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  • 1151.
    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-users2017Inngår i: Open Access Journal of Sports Medicine, ISSN 1179-1543, E-ISSN 1179-1543, Vol. 8, s. 17-26Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 1152.
    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) (Annet vitenskapelig)
    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.

  • 1153.
    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.
    Utvärdering av en stegräknarapplikation; mätnoggrannhet i olika mätmiljöer och positioner2014Inngår i: Medicinteknikdagarna 2014 MTD10, 2014Konferansepaper (Fagfellevurdert)
  • 1154.
    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.
    Åkerlind, Charlotta
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Lindén, Maria
    Mälardalens högskola, Akademin för innovation, design och teknik, Inbyggda system.
    How can technology promote physical activity? Opinions from physically inactive non-users of self-monitoring technologiesManuskript (preprint) (Annet vitenskapelig)
    Abstract [en]

    BACKGROUND: To achieve a more physically active and healthier population, the opinions of potential future users of physical activity self-monitoring technologies need further investigation. Therefore, the aim of this study was to investigate the opinions of physically inactive non-users of physical activity self-monitoring technologies, regarding how and when technology possibly could measure and encourage physical activity. METHODS: Two focus group interviews were performed, consisting of 11 physically inactive persons who had no previous experience with regular use of physical activity self-monitoring technology. The focus groups were analyzed by qualitative content analysis. RESULTS: The transcripts of the two focus groups resulted in 17 subcategories and five categories, which formed two themes: measurement complexity and performance and basic qualities. CONCLUSION: This study showed that the physically inactive non-users of physical activity self-monitoring technologies had positive, innovative and mainly similar opinions about how technology could promote physical activity. Since the concept of encouragement permeates the results, it can be concluded that the physical activity technology for this particular target group should primarily be based on encouraging features and functions. Further, the study indicated that it is preferable to integrate physical activity self-monitoring technology into already existing technology that the user already owns.

  • 1155.
    Åkerlind, Charlotta
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    eHomecare – for safety and communication in everyday life: The perspectives of older users, relatives and care managers2017Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    The overall aim of this thesis was to examine how eHomecare affects the daily lives of older users and their relatives, with a focus on safety and communication. A further aim was to explore care managers’ perspectives, expectations and experiences of eHomecare and its implementation. Methods: Participants in study one and two were older people with granted eHomecare and eight relatives and, care managers in study three and four. Data were collected through four qualitative studies, using individual interviews in the first and second studies before the introduction and after six months’ use of eHomecare, by individual vignette-based interviews in the third study, and with focus-group interviews in the fourth study. Data were analysed using different qualitative content analyses. Results: The participants described safety as a part of everyday life. eHomecare was found to facilitate a ‘new safety’ for older people and a ‘re-established safety’ for relatives, yet its use raised concerns about ethical considerations and reduced human contact. Participants could attain feelings of togetherness and affection through communication, although this was also considered a vulnerable activity due to physical changes and loss of other people. Used correctly, eHomecare increased communication and thus closeness and participation for the participants. For older participants unable to use the technology as hoped, eHomecare led to disappointment. Care managers expressed that eHomecare can increase older peoples’ everyday life-quality if they receive the right tools at the right time. Care managers, however, have difficulties with eHomecare’s management process. While they struggle with their own attitudes, lack of time and high workloads, their decisions are also influenced by surrounding organisations and the older people’s relatives. Care managers’ own organisations, work situations, relevant stakeholders and society in general can hinder them in managing eHomecare as a new homecare service. Widespread information about eHomecare and opportunities for relevant stakeholders to participate in its implementation are good preconditions for fulfilling the mission of care managers. Conclusions: The findings describe eHomecare from the perspectives of its older users, their relatives and the care managers responsible for managing the service. Used correctly, eHomecare increases possibilities for communication and provides safety. However, care managers have a complex mission when managing the service and they express a need for support and knowledge. The findings can be used clinically to develop older peoples’ utilization of eHomecare and to develop support for the fulfilment of care managers’ mission.

    Keywords: care managers, content analysis, communication, eHomecare, experiences, information and communication technology, older people, participation, perceptions, relatives, safety, welfare technology

  • 1156.
    Åkerlind, Charlotta
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Martin, Lene
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Gustafsson, Christine
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Care managers' expected and experienced hindrances and preconditions when eHomecare is implemented: A Qualitative Focus Group Study.Inngår i: Journal of gerontological social work, ISSN 0163-4372, E-ISSN 1540-4048Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    In Sweden, information and communication technology has been introduced into home care services for older people, i.e., eHomecare. In this study, we explore social workers’ (care managers, [CM]) expected orexperienced hindrances and preconditions affecting their role and missionin eHomecare implementation. Four focus group interviews were conducted with participants from four municipalities in central Sweden during thespring of 2015. One focus group consisted of CMs with experiences of eHomecare and the other three groups of CMs without eHomecare experience. The study found that several hindrances may occur when eHomecare is implemented as part of home care, which in turn affect CMs´mission. CMs need a society that is well-informed in general aboute Homecare and requires relevant stakeholders to participate in the implementation process. CMs need an organization that is clear about their mission and a work situation that gives them the right circumstances for professionally managing eHomecare. It is also understood that older people must be given the right circumstances to adopt the technology, thus facilitating the CMs’ mission. Knowledge and time are assumed to be preconditions for CMs when managing eHomecare.

