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Kassberg, Ann-CharlotteORCID iD iconorcid.org/0000-0001-8001-3001
Alternative names
Publications (10 of 10) Show all publications
Grooten, L., Alexandru, C.-A., Alhambra-Borrás, T., Anderson, S., Avolio, F., Valia Cotanda, E., . . . Vrijhoef, H. J. (2019). A scaling-up strategy supporting the expansion of integrated care: a study protocol. Journal of Integrated Care, 27(3), 215-231
Open this publication in new window or tab >>A scaling-up strategy supporting the expansion of integrated care: a study protocol
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2019 (English)In: Journal of Integrated Care, ISSN 1476-9018, Vol. 27, no 3, p. 215-231Article in journal (Refereed) Published
Abstract [en]

Purpose

To ensure that more people will benefit from integrated care initiatives, scaling-up of successful initiatives is the way forward. However, new challenges present themselves as knowledge on how to achieve successful large-scale implementation is scarce. The EU-funded project SCIROCCO uses a step-based scaling-up strategy to explore what to scale-up, and how to scale-up integrated care initiatives by matching the complementary strengths and weaknesses of five European regions involved in integrated care. The purpose of this paper is to describe a multi-method evaluation protocol designed to understand what factors influence the implementation of the SCIROCCO strategy to support the scaling-up of integrated care.

Design/methodology/approach

The first part of the protocol focuses on the assessment of the implementation fidelity of the SCIROCCO step-based strategy. The objective is to gain insight in whether the step-based strategy is implemented as it was designed to explore what works and does not work when implementing the scaling-up strategy. The second part concerns a realist evaluation to examine what it is about the SCIROCCO’s strategy that works for whom, why, how and in which circumstances when scaling-up integrated care.

Findings

The intended study will provide valuable information on the implementation of the scaling-up strategy which will help to explain for what specific reasons the implementation succeeds and will facilitate further improvement of project outcomes.

Originality/value

The expected insights could be useful to guide the development, implementation and evaluation of future scaling-up strategies to advance the change towards more sustainable health and care systems.

Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2019
Keywords
Realist evaluation, Integrated care, Evaluation protocol, Implementation fidelity, Scaling-up
National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:ltu:diva-71251 (URN)10.1108/JICA-04-2018-0029 (DOI)2-s2.0-85054781260 (Scopus ID)
Available from: 2018-10-18 Created: 2018-10-18 Last updated: 2019-10-09Bibliographically approved
Kassberg, A.-C., Nyman, A. & Larsson-Lund, M. (2019). Perceived occupational balance in people with stroke. Disability and Rehabilitation
Open this publication in new window or tab >>Perceived occupational balance in people with stroke
2019 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background: The balance of activities in daily life can become disrupted after a stroke; however, previous research has mainly focused on the performance of daily activities. Therefore, it is important to understand the impact that stroke has on various aspects of balance in activities for working-age people. 

Purpose: To describe how persons with stroke perceived their occupational balance and to explore whether occupational balance was associated with the severity of disability, fatigue and sociodemographic characteristics. 

Methods: This cross-sectional study included 63 working-age persons with stroke. The Occupational Balance Questionnaire, Glasgow Outcome Scale and Fatigue Severity Scale were used and analyzed statistically. 

Results: The majority of participants disagreed or strongly disagreed that they perceived occupational balance in most of the investigated aspects. Moreover, few significant associations were found between total summed occupational balance and injury and sociodemographic characteristics. 

Conclusion: These results demonstrate the importance of considering occupational balance in the rehabilitation of persons with stroke to support their engagement in a variety of meaningful activities that contribute to health. IMPLICATIONS FOR REHABILITATION Rehabilitation need to support persons with stroke to monitor their entire patterns of activities and perceived balance to support wider engagement in meaningful activities and promote health. Balance between all kinds of activities in daily life besides work, needs to be considered in the later phase of rehabilitation in persons with stroke. A majority of the participants with stroke in this study disagreed that they had a satisfying level of occupational balance. Perceived balance between all activities in daily life can together with performance of activities add to the understanding of consequences after stroke.

