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  • 51.
    Hemmingsson, Helena
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Borgestig, Maria
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Gaze-Based Assistive Technology for a Toddler with Tetraplegia and Without Speech2017In: Harnessing the Power of Technology to Improve Lives / [ed] Cudd P.,de Witte L., 2017, Vol. 242, p. 1109-1112Conference paper (Refereed)
    Abstract [en]

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

  • 52.
    Hemmingsson, Helena
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Forsyth, Kirsty
    Queen Margaret University, Edinburgh, UK.
    Haglund, Lena
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Keponen, Riita
    Metropolia University of Applied Health Sciences, Helsinki, Finland.
    Ekbladh, Elin
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Kielhofner, Gary
    Talking with Clients: Assessments that Collect Information through Interviews2017In: Kielhofner´s Model of Human Occupation: Theory and application / [ed] Renée R Taylor, Philadelphia: Lippincott Williams & Wilkins , 2017, 5, p. 275-290Chapter in book (Refereed)
  • 53.
    Holstein, Jane
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Cultural Competence for Health Professionals: Instrument Development2019Licentiate thesis, comprehensive summary (Other academic)
    Abstract [en]

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

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

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

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

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

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

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

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

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

    Keywords
    Instrument development, occupational therapy, qualitative research, ethnicity, cultural competence
    National Category
    Occupational Therapy
    Identifiers
    urn:nbn:se:liu:diva-156137 (URN)10.1177/0308022619825813 (DOI)000473502900005 ()
    Available from: 2019-04-05 Created: 2019-04-05 Last updated: 2019-11-07
  • 54.
    Holstein, Jane
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Liedberg, Gunilla M.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Öhman, Annika
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Kjellberg, Anette
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Validity and utility of the Swedish version of the Cultural Competence Assessment Instrument2019In: British Journal of Occupational Therapy, ISSN 0308-0226, E-ISSN 1477-6006, Vol. 82, no 7, p. 422-432Article in journal (Refereed)
    Abstract [en]

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

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

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

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

  • 55.
    Karlsson, Angelika
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Erbs, Viktoria
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Hur elevhälsoteamets arbete påverkar elevers delaktighet i skolaktiviteter: En kvalitativ studie i fokusgrupp2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 56.
    Karlsson, Elin
    et al.
    Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences.
    Liedberg, Gunilla
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Sandqvist, Jan
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Initial evaluation of psychometric properties of a structured work task application for the Assessment of Work Performance in a constructed environment2018In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 40, no 21, p. 2585-2591Article in journal (Refereed)
    Abstract [en]

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

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

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

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

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

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

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

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

  • 57.
    Karlsson, Elin
    et al.
    Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences.
    Sandqvist, Jan
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Social validity in work related assessments2018Conference paper (Refereed)
    Abstract [en]

    INTRODUCTION

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

     

    OBJECTIVE

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

     

    METHOD

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

     

    RESULTS

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

     

    CONCLUSION

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

  • 58.
    Karlsson, Elin
    et al.
    Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences.
    Sandqvist, Jan
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Seing, Ida
    Linköping University, Department of Behavioural Sciences and Learning, Education and Sociology. Linköping University, Faculty of Arts and Sciences.
    Ståhl, Christian
    Linköping University, Department of Behavioural Sciences and Learning, Education and Sociology. Linköping University, HELIX Competence Centre. Linköping University, Faculty of Medicine and Health Sciences.
    Social validitet för försäkringsmedicinska utredningar och påföljande myndighetsbeslut inom sjukförsäkringen2019Report (Other academic)
    Abstract [sv]

    Bakgrund: I det svenska sjukförsäkringssystemet utförs försäkringsmedicinska utredningar av särskilda enheter inom hälso- och sjukvården på uppdrag av Försäkringskassan. Dessa utredningar ligger sedan till grund för handläggares beslut om sjukskrivnas rätt till sjukpenning. Studier av social validitet är ännu ovanliga inom försäkringsmedicin och folkhälsa men kan bidra med kunskap om vad som främjar eller hindrar att metoder uppfattas som godtagbara, begripliga och betydelsefulla.

    Syfte: Att utforska sjukskrivna personers upplevelse av social validitet för försäkringsmedicinska utredningar och påföljande myndighetsbeslut avseende sjukpenning inom sjukförsäkringen.

    Metod: Detta var en kvalitativ longitudinell studie baserad på telefonintervjuer med 30 sjukskrivna som varit på en försäkringsmedicinsk utredning, samt delvis deras akter från Försäkringskassan. En deduktiv innehållsanalys användes.

    Resultat: Sjukskrivnas förståelse för utredningen var beroende av huruvida de specifika testerna var tydligt relaterade till personernas svårigheter eller ej och vilken information de hade fått. De anser att den standardiserade strukturen inte är relevant för alla och att bristen på individanpassning förvårar möjligheten att få en rättvis bild av deras arbetsförmåga. 

    Diskussion: Social validitet utforskades för försäkringsmedicinska utredningar och myndighetsbeslut i termer av godtagbarhet, begriplighet och betydelse. Utredningarna indikerar en låg social validitet i termer av godtagbarhet på grund av bristen på individanpassning, även om vissa delar är mer socialt valida än andra. Vidare varierade utredningarnas begriplighet beroende på deras applicerbarhet och den erhållna informationen, medan dimensionen betydelse indikerar en högre grad av social validitet. Handläggarens påföljande myndighetsbeslut ansågs däremot orelaterat till utredningens resultat, sakna konkreta argument och ibland motsägande andra aktörers rekommendationer, vilket indikerar en låg social validitet i termer av både godtagbarhet, begriplighet och betydelse. 

    Slutsats: Social validitet finns för delar av utredningarna men är låg för det påföljande myndighetsbeslutet.

  • 59.
    Karlsson, Elin
    et al.
    Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences.
    Seing, Ida
    Linköping University, Department of Behavioural Sciences and Learning, Education and Sociology. Linköping University, Faculty of Arts and Sciences.
    Sandqvist, Jan
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Ståhl, Christian
    Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences.
    Communication characteristics between clients and stakeholders within the Swedish sickness insurance system: a document analysis of granted and withdrawn sickness benefit claims2019In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165Article in journal (Refereed)
    Abstract [en]

    Purpose: The purpose of this study was to investigate how communication within the Swedish sickness insurance system differs between cases of sick leave and how this may affect clients’ cases.

