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  • 51.
    Ekbladh, Elin
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Return to Work: Assessment of Subjective Psychosocial and Environmental Factors2008Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Introduction: In Swedish society the sick-leave rate is high and a better understanding is required of the factors that facilitate return to work. In the return to work process, assessments of peoples’ work ability play an important role. However, the lack of usable, valid, reliable, and theoretically sound assessment instruments for assessing work ability is a concern. Credible and theoretically sound assessment methods for assessing clients’ work ability strengthen the possibilities for making valid interpretations and obtaining important information for composing further intervention strategies which can guide suitable interventions in the process of returning to work. Such interventions need multi-professional expertise. In this area occupational therapists can offer valuable contribution. In the overall assessment of work ability the unique individual’s subjective perception of the situation needs to be considered since this has been found greatly relevant for return to work. The Worker Role Interview (WRI) and the Work Environment Impact Scale (WEIS) are two work-related interview assessment instruments that have been developed to assess subjective psychosocial and environmental factors of work ability. The WRI and the WEIS have been primarily tested for reliability and validity and are theoretically founded in the Model of Human Occupation (MOHO), which is an occupation-focused model addressing psychosocial factors. They have been adapted and translated to Swedish and are used among Swedish occupational therapists working with clients experiencing work-related problems.

    Aim: The overall aim of this thesis was to evaluate the usefulness of the assessment instruments the Worker Role Interview and the Work Environment Impact Scale for identifying psychosocial and environmental rehabilitation needs essential for returning to work.

    Methods: Five empirical studies were performed, all of which were analysed quantitatively, with the exception of study IV in which both qualitative and quantitative analysing methods were used. Studies I, III and IV were cross-sectional while studies II and V were two-year longitudinal studies. In study I, data were collected by a questionnaire, in studies II, III and V the primary data constituted of ratings on the WRI items. In study IV the primary data were ratings of the WEIS items and the written notes beside the rating on each item.

    Results: In study I, theoretical approaches and professional models that influenced psychiatric care and psychiatric occupational therapy practice among occupational therapists in Sweden was investigated. The most common approach in psychiatric care was the psychosocial approach, and the practice model which was most often used was the Model of Human Occupation. The results indicated that the psychosocial approach and the Model of Human Occupation seemed applicable in occupational therapy, motivating further use of that model. However, it was also found that occupational therapists in psychiatric care used professional practice models to a rather low extent. One way to enhance the application of theory into practice is the use of theory- based assessment instruments. Consequently, the Model of Human Occupation- based assessment instruments, the WRI and the WEIS, have been evaluated and used in the other studies in the present thesis The value of the WRI for predicting return to work after long term sick-leave was investigated in studies II and V. The content area in the WRI with best overall predictive validity for return to work was ‘Personal causation’. Its items focus on the individual’s motivation for return to work in relation to the individual’s feeling of competence and effectiveness in doing work tasks and facing challenges at work. The two WRI items which best predicted whether the participants would be in the working or the non-working groups at the two-year follow up were ‘Expectations of job success’, which concerns beliefs in personal abilities in relation to returning to work, and the item ‘Daily routines’ which concerns the individual’s routines and organisation of time outside work. These results suggest that knowledge about how to strengthen the person’s belief in his or her abilities, how routines impact occupational performance, and how to support the individual in structuring his or her daily doings are needed in interventions aiming at supporting the individual to return to work.

    In study III the construct validity of the WRI was investigated in an international study. All the WRI items except those related to the environment area seemed to capture the intended construct of the WRI, namely psychosocial ability for return to work. The construct of the WRI seems to be stable and valid across different countries and populations, and the WRI showed an ability to separate clients into three distinct levels of psychosocial ability for return to work.

    In study IV the impact of the work environment was investigated by using the WEIS among people with experiences of sick-leave. Social interactions at work and the meaning of the work had the most supportive impact and different work demands and the rewards received for the work were perceived as most interfering with work performance, well-being, and satisfaction.

    Conclusion: The WRI seems to be suitable for estimating psychosocial work ability. In addition it contains items which can predict return to work up to two years after the assessment is conducted. The use of the WEIS revealed supportive and interfering factors for work performance, well-being, and satisfaction among people with experiences of long term sick-leave. The interview format of the WRI and the WEIS seems valuable since it provides comprehensive information which can contribute to the planning of rehabilitation interventions for the unique client. Thus, the WRI and the WEIS, which are theoretically founded in the Model of Human Ocupation are juged to be useful for identifying psychosocial and environmental rehabilitation needs in order to support the individual in returning to work after sick-leave.

    List of papers
    1. Practice models in Swedish psychiatric occupational therapy
    Open this publication in new window or tab >>Practice models in Swedish psychiatric occupational therapy
    2000 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, Vol. 7, no 3, p. 107-113Article in journal (Refereed) Published
    Abstract [en]

    In clinical settings, occupational therapists need models both from their own field, occupational therapy, and from other fields in order to offer the clients adequate treatment. It is unknown which theoretical approaches and practice models influence Swedish occupational therapists' daily work. In this study a questionnaire (n=334) was used to investigate approaches and models used in Swedish psychiatric care service and in psychiatric occupational therapy service. The results showed that the psychosocial approach influenced both psychiatric care and psychiatric occupational therapy most. The most frequently used practice model was the Model of Human Occupation. However, 75% of the respondents did not identify theoretical thinking based on models from their own field behind their actions. Many practitioners seemed to use knowledge developed by other disciplines more often. Years of clinical experience in the profession or education did not seem to have any impact on the ability to identify the practice models that were used. The results indicate that education in occupational therapy must emphasize knowledge in its own field more than has been done up to now.

    National Category
    Medical and Health Sciences
    Identifiers
    urn:nbn:se:liu:diva-13268 (URN)10.1080/110381200300006050 (DOI)
    Available from: 2008-05-07 Created: 2008-05-07
    2. The Worker Role Interview: Preliminary data on the predictive validity of return to work of clients after an insurance medicine investigation
    Open this publication in new window or tab >>The Worker Role Interview: Preliminary data on the predictive validity of return to work of clients after an insurance medicine investigation
    2004 (English)In: Journal of Occupational Rehabilitation, ISSN 1053-0487, Vol. 14, no 2, p. 131-141Article in journal (Refereed) Published
    Abstract [en]

    The aim was to investigate the predictive validity of the Worker Role Interview (WRI) for return to work at a 2-year follow-up of clients who attended an insurance medicine investigation center. The WRI identifies psychosocial and environmental factors that influence a person's abilities to return to work. Forty-eight of 202 consecutively selected clients constituted the study group. The Mann–Whitney U test was used to test the statistically significant differences in WRI ratings between those who were working (n=6) and those who were not (n=42) 2 years after their investigations. Five of the 17 items in WRI had a tentative predictive validity of return to work. The content area personal causation in WRI, had the best predictive validity. The results emphasize the importance of considering the unique individual's beliefs and expectations of his/her effectiveness at work when assessing clients' work ability and planning for further rehabilitation.

