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  • 1051.
    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.

  • 1052.
    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)
  • 1053.
    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)
  • 1054.
    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)
  • 1055.
    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.

  • 1056.
    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)
  • 1057.
    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.

  • 1058.
    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.

  • 1059.
    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.

  • 1060.
    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)
  • 1061.
    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.

  • 1062.
    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)
  • 1063.
    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.

  • 1064.
    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.

  • 1065.
    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.

  • 1066.
    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.

  • 1067.
    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. 

  • 1068.
    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.

  • 1069.
    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.

  • 1070.
    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.

  • 1071.
    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)
  • 1072.
    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.

  • 1073.
    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)
  • 1074.
    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)
  • 1075.
    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)
  • 1076.
    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)
  • 1077.
    Söderman, Mirkka
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Pietilä Rosendahl, Sirpa
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Caring for the ethnic elders suffering from dementia – experiences of nursing staff2014Ingår i: Caring for the ethnic elders suffering from dementia – experiences of nursing staff, 2014Konferensbidrag (Refereegranskat)
  • 1078.
    Söderman, Mirkka
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Malardalen Univ, Sch Hlth Care & Social Welf, Box 325, SE-63105 Eskilstuna, Sweden.;Karolinska Inst, Dept Clin Neurosci, Div Insurance Med, SE-17177 Stockholm, Sweden..
    Pietilä Rosendahl, Sirpa
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Malardalen Univ, Sch Hlth Care & Social Welf, Box 325, SE-63105 Eskilstuna, Sweden.;Univ Skovde, Sch Hlth & Educ, Box 408, SE-54128 Skovde, Sweden..
    Sallstrom, Christina
    Karlstad Univ, Dept Hlth Sci, Fac Hlth Sci & Technol Karlstad, Sweden..
    Caring and Uncaring Encounters between Assistant Nurses and Immigrants with Dementia Symptoms in Two Group Homes in Sweden: an Observational Study2018Ingår i: Journal of Cross-Cultural Gerontology, ISSN 0169-3816, E-ISSN 1573-0719, Vol. 33, nr 3, s. 299-317Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: The total number of people with dementia symptoms is expected to double every 20years and there will also be an increase in the number of older immigrants in several countries. There are considerable deficiencies in the present knowledge of how to conduct well-functioning health care for immigrants with dementia symptoms. The aim of this study was to explore caring and uncaring encounters between assistant nurses and immigrants in two group homes for persons with dementia symptoms in Sweden: a Finnish-speaking as well as a Swedish-speaking context. In addition, this study aims to describe how caring and uncaring encounters are manifested in these two contexts according to Halldorsdottir's theory of Caring and Uncaring encounters. Method: Descriptive field notes from 30 separate observations were analyzed using qualitative deductive content analysis. Results: The main category caring encounters focused on reaching out to initiate connection through communication, removing masks of anonymity by acknowledging the unique person, acknowledgment of connection by being personal. Reaching a level of truthfulness by being present and showing respect, raising the level of solidarity by equality and true negotiation of care, based on the residents' needs. The main category, uncaring encounters, focused on disinterest in and insensitivity towards the other, coldness in the connection and lack of humanity in care situations. The observations showed that caring encounters occurred more in the Finnish-speaking context and uncaring encounters more often in the Swedish context. Conclusion: Encounters could be caring, uncaring, and carried out using a person-centered approach. Communication and relationships could be facilitated using the same language but also through learning to interpret residents' needs and desires.

