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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
Nyman, A., Zingmark, M., Lilja, M. & Guidetti, S. (2023). Information and communication technology in home-based rehabilitation – a discussion of possibilities and challenges. Scandinavian Journal of Occupational Therapy, 30(1), 14-20
Open this publication in new window or tab >>Information and communication technology in home-based rehabilitation – a discussion of possibilities and challenges
2023 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 30, no 1, p. 14-20Article in journal (Refereed) Published
Abstract [en]

Background: Information and communication technology (ICT) has been proven to have effect in terms of providing alternative ways to deliver rehabilitation services. The intention with this paper is to serve as a foundation for discussions regarding the future development, design, and delivery of home-based rehabilitation, including ICT.

Aim: To reflect on and discuss the possibilities and challenges of using ICT in home-based rehabilitation services.Method and material: We use experiences and results from various projects to reflect on and discuss possibilities and challenges related to the use of ICT in home-based rehabilitation.

Findings and discussion: We exemplify how ICT present new possibilities that can increase the quality of the rehabilitation process and improve access to services. We reflect on some challenges in the use of ICT, related to non-user-friendly solutions, to the specific rehabilitation situation, and a lack of technical support. At an organisational level, readiness to use ICT can impact the extent to which new solutions are integrated into practice.

Conclusion: We emphasise that ICT has the potential to develop and improve service delivery and contribute to increased quality and accessibility of home-based rehabilitation.

Place, publisher, year, edition, pages
Taylor & Francis, 2023
Keywords
e-health, intervention, occupational therapy, older adults, technology, telehealth
National Category
Nursing Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:ltu:diva-89751 (URN)10.1080/11038128.2022.2046152 (DOI)000764966800001 ()35245989 (PubMedID)2-s2.0-85126044947 (Scopus ID)
Note

Validerad;2023;Nivå 2;2023-02-10 (joosat);

Available from: 2022-03-21 Created: 2022-03-21 Last updated: 2023-09-05Bibliographically approved
Löfgren, M., Larsson, E., Isaksson, G. & Nyman, A. (2022). Older adults’ experiences of maintaining social participation: Creating opportunities and striving to adapt to changing situations. Scandinavian Journal of Occupational Therapy, 29(7), 587-597
Open this publication in new window or tab >>Older adults’ experiences of maintaining social participation: Creating opportunities and striving to adapt to changing situations
2022 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 29, no 7, p. 587-597Article in journal (Refereed) Published
Abstract [en]

Background

Social participation concerns the possibility of engaging in activities in interaction with others or society at large and contributes to the health and well-being of older adults. In contrast, a lack of social participation is associated with loneliness. It is, therefore, important to understand what strategies older adults use to maintain social participation.

Aim

To explore and describe older adults’ experiences of maintaining social participation.

Materials and methods

Nine older adults, aged 69–92 years, participated in interviews that were analysed through qualitative content analysis.

Results

The overall findings reflect how older adults create opportunities for social participation by developing strategies and striving to adapt to changing situations, emphasizing how maintaining social participation is an active process. Preserving social participation requires motivation and an effort to take initiative to cultivate social relations, maintain community bonds, engage in social events and activities and stay connected with society.

Conclusions and significance

These results may extend our understanding of strategies that older adults use, as well as the challenges they face when striving to adapt to new circumstances. This study may have implications for the practice of how to support older adults’ social participation.

Place, publisher, year, edition, pages
Taylor & Francis, 2022
Keywords
Active ageing, COVID-19, healthy ageing, social engagement, qualitative
National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:ltu:diva-87071 (URN)10.1080/11038128.2021.1974550 (DOI)000695616600001 ()34499845 (PubMedID)2-s2.0-85114611889 (Scopus ID)
Note

Validerad;2022;Nivå 2;2022-09-23 (joosat);

Available from: 2021-09-14 Created: 2021-09-14 Last updated: 2022-09-23Bibliographically 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
Nyman, A., Rutberg, S., Lilja, M. & Isaksson, G. (2022). The Process of Using Participatory Action Research when Trying out an ICT Solution in Home-Based Rehabilitation. International Journal of Qualitative Methods, 21
Open this publication in new window or tab >>The Process of Using Participatory Action Research when Trying out an ICT Solution in Home-Based Rehabilitation
2022 (English)In: International Journal of Qualitative Methods, E-ISSN 1609-4069, Vol. 21Article in journal (Refereed) Published
Abstract [en]

This article describes the process of using PAR and discusses the strengths and challenges of adopting it as a methodology. With a pilot project “the rehabilitation journey” as a showcase, we share experiences of how we co-created knowledge and illustrate the actions taken and participants’ involvement in the process. This pilot project aimed to explore how ICT solutions can create new ways to deliver home-based rehabilitation that meet the needs of the organization, rehabilitation professionals, and older persons. Our experience is that using PAR as a research method had several strengths. Our project stemmed from demographic and epidemiological trends in society viewed as a “real life problem” experienced on different levels in the organization of home-based rehabilitation. At the same time, PAR was a challenging research method to use, as it was time-consuming and required the commitment and contribution over time of the different participants involved. There were also specific challenges that had to be considered regarding routines and regulations, as the pilot project was conducted in a health care context. This article aspires to offer methodological guidelines by using a six-step method to illustrate a PAR process. We propose that these guidelines can act as a tool to guide researchers in carrying out PAR.

