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  • 1.
    Abbey, Susan E.
    et al.
    University of Toronto, Canada.
    De Luca, Enza
    University Health Network, University of Toronto, Canada.
    Mauthner, Oliver E.
    University Health Network, University of Toronto, Canada.
    McKeever, Patricia
    Bloorview Research Institute, Bloorview Kids Rehab, Canada.
    Shildrick, Margrit
    Queen's University, Belfast, Northern Ireland.
    Poole, Jennifer M.
    Ryerson University, Canada.
    Gewarges, Mena
    University Health Network, University of Toronto, Canada.
    Ross, Heather J.
    University Health Network, University of Toronto, Canada.
    Qualitative interviews versus standardised self-report questionnaires in assessing qualityb of life in heart transplant recipients2011Ingår i: The Journal of Heart and Lung Transplantation, ISSN 1053-2498, E-ISSN 1557-3117, Vol. 30, nr 8, s. 963-966Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Quality of life (QoL) studies in heart transplant recipients (HTRs) using validated, quantitative, self-report questionnaires have reported poor QoL in approximately 20% of patients. This consecutive mixed methods study compared self-report questionnaires, the Medical Outcomes Study 36-item Short Form Health Survey (MOS SF-36) and the Atkinson Life Satisfaction Scale, with phenomenologically informed audiovisual (AV) qualitative interview data in 27 medically stable HTRs (70% male; age 53 ± 13.77 years; time since transplant 4.06 ± 2.42 years). Self-report questionnaire data reported poor QoL and more distress compared with previous studies and normative population samples; in contrast, 52% of HTRs displayed pervasive distress according to visual methodology. Using qualitative methods to assess QoL yields information that would otherwise remain unobserved by the exclusive use of quantitative QOL questionnaires.

  • 2.
    Allemann, Hanna
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för omvårdnad. Linköpings universitet, Medicinska fakulteten.
    Thylén, Ingela
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för omvårdnad. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Hjärt- och Medicincentrum, Kardiologiska kliniken US.
    Ågren, Susanna
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för omvårdnad. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Hjärt- och Medicincentrum, Thorax-kärlkliniken i Östergötland.
    Liljeroos, Maria
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för omvårdnad. Linköpings universitet, Medicinska fakulteten. Uppsala Univ, Sweden.
    Strömberg, Anna
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för omvårdnad. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Hjärt- och Medicincentrum, Kardiologiska kliniken US.
    Perceptions of Information and Communication Technology as Support for Family Members of Persons With Heart Failure: Qualitative Study2019Ingår i: Journal of Medical Internet Research, ISSN 1438-8871, E-ISSN 1438-8871, Vol. 21, nr 7, artikel-id e13521Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Heart failure (HF) affects not only the person diagnosed with the syndrome but also family members, who often have the role of informal carers. The needs of these carers are not always met, and information and communications technology (ICT) could have the potential to support them in their everyday life. However, knowledge is lacking about how family members perceive ICT and see opportunities for this technology to support them. Objective: The aim of this study was to explore the perceptions of ICT solutions as supportive aids among family members of persons with HF. Methods: A qualitative design was applied. A total of 8 focus groups, comprising 23 family members of persons affected by HF, were conducted between March 2015 and January 2017. Participants were recruited from 1 hospital in Sweden. A purposeful sampling strategy was used to find family members of persons with symptomatic HF from diverse backgrounds. Data were analyzed using qualitative content analysis. Results: The analysis revealed 4 categories and 9 subcategories. The first category, about how ICT could provide relevant support, included descriptions of how ICT could be used for communication with health care personnel, for information and communication retrieval, plus opportunities to interact with persons in similar life situations and to share support with peers and extended family. The second category, about how ICT could provide access, entailed how ICT could offer solutions not bound by time or place and how it could be both timely and adaptable to different life situations. ICT could also provide an arena for family members to which they might not otherwise have had access. The third category concerned how ICT could be too impersonal and how it could entail limited personal interaction and individualization, which could lead to concerns about usability. It was emphasized that ICT could not replace physical meetings. The fourth category considered how ICT could be out of scope, reflecting the fact that some family members were generally uninterested in ICT and had difficulties envisioning how it could be used for support. It was also discussed as more of a solution for the future. Conclusions: Family members described multiple uses for ICT and agreed that ICT could provide access to relevant sources of information from which family members could potentially exchange support. ICT was also considered to have its limitations and was out of scope for some but with expected use in the future. Even though some family members seemed hesitant about ICT solutions in general, this might not mean they are unreceptive to suggestions about their usage in, for example, health care. Thus, a variety of factors should be considered to facilitate future implementations of ICT tools in clinical practice.

  • 3.
    Almberg, Maria
    et al.
    Mobil Centre Gothenburg, Sweden.
    Selander, Helena
    Mobil Centre Gothenburg, Sweden; University of Gothenburg, Sweden.
    Falkmer, Marita
    Curtin University, Australia; Jonköping University, Sweden.
    Vaz, Sharmila
    Curtin University, Australia.
    Ciccarelli, Marina
    Curtin University, Australia.
    Falkmer, Torbjörn
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Smärt och rehabiliteringscentrum. Curtin University, Australia.
    Experiences of facilitators or barriers in driving education from learner and novice drivers with ADHD or ASD and their driving instructors2017Ingår i: Developmental Neurorehabilitation, ISSN 1751-8423, E-ISSN 1751-8431, Vol. 20, nr 2, s. 59-67Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Little is known about whether individuals with autism spectrum disorder (ASD) or attention deficit hyperactive disorder (ADHD) experience any specific facilitators or barriers to driving education. Objective: To explore the facilitators or barriers to driving education experienced by individuals with ASD or ADHD who obtained a learners permit, from the perspective of the learner drivers and their driving instructors. Methods: Datawere collected from33 participants with ASD or ADHD, and nine of their driving instructors. Results: Participants with ASD required twice asmany driving lessons andmore on-road tests than those with ADHD. Participants with ADHD repeated the written tests more than those with ASD. Driving license theory was more challenging for individuals with ADHD, whilst individuals with ASD found translating theory into practice and adjusting to "unfamiliar driving situations to be the greatest challenges. Conclusion: Obtaining a driving license was associated with stressful training experience.

  • 4.
    Alwin, Jenny
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Utvärdering och hälsoekonomi. Linköpings universitet, Hälsouniversitetet.
    Bernfort, Lars
    Linköpings universitet, Institutionen för medicin och hälsa, Utvärdering och hälsoekonomi. Linköpings universitet, Hälsouniversitetet.
    Eckard, Nathalie
    Linköpings universitet, Institutionen för medicin och hälsa, Utvärdering och hälsoekonomi. Linköpings universitet, Hälsouniversitetet.
    Husberg, Magnus
    Linköpings universitet, Institutionen för medicin och hälsa, Utvärdering och hälsoekonomi. Linköpings universitet, Hälsouniversitetet.
    Fixartjänster i Sveriges kommuner: Kartläggning och samhällsekonomisk analys. Regeringsuppdrag2013Rapport (Övrigt vetenskapligt)
    Abstract [sv]

    En fixartjänst är en tjänst som primärt riktas till äldre personer och syftar till att förebygga fallolyckor i hemmet. Fixartjänster tillhandahålls i de flesta fall i kommunal regi. Omfattningen och användningen av fixartjänster i Sverige har tidigare inte studerats på nationell nivå. Syftet med denna studie är att genomföra en kartläggning av omfattningen och användningen av fixartjänster i kommunal regi i Sverige samt att uppskatta de samhällsekonomiska konsekvenserna av fixartjänster. Data har samlats in via postenkät alternativt via telefonintervju.

    Av Sveriges 290 kommuner är det 191 stycken (66 %) som har fixartjänst i kommunal regi. De arbetsuppgifter som primärt utförs inom ramen för fixartjänsten är sådana som innebär att äldre inte ska behöva klättra upp på stegar eller liknande, att förebygga fall genom att fästa lösa sladdar och borttagning av mattor samt översyn av olycksrisker i hemmet. I ett fåtal fall erbjuds även utomhustjänster såsom snöskottning. I majoriteten av kommunerna (58 %) är tjänsten kostnadsfri men brukaren får betala för förbrukningsmaterial, i 32 % är tjänsten helt kostnadsfri och i 9 % av kommunerna tas en kostnad ut för fixartjänsten. Tjänsten organiseras på olika sätt i kommunerna: fixartjänsten kan bedrivas helt i kommunal regi där utföraren är en eller flera fixare, personer tillhörande daglig verksamhet eller arbetsmarknadsenheten. I vissa fall bedrivs tjänsten av räddningstjänsten i samarbete med kommunen och i andra fall bedrivs tjänsten av företag på uppdrag av kommunen. Det finns även volontärorganisationer/ideellt arbetande personer som utför fixartjänster med mer eller mindre inblandning från kommunen, dessa har i denna rapport inte inkluderats som fixartjänster i kommunal regi till skillnad från de ovan nämnda. I 99 kommuner erbjuds inte fixartjänster i kommunal regi. Anledningar till detta är bland annat ekonomiska skäl samt svag efterfrågan.

    Upplevda vinster och nytta med fixartjänsterna som kommunerna själva rapporterar är bland annat fallprevention, att möjliggöra kvarboende, medverka till social samvaro samt möjlighet att erbjuda meningsfull sysselsättning. Problem som framkommit är exempelvis låg efterfrågan, svårighet att nå ut med information samt svårighet att mäta effekten på fallskador.

    En samhällsekonomisk modell för analys av fallskador har skapats. Denna modell inkluderar de stora kostnadsposterna fördelade på olika sektorer samt utfall i form av mortalitet samt livskvalitetsförlust när man drabbas av en fallskada. Kostnader för fallskador totalt i Sverige har i tidigare forskning beräknats till cirka 5 miljarder kronor, bara i direkta kostnader under det första året efter skadan. Av de totala fallolyckorna sker drygt hälften i hemmet. Ett beräkningsexempel baserat på kostnadsdata från litteraturen har i denna rapport genomförts och applicerats på en hypotetisk mellanstor kommun med 50 000 invånare. Sammanfattningsvis så visar detta räkneexempel att om endast en liten del av de allvarliga fallskador som leder till slutenvård kan förhindras genom en fixartjänst så motsvarar kostnadsinbesparingen den genomsnittliga budgeten.

    för en fixartjänst med en anställd person. Därtill kommer positiva bieffekter i form av att livskvalitetsförlust kan undvikas med mera. Utifrån detta kan en sammantagen bedömning göras att fixartjänster kan anses vara väl använda pengar sett ur såväl samhälleligt som kommunalt perspektiv. Beräkningar med reella data som inkluderar både kostnader och effekter i form av livskvalitet bör genomföras.

  • 5.
    Andersen, Åsa
    et al.
    Uppsala University, Sweden.
    Ståhl, Christian
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten.
    Anderzen, Ingrid
    Uppsala University, Sweden.
    Kristiansson, Per
    Uppsala University, Sweden.
    Larsson, Kjerstin
    Uppsala University, Sweden.
    Positive experiences of a vocational rehabilitation intervention for individuals on long-term sick leave, the Dirigo project: a qualitative study2017Ingår i: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 17, artikel-id 790Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: The process of returning to work after long-term sick leave can sometimes be complex. Many factors, (e.g. cooperation between different authorities and the individual as well as individual factors such as health, emotional well-being and self-efficacy) may have an impact on an individuals ability to work. The aim of this study was to investigate clients experiences with an individually tailored vocational rehabilitation, the Dirigo project, and encounters with professionals working on it. The Dirigo project was based on collaboration between rehabilitation authorities, individually tailored interventions and a motivational interviewing approach. Methods: A descriptive qualitative design was used with data collected through interviews. Fourteen individuals on long-term sick leave took part in individual semi-structured interviews. The interviews were analysed using content analysis. Results: The analysis showed overall positive experience of methods and encounters with professionals in a vocational rehabilitation project. The positive experiences were based on four key factors: 1. Opportunities for receiving various dimensions of support. 2. Good overall treatment by the professionals. 3. Satisfaction with the working methods of the project, and 4. Opportunities for personal development. Conclusions: The main result showed that the clients had an overall positive experience of a vocational rehabilitation project and encounters with professionals who used motivational interviewing as a communication method. The overall positive experience indicated that their interactions with the different professionals may have affected their self-efficacy in general and in relation to transition to work. The knowledge is essential for the professionals working in the area of vocational rehabilitation. However, vocational rehabilitation interventions also need a societal approach to be able to offer clients opportunities for job training and real jobs.

