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Kottorp, A., Malinovsky, C., Larsson-Lund, M. & Nygård, L. (2019). Gender and diagnostic impact on everyday technology use: a differential item functioning (DIF) analysis of the Everyday Technology Use Questionnaire (ETUQ). Disability and Rehabilitation, 41(22), 2688-2694
Open this publication in new window or tab >>Gender and diagnostic impact on everyday technology use: a differential item functioning (DIF) analysis of the Everyday Technology Use Questionnaire (ETUQ)
2019 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 41, no 22, p. 2688-2694Article in journal (Refereed) Published
Abstract [en]

Background: As the use of everyday technology is increasingly important for participation in daily activities, more in-depth knowledge of everyday technology use in relation to diagnosis and gender is needed. The purpose of this study was to investigate the stability of the perceived challenge of a variety of everyday technologies across different samples of varying diagnoses including both males and females.

Methods: This cross-sectional study used 643 data records from clinical and research samples, including persons with dementia or related disorders, acquired brain injury, intellectual disability, various mental or medical disorders, and adults without known diagnoses. The Everyday Technology Use Questionnaire, comprising 93 everyday technology artifacts and services (items) measuring the level of everyday technology challenge and relevance of and perceived ability to use these was used for data gathering. A two-faceted Rasch model in combination with differential item functioning (DIF) analyses were used for comparing item hierarchies across samples.

Results: Only three items (3.2%) demonstrated a clinically relevant DIF by gender, and nine items (9.7%) by diagnosis.

Discussion: The findings support a stable hierarchy of everyday technology challenge in home and community that can facilitate planning of an accessible and inclusive society from a technological departure point.

  • Implications for Rehabilitation
  • The ability to manage everyday technology is increasingly important for participation in everyday activities at home and in the community for people with and without disabilities.

  • This study demonstrates that differences in perceived challenges in using various everyday technologies across gender and diagnosis are minimal.

  • The findings provide evidence of no or minor systematic bias in testing when using the Everyday Technology Use Questionnaire in clinical practice and research.

  • Empirical knowledge about the perceived challenge of specific everyday technologies of people with variations in gender or diagnosis is still sparse, hence this study can inspire practice and future research.

Place, publisher, year, edition, pages
Taylor & Francis, 2019
Keywords
IADL/activities of daily living, inclusive society, aging, cognitive impairment
National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:ltu:diva-68890 (URN)10.1080/09638288.2018.1472816 (DOI)000489124200011 ()29786461 (PubMedID)
Note

Validerad;2019;Nivå 2;2019-10-09 (johcin)

Available from: 2018-05-24 Created: 2018-05-24 Last updated: 2019-10-28Bibliographically approved
Larsson-Lund, M. & Nyman, A. (2019). Occupational challenges in a digital society: A discussion inspiring occupational therapy to cross thresholds and embrace possibilities. Scandinavian Journal of Occupational Therapy
Open this publication in new window or tab >>Occupational challenges in a digital society: A discussion inspiring occupational therapy to cross thresholds and embrace possibilities
2019 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014Article in journal (Refereed) Epub ahead of print
Abstract [en]

The digital transformation of society and the increased need for digital competence implies extensive changes in peoples’ everyday lives and occupations. Heretofore, the discussion in the field of occupational therapy about the consequences of digitalisation has been vague. The aim of this discussion paper is to outline some reflections and to offer some arguments on how to meet the changes following digitalisation and its impact on occupational therapy. The discussion focuses on three issues: the new conditions for participation in a digital society and the role of occupational therapy and occupational therapists in the evolving digital society as well as what occupational therapists need to be pro-active and to embrace the ongoing changes in a digital society. In conclusion, occupational therapy needs to advance its position and become pro-active to cross the threshold and to embrace the possibilities that digitalisation holds for peoples’ everyday lives to support occupational justice and health.

