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  • 251.
    Kasseberg, Mimi
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Gisler Josefsson, Christina
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Självskattad hälsa och vardagliga aktiviteter före och efter multidisciplinär dagvård för personer med Parkinson.2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    För personer med diagnosen Parkinson, en progredierande sjukdom där både motoriska och icke-motoriska symtom påverkar vardagen, är det viktigt att stödja den enskilde individen att få uppleva hälsa.

    Dagrehabiliteringen på berörd klinik, har varit ett inarbetat multidisciplinärt arbetssätt, och erbjudit deltagarna träning vid två tillfällen i veckan under en fem veckorsperiod. En kvantitativ studie genomfördes utifrån enkäten, SF-12, som samlats in på kliniken för att få underlag för utvärdering av det kliniska arbetet.

    Syftet med examensarbetet var att beskriva självskattad hälsa och vardagliga aktiviteter hos personer med Parkinson, före och efter multidisciplinär dagrehabilitering.

    Resultatet visade att deltagande i dagrehabiliteringen innebar att deltagarna i lägre omfattning begränsades i att utföra aktiviteter till följd av känslomässiga problem.  Deltagarna upplevde även mindre problem i utförandet av arbetsuppgifter eller aktiviteter, relaterat till sitt kroppsliga tillstånd, efter genomförd dagrehabilitering.

    Diskussion

    I nationella riktlinjer för Parkinson lyfts vikten av det multidisciplinära teamet fram som en framgångsfaktor för att personer med Parkinson. Nyare studier visar vikten av att Parkinsonpatienten behöver intensiv rehabilitering med en individuell behandlingsplan, integrerat i ett multiprofessionellt team.

    I studien tydliggörs arbetsterapeutens behov av validerade bedömningsinstrument, exempelvis COPM, för att kunna utvärdera de arbetsterapeutiska insatserna som ges och för att möjliggöra ett personcentrerat arbetssätt.

  • 252.
    Kastberg, Maria
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Holm, Johanna
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Sexuell hälsa påverkas av Multipel Skleros: -en scoping review.2018Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Getting diagnosed with MS and the implications that accompany, have a major impact on life. Sexual health is a significant factor that can affect health and quality of life, which includes more factors than just physical impairments. In MS patients, sexual dysfunction is an established problem, but other factors affecting sexual health are not as explored. Occupational therapists are qualified for identifying valuable activities that may affect sexual health. The aim of this study was to describe how sexual health is affected in individuals with multiple sclerosis. The method was a scoping review, articles were collected from CINAHL, PsycINFO, AMED and Medline databases. Twenty-one articles were reviewed and analyzed. The results showed that sexual health is affected by MS related symptoms, which can lead to, among other things, changing roles, influence on relationships, identity crisis and a reduced quality of life. The conclusion was that support from partners helped ease the consequences of MS. However, MS patients experienced lack of support from health care, since sexual health was not a topic they talked about.

  • 253.
    Kirisaari, Petra
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Occupational therapy assessments and interventions for adults with depression in psychiatry: a systematic review2018Independent thesis Advanced level (degree of Master (One Year)), 15 credits / 22,5 HE creditsStudent thesis
    Abstract [en]

    Background: Occupational therapy has long-standing practices in psychiatry. Nowadays, occupational therapists need appropriate tools and methods for assessment and intervention. People who suffer from depression are one of the patient groups which might have lost their normal routine and performance in life. Aim: To review the literature on practices of occupational therapy in psychiatry with adults suffering from depression Methods: The study design was a systematic review. Databases that were used were AMED, CINAHL, Cochrane Library, ERIC, MEDLINE, PsycINFO, and PuBMED. The handling of the data started by dividing the articles into three categories: assessment tools, methods and approaches, and activities. These categories were formulated with the deductive content analysis. Nineteen articles were identified that met inclusion criteria. Findings: Standardized and non-standardized assessment tools were used. Most of these tools were based on Model of Human Occupation. Activities, used in occupational therapy, included often creative methods. Identified methods and approaches were group interventions, investigating patient’s life span, and multidisciplinary approaches. The majority of selected articles were of low to moderate quality and of low levels of evidence. Conclusions: Information gained is more descriptive rather than scientifically significant evidence of the different practices. More high quality evidence is needed.

  • 254.
    Knight, Judith
    et al.
    Northampton University, UK.
    Corr, Susan
    Ball, Veronica
    Lowis, Mike
    Turner, Annie
    Ekberg, Merryn
    Poyser, Clare
    Falkmer, Torbjörn
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Fristedt, Sofi
    Henriksson, Marlene
    Johansson, Ann
    Lundmark, Patricia
    Understanding older people as occupational beings2008Conference paper (Refereed)
    Abstract [en]

    There is limited research reporting older adults’ engagement in occupations. Until recently very little research has been undertaken ‘about the nature of occupation and its significance to humans. Research such as this project is beginning to provide the vehicle for addressing this by qualifying and quantifying the effect of occupation on various parts of older individuals’ lives. 

    The overall aim of this study is to investigate the occupational engagement of older individuals’ and identify differences between UK and Swedish populations. The objectives are to explore motivating factors for participating in different occupations and patterns of occupations performed by older individuals as well as possible relationships between health, well-being and occupation in later life.

    Furthermore the objectives are to identity time spent on different occupations, the purpose of conducting these occupations and the breadth of roles. Finally the objectives are to draw comparisons between different categories of individuals, in particular cultural groups, retired people/still employed people and men/women. This study uses a mixed qualitative and quantitative methodology in the form of a structured interview and a time use diary. This research will contribute significantly to understanding the support services required to enable older adults to spend time performing meaningful occupations. In addition the findings will inform both remedial and preventive interventions promoting physical and psychological well being.

  • 255.
    Kullberg, Kerstin
    et al.
    Department of Public Health and Caring Sciences, Uppsala University.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Sidenvall, Birgitta
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science.
    Åberg, Anna Cristina
    Department of Public Health and Caring Sciences, Uppsala University.
    'I start my day by thinking about what we're going to have for dinner': A qualitative study on approaches to food-related activities among elderly men with somatic diseases2011In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 25, no 2, p. 227-234Article in journal (Refereed)
    Abstract [en]

    The aim of the present study was to address the question of how older men with somatic diseases living in ordinary housing approach the question of food-related activities. Further, any food-related activity adaptations consequent to effects of diseases and of alterred life circumstances were explored. Interviews were conducted with a purposeful sample of 18 co-living and singel-living men, 64-84 years old. They were diagnosed with Parkinson's disease, rhematoid arthritis, or stroke. In the analysis a thematic framework was used. The findings revealed three food-related approaches, namely 'Cooking as a pleasure', describing joy in cooking; 'Cooking as a need', indicating no habit or skills in cooking; and ' Food is served', that is being served meals by a partner. It was found that gender-related roles in particular, but also changed life circumstances, activity limitations, personal interests, and a wish to maintain continuity and independence, affected the men's approaches to these activities. This knowledge may be useful in attempts to facilitate and support food-related activities among elderly men with diseases. Health-care efforts in promoting food-related activities should preferably be individualised in respect to older men's approach to these activities.

