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  • 251.
    Rosenberg, Catarina
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier.
    Svan, Matilda
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier.
    Hur konsulter i bemanningsbranschen arbetande inom lager, verkstad och industri uppfattar sin arbetsmiljö2008Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats
    Abstract [sv]

    Bemanningsbranschen i Sverige är expansiv. Arbetet som konsult innebär ständiga anpassningar till nya miljöer. Arbetsmiljön består av psykosociala och fysiska aspekter och idag är problemen inom psykosociala arbetsmiljön mer uttalade än på 1990-talet. Syftet med studien är att undersöka hur personer som arbetar på ett bemanningsföretag inom lager, verkstad och industri, uppfattar att deras fysiska- och psykosociala arbetsmiljö påverkar arbetsutförande och välbefinnande på arbetet samt om demografiska faktorer inverkar på hur arbetsmiljön uppfattas. Studien är en tvärsnittsstudie, där bedömningsinstrumentet Work Environment Impact Scale (WEIS) har använts. I studien har 30 konsulter inom bemanningsbranschen intervjuats. Resultatet visar att de faktorer som uppfattas mest stödjande för utförandet av arbetet är ”Medlemskap i arbetsgrupp”, ”Interaktion med andra” samt ”Förväntningar i utförandet av arbetet”. De faktorer som uppfattades som mest hindrande för utförandet av arbetet var ”Arbetsuppgiftens krav”, ”Förmåner” samt ”Samspel med överordnade”. Sammanfattningsvis visade sig gemenskapen med andra, såväl med medarbetare som med kunder vara mest stödjande. De hindrande faktorerna utgjordes främst av ett bristande ledarskap från bemanningsföretagets överordnade, i form av stöd och uppskattning gentemot konsulterna.

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  • 252.
    Rustner, Birgitta
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Rehabiliteringsmedicinska kliniken.
    Wressle, Ewa
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neuro- och inflammationsvetenskap. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Närsjukvården i centrala Östergötland, Medicinska och geriatriska akutkliniken.
    Samuelsson, Kersti
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Rehabiliteringsmedicinska kliniken.
    Results from a cognitive group rehabilitation programme from an occupational performance perspective2016Ingår i: British Journal of Occupational Therapy, ISSN 0308-0226, E-ISSN 1477-6006, Vol. 79, nr 12, s. 734-741Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction: The Canadian Occupational Performance Measure (COPM) was used for treatment planning and to evaluate the effect of a cognitive group rehabilitation programme. The aim was to identify occupational performance problems defined as important and to analyse the outcome, and to link those problems to the International Classification of Functioning, Disability and Health (ICF) core set for traumatic brain injury and stroke.

    Method: A retrospective design was used, including an analysis of COPM data recorded before and two months after the programme. COPM data from 124 clients were linked to the ICF core sets.

    Results: A clinically important difference of 2 COPM scores was reached in 32% of the clients for occupational performance and in 47% for satisfaction with occupational performance. A majority of the problems identified (62%) were classified within the activities and participation component in the ICF, and 38% in body functions. All occupational performance problems could be linked to the ICF; just one of the 36 categories (caring for household objects) was not found in any of the ICF core sets.

    Conclusion: By linking the COPM data to the core sets, occupational therapists can be confident in addressing the typical problems of the group of clients identified.

  • 253.
    Ryd, Charlotta
    et al.
    Karolinska Inst, Sweden.
    Malinowsky, Camilla
    Karolinska Inst, Sweden.
    Öhman, Annika
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för arbetsterapi. Linköpings universitet, Medicinska fakulteten.
    Kottorp, Anders
    Malmo Univ, Sweden.
    Nygard, Louise
    Karolinska Inst, Sweden.
    Older adults experiences of daily life occupations as everyday technology changes2018Ingår i: British Journal of Occupational Therapy, ISSN 0308-0226, E-ISSN 1477-6006, Vol. 81, nr 10, s. 601-608Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction Knowledge is lacking of how technological development has affected occupational engagement and performance. Changes in the environment, for example, new technology, are likely to create changes in the dynamics of occupations and exploring this among older adults is especially important. This study aimed to explore what can drive and hinder the incorporation of everyday technology into occupations and how new technology affects occupational engagement and performance among older adults. Method A constructivist grounded theory methodology was applied. Data were collected by individual interviews with six women and five men between the ages of 67 and 92 years old. Participants also varied as regards their cognitive function and living conditions. Results The findings concerned the match between technology and the participants perceptions of occupational purposes, needs of control and safety, and the kind of technology user they strived to be. A good match was a driving force for technology usage and satisfaction with the altered occupations and vice versa. Conclusion Occupational engagement and performance in relation to technology use can be facilitated, which is useful knowledge for stakeholders developing and implementing new technology, as well as those who encounter older adults with the needs or desire to use technology in their daily occupations.

  • 254.
    Ryd, Charlotta
    et al.
    Karolinska Institute, Sweden.
    Nygard, Louise
    Karolinska Institute, Sweden.
    Malinowsky, Camilla
    Karolinska Institute, Sweden.
    Öhman, Annika
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet. Linköpings universitet, NISAL - Nationella institutet för forskning om äldre och åldrande.
    Kottorp, Anders
    Karolinska Institute, Sweden; Zurich University of Appl Science, Switzerland.
    Associations between performance of activities of daily living and everyday technology use among older adults with mild stage Alzheimers disease or mild cognitive impairment2015Ingår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 22, nr 1, s. 33-42Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: The use of everyday technology (ET) is important for many activities in daily life (ADL) and can be especially challenging for older adults with cognitive impairments. Objective: The aim was to explore associations between ADL performance and perceived ability to use ET among older adults with mild stage Alzheimers disease (AD) and mild cognitive impairment (MCI). ADL motor and process ability, and ability to use ET were also compared between the groups. Methods: Participants with AD (n = 39) and MCI (n = 28) were included. Associations and group differences were explored with nonparametric statistics. Results: Significant correlations were found between ADL process ability and ET use in both groups (R-s = 0.44 and 0.32, p less than 0.05), but for ADL motor ability and ET use, correlations were only found in the MCI group (R-s = 0.51, p less than 0.01). The MCI group had significantly higher measures of ADL process ability (p less than 0.001) and ET use (p less than 0.05). Conclusion: ADL performance ability and perceived ability to use ET are important to consider in evaluations of older adults with cognitive impairments. Group differences indicate that measures of ADL performance ability and ET use are sensitive enough to discriminate the MCI group from the AD group with individually overlapping measures.

  • 255.
    Salomonsson, Johan
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier.
    Lundqvist, Maria
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier.
    Instrument för bedömning av arbetsförmåga: En systematisk litteraturstudie2009Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Att vara aktiv och klara av att utföra sitt arbete har en central betydelse för en individs hälsa och välbefinnande. Begreppet arbetsförmåga är ett komplext begrepp som beskrivs som flerdimensionellt. Vid bedömning av arbetsförmåga är det viktigt att bedömaren använder sig av tillförlitliga metoder som syftar till att hjälpa individen med sin fortsatta rehabilitering. Syftet med studien är att kartlägga olika bedömningsinstrument som mäter arbetsförmåga i olika avseenden. Bland annat vilket syfte instrumentet har, vilken datainsamlingsmetod instrumentet använder samt vilka psykometriska egenskaper som har prövats för instrumentet. För att besvara syftet gjordes en systematisk litteraturstudie med sökning i följande databaser: PubMed, CINAHL, Scopus och OT-seeker vilket resulterade i tio artiklar. En manuell sökning utfördes för att komplettera den initiala sökningen vilket resulterade i ytterligare sex artiklar. Resultatet visar att sju instrument kunde identifieras som på olika sätt mäter en individs arbetsförmåga. Majoriteten av dem har ett tydligt syfte samt är förankrade i en teoretisk grund och är prövade utifrån olika psykometriska egenskaper. Författarna har konstaterat att begreppet arbetsförmåga saknar enhetlig definition och är ett komplext begrepp. I diskussionen föreslås en samverkan av olika instrument som framkommit i studien för att tydliggöra och bistå bedömningen av en individs arbetsförmåga.

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  • 256.
    Samuelsson, Jenny
    et al.
    Univ Gothenburg, Sweden; Sahlgrens Univ Hosp, Sweden; Habilitat & Hlth, Sweden.
    Johnels, Jakob Asberg
    Univ Gothenburg, Sweden; Sahlgrens Univ Hosp, Sweden.
    Holmer, Emil
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Avdelningen för funktionsnedsättning och samhälle. Linköpings universitet, Filosofiska fakulteten.
    Palmqvist, Lisa
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Avdelningen för funktionsnedsättning och samhälle. Linköpings universitet, Filosofiska fakulteten. Univ Gothenburg, Sweden.
    Heimann, Mikael
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Reichenberg, Monica
    Univ Gothenburg, Sweden.
    Lundalv, Mats
    Sahlgrens Univ Hosp, Sweden.
    Thunberg, Gunilla
    Univ Gothenburg, Sweden; Sahlgrens Univ Hosp, Sweden.
    'To have a plan': teachers' perceptions of working with a literacy instruction combining phonics and comprehension applications for students with intellectual disability and communication difficulties2024Ingår i: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    PurposeStudents with intellectual disabilities (ID) typically have difficulties with literacy learning, often not acquiring basic literacy skills. Research and practical experience indicate that when these students are provided with evidence-based instruction, including comprehension as well as phonemic strategies, literacy may develop.MethodsIn this study, four pairs of teachers were interviewed regarding their perceptions of a 12-week digital literacy intervention that focused on both phonics and comprehension strategies. The intervention aimed to enhance literacy and communication development in students aged 7-21, who had mild to severe ID.Results and conclusionFour themes were identified in the analysis. It was seen that the teachers found it valuable to have access to two apps accessing and facilitating the use of different literacy strategies in meeting the needs of individual students. This digital format was also perceived as positive, contributing to creating a supportive and systematic learning environment that enhanced and increased literacy learning. The teachers recurringly also talked about the positive influence of participating in research, lifting the strong focus, and positive attention as very important for both teachers and students.

  • 257.
    Samuelsson, Kersti
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Rehabiliteringsmedicin. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Rekonstruktionscentrum, Rehabiliteringsmedicinska kliniken US.
    Björk, Maarit
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Rehabiliteringsmedicin. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Rekonstruktionscentrum, Rehabiliteringsmedicinska kliniken US.
    Erdugan, Ann-Marie
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Rehabiliteringsmedicin. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Rekonstruktionscentrum, Rehabiliteringsmedicinska kliniken US.
    Hansson, Anna-Karin
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Rehabiliteringsmedicin. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Rekonstruktionscentrum, Rehabiliteringsmedicinska kliniken US.
    Rustner, Birgitta
    Östergötlands Läns Landsting, Rekonstruktionscentrum, Rehabiliteringsmedicinska kliniken US.
    The effect of shaped wheelchair cushion and lumbar supports on under-seat pressure, comfort, and pelvic rotation.2009Ingår i: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 4, nr 5, s. 329-336Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    AIM: A wheelchair seat and position help clients perform daily activities. The comfort of the wheelchair can encourage clients to participate in daily activities and can help prevent future complications. PURPOSE: This study evaluates how a shaped seat-cushion and two different back supports affect under-seat pressure, comfort, and pelvic rotation. METHOD: Thirty healthy subjects were tested using two differently equipped manual wheelchairs. One wheelchair had a Velcro adjustable back seat and a plane seat-cushion. The other wheelchair had a non-adjustable sling-back seat and a plane cushion. The second wheelchair was also equipped with a shaped cushion and/or a detachable lumbar support. Under-seat pressure, estimated comfort, and pelvic rotation were measured after 10 min in each wheelchair outfit. RESULTS: Peak pressure increased with the shaped cushion compared to the plane cushion. No significant difference in estimated comfort was found. Pelvic posterior-rotation was reduced with the adjustable or detachable back-support irrespective of the shape of the seat cushion. CONCLUSIONS: To support a neutral pelvic position and spinal curvature, a combination of a shaped cushion and a marked lumbar support is most effective.

