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Lilja, Margareta, Professor emeritaORCID iD iconorcid.org/0000-0003-1026-5419
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Publications (10 of 59) Show all publications
Bergin, M., Boyle, B., Lilja, M. & Prellwitz, M. (2024). Exploring with children, play in Irish primary schoolyards. International Journal of Play, 13(2), 157-172
Open this publication in new window or tab >>Exploring with children, play in Irish primary schoolyards
2024 (English)In: International Journal of Play, ISSN 2159-4937, Vol. 13, no 2, p. 157-172Article in journal (Refereed) Published
Abstract [en]

Children’s play in Irish schoolyards remains neglected in educational policies and practices despite government commitments to inclusive schools and children’s rights. There is a dearth of research on children’s perspectives of play, criticisms of ‘at risk’ discourses underpinning concerns for certain children’s play rights, and studies identifying exclusion within Irish schoolyards, particularly for children with minoritized identities. This inquiry informed by the theory of practice architectures used walking interviews to explore with twenty-three children their play practices in two Irish primary schools identified as disadvantaged. Analysis of the interviews generated three themes: (1) the state of play – cracks with(in) the routines of the schoolyard, (2) playing along and with(in) this shared space and (3) the hard yard. This inquiry contributes to understandings of children’s play with(in) Irish schoolyards, as socially situated practices with contrasting representations of play as habitual and emerging. Play was central to children’s social lives, identities, and friendships and interrelated with diverse constraints, exclusionary practices, and the (re)production of the ‘hard yard’. While mattering most children’s experiences of significant constraints and inequities, this inquiry also highlighted the transformative possibilities generated within play to create shared possibilities for individual and collective flourishing. 

Place, publisher, year, edition, pages
Taylor & Francis, 2024
Keywords
Children's perspectives, Irish schoolyards, outdoor play, practice architecture theory, spatial justice, walking interviews
National Category
Occupational Therapy
Research subject
Occupational Therapy
Identifiers
urn:nbn:se:ltu:diva-104574 (URN)10.1080/21594937.2024.2355443 (DOI)001236926800001 ()2-s2.0-85194928462 (Scopus ID)
Funder
EU, Horizon 2020
Note

Validerad;2024;Nivå 2;2024-08-14 (sofila);

Full text License: CC BY;

Funder: Marie Sklowdowska-Curie grant agreement (861257);

This article has previously been published as a preprint.

Available from: 2024-03-13 Created: 2024-03-13 Last updated: 2024-08-14Bibliographically approved
Bergin, M., Boyle, B., Lilja, M. & Prellwitz, M. (2024). ‘Finding the play’- exploring with occupational therapists practice possibilities in the context of Irish schoolyards. Scandinavian Journal of Occupational Therapy, 31(1), Article ID 2361649.
Open this publication in new window or tab >>‘Finding the play’- exploring with occupational therapists practice possibilities in the context of Irish schoolyards
2024 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 31, no 1, article id 2361649Article in journal (Refereed) Published
Abstract [en]

Background

Research has identified diverse constraints to the adoption of school-based occupational therapy approaches and a lack of attention to addressing the barriers to children’s play opportunities. Critical contextualised research is advocated to inform practice possibilities.

Aims/Objectives

This inquiry aimed to explore with occupational therapists their existing practices in Irish schoolyards to generate practice possibilities concerned with play, as an issue of occupational justice.

Materials and Methods

Using the theory of practice architectures, six occupational therapists from diverse sites of practice participated in the first phase of a critical action research process using dialogical focus group and occupational mapping methods.

Results

Three themes were generated (1) Existing practices as situated (2) (Re)mattering play and practices as occupations and (3) Practice possibilities – ‘Finding the play’ between responsiveness and responsibilities. A further interrelated dimension was how the research methods provided mechanisms of raising consciousness.

Conclusions, and Significance

Alongside constructing knowledges on existing practices in an Irish context, this inquiry contributes to understandings of practices as socially embedded generative processes of ‘finding the play’, highlighting ethical responsibilities to make visible inequities reproduced in habitual practices and engage in relationships of solidarity to (re)construct alternative shared practices.

