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  • 201.
    Seing, Ida
    et al.
    Linköping University, Department of Medical and Health Sciences, Work and Rehabilitation. Linköping University, Faculty of Health Sciences.
    Ståhl, Christian
    Linköping University, Department of Medical and Health Sciences, Work and Rehabilitation. Linköping University, HELIX Vinn Excellence Centre. Linköping University, Faculty of Health Sciences.
    Nordenfelt, Lennart
    Linköping University, Department of Medical and Health Sciences, Health and Society. Linköping University, Faculty of Arts and Sciences.
    Bülow, Pia
    Avdelningen för beteendevetenskap och socialt arbete, Hälsohögskolan, Jönköping.
    Ekberg, Kerstin
    Linköping University, Department of Medical and Health Sciences, Work and Rehabilitation. Linköping University, HELIX Vinn Excellence Centre. Linköping University, Faculty of Health Sciences.
    Policy and Practice of Work Ability: A Negotiation of Responsibility in Organizing Return to Work2012In: Journal of occupational rehabilitation, ISSN 1053-0487, E-ISSN 1573-3688, Vol. 22, no 4, p. 553-564Article in journal (Refereed)
    Abstract [en]

    Purpose In welfare policy and practical work it is unclear what the concept of work ability involves and assessments may be different among involved actors, partly due to a lack of theoretical research in relation to regulations and practice. Based on theoretical and legal aspects of work ability the aim of the study is to analyze stakeholders’ perspectives on work ability in local practice by studying multi-stakeholder meetings.

    Methods The material comprises nine digitally recorded multi-stakeholder meetings. Apart from the sick-listed individual, representatives from the public Social Insurance Agency, health care, employers, public employment service and the union participated in the meeting. The material was analyzed using qualitative content analysis.

    Results Three perspectives on work ability were identified: a medical perspective, a workplace perspective and a regulatory perspective. The meetings developed into negotiations of responsibility concerning workplace adjustments, rehabilitation efforts and financial support. Medical assessments served as objective expert statements to legitimize stakeholders’ perspectives on work ability and return to work.

    Conclusions Although the formal goal of the status meeting was to facilitate stakeholder collaboration, the results demonstrates an unequal distribution of power among cooperating actors where the employers had the “trump card” due to their possibilities to offer workplace adjustments. The employer perspective often determined whether or not persons could return to work and if they had work ability.

  • 202.
    Selander, Helena
    et al.
    Swedish Natl Transport Res Inst, Sweden; Univ Gothenburg, Sweden.
    Wressle, Ewa
    Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in Central Östergötland, Department of Acute Internal Medicine and Geriatrics.
    Samuelsson, Kersti
    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, Department of Rehabilitation Medicine.
    Cognitive prerequisites for fitness to drive: Norm values for the TMT, UFOV and NorSDSA tests2019In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014Article in journal (Refereed)
    Abstract [en]

    Background: Fitness-to-drive assessment is a growing area for occupational therapists. There are few off-road tests specially developed to assess fitness to drive, and several cognitive tests have no age-specific norms. Aims/objectives: The aim was to identify and describe age-related norm values for the Trail Making Test, Nordic Stroke Driver Screening Assessment and Useful Field of View test, and to study inter-correlation between test results. Materials and methods: The sample included 410 volunteers; 149 men and 261 women, mean age 52 +/- 16.8 years. Commonly used off-road tests were used: TMT A and B, UFOV and NorSDSA. Results: Normative data for the specific subtests and total score for NorSDSA and UFOV are provided and presented in four age groups. Age correlated with the results for most of the subtests. Conclusions: Off-road cognitive test scores are necessary and valuable for occupational therapists in their contribution to the final decision on continued driving. In clinical practice, it can be difficult to interpret cognitive test results when working with driving assessments. Age-based norm values are suggested to be a way to provide clinicians with a benchmark against which scores can be compared. Significance: Age-based norms can guide occupational therapists working with fitness to drive.

  • 203.
    Sernheim, Åsa-Sara
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Time for Activities for Girls and Women with Rett Syndrome2018Licentiate thesis, comprehensive summary (Other academic)
    Abstract [en]

    Irrespective of the great individual variation, people diagnosed with RTT largely rely on support from others to be able to do and participate in activities throughout their lives. This thesis focuses on which activities are done and liked/disliked by girls and women with RTT in Sweden. The overall aim was to describe the everyday lives of female individuals with Rett syndrome.

    Two studies are included in this thesis. The first is a descriptive study, using secondary data from three earlier questionnaires, encompassing data from 175 participants (girls/women) described by 365 informants (parents/staff). Content analysis was used to analyse the openended questions. In the second study a Time-geographic diary method and the software VISUAL-TimePAcTs computer program, DAILY LIFE 2011 were used. Ten participants (teenagers/young female adults) with RTT and their 63 informants participated in the diary study.

    The main findings in the first study (I) were that the girls and women with RTT enjoyed activities that included aspects of ‘contact’, ‘sensory impression’ and ‘motion’. The activities most enjoyed over the years were bathing/swimming, listening to music or being outdoors/walking. The parents and staff also liked to do the same activities that the girls or women enjoyed doing, described as sharing their joy. Of the few activities that were reported as being unenjoyable, most were daily care activities.

    The diary study (II) showed that the most frequently reported activities were hygiene/toilet, moving around indoors, eating and getting dressed. Most time was spent in sleeping, daily care, medical and health care activities and also for travel/transportation. Little time remained for other kinds of activities especially for the young adults. Most time was spent with staff, thereafter with families, and the least time was spent with friends. The participant response that was reported most often during activities was ‘interested’, while ‘opposed’ was the least reported. Responses of ‘opposition’ were primarily seen during caring activities such as toileting, using the breathing mask, stretching, brushing teeth, being woken up, dressing and putting on orthoses. Responses of ‘engagement’ were noted in contexts of socialising, playing and communicating activities with friends or staff. Engagement responses were also reported during activities of ‘motion’ such as changing body position, moving in the water or gymnastics, eating food and snacks, and even when watching/listening to films, books or music.

    Thus, increased knowledge concerning the importance of activities for girls and women with RTT is essential for their well-being, participation and continued development. Increased knowledge could facilitate the choice of activities and a more varied use of activities. Regardless of age, severity of symptoms or developed skills, it is important that not only basic needs such as sleep, daily care and medical health care activities are fulfilled for individuals with Rett syndrome. It is also essential for them to spend time with friends, family and staff doing enjoyable activities both at home and in other places. 

    List of papers
    1. Activities that girls and women with Rett syndrome liked or did ot like to do
    Open this publication in new window or tab >>Activities that girls and women with Rett syndrome liked or did ot like to do
    2018 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 25, no 4, p. 267-277Article in journal (Refereed) Published
    Abstract [en]

    Objective: Activities occur in all people’s lives. This study investigated over a period of time, 15 years, what activities were enjoyed or not enjoyed and what activities parents and staff liked to do with girls/women with Rett syndrome.

    Method: A descriptive study was conducted using secondary data from three earlier questionnaires at the Swedish National Rett Center. The first questionnaire provided data on 123 girls/women with Rett syndrome, the second on 52 and the third questionnaire, on 39. Informants were parents and/or staff, in total 365. Open-ended questions were analysed using a content analysis approach.

    Results: Three categories appeared: Being in motion, receiving impressions and having contact. Bathing/swimming, listening to music and being outdoors/walking were the most enjoyed activities over the years. Of the few activities that were reported as being unenjoyable, most were daily care activities. The activities that the parents/staff enjoyed doing with the girls/women were similar to those the girls/women themselves liked to do.

    Conclusion: A preliminary overview for both liked and disliked activities of girls/women with Rett syndrome was presented. This knowledge could facilitate the choice and use of activities.

    Place, publisher, year, edition, pages
    Taylor & Francis, 2018
    Keywords
    Activities of daily living, human activities, human development, neurodevelopmental disorders, qualitative research
    National Category
    Health Sciences
    Identifiers
    urn:nbn:se:liu:diva-136247 (URN)10.1080/11038128.2016.1250812 (DOI)000436878200005 ()27817243 (PubMedID)2-s2.0-84994304785 (Scopus ID)
    Available from: 2017-04-03 Created: 2017-04-03 Last updated: 2018-07-26Bibliographically approved
  • 204.
    Sernheim, Åsa-Sara
    et al.
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Liedberg, Gunilla
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Hemmingsson, Helena
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Witt Engerström, Ingegerd
    Rett Center, Östersund.
    What girls/women with Rett Syndrome like to do - a questionnaire study2012Conference paper (Other academic)
  • 205. Shei Lai, J
    et al.
    Haglund, Lena
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Social and Welfare Studies, Health, Activity, Care.
    Kielhofner, Gary
    The Occupational Case Analysis Interview and Rating Scale: An Examination of Construct Validity.1999In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, no 4, p. 267-273Article in journal (Refereed)
    Abstract [en]

    The Occupational Case Analysis Interview and Rating Scale (OCAIRS) was developed based on the Model of Human Occupation with the intention of assessing patients' occupational adaptation. Several studies examining the quality of this instrument have been completed; however, none have discussed the internal validity of the instrument or the appropriateness of the rating scale. The purpose of this study is to validate the internal validity of the OCAIRS and to test the quality of the rating scale. The results indicate that the OCAIRS is a valid measure of occupational adaptation. Each item was shown to have its own rating scale structure, however, all items together still shared the same five-point rating scale.

