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  • 201.
    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.

  • 202.
    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.

  • 203.
    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.

  • 204.
    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

  • 205.
    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)
  • 206.
    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.

  • 207. 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.))
  • 208. 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.))
  • 209.
    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.

  • 210.
    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.

  • 211.
    Jansson, Inger
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Gunnarsson, A. Birgitta
    Department of Research and Development, Region Kronoberg, Växjö, Sweden.
    Employers' views of the impact of mental health problems on the ability to work2018In: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 59, no 4, p. 585-598Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Mental health problems (MHP) are common in working life and can be hard to respond to for employers. Therefore, knowledge of employers' perceptions of employees with MHP is important to support coping efforts of persons and their work environments.

    OBJECTIVE: Identify and characterise employers' perceptions of the impact of MHP on work ability.

    METHODS: Twelve employers with experience of employees with MHP were interviewed. Data were analysed with a phenomenographic method.

    RESULTS: The first main category, 'Experiences of employees with MHP', included experiences of diffuse and unexpressed signs of the onset of MHP and frustration among employers and work-mates which was difficult to verbalise. MHP could also be turned off, thus having no impact on work ability. The second main category, 'Strategies to handle effects of MHP in the workplace', included the importance of continual responsiveness and communication, and of fluctuating adaptations. The informants expressed diversity in the workplace as a strategy.

    CONCLUSIONS: Employers have experiences of, as well as strategies for, how to handle MHP at times when they impact with the ability to work. However, neither experiences nor strategies were explicitly pronounced and verbalised which makes it a challenge to develop strategies and guidelines in workplaces.

  • 212.
    Jansson, Inger
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Gunnarsson, A. Birgitta
    Kronoberg City Council, Unit for Research and Development, Växjö, Sweden.
    Björklund, Anita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Brudin, Lars
    Kalmar City Hospital, Kalmar, Sweden.
    Perseius, Kent-Inge
    Kalmar City Hospital, Kalmar, Sweden.
    Problem-based self-care groups versus cognitive behavioural therapy for persons on sick leave due to common mental disorders: A randomised controlled study2015In: Journal of occupational rehabilitation, ISSN 1053-0487, E-ISSN 1573-3688, Vol. 25, no 1, p. 127-140Article in journal (Refereed)
    Abstract [en]

    Purpose To evaluate the interventional capacity of problem based method groups (PBM) regarding mental health and work ability compared to cognitive behavioural therapy (CBT) for persons on sick leave due to common mental disorders. Methods In a randomised controlled design the experimental group received PBM and the control group received CBT. Outcomes were measured by the Hospital Anxiety and Depression Scale (HADS), the Stress and Crisis Inventory 93 (SCI-93) and the Dialogue about Working Ability instrument (DOA). Results Twenty-two participants in the PBM group and 28 in the CBT group completed intervention. Both groups showed significant lower scores on the two HADS subscales. Regarding stress the PBM group showed significant decrease in one (out of three) subscales of SCI-93. The CBT group showed significant decrease on all subscales of SCI-93. Regarding work ability the PBM group showed significant higher scores on one of five subscales of DOA. The CBT group showed significant higher scores on four of five subscales of DOA. Between groups there were significant differences to the favour of CBT on one of two subscales of HADS, all three subscales of SCI-93 and on two of the five subscales of DOA. Conclusion PBM seem to be able to reduce anxiety- and depression symptoms. CBT showed to be superior to PBM in reducing symptoms in all aspects of mental health, except for anxiety, in which they seem equally effective. Regarding work ability CBT showed to be superior, with significant effect on more aspects compared to PBM.

  • 213.
    Jansson, Inger
    et al.
    Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Perseius, Kent-Inge
    Nyckeln Competence Centre for Pedagogic in Healthcare, Kalmar County Hospital, Kalmar, Sweden.
    Gunnarsson, Anna Birgitta
    Unit for Research and Development, Kronoberg County Council, Växjö, Sweden.
    Björklund, Anita
    Jönköping University, School of Health and Welfare, HHJ. Ageing - living conditions and health.
    Work and everyday activities: Experiences from two interventions addressing people with common mental disorders2014In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 21, no 4, p. 295-304Article in journal (Refereed)
    Abstract [en]

    Objective: Lengthy sick leave makes demands on work ability enhancing interventions in primary health care. Problem-based method (PBM) and cognitive behavioural therapy (CBT) are interventions aimed at people with common mental disorders. This study aimed to describe how individuals experienced interventions and the impact the interventions had on the individuals' ability to work and perform other everyday activities. Method: Fourteen women and two men, eight each from two interventions, were interviewed. The interviews were analysed using qualitative content analysis. Results: The analysis revealed one overarching theme: "Reaching safe ground or continuing to seek help". Four categories were identified: "From being passive to making one's own efforts in the rehabilitation process", "Being stuck on a treadmill or daring to change", "Evolving from routine to more aware behaviour", and "Fitting in or not fitting in with workplace situations". Conclusions: According to the participants, experiences from both PBM and CBT had 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. In general, the results support the use of active coping-developing interventions rather than passive treatments.

  • 214.
    Jansson, Inger
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Wagman, Petra
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Hannah Arendt’s thoughts in relation to occupational science: A response to Turnbull2018In: Journal of Occupational Science, ISSN 1442-7591, E-ISSN 2158-1576, Vol. 25, no 2, p. 252-255Article in journal (Refereed)
    Abstract [en]

    In his response to our article “Hannah Arendt’s vita activa: A valuable contribution to occupational science,” Turnbull (2017) outlined some tensions he perceived with our discussion of “her approach to philosophy, politics and science”. In our reply, we express appreciation of his interest in Arendt related to occupational science and the contribution his article makes, as well as clarifying some points in his critique. We argue that Turnbull’s main arguments do not address our primary purpose of presenting Arendt’s vita activa and provide examples of its relevance for occupational science. We thus focused on activity-related aspects of Arendt’s thoughts, to raise awareness of this work amongst occupational scientists. However, we are thankful for Turnbull’s reflections, which broaden the insights of Arendt’s thinking and contribute to a better understanding of human occupation. 