  • 6.
    Andersson, Elinor
    Linköpings universitet, Institutionen för medicin och hälsa. Linköpings universitet, Hälsouniversitetet.
    Vad är speciellt med handledare vid klinisk undervisningsavdelning (KUA)?-En kvalitativ studie2014Självständigt arbete på avancerad nivå (masterexamen), 20 poäng / 30 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Att handleda studenter på klinisk undervisnings avdelning (KUA) har bedrivits under ett tjugotal år. Studenter från olika utbildningsprogram inom hälso- och sjukvårdsutbildningar utvecklar sin interprofessionella kompetens under en tvåveckorsperiod. Studier visar att interprofessionellt lärande ger studenter en möjlighet att dels få en helhetssyn av patientens vårdbehov dels ökar förståelsen för varandras yrkesroller och kunskaper. Få studier har fokuserat på handledarnas erfarenheter inom detta ämne och om sin roll på KUA.

    Studiens syfte var att beskriva fenomenet KUA handledare genom handledares uppfattning om rollen som interprofessionell handledare och interprofessionellt lärande på KUA. En kvalitativ metod användes och 19 interprofessionella handledare från professionerna, arbetsterapi, läkare, sjukgymnast och sjuksköterska intervjuades individuellt. Texterna bearbetades och analyserades utifrån innehållsanalys.

    Utifrån analysen identifierades tre kategorier, ”handledaren”, ”handledningen” och ”KUA konceptet”. Det visade sig att interprofessionella handledare har ett genuint intresse och engagemang för handledning, studenter, pedagogik och samarbete. Olika strategier används i den interprofessionella handledningen. Handledarna arbetar med teamet i fokus dels för studenters lärande, dels för att visa på teamets betydelse för patientens vård i hälso- och sjukvård. KUA konceptet kräver både tid och engagemang av handledarna men uppfattas som ett bra koncept där studenterna tillsammans kan utveckla det interprofessionella samarbetet. Handledarnas inställning till studenters lärande och handledning gör skillnad i handledningen. Att vara interprofessionell handledare kräver kunskaper om såväl pedagogik som grupp och grupprocess. Studentteamens kunskaper driver KUA vilket påverkar handledningen. KUA konceptet har en positiv inverkan på handledarna och interprofessionell handledning uppfattas som stimulerande och utmanande.

  • 7.
    Appelgren Engstrom, Helene
    et al.
    Malardalen Univ, Sweden.
    Haggstrom-Nordin, Elisabet
    Malardalen Univ, Sweden.
    Borneskog-Sinclair, Catrin
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för omvårdnad. Linköpings universitet, Medicinska fakulteten. Northumbria Univ, England.
    Almqvist, Anna-Lena
    Malardalen Univ, Sweden.
    Mothers in same-sex relationships-Striving for equal parenthood: A grounded theory study2019Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aims and objectives To get a deeper understanding of how mothers in same-sex relationships think and reason about their parenthood in terms of gender equality, and how they experience early parental support from child healthcare professionals. Background There is an increasing amount of research on how women in same-sex relationships experience healthcare services when forming a family. Yet there is limited knowledge of what kind of early parental support these women may request. Design Grounded theory. Follows guidelines for qualitative research (COREQ). Method Twenty women ranging from 25 to 42 years of age participated in semi-structured interviews. Data collection and analysis took place in parallel, as recommended in grounded theory methodology. Results The results are described by the core category Same-sex mothers request professional support to achieve equal parenthood, which includes five categories: (a) equality in everyday life, (b) diversity in mother and child attachment, (c) justification of the family structure, (d) ambivalent thoughts about their childs future and (e) a special need for networking and request for professional support. These findings provide a deeper understanding of how same-sex mothers experience their parenthood and the parental support that is offered. Conclusion Child healthcare professionals need to be sensitive and recognise both mothers as equal parents and offer early parenting groups where two-mother families feel included and supported. Relevance to clinical practice Healthcare professionals need to be aware of diverse family formations and meet each parent as a unique individual without heteronormative assumptions. Same-sex mothers must be treated as equal parents and acknowledged as mothers. Healthcare professionals should offer inclusive and supportive parental groups to same-sex families. They should also inform and support nonbirth mothers about the possibility to breastfeed.

  • 8.
    Arlinger, Stig
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för Logopedi, Audiologi och Otorhinolaryngologi. Linköpings universitet, Medicinska fakulteten.
    Nordqvist, Peter
    Royal Institute Technology, Sweden.
    Öberg, Marie
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neuro- och inflammationsvetenskap. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Öron- näsa- och halskliniken US.
    International Outcome Inventory for Hearing Aids: Data From a Large Swedish Quality Register Database2017Ingår i: American Journal of Audiology, ISSN 1059-0889, E-ISSN 1558-9137, Vol. 26, nr 3, s. 443-450Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: The purpose of this study was to analyze a database of completed International Outcome Inventory for Hearing Aids (IOI-HA) questionnaires obtained from over 100,000 clients fitted with new hearing aids in Sweden during the period of 2012-2016. Mean IOI-HA total scores were correlated with degree of hearing loss, unilateral versus bilateral fitting, first-time versus return clients, gender, and variation among dispensing clinics. The correlations with expectations, service quality, and technical functioning of the hearing aids were also analyzed. Method: Questionnaires containing the 7 IOI-HA items as well as questions concerning some additional issues were mailed to clients 3-6 months after fitting of new hearing aids. The questionnaires were returned to and analyzed by an independent research institute. Results: More than 100 dispensing clinics nationwide take part in this project. A response rate of 52.6% resulted in 106,631 data sets after excluding incomplete questionnaires. Forty-six percent of the responders were women, and 54% were men. The largest difference in mean score (0.66) was found for the IOI-HA item "use" between return clients and first-time users. Women reported significantly higher (better) scores for the item "impact on others" compared with men. The bilaterally fitted subgroup reported significantly higher scores for all 7 items compared with the unilaterally fitted subgroup. Experienced users produced higher scores on benefit and satisfaction items, whereas first-time users gave higher scores for residual problems. No correlation was found between mean IOI-HA total score and average hearing threshold level (pure-tone average [ PTA]). Mean IOI-HA total scores were found to correlate significantly with perceived service quality of the dispensing center and with the technical functionality of the hearing aids. Conclusions: When comparing mean IOI-HA total scores from different studies or between groups, differences with regard to hearing aid experience, gender, and unilateral versus bilateral fitting have to be considered. No correlation was found between mean IOI-HA total score and degree of hearing loss in terms of PTA. Thus, PTA is not a reliable predictor of benefit and satisfaction of hearing aid provision as represented by the IOI-HA items. Identification of a specific lower fence in PTA for hearing aid candidacy is therefore to be avoided. Large differences were found in mean IOI-HA total scores related to different dispensing centers.

  • 9.
    Arvidsson, Patrik
    et al.
    Uppsala University, Sweden; Jonköping University, Sweden; Jonköping University, Sweden.
    Granlund, Mats
    Jonköping University, Sweden; University of Oslo, Norway.
    Thyberg, Mikael
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Sinnescentrum, Smärt och rehabiliteringscentrum.
    How are the activity and participation aspects of the ICF used? Examples from studies of people with intellectual disability2015Ingår i: NeuroRehabilitation (Reading, MA), ISSN 1053-8135, E-ISSN 1878-6448, Vol. 36, nr 1, s. 45-49Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    INTRODUCTION: Interdisciplinary differences regarding understanding the International Classification of Functioning, Disability and Health (ICF) concepts activity/participation may hinder its unifying purpose. In the ICF model, functioning (and disability) is described as a tripartite concept: 1) Body structures/functions, 2) Activities, and 3) Participation. Activities refer to an individual perspective on disability that does not tally with the basic structure of social models. OBJECTIVE: To review how activity and participation are actually used in studies of intellectual disability (ID). CONCLUSION: Based on 16 papers, four different usages of activity/participation were found. 1) Theoretical reference to tripartite ICF concept with attempts to use it. 2) Theoretical reference to tripartite ICF concept without actual use of activities. 3) "Atheoretical" approach with implicit focus on participation. 4) Theoretical reference to bipartite concept with corresponding use of terms. The highlighted studies have in common a focus on participation. However, the usage of the term "activity" differs both within and between studies. Such terminology will probably confuse interdisciplinary communication rather than facilitating it. Also, the use of an explicit underlying theory differs, from references to a tripartite to references to a bipartite concept of disability. This paper is focused on ID, but the discussed principles regarding the ICF and interdisciplinary disability theory are applicable to other diagnostic groups within rehabilitation practices.

  • 10.
    Ball, Martin
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neuro- och inflammationsvetenskap.
    The Establishment of DisorderedSpeechBank: A digital archive of disordered speech across languages2016Konferensbidrag (Refereegranskat)
  • 11.
    Ball, Martin
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neuro- och inflammationsvetenskap. Linköpings universitet, Medicinska fakulteten.
    Isaksson, Fredrik
    Linköpings universitet, Institutionen för klinisk och experimentell medicin. Linköpings universitet, Medicinska fakulteten.
    Larsson, Elias
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten.
    Müller, Nicole
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neuro- och inflammationsvetenskap. Linköpings universitet, Medicinska fakulteten.
    Dysarthria in Swedish2016Konferensbidrag (Övrigt vetenskapligt)
  • 12.
    Ball, Martin J.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neuro- och inflammationsvetenskap. Linköpings universitet, Medicinska fakulteten.
    Principles of clinical phonology: theoretical approaches2016 (uppl. 1)Bok (Refereegranskat)
    Abstract [en]

    Those working on the description of disordered speech are bound to be also involved with clinical phonology to some extent. This is because interpreting the speech signal is only the first step to an analysis. Describing the organization and function of a speech system is the next step. However, it is here that phonologists differ in their descriptions, as there are many current approaches in modern linguistics to undertaking phonological analyses of both normal and disordered speech.

    Much of the work in theoretical phonology of the last fifty years or so is of little use in either describing disordered speech or explaining it. This is because the dominant theoretical approach in linguists as a whole attempts elegant descriptions of linguistic data, not a psycholinguistic model of what speakers do when they speak. The latter is what is needed in clinical phonology. In this text, Martin J. Ball addresses these issues in an investigation of what principles should underlie a clinical phonology. This is not, however, simply another manual on how to do phonological analyses of disordered speech data, though examples of the application of various models of phonology to such data are provided. Nor is this a guide on how to do therapy, though a chapter on applications is included. Rather, this is an exploration of what theoretical underpinnings are best suited to describing, classifying, and treating the wide range of developmental and acquired speech disorders encountered in the speech-language pathology clinic.

  • 13.
    Ball, Martin J.
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neuro- och inflammationsvetenskap. Linköpings universitet, Medicinska fakulteten.
    Howard, Sara
    Esling, John
    Dickson, Craig
    Revisions to the extIPA and VoQS symbol sets.2016Konferensbidrag (Refereegranskat)
  • 14.
    Bennett, Rebecca J.
    et al.
    Ear Sci Inst Australia, Australia; Univ Western Australia, Australia.
    Laplante-Lévesque, Ariane
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Oticon Med, Denmark.
    Eikelboom, Robert H.
    Ear Sci Inst Australia, Australia; Univ Western Australia, Australia; Univ Pretoria, South Africa.
    How Do Hearing Aid Owners Respond to Hearing Aid Problems?2019Ingår i: Ear and Hearing, ISSN 0196-0202, E-ISSN 1538-4667, Vol. 40, nr 1, s. 77-87Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Although hearing aids can improve hearing and communication, problems that arise following the acquisition of hearing aids can result in their disuse. This study aimed to gather perspectives of hearing aid owners and hearing health care clinicians about how hearing aid owners respond to problems that arise following hearing aid fitting, and then use these perspectives to generate a conceptual framework to better understand these responses. Methods: Seventeen hearing aid owners and 21 hearing health care clinicians generated, sorted, and rated statements regarding how hearing aid owners respond to problems associated with hearing aid use. Concept mapping was used to identify key themes and to develop a conceptual framework. Results: Participants identified four concepts regarding how hearing aid owners respond to problems associated with hearing aids: (1) Seeking External Help; (2) Problem Solving; (3) Putting Up with Problems; and (4) Negative Emotional Response. Participants described behaviors of the clinician and significant others that influenced their decision to seek help for hearing aid problems. Participants recognized that these behaviors could either have a helpful or unhelpful impact. Conclusions: Despite the ongoing support offered to clients after they acquire hearing aids, they are hesitant to seek help from their clinician and instead engage in a myriad of helpful and unhelpful behaviors in response to problems that arise with their hearing aid. Previous positive or negative experiences with the clinic, clinician, or significant other influenced these actions, highlighting the influential role of these individuals in the success of the rehabilitation program. The data generated from this study suggests that clinicians could improve hearing aid problem resolution by providing technical and emotional support, including to significant others, and promoting client empowerment and self-management.