  • 256. Kullberg, Kerstin
    et al.
    Åberg, Ann-Christin
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Ekblad, Jenny
    Sidenvall, Birgitta
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Daily eating events among co-living and single-living diseased older men2008In: The Journal of Nutrition, Health & Aging, ISSN 1279-7707, E-ISSN 1760-4788, Vol. 12, no 3, p. 176-182Article in journal (Refereed)
    Abstract [en]

    Objectives: To analyse, describe and compare the frequency and energy intake of eating events, including specific food items, among diseased older men living in ordinary housing. Design: Descriptive and explorative. Setting: Interviews were performed in the participants’ home. Participants: Thirty-five co-living and 26 single-living men, 64-88 years of age. Participants had one of three chronic diseases associated with difficulties in buying and preparing food and with difficulties related to the meal situation: Parkinson’s disease, rheumatoid arthritis or stroke. Measurements: A repeated 24-h recall was used to assess food intake and meal patterns. Results: Eating events were distributed over a 24-h period. Co-living men had a higher (p=0.001) number of eating events/day; both hot and cold eating events were consumed more frequently. There was no difference between groups concerning energy intake. Co-living men had more often hot eating events cooked from raw ingredients (p=0.001) and more various vegetables/roots (p=0.003) included in such eating events. Conclusion: Single-living men may constitute a vulnerable group from a nutritional perspective, while co-living men, besides the pleasure of eating together, seem to get support with food and eating events from their partners. Hence, the group of single-living men, particularly those with a disability, should receive particular attention with regard to possible food-related difficulties.

  • 257.
    Kyarkanaye, Thilendree
    et al.
    Centre for Augmentative and Alternative Communication, University of Pretoria, Pretoria, South Africa.
    Dada, Shakila
    Centre for Augmentative and Alternative Communication, University of Pretoria, Pretoria, South Africa.
    Samuels, Alecia E.
    Jönköping University, School of Education and Communication, HLK, CHILD. Centre for Augmentative and Alternative Communication, University of Pretoria, Pretoria, South Africa.
    Collaboration in early childhood intervention services in Gauteng: caregiver perspectives2017In: Infants and young children, ISSN 0896-3746, E-ISSN 1550-5081, Vol. 30, no 3, p. 238-254Article in journal (Refereed)
    Abstract [en]

    A central tenant of early childhood intervention (ECI) is collaboration between professionals and the caregivers of children receiving these services. There are limited studies on caregiver perceptions of collaboration in ECI teams particularly in resource-limited countries. Sixty-four caregivers participated in this study by completing a questionnaire on their perceptions of collaboration in ECI services in South Africa. The questionnaire survey was administered in a group setting by a trained research assistant who was proficient in the Setswana language. The results revealed that caregivers have a good understanding of collaboration in ECI services. However, collaboration, in relation to family-centered practices, appeared to be undervalued by caregivers. These results are discussed and the limitations of the study as well as future recommendations are outlined.

  • 258.
    Kåremark, Jessika
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Karlsson, Miranda
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Upplevelsen av att vara informell vårdgivare till en förälder med demenssjukdom: En litteraturstudie ur ett aktivitetsperspektiv2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The population is getting older and more people are likely to suffer from dementia. In society of today relatives of people with dementia need to take a greater responsibility for the care. Increased responsibility leads to changes in everyday life and can contribute to ill health. In Sweden the most common informal caregivers are husbands or wives, but adult children are taking an increased responsibility for the care. The aim of this study was to describe the experiences of being an informal caregiver to a parent with dementia and how it affects daily living. A scoping review was used as a method and 20 articles were included in this study. Inclusion criteria for the articles were publication after year 2007, written in English, qualitative studies, adult children who were informal caregivers, and that the parent was living in regular housing. The results showed experiences of changed roles, insufficient occupational balance and changed social participation. Both positive and negative experiences of being an informal caregiver emerged. The conclusion is that the overall perspective of the occupational therapist can help relatives to find strategies to manage their daily living in a long-term perspective. The occupational therapist's competence can be utilized in preventive work to reduce the risk of limited activity and participation among adult children who take care of a parent with dementia.

  • 259. Laakso, Lumi Inari
    Finnish children's understanding of the items in Child Occupational Self Assessment (COSA) – a pilot study2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Title. Finnish children's understanding of the items in Child Occupational Self Assessment (COSA)

    Background. The Child Occupational Self Assessment (COSA) is an assessment tool that gathers self reported information from children about their sense of competence and values in everyday activities. As pediatric occupational therapy in Finland is currently lacking in valid instruments to elicit children's perspectives on their needs and goals within occupational therapy assessments, a valid translation of COSA to Finnish is being developed by Metropolia University of Applied Sciences.

    Aim. The aim of this study was to explore the understandings of typically developed Finnish children on the Finnish COSA, and whether their interpretations fit the intended meanings of the items.

    Material and methods. Six typically developed Finnish children participated. Data were collected using the Three-Step Test-Interview -method and analyzed qualitatively using the constant comparative method.

    Results. The results show variations of appropriate understandings in relation to children's experienced level of competence, as well as discrepancies in understandings related to language, translation and item context.

    Conclusions and significance. The results suggest the therapist should actively provide the children with explanations of COSA items’ intended meanings. Additionally, the results suggest further development and research to validate the Finnish translation of COSA, to support the goal-setting and client-centred pediatric occupational therapy in Finland.

  • 260.
    Lam, Wing-Kai
    et al.
    Department of Kinesiology, Shenyang Sport University, Shenyang, China.
    Lee, Winson C.-C.
    School of Mechanical, Materials, Mechatronic and Biomedical Engineering, University of Wollongong, Wollongong, NSW, Australia.
    Lee, Wei M.
    Physical Education and Sports Science Academic Group, National Institute of Education, Nanyang Technological University, Singapore, Singapore.
    Ma, Christina Zong-Hao
    Interdisciplinary Division of Biomedical Engineering, Hong Kong Polytechnic University, Hong Kong, Hong Kong.
    Kong, Pui W.
    Physical Education and Sports Science Academic Group, National Institute of Education, Nanyang Technological University, Singapore, Singapore.
    Segmented forefoot plate in basketball footwear: Does it influence performance and foot joint kinematics and kinetics?2018In: Journal of Applied Biomechanics, ISSN 1065-8483, E-ISSN 1543-2688, Vol. 34, no 1, p. 31-38Article in journal (Refereed)
    Abstract [en]

    This study examined the effects of shoes' segmented forefoot stiffness on athletic performance and ankle and metatarsophalangeal joint kinematics and kinetics in basketball movements. Seventeen university basketball players performed running vertical jumps and 5-msprints atmaximumeffort with 3 basketball shoes of various forefoot plate conditions (medial plate, medial + lateral plates, and no-plate control). One-way repeated measures ANOVAs were used to examine the differences in athletic performance, joint kinematics, and joint kinetics among the 3 footwear conditions (α = .05). Results indicated that participants wearing medial + lateral plates shoes demonstrated 2.9% higher jump height than those wearing control shoes (P = .02), but there was no significant differences between medial plate and control shoes (P > .05). Medial plate shoes produced greater maximum plantar flexion velocity than the medial + lateral plates shoes (P < .05) during sprinting. There were no significant differences in sprint time. These findings implied that inserting plates spanning both the medial and lateral aspects of the forefoot could enhance jumping, but not sprinting performances. The use of a medial plate alone, although induced greater plantar flexion velocity at the metatarsophalangeal joint during sprinting, was not effective in improving jump heights or sprint times.

  • 261.
    Landgren, Sofie
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Hur hjärnskakning påverkar sjukskrivningsdagar2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Skallskador är en av de vanligaste orsakerna till att vi söker akut sjukvård. Hjärnskakning är den mildare graden av skallskador. Detta examensarbete har en kvantitativ design och bygger på material insamlat i en tidigare studie. Syftet med examensarbetet var att beskriva antalet individer i arbetsför ålder som hade nedsatt arbetsförmåga under det första året efter hjärnskakning. Skillnader mellan kön, åldersgrupper samt interventionsgrupp och kontrollgrupp har studerats. Den population som examensarbetet studerat var 355 individer som valde att medverka vid olyckstillfället och ettårs uppföljningen i den ursprungliga studien. Materialet var inmatat i dataprogrammet Statistical Package for the Social Sciences (SPSS) där resultatet beräknades och sedan presenterades i figurer. Resultatet visade att det inte fanns några skillnader mellan könen, åldersgrupper samt interventions- och kontrollgrupp i genomsnittliga antalet sjukskrivningsdagar. Resultatet visade även att antalet sjukskrivna under det första året efter hjärnskakning var fler bland de i interventionsgruppen som besökt arbetsterapeut än hos de i interventionsgruppen som ej besökt arbetsterapeut. En granskning av samma material vid en tioårs uppföljning påvisade likande resultat vilket stärker det resultat som tagits fram i detta examensarbete.