  • 258.
    Samuelsson, Kersti
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Rehabiliteringsmedicinska kliniken.
    Modig-Arding, Ingalill
    Region Östergötland, Sinnescentrum, Rehabiliteringsmedicinska kliniken.
    Wressle, Ewa
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neuro- och inflammationsvetenskap. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Närsjukvården i centrala Östergötland, Medicinska och geriatriska akutkliniken.
    Driving after an injury or disease affecting the brain: an analysis of clinical data2018Ingår i: British Journal of Occupational Therapy, ISSN 0308-0226, E-ISSN 1477-6006, Vol. 81, nr 7, s. 376-383Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction: Traffic safety may be affected if a licence holder has experienced illness or injury that may have an impact on cognition. Occupational therapists are involved in assessing cognitive functions that might affect a patients ability to drive a car using different evaluation tools in different countries and settings. The aim of this study was to look at the predictive value of some of the assessment tools available to occupational therapists for making judgements about resuming driving after cognitive impairment due to brain trauma or disease. Method: A retrospective study based on clinical data from 204 patients referred to a specialist department for recommendations on ability to drive after brain injury or disease. All patients underwent three assessments: stroke drivers screening assessment, useful field of view and simulated driving skill. In addition, an on-road assessment was added in 76% of the sample. Results: Useful field of view had the highest sensitivity (78%) and, combined with the results from the simulator, the sensitivity was 87 degrees/o. The specificity for the two methods was 55%. Conclusion: The results from useful field of view and a simulator test combined best predicted the final recommendation from the multi-professional team discussion on which clients should be recommended not to resume driving.

  • 259.
    Samuelsson, Kersti
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neurovetenskap. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Sinnescentrum, Rehabiliteringsmedicinska kliniken.
    Wressle, Ewa
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neurovetenskap. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Närsjukvården i centrala Östergötland, Geriatriska kliniken.
    Powered wheelchairs and scooters for outdoor mobility: a pilot study on costs and benefits2014Ingår i: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 9, nr 4, s. 330-334Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: This study evaluates the effect of electric powered wheelchairs/scooters (PWC/S) on occupational performance, social participation, health, and life satisfaction. In addition, this study estimates the costs and benefits of PWC/S and describes users’ experiences with the delivery process.

    Methods: This prospective study has a before-and-after design. Postal questionnaires were sent to 24 first-time PWC/S users before delivery of the PWC/S and four months after delivery. The participants used their PWC/S for outdoor mobility.

    Results: PWC/S improved the users’ daily lives, their ability to engage in mobility-related activities, and their social participation. For a majority of the users, estimated independence, feelings of safety, and self-esteem increased although overall health and life satisfaction were not significantly affected. All users thought that the therapist had considered their needs during the providing process. Most participants (73%) were satisfied with their device at follow-up. For the 12 users who reported no change in health status between measures, the mean societal savings based on calculated costs for assistance was € 6 227 per person per year.

    Conclusions: PWC/S seems to improve occupational performance, social participation, and life satisfaction for users. Moreover, these improvements seem to have an economic advantage for both users and society.

  • 260.
    Samuelsson, Kersti
    et al.
    Östergötlands Läns Landsting, Sinnescentrum, Rehabiliteringsmedicinska kliniken. Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten.
    Wressle, Ewa
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neuro- och inflammationsvetenskap. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Närsjukvården i centrala Östergötland, Geriatriska kliniken.
    Turning evidence into practice: Barriers to research use among occupational therapists2015Ingår i: British Journal of Occupational Therapy, ISSN 0308-0226, E-ISSN 1477-6006, Vol. 78, nr 3, s. 175-181Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction: Research has demonstrated that occupational therapists generally have a positive attitude regarding the use of evidence in their daily practice and decision-making. In addition, occupational therapists are expected to implement evidencebased practice, which is often understood as equivalent to research. However, evidence-based practice might be difficult to reconcile with occupational therapy from a client-centred focus. This study examines what occupational therapists perceive as barriers to research use and discusses the challenge of clinical implementation.

    Method: This study uses a descriptive cross-sectional design. The Barriers to Research Utilization Scale questionnaire was mailed to 807 randomly selected Swedish occupational therapists. The response rate was 59%.

    Findings: The occupational therapists identified three main barriers to the use of research: insufficient facilities (82%); lack of time to read research (77%); difficulty understanding statistical analyses (75%). Degree of education was shown to affect results; occupational therapists with higher education levels indicated a higher use of research.

    Conclusion: Implementing research in clinical practice is a challenge. Occupational therapists are interested but they lack the optimal prerequisites and time.

  • 261.
    Sandell, Caroline
    et al.
    Östergötlands Läns Landsting.
    Kjellberg, Anette
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Taylor, Renee
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Participating in diagnostic experience: Adults with neuropsychiatric disorders2013Ingår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 20, nr 2, s. 136-142Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Knowledge regarding neuropsychiatric disabilities has increased in recent years, resulting in an increasing number of adults requesting neuropsychiatric evaluation. The aim of this qualitative study was to describe adult clients' experiences of participating actively in a supportive assessment process in which they received a diagnosis of either autism spectrum disorder (ASD) and/or attention-deficit hyperactivity disorder (ADHD) and then received follow-up counselling, guidance, and compensatory resources that were immediate and directly integrated into the diagnostic experience. The Occupational Performance History Interview – Second Version (OPHI-II) was selected because it is client-centred. It measures how a significant life event affects a person's occupational identity, occupational competence, and interaction with the environment. The OPHI-II was administered to capture 15 participants' experiences of being diagnosed with ASD and/or ADHD as the significant life event of focus. Three categories were formed by using qualitative content analysis: (i) strengthened occupational identity; (ii) compensatory support enhances occupational competence, and (iii) effects of the social environment on relationships. Findings indicated that the diagnostic experience had transformative effects on participants' occupational identities, occupational competence, and ability to self-advocate for increased understanding and resources within their environments. The implications of these findings and future research are discussed.

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  • 262. Beställ onlineKöp publikationen >>
    Sandqvist, Jan
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Development and Evaluation of Validity and Utility of the Instrument Assessment of Work Performance (AWP)2007Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

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

    This dissertation thesis focuses specifically on the following:

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

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

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

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

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

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

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

    Delarbeten
    1. Work functioning - a conceptual framework
    Öppna denna publikation i ny flik eller fönster >>Work functioning - a conceptual framework
    2004 (Engelska)Ingår i: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 23, nr 2, s. 147-157Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

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

    Nyckelord
    occupational therapy, ability, performance, capacity, assessment
    Nationell ämneskategori
    Medicin och hälsovetenskap
    Identifikatorer
    urn:nbn:se:liu:diva-12892 (URN)
    Tillgänglig från: 2008-01-21 Skapad: 2008-01-21 Senast uppdaterad: 2020-06-11
    2. Assessment of Work Performance - Development of an Instrument
    Öppna denna publikation i ny flik eller fönster >>Assessment of Work Performance - Development of an Instrument
    2006 (Engelska)Ingår i: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 26, nr 4, s. 379-387Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

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

    Nyckelord
    Occupational therapy, measurement, instrument development, skills, MOHO
    Nationell ämneskategori
    Arbetsterapi
    Identifikatorer
    urn:nbn:se:liu:diva-12893 (URN)
    Tillgänglig från: 2008-01-21 Skapad: 2008-01-21 Senast uppdaterad: 2020-06-11
    3. Content Validity and Utility of the Assessment of Work Performance (AWP)
    Öppna denna publikation i ny flik eller fönster >>Content Validity and Utility of the Assessment of Work Performance (AWP)
    2008 (Engelska)Ingår i: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 30, nr 4, s. 441-450Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

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

    Nyckelord
    Occupational therapy, measurement, instrument development, skills, MOHO
    Nationell ämneskategori
    Medicin och hälsovetenskap
    Identifikatorer
    urn:nbn:se:liu:diva-12894 (URN)
    Tillgänglig från: 2008-01-21 Skapad: 2008-01-21 Senast uppdaterad: 2020-06-11
    4. Construct validity of the Assessment of Work Performance (AWP)
    Öppna denna publikation i ny flik eller fönster >>Construct validity of the Assessment of Work Performance (AWP)
    Visa övriga...
    2009 (Engelska)Ingår i: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 32, nr 2, s. 211-218Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

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

    Ort, förlag, år, upplaga, sidor
    IOS Press, 2009
    Nyckelord
    Instrument development, Model of Human Occupation (MOHO), occupational therapy, vocational rehabilitation
    Nationell ämneskategori
    Medicin och hälsovetenskap
    Identifikatorer
    urn:nbn:se:liu:diva-17879 (URN)10.3233/WOR-2009-0807 (DOI)000264925800012 ()
    Tillgänglig från: 2009-04-25 Skapad: 2009-04-24 Senast uppdaterad: 2020-06-05Bibliografiskt granskad
    Ladda ner fulltext (pdf)
    FULLTEXT01
    Ladda ner (pdf)
    COVER01
    Ladda ner (pdf)
    POPULARSUMMARY01
  • 263.
    Sandqvist, Jan
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för arbetsterapi. Linköpings universitet, Medicinska fakulteten.
    Ekbladh, Elin
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för arbetsterapi. Linköpings universitet, Medicinska fakulteten.
    Applying the Model of Human Occupation to Vocational Rehabilitation2017Ingår i: Kielhofner's model of human occupation: theory and application / [ed] Renee Taylor, Philadelphia: Wolters Kluwer, 2017, 5, s. 377-396Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 264.
    Sandqvist, Jan
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Törnquist, Kristina
    Örebro Universitet, Örebro, Sweden.
    Henriksson, Chris
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Assessment of Work Performance - Development of an Instrument2006Ingår i: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 26, nr 4, s. 379-387Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

  • 265.
    Scott, Melissa
    et al.
    Curtin Univ, Australia; Cooperat Res Ctr Living Autism Autism CRC, Australia.
    Falkmer, Marita
    Curtin Univ, Australia; Cooperat Res Ctr Living Autism Autism CRC, Australia; Jonkoping Univ, Sweden.
    Kuzminski, Rebecca
    Curtin Univ, Australia.
    Falkmer, Torbjörn
    Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för prevention, rehabilitering och nära vård. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Smärt och rehabiliteringscentrum. Curtin Univ, Australia; Cooperat Res Ctr Living Autism Autism CRC, Australia.
    Girdler, Sonya
    Curtin Univ, Australia; Cooperat Res Ctr Living Autism Autism CRC, Australia.
    Process evaluation of an autism-specific workplace tool for employers2022Ingår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 29, nr 8, s. 686-698Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background Limited studies exist exploring employers capacity in hiring and supporting employees on the autism spectrum, and even fewer have considered interventions targeting employers skills and knowledge in enhancing employment opportunities. In response to this need, the Integrated Employment Success Tool (IESTTM) was developed and its effectiveness established in a randomized controlled trial (RCT). Furthermore, a process evaluation was conducted to determine the usability and implementation of the IESTTM. Aims/objectives The process evaluation was conducted to determine employers perceived usability, implementation, and perceived barriers and facilitators in using the IESTTM. Material and methods Employers (N = 29) provided their feedbackviaan online questionnaire. Of these, 11 participants were interviewed, further exploring their experiences. Data were analysedviadescriptive statistics and thematic analysis. Results While employers frequency and usage of the IEST(TM)varied across workplaces, it was predominantly used to increase employers knowledge of autism and implement workplace strategies. A major barrier was the paper-based format of the intervention, with more than 60% of employers indicating the need for an online version. Conclusions and significance The process evaluation was a critical step in understandingwhythe IEST(TM)was effective, and how it could be further optimized for prospective employers.