  • 15.
    Bennett, Rebecca J.
    et al.
    Ear Sci Inst Australia, Australia; Univ Western Australia, Australia.
    Laplante-Lévesque, Ariane
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Eriksholm Res Ctr, Denmark.
    Meyer, Carly J.
    Univ Queensland, Australia.
    Eikelboom, Robert H.
    Ear Sci Inst Australia, Australia; Univ Western Australia, Australia; Univ Pretoria, South Africa.
    Exploring Hearing Aid Problems: Perspectives of Hearing Aid Owners and Clinicians2018Ingår i: Ear and Hearing, ISSN 0196-0202, E-ISSN 1538-4667, Vol. 39, nr 1, s. 172-187Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objectives: To gather perspectives of hearing aid owners and hearing healthcare clinicians with regard to problems that arise after hearing aid fitting and use these perspectives to generate a conceptual framework to gain a better understanding of these problems. Design: Participants included a group of 17 hearing aid owners and a group of 21 hearing healthcare clinicians; data collection occurred separately for each group. Participants each attended two group sessions in Perth, Western Australia, wherein they: (1) generated statements describing the problems associated with hearing aids and (2) grouped and rated the statements to identify key themes. Concept mapping was used to generate a conceptual framework. Results: Participants identified four concepts regarding hearing aid problems as follows: (1) hearing aid management; (2) hearing aid sound quality and performance; (3) feelings, thoughts, and behaviors; and (4) information and training. While hearing aid owners and clinicians generated similar results regarding the concepts derived, the clinicians reported that the problems identified had a greater negative impact on hearing aid success than did hearing aid owners. Conclusions: The magnitude and diversity of hearing aid problems identified in this study highlight the ongoing challenges that hearing aid owners face and suggest that current processes for hearing aid fitting can be improved. Problems relating to hearing aid management were most often deemed to have the greatest impact on hearing aid success and be the most preventable/solvable, and thus are a good starting point when addressing hearing aid-related problems.

  • 16.
    Berg, Jessica
    et al.
    Linköpings universitet, NISAL - Nationella institutet för forskning om äldre och åldrande. Swedish National Road and Transport Research Institute (VTI), Linköping, Sweden.
    Levin, Lena
    Swedish National Road and Transport Research Institute (VTI), Linköping, Sweden.
    Abramsson, Marianne
    Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, NISAL - Nationella institutet för forskning om äldre och åldrande.
    Hagberg, Jan-Erik
    Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, NISAL - Nationella institutet för forskning om äldre och åldrande.
    “I want complete freedom”: car use and everyday mobility among the newly retired2015Ingår i: European Transport Research Review, ISSN 1867-0717, E-ISSN 1866-8887, Vol. 7, nr 4Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose

    To investigate car use among newly retired people, to explore to what extent car transport is used for everyday mobility and how it is valued in comparison to other transport modes.

    Methods

    The data consists of travel diaries and qualitative interviews with 24 individuals, aged between 61 and 67, living in a middle-sized Swedish city. They were recruited via the local branch of one of the main associations of pensioners, one large employer in the municipality, and through another study. The informants filled in a travel diary during 1 week that were analysed by VISUAL- TimePAcTS, an application for visualising and exploring activity diary data. The semi-structured qualitative interviews were analysed using a qualitative content analysis.

    Results

    The car was used for several trips daily and often for short trips. The informants had a lot of everyday projects that they would not be able to perform if they did not have access to a car. The importance of the car does not seem to have changed upon retirement, albeit it is partly used for other reasons than before. The informant’s social context implies new space-time constraints. Commitments to family members, engagement in associations and spouses’ occupations affect how much and when they use the car, and their overall mobility.

    Conclusions

    In contrast to much research on older people’s mobility that has studied slightly older people, this study have focused on a specific group that are relatively healthy, well-off, and have the possibility to choose between different modes of transport. By combining travel diaries and qualitative interviews, we have explored how newly retired people reason as regard their travel behaviour but also how they actually travel. Although the car was used more than other transport modes, being able to walk and cycle now that they had more time as retirees was highly valued. Our results indicate that urban residents that are retiring now and in the future are a key target group in transport planning when it comes to reduce car use in favour of slow modes of transport.

  • 17.
    Berglund, Josefin
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Logopedi. Linköpings universitet, Hälsouniversitetet.
    Hasselquist, Kaisa
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Logopedi. Linköpings universitet, Hälsouniversitetet.
    Fonologi hos svenska 5- och 6-åringar med typisk språkutveckling: Referensmaterial till det fonologiska testmaterialet LINUS2014Självständigt arbete på avancerad nivå (magisterexamen), 20 poäng / 30 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Ett nytt fonologiskt testmaterial, LINUS, är framtaget för svensktalande barn. I föreliggande studie har referensmaterial till den långa versionen av det nya testet insamlats bland barn 5-7 år i en mellanstor kommun i norra Kalmar län. Totalt deltog 124 barn (58 flickor och 66 pojkar) med svenska som modersmål och typisk språkutveckling. Barnen delades upp i två åldersintervall, 5;0-5;11;31 och 6;0-6;11;31 år. Det insamlade materialet analyserades avseende etablering av fonem och konsonantkombinationer, samt förekomst av ordstrukturprocesser. Andelsmått för korrekt uttalade ord (PWC), konsonanter (PCC) och vokaler (PVC) beräknades.Samtliga fonem, utom /s/, var etablerade i båda åldersgrupperna. Fonemet /s/ realiserades med substitutioner eller kvalitativt marginella avvikelser (KMA). I 5-årsgruppen var /s/ etablerat för 84% av deltagarna. Bland 5-åringarna förekom substitutioner av /s/ hos 7% och KMA förekom hos 23%. I 6-årsgruppen var /s/ etablerat till 88%, och det förekom substitutioner hos 3% av 6-åringarna, och KMA förekom hos 16%. Fonemet /r/ visade sig vara ett gränsfall avseende etablering för den yngre åldersgruppen (91%). Den vanligaste ordstrukturprocessen för båda grupperna var assimilationer. Signifikanta skillnader mellan de två åldersgrupperna återfanns avseende assimilationer, p=0,022. Förekomsten av assimilationer minskade med stigande ålder. Tvåkonsonantskombinationer (CC) och trekonsonantskombinationer (CCC) visade sig ej vara påverkade av förenklingar i någon större grad. Dock visade sig CC-kombinationer vara mer utsatta för förenklingar än CCC-kombinationer. Båda åldersgrupperna hade höga andelar korrekt uttalade ord, konsonanter och vokaler. De två grupperna fick följande resultat: PWC för 5-åringar var 93% och 6-åringar 97%. PCC var 98% respektive 99% för grupperna. PVC var 100% för båda åldersgrupperna. Åldersskillnader kunde ses för PWC, dock inte för de andra måtten. Inga könsskillnader noterades.

  • 18.
    Bernard, Christophe
    et al.
    Aix Marseille Université, INS, Marseille, France; Inserm, UMR_S 1106, Marseille, France.
    Simon, Daniel
    Linköpings universitet, Institutionen för teknik och naturvetenskap, Fysik och elektroteknik. Linköpings universitet, Tekniska fakulteten.
    Malliaras, George G
    Department of Bioelectronics, Ecole Nationale Supérieure des Mines, CMP-EMSE, MOC, Gardanne, France.
    Organic Bioelectronics for Interfacing with the Brain2016Ingår i: The WSPC Reference on Organic Electronics: Organic Semiconductors: Volume 2: Fundamental Aspects of Materials and Applications / [ed] Seth R Marder, Jean-Luc Bredas, World Scientific, 2016, s. 345-368Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Abstract [en]

    Understanding how the brain works represents probably the most important fundamental endeavor of humankind and holds the key for the development of new technologies that can help improve the lives of people suffering from neurological conditions such as epilepsy and Parkinson's disease. Over the past decade, the use of organic electronic devices to interface with the biological world has received a great deal of attention and bloomed into a field now called “organic bioelectronics”. One of the key differences of organic from traditional electronic materials is their capacity to exchange ions with electrolytes. We discuss how this property can be leveraged to design new types of devices that interface with the brain.Read 

  • 19.
    Beukes, Eldre W.
    et al.
    Anglia Ruskin Univ, England.
    Baguley, David M.
    Anglia Ruskin Univ, England; Nottingham Biomed Res Ctr, England; Univ Nottingham, England.
    Allen, Peter M.
    Anglia Ruskin Univ, England.
    Manchaiah, Vinaya
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV). Lamar Univ, TX 77710 USA; Audiol India, India; Manipal Univ, India.
    Andersson, Gerhard
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten. Karolinska Inst, Sweden.
    Audiologist-Guided Internet-Based Cognitive Behavior Therapy for Adults With Tinnitus in the United Kingdom: A Randomized Controlled Trial2018Ingår i: Ear and Hearing, ISSN 0196-0202, E-ISSN 1538-4667, Vol. 39, nr 3, s. 423-433Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objectives: Specialist tinnitus services are in high demand as a result of the negative effect tinnitus may have on quality of life. Additional clinically and cost-effective tinnitus management routes are needed. One potential route is providing Cognitive Behavioural Therapy for tinnitus via the Internet (iCBT). This study aimed to determine the efficacy of guided iCBT, using audiological support, on tinnitus distress and tinnitus-related comorbidities, in the United Kingdom. A further aim was to establish the stability of intervention effects 2-months postintervention. The hypothesis was that iCBT for tinnitus would be more effective at reducing tinnitus distress than weekly monitoring. Design: A randomized, delayed intervention efficacy trial, with a 2-month follow-up was implemented to evaluate the efficacy of iCBT in the United Kingdom. Participants were randomly assigned to the experimental (n = 73) or weekly monitoring control group (n = 73) after being stratified for tinnitus severity and age. After the experimental group completed the 8-week long iCBT intervention, the control group undertook the same intervention. Intervention effects were, therefore, evaluated in two independent groups at two time points. The primary outcome was a change in tinnitus distress between the groups as assessed by the Tinnitus Functional Index. Secondary assessment measures were included for insomnia, anxiety, depression, hearing disability, hyperacusis, cognitive failures, and satisfaction with life. These were completed at baseline, postintervention, and at a 2-month postintervention follow-up. Results: After undertaking the iCBT intervention, the experimental group had a greater reduction in tinnitus distress when compared with the control group. This reduction was statistically significant (Cohens d = 0.7) and was clinically significant for 51% of the experimental group and 5% of the control group. This reduction was evident 4 weeks after commencing the iCBT intervention. Furthermore, the experimental group had a greater reduction in insomnia, depression, hyperacusis, cognitive failures, and a greater improvement in quality of life, as evidenced by the significant differences in these assessment measures postintervention. Results were maintained 2 months postintervention. Conclusions: Guided (using audiological support) iCBT for tinnitus resulted in statistically significant reductions in tinnitus distress and comorbidities (insomnia, depression, hyperacusis, cognitive failures) and a significant increase in quality of life. These effects remained stable at 2-months postintervention. Further trials to determine the longer term efficacy of ICBT to investigate predictors of outcome and to compare iCBT with standard clinical care in the United Kingdom are required.

  • 20.
    Beukes, Eldre W.
    et al.
    Anglia Ruskin Univ, England.
    Manchaiah, Vinaya
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV). Lamar Univ, TX 77710 USA; Audiol India, India; Manipal Univ, India.
    Andersson, Gerhard
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten. Karolinska Inst, Sweden.
    Allen, Peter M.
    Anglia Ruskin Univ, England; Anglia Ruskin Univ, England.
    Terlizzi, Paige M.
    Lamar Univ, TX 77710 USA.
    Baguley, David M.
    Anglia Ruskin Univ, England; Nottingham Biomed Res Ctr, England; Univ Nottingham, England.
    Situationally influenced tinnitus coping strategies: a mixed methods approach2018Ingår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 40, nr 24, s. 2884-2894Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: The primary aim of this study was to identify coping strategies used to manage problematic tinnitus situations. A secondary aim was to determine whether different approaches were related to the level of tinnitus distress, anxiety, depression, and insomnia experienced. Materials and methods: A cross-sectional survey design was implemented. The study sample was adults interested in undertaking an Internet-based intervention for tinnitus. Self-reported measures assessed the level of tinnitus distress, depression, anxiety, and insomnia. An open-ended question was used to obtain information about how problematic tinnitus situations were dealt with. Responses were investigated using qualitative content analysis to identify problematic situations. Further data analysis comprised of both qualitative and quantitative methods. Results: There were 240 participants (137 males, 103 females), with an average age of 48.16 years (SD: 22.70). Qualitative content analysis identified eight problematic tinnitus situations. Participants had either habituated to their tinnitus (7.9%), used active (63.3%), or passive (28.8%) coping styles to manage these situations. Those who had habituated to tinnitus or used active coping strategies had lower levels of tinnitus distress, anxiety, and depression. Conclusions: The main problematic tinnitus situations for this cohort were identified. Both active and passive coping styles were applied to approach these situations. The coping strategies used most frequently and utilised in the widest range of problematic situations were using sound enrichment and diverting attention.