  • 1157.
    Åkerlind, Charlotta
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Martin, Lene
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Gustafsson, Christine
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Care managers’ perceptions of eHomecare: a qualitative interview study2019Inngår i: European Journal of Social Work, ISSN 1369-1457, E-ISSN 1468-2664, nr 4, s. 634-646Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    To implement information and communication technology (ICT) in elderlycare can be a challenge for healthcare organisations. In Sweden, caremanagers (CMs) are responsible for offering ICT as a new part ofhomecare, i.e. eHomecare. The aim of this study was to focus on CMs’perspectives and describe their perceptions of eHomecare. The studyhas a qualitative approach. Semi-structured interviews based onvignettes were conducted with 12 CMs in a medium-sized municipalityin central Sweden. Data were analysed using qualitative analysis. Thefindings showed that CMs are influenced by surrounding organisationsand relatives in their decision to grant eHomecare. There were alsodifficulties in CMs’ management of eHomecare. Furthermore, eHomecarewas perceived to improve the quality of everyday life for older. It isunderstood that the management of eHomecare is a challenging taskfor CMs and a complex mission. Interactions among CMs, relatives, careproviders, and other factors as for example CMs’ own attitudes have animpact on CMs’ decisions.

  • 1158.
    Åkerlind, Charlotta
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Martin, Lene
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Gustafsson, Christine
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    eHomecare – experiences of communicationManuskript (preprint) (Annet vitenskapelig)
  • 1159.
    Åkerlind, Charlotta
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Martin, Lene
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. School of Health Sciences, City University London, UK.
    Gustafsson, Christine
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    eHomecare and safety: The experiences of older patients and their relatives2018Inngår i: Geriatric Nursing, ISSN 0197-4572, E-ISSN 1528-3984, nr 2, s. 178-185Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The study's aim was to extend descriptions of how older patients with granted eHomecare and their relatives understand safety, and further to describe how they experience safety in everyday life. The study was conducted in Sweden. The participants were 12 older patients who had been provided with eHomecare and 8 relatives. Data were collected by semi-structured individual interviews. A conceptual framework of safety was used and a qualitative content analysis was conducted in a deductive and an inductive phase. The deductive results are presented in predefined categories: perceived sense of safety, disturbance and threats, re-establishing safety, and new safety. The inductive analysis resulted in two main categories: safety as part of everyday life and eHomecare as safety. The results show that eHomecare can promote safety for older patients and their relatives. Existing doubts and ethical concerns about the service can be minimized by providing adequate information.

  • 1160.
    Åkerlind, Ingemar
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd. Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Larsson, Robert
    Mälardalens högskola, Akademin för hälsa, vård och välfärd. Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Ljungblad, Cecilia
    Mälardalens högskola, Akademin för hälsa, vård och välfärd. Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Ledarskap, socialt klimat, hälsofrämjande åtgärder och sjukfrånvaro – en jämförande studie inom vård och omsorg i 60 kommuner2013Inngår i: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 90, nr 6, s. 799-809Artikkel i tidsskrift (Annet vitenskapelig)
    Abstract [sv]

    En jämförande studie inom vård och omsorg i ett representativt urval av 60 av Sveriges 290 kommuner visar att det finns tydliga samband mellan arbetsgivarens sätt att leda och organisera verksamheten och medarbetarnas hälsa och sjukfrånvaro. Både specifika hälsofrämjande åtgärder, ledarskap och socialt klimat har betydelse. Externa strukturella områdesfaktorer, som sociodemografi och arbetsmarknad samt attityder till när det är acceptabelt att sjukskriva sig, har också betydelse dock utan att reducera sambandet med de interna organisationsfaktorerna. Det finns alltså goda skäl för arbetsgivaren att bedriva ett målmedvetet och aktivt hälsofrämjande arbete både genom direkta individinriktade insatser och genom organisatoriskt stöd för hälsoarbetet. Detsamma gäller ett mer allmänt utvecklingsinriktat och stödjande ledarskap.

  • 1161.
    Åkerström, Jeanette
    et al.
    Örebro universitet, JPS.
    Aytar, Osman
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Brunnberg, Elinor
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Intra- and Inter-generational Perspectives on Youth Participation in Sweden: A Study with Young People as Research Partners2015Inngår i: Children & society, ISSN 0951-0605, E-ISSN 1099-0860, Vol. 29, nr 2, s. 134-145Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In this study, intra- and inter-generational perspectives on youth participation are combined and compared. Young people were invited to participate as research partners in an interactive research circle and conducted a survey about participation with other young people as respondents. The discussion concerns how an interactive methodology contributes to the understanding of the concept of participation. It is suggested that political definitions of participation be amended to include having a sense of being recognised in a communicative context, taking responsibility and share with other people one’s experiences. This is based on the perspectives of young people.