    Keywords
    prediction, return to work, assessment, psychosocial, sick leave, insurance medicine
    National Category
    Medical and Health Sciences
    Identifiers
    urn:nbn:se:liu:diva-13269 (URN)10.1023/B:JOOR.0000018329.79751.09 (DOI)
    Note
    Original Publication: Elin Ekbladh, Lena Haglund and Lars-Håkan Thorell, The Worker Role Interview: Preliminary data on the predictive validity of return to work of clients after an insurance medicine investigation, 2004, Journal of Occupational Rehabilitation, (14), 2, 131-141. http://dx.doi.org/10.1023/B:JOOR.0000018329.79751.09 Copyright: Springer http://www.springerlink.com/ Available from: 2008-05-07 Created: 2008-05-07 Last updated: 2010-12-06
    3. Psychometric properties of the Worker Role Interview
    Open this publication in new window or tab >>Psychometric properties of the Worker Role Interview
    Show others...
    2006 (English)In: Work, ISSN 1051-9815, Vol. 27, no 3, p. 313-318Article in journal (Refereed) Published
    Abstract [en]

    Objectives. This study examined the psychometric properties of the rating scale of the Worker Role Interview (WRI). The study also asked whether the scale's items formed a valid measure of the construct, psychosocial capacity for work, and whether they were targeted to and could effectively discriminate between persons at different levels of psychosocial ability for work.

    Method of study. Data were collected from 21 raters on 440 participants from the United States, Sweden and Iceland. A many-faceted Rasch model was used to analyze the data.

    Results. Most items of the scale worked effectively to measure the underlying construct for which the WRI was designed. In addition, the items were ordered from least to more of the underlying construct as expected. The scale validly measured 90.23% of the participants, who varied by nationality, culture, age and diagnostic status. The scale's items distinguished participants into approximately three different strata and were appropriately targeted to the participants. Seventeen of the 21 raters used scale in a valid manner.

    Conclusions. The WRI scale and items are valid across ages, diagnoses, and culture and effectively measure a wide range of persons.

    Keywords
    Assessment, worker role, model of human occupation
    National Category
    Medical and Health Sciences
    Identifiers
    urn:nbn:se:liu:diva-13270 (URN)
    Available from: 2008-05-07 Created: 2008-05-07 Last updated: 2009-05-14
    4. Perceptions of the work environment among people with experience of long term sick leave
    Open this publication in new window or tab >>Perceptions of the work environment among people with experience of long term sick leave
    2010 (English)In: WORK-A JOURNAL OF PREVENTION ASSESSMENT and REHABILITATION, ISSN 1051-9815, Vol. 35, no 2, p. 125-136Article in journal (Refereed) Published
    Abstract [en]

    Purpose: The aims were to describe and analyze how people with experience of long term sick leave perceive that factors in their work environment support or interfere with work performance, satisfaction, and well-being. Method: The 53 participants were interviewed with the Work Environment Impact Scale (WEIS). The WEIS ratings and belonging notes were analyzed by descriptive statistics and qualitative analysis respectively. Differences in WEIS ratings between; women and men; participants with somatic and mental diseases; and participants working and on full-time sick leave were tested. Results: The most supportive factors concerned social interactions at work, and the value and meaning of work. The factors perceived as most interfering concerned work demands and rewards. The social relations at work were perceived as more supportive by the working group than by those on full-time sick leave. The participants with somatic diseases perceived physical work factors as more interfering than did participants with mental diseases, who in turn perceived the value and meaning of work as more interfering. Conclusion: Knowledge about the interaction between the worker and the work environment could reveal useful information about the complex phenomenon of reducing sick leave. The WEIS seems useful in providing information about how alterations and accommodations in the work environment could support individual workers.

    Keywords
    Psychosocial, assessment, WEIS, well-being, RTW, occupational therapy
    National Category
    Medical and Health Sciences
    Identifiers
    urn:nbn:se:liu:diva-54491 (URN)10.3233/WOR-2010-0964 (DOI)000275284100003 ()
    Note
    Original Publication: Elin Ekbladh, Lars-Håkan Thorell and Lena Haglund, Perceptions of the work environment among people with experience of long term sick leave, 2010, WORK-A JOURNAL OF PREVENTION ASSESSMENT and REHABILITATION, (35), 2, 125-136. http://dx.doi.org/10.3233/WOR-2010-0964 Copyright: IOS Press http://www.iospress.nl/ Available from: 2010-03-19 Created: 2010-03-19 Last updated: 2010-12-06
    5. Return to work: the predictive value of the Worker Role Interview (WRI) over two years
    Open this publication in new window or tab >>Return to work: the predictive value of the Worker Role Interview (WRI) over two years
    2010 (English)In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 35, no 2, p. 163-172Article in journal (Refereed) Published
    Abstract [en]

    Worker Role Interview (WRI) is an assessment tool designed to identify psychosocial and environmental factors which influence a persons ability to return to work. The purpose of this study was to investigate if the Worker Role Interview (WRI) can predict return to work over a period of two years. Fifty three long-term sick-listed people were interviewed and rated with the WRI. Differences in ratings and the ability of WRI to correctly predict whether these people would fall into the working or non-working groups at 6, 12 and 24 month follow-ups were tested by Mann-Whitney test and logistic regression respectively. Eight of 17 items in WRI were rated differently between the groups at one or more of the follow-ups. The regression models based on the WRI ratings had an overall correct prediction rate ranging from 81% to 96%. Expectation of job success which concerns the persons belief in abilities in relation to return to work emerged as an important predictive factor for return to work in all statistical analyses. The WRI assessment contains items that could predict return to work. This implies that the WRI could be a useful tool in vocational rehabilitation for identifying individual rehabilitation needs.

    Keywords
    assessment, motivation, psychosocial, RTW, sick-leave, work ability, vocational rehabilitation, occupational therapy, Model of Human Occupation, Bedömningsinstrument, arbetsförmåga, arbetsterapi, sjukfrånvaro, Model of Human Occupation
    National Category
    Medical and Health Sciences Occupational Therapy
    Identifiers
    urn:nbn:se:liu:diva-13272 (URN)10.3233/WOR-2010-0968 (DOI)000275284100007 ()
    Available from: 2008-05-07 Created: 2008-05-07 Last updated: 2017-12-13
  • 52.
    Ekbladh, Elin
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    ÅTERGÅNG TILL ARBETE: Bedömning av subjektiva psykosociala och miljömässiga faktorer2009In: AT-forum, Förbundet Sveriges Arbetsterapeuter, Stockholmsmässan, 6-7 maj 2009, Stockholm: FSA , 2009Conference paper (Refereed)
    Abstract [sv]

    Återgång till arbete-

    bedömning av subjektiva psykosociala och miljömässiga faktorer

     

    Bakgrund: Bristen på valida, reliabla och teoretiskt förankrade bedömningsinstrument för bedömning av arbetsförmåga är ett bekymmer eftersom tillförlitliga bedömningar är en förutsättning för utformning och genomförande av adekvata interventioner i syfte att stödja återgång i arbete. Worker Role Interview (WRI) och Work Environment Impact Scale (WEIS) är två arbetsrelaterade intervjuinstrument, som har utvecklats i syfte att bedöma subjektiva psykosociala och miljömässiga faktorers påverkan på arbetsförmåga.

     

    Syfte: Det övergripande syftet med avhandlingsarbetet har varit att undersöka WRI och WEIS användbarhet för identifiering av psykosociala och miljömässiga rehabiliteringsbehov av betydelse för återgång i arbete.

     

    Metod: Avhandlingen består av fem empiriska studier. Samtliga studier har bearbetats kvantitativt och i en av studierna har även kvalitativ bearbetning genomförts. Tre studier är tvärsnittsstudier och två studier är två års longitudinella studier.