  • 262.
    Larsen, Anette E.
    et al.
    Dept. of Occupational Therapy, Institute of Physiotherapy and Occupational Therapy, Metropolitan University College, Copenhagen, Denmark.
    Morville, Anne-Le
    Jönköping University, School of Health and Welfare, HHJ. ADULT. Dept. of Occupational Therapy, Institute of Physiotherapy and Occupational Therapy, Metropolitan University College, Copenhagen, Denmark.
    Hansen, Tina
    Dept. of Occupational Therapy, Institute of Physiotherapy and Occupational Therapy, Metropolitan University College, Copenhagen, Denmark.
    Translating the Canadian Occupational Performance Measure to Danish, addressing face and content validity2019In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 26, no 1, p. 33-45Article in journal (Refereed)
    Abstract [en]

    Background: The Canadian Occupational Performance Measure (COPM) is a recognized assessment tool within Danish occupational therapy (OT), and translated versions of the COPM have been implemented in Danish OT practice. However, a rigorous translation and cross-cultural validation process has not been applied to these versions.

    Aims: To produce a new Danish translation of the COPM evaluating its semantic, conceptual, operational and item equivalence while addressing its face and content validity.

    Methods: An iterative, multistage translation process was undertaken with (1) forward translation involving professional translators and bilingual OTs, (2) pilot testing and cognitive debriefing interviews with 15 OTs and 37 clients which were analyzed quantitatively and qualitatively, and (3) finalization with adaptations, back translation and approval.

    Results: Content validity of COPM in terms of appropriateness, acceptability, intelligibility and comprehensiveness was found in 78–100% of the cases, and its ability to ensure a client-centred focus in the assessment process was confirmed. However, issues concerning the administration and content of the COPM were identified. Subsequently, two recommendations regarding the administration of the COPM were added to the Danish version.

    Conclusion: Semantic, conceptual, operational and aspects of item equivalence of the COPM into Danish were achieved and supported by face and content validity.

  • 263.
    Larsson, Ellinor
    et al.
    Luleå kommun.
    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).
    Fahlström, Gunilla
    SBU.
    Bertilsson, Göran
    SBU.
    Brolund, Agneta
    SBU.
    Fundell, Sara
    SBU.
    Välfärdsteknik - Digitala verktyg som social stimulans för äldre personer med eller vid risk för psykisk ohälsa: En kartläggning av systematiska översikter2017Report (Other academic)
    Abstract [sv]

    Syfte

    Syftet med SBU:s rapport är att kartlägga vetenskaplig kunskap samt vetenskapliga kunskapsluckor. Detta baseras på systematiska översikter som undersökt effekter, upplevelser eller erfarenheter av digitala verktyg som social stimulans för att minska eller förebygga psykisk ohälsa bland äldre personer. Vad tillför denna kartläggning? För äldre personer med eller vid risk för psykisk ohälsa finns det översikter som visar att utbildning i och användning av dator och internet kan minska ensamhet men evidensläget är svagt. Kunskapsluckor finns för domänerna livskvalitet, ADL-förmåga (Aktiviteter i det Dagliga Livet), kognition, självständighet samt användbarhet av tekniken.

    Bakgrund

    Välfärdsteknik inrymmer digitala verktyg som syftar till att bibehålla eller öka trygghet, aktivitet, delaktighet eller självständighet för en person som har eller löper förhöjd risk att få en funktionsnedsättning. Välfärdsteknik kan fungera som ett hjälpmedel för den enskilde och utgörs av medicintekniska produkter alternativt konsumentprodukter vilka kan köpas i öppna handeln. Välfärdsteknik antas kunna bidra till ett aktivt och hälsosamt åldrande, även för åldrandeprocesser som sker genom hela livet och ter sig olika för varje individ.

    Metod

    En systematisk kartläggning innebär att frågeställningen och domäner identifieras. Dessa ligger sedan till grund för en systematisk litteratursökning. Efter litteratursökningen identifieras, relevans- och kvalitetsbedöms systematiska översikter och slutligen sammanställs resultaten i de inkluderade systematiska översikterna. Kartläggningen inkluderar ingen kvalitetsbedömning av de studier som ingår i de systematiska översikterna. Denna kartläggning utgår från sju översikter av medelhög kvalitet från åren 2012 till 2017 och presenterar data från både kvantitativ och kvalitativ forskningsdesign. I kartläggningen görs ingen evidensgradering. Mer detaljerad information kring metod samt avgränsningar finns i rapporten.

    Huvudresultat

    I kartläggningen ingår sju systematiska översikter av medelhög kvalitet som visar på kunskap eller kunskapsluckor inom de identifierade domänerna.

  • 264.
    Larsson, Helena
    et al.
    Department of Neurobiology, Care Science and Society, Karolinska Institutet, Stockholm.
    Lundberg, Catarina
    Falkmer, Torbjörn
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Johansson, Kurt
    A Swedish Survey of Occupational Therapists' Involvement and Performance in Driving Assessments2007In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 14, no 4, p. 215-220Article in journal (Refereed)
    Abstract [en]

    The purpose of this study was to examine the extent to which occupational therapists (OTs) are involved in driving assessments in Sweden and how these assessments are performed. A questionnaire was sent to 154 geriatric, rehabilitation, and neurological clinics, and additionally directly to 19 OTs who had purchased a test battery specifically used for driving assessments. The response rate was 60%. Of those responding, 57% reported being involved in fitness-to-drive assessments. However, such assessments were carried out in various manners and diverse methods were used, ranging from unstandardized activity assessments to a test developed specifically for driving assessments. Only 19% used on-road driving tests as a complement to the clinical assessments. Apart from the lack of appropriate methods, the respondents said that they did not have sufficient knowledge to perform driving assessments and expressed a need for further education. In the future it seems necessary for OTs in Sweden to undergo specialized training and perform the assessments on a regular basis to maintain a high level of competence as driving assessors.

  • 265.
    Larsson, Ingrid
    et al.
    Halmstad University.
    Fridlund, Bengt
    Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Arvidsson, Barbro
    Halmstad University.
    Teleman, Annika
    Capio Movement Hospital, Halmstad, Sweden.
    Svedberg, Petra
    Halmstad University.
    Bergman, Stefan
    Halmstad University.
    A nurse-led rheumatology clinic versus rheumatologist-led clinic in monitoring of patients with chronic inflammatory arthritis undergoing biological therapy: A cost comparison study in a randomised controlled trial2015In: BMC Musculoskeletal Disorders, ISSN 1471-2474, E-ISSN 1471-2474, Vol. 16, p. 1-10, article id 354Article in journal (Refereed)
    Abstract [en]

