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  • 401.
    Unsworth, Carolyn
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. School of Health, Medical and Applied Sciences, Central Queensland University, Australia.
    Analysing and interpreting outcomes data to support evidence-based practice using the example of AusTOMs-OT2017In: British Journal of Occupational Therapy, Vol. 80, no 10, p. 631-637Article in journal (Refereed)
    Abstract [en]

    Statement of context: Occupational therapists working with clients who have neurological impairments routinely collect outcomes data. However, data cannot inform practice unless it is routinely reviewed. The aim of this paper was to show how outcomes data collected on the Australian Therapy Outcome Measures – Occupational Therapy scale were analysed and interpreted. Although the example pertains to clients with neurological problems, the approach can be applied to all areas of practice.

    Critical reflection on practice: When outcomes data are routinely analysed and findings reviewed, occupational therapists have an increased understanding of practice strengths and limitations.

    Implications for practice: Incorporating analysis and interpretation of outcomes data for clients with neurological problems into practice contributes evidence to support therapy and ensures clinicians retain control of their data. 

  • 402.
    Unsworth, Carolyn
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. School of Health, Medical and Applied Sciences, CQ University, Melbourne, VIC, Australia .
    Review papers: Getting the best occupational therapy evidence into practice2017In: British Journal of Occupational Therapy, ISSN 0308-0226, E-ISSN 1477-6006, Vol. 80, no 3, p. 143-144Article in journal (Other (popular science, discussion, etc.))
  • 403.
    Unsworth, Carolyn
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. School of Health Medical and Applied Science, Central Queensland University, Bundaberg, Australia.
    Baker, Anne
    Department of Occupational Therapy, Australian Catholic University, Melbourne, Australia.
    Lannin, Natasha
    College of Science Health and Engineering, La Trobe University, Bundoora, Australia.
    Harries, Priscilla
    School of Health Sciences and Social Care, Brunel University London, London, UK.
    Strahan, Janene
    Sunshine Hospital, Melbourne, Australia.
    Browne, Matthew
    School of Health Medical and Applied Science, Central Queensland University, Bundaberg, Australia.
    Predicting fitness-to-drive following stroke using the Occupational Therapy - Driver Off Road Assessment Battery2019In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 41, no 15, p. 1797-1802Article in journal (Refereed)
    Abstract [en]

    INTRODUCTION: It is difficult to determine if, or when, individuals with stroke are ready to undergo on-road fitness-to-drive assessment. The Occupational Therapy - Driver Off Road Assessment Battery was developed to determine client suitability to resume driving. The predictive validity of the Battery needs to be verified for people with stroke.

    AIM: Examine the predictive validity of the Occupational Therapy - Driver Off Road Assessment Battery for on-road performance among people with stroke.

    METHOD: Off-road data were collected from 148 people post stroke on the Battery and the outcome of their on-road assessment was recorded as: fit-to-drive or not fit-to-drive.

    RESULTS: The majority of participants (76%) were able to resume driving. A classification and regression tree (CART) analysis using four subtests (three cognitive and one physical) from the Battery demonstrated an area under the curve (AUC) of 0.8311. Using a threshold of 0.5, the model correctly predicted 98/112 fit-to-drive (87.5%) and 26/36 people not fit-to-drive (72.2%).

    CONCLUSION: The three cognitive subtests from the Occupational Therapy - Driver Off Road Assessment Battery and potentially one of the physical tests have good predictive validity for client fitness-to-drive. These tests can be used to screen client suitability for proceeding to an on-road test following stroke. Implications for Rehabilitation: Following stroke, drivers should be counseled (including consideration of local legislation) concerning return to driving. The Occupational Therapy - Driver Off Road Assessment Battery can be used in the clinic to screen people for suitability to undertake on road assessment. Scores on four of the Occupational Therapy - Driver Off Road Assessment Battery subtests are predictive of resumption of driving following stroke.

  • 404.
    von Post, Helen
    et al.
    Advanced Palliative Home Care, Region Skåne, Helsingborg, Sweden.
    Wagman, Petra
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    What is important to patients in palliative care? A scoping review of the patient’s perspective2019In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 26, no 1, p. 1-8Article, review/survey (Refereed)
    Abstract [en]

    Background:

    The research conducted in palliative care is often medically oriented. There are few studies clarifying the patient's preferences, priorities and desires in palliative care. The occupational therapy research conducted mostly concerns occupational therapy interventions based on the profession's experiences. Further knowledge is needed regarding what patients in palliative care want to prioritize.

    Aim:

    The aim was to describe what patients in palliative care describe as important at the end of life.

    Methods:

    A scoping review was conducted using the inclusion criteria: articles published in 2004-August 2015; written in English; participants>18 years with life-threatening illness without possible cure; focusing on the patient?s experience.

    Results:

    Seventeen articles were included in the review and they were based on interviews. The theme 'Continuing occupational participation is important for people at the end of life' was identified. This included five sub-themes: maintaining previous occupational patterns; feeling needed; being involved in the social environment; leaving a legacy; and living as long as you live.

    Conclusions:

    The results show that continued occupational participation is important for people in palliative care. Occupational therapists can contribute to this by taking a highly person-centered approach and gaining information about what matters most for their clients.

  • 405.
    Vukalić, Alen
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Challenges of being employed and having a bipolar disorder: A scoping review2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Work is an important part of working individuals’ life and is an occupation to some people. A number of issues may need to be considered to support people with bipolar disorder in their workplace.

    Objectives: Purpose of this study was to explore experiences people with bipolar disorder have at work and challenges they face.

    Methods: A scoping review was undertaken across multiple databases to capture a broad range of literature.

    Results: Results revealed the role work has in identity and recovery of people with BD.  Importance of balance and flexible working hours, potential effect of BD symptoms on work output and the lack of work continuity were identified. Various helpful strategies were reported by many individuals with BD. Potential disclosure is a challenge individuals with BD may face at work.

    Conclusion

    Potential disclosure and the consequences, particularly for work, were identified as important to BD individuals. Individual Placement and Support model may present a useful intervention model methods are consistent with strategies reported by BD individuals. This area is important to occupational therapists considering that one of their competencies is enabling participation in occupation. Limitations and potential bias are acknowledged.

    Keywords: bipolar disorder, work, occupational therapy.

