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  • 301.
    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)
  • 302.
    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.

  • 303.
    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)
  • 304.
    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.

  • 305.
    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)
  • 306.
    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.

  • 307.
    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)
  • 308.
    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)
  • 309.
    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.

  • 310.
    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.

  • 311.
    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.

  • 312.
    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)
  • 313.
    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)
  • 314.
    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. 

  • 315.
    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.

  • 316.
    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)
  • 317.
    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.

  • 318. Muthulingam, Lydia
    Hand splinting in children with brain injury2019Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE creditsStudent thesis
  • 319.
    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
  • 320.
    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.

  • 321.
    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.

  • 322.
    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.

  • 323.
    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.

  • 324.
    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.

  • 325.
    Nöjd, Tove
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Rinaldo, Katarina
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Aktivitetsbalans och stress: En tvärsnittsstudie som beskriver självskattad aktivitetsbalans och stress hos anställda på ett större företag i södra Sverige2017Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
  • 326.
    Ocasio Hansson, Sandra
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Occupational identity in occupational therapy: A concept analysis2019Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Background: The concept of occupational identity has become an important focus within occupational therapy garnering both recognition and inquiry. Despite the concept’s noted relevance to understanding the occupational nature of human beings, ambiguity regarding the identification and application of occupational identity exists. Aim: This analysis aimed to clarify the concept of occupational identity by examining its current use and application within occupational therapy. Material and methods: Walker and Avant’s method for concept analysis was utilized to clarify the concept of occupational identity. Results: Analysis resulted in three distinct categories of use: occupational identity construction, occupational identity discrepancy and occupational identity disruption described contextually in terms of the self being, the self being and doing, and the self being and doing with others. Conclusions: Findings validated the significant connection between occupation and identity through doing, being and future becoming. Also uncovered were considerable connections to belonging. Significance: Occupational identity encompassed complex connections comprising both individual and collective components. Personally meaningful expression and connection were of particular significance to occupational identity as discrepancies or disruption of meaningful connections had negative implications for occupational engagement. 

  • 327.
    Ohlin, Maria
    et al.
    Department of Food and Nutrition and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Berg, Hans-Yngve
    Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
    Lie, Anders
    Department of Applied Mechanics, Chalmers University of Technology, Gothenburg, Sweden.
    Algurén, Beatrix
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Long-term problems influencing health-related quality of life after road traffic injury – Differences between bicyclists and car occupants2017In: Journal of Transport and Health, ISSN 2214-1405, E-ISSN 2214-1405, Vol. 4, p. 180-190Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe and compare road traffic injuries leading to long-term problems in Health related quality of life (HRQoL), with regards to road user group, injury severity and injured body region, which is important when considering injury preventive strategies. From the Swedish Traffic Accident Data Acquisition (STRADA), a randomized sample of people injured in a road traffic crash and seeking emergency hospital care in connection to the crash between 1st of January 2007 and 31st of December 2009 was drawn (n=4761). HRQoL was investigated using a self-report survey, namely the EQ-5D. Among the responding persons injured in a bicycle crash (n=402) or car crash (n=557) the injury outcome of reporting or not reporting any problem in HRQoL was compared between bicyclists and car occupants depending on injured body region and injury severity. The results showed that 59% of car occupants and 44% of bicyclists reported problems in HRQoL after a road traffic injury. Pain/discomfort and anxiety/depression were the health-related dimensions where people most frequently reported problems. Leg injuries were most often associated with reporting problems in HRQoL, for both bicyclists and car occupants. Another finding was that car occupants consistently reported more problems in HRQoL compared to bicyclists, even when controlled for injury severity and injured body region.

  • 328. Ohlsson, Hanna
    et al.
    Gillén, Julia
    Hemtjänstpersonalens upplevelse av sin arbetsmiljö - en pilotstudie: 2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: According to the Swedish Work Environment Authority, research regarding home care staff working environment was important and essential to investigate. There is a great need to review the current situation due to the large increase of elderly who maintain living at home. This increase of elderly puts heavy demands on home care staff members. Aim: To describe the home care personnel's perception of their working environment. Method: A qualitative design was used and participants were interviewed in focus groups. A qualitative content analysis was used to analyse data. This study included eight participants; nurses and assistant nurses. Results: Home care staff felt that it was important and significant to have experience to maintain good practice. Technical work equipment was stressful in some situations. It was difficult to use the patient’s assistive devices frequently and correctly and enough time was essential. Conclusion: Home care staff felt that it was a stressful work environment when they could not satisfy residents' needs in relation to the organization's requirements and prerequisites however this finding cannot be generalized.

