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Barchéus, I.-M., Ranner, M., Nyman, A., Månsson Lexell, E. & Larsson-Lund, M. (2023). Developing and testing the feasibility of a new internet-based intervention-A case study of people with stroke and occupational therapists. PLOS ONE, 18(12), Article ID e0296364.
Open this publication in new window or tab >>Developing and testing the feasibility of a new internet-based intervention-A case study of people with stroke and occupational therapists
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2023 (English)In: PLOS ONE, E-ISSN 1932-6203, Vol. 18, no 12, article id e0296364Article in journal (Refereed) Published
Abstract [en]

Introduction: Internet-based interventions are called for within rehabilitation to meet the limited access to support for self-management after stroke. Therefore, a new intervention program, “Strategies for Empowering activities in Everyday life” (SEE) was developed. The aim of this study was to explore and describe how clients with stroke and their occupational therapists experienced the SEE intervention process and whether SEE has the potential to promote an active everyday life.

Methods: A qualitative descriptive case study was designed. Four people with stroke (two of each sex, mean age 66,5 years) and their two occupational therapists (one of each sex) were included. A mix of data collection methods as interviews, assessments, registration forms and fieldnotes was used to uncover the participants’ experiences and potential changes. Data were analysed with pattern matching.

Findings: The analysed data formed three categories: “Not being able to take on the internet-based intervention”, “Being facilitated in the change process of everyday life through the internet-based intervention”, and “Providing a new internet-based intervention is a transition from ordinary practice”. These categories included two to four subcategories that reflected aspects of SEE feasibility and acceptability with a focus on content and delivery.

Conclusion: The first test of the intervention indicates that the content and delivery of SEE can be feasible and acceptable both for clients and occupational therapists. The findings suggest that SEE has the potential to support clients’ self-reflections and their adoption of strategies that influence engagement in daily activities and satisfaction with life in various ways. Further research with large-scale studies is needed.

Place, publisher, year, edition, pages
Public Library of Science, 2023
National Category
Occupational Therapy
Research subject
Occupational Therapy
Identifiers
urn:nbn:se:ltu:diva-103743 (URN)10.1371/journal.pone.0296364 (DOI)001135922100014 ()38153937 (PubMedID)2-s2.0-85181049415 (Scopus ID)
Funder
The Kamprad Family Foundation
Note

Validerad;2024;Nivå 2;2024-01-29 (signyg);

Full text license: CC BY-4.0

Available from: 2024-01-16 Created: 2024-01-16 Last updated: 2024-02-02Bibliographically approved
Sirkka, M., Larsson-Lund, M. & Zingmark, K. (2023). Experiences with continuous quality improvement work based on the Occupational Therapy Intervention Process Model. Scandinavian Journal of Occupational Therapy, 30(7), 1085-1091
Open this publication in new window or tab >>Experiences with continuous quality improvement work based on the Occupational Therapy Intervention Process Model
2023 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 30, no 7, p. 1085-1091Article in journal (Refereed) Published
Abstract [en]

Background: Sustainability is an important issue in implementation processes in health care, and more knowledge is needed to facilitate improvement work in occupational therapy practice.

Aim: The aim of this study was to explore how occupational therapists experienced continuous quality improvement work based on the Occupational Therapy Intervention Process Model after 17 years.

Method: Two focus group interviews were conducted with a total of 12 occupational therapists. The data were analysed using qualitative content analysis.

Results: The analysis resulted in three themes with related subthemes describing the occupational therapists’ experiences of their model-based long-term improvement work. The themes were labelled as follows: ‘sharing a safe and well-known professional reasoning’, ‘reaching normality and empowerment’ and ‘questioning and reshaping the too safe and too well-known normality’. The model functioned as a sustainable framework both for ordinary clinical practice and for continuous improvement work.

Conclusion: By using the model, the occupational therapists had established a safe and well-known professional reasoning in which continual quality improvement work had become sustainable.

