD.

    Place, publisher, year, edition, pages
    Sage Publications, 2016
    Keyword
    Autism Spectrum Disorders, ADHD/ADD, psychosocial support, education, educational provision, services, qualitative research, special needs students
    National Category
    Other Health Sciences
    Identifiers
    urn:nbn:se:liu:diva-115117 (URN)10.1177/1362361315574582 (DOI)000372880100007 ()
    Available from: 2015-03-10 Created: 2015-03-09 Last updated: 2017-04-21Bibliographically approved
    4. The Occupational Transition Process to Upper Secondary School, Further Education and/or Work in Sweden: As Described by Young Adults with Asperger Syndrome and Attention Deficit Hyperactivity Disorder
    Open this publication in new window or tab >>The Occupational Transition Process to Upper Secondary School, Further Education and/or Work in Sweden: As Described by Young Adults with Asperger Syndrome and Attention Deficit Hyperactivity Disorder
    2017 (English)In: Journal of autism and developmental disorders, ISSN 0162-3257, E-ISSN 1573-3432, Vol. 47, no 3, 667-679 p.Article in journal (Other academic) Published
    Abstract [en]

    The aim of the study was to describe the occupational transition process to upper secondary school, further education and/or work, and to discover what support influences the process from the perspectives of young adults with Asperger’s disorder (AS) or attention deficit/hyperactivity disorder (ADHD). This qualitative study comprised semi-structured interviews with 15 young adults with AS or ADHD, eight men and seven women (aged 20 to 29 years). Most of the participants were attending community-based day centres at local businesses. Analysis identified three different occupational transition pathways following compulsory school. Support influencing the occupational transition process included: occupational transition preparation in compulsory school, practical work experience in a safe environment, and support beyond the workplace. The overall understanding shows that the occupational transition process was a longitudinal one starting as early as in middle school, and continuing until the young adults with AS and ADHD obtained and were able to remain in employment or further education. Support from community-based day centres was described both as an important step towards finding employment in the regular labour market in which participants could develop practical work experience, and as being too far away from the regular labour market.

    Place, publisher, year, edition, pages
    Springer, 2017
    Keyword
    Attention deficit hyperactivity disorder/attention deficit disorder, autism spectrum disorders, employment, education, qualitative research, services
    National Category
    Other Health Sciences Neurosciences
    Identifiers
    urn:nbn:se:liu:diva-123872 (URN)10.1007/s10803-016-2986-z (DOI)000396815400014 ()
    Available from: 2016-01-12 Created: 2016-01-12 Last updated: 2017-04-20Bibliographically approved
  • 14.
    Bolic Baric, Vedrana
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Lidström, Helene
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Arts and Sciences.
    Thelin, Nils
    Östergötlands Läns Landsting.
    Kjellberg, Anette
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Hemmingsson, Helena
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Computer use in educational activities by students with ADHD2014In: 16th International Congress of the World Federation of Occupational Therapists: Sharing Traditions, Creating Futures, 2014Conference paper (Other academic)
    Abstract [en]

    Introduction: One type of support in school that holds promise for students with attention deficit hyperactivity disorder (ADHD) is the use of information and communication technology (ICT) such as computers and Internet. Computer use in educational activities may be one promising tool to support academic performance of students with ADHD experiencing difficulties in school. However, students with ADHD may be overlooked regarding available support compared with students with physical disabilities.Objectives: The aim of this study was to investigate computer use in educational activities by students with attention deficit hyperactivity disorder (ADHD) in comparison with that of students with physical disabilities and students from the general population.Methods: The design of the study was cross-sectional with group comparison. Students with a primary diagnosis of ADHD and related disorders were recruited from habilitation centres (HCs). Students with ADHD (n=102) were pairmatched in terms of age and sex with students with physical disabilities and students from the general population (n = 940) were used as a reference group.Results: Students with ADHD reported significantly less frequent use of computers for almost all educational activities compared with students with physical disabilities and students from the general population. Students with ADHD reported low satisfaction with computer use in school. In addition, students with ADHD reported a desire to use computers more often and for more activities in school compared with students with physical disabilities. Conclusion: From an equality perspective, it is essential to enable students with ADHD to use computers in educational activities. Contribution to the practice/evidence base of occupational therapy: Focusing on promoting computer use in educational activities in school for students with physical disabilities as well as students with ADHD is an emerging field in occupational therapy.

  • 15.
    Bolic Baric, Vedrana
    et al.
    Linköping University, Faculty of Medicine and Health Sciences. Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Tegelström, Valerie
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Medicine and Health Sciences.
    Ekblad, Erik
    Region Östergötland, Local Health Care Services in East Östergötland, Department of Rehabilitation in Norrköping.
    Hemmingsson, Helena
    Linköping University, Faculty of Medicine and Health Sciences. Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Usability of RemindMe – An Interactive Web-Based Mobile Reminder Calendar:: A Professional's Perspective2015In: Studies in Health Technology and Informatics / [ed] Cecilia Sik-Lányi, Evert-Jan Hoogerwerf, Klaus Miesenberger, Peter Cudd, IOS Press, 2015, 217, Vol. 217, 1083 p.247-254 p.Conference paper (Refereed)
    Abstract [en]

    Aim: The aim of the study was to examine the usability of an interactive web-based mobile reminder calendar (RemindMe) developed for supporting individuals in organizing, planning and executing activities in everyday life, from the perspectives of professionals.

    Methods and material: Eleven professionals working in community services evaluated the usability of RemindMe in their clinical practice. Data were collected using semi-structured interviews and analysed with inductive qualitative analysis.

    Results: The professionals perceived that RemindMe was useful, easy to use, and intuitive. There was a need among professionals for a web-based reminder calendar that requires the active acknowledgement of reminders. RemindMe's feedback system offering self-monitored information based on the user's interaction with the system supported the professionals in discussions, evaluation, and follow-up based on the needs of the persons with cognitive impairments.

    Conclusion: The results indicate that RemindMe may be potentially useful to professionals who provide support to individuals with cognitive impairments. However, further research is needed to evaluate experience of using RemindMe from the perspective of individuals with cognitive impairments.

  • 16.
    Bolic, Vedrana
    et al.
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Haglund, Lena
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Kjellberg, Anette
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Utilization of an ICF-based assessment from occupational therapists' perspectives2012Conference paper (Refereed)
  • 17.
    Bolic, Vedrana
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Hellberg, Kristina
    Linköping University, Department of Behavioural Sciences and Learning, Education, Teaching and Learning. Linköping University, Faculty of Educational Sciences.
    Kjellberg, Anette
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Hemmingsson, Helena
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Stöd för lärande – mer än bara pedagogiskt stöd: Elever med neuropsykiatrisk funktionsnedsättning2013In: AT-forum 2013: Nationell konferens i arbetsterapi, 2013Conference paper (Other academic)
    Abstract [sv]

    Stöd i skolan och övergång till vidare studier och arbetsliv-personer med neuropsykiatriska diagnoser

    Bakgrund

    Att lämna grundskolan innebär för många unga vuxna en övergång till vuxenlivet med antingen vidare studier eller arbetsliv i sikte. Det innebär nya utmaningar som de flesta unga vuxna klarar av medan personer med neuropsykiatriska funktionsnedsättningar riskerar att komma tillkorta i och med de krav som samhället ställer. Hur stödet har sett ut i grundskolan kan påverka ungdomarnas övergång till vidare studier och arbetsliv. Studier har visat att personer med neuropsykiatriska funktionsnedsättningar är en eftersatt grupp då det gäller anpassningar i skolan.

    Syfte

    Syftet med studien är att undersöka unga vuxnas med Asperger diagnos och ADHD erfarenheter av stödåtgärder i skolan samt vad individerna retrospektivt värderar som betydelsefullt för övergången till vidare studier och arbetsliv.

    Tillvägagångssätt och analys

    I studien har ett ändamålsenligt urval användas utifrån följande kriterier; personerna ska ha en neuropsykiatrisk diagnos som Asperger syndrom och Attention-Deficit Hyperactivity Disorder (ADHD) baserad på DSM-IV och/eller ICD-10 (American Psychiatric Association, 2000; World Health Organisation, 1993), vara i åldrarna 18-30 år samt vilja och förmåga att kommunicera sina erfarenheter av tidigare skoltid och övergången till vidare studier. Intervjuer har genomförts med 13 unga vuxna i åldrarna 20 till 29 år. Intervjuerna har analyserats kvalitativt.

