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Ivarsson, M., Danielsson, H., Almqvist, L. & Imms, C. (2025). Enhancing cognitive accessibility in assessments for children with neurodisability: development and implementation of an adaptation tracking questionnaire. Disability and Rehabilitation
Open this publication in new window or tab >>Enhancing cognitive accessibility in assessments for children with neurodisability: development and implementation of an adaptation tracking questionnaire
2025 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165Article in journal (Refereed) Epub ahead of print
Abstract [en]

Purpose The range of impairments in children with neurodisability (ND) complicates data collection, yet individualising materials and procedures could enable more children to self-report. This study introduces the Cognitive Accessibility Tracking Questionnaire (CATQ), designed to monitor changes enhancing accessibility ("adaptations") in interview-administered patient-reported outcome measures (PROMs). The CATQ is used in a longitudinal study of mental health and participation in children with ND investigating adaptation use and its utility in assessing the risk of bias introduced by these adaptations.Materials and methodsThe 13-item CATQ was developed with experts in ND and augmentative and alternative communication. Predictors of PROM adaptations were analysed using linear regression; the overall change was tested with a t-test and item-specific agreement with Cohen's weighted kappa and proportion of agreement.ResultsSix interviewers conducted 69 interviews, interviewing 43 children once or twice. Common adaptations included explaining/replacing concepts (56.5% of interviews), exemplifying (60.9%), or repeating questions/instructions (50.7%). Child age, seizure history, verbal communication abilities, adaptive behaviour, and interviewer identity predicted adaptation use. Adaptation use did not differ between the two data collection points, 13 months apart.ConclusionThe CATQ enhances methodological rigor by tracking adaptations and facilitating risk-of-bias-assessment by analysing adaptation changes and factors affecting their use.

Place, publisher, year, edition, pages
TAYLOR & FRANCIS LTD, 2025
Keywords
Self-report, adaptations, mental health, children, neurodisability, neurodevelopmental disorders, methods
National Category
Other Health Sciences
Identifiers
urn:nbn:se:mdh:diva-70055 (URN)10.1080/09638288.2025.2455532 (DOI)001407674300001 ()39873443 (PubMedID)2-s2.0-85216537455 (Scopus ID)
Available from: 2025-02-06 Created: 2025-02-06 Last updated: 2025-02-12Bibliographically approved
Stalberg, A., Söderbäck, M., Kerstis, B., Harder, M., Widarsson, M., Almqvist, L., . . . Andersson, A. K. (2024). Children's Right to Health through the Principles of Protection, Promotion, and Participation, from the Perspectives for Children, Parents, and Professionals: A Systematic Review. Child Care in Practice
Open this publication in new window or tab >>Children's Right to Health through the Principles of Protection, Promotion, and Participation, from the Perspectives for Children, Parents, and Professionals: A Systematic Review
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2024 (English)In: Child Care in Practice, ISSN 1357-5279, E-ISSN 1476-489XArticle in journal (Refereed) Published
Abstract [en]

This systematic review aimed to identify how children's right to health, connected to the principles of protection, promotion, and participation, and from the perspectives of children, parents, and professionals in preschool, school, and healthcare has been empirically demonstrated by international scholars between 1989 and 2021. Following the standards of PRISMA-P, two searches, in 2018 and 2020, were conducted in seven databases. In total, 561 studies were found and after the screening process, which entails reviewing titles, abstracts, and full text-versions, 49 studies were finally included. A deductive qualitative content analysis, proposed by Elo and Kyngas, was performed. According to the findings, protection was demonstrated as Being protected from harmful acts and practices and being entitled to special care and assistance. Promotion was demonstrated as Possessing of resources and Receiving of services, and participation as Being heard and listened to and Being involved in matters of concern. Conforming to the findings, although presented separately, protection, promotion, and participation could be understood as interrelated concepts. In summary, children's right to health was demonstrated within two major fields: as the use of their own resources, and trust and as aspects provided by adults as support and safety. This is the first review of studies, published 1989-2021, identifying children's right to health through the perspectives of protection, promotion, and participation. During this period, children's right to health has mainly been demonstrated in studies from a healthcare context. All researchers, policymakers, health workers, and politicians should include children in all decisions that concern them, to increase their participation. As children's health is closely linked to their physical, social, and cognitive development there is a need for more studies exploring children's right to health in preschool and school contexts in which children spend their everyday life.

