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  • 51. Jansson, Inger
    et al.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. CHILD.
    Erfarenheter av att återgå till arbete efter sjukskrivning och arbetslöshet2006In: Vågor på HaVet: tio texter om arbete och funktionshinder, Jönköping: Hälsohögskolan , 2006, p. 26-Chapter in book (Other (popular science, discussion, etc.))
  • 52. Jansson, Inger
    et al.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. CHILD.
    Hindrande och stödjande faktorer för arbetsåtergång: En fokusgruppstudie ur ett miljöperspektiv av tidigare arbetslösa, sjukskrivnas uppfattningar.2005In: Svensk Rehabilitering, ISSN 1403-4468, no 4, p. 30-34Article in journal (Other (popular science, discussion, etc.))
  • 53.
    Jansson, Inger
    et al.
    Jönköping University, School of Health Science, HHJ. ADULT. Regional Social Insurance office in Kalmar.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    The Experience of Returning to Work2007In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 28, no 2, p. 121-134Article in journal (Refereed)
    Abstract [en]

    The purpose of this qualitative study was to explore from an environmental perspective the experiences of returning to work of former unemployed sickness absentees. Five separate focus-group interviews were carried out with themes concerning different environmental areas. The findings showed that the participants in their process of being off work and then attempting returning to work experienced a personal transition manifesting itself as a negative self-image, change of life-rhythm and restrictions in their roles and activities. In their progression, the participants experienced a need for reorientation and expressed feelings of alienation, and for that reason felt need of support from a network, especially a professional one. Regarding attitudes in society, the participants reported experiences of social stigmatization, both in mass media and in their immediate social environment, and an increasing egocentricity among their fellow-workers. They perceived their progression back to work as a ‘time quarantine’ and as a long and destructive wait for support. The findings indicate that the phenomenon of ‘returning to work’ after unemployment and sick leave could not be reduced to a single issue. It should rather be seen as a dynamic problem with individual and structural, environmental aspects.

  • 54.
    Jansson, Inger
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Björklund, Anita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Perseius, Kent-Inge
    Kalmar City Hospital, Kalmar, Sweden.
    Gunnarsson, A. Birgitta
    Kronoberg City Council, Unit for Research and Development, Växjö, Sweden.
    The concept of 'work ability' from the view point of employers2015In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 52, no 1, p. 153-167Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Since work ability is manifested in working life and "bought" by employers, employers perceptions of the concept are important to understand. Studies have shown that people with health problems want to take part in the labour market, but experience difficulties in gaining access. Additionally, studies have demonstrated the doubt felt by employers when they consider hiring a person with a disability.

    OBJECTIVE: The aim was to identify and characterise employers' conceptions of work ability.

    METHODS: The study design was qualitative with a phenomenographic approach. Six male and six female employers from various workplaces and geographical areas in Sweden were interviewed.

    RESULTS: Three domains were identified: employees' contributions to work ability, employers' contributions to work ability and circumstances with limited work ability. Work ability was regarded as a tool in production and its output, production, was the main issue. The employees' commitment and interest could bridge other shortcomings.

    CONCLUSIONS: The employers highlighted their own contributions in shaping work ability in order to fit with work circumstances. Health problems were not the only limiting issues; other circumstances, such as individual characteristics and contextual factors, could limit work ability too. Knowing the importance of commitment and interest is valuable in work rehabilitation.

  • 55.
    Jansson, Inger
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Gunnarsson, A. Birgitta
    Kronoberg City Council, Unit for Research and Development, Växjö, Sweden.
    Björklund, Anita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Brudin, Lars
    Kalmar City Hospital, Kalmar, Sweden.
    Perseius, Kent-Inge
    Kalmar City Hospital, Kalmar, Sweden.
    Problem-based self-care groups versus cognitive behavioural therapy for persons on sick leave due to common mental disorders: A randomised controlled study2015In: Journal of occupational rehabilitation, ISSN 1053-0487, E-ISSN 1573-3688, Vol. 25, no 1, p. 127-140Article in journal (Refereed)
    Abstract [en]

    Purpose To evaluate the interventional capacity of problem based method groups (PBM) regarding mental health and work ability compared to cognitive behavioural therapy (CBT) for persons on sick leave due to common mental disorders. Methods In a randomised controlled design the experimental group received PBM and the control group received CBT. Outcomes were measured by the Hospital Anxiety and Depression Scale (HADS), the Stress and Crisis Inventory 93 (SCI-93) and the Dialogue about Working Ability instrument (DOA). Results Twenty-two participants in the PBM group and 28 in the CBT group completed intervention. Both groups showed significant lower scores on the two HADS subscales. Regarding stress the PBM group showed significant decrease in one (out of three) subscales of SCI-93. The CBT group showed significant decrease on all subscales of SCI-93. Regarding work ability the PBM group showed significant higher scores on one of five subscales of DOA. The CBT group showed significant higher scores on four of five subscales of DOA. Between groups there were significant differences to the favour of CBT on one of two subscales of HADS, all three subscales of SCI-93 and on two of the five subscales of DOA. Conclusion PBM seem to be able to reduce anxiety- and depression symptoms. CBT showed to be superior to PBM in reducing symptoms in all aspects of mental health, except for anxiety, in which they seem equally effective. Regarding work ability CBT showed to be superior, with significant effect on more aspects compared to PBM.