  • 329.
    Olsson, Lena
    Jönköping University, School of Health and Welfare, HHJ. CHILD.
    Children with mild intellectual disability and their families – needs for support, service utilisation and experiences of support2016Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    This thesis focuses on service utilisation among children with mild ID and their families, their needs for support and their experiences of support.

    Aims

    The overall aim of the thesis was to explore and describe service utilisation patterns among families of children with mild ID from a systems perspective.

    Methods

    A cross-sectional, descriptive and comparative quantitative design was used to describe the extent of service utilisation among 84 children with mild ID and their families (paper I and II). The types and number of services utilised were investigated in relation to the child’s age, gender and school setting. Data concerning the services utilised were collected from the organisational records of social services and paediatric habilitation units. In paper III, a descriptive questionnaire design was used to describe the support needs of families of 38 children with mild ID. A confirmatory design was used to examine the relation between family needs for support and (a) parental self-efficacy and (b) parents’ control over services. A confirmatory design was also used to examine the relation between parents’ experiences of the helpfulness of the support and (a) parental self-efficacy and (b) parents’ control over services. In paper IV a longitudinal, comparative and confirmatory design was used to investigate whether social service utilisation patterns differ over time when children with mild ID in self-contained classes are compared with those integrated into mainstream classes (n=405).

    Results

    In total, 60% of the families utilised paediatric habilitation services, and 40% of the families used disability-related services provided by social services. The most commonly utilised services were services concerned support outside of the home, such as respite care and services to improve children’s participation in society. Approximately 25% of the families utilised social problems-related services provided by social services. The most commonly utilised services concerned those to support parents in their parenting roles and financial assistance. In contrast to older children, younger children were more likely to utilise paediatric habilitation services. Older children utilised a higher number of disability-related service types provided by social services. Few differences were found between males and females. The majority of families did not utilise such services that are provided by social services. It was rare for families to use both disability-related services and those that address social problems during the same year.

    Commonly reported family needs concerned information about what services are available for their child, their child's impairment, how to respond to their child's behaviour and how to teach their child skills. Other common needs included access to parent support networks, to find suitable leisure activities for the child, and more alone time for parents. In contrast to families with mothers who did not participate in paid work, families with mothers who were employed expressed a lower requirement for support such as counselling, contact with other parents of children with impairments, more friends and more alone time for parents. Similar results werefound for families with mothers with higher levels of education. Parents with higher levels of perceived self-efficacy reported a lower need for information, as did also parents with higher levels of control over services. Parents with higher levels of control over services experienced the support as being more helpful.

    Children with mild ID who attended self-contained classes were more likely to utilise paediatric habilitation services than children integrated in mainstream classes. The same pattern was found for utilisation of disability-related services provided by social services. Integrated children who changed school setting to attend self-contained classes were more likely to begin to utilise disability-related services in comparison with those children who continued to be integrated. The former also had a higher likelihood of increasing the number of disability-related service types utilised.

    Conclusions

    In addition to disability-related problems, families of children with mild ID may also be at a higher risk of experiencing social problems when compared with the general population. Furthermore, very few families utilised both disability-related services and services addressing social problems. This implies that collaboration flaws exist between those professionals concerned with child welfare services and those concerned with disability-related services. A strong predictor of service utilisation was the type of school setting: children attending self-contained classes had a higher rate of service utilisation than those attending mainstream classes. This indicates that service systems outside of school are designed to collaborate with groups of pupils in special classes rather than individual children in mainstream classes. The strong need for information by families indicates that an ecological framework should be used to identify those factors that affect information availability and effectiveness. To increase parents’ perceived level of control over services, HSO professionals need to work in a capacity building manner with the explicit goal to enhance parental self-efficacy.

