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  • 1. Backman, Annika
    et al.
    Kåwe, Kerstin
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Relevance and focal view point in occupational therapists' documentation in patient case records2008In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 15, no 4, p. 212-220Article in journal (Refereed)
    Abstract [en]

    The Code of Ethics for Occupational Therapists stipulates how occupational therapists should think about the profession’s central concepts in practice, where ‘Health’ is one such concept. Other guiding principles for practice are the Occupational Therapy Process Model and the ARTUR Case Record Structure. The aim of this study has been to identify and describe how occupational therapists at a hospital in Sweden documented interventions in patient case records. A stratified and random sample of one hundred case records was evaluated in relation to a checklist. The results showed that only 21 percent of the case records were complete. Often, the notes were found under the wrong keyword and 12 percent of the occupational therapy cases were indistinct and did not belong to any of the intervention categories in which occupational therapists normally intervene. Despite this, the majority of the case records reflected the ICF’s Activity/Participation component, which could be interpreted to mean that the occupational therapists held holistic health notions in line with the code of ethics. In order to improve the occupational therapists’ documentation in patient case records, further discussions of the central concepts and guiding principles for occupational therapy are required.

  • 2.
    Bjursell, Cecilia
    et al.
    Jönköping University, School of Education and Communication, HLK, Lifelong learning/Encell.
    Björklund Carlstedt, Anita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Bridge jobs2019In: Encyclopedia of Gerontology and Population Aging / [ed] D. Gu & M. E. Dupre, Cham: Springer, 2019, p. 1-6Chapter in book (Other academic)
  • 3.
    Bjursell, Cecilia
    et al.
    Jönköping University, School of Education and Communication, HLK, Lifelong learning/Encell.
    Nystedt, Paul
    Jönköping University, Jönköping International Business School, JIBS, Economics. Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare.
    Björklund, Anita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Sternäng, Ola
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Stockholm Centre for Health and Social Change (SCOHOS).
    Education level explains participation in work and education later in life2017In: Educational gerontology, ISSN 0360-1277, E-ISSN 1521-0472, Vol. 43, no 10, p. 511-521Article in journal (Refereed)
    Abstract [en]

    A prolonged working life is crucial for sustaining social welfare and fiscal stability for countries facing ageing populations. The group of older adults is not homogeneous; however, differences within the group may affect the propensity to continue working and to participate in continuing education. The aim of this paper is to explore how participation in work and education vary with gender, age, and education level in a sample of older adults. The study was performed in Sweden, a context characterized by high female labour-market-participation rates and a high average retirement age. The participants were 232 members of four of the major senior citizens? organizations. We found no differences in participation in work and education based on gender. People older than 75 years were found to be as active as people 65?75 years old in education, but the older group worked less. There were positive associations between education level and participation in both work and education. Hence, this study implies that socio-economic inequalities along these dimensions are widened later in life. This highlights the importance of engaging workers with lower education levels in educational efforts throughout life. It also emphasizes the need for true lifelong learning in society.

  • 4.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. HHJ. Quality improvements, innovations and leadership in health care and social work. AFR.
    Arbetsterapeuternas 'hälsa'2006In: Vetenskapens dag 8 oktober, 2006Conference paper (Other (popular scientific, debate etc.))
  • 5.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Arbetsterapeutparadigm1988Report (Other academic)
  • 6.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Arbetsterapeutparadigm: Uttryck, mening och referens1994In: Arbetsterapeuten, ISSN 0345-0988, no 10, p. 21-25Article in journal (Other (popular science, discussion, etc.))
    Abstract [sv]

    Professor Håkan Törnebohms paradigmteori.

  • 7.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. HHJ. Quality improvements, innovations and leadership in health care and social work. AFR.
    Att studera Arbetsterapeutparadigm: Rapport från ett avhandlingsarbete1999In: Program för At-forum 25-26 mars, 1999Conference paper (Refereed)
  • 8.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. CHILD.
    Berättelsen om "den obente" soldaten.1998In: Arbetsterapeuten, ISSN 0345-0988, no 13, p. 14-18Article in journal (Other (popular science, discussion, etc.))
    Abstract [sv]

    Ett försök att reda ut begreppen med anknytning till ett arbetsterapeutiskt perspektiv.

  • 9.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. AFR. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Embryos of Occupational Therapist Paradigms: an exploratory study of Swedish occupational therapy students' perceptions of occupational therapy1999In: Australian Occupational Therapy Journal, ISSN 0045-0766, E-ISSN 1440-1630, Vol. 46, no 1, p. 12-23Article in journal (Refereed)
    Abstract [en]

    The present study has an explorative design with its starting point in Törnebohm´s theory of paradigms. The aim of this study was to identify and describe how newly enrolled occupational therapy students perceived their future profession, especially regarding world view and field of action view. Written data were collected using essay questions. Data analysis/synthesis were accomplished qualitatively. Three themes were identified in the material: Notions of some concepts fundamental to occupational therapy; Notions of the “setting” of occupational therapy reality and Notions of the operational reality of occupational therapy. With their limited personal experience of occupational therapy, the students´ conceptions reflected interested outsiders´ views on the topic, influenced by information available in society and the questions given. They were shown to possess relevant and varied information about occupational therapy, but had difficulties in designating the different phenomena.

  • 10.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. AFR. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Focus on Occupational Therapists' Paradigms1999In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 13, no 3, p. 165-170Article in journal (Refereed)
    Abstract [en]

    The present study has an explorative design with its starting point in Törnebohm´s theory of paradigms. The primary aim of the study was to identify and characterize seven experienced occupational therapists´ perceptions of their profession, especially regarding world view and field of action view. The secondary aim was to find out if there were similarities among the respondents´ personal paradigms that could constitute a potential, local ideology for the group. Qualitative data were collected using audio- and video-taped, thematic discussions which involved focus groups on three occasions during the autumn of 1996. Within the two paradigm components world view and field of action view the data were analysed qualitatively. The results show several unifying factors and dissimilarities were limited to specifications within the unifying factors, with regard to the respondents´ notions. The unifying factors could be described as a potential, local ideology for the group.

