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Publications (10 of 36) Show all publications
Moorthy, S. D., Björklund Carlstedt, A. & Fischl, C. (2023). Mothers' participation in family gatherings and social events with their children with autism spectrum disorder: A scoping review. Australian Occupational Therapy Journal, 70(4), 500-513
Open this publication in new window or tab >>Mothers' participation in family gatherings and social events with their children with autism spectrum disorder: A scoping review
2023 (English)In: Australian Occupational Therapy Journal, ISSN 0045-0766, E-ISSN 1440-1630, Vol. 70, no 4, p. 500-513Article, review/survey (Refereed) Published
Abstract [en]

Introduction: Participating in family gatherings can provide enjoyment and quality time together as a family. However, being the primary carers, mothers of children with autism spectrum disorder may experience this phenomenon differently. The purpose of this study is to explore how available literature describes mothers' experiences of participation in family gatherings and social events with their children with autism spectrum disorder.

Methods: A scoping review was used to explore available literature and identify studies describing mothers' experiences of family gatherings and social events with their children. A thematic synthesis was performed to analyse and synthesise the findings.

Results: A total of 8 articles were included for review. The analysis of the included studies resulted in one central theme-Negative experiences despite strategies-and four analytical themes: Feeling fear, stress, and anxiety; Avoiding family gatherings; Enjoying less and becoming less confident; and Using strategies.

Conclusion: These findings indicate that mothers of children with autism spectrum disorder experience difficulties during gatherings even when using strategies, hence limiting their participation.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023
Keywords
becoming, being, belonging, doing, mothering, occupational therapy, social participation
National Category
Occupational Therapy
Identifiers
urn:nbn:se:hj:diva-60388 (URN)10.1111/1440-1630.12876 (DOI)000980878500001 ()37139858 (PubMedID)2-s2.0-85158054760 (Scopus ID)HOA;intsam;880818 (Local ID)HOA;intsam;880818 (Archive number)HOA;intsam;880818 (OAI)
Available from: 2023-05-22 Created: 2023-05-22 Last updated: 2023-08-29Bibliographically approved
Narbutaitienė, J., Björklund Carlstedt, A. & Fischl, C. (2023). Stroke survivors’ experiences and meaning of digital technology in daily life: a phenomenological study. Disability and Rehabilitation: Assistive Technology
Open this publication in new window or tab >>Stroke survivors’ experiences and meaning of digital technology in daily life: a phenomenological study
2023 (English)In: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115Article in journal (Refereed) Epub ahead of print
Abstract [en]

Purpose: The aim of the study was to explore the experiences and meaning of digital technology in daily life by stroke survivors. Materials and methods: A phenomenological study design helped to collect rich and in-depth understanding of stroke survivors’ experiences and meaning of digital technology in their daily life and their perspective of applying digital technology in the implementation of stroke-related telerehabilitation services. Thematic analysis was used for data analysis. Findings: An overarching theme emerged: A spectrum of challenges, personal preferences, strategies to manage, and attitudes towards the use of digital technology in daily life. Conclusion: The findings revealed that participants’ different experiences influenced their perceived meaning of digital technology in daily life and the interest to participate in telerehabilitation services.

Place, publisher, year, edition, pages
Taylor & Francis, 2023
Keywords
Digital competence, eHealth, occupational therapy, rehabilitation, telerehabilitation
National Category
Occupational Therapy
Identifiers
urn:nbn:se:hj:diva-59893 (URN)10.1080/17483107.2023.2174605 (DOI)000924876700001 ()36740734 (PubMedID)2-s2.0-85147651719 (Scopus ID)HOA;intsam;862051 (Local ID)HOA;intsam;862051 (Archive number)HOA;intsam;862051 (OAI)
Available from: 2023-02-21 Created: 2023-02-21 Last updated: 2023-03-02
Iqbal, S., Fristedt, S., Asai, R., Fischl, C. & Sako, K. (2022). Co-designing digital self-care in later life. In: OR64: OR for a better world together: The Operational Research Society’s Annual Conference, 13-15 September 2022: Abstracts book. Paper presented at Operational Research Society’s Annual Conference, 13-15 September 2022, Coventry, United Kingdom (pp. 63-63).
Open this publication in new window or tab >>Co-designing digital self-care in later life
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2022 (English)In: OR64: OR for a better world together: The Operational Research Society’s Annual Conference, 13-15 September 2022: Abstracts book, 2022, p. 63-63Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