    Materials and methods: This was a document study using 30 client files from the Swedish Social Insurance Agency (SIA). The clients included had been on a work ability evaluation during their sick leave spell and were aged 32–64 years. The material was analyzed using qualitative document analysis.

    Results: The results show different approaches to communication, characterized by emotional argumentation, matter-of-fact driven argumentation and information exchange, which have diverse success in affecting official decisions. Arguments characterized by emotions such as frustration or desperation are to a larger extent neglected by the authorities compared to those characterized by a matter-of-fact driven approach and referring to regulations and medical certificates.

    Conclusion: There are differences regarding how clients and stakeholders communicate the clients’ needs and pre-requisites, and how this affects official decisions. Further research must be carried out in order to establish social insurance literacy, initially for individuals on sick leave within the sickness insurance system, and whether there are differences between diverse groups that could lead to injustices.

    • Implications for rehabilitation
    • Within a social insurance context, professionals need to provide clients with adequate and individually adapted information in order for procedures to be perceived as comprehensible and manageable by the clients.

    • The support from stakeholders such as the treating physician and/or employer can affect clients’ sick-leave process.

    • Clients’ treating medical professionals can contribute to ensuring that clients rights are met by communicating the clients’ needs to other stakeholders in a formal way.

  • 60.
    Kjellberg, Anette
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Haglund, Lena
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Utilization of the Swedish version of the Assessment of Communication and Interaction Skills2016In: British Journal of Occupational Therapy, ISSN 0308-0226, E-ISSN 1477-6006, Vol. 79, no 4, p. 228-234Article in journal (Refereed)
    Abstract [en]

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

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

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

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

  • 61.
    Kocher Stalder, Cornelia
    et al.
    Institute of Occupational Therapy at Zurich University of Applied Sciences , Winterthur , Switzerland.; b Neuropaediatrics , University Childrens Hospital Bern, Bern, Switzerland..
    Kottorp, Anders
    Karolinska Institutet, University Stockholm, Stockholm , Sweden.; Department of Occupational Therapy University of Illinois at Chicago, Chicago, USA..
    Steinlin, Maja
    Neuropaediatrics, University Childrens Hospital Bern, Bern, Switzerland..
    Hemmingsson, Helena
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Children's and teachers' perspectives on adjustments needed in school settings after acquired brain injury.2018In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 25, no 4, p. 233-242Article in journal (Refereed)
    Abstract [en]

    Background: Children with acquired brain injury (ABI) often present with functional deficits that influence their societal participation and well-being. Successful reintegration into school calls for individual support to meet each child’s adjustment needs. The adjustment needs of children with ABI in school settings have not previously been explored.

    Aim: The objectives of the present study were (a) to describe adjustment needs in school settings for children with ABI and (b) to explore differences and similarities between reports from the children and their teachers.

    Methods: In this cross-sectional study, 20 children with ABI (mean age 12.8 ± 3.4 years; class grade 1–10) and their teachers were interviewed individually, using the School Setting Interview (SSI). Data were analyzed with descriptive and with non-parametric statistics.

    Results: (a) In the overall group, children rated that 55.6% of the 16 activities in the SSI needed no adjustment. The corresponding percentage for teachers was 48.4%. (b) In the child-teacher pairs, there was a positive relationship between teachers’ and children’s responses only in 3 out of 16 school activities and agreement varied strongly according to the activity in question.

    Conclusions and significance: It is important for occupational therapists and other professionals to specifically consider adjustment needs relating to school activities from various perspectives when aiming to provide individualized interventions.

  • 62.
    Kottorp, Anders
    et al.
    Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden / Department of Occupational Therapy, College of Applied Health Sciences, University of Illinois at Chicago, USA.
    Nygård, Louise
    Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
    Hedman, Annicka
    Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
    Öhman, Annika
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Department of Social and Welfare Studies, NISAL - National Institute for the Study of Ageing and Later Life. Linköping University, Faculty of Medicine and Health Sciences.
    Malinowsky, Camilla
    Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
    Rosenberg, Lena
    Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
    Lindqvist, Eva
    Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
    Ryd, Charlotta
    Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
    Access to and use of everyday technology among older people: An occupational justice issue – but for whom?2016In: Journal of Occupational Science, ISSN 1442-7591, E-ISSN 2158-1576, Vol. 23, no 3, p. 382-388Article in journal (Refereed)
    Abstract [en]

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

  • 63.
    Kåhlin, Ida
    et al.
    Linköping University, NISAL - National Institute for the Study of Ageing and Later Life. Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Kjellberg, Anette
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Hagberg, Jan-Erik
    Linköping University, NISAL - National Institute for the Study of Ageing and Later Life. Linköping University, Department of Social and Welfare Studies. Linköping University, Faculty of Arts and Sciences.
    Choice and control for people ageing with intellectual disability in group homes2016In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 23, no 2, p. 127-137Article in journal (Refereed)
    Abstract [en]

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

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

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

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

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

  • 64.
    Kåhlin, Ida
    et al.
    Linköping University, Department of Social and Welfare Studies, NISAL - National Institute for the Study of Ageing and Later Life. Linköping University, Faculty of Arts and Sciences.
    Kjellberg, Anette
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Nord, Catharina
    Linköping University, Department of Social and Welfare Studies, NISAL - National Institute for the Study of Ageing and Later Life. Linköping University, Faculty of Arts and Sciences.
    Hagberg, Jan-Erik
    Linköping University, Department of Social and Welfare Studies, NISAL - National Institute for the Study of Ageing and Later Life. Linköping University, Faculty of Arts and Sciences.
    Ageing in people with intellectual disability as it is understood by group home staff2016In: Journal of Intellectual & Developmental Disability, ISSN 1366-8250, E-ISSN 1469-9532, Vol. 41, no 1Article in journal (Refereed)
    Abstract [en]

    The number of older residents in group homes for people with intellectual disability (ID) is increasing. This interview study was focused on how group home staff addresses issues of ageing and being old among people with ID. Twelve members of staff at four different group homes in Sweden were interviewed. Findings revealed old age as something unarticulated in the group home. Group home staff felt unprepared to meet age-related changes in residents. The study also revealed that group home staff had a one-tracked way of describing the process of ageing among people with ID, seemingly rooted in a medical paradigm of disability. This study suggests that there is a need to raise issues and give guidance related to ageing and ID in disability policy documents in order to support the development of a formal culture that addresses old age and ID in disability services.

