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  • 1.
    Anbäcken, Els-Marie
    et al.
    Mälardalen University, School of Health, Care and Social 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)
  • 2.
    Elfström, Magnus
    et al.
    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.
    Anbäcken, Els-Marie
    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.
    Gustafsson, Lena-Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Reablement for older persons by an interprofessional home rehabilitation team: An ongoing RCT2018Conference paper (Other academic)
    Abstract [en]

    The aim is to evaluate the effects of intensive home rehabilitation regarding multidimensional health perceptions and other quality of life domains, physical ability and capacity among older people (65+). The design is a randomized controlled study of a reablement intervention with controls receiving traditional home care. The intervention is goal- and user oriented, home-based, time limited (3 months), and organized by an interprofessional team consisting of the professions nurse, enrolled nurses, physiotherapists, social worker, and occupational therapists. The effects of the intervention are measured by self-reported health and quality of life (EQ-5D-5L, HACT) including psychological well-being (GP-CORE), physical capacity (SPPB, hand dynamometer test), activity performance (COPM), and home care hours needed. Data are collected at inclusion (T1; applying for home care), after the three months intervention (T2), and at six months (T3). Primary outcome analyses will be performed according to intention to treat; 2 x 3 mixed design (group x time) ANCOVA with each dependent variable at T1 as covariate. Based on a medium effect size in favour of the intervention in the pilot study, and a dropout of 20%, the power calculation indicated that 240 persons should be included. The project will contribute with evidence of the effects of interprofessional home rehabilitation for reablement, and consequences for older persons’ bio-psycho-social health. The project is ongoing with more than 120 persons included. The intervention may result in reduced costs for care, but especially individual gains in relation to reduced care needs, maintained independence and good health.

  • 3.
    Gustafsson, Lena-Karin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare.
    Zander, Viktoria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Elfström, Magnus L.
    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.
    Working with short-term goal-directed reablement with older adults: strengthened by a collaborative approach2019In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 39, no 4, p. 178-185Article in journal (Refereed)
    Abstract [en]

    The increased number of older adults who experience longevity requires increased investment in healthcare services. Short-term goal-directed reablement is expected to strengthen the functional capacity and quality of life of older adults, while homecare hours, and thus municipal expenditures, decrease. Facilitation of successful interprofessional collaboration includes not only enhancing coordination structurally, but also establishing a commitment regarding culture that overcomes professionally differentiated attitudes. Nurses have an obvious role in these multi-professional teams and the study explores some aspects' of working in this type of collaboration. The aim was to illuminate the meaning of working with short-term goal-directed reablement of older adults as experienced by an interprofessional team. Data were collected after an intervention with goal-directed time-limited reablement of older people. Written narratives from an interprofessional team were analyzed using a phenomenological-hermeneutic approach. Findings identified four major thematic structures that characterized the meaning: 1) Reliable relationship; including the aspects ‘Confidence between the older adult and staff’, ‘A sense of security’ and ‘Continuity’, 2) Empowered participation, including the following aspects: ‘Listen to the older adult’s desires’ and ‘Put the person in control’, 3) Team with a negotiated approach, including the aspects: ‘Closeness’, ‘Same direction and overarching goal’, ‘Learning from interprofessional dialogue’, 4) Time for growth with the aspects ‘Creating harmony’ and ‘Building the older adult’s self-confidence’. The process of reablement seemed strengthened by the collaborative approach of different professions and their combined efforts. The present study argues that teamwork gives confidence both in terms of general knowledge of reablement but also specific confidence in one’s profession.

