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Wiklund Axelsson, Sari-AnneORCID iD iconorcid.org/0000-0003-4966-0811
Alternative names
Publications (10 of 10) Show all publications
Flodström, C., Axelsson, S.-A. W. & Nordström, B. (2022). A pilot study of the impact of the electro suit Mollii® on body functions, activity and participation in children with cerebral palsy. Assistive technology, 34(4), 411-417
Open this publication in new window or tab >>A pilot study of the impact of the electro suit Mollii® on body functions, activity and participation in children with cerebral palsy
2022 (English)In: Assistive technology, ISSN 1040-0435, E-ISSN 1949-3614, Vol. 34, no 4, p. 411-417Article in journal (Refereed) Published
Abstract [en]

Electrical stimulation has been used to treat spasticity in children with cerebral palsy.  Building on the benefits of electrical stimulation, a new assistive device, electro-​suit Mollii® with imbedded electrodes has been tested.  The aim of the study was to evaluate the possible effect of Mollii® on body function, activity and participation in self-​selected activities.  

Methods: Six children, five to ten years of age, used the electro-​suit for one hour, every other day for three months.  The impact was evaluated after four weeks and after three months by measuring passive range of motion (ROM)​, muscle tone, pain, gross motor function and participation.  

Results: All participants improved in the total score for Canadian Occupational Performance Measure (COPM)​, three of them showed significant clinical improvements.  Pain was reduced for children who estimated pain when the study started.  There were also small changes in ROM and muscle tone and gross motor function.  

Conclusion: Electro-​suit Mollii® had a positive impact on activity and participation in self-​selected activities among the children in this study.  Further studies with more children over a longer time are necessary to evaluate the impact and usefulness over time.

Place, publisher, year, edition, pages
Taylor & Francis, 2022
Keywords
Children with CP, assistive device, electrical stimulation
National Category
Physiotherapy
Research subject
Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-81344 (URN)10.1080/10400435.2020.1837288 (DOI)000634590600001 ()33151822 (PubMedID)2-s2.0-85103397826 (Scopus ID)
Note

Validerad;2022;Nivå 2;2022-08-04 (hanlid);

Funder: Interventions AB

Available from: 2020-11-09 Created: 2020-11-09 Last updated: 2022-08-04Bibliographically approved
Wikberg-Nilsson, Å., Normark, C. J., Björklund, C. & Axelsson, S. W. (2018). HealthCloud: promoting healthy living through co-design of user experiences in a digital service. In: Proceedings of NordDesign: Design in the Era of Digitalization, 2018: . Paper presented at 13th Biennial Norddesign Conference, NordDesign 2018, Linköping, Sweden, August 14-17 2018.
Open this publication in new window or tab >>HealthCloud: promoting healthy living through co-design of user experiences in a digital service
2018 (English)In: Proceedings of NordDesign: Design in the Era of Digitalization, 2018, 2018Conference paper, Published paper (Refereed)
Abstract [en]

The aim of the interdisciplinary HealthCloud pre-study project was twofold: to further

knowledge of user experiences of inclusive interface design specifically for an ageing

population, and to develop a digital service for senior persons with sensory decline to promote

healthy living and active ageing. A co-design approach was chosen to investigate the project

aim and knowledge and user experiences was jointly developed and evaluated in three

sequential steps in a participant-group of senior persons. In the design of the conceptual user

interface, the identified core aspect involved a strive for utility: quality of appropriateness in

use, and significance: how designs assume meaning in the ways they are used, as well as

simplicity: to reduce, organize, and making it enjoyable to use. The digital service outcome

consists of validation of previous research themes: keeping the family together; enjoying life

at home; being close to nature; self-development; and promoting conditions for healthy

ageing. The pre-study project outcomes are prototypes of digital health service content and

interfaces, aimed for a future digital HealthCloud service. Participants in the reference-group

found the developed interface easy to use regardless of previous computer skills and they

were also motivated and stimulated by the developed prototypes for promoting active ageing

on a daily basis. Participants also expressed a desire to display and recommend such digital

Series
DS ; 91
Keywords
User experience design, Inclusive design, Co-design, Active ageing
National Category
Physiotherapy Occupational Therapy Other Engineering and Technologies not elsewhere specified
Research subject
Industrial Design; Occupational therapy; Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-71030 (URN)2-s2.0-85057183867 (Scopus ID)9789176851852 (ISBN)
Conference
13th Biennial Norddesign Conference, NordDesign 2018, Linköping, Sweden, August 14-17 2018
Available from: 2018-09-29 Created: 2018-09-29 Last updated: 2019-01-16Bibliographically approved
Wiklund-Axelsson, S.-A. & Melander-Wikman, A. (2016). Ready for eHealth (ed.). In: (Ed.), : . Paper presented at World Conference of Gerontechnology : 28/09/2016 - 30/09/2016.
Open this publication in new window or tab >>Ready for eHealth
2016 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

