Change search
Link to record
Permanent link

Direct link
Publications (10 of 108) Show all publications
Savolainen, E., Lindqvist, A.-K., Mikaelsson, K., Nyberg, L. & Rutberg, S. (2024). Children’s active school transportation: an international scoping review of psychosocial factors. Systematic Reviews, 13(1), Article ID 47.
Open this publication in new window or tab >>Children’s active school transportation: an international scoping review of psychosocial factors
Show others...
2024 (English)In: Systematic Reviews, ISSN 2046-4053, Vol. 13, no 1, article id 47Article in journal (Refereed) Published
Abstract [en]

Background: Over the last decades, the prevalence of AST has decreased significantly. Barriers to active school transport (AST) have been extensively examined in the literature, while psychosocial factors that facilitate AST have received less attention. To our best knowledge, there are currently no reviews on this subject. Therefore, the objective of this review was to scope the literature and identify published research about psychosocial factors related to AST.

Methods: Systematic searches conducted in PubMed, Web of Science, TRID, Scopus, and ERIC resulted in a total of 1933 publications, and 77 of them were considered eligible for this review.

Results: The results of the included articles were categorised into four psychosocial factors: confidence in ability, attitudes, social support, and social norms, which were all generally positively related to AST, with a few exceptions.

Conclusion: The findings of this review indicate that these psychosocial factors may be important to consider when developing interventions and highlight that both children and parents should be involved in the process. This knowledge can serve as a valuable guide for developing interventions to promote AST. However, the evidence base supporting these psychosocial factors requires further investigation to fully understand how and when to incorporate them to maximise AST efficacy.

Place, publisher, year, edition, pages
Springer Nature, 2024
Keywords
Active school commuting, Confidence in ability, Attitudes, Social support, Social norms
National Category
Other Health Sciences
Research subject
Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-104238 (URN)10.1186/s13643-023-02414-y (DOI)38291491 (PubMedID)2-s2.0-85183648004 (Scopus ID)
Funder
Vinnova, 2019–00936
Note

Validerad;2024;Nivå 2;2024-02-12 (joosat);

CC BY Full text license

Available from: 2024-02-12 Created: 2024-02-12 Last updated: 2024-02-12Bibliographically approved
Burgueño, R., Lindqvist, A.-K., Nyberg, L., Chillon, P. & Rutberg, S. (2023). Basic psychological need satisfaction in active commuting to and from school BPNS-ACS(SWE). Journal of Transport and Health, 30, Article ID 101618.
Open this publication in new window or tab >>Basic psychological need satisfaction in active commuting to and from school BPNS-ACS(SWE)
Show others...
2023 (English)In: Journal of Transport and Health, ISSN 2214-1405, E-ISSN 2214-1405, Vol. 30, article id 101618Article in journal (Refereed) Published
Abstract [en]

Background

The absence of appropriate Swedish-language instrumentation to assess active commuting to school has largely hampered the study of the individual factors of the children, such as autonomy, competence, and relatedness to active commuting to school.

Purpose

Building upon self-determination theory, the objective of this research was to gather evidence of the validity and reliability of the Swedish version of the Basic Psychological Need Satisfaction in Active Commuting to and from School (BPNS-ACS) tool.

Methods

The cross-sectional and purposive sample included 273 children (51.28% girls) from urban areas.

Results

Confirmatory factor analysis underpinned the three-factor correlated model, which was invariant across gender. Evidence in support of discriminant and convergent validity and reliability was gathered. Criterion validity evidence was met by positive and significant predictions of autonomy, competence, and relatedness satisfaction on active commuting to and from school.

Conclusions

The Swedish version of the BPNS-ACS is a psychometrically robust measure of children’s perceptions of autonomy, competence, and relatedness satisfaction in active commuting to school and could be used to assess the effects of school-based interventions on need satisfaction for active commuting to school.