  • 21.
    Beukes, Eldre W.
    et al.
    Anglia Ruskin Univ, England.
    Manchaiah, Vinaya
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV). Lamar Univ, TX 77710 USA; Audiol India, India; Manipal Univ, India.
    Baguley, David M.
    Anglia Ruskin Univ, England; NIHR, England; Univ Nottingham, England.
    Allen, Peter M.
    Anglia Ruskin Univ, England; Anglia Ruskin Univ, England.
    Andersson, Gerhard
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten. Karolinska Inst, Sweden.
    Process evaluation of Internet-based cognitive behavioural therapy for adults with tinnitus in the context of a randomised control trial2018Ingår i: International Journal of Audiology, ISSN 1499-2027, E-ISSN 1708-8186, Vol. 57, nr 2, s. 98-109Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: The research objective was to identify processes that could either facilitate or hinder clinical implementation of an Internet-based cognitive behavioural therapy intervention for tinnitus in the UK. This was done by exploring the research context, the intervention components and the factors that contributed to the outcomes obtained. Design: This study investigated eight processes including the recruitment strategies, reach, research context, treatment dose delivered and received, implementation fidelity, barriers to implementation and effectiveness of the intervention. Study sample: Of the 169 registered participants, 146 were randomly assigned to the experimental or control groups (23 were excluded). The mean age was 55.57 years with an average tinnitus duration of 11.63 years. Results: The intended sample of people with distressing tinnitus who were underserved with evidence-based tinnitus interventions was reached. The full guided intervention was delivered. The recommended modules were read more than the optional modules. Intervention components such as the easily readable format and the benefits of the applied relaxation programme facilitated significant positive post-intervention outcomes. Barriers hampering the intervention application included time pressures and low self-motivation. Conclusions: Results of this process evaluation together with the outcome data can be used to facilitate translating this research into clinical practice.

  • 22.
    Bolic Baric, Vedrana
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Medicinska fakulteten.
    Support in school and the occupational transition process: Adolescents and young adults with neuropsychiatric disabilities2016Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    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.

    Delarbeten
    1. Computer use in educational activities by students with ADHD
    Öppna denna publikation i ny flik eller fönster >>Computer use in educational activities by students with ADHD
    Visa övriga...
    2013 (Engelska)Ingår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 20, nr 5, s. 357-364Artikel i tidskrift (Refereegranskat) 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.

    Ort, förlag, år, upplaga, sidor
    Informa Healthcare, 2013
    Nyckelord
    Information and communication technology (ICT), computer access, school-based practice, physical disabilities
    Nationell ämneskategori
    Arbetsterapi
    Identifikatorer
    urn:nbn:se:liu:diva-86782 (URN)10.3109/11038128.2012.758777 (DOI)000323943600006 ()
    Tillgänglig från: 2013-01-04 Skapad: 2013-01-04 Senast uppdaterad: 2017-12-06Bibliografiskt granskad
    2. Internet Activities During Leisure: A Comparison Between Adolescents With ADHD and Adolescents From the General Population
    Öppna denna publikation i ny flik eller fönster >>Internet Activities During Leisure: A Comparison Between Adolescents With ADHD and Adolescents From the General Population
    2018 (Engelska)Ingår i: Journal of Attention Disorders, ISSN 1087-0547, E-ISSN 1557-1246, Vol. 22, nr 12, s. 1131-1139Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

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

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

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

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

    Ort, förlag, år, upplaga, sidor
    Sage Publications, 2018
    Nyckelord
    adolescent ADHD, computer games, principal components analysis, peer relationships
    Nationell ämneskategori
    Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi Tvärvetenskapliga studier inom samhällsvetenskap
    Identifikatorer
    urn:nbn:se:liu:diva-123871 (URN)10.1177/1087054715613436 (DOI)000444488700005 ()26610742 (PubMedID)
    Tillgänglig från: 2016-01-12 Skapad: 2016-01-12 Senast uppdaterad: 2018-09-27Bibliografiskt granskad
    3. Support for learning- goes beyond academic support: voices of students with Asperger’s disorder and ADHD
    Öppna denna publikation i ny flik eller fönster >>Support for learning- goes beyond academic support: voices of students with Asperger’s disorder and ADHD
    2016 (Engelska)Ingår i: Autism, ISSN 1362-3613, E-ISSN 1461-7005, Vol. 20, nr 2, s. 183-195Artikel i tidskrift (Refereegranskat) 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.

    Ort, förlag, år, upplaga, sidor
    Sage Publications, 2016
    Nyckelord
    Autism Spectrum Disorders, ADHD/ADD, psychosocial support, education, educational provision, services, qualitative research, special needs students
    Nationell ämneskategori
    Annan hälsovetenskap
    Identifikatorer
    urn:nbn:se:liu:diva-115117 (URN)10.1177/1362361315574582 (DOI)000372880100007 ()
    Tillgänglig från: 2015-03-10 Skapad: 2015-03-09 Senast uppdaterad: 2017-04-21Bibliografiskt granskad
    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
    Öppna denna publikation i ny flik eller fönster >>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 (Engelska)Ingår i: Journal of autism and developmental disorders, ISSN 0162-3257, E-ISSN 1573-3432, Vol. 47, nr 3, s. 667-679Artikel i tidskrift (Refereegranskat) 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.

    Ort, förlag, år, upplaga, sidor
    Springer, 2017
    Nyckelord
    Attention deficit hyperactivity disorder/attention deficit disorder, autism spectrum disorders, employment, education, qualitative research, services
    Nationell ämneskategori
    Annan hälsovetenskap Neurovetenskaper
    Identifikatorer
    urn:nbn:se:liu:diva-123872 (URN)10.1007/s10803-016-2986-z (DOI)000396815400014 ()
    Tillgänglig från: 2016-01-12 Skapad: 2016-01-12 Senast uppdaterad: 2018-01-15Bibliografiskt granskad
  • 23.
    Bolic Baric, Vedrana
    et al.
    Linköpings universitet, Medicinska fakulteten. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för arbetsterapi.
    Hemmingsson, Helena
    Linköpings universitet, Medicinska fakulteten. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för arbetsterapi.
    Hellberg, Kristina
    Linnaeus University, Växjö, Sweden .
    Kjellberg, Anette
    Linköpings universitet, Medicinska fakulteten. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för arbetsterapi.
    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 Disorder2017Ingår i: Journal of autism and developmental disorders, ISSN 0162-3257, E-ISSN 1573-3432, Vol. 47, nr 3, s. 667-679Artikel i tidskrift (Refereegranskat)
    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.

  • 24.
    Bolic, Vedrana
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för arbetsterapi. Linköpings universitet, Medicinska fakulteten.
    Hellberg, Kristina
    Specialpedagogiska institutionen, Stockholms universitet, Stockholm, Sweden.
    Kjellberg, Anette
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för arbetsterapi. Linköpings universitet, Medicinska fakulteten.
    Hemmingsson, Helena
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för arbetsterapi. Linköpings universitet, Medicinska fakulteten.
    Support for learning- goes beyond academic support: voices of students with Asperger’s disorder and ADHD2016Ingår i: Autism, ISSN 1362-3613, E-ISSN 1461-7005, Vol. 20, nr 2, s. 183-195Artikel i tidskrift (Refereegranskat)
    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.

  • 25.
    Classon, Elisabeth
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neurovetenskap. Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutet för handikappvetenskap (IHV).
    Rudner, Mary
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV).
    Rönnberg, Jerker
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV).
    Working memory compensates for hearing related phonological processing deficit2013Konferensbidrag (Refereegranskat)
    Abstract [en]

    Acquired hearing impairment is associated with gradually declining phonological representations. According to the Ease of Language Understanding (ELU) model, poorly defined representations lead to mismatch in phonologically challenging tasks. To resolve the mismatch, reliance on working memory capacity (WMC) increases. This study investigated whether WMC modulated performance in a phonological task in individuals with hearing impairment. A visual rhyme judgment task with congruous or incongruous orthography, followed by an incidental episodic recognition memory task, was used. In participants with hearing impairment, WMC modulated both rhyme judgment performance and recognition memory in the orthographically similar non-rhyming condition; those with high WMC performed exceptionally well in the judgment task, but later recognized few of the words. For participants with hearing impairment and low WMC the pattern was reversed; they performed poorly in the judgment task but later recognized a surprisingly large proportion of the words. Results indicate that good WMC can compensate for the negative impact of auditory deprivation on phonological processing abilities by allowing for efficient use of phonological processing skills. They also suggest that individuals with hearing impairment and low WMC may use a non-phonological approach to written words, which can have the beneficial side effect of improving memory encoding.

    LEARNING OUTCOMES:

    Readers will be able to: (1) describe cognitive processes involved in rhyme judgment, (2) explain how acquired hearing impairment affects phonological processing and (3) discuss how reading strategies at encoding impact memory performance.

  • 26.
    Dahlberg, Johanna
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för mikrobiologi och molekylär medicin. Linköpings universitet, Medicinska fakulteten.
    Nelson, Marie
    Region Östergötland, Barn- och kvinnocentrum, Kvinnokliniken i Linköping.
    Abrandt Dahlgren, Madeleine
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten.
    Blomberg, Marie
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för barns och kvinnors hälsa. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Barn- och kvinnocentrum, Kvinnokliniken i Linköping.
    Ten years of simulation-based shoulder dystocia training-impact on obstetric outcome, clinical management, staff confidence, and the pedagogical practice - a time series study2018Ingår i: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 18, artikel-id 361Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: To assess the impact of 10 years of simulation-based shoulder dystocia training on clinical outcomes, staff confidence, management, and to scrutinize the characteristics of the pedagogical practice of the simulation training. Methods: In 2008, a simulation-based team-training program (PROBE) was introduced at a medium sized delivery unit in Linkoping, Sweden. Data concerning maternal characteristics, management, and obstetric outcomes was compared between three groups; prePROBE (before PROBE was introduced, 2004-2007), early postPROBE (2008-2011) and late postPROBE (2012-2015). Staff responded to an electronic questionnaire, which included questions about self-confidence and perceived sense of security in acute obstetrical situations. Empirical data from the pedagogical practice was gathered through observational field notes of video-recordings of maternity care teams participating in simulation exercises and was further analyzed using collaborative video analysis. Results: The number of diagnosed shoulder dystocia increased from 0.9/1000 prePROBE to 1.8 and 2.5/1000 postPROBE. There were no differences in maternal characteristics between the groups. The rate of brachial plexus injuries in deliveries complicated with shoulder dystocia was 73% prePROBE compared to 17% in the late postPROBE group (p amp;gt; 0.05). The dominant maneuver to solve the shoulder dystocia changed from posterior arm extraction to internal rotation of the anterior shoulder between the pre and postPROBE groups. The staff questionnaire showed how the majority of the staff (48-62%) felt more confident when handling a shoulder dystocia after PROBE training. A model of facilitating relational reflection adopted seems to provide ways of keeping the collaboration and learning in the interprofessional team clearly focused. Conclusions: To introduce and sustain a shoulder dystocia training program for delivery staff improved clinical outcome. The impaired management and outcome of this rare, emergent and unexpectedly event might be explained by the learning effect in the debriefing model, clearly focused on the team and related to daily clinical practice.