The purpose of the study was to predict the usage of health related-ICT among older adults in Sweden. Method Psychosocial impact of Assistive Scale (PIADS) were used to measure expectations on health related ICT applications, illustrated in two scenarios. The illustrated scenarios was a description of a possible set of event that may reasonably take place when people used existing and future web based e-health services. The scenarios included an explanatory text how people were or will be able to use e-health services. The PIADS scale together with the scenarios was distributed as a questionnaire to a random selected Swedish population age 55-105. Respondents answered the questionnaire via a telephone interview or by post. Dimensions measured were psychosocial dimensions as; adaptability, competence and well-being. Results & Discussion Older Swedes have, from a psychosocial perspective, positive expectations regarding e-health services. Total PIADS score and the sub-scores were significantly higher for the future scenario than for the existing. The future scenario could be interpreted to suggest situations of sociability, independence, mobility and self-management. In this study the scale was used as a predictor for rejection or abandoned acceptance of health related ICT. In conclusion the PIADS is also usable as a predictor for acceptance of health related ICT.

National Category
Physiotherapy
Research subject
Physiotherapy; Enabling ICT (AERI)
Identifiers
urn:nbn:se:ltu:diva-38808 (URN)d50e9278-ed47-4cac-92c8-ff280bda59ee (Local ID)d50e9278-ed47-4cac-92c8-ff280bda59ee (Archive number)d50e9278-ed47-4cac-92c8-ff280bda59ee (OAI)
Conference
World Conference of Gerontechnology : 28/09/2016 - 30/09/2016
Available from: 2016-10-03 Created: 2016-10-03 Last updated: 2018-04-23Bibliographically approved
Wiklund-Axelsson, S.-A. & Melander-Wikman, A. (2016). Ready for eHealth. Older Swedes’ Perceptions of eHealth Services: Using the PIADS scale as a Predictor for Readiness (ed.). Technologies, 4(29)
Open this publication in new window or tab >>Ready for eHealth. Older Swedes’ Perceptions of eHealth Services: Using the PIADS scale as a Predictor for Readiness
2016 (English)In: Technologies, ISSN 2227-7080, Vol. 4, no 29Article in journal (Refereed) Published
Abstract [en]

Introduction: Relevant determinants of adoption of eHealth are needed in order tounderstand future usage. Aim: To investigate the anticipated psychosocial impact of presentand future eHealth services and discuss how psychosocial factors can impact the readiness foreHealth services among older Swedes and reflect upon instruments for measuring eHealth acceptance.Method: The Psychosocial Impact of Assistive Device Scale (PIADS) measured the psychosocialimpact of eHealth services as illustrated in pictures of a set of events of eHealth services that mayreasonably occur in the present and the future. The PIADS scale and the scenarios were administeredvia a randomly selected sample from the Swedish population aged 55–105. Results and Discussion:Older Swedes have, from a psychosocial perspective, positive expectations regarding eHealth services.The PIADS scale could be a useful supplement to acceptance measurements in the context of eHealth.Using animated illustrations to depict eHealth services, together with the PIADS scale, can generatefindings that are generalizable across technologies. The dimensions adaptability, competence andself-esteem could be relevant determinants of adoption of eHealth.

Keywords
adoption, eHealth, ICT, older persons, psychosocial impact, readiness
National Category
Physiotherapy
Research subject
Physiotherapy; Enabling ICT (AERI); Centre - eHealth Innovation Centre (EIC)
Identifiers
urn:nbn:se:ltu:diva-16263 (URN)10.3390/technologies4030029 (DOI)000398902000011 ()fe33bfc7-4579-4444-a1ec-544e9e681f1d (Local ID)fe33bfc7-4579-4444-a1ec-544e9e681f1d (Archive number)fe33bfc7-4579-4444-a1ec-544e9e681f1d (OAI)
Note

Validerad; 2016; Nivå 1; 2016-11-10 (inah)

Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2019-03-20Bibliographically approved
Wiklund Axelsson, S., Wikberg-Nilsson, Å. & Melander Wikman, A. (2016). Sustainable Lifestyle Change: Participatory Design of Support Together with Persons with Obesity in the Third Age. International Journal of Environmental Research and Public Health, 13(12), Article ID 1248.
Open this publication in new window or tab >>Sustainable Lifestyle Change: Participatory Design of Support Together with Persons with Obesity in the Third Age
2016 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, ISSN 1661-7827, Vol. 13, no 12, article id 1248Article in journal (Refereed) Published
Abstract [en]