  • 56.
    Jansson, Inger
    et al.
    Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Perseius, Kent-Inge
    Nyckeln Competence Centre for Pedagogic in Healthcare, Kalmar County Hospital, Kalmar, Sweden.
    Gunnarsson, Anna Birgitta
    Unit for Research and Development, Kronoberg County Council, Växjö, Sweden.
    Björklund, Anita
    Jönköping University, School of Health and Welfare, HHJ. Ageing - living conditions and health.
    Work and everyday activities: Experiences from two interventions addressing people with common mental disorders2014In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 21, no 4, p. 295-304Article in journal (Refereed)
    Abstract [en]

    Objective: Lengthy sick leave makes demands on work ability enhancing interventions in primary health care. Problem-based method (PBM) and cognitive behavioural therapy (CBT) are interventions aimed at people with common mental disorders. This study aimed to describe how individuals experienced interventions and the impact the interventions had on the individuals' ability to work and perform other everyday activities. Method: Fourteen women and two men, eight each from two interventions, were interviewed. The interviews were analysed using qualitative content analysis. Results: The analysis revealed one overarching theme: "Reaching safe ground or continuing to seek help". Four categories were identified: "From being passive to making one's own efforts in the rehabilitation process", "Being stuck on a treadmill or daring to change", "Evolving from routine to more aware behaviour", and "Fitting in or not fitting in with workplace situations". Conclusions: According to the participants, experiences from both PBM and CBT had a positive impact on their ability to work and perform other everyday activities in a more sustainable way. Reflecting on behaviour and achieving limiting strategies were perceived as helpful in both interventions, although varying abilities to incorporate strategies were described. In general, the results support the use of active coping-developing interventions rather than passive treatments.

  • 57.
    Johansson, Ann
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. Ageing - living conditions and health.
    Björklund, Anita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Livsstilsinterventioner i äldre personers vardagsliv för hälsa, välbefinnande och aktivitetsanpassning. Göteborg: Arbetsterapiforum 15-16 april, 2015.2015Conference paper (Refereed)
  • 58.
    Johansson, Ann
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. Ageing - living conditions and health.
    Björklund, Anita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. Ageing - living conditions and health.
    Occupational Adaptation or Well-tried, Professional Experience in Rehabilitation of the Disabled Elderly at Home2006In: Activities, Adaptation & Aging, ISSN 0192-4788, E-ISSN 1544-4368, Vol. 30, no 1, p. 1-21Article in journal (Refereed)
    Abstract [en]

    The aim of this pilot study was to examine whether the use of the Occupational Adaptation Model increases independence and experienced health for disabled elderly in home rehabilitation in primary care. The study had an integrated design, in which the data were collected through a quasi-experimental plan in combination with semi-structured interviews with disabled elderly. The data were analyzed both quantitatively and qualitatively. The results indicated that the use of the model increases experienced health and gives the occupational therapist a tool for helping the disabled elderly to understand and engage themselves in their life situations.

  • 59.
    Johansson, Ann
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Rehabilitera mera: En kartläggning av äldrerehabilitering i Jönköpings län2004Report (Other academic)
  • 60.
    Johansson, Ann
    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.
    The impact of lifestyle interventions on older persons' health, wellbeing and occupational adaptation2016Conference paper (Other academic)
    Abstract [en]

    Background: The demographic development, with the older population growing fast, is becoming a huge challenge for society, with great demands on health and social care and concerning the individual’s well-being. The aim of this study was to investigate whether a four-month occupational based health-promoting programme for older persons living in community dwellings could maintain/improve their general health and well- being. Further the aim was to explore whether the programme facilitated the older persons’ occupational adaptation.

    Method: The study had a quasi- experimental design combined with semi-structured interviews. The intervention group comprised 22 participants, and the control group 18. Outcomes were measured using the Short Form 36, Life Satisfaction Index-Z and Meaningful Activity Participation Assessment. Content analysis, based on concepts from the Model of Occupational Adaptation, was used to analyse the interviews.

    Results: The intervention group showed statistically significant improvements in general health variables such as vitality and mental health, and positive trends for psychological well-being. There were no statistically significant differences between the intervention group and the control group. The qualitative analysis based on Occupational Adaptation pointed out social aspects as a compliment to the overall results.

    Conclusion: Participating in meaningful, challenging activities in different environments stimulates the occupational adaptation process.

    Application to Practice: Occupational therapists can use this result to empower older persons to find their optimal occupational lives.

  • 61.
    Johansson, Ann
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. Ageing - living conditions and health.
    Björklund, Anita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. Ageing - living conditions and health.
    The impact of occupational therapy and lifestyle interventions on older persons’ health, well-being, and occupational adaptation: A mixed-design study2015In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 23, no 3, p. 207-219Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of this study was to investigate whether a four-month occupational based health-promoting programme for older persons living in community dwellings could maintain/improve their general health and well-being. Further, the aim was to explore whether the programme facilitated the older persons’ occupational adaptation.

    Methods: The study had a quasi-experimental design, with a non-equivalent control group combined with semi-structured interviews. The intervention group comprised 22 participants, and the control group 18. Outcomes were measured using the Short Form 36, Life Satisfaction Index-Z and Meaningful Activity Participation Assessment. Content analysis, based on concepts from the Model of Occupational Adaptation, was used to analyse the interviews.

    Results: The intervention group showed statistically significant improvements in general health variables such as vitality and mental health, and positive trends for psychological well-being. There were no statistically significant differences between the intervention group and the control group, but the groups were not fully matched. The qualitative analysis based on Occupational Adaptation pointed out social aspects as a compliment to the overall results.