    Resultat/förväntat resultat

    Analysen av intervjuerna påbörjades i augusti 2012. Preliminära resultat visar att den sociala och fysiska miljön samt pedagogiskt stöd är betydelsefullt för övergången till vidare studier och arbetsliv. Analysen pågår och vid tidpunkt för konferensen kommer resultat gällande erfarenheter av stödåtgärder i skolan samt vad individerna värderar som betydelsefullt för övergången till vidare studier eller arbetsliv att presenteras.

    Slutsats

    I samband med AT-forum 2013 kommer slutsatser från analysen att presenteras.

  • 18.
    Bolic, Vedrana
    et al.
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care.
    Hellberg, Kristina
    Linköping University, Department of Behavioural Sciences and Learning, Education, Teaching and Learning.
    Kjellberg, Anette
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care.
    Hemmingsson, Helena
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care.
    Stöd i skolan och övergång till vidare studier och arbetsliv-personer med neuropsykiatriska diagnoser2013In: Förbundet Sveriges Arbetsterapeuter, At-forum, Stockholm 24-25 April, 2013, 2013Conference paper (Refereed)
    Abstract [sv]

    Bakgrund

    Att lämna grundskolan innebär för många unga vuxna en övergång till vuxenlivet med antingen vidare studier eller arbetsliv i sikte. Det innebär nya utmaningar som de flesta unga vuxna klarar av medan personer med neuropsykiatriska funktionsnedsättningar riskerar att komma tillkorta i och med de krav som samhället ställer. Hur stödet har sett ut i grundskolan kan påverka ungdomarnas övergång till vidare studier och arbetsliv. Studier har visat att personer med neuropsykiatriska funktionsnedsättningar är en eftersatt grupp då det gäller anpassningar i skolan.

    Syfte

    Syftet med studien är att undersöka unga vuxnas med Asperger diagnos och ADHD erfarenheter av stödåtgärder i skolan samt vad individerna retrospektivt värderar som betydelsefullt för övergången till vidare studier och arbetsliv.

    Tillvägagångssätt och analys

    I studien har ett ändamålsenligt urval användas utifrån följande kriterier; personerna ska ha en neuropsykiatrisk diagnos som Asperger syndrom och Attention-Deficit Hyperactivity Disorder (ADHD) baserad på DSM-IV och/eller ICD-10 (American Psychiatric Association, 2000; World Health Organisation, 1993), vara i åldrarna 18-30 år samt vilja och förmåga att kommunicera sina erfarenheter av tidigare skoltid och övergången till vidare studier. Intervjuer har genomförts med 13 unga vuxna i åldrarna 20 till 29 år. Intervjuerna har analyserats kvalitativt.

    Resultat/förväntat resultat

    Analysen av intervjuerna påbörjades i augusti 2012. Preliminära resultat visar att den sociala och fysiska miljön samt pedagogiskt stöd är betydelsefullt för övergången till vidare studier och arbetsliv. Analysen pågår och vid tidpunkt för konferensen kommer resultat gällande erfarenheter av stödåtgärder i skolan samt vad individerna värderar som betydelsefullt för övergången till vidare studier eller arbetsliv att presenteras.

    Slutsats

    I samband med AT-forum 2013 kommer slutsatser från analysen att presenteras.

  • 19.
    Bolic, Vedrana
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Hellberg, Kristina
    Linköping University, Department of Behavioural Sciences and Learning, Education, Teaching and Learning. Linköping University, Faculty of Educational Sciences.
    Kjellberg, Anette
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Hemmingsson, Helena
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Support in school and the transition to further education and/or work – young adults with Asperger’s Disorder and ADHD2014In: 16th International Congress of the World Federation of Occupational: Sharing Traditions, Creating Futures, 2014Conference paper (Other academic)
    Abstract [en]

    Support in school and the transition to further education and/or work – young adults with Asperger’s Disorder and ADHD

    Introduction

    Individuals with Asperger’s Disorder and attention deficit hyperactivity disorder (ADHD) may need support in order to participate and progress toward graduating from school; a starting point for pursuing institutes of further education, work and participation in community life.

    Objectives

    The aim of this study was to describe and explore young adults’ with Asperger’s Disorder syndrome and ADHD experience of support in school and what they, in retrospect describe as influencing learning.

    Methods

    Semi-structured interviews were conducted with a purposive sample comprising 13 young adults between the age of 20 to 29 years, diagnosed with Asperger’s Disorder and attention-Deficit Hyperactivity Disorder (ADHD) based on DSM-IV and / or ICD-10 that have completed compulsory school.  A qualitative data analysis was used. 

    Results

    Results show that the students in the present study stated that they did not receive adequate support during their school time in relation to their perceived difficulties with academic performance. Different aspects of support including academic accommodations, social support and emotional support are described as important for learning and participation in school.  Despite being evident in the students’ stories the support was perceived as inappropriate in relation to their individual needs and the students advocate for support affecting the students’ wellbeing.

    Conclusion

    The experience of support in school described by students with presented Asperger’s Disorder and ADHD are complex and require understanding of multiple aspects important for learning and participation.  

    Contribution to the practice/evidence base of occupational therapy

    Based on the students’ perspectives this study showed that different forms of support in school are important for learning and participation.  Therefore, occupational therapy services are essential for developing and implementing interventions in school. In addition, a collaborative approach between educators, parents and students is crucial for supporting students with Asperger’s Disorder and ADHD in school.

     

     

  • 20.
    Bolic, Vedrana
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Lidström, Helene
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Thelin, Nils
    Linköping University, Department of Clinical and Experimental Medicine. Linköping University, Faculty of Health Sciences.
    Kjellberg, Anette
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Hemmingsson, Helena
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Computer use in educational activities by students with ADHD2013In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 20, no 5, 357-364 p.Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of this study was to investigate computer use in educational activities by students with attention deficit hyperactivity disorder (ADHD) in comparison with that of students with physical disabilities and students from the general population.

    Methods: The design of the study was cross-sectional with group comparison. Students with ADHD (n = 102) were pair-matched in terms of age and sex with students with physical disabilities and students from the general population (n = 940) were used as a reference group.

    Results: The study showed that less than half of the students with ADHD had access to a computer in the classroom. Students with ADHD reported significantly less frequent use of computers for almost all educational activities compared with students with physical disabilities and students from the general population. Students with ADHD reported low satisfaction with computer use in school. In addition, students with ADHD reported a desire to use computers more often and for more activities in school compared with students with physical disabilities.

    Conclusions: These results indicate that occupational therapists should place more emphasize on how to enable students with ADHD to use computers in educational activities in school.

  • 21.
    Bolic, Vedrana
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Lidström, Helene
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Thelin, Nils
    Östergötlands Läns Landsting.
    Kjellberg, Anette
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care.
    Hemmingsson, Helena
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Computer use in school - a comparison between students with neuropsychiatric disabilities and motor disabilities2012Conference paper (Refereed)
  • 22.
    Bolic, Vedrana
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Lidström, Helene
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Thelin, Nils
    Östergötlands Läns Landsting.
    Kjellberg, Anette
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care.
    Hemmingsson, Helena
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Datoranvändning i skolan – en jämförelse mellan barn och ungdomar med neuropsykiatriska funktionsnedsättningar och barn och ungdomar med rörelsehinder2012Conference paper (Refereed)
  • 23.
    Boman, Inga-Lill
    et al.
    Danderyds Hospital, Stockholm.
    Bartfai, A
    Danderyds Hospital, Stockholm.
    Borell, L
    Karolinska Institute, Huddinge.
    Tham, K
    Karolinska Institute, Huddinge.
    Hemmingsson, Helena
    Karolinska Institute, Huddinge.
    Support in everyday activities by a home-based electronic memory aid for persons with memory impairments2010In: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, Vol. 5, no 5, 339-350 p.Article in journal (Refereed)
    Abstract [en]

    PURPOSE: The purposes of this study was to examine the possibilities of a home-based electronic memory aid with sensors for persons with memory impairments, as support to carry out everyday activities in their own home environments.