Place, publisher, year, edition, pages
Taylor & Francis, 2023
Keywords
Models of practice, sustainability, occupational therapy, professional reasoning
National Category
Occupational Therapy
Research subject
Occupational Therapy; Nursing
Identifiers
urn:nbn:se:ltu:diva-93011 (URN)10.1080/11038128.2022.2121756 (DOI)000852161000001 ()36084242 (PubMedID)2-s2.0-85138224719 (Scopus ID)
Funder
Norrbotten County Council
Note

Validerad;2023;Nivå 2;2023-11-08 (joosat);

Full text license: CC BY-NC-ND 4.0

Available from: 2022-09-13 Created: 2022-09-13 Last updated: 2023-11-08Bibliographically approved
Loudoun, F. M., Boyle, B. & Larsson-Lund, M. (2023). Making choices in digital play spaces: Children’s experiences. Scandinavian Journal of Occupational Therapy, 30(8), 1460-1471
Open this publication in new window or tab >>Making choices in digital play spaces: Children’s experiences
2023 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 30, no 8, p. 1460-1471Article in journal (Refereed) Published
Abstract [en]

Background:

Digital spaces are rapidly emerging as a space for children to engage in autotelic play.

Aim:

To explore and describe children’s experiences of choice-making in their play in digital spaces from the perspective of children themselves.

Methods:

Focus groups were conducted with a total of eight children aged six years of age within their school, in a large city in Ireland. A Mosaic Approach with drawing, cutting, and colouring in was used to elicit the children’s voices to ensure their active engagement throughout the data collection. Data was analyzed using focus group analysis.

Results:

Data analysis revealed three main themes; children enjoy the ability to make choices in their play, that they are often constrained in their ability to make choices, and that they negotiate ways in which they can select options for play in digital spaces.

Conclusions:

Findings indicate that children are agentic individuals who are capable of making decisions in their play in digital spaces. This knowledge provides implications for Occupational Therapists to enhance play as an occupation in digital spaces.

Place, publisher, year, edition, pages
Taylor & Francis, 2023
Keywords
Child-centred, family, play, qualitative, technology
National Category
Learning
Research subject
Occupational Therapy
Identifiers
urn:nbn:se:ltu:diva-102429 (URN)10.1080/11038128.2023.2271050 (DOI)2-s2.0-85175787004 (Scopus ID)
Funder
EU, Horizon 2020, Marie Skłodowska-Curie no. 861257
Note

Validerad;2023;Nivå 2;2023-11-14 (sofila);

License fulltext: CC BY-NC-ND

Available from: 2023-11-13 Created: 2023-11-13 Last updated: 2023-11-14Bibliographically approved
Barchéus, I.-M., Ranner, M., Månsson Lexell, E. & Larsson-Lund, M. (2023). Occupational therapists’ experiences of using a new internet-based intervention - a focus group study. Scandinavian Journal of Occupational Therapy, 31(1), Article ID 2247029.
Open this publication in new window or tab >>Occupational therapists’ experiences of using a new internet-based intervention - a focus group study
2023 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 31, no 1, article id 2247029Article in journal (Refereed) Published
Abstract [en]

Background

Research is limited about how the introduction of new ways of delivering and conducting occupational therapy, in accordance with expected changes in health care, is experienced by occupational therapists (OTs).

Aim

To explore how OTs experienced use of a new internet-based intervention, ‘Strategies for Empowering activities in Everyday life’ (SEE), focusing on supporting client resources to manage an active everyday life after stroke.

Material and methods

A focus group study with periodical repeated discussion was designed. Four sessions during a period of 22 months were conducted with a total of four OTs.

Result

Overall, the results reflected that the OTs experienced that the use of SEE for persons with stroke was a valuable complement to existing rehabilitation. The process of introducing SEE included a multifaceted transition involving context, intervention process and delivery that renewed occupational therapy.

Conclusion

These results indicate how the use of new internet-based interventions such as SEE can influence and support renewal of occupational therapy that extends beyond the particular intervention. Continued research is needed to explore more aspects of SEE feasibility.