  • 1162.
    Åkerström, Jeanette
    et al.
    Örebro universitet, JPS.
    Brunnberg, Elinor
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Children as Research partners in a Research circle2013Konferansepaper (Fagfellevurdert)
    Abstract [en]

    This presentation is about a Swedish study in which two groups of young people are actors, one group as research partners and another group as respondents in a study about young people’s participation. A model of the research circle, based on the Scandinavian study-circle tradition with democratic ideals, was created with young people invited as research partners in the research circle by academic researchers. The innovative design of the study included young people in the knowledge construction about youth participation. The young research partners formulated the research questions and implemented a ‘Youth survey’ among other students in secondary and upper secondary schools. Respondents in the survey are 100 students (15-18y) from mainstream schools and special schools for the Hard-of Hearing. The aim of the study was to define young people’s perspectives on participation in school-life. The young people in the study identify to have friends, being able to exert influence and understanding as central aspects of participation. They describe that the experience of participation depend on their opportunities to enact agency, responsibility, and control. Access to a free and supportive communicative context, with the agency to contribute to the interaction and decision-making is key when promoting young people’s participation in school. In this presentation, the innovative research model, as well as the report written by the adolescents in the research circle will be presented.

  • 1163.
    Åkerström, Jeanette
    et al.
    Örebro universitet, JPS.
    Brunnberg, Elinor
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Young people as partners in research: experiences from an interactive research circle with adolescent girls2013Inngår i: Qualitative Research, ISSN 1468-7941, E-ISSN 1741-3109, Vol. 13, nr 5, s. 528-545Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This article presents an interactive research methodology for young people’s participation in research. A model of the research circle, based on the Scandinavian study-circle tradition with democratic ideals, was created and is described. The empirical example is from Sweden. Academic researchers invited young people to be research partners in a research circle. The asymmetrical relationship between the researchers and the young research partners made asymmetric responsibility and respect into central parts of the methodology. The interactive process in the research circle concerns research fundamentals: developing methodological knowledge, designing a study, how to formulate the research questions from the viewpoint of young people, how to analyze from a generational insider perspective, and how to handle institutionalized andasymmetric power relations in social knowledge formation.

  • 1164.
    Åkerström Kördel, Jeanette
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Hansen, Lillian
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Brunnberg, Elinor
    Mälardalen Research Center.
    SAMFÖR - samordnat föräldrastöd2016Inngår i: Samproduktionens retorik och praktik / [ed] Per Tillgren, Inger Holmström, Jonas Stier, Gunnel Östlund, Lund: Studentlitteratur AB, 2016, s. 41-58Kapittel i bok, del av antologi (Annet vitenskapelig)
    Abstract [sv]

    SAMFÖR (Samordnat föräldrastöd till barn och unga med funktionsnedsättning) är ett samverkans- och samproduktionsprojekt som arbetar för en förbättrad samordning av föräldrastödet för barn och unga med funktionsnedsättning. Det innebär att kommun, landsting, intresseorganisationer och högskola arbetar tillsammans för att hitta nya vägar för samordning av stödet som olika aktörer har i uppgift att erbjuda. SAMFÖR:s mål är att utveckla en modell, för samordning som lyfter samordningsbördan från föräldrarnas axlar till välfärdsprofessionella och som främjar föräldrarnas möjligheter att tillsammans med sina barn leva ett liv som liknar andra barnfamiljers. I detta kapitel presenteras erfarenheter från SAMFÖR där parterna som ingår är Västerås stad, Landstinget Västmanland, Landstinget Sörmland, Västerås handikapporganisationers samarbetsråd (VHS) samt Mälardalens högskola.

  • 1165.
    Åsenlöf, Pernilla
    et al.
    Uppsala University.
    Bring, Annika
    Uppsala University.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    The clinical course over the first year of Whiplash Associated Disorders (WAD): pain-related disability predicts outcome in mildly affected sample.2013Inngår i: BMC Musculoskeletal Disorders, ISSN 1471-2474, E-ISSN 1471-2474, Vol. 14, s. Art.nr. 361-Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Different recovery patterns are reported for those befallen a whip-lash injury, but little is known about the variability within subgroups. The aims were (1) to compare a self-selected mildly affected sample (MILD) with a self-selected moderately to severely affected sample (MOD/SEV) with regard to background characteristics and pain-related disability, pain intensity, functional self-efficacy, fear of movement/(re)injury, pain catastrophising, post-traumatic stress symptoms in the acute stage (at baseline), (2) to study the development over the first year after the accident for the above listed clinical variables in the MILD sample, and (3) to study the validity of a prediction model including baseline levels of clinical variables on pain-related disability one year after baseline assessments. Methods. The study had a prospective and correlative design. Ninety-eight participants were consecutively selected. Inclusion criteria; age 18 to 65 years, WAD grade I-II, Swedish language skills, and subjective report of not being in need of treatment due to mild symptoms. A multivariate linear regression model was applied for the prediction analysis. Results: The MILD sample was less affected in all study variables compared to the MOD/SEV sample. Pain-related disability, pain catastrophising, and post-traumatic stress symptoms decreased over the first year after the accident, whereas functional self-efficacy and fear of movement/(re)injury increased. Pain intensity was stable. Pain-related disability at baseline emerged as the only statistically significant predictor of pain-related disability one year after the accident (Adj r§ssup§ 2§esup§ = 0.67). Conclusion: A good prognosis over the first year is expected for the majority of individuals with WAD grade I or II who decline treatment due to mild symptoms. The prediction model was not valid in the MILD sample except for the contribution of pain-related disability. An implication is that early observations of individuals with elevated levels of pain-related disability are warranted, although they may decline treatment