    METHOD: The method involved a single-subject study with a multiple baseline AB design. Five participants identified three activities each that they usually forget to carry out. An electronic memory aid with individually spoken reminders was installed in the participant's home. There were automatic computer registrations of completed activities during the study phase of 12 weeks. Assessments of functioning and quality of life (QoL) were conducted before and after the intervention and at follow-up after 2 months.

    RESULTS: Four participants improved in completing most of the self-chosen activities when the electronic memory aid was used. Performance and satisfaction with performance and QoL improved, but there was no memory function improvement. There were technical problems with the aid, which had a negative effect for users.

    CONCLUSIONS: Electronic memory aids have a large potential for supporting persons with cognitive impairments. It is important to conduct follow-up afterwards, because the use of an aid and the need of support change over time and put high demands on technical reliability of the electronic memory aid.

  • 24.
    Boman, Inga-Lill
    et al.
    Danderyd Hospital.
    Lindberg Stenvall, Charlotte
    Danderyd Hospital.
    Hemmingsson, Helena
    Karolinska Institute.
    Bartfai, Aniko
    Danderyd Hospital.
    A training apartment with a set of electronic memory aids for patients with cognitive problems2010In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 17, no 2, 140-148 p.Article in journal (Refereed)
    Abstract [en]

    The aims were to investigate whether patients with memory difficulties after acquired brain injury (ABI) are able to learn how to use a set of electronic memory aids integrated in a training apartment, and to use the same setting for identifying activities that these patients tend to forget among a predefined set of activities. This identification is done by using a computer system to register activities that are not performed, which the system is designed to act upon with reminders or alarms. During a stay of five days in the training apartment, 14 patients received training from an experienced occupational therapist to learn how to use the electronic memory aids. Significant improvements were found at group level in learning how to use the electronic memory aids. Computer registrations showed that the refrigerator and the stove were most challenging to remember. The total number of alarms and reminders as indication/measure of memory difficulties did not correlate with the Rivermead Behavioral Memory Test scores in the individuals. These findings indicate the importance of a stay in a training apartment to examine whether or not patients have difficulties in everyday activities and to try out electronic memory aids that might support these difficulties before they are discharged from the rehabilitation clinic.

  • 25.
    Bonsaksen, Tore
    et al.
    Oslo and Akershus University College of Applied Sciences, Norway.
    Meidert, Ursula
    Zurich University of Applied Sciences, Switzerland.
    Schuman, Deana
    Kvarsnes, Hildegunn
    Haglund, Lena
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Medicine and Health Sciences.
    Prior, Susan
    Forsyth, Kirsty
    Yamada, Takashi
    Scott, Patricia
    Does the Role Checklist Measure Occupational Participation?2015In: The Open Journal of Occupational Therapy, ISSN 2168-6408, Vol. 3, no 3, 7-1-2015Article in journal (Refereed)
    Abstract [en]

    Background: Among the Model of Human Occupation (MOHO) assessments, the Role Checklist is one of the most established. In spite of its widespread use, no studies have examined role examples and their association with the three embedded levels of doing, as established in the MOHO theory.

    Method: A cross-sectional survey of 293 respondents from the US, the UK, Japan, Switzerland, Sweden, and Norway produced 7,182 role examples. The respondents completed Part I of the Role Checklist and provided examples of each internalized role they performed. Responses were classified as occupational skill, occupational performance, or occupational participation.

    Results: Thirty-three percent of the examples were classified as examples of occupational participation, whereas 65% were classified as examples of occupational performance. Four roles linked mostly with occupational participation, another four roles linked mostly with occupational performance, and the two remaining roles were mixed between occupational participation and occupational performance.

    Discussion: The Role Checklist assesses a person’s involvement in internalized roles at the level of both occupational participation and occupational performance. There are differences among countries with regard to how roles are perceived and exemplified, and different roles relate differently to the occupational performance and occupational participation levels of doing. There are related implications for occupational therapists

  • 26.
    Borgestig, Maria
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Medicine and Health Sciences. Folke Bernadotte Regional Habilitation Centre and Department of Women´s and Children´s Health, Uppsala University, Uppsala, Sweden.
    Rytterström, Patrik
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Medicine and Health Sciences.
    Hemmingsson, Helena
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Medicine and Health Sciences.
    Gaze-based assistive technology used in daily life by children with severe physical impairments: parents’ experiences2017In: Developmental Neurorehabilitation, ISSN 1751-8423, E-ISSN 1751-8431, Vol. 20, no 5, 301-308 p.Article in journal (Refereed)
    Abstract [en]

    This study aims to describe and explore parents’ experiences when their children with severe physical impairments receive gaze-based assistive technology (gaze-based AT) for use in daily life. Semi-structured interviews were conducted twice, with one year in between, with parents of eight children with cerebral palsy that used gaze-based AT in their daily activities. To understand the parents’ experiences, hermeneutical interpretations were used during data analysis. The results demonstrate that for parents, children’s gaze-based AT usage meant that children demonstrated agency, provided them with opportunities to show  personality and competencies, and gave children possibilities to develop. Overall, children’s gaze-based AT provides hope to parents for a better future for their children with severe physical impairments; a future in which the children can develop and gain influence in life. In conclusion, gaze-based AT provides children with new opportunities to perform activities and take initiatives to communicate, giving parents hope about the children’s future.

  • 27.
    Borgestig, Maria
    et al.
    Linköping University, Faculty of Medicine and Health Sciences. Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Folke Bernadotte Regional Habilitation Centre and Department of Women´s and Children´s Health, Uppsala University, Uppsala, Sweden.
    Sandqvist, Jan
    Linköping University, Faculty of Medicine and Health Sciences. Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Ahlsten, Gunnar
    Folke Bernadotte Regional Habilitation Centre and Department of Women´s and Children´s Health, Uppsala University, Uppsala, Sweden.
    Falkmer, Torbjorn
    Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Pain and Rehabilitation Center. School of Occupational Therapy & Social Work, Curtin University, Perth, WA, Australia; School of Occupational Therapy, La Trobe University, Melbourne, Victoria, Australia.
    Hemmingsson, Helena
    Linköping University, Faculty of Medicine and Health Sciences. Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Gaze-based assistive technology in daily activities in children with severe physical impairments: an intervention study2017In: Developmental Neurorehabilitation, ISSN 1751-8423, E-ISSN 1751-8431, Vol. 20, no 3, 129-141 p.Article in journal (Refereed)
    Abstract [en]

    Objective: To establish the impact of a gaze-based assistive technology (AT) intervention on activity repertoire, autonomous use, and goal attainment in children with severe physical impairments, and to examine parents’ satisfaction with the gaze-based AT and with services related to the gaze-based AT intervention.

    Methods: Non-experimental multiple case study with before, after, and follow-up design. Ten children with severe physical impairments without speaking ability (aged 1–15 years) participated in gaze-based AT intervention for 9–10 months, during which period the gaze-based AT was implemented in daily activities.

    Results: Repertoire of computer activities increased for seven children. All children had sustained usage of gaze-based AT in daily activities at follow-up, all had attained goals, and parents’ satisfaction with the AT and with services was high.

    Discussion: The gaze-based AT intervention was effective in guiding parents and teachers to continue supporting the children to perform activities with the AT after the intervention program.

  • 28.
    Byström, Fanny
    et al.
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Arts and Sciences.
    Isaksson, Elise
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Arts and Sciences.
    Kåhlin, Ida
    Linköping University, Department of Social and Welfare Studies, NISAL - National Institute for the Study of Ageing and Later Life. Linköping University, Faculty of Arts and Sciences.
    Participation in Daily Activities - perceptions of older people with intellectual disabilities2012Conference paper (Other academic)
  • 29.
    Bäckman, Lisa
    et al.
    Linköping University, Department of Social and Welfare Studies. Linköping University, Faculty of Health Sciences.
    Karlsson, Malin
    Linköping University, Department of Social and Welfare Studies. Linköping University, Faculty of Health Sciences.
    Arbetsterapeutiska åtgärder som främjar delaktighet i dagliga aktiviteter hos personer med demenssjukdom2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The number of older people in society is increasing, and along with it so is the prevalence of dementia. Activity is of great importance for people with dementia, but the disease has negative effects on the ability to perform everyday occupations. The purpose of this study was therefore to describe occupational therapy interventions that promote participation in daily activities in persons with dementia. Data was collected through a systematic search using five databases, and through a manual search. Altogether, 14 articles were included in the study. The data were analyzed using a qualitative content analysis. Patterns were identified and later analyzed. The study proposes compensatory and remedial interventions, such as modifying the physical environment to accommodate the disability, simplifying activities and improving cognitive functioning to facilitate performance in daily activities. By making individualized modifications of the physical environment, coaching caregivers, and adapting activities to personal requirements and interests, people with dementia are given a greater opportunity to be independent and to experience participation in daily activities. This study shows that occupational therapy interventions can have positive effects on persons with dementia and on their possibilities to participate in daily activities.

