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Assessing health care needs: the actual state of self-perceived activity limitation and participation restrictions due to pain in a nationwide Swedish population.
Uppsala University, Sweden.ORCID iD: 0000-0002-0510-2458
Uppsala University, Sweden.
2000 (English)In: International Journal of Rehabilitation Research, ISSN 0342-5282, E-ISSN 1473-5660, Vol. 23, no 3, p. 201-207Article in journal (Refereed) Published
Abstract [en]

Needs assessment may be helpful in establishing health care priorities, especially when community financial resources are reduced and the need and demand for health services are increasing. As the starting point of empirical studies concerning needs assessment of rehabilitation and occupational therapy, this study aimed to establish the prevalence of self-perceived activity limitation and/or participation restrictions due to long-term or recurrent pain. The study sample (n = 10000) was taken at random from the Swedish population aged 18-58 years. After three reminders, the response rate to a postal questionnaire was 77.1%, by mail or to a telephone answering machine. The main results indicated prevalence frequencies of 26%, showing the actual state of self-perceived activity limitation and/or participation restrictions due to long-term and/or recurrent pain. Differences were found between genders, among almost all age-classes and between persons who had pain currently and those who had had pain previously. Suggested indicators from the study result were women born between 1940 and 1949 with long-term pain and previous pain.

Place, publisher, year, edition, pages
2000. Vol. 23, no 3, p. 201-207
National Category
Occupational Health and Environmental Health
Identifiers
URN: urn:nbn:se:mdh:diva-5041DOI: 10.1097/00004356-200023030-00010ISI: 000165148400010PubMedID: 11131622Scopus ID: 2-s2.0-0033757913OAI: oai:DiVA.org:mdh-5041DiVA, id: diva2:159846
Available from: 2009-02-10 Created: 2009-02-10 Last updated: 2018-01-13Bibliographically approved
In thesis
1. Needs Assessment in Occupational Therapy: Studies of Persons with Long-Term/Recurrent Pain
Open this publication in new window or tab >>Needs Assessment in Occupational Therapy: Studies of Persons with Long-Term/Recurrent Pain
2001 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The overall aim of this thesis was to describe (1) needs for occupational therapy among persons with self-perceived activity limitations and/or participation restrictions due to long-term/recurrent pain, and (2) treatment interventions in occupational therapy to meet demonstrated needs. The Liss’ model for assessing health care needs was used as a structural scheme. A randomly selected sample (n=10,000) from the Swedish general population aged 18-58 years was the foundation for the study population with and without pain. In addition, occupational therapists were included (n=109). Data collection was made by postal questionnaires. The results showed a prevalence of 26 % and an incidence rate of 0.07. Demographic characteristics of the sample were female gender, ages 40-58 years and fewer years of education than those without pain. Pain in shoulders/lower back of searing/aching/gnawing character was the most frequently reported. A majority of the respondents reported affective/emo-tional effects of pain mainly of depressive character and they had previously been on sick leave due to pain. Women reported higher frequencies of self-perceived activity limitations/ participation restrictions due to pain, more difficulties with intermediate ADL, perceived higher job demands and had longer sick leave than men. Men perceived poorer social support than did women. Needs for occupational therapy were reported mainly as a consequence of activity and temporal imbalance. High health care consumers reported higher frequencies of needs/problems than did low health care consumers. The main goals and interventions suggested by occupational therapists to meet the needs in pain management focused on increased knowledge of handling daily occupations with the purpose to reduce pain, maintain competence/improve performance of home maintenance, reduce consequences of pain and increase knowledge how to handle effects of pain.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2001. p. 88
Series
Comprehensive summaries of Uppsala dissertations from the Faculty of Medicine, ISSN 0282-7476 ; 1065
Identifiers
urn:nbn:se:mdh:diva-12342 (URN)91-554-5086-5 (ISBN)
Public defence
2001-09-28, Lärosal X, Universitetshuset, Uppsala, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2011-05-27 Created: 2011-05-27 Last updated: 2013-12-19Bibliographically approved

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Müllersdorf, Maria

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