  • 215.
    Jansson, Inger
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Wagman, Petra
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Hannah Arendt’s vita activa: A valuable contribution to occupational science2017In: Journal of Occupational Science, ISSN 1442-7591, E-ISSN 2158-1576, Vol. 24, no 3, p. 290-301Article in journal (Refereed)
    Abstract [en]

    Occupational science is undergoing dynamic development and claims have been articulated that human occupation must be understood from multiple ontological standpoints. Hannah Arendt (1906–1975) is known for her work The Human Condition in which she explored human occupation from a philosophical and political standpoint. She distinguished the modalities labor, work and action, and labelled them vita activa. The aim of this paper is to present Arendt and her vita activa, in order to provide examples of its relevance for occupational science, showing how vita activa can assist occupational scientists to take a deeper perspective on human occupation. According to Arendt, human occupation is always conditioned. The condition for labor is necessity, which reflects human biological needs and represents the basics of life. The condition for work is utility, as something persistent and durable is produced. Action is the activity that takes place between people without the intermediary of things. Similar to occupational science, vita activa is concerned with human doing but their origins differ. Arendt also emphasized the public sphere as an arena for human occupation, a viewpoint that is shared with recent occupational science literature. The need to expand the scope of occupational science to encompass all aspects of human occupations, including the deleterious, has been expressed and vita activa can contribute to broadening this perspective. Examples of the need for sustainability in working life are also presented in this paper.

  • 216. Jessen-Winge, Christina
    et al.
    Buch Holzt, Dorte
    Morville, Anne-Le
    Metropolitan University College, Denmark.
    The influence of occupation on wellbeing, as perceived by the elderly: A systematic review protocol2014In: The JBI Database of Systematic Reviews and Implementation Reports, E-ISSN 2202-4433, Vol. 12, no 2, p. 26-34Article in journal (Refereed)
    Abstract [en]

    Review objective/questions: The objective of the current review is to identify the types of occupations that are important in improving overall wellbeing amongst the elderly population.

    It is assumed that conducting a systematic review with a qualitative approach will lead to a deeper understanding of how the independently‐living elderly enhance their wellbeing through participation in occupations. Such a review will contribute to the knowledge and practice within the health promotion framework with the healthy elderly population. Thus the review will be of use to occupational therapists and others working with elderly people in terms of both theory and practice, as the knowledge will be grounded in the reality of human experience. The specific question to be addressed in this review is:

    Which occupations do the independently‐living elderly consider to enhance their overall wellbeing?

    Background: An important health goal for elderly people in western countries is to maintain their ability to live independently and to function well.1 In the fields of social science and gerontology, concepts such as ‘active aging’ and ‘successful aging’ imply that ‘doing’ activities is closely related to wellbeing.3 Being active is an important factor in managing life and coping with the challenges related to advanced age.2

    Activities are defined by all that people need, want or are obligated to do such as self‐care, household tasks, leisure and social interactions with family and friends.4 When a person engages in and gives the activity a purpose, value or reason, the activity will become meaningful and can be defined as an occupation.5,6 Crepeau et al. stated that occupations “include the day‐to‐day activities that enable people to sustain themselves, to contribute to the life of their family and to participate in the broader society”.7(p28) Thus, occupations are multifaceted phenomena as they provide meaning, identity and structure to a person's life.5 The one premise underpinning occupational therapy and occupational science is that the occupations in which people engage and their health are interrelated and this seems to be universal for the experience of wellbeing.8,9

    The meaningfulness of the occupations in which a person engages throughout their lifespan changes over time.10The occupations a young man at university may find meaningful will probably differ from those of an elderly man who is retiring from work. For the elderly, there are different factors influencing their engagement in occupations. Examples of these include the aging process, as well as the individual's history of occupations. Significant changes in external conditions, for example retirement, also have an impact on the occupations considered by an individual to be meaningful and in which they will subsequently engage.11 This complex interaction between external conditions of the individual's lifespan and the internal perceptions of those conditions,12 influences the way in which the individual perceives general wellbeing.10

    Several studies indicate that engagement in social occupations seems to improve the wellbeing of the elderly.9,13‐16 However, a Danish study showed that the majority of the elderly in their sample found physical and solitary occupations as being the most important for maintaining health and wellbeing.17 Productive activities such as remaining active in work or volunteering has also been indicated to have a positive effect on wellbeing.13,18 It is important for society in general, as well as social and health services in particular, to enable and assist the elderly in improving their health and enhance their general wellbeing. Conducting a systematic literature review on elderly persons’ occupations from the perspective of the elderly will lead to a deeper understanding on how the elderly can maintain their well‐being.

  • 217.
    Jessen-Winge, Christina
    et al.
    Metropolitan University College, Denmark.
    Morville, Anne-Le
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    The influence of occupation on wellbeing, as perceived by the elderly2017In: How to make asylum centres a place for social participation and inclusion, 2017Conference paper (Other academic)
  • 218.
    Jessen-Winge, Christina
    et al.
    Metropolitan University College, Copenhagen, Denmark.
    Petersen, Mille Nyboe
    Metropolitan University College, Copenhagen, Denmark.
    Morville, Anne-Le
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    The influence of occupation on wellbeing, as experienced by the elderly: a systematic review2018In: The JBI Database of Systematic Reviews and Implementation Reports, E-ISSN 2202-4433, Vol. 16, no 5, p. 1174-1189Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: The objective of this review was to synthesize knowledge regarding which types of occupations the elderly perceive as important to and supporting their overall wellbeing.

    INTRODUCTION: Being active is an important part of managing the daily challenges of advanced old age. Occupational therapy and occupational science are based on the premise that a person's occupations are intertwined with their health and are thus needed for them to experience a meaningful life and improve their wellbeing.

