Change search
Link to record
Permanent link

Direct link
BETA
Melander Wikman, AnitaORCID iD iconorcid.org/0000-0002-8052-6680
Alternative names
Publications (10 of 86) Show all publications
Sandlund, M., Pohl, P., Ahlgren, C., Skelton, D. A., Melander Wikman, A., Bergvall-Kåreborn, B. & Lundin-Olsson, L. (2018). Gender perspective on older people’s exercise preferences and motivators in the context of falls prevention: a qualitative Study. BioMed Research International, Article ID 6865156.
Open this publication in new window or tab >>Gender perspective on older people’s exercise preferences and motivators in the context of falls prevention: a qualitative Study
Show others...
2018 (English)In: BioMed Research International, ISSN 2314-6133, E-ISSN 2314-6141, article id 6865156Article in journal (Refereed) Published
Abstract [en]

Background. Several factors have previously been identified to positively influence the uptake and adherence for fall prevention exercise programmes. There is, however, a lack of studies investigating if men and women differ in their views and preferences for fall prevention exercises. Aim. To explore exercise preferences and motivators of older community-dwelling women and men in the context of falls prevention from a gender perspective. Methods. Workshops including multistage focus group discussions were conducted with 18 older community-dwelling people with and without history of falls. Participants were purposively selected and divided into two groups. Each group met on six occasions over a period of five months. Participatory and Appreciative Action and Reflection methodology was used to guide the discussions. A qualitative content analysis approach was used in the analysis. Results. Older participants had many diverse preferences and confirmed that individually tailored exercise, in terms of mode, intensity, challenge, and social context, is important. Moreover, important factors for exercise adherence and maintenance included the experience of individual confirmation; different spirit lifters to increase enjoyment; and personal tricks to maintain exercise routines. The individual differences within genders were more diverse than the differences between women and men. Conclusion. Exercise interventions to prevent falls should be individually tailored, based on the specific needs and preferences of the older participant, and do not appear to require gender specific approaches. To increase adherence, intrinsic motivation for exercise may be encouraged by competence enhancing confirmations, energizing spirit lifters, and practical tips for exercise maintenance. The study provides an awareness about women’s and men’s preferences for fall prevention exercises, and this information could be used as guidance in designing inclusive exercise interventions.

Place, publisher, year, edition, pages
Hindawi Publishing Corporation, 2018
National Category
Physiotherapy Information Systems, Social aspects
Research subject
Physiotherapy; Information systems
Identifiers
urn:nbn:se:ltu:diva-70156 (URN)10.1155/2018/6865156 (DOI)000439167500001 ()30112416 (PubMedID)2-s2.0-85051027690 (Scopus ID)
Note

Validerad;2018;Nivå 2;2018-07-24 (inah)

Available from: 2018-07-24 Created: 2018-07-24 Last updated: 2018-08-20Bibliographically approved
Åberg, A. C., Halvorsen, K., From, I., Bergman Bruhn, Å., Oestreicher, L. & Melander Wikman, A. (2017). A Study Protocol for Applying User Participation and Co-Learning: Lessons Learned from the eBalance-Project. International Journal of Environmental Research and Public Health, 14(5), Article ID E512.
Open this publication in new window or tab >>A Study Protocol for Applying User Participation and Co-Learning: Lessons Learned from the eBalance-Project
Show others...
2017 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 14, no 5, article id E512Article in journal (Refereed) Published
Abstract [en]

The eBalance project is based on the idea that serious exergames-i.e., computer gaming systems with an interface that requires physical exertion to play-that are well adapted to users, can become a substantial part of a solution to recognized problems of insufficient engagement in fall-prevention exercise and the high levels of fall-related injuries among older people. This project is carried out as a collaboration between eight older people who have an interest in balance training and met the inclusion criteria of independence in personal activities of daily living, access to and basic knowledge of a computer, four staff working with the rehabilitation of older adults, and an interdisciplinary group of six research coordinators covering the areas of geriatric care and rehabilitation, as well as information technology and computer science. This paper describes the study protocol of the project's initial phase which aims to develop a working partnership with potential users of fall-prevention exergames, including its conceptual underpinnings. The qualitative methodology was inspired by an ethnographical approach implying combining methods that allowed the design to evolve through the study based on the participants' reflections. A participatory and appreciative action and reflection (PAAR) approach, accompanied by inquiries inspired by the Normalization Process Theory (NPT) was used in interactive workshops, including exergame testing, and between workshop activities. Data were collected through audio recordings, photos, and different types of written documentation. The findings provide a description of the methodology thus developed and applied. They display a methodology that can be useful for the design and development of care service and innovations for older persons where user participation is in focus.