The discipline of Digital health is devoted to the accumulation of sociotechnical aspects which includes running digital care programs, healthcare technologies, sharing health related experiences, providing support for the people with chronic diseases and healthcare needs of the society to deliver the healthcare services in an effective manner. This is a special project which is focused on older persons’ health (range 65 to 79 years) in the home setting from the perspectives of design science, information ethics, systems thinking, information technology, and occupational science/therapy. Older people represent a particular community which is very focused on self-care to maintain and enhance health, prevent disease and cope with illness, as well as keep themselves social and participate in their community. However, generally, it is thought that the elderly community is reluctant to adopt new technologies and are seldomly included in the development of new technologies. Therefore, it is relevant to ask: How can emerging technologies support older person’s self-care and social participation? Implementation and use of technology at home is not only important for the older persons and their families, but it also impacts other stakeholders including care personnel, municipal health and social care managers as well as health sector policymakers. Overall, aim of the project is to establish the sustainable process of capturing and describing the self-care requirements and specifications for older people in Sweden and Japan through the development of a digital self-care tool together with older people. Following goals are set for this project:

  • To establish close collaborations with the technology industry (e.g., medtech start-ups from Sweden and Japan).
  • Applying ELSI framework.
  • Seeking partners from researcher and practitioners’ community, industry, end-users.
  • To explore the needs of community-dwelling older persons for self-care and participation in their communities and society.
  • To explore available technologies to support older persons’ self-care and digital engagement in the communities and society.
Keywords
self-care, co-desinging, ethics by design, ELSI, participatory design
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hj:diva-62632 (URN)
Conference
Operational Research Society’s Annual Conference, 13-15 September 2022, Coventry, United Kingdom
Available from: 2023-10-10 Created: 2023-10-10 Last updated: 2023-10-10Bibliographically approved
Iqbal, S., Fristedt, S., Asai, R. & Fischl, C. (2022). Co-designing digital self-care in later life. In: : . Paper presented at International Symposium on Digital Transformations, 15-16 February 2022.
Open this publication in new window or tab >>Co-designing digital self-care in later life
2022 (English)Conference paper, Oral presentation only (Refereed)
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hj:diva-62641 (URN)
Conference
International Symposium on Digital Transformations, 15-16 February 2022
Available from: 2023-10-10 Created: 2023-10-10 Last updated: 2023-10-10Bibliographically approved
Annear, M., Fristedt, S., Fischl, C., Fischl, G., Laddawong, T. & Chiba, M. (2022). Healthy and active ageing in place in urban Japan and Sweden – A MIRAI seed funding project. In: : . Paper presented at Mirai 2.0 Research and Innovation Week 2022, November 15-18, 2022, Kyushu University, Fukuoka, Japan.
Open this publication in new window or tab >>Healthy and active ageing in place in urban Japan and Sweden – A MIRAI seed funding project
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2022 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Civil Engineering Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hj:diva-62631 (URN)
Conference
Mirai 2.0 Research and Innovation Week 2022, November 15-18, 2022, Kyushu University, Fukuoka, Japan
Available from: 2023-10-10 Created: 2023-10-10 Last updated: 2023-10-10Bibliographically approved
Annear, M., Laddawong, T., Chiba, M., Fristedt, S., Fischl, C. & Fischl, G. (2022). Urban walkability in Tokyo’s aging neighborhoods: Barriers and insights for age-friendly planning. In: : . Paper presented at Mirai 2.0 Research and Innovation Week 2022, November 15-18, 2022, Kyushu University, Fukuoka, Japan.
Open this publication in new window or tab >>Urban walkability in Tokyo’s aging neighborhoods: Barriers and insights for age-friendly planning
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2022 (English)Conference paper, Oral presentation only (Refereed)
National Category
Civil Engineering
Identifiers
urn:nbn:se:hj:diva-62630 (URN)
Conference
Mirai 2.0 Research and Innovation Week 2022, November 15-18, 2022, Kyushu University, Fukuoka, Japan
Available from: 2023-10-10 Created: 2023-10-10 Last updated: 2023-10-10Bibliographically approved
Fischl, C. (2021). Ageing in a digital society. In: : . Paper presented at MIRAI 2.0 Digital Research and Innovation Week, 7-11 June 2021.
Open this publication in new window or tab >>Ageing in a digital society
2021 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hj:diva-62642 (URN)
Conference
MIRAI 2.0 Digital Research and Innovation Week, 7-11 June 2021
Available from: 2023-10-10 Created: 2023-10-10 Last updated: 2023-10-10Bibliographically approved
Fischl, C. (2021). Att åldras i ett digitalt samhälle [Ageing in a digital society]. In: : . Paper presented at Arbetsterapiforum 2021, 16-17 March 2021.
Open this publication in new window or tab >>Att åldras i ett digitalt samhälle [Ageing in a digital society]
2021 (Swedish)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-62643 (URN)
Conference
Arbetsterapiforum 2021, 16-17 March 2021
Available from: 2023-10-10 Created: 2023-10-10 Last updated: 2023-10-10Bibliographically approved
Fischl, C., Johansson, A. & Nilsson, I. (2021). Building professional resilience to meet challenges emerging from digitalization. In: : . Paper presented at 2nd COTEC-ENOTHE Congress, 15-18 September 2021.
Open this publication in new window or tab >>Building professional resilience to meet challenges emerging from digitalization
2021 (English)Conference paper, Oral presentation only (Refereed)
Abstract [en]