  • 65.
    Larsson Prytz, Stina
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Toivanen, Matti
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Arbetsmiljöns inverkan på välbefinnande för personer med psykisk funktionsnedsättning i daglig verksamhet: En enkätstudie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

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

  • 66.
    Larsson Ranada, Åsa
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Tilfredställelse med kvarboendefrämjande teknik i projektet BO VITAL2016In: Gerontologi, ISSN 1604-8644, Vol. 32, no 1, p. 34-39Article in journal (Refereed)
  • 67.
    Larsson Ranada, Åsa
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Lidström, Helene
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Satisfaction with assistive technology device in relation to the service delivery process: A systematic review2019In: Assistive technology, ISSN 1040-0435, E-ISSN 1949-3614, Vol. 31, no 2, p. 82-97Article, review/survey (Refereed)
    Abstract [en]

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

  • 68.
    Lexell, Eva Mansson
    et al.
    Lund Univ, Sweden; Skane Univ Hosp, Sweden.
    Haglund, Lena
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Packer, Tanya
    Dalhousie Univ, Canada; Radboud Univ Nijmegen, Netherlands.
    The "Managing Fatigue" programme for people with multiple sclerosis - acceptance and feasibility with Swedish occupational therapists2019In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014Article in journal (Refereed)
    Abstract [en]

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

  • 69.
    Lidström, Helene
    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.
    Ekbladh, Elin
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Individual Adjustment Needs for Students in Regular Upper Secondary School2019In: Scandinavian Journal of Educational Research, ISSN 0031-3831, E-ISSN 1470-1170Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to investigate student-environment fit and perceived need of adjustments for students in the regular upper secondary school, with and without a diagnosis. The students (n = 419) were interviewed with the assessment School Setting Interview. The results showed that for seven of the 16 items, 60% or more of the students experienced that the demands of the school environment were not consistent with their abilities. Girls had a greater need of adjustments in eight of nine SSI school activities. The findings put an emphasis on the importance of recognizing the students individuals need of adjustments, and on offering flexible support in order to enhance the student-environment-fit and well-being of students in need of special educational support.

  • 70.
    Liedberg, Gunilla
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Björk, Mathilda
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Rehabilitation Center.
    Pain, self-efficacy, anxiety, and quality of life are central for a bad or good night's sleep in persons with fibromyalgia2017Conference paper (Refereed)
  • 71.
    Liedberg, Gunilla M.
    Linköping University, Faculty of Medicine and Health Sciences. Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Occupational life trajectories in the context of chronic pain and immigration2017Conference paper (Refereed)
  • 72.
    Liedberg, Gunilla
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Persson, Elisabeth
    Skånes universitetssjukhus.
    Arbetsterapeutens roll vid rehabilitering av personer med långvarig smärta2015In: Rehabiliteringsmedicin. Teori och praktik / [ed] Jörgen Borg, Kristian Borg, Björn Gerdle och Katharina Stibrant Sunnerhagen, Lund: Studentlitteratur AB, 2015, 1:1, p. 146-149Chapter in book (Other academic)
  • 73.
    Liljekvist, Amanda
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Westling, Kajsa
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Hundförares uppfattning om att använda hund som medel i grundskolan i relation till görande och delaktighet i skolaktivitet2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Elever med särskilda behov känner sig ofta mindre delaktiga i skolaktivitet än andra elever på grund av att de behöver stöd i skolan. Att använda hund som medel i skolan kan vara ett komplement i undervisningen och en hunds närvaro i skolan har tidigare visat på positiva effekter på bl.a. elevers lärande och attityd gentemot skolan. Syftet med studien var att beskriva hur hundförare uppfattar att hund som medel i grundskolan påverkar möjligheten till görande och delaktighet i skolaktivitet för elever med särskilda behov. Tio intervjuer med hundförare som arbetar med hund som medel i grundskolan genomfördes. En intervjuguide utformades med stöd från teorier om görande och delaktighet i skolaktivitet. Resultatet visade att hundförarna uppfattade att hunden kan motivera och stödja elever i skolaktiveter. Ett nyckelfynd var att hunden uppfattades kunna göra skolaktiviteter mer lustfyllda, vilket ökade deltagandet i skolaktiviteter. Resultatet tyder på att möjligheten till görande och delaktighet i skolaktivitet påverkas för elever med särskilda behov genom att bl.a. skapa ett mer frivilligt görande, en känsla av grupptillhörighet och påverka uppfattningen om det egna görandet i skolaktiviteter. Det finns ett behov av vidare forskning kring effekten av att använda hund som medel i grundskolan samt hur elever med särskilda behov upplever och hur lärare uppfattar att hunden påverkar görandet och delaktigheten i skolaktivitet. 

  • 74.
    Lindh Falk, Annika
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Hult, Håkan
    Karolinska Inst, Sweden.
    Hammar, Mats
    Linköping University, Department of Clinical and Experimental Medicine, Division of Children's and Women's health. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center of Paediatrics and Gynaecology and Obstetrics, Department of Gynaecology and Obstetrics in Linköping.
    Hopwood, Nick
    Univ Technol Sydney, Australia; Univ Stellenbosch, South Africa.
    Abrandt Dahlgren, Madeleine
    Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences.
    Nursing assistants mattersAn ethnographic study of knowledge sharing in interprofessional practice2018In: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 25, no 2, article id e12216Article in journal (Refereed)
    Abstract [en]

    Interprofessional collaboration involves some kind of knowledge sharing, which is essential and will be important in the future in regard to the opportunities and challenges in practices for delivering safe and effective health care. Nursing assistants are seldom mentioned as a group of health care workers that contribute to interprofessional collaboration in health care practice. The aim of this ethnographic study was to explore how the nursing assistants knowledge can be shared in a team on a spinal cord injury rehabilitation ward. Using a sociomaterial perspective on practice, we captured different aspects of interprofessional collaboration in health care. The findings reveal how knowledge was shared between professionals, depending on different kinds of practice architecture. These specific cultural-discursive, material-economic, and social-political arrangements enabled possibilities through which nursing assistants knowledge informed other practices, and others knowledge informed the practice of nursing assistants. By studying what health care professionals actually do and say in practice, we found that the nursing assistants could make a valuable contribution of knowledge to the team.

