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  • 1. Armitt, Gillian
    et al.
    Beer, Martin
    van Bruggen, Hanneke
    Daniels, Ramon
    Ghyselen, Ludo
    Green, Sharon
    Sandqvist, Jan
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa - utbildning - välfärdsinstitutioner (HUV).
    Sixsmith, Andrew
    The Provision of Education & Training for Health Care Professionals through the Medium of the Internet2001Ingår i: Wanderstudent 2000,2000, Leuven: Leuven University Press , 2001, s. 112-Konferensbidrag (Refereegranskat)
    Abstract [en]

      

  • 2. Beer, Martin
    et al.
    Armitt, Gillian
    Green, Sharon
    van Bruggen, Johanna
    Daniels, Ramon
    Ghyselen, Ludo
    Sandqvist, Jan
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för nervsystem och rörelseorgan, Arbetsterapi.
    Sixsmith, Andrew
    The provision of education and training for health care professionals through the medium of the Internet2002Ingår i: Campus-Wide Information Systems, ISSN 1065-0741, Vol. 19, s. 135-144Artikel i tidskrift (Refereegranskat)
  • 3. Beer, Martin
    et al.
    Armitt, Gillian
    van Bruggen, Johanna
    Daniels, Ramon
    Ghyselen, Ludo
    Green, Sharon
    Sandqvist, Jan
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa - utbildning - välfärdsinstitutioner (HUV).
    Sixsmith, Andrew
    Running a European Internet School - OTIS at Work2001Ingår i: ICALT 2001,2001, Los Alamitos, CA, USA: IEEE Computer Society , 2001, s. 418-Konferensbidrag (Refereegranskat)
  • 4. Beer, Martin
    et al.
    Slack, Frances
    Armitt, Gillian
    van Bruggen, Hanneke
    Daniels, Ramon
    Ghyselen, Ludo
    Green, Sharon
    Sandqvist, Jan
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa - utbildning - välfärdsinstitutioner (HUV).
    Sixsmith, Andrew
    Developing Communities of Interest in a European Internet School2002Ingår i: Networked Learning 2002,2002, Sheffield: University of Sheffield , 2002, s. 611-Konferensbidrag (Refereegranskat)
  • 5.
    Borgestig, Maria
    et al.
    Linköpings universitet, Medicinska fakulteten. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för arbetsterapi. Folke Bernadotte Regional Habilitation Centre and Department of Women´s and Children´s Health, Uppsala University, Uppsala, Sweden.
    Sandqvist, Jan
    Linköpings universitet, Medicinska fakulteten. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för arbetsterapi.
    Ahlsten, Gunnar
    Folke Bernadotte Regional Habilitation Centre and Department of Women´s and Children´s Health, Uppsala University, Uppsala, Sweden.
    Falkmer, Torbjorn
    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, Curtin University, Perth, WA, Australia; School of Occupational Therapy, La Trobe University, Melbourne, Victoria, Australia.
    Hemmingsson, Helena
    Linköpings universitet, Medicinska fakulteten. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för arbetsterapi.
    Gaze-based assistive technology in daily activities in children with severe physical impairments: an intervention study2017Ingår i: Developmental Neurorehabilitation, ISSN 1751-8423, E-ISSN 1751-8431, Vol. 20, nr 3, s. 129-141Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

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

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

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

  • 6.
    Borgestig, Maria
    et al.
    Linköpings universitet, Medicinska fakulteten. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för arbetsterapi. Folke Bernadotte Regional Habilitation Centre and Department of Women´s and Children´s Health, Uppsala University, Uppsala, Sweden.
    Sandqvist, Jan
    Linköpings universitet, Medicinska fakulteten. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för arbetsterapi.
    Parsons, Richard
    School of Occupational Therapy & Social Work, Curtin University, Perth, WA, 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, Curtin University, Perth, WA, Australia / School of Occupational Therapy, La Trobe University, Melbourne, Victoria, Australia.
    Hemmingsson, Helena
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för arbetsterapi. Linköpings universitet, Medicinska fakulteten.
    Eye gaze performance for children with severe physical impairments using gaze-based assistive technology: a longitudinal study2016Ingår i: Assistive technology, ISSN 1040-0435, E-ISSN 1949-3614, Vol. 28, nr 2, s. 93-102Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Gaze-based assistive technology (gaze-based AT) has the potential to provide children affected by severe physical impairments with opportunities for communication and activities. This study aimed to examine changes in eye gaze performance over time (time on task and accuracy) in children with severe physical impairments, without speaking ability, using gaze-based AT. A longitudinal study with an AB design was conducted on ten children (aged 1–15 years) with severe physical impairments, who were beginners to gaze-based AT at baseline. Thereafter, all children used the gaze-based AT in daily activities over the course of the study. Compass computer software was used to measure time on task and accuracy with eye selection of targets on screen, and tests were performed with the children at baseline, after 5 months, 9–11 months, and after 15–20 months. Findings showed that the children improved in time on task after 5 months and became more accurate in selecting targets after 15–20 months. This study indicates that these children with severe physical impairments, who were unable to speak, could improve in eye gaze performance. However, the children needed time to practice on a long-term basis to acquire skills needed to develop fast and accurate eye gaze performance.

  • 7.
    Ekbladh, Elin
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Fan, Chia-Wei
    University of Illinois at Chicago.
    Sandqvist, Jan
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Hemmingsson, Helena
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Taylor, Renée
    University of Illinois at Chicago.
    Work environment impact scale: Testing the psychometric properties of the Swedish version2014Ingår i: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 47, nr 2, s. 213-219Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

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

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

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

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

  • 8.
    Ekbladh, Elin
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Sandqvist, Jan
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Assessing work ability2009Ingår i: Nordic Occupational Therapy Forum, Helsinki, Finland: Vocational assessment, 2009Konferensbidrag (Övrigt vetenskapligt)
  • 9.
    Ekbladh, Elin
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Medicinska fakulteten.
    Sandqvist, Jan
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Medicinska fakulteten.
    Psychosocial Factors’ Influence on Work Ability of People Experiencing Sick Leave Resulting From Common Mental Disorders2015Ingår i: Occupational Therapy in Mental Health, ISSN 0164-212X, E-ISSN 1541-3101, Vol. 31, nr 3, s. 283-297Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

  • 10.
    Ekbladh, Elin
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Sandqvist, Jan
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Theory based assessment of work ability2009Ingår i: Finnish occupational therapists national conference, Suomen Toimintaterapeuttiliitto ry, September, 2009, Helsinki, Finland: TOI , 2009Konferensbidrag (Refereegranskat)
    Abstract [en]

    Theory based assessment of work ability

     

    In the return to work process, assessments of peoples’ work ability play an important role. Credible and theoretically sound assessment methods for assessing clients’ work ability strengthen the possibilities for making valid interpretations which can guide suitable interventions in the process of returning to work. In this area occupational therapists can offer valuable contribution.

     

    A single assessment instrument generally does not address all the multiple factors involved in a client’s work ability. Therefore, assessors should use several instruments in combination. Four instruments frequently used in vocational rehabilitation are:

    • The Assessment of Work Characteristics (AWC) is an observation instrument that describes the extent to which a client has to use different working skills to perform a work task in an efficient and appropriate way.
    • The Assessment of Work Performance (AWP) assesses a client’s observable (working) skills during work performance, i.e. it assesses how efficient and appropriate the client performs a work activity.
    • The Worker Role Interview (WRI) is an interview instrument that focuses on how psychosocial and environmental factors influence a client’s ability to return to work.
    • The Work Environment Impact Scale (WEIS) is an interview instrument that describes how clients experience their work environment.

     

    The instruments AWC, AWP, WEIS and WRI  are all based on The Model of Human Occupation (MOHO). MOHO is a theoretical framework that explains the meaning and importance of activities for human beings and offers a conceptual framework for the description of human occupation. Assessment instruments based on theoretical models have the advantage that they create conditions that are conducive to valid interpretations of assessment results and yield intervention strategies.

     

    Ongoing and future research will focus on further psychometric evaluation and studies of how and with what results the above instruments could be combined with each other.

  • 11.
    Fan, Chia-Wei
    et al.
    University of Illinois, IL USA .
    Taylor, Renee R.
    University of Illinois, IL USA .
    Ekbladh, Elin
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Hemmingsson, Helena
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Sandqvist, Jan
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Evaluating the Psychometric Properties of a Clinical Vocational Rehabilitation Outcome Measurement: The Assessment of Work Performance (AWP)2013Ingår i: OTJR (Thorofare, N.J.), ISSN 1539-4492, E-ISSN 1938-2383, Vol. 33, nr 3, s. 125-133Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study examined the validity and reliability of the Assessment of Work Performance (AWP) using Rasch analysis. The AWP was administered to 365 clients with a variety of work-related problems. Rasch analysis and principal component analysis were used to examine the appropriateness of the rating scales and unidimensionality of AWP items. The person-response validity, internal consistency, targeting appropriateness, and differential item function were also analyzed. The Rasch analysis confirmed the 4-point rating scale, and the item set met the criteria of unidimensionality. The AWP exhibited satisfactory person-response validity and internal consistency. Among the three subdomains, the targeting of item-difficulty was sufficient in the motor skills and process skills subdomains. Differential item functioning was found across gender and diagnoses. This study presented evidence to support that the AWP functioned as a reliable and valid assessment in assessing work performance.

  • 12. Green, Sharon
    et al.
    Armitt, Gillian
    Beer, Martin
    Sixsmith, Andrew
    van Bruggen, Johanna
    Daniels, Ramon
    Ghyselen, Ludo
    Sandqvist, Jan
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa - utbildning - välfärdsinstitutioner (HUV).
    Building a European Internet School: The OTIS Experience of Collaborative Learning2001Ingår i: Improving student learning :: improving student learning using learning technology / [ed] Chris Rust, Oxford: Oxford Brookes: OCSLD , 2001, s. 257-268Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Abstract [en]

      

  • 13. Green, Sharon
    et al.
    Armitt, Gillian
    Beer, Martin
    van Bruggen, Johanna
    Daniels, Ramon
    Ghyselen, Ludo
    Sandqvist, Jan
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa - utbildning - välfärdsinstitutioner (HUV).
    Sixsmith, Andrew
    Building a European Internet School: The OTIS Experience of Collaborative Learning2001Ingår i: First European Conference on Computer-Supported Collaborative Learning,2001, Maastricht: Maastricht McLuhan Institute , 2001, s. 257-268Konferensbidrag (Refereegranskat)
  • 14.
    Haglund, Lena
    et al.
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa - utbildning - välfärdsinstitutioner (HUV).
    Sandqvist, Jan
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa - utbildning - välfärdsinstitutioner (HUV).
    Hur kan vi behålla våra manliga studenter?2004Rapport (Övrigt vetenskapligt)
    Abstract [sv]

    Ett angreppssätt för att söka komma närmare en lösning på problemen som växte fram i diskussioner mellan lärare och studenter i den Jämställdhetsgrupp som finns vid utbildningen, var att utbildningen måste stödja de manliga studenterna. De manliga studenterna bör under utbildningstiden erbjudas möjlighet att skapa sig en bra och trygg yrkesidentitet som gör att de väljer att stanna kvar i yrket och därmed kan bli förebilder för andra män som söker utbildningen.

    Stimulansmedel för integration av genusperspektiv i grundutbildningen vid Linköpings Universitet har sökts och erhållits vid två tillfällen.  Målsättningen har varit att utveckla kunskap som kunde leda till bearbetning av befintliga attityder och värderingar vid Arbetsterapeututbildningen hos såväl studenter som lärare för att stödja manliga studenter att fullfölja och avsluta sin grundutbildning till arbetsterapeut.

  • 15.
    Karlsson, Elin
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten.
    Liedberg, Gunilla
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för arbetsterapi. Linköpings universitet, Medicinska fakulteten.
    Sandqvist, Jan
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för arbetsterapi. Linköpings universitet, Medicinska fakulteten.
    Initial evaluation of psychometric properties of a structured work task application for the Assessment of Work Performance in a constructed environment2018Ingår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 40, nr 21, s. 2585-2591Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: The Swedish Social Insurance Administration has developed a new assessment tool for sickness insurance. This study is a part of the initial evaluation of the application, called the Assessment of Work Performance, Structured Activities, and focuses on evaluation of the psychometric properties of social validity, content validity, and utility.

    Materials and methods: This was a qualitative study using semi-structured telephone interviews with occupational therapists. A convenience sample was used and participants who fulfilled inclusion criteria (n = 15) were interviewed. Data were analyzed using content analysis with a directed approach.

    Results: The results indicate that the application provides valuable information and that it is socially valid. Assessors found work tasks suitable for a diverse group of clients and reported that clients accepted the assessments. Improvements were suggested, for example, expanding the application with more work tasks.

    Conclusion: The instrument has benefits; however, further development is desired. The use of a constructed environment in assessments may be a necessary option to supplement a real environment. But depending on organizational factors such as time and other resources, the participants had different opportunities to do so. Further evaluations regarding ecological validity are essential to ensure that assessments are fair and realistic when using constructed environments.

    • Implications for rehabilitation
    • This study indicates that assessment in a constructed environment can provide a secure and protected context for clients being assessed.

    • Psychometric evaluations are a never-ending process and this assessment instrument needs further development. However, this initial evaluation provides guidance in development of the instrument but also what studies to give priority to.

    • It is important to evaluate social validity in order to ensure that clients and assessors perceive assessment methods fair and meaningful. In this study, participants found the work tasks appropriate and usable when assessing their clients but client’s perspective must also be included in following studies.

    • This assessment instrument is the only activity-based assessment instrument within the Swedish Social Security Insurance. Psychometric evaluations are important since it affects so many individuals in Sweden.

  • 16.
    Karlsson, Elin
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten.
    Sandqvist, Jan
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för arbetsterapi. Linköpings universitet, Medicinska fakulteten.
    Social validity in work related assessments2018Konferensbidrag (Refereegranskat)
    Abstract [en]

    INTRODUCTION

    Over the last years the Swedish Social Insurance Agency has implemented and evaluated a national assessment tool with the purpose of a secure and equivalent process in assessing work ability within sickness insurance. An application with structured work tasks was created for the observation based instrument the Assessment of Work Performance (AWP). Social validity investigates whether an assessment is acceptable and socially appropriate.

     

    OBJECTIVE

    Investigate social validity, content validity and utility of the application of the Assessment of Work Performance (AWP).

     

    METHOD

    This was a qualitative study with semi-structured interviews. A convenience sample was conducted and the occupational therapists who agreed to participate applied the application at their work. Those who had used the application (n=15) was interviewed and data was analysed using content analysis.

