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  • 101.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Editorial2014Ingår i: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 16, nr 1, s. 1-1Artikel i tidskrift (Övrigt vetenskapligt)
  • 102.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Editorial2013Ingår i: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 15, nr 2, s. 42-45Artikel i tidskrift (Övrigt vetenskapligt)
  • 103.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Editorial2016Ingår i: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 18, nr 4, s. 201-Artikel i tidskrift (Övrigt vetenskapligt)
  • 104.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Editorial2014Ingår i: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 16, nr 3, s. 129-129Artikel i tidskrift (Övrigt vetenskapligt)
  • 105.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Evidence based physiotherapy of chronic pain2009Ingår i: European Journal of Pain Supplements, ISSN 1754-3207, E-ISSN 1878-0075, Vol. 13, nr S1, s. S3-S3Artikel i tidskrift (Refereegranskat)
  • 106.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Health promotion for older persons by decreasing sedentary behaviour–Editorial2019Ingår i: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 21, nr 3Artikel i tidskrift (Övrigt vetenskapligt)
  • 107.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Positive changes in the European Journal of Physiotherapy during the past couple of years.2017Ingår i: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 19, nr 1, s. 1-Artikel i tidskrift (Övrigt vetenskapligt)
  • 108.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    The mediating role of control over pain and ability to decrease pain between self-efficacy, catastrophic thinking and pain-related disability in WAD.2012Konferensbidrag (Refereegranskat)
  • 109.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    The role of educational and learning approaches in rehabilitation of whiplash: Associated disorders in lessening the transition to chronicity2011Ingår i: Spine, ISSN 0362-2436, E-ISSN 1528-1159, Vol. 36, nr 25 Suppl, s. S280-S285Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    STUDY DESIGN: The study design was descriptive.

    OBJECTIVE: The aim of this chapter was to illustrate and discuss educational and learning perspectives in the rehabilitation of patients with acute whiplash-associated disorders (WAD).

    SUMMARY OF BACKGROUND DATA: WAD is a major problem for the individual and the society. Several treatment options have been studied without giving convincing results for lessening the transition to chronicity. Current management of acute WAD include among other things advice of exercise and educational activities.

    METHODS: A literature search on the PubMed database was conducted with additional topic discussions with the research colleagues at a symposium. These resulted the present state-of-the-art review.

    RESULTS: There are several possible cognitive factors and behavioral learning processes such as self-efficacy, fear of movement and (re)injury, and catastrophizing that are important to focus on in decreasing acute WAD to becoming a chronic condition. Learning based on behavioral medicine approach in physiotherapy framework has gained evidence in other musculoskeletal pain conditions.

    CONCLUSION: Exercise, education, and learning with a behavioral medicine approach should be focused on in the future studies of acute WAD management.

  • 110.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    The role of educational and learning approaches in rehabilitation of Whiplash-Associated Disorders in lessening the transition to chronicity2011Konferensbidrag (Refereegranskat)
  • 111.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Time for more focus on co-production/co-creation in physiotherapy research?2015Ingår i: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 17, nr 2, s. 55-Artikel i tidskrift (Övrigt vetenskapligt)
  • 112.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    WHO's sustainable development goals and physiotherapy in 2018: editorial2018Ingår i: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 20, nr 1, s. 1-1Artikel i tidskrift (Övrigt vetenskapligt)
  • 113.
    Söderlund, Anne
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Asenlöf, Pernilla
    Uppsala University, Uppsala, Sweden.
    The mediating role of self-efficacy expectations and fear of movement and (re)injury beliefs in two samples of acute pain2010Ingår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 32, nr 25, s. 2118-2126Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose. The overall aim of this study was to estimate the possible mediating role of self-efficacy, catastrophic thinking and fear of movement and (re)injury between pain intensity and pain-related disability in two samples of acute pain patients, i.e. patients with musculoskeletal injuries and patients with whiplash injury. Method. A cross sectional design with data-collection after an acute injury was used. Subjects were recruited at an emergency department. Sixty-four patients with acute whiplash associated disorders (WAD) and 74 patients with musculoskeletal injury completed the questionnaires. Results. Self-efficacy was found to be a mediator between pain intensity and pain-related disability in the WAD group, whereas fear of movement and (re)injury appeared as mediator in the musculoskeletal-injury group. The strength of association between variables was weaker in the musculoskeletal-injury group compared to the WAD group. Conclusions. It is important to assess fear of movement beliefs in patients with musculoskeletal injuries. Similarly, patients with acute WAD expressing low self-efficacy beliefs should be identified. An early detection of these beliefs may improve management at the acute phase and possibly reduce risks for slow improvements.

  • 114.
    Söderlund, Anne
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Bring, Annika
    Uppsala universitet, Uppsala, Sweden; Akademiska sjukhuset, Uppsala, Sweden.
    Intervention via internet vid smärtrelaterade problem2012Ingår i: E-hälsa: innovationer, metoder, interventioner och perspektiv / [ed] Gard, Gunvor; Melander-Wikman, Anita, Lund: Studentlitteratur, 2012, s. 75-101Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 115.
    Söderlund, Anne
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Department of Neuroscience, Uppsala University.
    Bring, Annika
    Department of Neuroscience, Uppsala University.
    Åsenlöf, Pernila
    Department of Neuroscience, Uppsala University.
    A three-group study, internet-based, face-to-face based and standard- management after acute whiplash associated disorders (WAD) – choosing the most efficient and cost-effective treatment: study protocol of a randomized controlled trial2009Ingår i: BMC Musculoskeletal Disorders, ISSN 1471-2474, E-ISSN 1471-2474, Vol. 10, nr 1, artikel-id 90Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: The management of Whiplash Associated Disorders is one of the mostcomplicated challenges with high expenses for the health care system and society. There arestill no general guidelines or scientific documentation to unequivocally support any singletreatment for acute care following whiplash injury.The main purpose of this study is to try a new behavioural medicine intervention strategyat acute phase aimed to reduce the number of patients who have persistent problems after thewhiplash injury. The goal is also to identify which of three different interventions that is mostcost-effective for patients with Whiplash Associated Disorders. In this study we arecontrolling for two factors. First, the effect of behavioural medicine approach is comparedwith standard care. Second, the manner in which the behavioural medicine treatment isadministered, Internet or face-to-face, is evaluated in it’s effectiveness and cost-effectiveness.Methods / Design: The study is a randomized, prospective, experimental three-groupstudy with analyses of cost-effectiveness up to two-years follow-up. Internet - basedprogramme and face-to-face group treatment programme are compared to standard-treatmentonly. Patient follow-ups take place three, six, twelve and 24 months, that is, short-term as wellas long-term effects are evaluated. Patients will be enrolled via the emergency ward duringthe first week after the accident.Discussion: This new self-help management will concentrate to those psychosocialfactors that are shown to be predictive in long-term problems in Whiplash AssociatedDisorders, i.e. the importance of self-efficacy, fear of movement, and the significance ofcatastrophizing as a coping strategy for restoring and sustaining activities of daily life. Withinthe framework of this project, we will develop, broaden and evaluate current physical therapytreatment methods for acute Whiplash Associated Disorders. The project will contribute to thecreation of a cost-effective behavioural medicine approach to management of acute WhiplashAssociated Disorders. The results of this study will answer an important question; on whatextent and how should these patients be treated at acute stage and how much does the bestmanagement cost.

