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  • 1.
    Gard, Gunvor
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. Lund University, Lund, Sweden.
    Nyboe, L.
    Aarhus University Hospital, Risskov, Denmark.
    Gyllensten, A.L.
    Lund University, Lund, Sweden.
    Clinical reasoning and clinical use of basic body awareness therapy in physiotherapy: a qualitative study?2019Ingår i: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Clinical reasoning is the ability to integrate and apply different types of knowledge, weigh evidence critically and reflect upon the process to arrive at a diagnosis. Body awareness is an approach directed toward an awareness of how the body is used in terms of body function, behaviour, and interaction with self and others. Methods: In the present study, 36 physiotherapists (PTs) from 13 countries working with body awareness methods, mainly Basic Body Awareness Therapy (BBAT) in mental health were interviewed in six focus groups. Content analysis was used to analyse how the informants’ reasoned around the concept of body awareness therapy, and how they use it in their clinical work with patients. Result: Body awareness was conceived as being in contact with sensations and emotions, to be able to control symptoms, such as pain, to find a balance and to develop one’s identity by relating to oneself and others. BBAT was used as a whole body treatment, to promote balance and stability, to teach about body, movements, and coping strategies, to interact in a therapeutic approach and to be integrated with other methods and professionals. Conclusion: The present results can be used to improve the PTs clinical reasoning.

  • 2.
    Lindqvist, Anna-Karin
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Physiotherapists enabling school children's physical activity using social cognitive theory, empowerment and technology2017Ingår i: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 19, nr 3, s. 147-153Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: To contribute knowledge concerning how physiotherapists using social cognitive theory, empowerment and information and communication technology can promote children’s physical activity in a school context.

    Methodology: Four studies were conducted in the northern part of Sweden and a qualitative discourse analysis of the results from all four studies was performed to enable a more comprehensive understanding. Three of the studies involved children, and one study involved parents.

    Major findings: The findings formed three themes: A, Acknowledging empowerment; B, Bonded forces overcame barriers; and C, Competence and motivation enable change. The first theme includes the act of creating the intervention using an empowerment approach. The second theme concerns barriers to being physically active and social support from parents and peers regarding physical activity promotion. The third theme concerns motivation and associated personal factors, such as self-efficacy.

    Principal conclusion: This course of action might be a way for physiotherapists to promote children’s physical activity using social cognitive theory, empowerment and information and communication technology in a school context. An empowerment approach that includes the formation of partnerships with children is a promising avenue for developing physical activity interventions in schools. In addition, physical activity interventions should attempt to build on children’s self-efficacy and make physical activity opportunities fun and enjoyable.

  • 3.
    Lindqvist, Anna-Karin
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Kostenius, Catrine
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Fun, feasible and functioning: Students’ experiences of a physical activity intervention2014Ingår i: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 16, nr 4, s. 194-200Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: The aim of this study was to describe students’ experiences of participating in a physical activity (PA) intervention. Methodology: A purposive sampling was used; 14 students (four boys and 10 girls) were interviewed and the collected data was analysed using qualitative content analysis. Major findings: One main theme was identified: fun, feasible and functioning. The following two subthemes also emerged: the multi-component intervention fits several, but not all, and manageable measuring can also be motivating. The main theme elucidates that fun was an important factor for joining the study; the students also experienced he empowerment-inspired intervention and the data collection to be fun and feasible. According to the students, the intervention was functioning since they experienced that it increased their PA. Principal conclusions: An empowerment approach that includes forming partnerships with students is a promising avenue for developing PA interventions for schools, regardless of whether the person concerned is a parent, teacher, school nurse or physiotherapist, but one size will never fit all.

  • 4.
    Mikaelsson, Katarina
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Rutberg, Stina
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lindqvist, Anna-Karin
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Michaelson, Peter
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Physically inactive adolescents’ experiences of engaging in physical activity2019Ingår i: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177Artikel i tidskrift (Refereegranskat)
    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.