  • 27.
    Dahlin, Emilia
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin.
    de Laval, Agnes
    Linköpings universitet, Institutionen för klinisk och experimentell medicin.
    Par- och gruppintervention för personer med afasi och deras partner2016Självständigt arbete på avancerad nivå (magisterexamen), 20 poäng / 30 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Afasi är ett samlingsbegrepp för förvärvade språkstörningar. Symptomen förekommer i högst utsträckning hos personer som drabbats av en stroke. Personer som drabbats av någon typ av afasi upplever ofta att deras kommunikativa förmåga i hög grad begränsats efter insjuknandet, vilket kan leda till stor eller mycket stor social inskränkning. De psykologiska faktorer som påverkas rör kognition och emotion, sociala strukturer och relationer, exempelvis personliga relationer, yrkesliv eller utbildning. Därmed relateras de psykosociala konsekvenserna av afasi till hur tillståndet påverkar vardagslivet och förmågan till att interagera med den sociala omgivningen. Idag sker intervention för personer med afasi individuellt och gruppintervention eller anhöriginkludering ses som sekundära komplement till den individuella behandlingen.

    I föreliggande studie undersöks en form av intervention där personer med afasi och deras anhöriga gemensamt får ta del av kommunikativa strategier och tilldelas individanpassade råd. Inspiration har hämtats från den befintliga anhöriginkluderande metoden SPPARC. Målet med interventionen var att den vardagliga kommunikationen skulle stärkas och effektiviseras. Interventionen skedde under en fem veckor lång period och utförts i två olika konstellationer; ett par och en mindre grupp. Gruppkonstellationerna har sedan jämförts med varandra. Båda koncepten utvärderades positivt av deltagarna. De förefaller därmed vara tillämpbara båda två, men beroende på deltagarnas förväntningar och psykosociala behov kan något av koncepten föredras på ett individuellt plan.

    Resultatet av föreliggande studie indikerar att det finns ett psykosocialt behov av att inkludera anhöriga till personer med afasi i intervention. En ökad medvetenhet hos deltagarna noterades gällande flera av de kommunikativa strategier som behandlades under interventionens gång, bland annat gestikulering och prompting. Deltagarnas utvärdering av perioden tyder på att interventionsperioden framför allt fungerat som ett forum för samtal kring afasi och kommunikation och att den har tjänat sitt syfte i psykosocial bemärkelse. Deltagarna uppgav dock under utvärderingen att interventionen är bäst lämpad som en tidig insats efter personen med afasis insjuknande.

  • 28.
    Danielsson, Henrik
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköping University, Linnaeus Centre HEAD.
    Pichora-Fuller, Kathleen
    University of Toronto, Department of Psychology .
    Dupuis, Kate
    Baycrest Health Sciences, Rotman Research Institute.
    Rönnberg, Jerker
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköping University, Linnaeus Centre HEAD.
    Modeling the effect of early age-related hearing loss on cognition and participation in social leisure activities2015Konferensbidrag (Övrigt vetenskapligt)
    Abstract [en]

    There are well-known age-related declines in hearing, cognition and social participation. Furthermore, previous studies have shown that hearing loss is associated with both cognitive decline and increased risk for social isolation and that engagement in social leisure activities is related to cognitive decline. However, it is unclear how the three concepts and age relate to each other. In the current study, behavioral measures of hearing and memory were examined in relation to self-reported participation in social leisure activities. Data from two different samples were analyzed with structural equation modeling. The first consisted of 297 adults from Umeå, Sweden, who participated in the Betula longitudinal study. The second consisted of 273 older adults who volunteered for lab-based research on aging in Toronto, Canada. Structural equation modeling yielded two models with similar statistical properties for both samples. The first model suggests that age contributes to both hearing and memory performance, hearing contributes to memory performance, and memory (but not hearing) contributes to participation in social leisure activities. The second model also suggests that age contributes to hearing and memory performance and that hearing contributes to memory performance, but that age also contributes to participation in social leisure activities, which in turn contributes to memory performance. The models were confirmed in both samples, indicating robustness in the findings, especially since the samples differed on background variables such as years of education and marital status. Few participants in both samples were candidates for hearing aids, but most of those who were candidates used them. This suggests that even early stages of hearing loss can increase demands on cognitive processing that may deter participation in social leisure activities.

  • 29.
    Dernroth, Elena
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Logopedi. Linköpings universitet, Hälsouniversitetet.
    Aldenholt, Annzofie
    En samtalsanalytisk studie av kommunikativa strategier och professionell interaktion mellan logoped-patient med afasi och arbetsterapeutpatient med afasi2012Självständigt arbete på grundnivå (högskoleexamen), 20 poäng / 30 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    I föreliggande studie undersöks det institutionella samtalet inom vården, med inriktning pålogoped och arbetsterapeut i samspel med gemensam patient. Syftet med studien var attkartlägga de vanligt förekommande kommunikativa strategier som används i detprofessionella samtalet mellan logoped och patient med afasi samt mellan arbetsterapeut ochsamma patient. Specifika frågeställningar var: Vilka kommunikativa strategier används isamtal mellan logoped och patient med afasi och i relationen mellan arbetsterapeut ochsamma patient? Finns det skillnader/likheter mellan hur logopeder och arbetsterapeuterinteragerar med patienter som har afasi?Två patienter i interaktion med varsin logoped och varsin arbetsterapeut, sex personer totalt,spelades in under patientens behandlingstillfällen hos respektive profession. Generella ochspecifika aspekter av det institutionella samtalet analyserades sedan enligt samtalsanalytiskaprinciper.Likheter i användandet av slutna frågor som strategi för att effektivisera kommunikationenkunde ses mellan yrkeskategorierna i studien. Även användandet av utvärderingar var relativtlika mellan yrkesgrupperna.Vissa skillnader synliggjordes i respektive yrkesgrupps sätt att använda repetitioner,reparationer, samkonstruktioner och icke-verbal kommunikation. Gällande användande avkommunikativa hjälpmedel som stöd för patientens förståelse, sågs tydliga skillnader mellanyrkeskategorierna.

  • 30.
    Dockens, Ashley L.
    et al.
    Department of Speech and Hearing Sciences, Lamar University, Beaumont, TX, USA.
    Bellon-Harn, Monica L.
    Department of Speech and Hearing Sciences, Lamar University, Beaumont, TX, USA.
    Burns, Erin S.
    Department of Speech and Hearing Sciences, Lamar University, Beaumont, TX, USA.
    Manchaiah, Vinaya K. C.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV). Department of Speech and Hearing Sciences, Lamar University, Beaumont, TX, USA; Audiology India, Mysore, Karnataka, India.
    Hinojosa, Orlando
    Department of Speech and Hearing Sciences, Lamar University, Beaumont, TX, USA.
    Examination of an Audiologists Response to Patients Expression of Symptoms: A Pilot Study2017Ingår i: Journal of audiology and otology, ISSN 2384-1621, Vol. 21, nr 2, s. 115-119Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This pilot study explores audiologist-patient interactions during initial evaluations or consultations. In particular, an audiologist’s response to patient symptoms is examined. Conversations between audiologist and patients were recorded using a digital recorder, which were transcribed, and analyzed using the Codes for Human Analysis of Transcripts and Child Language Analysis computer programs. Mean length of turn and frequency of utterances related to explicit discussion or description of symptoms or the patient’s interpretation of symptoms was determined. Study sample: six audiologist-patient interactions were recorded and transcribed. A single audiologist was used for this pilot investigation. Results suggest that during the initial audiological consultations related to hearing difficulties the audiologist produced more utterances related to explicit description of the symptoms, whereas when during the sessions about complex disorder and hearing aid consultation the audiologist produced more utterances related to the patient’s interpretation of the symptoms. Also, a more equitable distribution of words and utterances per turn are observed during the initial consultation about hearing difficulties when compared to complex disorders and hearing aid consultation sessions where the audiologist was dominant within the interaction. This preliminary study reveals unique insights to audiologist’s communication behavior during audiology consultation session. Efforts are needed to educate and promote appropriate communication between audiologists’ and patients, which could result in increased patient satisfaction.

  • 31.
    Dueppen, Abigail J.
    et al.
    Lamar Univ, TX 77710 USA.
    Bellon-Harn, Monica L.
    Lamar Univ, TX 77710 USA.
    Radhakrishnan, Nandhakumar
    Lamar Univ, TX 77710 USA.
    Manchaiah, Vinaya
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV). Lamar Univ, TX 77710 USA; Audiol India, India.
    Quality and Readability of English-Language Internet Information for Voice Disorders2019Ingår i: Journal of Voice, ISSN 0892-1997, E-ISSN 1873-4588, Vol. 33, nr 3, s. 290-296Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose. The purpose of this study is to evaluate the readability and quality of English-language Internet information related to vocal hygiene, vocal health, and prevention of voice disorders. This study extends recent work because it evaluates readability, content quality, and website origin across broader search criteria than previous studies evaluating online voice material. Method. Eighty-five websites were aggregated using five different country-specific search engines. Websites were then analyzed using quality and readability assessments. The entire web page was evaluated; however, no information or links beyond the first page was reviewed. Statistical calculations were employed to examine website ratings, differences between website origin and quality and readability scores, and correlations between readability instruments. Result. Websites exhibited acceptable quality as measured by the DISCERN. However, only one website obtained the Health On the Net certification. Significant differences in quality were found among website origin, with government websites receiving higher quality ratings. Approximate educational levels required to comprehend information on the websites ranged from 8 to 9 years of education. Significant differences were found between website origin and readability measures with higher levels of education required to understand information on websites of nonprofit organizations. Conclusion. Current vocal hygiene, vocal health, and prevention of voice disorders websites were found to exhibit acceptable levels of quality and readability. However, highly rated Internet information related to voice care should be made more accessible to voice clients through Health On the Net certification.

  • 32.
    Eckard, Nathalie
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för hälso- och sjukvårdsanalys. Linköpings universitet, Medicinska fakulteten.
    The matter of economic evaluations in health policy decision-making: The case of the Swedish national guidelines for heart diseases2015Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    Economic evaluations are used to inform decision makers about the efficient allocation of scarce healthcare resources and are generated with the direct intent to support decisions in healthcare. Producing guidelines is a complex process and the inclusion of health-economic aspects in the formulation of the Swedish national guidelines as a basis for the written recommendations (priority gradings), distinguishes them from their European counterparts. Despite the increased use of cost-effectiveness data in decision-making, little is known about the actual use of such data. This thesis covers issues concerning how economic evaluations matter in health policy decision-making. The thesis includes four papers based on the Swedish national guidelines for heart diseases, one of the most prominent examples in Sweden of following the notion of evidence-based policy (EBP), in order to inform explicit priority setting.

    Both Papers I and II followed a qualitative case study design, based on the same data set. Paper I explored how a specific working group, the Priority Setting Group (PSG), handled the various forms of evidence and values when producing the national guidelines. Two themes were identified in reaching collective agreement in priority gradings; group facilitation activities and avoiding deadlock in the discussion. The work process involved disagreement and negotiation as part of that task. Paper I contributes to the theoretical and practical debate on EBP. Paper II focused on the use of cost-effectiveness data as decision support in the PSG work process. The paper addressed availability of cost-effectiveness data, evidence understanding, interpretation difficulties, and the reliance on evidence. Three themes were identified. The paper contributes to knowledge on how cost-effectiveness evidence was used in actual decision-making. The use of cost-effectiveness evidence was one of many tools employed to avoid deadlock in discussion and to reach a priority grading, when the overall evidence base was weak, in times of uncertainty and on the introduction of new expensive medical technologies.

    Quantitative research methods were used for both Papers III and IV. Paper III explored how the PSG was presented with cost-effectiveness evidence as decision support and as a basis for their priority gradings. Cost-effectiveness ratios (ICERs) were provided, based on a  systematic literature review, as well as how the results may be conveyed and communicated, for the treatment of heart diseases using a cost-effectiveness ranking or league and providing valid information within a limited space, aiding decision makers on the allocation of healthcare resources. The thesis also includes decision support in the form of cost-effectiveness analysis on catheter ablation treatment. Paper IV provides an example of presenting evidence in the form of a decision-analytic model. The modelling approach provides an analytic framework for decision-making, specifically under conditions of uncertainty as in the introduction of new medical technology. Catheter ablation was associated with reduced cost and an incremental gain in quality adjusted life years (QALYs), and was considered a cost-effective treatment strategy compared to the medical treatment strategy in a lifetime perspective.