Place, publisher, year, edition, pages
Elsevier, 2023
Keywords
Need satisfaction, Need-based experiences, Active transport to school, Active school commuting, Children
National Category
Public Health, Global Health, Social Medicine and Epidemiology Sport and Fitness Sciences
Research subject
Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-96997 (URN)10.1016/j.jth.2023.101618 (DOI)2-s2.0-85153509231 (Scopus ID)
Funder
Vinnova, 2021-03049
Note

Validerad;2023;Nivå 2;2023-05-03 (joosat);

Licens fulltext: CC BY License

Available from: 2023-05-03 Created: 2023-05-03 Last updated: 2023-09-05Bibliographically approved
Forsberg, H., Rutberg, S., Nyberg, L. & Lindqvist, A.-K. (2023). Children's intervention participation is associated with more positive beliefs towards active school transportation among parents. Health Promotion International, 38(2), Article ID daad016.
Open this publication in new window or tab >>Children's intervention participation is associated with more positive beliefs towards active school transportation among parents
2023 (English)In: Health Promotion International, ISSN 0957-4824, E-ISSN 1460-2245, Vol. 38, no 2, article id daad016Article in journal (Refereed) Published
Abstract [en]

Insufficient physical activity among children is a critical issue and health promoting initiatives are required to reverse this trend. In response to the current situation, a school-based intervention aiming to increase physical activity with the aid of active school transportation (AST) was implemented in one municipality in northern Sweden. By adopting the framework of the Theory of Planned Behavior, we aimed to analyse beliefs among parents whose children were or were not involved in the AST intervention. All municipality schools were included. There were 1024 responses from parents, comprising 610 who responded either 'yes' or 'no' to participating in the intervention. An adjusted linear regression analysis showed that children's intervention participation was significantly associated with more positive beliefs towards AST among parents. These results indicates that it is possible to influence beliefs that are important in the parental decision-making process by the use of an AST intervention. Therefore, to make children´s active transport to school the more favorable choice for parents, it seems to be worthwhile to not only give children the opportunity to participate but also to involve parents and address their beliefs when designing interventions.Not enough physical activity among children is an important issue and health promoting initiatives are needed to reverse this trend. In response to the current situation, a school-based intervention aiming to increase physical activity using active school transportation (AST) was implemented in one municipality in northern Sweden. Using the Theory of Planned Behaviour framework, we aimed to analyse beliefs among parents whose children were or were not involved in the AST intervention. Children’s participation in the intervention was significantly associated with more positive beliefs towards AST among parents. These results indicate that it is possible to influence beliefs that are important in the parental decision-making process by the use of an AST intervention. Therefore, to make children’s active transport to school the more favourable choice for parents, it seems to be worthwhile to not only give children the opportunity to participate but also to involve parents and address their beliefs when designing interventions.

Place, publisher, year, edition, pages
Oxford University Press, 2023
Keywords
active school transportation, children, intervention, parents, physical activity, theory of planned behaviour
National Category
Physiotherapy Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-96467 (URN)10.1093/heapro/daad016 (DOI)000954418800001 ()36932992 (PubMedID)2-s2.0-85150666462 (Scopus ID)
Note

Validerad;2023;Nivå 2;2023-04-13 (hanlid);

Funder: Verket för innovationssystem (2020-01867)

Available from: 2023-04-13 Created: 2023-04-13 Last updated: 2023-12-19Bibliographically approved
Strandkvist, V., Lindberg, A., Larsson, A., Pauelsen, M., Stridsman, C., Nyberg, L., . . . Röijezon, U. (2023). Postural control among individuals with and without chronic obstructive pulmonary disease: A cross-sectional study of motor and sensory systems. PLOS ONE, 18(4), Article ID e0284800.
Open this publication in new window or tab >>Postural control among individuals with and without chronic obstructive pulmonary disease: A cross-sectional study of motor and sensory systems
Show others...
2023 (English)In: PLOS ONE, E-ISSN 1932-6203, Vol. 18, no 4, article id e0284800Article in journal (Refereed) Published
Abstract [en]

Background

Chronic obstructive pulmonary disease (COPD) is considered a heterogenic syndrome with systemic effects, including muscle dysfunction. There is evidence of postural control impairments among individuals with COPD, partly related to muscle weakness. However, research is scarce regarding the other underlying systems of postural control, such as the visual, somatosensory and vestibular system. The aim was to compare postural control, as well as the motor and sensory systems, between individuals with and without COPD.

