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  • 1.
    Abrahamsson, Agneta
    et al.
    Jönköping University, School of Health and Welfare. University College of Kristianstad,Kristianstad.
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ, Dept. of Natural Science and Biomedicine.
    Gerdner, Arne
    Jönköping University, School of Health and Welfare, HHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue). Jönköping University, School of Health and Welfare, HHJ, Dept. of Rehabilitation.
    Sense of coherence of reindeer herders and other Samis in comparison to other Swedish citizens2013In: International Journal of Circumpolar Health, ISSN 1239-9736, E-ISSN 2242-3982, Vol. 72, p. -20633Article in journal (Refereed)
    Abstract [en]

    Background. Samis are indigenous people in north Europe. In the territory called Sa´pmi (Lapland), reindeer herding is the traditional base for the Sami economy. The relation between living conditions and positive health of the Swedish Samis has been sparsely studied. As health is closely linked to sense of coherence (SOC), an understanding of the background factors to SOC may contribute knowledge that might be useful in promoting living conditions and health.

    Methods. The study examines relations between the level of SOC and background factors from surveys in a Sami population (n=613) in comparison to a non-Sami population (n=525) in Sweden, and in comparison between 2 subsamples of Samis, that is, herders and non-herders.

    Results. There are more similarities than differences between the Sami and non-Sami populations. However, dividing the Sami population, reindeer herders had significantly lower SOC, and in specific the subcomponent manageability, that is, less ability to use available resources to meet different demands in life, compared to non-herders.

    Conclusions. In addition to age and health, predictors of SOC are related to the life form of reindeer husbandry and the belonging to the herding community

  • 2.
    Abrahamsson, Sara
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Palmberg, Hampus
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Children with Intellectual Disabilities and Their Perceived Participation in Everyday Life Activities: A descriptive study conducted in Addis Abeba, Ethiopia2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Children with intellectual disabilities living in developing countries are vulnerable to participation restrictions. Few studies have been made regarding their own perspectives. Aim: To describe how children in a low income country aged 13-17 with an intellectual disability perceive their participation in everyday life activities. Method: This bachelor thesis was conducted as a descriptive study and had a quantitative approach. Participants were collected through a non-probability, goal-oriented consecutive sampling. Data were collected by using “Picture my Participation”, an instrument designed as a structured interview with quantitative questions. The data were analyzed with IBM SPSS Statistics 21. Tables and diagrams were made in Microsoft Excel 2013. Result: The activity that the children participated in most frequently was “Daily routines at home for personal care (dressing, choosing clothing, hair care, brushing teeth)”. The activity that most children prioritized as most important, and they were most involved in was “Organised leisure activities”. “Services and policies” and “Social environment” were the factors seen as “Facilitators” to participation, whereas “Family attitudes” was seen as a “Barrier” to participation. Conclusion: The children perceived their participation in the prioritized activities as high and experienced few barriers in the context of participation.

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  • 3.
    Abu-Ata, Amani
    et al.
    Department of Occupational Therapy, School of Health Professions, Tel Aviv University, Tel Aviv, Israel.
    Green, Dido
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. CHILD.
    Sopher, Ran
    Department of Occupational Therapy, School of Health Professions, Tel Aviv University, Tel Aviv, Israel; Department of Biomedical Engineering, Faculty of Engineering, Tel Aviv University, Tel Aviv, Israel.
    Portnoy, Sigal
    Department of Occupational Therapy, School of Health Professions, Tel Aviv University, Tel Aviv, Israel.
    Ratzon, Navah Z.
    Department of Occupational Therapy, School of Health Professions, Tel Aviv University, Tel Aviv, Israel.
    Upper Limb Kinematics of Handwriting among Children with and without Developmental Coordination Disorder2022In: Sensors, E-ISSN 1424-8220, Vol. 22, no 23, article id 9224Article in journal (Refereed)
    Abstract [en]

    Background: Children with developmental coordination disorder (DCD) often experience difficulties with handwriting legibility and speed. This study investigates the relationship between handwriting and upper limb kinematics to characterize movement patterns of children with DCD and typically developing (TD) children.

    Methods: 30 children with and without DCD matched for age, gender, and parent education were compared across handwriting abilities using a standardized handwriting assessment of both copied and dictated tasks (A-A Handwriting). The 3D motion capture system (Qualysis) was used to analyze upper limb kinematics and characterize movement patterns during handwriting and contrasted with written output.

    Results: Children with DCD wrote fewer legible letters in both copying and dictation. Children with DCD also showed poor automatization of key writing concepts. Atypical wrist postures were associated with reduced legibility for children with DCD (F (1,27) 4.71, p = 0.04, p = 0.04, p-η2  0.15); whereas for TD children, better legibility was associated with greater variations in movement speed, particularly of the wrist (rho = −0.578, p < 0.05).

    Conclusion: Results reflect different movement parameters influencing handwriting in children with DCD. An improved understanding of the movement characteristics during handwriting of these children may assist intervention design.

  • 4.
    Ahlgren Kvist, Cia
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Karlsson, Linda
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Hundens betydelse inom arbetsterapin: - Hur hundar kan främja och motivera till meningsfulla aktiviteter2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet var att beskriva hur arbetsterapeuter arbetar i aktivitet med vård- och terapihund och upplevd nytta med detta. Metoden som valdes var en kvalitativ induktiv ansats med semistrukturerade intervjuer. Elva arbetsterapeuter rekryterades genom ett bekvämlighetsurval via grupper på Facebook. Telefonintervjuer och intervjuer via personligt möte spelades in och transkriberades för att slutligen analyseras med hjälp av en kvalitativ innehållsanalys. Resultatet mynnade ut i ett övergripande tema som var: Arbetsterapeuten och hunden som ett stöd till meningsfulla aktiviteter, vilket resulterade i tre huvudkategorier som var: nytta, aktivitet och kommunikation, samt 14 underkategorier. Slutsatsen av examensarbetet var att hunden kunde vara användbar i att motivera patienter till aktivitet samt att aktiviteter tillsammans med och för hunden kändes mer meningsfulla.

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  • 5.
    Ahlsgård, Linn
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Rehabilitation.
    Callenryd, Emelie
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Rehabilitation.
    Hur beskrivs aktivitetsbalans i studier med kvantitativ design?: En Scoping Review2022Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: More research is getting produced regarding ”occupational balance” (OB) in the field of occupational therapy. Studies lifts associations to occupational balance in different areas of life but there’s still few studies that conclude these associations. Congregated knowledge is needed in the occupational therapist daily preventive, restorative and maintaining work. Aim: To describe the current research about associations to OB in quantitative studies. Method: The study design was a scoping review. Data was collected from Cinahl and Medline. Twenty articles were included and analysed through numerical and thematical analysis. Results: The thesis resulted in five themes and eleven sub-themes describing associations to OB. Following five themes were created: Health and wellbeing, sociodemographic, activity, interpersonal factors, environmental factors. These themes resulted in eleven sub-themes with associations to OB: Health, life quality and life satisfaction, personal factors, variating personfactors, employment, family and social relationships, children with special needs, problematic internet use, social information, isolation, and satisfaction with occupational performance. Conclusions: A persons health, relations and daily activities have shown a relationship to occupational balance. Personal characteristics and surrounding environment of which the person belongs seems to relate to occupational balance. Occupational balance has shown associations to many parts of the human life.