  • 1079.
    Söderman, Mirkka
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Rosendahl, Sirpa
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Caring for the ethnic elders living with dementia – experiences of nursing staff2016Ingår i: Journal of Cross-Cultural Gerontology, ISSN 0169-3816, E-ISSN 1573-0719, Vol. 31, nr 3, s. 311-326Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The total number of persons living with dementia is estimated to double every 20 years and ageing migrant populations are growing in several countries. There are gaps in the health and social care of people from other countries, regardless of the efforts made when someone has a dementia diagnosis; similarly, receiving care in sheltered accommodation is less common. The aim of this study was to explore and describe the nursing staff’s experiences of caring for non-Swedish speaking persons living with dementia in a Finnish speaking group home in relation to a Swedish speaking group home in Sweden. 27 qualitative semi-structured interviews were analysed using qualitative content analyses. The first main category, “communication”, concentrated on language abilities and deficiencies, non-verbal language, highlighting the consequences of not understanding and the benefits of a common language. The second main category, “culturally oriented activities”, focused on being served traditional food, celebrating holidays at the group home, the importance of traditions and the importance of familiar music as cultural elements. The Swedish speaking nursing staff could provide qualitative and equitable care, but the challenge was greater for them than for the bilingual nursing staff who spoke the same language as the residents.

  • 1080.
    Tafvelin, S.
    et al.
    Karolinska Institutet, Sweden.
    Nielsen, K.
    University of Sheffield, United Kingdom.
    Abildgaard, J. S.
    National Research Centre for the Working Environment, Copenhagen, Denmark.
    Richter, A.
    Karolinska Institutet, Sweden.
    von Thiele Schwarz, Ulrica
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Karolinska Institutet, Sweden.
    Hasson, H.
    Karolinska Institutet, Sweden.
    Leader-team perceptual distance affects outcomes of leadership training: Examining safety leadership and follower safety self-efficacy2019Ingår i: Safety Science, ISSN 0925-7535, E-ISSN 1879-1042, Vol. 120, s. 25-31Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Whether leaders and their teams agree or not on perceptions of leadership has been found to impact follower well-being and performance. Less is known about how agreements or disagreements play a role in relation to safety and leadership training. The present study examined the effects of leaders’ and followers’ perceptual distance on safety leadership prior to a leadership safety training. Forty-eight leaders and a total of 211 followers from the paper industry completed surveys before and after training. Polynomial regression with response surface analyses revealed that the agreement between leaders and their followers regarding safety leadership before training was positively related to training outcomes including safety leadership and followers’ safety self-efficacy. Line managers who overrated themselves on safety leadership before training had less favorable training outcomes. Our findings suggest that 360-degree feedback may not be sufficient for motivating leaders to change their behaviors during leadership training.

  • 1081.
    Tafvelin, S.
    et al.
    Umeå University, Umeå, Sweden.
    von Thiele Schwarz, Ulrica
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Karolinska Institutet, Solna, Sweden.
    Stenling, A.
    Umeå University, Umeå, Sweden.
    Leadership training to increase need satisfaction at work: A quasi-experimental mixed method study2019Ingår i: Frontiers in Psychology, ISSN 1664-1078, E-ISSN 1664-1078, Vol. 10, nr SEP, artikel-id 2175Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    With a growing number of studies showing the applicability of the self-determination theory for various work and organizational outcomes, the next logical step is to investigate if and how employee need satisfaction at work can be purposefully increased through an intervention. The purpose of the present study was to test whether we could train managers’ display of autonomy, competence, and relatedness support toward employees and whether this resulted in improved employee need satisfaction, well-being, and job performance. Data were obtained from 37 managers (rated by N = 538 subordinates) assigned to either an experimental or control condition at three time points: before, during, and after the training. We also used focus group interviews to evaluate the experience of the training. The quantitative analyses showed no statistically significant improvement in managers’ display of needs support or employee need satisfaction. However, the qualitative data pointed toward important factors related to the implementation of need supportive leadership training that should be considered. © 2019 Tafvelin, von Thiele Schwarz and Stenling.

