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  • 1.
    Adair, Brooke
    et al.
    Australian Catholic Univ, Ctr Disabil & Dev Res, Fitzroy, Vic, Australia..
    Ullenhag, Anna
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Rosenbaum, Peter
    McMaster Univ, Hamilton, ON, Canada..
    Granlund, Mats
    Jonkoping Univ, CHILD, SIDR, Sch Hlth Sci, Jonkoping, Sweden..
    Keen, Deb
    Griffith Univ, Autism Ctr Excellence, Mt Gravatt, Qld, Australia..
    Imms, Christine
    Australian Catholic Univ, Ctr Disabil & Dev Res, Fitzroy, Vic, Australia..
    Measures used to quantify participation in childhood disability and their alignment with the family of participation-related constructs: a systematic review2018In: Developmental Medicine & Child Neurology, ISSN 0012-1622, E-ISSN 1469-8749, Vol. 60, no 11, p. 1101-1116Article, review/survey (Refereed)
    Abstract [en]

    AimWe aimed to identify measures used to assess the participation of disabled children and to map the measures' content to the family of participation-related constructs (fPRC) to inform future research and practice. MethodSix databases were searched to identify measures used to assess participation in health, psychology, and education research. Included studies involved children aged 0 to 18 years with a permanent impairment or developmental disability and reported use of a quantitative measure of participation. A second search sought relevant literature about each identified measure (including published manuals) to allow a comprehensive understanding of the measure. Measurement constructs of frequently reported measures were then mapped to the fPRC. ResultsFrom an initial yield of 32 767 articles, 578 reported one or more of 118 participation measures. Of these, 51 measures were reported in more than one article (our criterion) and were therefore eligible for mapping to the fPRC. Twenty-one measures quantified aspects of participation attendance, 10 quantified aspects of involvement as discrete scales, and four quantified attendance and involvement in a manner that could not be separated. InterpretationImproved understanding of participation and its related constructs is developing rapidly; thoughtful selection of measures in research is critical to further our knowledge base.

  • 2.
    Agemalm, Stina
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Thuvander, Frida
    Mälardalen University, School of Health, Care and Social Welfare.
    Sjuksköterskors upplevelser av att vårda palliativt: En litteraturstudie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Patients who receive palliative care experience that they lose their independence through the disease and are frustrated that their body is not functioning as before. They also experience that their situation make them change their attitudes towards life. Several patients appreciate when healthcare professionals show genuine interest and the same patients have confidence in the healthcare system. Some patients experience that the healthcare professionals have no time and that their knowledge regarding their psychosocial problems is inadequate. Aim: The purpose is to describe nurses experience of nursing in palliative care. Method: Qualitative literature study with descriptive synthesis. Ten qualitative articles have been analyzed and is presented in the result. Results: After analysis, two themes were disclosed; Becoming enriched and Being challenged who described nurse’s experiences presented under five subthemes. Conclusion: Nurses perceived, among other things, that they were strengthened as a person and that they learned to re-prioritize and appreciate life. They also experienced grief over the fate of patients and it was common to take work home. Several of the nurses perceived that doctors did not give them support, others felt that their lack of experience contributed to the care worsening.

  • 3.
    Ahlgren, Asa
    et al.
    Karolinska Institutet, Stockholm, Sweden.
    Bergroth, Alf
    Mid-Sweden University, Östersund, Sweden.
    Ekholm, Jan
    Mid-Sweden University, Östersund, Sweden.
    Work resumption or not after rehabilitation?: A descriptive study from six social insurance offices2004In: International Journal of Rehabilitation Research, ISSN 0342-5282, E-ISSN 1473-5660, Vol. 27, no 3, p. 171-180Article in journal (Refereed)
    Abstract [en]

    The objective of this study was to describe measures and outcomes of vocational rehabilitation at six local national insurance offices in the same county in Sweden. Data were collected from mainframe registers and other records at each office. There were great differences in sickness allowance, incapacity rate, selected rehabilitation measures and resuming work. The percentage of sick-listed people who received any rehabilitation measure differed from 1.2 to 8.7%. The gender distribution for the study population was 36% men and 64% women and the predominant diagnosis was musculoskeletal pain conditions, which was followed by psychiatric disorders. Outcomes varied from office B, which reported 58% fully fit after completed planned rehabilitation, to office C, which reported only 24% fully fit. The clear differences in outcome between the offices indicate that various rehabilitation measures differ in effectiveness. The rehabilitation measure 'investigation of working ability' was not linked to any great proportion of people resuming work, but showed a greater correspondence to full disability pension. There were also large differences in social and demographic factors in the different municipalities. The effect of these on the rehabilitation process requires further investigation.

  • 4.
    Almqvist, Lena
    et al.
    Mälardalen University, Department of Social Sciences.
    Hellnäs, Petra
    Mälardalen University, Department of Social Sciences.
    Stefansson, Maria
    Mälardalen University, Department of Social Sciences.
    Granlund, Mats
    Mälardalen University, Department of Social Sciences.
    'I can play!': Young children's perceptions of health2006In: Developmental Neurorehabilitation, ISSN 1751-8423, Vol. 9, no 3, p. 275-284Article in journal (Refereed)
    Abstract [en]

    Health is today viewed as a multi-dimensional concept partly conceptualized independent from not being ill. The aim of this study was to gain knowledge of how young children perceive health. Interviews were conducted with 68 children (4-5 years), within their pre-school setting, with the help of a semi-structured interview guide. A multi-dimensional perspective represented by the health dimensions of the International Classificationof Functioning, Disability and Health (ICF) was used in a manifest deductive content analysis. The children's statements were categorized and placed under one of the four health dimensions, body, activity, participation and environment. A latent content analysis was applied to identify underlying themes in the manifest categories. The results revealed that young children perceive health as a multi-dimensional construct, largely related to being engaged, i.e. to be able to perform wanted activities and participate in a supportive every-day context. This implies that improvements of child engagement should be emphasized in health promotion and to a greater extent be the central focus of health interventions for young children.

  • 5.
    Awada, I. A.
    et al.
    Univ Politehn Bucuresti, Bucharest, Romania..
    Cramariuc, O.
    Ctr IT Pentru Stiinta & Tehnol, Bucharest, Romania..
    Mocanu, I.
    Univ Politehn Bucuresti, Bucharest, Romania..
    Seceleanu, Cristina
    Mälardalen University, School of Innovation, Design and Engineering, Embedded Systems.
    Kunnappilly, Ashalatha
    Mälardalen University, School of Innovation, Design and Engineering, Embedded Systems.
    Florea, A. M.
    Univ Politehn Bucuresti, Bucharest, Romania..
    AN END-USER PERSPECTIVE ON THE CAMI AMBIENT AND ASSISTED LIVING PROJECT2018In: 12TH INTERNATIONAL TECHNOLOGY, EDUCATION AND DEVELOPMENT CONFERENCE (INTED) / [ed] Chova, LG Martinez, AL Torres, IC, IATED-INT ASSOC TECHNOLOGY EDUCATION & DEVELOPMENT , 2018, p. 6776-6785Conference paper (Refereed)
    Abstract [en]

    In this paper, we present the outcomes and conclusions obtained by involving seniors from three countries (Denmark, Poland and Romania) in an innovative project funded under the European Ambient Assisted Living (ALL) program. CAMI stands for "Companion with Autonomously Mobile Interface" in "Artificially intelligent ecosystem for self-management and sustainable quality of life in AAL". The CAMI solution enables flexible, scalable and individualised services that support elderly to self-manage their daily life and prolong their involvement in the society (sharing knowledge, continue working, etc). This also allows their informal caregivers (family and friends) to continue working and participating in society while caring for their loved ones. The solution is designed as an innovative architecture that allows for individualized, intelligent self-management which can be tailored to an individual's preferences and needs. A user-centred approach has ranked health monitoring, computer supervised physical exercises and voice based interaction among the top favoured CAMI functionalities. Respondents from three countries (Poland, Romania and Denmark) participated in a multinational survey and a conjoint analysis study.

  • 6. Bergman, Stefan
    et al.
    Gerdle, Björn
    Hagberg, Mats
    Jacobsson, Ulf
    Linton, Steven J
    Strender, Lars-Erik
    Stålnacke, Britt-Marie
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Långvarig smärta i nacke, skuldror och rygg i Nationella riktlinjer för rörelseorganens sjukdomar 2010 – stöd för styrning och ledning: Preliminär version2010Report (Refereed)
  • 7.
    Bernson, Jenny
    et al.
    University of Gothenburg, Institute of Odontology, Department of Behavioral and Community Dentistry.
    Elfström, Magnus
    Mälardalen University, School of Health, Care and Social Welfare.
    Hakeberg, Magnus
    University of Gothenburg, Institute of Odontology, Department of Behavioral and Community Dentistry.
    Adaptive coping strategies among adult patients with dental fear: Further development of a new version of the Dental Coping Strategy Questionnaire2012In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 70, no 5, p. 414-420Article in journal (Refereed)
    Abstract [en]

    Objective. The aim of this study was to further develop and investigate a newly constructed 15-item questionnaire on strategies for coping with dental treatment, used by fearful adult patients undergoing regular dental care and those with phobic avoidance. Materials and Methods. The dental coping strategy questionnaire (DCSQ-15) was distributed to 77 individuals with dental phobic avoidance and 94 fearful patients undergoing regular dental care. Previous analyses of a 20-item coping questionnaire (DCSQ-20) revealed that 2 of 4 identified factors predicted regularity or phobic avoidance of dental care. However, one of these factors was considered related to catastrophizing thoughts and not to coping strategies and it was therefore removed in the present study. Results. The reduced 15-item questionnaire was analyzed to identify its factor structure and a 5-factor solution was found. The five factors were labeled (i) 'self-efficacy', (ii) 'self-distraction', (iii) 'distancing', (iv) 'praying' and (v) 'optimism'. The factors of 'praying' and 'optimism' correlated significantly with dental anxiety and were assessed significantly higher and lower respectively, among individuals with phobic avoidance. A logistic regression analysis revealed that 'optimism', together with gender and dental anxiety, was predictive of the regularity or phobic avoidance of dental care.

  • 8.
    Brengdahl, Emelie
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Göthlin, Sofia
    CHEFERS UPPFATTNING OMFÖRUTSÄTTNINGAR FÖRHANDLEDARE ATT BEDRIVAVERKSAMHETSFÖRLAGDUTBILDNING FÖRFYSIOTERAPEUTSTUDENTER: En kvalitativ intervjustudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 9.
    Dahlberg, Karin
    et al.
    Växjo universitet, IVOSA.
    Summer Meranius, Martina
    Mälardalen University, Department of Caring and Public Health Sciences.
    The relevance of Merlarleau-Ponty`s philosophy for the understanding of health and health science methodology.2008In: 5th central and Eastern European Conference on Phenomenology.: "Corporeity and affectivity" in celebration of Merlau-Ponty`s 100th birthday., 2008Conference paper (Other academic)
  • 10.
    Ekstrand, Magnus
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Ekstrand, Irina
    Mälardalen University, School of Health, Care and Social Welfare.
    Överviktiga barns upplevelser av hälsa och lidande2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In the background important concepts as health, suffering, obesity, consequences of overweight, treatment, vulnerability and importance of activity are described. This for the reader will be able to understand the extent of the problem. The study will focus on overweight children and adolescents. Problem: Overweight in children and adolescents are a growing problem, leading to a number of negative consequences, many physical but also psychological, spiritual and social. Objective: To describe overweight children and adolescents experiences of health and suffering. Method: A qualitative literature study with an inductive approach and manifest content analysis based on Graneheim & Lundmans (2004) methodology article. The study was conducted in autobiographies for adults to describe their experiences of growing up with being overweight. Results: The study shows that overweight children and adolescents experiences on the basis of its overweight relating to health and suffering. The results are presented in categories of self-esteem, self-loathing, despair, vulnerability, alienation and love. Conclusion: Many children and adolescents with overweight are experiencing considerable suffering and barely any health. They have poor self-esteem and are experiencing self-loathing and desperation. They are often teased and subjected to bullying which can lead to alienation. They feel they cannot find the true love because of their overweight.