    INCLUSION CRITERIA: This review, which included independently living elderly people aged 65 and over living in Europe, the USA, Canada and Australia, sought to uncover if the elderly see any specific types of occupations as enhancing their wellbeing. This review included qualitative studies with designs including, but not limited to, phenomenology, grounded theory, ethnography and action research.

    METHODS: A three-step search strategy using Joanna Briggs Institute methodology was utilized. Both published and unpublished studies were searched. The following databases were searched for studies up to 2017: CINAHL, Nursing and Allied Health Source, Web of Science, PubMed and OpenGrey. Using the JBI Critical Appraisal Checklist for Qualitative Research, two independent reviewers assessed whether each study had the methodological quality required to be included in the review. Any disagreements were resolved through discussion with a third reviewer. The standardized JBI data extraction tool for interpretive and critical research was used to extract data from the included studies. JBI tools were used to pool the qualitative research findings. The findings were then aggregated through a process of rating according to quality, and categorized according to similarity in meaning, which generated a set of statements for each category. These categories were then subjected to a meta-synthesis to produce a single comprehensive set of synthesized findings useful as a basis for evidence-based practice.

    RESULTS: All three of the included studies utilized qualitative interviews and followed a phenomenological approach. The studies included only participants aged 85 and over. Thirty-five findings were extracted and grouped into four categories, which were synthesized into two meta-syntheses: 1) The importance of "doing" alone - to feel good, I have to be the master of my own life; and 2) Old habits never die - a structured day is a good day. Based on the dependability and credibility of the three studies, the ranking was high (see Summary of Findings).

    CONCLUSIONS: The present review shows that two factors enhance elderly people's wellbeing: first, variation and independence in undertaking activities; second, having a choice between the occupations and a structure of activities that make up daily life. The two factors are influenced by a balance between having activities alone and with others. This review is not intended to identify specific occupations that enhance elderly people's wellbeing, but rather to indicate which types of occupations enhance the wellbeing of the elderly, and provide value and meaning to their daily lives.Both the dependability and the credibility of the studies have been rated as moderate.

  • 219.
    Jessica, Eén
    et al.
    Jönköping University, School of Health Science.
    Sanna, Wernersson
    Jönköping University, School of Health Science.
    Hästunderstödda aktiviteter: - en litteraturstudie2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Arbetsterapi handlar om att möjliggöra aktiviteter inom dagliga livet. Det kan innebära anpassningar inom miljön, aktiviteten eller utveckling av personliga kapaciteter. Hästunderstödd terapi kan utveckla eller bibehålla kapaciteten hos personer med neurologiska sjukdomar samt fysiska och psykiska svårigheter. Syftet med det här examenarbetet är att beskriva hur hästunderstödda aktiviteter används av arbetsterapeuter och hur det påverkar individen. Det har gjorts genom en systematisk litteraturstudie med innehållsanalys. Databaserna Academic Search Elite, AMED, CINAHL, Eric, Google Scholar, PubMed, och SocINDEX användes för att söka artiklar. För att avgränsa studien användes inklusionskriterier. Data har analyserats genom en artikelöversikt. Etiska överväganden har gjorts och artiklar som är godkända av en etisk kommitté har prioriterats. Utifrån analysen av 21 artiklar, används hästunderstödd terapi framförallt för att förbättra fysiska eller psykiska funktioner och färdigheter. Deltagarna i studierna var framförallt barn med fysiska eller neuropsykiatriska funktionsnedsättningar. Artiklarna visar att hästunderstödd terapi kan förbättra kommunikativa färdigheter, delaktighet, motorik, balans och spasticitet. Förbättring kunde även ses i personernas motivation, självkänsla och självförtroende.

  • 220. Jobäcker, Emil
    et al.
    Villiers, Daniel
    Äldres upplevelser av internet för sociala aktiviteter2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 221.
    Johansson, Anette
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Hemrehabilitering av personer med diagnosen stroke: -konsensus genom Delhpi-teknik2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background/aim: There is an increasingly focus on home-based rehabilitation for persons diagnosed with stroke. However, rehabilitation in the home environment can be delivered in many different ways and the best way to deliver home-based rehabilitation and its content is not yet clarified in the literature. The aim was to identify what home-based rehabilitation should contain from the perspective of members working in multidisciplinary teams in homes of persons diagnosed with stroke.

    Methods: The study design was a consensus-building, three-round Delphi survey. Questionnaires were sent by e-mail to a panel of 12 experts including occupational therapists, nurses and physiotherapists. In round 1 the experts were asked to answer open-ended questions to obtain their personal views on the subject. The questionnaire in Round 2 and 3 were built on the results of the previous ones and the experts were asked to mark on a Likert scale the importance of each statement.

    Results: Sixty-four of 74 statements reached a consensus level of 75% or more.  Home-based rehabilitation should contain patient’s autonomy and participation in the rehabilitation program. This is ensured by a client-centred approach characterized by cooperation and interaction with the social environment throughout the rehabilitation process.

    Conclusions: Overall components in home-based rehabilitation for persons diagnosed with stroke is empowerment, participation and autonomy achieved by ”The good team” and coordination strategies.

    Significance of the study: The result of the study could be an important source of information when designing home rehabilitation programs for persons with stroke.

