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  • 151.
    Gunnarsson, Birgitta
    Institutionen för Hälsa, vård och samhälle, Avdelningen för arbetsterapi och gerontologi.
    The Tree Theme Method – an occupational therapy intervention applied in outpatient psychiatric care.2008Doctoral thesis, comprehensive summary (Other academic)
  • 152.
    Gunnarsson, Birgitta
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    The Tree Theme Method® (TTM) som arbetsterapeutisk metod – en introduktion2011Report (Other (popular science, discussion, etc.))
    Abstract [sv]

    Denna FoU-rapport ger dig en introduktion och översiktlig beskrivning av The Tree Theme Method® (TTM), en strukturerad och klientcentrerad metod. TTM är avsedd att användas av arbetsterapeuter efter fördjupad teoretisk och praktisk kurs (ges bland annat i FSAs regi). Metoden används huvudsakligen på klienter inom psykiatrisk vård men även klienter inom primärvård och smärtrehabilitering kan ha nytta av TTM. Klientens livssituation uttrycks i bildskapande och livsberättelse. I bildskapandet används trädet som symbol. Olika trädteman blir ett redskap för att uttrycka klientens känslor, tankar och erfarenheter. I livsberättelsen ligger fokus på vardagliga aktiviteter och att skapa en vision av framtida mål. I kontakten med arbetsterapeuten kan klienten identifiera viktiga vändpunkter och möjliga förändringar i vardagen.

  • 153.
    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.

  • 154.
    Gunnarsson, Birgitta
    et al.
    Institutionen för Hälsa, vård och samhälle, Avdelningen för arbetsterapi och gerontologi, Lunds universitet.
    Eklund, Mona
    Institutionen för Hälsa, vård och samhälle, Avdelningen för arbetsterapi och gerontologi, Lunds universitet.
    The Tree Theme Method as an intervention in Psychosocial Occupational Therapy: Client acceptability and outcomes2009In: Australian Occupational Therapy Journal, Vol. 56, no 3, p. 167-176Article in journal (Refereed)
    Abstract [en]

    Background/aim: The Tree Theme Method (TTM) is an intervention in which the client paints trees representing certain periods in his/her life. The intervention comprises five sessions, using trees as a starting point to tell one's life story. This study, which is part of an implementation project, aimed to examine the therapeutic alliance and client satisfaction, in relation to perceptions of everyday occupations and health-related factors, with clients going through a TTM intervention.

    Methods: Nine occupational therapists recruited 35 clients, at general outpatient mental health care units, for the TTM intervention. Self-rating instruments, targeting therapeutic alliance (HAq-II), different aspects of daily occupations (Canadian Occupational Performance Measure, Satisfaction with Daily Occupations), health-related factors (Sense of Coherence measure, Mastery Scale, Symptom Checklist-90-R) and client satisfaction (Client Satisfaction Questionnaire), were administrated before and after the intervention.

    Results: A good initial therapeutic alliance, experienced by both therapists and clients, was correlated to increased changes regarding occupational performance and self-mastery. According to the therapists’ ratings, a good initial therapeutic alliance was correlated to increased sense of coherence and a decreased level of psychiatric symptoms. The results showed positive significant changes in occupational performance and health-related factors. High ratings of the therapeutic alliance by the therapists were also related to high client satisfaction.

    Conclusions: The TTM seemed to function well in psychosocial occupational therapy, but there is a need for further implementation studies to deepen our understanding of the treatment process, comprising both technique and formation of the therapeutic alliance.

  • 155.
    Gunnarsson, Birgitta
    et al.
    Institutionen för Hälsa, vård och samhälle, Avdelningen för arbetsterapi och gerontologi, Lunds universitet.
    Jansson, Jan-Åke
    Institutionen för psykologi, Lunds universitet.
    Eklund, Mona
    Institutionen för Hälsa, vård och samhälle, Avdelningen för arbetsterapi och gerontologi, Lunds universitet.
    The Tree Theme Method in psychosocial occupational therapy – a case study2006In: Scandinavian Journal of Occupational Therapy, Vol. 13, no 4, p. 229-240Article in journal (Refereed)
    Abstract [en]

    This study aimed to describe the Tree Theme Method (TTM) as a method for intervention in psychosocial occupational therapy. The TTM is based on theories concerning creative activities and occupational storytelling and story making. In order to exemplify the method a case study of a treatment process with follow up was undertaken. The participant was a female client suffering from anxiety and depression. During an interview the client painted symbolic trees on five different occasions with specific variations of the tree theme: a tree symbolizing her present life, her childhood, adolescence, adulthood, and, finally, a tree representing her future. The trees were used as starting points for the client to tell her life story. The intention was that she would find new strategies for how to change her daily life. Three years later there was a follow up stage where the client painted new trees and told her story. Some life themes were identified. The TTM appears suitable for intervention in psychosocial occupational therapy. In future studies the TTM should be subjected to evaluation research based on several clients in order to develop a deeper understanding of the process and what kind of results changes in the TTM intervention may provide.

  • 156.
    Gunnarsson, Birgitta
    et al.
    Institutionen för Hälsa, vård och samhälle, Avdelningen för arbetsterapi och gerontologi, Lunds universitet.
    Jansson, Jan-Åke
    Institutionen för psykologi, Lunds universitet.
    Petersson, Kerstin
    Institutionen för Hälsa, vård, samhälle, Lunds universitet.
    Eklund, Mona
    Institutionen för Hälsa, vård och samhälle, Avdelningen för arbetsterapi och gerontologi, Lunds universitet.
    Occupational therapists’ perception of the Tree Theme Method™ as an intervention in psychosocial occupational therapy2011In: Occupational Therapy in Mental Health, ISSN 0164-212X, E-ISSN 1541-3101, Vol. 27, no 1, p. 36-49Article in journal (Refereed)
    Abstract [en]

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

  • 157.
    Gunnarsson, Birgitta
    et al.
    Department of Research and Development, Region Kronoberg, Växjö, Sweden.
    Wagman, Petra
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Hedin, Katarina
    Futurum, Region Jönköping County, Jönköping, Sweden.
    Håkansson, Carita
    Division of Occupational and Environmental Medicine, Lund University, Lund, Sweden.
    Treatment of depression and/or anxiety – outcomes of a randomised controlled trial of the tree theme method® versus regular occupational therapy2018In: BMC Psychology, E-ISSN 2050-7283, Vol. 6, no 25Article in journal (Refereed)
    Abstract [en]

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

  • 158.
    Gunnarsson, Birgitta
    et al.
    Department of Research and Development, Region Kronoberg, Växjö, Sweden; Department of Clinical Neuroscience and Rehabilitation, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
    Wagman, Petra
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Håkansson, Carita
    Division of Occupational and Environmental Medicine, Lund University, Lund, Sweden.
    Hedin, Katarina
    Department of Research and Development, Region Kronoberg, Växjö, Sweden; Department of Clinical Sciences in Malmö, Family Medicine Lund University, Lund, Sweden .
    The Tree Theme Method® (TTM), an occupational therapy intervention for treating depression and anxiety: Study protocol of a randomized controlled trial2015In: BMC Psychology, E-ISSN 2050-7283, Vol. 3, no 40, p. 1-7Article in journal (Refereed)
    Abstract [en]

    Background

    Depression and anxiety disorders are increasing among the general population in the Western world. Individuals may need several kinds of treatment in order to maintain health, such as cognitive behavioural therapy (CBT) and drug treatment. However, having an everyday life that “works” is also important, suggesting a need for interventions based on activities that facilitate a satisfying everyday life. There is still lack of such evidence-based interventions. The Tree Theme Method® (TTM) is an occupational therapy intervention designed for a client-centred context in which an individual develops strategies to become an actor in his or her everyday life. Previous studies of the TTM have focused on process evaluation; therefore, further studies are needed to evaluate the method’s effects. The aim of this paper is to outline an intervention that can evaluate the effects of the TTM in terms of psychological symptoms, as well as everyday occupations and well-being, in patients suffering from depression and anxiety.

