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  • 101.
    Hemmingsson, Helena
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Borgestig, Maria
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Gaze-Based Assistive Technology - Use in Everyday Life for Individuals with Impairments2017In: Harnessing the Power of Technology to Improve Lives / [ed] Cudd P.,de Witte L., IOS Press, 2017, Vol. 242, p. 1079-1081Conference paper (Refereed)
    Abstract [en]

    This session focuses on the latest developments of gaze-based assistive technology (AT) and the impact of gaze-based AT interventions in the home and at school. In particular, for play, communication, assessments and early intervention. The discussion focuses on how research findings can advance future developments.

  • 102.
    Hemmingsson, Helena
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Borgestig, Maria
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Gaze-Based Assistive Technology for a Toddler with Tetraplegia and Without Speech2017In: Harnessing the Power of Technology to Improve Lives / [ed] Cudd P.,de Witte L., 2017, Vol. 242, p. 1109-1112Conference paper (Refereed)
    Abstract [en]

    This is a case study exploring gaze-based AT as early intervention, for a ten-month-old non-verbal child with severe physical impairments. Data was collected repeatedly over time through questionnaires, videos clips, and field observations until the child was three years old.

  • 103.
    Hemmingsson, Helena
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Forsyth, Kirsty
    Queen Margaret University, Edinburgh, UK.
    Haglund, Lena
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Keponen, Riita
    Metropolia University of Applied Health Sciences, Helsinki, Finland.
    Ekbladh, Elin
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Kielhofner, Gary
    Talking with Clients: Assessments that Collect Information through Interviews2017In: Kielhofner´s Model of Human Occupation: Theory and application / [ed] Renée R Taylor, Philadelphia: Lippincott Williams & Wilkins , 2017, 5, p. 275-290Chapter in book (Refereed)
  • 104.
    Hemmingsson, Helena
    et al.
    Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden.
    Lidström, Helene
    Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden.
    Nygård, Louise
    Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden.
    Assistive technology devices in educational settings: Student's perspective. In Assistive technology from adapted equipment to inclusive environments2009In: Assistive technology research series, ISSN 1383-813X, Vol. 25, p. 619-621Article in journal (Refereed)
    Abstract [en]

    This study investigates use and non-use of assistive technology devices in school from the students' perspective. Specifically, the characteristics of the devices students want to use were examined, as these devices are likely to support school participation. Data collection included a) field observations and interviews with 20 students with disabilities, aged 10-19 years, and their teachers (n=17) and, b) examination of the number and type of assistive technology devices provided. Findings demonstrated it is essential that devices be integrated into classroom activities and that students experience instant benefits for their function in school without negative effects on their social participation with peers if they are to use the devices provided. Social participation was often prioritized by students. Thus, it is important providers understand that students encompass both a functional and a psycho-social perspective to their devices. Furthermore, to facilitate childrens participation in decision-making about possible assistive technology devices they need both verbal information and practical experience of using the devices.

  • 105.
    Hemmingsson, Helena
    et al.
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Penman, Merrolee
    School of Occupational Therapy, Otago Polytechnic, Dunedin.
    Making Children´s Voices Visible: The School Setting Interview (SSI)2010In: Kairaranga, ISSN 1175-9232, Vol. 11, no 1, p. 45-49Article in journal (Refereed)
    Abstract [en]

    Children and young people with disabilities educated in their local school may need services to get equal access to the curriculum. To ensure that any educationally relevant services achieve the best outcomes, the students’ own voices and perspectives should also be included. This paper introduces the School Setting Interview (SSI), an interview-based assessment that helps occupational therapists to understand the barriers to, and facilitators of, inclusion from the student’s perspective. This information added to that identified by the teaching team and the parents/caregivers, can only lead to a "fuller picture" which all the team can draw from when determining issues and identifying potential strategies to address.

  • 106.
    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
    Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Pain and Rehabilitation Center. Curtin University, Australia.
    A pilot play-based intervention to improve the social play interactions of children with autism spectrum disorder and their typically developing playmates2016In: Australian Occupational Therapy Journal, ISSN 0045-0766, E-ISSN 1440-1630, Vol. 63, no 4, p. 223-232Article in journal (Refereed)
    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.

  • 107.
    Hildebrand, Anne-Marie
    et al.
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Johansson, Emélie
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Initial prövning av innehållsvaliditet och användbarhet för bedömningsinstrumentet Assessment of Work Performance: Försäkringskassan (AWP-FK)2012Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The Swedish Social Insurance Agency (Försäkringskassan, FK) has been commissioned by the Government to further develop the assessment procedure for those on sick leave in Sweden.  As part of this, a new assessment instrument has been developed for occupational therapy assessment of the medical ability to work. The instrument is based on the Assessment of Work Performance (AWP), using three selected tasks, and is called AWP-FK. The purpose of this study was to do an initial assessment of AWP-FK with a focus on content validity and utility. The method chosen was qualitative telephone interviews with nine occupational therapists who participated in the Agency's pilot study. The results indicate that AWP-FK has good content validity and utility. The occupational therapists in the study believed that the instrument was relevant, both for the target group and assessment in relationship to the regular labour market. Some suggestions for change have been included, for example that certain instructions in the AWP-FK manual be clarified. The importance of clients understanding the purpose of the assessment and receiving feedback on their performance, and the influence of the assessment environment is discussed. Further studies on AWP-FK are needed to ensure high validity, utility and reliability.

  • 108.
    Hjalmarsson Österholm, Johannes
    et al.
    Linköping University, Department of Medical and Health Sciences. Linköping University, Faculty of Health Sciences.
    Björk, Mathilda
    Avd. för rehabilitering, HHJ, Hälsohögskolan, Högskolan i Jönköping.
    Håkansson, Carita
    ADULT, HHJ. Hälsohögskolan, Högskolan i Jönköping.
    Factors of importance for maintaining work as perceived by med with arthritis2012Conference paper (Other academic)
    Abstract [en]

    Background: Employment rates are significantly lower among individuals with arthritis compared to a generalpopulation. During the last decade new biological medications have revolutionized the treatment for many individuals witharthritis (1), reducing the disease activity and symptoms in a positive way, but also causing major direct costs since thenew medications are very expensive (2). Even though the effect is good some individuals still report disability like pain,fatigue (3) and work disability (4). This indicates that even though biological medicines generate a positive remission ofthe disease, disability such as work disability can still be present and needs to be evaluated. Previous research aboutindividuals with arthritis and their ability to work has mainly had a quantitative design focusing on what affects work andfacilitates the ability to work for women. There is, however, limited research about how men with arthritis perceive theirability to maintain working.Objectives: The aim of this study was thus to explore how men with arthritis perceive their ability to maintain working.Methods: Nine employed men with arthritis were purposively sampled. Interviews were performed and were inspired bythe central concepts of the Model of Human Occupation. The Empirical Phenomenological Psychological method wasmodified and used to analyze and interpret collected data.Results: The findings consist of six themes and fifteen sub-themes. The results showed that men with arthritis perceiveda desire to work, adjusted their activity pattern, were aware of their own capabilities, had good work conditions, hadenvironmental support and used effective medication to maintain their ability to work.Conclusions: This study has provided an understanding of how men with arthritis maintain their ability towork. In conclusion, to treat the symptoms of arthritis, in the more traditional way that for examplehand dysfunction and pain are treated, may prevent sick-leave but as found in the presentstudy the ability to work is complex and new strategies to support ability to work need to bedeveloped in the occupational aspects of rheumatology care.