  • 266. Beställ onlineKöp publikationen >>
    Seing, Ida
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Hälsouniversitetet.
    Activating the Sick-Listed: Policy and Practice of Return to Work in Swedish Sickness Insurance and Working Life2014Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    A critical task of social policy in most Western welfare states during recent decades has consisted of reducing the economic burden on society due to sick leave, by stimulating participation in the labour market. Many jurisdictions have introduced activation policies, based on the premise that work “per se” has a therapeutic effect on sick-listed workers. People are expected to be “active”, rather than “passive”, recipients of financial benefits. However, there is limited knowledge of how activation policies focusing on return to work (RTW) are carried out in local practice. Against this background, the overall aim of this thesis is to study the local practice of activation policies by analysing how they are received, implemented and experienced by welfare state organizations, employers and sick-listed workers. The analysis has been influenced by theories concerning organization fields, individualization, street-level bureaucracy and organizational governance.

    In this thesis, the overall aim is investigated in four interrelated papers. In Paper I, the aim is to analyse the perspectives of stakeholders (i.e. welfare state actors and employers) on work ability by studying multistakeholder meetings. Paper II sheds light on activation policy, focusing on early RTW in the context of modern working conditions; the aim is to analyse RTW practice in local workplace contexts, in relation to Swedish early-RTW policy. The third paper focuses on employers, with the aim of analysing their role and activities regarding RTW, in local workplace practice. In Paper IV, the aim is to analyse sick-listed workers’ experiences of the sickness insurance system in their contact with the Swedish Social Insurance Agency (SSIA) and their front-line staff.

    The empirical material comprises two empirical studies: 1) audio-recorded multi-stakeholder meetings from regular practice (n=9) and 2) semi-structured interviews with sick-listed workers and their supervisors in 18 workplaces (n=36). The analyses of the material have been performed in accordance with the principles of qualitative content analysis.

    Main findings of the papers reflect strong organizational boundaries in the implementation process of activation policies. Welfare state actors and employers appear to be governed by their own organizational logics and interests, so the actors involved fail to take a holistic view of sick-listed workers and do not share a common social responsibility for individuals’ RTW. This thesis illustrates how current activation policies focusing on RTW are based on a rather idealized image of the standard workplace. There is an explicit or implicit assumption that employers and work organizations are able to welcome sick-listed workers back to work in a healthy way. However, the intensity of modern working life leaves limited room for accommodating people with reduced work ability, who are not considered to have a business value to the workplace. In several cases, findings indicate that the SSIA’s focus on activation and early RTW clashes with the financially oriented perspective of employers. Economic considerations regarding their business take precedence over legal and ethical considerations, and employers have difficulty taking social responsibility for RTW. Sick-listed workers are encouraged to adjust to new workplace settings and environments to meet the demands of the workplace, and, if RTW is not possible, to the demands of the labour market. The findings also show that sick-listed workers experience that contacts with the SSIA are ‘standardized’; i.e., they perceive that the officials are loyal  to demands in their organizations rather than being involved actors who support workers’ individual needs. Sick-listed workers clearly experience that measures in Swedish activation policies have a strong focus on demanding aspects (financial work incentives) and less on enabling aspects (investments in skills).

    Overall, this thesis illustrates an emerging social climate where sick-listed workers are positioned as active agents who must take responsibility for their sick leave and their RTW process. In a Swedish context, RTW is a matter of activating the sick-listed rather than activating the workplace.

    Delarbeten
    1. Policy and Practice of Work Ability: A Negotiation of Responsibility in Organizing Return to Work
    Öppna denna publikation i ny flik eller fönster >>Policy and Practice of Work Ability: A Negotiation of Responsibility in Organizing Return to Work
    Visa övriga...
    2012 (Engelska)Ingår i: Journal of occupational rehabilitation, ISSN 1053-0487, E-ISSN 1573-3688, Vol. 22, nr 4, s. 553-564Artikel i tidskrift (Refereegranskat) Published
    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.

    Ort, förlag, år, upplaga, sidor
    Springer, 2012
    Nationell ämneskategori
    Arbetsterapi Arbetslivsstudier Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi Statsvetenskap Sociologi
    Identifikatorer
    urn:nbn:se:liu:diva-73888 (URN)10.1007/s10926-012-9371-3 (DOI)000310472400012 ()
    Tillgänglig från: 2012-01-16 Skapad: 2012-01-16 Senast uppdaterad: 2021-03-31
    2. Early-Return-to-Work in the Context of an Intensification of Working Life and Changing Employment Relationships
    Öppna denna publikation i ny flik eller fönster >>Early-Return-to-Work in the Context of an Intensification of Working Life and Changing Employment Relationships
    2015 (Engelska)Ingår i: Journal of occupational rehabilitation, ISSN 1053-0487, E-ISSN 1573-3688, Vol. 25, nr 1, s. 74-85Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    Purpose Many Western welfare states have introduced early-return-to-work policies, in which getting sick-listed people back to work before they have fully recovered is presented as a rather unproblematic approach. This reflects a belief in the ability of employers and the labour market to solve sickness absence. Against this background, the aim of this study was to analyse return-to-work practice in local workplace contexts, in relation to Swedish early-return-to-work policy.

    Methods Semi-structured interviews were conducted with 18 matched pairs of workers and managers. The material, comprising a total of 36 interviews, was analysed using qualitative content analysis.

    Results Three main themes were identified: (1) intensive workplaces and work conditions (2) employer support—a function of worker value and (3) work attachment and resistance to job transition. The results reflected the intensity of modern working life, which challenged return-to-work processes. Managers had different approaches to workers’ return-to-work, depending on how they valued the worker. While managers used the discourse of ‘new opportunities’ and ‘healthy change’ to describe the transition process (e.g. relocation, unemployment and retirement), workers regularly experienced transitions as difficult and unjust.

    Conclusions In the context of early-return-to-work policy and the intensity of modern working life, a great deal of responsibility was placed on workers to be adaptable to workplace demands in order to be able to return and stay at work. Overall, this study illustrates an emerging social climate where sick-listed workers are positioned as active agents who must take responsibility for sick leave and return-to-work process.

    Ort, förlag, år, upplaga, sidor
    Springer, 2015
    Nyckelord
    Social policy; Return-to-work; Sick leave; Work place; Career mobility
    Nationell ämneskategori
    Arbetsterapi Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi Sociologi Statsvetenskap Arbetslivsstudier
    Identifikatorer
    urn:nbn:se:liu:diva-112396 (URN)10.1007/s10926-014-9526-5 (DOI)000349971100008 ()24920449 (PubMedID)
    Tillgänglig från: 2014-11-25 Skapad: 2014-11-25 Senast uppdaterad: 2017-12-05Bibliografiskt granskad
    3. Return to work or job transition?: Employer dilemmas in taking social responsibility for return to work in local workplace practice
    Öppna denna publikation i ny flik eller fönster >>Return to work or job transition?: Employer dilemmas in taking social responsibility for return to work in local workplace practice
    2015 (Engelska)Ingår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 37, nr 18-19, s. 1760-1769Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    Purpose: The aim was to analyze the role and activities of employers with regard to return to work (RTW), in local workplace practice.

    Method: Semi-structured interviews were conducted with sick-listed workers and their supervisors in 18 workplaces (n  = 36). The analytical approach to study the role of employers in RTW was based on the three-domain model of social corporate responsibility. The model illustrates the linkage between corporations and their social environment, and consists of three areas of corporate responsibility: economic, legal and ethical.

    Results: Employers had difficulties in taking social responsibility for RTW, in that economic considerations regarding their business took precedence over legal and ethical considerations. Employers engaged in either “RTW activities” or “transition activities” that were applied differently depending on how valued sick-listed workers were considered to be to their business, and on the nature of the job (e.g. availability of suitable work adjustments).

    Conclusions: This study suggests that Swedish legislation and policies does not always adequately prompt employers to engage in RTW. There is a need for further attention to the organizational conditions for employers to take social responsibility for RTW in the context of business pressure and work intensification.

    Implications for Rehabilitation

    • Employers may have difficulties in taking social responsibility for RTW when economic considerations regarding their business take precedence over legal and ethical considerations.
    • Rehabilitation professionals should be aware of that outcomes of an RTW process can be influenced by the worker’s value to the employer and the nature of the job (e.g. availability of suitable work adjustments). “Low-value” workers at workplaces with limited possibilities to offer workplace adjustments may run a high risk of dismissal.
    • Swedish legislation and policies may need reforms to put more pressure on employers to promote RTW.
    Ort, förlag, år, upplaga, sidor
    Informa Healthcare, 2015
    Nyckelord
    Activation policy, employers, sick leave, work accommodation, workplace
    Nationell ämneskategori
    Arbetsterapi Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi Statsvetenskap Sociologi Arbetslivsstudier
    Identifikatorer
    urn:nbn:se:liu:diva-112397 (URN)10.3109/09638288.2014.978509 (DOI)000359878700020 ()25355548 (PubMedID)
    Tillgänglig från: 2014-11-25 Skapad: 2014-11-25 Senast uppdaterad: 2017-12-05Bibliografiskt granskad
    4. Activation Policies and Sick-Listed Workers’ Experiences and Trust in the Sickness Insurance System in Local Practice
    Öppna denna publikation i ny flik eller fönster >>Activation Policies and Sick-Listed Workers’ Experiences and Trust in the Sickness Insurance System in Local Practice
    2014 (Engelska)Manuskript (preprint) (Övrigt vetenskapligt)
    Abstract [en]

    In recent welfare and labour market reforms in Europe and North America, there is a general trend towards activation, in that people (e.g. those who are sick-listed, unemployed and recipients of social welfare) are expected to be “active”, rather than “passive”, recipients of financial benefits. Meanwhile, street-level bureaucracy in many welfare state organizations has been fundamentally reformed in recent years with the implementation of New Public Management Principles which have come to influence the day-to-day work of front-line staff. The aim of this paper is to analyse sick-listed workers’ experiences of the sickness insurance system in their contact with the SSIA and their front-line staff. The data consists of semistructured interviews with 18 sick-listed workers in Sweden. The material was analysed using qualitative content analysis. The findings illustrate that sick-listed workers experienced contacts with the Social Insurance Agency (SSIA) as “standardized”; that is, they perceived that the officials were loyal to demands in their organizations rather than involved actors that supported workers’ individual needs. The SSIA was described as having a mainly administrative and controlling function during their sick leave, resulting in a distant relationship. It was also clear that sick-listed individuals experienced the activation policy as demanding, and their sick leave was characterized by insecurity and uncertainty. Overall, this paper suggests that activation policies with regulations emphasizing time limits, and enforcement of standardized work processes at the SSIA, challenge sick-listed workers’ trust in the sickness insurance system.