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  • 6.
    Ahlstedt, Emelie
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Christensson, Jill
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Djurens och naturens betydelse i arbetsterapeutiska interventioner: Arbetsterapeuters upplevelser av djur- och/eller naturunderstödd rehabilitering för personer med stressrelaterad ohälsa2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose was to describe occupational therapists' experiences of animal- and/or nature-based rehabilitation for people with stress related illness. 

    The Method was of qualitative design with an inductive approach. A purposive sampling in combination with a snowball sampling was used when recruiting participants. The study group was based on ten occupational therapists in Sweden. Collection of data was implemented by individual semi structured interviews. Data analysis was performed with a qualitative content analysis. 

    The result culminated into a theme: The importance of animal and nature in rehabilitation for people with stress related illness. Five categories where identified: The calming effect of the animals and nature, Mindfulness, Unpretentious rehabilitation, Occupational balance, The symbolic significance of nature, with associated 13 subcategories. 

    The conclusion drawn was that occupational therapists experienced that the participation of animal and/or nature in occupational interventions was effective in rehabilitation of stress related illness. The result indicated that the animal and nature help the patients to calm down, unwind and being conscionably present. Pervading the occupational therapists described that the animal and nature have positive effects on the patients' health and recovery.

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  • 7.
    Ahlstrand, Inger
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Att vara ung kvinna och långtidssjukskriven påverkar hela livssituationen2006In: Vågor på HaVet: tio texter om arbete och funktionshinder, Jönköping: Hälsohögskolan , 2006Chapter in book (Other academic)
  • 8.
    Ahlstrand, Inger
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. ADULT.
    Björk, Mathilda
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Linköping university.
    Thyberg, Ingrid
    Linköping university.
    Low levels of pain impact on valued life activities in women and men with Rheumatoid Arthritis2013Conference paper (Refereed)
  • 9.
    Ahlstrand, Inger
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Björk, Mathilda
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Thyberg, Ingrid
    AIR/Rheumatology Unit, Department of Clinical and Experimental Medicine, Faculty of Health Sciences, Linköping University Hospital, Linköping, Sweden.
    Börsbo, Björn
    Rehabilitation Medicine, IKE, Department of Clinical and Experimental Medicine, Faculty of Health Sciences, Linköping University, Sweden.
    Falkmer, Torbjörn
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. School of Occupational Therapy, La Trobe University, Melbourne, VIC, Australia.
    Pain and Daily Activities in Rheumatoid Arthritis2012In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 34, no 15, p. 1245-1253Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe experiences of pain and its relationship to daily activities in people with rheumatoid arthritis (RA). Method. Seven semi-structured focus group discussions were conducted with 33 men and women of different ages with RA. Data were analysed with content analysis. Results. Pain affected everyday life and may be a barrier to perform valued activities. Regarding the impact of pain on participation and independence, personal factors and the social environment were found to be important. It could be a struggle to find the right activity balance, since it was easy to be overactive, triggering subsequent elevation of pain levels. However, the participants also described activities as a mediator of pain and a distraction from it.Conclusion. The relationship between pain and daily activities in RA was complex. Pain as an impairment was expressed to be related to activity limitations and participation restrictions, as well as to contextual factors. These findings highlight the clinical importance of paying attention to the complexity of pain and its relation to daily activities and participation.

  • 10.
    Ahlstrand, Inger
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. ADULT.
    Björk, Mathilda
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. ADULT.
    Thyberg, Ingrid
    Linköping University.
    Börsbo, Björn
    Linköping university.
    Falkmer, Torbjörn
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Smärta och dagliga aktiviteter vid Reumatoid artrit ur ett patientperspektiv2011Conference paper (Other academic)
    Abstract [sv]

    Bakgrund: Smärta vid Reumatoid artrit (RA) ärett välkänt symtom som orsakar lidande ochaktivitetsbegränsning. Traditionellt mäts smärtainom reumatologin som smärtintensitet på enVisuell Analog Skala (VAS). Kunskapen kring hurpatienter med RA upplever smärta och dess konsekvenser är begränsad. Patientens egenbeskrivning behövs som underlag för behandlingsplanering och för att utveckla nya metoderför att beskriva problematiken.Syfte: Syftet med studien är att beskriva smärtavid RA ur ett patientperspektiv med fokus på hursmärtan påverkar dagliga aktiviteter.Metod: Patienter med diagnostiserad RA i syd-östra Sverige identifierades via Svenska Reumatologiregistret. Urvalet baserades på minst 5 årssjukdomsduration och minst 40 mm smärtintensitet på VAS vid de två senaste besöken på reumatologklinik. Sammanlagt 33 patienter, 7 män och26 kvinnor, deltog i sju fokusgrupper. Gruppernaformades utifrån kön och ålder. Intervjuguideninnehöll frågor som: Hur beskriver patienter medRA sin smärta? Vad påverkar smärtan? Vilkakonsekvenser har smärtan för aktivitetsutförande,aktivitetsbalans och undvikande av aktivitet? Enkvalitativ innehållsanalys görs.Resultat/förväntat resultat: Analyser hittills visar patienternas frustration över att inteklara det man vill eller behöver göra, beroendeav andra, minskade möjligheter till delaktigheti sociala sammanhang. Och närståendes betydelse. Analyserna visar att smärtan är relaterad till Göteborg6-8 april 201134trötthet, stress och sinnesstämning och att arbeteeller andra aktiviteter medverkar till att glömmabort smärtan och uppehålla förmåga. Analysenslutförs under hösten.Konklusion: Denna studie förväntas genererany angelägen kunskap om och förståelse försmärta.

  • 11.
    Ahlstrand, Inger
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Björk, Mathilda
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Thyberg, Ingrid
    Linköping University.
    Falkmer, Torbjörn
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Pain and difficulties performing valued life activities in women and men with rheumatoid arthritis2015In: Clinical Rheumatology, ISSN 0770-3198, E-ISSN 1434-9949, Vol. 34, no 8, p. 1353-1362Article in journal (Refereed)
    Abstract [en]

    This study aimed to examine the difficulties with performing valued life activities in relation to pain intensity in women and men with rheumatoid arthritis (RA). In total, 737 persons with RA (73 % women) from three rheumatology units in Sweden responded to a questionnaire measuring performance of 33 valued life activities and self-rated pain. The relationships between performance of valued life activities (VLAs) and pain (measured by visual analogue scale (VAS)) were analysed based on gender. Multiple linear regression analyses were conducted with the total VLA score as dependent variable. Women reported more pain and difficulties in performing valued life activities than men. Across genders, 85 % reported at least one valued life activity affected by RA. Significantly more women than men encountered difficulties in performing some activities such as cooking, gardening and meeting new people. Women reported higher pain intensity (35 mm) than men (31 mm). Almost all 33 difficulty ratings for valued life activities were higher among persons with high pain (>40 mm) than persons with lower pain. Difficulty ratings for valued life activities correlated positively with pain in persons with lower pain, but not among those with high pain. The results highlight the importance of addressing pain, especially among women with RA, as they reported pain to impact on their valued life activities. Interestingly, this was evident also in women with lower levels of pain.