  • 109.
    Holstein, Jane
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Cultural Competence for Health Professionals: Instrument Development2019Licentiate thesis, comprehensive summary (Other academic)
    Abstract [en]

    In recent decades, both global migration in general and specifically migration to Sweden have increased. This development compels the need for delivering healthcare to the increasingly diverse populations in Sweden. To support health professionals, for instance occupational therapists, in developing their professional knowledge in encounters with foreign-born clients a self-rating instrument measuring cultural competence is developed. This may contribute to the development of suitable services for foreignborn clients and improve person-centered interventions for these clients.

    The general aim of this thesis was to develop an instrument for health professionals by examining psychometric properties and utility of the Swedish version of the Cultural Competence Assessment Instrument (CCAI-S) among occupational therapists. The specific aim of study I was to evaluate the content validity and utility of the Swedish version of the Cultural Competence Assessment Instrument (CCAI-S) among occupational therapists. The study had a descriptive and explorative design. Nineteen occupational therapists participated, divided into four focus groups. Qualitative content analysis was used to examine the content validity and utility of the CCAI-S. The specific aim of study II was to examine the clinical relevance, construct validity and reliability of the Swedish version of the Cultural Competence Assessment Instrument (CCAI-S) among Swedish occupational therapists. The study had a cross-sectional design. A web-based questionnaire was e-mailed to a randomised sample of 428 occupational therapists to investigate the construct validity, reliability and utility of the CCAI-S. Factor analysis was performed as well as descriptive statistics.

    The findings from study I revealed high content validity for all 24 items. However, six items needed reformulations and exemplifications. Regarding utility, the results showed strong support for CCAI-S. The category ‘Interactions with clients’ showed that the CCAI-S could be utilised individually for the health professional and create a higher awareness of cultural questions in practice. The category ‘Workplace and its organisational support’ displayed potential for use in different workplaces regarding CCAI-S and indicated the importance of organisational support for health professionals in the development of cultural competence. The findings from study II regarding construct validity generated a three-factor model with the labels ‘Openness and awareness’, ‘Workplace support’ and ‘Interaction skills’. All three factors showed high factor loadings and contained 12 of the 24 original items. The Cronbach’s Alpha showed high support for the three-factor model. Concerning utility, the participants reported that all 24 items had high clinical relevance.

    In conclusion, the findings from the two studies indicated good measurement properties and high clinical relevance for the CCAI-S. This may sup-port the utilisation of CCAI-S in the Swedish context for health professionals, for instance occupational therapists. The results of the instrument development show that the upcoming published version of the CCAI-S can be a valuable self-assessment tool for health professionals who strive to improve in person-centred communication in encounters with foreign-born clients. CCAI-S can also be of support for the organisation to serve as a guide for what to focus on to develop cultural competence within the staff. Altogether this presumably influence the effectiveness of the healthcare and enhance the evidence of interventions for foreign-born clients. To develop an instrument is an iterative process requiring several evaluations and tests in various settings and populations. Therefore further psychometric testing and utility studies on the CCAI-S is crucial.

    List of papers
    1. Validity and utility of the Swedish version of the Cultural Competence Assessment Instrument
    Open this publication in new window or tab >>Validity and utility of the Swedish version of the Cultural Competence Assessment Instrument
    2019 (English)In: British Journal of Occupational Therapy, ISSN 0308-0226, E-ISSN 1477-6006, Vol. 82, no 7, p. 422-432Article in journal (Refereed) Published
    Abstract [en]

    Introduction: Global migration as well as migration to Sweden has increased during the last few decades. A self-rating instrument that measures cultural competence could support occupational therapists' professional knowledge when they encounterclients from different cultural backgrounds. The purpose of this study was to evaluate the content validity and utility of the Swedish version of the Cultural Competence Assessment Instrument among occupational therapists. Nineteen occupational therapists participated in four focus groups.

    Method: Qualitative analysis was used to evaluate content validity and utility.

    Results: The results revealed that all 24 items of the Cultural Competence Assessment Instrument were valid, even though six of the items were in need of reformulations and exemplifications. The category Interactions with clients showed that the Cultural Competence Assessment Instrument – Swedish version could be utilised individually to raise awareness on cultural issues inpractice. The category Workplace and its organisational support showed that the Cultural Competence Assessment Instrument – Swedish version had potential for use in different workplaces, and indicated the importance of organisational support in the development of communications and cultural competence.

    Conclusion: The evaluation indicated positive content validity for the Cultural Competence Assessment Instrument – Swedish version, and that it had the potential to be utilised in the Swedish context.

    Keywords
    Instrument development, occupational therapy, qualitative research, ethnicity, cultural competence
    National Category
    Occupational Therapy
    Identifiers
    urn:nbn:se:liu:diva-156137 (URN)10.1177/0308022619825813 (DOI)000473502900005 ()
    Available from: 2019-04-05 Created: 2019-04-05 Last updated: 2019-07-19
  • 110.
    Holstein, Jane
    et al.
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Kjellberg, Anette
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Design for all - a challenge for occupational therapy students.2012Conference paper (Refereed)
    Abstract [en]

    Introduction: The Swedish nationalgoals for people with disabilities acknowledge diversity. Implying that actionssuch as "design for all" should be directed towards identifying andeliminating obstacles to full participation in society.

    Aim: The aim was to explore occupational therapy students' perceptions of theinter-professional course "Design for all". Methods: 150 occupational therapy students answered an evaluation questionnairewith open-ended questions directly after finishing the course. After threemonths, half of the students answered a follow-up questionnaire.

    Results: The majority of the students described the inter-professionalintegration as positive. The concrete application of the design process and therelevance in relation to real-life situations was highly evaluated. However,logistics problems such as coordinating schedules between the medical andtechnological faculties need to be further developed.

    Conclusion: It is important to gain professional competence about "Designfor all"in products, environments and services since this enable diversityin society

  • 111.
    Holstein, Jane
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Liedberg, Gunilla M.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Öhman, Annika
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Kjellberg, Anette
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Validity and utility of the Swedish version of the Cultural Competence Assessment Instrument2019In: British Journal of Occupational Therapy, ISSN 0308-0226, E-ISSN 1477-6006, Vol. 82, no 7, p. 422-432Article in journal (Refereed)
    Abstract [en]

    Introduction: Global migration as well as migration to Sweden has increased during the last few decades. A self-rating instrument that measures cultural competence could support occupational therapists' professional knowledge when they encounterclients from different cultural backgrounds. The purpose of this study was to evaluate the content validity and utility of the Swedish version of the Cultural Competence Assessment Instrument among occupational therapists. Nineteen occupational therapists participated in four focus groups.