  • 11.
    Ettanen, Tarja
    Mälardalen University, School of Sustainable Development of Society and Technology.
    Entreprenöriellt lärande - ett förhållningssätt i undervisningen2010Independent thesis Basic level (university diploma), 15 credits / 22,5 HE creditsStudent thesis
    Abstract [sv]

    Avsikten med detta arbete har varit att synliggöra och att utforma en lärarhandledning som baseras på det entreprenöriella förhållningssättet i undervisningen. Bakomliggande metod har inkluderat litteraturstudier, inventering av befintliga projekt inom området, deltagande av utbildningsdag om entreprenörskap, intervjuer av lärare samt västerås projektansvarige för entreprenörskap i Västerås skolor. Entreprenörskap för elever har tidigare drivits av organisationer utanför skolorna varför det har blivit mer angeläget att utbilda skolpersonal så att förhållningssättet kan börja utvecklas inne i den dagliga verksamheten inom skolans egen arena. Resultatet visade att det fanns lärare som framhöll att de alltid undervisat med ett entreprenöriellt förhållningssätt. Det fanns lärare som kände behov av att lära elever olika strategier som eleverna sedan själva kunde utnyttja i sitt lärande. Arbetet visade även att det fanns lärare som blev nyfikna och intresserade av det entreprenöriella förhållningssättet.

  • 12.
    Gerdle, Björn
    et al.
    Linköpings ­universitet, Linköping, Sweden; Universitetssjukhuset, Linköping, Sweden.
    Stålnacke, Britt-Marie
    Umeå universitet, Umeå, Sweden; Norrlands universitetssjukhus, Umeå, Sweden.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Asenlöf, Pernilla
    Uppsala universitet, Uppsala, Sweden; Akademiska sjukhuset, Uppsala, Sweden.
    Multimodal rehabilitering vid smärta alltför lågt prioriterad2011In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 108, no 11, p. 580-581Article in journal (Refereed)
  • 13.
    Gerdle, Björn
    et al.
    Linköpings universitet; Universitetssjukhuset, Linköping.
    Stålnacke, Britt-Marie
    Umeå universitet; Norrlands universitetssjukhus, Umeå.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Åsenlöf, Pernilla
    Uppsala universitet.
    Indikation för multimodal rehabilitering vid långvarig smärta2011Report (Refereed)
  • 14.
    Häggström-Nordin, Elisabet
    et al.
    Uppsala University, Uppsala, Sweden.
    Hanson, Ulf
    Uppsala University, Uppsala, Sweden.
    Tydén, Tanja
    Uppsala University, Uppsala, Sweden.
    Sex behavior among high school students in Sweden: improvement in contraceptive use over time.2002In: Journal of Adolescent Health, ISSN 1054-139X, E-ISSN 1879-1972, Vol. 30, no 4, p. 288-95Article in journal (Refereed)
    Abstract [en]

    PURPOSE: To investigate sexual behavior and attitudes toward sexuality among first-year high school students in Sweden in 1999 and to compare the sexual behavior with that reported from similar studies in 1979 and 1989. METHODS: In Spring 1999, a questionnaire with 47 questions mainly of multiple-choice nature was administered to a random sample of 20 classes in senior high school in two medium-sized cities in Sweden. The median age of the students was 16 years. Differences in sexual behavior and attitudes were evaluated with the Chi-square and Student's t-test. RESULTS: Almost half of the students (46%) had had intercourse, showing that the age of coitarche had not decreased during the past two decades. The median age at intercourse of those who had had intercourse was 15 years in both genders. More students in practical (vocational-technical) programs (60%) than in theoretical (college preparatory) ones (37%) had had sexual intercourse. More teenagers in theoretical (90%) than in practical programs (64%) had used contraceptives at their first intercourse, an increase from 65% in 1979 to 76% in 1999. One-fourth of the teenagers were under the influence of alcohol at the first intercourse, a decrease, compared with 1979. CONCLUSIONS: Contraceptive use at coitarche has increased and alcohol use decreased over the 20-year-period. The tendency noted 10 years ago that students attending practical programs put themselves at more health risk than students in theoretical programs continues. This fact should be considered when planning for counseling and sex education.

