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  • 301.
    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. 

  • 302.
    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. 

  • 303.
    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. 

  • 304.
    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. 

  • 305.
    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. 

  • 306. Madsen, E. E.
    et al.
    Morville, Anne-Le
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Grundlæggende antagelser, værdier og etik i ergoterapi2019In: Basisbog for ergoterapeuter / [ed] Åse Brandt, Hanne Peoples & Ulla Pedersen, København: Munksgaard Forlag, 2019, 4Chapter in book (Other academic)
  • 307. 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.

  • 308.
    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.  

  • 309. 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.

  • 310.
    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.

  • 311. 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
  • 312.
    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.

  • 313.
    McAuliffe, Tomomi
    et al.
    School of Occupational Therapy, Social Work and Speech Pathology, Faculty of Health Sciences, Curtin University, Perth, WA, Australia.
    Thomas, Yvonne
    Allied Health and Social Sciences, Institute of Health & Society, University of Worcester, Worcester, United Kingdom.
    Vaz, Sharmila
    School of Occupational Therapy, Social Work and Speech Pathology, Faculty of Health Sciences, Curtin University, Perth, WA, Australia.
    Falkmer, Torbjörn
    Jönköping University, School of Health and Welfare, HHJ. CHILD. School of Occupational Therapy, Social Work and Speech Pathology, Faculty of Health Sciences, Curtin University, Perth, WA, Australia.
    Cordier, Reinie
    School of Occupational Therapy, Social Work and Speech Pathology, Faculty of Health Sciences, Curtin University, Perth, WA, Australia.
    The experiences of mothers of children with autism spectrum disorder: Managing family routines and mothers’ health and wellbeing2019In: Australian Occupational Therapy Journal, ISSN 0045-0766, E-ISSN 1440-1630, Vol. 66, no 1, p. 68-76Article in journal (Refereed)
    Abstract [en]

    Background/aim: Families of children with autism spectrum disorder (ASD) use family routines to provide predictability and structure to support occupational engagement of their family members. Mothers assume the major role to orchestrate occupations in constructing family routines, which may impact their health and wellbeing. However, the experiences of mothers in managing family routines and their health and wellbeing have not been the main focus in previous research. Thus, this study explored the experiences of mothers of children with ASD in managing family routines and their perceptions of the impact of family routines on their health and wellbeing.

    Methods: An interpretive phenomenological approach was used. Twenty mothers of children with ASD, aged between 28 and 56 years, participated in semi-structured interviews. Data were transcribed verbatim and each transcript was analysed.

    Results: Five themes that summarise mothers’ perceptions towards health and wellbeing when managing family routines emerged: (i) Keeping on track keeping healthy; (ii) My life is busy, because I do everything for everyone else; (iii) Keeping on track all the time is tiring or frustrating; (iv) Looking after my family by looking after myself; and (v) I am not perfect and it is OK.

    Conclusion: This study highlighted the substantial efforts required in constructing family routines that may be at the cost of mothers’ health and wellbeing. However, mothers may be able to cope with everyday demands in managing family routines by changing their perspectives. By integrating ‘me-time’ activities in family routines, mothers may be able to support their own health and wellbeing. Mothers’ values and needs are reflected in family routines; hence, thorough understanding of family routines may be a key to support mothers’ occupational engagement. 

  • 314.
    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.

  • 315.
    Miyamoto, Reiko
    et al.
    Faculty of Health Sciences, Tokyo Metropolitan University, Tokyo, Japan.
    Green, Dido
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. CHILD. Faculty of Health & Life Sciences, Oxford Brookes University, Oxford, UK.
    Bontje, Peter
    Faculty of Health Sciences, Tokyo Metropolitan University, Tokyo, Japan.
    Suyama, Natsuka
    Graduate School of Health Sciences, Tokyo Metropolitan University, Tokyo, Japan.
    Ohshima, Nobuo
    Faculty of Health Sciences, Tokyo Metropolitan University, Tokyo, Japan.
    Fever, Sally S. A.
    Faculty of Health & Life Sciences, Oxford Brookes University, Oxford, UK.
    Butler, Jenny
    Faculty of Health & Life Sciences, Oxford Brookes University, Oxford, UK.
    Student perceptions of growth-facilitating and growth-constraining factors of practice placements: A comparison between Japanese and United Kingdom occupational therapy students2019In: Occupational Therapy International, ISSN 0966-7903, E-ISSN 1557-0703, article id 8582470Article in journal (Refereed)
    Abstract [en]