    Background: Recommendations for rheumatology nursing management of chronic inflammatory arthritis (CIA) from European League Against Rheumatism (EULAR) states that nurses should take part in the monitoring patients' disease and therapy in order to achieve cost savings. The aim of the study was to compare the costs of rheumatology care between a nurse-led rheumatology clinic (NLC), based on person-centred care (PCC), versus a rheumatologist-led clinic (RLC), in monitoring of patients with CIA undergoing biological therapy. Methods: Patients with CIA undergoing biological therapy (n = 107) and a Disease Activity Score of 28 <= 3.2 were randomised to follow-up by either NLC or RLC. All patients met the rheumatologist at inclusion and after 12 months. In the intervention one of two annual monitoring visits in an RLC was replaced by a visit to an NLC. The primary outcome was total annual cost of rheumatology care. Results: A total of 97 patients completed the RCT at the 12 month follow-up. Replacing one of the two annual rheumatologist monitoring visits by a nurse-led monitoring visit, resulted in no additional contacts to the rheumatology clinic, but rather a decrease in the use of resources and a reduction of costs. The total annual rheumatology care costs including fixed monitoring, variable monitoring, rehabilitation, specialist consultations, radiography, and pharmacological therapy, generated (sic)14107.7 per patient in the NLC compared with (sic)16274.9 in the RCL (p = 0.004), giving a (sic)2167.2 (13 %) lower annual cost for the NLC. Conclusions: Patients with CIA and low disease activity or in remission undergoing biological therapy can be monitored with a reduced resource use and at a lower annual cost by an NLC, based on PCC with no difference in clinical outcomes. This could free resources for more intensive monitoring of patients early in the disease or patients with high disease activity.

  • 266.
    Larsson, Jenny
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    “Jag vet faktiskt inte varför ingen vill anställa någon som mig”: En studie om arbetslösas upplevda delaktighet i aktivitet.2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The study’s purpose was to describe how unemployed people in the service Stöd och matchning experience participation in activities. A qualitative method with an inductive approach was used. The data gathering was conducted as interviews from the assessment instrument OCAIARS-S. Five participants was recruited with inductive approach in a smaller town in Sweden.  The interviews were recorded, transcribed and processed through a qualitative content analysis with support of components in ICF. The result showed that the participants were quick to give up and lacked routines in everyday life. All experienced that they survived on their income and had the ability to perform the occupations they wanted and needed to. The participants spent much time alone and had few close relations. They felt no discontent for being unemployed and looked positively on the future. None of them actively searched for possibilities or took initiative. The conclusions were that the participants lack the proactivity and motivation to get a job. The participants would benefit occupational therapy for activity training and or with activity adaptation. Further research is necessary for deeper understanding.

  • 267.
    Lee, Hoe Chung-Yeung
    et al.
    School of Occupational Therapy and Social Work, Curtin University, Perth, WA, Australia.
    Flavell, Helen
    Faculty of Health Science, Curtin University, Perth, WA, Australia.
    Parsons, Dave
    School of Occupational Therapy and Social Work, Curtin University, Perth, WA, Australia.
    Parsons, Richard
    School of Occupational Therapy and Social Work, Curtin University, Perth, WA, 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, Perth, WA, Australia.
    Developing agentic learners for 21st century practice: A pedagogic approach in occupational therapy2016In: Journal of Allied Health, ISSN 0090-7421, E-ISSN 1945-404X, Vol. 45, no 1, p. 8-13aArticle in journal (Refereed)
    Abstract [en]

    In this paper, an approach to teaching occupational therapy students how to create orthoses, whilst at the same time developing higher-order critical thinking, reflective, and clinical reasoning skills is described. The scaffolded nature of the learning activities, incorporating Kolb's reflective learning cycle, was used to support students' capacity for clinical reasoning and better prepare them for clinical placement. The peer-assessment element was also designed to support the experiential learning by allowing students to test their evaluation of hand orthoses, compare their assessment with an expert's, and identify areas for improvement. Students who demonstrated higher grades for the written reflection assessment showed better agreement with the experts (smaller bias, p<0.01). This study concluded there was a correlation between students' capacity for reflective thinking and the development of clinical reasoning. Furthermore, the reflective writing exercise encouraged students to generalise their skills beyond the classroom. The approach and findings of this study are relevant to a range of allied health professions through providing a process to support the development of higherorder critical thinking, reflection, and reasoning skills. Furthermore, the study provides an evidence base to demonstrate that higher reflective skill capacity and critical thinking are crucial to creating agentic learners.

  • 268.
    Liedberg, Gunilla
    et al.
    Linköping University.
    Björk, Mathilda
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Interventions at work in fibromyalgia (FM) using the time geographic diary method.2010Conference paper (Refereed)
  • 269. Lindberg, Elin
    et al.
    Blom, Johanna
    Behandlares attityder och uppfattningar om Kultur på recept som behandlingsmetod: En kvantitativ enkätundersökning2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of this thesis was to describe healthcare professionals’ attitudes and perceptions of Arts on prescription as a rehabilitation method for patients with mild to moderate mental illness and/or unspecific longterm pain. The method was a quantitative survey. The survey was distributed digitally to 89 primary care professionals, able to prescribe Arts on prescription, and 32 responded. The non-response was 57 persons. The collected data were analysed using descriptive and comparative statistics using the Package for the Social Sciences [SPSS], version 21. The results showed that the method of treatment primarily had effect on increased subjective health and symptom relief. The respondents' level of knowledge also proved to be important for the perceived effectiveness of the method of treatment, and to the extent to which the respondents proposed it. The result also showed that women were offered Arts on prescription to a greater extent than men. In particular, it was reported, according to the respondents, that women were on sick-leave to a greater extent than men, especially due to mental illness, but also due to longterm pain. Some respondents also meant that women have a greater interest in cultural activities. The conclusion was that it was important for therapists have good knowledge of Arts on prescription, in order to perceive the treatment as effective, and show willingness to prescribe it. It is also important with further discussions on gender perspectives among therapists which can influence the choice of rehabilitation, and in the composition of Arts on prescription, include a variety of activities that might address different interests of both men and women.

  • 270.
    Lindberg, Ramona
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Mållberg, Anni
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Självupplevd aktivitetsbalans hos datorspelare: En enkätstudie gjord på unga killar2017Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
    Abstract [en]

    Computer use has increased in society and young guys played the most computer games. Computer gaming has been related to both health problems and positive effects. The subjective experience of occupational balance is important for the health and within occupational therapy. The aim was to describe self-perceived occupational balance among guys (16-20 years) who played computer games. A quantitative survey was made among 58 computer gaming guys. Data collection was made through Occupational Balance Questionnaire. The sample was made with regard to convenience and the participants studied at high schools. They rated average high occupational balance. There was a correlation between the time playing computer games and self-rated occupational balance. Some of the participants experienced that playing computer games took time away from other things they wanted to do, for example sleep, school work and more important things were lesser prioritized. Societal norms may have influenced the participants to see computer gaming as unimportant. Computer gaming was meaningful and one of several aspects that influenced the occupational balance. The study confirmed the occupational therapists role to apply a holistic perspective and promote meaningful occupations. Further research would increase the understanding how computer gaming affects youths’ occupational balance and health.  

  • 271.
    Linder, Agnes
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Larsson, Emelie
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Det dagliga livet efter behandlingshem för alkohol- och drogmissbruk: Hur hanterar och värderar personer med alkohol- och/eller drogproblematik sina vardagliga aktiviteter?2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: 5% of the population in Sweden are having substance abuse problems.

    There is a connection between individual activity patterns and substance abuse, because the substance abuse is affecting the everyday activities. The relation of the everyday life contra alcohol consumption and relapses is significant. Professional occupational therapists are rarely involved in the treatment of substance abusers, despite that substance abuse is affecting the everyday activities.