  • 15.
    Håkansson Eklund, Jakob
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Holmström, Inger K.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Uppsala universitet.
    Kumlin, Tomas
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Kaminsky, Elenor
    Uppsala universitet.
    Skoglund, Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Höglander, Jessica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Sundler, Annelie J
    Condén, Emelie
    Region Västmanland.
    Summer Meranius, Martina
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    "Same same or different?" A review of reviews of person-centred and patinet-centred care2018In: International Conference on Communication in Healthcare, Porto, Portugal, 2018Conference paper (Refereed)
  • 16.
    Höglander, Jessica
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Sundler Johansson, Annelie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Högskolan Borås.
    Spreeuwenberg, Peter
    NIVEL, Nederländerna.
    Holmström, Inger
    Uppsala universitet.
    Eide, Hilde
    Universitetet i Sørøst-Norge.
    van Dulmen, Sandra
    NIVEL, Nederländerna.
    Håkansson Eklund, Jakob
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Female gender explains emotional communication in home care2018In: International Conference on Communication in Healthcare, Porto, Portugal, 2018Conference paper (Refereed)
  • 17.
    Höglund, Anna T
    et al.
    Uppsala universitet.
    Carlsson, Marianne
    Högskolan i Gävle.
    Holmström, Inger K.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Uppsala universitet.
    Kaminsky, Elenor
    Uppsala universitet.
    Communication for equity in healthcare: description of an educational intervention2018In: , Porto, Portugal, 2018Conference paper (Refereed)
  • 18.
    Johansson, Anton
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Skog, Anton
    Mälardalen University, School of Health, Care and Social Welfare.
    Att göra akutsjukvården personcentrerad: En beskrivande litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 19.
    Jull, Gwendolen A
    et al.
    Univ Queensland, Australia.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Stemper, Brian D
    Med Coll Wisconsin, USA.
    Kenardy, Justin
    Univ Queensland, Australia.
    Gross, Anita R
    McMaster Univ, Canada.
    Côté, Pierre
    Univ Toronto, Canada.
    Treleaven, Julia
    Univ Queensland, Australia.
    Bogduk, Nikolai
    Royal Newcastle Ctr, Newcastle Bone & Joint Inst, Dept Clin Res, Newcastle, NSW, Australia.
    Sterling, Michele
    Univ Queensland, Australia.
    Curatolo, Michele
    Univ Bern, Switzerland.
    Toward optimal early management after whiplash injury to lessen the rate of transition to chronicity2011In: Spine, ISSN 0362-2436, E-ISSN 1528-1159, Vol. 36, no 25 Suppl, p. S335-S342Article in journal (Refereed)
    Abstract [en]

    STUDY DESIGN: Expert debate and synthesis of research to inform future management approaches for acute whiplash disorders.

    OBJECTIVE: To identify a research agenda toward improving outcomes for acute whiplash-injured individuals to lessen the incidence of transition to chronicity.

    SUMMARY OF BACKGROUND DATA: International figures are concordant, estimating that 50% of individuals recover from pain and disability within 3 to 6 months of a whiplash injury. The remainder report continuing symptoms up to 1 to 2 years or longer postinjury. As no management approach to date has improved recovery rates, new clinical/research directions are required for early management of whiplash-injured patients.

    METHODS: A group of multidisciplinary researchers critically debated evidence and current research concerning whiplash from biological, psychological, and social perspectives toward informing future research directions for management of acute whiplash.

    RESULTS: It was recognized that effective treatments for acute whiplash are constrained by a limited understanding of causes of whiplash-associated disorders. Acute whiplash presentations are heterogeneous leading to the proposal that a research priority was development of a triage system based on modifiable prognostic indicators and clinical features to better inform individualized early management decisions. Other priorities identified included researching effective early pain management for individuals presenting with moderate to high levels of pain; development of best education/information for acute whiplash; testing the efficacy of stratified and individualized rehabilitation, researching modes of delivery considering psychosocial modulators of pain and disability; and the timing, nature, and mode of delivery of cognitive-behavioral therapies. Directions were highlighted for future biomechanical research into injury prevention.

    CONCLUSION: The burden of whiplash injuries, the high rate of transition to chronicity, and evidence of limited effects of current management on transition rates demand new directions in evaluation and management. Several directions have been proposed for future research, which reflect the potential multifaceted dimensions of an acute whiplash disorder.

  • 20.
    Karlsson, Caroline
    Mälardalen University, School of Health, Care and Social Welfare.
    Livet efter en stroke: De drabbades upplevelser av att leva med funktionsnedsättning2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In Sweden aproximately 30 000 people suffers a stroke every year and a third of the victims are also affected by disabilty. The life of families and relatives of the victim is also affected. Problem: Previous research shows that nurses may find it difficult to take part of patients’ experiences when they are affected by disabilty after a stroke. This may be something that can affect the nursing care. Aim: To describe the victims’ experiences of living with disabilty after a stroke. Method: A qualitative literature review based on scientific articles with a descriptive synthesis by Evans as the method of analysis. Result: The experiences that came upp were divided into three different themes which were linked to the changed body, the changed self and the changed future. The subthemes were linked to the control and the lack of control of the body, a new self and a new role, loss of independence, recovery and positive thoughts about the future. Conclusion: Living with disabilities after a stroke is something that affects the victim both physically, mentally and spiritually and it will be a life changing event. Nurses should be aware of these experiences to make the nursing care as good as possible.

  • 21.
    Kristoffersson, Annica
    et al.
    Örebro universitet, Institutionen för naturvetenskap och teknik.
    Ulfvarson, Johanna
    Karolinska institutet, Stockholm, Sweden.
    Loutfi, Amy
    Örebro universitet, Institutionen för naturvetenskap och teknik.
    Teknik i hemmet - tekniska förutsättningar2019In: Hemsjukvård: olika perspektiv på trygg och säker vård / [ed] Mirjam Ekstedt & Maria Flink, Liber , 2019, 1, p. 396-421Chapter in book (Other (popular science, discussion, etc.))
    Abstract [sv]

    I och med den fjärde industriella revolutionen – Industri 4.0 – kommer en nygeneration av teknik att finnas tillgänglig. Det förutspås att robotik och virtualreality kommer att transformera inte bara arbetsplatser utan även utvecklaandra domäner, såsom smarta städer och möjligheten till livsstils- och hälsomonitoreringhemma.Antalet tillgängliga konsument- och medicintekniska produkter ökar irask takt. Hälso- och sjukvårdssystemet ställs inför utmaningar, såsom behovetav att utveckla verktyg för att hantera ny teknologi men också att förändraarbetsprocesser och anpassa organisationen för att kunna hantera teknologin.