    This study compared growth-facilitating and growth-constraining experiences of practice placements as perceived by occupational therapy students from Japan and the United Kingdom (UK). Fifteen students from Japan and 14 from the UK used a nominal group technique (NGT) to rank, individually and in groups, their subjective learning experiences during practice placements. Qualitative analysis and simple tabulation based on ranking of items obtained in the NGT were performed. Five item categories were identified from both Japanese and UK students: self-reflection, the role of supervisor, sense of responsibility, clinical knowledge and skills, and time management. Results showed that all students perceived opportunities for self-reflection and feedback from supervisors as growth facilitating and students’ passive attitudes towards requirements of practice placements as growth constraining. Countryspecific differences between students were observed in clinical knowledge and skills, sense of responsibility, and time management. Japanese students perceived that preparatory study led to successfully treating clients during placement, and they tended to commit to placement assignments at the expense of time outside. UK students valued working independently with a sense of responsibility but considered time-management problems within their placement hours as growth constraining. These differences can be explained by different social norms and expectations of students from Japan and the UK.

  • 316.
    Morville, Anne-Le
    Metropolitan University College, Denmark.
    Betydelsen av struktur och vardagliga aktiviteter under asyltiden2016Conference paper (Other academic)
  • 317.
    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)
  • 318.
    Morville, Anne-Le
    Metropolitan University College, Denmark.
    Challenges and reflections on using AMPS with an interpreter2012Conference paper (Other academic)
  • 319.
    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.

  • 320.
    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)
  • 321.
    Morville, Anne-Le
    Metropolitan University College, Denmark.
    Från asylsökande till uppehållstillstånd – vad händer under tiden?2016Conference paper (Other academic)
  • 322.
    Morville, Anne-Le
    Metropolitan University College, Denmark.
    Observation-based assessment of functional ability in Danish asylum-seekers2012Conference paper (Other academic)
  • 323.
    Morville, Anne-Le
    Metropolitan University College, Denmark.
    Tilfredshed med daglige aktiviteter hos asylansøgere i Danmark2015Conference paper (Other academic)
  • 324.
    Morville, Anne-Le
    Metropolitan University College, Denmark.
    Udfordringer ved at forske i meget heterogene grupper og de metodiske overvejelser2012Conference paper (Other academic)
  • 325.
    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)
  • 326.
    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.

  • 327.
    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)
  • 328.
    Morville, Anne-Le
    et al.
    Metropolitan University College, Denmark.
    Eklund, Mona
    Asylsökandes tillfredsställelse med dagliga aktiviteter i danska asylcenter2015Conference paper (Other academic)
    Abstract [en]

    Utifrån de begränsade möjligheterna till aktivitet i danska asylcenter är det relevant att undersöka asylsökandes tillfredsställelse med aktiviteter och aktivitetsnivå. En låg nivå av aktivitet och aktivitetstillfredsställelse kan medföra förlust av ADL-förmåga och dåligt hälsotillstånd. Dessutom har tortyr och självbedömd hälsa visat sig ha samband med ADL-förmåga hos asylsökande, och dessa faktorer kan förmodligen också kopplas till aktivitetsnivå och -tillfredsställelse.Målet var att beskriva asylsökandes aktivitetsnivå och -tillfredsställelse i danska asylcenter, samt undersöka om dessa variabler förändrades över tid. Ett annat syfte var att klargöra om faktorer som tortyr, självbedömd hälsa och ADL-förmåga kan relateras till aktivitetsnivå och -tillfredsställelse.43 asylsökande, varav 17 följdes upp vid 10 mån ingick i studien. Frågeschemat SDO, som mäter aktivitetsnivå och tillfredsställelse, samt MDI, WHO-5, PDQ, frågor om tortyr och socio-demografiska uppgifter, och AMPS användes.Studien påvisade låg tillfredsställelse med aktiviteterna. Inga statistiskt signifikanta förändringar förelåg från baseline till uppföljningen vad beträffar aktivitetsnivå och tillfredsställelse. Samband påvisades mellan AMPS-processförmåga, utbildning, värsta smärta och aktivitetsnivå, samt mellan AMPS-processförmåga och tillfredsställelse vid baseline. Vid uppföljningen fann man samband mellan WHO-5 och aktivitetsnivå och tillfredsställelse, och mellan MDI och aktivitetsnivå. Det påvisades ingen signifikant skillnad mellan torterade/icke torterade vid baseline eller uppföljningen.Asylsökande upplever låg tillfredsställelse med dagliga aktiviteter, både kort efter ankomst och efter 10 månader i asylcentret, men detta var inte relaterat till tortyr. Resultaten pekar på att de med hög aktivitetsnivå gradvis blir mindre utsatta för psykiska besvär. Det finns behov av mer forskning och utveckling av aktivitetsinriktad rehabilitering och förebyggande åtgärder för denna grupp.

