mdh.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Needs Assessment in Occupational Therapy: Studies of Persons with Long-Term/Recurrent Pain
Uppsala Universitet.ORCID iD: 0000-0002-0510-2458
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. , 88 p.
Series
Comprehensive summaries of Uppsala dissertations from the Faculty of Medicine, ISSN 0282-7476 ; 1065
Identifiers
URN: urn:nbn:se:mdh:diva-12342ISBN: 91-554-5086-5 (print)OAI: oai:DiVA.org:mdh-12342DiVA: diva2:419556
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
List of papers
1. Assessing health care needs: the actual state of self-perceived activity limitation and participation restrictions due to pain in a nationwide Swedish population.
Open this publication in new window or tab >>Assessing health care needs: the actual state of self-perceived activity limitation and participation restrictions due to pain in a nationwide Swedish population.
2000 (English)In: International Journal of Rehabilitation Research, ISSN 0342-5282, E-ISSN 1473-5660, Vol. 23, no 3, 201-207 p.Article 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.

National Category
Environmental Health and Occupational Health
Identifiers
urn:nbn:se:mdh:diva-5041 (URN)10.1097/00004356-200023030-00010 (DOI)000165148400010 ()11131622 (PubMedID)2-s2.0-0033757913 (Scopus ID)
Available from: 2009-02-10 Created: 2009-02-10 Last updated: 2016-05-11Bibliographically approved
2. The actual state of the effects, treatment and incidence of disabling pain in a gender perspective-- a Swedish study.
Open this publication in new window or tab >>The actual state of the effects, treatment and incidence of disabling pain in a gender perspective-- a Swedish study.
2000 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 22, no 18, 840-54 p.Article in journal (Refereed) Published
Abstract [en]

PURPOSE: The purpose of the study was to elicit the actual state of self-perceived experience of long-term and/or recurrent pain and its effects as reported by women and men with disabilities due to pain, in order to determine criteria for assessing the need for measures in rehabilitation/occupational therapy. METHODS: The study used a comparative design with a sample randomized from the Swedish population aged 18-58 years (n = 10,000). The inclusion criterion was that the respondents had or had had pain causing activity limitation or restricting participation in daily life. A special questionnaire including items concerning demography, pain, coping, occupations in daily life, work, treatments, care institutions and hospital/care staff visited, was posted to 1,849 persons and was answered by 1,448 respondents (study group n = 1,305, control group n= 117). Results: Gender differences were found in the overall prevalence of pain, women reporting more frequent episodes of pain than men did. Differences were also found in pain variables, in daily occupations, days of sick-leave and work variables. Women completed more varied treatment than men. The incidence rate of long-term/recurrent pain in the population studied was 0.07. Conclusions: As a conclusion from this study, three essential components are suggested for use when assessing the need for rehabilitation/occupational therapy: (1) shoulder/arm or lower back pain of aching, tensed and/or searing character, particularly among women; (2) emotional/affective pain effects causing restlessness and depression, particularly among women; and (3) limitations in daily occupations assessed by FSQ and the demand/control/support model with results falling within the warning zones plus long sick-leave periods.

National Category
Physiotherapy Family Medicine
Identifiers
urn:nbn:se:mdh:diva-5037 (URN)10.1080/09638280050207893 (DOI)11197521 (PubMedID)
Available from: 2009-02-10 Created: 2009-02-10 Last updated: 2015-06-29Bibliographically approved
3. Factors indicating need of rehabilitation--occupational therapy among persons with long-term and/or recurrent pain.
Open this publication in new window or tab >>Factors indicating need of rehabilitation--occupational therapy among persons with long-term and/or recurrent pain.
2000 (English)In: International Journal of Rehabilitation Research, ISSN 0342-5282, E-ISSN 1473-5660, Vol. 23, no 4, 281-294 p.Article 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'.

National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:mdh:diva-5039 (URN)10.1097/00004356-200023040-00004 (DOI)000165986200004 ()11192564 (PubMedID)2-s2.0-0034502515 (Scopus ID)
Available from: 2009-02-10 Created: 2009-02-10 Last updated: 2015-06-29Bibliographically approved
4. Occupational therapists' assessments of adults with long-term pain: the Swedish experience
Open this publication in new window or tab >>Occupational therapists' assessments of adults with long-term pain: the Swedish experience
2002 (English)In: Occupational Therapy International, ISSN 0966-7903, E-ISSN 1557-0703, Vol. 9, no 1, 1-23 p.Article in journal (Refereed) Published
Abstract [en]

The purposes of this study were to describe the needs for occupational therapy among people of working age with long-term pain, and to describe treatment interventions based on these assessments. Occupational therapists working in primary health care and/or with special interest in pain management (n=109) assessed 113 people aged 18-58 years with long-term pain with the Occupational Therapy Needs Assessment--Pain (OTNA--P) questionnaire. The occupational therapists recommended treatment interventions where appropriate. The results generated categories of needs that have implications for interventions: 1) need for patient education, 2) needs due to limitations in activity performance, 3) needs due to patient's discouragement, 4) need as a result of patient's dependency and 5) needs related to work. The suggested interventions focused on increased knowledge of how to handle daily occupations, mainly categorized as education and stress management' and behavioural' interventions. Significant correlations were found between the assessed needs and the suggested interventions. The results of this study could assist in developing guidelines for practitioners working in occupational therapy pain management programmes. It is recommended that further research is done on the effectiveness of occupational therapy interventions with patients with long-term pain.

Keyword
chronic pain; needs assessment; pain management
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-5034 (URN)10.1002/oti.153 (DOI)12375005 (PubMedID)2-s2.0-0036113820 (Scopus ID)
Available from: 2009-02-10 Created: 2009-02-10 Last updated: 2015-08-05Bibliographically approved
5. Needs and problems related to occupational therapy as perceived by adult Swedes with long-term pain
Open this publication in new window or tab >>Needs and problems related to occupational therapy as perceived by adult Swedes with long-term pain
2002 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, Vol. 9, 79-90 p.Article in journal (Refereed) Published
Keyword
Chronic pain, daily activities, needs assessment, pain management
National Category
Occupational Therapy
Identifiers
urn:nbn:se:mdh:diva-4771 (URN)
Available from: 2009-01-27 Created: 2009-01-26 Last updated: 2013-12-19Bibliographically approved

Open Access in DiVA

No full text

Search in DiVA

By author/editor
Müllersdorf, Maria

Search outside of DiVA

GoogleGoogle Scholar

Total: 56 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf