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  • 351.
    Adolfsson, Margareta
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Att utvärdera en behandling2011In: Handbok i att använda ICF och ICF-CY / [ed] Mia Pless & Mats Granlund, Lund: Studentlitteratur , 2011, p. 157-161Chapter in book (Other academic)
  • 352.
    Adolfsson, Margareta
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Att öka delaktigheten för barn och ungdomar med funktionsnedsättning. ICF-CY’s användbarhet för kartläggning av vardagsfungerande2011In: / [ed] Bengt Westerberg, 2011Conference paper (Other academic)
  • 353.
    Adolfsson, Margareta
    Jönköping University, School of Education and Communication, HLK, CHILD.
    ICF-CY in habilitation services for children2017In: An emerging approach for education and care: Implementing a worldwide classification of functioning and disability / [ed] S. Castro & O. Palikara, London: Routledge, 2017, p. 187-203Chapter in book (Refereed)
    Abstract [en]

    Habilitation services is the name for interdisciplinary health care organisations in Sweden serving children and young people aged 0 to17 years with a wide range of disabilities categorised as mobility, behavioural, intellectual and multiple disabilities, their families and other networks. The construct of habilitation is used in childhood since it focuses on acquiring skills, whereas rehabilitation focuses on regaining lost skills. Despite this difference, the objective of services is consistent and the WHO definition of rehabilitation can apply to both: “A process aimed at enabling people with disabilities to reach and maintain their optimal physical, sensory, intellectual, psychological and social functional levels. Rehabilitation provides disabled people with the tools they need to attain independence and self-determination” (WHO, 2016). Habilitation teams include social, psychological, pedagogical and medical competencies with a marked preponderance of the latter (Figure 12.1).

  • 354.
    Adolfsson, Margareta
    Jönköping University, School of Education and Communication, HLK, CHILD.
    ICF-CY lupp på vardagssituationer2009In: Kvalitetsdagar för Svensk Barn- och ungdomshabilitering: Växjö, maj 2009, 2009Conference paper (Other (popular science, discussion, etc.))
  • 355.
    Adolfsson, Margareta
    Jönköping University, School of Education and Communication, HLK, CHILD.
    ICF-CY to understand everyday life situations for children and youth. Assessments instruments for collaborative problem solving in child- and youth habilitation2010Conference paper (Other academic)
  • 356.
    Adolfsson, Margareta
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Identification of ICF-CY categories for participation focused code sets for pre-schoolers: A Delphi process2013Conference paper (Refereed)
  • 357.
    Adolfsson, Margareta
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Identifying children´s everyday life situations using an ICF-CY perspective2012Conference paper (Refereed)
    Abstract [en]

    Children with disabilities and their parents need opportunities to express opinions and take part of professional knowledge during habilitation processes. However, there is no structured model to identify child participation in everyday life situations (EDLS). Code sets based on WHO International Classification of Functioning, disability and health, Child and Youth version, ICF-CY, would support  such dialogues. Interventions for children with disabilities have in the last decades shifted from focusing on the child to the child in specific EDLS. Integration of professionals’ and parents´ views of EDLS for children provides a common knowledge on conditions important for everyday functioning. Shared views might be a ‘door opener’ for collaboration during intervention planning for children with disabilities. A focus on EDLS make the partners focus on participation, share understanding of children’s individual preferences, and motivate them for interventions.

    The study identified parents’ and professionals’ picture of EDLS to be considered in intervention planning. With the long-term goal to create code sets for children’s EDLS, the purpose was to determine a set of EDLS for children and youth aged 0-17 years. A triangulation of data collected with various sampling strategies and participants was conducted, integrating the views of professionals and parents in Sweden, South Africa, and the US. Data were compared after linkage to ICF-CY codes in the component Activities and Participation. Analyses pointed out Self-care and Major life areas as the two most important chapters and  depicted eleven categories as EDLS with Hygiene and Recreation and leisure as the most frequent. Two final sets of ICF-CY categories were identified as EDLS for infants/preschoolers and school aged children/adolescents. The sets differed slightly between younger children (0-6 yrs) and older (7-17 yrs), reflecting how EDLS might differ in context specificity depending on maturity and growing autonomy. Professionals and parents agreed on everyday life situations for older children but not for younger. The results of the study have implications for the future development of a screening tool containing code sets from early childhood through adolescence concerning children’s desires and opportunities to participate in EDLS. To obtain a picture as complete as possible, children and youth representing the two age groups should be involved in the future process of developing a screening tool.

  • 358.
    Adolfsson, Margareta
    Jönköping University, School of Education and Communication, HLK, CHILD.
    The development of social strengths in children with cerebral palsy2014In: Developmental Medicine & Child Neurology, ISSN 0012-1622, E-ISSN 1469-8749Article in journal (Other academic)
  • 359.
    Adolfsson, Margareta
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Vad barn med funktionsnedsättningar behöver berätta för habiliterare2012Conference paper (Other academic)
    Abstract [sv]

    Habiliterare identifierar oftast barns svårigheter med yrkesspecifika metoder, vilket ger en risk att barnen utsätts för överlappande tester och för åtgärder som de inte förstår meningen med. För att barnen ska kunna  uppleva träning meningsfull måste de ges möjlighet att uttrycka sina behov av ökad delaktighet i vardagssituationer. Habiliteringspersonal vet då vad som inledningsvis är viktigt och motiverande för barnen själva för att planera åtgärder, men det har saknats tvärvetenskapliga instrument för detta.

    Eftersom ICF-CY bedömts användbart som gemensamt ramverk för habiliteringsteam, främst för kartläggning och habiliteringsplanering, är det långsiktiga målet för projektet ett ICF-CY baserat instrument med kortare frågeformulär fokuserade på delaktighet i vardagen. Inom ramen för ett avhandlingsarbete har barns viktigaste vardagssituationer identifierats genom litteraturstudier, frågeformulär med personal och integrering av föräldradata från externa studier. I ett pilotprojekt med Delphiprocess har föräldrar och personal identifierat innehåll i tre formulär för förskolebarn: sömn, måltider och lek.

    Resultatet har visat, att instrumentet behöver innehålla två uppsättningar frågeformulär baserade på 10 delvis olika vardagssituationer för vardera förskolebarn (0-6 år) och skolbarn/tonåringar (7-17 år). Fokus låg på milstolpar i barns utveckling för yngre och på sociala aktiviteter för äldre barn. Föräldrar framhöll hushållsgöromål och socialt liv i högre grad än de professionella.  När det gällde innehåll i formulär fokuserade föräldrar i högre utsträckning på barns kroppsfunktioner och personal mera på omgivningsfaktorer.

    Fortsatt arbete planeras. Barn måste själva få uttrycka vilka vardagssituationer som är viktigast, bestämma rubriker som speglar deras uppfattning om det som förekommer i vardagen och diskutera innehåll i formulären.

  • 360.
    Adolfsson, Margareta
    Jönköping University, School of Education and Communication, HLK, CHILD.
    WHO:s Classification of Functioning, Disability and Health in Child- and Youth Habilitation2007In: Good practice in rehabilitation of children and young - in practise 2007-2011: Helsingfors, November 2007, 2007Conference paper (Other (popular science, discussion, etc.))
  • 361.
    Adolfsson, Margareta
    et al.
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Björck-Åkesson, Eva
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Granlund, Mats
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Behavioural Science and Social Work. Jönköping University, School of Health and Welfare, HHJ. CHILD. Jönköping University, School of Education and Communication, HLK, CHILD.
    Pless, M
    ICF-CY based forms for use in problem-solving for children with disabilities2007In: The 10 years anniversary research conference of Nordic Network on Disability Research (NNDR, Göteborg, Sweden, 10-12th May, 2007Conference paper (Other academic)
  • 362.
    Adolfsson, Margareta
    et al.
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Björck-Åkesson, Eva
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Granlund, Mats
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Behavioural Science and Social Work. Jönköping University, School of Health and Welfare, HHJ. CHILD. Jönköping University, School of Education and Communication, HLK, CHILD.
    Pless, M
    ICF-CY based forms for use in problem-solving for children with disabilities2007In: 7th International Scientific Conference Research in Education an Rehabilitation Sciences: Zagreb, June 2007, 2007Conference paper (Other academic)
  • 363.
    Adolfsson, Margareta
    et al.
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Björck-Åkesson, Eva
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Lim, Chih Ing
    Frank Porter Graham Child Development Institute, University of North Carolina at Chapel Hill, United States.
    ICF-CY based code sets focusing on participation for pre-schoolers2012Conference paper (Refereed)
    Abstract [en]

    Children with disabilities and their parents need opportunities to express opinions and take part of professional knowledge during habilitation processes. However, there is no structured model to identify and assess child participation in everyday life situations (EDLS). ICF-CY based code sets focusing on participation would support  dialogues about what matters most for individual children, causes of failures,  and needs of interventions. This study constituted a trial identifying content in code sets for Sleeping, Mealtimes, and Play.