  • 329.
    Morville, Anne-Le
    et al.
    Metropolitan University College, Denmark.
    Erlandsson, Lena-Karin
    Lund University, Sweden.
    Methodological challenges when doing research that includes ethnic minorities: a scoping review2016Conference paper (Other academic)
  • 330.
    Morville, Anne-Le
    et al.
    Metropolitan University College, Denmark.
    Erlandsson, Lena-Karin
    Methodological challenges when doing research that includes ethnic minorities: a scoping review2016In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 23, no 6, p. 405-15Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: There are challenging methodological issues in obtaining valid and reliable results on which to base occupational therapy interventions for ethnic minorities. The aim of this scoping review is to describe the methodological problems within occupational therapy research, when ethnic minorities are included.

    METHOD: A thorough literature search yielded 21 articles obtained from the scientific databases PubMed, Cinahl, Web of Science and PsychInfo. Analysis followed Arksey and O'Malley's framework for scoping reviews, applying content analysis.

    RESULTS: The results showed methodological issues concerning the entire research process from defining and recruiting samples, the conceptual understanding, lack of appropriate instruments, data collection using interpreters to analyzing data.

    CONCLUSION: In order to avoid excluding the ethnic minorities from adequate occupational therapy research and interventions, development of methods for the entire research process is needed. It is a costly and time-consuming process, but the results will be valid and reliable, and therefore more applicable in clinical practice.

  • 331.
    Morville, Anne-Le
    et al.
    Metropolitan University College, Denmark.
    Erlandsson, Lena-Karin
    Lund University, Sweden.
    Narratives about occupational history and occupational choices in an asylum centre2012Conference paper (Other academic)
  • 332.
    Morville, Anne-Le
    et al.
    Metropolitan University College, Denmark.
    Erlandsson, Lena-Karin
    Lund University, Sweden.
    Occupational deprivation of asylum seekers2017In: Occupational Therapies Without Borders: Integrating Justice with Practice / [ed] Dikaios Sakellariou, Nick Pollard, Elsevier, 2017, p. 381-389Chapter in book (Refereed)
  • 333.
    Morville, Anne-Le
    et al.
    Metropolitan University College, Denmark.
    Erlandsson, Lena-Karin
    The Experience of Occupational Deprivation in an Asylum Centre: The Narratives of Three Men2013In: Journal of Occupational Science, ISSN 1442-7591, E-ISSN 2158-1576, Vol. 20, no 3, p. 212-223Article in journal (Refereed)
    Abstract [en]

    This article presents a study of three asylum-seeking men from Iran and Afghanistan. It aimed to explore how and if they experienced occupations as occupations in a Danish asylum centre and how their life experience shaped their choice and value of current occupations. In-depth narrative interviews explored the participants’ occupational history and its influence on their occupations in the asylum centre. A thematic analysis showed that the participants had been subjected to occupational disruption and deprivation by politically oppressive systems even before their flight. Their occupations in Denmark were to a certain extent influenced by their earlier occupations and the current occupational deprivation they all experienced was due to limited possibilities in the centre. Although they tried their best to fill their days and create structure, there was a loss of valued occupations and a profound sense of occupational deprivation. One of the participants had been subjected to torture and he experienced occupational deprivation to a greater extent. The findings suggest that further research should include exposure to torture as a key component when examining the occupational deprivation of asylum seekers.

  • 334.
    Morville, Anne-Le
    et al.
    Metropolitan University College, Denmark.
    Erlandsson, Lena-Karin
    Danneskiold-Samsøe, Bente
    Amris, Kirstine
    Eklund, Mona
    Satisfaction with daily occupations amongst asylum seekers in Denmark2015In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 22, no 3, p. 207-15Article in journal (Refereed)
    Abstract [en]

    AIM: The aim of this study was to describe asylum seekers' satisfaction with daily occupations and activity level while in a Danish asylum centre, and whether this changed over time. Another aim was to describe whether exposure to torture, self-rated health measures, and ADL ability were related to their satisfaction with daily occupations and activity level.