     

    RESULTS

    The results indicate that the application provides valuable information since clients accepted assessments and assessors found work tasks suitable for a diverse group of clients. Improvements were suggested, for example expanding the application with more work tasks to choose from.

     

    CONCLUSION

    It appears to exist social validity, content validity and utility for the application. This study investigates social validity, a psychometric property unusual to investigate in vocational rehabilitation. It is important since an assessment with a non-socially valid instrument can be inappropriate and irrelevant for clients. When an assessment is acceptable and relevant for clients, the complexity of assessment results can be reduced. Therefore it is essential that occupational therapists as well as other professionals ensure quality and acceptability when assessing work ability.

  • 17.
    Lindh Falk, Annika
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Sandqvist, Jan
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Liedberg, Gunilla
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Euro-Education: Employability for all (EEE4all) Design and implementation of an international course for future health-care professionals2012Ingår i: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 41, nr 4, s. 433-438Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Employment is a priority in the European Union, and it is essential to address the needs of individuals disadvantaged at the labour market on grounds such as ethnicity, age, gender or disability, to increase the opportunities for these groups to gain employment. The Council of the European Union recognize the important role of national organisations in increasing gender equality and the need to integrate a gender perspective in all policies. Gender equality perspectives should also, according to the EU Plan of Action and Gender Equality be integrated in education. less thanbrgreater than less thanbrgreater thanObjectives: To equip students in higher education with knowledge, about gender, age, disability and ethnicity in relation to employability, a European group initiated a project; Euro-Education: Employability for all (EEE4all). less thanbrgreater than less thanbrgreater thanApproach: The project, funded by the European Lifelong Learning Programme, was aimed to develop and implement four course modules, each relating to employability with different focus: gender, age, disability or ethnicity. In this paper design, implementation, and evaluation of the course focused on gender, provided by the Occupational Therapy Programme at Linkoping University, is described. less thanbrgreater than less thanbrgreater thanConclusions: The students highlighted the importance of awareness and knowledge about gender theory and its application in relation to employability and client-centred approach.

  • 18.
    Perneros, Gerd
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Centrum för kirurgi, ortopedi och cancervård, Ortopedkliniken i Linköping.
    Tropp, Hans
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för inflammationsmedicin. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Centrum för kirurgi, ortopedi och cancervård, Ortopedkliniken i Linköping.
    Sandqvist, Jan
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Evaluation of occupational performance and pain intensity: before and after back surgery and rehabilitation2014Ingår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 21, nr 1, s. 69-81Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: The study had a descriptive, longitudinal design and evaluated occupational performance and pain intensity in daily occupations for patients with low back pain (LBP), assessed preoperatively, and at six and 12 months after surgery and rehabilitation. Methods: Patients were assessed by surgeons and occupational therapists (OTs) to determine whether surgery was required. The OTs used the Assessment of Pain and Occupational Performance (POP) instrument. The POP measures 36 occupations in two dimensions: occupational performance and pain intensity. Patients with specific LBP (n = 97) were included. Results: Preoperatively, 23 occupations showed lower performance and "severe pain". At six months, 27 occupations were performed "without restriction" (p = n.s. -less than 0.001) and without pain or with "mild pain" (p less than 0.001). A comparison of preoperative values with those at 12 months showed that 35 occupations were significantly changed on both scales, and 31 occupations were performed "without restriction" (p less than 0.01-less than 0.001) and "without pain" (p less than 0.001). Conclusions: The results indicate significant improvements between baseline, six months, and 12 months. Moreover, when occupational performance and pain intensity were separately identified, it was shown that patients had regained their performance at an ordinary level without pain. This underlines the added value of differentiating between disability and pain.

  • 19.
    Regardt, Malin
    et al.
    Karolinska University Hospital, Sweden; Karolinska Institute, Sweden.
    Welin Henriksson, Elisabet
    Karolinska Institute, Sweden; Karolinska University Hospital, Sweden; Karolinska Institute, Sweden.
    Sandqvist, Jan
    Linköpings universitet, Medicinska fakulteten. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för arbetsterapi.
    Lundberg, Ingrid E.
    Karolinska University Hospital, Sweden; Karolinska Institute, Sweden.
    Schult, Marie-Louise
    Danderyd Hospital, Sweden.
    Work ability in patients with polymyositis and dermatomyositis: An explorative and descriptive study2016Ingår i: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 53, nr 2, s. 265-277Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Polymyositis (PM) and dermatomyositis (DM) are rare, chronic inflammatory diseases leading to muscle weakness and low muscle endurance. The muscle weakness may lead to restrictions in daily activities and low health-related quality of life. OBJECTIVES: This study aimed to investigate the work situation, work ability, work-related risk factors, and influence of the physical and psycho-social work environment in patients with PM and DM. METHODS: Patients with PM/DM were assessed using the Work Ability Index (WAI), and the Work Environment Impact Scale (WEIS). RESULTS: Forty-eight patients (PM n = 25 and DM n = 23) participated (women/men: 29/19) with a mean age of 54 years (range 28-67 years, SD. 10) and mean disease duration of nine years (SD. 9). Forty-four percent worked full-time, 31% part-time and 25% were on full-time sick leave. More than 50% self-rated work ability as "poor" or "lessgood". Physically strenuous work components were present "quite to very often" in 23-79% and more in patients on sick leave = 2 years. For those working, the interfering factors in the work environment concerned task and time demands. Supporting factors concerned meaning of work, interactions with co-workers and others. Self-rated work ability correlated moderately-highly positive with percentage of full-time employment, work-related risk factors and opportunities and constraints in the work environment. CONCLUSIONS: Poor self-rated work ability is common in patients with PM/DM indicating a need to identify interfering risk factors and support patients to enhance work performance.