  • 116.
    Söderlund, Anne
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Denison, Eva
    Mälardalens högskola, Akademin för hälsa, vård och välfärd. Uppsala University, Sweden.
    Classification of patients with whiplash associated disorders (WAD): reliable and valid subgroups based on the Multidimensional Pain Inventory (MPI-S).2006Ingår i: European Journal of Pain, ISSN 1090-3801, E-ISSN 1532-2149, Vol. 10, nr 2, s. 113-119Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Classification of patients with chronic whiplash associated disorders (WAD) into homogenous subgroups is an important objective in order to tailor interventions and to control for subgroup differences when evaluating treatment outcome. AIMS: The aims of this study were to investigate if it was possible to replicate and describe the three cluster solution and profiles found in other pain groups and describe cluster profiles based on self-reported Multidimensional Pain Inventory-scores for patients with WAD three months after the injury, describe characteristics of the clusters in relation to disability, self-efficacy and coping at the same point in time and to validate the cluster solution by comparing clusters in disability, self-efficacy and coping over time. METHODS: Ninety-one WAD-patients three months after the accident took part in the study. The measures used were the Multidimensional Pain Inventory-Swedish version (MPI-S), The Self-Efficacy Scale, The Coping Strategies Questionnaire and The Pain Disability Index. Cluster analysis was conducted for the total sample MPI-S subscale scores. RESULTS: The adaptive copers cluster represented 42% of the sample, dysfunctional 34% of the sample, and interpersonally distressed 24% of the sample. The external validation of cluster solution showed that there were several significant differences between clusters in self-efficacy, disability and coping measures. There was also a significant interaction effect (clusterxtime) in disability (PDI). Patients in dysfunctional cluster reported a decreased disability over time. CONCLUSIONS: These results support the presence of different subgroups among patients with whiplash associated disorders. This classification can be seen as a complement to a classification based on medical condition.

  • 117.
    Söderlund, Anne
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Fischer, Annika
    RPT, Stadsträdgårdens Physiotherapy, Sala, Sweden.
    Johansson, Titti
    RPT, Hallsta Primary Care, Vegagatan, Hallstahammar.
    Physical activity, diet, and behavioral modification in the treatment of overweight and obese adults: a systematic review2009Ingår i: Perspectives in Public Health, ISSN 1757-9139, Vol. 129, nr 3, s. 132-142Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: The aim was to extend the body of knowledge through a systematic review that combines the strengths and partly fills the gaps from earlier reviews. The aim is to review randomized controlled trials of the long-term effectiveness of physical exercise/activity with or without diet and/or behaviour modification therapy in terms of training effect, weight loss and improvement of body composition in overweight and obese, healthy adults.Methods: Data for systematic review was collected via a search of databases for literature published between 1995 and 2006. The search yielded 12 articles.Results: The studies showed that training intensity should be moderate. The treatment of overweight and obese individuals with training alone cannot be expected to result in any substantial weight loss but should be combined with diet and behaviour modification therapy. However training can be an important factor in preventing further weight gain, or in helping individuals maintain a lowered body weight.Conclusion: According to this systematic review of randomized controlled trials, the treatment that produced the best weight loss results included a combination of training, behaviour therapy and diet.

  • 118.
    Söderlund, Anne
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Kyhlbäck, M
    Söderholm, E
    Olerud, C
    [Care programs for patients with whiplash injuries in Uppsala]1999Ingår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 96, nr 49, s. 5485-Artikel i tidskrift (Refereegranskat)
  • 119.
    Söderlund, Anne
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Lagerlöf, H.
    Fysiokliniken Västra Aros AB, Västerås, Sweden.
    An individually tailored behavioral medicine treatment in physical therapy for tension-type headache - Two experimental case studies2016Ingår i: Journal of Pain Research, ISSN 1178-7090, E-ISSN 1178-7090, Vol. 9, s. 1089-1099Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: The aim of this study was to describe and evaluate the effect of an individually tailored behavioral medicine treatment in physical therapy, based on a functional behavioral analysis (FBA), for tension-type headache (TTH). Patients and methods: Two case studies with A1-A2-B-A3 design of two patients with TTH was conducted. Outcome variables were headache frequency, headache index (mean intensity), consumption of analgesics, self-efficacy in headache management (Headache Management Self-efficacy Scale [HMSE]), disability, and perceived loss of happiness for activities with family and friends. Results: The results showed that headache frequency and headache index decreased for one of the patients. Self-efficacy in headache management increased markedly for both patients. Conclusion: A behavioral medicine treatment in physical therapy based on an FBA can be a way for physical therapists to handle patients with TTH. Future investigations should focus on large group studies with longer observation periods.