    Delarbeten
    1. Reaching agreement in uncertain circumstances: the practice of evidence-based policy in the case of the Swedish National Guidelines for heart diseases
    Öppna denna publikation i ny flik eller fönster >>Reaching agreement in uncertain circumstances: the practice of evidence-based policy in the case of the Swedish National Guidelines for heart diseases
    2017 (Engelska)Ingår i: Evidence and Policy: A Journal of Research, Debate and Practice, ISSN 1744-2648, nr 4, s. 687-707Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    This paper explores the practice of evidence-based policy in a Swedish healthcare context. The study focused on how policymakers in the specific working group, the Priority-Setting Group (PSG), handled the various forms of evidence and values and their competing rationalities, when producing the Swedish National Guidelines for heart diseases that are based on both clinical and economic evidence and are established to support explicit priority-setting in healthcare. The study contributes to the theoretical and practical debate on evidence-based policy (EBP) by illustrating how the practical tensions of coming to agreement were managed, to a large extent, through deliberation and by creativity.

    Ort, förlag, år, upplaga, sidor
    Informa Healthcare, 2017
    Nyckelord
    cost-effectiveness; evidence-based policy; healthcare; national guidelines; priority setting; sense-making
    Nationell ämneskategori
    Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi Annan hälsovetenskap
    Identifikatorer
    urn:nbn:se:liu:diva-121280 (URN)10.1332/174426416X14788795557982 (DOI)000417405400007 ()
    Tillgänglig från: 2015-09-11 Skapad: 2015-09-11 Senast uppdaterad: 2017-12-29Bibliografiskt granskad
    2. Use of cost-effectiveness data in priority setting decisions: experiences from the national guidelines for heart diseases in Sweden
    Öppna denna publikation i ny flik eller fönster >>Use of cost-effectiveness data in priority setting decisions: experiences from the national guidelines for heart diseases in Sweden
    2014 (Engelska)Ingår i: International Journal of Health Policy and Management, ISSN 2322-5939, E-ISSN 2322-5939, Vol. 3, nr 6, s. 323-332Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    BACKGROUND: The inclusion of cost-effectiveness data, as a basis for priority setting rankings, is a distinguishing feature in the formulation of the Swedish national guidelines. Guidelines are generated with the direct intent to influence health policy and support decisions about the efficient allocation of scarce healthcare resources. Certain medical conditions may be given higher priority rankings i.e. given more resources than others, depending on how serious the medical condition is. This study investigated how a decision-making group, the Priority Setting Group (PSG), used cost-effectiveness data in ranking priority setting decisions in the national guidelines for heart diseases.

    METHODS: A qualitative case study methodology was used to explore the use of such data in ranking priority setting healthcare decisions. The study addressed availability of cost-effectiveness data, evidence understanding, interpretation difficulties, and the reliance on evidence. We were also interested in the explicit use of data in ranking decisions, especially in situations where economic arguments impacted the reasoning behind the decisions.

    RESULTS: This study showed that cost-effectiveness data was an important and integrated part of the decision-making process. Involvement of a health economist and reliance on the data facilitated the use of cost-effectiveness data. Economic arguments were used both as a fine-tuning instrument and a counterweight for dichotomization. Cost-effectiveness data were used when the overall evidence base was weak and the decision-makers had trouble making decisions due to lack of clinical evidence and in times of uncertainty. Cost-effectiveness data were also used for decisions on the introduction of new expensive medical technologies.

    CONCLUSION: Cost-effectiveness data matters in decision-making processes and the results of this study could be applicable to other jurisdictions where health economics is implemented in decision-making. This study contributes to knowledge on how cost-effectiveness data is used in actual decision-making, to ensure that the decisions are offered on equal terms and that patients receive medical care according their needs in order achieve maximum benefit.

    Ort, förlag, år, upplaga, sidor
    Kerman University of Medical Sciences, 2014
    Nyckelord
    Health Policy, Cost-Effectiveness, Policy Decision-Making, Priority Setting, Heart Diseases
    Nationell ämneskategori
    Hälsovetenskaper
    Identifikatorer
    urn:nbn:se:liu:diva-112150 (URN)10.15171/ijhpm.2014.105 (DOI)25396208 (PubMedID)
    Tillgänglig från: 2014-11-17 Skapad: 2014-11-17 Senast uppdaterad: 2017-12-05Bibliografiskt granskad
    3. Compilation of cost-effectiveness evidence for different heart conditions and treatment strategies
    Öppna denna publikation i ny flik eller fönster >>Compilation of cost-effectiveness evidence for different heart conditions and treatment strategies
    2011 (Engelska)Ingår i: Scandinavian Cardiovascular Journal, ISSN 1401-7431, E-ISSN 1651-2006, Vol. 45, nr 2, s. 72-76Artikel, forskningsöversikt (Refereegranskat) Published
    Abstract [en]

    Objectives. Despite the continuing interest in health economic research, we could find no accessible data set on cost-effectiveness, useful as practical information to decision makers who must allocate scarce resources within the cardiovascular field. The aim of this paper was to present cost-effectiveness ratios, based on a systematic literature search for the treatment of heart diseases. Design. A comprehensive literature search on cost-effectiveness analyses of intervention strategies for the treatment of heart diseases was conducted. We compiled available cost-effectiveness ratios for different heart conditions and treatment strategies, in a cost-effectiveness ranking table. The cost-effectiveness ratios were expressed as a cost per quality adjusted life year (QALY) or life year gained. Results. Cost-effectiveness ratios, ranging from dominant to those costing more than 1,000,000 Euros per QALY gained, and bibliographic references are provided for. The table was categorized according to disease group, making the ranking table readily available. Conclusions. Cost-effectiveness ranking tables provide a means of presenting cost-effectiveness evidence. They provide valid information within a limited space aiding decision makers on the allocation of health care resources. This paper represents an extensive compilation of health economic evidence for the treatment of heart diseases.

    Ort, förlag, år, upplaga, sidor
    Informa Healthcare, 2011
    Nyckelord
    Cost, cost-effectiveness, rankings, heart disease, priority setting, evidence-based medicine
    Nationell ämneskategori
    Medicin och hälsovetenskap
    Identifikatorer
    urn:nbn:se:liu:diva-67153 (URN)10.3109/14017431.2011.557438 (DOI)000288326200002 ()
    Anmärkning
    Original Publication: Nathalie Eckard, Magnus Janzon and Lars-Åke Levin, Compilation of cost-effectiveness evidence for different heart conditions and treatment strategies, 2011, Scandinavian Cardiovascular Journal, (45), 2, 72-76. http://dx.doi.org/10.3109/14017431.2011.557438 Copyright: Informa Healthcare http://informahealthcare.com/ Tillgänglig från: 2011-04-01 Skapad: 2011-04-01 Senast uppdaterad: 2017-12-11
    4. Cost-Effectiveness of Catheter Ablation Treatment for Patients with Symptomatic Atrial Fibrillation
    Öppna denna publikation i ny flik eller fönster >>Cost-Effectiveness of Catheter Ablation Treatment for Patients with Symptomatic Atrial Fibrillation
    2009 (Engelska)Ingår i: Journal of Atrial Fibrillation, ISSN 1941-6911, Vol. 1, nr 8, s. 461-470Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    Background:  Atrial Fibrillation is the most common cardiac arrhythmia.  It increases the risk of thromboembolic events and many atrial fibrillation patients suffer quality of life impairment due to disturbed heart rhythm.  Pulmonary vein isolation using radiofrequency catheter ablation treatment is aimed at maintaining sinus rhythm ultimately improving quality of life.  Randomized clinical trial have shown that catheter ablation is more effective than antiarrhythmic drugs for the treatment of atrial fibrillation, but its impact on quality of life and cost-effectiveness has not been widely studied.  Aims:  To assess the cost-effectiveness of radiofrequency ablation (RFA) vs. antiarrhythmic drug (AAD) treatment, among symptomatic atrial fibrillation patients not previously responding to AAD.  Methods:  A decision-analytic Markov model was developed to assess costs and health outcomes in terms of quality adjusted life years (QALYs) of RFA and AAD over a lifetime time horizon.  We conducted a literature search and used data from several sources as input variables of the model.  One-year rates of atrial fibrillation with RFA and AAD, respectively, were available from published randomized clinical trials.  Other data sources were published papers and register data.  Results:  The RFA treatment strategy was associated with reduced costs and an incremental gain in QALYs compared to the AAD treatment strategy.  The results were sensitive to whether long-term quality of life improvement is maintained for the RFA treatment strategy and the risk of stroke in the different atrial fibrillation health states.  Conclusion:  This study shows that the short-term improvement in atrial fibrillation associated with RFA is likely to lead to long-term quality of life improvement and lower costs indicating that RFA is cost-effective compared to AAD. 

    Nyckelord
    Cost, cost-effectiveness, decision-analytic model, ablation, atrial fibrillation, cardiovascular disease
    Nationell ämneskategori
    Medicin och hälsovetenskap
    Identifikatorer
    urn:nbn:se:liu:diva-20923 (URN)10.4022/jafib.v1i8.543 (DOI)
    Tillgänglig från: 2009-09-25 Skapad: 2009-09-25 Senast uppdaterad: 2015-09-11
  • 33.
    Eckard, Nathalie
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för hälso- och sjukvårdsanalys. Linköpings universitet, Medicinska fakulteten.
    Nedlund, Ann-Charlotte
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, NISAL - Nationella institutet för forskning om äldre och åldrande. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för hälso- och sjukvårdsanalys. Linköpings universitet, Medicinska fakulteten.
    Janzon, Magnus
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för kardiovaskulär medicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Hjärt- och Medicincentrum, Kardiologiska kliniken US.
    Levin, Lars-Åke
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för hälso- och sjukvårdsanalys. Linköpings universitet, Medicinska fakulteten.
    Reaching agreement in uncertain circumstances: the practice of evidence-based policy in the case of the Swedish National Guidelines for heart diseases2017Ingår i: Evidence and Policy: A Journal of Research, Debate and Practice, ISSN 1744-2648, nr 4, s. 687-707Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This paper explores the practice of evidence-based policy in a Swedish healthcare context. The study focused on how policymakers in the specific working group, the Priority-Setting Group (PSG), handled the various forms of evidence and values and their competing rationalities, when producing the Swedish National Guidelines for heart diseases that are based on both clinical and economic evidence and are established to support explicit priority-setting in healthcare. The study contributes to the theoretical and practical debate on evidence-based policy (EBP) by illustrating how the practical tensions of coming to agreement were managed, to a large extent, through deliberation and by creativity.

  • 34.
    Eliasson, Ann-Christin
    et al.
    Department of Womens and Childrens Health, Karolinska Institutet, Stockholm, Sweden.
    Ullenhag, Anna
    Department of Womens and Childrens Health, Karolinska Institutet, Stockholm, Sweden.
    Wahlström, Ulla
    Region Östergötland, Närsjukvården i centrala Östergötland, Barn- och ungdomshabiliteringen.
    Krumlinde-Sundholm, Lena
    Department of Womens and Childrens Health, Karolinska Institutet, Stockholm, Sweden.
    Mini-MACS: development of the Manual Ability Classification System for children younger than 4 years of age with signs of cerebral palsy2017Ingår i: Developmental Medicine & Child Neurology, ISSN 0012-1622, E-ISSN 1469-8749, Vol. 59, nr 1, s. 72-78Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    To develop the Mini-Manual Ability Classification System (Mini-MACS) and to evaluate the extent to which its ratings are valid and reliable when children younger than 4 years are rated by their parents and therapists.

  • 35.
    Elisabet, Sundewall Thorén
    et al.
    Eriksholm Reserach Centre, Denmark.
    Öberg, Marie
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Teknisk audiologi. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Sinnescentrum, Öron- näsa- och halskliniken US.
    Wänström, Gunilla
    Linköpings universitet, Institutionen för klinisk och experimentell medicin. Linköpings universitet, Hälsouniversitetet.
    Andersson, Gerhard
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Lunner, Thomas
    Eriksholm Research Centre, Denmark.
    Rehabiliteringsprogram för vuxna hörapparatanvändare2012Konferensbidrag (Övrigt vetenskapligt)
  • 36.
    Fagerlind Ståhl, Anna-Carin
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Hälsouniversitetet. Linköpings universitet, HELIX Vinn Excellence Centre.
    Gustavsson, Maria
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Pedagogik och sociologi. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, HELIX Vinn Excellence Centre.
    Karlsson, Nadine
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Hälsouniversitetet.
    Johansson, Gun
    Karolinska Institutet, Stockholm, Sweden.
    Ekberg, Kerstin
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Hälsouniversitetet. Linköpings universitet, HELIX Vinn Excellence Centre.
    Lean production tools and decision latitude enable conditions for innovative learning in organizations: a multilevel analysis2015Ingår i: Applied Ergonomics, ISSN 0003-6870, E-ISSN 1872-9126, Vol. 47, s. 285-291Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The effect of lean production on conditions for learning is debated. This study aimed to investigate how tools inspired by lean production (standardization, resource reduction, visual monitoring, housekeeping, value flow analysis) were associated with an innovative learning climate and with collective dispersion of ideas in organizations, and whether decision latitude contributed to these associations. A questionnaire was sent out to employees in public, private, production and service organizations (n = 4442). Multilevel linear regression analyses were used. Use of lean tools and decision latitude were positively associated with an innovative learning climate and collective dispersion of ideas. A low degree of decision latitude was a modifier in the association to collective dispersion of ideas. Lean tools can enable shared understanding and collective spreading of ideas, needed for the development of work processes, especially when decision latitude is low. Value flow analysis played a pivotal role in the associations.