    People with substance abuse problems often feel satisfied with the treatment program at a treatment center, but not with the given aftercare. Purpose: Describe how people with substance abuse problems handles and values everyday activities after finished treatment at a treatment center. Furthermore, a comparison is made to evaluate if there are any differences between the participants in the study who have had a relapse and those who have not had a relapse to how they handle everyday activities and how they value them. Method: The purpose was answered through a quantitative study. Surveys containing the instrument Occupational Self-Assessment and the authors’ own constructed questions was used. 35 men and women who have been treated at treatment center for some kind of substance abuse participated in the study. Result: it was revealed that the participants’ drug free living affected their everyday activities. The participants experienced that the activities ”accomplishing what I set out to do” and “relaxing and enjoying myself” were least successful. They valued the activity” managing my finances” the most. It was revealed that there were differences between the participants that have had a relapse and those who have not had a relapse after they finished their treatment. Those who did not have a relapse experienced better function in all the everyday activities in the study. Conclusion: The result is in line with already available research which touches the connection between activity pattern and substance abuse. The importance of occupational therapy within the field of substance abuse is, furthermore, highlighted and brought to attention.

  • 272. Lindin-Arwedsson, Ingrid
    et al.
    Roos, Susanne
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. CHILD.
    Constituents of Healthy Workplaces2007In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 28, no 1, p. 3-11Article in journal (Refereed)
    Abstract [en]

    The aim of the study presented here was to identify and characterize the constituents of a healthy workplace from the viewpoints of employees at four different companies with low rate of absenteeism due to illness. A non-randomized, purposive selection was made of 27 respondents – four department heads, 16 white-collar workers, and seven blue-collar employees. The respondents were told to describe in writing how they experience factors contributing to good health at their workplace. The data analysis was carried out with a phenomenographic approach. Four main categories of health-related factors emerged: Good Work Environment, Active Keep-Fit Measures, Functional Leadership and Individual Responsibility. The employers fulfil demands for a good physical working environment, but the need for improvements in the psychosocial environment remains. The most promising finding is that the respondents’ accept personal responsibility for maintaining their own good health.

  • 273.
    Lindén, Charlotte
    et al.
    Samrehab/Akutblocket, Västerviks sjukhus, Västervik.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Living with rheumatoid arthritis and experiencing everyday life withTNF-a blockers2010In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 17, no 4, p. 326-334Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe how persons with RA from an area in western Sweden experience everyday life with TNF-alfa-blockers. A purposive sampling of 11 women and four men, with an age ranging from 25 to 70 years, was conducted. A phenomenological approach was used in the study. The data were collected by unstructured in-depth interviews. The data analysis resulted in six code groups, of which four have appurtenant sub-groups. The six code groups are: "A noticeable change dominates the picture”; “Change in bodily and mental symptoms enables activity”; “Enabling care for oneself and others”; "Enabling improved or continued productivity”; “More rewarding leisure time”; and “Drawbacks of the medication”. The findings show that most of the informants had experienced dramatic changes in their daily lives since the medication reduced their symptoms, resulting in an increased level of activity.

    Keywords: Activities of daily life (ADL), consequences for occupational therapy, enabling activity, phenomenological approach

     

     

  • 274.
    Lingetun, Sofia
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Pensionärers upplevelse av pensionsövergången: Hur vardagens aktiviteter har förändrats2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 275.
    Ljung, Evelina
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Sjödin, Lina
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Arbetsterapeuters erfarenheter av att arbeta med fallprevention hos äldre i ordinärt boende: En intervjustudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Fall accidents are a serious problem among older people in today's society. A fall can lead to difficulties in performing everyday activities. Therefore, the occupational therapist  plays an important role in preventing falls, but despite that there is only a few studies about their experience of work with fall prevention. The purpose was to describe occupational therapist’s experiences of working with fall prevention among elderly in an ordinary residence. The method was qualitative design with a semi-structured interview. Participants were recruited through a convenient selection and a total of nine occupational therapists from two different municipalities in southern Sweden participated in the study. Qualitative content analysis was used to analyze the material. The results could be summarized in four categories: occupational therapists perceptions of fall prevention, the importance of interaction, tools for identifying fall risks and fall preventive interventions in an ordinary residence. Which turned in to eleven subcategories. The conclusion was that fall prevention is a difficult area to work preventive with. Most often, the occupational therapists are called in when the fall already has occurred, but several occupational therapists underlined that they wanted to work more towards the prevention of falls. 

  • 276.
    Louise, Byrmo
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Ronja, Lönnborg
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Intagnas upplevelser av vardagliga aktiviteter: En kvantitativ studie på en svensk anstalt utifrån "Min Mening"2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Det är många personer som återfaller i brott inom en treårsperiod efter avtjänat straff i Sverige. En viktig del i arbetet för att minska återfall i brott är effektiva förberedelser inför frigivning. Syfte: Att beskriva hur intagna på en svensk anstalt upplever vardagliga aktiviteter. Metod: Examensarbetet består av en kvantitativ tvärsnittsstudie och 50 enkäter delades ut och 29 personer deltog i examensarbetet. Urvalet består av intagna på en svensk anstalt. Ett arbetsterapeutiskt självskattningsinstrument, Min Mening, en svensk version av Occupational Self-Assessment (OSA) användes som datainsamlingsinstrument. Datamaterialet analyserades deskriptivt och analytiskt. Resultat: Majoriteten av aktiviteterna upplevs fungera mycket bra och upplevs som mycket viktiga. Att sköta min ekonomi, att sträva mot mina mål samt att engagera mig i roller var de aktiviteter som flest antal deltagare upplevde inte fungerade bra. Slutsats: En del aktiviteter upplevs fungera bättre än andra och värdesätts olika. Resultatet visar att Min Mening med fördel kan användas bland intagna samt användas som grund för deras rehabilitering. Fler studier behöver genomföras inom området för att ytterligare beskriva hur intagna upplever vardagliga aktiviteter samt att identifiera hur behovet av arbetsterapi ser ut på svenska anstalter.

  • 277.
    Ma, Christina Zong-Hao
    et al.
    Interdisciplinary Division of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong.
    Lee, Winson C.-C.
    Interdisciplinary Division of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong.
    A wearable vibrotactile biofeedback system improves balance control of healthy young adults following perturbations from quiet stance2017In: Human Movement Science, ISSN 0167-9457, E-ISSN 1872-7646, Vol. 55, p. 54-60Article in journal (Refereed)
    Abstract [en]

    Maintaining postural equilibrium requires fast reactions and constant adjustments of the center of mass (CoM) position to prevent falls, especially when there is a sudden perturbation of the support surface. During this study, a newly developed wearable feedback system provided immediate vibrotactile clues to users based on plantar force measurement, in an attempt to reduce reaction time and CoM displacement in response to a perturbation of the floor. Ten healthy young adults participated in this study. They stood on a support surface, which suddenly moved in one of four horizontal directions (forward, backward, left and right), with the biofeedback system turned on or off. The testing sequence of the four perturbation directions and the two system conditions (turned on or off) was randomized. The resulting reaction time and CoM displacement were analysed. Results showed that the vibrotactile feedback system significantly improved balance control during translational perturbations. The positive results of this preliminary study highlight the potential of a plantar force measurement based biofeedback system in improving balance under perturbations of the support surface. Future system optimizations could facilitate its application in fall prevention in real life conditions, such as standing in buses or trains that suddenly decelerate or accelerate. 

