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  • 1. Andersson, Marit
    et al.
    Larsson, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Bränholm, Inga-Britt
    Umeå universitet.
    Arbetsterapeutisk utredning och åtgärd vid kort- och långtidssjukskrivning: en försöksverksamhet1993Rapport (Annet vitenskapelig)
  • 2.
    Bränholm, Inga-Britt
    et al.
    Umeå universitet, Institutionen för Rehabiliteringsmedicin.
    Andersson, Marit
    Piteå älvdals sjukhus.
    Larsson, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Långtidssjukskrivning förändrar livet1995Inngår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 92, nr 23, s. 2421-2124Artikkel i tidsskrift (Annet vitenskapelig)
  • 3.
    Bränholm, Inga-Britt
    et al.
    Umeå universitet, Institutionen för Rehabiliteringsmedicin.
    Andersson, Marita
    Hortlax vårdcentral.
    Larsson, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Arbetsterapeutisk bedömning vid kort- och långtidssjukskrivning1994Inngår i: Rehab Arcticus, Vol. 1, nr 1, s. 6-10Artikkel i tidsskrift (Annet vitenskapelig)
  • 4.
    Fallahpour, Mandana
    et al.
    Karolinska institute, Neurobiology Care Sciences and Society, Division of Occupational Therapy.
    Kottorp, Anders
    Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Karolinska Institutet.
    Nygard, Louise
    Karolinska institute, Neurobiology Care Sciences and Society, Division of Occupational Therapy.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Percieved difficulty in use of everyday technology in persons with aquired brain injury of different severity: a comparison with controls2014Inngår i: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 46, nr 7, s. 635-641Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: To compare the perceived difficulty in use of everyday technology in persons with acquired brain injury with different levels of severity of disability with that of controls.Methods: This comparison study recruited 2 samples of persons with acquired brain injury and controls, comprising a total of 161 participants, age range 18-64 years. The long and short versions of the Everyday Technology Use Questionnaire and the Extended Glasgow Outcome Scale were used to evaluate participants.Results: Persons with acquired brain injury demonstrated lower mean levels of perceived ability in use of everyday technology than controls (F=21.84, degrees of freedom =1, p<0.001). Further analysis showed a statistically significant mean difference in perceived difficulty in use of everyday technology between persons with severe disability and good recovery, between persons with severe disability and controls, and between persons with moderate disability and controls. No significant mean difference was found between persons with severe disability and moderate disability, between persons with moderate disability and good recovery, and between persons with good recovery and controls.Conclusion: Perceived difficulty in using everyday technology is significantly increased among persons with acquired brain injury with severe to moderate disability compared with controls. Rehabilitation services should consider the use of everyday technology in order to increase participation in everyday activities after acquired brain injury.

  • 5.
    Fallahpour, Mandana
    et al.
    Karolinska institute, Neurobiology Care Sciences and Society, Division of Occupational Therapy.
    Kottorp, Anders
    Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Karolinska Institutet.
    Nygård, Louise
    Department of Clinical NeuroScience, Occupational Therapy and Elderly Care Research, Karolinska Institutet, Umeå University, Department of Community Medicine and Rehabilitation, Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institute.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Participation after acquired brain injury: Associations with everyday technology and activities in daily life2015Inngår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 22, nr 5, s. 366-376Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: The development of the information society has led to increased use of everyday technology and changed theconditions for participation. Enabling participation in everyday life situations is an important rehabilitation goal after acquiredbrain injury (ABI). Identifying factors associated with individuals’ experienced participation and problems therein is thereforeessential. Objective: This study aimed at exploring the relationship between perceived difficulty in everyday technology use,perceived ability in the activities of daily living (ADL), and perceived participation, and participation problems in persons withABI. Methods: Eighty-one persons with ABI participated in the study and were assessed by the Impact on Participation andAutonomy questionnaire, the Everyday Technology Use Questionnaire, and the ADL taxonomy. Results: Findings showed thatthe combined model of difficulty in everyday technology (ET) use, ADL ability, and the interaction between them explainedboth participation in various domains of everyday life, and also overall level of perceived participation and the perceivedproblems. Conclusions: The findings underscore the importance of evaluating individuals’ ability in both ET use and ADL afterABI to increase the probability of explaining these persons’ participation in desired everyday life situations and, also, forrehabilitation design.

  • 6.
    Fallahpour, Mandana
    et al.
    Karolinska institute, Neurobiology Care Sciences and Society, Division of Occupational Therapy.
    Kottorp, Anders
    Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Karolinska Institutet, University of Illinois at Chicago.
    Nygård, Louise
    Department of Clinical NeuroScience, Occupational Therapy and Elderly Care Research, Karolinska Institutet, Umeå University, Department of Community Medicine and Rehabilitation, Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institute.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Perceived difficulty in everyday technology use among persons with acquired brain injury of different severity: a comparison with controls2016Inngår i: 1st CONTEC-ENOTHE Congress: National University of Ireland, Galway 15-19 June 2016, 2016, s. 154-Konferansepaper (Fagfellevurdert)
  • 7.
    Häggström, Anna
    et al.
    Kalix Hospital, Department of Occupational Therapy.
    Larsson-Lund, Maria
    The complexity of participation in daily life: A qualitative study of the experiences of persons with acquired brain injury2008Inngår i: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 40, nr 2, s. 89-95Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: To describe and enhance the understanding of how adults with acquired brain injury experience participation in daily life. Patients and methods: Qualitative interviews with 11 persons of working age with acquired brain injuries were analysed using qualitative content analysis. Results: The informants' experiences formed 5 categories: "Performing tasks"; "Making decisions and exerting influence"; "Being engaged in meaningful activities"; "Doing things for others"; and "Belonging". The categories that needed to be present for the informants to experience a feeling of participation varied according to their individual daily life situations. In addition, their experiences showed that a variety of conditions, related to each of the 5 categories, influenced their participation. Individuals adopted a variety of strategies to enhance their experience of participation. Conclusion: The meaning of participation and the conditions and strategies influencing participation are complex. Many of the categories identified for participation can be understood only through subjective experience and cannot be captured by professionals' observation of the performance of activities. These results emphasize the importance of considering clients' unique experiences of participation when designing individually tailored rehabilitation programmes intended to enhance participation.

