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  • 1.
    Agnew, L.
    et al.
    University of Queensland, Brisbane, Australia .
    Johnston, V.
    University of Queensland, Brisbane, Australia .
    Ludvigsson, M. L.
    Linköping University, Linköping, Sweden; Rehab Väst, County Council of Östergötland, Sweden.
    Peterson, G.
    Linköping University, Linköping, Sweden; Linköping University, Linköping, Sweden.
    Overmeer, Thomas
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Johansson, G.
    Karolinska Institutet, Stockholm, Sweden.
    Peolsson, A.
    University of Queensland, Brisbane, Australia; Linköping University, Linköping, Sweden.
    Factors associated with work ability in patients with chronic whiplash-associated disorder grade II-III: A cross-sectional analysis2015In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 47, no 6, p. 546-551Article in journal (Refereed)
    Abstract [en]

    Objective: To investigate the factors related to self-perceived work ability in patients with chronic whiplash-associated disorder grades II-III. Design: Cross-sectional analysis. Patients: A total of 166 working age patients with chronic whiplash-associated disorder. Methods: A comprehensive survey collected data on work ability (using the Work Ability Index); demographic, psychosocial, personal, work- and condition-related factors. Forward, stepwise regression modelling was used to assess the factors related to work ability. Results: The proportion of patients in each work ability category were as follows: poor (12.7%); moderate (39.8%); good (38.5%); excellent (9%). Seven factors explained 65% (adjusted R2= 0.65, p < 0.01) of the variance in work ability. In descending order of strength of association, these factors are: greater neck disability due to pain; reduced self-rated health status and health-related quality of life; increased frequency of concentration problems; poor workplace satisfaction; lower self-efficacy for performing daily tasks; and greater work-related stress. Conclusion: Condition-specific and psychosocial factors are associated with self-perceived work ability of individuals with chronic whiplash-associated disorder.

  • 2.
    Ahmed, Mobyen Uddin
    et al.
    Mälardalen University, School of Innovation, Design and Engineering, Embedded Systems.
    Begum, Shahina
    Mälardalen University, School of Innovation, Design and Engineering, Embedded Systems.
    Kerstis, Birgitta
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Petrovic, Nikola
    Mälardalen University, School of Innovation, Design and Engineering, Embedded Systems.
    Sandborgh, Maria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Third Eye: An Intelligent Assisting Aid for Visual Impairment Elderly2016In: Medicinteknikdagarna 2016 MTF, 2016Conference paper (Refereed)
    Abstract [en]

    Background Visually impaired older persons need support in daily activities, e.g. moving around inside the house; making and eating food and taking medicine independently. A system that simulates the environment based on both dynamic and static objects, identify obstacles, navigates and translates sensory information in voice would be valuable to support their daily activities. Today several sensors and camera-based systems are popular as ambient-assisted living tools for older adults. However, intelligent assisting aid (IAA) to support older individuals with a recently acquired visual impairment is limited. The proposed system ‘Third Eye’ focuses on the advanced research and development of an IAA to support older individuals with a recently acquired visual impairment. The main goal in this system is to provide a usable, feasible and cost-effective solution for older persons to support their daily activities using intelligent sensor based system. Method The system consists of the following five phases to meet several central challenges in developing IAA in such domain. • User-perspective, focuses on user-driven technical development, investigating needs of potential users. The study will have a participatory design with focus group interviews of lead users. • Sensor-based system, focuses on the identification obstacles based on ultrasounds and/or radio frequencies embedded in white-cane or weaker. • Camera-based system, focuses on image based information translation into voice embedded in white-cane or weaker or glasses. • System of systems, focuses on integration of above systems where knowledge is engineered and suitable representations are learned and reasoning for decisions are made [9]. • Experimental, focuses on usability and feasibility of the IAA, with idiographic and group studies Results The initial results have shown the necessity of the proposed AAI systems for older individuals with a recently acquired visual impairment. However, more extension work e.g., process and analyze the information and synthesize it with existing literature for developing the system is ongoing.

  • 3.
    Akhavan, Sharareh
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Patienters uppfattning om Vård på lika villkor2015In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 92, no 2, p. 189-199Article in journal (Refereed)
    Abstract [en]

    To find out the patients’ perceptions of the care and welfare services is important in order to develop the quality of care. The purpose of this study was to investigate the patients’ perspectives on care on equal terms and on their ideas about methods for a more equitable care. To achieve the purpose, qualitative methods were used in form of conducting interviews with patients’ and representatives of patient organizations. The results show that patients’ perceive that in order to achieve a more equitable care continuity, time during consultations, availability, communication and encounter should evolve and become better.

  • 4.
    Akhavan, Sharareh
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Promoting Equity in Primary Health Care2015In: Primary Health Care, ISSN 2167-1079, Vol. 5, no 216Article in journal (Refereed)
    Abstract [en]

    Equity in access to primary health care services is a central objective of the Swedish health care system. Yet, several reports have illustrated that disparities still exist in the primary health sector, and have increased since the beginning of the 1990s. This commentary analyzes and explains the reasons for continuing inequality in access to and utilization of primary health care services in a welfare system. Social and structural factors, communication, macro-sociological aspects and health care providers’ attitudes and perceptions are discussed as substantial contributors to inequality in access to and utilization of primary health care services. In conclusion, some intervention strategies for promoting more equitable primary health care are suggested.

  • 5.
    Akhavan, Sharareh
    Mälardalen University, School of Health, Care and Social Welfare. Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Social determinants of health for female Iranian immigrants in Sweden.2012In: The Iranian community in Sweden – Multidisciplinary perspectives. / [ed] Hosseini-Kaladjani H., Tumba: The Multicultural Centre , 2012Chapter in book (Other academic)
  • 6.
    Akhavan, Sharareh
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Vad sker med personalens inställning till Vård på lika villkor när verksamheterna deltar i Lärandeprojektet?2015In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 92, no 2, p. 176-188Article in journal (Refereed)
    Abstract [en]

    Equity in health and providing care on equal terms is one of the most important aspects of a welfare society. Several reports indicate that the health care services are not equal. The purpose of this study was to study health care providers’ perceptions on equitable care and their ideas about methods to achieve a more equitable care. An web survey was sent to health care providers whose unit were involved in the project "Care on equal terms" before and after the project period. The results show that health care providers perceived that the factors that influence clients’/ patients’ access to care on equal terms consists of: structural / organizational factors in the health care organization or in the society and clients’/ patients’ social situation.