  • 278.
    Ma, Christina Zong-Hao
    et al.
    Interdisciplinary Division of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong.
    Wan, Anson H. -P
    Interdisciplinary Division of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong.
    Wong, Duo W.-C.
    Interdisciplinary Division of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong.
    Zheng, Yong-Ping
    Interdisciplinary Division of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong.
    Lee, Winson C.-C.
    Interdisciplinary Division of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong.
    A vibrotactile and plantar force measurement-based biofeedback system: Paving the way towards wearable balance-improving devices2015In: Sensors, ISSN 1424-8220, E-ISSN 1424-8220, Vol. 15, no 12, p. 31709-31722Article in journal (Refereed)
    Abstract [en]

    Although biofeedback systems have been used to improve balance with success, they were confined to hospital training applications. Little attempt has been made to investigate the use of in-shoe plantar force measurement and wireless technology to turn hospital training biofeedback systems into wearable devices. This research developed a wearable biofeedback system which detects body sway by analyzing the plantar force and provides users with the corresponding haptic cues. The effects of this system were evaluated in thirty young and elderly subjects with simulated reduced foot sensation. Subjects performed a Romberg test under three conditions: (1) no socks, system turned-off; (2) wearing five layers of socks, system turned-off; (3) wearing five layers of socks, and system turned-on. Degree of body sway was investigated by computing the center of pressure (COP) movement measured by a floor-mounted force platform. Plantar tactile sensation was evaluated using a monofilament test. Wearing multiple socks significantly decreased the plantar tactile sensory input (p < 0.05), and increased the COP parameters (p < 0.017), indicating increased postural sway. After turning on the biofeedback system, the COP parameters decreased significantly (p < 0.017). The positive results of this study should inspire future development of wearable plantar force-based biofeedback systems for improving balance in people with sensory deficits. 

  • 279.
    Ma, Christina Zong-Hao
    et al.
    Interdisciplinary Division of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong.
    Wong, Duo W.-C.
    Interdisciplinary Division of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong.
    Lam, Wing K.
    Li Ning Sports Science Research Center, Beijing, China.
    Wan, Anson H.-P.
    Interdisciplinary Division of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong.
    Lee, Winson C.-C.
    Interdisciplinary Division of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong.
    Balance improvement effects of biofeedback systems with state-of-the-art wearable sensors: A systematic review2016In: Sensors, ISSN 1424-8220, E-ISSN 1424-8220, Vol. 16, no 4, article id 434Article, review/survey (Refereed)
    Abstract [en]

    Falls and fall-induced injuries are major global public health problems. Balance and gait disorders have been the second leading cause of falls. Inertial motion sensors and force sensors have been widely used to monitor both static and dynamic balance performance. Based on the detected performance, instant visual, auditory, electrotactile and vibrotactile biofeedback could be provided to augment the somatosensory input and enhance balance control. This review aims to synthesize the research examining the effect of biofeedback systems, with wearable inertial motion sensors and force sensors, on balance performance. Randomized and non-randomized clinical trials were included in this review. All studies were evaluated based on the methodological quality. Sample characteristics, device design and study characteristics were summarized. Most previous studies suggested that biofeedback devices were effective in enhancing static and dynamic balance in healthy young and older adults, and patients with balance and gait disorders. Attention should be paid to the choice of appropriate types of sensors and biofeedback for different intended purposes. Maximizing the computing capacity of the micro-processer, while minimizing the size of the electronic components, appears to be the future direction of optimizing the devices. Wearable balance-improving devices have their potential of serving as balance aids in daily life, which can be used indoors and outdoors. 

  • 280.
    Ma, Christina Zong-Hao
    et al.
    The Hong Kong Polytechnic University, Hung Hom, Hong Kong.
    Wong, Duo W.-C.
    The Hong Kong Polytechnic University, Hung Hom, Hong Kong.
    Wan, Anson H.-P.
    The Hong Kong Polytechnic University, Hung Hom, Hong Kong.
    Lee, Winson C.-C.
    Faculty of Engineering and Information Sciences, University of Wollongong, Wollongong, NSW, Australia.
    Effects of orthopedic insoles on static balance of older adults wearing thick socks2018In: Prosthetics and orthotics international, ISSN 0309-3646, E-ISSN 1746-1553, Vol. 42, no 3, p. 357-362Article in journal (Refereed)
    Abstract [en]

    Background: The wearing of socks and insoles may affect the ability of the foot to detect tactile input influencing postural balance.

    Objectives: The aim of this study was to investigate whether (1) thick socks adversely affected the elderly postural balance and (2) orthopedic insoles could improve the elderly postural balance while wearing thick socks.

    Study design: Repeated-measures study design. Methods: In total, 14 healthy older adults were recruited. A monofilament test was conducted to evaluate foot plantar sensation with and without thick socks. Subjects then performed the Romberg tests under three conditions: (1) barefoot, (2) with socks only, and (3) with both socks and insoles. Postural balance was assessed by measuring the center of pressure movement during standing in each experimental condition.

    Results: Thick socks significantly decreased the monofilament score (p < 0.001), suggesting reduction in ability to detect external forces. All center of pressure parameters increased significantly while wearing thick socks (p < 0.017), implying reduction of postural stability. They then decreased significantly with the additional use of insoles (p < 0.017).

    Conclusion: Previous studies have documented the changes in plantar pressure distribution with the use of orthopedic insoles. This study further suggests that such changes in contact mechanics could produce some balance-improving effects, which appears not to have been reported earlier.

    Clinical relevance: Wearing thick socks reduces plantar pressure sensitivity and increases postural sway which may increase risk of falls. Orthopedic insoles and footwear with similar design could potentially be a cost-effective method in maintaining postural balance when wearing thick socks. 

  • 281.
    Ma, Christina Zong-Hao
    et al.
    Interdisciplinary Division of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong.
    Zheng, Yong-Ping
    Interdisciplinary Division of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong.
    Lee, Winson C.-C.
    Interdisciplinary Division of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong.
    Changes in gait and plantar foot loading upon using vibrotactile wearable biofeedback system in patients with stroke2018In: Topics in Stroke Rehabilitation, ISSN 1074-9357, E-ISSN 1945-5119, Vol. 25, no 1, p. 20-27Article in journal (Refereed)
    Abstract [en]

    Background: Patients with stroke walk with excessive foot inversion at the affected side, which may disturb their balance and gait.

    Objectives: This study aimed to investigate the effects of instant biofeedback of plantar force at the medial and lateral forefoot regions on gait and plantar foot loading in patients with stroke.

    Methods: A total of eight patients with hemiplegic stroke, who had flexible rearfoot varus deformity at the affected side, participated in this study. A vibrotactile biofeedback system was developed and evaluated. It analyzed forces at the medial and lateral forefeet, and instantly provided vibration clues when the plantar force at medial forefoot was less than a threshold. Each subject’s three-dimensional gait parameters and plantar-pressure distribution during walking were measured under two experimental conditions (sequence randomized): with and without the device turned on (Trial-registration number: ChiCTR-IPB-15006530 and HKCTR-1853).

    Results: Providing biofeedback significantly reduced the foot inversion and increased the mid-stance foot–floor contact area and medial midfoot plantar pressure of the affected limb, bringing the values of these parameters closer to those of the unaffected side. The biofeedback also significantly reduced the unaffected side’s excessive knee flexion and hip abduction.

    Conclusions: There were signs of improved foot loading characteristics and gait upon provision of instant vibrotactile biofeedback of plantar force. The positive results of this study further support the development of wearable biofeedback devices for improving gait of patients with stroke. 

  • 282. Madsen, Esben Elholm
    et al.
    Morville, Anne-Le
    Metropolitan University College, Denmark.
    Larsen, Anette Enemark
    Hansen, Tina
    Is therapeutic judgement influenced by the patient's socio-economic status? A factorial vignette survey2016In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 23, no 4, p. 245-52Article in journal (Refereed)
    Abstract [en]

    Background

    In Denmark patients are entitled to rehabilitation regardless of socio-economic status (SES). During this process therapists have to balance cost effectiveness with providing equal treatment. Aim To investigate whether occupational therapists and physiotherapists were influenced by the patient's SES.