  • 12.
    Ahlstrand, Inger
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Bränholm, IB
    Activity performance, life satisfaction and locus of control in young women on sick leave1998In: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 11, no 2, p. 131-136Article in journal (Refereed)
  • 13.
    Ahlstrand, Inger
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Larsson, Ingrid
    School of Health and Welfare, Halmstad University, Halmstad, Sweden.
    Larsson, Margaretha
    School of Health and Education, University of Skövde, Skövde, Sweden.
    Ekman, Aimée
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Social Work. Jönköping University, School of Health and Welfare, HHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue). Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Hedén, Lena
    Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden.
    Laakso, Katja
    Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Department of Health Sciences, Karlstad University, Karlstad, Sweden.
    Nunstedt, Håkan
    Department of Health Sciences, University West, Trollhättan, Sweden.
    Oxelmark, Lena
    Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Pennbrant, Sandra
    Department of Health Sciences, University West, Trollhättan, Sweden.
    Sundler, Annelie J.
    Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden.
    Hallgren, Jenny
    School of Health and Education, University of Skövde, Skövde, Sweden.
    Health-promoting factors among students in higher education within health care and social work: a cross-sectional analysis of baseline data in a multicentre longitudinal study2022In: BMC Public Health, E-ISSN 1471-2458, Vol. 22, no 1, article id 1314Article in journal (Refereed)
    Abstract [en]

    Background: Educational environments are considered important in strengthening students’ health status and knowledge, which are associated with good educational outcomes. It has been suggested to establish healthy universities based on a salutogenic approach – namely, health promotion. The aim of this study was to describe health-promoting resources and factors among first-semester students in higher education in healthcare and social work.

    Methods: This cross-sectional study is based on a survey distributed among all students in seven healthcare and social work programmes at six universities in southern Sweden. The survey was carried out in 2018 using a self-reported, web-based questionnaire focussing on general health and well-being, lifestyle factors together with three validated instruments measuring health-promoting factors and processes: the Sense of Coherence (SOC) scale, Salutogenic Health Indicator Scale (SHIS) and Occupational Balance Questionnaire (OBQ).

    Results: Of 2283 students, 851 (37.3%) completed the survey, of whom 742 (87.1%) were women; 722 (84.8%) were enrolled on healthcare programmes, and 129 (15.2%) were enrolled on social work programmes. Most reported good general health and well-being (88.1% and 83.7%, respectively). The total mean scores for the SOC scale, SHIS and OBQ were, respectively, 59.09 (SD = 11.78), 44.04 (SD = 9.38) and 26.40 (SD = 7.07). Well-being and several healthy lifestyles were related to better general health and higher SOC, SHIS and OBQ scores. Multiple linear and logistic regressions showed that perceived well-being and no sleeping problems significantly predicted higher general health and higher SOC, SHIS and OBQ scores. Being less sedentary and non-smoking habits were significant predictors of higher SOC.

    Conclusions: Swedish students in higher education within the healthcare and social work sector report good general health and well-being in the first semester, as well as health-promoting resources (i.e. SOC, SHIS and OBQ), and in some aspects, a healthy lifestyle. High-intensity exercise, no sleeping problems and non-smoking seem to be of importance to both general health and health-promotive resources. This study contributes to knowledge about the health promotive characteristics of students in the healthcare and social work fields, which is of importance for planning universities with a salutogenic approach.

  • 14.
    Ahlstrand, Inger
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Thyberg, Ingrid
    Linköping University.
    Falkmer, Torbjörn
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Dahlström, Ö
    Linköping University.
    Björk, Mathilda
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Pain and activity limitations in women and men with contemporary treated early RA compared to 10 years ago: the Swedish TIRA project2015In: Scandinavian Journal of Rheumatology, ISSN 0300-9742, E-ISSN 1502-7732, Vol. 44, no 4, p. 259-264Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: To study differences regarding pain and activity limitations during the 3 years following diagnosis in women and men with contemporary treated early RA compared with their counterparts who were diagnosed 10 years earlier.

    METHOD: This study was based on patients recruited to the Early Intervention in RA (TIRA) project. In the first cohort (TIRA-1) 320 patients were included in time for diagnosis during 1996-1998 and 463 patients were included in the second cohort (TIRA-2) during 2006-2009. Disease activity, pain intensity (Visual Analogue Scale, VAS), bodily pain (BP) in the 36-item Short Form Health Survey (SF-36), activity limitations (Health Assessment Questionnaire, HAQ), and medication were reported at inclusion and at follow-up after 1, 2, and 3 years.

    RESULTS: Disease activity, pain, and activity limitations were pronounced at inclusion across both genders and in both cohorts, with some improvement observed during the first year after diagnosis. Disease activity did not differ between cohorts at inclusion but was significantly lower at the follow-ups in the TIRA-2 cohort, in which the patients were prescribed traditional disease-modifying anti-rheumatic drugs (DMARDs) and biological agents more frequently. In TIRA-2, patients reported significantly lower pain and activity limitations at all follow-ups, with men reporting lower pain than women. Women reported significantly higher activity limitations at all time points in TIRA-2.

    CONCLUSIONS: Pain and activity limitations were still pronounced in the contemporary treated early RA cohort compared with their counterparts diagnosed 10 years earlier and both of these factors need to be addressed in clinical settings.

  • 15.
    Ahlstrand, Inger
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. ADULT.
    Thyberg, Ingrid
    Linköping University.
    Falkmer, Torbjörn
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Dahlström, Örjan
    Linköping University.
    Björk, Mathilda
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Less pain and activity limitations in today's early RA patients compared with patients diagnosed 10 years earlier (the swedish TIRA-project)2014In: EULAR 2014: Scientific Abstracts, 2014, p. 141-142Conference paper (Refereed)
    Abstract [en]

    Background: Over the last decades the RA-treatment strategies have changed considerably. Routines for early RA diagnosis and instituted disease modifying anti rheumatic drugs (DMARDs) have been established. In the early 2000s biologic agents also became available for treatment purposes. Despite these altered and improved strategies RA patients continue to report pain and activity limitations; women more so than men.

    Objectives: To study differences regarding pain and activity limitations during the first three years after diagnosis of RA in today's patients compared with patients diagnosed 10 years earlier from a gender perspective.

    Methods: This study was based on patients recruited to the project “early interventions in RA” (TIRA). In the first cohort (TIRA-1) 320 patients were included during 1996-1998. In the second cohort (TIRA-2) 463 patients were included during 2006-2008. Disease activity score 28 joint count (DAS-28) and medication were registered. Pain intensity (VAS), bodily pain (BP) in Short Form36 (SF-36) and activity limitation (Health Assessment Questionnaire, HAQ) were reported at inclusion and at follow-ups after one, two and three years.

    Results: Disease activity did not differ between cohorts at inclusion, but was significant lower at the follow ups in the TIRA-2 cohort compared with the TIRA-1 cohort. Patients in TIRA2 were prescribed traditional DMARD:s and biologic agents more frequent than in TIRA-1. The TIRA-2 patients reported significantly higher pain intensity and activity limitations at inclusion but lower pain intensity and activity limitations at all follow-ups than TIRA-1 patients. There were no significant differences between cohorts regarding bodily pain at inclusion, but thereafter the TIRA-2 patients showed significant lower bodily pain than the TIRA-1 patients. Men reported lower activity limitation than women in TIRA-1; otherwise there were no gender differences in TIRA-1. In TIRA-2, there were no significant gender differences regarding pain at inclusion. However, men reported lower pain than women at all follow-ups. Women, in turn, reported significantly higher activity limitations at all time points in TIRA-2. Pain and activity limitations were significantly reduced from inclusion to the one year follow-up but remained stable thereafter.