    EDLS specific for children and youth was initially identified by integration of data from measures of participation, professional opinions, and parents’ perspectives. Linkage to the ICF-CY, using existing and additional linking rules, provided comparable data, resulting in two sets of ten EDLS. These were related to the Activities and Participation component, chapters 3-9, and adapted for younger and older children.

    ICF-CY categories relevant for children aged 0-6 years to be included in code sets for three of the EDLS were identified by a sequential Delphi process in 3 rounds. Participants were 5 interdisciplinary habilitation teams, altogether 35 professionals, and 7 parents of 13 typical developed preschool children from 6 families. There were no significant correlation between professionals and parents. Their partly different ICF-CY categories suggested high professional focus on Environmental factors compared with  high parental focus on Body functions. Integration of data revealed 12 categories appropriate for Sleeping, 21 for Mealtimes, and 30 for Play. This highlights the importance to integrate opinions and adapt content in code sets to individual EDLS.

  • 364.
    Adolfsson, Margareta
    et al.
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Björck-Åkesson, Eva
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Lim, Chih-Ing
    Frank Porter Graham Child Development Institute, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA..
    Code sets for everyday life situations of children aged 0-6: Sleeping, Mealtimes and Play - a study based on the International Classification of Functioning, Disability and Health for Children and Youth2013In: British Journal of Occupational Therapy, ISSN 0308-0226, E-ISSN 1477-6006, Vol. 76, no 3, p. 127-136Article in journal (Refereed)
    Abstract [fi]

    Introduction: The complexity of the Child and Youth version of the International Classification of Functioning, Disability and Health, the ICF-CY, is a challenge for occupational therapists and other professionals in clinical work. Code sets including only essential categories help to make it more user-friendly. Thus far, code sets have been developed to reflect functioning for children in different developmental periods. However, there are no code sets that support screening of participation in everyday life situations and can be used across diagnoses. This exploratory study is the first attempt to develop code sets for preschoolers’ (age 0-6 years) everyday life situations.

    Method: Using sequential Delphi processes with expert panels consisting of 35 professionals in five interdisciplinary early intervention teams and six parents of children, the study identified content in three code sets: Sleeping, Mealtimes and Play.

    Results: A limited number of relevant categories were identified for three code sets: Sleeping (12), Mealtimes (21) and Play (30). Findings suggested a professional focus on Environmental factors compared with a parental focus on Body functions.

    Conclusion: It is important to consider the opinions of all involved when developing code sets to provide a common framework for screening of children’s everyday functioning.

  • 365.
    Adolfsson, Margareta
    et al.
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Granlund, Mats
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Behavioural Science and Social Work. Jönköping University, School of Health and Welfare, HHJ. CHILD. Jönköping University, School of Education and Communication, HLK, CHILD.
    Is ICF a valid tool for structuring health information?2007In: 5th Scandinavian Conference on Health Informatics and 11th Swedish National Term Conference: Kalmar, October 2007, 2007Conference paper (Other academic)
  • 366.
    Adolfsson, Margareta
    et al.
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Granlund, Mats
    Jönköping University, School of Health and Welfare, HHJ. CHILD. Jönköping University, School of Education and Communication, HLK, CHILD.
    Björck-Åkesson, Eva
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Ibragimova, Nina
    Pless, Mia
    Exploring changes over time in habilitation professionals' perceptions and applications of the International Classification of Functioning, Disability and Health, version for children and youth (ICF-CY)2010In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 42, no 7, p. 670-678Article in journal (Refereed)
    Abstract [en]

    Objective:This study explored how professionals in interdisciplinary teams perceived the implementation of the World Health Organization’s International Classification of Functioning, Disability and Health, version for Children and Youth (ICF-CY) in Swedish habilitation services.

    Design:Descriptive longitudinal mixed-methods design.

    Methods:Following participation in a 2-day in-service training on the ICF-CY, 113 professionals from 14 interdisciplinary teams described their perceptions of the implementation of the ICF-CY at 3 consecutive time-points: during in-service training, after 1 year, and after 2.5 years.

    Results:Implementation of the ICF-CY in daily work focused on assessment and habilitation planning and required adaptations of routines and materials. The ICF-CY was perceived as useful in supporting analyses and in communication about children’s needs. Professionals also perceived it as contributing to new perspectives on problems and a sharpened focus on participation.

    Conclusion:Professionals indicated that the ICF-CY enhanced their awareness of families’ views of child participation, which corresponded to organizational goals for habilitation services. An implementation finding was a lack of tools fitting the comprehensive ICF-CY perspective. The study points to the need for ICF-CY-based assessment and intervention methods focusing on child participation.

  • 367.
    Adolfsson, Margareta
    et al.
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Granlund, Mats
    Jönköping University, School of Health and Welfare, HHJ. CHILD. Jönköping University, School of Education and Communication, HLK, CHILD.
    Pless, Mia
    Uppsala universitet.
    Professionals' views of children's everyday life situations and the relation to participation2012In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 34, no 7, p. 581-592Article in journal (Refereed)
    Abstract [en]

    Purpose: The aim was to determine professionals’ views of everyday life situations (ELS) of importance for children and to explore how ELS correlate with the construct ‘Participation’. This study was part of a larger work to develop a structured tool with code sets to identify child participation and support children with disabilities to describe what matters most for them in intervention planning.

    Method: The study had a concurrent mixed methods design. Information from one open-ended question and questionnaires were linked to the ICF-CY component Activities and Participation. Two concurrent data sets were compared.

    Results: Proposed ELS were distributed across ICF-CY categories from low to high level of complexity and context specificity. The correlation with participation became stronger for the later chapters of the component (d7-d9). Differences between respondents due to working field, country, and children’s ages were explored. Acts and tasks seemed most important for the youngest children whereas ELS shifted towards societal involvement for adolescents.

    Conclusion: Eleven categories related to ICF-CY chapters d3-d9 emerged as ELS. Two age groups (infants/preschoolers and adolescents) are required to develop code sets for the new tool. The results need triangulation with other concurrent studies to provide corroborating evidence and add a family perspective.

  • 368.
    Adolfsson, Margareta
    et al.
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Ibragimova, Nina
    Mälardalens högskola.
    Pless, Mia
    Uppsala universitet.
    Om ICF/ICF-CY i egna rutiner och daglig samverkan: Workshop2008In: Att använda ICF-CY: Västerås sept, 2008, 2008Conference paper (Other (popular science, discussion, etc.))
  • 369.
    Adolfsson, Margareta
    et al.
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Johnson, Ensa
    Centre for Augmentative and Alternative Communication, University of Pretoria, South Africa.
    Nilsson, Stefan
    Jönköping University, School of Health and Welfare, HHJ. CHILD. University of Gothenburg, Sweden.
    Pain management for children with cerebral palsy in school settings in two cultures: Action and reaction approaches2018In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 40, no 18, p. 2152-2162Article in journal (Refereed)
    Abstract [en]

    Background: Children with cerebral palsy (CP) face particular challenges, e.g. daily pain that threaten their participation in school activities. This study focuses on how teachers, personal assistants, and clinicians in two countries with different cultural prerequisites, Sweden and South Africa, manage the pain of children in school settings.

    Method: Participants’ statements collected in focus groups were analysed using a directed qualitative content analysis framed by a Frequency of attendance-Intensity of involvement model, which was modified into a Knowing-Doing model.