Methods

Twenty-two participants with COPD (mean age 74.0 ±6.2 years) and 34 non-obstructive references (mean age 74.9 ±4.9 years) participated in this cross-sectional study. Postural control was assessed with center of pressure trajectory of postural sway in quiet as well as a limits of stability test, calculating mediolateral and anteroposterior amplitudes for each test. Assessment of function in the motor system included maximum hand grip strength, as well as maximum strength in muscles around the hip, knee and ankle joints. Visual acuity, pressure sensibility, proprioception, vestibular screening, and reaction time were also included. Data was compared between groups, and significant differences in postural control were further analyzed with an orthogonal projection of latent structures regression model.

Results

There was a significantly increased sway amplitude in the mediolateral direction in quiet stance on soft surface with eyes open (p = 0.014) as well as a smaller anteroposterior amplitude in the limits of stability test (p = 0.019) in the COPD group. Regression models revealed that the mediolateral amplitude was related to visual acuity and the burden of tobacco smoking assessed as pack-years. Further, muscle strength associated with anteroposterior amplitude in limits of stability test in the COPD group, and with age and ankle dorsal flexion strength among the referents. Besides for lower ankle plantar flexion strength in the COPD group, there were however no significant differences in muscle strength.

Conclusions

Individuals with COPD had a decreased postural control and several factors were associated with the impairments. The findings imply that the burden of tobacco smoking and reduced visual acuity relate to increased postural sway in quiet stance, and that muscle weakness is related to decreased limits of stability, among individuals with COPD.

Place, publisher, year, edition, pages
Public Library of Science (PLoS), 2023
National Category
Physiotherapy
Research subject
Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-75668 (URN)10.1371/journal.pone.0284800 (DOI)37098038 (PubMedID)2-s2.0-85153900736 (Scopus ID)
Funder
Swedish Research Council, (project number K2015-99X-22756-01-4)Swedish Heart Lung Foundation, (E139/16)Norrbotten County Council, (NLL-762571)
Note

Validerad;2023;Nivå 2;2023-05-10 (joosat);

Licens fulltext: CC BY License

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

Funder: Promobilia Foundation (17030)

Available from: 2019-08-23 Created: 2019-08-23 Last updated: 2023-09-05Bibliographically approved
Jafari, H., Gustafsson, T., Nyberg, L. & Röijezon, U. (2023). Predicting balance impairments in older adults: a wavelet-based center of pressure classification approach. Biomedical engineering online, 22, Article ID 83.
Open this publication in new window or tab >>Predicting balance impairments in older adults: a wavelet-based center of pressure classification approach
2023 (English)In: Biomedical engineering online, E-ISSN 1475-925X, Vol. 22, article id 83Article in journal (Refereed) Published
Abstract [en]

Background: Aging is associated with a decline in postural control and an increased risk of falls. The Center of Pressure (CoP) trajectory analysis is a commonly used method to assess balance. In this study, we proposed a new method to identify balance impairments in older adults by analyzing their CoP trajectory frequency components, sensory inputs, reaction time, motor functions, and Fall-related Concerns (FrC).

Methods: The study includes 45 older adults aged 75.2(±4.5)75.2(±4.5) years who were assessed for sensory and motor functions. FrC and postural control in a quiet stance with open and closed eyes on stable and unstable surfaces. A Discrete Wavelet Transform (DWT) was used to detect features in frequency scales, followed by the K-means algorithm to detect different clusters. The multinomial logistic model was used to identify and predict the association of each group with the sensorimotor tests and FrC.

Results: The study results showed that by DWT, three distinct groups of subjects could be revealed. Group 2 exhibited the broadest use of frequency scales, less decline in sensorimotor functions, and lowest FrC. The study also found that a decline in sensorimotor functions and fall-related concern may cause individuals to rely on either very low-frequency scales (group 1) or higher-frequency scales (group 3) and that those who use lower-frequency scales (group 1) can manage their balance more successfully than group 3.