  • 222.
    Johansson, Ann
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Aktivt Liv på Äldre Dar: ett hälsofrämjande aktivitetsfokuserat program2009Conference paper (Refereed)
    Abstract [sv]

    Bakgrund Lifestyle Redesign är ett program, utvecklat i USA, som bygger på aktivitet och har sin grund i aktivitetsvetenskap . Erfarenheter från USA, men även från Europa och Norge har använts för att utveckla ett pilotprojekt  där programmet tillämpas utifrån svenska förhållanden.Syfte: Utveckla, pröva och utvärdera om ett hälsofrämjande aktivitetsfokuserat program för äldre hemmaboende (med hemtjänst) kan bibehålla, alternativt förbättra, generell hälsa, välbefinnande och självständighet i aktiviteter som är relevanta för att klara eget boende. Metod: Inklusionskriterier var hemmaboende äldre (över 65) som har hemtjänst i form av boendeaktiviteter . Gruppen kom att bestå av 11 personer med en medelålder på 83 år. Programmet genomfördes under en 4 månadersperiod, 2 timmar/vecka i grupp samt 4 timmars individuell intervention. Gruppträffarna innehöll information/undervisning, erfarenhetsutbyte mellan deltagarna, praktiskt ”görande” samt utflykter och sociala aktiviteter i relation till olika teman. Syftet med de individuella interventionerna var att upprätta  en plan för hälsofrämjande åtgärder men även att erbjuda traditionella arbetsterapeutiska åtgärder . Kvantitativ utvärdering Short Form 3.6 , Instrumental Activity Measure, WHO-five Well-being Index, Canadian Occupational Performance Measure. Kvalitativ utvärdering fokusgruppintervjuer. Resultat/förväntat resultat Det förväntade resultatet är att deltagarnas hälsa i olika avseenden förbättrats och att de funnit metoder som hjälper dem att klara eget boende framledes. Under hösten 2008 kommer projektet att utvärderas.

  • 223.
    Johansson, Ann
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Aktivt liv på äldre dar: ett pilotprojekt för att pröva ett aktivitetsfokuserat program2009Report (Other academic)
  • 224.
    Johansson, Ann
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Dagbok från geriatrisk klinik: Margits rehabilitering efter stroke1998In: Arbetsterapeuten, ISSN 0345-0988, no 11, p. 22-24Article in journal (Other (popular science, discussion, etc.))
  • 225.
    Johansson, Ann
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Health inequalities in poor EU-citizens with experience of begging in Sweden2018Conference paper (Refereed)
  • 226.
    Johansson, Ann
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Kliniska examinationer: Ett pilotprojekt2005Conference paper (Refereed)
    Abstract [sv]

    Bakgrund: Den kliniska utbildningen har fått en helt annan betydelse i den akademiska yrkesutbildningen än den har haft tidigare. Detta förutsätter en ständig diskussion och utveckling av de kliniska studiernas innehåll, form och struktur. I dessa diskussioner måste yrkesföreträdare involveras för att förankra utbildningens innehåll i praxis. Examinationen styr studentens inlärning och att studenten utvecklar olika beteenden för olika typer av examinationer. Syfte: Att utveckla och pröva former för kliniska examinationer. Metod: Pilotprojektet innehöll en pilotgrupp och en kontrollgrupp. Alla inblandade erbjöds att, efter examinationen, delta i en fokusgruppintervju. Arbetsgång för klinisk examination utarbetades och bedömningskriterier utarbetades utifrån kursens mål. Efter den praktiska examinationen följde en muntlig examination. Handledare, huvudhandledare och examinator deltog under hela examinationen och enades om ett omdöme som presenterades för studenten.

    Resultat: Pilotgruppens studenter och handledare/huvudhandledare var nöjda med den prövade examinationsformen. Studenterna framhöll vikten av reflektionen i samband med examinationen samt möjligheten att få direkt respons. Handledarna framhöll kopplingen till utbildningen och kontakt med läraren samt att examinationen höjer praxiskunskapens status. Pilotstudien behöver utvecklas och prövas i en större skala och inom fler verksamheter. Examinationsformen är tidskrävande och därför behöver fler bedömare utbildas. Under hösten 2004/våren 2005 kommer projektet att utökas. Fler bedömare kommer att utbildas och bedömarnas förmåga att bedöma studenternas kunskaper utvecklas.

    Den kliniska examinationen kan komma att öka kopplingen teori och praktik både hos studenter, handledare och lärare.

  • 227.
    Johansson, Ann
    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.
    Knowledge of improvement makes occupational therapy students involved in developmental processes at the clinic2009Conference paper (Refereed)
    Abstract [en]

    Brief outline of context: The improvement project was done within an Occupational therapy department in an orthopaedic clinic. People involved : Occupational therapy students, University lecturer, Head of Occupational therapy department and supervisors.

    Brief outline of problem: Since 2004 the Occupational therapy students perform a personal improvement work. The aim is to facilitate the learning of knowledge of improvement and in the long run make it possible to be used in the professional work. But the problem is how we should make it possible for the students to transfer knowledge and skills of personal improvement to professional work?

    Assessment of problem and analysis of its causes: A local evaluation of a national project for implementing Knowledge of improvement in Swedish Universities showed that students’ knowledge could not be obvious until they are a part of a team within healthcare.

    The head of the occupational therapy department in the orthopaedic clinic criticized how students’ fieldwork assignments were organised. She suggested students to be a part of the clinics quality improvement. To try this out we involved two students within a 5 weeks fieldwork course (autumn 2006).

    Strategy for change: 6 students who did a fieldwork course in the orthopaedic clinic was asked to participate in this project (intervention group). Instead of doing a separate theoretical assignment these students was a part of the clinics improvement work and created Occupational therapy Guiding principles for specific patient groups. 6 other students in the same course participated as a control group.

    The supervisors in the intervention group were informed and prepared. The project was implemented spring and autumn 2007 and was evaluated spring 2008.

    The results of the project has been documented and presented in a seminar for staff in charge of Futurum, the Academy for Health and Care and Head of the Department of Rehabilitation, School of Health Sciences and other lecturers in the university.

    Measurement of improvement: Both intervention group and control group did a self assessment of fulfilment based on course aims in a 6 graded scale. In addition the intervention group did a self assessment of fulfilment based on “8 Knowledge domains for health care students seeking competency in continual improvement an innovation of health care“ inspired by Institute for Healthcare Improvement, Boston, in a 6 graded scale. The self assessment was done before and after the field work.