    Conclusions: Both women and men in today's early RA patient cohort report lower pain and less activity limitations at the follow ups after diagnosis of RA compared to 10 years earlier. However, both activity limitations and bodily pain are still pronounced.

  • 16.
    Ahlstrand, Inger
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Vaz, Sharmila
    School of Occupational Therapy & Social Work, CHIRI, Curtin University, Perth, WA, Australia.
    Falkmer, Torbjörn
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. CHILD. Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
    Thyberg, Ingrid
    Department of Rheumatology and Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.
    Björk, Mathilda
    Department of Rheumatology and Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden.
    Self-efficacy and pain acceptance as mediators of the relationship between pain and performance of valued life activities in women and men with rheumatoid arthritis2017In: Clinical Rehabilitation, ISSN 0269-2155, E-ISSN 1477-0873, Vol. 31, no 6, p. 824-834Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To study whether personal factors (self-efficacy and pain acceptance) mediate the relationship between pain and performance of valued life activities in persons with rheumatoid arthritis.

    METHODS: Persons with rheumatoid arthritis for at least four years (n = 737; 73% women) answered a questionnaire measuring self-efficacy, pain acceptance, performance of valued life activities, and self-rated pain. Relationships among these constructs were explored using univariate and multivariate analyses. Structural equation modelling was then used to examine the mediational role of personal factors on the relationship between pain and performance of valued life activities.

    RESULTS: A direct negative association between pain and performance of valued life activities was identified (Beta = .34, P < .001). This suggests that people with rheumatoid arthritis who had higher levels of pain has increased difficulties in performing valued life activities. Self-efficacy and activity engagement component of pain acceptance mediated the relationship between pain and performance of valued life activities, however the pain willingness component of pain acceptance did not influence participation in valued life activities.

    CONCLUSION: These findings highlight the importance of considering personal factors, such as pain acceptance and self-efficacy, in facilitating participation in valued life activities.

  • 17.
    Ahlstrand, Inger
    et al.
    Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Vaz, Sharmila
    School of Occupational Therapy & Social Work, CHIRI, Curtin University, Perth, WA, Australia.
    Falkmer, Torbjörn
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Rehabilitation Center and Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
    Thyberg, Ingrid
    Department of Rheumatology and Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.
    Björk, Mathilda
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Self-efficacy and painacceptance in relation to pain and performance of valued life activities inwomen and men with RAArticle in journal (Other academic)
  • 18.
    Ahlstrand, Inger
    et al.
    Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Wagman, Petra
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Hakansson, C.
    Lund Univ, Div Occupat & Environm Med, Lund, Sweden.
    Bjork, M.
    Linkoping Univ, Dept Rheumatol, Linkoping, Sweden.
    Occupational balance and its relation to performance of valued life activities in persons with rheumatoid arthritis in working age2018In: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 77, no Suppl. 2, p. 186-186Article in journal (Refereed)
    Abstract [en]

    Background Experience of balance in everyday activities where work is an essential part is important to health and well-being, as has also been observed in previous studies in people with rheumatoid arthritis (RA). The Valued life activity scale (VLA-swe) is a questionnaire in which patient’s first report if the separate activities are valued or not to perform and secondly difficulties to perform these activities. Occupational Balance Questionnaire (OBQ) focuses on satisfaction with the amount and variation of occupations.

    Objectives The objectives were to 1) describe the relationship between performance of valued activities and experienced occupational balance, and to 2) identify aspects associated with low occupational balance in persons with RA.

    Methods 368 persons (age 18–65 years, 77% women) with RA responded to a questionnaire measuring occupational balance (OBQ) and performance of valued life activities (VLA-swe). Other aspects of interest were activity limitations measured by Health Assessment Questionnaire (HAQ), pain (measured by VAS), continuous stress (stressed continuously for more than a month during the last 12 months), children at home, education, and living situation. The relation between OBQ and performance in VLA across genders and Workers/Non-workers were analysed using non-parametric correlation analyses. To identify the impact of different aspects on the likelihood that participants would report lower occupational balance, OBQ was analysed using workers/nonworkers, stress, gender, age, pain and difficulties performing valued activities as independent variables in logistic regressions models. The study was approved by the Regional Ethics Committee (Dnr2011/452–31).

    Results The OBQ was significantly related to difficulties to perform valued activities reported by VLA (r=-0.41, p<0.001). Having more difficulties performing valued activities was the strongest predictor of lower occupation balance and increased the risk of reporting lower occupation balance with nearly five times (OR=4.54, p 0.001). Continuous stress increased the risk of having lower occupation balance more than three times (OR=3.27, p<0.0001) than those who not reported being stressed. The other variables show no significant impact on the likelihood that the participants would report lower occupational balance.

    Conclusions The results showed support for the relationship between occupation balance and performance of valued life activities and highlights to identify what’s important for the individual and to assume that in the rehabilitation. The results also show the importance of ability to manage stress, in order to enable for retaining ability to work and achieve high occupational balance.

  • 19.
    Ahlström, Olle
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Sundström, Sara
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Gig-arbetares aktivitetsbalans och hälsa i ensvensk kontext2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Idag finns lite kunskap om gig-arbete och hur arbetsformen påverkar individer verksamma inom gig-ekonomins aktivitetsutförande. Syfte: Syfte med studien var att beskriva gig-arbetares aktivitetsbalans och hälsa samt beskriva kontexten för gig-arbete och arbetsutförandet. Metod: En kvantitativ tvärsnittsstudie som kombinerats med en observation inspirerad av fallstudiemetodik. Deltagarna rekryterades genom bekvämlighetsurval. Målgruppen var gig-arbetare verksamma i gig-ekonomin som utgör de okvalificerade uppdragsbaserade arbetena som utförs lokalt. Tio gig-arbetare deltog i studien. Data samlandes in via enkät och observationer på sociala medier och i reell miljö. Databearbetning skedde genom deskriptiv statistik och kvalitativ innehållsanalys. Resultat: Studiens resultat visar att helhetsupplevelsen av gig-arbete är bra men deltagarna skattar aktivitetsobalans. I helhet skattar gruppen sin hälsa som god. Det visar på slutna svårtillgängliga grupper av gig-arbetare på sociala medier där diskussionerna till stor del handlar om arbetsmiljö och arbetsorganisation. De som skattar god hälsa är de gig-arbetare som arbetar 40 timmer eller mer i veckan och tjänar 20 000kr eller mer per månad. Slutsats: En stor andel i gruppen upplever bristfällig tillfredställelse med tid för aktiviteter utanför arbetet. Det finns aktivitetsobalans bland deltagarna men grupper upplever sin hälsa som god. De flesta har arbetsformen som primär inkomstkälla och det är en spridning av inkomstnivån.