    Method: Qualitative analysis was used to evaluate content validity and utility.

    Results: The results revealed that all 24 items of the Cultural Competence Assessment Instrument were valid, even though six of the items were in need of reformulations and exemplifications. The category Interactions with clients showed that the Cultural Competence Assessment Instrument – Swedish version could be utilised individually to raise awareness on cultural issues inpractice. The category Workplace and its organisational support showed that the Cultural Competence Assessment Instrument – Swedish version had potential for use in different workplaces, and indicated the importance of organisational support in the development of communications and cultural competence.

    Conclusion: The evaluation indicated positive content validity for the Cultural Competence Assessment Instrument – Swedish version, and that it had the potential to be utilised in the Swedish context.

  • 112.
    Hultling, C
    et al.
    Spinalis SCI Research Unit, Karolinska Hospital, Stockholm.
    Levi, Richard
    Spinalis SCI Research Unit, Karolinska Hospital, Stockholm.
    Amark, S P
    Neuropediatric Section, Astrid Lindgren Children's Hospital, Karolinska Hospital, Stockholm.
    Sjöblom, P
    Department of Obstetrics and Gynaecology, Huddinge University Hospital, Karolinska Institute, Huddinge, Sweden.
    Semen retrieval and analysis in men with myelomeningocele.2000In: Developmental Medicine & Child Neurology, ISSN 0012-1622, E-ISSN 1469-8749, Vol. 42, no 10, p. 681-684Article in journal (Refereed)
    Abstract [en]

    The introduction of advanced assisted reproduction technologies (ART) has created opportunities for the treatment of infertility among patients with myelomeningocele (MMC). The aim of this study was to assess the possibility of semen retrieval and to analyse the semen quality in men with MMC. Nine men, aged 22 to 39 with MMC participated in the study. Two participants were able to achieve unassisted ejaculation. Vibratory stimulation was unsuccessfully attempted in the remaining seven participants who then underwent electroejaculation under general anaesthesia. In total, enough spermatozoa for intracytoplasmic spermatozoa injection were retrieved from five participants. In four cases, no spermatozoa were observed in the ejaculates. Testicular biopsies, however, revealed spermatogenesis, and thus a reproductive potential, in one of these men. Therefore, in six of the nine men with MMC, fatherhood seemed possible with modern ART, despite the semen quality generally being very poor.

  • 113.
    Humby, Ingegerd
    et al.
    Linköping University, Department of Neuroscience and Locomotion.
    Olsson, Cecilia
    Linköping University, Department of Neuroscience and Locomotion.
    Stroke, bilkörning & arbetsterapi: En litteraturstudie över bedömningsinstrument för körförmåga2005Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    Mobility through driving a car leads to enhanced quality of life. The prevalence of stroke is increasing, and to satisfy the individual’s need for activity and independence in transportation, an increased need of assessments of the ability to drive is apparent. Residual symptoms of stroke vary. There is therefore a need of different kinds of assessments. Occupational Therapists familiar with client-centred assessments and used to assessing various skills can contribute to issues concerning the acquisition of driving licences. The aim of the study was to gather descriptions of tools for assessing the ability to drive after stroke in scientific literature, based on the authors´ questions. A systematic review was the method used. Fifteen scientifically reviewed articles and a Master of Science report were included in the study. The main outcome was that a great number of assessment tools were found, of which the majority tested skills on the tactical level according to the hierarchic model of Michon. Very few of the tools could be related to the requested quality aspects. The occupational therapists´ starting point in most cases was to assess skill rather than insight into the question of car-driving. The authors believe that occupational therapists are well suited for that kind of assessment, based on the results of this study. The authors suggest further research in developing a new assessment tool based on a practical test for car driving as an alternative to the driving test.

  • 114.
    Igelström, Peter
    Linköping University, University Library.
    Det förflutnas framtid: Visioner och prognoser vid Linköpings universitetsbibliotek från 1970-tal till 1990-tal2018In: Ett bibliotek i takt med tiden: Linköpings universitetsbibliotek 50 år / [ed] Peter Igelström och Christina Brage, Linköping: Linköpings universitetsbibliotek , 2018, p. 171-197Chapter in book (Other academic)
    Abstract [sv]

    Framtiden blir sällan precis så som vi föreställer oss den. Detta hindrar dock inte att de flesta verksamheter ägnar sig åt att på något vis försöka förutsäga den kommande utvecklingen. Inom biblioteksvärlden har det länge funnits en livaktig diskussion om vad som står för dörren när det gäller bibliotekens roll, utformning och verksamhet.

    Följande exposé presenterar ett antal visioner, prognoser och scenarier från 1970-, 80- och 90-talen som satts på pränt i olika dokument med anknytning till Linköpings universitetsbibliotek (LiUB). Jag kommer även att göra några nedslag i den nationella och internationella biblioteksdebatten eftersom dessa i vissa fall är intimt kopplade till den lokala LiUB-diskussionen. En tillbakablick på gårdagens framtidsvisioner kan inte bara säga något om dåtiden utan också ge perspektiv på hur vi diskuterar framtiden idag.

  • 115.
    Johansson, Maria M.
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Geriatric. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in Central Östergötland, Department of Geriatric Medicine.
    Wressle, Ewa
    Linköping University, Department of Clinical and Experimental Medicine, Geriatric. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in Central Östergötland, Department of Geriatric Medicine.
    Validation of the Neurobehavioral Cognitive Status Examination and the Rivermead Behavioural Memory Test in investigations of dementia2012In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 19, no 3, p. 282-287Article in journal (Refereed)
    Abstract [en]

    The aim of this retrospective study was to validate two commonly used instruments, Cognistat and the Rivermead Behavioural Memory Test, RBMT, for detection of MCI and mild dementia. Two different diagnosis groups, mild cognitive impairment (MCI) and Alzheimer's disease combined with mixed dementia representing mild dementia (MD), were compared with a group of patients who did not receive a diagnosis of dementia. All patients were assessed at a specialized outpatient memory clinic in a university hospital in Sweden using the Mini Mental State Examination (MMSE), Cognistat, and RBMT. Sensitivity, specificity, predictive value, and likelihood ratio were calculated for the tests. The Cognistat and RBMT have moderate validity in the detection of MCI and mild dementia. On their own, none of the tests used is sufficient for diagnosing MCI or mild dementia. A combination of the Cognistat and RBMT provides additional information in early stage dementia; in this regard the RBMT is better than the Cognistat, which also has other limitations. The RBMT can be helpful for distinguishing between MCI and mild dementia. There is a need for a more sensitive screening test to capture early cognitive impairment related to patients' occupational performance and problems in daily life.