    METHODS: A total of 43 asylum seekers at baseline and 17 at follow-up were included. The questionnaires Satisfaction with Daily Occupations, Major Depression Inventory, WHO-5 Wellbeing, Pain Detect, a questionnaire covering torture, and basic social information were used as well as Assessment of Motor and Process Skills.

    RESULTS: The results showed a low level of satisfaction with daily occupations at both baseline and follow-up. There was no statistically significant change in satisfaction or activity level between baseline and the follow-up. Associations between AMPS process skills--education, worst pain and activity level--were present at baseline, as was a relationship between AMPS process skills and satisfaction. At follow-up, associations between WHO-5 and satisfaction and activity level and between MDI scores and activity level were found.

    CONCLUSION: Asylum seekers experience a low level of satisfaction with daily occupations, both at arrival and after 10 months in an asylum centre. There is a need for further research and development of occupation-focused rehabilitation methods for the asylum seeker population.

  • 335.
    Morville, Anne-Le
    et al.
    Metropolitan University College, Denmark.
    Erlandsson, Lena-Karin
    Eklund, Mona
    Danneskiold-Samsøe, Bente
    Christensen, Robin
    Amris, Kirstine
    Activity of daily living performance amongst Danish asylum seekers: a cross-sectional study.2014In: Journal on Rehabilitation of Torture Victims and Prevention of Torture, ISSN 1018-8185, E-ISSN 1997-3322, Vol. 24, no 1, p. 49-64Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: The aim of this study was to evaluate the extent of Activities of Daily Living (ADL) ability impairment in newly arrived Danish asylum seekers. It was hypothesized that exposure to trauma and torture would negatively influence ADL performance and that measures of ADL ability would be lower in individuals exposed to torture as compared to the non-tortured.

    SUBJECTS: Forty-three newly arrived asylum seekers aged 20-50 years, from Iran, Afghanistan and Syria, were consecutively included in the study.

    METHOD: ADL ability was assessed with the observation-based test Assessment of Motor and Process Skills (AMPS). Interviews were based on questionnaires about torture exposure, WHO-5 Wellbeing Index, Major Depression Inventory and Pain Detect Questionnaire. All participants were interviewed and tested using a linguistic interpreter.

    RESULTS: Thirty three (77%) participants reported exposure to torture. The tortured did not differ significantly from the nontortured on measures of ADL ability (two-sample t-tests: Motor, p= 0.36; Process, p= 0.82). ADL performance impairment was observed in the overall study sample. Twelve had motor and 15 process ability measures below age norms and 2 below both AMPS motor and process cut-offs for effortless and efficient ADL performance. There were statistically significant - weak to moderate - correlations between self-reported psychological distress, VAS average pain, pain distribution and the AMPS measures.

    CONCLUSION: The study results supported significant ADL ability impairment in tortured as well as non-tortured newly arrived asylum seekers. Implementation of performance-based evaluation of ADL ability as part of the initial medical screening of this particular population should be considered.

  • 336.
    Morville, Anne-Le
    et al.
    Metropolitan University College, Denmark.
    Erlandsson, L-K.
    Danneskiold-Samsøe, B.
    Eklund, M.
    Amris, K.
    Observation based assessment of ADL-performance Amongst Danish asylum seekers: A cross-sectional study2012Conference paper (Other academic)
  • 337.
    Morville, Anne-Le
    et al.
    Metropolitan University College, Denmark.
    Hansen, Bodil Winther
    Kreative aktiviteters rehabiliterende kraft2013In: Kreativitet i ergoterapi / [ed] Gunner Gamborg, Jacob Madsen, Bodil Winther Hansen, Munksgaard Forlag, 2013, p. 85-103Chapter in book (Other academic)
  • 338.
    Morville, Anne-Le
    et al.
    Metropolitan University College, Denmark.
    Håkansson, Carita
    Lund University, Sweden.
    Wagman, Petra
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Hansen, Tina
    Metropolitan University College, Denmark.
    Validity of the Danish version of Occupational Balance Questionnaire (OBQ-DK)2016Conference paper (Other academic)
    Abstract [en]

    Background:Occupational balance is a well-known concept within occupational therapy. The OBQ (Wagman and Håkansson, 2014) is developed to measure occupational balance. The OBQ is a 13-item questionnaire with 4 response categories and has been translated into Danish. The aim of this study was to investigate the construct validity of the OBQ-DK using the Rasch model.