  • 330.
    Ottenvall Hammar, Isabelle
    et al.
    Göteborgs universitet.
    Håkansson, Carita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    The importance for daily occupations of perceiving good health: Perceptions among women with rheumatic diseases2013In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 20, no 2, p. 82-92Article in journal (Refereed)
    Abstract [en]

    The aim of this phenomenographic study was to identify and characterise what women with the diagnoses Rheumatoid Arthritis and Juvenile Idiopathic Arthritis consider important in the occupational performance of daily occupations to experience health regardless of their disease. Nine women, 42-65 years old participated in the study. By using a phenomenographic method with semi-structured questions the main category “Being able to be as active as possible in daily occupations” emerged. It was important for the participants to perform personally meaningful occupations to experience health. The participants found it especially important to be able to perform self-care and homemaking. The participants could experience health despite suffering from a chronic disease by using assistive devices, adjusting their daily occupations according to their level of physical function and strength and getting support from other individuals. By having access to a variety of treatments the participants could maintain or increase their level och performance of daily occupations. Though being deficient in physical function, the participants were able to achieve maximum of occupational performance by adjusting the occupation component and the environment component.

  • 331.
    Paakkanen, Eva
    Jönköping University.
    Chronic pain and occupational balance among working age adults: current research2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Chronic pain has been described as a vast global problem causing human suffering as well as costs to society. Understanding more precisely how chronic pain affects occupational balance of people in working age, might provide perspectives for occupational therapists on how to support these patients. Aim: The aim of this review was to define what is known about the connection between the chronic pain and aspects of occupational balance in adults of working age. Methods: A scoping review was conducted. Searches in 4 different databases and in additional sources resulted in an inclusion of 20 studies. Results: The perspective of occupational balance varied within the articles, as well as the aspects of occupational balance explored in the studies. Connection between chronic pain and aspects of occupational balance was found. Conclusions: There is a lack of research within this topic to cover the whole concept of occupational balance. According to recent literature, there is likely a connection between chronic pain and at least some aspects of occupational balance, but this connection is not simple or straightforward. More systematic research about this complex connection is needed. Meanwhile, paying more attention to occupational balance in pain rehabilitation interventions can be recommended.

  • 332.
    Palmén, Mirjam
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Fransson, Jennie
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Aktiviteter inom psykiatrisk heldygnsvård: En kvalitativ studie om arbetsterapeuters upplevelser om behov2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Research shows that psychiatric inpatients often experience a lack of activities. To have access to activities is important since it enhances well-being and creates conditions for participation in the society. Purpose: To describe occupational therapists experiences about the need to use activities in psychiatric inpatient care, and if needed; which type of activities? Method: A qualitative, phenomenological approach was used. The sample was conducted in several ways - purposive and maximal variety, together with snowballing. The transcribed collected data was analyzed, and a qualitative content analysis was performed, which resulted in three main categories and ten sub categories. Results: Ten informants participated in the study and the results culminated in the main categories “The meaning of activities”, “Activity usage” and “Resources”. It was considered there is a need of activities in psychiatric inpatient care. Activities were perceived to reduce psychiatric symptoms and to shorten the rehabilitation process. It is however important that the activities are meaningful for the patients. The experience often is that there is a lack of time in their professional role which has affected the possibilities to use activities in treatment purposes. Conclusions: To have access to activities is important in psychiatric inpatient care, since activities has a meaningful role in the rehabilitation process.

  • 333.
    Paloniemi, Katri
    Jönköping University, School of Health and Welfare.
    Impacts of goal setting on engagement and rehabilitation outcomes following aquired brain injury: A systematic review2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Purpose: To appraise and synthesize the available evidence from previous systematic reviews concerning the impacts of goal setting on engagement in the rehabilitation process and on outcomes of participation and occupational performance for individuals with acquired brain injury (ABI). Material and method: Systematic review of systematic reviews. From a total of 175 hits in the search which was conducted in two parts, 16 full text articles were assessed for eligibility, from which four were selected to be included in the review. Results: Four systematic reviews of moderate quality consisting of variety of methodologies were included. The empirical evidence was limited but supportive that goal directed interventions may contribute to better engagement in rehabilitation and better outcomes of occupational performance. Limited evidence suggested that goal setting improved adherence to the treatment regimens and that patient’s active participation in goal setting had positive impact on patients and their engagement in the process. Findings suggested that goal-directed interventions, particularly in outpatient rehabilitation, may improve patients’ occupational performance. Findings related to participation outcomes were minimal. Conclusion: Goal setting is a complex and multidimensional process. Goal setting may contribute to improved engagement in rehabilitation and occupational performance outcomes for patients with ABI.