    Effects of changes: The control group fulfilled the course aims in a higher extent than the intervention group. A possible cause can be that the intervention group put higher effort and energy in the assignment so they missed to fulfil the course aims to a sufficient high level.

    The intervention group assessed higher knowledge after than before in all of the “8 knowledge of domains” although they had difficulties to understand the meaning of the concepts

    Lessons learnt: To go from a personal improvement work to a professional is too difficult. In the Program we have started to create a stripe with knowledge of improvement through the education. There will be an element in every semester and the content shall be progressive. The “8 Knowledge domains” follow the stripe and are adjusted to fit course aims. In the end of the education the students summarize and evaluate their knowledge of improvement and have an idea of how to continue their learning.

    Message for others: The complexity of today’s health care increase and this put greater demands on educations to prepare our students to be “Improvers”. The knowledge of improvement must be a natural element in health care education BUT it must be progressive an adjusted to the specific education

  • 228.
    Johansson, Ann
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Occupational adaptation in diverse contexts with focus on persons in vulnerable life situations2017Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Introduction. This present thesis focuses on occupational adaptation in the empirical context of vulnerable populations relative to ageing (Study II, III), disability (Study I, II) and poverty (Study IV) and in a theoretical context (V).

    Aim. The overall aim was to explore and describe occupational adaptation in diverse contexts with a focus on persons in vulnerable life situations.

    Methods. The thesis was conducted with a mixed design embracing quantitative and qualitative methods and a literature review. The data collection methods comprised questionnaires (Study I, II, III), individual interviews (Study II, IV), group interviews (Study III) and data base searches (Study V). Altogether 115 persons participated in the studies and 50 articles were included in the literature review. Qualitative content analysis was used to analyse the interviews (Study I, II, III, IV) and the literature review (Study V). Parametric and non-parametric statistics were applied when analysing the quantitative data (Study II, III).

    Results: Women in St Petersburg, Russia, who have had a minor stroke reported more dependence in everyday occupations than the stroke symptoms indicated and they overemphasized their disability and dysfunction. When the environmental press did not meet their competence, it caused negative adaptive behaviour (Study I). In home rehabilitation for older persons with disabilities, interventions based on the occupational adaptation model was compared with interventions based on well-tried professional experience. The results indicated that the use of the occupational adaptation model increased experienced health and the participants acquired adaptive strategies to manage every day occupations. (Study II). An occupation based health-promoting programme for older community dwelling persons was compared with a control group. The intervention group showed statistically significant improvement in general health variables as vitality and mental health, but there were no statistically significant differences between the groups. A qualitative evaluation, in the intervention group, showed that participation in meaningful, challenging occupations in different environments stimulated the occupational adaptation process (Study III). Occupational adaptation among vulnerable EU citizens begging in Sweden was explored by interviews. The results showed that the participants experienced several occupational challenges when begging abroad. The results show a variety of adaptive responses, but whether they are experienced as positive or negative is a matter of perspective and can only be determined by the participants themselves (Study IV). Finally, the results from a literature review (Study V) showed that research on occupational adaptation was mainly based on Schkade and Schultz’s and Kielhofner’s theoretical approaches. Occupational adaptation was also used without further explanation or theoretical argument (Study V).

    Conclusion: The surrounding context was shown to play an important role for the participants’ occupational adaptation. There were no general occupational challenges or adaptive responses to the various vulnerable life situations, but some common features in the participant groups’ adaptive responses were found. For example, if the environment put too great demand on the person and social support was lacking, there was a risk of negative adaptation. Moreover, persons with low functional capacity were vulnerable to environmental demands and dependent on a supportive environment for their adaptive response. However, persons living in supportive environments developed adaptive responses by themselves. Further, personal factors needed to be strengthened to meet the demands of the environment. Upholding occupational roles was a driving force in finding ways to adapt and perform occupations. Considering the theoretical context, the occupational adaptation theoretical approaches need to be further developed in relation to negative adaptation and to support use within community-based and health-promotive areas.

  • 229.
    Johansson, Ann
    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.
    Uniting occupational therapy theory and practice in clinical examinations2006Conference paper (Refereed)
    Abstract [en]

    The aim of this first study was to develop and try out a form for clinical examinations in which theory and practice were integrated. Based on the course goals, a work procedure for the clinical examination of occupational therapy students and assessment criteria were developed. A pilot group of students and supervisors attained the new form for examination and a control group of students and supervisors attained the usual form for examination. The results show that the students and supervisors/head supervisors in the pilot group were satisfied with this new examination form. The students accentuated the importance of reflection in connection with the examination and the opportunity for direct response. The supervisors pointed out the value of connection to theoretical education and that the examination increases the status of practical knowledge. However, the study needed to be tried in a larger scale, within several fields of action, and more people need to be educated about assessment. The aim of the second study was, therefore, to try the clinical examination in different fields and to develop the head-supervisors skills to assess students in fieldwork. 5 clinical examinations were video taped and these were used to educate the head-supervisors. The results show that the head-supervisors felt more competent in assessment and there was a tendency that their judgement were more reliable.

  • 230.
    Johansson, Ann
    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.
    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.
    Occupational Adaptation or Well-tried, Professional Experience in Rehabilitation of the Disabled Elderly at Home2006In: Activities, Adaptation & Aging, ISSN 0192-4788, E-ISSN 1544-4368, Vol. 30, no 1, p. 1-21Article in journal (Refereed)
    Abstract [en]

    The aim of this pilot study was to examine whether the use of the Occupational Adaptation Model increases independence and experienced health for disabled elderly in home rehabilitation in primary care. The study had an integrated design, in which the data were collected through a quasi-experimental plan in combination with semi-structured interviews with disabled elderly. The data were analyzed both quantitatively and qualitatively. The results indicated that the use of the model increases experienced health and gives the occupational therapist a tool for helping the disabled elderly to understand and engage themselves in their life situations.