    Results: Findings indicated that pain management focused more on children’s attendance in the classroom than on their involvement, and a difference between countries in terms of action-versus-reaction approaches. Swedish participants reported action strategies to prevent pain whereas South African participants primarily discussed interventions when observing a child in pain.

    Conclusion: Differences might be due to school- and healthcare systems. To provide effective support when children with CP are in pain in school settings, an action-and-reaction approach would be optimal and the use of alternative and augmentative communication strategies would help to communicate children’s pain. As prevention of pain is desired, structured surveillance and treatment programs are recommended along with trustful collaboration with parents and access to “hands-on” pain management when needed.

  • 370.
    Adolfsson, Margareta
    et al.
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Klang, Nina
    School of Education, Culture and Communication, Mälardalen university.
    Maxwell, Gregor
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Ståhl, Ylva
    Jönköping University, School of Health Science, HHJ. CHILD.
    Ullenhag, Anna
    Karolinska Institutet.
    Participation as the Focus of Intervention:  Cultural Diversity and Universal Characteristics2011In: / [ed] Michael Guralnick, 2011Conference paper (Other academic)
    Abstract [en]

    Participation as a construct can be applied on all ecological levels from participation for individual children in their everyday life to participation for all as a societal goal. It is defined in the ICF-CY as involvement in a life situation. Participation is occurring at the nodal point between children and their environments. Contexts vary with socio-economical standards, culture and geographical characteristics and thus also the expressions of participation. This presentation will discuss cultural diversity in children’s participation in relation to the universal characteristics of participation defined as “being there” and participation defined as “degree of engagement while being there”. The utility of the ICF-CY as a tool to analyze universal characteristics and cultural diversity in conditions for, and actual experiences of, participation are examined in findings from five studies: 1) Maxwell et al. have analyzed national, regional and local educational policy documents in Scotland and Sweden regarding children in need of special support  in relation to conditions for participation and participation; 2) Ståhl et al. have linked and compared ICF-CY codes to information regarding children’s health in Child Health Care and School Health Care and analyzed whether biomedical or participation information is the focus of the information; 3) Adolfsson et al. have collected and compared data from respondents in Sweden, the USA, and Portugal concerning what professionals consider to be important everyday situations for child participation; 4) Klang et al. has studied domains of participation and environment related to child and caregiver interaction in a Russian context to identify factors related to participation; and 5) Ullenhag et al. have studied participation in  leisure activities and  leisure activity preferences  of Swedish children and compared with data from the Netherlands and Canada using the same questionnaire.

  • 371.
    Adolfsson, Margareta
    et al.
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Malmqvist, Johan
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Pless, Mia
    Uppsala universitet.
    Granlund, Mats
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Behavioural Science and Social Work. Jönköping University, School of Health and Welfare, HHJ. CHILD. Jönköping University, School of Education and Communication, HLK, CHILD.
    Identifying Child Functioning from an ICF-CY Perspective: Everyday Life Situations Explored in Measures of Participation2011In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 33, no 13-14, p. 1230-1244Article in journal (Refereed)
    Abstract [en]

    Purpose. This study was part of a larger work to develop an authentic measure consisting of code sets for self- or proxy-report of child participation. The aim was to identify common everyday life situations of children and youth based on measures of participation.

    Method. The study was descriptive in nature and involved several stages: systematic search of literature to find articles presenting measures for children and youth with disabilities, identifying measures in selected articles, linking items in included measures to the ICF-CY, analysing content in measures presented as performance and participation and identifying aggregations of ICF-CY codes across these measures.

    Results. A large number of measures for children and youth with disabilities were identified but only 12 fulfilled the inclusion criteria. A slight distinction in content and age appropriateness appeared. Measures presented as performance covered all the ICF-CY Activities and Participation chapters, whereas measures presented as participation covered five of nine chapters. Three common everyday life situations emerged from the measures: Moving around, Engagement in play and Recreation and leisure.

    Conclusion. Only a small number of life situations for children and youth emerged from items in selected measures, thus, other sources are needed to identify more everyday life situations.

  • 372.
    Adolfsson, Margareta
    et al.
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Pless, M
    Jönköping University, School of Health and Welfare, HHJ. CHILD.
    Ibragimova, N
    Björck-Åkesson, Eva
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Granlund, Mats
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Behavioural Science and Social Work. Jönköping University, School of Health and Welfare, HHJ. CHILD. Jönköping University, School of Education and Communication, HLK, CHILD.
    WHO:s Classification of Functioning, Disability and Health in Child- and Youth Habilitation2007In: Presentation at The 5th conference on International Classification of Functioning, Disability and Health. Oslo, June 2007, 2007Conference paper (Other academic)
  • 373.
    Adolfsson, Margareta
    et al.
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Pless, Mia
    Department of Public Health and Caring Sciences, Uppsala universitet.
    Bickenbach, Jerome
    Disability Policy Unit, Swiss Paraplegic Research. Faculty of Humanities and social Sciences, University of Lucerne.
    Användning av ICFoch ICF-CY.: Workshop2012Conference paper (Other academic)
  • 374.
    Adolfsson, Margareta
    et al.
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Pless, Mia
    Mälardalens högskola.
    Ibragimova, Nina
    Mälardalens högskola.
    Granlund, Mats
    Jönköping University, School of Health and Welfare, HHJ. CHILD. Jönköping University, School of Education and Communication, HLK, CHILD.
    Björck-Åkesson, Eva
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Användbarhet av ICF/ICF-CY inom Barn- och ungdomshabilitering2007In: / [ed] Högskolan i Jönköping och Mälardalens högskola, 2007Conference paper (Other academic)
  • 375.
    Adolfsson, Margareta
    et al.
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Pless, Mia
    Ibragimova, Nina
    Mälardalens högskola.
    Granlund, Mats
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Behavioural Science and Social Work. Jönköping University, School of Health and Welfare, HHJ. CHILD. Jönköping University, School of Education and Communication, HLK, CHILD.
    Björck-Åkesson, Eva
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Införande av ICF-CY i habiliteringsverksamhet2008In: Att använda ICF-CY: Västerås,  sept 2008, 2008Conference paper (Other academic)
  • 376.
    Adolfsson, Margareta
    et al.
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Pless, Mia
    Department of Public Health and Caring Sciences, Uppsala universitet.
    Malmqvist, Johan
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Granlund, Mats
    Jönköping University, School of Health and Welfare, HHJ. CHILD. Jönköping University, School of Education and Communication, HLK, CHILD.
    Everyday Life Situations for Child Participation2011In: / [ed] Michael Guralnick, 2011Conference paper (Refereed)
    Abstract [en]

    Child Participation is defined by the International Classification of Functioning, Disability and Health forChildren and Youth (ICF-CY) as involvement in life situations but knowledge on children´s specific everydaylife situations (EDLs) is lacking. Professionals in early intervention services need a structured tool to identifyand assess child participation in everyday life situations. It should support children with disabilities indescribing what matters most for them in intervention planning. With the long term goal to create ICF-CY codesets, EDLs were identified by a systematic literature search for measures of performance or participation andby collecting professional opinions on EDL and participation. Information was linked to the ICF-CY andtriangulated with research exploring family opinions. Most items in measures were linked to moving around,play, and recreation and leisure. The six measures of performance and six of participation differed regardingcontent and content dependent on age group.Descriptions on EDLs from 297 professionals were linked to ICF-CY codes. Frequent linkages were Self-care,such as eating and hygiene; Major life areas, such as play and education; and Relationships, but also sleep. Byrelating EDLs directly to predefined ICF-CY categories in the ICF-CY component Activities and Participation,five EDLs across categories were identified based on responses from 207 professionals. These concernedsleep, communication, dressing, family relationships and play. Some differences emerged dependent onparticipants’ culture and on age group. A triangulation between professional and family opinions concerningEDL’s revealed relatively high agreement. As a final result, a set of approximately 12-15 everyday lifesituations is expected to be identified in this study to be used for development of code sets.

