Endre søk
Link to record
Permanent link

Direct link
Gunnarsson, Birgitta
Alternativa namn
Publikasjoner (10 av 23) Visa alla publikasjoner
Wagman, P., Håkansson, C. & Gunnarsson, B. (2023). Aktivitetsbalans över tid mätt med både OBQ och SDO-OB hos personer med depression och ångest. In: : . Paper presented at Arbetsterapiforum 14-15 mars 2023.
Åpne denne publikasjonen i ny fane eller vindu >>Aktivitetsbalans över tid mätt med både OBQ och SDO-OB hos personer med depression och ångest
2023 (svensk)Konferansepaper, Poster (with or without abstract) (Fagfellevurdert)
HSV kategori
Identifikatorer
urn:nbn:se:hj:diva-60221 (URN)
Konferanse
Arbetsterapiforum 14-15 mars 2023
Tilgjengelig fra: 2023-04-21 Laget: 2023-04-21 Sist oppdatert: 2023-04-21bibliografisk kontrollert
Gunnarsson, B., Wagman, P., Hörberg, U., Holmgren, K., Holmberg, S. & Sternudd, H. T. (2023). Be-WellTM – fotostödda samtal för att främja hälsa och välbefinnande hos personer med stressrelaterad ohälsa i primärvården. In: : . Paper presented at Arbetsterapiforum 14-15 mars 2023.
Åpne denne publikasjonen i ny fane eller vindu >>Be-WellTM – fotostödda samtal för att främja hälsa och välbefinnande hos personer med stressrelaterad ohälsa i primärvården
Vise andre…
2023 (svensk)Konferansepaper, Oral presentation with published abstract (Fagfellevurdert)
Abstract [sv]

Bakgrund/Syfte

Stressrelaterad ohälsa är ett stort samhällsproblem. Vi har utvecklat en hälsofrämjande behandlingsmetod med fotostödda samtal, Be-WellTM, med förhoppningen att bidra till att minska den stressrelaterade ohälsan. Metoden fokuserar på det som främjar hälsa och välbefinnande trots ohälsa och inte på symtom och problem i vardagen. Be-WellTM bygger på kunskap om betydelsen av hälsa, välbefinnande, vardagliga aktiviteter och aktivitetsbalans. Be-WellTM baserat på erfarenheter från tidigare studie i primärvården där kvinnor med stressrelaterad ohälsa fotograferade sådant som relaterade till deras välbefinnande trots stress. I intervjuerna framkom att kvinnorna blev uppmärksamma på sitt välbefinnande, vilket möjliggjorde perspektivförskjutning från det som inte fungerar i vardagen till det som fungerar.

Syftet är att utvärdera Be-WellTM för personer i primärvården med diagnosticerad stressrelaterad ohälsa.

Metod/Tillvägagångssätt

Be-WellTM innebär att deltagare tar fotografier med mobil på sådant som ger välbefinnande i vardagen, för att sedan använda dem som utgångspunkt för reflekterande samtal med behandlare vid sammanlagt 12 tillfällen. 

I en pågående kontrollerad studie i primärvården får interventionsgruppen Be-WellTM av arbetsterapeut som tillägg till sedvanlig behandling.  Inklusionskriterier är personer i yrkesverksam ålder med stressrelaterad ohälsa. Data från frågeformulär, intervjuer och fotografier samlas in före och efter intervention, samt sex månader efter intervention och behandlarna intervjuas också. Datainsamling beräknas vara avslutad början av 2023. Kvantitativa som kvalitativa analyser kommer att genomföras.

Resultat/Preliminärt resultat

Indikationer från intervjuer tyder på att patienter och behandlare uppskattar metoden. Vi planerar att presentera metoden Be-WellTM samt preliminära resultat i samband med Arbetsterapiforum.

Slutsats/Praktisk tillämpning

Presentationen ger kännedom om en möjlig behandlingsmetod som är enkel att införa i primärvården.