    Conclusions: Participating in meaningful, challenging activities in different environments stimulates the occupational adaptation process; this is something occupational therapists could use to empower older persons to find their optimal occupational lives

  • 62.
    Johansson, Ann
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. AFR. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Uniting Occupational Therapy Theory and Practice in Clinical Examinations: A pilot study2005In: Practice Development in Health Care, ISSN 1475-9861, Vol. 4, no 2, p. 97-108Article in journal (Refereed)
    Abstract [en]

    The aim of this pilot study was to develop and try out a form for clinical examinations in which theory and practice were integrated. Based on the course goals, a work procedure for the clinical examination of occupational therapy students and assessment criteria were developed. A pilot group of students and supervisors attained the new form for examination and a control group of students and supervisors attained the usual form for examination. The results show that the students and supervisors/head supervisors in the pilot group were satisfied with this new examination form. The students accentuated the importance of reflection in connection with the examination and the opportunity for direct response. The supervisors pointed out the value of connection to theoretical education and that the examination increases the status of practical knowledge. However, the pilot study needs to be tried in a larger scale, within several fields of action, and more people need to be educated about assessment.

  • 63.
    Johansson, Ann
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. Ageing - living conditions and health.
    Boström, Martina
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. Ageing - living conditions and health.
    Ericsson, Iréne
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. Ageing - living conditions and health.
    Björklund, Anita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. Ageing - living conditions and health.
    Fristedt, Sofi
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. Ageing - living conditions and health.
    Fler hälsosamma år till livet genom lärande och engagemang i ett hälsofrämjande program: En utvärdering av programmet ur ett deltagarperspektiv2015Report (Other (popular science, discussion, etc.))
  • 64.
    Johansson, Ann
    et al.
    Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Ericsson, Iréne
    Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Boström, Martina
    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. ARN-J (Aging Research Network - Jönköping).
    Fristedt, Sofi
    Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    A participatory evaluation of the health promotion programme “more healthy years of life” programme among senior citizens in Sweden2018In: Cogent Medicine, Vol. 5, no 1, article id 1521085Article in journal (Refereed)
    Abstract [en]

    Background: Older adults have, in general, been sparsely involved in development and evaluation of programmes intended to promote their health.

    Aim: To describe older adults’ reflections on and involvement in the development and evaluation of a health promotion programme.

    Material and Method: Ten older persons participated in a health promotion programme (HPP) focusing on activity during four sessions. After each HPP session, focus group discussions were held, analysed through qualitative content analysis.

    Results: The main theme; “Being involved adds value and new experiences to life“, were built from sub-themes; “From sceptical individual to engaged group member”, “From beholder to active co-creator”, and “From individual knowledge recipient to collective knowledge sharer”.

    Conclusions: Having a leader with a gerontological competence was mentioned as important, as well as to integrate existential topics into the HPP. Social inclusion together with the possibility to influence the HPP had a positive effect on the participants and provided a sense of belonging.

    Significance: Several contributions to the development of the HPP were given, that would not have been captured without the reflections and involvement of the participants. However, more and larger studies are needed to develop strategies that enable older adult’s involvement in the development of HHP.

  • 65.
    Johansson, Ann
    et al.
    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).
    Boström, Martina
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Björklund, 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).
    The use of occupational adaptation in research articles: a scoping review2018In: Occupational Therapy in Health Care, ISSN 0738-0577, E-ISSN 1541-3098, Vol. 32, no 4, p. 422-439Article, review/survey (Refereed)
    Abstract [en]

    The aim of this scoping review was to identify and describe how occupational adaptation has been used in different research studies published from 1992 to 2015 and to identify possible gaps in study design. Four categories of studies were identified: those focused on understanding how occupational adaptation occurs in different life situations and different health conditions, those focused on the use of occupational adaptation as a guide or model in organizing the occupational therapy process, and those using occupational adaptation as a part of instrument development. Several gaps in research are evident including updating the theory development on occupational adaptation, types of maladaptation, studies conducted in less affluent countries, quantitative studies with robust designs, inclusion of men and younger persons as subjects, vulnerable groups, health promotion, and community settings.

  • 66.
    Johansson, Ann
    et al.
    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).
    Boström, Martina
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Björklund, 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).
    Wagman, Petra
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Occupational adaptation in vulnerable EU citizens when begging in SwedenManuscript (preprint) (Other academic)
  • 67.
    Johansson, Ann
    et al.
    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).
    Boström, Martina
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare.
    Björklund Carlstedt, Anita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Wagman, Petra
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Occupational challenges and adaptations of vulnerable EU citizens from Romania begging in Sweden2019In: Journal of Occupational Science, ISSN 1442-7591, E-ISSN 2158-1576, Vol. 26, no 2, p. 200-210Article in journal (Refereed)
    Abstract [en]

    Introduction: People from European Union (EU) countries such as Latvia, Romania and Bulgaria who beg on the streets have become a common part of the townscape in Sweden. While demanding situations in their home countries drive them abroad to earn their living, those who turn to begging still face challenges in their everyday lives. Additional knowledge is needed, from their perspective, about the occupational challenges of begging, as well as how they adapt to those challenges.

    Aim: To describe the occupational challenges and related adaptations of vulnerable EU citizens begging in Sweden.

    Methods: We used a descriptive qualitative design. Individual interviews with 20 Romanian participants were conducted and analysed using qualitative content analysis with a deductive and inductive approach.

    Results: Six categories of occupational adaptation responses were identified: Keeping the family tier intact despite distance; Dealing with shame and stress; Managing body and mind when begging despite the monotony; Living as cheaply as possible; Trying to get a night's sleep without drawing attention to oneself; and Seeking alternatives for earning their living.

    Conclusion: Everyday life, when begging abroad, is filled with occupational challenges requiring occupational adaptations, for better or for worse, to sustain basic human needs. To further understand the needs of this vulnerable and marginalised group in society, human rights discourses that go beyond the individual level are needed.