  • 8.
    Kassberg, Ann-Charlotte
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap.
    Malinowsky, Camilla
    Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge.
    Jacobsson, Lars
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Ability to manage everyday technology after acquired brain injury2013Inngår i: Brain Injury, ISSN 0269-9052, E-ISSN 1362-301X, Vol. 27, nr 13-14, s. 1583-1588Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 9.
    Kassberg, Ann-Charlotte
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nyman, Anneli
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Perceived occupational balance in people with stroke2019Inngår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 10.
    Kassberg, Ann-Charlotte
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap.
    Prellwitz, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Användning av vardagsteknik: hinder eller möjlighet till återgång i arbete efter förvärvad hjärnskada?2011Konferansepaper (Annet vitenskapelig)
  • 11.
    Kassberg, Ann-Charlotte
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Prellwitz, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Occupational Therapy Interventions to Improve the Ability to use Everyday Technology in Work After Acquired Brain Injury: a comparison with controls2016Konferansepaper (Fagfellevurdert)
  • 12.
    Kassberg, Ann-Charlotte
    et al.
    Division of Primary Rehabilitation Lulea, The County Council of Norrbotten.
    Prellwitz, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    The challenges of everyday technology in the workplace for persons with acquired brain injury2013Inngår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 20, nr 4, s. 272-281Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose: To explore and describe how persons with an acquired brain injury (ABI) managed the everyday technology (ET) that they needed to use in their workplace and how this use influences their opportunities to work. Method: Nine persons with an ABI were interviewed and observed when managing ET in their workplace. The data were analysed qualitatively with a constant comparative method. Results: The main category, "The challenge of managing ET in the workplace", consisted of three categories, all of which reflected different kinds of discrepancies between the participants' ability to manage ET and the demands that ET imposes on them in work: "Struggling with ET to be able to continue to work; "Depending on strategies to cope with ET to continue in a particular profession", and "Managing ET at work but concerned about keeping up with the changes". Conclusions: The result revealed discrepancies between the abilities of the persons with ABI to manage ET in relation to the demands that technology imposed on them in their work setting. This indicated that professionals need to consider the role of ET when designing interventions supporting a person's return to work after an ABI.

  • 13.
    Kassberg, Ann-Charlotte
    et al.
    Norrbottens Läns Landsting, Primärvården FoU.
    Prellwitz, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Utmaningar med att använda teknik i arbetet efter förvärvad hjärnskada2012Konferansepaper (Annet vitenskapelig)
  • 14.
    Kassberg, Ann-Charlotte
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Prellwitz, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Malinowsky, Camilla
    Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Luleå tekniska universitet.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. Maria.Larsson-Lund@ltu.se .
    Interventions aimed at improving the ability to use everyday technology in work after brain injury2016Inngår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 23, nr 2, s. 147-157Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 15.
    Kottorp, Anders
    et al.
    Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Stockholm.
    Malinovsky, Camilla
    2Sektionen for Arbetsterapi, Karolinska Institutet.
    Fallhapour, Mandana
    3Sektionen for Arbesterapi, Karolinska Instiutet, Huddinge.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nygård, Louise
    2Sektionen for Arbetsterapi, Karolinska Institutet.
    Färdigheter i teknikanvändning bland äldre med/utan kognitiv nedsättning eller förvärvad hjärnskada: en klusteranalys2017Konferansepaper (Fagfellevurdert)
    Abstract [sv]

    Bakgrund: För att kunna utveckla stödjande interventioner till personer med svårigheter i användning av vardagstekniksåsom mobiltelefoner, biljettautomater och mikrovågsugnar så behövs en detaljerad information om styrkor ochbegränsningar i specifika färdigheter i teknikanvändning.Syfte: Att undersöka om (a) olika distinkta kluster av färdigheter som krävs för att använda vardagsteknik kan identifierasi en blandad grupp av teknikanvändare samt (b) om dessa färdighetskluster är kopplade till ålder, kön, diagnos samt typav vardagsteknik.Metod: 661 bedömningar av hanterande av vardagsteknik med Management of Everyday Technology Assessment(META) från 203 personer (äldre med/utan kognitiv nedsättning eller förvärvad hjärnskada) användes för en retrospektivanalys. Ward’s metod i kombination med en modell for hierarkisk klusteranalys användes för att fastställa och definierafärdighetsklustren. Hypotesprövande parametrisk statistik användes för sambandsanalyser.Resultat/preliminärt resultat: Fyra distinkta kluster av färdigheter kunde identifieras i data. Varje person uppvisade oftastflera olika klusterprofiler i sitt hanterande av vardagsteknik och färdighetsklustren var inte kopplade till diagnos, kön ellertyp av vardagsteknik.Slutsats: Fynden från studien stödjer ett mer dyadiskt baserat person-vardagsteknik tillvägagångssätt i bedömningen avvardagsteknikanvändning. Informationen från de definierade klustren kan också användas for att utveckla fokuseradeguider for intervention och design i vardagsteknikanvändning.