  • 7.
    Akhavan, Sharareh
    et al.
    Mälardalen University, School of Health, Care and Social Welfare. Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Aytar, Osman
    Mälardalen University, School of Health, Care and Social Welfare. Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Bogg, Lennart
    Mälardalen University, School of Health, Care and Social Welfare. Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare. Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare. Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Blev det ett genombrott?: Utvärdering av det nationella lärandeprojektet – Vård på lika villkor2014Report (Other academic)
    Abstract [sv]

    Sjukvården i Sverige är i dag inte jämlik, har brister i tillgänglighet och erbjuds inte på likvärdiga villkor trots Hälso- och sjukvårdslagens mål om en god hälsa och en vård på lika villkor för hela befolkningen.

    För att bryta den pågående trenden och öka jämlikheten gjordes en överenskommelse mellan regeringen och SKL om lärandeprojektet Vård på lika villkor (under åren 2011–2014). Syftet med projektets har varit att inom socioekonomiskt resurssvaga bostadsområden öka jämlikheten i första linjens vård. Detta genom att testa, utveckla och identifiera effektiva arbetssätt och metoder vid sju primärvårdsverksamheter från fem landsting i Sverige.

    Mälardalens högskola, Akademin för hälsa, vård och välfärd, fick av SKL i uppdrag att svara för forskarstöd och att genomföra en utvärdering av de metoder och arbetssätt som utvecklades och testades i lärandeprojektet.

    Resultatet från den genomförda utvärderingen som belyser den genomförda processen, mål- och resultat samt hälsoekonomiska aspekter beskrivs närmare i denna rapport.

  • 8.
    Akhavan, Sharareh
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Aytar, Osman
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Bogg, Lennart
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Temaledare: Vård på lika villkor – Vad kan vi lära av Lärandeprojektet?2015In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 92, no 2, p. 103-106Article in journal (Other academic)
  • 9.
    Akhavan, Sharareh
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Karlsen, S.
    University College London.
    Practitioner and client explanations for disparities in health care use between migrant and non-migrant groups in Sweden: A qualitative study2013In: Journal of Immigrant and Minority Health, ISSN 1557-1912, E-ISSN 1557-1920, Vol. 15, no 1, p. 188-197Article in journal (Refereed)
    Abstract [en]

    To investigate variations in explanations given for disparities in health care use between migrant and non-migrant groups, by clients and care providers in Sweden. Qualitative evidence collected during in-depth interviews with five 'migrant' health service clients and five physicians. The interview data generated three categories which were perceived by respondents to produce ethnic differences in health service use: "Communication issues", "Cultural differences in approaches to medical consultations" and "Effects of perceptions of inequalities in care quality and discrimination". Explanations for disparities in health care use in Sweden can be categorized into those reflecting social/structural conditions and the presence/absence of power and those using cultural/behavioural explanations. The negative perceptions of 'migrant' clients held by some Swedish physicians place the onus for addressing their poor health with the clients themselves and risks perpetuating their health disadvantage. The power disparity between doctors and 'migrant' patients encourages a sense of powerlessness and mistreatment among patients.

  • 10.
    Akhavan, Sharareh
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Client/patient perceptions of achieving equity in primary health care: a mixed methods study2015In: International Journal for Equity in Health, ISSN 1475-9276, E-ISSN 1475-9276, Vol. 14, no 1, p. 1-12, article id 196Article in journal (Refereed)
    Abstract [en]

    Abstract Introduction: To provide health care on equal terms has become a challenge for the health system. As the front line in health services, primary care has a key role to play in developing equitable health care, responsive to the needs of different population groups. Reducing inequalities in care has been a central and recurring theme in Swedish health reforms. The aim of this study is to describe and assess client/patient experiences and perceptions of care in four primary health care units (PHCUs) involved in Sweden's national Care on Equal Terms project. Methods: Mixed Method Research (MMR) was chosen to describe and assess client/patient experiences and perceptions of health care with regard to equity. There was a focus group discussion, and individual interviews with 21 clients/patients and three representatives of patient associations. Data from the Swedish National Patient Survey (NPS), conducted in 2011 and followed up in 2013, were also used. Results: The interview data were divided into two main categories and three subcategories. The first category "Perception of equitable health care" had two subcategories, namely "Health care providers' perceptions" and "Fairness and participation". The second category "To achieve more equitable health care" had four subcategories: "Encounter", "Access", "Interpreters and bilingual/diverse health care providers" and "Time pressure and continuity". Results from the NPS showed that two of the PHCUs improved in some aspects of patient perceived quality of care (PPQC) while two were not so successful. Conclusions: Clients/patients perceived health care providers' perceptions of their ethnic origin and mental health status as important for equitable health care. Discriminatory perceptions may lead to those in need of care refraining from seeking it. More equitable care means longer consultations, better accessibility in terms of longer opening hours, and ways of communicating other than just via voice mail. It also involves continuity in care and access to an interpreter if needed. Employing bilingual/diverse kinds of health providers is a way of providing more equitable primary health care.

  • 11.
    Akhavan, Sharareh
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Aytar, Osman
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Bogg, Lennart
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Practice and Policy in Promoting Health and Equity –experiences from a national project in primary health care in Sweden2016Conference paper (Refereed)
    Abstract [en]

    Introduction: The Swedish Health Care Law requires the health system to provide good care on equal terms to all. However, several reports from different governmental agencies have revealed that health care is uneven in quality, lacking in accessibility, and not offered on equal terms to all people. Recent public health reports show that inequalities in health in the population have increased. To provide health care on equal terms has become a challenge for health care.

