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Factors indicating need of rehabilitation--occupational therapy among persons with long-term and/or recurrent pain.
University of Uppsala, Sweden.ORCID iD: 0000-0002-0510-2458
2000 (English)In: International Journal of Rehabilitation Research, ISSN 0342-5282, E-ISSN 1473-5660, Vol. 23, no 4, p. 281-294Article in journal (Refereed) Published
Abstract [en]

The aim of the study was to elucidate selection criteria for need of rehabilitation/occupational therapy, and to state criteria for participation in occupational therapy, among persons with long-term and/or recurrent pain causing activity limitations or restricting participation in daily life. The study involved 914 persons aged 18-58 years who answered a postal questionnaire concerning demography, pain, occupations in daily life, work, treatments and health care staff visited. The direct method in logistic regression analysis was used to test two models: (1) need of rehabilitation/occupational therapy and (2) participation in occupational therapy. The results for the first model revealed the selection criteria (1) 'feelings of irresolution', (2) 'gnawing/searing pain' and (3) 'use of technical aids'. The odds for need of rehabilitation/occupational therapy were higher for women than for men. The criteria derived from the second model, participation in occupational therapy, were whether (1) the participants had 'used tricks and/or compensated ways to perform tasks', (2) the participants had 'pain in shoulders' and (3) 'changes had been made at work due to health conditions'.

Place, publisher, year, edition, pages
2000. Vol. 23, no 4, p. 281-294
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-5039DOI: 10.1097/00004356-200023040-00004ISI: 000165986200004PubMedID: 11192564Scopus ID: 2-s2.0-0034502515OAI: oai:DiVA.org:mdh-5039DiVA, id: diva2:159845
Available from: 2009-02-10 Created: 2009-02-10 Last updated: 2017-12-14Bibliographically 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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