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  • 20.
    Ahonen, Hanna
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Odontology and Oral Health Science. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health.
    Broström, Anders
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT. Univ Hosp Linkoping, Dept Clin Neurophysiol, Linkoping, Sweden..
    Fransson, Eleonor I.
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Jonkoping Univ, Sch Hlth & Welf, ADULT, Jonkoping, Sweden..
    Neher, Margit
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare.
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Karlstad Univ, Dept Hlth Sci, Karlstad, Sweden..
    Oral health-related situations among patients with experience of continuous positive airway pressure treatment: a critical incident analysis of experiences and actions2022In: Journal of Sleep Research, ISSN 0962-1105, E-ISSN 1365-2869, Vol. 31, no Suppl 1, article id P085Article in journal (Refereed)
  • 21.
    Ahonen, Hanna
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Odontology and Oral Health Science. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health.
    Broström, Anders
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT. Department of Clinical Neurophysiology, University Hospital Linköping, Linköping, Sweden.
    Fransson, Eleonor I.
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Neher, Margit
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare.
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Department of Health Sciences, Karlstad University, Karlstad, Sweden.
    “The terrible dryness woke me up, I had some trouble breathing”- critical situations related to oral health as described by CPAP-treated persons with obstructive sleep apnea2022In: Journal of Sleep Research, ISSN 0962-1105, E-ISSN 1365-2869, Vol. 31, no 6, article id e13670Article in journal (Refereed)
    Abstract [en]

    Continuous positive airway pressure is a common and effective treatment for obstructive sleep apnea, but adherence remains an issue. Both obstructive sleep apnea and oral diseases are associated with cardiovascular diseases, and as oral dryness contributes to treatment abandonment, oral health is of importance for this patient group. The aim was therefore to explore how persons with continuous positive airway pressure-treated obstructive sleep apnea experience situations associated with their oral health, and which actions they take to manage these. An explorative and descriptive design was adopted using the critical incident technique. Based on a purposeful selection, 18 adults with long-term experience of continuous positive airway pressure-treatment were interviewed using a semi-structured interview guide. Both negative and positive situations were described. Negative situations consisted of challenges with breathing, including mouth-breathing, choking sensations, problems with night-time and daytime oral dryness, changes in the saliva composition, and deteriorating oral health. Positive situations included experiences of reduced mouth-breathing and oral dryness. The situations were often successfully managed by mimicking daytime movements, changing sleeping position, adjusting the CPAP-device and mask, increasing oral hygiene efforts, drinking water, using a humidifier or chinstrap, or contacting their oral healthcare clinic. Long-term experience of persons with continuous positive airway pressure-treated obstructive sleep apnea regard situations and actions from everyday life. Successful management can contribute to long-term adherence and decrease negative effects on oral health. More interdisciplinary collaborations could enable identification and adequate recommendations for persons who experience negative situations during their continuous positive airway pressure treatment.

  • 22.
    Ahonen, Hanna
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Odontology and Oral Health Science. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health.
    Neher, Margit
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Fransson, Eleonor I.
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Broström, Anders
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT. Department of Clinical Neurophysiology, University Hospital Linköping, Linköping, Sweden.
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Department of Health Sciences, Karlstad University, Karlstad, Sweden.
    Views about oral health determinants as described by persons with continuous positive airway pressure-treated obstructive sleep apnea: A qualitative studyManuscript (preprint) (Other academic)
  • 23.
    Ahonen, Hanna
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Department of Odontology and Oral Health Science. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health.
    Neher, Margit
    Jönköping University, School of Health and Welfare, HHJ, Department of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare.
    Fransson, Eleonor I.
    Jönköping University, School of Health and Welfare, HHJ, Department of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Broström, Anders
    Jönköping University, School of Health and Welfare, HHJ, Department of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT. Department of Clinical Neurophysiology, University Hospital Linköping, Linköping, Sweden.
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ, Department of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Department of Health Sciences, Karlstad University, Karlstad, Sweden.
    Views on oral health determinants as described by persons with continuous positive airway pressure-treated obstructive sleep apnoea: a qualitative study2023In: BMC Oral Health, E-ISSN 1472-6831, Vol. 23, no 1, article id 407Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Oral diseases have been associated with cardiovascular diseases, and persons with continuous positive airway pressure [CPAP]-treated obstructive sleep apnoea [OSA] have an increased risk for negative consequences for both oral and general health. CPAP treatment is often life-long and adherence to treatment is essential. Xerostomia is a common side-effect which can lead to treatment abandonment. Oral health is a changeable part of our general health and well-being and exploring the views of oral health determinants from persons with experience of CPAP-treatment is important to prevent adverse oral health outcomes. The purpose of this study was to explore what persons with experience of CPAP-treated OSA view as determinants for their oral health.

    METHODS: Eighteen persons with long-term experience of CPAP-treated OSA were purposively selected. Data were collected by semi-structured individual interviews. A code book based on the World Dental Federation's [FDI] theoretical framework for oral health was developed and used to analyse the data using directed content analysis. The domains in the framework's component driving determinants were used as pre-determined categories. Using the description of driving determinants as a guide, meaning units were extracted from the interview transcripts through an inductive approach. Then, by employing a deductive approach the code book was used to categorise the meaning units into the pre-determined categories.

    FINDINGS: The views on oral health determinants described by the informants were compatible with the five domains in the component driving determinants in the FDI's theoretical framework. Ageing, heredity, and salivation (biological and genetic factors), influences from family and the wider society (social environment), location and re-localisation (physical environment), oral hygiene habits, motivation, willingness to change, professional support (health behaviours), and availability, control, finances, and trust (access to care) were viewed as important oral health determinants by the informants.

    CONCLUSION: The study points to a variety of individual oral health-related experiences that oral healthcare professionals could consider when designing interventions to reduce xerostomia and prevent adverse oral health outcomes for persons undergoing long-term CPAP-treatment.

  • 24. Albertsson, P
    et al.
    Björnstig, J
    Bylund, PO
    Björnstig, U
    Falkmer, Torbjörn
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Injury events among bus and coach occupants: non-crash injuries as important as crash injuries2005In: IATSS research, ISSN 0386-1112, Vol. 29, no 1, p. 79-87Article in journal (Refereed)
  • 25.
    Albertsson, P
    et al.
    Jönköping University.
    Björnstig, U
    Falkmer, Torbjörn
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    The balance between accessibility and safety in buses: a complicated ethical question.2005Conference paper (Refereed)
  • 26. Albertsson, P
    et al.
    Björnstig, U
    Falkmer, Torbjörn
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    The Haddon matrix, a tool for investigating severe bus and coach crashes2004In: International Journal of Disaster Medicine, ISSN 1503-1438, E-ISSN 1755-4713, Vol. 1, no 2, p. 109-119Article in journal (Other academic)
  • 27. Albertsson, P
    et al.
    Björnstig, U
    Falkmer, Torbjörn
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Kirk, A
    Mayrhofer, E
    Case study: 128 Injured in rollover coach crashes in Sweden: injury outcome, mechanisms and possible effects of seat belts2004In: Safety Science, ISSN 0925-7535, E-ISSN 1879-1042, Vol. 44, no 2, p. 87-109Article in journal (Refereed)
  • 28. Albertsson, P
    et al.
    Björnstig, U
    Petzäll, J
    Falkmer, Torbjörn
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Näsman, Y
    Utrymningsförsök av passagerare ur buss vid brand och brandtillbud samt antalet bränder och brandtillbud i bussar i Sverige2006In: Akuttjournalen: Tidsskrift for avansert akuttmedisin, ISSN 0805-6129, E-ISSN 1500-7480, Vol. 14, no 2, p. 85-91Article in journal (Refereed)
  • 29. Albertsson, P
    et al.
    Falkmer, Torbjörn
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    A literature review on bus and coach incidents in Europe2004In: Accident Analysis and Prevention, ISSN 0001-4575, E-ISSN 1879-2057, Vol. 37, no 2, p. 225-233Article in journal (Refereed)
  • 30.
    Almberg , Therse
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Johansson, Lena
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Arbetsterapeuten som coach respektive behandlare2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    SummaryTitle: Occupational therapists as a coach or paramedicOccupational therapists have a holistic view and works with each individual in focus, based on individuals abilities in relation to activity. The occupational therapy profession with its broad expertise and broad perspective of understanding is facing new challenges. The purpose of this study was to describe occupational therapists perception of working as a coach or as a paramedic. A qualitative method with a purposive sampling combined with a net-work sam-pling were used. Two focus group discussions were conducted. The number of participants were nine female working occupational therapists from a various scope of practice. The data-analysis was conducted through individual and group analysis and different categories were defined in accordance with the purpose. The occupational therapists combine the two roles as coach and paramedic in their work with different individuals. What employer and work area the occupational therapists work in, is essential for what approach they have. Economics, po-litical factors and the focus of the work influences. Depending on work area and focus, the individual has varying responsibility in their rehabilitation/treatment. The occupational thera-py education generates a joint terminology and an activity perspective that forms a common basis. The traditional professional roles has been revised, the question is whether coach is a buzz-word and paramedic more traditional? It’s essential that the profession has a clear profile and today occupational therapists apply for the same posts as other professions. In conclusion the occupational therapy profession is multifaceted with a common ground. Work area and the individual are essential for the occupational therapists approach in the rehabilita-tion/treatment.