  • 116.
    Johansson, Victoria
    et al.
    Linköping University, Department of Social and Welfare Studies.
    Henningsson, Emmie
    Linköping University, Department of Social and Welfare Studies.
    Hur unga vuxna med autism upplever vänskapsrelationer: En kvalitativ intervjustudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Having autism means the individual suffers from a developmental disorder and behavior. This can be expressed in different ways and varies depending on age and talent. All individuals with autism have difficulty with communication, both using language and use of verbal and nonverbal communication. The social leisure time goal is to be with others and find the support of other people and strive to create relationships and acceptance. The problem area was identified based on observations in clinical education, where young adults with autism had difficulty interacting with friends. This was seen as a problem that needed to be investigated further. The aim of this study is to identify opportunities and difficulties of young adults aged 18 to 25 years with autism regarding their social interaction with friends. Nine participants were interviewed. The results show that there are both promoting and supporting factors affecting the interaction with friends and there is a great need for occupational therapy interventions. The result was summarized into five themes; importance of a good friend, social media, maintaining contact, expectations and behavior of society, and common interests. The need for interventions regarding friendship for the target group needs to be investigated further.

  • 117.
    Karlsson, Angelika
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Erbs, Viktoria
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Hur elevhälsoteamets arbete påverkar elevers delaktighet i skolaktiviteter: En kvalitativ studie i fokusgrupp2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Student health care involves multiple professions that together build a multiprofessional team. These teams work to promote student health care and participation in school-based activities. Depending on how well this teamwork functions it can either be an enabling or an obstructive factor for the student’s participation in their school-based activities. This study aims to investigate how student health care teams experience their teamwork and its effect on the students’ participation in school-based activities. The study is based on two focus group interviews with two different school health care teams in Sweden. The teams consisted of a total of twelve individuals. The results of the study show that student health care teams experience their teamwork to have a positive impact on the students’ opportunity to participate in school-based activities. The teamwork functioned well, but the team members still found certain things to improve. One factor the teams discussed was a need for more time for their preventive work. A further development of this study is recommended to gain an understanding of the individual thoughts within the student health teams, and through that make a comparison with the collective view of the team.

  • 118.
    Karlsson, Elin
    et al.
    Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences.
    Liedberg, Gunilla
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Sandqvist, Jan
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Initial evaluation of psychometric properties of a structured work task application for the Assessment of Work Performance in a constructed environment2018In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 40, no 21, p. 2585-2591Article in journal (Refereed)
    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.

  • 119.
    Kielhofner, Gary
    et al.
    University of Illinois at Chicago, USA.
    Forsyth, Kirsty
    Queen Margaret University College, Edinburgh, Scotland.
    Clay, Christine
    Chicago Lighthouse for The Blind, USA.
    Ekbladh, Elin
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Haglund, Lena
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Hemmingsson, Helena
    Karolinska Institutet, Stockholm.
    Keponen, Riita
    Helsinki Polytechnic Stadia; Finland.
    Olson, Linda
    Rusch University, Chicago, USA.
    Talking With Clients: Assessments That Collect Information2008In: Model of Human Occupation: Theory and Application. 4:th edition / [ed] Gary Kielhofner, Philadelphia, USA: Lippincott Williams & Wilkins , 2008, 4, p. 262-287Chapter in book (Other academic)
    Abstract [en]

      Model of Human Occupation, Fourth Edition offers a complete and current presentation of the most widely used model in occupational therapy, and delivers the latest in MOHO theory, research, and application to practice. This authoritative text explores what motivates individuals, how they select occupations and establish everyday routines, how environment influences occupational behavior, and more. NEW TO THIS EDITION: Case Vignettes that illustrate key concepts that students need to know Case Studies that help students apply the model to practice Chapter on evidence based practice (ch. 25) Chapter on World Health Organization and AOTA practice framework and language links the MOHO model to two widely used frameworks (ch. 27) Photographs of real patients help bring the concepts and cases to life

  • 120.
    Kjellberg, Anette
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Social and Welfare Studies, Health, Activity, Care.
    From patient to participatory citizen: Literature review of disability policy on participation and access in relation to occupational therapy practice2010In: WFOT Bulletin, ISSN 1447-3828, Vol. 61, p. 32-38Article in journal (Refereed)
    Abstract [en]

    The purpose of this study was to analyse Swedish laws and steering documents concerning disability policy on participation and accessibility in relation to occupational therapy practice. An analysis of documents that have influenced Swedish disability policy was performed based mainly on Swedish documents but also including key international documents. These documents can be used to support and guide the occupational therapists’ work. People with disabilities have the right to have an accessible and participatory life but an evaluation of the national goals for people with disabilities in Sweden showed that the goals had not been fully reached. Occupational therapists have knowledge and an obligation to work with participation and accessibility issues and need to expand their interventions from the level of direct patient treatment to a societal level to better enable people with disabilities to be participatory citizens. This paper may inform occupational therapists in other countries the value of analyzing their government’s laws and documents to evaluate their stance on access and participation and how that effects the work of occupational therapy.

  • 121.
    Kjellberg, Anette
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Transition to higher education and work for young adults with neuropsychiatric disabilities2012Conference paper (Other academic)
  • 122.
    Kjellberg, Anette
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Övergång till högre studier och arbetsliv för unga vuxna med neuropsykiatriska diagnoser2012Conference paper (Other academic)
  • 123.
    Kjellberg, Anette
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care.
    Övergången från skola till högre studier och arbete för unga vuxna med ADHD och Aspergers syndrom.2013Conference paper (Refereed)
  • 124.
    Kjellberg, Anette
    et al.
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Bolic, Vedrana
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Haglund, Lena
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Utilization of an ICF-based assessment from occupational therapists' perspectives2012In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 19, no 3, p. 274-281Article in journal (Refereed)
    Abstract [en]

    The International Classification of Functioning, Disability and Health (ICF) is intended to provide a framework for practitioners. A client-centred ICF-based assessment (ICF-A) was developed to be used by occupational therapists in problem identification. The aim was to evaluate the ICF-based assessment (ICF-A) focusing on the examination of its utility on the basis of occupational therapists' perspectives regarding clinical relevance and potential for implementation. Eleven occupational therapists, most of whom worked in hospitals, performed in total 99 ICF-A based assessments and completed three self-reported questionnaires related to the utility of the ICF-A, resulting in a total of 121 questionnaires. Data were analysed using descriptive statistics and directed content analysis. The results from this initial testing of ICF-A showed that its clinical relevance was considered low since ICF-A included too many categories. In addition, the time needed to perform the assessments decreased during the 10 assessment occasions. Furthermore, concerning its implementation potential, the client-centred approach in the ICF-A was rated as weak. The target group did not benefit from using ICF-A in a hospital context. Hence, an investigation of its utility among occupational therapists in community and primary care will be the next step in the development of the ICF-A.