Sustainable lifestyle changes due to obesity are difficult to achieve regardless methods used. We need to know more about the lived experience of obesity and older persons’ needs for support to make a sustainable change. This paper focuses on the need-finding process in designing support for a sustainable lifestyle change. Multistage focus group interviews were conducted with persons aged 61–72 living in Northern Sweden. A participatory and appreciative reflection and action (PAAR) approach was used in the group-sessions. Probes were used to increase reflections and achieve a deeper knowledge about the participants’ needs of support. Data were analysed using qualitative thematic content analysis. Our findings revealed that to be able to succeed with a lifestyle change a focus has to be on a converted way of thinking, managing vulnerability, and achieving an emotional balance. To achieve a sustainable lifestyle change due to obesity in the third age the focus has to be on a health identity instead of a weight identity. Personalised support with enjoyable physical activities should be designed and developed. Strategies for emotional balance based on autonomy and self-empowerment must be included. This knowledge is important when designing support for sustainable change.

Keywords
older persons, life-style change, m-health, participatory design
National Category
Other Engineering and Technologies not elsewhere specified Physiotherapy
Research subject
Physiotherapy; Industrial Design; Centre - eHealth Innovation Centre (EIC)
Identifiers
urn:nbn:se:ltu:diva-61176 (URN)10.3390/ijerph13121248 (DOI)000392280100019 ()27999272 (PubMedID)2-s2.0-85007246731 (Scopus ID)
Note

Validerad; 2017; Nivå 2; 2016-12-21 (kribac)

Available from: 2016-12-20 Created: 2016-12-20 Last updated: 2019-03-21Bibliographically approved
Axelsson, S. W. (2015). Prerequisites for sustainable life style changes among older persons with obesity and for ICT support (ed.). (Doctoral dissertation). Luleå tekniska universitet
Open this publication in new window or tab >>Prerequisites for sustainable life style changes among older persons with obesity and for ICT support
2015 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The experiences from persons in the third age of lifestyle changes due to obesity are rarely described in research. Interventions regarding lifestyle changes and obesity show weak evidence for long-term effects. Information and communication technology (ICT) may add an important potential in interventions, but readiness among older persons and the actual needs for support must be explored. Therefore the overall aim for the thesis was to explore the prerequisites for sustainable lifestyle changes among older persons with obesity; and how this could be supported by ICT.Both qualitative and quantitative approaches were used. In paper I, 10 participants were individually interviewed about their experiences of lifestyle changes and in a multistage focus group study (paper IV), 6 participants expressed the support needed for sustainable lifestyle changes in relation to obesity. Qualitative content analysis was used. In a randomly selected population survey, 154 participants responded to an enquiry about general and health related ICT usage (paper II). They also rated scenarios for expected psychosocial impact on web based e-health services and mobile health applications (paper III).An integration of the results identified four main findings: The first finding, A never-ending process of vigilance and vulnerability, showed constant attempts of weight loss and pre-occupation on not to fail in an un-supportive environment. The second finding; Need for psychosocial support marked that the process of lifestyle changes was influenced by factors as sensibility to moods, social support and others’ attitudes. It was therefore essential for the persons to achieve emotional balance. The third finding, ICT as a possible support for adaptability, presented that older Swedes expected a positive psychosocial impact by ICT, especially in a future perspective. ICT was most valued in the domain of adaptability. The degree of usage of health related ICT, however, was low, although persons with overweight had more experience of this usage. Finally, the fourth finding; Reconstructions from weight to health expresses the needs of reconstructing focus towards health, rather than being pre-occupied with weight loss. Physical activity that was associated to joy and to have a functioning body, a body that would serve them as before, were motives to lose weight.In conclusion, this thesis illustrates that a lifestyle change due to obesity in third age is lined with vigilance not to fail and requires a great deal of endurance and effort. The potential of ICT to support lifestyle changes is likely to be substantiated by the positive expectations on ICT from a psychosocial impact perspective, especially in views of the future. Findings indicate a need for moving focus from weight towards health and to see opportunities, and that psychosocial support and enjoyable physical activity are important prerequisites for sustainable change.