Professional resilience deals with a person’s capacity to overcome challenges in one’s work or practice and to use resulting experiences for personal and professional development. Digitalization has become one of the challenges occupational therapists encounter today. Concerns include meeting clients with occupational issues involving digital technology, improving one’s own and clients’ digital competence, using telehealth in the workplace, and keeping updated with e-health products or services. Building professional resilience involves finding opportunities for reflection, discussions, and a supportive environment. Thus, the objective of this workshop is to provide an opportunity to reflect on one’s practice and share ideas and strategies to deal with challenges emerging from digitalization.

The workshop will start with information about results from research and development work, continue with reflection and small group discussions, and close with a summary of what has been discussed. By the end of the workshop, participants are expected to (1) identify at least one personal strength to meet an identified challenge, (2) identify at least one strategy that can be applied in their own practice, and (3) identify at least one resource that can serve as support.

Keywords
Developing resilience
National Category
Occupational Therapy
Identifiers
urn:nbn:se:hj:diva-62644 (URN)
Conference
2nd COTEC-ENOTHE Congress, 15-18 September 2021
Note

Workshop.

Available from: 2023-10-10 Created: 2023-10-10 Last updated: 2023-10-10Bibliographically approved
Fischl, C. (2020). Ageing in a digital society: an occupational perspective on social participation. (Doctoral dissertation). Umeå: Umeå University
Open this publication in new window or tab >>Ageing in a digital society: an occupational perspective on social participation
2020 (English)Doctoral thesis, comprehensive summary (Other academic)
Alternative title[sv]
Att åldras i ett digitalt samhälle : ett aktivitetsperspektiv på social delaktighet
Abstract [en]

Background: For older adults to continue being healthy and active participants in an evolving digitalized society, there is a need to support their social participation through engagement in occupations that they need, want, or are expected to do in accordance to the roles that they assume. Occupational therapists together with other professionals face emerging challenges to promote older adults’ engagement in occupations mediated by digital technology. It is therefore relevant to acquire an understanding about how older adults continue to participate in their daily lives and engage in the occupations within their particular contexts. It is also relevant to explore ways to tailor supports for engaging in contemporary occupations and to measure the outcomes of such supports. 

Aim: The overall aim of this thesis was to develop knowledge to support older adults’ social participation through engagement in occupations mediated by digital technology. Developing knowledge entailed an exploration of older adults’ engagement in occupations mediated by digital technology (Study I), their contexts surrounding social participation (Study II), and tailoring supports for engagement (Study III). Additionally, part of developing knowledge also entailed an investigation of how outcomes of tailoring – specifically ability to perform occupation mediated by digital technology and ability to manage technology – could be measured and related (Study IV).

