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  • 1. Björklund, Anita
    et al.
    Svensson, Tommy
    Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutionen för beteendevetenskap, Avdelningen för sociologi.
    A longitudinal study on the transformation of 15 occupational therapist students'paradigms into occupational therapists' paradigms2006Inngår i: Australian Occupational Therapy Journal, ISSN 0045-0766, E-ISSN 1440-1630, Vol. 53, nr 2, s. 87-97Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background and Aim: This study describes the transformation of 15 occupational therapist students'paradigms into occupational therapists'paradigms according to Törnebohm's theory of paradigms over a period of 6 years. This research particularly considers the paradigm components world view and field of action view in Törnbohm's sense. Method: Qualitative data were collected using essay questions on three occasions: First week and last semester at the Occupational Therapy Programme at the School of Health Sciences, Jönköping, Sweden, and after 3 years of occupational therapy practice. A content analysis of the collected materials was performed. Conclusion: The transformation of the informants'views could be characterised as comprising three different perspectives: A 'public'view in 1995, a 'theoretical' view in 1998 and an 'experiential/contextual' view in 2001. © 2006 The Authors Journal compilation © 2006 Australian Association of Occupational Therapists.

  • 2.
    Gribble, Nigel
    et al.
    Curtin University, Perth, Western Australia.
    Parsons, Richard
    Curtin University, Perth, Western Australia.
    Donlau, Marie
    Linköpings universitet, Institutionen för klinisk och experimentell medicin. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Närsjukvården i centrala Östergötland, Vuxenhabiliteringen.
    Falkmer, Torbjörn
    Linköpings universitet, Institutionen för medicin och hälsa, Rehabiliteringsmedicin. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Sinnescentrum, Smärt och rehabiliteringscentrum. Curtin University, Perth, Western Australia.
    Predictors of time to complete toileting for children with spina bifida2013Inngår i: Australian Occupational Therapy Journal, ISSN 0045-0766, E-ISSN 1440-1630, Vol. 60, nr 5, s. 343-349Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background/aim

    Previous research has shown that children with spina bifida use clean intermittent catheterisation for urination, a rather complex procedure that increases the time taken to completion. However, no studies have analysed the factors impacting on the time taken to complete the urination that could inform occupational therapy practice. Therefore, the aim was to identify the variables that predict extended time children with spina bifida take to complete urination.

    Methods

    Fifty children, aged 5–18 years old with spina bifida using clean intermittent catheterisation, were observed while toileting and responding to a set of assessments tools, among them the Canadian Occupational Performance Measure. A logistic regression was used to identify which variables were independently associated with an extended toileting time.

    Results

    Children with spina bifida do take long time to urinate. More than half of this study's participants required more than five minutes completing urination, but not all required extended times. Ambulant, independent girls were more likely to perform toileting in less than six minutes compared with other children with spina bifida. However, age, IQ, maintained focus on the task, Canadian Occupational Performance Measure, time processing abilities and self-reported ratings of independence appeared to be of no relevance, to predict extended toileting times.

    Conclusion

    To minimise occupational disruption caused by extended toileting times, occupational therapists should utilise the relevant predictors: gender, independence and ambulation when they prioritise children for relevant interventions.

     

  • 3.
    Hatfield, Megan
    et al.
    Curtin University, Australia; Cooperat Research Centre Living Autism Autism CRC, Australia.
    Murray, Nina
    Curtin University, Australia.
    Ciccarelli, Marina
    Curtin University, Australia; Cooperat Research Centre Living Autism Autism CRC, 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; Cooperat Research Centre Living Autism Autism CRC, Australia.
    Falkmer, Marita
    Curtin University, Australia; Cooperat Research Centre Living Autism Autism CRC, Australia; Jonköping University, Sweden.
    Pilot of the BOOST-A: An online transition planning program for adolescents with autism2017Inngår i: Australian Occupational Therapy Journal, ISSN 0045-0766, E-ISSN 1440-1630, Vol. 64, nr 6, s. 448-456Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BackgroundMany adolescents with autism face difficulties with the transition from high school into post-school activities. The Better OutcOmes amp; Successful Transitions for Autism (BOOST-A) is an online transition planning program which supports adolescents on the autism spectrum to prepare for leaving school. This study describes the development of the BOOST-A and aimed to determine the feasibility and viability of the program. MethodsTwo pilot studies were conducted. In Pilot A, the BOOST-A was trialled by six adolescents on the autism spectrum, their parents, and the professionals who worked with them, to determine its feasibility. In Pilot B, 88 allied health professionals (occupational therapists, speech pathologists, and psychologists) reviewed the BOOST-A to determine its viability. ResultsParticipants rated the BOOST-A as a feasible tool for transition planning. The majority of allied health professionals agreed that it was a viable program. Based on participant feedback, the BOOST-A was modified to improve usability and feasibility. ConclusionThe BOOST-A is a viable and feasible program that has the potential to assist adolescents with autism in preparing for transitioning out of high school. Future research will determine the effectiveness of the BOOST-A with adolescents across Australia.