    Nationell ämneskategori
    Arbetsterapi Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi Arbetslivsstudier Statsvetenskap Sociologi
    Identifikatorer
    urn:nbn:se:liu:diva-112398 (URN)
    Tillgänglig från: 2014-11-25 Skapad: 2014-11-25 Senast uppdaterad: 2014-11-26
    Ladda ner fulltext (pdf)
    Activating the Sick-Listed: Policy and Practice of Return to Work in Swedish Sickness Insurance and Working Life
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    Ladda ner (jpg)
    presentationsbild
  • 267.
    Seing, Ida
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Hälsouniversitetet.
    MacEachen, Ellen
    Department of Public Health and Health Systems, Faculty of Applied Public Health, University of Waterloo, Ontario, Canada.
    Ekberg, Kerstin
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, HELIX Vinn Excellence Centre. Linköpings universitet, Hälsouniversitetet.
    Ståhl, Christian
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Hälsouniversitetet.
    Activation Policies and Sick-Listed Workers’ Experiences and Trust in the Sickness Insurance System in Local Practice2014Manuskript (preprint) (Övrigt vetenskapligt)
    Abstract [en]

    In recent welfare and labour market reforms in Europe and North America, there is a general trend towards activation, in that people (e.g. those who are sick-listed, unemployed and recipients of social welfare) are expected to be “active”, rather than “passive”, recipients of financial benefits. Meanwhile, street-level bureaucracy in many welfare state organizations has been fundamentally reformed in recent years with the implementation of New Public Management Principles which have come to influence the day-to-day work of front-line staff. The aim of this paper is to analyse sick-listed workers’ experiences of the sickness insurance system in their contact with the SSIA and their front-line staff. The data consists of semistructured interviews with 18 sick-listed workers in Sweden. The material was analysed using qualitative content analysis. The findings illustrate that sick-listed workers experienced contacts with the Social Insurance Agency (SSIA) as “standardized”; that is, they perceived that the officials were loyal to demands in their organizations rather than involved actors that supported workers’ individual needs. The SSIA was described as having a mainly administrative and controlling function during their sick leave, resulting in a distant relationship. It was also clear that sick-listed individuals experienced the activation policy as demanding, and their sick leave was characterized by insecurity and uncertainty. Overall, this paper suggests that activation policies with regulations emphasizing time limits, and enforcement of standardized work processes at the SSIA, challenge sick-listed workers’ trust in the sickness insurance system.

  • 268.
    Seing, Ida
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Hälsouniversitetet.
    MacEachen, Ellen
    Department of Public Health and Health Systems, Faculty of Applied Public Health, University of Waterloo, Ontario, Canada.
    Ekberg, Kerstin
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Hälsouniversitetet. Linköpings universitet, HELIX Vinn Excellence Centre.
    Ståhl, Christian
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Hälsouniversitetet. Linköpings universitet, HELIX Vinn Excellence Centre.
    Return to work or job transition?: Employer dilemmas in taking social responsibility for return to work in local workplace practice2015Ingår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 37, nr 18-19, s. 1760-1769Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: The aim was to analyze the role and activities of employers with regard to return to work (RTW), in local workplace practice.

    Method: Semi-structured interviews were conducted with sick-listed workers and their supervisors in 18 workplaces (n  = 36). The analytical approach to study the role of employers in RTW was based on the three-domain model of social corporate responsibility. The model illustrates the linkage between corporations and their social environment, and consists of three areas of corporate responsibility: economic, legal and ethical.

    Results: Employers had difficulties in taking social responsibility for RTW, in that economic considerations regarding their business took precedence over legal and ethical considerations. Employers engaged in either “RTW activities” or “transition activities” that were applied differently depending on how valued sick-listed workers were considered to be to their business, and on the nature of the job (e.g. availability of suitable work adjustments).

    Conclusions: This study suggests that Swedish legislation and policies does not always adequately prompt employers to engage in RTW. There is a need for further attention to the organizational conditions for employers to take social responsibility for RTW in the context of business pressure and work intensification.

    Implications for Rehabilitation

    • Employers may have difficulties in taking social responsibility for RTW when economic considerations regarding their business take precedence over legal and ethical considerations.
    • Rehabilitation professionals should be aware of that outcomes of an RTW process can be influenced by the worker’s value to the employer and the nature of the job (e.g. availability of suitable work adjustments). “Low-value” workers at workplaces with limited possibilities to offer workplace adjustments may run a high risk of dismissal.
    • Swedish legislation and policies may need reforms to put more pressure on employers to promote RTW.
    Ladda ner fulltext (pdf)
    fulltext
  • 269.
    Seing, Ida
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Hälsouniversitetet.
    MacEachen, Ellen
    School of Public Health and Health Systems, Faculty of Applied Health Sciences, University of Waterloo, Canada.
    Ståhl, Christian
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Hälsouniversitetet. Linköpings universitet, HELIX Vinn Excellence Centre.
    Ekberg, Kerstin
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Hälsouniversitetet. Linköpings universitet, HELIX Vinn Excellence Centre.
    Early-Return-to-Work in the Context of an Intensification of Working Life and Changing Employment Relationships2015Ingår i: Journal of occupational rehabilitation, ISSN 1053-0487, E-ISSN 1573-3688, Vol. 25, nr 1, s. 74-85Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose Many Western welfare states have introduced early-return-to-work policies, in which getting sick-listed people back to work before they have fully recovered is presented as a rather unproblematic approach. This reflects a belief in the ability of employers and the labour market to solve sickness absence. Against this background, the aim of this study was to analyse return-to-work practice in local workplace contexts, in relation to Swedish early-return-to-work policy.

    Methods Semi-structured interviews were conducted with 18 matched pairs of workers and managers. The material, comprising a total of 36 interviews, was analysed using qualitative content analysis.

    Results Three main themes were identified: (1) intensive workplaces and work conditions (2) employer support—a function of worker value and (3) work attachment and resistance to job transition. The results reflected the intensity of modern working life, which challenged return-to-work processes. Managers had different approaches to workers’ return-to-work, depending on how they valued the worker. While managers used the discourse of ‘new opportunities’ and ‘healthy change’ to describe the transition process (e.g. relocation, unemployment and retirement), workers regularly experienced transitions as difficult and unjust.

    Conclusions In the context of early-return-to-work policy and the intensity of modern working life, a great deal of responsibility was placed on workers to be adaptable to workplace demands in order to be able to return and stay at work. Overall, this study illustrates an emerging social climate where sick-listed workers are positioned as active agents who must take responsibility for sick leave and return-to-work process.

  • 270.
    Seing, Ida
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Arbetslivsinriktad rehabilitering. Linköpings universitet, Hälsouniversitetet.
    Ståhl, Christian
    Linköpings universitet, Institutionen för medicin och hälsa, Arbetslivsinriktad rehabilitering. Linköpings universitet, HELIX Vinn Excellence Centre. Linköpings universitet, Hälsouniversitetet.
    Nordenfelt, Lennart
    Linköpings universitet, Institutionen för medicin och hälsa, Hälsa och samhälle. Linköpings universitet, Filosofiska fakulteten.
    Bülow, Pia
    Avdelningen för beteendevetenskap och socialt arbete, Hälsohögskolan, Jönköping.
    Ekberg, Kerstin
    Linköpings universitet, Institutionen för medicin och hälsa, Arbetslivsinriktad rehabilitering. Linköpings universitet, HELIX Vinn Excellence Centre. Linköpings universitet, Hälsouniversitetet.
    Policy and Practice of Work Ability: A Negotiation of Responsibility in Organizing Return to Work2012Ingår i: Journal of occupational rehabilitation, ISSN 1053-0487, E-ISSN 1573-3688, Vol. 22, nr 4, s. 553-564Artikel i tidskrift (Refereegranskat)
    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.

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  • 271.
    Seiterö, Anna
    et al.
    Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för samhälle och hälsa. Linköpings universitet, Medicinska fakulteten.
    Thomas, Kristin
    Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för samhälle och hälsa. Linköpings universitet, Medicinska fakulteten.
    Löf, Marie
    Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för samhälle och hälsa. Linköpings universitet, Medicinska fakulteten. Karolinska Inst, Sweden.
    Müssener, Ulrika
    Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för samhälle och hälsa. Linköpings universitet, Medicinska fakulteten.
    Exploring the Black Box of an mHealth Intervention (LIFE4YOUth): A Qualitative Process and Outcome Evaluation of End-User Engagement2022Ingår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, nr 21, artikel-id 14022Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The effectiveness of mHealth interventions rely on whether the content successfully activate mechanisms necessary for behavior change. These mechanisms may be affected by end-users experience of the intervention content. The aim of this study was to explore how the content of a novel mHealth intervention (LIFE4YOUth) was understood, interpreted, and applied by high school students, and the consequences of engaging with the content. Qualitative content analysis was used inductively and deductively to analyze interview data (n = 16) based on think-aloud techniques with Swedish high school students aged 16-19 years. Theoretical constructs from social cognitive theory framed the deductive analysis. The analysis resulted in four categories which describe central activities of intervention engagement among end-users: defining, considering, centralizing, and personalizing. End-users engaged in these activities to different degrees as illustrated by four typologies: Literal, Vague, Rigid, and Creative engagement. Most informants knew about the risks and benefits of health behaviors, but engagement with intervention content generally increased informants awareness. In conclusion, this study provides in-depth knowledge on the cognitive process when engaging with mHealth content and suggests that deliberate and flexible engagement most likely deepens end-users understanding of why and how health behavior change can be managed.

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  • 272.
    Selander, Helena
    et al.
    Swedish Natl Transport Res Inst, Sweden; Univ Gothenburg, Sweden.
    Wressle, Ewa
    Linköpings universitet, Institutionen för hälsa, medicin och vård. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Närsjukvården i centrala Östergötland, Medicinska och geriatriska akutkliniken.
    Samuelsson, Kersti
    Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för prevention, rehabilitering och nära vård. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Rehabiliteringsmedicinska kliniken.
    Cognitive prerequisites for fitness to drive: Norm values for the TMT, UFOV and NorSDSA tests2020Ingår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 27, nr 3, s. 231-239Artikel i tidskrift (Refereegranskat)
    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.

  • 273. Beställ onlineKöp publikationen >>
    Sernheim, Åsa-Sara
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för arbetsterapi.
    Time for Activities for Girls and Women with Rett Syndrome2018Licentiatavhandling, sammanläggning (Övrigt vetenskapligt)
    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. 

    Delarbeten
    1. Activities that girls and women with Rett syndrome liked or did ot like to do
    Öppna denna publikation i ny flik eller fönster >>Activities that girls and women with Rett syndrome liked or did ot like to do
    2018 (Engelska)Ingår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 25, nr 4, s. 267-277Artikel i tidskrift (Refereegranskat) 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.