Place, publisher, year, edition, pages
Taylor & Francis, 2019
Keywords
Occupational Balance Questionnaire, life balance, acquired brain injury, health
National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:ltu:diva-75276 (URN)10.1080/09638288.2019.1632940 (DOI)000473911300001 ()31264487 (PubMedID)
Available from: 2019-07-10 Created: 2019-07-10 Last updated: 2019-08-16
Olofsson, A., Nyman, A., Kassberg, A.-C., Malinowsky, C. & Larsson-Lund, M. (2019). Places visited for activities outside the home after stroke: Relationship with the severity of disability. British Journal of Occupational Therapy
Open this publication in new window or tab >>Places visited for activities outside the home after stroke: Relationship with the severity of disability
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2019 (English)In: British Journal of Occupational Therapy, ISSN 0308-0226, E-ISSN 1477-6006Article in journal (Refereed) Epub ahead of print
Abstract [en]

Introduction

Knowledge about the places people visit or do not visit after stroke is lacking. The aim of this study was to describe and compare the places visited for activities outside the home of people with stroke of working age and to explore the influence of the severity of disability, fatigue, driving a car and sociodemographic characteristics on the total number of places visited for activities outside the home.

Methods

An exploratory cross-sectional study was conducted and 63 people with stroke were interviewed with instruments that covered places outside the home, severity of disability and fatigue. Data were analysed using non-parametric tests, analysis of variance and the general linear model.

Results

Significant difference in the total number of places visited for activities outside the home were found between all three groups of severity of disability. The good recovery group visited eight places to a significantly higher extent than those with severe/moderate disability. The severity of disability and driving a car were the only aspects that significantly influenced the total number of places visited.

Conclusions

Places for activities outside the home people with stroke visit and changes therein can add valuable knowledge about participation that can be used in the design of rehabilitation.

Place, publisher, year, edition, pages
Sage Publications, 2019
Keywords
Activities of daily living, participation, places, rehabilitation, stroke, occupational therapy
National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:ltu:diva-76876 (URN)10.1177/0308022619879075 (DOI)000497476800001 ()
Available from: 2019-11-27 Created: 2019-11-27 Last updated: 2019-12-09
Spinord, L., Kassberg, A.-C., Stenberg, G., Lundqvist, R. & Stålnacke, B.-M. (2018). Comparison of two multimodal pain rehabilitation programmes, in relation to sex and age. Journal of Rehabilitation Medicine, 50(7), 619-628
Open this publication in new window or tab >>Comparison of two multimodal pain rehabilitation programmes, in relation to sex and age
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2018 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 50, no 7, p. 619-628Article in journal (Refereed) Published
Abstract [en]

Objective: To evaluate patient-reported outcome measures in 2 different multimodal pain rehabilitation programmes and to determine whether outcomes are related to sex or age at 1-year follow-up. Design: Longitudinal retrospective study. Subjects: Patients who had participated in 1 of 2 multimodal pain rehabilitation programmes at 2 rehabilitation centres. A total of 356 women and 83 men, divided into 3 age groups. Methods: Data from the Swedish Quality Registry for Pain Rehabilitation regarding activity and physical functions, pain intensity, health status and emotional functions analysed with descriptive statistics. Results: Significant improvements in activity and physical functions, pain intensity and emotional functions were found in both multimodal pain rehabilitation programmes. Women improved more than men. The older group improved in all emotional functions (depression, anxiety, mental component summary), while the younger group improved only in depression. The intermediate group improved in all variables except anxiety. Conclusion: Patients improved regardless of the design of the multimodal pain rehabilitation programme. Although only small differences were found between men and women and among the 3 age groups in terms of the measured variables, these findings may have clinical relevance and indicate a need to vary the design of the interventions in multimodal rehabilitation programmes for these subgroups.

Place, publisher, year, edition, pages
Foundation Rehabilitation Information, 2018
National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:ltu:diva-70303 (URN)10.2340/16501977-2352 (DOI)000438084000007 ()2-s2.0-85051041391 (Scopus ID)
Note

Validerad;2018;Nivå 2;2018-08-09 (andbra)

Available from: 2018-08-09 Created: 2018-08-09 Last updated: 2018-08-14Bibliographically approved
Kassberg, A.-C., Prellwitz, M., Malinowsky, C. & Larsson-Lund, M. (2016). Interventions aimed at improving the ability to use everyday technology in work after brain injury (ed.). Scandinavian Journal of Occupational Therapy, 23(2), 147-157
Open this publication in new window or tab >>Interventions aimed at improving the ability to use everyday technology in work after brain injury
2016 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 23, no 2, p. 147-157Article in journal (Refereed) Published
Abstract [en]

Objective The aim of this study was to explore and describe how client-centred occupationaltherapy interventions may support and improve the ability to use everyday technology (ET) in worktasks in people with acquired brain injury (ABI). Method A qualitative, descriptive multiple-casestudy was designed, and occupation-based interventions were provided to three working-ageparticipants with ABI. Multiple sources were used to collect data throughout the three interventionprocesses, including assessments, field notes, and interviews. The Canadian OccupationalPerformance Measure and the Management of Everyday Technology Assessment were administeredbefore the interventions, after the interventions and at a follow-up session 2–3 monthssubsequent to the interventions. Results The three intervention processes initially consisted ofsimilar actions, but subsequently the actions took on a different focus and intensity for each case.All of the goals in each of the three case processes were achieved, and both perceived andobserved abilities to use ET in work tasks improved. Conclusions Client-centred occupationaltherapy interventions might have the potential to improve the ability to use ET in work tasks inpeople with ABI.