  • 406.
    Wagman, Petra
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Arbetsterapins bidrag till ekologisk hållbarhet2015Conference paper (Refereed)
    Abstract [en]

    Tema: Hälsofrämjande perspektiv

    Stadier i livet: Annat

    Projekttyp: Forskningsarbete

    Bakgrund: De pågående klimatförändringarna som är relaterade till människors aktiviteter i vardagen, innebär en mycket allvarlig hälsorisk. Arbetsterapins och aktivitetsvetenskapens expertområde är vardagliga aktiviteter, aktivitetsmönster och aktivitetsförändringar. Den kunskap som detta aktivitetsfokus har genererat kan också bidra till den viktiga frågan om ekologisk hållbarhet ur ett aktivitetsperspektiv.

    Syfte: Att utforska och beskriva vad arbetsterapeuter skrivit om att bidra till ekologisk hållbarhet och förhindra ytterligare klimatförändring.

    Metod: Studien är en litteraturöversikt. Publikationer åren 2008-2013 användes som data. Sökningar skedde på fyra olika sätt: i databaser, referenslistor, citeringar samt manuellt i tretton tidsskrifter.

    Resultat/preliminärt resultat: Fjorton publikationer inkluderades i litteraturöversikten: nio artiklar, en bok och fyra bokkapitel. I resultatet identifierades fyra olika sätt att bidra till ekologisk hållbarhet – genom att anpassa aktiviteter, samarbeta med andra på olika nivåer, utforska människors aktiviteter samt genom att varna för konsekvenser av klimatförändringarna ur ett aktivitetsperspektiv.

    Slutsats: De identifierade sätten att bidra till ekologisk hållbarhet kan användas som en utgångspunkt för vidare studier och interventioner.

  • 407.
    Wagman, Petra
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    How to contribute occupationally to ecological sustainability: A literature review2014In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 21, no 3, p. 161-165Article in journal (Refereed)
    Abstract [en]

    Objective: Climate change is of great concern today, and is an important health issue. The changes are related to human occupations and, therefore, an occupational perspective can make important contributions to ecological sustainability. The aim of this scoping literature review was to explore and describe what has recently been written about how occupational therapy/therapists/science can contribute to ecological sustainability and the prevention of more severe climate change.

    Methods: Publications were used as data. Searches were conducted in databases, journals, reference lists, and citations. Fourteen items, with content related to the contribution of occupational therapy/therapists/science to climate change and ecological sustainability; written in English; having an occupational therapist among the authors; and published between 2008 and 2013; were included.

    Results: The results revealed four different ways that occupational therapists/scientists can contribute: by adapting to prevent climate change and to existing changes; by cooperating with others; by exploring people's occupational choices and the relationship between occupation and ecology; and by warning of the consequences of the changes.

    Conclusion: These ways of contributing can be used as a point of departure for further research on this important topic.

  • 408.
    Wagman, Petra
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Occupational balance – of importance for occupational therapists2014Conference paper (Other academic)
  • 409.
    Wagman, Petra
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    The model of human occupation's usefulness in relation to sustainable development2014In: British Journal of Occupational Therapy, ISSN 0308-0226, E-ISSN 1477-6006, Vol. 77, no 3, p. 165-167Article in journal (Refereed)
    Abstract [en]

    There is general agreement that global climate changes are one of the greatest threats to humanity. Therefore, occupational therapists should use their knowledge about occupations to contribute to the ecological aspect of sustainable development. Similarly, when working with clients, therapists' occupational perspective can expand to include an ecological dimension. A conceptual framework would be valuable and, while empirical research is required, it would appear that the Model of Human Occupation (MOHO) is useful in this context.

  • 410.
    Wagman, Petra
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    What have occupational therapists written about global climate change? 2014Conference paper (Refereed)
  • 411.
    Wagman, Petra
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Ahlstrand, Inger
    Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Björk, M.
    Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden.
    Håkansson, C.
    Division of Occupational and Environmental Medicine, Lund University, Lund, Sweden.
    Occupational balance and its association with life satisfaction in men and women with rheumatoid arthritis2020In: Musculoskeletal Care, ISSN 1478-2189, E-ISSN 1557-0681Article in journal (Refereed)
    Abstract [en]

    Introduction:

    Despite improved treatments and reduced disability, people with rheumatoid arthritis (RA) experience difficulties in daily life, which may negatively affect their balance of everyday life activities (occupational balance). The aim of this study was to describe occupational balance and its association with self-rated life satisfaction in men and women with RA.

    Methods:

    A survey, including demographic and health-related questions, was sent to 1,277 people who met the following criteria: with RA >4 years, aged 18–80 years, included in the Swedish Rheumatology Quality Register (SRQ), and had at least one registered visit to the participating rheumatology units in the year before inclusion. The 682 who answered all items in the Occupational Balance Questionnaire (OBQ) were included in the study. Their answers were analysed with descriptive statistics, and logistic regression analyses were conducted on men and women separately.

    Results:

    Significantly higher occupational balance was identified in those participants who were >65 years, had no children at home, had a lower disease activity score, were not continuously stressed and reported low pain intensity. The results of the logistic regression analyses of both genders showed that higher occupational balance was significantly associated with a higher probability for rating themselves as being satisfied with life as a whole.

    Conclusion:

    Occupational balance was identified as related to satisfaction with life as a whole, which is valuable information for health professionals. Enhanced occupational balance may be achieved in people with RA by working towards reducing their stress and pain.

  • 412.
    Wagman, Petra
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Carita, Håkansson
    Lunds universitet.
    Jacobsson, Christian
    Göteborgs universitet.
    Falkmer, Torbjörn
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Björklund, Anita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    What is considered important for life balance? Similarities and differences among working adults in Sweden2014Conference paper (Refereed)
  • 413.
    Wagman, Petra
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Fristedt, Sofi
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Q metodologi i arbetsterapi - ett nytt sätt att identifiera subjektiva synsätt2013Conference paper (Refereed)
  • 414.
    Wagman, Petra
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Hjärthag, Fredrik
    Faculty of Arts and Social Sciences, Karlstad University, Karlstad, Sweden.
    Håkansson, Carita
    Division of Occupational and Environmental Medicine, Lund University, Lund, Sweden.
    Hedin, Katarina
    Futurum, Region Jönköping County and Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
    Gunnarsson, A. Birgitta
    Department of Research and Development, Kronoberg County Council, Växjö, Sweden.
    Factors associated with higher occupational balance in people with anxiety and/or depression who require occupational therapy treatment2019In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014Article in journal (Refereed)
    Abstract [en]

    Background: Anxiety and depressive disorders are associated with problems with everyday occupations, including difficulties achieving occupational balance. The aim of this cross-sectional study was to describe occupational balance in people suffering from anxiety and/or depression and the factors that are associated with better self-rated occupational balance.