  • 206.
    Sporre, Pernilla
    et al.
    Linköping University, Department of Social and Welfare Studies. Linköping University, Faculty of Health Sciences.
    Engslätt Jansson, Ingegerd
    Linköping University, Department of Social and Welfare Studies. Linköping University, Faculty of Health Sciences.
    Arbetsterapeuters användning av Basal Kroppskännedom TM för att stärka patienters aktivitetsutförande2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Activity as a therapeutic medium has been central to the development of the occupational therapy profession by using meaningful and purposeful activities. Occupational therapy is founded on the commitment of activity as essential for health and wellbeing. Despite this, much of the profession has led to the development of interventions that are not activity-based. Basic Body Awareness Therapy (B-BAT) and occupational therapy have several common basic assumptions. Our clinical experience shows the potential of using the B-BAT-principles in occupational therapy. We wanted to explore other occupational therapists’ perceptions of conditions and the value of working with B-BAT-principles to strengthen patients' occupational performance. Qualitative interviews were conducted with 11 informants, strategically selected. The interview material was analyzed and formed three themes: The occupational therapists’ knowledge and performance, Working with self – the human development process, and The Obstacles and Opportunities in the organization. In relation to ergonomic knowledge, informants expressed the view that B-BAT-principles provide further opportunities to see, understand and comprehend patients and use activities as a part of their treatment. Activities are broken down into stages where simple, rhythmic movements are used to catch the meaningfulness. The patient feels and experiences occupational performance in the body. The results of the study describe the use of self as an instrument as a prerequisite for being both in activity and in contact with the patient. That strengthens the possibility of developing a therapeutic alliance.

  • 207.
    Stenberg, Gunilla
    et al.
    Division of Physiotherapy, Department of Community Medicine Rehabilitation, Umeå University, Umeå, Sweden.
    Henje, Catharina
    Umeå Institute of Design, Umeå University, Umeå, Sweden.
    Levi, Richard
    Department of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden.
    Lindström, Maria
    Department of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden.
    Living with an electric wheelchair - the user perspective.2014In: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 11, no 5, p. 385-394Article in journal (Refereed)
    Abstract [en]

    Abstract Purpose: To explore the experiences of using an electric wheelchair in daily living. Methods: Fifteen participants, eight women and seven men, living in different parts of a Nordic country were interviewed. The interviews were conducted in the home or at the workplace. Open-ended questions were used. The data were collected and analyzed according to the grounded theory. Results: Analysis resulted in one core category: "Integrating the electric wheelchair - a manifold process", describing a process commencing from initial resistance against use of an electric wheelchair, to acceptance with various extent of integration. Six categories emerged that represent this core process: incorporating the electric wheelchair into the self-identity process, calculating functional consequences, encountering the reactions of others, facing duality in movability, using proactive strategies, and being at the mercy of the system. Findings indicate that the integration process is complex and manifold. Practical, personal, and social dimensions were intertwined and significantly involved. Conclusions: Integrating an electric wheelchair is a process closely connected to symbolic value, usability, community mobility and identity. These aspects should be considered in the production, prescription, and adaptation processes. Implications for Rehabilitation Integrating an electric wheelchair is a process closely connected to symbolic value, usability, community mobility, and identity. These aspects should be considered in the wheelchair production, prescription, and adaptation processes.

  • 208.
    Ström, Isabella
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Arbetsterapeutens förhållningssätt till föräldrar som har ett barn med funktionsnedsättning: - En litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Children with disabilities tend to have difficulties with participating and engaging in activities. Occupational therapists who work in family-centered care involve the parents in the children´s therapy process. This is because the parents have knowledge about the family situation and they also know about factors in the children’s life which the occupational therapist needs to recognize. The purpose of this study was to map the occupational therapist’s approach to parents in family-centered care in cases which involve children with disabilities. More specifically, the study described the occupational therapist´s interaction with parents based on the Intentional Relationship Model (IRM). Also, it described positive and negative interpersonal events in the occupational therapist´s interaction with parents based on each relationship. This was a literature review, and a database search was made in PsycINFO, PubMed and Cinahl. IRM was used in the analysis to review the occupational therapist´s interaction and to determine whether it was empathizing, collaborating, problem-solving, encouraging, instructing or advocating. The results showed that occupational therapists used all of the approaches in IRM. Collaborating and empathizing occurred more than the other types of interaction, while encouraging and advocating occurred the least. The study has shown that the occupational therapist's choice of approach is important in order to avoid any negative interpersonal events that can have an impact on the therapeutic relationship. Connections occur between parents of another ethnicity and negative interpersonal events. The study also highlighted that knowledge about the different approaches should be expanded. In particular, knowledge about how and when to use a specific approach should be examined.

  • 209.
    Strömfors, Lina
    et al.
    Linköping University, Department of Medical and Health Sciences. Region Östergötland, Local Health Care Services in East Östergötland, Department of Child and Adult Habilitation in Norrköping. Linköping University, Faculty of Medicine and Health Sciences.
    Wilhelmsson, Susan
    Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in West Östergötland, Research & Development Unit in Local Health Care.
    Falk, Lars
    Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in West Östergötland, Research & Development Unit in Local Health Care. Region Östergötland, Heart and Medicine Center, Department of Dermatology and Venerology.
    Höst, Gunnar E.
    Linköping University, Department of Science and Technology, Media and Information Technology. Linköping University, The Institute of Technology.
    Experiences among children and adolescents of living with spina bifida and their visions of the future2017In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 39, no 3, p. 261-271Article in journal (Refereed)
    Abstract [en]

    Purpose: Transitioning to independence may be problematic for persons with spina bifida (SB). Experiences of young persons with SB may provide insights into this group's needs for support. Therefore, the aim of this study was to investigate children'€™s and adolescents' experiences of living with SB, their social and emotional adjustment, and their thoughts about becoming independent adults. Method: Semi-structured interviews were conducted with young persons with SB (N = 8, age range 10 - 17 years). Social and emotional problems were assessed using Beck Youth Inventories. The interview transcripts were analyzed using qualitative content analysis. Results: Three main themes were found: being a person with SB; everyday living as a person with SB; and preparing for life as an adult with SB. Indications of emotional and social problems were most prominent among participants with milder physical disability. Conclusions: The findings indicate that young persons with SB may overestimate their independence. Other potentially problematic areas were lack of motivation, planning and preparedness for becoming independent. Research on transition to independence in this group should consider assistance at an early age in planning and executing strategies for independence. In addition, the potentially difficult situation for young persons with mild SB should be investigated further.

  • 210.
    Ståhl, Christian
    et al.
    Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Health Sciences.
    Seing, Ida
    Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Health Sciences.
    Arbetslinjer och arbetsförmåga i det svenska socialförsäkringssystemet2014In: Den relativa arbetsförmågan: teoretiska och praktiska perspektiv / [ed] Kerstin Ekberg, Lund: Studentlitteratur AB, 2014, p. 75-93Chapter in book (Other academic)
    Abstract [sv]

    Vad är arbetsförmåga? Det är en komplex fråga vars svar beror på vem som svarar. Att fastställa en persons arbetsförmåga utifrån objektiva kriterier är mycket svårt eftersom den påverkas av många olika faktorer. Ändå görs detta av många olika aktörer i sjukskrivnings- och rehabiliteringsprocessen; för att bedöma om en person har rätt att få sjukpenning, som ett underlag för rehabiliteringsåtgärder och av Arbetsförmedlingen som en bedömning av anställningsbarheten.

    Hur ska då arbetsförmåga förstås? I denna bok belyses begreppet arbetsförmåga ur flera olika perspektiv. Sammantaget bildar de olika kapitlen en illustration av den komplexa helheten, av en arbetsförmåga som är relativ och som används av olika aktörer, på olika sätt, i olika syften.

    Boken vänder sig till personer som arbetar med bedömning av arbetsförmåga och med åtgärder för att främja återgång i arbete, till exempel läkare och annan sjukvårdspersonal, rehabiliteringsprofessioner, berörda inom arbetslivet och företagshälsovården.

  • 211.
    Suarez, NC
    et al.
    Dept. of Clinical Sciences, Umeå University, Umeå, Sweden. Dept. of Clinical Sciences, Umeå University, Umeå, Sweden..
    Levi, Richard
    Dept. of Clinical Sciences, Umeå University, Umeå, Sweden. Dept. of Clinical Sciences, Umeå University, Umeå, Sweden..
    Bullington, J
    Dept. of Clinical Sciences, Umeå University, Umeå, Sweden. Dept. of Clinical Sciences, Umeå University, Umeå, Sweden..
    Regaining health and wellbeing after traumatic spinal cord injury.2013In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 45, no 10, p. 1023-1027Article in journal (Refereed)
    Abstract [en]

    Objective: Traumatic spinal cord injury is typically a devastating event, leading to permanent physical disability. Despite the severity of the condition, many persons with traumatic spinal cord injury manage to lead both active and independent lives. The aim of this study was to investigate the experience of health and wellbeing of persons living with a traumatic spinal cord injury for at least 20 years.andlt;br /andgt;Design and Methods: A qualitative design was used. Data was analysed using a phenomenological-hermeneutical method. Rich narratives were obtained from 14 persons with paraplegia due to traumatic spinal cord injury sustained at least 20 years ago.andlt;br /andgt;Results: The key finding was that health and wellbeing were attained when persons were able to perceive themselves as being "normal" in everyday relationships and circumstances. The normalization process involved learning to negotiate and/or prevent potentially embarrassing situations by acting in a "parallel world", covertly "behind the scenes".andlt;br /andgt;Conclusion: The subjective experience of wellbeing and health after traumatic spinal cord injury depends upon the ability to prevent or resolve potentially embarrassing situations without this being noticed by others. Performing this work "behind the scenes", enables persons with traumatic spinal cord injury to interact smoothly with others and thereby be perceived as normal, despite substantial disability.