  • 20.
    Sandqvist, Jan
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa - utbildning - välfärdsinstitutioner (HUV).
    Assessment of Work Performance - Development and Testing of an Instrument2006Ingår i: WFOT 2006 Congress,2006, 2006Konferensbidrag (Övrigt vetenskapligt)
  • 21.
    Sandqvist, Jan
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa - utbildning - välfärdsinstitutioner (HUV).
    Assessment of Work Performance - Development of an Instrument2004Ingår i: European Conference of Occupational Therapists,2004, 2004Konferensbidrag (Övrigt vetenskapligt)
  • 22.
    Sandqvist, Jan
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Development and Evaluation of Validity and Utility of the Instrument Assessment of Work Performance (AWP)2007Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    The last decades have shown a great need for vocational rehabilitation due to high levels of absenteeism due to sickness and disability pension. An essential part of the vocational rehabilitation process is assessment of persons with reduced work functioning. Adequate and reliable methods for assessment of clients with work disabilities are crucial for both the individuals who are assessed and for society as a whole. Sound and precise work assessments are needed to guide clients to suitable interventions using a minimum of rehabilitation resources. However, work function assessments are complex and there is confusion over work assessment concepts. Therefore, further development and evaluation of adequate concepts and theoretical models within the area of work assessment is needed. Furthermore, vocational rehabilitation lacks adequate and reliable assessment instruments, especially instruments used to observe clients.

    This dissertation thesis focuses specifically on the following:

    - Development of a conceptual framework for assessment of work functioning [Study I]

    - Development and evaluation of validity and utility of the observation instrument Assessment of Work Performance (AWP) [Study II-IV]

    Study I proposes a conceptual framework for different dimensions of work functioning and highlights important factors for work assessment. The study also creates a framework to define the purpose, delimination, and possible assessment outcomes of the assessment instrument AWP.

    Study II develops an observation instrument for assessment of work performance, the Assessment of Work Performance (AWP) and conducts an initial evaluation of face validity and utility for the instrument. The initial evaluation in study II was made within a group of 21 assessors in Sweden, and the result indicated face validity and utility for the AWP, a result that supported further development and evaluation of the instrument.

    Study III investigates the content validity and utility of the AWP. A questionnaire was answered by 67 respondents who used the AWP in various vocational rehabilitation settings in Sweden. The result indicated content validity and utility for the AWP.

    Study IV investigates the construct validity of the instrument AWP. This study is based on 364 assessments with the AWP (version 1.1). The clients had various work-related problems and went through an insurance medicine investigation at a Social Insurance Office in Sweden between 2004 and 2005. The major findings in this study indicated that the AWP has construct validity, sensitivity, and the ability to discriminate between clients. It is also gender neutral.

    The future evaluation of AWP will comprise testing of predictive validity, inter-rater reliability and internal consistency reliability as well as an evaluation of how and with what results the instrument can be combined with other work-related assessment instruments.

    Delarbeten
    1. Work functioning - a conceptual framework
    Öppna denna publikation i ny flik eller fönster >>Work functioning - a conceptual framework
    2004 (Engelska)Ingår i: Work, ISSN 1051-9815, Vol. 23, nr 2, s. 147-157Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    Adequate and reliable methods for evaluation of clients with work disabilities are crucial for both the individuals who are assessed and for society as a whole. Sound and precise work assessments are needed to guide clients to suitable interventions using a minimum of rehabilitation resources [31,46,51,68]. Occupational therapy literature contains evidence that work function assessments are complex and that there is confusion over work assessment concepts [30,31]. Therefore, further development and evaluation of adequate concepts and theoretical models within the area of work assessment is needed [68,74]. This article proposes a conceptual framework for different dimensions of work functioning and points out important factors for work assessment. The concepts proposed and defined in the article are: work functioning, work participation, work performance, and individual capacity.