Place, publisher, year, edition, pages
Taylor & Francis, 2024
Keywords
Critical action-research, Consciousness, Occupational justice, Play, Practice theories, School-Based Occupational Therapy
National Category
Occupational Therapy
Research subject
Occupational Therapy
Identifiers
urn:nbn:se:ltu:diva-104585 (URN)10.1080/11038128.2024.2361649 (DOI)001244681700001 ()38864428 (PubMedID)2-s2.0-85195680336 (Scopus ID)
Funder
EU, Horizon 2020, Marie Sklowdowska-Curie No. 861257
Note

Validerad;2024;Nivå 2;2024-06-17 (sofila);

Full text license: CC BY 4.0;

This article has previously appeared as a manuscript in a thesis.

Available from: 2024-03-13 Created: 2024-03-13 Last updated: 2024-08-22Bibliographically approved
Bergin, M., Boyle, B., Lilja, M. & Prellwitz, M. (2024). Irish Schoolyards: Teacher’s Experiences of Their Practices and Children’s Play-“It’s Not as Straight Forward as We Think”. Journal of Occupational Therapy, Schools, & Early Intervention, 17(2), 259-278
Open this publication in new window or tab >>Irish Schoolyards: Teacher’s Experiences of Their Practices and Children’s Play-“It’s Not as Straight Forward as We Think”
2024 (English)In: Journal of Occupational Therapy, Schools, & Early Intervention, ISSN 1941-1243, E-ISSN 1941-1251, Vol. 17, no 2, p. 259-278Article in journal (Refereed) Published
Abstract [en]

With the inclusion of play as a right, schools are urged to consider whether all children can access play opportunities in schoolyards. Refocusing on play as occupation is identified as an important way in which occupational therapists can contribute within schools. Greater knowledges of children’s play and teachers’ practices, in schoolyards in an Irish context, is required however to guide practices. This inquiry used interviews to explore with 10 primary school teachers, their practices, and experiences of children’s play in Irish schoolyards. Reflexive thematic analysis was used to generate three interrelated themes. These were a) Break(in)time: Play in schoolyards as different from other ways of doing within schools, b) play as producing inclusion and exclusion, c) and certainties and uncertainties produced in teachers’ everyday practices. This inquiry generated knowledges on the social nature of children’s play and teachers” practices in Irish schoolyards as negotiated processes, interacting with diverse intentions, and the particularities of each schoolyard. The consequences of individualizing choice were highlighted as central to the production of inclusion and exclusion in schoolyards. Greater consideration of how children’s play and teachers” practices occur as collective occupations, is proposed to advance inclusive schoolyards. 

Place, publisher, year, edition, pages
Taylor & Francis, 2024
Keywords
Play occupation, school-based occupational therapy practice, collective occupations
National Category
Pedagogical Work
Research subject
Occupational Therapy
Identifiers
urn:nbn:se:ltu:diva-96229 (URN)10.1080/19411243.2023.2192201 (DOI)000951327400001 ()2-s2.0-85150923815 (Scopus ID)
Funder
EU, Horizon 2020
Note

Validerad;2024;Nivå 2;2024-08-14 (sofila);

Full text license: CC BY-NC-ND

Funder: Marie Sklowdowska-Curie grant agreement (861257)

Available from: 2023-03-23 Created: 2023-03-23 Last updated: 2024-10-11Bibliographically approved
Eriksson, G., Lilja, M., Jonsson, H., Petersson, I. & Tatzer, V. C. (2024). Occupations of Elderhood (4ed.). In: Charles H. Christiansen; Julie Bass; Carolyn M. Baum (Ed.), Occupational Therapy: Performance Participation, and Well-Being (pp. 169-183). Taylor and Francis
Open this publication in new window or tab >>Occupations of Elderhood
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2024 (English)In: Occupational Therapy: Performance Participation, and Well-Being / [ed] Charles H. Christiansen; Julie Bass; Carolyn M. Baum, Taylor and Francis , 2024, 4, p. 169-183Chapter in book (Other academic)
Place, publisher, year, edition, pages
Taylor and Francis, 2024 Edition: 4
National Category
Occupational Therapy
Research subject
Occupational Therapy
Identifiers
urn:nbn:se:ltu:diva-108688 (URN)10.4324/9781003522997-13 (DOI)2-s2.0-85200885416 (Scopus ID)9781617110504 (ISBN)9781003522997 (ISBN)
Available from: 2024-08-22 Created: 2024-08-22 Last updated: 2024-08-22Bibliographically approved
Riekkola, J., Isaksson, G., Lilja, M. & Rutberg, S. (2024). ‘Possibilities and challenges for older couples to continue ageing in place’. Journal of Aging Studies, 69, Article ID 101229.
Open this publication in new window or tab >>‘Possibilities and challenges for older couples to continue ageing in place’
2024 (English)In: Journal of Aging Studies, ISSN 0890-4065, E-ISSN 1879-193X, Vol. 69, article id 101229Article in journal (Refereed) Published
Abstract [en]