  • 11.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. CHILD.
    Fokus på hälsa, engagemang och stolthet: En diskussion av teoretiska perspektiv på rehabilitering av sjukskrivna.2006In: Vågor på HaVet: tio texter om arbete och funktionshinder, Jönköping: Hälsohögskolan , 2006, p. 22-Chapter in book (Other (popular science, discussion, etc.))
  • 12.
    Björklund, Anita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. Quality improvements, innovations and leadership in health care and social work. AFR.
    Function, action and/or well-being as health constituents in occupational therapy2006In: 5th Occupation UK and Ireland symposium in Occupational science 11-12 september: Health through occupation - the evidence, 2006Conference paper (Refereed)
  • 13.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. HHJ. Quality improvements, innovations and leadership in health care and social work. AFR.
    Hälsa, kropp och arbetsterapi i ett professionsperspektiv2004In: At-forum 21-22 april, 2004Conference paper (Refereed)
  • 14.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. HHJ. Quality improvements, innovations and leadership in health care and social work. AFR.
    Kunskapsmöte inom arbetsterapi.2001In: Vetenskapens dag 3 oktober, 2001Conference paper (Other (popular scientific, debate etc.))
  • 15.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    'Occupation': Fokus för yrkesutövningen arbetsterapi.1999In: Arbetsterapeuten, ISSN 0345-0988, no 1, p. 4-9Article in journal (Other academic)
  • 16.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. AFR. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Occupational Therapist: A Chameleon in the Light of Paradigms1994In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 1, no 2, p. 59-68Article in journal (Refereed)
    Abstract [en]

    The aim of this pilotstudy is to present a more disticnct profile of the profession, deriving inspiration from Törnebohm's theory of paradigms. Six occupational therapists answered in writing 12 open essay questions about their ideas on paradigmatic matters. The focus in the questions is within the occupational therapist's field of action view and results are presented as aspects of practice. The occupational therapist is like a chameleon in the field of health care. She alters between different roles, using various parts of her professional competence to support the patient in reaching a meaningful everyday life from the patient's own perspective. The flexibility of the profession may contribute to many occupational therapists' feelings of having av vague professional profile, but is fundamental and a prerequisite of good occupational therapy. A greater awareness of our professional paradigm creates conditions by which it can be improved and adapted to variable demands. and a greater possibility to express the profession to society.

  • 17.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. AFR. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Occupational therapy students' paradigms: A passage from beholder to practitioner.2000In: Australian Occupational Therapy Journal, ISSN 0045-0766, E-ISSN 1440-1630, Vol. 47, no 3, p. 97-109Article in journal (Refereed)
    Abstract [en]

    The present study has an explorative, comparative design with its starting point in Törnebohm´s theory of paradigms. The aim of the study was to identify and describe how qualified OT students perceived their future profession, especially regarding world view and field of action view, and to compare their conceptions with those of newly enrolled OT students in order to find out the differences and similarities between the two aggregations of paradigms. Data were collected in writing, using essay questions. Data analysis/synthesis was accomplished qualitatively. The comparision between the two groups was carried out through the structure of three themes with appurtenant categories. The qualified occupational therapist students´ notions gave expression to a constant application of a holistic health perspective which in contrast to those of the newly enrolled occupational therapist students resulted in numerous examples of interrelations between themes belonging to different paradigm components. In line with Törnebohm (1987) this is characteristic for paradigms.

  • 18.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. HHJ. Quality improvements, innovations and leadership in health care and social work. AFR.
    Om arbetsterapeutstudenters och arbetsterapeuters syn på arbetsterapi2000In: Vetenskapens dag 3 oktober, 2000Conference paper (Other (popular scientific, debate etc.))
    Abstract [en]

    OBJECTIVES:

    To study quality of life and subjective post-concussion symptoms in adults (16-60 years) with a mild traumatic brain injury (MTBI) 3 months and 1 year after injury.

    METHODS:

    Of a total of 489 patients 173 responded to questionnaires at 3 months and at 1 year, including the SF-36 health-related quality of life survey, which is a standardized measure validated for Swedish conditions. Post-concussion symptoms were rated as either existing or non-existing in a 21-item checklist [a modified version of Comprehensive Psychopathological Rating Scale (CPRS)].

    RESULTS:

    SF-36 showed impaired scores in all dimensions. Existing post-concussion symptoms were reported by 1545%. Significantly, more symptoms were present at 3 months than at 3 weeks after injury. Furthermore, a significant correlation between higher rates of post-concussion symptoms and lower SF-36 scores was found. CONCLUSIONS:

    The SF-36 results were significantly impaired compared with an age- and gender-matched normative control group and the rate of post-concussion symptoms was significantly higher at 3 months than at 3 weeks after injury. As a significant correlation between higher rates of symptoms and low SF-36 scores was also found we assume SF-36 to be a sensitive enough measure of MTBI-related effects.

  • 19.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. HHJ. Quality improvements, innovations and leadership in health care and social work. AFR.
    Om arbetsterapeutstudenters och arbetsterapeuters syn på arbetsterapi2001In: At-forum 17-18 maj, 2001Conference paper (Refereed)
  • 20.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. AFR. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    On the structure and contents of occupational therapist paradigms: empirical studies of occupational therapy students' and occupational therapists' views on occupational therapy2000Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The ambition of this thesis is to contribute, from a paradigm theoretical frame of reference, to the development of occupational therapy knowledge in Sweden.

    The specified thesis aim was to identify and characterize occupational therapy students´ and occupational therapists´ perceptions of occupational therapy, especially regarding world view and field of action view in Törnebohm´s sense.

    The thesis includes five sub-studies. The first and second studies are based on newly enrolled and qualified occupational therapy students´ written answers to essay-questions. The third study comprises occupational therapists´ audio- and video-taped thematic discussions and involves a focus group approach. Study four concerns occupational therapists´ exam papers and study five occuptional therapists´ personal accounts of the meaning of health.

    In study one the newly enrolled occupational therapy students were shown to possess varied information about occupational therapy, but to have difficulty in joining the information together into a coherent unity. Three themes were identified in the material: Notions of some concepts fundamental to occupational therapy; Notions of the setting of occupational therapy; and Notions of the operational reality of occupational therapy.

    In study two a major finding was that the qualified occupational therapy students´ notions gave expression to a constant application of a holistic health perspective which, in contrast to that of newly enrolled occupational therapy students, resulted in numerous examples of interrelations within, but also between, themes belonging to different paradigm components. According to Törnebohm this is characteristic of paradigms.

    In study three the results showed several unifying factors within the two paradigm components world view and field of action view, and the dissimilarities were limited to specifications within the unifying factors, with regard to the respondents´ notions. The unifying factors could be described as a potential local ideology for the group. A major finding is that the las-ting core of occupational therapy work consists of three components: concern for uniqueness of patients; concern for details of everyday life; and concern to set free willpower/facilitate autonomous actions.

    In study four the occupational therapists´ interest in research subjects related to the field of action view components of paradigms and in applied research on strategical matters, dominated throughout the material. The interest in research subjects related to the world view components of paradigms, and in basic research on ontological matters, however, was shown to have increased in the last five-year period.

    In study five the results showed a strong tendency towards holistic health conceptions and also towards a phenomenological view of the body. If this tendency should be taken to reflect current basic views within the profession, it would indicate a movement away from biomedical frames of reference on the theoretical level. This would seem to imply consequent movements on the practice level away from organ-focused interventions to the benefit of interventions in the person/context dimension of occupational performance.