  • 334.
    Pekkanen, Meri
    Jönköping University, School of Health and Welfare.
    Engagement in meaningful activities and its relation to social support in the Finnish working-aged population2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Title. Engagement in Meaningful Activities and its relation to social support in Finnish working-aged population. Background. Meaningful activities are beneficial for health and well-being. The Engagement in Meaningful Activities Survey (EMAS) is a self-assessment instrument that measures a person’s subjective experience of the meaningfulness of everyday activities. To inform occupational therapy of diverse client experience, the EMAS was translated and tested. Aim. The aim was to describe engagement in meaningful activities and its relation to social support in the Finnish working-aged population. Material and methods. Data was collected with an online survey that included the EMAS, two social support items and demographic questions, and was analysed using statistical methods. Results. In a sample of 491 Finnish speaking 18-65 year old adults engagement in meaningful activities was rated as average. Social support was significantly associated with engagement in meaningful activities and social support moderately predicted the EMAS. Conclusions and significance. Engagement in meaningful activities in the Finnish working-aged population is in line with results of previous studies. The positive relationship between social support and meaningful activities adds to the understanding of meaningfulness. Measuring individual experience can be used in developing occupational categorisation to represent a more inclusive outlook on human occupation. Screening for social support could be useful in showing health benefits of occupational therapy.

  • 335.
    Persson, Nickolas
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Applikation för mobila trygghetslarm som stöd för äldre personers aktivitet utanför bostaden2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Welfare technology aids can enable frail elderly people to age in place and are therefore important to develop. Applications for mobile security alarms are an example to create security in activities, especially outside the home, which contributes to engagement in the society. However, it is unclear how frail elderly people look at these aids. Objective: The purpose of the study was to describe activities of frail elderly people outside their own homes and their attitudes related to the potential future use of mobile security alarms in these activities. Method: A survey was conducted in a geriatric department (n=47). Analyses, including group comparisons, were conducted by Chi-Test (χ2) and Mann Whitney U-Test. Result: The number of activities outside the home a regular week was low (                          = 3) and the participants abstained from these activities because they were insecure (n=21), alone when they went out (n=30) or felt unease (n=27). Lonely living and women engaged significant lower in activities outside their home compared with cohabitants’ and men. Conclusion: Several participants considered that the application would increase their activities outside their own home and the participants generally had a positive attitude related to the future use of mobile security alarm applications.

  • 336.
    Persson, Nickolas
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Lundqvist, Joakim
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Sexuell Hälsa i Nationella Kvalitetsregister2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of the thesis was to identify whether, and if so how, aspects of sexual health (reproductive health and cohabitation) are compiled in the National Quality Register and identify reasons for this. A quantitative method has been applied to go through the registers annual reports. In the first part of the thesis, the registers annual reports was mapped with the help of a checklist designed through World Health Organizations (WHO) definition of sexual health. In the second part, a questionnaire was sent to those responsible for each register to find reasons to why and how sexual health is included in the National Quality Registers. The result shows that sexual health is not usually included in the register data, although the survey showed that most registers brought up aspects that could affect the current target group's sexual health. Many meaningful activities are included in the area of sexual health, therefore making it an arena in which occupational therapists should be active.

  • 337.
    Petersson, Ida
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Björell, Sanna
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Arbetsterapeuters erfarenheter av att arbeta med lekfullhet inom barnhabiliteringen2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    För att ett barn ska kunna leka behöver barnet vara lekfull. Arbetsterapeuter kan använda lekfullheten i sitt arbete med barnet men också arbeta med att förbättra lekfullhet. Arbetsterapi kopplat till lekfullhet är ett område där det finns främst internationell litteratur därför fann författarna ett intresse att genomföra en studie om arbetsterapeuters erfarenheter av att arbeta med lekfullhet i Sverige. Syftet med studien var att beskriva arbetsterapeuters erfarenheter av att arbeta med lekfullhet inom barnhabiliteringen. Metoden var en kvalitativ design med semistrukturerade intervjuer. Ett avsiktligt urval samt snöbollsurval användes och det var tio deltagare från fem olika regioner i södra Sverige som deltog i examensarbetet. En kvalitativ innehållsanalys användes vid databearbetningen. Resultatet delades in i fyra kategorier: arbetsterapeuters uppfattningar av lekfullhet, att få barnet lekfullt under arbetsterapin, bedömning kopplat till lekfullhet och interventioner för att främja lekfullhet samt att de blev indelade i 14 underkategorier. Det resulterade i det övergripande temat “arbetsterapeuters erfarenheter av lekfullhet”. Slutsatsen var att deltagarnas erfarenheter av att arbeta med lekfullhet varierade. Deltagarna arbetade främst med lekfullhet som redskap och försökte göra arbetsterapin lekfull genom olika strategier. Lekfullheten var främst specialpedagogens ansvarsområde, vilket kan ha påverkat deltagarnas arbetssätt.

