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von Heideken Wågert, Petra, DocentORCID iD iconorcid.org/0000-0001-6292-7010
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von Heideken Wågert, P., Nygård, S. & Cederbom, S. (2020). Everyday life in older men living alone - a complex view needing a biopsychosocial perspective. Disability and Rehabilitation, 42(1), 44-52
Öppna denna publikation i ny flik eller fönster >>Everyday life in older men living alone - a complex view needing a biopsychosocial perspective
2020 (Engelska)Ingår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 42, nr 1, s. 44-52Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

PURPOSE: To explore how older men living alone, describe their everyday activities and their abilities as well as how they could be helped in everyday life.

MATERIALS AND METHODS: Qualitative semi-structured interviews were analysed with inductive content analysis. Eight men aged 65+ years were included. They were all living alone, albeit with home help services. They were able to walk and had sufficient cognitive ability.

RESULTS: The analysis resulted in one theme "A driving force of managing activities and overcome hindering factors requires a broad spectrum of prerequisites for participating in everyday life" with the following four categories: Importance of everyday activities; individual prerequisites enabling everyday activities; body and mind inhibit, and react to the decreased, abilities; and importance of the environment.

CONCLUSIONS: The results generate a complex view of older men's everyday life. It is important for older men's independence that health care and rehabilitation staff adopt a comprehensive view and work from a biopsychosocial (BPS) perspective. Implications for rehabilitation To be an older man living alone might mean a decreased health and good health is a strong predictor for increased abilities in everyday activities. The living situation of older men living alone is not well studied and needs to be explored to a greater extend, especially from their own perspective. An interaction of biological, psychological, and social factors was expressed as important for older men's everyday life, in accordance with the biopsychosocial (BPS) model. The expressed importance of participation as well as performing both physical and social activities reflects the need of individualised goals in rehabilitation according to the behavioural medicine approach. It is of outmost importance that health care and rehabilitation staff in contact with this group has a comprehensive view and works from a biopsychosocial (BPS) perspective, for maintenance of the older men's independence in everyday life.

Ort, förlag, år, upplaga, sidor
ABINGDON: TAYLOR & FRANCIS LTD, 2020
Nyckelord
Activities in everyday life, daily rhythm, elderly, gender, home help services, physiotherapy
Nationell ämneskategori
Sjukgymnastik
Forskningsämne
fysioterapi
Identifikatorer
urn:nbn:se:mdh:diva-45566 (URN)10.1080/09638288.2018.1492030 (DOI)000505437700008 ()30010439 (PubMedID)
Tillgänglig från: 2019-10-16 Skapad: 2019-10-16 Senast uppdaterad: 2020-01-16Bibliografiskt granskad
Kraiwong, R., Vongsirinavarat, M., Hiengkaew, V. & von Heideken Wågert, P. (2019). Effect of Sensory Impairment on Balance Performance and Lower Limb Muscle Strength in Older Adults With Tune 2 Diabetes. ANNALS OF REHABILITATION MEDICINE-ARM, 43(4), 497-508
Öppna denna publikation i ny flik eller fönster >>Effect of Sensory Impairment on Balance Performance and Lower Limb Muscle Strength in Older Adults With Tune 2 Diabetes
2019 (Engelska)Ingår i: ANNALS OF REHABILITATION MEDICINE-ARM, ISSN 2234-0645, Vol. 43, nr 4, s. 497-508Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Objective To compare balance performance and lower limb muscle strength between older adults with type 2 diabetes mellitus (DM), with and without sensory impairments and non-DM groups. Influence of a number of sensory impairments, and muscle strength on balance performance were explored. Methods Ninety-two older adults with and without type 2 DM, were examined relative to visual function with the Snellen chart, Melbourne Edge test, and Howard-Dolman test, vestibular function with the modified Romberg test, proprioception of the big toe, and diabetic peripheral neuropathy with the Michigan Neuropathy Screening Instrument. Balance performances were evaluated with the Romberg test, Functional Reach Test (FRT), and Timed Up and Go test (TUG). Strength of knee and ankle muscles was measured. Results FRT of type 2 DM groups with at least two sensory impairments, was lower than the non-DM group (p<0.05). TUG of all DM groups, was worse than the non-DM group (p<0.01). Lower limb muscle strength of type 2 DM groups with two and three sensory impairments, was weaker than non-DM group (p<0.05). Regression analysis showed that type 2 DM with three sensory impairments, ankle dorsiflexors strength, and age were influential predictors of TUG. Conclusion There were significant differences, of muscle strength and balance performance among groups. Poorer balance and reduced lower limb strength were marked in older adults with type 2 DM, even ones without sensory impairment. Muscle weakness seemed to progress, from the distal part of lower limbs. A greater number of sensory impairments, weaker dorsiflexors, and advanced age influenced balance performance.