Place, publisher, year, edition, pages
Taylor & Francis, 2019
Keywords
Activities of daily living, participation, digitalization, technology, digital competence, occupational justice
National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:ltu:diva-73064 (URN)10.1080/11038128.2018.1523457 (DOI)30663477 (PubMedID)
Available from: 2019-02-28 Created: 2019-02-28 Last updated: 2019-02-28
Malinowsky, C., Olofsson, A., Nyman, A. & Larsson-Lund, M. (2019). Patterns of participation: Facilitating and hindering aspects related to places for activities outside the home after stroke. Scandinavian Journal of Occupational Therapy
Open this publication in new window or tab >>Patterns of participation: Facilitating and hindering aspects related to places for activities outside the home after stroke
2019 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background: Being engaged in activities in places outside the home after a stroke can be challenging. Knowledge about what characterize places outside the home is important to support participation.

Objectives: To explore patterns of participation in places for activities outside the home after stroke and whether these patterns were associated with personal and environmental aspects.

Material and methods: Sixty-three people with stroke were interviewed using the Participation in Activities and Places Outside Home (ACT-OUT) questionnaire. A two-step cluster analysis was used to identify patterns of participation and non-parametric test was used to explore potential associations to the patterns of participation.

Results: Four clusters of patterns of participation, based on frequency, familiarity of the place/the way to the place and perceived distance, were identified. The patterns were significantly associated with type of place, activity domain, retained or abandoned participation, transportation and being accompanied by someone. The severity of disability was significantly associated with groups of individuals with different patterns of participation.

Conclusions: Different combinations of aspects facilitated and hindered whether or not participation changed. To support people with stroke in their endeavour to retain or recapture participation, social support is important to consider in relation to transportation, activities and places outside the home.

Place, publisher, year, edition, pages
Taylor & Francis, 2019
Keywords
Activities of daily living, participation, places, society, stroke
National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:ltu:diva-76285 (URN)10.1080/11038128.2019.1668958 (DOI)000487926100001 ()31564178 (PubMedID)
Available from: 2019-10-08 Created: 2019-10-08 Last updated: 2019-10-10
Kassberg, A.-C., Nyman, A. & Larsson-Lund, M. (2019). Perceived occupational balance in people with stroke. Disability and Rehabilitation
Open this publication in new window or tab >>Perceived occupational balance in people with stroke
2019 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background: The balance of activities in daily life can become disrupted after a stroke; however, previous research has mainly focused on the performance of daily activities. Therefore, it is important to understand the impact that stroke has on various aspects of balance in activities for working-age people. 

Purpose: To describe how persons with stroke perceived their occupational balance and to explore whether occupational balance was associated with the severity of disability, fatigue and sociodemographic characteristics. 

Methods: This cross-sectional study included 63 working-age persons with stroke. The Occupational Balance Questionnaire, Glasgow Outcome Scale and Fatigue Severity Scale were used and analyzed statistically. 

Results: The majority of participants disagreed or strongly disagreed that they perceived occupational balance in most of the investigated aspects. Moreover, few significant associations were found between total summed occupational balance and injury and sociodemographic characteristics. 

Conclusion: These results demonstrate the importance of considering occupational balance in the rehabilitation of persons with stroke to support their engagement in a variety of meaningful activities that contribute to health. IMPLICATIONS FOR REHABILITATION Rehabilitation need to support persons with stroke to monitor their entire patterns of activities and perceived balance to support wider engagement in meaningful activities and promote health. Balance between all kinds of activities in daily life besides work, needs to be considered in the later phase of rehabilitation in persons with stroke. A majority of the participants with stroke in this study disagreed that they had a satisfying level of occupational balance. Perceived balance between all activities in daily life can together with performance of activities add to the understanding of consequences after stroke.