Place, publisher, year, edition, pages
Taylor & Francis, 2023
Keywords
Daily activities, e-Health, internet-based rehabilitation, occupational therapy intervention, rehabilitation, self-management, stroke, tele-rehabilitation
National Category
Occupational Therapy
Research subject
Occupational Therapy
Identifiers
urn:nbn:se:ltu:diva-101369 (URN)10.1080/11038128.2023.2247029 (DOI)001065930400001 ()2-s2.0-85170853867 (Scopus ID)
Funder
The Kamprad Family Foundation, 20190070
Note

Validerad;2023;Nivå 2;2023-11-14 (marisr);

Full text license: CC BY-NC-ND 4.0

Available from: 2023-09-18 Created: 2023-09-18 Last updated: 2023-11-14Bibliographically approved
Lindberg, M., Månsson Lexell, E., Ranner, M. & Larsson-Lund, M. (2023). Self-initiated management strategies in digitalized work and everyday life – experiences of people with cognitive difficulties due to neurological disorders. Scandinavian Journal of Occupational Therapy, 30(4), 559-571
Open this publication in new window or tab >>Self-initiated management strategies in digitalized work and everyday life – experiences of people with cognitive difficulties due to neurological disorders
2023 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 30, no 4, p. 559-571Article in journal (Refereed) Published
Abstract [en]

Background: Digitalized work life can increase cognitive demands and influence people’s everyday life. This can be challenging for people with cognitive difficulties, yet there is scarce knowledge of how they manage these. It is essential to learn how self-initiated management strategies can be a resource to support sustainable work and everyday life.

Aim: To describe how people with cognitive difficulties due to neurological disorders experience their use of self-initiated strategies to manage digitalized work and other activities of everyday life. Material and Methods: Eleven employees in digital work with cognitive difficulties and neurological disorders participated in qualitative interviews supported by a dialogue support tool. Data were analyzed using content analysis.

Results: A complexity of strategies was used to manage digital work and other activities. Based on how strategies were applied, three different profiles were found. These reflected efforts to manage situations in everyday life and how these influenced strategies applied and their importance.

Conclusion: This knowledge can support people with cognitive difficulties and professionals to become aware of the potential of strategies and acknowledge a person’s own management resources. Reflections on how to manage situations can give perspectives on prevention or vocational rehabilitation to facilitate a sustainable work life.

Place, publisher, year, edition, pages
Taylor & Francis, 2023
Keywords
Daily activities, occupational therapy, sustainable work
National Category
Occupational Therapy
Research subject
Occupational Therapy
Identifiers
urn:nbn:se:ltu:diva-95747 (URN)10.1080/11038128.2023.2175724 (DOI)000934468300001 ()36780367 (PubMedID)2-s2.0-85148291035 (Scopus ID)
Note

Validerad;2023;Nivå 2;2023-07-17 (sofila);

Funder: NEURO Sweden (F2021-0005 and  NEUROs great award 2019)

Available from: 2023-03-02 Created: 2023-03-02 Last updated: 2023-07-17Bibliographically approved
Larsson-Lund, M., Olofsson, A. & Malinowsky, C. (2022). Accessing public space in the digital society: relationship between the use of everyday technology and places visited outside the home after acquired brain injury. Disability and Rehabilitation, 44(23), 7059-7068
Open this publication in new window or tab >>Accessing public space in the digital society: relationship between the use of everyday technology and places visited outside the home after acquired brain injury
2022 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 44, no 23, p. 7059-7068Article in journal (Refereed) Published
Abstract [en]

Purpose: In the digital society, people need to make use of a range of everyday technology (ET) when engaging in activities in various places outside home. The aim of this study was to describe and compare the use of ET and places visited outside the home and, also, to describe the relationship between them in people with different severity of disability after acquired brain injury (ABI).

Materials and methods: Instruments addressing ET use, places visited outside the home and severity of disability were used to assess 74 individuals with ABI. Relationships were analyzed statistically.

Results: A significantly higher use of personal ET related to public space and public space ET, a higher ability to use ET and more places visited outside the home was found in those with good recovery (GR) compared to those with moderate disability/severe disability (MD/SD). The use of ET was significantly correlated with places visited in the total sample and in those with MD/SD, but for those with GR, no significant correlations were found.