Place, publisher, year, edition, pages
Sage Publications, 2022
Keywords
action research, methods in qualitative inquiry, PAR - participatory, action research, mixed methods, community based research
National Category
Nursing Information Systems, Social aspects
Research subject
Occupational therapy; Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-90287 (URN)10.1177/16094069221084791 (DOI)000776478900001 ()2-s2.0-85127234432 (Scopus ID)
Note

Validerad;2022;Nivå 2;2022-04-21 (hanlid)

Available from: 2022-04-21 Created: 2022-04-21 Last updated: 2024-01-17Bibliographically approved
Nyman, A. & Isaksson, G. (2021). Enacted togetherness: A concept to understand occupation as socio-culturally situated. Scandinavian Journal of Occupational Therapy, 28(1), 41-45
Open this publication in new window or tab >>Enacted togetherness: A concept to understand occupation as socio-culturally situated
2021 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 28, no 1, p. 41-45Article in journal (Refereed) Published
Abstract [en]

Background: This paper is in line with the on-going discussion of a theoretical re-orientation towards acknowledging the socio-cultural dimensions of occupation.

Aim: To define enacted togetherness as a concept and share our understandings of how this concept can add to the understanding of occupation as socio-culturally situated.

Method and material: The concept enacted togetherness emerged from empirical findings of a larger research project with older adults living with late-life depression. Informed by a transactional understanding of occupation and a narrative approach, the concept emerged as a contextually situated process holding qualities and potential as a source of meaning-making.

Findings: Enacted togetherness as described herein has a clear association to occupation in terms of doing activities together. We reflect on enacted togetherness as a process of meaning-making, connecting people and places through unfolding stories; as an arena where togetherness and belonging can be created; and as a space for interpretation, providing opportunities to negotiate issues of meaning that can lead to possibilities for change.

Conclusion: The concept of enacted togetherness can contribute to the ongoing discussion of a theoretical reorientation towards understanding socio-cultural dimensions of occupation.

Significance: Enacted togetherness is a concept that can contribute to occupational therapy and occupational science as it adds to an understanding of the qualities and potentials inherent in engagement in occupations with others.

Place, publisher, year, edition, pages
Taylor & Francis, 2021
Keywords
Meaning, occupational science, occupational therapy, older adults, transactional perspective
National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:ltu:diva-77703 (URN)10.1080/11038128.2020.1720283 (DOI)000512382300001 ()32008401 (PubMedID)2-s2.0-85078913579 (Scopus ID)
Note

Validerad;2021;Nivå 2;2021-01-18 (johcin)

Available from: 2020-02-14 Created: 2020-02-14 Last updated: 2021-01-18Bibliographically approved
Kassberg, A.-C., Nyman, A. & Larsson-Lund, M. (2021). Perceived occupational balance in people with stroke. Disability and Rehabilitation, 43(4), 553-558
Open this publication in new window or tab >>Perceived occupational balance in people with stroke
2021 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 43, no 4, p. 553-558Article in journal (Refereed) Published
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, 2021
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)2-s2.0-85101605983 (Scopus ID)
Funder
The Swedish Stroke Association
Note

Validerad;2021;Nivå 2;2021-03-15 (alebob)

Available from: 2019-07-10 Created: 2019-07-10 Last updated: 2021-03-15Bibliographically approved
Nyman, A., Kassberg, A.-C. & Larsson-Lund, M. (2021). Perceived occupational value in people with acquired brain injury. Scandinavian Journal of Occupational Therapy, 28(5), 391-398
Open this publication in new window or tab >>Perceived occupational value in people with acquired brain injury
2021 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 28, no 5, p. 391-398Article in journal (Refereed) Published
Abstract [en]

Background: It is well known that engagement in occupations becomes restricted after acquired brain injury (ABI), but little is known about how this influences occupational values and occupational balance.

Aim: To describe the extent to which persons with ABI perceived occupational value; to explore whether occupational value and occupational balance were associated with life satisfaction, and to explore how occupational value, occupational balance, the severity of disability, fatigue and sociodemographic characteristics influenced life satisfaction.