    Methods/Design

    This randomized clinical trial includes patients from three Swedish counties randomized to either intervention or treatment as usual. Men and women aged 18–65 years who have been diagnosed with either depression or anxiety are eligible for inclusion. Data collection is carried out at baseline, and outcomes are assessed at the end of intervention, as well as at 3 months and 12 months after intervention ends. The outcomes measured are psychological symptoms, everyday activities, and health-related factors.

    Discussion

    Depression and anxiety may create difficulties for individuals in the activities of their everyday lives to the extent that they require diagnosis and intervention. Despite this reality, evidence-based interventions that focus on everyday activities are lacking. Therefore, it would be useful to design a specific method for occupational therapy intervention that does precisely that. This study provides insight into the effects of the TTM, comparing it to occupational therapy treatment as usual.

  • 159.
    Gustafsson, Therese
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Hur vardagslivets aktiviteter påverkas för partner till strokepatienter, efter hemkomst från sjukhus: En scoping review2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Often, the healthy partner experiences a major disparity in his or her life situation after a partner's return from hospital in a relationship where one has a stroke. A balanced activity pattern is considered to be a prerequisite for health. Unbalance in everyday activities combined with the experience of low control poses a risk of ill health. That the healthy partner creates time for himself, with his or hers own interests and activities, is considered important for managing everyday life with the sick partner. Aim: The aim of the study was to describe how everyday activities are affected for partners to stroke patients, after their return to home from hospitals. Method: A scoping review was performed. The studies were collected from the databases CINAHL, Scopus and PsychINFO. Nine studies were included in the result. Results: Three themes were identified in the result: Changed activity performance, activity loss and changed roles. Throughout the theme, the partner was experiencing major changes in everyday life. Feelings of loneliness, guilt and loss were strong. Conclusion: This target group may need support from an occupational therapist who can identify unhealthy activity changes.

  • 160.
    Gustavsson, Christoffer
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Matildha, Svensson
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Gymnasieungdomars upplevelse av sömnvanor relaterat till aktiviteter i skolan2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Att få tillräckligt med sömn är väsentligt för att klara av vardagen samt för att uppnå god hälsa. Det är viktigt att ha regelbundna sömnrutiner för att inte rubba dygnsrytmen. Det är även väsentligt att ha ett samspel mellan begreppen vanebildning, viljekraft och utförandekapacitet för att uppnå aktivitetsbalans. Syftet med detta examensarbete var att beskriva gymnasieungdomars upplevelse av sömnvanor relaterat till aktiviteter i skolan. I metoden användes en kvalitativ design med semistrukturerade intervjuer. Urvalet genomfördes med ett bekvämlighetsurval och en kvalitativ innehållsanalys användes vid databearbetningen. Resultatet visar att gymnasieungdomar har oregelbundna sömnrutiner. På vardagarna går målgruppen och lägger sig på regelbundna tider men somnar sent. Målgruppen går upp på varierande tider beroende när skolan börjar. På helgerna förskjuter målgruppen sin sömn genom att stanna uppe längre och sova ut. I skolan är det stressigt, de har höga krav på sig själva och från omgivningen vilket gör att sömnen blir lidande. Sömnen har en påverkan på målgruppens prestationer, delaktighet och motivation till att utföra aktiviteter relaterade till skolan. Slutsatsen är att gymnasieungdomar upplever sig ha oregelbundna sömnrutiner. Sömnen blir ofta lidande och har en påverkan på hur motiverade deltagarna var till att utföra skoluppgifter samt kvaliteten på uppgifterna.

  • 161.
    Haas, Kaaren
    et al.
    Autism Spectrum Australia, Frenchs Forest, NSW, Australia.
    Costley, Debra
    Autism Spectrum Australia, Frenchs Forest, NSW, Australia.
    Falkmer, Marita
    School of Occupational Therapy and Social Work, Curtin University, Bentley, WA, Australia.
    Richdale, Amanda
    Olga Tennison Autism Research Centre, La Trobe University, Bundoora, VIC, Australia.
    Sofronoff, Kate
    School of Psychology, The University of Queensland, St Lucia, QLD, Australia.
    Falkmer, Torbjörn
    Jönköping University, School of Health and Welfare, HHJ. CHILD. Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. School of Occupational Therapy and Social Work, Curtin University, Bentley, WA, Australia.
    Factors Influencing the Research Participation of Adults with Autism Spectrum Disorders2016In: Journal of autism and developmental disorders, ISSN 0162-3257, E-ISSN 1573-3432, Vol. 46, no 5, p. 1793-1805Article in journal (Refereed)
    Abstract [en]

    Recruiting adults with autism spectrum disorders (ASD) into research poses particular difficulties; longitudinal studies face additional challenges. This paper reports on a mixed methods study to identify factors influencing the participation in longitudinal autism research of adults with ASD, including those with an intellectual disability, and their carers. Common and differentiating factors influencing the research participation of participants are identified and discussed. Factors influencing participation were found to differ both between and within participant categories. We propose a dichotomy whereby factors influencing research participation can be classified as those arising from a participant’s values, which act as either a motivator or a deterrent; and those based on convenience, which act as either an enabler or inhibitor. These findings are applicable to research studies that seek to recruit adults with ASD as participants. 

  • 162.
    Haglund, Margareta
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Äldre med kognitiv funktionsnedsättning och deras upplevelser av kognitiva hjälpmedel en systematisk litteraturstudie2015Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med studien var att beskriva aspekter av betydelse, vid implementering av kognitiva hjälpmedel, för äldre personer med kognitiv funktionsnedsättning. En systematisk litteraturstudie genomfördes av vetenskapliga artiklar från databaserna MedLine, AMED, CINAHL, PubMed, PsycheINFO, AgeLine, Socindex samt Academic Search Elite. Artiklarna skulle vara skrivna på engelska och publicerade mellan 2000-2014. Endast empiriska vetenskapliga artiklar med inriktning, aspekter av betydelse vid implementering av kognitiva hjälpmedel för äldre, inkluderades. Innehållsanalys användes. Åtta studier inkluderades, resultatet visar att det i huvudsak finns tio aspekter av betydelse för gruppen vid implementering av kognitiva hjälpmedel, nämligen Att vara del i ett sammanhang, Säkerhet, Självständighet, Känslor som påverkar, Utformning med hänsyn till vanor, Tilltalande utformning, Teknisk utformning, Information, Anpassning och Inlärning. Slutsatsen i denna studie är att det finns många faktorer av betydelse vid implementering av kognitiva hjälpmedel till äldre personer med kognitiv funktionsnedsättning vilka behöver medvetandegöras i implementeringsprocessen.

  • 163.
    Hammarlund, Silje
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    An Occupational Therapy Needs Assessment for an organization attending to children with autism spectrum disorder in Addis Ababa, Ethiopia: To identify the occupational therapy needs for an organization attending to children with autism spectrum disorder in Addis Ababa, Ethiopia.2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: To identify the occupational therapy needs at the Nehemiah Autism Center by completing a needs assessment. Method: A mixed-methods design was adopted to construct a comprehensive needs assessment to identify the occupational therapy needs. Result: All areas of what an occupational therapist could assist with were selected as an area of need. Communication and social skills were most frequently reported and behavior management was ranked as most important among caregivers. Among staff members, leisure and play was reported most frequently and stress management was ranked as most important. Training opportunities, communication among staff members, and co-worker relationship were identified to be supporting factors in achieving the goal at Nehemiah Autism Center. Stigma, religion, and cultural diversity were reported to be unsupportive factors in achieving the goal at Nehemiah Autism Center. Conclusion: There is a great need for occupational therapy services to attend to children with autism spectrum disorder at Nehemiah Autism Center in Addis Ababa, Ethiopia. 