  • 75.
    Margot-Cattin, Isabel
    et al.
    Univ Appl Sci and Arts Western Switzerland, Switzerland; Karolinska Inst, Sweden; Karolinska Inst, Sweden.
    Kuhne, Nicolas
    HES SO, Switzerland.
    Kottorp, Anders
    Malmo Univ, Sweden.
    Cutchin, Malcolm
    Wayne State Univ, MI USA.
    Öhman, Annika
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Nygard, Louise
    Karolinska Inst, Sweden.
    Development of a Questionnaire to Evaluate Out-of-Home Participation for People With Dementia2019In: American Journal of Occupational Therapy, ISSN 0272-9490, E-ISSN 1943-7676, Vol. 73, no 1, article id 7301205030Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE. We describe the development of a questionnaire, Participation in Activities and Places Outside Home (ACT-OUT). for older adults with cognitive impairment and align it to people with mild- to moderate-stage dementia. METHOD. ACT-OUT was developed in a cross-cultural collaboration in combination with three rounds of cognitive interviews in Switzerland with 26 older adults without cognitive impairment and five older adults with dementia. Qualitative data from the interviews were analyzed using a constant comparison approach. RESULTS. The final ACT-OUT Version 1.0 consists of three parts: (1) questions targeting places older adults visit: (2) questions on aspects influencing participation , such as transportation. familiarity, and risk perception: and (3) questions on perception of self. CONCLUSION. The development of an instrument such as ACT-OUT is more a cyclical than a linear process. This study is a first step toward a more systematic evaluation of out-of-home participation among older adults with and without dementia.

  • 76.
    Månsson Lexell, Eva
    et al.
    Arbetsterapi och aktivitetsvetenskap, Lunds Universitet.
    Haglund, Lena
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Arbetsterapeuters uppfattning av användbarheten av svenska Fatigue Management Programmet för personer med Multipel skleros2019Conference paper (Refereed)
    Abstract [sv]

    Fatigue är vanligt förekommande hos personer med Multipel skleros (MS) och MS-fatigue har ofta en negativ inverkan på personernas möjligheter att utföra och vara delaktig i vardagens olika aktiviteter. Fatigue Management (FM) programmet är en arbetsterapeutisk intervention som syftar till att deltagarna lär sig strategier för att kunna hantera MS-fatigue i vardagen. Programmet använder sig av self-management metodik under genomförandet och rekommenderas av Socialstyrelsen i de nationella riktlinjerna för MS. Syftet var att undersöka svenska arbetsterapeuters uppfattning av användbarheten av den svenska översättningen av programmet med klienter med MS.

    Metod/Tillvägagångssätt* En mixad metod användes tillsammans med åtta arbetsterapeuter som initialt deltog i en workshop och sedan genomförde FM programmet med MS-klienter. Därefter fyllde de i en enkät innan de deltog i fokusgrupps intervjuer där fokus var på användbarheten av programmet.

    Resultat/Preliminärt resultat* Varje arbetsterapeut genomförde programmet i sin helhet en gång med 5-9 MS-klienter. Överlag var arbetsterapeuterna nöjda med innehållet i programmet och de följde programmets struktur under genomförandet. Mindre förändringar föreslogs särskilt i relation till hur kognitiv fatigue kan hanteras. De diskuterade även utmaningar gällande att använda self-management metodik där arbetsterapeuten har en annan roll än den traditionella som expert.

    Slutsats/Praktisk tillämpning* FM programmet visade sig vara användbart i Sverige men arbetsterapeuter som vill erbjuda programmet bör först delta i en kortare workshop där programmets innehåll och struktur diskuteras såväl som dess underliggande teorier. Framtida studier bör fokusera på större interventionsstudier som utvärderar effekterna av programmet.

  • 77.
    Månsson Lexell, Eva
    et al.
    Lund University, Lund, Sweden / Skåne University Hospital, Lund-Malmö, Sweden.
    Packer, Tanya
    Dalhousie University, Halifax, Canada.
    Haglund, Lena
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    The Fatigue Management Program for people with multiple sclerosis: A feasibility study among Swedish occupational therapists2018Conference paper (Refereed)
    Abstract [en]

    Introduction: Around 80% of all people with multiple sclerosis (MS) experience MS-fatigue, significantly impacting everyday occupational performance. The Fatigue Management course (FMC) is an evidence-based occupational therapy intervention that provides people with tools to manage and overcome fatigue. Based on self-management science, participants take an active role in setting goals and learning problem-solving techniques that can be generalized to other occupations. The recently released MS guidelines in Sweden, cite this as best practice, even though no Swedish translation exists. Thus, the ecological validity of the course in a Swedish context is unclear.

    Objectives: To translate the FMC manual into Swedish, and to investigate its feasibility for people with MS in Sweden.Method: We used a mixed-methods design. Eight occupational therapists tested the FMC and then completed a questionnaire and participated in focus group interviews.

    Results: Each therapists conducted one course with 5-9 MS-participants (total=48 MS-participants). Overall, therapists were satisfied with the content in the manual, and only minor improvements of the layout were needed. Discussions revealed how therapists who thoroughly read the manual in advance, experienced less implementation problems. Difficulties implementing self-management strategies rather than the traditional role of an expert were discussed.

    Conclusions: The FMC course is feasible in a Swedish context. Future studies should focus on larger intervention studies that evaluate course effects on fatigue, occupational performance and engagement in occupations.