Conclusions: Our study provides a new, cost-effective method for detecting balance impairments in older adults. This method can be used to identify people at risk and develop interventions and rehabilitation strategies to prevent falls in this population.

Place, publisher, year, edition, pages
Springer Nature, 2023
Keywords
Balance, Wavelet analysis, Clustering, Classification, Sensorimotor, Ageing
National Category
Physiotherapy
Research subject
Automatic Control; Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-97243 (URN)10.1186/s12938-023-01146-3 (DOI)001052826900001 ()37608334 (PubMedID)2-s2.0-85168702366 (Scopus ID)
Funder
Swedish Research Council, K2015-99X-22756-01-4
Note

Validerad;2023;Nivå 2;2023-09-04 (hanlid)

Available from: 2023-05-17 Created: 2023-05-17 Last updated: 2023-09-05Bibliographically approved
Nyberg, L., Röijezon, U., Larsson, A., Jäger, J., Pauelsen, M., Vikman, I., . . . Strandkvist, V. (2023). Teknik ska minska fallolyckor bland äldre. Äldre i Centrum (1)
Open this publication in new window or tab >>Teknik ska minska fallolyckor bland äldre
Show others...
2023 (Swedish)In: Äldre i Centrum, no 1Article in journal (Other (popular science, discussion, etc.)) Published
Place, publisher, year, edition, pages
Stiftelsen Stockholms läns Äldrecentrum, 2023
National Category
Other Health Sciences
Research subject
Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-96288 (URN)
Note

Godkänd;2023;Nivå 0;2023-03-31 (hanlid);

Available from: 2023-03-31 Created: 2023-03-31 Last updated: 2023-12-12Bibliographically approved
Burgueño, R., Rutberg, S., Nyberg, L., Pauelsen, M., Chillon, P. & Lindqvist, A.-K. (2022). Adapting the behavioral regulation in active commuting to and from school questionnaire in Sweden: BR-ACS(SWE). Transportation Research Interdisciplinary Perspectives, 16, Article ID 100721.
Open this publication in new window or tab >>Adapting the behavioral regulation in active commuting to and from school questionnaire in Sweden: BR-ACS(SWE)
Show others...
2022 (English)In: Transportation Research Interdisciplinary Perspectives, ISSN 2590-1982, Vol. 16, article id 100721Article in journal (Refereed) Published
Abstract [en]

Although growing attention has been paid to motivation in explaining active travel to school among young people at the international level, no measures of motivation for active commuting to school (ACS) were found in Sweden. Guided by self-determination theory, this research aimed to adapt the Behavioral Regulation in Active Commuting to and from School (BR-ACS) questionnaire to the Swedish context and test the resulting version’s psychometric properties. The purposive and cross-sectional sample included 273 students (58 % girls, aged 10–12 years) from four Swedish urban schools. Results from confirmatory factor analyses psychometrically supported the six-factor correlated model (intrinsic motivation, integrated regulation, identified regulation, introjected regulation, external regulation, and amotivation) and the hierarchical three-factor model (autonomous, controlled motivation, and amotivation), which were invariant across gender. Latent correlations underpinned a symplex-like pattern. Discriminant and convergent validity and reliability were gathered. Criterion validity evidence was met with positive associations from intrinsic motivation, integrated and identified regulation to ACS, and a negative relationship between amotivation and ACS. The Swedish version of the BR-ACS questionnaire is a valid and reliable measure of children’s motivation toward ACS.