Ort, förlag, år, upplaga, sidor
KOREAN ACAD REHABILITATION MEDICINE, 2019
Nyckelord
Sensory, Balance, Muscle strength, Type 2 diabetes mellitus, Elderly
Nationell ämneskategori
Hälsovetenskaper
Identifikatorer
urn:nbn:se:mdh:diva-45265 (URN)10.5535/arm.2019.43.4.497 (DOI)000484138900007 ()31499604 (PubMedID)2-s2.0-85073331725 (Scopus ID)
Tillgänglig från: 2019-09-19 Skapad: 2019-09-19 Senast uppdaterad: 2019-10-31Bibliografiskt granskad
von Heideken Wågert, P., Nygard, S. & Cederbom, S. (2018). EVERYDAY LIFE IN OLDER MEN LIVING ALONE - A COMPLEX VIEW NEEDING A BIOPSYCHOSOCIAL PERSPECTIVE. International Journal of Behavioral Medicine, 25, S13-S13
Öppna denna publikation i ny flik eller fönster >>EVERYDAY LIFE IN OLDER MEN LIVING ALONE - A COMPLEX VIEW NEEDING A BIOPSYCHOSOCIAL PERSPECTIVE
2018 (Engelska)Ingår i: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 25, s. S13-S13Artikel i tidskrift, Meeting abstract (Övrigt vetenskapligt) Published
Ort, förlag, år, upplaga, sidor
SPRINGER, 2018
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
urn:nbn:se:mdh:diva-41225 (URN)000446532700045 ()
Tillgänglig från: 2018-10-25 Skapad: 2018-10-25 Senast uppdaterad: 2019-10-21
Sandborgh, M., Elvén, M., von Heideken Wågert, P., Snöljung, Å. & Söderlund, A. (2018). IMPLEMENTATION OF BEHAVIORAL MEDICINE IN A PHYSIOTHERAPY UNDERGRADUATE CURRICULUM STUDENT EVALUATIONS. International Journal of Behavioral Medicine, 25, S64-S65
Öppna denna publikation i ny flik eller fönster >>IMPLEMENTATION OF BEHAVIORAL MEDICINE IN A PHYSIOTHERAPY UNDERGRADUATE CURRICULUM STUDENT EVALUATIONS
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2018 (Engelska)Ingår i: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 25, s. S64-S65Artikel i tidskrift, Meeting abstract (Övrigt vetenskapligt) Published
Ort, förlag, år, upplaga, sidor
SPRINGER, 2018
Nationell ämneskategori
Sjukgymnastik Psykologi
Identifikatorer
urn:nbn:se:mdh:diva-41224 (URN)000446532700205 ()
Tillgänglig från: 2018-10-25 Skapad: 2018-10-25 Senast uppdaterad: 2019-11-11
Cederbom, S., Thunborg, C., Denison, E., Söderlund, A. & von Heideken Wågert, P. (2017). Home Help Service Staffs' Descriptions of Their Role in Promoting Everyday Activities Among Older People in Sweden Who Are Dependent on Formal Care.. Journal of Applied Gerontology, 36(8), 971-992
Öppna denna publikation i ny flik eller fönster >>Home Help Service Staffs' Descriptions of Their Role in Promoting Everyday Activities Among Older People in Sweden Who Are Dependent on Formal Care.
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2017 (Engelska)Ingår i: Journal of Applied Gerontology, ISSN 0733-4648, E-ISSN 1552-4523, Vol. 36, nr 8, s. 971-992Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

The study aimed to explore how home help service staff described their role in improving the abilities of older people, in particular, older women with chronic pain who are dependent on formal care, to perform everyday activities. Three focus group interviews were conducted, and a qualitative inductive thematic content analysis was used. The analysis resulted in one theme: struggling to improve the care recipients' opportunities for independence but being inhibited by complex environmental factors. By encouraging the care recipients to perform everyday activities, the staff perceived themselves to both maintain and improve their care recipients' independence and quality of life. An important goal for society and health care professionals is to improve older people's abilities to "age in place" and to enable them to age independently while maintaining their quality of life. A key resource is home help service staff, and this resource should be utilized in the best possible way.