  • 78.
    Mårtensson, Lena
    et al.
    Göteborgs universitet, Sweden.
    Liedberg, Gunilla
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Occupational life trajectories in the context of chronic pain and immigration2016In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 23, no 5, p. 383-390Article in journal (Refereed)
    Abstract [en]

    Background Persons with chronic pain report a range of occupational problems. The specific health needs of immigrants are judged to be poorly understood, and health systems are not prepared to respond adequately. Being an immigrant is regarded as a risk factor for the progression of chronic widespread pain into a state of disability. Objectives To explore occupational life trajectories among immigrant women with chronic pain. Material and methods A qualitative content analysis was used to capture the latent meaning of experiences in individual interviews of eight women with immigrant background and chronic pain. Results An overarching theme, 'making the best of a conditional situation', representing the women's occupational life trajectories, covers the content of two categories: 'being controlled', including affected self-perception, social relations, and future prospects, and 'trying to deal with challenges', comprising a focus on resources, having trust in one's own judgements and getting help from others. Conclusion and significance The experiences demonstrate an occupational life controlled by internal and external factors and may be understood as a disrupted occupational life trajectory. This knowledge may be helpful to occupational therapists supporting immigrant women's attempts to regain a structured life despite the constant presence of pain.

  • 79.
    Olaison, Anna
    et al.
    Linköping University, Faculty of Arts and Sciences. Linköping University, Department of Social and Welfare Studies, Social Work.
    Taghizadeh Larsson, Annika
    Linköping University, Department of Social and Welfare Studies. Linköping University, Faculty of Arts and Sciences.
    Österholm, Johannes
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Case conferences as an arena for assessments- arguments used by social workers in order to maintain social problems.2017Conference paper (Refereed)
  • 80.
    Praetorius Holmgren, Angelica
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Thörnqvist, Anna
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Äldre individer som bor på särskilda boenden och deras upplevelse av att utföra fritidsaktiviteter: - En kvalitativ studie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aging usually results in physical and/or cognitive impairments that affect older individuals’ ability to perform leisure activities. It is important to create the possibility for leisure activities for individuals in residential care since such activities have been proven to have a positive effect on both physical and psychosocial health. The meaning of leisure activities is individual and depends on how far the individual experiences the activity to bring joy and well-being. The aim of this study is to describe how older individuals in residential care perceive the performance of their leisure activities. To achieve the aim, a qualitative method and semi-structured interview were used to collect data. Nine individuals participated and the interviews took place in a residential care setting. Malterud (2014) four steps were used to analyze the material and to develop the result. The results show that older individuals living in residential care want to perform additional leisure activities to those that are offered but are limited by various factors such as physical disabilities or being in need of support from people around them, especially staff and relatives. The study shows that older individuals need support from people around them to perform leisure activities.

  • 81.
    Regardt, Malin
    et al.
    Karolinska University Hospital, Sweden; Karolinska Institute, Sweden.
    Welin Henriksson, Elisabet
    Karolinska Institute, Sweden; Karolinska University Hospital, Sweden; Karolinska Institute, Sweden.
    Sandqvist, Jan
    Linköping University, Faculty of Medicine and Health Sciences. Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Lundberg, Ingrid E.
    Karolinska University Hospital, Sweden; Karolinska Institute, Sweden.
    Schult, Marie-Louise
    Danderyd Hospital, Sweden.
    Work ability in patients with polymyositis and dermatomyositis: An explorative and descriptive study2016In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 53, no 2, p. 265-277Article in journal (Refereed)
    Abstract [en]

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

  • 82.
    Ringqvist, Asa
    et al.
    Skane Univ Hosp, Sweden.
    Dragioti, Elena
    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.
    Björk, Mathilda
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Department of Rheumatology.
    Larsson, Britt
    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.
    Gerdle, Björn
    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.
    Moderate and Stable Pain Reductions as a Result of Interdisciplinary Pain Rehabilitation: A Cohort Study from the Swedish Quality Registry for Pain Rehabilitation (SQRP)2019In: JOURNAL OF CLINICAL MEDICINE, ISSN 2077-0383, Vol. 8, no 6, article id 905Article in journal (Refereed)
    Abstract [en]

    Few studies have investigated the real-life outcomes of interdisciplinary multimodal pain rehabilitation programs (IMMRP) for chronic pain. This study has four aims: investigate effect sizes (ES); analyse correlation patterns of outcome changes; define a multivariate outcome measure; and investigate whether the clinical self-reported presentation pre-IMMRP predicts the multivariate outcome. To this end, this study analysed chronic pain patients in specialist care included in the Swedish Quality Registry for Pain Rehabilitation for 22 outcomes (pain, psychological distress, participation, and health) on three occasions: pre-IMMRP, post-IMMRP, and 12-month follow-up. Moderate stable ES were demonstrated for pain intensity, interference in daily life, vitality, and health; most other outcomes showed small ES. Using a Multivariate Improvement Score (MIS), we identified three clusters. Cluster 1 had marked positive MIS and was associated with the overall worst situation pre-IMMRP. However, the pre-IMMRP situation could only predict 8% of the variation in MIS. Specialist care IMPRPs showed moderate ES for pain, interference, vitality, and health. Outcomes were best for patients with the worst clinical presentation pre-IMMRP. It was not possible to predict who would clinically benefit most from IMMRP.

  • 83.
    Roos, Susanne
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences.
    Liedberg, Gunilla
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Hellström, Ingrid
    Linköping University, Department of Social and Welfare Studies, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in East Östergötland.
    Wilhelmsson, Susan
    Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences.
    Persistent symptoms in people with celiac disease despite gluten-free diet: A concern?2019In: Gastroenterology Nursing, ISSN 1042-895X, E-ISSN 1538-9766, Vol. 42, no 6, p. 496-503Article in journal (Refereed)
    Abstract [en]

    Studies show that people with celiac disease have reduced well-being and have persistent symptoms, mainly related to the gastrointestinal tract. The aim of this study was to analyze how persons in a celiac disease member association report their symptoms, health, and life satisfaction. A questionnaire, with both open and closed questions, was distributed to all members (n = 726) of a celiac association in the southeast of Sweden. The response rate was 74.5%, of which 524 (72%) said they had received a celiac disease diagnosis and were thus included in the study. Almost half of the participants (40.7%-42.2%) stated that they had persistent celiac disease symptoms despite following a gluten-free diet. Diarrhea, abdominal pain, and congestion were persistent symptoms reported and could contribute to a lower health status compared with people without persistent symptoms. The life satisfaction scale (LiSat-9) showed differences in 5 of 9 variables between the groups. Living with celiac disease is far from easy when you have persistent symptoms. People with celiac disease require follow-up by healthcare services, and a new treatment needs to be developed because following the gluten-free diet alone does not seem to alleviate symptoms in everyone.