  • 120.
    Söderlund, Anne
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Lindberg, P
    Uppsala University, Sweden.
    Cognitive behavioural components in physiotherapy management of chronic Whiplash Associated Disorders (WAD) - a randomised group study.2001Ingår i: Physiotherapy Theory and Practice, ISSN 0959-3985, Vol. 17, nr 4, s. 229-238Artikel i tidskrift (Refereegranskat)
  • 121.
    Söderlund, Anne
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Lindberg, P
    Uppsala University, Sweden.
    Cognitive behavioural components in physiotherapy management of chronic whiplash associated disorders (WAD)--a randomised group study.2007Ingår i: Giornale italiano di medicina del lavoro ed ergonomia, ISSN 1592-7830, Vol. 29, nr 1 Suppl A, s. A5-A11Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Different types of integrated management programmes have lately been introduced in the treatment of Whiplash Associated Disorders (WAD). In this study regular primary care physiotherapy and physiotherapy management with integrated components of cognitive-behavioural origin was compared in an experimental group study. The predictive value of self-efficacy was also addressed. In all thirty-three patients with chronic WAD were included in the trial. Results revealed no significant differences between groups in self-ratings of disability or pain intensity. However, among the self-reported benefits of treatment, patients in the experimental group reported significantly less pain than did the comparison group. At three months follow-up the experimental group also reported better performance of daily activities. Between group differences in the coping repertoire were found at pre-, post-and three-month follow-up. Generally, patients with high self-efficacy reported less use of 'maladaptive' and passive coping style than less self-efficient subjects at all times. In conclusion cognitive behavioural components can be useful in physiotherapy treatment for patients with chronic WAD, but their contributions are not yet fully understood. Self-efficacy is related to patients' use of different coping styles. Positive long-term outcomes in WAD-patients could therefore be improved by boosting self-efficacy and by teaching patients to use active, adaptive coping strategies.

  • 122.
    Söderlund, Anne
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Lindberg, P.
    Uppsala University, Uppsala, Sweden.
    Coping as a mediating factor between self-efficacy and disability in Whiplash Associated Disorders (WAD).2002Ingår i: Journal of Whiplash & Related Disorders, ISSN 1533-2888, Vol. 1, nr 2, s. 25-37Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Study Design. The design of the study was prospective and correlational. Objectives. The aim was to investigate a mediating function of copingbetween self-efficacy and disability as well as changes in this model over a one-year period in patients with Whiplash Associated Disorders(WAD). Summary of Background Data. The central part of the pain problems is patients' beliefs about pain as well as coping with conditions related to pain. Methods. Fifty-nine patients with WAD, 35 females and 24 males visiting the orthopaedic clinic took part in the study. Patients were studied prospectively on three occasions, at inclusion, at six- and 12-month follow-ups. Three measures were used in the study, the Self-EfficacyScale, the Coping Strategies Questionnaire and the Pain Disability Index. Path analyses were used to analyse the data and test models for themediating function of coping. Results. The results of the path analyses supported the mediating role of coping between self-efficacy anddisability. The direct effect of self-efficacy decreased from 97%, 93% to 67% of the total effect on disability over time. The indirect effect ofcoping on disability increased from 3%, 7% to 33% during the first year after the accident. Conclusions. It was concluded that the lack of belief inone's own ability, i.e., self-efficacy may predict the use of different coping strategies which in turn may predict the extent to which individuals with WAD become disabled.

  • 123.
    Söderlund, Anne
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Lindberg, P
    Uppsala University, Sweden.
    Long-term functional and psychological problems in whiplash associated disorders1999Ingår i: International Journal of Rehabilitation Research, ISSN 0342-5282, E-ISSN 1473-5660, Vol. 22, nr 2, s. 77-84Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    In recent years, Whiplash Associated Disorders (WAD) have been recognized as an increasing problem and up to 35% of patients have been reported to suffer from persisting symptoms. The aim of this study was to describe the consequences of pain and impairment of movement for everyday activities and dysfunction, in a sample of 104 chronic WAD patients. It was hypothesized that predictors such as initial grade of injury, self-efficacy and optimism, as well as mediating coping strategies, would influence the patients' quality of life in terms of dysfunction, disability, anxiety, depression and pain intensity. The results showed that chronic WAD patients differ from other groups in quality-of-life related indicators. Psychosocial problems were more pronounced than physical, while there were no gender differences. There was some evidence that use of specific coping strategies is a significant predictor of psychological well-being.

  • 124.
    Söderlund, Anne
    et al.
    Uppsala University, Uppsala, Sweden .
    Lindberg, Per
    Uppsala University, Uppsala, Sweden .
    An integrated physiotherapy/cognitive-behavioural approach to the analysis and treatment of chronic whiplash associated disorders, WAD.2001Ingår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 23, nr 10, s. 436-447Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    PURPOSE: The aim of this paper was to describe a model for an integrated physiotherapy/cognitive-behavioural approach in the analysis and treatment of chronic WAD patients, as well as to evaluate the effectiveness of this approach in three experimental single case studies. METHOD: Three patients with a diagnosis of chronic WAD were included in the study. Psychological and physical functional analyses were used to describe the problem areas and as a basis for the management of WAD. A programme including learning of basic and applied skills, generalization, and maintenance was carried through. RESULTS AND CONCLUSION: The results showed that functional behavioural analyses can be useful in physiotherapy for structured patient assessment and in planning of treatment. It was also shown that physiotherapy integrated with cognitive behavioural components decreased the patients' pain intensity in problematic daily activities.

  • 125.
    Söderlund, Anne
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Lindberg, Per
    Uppsala University.
    Whiplash-associated disorders--predicting disability from a process-oriented perspective of coping2003Ingår i: Clinical Rehabilitation, ISSN 0269-2155, E-ISSN 1477-0873, Vol. 17, nr 1, s. 101-107Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: To describe the coping process over time for patients with whiplash-associated disorders (WAD). DESIGN: The study was conducted by following patients prospectively for 12 months. SETTINGS: The orthopaedic clinic at a university hospital. SUBJECTS: Fifty-three patients out of 59 had complete data-sets. MAIN OUTCOME MEASURES: Two measures were used: the Pain Disability Index (PDI) and the Coping Strategies Questionnaire (CSQ). RESULTS: The results showed that the proportion of variance in disability shared with coping increased over time. CONCLUSION: The importance of coping as an explanatory factor for disability increased during the one year follow-up. Thus, coping has a crucial role for disability. The possibility of a positive long-term outcome could therefore be improved by teaching patients to use active and adaptive coping strategies shortly after an accident.