    Material: One hundred and eighteen participants were recruited from outpatient mental health care and primary health care. The participants were 18-65 years, had a diagnosis of anxiety and/or depression, and had problems in everyday occupations. They answered questionnaires on occupational balance, psychological symptoms, quality of life and everyday occupations.

    Results: A generally low rating of occupational balance was found; however, the scores differed depending on the participants' degree of anxiety and depression, their quality of life, their occupational performance and satisfaction with their occupational performance. Logistic regression analyses revealed that high quality of life, high satisfaction with occupational performance and low level of depression were associated to occupational balance.

    Conclusion: The results indicate that enhanced satisfaction with life and with performance of everyday occupations are relevant factors for achieving occupational balance in clients diagnosed with anxiety and/or depression.

    Significance: The results will be valuable for professionals working to support their clients in enhancing their occupational balance.

  • 415.
    Wagman, Petra
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Håkansson, Carita
    Lunds Universitet.
    Exploring occupational balance in adults in Sweden2014In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 21, no 6, p. 415-420Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of this study was to describe the relationship between occupational balance (measured by the occupational balance questionnaire [OBQ]) and self-rated health and life satisfaction. A secondary aim was to explore differences in occupational balance among adults in Sweden. Methods: The 153 participants (63% women), recruited using convenience sampling, answered a questionnaire comprising demographic questions, the OBQ, one item about self-rated health, and one about life satisfaction. The OBQ was analysed for correlation with subjective health and life satisfaction. The OBQ and its individual items were also analysed for correlations with age and for differences between men and women and participants living with children younger than 18 years versus not. Results: The OBQ was significantly positively correlated to self-rated health and life satisfaction, supporting the relationship between occupational balance and health. No significant correlation between age and the total OBQ was identified but some differences in occupational balance, related to whether the participant was living with or without children at home, were revealed. Conclusions: The results should be interpreted with caution due to the nature of the sample and data but they can serve as a point of departure for further studies and hypotheses regarding occupational balance in different populations.

  • 416.
    Wagman, Petra
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Håkansson, Carita
    Division of Occupational and Environmental Medicine, Lund University, Lund , Sweden.
    Introducing the Occupational Balance Questionnaire (OBQ)2014In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 21, no 3, p. 227-231Article in journal (Refereed)
    Abstract [en]

    Objective: The concept of occupational balance is frequently used in occupational therapy but the fact that it has been defined and measured differently is a limitation. This article introduces the Occupational Balance Questionnaire (OBQ), which focuses on satisfaction with the amount and variation of occupations. It consists of 13 items measured on six-step ordinal scales. It has shown good content validity in a sample of 21 occupational therapists but other psychometric properties have not been investigated. The aim was to investigate the OBQ regarding internal consistency, test–retest reliability, and floor/ceiling effects. Methods: The OBQ was administered twice to a sample selected through convenience sampling. Internal consistency was investigated by Cronbach's alpha and test–retest reliability analysed with Spearman's Rho correlation for the total score and weighted kappa on each item. Potential floor/ceiling effects were explored by checking for the percentage of participants who scored lowest and highest. Results: The results demonstrated that the OBQ has good internal consistency (Cronbach's alpha 0.936) and sufficient test–retest reliability (Spearman's Rho for the total score was 0.926) and, thus, seems stable over time. No floor or ceiling effect was detected. Conclusions: The OBQ therefore showed promising reliability, although further instrument development studies to examine its construct validity are required.

  • 417.
    Wagman, Petra
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Håkansson, Carita
    Institute of Laboratory Medicine, Division of Occupational and Environmental Medicine, Lund University, Lund, Sweden.
    Occupational balance from the interpersonal perspective: A scoping review2019In: Journal of Occupational Science, ISSN 1442-7591, E-ISSN 2158-1576, Vol. 26, no 4, p. 537-545Article, review/survey (Refereed)
    Abstract [en]

    Background: Occupational balance is an important concept in occupational science but it has mostly been studied from an individual rather than an interpersonal perspective, i.e. the extent to which one individual’s occupational balance affects and is affected by others. The aim of this review was to describe the extent to which occupational balance has been recently considered from an interpersonal perspective.

    Methods: A scoping review methodology was used. Articles published between 2014 and 2017 that met the following inclusion criteria were included: full articles reporting primary research; published in English; using “occupational balance”, “balance in everyday life”, or “life balance” in the abstract, key words, or title; having an occupational focus on balance; and providing relevant information in relation to the interpersonal perspective.

    Results: Nine articles were included. The interpersonal perspective was mostly seen in relation to partners or families, showing the positive impact of support and the negative impact of meeting other’s needs in mothers. One article addressed aspects related to organizations and attitudes at the workplace in parents with young children.

    Conclusion: The findings reveal the importance of considering the occupational balance of both the individual and those around him or her while also showing some of the complexity of occupational balance. The limited number of articles identified indicates that there is still a lack of research using an interpersonal perspective, suggesting that further examination of the interpersonal influence on occupational balance may be a fruitful avenue to pursue. 

  • 418.
    Wagman, Petra
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Håkansson, Carita
    Lunds universitet.
    Björk, Mathilda
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Landstinget i Östergötland, Linköping.
    Gunnarsson, A. Birgitta
    Landstinget Kronoberg, Växjö, Göteborgs universitet.
    Självskattad aktivitetsbalans hos vuxna med gemensam diagnos och vuxna från en generell population2015Conference paper (Refereed)
    Abstract [sv]

    Tema: Hälsofrämjande perspektiv

    Stadier i livet: Vuxna

    Projekttyp: Forskningsarbete

    Bakgrund: Aktivitetsbalans är ett viktigt hälsorelaterat begrepp inom arbetsterapi. Det finns behov av studier där aktivitetsbalans mäts på samma sätt i olika populationer för att generera fördjupad kunskap om hur aktivitetsbalansen ser ut vid olika diagnoser och hur den skiljer sig från personer i generell befolkning. I studien används Occupational Balance Questionnaire (OBQ), baserad på definitionen att aktivitetsbalans är en persons upplevelse av att ha rätt mängd aktivitet och rätt variation mellan olika aktiviteter i sin vardag.