    Ort, förlag, år, upplaga, sidor
    Taylor & Francis, 2018
    Nyckelord
    Activities of daily living, human activities, human development, neurodevelopmental disorders, qualitative research
    Nationell ämneskategori
    Hälsovetenskaper
    Identifikatorer
    urn:nbn:se:liu:diva-136247 (URN)10.1080/11038128.2016.1250812 (DOI)000436878200005 ()27817243 (PubMedID)2-s2.0-84994304785 (Scopus ID)
    Tillgänglig från: 2017-04-03 Skapad: 2017-04-03 Senast uppdaterad: 2020-08-13Bibliografiskt granskad
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  • 274.
    Sernheim, Åsa-Sara
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för arbetsterapi. Linköpings universitet, Medicinska fakulteten. Swedish Natl Ctr Rett Syndrome & Related Disorder, Sweden.
    Hemmingsson, Helena
    Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för prevention, rehabilitering och nära vård. Linköpings universitet, Medicinska fakulteten. Stockholm Univ, Sweden.
    Lidström, Helene
    Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för prevention, rehabilitering och nära vård. Linköpings universitet, Medicinska fakulteten.
    Engerstrom, I. Witt
    Swedish Natl Ctr Rett Syndrome & Related Disorder, Sweden.
    Liedberg, Gunilla
    Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för prevention, rehabilitering och nära vård. Linköpings universitet, Medicinska fakulteten.
    Rett syndrome: Teenagers and young adults activities, usage of time and responses during an ordinary week - a diary study2020Ingår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 27, nr 5, s. 323-335Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    Background:Little is known about the everyday life of individuals with Rett syndrome. Aim/Objective:To describe ten participants (teenagers/young adults) activities during a period of seven days, the time-use, where and with whom the activities were performed and the participants responses in the form of visible/audible reactions during activities. Material and method:A time-geographic self-administered diary was filled in by 63 informants (parents/support staff) and analysed using the software, DAILY LIFE 2011. Results/Findings:The most frequently reported activities were hygiene/toilet, moving around indoors, eating and getting dressed. Most time was spent in sleeping, daily care, medical health care and travel/transportation. Little time remained for receptive activities, daytime rest, physical, social/creative, communication, school/daily work and domestic chore activities, especially for the young adults. Most time was spent with staff, thereafter with families and the least time was spent with friends. The most reported response was "interested", and "opposed" was the least reported. Conclusions:Daily and medical health care activities were time consuming. Improved communication between all parties may increase participation and well-being and provide solutions for handling unpleasant activities and sedentary time. Significance:A more varied range of activities may improve the everyday life for individuals with Rett syndrome.

  • 275.
    Sernheim, Åsa-Sara
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Liedberg, Gunilla
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Hemmingsson, Helena
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Witt Engerström, Ingegerd
    Rett Center, Östersund.
    What girls/women with Rett Syndrome like to do - a questionnaire study2012Konferensbidrag (Övrigt vetenskapligt)
  • 276. Shei Lai, J
    et al.
    Haglund, Lena
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV).
    Kielhofner, Gary
    The Occupational Case Analysis Interview and Rating Scale: An Examination of Construct Validity.1999Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, nr 4, s. 267-273Artikel i tidskrift (Refereegranskat)
    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.

  • 277.
    Somani, Nurbanu
    et al.
    Anglia Ruskin Univ, England.
    Beukes, Eldre
    Anglia Ruskin Univ, England.
    Latham, Keziah
    Anglia Ruskin Univ, England.
    Andersson, Gerhard
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten. Karolinska Inst, Sweden.
    Allen, Peter M.
    Anglia Ruskin Univ, England.
    Designing an internet-based intervention for improving wellbeing in people with acquired vision loss: A Delphi consensus study2021Ingår i: Ophthalmic & physiological optics, ISSN 0275-5408, E-ISSN 1475-1313, Vol. 41, nr 5, s. 971-984Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose Vision impairment (VI) may impact a persons functional ability resulting in a loss of independence, anxiety, depression, social isolation and reduced quality of life. Caregivers also experience similar problems due to the increased burden placed on them. Support to address these difficulties encountered by those with VI and their caregivers may not always be accessible. An internet-based intervention may provide more accessible support. The aim of this study was to obtain consensus regarding the content and accessibility features required to design an internet-based intervention to promote wellbeing for people with VI and their caregivers. Method A three-round Delphi review was conducted with a panel of 30 stakeholders. Three stakeholder groups were included, namely individuals with vision loss, experts in the field of vision loss and mental health and carers of individuals with vision loss. Conceptual wellbeing ideas were examined in round 1, the intervention modules and module content were proposed in round 2 and refined in round 3. Results Consensus of 75% or more was reached to include 18 modules into the intervention. These were divided into seven sections: understanding vision loss, emotional wellbeing, functional wellbeing, social wellbeing, physical wellbeing, wellbeing for carers and maintaining wellbeing. The accessibility features deemed most important were font size, colour and contrast options, compatibility with low vision aids and layout of the intervention. Conclusions The Delphi process positively informed the design of an internet-based intervention for individuals with acquired VI and their caregivers. Suggestions provided by stakeholders should now be incorporated into the intervention. Future evaluation of efficacy and cost-effectiveness of such an intervention are necessary.

  • 278.
    Spaniol, M.
    et al.
    Osnabruck Univ, Germany; Univ Cologne, Germany; Univ Hosp Cologne, Germany.
    Danielsson, Henrik
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV).
    A meta-analysis of the executive function components inhibition, shifting, and attention in intellectual disabilities2022Ingår i: Journal of Intellectual Disability Research, ISSN 0964-2633, E-ISSN 1365-2788, Vol. 66, nr 1-2, s. 9-31Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    Background Executive function is a concept for higher-order cognitive functions, which have the role of controller and modulator of cognitive abilities. The consensus in the literature is that people with an intellectual disability perform significantly lower on executive function tasks than groups matched on chronological age. The comparison with groups matched on mental age is less clear. Therefore, the objective of this meta-analysis was to investigate to what extent executive function is impaired in people with intellectual disability compared with a typically developing control group matched on mental age. It was also investigated if the executive function component and intellectual disability aetiology moderated the effect. Methods Eligibility criteria were participants with intellectual disability (IQ <= 75) without a dual diagnosis; a comparison group matched on mental age; executive function outcome reported in a group comparison study design with n >= 10. Working memory tasks and ratings of executive function were not included. The literature search yielded 6637 potentially interesting articles. Twenty-six studies (with 99 effect sizes) including 1395 participants were included in the quantitative synthesis. Results A multilevel random-effects meta-analysis found that people with intellectual disability performed statistically significantly lower than the mental age-matched group on the executive function tasks, g = -0.34, 95% confidence interval = [-0.53, -0.16]. However, the heterogeneity between effect sizes was large. The intellectual disability aetiology moderator was significant, but it only reduced the heterogeneity marginally. Conclusion The overall conclusion is that individuals with an intellectual disability have more problems with executive function tasks than mental age-matched controls. Limitations are the large unexplained variance and the remarkably high number (69) of different tests that were used, which make more detailed conclusions problematic. This meta-analysis implies that future studies need to be of better quality, to have higher power, and to a higher degree use the same executive function tests.

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  • 279.
    Sperling Cannavan, Priscila Moreno
    et al.
    Univ Estadual Campinas, Brazil.
    de Souza Cannavan, Fernando Piza
    Univ Estadual Campinas, Brazil.
    Oliveira, Henrique Ceretta
    Univ Estadual Campinas, Brazil.
    Walfridsson, Ulla
    Linköpings universitet, Institutionen för hälsa, medicin och vård. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Hjärtcentrum, Kardiologiska kliniken US.
    Baena de Moraes Lopes, Maria Helena
    Univ Estadual Campinas, Brazil.
    A Brazilian Portuguese translation, cultural adaptation and validation of the Arrhythmia-Specific questionnaire in Tachycardia and Arrhythmia (ASTA) health-related quality of life (HRQOL) scale2021Ingår i: PLOS ONE, E-ISSN 1932-6203, Vol. 16, nr 8, artikel-id e0256851Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction The health-related quality of life (HRQOL) of patients with tachyarrhythmia can be negatively influenced by the clinical manifestations. The evaluation of HRQOL with validated instruments can provide valuable information that will contribute to clinical decision-making and treatment. In Brazil, however, there is no available scale that evaluates HRQOL in different types of arrhythmia. The purpose of this study was to adapt the Arrhythmia-Specific Questionnaire in Tachycardia and Arrhythmia-HRQOL scale (ASTA-HRQOL scale) to the Brazilian culture, and to assess the psychometric properties of the adapted questionnaire. Methods The study used a methodological process of cultural adaptation based on international literature guidelines. The analyses were performed with 172 participants, 32 for cultural adaptation and 140 for psychometric validation. Calculation included analysis of reliability by Cronbachs a coefficient, construct validity with convergent validity using the WHOQOL-BREF questionnaire and by the Spearman correlation coefficient, Average Variance Extracted, and assessment of confirmatory factor analysis. Results The translation and adaptation processes showed a satisfactory degree of comprehension and applicability (93% reported them to be easy to understand). Confirmatory factor analysis indicated exclusion of one item from the mental scale, but after qualitative analysis the item was retained. The items presented adequate internal consistency (Cronbachs alpha coefficient = 0.88), and an inverse correlation of moderate magnitude with the physical domain (rho = -0.63) and with the mental domain (rho = -0.58) of the WHOQOL-BREF. Conclusions The Brazilian Portuguese version of the ASTA-HRQOL scale, the ASTA-Br-HRQOL scale, can be a valuable tool for use in clinical practice and research.

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  • 280.
    Sporre, Pernilla
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier. Linköpings universitet, Hälsouniversitetet.
    Engslätt Jansson, Ingegerd
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier. Linköpings universitet, Hälsouniversitetet.
    Arbetsterapeuters användning av Basal Kroppskännedom TM för att stärka patienters aktivitetsutförande2014Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Aktivitet som terapeutiskt medium har varit centralt för att utveckla arbetsterapiprofessionen genom att använda aktivitet som mål och medel. Arbetsterapi är grundat på att engagemang i aktivitet är nödvändigt för hälsa och välmående. Trots detta har mycket av professionsutvecklingen lett till interventioner som inte är aktivitetsbaserade. Basal Kroppskännedom™ (BK) och arbetsterapi har flera gemensamma grundantaganden. Vår kliniska erfarenhet visar möjligheter att använda BK-principerna inom arbetsterapi och vi ville undersöka andra arbetsterapeuters uppfattning om förut-sättningar och värde av att arbeta med BK-principerna för att stärka patienternas aktivitetsutförande. Kvalitativa intervjuer genomfördes med 11 informanter utifrån ett strategiskt urval. Intervju-materialet analyserades och bildade tre teman; Arbetsterapeutens kunnande och görande, Att jobba med sig själv – den mänskliga utvecklingsprocessen samt Hinder och möjligheter i organisationen. I relation till ergonomikunskaper uttrycker informanterna att BK-principerna ger ytterligare möjlig-heter att se, förstå och känna in patienten och åtgärda konkret i aktivitet. Aktiviteter bryts ner i delmoment där enkla, rytmiska rörelser hittas och patientens meningsfullhet fångas. Patienten känner och upplever aktivitetsutförandet i kroppen. Att använda sig själv som instrument beskrivs i resultatet som en förutsättning för att själv vara både i aktiviteten och i kontakten med patienten. Det stärker då möjligheten att utveckla den terapeutiska alliansen.

