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Löfgren, M., Nyman, A., Larsson, E. & Isaksson, G. (2024). Fostering social participation among older adults: Perspectives of stakeholders. Scandinavian Journal of Occupational Therapy
Open this publication in new window or tab >>Fostering social participation among older adults: Perspectives of stakeholders
2024 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background: Fostering social participation for active and healthy ageing among older adults is an urgent issue in a changing society that requires new approaches from occupational therapists as well as from society at large.

Aim: To explore possibilities to foster social participation for older adults in society from the perspective of stakeholders.

Material and methods: A qualitative design was applied. 18 key informants, engaged in supporting older adults in their organisational roles as either professionals or volunteers, participated in five different focus groups discussions.

Results: The results involved two overarching themes that reflects different perspectives on key informants’ possibilities to foster social participation for older adults. The first theme describes how they direct their attention towards their roles within the organisations to foster social participation in their own context. The second theme describes the broader societal perspectives that they address to establish a common ground for collaboration and knowledge-sharing among different stakeholders.

Conclusions: The findings emphasise how addressing common challenges and developing collaboration are essential to foster older adults’ social participation. It is therefore necessary to involve policy-makers and decision-makers. Occupational therapists and researchers should consider the value of occupational justice to drive collective and social approaches.

Place, publisher, year, edition, pages
Taylor & Francis, 2024
Keywords
Active ageing, healthy ageing, occupational justice, professionals, social inclusion, volunteers
National Category
Social Work Occupational Therapy
Research subject
Occupational Therapy
Identifiers
urn:nbn:se:ltu:diva-108472 (URN)10.1080/11038128.2024.2384405 (DOI)001279323900001 ()39073433 (PubMedID)2-s2.0-85200000472 (Scopus ID)
Note

Full text license: CC BY

Available from: 2024-08-06 Created: 2024-08-06 Last updated: 2024-11-20
Löfgren, M., Nyman, A., Isaksson, G. & Larsson, E. (2024). Framing Facets of Social Participation: Older Adults’ Experiences of “Social Online Meetings”. OTJR (Thorofare, N.J.)
Open this publication in new window or tab >>Framing Facets of Social Participation: Older Adults’ Experiences of “Social Online Meetings”
2024 (English)In: OTJR (Thorofare, N.J.), ISSN 1539-4492, E-ISSN 1938-2383Article in journal (Refereed) Epub ahead of print
Abstract [en]

Changing demographics with an increased proportion of older adults indicate the need to develop new health-promoting interventions where the potential of digitization is considered. The aim was to explore and create an understanding of how social online meetings are experienced by older adults. Interviews with older adults generated data that were analyzed using a grounded theory approach. The participants were interviewed after participating in a digital health promotion group initiative provided in a municipality context. A core conceptual category and three subcategories reflected an intertwined process of discovering facets of social participation where internal reflections on personal values and needs were nurtured by an external driven process of becoming part of a group in an online context. Occupational therapists and other health and social care professionals need to consider the various facets of social participation when supporting older adults active and healthy aging.

Place, publisher, year, edition, pages
Sage Publications, 2024
Keywords
older adults, social participation, grounded theory
National Category
Public Health, Global Health, Social Medicine and Epidemiology Gerontology, specialising in Medical and Health Sciences Occupational Therapy
Research subject
Occupational Therapy
Identifiers
urn:nbn:se:ltu:diva-108510 (URN)10.1177/15394492241262291 (DOI)
Note

Full text license: CC BY

Available from: 2024-08-09 Created: 2024-08-09 Last updated: 2024-08-28
Körlof, L., Nyman, A., Isaksson, G. & Larsson, E. (2024). Older Adults’ Experiences of Using Strategies to Maintain and Foster Social Participation: A Systematic Review with Metasynthesis of Qualitative Studies. Health & Social Care in the Community, Article ID 7877128.
Open this publication in new window or tab >>Older Adults’ Experiences of Using Strategies to Maintain and Foster Social Participation: A Systematic Review with Metasynthesis of Qualitative Studies
2024 (English)In: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524, article id 7877128Article, review/survey (Refereed) Published
Abstract [en]