  • 68.
    Johansson, Ann
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. CHILD.
    Mishina, Ekaterina
    Ivanov, Andrey
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. CHILD.
    Activities of daily living among St Petersburg women after mild stroke2007In: Occupational Therapy International, ISSN 0966-7903, Vol. 14, no 3, p. 170-182Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to determine how women living in Saint-Petersburg, Russia and who have had a mild stroke, describe their performance in activities of daily living and possible causes of their occupational dysfunction.

    Thirty-six women who have experienced a mild stroke and been referred to a rehabilitation center participated in the study. Data collection was conducted through interviews, including the ADL Staircase and a Modified Frenchay Activities Index for Stroke Patients. Additional data was collected through field notes and information from team members and relatives.

    The results showed that women who have had a mild stroke and ADL limitations experience occupational dysfunction in ADL activities that is most often due to a combination of over-protection from relatives, the women’s feelings of anxiety and insecurity, and an over-emphasizing of their disability.

    The results are limited based on the small sample and restricted geographic area.

    There is a need to further investigate how individuals who have had a mild stroke can be physically and socially rehabilitated and reintegrated into the community in countries with developing economies such as Russia.

  • 69.
    Johansson, Linda
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology.
    Björklund, Anita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. Ageing - living conditions and health.
    Sidenvall, Birgitta
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Christensson, Lennart
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. Ageing - living conditions and health.
    Spouses' experiences of mealtimes with a partner suffering from dementia2014In: The journal of aging research & clinical practice, ISSN 2273-421X, Vol. 3, no 4, p. 237-244Article in journal (Refereed)
    Abstract [en]

    Background: As difficulties in performing daily activities occur among persons with dementia, their spouses are also affected. This is also true for mealtimes, yet there is a lack of knowledge and research into how couples manage this situation at home. Objective: The aim of the study was to explore and describe spouses’ experiences of mealtimes in couples in which one partner has dementia. Design, Setting and Participants: Ten spouses were interviewed in their home in respect to their experiences regarding mealtimes when living with a partner diagnosed with dementia. To identify themes across the data set, thematic analysis was conducted. Results: One major theme, Recognizing and managing the range of mealtime change, was identified and showed that depending on where the families were in the dementia process their experienced varied. As progression occurred in the partners disease, routines, responsibilities and relationships were affected within the couple. Strategies the participants used tomanage mealtimes at home regarding these problems were highlighted such as getting support from social services, but also strategies they had learnt by themselves. Conclusion: These results generate an insight into what couples face, and their needs for support. Spouses experiences varied which indicates that it is important that support is based on individual needs. Hence, nursing staff should continuously pay attention to couples mealtime situation. Further it increases staff´s knowledge regarding possible solutions on how to involve persons with dementia in mealtime activities and maintain their nutritional intake.

  • 70.
    Johansson, Linda
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology.
    Björklund, Anita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Sidenvall, Birgitta
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Christensson, Lennart
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Staff views on how to improve mealtimes for elderly people with dementia living at home2017In: Dementia, ISSN 1471-3012, E-ISSN 1741-2684, Vol. 16, no 7, p. 835-852Article in journal (Refereed)
    Abstract [en]

    Dementia commonly leads to difficulties in performing daily activities, which can also often affect the ability to prepare and eat meals. As a result, formal support to maintain good nutritional intake might be needed, but there is a lack of knowledge concerning how to support older persons with dementia living at home. The aim of this study was to explore and describe staff views on how to improve mealtimes for persons with dementia who are still living at home. A qualitative descriptive study was performed and data were collected during 2011–2012 through four focus group interviews with staff working in the homes of persons with dementia. Data were analyzed using inductive content analysis. The participants described several ways to improve mealtimes for persons with dementia and advocated adjustments facilitating the preservation of the persons’ independence. Finding suitable actions calls for knowledge about the person and his/her individual situation. Proposed actions were enabling meals at home, taking over, and moving meals outside of the home. In addition, it was found that, the types of meals served to these persons should be as familiar to the individual as possible. The results of this study indicate the importance of using a person-centered approach and meeting the individual needs when supporting people with dementia in regards to their meals when living at home. Individualized care in the home may be expensive, however, it is fair to say that people who become malnourished and admitted to hospitals is even more costly. Furthermore, sharing and reflecting experiences and knowledge can assist staff to identify ways to manage complex situations. Therefore, the use of refection should be a part of staff members’ everyday work.

  • 71.
    Knight, Judith
    et al.
    Northampton University, UK.
    Corr, Susan
    Ball, Veronica
    Lowis, Mike
    Turner, Annie
    Ekberg, Merryn
    Poyser, Clare
    Falkmer, Torbjörn
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Fristedt, Sofi
    Henriksson, Marlene
    Johansson, Ann
    Lundmark, Patricia
    Understanding older people as occupational beings2008Conference paper (Refereed)
    Abstract [en]

    There is limited research reporting older adults’ engagement in occupations. Until recently very little research has been undertaken ‘about the nature of occupation and its significance to humans. Research such as this project is beginning to provide the vehicle for addressing this by qualifying and quantifying the effect of occupation on various parts of older individuals’ lives. 

    The overall aim of this study is to investigate the occupational engagement of older individuals’ and identify differences between UK and Swedish populations. The objectives are to explore motivating factors for participating in different occupations and patterns of occupations performed by older individuals as well as possible relationships between health, well-being and occupation in later life.

    Furthermore the objectives are to identity time spent on different occupations, the purpose of conducting these occupations and the breadth of roles. Finally the objectives are to draw comparisons between different categories of individuals, in particular cultural groups, retired people/still employed people and men/women. This study uses a mixed qualitative and quantitative methodology in the form of a structured interview and a time use diary. This research will contribute significantly to understanding the support services required to enable older adults to spend time performing meaningful occupations. In addition the findings will inform both remedial and preventive interventions promoting physical and psychological well being.