  • 164. Hansen, Bodil Winther
    et al.
    Morville, Anne-Le
    Metropolitan University College, Denmark.
    Creative activities: An important agent of change in the process of rebuilding identity - a scoping literature review2014Conference paper (Other academic)
    Abstract [en]

    Introduction:Looking back on the history of occupational therapy, creative activities played a major part in the rehabilitation process, but have been diminished during the last decades. This review looks at the importance and application of creative activities in occupational therapy in the 21st century.

    Objectives:The aim of the review was to describe the value and importance of focusing on creative activities in occupational therapy intervention. Method: This scoping review was done as prequel to a book on creativity in occupational therapy, and based on literature search in the databases PubMed,Cinahl, PsychInfo, and the Danish library index. Our inclusion criteria were literature that covered the value and meaning of creative activity in general and/or application of creative activities as intervention tool. Peer-reviewed articles, articles and books in English, and Scandinavian languages were included.

    Results/Discussion:This review showed that use of creative activities as a medium for healing/alleviating suffering have the power to rebuild or replace an identity during illness or major life crisis.The value of creative activities is individual and culture-based and as most have the need to expressthemselves through creativity, which makes creative activities important and useful. 

    Conclusion: Results indicated that individuals have a need to be seen as unique and creative beings. This knowledge supports that creative activity as an agent of change within the rehabilitation process is important, when adaptinga new activity identity. The value and meaning of the creative activity for the individual or group should be examined before and during therapy. 

    Contribution to occupational therapy practice:Focusing on implementing creative activities is important as they have potential to replace former crucial activities to a person’s activity identity. Creative activities are relevant in societies with stress, search for identity as a tool to understand individual reactions and feelings.

  • 165.
    Harries, Priscilla
    et al.
    Brunel University London, London, UK.
    Unsworth, Carolyn
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Central Queensland University, Melbourne, Australia.
    Gokalp, Hulya
    Brunel University London, London, UK.
    Davies, Miranda
    Nuffield Trust, London, UK.
    Tomlinson, Christopher
    Imperial College London, London, UK.
    Harries, Luke
    University of Cambridge, Cambridge, UK.
    A randomised controlled trial to test the effectiveness of decision training on assessors' ability to determine optimal fitness-to-drive recommendations for older or disabled drivers.2018In: BMC Medical Education, ISSN 1472-6920, E-ISSN 1472-6920, Vol. 18, no 1, article id 27Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Driving licensing jurisdictions require detailed assessments of fitness-to-drive from occupational therapy driver assessors (OTDAs). We developed decision training based on the recommendations of expert OTDAs, to enhance novices' capacity to make optimal fitness-to-drive decisions. The aim of this research was to determine effectiveness of training on novice occupational therapists' ability to make fitness-to-drive decisions.

    METHODS: A double blind, parallel, randomised controlled trial was conducted to test the effectiveness of decision training on novices' fitness-to-drive recommendations. Both groups made recommendations on a series of 64 case scenarios with the intervention group receiving training after reviewing two thirds of the cases; the control group, at this same point, just received a message of encouragement to continue. Participants were occupational therapy students on UK and Australian pre-registration programmes who individually took part online, following the website instructions. The main outcome of training was the reduction in mean difference between novice and expert recommendations on the cases.

    RESULTS: Two hundred eighty-nine novices were randomised into intervention; 166 completed the trial (70 in intervention; 96 in control). No statistical differences in scores were found pre-training. Post training, the control group showed no significant change in recommendations compared to the experts (t(96) = -.69; p = .5), whereas the intervention group exhibited a significant change (t(69) = 6.89; p < 0.001). For the intervention group, the mean difference compared with the experts' recommendations reduced with 95% CI from -.13 to .09. Effect size calculated at the post-training demonstrated a moderate effect (d = .69, r = .32).

    CONCLUSIONS: Novices who received the decision training were able to change their recommendations whereas those who did not receive training did not. Those receiving training became more able to identify drivers who were not fit-to-drive, as measured against experts' decisions on the same cases. This research demonstrated that novice occupational therapists can be trained to make decisions more aligned to those of expert OTDAs. The decision training and cases have been launched as a free training resource at www.fitnesstodrive.com . This can be used by novice driver assessors to increase their skill to identify drivers who are, and are not fit-to-drive, potentially increasing international workforce capacity in this growing field of practice.

  • 166.
    Hasdenteufel, Christina
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Narrativ som begrepp och användning inom arbetsterapi: en scoping review2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 167.
    Hassel, Per-Magnus
    Jönköping University, School of Health Science.
    Uppstart av ett team med multimo-dal ansats på rehabiliteringen för patienter med långvarig smärta: Ett förbättringsarbete med blandad studiedesign2012Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Background: Pain from the musculoskeletal system is the cause of sick leave. To reinforce the medical rehabilitation the Social Ministries did an agreement with Sweden's municipalities and county councils 2008; the rehab warranty. The effort that would receive performance bonuses was multimodal rehabilitation. In the county council of Dalarna they have been starting multi-modal teams of the resources of the rehab warranty. This thesis describes the start of one of these teams and factors that staff perceived important for teambuilding and work.

    Purpose: Aim for the improvement: Patients with chronic pain should receive prompt and adequate care from a team that has experience and knowledge to work together.

    Study questions: What effects for the patients can be connected to the attempts to create multi-modal rehabilitation in a primary care practice? What factors, experienced by staff at the centre, has influenced the creation of the pain team at the centre?

    Method: A mixed methods study with several methods for collecting results. Open interviews with personnel, structured telephone interviews with patients and journal review.

    Results: The pain team has managed to influence patients’ possibilities to return to work. Patients perceived the rehabilitation process positively when they could participate in the care in the making of a rehab plan. The factors that staff experience has affected team building were: purpose, measurements, patient centeredness, cooperation, environment, commitment, information, support from management, and time.

    Discussion: Whether you focus on team-building or on improvement work some factors remain important. Among these factors are a clear plan for the work that the participants align to and continuous measurements to increase the engagement for the participants in the team and others that is affected of the teams work. Further research is needed about teamwork in rehabilitation of pain patients and the economic consequences it brings. Is it multimodal rehabilitation that gives good effects or could intermediate rehabilitation be an alternative for small organisations?

  • 168.
    Hatfield, Megan
    et al.
    School of Occupational Therapy and Social Work, Curtin University, Perth, Australia.
    Ciccarelli, Marina
    Occupational Therapy Program, School of Medical and Health Sciences, Edith Cowan University, Perth, Australia.
    Falkmer, Torbjörn
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. CHILD. School of Occupational Therapy and Social Work, Curtin University, Perth, Australia.
    Falkmer, Marita
    Jönköping University, School of Education and Communication, HLK, CHILD. School of Occupational Therapy and Social Work, Curtin University, Perth, Australia.
    Factors related to successful transition planning for adolescents on the autism spectrum2018In: Journal of Research in Special Educational Needs, ISSN 1471-3802, E-ISSN 1471-3802, Vol. 18, no 1, p. 3-14Article in journal (Refereed)
    Abstract [en]

    Adolescents on the autism spectrum often have difficulties with the transition from high school to post-school activities. Despite this, little is known about the transition planning processes for this group. This study explored predisposing, reinforcing and enabling factors related to the transition planning processes for adolescents on the autism spectrum in Australia. The PRECEDE model guided a needs assessment, in which descriptive data about transition planning processes were collected via an online questionnaire from adolescents on the autism spectrum, their parents and professionals (N = 162). Predisposing factors included: an individualised and strengths-focused approach, and adolescent motivation, anxiety and insight. Reinforcing factors included: support and guidance, skill development and real-life experiences. Enabling factors were: having a clear plan with a coordinated approach, scheduled meetings and clear formal documentation. Whilst some factors aligned with recommendations for transition planning for adolescents with disabilities in general, there were some autism-specific factors. For example: anxiety, motivation and insight were important predisposing factors, and providing choice and flexibility was an enabling factor.