  • 1082.
    Tafvelin, Susanne
    et al.
    Karolinska Inst, Stockholm, Sweden.;Umea Univ, Dept Psychol, S-90187 Umea, Sweden..
    Hasson, Henna
    Karolinska Inst, Stockholm, Sweden.;Ctr Epidemiol & Community Med, Stockholm, Sweden..
    Holmstrom, Stefan
    Umea Univ, Dept Psychol, S-90187 Umea, Sweden..
    von Thiele Schwarz, Ulrica
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Karolinska Inst, Stockholm, Sweden..
    Are Formal Leaders the Only Ones Benefitting From Leadership Training?: A Shared Leadership Perspective2019Ingår i: Journal of leadership & organizational studies, ISSN 1548-0518, E-ISSN 1939-7089, Vol. 26, nr 1, s. 32-43Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Leadership training most often involves training of formal leaders, and little is known about the potential benefits of leadership training for other members of an organization. Using theories of shared leadership, the current study examined outcomes of transformational leadership training that targets both formal and informal leaders (i.e., both vertical and shared leadership). The training was set in a Swedish paper pulp factory and involved formal and informal leaders participating in 20 days of training over a period of 16 months. Based on employee survey data collected both pre- and postintervention our analyses revealed that both formal and informal leaders significantly improved their transformational leadership behaviors. Interestingly, the improvement in transformational leadership behaviors of formal and informal leaders tended to predict employee efficiency and well-being in different ways. Improvements in formal leaders' transformational leadership were related to employee well-being, while informal leaders' increases in transformational leadership were associated with efficiency. The results point toward the benefit of a shared leadership perspective on leadership training and indicate that improvements in transformational leadership may affect employees differently depending on who in the organization displays them.

  • 1083.
    Tafvelin, Susanne
    et al.
    Umea Univ, Dept Psychol, S-90187 Umea, Sweden..
    Isaksson, Kerstin
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Westerberg, Kristina
    Umea Univ, Dept Psychol, S-90187 Umea, Sweden..
    The First Year of Service: A Longitudinal Study of Organisational Antecedents of Transformational Leadership in the Social Service Organisations2018Ingår i: British Journal of Social Work, ISSN 0045-3102, E-ISSN 1468-263X, Vol. 48, nr 2, s. 430-448Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    In this longitudinal interview study, we have strived to advance the understanding of how organisational factors may hinder the emergence of transformational leadership among first line managers in social service organisations. By interviewing managers in a Swedish social service organisation during their first year of leadership, we first identified leadership ideals and then asked them to identify factors that hinder the performance of this leadership. Qualitative content analysis was used to analyse the data and the results revealed that the managers strived for a transformational leadership, but several factors in the organisation made it difficult to lead in the way they intended. Hindering factors were identified both at the organisational level, such as 'top-down management', 'financial strain' and 'continuous change', and in the managers' own working environment in terms of no support', 'high work-load', 'limited influence', 'administrative tasks' and 'distance to employees'. This study contributes to our understanding of organisational antecedents of transformational leadership as well as the premises of transformational leadership in social service organisations.

  • 1084.
    Tafvelin, Susanne
    et al.
    Karolinska Inst, Dept Learning Informat Management & Eth, Med Management Ctr, S-17177 Stockholm, Sweden.;Umea Univ, Dept Psychol, Umea, Sweden..
    von Thiele Schwarz, Ulrica
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Karolinska Inst, Dept Learning Informat Management & Eth, Med Management Ctr, S-17177 Stockholm, Sweden..
    Nielsen, Karina
    Univ Sheffield, Inst Work Psychol, Sheffield, S Yorkshire, England..
    Hasson, Henna
    Karolinska Inst, Dept Learning Informat Management & Eth, Med Management Ctr, S-17177 Stockholm, Sweden.;Ctr Epidemiol & Community Med, Stockholm, Sweden..
    Employees' and line managers' active involvement in participatory organizational interventions: Examining direct, reversed, and reciprocal effects on well-being2019Ingår i: Stress and Health, ISSN 1532-3005, E-ISSN 1532-2998, Vol. 35, nr 1, s. 69-80Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study examined how employee participation and perceptions of line managers' support during a participatory organizational intervention were related to well-being over time. Although previous studies suggest that employees' and managers' active involvement in participatory organizational interventions may be related to well-being, little is known about the temporal aspects, such as at which time during the intervention these factors matter, or possible reciprocal effects. Building on conservation of resources theory, we tested hypotheses concerning direct, reversed, and reciprocal relationships between employee participation and perceptions of line manager support in relation to well-being. We used a four-wave panel design consisting of 159 hospital workers. Cross-lagged analyses showed that perceived line managers' support in the initiation and active phase was related to participation in the active phase. Participation in the initiation and active phase was related to well-being in the active and sustained phase, respectively. Results also revealed that participation in the initiation phase was related to perceived line managers' support in the active phase, which in turn predicted participation in the active phase, which translated into job satisfaction in the sustained phase supporting reversed and reciprocal effects in the form of resource caravans. Theoretical implications for research and practice are discussed.