Place, publisher, year, edition, pages
Taylor & Francis, 2019
Keywords
Occupational Balance Questionnaire, life balance, acquired brain injury, health
National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:ltu:diva-75276 (URN)10.1080/09638288.2019.1632940 (DOI)000473911300001 ()31264487 (PubMedID)
Available from: 2019-07-10 Created: 2019-07-10 Last updated: 2019-08-16
Olofsson, A., Larsson-Lund, M. & Nyman, A. (2018). Everyday activities outside the home are a struggle: Narratives from two persons with acquired brain injury. Scandinavian Journal of Occupational Therapy
Open this publication in new window or tab >>Everyday activities outside the home are a struggle: Narratives from two persons with acquired brain injury
2018 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014Article in journal (Refereed) Epub ahead of print
Abstract [en]

BACKGROUND

Participation restriction is a common consequence after acquired brain injury (ABI).

AIM

To explore and identify problematic situations in everyday activities outside the home for persons with acquired brain injury.MATERIAL AND METHODTwo persons of working age with ABI were included. Data were generated through repeated semi-structured interviews and participant observations. Narrative analysis was used to capture ongoing processes related to problematic situations during engagement in everyday activities outside the home.

RESULTS

The narratives reflect how places, everyday activities and social relations were closely connected and influenced engagement in everyday activities outside the home. The participants visited fewer places and performed more of their everyday activities alone in their homes after the injury compared to before. They were struggling to create meaning in their lives and trying to reformulate their identity. Problematic situations often occurred outside the home as a result of unexpected events. The narratives indicate a struggle to find new routines to handle challenging situations.

CONCLUSIONS

The results provide an understanding of how problematic situations occurred and were managed in different ways. By observing everyday situations professionals can gain access to how persons with ABI act in and reflect upon problematic situations which can eventually improve the design of individually tailored interventions.

Place, publisher, year, edition, pages
Taylor & Francis, 2018
National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:ltu:diva-71177 (URN)10.1080/11038128.2018.1495762 (DOI)30301397 (PubMedID)2-s2.0-85054697524 (Scopus ID)
Available from: 2018-10-12 Created: 2018-10-12 Last updated: 2019-01-04
Malinovsky, C., Fallhapour, M., Larsson-Lund, M., Nygård, L. & Kottorp, A. (2018). Skill clusters of ability to manage everyday technology among people with and without cognitive impairment, dementia and acquired brain injury. Scandinavian Journal of Occupational Therapy, 25(2), 99-107
Open this publication in new window or tab >>Skill clusters of ability to manage everyday technology among people with and without cognitive impairment, dementia and acquired brain injury
Show others...
2018 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 25, no 2, p. 99-107Article in journal (Refereed) Published
Abstract [en]

BACKGROUND:

In order to develop supporting interventions for people demonstrating problems ET use, a detailed level of description of strengths and deficits is needed.

AIMS:

To explore clusters of specific performance skill required when using ET, and to evaluate if and in what way such clusters are associated with age, gender, diagnosis, and types of ETs managed.

MATERIALS AND METHODS:

A secondary analysis of 661 data records from 203 heterogeneous samples of participants using the Management of Everyday Technology Assessment (META) was used. Ward's method and a hierarchical tree cluster analysis were used to determine and define the skill clusters.

RESULTS:

Four distinct clusters of performance skill item profiles were found, across the 661 data records. These were then, based on each individuals' cluster profiles in managing ET, categorized into two groups. The two groups were associated with, diagnosis and type of ETs managed.

CONCLUSIONS AND SIGNIFICANCE:

The findings support a more dyadic person-ET approach in evaluation of ET management. The information from the skill clusters can be used to develop targeted intervention guides for occupational therapy and healthcare.