Ageing in place is an imminent concern for both older couples and communities. Identifying ways to support ageing in place is required to meet the needs and challenges of older couples and social services systems. Through focus groups with a total of 46 participants and a constant comparative methodology, this study aimed to explore and describe the experiences and reasoning of spousal carers, healthcare professionals, and stakeholders regarding possibilities for older couples to age in place. The findings consisted of one main category, ‘Facilitating ageing in place is a win-win situation with challenges’ and four interrelated categories, ‘Focus on older couples – building relationships and providing adequate services’, ‘Engaged civil society as a source of care and social inclusion,’ ‘Motivated professionals with competence and time,’ and ‘Services working together for a sustainable society,’ that present possibilities and challenges for ageing in place. This study suggests that facilitating ageing in place is possible but involves a complex series of challenges that can be linked to different contexts ranging from individuals and couples to civil society, services provided, organisational systems, and existing resources. All these aspects need to be considered and balanced to achieve a situation that contributes to older couples' possibilities to age in place as well as to a sustainable society.

Place, publisher, year, edition, pages
Elsevier, 2024
Keywords
Ageing population, Home care, Older adult, Older couples, Respite care, Sustainable society
National Category
Social Work
Research subject
Occupational Therapy; Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-105468 (URN)10.1016/j.jaging.2024.101229 (DOI)001238071800001 ()38834252 (PubMedID)2-s2.0-85191871603 (Scopus ID)
Note

Validerad;2024;Nivå 2;2024-05-15 (hanlid);

Full text license: CC BY

Available from: 2024-05-15 Created: 2024-05-15 Last updated: 2024-11-20Bibliographically 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
Bergin, M., Boyle, B., Lilja, M. & Prellwitz, M. (2023). Irish Traveller Children's Play: A Scoping Review. Journal of Child and Family Studies, 32, 3860-3875
Open this publication in new window or tab >>Irish Traveller Children's Play: A Scoping Review
2023 (English)In: Journal of Child and Family Studies, ISSN 1062-1024, E-ISSN 1573-2843, Vol. 32, p. 3860-3875Article, review/survey (Refereed) Published
Abstract [en]

Irish Traveller children, an ethnic indigenous minoritized community in Ireland are identified in Ireland’s play policy as at higher risk of exclusion from realising their right to play, alongside a reported absence of research on indigenous children’s play. This scoping review aimed to identify the breadth and scope of available research on representations of Irish Traveller children’s play and the factors influencing play opportunities. Applying the updated Joanna Briggs Institute methodological guidance, a systematic search was completed of nine databases. Thirty-five peer reviewed studies met the inclusion criteria, descriptive study information was charted and summarised and enabling and restricting factors influencing Irish Traveller children’s play were identified using an existing conceptual model. The scoping review findings revealed a limited focus within research on Irish Traveller children’s play. Included studies however, provided evidence of; the importance of feeling a sense of belonging and safety to enable Irish Traveller children’s access to preferred play opportunities, involving real life activities, physical play outdoors and play with others; Irish Traveller parents value and facilitation of play; and the significant restricting influence of racism on Irish Traveller children’s play .Limited knowledge on Irish Traveller children’s own perspectives on play and the need to address racism as a restricting influence on play in school and community environments are considered in relation to practice and further research. Discourses representing Irish Traveller children as marginalised, were problematized as reflective of culturist assumptions, and a shift towards understanding the situated nature of Irish Traveller children’s play, as a capability is proposed.