  • 338. Pettersson, Ingvor
    et al.
    Appelros, Peter
    Ahlström, Gerd
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Lifeworld perspectives utilizing assistive devices: individuals, lived experience following a stroke.2007In: Canadian Journal of Occupational Therapy / Revue Canadienne d`Ergotèrapie, ISSN 0008-4174, Vol. 74, no 1, p. 15-26Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: In lifeworld research, the individual's experience of meaning is of primary importance. PURPOSE: This paper explores how individuals post stroke who have a disability, described their personal meaning and lived experiences associated with the use of assistive devices. METHODS: A hermeneutic-phenomenological research approach was used. A conversational interview was conducted with 22 post-stroke individuals regarding their daily experiences utilizing assistive devices. RESULTS: The results showed a dual experience regarding the use of assistive devices, which is often complex and contradictory. The devices were viewed as a prerequisite for well-being and independence but at the same time, the devices gave rise to negative feelings because of the restrictions implied by their use. These dual experiences were explored in relation to the lived body, space, relations to others, and time. PRACTICE IMPLICATIONS: The results of this study will facilitate occupational therapists understanding of an individual's experiences utilizing assistive devices and their need for support with this process.

  • 339.
    Pettersson, Julia
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Adolfsson, Ida
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Kvinnliga lärares psykosociala arbetsmiljö: En kvantitativ tvärsnittsstudie om den självupplevda psykosociala arbetsmiljön, ur ett salutogent perspektiv2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Female teachers experiencing their work meaningful at the same time the work expose them for time pressure, which can have a negative impact on the health. The aim of this study was to describe self-perceived psychosocial work environment for female teachers in a salutogenic approach. A cross-sectional study with a quantitative design with 43 female teachers on three different schools was preformed, using the instrument Work Experience Measurement Scale (WEMS). Additional questions about age and years of work experience added to explore any relationship. The result show that there was no statistic significant relationship between age or years of work experience in how the participants experiencing their psychosocial work environment. To describe female teachers psychosocial work environment in a salutogenic approach has uppermost the model “Sense of coherence” (SOC) been used. The participants have a strong SOC regarding meaningfulness, but weaker SOC regarding manageability and comprehensibility. The conclusion of this study show that female teachers experience their work meaningful, which affect the psychosocial work environment positive, at the same time they are exposed for time pressure, which affect the psychosocial work environment negative.

  • 340.
    Pilipovic, Tanja
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Licina, Milos
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Äldre kvinnor från forna Jugoslavien och deras aktiviteter i dagligt liv2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Being an older immigrant in a new country can affect the experience and commitment in people's everyday activities. There are several different factors that influence participation in activities of daily life. Changes in everyday life can lead to activities, structure, purpose and motivation to change or even disappear. The study aims to describe the activities of daily life in elderly women immigrants from the former Yugoslavia, but also to describe what motivates them to perform the activities that they do.The study was elected a quantitative design with qualitative elements because it was based on a structured interview form, with two additional questions. The study results exposed that several participants have changed their daily activities and missing for the social community has resulted in a more inactive lifestyle, which in turn has meant that the activities of daily life have been adapted since the move to a new country has led to a higher activity level. For some participants, the changes also contributed with pleasure. The result also exposed how the changes have been dealt with by locating new motivations in everyday life. The majority of participants have shown perseverance but also that they have regained control of everyday life in connection with the change.