Place, publisher, year, edition, pages
TAYLOR & FRANCIS LTD, 2024
Keywords
Children's rights, protection, promotion and participation, health, school, systematic review
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-66823 (URN)10.1080/13575279.2023.2298312 (DOI)001184595300001 ()2-s2.0-85188314773 (Scopus ID)
Available from: 2024-05-29 Created: 2024-05-29 Last updated: 2024-05-29Bibliographically approved
Almqvist, L. & Finnman, J. (2024). Engagement in Activity Settings of First and Second Language Learners in Preschool – The Role of Qualified Preschool Teachers and Classroom Structure. Early Education and Development
Open this publication in new window or tab >>Engagement in Activity Settings of First and Second Language Learners in Preschool – The Role of Qualified Preschool Teachers and Classroom Structure
2024 (English)In: Early Education and Development, ISSN 1040-9289, E-ISSN 1556-6935Article in journal (Refereed) Epub ahead of print
Abstract [en]

Research Findings: In Swedish preschools, second-language learners often display lower engagement in activity settings than first-language learners. This study used a multilevel model to examine the association between children’s language status, classroom structure, teacher qualifications, and engagement in preschool activity settings. The sample included 148 children, aged three to five, from classrooms with varying proportions of first and second-language learners. The Child Observation in Preschool (COP) instrument measured engagement levels. Our findings reveal that the presence of highly qualified teachers significantly increased the duration of high engagement for all children, regardless of language status. While second language learners initially appeared to show lower engagement, this difference was insignificant in the full model after accounting for classroom structure and teacher qualifications. Classrooms with a higher proportion of qualified teachers demonstrated improved engagement across the board. Policy and Practice: These findings underscore the importance of ensuring a high proportion of qualified teachers in early childhood education and care settings. Creating a supportive, high-quality educational environment is essential for fostering engagement among all children but may be particularly crucial in classrooms with diverse language backgrounds.

National Category
Didactics
Identifiers
urn:nbn:se:mdh:diva-69220 (URN)10.1080/10409289.2024.2423388 (DOI)001350841900001 ()2-s2.0-85209667403 (Scopus ID)
Available from: 2024-11-27 Created: 2024-11-27 Last updated: 2024-12-04Bibliographically approved
Gothilander, J., Axelsson, A. K., Danielsson, H., Almqvist, L. & Ullenhag, A. (2024). Factor structure of FUNDES-Child-SE measuring the participation and independence of children with disabilities. Child Care Health and Development, 50(4), Article ID e13306.
Open this publication in new window or tab >>Factor structure of FUNDES-Child-SE measuring the participation and independence of children with disabilities
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2024 (English)In: Child Care Health and Development, ISSN 0305-1862, E-ISSN 1365-2214, Vol. 50, no 4, article id e13306Article in journal (Refereed) Published
Abstract [en]

Background: FUNDES-Child-SE is a proxy rating questionnaire for measuring participation and independence in children with disabilities in a Swedish context. It includes the components of frequency of attendance, engagement and independence. The original, Taiwanese FUNDES-Child 7.0, has previously been found to have a four-factor structure for frequency of participation and a two-factor structure for independence. The aim of this study was to test the factor structure in FUNDES-Child-SE. The factor structure is an important part of construct validity. Methods: Caregivers of 163 children with disabilities aged 6–18 years participated in this cross-sectional study. Exploratory factor analysis was used to find the factor structure for Engagement. Confirmatory factor analysis was used to test the factor structure for all three components. Results: The proposed factor structure for frequency of participation (daily living participation frequency, mobility participation frequency, learning participation frequency and community participation frequency) and independence (daily living independence and social participation independence) fit with data from FUNDES-Child-SE after excluding three to five items and adding two to five covariances of residuals. In the engagement component, two factors, named engagement in informal activities and engagement in formal activities, were found. After excluding one item and adding 10 covariances of residuals, the factor structure had an acceptable fit to data. Conclusions: Differences in components' factor structure indicate that attendance and engagement are separate aspects of participation. Before using numeric scores from FUNDES-Child-SE in clinical settings, responsiveness and interpretability should be evaluated.

Place, publisher, year, edition, pages
John Wiley and Sons Inc, 2024
Keywords
daily activities, habilitation, psychometrics, questionnaire, rehabilitation, validity
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-68108 (URN)10.1111/cch.13306 (DOI)001268656500001 ()39014984 (PubMedID)2-s2.0-85198615412 (Scopus ID)
Available from: 2024-07-24 Created: 2024-07-24 Last updated: 2024-12-12
Ahlström, S., Janeslatt, G., Gustavsson, C., Harder, M. & Almqvist, L. (2024). Intervention in Time Processing Ability and Everyday Functioning for Preschool Children in Need of Special Support: A Randomized Controlled Study. Journal of Occupational Therapy, Schools, & Early Intervention
Open this publication in new window or tab >>Intervention in Time Processing Ability and Everyday Functioning for Preschool Children in Need of Special Support: A Randomized Controlled Study
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2024 (English)In: Journal of Occupational Therapy, Schools, & Early Intervention, ISSN 1941-1243, E-ISSN 1941-1251Article in journal (Refereed) Published
Abstract [en]