    Syfte: Syftet är att beskriva aktivitetsbalans hos personer i yrkesverksam ålder med gemensamma diagnoser (reumatoid artrit och ångest/depression) och hos personer från en generell population. Eventuella skillnader mellan män och kvinnor undersöks också. Ett ytterligare syfte är att kontrollera OBQs psykometriska egenskaper i grupperna med gemensam diagnos.

    Metod: Studien är pågående och data samlas in via frågeformulär. Deltagare är 50 personer med ångest eller depression (resultat från fler planeras till presentationen), 383 personer med reumatoid artrit och 217 personer från en generell population. Samtliga deltagare var i åldern 20-65 år. Aktivitetsbalans mättes OBQ vilket består av 13 påståenden som skattas på ordinalskala. Svaren summeras till en totalskala (0-65) och analyseras också avseende varje påstående. OBQ har visat god innehållsvaliditet. Det har också haft god intern konsistens och test-retestreliabilitet bland deltagare från generell population. Icke-parametrisk statistik används vid analys.

    Resultat/preliminärt resultat: Det preliminära resultatet visade att deltagarna med ångest/depression skattar lägre aktivitetsbalans (median 24) än de med reumatoid artrit (median 43) och deltagarna från en generell population (median 42). Samma resultat sågs i de enskilda påståendena. OBQ visade också god intern konsistens i samtliga grupper (Cronbachs alpha 0,874-0,947).

    Slutsats: Studien bidrar med kunskap om aktivitetsbalans i olika grupper.

  • 419.
    Wagman, Petra
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Håkansson, Carita
    Björk, Mathilda
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Gunnarsson, Birgitta
    Occupational balance in different populations and an evaluation of the psychometric properties of a newly developed instrument 2014Conference paper (Refereed)
  • 420.
    Wagman, Petra
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Håkansson, Carita
    Björklund, Anita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    A proposed definition of occupational balance2012Conference paper (Refereed)
  • 421.
    Wagman, Petra
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Håkansson, Carita
    Lunds universitet.
    Jacobsson, Christian
    Göteborgs universitet.
    Falkmer, Torbjörn
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Björklund, Anita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Likheter och skillnader i synen på vad som är viktigt för att uppleva livsbalans2015Conference paper (Refereed)
    Abstract [sv]

    Tema: Vardagsaktiviteter

    Stadier i livet: Vuxna

    Projekttyp: Forskningsarbete

    Bakgrund: Forskning har visat livsbalans som ett subjektivt, mångdimensionellt och hälsorelaterat begrepp. Ingen studie har dock undersökt vad människor ser som mer eller mindre viktigt för att uppleva balans i sitt liv eller om detta skiljer sig åt mellan människor.

    Syfte: Syftet är att utforska vad som anses viktigt för livsbalans och om detta skiljer sig åt mellan människor.

    Metod: Q metodologi användes och deltagarna var sexton män och sexton kvinnor. Samtliga var yrkesverksamma och i åldern 21-67 år. Varje deltagare sorterade 42 påståenden om livsbalans på en mall i enlighet med sin uppfattning om hur viktigt påståendet var för deras balans i livet. Deltagarnas mallar analyserades statistiskt, med faktoranalys och varimaxrotation, för att generera olika synsätt/faktorer.

    Resultat/preliminärt resultat: Både likheter och skillnader mellan deltagarna identifierades. Fyra olika synsätt framkom, dvs. liknande mönster av uppfattningar mellan några deltagare. I samtliga sågs dock goda relationer till de närmaste som mycket viktigt. Andra likheter identifierades också mellan vissa av synsätten och deltagarna i tre av dem ansåg det, till exempel viktigt att känna sig frisk och kry. Därutöver hade varje synsätt sitt unika perspektiv på vad som ansågs viktigt för livsbalans och de namngavs efter respektive perspektiv: ”aktivitetsbalans”, ”självförverkligande”, ”medvetenhet om egna behov” och ”ömsesidiga relationer”.

    Slutsats: Resultatet stöder att livsbalans är subjektivt, mångdimensionellt och hälsorelaterat även om det inte kan generaliseras. Det visar också på betydelsen av klientcentrering då det kan finnas skillnader mellan vad klienter ser som mer eller mindre betydelsefullt för sin livsbalans.

  • 422.
    Wagman, Petra
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Håkansson, Carita
    Jonsson, Hans
    Aktivitetsbalans - ett viktigt begrepp i arbetsterapi2013Conference paper (Refereed)
  • 423.
    Wagman, Petra
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Håkansson, Carita
    Lunds Universitet.
    Jonsson, Hans
    Karolinska Institutet.
    Occupational balance: A scoping review of current research and identified knowledge gaps2015In: Journal of Occupational Science, ISSN 1442-7591, E-ISSN 2158-1576, Vol. 22, no 2, p. 160-169Article, review/survey (Refereed)
    Abstract [en]

    This article reports a comprehensive review of the research conducted regarding occupational balance. A scoping study method was used to explore and describe current research about occupational balance and to identify research gaps. Twenty-two articles published between 2009 and 2014 met the inclusion criteria. The articles reported studies conducted in eight countries on four continents, but the majority were conducted in Europe and North America. The articles contributed to knowledge about the concept itself, its importance, levels of occupational balance, and the relationship between occupational balance and health and well-being. They also described what is important for occupational balance or how to enhance/create/recreate it and differences between people. Several research gaps were identified which include the need for studies about perceptions of occupational balance among people beyond western societies. Furthermore, systematic research is warranted with regards to levels of occupational balance, and how to enhance it.

  • 424.
    Wagman, Petra
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Håkansson, Carita
    Matuska, Kathleen
    Björklund, Anita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Falkmer, Torbjörn
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    The five dimensions in the Life Balance Model are empirically supported by Swedish participants2012Conference paper (Refereed)
    Abstract [en]

    Introduction: The Life Balance Model by Matuska and Christiansen (2008) proposes that satisfaction of five needs (dimensions) is necessary for people to perceive life balance: basic instrumental needs; rewarding relationships; engagement and challenges; meaningfulness and positive identity; satisfactorily organization of time and energy.

    Aim: To validate the model dimensions by relating them to the perceptions of life balance from women recovering from stress related disorders and working men and women without recent long term sick leave.