  • 377.
    Adolfsson, Margareta
    et al.
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Simeonsson, Rune J
    School of Education, University of North Carolina at Chapel Hill.
    Sauer Lee, Andrea
    Ellingsen, Kirsten
    Alfred I duPont hospital for children, Wilmington, DE, USA.
    CHAPTER 27: Major life areas: Play and Education (d810-d880, ICF-CY)2012In: Measures for Children with Developmental Disabilities: An ICF-CY approach / [ed] Annette Majnemer, London: Mac Keith Press , 2012, 1, p. 404-415Chapter in book (Refereed)
  • 378.
    Adolfsson, Margareta
    et al.
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Simmeborn Fleischer, Ann
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Applying the ICF to identify requirements for students with Asperger syndrome in higher education2015In: Developmental Neurorehabilitation, ISSN 1751-8423, E-ISSN 1751-8431, Vol. 18, no 3, p. 190-202Article in journal (Refereed)
    Abstract [en]

    Higher education requires more than academic skills and everyday student-life can be stressful. Students with Asperger Syndrome (AS) may need support to manage their education due to difficulties in social functioning.

    Objective: As preparation for the development of a structured tool to guide student and coordinator dialogues at Swedish universities, this study aimed to identify ICF categories that reflect requirements in everyday student-life for students with AS.

    Methods: Using descriptive qualitative approach; information in documents reflecting the perspectives of university students; international classifications; user/health organisations and education authorities were linked to ICF codes.

    Results: In total, 114 ICF categories were identified, most of which related to learning, tasks and demands, communication and interactions.

    Conclusion: Students with AS need varying accommodations to be successful in higher education. In the future, ICF based code sets, including demands on student roles, can be used as checklists to describe functioning and needs for support.

  • 379.
    Adolfsson, Margareta
    et al.
    Jönköping University, School of Education and Communication, HLK, CHILD. Swedish Institute for Disability Research, Jönköping University, Jönköping, Sweden.
    Sjöman, Madeleine
    Jönköping University, School of Education and Communication, HLK, CHILD. Swedish Institute for Disability Research, Jönköping University, Jönköping, Sweden.
    Björck-Åkesson, Eva
    Jönköping University, School of Education and Communication, HLK, CHILD. Swedish Institute for Disability Research, Jönköping University, Jönköping, Sweden.
    ICF-CY as a Framework for Understanding Child Engagement in Preschool2018In: Frontiers in Education, E-ISSN 2504-284X, Vol. 3, article id 36Article in journal (Refereed)
    Abstract [en]

    Engagement in preschool predicts children's development, learning, and wellbeing in later school years. The time children engage in activities and social interactions is conditional for preschool inclusion. Engagement is part of the construct participation, which is determined by attendance and involvement. Two suggested underlying dimensions of engagement had been identified as essential when assessing children's participation in preschool activities. As engagement is a key question in inclusion of all children, and preschool becomes a common context for them, it is increasingly important to understand the concept of engagement in those settings. In Sweden most children attend preschool but children in need of special support tend not to receive enough support for their everyday functioning. This study aimed to conceptualize child engagement in preschool with ICF-CY as a framework to clarify core and developmental engagement dimensions included in Child Engagement Questionnaire (CEQ). The content of CEQ was identified through linking processes based on ICF linking rules with some exceptions. Specific challenges and solutions were acknowledged. To identify engagement dimensions in the ICF-CY, CEQ items related to ICF-CY chapters were integrated in the two-dimensional model of engagement. Findings showed that engagement measured for preschool ages was mostly related to Learning and Applying knowledge belonging to Activities and Participation but the linkage detected missing areas. Broader perspectives of children's everyday functioning require extended assessment with consideration to mutual influences between activities, participation, body functions, and contextual factors. Related to core and developmental engagement, findings highlight the importance for preschool staff to pay attention to how children do things, not only what they do. Activities related to core engagement include basic skills; those related to developmental engagement set higher demands on the child. Linking challenges related to preschool context were not consistent with those reported for child health. Using the ICF-CY as a framework with a common language may lead to open discussions among persons around the child, clarify the different perspectives and knowledges of the persons, and facilitate decisions on how to implement support to a child in everyday life situations in preschool and at home.

  • 380.
    Adolfsson, Margareta
    et al.
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Westerberg, Christina
    Stockholms Universitet.
    Möller, Kerstin
    Örebro Universitet.
    Everyday Life Situations of School-Aged Children with Severe Disabilities: What are the Goals for the Future? An Exploratory Study2014In: Journal of Intellectual Disability - Diagnosis and Treatment, E-ISSN 2292-2598, Vol. 2, no 1, p. 21-32Article in journal (Refereed)
    Abstract [en]

    This study investigated present and future everyday life situations (ELS) in home, school, work, and leisure environments for a group of school-aged children with severe disabilities, including complex disorders and a combination of disabilities. The purpose was to explore universal ELS; clarify how the children can be supported in their development of autonomy; and to gather information on potential overall goals for interventions. To make data comparable, all reported ELS were linked to the International Classification of Functioning, Disability and Health, Child and Youth version (ICF-CY) and listed along with information on the setting. Both today, and in the future, recreational activities and participation in school or work were of highest importance, but few reported ELS involved directly interacting with other children. More ELS were predicted to occur outside the home and with a higher degree of autonomy. Therefore, interventions would be focused on the overall goal that children with severe disabilities take initiatives to become independent and to form relationships with others.

  • 381.
    Adolfsson, P.
    et al.
    Department of Public Health and Caring Sciences, Disability and Habilitation, Uppsala University, Uppsala, Sweden.
    Lindstedt, H.
    Department of Public Health and Caring Sciences, Disability and Habilitation, Uppsala University, Uppsala, Sweden.
    Pettersson, I.
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Hermansson, L. N.
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Janeslätt, G.
    Jönköping University, School of Health and Welfare, HHJ. CHILD. Department of Public Health and Caring Sciences, Disability and Habilitation, Uppsala University, Uppsala, Sweden.
    Perception of the influence of environmental factors in the use of electronic planning devices in adults with cognitive disabilities2016In: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 11, no 6, p. 493-500Article in journal (Refereed)
    Abstract [en]

    Background: Adults with cognitive disabilities often have difficulties in dealing with the complexity of everyday life. With cognitive assistive technology (e.g. electronic planning devices [EPDs] and individual support), they can bring order to their often chaotic life. Assumptions are that environmental factors influence with non-use of EPDs.

    Objective: To explore how adults with cognitive disabilities perceive the influence of environmental factors in the use of EPDs.

    Methods: A reference group with experience of use of EPDs assisted the researchers. Twelve adults with cognitive disabilities and experience of using EPDs participated. An interview guide was implemented covering environmental factors according to the International Classification of Functioning, Disability and Health. Qualitative content analysis was applied in the analyses.

    Results: Five categories and two themes emerged, which were integrated into a model of facilitating factors influencing the use of EPDs. Measures to prevent or eliminate negative influences of the device use are important to be taken.

    Conclusions: Professionals need more knowledge about EPDs, while users need individual adaption of the EPDs. EPDs need to be user-friendly, manageable and work in any seasons.

    Implications for Rehabilitation: The users should have access to specially trained prescribers. There is a need for development of user-friendly and manageable products to function in any climate. Knowledge is lacking on how to implement the users in all stages of the prescribing process. Prescribers should increase knowledge in the use of EPDs to influence the attitudes of the social environment.