  • 125.
    Kjellberg, Anette
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Haglund, Lena
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Utilization of the Swedish version of the Assessment of Communication and Interaction Skills2016In: British Journal of Occupational Therapy, ISSN 0308-0226, E-ISSN 1477-6006, Vol. 79, no 4, p. 228-234Article in journal (Refereed)
    Abstract [en]

    Introduction The Assessment of Communication and Interaction Skills, which is based on the Model of Human Occupation, is used when observing a client’s skills to communicate and interact with others while performing an occupation. The utility and psychometric status of an assessment is critical for treatment planning in occupational therapy. The aim of the current study was to examine the utility of the Swedish version of the Assessment of Communication and Interaction Skills from the perspective of occupational therapists working in the field of mental health, considering its clinical relevance and potential for implementation.

    Method Eight occupational therapists performed 116 assessments. Most of the 58 clients had affective or anxiety disorders. Descriptive and qualitative analysis were performed.

    Results In 76% of the assessments, the occupational therapists perceived that they had obtained a deeper knowledge of the client’s communication and interaction skills. This supports the clinical relevance of the assessment. Concerning the implementation potential and time required for using the assessment, all occupational therapists considered it reasonable.

    Conclusion The Swedish version of the Assessment of Communication and Interaction Skills is appropriate to use in the field of mental health for supporting occupational therapists in the treatment planning process.

  • 126.
    Kjellberg, Anette
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Medicine and Health Sciences.
    Hellberg, Kristina
    Linnéuniversitetet, Inst. för pedagogik, Speciallärar- specialprogrammen.
    Transition till vuxenlivet2016In: Arbetsterapi för barn och ungdom / [ed] Ann-Christin Eliasson, Helene Lidström, Marie Peny-Dahlstrand, Lund: Studentlitteratur AB, 2016, 1, p. 93-104Chapter in book (Other academic)
  • 127.
    Kjellberg, Anette
    et al.
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Hellberg, Kristina
    Linköping University, Department of Behavioural Sciences and Learning, Education, Teaching and Learning. Linköping University, Faculty of Arts and Sciences.
    Övergångsprocessen från skola till vidare studier och arbete. Intervjuer med unga vuxna med ADHD och Aspergers syndrom2012Conference paper (Other academic)
  • 128.
    Kjellberg, Anette
    et al.
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care.
    Holstein, Jane
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care.
    Design för alla - en utmaning för arbetsterapeutstudenter.2013Conference paper (Refereed)
  • 129.
    Kjellberg, Anette
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Kåhlin, Ida
    Linköping University, Department of Social and Welfare Studies, NISAL - National Institute for the Study of Ageing and Later Life. Linköping University, Faculty of Arts and Sciences.
    Haglund, Lena
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Taylor, Renée
    Department of Occupational Therapy, University of Illinois at Chicago, Chicago, Illinois, USA.
    The myth of participation in occupational therapy: reconceptualizing a client-centred approach2012In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 19, no 5, p. 421-427Article in journal (Refereed)
    Abstract [en]

    Participation is often the comprehensive objective of treatment but also an indication of the extent to which the process of occupational therapy is client-centred. The purpose of this study was to explore levels of participation during occupational therapy among clients in the area of mental health from the occupational therapists' perspectives. Additionally the authors sought to identify factors that might hinder client participation. Postal questionnaires were sent out to 670 Swedish occupational therapists working with persons with mental illness and learning disabilities. The questionnaire required therapists to rate clients' levels of participation during occupational therapy. Findings indicated that the most common level of participation for the clients was interdependent, meaning that problems, goals, and plans were identified jointly and collaboratively with the occupational therapist. However, more than 20% of the clients were described as being dependent. Almost 90% of the occupational therapists rated client participation in therapy to be very important and nearly 70% claimed that client participation in general needed to be increased. Occupational therapists rated the primary barriers to participation as being clients' inability to participate and organizational and financial problems. Implications of these findings for education in client-centred practice approaches are discussed.

  • 130.
    Kjellberg, Anette
    et al.
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Taylor, Renee
    Dep. of Occcupational Therapy, University of Illinois, Chicago, USA.
    Sandell, Caroline
    Östergötlands Läns Landsting.
    Increasing participation in occupational therapy: Findings from a neuropsychiatric program2012Conference paper (Other academic)
  • 131.
    Kottorp, Anders
    et al.
    Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden / Department of Occupational Therapy, College of Applied Health Sciences, University of Illinois at Chicago, USA.
    Nygård, Louise
    Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
    Hedman, Annicka
    Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
    Öhman, Annika
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Department of Social and Welfare Studies, NISAL - National Institute for the Study of Ageing and Later Life. Linköping University, Faculty of Medicine and Health Sciences.
    Malinowsky, Camilla
    Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
    Rosenberg, Lena
    Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
    Lindqvist, Eva
    Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
    Ryd, Charlotta
    Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
    Access to and use of everyday technology among older people: An occupational justice issue – but for whom?2016In: Journal of Occupational Science, ISSN 1442-7591, E-ISSN 2158-1576, Vol. 23, no 3, p. 382-388Article in journal (Refereed)
    Abstract [en]

    Research into older people’s use of remote controls, mobile phones, digital home appliances, and computerized communication systems reveals that many have difficulty accessing and using these everyday technologies. By using occupational justice theory as a lens onto this technological development, we argue in this commentary that critical analysis of the findings from an occupational perspective reveals systematic injustices that disadvantage certain sectors of the older population. In particular we propose that, contrary to what might be expected, diagnosis or disability is not the sole marker for a vulnerable population at high risk of occupational injustices. Rather, the empirical findings support that other aspects (e.g., economic, educational) may also be influencing both everyday technology access and use among the older population. In light of these concerns, we argue that (a) occupation-centred outcome measures are needed to target everyday technology populations at risk of occupational injustices, and (b) future studies evaluating the access and use of everyday technology among older people must also monitor and target socio-demographic diversities.