     

    Resultat: WRI är användbart för bedömning av psykosociala faktorers påverkan på arbetsförmågan. I WRI ingår flera variabler som kan predicera återgång till arbete upp till två år efter genomförd bedömning. WEIS är användbart för att identifiera arbetsmiljöfaktorer som stödjer respektive hindrar personers välbefinnande och utförande av arbete.

     

    Konklusion: Den information som WRI- och WEIS-intervjuer genererar är värdefull, då den kan utgöra en viktig grund för planering av individspecifika rehabiliteringsinsatser. Bedömningsinstrumenten WRI och WEIS med teoretisk förankring i Model of Human Occupation är användbara för att identifiera psykosociala och miljömässiga rehabiliteringsbehov i syfte att stödja personer i processen åter till arbete efter sjukskrivning.

  • 53.
    Ekbladh, Elin
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Fan, Chia-Wei
    University of Illinois at Chicago.
    Sandqvist, Jan
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Hemmingsson, Helena
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Taylor, Renée
    University of Illinois at Chicago.
    Work environment impact scale: Testing the psychometric properties of the Swedish version2014In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 47, no 2, p. 213-219Article in journal (Refereed)
    Abstract [en]

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

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

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

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

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

  • 54.
    Ekbladh, Elin
    et al.
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Haglund, Lena
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Work Environment Impact Scale, svensk version 3: Användarmanual för WEIS-S2010Other (Other (popular science, discussion, etc.))
    Abstract [sv]

    Manual för Work Environment Impact Scale (WEIS)

    Den här manualen är tänkt att vara ett stöd för användare av WEIS. Bedömningsinstrumentet WEIS består av en semistrukturerad intervju och en fyrgradig skattningsskala. Intervjun är utformad för att erhålla information om hur personer upplever sin arbetsmiljö. Genom WEIS intervjun erhålls information om hur personen uppfattar att psykosociala och fysiska faktorer i personens unika arbetsmiljö påverkar personens känsla av tillfredställelse och välbefinnande vid utförande av arbete. Vid WEIS intervjun efterfrågas information om hur en given arbetsmiljö påverkar den enskilde personen. Model of Human Occupation (MOHO) utgör den teoretiska grunden till WEIS.

    WEIS kan användas för att identifiera arbetslivsinriktade rehabiliteringsbehov och som en del i bedömning av en persons arbetsförmåga.  För att få en så rik och mångsidig bild som möjligt av personen bör WEIS bedömningar kompletteras med andra bedömningar och bedömningsmetoder. Denna tredje svenska upplaga av WEIS kan användas för personer som är sjukskrivna och som har en anställning samt för personer som är i arbete eller utför arbetsliknande uppgifter i någon form av arbetsmiljö.

  • 55.
    Ekbladh, Elin
    et al.
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Haglund, Lena
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Worker Role Interview, svensk version 3: Användarmanual WRI-S2007Other (Other (popular science, discussion, etc.))
    Abstract [sv]

    Manual för  the Worker Role Interview (WRI)

    WRI är ett bedömningsinstrument med en semistrukturerad intervju och en fyrgradig skattningsskala. Syftet med intervjun är att identifiera hur psykosociala och miljömässiga faktorer påverkar personers möjligheter att vara kvar i, återgå till eller skaffa ett arbete. Genom WRI intervjun erhålls information om personens tidigare och nuvarande arbetssituation, personens livssituation i relation till att ha en arbetsroll och hur personen ser på sin framtida arbetssituation. Den teoretiska grunden för WRI är Model of Human Occupation. WRI kan användas som en komponent vid bedömning av en persons arbetsförmåga. WRI kan också användas för att identifiera arbetslivsinriktade rehabiliteringsbehov. För att få en så rik och mångsidig bild som möjligt av personen bör WRI bedömningen kompletteras med andra bedömningar och bedömningsmetoder. Det här är den tredje reviderade upplagan av den svenska versionen av WRI.

  • 56.
    Ekbladh, Elin
    et al.
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Lang, Bibi
    Arbetsförmedlingen.
    Rothman, Henning
    Arbetsförmedlingen.
    Sandqvist, Jan
    Linköping University, Department of Social and Welfare Studies. Linköping University, Faculty of Health Sciences.
    Bedömningav arbetsförmåga – instrument och metod med praktiskt  exempel från Arbetsförmedlingen2011Conference paper (Refereed)
  • 57.
    Ekbladh, Elin
    et al.
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Sandqvist, Jan
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Assessing work ability2009In: Nordic Occupational Therapy Forum, Helsinki, Finland: Vocational assessment, 2009Conference paper (Other academic)
  • 58.
    Ekbladh, Elin
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Medicine and Health Sciences.
    Sandqvist, Jan
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Medicine and Health Sciences.
    Psychosocial Factors’ Influence on Work Ability of People Experiencing Sick Leave Resulting From Common Mental Disorders2015In: Occupational Therapy in Mental Health, ISSN 0164-212X, E-ISSN 1541-3101, Vol. 31, no 3, p. 283-297Article in journal (Refereed)
    Abstract [en]

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

  • 59.
    Ekbladh, Elin
    et al.
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Thorell, Lars-Håkan
    Linköping University, Department of Clinical and Experimental Medicine, Psychiatry . Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in Central Östergötland, Department of Psychiatry.
    Haglund, Lena
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Return to work: the predictive value of the Worker Role Interview (WRI) over two years2010In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 35, no 2, p. 163-172Article in journal (Refereed)
    Abstract [en]

    Worker Role Interview (WRI) is an assessment tool designed to identify psychosocial and environmental factors which influence a persons ability to return to work. The purpose of this study was to investigate if the Worker Role Interview (WRI) can predict return to work over a period of two years. Fifty three long-term sick-listed people were interviewed and rated with the WRI. Differences in ratings and the ability of WRI to correctly predict whether these people would fall into the working or non-working groups at 6, 12 and 24 month follow-ups were tested by Mann-Whitney test and logistic regression respectively. Eight of 17 items in WRI were rated differently between the groups at one or more of the follow-ups. The regression models based on the WRI ratings had an overall correct prediction rate ranging from 81% to 96%. Expectation of job success which concerns the persons belief in abilities in relation to return to work emerged as an important predictive factor for return to work in all statistical analyses. The WRI assessment contains items that could predict return to work. This implies that the WRI could be a useful tool in vocational rehabilitation for identifying individual rehabilitation needs.

  • 60.
    Eklund, Elisabet
    et al.
    Linköping University, Department of Neuroscience and Locomotion.
    Johansson, Eva
    Linköping University, Department of Neuroscience and Locomotion.
    Arbetskravsanalyser av arbetsuppgifter i Hälsans trädgård i Linköping utifrån The Revised Handbook for Analyzing Jobs (RHAJ)2006Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    Hälsans Trädgård is a project which is going to start in Gamla Linköping, Sweden. The authors were commissioned by Arbetslivsresurs, a company working with work rehabilitation, to select, define and make job analyses on five work tasks at Hälsans Trädgård in Gamla Linköping. A job analysis means an analysis of the demands the job make of the individual. The job analysis used in this study is called The Revised Handbook for Analyzing Jobs (RHAJ) and is from the US Department of Labor (DOL). As RHAJ is an American instrument, the authors produced a form where the concepts are translated into Swedish to make the analysis easier. The areas that were analyzed according to the RHAJ were: worker functions, general educational development, specific vocational preparation, aptitudes, temperaments, and physical demands and environmental conditions. The five work tasks that were analyzed at Hälsans Trädgård were: “Raking”, “Planting flowers”, “Weeding”, “Shoveling snow” and “Portraying Lisa”. The result shows that the five work tasks make low demands on the individual and that none of the tasks demand mathematical development. The task “Portraying Lisa” was the task which, in most cases, made the most demands on the individual. The discussion proposes how the work tasks can be more complex. The authors suggest investigations that test the RHAJ for validity and reliability and that the RHAJ in full be translated into Swedish and tested under Swedish circumstances in future research.