  • 4.
    Gustafsson, Lena-Karin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare.
    Elfström, Magnus L.
    Zander, Viktoria
    Anbäcken, Els-Marie
    ´Best fit´ caring skills of an interprofessional caring team in short-term goal directed re-ablement: older adults´ perceptions2019In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 33, p. 498-506Article in journal (Refereed)
  • 5.
    Gustafsson, Lena-Karin
    et al.
    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.
    Zander, Viktoria
    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.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    ‘Best fit’ caring skills of an interprofessional team inshort-term goal-directed reablement: older adults’perceptions2019In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 33, no 2, p. 498-506Article in journal (Refereed)
  • 6.
    Zander, Viktoria
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Karolinska Institutet, Sweden.
    Eriksson, Henrik
    Röda korsets högskola, Sweden.
    Christensson, Kyllike
    Karolinska Institutet, Sweden.
    Müllersdorf, Maria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Development of an Interview Guide Identifying the Rehabilitation Needs of Women from the Middle East Living with Chronic Pain2015In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 12, no 10, p. 12043-12056Article in journal (Refereed)
    Abstract [en]

    The purpose of this study was to develop an interview guide for use by primaryhealthcare professionals to support them in identifying the rehabilitation needs of forcedresettled women from the Middle East living with chronic pain. Previous findings togetherwith the existing literature were used as the basis for developing the interview guide in threesteps: item generation, cognitive interviews, and a pilot study. The study resulted in a16-item interview guide focusing on patients’ concerns and expectations, with considerationof pre-migration, migration, and post-migration factors that might affect their health. Withthe help of the guide, patients were also invited to identify difficulties in their daily activitiesand to take part in setting goals and planning their rehabilitation. The current interview guideprovides professional guidance to caretakers, taking a person-centered participative point ofdeparture when meeting and planning care, for and together, with representatives from dispersed ethnic populations in Sweden. It can be used together with the patient by all staffmembers working in primary healthcare, with the aim of contributing to continuity of careand multi-professional collaboration.

  • 7.
    Zander, Viktoria
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Karolinska Institutet.
    Eriksson, Henrik
    Röda korsets högskola.
    Christensson, Kyllike
    Karolinska Institutet.
    Müllersdorf, Maria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Rehabilitation of Women From the Middle East Living With ChronicPain: Perceptions From Health Care Professionals2014In: Health Care for Women International, ISSN 0739-9332, E-ISSN 1096-4665, p. 1194-1207Article in journal (Refereed)
    Abstract [en]

    Meeting patients from other countries constitutes a challenge forhealth care. The purpose of this study was to increase knowledgeabout tacit understandings of treatment in practice by determiningthe perceptions of chronic pain and rehabilitation directed toresettled women from the Middle East, from a variety of health careprofessionals within primary care. Based on the results, we find aneed to support and increase knowledge among health care professionalsto involve the patient and consider her beliefs, expectations,background, current life situation, and spirituality, and to involvefamily in rehabilitation.

  • 8.
    Zander, Viktoria
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Johansson-Pajala, Rose-Marie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Gustafsson, Christine
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Methods to evaluate perspectives of safety, independence, activity, and participation in older persons using welfare technology. A systematic review2019In: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115Article in journal (Refereed)
    Abstract [en]

    Purpose: To conduct a systematic review of existing methods to evaluate the individual aspects of welfare technology from the perspectives of independence, safety, activity, and participation. Furthermore, the study aimed to describe outcomes that have been the focus of previous research to evaluate individual aspects of welfare technology in older persons living in ordinary housing. Materials and methods: A systematic literature review in PubMed, CINAHL Plus, PsycINFO, Scopus, and Web of Science. Studies selected were those that explored the use of assistive and welfare technology devices from older persons’ perspectives, and which considered the concepts of independence, safety, activity and participation, and quality of life. Results: A broad spectrum of instruments was applied in the studies. For independence, three questionnaires were used in the identified studies. For safety, one instrument was used in two versions. To study activity and participation as well as quality of life, several scales were used. Additionally, several studies included qualitative approaches for evaluation, such as interviews, or posed one or more questions regarding the effects of welfare technology. Conclusions: The integration of digital assistive and welfare technology should be based on the needs of older persons, and those needs must be assessed using reliable and relevant instruments. The heterogeneity of the target group, i.e., older persons, together with the fact that assessments must give consideration to identifying goals, obstacles, and risks as well as users’ preferences, implies a person-centred approach.