    Nyckelord
    occupational therapy, ability, performance, capacity, assessment
    Nationell ämneskategori
    Medicin och hälsovetenskap
    Identifikatorer
    urn:nbn:se:liu:diva-12892 (URN)
    Tillgänglig från: 2008-01-21 Skapad: 2008-01-21 Senast uppdaterad: 2009-06-03
    2. Assessment of Work Performance - Development of an Instrument
    Öppna denna publikation i ny flik eller fönster >>Assessment of Work Performance - Development of an Instrument
    2006 (Engelska)Ingår i: Work, ISSN 1051-9815, Vol. 26, nr 4, s. 379-387Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    Adequate work assessments are a matter of importance both for individuals and society [5,29,31,38,40,46,52]. However, there is a lack of adequate and reliable instruments for use in work rehabilitation [14,15,20,21,31,44]. The purpose of this study was to develop and evaluate an observation instrument for assessing work performance, the AWP (Assessment of Work Performance). The purpose of the 14-item instrument is to assess the individual's observable working skills in three different areas: motor skills, process skills, and communication and interaction skills. This article describes the development and results of preliminary testing of the AWP. The testing indicates a satisfactory face validity and utility for the AWP and supports further research and testing of the instrument.

    Nyckelord
    Occupational therapy, measurement, instrument development, skills, MOHO
    Nationell ämneskategori
    Arbetsterapi
    Identifikatorer
    urn:nbn:se:liu:diva-12893 (URN)
    Tillgänglig från: 2008-01-21 Skapad: 2008-01-21 Senast uppdaterad: 2009-06-03
    3. Content Validity and Utility of the Assessment of Work Performance (AWP)
    Öppna denna publikation i ny flik eller fönster >>Content Validity and Utility of the Assessment of Work Performance (AWP)
    2008 (Engelska)Ingår i: Work, ISSN 1051-9815, Vol. 30, nr 4, s. 441-450Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    In the area of work rehabilitation, many decisions about future interventions for the client are based on the results of various kinds of assessments. Therefore, it is important that the assessment instruments used are adequate, useful, and reliable. The purpose of this study was to investigate the content validity and utility of the instrument Assessment of Work Performance (AWP) which is used to assess an individual's observable (working) skills during work performance, i.e. how efficient and appropriate a client performs a work activity. A questionnaire was answered by 67 respondents who used the AWP in various work rehabilitation settings in Sweden. The result indicates content validity and utility for the AWP that supports further testing of the instrument.

    Nyckelord
    Occupational therapy, measurement, instrument development, skills, MOHO
    Nationell ämneskategori
    Medicin och hälsovetenskap
    Identifikatorer
    urn:nbn:se:liu:diva-12894 (URN)
    Tillgänglig från: 2008-01-21 Skapad: 2008-01-21 Senast uppdaterad: 2009-05-14
    4. Construct validity of the Assessment of Work Performance (AWP)
    Öppna denna publikation i ny flik eller fönster >>Construct validity of the Assessment of Work Performance (AWP)
    Visa övriga...
    2009 (Engelska)Ingår i: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 32, nr 2, s. 211-218Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    The instrument Assessment of Work Performance (AWP 1.1) can be used to assess an individuals skills during work performance-how efficient and appropriate a client performs a work task. The instrument is currently used by over 300 assessors working in a variety of work rehabilitation settings in Sweden, and it has been used with over 10,000 clients. In this study, the construct validity of the AWP 1.1 was tested with 364 assessments of clients with a variety of various work-related problems assessed by six occupational therapists in a Social Insurance Office in Sweden between 2004 and 2005. Principal Component Analysis shows construct validity of the AWP 1.1. Further, the findings indicate that the instrument is sensitive and discriminates between clients, and no gender related patterns were identified.

    Ort, förlag, år, upplaga, sidor
    IOS Press, 2009
    Nyckelord
    Instrument development, Model of Human Occupation (MOHO), occupational therapy, vocational rehabilitation
    Nationell ämneskategori
    Medicin och hälsovetenskap
    Identifikatorer
    urn:nbn:se:liu:diva-17879 (URN)10.3233/WOR-2009-0807 (DOI)000264925800012 ()
    Tillgänglig från: 2009-04-25 Skapad: 2009-04-24 Senast uppdaterad: 2017-12-13Bibliografiskt granskad
  • 23.
    Sandqvist, Jan
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV).
    Manual för AWC version 1.12008Övrigt (Övrig (populärvetenskap, debatt, mm))
  • 24.
    Sandqvist, Jan
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa - utbildning - välfärdsinstitutioner (HUV).
    Manual för AWC-12006Övrigt (Övrig (populärvetenskap, debatt, mm))
    Abstract [sv]

      