Place, publisher, year, edition, pages
Basel: MDPI, 2017
Keywords
User participation; reflective practice;action research;co-learning;implementation
National Category
Medical and Health Sciences Physiotherapy
Research subject
Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-63336 (URN)10.3390/ijerph14050512 (DOI)000404106400060 ()28489067 (PubMedID)2-s2.0-85018871242 (Scopus ID)
Projects
eBalance
Note

Validerad; 2017; Nivå 2; 2017-05-16 (andbra)

Available from: 2017-05-12 Created: 2017-05-12 Last updated: 2018-11-26Bibliographically approved
Sandlund, M., Skelton, D. A., Pohl, P., Ahlgren, C., Melander Wikman, A. & Lundin-Olsson, L. (2017). Gender perspectives on views and preferences of older people on exercise to prevent falls: mixed studies review. BMC Geriatrics, 17(1), Article ID 58.
Open this publication in new window or tab >>Gender perspectives on views and preferences of older people on exercise to prevent falls: mixed studies review
Show others...
2017 (English)In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 17, no 1, article id 58Article in journal (Refereed) Published
Abstract [en]

BACKGROUNDTo offer fall prevention exercise programs that attract older people of both sexes there is a need to understand both women's and men's views and preferences regarding these programs. This paper aims to systematically review the literature to explore any underlying gender perspectives or gender interpretations on older people's views or preferences regarding uptake and adherence to exercise to prevent falls.METHODSA review of the literature was carried out using a convergent qualitative design based on systematic searches of seven electronic databases (PubMed, CINAHL, Amed, PsycINFO, Scopus, PEDro, and OTseeker). Two investigators identified eligible studies. Each included article was read by at least two authors independently to extract data into tables. Views and preferences reported were coded and summarized in themes of facilitators and barriers using a thematic analysis approach.RESULTSNine hundred and nine unique studies were identified. Twenty five studies met the criteria for inclusion. Only five of these contained a gender analysis of men's and women's views on fall prevention exercises. The results suggests that both women and men see women as more receptive to and in more need of fall prevention messages. The synthesis from all 25 studies identified six themes illustrating facilitators and six themes describing barriers for older people either starting or adhering to fall prevention exercise. The facilitators were: support from professionals or family; social interaction; perceived benefits; a supportive exercise context; feelings of commitment; and having fun. Barriers were: practical issues; concerns about exercise; unawareness; reduced health status; lack of support; and lack of interest. Considerably more women than men were included in the studies.CONCLUSIONAlthough there is plenty of information on the facilitators and barriers to falls prevention exercise in older people, there is a distinct lack of studies investigating differences or similarities in older women's and men's views regarding fall prevention exercise. In order to ensure that fall prevention exercise is appealing to both sexes and that the inclusion of both men and women are encouraged, more research is needed to find out whether gender differences exists and whether practitioners need to offer a range of opportunities and support strategies to attract both women and men to falls prevention exercise.

Place, publisher, year, edition, pages
BioMed Central, 2017
Keywords
accidental falls; adherence;aged; exercise; Gender identity
National Category
Physiotherapy
Research subject
Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-62085 (URN)10.1186/s12877-017-0451-2 (DOI)000397451900001 ()28212622 (PubMedID)2-s2.0-85013077386 (Scopus ID)
Projects
Säkra steg
Funder
Swedish Research Council
Note

Validerad; 2017; Nivå 2; 2017-02-21 (andbra)

Available from: 2017-02-20 Created: 2017-02-20 Last updated: 2018-11-23Bibliographically approved
Wiklund-Axelsson, S.-A. & Melander-Wikman, A. (2016). Ready for eHealth (ed.). In: (Ed.), : . Paper presented at World Conference of Gerontechnology : 28/09/2016 - 30/09/2016.
Open this publication in new window or tab >>Ready for eHealth
2016 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

The purpose of the study was to predict the usage of health related-ICT among older adults in Sweden. Method Psychosocial impact of Assistive Scale (PIADS) were used to measure expectations on health related ICT applications, illustrated in two scenarios. The illustrated scenarios was a description of a possible set of event that may reasonably take place when people used existing and future web based e-health services. The scenarios included an explanatory text how people were or will be able to use e-health services. The PIADS scale together with the scenarios was distributed as a questionnaire to a random selected Swedish population age 55-105. Respondents answered the questionnaire via a telephone interview or by post. Dimensions measured were psychosocial dimensions as; adaptability, competence and well-being. Results & Discussion Older Swedes have, from a psychosocial perspective, positive expectations regarding e-health services. Total PIADS score and the sub-scores were significantly higher for the future scenario than for the existing. The future scenario could be interpreted to suggest situations of sociability, independence, mobility and self-management. In this study the scale was used as a predictor for rejection or abandoned acceptance of health related ICT. In conclusion the PIADS is also usable as a predictor for acceptance of health related ICT.