  • 126.
    Söderlund, Anne
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Löfgren, Monika
    Danderyd Hosp AB, Dept Clin Sci, Karolinska Inst, SE-18288 Stockholm, Sweden.;Danderyd Hosp AB, Dept Rehabil Med, SE-18288 Stockholm, Sweden..
    Stålnacke, Britt-Marie
    Danderyd Hosp AB, Dept Clin Sci, Karolinska Inst, SE-18288 Stockholm, Sweden.;Danderyd Hosp AB, Dept Rehabil Med, SE-18288 Stockholm, Sweden.;Umea Univ, Dept Community Med & Rehabil, Rehabil Med, SE-90187 Umea, Sweden..
    Predictors before and after multimodal rehabilitation for pain acceptance and engagement in activities at a 1-year follow-up for patients with whiplash-associated disorders (WAD)-a study based on the Swedish Quality Registry for Pain Rehabilitation (SQRP)2018Ingår i: The spine journal, ISSN 1529-9430, E-ISSN 1878-1632, Vol. 18, nr 8, s. 1475-1482Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND CONTEXT: Studies have shown that pain acceptance strategies related to psychological flexibility are important in the presence of chronic musculoskeletal pain. However, the predictors of these strategies have not been studied extensively in patients with whiplash-associated disorders (WAD). PURPOSE: The purpose of this study was to predict chronic pain acceptance and engagement in activities at 1-year follow-up with pain intensity, fear of movement. perceived responses from significant others, outcome expectancies, and demographic variables in patients with WAD before and after multimodal rehabilitation (MMR). STUDY DESIGN: The design of this investigation was a cohort study with 1-year postrehabilitation follow-up. STUDY SETTING: The subjects participated in MMR at a Swedish rehabilitation clinic during 2009-2015. PATIENT SAMPLE: The patients had experienced a whiplash trauma (WAD grade I-II) and were suffering from pain and reduced functionality. A total of 386 participants were included: 297 fulfilled the postrehabilitation measures, and 177 were followed up at 1 year after MMR. OUTCOME MEASURES: Demographic variables, pain intensity, fear of movement, perceived responses from significant others, and outcome expectations were measured at the start and after MMR. Chronic pain acceptance and engagement in activities were measured at follow-up. METHODS: The data were obtained from a Swedish Quality Registry for Pain Rehabilitation (SQRPR). RESULTS: Outcome expectancies of recovery, supporting and distracting responses of significant others, and fear of (re)injury and movement before MMR were significant predictors of engagement in activities at follow-up. Pain intensity and fear of (re)injury and movement after MMR significantly predicted engagement in activities at follow-up. Supporting responses of significant others and fear of (re)injury and movement before MMR were significant predictors of pain acceptance at the 1-year follow-up. Solicitous responses of significant others and fear of (re)injury and movement at postrehabilitation significantly predicted pain acceptance at follow-up. CONCLUSION: For engagement in activities and pain acceptance, the fear of movement appears to emerge as the strongest predictor. but patients' perceived reactions from their spouses need to be considered in planning the management of WAD. 

  • 127.
    Söderlund, Anne
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Nordgren, Lena
    Uppsala Univ, Ctr Clin Res Sormland CKFD, Eskilstuna, Sweden.;Uppsala Univ, Dept Publ Hlth & Caring Sci, Uppsala, Sweden..
    Sterling, Michele
    Univ Queensland, Recover Injury Res Ctr, NHMRC Ctr Res Excellence Rd Traff Injury, Herston, Qld, Australia.;Griffith Univ, Menzies Hlth Inst Queensland, Brisbane, Qld, Australia..
    Stalnacke, Britt-Marie
    Umea Univ, Dept Community Med & Rehabil, Rehabil Med, Umea, Sweden.;Karolinska Inst, Dept Clin Sci, Stockholm, Sweden.;Danderyd Hosp, Dept Rehabil Med, Stockholm, Sweden..
    Exploring patients' experiences of the whiplash injury-recovery process: a meta-synthesis2018Ingår i: Journal of Pain Research, ISSN 1178-7090, E-ISSN 1178-7090, Vol. 11, s. 1263-1271Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    Purpose: The aim of this study was to conduct a meta-synthesis to analyze qualitative research findings and thereby understand patients' experiences of whiplash-associated disorders (WAD) and the injury-recovery process. Materials and methods: A qualitative meta-synthesis, which is an interpretive integration of existing qualitative findings, was performed. The databases PubMed, PsychINFO, Scopus, and Web of Science were searched. The Critical Assessment Skills Programme was used to assess the quality of the included studies. Results: Four studies were included. The synthesis resulted in several codes, 6 categories, and 3 themes (distancing from normalcy, self-efficacy in controlling the life situation after the injury, and readjustment and acceptance) that described the participants' pain beliefs, their WAD-related life situation and their future expectations and acceptance. Changes in self-image were difficult to cope with and likely led to perceived stigmatization. Struggling with feelings of loss of control appeared to lead to low confidence and insecurity. Focusing on increasing knowledge and understanding the pain and its consequences were believed to lead to better strategies for handling the situation. Furthermore, recapturing life roles, including returning to work, was challenging, but an optimistic outlook reinforced symptom improvements and contributed to feelings of happiness. Conclusion: The results of the present study provide a comprehensive understanding of patients' complex, multifaceted experiences of WAD, and the injury-recovery process. The findings can guide us in the development of new ways to evaluate and manage WAD. The results also indicate that a more patient-centered approach is needed to determine the depth and breadth of each patient's problems.