  • 72.
    Kullberg, Kerstin
    et al.
    Department of Public Health and Caring Sciences, Uppsala University.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Sidenvall, Birgitta
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science.
    Åberg, Anna Cristina
    Department of Public Health and Caring Sciences, Uppsala University.
    'I start my day by thinking about what we're going to have for dinner': A qualitative study on approaches to food-related activities among elderly men with somatic diseases2011In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 25, no 2, p. 227-234Article in journal (Refereed)
    Abstract [en]

    The aim of the present study was to address the question of how older men with somatic diseases living in ordinary housing approach the question of food-related activities. Further, any food-related activity adaptations consequent to effects of diseases and of alterred life circumstances were explored. Interviews were conducted with a purposeful sample of 18 co-living and singel-living men, 64-84 years old. They were diagnosed with Parkinson's disease, rhematoid arthritis, or stroke. In the analysis a thematic framework was used. The findings revealed three food-related approaches, namely 'Cooking as a pleasure', describing joy in cooking; 'Cooking as a need', indicating no habit or skills in cooking; and ' Food is served', that is being served meals by a partner. It was found that gender-related roles in particular, but also changed life circumstances, activity limitations, personal interests, and a wish to maintain continuity and independence, affected the men's approaches to these activities. This knowledge may be useful in attempts to facilitate and support food-related activities among elderly men with diseases. Health-care efforts in promoting food-related activities should preferably be individualised in respect to older men's approach to these activities.

  • 73. Kullberg, Kerstin
    et al.
    Åberg, Ann-Christin
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Ekblad, Jenny
    Sidenvall, Birgitta
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Daily eating events among co-living and single-living diseased older men2008In: The Journal of Nutrition, Health & Aging, ISSN 1279-7707, E-ISSN 1760-4788, Vol. 12, no 3, p. 176-182Article in journal (Refereed)
    Abstract [en]

    Objectives: To analyse, describe and compare the frequency and energy intake of eating events, including specific food items, among diseased older men living in ordinary housing. Design: Descriptive and explorative. Setting: Interviews were performed in the participants’ home. Participants: Thirty-five co-living and 26 single-living men, 64-88 years of age. Participants had one of three chronic diseases associated with difficulties in buying and preparing food and with difficulties related to the meal situation: Parkinson’s disease, rheumatoid arthritis or stroke. Measurements: A repeated 24-h recall was used to assess food intake and meal patterns. Results: Eating events were distributed over a 24-h period. Co-living men had a higher (p=0.001) number of eating events/day; both hot and cold eating events were consumed more frequently. There was no difference between groups concerning energy intake. Co-living men had more often hot eating events cooked from raw ingredients (p=0.001) and more various vegetables/roots (p=0.003) included in such eating events. Conclusion: Single-living men may constitute a vulnerable group from a nutritional perspective, while co-living men, besides the pleasure of eating together, seem to get support with food and eating events from their partners. Hence, the group of single-living men, particularly those with a disability, should receive particular attention with regard to possible food-related difficulties.

  • 74. Lindin-Arwedsson, Ingrid
    et al.
    Roos, Susanne
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. CHILD.
    Constituents of Healthy Workplaces2007In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 28, no 1, p. 3-11Article in journal (Refereed)
    Abstract [en]

    The aim of the study presented here was to identify and characterize the constituents of a healthy workplace from the viewpoints of employees at four different companies with low rate of absenteeism due to illness. A non-randomized, purposive selection was made of 27 respondents – four department heads, 16 white-collar workers, and seven blue-collar employees. The respondents were told to describe in writing how they experience factors contributing to good health at their workplace. The data analysis was carried out with a phenomenographic approach. Four main categories of health-related factors emerged: Good Work Environment, Active Keep-Fit Measures, Functional Leadership and Individual Responsibility. The employers fulfil demands for a good physical working environment, but the need for improvements in the psychosocial environment remains. The most promising finding is that the respondents’ accept personal responsibility for maintaining their own good health.

  • 75.
    Lindén, Charlotte
    et al.
    Samrehab/Akutblocket, Västerviks sjukhus, Västervik.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Living with rheumatoid arthritis and experiencing everyday life withTNF-a blockers2010In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 17, no 4, p. 326-334Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe how persons with RA from an area in western Sweden experience everyday life with TNF-alfa-blockers. A purposive sampling of 11 women and four men, with an age ranging from 25 to 70 years, was conducted. A phenomenological approach was used in the study. The data were collected by unstructured in-depth interviews. The data analysis resulted in six code groups, of which four have appurtenant sub-groups. The six code groups are: "A noticeable change dominates the picture”; “Change in bodily and mental symptoms enables activity”; “Enabling care for oneself and others”; "Enabling improved or continued productivity”; “More rewarding leisure time”; and “Drawbacks of the medication”. The findings show that most of the informants had experienced dramatic changes in their daily lives since the medication reduced their symptoms, resulting in an increased level of activity.

    Keywords: Activities of daily life (ADL), consequences for occupational therapy, enabling activity, phenomenological approach

     

     

  • 76.
    Martina, Boström
    et al.
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Kjellström, Sofia
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Malmberg, Bo
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Personal emergency response system (PERS) alarms may induce insecurity feelings2011In: Gerontechnology, ISSN 1569-1101, Vol. 10, no 3, p. 140-145Article in journal (Refereed)
    Abstract [en]

    (PERS) alarms have been used in Sweden since 1974 to enable older people to age safely at home. Despite this long use, we found no studies describing independent older users’ opinions of these devices.