  • 1085.
    Talman, Lena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Participation in everyday life for adults with profound intellectual (and multiple) disabilities2018Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    Background: Adults with profound intellectual (and multiple) disabilities need society’s support to live under “as normal circumstances” as possible. Support should be carried out in accordance with the Swedish disability policy vision of full participation in community and equality in living conditions.

    Aim: To highlight and problematise the conceptualisation of participation, and how participation is achieved in implementation plans and in everyday life for adults with profound intellectual (and multiple) disabilities living in a group home or in their own home with support from personal assistants.

    Method: Quantitative and qualitative methods were used to gain a deeper understanding of participation. In study I, 17 implementation plans were analysed. In study II, 27 social care managers and staff members were interviewed. In study III, 4 adults with profound intellectual (and multiple) disabilities living in a group home and their 13 staff members were observed.

    Results: Documentation of participation focused on self-care and community, social, and civic life. In interviews with staff members and managers, the results showed that participation is abstract and hard to handle. Participation for the adults was about doing or being present in general daily activities. The conditions needed for facilitating participation were the adults’ capabilities, staff members’ knowledge, and resources in the social division. Moreover, the adults were listened to, supported in expressing their views, and their views were taken into account. However, they were not involved in decision-making processes nor did they share the power and responsibility for decision-making.

    Conclusions: Participation for the adults is conditional, seldom involves decision-making processes, and is hardly ever connected to social contacts and leisure activities. In addition, attitudes about the adults’ capability present a barrier to participation. The social care division need to better enable and facilitate participation by changing the conditions as well as educating the staff around changing their attitudes about the adults’ capabilities. Managers and staff members need to have a shared understanding of what participation entails so that they all work in the same direction. Furthermore, the International Classification of Functioning, Disability and Health (ICF) can be used as a tool when drawing up individual plans so that the adults’ wishes and preferences are considered. Shier’s ladder of participation can be an instrument to increase participation in daily life for adults with PI(M)D.

    Keywords: everyday life, participation, profound intellectual and multiple disability, social care

  • 1086.
    Talman, Lena
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Gustafsson, Christine
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Evaluation of Tovertafel UP2020Rapport (Övrigt vetenskapligt)
    Abstract [en]

    The purpose of the project was to evaluate the staff’s experience of using Tovertafel UP at a daily activities centre and determine whether, according to the staff, the use of Tovertafel UP results in any development for people with intellectual disabilities with focus on physical activities and social interaction.

  • 1087.
    Talman, Lena
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Gustafsson, Christine
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Utvärdering av Tovertafel UP2020Rapport (Övrigt vetenskapligt)
    Abstract [sv]

    Syftet med projektet var att utvärdera personals erfarenheter av att använda Tovertafel UP på en daglig verksamhet för personer med intellektuell funktionsnedsättning och om användandet av Tovertafel UP enligt personalen innebar någon utveckling för användarna med fokus på fysiska aktiviteter och social interaktion.