  • 1166.
    Åsenlöf, Pernilla
    et al.
    Uppsala University, Uppsala, Sweden.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Uppsala University, Uppsala, Sweden.
    A further investigation of the importance of pain cognition and behaviour in pain rehabilitation: longitudinal data suggest disability and fear of movement are most important2010Inngår i: Clinical Rehabilitation, ISSN 0269-2155, E-ISSN 1477-0873, Vol. 24, nr 5, s. 422-430Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Tailored treatments are topical in pain rehabilitation. One key issue for correlational studies is the identification of factors having a potential causal impact on essential treatment outcomes.

    Objective: To study associations between pain beliefs and disability with regard to the amount and time-frame of available data.

    Design: A prospective, correlational design.

    Subjects and setting: Ninety-two patients consulting physical therapists in primary care for persistent musculoskeletal pain.

    Main measures: The Pain Disability Index, the Self-Efficacy Scale and the Tampa Scale of Kinesiophobia.

    Results: Functional self-efficacy and fear of movement/(re) injury explained variance in pain-related disability pretreatment (adj R(2) = 0.41). Self-efficacy was the most salient predictor. Adding data from immediately post treatment decreased explained variance (adj R(2) = 0.25). Functional self-efficacy and fear of movement/ (re)injury lost their significant contribution in favour of pain-related disability at baseline. Change scores in functional self-efficacy and fear of movement/(re) injury accounted for a modest share of explained variance in change scores of disability (adj R(2) = 0.11). Fear of movement/(re) injury but not functional self-efficacy was related to a reliable change in pain-related disability.

    Conclusions: Longitudinal data suggest that pretreatment levels of pain-related disability and changes in fear of movement/(re) injury are most important to immediate treatment outcomes and individual reliable change. Disability and elevated fear of movement/(re) injury should therefore be addressed in tailored pain treatments. A "

  • 1167. Åsenlöf, Pernilla
    et al.
    Turk, Dennis
    Farrar, John
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Results of outcomes studies – clinically meaningful change: Workshop2008Konferansepaper (Fagfellevurdert)
  • 1168.
    Åslund, C.
    et al.
    Uppsala University, Sweden .
    Larm, Peter
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Starrin, B.
    Karlstad University, Karlstad, Sweden .
    Nilsson, K. W.
    Uppsala University, Sweden .
    The buffering effect of tangible social support on financial stress: Influence on psychological well-being and psychosomatic symptoms in a large sample of the adult general population2014Inngår i: International Journal for Equity in Health, ISSN 1475-9276, E-ISSN 1475-9276, Vol. 13, nr 1, s. Article number 85-Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Conclusions: Social support had its strongest effect at high levels of financial stress. The question whether the altering of our social networks may improve physical health is important for the prevention of ill health in people experiencing financial stress. Strengthening social networks may have the potential to influence health-care costs and improve quality of life. Introduction. Financial stress is an important source of distress and is related to poor mental and physical health outcomes. The present study investigated whether tangible social support could buffer the effect of financial stress on psychological and psychosomatic health. Results: Individuals with high financial stress and low tangible social support had six to seven times increased odds ratios for low psychological well-being and many psychosomatic symptoms. By contrast, individuals with high financial stress and high tangible social support had only two to three times increased odds ratios for low psychological well-being and three to four times increased odds ratios for many psychosomatic symptoms, suggesting a buffering effect of tangible social support. Consistent with the buffering hypothesis, there were significant interactions between financial stress and social support, particularly in relation to low psychological well-being.