  • 128.
    Söderlund, Anne
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Olerud, C
    Uppsala Science Park, Uppsala, Sweden.
    Lindberg, P
    Uppsala Science Park, Uppsala, Sweden.
    Acute whiplash-associated disorders (WAD): the effects of early mobilization and prognostic factors in long-term symptomatology.2000Ingår i: Clinical Rehabilitation, ISSN 0269-2155, E-ISSN 1477-0873, Vol. 14, nr 5, s. 457-467Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: To compare two different home exercise programmes for patients with acute whiplash-associated disorders (WAD). A further aim was to describe the initial prognostic variables related to self-reported pain at six months follow-up. DESIGN: A randomized treatment study with a follow-up period of six months. SETTINGS: The study was undertaken in an orthopaedic clinic at a university hospital. SUBJECTS: A total of 59 symptomatic (neck pain, stiffness, etc.) patients with acute whiplash injury. INTERVENTIONS: Patients were randomized to a regular treatment group (RT group) and an additional-exercise treatment group (AT group). MAIN OUTCOME MEASURES: Pain Disability Index (PDI), Self-Efficacy Scale (SES), Coping Strategies Questionnaire (CSQ), neck range of motion (ROM), head posture, kinaesthetic sensibility, visual analogue scale (VAS). RESULTS: Patients given an additional exercise did not improve more than patients with regular treatment. Only one CSQ item, 'Ability to decrease pain', showed a significant difference between the groups in its pattern of change over time: the AT group had a significant increase between three and six months whilst values in the RT group decreased. Nonsymptomatic patients at six months follow-up were characterized by initially better self-efficacy, lower disability and significantly different patterns in the use of 'behavioural coping strategies' when compared with symptomatic patients. The nonsymptomatic patients also reported more frequent training than symptomatic patients, i.e. they complied better with the treatment regime. CONCLUSION: This home exercise programme, including training of neck and shoulder ROM, relaxation and general advice seems to be sufficient treatment for acute WAD patients when used on a daily basis. Additionally, patients reporting low self-efficacy and high disability levels may profit from more attention initially, as these psychological factors are significant predictors of pain at long-term follow-up.

  • 129.
    Söderlund, Anne
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Sandborgh, Maria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Johansson, Ann-Christin
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Is self-efficacy and catastrophizing in pain-related disability mediated by control over pain and ability to decrease pain in whiplash-associated disorders?2017Ingår i: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 33, nr 5, s. 376-385Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Pain perception is influenced by several cognitive and behavioral factors of which some identified as mediators are important in pain management. We studied the mediating role of control over pain and ability to decrease pain in relation to functional self-efficacy, catastrophizing, and pain-related disability in patients with Whiplash-Associated Disorders, (WAD). Further, if the possible mediating impact differs over time from acute to three and 12 months after an accident, cross-sectional and prospective design was used, and 123 patients with WAD were included. Regression analyses were conducted to examine the mediating effect. The results showed that control over pain and ability to decrease pain were not mediators between self-efficacy, catastrophizing, and disability. Self-efficacy had a larger direct effect on pain-related disability compared to catastrophizing. Thus, healthcare staff should give priority to increase patients' self-efficacy, decrease catastrophic thinking, and have least focus on control over pain or ability to decrease pain.

  • 130.
    Söderlund, Anne
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Sandborgh, Maria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Johansson, Ann-Christin
    The fear avoidance model; does punishing responses of significant other and self-efficacy in activities have role in the model2013Konferensbidrag (Refereegranskat)
  • 131.
    Söderlund, Anne
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Sterling, M.
    Griffith University, Parklands, Australia .
    Effect of verbal persuasion on self-efficacy for pain-related diagnostic sensory testing in individuals with chronic neck pain and healthy controls – A randomized, controlled trial2016Ingår i: Journal of Pain Research, ISSN 1178-7090, E-ISSN 1178-7090, Vol. 9, s. 115-122Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to investigate the differences in cold pain threshold (CTh), pressure pain threshold (PPT), cold pain tolerance (CPTo) tests, and the level of self-efficacy when self-efficacy for diagnostic sensory testing was manipulated by verbal persuasion before a testing situation in persons with neck pain and in healthy controls. A randomized experimental design was used. Twenty-one healthy volunteers and 22 individuals with either traumatic or nontraumatic chronic neck pain were recruited to participate in the study. The intervention consisted of two experimental verbal persuasion conditions: Increase self-efficacy and Decrease self-efficacy. The PPT was measured using a pressure algometer, the CTh was measured using a thermo test system, and CPTo was measured by submerging the participant’s hand in ice water up to the elbow joint. On three occasions, the participants reported their self-efficacy level in performing the sensory tests. In the chronic neck pain group, there were no differences in pain threshold or tolerance. There was a difference in the self-efficacy level after verbal persuasion between the experimental conditions. In the healthy control group, the CThs increased following the condition that aimed to increase self-efficacy. No other differences were observed in the healthy controls. A short verbal persuasion in the form of manipulative instructions seems to have a marginal effect on the individual’s self-efficacy levels in the chronic neck pain group and a slight influence on the results of sensory testing in healthy controls.