  • 212.
    Svedlund, Sanna
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Tapper, Josefine
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Hur unga vuxna som tagit del av arbetsinriktade insatser upplever övergången från skola till arbete: Behov av stöd i övergången2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Övergången från skola till arbete eller vidare studier för unga vuxna är en enskild aktivitetsperiod som formas av en interaktion mellan individen och den omgivande miljön. Övergången präglas av strävan efter ett arbete men att få en fast förankring på den reguljära arbetsmarknaden kan vara problematisk. Unga vuxna kan därför vara i behov av stöd från samhällets resurser samt familj och vänner. Syftet med studien är att beskriva hur unga vuxna upplever övergången från skola till arbete eller vidare studier samt om unga vuxna upplever behov av stöd i övergången från skola till arbete eller vidare studier och i sådana fall vilken typ av stöd. För att besvara studiens syfte intervjuades åtta personer i åldrarna 19 till 28 år som upplevde en pågående övergång. Intervjuguiden har Model of Human Occupation samt Bolic Baric som teoretisk förankring. Det inspelande materialet har transkriberats, analyserat och kondenserats. I resultatet framkom övergången som en tid av förändrade rutiner och roller där unga vuxna formas efter samhället. I övergången är stöd från familj och vänner samt samhället nödvändigt men upplevs varierat. Det finns ett behov av vidare forskning gällande utformning och implementering av insatser då övergången är en komplex tid som utvecklas fortskridande.

  • 213.
    Svensson, Elise
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Kåhlin, Ida
    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.
    Residential environment impact scale: Utilization of the Swedish version2018In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 25, no 6, p. 419-427Article in journal (Refereed)
    Abstract [en]

    Background: The Residential Environment Impact Scale (REIS) is an assessment and consulting instrument designed to examine the impact of the residential environment on its residents and to develop recommendations for adapting this environment. Since REIS is new for occupational therapists in Sweden it is important to evaluate its utilization potential.

    Aim: The aim was to examine the utility of the Swedish version of the Residential Environment Impact Scale (REIS-S) for adults living in residential settings.

    Material and methods: Twenty-two occupational therapists conducted 28 REIS-S assessments in residential settings including 92 older persons and persons with disabilities. In total, 44 questionnaires were answered before and after conduction of the assessment. The data was analyzed using qualitative methods of analysis.

    Results: The REIS-S showed both positive and negative dimensions of utility among occupational therapists working in residential settings. It provided support for making recommendations and contributed to effective assessments but was found time-consuming. The clinical relevance with REIS-S was positive since it met the needs expressed by the occupational therapists.

    Conclusions: REIS-S seems promising according to utility in Swedish residential settings for adults. However, psychometrically testing is required for further establishing the utilization of the instrument.

  • 214.
    Thornberg, Robert
    et al.
    Linköping University, Department of Behavioural Sciences and Learning, Education, Teaching and Learning. Linköping University, Faculty of Educational Sciences.
    Pozzoli, Tiziana
    University of Padua, Italy.
    Gini, Gianluca
    University of Padua, Italy.
    Jungert, Tomas
    Lund University, Sweden.
    Mobbning och att försvara utsatta för mobbning: Betydelsen av elevers moraliska emotioner och moraliska disengagemang2014In: Independent in the heard: Inclusion and exclusion as social processes. Proceedings from the 9th GRASP conference, Linköping University, May 2014 / [ed] Robert Thornberg & Tomas Jungert, Linköping: Linköping University Electronic Press, 2014, p. 109-123Conference paper (Refereed)
    Abstract [sv]

    Tidigare forskning har visat att moraliskt disengagemang och moraliska emotioner sammanhänger med både mobbning och att försvara personer som är utsatta för mobbning. Vad vi dock inte vet är om var och en av dessa två faktorer fortfarande bidrar till att förklara variationen av dessa beteenden när båda inkluderas i samma modell. Syftet med studien var därför att undersöka hur moraliskt disengagemang och moraliska emotioner är associerade med mobbning och försvararbeteende bland skolbarn i en och samma modell. Vi ville även undersöka om det förelåg en interaktionseffekt mellan dessa två moraliska faktorer och som ytterligare bidrar till att förklara variationen i mobbning och försvararbeteende. 561 elever i årskurs 5 och 6 från 28 grundskolor besvarade anonymt och under skoltid en enkät. Resultatet visade att medan moraliskt disengagemang var positivt associerat med mobbning och negativt associerat med försvararbeteende, så var moraliska emotioner negativt associerade med mobbning och positivt associerade med försvararbeteende. Vidare visade resultatet att elever som uppvisade hög nivå av moraliska emotioner var mindre benägna att mobba oavsett deras nivå av moraliskt disengagemang. I kontrast till detta var moraliskt disengagemang negativt associerat med försvarbeteende vid låga nivåer av moraliska emotioner men inte när nivån av moraliska emotioner var högt.

  • 215.
    Thyberg, Ingrid
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Rheumatology. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Heart and Medicine Centre, Department of Rheumatology in Östergötland.
    Dahlström, Örjan
    Linköping University, Department of Behavioural Sciences and Learning, Disability Research. Linköping University, Faculty of Arts and Sciences.
    Björk, Mathilda
    School of Health Sciences, Jönköping University, Sweden.
    Stenström, Birgitta
    Linköping University, Department of Medical and Health Sciences. Linköping University, Faculty of Health Sciences.
    Adams, Jo
    University of Southampton, UK.
    Hand pains and general pain in women and men in early RA: a one year follow up after diagnosis in the TIRA-2 cohort2013Conference paper (Other academic)
  • 216.
    Thyberg, Ingrid
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Department of Rheumatology.
    Dahlström, Örjan
    Linköping University, Department of Behavioural Sciences and Learning, Disability Research. Linköping University, Faculty of Arts and Sciences. Linköping University, The Swedish Institute for Disability Research.
    Björk, Mathilda
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Department of Rheumatology.
    Stenström, Birgitta
    Linköping University, Department of Clinical and Experimental Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Department of Rheumatology.
    Adams, Jo
    Centre for Innovation and Leadership, Faculty of Health Sciences, University of Southampton, Southampton, UK.
    Hand pains in women and men in early rheumatoid arthritis, a one year follow-up after diagnosis. The Swedish TIRA project2017In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 39, no 3, p. 291-300Article in journal (Refereed)
    Abstract [en]

    Purpose: This research analysed general pain intensity, hand pain at rest and hand pain during activity in women and men in early rheumatoid arhtritis (RA).

    Method: Out of the 454 patients that were recruited into the Swedish early RA project "TIRA" the 373 patients (67% women) that remained at 12 months follow-up are reported here. Disease activity 28 joint score (DAS-28), disability (Health Assessment Questionnaire = HAQ) and pain (VAS) were recorded at inclusion and after 3 (M3), 6 (M6) and 12 (M12) months. General pain, hand pain during rest, hand pain during test of grip force as assessed by Grippit™, prescribed disease-modifying anti-inflammatory drugs (DMARDs) and hand dominance were recorded.

    Results: DAS-28 and HAQ scores were high at inclusion and improved thereafter in both women and men. There were no significant differences between sexes at inclusion but women had higher DAS-28 and HAQ at all follow-ups. Women were more often prescribed DMARDs than were men. In both women and men all pain types were significantly lower at follow-up compared to at inclusion and women reported higher pain than men at follow-ups. The pain types differed significantly from each other at inclusion into TIRA, general pain was highest and hand pain during rest was lowest. There were no significant differences in hand pain related to hand dominance or between right and left hands.

    Conclusions: Disease activity, disability and pain were high at inclusion and reduced over the first year. Despite more DMARDs prescribed in women than in men, women were more affected than were men. General pain was highest and not surprisingly hand pain during active grip testing was higher than hand pain during rest that was lowest in both sexes. Although our cohort was well controlled, it was evident that hand pain remains a problem. This has implications for rehabilitation and suggests potential ongoing activity limitations that should continue to receive attention from a multi-professional team.