    In order to apply methods for developing practice and policy in promoting health and equity the Swedish Association of Local Authorities and Regions developed and implemented a national project entitled Care on Equal Terms. The project began in 2011 and was completed in 2014 at seven Primary Health Care Units (PHCUs) in five regions. The aim of this study was to evaluate the outcomes of this project.

    Methods: Based on a program theoretical approach an evaluation design was developed which included process, results and economical evaluation. In the data collection and analysis mixed methods were applied.

    Results: According to the process evaluation, seven different strategies were applied in the process to develop primary health care on equal terms. One of the key observations was that in order to achieve health on more equal terms, health care needs to be provided on unequal terms, i. e. more needs to be done to reach those who need more assistance to access health services. Health promotion was one of the applied strategies and it was the most common strategy at some of the health care centers with the aim of developing patients' knowledge, awareness and understanding about health, care and self-care. The results evaluation showed that the PHCUs staff identified structural and organizational factors in health care as important factors for developing health promotion and equity in access. The health economic evaluation showed that the costs for implementing the activities for an improved equity were limited. Yet the majority of the PHCUs thought that the detailed regulation of their financing and reporting requirements were a limitation in their work for improved equity. Four of five county councils have recently introduced a primary care provider payment system (ACG) which may not be supportive of efforts to improve equity in access.

    Conclusions: It is possible to develop and maintain practices that can contribute to more equitable care and increase health care personnel’s awareness about practice and policy in promoting health and equity.

  • 12.
    Alayed, Abdulrahman S.
    et al.
    Sophiahemmet Högskola, Sweden.
    Lööf, Helena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Sophiahemmet Högskola, Sweden.
    Johansson, Unn-Britt
    Sophiahemmet Högskola, Sweden.
    Saudi Arabian ICU safety and nurses' attitudes2014In: International Journal of Health Care Quality Assurance, ISSN 0952-6862, E-ISSN 1758-6542, Vol. 27, no 7, p. 581-593Article in journal (Refereed)
  • 13.
    Ali, Warsan
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Davidsson, Gisella
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Att leva med två kulturer: Upplevelser hos andra generationens invandrare2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Andra generationens invandrare slits enligt tidigare studier mellan två kulturella världar och ställs därav inför utmaningen att skapa en fungerande helhet mellan världarna. Syftet med studien var att undersöka vad upplevelsen av att tillhöra två kulturer kan betyda för självbilden hos andra generationens invandrare. Deltagarna var 10 kvinnor och fem män. Vi utgick ifrån ett hermeneutiskt perspektiv och intervjuerna transkriberades och tematiserades utifrån fokus på meningen. I resultatet redovisades tre huvudteman och 12 underteman. Resultatet för första huvudtemat visade att omgivningen har en inverkan på känslan av tillhörighet. För andra huvudtemat visade det sig att ha två kulturer bidrog med ett flertal faktorer som påverkade deltagarna. Sista huvudtemat visade att språket var en viktig del av självuppfattningen. Samtliga av dessa huvudteman kan tänkas ha påverkat självbilden både negativt och positivt. Resultatet visar bl.a. att omgivningen har en inverkan på självbilden och att deltagarna påverkades av hur de vill bli sedda.

  • 14.
    Almqvist, Anna-Lena
    et al.
    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.
    Making oneself heard: Children's experiences of empowerment in Swedish preschools2015In: Early Child Development and Care, ISSN 0300-4430, E-ISSN 1476-8275, Vol. 185, no 4, p. 580-595Article in journal (Refereed)
    Abstract [en]

    Children’s experiences of empowerment in relation to preschool peers and in child–adult interactions were studied, involving 25 four-to six-year-olds from four Swedish preschools. Group interviews using puppets comprised pre-constructed scenarios to examine preschools’ activities. Children took photos of indoor and outdoor preschool environments, followed by a photo-elicitation interview. Data were analysed by content analysis. Results showed that authority was expressed in relation to teachers and parents. Children negotiated about handling situations and described relations with teachers as uncomplicated; the contrary was the case with peers. Structure meant that children could choose between courses of action within set frames, describing empowerment as decision-making within limitations. Results indicated the importance of preschool teachers stimulating children to reflect on their own ability by discussing issues concerning children’s sense of empowerment, using methods similar to the ones in this study.

  • 15.
    Almqvist, Anna-Lena
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Dahlgren, Lars
    Umeå universitet, Sweden.
    Swedish fathers' motives for parental leave take-up in different scenarios2015In: Care Policies in Korea, Japan and Sweden, Paju(Gyungkido), South Korea: Yang Seo Won , 2015, 1, p. 215-242Chapter in book (Refereed)
  • 16.
    Almqvist, Anna-Lena
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Dahlgren, Lars
    Umeå University.
    Swedish fathers' motives for parental leave take-up in different scenarios2013In: Women, Men and Children in families: Private Troubles and Public Issues / [ed] Eriikka Oinonen, Katja Repo, Tampere: Tampere University Press , 2013, 1, p. 91-112Chapter in book (Refereed)
  • 17.
    Almqvist, Anna-Lena
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Dahlgren, Lars
    Sociologiska institutionen, Umeå universitet.
    Swedish fathers’ motives for parental leave take-up on different scenes.2013Manuscript (preprint) (Other academic)
  • 18.
    Almqvist, Anna-Lena
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Duvander, Ann-Zofie
    Stockholm University, Stockholm, Sweden.
    Changes in gender equality?: Swedish fathers’ parental leave,division of childcare and housework2014In: Journal of Family Studies, ISSN 1322-9400, Vol. 20, no 1, p. 19-27Article in journal (Refereed)
    Abstract [en]

    Sweden is well known for its family policy and this study explores whether fathers’ parental leave is related to later division of childcare and housework. Two materials were used; a panel survey (2003, 2009) and an interview study (2008). Respondents in the survey had their first child between the waves and the interview-study focused on parents of 2–3 year olds. The survey is analyzed by logistic regression and the interviews by grounded theory. The results indicate that when fathers took long leave parents shared both household tasks and childcare more equally after the leave. Higher expectations of sharing childcare is related to a higher share of divided childcare once becoming parents, although it seems that some tasks are more often shared than others. When the father took long leave both parents mention that the child relates to the father as much as the mother in everyday life.