  • 16.
    Kottorp, Anders
    et al.
    Division of Occupational Therapy, Karolinska Institutet, Huddinge; Department of Occupational Therapy, University of Illinois at Chicago.
    Malinovsky, Camilla
    Division of Occupational Therapy, Karolinska Institutet, Huddinge.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nygård, Louise
    Division of Occupational Therapy, Karolinska Institutet, Huddinge.
    Gender and diagnostic impact on everyday technology use: a differential item functioning (DIF) analysis of the Everyday Technology Use Questionnaire (ETUQ)2019Inngår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 41, nr 22, s. 2688-2694Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: As the use of everyday technology is increasingly important for participation in daily activities, more in-depth knowledge of everyday technology use in relation to diagnosis and gender is needed. The purpose of this study was to investigate the stability of the perceived challenge of a variety of everyday technologies across different samples of varying diagnoses including both males and females.

    Methods: This cross-sectional study used 643 data records from clinical and research samples, including persons with dementia or related disorders, acquired brain injury, intellectual disability, various mental or medical disorders, and adults without known diagnoses. The Everyday Technology Use Questionnaire, comprising 93 everyday technology artifacts and services (items) measuring the level of everyday technology challenge and relevance of and perceived ability to use these was used for data gathering. A two-faceted Rasch model in combination with differential item functioning (DIF) analyses were used for comparing item hierarchies across samples.

    Results: Only three items (3.2%) demonstrated a clinically relevant DIF by gender, and nine items (9.7%) by diagnosis.

    Discussion: The findings support a stable hierarchy of everyday technology challenge in home and community that can facilitate planning of an accessible and inclusive society from a technological departure point.

    • Implications for Rehabilitation
    • The ability to manage everyday technology is increasingly important for participation in everyday activities at home and in the community for people with and without disabilities.

    • This study demonstrates that differences in perceived challenges in using various everyday technologies across gender and diagnosis are minimal.

    • The findings provide evidence of no or minor systematic bias in testing when using the Everyday Technology Use Questionnaire in clinical practice and research.

    • Empirical knowledge about the perceived challenge of specific everyday technologies of people with variations in gender or diagnosis is still sparse, hence this study can inspire practice and future research.

  • 17.
    Larsson, Ellinor
    et al.
    Department of Community Medicine and Rehabilitation, Occupational Therapy, Umeå University.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nilsson, Ingeborg
    Department of Community Medicine and Rehabilitation, Occupational Therapy, Umeå University.
    Developing social contact and participation insocial activities: Seniors’ experiences from asocial internet-based intervention process2017Inngår i: Gerontechnology, ISSN 1569-1101, E-ISSN 1569-111X, Vol. 16, nr 2, s. 101-108Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective To explore seniors’ experiencesof the intervention process after participating in a social internet-based occupationaltherapy intervention. Method A qualitative interview study was conducted.Twelve women and 3 men (66–87 years old), from the completed intervention studyparticipated. The study was placed in northern Sweden. Data were collected throughsemi-structured interviews. The interviews were analyzed using the constant comparativemethod, and two categories with subcategories were generated in the analysis. ResultsThe seniors experienced a need to participate in social internet-based activities (SIBAs)due to their decline in social activities and the ever-increasing digitalization of society. Inthe intervention process, the seniors’ experiences reflected two divergent directions. Thefirst consisted of seniors who had experiences of being hampered in participating in theSIBAs in the intervention process. They did not completely reach their intervention goals,but they did describe increased ability to use SIBAs and increased self-reliance. The otherdirection of the process reflected experiences of reaching their goals in the intervention,and they developed habitual participation in SIBAs as well as increased participation insocial activities outside the Internet. Conclusion The social internet-based interventioncan support seniors to overcome the obstacles that prevent them from participating inSIBAs. By participating in SIBAs, the seniors might enrich their social activities and socialcontacts both on the Internet and outside, if the intervention is individually targeted tomeet their needs.

  • 18.
    Larsson, Ellinor
    et al.
    Department of Community Medicine and Rehabilitation, Occupational Therapy, Umeå University.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nilsson, Ingeborg
    Department of Community Medicine and Rehabilitation/Occupational Therapy, Ageing and Living Conditions Program (ALC), Umeå University.
    Internet Based Activities (IBAs): Seniors' experiences of the conditions required for the performance of and the influence of these conditions on their own participation in society2013Inngår i: Educational gerontology, ISSN 0360-1277, E-ISSN 1521-0472, Vol. 39, nr 3, s. 155-167Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The digital gap is a threat to the participation of senior citizens in society, as a large proportion of seniors are not involved in Internet based activities (IBAs). To be able to overcome this disadvantage for seniors, there is a need to both learn more about the conditions that make seniors start performing IBAs and to be able to provide them with the most beneficial professional interventions. The aim of this study was to explore and describe seniors' experiences with IBAs. Qualitative interviews were conducted with 10 seniors (aged: 66–82 years) with a variety of experiences with IBAs, and the interviews were analyzed with the constant comparative method. The results reveal three categories that describe the experiences of the established performers, the new performers of IBAs in the process of starting out, and the nonperformers. The variations in performance were influenced by the meaning that the performance of IBAs had for the seniors. In addition, the seniors were affected by several other conditions—such as the support available in their environment, including access to knowledge—as this could encourage them to develop their performance. Basic aspects, such as having access to a computer and to the Internet had been arranged for the performers of IBAs. The different ways of performing IBAs, revealed in the three categories, influenced how the seniors viewed their opportunities to participate in society. The conclusion highlights the finding that professionals should consider a multitude of conditions when introducing seniors to the performance of meaningful IBAs.