  • 1088.
    Talman, Lena
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Gustafsson, Christine
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Stier, Jonas
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Wilder, Jenny
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Insufficient documentation of participation: A study of contents in implementation plans for adults with profound intellectual disabilities2016Ingår i: Journal of Intellectual Disability Research, ISSN 0964-2633, E-ISSN 1365-2788, Vol. 60, nr 7-8, s. 747-747Artikel i tidskrift (Refereegranskat)
  • 1089.
    Talman, Lena
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Gustafsson, Christine
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Stier, Jonas
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Wilder, Jenny
    Mälardalens högskola, Akademin för utbildning, kultur och kommunikation, Utbildningsvetenskap och Matematik.
    Staffs’ documentation of participation for adults with profound intellectualdisability or profound intellectual and multiple disabilities2018Ingår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 40, nr 21, s. 2527-2537Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: This study investigated what areas of International Classification of Functioning, Disability and Health were documented in implementation plans for adults with profound intellectual disability or profound intellectual and multiple disabilities with focus on participation.

    Methods: A document analysis of 17 implementation plans was performed and International Classification of Functioning, Disability and Health was used as an analytic tool.

    Results: One hundred and sixty-three different codes were identified, especially in the components Activities and participation and Environmental factors. Participation was most frequently coded in the chapters Community, social and civic life and Self-care. Overall, the results showed that focus in the implementation plans concerned Self-care and Community, social and civic life. The other life areas in Activities and participation were seldom, or not at all, documented.

    Conclusions: A deeper focus on participation in the implementation plans and all life areas in the component Activities and participation is needed. It is important that the documentation clearly shows what the adult wants, wishes, and likes in everyday life. It is also important to ensure that the job description for staff contains both life areas and individual preferences so that staff have the possibility to work to fulfill social and individual participation for the target group.

    • Implications for rehabilitation
    • There is a need for functioning working models to increase participation significantly for adults with profound intellectual disability or profound intellectual and multiple disabilities.

    • For these adults, participation is achieved through the assistance of others and support and services carried out must be documented in an implementation plan.

    • The International Classification of Functioning, Disability and Health can be used to support staff and ensure that information about the most important factors in an individual’s functioning in their environment is not omitted in documentation.

  • 1090.
    Talman, Lena
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Stier, Jonas
    Dalarna university, Sweden.
    Wilder, Jenny
    Stockholm university, Sweden.
    Gustafsson, Christine
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Participation in daily life for adults with profound intellectual (and multiple) disabilities: How high do they climb on Shier’s ladder of participation?Ingår i: Journal of Intellectual Disabilities, ISSN 1744-6295, E-ISSN 1744-6309Artikel i tidskrift (Refereegranskat)
  • 1091.
    Talman, Lena
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Wilder, Jenny
    Mälardalens högskola, Akademin för utbildning, kultur och kommunikation, Utbildningsvetenskap och Matematik.
    Stier, Jonas
    Mälardalens högskola, Akademin för ekonomi, samhälle och teknik. Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Gustafsson, Christine
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Participation for adults with profound intellectual disabilities: Perceptions of managers and staff2016Ingår i: Journal of Intellectual Disability Research, ISSN 0964-2633, E-ISSN 1365-2788, Vol. 60, nr 7-8, s. 812-812Artikel i tidskrift (Övrigt vetenskapligt)
  • 1092.
    Talman, Lena
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Wilder, Jenny
    Mälardalens högskola, Akademin för utbildning, kultur och kommunikation, Utbildningsvetenskap och Matematik. Stockholm Univ, Stockholm, Sweden..
    Stier, Jonas
    Mälardalens högskola, Akademin för ekonomi, samhälle och teknik. Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Dalarna Univ, Falun, Sweden..
    Gustafsson, Christine
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Participation in daily life for adults with profound intellectual (and multiple) disabilities: How high do they climb on Shier's ladder of participation?2019Ingår i: Journal of Intellectual Disabilities, ISSN 1744-6295, E-ISSN 1744-6309, artikel-id UNSP 1744629519863959Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Participation is the goal of Swedish disability policy, but it is difficult to achieve for adults with profound intellectual (and multiple) disabilities (PI(M)D). Since these adults are dependent on others in every aspect of their lives, others control their ability to participate in everyday life decisions. This study used observations, analyzed with Shier's ladder of participation, to elucidate and describe participation in daily life for adults with PI(M)D living in a group home. The results showed that the adults often reached the first three levels of Shier's ladder, one adult reached the fourth level once, and no one reached the fifth level. Participation on a higher level, therefore, seems hard to reach for adults. Staff members' attitudes toward the adults' capability can also be a barrier to participation. Applying Shier's ladder of participation can provide valuable information that might lead to increased participation in daily life for adults with PI(M)D.