  • 169.
    Hatfield, Megan
    et al.
    School of Occupational Therapy and Social Work, Curtin University, Perth, Australia.
    Falkmer, Marita
    Jönköping University, School of Education and Communication, HLK, CHILD. School of Occupational Therapy and Social Work, Curtin University, Perth, Australia.
    Falkmer, Torbjörn
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. CHILD. School of Occupational Therapy and Social Work, Curtin University, Perth, Australia.
    Ciccarelli, Marina
    School of Occupational Therapy and Social Work, Faculty of Health Sciences, Curtin University, Perth, Australia.
    Effectiveness of the BOOST-A online transition planning program for adolescents on the autism spectrum: A quasi-randomized controlled trial2017In: Child and Adolescent Psychiatry and Mental Health, ISSN 1753-2000, E-ISSN 1753-2000, Vol. 11, no 1, article id 54Article in journal (Refereed)
    Abstract [en]

    Background: The majority of existing transition planning programs are focused on people with a disability in general and may not meet the specific need of adolescents on the autism spectrum. In addition, these interventions focus on specific skills (e.g. job readiness or self-determination) rather than the overall transition planning process and there are methodological limitations to many of the studies determining their effectiveness. The Better OutcOmes & Successful Transitions for Autism (BOOST-A (TM)) is an online program that supports adolescents on the autism spectrum to prepare for leaving school. This study aimed to determine the effectiveness of the BOOST-A T in enhancing self-determination. 

    Methods: A quasi-randomized controlled trial was conducted with adolescents on the autism spectrum enrolled in years 8 to 11 in Australian schools (N = 94). Participants had to have basic computer skills and the ability to write at a year 5 reading level. Participants were allocated to a control (n = 45) or intervention (n = 49) group and participants were blinded to the trial hypothesis. The intervention group used the BOOST-A T for 12 months, while the control group participated in regular practice. Outcomes included self-determination, career planning and exploration, quality of life, environmental support and domain specific self-determination. Data were collected from parents and adolescents. 

    Results: There were no significant differences in overall self-determination between groups. Results indicated significant differences in favor of the intervention group in three areas: opportunity for self-determination at home as reported by parents; career exploration as reported by parents and adolescents; and transition-specific self-determination as reported by parents. 

    Conclusions: Results provide preliminary evidence that the BOOST-A T can enhance some career-readiness outcomes. Lack of significant outcomes related to self-determination at school and career planning may be due to the lack of face-to-face training and parents being the primary contacts in the study. Further research is needed to determine effectiveness of the BOOST-A T related to post-secondary education and employment.

  • 170.
    Hatfield, Megan
    et al.
    School of Occupational Therapy and Social Work, Curtin University, Perth, Australia.
    Falkmer, Marita
    Jönköping University, School of Education and Communication, HLK, CHILD. School of Occupational Therapy and Social Work, Curtin University, Perth, Australia.
    Falkmer, Torbjörn
    Jönköping University, School of Health and Welfare, HHJ. CHILD. School of Occupational Therapy and Social Work, Curtin University, Perth, Australia.
    Ciccarelli, Marina
    School of Occupational Therapy and Social Work, Faculty of Health Sciences, Curtin University, Perth, Australia.
    Process evaluation of the BOOST-A™ Transition Planning Program for Adolescents on the autism spectrum: A strengths-based approach2018In: Journal of autism and developmental disorders, ISSN 0162-3257, E-ISSN 1573-3432, Vol. 48, no 2, p. 377-388Article in journal (Refereed)
    Abstract [en]

    A process evaluation was conducted to determine the effectiveness, usability, and barriers and facilitators related to the Better OutcOmes & Successful Transitions for Autism (BOOST-A (TM)), an online transition planning program. Adolescents on the autism spectrum (n = 33) and their parents (n = 39) provided feedback via an online questionnaire. Of these, 13 participants were interviewed to gain in-depth information about their experiences. Data were analyzed using descriptive statistics and thematic analysis. Four themes were identified: (i) taking action to overcome inertia, (ii) new insights that led to clear plans for the future, (iii) adolescent empowerment through strengths focus, and (iv) having a champion to guide the way. The process evaluation revealed why BOOST-A (TM) was beneficial to some participants more than others. 

  • 171.
    Hatfield, Megan
    et al.
    School of Occupational Therapy and Social Work Curtin University Bentley, Western Australia.
    Murray, Nina
    School of Occupational Therapy and Social Work Curtin University Bentley, Western Australia.
    Ciccarelli, Marina
    School of Occupational Therapy and Social Work Curtin University Bentley, Western Australia.
    Falkmer, Torbjörn
    School of Occupational Therapy and Social Work Curtin University Bentley, Western Australia.
    Falkmer, Marita
    Jönköping University, School of Education and Communication, HLK, CHILD. School of Occupational Therapy and Social Work Curtin University Bentley, Western Australia.
    Pilot of the BOOST-A™: An online transition planning program for adolescents with autism2017In: Australian Occupational Therapy Journal, ISSN 0045-0766, E-ISSN 1440-1630, Vol. 64, no 6, p. 448-456Article in journal (Refereed)
    Abstract [en]

    Background: Many adolescents with autism face difficulties with the transition from high school into post-school activities. The Better OutcOmes & Successful Transitions for Autism (BOOST-A™) is an online transition planning program which supports adolescents on the autism spectrum to prepare for leaving school. This study describes the development of the BOOST-A™ and aimed to determine the feasibility and viability of the program.

    Methods: Two pilot studies were conducted. In Pilot A, the BOOST-A™ was trialled by six adolescents on the autism spectrum, their parents, and the professionals who worked with them, to determine its feasibility. In Pilot B, 88 allied health professionals (occupational therapists, speech pathologists, and psychologists) reviewed the BOOST-A™ to determine its viability.

    Results: Participants rated the BOOST-A™ as a feasible tool for transition planning. The majority of allied health professionals agreed that it was a viable program. Based on participant feedback, the BOOST-A™ was modified to improve usability and feasibility.

    Conclusion: The BOOST-A™ is a viable and feasible program that has the potential to assist adolescents with autism in preparing for transitioning out of high school. Future research will determine the effectiveness of the BOOST-A™ with adolescents across Australia. 

  • 172.
    Henning, Belindi
    et al.
    School of Occupational Therapy, James Cook University, Townsville, QLD, Australia .
    Cordier, Reinie
    School of Occupational Therapy, James Cook University, Townsville, QLD, Australia .
    Wilkes-Gillan, Sarah
    School of Allied Health, Australian Catholic University, North Sydney, NSW, Australia.
    Falkmer, Torbjörn
    Jönköping University, School of Health and Welfare, HHJ. CHILD. Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. School of Occupational Therapy and Social Work, Curtin University, Bentley, Australia.
    A pilot play-based intervention to improve the social play interactions of children with autism spectrum disorder and their typically developing playmates2016In: Australian Occupational Therapy Journal, ISSN 0045-0766, E-ISSN 1440-1630, Vol. 63, no 4, p. 223-232Article in journal (Refereed)
    Abstract [en]

    Background/aim: Occupational therapists play a key role in addressing the social difficulties of children with ASD. However, interventions are often time intensive, without outcomes generalising beyond the clinic setting. To examine the feasibility and preliminary effectiveness of an intervention to address the social play skills of children with ASD.

    Methods: Participants in this multiple case study design were five children with autism spectrum disorder (ASD), five typically developing playmates and five parents of children with ASD. Two therapists and parents delivered the intervention involving clinic play sessions and home modules. Parents' treatment adherence was recorded. The Test of Playfulness was scored by a blinded rater to examine child outcomes following the intervention. Line graphs were used to examine case data. Percentage of non-overlapping data (PND) was used to calculate the single-case effect size for each child.

    Results: Parents completed 92.2% of the intervention. Children's case data showed an upwards trend from pre- to post-intervention in four of the five pairs (child with ASD and playmate). However, there was a decrease in scores from post-intervention to the two-month home follow-up for all but one pair. PND indicated the intervention was effective for two children with ASD and three of their playmates, had a questionable effect on three children with ASD and no observable effect on two playmates.