    Methods: Secondary qualitative analyses of the two data sets (n 19 each) were conducted. Matrix analyses were used for comparing data with dimensions.

    Results: The results showed support for the five dimensions in the model as they were included in the perceptions of life balance from the two populations: women with stress related disorders and; working men and women.

    Conclusion: The dimensions in Life balance model were supported empirically by two different Swedish populations.

  • 425.
    Wagman, Petra
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Johansson, Ann
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Björklund Carlstedt, Anita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Fristedt, Sofi
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Occupation and health abroad as described by EU citizens begging in Sweden2017Conference paper (Refereed)
  • 426.
    Wagman, Petra
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Johansson, Ann
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Fristedt, Sofi
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Begging abroad in Sweden: An interview study2019In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014Article in journal (Refereed)
    Abstract [en]

    Background: The occurrence of begging by poor people from other countries in the European Union (EU) is now common in Scandinavia. They have a challenging life, but there is little knowledge about their own perceptions of their stay abroad.

    Aim: To explore the experiences of EU citizens begging in Sweden.

    Material: A descriptive design was used. Data were gathered through individual interviews conducted in Romanian and translated into Swedish. These were analysed using conventional content analysis. Participants were 20 EU citizens aged 19?64 years with experience of begging in Sweden.

    Results: The identified main category, "A hard time abroad to improve one's life", contained four categories - "Endurance is required to make a living"; "Exposed to others' attitudes and kindness"; "Handling being away"; and "A better life is the driving force".

    Conclusions and significance: EU citizens who beg face occupational injustice, spending many hours in non-preferred activity of begging and with few leisure activities, although no generalizations can be drawn based on this study. The importance of a friendly attitude and environmental support when abroad was also shown. Since occupational justice is within the scope of occupational therapy, occupational therapists have the skills to contribute in collaboration with others.

  • 427.
    Wagman, Petra
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Johansson, Ann
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Jansson, Inger
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Lygnegård, Frida
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. CHILD.
    Edström, Eva
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Björklund Carlstedt, Anita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Morville, Anne-Le
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Ahlstrand, Inger
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Fristedt, Sofi
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Making sustainability in occupational therapy visible by relating to the Agenda 2030 goals – A case description of a Swedish university2020In: World Federation of Occupational Therapists Bulletin, ISSN 1447-3828Article in journal (Refereed)
    Abstract [en]

    Occupational therapy has a lot to contribute to sustainable development considering the discipline?s occupational focus and knowledge. This has been recognised by researchers and professional associations, but there is still a scarcity of research explicitly mentioning sustainability. Relevant contributions may be identified by relating education and research to the Agenda 2030 sustainable development goals. The aim of this article was to describe explicit and implicit inclusion of sustainable development and Agenda 2030 goals in occupational therapy education and research at one Swedish university. Current course syllabi and study guides, as well as research over the past five-year period, were examined and related to sustainability. The results showed that although only a few courses and articles were explicitly related to sustainable development, more course and research content became relevant when this content was compared with the sustainable development goals. It can be concluded that sustainability was more extensively addressed than first visible, but further studies including more universities are warranted.

  • 428.
    Wagman, Petra
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ. Oral health. Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Rolander, Bo
    Jönköping University, School of Health and Welfare, HHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue). Futurum, Academy for Health and Care, Jönköping County Council, Jönköping, Sweden.
    Wåhlin, Charlotte
    Department of Clinical and Experimental Medicine, Occupational and Environmental Medicine Center, Linköping University, Linköping, Sweden.
    Håkansson, Carita
    Division of Occupational and Environmental Medicine, Lund University, Lund, Sweden.
    Occupational balance in health professionals in Sweden2017In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 24, no 1, p. 18-23Article in journal (Refereed)
    Abstract [en]

    Background: Health care employees are often women, a group that has high degrees of sick leave and perhaps problems attaining occupational balance. However, people think differently about their everyday activities and it is therefore important to take their perceptions into account but occupational balance has not yet been measured in health professionals. The aim was to describe occupational balance in three different samples of health professionals in Sweden. A further aim was to investigate whether occupational therapists (OTs) rate their occupational balance differently from other health professionals.

    Material and method: Four hundred and eighty-two health professionals, employees in public dentistry, mental health care and OTs, aged 21–70 years participated. The participants’ occupational balance was measured using the occupational balance questionnaire (OBQ).Results: The ratings of occupational balance were similar to earlier studies and did not differ significantly between the samples. The OTs’ occupational balance was also similar to that of the other health professionals.

    Conclusion: The similarities in occupational balance indicate the same difficulties in attaining it.

    Significance: The result highlights the possibility that working people face similar difficulties in achieving occupational balance. Further research is warranted about how to attain it.

  • 429.
    Wagman, Petra
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Nordin, Maria
    Department of Psychology, Umeå University, Umeå, Sweden.
    Alfredsson, Lars
    Center of Occupational and Environmental Medicine, Stockholm County Council, Stockholm, Sweden.
    Westerholm, Peter J. M.
    Department of Occupational and Environmental Medicine, Uppsala University, Uppsala, Sweden.
    Fransson, Eleonor I.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Domestic work division and satisfaction in cohabiting adults: Associations with life satisfaction and self-rated health2017In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 24, no 1, p. 24-31Article in journal (Refereed)
    Abstract [en]

    Background: The amount and perception of domestic work may affect satisfaction with everyday life, but further knowledge is needed about the relationship between domestic work division and health and well-being.

    Aim: To describe the division of, and satisfaction with, domestic work and responsibility for home/family in adults living with a partner. A further aim was to investigate the associations between these aspects and self-rated life satisfaction and health.

    Method: Data from the Work, Lipids and Fibrinogen survey collected 2009 were used, comprising 4924 participants living with a partner. Data were analyzed using logistic regression.

    Results: The majority shared domestic work and responsibility for home/family equally with their partner. However, more women conducted the majority of the domestic work and were less satisfied with its division. When both division and satisfaction with division was included in the analysis, solely satisfaction with the division and the responsibility were associated with higher odds for good life satisfaction. Regarding health, higher odds for good self-rated health were seen in those who were satisfied with their division of responsibility.

    Conclusion and significance: The results highlight the importance of taking into account not solely the actual division of domestic work but also the satisfaction with it.

