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  • 1.
    Barchéus, Ida-Maria
    et al.
    Luleå University of Technology, Department of Health, Education and Technology, Health, Medicine and Rehabilitation.
    Ranner, Maria
    Luleå University of Technology, Department of Health, Education and Technology, Health, Medicine and Rehabilitation.
    Nyman, Anneli
    Luleå University of Technology, Department of Health, Education and Technology, Health, Medicine and Rehabilitation.
    Månsson Lexell, Eva
    Department of Health Sciences, Lund University, Lund, Sweden; Department of Neurology, Rehabilitation Medicine, Memory Clinic and Geriatrics, Skåne University Hospital, Lund-Malmö, Sweden.
    Larsson-Lund, Maria
    Luleå University of Technology, Department of Health, Education and Technology, Health, Medicine and Rehabilitation.
    Developing and testing the feasibility of a new internet-based intervention-A case study of people with stroke and occupational therapists2023In: PLOS ONE, E-ISSN 1932-6203, Vol. 18, no 12, article id e0296364Article in journal (Refereed)
    Abstract [en]

    Introduction: Internet-based interventions are called for within rehabilitation to meet the limited access to support for self-management after stroke. Therefore, a new intervention program, “Strategies for Empowering activities in Everyday life” (SEE) was developed. The aim of this study was to explore and describe how clients with stroke and their occupational therapists experienced the SEE intervention process and whether SEE has the potential to promote an active everyday life.

    Methods: A qualitative descriptive case study was designed. Four people with stroke (two of each sex, mean age 66,5 years) and their two occupational therapists (one of each sex) were included. A mix of data collection methods as interviews, assessments, registration forms and fieldnotes was used to uncover the participants’ experiences and potential changes. Data were analysed with pattern matching.

    Findings: The analysed data formed three categories: “Not being able to take on the internet-based intervention”, “Being facilitated in the change process of everyday life through the internet-based intervention”, and “Providing a new internet-based intervention is a transition from ordinary practice”. These categories included two to four subcategories that reflected aspects of SEE feasibility and acceptability with a focus on content and delivery.

    Conclusion: The first test of the intervention indicates that the content and delivery of SEE can be feasible and acceptable both for clients and occupational therapists. The findings suggest that SEE has the potential to support clients’ self-reflections and their adoption of strategies that influence engagement in daily activities and satisfaction with life in various ways. Further research with large-scale studies is needed.

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  • 2.
    Fisher, Anne G.
    et al.
    Umeå University, Division of Occupational Therapy.
    Nyman, Anneli
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    OTIPM: en modell för ett professionellt resonemang som främjar bästa praxis i arbetsterapi2011Report (Other academic)
  • 3.
    Fisher, Anne G.
    et al.
    Umeå University, Division of Occupational Therapy.
    Nyman, Anneli
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    OTIPM: en modell för ett professionellt resonemang som främjar bästa praxis i arbetsterapi2008Report (Other academic)
  • 4.
    Fisher, Anne G.
    et al.
    Umeå University, Division of Occupational Therapy.
    Nyman, Anneli
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    OTIPM: En modell för ett professionellt resonemang som främjar bästa praxis i arbetsterapi2007Report (Other academic)
  • 5.
    Kassberg, Ann-Charlotte
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. Department of Development and Research, Region Norrbotten, Luleå, Sweden.
    Nyman, Anneli
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Larsson-Lund, Maria
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Perceived occupational balance in people with stroke2021In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 43, no 4, p. 553-558Article in journal (Refereed)
    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.
  • 6.
    Körlof, L.
    et al.
    Luleå University of Technology, Department of Health Sciences, Health, Medicine and Rehabilitation. Luleå tekniska universitet.
    Nyman, A.
    Department of Health, Education and Technology, Luleå University of Technology, Luleå 971 81, Sweden.
    Isaksson, G.
    Department of Health, Education and Technology, Luleå University of Technology, Luleå 971 81, Sweden.
    Larsson, E.
    Department of Health, Education and Technology, Luleå University of Technology, Luleå 971 81, Sweden.
    Older Adults’ Experiences of Using Strategies to Maintain and Foster Social Participation: A Systematic Review with Metasynthesis of Qualitative Studies2024In: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524, Vol. 2024, p. 1-16Article in journal (Refereed)
    Abstract [en]