    • Implications for Rehabilitation
    • General pain and hand pain remain a problem in RA despite today's early intervention and effective disease control with new era biologics.
    • The extent of hand pain evidenced in our work gives a more detailed and comprehensive account of pain status.
    • Higher hand pain during active grip testing than that during rest indicates a potential relationship to ongoing activity limitation.
    • Hand pain assessment can help guiding multi-professional interventions directed to reduce hand pain and thereby probably reduce activity limitations.
  • 217.
    Vessby, Karin
    et al.
    Östergötlands Läns Landsting, Local Health Care Services in Central Östergötland, Paediatric Habilitation Community Service.
    Kjellberg, Anette
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Participation in occupational therapy research: a literature review2010In: British Journal of Occupational Therapy, ISSN 0308-0226, E-ISSN 1477-6006, Vol. 73, no 7, p. 319-326Article in journal (Refereed)
    Abstract [en]

    Participation is a concept that is used and discussed, both within the field of occupational therapy and in other areas. The concept of participation is included in the International Classification of Functioning, Disability and Health (ICF) and the Model of Human Occupation. The aim of this study was to investigate how the concept of participation has been used in studies published in peer-reviewed journals. A literature review was performed using the search terms 'occupational therapy' and 'participation'. Papers published in peer-reviewed journals during the period 2004-2006 were included (n = 38). Content analysis was used when analysing the data.

     

    The results show that interview is the most common method of data collection and that the physical field is the clinical field that is most frequently represented in these papers. Three different categories were identified with regard to how the concept of participation has been used. These were client-centredness (n = 11), involvement in the environment (n = 19) and meaningfulness (n = 23). The three categories represent three dimensions of participation and are interpreted as occurring on micro or macro levels. Further research is needed and this review contributes to this development.

  • 218.
    Wennberg, Birgitta
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Center for Social and Affective Neuroscience. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in Central Östergötland, Department of Child and Adolescent Psychiatry in Linköping.
    Janeslätt, Gunnel
    Uppsala University, Sweden; Centre for Clinical Research Dalarna, Falun, Sweden.
    Kjellberg, Anette
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Gustafsson, Per A
    Linköping University, Department of Clinical and Experimental Medicine, Center for Social and Affective Neuroscience. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in Central Östergötland, Department of Child and Adolescent Psychiatry in Linköping.
    Effectiveness of time-related interventions in children with ADHD aged 9-15 years: a randomized contolled study2018In: European Child and Adolescent Psychiatry, ISSN 1018-8827, E-ISSN 1435-165X, Vol. 27, no 3, p. 329-342Article in journal (Refereed)
    Abstract [en]

    Specific problems with time and timing that affect daily routines, homework, school work, and social relations have been recognized in children with ADHD. The primary treatments for children with ADHD do not specifically focus on time-related difficulties. The aim of this randomized controlled study (RCT) was to investigate how multimodal interventions, consisting of training in time-processing ability (TPA) and compensation with time-assistive devices (TAD), affect TPA and daily time management (DTM) in children with ADHD and time difficulties, compared with only educational intervention. Thirty-eight children on stable medication for ADHD in the 9–15-year age range were randomly allocated to an intervention or a control group. The children’s TPA was measured with a structured assessment (KaTid), and the children’s DTM was rated by a parent questionnaire (Time-Parent scale) and by children’s self-reporting (Time-Self-rating). The intervention consisted of time-skill training and compensation with TAD. Data were analysed for differences in TPA and in DTM between the control and intervention groups in the 24-week follow-up. Children in the intervention group increased their TPA significantly (p = 0.019) more compared to the control group. The largest increase was in orientation to time. In addition, the parents in the intervention group rated their children’s DTM as significantly (p = 0.01) improved compared with the parents in the control group. According to the children, their DTM was not significantly changed. In conclusion, a multimodal intervention consisting of time-skill training and TAD improved TPA and DTM in children with ADHD aged 9–15 years.

  • 219.
    Wennberg, Birgitta
    et al.
    Stockholms läns landsting.
    Kjellberg, Anette
    Linköping University. Linköping University, Department of Social and Welfare Studies. Linköping University, Department of Social and Welfare Studies, Health, Activity, Care.
    Delaktighet i vardagen för personer med lindrig utvecklingsstörning vid användning av kognitivt stödConference paper (Refereed)
  • 220.
    Wennberg, Birgitta
    et al.
    Klara Mera - Centre for cognitive support, Rosenlund, Sweden.
    Kjellberg, Anette
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Participation when using cognitive assistive devices - from the perspective of people with intellectual disabilities2010In: Occupational Therapy International, ISSN 1557-0703, Vol. 17, no 4, p. 168-176Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to describe how people with intellectual disabilities experienced their participation in everyday activities when using cognitive assistive devices. The purpose of cognitive assistive devices is to compensate for cognitive problems, to enhance independence when performing activities and to support decision making in daily life. Nine persons, 17–37 years old, with mild intellectual disability were selected by purposive sampling. Data collection was conducted by semi-structured interviews. The results showed that participation in everyday activities increased when using cognitive assistive devices. The persons experienced having more control and health benefits using cognitive assistive devices in daily activities. There were participation restrictions related to attitudes from the social network towards participation, and attitudes towards the use of cognitive assistive devices from the persons themselves and from the social network. Occupational therapists should be aware of the social factors that may influence a client's participation in everyday activities when using cognitive assistive devices. There is a need for more research with clients with intellectual disabilities and further research concerning long-time use of cognitive assistive devices.

  • 221.
    Wijk, Ulrika
    et al.
    Skåne University Hospital, Sweden.
    Brandsma, J. Wim
    Independent leprosy- and hand rehabilitation consultant, Amsterdam, the Netherlands.
    Dahlström, Örjan
    Linköping University, Department of Behavioural Sciences and Learning, Disability Research. Linköping University, Faculty of Arts and Sciences.
    Björk, Mathilda
    School of Health Sciences, Jönköping University, Sweden.
    The concurrent validity of the Amharic version of Screening of Activity Limitation and Safety Awareness (SALSA) in persons affected by leprosy2013In: Leprosy Review, ISSN 0305-7518, E-ISSN 2162-8807, Vol. 84, no 1, p. 13-22Article in journal (Refereed)
    Abstract [en]

    Objectives: Leprosy is endemic in many countries and results in activity limitations.There is a need for assessment tools to guide professionals in their evaluationand choice of intervention in order to improve conditions for leprosy-affected people.The purpose of our study was to evaluate the concurrent validity of the Amharicversion of Screening of Activity Limitation and Safety Awareness (SALSA-am) scalewith Amharic version of Disability of the Arm, Shoulder and Hand (DASH-am)questionnaire.Design: Thirty-eight individuals with nerve damage due to leprosy completed theSALSA-am and DASH-am questionnaires. Spearman’s rank correlation was used todetermine relationships between SALSA and DASH scores. Specificity, sensitivityand accuracy were calculated.Results: There was a good correlation 0·87 (P , 0·001) between SALSA-amand DASH-am scores. Sensitivity, specificity and accuracy were calculated withacceptable results.Conclusions: SALSA-am is considered a useful questionnaire for determiningactivity limitations in persons affected by leprosy, and showed good correlation withDASH-am. The concurrent validity was considered good.

  • 222.
    Wiklund, Tea
    Linköping University, Department of Social and Welfare Studies. Linköping University, Faculty of Health Sciences.
    Arbetsterapeutiska interventioner för vuxna med depression och ångestsyndrom: en litteraturstudie2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Depression and anxiety disorders are among the most common mental disorders and lead to serious activity limitations in work, leisure and self-care.  In spite of this, there are few systematic reviews on occupational therapy interventions for this client group. The study aim was to describe occupational therapy interventions for adults with depression or anxiety disorders. A systematic review was conducted in Pubmed, PsycInfo, Scopus and Cinahl. Eighteen articles were included. The articles were analyzed in accordance with Friberg (2012). Three main themes were identified: 1) To help clients gain insight into their life situation, 2) To teach clients how to manage and prevent symptoms, and 3) Occupation as means in the intervention. The findings have implications for how therapists can choose, communicate and carry out interventions as well as for future research. The importance of therapeutic strategies in the interventions was also discussed.

  • 223.
    Winberg, Anette
    et al.
    Hälsa och habilitering, Landstinget i uppsala län, Uppsala.
    Lidström, Helene
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Medicine and Health Sciences.
    Anpassning och hjälpmedel för delaktighet2016In: Arbetsterapi för barn och ungdom / [ed] Ann-Christin Eliasson, Helene Lidström, Marie Peny-Dahlstrand, Lund: Studentlitteratur AB, 2016, 1, p. 203-212Chapter in book (Other academic)
  • 224.
    Wressle, Ewa
    Linköping University, Department of Social and Welfare Studies. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in Central Östergötland, Department of Geriatric Medicine.
    Client participation in the rehabilitation process2002Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    This thesis evaluates the rehabilitation process with respect to client participation. The Swedish version of a client-centred structure, the Canadian Occupational Performance Measure (COPM), is evaluated from the perspectives of the clients, the occupational therapists and the members of a rehabilitation team. Data have been collected through diaries, the COPM, assessments of ability to perform activities of daily living, mobility, self-assessments of pain and health, interviews with clients, interviews with staff, and focus groups interviews.

    The results show that a structured method is needed in order to improve clients’ active participation in goal formulation.

    The Swedish version of the COPM has high responsiveness to change over time. The use of the COPM improved client participation in the goal-formulation process, according to the results from a study with experiment and control groups. The clients perceived that treatment goals were identified, they were able to recall the goals and felt that they were active participants. They also perceived they had a higher ability to manage after the rehabilitation period was completed compared to clients in the control group.