  • 5.
    Nordin, Catharina
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Fjellman-Wiklund, Anncristine
    Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    In search of recognition: patients’ experiences of patient participation prior to multimodal pain rehabilitation2014Ingår i: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 16, nr 1, s. 49-57Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to explore primary healthcare patients’ experiences of patient participation prior to multimodal pain rehabilitation. Data was collected from interviews with 17 patients, aged 23–59 years, after completing multimodal rehabilitation. Data was analysed using qualitative content analysis. The theme, In search of recognition, depicted patient participation prior to the multimodal pain rehabilitation as a lack of recognition in the healthcare system. A demand for medical help and the healthcare professionals’ preferential right to interpret the patients’ condition formed the category Need for medical affirmation. In the category Emotional and cognitive alienation, patients emphasized distress when being unconfirmed. This entailed an emotional and cognitive distance between the patients and the healthcare professionals. Situational factors, together with patients’ emotional and cognitive prerequisites and patients’ strategies to be included in dialogue represented the category Need to communicate, which influenced the opportunities to participate. For healthcare professionals, it is important to understand that patients in multimodal pain rehabilitation may have experiences of a clinician-centred behaviour in the past. Patients may have been unconfirmed and their point of view disregarded. For the future, greater effort for dialogue and patients’ involvement in decision-making and rehabilitation planning is needed.

  • 6.
    Romé, Åsa
    et al.
    Department of Health Sciences, Division of Physiotherapy, Lund University.
    Persson, Ulf
    Swedish Institute for Health Economics (IHE).
    Ekdahl, Charlotte
    Department of Health Sciences, Division of Physiotherapy, Lund University.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Costs and outcomes of an exercise referral programme: A 1-year follow-up study2014Ingår i: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 16, nr 2, s. 82-92Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aims: To analyse, at a 1-year follow-up, cost offset and outcomes of changing the physical activity behaviour due to a primary care intervention. Methodology: Participants were 528 inactive individuals with lifestyle-related health problems, 18–84 years, and randomized into a high-dose intervention group (n = 270) or a low-dose intervention group (n = 257). The 4-month lasting intervention “Physical Activity on Prescription” (PAP) contained exercise, education and motivational counselling. At the 1-year follow-up, 178 individuals (95 in the high-dose group, 83 in the low-dose group) were assessed with the IPAQ (International Physical Activity Questionnaire) short form, perceived physical activity and functional ability (Six Minute Walk Test). Motivation and attitudes towards physical activity were assessed with a questionnaire, and analysed based on factor analysis. Major findings: physical activity increased significantly, but without differences between high-dose and low-dose groups. The rate of inactive individuals decreased from 75% to 53%. Analysis of motivation showed no differences between the groups. Principal conclusion: The PAP-program significantly improved physical activity behaviour at the 1-year follow-up, and reduced costs for inactivity by 22%. Economic incentives, i.e. expenditures and individuals’ own valuation of leisure time, seem to influence preferences for participation in the PAP-program. Social–cognitive factors seem important when changing physical activity behaviour. Prescribed exercise may work pre-motivational for changed physical activity behaviour

  • 7.
    Skjaerven, Liv H.
    et al.
    Department of Physiotherapy, Faculty of Health and Social Sciences, Bergen University College, Bergen University College, Department of Physical Therapy.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Sundal, Mary Anne
    Department of Occupational Therapy, Physiotherapy and Radiography, Faculty of Health and Social Sciences, Bergen University College.
    Strand, Liv Inger
    Department of Global Public Health and Primary Care, Physiotherapy Research Group, University of Bergen.
    Reliability and validity of the Body Awareness Rating Scale (BARS), an observational assessment tool of movement quality2015Ingår i: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 17, nr 1, s. 19-28Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Movement quality assessed by the Body Awareness Rating Scale (BARS) is used as an indicator of health and self-efficacy in patients with long-lasting musculoskeletal and mental health problems. The objective of the study was to examine reliability and construct validity of the movement quality scale. 25 patients and 25 healthy persons were included. Internal consistency was examined by Cronbach's α, reliability by intraclass correlation coefficient (ICCagreement) and measurement error reported by standard error of measurement (SEM) and smallest detectable change (SDC). Construct validity was examined by testing hypotheses of moderate association between the observational scale and the self-report Short-Form Health Survey (SF-36) subscales and the General Perceived Self-Efficacy Scale (GPSES). A hypothesis about the difference in scores between groups being expected to differ in health states was tested. Internal consistency (α) was 0.92. Inter-tester reliability was ICC = 0.99 and SEM = 0.8. The test–retest reliability was ICC = 0.96 and SEM = 1.4, implying that improvement should be above 3.3 (SDC) to claim a treatment effect. BARS was moderately correlated (0.30 ≤ rs < 0.60) with most SF-36 subscales and GPSES. The patients demonstrated less movement quality than healthy persons. Evidence was provided of high internal consistency and reliability in qualified testers. Construct validity was indicated, as BARS reflected various aspects of health and self-efficacy.

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