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Publications (10 of 17) Show all publications
Lindqvist, A.-K., Löf, M., Ek, A. & Rutberg, S. (2019). Active School Transportation in Winter Conditions: Biking Together is Warmer. International Journal of Environmental Research and Public Health, 16(2), Article ID 234.
Open this publication in new window or tab >>Active School Transportation in Winter Conditions: Biking Together is Warmer
2019 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 16, no 2, article id 234Article in journal (Refereed) Published
Abstract [en]

There has been a decline in children’s use of active school transportation (AST) while there is also limited research concerning AST in winter conditions. This study aimed to explore the prerequisites and experiences of schoolchildren and parents participating in an empowerment- and gamification-inspired intervention to promote students’ AST in winter conditions. Methods: Thirty-five students, who were aged 12–13 years, and 34 parents from the north of Sweden participated in the study. Data were collected using photovoice and open questions in a questionnaire and analyzed using qualitative content analysis. Results: The results show that involvement and togetherness motivated the students to use AST. In addition, during the project, the parents changed to have more positive attitudes towards their children’s use of AST. The students reported that using AST during wintertime is strenuous but rewarding and imparts a sense of pride. Conclusion: Interventions for increasing students’ AST in winter conditions should focus on the motivational aspects for both children and parents. For overcoming parental hesitation with regards to AST during winter, addressing their concerns and empowering the students are key factors. To increase the use of AST all year around, targeting the challenges perceived during the winter is especially beneficial.

Place, publisher, year, edition, pages
MDPI, 2019
Keywords
active school transportation, children, empowerment, health promotion, parents, photovoice, physical activity
National Category
Medical and Health Sciences Physiotherapy
Research subject
Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-72580 (URN)10.3390/ijerph16020234 (DOI)000459112100069 ()30650653 (PubMedID)2-s2.0-85060168919 (Scopus ID)
Note

Validerad;2019;Nivå 2;2019-01-30 (svasva)

Available from: 2019-01-16 Created: 2019-01-16 Last updated: 2019-09-13Bibliographically approved
Lindqvist, A.-K. (2019). Cykelväg till skolan kan vara vägen till framgång. Skolledaren (3)
Open this publication in new window or tab >>Cykelväg till skolan kan vara vägen till framgång
2019 (Swedish)In: Skolledaren, ISSN 0037-6515, no 3Article in journal, News item (Other (popular science, discussion, etc.)) Published
Place, publisher, year, edition, pages
Kalmar: Sveriges Skolledarförbund, 2019
National Category
Medical and Health Sciences Physiotherapy
Research subject
Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-73823 (URN)
Available from: 2019-05-03 Created: 2019-05-03 Last updated: 2019-05-20Bibliographically 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 ()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: 2019-08-16Bibliographically approved
Ek, A., Sandborg, J., Delisle Nyström, C., Lindqvist, A.-K., Rutberg, S. & Löf, M. (2019). Physical Activity and Mobile Phone Apps in the Preschool Age: Perceptions of Teachers and Parents. JMIR mhealth and uhealth, 7(4), Article ID e12512.
Open this publication in new window or tab >>Physical Activity and Mobile Phone Apps in the Preschool Age: Perceptions of Teachers and Parents
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2019 (English)In: JMIR mhealth and uhealth, E-ISSN 2291-5222, Vol. 7, no 4, article id e12512Article in journal (Refereed) Published
Abstract [en]

BACKGROUND:

Physical activity (PA) is already beneficial at the preschool age. In many countries, young children spend most of their days in the preschool setting, making it a common arena for PA interventions. Mobile health tools are becoming increasingly popular to promote PA in different populations; however, little is known about the interest for and how the preschool setting could incorporate such a tool.

OBJECTIVE:

This study aimed to examine how teachers and parents perceive PA in preschool-aged children in general and their perceptions of how a mobile phone app could be used to promote PA in the preschool setting.

METHODS:

Semistructured interviews were conducted with 15 teachers (93%, [14/15] women, mean age 43.5 years, 47%, [7/15] with a university degree and 10 parents [91%, 9/10] women, mean age 38.9 years, all with a university degree) recruited from 2 urban preschools in central Sweden. The interviews were recorded, fully transcribed, coded, and analyzed using thematic analysis by means of an inductive approach.