National Category
Physiotherapy
Research subject
Physiotherapy; Enabling ICT (AERI)
Identifiers
urn:nbn:se:ltu:diva-38808 (URN)d50e9278-ed47-4cac-92c8-ff280bda59ee (Local ID)d50e9278-ed47-4cac-92c8-ff280bda59ee (Archive number)d50e9278-ed47-4cac-92c8-ff280bda59ee (OAI)
Conference
World Conference of Gerontechnology : 28/09/2016 - 30/09/2016
Available from: 2016-10-03 Created: 2016-10-03 Last updated: 2018-04-23Bibliographically approved
Wiklund-Axelsson, S.-A. & Melander-Wikman, A. (2016). Ready for eHealth. Older Swedes’ Perceptions of eHealth Services: Using the PIADS scale as a Predictor for Readiness (ed.). Technologies, 4(29)
Open this publication in new window or tab >>Ready for eHealth. Older Swedes’ Perceptions of eHealth Services: Using the PIADS scale as a Predictor for Readiness
2016 (English)In: Technologies, ISSN 2227-7080, Vol. 4, no 29Article in journal (Refereed) Published
Abstract [en]

Introduction: Relevant determinants of adoption of eHealth are needed in order tounderstand future usage. Aim: To investigate the anticipated psychosocial impact of presentand future eHealth services and discuss how psychosocial factors can impact the readiness foreHealth services among older Swedes and reflect upon instruments for measuring eHealth acceptance.Method: The Psychosocial Impact of Assistive Device Scale (PIADS) measured the psychosocialimpact of eHealth services as illustrated in pictures of a set of events of eHealth services that mayreasonably occur in the present and the future. The PIADS scale and the scenarios were administeredvia a randomly selected sample from the Swedish population aged 55–105. Results and Discussion:Older Swedes have, from a psychosocial perspective, positive expectations regarding eHealth services.The PIADS scale could be a useful supplement to acceptance measurements in the context of eHealth.Using animated illustrations to depict eHealth services, together with the PIADS scale, can generatefindings that are generalizable across technologies. The dimensions adaptability, competence andself-esteem could be relevant determinants of adoption of eHealth.

Keywords
adoption, eHealth, ICT, older persons, psychosocial impact, readiness
National Category
Physiotherapy
Research subject
Physiotherapy; Enabling ICT (AERI); Centre - eHealth Innovation Centre (EIC)
Identifiers
urn:nbn:se:ltu:diva-16263 (URN)10.3390/technologies4030029 (DOI)000398902000011 ()fe33bfc7-4579-4444-a1ec-544e9e681f1d (Local ID)fe33bfc7-4579-4444-a1ec-544e9e681f1d (Archive number)fe33bfc7-4579-4444-a1ec-544e9e681f1d (OAI)
Note

Validerad; 2016; Nivå 1; 2016-11-10 (inah)

Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2019-03-20Bibliographically approved
Wiklund Axelsson, S., Wikberg-Nilsson, Å. & Melander Wikman, A. (2016). Sustainable Lifestyle Change: Participatory Design of Support Together with Persons with Obesity in the Third Age. International Journal of Environmental Research and Public Health, 13(12), Article ID 1248.
Open this publication in new window or tab >>Sustainable Lifestyle Change: Participatory Design of Support Together with Persons with Obesity in the Third Age
2016 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, ISSN 1661-7827, Vol. 13, no 12, article id 1248Article in journal (Refereed) Published
Abstract [en]

Sustainable lifestyle changes due to obesity are difficult to achieve regardless methods used. We need to know more about the lived experience of obesity and older persons’ needs for support to make a sustainable change. This paper focuses on the need-finding process in designing support for a sustainable lifestyle change. Multistage focus group interviews were conducted with persons aged 61–72 living in Northern Sweden. A participatory and appreciative reflection and action (PAAR) approach was used in the group-sessions. Probes were used to increase reflections and achieve a deeper knowledge about the participants’ needs of support. Data were analysed using qualitative thematic content analysis. Our findings revealed that to be able to succeed with a lifestyle change a focus has to be on a converted way of thinking, managing vulnerability, and achieving an emotional balance. To achieve a sustainable lifestyle change due to obesity in the third age the focus has to be on a health identity instead of a weight identity. Personalised support with enjoyable physical activities should be designed and developed. Strategies for emotional balance based on autonomy and self-empowerment must be included. This knowledge is important when designing support for sustainable change.