  • 37.
    Fagher, Kristina
    et al.
    Rehabilitation Medicine Research Group, Department of Health Sciences, Lund University, Lund, Sweden.
    Jacobsson, Jenny
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten.
    Dahlström, Örjan
    Linköpings universitet, Institutionen för medicin och hälsa. Linköpings universitet, Medicinska fakulteten.
    Timpka, Toomas
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Centrum för verksamhetsstöd och utveckling, Verksamhetsutveckling vård och hälsa.
    Lexell, Jan
    Rehabilitation Medicine Research Group, Department of Health Sciences, Lund University, Lund, Sweden; Department of Neurology and Rehabilitation Medicine, Skåne University Hospital, Lund, Sweden; Department of Health Science, Luleå University of Technology, Luleå, Sweden.
    An eHealth Application of Self-Reported Sports-Related Injuries and Illnesses in Paralympic Sport: Pilot Feasibility and Usability Study2017Ingår i: JMIR Human Factors, E-ISSN 2292-9495, Vol. 4, nr 4, artikel-id e30Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Sport participation is associated with a risk of sports-related injuries and illnesses, and Paralympic athletes additional medical issues can be a challenge to health care providers and medical staff. However, few prospective studies have assessed sports-related injuries and illnesses in Paralympic sport (SRIIPS) over time. Advances in mobile phone technology and networking systems offer novel opportunities to develop innovative eHealth applications for collection of athletes self-reports. Using eHealth applications for collection of self-reported SRIIPS is an unexplored area, and before initiation of full-scale research of SRIIPS, the feasibility and usability of such an approach needs to be ascertained.

  • 38.
    Finke, Mareike
    et al.
    Hannover Medical Sch, Germany; Cluster Excellence Hearing4all, Germany; Cluster Excellence Hearing4all, Germany.
    Boenitz, Hanna
    Hannover Medical Sch, Germany.
    Lyxell, Björn
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Region Östergötland, Sinnescentrum, Öron- näsa- och halskliniken US. Linköpings universitet, Institutet för handikappvetenskap (IHV).
    Illg, Angelika
    Hannover Medical Sch, Germany.
    Cochlear implant effectiveness in postlingual single-sided deaf individuals: whats the point?2017Ingår i: International Journal of Audiology, ISSN 1499-2027, E-ISSN 1708-8186, Vol. 56, nr 6, s. 417-423Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objectives: By extending the indication criteria for cochlear implants (CI), the population of CI candidates increased in age, as well as range and type of hearing loss. This qualitative study identified factors that contributed to seek CI treatment in single-sided deaf individuals and gained insights how single-sided deafness (SSD) and hearing with a CI affect their lives. Design: An open-ended questionnaire and a standardised inventory (IOI-HA) were used. Qualitative data reflecting the reasons to seek CI treatment and the individual experiences after CI switch-on were collected. Study sample: A total of 19 postlingually deafened single-sided deaf CI users. Results: Participants use their CI daily and stated that their life satisfaction increased since CI activation. The analysis of the qualitative data revealed four core categories: sound localisation, tinnitus and noise sensitivity, fear to lose the second ear and quality of life. Conclusions: Our results show how strongly and diversely quality of hearing and quality of life is affected by acquired SSD and improved after CI activation. Our data suggest that the fear of hearing loss (HL) on the normal hearing (NH) ear is an important but so far neglected reason to seek treatment with a CI in individuals with postlingual SSD.

  • 39.
    Fletcher, Paul
    et al.
    University College Cork, Ireland.
    Ball, MartinLinköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neuro- och inflammationsvetenskap. Linköpings universitet, Medicinska fakulteten.Crystal, DavidUniversity of Bangor, UK.
    Profiling grammar: more languages of LARSP2016Samlingsverk (redaktörskap) (Övrigt vetenskapligt)
    Abstract [en]

    This book brings together twelve previously unpublished language profiles based on the original Language Assessment, Remediation and Screening Procedure (LARSP). The languages featured are: Afrikaans, Bulgarian, Cantonese, Finnish, Greek, Hindi, Hungarian, Japanese, Kannada, Korean, Malay and Swedish. Each chapter includes a grammatical sketch of the language, details of typical language development in speakers of the language, as well as a description of and justification for the profile itself. The book will be an invaluable resource for speech-language pathologists and others wishing to analyse the grammatical abilities of individuals speaking one of these languages. This new collection complements a previous book in this series on the same theme: Assessing Grammar: The Languages of LARSP (Ball et al., 2012,).

  • 40.
    Folkmarson Käll, Lisa
    Linköpings universitet, Institutionen för medicin och hälsa, Hälsa och samhälle. Linköpings universitet, Filosofiska fakulteten.
    Dimensions of Pain: Humanities and Social Science Perspectives2013Samlingsverk (redaktörskap) (Övrigt vetenskapligt)
    Abstract [en]

    Pain research is still dominated by biomedical perspectives and the need to articulate pain in ways other than those offered by evidence based medical models is pressing. Examining closely subjective experiences of pain, this book explores the way in which pain is situated, communicated and formed in a larger cultural and social context.

    Dimensions of Pain

    explores the lived experience of pain, and questions of identity and pain, from a range of different disciplinary perspectives within the humanities and social sciences. Discussing the acuity and temporality of pain, its isolating impact, the embodied expression of pain, pain and sexuality, gender and ethnicity, it also includes a cluster of three chapters discusses the phenomenon and experience of labour pains.

    This volume revitalizes the study of pain, offering productive ways of carefully thinking through its different aspects and exploring the positive and enriching side of world-forming pain as well as its limiting aspects. It will be of interest to academics and students interested in pain from a range of backgrounds, including philosophy, sociology, nursing, midwifery, medicine and gender studies.

  • 41.
    Gabrielsson, Erik
    et al.
    Linköpings universitet, Institutionen för teknik och naturvetenskap, Fysik och elektroteknik. Linköpings universitet, Tekniska fakulteten.
    Simon, Daniel
    Linköpings universitet, Institutionen för teknik och naturvetenskap, Fysik och elektroteknik. Linköpings universitet, Tekniska fakulteten.
    Berggren, Magnus
    Linköpings universitet, Institutionen för teknik och naturvetenskap, Fysik och elektroteknik. Linköpings universitet, Tekniska fakulteten.
    Biocompatible Circuits for Human–Machine Interfacing2018Ingår i: Green Materials for Electronics / [ed] Mihai Irimia-Vladu, Eric D. Głowacki, Niyazi Sariciftci, Siegfried Bauer, Wiley-VCH Verlagsgesellschaft, 2018, s. 91-118Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Abstract [en]

    Conventional electronic devices have evolved from the first transistors introduced in the 1940s to integrated circuits and today's modern (CMOS) computer chips fabricated on silicon wafers using photolithography. This chapter reviews such iontronic devices for signal translation and their application in bioelectronics. It begins with a brief description of the ion transport mechanisms that lay the conceptual groundwork for this type of iontronic devices. The chapter presents various iontronic devices aimed at bioelectronic applications. It outlines the future possible developments of iontronics for human-machine interfacing. The physical interface between electronic devices and biological tissues is of particular interest, as this interface bridges the gap between artificial, humanmade technologies and biological "circuits". Ion-conducting diodes and transistors can be used to build circuits for modulation of ion flow, with the possibility of mimicking the dynamic and nonlinear processes occurring in the body.

  • 42.
    Germundsson, Per
    et al.
    Malmo Univ, Sweden.
    Manchaiah, Vinaya
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV). Lamar Univ, TX 77710 USA; Audiol India, India; Manipal Univ, India.
    Ratinaud, Pierre
    Univ Toulouse, France.
    Tympas, Aristotle
    Univ Athens, Greece.
    Danermark, Berth
    Orebro Univ, Sweden.
    Patterns in the social representation of "hearing loss" across countries: how do demographic factors influence this representation?2018Ingår i: International Journal of Audiology, ISSN 1499-2027, E-ISSN 1708-8186, Vol. 57, nr 12, s. 925-932Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study aims to understand patterns in the social representation of hearing loss reported by adults across different countries and explore the impact of different demographic factors on response patterns. The study used a cross-sectional survey design. Data were collected using a free association task and analysed using qualitative content analysis, cluster analysis and chi-square analysis. The study sample included 404 adults (18 years and over) in the general population from four countries (India, Iran, Portugal and UK). The cluster analysis included 380 responses out of 404 (94.06%) and resulted in five clusters. The clusters were named: (1) individual aspects; (2) aetiology; (3) the surrounding society; (4) limitations and (5) exposed. Various demographic factors (age, occupation type, education and country) showed an association with different clusters, although country of origin seemed to be associated with most clusters. The study results suggest that how hearing loss is represented in adults in general population varies and is mainly related to country of origin. These findings strengthen the argument about cross-cultural differences in perception of hearing loss, which calls for a need to make necessary accommodations while developing public health strategies about hearing loss.

  • 43.
    Grenness, Caitlin
    et al.
    HEARing Cooperative Research Centre, Melbourne, Australia.
    Hickson, Louise
    HEARing Cooperative Research Centre, Melbourne, Australia.
    Laplante-Lévesque, Ariane
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Eriksholm Research Centre, Oticon A/S, Snekkersten, Denmark.
    Davidson, Bronwyn
    University of Melbourne, Carlton, Australia.
    Patient-centred audiological rehabilitation: Perspectives of older adults who own hearing aids2014Ingår i: International Journal of Audiology, ISSN 1499-2027, E-ISSN 1708-8186, Vol. 53, nr S1, s. S68-S75Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: Patient-centred care is a term frequently associated with quality health care. Despite extensive literature from a range of health-care professions that provide description and measurement of patient-centred care, a definition of patient-centredness in audiological rehabilitation is lacking. The current study aimed to define patient-centred care specific to audiological rehabilitation from the perspective of older adults who have owned hearing aids for at least one year. Design: Research interviews were conducted with a purposive sample of older adults concerning their perceptions of patient-centredness in audiological rehabilitation, and qualitative content analysis was undertaken. Study sample: The participant sample included ten adults over the age of 60 years who had owned hearing aids for at least one year. Results: Data analysis revealed three dimensions to patient-centred audiological rehabilitation: the therapeutic relationship, the players (audiologist and patient), and clinical processes. Individualised care was seen as an overarching theme linking each of these dimensions. Conclusions: This study reported two models: the first model describes what older adults with hearing aids believe constitutes patient-centred audiological rehabilitation. The second provides a guide to operationalised patient-centred care. Further research is required to address questions pertaining to the presence, nature, and impact of patient-centred audiological rehabilitation.

  • 44.
    Grenness, Caitlin
    et al.
    HEARing Cooperative Research Centre, Melbourne, Australia.
    Hickson, Louise
    HEARing Cooperative Research Centre, Melbourne, Australia.
    Laplante-Lévesque, Ariane
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Eriksholm Research Centre, Snekkersten, Denmark.
    Davidson, Bronwyn
    University of Melbourne, Australia.
    Patient-centred care: A review for rehabilitative audiologists2014Ingår i: International Journal of Audiology, ISSN 1499-2027, E-ISSN 1708-8186, Vol. 53, nr S1, s. S60-S67Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: This discussion paper aims to synthesise the literature on patient-centred care from a range of health professions and to relate this to the field of rehabilitative audiology. Through review of the literature, this paper addresses five questions: What is patient-centred care? How is patient-centred care measured? What are the outcomes of patient-centred care? What are the factors contributing to patient-centred care? What are the implications for audiological rehabilitation? Design: Literature review and synthesis. Study sample: Publications were identified by structured searches in PubMed, Cinahl, Web of Knowledge, and PsychInfo, and by inspecting the reference lists of relevant articles. Results: Few publications from within the audiology profession address this topic and consequently a review and synthesis of literature from other areas of health were used to answer the proposed questions. Conclusion: This paper concludes that patient-centred care is in line with the aims and scope of practice for audiological rehabilitation. However, there is emerging evidence that we still need to inform the conceptualisation of patient-centred audiological rehabilitation. A definition of patient-centred audiological rehabilitation is needed to facilitate studies into the nature and outcomes of it in audiological rehabilitation practice.