  • 1169.
    Östlund, Gunnel
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    From therapeutic communities to evidence based practice - 40 years of experience from the development of addiction treatments and policies in Sweden.2015Konferansepaper (Fagfellevurdert)
  • 1170.
    Östlund, Gunnel
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Anbäcken, Els-Marie
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Gustavsson, Lena-Karin
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Zander, Viktoria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Elfström, Magnus Lars
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Interprofessional homebased reablement intervention of older adults - reflecting on possible trends based on the RCT pilot study.2019Konferansepaper (Fagfellevurdert)
  • 1171.
    Östlund, Gunnel
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Bjork, M.
    Linkopings Univ, Rehabil Ctr, Linkoping, Sweden.;Linkopings Univ, Dept Med & Hlth Sci, Linkoping, Sweden.;Jonkoping Univ, Sch Hlth Sci, Dept Rehabil, Jonkoping, Sweden..
    Thyberg, I.
    Linkoping Univ, Fac Hlth Sci, Dept Clin & Expt Med, Rheumatol, Linkoping, Sweden..
    Valtersson, E.
    Cty Council Ostergotland, Dept Rheumatol Ostergotland, Linkoping, Sweden..
    Sverker, A.
    Linkoping Univ, Dept Social & Welf Studies, Fac Arts & Sci, Social Work, Linkoping, Sweden.;Linkoping Univ, Dept Rehabil, Linkoping, Sweden.;Linkoping Univ, Dept Med & Hlth Sci, Linkoping, Sweden..
    ADJUSTMENT, AVOIDANCE, INTERACTION, AND ACCEPTANCE STRATEGIES WHERE USED BY MEN WITH PARTICIPATION RESTRICTIONS DUE TO EARLY RA2015Inngår i: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 74, s. 1343-1343Artikkel i tidsskrift (Annet vitenskapelig)
  • 1172.
    Östlund, Gunnel
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Björk, M.
    Cty Council Östergötland, Linköping, Sweden.
    Valtersson, E.
    Cty Council Östergötland, Linköping, Sweden.
    Sverker, A.
    Cty Council Östergötland, Linköping, Sweden.
    INTIMATE RELATIONSHIPS AS PERCEIVED BY PATIENTS WITH EARLY RHEUMATOID ARTHRITIS: A QUALITATIVE INTERVIEW STUDY (THE SWEDISH TIRA STUDY)2014Inngår i: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 73, s. 1220-1220Artikkel i tidsskrift (Fagfellevurdert)
  • 1173.
    Östlund, Gunnel
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Björk, Mathilda
    Linköpings universitet.
    Thyberg, Ingrid
    Linköpings universitet, Sweden.
    Thyberg, Mikael
    Linköpings universitet, Sweden.
    Valtersson, Eva
    Rehabilitation section NSC, County Council of Östergötland, Linköping, Sweden.
    Stenström, Birgitta
    The Swedish Rheumatism Association, Sweden.
    Sverker, Annette
    Linköpings universitet, Sweden.
    Emotions related to participation restrictions as experienced by patients with early rheumatoid arthritis: A qualitative interview study (The Swedish TIRA project)2014Inngår i: Clinical Rheumatology, ISSN 0770-3198, E-ISSN 1434-9949, Vol. 33, nr 10, s. 1403-1413Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Psychological distress is a well-known complication in rheumatoid arthritis (RA), but knowledge regarding emotions, and their relationship to participation restrictions, is scarce.

    Objectives: To explore emotions related to participation restrictions by patients with early RA. 

    Method: In this study, 48 patients with early RA, aged 20-63 years, were interviewed about participation restrictions using Critical Incident Technique. Information from transcribed interviews was converted into dilemmas and linked to ICF participation codes. The emotions described were condensed and categorized.

    Results: Hopelessness and sadness were described when trying to perform daily activities such as getting up in the mornings, getting dressed, or not being able to perform duties at work. Sadness was experienced in relation to not being able to continue leisure activities or care for children. Examples of fear descriptions were found in relation to deteriorating health and fumble fear, which made the individual withdraw from activities as a result of mistrusting the body. Anger and irritation were described in relation to domestic and employed work, but also in social relations where the individual felt unable to continue valued activities. Shame or embarrassment was described when participation restrictions became visible in public.

    Conclusions: Feelings of grief, aggressiveness, fear and shame are emotions closely related to participation restrictions in everyday life in early RA. Emotions related to disability need to be addressed both in clinical settings in order to optimize rehabilitative multi-professional interventions and in research to achieve further knowledge.

     

  • 1174.
    Östlund, Gunnel
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Björk, Mathilda
    Linköpings universitet.
    Thyberg, Ingrid
    Linköpings universitet.
    Thyberg, Mikael
    Linköpings universitet.
    Valtersson, Eva
    Landstinget i Östergötland.
    Stenström, Birgitta
    Reumatolog förbundet.
    Sverker, Annette
    Linköpings universitet.
    Känslor relaterade tilldelaktighetsbegränsningar: Erfarenheter från patienter med Reumatoidartrit, en kvalitativ intervjustudie.2014Inngår i: Best Practice,, ISSN 1329-1874, Vol. 6, nr 21, s. 12-17Artikkel i tidsskrift (Annet vitenskapelig)
  • 1175.
    Östlund, Gunnel
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Björk, Mathilda
    Linköpings universitet.
    Thyberg, Ingrid
    Linköpings universitet.
    Thyberg, Mikael
    Linköpings universitet.
    Valtersson, Eva
    Landstinget i Östergötland.
    Sverker, Annette
    Linköpings universitet.
    Men’s strategies of handling RA: (The Swedish TIRA study)2014Konferansepaper (Fagfellevurdert)
  • 1176.
    Östlund, Gunnel
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Björk, Mathilda
    Linköpings universitet, Sweden.
    Thyberg, Ingrid
    Linköpings universitet, Sweden.
    Valtersson, Eva
    Landstinget i Östergötland, Sweden.
    Sverker, Annette
    Linköpings universitet, Sweden.
    Adjustment, avoidance, interaction, and acceptance strategies where used by men with participation restrictions due to early RA.2015Konferansepaper (Fagfellevurdert)
  • 1177.
    Östlund, Gunnel
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Björk, Mathilda
    Linköpings universitet, Sweden..
    Thyberg, Ingrid
    Linköpings universitet, Sweden.
    Valtersson, Eva
    Landstinget i Östergötland, Sweden.
    Sverker, Annette
    Linköpings universitet, Sweden.
    Hur hanterar män med reumatoid artirit delaktighetsinskränkningar i vardagslivet?2017Inngår i: Best Practice, ISSN 1329-1874, Vol. 31, nr 9, s. 10-13Artikkel i tidsskrift (Annet vitenskapelig)
  • 1178.
    Östlund, Gunnel
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Björk, Mathilda
    Linköpings universitet.
    Thyberg, Ingrid
    Linköpings universitet, Sweden.
    Valtersson, Eva
    Landstinget i Östergötland, Sweden.
    Sverker, Annette
    Linköpings universitet, Sweden.
    Women’s situation-specific strategies in managing participation restrictions due to early rheumatoid arthritis: - a gender comparison.2018Inngår i: Musculoskeletal Care, ISSN 1478-2189, E-ISSN 1557-0681, Vol. 6, nr 2, s. 251-259Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Introduction:

    The present study explored how women describe their use of situation‐specific strategies when managing rheumatoid arthritis (RA). The aim was also to compare women's strategies with those of men, and see the extent to which they used the same strategies. Methods: The data were collected using semi‐structured interviews based on the critical incident technique. The sample consisted of women with early rheumatic arthritis (n = 34), and the results were compared with data reported in a previous study on men (n = 25) from the same cohort. The patient‐described participation restrictions due to RA were firstly linked to the domains of the International Classification of Functioning, Disability and Health (ICF). The different strategies used were then categorized. The study was approved by the Research Ethics Committee of the Faculty of Health Sciences, Linköping University, Sweden. Results: The study found that women used four situation‐specific strategies: adjustment, avoidance, interaction and acceptance. The same strategies had been found previously in interviews with men with RA. Women and men used these strategies to a similar extent in the ICF domains of mobility; major life arenas; domestic life; interpersonal interactions and relationships; and community, social and civic life. However, some differences were found, relating to the reported activities in self‐care and domestic life, in which women reported using strategies to a greater extent than men. Conclusions: Women and men used four types of situation‐specific strategies in managing RA; adjustment, avoidance, interaction and acceptance. These situation‐specific strategies provide useful knowledge, in terms of multidisciplinary rehabilitation and for patients' significant others

  • 1179.
    Östlund, Gunnel
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Björk, Mathilda
    Linköpings universitet.
    Valtersson, Eva
    Landstinget i Östergötland.
    Sverker, Annette
    Linköpings universitet.
    Intimate relationships as perceived by patients with early rheumatoid arthritis:: A qualitative interview study (The Swedish TIRA study)2014Konferansepaper (Fagfellevurdert)
  • 1180.
    Östlund, Gunnel
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Björk, Mathilda
    Linköpings universitet, Sverige.
    Valtersson, Eva
    Landstinget i Östergötland, Sverige.
    Sverker, Annette
    Linköpings universitet, Sverige.
    Lived experiences of sex life difficulties in men and women with early RA: The Swedish TIRA project.2015Inngår i: Musculoskeletal Care, ISSN 1478-2189, E-ISSN 1557-0681, Vol. 13, nr 4, s. 248-257Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Men and women with rheumatoid arthritis (RA) experience restrictions in everyday life, in spite of the development of new medications. Recent research has described in detail how participation limitations are experienced in everyday life from a patient perspective. However, knowledge of how sex and intimate relationships are affected is still scarce. Objectives: The aim of the present study was to explore sex life experiences in relation to sexual function and sexual relationships in men and women with early RA. Methods: The study formed part of TIRA-2 (the Swedish acronym for the prospective multicentre early arthritis project). The data collection included 45 interviews with 21 men and 24 women, aged 20-63, which were recorded and transcribed verbatim. The critical incident technique was used to collect data, and content analysis to categorize the results. Results: Half the participants stated that RA affected their sex life. The general descriptions formed five categories: sex life and tiredness; sex life and ageing; emotional consequences of impaired sexual function; facilitators of sexual function and sexual relationships; and strain on the sexual relationship. Conclusions: Sex life is affected in early RA, in spite of new effective treatment strategies. New strategies of communication, assessment and self-managing interventions concerning the sex lives of patients with RA need to be implemented by a multidisciplinary healthcare team.