  • 430.
    Wan, Anson H.
    et al.
    Interdisciplinary Division of Biomedical Engineering, Hong Kong Polytechnic University, Hung Hom, Hong Kong.
    Wong, Duo W.
    Interdisciplinary Division of Biomedical Engineering, Hong Kong Polytechnic University, Hung Hom, Hong Kong.
    Ma, Christina Zong-Hao
    Interdisciplinary Division of Biomedical Engineering, Hong Kong Polytechnic University, Hung Hom, Hong Kong.
    Zhang, Ming
    Interdisciplinary Division of Biomedical Engineering, Hong Kong Polytechnic University, Hung Hom, Hong Kong.
    Lee, Winson C.
    Interdisciplinary Division of Biomedical Engineering, Hong Kong Polytechnic University, Hung Hom, Hong Kong.
    Wearable vibrotactile biofeedback device allowing identification of different floor conditions for lower-limb amputees2016In: Archives of Physical Medicine and Rehabilitation, ISSN 0003-9993, E-ISSN 1532-821X, Vol. 97, no 7, p. 1210-1213Article in journal (Refereed)
    Abstract [en]

    Objective: To evaluate a newly developed biofeedback device enabling lower-limb amputees to identify various floor conditions.

    Design: Self-control with repeated measures (with and without the biofeedback device) within the amputee group, and group control comparing between amputee and nonamputee groups.

    Setting: University locomotion laboratory.

    Participants: Five lower-limb amputees and 8 nonamputees (N=13).

    Interventions: A wearable biofeedback device, which identified different floor conditions by analyzing the force patterns under the prosthetic feet and provided vibration cues in response to different floor conditions, was provided to the amputees.

    Main Outcome Measures: The subjects stepped on a foam platform concealing a small object or no object at 1 of the 4 locations of the foot sole. Subjects were asked whether there was a small object under their feet and the location of the object if it existed. The test was repeated with 4 different object types and 4 object locations. The success rate of floor identification was evaluated.

    Results: Without the biofeedback device, nonamputee subjects (76.56%) identified floor conditions better than amputees (22.5%) significantly (P<.001). On using the biofeedback device, the amputees significantly improved (P<.01) their success rate showing no significant difference (P=.746) compared with the nonamputees. No significant differences were found among object types (P=.689).

    Conclusions: Amputees performed significantly worse than nonamputees in recognizing the different floor conditions used in this experiment. With the biofeedback device, amputees significantly improved their abilities in identifying different floor conditions. Future attempts could configure the device to allow it to provide warning signals in response to fall-inducing conditions.

  • 431.
    Wedin, Linnéa
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Wisberg, Linnéa
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Äldres upplevelser av möjligheter och hinder till meningsfulla aktiviteter: En kvalitativ intervjustudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Meaningful occupations are part of the occupational therapist’s competence and should be the foundation in interventions. The aim was to describe the experience of the possibilities and hindrance to meaningful activities for elderly in ordinary living who has support from home care. The thesis had a qualitative design with semi structured interviews with ten participants. The result showed factors that enabled and disabled the possibility to perform meaningful activities. “The importance of the physical environment”, the environment around the elderly affected the performance due to if it was adapted or not. Activities nearby, transportation as well as light and warmth enabled meaningful activities. “Obstructive personal factors”, physical body factors and mental body factors affected the ability to perform meaningful activities. “Organized social activities”, the church enabled activities, the home care support to some extent and organizations have cancelled activities. The theme “It´s not about how old you are, but how you are old” emerged. Society’s opinion about the elderly and elder’s internalised opinion about themselves affect the possibility to meaningful activities. The conclusion showed that environmental factors and individual factors affected the ability to perform meaningful activities. This knowledge contributes to occupational therapists work to enable meaningful activities for the elderly.

  • 432.
    Westlin, Eva
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Björklund, Anita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    A Delphi study of occurring information in housing adaptation certificates2016In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 23, no 5, p. 357-365Article in journal (Refereed)
    Abstract [en]

    Background: Since 1993, the Housing Adaptation Act has provided disabled people the opportunity to receive grants for adapting their homes. A housing adaptation certificate certifying the necessity of adaptations must accompany any application and if information in housing adaptation certificates is not sufficient, the applicant is risking not having necessary housing adaptations.

    Objective: The aim of this study was to identify and describe what information is missing, unnecessary or vague, in the housing adaptation certificates; to determine how often this occur, and how problematic this can be for the decision process.

    Material and methods: 105 housing adaptation grant managers took part in a three-round Delphi survey.

    Results: At least 65% consensus was reached regarding the following six statements: missing information about disability duration, possession of relevant assistive devices, consequences of the disability in housing, prognosis of consequences, who the informant is, or contains preferences for specific solutions. Missing, unnecessary or vague information pose serious or less serious problems and 38–72% of the participants reported that this often or always occur.

    Conclusion: Housing adaptation certificates need to be improved.

    Significance: The results of this study are used to design a checklist for use by housing adaptation certificate writers.

  • 433.
    Widmark, Elin
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Occupation According to Children: How Can Occupation be Categorized Based on Their Experiences?2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The categorization of occupation that is commonly used today in occupational therapy and science lacks an empirical foundation. There is no common definition or conceptualization, which limits the ability to understand and evaluate the impact of occupation on wellbeing. Research within this subject has been conducted with adults. Research about children and youths has mainly focused on specific occupational forms and/or diagnosis, and the aim of the study was to identify experience based categories of occupation from children’s perspective. Through qualitative interviews with 10 children aged 12-15, data were collected which were then analyzed using qualitative content analysis. Eight experience based categories were identified: occupations focused on manipulating time, experiencing enjoyment and satisfaction, experiencing boredom and tediousness, occupations which lead do deeper engagement, relaxation and recovery through occupations, basic occupations of everyday life, occupations on a continuum based on level of challenge, and self-identification through occupation. The categories shows connections to earlier research within the field. The presented experience based categories shows a possible way of understanding children’s experience of occupation. Further research is needed to confirm their relevance and if there is a connection to wellbeing.