Place, publisher, year, edition, pages
Elsevier, 2022
Keywords
Motivational forms, Quality of motivation, Self-determination continuum, Active school transportation, Active transport to school, Children
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-94172 (URN)10.1016/j.trip.2022.100721 (DOI)2-s2.0-85141759247 (Scopus ID)
Funder
Vinnova, 2018-04174
Note

Validerad;2022;Nivå 1;2022-11-21 (hanlid);

Funder: Spanish Ministry of Universities (RR_A_2021_02)

Available from: 2022-11-21 Created: 2022-11-21 Last updated: 2023-09-05Bibliographically approved
Sjöholm, H., Hägg, S., Nyberg, L., Lind, J. & Kammerlind, A.-S. (2022). Exploring possible risk factors for time to first fall and 6-month fall incidence in persons with acute stroke. SAGE Open Medicine, 10
Open this publication in new window or tab >>Exploring possible risk factors for time to first fall and 6-month fall incidence in persons with acute stroke
Show others...
2022 (English)In: SAGE Open Medicine, E-ISSN 2050-3121, Vol. 10Article in journal (Refereed) Published
Abstract [en]

Objectives:

The aim was to explore how the time to the first fall and 6-month fall incidence relates to rapidly and easily collected data in persons with acute stroke.

Methods:

Out of consecutively admitted patients with stroke at three stroke units, 284 with at least one follow-up were included in this prospective cohort study. During 6 months following discharge, participants reported falls using a diary and monthly phone calls. Data about participants’ characteristics, functions, and activities were collected during hospital stay and analyzed in relation to time to first fall by Cox regression and fall incidence by negative binomial regression.

Results:

Use of ⩾9 medications, paresis in arms, paresis in legs (National Institutes of Health Stroke Scale), impaired protective reactions in sitting (Postural Reactions Test), and limitations in self-care (Barthel Index) were decisive risk factors for time to first fall. Limitations in mobility (Step Test, 30-s Chair Stand Test) were decisive risk factors for high fall incidence (p < 0.0005).

Conclusion:

Several easily collected participant characteristics, functions, and activities were identified as risk factors for falls. The findings emphasize the width of assessments that can be used for the identification of individuals at risk for falls and that the risk factors vary in different strata of the population. These results are important when developing multivariate risk models. The risk factors differed in part when analyzing the time to the first fall and 6-month fall incidence.

Place, publisher, year, edition, pages
SAGE Open, 2022
National Category
Physiotherapy
Research subject
Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-89964 (URN)10.1177/20503121221088093 (DOI)000777979700001 ()35387151 (PubMedID)2-s2.0-85128170913 (Scopus ID)
Funder
The Swedish Stroke AssociationFuturum - Academy for Health and Care, Jönköping County Council, Sweden, FUTURUM-394751; FUTURUM-422461; FUTURUM-484411; FUTURUM-519431Medical Research Council of Southeast Sweden (FORSS), FORSS-475481; FORSS-645491; FORSS-931033
Note

Validerad;2022;Nivå 2;2022-03-31 (sofila)

Available from: 2022-03-31 Created: 2022-03-31 Last updated: 2023-09-05Bibliographically approved
Falk, J., Strandkvist, V., Pauelsen, M., Vikman, I., Nyberg, L. & Röijezon, U. (2022). Increased co-contraction reaction during a surface perturbation is associated with unsuccessful postural control among older adults. BMC Geriatrics, 22(1), Article ID 438.
Open this publication in new window or tab >>Increased co-contraction reaction during a surface perturbation is associated with unsuccessful postural control among older adults
Show others...
2022 (English)In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 22, no 1, article id 438Article in journal (Refereed) Published
Abstract [en]

Background: As a strategy to maintain postural control, the stiffening strategy (agonist-antagonist co-contractions) is often considered dysfunctional and associated with poor physical capacity. The aim was to investigate whether increased stiffening is associated with unsuccessful postural control during an unpredictable surface perturbation, and which sensory and motor variables that explain postural stiffening.

Methods: A sample of 34 older adults, 75.8 ± 3.8 years, was subjected to an unpredicted surface perturbation with the postural task to keep a feet-in-place strategy. The participants also completed a thorough sensory- and motor test protocol. During the surface perturbation, electromyography was measured from tibialis anterior and gastrocnemius to further calculate a co-contraction index during the feed-forward and feedback period. A binary logistic regression was done with the nominal variable, if the participant succeeded in the postural task or not, set as dependent variable and the co-contraction indexes set as independent variables. Further, the variables from the sensory and motor testing were set as independent variables in two separate Orthogonal Projections of Latent Structures (OPLS)-models, one with the feed-forward- and the other with the feedback co-contraction index as dependent variable.