  • 4.
    Henning, Belindi
    et al.
    James Cook University, Australia.
    Cordier, Reinie
    James Cook University, Australia; Curtin University, Australia.
    Wilkes-Gillan, Sarah
    Australian Catholic 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.
    A pilot play-based intervention to improve the social play interactions of children with autism spectrum disorder and their typically developing playmates2016Inngår i: Australian Occupational Therapy Journal, ISSN 0045-0766, E-ISSN 1440-1630, Vol. 63, nr 4, s. 223-232Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background/aimOccupational therapists play a key role in addressing the social difficulties of children with ASD. However, interventions are often time intensive, without outcomes generalising beyond the clinic setting. To examine the feasibility and preliminary effectiveness of an intervention to address the social play skills of children with ASD. MethodsParticipants in this multiple case study design were five children with autism spectrum disorder (ASD), five typically developing playmates and five parents of children with ASD. Two therapists and parents delivered the intervention involving clinic play sessions and home modules. Parents treatment adherence was recorded. The Test of Playfulness was scored by a blinded rater to examine child outcomes following the intervention. Line graphs were used to examine case data. Percentage of non-overlapping data (PND) was used to calculate the single-case effect size for each child. ResultsParents completed 92.2% of the intervention. Childrens case data showed an upwards trend from pre- to post-intervention in four of the five pairs (child with ASD and playmate). However, there was a decrease in scores from post-intervention to the two-month home follow-up for all but one pair. PND indicated the intervention was effective for two children with ASD and three of their playmates, had a questionable effect on three children with ASD and no observable effect on two playmates. ConclusionThe intervention demonstrated preliminary feasibility and effectiveness for improving the social play skills of some children with ASD. Careful consideration is needed to identify which children with ASD and which playmates would be best suited for this intervention approach.

  • 5.
    Liedberg, Gunilla
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Björk, Mathilda
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Rehabiliteringsmedicin. Linköpings universitet, Hälsouniversitetet. Department of Rehabilitation, School of Health Sciences, Jönköping University, Jönköping.
    Hensing, Gunnel
    Social Medicine, Institute of Medicine, The Sahlgrenska Academy at University of Gothenburg, Göteborg, Sweden.
    Occupational therapists perceptions of gender - A focus group study2010Inngår i: Australian Occupational Therapy Journal, ISSN 0045-0766, E-ISSN 1440-1630, Vol. 57, nr 5, s. 331-338Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background/aim: Women and men are shaped over the courses of their lives by culture, society and human interaction according to the gender system. Cultural influences on individuals social roles and environment are described in occupational therapy literature, but not specifically from a gender perspective. The purpose of this qualitative study was to explore how a sample of occupational therapists perceives the gender concept. Method: Four focus group interviews with 17 occupational therapists were conducted. The opening question was: How do you reflect on the encounter with a client depending on whether it is a man or a woman? The transcribed interviews were analysed and two main themes emerged: the concept of gender is tacit in occupational therapy and client encounters. Results: The occupational therapists expressed limited theoretical knowledge of gender. Furthermore, the occupational therapists seemed to be doing gender in their encounters with the clients. For example, in their assessment of the client, they focussed their questions on different spheres: with female clients, on the household and family; with male clients, on their paid work. Conclusions: This study demonstrated that occupational therapists were unaware of the possibility that they were doing gender in their encounters with clients. There is a need to increase occupational therapists awareness of their own behaviour of doing gender. Furthermore, there is a need to investigate whether gendered perceptions will shorten or lengthen a rehabilitation period and affect the chosen interventions, and in the end, the outcome for the clients.

  • 6.
    McAuliffe, Tomomi
    et al.
    School of Occupational Therapy, Social Work and Speech Pathology, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia; School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Queensland, Brisbane, Australia.
    Thomas, Yvonne
    Allied Health and Social Sciences, Institute of Health and Society, University of Worcester, Worcester, UK.
    Vaz, Sharmila
    School of Occupational Therapy, Social Work and Speech Pathology, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia.
    Falkmer, Torbjörn
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Smärt och rehabiliteringscentrum. School of Occupational Therapy, Social Work and Speech Pathology, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia.
    Cordier, Reinie
    School of Occupational Therapy, Social Work and Speech Pathology, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia.
    The experiences of mothers of children with autism spectrum disorder: Managing family routines and mothers health and wellbeing2019Inngår i: Australian Occupational Therapy Journal, ISSN 0045-0766, E-ISSN 1440-1630, Vol. 66, nr 1, s. 68-76Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background/aim

    Families of children with autism spectrum disorder (ASD) use family routines to provide predictability and structure to support occupational engagement of their family members. Mothers assume the major role to orchestrate occupations in constructing family routines, which may impact their health and wellbeing. However, the experiences of mothers in managing family routines and their health and wellbeing have not been the main focus in previous research. Thus, this study explored the experiences of mothers of children with ASD in managing family routines and their perceptions of the impact of family routines on their health and wellbeing.