  • 84.
    Ryd, Charlotta
    et al.
    Karolinska Inst, Sweden.
    Malinowsky, Camilla
    Karolinska Inst, Sweden.
    Öhman, Annika
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Kottorp, Anders
    Malmo Univ, Sweden.
    Nygard, Louise
    Karolinska Inst, Sweden.
    Older adults experiences of daily life occupations as everyday technology changes2018In: British Journal of Occupational Therapy, ISSN 0308-0226, E-ISSN 1477-6006, Vol. 81, no 10, p. 601-608Article in journal (Refereed)
    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.

  • 85.
    Ryd, Charlotta
    et al.
    Karolinska Institute, Sweden.
    Nygård, Louise
    Karolinska Institute, Sweden.
    Malinowsky, Camilla
    Karolinska Institute, Sweden.
    Öhman, Annika
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Kottorp, Anders
    Karolinska Institute, Sweden; Zurich University of Appl Science, Switzerland; University of Illinois, IL USA.
    Can the everyday technology use questionnaire predict overall functional level among older adults with mild cognitive impairment or mild-stage alzheimers disease? - a pilot study2017In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 31, no 1, p. 201-209Article in journal (Refereed)
    Abstract [en]

    Introduction:The number of older adults living with mild cognitive impairment (MCI) or mild-stage Alzheimers disease (AD) is increasing and they are often expected to live in their own homes without support, despite limited ability to perform daily life activities. The Everyday Technology Use Questionnaire (ETUQ) has proven to be able to separate these groups and might also have potential to predict overall functional level (need of assistance in daily life activities) among them. Aim:To investigate whether the ETUQ can predict overall functional level among older adults with MCI or mild-stage AD. Method:Participants were older adults with a mean age of 76 years with MCI (n = 28) or mild-stage AD (n = 39). A three-step scale indicating (i) independence, (ii) need for minimal assistance or (iii) need for moderate to maximal assistance in daily life was dichotomised in two ways and used as outcome variables in two logistic regression models. Predictors in both models were perceived ability to use everyday technology (ET) and amount of relevant everyday technologies measured by the ETUQ. Ethical approval was obtained from the regional Ethical Committee. Result:Perceived ability to use ET discriminated individuals who were independent or in need of minimal support from those in need of moderate to maximal assistance (OR = 1.82, p amp;lt; 0.01, confidence interval = 95%; 1.76-2.82). The amount of relevant everyday technologies discriminated individuals who were independent from those in need of assistance at any level (OR = 1.39; p amp;lt; 0.01; confidence interval = 95%; 1.11-1.75). Conclusion:Both perceived ability to use ET and amount of relevant everyday technologies had potential to predict overall function but at different levels. The findings support the predictive validity of the ETUQ and suggest further research for the development of clinical cut-off criteria.

  • 86.
    Rytterström, Patrik
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences.
    Borgestig, Maria
    Orebro Univ, Sweden.
    Hemmingsson, Helena
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences. Stockholm Univ, Sweden.
    Hope and Technology: Other-Oriented Hope Related to Eye Gaze Technology for Children with Severe Disabilities2019In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 16, no 10, article id 1667Article in journal (Refereed)
    Abstract [en]

    Introducing advanced assistive technology such as eye gaze controlled computers can improve a persons quality of life and awaken hope for a childs future inclusion and opportunities in society. This article explores the meanings of parents and teachers other-oriented hope related to eye gaze technology for children with severe disabilities. A secondary analysis of six parents and five teachers interview transcripts was conducted in accordance with a phenomenological-hermeneutic research method. The eye gaze controlled computer creates new imaginations of a brighter future for the child, but also becomes a source for motivation and action in the present. The other-oriented hope occurs not just in the future; it is already there in the present and opens up new alternatives and possibilities to overcome the difficulties the child is encountering today. Both the present situation and the hope for the future influence each other, and both affect the motivation for using the technology. This emphasises the importance of clinicians giving people opportunities to express how they see the future and how technology could realise this hope.

  • 87.
    Rytterström, Patrik
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences.
    Borgestig, Maria
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Hemmingsson, Helena
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Teachers’ experiences of using eye gaze-controlled computers for pupils with severe motor impairments and without speech2016In: European Journal of Special Needs Education, ISSN 0885-6257, E-ISSN 1469-591X, Vol. 31, no 4, p. 506-519Article in journal (Refereed)
    Abstract [en]

    The purpose of this study is to explore teachers’ experiences of using eye gaze-controlled computers with pupils with severe disabilities. Technology to control a computer with eye gaze is a fast growing field and has promising implications for people with severe disabilities. This is a new assistive technology and a new learning situation for teachers. Using a reflective lifeworld approach, 11 teachers were interviewed twice. The essence of the phenomenon of teaching pupils who use an eye gaze-controlled computer is to understand what the pupil does with the computer and relate this to what the pupil wants to express through the computer. The pupils have emotions, wishes and knowledge that are trapped in their own bodies. The eye gaze computer creates opportunities to get a glimpse of these thoughts to others, and creates hope concerning the pupil’s future possibilities. The teacher’s responsibility to try to understand what is inside the pupil’s trapped body is a motivating factor to integrate the computer in everyday classroom activities. The results give directions for teaching and for implementation of eye gaze computers in the school system, and also suggest improvements that could be made to computers.