  • 1181.
    Östlund, Gunnel
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Björk, Mathilda
    Linköpings universitet, Sweden.
    Valtersson, Eva
    Universitetssjukhuset i Linköping, Linköping.
    Sverker, Annette
    Universitetssjukhuset i Linköping, Linköping.
    Upplevelser av hur intima relationer påverkas vid tidig reumatoid artrit.: En intervjustudie inom TIRA-projektet.2015Konferansepaper (Fagfellevurdert)
  • 1182.
    Östlund, Gunnel
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Björk, Mathilda
    Linköpings universitet.
    Valtersson, Eva
    Landstinget i Östergötland.
    Thyberg, Ingrid
    Linköpings universitet.
    Thyberg, Mikael
    Linköpings universitet.
    Valtersson, Eva
    Landstinget i Östergötland.
    Stenström, Birgitta
    Reumatolog förbundet.
    Sverker, Annette
    Linköpings universitet.
    Emotions related to participation restrictions experienced by patients with early rheumatoid arthritis:: A qualitative interview study (The Swedish TIRA study)2013Konferansepaper (Fagfellevurdert)
  • 1183.
    Östlund, Gunnel
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Björk, Matilda
    Jönköpings hälsohögskola, Sverige.
    Thyberg, Ingrid
    Linköpings universitet, Sverige.
    Valtersson, Eva
    Östergötlands läns landsting, Sverige.
    Stenström, Birgitta
    Svenska reumatologförbundet, Sverige.
    Sverker, Annette
    Östergötlands läns landsting, Sverige.
    Emotions related to participation restrictions experienced by patients with early rheumatoid arthritis: A qualitative interview study (The Swedish TIRA study)2013Inngår i: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 72, s. 362-362Artikkel i tidsskrift (Fagfellevurdert)
  • 1184.
    Östlund, Gunnel
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Darvishpour, Mehrdad
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Kanaskar, Mukesh
    All India Institute of Local Self-Government, India.
    Gupta, Shweta
    All India Institute of Local Self-Government, India.
    Varghese, Usha
    Bharati Vidyapeeth University, India.
    Kulkarni, Vijay
    Bharati Vidyapeeth University, India.
    Welfare Lab a model for collaborative learning and mutual exchange between social workers welfare professionals in different countries2018Inngår i: Local Government Quarterly, ISSN 0024-5623, nr April-June, s. 6-20Artikkel i tidsskrift (Annet vitenskapelig)
    Abstract [en]

    This article describes and evaluates Welfare Labs, a new methodological approach for international exchange and collaborative learning in the area of health and welfare. The Welfare Lab model was developed in a collaborative process between social workers in India and Sweden. A Welfare Lab establishes mutual exchange of ideas for collaborative learning in higher education and in practices of health and welfare. During Welfare Lab, the participants reflect about practical welfare work and relate this to professional training and social context. Together they will find a creative approach where sensitive issues, both general and more specific are possible to discuss

  • 1185.
    Östlund, Gunnel
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Johansson, Gun
    Karolinska institutet, Sweden.
    Remaining in workforce: employment barriers for people with disabilities in a Swedish context2018Inngår i: Scandinavian Journal of Disability Research, ISSN 1501-7419, E-ISSN 1745-3011, Vol. 20, nr 1, s. 18-25Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Participation in the workforce is lower among people with disabilities worldwide. In this study we explore how people with disabilities perceive their inclusion in working life. Twenty women and men were interviewed. The sample comprises a group of working people experiencing different kinds of physical and sensory disabilities. The employment barriers found were related to accessibility, cooperation among welfare agencies, technical aids and welfare services. We named them as follows: the environmental participation barrier, the jungle of devices, the catch 22 situations, and, the inflexibility of welfare services. According to our interpretation these external barriers hinder people with disabilities from engaging in work and civic life to the extent that they want. Most interviewees in our sample were well-educated and successfully employed, nevertheless they all had experienced barriers in relation to remaining in work. Although the intentions in Sweden and most welfare states is to include people with disabilities in working life there are several obstacles in implementation of this intention. 

  • 1186.
    Östlund, Gunnel
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Mattebo, Magdalena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Elfström, Magnus Lars
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Psykisk hälsa unga kvinnor (PHUK) med skolan som forskningsarena.2018Konferansepaper (Annet (populærvitenskap, debatt, mm))
  • 1187.
    Östlund, Gunnel
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Söderbäck, Maja
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Tillgren, Per
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Review of coproduced research within health and welfare, focusing the cooperation in between Thailand and Sweden.2019Inngår i: Global health, 2019Konferansepaper (Fagfellevurdert)
  • 1188.
    Östlund, Gunnel
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Thyberg, Ingrid
    Linköpings universitet, Sverige.
    Valtersson, Eva
    Landstinget i Östergötland, Sverige.
    Björk, Mathilda
    Linköpings universitet, Sverige.
    Sverker, Annette
    Linköpings universitet, Sverige.
    The use of avoidance, adjustment, interaction and acceptance strategies to handle participation restrictions among Swedish men with early rheumatoid arthritis.2016Inngår i: Musculoskeletal Care, ISSN 1478-2189, E-ISSN 1557-0681, Vol. 14, nr 4, s. 206-218Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives

    Living with a chronic disease means learning to live under new circumstances and involves a continuous adaptation to new ways of living. There is increasing knowledge about how people cope with stressful life events and adapt to new life situations. Approximately a third of patients diagnosed with rheumatoid arthritis (RA) are men; however, few studies have described the needs and experiences of men living with RA. The aim of the present study was to explore men's strategies for handling challenges related to participation in everyday life.

    Methods

    The present study was associated with the prospective Swedish multicentre early arthritis project (given the Swedish acronym TIRA), which, in 2006–2009, included patients with early RA, contemporarily treated, with a mean disease duration of three years. From this cohort, 25 men, aged 20–63 years, were recruited consecutively. Data were collected in individual interviews, using the critical incident technique. The strategies for dealing with the challenges of RA in everyday life were analysed and categorized using content analysis.

    Results

    Men with RA described four types of strategy for dealing with participation restrictions in everyday life: (i) Adjustment strategies – adjust behaviour, movements, medication, equipment and clothing to find new ways to conduct tasks or activities; (ii) Avoidance strategies – avoid activities, movements, social contacts and sometimes medication; (iii) Interaction strategies – say no, ask for help and work together to handle participation restrictions; and (iv) Acceptance strategies – learn to accept RA, with the pain, the slower work pace and the extended time needed.