Results: Higher levels of ankle joint stiffening during the feedback, but not the feed-forward period was associated with postural task failure. Feedback stiffening was explained by having slow non-postural reaction times, poor leg muscle strength and being female whereas feed-forward stiffening was not explained by sensory and motor variables.

Conclusions: When subjected to an unpredicted surface perturbation, individuals with higher feedback stiffening had poorer postural control outcome, which was explained by poorer physical capacity. The level of feed-forward stiffening prior the perturbation was not associated with postural control outcome nor the investigated sensory and motor variables. The intricate causal relationships between physical capacity, stiffening and postural task success remains subject for future research.

Place, publisher, year, edition, pages
Springer Nature, 2022
Keywords
Ageing, Balance, Co-contraction index, Electromyography, Falls, Sensorimotor, Stifening strategy, Surface perturbation
National Category
Production Engineering, Human Work Science and Ergonomics
Research subject
Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-90749 (URN)10.1186/s12877-022-03123-2 (DOI)000797549200001 ()35585517 (PubMedID)2-s2.0-85130213572 (Scopus ID)
Funder
Luleå University of TechnologySwedish Research Council, K2015-99X-22756-01-4
Note

Validerad;2022;Nivå 2;2022-05-24 (joosat);

Available from: 2022-05-24 Created: 2022-05-24 Last updated: 2023-10-11Bibliographically approved
Forsberg, H., Lindqvist, A.-K., Forward, S., Nyberg, L. & Rutberg, S. (2021). Development and Initial Validation of the PILCAST Questionnaire: Understanding Parents’ Intentions to Let Their Child Cycle or Walk to School. International Journal of Environmental Research and Public Health, 18(21), Article ID 11651.
Open this publication in new window or tab >>Development and Initial Validation of the PILCAST Questionnaire: Understanding Parents’ Intentions to Let Their Child Cycle or Walk to School
Show others...
2021 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 18, no 21, article id 11651Article in journal (Refereed) Published
Abstract [en]

Children generally do not meet the recommendation of 60 min of daily physical activity (PA); therefore, active school transportation (AST) is an opportunity to increase PA. To promote AST, the involvement of parents seems essential. Using the theory of planned behavior (TPB), the aim was to develop and validate the PILCAST questionnaire to understand parents’ intentions to let their child cycle or walk to school. Cross-sectional sampling was performed, where 1024 responses were collected from parents. Confirmatory factor analysis indicated acceptable fit indices for the factorial structure according to the TPB, comprising 32 items grouped in 11 latent constructs. All constructs showed satisfying reliability. The regression analysis showed that the TPB explained 55.3% of parents’ intentions to let the child cycle to school and 20.6% regarding walking, increasing by a further 18.3% and 16.6%, respectively, when past behavior was added. The most influential factors regarding cycling were facilitating perceived behavioral control, positive attitudes, subjective and descriptive norms, and for walking, subjective and descriptive norms. The PILCAST questionnaire contributes to a better understanding of the psychological antecedents involving parents’ decisions to let their child cycle or walk to school, and may therefore provide guidance when designing, implementing and evaluating interventions aiming to promote AST.

Place, publisher, year, edition, pages
MDPI, 2021
Keywords
active school transportation, active commuting, children, parents, theory of planned behavior, intentions, school setting
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-87898 (URN)10.3390/ijerph182111651 (DOI)000719508100001 ()34770168 (PubMedID)2-s2.0-85118415043 (Scopus ID)
Funder
Vinnova, 2018-04174
Note

Validerad;2021;Nivå 2;2021-11-15 (beamah)

Available from: 2021-11-15 Created: 2021-11-15 Last updated: 2023-12-19Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-9813-2719

Search in DiVA

Show all publications