National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:ltu:diva-3659 (URN)10.3109/11038128.2015.1122835 (DOI)000369768000008 ()26651230 (PubMedID)2-s2.0-84957430283 (Scopus ID)17a0bc9b-e9ae-4ef0-86e1-efd643c82fb5 (Local ID)17a0bc9b-e9ae-4ef0-86e1-efd643c82fb5 (Archive number)17a0bc9b-e9ae-4ef0-86e1-efd643c82fb5 (OAI)
Note

Validerad; 2016; Nivå 2; 20151214 (andbra)

Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2018-07-10Bibliographically approved
Kassberg, A.-C., Prellwitz, M. & Larsson-Lund, M. (2016). Occupational Therapy Interventions to Improve the Ability to use Everyday Technology in Work After Acquired Brain Injury: a comparison with controls (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 >>Occupational Therapy Interventions to Improve the Ability to use Everyday Technology in Work After Acquired Brain Injury: a comparison with controls
2016 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:ltu:diva-31615 (URN)5db5ceff-c1a1-454a-a2a1-cc51969117dd (Local ID)5db5ceff-c1a1-454a-a2a1-cc51969117dd (Archive number)5db5ceff-c1a1-454a-a2a1-cc51969117dd (OAI)
Conference
COTEC-ENOTHE Congress 2016 : 15/06/2016 - 19/06/2016
Note
Godkänd; 2016; 20160629 (andbra)Available from: 2016-09-30 Created: 2016-09-30 Last updated: 2017-11-25Bibliographically approved
Malinowsky, C., Kassberg, A.-C., Larsson-Lund, M. & Kottorp, A. (2016). Stability of person ability measures in people with acquired brain injury in the use of everyday technology: the test–retest reliability of the Management of Everyday Technology Assessment (META) (ed.). Disability and Rehabilitation: Assistive Technology, 11(5), 395-399
Open this publication in new window or tab >>Stability of person ability measures in people with acquired brain injury in the use of everyday technology: the test–retest reliability of the Management of Everyday Technology Assessment (META)
2016 (English)In: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 11, no 5, p. 395-399Article in journal (Refereed) Published
Abstract [en]

Aim: To evaluate the test–retest reliability of the Management of Everyday Technology Assessment (META) in a sample of people with acquired brain injury (ABI). Method: The META was administered twice within a two-week period to 25 people with ABI. A Rasch measurement model was used to convert the META ordinal raw scores into equal-interval linear measures of each participant’s ability to manage everyday technology (ET). Test–retest reliability of the stability of the person ability measures in the META was examined by a standardized difference Z-test and an intra-class correlations analysis (ICC 1). Results: The results showed that the paired person ability measures generated from the META were stable over the test–retest period for 22 of the 25 subjects. The ICC 1 correlation was 0.63, which indicates good overall reliability. Conclusion: The META demonstrated acceptable test–retest reliability in a sample of people with ABI. The results illustrate the importance of using sufficiently challenging ETs (relative to a person’s abilities) to generate stable META measurements over time.Implications for Rehabilitation •The findings add evidence regarding the test–retest reliability of the person ability measures generated from the observation assessment META in a sample of people with ABI.•The META might support professionals in the evaluation of interventions that are designed to improve clients’ performance of activities including the ability to manage ET.