  • 132.
    Kroksmark, Ulla
    et al.
    SU/Mölndals sjukhus Göteborgs universitet.
    Liedberg, Gunilla
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Tidsgeografisk metod - anteckna dina aktiviteter i mobil - utvärdering av arbetsterapeutiska insatser: Workshop2011Conference paper (Other academic)
  • 133.
    Kwak, Lydia
    et al.
    Karolinska Institute, Sweden.
    Wåhlin, Charlotte
    Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Occupational and Environmental Medicine Center. Linköping University, Department of Clinical and Experimental Medicine. Karolinska Institute, Sweden.
    Stigmar, Kjerstin
    Lund University, Sweden; Skåne University Hospital, Sweden.
    Jensen, Irene
    Karolinska Institute, Sweden.
    Developing a practice guideline for the occupational health services by using a community of practice approach: a process evaluation of the development process2017In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 17, article id 89Article in journal (Refereed)
    Abstract [en]

    Background: One way to facilitate the translation of research into the occupational health service practice is through clinical practice guidelines. To increase the implementability of guidelines it is important to include the end-users in the development, for example by a community of practice approach. This paper describes the development of an occupational health practice guideline aimed at the management of non-specific low back pain (LBP) by using a community of practice approach. The paper also includes a process evaluation of the development providing insight into the feasibility of the process. Methods: A multidisciplinary community of practice group (n = 16) consisting of occupational nurses, occupational physicians, ergonomists/physical therapists, health and safety engineers, health educators, psychologists and researchers from different types of occupational health services and geographical regions within Sweden met eleven times (June 2012-December 2013) to develop the practice guideline following recommendations of guideline development handbooks. Process-outcomes recruitment, reach, context, satisfaction, feasibility and fidelity were assessed by questionnaire, observations and administrative data. Results: Group members attended on average 7.5 out of 11 meetings. Half experienced support from their workplace for their involvement. Feasibility was rated as good, except for time-scheduling. Most group members were satisfied with the structure of the process (e.g. presentations, multidisciplinary group). Fidelity was rated as fairly high. Conclusions: The described development process is a feasible process for guideline development. For future guideline development expectations of the work involved should be more clearly communicated, as well as the purpose and tasks of the CoP-group. Moreover, possibilities to improve support from managers and colleagues should be explored. This paper has important implications for future guideline development; it provides valuable information on how practitioners can be included in the development process, with the aim of increasing the implementability of the developed guidelines.

  • 134.
    Kåhlin, Ida
    et al.
    Linköping University, Faculty of Arts and Sciences. Linköping University, Department of Social and Welfare Studies, NISAL - National Institute for the Study of Ageing and Later Life.
    Haglund, Lena
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Psychosocial streghts and challenges related to work among persons with intellectual disabilities2009In: Occupational Therapy in Mental Health, ISSN 0164-212X, E-ISSN 1541-3101, Vol. 25, no 2, p. 151-163Article in journal (Refereed)
    Abstract [en]

    This study aims to describe the psychosocial strengths and challenges related to work among persons with intellectual disabilities. The instrument used for this purpose was the Swedish version of the Worker Role Interview. Thirty people with moderate to mild intellectual disability participated in the study. The findings indicate that the participants have many psychosocial strengths that positively affect their worker role. For most of the participants, work is a highly valued life domain and something to which they feel a commitment. It is also shown that the participants have well-developed work habits and a supportive social environment. The main problem area for some participants was in the area of personal causation. Overall, MOHO and the WRI provided useful concepts and a practical method of assessment for understanding strengths and challenges in persons with intellectual disabilities related to work.

  • 135.
    Kåhlin, Ida
    et al.
    Linköping University, Department of Social and Welfare Studies, NISAL - National Institute for the Study of Ageing and Later Life. Linköping University, Faculty of Arts and Sciences.
    Kjellberg, Anette
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Ageing at home as experienced by older people with intellectual disabilities2012Conference paper (Other academic)
  • 136.
    Kåhlin, Ida
    et al.
    Linköping University, Department of Social and Welfare Studies, NISAL - National Institute for the Study of Ageing and Later Life. Linköping University, Faculty of Arts and Sciences.
    Kjellberg, Anette
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Äldre och åldrande - upplevelser beskrivna av äldre personer med utvecklingsstörning2013Conference paper (Other academic)
    Abstract [sv]

    Bakgrund: När människor åldras uppstår fysiska, psykologiska och sociala förändringar. Dessa kan resultera i upplevelser som i högre grad kan vara utmanande för personer med utvecklingsstörning. En anledning till detta kan vara en nedsatt förmåga att förstå sin åldrandeprocess och därmed kunna förbereda sig på och hantera dess konsekvenser.  Studier har visat att omgivningen ofta inte uppmärksammar åldersrelaterade förändringar hos personer med utvecklingsstörning.  Detta påverkar utförandet och resultatet av de arbetsterapeutiska insatserna.  En betydande utgångspunkt för att kunna ge kvalificerade insatser är att utgå från hur personen själv ser på sin livssituation.

    Syfte: Denna studie syftar till att beskriva hur en grupp äldre personer med utvecklingsstörning upplever äldre och åldrande.

    Tillvägagångssätt och analys: Studien har en fenomenologisk utgångpunkt. Individuella intervjuer har genomförts med stöd av en semistrukturerad intervjuguide. De 12 informanterna var mellan 48 och 71 år (m= 64) och bodde i fyra olika särskilda boenden. Intervjuerna har analyserats med stöd av en deskriptiva fenomenologisk metod.

    Resultat: Vid analysen framkom två kategorier och sex subkategorier som kan relateras till hur informanterna beskriver sina upplevelser av äldre och åldrande. Kategorin ”åldrandets förändringsprocesser” beskriver förändringar som informanterna relaterar till sitt eget åldrande, men också förändringar som utgår från andras åldrande och samhällets stereotypa föreställningar. Kategorin ”åldrandets existentiella aspekter” beskriver den ambivalens som finns i informanternas beskrivningar gällande deras roll som äldre och hur de upplever att den påverkar deras dagliga liv nu och i framtiden.

    Slutsats: Genom hela livet behöver personer med utvecklingsstörning stöd för att kunna vara delaktiga. Kvalificerade insatser bör också innehålla stöd att förstå sin åldrandeprocess och dess konsekvenser i det dagliga livet.

  • 137.
    Kåhlin, Ida
    et al.
    Linköping University, Department of Social and Welfare Studies, NISAL - National Institute for the Study of Ageing and Later Life. Linköping University, Faculty of Arts and Sciences.
    Kjellberg, Anette
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Alfredsson Ågren, Kristin
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Evidensbaserad arbetsterapi - en rättighet för vuxna personer med utvecklingsstörning2011Conference paper (Refereed)
  • 138.
    Kåhlin, Ida
    et al.
    Linköping University, Department of Social and Welfare Studies, NISAL - National Institute for the Study of Ageing and Later Life. Linköping University, Faculty of Arts and Sciences.
    Kjellberg, Anette
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Alfredsson Ågren, Kristin
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Occupational Therapy for adults with intellectual disability2012Conference paper (Other academic)
    Abstract [en]

    The aim of this study was to perform a literature review in order to present an overview of evaluations and interventions in occupational therapy for adults with intellectual disabilities.

    The search was conducted through the following data bases AMED, CINAHL, ERIC, OT Seeker, PsycINFO, PubMed and Scopus covering the period between 2000 (January) - 2010 (March). The search was limited to empirical studies in occupational therapy written in English and published in peer-reviewed journals. The search terms “developmental disability”

    “intellectual disability” learning disability” “mental retardation” “adults” and “occupational therapy”. The final sample that was examined was 22 papers. The result showed that eight of the papers focused on evaluation and three of these included assessments based on Model of Human Occupation (MOHO); Assessment of Communication and Interaction Skills, Assessment of Motor and Process Skills and Volitional Questionnaire. Interventions were described in 14 papers and these were categorized as focusing on function, occupation or environment. Nine of the 22 included papers were written by Swedish occupational therapists. In total six papers were related to MOHO. This shows that the model is a potential support in the implementation of evidence based occupational therapy practise for adults with intellectual disabilities.