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  • 281.
    Spångeus, Anna
    et al.
    Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för diagnostik och specialistmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Närsjukvården i centrala Östergötland, Medicinska och geriatriska akutkliniken.
    Johansson, Simon
    Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för diagnostik och specialistmedicin. Linköpings universitet, Medicinska fakulteten.
    Woisetschläger, Mischa
    Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för diagnostik och specialistmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Diagnostikcentrum, Röntgenkliniken i Linköping.
    Adherence to and persistence with zoledronic acid treatment for osteoporosis-reasons for early discontinuation2020Ingår i: ARCHIVES OF OSTEOPOROSIS, ISSN 1862-3522, Vol. 15, nr 1, artikel-id 58Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This retrospective study reports 81% long-term (> 3 years) adherence to and 77% persistence with zoledronic acid (ZA) treatment in osteoporosis patients, with ZA being costfree for patients. Eight percent of patients discontinued treatment because of adverse events (AEs), with a tendency of higher discontinuation rate in older patients. Purpose This study investigated (1) long-term adherence to and persistence with ZA treatment in a real-world setting, (2) extent to which an adverse reaction to ZA impacted on adherence and persistence, and (3) whether there were sex or age differences in patients that had early treatment termination (ETT) due to AEs and those who adhered to the regimen. Methods All patients treated with ZA at the Endocrinology Department at Linkoping University Hospital, Linkoping, Sweden between 2012 and 2017 were included. ETT was defined as < 3 ZA infusions, which was confirmed from patients medical records. Results A total of 414 patients were treated with ZA, with 81% receiving > 3 ZA infusions. Three-year persistence was 77% for a treatment window of 365 days +/- 90 days (75% with 365 days +/- 60 days window). The most common reason for ETT was AEs (8%), followed by medical conditions (5%), biological aging (3%), and other (e.g., lost to follow-up [3%]). Most patients who discontinued treatment because of AEs reported symptoms of acute-phase reaction, and tended to be older than those who adhered to treatment (74 +/- 9 vs 70 +/- 13 years, p = 0.064). There was no difference in sex ratio between the 2 groups (85% vs 90% females, p = 0.367). Conclusion Rates of long-term adherence to and persistence with ZA treatment were high with a pre-scheduled 3-year treatment regimen in the tax-financed Swedish healthcare system. AEs-mainly acute-phase reaction-were the most common reason for ETT, occurring in nearly 1 out of 10 patients.

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  • 282.
    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.2014Ingår i: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 11, nr 5, s. 385-394Artikel i tidskrift (Refereegranskat)
    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.

  • 283.
    Ström, Isabella
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för arbetsterapi.
    Arbetsterapeutens förhållningssätt till föräldrar som har ett barn med funktionsnedsättning: - En litteraturstudie2017Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Barn med funktionsnedsättning tenderar att ha svårigheter att delta och engagera sig i aktiviteter. I familjecentrerat arbete involverar arbetsterapeuten föräldrarna i barnets terapiprocess. Detta då föräldrarna har kunskaper kring hela familjesituationen och har kunskaper kring barnet som arbetsterapeuten behöver ta hänsyn till. Syftet med studien var att i familjecentrerat arbete kartlägga arbetsterapeutens förhållningssätt till föräldrar vars barn har en funktionsnedsättning. Mer specifikt att beskriva arbetsterapeutens interaktion till föräldrarna utifrån The Intentional relationship Model (IRM) samt beskriva positiva och negativa mellanmänskliga händelser som uppstår i interaktionen utifrån varje förhållningssätt. En litteraturstudie användes som metod och databassökningen genomfördes i de tre databaserna PsycINFO, PubMed och Cinahl. IRM användes i analysen för att granska om arbetsterapeuten, i interaktionen med föräldrarna, använde förhållningssätten empatiskt, samarbetande, problemlösande, uppmuntrande, instruerande eller förespråkande. I resultatet framkom att arbetsterapeuter använde alla förhållningssätt utifrån IRM. Det samarbetande förhållningssättet och det empatiska förhållningssättet användes mest, uppmuntrande och förespråkande minst. Studien visar att arbetsterapeutens val av förhållningssätt är viktigt för att undvika att negativa mellanmänskliga händelser påverkar den terapeutiska relationen. Dessa uppstod ofta i interaktionen med föräldrar med annan etnicitet. Studien belyser också att kunskapen om de olika förhållningssätten bör utökas. Mer specifikt bör kunskap kring när och hur ett förhållningssätt kan användas undersökas genom forskning.

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    Ström
  • 284.
    Strömfors, Lina
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa. Region Östergötland, Närsjukvården i östra Östergötland, Barn- och vuxenhabiliteringen. Linköpings universitet, Medicinska fakulteten.
    Wilhelmsson, Susan
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Närsjukvården i västra Östergötland, Forsknings- och utvecklingsenheten för Närsjukvården i Östergötland.
    Falk, Lars
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neuro- och inflammationsvetenskap. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Närsjukvården i västra Östergötland, Forsknings- och utvecklingsenheten för Närsjukvården i Östergötland. Region Östergötland, Hjärt- och Medicincentrum, Hudkliniken i Östergötland.
    Höst, Gunnar E.
    Linköpings universitet, Institutionen för teknik och naturvetenskap, Medie- och Informationsteknik. Linköpings universitet, Tekniska högskolan.
    Experiences among children and adolescents of living with spina bifida and their visions of the future2017Ingår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 39, nr 3, s. 261-271Artikel i tidskrift (Refereegranskat)
    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.

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  • 285.
    Ståhl, Christian
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Pedagogik och sociologi. Linköpings universitet, Filosofiska fakulteten.
    Karlsson, Nadine
    Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för samhälle och hälsa. Linköpings universitet, Medicinska fakulteten.
    Gerdle, Björn
    Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för prevention, rehabilitering och nära vård. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Smärt och rehabiliteringscentrum.
    Sandqvist, Jan
    Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för prevention, rehabilitering och nära vård. Linköpings universitet, Medicinska fakulteten.
    PREDICTIVE VALIDITY OF GENERAL WORK ABILITY ASSESSMENTS IN THE CONTEXT OF SICKNESS INSURANCE2021Ingår i: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 53, nr 4, artikel-id jrm00177Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: The activity ability assessment is a Swedish method for assessing general work ability, based on self-reports combined with an examination by specially trained physicians, and, if needed, extended assessments by occupational therapists, physiotherapists and/or psychologists. The aim of this study was to analyse the predictive validity of the activity ability assessment in relation to future sick leave. Design: Analysis of assessments in 300 case files, in relation to register data on sick leave. Subjects: People on sick leave (n =300, 32% men, 68% women; mean age 48 years; assessment at mean sick leave day 249). Methods: Univariate and multivariate statistics. Results: Self-rated work ability was the only factor with predictive value related to future sick leave. Physicians evaluations lacked predictive value, except where the person had a limitation in vision, hearing or speech that was predictive of future decisions by the Social Insurance Agency. No sex differences were identified. Conclusion: The predictive value of the activity ability assessment for future sick leave is limited, and selfrated work ability is more accurate compared with an extensive insurance medical assessment. Self-rated work ability may be more holistic compared with insurance medicine assessments, which may be overly focused on individual factors. A practical implication of this is that the inclusion of contextual factors in assessment procedures needs to be improved.

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  • 286.
    Ståhl, Christian
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Hälsouniversitetet.
    Seing, Ida
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Hälsouniversitetet.
    Arbetslinjer och arbetsförmåga i det svenska socialförsäkringssystemet2014Ingår i: Den relativa arbetsförmågan: teoretiska och praktiska perspektiv / [ed] Kerstin Ekberg, Lund: Studentlitteratur AB, 2014, s. 75-93Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    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.

  • 287.
    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.2013Ingår i: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 45, nr 10, s. 1023-1027Artikel i tidskrift (Refereegranskat)
    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.

  • 288. Beställ onlineKöp publikationen >>
    Svanholm, Frida
    Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för prevention, rehabilitering och nära vård. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Smärt och rehabiliteringscentrum.
    Work Interventions in the Context of Interdisciplinary Pain Rehabilitation2023Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    Chronic pain often leads to difficulties performing daily life and work activities. Sick-leave rates are high and work activities are valued both by people in general and patients with chronic pain. Therefore, it is important to find efficient ways to support patients to stay at work and return to work. Interdisciplinary pain rehabilitation programs (IPRP) aim to improve work participation for patients with chronic pain. However, results are diverging and it is unclear to what extent work interventions are part of IPRP. 

    The overall aim with this thesis was to study work interventions in the context of interdisciplinary pain rehabilitation and identify how it can be improved to better support patients with chronic pain in their return to work (RTW) rehabilitation process. 

    Participants were included from IPRPs at both primary and specialist care level in Sweden. Data were collected from focus groups, pair- and individual interviews, questionnaires, and the Swedish Quality Registry for Pain Rehabilitation. 

    This thesis highlight four important factors to consider when planning and performing work interventions in the context of IPRP: 

    • Knowledge and understanding of patients and stakeholders, 
    • A RTW rehabilitation plan being anchored between stakeholders 
    • Tailored solutions in relation to patient’s needs 
    • Collaboration, coordination, and continuity during the RTW rehabilitation process. 

    Knowledge and understanding are important as base for solid, concrete, and tailored RTW plans, and for increasing self-efficacy and empowerment of the patients. The RTW plan is a common and important work intervention within IPRP in Sweden. RTW plans need to be more concrete, and include tailored strategies and interventions aimed at the needs of patients. Tailoring interventions also need to consider employment status. In addition, RTW rehabilitation plans should be tightly anchored with stakeholders and followed-up continually during the RTW rehabilitation process. The context of IPRP has potential that should be taken care of, for example when improving knowledge transfer and collaboration. SWEPPE, a new e-health intervention designed to support patients with chronic pain and their employers includes the four factors described above and should be acceptable for users after they complete an IPRP, however, further development of content and identification of patients that best benefit from SWEPPE are needed. 

    Delarbeten
    1. Factors of importance for return to work, experienced by patients with chronic pain that have completed a multimodal rehabilitation program - a focus group study
    Öppna denna publikation i ny flik eller fönster >>Factors of importance for return to work, experienced by patients with chronic pain that have completed a multimodal rehabilitation program - a focus group study
    2022 (Engelska)Ingår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 44, nr 5, s. 736-744Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    Background and purpose:To reduce the individual, societal, and economic burden of the high sick leave rates due to chronic pain, it is essential to find effective strategies for increasing return to work (RTW). Although multimodal rehabilitation programs (MMRPs) may have positive effects on RTW, the results are inconsistent. This study explores the factors that contribute to decreasing sick leave and increasing RTW in patients with chronic pain who completed a MMRP. Method:Four focus groups and three individual interviews were conducted. In total, 18 patients were interviewed. All patients had chronic pain and had completed a MMRP. They were either employed or unemployed, either working to some degree or fully on sick leave. The data were analysed using qualitative content analysis. Results:Three main categories were identified: Knowledge and understanding-prerequisites for tailored solutions; Individual adaptations-necessary but difficult to implement; and Stakeholder collaboration-needs improvement. Conclusion:The participants described a variety of facilitating and limiting factors that created complex prerequisites for RTW. This finding makes it clear that these patients need tailored interventions and strong collaboration among all stakeholders throughout the rehabilitation process. Tailored interventions and collaborations could improve the effectiveness of MMRPs.