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  • 31.
    Almberg, Maria
    et al.
    Mobility Centre Gothenburg, Sweden.
    Selander, Helena
    Mobility Centre Gothenburg, Sweden.
    Falkmer, Marita
    Jönköping University, School of Education and Communication, HLK, CHILD. School of Occupational Therapy and Social Work, Faculty of Health Sciences, Curtin University, Perth, Australia.
    Vaz, Sharmila
    School of Occupational Therapy and Social Work, Faculty of Health Sciences, Curtin University, Perth, Australia.
    Ciccarelli, Marina
    School of Occupational Therapy and Social Work, Faculty of Health Sciences, Curtin University, Perth, Australia.
    Falkmer, Torbjörn
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. CHILD. School of Occupational Therapy and Social Work, Faculty of Health Sciences, Curtin University, Perth, Australia.
    Experiences of facilitators or barriers in driving education from learner and novice drivers with ADHD or ASD and their driving instructors2017In: Developmental Neurorehabilitation, ISSN 1751-8423, E-ISSN 1751-8431, Vol. 20, no 2, p. 59-67Article in journal (Refereed)
    Abstract [en]

    Background: Little is known about whether individuals with autism spectrum disorder (ASD) or attention deficit hyperactive disorder (ADHD) experience any specific facilitators or barriers to driving education.

    Objective: To explore the facilitators or barriers to driving education experienced by individuals with ASD or ADHD who obtained a learner’s permit, from the perspective of the learner drivers and their driving instructors.

    Methods: Data were collected from 33 participants with ASD or ADHD, and nine of their driving instructors.

    Results: Participants with ASD required twice as many driving lessons and more on-road tests than those with ADHD. Participants with ADHD repeated the written tests more than those with ASD. Driving license theory was more challenging for individuals with ADHD, whilst individuals with ASD found translating theory into practice and adjusting to “unfamiliar” driving situations to be the greatest challenges.

    Conclusion: Obtaining a driving license was associated with stressful training experience.

  • 32.
    Almgren, Malin
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Olsson, Jenny
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Aktivitetsbalans hos gymnasieungdomar2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Ungdomar spenderar stor del av sin tid i skolan och upplever en minskad tid till fritid på grund av skolarbete. Tiden utanför skoltid är viktig för återhämtning och för att upprätthålla aktivitetsbalansen samt motverka stressrelaterad ohälsa. Syftet med studien är att beskriva aktivitetsbalans i relation till den tid eleven spenderar på skolarbete utanför skoltid och stress. Studien har en kvantitativ design, 46 deltagare rekryterades genom ett icke-slumpmässigt bekvämlighetsurval. Deltagarna besvarade påståenden kring aktivitetsbalans med Occupational Balance Questionnaire (OBQ) och kompletterande frågor om tid spenderad på skolarbete utanför skoltid och stress. Deskriptiv statistik, Spearman´s rank correlation och Mann-Whitney U-Test användes för att sammanställa data. Resultatet visar att deltagargruppen uppnår generellt låga totalpoäng i OBQ. Kvinnor skattar betydligt lägre aktivitetsbalans än män. Generellt anger hela deltagargruppen många studietimmar/vecka, och kvinnor anger fler studietimmar/veckan än män. Majoriteten av deltagarna upplever stress. Deltagare som inte upplever stress anger alla höga poäng på påståendet balans mellan vila, återhämtning och sömn. Slutsatsen för studien är att flertalet av deltagarna upplever låg aktivitetsbalans. Det är inte troligt att det finns en relation mellan skolarbete utanför skoltid och ungdomars aktivitetsbalans. 

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  • 33.
    Almström, Ellen
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Department of Rehabilitation.
    Ekelund, Elsa
    Jönköping University, School of Health and Welfare, HHJ, Department of Rehabilitation.
    Arbetsterapeutiska interventioner för föräldrar till barn med neuropsykiatrisk funktionsnedsättning: En scoping review2024Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
    Abstract [en]

    Background: Children with neurodevelopmental disorder (NDD) affect the family situation and can lead to increased parental stress. Occupational therapy interventions for parents of children with NDD therefore need to be identified. Aim: The aim of the study was to identify and describe occupational therapy interventions for parents of children with neurodevelopmental disorders based on OTIPM´s intervention models. Method: A scoping review was conducted. Four databases were used to identify relevant studies and the sample consisted of twelve articles. The summary of the results is presented based on a content analysis where OTIPM's intervention models were used as a deductive framework. Results: The results are presented based on the four OTIPM intervention models. The occupational therapy interventions identified for parents of children with NDD in the compensatory model were POET, OBC, CI-ASD, Regul-A and MealSense. In the education and teaching model they were OPC and HMHF. In the acquisitional model they were the intervention play therapy, and in the restorative model, the interventions parent training programs based on the DIR model, play therapy and MBSR-OT. Conclusions: There are several occupational therapy interventions that can be lined to all OTIPM intervention models. Research in the European context is needed to enable occupational therapists in Sweden to implement occupational therapy interventions with evidence to parents with children with NDD. Implications: The study may contribute to a better understanding of what occupational therapy interventions are available for parents of children with NDD. 

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  • 34.
    Almén, Izabell
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Rydin, Karin
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Äldres upplevelse av delaktighet under Coronapandemin: En kvalitativ intervjustudie2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med studien var att beskriva äldre personers upplevelse av delaktighet under Coronapandemin. Metoden som användes var en kvalitativ intervjustudie med semistrukturerade intervjufrågor. Informanterna rekryterades genom ett bekvämlighetsurval. Dataanalysen gjordes genom kvalitativ innehållsanalys. Resultatet visade på att äldre personer upplevde en förändring i hur deras vardagsliv såg ut, med mer händelselösa dagar då aktiviteter ställdes in, samt att de inte fick möjlighet att träffa vänner och familj i samma utsträckning som tidigare. Likaså upplevde de att de hade blivit placerade i en “gammal och skör” grupp som de inte kan identifiera sig med. Däremot hade de på många sätt kunnat anpassa sin vardag genom att bland annat utföra aktiviteter utomhus, samt använda sig av digital teknik och telefon i större utsträckning än tidigare. Slutsatsen var att äldres upplevelse av delaktighet har främst påverkats negativt av Coronapandemin, då bortfallet av aktiviteter och möjlighet att träffa vänner och familj har lett till en minskad livskvalitet. Trots att många har kunnat anpassa sina aktiviteter finns en stor längtan tillbaka till livet så som det var innan Coronapandemin.  