  • 21.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. HHJ. Quality improvements, innovations and leadership in health care and social work. AFR.
    Paradigmatik inom arbetsterapi.1998In: Vetenskapens dag 22 september, 1998Conference paper (Other (popular scientific, debate etc.))
  • 22.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Recension av: Ett vårdtestamente av Inge Dahn2006In: Arbetsterapeuten, ISSN 0345-0988, no 8, p. 1-Article, book review (Other (popular science, discussion, etc.))
  • 23.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. HHJ. Quality improvements, innovations and leadership in health care and social work. AFR.
    Tematiska diskussioner med fokus på arbetsterapeuters verksamhet.1997In: Program för At-forum 13-14 mars, 1997Conference paper (Refereed)
  • 24.
    Björklund, Anita
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. AFR. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Borell, Lena
    Svensson, Tommy
    What Occupational Therapists Consider to be Worth Knowing: An Analysis of Swedish Occupational Therapists' Examination Papers 1984-96.1999In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 6, no 3, p. 127-133Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to examine and characterize an aggregation of experienced occupational therapists´ exam papers with regard to the occupational therapists´ research interests, concerning especially ontological and strategical matters, during the time period 1984-1996. The title pages, summaries and results discussions of 84 papers were analyzed qualitatively and quantitatively with the starting point in two of the components from Törnebohm´s structure of paradigms: the world view- and the field of action view-component. The occupational therapists´ interest in research subjects related to the field of action view component of paradigms, and applied research on strategical matters, dominates throughout the material. The interest in research subjects related to the world view component of paradigms, and basic research on ontological matters, increases in the last five year period. The increasing interest in more ontological matters seems as a natural and necessary progress for a profession which is deeply involved in knowledge aquired by experience. Only by the development of a “double-edged” knowledge, the profession has the possibility of developing and adapting to future demands.

  • 25.
    Björklund, Anita
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Henriksson, Marlene
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    On the Context of Elderly Persons' Occupational Performance2003In: Physical & Occupational Therapy in Geriatrics, ISSN 0270-3181, E-ISSN 1541-3152, Vol. 21, no 3, p. 49-59Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe the context of elderly persons’ occupational performance in order to expose factors affecting their opportunities to age successfully. The study design is a descriptive pilot study and consists of interviews, based on a standardized questionnaire, with thirteen elderly people in their home settings. The results show that the informants’ occupational performance problems are mostly related to their occupational function and physical environment. The informants seem to be satisfied with their life as elderly individuals, but with adequate support, aiming to increase their occupational performance, their wellbeing may increase to benefit both themselves and the society in which they live.

  • 26.
    Björklund, Anita
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Henriksson, Marlene
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Technical support for family caregivers2010Conference paper (Refereed)
    Abstract [en]

    The aim of this project was to investigate if support received by family care givers in the form of products, technology and web-based services corresponds to their needs when taking care of a person aged over 65 years at home. Questionnaires related to activity limitations, need for support and received support were distributed nationally and answered by 368 family care givers and 332 occupational therapists, who had met family care givers within their services. Furthermore, 58 family care givers were individually interviewed. The results from the questionnaires demonstrated that family care givers experienced activity limitations with the person they take care of to a higher degree than their expressed need for support in the form of products/technology and web-based services. In addition, they stated their need for support as greater than that they had received. Family care givers experienced activity limitations with the person they took care of to a higher degree than occupational therapists within all nine activity areas in WHO’s classification of functioning, disability and health (ICF). Family care givers expressed a need for products/technology to a larger or to the same extent as occupational therapists. Exceptions were mobility and personal care, where occupational therapists perceived the need for products/technology as greater than the family care givers. When it comes to web-based services, data was not sufficient to enable a comparison between family care givers’ and occupational therapists’ perceptions. The results from the interview studies conducted in two counties indicated that information on what could be offered needs to be improved and that family care givers expressed a desire for improved follow-up of the prescriptions given. Their knowledge of web-based services was limited, but they considered them to be good, especially for others than themselves. Additionally, the family care givers thought that the products and technology they had become aware of needed to be developed to be more user-friendly, but felt that those they had received brought them security, safety and independence. In conclusion, it is important to consider the point of view of the family care giver and their perception of activity limitations with the person they take care of in order to provide relevant information and appropriate support in form of products, technology and web-based services for the person they are caring for.

  • 27.
    Björklund, Anita
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Henriksson, Marlene
    Teknikstöd för anhörigvårdare2010Conference paper (Other (popular science, discussion, etc.))
    Abstract [sv]

    Syftet med projektet var att ta reda på om erhållet stöd i form av produkter, teknologi och webbaserade tjänster motsvarar de behov som anhörigvårdare har när de vårdar en person över 65 år i hemmet. Enkäter med nationell spridning angående aktivitetsbegränsningar, behov av stöd och erhållet stöd besvarades av 368 anhörigvårdare och 332 arbetsterapeuter, som mött anhörigvårdare inom tjänsten. Dessutom intervjuades 58 anhörigvårdare från två län individuellt. Resultatet av enkätstudierna visar att anhörigvårdare uppfattade aktivitetsbegränsningar hos den person de vårdar i högre grad än vad de ansåg sig ha behov av stöd i form av produkter/teknologi och webbaserade tjänster. De angav dock behov av stöd i större omfattning än vad de uppgav att de erhållit. Anhörigvårdarna uppfattade aktivitetsbegränsningar hos den de vårdar i högre grad än arbetsterapeuterna inom samtliga nio aktivitetsområden i WHO:s klassifikation över funktionstillstånd, funktionshinder och hälsa (ICF). Anhörigvårdarna uppfattade behov av produkter/teknologi i något större utsträckning eller i lika stor utsträckning som arbetsterapeuterna. Undantagen var förflyttning och personlig vård, där arbetsterapeuterna uppfattade behoven av produkter/teknologi som större än anhörigvårdarna. När det gäller webbaserade tjänster var underlaget alltför bristfälligt för att möjliggöra jämförelse mellan anhörigvårdarnas och arbetsterapeuternas uppfattningar. Resultatet av intervjustudierna visar att informationen om utbudet behöver förbättras och att man efterfrågade bättre uppföljning av de förskrivningar som skett. Kunskapen om webbaserade tjänster var begränsad men man tyckte att de verkade bra, framförallt för andra än sig själv. Man ansåg vidare att de produkter och den teknologi som man fått ta del av behöver utvecklas så att de blir mer användarvänliga, men att det man erhållit gav säkerhet, trygghet och självständighet. Sammanfattningsvis kan inte nog betonas vikten av att utgå från anhörigvårdarnas egna uppfattningar om aktuella aktivitetsbegränsningar hos den de vårdar för att kunna ge relevant information och rätt stöd för vårdandet i form av produkter, teknologi och webbaserade tjänster.