    Det här kapitlet ger en översikt över kommande teknologier, förslag på hurteknologi kan användas i hemmiljöer, en översikt över hur sådan teknik utvärderatssamt inte minst en reflektion kring hur dessa teknologier kan harmoniseramed nuvarande organisatoriska processer.

  • 22.
    Laennerstroem, Linda
    et al.
    Uppsala Univ, Sweden..
    von Celsing, Anna-Sophia
    Uppsala Univ, Sweden..
    Holmström, Inger K.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Wallman, Thorne
    Uppsala Univ, Sweden..
    Registered nurses' work with sick leave questions by telephone in primary health care2017In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 26, no 5-6, p. 641-647Article in journal (Refereed)
    Abstract [en]

    Aims and objectives To describe registered nurses' work with sick leave questions by telephone. BackgroundIn Sweden, when a sick person needs to request a sickness certification, it is common to contact the primary healthcare centre. The main access to primary health care is by telephone, with a registered nurse answering the care seeker's questions, triaging and helping care seekers to the right level of care. Registered nurses' work with sick leave questions has not been studied, except for two qualitative interview studies. DesignA descriptive cross-sectional study. MethodsA questionnaire with 120 questions was distributed to 185 registered nurses in one county in central Sweden. Descriptive statistics were used for analysis. ResultsResponse rate was 62% (n=114). Registered nurses (n=105) in this study talked weekly to persons on, or at risk, for sick leave. A large part (n=78) felt they had a role in the care of persons on sick leave, consisting of booking appointments as well as acting as a pilot, advisor, caretaker and coordinator. For 74 of 114 registered nurses, it was problematic to handle the phone calls weekly. Measures were often' booking appointments with physicians (n=67) and seldom' providing information on social insurance rules (never' n=51). The registered nurses expressed a great need for more education. ConclusionRegistered nurses in this study reported having a role in the care of persons on sick leave when handling sick leave questions by telephone. The telephone calls were problematic to handle, and the registered nurses expressed a great need for education and training in social insurance medicine. Relevance to clinical practiceThere is a need to educate and train registered nurses in social insurance medicine to provide high-quality nursing for patients on or at risk for sick leave.

  • 23.
    Larsson, Jan
    et al.
    Uppsala universitet, Sweden.
    Holmström, Inger
    Uppsala universitet, Sweden.
    Understanding anaesthesia training and trainees2012In: Current Opinion in Anaesthesiology, ISSN 0952-7907, E-ISSN 1473-6500, Vol. 25, no 6, p. 681-685Article in journal (Refereed)
    Abstract [en]

    Purpose of review: Patient safety is topical today. Competent professionals are necessary to keep anesthesia care safe, and teaching trainees is an important element in safety work. The purpose of this review is to present the latest research on anesthesia training and trainees. Recent findings: Most trainees of today aim for excellence, for which personal qualities are as important as knowledge and skills. The definition of excellence is the first subject covered here. Trainees of today can train many procedural skills in a simulators setting, a step forward for patient safety. Several studies about simulator training are reported. A dimension of competence that has received much attention during the last years is anesthesiologists' nontechnical skills. Studies on anesthesiologists' nontechnical skills as a valuable tool for assessing trainees' progress in nontechnical skills are presented. Summary: Much research about anesthesia training concerns simulator training and assessment of trainees' competence. More research is needed to understand the process of learning anesthesia.

  • 24.
    Larsson, Jan
    et al.
    Uppsala universitet, Sweden.
    Holmström, Inger
    Uppsala universitet, Sweden.
    Lindberg, Eva
    Uppsala universitet, Sweden.
    Rosenqvisr, urban
    Uppsala universitet, Sweden.
    Anaesthetists understand their work in different ways – Reply2004In: British Journal of Anaesthesia, ISSN 0007-0912, E-ISSN 1471-6771, Vol. 93, no 2, p. 303-304Article in journal (Other academic)
  • 25.
    Linton, Steven
    et al.
    Örebro University, Sweden.
    Boersma, Katja
    Örebro University, Sweden.
    Jansson, Markus
    Örebro University, Sweden.
    Overmeer, Thomas
    Örebro University, Sweden.
    Lindblom, Karin
    Örebro University, Sweden.
    Vlaeyen, Johan W.S.
    University of Leuven, Belgium.
    A randomized controlled trial of exposure in vivo for patients with spinal pain reporting fear of work-related activities2008In: European Journal of Pain, ISSN 1090-3801, E-ISSN 1532-2149, Vol. 12, no 6, p. 722-730Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: 

    Pain-related fear is related to disability in persistent pain conditions. Exposure treatment has been reported to be of great benefit in replicated single case experiments.

    AIM: 

    To evaluate the effects of exposure in vivo on fear and function in patients with persistent pain and work disability.

    METHOD: 

    We recruited 46 patients suffering from long-term back pain and reduced function, who also were deemed fearful according to standardized measures. Participants were randomized into either an exposure plus usual treatment or waiting list control plus usual treatment group. After the waiting period the control group crossed over and received the exposure treatment.

    RESULTS: 

    Between group comparisons showed a significantly better result for the exposure group on function, but not for fear or pain and effect sizes were modest (function=.6; fear=.4; pain=.1). When the control group crossed over to treatment significant treatment effects were noted for fear and function. For all patients treated, the pre to post-treatment effect sizes were large (function=.7; fear=1.1; pain=.9). There were 12 dropouts (8 in exposure and 4 in the control) during the first treatment phase and an additional 4 when the control group crossed over to exposure.

    CONCLUSIONS: 

    Compared to a group receiving usual treatment and waiting for exposure, the exposure in vivo group demonstrated a significantly larger improvement on function. Overall exposure had moderate effects on function, fear and pain intensity. We conclude that exposure may be important in treatment, but is not recommended as a "stand alone" adjunct to usual treatment.