Place, publisher, year, edition, pages
Springer, 2023
Keywords
Play, Schoolyard, Irish Travellers, Capabilities Approach, Racism
National Category
Social Work
Research subject
Occupational Therapy
Identifiers
urn:nbn:se:ltu:diva-101955 (URN)10.1007/s10826-023-02695-w (DOI)001082591400001 ()2-s2.0-85174053717 (Scopus ID)
Funder
EU, Horizon 2020, 86125
Note

Validerad;2023;Nivå 2;2023-12-05 (joosat);

Full text license: CC BY

Available from: 2023-10-31 Created: 2023-10-31 Last updated: 2024-03-13Bibliographically 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
Riekkola, J., Rutberg, S., Lilja, M. & Isaksson, G. (2019). Healthcare professionals’ perspective on how to promote older couples’ participation in everyday life when using respite care. Scandinavian Journal of Caring Sciences, 33(2), 427-435
Open this publication in new window or tab >>Healthcare professionals’ perspective on how to promote older couples’ participation in everyday life when using respite care
2019 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 33, no 2, p. 427-435Article in journal (Refereed) Published
Abstract [en]

Aims

The aim is to describe healthcare professionals’ perspectives on how they understand and promote older couples’ participation in everyday life when using residential respite care.

Design and Methods

Eighteen healthcare professionals with varying degrees of competence and from one residential respite care facility participated in four focus group interviews. Data were analysed through qualitative latent content analysis.

Findings

The findings revealed a broad, multifaceted view of participation and ways in which participation in everyday life is promoted by these professionals. Trustworthy relationships between professionals, spousal caregivers and clients were implicated. Promoting participation also necessitated that clients have access to meaningful activities. In addition, participation entailed an environment that supported various needs.

Conclusion

Promoting participation for older couples that are using respite care involves multifaceted perspectives that consider social–relational aspects including both the client and their spouse. Furthermore, attention is needed to the meaning a change of context between home and the respite care facility has on relationships, environments and activities in everyday life. Such an approach could benefit the couples’ shared everyday life situation and in a wider perspective, also influence their health and well‐being when ageing in place together.

Place, publisher, year, edition, pages
John Wiley & Sons, 2019
Keywords
caregivers, elder care, focus groups, older adults, participation, qualitative approaches, respite service
National Category
Occupational Therapy Physiotherapy
Research subject
Occupational therapy; Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-72673 (URN)10.1111/scs.12640 (DOI)000472973400018 ()30570154 (PubMedID)2-s2.0-85058954992 (Scopus ID)
Note

Validerad;2019;Nivå 2;2019-07-10 (johcin)

Available from: 2019-01-24 Created: 2019-01-24 Last updated: 2025-02-11Bibliographically approved
Womack, J. L., Lilja, M., Dickie, V. & Isaksson, G. (2019). Occupational Therapists’ Interactions With Older Adult Caregivers: Negotiating Priorities and Expertise. OTJR (Thorofare, N.J.), 39(1), 48-55
Open this publication in new window or tab >>Occupational Therapists’ Interactions With Older Adult Caregivers: Negotiating Priorities and Expertise
2019 (English)In: OTJR (Thorofare, N.J.), ISSN 1539-4492, E-ISSN 1938-2383, Vol. 39, no 1, p. 48-55Article in journal (Refereed) Published
Abstract [en]

Although numerous studies have examined provider–caregiver interactions and their influence on care outcomes, few represent the perspective of the provider or specifically consider occupational therapy practitioners. The aim of this article is to explore the perspectives of occupational therapists regarding interactions with older adult caregivers in geriatric practice settings. The study was conducted using a constructivist grounded theory approach based on data obtained from repeated focus group sessions and subsequent individual reflections. Occupational therapy practitioners interact with older adult caregivers in ways that reflect negotiations about who holds expertise and whose priorities are most relevant in care situations. These interactions are influenced by health care contexts that foreground the needs of the care recipient. A deeper understanding of caregiving as an occupation via a transactional perspective may serve to illuminate complex care situations and optimize therapist–caregiver interactions.

Place, publisher, year, edition, pages
Sage Publications, 2019
Keywords
caregivers, occupational therapy, older adults, grounded theory
National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:ltu:diva-70866 (URN)10.1177/1539449218799445 (DOI)000453436100007 ()30205761 (PubMedID)2-s2.0-85058532664 (Scopus ID)
Note

Validerad;2019;Nivå 2;2019-01-08 (johcin)

Available from: 2018-09-14 Created: 2018-09-14 Last updated: 2023-09-05Bibliographically approved
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ORCID iD: ORCID iD iconorcid.org/0000-0003-1026-5419

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