  • 19.
    Larsson, Ellinor
    et al.
    Department of Community Medicine and Rehabilitation, Occupational Therapy, Umeå University.
    Nilsson, Ingeborg
    Department of Community Medicine and Rehabilitation/Occupational Therapy, Ageing and Living Conditions Program (ALC), Umeå University.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Participation in social internet-based activities: Five seniors' intervention processes2013Inngår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 20, nr 6, s. 471-480Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: To explore how client-centred occupational therapy intervention processes for participation in meaningful Social Internet-Based Activities (SIBAs) can be designed, and to explore the influences of participation in SIBAs on seniors' social activities and social contacts. Method. A qualitative, descriptive, multiple-case study was conducted, and an intervention was provided to the five participants, who were aged 65–85. Data were collected through assessment tools, field notes, and interviews. Results: The participants' needs and challenges related to SIBAs varied during the intervention processes. Individual-adapted support was provided for the seniors (by the occupational therapist) to managing the introduction to different SIBAs, their appearance on the internet, and the lack of privacy. The association between the seniors' participation in SIBAs and their satisfaction with these activities, as well as their social contacts, requires further exploration. Conclusions: Client-centred occupational therapy interventions can support seniors' participation in SIBAs and their self-reliance when performing these activities.

  • 20.
    Larsson, Ellinor
    et al.
    Department of Community Medicine and Rehabilitation, Occupational Therapy, Umeå University.
    Padyab, Mojgan
    Centre for Demographic and Ageing Research (CEDAR) and Department of Social Work, Umeå University.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nilsson, Ingeborg
    Department of Community Medicine and Rehabilitation/Occupational Therapy, Ageing and Living Conditions Program (ALC), Umeå University.
    Effects of a social internet-based intervention programme for older adults: An explorative randomised crossover study2016Inngår i: British Journal of Occupational Therapy, ISSN 0308-0226, E-ISSN 1477-6006, Vol. 79, nr 10, s. 629-636Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Introduction: Restraints and changes in social activities might contribute to loneliness and health decline for older adults. Toreduce loneliness and support activities, social internet-based interventions are indicated to be effective. The aim of this study wasto evaluate the effects of a social internet-based intervention for older adults who are vulnerable to loneliness.Method: An explorative, randomised, crossover study with an AB/BA sequence was completed. The intervention was conductedover a period of three months. Thirty participants were included (24 women and six men, 61–89 years old) and allocated to twogroups. Data were collected at three time points. The primary outcome was the UCLA loneliness scale, and the secondary outcomeswere satisfaction with social contacts and social interaction skills. Statistical analyses were conducted with the paired t-test,Wilcoxon’s signed-rank test and repeated-measures analysis of variance.Results: Loneliness was significantly decreased in both groups post intervention, and satisfaction with social contacts onlinesignificantly increased in one group. Significant treatment effects were detected for all outcomes.Conclusion: The results of the social internet-based intervention programme are promising, but further evaluations are needed

  • 21.
    Larsson, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Hemrehabilitering: en möjlighet att utveckla och förbättra rehabiliteringen1997Inngår i: Rehab Arcticus, nr 3-4, s. 12-13Artikkel i tidsskrift (Annet vitenskapelig)
  • 22.
    Larsson, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Andersson, Marit
    Bränholm, Inga-Britt
    Umeå universitet.
    Arbetsterapeutisk modell för utredning av sjukskrivna1996Rapport (Annet vitenskapelig)
  • 23.
    Larsson, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Bränholm, Inga-Britt
    Umeå universitet.
    An approach to goal-planning in occupational therapy and rehabilitation1996Inngår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 3, nr 1, s. 14-9Artikkel i tidsskrift (Fagfellevurdert)
  • 24.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    A new landscape for higher education evolves: How can digital competence be enhanced to match the needs in the  digital society?2017Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    The presentation will give an insight in why and how higher education need to change to improve professionals’ digital competence to better prepare them for future work in the digitized society including health care and social services. Also, in how the digitalization and the increased use of technology influence citizens’ possibilities to activity, participation and health. The presentation will be based on research and experiences from improvement work in higher education focusing on digitalization, digital competence and e-learning. The improvement work includes changes of learning outcomes and learning activities as the use of open educational resources (OER), person learning network (PLN), academic communities, student generated content and other tools in e-learning.

  • 25.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Aktivitet: Delaktighet i livssituationen vid ryggmärgskada2005Konferansepaper (Annet (populærvitenskap, debatt, mm))
  • 26.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Aktivitet: Delaktighet i livssituationen vid ryggmärgsskada2005Konferansepaper (Annet (populærvitenskap, debatt, mm))
  • 27.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Aktivitet: En interdisciplinär modell för rehabilitering av neurologiskt sjuka1995Konferansepaper (Annet (populærvitenskap, debatt, mm))
  • 28.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Aktivitet: Hur personer med funktionshinder upplever rehabiliteringen över tid1999Konferansepaper (Annet (populærvitenskap, debatt, mm))
  • 29.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Improving digital competence in Europe: how can it be accomplished to make use of the benefits of the new digital technology2017Konferansepaper (Annet vitenskapelig)
  • 30. Larsson-Lund, Maria
    Living with physical disability: experiences of the rehabilitation process, occupations and participation in everyday life2004Doktoravhandling, med artikler (Annet vitenskapelig)
  • 31.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    The digital society: Occupational therapists need to act proactively to meet the growing demands of digital competence2018Inngår i: British Journal of Occupational Therapy, ISSN 0308-0226, E-ISSN 1477-6006, Vol. 81, nr 12, s. 733-735Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This opinion piece discusses the importance of how occupational therapy practice, research and education responds to and acts proactively in relation to the growing requirement for digital competence placed on citizens. Digital competence will be outlined and scrutinized in relation to occupational therapy's core concerns and with regard to the role of occupational therapists and occupational justice. Changes in peoples’ occupations and occupational patterns due to digitalization will be exemplified. Finally, several questions and suggestions are posed as to how occupational therapy can build capacity and promote its role in the face of ongoing challenges.