Emneord
Aktivitetsbalans, instrumentutveckling, Occupational Balance Questinnaire
HSV kategori
Identifikatorer
urn:nbn:se:hj:diva-60219 (URN)
Konferanse
Arbetsterapiforum 14-15 mars 2023
Tilgjengelig fra: 2023-04-21 Laget: 2023-04-21 Sist oppdatert: 2023-04-21bibliografisk kontrollert
Gunnarsson, B., Hörberg, U., Holmberg, S., Sternudd, H. T., Holmgren, K. & Wagman, P. (2022). An intervention using photo-supported conversations about well-being in people with stress related disorders. In: : . Paper presented at 18th WFOT Congress, 27 August 2022, Paris, France.
Åpne denne publikasjonen i ny fane eller vindu >>An intervention using photo-supported conversations about well-being in people with stress related disorders
Vise andre…
2022 (svensk)Konferansepaper, Oral presentation with published abstract (Fagfellevurdert)
HSV kategori
Identifikatorer
urn:nbn:se:hj:diva-60223 (URN)
Konferanse
18th WFOT Congress, 27 August 2022, Paris, France
Tilgjengelig fra: 2023-04-21 Laget: 2023-04-21 Sist oppdatert: 2023-04-21bibliografisk kontrollert
Gunnarsson, B., Hörberg, U., Wagman, P., Holmberg, S., Holmgren, K. & Sternudd, H. T. (2022). Be-WellTM – photo-supported conversations to promote well-being in people living with stress-related illness. In: : . Paper presented at International Forum on Quality and Safety in Healthcare, 20-22 June 2022, Gothenburg, Sweden.
Åpne denne publikasjonen i ny fane eller vindu >>Be-WellTM – photo-supported conversations to promote well-being in people living with stress-related illness
Vise andre…
2022 (engelsk)Konferansepaper, Poster (with or without abstract) (Fagfellevurdert)
HSV kategori
Identifikatorer
urn:nbn:se:hj:diva-60224 (URN)
Konferanse
International Forum on Quality and Safety in Healthcare, 20-22 June 2022, Gothenburg, Sweden
Tilgjengelig fra: 2023-04-21 Laget: 2023-04-21 Sist oppdatert: 2023-04-21bibliografisk kontrollert
Gunnarsson, B., Håkansson, C., Hedin, K. & Wagman, P. (2022). Outcomes of the Tree Theme Method versus regular occupational therapy: A longitudinal follow-up. Australian Occupational Therapy Journal, 69(4), 379-390
Åpne denne publikasjonen i ny fane eller vindu >>Outcomes of the Tree Theme Method versus regular occupational therapy: A longitudinal follow-up
2022 (engelsk)Inngår i: Australian Occupational Therapy Journal, ISSN 0045-0766, E-ISSN 1440-1630, Vol. 69, nr 4, s. 379-390Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

INTRODUCTION: Depression and anxiety disorders affect individuals' everyday lives, and treatments that can help them to perform everyday occupations are needed. Occupational therapy for this group has been evaluated from a short-term perspective but not from a long-term perspective; further research is thus warranted. The aim of the study was to investigate the longitudinal outcomes of the Tree Theme Method (TTM) compared with care as usual, provided by occupational therapists, in terms of everyday occupations, psychological symptoms, and health-related aspects.

METHODS: This randomised controlled trial comprised a follow-up 3 and 12 months after an intervention. A total of 118 participants (19-64 years) with depression or anxiety disorders and problems with everyday occupations completed the base line questionnaires, 100 completed the follow-up at 3 months, and 84 completed the follow-up at 12 months. Imputations of missing data were performed using the last observation, and parametric analysis was used.

RESULTS: Both groups showed significant improvements (P value ≤ 0.01) in everyday occupations, psychological symptoms and health-related aspects after 3 and 12 months. No significant differences were found between the groups.