  • 28.
    Björklund, Anita
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Henriksson, Marlene
    Teknikstöd för anhörigvårdare2009Conference paper (Other (popular science, discussion, etc.))
    Abstract [sv]

    Syftet med projektet var att ta reda på om erhållet stöd i form av produkter, teknologi och webbaserade tjänster motsvarar de behov som anhörigvårdare har när de vårdar en person över 65 år i hemmet. Enkäter med nationell spridning angående aktivitetsbegränsningar, behov av stöd och erhållet stöd besvarades av 368 anhörigvårdare och 332 arbetsterapeuter, som mött anhörigvårdare inom tjänsten. Dessutom intervjuades 58 anhörigvårdare från två län individuellt. Resultatet av enkätstudierna visar att anhörigvårdare uppfattade aktivitetsbegränsningar hos den person de vårdar i högre grad än vad de ansåg sig ha behov av stöd i form av produkter/teknologi och webbaserade tjänster. De angav dock behov av stöd i större omfattning än vad de uppgav att de erhållit. Anhörigvårdarna uppfattade aktivitetsbegränsningar hos den de vårdar i högre grad än arbetsterapeuterna inom samtliga nio aktivitetsområden i WHO:s klassifikation över funktionstillstånd, funktionshinder och hälsa (ICF). Anhörigvårdarna uppfattade behov av produkter/teknologi i något större utsträckning eller i lika stor utsträckning som arbetsterapeuterna. Undantagen var förflyttning och personlig vård, där arbetsterapeuterna uppfattade behoven av produkter/teknologi som större än anhörigvårdarna. När det gäller webbaserade tjänster var underlaget alltför bristfälligt för att möjliggöra jämförelse mellan anhörigvårdarnas och arbetsterapeuternas uppfattningar. Resultatet av intervjustudierna visar att informationen om utbudet behöver förbättras och att man efterfrågade bättre uppföljning av de förskrivningar som skett. Kunskapen om webbaserade tjänster var begränsad men man tyckte att de verkade bra, framförallt för andra än sig själv. Man ansåg vidare att de produkter och den teknologi som man fått ta del av behöver utvecklas så att de blir mer användarvänliga, men att det man erhållit gav säkerhet, trygghet och självständighet. Sammanfattningsvis kan inte nog betonas vikten av att utgå från anhörigvårdarnas egna uppfattningar om aktuella aktivitetsbegränsningar hos den de vårdar för att kunna ge relevant information och rätt stöd för vårdandet i form av produkter, teknologi och webbaserade tjänster.

  • 29.
    Björklund, Anita
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Henriksson, Marlene
    Teknikstöd för anhörigvårdare2009Conference paper (Other academic)
    Abstract [sv]

    Bakgrund: Inom ramen för regeringens utvecklingsprogram "Teknik för äldre" har Hjälpmedelsinstitutet (HI) tilldelats 6 miljoner kronor/år under en treårsperiod, med början 2007, för uppdraget att utveckla kunskap inom området "Teknik för anhöriga som hjälper och vårdar närstående". I uppdraget ingår att genomföra en behovsstudie via enkäter och intervjuer med anhöriga för att få bättre kunskap om anhörigas situation i fråga om hjälpmedel och annat teknikstöd. HI beviljade i november 2007 medarbetare vid Hälsohögskolan i Jönköping, avdelningen för rehabilitering, utvecklingsstöd under en tvåårsperiod för att utföra denna behovsinventering. Syfte: Syftet med projektet är att kartlägga och beskriva de behov av stöd som anhörig-närståendevårdarna har av produkter och/eller teknologi samt webbaserade tjänster, när de vårdare en äldre person över 65 år i hemmet samt att kartlägga i vilken utsträckning erhållet stöd motsvarar behoven. Metod: Datainsamling sker genom ett frågeformulär som har skickas ut till ca 1000 anhörigvårdare/närståendevårdare och 1000 arbetsterapeuter runt om i Sverige. Intervjuer med ett mindre antal anhörigvårdare/närståendevårdare (ca 60) i Jönköpings län kommer också att genomföras. Förväntat resultat: Tydliggörande av behov och erfarenheter av produkter och/eller teknologi samt webbaserade tjänster i hemmet hos olika grupper av anhörig-/närståendevårdare till personer över 65 år. Dessutom avser projektet att belysa i vilken utsträckning de hjälpmedel som förskrivs motsvarar de behov som finns. I sin förlängning kan projektet leda till utveckling av nya produkter och ny teknologi. Konklusion: Projektet är pågående.

  • 30.
    Björklund, Anita
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Henriksson, Marlene
    Teknikstöd för anhörigvårdare2009Conference paper (Other (popular science, discussion, etc.))
    Abstract [sv]

    Syftet med projektet var att ta reda på om erhållet stöd i form av produkter, teknologi och webbaserade tjänster motsvarar de behov som anhörigvårdare har när de vårdar en person över 65 år i hemmet. Enkäter med nationell spridning angående aktivitetsbegränsningar, behov av stöd och erhållet stöd besvarades av 368 anhörigvårdare och 332 arbetsterapeuter, som mött anhörigvårdare inom tjänsten. Dessutom intervjuades 58 anhörigvårdare från två län individuellt. Resultatet av enkätstudierna visar att anhörigvårdare uppfattade aktivitetsbegränsningar hos den person de vårdar i högre grad än vad de ansåg sig ha behov av stöd i form av produkter/teknologi och webbaserade tjänster. De angav dock behov av stöd i större omfattning än vad de uppgav att de erhållit. Anhörigvårdarna uppfattade aktivitetsbegränsningar hos den de vårdar i högre grad än arbetsterapeuterna inom samtliga nio aktivitetsområden i WHO:s klassifikation över funktionstillstånd, funktionshinder och hälsa (ICF). Anhörigvårdarna uppfattade behov av produkter/teknologi i något större utsträckning eller i lika stor utsträckning som arbetsterapeuterna. Undantagen var förflyttning och personlig vård, där arbetsterapeuterna uppfattade behoven av produkter/teknologi som större än anhörigvårdarna. När det gäller webbaserade tjänster var underlaget alltför bristfälligt för att möjliggöra jämförelse mellan anhörigvårdarnas och arbetsterapeuternas uppfattningar. Resultatet av intervjustudierna visar att informationen om utbudet behöver förbättras och att man efterfrågade bättre uppföljning av de förskrivningar som skett. Kunskapen om webbaserade tjänster var begränsad men man tyckte att de verkade bra, framförallt för andra än sig själv. Man ansåg vidare att de produkter och den teknologi som man fått ta del av behöver utvecklas så att de blir mer användarvänliga, men att det man erhållit gav säkerhet, trygghet och självständighet. Sammanfattningsvis kan inte nog betonas vikten av att utgå från anhörigvårdarnas egna uppfattningar om aktuella aktivitetsbegränsningar hos den de vårdar för att kunna ge relevant information och rätt stöd för vårdandet i form av produkter, teknologi och webbaserade tjänster.