  • 26.
    Lövenmark, Annica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    How Children of Parents With Dementia Can Make Their Subject Positions Understandable and Meaningful2019In: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, article id UNSP 1049732319873051Article in journal (Refereed)
    Abstract [en]

    The families of people diagnosed with dementia are commonly first-in-line caregivers. This can have a considerable effect on their lives, health, and relationships. However, few studies have focused on the children in such families. Therefore, the aim of this study was to describe how children, in their own narratives, construct themselves as subjects growing up and caring for a parent with dementia. The study applies discourse analysis. The findings show three subject positions: parent to your parent(s), orphan with parents, and time traveler stuck in time. There is a need to support these children, both as children and as young adults. More knowledge is necessary regarding the kind of support they might want or need. For health care professionals, it is important to know that it might not always be easy to ask for information or support as a child caring for a sick parent.

  • 27.
    Nadjati Gilani, Shekofek
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Patienters erfarenhet av att leva med stomi: En kvalitativ litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 28.
    Nielsen, Karina
    et al.
    Univ Sheffield, England..
    Nielsen, Morten B.
    Natl Inst Occupat Hlth, Oslo, Norway..
    Ogbonnaya, Chidiebere
    Univ East Anglia, England..
    Kansala, Marja
    Finnish Inst Occupat Hlth, Helsinki, Finland..
    Saari, Eveliina
    Finnish Inst Occupat Hlth, Helsinki, Finland..
    Isaksson, Kerstin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Workplace resources to improve both employee well-being and performance: A systematic review and meta-analysis2017In: Work & Stress, ISSN 0267-8373, E-ISSN 1464-5335, Vol. 31, no 2, p. 101-120Article, review/survey (Refereed)
    Abstract [en]

    Organisations are becoming increasingly aware of the importance of employees in gaining and maintaining competitive advantage. The happy worker-productive worker thesis suggests that workers who experience high levels of well-being also perform well and vice versa; however, organisations need to know how to ensure such happy and productive workers. The present review and meta-analysis identifies workplace resources at the individual, the group, the leader, and the organisational levels that are related to both employee well-being and organisational performance. We examine which types of resources are most important in predicting both employee well-being and performance. We identified 84 quantitative studies published in print and online from 2003 to November 2015. Resources at either of the four levels were related to both employee well-being and performance. We found no significant differences in employee well-being and organisational performance between the four levels of workplace resources, suggesting that interventions may focus on any of these levels. Cross-sectional studies showed stronger relationships with well-being and performance than longitudinal studies. Studies using objective performance ratings provided weaker relationships between resources and performance than self-rated and leader/third-party-rated studies.

  • 29.
    Nilsson, Stefan
    et al.
    Borås University, Sweden.
    Björkman, Berit
    Jönköping University, Sweden.
    Almqvist, Anna-Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Almqvist, Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Björk-Willén, Polly
    Linköping University, Sweden.
    Donohue, Dana
    University of Pretoria, South Africa.
    Enskär, Karin
    Jönköping University, University of Skövde, Sweden.
    Granlund, Mats
    Jönköping University, Sweden.
    Huus, Karina
    Jönköping University, Sweden.
    Hvit, Sara
    Jönköping University, Sweden.
    Children's voices: Differentiating a child perspective from a child's perspective2015In: Developmental Neurorehabilitation, ISSN 1751-8423, E-ISSN 1751-8431, Vol. 18, no 3, p. 162-168Article in journal (Refereed)
    Abstract [en]

    Objective: The aim of this paper was to discuss differences between having a child perspective and taking the child’s perspective based on the problem being investigated.

    Methods: Conceptual paper based on narrative review.

    Results: The child’s perspective in research concerning children that need additional support are important. The difference between having a child perspective and taking the child’s perspective in conjunction with the need to know children’s opinions has been discussed in the literature. From an ideological perspective the difference between the two perspectives seems self-evident, but the perspectives might be better seen as different ends on a continuum solely from an adult’s view of children to solely the perspective of children themselves. Depending on the research question, the design of the study may benefit from taking either perspective. In this article, we discuss the difference between the perspectives based on the problem being investigated, children’s capacity to express opinions, environmental adaptations and the degree of interpretation needed to understand children’s opinions.

    Conclusion: The examples provided indicate that children’s opinions can be regarded in most research, although to different degrees.

    Read More: http://informahealthcare.com/doi/abs/10.3109/17518423.2013.801529

  • 30.
    Persson, Jennylee
    Mälardalen University, School of Health, Care and Social Welfare.
    Anställdas upplevelser av att vara tillgänglig i arbetet: En kvalitativ intervjustudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The workplace is an important arena for people since they spend a significant amount of their lifetime with work. This imposes that the workplace is an important arena for health promotion. The development of information and communication technology during the last decades has contributed to new ways of working in terms of flexibility and how work is performed. The change in how and when employees perform their work motivates further studies to increase the understanding of employees’ experience of the availability of work. The purpose of this study is to examine how employees perceive their health in relation to be available for work. A qualitative approach was selected in which five individuals working in consulting and advisory services industry were interviewed. The interviews were analyzed with a manifest content analysis. The result indicates that perceptions of availability for work comes with both advantages and disadvantages. Accessibility provides enhanced control over work tasks but there is also a perceived need to be available. Which can result in a negative impact on employees’ health in the form of stress. The study further indicates that the employer has a certain responsibility to support their employees to cope with the challenges that comes with availability to actively promote the health of employees. 