    Conclusion: The intervention demonstrated preliminary feasibility and effectiveness for improving the social play skills of some children with ASD. Careful consideration is needed to identify which children with ASD and which playmates would be best suited for this intervention approach. 

  • 173.
    Hiller, Jenny
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Hur personer med Aspergers syndrom (med eller utan ADHD) erfar användandet av smartphones som kognitivt stöd2016Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Background: The high cognitive demands included in performance of activities of today may make the everyday life for a person with a cognitive impairment more difficult. Smartphones have lately been used as cognitive support. The scientific knowledge for the use of smartphones as an assistive devise for a person with Asperger’s syndrome is, however, limited. Purpose: To describe how adults with Asperger’s syndrome (with or without ADHD) experience the use of smartphones as a cognitive support in their everyday life activities. Method: Eleven participants who had been using smartphones as a cognitive support in their everyday life for at least six months were interviewed. The interviews were analyzed using content analysis. Results: All participants experienced positive consequences from using smartphone as an assistive devise and that smartphones are used by anyone and not a typical assistive devise. The versatility of the device and the reminder function were considered beneficial, while the design of the devise and the lack of support (both financially and related to usage) were seen as negative. Conclusion: Smartphones worked well as cognitive support in everyday life. The need of economic support as well as help in finding suitable functions for every unique user is demanded.Keywords:

  • 174.
    Hilton, G.
    et al.
    Occupational Therapy Department, Central Queensland University, Royal Talbot Rehabilitation Centre, Melbourne, VIC, Australia.
    Unsworth, Carolyn A.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Occupational Therapy Department, Central Queensland University, Royal Talbot Rehabilitation Centre, Melbourne, VIC, Australia.
    Murphy, G. C.
    School of Public Health, La Trobe University, Melbourne, VIC, Australia.
    Browne, M.
    Occupational Therapy Department, Central Queensland University, Royal Talbot Rehabilitation Centre, Melbourne, VIC, Australia.
    Olver, J.
    Victorian Spinal Cord Service, Austin Health, Melbourne, VIC, Australia.
    Longitudinal employment outcomes of an early intervention vocational rehabilitation service for people admitted to rehabilitation with a traumatic spinal cord injury2017In: Spinal Cord, ISSN 1362-4393, E-ISSN 1476-5624, Vol. 55, no 8, p. 743-752Article in journal (Refereed)
    Abstract [en]

    Study design: Longitudinal cohort design.

    Objectives: First, to explore the longitudinal outcomes for people who received early intervention vocational rehabilitation (EIVR); second, to examine the nature and extent of relationships between contextual factors and employment outcomes over time.

    Setting: Both inpatient and community-based clients of a Spinal Community Integration Service (SCIS).

    Methods: People of workforce age undergoing inpatient rehabilitation for traumatic spinal cord injury were invited to participate in EIVR as part of SCIS. Data were collected at the following three time points: Discharge and at 1 year and 2+ years post discharge. Measures included the spinal cord independence measure, hospital anxiety and depression scale, impact on participation and autonomy scale, numerical pain-rating scale and personal wellbeing index. A range of chi square, correlation and regression tests were undertaken to look for relationships between employment outcomes and demographic, emotional and physical characteristics.

    Results: Ninety-seven participants were recruited and 60 were available at the final time point where 33% (95% confidence interval (CI): 24-42%) had achieved an employment outcome. Greater social participation was strongly correlated with wellbeing (Ï =0.692), and reduced anxiety (Ï =â '0.522), depression (Ï =â '0.643) and pain (Ï =â '0.427) at the final time point. In a generalised linear mixed effect model, education status, relationship status and subjective wellbeing increased significantly the odds of being employed at the final time point. Tertiary education prior to injury was associated with eight times increased odds of being in employment at the final time point; being in a relationship at the time of injury was associated with increased odds of being in employment of more than 3.5; subjective wellbeing, while being the least powerful predictor was still associated with increased odds (1.8 times) of being employed at the final time point.

    Conclusions: EIVR shows promise in delivering similar return-to-work rates as those traditionally reported, but sooner. The dynamics around relationships, subjective wellbeing, social participation and employment outcomes require further exploration.

  • 175.
    Hilton, Gillean
    et al.
    Department of Occupational Therapy, Central Queensland University, Melbourne, Australia.
    Unsworth, Carolyn
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Department of Occupational Therapy, Central Queensland University, Melbourne, Australia.
    Murphy, Gregory
    School of Public Health La Trobe University, Melbourne, Australia.
    The experience of attempting to return to work following spinal cord injury: a systematic review of the qualitative literature.2018In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 40, no 15, p. 1745-1753Article in journal (Refereed)
    Abstract [en]

    PURPOSE: This review sought to answer the question "What are the barriers and facilitators influencing people's experience of return to work following spinal cord injury?"

    METHODS: Studies that met the selection criteria were identified, presented and critically appraised using National Institute for Health and Care Excellence guidelines. Thematic synthesis was completed with studies possessing strong methodological rigor. Synthesis and interpretation involved three stages; coding of primary data; development of descriptive themes reflective of the primary data; and establishment of analytical themes to answer the review question.

    RESULTS: Data from nine papers were included in the thematic synthesis. Several descriptive themes and three analytical themes were drawn from the data to answer the research question. Analytical themes included: a matrix of personal and environmental factors exists requiring complex navigation in order to create possibilities and opportunities for postinjury employment; the process of seeking or gaining employment shares a reciprocal relationship with the temporal nature of adjustment to spinal cord injury; and there is an intrinsic need for occupational engagement through paid employment.

    CONCLUSIONS: Returning to or gaining employment after spinal cord injury is a fundamentally difficult experience for people. Multiple strategies are required to support the navigation of the process. There is, however, a need in people with spinal cord injury, to be a worker, and with that comes the inherent benefits of being employed. Implications for rehabilitation Returning to work should be a significant focus of spinal cord injury rehabilitation. Employment is both possible and health promoting following spinal cord injury. Multiple strategies are required to support people to navigate the return to work process. It is important to be cognizant of the individual motivations for being a worker and the complexity of the adjustment process. Spinal cord injury centers can provide a consistent and supportive framework and culture of positivity about employment after spinal cord injury.

  • 176.
    Hjalmarsson Österholm, Johannes
    et al.
    Linköping university.
    Björk, Mathilda
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Håkansson, Carita
    Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Factors of importance for maintaining work as perceived by med with arthritis2012Conference paper (Refereed)
    Abstract [en]

    Background: Employment rates are significantly lower among individuals with arthritis compared to a generalpopulation. During the last decade new biological medications have revolutionized the treatment for many individuals witharthritis (1), reducing the disease activity and symptoms in a positive way, but also causing major direct costs since thenew medications are very expensive (2). Even though the effect is good some individuals still report disability like pain,fatigue (3) and work disability (4). This indicates that even though biological medicines generate a positive remission ofthe disease, disability such as work disability can still be present and needs to be evaluated. Previous research aboutindividuals with arthritis and their ability to work has mainly had a quantitative design focusing on what affects work andfacilitates the ability to work for women. There is, however, limited research about how men with arthritis perceive theirability to maintain working.Objectives: The aim of this study was thus to explore how men with arthritis perceive their ability to maintain working.Methods: Nine employed men with arthritis were purposively sampled. Interviews were performed and were inspired bythe central concepts of the Model of Human Occupation. The Empirical Phenomenological Psychological method wasmodified and used to analyze and interpret collected data.Results: The findings consist of six themes and fifteen sub-themes. The results showed that men with arthritis perceiveda desire to work, adjusted their activity pattern, were aware of their own capabilities, had good work conditions, hadenvironmental support and used effective medication to maintain their ability to work.Conclusions: This study has provided an understanding of how men with arthritis maintain their ability towork. In conclusion, to treat the symptoms of arthritis, in the more traditional way that for examplehand dysfunction and pain are treated, may prevent sick-leave but as found in the presentstudy the ability to work is complex and new strategies to support ability to work need to bedeveloped in the occupational aspects of rheumatology care.

