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Nyman, A. & Isaksson, G. (2020). Enacted togetherness: A concept to understand occupation as socio-culturally situated. Scandinavian Journal of Occupational Therapy
Open this publication in new window or tab >>Enacted togetherness: A concept to understand occupation as socio-culturally situated
2020 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background: This paper is in line with the on-going discussion of a theoretical re-orientation towards acknowledging the socio-cultural dimensions of occupation.

Aim: To define enacted togetherness as a concept and share our understandings of how this concept can add to the understanding of occupation as socio-culturally situated.

Method and material: The concept enacted togetherness emerged from empirical findings of a larger research project with older adults living with late-life depression. Informed by a transactional understanding of occupation and a narrative approach, the concept emerged as a contextually situated process holding qualities and potential as a source of meaning-making.

Findings: Enacted togetherness as described herein has a clear association to occupation in terms of doing activities together. We reflect on enacted togetherness as a process of meaning-making, connecting people and places through unfolding stories; as an arena where togetherness and belonging can be created; and as a space for interpretation, providing opportunities to negotiate issues of meaning that can lead to possibilities for change.

Conclusion: The concept of enacted togetherness can contribute to the ongoing discussion of a theoretical reorientation towards understanding socio-cultural dimensions of occupation.

Significance: Enacted togetherness is a concept that can contribute to occupational therapy and occupational science as it adds to an understanding of the qualities and potentials inherent in engagement in occupations with others.

Place, publisher, year, edition, pages
Taylor & Francis, 2020
Keywords
Meaning, occupational science, occupational therapy, older adults, transactional perspective
National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:ltu:diva-77703 (URN)10.1080/11038128.2020.1720283 (DOI)000512382300001 ()2-s2.0-85078913579 (Scopus ID)
Available from: 2020-02-14 Created: 2020-02-14 Last updated: 2020-03-24
Olofsson, A., Larsson-Lund, M. & Nyman, A. (2020). Everyday activities outside the home are a struggle: Narratives from two persons with acquired brain injury. Scandinavian Journal of Occupational Therapy, 27(3), 194-203
Open this publication in new window or tab >>Everyday activities outside the home are a struggle: Narratives from two persons with acquired brain injury
2020 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 27, no 3, p. 194-203Article in journal (Refereed) Published
Abstract [en]

Background: Participation restriction is a common consequence after acquired brain injury (ABI).

Aim: To explore and identify problematic situations in everyday activities outside the home for persons with acquired brain injury.

Material and Method: Two persons of working age with ABI were included. Data were generated through repeated semi-structured interviews and participant observations. Narrative analysis was used to capture ongoing processes related to problematic situations during engagement in everyday activities outside the home.

Results: The narratives reflect how places, everyday activities and social relations were closely connected and influenced engagement in everyday activities outside the home. The participants visited fewer places and performed more of their everyday activities alone in their homes after the injury compared to before. They were struggling to create meaning in their lives and trying to reformulate their identity. Problematic situations often occurred outside the home as a result of unexpected events. The narratives indicate a struggle to find new routines to handle challenging situations.

Conclusions: The results provide an understanding of how problematic situations occurred and were managed in different ways. By observing everyday situations professionals can gain access to how persons with ABI act in and reflect upon problematic situations which can eventually improve the design of individually tailored interventions.

Place, publisher, year, edition, pages
Taylor & Francis, 2020
Keywords
Brain injuries, identity, meaning, narrative, problematic situations, transaction
National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:ltu:diva-71177 (URN)10.1080/11038128.2018.1495762 (DOI)000523018700004 ()30301397 (PubMedID)2-s2.0-85054697524 (Scopus ID)
Note

Validerad;2020;Nivå 2;2020-04-16 (alebob)

Available from: 2018-10-12 Created: 2018-10-12 Last updated: 2020-04-16Bibliographically approved
Malinowsky, C., Olofsson, A., Nyman, A. & Larsson-Lund, M. (2020). Patterns of participation: Facilitating and hindering aspects related to places for activities outside the home after stroke. Scandinavian Journal of Occupational Therapy, 27(3), 204-212
Open this publication in new window or tab >>Patterns of participation: Facilitating and hindering aspects related to places for activities outside the home after stroke
2020 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 27, no 3, p. 204-212Article in journal (Refereed) Published
Abstract [en]

Background: Being engaged in activities in places outside the home after a stroke can be challenging. Knowledge about what characterize places outside the home is important to support participation.