  • 88.
    Sandqvist, Jan
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Ekbladh, Elin
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Applying the Model of Human Occupation to Vocational Rehabilitation2017In: Kielhofner's Model of Human Occupation, Fifth Edition: THEORY AND APPLICATION / [ed] Renee Taylor, Wolters Kluwer, 2017, 5, p. 377-396Chapter in book (Other academic)
  • 89.
    Sargenius Landahl, Kristina
    et al.
    Karolinska Inst, Sweden.
    Sandqvist, Jan
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences. Danderyd Hosp, Sweden.
    Bartfai, Aniko
    Karolinska Inst, Sweden.
    Schult, Marie-Louise
    Karolinska Inst, Sweden.
    Is a structured work task application for the assessment of work performance in a constructed environment, useful for patients with attention deficits?2019In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165Article in journal (Refereed)
    Abstract [en]

    Background: The purpose of our study was to develop a Structured Work Task application for the Assessment of Work Performance for patients with attention deficits. Material and methods: We developed a computer-based registration task titled the Attention-demanding Registration Task. It had a structured administrative procedure with additional scoring regarding time and accuracy, also linked to the original scoring of the Assessment of Work Performance. We evaluated the Attention-demanding Registration Task for content validity. Furthermore, we investigated it concerning sensitivity and specificity in patients with attention deficits due to acquired brain injury (n = 65) against a comparison group of healthy people (n = 47). Results: Our investigation on content validity using the Assessment of Work Characteristics confirmed that the Attention-demanding Registration Task sets high demands on process skills, especially on energy, temporal organization, and adaptation. The Attention-demanding Registration Task showed high sensitivity and specificity in differing between patients with attention deficits and a healthy working group; nine out of ten participants were placed in the correct group. Conclusions: To assess work performance, the use of a Structured Work Task application, the Attention-demanding Registration Task, linked with the Assessment of Work Performance, proved to be sensitive to attention deficits.

  • 90.
    Sernheim, Åsa-Sara
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Time for Activities for Girls and Women with Rett Syndrome2018Licentiate thesis, comprehensive summary (Other academic)
    Abstract [en]

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

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

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

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

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

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

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

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

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

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

    Place, publisher, year, edition, pages
    Taylor & Francis, 2018
    Keywords
    Activities of daily living, human activities, human development, neurodevelopmental disorders, qualitative research
    National Category
    Health Sciences
    Identifiers
    urn:nbn:se:liu:diva-136247 (URN)10.1080/11038128.2016.1250812 (DOI)000436878200005 ()27817243 (PubMedID)2-s2.0-84994304785 (Scopus ID)
    Available from: 2017-04-03 Created: 2017-04-03 Last updated: 2018-07-26Bibliographically approved
  • 91.
    Sernheim, Åsa-Sara
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences. Swedish National Rett Center, Östersund.
    Hemmingsson, Helena
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Witt Engerström, Ingegerd
    Swedish National Rett Center, Östersund.
    Liedberg, Gunilla
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Activities that girls and women with Rett syndrome liked or did ot like to do2018In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 25, no 4, p. 267-277Article in journal (Refereed)
    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.

  • 92.
    Ström, Isabella
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Arbetsterapeutens förhållningssätt till föräldrar som har ett barn med funktionsnedsättning: - En litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 93.
    Ståhl, Christian
    et al.
    Linköping University, Department of Behavioural Sciences and Learning, Education and Sociology. Linköping University, Faculty of Medicine and Health Sciences.
    Karlsson, Elin
    Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences.
    Sandqvist, Jan
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Hensing, Gunnel
    Univ Gothenburg, Sweden.
    Brouwer, Sandra
    Univ Groningen, Netherlands.
    Friberg, Emilie
    Karolinska Inst, Sweden.
    MacEachen, Ellen
    Univ Waterloo, Canada.
    Social insurance literacy: a scoping review on how to define and measure it2019In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165Article, review/survey (Refereed)
    Abstract [en]

    Purpose: Sickness insurance and workers? compensation systems decide on peoples? eligibility for benefits, and are commonly based on medical certificates and assessments of work ability. Systems differ in the extent to which they preserve clients? dignity and right to fair assessments. In this article, we define a new concept for studying interactions between individuals and systems: social insurance literacy, which concerns how well people understand the different procedures and regulations in social insurance systems, and how well systems communicate with clients in order to help them understand the system. Methods: The concept was defined through a scoping literature review of related concepts, a conceptual re-analysis in relation to the social insurance field, and a following workshop. Results: Five related concepts were reviewed for definitions and operationalizations: health literacy, financial/economic literacy, legal capability/ability, social security literacy, and insurance literacy. Conclusions: Social insurance literacy is defined as the extent to which individuals can obtain, understand and act on information in a social insurance system, related to the comprehensibility of the information provided by the system. This definition is rooted in theories from sociology, social medicine and public health. In the next step, a measure for the concept will be developed based on this review.

  • 94.
    Ståhl, Christian
    et al.
    Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences.
    Sandqvist, Jan
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Seing, Ida
    Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences.
    Aktivitetsförmågeutredning (AFU): Tillämpning, upplevelser och utfall2017Report (Other academic)
    Abstract [en]

    Since 2010, the Swedish Social Insurance Agency (SSIA) has developed a new method for activity ability assessments (aktivitetsförmågeutredning, AFU). This method is to be used when assessing work ability in relation to normally available jobs on the labor market, which is done after 180 days of sick leave. The assessment is based on a self-report from the person on sick leave, combined with an examination by specially trained physicians. If needed, an extended assessment may be carried out by occupational therapists, physiotherapists and/or psychologists. AFU has been tested on a limited scale since 2011, which has been gradually extended.

    In this study, 300 assessments have been analyzed through regression analyses in relation to register data from the SSIA, and 30 case files have been analyzed through qualitative text analysis. Interviews has been carried out with insurance officials, physicians and sick-listed individuals who have undergone the assessment. The study have analyzed assessments carried out between 2013 and 2014. The overall results show that AFU as an assessment tool generally is in line with the self-reported ability, and there are no differences in continued sick leave based on gender or age. Physicians’ assessments in AFU does not predict future sick leave, which the self-reported assessment does. Insurance officials and physicians generally consider the method to be useful and that it provides relevant and useful information. It is however used sparsely, which is related to its limited implementation. Extended assessments are appreciated by officials and physicians as they provide more information; there are however no differences in future sick-leave between those who underwent extended assessments and those who did not.

    AFU leads to different outcomes depending on the character of the case, where some are granted continued benefits while some gets denied. The assessment has a more significant role in cases where the SSIA denies benefits, where it serves to legitimize the decision. The experiences of people who has undergone the assessment differs, and not only between those who got benefits granted or denied. The contact with the SSIA and the dialogue with the insurance officials seems to have a large influence on how the sick-listed experience the assessment and the decisions it leads to. Officials and health care professionals involved in the assessment hence have an important pedagogical task in explaining the purpose with the assessment and its different parts, in order for the sick-listed not to feel that the assessment is standardized and not considering individual conditions.