Conclusions: To facilitate participation after ABI, the relationship between the use of ET and places visited outside the home needs to be assessed in rehabilitation.

Place, publisher, year, edition, pages
Taylor & Francis, 2022
Keywords
Accessibility, activities of daily living, participation, public environment, technology
National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:ltu:diva-87377 (URN)10.1080/09638288.2021.1979666 (DOI)000700001100001 ()34565262 (PubMedID)2-s2.0-85115675772 (Scopus ID)
Funder
The Swedish Stroke Association
Note

Validerad;2022;Nivå 2;2022-11-29 (marisr)

Available from: 2021-10-05 Created: 2021-10-05 Last updated: 2023-09-04Bibliographically approved
Lexen, A. & Larsson-Lund, M. (2022). Arbete, vardagsliv och hälsa (3ed.). In: Petra Wagman (Ed.), Hälsa och aktivitet i vardagen - ur ett arbetsterapeutiskt perspektiv: (pp. 171-185). Nacka: Sveriges Arbetsterapeuter
Open this publication in new window or tab >>Arbete, vardagsliv och hälsa
2022 (Swedish)In: Hälsa och aktivitet i vardagen - ur ett arbetsterapeutiskt perspektiv / [ed] Petra Wagman, Nacka: Sveriges Arbetsterapeuter , 2022, 3, p. 171-185Chapter in book (Other academic)
Place, publisher, year, edition, pages
Nacka: Sveriges Arbetsterapeuter, 2022 Edition: 3
National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:ltu:diva-95129 (URN)978-91-87837-79-1 (ISBN)
Available from: 2023-01-03 Created: 2023-01-03 Last updated: 2023-01-16Bibliographically approved
Loudoun, F. M., Boyle, B. & Larsson-Lund, M. (2022). Children's experiences of play in digital spaces: A scoping review. PLOS ONE, 17(8), Article ID e0272630.
Open this publication in new window or tab >>Children's experiences of play in digital spaces: A scoping review
2022 (English)In: PLOS ONE, E-ISSN 1932-6203, Vol. 17, no 8, article id e0272630Article, review/survey (Refereed) Published
Abstract [en]

The United Nations Convention on the Rights of the Child has substantiated play for play's sake, thus focusing on the doing or being of play rather than any potentially desired outcomes. Examining this type of play from the perspective of the child acknowledges children as meaning-makers. A scoping review was conducted to expose and map the extent of the evidence available in the emerging and diverse field of children's experiences of play in digital spaces. Specifically, the literature was examined with regards to relevance to children's everyday lives, the personal and ecological relevance, and the methods used. A systematic search of the literature over the past fifteen years found thirty-one articles appropriate for inclusion. The analysis of the literature revealed that the articles formed four categories of how play in digital spaces was approached: 'Videogames, behaviours, and societal norms', 'Videogames for its own sake', 'Videogames for learning', and 'Active Videogames for health promotion'. This scoping review has identified a lack of articles focusing on children's experiences of play in a digital space, and these perspectives are essential for parents, professionals, game designers, and policymakers alike to contribute to an enhanced understanding of the role of play in digital spaces.

Place, publisher, year, edition, pages
Public Library of Science (PLOS), 2022
National Category
Public Health, Global Health, Social Medicine and Epidemiology Human Computer Interaction
Research subject
Occupational therapy
Identifiers
urn:nbn:se:ltu:diva-92562 (URN)10.1371/journal.pone.0272630 (DOI)35944033 (PubMedID)2-s2.0-85135768823 (Scopus ID)
Note

Validerad;2022;Nivå 2;2022-08-18 (sofila)

Available from: 2022-08-18 Created: 2022-08-18 Last updated: 2022-08-22Bibliographically approved
Larsson Lund, M., Månsson Lexell, E. & Nyman, A. (2022). Optimising the development of sustainable internet-based occupational therapy interventions: Important key actions and perspectives to consider. Scandinavian Journal of Occupational Therapy, 29(4), 259-269
Open this publication in new window or tab >>Optimising the development of sustainable internet-based occupational therapy interventions: Important key actions and perspectives to consider
2022 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 29, no 4, p. 259-269Article in journal (Refereed) Published
Abstract [en]

Background

By examining the health needs of the general population and utilising the potential of digitalisation as a driving force, new internet-based services need to be developed in occupational therapy. However, existing guidelines for the development of complex interventions provide scant information on how to develop internet-based interventions.