  • 25.
    Sandqvist, Jan
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV).
    Manual för AWP version 2.02008Övrigt (Övrig (populärvetenskap, debatt, mm))
  • 26.
    Sandqvist, Jan
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa - utbildning - välfärdsinstitutioner (HUV).
    Manual för BaFiA version 1.12001Övrigt (Övrig (populärvetenskap, debatt, mm))
  • 27.
    Sandqvist, Jan
    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.
    Gullberg, Mats
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Henriksson, Chris
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier. Linköpings universitet, Hälsouniversitetet.
    Gerdle, Björn
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Rehabiliteringsmedicin. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Medicincentrum, Smärt- och rehabiliteringscentrum.
    Construct validity of the Assessment of Work Performance (AWP)2009Ingår i: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 32, nr 2, s. 211-218Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The instrument Assessment of Work Performance (AWP 1.1) can be used to assess an individuals skills during work performance-how efficient and appropriate a client performs a work task. The instrument is currently used by over 300 assessors working in a variety of work rehabilitation settings in Sweden, and it has been used with over 10,000 clients. In this study, the construct validity of the AWP 1.1 was tested with 364 assessments of clients with a variety of various work-related problems assessed by six occupational therapists in a Social Insurance Office in Sweden between 2004 and 2005. Principal Component Analysis shows construct validity of the AWP 1.1. Further, the findings indicate that the instrument is sensitive and discriminates between clients, and no gender related patterns were identified.

  • 28.
    Sandqvist, Jan
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för arbetsterapi. Linköpings universitet, Medicinska fakulteten.
    Ekbladh, Elin
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för arbetsterapi. Linköpings universitet, Medicinska fakulteten.
    Applying the Model of Human Occupation to Vocational Rehabilitation2017Ingår i: Kielhofner's Model of Human Occupation, Fifth Edition: THEORY AND APPLICATION / [ed] Renee Taylor, Wolters Kluwer, 2017, 5, s. 377-396Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 29.
    Sandqvist, Jan
    et al.
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV).
    Ekbladh, Elin
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV).
    Haglund, Lena
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV).
    Bedömning av arbetsförmåga utifrån arbetsterapeutisk teorigrund2008Rapport (Övrigt vetenskapligt)
  • 30.
    Sandqvist, Jan
    et al.
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa - utbildning - välfärdsinstitutioner (HUV).
    Haglund, Lena
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa - utbildning - välfärdsinstitutioner (HUV).
    How can we keep our male students?2002Ingår i: WFOT 2002 Congress,2002, 2002Konferensbidrag (Övrigt vetenskapligt)
    Abstract [en]

       

  • 31.
    Sandqvist, Jan
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Henriksson, Chris
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier. Linköpings universitet, Hälsouniversitetet.
    Work functioning - a conceptual framework2004Ingår i: Work, ISSN 1051-9815, Vol. 23, nr 2, s. 147-157Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Adequate and reliable methods for evaluation of clients with work disabilities are crucial for both the individuals who are assessed and for society as a whole. Sound and precise work assessments are needed to guide clients to suitable interventions using a minimum of rehabilitation resources [31,46,51,68]. Occupational therapy literature contains evidence that work function assessments are complex and that there is confusion over work assessment concepts [30,31]. Therefore, further development and evaluation of adequate concepts and theoretical models within the area of work assessment is needed [68,74]. This article proposes a conceptual framework for different dimensions of work functioning and points out important factors for work assessment. The concepts proposed and defined in the article are: work functioning, work participation, work performance, and individual capacity.

  • 32.
    Sandqvist, Jan
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Henriksson, Chris
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Gullberg, Mats
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Gerdle, Björn
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Rehabiliteringsmedicin. Linköpings universitet, Hälsouniversitetet.
    Content Validity and Utility of the Assessment of Work Performance (AWP)2008Ingår i: Work, ISSN 1051-9815, Vol. 30, nr 4, s. 441-450Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    In the area of work rehabilitation, many decisions about future interventions for the client are based on the results of various kinds of assessments. Therefore, it is important that the assessment instruments used are adequate, useful, and reliable. The purpose of this study was to investigate the content validity and utility of the instrument Assessment of Work Performance (AWP) which is used to assess an individual's observable (working) skills during work performance, i.e. how efficient and appropriate a client performs a work activity. A questionnaire was answered by 67 respondents who used the AWP in various work rehabilitation settings in Sweden. The result indicates content validity and utility for the AWP that supports further testing of the instrument.

  • 33.
    Sandqvist, Jan
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Törnquist, Kristina
    Örebro Universitet, Örebro, Sweden.
    Henriksson, Chris
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Assessment of Work Performance - Development of an Instrument2006Ingår i: Work, ISSN 1051-9815, Vol. 26, nr 4, s. 379-387Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Adequate work assessments are a matter of importance both for individuals and society [5,29,31,38,40,46,52]. However, there is a lack of adequate and reliable instruments for use in work rehabilitation [14,15,20,21,31,44]. The purpose of this study was to develop and evaluate an observation instrument for assessing work performance, the AWP (Assessment of Work Performance). The purpose of the 14-item instrument is to assess the individual's observable working skills in three different areas: motor skills, process skills, and communication and interaction skills. This article describes the development and results of preliminary testing of the AWP. The testing indicates a satisfactory face validity and utility for the AWP and supports further research and testing of the instrument.