  • 177.
    Hogan, Lillie-Marie
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    How Do Occupational Therapists Work with Cognitive Interventions in Psychiatry and Mental Health? A Systematic Literature Review2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: While cognition is the dominant view of understanding in psychology, there appear to be few occupational therapy interventions within this field that are cognitive. Objective: A systematic literature review was conducted to identify how occupational therapists work with interventions that are cognitive in the field of psychiatry and mental health internationally. Methods: Searches were conducted in the Academic Search Elite, CINAHL, PubMed, OVID Medline, Google Scholar, AMED, OTSeeker, PsycInfo and Cochrane Library databases between the years 1997 to 2017 and identified 21 publications for inclusion. Results: Three themes were identified and consequently discussed: Occupational therapy as a cognitive intervention, specifically named as cognitive interventions used by occupational therapists and multi-professional cognitive interventions. Conclusions: The findings indicate that interventions used by occupational therapists on a broad range of psychiatric diagnoses contain everyday occupations such as cooking, grocery-shopping and occupations meaningful to the client. These occupations are the notion of occupational therapy while simultaneously improving the cognition and can be considered to be cognitive. This connection needs to be researched further in the future. Significance: Occupational therapy interventions can be considered to improve on cognition and are therefore important in psychiatry and mental health. 

  • 178.
    Hopstadius, Sofie
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Ottosson, Elina
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Sexualitet och långvarig smärta.  Ett arbetsområde för arbetsterapeuter?: Kvantitativ studie som beskriver om och i vilken utsträckning arbetsterapeuter som arbetar med långvarig smärtproblematik arbetar med sexualitet i Sverige.2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte: Beskriva om och i vilken utsträckning arbetsterapeuter som arbetar med långvarig smärtproblematik arbetar med sexualitet i Sverige. Metod: Kvantitativ enkätstudie med induktiv ansats. Deltagarna rekryterades genom ett bekvämlighetsurval och bestod av 35 arbetsterapeuter som arbetade inom olika smärtverksamheter i Sverige. Resultat: 25 deltagare ansåg sexualitet som ett arbetsområde inom arbetsterapi och att de kände sig bekväma att diskutera sexualitet med sina patienter. 25 deltagare hade relativt sällan tagit upp frågor relaterat till sexualitet med sina patienter och det var vanligare att patienterna själva tog upp frågor gällande sexualitet. 22 deltagare upplevde att de inte hade tillräckligt med kunskap för att arbeta med sexualitet. Det var 20 deltagare som aldrig utfört någon intervention och 15 stycken som någon gång utfört intervention relaterat till sexualitet. Slutsats: För att främja arbetsterapeuters arbete kring sexualitet hos patienter med långvarig smärtproblematik behövs mer kunskap i ämnet, implementering av riktlinjer, introducering av verktyg, ett multiprofessionellt arbete samt användning av bedömningsmodeller som PLISSIT modellen, ALARM- bedömningsmodell och Schovers värderingsmetod.

  • 179.
    Hultsbo, Sara
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Fridén, Ellinor
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Den självskattade aktivitetsbalansen hos sammanboende män och kvinnor2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 180.
    Hästö, Jenny
    Jönköping University, School of Health and Welfare.
    Teknik för delaktighet i aktivitet och samhälle för personer med dövblindhet2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Det är allas rätt att fritt delta i samhället men att kunna ta del av samhällslivet är inte en självklarhet för alla. Personer med dövblindhet kan uppleva svårigheter kring aktiviteter så som att kommunicera, förflytta sig och få tag på information. I arbetsterapi är delaktighet i aktivitet ett viktigt begrepp. För att öka delaktigheten i aktiviteter i samhället för denna grupp behöver möjligheter till självständighet stärkas och beroende av andra människor minskas. Tillgång till teknologi kommer få större betydelse i rehabilitering i framtiden. Syftet med studien var att beskriva om och i så fall hur teknik kan främja delaktighet i aktivitet och i samhället för personer med dövblindhet. En litteraturstudie genomfördes vilken resulterade i tio artiklar med fokus på implikationer av tekniska lösningar för personer med dövblindhet. Resultatet visade att teknik kan främja delaktighet i aktivitet i samhället genom att ge personer med dövblindhet möjlighet till självständig mobilitet i samhället, kommunikation, tillgång till information och en känsla av säkerhet. Tekniken kan även ge personer ökad möjlighet till social interaktion och möjligt bryta viss isolering samt främja självständighet vid aktiviteter för personer med dövblindhet.

  • 181. Håkansson, C.
    et al.
    Morville, Anne-Le
    Metropolitan University College, Denmark.
    Wagman, P.
    Aktivitetsbalance2017In: Nordisk aktivitetsvidenskab / [ed] Hanne Kaae Kristensen, Jesper Larsen Mærsk, Anne Sofie Bach Schou, Munksgaard Forlag, 2017, p. 111-126Chapter in book (Refereed)
  • 182.
    Håkansson, Carita
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Dahlin-Ivanoff, Synneve
    Göteborgs universitet, inst för arbetsterapi och fysioterapi.
    Sonn, Ulla
    Göteborgs universitet, inst för arbetsterapi och fysioterapi.
    Achieving balance in everyday life: Insights from women with stress-related disorders2006In: Journal of Occupational Science, ISSN 1442-7591, E-ISSN 2158-1576, Vol. 13, no 1, p. 74-82Article in journal (Refereed)
    Abstract [en]

    There is growing interest in developing a conceptual understanding of the experience of balance in everyday life, from an occupational perspective. The purpose of this study was to gain insights about balance in the everyday lives of women with stress-related disorders. Data were gathered from 19 women who were past the first phase of recovery from a stress-related disorder and participated in one of five focus groups. Analysis revealed that the participants experienced a continuum between imbalance and balance in everyday life. The themes that emerged were image of occupational self, strategies to manage and control everyday life, occupational repertoire, and occupational experience. Balance in everyday life was achieved through a dynamic interaction between these themes, which the women characterised as respecting their own values, needs, and resources; having strategies to manage and control everyday life; having a harmonious occupational repertoire; and engaging in personally meaningful occupation. Engagement in personally meaningful occupation appears to be a mechanism that enables people to achieve balance in everyday life by enabling them to develop a successful occupational selfimage, manageability, control, and a harmonious occupational repertoire. Well-being seems to be the outcome of balance in everyday life, and lack of balance is experienced as overload.

  • 183.
    Håkansson, Carita
    et al.
    Sahlgrenska akademin vid Göteborgs universitet.
    Eklund, Mona
    Lunds universitet, avd för arbetsterapi och gerontologi.
    Lidfeldt, Jonas
    Lunds universitet, inst för samhällsmedicin.
    Nerbrand, Christina
    Lunds universitet, inst för samhällsmedicin.
    Samsioe, Göran
    Lunds universitetssjukhus, avd för gynekologi och obstretik.
    Nilsson, Peter M
    Lunds universitet, inst för samhällsmedicin.
    Well-being and occupational roles among middle-aged women2005In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 24, no 4, p. 341-351Article in journal (Refereed)
    Abstract [en]

    One purpose of the present study is to explore the stability of the pattern of health/work and sickness absence among middle-aged women over a period of three years. Two hypotheses were tested: 1. that enduringly healthy working women would perceive more valued occupational roles and higher well-being than long-term sick-listed women, and 2. that high levels of well-being at baseline would predict enduring health and occupational role value at a 3-year follow-up. Middle-aged women (n = 208) answered a postal survey with the Role checklist, a well-being scale and questions about work and sickness situation. The results showed that there was a considerable variability in the pattern of health/work and sickness absence. The results showed that the enduringly healthy women experienced a more valued worker role and higher well-being than the long-term sick-listed women. Furthermore, high levels of well-being concerning health and work predicted enduring health in the studied sample.