  • 31.
    Pourmand, Anita
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Nydahl, Jessica
    Mälardalen University, School of Health, Care and Social Welfare.
    Måltidsmiljö vid demenssjukdom2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 32.
    Rasoal, Dara
    Örebro universitet, Institutionen för hälsovetenskaper.
    Perspectives on clinical ethics support and ethically difficult situations: reflections and experiences2017Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Healthcare personnel encounter ethically difficult situations in their everyday work and clinical ethics support might be important to support healthcare personnel to deal with these situations. The overall aim of this thesis was to describe perspectives on clinical ethics support, experiences of being in ethically difficult situations and experiences of facilitating ethics reflection. Methods. Study I had a descriptive design in which research articles were reviewed (n=54). In study II audio-recorded moral case deliberation (n=70) in 10 Swedish workplaces in hospitals and community care were analysed. In study III interviews were conducted with facilitators (n=11) of moral case deliberation. Study IV used non-participant observation during three weeks as well as informal conversations with healthcare personnel (n=12) in community home healthcare. Results and conclusion. In study I, two perspectives emerged on clinical ethics support, a “Top-down” perspective, where an individual or a group of “experts” in ethics could recommend the best course of action and a “Bottom-up” perspective that allows healthcare personnel to manage ethically difficult situations through ethical reflections led by a facilitator. Studies II and IV showed how ethically difficult situations on different levels are often connected with emotions and uncertainties. Study III showed the role of the facilitator to be fundamental in creating a space for self-reflection among healthcare personnel. Study IV showed that healthcare personnel face complex demands and expectations from the healthcare organization regarding the provision of care as well as having to meet the needs of patients and their next-of-kin. To conclude, healthcare personnel needed to find a balance among demands and expectations in order to satisfy those stakeholders involved and they had to seek compromise. There is a need for clinical ethics support that helps healthcare personnel reflect individually and collectively on ethically difficult situations they encounter in their everyday clinical practice. From this standpoint, a “Bottom-up” perspective may reduce the risk of moral distress among healthcare personnel and promote care based on person-centred values.

  • 33.
    Röing, Marta
    et al.
    Uppsala University, Sweden.
    Hirsch, JM
    Uppsala University, Sweden.
    Holmström, Inger
    Uppsala University, Sweden.
    Schuster, Marja
    University of Stockholm, Stockholm, Sweden .
    Making new meanings of being in the world after treatment for oral cancer.2009In: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 19, no 8, p. 1076-1086Article in journal (Refereed)
    Abstract [en]

    When the mouth is affected by cancer, difficulties in satisfying basic human needs such as eating, tasting, swallowing, and speaking might arise, and the existential significance of the mouth might become obvious. How does it feel to live with these difficulties? What does it mean to be a human being living with the consequences of oral cancer? Five patients with oral cancer were interviewed a median time of 4 years after the beginning of treatment. A hermeneutic research approach was used to understand, explain, and interpret the transcribed interviews and showed how the consequences of oral cancer affected the being-in-the-world of the participants in three ways: existing as oneself, existing in the eyes of others, and existing with others. Against the background of the philosophy of Martin Heidegger, these findings illuminate how essential the mouth is to a human being's identity and existence.

  • 34.
    Röing, Marta
    et al.
    Uppsala universitet, Sweden.
    Holmström, Inger
    Örebro University, Sweden .
    Involving patients in treatment decisions – a delicate balancing act for Swedish dentists2014In: Health Expectations, ISSN 1369-6513, E-ISSN 1369-7625, Vol. 17, no 4, p. 500-510Article in journal (Refereed)
  • 35.
    Saviluoto, Julia
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Windle, Jenny
    Mälardalen University, School of Health, Care and Social Welfare.
    FYSIOTERAPEUTCHEFENSUPPFATTNING OMBETEENDEMEDICINSK KOMPETENS: En kvalitativ intervjustudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 36.
    Sundling, Vibeke
    et al.
    Universitetet i Sørøst-Norge, Norway.
    Hafskjold, Linda
    Universitetet i Sørøst-Norge, Norway.
    Holmström, Inger
    Uppsala universitet, Sweden.
    Höglander, Jessica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Sundler, Annelei J
    Högskolan Borås, Sweden.
    Eide, Hilde
    Universitetet i Sørøst-Norge, Norway.
    Supportive communication in Home car: a cross-national comparative study2018In: International Conference on Communication in Healthcare, Porto, Portugal, 2018Conference paper (Refereed)
  • 37.
    Svantesson, Katarina
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Söderberg, Susanna
    Mälardalen University, School of Health, Care and Social Welfare.
    FYSIOTERAPEUTSTUDENTERSATTITYDER TILLBEHANDLINGSMODELLER FÖRPATIENTER MED LÅNGVARIGOSPECIFIK LÄNDRYGGSSMÄRTA: En jämförande studie mellan två utbildningar2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 38.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Health promotion for older persons by decreasing sedentary behaviour–Editorial2019In: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 21, no 3Article in journal (Other academic)
  • 39.
    Söderlund, Anne
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Åsenlöf, Pernilla
    Uppsala universitet, Uppsala, Sweden.
    Fysisk aktivitet/träning, manuella och fysikaliska metoder samt beteendemedicinska behandlingar2010In: Rehabilitering vid långvarig smärta: En systematisk litteraturöversikt : partiell uppdatering och fördjupning av SBU-rapport nr 177/1+2, Stockholm: Statens beredning för medicinsk utvärdering (SBU) , 2010, p. 119-176Chapter in book (Refereed)
  • 40.
    Tirkkonen, Emilia
    Mälardalen University, School of Health, Care and Social Welfare.
    Mindre upplevd stress hos djurägare än icke-djurägare2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Stress innefattar händelser i miljön, fysiologiska reaktioner och psykosociala processer. Socialt stöd och händelser som upplevs vara positiva kan fungera som stressbuffrar. Sällskapsdjur framkallar positiva känslor och reducerar situationsbundna hot samt stressrelaterade tillstånd, och bidrar till indirekta positiva effekter på hälsa. Sambandet mellan ägarskap av djur och stress undersöktes och 152 individer besvarade frågor om upplevd stress med Perceived Stress Scale och djurägarskap. Att djurägare upplever mindre stress än icke-djurägare bekräftades. Antal och typ av djur hade inga säkra relationer till stress. Bakgrundsfaktorer som antogs kunna påverka stress undersöktes men gav inga signifikanta resultat, dock upplevde kvinnor mer stress än män. Framtida studier kan förslagsvis undersöka fler påverkansfaktorer för stress samt fokusera på vad som uppskattades mest respektive minst med djurägarskap. Resultatet kan vara av praktisk betydelse då sällskapsjur kan minska autonoma reaktioner mot mild stress och bidra till indirekta effekter för ökad hälsa och välmående på lång sikt.   