  • 61.
    Eliasson, Ann-Christin
    et al.
    Institutionen för kvinnor och barns hälsa, Karolinska institutet.
    Lidström, HeleneLinköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Medicine and Health Sciences.Peny-Dahlstrand, MarieInstitutionen för neurovetenskap och fysiologi, Sahlgrenska akademien, Göteborgs universitet.
    Arbetsterapi för barn och ungdom2016Collection (editor) (Other academic)
    Abstract [sv]

    I Arbetsterapi för barn och ungdom har 28 ledande experter inom arbetsterapi bidragit med gedigen kunskap och klinisk erfarenhet av barn och ungdom med funktionsnedsättningar.

    I boken finns ett tydligt fokus på aktiviteter i barnens vardag men även i förhållande till hälsa, samhälle och transition från barn till vuxenlivet. Arbetsterapi för barn och ungdom tar även upp aktiviteter kring lek, skola och fritid samt hur barn lär sig nya aktiviteter, och hur de kan träna och kompensera för nedsatt funktion. Kommunikation, kognitivt stöd och förmågan att använda sina händer behandlas också. 


    Boken representerar forskningsläget för svensk arbetsterapi inom området barn och ungdom. Den visar att det finns en bredd i den pågående forskningen men också att det behövs mer kunskap. 

    Arbetsterapi för barn och ungdom riktar sig till arbetsterapeuter inom grundutbildning och fortbildning samt till verksamma arbetsterapeuter och andra yrkesgrupper som möter funktionsnedsatta barn och ungdomar.

  • 62.
    Elin, Gunnarsson
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Lina, Stern
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Fritid i det nya landet: Utförande och upplevelse av aktiviteter på fritiden hos unga vuxna som flytt till Sverige2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In 2016, more than 65 million people were refugees for reasons of feared persecution, conflict, violence etc. Refugees have an increased risk of decreased health, and for them to handle their new situation, it is important to engage in activities. Leisure is an important part of life during adolescence and the aim of this study was to investigate what activities young adults who had fled to Sweden performed in their leisure time and how these activities were experienced. Data was collected through 18 activity diaries and six interviews. The collected data was analyzed by descriptive quantitative analysis and descriptive qualitative analysis. The results showed that the participants mostly (59%) perceived their leisure activities as "extremely meaningful" or "meaningful". The ability of self-determination and the social context had impacts on the perceived meaningfulness of leisure. Examples of activities that were performed most in leisure time were playing football, playing games, and religious activities. The amount of leisure and the activities that were performed in leisure time varied depending on how each individual perceived their leisure. The perception of activity and leisure is subjective and affects the value of each activity for the individual.

  • 63.
    Emanuelsson, Lisa
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Landell, Sandra
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Miljöns påverkan på äldres delaktighet i aktivitet på särskilt boende: en kvalitativ studie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Det är viktigt för äldres välbefinnande och hälsa att känna delaktighet i aktivitet. Delaktighet i aktivitet påverkas av individens egna förutsättningar och miljöns utformning. Hemmet är en viktig aktivitetsmiljö där många äldre spenderar mycket tid. Det är vanligt att äldre flyttar till ett särskilt boende när de är i behov av hjälp och stöd för att klara sin vardag. Syfte: Att studera hur miljön påverkar äldres delaktighet i aktivitet på särskilt boende. Metod: En kvalitativ studie innefattande sju intervjuer med äldre och observationer på tre olika särskilda boenden har genomförts. Resultat: I resultatet framkom de fem kategorierna bristande tillgänglighet i den fysiska miljön, tillgångar i den fysiska miljön, betydelsen av hjälpmedel, betydelsen av att interagera med andra människor samt personalens betydelse för de äldres delaktighet i aktivitet. Den fysiska miljöns utformning bidrog till att de äldre inte uppfattade det särskilda boendet som hemlikt då de inte fick plats med alla de personliga tillhörigheter de önskade. Det visade sig att många äldre kände sig ensamma och inte upplevde någon samhörighet med de medboende. Gemensamma aktiviteter var mycket uppskattat av de äldre bland annat eftersom det gav dem en möjlighet att interagera med andra. Konklusion: Den fysiska och den sociala miljön på ett särskilt boende kunde både främja och hindra äldres delaktighet i aktivitet.

  • 64.
    Eriksson, Linda
    et al.
    Linköping University, Department of Social and Welfare Studies.
    Bergman, Magnus
    Linköping University, Department of Social and Welfare Studies.
    Arbetsterapeuters erfarenhet av bedömningsinstrumentet Assessment of Work Performance – Försäkringskassan (AWP-FK) - En e-Delphistudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Försäkringskassan (FK) har i uppdrag av Sveriges regering att ge ekonomisk ersättning vid funktionsnedsättning och att utreda medicinska förutsättningar för arbete med tillförlitliga bedömningsverktyg. Vid kompletterande bedömning av medicinska förutsättningar för arbete har Försäkringskassan valt det arbetsterapeutiska bedömningsinstrumentet Assessment of Work Performance som en del av aktivitetsförmågeutredningen. En specifik tillämpning med namnet Assessment of Work Performance – Försäkringskassan (AWP-FK) har utvecklats. I tillämpningen ingår tre arbetsuppgifter; namnskyltsbeställning, sortering av post samt montering av hyllor. Syftet med examensarbetet var att undersöka hur yrkesverksamma arbetsterapeuter uppfattar och använder bedömningsinstrumentet AWP-FK. Metoden som valdes var en e-Delphistudie. Urvalet bestod av 11 yrkesverksamma arbetsterapeuter i Sverige som har arbetat med AWP-FK. Resultatet visar att arbetsterapeuterna tyckte att manualen var tydlig. Färdighetsområdet kommunikations- och interaktionsfärdigheter ansåg arbetsterapeuterna var svårt att bedöma med dagens arbetsuppgifter. Slutsatsen blev att det finns utvecklingsmöjligheter för AWP-FK vad gäller manualen, kommunikations- och interaktionsfärdigheter samt utveckling av nya arbetsuppgifter. I diskussionen diskuteras metodens tillförlitlighet och dess begränsningar. Metoden var fördelaktig eftersom svaren från runda ett gick att följa upp genom en konsensusberäkning. Slutsatsen blir att det är svårt att bedöma kommunikations- och interaktionsfärdigheter. Vidare diskuteras att det behövs fler arbetsuppgifter som bedömer kommunikations- och interaktionsfärdigheter samt att detta färdighetsområde bör utvecklas.

  • 65.
    Evans, Kiah L.
    et al.
    Edith Cowan University, Australia; Curtin University, Australia.
    Girdler, Sonya J.
    Edith Cowan University, Australia; Curtin University, Australia.
    Falkmer, Torbjörn
    Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Pain and Rehabilitation Center. Curtin University, Australia; Jonköping University, Sweden; La Trobe University, Australia.
    Richmond, Janet E.
    Edith Cowan University, Australia.
    Wagman, Petra
    Jönköping University, Sweden.
    Millsteed, Jeannine
    Edith Cowan University, Australia.
    Falkmer, Marita
    Curtin University, Australia; Jonköping University, Sweden.
    Viewpoints of working sandwich generation women and occupational therapists on role balance strategies2017In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 24, no 5, p. 366-382Article in journal (Refereed)
    Abstract [en]

    Occupational therapists need to be cognizant of evidence-based role balance advice and strategies that women with multigenerational caring responsibilities can implement independently or with minimal assistance, as role balance may not be the primary goal during many encounters with this population. Hence, this study aimed to identify the viewpoints on the most helpful role balance strategies for working sandwich generation women, both from their own perspectives and from the perspective of occupational therapists. This was achieved through a Q methodology study, where 54 statements were based on findings from interviews, sandwich generation literature and occupational therapy literature. In total, 31 working sandwich generation women and 42 occupational therapists completed the Q sort through either online or paper administration. The data were analysed using factor analysis with varimax rotation and were interpreted through collaboration with experts in the field. The findings revealed similarities between working sandwich generation women and occupational therapists, particularly in terms of advocating strategies related to sleep, rest and seeking practical assistance from support networks. Differences were also present, with working sandwich generation women viewpoints tending to emphasize strategies related to coping with a busy lifestyle attending to multiple responsibilities. In contrast, occupational therapy viewpoints prioritized strategies related to the occupational therapy process, such as goal setting, activity focused interventions, monitoring progress and facilitating sustainable outcomes.

  • 66.
    Falklöf, Ingrid
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Arts and Sciences. Östergötlands Läns Landsting, Local Health Care Services in Central Östergötland, Department of Psychiatry.
    Haglund, Lena
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Arts and Sciences.
    Daily occupations and adaptation to daily life described by women suffering from borderline personally disorder2010In: Occupational Therapy in Mental Health, ISSN 0164-212X, E-ISSN 1541-3101, Vol. 26, no 4, p. 354-374Article in journal (Refereed)
    Abstract [en]

    Clients suffering from Borderline Personality Disorder have significant impairments in relation to health. Despite this, their occupational status is rarely described. The aim of this study was to examine how women with Borderline Personality Disorder describe their daily occupations and adaptation to daily life. The study included nine participants. The data were collected using a semi-structured interview and were analyzed using content analysis.

    Theme: Having few organized daily activities and poor personal causation prevent changes in adaptation to daily life. Two categories: performance and self-image, and four subcategories: competent or incompetent to perform, positive self-image, and lack of self-image were identified.

  • 67.
    Fasth, Maria
    et al.
    Linköping University, Department of Neuroscience and Locomotion.
    Hedberg, Anna
    Linköping University, Department of Neuroscience and Locomotion.
    Kartläggning av utredningsprocessen vid Arbetsförmedlingen Rehabilitering i Sverige: en pilotstudie2005Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    The Swedish National Labour Market Administration wishes to acquire further knowledge about how the evaluation process of vocational rehabilitation at the employment service operates as a part of the quality assurance of this activity. The primary task for vocational rehabilitation at the employment service is to investigate the work capacity of unemployed people, to give them increased knowledge and better understanding of their own capacity concerning work or education. The aim of this study was to survey the evaluation process of vocational rehabilitation at the employment service in Sweden. Data were collected through telephone interviews with 15 occupational therapists employed at the employment service, who were working with vocational rehabilitation. The result shows that the investigation of work capacity can take place in different environments and that the space of time for an investigation can vary. During the evaluation process, different types of data collection methods are used. Nevertheless, the result shows that the evaluation process begins and ends in similar ways. Further studies to validate the result would be interesting. These could be done through quantitative studies, for example by sending questionnaires based on the result of this study.

  • 68.
    Fisher, Gail
    et al.
    Department of occupational therapy, University of Illinois at Chicago, USA.
    Parkinson, Sue
    Derbyshire, UK.
    Haglund, Lena
    Linköping University, Department of Social and Welfare Studies.
    The Environment and Human Occupation: Theory and application2017In: Kielhofner's Model of Human Occupation / [ed] Renée R. Taylor, Philadelphia: Lippincott Williams & Wilkins, 2017, 5, p. 91-106Chapter in book (Refereed)
  • 69.
    Fisher, Gail
    et al.
    University of Illinois at Chicago, USA.
    Parkinson, Susanne
    Haglund, Lena
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Environment in the Model of Human Occupation 5th edition  – Transformation and Practical Tools2017Conference paper (Other academic)
  • 70.
    Forsyth, Kirsty
    et al.
    Queen Margaret University College, Edinburgh, Scotland.
    Deshpande, Shilpa
    Kielhofner, Gary
    University of Illinois at Chicago.
    Henriksson, Chris
    Haglund, Lena
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Olson, Linda
    Rusch University, Chicago.
    Skinner, Sarah
    University of Illinois Medical Center at Chicago .
    Kulkarni, Supriya
    The Occupational Circumstances Assessment Interview and Rating Scale Version 4.0, 20052005Book (Other academic)
    Abstract [en]

    The OCAIRS provides a structure for gathering, analyzing, and reporting data on the extent and nature of an individual's occupational participation. It can be used with a wide range of clients, and would be appropriate for any adolescent or adult client who has the cognitive and emotional ability to participate in an interview. The OCAIRS provides a structured and theoretically based means of developing interview skills in evaluation and treatment.

  • 71.
    Fredman, Ellinor
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Lind, Josephine
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Upplevelsen av arbetsmiljöns påverkan på välbefinnande hos personer med psykisk funktionsnedsättning: En empirisk studie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    People with mental disabilities have difficulty obtaining and keeping a job in the regular labor market. The target group is at greater risk of developing illness, as they are often excluded from the labor market due to their difficulties and their needs for adaptations in the work environment. The purpose of this study is to describe how people with mental disabilities who have received interventions through the ‘Supported Employment’ method experience their work environment and how it affects their well-being. Seventeen people with different mental disabilities and with experience of a specific work environment participated in the study. The ‘Work Environment Impact Scale’ (WEIS) assessment was used for data collection along with the associated interview guide to gather information about how the participants perceived their work environment. In the results it emerged that factors such as cooperation with coworkers, job design, the stimulus of work, working hours, and the value and importance of work were the factors that were most supportive for well-being in the work environment. The most obstructive factors for well-being in the work environment were the work demands, benefits, sensory characteristics, expectations of performance at work, and work tools. Several studies show that a soundly functioning work environment is important in order to perform at work. More studies are needed that focus on developing work environment interventions that help people with mental disabilities to enjoy and keep their jobs. 