    Method:Postal survey data to working aged participants (n=366; 69% women) were included. Their responses to the OBQ-DK were evaluated by Rasch analysis, partial credit model.

    Results: Initially, Rasch analysis failed to support the unidimensional structure of the 13-item OBQ-DK (Chi-Square 104.5 (df 52; p <0.001). All items had ordered threshold. Differential Item Functioning was absent across contextual factors (sex, age, education). Adjustment of local item dependency between two items and removal of four misfitting items resulted in perfect fit to the Rasch model (Chi-Square 36.85 (df 32; p = 0.254). Reliability was high (PSI = 0.82). The four deleted misfitting items formed an additional unidimensional scale (Chi-Square 19.35 (df 16; p = 0.251). Reliability was acceptable (PSI = 0.78).

    Conclusion: The study provides evidence for OBQ-DK’s construct validity. The Rasch analysis produced a 2-dimensional, 13-item questionnaire assessing the persons’ perception of occupational balance. Further research is required to establish the measures’ validity in various populations.Application to Practice:The results and small number of items makes it feasible to implement the OBQ-DK into clinical and/or research settings, where measuring occupational balance is needed. 

  • 339.
    Morville, Anne-Le
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Jessen-Winge, Christina
    Occupational Therapy Programme, Metropolitan University College Copenhagen, Denmark.
    Creating a bridge: An asylum seeker’s ideas for social inclusion2019In: Journal of Occupational Science, ISSN 1442-7591, E-ISSN 2158-1576, Vol. 26, no 1, p. 53-64Article in journal (Refereed)
    Abstract [en]

    Background: Asylum seekers often experience social exclusion, beyond work and productivity. For this group, social inclusion is needed in order to participate in their new society and regain control over daily life and occupations, as well as prevent health problems. Social inclusion has been discussed within occupational science, and a collaborative approach such as the Participatory Occupational Justice Framework recommended to be followed. However, there is still a lack of understanding of the asylum seekers? perspective on social inclusion, which this article begins to address through the lived experience of one participant.

    Method: Framed as a phenomenological study, data were collected through interview and articles written by the asylum-seeking participant. The data were analysed using Giorgi?s method as modified by Malterud (2017).

    Results: The participant's ideas revolved around the components of Bogeas and colleague's (2017) description of social inclusion and revealed the problems that he experienced daily in the asylum centre. His suggestions for change and social inclusion included the need for asylum seekers to take part in the daily work in the centre, establishing channels of information, and a residents' council to support collaboration with the local population. The participant stressed that social inclusion should be a two-way process, with both sides taking responsibility for working with the challenges.

    Conclusion: Although there are objective conditions that might limit social inclusion, a collaborative and participatory approach offers the opportunity for social inclusion and participation in occupation. Employing such an approach would facilitate the health, well-being, and inclusion of asylum seekers; and promote occupational justice for an otherwise marginalised population.

  • 340.
    Morville, Anne-Le
    et al.
    Metropolitan University College, Denmark.
    Mathiasson, Gitte
    Grundlæggende antagelser, værdier og etik i ergoterapi2013In: Basisbog for ergoterapeuter / [ed] Åse Brandt, Anette Judithe Madsen, Hanne Peoples, Munksgaard Forlag, 2013, p. 35-48Chapter in book (Other academic)
  • 341.
    Morville, Anne-Le
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Petersen, K.
    Aktivitet og deltagelse i hverdagslivet2019In: Sociologi og rehabilitering / [ed] Kirsten Schultz Petersen, Inge Storgaard Bonfils & Inger Schrøder, København: Munksgaard Forlag, 2019, 2Chapter in book (Other academic)
  • 342.
    Multanen, Iida-Maija
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Home Care Nurses Views on Rehabilitation and Interprofessional Teamwork2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Rehabilitation is not sufficiently achieved in home care in Finland. An important component of rehabilitation is interprofessional teamwork. Working together can be difficult if there is no common understanding of rehabilitation and collaboration. The purpose of this study is to describe home care nurses’ viewpoints about rehabilitation and interdisciplinary team work, and to reflect the findings from an occupational therapy perspective. The study was conducted in the home care services of Helsinki, Finland. Data was collected in the spring of 2017. A qualitative, descriptive study design was used as a methodological approach. Non-probability sampling was used in selection of the interviewees. Ten home care nurses were interviewed for the study. Giorgi's phenomenological meaning condensation was adapted in the analysing process. The results show that home care nurses, clients and clients’ relatives need more knowledge about rehabilitation. Client-centredness seems to sometimes be neglected in service and rehabilitation planning in home care. A higher quality in interprofessional collaboration could help in building knowledge about rehabilitation and clientcentredness in home care. This could be promoted by increasing collaboration between nurses and occupational therapists. Adopting a different focus in monitoring the effectiveness of home care services is suggested to ensure quality of services. Implications of the study findings for practice are: (a) Continued attention must be paid for education of nursing staff and clients about rehabilitation, (b) time and venue for interprofessional teamwork need to be provided, (c) qualitative measures need to be adopted to ensure quality of services in home care and to ascertain that the services meet clients’ needs, (d) client-centred practice must be developed to promote clients’ occupational justice in home care. Occupational therapists can help in this development work.