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  • 35.
    Alnervik, Anitha
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Linddahl, Iréne
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Sätt värde på arbetsterapi: En studiecirkel i evidensbasering av arbetsterapi2006Other (Other academic)
  • 36.
    Alnervik, Anitha
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Linddahl, Iréne
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Value of occupational therapy - about evidence-based occupational therapy2011Other (Other academic)
  • 37.
    Alnervik, Anitha
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Svidén, Gunilla
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    On Clinical Reasoning: Patterns of Reflection on Practice1996In: The Occupational therapy journal of research, ISSN 0276-1599, Vol. 16, no 2, p. 98-110Article in journal (Refereed)
  • 38.
    Ambraziejiene, Jone
    Jönköping University, School of Health and Welfare, HHJ, Department of Rehabilitation.
    Traditional cultural activities for older adults: A scoping literature review2024Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: The growing population of older adults underscores the need for more focus on their health and wellbeing, including the role of traditional cultural activities in relation to wellbeing. Aim: The aim was to describe the meaning of older adults’ participation in traditional cultural activities in relation to wellbeing. Method: Inspired by Mak and Thomas’ (2022) framework, a scoping literature review was performed. Five databases were searched to identify relevant studies and descriptive qualitative content analysis was used. Findings: From 1222 articles retrieved, 16 were included in addition to two grey literature sources. The study identified two overarching categories, each with two sub-categories: traditional cultural activities and older adults’ wellbeing and cultural and social identity. Conclusions: While no studies directly addressed older adults’ perceived meaning of traditional cultural activities, the findings provide insights about the meaning of older adults’ participation in traditional cultural activities which may contribute to physical and psychological wellbeing and foster strong social bonds and self-identity among older adults. Significance: By integrating traditional cultural activities into interventions, occupational therapists may enhance holistic wellbeing, cultural preservation, and social inclusion for this population. Future qualitative research on older adults’ perceived meaning of participation in traditional cultural activities is needed.

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  • 39. Andersen, Nadja
    et al.
    Friis, Maria
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Rehabilitation.
    Donation of Used Assistive Devices2022Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of the thesis was to explore the stakeholders’ opinions on and experiences with donation of used assistive devices from high-income countries to developing countries. Which was done by investigating the opinions and experiences of the different stakeholders, with donation of used assistive devices, and by exploring what used assistive devices are appropriate to donate.  

    The study included eight participating stakeholders, requited through purposive and snowball sampling. Of the eight participants, five participants were sending stakeholders from Scandinavia and three participants were receiving stakeholders from lower-middle-income countries in Africa and an upper-middle-income country in Europe. The interviews were conducted using semi-structured questions to explore the participants’ own opinions and experiences with donations. Qualitative content analysis was used to analyze the transcribed interviews inductively and with manifest content. 

    The results consisted of 4 main categories: Practical issues, Stakeholders opinions and cooperation, Donations are needed, and Considerations when donating. The main findings of the study were; the importance of quality control to ensure waste is not sent, the importance of communication between sender and receiver about needs, the importance of knowledge of the prerequisites and context of the receiver, and lastly, the importance of considering the responsibility of waste when the donations are worn out. In conclusion, the included stakeholders have a positive attitude towards donations and expressed a need for more knowledge.

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  • 40.
    Anderson, Sarah
    et al.
    School of Allied Health, Human Services, and Sport, La Trobe University, Melbourne, Australia.
    Barnett, Cleveland T.
    School of Science and Technology, Nottingham Trent University, Nottingham, U.K..
    Rusaw, David
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Celebrating 50 years of the International Society for Prosthetics and Orthotics: Past, present, and future2020In: Prosthetics and Orthotics International, ISSN 0309-3646, E-ISSN 1746-1553, Vol. 44, no 6, p. 365-367Article in journal (Other academic)
  • 41.
    Anderson, Sarah
    et al.
    School of Allied Health, Human Services, and Sport, La Trobe University, Melbourne, VIC, Australia.
    Barnett, Cleveland T.School of Science and Technology, Nottingham Trent University, Nottingham, UK.Rusaw, DavidJönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Editorial Special Issue: ISPO 50th Anniversary: Prosthetics and Orthotics International, Volume 44 Issue 6, December 20202020Collection (editor) (Other academic)
  • 42.
    Anderson, Sarah P.
    et al.
    School of Allied Health Human Services and Sport, La Trobe University, Australia.
    Barnett, Cleveland T.
    School of Science and Technology, Nottingham Trent University, UK.
    Rusaw, David
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Exploring the perspectives of prosthetic and orthotic users: Past and present experiences and insights for the future2022In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 44, no 18, p. 5284-5290Article in journal (Refereed)
    Abstract [en]

    Purpose: The aim of this work was to qualitatively explore the personal perspectives of prosthetic and orthotic users, in the context of their past and present experiences and understand their insights for the future.

    Materials and Methods: A narrative exploration study design employing a phenomenological approach was used. Semi-structured interviews were conducted with three female and two male prosthetic and orthotic users from Australia and the United Kingdom. Interviews were analysed, coded and key themes and sub-themes identified. 

    Results: Three themes were identified. The Maximising Opportunity theme linked sub-themes of recreation and pushing boundaries.  The Health Care Network theme included sub-themes of communication, peer support and building a team. The final theme, Changes over time, included sub-themes of disability perception, advice and advancements over time. 

    Conclusion: Prosthetic and orthotic users identified there had been vast changes in disability perception, disability rights, and their role in the health care system, along with the variety of technology and materials available. Key findings were that prosthetic and orthotic users want to be listened to, considered central to the health care team, and had a deep understanding of their own health care needs.

  • 43.
    Andersson, Anna
    Jönköping University, School of Health and Welfare, HHJ, Department of Rehabilitation.
    Vad vet vi om arbetsterapeutiska interventioner inom arbetslivsinriktad rehabilitering?: En scoping review2024Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Att arbeta är viktigt utifrån individens välbefinnande och ur ett samhällsperspektiv. Individer med nedsatt arbetsförmåga har i mindre omfattning arbete än övriga befolkningen. Arbetsterapeuter har kompetens att arbeta med arbetslivsinriktad rehabilitering då det ställer krav på att både bedöma individens förutsättningar, arbetsmiljön samt krav i arbete. 

    Syfte: Syftet med studien var att kartlägga hur kunskapsläget nationellt och internationellt ser ut avseende arbetsterapeutiska interventioner inom arbetslivsinriktad rehabilitering på och i nära anslutning till arbetsplatsen där syftet är återgång i arbete.

    Metod: En scoping review genomfördes utifrån Arksey och O´Malleys femstegsmodell. 

    Resultat: Efter analys av tio artiklar framkom huvudtemana interventioner och arbetsterapeutiskt arbetssätt med undertemana arbetsplatsanpassningar interventioner för hitta aktivitetsbalans, interventioner för att stärka individens sociala förmåga, klientcentrerat och individbaserat arbetssätt. 

    Slutsats: Studien har bidragit till ökad kunskap om vilka interventioner som används av arbetsterapeuter inom arbetslivsinriktad rehabilitering och att de är effektiva. Det är viktigt att arbetsterapeuten arbetar klientcentrerat. Interventionerna bör utgå från individen och ta hänsyn till arbetsmiljö och kraven i arbete. Det går att utveckla evidensbaserade metoder med arbetsterapiteori. 