  • 9.
    Zander, Viktoria
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Karolinska Institutet, Sweden.
    Müllersdorf, Maria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Christensson, Kyllike
    Karolinska Institutet, Sweden.
    Eriksson, Henrik
    Röda korsets högskola, Sweden.
    Struggling for sense of control - everyday life with chronic pain for women of the Iraqi diaspora in Sweden.2013In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 41, p. 799-807Article in journal (Refereed)
    Abstract [en]

    Background: As dispersed ethnic populations in Swedish society expand, the healthcare system need to adapt rehabilitationservices according to their needs. The experiences of trauma and forced resettlement have a continuing impact on healthand musculoskeletal pain, as well as the intersecting structures that prerequisite the possibilities in the new country. Tounderstand the specific needs of women from the Iraqi diaspora in Sweden, there is a need to elucidate the effects of painon their everyday life. Aims: To elucidate everyday life with chronic pain from the perspective of women from the Iraqidiaspora in Sweden. Methods: Qualitative interview study according to Glaser’s grounded theory. Results: The results from11 interviews suggest that pain was associated with dependency on society as well as on family. It resulted in a strugglefor sense of control, framed by faith in God, influenced by the healthcare system, and with support from family. Thewomen’s testimony of lack of continuity of care, resulting in recollection of lived traumas in every visit, is a vital sign of theunconscious power relations within health care and how representatives from health care, instead of being the ones whohelp the women forward, become the ones who hold them back.Conclusions: The results show the importance ofchallenging the normative assumptions embedded in health care and treatment for patients with chronic painand of including the voice of “others”.

  • 10.
    Östlund, Gunnel
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare.
    Gustavsson, Lena-Karin
    Mälardalen University, School of Health, Care and Social Welfare.
    Zander, Viktoria
    Mälardalen University, School of Health, Care and Social Welfare.
    Elfström, Magnus L
    Mälardalen University, School of Health, Care and Social Welfare.
    Interprofessional homebased reablement intervention of older adults - reflecting on possible trends based on the RCT pilot study.2019Conference paper (Refereed)
  • 11.
    Östlund, Gunnel
    et al.
    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.
    Elfström, Magnus
    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.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    “It gets easier when the sun is shining”: a follow-up study after a reablement intervention2017Conference paper (Refereed)
  • 12.
    Östlund, Gunnel
    et al.
    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.
    Elfström, Magnus
    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.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Older adults’ experiences of a reablement process.: "To be treated like an adult, and ask for what I want and how I want it"2019In: Educational gerontology, ISSN 0360-1277, E-ISSN 1521-0472, Vol. 45, no 8, article id https://doi.org/10.1080/03601277.2019.1666525Article in journal (Refereed)
    Abstract [en]

    This is a follow-up study of intensive home-based rehabilitation from older people’s perspectives. The aim was to explore older adults’ descriptions of interactional needs related to autonomy in life. The purpose was also to explore the importance of significant others in the reablement process.

    Method: The sample consisted of 23 women aged 72–92 who were included consecutively in the first project year. Data were collected through face-to-face semi-structured interviews that were recorded, transcribed, and analyzed using qualitative latent content analysis.

    Results: Regaining autonomy through reablement was achieved by the interviewees although not always to the same extent as before. Three themes related to interactional needs were identified: (1) Transitional relations, referring to encounters with staff in time-limited relations. (2) More stable relations with significant others without limitation of time. (3) The acceptance of growing older and of death as a “natural departure”. Transitional relations with professionals, and more stable relations with significant others, are important parts of the reablement process according to older adults.

    In conclusion: Professionals within gerontology need to recognize the social and historical context including the symbolic meanings each older person gives to life’s necessaries. Older adults appreciate reablement which includes rehabilitation goals related to the person’s stable relationships and larger life context.

  • 13.
    Östlund, Gunnel
    et al.
    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.
    Elfström, Magnus, L.
    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.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare.
    ´Nothing to do about it, simply hang on´ - Older women´s experiences of social and existential health after a reablement intervention2018Conference paper (Refereed)
1 - 13 of 13
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Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
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  • en-US
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