CONCLUSION: This study contributes with knowledge about the outcomes of occupational therapy for clients living with depression and anxiety disorders. Both TTM and care as usual lead to significant improvements over time concerning everyday occupations, psychological symptoms, and health-related aspects. The fact that both occupational therapy methods were associated with improvements for clients with depression and anxiety supports client-centredness in enabling an occupational therapist to choose the method best suited for the individual.

sted, utgiver, år, opplag, sider
John Wiley & Sons, 2022
Emneord
anxiety, creative activities, depression, intervention, randomised controlled trial
HSV kategori
Identifikatorer
urn:nbn:se:hj:diva-56021 (URN)10.1111/1440-1630.12796 (DOI)000765502800001 ()35257386 (PubMedID)2-s2.0-85125647746 (Scopus ID)HOA;;1643332 (Lokal ID)HOA;;1643332 (Arkivnummer)HOA;;1643332 (OAI)
Forskningsfinansiär
Medical Research Council of Southeast Sweden (FORSS)Region SkåneRegion Kronoberg
Tilgjengelig fra: 2022-03-09 Laget: 2022-03-09 Sist oppdatert: 2022-08-16bibliografisk kontrollert
Gunnarsson, B., Wagman, P., Sternudd, H. T., Holmberg, S., Holmgren, K. & Hörberg, U. (2021). A study protocol of the photo-supported conversations about the well-being intervention (Be Well™) for people with stress related disorders. BMC Psychology, 9(1), Article ID 123.
Åpne denne publikasjonen i ny fane eller vindu >>A study protocol of the photo-supported conversations about the well-being intervention (Be Well™) for people with stress related disorders
Vise andre…
2021 (engelsk)Inngår i: BMC Psychology, E-ISSN 2050-7283, Vol. 9, nr 1, artikkel-id 123Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

BACKGROUND: Stress-related illnesses constitute a huge problem in society. The primary care services in Sweden form the first line of care whose role is to coordinate interventions for reducing symptoms, as well as health-promoting interventions. There is lack of knowledge concerning health-promoting interventions for these illnesses. The aim of this study is to evaluate whether photo-supported conversations about well-being (Be Well™) as an intervention, in addition to care as usual within the primary care services, improves health and well-being for patients with stress-related illnesses. The intervention will be compared to a control group, who receive care as usual. A further aim is to conduct a process evaluation.

METHODS/DESIGN: This ongoing project has a quasi-experimental design, using quantitative and qualitative methods, and includes patients from primary care centres in two Swedish counties. Seventy patients, 20-67 years, with stress-related illnesses will be recruited. They constitute an intervention group, which receive the intervention together with care as usual, and a control group, which receive care as usual. The intervention, photo-supported conversations about well-being, involves 12 sessions. Care as usual entails medication, occupational therapy, physiotherapy and/or psychotherapy. Data collection is carried out at baseline, and outcomes are assessed directly after the intervention, as well as six months after completion of the intervention. The outcomes are evaluated based on factors related to health, well-being and everyday occupations. Furthermore, data concerning experiences of well-being and perceptions of the intervention will be collected in interviews. The therapists will also be interviewed about their experiences of performing the intervention. Data will be analysed with non-parametric statistics, and qualitative methodology.

DISCUSSION: The project is based on the concept that focusing on well-being despite living with stress-related illness may positively impact health and well-being as well as activity-related aspects, and that photo-supported conversations about well-being can contribute a complement to other treatment and rehabilitation. A strength is the use of a wide range of methods: such as quantitative measures, photographs, and qualitative interviews with participants and therapists. The results will thus provide knowledge about potential effects of this health-promoting intervention. Trial registration Clinical Trials.gov: NCT04832295; retrospectively registered 2nd April 2021 https://clinicaltrials.gov/ct2/show/NCT04832295.