    The clinical utility of the Swedish version of the COPM was confirmed in focus-group interviews with occupational therapists. The occupational therapists perceived the COPM as helpful in the goal-setting process and planning of treatment interventions. Even though problems are identified, they are directly related to, and formulated as, goals. Clients receive feedback on improvement over time. The COPM ensures a client-centred approach, facilitates communication within the rehabilitation team, and encourages therapists in their professional role. Therapists need knowledge about the theoretical foundation of the instrument and have to develop a personal interview technique.

    When the COPM is used in a team setting, it provides the team with broader information on what is purposeful occupation to the client. The focus is on occupational performance rather than function. According to team members the use of the COPM as a team tool increased client participation, was a good outcome measure, resulted in distinct goals, and focused on goals that were meaningful to the client.

    Implementation of a client-centred approach is facilitated when a structured method is used, but this is not enough. Involvement and motivation from all team members are required, as well as support during the introduction and implementation period. Support from management, knowledge about the underlying theory, time for discussions and reflections as well as opportunities to develop a personal interview technique are pointed out as important factors for a successful implementation.

    List of papers
    1. The rehabilitation process for the geriatric stroke patient: an exploratory study of goal setting and intervention
    Open this publication in new window or tab >>The rehabilitation process for the geriatric stroke patient: an exploratory study of goal setting and intervention
    1999 (English)In: Disability and Rehabilitation, ISSN 0963-8288, Vol. 21, no 2, p. 80-87Article in journal (Refereed) Published
    Abstract [en]

    Purpose: The aim was to describe and analyse the rehabilitation process of the geriatric stroke patient from two perspectives; the treatment goals expressed by the staff and the patient and the treatment interventions chosen by the physiotherapist and occupational therapist. A secondary aim was to test whether the process, treatment goals and interventions could be classified according to the International Classification of Impairments, Disabilities and Handicaps (ICIDH).

    Method: Qualitative interviews were performed with patients and personnel; diaries were used to register treatment interventions. The 30 interviews were categorized according to the goals expressed by physiotherapists, occupational therapists, physicians and patients. The diaries (n= 22) were analysed to describe how treatment interventions were connected in time, at what levels (impairment, disability and handicap) the interventions were directed, and finally, whether certain decisions were made in order to change the rehabilitation process.

    Results: The patients talked more about attaining their prestroke status than about their goals. The therapists set goals according to functional level, whereas the doctors expressed themselves in general terms. Three patterns of rehabilitation processes were found: one with clearly identified decision points, one with a set programme which was not changed through the process, and one where the goal was changed according to changes in medical status.

    Conclusions: The patient does not participate in the goalsetting process, and the vaguely expressed goals are not measurable. The rehabilitation process and reason for discharge demonstrate different patterns. Treatment interventions, if related to the ICIDH, give a clear picture of the process, though certain interventions do not fit in the classification.

    National Category
    Medical and Health Sciences
    Identifiers
    urn:nbn:se:liu:diva-14363 (URN)10.1080/096382899298016 (DOI)
    Available from: 2007-03-23 Created: 2007-03-23 Last updated: 2009-08-21
    2. Responsiveness of the Swedish version of the Canadian Occupational Performance Measure
    Open this publication in new window or tab >>Responsiveness of the Swedish version of the Canadian Occupational Performance Measure
    1999 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, Vol. 6, no 2, p. 84-89Article in journal (Refereed) Published
    Abstract [en]

    In a client-centred approach, clients and therapists work together to define the occupational performance problem, the focus of and need for intervention and the preferred outcomes. Application of specific theories or techniques to involve clients in goal-setting may influence the therapist to use a client participation approach. The Canadian Occupational Performance Measure (COPM) presents a structure for formulating the treatment goals identified by the client in co-operation with the therapist. The aim of this study was to test the responsiveness of the Swedish version of the COPM. After translation into Swedish, the COPM was introduced to 21 occupational therapists who performed data collection. A sample of 108 clients within geriatric, neurologic and orthopaedic rehabilitation identified 418 problems at initial scoring and reassessment. Inclusion criteria for patients were the need for rehabilitation interventions and the ability to communicate well enough in an interview. The results indicate that the Swedish version of the COPM is responsive to change, with 73% of the problems identified having a change in score of 2 points or more.

    National Category
    Medical and Health Sciences
    Identifiers
    urn:nbn:se:liu:diva-14364 (URN)10.1080/110381299443771 (DOI)
    Available from: 2007-03-23 Created: 2007-03-23 Last updated: 2009-08-21
    3. Improved client participation in the rehabilitation process using a client-centred goal formulation structure
    Open this publication in new window or tab >>Improved client participation in the rehabilitation process using a client-centred goal formulation structure
    2002 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, Vol. 34, no 1, p. 5-11Article in journal (Refereed) Published
    Abstract [en]

    The aim was to evaluate whether the use of a client-centred instrument, the Canadian Occupational Performance Measure (COPM), affects the patients' perception of active participation in the rehabilitation process. The study included 155 patients in the experiment group and 55 in the control group, within geriatric, stroke, and home rehabilitation. The COPM was used in the experiment group. A structured interview was performed within 2-4 weeks after discharge with 88 patients in the experiment group and 30 patients in the control group. The results show significant differences between the groups. More patients in the experiment group perceived that treatment goals were identified, were able to recall the goals, felt that they were active participants in the goal formulation process, and perceived themselves better able to manage after completed rehabilitation compared with patients in the control group. The study indicates that the COPM improves client participation in the rehabilitation process.

    Keywords
    Copm, Client-centred, Participation, Goal, Evaluation
    National Category
    Medical and Health Sciences
    Identifiers
    urn:nbn:se:liu:diva-14365 (URN)10.1080/165019702317242640 (DOI)
    Available from: 2007-03-23 Created: 2007-03-23 Last updated: 2009-08-21
    4. Clinical utility of the Canadian Occupational Performance Measure: Swedish version
    Open this publication in new window or tab >>Clinical utility of the Canadian Occupational Performance Measure: Swedish version
    2002 (English)In: Canadian Journal of Occupational Therapy / Revue Canadienne d`Ergotèrapie, ISSN 0008-4174, Vol. 69, no 1, p. 40-48Article in journal (Refereed) Published
    Abstract [en]

    The Canadian Occupational Performance Measure (COPM) is an individualised outcome measure intended to detect change in a client's perception of occupational performance over time. The aim of this study was to test the clinical utility of the Swedish version of the COPM. Data was collected from 27 occupational therapists in six focus groups. Emerging themes included goal-setting, preparations, limitations, interactions with clients, and impact on practice. The results indicated that the COPM is helpful in the goal-setting process and in planning treatment interventions. Therapists need knowledge about the theoretical foundation of the instrument and a personal interview technique. Problems were found using the instrument with clients who had poor insight or in acute settings. The COPM facilitated feedback on improvement over time. In summary, the COPM ensures a client-centred approach, facilitates communication within the rehabilitation team, and encourages therapists in their professional role.

    National Category
    Medical and Health Sciences
    Identifiers
    urn:nbn:se:liu:diva-14366 (URN)
    Available from: 2007-03-23 Created: 2007-03-23 Last updated: 2017-12-13
    5. The Canadian Occupational Performance Measure as an outcome measure and team tool in a day treatment program
    Open this publication in new window or tab >>The Canadian Occupational Performance Measure as an outcome measure and team tool in a day treatment program
    Show others...
    2003 (English)In: Disability and rehabilitation, ISSN 0963-8288, Vol. 25, no 10, p. 497-506Article in journal (Refereed) Published
    Abstract [en]

    Purpose: To investigate the usefulness of the Canadian Occupational Performance Measure (COPM) in a day treatment programme for clients with rheumatoid arthritis.

    Method: The study was conducted in two parts. In the first part rehabilitation without changes in the programme was performed (n = 16). After that the COPM was introduced to all team members. In part two the COPM was used (n = 40). Clients' experiences of participation in the process were studied via a structured interview 2 - 4 weeks after discharge in both parts. Qualitative interviews were conducted with team members before part one and after completion of part two.

    Results: Staff expressed that the COPM improved client participation in the rehabilitation process. Goals were formulated distinctly, and focused on activity and performance rather than function. Team conferences were focused on the client's needs. Outcome was considered clear and evident to the client. The changes in client routines demands thorough introduction, support and involvement, and takes time. Involvement and motivation for changing practice were difficult to obtain, this could be a result of a large staff turnover during the data collection period.

    Conclusions: The COPM should be seen as an aid to ensuring client participation in the goal formulation process, and facilitating treatment planning and evaluation of outcome.