    Methods

    An interpretive phenomenological approach was used. Twenty mothers of children with ASD, aged between 28 and 56 years, participated in semi‐structured interviews. Data were transcribed verbatim and each transcript was analysed.

    Results

    Five themes that summarise mothers’ perceptions towards health and wellbeing when managing family routines emerged: (i) Keeping on track keeping healthy; (ii) My life is busy, because I do everything for everyone else; (iii) Keeping on track all the time is tiring or frustrating; (iv) Looking after my family by looking after myself; and (v) I am not perfect and it is OK.

    Conclusion

    This study highlighted the substantial efforts required in constructing family routines that may be at the cost of mothers’ health and wellbeing. However, mothers may be able to cope with everyday demands in managing family routines by changing their perspectives. By integrating ‘me‐time’ activities in family routines, mothers may be able to support their own health and wellbeing. Mothers’ values and needs are reflected in family routines; hence, thorough understanding of family routines may be a key to support mothers’ occupational engagement.

  • 7.
    Sjodin, Linda
    et al.
    Landstinget Kronoberg.
    Buchanan, Angus
    Curtin University.
    Mundt, Beate
    Jonköping University.
    Karlsson, Emelie
    Jonköping University.
    Falkmer, Torbjörn
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Rehabiliteringsmedicin. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Närsjukvården i centrala Östergötland, Landstingets habilitering i centrala Östergötland.
    Do vehicle grants and vehicle adaptations grants promote transport mobility and community access for children with disabilities in Sweden?2012Inngår i: Australian Occupational Therapy Journal, ISSN 0045-0766, E-ISSN 1440-1630, Vol. 59, nr 1, s. 10-16Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background/aim: A vast majority of the journeys made by children with disabilities in Sweden are in the family car, which usually is bought and adapted for the child with governmental subsidies. Despite the important philosophical views about accessible vehicles, little is known about the impact of vehicle adaptations on families lives. The aim of the study was to investigate parent views about the impact of vehicle grants and vehicle adaptation grants on their childrens transport mobility and community access. less thanbrgreater than less thanbrgreater thanMethods: In total, 434 parents of children with disabilities in Sweden who had received vehicle grants and/or vehicle adaptation grants between 1998-2007 responded to a questionnaire comprising questions with both preselected and open-ended answers. A non-responder analysis was performed. less thanbrgreater than less thanbrgreater thanResults: Children with disabilities were found to increase their transport mobility and community access in society as vehicle grants and / or vehicle adaptation grants were given to their parents. Their travel patterns and their travel priorities with their family car indicated that family friends and relatives and leisure activities were frequently visited and prioritised destinations. The grants were linked to access to social and family activities, provided environmental gains and led to increased experienced security. The results also showed that the potential to make spontaneous trips had increased substantially and that families experienced feelings of freedom and enhanced community access. The non-responder analysis confirmed these results. less thanbrgreater than less thanbrgreater thanConclusions: According to parents, vehicle grants and vehicle adaptation grants for children with disabilities have a positive impact on the childrens transport mobility and community access.

  • 8.
    Wressle, Ewa
    et al.
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för nervsystem och rörelseorgan, Arbetsterapi. Östergötlands Läns Landsting, Närsjukvården i centrala Östergötland, Geriatriska kliniken.
    Engstrand, Christina
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för nervsystem och rörelseorgan. Östergötlands Läns Landsting, Rekonstruktionscentrum, Hand- och plastikkirurgiska kliniken US.
    Granerus, Ann-Kathrine
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för nervsystem och rörelseorgan, Geriatrik. Östergötlands Läns Landsting, Närsjukvården i centrala Östergötland, Geriatriska kliniken.
    Living with Parkinson´s disease: Elderly patients´ and relatives´ perspective on daily living2007Inngår i: Australian Occupational Therapy Journal, ISSN 0045-0766, E-ISSN 1440-1630, Vol. 54, s. 131-139Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background/aim: Parkinson's disease is a progressive neurodegenerative disorder resulting in significant disability. We examined how Parkinson's disease affects daily living from the perspective of both patients and relatives. Methods: Qualitative interviews were performed with seven patients with Parkinson's disease and nine relatives from families other than those of the interviewed patients. Patients and relatives were recruited from an outpatient geriatric unit at a university hospital in Sweden. The interviews were transcribed and analysed qualitatively. Results: A conceptual framework encompassing aggravating factors, consequences in daily living and facilitating factors is presented. Patients perceived activity restrictions, changed habits, decreased socialisation and anxiety. Relatives reported changed roles and habits, decreased socialisation, strain and anxiety about the future. Facilitating factors included accessibility, strategies and psychological support for both patients and relatives. Conclusions: The results show that Parkinson's disease affects daily living not only for patients but also for relatives. They need to be seen, heard and supported in this burden. Services must be adapted to the needs of both patients and relatives with accessibility to health-care facilities with deep knowledge about the disease and its consequences. The identified factors are areas of concern in occupational therapy.

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