  • 341. Pooremamali, Parvin
    et al.
    Morville, Anne-Le
    Metropolitan University College, Denmark.
    Eklund, Mona
    Barriers to continuity in the pathway toward occupational engagement among ethnic minorities with mental illness2017In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 24, no 4, p. 259-268Article in journal (Refereed)
    Abstract [en]

    Ethnic minorities have particular needs and difficulties in terms of support for meaningful occupations, lack of access to and use of occupation-based rehabilitation services. They are not established in the labour market and are seldom in paid employment. This study aimed to investigate how mentally ill ethnic minority clients experience, feel and think about participation in occupation-based rehabilitation, and potential barriers they might encounter. Nine participants experiencing mental illness and receiving occupation-based rehabilitation were interviewed. Grounded theory methods were used in order to collect and analyze data. One core category, "barriers for a continuous path towards enriched and meaningful occupation" described the participants' experiences of a variety of barriers related to personal, occupational and system factors that hindered participation in occupation-based rehabilitation and influenced their need for occupational development and growth. The core category was composed of; personal-related barriers, occupational-related barriers, and system-related barriers as well as six related sub-categories. These barriers interacted continually across time and space in ways that increased the participants' sense of occupational deprivation and alienation. The findings also suggested that the issues of paid employment for ethnic minorities with mental illness should feature on the agenda of local, regional and state politicians and professionals involved in occupational rehabilitation.

  • 342.
    Ram, Molly
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Sjögren, Louise
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Användning, erfarenheter och betydelser av internet hos män och kvinnor över 65 år: - ur ett aktivitets- och delaktighetsperspektiv2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet var att beskriva användning, erfarenheter och betydelser av internet hos män och kvinnor över 65 år, ur ett aktivitets- och delaktighetsperspektiv. Metoden som användes var en kvantitativ tvärsnittsstudie och urvalet bestod av ett bekvämlighetsurval samt ett snöbollsurval. Enkäten utformades av författarna till examensarbetet med stöd av begrepp från Model Of Human Occupation. Totalt 50 enkäter delades ut och 38 enkäter besvarades. Datamaterialet bearbetades deskriptivt och analytiskt. Resultatet visade att 17 av 19 respondenter i åldersgruppen 67-76 år använde internet jämfört med 10 av 18 respondenter i åldersgruppen 77-94 år. Tre fjärdedelar i målgruppen var användare av internet och de flesta använde dessutom internet varje dag. Vad internet användes till överensstämde inte alltid med vad respondenterna upplevde som betydelsefullt. Alla respondenter förutom två, som var internetanvändare, kände sig delaktiga i samhället. Majoriteten av respondenterna upplevde tillfredsställelse med sina vardagsaktiviteter. Slutsatsen är att både användare och icke-användare av internet kände sig delaktiga i samhället och upplevde tillfredsställelse med sina vardagsaktiviteter. Internetanvändning behöver inte betyda känsla av delaktighet. Att söka efter information var den internettjänst som användes mest bland respondenterna. Vad internet användes till överensstämde inte alltid med vad respondenterna upplevde som betydelsefullt.

  • 343.
    Randberg, Jesper
    et al.
    Jönköping University.
    Carlsson, Therese
    Jönköping University.
    Individers upplevelser av hur ett alkohol- och/eller drogmissbruk påverkar deras vardagsliv – en kvalitativ studie2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Fyra procent av männen och tre procent av kvinnorna i Sveriges befolkning är beroende av alkohol och/eller droger och det finns ett okänt mörkertal. Ett missbruk påverkar både den psykiska och fysiska hälsan men har även en inverkan på individernas familjeliv och sociala liv. Syfte: Syftet med studien var att beskriva hur individer upplever att ett alkohol- och/eller drogmissbruk påverkar deras vardagsliv samt utforska om arbetsterapi behövs inom missbruksvården. Metod: Studien genomfördes utifrån en kvalitativ metod med intervjuer baserat på en öppen fråga och olika frågeområden. Tio individer intervjuades om deras upplevelser kring hur ett alkohol- och/eller drogmissbruk har påverkat deras vardag. Intervjuerna transkriberades och datamaterialet analyserades utifrån en kvalitativ innehållsanalys. Resultat: Genom analysen av det insamlade materialet identifierades fyra huvudkategorier: förluster på grund av missbruk, upplevelse av skam och skuld, prioriteringar vid missbruk och motivation. Varje huvudkategori resulterade i tre underkategorier som beskriver deltagarnas olika upplevelser av huvudkategorin.