  • 31.
    Björklund, Anita
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Henriksson, Marlene
    Teknikstöd för anhörigvårdare: Problem, behov och försörjning av produkter/teknologi och webbaserade tjänster2010Report (Other academic)
    Abstract [sv]

    Syftet med projektet var att ta reda på om erhållet stöd i form av produkter, teknologi och webbaserade tjänster motsvarar de behov som anhörigvårdare har när de vårdar en person över 65 år i hemmet. Enkäter med nationell spridning angående aktivitetsbegränsningar, behov av stöd och erhållet stöd besvarades av 368 anhörigvårdare och 332 arbetsterapeuter, som mött anhörigvårdare inom tjänsten. Dessutom intervjuades 58 anhörigvårdare från två län individuellt. Resultatet av enkätstudierna visar att anhörigvårdare uppfattade aktivitetsbegränsningar hos den person de vårdar i högre grad än vad de ansåg sig ha behov av stöd i form av produkter/teknologi och webbaserade tjänster. De angav dock behov av stöd i större omfattning än vad de uppgav att de erhållit. Anhörigvårdarna uppfattade aktivitetsbegränsningar hos den de vårdar i högre grad än arbetsterapeuterna inom samtliga nio aktivitetsområden i WHO:s klassifikation över funktionstillstånd, funktionshinder och hälsa (ICF). Anhörigvårdarna uppfattade behov av produkter/teknologi i något större utsträckning eller i lika stor utsträckning som arbetsterapeuterna. Undantagen var förflyttning och personlig vård, där arbetsterapeuterna uppfattade behoven av produkter/teknologi som större än anhörigvårdarna. När det gäller webbaserade tjänster var underlaget alltför bristfälligt för att möjliggöra jämförelse mellan anhörigvårdarnas och arbetsterapeuternas uppfattningar. Resultatet av intervjustudierna visar att informationen om utbudet behöver förbättras och att man efterfrågade bättre uppföljning av de förskrivningar som skett. Kunskapen om webbaserade tjänster var begränsad men man tyckte att de verkade bra, framförallt för andra än sig själv. Man ansåg vidare att de produkter och den teknologi som man fått ta del av behöver utvecklas så att de blir mer användarvänliga, men att det man erhållit gav säkerhet, trygghet och självständighet. Sammanfattningsvis kan inte nog betonas vikten av att utgå från anhörigvårdarnas egna uppfattningar om aktuella aktivitetsbegränsningar hos den de vårdar för att kunna ge relevant information och rätt stöd för vårdandet i form av produkter, teknologi och webbaserade tjänster.

  • 32.
    Björklund, Anita
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Svensson, Tommy
    A Longitudinal Study on the Transformation of Fifteen Occupational Therapist Students' Paradigms into Occupational Therapists' Paradigms.2006In: Australian Occupational Therapy Journal, ISSN 0045-0766, E-ISSN 1440-1630, Vol. 53, no 2, p. 87-97Article in journal (Refereed)
    Abstract [en]

    This study describes the transformation of 15 occupational therapist students’ paradigms into occupational therapists’ paradigms according to Törnebohm’s theory of paradigms, over a period of six years. This research particularly considers the paradigm components world view and field of action view in Törnbohm’s sense. Qualitative data were collected using essay-questions on three occasions: first week, and last semester, at the Occupational Therapy Programme at the School of Health Sciences, Jönköping, Sweden, and after three years of occupational therapy practice. A content-analysis of the collected materials was performed and the transformation of the informants’ views could be characterized as comprising three different perspectives: a ‘public’ view in 1995, a ‘theoretical’ view in 1998 and an ‘experiential/contextual’ view in 2001.

  • 33.
    Björklund, Anita
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Svensson, Tommy
    Begreppet 'Hälsa' som vägvisare för arbetsterapeuter.2005In: Arbetsterapeuten, ISSN 0345-0988, no 9, p. 10-14Article in journal (Other (popular science, discussion, etc.))
  • 34.
    Björklund, Anita
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. HHJ. Quality improvements, innovations and leadership in health care and social work.
    Svensson, Tommy
    Femton arbetsterapeutstudenters paradigmutveckling genom utbildning och yrkespraktik: en sexårsstudie2007Conference paper (Refereed)
    Abstract [en]

    Studien handlar om paradigmutveckling hos arbetsterapeutstudenter, senare arbetsterapeuter, under en sexårsperiod. Speciellt studeras deras världsbild och verksamhetssyn enligt Törnebohms paradigmteori. Kvalitativ data samlades in genom essäfrågor, första veckan och sista terminen på arbetsterapeutprogrammet vid Hälsohögskolan i Jönköping, samt efter tre års yrkespraktik. Genom kvalitativ innehållsanalys framträdde informanternas syn på arbetsterapi vilken kan karaktäriseras som "allmänhetens syn" 1995, "teoretisk syn" 1998 och en "erfarenhetsbaserad/kontextuell syn" 2001.

  • 35.
    Björklund, Anita
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Svensson, Tommy
    Health, the Body and Occupational Therapy2000In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 7, no 1, p. 26-32Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to identify and characterise conceptions of health in a group of experienced occupational therapists. Data-collection involved the occupational therapists´ personal accounts of the meaning of health and data analysis was accomplished qualitatively. The material was found to comprise 52 distinguishable articulations of the meaning of health, which were categorized under three main themes: 22 articulations of Health as “feeling fine“; 20 articulations of Health as ability to act; and 10 articulations of Health as an objective state of body and/or mind. The results show a very strong tendency towards holistic health conceptions and also toward a phenomenological view on the body. If this tendency should be taken to reflect current basic views within the profession this would indicate a movement away from biomedical frames of reference on the theoretical level. This would seem to imply consequent movements on the practice level away from organ focused interventions to the benefit of interventions in the person/context dimension of occupational performance. Studies of processes of change seem to be needed and we suggest that a paradigm theory approach probably be most pertinent.

