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Zander, Viktoria, Med drORCID iD iconorcid.org/0000-0002-1587-2835
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Publications (10 of 11) Show all publications
Gustafsson, L.-K., Östlund, G., Zander, V., Elfström, M. & Anbäcken, E.-M. (2019). ‘Best fit’ caring skills of an interprofessional team inshort-term goal-directed reablement: older adults’perceptions. Scandinavian Journal of Caring Sciences, 33(2), 498-506
Open this publication in new window or tab >>‘Best fit’ caring skills of an interprofessional team inshort-term goal-directed reablement: older adults’perceptions
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2019 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 33, no 2, p. 498-506Article in journal (Refereed) Published
National Category
Medical and Health Sciences Health Sciences
Identifiers
urn:nbn:se:mdh:diva-42493 (URN)10.1111/scs.12650 (DOI)000472973400025 ()2-s2.0-85060252366 (Scopus ID)
Available from: 2019-01-29 Created: 2019-01-29 Last updated: 2019-12-12Bibliographically approved
Zander, V., Johansson-Pajala, R.-M. & Gustafsson, C. (2019). Methods to evaluate perspectives of safety, independence, activity, and participation in older persons using welfare technology. A systematic review. Disability and Rehabilitation: Assistive Technology
Open this publication in new window or tab >>Methods to evaluate perspectives of safety, independence, activity, and participation in older persons using welfare technology. A systematic review
2019 (English)In: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115Article in journal (Refereed) Published
Abstract [en]

Purpose: To conduct a systematic review of existing methods to evaluate the individual aspects of welfare technology from the perspectives of independence, safety, activity, and participation. Furthermore, the study aimed to describe outcomes that have been the focus of previous research to evaluate individual aspects of welfare technology in older persons living in ordinary housing. Materials and methods: A systematic literature review in PubMed, CINAHL Plus, PsycINFO, Scopus, and Web of Science. Studies selected were those that explored the use of assistive and welfare technology devices from older persons’ perspectives, and which considered the concepts of independence, safety, activity and participation, and quality of life. Results: A broad spectrum of instruments was applied in the studies. For independence, three questionnaires were used in the identified studies. For safety, one instrument was used in two versions. To study activity and participation as well as quality of life, several scales were used. Additionally, several studies included qualitative approaches for evaluation, such as interviews, or posed one or more questions regarding the effects of welfare technology. Conclusions: The integration of digital assistive and welfare technology should be based on the needs of older persons, and those needs must be assessed using reliable and relevant instruments. The heterogeneity of the target group, i.e., older persons, together with the fact that assessments must give consideration to identifying goals, obstacles, and risks as well as users’ preferences, implies a person-centred approach.

National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:mdh:diva-42746 (URN)10.1080/17483107.2019.1574919 (DOI)30786779 (PubMedID)
Projects
Hjälpmedel och välfärdsteknik i tre dimensioner - HV3D
Available from: 2019-02-21 Created: 2019-02-21 Last updated: 2019-11-10
Östlund, G., Zander, V., Elfström, M., Gustafsson, L.-K. & Anbäcken, E.-M. (2019). Older adults’ experiences of a reablement process.: "To be treated like an adult, and ask for what I want and how I want it". Educational gerontology, 45(8), Article ID https://doi.org/10.1080/03601277.2019.1666525.
Open this publication in new window or tab >>Older adults’ experiences of a reablement process.: "To be treated like an adult, and ask for what I want and how I want it"
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2019 (English)In: Educational gerontology, ISSN 0360-1277, E-ISSN 1521-0472, Vol. 45, no 8, article id https://doi.org/10.1080/03601277.2019.1666525Article in journal (Refereed) Published
Abstract [en]

This is a follow-up study of intensive home-based rehabilitation from older people’s perspectives. The aim was to explore older adults’ descriptions of interactional needs related to autonomy in life. The purpose was also to explore the importance of significant others in the reablement process.

Method: The sample consisted of 23 women aged 72–92 who were included consecutively in the first project year. Data were collected through face-to-face semi-structured interviews that were recorded, transcribed, and analyzed using qualitative latent content analysis.

Results: Regaining autonomy through reablement was achieved by the interviewees although not always to the same extent as before. Three themes related to interactional needs were identified: (1) Transitional relations, referring to encounters with staff in time-limited relations. (2) More stable relations with significant others without limitation of time. (3) The acceptance of growing older and of death as a “natural departure”. Transitional relations with professionals, and more stable relations with significant others, are important parts of the reablement process according to older adults.

In conclusion: Professionals within gerontology need to recognize the social and historical context including the symbolic meanings each older person gives to life’s necessaries. Older adults appreciate reablement which includes rehabilitation goals related to the person’s stable relationships and larger life context.