    Implikationer: Arbetsterapeuter har en viktig roll för en effektiv arbetslivsinriktad rehabilitering då studien visade att det genom arbetsterapeutiska interventioner blev en effektivare återgång i arbete. 

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  • 44.
    Andersson, Elin
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Andersson, Ebba
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Sensorisk integrationsåtgärd i form av ett sinnesrum för barn med intellektuell funktionsnedsättning, ADHD och/eller autism: En översiktlig litteraturstudie/ “Scoping Review”2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Children diagnosed with intellectual disability, ADHD och autism may experience that they have a reduced participation in their social network and the community. These diagnoses have symptoms that may have negative impact on the performance in the daily activities. According to studies, one of the symptoms that has an impact on the occupational performance for these children is the sensory processing of the stimuli in the child’s environment. The purpose of this bachelor thesis was to describe how a multisensory room can be used as an intervention for children with intellectual disabilities, ADHD and/or autism to increase participation. The bachelor thesis was a Scoping Review where 20 articles and chapters from a book was included. Inclusion criteria for the articles was studies about children to the age of 18 years, diagnosed with ADHD and/-or autism, use of a multisensory room and sensory processing in children with ADHD and autism. The articles could be a quantitative-, qualitative-, or systematic review studies. The reference lists of the systematic reviews studies were reviewed to exclude that an article wasn't already reviewed. The articles would be written in Swedish or English, published between 2005 and May 2018, would be available in full text and peer reviewed, The results describes how a multisensory room can be used as an intervention for the population of the bachelor thesis, the effects and how the multisensory room offers different stimuli that can satisfy the child’s sensory needs. This can contribute to a positive effect by increasing the occupational performance and participation. The conclusion is that occupational therapists can use multisensory rooms as an intervention and it can be offered to children with ADHD and autism and it shows a positive effect on their participation in their occupational performance.

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  • 45.
    Andersson, Erik
    Jönköping University, School of Health Science. Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Datahjälpmedel anpassat för protesanvändare, är det ett behov?: En kvalitative intervjustudie med tre unilaterala höger underarms amputerade. Design alternativ förslag om datahjälpmedel för protesanvändare.Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Background:

     

    It has become more ordinary to use computer in society today. This can affect

    the old as well as the disabled people, which can have problems with the use of the computer.

    There are not many studies that have been conducted about computer aid for arm amputees.

    Aim:

     

    The goal was to get a better view of unilateral forearms amputee’s situation concerning

    computer use, to find out if there is a need for computer aid for unilateral forearms amputees.

    There are few studies about how the situation for use of the computer is for unilateral

    forearms amputees and what needs they have.

    Method:

     

    Three right unilateral forearms amputees were interviewed about how their

    situation is when using the computer. Interviews were transcribed, condensed and coded.

    Categorizes were created of the codes and presented as findings

    Findings:

     

    The amputees in the study had no need of computer aid. They used their left hand

    and sometimes the prosthesis to help with writing. There was no problem except for writing

    speed.

    Own design of a computer aid:

     

    The design off the computer aid was an endoskeletetart. It

    has a cable, out to two fingers that creates a flexions moment, so the finger can do a muse

    click. One of the fingers will be able to get in a position to use for typing.

    Discussion:

     

    The group of respondents included in this study was not optimal.

    The younger

    generations have maybe a greater need of computer aid and inclusion of younger respondents

    may have given a different result. The need of computer aid maybe is not that great because it

    already works to work at the computer.

    Conclusion:

     

    Unilateral forearms amputees use their remaining limb to operate the computer.

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  • 46.
    Andersson, Jessica
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Isacson, Mikaela
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Hästens inverkan på den psykiska hälsan: En scoping review2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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  • 47.
    Andersson, Julia
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Rehabilitation. Jönköpings kommun.
    Törnberg, Elin
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Rehabilitation. Jönköpings kommun.
    Arbetsterapeutiska interventioner för individer med multipel skleros- en scoping review2022Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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  • 48.
    Andersson, Paulina
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Roos, Elina
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Arbetsterapeuters insatser inom suicidprevention2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    During 2017, 1,189 people died due to suicide in Sweden. Suicide is a complex problem and a multifaceted approach is required to prevent suicide. The aim with this study was to describe occupational therapists’ perceptions and experiences regarding suicide prevention and how occupational therapists’ competence can be used in work regarding suicide prevention. A qualitative study including three focus groups and an individual interview with a total of eight occupational therapists were conducted. Data was therefore analysed using qualitative content analysis. Two categories were revealed in the result: Suicide prevention in practice and Treatment and knowledge about suicidal patients. The participants have not earlier reflected on their role in suicide prevention and experience a fear and insecurity in the meeting with suicidal patients. The concepts meaningfulness and participation are emphasized as important. The therapeutic alliance is the basis for the patient to want, or dare, to talk about suicidal thoughts and/or suicidal behaviours. The participants also emphasize the importance of taking the patient's focus and having an inside perspective. The conclusions are that occupational therapists need training regarding suicide prevention to further clarify their roles, and to feel safe in the meeting with suicidal patients. Occupational therapists, with their competence, can deepen and broaden the understanding of suicidal actions and promote the individual’s mental health in the long term to prevent suicide.

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  • 49.
    Andersson, Vilma
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Tidblom, Alma
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Being involved in the community:  A qualitative study of social inclusion for people with physical disabilities in Mexico2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study was to describe participant experiences of how a rehabilitation centre can facilitate social inclusion for people with physical disabilities in Mexico. This research was a qualitative interview study with a semi-structured interview approach. Ten participants were recruited using purposive sampling. The participants were individuals with physical disabilities, including both mobility and visual impairments, who had a connection with the rehabilitation centre. Content analysis was used while examining the collected data. The result consisted of one main category ‘individual experiences of achieving social inclusion’, four categories; ‘being supported by a community’, ‘acceptance of disability’, ‘the centre's work and its effect in the society’ and ‘the importance of work’. Each category contained several sub-categories. In conclusion, the rehabilitation centre facilitates inclusion through work opportunities and the sense of belonging to a community which has a positive impact on persons with a disability. Changing attitudes in the society by raising awareness about disability and generating an acceptance of one’s disabilities were important facilitating factors. 

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  • 50.
    Andersson, Yvonne
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Erikson, Elin
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Förändringar i aktivitetsmönster och välbefinnande hos äldre efter flytt till särskilt boende: En kvalitativ intervjustudie om äldres självupplevda förändring2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: The purpose of the thesis was to describe older adults (65 and older) perceptions about changes to their occupational patterns and wellbeing after a move to a special care facility. Method: A qualitative interview with semi-structured questions and estimated wellbeing on a VAS-scale was performed on ten older adults living in special care facilities. The sampling was a convenient sampling with a secondary purposive sampling. The sampling of participants was made from two separate special care facilities, one in a city and one in a town. A qualitative data analysis was performed to analyses the collected data.  Results: The result showed that the participants perceived changes to both occupational patterns and wellbeing after a move to a special care facility. The participants perceived that they had more recreational activities or leisure activities and less household chores or mustdo-activities after moving to a special care facility. Many meaningful physical activities had become hard to perform and had been replaced with less demanding activities.  Conclusion: Occupational patterns and estimated wellbeing was affected by the move to a special care facility. The aspects of aging were perceived to affect the change as well.

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