  • 231.
    Johansson, Ann
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. 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.
    Rehabilitera mera: En kartläggning av äldrerehabilitering i Jönköpings län2004Report (Other academic)
  • 232.
    Johansson, Ann
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Björklund, Anita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    The impact of lifestyle interventions on older persons' health, wellbeing and occupational adaptation2016Conference paper (Other academic)
    Abstract [en]

    Background: The demographic development, with the older population growing fast, is becoming a huge challenge for society, with great demands on health and social care and concerning the individual’s well-being. The aim of this study was to investigate whether a four-month occupational based health-promoting programme for older persons living in community dwellings could maintain/improve their general health and well- being. Further the aim was to explore whether the programme facilitated the older persons’ occupational adaptation.

    Method: The study had a quasi- experimental design combined with semi-structured interviews. The intervention group comprised 22 participants, and the control group 18. Outcomes were measured using the Short Form 36, Life Satisfaction Index-Z and Meaningful Activity Participation Assessment. Content analysis, based on concepts from the Model of Occupational Adaptation, was used to analyse the interviews.

    Results: The intervention group showed statistically significant improvements in general health variables such as vitality and mental health, and positive trends for psychological well-being. There were no statistically significant differences between the intervention group and the control group. The qualitative analysis based on Occupational Adaptation pointed out social aspects as a compliment to the overall results.

    Conclusion: Participating in meaningful, challenging activities in different environments stimulates the occupational adaptation process.

    Application to Practice: Occupational therapists can use this result to empower older persons to find their optimal occupational lives.

  • 233.
    Johansson, Ann
    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.
    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.
    The impact of occupational therapy and lifestyle interventions on older persons’ health, well-being, and occupational adaptation: A mixed-design study2015In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 23, no 3, p. 207-219Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of this study was to investigate whether a four-month occupational based health-promoting programme for older persons living in community dwellings could maintain/improve their general health and well-being. Further, the aim was to explore whether the programme facilitated the older persons’ occupational adaptation.

    Methods: The study had a quasi-experimental design, with a non-equivalent control group combined with semi-structured interviews. The intervention group comprised 22 participants, and the control group 18. Outcomes were measured using the Short Form 36, Life Satisfaction Index-Z and Meaningful Activity Participation Assessment. Content analysis, based on concepts from the Model of Occupational Adaptation, was used to analyse the interviews.

    Results: The intervention group showed statistically significant improvements in general health variables such as vitality and mental health, and positive trends for psychological well-being. There were no statistically significant differences between the intervention group and the control group, but the groups were not fully matched. The qualitative analysis based on Occupational Adaptation pointed out social aspects as a compliment to the overall results.

    Conclusions: Participating in meaningful, challenging activities in different environments stimulates the occupational adaptation process; this is something occupational therapists could use to empower older persons to find their optimal occupational lives

  • 234.
    Johansson, Ann
    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.
    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.
    Uniting Occupational Therapy Theory and Practice in Clinical Examinations: A pilot study2005In: Practice Development in Health Care, ISSN 1475-9861, Vol. 4, no 2, p. 97-108Article in journal (Refereed)
    Abstract [en]

    The aim of this pilot study was to develop and try out a form for clinical examinations in which theory and practice were integrated. Based on the course goals, a work procedure for the clinical examination of occupational therapy students and assessment criteria were developed. A pilot group of students and supervisors attained the new form for examination and a control group of students and supervisors attained the usual form for examination. The results show that the students and supervisors/head supervisors in the pilot group were satisfied with this new examination form. The students accentuated the importance of reflection in connection with the examination and the opportunity for direct response. The supervisors pointed out the value of connection to theoretical education and that the examination increases the status of practical knowledge. However, the pilot study needs to be tried in a larger scale, within several fields of action, and more people need to be educated about assessment.

  • 235.
    Johansson, Ann
    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.
    Boström, Martina
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. Ageing - living conditions and health.
    Ericsson, Iréne
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. Ageing - living conditions and health.
    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.
    Fristedt, Sofi
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. Ageing - living conditions and health.
    Fler hälsosamma år till livet genom lärande och engagemang i ett hälsofrämjande program: En utvärdering av programmet ur ett deltagarperspektiv2015Report (Other (popular science, discussion, etc.))
  • 236.
    Johansson, Ann
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Edström, Eva
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Success factors and difficulties in implementation of Internationalization of Curriculum-experiences from Jönköping University, Sweden2018Conference paper (Refereed)
  • 237.
    Johansson, Ann
    et al.
    Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Ericsson, Iréne
    Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Boström, Martina
    Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Björklund Carlstedt, Anita
    Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Fristedt, Sofi
    Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    A participatory evaluation of the health promotion programme “more healthy years of life” programme among senior citizens in Sweden2018In: Cogent Medicine, Vol. 5, no 1, article id 1521085Article in journal (Refereed)
    Abstract [en]

    Background: Older adults have, in general, been sparsely involved in development and evaluation of programmes intended to promote their health.

    Aim: To describe older adults’ reflections on and involvement in the development and evaluation of a health promotion programme.

    Material and Method: Ten older persons participated in a health promotion programme (HPP) focusing on activity during four sessions. After each HPP session, focus group discussions were held, analysed through qualitative content analysis.

    Results: The main theme; “Being involved adds value and new experiences to life“, were built from sub-themes; “From sceptical individual to engaged group member”, “From beholder to active co-creator”, and “From individual knowledge recipient to collective knowledge sharer”.

    Conclusions: Having a leader with a gerontological competence was mentioned as important, as well as to integrate existential topics into the HPP. Social inclusion together with the possibility to influence the HPP had a positive effect on the participants and provided a sense of belonging.

    Significance: Several contributions to the development of the HPP were given, that would not have been captured without the reflections and involvement of the participants. However, more and larger studies are needed to develop strategies that enable older adult’s involvement in the development of HHP.