    Social participation is positively associated with older adults’ health. Health-care services, therefore, need to empower older adults to adapt to the social changes that accompany aging. This systematic review, with a metasynthesis of qualitative studies, aimed to describe and develop an understanding of home-dwelling older adults’ (65 yrs+) experiences of using strategies to maintain and foster their social participation. The main search was performed in March 2022 using the PubMed, CINAHL, PsycINFO, and AMED databases and included peer-reviewed articles published between 2012 and 2022. A total of 35 full-text articles from 15 different countries were included and assessed for quality by the assessment tool for qualitative studies provided by the Critical Appraisal Skills Programme (CASP). The metasynthesis resulted in the main theme: strategically creating routines that foster social participation and two main categories: inward-looking strategies for social participation and outward-looking strategies for social participation. Each main category contained three subcategories. The findings suggest that for perceiving social participation, it is important for older adults to create routines with patterns of activities and to be able to engage in these activities. The findings further reflect that older adults use earlier experiences of social participation to facilitate the making of routines. This indicates that health-care interventions supporting older adults’ social participation must be applied early and with a health-promotive focus. Conclusively, researchers need to develop interventions that support older adults in healthy activity patterns by raising awareness of how to use inward-looking and outward-looking strategies to create routines for social participation. The findings further suggest that older adults’ possibilities for social participation could be supported by designing accessible venues that facilitate spontaneous meetings and encourage older adults’ own choices and initiatives for social participation.

  • 7.
    Larsson Lund, Maria
    et al.
    Luleå University of Technology, Department of Health, Learning and Technology, Health, Medicine and Rehabilitation.
    Månsson Lexell, Eva
    Department of Health Sciences, Lund University, Lund, Sweden;c Department of Neurology and Rehabilitation Medicine, Skåne University Hospital, Lund-Malmö, Sweden.
    Nyman, Anneli
    Luleå University of Technology, Department of Health, Learning and Technology, Health, Medicine and Rehabilitation.
    Optimising the development of sustainable internet-based occupational therapy interventions: Important key actions and perspectives to consider2022In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 29, no 4, p. 259-269Article in journal (Refereed)
    Abstract [en]

    Background

    By examining the health needs of the general population and utilising the potential of digitalisation as a driving force, new internet-based services need to be developed in occupational therapy. However, existing guidelines for the development of complex interventions provide scant information on how to develop internet-based interventions.

    Aim

    The aim of this paper is to share experiences and illustrate important key actions and new perspectives to consider during the innovation process of developing and designing an internet-based occupational therapy intervention.

    Method and Materials

    International guidelines for intervention development was reviewed to add important perspectives in the innovation process.

    Results

    The illustration focuses on five key actions in the development phase to highlight new perspectives and questions important to consider when designing new internet-based occupational therapy interventions.

    Conclusion

    The new perspectives can complement existing guidelines to enhance the development of more effective and sustainable internet-based interventions.

    Significance

    The illustration provided has potential to improve the sustainability in innovation processes of new internet-based occupational therapy interventions.

  • 8.
    Larsson-Lund, Maria
    et al.
    Luleå University of Technology, Department of Health, Learning and Technology, Health, Medicine and Rehabilitation.
    Månsson Lexell, Eva
    Department of Health Sciences, Lund University, Lund, Sweden; Department of Neurology and Rehabilitation Medicine, Skåne University Hospital, Lund, Malmö, Sweden.
    Nyman, Anneli
    Luleå University of Technology, Department of Health, Learning and Technology, Health, Medicine and Rehabilitation.
    Strategies for Empowering activities in Everyday life (SEE 1.0): study protocol for a feasibility study of an Internet-based occupational therapy intervention for people with stroke2021In: Pilot and Feasibility Studies, E-ISSN 2055-5784, Vol. 7, article id 187Article in journal (Refereed)
    Abstract [en]

    Background: Rehabilitation after stroke seldom focuses on needs related to an active everyday life and the process of change that people must undergo to adapt to an altered capacity and life situation. In particular, occupational therapy in the late phase needs to support clients in adopting sustainable self-initiated management strategies to regain daily activities and an active everyday life. To improve access to rehabilitation, the use of digital solutions has been suggested. This study aims to evaluate the feasibility of the Internet-based occupational therapy intervention “Strategies for Empowering activities in Everyday life” (SEE, version 1.0). We will investigate the feasibility of the intervention process in terms of acceptability and adherence as well as the most suitable outcome measures to evaluate SEE and improve the knowledge about the potential changes and outcomes of SEE for clients with stroke.

    Methods: This feasibility study is based on a pretest posttest design without a control group. Quantitative and qualitative data will be collected from clients and staff concurrently embedded in a mixed-method design during the entire study.

    Discussion: The project is a first test of a novel Internet-based occupational therapy intervention, and the research will contribute to the continued development and evaluation of the SEE programme. SEE can provide people with strategies in daily activities that can support them to live an active everyday life despite changed capacity and to improve access to rehabilitation interventions.

  • 9.
    Larsson-Lund, Maria
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Nyman, Anneli
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Begreppen delaktighet och aktivitet: utmaningar och möjligheter för utbildning, praxis och forskning2017Conference paper (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.

  • 10.
    Larsson-Lund, Maria
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Nyman, Anneli
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Digitaliseringen i samhället: Nya möjligheter för människans aktivitet, professionen, utbildningen och forskningen?2017Conference paper (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.