  • 1093.
    Talman, Lena
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Wilder, jenny
    Stockholm university, Sweden.
    Stier, Jonas
    Dalarna university, Sweden.
    Gustafsson, Christine
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Staff and managers’ conceptions of participation for adults with profound intellectual disabilities or profound intellectual and multiple disabilitiesIngår i: Scandinavian Journal of Disability Research, ISSN 1501-7419, E-ISSN 1745-3011Artikel i tidskrift (Refereegranskat)
  • 1094.
    Talman, Lena
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Wilder, Jenny
    Mälardalens högskola, Akademin för utbildning, kultur och kommunikation, Utbildningsvetenskap och Matematik. Stockholm university, Sweden.
    Stier, Jonas
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Dalarna university, Sweden.
    Gustafsson, Christine
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Staff members and managers’ views of the conditions for the participation of adults with profound intellectual and multiple disabilities2019Ingår i: JARID: Journal of applied research in intellectual disabilities, ISSN 1360-2322, E-ISSN 1468-3148, Vol. 32, nr 1, s. 143-151Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background

    Participation is a central aspect of quality of life, and it is indicative of high‐quality outcomes for people with intellectual disabilities. However, participation is difficult to achieve for adults with profound intellectual and multiple disabilities.

    Aim

    To describe staff members’ perceptions of what participation means for adults with profound intellectual and multiple disabilities.

    Method

    Using a phenomenographic approach, 27 interviews were analysed resulting in variations in the conditions for participation.

    Results

    The interviews revealed conditions for participation at individual, staff and organisational levels.

    Conclusion

    Participation appears to be an un‐reflected phenomenon, and several conditions must be met to achieve it. The conditions are experienced being fundamental for adults within the target group to achieve any kind of participation. The staff members and managers’ perceptions of participation as conditional can make it more difficult for adults within the target group to achieve the Swedish disability policy goal of participation.

  • 1095.
    Talman, Lena
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Wilder, Jenny
    Stockholm University, Sweden.
    Stier, Jonas
    Dalarna University, Sweden.
    Gustafsson, Christine
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Staff’s and managers’ conceptions of participation for adults with profound intellectual disabilities or profound intellectual and multiple disabilities2019Ingår i: Scandinavian Journal of Disability Research, ISSN 1501-7419, E-ISSN 1745-3011, Vol. 21, nr 1, s. 78-88Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    One goal of disability policies in Sweden and other countries is to ensure that people with disabilities are afforded an equal level of daily life participation as other citizens. However, few studies have examined this in adults with profound intellectual disabilities (PID) or profound intellectual and multiple disabilities (PIMD). This study used a phenomenographic approach to interview managers and staff at a social care organisation in a medium-sized Swedish municipality. It aimed to elucidate and describe conceptions of participation to highlight conceptual variations. Divergent conceptualisations were found, reflecting a lack of organisational consensus about the meaning of participation. Trying to fulfil policy goals of daily life participation for adults with PID or PIMD without a common understanding of the meaning of participation is difficult, so people at all levels of an organisation need to have a shared understanding and definition of it.