Keywords
older persons, life-style change, m-health, participatory design
National Category
Other Engineering and Technologies not elsewhere specified Physiotherapy
Research subject
Physiotherapy; Industrial Design; Centre - eHealth Innovation Centre (EIC)
Identifiers
urn:nbn:se:ltu:diva-61176 (URN)10.3390/ijerph13121248 (DOI)000392280100019 ()27999272 (PubMedID)2-s2.0-85007246731 (Scopus ID)
Note

Validerad; 2017; Nivå 2; 2016-12-21 (kribac)

Available from: 2016-12-20 Created: 2016-12-20 Last updated: 2019-03-21Bibliographically approved
Sandlund, M., Lindgren, H., Pohl, P., Melander-Wikman, A., Bergvall-Kåreborn, B. & Lundin-Olsson, L. (2016). Towards a mobile exercise application to prevent falls: A participatory design process (ed.). International Journal of Child Health and Human Development, 9(3), 389-398
Open this publication in new window or tab >>Towards a mobile exercise application to prevent falls: A participatory design process
Show others...
2016 (English)In: International Journal of Child Health and Human Development, ISSN 1939-5965, Vol. 9, no 3, p. 389-398Article in journal (Refereed) Published
Abstract [en]

In this cross-disciplinary project senior citizens and researchers participated in the collaborative design and development of a mobile exercise application to prevent falls. The methods Form-IT and Participator) and Appreciative Action and Reflection (PAAR) were applied in a series of workshops, facilitating the creation of new knowledge and a socio-technical platform for an end-user development process. The participation of the older people was key to understanding the broad range of preferences and motivational aspects. The outcomes emerged into prototypes, which were composed using the ACKTUS platform for end-user development, resulting in a dynamic application, easily adaptable to future needs and studies.

National Category
Physiotherapy Information Systems, Social aspects
Research subject
Physiotherapy; Information systems; Enabling ICT (AERI)
Identifiers
urn:nbn:se:ltu:diva-6872 (URN)5324370a-91ec-4b74-801b-c64a01369e30 (Local ID)5324370a-91ec-4b74-801b-c64a01369e30 (Archive number)5324370a-91ec-4b74-801b-c64a01369e30 (OAI)
Projects
Early signs of mobility limitations and fall events in old age: long-term consequences and tailored preventive interventions through interactive media
Note

Validerad; 2017; Nivå 1; 2016-12-21 (kribac)

Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2017-11-24Bibliographically approved
Bergvall-Kåreborn, B., Melander-Wikman, A., Eriksson, C. I. & Ståhlbröst, A. (2015). A Model for Reflective Participatory Design: The Role of Participation, Voice and Space (ed.). In: (Ed.), (Ed.), 21st Americas Conference on Information Systems: AMCIS 2015, Puerto Rico, 13 - 15 August 2015. Paper presented at Americas Conference on Information Systems : 13/08/2015 - 15/08/2015. : Americas Conference on Information Systems
Open this publication in new window or tab >>A Model for Reflective Participatory Design: The Role of Participation, Voice and Space
2015 (English)In: 21st Americas Conference on Information Systems: AMCIS 2015, Puerto Rico, 13 - 15 August 2015, Americas Conference on Information Systems , 2015Conference paper, Published paper (Refereed)
Abstract [en]

This paper aims to contribute to the participatory tradition in health informatics by presenting a model for reflective participatory design emerging from qualitative fieldwork in a participatory project aimed to improve the health and wellbeing of older people in the northern periphery regions of Europe, through new mobile services. The model brings together two established processes in novel ways: systems development and user participation. Within each process three concepts are presented to facilitate discussion and reflection at the concept level, the process level and the integrated process level.

Place, publisher, year, edition, pages
Americas Conference on Information Systems, 2015
National Category
Physiotherapy Information Systems, Social aspects
Research subject
Physiotherapy; Information systems; Enabling ICT (AERI)
Identifiers
urn:nbn:se:ltu:diva-34418 (URN)89d094d0-8cdb-40ac-8b11-8875010b8b95 (Local ID)9780996683104 (ISBN)89d094d0-8cdb-40ac-8b11-8875010b8b95 (Archive number)89d094d0-8cdb-40ac-8b11-8875010b8b95 (OAI)
Conference
Americas Conference on Information Systems : 13/08/2015 - 15/08/2015
Projects
MyHealth@Age
Note
Godkänd; 2015; 20150521 (animel)Available from: 2016-09-30 Created: 2016-09-30 Last updated: 2017-11-25Bibliographically approved
Melander-Wikman, A. (2015). Aktivitet: E-hälsa - innovationer, metoder, interventioner och perspektiv (ed.). Paper presented at .
Open this publication in new window or tab >>Aktivitet: E-hälsa - innovationer, metoder, interventioner och perspektiv
2015 (Swedish)Other (Other (popular science, discussion, etc.))
Abstract [sv]

Symposium den 22 oktober vid Fysioterapi 2015, Stockholm Watefront Congress Center

National Category
Physiotherapy
Research subject
Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-36434 (URN)36672d48-d599-450f-bd78-295ca5bd06a5 (Local ID)36672d48-d599-450f-bd78-295ca5bd06a5 (Archive number)36672d48-d599-450f-bd78-295ca5bd06a5 (OAI)
Note
Land: Sverige; Ort: Stockholm; Startdatum: 22/10/2015; Slutdatum: 22/10/2015; Roll: Deltagare; Typ: Övrigt (t.ex. priser, externa föreläsningar och andra aktiviteter) - AnnatAvailable from: 2016-09-30 Created: 2016-09-30 Last updated: 2017-11-25Bibliographically approved
Pohl, P., Sandlund, M., Ahlgren, C., Bergvall-Kåreborn, B., Olsson, L. L. & Melander-Wikman, A. (2015). Fall risk awareness and safety precautions taken by older community-dwelling women and men: A qualitative study using focus group discussions (ed.). Paper presented at . PLoS ONE, 10(3), Article ID e0119630.
Open this publication in new window or tab >>Fall risk awareness and safety precautions taken by older community-dwelling women and men: A qualitative study using focus group discussions
Show others...
2015 (English)In: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 10, no 3, article id e0119630Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: Daily life requires frequent estimations of the risk of falling and the ability to avoid a fall. The objective of this study was to explore older women's and men's understanding of fall risk and their experiences with safety precautions taken to prevent falls.METHODS: A qualitative study with focus group discussions was conducted. Eighteen community-dwelling people [10 women and 8 men] with and without a history of falls were purposively recruited. Participants were divided into two groups, and each group met four times. A participatory and appreciative action and reflection approach was used to guide the discussions. All discussions were audio recorded and transcribed verbatim. Data were analysed by qualitative content analysis, and categories were determined inductively.FINDINGS: Three categories describing the process of becoming aware of fall risks in everyday life were identified: 1] Facing various feelings, 2] Recognizing one's fall risk, and 3] Taking precautions. Each category comprised several subcategories. The comprehensive theme derived from the categories was "Safety precautions through fall risk awareness". Three strategies of ignoring [continuing a risky activity], gaining insight [realizing the danger in a certain situation], and anticipating [thinking ahead and acting in advance] were related to all choices of actions and could fluctuate in the same person in different contexts.CONCLUSIONS: The fall risk awareness process might be initiated for various reasons and can involve different feelings and precautions as well as different strategies. This finding highlights that there are many possible channels to reach older people with information about fall risk and fall prevention, including the media and their peers. The findings offer a deeper understanding of older peoples' conceptualizations about fall risk awareness and make an important contribution to the development and implementation of fall prevention programmes.

National Category
Physiotherapy Information Systems, Social aspects
Research subject
Physiotherapy; Information systems
Identifiers
urn:nbn:se:ltu:diva-15271 (URN)10.1371/journal.pone.0119630 (DOI)000351284600078 ()25781181 (PubMedID)2-s2.0-84924940369 (Scopus ID)ec5ab190-0e59-4616-a351-e4b649a21bf4 (Local ID)ec5ab190-0e59-4616-a351-e4b649a21bf4 (Archive number)ec5ab190-0e59-4616-a351-e4b649a21bf4 (OAI)
Projects
Early signs of mobility limitations and fall events in old age: long-term consequences and tailored preventive interventions through interactive media
Note
Validerad; 2015; Nivå 2; 20150213 (animel)Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2018-07-10Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-8052-6680

Search in DiVA

Show all publications