    National Category
    Medical and Health Sciences
    Identifiers
    urn:nbn:se:liu:diva-14367 (URN)10.1080/0963828031000090560 (DOI)
    Available from: 2007-03-23 Created: 2007-03-23 Last updated: 2009-08-21
  • 225.
    Wressle, Ewa
    et al.
    Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in Central Östergötland, Department of Geriatric Medicine in Linköping. Linköping University, Department of Clinical and Experimental Medicine, Division of Neuroscience.
    Samuelsson, Kersti
    Linköping University, Department of Clinical and Experimental Medicine, Division of Neuroscience. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Anaesthetics, Operations and Specialty Surgery Center, Department of Rehabilitation Medicine.
    High job demands and lack of time: A future challenge in occupational therapy2014In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 21, no 6, p. 421-428Article in journal (Refereed)
    Abstract [en]

    Objective: The aim of this study was to identify work-related stress factors that contributed to work-related stress among Swedish occupational therapists and to investigate the association between work-related stress, demographic factors and perceived overall stress. Methods: A postal questionnaire and a letter of invitation were sent to 807 Swedish occupational therapists, selected at random and representing 10% of occupational therapists working in Sweden. The response rate was 59%. A stress index presenting 49 stress factors graded on a scale from 1 (indicating no source of stress) to 6 (definitely a source of stress) was included. In addition, the level of perceived overall stress during the last 2 weeks was scored on a rating scale with the end points 0 (no stress) and 10 (extreme stress). Results: The main findings indicated that lack of resources and lack of time were the main stressors. “Working at a superficial level due to lack of time” was the only variable associated with high overall stress when both work-related and personal factors were included. Professional identity and clarity about the role were graded low with regard to stress. Conclusions: Work-related stress is just one aspect of the overall stress experienced but knowledge about its consequences highlights the importance of further studies.

  • 226.
    Wressle, Ewa
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in Central Östergötland, Department of Geriatric Medicine in Linköping.
    Samuelsson, Kersti
    Östergötlands Läns Landsting, Anaesthetics, Operations and Specialty Surgery Center, Department of Rehabilitation Medicine. Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences.
    The self-reported use of research in clinical practice: A survey of occupational therapists in Sweden2015In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 22, no 3, p. 226-234Article in journal (Refereed)
    Abstract [en]

    Background: Today, healthcare providers and occupational therapists are increasingly required to rely on evidence-based practices. In both out-patient and in-patient settings, the use of research-based practices can be identified using the questionnaire Research Utilization Measure. Aim: This study explores how occupational therapists in Sweden perceive research utilization. Method: The Research Utilization measure was sent to 807 randomly selected occupational therapists in Sweden, and the response rate was 59% (n=472). Results: The majority of respondents (56%, n=256) reported use of research-based knowledge in their practice “very or rather often”, although 49% (n=225) of these therapists noted that they “very seldom or never” discussed research findings with their managers. Differences in answers for most items were related to degree of education and length of experience. Occupational therapists with higher education levels more often reported use of research in their clinical practice and therapists with greater experience less often reported use of research in their clinical practice. Conclusion: Education seems to influence the degree to which occupational therapists rely on research to inform their practices. A future challenge for managers and occupational therapists is to create strategic discussions on how to implement treatment that is based on current research.

  • 227.
    Ydreborg, Karin
    et al.
    Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Hand and Plastic Surgery.
    Engstrand, Christina
    Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Hand and Plastic Surgery.
    Steinvall, Ingrid
    Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Hand and Plastic Surgery.
    Larsson, Eva-Lena
    Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Orthopaedics in Linköping.
    Hand function, experienced pain, and disability after distal radius fracture.2015In: The American journal of occupational therapy, ISSN 0272-9490, Vol. 69, no 1, article id 6901290030Article in journal (Refereed)
    Abstract [en]

    Objective: We sought to explore differences in range of motion (ROM), grip strength, and self-reported pain and disability over time after plate-fixation surgery for distal radius fracture.less thanbr /greater thanMethod: We used a prospective repeated-measures research design with four measure points for a study sample of 101 patients. The Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire; the Global Assessment Scale; and the Canadian Occupational Performance Measure were used to assess ROM, grip strength, and pain level.less thanbr /greater thanResults: ROM and grip strength improved over time. Pain improved until 6 mo after surgery but greatly deteriorated from 6 to 24 mo. Concurrently, overall discomfort (global index) from the wrist extensively improved from 12 to 24 mo. DASH score decreased 20.1 points from 6 wk to 6 mo and remained stable until 24 mo.less thanbr /greater thanConclusion: Even when ROM and grip strength were almost fully regained at 12 mo, pain at rest and during activity was still an issue at 24 mo.less thanbr /greater than (Copyright © 2015 by the American Occupational Therapy Association, Inc.)

  • 228.
    Yngve, Moa
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Medicine and Health Sciences.
    Ekbladh, Elin
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Medicine and Health Sciences.
    Clinical Utility of the Worker Role Interview - A Survey Study among Swedish Users2015In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 22, no 6, p. 417-423Article in journal (Refereed)
    Abstract [en]

    Background: Work ability assessments are used to guide interventions designed to reduce or eliminate work disability and facilitate work participation. The clinical utility of assessments concerns the extent to which the assessment results support clinical decision-making. Aim: The aim was to investigate how users perceive the clinical utility of the Swedish version of the Worker Role Interview (WRI-S). An additional aim was to investigate differences in clinical utility related to the users’ level of WRI-S experience, attendance at courses on WRI-S application, and knowledge of the Model of Human Occupation. Material and methods: Data are based on 187 respondents’ answers to a web-based questionnaire and analysed through descriptive and inferential statistics. Results: In total, the respondents performed 12 000 WRI-S assessments. The respondents were mainly satisfied with the clinical utility of the WRI-S and experienced the assessment as supporting clinical practice. The main hindrance affecting clinical utility was the amount of time needed for conducting a WRI-S assessment. Experienced users and users with very good knowledge of MOHO conduct WRI-S assessments in a more time-effective manner. Conclusion: This study contributes to further development of the clinical utility of the Swedish version of the WRI-S, mainly focusing on time consumption.

  • 229.
    Öhman, Annika
    et al.
    Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Sweden.
    Josephsson, Staffan
    Karolinska Insitutet.
    Nygård, Louise
    Karolinska Institutet.
    Awareness through interaction in everyday occupations: experiences of people with Alzheimer's disease2008In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 15, no 1, p. 43-51Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to explore and describe the characteristics of awareness of the consequences of having Alzheimer's disease on everyday life occupations. Six community-dwelling participants with Alzheimer's disease were interviewed on repeated occasions about their lived experiences of everyday occupations. A phenomenological method was adopted for the analysis. The findings show that the participants discovered and explored the changes in how they performed everyday occupations in the context of their social relations and through immediate reflections on their forgetfulness. They attempted to handle the changes by adapting their behaviour. Awareness of the changes in their lives was evident in their reflections, as they tried to make sense of what was happening to them. This seemed to be related to an elusive perception of change in situations that they found impossible to influence. The participants reflected on the impact their condition had on other people near them. Their reflections also involved emotional reactions to the shortcomings they experienced. In conclusion, the findings show how these people with Alzheimer's disease were able to express awareness of the consequences of their illness through their reflections on their experiences of interaction with the occupations and the social environment.Read More: http://informahealthcare.com/doi/abs/10.1080/11038120701441080

  • 230.
    Öhman, Annika
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. 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.
    Nygård, Louise
    Karolinska Institutet.
    Meanings and motives for for engagement in self-chosen daily life occupations among individuals with Alzheimer's disease.2005In: OTJR (Thorofare, N.J.), ISSN 1539-4492, E-ISSN 1938-2383, Vol. 25, no 3, p. 89-97Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to uncover and describe the meanings and motives for engagement in self-chosen daily life occupations for elderly individuals with Alzheimer's disease dwelling in the community. Six participants with Alzheimer's disease were included. Data were collected through repeated interviews and observations focusing on their motives for their self-chosen occupational engagement and the significance of the daily occupations. The analysis used a qualitative comparative and interpretative method. The findings show that the participants' occupations supported their ordinary pattern of everyday life and provided them with an opportunity to be in a coherent context. The occupations also allowed them to experience and communicate autonomy and certain characteristics of their identity and provided them with a private sphere. The findings revealed certain crucial but double-edged environmental keys to occupation. By identifying and supporting everyday occupations with personal meaning and value, therapists and caregivers may contribute to the well-being of individuals with Alzheimer's disease living in their own homes.

  • 231.
    Öhman, Annika
    et al.
    Division of Occupational Therapy, Karolinska Institutet.
    Nygård, Louise
    Karolinska Institutet.
    Borell, Lena
    Karolinska Institutet.
    The vocational situation in cases of memory deficits and younger-onset dementia.2001In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 15, no 1, p. 34-43Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to describe how persons with memory deficits or younger-onset dementia perceived and met their problems, with particular reference to their present and future vocational situation, including describing the parallel observations and attitudes of other significant persons in the vocational context. Data were collected through 16 interviews, one with each of nine subjects and seven respondents from the subjects' work-places. All interviews were analysed with a comparative method, searching for themes. In addition, subjects' IADL (instrumental activities of daily living) ability and cognition were assessed. The findings demonstrated that the subjects themselves experienced extensive difficulties before their predicament was defined. The difficulties were met by spontaneous and planned strategies on the part of the subjects and by adaptations at the workplaces, but with limited success. The situation also profoundly affected fellow workers. Overall, both the subjects and the work-place respondents had a positive attitude to continued work as long as the subjects made useful contributions. The possibility of remaining in work seemed to depend on multiple factors, including the individual's apprehension of his or her own ability and the length of the sick-leave.