Place, publisher, year, edition, pages
Taylor & Francis, 2018
National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:ltu:diva-62463 (URN)10.1080/11038128.2017.1298665 (DOI)000429458100003 ()28276961 (PubMedID)
Note

Validerad;2018;Nivå 2;2018-01-16 (andbra)

Available from: 2017-03-13 Created: 2017-03-13 Last updated: 2018-04-27Bibliographically approved
Larsson-Lund, M. (2018). The digital society: Occupational therapists need to act proactively to meet the growing demands of digital competence. British Journal of Occupational Therapy, 81(12), 733-735
Open this publication in new window or tab >>The digital society: Occupational therapists need to act proactively to meet the growing demands of digital competence
2018 (English)In: British Journal of Occupational Therapy, ISSN 0308-0226, E-ISSN 1477-6006, Vol. 81, no 12, p. 733-735Article in journal (Refereed) Published
Abstract [en]

This opinion piece discusses the importance of how occupational therapy practice, research and education responds to and acts proactively in relation to the growing requirement for digital competence placed on citizens. Digital competence will be outlined and scrutinized in relation to occupational therapy's core concerns and with regard to the role of occupational therapists and occupational justice. Changes in peoples’ occupations and occupational patterns due to digitalization will be exemplified. Finally, several questions and suggestions are posed as to how occupational therapy can build capacity and promote its role in the face of ongoing challenges.

Place, publisher, year, edition, pages
Sage Publications, 2018
Keywords
Digitalization, occupation, digital competence
National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:ltu:diva-69505 (URN)10.1177/0308022618776879 (DOI)000452512500008 ()2-s2.0-85048781351 (Scopus ID)
Note

Validerad;2018;Nivå 2;2018-12-05 (svasva)

Available from: 2018-06-14 Created: 2018-06-14 Last updated: 2019-08-23Bibliographically approved
Larsson-Lund, M. (2017). A new landscape for higher education evolves: How can digital competence be enhanced to match the needs in the  digital society?. In: : . Paper presented at Artic Light e-He@lth Conference, Luleå, 1-2/2 2017.
Open this publication in new window or tab >>A new landscape for higher education evolves: How can digital competence be enhanced to match the needs in the  digital society?
2017 (English)Conference paper, Oral presentation only (Other academic)
Abstract [en]

The presentation will give an insight in why and how higher education need to change to improve professionals’ digital competence to better prepare them for future work in the digitized society including health care and social services. Also, in how the digitalization and the increased use of technology influence citizens’ possibilities to activity, participation and health. The presentation will be based on research and experiences from improvement work in higher education focusing on digitalization, digital competence and e-learning. The improvement work includes changes of learning outcomes and learning activities as the use of open educational resources (OER), person learning network (PLN), academic communities, student generated content and other tools in e-learning.

National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:ltu:diva-62927 (URN)
Conference
Artic Light e-He@lth Conference, Luleå, 1-2/2 2017
Available from: 2017-04-06 Created: 2017-04-06 Last updated: 2017-11-24Bibliographically approved
Sirkka, M., Larsson-Lund, M. & Zingmark, K. (2017). Arbetsterapeuters erfarenheter av förbättringsarbete: en resa mot hållbar evidensbaserad praktik. In: : . Paper presented at Arbetsterapiforum 2017, Malmö, 10-11 maj 2017.
Open this publication in new window or tab >>Arbetsterapeuters erfarenheter av förbättringsarbete: en resa mot hållbar evidensbaserad praktik
2017 (Swedish)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [sv]

Bakgrund: Arbetsterapeuter har skyldighet att bedriva en evidensbaserad verksamhet baserad på bästa tillgängligavetenskapliga kunskap, professionens expertkunnande, patienternas erfarenheter och tillgängliga resurser. Forskningvisar dock att implementering av evidensbaserade åtgärder kan vara besvärliga att omsätta i praktiken och påbörjadeförbättringsarbeten kan vara svåra att få hållbara över tid. Det har även visat sig att praxismodeller där de används gerförutsättningar för ett evidensbaserat arbetssätt men användandet har studerats i begränsad omfattning.Syfte: var att utforska arbetsterapeuters erfarenheter av att delta i ett långsiktigt förbättringsarbete baserad påOccupational Therapy Intervention Process Model (OTIPM).Metod: Data utgjordes av semistrukturerade intervjuer med 19 arbetsterapeuter i tre fokusgrupper år 2006 ochuppföljande tre fokusgruppsintervjuer år 2011. Materialet analyserades med kvalitativ innehållsanalys.Resultat/preliminärt resultat: Det långsiktiga förbättringsarbetet beskrevs som en resa mot en hållbar ochevidensbaserad praktik. Resultatet visar på en förändringsresa med tre sammanflätade perspektiv; 1) omvandla tankaroch handlingar genom återkommande kollegial reflektion, 2) hantera den upplevda dubbelheten av förändring, 3)utveckla en ömsesidigt professionell kultur.Slutsats: Studien visar hur ett reflekterande kollegialt förhållningssätt och användning av en arbetsterapeutisk praxismodell kan leda till implementering av evidensbaserad kunskap som stödjer kontinuerliga hållbara förbättringar ipraktiken.