Nyckelord
dependency, focus group interviews, home help service staff, independency, older people, qualitative study, quality of life, rehabilitation, team
Nationell ämneskategori
Sjukgymnastik
Identifikatorer
urn:nbn:se:mdh:diva-29398 (URN)10.1177/0733464815595511 (DOI)000404415600004 ()26209706 (PubMedID)2-s2.0-85021438772 (Scopus ID)
Tillgänglig från: 2015-10-27 Skapad: 2015-10-27 Senast uppdaterad: 2019-11-11
Thunborg, C., von Heideken Wågert, P., Götell, E., Ivarsson, A.-B. & Söderlund, A. (2015). Development of a new assessment scale for measuring interaction during staff-assisted transfer of residents in dementia special care units. BMC Geriatrics, 15(1), Article ID 6.
Öppna denna publikation i ny flik eller fönster >>Development of a new assessment scale for measuring interaction during staff-assisted transfer of residents in dementia special care units
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2015 (Engelska)Ingår i: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 15, nr 1, artikel-id 6Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background

Mobility problems and cognitive deficits related to transferring or moving persons suffering from dementia are associated with dependency. Physical assistance provided by staff is an important component of residents’ maintenance of mobility in dementia care facilities. Unfortunately, hands-on assistance during transfers is also a source of confusion in persons with dementia, as well as a source of strain in the caregiver. The bidirectional effect of actions in a dementia care dyad involved in transfer is complicated to evaluate. This study aimed to develop an assessment scale for measuring actions related to transferring persons with dementia by dementia care dyads.

Methods

This study was performed in four phases and guided by the framework of the biopsychosocial model and the approach presented by Social Cognitive Theory. These frameworks provided a starting point for understanding reciprocal effects in dyadic interaction. The four phases were 1) a literature review identifying existing assessment scales; 2) analyses of video-recorded transfer of persons with dementia for further generation of items, 3) computing the item content validity index of the 93 proposed items by 15 experts; and 4) expert opinion on the response scale and feasibility testing of the new assessment scale by video observation of the transfer situations.

Results

The development process resulted in a 17-item scale with a seven-point response scale. The scale consists of two sections. One section is related to transfer-related actions (e.g., capability of communication, motor skills performance, and cognitive functioning) of the person with dementia. The other section addresses the caregivers’ facilitative actions (e.g., preparedness of transfer aids, interactional skills, and means of communication and interaction). The literature review and video recordings provided ideas for the item pool. Expert opinion decreased the number of items by relevance ratings and qualitative feedback. No further development of items was performed after feasibility testing of the scale.

Conclusions

To enable assessment of transfer-related actions in dementia care dyads, our new scale shows potential for bridging the gap in this area. Results from this study could provide health care professionals working in dementia care facilities with a useful tool for assessing transfer-related actions.

Nyckelord
Caregiver, Dementia, Dyadic interaction, Observation scale, Scale construction, Special care unit
Nationell ämneskategori
Medicin och hälsovetenskap Hälsovetenskaper
Forskningsämne
vårdvetenskap
Identifikatorer
urn:nbn:se:mdh:diva-27636 (URN)10.1186/s12877-015-0003-6 (DOI)000349862200001 ()25884797 (PubMedID)2-s2.0-84923859656 (Scopus ID)
Tillgänglig från: 2015-03-02 Skapad: 2015-03-02 Senast uppdaterad: 2019-06-18Bibliografiskt granskad
Cederbom, S., Rydwik, E., Söderlund, A., Denison, E., Frandin, K. & Petra, v. H. (2014). A behavioral medicine intervention for older women living alone with chronic pain - a feasibility study. Clinical Interventions in Aging, 9, 1383-1397
Öppna denna publikation i ny flik eller fönster >>A behavioral medicine intervention for older women living alone with chronic pain - a feasibility study
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2014 (Engelska)Ingår i: Clinical Interventions in Aging, ISSN 1176-9092, E-ISSN 1178-1998, Vol. 9, s. 1383-1397Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: To be an older woman, live alone, have chronic pain, and be dependent on support are all factors that may have an impact on daily life. One way to promote ability in everyday activities in people with pain-related conditions is to use individualized, integrated behavioral medicine in physical therapy interventions. How this kind of intervention works for older women living alone at home, with chronic pain, and dependent on formal care to manage their everyday lives has not been studied. The aim was to explore the feasibility of a study and to evaluate an individually tailored integrated behavioral medicine in physical therapy intervention for the target group of women. Materials and methods: The study was a 12-week randomized trial with two-group design. Primary effect outcomes were pain-related disability and morale. Secondary effect outcomes focused on pain-related beliefs, self-efficacy for exercise, concerns of falling, physical activity, and physical performance. Results: In total, 23 women agreed to participate in the study and 16 women completed the intervention. The results showed that the behavioral medicine in physical therapy intervention was feasible. No effects were seen on the primary effect outcomes. The experimental intervention seemed to improve the level of physical activity and self-efficacy for exercise. Some of the participants in both groups perceived that they could manage their everyday life in a better way after participation in the study. Conclusion: Results from this study are encouraging, but the study procedure and interventions have to be refined and tested in a larger feasibility study to be able to evaluate the effects of these kinds of interventions on pain-related disability, pain-related beliefs, self-efficacy in everyday activities, and morale in the target group. Further research is also needed to refine and evaluate effects from individualized reminder routines, support to collect self-report data, safety procedures for balance training, and training of personnel to enhance self-efficacy.