  • 72.
    Fristedt, Sofi
    et al.
    Jönköping University.
    Areskoug Josefsson,, Kristina
    Samrehab, Värnamo Hospital.
    Kammerlind, Ann-Sofi
    Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Medicine and Health Sciences. Futurum Region Jönköping County, Sweden.
    Factors Influencing the Use of Evidence-Based Practice among Physiotherapists and Occupational Therapists in Their Clinical Work2016In: The Internet Journal of Allied Health Sciences & Practice, ISSN 1540-580X, E-ISSN 1540-580X, Vol. 14, no 3, article id 7Article in journal (Refereed)
    Abstract [en]

    Background: Evidence-based practice (EBP) is a process through which research is applied in daily clinical practice. Occupational therapists (OTs) and physiotherapists (PTs) are expected to work in line with EBP in order to optimise health care resources. This expectation is too seldom fulfilled. Consequently, research findings may not be implemented in clinical practice in a timely manner, or at all. To remedy this situation, additional knowledge is needed regarding what factors influence the process of EBP among practitioners. The purpose of the present study was to identify factors that influence the use of EBP and the experienced effects of the use of EBP among PTs and OTs in their clinical work. Method: This was a qualitative interview study that consisted of six group interviews involving either OTs or PTs employed by the Jönköping County Council in the South of Sweden. Resulting data were analysed using content analysis. Results: The analysis resulted in the following categories: “definition of evidence and EBP”, “sources of evidence”, “barriers to acquiring evidence and to using evidence in clinical work”, “factors that facilitate the acquisition of evidence and the use of evidence in clinical work”, and “personal experiences of using EBP”. Basing clinical practice on scientific evidence evoked positive experiences, although an ambivalent view towards acting on clinical experience was evident. Participants reported that time for and increased knowledge about searching for, evaluating, and implementing EBP were needed. Conclusion: Because OTs are more oriented towards professional theories and models, and PTs are more focused on randomised controlled trials of interventions, different strategies appear to be needed to increase EBP in these two professions. Management support was considered vital to the implementation of EBP. However, the personal obligation to work in line with EBP must also be emphasised; the participants apparently underestimate its importance.

  • 73.
    Gisladottir, Ragnheidur
    et al.
    Linköping University, Faculty of Health Sciences, Department of Neuroscience and Locomotion.
    Sundling, Lieselotte
    Linköping University, Faculty of Health Sciences, Department of Neuroscience and Locomotion.
    Arbetsterapeutiska interventioner för personer med Schizofreni ur ett evidensperspektiv - Litteraturstudie2006Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    Schizophrenia can cause symptoms such as auditory hallucinations, delusions, emotional blunting, apathy and lack of motivation. These result in a diminished ability to participate in daily activities and bring the client group into the domain of occupational therapists. The purpose of this literature review is to compile the latest findings in occupational therapy interventions for individuals with schizophrenia. Furthermore guidance regarding the utility of the interventions will be given based on the author’s assessment of the evidence in the 22 articles included. The articles were sorted into eight categories. The main results show that the Patient education category reduces relapse frequency, and the Rehabilitation to receive work category is most effective through supported work. The Cognitive functioning category shows a good effect on memory and thought processes. The categories Social skills, Rehabilitation through work, Group therapy and Skills training in ADL show only tendencies towards the effect of the interventions. No guidelines could be given in the Art therapy category. The aims of this literature review were fulfilled. However, guidance in the utility of the interventions is restricted because of the often low levels of evidence. Further research is required into the effects of interventions for people with schizophrenia.

  • 74.
    Glännfjord, Fredrik
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Hemmingsson, Helena
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Larsson Ranada, Åsa
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Elderly people’s perceptions of using Wii sports bowling – A qualitative study2017In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 24, no 5, p. 329-338Article in journal (Refereed)
    Abstract [en]

    The Nintendo Wii is a gaming console with motion-sensitive controls that is making inroads into health care and rehabilitation. However, there is still limited knowledge on how elderly people perceive the use of such a product. The aim of this study was to examine how the use of the Wii Sports Bowling in an activity group was perceived by elderly people. The data consisted of observations and interviews with participants who used Wii Sports Bowling and was analysed with content analysis. The findings are described in three themes; ‘The use of the Wii Sports game’, ‘Engagement in the game’ and ‘Social interaction around the activity’. Wii Sports Bowling was described as easier to play compared to real-life bowling and was enjoyable and a social activity. The opportunity to meet the group each week was important for the participants. Playing the game resulted in signs of immersion and a flow-like state. The Wii was perceived to be easy to use, to provide a way to socialize with peers and to give opportunities to participate in activities in a new way. More studies regarding elderly people’s experiences and apprehensions regarding new technology such as gaming consoles and virtual reality are needed.

  • 75.
    Gribble, Nigel
    et al.
    Curtin University, Perth, Western Australia.
    Parsons, Richard
    Curtin University, Perth, Western Australia.
    Donlau, Marie
    Linköping University, Department of Clinical and Experimental Medicine. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in Central Östergötland, Department of Adult Habilitation.
    Falkmer, Torbjörn
    Linköping University, Department of Medical and Health Sciences, Rehabilitation Medicine. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Anaesthetics, Operations and Specialty Surgery Center, Pain and Rehabilitation Center. Curtin University, Perth, Western Australia.
    Predictors of time to complete toileting for children with spina bifida2013In: Australian Occupational Therapy Journal, ISSN 0045-0766, E-ISSN 1440-1630, Vol. 60, no 5, p. 343-349Article in journal (Refereed)
    Abstract [en]

    Background/aim

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

    Methods

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

    Results

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

    Conclusion

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

     

  • 76.
    Gustafsson, Kristin
    et al.
    Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Medicine and Health Sciences. Department of Physiotherapy, Rehabilitation Centre, Ryhov County Hospital Jönköping, Jönköping, Sweden.
    Rolfson, Ola
    Department of Orthopaedics, Sahlgrenska Academy, Institute of Clinical Sciences, University of Gothenburg, Gothenburg, Sweden.
    Eriksson, Marit
    Linköping University, Department of Medical and Health Sciences. Linköping University, Faculty of Medicine and Health Sciences. Futurum, Region Jönköping County, Jönköping, Sweden.
    Dahlberg, Leif
    Department of Clinical Sciences Lund, Orthopedics, Faculty of Medicine, Lund University and Clinical Epidemiology Unit, Skåne University Hospital, Lund, Sweden.
    Kvist, Joanna
    Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Medicine and Health Sciences. Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
    Study protocol for an observational register-based study on health and risk factors in patients with hip and knee osteoarthritis2018In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 8, no 10, article id e022812Article in journal (Refereed)
    Abstract [en]

    Introduction Hip and knee osteoarthritis is a leading cause of disability worldwide. Currently, the course of deterioration in pain and physical functioning in individuals with osteoarthritis is difficult to predict. Factors such as socioeconomic status and comorbidity contribute to progression of osteoarthritis, but clear associations have not been established. There is a need for early identification of individuals with slow disease development and a good prognosis, and those that should be recommended for future joint replacement surgery.

    Methods and analysis This nationwide register-based study will use data for approximately 75 000 patients who sought and received core treatment for osteoarthritis in primary healthcare, and were registered in the Swedish population-based National Quality Register for Better Management of Patients with Osteoarthritis. These data will be merged with data for replacement surgery, socioeconomic factors, healthcare consumption and comorbidity from the Swedish Hip Arthroplasty Register, the Swedish Knee Arthroplasty Register, Statistics Sweden and the National Board of Health and Welfare, Sweden. The linkage will be performed using personal identity numbers that are unique to all citizens in Sweden.

    Ethics and dissemination The study was approved by the Regional Ethical Review Board in Gothenburg, Sweden (dnr 1059–16). The results from this study will be submitted to peer-reviewed journals and reported at suitable national and international meetings.

    Trial registration number NCT03438630.

  • 77.
    Hagberg, Lina
    et al.
    Linköping University, Department of Social and Welfare Studies.
    Hägg, Jessica
    Linköping University, Department of Social and Welfare Studies.
    Faktorer som påverkar delaktighet i aktiviteten arbete för kvinnor med reumatoid artrit: En kvalitativ studie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund:Reumatoid artrit är en inflammatorisk ledsjukdom som kan leda till symptom i form av kontrakturer, smärta, trötthet och stelhet. Arbete anses varaen meningsfull aktivitet och påverkar hur människan upplever sin roll i samhället. Möjligheten till delaktighet i aktiviteten arbete påverkas av faktorer i arbetsmiljön.