    Slutsats: En individs vardagsliv påverkas starkt av alkohol och droger, den prioriteras högre än allting annat och kan slå ut både familj, jobb och fritidsintressen.   

  • 344.
    Rantamäki Olsson, Mona
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Hypermobilitetssyndrom och rehabilitering: en scoping review för arbetsterapeuter.2016Independent thesis Advanced level (degree of Master (One Year)), 40 credits / 60 HE creditsStudent thesis
    Abstract [en]

    Background: Hypermobility Syndrome [JHS] is common, however, there is lack of knowledge among health professionals regarding assessment and treatment. Aim/objectives: Describe scientific knowledge within JHS, restrictions in daily activities and interventions within the scope of rehabilitation and occupational therapy [OT] role. Material and methods: A scoping review with extensive literature search in scientific databases, magazines and the internet resulted included 22 scientific references. Charting data followed by quantitative analysis and an approach to qualitative content analysis was performed. Results: Problems were identified, pain dominated and following consequences in daily activities and participation within person, home life, school, work, leisure and social participation. Interventions include treatment of symptoms, education, training, activity modification, lifestyle changes and environmental interventions. Preventive and multidisciplinary treatment of individuals with JHS is stated. OT’s have a small representation of the included literature and lack of knowledge was identified. Conclusion and significance: OT interventions treat and prevent problems affecting individual's daily activities at JHS, thus may contribute to increased activity levels, health and wellbeing. Research is needed on OT-intervention efficacy and efficiency from the individual’s and economic perspective.

  • 345.
    Rogerson, Jessica M.
    et al.
    School of Occupational Therapy & Social Work, CHIRI, Curtin University, Perth, Western 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. School of Occupational Therapy & Social Work, CHIRI, Curtin University, Perth, Western Australia.
    Cuomo, Belinda M.
    School of Occupational Therapy & Social Work, CHIRI, Curtin University, Perth, Western Australia.
    Falkmer, Torbjörn
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. CHILD. School of Occupational Therapy & Social Work, CHIRI, Curtin University, Perth, Western Australia.
    Whitehouse, Andrew Jo
    Telethon Kids Institute, The University of Western Australia, Perth, Western Australia.
    Granich, Joanna
    Telethon Kids Institute, The University of Western Australia, Perth, Western Australia.
    Vaz, Sharmila
    School of Occupational Therapy & Social Work, CHIRI, Curtin University, Perth, Western Australia.
    Parental experiences using the Therapy Outcomes by You (TOBY) application to deliver early intervention to their child with autism2019In: Developmental Neurorehabilitation, ISSN 1751-8423, E-ISSN 1751-8431, Vol. 22, no 4, p. 219-227Article in journal (Refereed)
    Abstract [en]

    PURPOSEAs computer-based interventions become commonplace for parents of children with neurodevelopmental disorders, this study sought to understand the experience of using a parent-delivered supplementary early intervention therapy for children with autism spectrum disorder grounded in a variety of behavioral, sensory, developmental, and relationship-based approaches and delivered via a tablet device.

    METHODSParental experiences using the 'Therapy Outcomes by You' (TOBY) application were collected through semi-structured interviews with 17 parents.

    RESULTSParents reported TOBY facilitated parent-child engagement, provided ideas for therapeutic activities, created feelings of empowerment, and positively impacted their child's development. Barriers to use included preparation time, execution of the intervention, and individual strengths and weaknesses of their child.

    CONCLUSIONThe overall parental experience of TOBY was positive when use of the application aligned with parental proficiency, opportunities for use, and importantly, the needs of the child.

  • 346.
    Roos, Amanda
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Gustafsson, Sofia
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Factors influencing return to work after motorbike accidents in Vietnam2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Rehabilitation is a way to enable people with disabilities to live independently and to be a part of the community. The majority of people who are injured by traffic accidents in Vietnam are mainly motorcycle users. The purpose of the thesis was to describe factors influencing return-to-work experienced by people injured by motorbike accidents in Vietnam. A qualitative method with semi structured interviews was used to collect the data. The thesis included eleven participants, both men and women, who had been in a motorbike accident during the last five years. For data analysis a qualitative content analysis was used. Results showed supportive and obstructive factors that influenced return to work. Those factors that mainly was experienced as supportive when returning to work was supportive employers, professionals and family. The employer could support with time for rehabilitation and rest. The professionals could increase the health condition and be encouraging and supportive during the rehabilitation period. Support from family consisted of help with activities in daily living and driving their relative to hospital and to work. Factors that was obstructive when returning to work was lack of environmental adjustments and decreased health condition. The conclusion of this thesis was that the employer, professionals and families are seen as the main resource in the social environment when returning to work.