  • 382.
    Afsharnejad, Bahareh
    et al.
    School of Occupational Therapy, Social Works and Speech Pathology, Curtin University, Kent street, Perth, WA, Australia.
    Falkmer, Marita
    Jönköping University, School of Education and Communication, HLK, CHILD. Jönköping University, School of Health and Welfare, HHJ. CHILD. School of Occupational Therapy, Social Works and Speech Pathology, Curtin University, Kent street, Perth, WA, Australia.
    Black, Melissa H.
    School of Occupational Therapy, Social Works and Speech Pathology, Curtin University, Kent street, Perth, WA, Australia.
    Alach, Tasha
    Autism Association of Western Australia, Perth, WA, Australia.
    Lenhard, Fabian
    Center of Neurodevelopmental Disorders (KIND), Centre for Psychiatry Research, Division of Neuropsychiatry, Department of Women's and Children's Health, Karolinska Institutet and Child and Adolescent Psychiatry, Stockholm Health Care Services, Stockholm County Council, Stockholm, Sweden.
    Fridell, Anna
    Center of Neurodevelopmental Disorders (KIND), Centre for Psychiatry Research, Division of Neuropsychiatry, Department of Women's and Children's Health, Karolinska Institutet and Child and Adolescent Psychiatry, Stockholm Health Care Services, Stockholm County Council, Stockholm, Sweden.
    Coco, Christina
    Center of Neurodevelopmental Disorders (KIND), Centre for Psychiatry Research, Division of Neuropsychiatry, Department of Women's and Children's Health, Karolinska Institutet and Child and Adolescent Psychiatry, Stockholm Health Care Services, Stockholm County Council, Stockholm, Sweden.
    Milne, Kelly
    Autism Association of Western Australia, Perth, WA, Australia.
    Chen, Nigel T. M.
    Curtin Autism Research Group (CARG), Curtin University, Perth, WA, Australia.
    Bölte, Sven
    School of Occupational Therapy, Social Works and Speech Pathology, Curtin University, Kent street, Perth, WA, Australia.
    Girdler, Sonya
    School of Occupational Therapy, Social Works and Speech Pathology, Curtin University, Kent street, Perth, WA, Australia.
    KONTAKT© for Australian adolescents on the autism spectrum: Protocol of a randomized control trial2019In: Trials, ISSN 1745-6215, E-ISSN 1745-6215, Vol. 20, no 1, article id 687Article in journal (Refereed)
    Abstract [en]

    BACKGROUND:

    Individuals diagnosed with autism spectrum disorder (ASD) experience impairing challenges in social communication and interaction across multiple contexts. While social skills group training (SSGT) has shown moderate effects on various sociability outcomes in ASD, there is a need for (1) replication of effects in additional clinical and cultural contexts, (2) designs that employ active control groups, (3) calculation of health economic benefits, (4) identification of the optimal training duration, and (5) measurement of individual goals and quality of life outcomes.

    METHOD/DESIGN:

    With the aim of investigating the efficacy and cost-effectiveness of a SSGT, KONTAKT©, a two-armed randomized control trial with adolescents aged 12-17 years (N = 90) with ASD and an intelligence quotient (IQ) of over 70 will be undertaken. Following stratification for centre and gender, participants will be randomly assigned to either KONTAKT© or to an active control group, a group-based cooking programme. Participants will attend both programmes in groups of 6-8 adolescents, over 16 one-and-a-half-hour sessions. The primary outcome examined is adolescent self-rated achievement of personally meaningful social goals as assessed via the Goal Attainment Scaling during an interview with a blinded clinician. Secondary outcomes include adolescent self-reported interpersonal efficacy, quality of life, social anxiety, loneliness, face emotion recognition performance and associated gaze behaviour, and parent proxy reports of autistic traits, quality of life, social functioning, and emotion recognition and expression. Cost-effectiveness will be investigated in relation to direct and indirect societal and healthcare costs.

    DISCUSSION:

    The primary outcomes of this study will be evidenced in the anticipated achievement of adolescents' personally meaningful social goals following participation in KONTAKT© as compared to the active control group. This design will enable rigorous evaluation of the efficacy of KONTAKT©, exercising control over the possibly confounding effect of exposure to a social context of peers with a diagnosis of ASD.

    TRIAL REGISTRATION:

    Australian New Zealand Clinical Trials Registry (ANZCTR). ACTRN12617001117303. Registered on 31 July 2017. anzctr.org.au ClinicalTrials.gov, NCT03294668. Registered on 22 September 2017. https://clinicaltrials.gov.

  • 383.
    Agahi, Neda
    et al.
    Aging Research Center, Karolinska Institutet/Stockholm University, Stockholm, Sweden.
    Kelfve, Susanne
    Aging Research Center, Karolinska Institutet/Stockholm University, Stockholm, Sweden; Department of Sociology, Stockholm University, Stockholm, Sweden.
    Lennartsson, Carin
    Aging Research Center, Karolinska Institutet/Stockholm University, Stockholm, Sweden.
    Kåreholt, Ingemar
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Aging Research Center, Karolinska Institutet/Stockholm University, Stockholm, Sweden.
    Alcohol consumption in very old age and its association with survival: a matter of health and physical function2016In: Drug And Alcohol Dependence, ISSN 0376-8716, E-ISSN 1879-0046, Vol. 159, p. 240-245Article in journal (Refereed)
    Abstract [en]

    Background

    Alcohol consumption in very old age is increasing; yet, little is known about the personal and health-related characteristics associated with different levels of alcohol consumption and the association between alcohol consumption and survival among the oldest old.

    Methods

    Nationally representative data from the Swedish Panel Study of Living Conditions of the Oldest Old (SWEOLD, ages 76-101; n = 863) collected in 2010/2011 were used. Mortality was analyzed until 2014. Alcohol consumption was measured with questions about frequency and amount. Drinks per month were calculated and categorized as abstainer, light-to-moderate drinker (0.5–30 drinks/month) and heavy drinker (>30 drinks/month). Multinomial logistic regressions and Laplace regressions were performed.

    Results

    Compared to light-to-moderate drinkers, abstainers had lower levels of education and more functional health problems, while heavy drinkers were more often men, had higher levels of education, and no serious health or functional problems. In models adjusted only for age and sex, abstainers died earlier than drinkers. Among light-to-moderate drinkers, each additional drink/month was associated with longer survival, while among heavy drinkers, each additional drink/month was associated with shorter survival. However, after adjusting for personal and health-related factors, estimates were lower and no longer statistically significant.

    Conclusions

    The association between alcohol consumption and survival in very old age seems to have an inverse J-shape; abstention and heavy use is associated with shorter survival compared to light-to-moderate drinking. To a large extent, differences in survival are due to differences in baseline health and physical function.

    Graphical abstract

  • 384.
    Agahi, Neda
    et al.
    Karolinska Institutet.
    Lennartsson, Carin
    Karolinska Institutet.
    Kåreholt, Ingemar
    Jönköping University, School of Health and Welfare, HHJ. Ageing - living conditions and health. Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Karolinska Institutet.
    Shaw, Benjamin A.
    School of Public Health, University at Albany, Rensselaer, NY, USA.
    Trajectories of social activities from middle age to old age and late-life disability: a 36-year follow-up2013In: Age and Ageing, ISSN 0002-0729, E-ISSN 1468-2834, Vol. 42, no 6, p. 790-793Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: to examine the association between 34-year trajectories of social activity, from middle age to old age and late-life disability.

    METHODS: data from the Swedish Level of Living Survey (LNU) and the Swedish Panel Study of the Oldest Old (SWEOLD) were used. LNU data from 1968, 1981, 1991 and 2000 were merged with SWEOLD data from 1992, 2002 and 2004 to create a longitudinal data set with five observation periods. Trajectories of social activities covered 1968-2002, and late-life disability was measured in 2004. The sample consisted of 729 individuals aged 33-61 at baseline (1968), who participated in at least four observation periods and who were free from mobility limitations at baseline. Four trajectories of social activity were identified and used as predictors of late-life disability.

    RESULTS: reporting low/medium levels of social activity from mid-life to old age was the most common trajectory group. Persons reporting continuously low/medium or decreasing levels of social activity had higher odds ratios for late-life disability (OR = 2.33 and OR = 2.15, respectively) compared with those having continuously high levels of activity, even when adjusting for age, sex and mobility limitations, and excluding persons with baseline mobility limitations.

    CONCLUSIONS: results suggest that the disability risk associated with social activities is related to recent levels of activity, but also that risk may accumulate over time, as indicated by the higher disability risk associated with the continuously low/medium level social activity trajectory.