  • 343. Muthulingam, Lydia
    Hand splinting in children with brain injury2019Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE creditsStudent thesis
  • 344.
    Månsson, Ida
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Jörgensson, Frida
    Jönköping University, School of Health and Welfare.
    Delaktighet i skolmiljö för barn med funktionsnedsättningar2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 345.
    Møller Christensen, Berit
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. CHILD.
    Björk, Maria
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. CHILD.
    Almqvist, Lena
    School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden.
    Huus, Karina
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. CHILD.
    Patterns of support to adolescents related to disability, family situation, harassment, and economy2019In: Child Care Health and Development, ISSN 0305-1862, E-ISSN 1365-2214, Vol. 45, no 5, p. 644-653Article in journal (Refereed)
    Abstract [en]

    INTRODUCTION: Adolescents need support from family, friends, and teachers to increase their involvement in everyday life. Their environment and their own characteristics also influence their ability to participate in an everyday supportive environment.

    AIM: The aim of the study was to investigate patterns of support from parents, teachers, and very important persons such as peers to the ability of adolescents to participate in everyday life, as well as the importance of interpersonal relations as experienced by the adolescents.

    METHOD: The study has a cross-sectional design. The data compiled and analysed in this study are part of a longitudinal study of adolescents and their development into adults-LoRDIA (Longitudinal Research on Development In Adolescence). A combination of person- and variable-oriented design was used to capture patterns of support.

    RESULTS: Adolescents with a complicated home situation and low economic prerequisites who received little support from parents and friends participated to a lower degree in home activities. A substantial number of these adolescents had self-reported neurodevelopmental disorders and, as a group, were more often exposed to harassment. However, these adolescents participated to a higher extent in school activities, although they received little support from the teachers. The adolescents who received most support from parents and teachers were those with a country of origin other than Sweden and those who lived with both of their parents and had more siblings than average. However, this did not mean that they participated to a higher extent in home and school activities.

  • 346.
    Nieminen, Satu
    Jönköping University, School of Health and Welfare.
    The voice of refugee clients in psychiatric health care: -  Occupational justice, occupational therapy, and a better quality of life.2018Independent thesis Advanced level (degree of Master (One Year)), 15 credits / 22,5 HE creditsStudent thesis
    Abstract [en]

    Background: Finland faced a large inflow of refugees during 2015-2016. That forced the professionals from different fields to reflect on services they produce. Occupational therapy and research among the mental health care of refugees is limited. In order to improve and strengthen services for refugees, we need to listen to their needs.

    Aim: This study aimed to investigate how adult refugees experience the Finnish mental health services, and what kind of self-perceived well-being elements do adult refugees find as important towards better quality of life.

    Method: This qualitative grounded theory study consists of six refugee interviews. The data were analysed by qualitative content analysis and the Participatory Occupational Justice Framework was used as a framework for the presentation of the data.

    Results: The Finnish mental health interventions are mostly available and based on discussion and medication. Information and supporting environment, occupational and social participation, self- direction, and time use are the base of the experienced well-being. The results show that occupational therapy can offer tools for the mental health work among refugees, bring important information of the person´s occupational history, needs, roles, and habits, and it should be taken alongside traditional therapies.