  • 19.
    Almqvist, Anna-Lena
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Kaufman, Gayle
    Davidson College, North Carolina, US.
    Fathers, Work and Family in Sweden and the US2014Conference paper (Refereed)
    Abstract [en]

    This paper investigated Swedish and US fathers’ experiences of work-family conflict, possible solutions, and actual changes to their work situation in relation to becoming a parent. The Swedish data were drawn from interviews completed in 2008 with 16 fathers with a child born in 2005 or 2006. The US data came from interviews conducted between 2005 and 2007 with 26 fathers with at least one child age five or younger. The semi-structured interviews were analyzed according to grounded theory. In terms of conflicts, half of the Swedish fathers mention time pressures or stress, with some referring to work-life balance as a puzzle. Findings indicate that the US fathers think that they work too much overtime as well as shift hours, and they also mention arguments with their partner about responsibility at home. At the same time, a majority of both US and Swedish fathers emphasize family as a priority over work. In terms of possible solutions, a common theme among Swedish fathers is to mention that ideal work hours would be less than their current hours, with some wishing for a shorter work week (e.g., 4 days) and others a shorter work day (e.g., 6 hours). US fathers most commonly wish for a more flexible work-life situation. In terms of actual changes, several fathers adjust their work lives in response to their family life. Among Swedish fathers, the most common changes involve working fewer hours, adjusting their start and end times, and taking advantage of flexible hours. Swedish fathers also emphasize trading off with their partners, including ‘shift parenting.’ As for US fathers, some have changed their job to be more at home, some changed from working three shifts and some fathers solved the situation by intense work during a limited time.

  • 20.
    Almqvist, Anna-Lena
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Kaufman, Gayle
    Davidson College, North Carolina, USA.
    What  Work-Family Conflicts Do Fathers Experience in Sweden and in the United States?2016In: Balancing Work and Family in a Changing Society: The Fathers' Perspective / [ed] Isabella Crespi, Elisabetta Ruspini, Basingstoke: Palgrave Macmillan, 2016, 1, p. 176-189Chapter in book (Refereed)
    Abstract [en]

    This chapter investigated Swedish and US fathers’ experiences of work-family conflict, possible solutions, and actual changes to their work situation in relation to becoming a parent. The Swedish data were drawn from interviews completed in 2008 with 16 fathers with a child born in 2005 or 2006. The US data came from interviews conducted between 2005 and 2007 with 26 fathers with at least one child age five or younger. The Swedish semi-structured interviews were analyzed according to grounded theory. In terms of conflicts, half of the Swedish fathers mention time pressures or stress, with some referring to work-life balance as a puzzle. Findings indicate that the US fathers think that they work too much overtime as well as shift hours, and they also mention arguments with their partner about responsibility at home. At the same time, a majority of both US and Swedish fathers emphasize family as a priority over work. In terms of possible solutions, a common theme among Swedish fathers is to mention that ideal work hours would be less than their current hours, with some wishing for a shorter work week (e.g., 4 days) and others a shorter work day (e.g., 6 hours). US fathers most commonly wish for a more flexible work-life situation. In terms of actual changes, several fathers adjust their work lives in response to their family life. Among Swedish fathers, the most common changes involve working fewer hours, adjusting their start and end times, and taking advantage of flexible hours. Swedish fathers also emphasize trading off with their partners, including ‘shift parenting.’ As for US fathers, some have changed their job to be more at home, some changed from working three shifts and some fathers solved the situation by intense work during a limited time.

  • 21.
    Almqvist, Lena
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Sjöman, Madeleine
    Jönköping university, Sweden.
    Golsäter, Marie
    Jönköping university, Sweden.
    Granlund, Mats
    Jönköping university, Sweden.
    Children's behavior problems as a predictor of staff implemented intervention in preschool and engagement outcomes.2014Conference paper (Refereed)
  • 22.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Aloneness and loneliness in later life, reflections from a longitudinal Japanese case study: 2016Conference paper (Other academic)
  • 23.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    ”KÖP –projektet”: Kunskapsöversikt för praktiker, BEST PRACTICE Äldreomsorg2017Conference paper (Other academic)
  • 24.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Loss and grief in global social work: Autoethnographic explorations of the case of the Tsunami catastrophe in Northeastern Japan, March 11, 20112017In: Social Work in a Glocalised World, Taylor and Francis Inc. , 2017, p. 119-136Chapter in book (Other academic)
  • 25.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    RECENSION av boken: Jason Danely (2014). Aging and Loss: Mourning and Maturity in Contemporary Japan.New Brunswick, NJ: Rutgers University Press,246 pp. ISBN 978 0 8135 6516 3 (paperback)2016In: International Journal of Ageing and Later Life, ISSN 1652-8670, E-ISSN 1652-8670, Vol. 10, no 2, p. 103-107Article, book review (Other academic)
  • 26.
    Anbäcken, Els-Marie
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Antelius, Eleonor
    Linköpings Universitet, Sweden.
    Ichinose, Akiko
    Kwansei Gakuin University, JAPAN.
    Minemoto, Kayoko
    Koshien Junior College, Nishinomiya, Japan.
    Fujii, Miwa
    Kwansei Gakuin University, JAPAN.
    HOW IS PALLIATIVE CARE FOR OLDER PERSONS WITH DEMENTIA PRESENTED IN POLICY DOCUMENTS AND RESEARCH PUBLICATIONS IN JAPAN AND SWEDEN2015Conference paper (Other academic)
  • 27.
    Anbäcken, Els-Marie
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Gustafsson, Lena-Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Elfström, Magnus
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Zander, Viktoria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    A holistic way ofworking interprofessionally in home care with and for older people2016Conference paper (Refereed)
  • 28.
    Anbäcken, Els-Marie
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Linköpings universitet, Socialt arbete.
    Hashimoto, Masaaki
    Inagaki, Mikako
    Yamamoto, Etsuko
    Hellström, Linda
    Nilsson, Karin
    Voices from inside. A study of nursing home residents´ views of life, ageing and care in Japan and Sweden2008In: Older people in an international local context: The cases of Japan and Sweden / [ed] Els-Marie Anbäcken & Yasuhito Kinoshita, Stockholm: Dreamforce , 2008, 1, p. 165-213Chapter in book (Other academic)
  • 29.
    Anbäcken, Els-Marie
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Ichinose, Akiko
    Kwansei Gakuin University, JAPAN.
    Do definitions matter? Reflections from an ongoing study on end of life care for older persons with dementia in Japan and Sweden.2016Conference paper (Other academic)
  • 30.
    Anbäcken, Els-Marie
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Minemoto, Kayoko
    Koshien Junior College, Nishinomiya JAPAN.
    Fujii, Miwa
    Kwansei Gakuin University, Nishinomiya, JAPAN.
    Expressions of Identity and Self in Daily Life at a Group Home for Older Persons With Dementia in Japan2015In: Care Management Journals, ISSN 1521-0987, Vol. 16, no 2, p. 64-78Article in journal (Refereed)
    Abstract [en]