RESULTS:

The analysis revealed 4 themes: (1) children are physically active by nature, (2) the environment as a facilitator or a barrier, (3) prerequisites of the adult world, and (4) an app in the preschool setting-challenges and possibilities. Parents and teachers perceived preschoolers as being spontaneously physically active; however, high-intensity PA was perceived as low. The PA was specifically performed during the day in the preschool. Identified facilitators of PA were access to safe and engaging outdoor environments such as forests, spacious indoor areas, and adult involvement. Adult involvement was considered especially important for children preferring sedentary activities. Identified barriers for PA were restricted indoor and outdoor space, rules for indoor activities, and lack of adult involvement because of time constraints. The teachers perceived that they had limited skills and experiences using apps in general, although they also acknowledged the increasing role of technological tools in the curriculum. Thus, the teachers expressed an interest for an app designed as a support tool for them, especially for situations when PA was limited because of perceived barriers. They suggested the app to include accessible information regarding the health benefits of PA in children linked to a library of activities for different settings and seasons. Parents suggested interactive app features including problem-solving tasks and music and dance, but not video clips as they made children passive.

CONCLUSIONS:

Vigorous PA was perceived as low in preschool-aged children. Future tailoring of interventions in the preschool setting should work around barriers and support facilitators to PA, especially PA of high intensity. In such work, an app could serve as a source of inspiration for PA in different ages, settings, and seasons and thus reduce environmental and structural inequalities in the preschool setting.

Place, publisher, year, edition, pages
JMIR Publications, 2019
Keywords
child, preschool, mHealth, parents, physical activity, qualitative research, school teachers
National Category
Medical and Health Sciences Physiotherapy
Research subject
Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-73704 (URN)10.2196/12512 (DOI)000465355100001 ()30994465 (PubMedID)2-s2.0-85066460114 (Scopus ID)
Note

Validerad;2019;Nivå 2;2019-05-14 (johcin)

Available from: 2019-04-18 Created: 2019-04-18 Last updated: 2019-06-27Bibliographically approved
Mikaelsson, K., Rutberg, S., Lindqvist, A.-K. & Michaelson, P. (2019). Physically inactive adolescents’ experiences of engaging in physical activity. European Journal of Physiotherapy
Open this publication in new window or tab >>Physically inactive adolescents’ experiences of engaging in physical activity
2019 (English)In: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177Article in journal (Refereed) Epub ahead of print
Abstract [en]

Purpose: This study aimed to describe physically inactive adolescents’ experiences and reflections about engaging in physical activity. Methods: Nine graduate students from the third year of upper secondary school (six women and three men) participated in this study. Narrative interviews were used for data collection and qualitative content analysis was used to analyse the interviews. Results: The analysis revealed three themes ‘Acknowledging resistance and barriers to performing physical activity’, ‘Knowing that it is good is not enough’, and ‘Feeling included and accepted is fun and motivating’. These themes show that the adolescent’s experienced barriers, acknowledged pros and cons and identified possibilities to be physically active. Conclusions: Identifying experiences that impact on inactive adolescents’ attitude and willingness to perform physical activity can be useful to understand the needs of the individual. By relating these experiences to the different stages of the transtheoretical model, this study could provide valuable knowledge for designing future interventions to enhance physical activity in this target group.

Place, publisher, year, edition, pages
Taylor & Francis, 2019
National Category
Physiotherapy
Research subject
Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-72932 (URN)10.1080/21679169.2019.1567808 (DOI)
Available from: 2019-02-18 Created: 2019-02-18 Last updated: 2019-02-18
Riekkola Carabante, J., Rutberg, S., Lilja, M. & Isaksson, G. (2019). Spousal caregivers’ experiences of participation in everyday life when living in shifting contexts. Scandinavian Journal of Occupational Therapy, 25(6), 457-465
Open this publication in new window or tab >>Spousal caregivers’ experiences of participation in everyday life when living in shifting contexts
2019 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 25, no 6, p. 457-465Article in journal (Refereed) Published
Abstract [en]

Background: To promote health and well-being, and to meet the desires of the growing elderly population to age in place, elderly spousal caregivers need adequate support such as respite care services. More knowledge is needed about elderly spousal caregivers’ experiences in relation to participation, which is an aspect of health that remains relatively unexplored for this group.