    Ort, förlag, år, upplaga, sidor
    Taylor & Francis, 2022
    Nyckelord
    Chronic pain; return to work; rehabilitation; qualitative method
    Nationell ämneskategori
    Annan hälsovetenskap
    Identifikatorer
    urn:nbn:se:liu:diva-168573 (URN)10.1080/09638288.2020.1780479 (DOI)000547985400001 ()32580604 (PubMedID)
    Anmärkning

    Funding Agencies|Swedish Research for Health, Working Life and Welfare [2016-07414]; County council of _Osterg_otland [LiO-582141]

    Tillgänglig från: 2020-08-27 Skapad: 2020-08-27 Senast uppdaterad: 2023-04-26
    2. Stakeholders experience of collaboration in the context of interdisciplinary rehabilitation for patients with chronic pain aiming at return to work
    Öppna denna publikation i ny flik eller fönster >>Stakeholders experience of collaboration in the context of interdisciplinary rehabilitation for patients with chronic pain aiming at return to work
    2022 (Engelska)Ingår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 44, nr 26, s. 8388-8399Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    Background and purpose Chronic pain is a major reason for sick leave worldwide. Interdisciplinary pain rehabilitation programs (IPRPs), workplace interventions, and stakeholder collaboration may support patients in their return to work (RTW). Few studies have examined stakeholders experiences of important components in the RTW rehabilitation process for patients with chronic pain, especially in the context of IPRP. This study explores and describes stakeholders experiences with stakeholder collaboration and factors related to RTW for patients with chronic pain who have participated in IPRP. Methods Six focus groups, three pair and four individual interviews were conducted with a total of 28 stakeholder representatives from three societal and three health care stakeholders. Data were analyzed using qualitative content analysis. Results The participants revealed that stakeholder collaboration and a tailored RTW rehabilitation plan were important strategies although they noted that these strategies were not working sufficiently efficient as presently implemented. The different stakeholders paradigms and organizational prerequisites were described as hindrances of such strategies and that the degree of tailoring depended on individual attitudes. Conclusions More knowledge transfer and flexibility, clearer responsibilities, and better coordination throughout the RTW rehabilitation process may increase the efficiency of stakeholder collaboration and support for patients.

    Ort, förlag, år, upplaga, sidor
    Taylor & Francis Ltd, 2022
    Nyckelord
    Chronic pain; stakeholder collaboration; return to work; rehabilitation; qualitative method
    Nationell ämneskategori
    Omvårdnad
    Identifikatorer
    urn:nbn:se:liu:diva-182630 (URN)10.1080/09638288.2021.2018051 (DOI)000745522600001 ()35060831 (PubMedID)
    Anmärkning

    Funding Agencies|Swedish Research for Health, Working Life and Welfare [2016-07414]; County Council of Ostergotland [LiO-582141]

    Tillgänglig från: 2022-02-01 Skapad: 2022-02-01 Senast uppdaterad: 2023-04-26Bibliografiskt granskad
    3. Work Interventions Within Interdisciplinary Pain Rehabilitation Programs (IPRP) - Frequency, Patient Characteristics, and Association with Self-Rated Work Ability
    Öppna denna publikation i ny flik eller fönster >>Work Interventions Within Interdisciplinary Pain Rehabilitation Programs (IPRP) - Frequency, Patient Characteristics, and Association with Self-Rated Work Ability
    Visa övriga...
    2023 (Engelska)Ingår i: Journal of Pain Research, E-ISSN 1178-7090, Vol. 16, s. 421-436Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    Background: Interdisciplinary pain rehabilitation programs (IPRPs) help people with chronic pain improve their health and manage their work; however, the way IPRPs address sick leave could be improved. Although work interventions can be a part of IPRP, it is not well known how and to what extent.Aim: This study explores the frequency of work interventions and the characteristics of patients who participate in work interventions as part of IPRP at specialist pain rehabilitation departments in Sweden. In addition, this study explores the association between participation in work interventions and change in patients self-rated work ability after IPRP.Methods: Data from the Swedish quality registry for pain rehabilitation (SQRP), which includes 3809 patients between 2016 and 2018, were analysed with descriptive statistics and regression analyses.Results: The results indicate a high participation rate in work interventions (90%). Some differences were evident concerning characteristics of patients who participated in different work interventions. The return-to-work (RTW) plan, the most frequently used work intervention, had the strongest association with change in self-rated work ability after IPRP. However, the effect sizes were small, and the initial score best explained the change. Furthermore, there were differences between employed and unemployed patients and employment had a positive association with change in self-rated work ability.Conclusion: More research is needed to understand IPRPs mechanisms and work interventions to support patients with chronic pain, reduce sick leave, and manage work. Employment status needs to be considered and interventions should be tailored to match the individual needs.

    Ort, förlag, år, upplaga, sidor
    DOVE MEDICAL PRESS LTD, 2023
    Nyckelord
    chronic pain; work interventions; rehabilitation
    Nationell ämneskategori
    Sjukgymnastik
    Identifikatorer
    urn:nbn:se:liu:diva-192534 (URN)10.2147/JPR.S390747 (DOI)000931954400001 ()36820016 (PubMedID)
    Anmärkning

    Funding Agencies|Swedish Research Council for Health, Working Life and Welfare [FORTE: 2016-07414]

    Tillgänglig från: 2023-03-23 Skapad: 2023-03-23 Senast uppdaterad: 2024-01-17
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  • 289.
    Svedlund, Sanna
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för arbetsterapi.
    Tapper, Josefine
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för arbetsterapi.
    Hur unga vuxna som tagit del av arbetsinriktade insatser upplever övergången från skola till arbete: Behov av stöd i övergången2018Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    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.

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  • 290.
    Svensson, Elise
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för arbetsterapi. Linköpings universitet, Medicinska fakulteten.
    Kåhlin, Ida
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för arbetsterapi. Linköpings universitet, Medicinska fakulteten.
    Kjellberg, Anette
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för arbetsterapi. Linköpings universitet, Medicinska fakulteten.
    Residential environment impact scale: Utilization of the Swedish version2018Ingår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 25, nr 6, s. 419-427Artikel i tidskrift (Refereegranskat)
    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.

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  • 291.
    Thornberg, Robert
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Pedagogik och didaktik. Linköpings universitet, Utbildningsvetenskap.
    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 disengagemang2014Ingår i: 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, s. 109-123Konferensbidrag (Refereegranskat)
    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.

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  • 292.
    Thyberg, Ingrid
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Reumatologi. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Hjärt- och Medicincentrum, Reumatologiska kliniken i Östergötland.
    Dahlström, Örjan
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten.
    Björk, Mathilda
    School of Health Sciences, Jönköping University, Sweden.
    Stenström, Birgitta
    Linköpings universitet, Institutionen för medicin och hälsa. Linköpings universitet, Hälsouniversitetet.
    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 cohort2013Konferensbidrag (Övrigt vetenskapligt)
  • 293.
    Thyberg, Ingrid
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neuro- och inflammationsvetenskap. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Hjärt- och Medicincentrum, Reumatologiska kliniken i Östergötland.
    Dahlström, Örjan
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV).
    Björk, Mathilda
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för arbetsterapi. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Hjärt- och Medicincentrum, Reumatologiska kliniken i Östergötland.
    Stenström, Birgitta
    Linköpings universitet, Institutionen för klinisk och experimentell medicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Hjärt- och Medicincentrum, Reumatologiska kliniken i Östergötland.
    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 project2017Ingår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 39, nr 3, s. 291-300Artikel i tidskrift (Refereegranskat)
    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.
  • 294.
    Turesson, Christina
    et al.
    Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för prevention, rehabilitering och nära vård. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Hand- och plastikkirurgiska kliniken US.
    Liedberg, Gunilla
    Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för prevention, rehabilitering och nära vård. Linköpings universitet, Medicinska fakulteten.
    Björk, Mathilda
    Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för prevention, rehabilitering och nära vård. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Smärt och rehabiliteringscentrum.
    Development of a Digital Support Application With Evidence-Based Content for Sustainable Return to Work for Persons With Chronic Pain and Their Employers: User-Centered Agile Design Approach2022Ingår i: JMIR Human Factors, E-ISSN 2292-9495, Vol. 9, nr 1, artikel-id e33571Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Persons with chronic pain experience a lack of support after completing rehabilitation and the responsibility for the return-to-work (RTW) process is taken over by the employer. In addition, employers describe not knowing how to support their employees. Smartphone apps have been increasingly used for self-management, but there is a lack of available eHealth apps with evidence-based content providing digital support for persons with chronic pain and their employers when they return to work.

    Objective: This study aims to describe the development of a digital support application with evidence-based content that includes a biopsychosocial perspective on chronic pain for sustainable RTW for persons with chronic pain and their employers (SWEPPE [Sustainable Worker Digital Support for Persons With Chronic Pain and Their Employers]).

    Methods: A user-centered agile design approach was applied. The multidisciplinary project team consisted of health care researchers, a user representative, and a software team. A total of 2 reference groups of 7 persons with chronic pain and 4 employers participated in the development process and usability testing. Mixed methods were used for data collection. The design was revised using feedback from the reference groups. The content of SWEPPE was developed based on existing evidence and input from the reference groups.

    Results: The reference groups identified the following as important characteristics to include in SWEPPE: keeping users motivated, tracking health status and work situation, and following progress. SWEPPE was developed as a smartphone app for the persons with chronic pain and as a web application for their employers. SWEPPE consists of six modules: the action plan, daily self-rating, self-monitoring graphs, the coach, the library, and shared information with the employer. The employers found the following functions in SWEPPE to be the most useful: employees' goals related to RTW, barriers to RTW, support wanted from the employer, and the ability to follow employees' progress. The persons with chronic pain found the following functions in SWEPPE to be the most useful: setting a goal related to RTW, identifying barriers and strategies, and self-monitoring. Usability testing revealed that SWEPPE was safe, useful (ie, provided relevant information), logical, and easy to use with an appealing interface.

    Conclusions: This study reports the development of a digital support application for persons with chronic pain and their employers. SWEPPE fulfilled the need of support after an interdisciplinary pain rehabilitation program with useful functions such as setting a goal related to RTW, identification of barriers and strategies for RTW, self-monitoring, and sharing information between the employee and the employer. The user-centered agile design approach contributed to creating SWEPPE as a relevant and easy-to-use eHealth intervention. Further studies are needed to examine the effectiveness of SWEPPE in a clinical setting.

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  • 295.
    Turesson, Christina
    et al.
    Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för prevention, rehabilitering och nära vård. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Hand- och plastikkirurgiska kliniken US.
    Liedberg, Gunilla
    Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för prevention, rehabilitering och nära vård. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Smärt och rehabiliteringscentrum.
    Björk, Mathilda
    Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för prevention, rehabilitering och nära vård. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Smärt och rehabiliteringscentrum.
    Evaluating the Clinical Use and Utility of a Digital Support App for Employees With Chronic Pain Returning to Work (SWEPPE): Observational Study2023Ingår i: JMIR Human Factors, E-ISSN 2292-9495, Vol. 10, artikel-id e52088Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: The digital app SWEPPE (sustainable worker, a digital support for persons with chronic pain and their employers) was developed to improve the support of people with chronic pain in their return-to-work process after sick leave and includes functions such as the action plan, daily self-rating, self-monitoring graphs, the coach, the library, and shared information with the employer. Objective: This study aims to describe the use of the smartphone app SWEPPE among people with chronic pain who have participated in an interdisciplinary pain rehabilitation program. Methods: This is a case study including 16 people participating in a feasibility study. The analyses were based on user data collected for 3 months. Quantitative data regarding used functions were analyzed with descriptive statistics, and qualitative data of identified needs of support from the employer were grouped into 8 categories.Results: Self-monitoring was used by all participants (median 26, IQR 8-87 daily registrations). A total of 11 (N=16, 69%) participants set a work-related goal and performed weekly evaluations of goal fulfillment and ratings of their work ability. In total, 9 (56%) participants shared information with their employer and 2 contacted the coach. A total of 15 (94%) participants identified a total of 51 support interventions from their employer. Support to adapt to work assignments and support to adapt to work posture were the 2 biggest categories. The most common type of support identified by 53% (8/15) of the participants was the opportunity to take breaks and short rests.Conclusions: Participants used multiple SWEPPE functions, such as daily self-registration, goal setting, self-monitoring, and employer support identification. This shows the flexible nature of SWEPPE, enabling individuals to select functions that align with their needs. Additional research is required to investigate the extended use of SWEPPE and how employers use shared employee information.