  • 32.
    Larsson-Lund, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Fisher, Anne G.
    Department of Community Medicine and Rehabilitation, Occupational Therapy, Umeå University.
    Lexell, Jan
    Benspång, Birgitta
    Department of Community Medicine and Rehabilitation, Occupational Therapy, Umeå University.
    Impact on participation and autonomy questionnaire: internal scale validity of the Swedish version for use in people with spinal cord injury2007Inngår i: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 39, nr 2, s. 156-162Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: To evaluate aspects of internal scale validity and reliability of the Swedish version of the Impact on Participation and Autonomy questionnaire (IPA-S) for use in people with spinal cord injury. Subjects: A total of 161 persons with spinal cord injury. Method: IPA-S psychometric properties were evaluated using Rasch rating scale analysis. Results: The results show that the IPA-S has 27 items for perceived participation and 6 items for perceived problems with participation, indicating 2 underlying unidimensional constructs for use in people with spinal cord injury, after removal of misfitting items. The established hierarchical order of the item calibration values in both scales appeared logical and the distances between the items, with a few exceptions in the problem scale, were appropriate. Both scales demonstrated good separation reliability. The range of item calibration values in both scales did not fully cover the range of measures of persons' perceived participation and problems thereof. Conclusion: The psychometric properties of IPA-S are promising and indicate that IPA-S has potential to be developed further.

  • 33.
    Larsson-Lund, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Kottorp, Anders
    Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Karolinska Institutet.
    Malinowsky, Camilla
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. Karolinska institutet, Department of Neurobiology, Care Sciences and Society, Stockholm, Sweden.
    Return to work in people with acquired brain injury: association with observed ability to use everyday technology2017Inngår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 24, nr 4, s. 281-289Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose: The aim of this study was to explore how the observed ability to use everyday technology (ET), intrapersonal capacities and environmental characteristics related to ET use contributes to the likelihood of return to work in people with ABI. The aim was also to explore whether these variables added to the likelihood of return to work to earlier defined significant variables in the group: age, perceived ADL ability and perceived ability in ET use.

    Method: A cross-sectional study. The Management of Everyday Technology Assessment (META), the short version of the Everyday Technology Use Questionnaire (S-ETUQ) and a revised version of the ADL taxonomy were used to evaluate 74 people with ABI. Individual ability measures from all assessments were generated by Rasch analyses and used for additional statistical analysis.

    Results: The univariate analyses showed that the observed ability to use ET, as well as intrapersonal capacities and environmental characteristics related to ET use were all significantly associated with returning to work. In the multivariate analyses, none of these associations remained.

    Conclusion: The explanatory precision of return to work in people with ABI increased minimally by adding the observed ability to use ET and the variables related to ET use when age, perceived ability in ET use and ADL had been taken in account.

  • 34.
    Larsson-Lund, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lexell, Jan
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Medicinsk vetenskap.
    A positive turning point in life: how persons with late effects of polio experience the influence of an interdisciplinary rehabilitation programme2010Inngår i: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 42, nr 6, s. 559-565Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: To describe and enhance our understanding of how persons with late effects of polio experience the influence of an interdisciplinary rehabilitation programme. Participants: Twelve persons with clinically verified late effects of polio who had participated in an individualized, goal-oriented, comprehensive interdisciplinary rehabilitation programme. Methods: Qualitative research interviews analysed using the constant comparative method of grounded theory. Results: The rehabilitation programme was experienced as a turning point in the participants' lives. Before rehabilitation they felt they were on a downward slope without control. Rehabilitation was the start of a process of change whereby they acquired new skills, which, over time, contributed to a different but good life. After approximately a year, they had a sense of control and had accepted life with late effects of polio. They had also established new habits, taken on a changed valued self and could look to the future with confidence. Conclusion: This qualitative study has shown that persons with late effects of polio can benefit from an individualized, goal-oriented, comprehensive interdisciplinary rehabilitation programme and experience positive changes in their manage­ment of daily activities and in their view of their late effects of polio, their future and their self.

  • 35.
    Larsson-Lund, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lexell, Jan
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Medicinsk vetenskap.
    Associations between perceptions of environmental barriers and participation in persons with late effects of polio2009Inngår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 16, nr 4, s. 194-204Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this pilot study was to assess the association between perceived environmental barriers and perceived participation in everyday life situations encountered by people with late effects of polio. A sample of 45 persons with clinically verified late effects of polio answered the Swedish versions of the Impact on Participation and Autonomy Questionnaire (IPA-S) and the Craig Hospital Inventory of Environmental Factors (CHIEF-S). The relationships between the perceived occurrence of a broad range of environmental barriers and perception of participation in life situations and problems with participation were explored. The majority of the respondents perceived that they encountered environmental barriers, but their occurrence was generally infrequent and their magnitude tended to be low. The barriers identified in the physical/structural subscale were generally most strongly related to problems with participation, compared with the four other environmental subscales. A high frequency of never encountering environmental barriers in the three subscales physical/structural, work and education, and policies in CHIEF-S were significantly related to more reports of good participation in IPA-S. These associations indicate that the participation of those with late effects of polio is influenced by their perception of the barriers they encounter. Further studies of these concepts can provide a greater understanding of disabilities and help us to promote participation in life situations for people with late effects of polio.