  • 30.
    Callerborn, Anna
    et al.
    Linköping University, Department of Neuroscience and Locomotion.
    Holstein, Jane
    Linköping University, Department of Neuroscience and Locomotion.
    Arbetsterapeuters pedagogiska förhållningssätt i gruppverksamhet - en kvalitativ studie2005Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    The occupational therapist uses meaningful activities to promote health and accomplish functional progress. The professional role is to support and enable for the client to change his/her life. One way to accomplish this is to use the group as a tool. Knowledge is needed about how learning works and which teaching methods exist to promote learning, so it is adapted after the clients´ personal way of learning. The aim of this study was to investigate which pedagogical approaches occupational therapists use in group activities. Interviews were conducted with ten occupational therapists in the southern part of Sweden. During the qualitative data analysis, three different approaches to learning emerged among the interviewed occupational therapists. The leader-centred approach meant that the occupational therapist was authoritarian and controlled the group by giving instructions. In the client-centred approach the occupational therapist first let the clients test the activity and then gave feedback. In the group-centred approach the occupational therapist had a flexible role and let the group work independently. The occupational therapists that took part in this study used one of these three approaches or a combination of these. Clear traces of different educationalists can be found in the approaches. The authors maintain that the need of mapping the use of pedagogy is of great importance since it is a basic ability to able to reach the clients with information in the best way.

  • 31.
    Carlman, Lena-Carin
    et al.
    Linköping University, Department of Social and Welfare Studies.
    Lindgren, Kerstin
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Redo för arbete: En studie kring arbetsförmåga hos personer efter förberedande arbetsträning2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In recent decades, mental illness has increased in Sweden, and in parallel to this there has been an increase in unemployment. This implies that it is harder for people who have been away from employment for long periods due to ill health to return to work. The purpose of this study was to examine the work situation of people with mental illness who had undergone prevocational training, and to identify psychosocial factors relevant to their current work ability. The aim was also to describe how those who had undergone prevocational training perceived that it had affected their work ability. The study involved 19 participants who were interviewed and assessed with the Worker Role Interview, and an open question was asked about how they perceived that the prevocational training had affected their current work ability. The interview revealed that three of the participants were on sick leave, one was seeking a job, and 15 were working or studying. The results showed that the participants generally had support to acquire, return to, or continue employment concerning the psychosocial factors identified with the WRI. The WRI items showing the strongest support concerned the participants’ understanding of their abilities and limitations, their belief in their ability to work, and their understanding of what the working role involved. All participants perceived that the prevocational training had had a significant impact on their ability to return to work.

  • 32.
    Deshpande, Shilpa
    et al.
    Model of Human Occupation Clearinghouse, University of Illinois at Chicago, USA.
    Kielhofner, Gary
    University of Illinois at Chicago, USA.
    Henriksson, Chris
    Linköping University, Department of Social and Welfare Studies. Linköping University, Faculty of Medicine and Health Sciences.
    Haglund, Lena
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Olson, Linda
    Rusch University, Chicago, USA.
    Forsyth, Kirsty
    Chicago.
    A user's manual for the Occupational Circumstances Assessment Interview and Rating Scale2002Book (Other academic)
    Abstract [en]

    The OCAIRS provides a structure for gathering, analyzing, and reporting data on the extent and nature of an individual's occupational participation. It can be used with a wide range of clients, and would be appropriate for any adolescent or adult client who has the cognitive and emotional ability to participate in an interview. The OCAIRS provides a structured and theoretically based means of developing interview skills in evaluation and treatment.

  • 33.
    Dolva, Anne-Stine
    et al.
    Lillehammer University College.
    Hemmingsson, Helena
    Linköping University, Department of Social and Welfare Studies. Linköping University, Faculty of Health Sciences.
    Gustavsson, Anders
    Stockholm University.
    Borell, Lena
    Karolinska Institute, Stockholm.
    Children with Down syndrome in mainstream schools: peer interaction in activities2010In: European Journal of Special Needs Education, ISSN 0885-6257, E-ISSN 1469-591X, Vol. 25, no 3, 283-294 p.Article in journal (Refereed)
    Abstract [en]

    The objective of this qualitative study was to explore peer interaction in the context of school activities in mainstream classes that included pupils with Down syndrome together with their peers without disabilities in order to identify enabling conditions. Six children with Down syndrome, each of whom was the only one with Down syndrome in a regular class, were observed and interviewed. Two main patterns of interaction were identified; equal and unequal interaction. Enabling conditions were found to be related to the pupils' shared understanding of the activities and the task demands in relation to the performance range of the participating pupils. When interaction was challenged by limited understanding of the activity or by too high task demands in relation to performance range, the findings revealed how peers applied diverse enabling strategies to include the pupil with Down syndrome. The results of this study highlight how activities form the basis for interaction and constitute an understudied and very important dimension for peer interaction. By looking more closely at this dimension, we can discover a fruitful approach with which to enable interaction between pupils with and without disability.

  • 34.
    Egilson, Snaefridur
    et al.
    University of Akureyri, Akureyri, Iceland.
    Hemmingsson, Helena
    Karolinska Institutet, Stockholm, Sweden.
    School participation of pupils with physical and psychosocial limitations:  a comparison2009In: British Journal of Occupational Therapy, ISSN 0308-0226, E-ISSN 1477-6006, Vol. 72, no 4, 144-152 p.Article in journal (Refereed)
    Abstract [en]

    Several features in the school environment affect pupils with disabilities, serving as either supports or barriers to their school participation. The purpose of this study was to investigate and look for differences in the pupil-environment fit of students with physical and psychosocial limitations, using the School Setting Interview (SSI). The SSI is a client-centred instrument, which focuses on school activities where adjustments need to be made to accommodate pupils with disabilities and to enable their participation. Descriptive statistics and Mann-Whitney U tests were employed to compare the fit of the two groups and their school environment.

     The results reveal that, in order to participate actively, both groups of pupils required adjustments to many school settings. Pupils with physical limitations frequently need adjustments, but their needs were met by the schools to a more satisfactory extent than were the needs of pupils with psychosocial limitations.

     The findings support the usability of the SSI for pupils with various types of limitations. They also stress the importance of eliciting the perspectives of the pupils themselves in order to facilitate the planning and implementation of client-centred occupational therapy interventions in school.

  • 35.
    Ehrenfors, R
    et al.
    Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden.
    Borell, L
    Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden.
    Hemmingsson, Helena
    Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden.
    Assessments used in school-aged children with acquired brain injury - Linking to the international classification of functioning, disability and health2009In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 31, no 17, 1392-1401 p.Article in journal (Refereed)
    Abstract [en]

    PURPOSE: The aim was to examine widely used assessments within the rehabilitation of school-aged children with acquired brain injury (ABI) with the International Classification of Functioning, Disability and Health (ICF) as a framework.

    METHOD: A survey identified the assessments most widely used in the rehabilitation of school-aged children with ABI in Sweden. The aims of these assessments were linked to the ICF according to previously published linking rules for clinical assessments.

    RESULTS: Thirty out of 43 widely used assessments were linked to body functions. The remaining assessments were linked to activities and participation, with no assessments being linked to environmental factors. Many categories within activities and participation were missing, whereas some categories within body functions were covered by numerous assessments.

    CONCLUSIONS: The widely used assessments within paediatric brain injury rehabilitation do not cover essential aspects of functioning and disability. Specifically, assessments focussing on many crucial categories of activities and participation, and all categories within environmental factors were missing. A better understanding of school-aged children's health and disability might be achieved by using the ICF to identify a set of assessments, illuminating body functions, activities and participation and environmental factors.