  • 34.
    Ståhl, Christian
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten.
    Sandqvist, Jan
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för arbetsterapi. Linköpings universitet, Medicinska fakulteten.
    Seing, Ida
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten.
    Aktivitetsförmågeutredning (AFU): Tillämpning, upplevelser och utfall2017Rapport (Övrigt vetenskapligt)
    Abstract [sv]

    Försäkringskassan har sedan 2010 utvecklat en metod, aktivitetsförmågeutredning (AFU), för bedömning av arbetsförmåga i relation till normalt förekommande arbete på arbetsmarknaden. Utredningen tar sin utgångspunkt i individens självrapporterade förmåga och involverar en bedömning av särskilt utbildade läkare, och vid behov även arbetsterapeuter, fysioterapeuter, och psykologer. AFU har testats i begränsad skala sedan 2011, vilket sedan stegvis har utökats.

    I denna studie har 300 utredningar analyserats kvantitativt i relation till registerdata från Försäkringskassan, och 30 ärenden har analyserats kvalitativt genom aktanalyser. Därtill har intervjuer genomförts med handläggare, läkare och sjukskrivna. Studien har granskat utredningar genomförda under perioden 2013–2014.

    Sammantaget tyder resultaten från de olika delstudierna i denna rapport på att AFU som bedömningsmetod oftast är i linje med den sjukskrivnes egen bedömning, och att inga skillnader i fortsatt sjukskrivning efter AFU finns beroende på kön eller ålder. Läkarens bedömning i AFU tycks inte predicera framtida sjukskrivning, vilket däremot individens självskattning gör.  Handläggare och bedömningsläkare (dvs. den läkare som utför AFU) anser generellt att AFU är en bra metod som ger relevant och användbar information. Dock används metoden sparsamt, vilket huvudsakligen tycks bero på ofullständig implementering. Utvidgade undersökningar uppskattas av handläggare och läkare då de ger ett bättre underlag. Dock finns det inga skillnader i fortsatt sjukskrivning mellan dem som fått utvidgad undersökning och övriga ärenden.

    AFU leder till olika typer av utfall beroende på ärendets karaktär, där vissa får fortsatt sjukpenning eller sjukersättning, medan andra nekas fortsatt sjukskrivning. Utredningen spelar en mera central roll i ärenden där Försäkringskassan beslutar att neka sjukpenning, då den bidrar till att legitimera beslutet. I ärenden där sjukpenning beviljas bekräftar AFU huvudsakligen innehållet i tidigare underlag och får därmed en mera underordnad roll i kommunikationen med den sjukskrivne. Sjukskrivnas upplevelser av AFU skiljer sig åt, och inte enbart beroende på om utredningen lett till beviljad eller nekad sjukpenning. Försäkringskassans bemötande och handläggarnas dialog med de sjukskrivna tycks ha stor betydelse för hur sjukskrivna uppfattar utredningen och de beslut den leder till. Såväl handläggare som bedömningsläkare och andra inblandade vårdprofessioner har ett pedagogiskt ansvar i att förklara syftet med utredningen och de ingående momenten för att inte den sjukskrivne ska uppleva bedömningen som alltför standardiserad där individuella faktorer inte tas hänsyn till.

  • 35.
    Ståhl, Christian
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. HELIX Competence Centre, Linköping University, Linköping, Sweden.
    Seing, Ida
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten.
    Gerdle, Björn
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Smärt och rehabiliteringscentrum.
    Sandqvist, Jan
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för arbetsterapi. Linköpings universitet, Medicinska fakulteten.
    Fair or square? Experiences of introducing a new method for assessing general work ability in a sickness insurance context2017Ingår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, s. 1-10Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    PURPOSE: To study social validity and perceived fairness of a new method for assessing general work ability in a sickness insurance context. Assessments are based on self-reports, combined with examinations by physicians, and, if needed, occupational therapists, physiotherapists and/or psychologists.

    MATERIALS AND METHODS: Interviews with 36 insurance officials, 10 physicians, and 36 sick-listed persons, which were analysed through a qualitative content analysis.

    RESULTS: Insurance officials and physicians considered the method useful and that it facilitated benefit decisions. The experiences of persons who had undergone the assessment differed, where the dialog with insurance officials seemed to have had an influence on experiences of the assessment and the decisions it led to.

    CONCLUSIONS: The perceived fairness and social validity of the assessment depended on how it was carried out; organisational conditions and priorities; communication skills; and decision outcomes. Professionals have an important pedagogical task in explaining the purpose and procedure of the assessment in order for the sick-listed to perceive it as fair rather than square, i.e., too standardised and not considering individual conditions. If the assessment could be used also for rehabilitative purposes, it could possibly be perceived as more acceptable also in cases where it leads to denied benefits. Implications for rehabilitation The perceived fairness of work ability assessments is dependent on procedures for the assessment, communication with the person, and the outcome. What is considered fair differs between assessing professionals and persons being assessed. Professionals may influence the perceptions of fairness through their way of communication. Assessments need to be coupled with rehabilitation measures in order to perceived as relevant and acceptable.

    Publikationen är tillgänglig i fulltext från 2018-11-16 02:57
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