    Aim Our aim was to describe how people living in Swedish independent senior housing perceive the alarms and to highlight their wishes for further developments and innovations.

    Methods We conducted five focus group interviews with residents of senior housing who used or had used a PERS alarm and analysed the data qualitatively for latent content.

    Results The data analysis revealed five themes in participants’ opinions and feelings about the PERS alarms: (i) safety, (ii) anxiety, (iii) satisfaction, (iv) being informed, and (v) older persons as active innovators.

    Conclusion The 40-year-old Swedish PERS used in senior housing seems to limit rather than liberate users in their daily lives and cause feelings of insecurity rather than security. Older Swedish people require a more personalized alarm with a built-in positioning system that would allow them a greater range of movement beyond their homes.

  • 77.
    Munck, Berit
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Björklund, 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).
    Jansson, Inger
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Lundberg, Kristina
    Jönköping University, School of Health and Welfare, HHJ. ADULT. Faculty of Caring science, Work Life and Social Welfare, Pre Hospen - Centre for Prehospital Research, University of Borås, Borås, Sweden.
    Wagman, Petra
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Adulthood transitions in health and welfare; a literature review2018In: Nursing Open, E-ISSN 2054-1058, Vol. 5, no 3, p. 254-260Article, review/survey (Refereed)
    Abstract [en]

    Aim

    The aim of the literature review was to describe how adulthood transition is used in health and welfare.

    Design

    A qualitative design with a deductive approach were used.

    Methods

    As material, 283 articles published in scientific journals, between 2011–August 2013, were selected. The search was conducted August 2013. The data were analysed and sorted in a categorization matrix.

    Results

    Transition was identified as a process mainly related to the four types previously identified; developmental, situational, health-illness and organizational transitions. Another one transition was also identified, lifestyle transition.

  • 78.
    Pietilä Rosendahl, Sirpa
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Mälardalen University.
    Bülow, Pia
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Behavioural Science and Social Work. Jönköping University, School of Health and Welfare, HHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue).
    Björklund, Anita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Images of sorrow: Experiences of losing a co-twin in old age2013In: Health, ISSN 1949-4998, E-ISSN 1949-5005, Vol. 5, no 12A, p. 64-73Article in journal (Refereed)
    Abstract [en]

    What it is like when a lifelong twin relationship ends through death in later life is the focus of this study. It draws on interview data from seven twins who are part of a longitudinal Swedish twin study (SATSA) and who lost their co-twins in old age. Data were analyzed using qualitative latent content analysis. The results showed that the experience of loss of the co-twin was pro-found, including an emotional as well as a be-havioral dimension. Loss and loneliness were expressed as the dominant feelings related to the quality of the missing relationship as well as the loss of twin identity. However, the grief ex-periences in this study were primarily related to the closeness and quality of the twin relation-ship, rather than identity. Behavioral adjust-ments included the use of outside as well as internal cognitive resources to cope with life after the loss. Despite the devastating experi-ence of losing a co-twin after a lifelong rela-tionship, the participants engaged actively in their own grief processes. It was concluded that twin loss is unique, in the sense of losing the relational twin identity, as well as it is charac-terized by similar features as the loss of a close relationship among non-twins.

  • 79.
    Pietilä, Sirpa
    et al.
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Bülow, Pia
    Jönköping University, School of Health Science, HHJ, Dep. of Behavioural Science and Social Work. Jönköping University, School of Health Science, HHJ. Research Platform of Social Work.
    Older twins' experiences of the relationship with their co-twin over the life course2012In: Journal of Aging Studies, ISSN 0890-4065, E-ISSN 1879-193X, Vol. 26, no 2, p. 119-128Article in journal (Refereed)
    Abstract [en]

    Based on 35 life stories of aging twins, this study focuses on personal experiences and recollections of their relationships with the co-twin over the life course. The participants are part of two longitudinal Swedish twin studies on aging, SATSA and Gender. In the narrative analysis, three relationship patterns, labeled ‘nurturing’, ‘draining’, and ‘superficial’, emerged, pointing to qualitative aspects in the co-twin relationship. The dominating aspect was emotional closeness, which differed in the three relationship patterns. In the nurturing twin relationship pattern, emotional closeness was experienced as intimacy and yet independence, while in the draining relationship pattern it was experienced as dependence. The superficial twin relationship was experienced as distant and lacking in emotional involvement. Most of the relationship patterns seemed to remain the same throughout life. However, seen from a life course perspective, this study pointed to complexity and diversity in lifelong twin relationships.

  • 80.
    Pietilä, Sirpa
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology.
    Björklund, Anita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Bülow, Pia
    Jönköping University, School of Health and Welfare, HHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue). Jönköping University, School of Health and Welfare, HHJ, Dep. of Behavioural Science and Social Work.
    'We are not as alike, as you think' sense of individuality within the co-twin relationship along the life course2013In: Journal of Aging Studies, ISSN 0890-4065, E-ISSN 1879-193X, Vol. 27, no 4, p. 339-346Article in journal (Refereed)
    Abstract [en]

    We have explored how older twins experience and describe themselves in relation to their co-twin. The life stories of 20 older twins were analyzed with narrative analysis.

    Results showed that the twins described themselves from the point of differences in relation to the co-twin. This was based on experiences of how other people viewed them as alike, as well as on life events along the life course, which contributed to the perception of oneself as an individual in relation to the co-twin. The emphasis on unlikeness was therefore interpreted as a way of trying to establish a position as an individual within the co-twin relationship and to assert ones individuality to the rest of the social environment. To claim oneself as an individual was an ongoing identity work along the life course.