Aim: To explore and describe how elderly spousal caregivers experience and discuss participation in everyday life when living in shifting contexts due to the use of respite care.

Method: A grounded theory approach was used during data generation and analysis, which involved repeated focus group interviews with 12 spousal caregivers.

Results: Complexity and ambiguity was understood to imbue participation in everyday life. Being in charge of everyday life was challenging for spousal caregivers, and created a need for personal time. Respite care and home care service gave them time, although when interacting with social contexts other issues arose that influenced their own recovery.

Conclusions: A holistic ‘situation centered’ approach that focuses on the elderly couple’s life story and needs might capture a wider perspective and enable adequate support that influences their health, well-being, and participation in everyday life.

Place, publisher, year, edition, pages
Taylor & Francis, 2019
Keywords
Aged, grounded theory, health, occupational therapy, rehabilitation, respite care
National Category
Occupational Therapy Physiotherapy
Research subject
Occupational therapy; Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-63988 (URN)10.1080/11038128.2017.1337810 (DOI)000458235400006 ()28602117 (PubMedID)2-s2.0-85020672590 (Scopus ID)
Note

Validerad;2019;Nivå 2;2019-03-11 (johcin)

Available from: 2017-06-14 Created: 2017-06-14 Last updated: 2019-04-16Bibliographically approved
Riekkola, J., Rutberg, S., Lilja, M. & Isaksson, G. (2019). Strategies of older couples to sustain togetherness. Journal of Aging Studies, 48, 60-66
Open this publication in new window or tab >>Strategies of older couples to sustain togetherness
2019 (English)In: Journal of Aging Studies, ISSN 0890-4065, E-ISSN 1879-193X, Vol. 48, p. 60-66Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to explore how elderly couples, who are in need of social services in the community, act and reason over time regarding their everyday togetherness. Data were generated through repeated interviews and participant observations with three older couples. A narrative method was used for data generation and analysis. The findings present four parallel narratives illustrating how the couples, over time, strove to continue living their lives in togetherness despite the many challenges that had emerged. These narratives show the complexity and variety of strategies that the couples adopted to handle different situations of everyday life and the couples’ experiences and feelings connected to these situations. The strategies that the couples used resulted, for example, in performing more activities together in another way, using respite care and reorganizing their social interactions. The spousal caregiver had a leading role to manage day-to-day life and to initiate and perform the strategies. Simultaneously, an important reciprocity existed in their relationship that gave meaning to their efforts of sustaining togetherness. These findings give a deeper understanding of the complexity of their situation and of how meaning is created in their everyday life through enacted togetherness. The findings highlight the need for professionals within social services in the community to embrace a couple's whole situation, involving both partners. 

Place, publisher, year, edition, pages
Elsevier, 2019
Keywords
Narrative, Older adults, Participation, Relationships, Respite care, Togetherness
National Category
Occupational Therapy Physiotherapy
Research subject
Occupational therapy; Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-72772 (URN)10.1016/j.jaging.2019.01.005 (DOI)30832931 (PubMedID)2-s2.0-85060436837 (Scopus ID)
Note

Validerad;2019;Nivå 2;2019-02-06 (svasva)

Available from: 2019-02-06 Created: 2019-02-06 Last updated: 2019-04-16Bibliographically approved
Rutberg, S. & Lindqvist, A.-K. (2018). Children’s motivation overcame parental hesitation: active school transportation in Sweden. Health Promotion International
Open this publication in new window or tab >>Children’s motivation overcame parental hesitation: active school transportation in Sweden
2018 (English)In: Health Promotion International, ISSN 0957-4824, E-ISSN 1460-2245Article in journal (Refereed) Epub ahead of print
Abstract [en]

Abstract

To meet the recommendation of 60 min of daily physical activity, children can be encouraged to walk or bike to school, which is known as active school transportation (AST). The aim of this study was to describe parents’ attitudes to AST and to explore their experience when implementing interventions to promote it. To explore parent’s experiences, we collected pre- and post-intervention data via three questionnaires, using both closed and open questioning techniques. The pre-intervention questionnaire informed development of the intervention. Open-ended questions (pre- and post-) were analyzed with qualitative content analysis. In the intervention, there were 42 children, with 63 parents answering pre-intervention questionnaires and 44 answering a post-intervention questionnaire. The analysis resulted in one main theme: children’s motivation and active travel reduces parents’ perception of problems, along with three subthemes: parental concerns and suggestions for solutions, children’s motivation guides parental choice of transport mode, and trying it changes attitudes. In conclusion, it is beneficial to use the enthusiasm and motivation of children to overcome parental hesitation with AST. In addition, it is critical to acknowledge their concerns, as they are the gatekeepers to the children’s use of AST and it is valuable to empower parents when designing relevant interventions. Interventions to increase AST could preferably target changed behavior, and parents’ confidence in their children’s ability to use active transport in a safe and effective way, vs focusing on changing parental attitudes.