Place, publisher, year, edition, pages
Luleå tekniska universitet, 2015. p. 70
Series
Doctoral thesis / Luleå University of Technology 1 jan 1997 → …, ISSN 1402-1544
National Category
Physiotherapy
Research subject
Physiotherapy; Centre - eHealth Innovation Centre (EIC)
Identifiers
urn:nbn:se:ltu:diva-16808 (URN)024128f1-974b-4885-98f8-4d8adc462dd5 (Local ID)978-91-7583-298-2 (ISBN)978-91-7583-299-9 (ISBN)024128f1-974b-4885-98f8-4d8adc462dd5 (Archive number)024128f1-974b-4885-98f8-4d8adc462dd5 (OAI)
Public defence
2015-05-08, D770, Luleå tekniska universitet, Luleå, 10:00
Opponent
Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2023-11-29Bibliographically approved
Wiklund-Axelsson, S.-A., Melander-Wikman, A., Näslund, A. & Nyberg, L. (2013). Older people's health-related ICT-use in Sweden (ed.). Gerontechnology, 12(1), 36-43
Open this publication in new window or tab >>Older people's health-related ICT-use in Sweden
2013 (English)In: Gerontechnology, ISSN 1569-1101, E-ISSN 1569-111X, Vol. 12, no 1, p. 36-43Article in journal (Refereed) Published
Abstract [en]

Purpose: The aim of this study was to describe the degree to which information and communication technology (ICT) was utilised by older people for health information and communication with health services during a one-year period in Sweden.

Methods: The participants (n=154) were aged 55 and over (mean 71.9, 52% women) and had been randomly selected from a population register. The participants responded to a survey with a set of questions about their general usage of ICT appliances, as well as their usage of different ICT tools to retrieve health information and to communicate with the health services.

Results: The results showed that, in contrast to a rather frequent general ICT usage, the most common way to communicate with healthcare services was by personal contacts or by a land line telephone. A mobile phone was used by 24% of such communications, SMS messages by 11%, websites, chat forums or blogs by 4%, and audio and video communication by 2%. Self-reported overweight problems, general use of mobile phone, and general use of Internet were significantly and independently associated with having experience of using mobile phones or more advanced ICT appliances in contacts with the health services.

Conclusion: The low health-related ICT usage found in this study may be understood as a low degree of implementation of ICT in contact with health services, but the relatively high experience of general ICT usage indicates a potential for a wider use in the future in Sweden.

Keywords
Aged, Health services, Medical informatics, Survey research
National Category
Physiotherapy
Research subject
Physiotherapy; Centre - eHealth Innovation Centre (EIC)
Identifiers
urn:nbn:se:ltu:diva-8850 (URN)10.4017/gt.2013.12.1.010.00 (DOI)2-s2.0-84888125463 (Scopus ID)765e55ee-084b-4eb2-97c0-423e332ea7c9 (Local ID)765e55ee-084b-4eb2-97c0-423e332ea7c9 (Archive number)765e55ee-084b-4eb2-97c0-423e332ea7c9 (OAI)
Projects
Äldre personers förväntningar på användandet av informations- och kommunikationsteknologi som stöd
Note

Validerad; 2013; 20131031 (animel)

Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2023-09-05Bibliographically approved
Melander-Wikman, A., Nyberg, L., Näslund, A., Wiklund-Axelsson, S.-A., Wikberg-Nilsson, Å. & Lindahl Norberg, A. (2013). Projekt: Äldre personers förväntningar på användandet av informations- och kommunikationsteknologi som stöd.
Open this publication in new window or tab >>Projekt: Äldre personers förväntningar på användandet av informations- och kommunikationsteknologi som stöd
Show others...
2013 (Swedish)Other (Other (popular science, discussion, etc.))
Abstract [sv]

Informations- och kommunikationsteknologi används idag inom hälso- och sjukvård för bland annat livsstilsrelaterade sjukdomar som tillexempel vid övervikt och fetma, IKT är en del av den verksamhet som hälso- och sjukvården satsar på i framtiden. Användning av IKT i hälsorelaterade sammanhang för större befolkningsgrupper förutsätter en viss grad av beredskap hos befolkningen som sannolikt inte bara är relaterad till kännedom om möjligheterna och vana vid teknologin, utan en förväntan om att det kan vara av värde för personen själv. Kunskaperna är magra om befolkningens beredskap för och inställning till IKT som ett verktyg för kontakten mellan vårdtagare och vårdgivare, och de undersökningar som finns över detta visar på en bild av återhållna förväntningar. I projektet studeras vilken betydelse informations- och kommunikationsteknik har för äldre personers livskvalitet och vilka förväntningar som finns framtida IKT lösningar som stöd för viktnedgång. Datainsamlingar genomförs via enkäter som skickas ut till slumpmässigt valda personer i Sverige och genom intervjuer gemomförda individuellt och i grupp.