  • 434.
    Widmark, Elin
    et al.
    County Council of Värmland, Sweden.
    Fristedt, Sofi
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Occupation according to adolescents: Daily occupations categorized based on adolescents’ experiences2019In: Journal of Occupational Science, ISSN 1442-7591, E-ISSN 2158-1576, Vol. 26, no 4, p. 470-483Article in journal (Refereed)
    Abstract [en]

    The categorizations of occupation commonly used in occupational science and therapy today lack empirical foundations for children and adolescents. Without common definition or conceptualization, the ability to understand and evaluate the impact of occupation on people’s lives is limited. Research in these areas has predominantly been conducted with adults and research about children and adolescents has mainly focused on specific occupations and/or diagnoses. The study aimed to identify experience-based categories of occupation from the perspective of adolescents. Through qualitative interviews with 10 participants aged 12-15, data were collected and analyzed using qualitative content analysis. Eight experience-based categories were identified: experiencing change of time perception, experiencing enjoyment and satisfaction, experiencing challenge and competence, experiencing boredom and tediousness, experiencing deeper engagement, experiencing relaxation and recovery, experiencing need, necessity or neutrality, and experiencing self-identification. The categories cover a variety of experiences, and show connections to earlier research. The findings show a possible way of understanding adolescents’ experience of occupation, and contribute to earlier research with an adolescent perspective. Further research is needed to confirm their relevance within other groups and contexts and can be used in further exploration of conceptualization.

  • 435.
    Wigrup, Ida
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Warfving, Linn
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Metoder som arbetsterapeuter kan använda för att minska utmanande beteende: En scoping review2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Challenging behaviour often results in occupational limitations for the individual that suffer from the behaviour, but also for their surroundings. This entails reduced possibilities to activity and participation which will affect their quality of life. There is a lack of focus on developing occupational therapeutic methods within this area today, also the current research within the field is limited. The aim of this bachelor thesis was to explore occupational therapeutic methods described in the literature to reduce challenging behaviour. Scoping review was used as study design. In AMED, CINAHL, MEDLINE and Psycinfo were 124 articles found, 13 of these were doublets. The result included 20 articles corresponding to the aim, 13 of these were published in USA. and 20 articles which corresponded to the aim was included in the results. All included articles were available in full text, written in english and published between 2003- 2018. A wide range of methods were shown in the results. These were categorized into four key issues: activity based methods, environmental methods, sensory methods and support and strategies. This field is relatively unexplored and there are large possibilities for occupational therapists to contribute with competence.

  • 436. Wilson, B. N.
    et al.
    Crawford, S. G.
    Green, Dido
    Guy’s & St Thomas’ Foundation Trust & Kings College London Biomedical Research Centre, Strand, London, UK.
    Roberts, G.
    Aylott, A.
    Kaplan, B. J.
    Psychometric properties of the revised Developmental Coordination Disorder Questionnaire2009In: Physical & Occupational Therapy in Pediatrics, ISSN 0194-2638, E-ISSN 1541-3144, Vol. 29, no 2, p. 184-204Article in journal (Refereed)
    Abstract [en]

    The Developmental Coordination Disorder Questionnaire (DCDQ) is a parent-completed measure designed to identify subtle motor problems in children of 8 to 14.6 years of age. The purpose of this study was to extend the lower age range to children aged 5 to 7 years, revise items to ensure clarity, develop new scoring, and evaluate validity of the revised questionnaire. Additional items with improved wording were generated by an expert panel. Analyses of internal consistency, factor loading, and qualitative/quantitative feedback from researchers, clinicians, and parents were used to select 15 items with the strongest psychometric properties. Internal consistency was high (alpha = .94). The expanded questionnaire was completed by the parents of 287 children, aged 5-15 years, who were typically developing. Logistic regression modeling was used to generate separate cutoff scores for three age groups (overall sensitivity = 85%, specificity = 71%). The revised DCDQ was then compared to other standardized measures in a sample of 232 children referred for therapy services. Differences in scores between children with and without DCD (p < .001) provide evidence of construct validity. Correlations between DCDQ scores and Movement Assessment Battery for Children (r = .55) and Test of Visual-Motor Integration (r = .42) scores support concurrent validity. The results provide evidence that the revised DCDQ is a valid clinical screening tool for DCD.

  • 437. Winge, CJ.
    et al.
    Morville, Anne-Le
    Metropolitan University College, Denmark.
    The influence of occupation on wellbeing, as perceived by the elderly2015Conference paper (Other academic)
  • 438.
    Yazdani, Farzaneh
    et al.
    Oxford Brookes University.
    Stringer, Amy
    Jönköping University, School of Health and Welfare.
    Occupational Therapists’ Reflections On Transferring Their Learning From A Therapeutic Relationships Workshop Into Practice2019In: British Journal of Occupational Therapy, ISSN 0308-0226, E-ISSN 1477-6006, Vol. 82, no 8, SI, p. 126-126Article in journal (Refereed)
    Abstract [en]

    Research aim: The aim was to explore the experience of practising occupational therapists in transferring their learning from the Mindful Therapeutic Relationship (MTR) workshop into their own clinical practice. The workshop was developed based on the Intentional Relationship Model (Taylor 2008) and focuses on therapists being aware and mindful of the therapeutic relationship processes that occur during and after intervention.

    Research design: Thirteen occupational therapists participated in the workshop and subsequently completed between one and four reflection notes. These notes were subjected to a qualitative thematic analysis.

    Research method: Participants of the workshop were asked to write a weekly reflection for a period of four–six weeks to submit to the researcher. Thematic analysis strategies (Guest et al 2012) were used.

    Results: The findings were organised into three themes: therapeutic relationship reasoning, barriers to implementing the current learning and facilitators of transferring theory into practice.

    Conclusions: The therapists value learning and practising strategies that can support therapeutic relationships. Reflection skills seem essential for establishing and developing therapeutic relationships; such skills may need to be facilitated by the work environment.