Objectives: To explore patterns of participation in places for activities outside the home after stroke and whether these patterns were associated with personal and environmental aspects.

Material and methods: Sixty-three people with stroke were interviewed using the Participation in Activities and Places Outside Home (ACT-OUT) questionnaire. A two-step cluster analysis was used to identify patterns of participation and non-parametric test was used to explore potential associations to the patterns of participation.

Results: Four clusters of patterns of participation, based on frequency, familiarity of the place/the way to the place and perceived distance, were identified. The patterns were significantly associated with type of place, activity domain, retained or abandoned participation, transportation and being accompanied by someone. The severity of disability was significantly associated with groups of individuals with different patterns of participation.

Conclusions: Different combinations of aspects facilitated and hindered whether or not participation changed. To support people with stroke in their endeavour to retain or recapture participation, social support is important to consider in relation to transportation, activities and places outside the home.

Place, publisher, year, edition, pages
Taylor & Francis, 2020
Keywords
Activities of daily living, participation, places, society, stroke
National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:ltu:diva-76285 (URN)10.1080/11038128.2019.1668958 (DOI)000487926100001 ()31564178 (PubMedID)
Note

Validerad;2020;Nivå 2;2020-04-21 (johcin)

Available from: 2019-10-08 Created: 2019-10-08 Last updated: 2020-04-21Bibliographically approved
Larsson-Lund, M. & Nyman, A. (2019). Occupational challenges in a digital society: A discussion inspiring occupational therapy to cross thresholds and embrace possibilities. Scandinavian Journal of Occupational Therapy
Open this publication in new window or tab >>Occupational challenges in a digital society: A discussion inspiring occupational therapy to cross thresholds and embrace possibilities
2019 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014Article in journal (Refereed) Epub ahead of print
Abstract [en]

The digital transformation of society and the increased need for digital competence implies extensive changes in peoples’ everyday lives and occupations. Heretofore, the discussion in the field of occupational therapy about the consequences of digitalisation has been vague. The aim of this discussion paper is to outline some reflections and to offer some arguments on how to meet the changes following digitalisation and its impact on occupational therapy. The discussion focuses on three issues: the new conditions for participation in a digital society and the role of occupational therapy and occupational therapists in the evolving digital society as well as what occupational therapists need to be pro-active and to embrace the ongoing changes in a digital society. In conclusion, occupational therapy needs to advance its position and become pro-active to cross the threshold and to embrace the possibilities that digitalisation holds for peoples’ everyday lives to support occupational justice and health.

Place, publisher, year, edition, pages
Taylor & Francis, 2019
Keywords
Activities of daily living, participation, digitalization, technology, digital competence, occupational justice
National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:ltu:diva-73064 (URN)10.1080/11038128.2018.1523457 (DOI)30663477 (PubMedID)
Available from: 2019-02-28 Created: 2019-02-28 Last updated: 2019-02-28
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
Synnes, K., Lilja, M., Nyman, A., Espinilla, M., Cleland, I., Sanchez Comas, A. G., . . . Nugent, C. (2018). H2Al - The Human Health and Activity Laboratory. In: MDPI (Ed.), 12th International Conference on Ubiquitous Computing and Ambient ‪Intelligence (UCAmI 2018), Punta Cana, Dominican Republic, 4-7 December, 2018.: . Paper presented at International Conference on Ubiquitous Computing and Ambient ‪Intelligence. MDPI, 2, Article ID 1241.
Open this publication in new window or tab >>H2Al - The Human Health and Activity Laboratory
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2018 (English)In: 12th International Conference on Ubiquitous Computing and Ambient ‪Intelligence (UCAmI 2018), Punta Cana, Dominican Republic, 4-7 December, 2018. / [ed] MDPI, MDPI, 2018, Vol. 2, article id 1241Conference paper, Published paper (Refereed)
Abstract [en]

The Human Health and Activity Laboratory (H2Al) is a new research facility at Luleå University of Technology implemented during 2018 as a smart home environment in an educational training apartment for nurses and therapists at the Luleå campus. This paper presents the design and implementation of the lab together with a discussion on potential impact. The aim is to identify and overcome economical, technical and social barriers to achieve an envisioned good and equal health and welfare within and from home environments. The lab is equipped with multiple sensor and actuator systems in the environment, worn by persons and based on digital information. The systems will allow for advanced capture, filtering, analysis and visualization of research data such as A/V, EEG, ECG, EMG, GSR, respiration and location while being able to detect falls, sleep apnea and other critical health and wellbeing issues. The resulting studies will be aimed towards supporting and equipping future home environments and care facilities, spanning from temporary care to primary care at hospitals, with technologies for activity and critical health and wellness issue detection. The work will be conducted at an International level and within a European context, based on a collaboration with other smart labs, such that experiments can be replicated at multiple sites. This paper presents some initial lessons learnt including design, setup and configuration for comparison of sensor placements and configurations as well as analytical methods.