  • 347.
    Niklasson, Joakim
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    En enkätstudie om ADL-bedömningens betydelse för patientens uppfattningar om sin utförandekapacitet.2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Background: The population in Sweden is getting older, which results in complicated conditions, re-admissions and increased pressure on healthcare services. Patients’ deficient perceptions of their performance capacity contributes to re-admission. By estimating activities in daily life (ADL), the occupational therapist map areas of activity in which the patient performs insufficient. Purpose: To investigate patients’ perceptions of their performance capacity and whether these are affected by an ADL assessment or not. Method: Prospective cross-sectional study through a questionnaire. An instrument for gathering estimated performance capacity was created. 32 people participated in the study. Data from the instrument was compiled and analyzed in SPSS by paried samples T-test. Results: Patients' perceptions of their performance capacity matched at first estimation to 21% with the ADL-assessment. Patients' estimation after ADL assessment conformed to 71%, an increase of 238% on a three-star significance level, p = 0.0000 by paried samples T-test. Conclusion: ADL assessment is essential to ensure that the patients’ perceptions of their performance capacity are consistent with how the current hospitalization affect their performance. ADL assessment is an important part of the care chain, and the occupational therapist has a unique way to investigate patient needs.

  • 348.
    Nilsson, Linnéa
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Dehlin, Lovisa
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Fruktansvärt men fantastiskt underbart: Om upplevelsen av att leva med ADHD2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of the study was to describe how people with ADHD experience their everyday lives and what strategies they use. The chosen method was a manifest content analysis on autobiographies. Four books were selected for analysis and interpretation. The result consisted of five categories with 13 associated subcategories. The categories were the experience of feeling different, everyday imbalances, difficulty in managing impressions and impulses, the significance of diagnosis and strategies to cope with everyday life. The conclusion of the thesis work showed that the individual's experience is important for gaining an understanding of ADHD. Another conclusion that emerged from the thesis, is that the occupational therapist with their knowledge can work with health promoting efforts to simplify the daily life for people with ADHD.

  • 349.
    Nilsson, Ulrica
    Jönköping University, School of Health Science.
    Vietnameser, aktivitet och smärta: Kulturellt perspektiv med fokus på arbetsterapi2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    How does culture influence occupational therapy practice with people from another cultural background. The clinical frame/es used by occupational therapists is, most likely, based on values and norms from the western world. In East Asian culture there is partly a different way to relate to self and temporal orientation than in west. If values and norms don’t fit the patient the risk is that the treatment will not be good enough.

    Patients in pain are a large group in primary care. Change in activities will often have affect on the participation in personal, social and work related areas. In order to connect these two aspects, culture and activity, a qualitative study was made in  purpose of enlightening opinions on pain in activity and the influence of culture in a group of Vietnamese living in Sweden. Five informants with pain were chosen by suitable selection and were interviewed by semi structured questions. With snowball selection two informants were chosen to a conversation about the influence of culture. The questions emerged from a theoretical model. In using the concepts of two different theoretical models and phenomenografical method the experience of pain due to activity and how culture influence these opinions is shown.

    The result show that pain has a negative impact on the ability to be active and that cultural factors might lead to misunderstanding between occupational therapist and patient.

  • 350.
    Nylén, Linn
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Kartläggning av hur rullstolsrelaterade faktorer påverkar äldre rullstolsanvändare: -A scoping reviw2020Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Trots att aktivitet är hälsofrämjande upplever många äldre rullstolsanvändare nedsatt funktion och förmåga till aktiviteter och lever ofta ett mer begränsat liv än de behöver. De spenderar många timmar rullstolen och drabbas i större utsträckning av trycksår och andra fysiska problem.

    Syfte: Syftet med studien var att kartlägga och beskriva hur rullstolsrelaterade faktorer påverkar äldre rullstolsanvändare.

    Metod: Studiens design är en scoping review utifrån metodbeskrivning från Joanna Briggs Institute. Datainsamling genom systematiska databassökningar och manuella sökningar via referenslistor och citations.

    Resultat: Analysen resulterade i 12 artiklar. Resultatet visade att rullstolsrelaterade faktorer som mobilitet, individanpassning och trycksår påverkar äldre rullstolsanvändare och deras möjlighet till aktivitet och delaktighet.

    Slutsats och signifikans: Resultatet visar att äldre rullstolsanvändares möjlighet till delaktighet i aktiviteter påverkas av individuell anpassning av rullstolen, information och träning i att använda och hantera rullstolen, hur rörlig användaren är samt vilken miljö rullstolen skall användas i. Då äldre personer utgör den absolut största gruppen som använder och är beroende av rullstol och arbetsterapeuter är förskrivare finns det behov av vidare forskning på detta område.

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