  • 36.
    Björklund, Anita
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Svensson, Tommy
    Read, Sanna
    Holistic and biomedical concepts of health: A study of health notions among Swedish occupational therapists and a suggestion for developing an instrument for comparative studies.2006In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 13, no 3, p. 141-150Article in journal (Refereed)
    Abstract [en]

    The objectives of this study were to inquire into notions of health among a group of 439 Swedish occupational therapists and to test a model derived from a qualitative study by Björklund and Svensson in a representative sample of occupational therapists in Sweden. The data were collected through a questionnaire and were analyzed using descriptive statistics, cluster analysis and confirmatory factor analysis. The means and ranking of the health notions showed that the Swedish occupational therapists most frequently hold holistic notions of health, and to a smaller extent biostatistical ones. Most Swedish occupational therapists indicate that being clearly conscious of one’s health notions is important both to themselves and to their profession. The test of the model provides a step towards developing an instrument for measuring notions of health that clearly distinguishes between holistic and biomedical ones and that could possibly be used for comparative studies.

  • 37.
    Björklund Carlstedt, Anita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Bridge employment - ett fortsatt arbetsliv2018In: Äldre i centrum, ISSN 1653-3585, no 2, p. 44-47Article in journal (Other (popular science, discussion, etc.))
  • 38.
    Björklund Carlstedt, Anita
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Brushammar, Gunilla
    Jönköping University, The University Library.
    Bjursell, Cecilia
    Jönköping University, School of Education and Communication, HLK, Lifelong learning/Encell.
    Nystedt, Paul
    Jönköping University, Jönköping International Business School, JIBS, Economics. Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Nilsson, Gunilla
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Social Work. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Jönköping University, School of Health and Welfare, HHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue).
    A scoping review of the incentives for a prolonged work life after pensionable age and the importance of “bridge employment”2018In: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 60, no 2, p. 175-189Article, review/survey (Refereed)
    Abstract [en]

    Background: With a growing share of older people in almost every population, discussions are being held worldwide about how to guarantee welfare in the immediate future. Different solutions are suggested, but in this article the focus is on the need to keep older employees active in the labor market for a prolonged time.

    Objective: The aim was to find out and describe the incentives at three system levels for older people 1) wanting, 2) being able, and 3) being allowed to work.

    Material: The literature search embraced articles from the databases Scopus, PsycInfo, Cinahl, AgeLine and Business Source Premier, from May 2004 until May 2016. After the removal of 507 duplicates, the selection and analysis started with the 1331 articles that met the search criteria. Of these, 58 articles corresponded with the research questions.

    Method: The design was a ‘scoping review’ of the research area bridge employment and prolonged work life.

    Results: The results show that most investigations are conducted on individual-level predictors, research on organizational-level predictors is more scattered, and societal-level predictor information is scarce.

    Conclusions: Attitudes and behavior according to a prolonged work life could be summarized as dependent on good health, a financial gain in combination with flexible alternative working conditions.

  • 39.
    Blomdahl, Christina
    et al.
    Institute Care and Health Science, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Gunnarsson, Birgitta A.
    Institute Clinical Neuroscience and Rehabilitation, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Guregård, Suzanne
    Södra Älvsborg Hospital, Region Västra Götaland, Borås, Sweden.
    Rusner, Marie
    Institute Care and Health Science, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Wijk, Helle
    Institute Care and Health Science, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Björklund, Anita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Art therapy for patients with depression: expert opinions on its main aspects for clinical practice2016In: Journal of Mental Health, ISSN 0963-8237, E-ISSN 1360-0567, Vol. 25, no 6, p. 527-535Article in journal (Refereed)
    Abstract [en]

    Background: Art therapy is based mainly on clinical experience and is rarely described and evaluated scientifically. There is a need for further exploration of its use in patients with depression.

    Aim: The aim of this study was to explore what experts consider to be the main aspects of art therapy in clinical practice for patients with depression.

    Method: Eighteen occupational therapists experienced and educated in art therapy participated. The experts answered three rounds of Delphi questionnaires and ranked their agreement with 74 assertions. Consensus was defined as 70% or higher.

    Results: The experts agreed more on assertions about theoretical frames of reference than about clinical practice. The main aspects of art therapy were agreed to be the patients’ opportunity to express themselves verbally and through making art. It was equally important that art tasks provided an opportunity to address depressive thoughts, feelings, life experiences, and physical symptoms.

    Conclusions: Experts in the field of art therapy considered that the main aspect of clinical practice in art therapy for patients with depression is that art themes should promote expression related to both to depression and personal history.

  • 40.
    Blomdahl, Christina
    et al.
    Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Gunnarsson, Birgitta
    Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Fou Växjö.
    Guregård, Suzanne
    Södra Älvsborgs sjukhus.
    Björklund, Anita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. Ageing - living conditions and health.
    A realist review of art therapy for clients with depression2013In: The arts in psychotherapy, ISSN 0197-4556, E-ISSN 1873-5878, Vol. 40, no 3, p. 322-330Article in journal (Refereed)
    Abstract [en]

    Depression is a serious disease affecting an individual's entire life-situation, which can lead to great suffering and a reduced level of activity in everyday life. The aim of this study is to explore and describe how art therapy works regarding therapeutic factors, application, and circumstances for clients with depression. A systematic literature search of relevant databases was carried out to find articles concerning art therapy for depression, meeting criteria for reproducibility. This yielded 16 articles published in seven journals. The art therapy methods employed in each selected study were then examined and compared in order to understand the healing mechanism or mechanisms. These healing mechanisms are here termed “therapeutic factors”. The analysis resulted in eight therapeutic factors; self-exploration, self-expression, communication, understanding and explanation, integration, symbolic thinking, creativity, and sensory stimulation. No general conclusions could be drawn regarding circumstances, but the results indicate that art therapy can be performed successfully in a wide variety of clinical situations. The results were discussed in relation to International Classification of Functioning, Disability and Health (ICF) core sets for depression.

  • 41.
    Boström, Martin
    et al.
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Ernsth-Bravell, Marie
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Lundgren, Dan
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Promoting sense of security in old-age care2013In: Health, ISSN 1949-4998, E-ISSN 1949-5005, Vol. 5, no 6A2, p. 56-63Article in journal (Refereed)
    Abstract [en]

    Purpose: The concept of security is related to the experience of health but has ever so often been argued from a risk perspective rather than from a promotional perspective. The experience of older persons’ sense of security in private homes and in nursing homes seems to be missing when it comes to promote aging well throughout the life span. This study aimed to describe and analyze factors related to the sense of security of older persons receiving care in nursing homes in Sweden. Design and Methods: The study was based on a questionnaire from a total of 495 persons aged ≥ 65 in private homes (n = 350) or nursing homes (n = 145) in Sweden. Results: Secure relationships, sense of control, and perceived health were significantly related to the subjects’ sense of security. No significant relationships were found between sense of security and having a personal emergency response alarm. Implications: Experience of sense of security from the older person perspective differs depending on the context. To promote the sense of security within the care of older persons, methods on how to establish secure relations as well as the sense of control and knowledge need to be further tested, developed and analyzed together with older persons.