  • 238.
    Johansson, Ann
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Fristedt, Sofi
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Dagliga aktiviteter hos äldre kvinnor som invandrat från västra Balkan - att hantera ett förändrat aktivitetsmönster2019Conference paper (Refereed)
  • 239.
    Johansson, Ann
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Fristedt, Sofi
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Older women who have migrated from Western Balkan and inborn Swedish older women´s everyday occupations2018Conference paper (Refereed)
  • 240.
    Johansson, Ann
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Fristedt, Sofi
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Boström, Martina
    Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Björklund, A.
    Wagman, Petra
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Occupational adaptation in vulnerable EU citizens when begging in Sweden2018Conference paper (Refereed)
  • 241.
    Johansson, Ann
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Fristedt, Sofi
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Boström, Martina
    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).
    The use of occupational adaptation in research articles: a scoping review2018In: Occupational Therapy in Health Care, ISSN 0738-0577, E-ISSN 1541-3098, Vol. 32, no 4, p. 422-439Article, review/survey (Refereed)
    Abstract [en]

    The aim of this scoping review was to identify and describe how occupational adaptation has been used in different research studies published from 1992 to 2015 and to identify possible gaps in study design. Four categories of studies were identified: those focused on understanding how occupational adaptation occurs in different life situations and different health conditions, those focused on the use of occupational adaptation as a guide or model in organizing the occupational therapy process, and those using occupational adaptation as a part of instrument development. Several gaps in research are evident including updating the theory development on occupational adaptation, types of maladaptation, studies conducted in less affluent countries, quantitative studies with robust designs, inclusion of men and younger persons as subjects, vulnerable groups, health promotion, and community settings.

  • 242.
    Johansson, Ann
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Fristedt, Sofi
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Boström, Martina
    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).
    Wagman, Petra
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Occupational adaptation in vulnerable EU citizens when begging in SwedenManuscript (preprint) (Other academic)
  • 243.
    Johansson, Ann
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Fristedt, Sofi
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Boström, Martina
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare.
    Björklund Carlstedt, Anita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Wagman, Petra
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Occupational challenges and adaptations of vulnerable EU citizens from Romania begging in Sweden2019In: Journal of Occupational Science, ISSN 1442-7591, E-ISSN 2158-1576, Vol. 26, no 2, p. 200-210Article in journal (Refereed)
    Abstract [en]

    Introduction: People from European Union (EU) countries such as Latvia, Romania and Bulgaria who beg on the streets have become a common part of the townscape in Sweden. While demanding situations in their home countries drive them abroad to earn their living, those who turn to begging still face challenges in their everyday lives. Additional knowledge is needed, from their perspective, about the occupational challenges of begging, as well as how they adapt to those challenges.

    Aim: To describe the occupational challenges and related adaptations of vulnerable EU citizens begging in Sweden.

    Methods: We used a descriptive qualitative design. Individual interviews with 20 Romanian participants were conducted and analysed using qualitative content analysis with a deductive and inductive approach.

    Results: Six categories of occupational adaptation responses were identified: Keeping the family tier intact despite distance; Dealing with shame and stress; Managing body and mind when begging despite the monotony; Living as cheaply as possible; Trying to get a night's sleep without drawing attention to oneself; and Seeking alternatives for earning their living.

    Conclusion: Everyday life, when begging abroad, is filled with occupational challenges requiring occupational adaptations, for better or for worse, to sustain basic human needs. To further understand the needs of this vulnerable and marginalised group in society, human rights discourses that go beyond the individual level are needed.

  • 244.
    Johansson, Ann
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. CHILD.
    Mishina, Ekaterina
    Ivanov, Andrey
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. CHILD.
    Activities of daily living among St Petersburg women after mild stroke2007In: Occupational Therapy International, ISSN 0966-7903, Vol. 14, no 3, p. 170-182Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to determine how women living in Saint-Petersburg, Russia and who have had a mild stroke, describe their performance in activities of daily living and possible causes of their occupational dysfunction.

    Thirty-six women who have experienced a mild stroke and been referred to a rehabilitation center participated in the study. Data collection was conducted through interviews, including the ADL Staircase and a Modified Frenchay Activities Index for Stroke Patients. Additional data was collected through field notes and information from team members and relatives.

    The results showed that women who have had a mild stroke and ADL limitations experience occupational dysfunction in ADL activities that is most often due to a combination of over-protection from relatives, the women’s feelings of anxiety and insecurity, and an over-emphasizing of their disability.

    The results are limited based on the small sample and restricted geographic area.

    There is a need to further investigate how individuals who have had a mild stroke can be physically and socially rehabilitated and reintegrated into the community in countries with developing economies such as Russia.

  • 245.
    Johansson, Ann
    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.
    Relating occupational therapy research/education to the marginalized population of begging EU- migrants2015Conference paper (Refereed)
  • 246.
    Johansson, Emma
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Björklund, Susanna
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Ett lyft i vardagen: En beskrivning av äldre personers upplevelser av att ha deltagit i projektet ’Äldre på vift’2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of this study was to describe how older people experienced their participation in the project ’Äldre på vift’. The authors chose to use a qualitive design. Interviews were conducted in order to obtain descriptive information from the participants’ experiences of the project ’Äldre på vift’ in Nässjö county. The overall number of participants in this study were 10 older people aged 70-90 years old. The content analysis of the interviews were conducted in accordance with content analysis as described by Graneheim & Lundman (2004). The conclusion of all the participants were that they all got positive experiences, for example increased feeling of participation, increased feeling of well-being and an increased belief in their own self-capacity which contributed to a more active every day living.

    All of the participants experienced the project as to be rewarding as an elevating in their every day life. They all put an emphasis on the importance of being able to participate in group activities outside of their home. The participants also wished to see the project ’Äldre på vift’ to be continued in the future so that more older people like them could get a elevating in their every day life.