  • 132.
    Söderlund, Anne
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Sterling, Michele
    Griffit University, Queensland, Australia.
    Effect of verbal manipulation on self-efficacy for pain-related sensory testing in chronic neck pain and healthy controls.2014Konferensbidrag (Refereegranskat)
  • 133.
    Söderlund, Anne
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Thunborg, Charlotta
    Karolinska Inst, Sweden.
    Wickford, Jenny
    Univ Hosp, Linköping, Sweden.
    The case of the missing body2017Ingår i: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 19, nr 3, s. 177-177Artikel, recension (Refereegranskat)
  • 134.
    Söderlund, Anne
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Åsenlöf, Pernilla
    Uppsala universitet, Uppsala, Sweden.
    Fysisk aktivitet/träning, manuella och fysikaliska metoder samt beteendemedicinska behandlingar2010Ingår i: 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, s. 119-176Kapitel i bok, del av antologi (Refereegranskat)
  • 135.
    Söderlund, Anne
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Åsenlöf, Pernilla
    Uppsala university, Sweden.
    The mediating role of self-efficacy expectations and fear of movement beliefs in two samples of acute pain.2009Konferensbidrag (Refereegranskat)
  • 136.
    Tham, A.
    et al.
    Karolinska Institutet, Stockholm, Sweden .
    Jonsson, U.
    Karolinska Institutet, Stockholm, Sweden .
    Andersson, G.
    Karolinska Institutet, Stockholm, Sweden .
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Allard, P.
    Swedish Agency for Health Technology Assessment and Assessment of Social Services, Stockholm, Sweden.
    Bertilsson, G.
    Swedish Agency for Health Technology Assessment and Assessment of Social Services, Stockholm, Sweden.
    Efficacy and tolerability of antidepressants in people aged 65 years or older with major depressive disorder – A systematic review and a meta-analysis2016Ingår i: Journal of Affective Disorders, ISSN 0165-0327, E-ISSN 1573-2517, Vol. 205, s. 1-12Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background There has been a steady increase in the prescription of antidepressants for the elderly. This study comprises a systematic review of randomized, placebo-controlled trials of antidepressants for treatment of depressive disorder in people aged 65 years or more. Methods PubMed, EMBASE, Cochrane Library, CINAL, and PsycINFO were searched until May 2016. Where appropriate, the results were synthesized in meta-analyses. Results Twelve trials met the inclusion criteria. For patients with major depressive disorder, selective serotonin re-uptake inhibitors (SSRI) were not superior to placebo in achieving remission (OR: 0.79, 95% CI: 0.61–1.03) or response (OR=0.86, 95% CI: 0.51–1.10) after 8 weeks of treatment (three trials). However, maintenance treatment with SSRIs was superior to placebo in preventing relapse (OR: 0.22, 95% CI: 0.13–0.36; NNT=5, 95% CI: 3–6; two trials). Duloxetine was superior to placebo in achieving remission (OR: 1.78, 95% CI: 1.20–2.65; NNT=9, 95% CI: 6–20; three trials) and response (OR: 1.83, 95% CI: 1.96–4.08; two trials) in recurrent major depression after 8 weeks, but increased the risk of adverse events that can be problematic in the elderly. Limitations The quality of evidence was generally low or moderate, emphasizing the uncertainty of the results. Study populations only partly covered the heterogeneous population of elderly with depressed mood, limiting the generalizability. Conclusion The results underscore the importance of close monitoring of the effects of antidepressants in treatment of elderly patients with a depressive disorder. Methods for early detection of non-responders and effective treatment options for this group are needed. 

  • 137.
    Thunborg, Charlotta
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Örebro University, Örebro, Sweden.
    Heideken Wågert, Petra
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Ivarsson, A. B.
    Örebro University, Örebro, Sweden.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Inter-and Intra-Rater Reliability of a Newly Developed Assessment Scale: The Dyadic Interaction in Dementia Transfer Assessment Scale (DIDTAS)2015Ingår i: Physical & Occupational Therapy in Geriatrics, ISSN 0270-3181, E-ISSN 1541-3152, Vol. 33, nr 4, s. 279-293Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: To study the inter-and intra-rater reliability of a newly developed assessment scale, the Dyadic Interaction in Dementia Transfer Assessment Scale (DIDTAS). Methods: Two physiotherapists completed the observational form of the DIDTAS while watching 20 video-films of sit-to-stand-transfers or bedside transfers (i.e., caregiver-assisted transfers), videotaped in a dementia special care unit. Two-way analyses of variance (ANOVAs) were used for calculating ICC values of each item. Results: The results supported the overall reliability of the DIDTAS items with variations in inter-and intra-rater reliability, with ICC values from 0.35 to 0.92. Conclusion: On the basis of the transfer-related actions of dementia care dyads, the DIDTAS was shown to be sufficiently reliable. This in turn can provide healthcare professionals seeing and treating individuals suffering from dementia with a new method for assessing actions related to person transfer situations in dementia care facilities.

  • 138.
    Thunborg, Charlotta
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    von Heideken Wågert, Petra
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Götell, Eva
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Ivarsson, Ann-Britt
    Örebro universitet, Sweden.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Development of a new assessment scale for measuring interaction during staff-assisted transfer of residents in dementia special care units2015Ingår i: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 15, nr 1, artikel-id 6Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background

    Mobility problems and cognitive deficits related to transferring or moving persons suffering from dementia are associated with dependency. Physical assistance provided by staff is an important component of residents’ maintenance of mobility in dementia care facilities. Unfortunately, hands-on assistance during transfers is also a source of confusion in persons with dementia, as well as a source of strain in the caregiver. The bidirectional effect of actions in a dementia care dyad involved in transfer is complicated to evaluate. This study aimed to develop an assessment scale for measuring actions related to transferring persons with dementia by dementia care dyads.

    Methods

    This study was performed in four phases and guided by the framework of the biopsychosocial model and the approach presented by Social Cognitive Theory. These frameworks provided a starting point for understanding reciprocal effects in dyadic interaction. The four phases were 1) a literature review identifying existing assessment scales; 2) analyses of video-recorded transfer of persons with dementia for further generation of items, 3) computing the item content validity index of the 93 proposed items by 15 experts; and 4) expert opinion on the response scale and feasibility testing of the new assessment scale by video observation of the transfer situations.

    Results

    The development process resulted in a 17-item scale with a seven-point response scale. The scale consists of two sections. One section is related to transfer-related actions (e.g., capability of communication, motor skills performance, and cognitive functioning) of the person with dementia. The other section addresses the caregivers’ facilitative actions (e.g., preparedness of transfer aids, interactional skills, and means of communication and interaction). The literature review and video recordings provided ideas for the item pool. Expert opinion decreased the number of items by relevance ratings and qualitative feedback. No further development of items was performed after feasibility testing of the scale.

    Conclusions

    To enable assessment of transfer-related actions in dementia care dyads, our new scale shows potential for bridging the gap in this area. Results from this study could provide health care professionals working in dementia care facilities with a useful tool for assessing transfer-related actions.