    Material and method

    An experimental factorial vignette survey was used. Four different vignettes describing fictitious patient cases with different SES variables were randomly allocated to therapists working in somatic hospitals. Thereafter, the therapists judged specific clinical situations and general attitudes in relation to the patient's SES. Chi-square was used to test the statistical association between the variables.

    Results

    No statistically significant associations were found between the specific clinical situations and the patient's SES. A statistical significant association was found between general attitudes and the patient's SES. Subgroup analysis revealed a statistically significant association between the therapist's gender, age, and the therapeutic judgement in relation to SES.

    Conclusion

    In the specific clinical situations, Danish therapists seem to maintain their professional ethical principles, although they might face ethical dilemmas during their clinical decision-making. In order to prevent and resolve these dilemmas, they have to be made explicit. However, further research on how SES influences the health care professional's judgement is warranted.

  • 283.
    Malm, Linus
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Starlid, Louise
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Aktivitetsbalans och stress hos högskolestudenter vid ett lärosäte i södra Sverige: En Tvärsnittsstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Occupational balance and stress among college students at a university in southern Sweden. - A cross-sectional study.  Aim: The aim was to study occupational balance and stress as well as the relationship between them. Method: Respondents were recruited through different Facebook-pages and through the authors Facebook-page. Eighty-five questionnaires were sent through Messenger and of those, 66 questionnaires with a full data set were included. The respondents with a full dataset were in the ages 16 - 60 years old. The questionnaire consisted of sociodemographic questions, OBQ 11 and PSS-10. OBQ 11 measures subjective occupational balance whereas PSS-10 measures perceived stress. The data was analyzed using the statistical program SPSS. A correlation-test was done to analyze the correlation between OBQ 11 and PSS-10. To compare the sociodemographic variables, a Mann - Whitney U Test was performed. Results: There was a statistically significant negative correlation between OBQ 11 and PSS-10, which supports the correlation between occupational balance and perceived stress. The distribution of the sociodemographic variables: gender and if the respondents had a child or not was erratical and therefore no comparison between them was performed. There was no significant correlation between the sociodemographic variables, however there were some small differences which could be identified. A lower occupational balance and a lower level of stress was identified in those who combined studies with work, compared to those who did not work. Further, those who were single experienced a higher occupational balance and a lower level of stress than those who were in a relationship. Conclusion: Although the results of the study are to be interpreted with caution due to the small sample size, it points to trends towards a correlation between occupational balance and stress. The study may therefore be used as a stepping-stone for future research.  

  • 284. Martini, R.
    et al.
    Mandich, A.
    Green, Dido
    Oxford Brookes University, Centre for Rehabilitation, Oxford, United Kingdom.
    Implementing a modified cognitive orientation to daily occupational performance approach for use in a group format2014In: British Journal of Occupational Therapy, ISSN 0308-0226, E-ISSN 1477-6006, Vol. 77, no 4, p. 214-219Article in journal (Refereed)
    Abstract [en]

    Cognitive orientation to daily occupational performance is an intervention approach that is often used with children with developmental coordination disorder, and is usually implemented using an individual intervention format. This practice analysis describes two experiences of the cognitive orientation to daily occupational performance approach, modified for use in a group format: An intensive day-camp, and a weekly after-school club. The group format provided children with various opportunities (for example, helping other children and realizing that different 'plans' work for different people) and challenges (for example, maintaining both children's engagement during problem solving and heterogeneity in children's breakdowns). Cognitive orientation to daily occupational performance in a group format is feasible and has the potential to encourage skill acquisition for a greater number of children with developmental coordination disorder.

  • 285.
    Mattinson, Shani
    et al.
    Curtin University, Perth, Western Australia, Australia.
    Falkmer, Marita
    Jönköping University, School of Education and Communication, HLK, CHILD. Jönköping University, School of Health and Welfare, HHJ. CHILD. Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Curtin University, Perth, Western Australia, Australia.
    Black, Melissa H
    Curtin University, Perth, Western Australia, Australia.
    Girdler, Sonya
    Curtin University, Perth, Western Australia, Australia.
    Participation profiles and the barriers and facilitators that impact on participation of children with Autism Spectrum Disorders living in regional and remote Western Australia2018In: Scandinavian Journal of Child and Adolescent Psychiatry and Psychology, E-ISSN 2245-8875, Vol. 6, no 4, p. 170-182Article in journal (Refereed)
    Abstract [en]

    Background:

    Autism Spectrum Disorder (ASD) is a heterogeneous condition, influencing participation in activity and occupation. Approximately, 1% of Australian children have an ASD diagnosis, with many of these families living in remote and regional areas. Given the environments role in facilitating or hindering participation, there is a need to understand how geographical location impacts the participation profiles of children with ASD. Objective: This study aims to describe the participation profiles, and environmental barriers and facilitators to participation for children with ASD living in regional or remote Western Australia.

    Methods:

    A total of 32 families completed a questionnaire pack including a socio-demographic questionnaire and the Participation and Environment Measure – Children and Youth.

    Results:

    Children with ASD had reduced participation in community activities. Within the home, children most commonly participated in computer and video games, and in school settings, children participated rarely in non-classroom and extracurricular activities. Parents reported a desire for their children to decrease time spent engaging in video games and increase time spent in the community, socializing, engaging in extracurricular activities, and completing chores. Parents reported a number of barriers to participation across community, home, and school settings.

    Conclusion:

    Children with ASD living in regional areas had restricted participation profiles and a number of barriers to participation as reported by their parents. There is a need for additional support and services in non- metropolitan areas for families of children with ASD to increase participation. This study also highlights the need to expand the definition of participation in the International Classification of Functioning, Disability and Health to include aspects of involvement.

  • 286. Mattsson Mårn, Emma
    et al.
    Lindsmyr, Sara
    Fysisk arbetsmiljö och ergonomi hos lärare på en gymnasieskola2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 287.
    Maxstad, Charlotta
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Cedergårdh, Malin
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Arbetsterapeuten som en medarbetare i grundskolan: En litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    It is of great importance that all students receive the support they need through a wide range of different professional knowledge. Principals and teachers in Sweden expresses that it is difficult to meet the breadth of students' different needs. In Sweden, it is unusual for occupational therapists to be placed in schools despite their expertise on how the relationship between the individual, the activity and the environment influence each other. The purpose of this study was to describe occupational therapy interventions in schools. The method used was scoping review and 20 articles were included. Inclusion criteria for the articles were that they would be peer reviewed, written in english, published from 2012 onwards, refer to students 6-18 years and include occupational therapy interventions conducted in schools. The results show that most studies were from the United States and Canada, but also Australia, Ireland and the United Kingdom were represented. The results indicated four areas that occupational therapists work in. These were children with special needs, cooperation between occupational therapists and teachers, after school programs and handwriting. The conclusion is that occupational therapists have many possible areas to work with in order to support students in school.