  • 296.
    Vessby, Karin
    et al.
    Östergötlands Läns Landsting, Närsjukvården i centrala Östergötland, Habiliteringen: Barn- och ungdomshabiliteringen, LSS Råd och stöd.
    Kjellberg, Anette
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Participation in occupational therapy research: a literature review2010Ingår i: British Journal of Occupational Therapy, ISSN 0308-0226, E-ISSN 1477-6006, Vol. 73, nr 7, s. 319-326Artikel i tidskrift (Refereegranskat)
    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.

  • 297.
    Wagman, Petra
    et al.
    Jönköping University, Jönköping, Sweden.
    Ahlstrand, Inger
    Jönköping University, Jönköping, Sweden.
    Björk, Mathilda
    Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för prevention, rehabilitering och nära vård. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Medicincentrum, Reumatologiska kliniken i Östergötland.
    Håkansson, Carita
    Lund University, Lund, Sweden.
    Occupational balance and its association with life satisfaction in men and women with rheumatoid arthritis2020Ingår i: Musculoskeletal Care, ISSN 1478-2189, E-ISSN 1557-0681, Vol. 18, nr 2, s. 187-194Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    INTRODUCTION: Despite improved treatments and reduced disability, people with rheumatoid arthritis (RA) experience difficulties in daily life, which may negatively affect their balance of everyday life activities (occupational balance). The aim of this study was to describe occupational balance and its association with self-rated life satisfaction in men and women with RA.

    METHODS: A survey, including demographic and health-related questions, was sent to 1,277 people who met the following criteria: with RA >4 years, aged 18-80 years, included in the Swedish Rheumatology Quality Register (SRQ), and had at least one registered visit to the participating rheumatology units in the year before inclusion. The 682 who answered all items in the Occupational Balance Questionnaire (OBQ) were included in the study. Their answers were analysed with descriptive statistics, and logistic regression analyses were conducted on men and women separately.

    RESULTS: Significantly higher occupational balance was identified in those participants who were >65 years, had no children at home, had a lower disease activity score, were not continuously stressed and reported low pain intensity. The results of the logistic regression analyses of both genders showed that higher occupational balance was significantly associated with a higher probability for rating themselves as being satisfied with life as a whole.

    CONCLUSION: Occupational balance was identified as related to satisfaction with life as a whole, which is valuable information for health professionals. Enhanced occupational balance may be achieved in people with RA by working towards reducing their stress and pain.

  • 298.
    Wagman, Petra
    et al.
    Jonkoping Univ, Sweden.
    Gunnarsson, A. Birgitta
    Dept Res & Dev, Sweden; Gothenburg Univ, Sweden.
    Hjarthag, Fredrik
    Karlstad Univ, Sweden.
    Hedin, Katarina
    Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för prevention, rehabilitering och nära vård. Linköpings universitet, Medicinska fakulteten. Futurum, Sweden; Lund Univ, Sweden.
    Hakansson, Carita
    Lund Univ, Sweden.
    Quality of life, sense of coherence and occupational balance one year after an occupational therapy intervention for people with depression and anxiety disorders2023Ingår i: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 76, nr 2, s. 561-568Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Quality of life (QOL), sense of coherence (SOC) and occupational balance (OB) have been found to increase after rehabilitation among people living with depression and anxiety. However, these aspects have not been investigated over time in participants with different paid work situations, such as being on sick leave or not. OBJECTIVE: To describe and compare the self-rated QOL, SOC and OB after participation in occupational therapy in three groups of people with depression and anxiety disorders based on their work situation during the study period: continuous sick leave, return to work and continuous work. METHODS: Forty-seven women and seven men, 19-60 years old with depression and anxiety were followed over time. They completed questionnaires on QOL, SOC and OB on four occasions. Data were analyzed with non-parametric statistics. RESULTS: No statistically significant differences between the groups were identified. All groups improved in at least one of the studied areas over time: the sick leave group in OB; the return-to-work group in QOL and OB; and the Work group in QOL and SOC. CONCLUSION: The results indicate variations in QOL, SOC and OB between people with different work situations over time after occupational therapy. Studies with larger samples are, however, warranted.

  • 299.
    Wagman, Petra
    et al.
    Jonkoping Univ, Sweden.
    Hjarthag, Fredrik
    Karlstad Univ, Sweden.
    Hakansson, Carita
    Lund Univ, Sweden.
    Hedin, Katarina
    Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för prevention, rehabilitering och nära vård. Linköpings universitet, Medicinska fakulteten. Futurum, Sweden; Lund Univ, Sweden.
    Gunnarsson, A. Birgitta
    Kronoberg Cty Council, Sweden; Gothenburg Univ, Sweden.
    Factors associated with higher occupational balance in people with anxiety and/or depression who require occupational therapy treatment2021Ingår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 28, nr 6, s. 426-432Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Anxiety and depressive disorders are associated with problems with everyday occupations, including difficulties achieving occupational balance. The aim of this cross-sectional study was to describe occupational balance in people suffering from anxiety and/or depression and the factors that are associated with better self-rated occupational balance. Material: One hundred and eighteen participants were recruited from outpatient mental health care and primary health care. The participants were 18-65 years, had a diagnosis of anxiety and/or depression, and had problems in everyday occupations. They answered questionnaires on occupational balance, psychological symptoms, quality of life and everyday occupations. Results: A generally low rating of occupational balance was found; however, the scores differed depending on the participants degree of anxiety and depression, their quality of life, their occupational performance and satisfaction with their occupational performance. Logistic regression analyses revealed that high quality of life, high satisfaction with occupational performance and low level of depression were associated to occupational balance. Conclusion: The results indicate that enhanced satisfaction with life and with performance of everyday occupations are relevant factors for achieving occupational balance in clients diagnosed with anxiety and/or depression.

  • 300. Beställ onlineKöp publikationen >>
    Wennberg, Birgitta
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Centrum för social och affektiv neurovetenskap. Linköpings universitet, Medicinska fakulteten.
    Keeping track of time: Daily time management, participation, and time-related interventions for children, adolescents, and young adults with neurodevelopmental disorders2019Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    The overall aim of this thesis was to investigate daily time management (DTM) and time-related interventions aiming to enhance participation in everyday activities among school-age children and young adults with neurodevelopmental disorders.

    In study I, experiences of participation when using time assistive devices (TADs) in daily activities were investigated from the perspective of young adults (aged 17–37) with intellectual disabilities (ID) (n = 9), using semi structured interviews. In studies II and IV, a new multimodal time-related intervention consisting of psychoeducation, compensation with TADs and time-skills training, was investigated in children aged 9–15 with attention-deficit/hyperactivity disorder (ADHD). Study II was a randomized controlled trial (RCT) with an intervention group (n = 19) and a control group (n = 19). The aim of study III was to describe DTM, time processing ability (TPA) and self-rated autonomy in children aged 9–15 with ADHD (n = 47), compared to children with ID (n = 47) and typically developing (TD) children (n = 47). In study IV, occupational performance and satisfaction were evaluated (n = 27). In studies II, III and IV, a source for data collection included assessment, proxy report and self-reports.

    Using TADs (study I) increased participation in activities in all areas of daily life: self-care, activities at work or school and leisure time activities. A feeling of having more control led to health benefits. Participants described participation restrictions related to attitudes from their social network towards participation and attitudes towards the use of TADs from the individuals themselves. Study II showed that the children in the intervention group increased their TPA significantly more compared to the control group, mostly in terms of time orientation. The parents in the intervention group rated their children’s DTM as significantly more improved compared to the parents of the children in the control group. However, according to the children themselves, there was no statistically significant improvement in their DTM. The psychoeducation for parents and school staff did not increase children’s TPA and DTM on its own. The majority of parents and children (study IV) rated the children’s occupational performance and satisfaction significantly higher at follow-up than at baseline. In general, children rated their occupational performance and satisfaction higher than their parents did. Most goals decided by the children and their parents involved daily routines and time orientation. Study III showed that children with ADHD and children with ID had significantly lower TPA, DTM and autonomy compared to TD children. Children with ADHD showed higher levels of self-rated autonomy compared to children with ID, but the reverse was found in DTM. However, there was significant diversity among children with ADHD and children with ID, which was not explained by age. Some children had difficulties at every level of TPA, while others were skilled at every level. The level of self-rated autonomy followed the level of TPA.

    In conclusion, this thesis revealed that children with ADHD and ID have the same overall pattern of TPA but may have a delayed TPA, which affects their DTM and autonomy, and thereby also influences their participation in daily activities. The results show that a multimodal time-related intervention using TADs and time-skills training could increase TPA and DTM in children with ADHD aged 9–15 years with time deficits. Experiences from young adults with ID also show increased participation in daily activities and health benefits using TADs. It is recommended that TPA and DTM should be measured to identify difficulties in TPA and DTM in children with ADHD and to offer tailored time-related interventions in addition to medication.

    Delarbeten
    1. Participation when using cognitive assistive devices - from the perspective of people with intellectual disabilities
    Öppna denna publikation i ny flik eller fönster >>Participation when using cognitive assistive devices - from the perspective of people with intellectual disabilities
    2010 (Engelska)Ingår i: Occupational Therapy International, ISSN 1557-0703, Vol. 17, nr 4, s. 168-176Artikel i tidskrift (Refereegranskat) Published
    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.

    Ort, förlag, år, upplaga, sidor
    John Wiley & Sons. Ltd., 2010
    Nyckelord
    Cognitive assistive devices, intellectual disabilities
    Nationell ämneskategori
    Arbetsterapi
    Identifikatorer
    urn:nbn:se:liu:diva-59025 (URN)10.1002/oti.296 (DOI)000289428900002 ()
    Tillgänglig från: 2010-09-07 Skapad: 2010-09-07 Senast uppdaterad: 2020-08-19
    2. Effectiveness of time-related interventions in children with ADHD aged 9-15 years: a randomized contolled study
    Öppna denna publikation i ny flik eller fönster >>Effectiveness of time-related interventions in children with ADHD aged 9-15 years: a randomized contolled study
    2018 (Engelska)Ingår i: European Child and Adolescent Psychiatry, ISSN 1018-8827, E-ISSN 1435-165X, Vol. 27, nr 3, s. 329-342Artikel i tidskrift (Refereegranskat) Published
    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.

    Ort, förlag, år, upplaga, sidor
    Springer, 2018
    Nyckelord
    Children, ADHD, Time perception, Time-assistive devices, Intervention
    Nationell ämneskategori
    Arbetsterapi
    Identifikatorer
    urn:nbn:se:liu:diva-142298 (URN)10.1007/s00787-017-1052-5 (DOI)000427592600009 ()2-s2.0-85030099032 (Scopus ID)
    Anmärkning

    Funding agencies: Stiftelsen Sunnerdahls Handikappfond; Medical Research Council of Southeast Sweden Stiftelsen Probilia [FORSS-305331, FORSS-565411]; Habilitering Halsa, SLSO; Riksforbundet for Rorelsehindrade Barn och Ungdomar (RBU); Vardalstiftelsen Ideprovningsprojekt 

    Tillgänglig från: 2017-10-25 Skapad: 2017-10-25 Senast uppdaterad: 2021-10-04Bibliografiskt granskad
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    Keeping track of time: Daily time management, participation, and time-related interventions for children, adolescents, and young adults with neurodevelopmental disorders
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