  • 139.
    Thunborg, Charlotta
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    von Heideken Wågert, Petra
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Götell, Eva
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Ivarsson, Ann-Britt
    Örebro universitet, Sweden.
    Development of a new assessment scale measuring interactional transferrelated behavior in dementia care dyads2014Ingår i: Health, Social Welfare and Co-production at Mälardalen University, 2014Konferensbidrag (Refereegranskat)
  • 140.
    Thunborg, Charlotta
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    von Heideken Wågert, Petra
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Götell, Eva
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Reciprocal struggle in person transfer tasks: caregivers’ experiences in dementia care2012Ingår i: Nordic Congress of Gerontology in Copenhagen / [ed] Christine E. Swane, 2012Konferensbidrag (Refereegranskat)
  • 141.
    Thunborg, Charlotta
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    von Heideken Wågert, Petra
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Götell, Eva
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Reciprocal struggling in person transfer tasks: Caregivers’ experiences in dementia care2012Ingår i: Advances in Physiotherapy, ISSN 1403-8196, E-ISSN 1651-1948, Vol. 14, nr 4, s. 175-182Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: This study describes caregivers’ experiences of person transfer situations involving people with dementia. Method: Qualitative focus group interviews were conducted with a total of 10 caregivers; two groups with five persons each, including two men and eight women. The resulting data were extracted and condensed into meaning units and codes using content analysis. Findings: One main theme was formulated that represents the caregivers’ experiences of person transfer situations involving people with dementia: “Reciprocal struggle in person transfer tasks”. Five categories were formulated: “Becoming familiar and making contact”, “Risking one's own body to protect the resident from injury”, “Focused yet aware of the surroundings”, “Identifying needs to facilitate the person transfer” and “Struggling to be understood”. Conclusion: Person transfer situations involving people with dementia are subject to sudden changes. The ongoing challenge is to ensure a dynamic approach that can be adapted to the needs of the person with dementia at any given time. There is a need for more studies within the field about care and rehabilitation among people with dementia. We suggest that assessment of person transfer situations involving people with dementia and their caregivers is an important issue for further investigation and physiotherapeutic interventions.

  • 142.
    von Heideken Wågert, Petra
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Beteendeförändring hos individ och i organisation2012Ingår i: Äldres hälsa: Ett sjukgymnastiskt perspektiv / [ed] Elisabeth Rydwik, Lund: Studentlitteratur AB, 2012, s. 63-77Kapitel i bok, del av antologi (Övrig (populärvetenskap, debatt, mm))
  • 143.
    Yamato, T. P.
    et al.
    Musculoskeletal Division, The George Institute for Global Health, Sydney Medical School, The University of Sydney, Australia.
    Maher, C. G.
    Musculoskeletal Division, The George Institute for Global Health, Sydney Medical School, The University of Sydney, Australia.
    Saragiotto, B. T.
    Musculoskeletal Division, The George Institute for Global Health, Sydney Medical School, The University of Sydney, Australia.
    Hoffmann, T. C.
    Centre for Research in Evidence Based Practice, Faculty of Health Sciences and Medicine, Bond University, QLD, Australia.
    Moseley, A. M.
    Musculoskeletal Division, The George Institute for Global Health, Sydney Medical School, The University of Sydney, Australia.
    Elkins, M.
    Central Clinical School, Sydney Medical School, University of Sydney, NSW, Australia.
    Lin, C.
    Musculoskeletal Division, The George Institute for Global Health, Sydney Medical School, The University of Sydney, Australia.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    The TIDieR checklist will benefit the physiotherapy profession2016Ingår i: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 18, nr 3, s. 145-146Artikel i tidskrift (Refereegranskat)
  • 144.
    Zetterberg, Lena
    et al.
    Uppsala University.
    Lindmark, Birgitta
    Uppsala University.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Åsenlöf, Pernilla
    Uppsala University.
    Self-perceived non-motor aspects of cervical dystonia and their association with disability2012Ingår i: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 44, nr 11, s. 950-954Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: To examine the multivariate association between a model of self-perceived non-motor aspects and disability in cervical dystonia.DESIGN: A prospective and correlational design with two points of assessment. SUBJECTS: All 273 members with cervical dystonia from the Swedish Dystonia Patient Association were invited to participate. METHODS: Data were collected with one self-reported questionnaire. The questionnaire was sent by post on two separate occasions. Disability was the primary outcome variable measured by the Functional Disability Questionnaire. RESULTS: The questionnaire was completed by 180 individuals (66%) on both occasions. The multivariate association between the non-motor model and disability was statistically significant (adjusted R2 0.46, F(7, 149) = 19.76, p = 0.001). This indicated that 46% of the variance in disability was explained by the non-motor model. Self-efficacy appeared to be the most salient predictor of disability.CONCLUSION: The results of this study highlight the need for increasing awareness of self-perceived non-motor aspects among care providers treating patients with cervical dystonia. This presents opportunities for new rehabilitation possibilities that apply a behavioural medicine perspective.

  • 145.
    Åkerberg, Anna
    et al.
    Mälardalens högskola, Akademin för innovation, design och teknik, Inbyggda system.
    Folke, Mia
    Mälardalens högskola, Akademin för innovation, design och teknik, Inbyggda system.
    Lindén, Maria
    Mälardalens högskola, Akademin för innovation, design och teknik, Inbyggda system.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Stegräknar-appar för att främja folkhälsan - men mäter de rätt?2013Ingår i: Medicinteknikdagarna 2013, Stockholm, Sweden, 2013Konferensbidrag (Refereegranskat)
  • 146.
    Åkerberg, Anna
    et al.
    Mälardalens högskola, Akademin för innovation, design och teknik, Inbyggda system.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Lindén, Maria
    Mälardalens högskola, Akademin för innovation, design och teknik, Inbyggda system.
    Accuracy in pedometers: Dependent on the technology for measurement?2014Ingår i: Studies in Health Technology and Informatics, 2014, Vol. 200, s. 173-175Konferensbidrag (Refereegranskat)
    Abstract [en]

    Today, there are a variety of pedometers available based on different technologies. The aim of this study was to investigate step measurement accuracy regarding two different pedometer technologies, spring-suspended lever arm and accelerometers, in six walking environments, compared to a reference method. Descriptive data indicates that the spring-suspended lever arm pedometer had the largest SD and underestimated the steps in five out of six walking environments. The ANOVA showed that both pedometer technologies performed accurate measurements in one of the walking environments. However, none of the pedometer technologies performed accurate step measurements in all six walking environments.