sted, utgiver, år, opplag, sider
BioMed Central, 2021
Emneord
Activities in everyday life, Health promotion, Instrument, Interviews, Mental health, Photographs
HSV kategori
Identifikatorer
urn:nbn:se:hj:diva-54318 (URN)10.1186/s40359-021-00625-3 (DOI)000688119700001 ()34419148 (PubMedID)2-s2.0-85113192709 (Scopus ID)GOA;;759736 (Lokal ID)GOA;;759736 (Arkivnummer)GOA;;759736 (OAI)
Forskningsfinansiär
Medical Research Council of Southeast Sweden (FORSS), FORSS-847271; FORSS-940160
Tilgjengelig fra: 2021-08-24 Laget: 2021-08-24 Sist oppdatert: 2021-09-02bibliografisk kontrollert
Wagman, P., Hjärthag, F., Håkansson, C., Hedin, K. & Gunnarsson, B. (2021). Associations between occupational performance, occupational satisfaction, quality of life and occupational balance in people with depression and/or anxiety. In: : . Paper presented at 2nd COTEC-ENOTHE Congress 2021, Prague, Czech Republic, September 15-18, 2021 (online).
Åpne denne publikasjonen i ny fane eller vindu >>Associations between occupational performance, occupational satisfaction, quality of life and occupational balance in people with depression and/or anxiety
Vise andre…
2021 (engelsk)Konferansepaper, Oral presentation with published abstract (Fagfellevurdert)
Abstract [en]

Background: Anxiety and depressive disorders are common in western societies and related to occupational problems.

Objective: To describe occupational balance in people with anxiety and/or depression and associations with higher occupational balance.

Methods: Clients (20 men and 98 women), aged 18 to 65 years were recruited from outpatient mental health care or primary health care. They had a diagnosis of anxiety and/or depression as well as occupational problems.

The participants answered questionnaires about occupational balance, occupational performance, satisfaction with occupational performance, quality of life, and psychological problems.

Results: The participants rated generally low occupational balance. However, the level of occupational balance differed depending on their self-rated level of anxiety and depression; quality of life; occupational performance; and satisfaction with the occupational performance.

High occupational balance was, in a logistic regression, associated with high satisfaction with occupational performance, high quality of life, and low level of depression.

Conclusion: The results indicate that satisfaction with occupational performance is a relevant aspect in relation to occupational balance in clients with anxiety and depression.

HSV kategori
Identifikatorer
urn:nbn:se:hj:diva-54710 (URN)
Konferanse
2nd COTEC-ENOTHE Congress 2021, Prague, Czech Republic, September 15-18, 2021 (online)
Tilgjengelig fra: 2021-09-22 Laget: 2021-09-22 Sist oppdatert: 2021-09-22bibliografisk kontrollert
Gunnarsson, B., Wagman, P., Hedin, K. & Håkansson, C. (2021). Effectiveness of the Tree Theme Method® (TTM) versus regular occupational therapy: a longitudinal follow-up. In: : . Paper presented at 2nd COTEC-ENOTHE Congress 2021, Prague, Czech Republic, September 15-18, 2021 (online).
Åpne denne publikasjonen i ny fane eller vindu >>Effectiveness of the Tree Theme Method® (TTM) versus regular occupational therapy: a longitudinal follow-up
2021 (engelsk)Konferansepaper, Oral presentation with published abstract (Fagfellevurdert)
Abstract [en]

Background: There is need for interventions for people with depression and anxiety, not only focusing on psychological symptoms, but also how to cope with everyday life. The TTM involves that individuals during five sessions, paint and tell their life story. The focus is on everyday occupations, and finally, they create a picture of their future goals. In this study, the TTM was compared to regular occupational therapy.

Objective: The aim of this study was to evaluate the TTM compared to regular occupational therapy regarding everyday occupations, psychological symptoms and health in people with depression and/or anxiety disorders.

Methods: 118 clients, 18-65 years, diagnosed with depression or anxiety in primary care and mental health care were randomized to the TTM or regular occupational therapy. Before and after treatment as well as 3 and 12 months afterwards they answered self-assessment questionnaires. Parametric statistical analysis was used.

Results: There were continued positive significant outcomes of everyday occupations, psychological symptoms and health shown in both groups; 3 months as well as 12 months after completed treatment. No significant differences were found between the groups.

Conclusions: The TTM can contribute to an increased number of interventions for people suffering from depression and anxiety.