  • 139.
    Kåhlin, Ida
    et al.
    Linköping University, Department of Social and Welfare Studies, NISAL - National Institute for the Study of Ageing and Later Life. Linköping University, Faculty of Arts and Sciences.
    Kjellberg, Anette
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Alfredsson Ågren, Kristin
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Haglund, Lena
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Delaktighet som mål och medel i arbetsterapi2013Conference paper (Other academic)
  • 140.
    Kåhlin, Ida
    et al.
    Linköping University, NISAL - National Institute for the Study of Ageing and Later Life. Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Kjellberg, Anette
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Hagberg, Jan-Erik
    Linköping University, NISAL - National Institute for the Study of Ageing and Later Life. Linköping University, Department of Social and Welfare Studies. Linköping University, Faculty of Arts and Sciences.
    Choice and control for people ageing with intellectual disability in group homes2016In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 23, no 2, p. 127-137Article in journal (Refereed)
    Abstract [en]

    Background: Many people ageing with intellectual disabilities (ID) age in place in group homes. Participation is a central concept in support and service to people with ID, but age is often a determining factor for participation among this group. Choice and control are dimensions of participation.

    Aim: The aim of this article is to explore how choice and control in the everyday life of people ageing with ID is expressed and performed in the group home’s semi-private spaces.

    Material and methods: Participant observations and interviews with residents and staff were conducted in four different group homes in Sweden that had older residents.

    Results: Four categories were found that can be understood as aspects of choice and control in the group home’s semi-private spaces in the everyday life of people ageing with ID. These categories included aspects such as space and object, time and routines, privacy, and a person-centred approach.

    Conclusion and significance: People ageing with ID are vulnerable when it comes to maintaining choice and control in various situations in the home’s semi-private spaces. It is argued that occupational therapists should include this occupational arena in their evaluations and interventions for people ageing with ID.

  • 141.
    Larsson Prytz, Stina
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Toivanen, Matti
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Arbetsmiljöns inverkan på välbefinnande för personer med psykisk funktionsnedsättning i daglig verksamhet: En enkätstudie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Daglig verksamhet möjliggör sysselsättning för personer med psykisk funktionsnedsättning som kan ha svårigheter att förvärva och upprätthålla ett arbete till följd av psykisk sårbarhet och stresskänslighet. Välbefinnande påverkas av interaktionen mellan personliga egenskaper och möjligheter och krav i arbetsmiljön. Studiens syfte är att undersöka hur olika faktorer i arbetsmiljön påverkar välbefinnande hos personer med psykisk funktionsnedsättning som har sysselsättning i daglig verksamhet. I denna studie genomfördes kvantitativ datainsamling genom enkäten WEIS-4Q-S. Bekvämlighetsurval inkluderade 41 respondenter i 10 verksamheter. Ur insamlad data analyserades upplevelsen av olika arbetsmiljöfaktorer utifrån alla respondenter, demografiska grupper och korrelation mellan variabler i WEIS-4Q-S. I resultatet framkom välbefinnande vid sysselsättning i daglig verksamhet för personer med psykisk funktionsnedsättning. Sociala miljön t.ex. ”stämning på arbetsplatsen” och ”sampel med chef” upplevdes stödjande medan fysiska aspekter upplevdes vara mindre stödjande för välbefinnande. Variabler som ”förmåner” och ”samverkan med andra” upplevdes i stor utsträckning inte vara aktuella vid sysselsättning i daglig verksamhet. Vissa skillnader mellan demografiska grupper framkom då personer 40 år eller äldre, med 1 års arbetslivserfarenhet eller längre och bor i mindre stad/landsbygd upplever ett högre välbefinnande i arbetsmiljön. Denna studie visar att arbetsmiljön i daglig verksamhet bidrar till högt välbefinnande vid sysselsättning för personer med psykisk funktionsnedsättning. 

  • 142.
    Larsson Ranada, Åsa
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Lidström, Helene
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Satisfaction with assistive technology device in relation to the service delivery process: A systematic review2019In: Assistive technology, ISSN 1040-0435, E-ISSN 1949-3614, Vol. 31, no 2, p. 82-97Article, review/survey (Refereed)
    Abstract [en]

    The service delivery process (SDP) of assistive technology devices (ATDs) is attracting interest, as theprovision of ATDs is critical for the independence and participation in society of individuals withdisabilities. The purpose of the current study was to investigate what impact the SDP has on satisfactionwith ATDs in individuals with disabilities in relation to everyday activities. A systematic literature reviewwas conducted, which resulted in 53 articles included. The results showed that there are factors inalmost all the different steps of the SDP that affect the satisfaction with of the devices, which can lead tounderutilization and abandonment of ATDs. Only a few studies have been conducted with a designrobust enough to generalize the results; therefore, more research is needed. Therefore, the conclusion isthe SDP as a whole contributes to the satisfaction with and usability of ATDs in individuals with disabilityin relation to achieving the desired goals of participation in everyday activities, for the articles includedmust be deemed as moderate. A client-centred approach in the process is advocated, and was found tobe an important factor for an effective SDP and satisfied users.

  • 143.
    Larsson, Åsa
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Bo vital – technological support to enable elderly people to remain in their own housing2012Conference paper (Other academic)
  • 144.
    Larsson, Åsa
    et al.
    Samariterhemmets Hospital, Uppsala, Sweden.
    Nyström, Christina
    University Hospital, Uppsala, Sweden.
    Vikström, Sofia
    Karolinska Hospital, Stockholm, Sweden.
    Söderback, Ingrid
    Centre for Caring Sciences, Uppsala University, Sweden.
    Computer-assisted cognitive rehabilitation for adults with traumatic brain damage: Four case studies1995In: Occupational Therapy International, ISSN 0966-7903, E-ISSN 1557-0703, Vol. 2, no 3, p. 166-189Article in journal (Refereed)
    Abstract [en]

    The purpose of the study was to investigate the value of computer-assisted activities for four individuals with brain damage. Individuals were trained in cognitive functions in their homes to compensate for cognitive impairment, assisted in work activities and helped in leisure time occupations. The four people received individually adapted computers and peripheral equipment, and the environment was changed to accommodate their needs. Each person received guidance and instruction from an occupational therapist once or twice a week for 12–18 weeks. The goals for each person were achieved according to evaluation with Goal Attainment Scaling.