    Syfte: Syftet är att undersöka vilka faktorer som kvinnor med reumatoid artrit upplever påverkar förmågan att delta i aktiviteten arbete.

    Metod: En kvalitativ studie som innefattade elva intervjuer via telefon med arbetsverksamma kvinnor med reumatoid artritgenomfördes. Intervjuerna transkriberades och analyserades.

    Resultat:I resultatet framkom två huvudteman vilka var anpassning och stöd samt fem subgrupper vilka var anpassning av arbetsmiljö, anpassning av arbetsuppgifter, anpassning av tid samt stöd från arbetsgivare och stöd från arbetskollegor. Upplevelsen av förmågan att delta i aktiviteten arbete var beroende av om dessa faktorer var framträdande i arbetsmiljön.

    Konklusion: Deltagarna gav liknande svar kring faktorer som var främjande eller hindrande i arbetsmiljön. Detta gav en indikation på att dessa faktorer antingen främjar eller hindrar förmågan att delta i aktiviteten arbete.

  • 78.
    Hagelfalk, Jennifer
    et al.
    Linköping University, Department of Social and Welfare Studies.
    Nordin, Josefin
    Linköping University, Department of Social and Welfare Studies.
    Upplevelse av en traumatisk handskada och dess konsekvenser för meningsfulla aktiviteter2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    En traumatisk handskada kan påverka aktivitetsutförandet av vardagens sysslor och hindra utförandet av meningsfulla aktiviteter. Syftet var att beskriva personers upplevelse av att drabbas av en traumatisk handskada och dess konsekvenser för utförandet av meningsfulla aktiviteter. Studien genomfördes genom kvalitativ metod med intervjuer med nio deltagare. Intervjuerna spelades in, transkriberades och en innehållsanalys genomfördes. Studiens resultat består av fyra kategorier: Nedsatt handfunktion och påverkan på aktivitetsutförandet, känslor i vardagen, strategier och rehabiliteringens betydelse. Kategorin nedsatt handfunktion och påverkan på aktivitetsutförandet beskriver smärta, nedsatt känsel, greppförmåga och finmotorik och hur det påverkar aktivitetsutförandet. Kategorin känslor i vardagen, beskriver bland annat frustration, isolering, oro/ovisshet och hur detta påverkar den nya livssituationen som de befinner sig i. Kategorin strategier belyser hur den drabbade använder anpassning av aktivitet, stöd från omgivningen men även acceptans, envishet och tålamod för utförandet av meningsfulla aktiviteter. Rehabiliteringens betydelse beskriver hur bemötande, träning och anpassning av rehabiliteringen är viktiga aspekter för återgång till utförandet av meningsfulla aktiviteter. Slutsatsen är att en handskada ger konsekvenser för aktivitetsutförandet på många olika plan. Motivation är en stor drivkraft för den drabbade och det är viktigt att nå acceptans för sin skada, för att kunna utforma nya strategier i utförandet av meningsfulla aktiviteter.

     

    Nyckelord: Arbetsterapi, rehabilitering, aktivitetsutförande, dagliga aktiviteter och handfunktion

  • 79.
    Haglund, Lena
    Linköping University. Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Arbetsterapeutisk bedömning inom psykiatrisk vård1999Report (Other (popular science, discussion, etc.))
  • 80.
    Haglund, lena
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Social and Welfare Studies, Health, Activity, Care.
    Occupational therapists´ agreement in screening patients in general psychiatric care for occupational therapy1996In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, no 3, p. 61-67Article in journal (Refereed)
  • 81.
    Haglund, Lena
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Path guide: a way to include clients in Occupational Therapy educaction2010Conference paper (Refereed)
  • 82.
    Haglund, Lena
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Slutrapport. Betydelse av aktivitet som behandlingsform för ökad psykisk hälsa. FORSS2008Report (Other (popular science, discussion, etc.))
  • 83.
    Haglund, Lena
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    The value of Specialist Training for Occupational Therapists2010Conference paper (Refereed)
  • 84.
    Haglund, Lena
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Bowyer, Patricia
    School of occupational therapy, Houston, USA.
    Scott, Patricia
    Department of occupational therapy, Indiana University, Indianapolis, USA.
    Taylor, Renée
    University of Illinois at Chicago, USA.
    The Model of Huma Occupation, the ICF, and de Occupational Therapy Practice Framework: Connections to Support Best Practice around the World2017In: Kielhofner´s Model of Human Occupation: Theory and application / [ed] Taylor, Renée R, Philadelphia: Lippincott Williams & Wilkins, 2017, 5, p. 466-485Chapter in book (Refereed)
  • 85.
    Haglund, Lena
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Forsyth, Kirsty
    Queen Margaret University, Edinburgh, Scottland, UK.
    The measurement properties of the Occupational Circumstances Interview and Rating Scale - Sweden (OCAIRS-S V2)2013In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 20, no 6, p. 412-419Article in journal (Refereed)
    Abstract [en]

    AIM:

    This paper reports the measurement properties of the Occupational Circumstances Assessment Interview and Rating Scale - Sweden (OCAIRS-S V2). The OCAIRS is a semi-structured interview and rating scale designed to capture, in detail, a person's occupational participation. The English version 4.0 has been translated into Swedish. The psychometric properties of the Swedish version are unknown.

    METHODS:

    Eleven Swedish occupational therapists working in mental health completed 38 OCAIRS-S (V2) assessments in addition to linking videotapes. A total of 60 clients were, therefore, entered into the analysis. Many-faceted Rasch analysis was used to analyse the data.

    RESULTS AND CONCLUSIONS:

    Results supported internal, construct, and person response validity of the OCAIRS-S (V2). Inter-rater reliability was established. The scale was shown to discriminate between people who were living in the community. In addition, the results indicate a need to explore the skill items.

  • 86.
    Haglund, Lena
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Social and Welfare Studies, Health, Activity, Care.
    Henriksson, Chris
    Linköping University, Faculty of Health Sciences.
    Activity - From action to activity1995In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, no 9, p. 227-34Article in journal (Refereed)
  • 87.
    Haglund, Lena
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Social and Welfare Studies, Health, Activity, Care.
    Henriksson, Chris
    Linköping University, Faculty of Health Sciences.
    Testing a Swedish version of OCAIRS on two different patient groups1994In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, p. 223-30Article in journal (Refereed)
  • 88.
    Haglund, Lena
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Social and Welfare Studies, Health, Activity, Care.
    Karlsson, Gunilla
    Kielhofner, Gary
    Shea Lai, J
    Validity of the Swedish version of the worker role interview.1997In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, no 4, p. 23-29Article in journal (Refereed)
  • 89.
    Haglund, Lena
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Social and Welfare Studies, Health, Activity, Care.
    Kjellberg, Anette
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Social and Welfare Studies, Health, Activity, Care.
    A critical analysis of the Model of Human Occupation.1999In: Canadian Journal of Occupational Therapy / Revue Canadienne d`Ergotèrapie, ISSN 0008-4174, no 2, p. 102-1089Article in journal (Refereed)
    Abstract [en]

    Examination of the applicability of the Model of Human Occupation in Swedish occupational therapy concludes that the environment is a central factor in understanding occupational behavior, but the model does not accurately or adequately depict the relationship between individuals and the environment. Volition is also an important factor in occupational-therapy intervention