National Category
Social Sciences Health Sciences
Research subject
Social Work
Identifiers
urn:nbn:se:mdh:diva-41258 (URN)10.1080/03601277.2019.1666525 (DOI)000486894500001 ()2-s2.0-85074283281 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2017-00126
Available from: 2018-10-31 Created: 2018-10-31 Last updated: 2019-12-13
Gustafsson, L.-K., Anbäcken, E.-M., Zander, V., Elfström, M. L. & Östlund, G. (2019). Working with short-term goal-directed reablement with older adults: strengthened by a collaborative approach. Nordic journal of nursing research, 39(4), 178-185
Open this publication in new window or tab >>Working with short-term goal-directed reablement with older adults: strengthened by a collaborative approach
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2019 (English)In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 39, no 4, p. 178-185Article in journal (Refereed) Published
Abstract [en]

The increased number of older adults who experience longevity requires increased investment in healthcare services. Short-term goal-directed reablement is expected to strengthen the functional capacity and quality of life of older adults, while homecare hours, and thus municipal expenditures, decrease. Facilitation of successful interprofessional collaboration includes not only enhancing coordination structurally, but also establishing a commitment regarding culture that overcomes professionally differentiated attitudes. Nurses have an obvious role in these multi-professional teams and the study explores some aspects' of working in this type of collaboration. The aim was to illuminate the meaning of working with short-term goal-directed reablement of older adults as experienced by an interprofessional team. Data were collected after an intervention with goal-directed time-limited reablement of older people. Written narratives from an interprofessional team were analyzed using a phenomenological-hermeneutic approach. Findings identified four major thematic structures that characterized the meaning: 1) Reliable relationship; including the aspects ‘Confidence between the older adult and staff’, ‘A sense of security’ and ‘Continuity’, 2) Empowered participation, including the following aspects: ‘Listen to the older adult’s desires’ and ‘Put the person in control’, 3) Team with a negotiated approach, including the aspects: ‘Closeness’, ‘Same direction and overarching goal’, ‘Learning from interprofessional dialogue’, 4) Time for growth with the aspects ‘Creating harmony’ and ‘Building the older adult’s self-confidence’. The process of reablement seemed strengthened by the collaborative approach of different professions and their combined efforts. The present study argues that teamwork gives confidence both in terms of general knowledge of reablement but also specific confidence in one’s profession.

National Category
Medical and Health Sciences Health Sciences
Identifiers
urn:nbn:se:mdh:diva-45848 (URN)10.1177/2057158519850974 (DOI)
Available from: 2019-10-25 Created: 2019-10-25 Last updated: 2019-12-09Bibliographically approved
Östlund, G., Zander, V., Elfström, M. L., Gustafsson, L.-K. & Anbäcken, E.-M. (2018). ´Nothing to do about it, simply hang on´ - Older women´s experiences of social and existential health after a reablement intervention. In: : . Paper presented at European Conference for Social Work Research 2018.
Open this publication in new window or tab >>´Nothing to do about it, simply hang on´ - Older women´s experiences of social and existential health after a reablement intervention
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2018 (English)Conference paper, Oral presentation only (Refereed)
National Category
Social Sciences Other Social Sciences
Identifiers
urn:nbn:se:mdh:diva-41519 (URN)
Conference
European Conference for Social Work Research 2018
Available from: 2018-12-09 Created: 2018-12-09 Last updated: 2019-11-15
Elfström, M., Östlund, G., Anbäcken, E.-M., Zander, V. & Gustafsson, L.-K. (2018). Reablement for older persons by an interprofessional home rehabilitation team: An ongoing RCT. In: : . Paper presented at 32nd Annual Conference of the European Health Psychology Society, Galway, August 21-25, 2018..
Open this publication in new window or tab >>Reablement for older persons by an interprofessional home rehabilitation team: An ongoing RCT
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2018 (English)Conference paper, Poster (with or without abstract) (Other academic)
Abstract [en]

The aim is to evaluate the effects of intensive home rehabilitation regarding multidimensional health perceptions and other quality of life domains, physical ability and capacity among older people (65+). The design is a randomized controlled study of a reablement intervention with controls receiving traditional home care. The intervention is goal- and user oriented, home-based, time limited (3 months), and organized by an interprofessional team consisting of the professions nurse, enrolled nurses, physiotherapists, social worker, and occupational therapists. The effects of the intervention are measured by self-reported health and quality of life (EQ-5D-5L, HACT) including psychological well-being (GP-CORE), physical capacity (SPPB, hand dynamometer test), activity performance (COPM), and home care hours needed. Data are collected at inclusion (T1; applying for home care), after the three months intervention (T2), and at six months (T3). Primary outcome analyses will be performed according to intention to treat; 2 x 3 mixed design (group x time) ANCOVA with each dependent variable at T1 as covariate. Based on a medium effect size in favour of the intervention in the pilot study, and a dropout of 20%, the power calculation indicated that 240 persons should be included. The project will contribute with evidence of the effects of interprofessional home rehabilitation for reablement, and consequences for older persons’ bio-psycho-social health. The project is ongoing with more than 120 persons included. The intervention may result in reduced costs for care, but especially individual gains in relation to reduced care needs, maintained independence and good health.