Materials and methods: A cross-sectional study was undertaken with 75 participants of work- ing age with ABI who responded to questionnaires on occupational value, occupational balance, and life satisfaction. Additionally, instruments covering fatigue and severity of disability were administered. Data were analyzed by means of comparisons, correlations and logistic regression.

Results: A high perceived occupational value and a high perceived occupational balance were significantly associated with satisfaction with life as a whole, psychological health and somatic health. The logistic regression showed that occupational value, occupational balance and sever- ity of disability significantly impacted satisfaction with life as a whole.

Conclusions and significance: Occupational value and occupational balance together with severity of disability, are important areas of focus in the later phase of rehabilitation after ABI to promote satisfaction with life as a whole.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2021
Keywords
Occupational value, occupational balance, life satisfaction, acquired brain injury, rehabilitation
National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:ltu:diva-80263 (URN)10.1080/11038128.2020.1791951 (DOI)000548994900001 ()32669015 (PubMedID)2-s2.0-85088116324 (Scopus ID)
Note

Validerad;2021;Nivå 2;2021-06-18 (beamah)

Available from: 2020-07-23 Created: 2020-07-23 Last updated: 2021-07-06Bibliographically approved
Larsson-Lund, M., Månsson Lexell, E. & Nyman, A. (2021). Strategies for Empowering activities in Everyday life (SEE 1.0): study protocol for a feasibility study of an Internet-based occupational therapy intervention for people with stroke. Pilot and Feasibility Studies, 7, Article ID 187.
Open this publication in new window or tab >>Strategies for Empowering activities in Everyday life (SEE 1.0): study protocol for a feasibility study of an Internet-based occupational therapy intervention for people with stroke
2021 (English)In: Pilot and Feasibility Studies, E-ISSN 2055-5784, Vol. 7, article id 187Article in journal (Refereed) Published
Abstract [en]

Background: Rehabilitation after stroke seldom focuses on needs related to an active everyday life and the process of change that people must undergo to adapt to an altered capacity and life situation. In particular, occupational therapy in the late phase needs to support clients in adopting sustainable self-initiated management strategies to regain daily activities and an active everyday life. To improve access to rehabilitation, the use of digital solutions has been suggested. This study aims to evaluate the feasibility of the Internet-based occupational therapy intervention “Strategies for Empowering activities in Everyday life” (SEE, version 1.0). We will investigate the feasibility of the intervention process in terms of acceptability and adherence as well as the most suitable outcome measures to evaluate SEE and improve the knowledge about the potential changes and outcomes of SEE for clients with stroke.

Methods: This feasibility study is based on a pretest posttest design without a control group. Quantitative and qualitative data will be collected from clients and staff concurrently embedded in a mixed-method design during the entire study.

Discussion: The project is a first test of a novel Internet-based occupational therapy intervention, and the research will contribute to the continued development and evaluation of the SEE programme. SEE can provide people with strategies in daily activities that can support them to live an active everyday life despite changed capacity and to improve access to rehabilitation interventions.

Place, publisher, year, edition, pages
Springer Nature, 2021
Keywords
Stroke, Daily activities, Self-management, Lifestyle intervention, Internet-based rehabilitation, Telerehabilitation, Digital e-health solutions, Occupational therapy
National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:ltu:diva-87560 (URN)10.1186/s40814-021-00924-x (DOI)000707704400001 ()34656173 (PubMedID)2-s2.0-85117285365 (Scopus ID)
Funder
The Kamprad Family Foundation
Note

Validerad;2021;Nivå 2;2021-10-20 (alebob)

Available from: 2021-10-20 Created: 2021-10-20 Last updated: 2021-12-13Bibliographically approved
Olofsson, A., Larsson-Lund, M. & Nyman, A. (2020). Everyday activities outside the home are a struggle: Narratives from two persons with acquired brain injury. Scandinavian Journal of Occupational Therapy, 27(3), 194-203
Open this publication in new window or tab >>Everyday activities outside the home are a struggle: Narratives from two persons with acquired brain injury
2020 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 27, no 3, p. 194-203Article in journal (Refereed) Published
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 Method: Two 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, 2020
Keywords
Brain injuries, identity, meaning, narrative, problematic situations, transaction
National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:ltu:diva-71177 (URN)10.1080/11038128.2018.1495762 (DOI)000523018700004 ()30301397 (PubMedID)2-s2.0-85054697524 (Scopus ID)
Note

Validerad;2020;Nivå 2;2020-04-16 (alebob)

Available from: 2018-10-12 Created: 2018-10-12 Last updated: 2023-09-04Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-0467-4857

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