  • 90.
    Haglund, Lena
    et al.
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Kjellberg, Anette
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Linking MOHO-based assessments to ICF2012Conference paper (Other academic)
  • 91.
    Haglund, Lena
    et al.
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Lundgren Pierre, Birgitta
    Sahlgrenska Universitetssjukhuset, Psykiatri Mölndal.
    Arbetsterapi för personer med depressionssjukdom och/eller ångestsyndrom. Forskning i Praxis2009In: Arbetsterapeuten, no 8Article in journal (Other (popular science, discussion, etc.))
  • 92.
    Haglund, Lena
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Social and Welfare Studies, Health, Activity, Care.
    Thorell, Lars-Håkan
    Wålindeer, Jan
    Assessment of occupational functioning for screening of patients to occupational therapy in general psychiatric care.1998In: The Occupational therapy journal of research, ISSN 0276-1599, no 4, p. 193-206Article in journal (Refereed)
  • 93.
    Haglund, Lena
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care.
    Thorell, Lars-Håkan
    Wålinder, Jan
    Occupational functioning in relation to psychiatric diagnoses: schizophrenia and mood disorders.1998In: Nordic Journal of Psychiatry, ISSN 0803-9488, Vol. 52, no 3, p. 223-29Article in journal (Refereed)
    Abstract [en]

    The purposeof the study was to investigate whether a patient's adaptive occupational functioning is related to diagnoses of schizophrenia or mood disorders. The Occupational Case Analysis Interview and Rating Scale (OCAIRS) was used to examine the patient's adaptation in everyday occupation. Three groups of patients were studied: patients with schizophrenia (n=18), major depression (n=20), and bipolar disorders (n=22). The adaptive occupational functioning of patients with schizophrenia and those with bipolar disorders was significantly reduced, to the same levels as that of patients with major depression. Thus, a patient's adaptive occupational functioning seems to be related to the studied psychiatric diagnoses. This observation may be used as a first step when screen patients for occupational therapy.

  • 94.
    Hansen, Frida
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Jakobsson, Josefine
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Delaktighet i aktivitet bland personer med intellektuell funktionsnedsättning i samband med och efter pension från daglig verksamhet2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background​: Daily activity centre is an LSS initiative for people of working age. Retirement can often cause reduced participation in activity and few studies relate to how the person should be involved in his own retirement decision. Purpose​: To describe how people with intellectual disabilities perceive occupational participation after and in conjunction with retirement from a daily activity centre. Method​: An empirical study using a qualitative method, with a combined criteria and snowball sampling method resulted in eleven interviews. The interview guide had its theoretical foundation in the Model of Human Occupation. Transcribed data was analysed by systematic text condensation. Result​: The first theme presents positive and negative perceptions of participation in retirement. In general, there was a diffuse perception of why the retirement occurred. The next theme includes participation in the residence that was associated with making independent decisions. The third theme emphasizes that occupational participation was promoted by performing activities that were meaningful before retirement. The final theme distinguishes participation in social contexts as important for well-being and the perception of belonging. Discussion​: In order for the participants to achieve an optimal retirement transition, individualized preparations are required. The importance of decision-making can be related to experience from institutional care. The society provided accessible activities which offered variety in the physical and social environment. Conclusion​: Preparation, successive transition, opportunities to engage in decision-making and join a social network were important to perceptions of occupational participation after retirement.

  • 95.
    Hatfield, Megan
    et al.
    Curtin University, Australia; Cooperat Research Centre Living Autism Autism CRC, Australia.
    Murray, Nina
    Curtin University, Australia.
    Ciccarelli, Marina
    Curtin University, Australia; Cooperat Research Centre Living Autism Autism CRC, Australia.
    Falkmer, Torbjörn
    Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Pain and Rehabilitation Center. Curtin University, Australia; Cooperat Research Centre Living Autism Autism CRC, Australia.
    Falkmer, Marita
    Curtin University, Australia; Cooperat Research Centre Living Autism Autism CRC, Australia; Jonköping University, Sweden.
    Pilot of the BOOST-A: An online transition planning program for adolescents with autism2017In: Australian Occupational Therapy Journal, ISSN 0045-0766, E-ISSN 1440-1630, Vol. 64, no 6, p. 448-456Article in journal (Refereed)
    Abstract [en]

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

  • 96.
    Hedbrant, Johan
    Linköping University, Department of Management and Engineering, Applied Thermodynamics and Fluid Mechanics. Linköping University, Faculty of Science & Engineering.
    Somatisk tinnitus och Ménières sjukdom: nya metoder för behandling2005In: Medikament, ISSN 1402-3881, no 3, p. 54-57Article in journal (Other academic)
    Abstract [sv]

    Forskningsresultat kring somatisk, eller somatosensorisk, tinnitus är relativt färska. Flera studier har visat ett samband mellan tinnitus och dysfunktion i käkregionen, samt mellan Ménières sjukdom och dysfunktion i nackregionen.

    I denna artikel diskuterar Johan Hedbrant möjligheter till behandling av tinnitus och Ménières sjukdom från ett somatiskt eller somatosensoriskt perspektiv. Artikeln är en fortsättning på Johan Hedbrants artikel i Medikament nr 1/05.

  • 97.
    Hellberg, Kristina
    et al.
    Linköping University. Linköping University, Department of Behavioural Sciences and Learning.
    Kjellberg, Anette
    Linköping University. Linköping University, Department of Social and Welfare Studies. Linköping University, Department of Social and Welfare Studies, Health, Activity, Care.
    Övergång till högre studier eller arbetsliv för ung vuxna med neuropsykiatrisk problematikConference paper (Refereed)
  • 98.
    Hemmingsson, Helena
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Medicine and Health Sciences.
    Delaktighet i skolmiljön2016In: Arbetsterapi för barn och ungdom / [ed] Ann-Christin Eliasson, Helene Lidström, Marie Peny-Dahlstrand, Lund: Studentlitteratur AB, 2016, p. 179-191Chapter in book (Other academic)
  • 99.
    Hemmingsson, Helena
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Trendsetters and followers: Disabled youths computer use during leisure time.2013Conference paper (Refereed)
  • 100.
    Hemmingsson, Helena
    et al.
    Linköping University, Faculty of Medicine and Health Sciences. Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Bolic Baric, Vedrana
    Linköping University, Faculty of Medicine and Health Sciences. Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Lidström, Helene
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Medicine and Health Sciences.
    E-inclusion: Digital equality – young people with disabilities2015In: Studies in Health Technology and Informatics / [ed] Cecilia Sik-Lányi, Evert-Jan Hoogerwerf, Klaus Miesenberger, Peter Cudd, IOS Press, 2015, 217, Vol. 217, p. 685 - 688p. 685-688Conference paper (Refereed)
    Abstract [en]

    The United Nations' position is that digital access is a matter involving equality between groups of people, the securing of democratic rights, and equal opportunities for all citizens. This study investigates digital equality in school and leisure between young people with and without disabilities. A cross-sectional design with group comparisons was applied. Participants were young people (10–18 years of age) with disabilities (n=389) and a reference group in about the same ages. Data were collected by a survey focusing on access to and engagement in ICT activities in school and during leisure time. The results demonstrated young people with disabilities had restricted participation in computer use in educational activities, in comparison to young people in general. During leisure time young people with disabilities had a leading position compared to the reference group with respect to internet use in a variety of activities. Beneficial environmental conditions at home (and the reverse in schools) are discussed as parts of the explanation for the differing engagement levels at home and in school, and among young people with disabilities and young people in general.

    Conclusion: Schools need to prioritise use of ICT by young people with disabilities.

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