  • 232.
    Öhman, Annika
    et al.
    Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Sweden.
    Nygård, Louise
    Karolinska Institutet.
    Kottorp, Anders
    Karolinska Institutet.
    Occupational performance and awareness of disability in mild cognitive impairment or dementia.2011In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 18, no 2, p. 133-142Article in journal (Refereed)
    Abstract [en]

    Limited awareness of disabilities is common in mild cognitive impairment and dementia. In order to get a broader base in planning interventions, it is important to consider a person's awareness of his/her disability encountered in performance. The aim of this study was to examine the relationship between occupational performance and awareness of disability in older adults with mild cognitive impairment or dementia. Thirty-five older adults were evaluated with the AMPS (Assessment of Motor and Process Skills) and with the AAD (Assessment of Awareness of Disability). Many-faceted Rasch models generated individual measures of ADL performance and awareness of disability. Non-parametric correlation statistics were used to analyse the relationships. The findings showed that there was an overall positive relationship between occupational performance and awareness of disability. However, individual variations in the sample implied that limitations in performance were not equivalent to a limited awareness of disability. In conclusion, awareness of disability should be individually evaluated when planning interventions together with clients and their families.Read More: http://informahealthcare.com/doi/abs/10.3109/11038121003645993

  • 233.
    Österholm, Johannes H
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Larsson Ranada, Åsa
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Characteristics of research with older people (over 65 years) in occupational therapy journals, 2013-20172019In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014Article, review/survey (Refereed)
    Abstract [en]

    Background: A growing population of older people will require different types of occupational therapy services in the future. For occupational therapists to provide effective services and to optimize care, their practice must rely on high-quality evidence. Research is one important pillar of evidence-based practice. Therefore, it is important to examine the research published in occupational therapy journals, which guides practitioners in their work with clients. Aim: The overall aim of this study was to review research characteristics in articles with older persons as participants, aged over 65 years, with or without illness, diseases or disabilities, reported in occupational therapy journals during the period 2013-2017. Materials and methods: Data was collected from peer-reviewed occupational therapy journals and categorized in relation to research characteristics using descriptive statistics. Results: The findings show that most articles presented basic research, using quantitative design where the sources of data were instruments. Conclusion: The findings suggest that both qualitative and quantitative articles use appropriate sample sizes. However, descriptions of the studied populations are frequently unclear, which may affect the transferability and generalization of the results.

  • 234.
    Haglund, Lena (Translator)
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Bedömning av delaktighet i aktivitet : manual Version 1.02009Book (Other academic)
  • 235.
    Haglund, Lena (Translator)
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Science & Engineering.
    Bedömning av delaktighet i aktivitet (OCAIRS-S): version 2.2/20172017Book (Other academic)
    Abstract [sv]

    Bedömning av delaktighet i aktivitet (OCAIRS-S) är ett instrument som ger en struktur för att systematisk samla in, bedöma och analysera information om en persons aktivitetssituation och delaktighet i det dagliga livet. Detta är en svensk översättning av det amerikanska originalet The Occupational Circumstance Assessment Interview and Rating Scale (OCAIRS). 

    OCAIRS-S är ett semistrukturerat intervjuinstrument och ett beslutsstöd i det dagliga arbetet. Den sammanfattande analysen underlättar journalföring och kommunikation mellan teammedlemmar och kan även utgöra en grund för utvärdering av de interventioner som gjorts.

    Nytt i version 2.2/2017 jämfört med tidigare version 2.1/2014 är att ny forskning har tillkommit samt att manualen har fått en tydligare utformning och en ny grafisk form.

    Teoretisk grund: Model of Human Occupation (MOHO).

    Avsedda användare: Instrumentet är utvecklat av arbetsterapeuter och används främst av leg. arbetsteraapeuter. Men även andra som i sitt yrkesutövande har behov av att förstå och bedöma en persons delaktighet i det dagliga livets aktiviteter kan finna värde i instrumentet.

    Målgrupp/verksamhetsområde: Instrumentet kan användas i verksamheter när det finns behov av att fånga personens delaktighet i sina vardagliga aktiviteter. Instrumentet är utvecklat tillsammans med vuxna personer med olika former av funktionsnedsättningar. Genom att anpassa intervjufrågorna så har det visat sig att instrumentet även fungerar tillsammans med ungdomar. Instrumentet är inte miljöbundet.

    Insamlingsmetod: Semistrukturerad intervju.

    Instrumentet innehåller intervjufrågor utifrån följande 12 frågeområden: 

    • Intressen
    • Roller
    • Vanor
    • Uppfattning om egen förmåga
    • Värderingar
    • Utförande: motoriska färdigheter, processfärdigheter och kommunikations- och interaktionsfärdigheter
    • Tolkning av tidigare erfarenheter
    • Fysisk miljö
    • Social miljö
    • Kortsiktiga mål
    • Långsiktiga mål
    • Beredskap för förändring

    OCAIRS-S kan också ingå som ett intervjualternativ vid tillämpning av bedömningsinstrumentet Screening av delaktighet i olika aktiviteter (MOHOST-S).

  • 236.
    Haglund, Lena (Translator)
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Kjellberg, Anette (Translator)
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Bedömning av kommunikations- och interaktionsfärdigheter: ACIS-S2012Book (Other academic)
  • 237.
    Haglund, Lena (Translator)
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Kjellberg, Anette (Translator)
    Linköping University, Faculty of Medicine and Health Sciences. Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Bedömning av kommunikations- och interaktionsfärdigheter (ACIS-S). Svensk användarmanual2017Book (Other academic)
    Abstract [sv]

    Bedömning av kommunikations- och interaktionsfärdigheter (ACIS-S) är ett observationsinstrumentsom bedömer en persons kommunikations- och interaktionsfärdigheter vid samspel med andra personer i någon form av aktivitet och/eller socialt samspel.

    Detta är en svensk översättning av det amerikanska originalet The Assessment of Communication & Interaction Skills (ACIS).

    ACIS-S bedömer inte underliggande orsaker till brister i kommunikations- och interaktionsfärdigheter. Med stöd av instrumentet bedöms personens utförande i ett socialt sammanhang och hur detta påverkar samspelet.

    Kommunikations- och interaktionsfärdigheterna betraktas ur två perspektiv:

    1. Fullföljande av målet eller syftet med aktiviteten. Har man beslutat att laga en lunch eller spela ett spel måste man samspela tills lunchen är klar eller spelet avslutats.

    2. Samspelet med andra människor. Vid samspel måste man kunna beakta motpartens reaktion, visa hänsyn för andras åsikter och kunna skapa en positiv atmosfär.

    Instrumentet innehåller 20 bedömningskomponenter uppdelat i tre domäner:

    • fysisk kontakt
    • informationsutbyte
    • relationer

    Under varje domän skattas olika variabler på en 4-gradig skala, där 4:an representerar "kompetent utförandet" och 1:an representerar "brister i utförandet".

    Teoretisk grund: Model of Human Occupation (MOHO).

    Avsedda användare: ACIS-S är utvecklat av arbetsterapeuter och används främst av den professionen. Men även andra som i sitt yrkesutövande har behov av att förstå och bedöma en persons kommunikations- och interaktionsfärdigheter i aktivitet kan finna värde i att använda instrumentet.

    Målgrupp/verksamhetsområde: ACIS-S är inte bundet till någon specifik diagnosgrupp utan kan användas när en person uppvisar svårigheter vad gäller kommunikations- och interaktionsfärdigheter oavsett om dessa svårigheter beror på en stroke, en psykiatrisk diagnos eller en utvecklingsstörning. Instrumentet är dock endast prövat på personer som är över 18 år.

  • 238.
    Månsson Lexell, Eva (Translator)
    Aktivt och hälsosamt åldrande, Lunds universitet.
    Haglund, Lena (Translator)
    Linköping University, Department of Social and Welfare Studies. Linköping University, Faculty of Arts and Sciences.
    Fatigue Management: En sex-veckors kurs för att lära sig hantera fatigue i sin vardag: [Svensk version 1.0 av Managing Fatigue – A six-week course for energy conservation]2017Book (Other academic)
    Abstract [sv]

    Den svenska versionen av manualen till Fatigue Management-kursen har översatts av Eva Månsson Lexell och Lena Haglund. Kursen ingår i Nationella riktlinjer för vård vid Multipel skleros och Parkinsons sjukdom (2016) och riktas till personer med MS-relaterad trötthet.

    Beskrivningen av hur kursen ska genomföras har översatts i sin helhet, med endast ett fåtal kulturella anpassningar. Manualen har inte genomgått någon uppdatering sedan 1995, då den ursprungligen publicerades, och därför gjordes även några uppdateringar i introduktionsavsnittet. Dessa uppdateringar har genomförts av Tanya Packer, professor vid Dalhousie University, Nova Scotia, Kanada som är en av upphovskvinnorna till manualen. I övrigt fungerar manualen bra i praxis, särskilt mot bakgrund av att vetenskapliga studier visat på dess effekter.