Aim

The aim of this paper is to share experiences and illustrate important key actions and new perspectives to consider during the innovation process of developing and designing an internet-based occupational therapy intervention.

Method and Materials

International guidelines for intervention development was reviewed to add important perspectives in the innovation process.

Results

The illustration focuses on five key actions in the development phase to highlight new perspectives and questions important to consider when designing new internet-based occupational therapy interventions.

Conclusion

The new perspectives can complement existing guidelines to enhance the development of more effective and sustainable internet-based interventions.

Significance

The illustration provided has potential to improve the sustainability in innovation processes of new internet-based occupational therapy interventions.

Place, publisher, year, edition, pages
Taylor & Francis, 2022
Keywords
Activities of daily living, chronic condition, complex interventions, digital health, e-health, Innovation, intervention development, neurology, prevention, rehabilitation, tele-health
National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:ltu:diva-86453 (URN)10.1080/11038128.2021.1950206 (DOI)000674823100001 ()34280329 (PubMedID)2-s2.0-85110906684 (Scopus ID)
Funder
The Swedish Stroke Association
Note

Validerad;2022;Nivå 2;2022-05-06 (hanlid);

Funder: Stroke Research in Norrland, The Norrbacka-Eugenia Foundation, Swedish Association of Occupational Therapists

Available from: 2021-07-26 Created: 2021-07-26 Last updated: 2022-05-06Bibliographically approved
Nygård, L., Ryd, C., Astell, A., Nedlund, A.-C., Boger, J., Mäki Petäjä Leinonen, A., . . . Larsson Lund, M. (2022). Self-initiated management approaches in everyday occupations used by people with acquired cognitive impairment. Scandinavian Journal of Occupational Therapy, 29(2), 139-151
Open this publication in new window or tab >>Self-initiated management approaches in everyday occupations used by people with acquired cognitive impairment
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2022 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 29, no 2, p. 139-151Article in journal (Refereed) Published
Abstract [en]

Background: Striving to cope with day-to-day challenges is a basic human behaviour. Self-initiated management approaches provide a resource that has yet to be discovered and systematically used in occupational therapy practice. This resource might be especially important for people with dementia who are less likely to adopt management approaches initiated by others.

Aims/objectives: Based on the findings of former studies on management and problem-solving actions among people with cognitive impairment, this article aims to identify and categorize the study participants’ self-initiated management approaches and how these may be manifested in strategies in everyday occupations.

Material and methods: The study utilized a form of meta-synthesis; an aggregated analysis, where findings from 11 studies published 2004–2020 were compared and categorized, incorporating the views of participants with dementia/mild cognitive impairment, or acquired brain injury.

Results: Thirty strategies were identified and grouped into seven categories of management approaches, used in a variety of everyday occupations and situations. A majority of the strategies were found in both populations, suggesting that management approaches are more similar than different across populations with cognitive impairment.

Conclusions and significance: Attending to the rich variation of self-initiated management approaches/strategies among persons with cognitive impairment offers possibilities for developing occupational therapy interventions.

Place, publisher, year, edition, pages
Taylor & Francis, 2022
Keywords
Agency, acquired brain injury (ABI), dementia, everyday rehabilitation, mild cognitive impairment (MCI), problem-solving
National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:ltu:diva-86863 (URN)10.1080/11038128.2021.1925740 (DOI)000686517800001 ()34410888 (PubMedID)2-s2.0-85113207070 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2013-2104, 2017-02303Academy of Finland, 318848, 314749
Note

Validerad;2022;Nivå 2;2022-02-14 (sofila);

Forskningsfinansiär: Canadian Institute of Health Research (MYB:155863)

Available from: 2021-08-26 Created: 2021-08-26 Last updated: 2022-07-04Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-0341-6197

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