  • 288.
    Mether, Elin
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Behandlingsformer vid utmattningssyndrom2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Introduktion: Utmattningssyndrom drabbar allt fler individer. Socialstyrelsens riktlinjer som utgavs år 2003 har inte uppdaterats sedan de utgavs. Enligt Försäkringskassan står psykisk ohälsa för den största anledningen till sjukskrivning bland både män och kvinnor. Ungefär 30 % av Sveriges befolkning har varit eller är sjukskrivna för psykisk ohälsa som är stressrelaterad. Det här examensarbetet syftar till att ta reda på om det finns fler behandlingsformer som hjälper individer som är drabbade av utmattningssyndrom än de behandlingsformer som finns med i Socialsyrelens riktlinjer. Som klassificering används ICF. Metod: Som metod används scoping review i enlighet med Arksey och O’Malley utifrån fem olika steg, som innebär att kartlägga befintlig litteratur. I den här typen av scoping review används både vetenskaplig litteratur men även så kallad grå litteratur vilket innebär icke vetenskapliga artiklar, examensarbeten, doktorsavhandlingar och tidningsartiklar till exempel. Resultat: Resultatet visar att följande behandlingsformer inte är med i Socialstyrelsens riktlinjer; grön terapi, musikterapi, ljusterapi, livsstilsförändringar och aromaterapi hjälper individer med utmattningssyndrom. Diskussion: Det finns inget nationellt register för att säkerställa att individer med utmattningssyndrom får information om flera olika behandlingsformer och tillsammans med behandlande läkare kommer fram till den behandlingsform som är mest lämplig för individen utifrån individens unika förutsättningar. Det finns inget nationellt register som påvisar vilka behandlingsformer mot utmattningssyndrom som finns att tillgå. Konklusion: Det behöver skapas ett nationellt register som kvalitetssäkrar att individer som är drabbade verkligen får rätt information och att individen tillsammans med behandlande läkare får välja den behandlingsform som individen anser passar bäst. Det behöver forskas mer på de behandlingsformer som visade sig hjälpa individer med utmattningssyndrom. Socialstyrelsens riktlinjer behöver uppdateras.

  • 289.
    Morville, Anne-Le
    Metropolitan University College, Denmark.
    Betydelsen av struktur och vardagliga aktiviteter under asyltiden2016Conference paper (Other academic)
  • 290.
    Morville, Anne-Le
    Metropolitan University College, Denmark.
    Boligen som ramme om hverdagslivet2012In: Sociologi og rehabilitering / [ed] Inger Schrøder og Kirsten Schultz Petersen, Munksgaard Forlag, 2012, p. 71-79Chapter in book (Refereed)
  • 291.
    Morville, Anne-Le
    Metropolitan University College, Denmark.
    Challenges and reflections on using AMPS with an interpreter2012Conference paper (Other academic)
  • 292.
    Morville, Anne-Le
    Lund University, Sweden.
    Daily occupations among asylum seekers- Experience, performance and perception2014Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Asylum seekers often find themselves in a situation where the structure and content of daily occupations have been disrupted and they might have limited access to paid work and education. Studies have shown that asylum seekers experience occupational depri- vation and a change in daily occupations which might even influence their identity. Such deprivation can eventually lead to dissatisfaction with everyday life and to occupational dysfunction, i.e. a decline in ADL ability. Asylum seekers are a group who are more likely to suffer from health problems than the background population. Especially torture survivors suffer from ill health. Pain and psychological symptoms are among the most frequent health issues for both asylum seekers and torture survivors and may cause occupation-related problems.<br/><br> The overarching aim of this thesis was to investigate how staying in an asylum centre influenced occupations on three levels – the experience of occupational deprivation, satisfaction with daily occupations and performance of ADL tasks and whether occupational satisfaction and performance changed over a ten month period. As there are often torture survivors among asylum seekers, another aim was to assess whether torture had an influence on the occupational satisfaction and performance, and whether this had changed after ten months.<br/><br> Forty-three asylum seekers from Afghanistan, Iran and Syria participated at baseline and ten months later 17 were available for inclusion in follow-up studies. Study I showed that the asylum seekers experienced occupational deprivation during detention, and had trouble maintaining former occupations due to limited access to activities. The results in Studies II-IV showed a high prevalence of torture survivors, high ratings of distress and low ratings of general well-being and health, all of which had associations to occupational satisfaction, activity level and occupational performance. Torture did not appear to have an influence on satisfaction with daily occupations, but physical torture could be a predictor of decline in ADL motor skills (Study III). On arrival the participants had difficulties performing ADL tasks and expressed low satisfaction with daily occupations. Ten months later there was a statistically and clinically significant decline in ADL performance, although not in satisfaction with daily occupations and activity level. A significant decline was also seen regarding self-rated health measures. However, there was no difference between tortured and non-tortured asylum seekers regarding ADL ability and self-rated health at baseline. Due to dropout at follow-up and a prevalence of torture survivors, this analysis could not be performed at the follow-up.<br/><br> 13<br/><br> This thesis points at a need for developing adequate occupation-focused rehabilita- tion programmes for asylum seekers and torture survivors, in order to enable occupa- tion and prevent development of ill health for this specific group.

  • 293.
    Morville, Anne-Le
    Metropolitan University College, Denmark.
    Den traumatiserede patient2016In: Lærebog i psykiatri for ergoterapeuter og fysioterapeuter / [ed] Lene Nyboe, Sylvia Johannsen og Per Jørgensen, Munksgaard Forlag, 2016, p. 259-273Chapter in book (Other academic)
  • 294.
    Morville, Anne-Le
    Metropolitan University College, Denmark.
    Från asylsökande till uppehållstillstånd – vad händer under tiden?2016Conference paper (Other academic)
  • 295.
    Morville, Anne-Le
    Metropolitan University College, Denmark.
    Observation-based assessment of functional ability in Danish asylum-seekers2012Conference paper (Other academic)
  • 296.
    Morville, Anne-Le
    Metropolitan University College, Denmark.
    Tilfredshed med daglige aktiviteter hos asylansøgere i Danmark2015Conference paper (Other academic)
  • 297.
    Morville, Anne-Le
    Metropolitan University College, Denmark.
    Udfordringer ved at forske i meget heterogene grupper og de metodiske overvejelser2012Conference paper (Other academic)
  • 298.
    Morville, Anne-Le
    et al.
    Metropolitan University College, Denmark.
    Amris, K.
    Danneskiold-Samsøe, B.
    Erlandsson, L-K.
    A longitudinal study of change in asylum seekers Activity of Living Ability while in an asylum centre2014Conference paper (Other academic)
  • 299.
    Morville, Anne-Le
    et al.
    Metropolitan University College, Denmark.
    Amris, Kirstine
    Eklund, Mona
    Danneskiold-Samsøe, Bente
    Erlandsson, Lena-Karin
    A longitudinal study of changes in asylum seekers ability regarding activities of daily living during their stay in the asylum center2015In: Journal of Immigrant and Minority Health, ISSN 1557-1912, E-ISSN 1557-1920, Vol. 17, no 3, p. 852-9Article in journal (Refereed)
    Abstract [en]

    The aim was to assess change in activities of daily living (ADL) ability amongst asylum seekers and if there were any difference between tortured and non-torture following a 10 months post-arrival period, and if self-reported health and exposure to torture were factors related to change in ADL-ability. The study was a combined baseline, follow-up correlational study amongst individuals from Afghanistan, Iran and Syria, living in Danish asylum centers. Forty-three persons aged 20-50, were invited and participated in the baseline study. Twenty-two were still in asylum center at the follow-up and 17 of them participated. ADL-ability was measured using Assessment of Motor and Process Skills and questionnaires about exposure to torture, self-reported mental health and pain. ADL motor and process measures, well-being and self-rated health declined from baseline to follow-up. Measures of pain and depression increased. Exposure to physical torture and change in ADL motor (r = 0.525) measures were associated, as well as change in current pain and change in ADL process (r = 0.525) measures. Due to preponderance of torture survivors analysis of group difference was not applicable. Health care workers should be aware of ADL concerns and exposure to torture in this population to best address their needs within rehabilitation settings.

  • 300.
    Morville, Anne-Le
    et al.
    Metropolitan University College, Denmark.
    Decker, Lone
    Metropolitan University College, Denmark.
    AMPS, ESI and ACIS2016In: Lærebog i psykiatri for ergoterapeuter og fysioterapeuter / [ed] Lene Nyboe, Sylvia Johannsen og Per Jørgensen, Munksgaard Forlag, 2016, p. 185-189Chapter in book (Other academic)
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