  • 385. Agahi, Neda
    et al.
    Shaw, Ben
    Kåreholt, Ingemar
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology.
    Lennartsson, Carin
    Trajectories of social activities and mobility problems from middle to old age2012In: The 21st Nordic Congress of Gerontology, Dilemmas in Ageing Societies, Abstracts and Program, Copenhagen, Denmark, June 10th - 13th, 2012, 2012, p. 207-Conference paper (Refereed)
    Abstract [en]

    Objectives: To investigate how trajectories of social activities, suchas spending time with family and friends, observed during a34-year period (from middle age to old age) were associated withtrajectories of mobility problems during the same time periodamong men and women.Methods: Nationally representative data from the Swedish Levelof Living Survey (LNU) and the Swedish Panel Study of the OldestOld (SWEOLD) were used. LNU data from 1968, 1981, 1991 and2000 were merged with SWEOLD data from 1992 and 2002 tocreate a longitudinal dataset with four observation periodscovering the period 1968-2002. The sample consisted of thoseaged 40-60 years at baseline who survived through the period,and participated in at least three observation periods (n=698).Trajectories of social activity were identified through clusteranalysis, and then used as predictors of mobility trajectories inmultilevel regression models.Results: Most people had a socially active life as they moved frommiddle age into old age. Five trajectories of social activity wereidentified: continuously very active, continuously active,increasing social activity, decreasing social activity, and continuouslyinactive. Upholding a very active social life was morecommon among women than men.Mobility problems increased significantly over time for bothwomen and men. Among men, decreasing activity levels overtime were associated with a faster increase in mobility problems.Among women, those who were continuously inactive or whodecreased their activity levels had higher levels of mobilityproblems, but the increase in mobility problems with age wassimilar across trajectories of social activity.Conclusions: Most men and women had high levels of socialactivity in midlife, and continued their high activity levels into latelife. Decreasing social activity was related to worse mobility inboth men and women. The nature and direction of theseassociations need to be explored further.

  • 386.
    Agevall Gross, Lotta
    et al.
    Linnéuniversitetet, Institutionen för socialt arbete (SA).
    Denvall, Verner
    Linnéuniversitetet, Institutionen för socialt arbete (SA).
    Kjellgren, Cecilia
    Linnéuniversitetet, Institutionen för socialt arbete (SA).
    Skillmark, Mikael
    Linnéuniversitetet, Institutionen för socialt arbete (SA).
    Brottsoffer i indikatorland: Öppna jämförelser inom socialtjänstens brottsofferstödjande arbete2015In: Socialvetenskaplig tidskrift, ISSN 1104-1420, Vol. 22, no 3-4, p. 341-358Article in journal (Refereed)
    Abstract [en]

    Crime victims in Indicatorland – Open comparisons in the social services’ work with victim support

    Since the 90s there have been extensive changes in the public sector, such as rationalization and increasing demands for documentation and review. The changes have also affected the social services’ victim support work that has increasingly been subject to various forms of regulation, such as requirements for monitoring, evaluation and quality assurance. This article aims to examine one of the monitoring systems applied in the victim support work: the instrument of open comparisons. This article is based on an exploratory study of the local organization of crime prevention in two municipalities and analyses how the processes of open comparisons are organized at local, regional and central levels. The empirical data consists of documents such as legal sources and handbooks from e.g. the National Board of Health and Welfare and the Swedish Association of Local Authorities and Regions, as well as documents obtained locally in the two municipalities. Furthermore, interviews were conducted with professionals working on different organizational levels. 

    Analytically the study has been inspired by programme theory, which made it possible to concentrate on clarifying the operational idea in which open comparisons are based and capturing the consequences in the two cases. 

    The study shows that open comparisons have been implemented without support from existing research. However, strong normative support for open comparisons exists within governmental agencies and the Swedish Association of Local Authorities and Regions. They are included as one of many elements of New Public Management and result in changes in the victim support work. In contrast to present visions, the performance is not affected to any significant extent. In contrast, a comprehensive administration is created, where employees of municipalities are supposed to collect data, register information and analyse the results generated by the open comparisons.

  • 387.
    Agevall Gross, Lotta
    et al.
    Linnéuniversitetet, Institutionen för socialt arbete (SA).
    Denvall, Verner
    Linnéuniversitetet, Institutionen för socialt arbete (SA).
    Skillmark, Mikael
    Linnéuniversitetet, Institutionen för socialt arbete (SA).
    Fighting men`s violence against woman in the age of evidence and NPM2017Conference paper (Refereed)
    Abstract [en]

    Men's violence against women is a widespread global problem and a serious threat to women's health. This symposium will report from a study in Sweden that studies mechanisms that influence the design of interventions contesting domestic violence in two cities.

    The symposiums three presentations will answer the following questions:

    1. Given the fact that the organizations face many different views and ideologies; how does this affect the ways the problem of domestic violence is represented?

    2. In what way affects ideas from performance measurement and new public management the interventions?

    3. In what way are the social services organizing towards an evidence-based practice in this field?

    Presentation 1 Interpersonal violence-From policy to local practice

    Presentation 2 Open Comparisons in social work

    Presentation 3 Negotiating in risk assessment practices

  • 388. Agevall Gross, Lotta
    et al.
    Skillmark, Mikael
    Linnéuniversitetet, Institutionen för socialt arbete (SA).
    Brottsoffer i indikatorland: en analys av programidén och implementeringen av Öppna jämförelser inom brottsofferområdet2015In: Presentation på Brottsoffermyndighetens viktimologiska forskarkonferens, 10 november 2015, Stockholm, 2015Conference paper (Other academic)
    Abstract [sv]

    Idén om mål- och resultatstyrningen har fått stort genomslag i offentlig förvaltning. Det brottsofferstödjande arbetet som riktas mot våldsutsatta personer har liksom andra ansvarsområden inom socialtjänstens verksamhetsfält mött ökade krav på att säkra och redovisa kvalitet. Öppna jämförelser är ett instrument som används inom offentlig verksamhet för att mäta, offentliggöra och jämföra kvaliteten av det arbete som bedrivs. År 2012 lanserades för första gången öppna jämförelser inom brottsofferområdet. I studien analyseras Öppna jämförelsers programidé och dess implementering inom brottsofferområdet. Empirin utgörs av för studiens syfte, relevanta styrdokument samt intervjuer med aktörer på central nivå (Socialstyrelsen och SKL), regional nivå (Länsstyrelsen) samt lokal nivå (två fallkommuner i södra Sverige) Fokus riktas mot hur de har arbetat med Öppna jämförelser och vilka erfarenheter de har gjort. 12 I presentationen av studien visar författarna hur Öppna jämförelser avseende stöd till brottsoffer inte fått det genomslag som regeringen förutsatt. Den politiska styrningen är tydlig samtidigt som de olika ”intressenter” som Öppna jämförelser är tänkt att vara till för i praktiken givits en marginaliserad position

  • 389.
    Agevall, Lena
    et al.
    Linnaeus University.
    Broberg, Pernilla
    Högskolan Kristianstad, Forskningsmiljön Auditing, Organisation and Society (AOS).
    Umans, Timurs
    Högskolan Kristianstad, Avdelningen för Ekonomi.
    The new generation of auditors meeting praxis: dual learning's role in audit students' professional development2018In: Scandinavian Journal of Educational Research, ISSN 0031-3831, E-ISSN 1470-1170, Vol. 62, no 2, p. 307-324Article in journal (Refereed)
    Abstract [en]

    This paper explores whether and in what way “dual learning” can develop understanding of the relationship between structure/judgement and explores audit student’s perceptions of the audit profession. Work Integrated Learning (WIL) module, serving as a tool of enabling dual learning, represents the context for this exploration. The study is based on a focus group and individual interviews conducted with students performing their WIL. Our data and its analysis indicates that when in a WIL context, students develop awareness of the use of standards and checklists on the one hand and the importance of discretional judgement on the other. Based on these results, we theorise as to how dual learning manifests itself in students’ experiences and understanding of the relationship between structure and judgement.

  • 390.
    Agevall, Lena
    et al.
    Linnéuniversitetet, Institutionen för samhällsstudier (SS).
    Jonnergård, Karin
    Linnéuniversitetet, Institutionen för ekonomistyrning och logistik (ELO).
    Krantz, Joakim
    Linnéuniversitetet, Institutionen för utbildningsvetenskap (UV).
    Frihet under ansvar eller ansvar under tillsyn? Om dokumentstyrning av professioner2017Book (Other academic)
    Abstract [sv]

    De professionellas arbetssätt befinner sig i förändring. Att följa manualer och standarder, att möta en ny typ av redovisningsansvar, extern kvalitetskontroll och krav på dokumentation utmanar på flera sätt den traditionella bilden av professioner. I Frihet under ansvar eller ansvar under tillsyn belyses erfarenheter av dokumentstyrning från tre professioner, revisorer, lärare och socionomer.