  • 36.
    Ekberg, Kerstin
    et al.
    Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences.
    Eklund, MonaInstitutionen för hälsovetenskaper, Arbetsterapi och aktivitetsvetenskap, Lunds universitet.Hensing, GunnelInstitutionen för medicin, Avd för samhällsmedicin och folkhälsa, Sahlgrenska akademien, Göteborgs universitet.
    Återgång i arbete: processer, bedömningar, åtgärder2015Collection (editor) (Other academic)
    Abstract [sv]

    Förmågan och möjligheten att arbeta är viktig både för den enskilda 
individen och för samhället. När en person helt eller delvis förlorar sin arbetsförmåga på grund av ohälsa ska olika aktörer i välfärds­samhället möjliggöra återgång i arbete. Sjukskrivnings- och rehabiliteringsprocessen blir i en del fall komplex beroende på variationer i aktörernas perspektiv på arbetsförmåga, de bedömningsmetoder som används och vilka regelverk som är tillämpbara. Kunskapsbaserade åtgärder för att främja återgång i arbete involverar i allmänhet arbetsplatsen som en central 
aktör och arena för åtgärder, medan praktiken ofta är annorlunda. 
Boken belyser förut­sättningar för att implementera kunskapsbaserade utredningar och åtgärder i det svenska samhället, liksom komplexiteten 
i dessa processer.

    Boken vänder sig till personer som arbetar med bedömning av arbetsförmåga och med åtgärder för att främja återgång i arbete. Målgrupper är studerande och professionella som i sin yrkesutövning inom till exempel primärvården, företagshälsovården eller inom privata rehabiliterings­enheter arbetar med sjukskrivningsprocesser och arbetslivsinriktad rehabilitering. Boken riktar sig också till arbetsgivare och arbetsledare som har ansvar för sjukskrivna medarbetares återgång i arbete.

  • 37.
    Ekbladh, Elin
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    "Return to Work - the Predictive Validity of the Assessment Instrument Worker Role Interview"2010Conference paper (Refereed)
    Abstract [en]

    "Return to Work - the Predictive Validity of the Assessment Instrument Worker Role Interview"

     

    Introduction: Long-term sick-listing entails great costs for the society and suffering for the individual. As rehabilitation could decrease these costs, valid and reliable methods are then required for assessing work ability and identifying individual rehabilitation needs. There is a need to develop and investigate the validity of work-related assessments tools and in particular assessments concerned with psychosocial aspects in relation to return to work.

    Objectives: The aims of this study were to investigate if and how the Worker Role Interview (WRI) can predict return to work and how the predictive validity of the WRI for return to work changes over a period of two years.

    Methods: WRI is an assessment tool designed to identify psychosocial and environmental factors which influence a person’s ability to return to work. Fifty three long-term sick-listed people constituted the study group. Differences in WRI ratings and the ability of WRI to correctly predict whether these people would fall into the working or non-working groups at 6, 12 and 24 month follow-ups were tested by Mann–Whitney test and logistic regression respectively

    Results: The item ‘Expectation of job success’ which concerns the person’s belief in their abilities in relation to return to work emerged as an important predictive factor for return to work in all statistical analyses. Eight of 16 items in WRI were rated differently between the working or non-working groups at one or more of the three follow-ups. The regression models based on the WRI ratings had an overall correct prediction rate ranging from 81% to 96% between the follow-ups.

    Conclusion and contribution to practice and evidence base of occupational therapy: The WRI assessment contains items which predict return to work. This implies that the WRI is a useful tool for occupational therapist working with vocational rehabilitation for identifying individual rehabilitation needs for people who are sick-listed.

  • 38.
    Ekbladh, Elin
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Return to Work: Assessment of Subjective Psychosocial and Environmental Factors2008Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Introduction: In Swedish society the sick-leave rate is high and a better understanding is required of the factors that facilitate return to work. In the return to work process, assessments of peoples’ work ability play an important role. However, the lack of usable, valid, reliable, and theoretically sound assessment instruments for assessing work ability is a concern. Credible and theoretically sound assessment methods for assessing clients’ work ability strengthen the possibilities for making valid interpretations and obtaining important information for composing further intervention strategies which can guide suitable interventions in the process of returning to work. Such interventions need multi-professional expertise. In this area occupational therapists can offer valuable contribution. In the overall assessment of work ability the unique individual’s subjective perception of the situation needs to be considered since this has been found greatly relevant for return to work. The Worker Role Interview (WRI) and the Work Environment Impact Scale (WEIS) are two work-related interview assessment instruments that have been developed to assess subjective psychosocial and environmental factors of work ability. The WRI and the WEIS have been primarily tested for reliability and validity and are theoretically founded in the Model of Human Occupation (MOHO), which is an occupation-focused model addressing psychosocial factors. They have been adapted and translated to Swedish and are used among Swedish occupational therapists working with clients experiencing work-related problems.

    Aim: The overall aim of this thesis was to evaluate the usefulness of the assessment instruments the Worker Role Interview and the Work Environment Impact Scale for identifying psychosocial and environmental rehabilitation needs essential for returning to work.

    Methods: Five empirical studies were performed, all of which were analysed quantitatively, with the exception of study IV in which both qualitative and quantitative analysing methods were used. Studies I, III and IV were cross-sectional while studies II and V were two-year longitudinal studies. In study I, data were collected by a questionnaire, in studies II, III and V the primary data constituted of ratings on the WRI items. In study IV the primary data were ratings of the WEIS items and the written notes beside the rating on each item.

    Results: In study I, theoretical approaches and professional models that influenced psychiatric care and psychiatric occupational therapy practice among occupational therapists in Sweden was investigated. The most common approach in psychiatric care was the psychosocial approach, and the practice model which was most often used was the Model of Human Occupation. The results indicated that the psychosocial approach and the Model of Human Occupation seemed applicable in occupational therapy, motivating further use of that model. However, it was also found that occupational therapists in psychiatric care used professional practice models to a rather low extent. One way to enhance the application of theory into practice is the use of theory- based assessment instruments. Consequently, the Model of Human Occupation- based assessment instruments, the WRI and the WEIS, have been evaluated and used in the other studies in the present thesis The value of the WRI for predicting return to work after long term sick-leave was investigated in studies II and V. The content area in the WRI with best overall predictive validity for return to work was ‘Personal causation’. Its items focus on the individual’s motivation for return to work in relation to the individual’s feeling of competence and effectiveness in doing work tasks and facing challenges at work. The two WRI items which best predicted whether the participants would be in the working or the non-working groups at the two-year follow up were ‘Expectations of job success’, which concerns beliefs in personal abilities in relation to returning to work, and the item ‘Daily routines’ which concerns the individual’s routines and organisation of time outside work. These results suggest that knowledge about how to strengthen the person’s belief in his or her abilities, how routines impact occupational performance, and how to support the individual in structuring his or her daily doings are needed in interventions aiming at supporting the individual to return to work.

    In study III the construct validity of the WRI was investigated in an international study. All the WRI items except those related to the environment area seemed to capture the intended construct of the WRI, namely psychosocial ability for return to work. The construct of the WRI seems to be stable and valid across different countries and populations, and the WRI showed an ability to separate clients into three distinct levels of psychosocial ability for return to work.

    In study IV the impact of the work environment was investigated by using the WEIS among people with experiences of sick-leave. Social interactions at work and the meaning of the work had the most supportive impact and different work demands and the rewards received for the work were perceived as most interfering with work performance, well-being, and satisfaction.

    Conclusion: The WRI seems to be suitable for estimating psychosocial work ability. In addition it contains items which can predict return to work up to two years after the assessment is conducted. The use of the WEIS revealed supportive and interfering factors for work performance, well-being, and satisfaction among people with experiences of long term sick-leave. The interview format of the WRI and the WEIS seems valuable since it provides comprehensive information which can contribute to the planning of rehabilitation interventions for the unique client. Thus, the WRI and the WEIS, which are theoretically founded in the Model of Human Ocupation are juged to be useful for identifying psychosocial and environmental rehabilitation needs in order to support the individual in returning to work after sick-leave.