  • 184.
    Håkansson, Carita
    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.
    Lissner, Lauren
    Göteborgs universitet, sekt för allmänmedicin.
    Björkelund, Cecilia
    Göteborgs universitet, sekt för allmänmedicin.
    Sonn, Ulla
    Göteborgs universitet, inst för arbetsterapi och fysioterapi.
    Engagement in patterns of daily occupations and perceived health among women of working age2009In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 16, no 2, p. 110-117Article in journal (Refereed)
    Abstract [en]

    The aim of the present cross-sectional study was to examine how subjective experiences of engagement in patterns of daily occupations (gainful employment, domestic work, enjoyable and recreational occupations) were associated with perceived health among women of working age. The sample (n_488) was drawn from a longitudinal cohort study of women of working age in Gothenburg, Sweden. Participants were women 38 (n_202) and 50 (n_286) years of age. They completed a questionnaire including questions about occupational experiences in relation to their patterns of daily occupations, perceived health, and socioeconomic factors. The results of the present study showed that a combination of different experience dimensions of patterns of daily occupations was associated with perceived health among women of working age, even when adjusted for socioeconomic factors and age. The results provided occupational pattern-related health indicators, i.e. manageability, personally meaningful occupations, and occupational balance. To combine these health indicators can be a way for occupational therapists to enable women to develop strategies to promote health and to prevent stress and sick leave.

  • 185. Håkansson, Carita
    et al.
    Wagman, Petra
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Aktivitetsbalans - ett generiskt självskattningsinstrument2013Conference paper (Refereed)
  • 186.
    Håkansson, Carita
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Wagman, Petra
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Aktivitetsbalans : ett fokus för hälsofrämjande arbetsterapi2018In: Hälsa och aktivitet i vardagen: ur ett arbetsterapeutiskt perspektiv / [ed] Ulla Kroksmark, Nacka: Förbundet Sveriges Arbetsterapeuter , 2018, 2:a uppl.Chapter in book (Other academic)
  • 187.
    Håkansson, Carita
    et al.
    Lunds Universitet.
    Wagman, Petra
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Aktivitetsbalans och andra aktivitetsbehov2014In: Hälsa och aktivitet i vardagen - ur ett arbetsterapeutiskt perspektiv / [ed] Ulla Kroksmark, Nacka: Förbundet Sveriges Arbetsterapeuter , 2014, 1, p. 16-23Chapter in book (Other academic)
  • 188. Håkansson, Carita
    et al.
    Wagman, Petra
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Balans - vad är det egentligen?2011Conference paper (Refereed)
  • 189.
    Håkansson, Carita
    et al.
    Lunds universitet.
    Wagman, Petra
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Self-rated occupational balance – a generic instrument2014Conference paper (Refereed)
  • 190.
    Håkansson, Carita
    et al.
    Avdelningen för arbets- och miljömedicin, Lunds universitet, .
    Wagman, Petra
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Hagell, Peter
    Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap, Högskolan i Kristianstad.
    OBQ11 – ny version av Occupational Balance Questionnaire baserat på Raschanalys2019Conference paper (Refereed)
  • 191.
    Ivarsson, Hanna
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Lundqvist, Daniel
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Kvinnliga fotbollsspelares upplevelser av hur elitsatsningen påverkar deras aktivitetsbalans och välbefinnande: En kvalitativ studie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Being able to handle stress, injury, expectations and demands is important in the everyday life of an elite football player. Female football players have a greater challenge to combine their elite efforts with other employment, compared with male football players. The purpose of this study was to describe female football players’ experiences of how their elite efforts affect occupational balance and well-being. A qualitative study design with semi-structured interviews was used. Data selection was made by convenience sampling. Data was analysed with a qualitative content analysis. The results showed that elite female football players’ had a demanding everyday life that required planning and structure to promote occupational balance. Their everyday life consisted of clear routines and habits for work/ studies and football practice. It was necessary for the players to have another occupation in addition to their elite efforts, to manage financially. The informants made a conscious effort to prioritize rest, sleep and practice. Sacrifices were part of the daily life where family and friends often became less of a priority. The elite efforts meant high demands and expectations, which affected well-being both negatively and positively. The conclusion was that everyday life of a female elite football player consisted of factors that influenced their occupational balance and well-being. This study was an insight into this problem area but further research is required.

  • 192.
    Jacob, Andrew
    et al.
    Curtin University, Perth, Australia.
    Scott, Melissa
    Curtin University, Perth, Australia.
    Falkmer, Marita
    Jönköping University, School of Education and Communication, HLK, CHILD. Curtin University, Perth, Australia.
    Falkmer, Torbjörn
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Curtin University, Perth, Australia.
    The costs and benefits of employing an adult with autism spectrum disorder: A systematic review2015In: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 10, no 10, p. 1-15, article id e0139896Article, review/survey (Refereed)
    Abstract [en]

    Background

    Despite an ambition from adults with Autism Spectrum Disorder (ASD) to be employed, there are limited opportunities for competitive employment for this group. Employment is not only an entitlement enjoyed by others in society, but employing adults with ASD also has economic benefits by decreasing lost productivity and resource costs for this group. Few studies have explored the cost-benefit ratio for employing adults with ASD and even fewer have taken the viewpoint of the employer, particularly applying this situation to ASD. Until such study occurs, employers may continue to be reluctant to employ adults from this group.

    Objective

    This review aimed to examine the costs, benefits and the cost-benefit ratio of employing adults with ASD, from a societal perspective and from the perspective of employers.

    Methods

    Eight databases were searched for scientific studies within defined inclusion criteria. These databases included CINAHL Plus, Cochrane Library, Emerald, Ovid Medline, ProQuest, PsycINFO, Scopus and Web of Science.

    Results and Conclusion

    Enhancing the opportunities for adults with ASD to join the workforce is beneficial from a societal perspective, not only from an inclusiveness viewpoint, but also from a strict economic standpoint. Providing supported employment services for adults with ASD does not only cut the cost compared with providing standard care, it also results in better outcomes for adults with ASD. Despite the fact that ASD was the most expensive group to provide vocational rehabilitation services for, adults with ASD have a strong chance of becoming employed once appropriate measures are in place. Hence, rehabilitation services could be considered as a worthwhile investment. The current systematic review uncovered the fact that very few studies have examined the benefits, the costs and the cost-benefit ratio of employing an adult with ASD from the perspective of employers indicating a need for this topic to be further explored.

  • 193.
    Janeslätt, Gunnel
    et al.
    Department of Public Health and Caring Sciences, Disability and Habilitation, Uppsala University, Uppsala, Sweden.
    Wallin, Sara W.
    School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden.
    Granlund, Mats
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Social Work. Jönköping University, School of Health and Welfare, HHJ. CHILD. Jönköping University, School of Education and Communication, HLK, CHILD.
    Intervention in time-processing ability, daily time management and autonomy in children with intellectual disabilities aged 10–17 years – A cluster randomised trial2019In: Australian Occupational Therapy Journal, ISSN 0045-0766, E-ISSN 1440-1630, Vol. 66, no 1, p. 110-120Article in journal (Refereed)
    Abstract [en]

    Background/aim

    Difficulties with management of time are frequently observed in children and youth with intellectual disabilities (IDs). The aim of this study was to evaluate a new intervention programme ‘My Time’ to improve time‐processing ability (TPA) in children with IDs aged 10–17 years (n = 61).

    Methods

    Cluster randomised and waiting‐list control group design was used. Data collection included the Kit for assessment of TPA, the Time‐Parent scale and a self‐rating of autonomy to assess occupational performance in daily life. The method was implemented over an 8‐week period. Effect size (ES) was calculated and an analysis of covariance on the individual level and a two‐stage process on the cluster level.

    Results

    The estimated mean improvement in the KaTid‐Child score from baseline (t1) to t2 was significantly higher in the intervention group compared to the waiting‐list group, ES Cohen's d = 0.64.