  • 95.
    Ståhl, Christian
    et al.
    Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. HELIX Competence Centre, Linköping University, Linköping, Sweden.
    Seing, Ida
    Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences.
    Gerdle, Björn
    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.
    Sandqvist, Jan
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Fair or square? Experiences of introducing a new method for assessing general work ability in a sickness insurance context2019In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 6, p. 656-665Article in journal (Refereed)
    Abstract [en]

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

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

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

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

  • 96.
    Svedlund, Sanna
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Tapper, Josefine
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Hur unga vuxna som tagit del av arbetsinriktade insatser upplever övergången från skola till arbete: Behov av stöd i övergången2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

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

  • 97.
    Svensson, Elise
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Kåhlin, Ida
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Kjellberg, Anette
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Residential environment impact scale: Utilization of the Swedish version2018In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 25, no 6, p. 419-427Article in journal (Refereed)
    Abstract [en]

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

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

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

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

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

  • 98.
    Sverker, Annette
    et al.
    Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in Central Östergötland, Department of Activity and Health.
    Thyberg, Ingrid
    Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Department of Rheumatology.
    Valtersson, Eva
    Linköping University, Department of Medical and Health Sciences. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in Central Östergötland, Department of Activity and Health.
    Björk, Mathilda
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Department of Rheumatology. Department of Rheumatology, Department of Social and Welfare Studies, Linköping University, Sweden.
    Hjalmarsson, Sara
    Patient Research Partner, Swedish Rheumatism Association, Norrköping, Sweden.
    Östlund, Gunnel
    Mälardalen University, Eskilstuna, Sweden.
    Time to update the ICF by including socioemotional qualities of participation?: The development of a ‘patient ladder of participation’ based on interview data of people with early rheumatoid arthritis (The Swedish TIRA study)2019In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165Article in journal (Refereed)
    Abstract [en]

    Purpose: The aim of was to identify and illustrate in what situations and with what qualities people with early RA experience participation in every day’s life.

    Methods: 59 patients (age 18-63 years) were interviewed; 25 men and 34 women. Content analysis was used to identify meaning units which were sorted based on type of situations described and later on, categories based on quality aspects of participation were developed.

    Results: Participation was described as: 1. being part of a group, where a sense of belonging arose. 2. In doing activities with others for example at work or in leisure. 3. When sharing everyday chores and responsibilities for example in domestic duties. 4. When experiencing influence on actions such as when being asked for opinions on how to conduct a specific task. 5. When having the possibility to give direction of goals in rehabilitation, or elsewhere. 6. When sharing decision making and experiencing a high degree of influence in the situation.

    Conclusions: Participation from an individual’s perspective is about belonging and having influence that mediates a positive feeling of being included and that you matter as a person. The results are important when using participation as a goal in clinical care. It’s important to expand participation beyond the definitions in ICF and guidelines to include the patients’ socio-emotional participation in order to promote health.

  • 99.
    Söderlund Schaller, Anne
    et al.
    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.
    Dragioti, Elena
    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.
    Liedberg, Gunilla
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Larsson, Britt
    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.
    Quality of life during early radiotherapy in patients with head and neck cancer and pain2017In: Journal of Pain Research, ISSN 1178-7090, E-ISSN 1178-7090, Vol. 10, p. 1697-1704Article in journal (Refereed)
    Abstract [en]

    Background: Patients with head and neck cancer (HNC) have a potentially severe diagnosis and often suffer from tumor-related pain as well as from adverse side effects of treatment such as radiotherapy (RT). Knowledge about quality of life (QoL) during early RT in this group is limited and should be assessed in relation to diagnosis and treatment. Purpose: The purpose of this cross-sectional study was to identify potential factors that may influence QoL in patients with HNC during the early stages of RT (no later than two weeks of ongoing RT). We hypothesized that pain intensity, pain interference, catastrophizing, and mood disturbances are associated with QoL during early RT. Patients and methods: In this study, 54 patients (53% of eligible patients) diagnosed with HNC were consecutively recruited from the regular flow to the Pain and Rehabilitation Center at Linkoping University. The patients completed self-reported questionnaires on sociodemo-graphics, pain intensity, pain interference, anxiety, depression, pain catastrophizing, and QoL. Results: The patients in this study scored high for QoL, low for pain intensity, and low for pain interference. The patients reported minor depressive symptoms and anxiety symptoms. Regression analyses showed that pain intensity and depressive symptoms negatively influenced QoL. Conclusion: No later than two weeks of RT, pain intensity and depression negatively influenced QoL in patients with HNC. Early screening for pain and depression in a targeted preventive strategy might maintain QoL during the course of the RT for patients with HNC. This assumption needs to be further investigated.

  • 100.
    Thyberg, Ingrid
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Department of Rheumatology.
    Dahlström, Örjan
    Linköping University, Department of Behavioural Sciences and Learning, Disability Research. Linköping University, Faculty of Arts and Sciences. Linköping University, The Swedish Institute for Disability Research.
    Björk, Mathilda
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Department of Rheumatology.
    Stenström, Birgitta
    Linköping University, Department of Clinical and Experimental Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Department of Rheumatology.
    Adams, Jo
    Centre for Innovation and Leadership, Faculty of Health Sciences, University of Southampton, Southampton, UK.
    Hand pains in women and men in early rheumatoid arthritis, a one year follow-up after diagnosis. The Swedish TIRA project2017In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 39, no 3, p. 291-300Article in journal (Refereed)
    Abstract [en]

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

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

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

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

    • Implications for Rehabilitation
    • General pain and hand pain remain a problem in RA despite today's early intervention and effective disease control with new era biologics.
    • The extent of hand pain evidenced in our work gives a more detailed and comprehensive account of pain status.
    • Higher hand pain during active grip testing than that during rest indicates a potential relationship to ongoing activity limitation.
    • Hand pain assessment can help guiding multi-professional interventions directed to reduce hand pain and thereby probably reduce activity limitations.
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