    List of papers
    1. Practice models in Swedish psychiatric occupational therapy
    Open this publication in new window or tab >>Practice models in Swedish psychiatric occupational therapy
    2000 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, Vol. 7, no 3, 107-113 p.Article in journal (Refereed) Published
    Abstract [en]

    In clinical settings, occupational therapists need models both from their own field, occupational therapy, and from other fields in order to offer the clients adequate treatment. It is unknown which theoretical approaches and practice models influence Swedish occupational therapists' daily work. In this study a questionnaire (n=334) was used to investigate approaches and models used in Swedish psychiatric care service and in psychiatric occupational therapy service. The results showed that the psychosocial approach influenced both psychiatric care and psychiatric occupational therapy most. The most frequently used practice model was the Model of Human Occupation. However, 75% of the respondents did not identify theoretical thinking based on models from their own field behind their actions. Many practitioners seemed to use knowledge developed by other disciplines more often. Years of clinical experience in the profession or education did not seem to have any impact on the ability to identify the practice models that were used. The results indicate that education in occupational therapy must emphasize knowledge in its own field more than has been done up to now.

    National Category
    Medical and Health Sciences
    Identifiers
    urn:nbn:se:liu:diva-13268 (URN)10.1080/110381200300006050 (DOI)
    Available from: 2008-05-07 Created: 2008-05-07
    2. The Worker Role Interview: Preliminary data on the predictive validity of return to work of clients after an insurance medicine investigation
    Open this publication in new window or tab >>The Worker Role Interview: Preliminary data on the predictive validity of return to work of clients after an insurance medicine investigation
    2004 (English)In: Journal of Occupational Rehabilitation, ISSN 1053-0487, Vol. 14, no 2, 131-141 p.Article in journal (Refereed) Published
    Abstract [en]

    The aim was to investigate the predictive validity of the Worker Role Interview (WRI) for return to work at a 2-year follow-up of clients who attended an insurance medicine investigation center. The WRI identifies psychosocial and environmental factors that influence a person's abilities to return to work. Forty-eight of 202 consecutively selected clients constituted the study group. The Mann–Whitney U test was used to test the statistically significant differences in WRI ratings between those who were working (n=6) and those who were not (n=42) 2 years after their investigations. Five of the 17 items in WRI had a tentative predictive validity of return to work. The content area personal causation in WRI, had the best predictive validity. The results emphasize the importance of considering the unique individual's beliefs and expectations of his/her effectiveness at work when assessing clients' work ability and planning for further rehabilitation.

    Keyword
    prediction, return to work, assessment, psychosocial, sick leave, insurance medicine
    National Category
    Medical and Health Sciences
    Identifiers
    urn:nbn:se:liu:diva-13269 (URN)10.1023/B:JOOR.0000018329.79751.09 (DOI)
    Note
    Original Publication: Elin Ekbladh, Lena Haglund and Lars-Håkan Thorell, The Worker Role Interview: Preliminary data on the predictive validity of return to work of clients after an insurance medicine investigation, 2004, Journal of Occupational Rehabilitation, (14), 2, 131-141. http://dx.doi.org/10.1023/B:JOOR.0000018329.79751.09 Copyright: Springer http://www.springerlink.com/ Available from: 2008-05-07 Created: 2008-05-07 Last updated: 2010-12-06
    3. Psychometric properties of the Worker Role Interview
    Open this publication in new window or tab >>Psychometric properties of the Worker Role Interview
    Show others...
    2006 (English)In: Work, ISSN 1051-9815, Vol. 27, no 3, 313-318 p.Article in journal (Refereed) Published
    Abstract [en]

    Objectives. This study examined the psychometric properties of the rating scale of the Worker Role Interview (WRI). The study also asked whether the scale's items formed a valid measure of the construct, psychosocial capacity for work, and whether they were targeted to and could effectively discriminate between persons at different levels of psychosocial ability for work.

    Method of study. Data were collected from 21 raters on 440 participants from the United States, Sweden and Iceland. A many-faceted Rasch model was used to analyze the data.

    Results. Most items of the scale worked effectively to measure the underlying construct for which the WRI was designed. In addition, the items were ordered from least to more of the underlying construct as expected. The scale validly measured 90.23% of the participants, who varied by nationality, culture, age and diagnostic status. The scale's items distinguished participants into approximately three different strata and were appropriately targeted to the participants. Seventeen of the 21 raters used scale in a valid manner.

    Conclusions. The WRI scale and items are valid across ages, diagnoses, and culture and effectively measure a wide range of persons.

    Keyword
    Assessment, worker role, model of human occupation
    National Category
    Medical and Health Sciences
    Identifiers
    urn:nbn:se:liu:diva-13270 (URN)
    Available from: 2008-05-07 Created: 2008-05-07 Last updated: 2009-05-14
    4. Perceptions of the work environment among people with experience of long term sick leave
    Open this publication in new window or tab >>Perceptions of the work environment among people with experience of long term sick leave
    2010 (English)In: WORK-A JOURNAL OF PREVENTION ASSESSMENT and REHABILITATION, ISSN 1051-9815, Vol. 35, no 2, 125-136 p.Article in journal (Refereed) Published
    Abstract [en]

    Purpose: The aims were to describe and analyze how people with experience of long term sick leave perceive that factors in their work environment support or interfere with work performance, satisfaction, and well-being. Method: The 53 participants were interviewed with the Work Environment Impact Scale (WEIS). The WEIS ratings and belonging notes were analyzed by descriptive statistics and qualitative analysis respectively. Differences in WEIS ratings between; women and men; participants with somatic and mental diseases; and participants working and on full-time sick leave were tested. Results: The most supportive factors concerned social interactions at work, and the value and meaning of work. The factors perceived as most interfering concerned work demands and rewards. The social relations at work were perceived as more supportive by the working group than by those on full-time sick leave. The participants with somatic diseases perceived physical work factors as more interfering than did participants with mental diseases, who in turn perceived the value and meaning of work as more interfering. Conclusion: Knowledge about the interaction between the worker and the work environment could reveal useful information about the complex phenomenon of reducing sick leave. The WEIS seems useful in providing information about how alterations and accommodations in the work environment could support individual workers.

    Keyword
    Psychosocial, assessment, WEIS, well-being, RTW, occupational therapy
    National Category
    Medical and Health Sciences
    Identifiers
    urn:nbn:se:liu:diva-54491 (URN)10.3233/WOR-2010-0964 (DOI)000275284100003 ()
    Note
    Original Publication: Elin Ekbladh, Lars-Håkan Thorell and Lena Haglund, Perceptions of the work environment among people with experience of long term sick leave, 2010, WORK-A JOURNAL OF PREVENTION ASSESSMENT and REHABILITATION, (35), 2, 125-136. http://dx.doi.org/10.3233/WOR-2010-0964 Copyright: IOS Press http://www.iospress.nl/ Available from: 2010-03-19 Created: 2010-03-19 Last updated: 2010-12-06
    5. Return to work: the predictive value of the Worker Role Interview (WRI) over two years
    Open this publication in new window or tab >>Return to work: the predictive value of the Worker Role Interview (WRI) over two years
    2010 (English)In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, Vol. 35, no 2, 163-172 p.Article in journal (Refereed) Published
    Abstract [en]

    Worker Role Interview (WRI) is an assessment tool designed to identify psychosocial and environmental factors which influence a persons ability to return to work. The purpose of this study was to investigate if the Worker Role Interview (WRI) can predict return to work over a period of two years. Fifty three long-term sick-listed people were interviewed and rated with the WRI. Differences in ratings and the ability of WRI to correctly predict whether these people would fall into the working or non-working groups at 6, 12 and 24 month follow-ups were tested by Mann-Whitney test and logistic regression respectively. Eight of 17 items in WRI were rated differently between the groups at one or more of the follow-ups. The regression models based on the WRI ratings had an overall correct prediction rate ranging from 81% to 96%. Expectation of job success which concerns the persons belief in abilities in relation to return to work emerged as an important predictive factor for return to work in all statistical analyses. The WRI assessment contains items that could predict return to work. This implies that the WRI could be a useful tool in vocational rehabilitation for identifying individual rehabilitation needs.