Methods: Study participants were selected from rural and urban municipalities in Northern Sweden. In Study I, data was gathered through concurrent think aloud protocol and observations of ten older adults, aged 66-79 years, while they engaged in occupations that involved digital technology. Narrative inquiry was used to illuminate features in their occupational engagement and participation in daily life. In Study II, focus group interviews of eighteen older adults, aged 66-81 years, were conducted and analyzed using qualitative content analysis.  Study III used a multiple case study methodology that included nine cases. Each case involved one adult who participated in a collaborative process to tailor supports for engagement in occupations mediated by digital technology. Data was gathered through questionnaires, observations, fieldnotes, memos for tailoring, and interviews, and then analyzed through cross-case synthesis. Nine older adults, aged 74-95 years, participated. In Study IV, twenty-five older adults, aged 71-93 years, were observed in their performances of digital technology-mediated occupations and scored on the Assessment of Computer-Related Skills and the Management of Everyday Technology Assessment. Data was analyzed using Rasch analysis and Spearman correlation test. 

Results: Findings in Study I were presented as three stories reflecting facets of participation – Being alone, Belonging together, and Being alone together. The stories illuminated older adults’ participation involving digital technology as a negotiation of needs and values, refinement of identities, and experience of meaning during interactions with technological and social environments. Findings in Study II were sorted in three categories – Experiencing conditions for social participation in a state of flux, Perceiving drawbacks of urbanization on social participation, and Welcoming digital technology that facilitates daily and community living – and encapsulated in the theme The juxtaposition of narrowing offline social networks and expanding digital opportunities for social participation. The findings suggested that facilitating satisfactory use of digital technologies and co-creating usable digitalized services could support older adults’ social participation through occupations that they find relevant in their lives, and subsequently, might enable them to live longer at home. Study III resulted in a proposed scheme for tailoring to support older adults’ engagement in digital technology-mediated occupations. The scheme included various intervention strategies tailored to persons in their contexts, such as adapting visual settings on the device and forming instructional materials based on the older adults' needs and preferences. Tailoring interventions require collaboration with other professionals. Results in Study IV indicated preliminary evidence of internal validity and reliability in two aforementioned instruments on a small sample of older adults. Results also showed that there is a significant and strong positive correlation between the ability to engage in digital technology-mediated occupations and the ability to manage digital technology. It implies that an older person who is more able to engage in digital technology-mediated occupations will likely have more ability to manage digital technology and vice versa. In the same manner, an older person who is less able to engage in digital technology-mediated occupations will likely have less ability to manage digital technology and vice versa.

Conclusions: In the contexts of ageing, narrowing social networks, and expanding digital possibilities, participation through satisfactory digital technology use can provide older adults opportunities to continue being active members of society. A scheme has been proposed to tailor supports for older adults’ occupational engagement, which needs further testing in various practice settings. Instruments for measuring outcomes of tailored supports have also been identified but need further validation in studies with older people.

Abstract [sv]

Bakgrund: För att äldre personer ska kunna fortsätta att vara hälsosamma och aktiva medborgare i ett digitaliserat samhälle behöver det finnas stöd för social delaktighet genom engagemang i aktiviteter som de behöver, vill eller förväntas göra i enlighet med de roller de har. Arbetsterapeuter tillsammans med andra yrkespersoner står inför nya utmaningar för att främja äldre personers engagemang i aktiviteter som utförs med hjälp av digital teknik. Det är därför relevant att få en förståelse för hur äldre personer deltar i sitt dagliga liv och engagerar sig i aktiviteter i sin kontext. Det är också relevant att utforska metoder för att skräddarsy stöd så att de ska kunna engagera sig i aktiviteter och för att mäta resultaten av dessa stöd.

Syfte: Det övergripande syftet med denna avhandling var att utveckla kunskap som kan användas för att stödja äldre personers sociala delaktighet genom engagemang i aktiviteter som utförs med hjälp av digital teknik. Detta har gjorts genom att utforska äldre personers engagemang i aktiviteter som utförs med hjälp av digital teknik (Studie I), deras kontext i samband med social delaktighet (Studie II) och skräddarsydda stöd för engagemang (Studie III). En studie syftade också till att undersöka hur förmågor kan mätas och relateras, särskilt förmågan att utföra aktiviteter med hjälp av digital teknik och förmågan att hantera teknik när skräddarsytt stöd har givits (Studie IV). 