  • 147.
    Åkerberg, Anna
    et al.
    Mälardalens högskola, Akademin för innovation, design och teknik, Inbyggda system.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Lindén, Maria
    Mälardalens högskola, Akademin för innovation, design och teknik, Inbyggda system.
    Evaluation of a Selected Pedometer Cell Phone Application for iPhone2014Ingår i: International conference on health and social welfare and coproduction HW2014, 2014Konferensbidrag (Refereegranskat)
  • 148.
    Åkerberg, Anna
    et al.
    Mälardalens högskola, Akademin för innovation, design och teknik, Inbyggda system.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Lindén, Maria
    Mälardalens högskola, Akademin för innovation, design och teknik, Inbyggda system.
    Investigation of the validity and reliability of a smartphone pedometer application2016Ingår i: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 18, nr 3, s. 185-193Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to investigate the validity and measurement agreement of a smartphone pedometer application and a traditional pedometer, both compared to manual step count, in six environments. The study also examined the relative reliability of two positions of the smartphone pedometer application in the six environments. Twenty participants carried two smartphones (iPhone 4S) with the same pedometer application (Pedometer FREE GPSþ) in two device positions together with a traditional pedometer (Yamax LS2000) while walking in six environments. The pedometer application in the chest position (app chest) differed significantly from the manual step count when walking uphill (p¼0.003), the application in the trouser (pants) position (app pants) differed for downhill (p¼0.001) and the traditional pedometer (trad ped) differed upstairs (p¼0.007). The measurement agreement was high for app pants uphill, app chest downhill and trad ped downstairs. The relative reliability was fair for app chest, but poor for app pants. In conclusion, the pedometer application and traditional pedometer were valid for step self-monitoring in some environments, and the measurement agreement compared to manual step count was mainly medium to high. The relative reliability for the smartphone pedometer application was partly acceptable. Smartphones could be useful in some environments for physical activity self-monitoring.

  • 149.
    Åkerberg, Anna
    et al.
    Mälardalens högskola, Akademin för innovation, design och teknik, Inbyggda system.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Lindén, Maria
    Mälardalens högskola, Akademin för innovation, design och teknik, Inbyggda system.
    Technologies for physical activity self-monitoring: a study of differences between users and non-users2017Ingår i: Open Access Journal of Sports Medicine, ISSN 1179-1543, E-ISSN 1179-1543, Vol. 8, s. 17-26Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Different kinds of physical activity (PA) self-monitoring technologies are used today to monitor and motivate PA behavior change. The user focus is essential in the development process of this technology, including potential future users such as representatives from the group of non-users. There is also a need to study whether there are differences between the groups of users and non-users. The aims of this study were to investigate possible differences between users and non-users regarding their opinions about PA self-monitoring technologies and to investigate differences in demographic variables between the groups. Materials and methods: Participants were randomly selected from seven municipalities in central Sweden. In total, 107 adults responded to the Physical Activity Products Questionnaire, which consisted of 22 questions. Results: Significant differences between the users and non-users were shown for six of the 20 measurement-related items: measures accurately (p = 0.007), measures with high precision (p = 0.024), measures distance (p = 0.020), measures speed (p = 0.003), shows minutes of activity (p = 0.004), and shows geographical position (p = 0.000). Significant differences between the users and non-users were also found for two of the 29 encouragement items: measures accurately (p = 0.001) and has long-term memory (p = 0.019). Significant differences between the groups were also shown for level of education (p = 0.030) and level of physical exercise (p = 0.037). Conclusion: With a few exceptions, the users and the non-users in this study had similar opinions about PA self-monitoring technologies. Because this study showed significant differences regarding level of education and level of physical exercise, these demographic variables seemed more relevant to investigate than differences in opinions about the PA self-monitoring technologies.

  • 150.
    Åkerberg, Anna
    et al.
    Mälardalens högskola, Akademin för innovation, design och teknik, Inbyggda system.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Lindén, Maria
    Mälardalens högskola, Akademin för innovation, design och teknik, Inbyggda system.
    The development and usability evaluation of an interactive health technology solution for the encouragement of physical activity in inactive adults - based on the user perspectiveManuskript (preprint) (Övrigt vetenskapligt)
    Abstract [en]

    Physical inactivity is increasing worldwide. Technology shows good evidence forhaving a good impact on health. Successful behaviour change regarding physical activity requires user involvement and the integration of relevant behaviour change techniques into the technology. The aim of this study was, based on the user perspective, to develop and later evaluate the usability of an interactive health technology solution that can encourage physically inactive adults to physical activity. A mixed methods design with a user-centred approach was used. The data collection included a brainstorming workshop, a user workshop, technical development and a usability evaluation (effectiveness, efficiency, satisfaction) involving 35 participants. From the brainstorming workshop, four themes were identified: focus, platform, characteristics and content. A schematic model of a first prototype was presented at the user workshop, and the feedback was positive. A behaviour change application was developed (App&Move), with a focus on encouraging functions. App&Move, which measures physical activity in minutes per day, has integrated behaviour change techniques, is based on available physical activity recommendations, relies on scientific evidence and is strongly based on the user perspective. The usability evaluation of App&Move showed that effectiveness was acceptable, efficiency was (with one exception) high, and satisfaction was medium. The results from this study contributes to the development of a first model of a behaviour change application that aims to encourage physically inactive adults to physical activity. In conclusion, the usability evaluation of App&Move showed promising usability, and the application seemed to encourage physical activity to some extent.

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