  • 1096.
    Tegesjö, Eleonora
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Sjuksköterskeprogrammet.
    Printz, Julia
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Sjuksköterskeprogrammet.
    Att leva med stomi: Erfarenheter i vardagen2018Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 1097.
    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. 

  • 1098.
    Thitasan, Anchalee
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Boromarajonani, College of Nursing, Sunpasithiprasong, Thailand.
    Aytar, Osman
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Annerbäck, E. -M
    Centre for Clinical Research, Uppsala University.
    Velandia, Marianne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Young people's health and risk behaviours in relation to their sexual orientation: A cross-sectional study of Thailand and Sweden2019Ingår i: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 21, s. 67-74Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objectives: This study examined the associations between sexual orientation of young people and their health and risk behaviours in Thailand and Sweden, and to explore similarities and differences between the countries. Study design: A cross-sectional study using data from the Life and Health – Young surveys in Thailand and Sweden. Three different statistical analyses were used to examine the associations of the variables. Results: In total, 3869 students aged 16–18 years old were included: 1488 Thai students and 2381 Swedish students. Significantly more Thai (20%) than Swedish (9%) students identified themselves as bisexual, homosexual or unsure (p < .001). Bivariate analysis showed that, in Thailand, self-harm was more often reported by the homosexual, unsure, and bisexual groups than by the heterosexual group (p = .005). In Sweden, early sexual debut was more often reported by the unsure, bisexual, and homosexual groups than by the heterosexual group (p = .033). Multiple logistic regression analysis showed that homosexual and unsure sexual orientations were significantly associated with self-harm (p < .05) among Thai students. Unsure sexual orientation was significantly associated with early sexual debut (p = .04) among Swedish students. Multiple correspondence analysis indicated that sexual orientation was associated with health and risk behaviours, and varied by different subcategories of students’ backgrounds such as country, sexual orientation, family structure and adult support. Conclusions: Sexual minority young people reported more risk behaviours and poorer health than their heterosexual counterparts. The findings are useful for policy programmes on sexual and reproductive health and rights of young people.

  • 1099.
    Thitasan, Anchalee
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Aytar, Osman
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Annerbäck, Eva-Maria
    Velandia, Marianne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Life and health of young people in relation to their sexual orientation: A study in Thailand and Sweden2018Konferensbidrag (Refereegranskat)
    Abstract [en]

    Life and health of young people in relation to their sexual orientation: A study in Thailand and Sweden

     

    Anchalee Thitasan a*, Osman Aytar b, Eva-Maria Annerbäck c, Marianne Velandia d

    a Obstetric Department, Boromarajonnani College of Nursing Sunpasittiprasong, Muang, Ubon Ratchathani, 34000

    b School of Health, Care and Social Welfare, Mälardalen University, P.O. Box 325, SE-631 05, Eskilstuna, Sweden

    c Centre for Clinical Research, Uppsala University, Eskilstuna Sweden.

    d School of Health, Care and Social Welfare, Mälardalen University, P.O. Box 883, SE-721 23, Västerås, Sweden

    Corresponding Author Anchalee Thitasan; E-mail: anrakar@yahoo.com

     

    Abstract

     

    Background: In many societies sexual minorities are not fully accepted. The experiences of oppression, stigma and discrimination may negatively influence young people’s life and health, in relation to the heterosexual norm as a standard. There is a lack of studies comparing sexual orientation of young people in relation to their living conditions and health between Asian and European countries, therefore Thailand and Sweden were purposively selected. In Sweden youth friendly services concerning sexual and reproductive health and rights are provided for all young people through youth clinics. Unlike in Sweden, young people in Thailand are likely to receive less support regarding sexual health and sexuality. This can lead to different health consequences especially among sexual minority groups.