  • 145.
    Lexell, Eva Mansson
    et al.
    Lund Univ, Sweden; Skane Univ Hosp, Sweden.
    Haglund, Lena
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Packer, Tanya
    Dalhousie Univ, Canada; Radboud Univ Nijmegen, Netherlands.
    The "Managing Fatigue" programme for people with multiple sclerosis - acceptance and feasibility with Swedish occupational therapists2019In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014Article in journal (Refereed)
    Abstract [en]

    Background: Fatigue is common among people with multiple sclerosis (MS), and significantly influences engagement in occupations. The Managing Fatigue (MF) programme is an evidence-based occupational therapy group-based intervention, utilising self-management science that provides people with tools to manage fatigue. Although the national MS-guidelines in Sweden cite this as best practice, a Swedish version is not available. Aim: To translate and investigate the feasibility of a Swedish MF programme delivered by occupational therapists working with MS clients in Sweden. Material and methods: We used a mixed-methods design. Eight recruited occupational therapists, participated in a workshop prior to delivering the MF programme. Following programme delivery, they completed a questionnaire and participated in focus group interviews. Results: Each therapist conducted one programme with 5-9 MS clients. Overall, therapists were satisfied with programme content, and delivery was followed. Minor improvements were suggested, specifically in relation to how cognitive fatigue can be managed. Therapists acknowledged challenges moving from "expert" to supporting self-management. Conclusion: The MF programme is feasible in Sweden, and its client-centred and occupation focus is consistent with therapists scope of practice. In the future, acceptability and satisfaction from the perspectives of MS participants should be examined. Larger, more robust intervention studies evaluating effectiveness are also warranted.

  • 146.
    Lidström, Helene
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Medicine and Health Sciences.
    Att växa upp i en digital miljö2016In: Arbetsterapi för barn och ungdom / [ed] Ann-Christin Eliasson, Helene Lidström, Marie Peny-Dahlstrand, Lund: Studentlitteratur AB, 2016, 1, p. 85-92Chapter in book (Other academic)
  • 147.
    Lidström, Helene
    et al.
    Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden.
    Ahlsten, Gunnar
    Uppsala.
    Hemmingsson, Helena
    Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden.
    The use of information and communication technology (ICT) outside of school for boys and girls with motor disabilities. In Assistive technology from adapted equipment to inclusive environments: In Assistive technology from adapted equipment to inclusive environments2009In: Assistive technology research series, ISSN 1383-813X, Vol. 25, p. 595-599Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to investigate boys and girls with motor disabilities use and opinions of Information Communication Technology (ICT) in outside-of-school activities compared with non-disabled children. Participants were 254 children and youths, with motor disabilities, attending mainstream schools. The participants responded to a questionnaire about the use of ICT activities outside-of-school. For group comparisons with non-disabled children, data from the survey “Kids and Media” was used. A significantly higher proportion of children with motor disabilities was engaged in ICT activities, such as using the Internet, playing computer games and visiting communities. Our study reveals a positive result from a gender perspective, where the use of ICT activities is more equal among boys and girls with disabilities than among non-disabled boys and girls. This brings new interest in ICT and computer activities as an opportunity for all boys and girls, since previous studies show that digital skills affect academic skills, and ICT activities may also serve as a gateway to technology in general.

  • 148.
    Lidström, Helene
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences. Uppsala University, Sweden .
    Hemmingsson, Helena
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Benefits of the use of ICT in school activities by students with motor, speech, visual, and hearing impairment: a literature review2014In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 21, no 4, p. 251-266Article, review/survey (Refereed)
    Abstract [en]

    OBJECTIVE:

    Information and communication technology (ICT) has the potential to enhance participation in educational activities for students with physical disabilities. Even though incorporating ICTs into teaching and learning in education has become an important issue, it is unclear what evidence research has provided. The aim of this study was to investigate types of ICT items and how ICT is being used by students with physical disabilities, and describe the benefits of ICT use in school activities.

    METHODS:

    A systematic literature search, covering the period 2000-May 2012, was performed in the databases AMED, CINAHL, Eric, OTseeker, Psych Info, PubMed, and Scopus. Data analysis entailed extracting, editing, grouping, and abstracting findings.

    RESULTS:

    A total of 32 articles were included, 16 of which were intervention studies. More than half of the studies concerned students with motor impairments. Type of ICT used differed among impairment groups, and ICT seemed to be especially beneficial for writing, spelling, and communication.

    CONCLUSIONS:

    Even though the review found heterogeneity across the studies students seemed to benefit from ICT use regardless of the type. For future research it is important to highlight intervention studies, especially for students with visual, hearing, and communication impairments.

  • 149.
    Lidström, Helene
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Hemmingsson, Helena
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Children and youths with disabilities – a part of the digital generation2014In: World Federation of Occupational Therapists Bulletin, ISSN 1447-3828, Vol. 69, p. 19-23Article, review/survey (Other academic)
    Abstract [en]

    Objective: The aim of this article is to report, compare and reflect on two studies as investigated ICT usage in children with physical disabilities compared with that of non-disabled children, and discuss the results in relation to occupational therapy. Method: A cross-sectional survey about ICT- activities in school and outside school among students with physical disabilities (n=287). Group comparisons were made with students from the general population. Results: Students with a physical disability used computers for less varied educational activities than students without disabilities. The environments; in school and outside school, provide different opportunities for developing and using the digital skills of children with physical disabilities. Conclusion: Digital skills developed outside school captivate children with physical disabilities, providing them with increased access to society and benefiting them educationally. The implications are that, in order to increase children's participation in computer activities in school, changes such as having access to their own

  • 150.
    Lidström, Helene
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Medicine and Health Sciences.
    Lindskog-Wallander, Magnus
    Health and Habilitation Centre, Uppsala County Council, Uppsala, Sweden..
    Arnemo, Eva
    2Health and Habilitation Centre, Uppsala County Council, Uppsala, Sweden..
    Using a Participatory Action Research Design to Develop an Application Together with Young Adults with Spina Bifida2015In: Studies in Health Technology and Informatics, ISSN 0926-9630, E-ISSN 1879-8365, Vol. 217, p. 189-194Article in journal (Refereed)
    Abstract [en]

    INTRODUCTION: Young adults with spina bifida often have cognitive difficulties. As a result, young adults with disabilities are facing challenges with respect to housing, education, relationships and vocation which increases risk of unemployment.

    AIM: The aim is to describe a method to develop a smartphone application together with young adults with spina bifida as an assistive technology for cognition.

    METHOD: In a Participatory Action Research approach, young adults (n = 5) with spina bifida were individually interviewed with Canadian Occupational Performance Measure (COPM). The participants' restrictions in everyday life activities, identified by COPM, were discussed in a focus group formed by the young adults and the result was analyzed using qualitative content analysis. Developing the application the principles of Human-Centered-Design and Universal Design was followed.

    RESULT: An application made for iOS with a focus on usability and worthiness, done by creating a clear and intuitive interface, with a calendar function useful for example to initiate and plan social activities was developed.

    CONCLUSION: The method seems useful when the outcome from the project, a beta version of an application for iOS Smartphone, was achieved in agreement with the participants. The study highlight the importance of involving individuals with disabilities when developing smartphone applications.

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