    Boken fokuserar vad dokumentstyrningen betyder för professionernas kunskapsbas och normbas samt hur professionernas autonomi förändras när det gäller att bedöma vad som ska göras, vad som är kvalitet i arbetet och när det gäller möjligheten att ta ett professionellt ansvar.

    De professionellas erfarenheter analyseras utifrån en modell – kunskapstriaden – vars aspekter; kännarskap, känslomässigt engagemang och utvärdering av och ansvar för eget arbete tillsammans antas utgöra en motor för utvecklingen, upprätthållandet och vidareutvecklingen av de professionellas kunskaps- och normsystem.

    Boken vänder sig till studerande inom professionsutbildningar företrädesvis på en avancerad nivå och till forskare och andra som har ett övergripande intresse för styrnings- och professionsfrågor. Frihet under ansvar eller ansvar under tillsyn manar också till fortsatt forskning om de professionellas villkor.

  • 391.
    Aghaee, Naghmeh
    et al.
    Institutionen för data- och systemvetenskap, Stockholms universitet.
    Keller, Christina
    Jönköping University, Jönköping International Business School, JIBS, Informatics.
    ICT-supported peer interaction among learners in bachelor’s and master’s thesis courses2016In: Computers and education, ISSN 0360-1315, E-ISSN 1873-782X, Vol. 94, p. 276-297Article in journal (Refereed)
    Abstract [en]

    Peer interaction and collaborative learning through the use of ICT (Information and Communication Technology) is used to an increasing extent in higher education. Universities attempt to motivate learners (students) to support their peers to enhance the quality of learning outcomes. This study monitors how an ICTSS (ICT-based Support System) facilitates peer interaction in the Bachelor’s and Master’s thesis process. The aim of the study was to investigate learners’ perception of usefulness of an ICTSS for peer interaction and the influencing factors on the quality of the peer interaction. The ICTSS was developed at the Department of Computer and Systems Sciences (DSV), at Stockholm University. The system facilitates peer interaction in three ways: peer reviews, active participation, and final opposition. The study employed a mixed-method approach, which included an online survey followed by in-depth interviews. The target groups were learners at the Bachelor’s and Master’s level in computer science and information systems. The findings showed that learners perceived the peer interaction useful to enhance the quality of the thesis outcomes. However, there are influencing factors affecting the quality of peer interaction, in different phases of the thesis process. Examples of these factors are the quality of thesis manuscripts, supervisors’ control and grading of the process, clear instructions and guidelines, learners’ understanding of the peer interaction and why it takes place, previous training and learners’ motivation to perform peer reviews. Following these factors, the study developed a set of strategic suggestions from both pedagogical and technical aspects to enhance the peer interaction in the thesis process. Considering these suggestions makes the use of the ICTSS more effective to enhance the quality of thesis learning outcomes.

  • 392.
    Aghaee, Naghmeh M.
    et al.
    Institutionen för data- och systemvetenskap, Stockholms universitet.
    Keller, Christina
    Jönköping University, Jönköping International Business School, JIBS, Informatics.
    Choosing open source software: Strategies behind and reasons for municipalities’ use of Open Office2011Conference paper (Refereed)
    Abstract [en]

    The purpose of the study was to explore the strategies and reasons for Swedish municipalities to migrate from proprietary office applications, such as Microsoft Office, to the use of the open source software OpenOffice. We performed a comparative case study of three Swedish municipalities in the region of Västra Götaland currently implementing or planning to implement OpenOffice; Alingsås, Falköping and Kungälv. The methods of data collection used in the study were semi-structured interviews with IT managers, such as IT strategists and Chief Information Officers (CIOs), in each municipality, and document analysis.

    The findings of the study indicated that one of the municipalities had an IT strategy including strategies for use of open source software. The second municipality planned implementation of OpenOffice but were “between IT strategies”, as the current IT strategy hadn’t been updated for some years. The third municipality had abolished IT strategies, as the difficulties of anchoring strategies on all levels of the organisations were too large. Instead, operative guidelines concerning i.e. the use of open source software were used in IT management. The main driver of implementing OpenOffice was to lower IT costs. The IT managers were well aware of the fact that open source software is not entirely free of cost, but estimated the total cost of ownership of OpenOffice to be less than for Microsoft Office. Perceived barriers of implementation and use of OpenOffice were lack of standardisation with current administrative and enterprise systems used in the municipalities as well as a general lack of knowledge and familiarity with open source software among staff. There were also a genuine concern over the possibility of the community of OpenOffice developers leaving the program and its users to embark on new open source software project. The traditional relationship between systems suppliers and customers was perceived to disappear and be replaced with a much more uncertain business relationship. Further research in a larger number of Swedish municipalities is needed in order to increase the understanding of the circumstances of migration to open source software in municipalities.

  • 393.
    Agic, Haris
    et al.
    Tema teknik och social förändring, Linköpings universitet.
    Samuelsson, Tobias
    Jönköping University, School of Education and Communication, HLK, School Based Research, Social Studies and Didactics. Jönköping University, School of Education and Communication, HLK, Global Studies.
    Föräldrastödsprogram för utrikesfödda föräldrar: Vad händer när manualbaserade föräldrastödsprogram översätts och implementeras i svensk kontext?2015In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 92, no 5, p. 545-552Article in journal (Other academic)
    Abstract [sv]

    På senare år har ett antal program som t.ex. Community Parent Education Program (COPE) initierats för att främja barns hälsa och psykosociala utveckling. COPE är ett manualbaserat program som ofta används som del i de föräldrautbildningar som ges i invandrartäta områden. COPE utvecklades i Kanada och vid användningen i Sverige översätts materialet. Program erbjuds på språk som t.ex. arabiska och somaliska och när dessa kurser ges översätts materialet ytterligare. I artikeln undersöks vad som händer när ett manualbaserat program översätts och implementeras i svensk kontext. Studien visar att de samtalsledare som leder programmen strävar efter manualtrogenhet, men att översättningar och kulturella anpassningar sker för att de utrikesfödda deltagarna ska förstå programmet. Många föräldrar är dock nöjda med och känner sig stärkta i sitt föräldraskap efter att ha genomgått COPE programmen.

  • 394. Agndal, H
    et al.
    Axelsson, B
    Melin, Leif
    Jönköping University, Jönköping International Business School, JIBS, EMM (Entrepreneurship, Marketing, Management).
    Understanding Strategic Change2005In: Developing Sourcing Capabilities: creating strategic change in purchasing and supply management, Chichester: John Wiley , 2005Chapter in book (Other (popular science, discussion, etc.))
  • 395.
    Agndal, Henrik
    Jönköping University, Jönköping International Business School, JIBS, Business Administration.
    Internationalisation as a process of strategy and change: A study of 16 Swedish industrial SMEs2004Doctoral thesis, monograph (Other academic)
    Abstract [en]

    This thesis reports a study of the internationalisation processes of 16 industrial SMEs located in the county of Jönköping (Sweden). More specifically, it identifies changes in international strategies, identifies reasons why changes are undertaken and discusses how these changes can be understood when placed in the context of the internationalisation process.

    The findings show that industrial SME managers tend to stress the importance of foreign sales but are often much more reluctant to buy products abroad. This means that while changes in foreign sales market strategy occur frequently in many firms, the process of foreign sourcing market expansion unfolds more slowly, involving fewer markets. The findings also indicate preferences for a low degree of complexity in foreign sales and purchasing. Therefore, industrial SMEs typically become involved in more complex ventures like foreign subsidiaries only when this is perceived as necessary, for example when there is risk of losing a foreign market.

    Mostly, changes in industrial SMEs’ international strategies are undertaken as responses to external opportunities, such as unsolicited orders. Changes much less frequently find their origin in internal initiatives. This pattern appears to pervade throughout the internationalisation process, even if a more critical attitude towards potential changes arises with increasing experience.