    Objectives: The aim of this study was to examine associations between sexual orientation and life and health of young people in Thailand and Sweden.

    Study design: A cross-sectional study was performed using data from the Life and Health – Young surveys in Thailand and Sweden in year 2014. Data were analyzed for grade 11 students in Thailand (n=1,488) and year 2 students in Sweden (n=2,381). Multiple correspondence analysis was used to examine the association among variable categories of sexual orientation, living conditions, lifestyles and health variables. Preliminary result showed that students who identified themselves as bisexual, homosexual or unsure sexual orientation were more closely related with self-harm and poor health than their heterosexual counterparts. Conclusion: Sexual orientation was associate with life and health of young people both in Thailand and in Sweden. The findings can be beneficial to improve health and wellbeing of young people in relation to their sexual orientation.

  • 1100.
    Thitasan, Anchalee
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Aytar, Osman
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Howharn, Churalat
    Extern.
    Annerbäck, Eva-Maria
    Extern.
    Velandia, Marianne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Risk factors for being a victim of sexual violence of young people in Thailand and Sweden2018Konferensbidrag (Refereegranskat)
    Abstract [en]

    Risk factors for being a victim of sexual violence of young people in Thailand and Sweden

     

    Anchalee Thitasan a*, Osman Aytar b, Chularat Howharn c, Eva-Maria Annerbäck d, Marianne Velandiae

    a Obstetric Department, Boromarajonnani College of Nursing Sunpasittiprasong, Muang, Ubon Ratchathani, 34000

    b School of Health, Care and Social Welfare, Mälardalen University, P.O. Box 325, SE-631 05, Eskilstuna, Sweden

    c Praboromrajchanok Institute for Health Workforce Development, Ministry of Public Health, Thailand,

    24/64 Soi Thanphuying Ngamwongwan Rd. Ladyao Chatuchak Bangkok 10900 Thailand

    d Centre for Clinical Research, Uppsala University, Eskilstuna Sweden.

    e School of Health, Care and Social Welfare, Mälardalen University, P.O. Box 883, SE-721 23, Västerås, Sweden

    Corresponding Author’s E-mail: anrakar@yahoo.com

     

    Abstract

    Background: Young people both girls and boys worldwide have been a victim of sexual violence. Sexual violence can have physical and mental effects on the victims. Sexual violence remains highly stigmatized in all settings, therefore levels of disclosure of the assault can vary between countries and can be associated with multiple factors. It is worthy to get better understanding of risk factors for being a victim of sexual violence as it can be used to inform programs seeking to promote sexual and reproductive health of young people. Aim: To examine sexual violence and associations with background factors and other types of violence in Thailand and Sweden.  Method: A cross-sectional comparative study was performed among 7,334 high schools students who participated in the 2014 Life and Health Young survey in Thailand and Sweden. Data were analyzed for grade 9 and 11 or year 2 students (2,717 Thailand, 4,617 Sweden). Multiple logistic regression was used to investigate the associations of demographic factors, substance use, life in school, violence, mental health, and sexual violence. Preliminary results: About 7.3% of the students in Thailand (6.8% girls and 8.1% boys) and 5.6% of students in Sweden (5.8% girls and 5.5% boys) were exposed to sexual violence. Prevalence of sexual violence was not different between girls and boys in each country. After controlling demographic factors, sexual violence of the students in the two countries was associated with getting beaten by adult and being bullied. Feeling depressed and feeling bad during the last three months were associated with sexual violence among the students in Sweden but not among the students in Thailand. Regarding to gender difference, in Thailand, sexual violence was associated with getting beaten by adult among girls but not among boys. In Sweden, sexual violence was associated with feeling bad during the last three months among boys but not among girls. Conclusions: Sexual violence and a risk of becoming sexual violence victim vary by countries. To get better understanding of the risk of becoming sexual violence victim a disparity of personal factors of young people in individual level needed to be considered.

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