    Keyword
    assessment, motivation, psychosocial, RTW, sick-leave, work ability, vocational rehabilitation, occupational therapy, Model of Human Occupation, Bedömningsinstrument, arbetsförmåga, arbetsterapi, sjukfrånvaro, Model of Human Occupation
    National Category
    Medical and Health Sciences Occupational Therapy
    Identifiers
    urn:nbn:se:liu:diva-13272 (URN)10.3233/WOR-2010-0968 (DOI)000275284100007 ()
    Available from: 2008-05-07 Created: 2008-05-07 Last updated: 2010-12-06
  • 39.
    Ekbladh, Elin
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    ÅTERGÅNG TILL ARBETE: Bedömning av subjektiva psykosociala och miljömässiga faktorer2009In: AT-forum, Förbundet Sveriges Arbetsterapeuter, Stockholmsmässan, 6-7 maj 2009, Stockholm: FSA , 2009Conference paper (Refereed)
    Abstract [sv]

    Återgång till arbete-

    bedömning av subjektiva psykosociala och miljömässiga faktorer

     

    Bakgrund: Bristen på valida, reliabla och teoretiskt förankrade bedömningsinstrument för bedömning av arbetsförmåga är ett bekymmer eftersom tillförlitliga bedömningar är en förutsättning för utformning och genomförande av adekvata interventioner i syfte att stödja återgång i arbete. Worker Role Interview (WRI) och Work Environment Impact Scale (WEIS) är två arbetsrelaterade intervjuinstrument, som har utvecklats i syfte att bedöma subjektiva psykosociala och miljömässiga faktorers påverkan på arbetsförmåga.

     

    Syfte: Det övergripande syftet med avhandlingsarbetet har varit att undersöka WRI och WEIS användbarhet för identifiering av psykosociala och miljömässiga rehabiliteringsbehov av betydelse för återgång i arbete.

     

    Metod: Avhandlingen består av fem empiriska studier. Samtliga studier har bearbetats kvantitativt och i en av studierna har även kvalitativ bearbetning genomförts. Tre studier är tvärsnittsstudier och två studier är två års longitudinella studier.

     

    Resultat: WRI är användbart för bedömning av psykosociala faktorers påverkan på arbetsförmågan. I WRI ingår flera variabler som kan predicera återgång till arbete upp till två år efter genomförd bedömning. WEIS är användbart för att identifiera arbetsmiljöfaktorer som stödjer respektive hindrar personers välbefinnande och utförande av arbete.

     

    Konklusion: Den information som WRI- och WEIS-intervjuer genererar är värdefull, då den kan utgöra en viktig grund för planering av individspecifika rehabiliteringsinsatser. Bedömningsinstrumenten WRI och WEIS med teoretisk förankring i Model of Human Occupation är användbara för att identifiera psykosociala och miljömässiga rehabiliteringsbehov i syfte att stödja personer i processen åter till arbete efter sjukskrivning.

  • 40.
    Ekbladh, Elin
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Fan, Chia-Wei
    University of Illinois at Chicago.
    Sandqvist, Jan
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Hemmingsson, Helena
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Taylor, Renée
    University of Illinois at Chicago.
    Work environment impact scale: Testing the psychometric properties of the Swedish version2014In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 47, no 2, 213-219 p.Article in journal (Refereed)
    Abstract [en]

    The Work Environment Impact Scale (WEIS) is an assessment that focuses on the fit between a person and his or her work environment. It is based on Kielhofner’s Model of Human Occupation and designed to gather information on how clients experience their work environment.

    The aim of this study was to examine the psychometric properties of the Swedish version of the WEIS assessment instrument.

    In total, 95 ratings on the 17-item WEIS were obtained from a sample of clients with experience of sick leave due to different medical conditions. Rasch analysis was used to analyze the data. 

    Overall, the WEIS items together cohered to form a single construct of increasingly challenging work environmental factors. The hierarchical ordering of the items along the continuum followed a logical and expected pattern, and the participants were validly measured by the scale. The three occupational therapists serving as raters validly used the scale, but demonstrated a relatively high rater separation index, indicating differences in rater severity.  

    The findings provide evidence that the Swedish version of the WEIS is a psychometrically sound assessment across diagnoses and occupations, which can provide valuable information about experiences of work environment challenges.

  • 41.
    Ekbladh, Elin
    et al.
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Haglund, Lena
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Work Environment Impact Scale, svensk version 3: Användarmanual för WEIS-S2010Other (Other (popular science, discussion, etc.))
    Abstract [sv]

    Manual för Work Environment Impact Scale (WEIS)

    Den här manualen är tänkt att vara ett stöd för användare av WEIS. Bedömningsinstrumentet WEIS består av en semistrukturerad intervju och en fyrgradig skattningsskala. Intervjun är utformad för att erhålla information om hur personer upplever sin arbetsmiljö. Genom WEIS intervjun erhålls information om hur personen uppfattar att psykosociala och fysiska faktorer i personens unika arbetsmiljö påverkar personens känsla av tillfredställelse och välbefinnande vid utförande av arbete. Vid WEIS intervjun efterfrågas information om hur en given arbetsmiljö påverkar den enskilde personen. Model of Human Occupation (MOHO) utgör den teoretiska grunden till WEIS.

    WEIS kan användas för att identifiera arbetslivsinriktade rehabiliteringsbehov och som en del i bedömning av en persons arbetsförmåga.  För att få en så rik och mångsidig bild som möjligt av personen bör WEIS bedömningar kompletteras med andra bedömningar och bedömningsmetoder. Denna tredje svenska upplaga av WEIS kan användas för personer som är sjukskrivna och som har en anställning samt för personer som är i arbete eller utför arbetsliknande uppgifter i någon form av arbetsmiljö.

  • 42.
    Ekbladh, Elin
    et al.
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Haglund, Lena
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Worker Role Interview, svensk version 3: Användarmanual WRI-S2007Other (Other (popular science, discussion, etc.))
    Abstract [sv]

    Manual för  the Worker Role Interview (WRI)

    WRI är ett bedömningsinstrument med en semistrukturerad intervju och en fyrgradig skattningsskala. Syftet med intervjun är att identifiera hur psykosociala och miljömässiga faktorer påverkar personers möjligheter att vara kvar i, återgå till eller skaffa ett arbete. Genom WRI intervjun erhålls information om personens tidigare och nuvarande arbetssituation, personens livssituation i relation till att ha en arbetsroll och hur personen ser på sin framtida arbetssituation. Den teoretiska grunden för WRI är Model of Human Occupation. WRI kan användas som en komponent vid bedömning av en persons arbetsförmåga. WRI kan också användas för att identifiera arbetslivsinriktade rehabiliteringsbehov. För att få en så rik och mångsidig bild som möjligt av personen bör WRI bedömningen kompletteras med andra bedömningar och bedömningsmetoder. Det här är den tredje reviderade upplagan av den svenska versionen av WRI.

  • 43.
    Ekbladh, Elin
    et al.
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Lang, Bibi
    Arbetsförmedlingen.
    Rothman, Henning
    Arbetsförmedlingen.
    Sandqvist, Jan
    Linköping University, Department of Social and Welfare Studies. Linköping University, Faculty of Health Sciences.
    Bedömningav arbetsförmåga – instrument och metod med praktiskt  exempel från Arbetsförmedlingen2011Conference paper (Refereed)
  • 44.
    Ekbladh, Elin
    et al.
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Sandqvist, Jan
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Assessing work ability2009In: Nordic Occupational Therapy Forum, Helsinki, Finland: Vocational assessment, 2009Conference paper (Other academic)
  • 45.
    Ekbladh, Elin
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Medicine and Health Sciences.
    Sandqvist, Jan
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Medicine and Health Sciences.
    Psychosocial Factors’ Influence on Work Ability of People Experiencing Sick Leave Resulting From Common Mental Disorders2015In: Occupational Therapy in Mental Health, ISSN 0164-212X, E-ISSN 1541-3101, Vol. 31, no 3, 283-297 p.Article in journal (Refereed)
    Abstract [en]

    A description of how people with the experience of long-term sick leave resulting from common mental disorders perceive that psychosocial factors influence their work ability. The Worker Role Interview was conducted with 14 informants and analyzed using qualitative content analysis. The informants believed in their future work ability. Most had had to adjust their habits and routines to manage their working and private lives in relation to their mental health problems. Occupational therapists need more knowledge about how to strengthen clients' beliefs in their occupational abilities and how to organize their daily activities in a balanced fashion.