  • 347.
    Roos, Johanna
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Beskrivning av insatser för att öka möjligheten till att få och behålla ett arbete - för människor med en autismspektrumstörning: En litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: An Autism Spectrum Disorder (ASD) may involve difficulties in planning, organizing and perceiving time as well as understanding social interaction. People with ASD risk, because of these difficulties labor market exclusion, which can result in ill health and financial vulnerability. Purpose: To describe actions that support individuals with ASD to get and maintain a job. Method: Literature study where the result was analyzed with a qualitative content analysis. Results: Eleven articles were found with efforts in the areas of "personal support and IT support in daily work", "personal support for job training", "social skills training as preparation for working life", "education and mapping combined with internship". Conclusion: The most successful actions were models with collective efforts to the individual, while at the same time matching the individual's strengths with the employer's need to find a job. More research is required on actions for people with ASD in the workplace, where occupational therapists figure out as a profession.

  • 348.
    Rosén, Cajsa
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Mulahmetovic, Arnela
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Smarttelefonen - ett multifunktionellt stöd i vardagen: En kvantitativ studie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    This study aims to identify the use of smartphones in everyday life for students at Jönköping University. The paper is based on a quantitative observation study where data have been collected through a web-based questionnaire, which was sent out to students by specific Facebook groups and by course coordinators via Jönköping University's platform PingPong. The survey is based on 186 fully completed survey responses. Results show that all participants are using a smartphone, the majority use it for more than three hours daily and a large percentage stated that they would be affected much if they forgot their smartphone at home for a day. The conclusion is that the smartphone is a useful tool in everyday life and a support for everyone. 

  • 349. Rubenson, Camilla
    et al.
    Svensson, Eva
    Linddahl, Iréne
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. CHILD.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. CHILD.
    Experiences of returning to work after acquired brain injury2007In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 14, no 4, p. 205-214Article in journal (Refereed)
    Abstract [en]

    The purpose of this qualitative study was to explore the experiences of returning to work after rehabilitation, from the viewpoint of people with acquired brain injury. A purposive sampling of eight informants was made, and data was collected through personal interviews with open questions. The data was then analyzed through qualitative content analyses in five steps, resulting in four main categories of experiences: “A new person”, “Stimulants and fellowship”, “Understanding and support” and “To reach insight” with appurtenant sub-categories. The overarching theme was “Returning to work after acquired brain injury is a long process”. The conclusion of our study is that returning to work after acquired brain injury requires motivated individuals, flexible work, accommodating labour management and prolonged environmental support. This study also shows that the informants need support for a long period of time to reach balance and to obtain a functional working role. In order to achieve this, one requires client-centred rehabilitation, professional teamwork, and longer follow-up periods than those of today.

  • 350.
    Rydhage, Johanna
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Axelsson, Åsa
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Ungdomars sömnvanor relaterat till aktivitet i skolan: En kvantitativ studie om hur sömn påverkar ungdomars prestationer i skolan2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Many adolescents are sleeping less than eight hours each night, which can affect their engagement in everyday activities. Purpose: The purpose of the thesis was to describe whether and how adolescents (age of 15 years) sleep habits affect their school performance. Method: A quantitative non-randomized selection of convenience sampling approach was used. A survey was conducted at an independent school in the south of Sweden. It consisted of 19 questions and was divided into five different categories; gender, sleep, motivation, habits, and school. In total, 106 respondents answered the questionnaire. The IBM SPSS [Statistical Package for the Social Sciences] was used to analyze the material. Result: The main result showed that most of the respondents, slept between four to six hours or seven to eight hours each night, and were evenly distributed between the genders. Boys play computer/watch TV to a greater extent than girls do, and girls are more stressed than boys. Those who slept less than eight hours had not regular habits and were less motivated to school. Conclusion: The adolescents who were not pleased with their amount of sleep were, to a lesser extent satisfied with their school performance.

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