    This study focuses on expressions of identity and self among residents at a group home for older persons with dementia in Japan—a study, which started as an explorative study on spirituality—and how residents make meaning of life. Although aware of stages of dementia illness and briefly commenting on these, the analysis does not make any specific point of it. This article views dementia from a sociocultural perspective and is based on participant observations at a group home with 19 residents, combined with interviews with 6 of them. Two central concepts for the study are discussed and drawn on in the analysis: ie, meaning home and family, and dementia and boke, senility. The study examines how the group home is ie and concludes that it is “home enough” in the sense that one’s identity and self are honored here. The old word boke represents a state in which one has “given up” any attempts to keep one’s mental health. This concept was used by some residents to mark the line between those who were “helpless” with boke and those who could manage by themselves without boke. Identities are analyzed in different terms: as profession, as feeling secure, as being physically close, in social interactions, and as being cared for properly also after death. The analysis of self and identity showed that contentment in life was expressed in various ways, as a whole or as a patchwork with light and dark colors, and that it is still in process. Here, the supportive but discreet scaffolding of staff seems to matter. Life is lived until death, and the farewell ceremonies are analyzed as existential closures for many—and for life finalized here at Ie, the group home.

  • 31.
    Anbäcken, Els-Marie
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Sand, Ann-Britt
    Stockholms Universitet, Sweden.
    Japan and Sweden with different types of welfare regimes but a similar elderly care development?  Family care from a gender perspective2015In: Care Policies in Korea, Japan and Sweden, Paju(Gyungkido), South Korea: Yang Seo Won , 2015Chapter in book (Other academic)
  • 32.
    Andersson, Anna Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Everyday functioning in six year-old children born preterm: From a child perspective towards the child's perspective2017Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The overall aim of the thesis was to explore everyday functioning in six year-old children born preterm, from the children’s perspectives and from their parents’ perspectives. The relation between everyday functioning and neonatal risk factors, behavioural characteristics was studied with descriptive and correlational statistics, ANOVA and multiple linear regression (I). Patterns of everyday functioning were explored in a cluster analysis following a person-oriented approach (II). In a mixed method approach, the children’s and their parents’ perceptions on children’s competence in everyday activities were explored with a pictorial instrument and analysed with descriptive statistics and qualitative content analysis (III). The children’s perceptions of meaningful everyday life situations were explored in a photo voice study, analysed with qualitative content analysis. In total, 144 children born preterm and 222 children born at term and their parents were involved.

    The results indicated that from the parents’ perspective most children born preterm and full-term were perceived with strong everyday functioning featuring strong motor, process and communication skills, a positive interaction pattern and low levels of behaviour problems. As a group, the children born very preterm were perceived weaker in their everyday functioning than the full-term group but the pattern of performance skills, interaction and behaviour varied similar to that of children born full-term. Further, it was found that preterm birth was not the main predictor, instead hyperactivity had most influence on everyday functioning. Moreover, the children born preterm perceived themselves to be overall strong performers of everyday activities. They wanted to be active and do things and for that they wanted to have skills and significant others i.e. siblings, parents, friends and pets to interact with and to feel safe and loved. Further, the children born preterm expressed a will to develop, improve and gain new skills and to have more opportunities to do meaningful things.

    In conclusion, the results in this thesis indicate that young children born preterm are able to reflect on their everyday functioning, and express needs and desires for their participation in meaningful everyday life situations. Moreover, preterm birth is not the sole predictor of everyday functioning more critical is the interaction of individual, behavioural and contextual factors.     

  • 33.
    Andersson, Anna Karin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Almqvist, Lena
    Mälardalen University, School of Health, Care and Social Welfare.
    Strand Brodd, Katarina
    Martin, Lene
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Born too soon: a project about everyday functioning, health and welfare2014Conference paper (Refereed)
  • 34.
    Andersson, Anna Karin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Martin, Lene
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Strand Brodd, K.
    Uppsala University, Sweden.
    Almqvist, Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Patterns of everyday functioning in preschool children born preterm and at term2017In: Research in Developmental Disabilities, ISSN 0891-4222, E-ISSN 1873-3379, Vol. 67, p. 82-93Article in journal (Refereed)
    Abstract [en]

    Background/Aim Children born preterm are at risk of neonatal complications but the long-term consequences for everyday functioning is not well known. The study aimed to identify patterns of everyday functioning in preschool children born preterm and at term in relation to perinatal data, neonatal risk factors, behaviour, and socioeconomic status. Registry data and data from parent rated questionnaires were collected for 331 children. Method A person-oriented approach with a cluster analysis was used. Results A seven cluster solution explained 65.91% of the variance. Most children (n = 232) showed patterns of strong everyday functioning. A minority of the children (n = 99), showed diverse patterns of weak everyday functioning. Perinatal characteristics, neonatal risk factors and socio-economics did not predict cluster group membership. Children born preterm were represented in all clusters. Conclusion, implications Most preschool children are perceived by their parents with strong everyday functioning despite being born preterm. However small groups of children are, for various reasons, perceived with weak functioning, but preterm birth is not the sole contributor to patterns of weak everyday functioning. More critical for all children's everyday functioning is probably the interaction between individual factors, behavioural factors and contextual factors. To gain a broader understanding of children's everyday functioning. Child Health Services need to systematically consider aspects of body function, activity and in addition participation and environmental aspects.