HSV kategori
Identifikatorer
urn:nbn:se:hj:diva-54708 (URN)
Konferanse
2nd COTEC-ENOTHE Congress 2021, Prague, Czech Republic, September 15-18, 2021 (online)
Tilgjengelig fra: 2021-09-22 Laget: 2021-09-22 Sist oppdatert: 2021-09-22bibliografisk kontrollert
Gunnarsson, B., Wagman, P., Hedin, K. & Håkansson, C. (2018). Treatment of depression and/or anxiety – outcomes of a randomised controlled trial of the tree theme method® versus regular occupational therapy. BMC Psychology, 6(25)
Åpne denne publikasjonen i ny fane eller vindu >>Treatment of depression and/or anxiety – outcomes of a randomised controlled trial of the tree theme method® versus regular occupational therapy
2018 (engelsk)Inngår i: BMC Psychology, E-ISSN 2050-7283, Vol. 6, nr 25Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Depression and anxiety disorders are a major concern in western countries, and because these often have a negative affect on everyday life interventions based on activities in everyday life are needed. The Tree Theme Method® (TTM) is a client-centred occupational therapy intervention designed to increase the ability to cope with, and to enhance satisfaction with, everyday life, both at home and at work. The aim of this study was to compare the short term outcomes of the TTM intervention with regular occupational therapy treatment for people with depression and/or anxiety disorders.

sted, utgiver, år, opplag, sider
BioMed Central, 2018
Emneord
Adults; Affective disorders; Art therapy; Intervention; Mental health
HSV kategori
Identifikatorer
urn:nbn:se:hj:diva-39523 (URN)10.1186/s40359-018-0237-0 (DOI)29792226 (PubMedID)2-s2.0-85047486330 (Scopus ID)
Forskningsfinansiär
Medical Research Council of Southeast Sweden (FORSS)
Tilgjengelig fra: 2018-05-25 Laget: 2018-05-25 Sist oppdatert: 2018-06-04bibliografisk kontrollert
Gunnarsson, B., Jansson, J.-Å., Petersson, K. & Eklund, M. (2011). Occupational therapists’ perception of the Tree Theme Method™ as an intervention in psychosocial occupational therapy. Occupational Therapy in Mental Health, 27(1), 36-49
Åpne denne publikasjonen i ny fane eller vindu >>Occupational therapists’ perception of the Tree Theme Method™ as an intervention in psychosocial occupational therapy
2011 (engelsk)Inngår i: Occupational Therapy in Mental Health, ISSN 0164-212X, E-ISSN 1541-3101, Vol. 27, nr 1, s. 36-49Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

This study investigated how occupational therapists experience utilization of the Tree Theme Method, an intervention based on creative activities and life-story telling and making. The Tree Theme Method is comprised of five sessions in which the therapist asks the client to paint symbolic trees, with specific themes representing their present life situation, childhood, adolescence, adulthood, and the future. Nine occupational therapists in mental health care were asked about their experiences when using the Tree Theme Method. The informants formed two focus groups and each group was interviewed twice. Qualitative content analysis was used to identify five categories including: (1) therapeutic frames, (2) therapist requirements, (3) client requirements, (4) the therapeutic relationship, and (5) the Tree Theme Method as a multi-dimensional process. Overall the informants were satisfied with the intervention with some variation as to therapists' perception about the helpfulness of the tool. The Tree Theme Method was experienced as a structured method of starting a therapeutic process and initiating a therapist-client relationship. The therapeutic attitude, self-knowledge, and expert knowledge seemed to be important prerequisites for the therapists when using the Tree Theme Method intervention.

Emneord
creative activities, focus group, mental health
HSV kategori
Identifikatorer
urn:nbn:se:hj:diva-14818 (URN)10.1080/0164212X.2011.543630 (DOI)
Tilgjengelig fra: 2011-03-30 Laget: 2011-03-30 Sist oppdatert: 2017-12-11bibliografisk kontrollert
Organisasjoner