Place, publisher, year, edition, pages
Oxford University Press, 2018
Keywords
children, active transport, empowerment, health behavior, parent
National Category
Medical and Health Sciences Health Sciences
Research subject
Health Science
Identifiers
urn:nbn:se:ltu:diva-71387 (URN)10.1093/heapro/day083 (DOI)30376064 (PubMedID)
Available from: 2018-10-30 Created: 2018-10-30 Last updated: 2018-11-21
Lindqvist, A.-K. & Rutberg, S. (2018). One Step Forward: Development of a Program Promoting Active School Transportation. JMIR Research Protocols, 7(5), Article ID e123.
Open this publication in new window or tab >>One Step Forward: Development of a Program Promoting Active School Transportation
2018 (English)In: JMIR Research Protocols, ISSN 1929-0748, E-ISSN 1929-0748, Vol. 7, no 5, article id e123Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Physical activity promotes health and learning. However, up to 80% of the children in industrialized countries do not achieve the recommended level of daily physical activity. By encouraging children to use active school transportation (AST), it is possible to increase their overall physical activity.

OBJECTIVE: The aim of this paper was to present the development of an AST intervention using Intervention Mapping (IM) to promote children's physical activity.

METHODS: The principles of IM were applied to guide the development of the intervention. The process was divided into 3 phases. First, a literature review and collection of experiences of stakeholders were carried out to gain a broad perspective on the problem and possible solutions. Thereafter, an analysis of the critical environmental and behavioral factors affecting outcome was conducted, which guided the choice of tangible components of the intervention. Finally, a plan of evaluation and implementation was established.

RESULTS: A structured program to increase AST among children was developed, consisting of 3 subsequent phases that are described in detail. Implementation took place, and evaluation of the intervention is being carried out.

CONCLUSIONS: IM proved to be a valuable method to develop a structured AST intervention for children. By following the steps of the IM process, it became evident that empowerment and gamification are 2 promising avenues to consider when designing AST interventions in a school context. By engaging end users and including important agents, such as parents and teachers, who control the environmental factors, the possibility to design a sustainable program increases. In addition, gamification made it possible to integrate learning into AST, which could motivate schools to devote time and effort to implementing this program.

Place, publisher, year, edition, pages
JMIR Publications, 2018
National Category
Physiotherapy
Research subject
Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-68707 (URN)10.2196/resprot.9505 (DOI)29739733 (PubMedID)2-s2.0-85047530732 (Scopus ID)
Note

Validerad;2018;Nivå 2;2018-05-14 (svasva)

Available from: 2018-05-14 Created: 2018-05-14 Last updated: 2018-06-08Bibliographically approved
Carabante, J. R., Rutberg, S., Lilja, M. & Isaksson, G. (2016). Spousal caregivers' experiences of participation in everyday life when using respite care (ed.). Paper presented at COTEC-ENOTHE Congress 2016 : 15/06/2016 - 19/06/2016. Paper presented at COTEC-ENOTHE Congress 2016 : 15/06/2016 - 19/06/2016.
Open this publication in new window or tab >>Spousal caregivers' experiences of participation in everyday life when using respite care
2016 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Occupational Therapy Physiotherapy
Research subject
Occupational therapy; Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-28589 (URN)26cff5cd-c36b-4915-a17e-85c525f9cabd (Local ID)26cff5cd-c36b-4915-a17e-85c525f9cabd (Archive number)26cff5cd-c36b-4915-a17e-85c525f9cabd (OAI)
Conference
COTEC-ENOTHE Congress 2016 : 15/06/2016 - 19/06/2016
Note
Godkänd; 2016; 20160630 (andbra)Available from: 2016-09-30 Created: 2016-09-30 Last updated: 2018-04-24Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-9376-6053

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