  • 46.
    Ekbladh, Elin
    et al.
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Thorell, Lars-Håkan
    Linköping University, Department of Clinical and Experimental Medicine, Psychiatry . Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in Central Östergötland, Department of Psychiatry.
    Haglund, Lena
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Return to work: the predictive value of the Worker Role Interview (WRI) over two years2010In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, Vol. 35, no 2, 163-172 p.Article in journal (Refereed)
    Abstract [en]

    Worker Role Interview (WRI) is an assessment tool designed to identify psychosocial and environmental factors which influence a persons ability to return to work. The purpose of this study was to investigate if the Worker Role Interview (WRI) can predict return to work over a period of two years. Fifty three long-term sick-listed people were interviewed and rated with the WRI. Differences in ratings and the ability of WRI to correctly predict whether these people would fall into the working or non-working groups at 6, 12 and 24 month follow-ups were tested by Mann-Whitney test and logistic regression respectively. Eight of 17 items in WRI were rated differently between the groups at one or more of the follow-ups. The regression models based on the WRI ratings had an overall correct prediction rate ranging from 81% to 96%. Expectation of job success which concerns the persons belief in abilities in relation to return to work emerged as an important predictive factor for return to work in all statistical analyses. The WRI assessment contains items that could predict return to work. This implies that the WRI could be a useful tool in vocational rehabilitation for identifying individual rehabilitation needs.

  • 47.
    Eklund, Elisabet
    et al.
    Linköping University, Department of Neuroscience and Locomotion.
    Johansson, Eva
    Linköping University, Department of Neuroscience and Locomotion.
    Arbetskravsanalyser av arbetsuppgifter i Hälsans trädgård i Linköping utifrån The Revised Handbook for Analyzing Jobs (RHAJ)2006Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    Hälsans Trädgård is a project which is going to start in Gamla Linköping, Sweden. The authors were commissioned by Arbetslivsresurs, a company working with work rehabilitation, to select, define and make job analyses on five work tasks at Hälsans Trädgård in Gamla Linköping. A job analysis means an analysis of the demands the job make of the individual. The job analysis used in this study is called The Revised Handbook for Analyzing Jobs (RHAJ) and is from the US Department of Labor (DOL). As RHAJ is an American instrument, the authors produced a form where the concepts are translated into Swedish to make the analysis easier. The areas that were analyzed according to the RHAJ were: worker functions, general educational development, specific vocational preparation, aptitudes, temperaments, and physical demands and environmental conditions. The five work tasks that were analyzed at Hälsans Trädgård were: “Raking”, “Planting flowers”, “Weeding”, “Shoveling snow” and “Portraying Lisa”. The result shows that the five work tasks make low demands on the individual and that none of the tasks demand mathematical development. The task “Portraying Lisa” was the task which, in most cases, made the most demands on the individual. The discussion proposes how the work tasks can be more complex. The authors suggest investigations that test the RHAJ for validity and reliability and that the RHAJ in full be translated into Swedish and tested under Swedish circumstances in future research.

  • 48.
    Eliasson, Ann-Christin
    et al.
    Institutionen för kvinnor och barns hälsa, Karolinska institutet.
    Lidström, HeleneLinköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Medicine and Health Sciences.Peny-Dahlstrand, MarieInstitutionen för neurovetenskap och fysiologi, Sahlgrenska akademien, Göteborgs universitet.
    Arbetsterapi för barn och ungdom2016Collection (editor) (Other academic)
    Abstract [sv]

    I Arbetsterapi för barn och ungdom har 28 ledande experter inom arbetsterapi bidragit med gedigen kunskap och klinisk erfarenhet av barn och ungdom med funktionsnedsättningar.

    I boken finns ett tydligt fokus på aktiviteter i barnens vardag men även i förhållande till hälsa, samhälle och transition från barn till vuxenlivet. Arbetsterapi för barn och ungdom tar även upp aktiviteter kring lek, skola och fritid samt hur barn lär sig nya aktiviteter, och hur de kan träna och kompensera för nedsatt funktion. Kommunikation, kognitivt stöd och förmågan att använda sina händer behandlas också. 


    Boken representerar forskningsläget för svensk arbetsterapi inom området barn och ungdom. Den visar att det finns en bredd i den pågående forskningen men också att det behövs mer kunskap. 

    Arbetsterapi för barn och ungdom riktar sig till arbetsterapeuter inom grundutbildning och fortbildning samt till verksamma arbetsterapeuter och andra yrkesgrupper som möter funktionsnedsatta barn och ungdomar.

  • 49.
    Emanuelsson, Lisa
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Landell, Sandra
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Miljöns påverkan på äldres delaktighet i aktivitet på särskilt boende: en kvalitativ studie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Det är viktigt för äldres välbefinnande och hälsa att känna delaktighet i aktivitet. Delaktighet i aktivitet påverkas av individens egna förutsättningar och miljöns utformning. Hemmet är en viktig aktivitetsmiljö där många äldre spenderar mycket tid. Det är vanligt att äldre flyttar till ett särskilt boende när de är i behov av hjälp och stöd för att klara sin vardag. Syfte: Att studera hur miljön påverkar äldres delaktighet i aktivitet på särskilt boende. Metod: En kvalitativ studie innefattande sju intervjuer med äldre och observationer på tre olika särskilda boenden har genomförts. Resultat: I resultatet framkom de fem kategorierna bristande tillgänglighet i den fysiska miljön, tillgångar i den fysiska miljön, betydelsen av hjälpmedel, betydelsen av att interagera med andra människor samt personalens betydelse för de äldres delaktighet i aktivitet. Den fysiska miljöns utformning bidrog till att de äldre inte uppfattade det särskilda boendet som hemlikt då de inte fick plats med alla de personliga tillhörigheter de önskade. Det visade sig att många äldre kände sig ensamma och inte upplevde någon samhörighet med de medboende. Gemensamma aktiviteter var mycket uppskattat av de äldre bland annat eftersom det gav dem en möjlighet att interagera med andra. Konklusion: Den fysiska och den sociala miljön på ett särskilt boende kunde både främja och hindra äldres delaktighet i aktivitet.

  • 50.
    Eriksson, Linda
    et al.
    Linköping University, Department of Social and Welfare Studies.
    Bergman, Magnus
    Linköping University, Department of Social and Welfare Studies.
    Arbetsterapeuters erfarenhet av bedömningsinstrumentet Assessment of Work Performance – Försäkringskassan (AWP-FK) - En e-Delphistudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Försäkringskassan (FK) har i uppdrag av Sveriges regering att ge ekonomisk ersättning vid funktionsnedsättning och att utreda medicinska förutsättningar för arbete med tillförlitliga bedömningsverktyg. Vid kompletterande bedömning av medicinska förutsättningar för arbete har Försäkringskassan valt det arbetsterapeutiska bedömningsinstrumentet Assessment of Work Performance som en del av aktivitetsförmågeutredningen. En specifik tillämpning med namnet Assessment of Work Performance – Försäkringskassan (AWP-FK) har utvecklats. I tillämpningen ingår tre arbetsuppgifter; namnskyltsbeställning, sortering av post samt montering av hyllor. Syftet med examensarbetet var att undersöka hur yrkesverksamma arbetsterapeuter uppfattar och använder bedömningsinstrumentet AWP-FK. Metoden som valdes var en e-Delphistudie. Urvalet bestod av 11 yrkesverksamma arbetsterapeuter i Sverige som har arbetat med AWP-FK. Resultatet visar att arbetsterapeuterna tyckte att manualen var tydlig. Färdighetsområdet kommunikations- och interaktionsfärdigheter ansåg arbetsterapeuterna var svårt att bedöma med dagens arbetsuppgifter. Slutsatsen blev att det finns utvecklingsmöjligheter för AWP-FK vad gäller manualen, kommunikations- och interaktionsfärdigheter samt utveckling av nya arbetsuppgifter. I diskussionen diskuteras metodens tillförlitlighet och dess begränsningar. Metoden var fördelaktig eftersom svaren från runda ett gick att följa upp genom en konsensusberäkning. Slutsatsen blir att det är svårt att bedöma kommunikations- och interaktionsfärdigheter. Vidare diskuteras att det behövs fler arbetsuppgifter som bedömer kommunikations- och interaktionsfärdigheter samt att detta färdighetsområde bör utvecklas.

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