Place, publisher, year, edition, pages
MDPI, 2018
National Category
Computer and Information Sciences
Research subject
Pervasive Mobile Computing
Identifiers
urn:nbn:se:ltu:diva-72988 (URN)10.3390/proceedings2191241 (DOI)
Conference
International Conference on Ubiquitous Computing and Ambient ‪Intelligence
Projects
REMIND
Funder
The Kempe Foundations
Available from: 2019-02-21 Created: 2019-02-21 Last updated: 2019-09-06
Olofsson, A., Larsson-Lund, M. & Nyman, A. (2017). Att leva som förut är inte ett alternativ: Berättelser från två personer med förvärvad hjärnskada. In: : . Paper presented at Arbetsterapiforum 2017, Malmö, 10-11 maj 2017.
Open this publication in new window or tab >>Att leva som förut är inte ett alternativ: Berättelser från två personer med förvärvad hjärnskada
2017 (Swedish)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [sv]

Aktiviteter utanför hemmet kan vara utmanande för personer med förvärvad hjärnskada (FHS) och måste betraktas i förhållande till personens hela repertoar av aktiviteter. Vi vet idag lite om den komplexitet av interagerande faktorer som kan orsaka problematiska situationer för personer med FHS vilket gör att dessa är svåra att förutse. För att hantera pågående förändringar i aktivitetssituationer krävs stödjande strategier. Mer kunskap behövs därför om den ömsesidiga relationen mellan person och kontext för att bättre förstå hur det påverkar personens agerande och hur de influerar tillgång till platser samt aktiviteter utanför hemmet. Syftet med studien var att utforska och identifiera problematiska situationer relaterat till aktiviteter utanför hemmet. Metod: Berättelser från två personer med FHS användes för att illustrera hur de agerade i och reflekterade över problematiska situationer. Data samlades in via kvalitativa intervjuer och deltagande observationer som genomfördes vid upprepade tillfällen. En narrativ metod användes för att kunna fånga pågående processer relaterat till hur deltagarna agerade och reflekterade kring problematiska situationer relaterat till deras engagemang i aktiviteter utanför hemmet. Resultatet: visar hur deltagarna på olika sätt ställs inför problematiska situationer i samband med att de engagerar sig i aktiviteter utanför hemmet. Att leva ett liv som tidigare är inte längre ett alternativ och de kämpar för att upprätthålla men också finna nya vanor och rutiner som får vardagen att fungera. Det är en ständigt pågående kamp att försöka hantera oförutsedda händelser och försöka kontrollera olika situationer de ställs inför. Då de inte längre yrkesarbetar blir aktiviteter utanför hemmet än viktigare än tidigare men deras berättelser speglar hur deras aktivitetsrepertoar minskar och hur de dragit sig tillbaka från olika arenor vilket medfört att deras sociala värld har krympt och de utför fler aktiviteter ensam och i hemmet.

Keywords
Förvärvad hjärnskada, problematiska situationer och transaktionellt perspektiv
National Category
Medical and Health Sciences Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:ltu:diva-63673 (URN)
Conference
Arbetsterapiforum 2017, Malmö, 10-11 maj 2017
Available from: 2017-06-02 Created: 2017-06-02 Last updated: 2017-11-24Bibliographically approved
Larsson-Lund, M. & Nyman, A. (2017). Begreppen delaktighet och aktivitet: utmaningar och möjligheter för utbildning, praxis och forskning. In: : . Paper presented at Arbetsterapiforum 2017, Malmö, 10-11 maj 2017.
Open this publication in new window or tab >>Begreppen delaktighet och aktivitet: utmaningar och möjligheter för utbildning, praxis och forskning
2017 (Swedish)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [sv]