National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:ltu:diva-9086 (URN)10.3109/17483107.2014.968812 (DOI)000386457900005 ()25270613 (PubMedID)2-s2.0-84962882092 (Scopus ID)7a5d4266-4b48-4e61-927e-2a9489ce4ae5 (Local ID)7a5d4266-4b48-4e61-927e-2a9489ce4ae5 (Archive number)7a5d4266-4b48-4e61-927e-2a9489ce4ae5 (OAI)
Note

Validerad; 2016; Nivå 1; 20141007 (andbra)

Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2018-07-10Bibliographically approved
Kassberg, A.-C. (2015). Förmåga att använda vardagsteknik efter förvärvad hjärnskada: med fokus mot arbete (ed.). (Doctoral dissertation). Paper presented at . Luleå: Luleå tekniska universitet
Open this publication in new window or tab >>Förmåga att använda vardagsteknik efter förvärvad hjärnskada: med fokus mot arbete
2015 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [sv]

Det övergripande syftet med denna avhandling var att generera ny kunskap om förmågan att använda vardagsteknik (VT) hos personer i arbetsför ålder med förvärvad hjärnskada (FHS) med fokus mot arbete. Syftet var också att bidra till utveckling av arbetsterapeutisk intervention genom att beskrivaoch utvärdera hur förmågan att använda VT kunde bedömas samt att utforska hur aktivitetsbaserade klientcentrerade interventioner kunde stödja förmågan att använda VT i arbetet. Studie I syftade till att genom en kvalitativ explorativ design utforska och beskriva hur personer med FHS använde den VT som de behövde i arbetet och användningens betydelse för deras möjligheter att arbeta. Studie II syftade till att genom en kvantitativ tvärsnittsstudie beskrivaförmågan att använda VT hos personer med FHS samt att utforska huruvida förmågan var relaterad till funktionshindrets svårighetsgrad. Studie III syftade till att utvärdera test-retest reliabilitet för bedömningsinstrumentet Management of Everyday Technology Assessment (META). Studie IVsyftade till att genom en kvalitativ multipel fallstudie utforska hur klientcentrerade arbetsterapeutiska interventioner kunde designas för att stödja personer med FHS förmåga att använda VT i arbetsuppgifter.I studie I framkom en diskrepans mellan deltagarnas förmåga och de utmaningar som användningen av VT i arbetet utgjorde. Samtliga nio deltagare uppvisade svårigheter, vilka varierade i omfattning från svårigheter med användningen av nästan all VT, och befinna sig i en osäker arbetssituation, till att föreställa sig framtida svårigheter i användningen av VT i arbetet. Resultatet av studie II visade att förmågan att använda VT skilde sig åt mellan de tre grupperna med olika svårighetsgrader av funktionshinder efter FHS (totalt 81 deltagare). Medelvärdet av deltagarnas mått av förmåga att använda VT var lägst i gruppen med "svåra funktionshinder" och högst i gruppen med"god återhämtning". Vid jämförelse av de tre grupperna framkom det att svårighetsgraden av funktionshindret var den enda variabel som signifikant inverkade på förmågan att använda VT. Alla deövriga variablerna: kön, ålder, utbildningsnivå, levnadsförhållanden och år sedan skada inverkade inte signifikant på förmågan att använda VT. Resultatet av studie III indikerade att 22 av de 25 deltagarnas mått av förmåga att använda VT förhöll sig stabila mellan de båda mättillfällena, baserat på valda kriterier. Detta indikerar att META har god test-retest reliabilitet vid bedömning av personer med FHS förmåga att använda VT. Resultatet från studie IV visade att de tre deltagarnas klientcentrerade interventionsprocesser initialt bestod av likartade arbetsterapeutiska åtgärder men att de senare i processen kom att ha olika fokus och intensitet. Vidare indikerade resultatet att interventionerna bidrog till förbättrad upplevd och observerad förmåga att använda VT i arbetet efter FHS.Konklusion: Denna avhandling har bidragit till att generera ny kunskap om personer med FHS förmåga att använda VT, med särskilt fokus på användningen av VT i arbetet. Resultaten visar att användningen av VT i arbetet kan innebära olika utmaningar, vilka kan ha varierade betydelse förmöjlighet att arbeta. Detta visar på behovet av att beakta den roll som användningen av VT kan utgöra för återgång i arbete. Resultatet har även bidragit till kunskap om att variationer i förmågan att använda VT kan vara relaterat till funktionshindrets svårighetsgrad. Vidare framkom det att personermed FHS sparsamt beskrev svårigheter i användningen av VT, vilket indikerar att intervju behöver kompletteras med observation. Avhandlingen indikerar också att observationsinstrumentet META kan användas för bedömning och utvärdering av förmågan att använda VT för personer med FHS.Slutligen, har avhandlingen bidragit till ny kunskap om hur arbetsterapeutiska klientcentrerade interventioner kan utformas för att stödja förmågan att använda VT i arbetet efter FHS.