  • 35.
    Andersson, Anna Karin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Martin, Lene
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Strand Brodd, K.
    Uppsala University, Sweden.
    Almqvist, Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Predictors for everyday functioning in preschool children born preterm and at term2016In: Early Human Development, ISSN 0378-3782, E-ISSN 1872-6232, Vol. 103, p. 147-153Article in journal (Refereed)
  • 36.
    Andersson, Anna Karin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Martin, Lene
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Strand Brodd, Katarina
    Almqvist, Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Childrens and parents percpetions of everyday functioning in preschool children born preterm2017Conference paper (Refereed)
  • 37.
    Andersson, Ann-Katrin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Sköld, Peter
    Mälardalen University, School of Health, Care and Social Welfare.
    "Personalen måste hjälpa mig att resa mig upp": Erfarenheter av hälsofrämjande motivationsarbete inom rättspsykiatrisk vård2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Tidigare forskning har visat att patienter inom rättspsykiatrisk slutenvård lider av övervikt och svår fetma i högre grad än någonsin tidigare. Betydelsen av en positiv förstärkning från vårdpersonalen är viktig för att patienterna ska orka fullfölja sina livsstilförändringar. Syftet med studien är att beskriva sjuksköterskors och patienters erfarenheter av hälsofrämjande motivationsarbete inom rättspsykiatrisk vård. Studien har en kvalitativ ansats där författarna har använt semistrukturerade intervjufrågor. Författarna har intervjuat fem sjuksköterskor och fem patienter. Intervjuerna har bearbetats utifrån en kvalitativ innehållsanalys. I resultatet framkommer att sjuksköterskor erfar att det är svårt med motivationsarbetet då vården styrs av regler och struktur, men att även strukturen ligger till grund för motivationsarbetet. Sjuksköterskornas erfarenheter är att det gör skillnad i det hälsofrämjande motivationsarbetet när de har en relation med patienterna. Deras erfarenhet är även att de har sig själva som verktyg vilket speglar av sig till patienterna. Patienterna erfar att vårdens struktur är byråkratisk, vilket bidrar till bristande motivation i det hälsofrämjande arbetet. Engagerad vårdpersonal och positiva förebilder bidrar till en mer inspirerande motivationskultur på vårdavdelningar men negativa erfarenheter av personalens engagemang hämmar motivationen. Slutsatsen är att det blir skillnad i det hälsofrämjande motivationsarbetet när sjuksköterskor och patienter har en relation och arbetar mot gemensamma mål.

    Nyckelord: hälsofrämjande arbete, kvalitativ innehållsanalys, motivation, rättspsykiatriska patienter, sjuksköterskor inom rättspsykiatrisk vård.

  • 38.
    Andersson, Henrik
    et al.
    University of Borås, Sweden.
    Ullgren, Andreas
    University of Borås, Sweden.
    Holmberg, Mats
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. University of Borås, Sweden.
    Karlsson, Thomas
    University of Gothenburg, Gothenburg, Sweden.
    Herlitz, Johan
    University of Borås, Sweden.
    Wireklint Sundström, Birgitta
    University of Borås, Sweden.
    Acute coronary syndrome in relation to the occurrence of associated symptoms: A quantitative study in prehospital emergency care.2017In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 33, p. 43-47Article in journal (Refereed)
    Abstract [en]

    INTRODUCTION: Acute chest pain is a common symptom among prehospital emergency care patients. Therefore, it is crucial that ambulance nurses (ANs) have the ability to identify symptoms and assess patients suffering from acute coronary syndrome (ACS). The aim of this study is to explore the occurrence of dyspnoea and nausea and/or vomiting in the prehospital phase of a suspected ACS and the associations with patients' outcome.

    METHODS: This study has a quantitative design based on data from hospital records and from a previous interventional study (randomised controlled trial) including five Emergency Medical Service (EMS) systems in western Sweden in the years 2008-2010.

    RESULTS: In all, 1836 patients were included in the interventional study. Dyspnoea was reported in 38% and nausea and/or vomiting in 26% of patients. The risk of death within one year increased with the presence of dyspnoea. The presence of nausea and/or vomiting increased the likelihood of a final diagnosis of acute myocardial infarction (AMI).

    CONCLUSION: This study shows that dyspnoea, nausea and/or vomiting increase the risk of death and serious diagnosis among ACS patients. This means that dyspnoea, nausea and/or vomiting should influence the ANs' assessment and that special education in cardiovascular nursing is required.

  • 39.
    Andersson, Kin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Predictors of re-employment: A question of attitude, behavior, or gender?2015In: Scandinavian Journal of Psychology, ISSN 0036-5564, E-ISSN 1467-9450, Vol. 56, no 4, p. 438-446Article in journal (Refereed)
    Abstract [en]

    This longitudinal study examined the predictive value of attitudes, personal-related variables, job search behaviour, and demographic variables on re-employment among 142 assembly workers who had been made redundant. Participants completed a questionnaire within a week after leaving their jobs, and another 15 months later. Results of hierarchical logistic regression revealed that gender (being male), was the strongest predictor of re-employment. Willingness to relocate and desire to change occupation also increased the odds of re-employment 15 months after dismissal. On the other hand - having children at home and anonymous-passive job-search behaviour, which is more prevalent among women, decreased the odds for re-employment. The study is contributing to research by revealing gender differences in job search behaviour and the importance of focusing qualitative differences instead of merely quantitative measures in job-search behaviour. And even more important, despite attitude and job-search behaviour, there is still differences that seems to be related to gender and family responsibility.