    Under hösten 2016 har en prövning genomförts av den svenska versionen. Åtta arbetsterapeuter har genomfört en kurs vardera med ca 5–9 deltagare. Därefter har de lämnat synpunkter på kursens upplägg, innehåll och så vidare, både i en enkät och under en gruppintervju. Prövningen visar på vikten av att kursledaren är insatt i och känner sig bekväm med manualen. Man kan därför behöva återkomma flera gånger till Introduktionsavsnittet i manualen. Där förklaras exempelvis den teoretiska grunden till varför man valt att låta tillfälle 3 innehålla två så skilda områden som Kommunikation och Kroppens mekanik. Introduktionsavsnittet ger en förståelse för hur bearbetning av dessa två områden samtidigt ökar sammanhållningen i gruppen.

    Eftersom manualen inte har uppdaterats kan det också upplevas som att visa områden saknas. Framför allt har prövningen visat att den kognitiva aspekten av fatigue behandlas relativt sparsamt. Som kursledare kan man välja att anpassa kursen till de kursdeltagare som ingår i gruppen och då kan man välja att lägga in ett föreläsningsmoment och diskussion om hur kognition kan påverkas av fatigue. Samtidigt är det viktigt att man tar upp de moment som finns angivna i kursen, man får inte ta bort så mycket material att man ändrar budskapet med varje kurstillfälle.

    Synpunkter har också framförts om att ett antal hemuppgifter är för omfattande. Här är det viktigt att du som kursledare uppmuntrar kursdeltagarna att arbeta så aktivt de orkar mellan kursträffarna för att stödja tillämpningen av den nyvunna kunskapen i sin egen vardag. Men samtidigt måste du signalera att hemuppgifterna ska vara ett stöd för den egna tillämpningen och inte uppfattas som ett stressmoment. För att deltagarna ska ges möjlighet att utföra hemuppgifterna är det bra att det går en vecka mellan varje tillfälle, enligt instruktionerna i manualen. Det är ändå ganska vanligt att kursdeltagarna har svårt att fullfölja alla hemuppgifter. Det viktiga är att de har reflekterat utifrån sin egen situation. Precis som tidigare beskrivits kan du anpassa hemuppgifterna till målgruppen, utan att förändra budskapet i uppgifterna.

    Eftersom kursen har sin utgångspunkt i vardagens aktiviteter är många av begreppen i manualen hämtade från arbetsterapeutisk teori, där vikten av att upprätthålla en balans mellan personlig vård, produktivitet och fritidsaktiviteter betonas.

    • Med personlig vård avses basala dagliga aktiviteter som att duscha, äta och klä sig.
    • Med produktivitet avses arbete, hushållsarbete, frivilligarbete och att ta hand om sina barn. Produktivitet är nödvändigt för en balanserad livsstil, det ger struktur åt dagen, sociala kontakter och en känsla av att man presterat något vilket därmed ökar självkänslan.
    • Med fritid avses aktiviteter som är fria från skyldighet och som görs genom eget val. Fritidsaktiviteter minskar stress och ger avkoppling och glädje.

    Fortlöpande kontakt hålls med Tanya Packer, för att säkerställa att manualen hålls uppdaterad i enlighet med vetenskap och beprövad erfarenhet.

    Framtagande och prövning av manualen har skett genom ekonomiskt stöd från Socialstyrelsen inom ramen för bättre vård vid kroniska sjukdomar, 2016.

    Vi vill framföra vårt stora tack till leg arbetsterapeuter Berit Fritzin, Ann Leijon, Lena Lundman Myrlund, Mia Nilsson, Irma Pettersson, Birgitta Rosberg, Therese Laurén och Anna Vallström för deras engagemang vid prövningen och utvärderingen under hösten 2016.

    Nacka, mars 2017

    Eva Månsson Lexell och Lena Haglund

  • 239.
    Haglund, Lena (Translator)
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Kartläggning av aktiviteter: Självskattning och värdering av olika aktiviteter under ett dygn (OQ-S): Svensk version av The Occupational Questionnaire (OQ), 1986 (rev. 1993 och 2004) av N. Riopel Smith, G. Kielhofner & J. Hawkins Watts.  Översatt med tillstånd från MOHO Clearinghouse https://moho.uic.edu2018Book (Other academic)
    Abstract [sv]

    Kartläggning av aktiviteter är ett självskattningsinstrument med syfte att identifiera vilka aktiviteter en person gör under ett dygn, hur bra personen tycker att de utförs, hur viktiga de är och hur mycket personen tycker om att göra aktiviteterna.

    Instrumentet kan användas tillsammans med både vuxna och ungdomar. Om personen inte kan fylla i formuläret på egen hand kan arbetsterapeuten föra ett samtal med personen samtidigt som båda tillsammans fyller i det.

    Självskattningsformuläret innefattar två delar där personen först kartlägger hur hen med olika aktiviteter tillbringar ett vanligt dygn uppdelat per halvtimme. Därefter svarar personen på frågor kring varje aktivitet utifrån utförande, aktivitetens värde, och om hen tycker om att göra aktiviteten eller inte.

    Genom att granska de ifyllda formulären tillsammans med personen kan arbetsterapeuten få förståelse för hens aktivitetssituation, vilket kan vara ett värdefullt inspel iden fortsatta behandlingsplaneringen.

    Denna manual beskriver kort instrumentets teoretiska grund, utveckling, genomförande av självskattningen samt tolkning av svaren. Vidare innehåller manualen en fallbeskrivning, mappning till ICF:s termer och begrepp samt självskattningsformuläret.

  • 240.
    Haglund, Lena (Translator)
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Rollchecklistan: självskattning av persons rollinnehav, rollens värde samt kvaliteten i rollutförandet (RC V2: QP-S) : svensk version 2.02016Book (Other academic)
    Abstract [sv]

    Rollchecklistan (RC V2: QP-S), är ett självskattningsinstrument med syfte att identifiera de viktigaste rollerna en person har i sitt liv samt att fånga upp hur personen uppfattar kvaliteten i sitt nuvarande rollutförande i förhållande till tidigare.

    Teoretisk grund: Model of Human Occupation (MOHO).

    Avsedda användare: Främst leg. arbetsterapeuter.

    Klientmålgrupp/område: Rollchecklistan är framtagen för tillämpning tillsammans med ungdomar och vuxna. Instrumentet är inte bundet till någon speciell funktionsnedsättning utan kan användas när det finns behov av att beskriva en persons delaktighet i vardagliga aktiviteter.

    Självskattningsformuläret innefattar 10 olika roller som besvaras utifrån tre delar; 1) Rollinnehav, 2) Rollens värde och 3) Rollutförande. Genom att granska personens ifyllda svar tillsammans med personen, kan arbetsterapeuten få en förståelse för om personen förlorat roller eller om det finns roller som personen inte har i dag men gärna vill ha i framtiden. Informationen från formuläret kan även vara ett underlag i den fortsatta behandlingsplaneringen och i att stödja personen i hans/hennes förståelse kring sitt aktivitetsutförande.

    Manualen beskriver kort instrumentets teoretiska grund, utveckling och forskning, genomförande av självskattningen samt tolkning av svaren. Vidare innehåller manulen självskattningsformuläret samt en mappning av instrumentets roller till ICF.

  • 241.
    Haglund, Lena (Translator)
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Screening av delaktighet i olika aktiviteter (MOHOST-S)2014Book (Other academic)
    Abstract [sv]

    MOHOST-S syftar till att ge en mångsidig beskrivning över personens delaktighet i aktiviteter och hur vilja, vanor och färdigheter samspelar med personens aktuella miljö. Instrumentet tillåter flera olika datainsamlingsmetoder.

    Teoretisk grund: Model of Human Occupation (MOHO).

    Avsedda användare: Leg. arbetsterapeuter i första hand. Även andra professioner kan använda instrumentet men det krävs då god kunskap i MOHO för att få så användbar data som möjligt. 

    Persongrupp/verksamhetsområde: Instrumentet är mycket flexibelt och kan används tillsammans med ett stort antal personer. Instrumentet är personcentrerat och används inom såväl det somatiska som det psykosociala området. Exempelvis kan det användas i situationer där en självbedömning kanske inte är möjlig eller långa intervjuer inte är lämpliga. Något krav på verbal förmåga finns inte. Avsikten är att beskriva personens delaktighet i olika aktiviteter bortsett från symtom, diagnos eller behandlingsmiljö.

    Instrumentet innehåller 24 variabler, fyra för var och en av följande 6 områden:

    • Motivation för aktivitet (vilja)
    • Aktivitetsmönter (vanor)
    • Kommunikations och interaktionsfärdigheter
    • Processfärdigheter
    • Motoriska färdigheter
    • Miljö

    De 24 variablerna skattas utifrån följande skattningsskala:

    • Stödjer delaktighet i aktivitet (personen fungerar bra).
    • Tillåter delaktighet i aktivitet (personen har vissa svårigheter).
    • Försvårar delaktighet i aktivitet (personen har vissa svårigheter).
    • Hindrar delaktighet i aktivitet (personen fungerar inte).
    • Infomation saknas för att göra skattning.
    • Inte aktuellt att skatta.

    MOHOST-S är i första hand ett screeningverktyg där den primära datainsamlingsmetoden var observation. Varefter prövning har pågått har andra datainsamlingsmetoder tillkommit då prövningar visat behov av det. Information kan insamlas via intervju (rekommenderade frågor finns framarbetade), samtal med klienten, observation (informella eller formell) av klienten och samtal med andra teammedlemmar.

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