    Conclusions

    According to men's lived experiences, a combination of strategies was used to deal with RA, depending on the situation and the experienced restriction. The results provided an understanding of how men with RA manage their disease, to reduce physical, social and emotional challenges. This knowledge may be used further to develop multi-professional interventions and patient education tailored to men with RA.

  • 1189.
    Östlund, Gunnel
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Tillgren, Per
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    The Nordic research field of co-creation/co-production within Welfare and Health - a systematic review.2018Konferansepaper (Fagfellevurdert)
  • 1190.
    Östlund, Gunnel
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Tillgren, Per
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    What can we learn from the Nordic research field Co-production within Welfare and Health?: - a scoping study.2018Konferansepaper (Fagfellevurdert)
  • 1191.
    Östlund, Gunnel
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Zander, Viktoria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Elfström, Magnus
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Gustafsson, Lena-Karin
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Anbäcken, Els-Marie
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    “It gets easier when the sun is shining”: a follow-up study after a reablement intervention2017Konferansepaper (Fagfellevurdert)
  • 1192.
    Östlund, Gunnel
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Zander, Viktoria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Elfström, Magnus
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Gustafsson, Lena-Karin
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Anbäcken, Els-Marie
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Older adults’ experiences of a reablement process.: "To be treated like an adult, and ask for what I want and how I want it"2019Inngår i: Educational gerontology, ISSN 0360-1277, E-ISSN 1521-0472, Vol. 45, nr 8, artikkel-id https://doi.org/10.1080/03601277.2019.1666525Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

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

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

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

  • 1193.
    Östlund, Gunnel
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Zander, Viktoria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Elfström, Magnus, L.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Gustafsson, Lena-Karin
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Anbäcken, Els-Marie
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    ´Nothing to do about it, simply hang on´ - Older women´s experiences of social and existential health after a reablement intervention2018Konferansepaper (Fagfellevurdert)
  • 1194.
    Özar, Şemsa
    et al.
    Boğaziçi University, İstanbul/ Turkey.
    Uçarlar, Nesrin
    Bilgi University, İstanbul/ Turkey.
    Aytar, Osman
    Mälardalens högskola, Akademin för hälsa, vård och välfärd. Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    From Past to Present a Paramilitary Organization in Turkey: Village Guard System2013 (oppl. 1)Bok (Annet vitenskapelig)
  • 1195.
    Özar, Şemsa
    et al.
    Boğaziçi University, İstanbul/ Turkey.
    Uçarlar, Nesrin
    Bilgi University, İstanbul/ Turkey.
    Aytar, Osman
    Mälardalens högskola, Akademin för hälsa, vård och välfärd. Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Ji Do Heta Îro Li Tirkiyeyê Sazîbûneka Nîvleşkerî: Pergala Cerdevaniyê [From Past to Present a Paramilitary Organization in Turkey: Village Guard System]2013 (oppl. 1)Bok (Annet vitenskapelig)
  • 1196.
    Özdemir, M.
    et al.
    Örebro University, Örebro, Sweden.
    Koutakis, Nikolaus
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Örebro University, Örebro, Sweden.
    Does promoting parents' negative attitudes to underage drinking reduce adolescents' drinking?: The mediating process and moderators of the effects of the Örebro Prevention Programme2016Inngår i: Addiction, ISSN 0965-2140, E-ISSN 1360-0443, Vol. 111, nr 2, s. 263-271Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background and aims: The Örebro Prevention Programme (ÖPP) was found previously to be effective in reducing drunkenness among adolescents [Cohen's d=0.35, number needed to treat (NNT)=7.7]. The current study tested the mediating role of parents' restrictive attitudes to underage drinking in explaining the effectiveness of the ÖPP, and the potential moderating role of gender, immigration status, peers' and parents' drinking and parent-adolescent relationship quality. Design: A quasi-experimental matched-control group study with assessments at baseline, and at 18- and 30-month follow-ups. Participants: Of the 895 target youths at ages 12-13years, 811 youths and 651 parents at baseline, 653 youths and 524 parents at 18-month and 705 youths and 506 parents at 30-month follow-up participated in the study. Measurements: Youths reported on their past month drunkenness, their parents' and peers' alcohol use and the quality of their relationship with parents. Parents reported on their attitudes to underage drinking. Findings: The mediation analyses, using latent growth curve modeling, showed that changes in parents' restrictive attitudes to underage drinking explained the impact of the ÖPP on changes in youth drunkenness, which was reduced, and onset of monthly drunkenness, which was delayed, relative to controls. Mediation effect explained 57 and 45% of the effects on drunkenness and onset of monthly drunkenness, respectively. The programme effects on both parents' attitudes and youth drunkenness were similar across gender, immigrant status, parents' and peers' alcohol use and parent-youth relationship quality. Conclusions: Increasing parents' restrictive attitudes to youth drinking appears to be an effective and robust strategy for reducing heavy underage drinking regardless of the adolescents' gender, cultural origin, peers' and parents' drinking and relationship quality with parents.

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