Keywords
health perception, interprofessional, Ageing, RCT
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:mdh:diva-45951 (URN)
Conference
32nd Annual Conference of the European Health Psychology Society, Galway, August 21-25, 2018.
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2017-00126
Available from: 2019-11-11 Created: 2019-11-11 Last updated: 2019-11-15
Östlund, G., Zander, V., Elfström, M., Gustafsson, L.-K. & Anbäcken, E.-M. (2017). “It gets easier when the sun is shining”: a follow-up study after a reablement intervention. In: : . Paper presented at Nationell forskarkonferens i socialt arbete, Umeå, 2017.
Open this publication in new window or tab >>“It gets easier when the sun is shining”: a follow-up study after a reablement intervention
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2017 (English)Conference paper, Oral presentation only (Refereed)
National Category
Social Sciences Health Sciences
Research subject
Social Work
Identifiers
urn:nbn:se:mdh:diva-36091 (URN)
Conference
Nationell forskarkonferens i socialt arbete, Umeå, 2017
Available from: 2017-07-10 Created: 2017-07-10 Last updated: 2019-11-15
Anbäcken, E.-M., Gustafsson, L.-K., Elfström, M., Zander, V. & Östlund, G. (2016). A holistic way ofworking interprofessionally in home care with and for older people. In: : . Paper presented at Joint Conference of Home Care & Gerontology, Tokyo, 2016.
Open this publication in new window or tab >>A holistic way ofworking interprofessionally in home care with and for older people
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2016 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-36092 (URN)
Conference
Joint Conference of Home Care & Gerontology, Tokyo, 2016
Projects
Intensiv hemrehabilitering
Available from: 2017-07-10 Created: 2017-07-10 Last updated: 2019-11-15
Zander, V., Eriksson, H., Christensson, K. & Müllersdorf, M. (2015). Development of an Interview Guide Identifying the Rehabilitation Needs of Women from the Middle East Living with Chronic Pain. International Journal of Environmental Research and Public Health, 12(10), 12043-12056
Open this publication in new window or tab >>Development of an Interview Guide Identifying the Rehabilitation Needs of Women from the Middle East Living with Chronic Pain
2015 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 12, no 10, p. 12043-12056Article in journal (Refereed) Published
Abstract [en]

The purpose of this study was to develop an interview guide for use by primaryhealthcare professionals to support them in identifying the rehabilitation needs of forcedresettled women from the Middle East living with chronic pain. Previous findings togetherwith the existing literature were used as the basis for developing the interview guide in threesteps: item generation, cognitive interviews, and a pilot study. The study resulted in a16-item interview guide focusing on patients’ concerns and expectations, with considerationof pre-migration, migration, and post-migration factors that might affect their health. Withthe help of the guide, patients were also invited to identify difficulties in their daily activitiesand to take part in setting goals and planning their rehabilitation. The current interview guideprovides professional guidance to caretakers, taking a person-centered participative point ofdeparture when meeting and planning care, for and together, with representatives from dispersed ethnic populations in Sweden. It can be used together with the patient by all staffmembers working in primary healthcare, with the aim of contributing to continuity of careand multi-professional collaboration.

National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:mdh:diva-42750 (URN)10.3390/ijerph121012043 (DOI)000365472500005 ()26404332 (PubMedID)2-s2.0-84942740688 (Scopus ID)
Available from: 2019-02-21 Created: 2019-02-21 Last updated: 2019-06-18Bibliographically approved
Zander, V., Eriksson, H., Christensson, K. & Müllersdorf, M. (2014). Rehabilitation of Women From the Middle East Living With ChronicPain: Perceptions From Health Care Professionals. Health Care for Women International, 1194-1207
Open this publication in new window or tab >>Rehabilitation of Women From the Middle East Living With ChronicPain: Perceptions From Health Care Professionals
2014 (English)In: Health Care for Women International, ISSN 0739-9332, E-ISSN 1096-4665, p. 1194-1207Article in journal (Refereed) Published
Abstract [en]

Meeting patients from other countries constitutes a challenge forhealth care. The purpose of this study was to increase knowledgeabout tacit understandings of treatment in practice by determiningthe perceptions of chronic pain and rehabilitation directed toresettled women from the Middle East, from a variety of health careprofessionals within primary care. Based on the results, we find aneed to support and increase knowledge among health care professionalsto involve the patient and consider her beliefs, expectations,background, current life situation, and spirituality, and to involvefamily in rehabilitation.

National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:mdh:diva-42749 (URN)10.1080/07399332.2014.989439 (DOI)25513750 (PubMedID)
Available from: 2019-02-21 Created: 2019-02-21 Last updated: 2019-06-18Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-1587-2835

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