National Category
Physiotherapy Other Engineering and Technologies not elsewhere specified
Research subject
Physiotherapy; Industrial Design; Sustainable transportation (AERI)
Identifiers
urn:nbn:se:ltu:diva-36031 (URN)326928c1-ac8f-4b78-bac8-fb84576f2c63 (Local ID)326928c1-ac8f-4b78-bac8-fb84576f2c63 (Archive number)326928c1-ac8f-4b78-bac8-fb84576f2c63 (OAI)
Note

Publikationer: Older people's health-related ICT-use in Sweden; The anticipated positive psychosocial impact of present web-based e-health services and future mobile health applications: an investigation among older Swedes; Aktiviteter: World Congress of Gerontology and Geriatrics; Status: Pågående; Period: 18/06/2010 → …

Available from: 2016-09-30 Created: 2016-09-30 Last updated: 2023-09-05Bibliographically approved
Wiklund-Axelsson, S.-A., Nyberg, L., Näslund, A. & Melander-Wikman, A. (2013). Ready to adopt: Swedish older person’s perceptions of psychosocial impact of existing and future mobile health related ICT applications (ed.). In: (Ed.), : . Paper presented at World Congress of Gerontology and Geriatrics : 23/06/2013 - 27/06/2013.
Open this publication in new window or tab >>Ready to adopt: Swedish older person’s perceptions of psychosocial impact of existing and future mobile health related ICT applications
2013 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Physiotherapy
Research subject
Physiotherapy; Centre - eHealth Innovation Centre (EIC)
Identifiers
urn:nbn:se:ltu:diva-38982 (URN)d8c2a987-258b-4420-8765-cbe2e031e3a0 (Local ID)d8c2a987-258b-4420-8765-cbe2e031e3a0 (Archive number)d8c2a987-258b-4420-8765-cbe2e031e3a0 (OAI)
Conference
World Congress of Gerontology and Geriatrics : 23/06/2013 - 27/06/2013
Note

Godkänd; 2013; Bibliografisk uppgift: Best Poster Award; 20130416 (animel)

Available from: 2016-10-03 Created: 2016-10-03 Last updated: 2023-09-05Bibliographically approved
Wiklund-Axelsson, S.-A., Nyberg, L., Näslund, A. & Melander-Wikman, A. (2013). The anticipated positive psychosocial impact of present web-based e-health services and future mobile health applications: an investigation among older Swedes (ed.). Paper presented at World Congress of Gerontology and Geriatrics : 23/06/2013 - 27/06/2013. International Journal of Telemedicine and Applications, Article ID 509198.
Open this publication in new window or tab >>The anticipated positive psychosocial impact of present web-based e-health services and future mobile health applications: an investigation among older Swedes
2013 (English)In: International Journal of Telemedicine and Applications, ISSN 1687-6415, E-ISSN 1687-6423, ISSN 1687-6415, article id 509198Article in journal (Refereed) Published
Abstract [en]

This study investigates the anticipated psychosocial impact of present web-based e-health services and future mobile health applications among older Swedes. Random sample’s of Swedish citizens aged 55 years old and older were given a survey containing two different e-health scenarios which respondents rated according to their anticipated psychosocial impact by means of the PIADS instrument. Results consistently demonstrated the positive anticipation of psychosocial impacts for both scenarios. The future mobile health applications scored more positively than the present web-based e-health services. An increase in age correlated positively to lower impact scores. These findings indicate that from a psychosocial perspective, web-based e-health services and mobile health applications are likely to positively impact quality of life. This knowledge can be helpful when tailoring and implementing e-health services that are directed to older people.

National Category
Physiotherapy
Research subject
Physiotherapy; Centre - eHealth Innovation Centre (EIC)
Identifiers
urn:nbn:se:ltu:diva-8628 (URN)10.1155/2013/509198 (DOI)24368912 (PubMedID)2-s2.0-84893872541 (Scopus ID)725effc8-16e6-49ce-80d4-4a9e4fd53667 (Local ID)725effc8-16e6-49ce-80d4-4a9e4fd53667 (Archive number)725effc8-16e6-49ce-80d4-4a9e4fd53667 (OAI)
Conference
World Congress of Gerontology and Geriatrics : 23/06/2013 - 27/06/2013
Projects
Äldre personers förväntningar på användandet av informations- och kommunikationsteknologi som stöd
Note

Validerad; 2013; 20131031 (animel)

Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2023-09-05Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-4966-0811

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