  • 40.
    Andersson, Lena
    et al.
    Uppsala University.
    Eriksson, Henrik
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Nordgren, Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Differences between heart failure clinics and primary health care regarding information and follow-up2013In: British Journal of Community Nursing, ISSN 1462-4753, E-ISSN 2052-2215, Vol. 18, no 6, p. 288-292Article in journal (Refereed)
    Abstract [en]

    There is a paucity of knowledge concerning how people with heart failure experience differences between specialised heart failure clinics and primary healthcare in Sweden. This study aimed to describe differences regarding information and followup in heart failure clinics and primary healthcare. The study was conducted in Sweden in 2011. Four people (three men, one woman; aged 60 to 84) with heart failure (NYHA II) were interviewed. The interviews were analysed with qualitative content analysis. The findings revealed after referral from the heart failure clinic to primary healthcare, follow-ups were omitted. Still, the patients needed care, support and information. The findings are illuminated in four themes. The patients' varying and individual needs can be difficult to recognise and manage unless they are followed-up from either HFC or PHC on a regular basis.

  • 41.
    Andersson, Linn
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    "Var drar man gränsen för solidaritet?": En studie om kommunens och ideella organisationers insatser för tiggande EU-medborgare.2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    EU-citizens who are coming to Sweden to beg is a current topic. The purpose of the study was to investigate the actions offered by the municipality and non-profit organizations to help these people. A qualitative approach was chosen and altogether five interviews were carried out, three with municipal representatives and two with different non-profit organizations. The result showed that there is a number of different actions and many of these are based on collaboration with the two parties. All informants were of the opinion that the implementation worked well but that there were clear limitations. The limitations included lack of knowledge about the current group and language difficulties. The results also showed that the most common merits was that the vulnerable EU-citizens were treated as people and that they got food and a roof over their heads. The results were analysed by previous research, Maslow's hierarchy of needs and Antonovsky’s sense of coherence. One of the study’s conclusions was that further knowledge about vulnerable EU-citizens who begs is necessary.

  • 42.
    Andersson, Marita
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Utvärdering av multimodal rehabilitering för patienter med långvarig smärta: En jämförande behandlingsstudie i primärvård2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Långvarig smärta är ett vanligt förekommande problem och bidrar till lidande för den det drabbar, samt för med sig stora kostnader för samhället. Multimodal rehabilitering (MMR) sker i team utifrån ett biopsykosocialt synsätt och är en lämplig rehabiliteringsform för personer med långvarig smärta. Detta betyder att förutom fysiologiska aspekter omfattar behandlingen kognitiva, psykologiska, beteendemässiga och arbetsrelaterade komponenter.

    Syfte: Att utvärdera effekten av MMR för patienter med långvarig smärta inom primärvård avseende upplevd aktivitetsbegränsning, self-efficacy, samt sömnkvalitet.

    Metod: Studien hade en jämförande kvasiexperimentell design. Redan insamlad data via självskattningsformulär från 50 patienter analyserades efter MMR jämfört med före. De mätinstrument som användes var Pain Disability Index, Self-efficacy Scale samt två frågor om sömn.

    Resultat: Patienternas upplevda aktivitetsbegränsning minskade signifikant efter rehabiliteringen och self-efficacy ökade signifikant. Inga skillnader i sömnen kunde ses efter MMR jämfört med före.

    Slutsats: MMR i denna form förbättrade patienternas upplevda aktivitetsbegränsning och ökade self-efficacy, men avseende sömnkvalitet framkom ingen skillnad. För att bättre kunna möta och behandla sömnproblem hos smärtpatienter föreslås förbättringar i innehållet i MMR angående de behandlingsmodaliteter som erbjuds.

  • 43.
    Angantyr, Malin
    et al.
    Mälardalen University.
    Hansen, Eric M.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Eklund, Jakob
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Malm, K.
    Skara, Sweden.
    Reducing Sex Differences in Children’s Empathy for Animals Through a Training Intervention2016In: Journal of Research in Childhood Education, ISSN 0256-8543, E-ISSN 2150-2641, Vol. 30, no 3, p. 273-281Article in journal (Refereed)
    Abstract [en]

    ABSTRACT: Humane education programs designed to increase children’s empathy for animals are becoming more common. A quasi-experiment tested the effectiveness of one such program by comparing 80 children who had completed the program with a control group of 57 children who had not. The children read a story involving an injured dog and rated the degree of empathic concern they felt for him. The results showed that girls tended to express more empathy for a dog than did boys, but this difference was not significant for children who underwent an animal empathy training program. This suggests that humane education programs can reduce sex differences by increasing boys’ empathy. 

  • 44.
    Aparicio, Ciro
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Aytar, Osman
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Jonsson, Bosse
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Moberg, Johan
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Nordh, Lillemor
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Studenter som kunskapsbärare: En förstudie om studenter som kunskapsbärare mellan verksamhetsförlagd och högskoleförlagd utbildning i Fysioterapeutprogrammet, Sjuksköterskeprogrammet och Socionomprogrammet2015Report (Other (popular science, discussion, etc.))
  • 45.
    Arkkukangas, Marina
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Evaluation of the Otago Exercise Programme with or without motivational interviewing: Feasibility, experiences, effects and adherence among older community-dwelling people2017Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Falls and injuries related to falls are one of the most common health problems among older people and are becoming increasingly more frequent. Regular exercise has been identified as one of the most effective fall-prevention activities for older people; however, awareness of the impact of exercise programmes and adherence to recommended exercise among the elderly population is generally low. Research examining how an exercise programme is administered to and experienced by elderly community-dwelling people is needed.

    The overall aim of this thesis was to investigate the feasibility, experiences and effects of and adherence to the fall-preventive Otago Exercise Programme (OEP) with or without motivational interviewing (MI) among community-dwelling people aged 75 years or older.

    Four studies were performed from October 2012 to May 2016 in a sample of 175 people. Both quantitative and qualitative research methods were used. The methods included the feasibility for conducting a randomized controlled trial (RCT) (I), individual face-to-face interviews (II), an RCT (III) and a prospective cohort study (IV). The intervention was given to two groups. The participants who received OEP with or without MI were compared with a control group that received standard care.