National Category
Occupational Therapy Nursing
Research subject
Occupational therapy; Nursing
Identifiers
urn:nbn:se:ltu:diva-62943 (URN)
Conference
Arbetsterapiforum 2017, Malmö, 10-11 maj 2017
Available from: 2017-04-07 Created: 2017-04-07 Last updated: 2018-02-07Bibliographically approved
Olofsson, A., Larsson-Lund, M. & Nyman, A. (2017). Att leva som förut är inte ett alternativ: Berättelser från två personer med förvärvad hjärnskada. In: : . Paper presented at Arbetsterapiforum 2017, Malmö, 10-11 maj 2017.
Open this publication in new window or tab >>Att leva som förut är inte ett alternativ: Berättelser från två personer med förvärvad hjärnskada
2017 (Swedish)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [sv]

Aktiviteter utanför hemmet kan vara utmanande för personer med förvärvad hjärnskada (FHS) och måste betraktas i förhållande till personens hela repertoar av aktiviteter. Vi vet idag lite om den komplexitet av interagerande faktorer som kan orsaka problematiska situationer för personer med FHS vilket gör att dessa är svåra att förutse. För att hantera pågående förändringar i aktivitetssituationer krävs stödjande strategier. Mer kunskap behövs därför om den ömsesidiga relationen mellan person och kontext för att bättre förstå hur det påverkar personens agerande och hur de influerar tillgång till platser samt aktiviteter utanför hemmet. Syftet med studien var att utforska och identifiera problematiska situationer relaterat till aktiviteter utanför hemmet. Metod: Berättelser från två personer med FHS användes för att illustrera hur de agerade i och reflekterade över problematiska situationer. Data samlades in via kvalitativa intervjuer och deltagande observationer som genomfördes vid upprepade tillfällen. En narrativ metod användes för att kunna fånga pågående processer relaterat till hur deltagarna agerade och reflekterade kring problematiska situationer relaterat till deras engagemang i aktiviteter utanför hemmet. Resultatet: visar hur deltagarna på olika sätt ställs inför problematiska situationer i samband med att de engagerar sig i aktiviteter utanför hemmet. Att leva ett liv som tidigare är inte längre ett alternativ och de kämpar för att upprätthålla men också finna nya vanor och rutiner som får vardagen att fungera. Det är en ständigt pågående kamp att försöka hantera oförutsedda händelser och försöka kontrollera olika situationer de ställs inför. Då de inte längre yrkesarbetar blir aktiviteter utanför hemmet än viktigare än tidigare men deras berättelser speglar hur deras aktivitetsrepertoar minskar och hur de dragit sig tillbaka från olika arenor vilket medfört att deras sociala värld har krympt och de utför fler aktiviteter ensam och i hemmet.

Keywords
Förvärvad hjärnskada, problematiska situationer och transaktionellt perspektiv
National Category
Medical and Health Sciences Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:ltu:diva-63673 (URN)
Conference
Arbetsterapiforum 2017, Malmö, 10-11 maj 2017
Available from: 2017-06-02 Created: 2017-06-02 Last updated: 2017-11-24Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-0341-6197

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