Place, publisher, year, edition, pages
Luleå: Luleå tekniska universitet, 2015
Series
Doctoral thesis / Luleå University of Technology 1 jan 1997 → …, ISSN 1402-1544
National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:ltu:diva-17481 (URN)3944b97a-abe8-4c98-9100-83a9177337f8 (Local ID)978-91-7583-258-6 (ISBN)978-91-7583-259-3 (ISBN)3944b97a-abe8-4c98-9100-83a9177337f8 (Archive number)3944b97a-abe8-4c98-9100-83a9177337f8 (OAI)
Note
Godkänd; 2015; 20150316 (andbra); Nedanstående person kommer att disputera för avläggande av filosofie doktorsexamen, Namn: Ann-Charlotte Kassberg Ämne: Arbetsterapi / Occupational therapy Avhandling: Förmåga att använda vardagsteknik efter förvärvad hjärnskada med fokus mot arbete Opponent: Professor Helena Hemmingsson Avd. för hälsa, aktivitet, vård Institutionen för samhälls- och välfärdsstudier Linköping universitet Ordförande: Professor Margareta Lilja Avd. för hälsa och rehabilitering Institutionen för hälsovetenskap Luleå tekniska universitet Tid: Fredag den 17 april 2015, kl. 09.00 Plats: Deltasalen, Luleå tekniska universitetAvailable from: 2016-09-29 Created: 2016-09-29 Last updated: 2017-11-24Bibliographically approved
Kassberg, A.-C., Malinowsky, C., Jacobsson, L. & Larsson-Lund, M. (2013). Ability to manage everyday technology after acquired brain injury (ed.). Paper presented at . Brain Injury, 27(13-14), 1583-1588
Open this publication in new window or tab >>Ability to manage everyday technology after acquired brain injury
2013 (English)In: Brain Injury, ISSN 0269-9052, E-ISSN 1362-301X, Vol. 27, no 13-14, p. 1583-1588Article in journal (Refereed) Published
Abstract [en]

Purpose: To investigate and describe how persons with an acquired brain injury (ABI) manage everyday technology (ET) in their daily activities and to explore whether the ability to manage ET was related to the severity of the disability. Method: Eighty-one persons with ABI were observed while managing ET by using the Management of Everyday Technology Assessment (META). The Glasgow Outcome Scale-Extended (GOSE) was used to assess the severity of disability after the ABI. A computer application of a Rasch measurement model was used to generate measures of the participants’ ability to manage ET and the measures were compared groupwise with analysis of covariance (ANCOVA). Results: The degree of severity of disability had a significant main effect on the ability to manage ET. The groups with severe and moderate disability exhibited a significantly lower ability to manage ET compared to the group with good recovery. Conclusion: The result indicates that the ability to manage ET in daily activities can be related to the global severity of disability after ABI. This demonstrates the importance of considering the ability to manage ET to support the performance of activities at home, at work and in society in persons with ABI.

National Category
Other Health Sciences Occupational Therapy
Research subject
Health Science; Occupational therapy
Identifiers
urn:nbn:se:ltu:diva-14335 (URN)10.3109/02699052.2013.837196 (DOI)000327503400012 ()24111512 (PubMedID)2-s2.0-84888868929 (Scopus ID)db079d95-b0a7-4acf-8bd8-88f469a9f442 (Local ID)db079d95-b0a7-4acf-8bd8-88f469a9f442 (Archive number)db079d95-b0a7-4acf-8bd8-88f469a9f442 (OAI)
Note
Validerad; 2013; 20131014 (andbra)Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2018-07-10Bibliographically approved
Kassberg, A.-C., Prellwitz, M. & Larsson-Lund, M. (2011). Användning av vardagsteknik: hinder eller möjlighet till återgång i arbete efter förvärvad hjärnskada? (ed.). Paper presented at Det nya arbetslivet : 15/06/2011 - 17/06/2011. Paper presented at Det nya arbetslivet : 15/06/2011 - 17/06/2011.
Open this publication in new window or tab >>Användning av vardagsteknik: hinder eller möjlighet till återgång i arbete efter förvärvad hjärnskada?
2011 (Swedish)Conference paper, Oral presentation only (Other academic)
National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:ltu:diva-32990 (URN)7b107fe6-d2ab-45fd-8dde-2add7240e7ee (Local ID)7b107fe6-d2ab-45fd-8dde-2add7240e7ee (Archive number)7b107fe6-d2ab-45fd-8dde-2add7240e7ee (OAI)
Conference
Det nya arbetslivet : 15/06/2011 - 17/06/2011
Note
Godkänd; 2011; 20110628 (andbra)Available from: 2016-09-30 Created: 2016-09-30 Last updated: 2017-11-25Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-8001-3001

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