Children in need of special support in preschool (INS) often exhibit delayed time processing ability (TPA) which can significantly impact their everyday functioning (EDF).This study evaluates whether the MyTime intervention could improve TPA and EDF in preschool children aged five to six-year INS.A registered randomized controlled trial (ISRCTN85136134) using a waiting-list control group investigated the effectiveness of MyTime, an occupational therapy intervention program given to preschool children INS in their classrooms for 8 weeks. Data collection included KaTid-Child (R) for the assessment of TPA, the Time-Parent scale, the Adaptive Behavior Assessment System, and the Autonomy scale for assessing EDF. To evaluate between-group differences, data were analyzed using linear regression.The results show that both groups improved from baseline to post-intervention in TPA and everyday functioning but at the post-intervention, there were no between-group differences.To summarize, the MyTime intervention, indicated an increase in TPA and EDF but no between-group differences were found. Early cognitive levels of TPA in preschool children INS advocate for a longer intervention period. It is possible that long-term follow-up or additional measuring of the teacher's attitudes and the children's engagement in the preschool context could have yielded other results.

Place, publisher, year, edition, pages
ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD, 2024
Keywords
Child, Time Perception, Early Intervention, Rand omized Controlled Trial, Occupational Therapy
National Category
Occupational Therapy
Identifiers
urn:nbn:se:mdh:diva-68519 (URN)10.1080/19411243.2024.2403363 (DOI)001314389200001 ()2-s2.0-85204042174 (Scopus ID)
Available from: 2024-09-27 Created: 2024-09-27 Last updated: 2024-12-12
Gothilander, J., Almqvist, L., Eriksson, C. & Fritz, J. (2024). Trends in Patterns of Participation in Club-Organized and Self-Organized Sports in Swedish Adolescents in 2013-2019. European Journal of Public Health, 34
Open this publication in new window or tab >>Trends in Patterns of Participation in Club-Organized and Self-Organized Sports in Swedish Adolescents in 2013-2019
2024 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 34Article in journal, Meeting abstract (Other academic) Published
Place, publisher, year, edition, pages
OXFORD UNIV PRESS, 2024
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-69250 (URN)10.1093/eurpub/ckae114.266 (DOI)001334725000119 ()
Available from: 2024-12-04 Created: 2024-12-04 Last updated: 2024-12-04Bibliographically approved
Danielsson, H., Imms, C., Ivarsson, M., Almqvist, L., Lundqvist, L.-O. -., King, G., . . . Granlund, M. (2023). A Systematic Review of Longitudinal Trajectories of Mental Health Problems in Children with Neurodevelopmental Disabilities. Journal of Developmental and Physical Disabilities
Open this publication in new window or tab >>A Systematic Review of Longitudinal Trajectories of Mental Health Problems in Children with Neurodevelopmental Disabilities
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2023 (English)In: Journal of Developmental and Physical Disabilities, ISSN 1056-263X, E-ISSN 1573-3580Article, review/survey (Refereed) Epub ahead of print
Abstract [en]

To review the longitudinal trajectories – and the factors influencing their development – of mental health problems in children with neurodevelopmental disabilities. Systematic review methods were employed. Searches of six databases used keywords and MeSH terms related to children with neurodevelopmental disabilities, mental health problems, and longitudinal research. After the removal of duplicates, reviewers independently screened records for inclusion, extracted data (outcomes and influencing factors), and evaluated the risk of bias. Findings were tabulated and synthesized using graphs and a narrative. Searches identified 94,662 unique records, from which 49 publications were included. The median publication year was 2015. Children with attention deficit hyperactivity disorder were the most commonly included population in retrieved studies. In almost 50% of studies, trajectories of mental health problems changed by < 10% between the first and last time point. Despite multiple studies reporting longitudinal trajectories of mental health problems, greater conceptual clarity and consideration of the measures included in research is needed, along with the inclusion of a more diverse range of populations of children with neurodevelopmental disabilities. 

Place, publisher, year, edition, pages
Springer, 2023
Keywords
Adolescents, Children, Disability, Longitudinal, Mental health, Trajectories
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:mdh:diva-62701 (URN)10.1007/s10882-023-09914-8 (DOI)000989885900001 ()2-s2.0-85159692027 (Scopus ID)
Available from: 2023-05-31 Created: 2023-05-31 Last updated: 2024-12-12
Sterlingova, T., Nylander, E., Almqvist, L. & Møller Christensen, B. (2023). Factors affecting women's participation in mammography screening in Nordic countries: A systematic review. Radiography, 29(5), 878-885
Open this publication in new window or tab >>Factors affecting women's participation in mammography screening in Nordic countries: A systematic review
2023 (English)In: Radiography, ISSN 1078-8174, E-ISSN 1532-2831, Vol. 29, no 5, p. 878-885Article in journal (Refereed) Published
Abstract [en]