  • 439.
    Zango Martin, Inmaculada
    et al.
    University of Castilla-La Mancha, Guadalupe, Spain.
    Flores Martos, Juan Antonio
    University of Castilla-La Mancha, Dept Philosophy, Talavera De La Reina, Spain.
    Moruno Millares, Pedro
    University of Castilla-La Mancha, Dept Occupational Therapy, Talavera De La Reina, Spain.
    Björklund, Anita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Occupational therapy culture seen through the multifocal lens of fieldwork in diverse rural areas2015In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 22, no 2, p. 82-94Article in journal (Refereed)
    Abstract [en]

    Background: Existing occupational therapy culture has not yet fully articulated diverse worldviews on occupation, health, and well-being and the link between them. Taking into consideration the diversity of the global world, incorporating different worldviews would be a valuable contribution to expanding the relevance of occupational therapy. Aim: The aim of this research was to analyse worldviews regarding human occupation and the link between occupation, health, and well-being among people from rural Honduras, Morocco, Burkina Faso, Tanzania, and Ecuador. Methods: This ethnographic research used three methods, i.e. semi-structured interviews, participant observations, and in-depth interviews, to collect data from 27 participantother"s in five countries. The material was analysed using a Grounded Theory approach. Results: One core category, "Occupations are social practices", was identified and it included three subcategories: "Occupation, health and well-being as a personal and community experience"; "Co-occupations, collective occupations and collaborative occupations are the most important occupations"; and "Occupation, health and well-being mutually influence each other". Conclusion and significance. The overall findings showed that taking different worldviews into account is needed for developing an occupational therapy culture that is useful globally and hosts diverse meanings and occupation-focused practices.

  • 440.
    Örnberg, Ulrika
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Löfqvist, Paulina
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Arbetsterapins betydelse i naturunderstödd rehabilitering: En beskrivande studie av verksamheter inom naturunderstödd rehabilitering för personer med stressrelaterade besvär.2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The mental health issue are increasing and is a growing problem for the society, which is followed by negative consequences for both the individual and the society. Mental health problems are the most common reason for sick leave. Nature-based rehabilitation with creative gardening has shown to be meaningful for people with mental health problems and is followed by a decreased sick leaving. Occupational therapist’s activity focus from a holistic and dynamic point of view that can give the client a feeling of well-being. Purpose: Enlighten the meaning of occupational therapy in nature-based rehabilitation for people with stress-related issues. Method: The study has a qualitative design. Nine participants were recruited by a typical selection. The data collection was made by semistructured interviews, which was made by a specific guide containing 15 questions. The data was analyzed with help from a qualitative content analysis which resulted in three domains and seven categories. Result: All the participants mentioned the meaning of meaningful activities. It appeared that the occupational therapists had an additional point of view and dimension of the concept activity and its meaning. Operations with occupational therapists tend to have more hours of rehabilitation than the operations without. Their work involves treating the participants. The operations without occupational therapist did not use any treating compliments in their rehabilitations.. Conclusion: The occupational therapist’s perspective on activity could be distinguished, but the other informants also had a good idea about the activities meaning in their rehabilitations. The occupational therapist’s qualifications have a complement perspective in a relation to other professionals, who has meaningful qualities for the rehabilitation in the NUR operations.

  • 441.
    Östlund, Gunnel
    et al.
    Department of Social Work, School of Health Care and Social Welfare, Mälardalen University, Eskilstuna, Sweden.
    Björk, Mathilda
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Rehabilitation Center, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
    Valtersson, Eva
    Department of Rehabilitation and Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
    Sverker, Annette
    Department of Rehabilitation and Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
    Lived experiences of sex life difficulties in men and women with early RA – The Swedish TIRA Project2015In: Musculoskeletal Care, ISSN 1478-2189, E-ISSN 1557-0681, Vol. 13, no 4, p. 248-257Article in journal (Refereed)
    Abstract [en]

    Background: Men and women with rheumatoid arthritis (RA) experience restrictions in everyday life, in spite of the development of new medications. Recent research has described in detail how participation limitations are experienced in everyday life from a patient perspective. However, knowledge of how sex and intimate relationships are affected is still scarce.

    Objectives: The aim of the present study was to explore sex life experiences in relation to sexual function and sexual relationships in men and women with early RA.

    Methods: The study formed part of TIRA-2 (the Swedish acronym for the prospective multicentre early arthritis project). The data collection included 45 interviews with 21 men and 24 women, aged 20–63, which were recorded and transcribed verbatim. The critical incident technique was used to collect data, and content analysis to categorize the results.

    Results: Half the participants stated that RA affected their sex life. The general descriptions formed five categories: sex life and tiredness; sex life and ageing; emotional consequences of impaired sexual function; facilitators of sexual function and sexual relationships; and strain on the sexual relationship.

    Conclusions: Sex life is affected in early RA, in spite of new effective treatment strategies. New strategies of communication, assessment and self-managing interventions concerning the sex lives of patients with RA need to be implemented by a multidisciplinary healthcare team.

  • 442.
    Štefanac, Siniša
    et al.
    Ludwig Boltzmann Society, Vienna, Austria and Medical university of Vienna, Austria.
    Grabovac, Igor
    Medical University of Vienna, Vienna, Austria.
    Fristedt, Sofi
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Wheelchair Users’ Satisfaction with the Prescribed Wheelchairs and Wheelchair Services in Croatia2018In: Collegium Antropologicum, ISSN 0350-6134, E-ISSN 1848-9486, Vol. 42, no 3, p. 101-112Article in journal (Refereed)
    Abstract [en]

    The authors tried to determine the wheelchair users’ satisfaction with prescribed wheelchairs and wheelchair services in Croatia. An online survey was distributed among members of the Croatian Paraplegic and Tetraplegic Alliance. One hundred-four participants were included in the analyses using non-parametric statistics. Most participants were satisfied with wheelchair dimensions (n=84;81%), functionality (n=80;77%), easiness to use (n=81;78%), comfort (n=69;66%) and wheelchair parts adjustment (n=64;62%). Individuals satisfied with wheelchair characteristics were also more engaged in the activities of everyday living than participants who were not satisfied. Significant activity participation was found in the following activities: bathing/showering (χ2=7.02;df=1;p=0.017), transfers (χ2=8.49;df=1;p=0.01), bladder/bowel management (χ2=17.77;df=1;p<0.001), food preparation (χ2=8.34;df=1;p=0.004), eating (χ2=9.33;df=1;p=0.014) and doing household chores (χ2=13.28;df=1;p<0.001). Fifty-seven participants (54.8%) had received wheelchair assessment and were also predominantly satisfied with the assessment (n=51;90%), selection process (n=49;79%), equipment trial (n=24;80%), education/skills training (n=40;89%) and the fitting process (n=38;86%). Participants who received wheelchair assessment and skills training felt safer when using wheelchairs (χ2=6.13;df=1;p=0.013). Majority of the participants were unsure where to ask for second opinions regarding wheelchair assessment (n=80;77%) and where to seek wheelchair support groups (n=78;75%). Satisfaction with wheelchairs and wheelchair services leads to more involvement in the activities of everyday living and increases feelings of safety.

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