  • 81.
    Pietilä, Sirpa
    et al.
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Bülow, Pia
    Jönköping University, School of Health Science, HHJ, Dep. of Behavioural Science and Social Work.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Twinship and Marriage: Experiences during the course of twin relationships2012In: Review of European Studies, ISSN 1918-7173, E-ISSN 1918-7181, Vol. 4, no 4, p. 45-53Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to explore and describe older twins’ experiences of their marriages in relation to the co-twin relationship.

    Material and Methods: The material consisted of 34 life story interviews with older twins (70+), representing various experiences of twinship and marriage. The data was analysed with qualitative latent content analysis.

    Results: Phases of marriage describe the time of Courtship - partners were chosen based on infatuation. Most were non-related, but some were relatives or friends. Twinship and quality of married life showed that marriages were either disharmonious or harmonious. The most common cause of conflicts was spouses not getting along, second common cause to conflicts was the twin relationship itself. In the harmonious marriages, the spouses were sympathetic and accepting of the twin relationship. In later life 14 of 34 were widowed and 7 of 34 had gone through a divorce. The most common cause of divorce was an unfaithful spouse, rather than the close relationship with the co-twin. In difficult times the twin relationship served as a source of comfort and support.

    Conclusions: The most harmonious marriages were with spouses related to one another. In this way the twins could keep both the twin relationship and have a marriage. Since twins often regard each other as attachment figures, the combination of twinship and marriage seem to be a challenge for the spouse to be most of all.

  • 82.
    Pietilä, Sirpa
    et al.
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Bülow, Pia
    Jönköping University, School of Health Science, HHJ, Dep. of Behavioural Science and Social Work.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Twinship and Marriage: Experiences during the course of twinship relations2012Conference paper (Other academic)
  • 83. Rubenson, Camilla
    et al.
    Svensson, Eva
    Linddahl, Iréne
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. CHILD.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. CHILD.
    Experiences of returning to work after acquired brain injury2007In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 14, no 4, p. 205-214Article in journal (Refereed)
    Abstract [en]

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

  • 84.
    Svensson, Tommy
    et al.
    Institutionen för lärande och beteendevetenskap, Linköpings universitet.
    Björklund, Anita
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Focus on Health, Motivation, and Pride: A discussion of three theoretical perspectives on the rehabilitation of sick-listed people2010In: Work, ISSN 1051-9815 (Print) 1875-9270 (Online), Vol. 36, no 3, p. 273-282Article in journal (Refereed)
    Abstract [en]

    During the last decades sickness absence from work has become a great societal problem. Questions of how rehabilitation processes should become successful and how peoples’ ability to work can be improved have become of great public interest. In this paper we discuss three well-known theoretical perspectives regarding their usefulness when it comes to research on rehabilitation for return to work. The three perspectives are: Antonovsky’s salutogenic model of health, Kielhofner’s model of human occupation and Scheff’s sociological theory of “shame and pride”. Each of these can be applied to increase understanding and knowledge concerning sickness absence and return to work. We discuss points of affinity among the three perspectives, as well as significant differences, and we propose that a very essential common denominator is the importance of self-experience.

  • 85.
    Wagman, Petra
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Quality Improvement and Leadership in Health and Welfare.
    Björklund, Anita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ, Quality Improvement and Leadership in Health and Welfare.
    Håkansson, Carita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ, Quality Improvement and Leadership in Health and Welfare.
    Occupational balance as used in occupational therapy: A concept analysis2012In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 19, no 4, p. 322-327Article in journal (Refereed)
    Abstract [en]

    Occupational balance is a frequently used concept in occupational therapy, but it is complex and differences in content exist. Further knowledge would be valuable for scholars, practitioners, and measurement development. Concept analysis is a way to clarify concepts. The present concept analysis used Walker and Avant's procedure for analysing the concept of occupational balance, with 43 articles included in the analysis. The results showed that occupational balance can be defined as the individual's perception of having the right amount of occupations and the right variation between occupations. Three perspectives of occupational balance were identified: in relation to occupational areas, in relation to occupations with different characteristics, and in relation to time use. The knowledge gained may guide the use of the concept, and some suggestions are made for its use and for further research.

  • 86.
    Wagman, Petra
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Björklund, Anita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. Quality improvements, innovations and leadership in health care and social work. Jönköping University, School of Health and Welfare, HHJ. Ageing - living conditions and health.
    Håkansson, Carita
    Falkmer, Torbjörn
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Synen på balans i livet hos personer i yrkesverksam ålder2009Conference paper (Refereed)
    Abstract [sv]

    Stressrelaterad ohälsa ett stort problem som leder till enskilt lidande och stora kostnader. Stress kan ses som obalans mellan en individs krav och resurser. Tankar kring balans mellan olika delar av tillvaron har lång historia och aktualitet inom arbetsterapi. I FSA’s etiska kod är det ett filosofiskt grundantagande att ”Människans hälsa kräver en balans mellan aktivitet och vila”. ’Balans’ har tidigare undersökts ur olika perspektiv och  i olika populationer. Ingen studie har dock identifierats när det gäller en mer generell population. Studiens syfte är undersöka vad personer i yrkesverksam ålder, utan sjukskrivning >1månad i sträck inom två år, anser att ’balans i den dagliga tillvaron’ är och vilka faktorer som ses som mer eller mindre viktiga för att uppleva balans. För att söka svar på frågan vad ’balans i den dagliga tillvaron’ är genomförs kvalitativa intervjuer som analyseras enligt Grounded Theory (GT).  Deltagarna rekryteras via teoretiskt urval och datainsamling planeras pågå tills mättnad erhålls. De faktorer som framkommer i GT-analysen formuleras som påstående vilka undersöks genom Q-metodik. Deltagarna tar ställning till dessa påståenden genom viktning och svaren förs in i form av en normalfördelningskurva och analyseras statistiskt. Vissa intervjudeltagare ingår också i denna del av studien tillsammans med nyrekrytering via tillgänglighetsurval. Studien är pågående och förhoppningen är att ökad kunskap, om ’balans i den dagliga tillvaron’ kan bidra till att förbättra prevention för dem som upplever obalans i sin tillvaro och kanske riskerar sjukskrivning. Den ökade kunskapen kan också leda till mer anpassade åtgärder och rehabilitering av dem som drabbats av t.ex. stressrelaterad ohälsa.