  • 42.
    Boström, Martina
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Ernsth Bravell, Marie
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Björklund, Anita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Sandberg, Jonas
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    How older people perceive and experience sense of security when moving into and living in a nursing home: [Hur äldre personer uppfattar och erfar trygghet i flytt till och boende i särskilt boende för äldre. En fallstudie]2017In: European Journal of Social Work, ISSN 1369-1457, E-ISSN 1468-2664, Vol. 20, no 5, p. 697-710Article in journal (Refereed)
    Abstract [en]

    Sense of security is important throughout the lifespan not at least in advanced age with increased risks of functional declines and decreased social capital. Despite this, knowledge concerning older person’s perceptions and experiences of sense of security when moving into nursing homes is scarce. This study is a longitudinal, descriptive, exploratory case study with in-depth interviews and observations of three older persons in the age of 87, 88, and 91 years in a mid-sized municipality in the south of Sweden, in order to highlight how sense of security is experienced when moving into and living in a nursing home. Data were analysed using qualitative content analysis, which resulted in one main theme and four categories. The main theme, ‘Adaptation and sense of security’, indicates older persons’ need to adapt to the new context of the nursing home, and how this relates to their sense of security. The categories – ‘Control’, ‘Struggling for understanding’, ‘Lack of influence’, and ‘Grasping’ – suggest that older persons’ sense of security is reduced when they must adjust to routines without sufficient management and understanding. When able to maintain control over daily routines, and felt as a part of the new context, they perceived a sense of security.

  • 43.
    Boström, Martina
    et al.
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Kjellström, Sofia
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Older persons have ambivalent feelings about the use of monitoring technologies2013In: Information Technology and Disabilities, ISSN 1073-5127, E-ISSN 1073-5127, Vol. 25, no 2, p. 117-125Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: As they age, older persons prefer to continue to live in their own homes. Sensors in the environment and/or bodily worn systems that monitor people might contribute to an increased sense of safety and security at home, but also raise concerns about the loss of privacy by surveillance. Little is known about how older persons, living at home independently and stating good health, perceive monitoring technology in terms of personal privacy.

    OBJECTIVE: to identify and describe how older persons, perceive monitoring technology in terms of personal privacy.

    METHOD: A qualitative study based on five focus group interviews was used. Concepts of "freedom" and "surveillance" were used as content areas in the data analysis.

    RESULTS: The results comprised three categories of ambivalence; "independence vs. security", "privacy vs. intrusion", and "in the best interest of me vs. in the best interest of others". These three categories merged into the overarching theme "maintaining a sense of self" which illustrates a desire to maintain control of one's life as long as possible.

    CONCLUSIONS: Older persons generally have positive feelings and attitudes toward technology and strive to maintaining a sense of self as long as possible, by having control. They stated high value to privacy, but valued being watched over if it ensured security. To feel good and bad about monitoring technologies, rather than good or does not necessarily lead to feelings of conflict.

  • 44.
    Bångsbo, Angela
    et al.
    FoU Sjuhärad Välfärd, University of Borås.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Professional Views on Patient Education in Osteoporosis2010In: Archives of Osteoporosis, ISSN 1862-3514, Vol. 5, no 1-2, p. 101-110Article in journal (Refereed)
    Abstract [en]

    Summary

    The aim of this study was to investigate patient education in osteoporosis, with a consensus-building Delphi survey. The results showed that the purposes of osteoporosis schools are to reduce the risk of falling, facilitate empowerment, increase levels of function and activity and teach participants to master or reduce pain.

    Introduction

    According to the World Health Organization, osteoporosis is a major health problem. The morbidity is caused by fractures associated with pain and decreased physical function, social function and well-being. The aim of this study was to investigate and reach consensus about how so-called osteoporosis schools are run by professionals in Sweden with a focus on intervention and evaluation.

    Method

    The study design was a consensus-building, three-round Delphi survey. Questionnaires were sent by web and post to an expert panel comprising 15 nurses, occupational therapists and physiotherapists. In round 1, they were asked to write descriptions within the frame of eight domains related to intervention and evaluation. In the second and third rounds, the Delphi panel was asked to mark on a Likert scale the importance of 40 statements within these domains.

    Results

    The answers showed that the purposes of osteoporosis schools are to reduce the risk of falling, facilitate empowerment, increase levels of function and activity and teach participants to master or reduce pain. The schools comprise theoretical elements as well as practical exercises. Patients with fractures related to osteoporosis are offered participation. There is a lack of a theoretical basis, as well as of evidence, for present treatment models. Evaluation ought to be done systematically, and for this purpose, different questionnaires are used. Experts assert that evaluations show that patients gain increased activity levels, function, knowledge about osteoporosis, empowerment and pain reduction.

    Conclusions

    Consensus was reached in 29 of 40 items.

  • 45.
    Christensson, Lennart
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health. Jönköping University, School of Health Science, HHJ. Research Platform of Social Work.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Åhnby, Ulla
    Jönköping University, School of Health Science, HHJ, Dep. of Behavioural Science and Social Work. Jönköping University, School of Health Science, HHJ. Research Platform of Social Work.
    Henriksson, Marlene
    Jönköping University, School of Health Science, HHJ, Dep. of Behavioural Science and Social Work.
    Joakimsson, Daga
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science.
    Henning, Cecilia
    Jönköping University, School of Health Science, HHJ, Dep. of Behavioural Science and Social Work. Jönköping University, School of Health Science, HHJ. Research Platform of Social Work.
    Attitudes of Different Professionals Toward the Well-being of Older Adults Living at Home2010In: Journal of Allied Health, ISSN 0090-7421, E-ISSN 1945-404X, Vol. 39, no 4, p. 293-300Article in journal (Refereed)
    Abstract [en]

    Objectives: Negative attitudes in society toward working in eldercare constitute a challenge to educators and care providers. The purpose of this study was to explore, describe, and compare the attitudes of different professional groups toward factors that are important for the well-being of older adults.

    Methods: A randomized sample of 210 respondents that included registered nurses (RNs), registered occupational therapists (OTRs), personal benefit advisors (PBAs), and home help assistants (HHAs) was collected from social service agencies in 10 Swedish municipalities. A scale was developed in a six-step process to measure attitudes toward factors influencing elder wellbeing, and the final 22-item Likert-type scale was called the “Staff Attitudes toward the Well-being of Older Adults” scale.

    Results: Thirty-three percent of staff responded with positive attitudes <toward working with elders>, and the remaining were uncertain or negative. The attitudes of RNs, OTRs, and PBAs were significantly more positive than those of HHAs.

    Discussion: The scale is practical for use in different professional groups with the aim of exploring existing attitudes, identifying areas with a low degree of prevailing positive attitudes and differences between groups, and evaluating whether attitudes change after staff training.