Social participation is positively associated with older adults’ health. Health-care services, therefore, need to empower older adults to adapt to the social changes that accompany aging. This systematic review, with a metasynthesis of qualitative studies, aimed to describe and develop an understanding of home-dwelling older adults’ (65 yrs+) experiences of using strategies to maintain and foster their social participation. The main search was performed in March 2022 using the PubMed, CINAHL, PsycINFO, and AMED databases and included peer-reviewed articles published between 2012 and 2022. A total of 35 full-text articles from 15 different countries were included and assessed for quality by the assessment tool for qualitative studies provided by the Critical Appraisal Skills Programme (CASP). The metasynthesis resulted in the main theme: strategically creating routines that foster social participation and two main categories: inward-looking strategies for social participation and outward-looking strategies for social participation. Each main category contained three subcategories. The findings suggest that for perceiving social participation, it is important for older adults to create routines with patterns of activities and to be able to engage in these activities. The findings further reflect that older adults use earlier experiences of social participation to facilitate the making of routines. This indicates that health-care interventions supporting older adults’ social participation must be applied early and with a health-promotive focus. Conclusively, researchers need to develop interventions that support older adults in healthy activity patterns by raising awareness of how to use inward-looking and outward-looking strategies to create routines for social participation. The findings further suggest that older adults’ possibilities for social participation could be supported by designing accessible venues that facilitate spontaneous meetings and encourage older adults’ own choices and initiatives for social participation.

Place, publisher, year, edition, pages
Hindawi Publishing Corporation, 2024
National Category
Occupational Therapy Gerontology, specialising in Medical and Health Sciences
Research subject
Occupational Therapy
Identifiers
urn:nbn:se:ltu:diva-104349 (URN)10.1155/2024/7877128 (DOI)001163447700001 ()2-s2.0-85185603074 (Scopus ID)
Note

Validerad;2024;Nivå 2;2024-03-14 (hanlid);

Full text license: CC BY

Available from: 2024-02-21 Created: 2024-02-21 Last updated: 2024-11-20Bibliographically approved
Loudoun, F. M., Larsson-Lund, M., Boyle, B. & Nyman, A. (2024). The process of negotiating and balancing digital play in everyday life: Adolescents' narratives. Scandinavian Journal of Occupational Therapy, 31(1), Article ID 2435922.
Open this publication in new window or tab >>The process of negotiating and balancing digital play in everyday life: Adolescents' narratives
2024 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 31, no 1, article id 2435922Article in journal (Refereed) Published
Abstract [en]

Background: Everyday lives of adolescents reflects a pattern and balance of occupations across the awake-sleep continuum. Despite ongoing discussions regarding overconsumption, play in digital spaces is an occupation of choice for many adolescents.Aim: To explore and identify how the meaning of playing video games is situated in adolescents’ everyday life.Material and Method: Five participants aged 16–17 years were recruited. Data was generated through interviews and encounters using recorded clips of their play in digital spaces. Narrative analysis was utilised to explore the stories of adolescent’s digital play in everyday life.Results: The overall plot of ‘bridging the divide’ represents and symbolises how play in the digital space is integrated in adolescents’ everyday life as they negotiate and balance the habits and routines of everyday life. Four storylines help demonstrate the stories told.Conclusion: Playing in digital spaces enabled the participants to be part of an ongoing story where meaning could be negotiated and created. Play was interwoven in the complexity of routines reflecting the importance of examining the integrated whole of adolescents’ everyday life.Significance: These findings are significant in shifting current assumptions and discourses of how digital play is situated in everyday life.

Place, publisher, year, edition, pages
Taylor & Francis, 2024
Keywords
Adolescents, digitalspaces, everyday life, narratives, video gaming, young adults
National Category
Other Health Sciences
Research subject
Occupational Therapy
Identifiers
urn:nbn:se:ltu:diva-105188 (URN)10.1080/11038128.2024.2435922 (DOI)001373037700001 ()39651764 (PubMedID)2-s2.0-85211768925 (Scopus ID)
Funder
EU, Horizon 2020, 861257
Note

Validerad;2025;Nivå 2;2025-01-02 (sarsun)

Full text license: CC BY 4.0;

Available from: 2024-04-22 Created: 2024-04-22 Last updated: 2025-01-02Bibliographically approved
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
Show others...
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: 2024-08-28Bibliographically 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
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-0467-4857

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