  • 36.
    Larsson-Lund, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lexell, Jan
    Luleå tekniska universitet, Institutionen för hälsovetenskap.
    Delaktighet och omgivningsfaktorer i ICF: möjligheter och utmaningar vid användning inom rehabilitering2009Inngår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 106, nr 13, s. 932-935Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Med ICF (International classification of functioning, disability and health) och fokus på innebörden av delaktighetsbegreppet och omgivningsfaktorer ökar möjligheterna att utveckla rehabiliteringen för personer med funktionshinder. Forskning visar att olika grupper av personer med funktionshinder kan känna god delaktighet och att detta relaterar till hög livstillfredsställelse, medan hinder i omgivningen påverkar delaktigheten negativt. Inom rehabiliteringen är det därför viktigt att identifiera underlättande faktorer i omgivningen och förändra omgivningsfaktorer i positiv riktning för att stärka delaktigheten. Fortsatt forskning behövs för att öka kunskapen om delaktighet och betydelsen av olika omgivningsfaktorer hos personer med funktionshinder. Ett fortsatt utvecklingsarbete behövs också för att på ett optimalt sätt använda delaktighetsbegreppet och omgivningsfaktorerna i det kliniska rehabiliteringsarbetet.

  • 37.
    Larsson-Lund, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lexell, Jan
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Medicinsk vetenskap.
    Life satisfaction in persons with late effects of polio2011Inngår i: Applied Research in Quality of Life, ISSN 1871-2584, E-ISSN 1871-2576, Vol. 6, nr 1, s. 71-80Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    To assess satisfaction with life as a whole and with ten domains of life satisfaction in Swedish persons with late effects of polio, to describe the relationship with sex, age, marital status, use of mobility aids and self-perceived needs of instrumental support, and to compare the level of life satisfaction with a Swedish reference sample. A cross-sectional study of 160 persons with verified late effects of polio answered a postal questionnaire including the Life Satisfaction Questionnaire (LiSat-11). A majority were to some degree satisfied with life as a whole and with all the ten domains of life satisfaction. Satisfaction with life as whole was not related to any of the sociodemographic or disability related factors and these factors had few relations to the ten domains of life satisfaction. The respondents were significantly less satisfied with life as a whole and with vocation, leisure, sexual life, activities of daily living, and somatic and psychological health compared to the Swedish reference sample, but were significantly more satisfied with economy and contacts with friends. Men and women with late effects of polio, regardless of age, marital status or disability, can experience a reduced life satisfaction. This emphasises the need to identify potential gaps between these persons' aspirations and achievements in life and carry out appropriate rehabilitation interventions to enhance their life satisfaction

  • 38.
    Larsson-Lund, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lexell, Jan
    Luleå tekniska universitet, Institutionen för hälsovetenskap.
    Perceived participation in life situations in persons with late effects of polio2008Inngår i: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 40, nr 8, s. 659-664Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    To investigate how persons with late effects of polio perceive their participation and problems with participation in life situations and to determine the association between perceived problems with participation and sex, age, marital status, use of mobility aids and access to instrumental support.Design: Cross-sectional.Subjects: A total of 160 persons with prior polio 6-30 months after an individualized, goal-oriented, comprehensive interdisciplinary rehabilitation programme.Methods: All subjects answered the Swedish version of the Impact on Participation and Autonomy Questionnaire.Results: A majority of the respondents perceived their participation as sufficient in most activities and 65% of the respondents perceived no severe problems with participation. The remaining 35% perceived 1-6 severe problems with participation. All 5 domains of participation were positively correlated with the 9 items for problem experience. Most restrictions in participation were reported in the domains of Family role, Autonomy outdoors, and Work and education. Insufficient instrumental support was most strongly associated with the perception of severe problems with participation.Conclusion: Rehabilitation programmes for persons with late effects of polio need to focus on areas of participation that are perceived as a problem by these persons and to promote access to a supportive environment to enhance their participation.

  • 39.
    Larsson-Lund, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lexell, Jan
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Medicinsk vetenskap.
    Relationship between participation in life situations and life satisfaction in persons with late effects of polio2009Inngår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 31, nr 19, s. 1592-1597Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose. To assess the relationship between participation and problems with participation in life situations, and life satisfaction in persons with late effects of polio. Methods. One hundred fifty-eight persons with late effects of polio responded to a postal questionnaire including the Swedish versions of the Impact on Participation and Autonomy Questionnaire (IPA-S) and Life Satisfaction Questionnaire (LiSat-11). Results. The persons' perceived participation in the five domains of participation in the IPA-S was significantly correlated with their satisfaction with life as a whole and with most of the 10 domains of life satisfaction. Significant differences in satisfaction with life as a whole and with eight of the 10 domains in LiSat-11 were found between groups of increasing severe problems with participation. Greater number of reports of severe problems with participation corresponded with gradually decreased satisfaction with life as a whole and with satisfaction in the eight domains in LiSat-11. Conclusions. Perceived participation and problems with participation in life situations are determinants of life satisfaction in persons with late effects of polio. This implies that addressing participation and problems with participation in the rehabilitation of persons with late effects of polio may lead to an enhanced life satisfaction.