    Conclusion

    The results present first evidence of the effectiveness of a new occupational therapy intervention programme (‘My Time’) to facilitate TPA in children with mild to moderate IDs. Children with IDs aged 10–17 years could improve their TPA at a measurable pace when given intervention. The method could complement interventions using time‐assistive devices. Children with IDs should be identified to guide intervention. Further research is necessary to establish whether using the intervention programme can facilitate the development of TPA in younger children.

  • 194.
    Jansson, Agnetha
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Sundell, Hanna
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Beskrivning av aktivitetsutförande under och efter långtidssjukskrivning.2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Dagliga aktiviteter är ett centralt begrepp inom arbetsterapi och något som individen engagerar sig i varje dag. För individer som varit långtidssjukskrivna och återgår i arbete påverkas många områden. Ett område är i vilken utsträckning olika dagliga aktiviteter utförs. Syftet med studien var att beskriva och jämföra aktivitetsutförandet under och efter långtidssjukskrivningen samt beskriva hur arbetet påverkat livssituationen. Författarna till studien utgick från en kvantitativ metod med målinriktat urval. För att samla in data om aktivitetsutförandet användes enkäter som konstruerats för studien, med frågor om hur ofta olika dagliga aktiviteter utfördes under långtidssjukskrivningen samt hur ofta de utförs idag. Studien bygger på resultatet av enkäterna där 23 deltagare, 6 män och 17 kvinnor, i åldrarna 28 - 62 år medverkade. Utifrån resultatet gjordes en jämförelse av aktivitetsutförandet under och efter långtidssjukskrivningen. Resultatet visade att aktivitetsutförandet hade ökat efter långtidssjukskrivningen. Dessutom framkom att arbetet påverkat tillvaron för deltagarna positivt. Eftersom antalet deltagare var litet kan resultatet inte generaliseras men var ändå intressant ur ett arbetsterapeutiskt perspektiv och författarna till studien anser att fler studier behövs kring aktivitetsutförandet i samband med långtidssjukskrivning och återgång i arbete

  • 195.
    Jansson, Inger
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Arbete eller medborgarlön åt alla?2019Conference paper (Refereed)
  • 196.
    Jansson, Inger
    Jönköping University, School of Health and Welfare, HHJ. ADULT.
    On the nature of work ability2014Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    ‘Work ability’ is a multidimensional concept with importance for both society and the individual. The overall aim of this thesis was to illuminate work ability from the perspective of individuals (Studies I, III), rehabilitation (Study II) and employers (Study IV). In Study I five focus-group interviews were conducted with a total of 16 former unemployed sickness absentee participants. The interviews focused on their experiences of the environmental impact on return to work. The participants expressed a changed self-image and life rhythm. A need for reorientation and support from professionals was stressed. Experiences of being stuck in a ‘time quarantine’, i.e. a long and destructive wait for support, were also revealed. Study II was a randomised controlled study evaluating the interventional capacity of problem-based method (PBM) groups regarding anxiety, depression and stress and work ability compared to cognitive behavioural therapy (CBT) as a method within the Rehabilitation Guarantee. Effects were measured with psychometric instruments. The participants, 22 in the PBM group and 28 in the CBT group, were persons on sick leave because of common mental disorders. Within-group analysis showed significant lower degree of symptoms regarding anxiety and depression for both interventions. Between-group analysis showed significant lower degree of symptoms for CBT regarding anxiety, depression and stress. Within-group analysis of work ability showed significant improvement in one (out of five) subscales for the PBM group and in four for the CBT group. No significant between-group differences were found regarding work ability. In Study III, 16 participants were interviewed after completed interventions in Study II, eight from each intervention group. The interviews focused on their experiences from the interventions and the impact on their ability to work and perform other everyday activities. The interventions were experienced as having a positive impact on their ability to work and perform other everyday activities in a more sustainable way. Reflecting on behaviour and achieving limiting strategies were perceived as helpful in both interventions, although varying abilities to incorporate strategies were described. The findings support the use of active coping-developing interventions rather than passive treatments. Study IV included interviews with 12 employers and investigated their conceptions of ‘work ability’. In the results three domains were identified: ‘employees’ contributions to work ability’, ‘employers’ contributions to work ability’ and ‘circumstances with limited work ability’. Work ability was regarded as a tool in production and its output, production, was the main issue. The employees’ commitment could bridge other shortcomings. In summary, in the work rehabilitation process, different perspectives on work ability need to be considered in order to improve not only individual performance but also rehabilitation interventions, work-places and everyday circumstances. Clearly pronounced perspectives can contribute to better illustrating the dynamic within the relational and multifaceted concept of ‘work ability’. The ability to work can thus be enhanced through improving individual abilities, discovered through reorientation and created through support and adaptation.

  • 197. Jansson, Inger
    et al.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. CHILD.
    Erfarenheter av att återgå till arbete efter sjukskrivning och arbetslöshet2006In: Vågor på HaVet: tio texter om arbete och funktionshinder, Jönköping: Hälsohögskolan , 2006, p. 26-Chapter in book (Other (popular science, discussion, etc.))
  • 198. Jansson, Inger
    et al.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. CHILD.
    Hindrande och stödjande faktorer för arbetsåtergång: En fokusgruppstudie ur ett miljöperspektiv av tidigare arbetslösa, sjukskrivnas uppfattningar.2005In: Svensk Rehabilitering, ISSN 1403-4468, no 4, p. 30-34Article in journal (Other (popular science, discussion, etc.))
  • 199.
    Jansson, Inger
    et al.
    Jönköping University, School of Health Science, HHJ. ADULT. Regional Social Insurance office in Kalmar.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    The Experience of Returning to Work2007In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 28, no 2, p. 121-134Article in journal (Refereed)
    Abstract [en]

    The purpose of this qualitative study was to explore from an environmental perspective the experiences of returning to work of former unemployed sickness absentees. Five separate focus-group interviews were carried out with themes concerning different environmental areas. The findings showed that the participants in their process of being off work and then attempting returning to work experienced a personal transition manifesting itself as a negative self-image, change of life-rhythm and restrictions in their roles and activities. In their progression, the participants experienced a need for reorientation and expressed feelings of alienation, and for that reason felt need of support from a network, especially a professional one. Regarding attitudes in society, the participants reported experiences of social stigmatization, both in mass media and in their immediate social environment, and an increasing egocentricity among their fellow-workers. They perceived their progression back to work as a ‘time quarantine’ and as a long and destructive wait for support. The findings indicate that the phenomenon of ‘returning to work’ after unemployment and sick leave could not be reduced to a single issue. It should rather be seen as a dynamic problem with individual and structural, environmental aspects.

  • 200.
    Jansson, Inger
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Björklund, Anita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Perseius, Kent-Inge
    Kalmar City Hospital, Kalmar, Sweden.
    Gunnarsson, A. Birgitta
    Kronoberg City Council, Unit for Research and Development, Växjö, Sweden.
    The concept of 'work ability' from the view point of employers2015In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 52, no 1, p. 153-167Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Since work ability is manifested in working life and "bought" by employers, employers perceptions of the concept are important to understand. Studies have shown that people with health problems want to take part in the labour market, but experience difficulties in gaining access. Additionally, studies have demonstrated the doubt felt by employers when they consider hiring a person with a disability.

    OBJECTIVE: The aim was to identify and characterise employers' conceptions of work ability.

    METHODS: The study design was qualitative with a phenomenographic approach. Six male and six female employers from various workplaces and geographical areas in Sweden were interviewed.

    RESULTS: Three domains were identified: employees' contributions to work ability, employers' contributions to work ability and circumstances with limited work ability. Work ability was regarded as a tool in production and its output, production, was the main issue. The employees' commitment and interest could bridge other shortcomings.

    CONCLUSIONS: The employers highlighted their own contributions in shaping work ability in order to fit with work circumstances. Health problems were not the only limiting issues; other circumstances, such as individual characteristics and contextual factors, could limit work ability too. Knowing the importance of commitment and interest is valuable in work rehabilitation.

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