  • 247.
    Johansson, Malin
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Isaksson, Sofia
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Smärtans påverkan på fritidsaktiviteter: En intervjustudie med personer med fibromyalgi2011Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med examensarbetet var att beskriva hur personer med fibromyalgi upplevde att fritidsaktiviteter påverkades av smärta. Som datainsamlingsmetod valdes en intervju. Semistrukturerade intervjuer genomfördes med tio kvinnor. Frågorna utformades från centrala begrepp i The Model of Human Occupation. Inklusionskriterierna var att deltagarna skulle ha diagnosen fibromyalgi och vara i arbetsför ålder. De hade även ett lönearbete, ideellt arbete eller deltog i eftergymnasiala studier på minst deltid. Intervjuerna analyserades utifrån en kvalitativ innehållsanalys och resultatet presenterades i form av fem huvudkategorier med tillhörande underkategorier. De fem huvudkategorierna som beskrev smärtans påverkan på fritidsaktiviteter var; Miljöns betydelse, Aktivitetsbe-gränsningar, Anpassningsstrategier, Aktiviteter för smärtlindring och Balans i vardagen. Smärtan hade gjort att informanterna tvingats välja bort några av de fritidsaktiviteter de utförde tidigare. De fortsatte att engagera sig i fritidsaktiviteter som hade ett stort värde för dem om smärtan inte upplevdes för begränsande under eller efter utförandet. Miljön och aktivitetens krav påverkade tillsammans med smärtan aktivitetsutförandet.

  • 248.
    Johnsen, Anna
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine.
    Alfredsson, Lars
    Karolinska Institutet and Center for Occupational and Environmental Medicine, Stockholm County Council.
    Knutsson, Anders
    Mid Sweden University.
    Westerholm, Peter JM
    Uppsala University.
    Fransson, Eleonor I.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Weak associations between occupational physical activity and myocardial infarction2016In: Occupational and Environmental Medicine, BMJ Publishing Group Ltd, 2016, Vol. 73, p. A198-Conference paper (Refereed)
    Abstract [en]

    IntroductionRecommendations regarding physical activity typically include both leisure time and occupational physical activity. However, the results of research on occupational physical activity and the association to myocardial infarction are inconsistent. The aim of this study was to investigate if occupational physical activity affects the risk of myocardial infarction.

    Method In this prospective cohort study, data from the WOLF study are analysed. In total, 9,961 employees having no history of myocardial infarction were followed from inclusion to their first incidence of myocardial infarction. Hazard ratios (HR) were estimated using Cox proportional hazard regression, for different levels of occupational physical activity in relation to the risk of myocardial infarction.

    Results A follow-up with a mean of 13.1 years found 249 cases of myocardial infarction. In analyses adjusted for age, sex and socio-economic status, participants standing and walking more than 50% of their working day had HR of 1.13 (95% CI: 0.83– 1.54), compared to participants seated more than 50% of their working day. The corresponding HR for participants whose work included lifting or carrying was 0.86 (95% CI: 0.59–1.24). Stratified analyses resulted in a significantly decreased risk for young people whose work included lifting or carrying, HR 0.37 (95% CI: 0.17–0.84), compared with younger persons who sat most of their working day.

    ConclusionOnly weak associations between occupational physical activity and the risk of myocardial infarction were observed in this study. A significant reduced risk were seen for young participants with work including lifting and carrying, but this result must be interpreted with caution due to few participants in the stratified analyses. Based on the results from this study, occupational physical activity does not seem to be enough for reducing the risk of myocardial infarction, which is an important message to people with high levels of occupational physical activity.

  • 249.
    Johnsen, Anna M.
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine.
    Alfredsson, Lars
    Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
    Knutsson, Anders
    Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden.
    Westerholm, Peter J. M.
    Occupational and Environmental Medicine, Uppsala University, Uppsala, Sweden.
    Fransson, Eleonor I.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Association between occupational physical activity and myocardial infarction: a prospective cohort study2016In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 6, no 10, article id e012692Article in journal (Refereed)
    Abstract [en]

    Objective Recommendations regarding physical activity typically include both leisure time and occupational physical activity. However, the results from previous studies on occupational physical activity and the association with myocardial infarction have been inconsistent. The aim of this study was to investigate if occupational physical activity is associated with the risk of myocardial infarction.

    Design Prospective cohort study.

    Participants Data from the Swedish Work, Lipids and Fibrinogen (WOLF) study was used, comprising 9961 employees (6849 men, 3112 women, mean age 42.7 years) having no history of myocardial infarction. The participants were categorised into 3 groups according to their level of occupational physical activity.

    Outcome Data regarding incident myocardial infarction were obtained from the Swedish National Patient Register and the Cause of Death Register. Cox proportional hazard regression was used for estimation of HRs for different levels of occupational physical activity in relation to the risk of myocardial infarction.

    Results During a mean follow-up of 13.1 years, 249 cases of incident myocardial infarction were identified. In analyses adjusted for age, sex and socioeconomic status, participants standing and walking more than 50% of their working day had an HR of 1.13 (95% CI 0.83 to 1.54), compared with participants seated more than 50% of their working day. The corresponding HR for participants whose work included lifting or carrying was 0.86 (95% CI 0.59 to 1.24). Further adjustment did not alter the results. Stratified analyses resulted in a significantly decreased risk for young people whose work included lifting or carrying, HR 0.37 (95% CI 0.17 to 0.84), compared with younger persons who sat most of their working day.

    Conclusions No significant association between occupational physical activity and the risk of myocardial infarction was observed in the total group of employees in this study. Based on the results from this study, occupational physical activity in general does not seem to be enough for reducing the risk of myocardial infarction.

  • 250.
    Jonson, Therese
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Faktorer som främjar studenters lärande under Verksamhetsförlagd utbildning- en pilotstudie2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
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