  • 40.
    Larsson-Lund, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lindén, Anita
    Luleå tekniska universitet, Institutionen för hälsovetenskap.
    Användning av vardagsteknik efter förvärvad hjärnskada: arbetsterapeutisk bedömning och intervention i daglig aktivitet2010Rapport (Annet (populærvitenskap, debatt, mm))
  • 41.
    Larsson-Lund, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lindén, Anita
    Luleå tekniska universitet, Institutionen för hälsovetenskap.
    Vardagsteknik: en möjlighet att underlätta i dagligt liv efter förvärvad hjärnskada : informationsmaterial för brukare, närstående och rehabiliterigspersonal avsett att användas av informatörer2012Rapport (Annet (populærvitenskap, debatt, mm))
  • 42.
    Larsson-Lund, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lövgren-Engström, Ann-Louice
    Luleå tekniska universitet, Institutionen för hälsovetenskap.
    Lexell, Jan
    Response actions to difficulties in using everyday technology after acquired brain injury2012Inngår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 19, nr 2, s. 164-175Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose: People with acquired brain injury (ABI) have difficulties using everyday technology (ET) in daily tasks at home and in society. To support them in managing the demands imposed by using ET, knowledge is needed concerning their response actions to the difficulties. The aim of this study was to explore and describe what characterizes response actions to difficulties using ET, their conditions, and how they influence the experiences of tasks in daily life among people with ABI. Methods: Interviews and observations were undertaken with 13 persons with an ABI. Data were analysed qualitatively using the constant comparative method. Results: The participants' response actions were categorized as (i) deliberate and organized planning, (ii) random and inflexible repeating (iii), re-evaluating tasks, (iv) explaining difficulties related to others, and (iv) proving and protecting capability. Certain conditions were decisive for the different response actions to be applied and also for their effectiveness in enabling engagement in tasks in daily life. Each participant used several types of response actions and the same action could be applied in several situations. Conclusion: To support people with an ABI to manage the demands imposed by using ET, it is important to identify the uniqueness of each client and his or her response actions to difficulties using ET and thereafter adjust the interventions accordingly.

  • 43.
    Larsson-Lund, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lövgren-Engström, Ann-Louice
    Luleå tekniska universitet, Institutionen för hälsovetenskap.
    Lexell, Jan
    Luleå tekniska universitet, Institutionen för hälsovetenskap.
    Using everyday technology to compensate for difficulties in task performance in daily life: Experiences in persons with acquired brain injury and their significant others2011Inngår i: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 6, nr 5, s. 402-411Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose. The purpose of this study is to illuminate how persons with acquired brain injury (ABI) and their significant others experienced individualised occupation-based interventions using commonly available everyday technology (ET) to compensate for perceived difficulties with performance of tasks in daily life. Method. Qualitative research interviews were conducted with 10 persons with ABI and with one of their significant others. The data were analysed according to qualitative content analysis. Results. The persons with ABI experienced that they mastered their lives in a better way by the compensatory use of ET. They became capable of doing tasks independently and experienced themselves as being a new person. During the intervention process, persons with ABI became aware of the compensatory potential of familiar ET, and they were supported to use effective compensatory strategies and incorporate them into their habits. Their significant others felt a relief in daily life, and their mood was positively affected as they experienced reduced responsibility and need of control. Conclusions. This qualitative study has shown that persons with ABI, as well as their significant others, experienced a multitude of benefits from occupation-based interventions using commonly available ET to compensate for their difficulties in the performance of tasks in daily life and that the goals achieved affected their overall contentment with life

  • 44.
    Larsson-Lund, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Malinowsky, Camilla
    Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Luleå tekniska universitet.
    The match between the demand of everyday technology in public space and ability to use everyday technology: a comparison of people with acquired brain injury and controls2016Inngår i: 1st CONTEC-ENOTHE Congress: National University of Ireland, Galway 15-19 June 2016, 2016, s. 156-Konferansepaper (Fagfellevurdert)
  • 45.
    Larsson-Lund, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nordlund, Anders
    Bernspång, Birgitta
    Institutionen för samhällsmedicin och rehabilitering, Umeå universitet.
    Lexell, Jan
    Luleå tekniska universitet, Institutionen för hälsovetenskap.
    Perceived participation and problems in participation are determinants of life satisfaction in people with spinal cord injury2007Inngår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 29, nr 18, s. 1417-1422Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose. To determine the relationships between perceived participation and problems in participation, and life satisfaction in people with spinal cord injury (SCI). Method. A total of 157 men and women with SCI completed the Swedish versions of the Impact on Participation and Autonomy Questionnaire (IPA) and the Life Satisfaction Questionnaire (LiSat-9). Results. The respondents' perceived participation in the five domains of the IPA was significantly correlated with their satisfaction with life as a whole (P < 0.01) and in most of the eight other domains of life satisfaction (P < 0.05 to P < 0.01) in the LiSat-9. The respondents' life satisfaction decreased gradually with increasing frequency of severe problems in participation and significant differences within groups of increasingly severe problems were found. The level of life satisfaction in respondents that perceived no severe problems with participation was similar to those of a normal population. Conclusions. Perceived participation and problems in participation are determinants of life satisfaction in people with SCI. The results emphasize the importance to focus on severe problems with participation in order to optimize life satisfaction during the rehabilitation after SCI.

  • 46.
    Larsson-Lund, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nordlund, Anders
    Nygård, Louise
    Karolinska institutet, Divison of occupational therapy. Department of Neurotec.
    Lexell, Jan
    Luleå tekniska universitet, Institutionen för hälsovetenskap.
    Bernspång, Birgitta
    Umeå University, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Perceptions of participation and predictors of perceived problems with participation in persons with spinal cord injury2005Inngår i: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 37, nr 1, s. 3-8Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: To describe how persons with spinal cord injury perceived their participation in life situations and to determine the relationship between their participation and perceived problems therewith. The purpose was also to evaluate the influence of age, sex, level of injury, time since injury, marital status and access to social support on perceived problems with participation. Design: Cross-sectional. Subjects: One hundred sixty-one persons with spinal cord injury. Methods: A postal questionnaire including socio-demographic characteristics and a Swedish version of the Impact on Participation and Autonomy questionnaire. Results: A majority of the respondents perceived their participation as sufficient in most activities addressed. Still, a majority of the respondents perceived one or more severe problems with their participation. Access to social support was the most influencing variable in predicting perceived severe problems with participation as compared with certain personal and health-related factors. Conclusion: The results suggest that it is important to consider access to social support along with other factors in the person-environment interaction and their influence on severe problems with participation in enhancing clients' participation in rehabilitation.