  • 45.
    Gutenberg, Johanna
    et al.
    Oticon AS, Denmark.
    Katrakazas, Panagiotis
    Natl Tech Univ Athens, Greece.
    Trenkova, Lyubov
    Pazardzhik Reg Adm, Bulgaria.
    Murdin, Louisa
    Guys and St Thomas NHS Fdn Trust, England.
    Brdaric, Dario
    Inst Publ Hlth Osijek Baranya Cty, Croatia.
    Koloutsou, Nina
    Univ London, England.
    Ploumidou, Katherine
    Athens Med Grp, Greece.
    Pontoppidan, Niels Henrik
    Oticon AS, Denmark.
    Laplante-Lévesque, Ariane
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Oticon Med, Denmark.
    Big Data for Sound Policies: Toward Evidence-Informed Hearing Health Policies2018Ingår i: American Journal of Audiology, ISSN 1059-0889, E-ISSN 1558-9137, Vol. 27, nr 3, s. 493-502Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: The scarcity of health care resources calls for their rational allocation, including within hearing health care. Policies define the course of action to reach specific goals such as optimal hearing health. The process of policy making can be divided into 4 steps: (a) problem identification and issue recognition, (b) policy formulation, (c) policy implementation, and (d) policy evaluation. Data and evidence, especially Big Data, can inform each of the steps of this process. Big Data can inform the macrolevel (policies that determine the general goals and actions), mesolevel (specific services and guidelines in organizations), and microlevel (clinical care) of hearing health care services. The research project EVOTION applies Big Data collection and analysis to form an evidence base for future hearing health care policies. Method: The EVOTION research project collects heterogeneous data both from retrospective and prospective cohorts (clinical validation) of people with hearing impairment. Retrospective data from clinical repositories in the United Kingdom and Denmark will be combined. As part of a clinical validation, over 1,000 people with hearing impairment will receive smart EVOTION hearing aids and a mobile phone application from clinics located in the United Kingdom and Greece. These clients will also complete a battery of assessments, and a subsample will also receive a smartwatch including biosensors. Big Data analytics will identify associations between client characteristics, context, and hearing aid outcomes. Results: The evidence EVOTION will generate is relevant especially for the first 2 steps of the policy-making process, namely, problem identification and issue recognition, as well as policy formulation. EVOTION will inform microlevel, mesolevel, and macrolevel of hearing health care services through evidence-informed policies, clinical guidelines, and clinical care. Conclusion: In the future, Big Data can inform all steps of the hearing health policy-making process and all levels of hearing health care services.

  • 46.
    Gärskog, Malin
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin.
    Hedström, Ingrid
    Linköpings universitet, Institutionen för klinisk och experimentell medicin.
    Ordflödesförmåga och analogiskt resonerande hos barn med cochleaimplantat i jämförelse med normalhörande barn2018Självständigt arbete på avancerad nivå (magisterexamen), 20 poäng / 30 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Ett fåtal tidigare studier har visat att barn med cochleaimplantat (CI) har sämre förmåga till såväl ordflöde som verbalt analogiskt resonerande jämfört med normalhörande barn. Det finns ett förhållande mellan språk och analogiskt resonerande, men förhållandet mellan ordflödesförmåga och förmågan till analogiskt resonerande har inte undersökts tidigare för varken barn med CI eller normalhörande barn, vilket motiverar föreliggande studie. Syftet var att undersöka huruvida det finns skillnader mellan barn med CI och normalhörande barn vad gäller ordflöde och analogiskt resonerande. Studien syftade även till att undersöka förhållandet mellan ordflöde och analogiskt resonerande hos barn med CI respektive normalhörande barn. Nio barn med CI i åldrarna 6;4–8;2 år och en kontrollgrupp av trettio normalhörande barn i åldrarna 6;1–7;1 år medverkade. Ordflödesförmågan undersöktes med det fonologiska ordflödestestet FAS och det semantiska ordflödestestet Djur. Visuellt analogiskt resonerande undersöktes med AnimaLogica och verbalt analogiskt resonerande undersöktes med deltestet Auditiv analogi från Illinois Test of Psycholinguistic Abilities-3 (ITPA-3). I föreliggande studie har barnen med CI sämre ordflödesförmåga och analogiskt resonerande än de normalhörande barnen. Det finns ett samband mellan semantiskt ordflöde och verbalt analogiskt resonerande hos normalhörande barn, med ett liknande mönster hos barn med CI. Förmågan till ordflöde och analogiskt resonerande samt sambandet mellan dessa förmågor har klinisk relevans för logopeden i och med att detta blir ännu en aspekt att ta hänsyn till vid språkliga utredningar och behandlingar hos såväl normalhörande som barn med CI.

  • 47.
    Hall, Deborah A.
    et al.
    Natl Inst Hlth Res NIHR, England; Univ Nottingham, England.
    Domingo, Silvia Zaragoza
    Neuropsychol Res Org, Spain.
    Hamdache, Leila Z.
    Carlton Acad, England.
    Manchaiah, Vinaya
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV). Lamar State Univ, TX USA; Manipal Univ, India; All India Inst Speech and Hearing, India.
    Thammaiah, Spoorthi
    All India Inst Speech and Hearing, India.
    Evans, Chris
    Univ Roehampton, England.
    Wong, Lena L. N.
    Univ Hong Kong, Peoples R China.
    A good practice guide for translating and adapting hearing-related questionnaires for different languages and cultures2018Ingår i: International Journal of Audiology, ISSN 1499-2027, E-ISSN 1708-8186, Vol. 57, nr 3, s. 161-175Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    Objectives: To raise awareness and propose a good practice guide for translating and adapting any hearing-related questionnaire to be used for comparisons across populations divided by language or culture, and to encourage investigators to publish detailed steps. Design: From a synthesis of existing guidelines, we propose important considerations for getting started, followed by six early steps: (1) Preparation, (2, 3) Translation steps, (4) Committee Review, (5) Field testing and (6) Reviewing and finalising the translation. Study sample: Not applicable. Results: Across these six steps, 22 different items are specified for creating a questionnaire that promotes equivalence to the original by accounting for any cultural differences. Published examples illustrate how these steps have been implemented and reported, with shared experiences from the authors, members of the International Collegium of Rehabilitative Audiology and TINnitus research NETwork. Conclusions: A checklist of the preferred reporting items is included to help researchers and clinicians make informed choices about conducting or omitting any items. We also recommend using the checklist to document these decisions in any resulting report or publication. Following this step-by-step guide would promote quality assurance in multinational trials and outcome evaluations but, to confirm functional equivalence, large-scale evaluation of psychometric properties should follow.

  • 48.
    Hengen, Johanna
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för Logopedi, Audiologi och Otorhinolaryngologi. Linköpings universitet, Medicinska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV).
    Lundeborg Hammarström, Inger
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för Logopedi, Audiologi och Otorhinolaryngologi. Linköpings universitet, Medicinska fakulteten.
    Stenfelt, Stefan
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för Logopedi, Audiologi och Otorhinolaryngologi. Linköpings universitet, Medicinska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV).
    Perceived Voice Quality and Voice-Related Problems Among Older Adults With Hearing Impairments2018Ingår i: Journal of Speech, Language and Hearing Research, ISSN 1092-4388, E-ISSN 1558-9102, Vol. 61, nr 9, s. 2168-2178Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The auditory system helps regulate phonation. A speakers perception of their own voice is likely to be of both emotional and functional significance. Although many investigations have observed deviating voice qualities in individuals who are prelingually deaf or profoundly hearing impaired, less is known regarding how older adults with acquired hearing impairments perceive their own voice and potential voice problems. Purpose: The purpose of this study was to investigate problems relating to phonation and self-perceived voice sound quality in older adults based on hearing ability and the use of hearing aids. Method: This was a cross-sectional study, with 290 participants divided into 3 groups (matched by age and gender): (a) individuals with hearing impairments who did not use hearing aids (n = 110), (b) individuals with hearing impairments who did use hearing aids (n = 110), and (c) individuals with no hearing impairments (n = 70). All participants underwent a pure-tone audiometry exam; completed standardized questionnaires regarding their hearing, voice, and general health; and were recorded speaking in a soundproof room. Results: The hearing aid users surpassed the benchmarks for having a voice disorder on the Voice Handicap Index (VHI; Jacobson et al., 1997) at almost double the rate predicted by the Swedish normative values for their age range, although there was no significant difference in acoustical measures between any of the groups. Both groups with hearing impairments scored significantly higher on the VHI than the control group, indicating more impairment. It remains inconclusive how much hearing loss versus hearing aids separately contribute to the difference in voice problems. The total scores on the Hearing Handicap Inventory for the Elderly (Ventry amp; Weinstein, 1982), in combination with the variables gender and age, explained 21.9% of the variance on the VHI. Perceiving ones own voice as being distorted, dull, or hollow had a strong negative association with a general satisfaction about the sound quality of ones own voice. In addition, groupwise differences in own-voice descriptions suggest that a negative perception of ones voice could be influenced by alterations caused by hearing aid processing. Conclusions: The results indicate that hearing impairments and hearing aids affect several aspects of vocal satisfaction in older adults. A greater understanding of how hearing impairments and hearing aids relate to voice problems may contribute to better voice and hearing care.

  • 49.
    Hickson, Louise
    et al.
    University of Queensland, Brisbane, Australia.
    Laplante-Lévesque, Ariane
    University of Queensland, Brisbane, Australia.
    Wong, Lena
    University of Hong Kong, Pokfulam.
    Evidence-based practice in audiology: rehabilitation options for adults with hearing impairment2013Ingår i: American Journal of Audiology, ISSN 1059-0889, E-ISSN 1558-9137, Vol. 22, s. 329-331Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    PURPOSE:

    Three questions are addressed: 1) What is Evidence-Based Practice (EBP) and why is it important for adults with hearing impairment? 2) What is the evidence about intervention options for adults who fail a hearing screening and are identified with hearing impairment? 3) What intervention options do adults choose when identified with hearing impairment for the first time?

    METHODS:

    The five steps of the EBP process are discussed in relation to a clinical question about whether hearing aids and communication programs reduce activity limitations and participation restrictions compared to no treatment for adults who fail a hearing screening and are identified with hearing impairment.

    RESULTS:

    Systematic reviews of the evidence indicate that both hearing aids and communication programs reduce activity limitations and participation restrictions for this population and are therefore appropriate options. A study is then described in which these options were presented to 153 clients identified with hearing impairment for the first time: 43% chose hearing aids, 18% chose communication programs and the remaining 39% chose not to take any action.

    CONCLUSIONS:

    EBP supports the offer of intervention options to adults who fail a hearing screening and are identified with hearing impairment.

  • 50.
    Hickson, Louise
    et al.
    Univ Queensland, Australia.
    Worrall, Linda
    Univ Queensland, Australia.
    Scarinci, Nerina
    Univ Queensland, Australia.
    Laplante-Lévesque, Ariane
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Oticon Med, Denmark.
    Individualised active communication education (I-ACE): another clinical option for adults with hearing impairment with a focus on problem solving and self-management2019Ingår i: International Journal of Audiology, ISSN 1499-2027, E-ISSN 1708-8186, Vol. 58, nr 8, s. 504-509Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: This clinical note describes the Individualised - Active Communication Education (I-ACE) programme designed to improve problem solving and self-management in adults with hearing impairment. Design: The I-ACE was offered to adult clients seeking help for the first time and effects were measured for participants using self-report questionnaires: the Client Oriented Scale of Improvement (goal attainment), the Hearing Handicap Questionnaire (hearing disability), and the International Outcome Inventory - Alternative Interventions (outcomes) immediately after programme completion and 3 months later. Participants also provided qualitative feedback about I-ACE. Study sample: Twenty-three participants completed I-ACE, with 22 completing all self-report questionnaires and 23 participants providing qualitative feedback. Results: The participants reported positive outcomes and goal attainment, but no change in hearing disability post-programme. The effects were maintained 3 months later. Qualitative feedback indicated that I-ACE supported participants in recognising and increasing awareness of their hearing difficulties and in developing potential solutions to these difficulties. Participants also enjoyed the opportunity to involve communication partners. Conclusion: I-ACE is an appropriate option for adults with hearing impairment who wish to become more aware of their hearing difficulties and how to solve them.

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