     

  • 87.
    Wagman, Petra
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Björklund, Anita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Håkansson, Carita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Jacobsson, Christian
    Inst för psykologi, Göteborgs universitet.
    Falkmer, Torbjörn
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Perceptions of life balance among a working population in Sweden2011In: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 21, no 3, p. 410-418Article in journal (Refereed)
    Abstract [en]

    A life in balance is commonly related to health and well-being. However, our knowledge regarding the perceptions of life balance among the general population is limited. Our aim was to explore the perception of life balance among working people without recent long-term sick leave. Individual interviews were conducted with 7 men and 12 women and analyzed according to grounded theory, aiming at achieving a description. The results showed that life balance includes four interrelated dimensions: activity balance, balance in body and mind, balance in relation to others, and time balance. Life balance was regarded by the participants as health related, promoted by a sense of security, and affected by context and individual strategies. Life balance was also seen as being individually defined and dynamic. The results indicate that the perceptions of life balance might be quite general because they show similarities with previous research on different populations.

  • 88.
    Wagman, Petra
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Björklund, 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).
    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).
    Descriptions of health by EU citizens begging abroad2017In: Society, health and vulnerability, E-ISSN 2002-1518, Vol. 8, no 1, article id 1389586Article in journal (Refereed)
    Abstract [en]

    Poor citizens from European Union (EU) member countries begging to support themselves are now common in affluent EU countries. Their lack of basic amenities, such as access to a shelter and sanitation is not in line with human rights and also implies a risk for health issues. Despite this, we know little about how these vulnerable EU citizens, themselves, perceive their health situation. The aim of this study was to explore vulnerable EU citizens’ descriptions of their health. Eight females and 12 males from Romania, 19–64 years of age, participated in individual interviews that included health issues. Qualitative content analysis was used, identifying the main category “Begging abroad and health - for better and for worse” together with two categories and five subcategories. It is concluded that EU citizens begging abroad risk poorer health as a consequence of their attempts to improve their situation, both their own health and that of their relatives. Therefore, they need access to affordable health care as this may decrease the need for unwanted travelling abroad to beg.

  • 89.
    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)
  • 90.
    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)
  • 91.
    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.

  • 92.
    Wagman, Petra
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Quality Improvement and Leadership in Health and Welfare.
    Håkansson, Carita
    Jönköping University, School of Health and Welfare, HHJ, Quality Improvement and Leadership in Health and Welfare. Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Jacobsson, Christian
    Department of Psychology, University of Gothenburg, Sweden.
    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, Quality Improvement and Leadership in Health and Welfare.
    What is considered important for life balance? Similarities and differences among some working adults2012In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 19, no 4, p. 377-384Article in journal (Refereed)
    Abstract [en]

    Life balance seems subjective, health related, and multidimensional. However, the concept is complex. Exploring what people themselves consider more or less important for their life balance and whether this differs between people would develop new knowledge. Q methodology was chosen for the present study, in which 32 working men and women without recent long-term sick leave participated. They sorted 42 statements regarding life balance according to their importance for each participant's life balance. The analysis resulted in four different viewpoints concerning life balance. All four viewpoints considered good relationships with those closest to them, as well as knowing that these people were doing well, as important. Each viewpoint also showed a unique orientation towards what was considered important for life balance: occupational balance (viewpoint 1), self-actualization (viewpoint 2), self-awareness (viewpoint 3), and reciprocal relationships (viewpoint 4). The results. showed support for life balance as being a subjective, multidimensional, and health-related phenomenon. The results demonstrated the importance of relationships for life balance and heterogeneity in what people considered important for their own life balance.

  • 93.
    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.

  • 94.
    Wagman, Petra
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ, Quality Improvement and Leadership in Health and Welfare.
    Håkansson, Carita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ, Quality Improvement and Leadership in Health and Welfare.
    Matuska, Kathleen
    Björklund, Anita
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ, Quality Improvement and Leadership in Health and Welfare.
    Falkmer, Torbjörn
    Validating the model of lifestyle balance on a working Swedish population2012In: Journal of Occupational Science, ISSN 1442-7591, E-ISSN 2158-1576, Vol. 19, no 2, p. 106-114Article in journal (Refereed)
    Abstract [en]

    An analysis of data from a previously conducted grounded theory study exploring perceptions of life balance among 19 working adults without recent long term sick leave was carried out. The aim of this secondary analysis was to use these perceptions of life balance to validate the Model of Lifestyle Balance proposed by Matuska and Christiansen. For the validation, a matrix was used. The results showed that Matuska and Christiansen's five need-based dimensions were represented by the participants’ perceptions of life balance, but also an additional aspect not included in the model. The participants stressed healthy habits in relation to sleep, exercise and eating, and good relationships as important for life balance. Furthermore, it was described as important to perceive sufficient challenge and meaningfulness in their occupations and to organize time and energy. Finally, the participants stressed financial security as important for life balance. These findings provide additional evidence of the validity of the Model of Lifestyle Balance, a model that appears to be useful in occupational science.

  • 95.
    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)
  • 96.
    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.

  • 97.
    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.

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