Nationell ämneskategori
Hälsovetenskaper
Identifikatorer
urn:nbn:se:mdh:diva-25924 (URN)10.2147/CIA.S66943 (DOI)000340614200002 ()25170262 (PubMedID)2-s2.0-84907300536 (Scopus ID)
Tillgänglig från: 2014-09-12 Skapad: 2014-09-12 Senast uppdaterad: 2018-10-25Bibliografiskt granskad
Cederbom, S., Söderlund, A., Denison, E. & von Heideken Wågert, P. (2014). Chronic pain among older women living alone. A study focusing on disability and morale.. European Journal of Physiotherapy, 16(3), 139-150
Öppna denna publikation i ny flik eller fönster >>Chronic pain among older women living alone. A study focusing on disability and morale.
2014 (Engelska)Ingår i: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 16, nr 3, s. 139-150Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Purpose: To investigate 1)how older women who are living alone perceive chronic musculoskeletal pain,Activities of Daily Living (ADL), physical activity, affective distress,pain-related beliefs, pain management, and rate pain-related disability andmorale,  2) the relationships betweendemographic variables, ADL, physical activity, affective distress, pain-relatedbeliefs, and pain management with pain-related disability and morale.Method: The study had across-sectional and correlational design. Sixty women, living alone with chronicpain and community support aged ≥65 years were included.Results: The women were on average 81 years old and had lived with pain forabout 21.5 years. They reported low scores of affective distress,catastrophizing thoughts and self-efficacy, high scores of fear of movement,low degrees of pain-related disability, and low levels of  morale. The multiple regression analysisshowed that only catastrophizing thoughts significantlyexplained the variation in pain-related disability, and both affective distress and catastrophizing thoughtssignificantly explained the variation in morale. Conclusion: These older women livingalone with chronic pain reported similar prevalence ofchronic pain and pain-related disability but lower morale when comparingthe results with similar studies about older people in the same age group orolder people who are in need of help to manage their daily life. The only variable that was independely associated to bothpain-related disability and morale was catastrophizing. Further researchshould focus on identifying catastrophizing thougts,and also on developing a rehabilitation program based on a biopsychosocialperspective with the goal to decrease catastrophizing, pain-relateddisability, and increase morale for this target group

Nationell ämneskategori
Medicin och hälsovetenskap
Forskningsämne
vårdvetenskap
Identifikatorer
urn:nbn:se:mdh:diva-26586 (URN)2-s2.0-84906501377 (Scopus ID)
Tillgänglig från: 2014-11-19 Skapad: 2014-11-19 Senast uppdaterad: 2018-01-26Bibliografiskt granskad
Thunborg, C., von Heideken Wågert, P., Götell, E., Söderlund, A. & Ivarsson, A.-B. (2014). Development of a new assessment scale measuring interactional transferrelated behavior in dementia care dyads. In: Health, Social Welfare and Co-production at Mälardalen University: . Paper presented at Health, Social Welfare and Co-production at Mälardalen University.
Öppna denna publikation i ny flik eller fönster >>Development of a new assessment scale measuring interactional transferrelated behavior in dementia care dyads
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2014 (Engelska)Ingår i: Health, Social Welfare and Co-production at Mälardalen University, 2014Konferensbidrag, Muntlig presentation med publicerat abstract (Refereegranskat)
Nationell ämneskategori
Medicin och hälsovetenskap Hälsovetenskaper
Forskningsämne
vårdvetenskap
Identifikatorer
urn:nbn:se:mdh:diva-26680 (URN)
Konferens
Health, Social Welfare and Co-production at Mälardalen University
Tillgänglig från: 2014-11-28 Skapad: 2014-11-28 Senast uppdaterad: 2017-03-09Bibliografiskt granskad
von Heideken Wågert, P. (2014). Editorial. European Journal of Physiotherapy, 16(4), 193-193
Öppna denna publikation i ny flik eller fönster >>Editorial
2014 (Engelska)Ingår i: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 16, nr 4, s. 193-193Artikel i tidskrift, Editorial material (Övrigt vetenskapligt) Published
Ort, förlag, år, upplaga, sidor
Informa Healthcare, 2014
Nyckelord
aging, older, elderly, physiotherapy, gerontology, biopsychosocial
Nationell ämneskategori
Sjukgymnastik Gerontologi, medicinsk/hälsovetenskaplig inriktning
Identifikatorer
urn:nbn:se:mdh:diva-26598 (URN)10.3109/21679169.2014.983316 (DOI)2-s2.0-84912010887 (Scopus ID)
Tillgänglig från: 2014-11-20 Skapad: 2014-11-20 Senast uppdaterad: 2018-01-11Bibliografiskt granskad
Organisationer
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0001-6292-7010

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