Aktivitetsbegreppet är och har varit centralt inom arbetsterapi sedan professionens begynnelse. Dock har fokus på aktivitet varit mer eller mindre tydligt under olika paradigm inom arbetsterapi och i det framväxande och nutida aktivitetsparadigmet framhålls utmaningar att arbeta utifrån en aktivitetsfokuserad och aktivitetsbaserad praxis. Det är därför intressant att reflektera över hur begrepp som relateras till arbetsterapins teoribildning kommit att influera vår utbildning, praxis och forskning. Ett sådant begrepp är delaktighet. Begreppet delaktighet har kommit att influera arbetsterapi framförallt efter introduktionen av den internationella klassifikationen för funktionstillstånd, funktionshinder och hälsa (ICF). Begreppet delaktighet kom snabbt därefter att, på olika sätt, inkluderas och eller relateras till praxismodeller i arbetsterapi. En reflektion av hur delaktighetsbegreppet knyts an till praxismodeller kan identifiera utmaningar och möjligheter relaterat till arbetsterapins unika fokus på aktivitet. Syftet med workshopen är att generera en diskussion inom arbetsterapi kring användningen av begreppen delaktighet och aktivitet i utbildning, forskning och yrkesutövning. Tillvägagångssätt: Reflektion och diskussion i grupp utifrån frågeställningar som baseras på en granskning av begreppen delaktighet och aktivitet i praxismodeller i arbetsterapi. Förväntat resultat En ökad medvetenhet om hur begreppen används och kan stödja en aktivitetsfokuserad och aktivitetsbaserad praxis och forskning.

National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:ltu:diva-62918 (URN)
Conference
Arbetsterapiforum 2017, Malmö, 10-11 maj 2017
Available from: 2017-04-06 Created: 2017-04-06 Last updated: 2017-11-24Bibliographically approved
Larsson-Lund, M. & Nyman, A. (2017). Digitaliseringen i samhället: Nya möjligheter för människans aktivitet, professionen, utbildningen och forskningen?. In: : . Paper presented at Arbetsterapiforum 2017, Malmö, 10-11 maj 2017.
Open this publication in new window or tab >>Digitaliseringen i samhället: Nya möjligheter för människans aktivitet, professionen, utbildningen och forskningen?
2017 (Swedish)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [sv]

Workshop

Digitaliseringen i samhället: Nya möjligheter för människans aktivitet, professionen, utbildningen och forskningen?

Bakgrund: Digitaliseringen har bidragit till en ökad användning av teknik i våra aktiviteter i hem, skola, på arbetsplatser  och i samhället Digital kompentens har följaktligen blivit en viktig förutsättning för ett självständigt, aktivt liv, för delaktighet och inklusion i samhället, för hälsa och välbefinnande hos de klientgrupper arbetsterapeuten möter. Det här förändrar delvis arbetsterapeutens (framtida) arbetsinnehåll och arbetssätt. Likaså bidrar digitaliseringen till en ständig utveckling av digitala verktyg och tjänster samt ny e- hälsa teknik, vilka kommer att förändra arbetssätten inom hälso-och sjukvård.  Digital kompetens är följaktligen av stor vikt för arbetsterapeuter liksom andra yrkesgrupper inom hälso- och sjukvård. Såväl nationellt som internationellt påtalas vikten av att utbildning reorganiseras så att digitaliseringen och den tekniska utvecklingen tillvaratas för att motsvara (framtida) behov i samhället och för att öka utbildningens kvalité.  I linje med detta definieras digital kompetens av EU som en av nyckel komponenterna för livslångtlärande.  Mot bakgrund till denna utveckling i samhället behöver utvecklingsområden för kunskaper i arbetsterapi identifieras. Kunskaper om digitaliseringen, kvalitets kriterier för e- lärande, teorier/ modeller för digital kompetens och e-lärande samt digitala verktyg kan utgöra ett stöd i detta utvecklingsarbete.

Syftet med workshopen är att bidra till en ökad insikt i digitaleringens betydelse för människors aktiviteter, för professionen arbetsterapeut, vår utbildning och forskning.

Förväntat resultat: Avsikten är att stärka deltagarnas digitala kompetens kring de effekter digitaliseringen kan få för människans aktiviteter och skapa bättre beredskap för att möta utmaningar och möjligheter som digitaliseringen medför.  Vidare att ge ökad förståelse för den kompetens som kommer krävas av framtidens arbetsterapeuter och behovet av livslångt lärande.

National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:ltu:diva-62917 (URN)
Conference
Arbetsterapiforum 2017, Malmö, 10-11 maj 2017
Available from: 2017-04-06 Created: 2017-04-06 Last updated: 2017-11-24Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-0467-4857

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