  • 41.
    Wiklund Gustin, Lena
    Mälardalen University, School of Health, Care and Social Welfare.
    Implications for theory: a challenge for researchers?2011In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 25, no 3, p. 417-418Article in journal (Other academic)
  • 42.
    Wiklund, Lena
    Mälardalen University, School of Health, Care and Social Welfare.
    När begreppen tar gestalt – hermeneutisk tillägnelse genom språk och metaforer2007In: Gryning III: Vårdvetenskap och hermeneutik / [ed] Eriksson, K., Lindström, UÅ., Matilainen, D. & Lindholm, L., Åbo Akademi, Vasa: Enheten för vårdvetenskap , 2007, p. 45-57Chapter in book (Other academic)
  • 43.
    Wiklund-Gustin, Lena
    Mälardalen University, School of Health, Care and Social Welfare.
    Att erhålla vetenskaplig kunskap genom berättelser: Datainsamling i narrativa studier2010Conference paper (Refereed)
    Abstract [sv]

    Bakgrund: Som människor lever vi i en värld av berättelser. Att berätta är ett sätt att skapa mening genom att ordna och strukturera händelser, och berättelsen anses också ha en identitetsskapande natur. Detta sätt att se på världen får också konsekvenser för forskningen, då det ställer forskaren inför utmaningen att på bästa sätt återspegla denna subjektiva och konstruerade verklighet i forskningen. Inom vårdvetenskaplig forskning har olika narrativa metoder blivit allt vanligare för att utforska vårdverkligheten. Samtidigt kan man konstatera att litteraturen i hög grad fokuserar olika typer av narrativ analys. Mer sällan diskuteras narrativa data, och vad som kännetecknar dem.

    Frågeställning: Vilka överväganden bör göras i samband med datainsamling vid narrativa studier?

    Metod och resultat: Med utgångspunkt i en reflektion över den narrativa studien som ett hermeneutiskt projekt där olika förståelsehorisonter samspelar lyfts berättelsen fram som något som skapas i dialogen mellan forskaren och forskningspersonen och hur forskaren redan här måste göra vissa överväganden för att erhålla data som håller för en narrativ analys. Narrativa data är inte vilka kvalitativa data som helst, utan har vissa särdrag, och forskaren måste vara medvetna om dessa för att i samtalet kunna stödja berättelsen. Genom att berätta kan vi bringa ordning och sortera våra upplevelser, men berättandet medför också en risk för att de reduceras. Berättandet sker alltid i efterhand, och en narrativ intervju är inte bara ett åter-berättande av en händelse, utan en ny-gestaltning av den med utgångspunkt i personens aktuella förståelse av det som hände, vilket forskaren måste beakta såväl i samtalssituationen som vid analys av data.

    Slutsatser: Att berätta sträcker sig utöver informationsöverföring, det är ett sätt att relatera till en annan människa, något som också får etiska implikationer. Likaså kan konstateras att tillförlitligheten och kvalitén hos berättelserna framför allt är beroende av forskarens hållning, inte av forskningspersonens egenskaper.

  • 44.
    Willis, Claire
    et al.
    Univ Western Australia, Australia.
    Nyquist, Astrid
    Beitostolen Healthsports Ctr, Sentervegen 4, N-2953 Beitostolen, Norway..
    Jahnsen, Reidun
    Beitostolen Healthsports Ctr, Sentervegen 4, N-2953 Beitostolen, Norway.;Oslo Univ Hosp, Dept Clin Neurosci Children, Kirkeveien 166, N-0450 Oslo, Norway..
    Elliott, Catherine
    Curtin Univ, Sch Occupat Therapy & Social Work, Kent St, Perth, WA 6102, Australia..
    Ullenhag, Anna
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Enabling physical activity participation for children and youth with disabilities following a goal-directed, family-centred intervention2018In: Research in Developmental Disabilities, ISSN 0891-4222, E-ISSN 1873-3379, Vol. 77, p. 30-39Article in journal (Refereed)
    Abstract [en]

    Background There is a paucity of research demonstrating the optimisation and maintenance of participation outcomes following physical activity interventions for children and youth with disabilities. Aim: To evaluate changes in physical activity participation in children with disabilities following a goal-directed, family-centred intervention at a healthsports centre, and to identify factors influencing participation following the intervention. Methods and procedures: A mixed methods pre-test post-test cohort design was applied. Recruitment occurred over a 12 month period during standard clinical service provision. The Canadian Occupational Performance Measure (COPM) was administered to children and parents pre (T1) and post-intervention (T2), and at 12 weeks follow-up (T3). Goal Attainment Scaling (GAS) was applied to assess outcomes at 12 weeks follow-up (T2 T3). Qualitative inquiry described barriers to goal attainment at T3. Outcomes and results: Ninety two children with a range of disabilities (mean age 11.1yr; 49 males) were included in the study. Statistically significant and clinically meaningful improvements in parent ratings of COPM performance and satisfaction of participation goals were observed following intervention. Ratings at 12 weeks follow-up remained significantly higher than baseline, and 32% of children attained their COPM-derived GAS goal. Environmental factors were the most frequent barrier to goal attainment following intervention. Conclusion and implications: These results provide preliminary evidence for goal-directed, family centred interventions to optimise physical activity participation outcomes for children with disabilities.

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