  • 46.
    Edlund, Caroline
    et al.
    Uppsala University Hospital.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Family caregivers' conceptions of usage and infromation of products, technology and Web-based services.: -2011In: Technology and disability, ISSN 1055-4181, Vol. 23, no 4, p. 205-214Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to identify and characterize family caregivers' conceptions of usage of and information on products, technology, and Web-based services when caring at home for next of kin aged over 65 years. A phenomenographic method with semi-structured interviews with ten family caregivers was used. The results show that the family caregivers considerd products and technology to be essential for an active life, and they stressed both facilitators for and hindrances to their optimal usage. The family caregivers apprehended a lack of information regarding products, technology and Web-based services, and additionally showed limited interest in using Web-based services. There is a need for better information about existing availability and for improvement in follow-up regarding prescriptions given. Therefore, it is necessary to involve family caregivers in the prescription and decision process in line with their wishes, since this to a highly degree influences their possibility to take care of their next of kin at home.

  • 47.
    Fristedt, Sofi
    et al.
    Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health. Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Wretstrand, Anders
    Falkmer, Torbjörn
    Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health. Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Continuing Mobility and Occupational Participation Outside the Home in Old Age is an Act of Negotiation2011In: Activities, Adaptation & Aging, ISSN 0192-4788, E-ISSN 1544-4368, Vol. 35, no 4, p. 275-297Article in journal (Refereed)
    Abstract [en]

    Facilitated by mobility, occupational participaton is vital in old age. However, the relative importance of other influencing factors remains unclear. The present study describes older people's motives for, and experiences of, mobility and occuoational participation outside the home. Nine focus group interviews were conducted and analyzed using content analysis. Occupational participation and mobility was individually experienced even if some subjective perspectives were common. Continuing mobility and occupational participation outside the home in old age is an act of negotiation, encompassing occupational means and goals, occupational and mobility adaptation, and occupational barrieres and facilitators.

  • 48.
    Fristedt, Sofi
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. Ageing - living conditions and health.
    Dahl, Anna K.
    Wretstrand, Anders
    Björklund, Anita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. Ageing - living conditions and health. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Falkmer, Torbjörn
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. CHILD.
    Changes in community mobility in older men and women. A 13-year prospective study2014In: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 9, no 2, p. e87827-Article in journal (Refereed)
    Abstract [en]

    Community mobility, defined as "moving [ones] self in the community and using public or private transportation", has a unique ability to promote older peoples' wellbeing by enabling independence and access to activity arenas for interaction with others. Early predictors of decreased community mobility among older men and women are useful in developing health promoting strategies. However, long-term prediction is rare, especially when it comes to including both public and private transportation. The present study describes factors associated with community mobility and decreased community mobility over time among older men and women. In total, 119 men and 147 women responded to a questionnaire in 1994 and 2007. Respondents were between 82 and 96 years old at follow-up. After 13 years, 40% of men and 43% of women had decreased community mobility, but 47% of men and 45% of women still experienced some independent community mobility. Cross-sectional independent community mobility among men was associated with higher ratings of subjective health, reporting no depression and more involvement in sport activities. Among women, cross-sectional independent community mobility was associated with better subjective health and doing more instrumental activities of daily living outside the home. Lower subjective health predicted decreased community mobility for both men and women, whereas self-reported health conditions did not. Consequently, general policies and individual interventions aiming to improve community mobility should consider older persons' subjective health.

  • 49.
    Fristedt, Sofi
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Quality Improvement and Leadership in Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. Ageing - living conditions and health.
    Wretstrand, Anders
    Faculty of Engineering, Lund University.
    Björklund, Anita
    Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. Ageing - living conditions and health.
    Corr, Susan
    School of Health, the University of Northampton.
    Falkmer, Torbjörn
    Jönköping University, School of Health and Welfare, HHJ. CHILD.
    Viewpoints on community mobility and participation in older age2012In: Journal of Human Subjectivity, ISSN 1598-8643, Vol. 10, no 1, p. 103-123Article in journal (Refereed)
    Abstract [en]

    Background/Aim: Community mobility supports participation in activities. However, knowledge about issues that influence community mobility and, hence, participation in activities outside the home is limited. Since participation and community mobility are subjectively defined phenomena, further knowledge from an insider’s perspective is needed. The aim of this study was to identify and describe viewpoints on community mobility and participation in older age. Methods: A Q-methodology study was conducted with 36 male and female participants, including drivers and non-drivers. Participants sorted 45 Q-statements along a most to least continuum, indicating their current habitual situation of mobility and participation in activities outside their homes. Results: Three viewpoints were found and assigned content-describing denominations; “Prefer being mobile by car, “Prefer being mobile by public transport” and “Prefer flexible mobility”. Conclusions: All participants were satisfied with their actual participation in activities outside their homes. However, those who preferred to use public transport were less satisfied with their opportunities and possibilities to participate in activities outside their homes. The existing demand-responsive Special Transportation System was not considered to be an attractive enough alternative by any of the participants. Intermediate community mobility options are thus needed for those who can no longer drive or use public transport.

  • 50.
    Gunnarsson, Birgitta
    et al.
    FoU-avdelningen, Kronobergs läns landsting.
    Björklund, Anita
    Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. Ageing - living conditions and health.
    Sustainable enhancement in clients who perceive the Tree Theme Method (R) as a positive intervention in psychosocial occupational therapy2013In: Australian Occupational Therapy Journal, ISSN 0045-0766, E-ISSN 1440-1630, Vol. 60, no 3, p. 154-160Article in journal (Refereed)
    Abstract [en]

    Background/aim: The Tree Theme Method® is an intervention based on creative activities and occupational storytelling. The Tree Theme Method® implies that the clients draw and paint trees symbolising various periods in their life. The pictures are then used as a starting point to tell their life story to enhance their wellbeing and management of their everyday life. This study aimed to evaluate if changes observed among clients regarding their wellbeing and everyday occupations, between baseline and the end of their term of the Tree Theme Method® therapy, persisted three years after the completion of the intervention.

    Methods: This study had a quantitative design. Thirty-one former clients were recruited to a follow-up three years after completing the intervention. Self-rating questionnaires were used regarding psychological symptoms, self-mastery, sense of coherence, activity level, occupational performance and satisfaction with occupational performance. Non-parametric methods were used for the data analysis.

    Results: The findings revealed positive significant changes regarding sense of coherence and occupational performance and satisfaction with occupational performance, measured between the end of the intervention and at the time of the three-year follow-up. Furthermore, the respondents' ratings regarding psychological symptoms, self-mastery, activity level and the extent of satisfaction with performed occupations were found to be stable.

    Conclusions: The Tree Theme Method® appeared to function well as an intervention in psychosocial occupational therapy, where the aim was that a client would enhance their wellbeing and management of their everyday life. However, there is need for further evaluation to assess the effects of the Tree Theme Method® intervention.

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