  • 396.
    Agndal, Henrik
    et al.
    University of Gothenburg.
    Borgström, Benedikte
    Jönköping University, Jönköping International Business School, JIBS, Centre of Logistics and Supply Chain Management (CeLS).
    Hertz, Susanne
    Jönköping University, Jönköping International Business School, JIBS, Centre of Logistics and Supply Chain Management (CeLS).
    Jensen, Leif-Magnus
    Jönköping University, Jönköping International Business School, JIBS, Centre of Logistics and Supply Chain Management (CeLS).
    Pereseina, Veronika
    Jönköping University, Jönköping International Business School, JIBS, Centre of Logistics and Supply Chain Management (CeLS).
    Cui, Lianguang
    Jönköping University, Jönköping International Business School, JIBS, Centre of Logistics and Supply Chain Management (CeLS).
    Market innovation in the transport and heavy vehicle market2015In: Proceedings of the 27th Annual NOFOMA-Conference, Molde, 3-5 June, 2015., 2015Conference paper (Refereed)
    Abstract [en]

    Purpose

    The purpose of this paper is to generate a greater understanding of the interrelatedness of new business models in the truck market and developments in the road transport sector.

    Design/methodology/approach

    Based on a three year research project in cooperation with a European heavy vehicle manufacturer, we present short case descriptions showing some of the main developments in the European trucking and transport markets. 

    Findings

    New business models emerge both in the heavy vehicle and transportation markets, in complex ways involving multiple actors.  The impetus for the models can come from several direction but the final impact must be negotiated and cannot be planned by a single actor.

    Research limitations/implications

    The research looks at a selection of cases and business models to demonstrate changes and the relations between the markets, and does not claim to be exhaustive in terms of the different business models in the European market. 

    Practical implications

    There is a distinct trend to greater specialization and the need for innovation to survive given the strong pressures in the commoditized transport market. Our findings show conflicting trends in terms of social implications, with improved ecological impact but the risk of worse conditions for driver. 

    Original/value

    The paper considers the development of new business models and implications on the market from the point of view of the firms actually using the business models.  This shows how different business models can co-exist and involve different types of rationalities.

  • 397.
    Agndal, Henrik
    et al.
    Gothenburg University.
    Borgström, Benedikte
    Chalmers University of Technology.
    Pereseina, Veronika
    Jönköping University, Jönköping International Business School, JIBS, Business Administration.
    From product through service and solution to performance: Value propositions, interaction patterns and capabilities2013Conference paper (Refereed)
    Abstract [en]

    Purpose – This paper explores differences in inter- and intra-organizational interaction patterns depending on the nature of customer value propositions. It also discusses capabilities related to these value propositions.

    Design/Methodology/Approach – We perform a case study of the evolving value propositions of a Swedish truck manufacturer. Interviews are conducted with key representatives of the manufacturer, dealers, customers, and customers’ customers. We draw on literature in the business marketing and purchasing area.

    Findings – The manufacturer makes four types of value propositions (cf. Anderson et al., 2006) associated with different interaction patterns. (1) A first type involves a basic product, i.e. a vehicle along with basic services, such as a warranty. The sales process represents a short dealer-customer negotiation to determine truck customization and price and is a general solution to a general problem. Interaction remains simple throughout the truck’s operating cycle; feedback to the product development and manufacturing function comes mainly from the manufacturer’s service organization. (2) A second type of value proposition involves optional add-on services that support the use of the product, such as repairs and maintenance, tire replacement, financing, and insurance. Although each service component is standardized, the package of services is selected by the buyer based on its needs. Interaction in regard to purchase and use is therefore more complex and ongoing. (3) In a third type, the customer buys truck(s) and services as an integrated solution to its specific sourcing problem. This requires a deeper understanding of how the customer uses trucks. Such an analysis relies on interaction between the manufacturer’s sales representatives and various functions at the customer. As the truck is used, interaction between manufacturer and customer is continuous. E.g., driving patterns can be analyzed and driving training be tailored to the needs of the customer; service needs are monitored, etc. (4) A fourth type involves not only a solution to a sourcing problem, but a co-created solution to support the customer’s value-creation. The customer buys solution performance that supports its revenue generation, not just its efforts to reduce costs. A deep understanding of the customer’s business is required with a focus on how the customer uses trucks to support its customers’ value creation. As payment is based on uptime (or other form of utilization), knowledge of truck usage is also needed by the manufacturer to determine price per km and to set service level agreement. Interaction is continuous and complex, with the manufacturer’s service organization taking over part of fleet management from the customer. These value propositions exist simultaneously and place very different demands on capabilities, which increase in number and particularity with more complex value propositions.

    Originality/value – We empirically identify four distinct value propositions that rely on different inter- and intra-organizational interaction patterns and require different capabilities.

  • 398. Agrell, Per J.
    et al.
    Wikner, Joakim
    Jönköping University, School of Engineering, JTH, Industrial Engineering and Management. Jönköping University, School of Engineering, JTH. Research area Industrial Engineering and Management.
    A Coherent Methodology for Productivity Analysis Employing Integrated Partial Efficiency1996In: International Journal of Production Economics, ISSN 0925-5273, E-ISSN 1873-7579, Vol. 46-47, p. 401-411Article in journal (Refereed)
    Abstract [en]

    An activity decomposition methodology with theoretical foundation in the principles of activity control and stated focus of interest in the enterprise value-chain is presented. Characteristics of inputs and outputs are discussed, where a set of non-transformable inputs are defined and motivated. An integrated partial efficiency measure is formulated, compensating for some weaknesses of the Debreu-Farrell technical efficiency concept. Providing a coherent basis for productivity analysis, the IPE approach poses an alternative to e.g. DEA especially in the case of multi-level systems and sparse data. The method is easily communicable in terms of measurement and analysis, and may be extended to complement economic performance assessments and benchmarks.

  • 399. Agrell, Per, J.
    et al.
    Wikner, Joakim
    Jönköping University, School of Engineering, JTH, Industrial Engineering and Management. Jönköping University, School of Engineering, JTH. Research area Industrial Engineering and Management.
    An MCDM Framework for Dynamic Systems1996In: International Journal of Production Economics, ISSN 0925-5273, E-ISSN 1873-7579, Vol. 45, no 1-3, p. 279-292Article in journal (Refereed)
    Abstract [en]

    A multi-criteria formulation for continuous and discrete-time dynamic systems is presented. The fundamental problem in the design of dynamic systems is the trade-off between response speed (e.g., the time to reach final value and the raise time) and response smoothness (e.g., the overshoot, the undershoot, and the transient dampening). Separate optimisation of criteria is impossible, thus the problem is inherently multiobjective. In a general dynamic system, this is accomplished by adjusting a number of technical parameters in accordance with some ad hoc practice. Previous multi-criteria approaches have been modelled as weighted sums of criteria, with shortcomings in terms of sensitivity analysis and preference articulation. The proposed framework enables the decision maker to design a most preferred system, with full knowledge of local trade-off ratios in terms of chosen criteria. Combining analytical techniques with simulation, the formulation makes the optimisation process transparent to the decision maker, working entirely in decision space. The framework is demonstrated on a dynamic production-inventory model.

  • 400.
    Agren, Susanna
    et al.
    Department of Medical and Health Sciences, Linköping University, 581 83 Linköping, Sweden and Department of Cardiothoracic Surgery, Linköping University, Linköping, Sweden.
    Ivarsson, Bodil
    Department of Cardiothoracic Surgery, Clinical Sciences, Lund University, 221 85 Lund, Sweden and Department of Cardiothoracic Surgery/THAI, Sk˚ane University Hospital and Medical Services, 221 85 Lund, Sweden.
    Rönning, Helén
    Jönköping University, School of Health Science, HHJ. ADULT. Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science.
    The Unsteady Mainstay of the Family: Now Adult Children's Retrospective View on Social Support in Relation to Their Parent's Heart Transplantation.2014In: Nursing Research and Practice, ISSN 2090-1429, E-ISSN 2090-1437Article in journal (Refereed)
    Abstract [en]

    The needs for support among children with a seriously ill parent, who is waiting for heart transplantation, are unknown today. The aim was to describe now adult children's experiences of social support in relation to a parent's heart transplant during childhood. Nine females and four males were interviewed. The median age for the children was 18 at the transplantation and their parents had been ill before for 18 months (median) and on waiting list for 161 days (mean). Three categories emerged: health care professionals' approaches, family and friends' approaches, and society approaches. Our results show that there was lack of support for children of heart transplantation patients. Support in the shape of information was in most cases provided by the sick or healthy parent. It is of great clinical importance to develop psychosocial support programs for children with a seriously ill parent waiting for heart transplantation (before, during, and after surgery).

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