Introduction: Mammography screening programs have been implemented in European countries as prevention tools aimed at reducing breast cancer mortality through early detection in asymptomatic women. Nordic countries (Denmark, Finland, Iceland, Norway, Sweden, the Faroe Islands, and Greenland) demonstrated high participation rates; however, breast cancer mortality could be limited by further optimizing screening. This review aimed to explore factors that affect women's participation in mammography screening in Nordic countries. Method: A systematic review of segregated mixed research synthesis using a deductive approach was conducted. The following databases and platforms were searched to identify relevant studies: CINAHL with Full Text (EBSCOHost), MEDLINE (EBSCOHost), PsycInfo (ProQuest), Scopus (Elsevier) and Web of Science Core Collection (SCI-EXPANDED, SSCI, A&HCI, CPCI-S, CPCI-SSH, and ESCI). The Critical Appraisal Skills Program was used for quality assessment. The Health Promotion Model was applied to integrate findings from qualitative and qualitative research. All methodological steps followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Results: The final selection (16 articles) included studies from three Nordic countries: Denmark (four quantitative studies), Norway (one qualitative and four quantitative studies), and Sweden (three qualitative and seven quantitative studies). Sixty-three factors were identified as barriers, facilitators, or factors with no influence. Conclusion: A substantial number of obtained factors, spread across a wide spectrum, describe (non-)participation in mammography screening as a versatile phenomenon. Implications for practice: The findings of this review could benefit the mammography staff and providers regarding possible interventions aimed at improving screening participation rates.

Place, publisher, year, edition, pages
W.B. Saunders Ltd, 2023
Keywords
Barriers, Breast cancer, Facilitators, Mammography screening, Participation
National Category
Nursing
Identifiers
urn:nbn:se:mdh:diva-63889 (URN)10.1016/j.radi.2023.06.010 (DOI)001040204200001 ()37421878 (PubMedID)2-s2.0-85164352704 (Scopus ID)
Available from: 2023-07-19 Created: 2023-07-19 Last updated: 2024-12-12
Andersson, A. K., Almqvist, L., Brodd, K. S. & Harder, M. (2023). Meaningful everyday life situations from the perspective of children born preterm: A photo-elicitation interview study with six-year-old children. PLOS ONE, 18(8), Article ID e0284217.
Open this publication in new window or tab >>Meaningful everyday life situations from the perspective of children born preterm: A photo-elicitation interview study with six-year-old children
2023 (English)In: PLOS ONE, E-ISSN 1932-6203, Vol. 18, no 8, article id e0284217Article in journal (Refereed) Published
Abstract [en]

AimThe aim of the study was to explore meaningful everyday life situations as perceived by six-year-old children born preterm. Materials and methodsThe study had a descriptive qualitative design with an inductive approach. Ten, six-year-old children born preterm, not diagnosed with any disabilities, participated. Data was collected by photo-elicitation interviews to stimulate and help the children to describe their meaningful everyday life situations. A qualitative content analysis according to Elo and Kyngas was applied. ResultsThe children's descriptions of meaningful everyday life situations can be understood as being in an active and dynamic process, representing the core category. The analysis resulted in three generic categories, as the children described the significance of having significant circumstances and doing things. The experiences the children gain when they do things create their desire for further development. DiscussionThe results reveal that children born preterm are able to reflect on and give detailed descriptions of situations of importance to them. The study suggests that if six-year-old children born preterm are given the opportunity to share their views they can take an active role e.g. in planning and carrying through of interventions by health care services.

Place, publisher, year, edition, pages
PUBLIC LIBRARY SCIENCE, 2023
National Category
Nursing
Identifiers
urn:nbn:se:mdh:diva-64130 (URN)10.1371/journal.pone.0284217 (DOI)001050827800008 ()37578940 (PubMedID)2-s2.0-85168201974 (Scopus ID)
Available from: 2023-08-30 Created: 2023-08-30 Last updated: 2024-12-12
Gothilander, J., Eriksson, C., Almqvist, L. & Fritz, J. (2023). O.4.2-2 Exercise and screentime; clusters in cohorts of Swedish adolescents with and without disabilities. European Journal of Public Health, 33, I71-I72
Open this publication in new window or tab >>O.4.2-2 Exercise and screentime; clusters in cohorts of Swedish adolescents with and without disabilities
2023 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, ISSN 1101-1262, Vol. 33, p. I71-I72Article in journal, Meeting abstract (Other academic) Published
Place, publisher, year, edition, pages
OXFORD UNIV PRESS, 2023
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-66312 (URN)001184351100179 ()
Available from: 2024-04-10 Created: 2024-04-10 Last updated: 2024-04-10Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-5904-1390

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