Metoder: Studiernas deltagare kommer från olika kommuner i norra Sverige. I Studie I samlades data in med hjälp av tänka-högt metoden och observationer av tio äldre personer, i åldern 66–79 år, när de genomförde aktiviteter som involverade digital teknik. Narrativ metod användes för att belysa aspekter av deras engagemang i aktiviteter och delaktighet i det dagliga livet. I Studie II genomfördes och analyserades fokusgruppsintervjuer med arton äldre personer, mellan 66–81 år, genom kvalitativ innehållsanalys. I Studie III användes flerfallstudier som inkluderade nio fall, där varje fall bestod av en person som deltog i en samarbetsprocess för att skräddarsy stöd för engagemang i aktiviteter som utförs med hjälp av digital teknik. Data samlades in genom frågeformulär, observationer, fältnoteringar, memos om skräddarsydda stöd och intervjuer. Materialet analyserades sedan genom korsfallssyntes. Nio äldre personer, i åldern 74–95 år, deltog. I Studie IV observerades 25 äldre personer, i åldrarna 71–93 år, när de utförde aktiviteter medierade via digital teknik och bedömning genomfördes med hjälp av instrumenten Assessment of Computer-Related Skills och Management of Everyday Technology Assessment. Data analyserades med hjälp av Rasch analys och Spearman korrelation. 

Resultat: Resultatet i Studie I presenterades som tre berättelser som återspeglar aspekter av delaktighet – att vara ensamatt tillhöra varandraoch att vara ensam tillsammans. Berättelserna belyste äldre personers delaktighet med hjälp av digital teknik som en förhandling av deras behov och värderingar, förfining av identiteter samt upplevelser av mening vid interaktioner med tekniska och sociala miljöer. Resultaten i Studie II sorterades i tre kategorier – att uppleva förändrade förutsättningar för social delaktighetatt uppfatta nackdelarna med urbanisering för social delaktighetoch att välkomna digital teknik som underlättar dagligt och samhälleligt liv. Det övergripande temat blev Ettkrympande socialt nätverk och en utvidgning av digitala möjligheter för social delaktighet står sida vid sida. Resultaten antydde att underlättande av tillfredsställande användning av digital teknik och samskapande av användbara digitala tjänster skulle kunna stödja äldres sociala delaktighet genom aktiviteter som de finner relevanta i sina liv, vilket kan göra det möjligt för dem att bo kvar hemma längre. Studie III resulterade i ett strukturerat tillvägagångsätt för att skräddarsy interventioner som stödjer äldres engagemang i aktiviteter medierade av digital teknik. Det strukturerade tillvägagångsättet inkluderade olika individualiserade interventionsstrategier, såsom att anpassa visuella inställningar på den digitala enheten och skapa instruktionsmaterial baserat på äldres behov och preferenser. Skräddarsydda interventioner kräver samarbete med andra professioner. Resultat i Studie IV indikerade intern validitet och reliabilitet i de två ovannämnda instrument i den deltagande gruppen äldre personer. Resultaten visade också att förmågan att utföra digital teknikmedierade aktiviteter är positivt korrelerad med förmågan att hantera digital teknik. Det innebär att en äldre person som har mer förmåga att utföra aktiviteter som utförs med hjälp av digital teknik sannolikt kommer att ha mer förmåga hantera digital teknik och vice versa. Det innebär också att en äldre person som har mindre förmåga att utföra aktiviteter som utförs med hjälp av digital teknik sannolikt kommer att ha mindre förmåga hantera digital teknik och vice versa.

Slutsatser: I samband med krympande sociala nätverk och växande digitala möjligheter kan delaktighet genom tillfredsställande användande av digital teknik ge äldre möjligheter att fortsätta vara aktiva medlemmar i samhället. Ett strukturerat tillvägagångssätt har föreslagits i syfte att skräddarsy stöd för äldre personers aktivitetsengagemang, detta behöver ytterligare testas i fler sammanhang. Instrument för att mäta resultat av skräddarsydda stöd har också identifierats men behöver ytterligare validering i studier med äldre personer.

Place, publisher, year, edition, pages
Umeå: Umeå University, 2020. p. 89
Keywords
computer, digital competence, digitalization, digital literacy, digital technology, information and communication technology, internet, intervention, occupation, occupational therapy, occupational therapy informatics, older adult, older people, social activities
National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:hj:diva-51393 (URN)978-91-7855-249-8 (ISBN)978-91-7855-250-4 (ISBN)
Public defence
2020-05-08, Triple Helix, Samverkanshuset, Umeå universitet, 09:00 (English)
Opponent
Supervisors
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2013-2143European Regional Development Fund (ERDF)
Available from: 2021-01-08 Created: 2021-01-08 Last updated: 2021-01-20Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-5015-154x

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