    The feasibility of performing an exercise intervention with or without MI was acceptable from the perspective of the participating physiotherapists. From the perspective of the older participants performing the exercise with behavioural change support, the inclusion of monitored exercises in everyday life and daily routines was important. The participants also expressed experiencing more strength, improved physical functioning and greater hope for an extended active life during old age.

    From the short-term perspective, there were significant improvements within the OEP combined with MI group in terms of physical performance, fall self-efficacy, activity level, and handgrip strength. Improved physical performance and fall self-efficacy were also found within the control group; however, corresponding differences did not occur in the OEP group without MI. There were no significant differences between the study groups after 12 weeks of regular exercise. Adherence to the exercises in the pooled exercise group was 81% at the 12-week follow-up.

    At the 52-week follow-up, the behavioural factors being physically active and obtaining behavioural support in terms of MI had a significant association with adherence to the exercise programme.

    These studies provide some support for the combination of OEP with MI as the addition of MI was valuable for achieving adherence to the exercise programme over time in older community-dwelling people.

     

  • 46.
    Arkkukangas, Marina
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Johnson, S. T.
    Uppsala University, Uppsala, Sweden.
    Hellström, K.
    Uppsala University, Uppsala, Sweden.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Eriksson, S.
    Centre for Clinical Research Sörmland, Sweden.
    Johansson, Ann-Christin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    A feasibility study of a randomised controlled trial comparing fall prevention using exercise with or without the support of motivational interviewing2015In: Preventive Medicine Reports, ISSN 2211-3355, Vol. 2, p. 134-140Article in journal (Refereed)
    Abstract [en]

    Objective: The aim of this investigation was to study the feasibility of a randomised controlled trial (RCT) based on a multicentre fall prevention intervention including exercise with or without motivational interviewing compared to standard care in community-living people 75. years and older. Method: The feasibility of a three-armed, randomised controlled trial was evaluated according to the following: process, resources, management by questionnaire, and treatment outcomes. The outcome measures were fall frequency, physical performance and falls self-efficacy evaluated after three months. Twelve physiotherapists conducted the measurements and treatments and responded to the questionnaire. The first 45 participants recruited to the ongoing RCT were included: 16 individuals in the Otago Exercise Program group (OEP), 16 individuals in the OEP combined with motivational interviewing group (MI), and 13 individuals in the control group. The study was conducted from November 2012 to December 2013. Results: The feasibility of the study process, resources and management reached the set goals in most aspects; however, the set goal regarding the MI guide and planned exercise for the participating older people was not completely reached. No significant differences were found between the groups regarding the outcome measures. Conclusion: This study confirmed the acceptable feasibility for the study protocol in the ongoing RCT.

  • 47.
    Arkkukangas, Marina
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Sundler, Annelie Johansson
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Univ Boras, Fac Caring Sci Work Life & Social Welf, Boras, Sweden..
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Eriksson, Staffan
    Uppsala Univ, Ctr Clin Res Sormland, Eskilstuna, Sweden.;Umea Univ, Dept Community Med & Rehabil, Physiotherapy, Umea, Sweden.;Uppsala Univ, Dept Neurosci, Physiotherapy, Uppsala, Sweden..
    Johansson, Ann-Christin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Older persons' experiences of a home-based exercise program with behavioral change support2017In: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 33, no 12, p. 905-913Article in journal (Refereed)
    Abstract [en]

    Background: It is a challenge to promote exercise among older persons. Knowledge is needed regarding the maintenance of exercise aiming at preventing falls and promoting health and well-being in older persons. Purpose: This descriptive study used a qualitative inductive approach to describe older persons' experiences of a fall-preventive, home-based exercise program with support for behavioral change. Methods: Semi-structured interviews were conducted with 12 elderly persons aged 75years or older, and a qualitative content analysis was performed. Results: Four categories emerged: facilitators of performing exercise in everyday life, the importance of support, perceived gains from exercise, and the existential aspects of exercise. Conclusion: With support from physiotherapists (PTs), home-based exercise can be adapted to individual circumstances in a meaningful way. Including exercises in everyday life and daily routines could support the experience of being stronger, result in better physical functioning, and give hope for an extended active life in old age.

  • 48.
    Arkkukangas, Marina
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Sundler, Annelie
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Eriksson, Staffan
    Johansson, Ann Christin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Older persons’ experiences of a home-based exercise programme with behavioural change support2017In: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 33, no 12, p. 905-913Article in journal (Refereed)
    Abstract [en]

    Background: It is a challenge to promote exercise among older persons. Knowledge is needed regarding the maintenance of exercise aiming at preventing falls and promoting health and wellbeing in older persons.

    Purpose: This descriptive study used a qualitative inductive approach to describe older persons’ experiences of a fall-preventive, home-based exercise programme with support for behavioural change.

    Methods: Semi-structured interviews were conducted with twelve older persons aged 75 years or older, and a qualitative content analysis was performed.

    Results: Four categories emerged: facilitators of performing exercise in everyday life, the importance of support, perceived gains from exercise, and the existential aspects of exercise.

    Conclusion: With support from physiotherapists, home-based exercise can be adapted to individual circumstances in a meaningful way. By including exercises in everyday life and daily routines could support the experience of being stronger, result in better physical functioning and give hope for an extended active life in old age.

  • 49.
    Arkkukangas, Marina
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Eriksson, Staffan
    Uppsala University, Sweden.
    Johansson, Ann-Christin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Centrum för klinisk forskning LTV.
    Fall Preventive Exercise with or without behavior change support for community-dwelling older adults: A Randomized Controlled Trial With Short-Term Follow-up.In: Journal of Geriatric Physical Therapy, ISSN 1539-8412, E-ISSN 2152-0895Article in journal (Refereed)
  • 50.
    Arkkukangas, Marina
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Eriksson, Staffan
    Johansson, Ann-Christin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    One- year adherence to the Otago Exercise Programme with or without motivational interviewing in older peopleManuscript (preprint) (Other academic)
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