  • 47.
    Larsson-Lund, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nygård, Louise
    Karolinska institutet, Divison of occupational therapy. Department of Neurotec.
    Incorporating or resisting assistive devices: Different approaches to achieving a desired occupational self-image2003Inngår i: OTJR (Thorofare, N.J.), ISSN 1539-4492, E-ISSN 1938-2383, Vol. 23, nr 2, s. 67-75Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The purpose of this study was to enhance the understanding of how people with disabilities experience the meaning of their assistive devices in their occupations and how they act on their experiences. Seventeen participants were interviewed and data were analyzed using a qualitative approach. The participants' experiences showed that they reacted differently to the manifold and often contradictory meaning of assistive devices. The analysts organized the participants' reactions into three categories: pragmatic users, ambivalent users, and reluctant users. The differences between the participants were understood as representing different adaptive approaches to achieve desired occupational self-images. Thus, the assistive devices were not in themselves important, but were merely a means to achieve a desired self-image. The findings reflect that the participants' experiences of using assistive devices reveal meanings about their use that go beyond the traditional medical perspective that focuses on the role of assistive devices as compensation for physical impairment

  • 48.
    Larsson-Lund, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nygård, Louise
    Umeå University, Department of Community Medicine and Rehabilitation.
    Occupational life in the home environment: the experiences of people with disabilities2004Inngår i: Canadian Journal of Occupational Therapy / Revue Canadienne d`Ergotèrapie, ISSN 0008-4174, Vol. 71, nr 1, s. 243-51Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: There is a need to empirically explore the occupational engagement of people with disabilities to support the development of occupational therapy interventions. PURPOSE: This study describes how people with disabilities experience their occupational lives in their home environment. METHOD: Thirteen people with physical disabilities living at home were interviewed and data were subsequently analysed using a constant comparative method. RESULTS: The findings showed that interactions between the individuals and their environment influenced their experiences of engaging in occupations and the meaning of their home. Occupations formed three categories: always performed with others, occasionally disrupted or deprived. These were particularly related to the social support that was provided under different conditions. This condition formed a central category: access to social support for occupations. Their experiences of performing occupations in the home also formed another central category: transformed meaning of the home. PRACTICE IMPLICATIONS: By understanding enabling conditions as well as barriers to occupational engagement, effective occupational therapy interventions can be developed to support the occupational lives of people with disabilities

  • 49.
    Larsson-Lund, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nygård, Louise
    Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Karolinska Institutet.
    Kottorp, Anders
    Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Karolinska Institutet.
    Perceived difficulty in the use of everyday technology: relationships with everyday functioning in people with acquired brain injury with a special focus on returning to work2014Inngår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 36, nr 19, s. 1618-1625Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose: The aim was to explore the relationships between difficulties in the use of everyday technology (ET) and the ability to perform activities of daily life (ADL) in the home and in society and in the workplace in people with acquired brain injury (ABI). Method: The investigation comprises an explorative cross-sectional study of 74 people with ABI. The short version of the Everyday Technology Use Questionnaire (S-ETUQ) and a revised version of the ADL taxonomy were used to evaluate the participants. Rasch-generated person ability measures of ET use and ADL were used in correlation analyses, in group comparisons by ANOVA and in logistic regressions. Results: Difficulty in the use of ET was significantly correlated with ADL limitations. People who worked full-or part-time had significantly higher ability to use ET than those with some type of full-time, long-term sickness compensation. The ability to use ET, ADL ability and age were significantly related to return to work. Conclusion: The ability to use ET is related to all areas of everyday functioning in people with ABI. Therefore, a patient's ability to use ET needs to be considered in rehabilitation strategies following an ABI to enhance the patient's performance of activities in the home and in society and to support his or her likelihood of returning to work.Implications for Rehabilitation Ability to use everyday technology (ET) needs to be considered in rehabilitation following an ABI as difficulty in ET use is significantly related to the abilities of people with acquired brain injury (ABI) in all areas of everyday functioning (P/I ADL, leisure and work). The assessment S-ETUQ can assist professionals in screening and identifying ET that clients perceive supporting or challenging their everyday functioning. With respect to the Information and communication society of today, the match between users abilities and ET is important knowledge in designing an e-accessible and e-inclusive society for people with disabilities.Purpose: The aim was to explore the relationships between difficulties in the use of everyday technology (ET) and the ability to perform activities of daily life (ADL) in the home and in society and in the workplace in people with acquired brain injury (ABI). Method: The investigation comprises an explorative cross-sectional study of 74 people with ABI. The short version of the Everyday Technology Use Questionnaire (S-ETUQ) and a revised version of the ADL taxonomy were used to evaluate the participants. Rasch-generated person ability measures of ET use and ADL were used in correlation analyses, in group comparisons by ANOVA and in logistic regressions. Results: Difficulty in the use of ET was significantly correlated with ADL limitations. People who worked full- or part-time had significantly higher ability to use ET than those with some type of full-time, long-term sickness compensation. The ability to use ET, ADL ability and age were significantly related to return to work. Conclusion: The ability to use ET is related to all areas of everyday functioning in people with ABI. Therefore, a patient’s ability to use ET needs to be considered in rehabilitation strategies following an ABI to enhance the patient’s performance of activities in the home and in society and to support his or her likelihood of returning to work.Implications for Rehabilitation Read More: http://informahealthcare.com/eprint/TKG7s8c6S5PjgR6yIHY4/full

  • 50.
    Larsson-Lund, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nyman, Anneli
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Begreppen delaktighet och aktivitet: utmaningar och möjligheter för utbildning, praxis och forskning2017Konferansepaper (Fagfellevurdert)
    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.

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