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  • 401.
    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.

  • 402.
    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.

  • 403.
    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.

  • 404.
    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.

  • 405.
    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.

  • 406.
    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.

  • 407. 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.

  • 408. 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)
  • 409.
    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.

  • 410.
    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.

  • 411.
    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.

  • 412.
    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.

  • 413.
    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.

6789 401 - 413 of 413
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