  • 11.
    Larsson-Lund, Maria
    et al.
    Luleå University of Technology, Department of Health Sciences, Health, Medicine and Rehabilitation.
    Nyman, Anneli
    Luleå University of Technology, Department of Health Sciences, Health, Medicine and Rehabilitation.
    Occupational challenges in a digital society: A discussion inspiring occupational therapy to cross thresholds and embrace possibilities2020In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 27, no 8, p. 550-553Article in journal (Refereed)
    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.

  • 12.
    Larsson-Lund, Maria
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Nyman, Anneli
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Participation and occupation in occupational therapy models of practice: A discussion of possibilities and challenges2017In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 24, no 6, p. 393-397Article in journal (Refereed)
    Abstract [en]

    Background: Occupation has been the focus in occupational therapy practice to greater or lesser degrees from a historical viewpoint. This evokes a need to discuss whether concepts that are added to our field will enhance or blur our focus on occupation.

    Aim: To explore how the concept of participation in the International Classification of Functioning, Disability and Health (ICF) is related to the concept of occupation by reviewing and comparing its use in three models of practice within occupational therapy. The aim was also to generate discussion on possibilities and challenges concerning the relationship of participation and occupation.

    Method: The models reviewed were The Model of Human Occupation (MOHO), the Canadian Model of Occupational Performance and Engagement (CMOP-E) and the Occupational Therapy Intervention Process Model (OTIPM).

    Results: The concept of participation was related to occupation in different ways in these models. Based on the review some challenges and considerations for occupational therapy were generated.

    Conclusion: Relating the concept of participation from the ICF to the concept of occupation in models of practice can be challenging. At the same time, relating the concepts can be a resource to develop occupational therapy and the understanding of occupational issues in society.

  • 13.
    Löfgren, Maria
    et al.
    Luleå University of Technology, Department of Health, Learning and Technology, Health, Medicine and Rehabilitation.
    Larsson, Ellinor
    Luleå University of Technology, Department of Health, Learning and Technology, Health, Medicine and Rehabilitation.
    Isaksson, Gunilla
    Luleå University of Technology, Department of Health, Learning and Technology, Health, Medicine and Rehabilitation.
    Nyman, Anneli
    Luleå University of Technology, Department of Health, Learning and Technology, Health, Medicine and Rehabilitation.
    Older adults’ experiences of maintaining social participation: Creating opportunities and striving to adapt to changing situations2022In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 29, no 7, p. 587-597Article in journal (Refereed)
    Abstract [en]

    Background

    Social participation concerns the possibility of engaging in activities in interaction with others or society at large and contributes to the health and well-being of older adults. In contrast, a lack of social participation is associated with loneliness. It is, therefore, important to understand what strategies older adults use to maintain social participation.

    Aim

    To explore and describe older adults’ experiences of maintaining social participation.

    Materials and methods

    Nine older adults, aged 69–92 years, participated in interviews that were analysed through qualitative content analysis.

    Results

    The overall findings reflect how older adults create opportunities for social participation by developing strategies and striving to adapt to changing situations, emphasizing how maintaining social participation is an active process. Preserving social participation requires motivation and an effort to take initiative to cultivate social relations, maintain community bonds, engage in social events and activities and stay connected with society.

    Conclusions and significance

    These results may extend our understanding of strategies that older adults use, as well as the challenges they face when striving to adapt to new circumstances. This study may have implications for the practice of how to support older adults’ social participation.

  • 14.
    Malinowsky, Camilla
    et al.
    Division of Occupational Therapy, Department of Neurobiology, Care Science and Society (NVS), Karolinska Institutet, Stockholm, Sweden.
    Olofsson, Alexandra
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Nyman, Anneli
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Larsson-Lund, Maria
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Patterns of participation: Facilitating and hindering aspects related to places for activities outside the home after stroke2020In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 27, no 3, p. 204-212Article in journal (Refereed)
    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.

  • 15.
    Nyman, Anneli
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Aktivitet: Den sociala miljöns betydelse för aktiviteter i dagligt liv: erfarenheter och upp-levelser hos personer med reumatoid artrit2005Conference paper (Other (popular science, discussion, etc.))
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    FULLTEXT01
  • 16.
    Nyman, Anneli
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Den sociala miljöns betydelse för aktiviteter i dagligt liv: erfarenheter hos personer med RA2005Conference paper (Other academic)
  • 17.
    Nyman, Anneli
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Togetherness in everyday occupations: how participation in on-going life with others enables change2013Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The overall aim of this thesis is to provide knowledge of how everyday occupations with others can be understood as an on-going and evolving process in people’s lives. This thesis includes four papers, all with a qualitative approach and a focus on everyday occupations with others from the perspective of people in different life situations. In Study I, nine persons with rheumatoid arthritis were interviewed on how they experienced the influence of others on their engagement in occupations. Data was analyzed using a constant comparative method, showing how everyday occupations with others could be understood as constructive collaboration or insufficient collaboration. These kinds of collaboration were related to different actions, undertaken by other persons, which created or restricted possibilities for occupational engagement and the experience of it, such as autonomy and meaning. Study II was conducted with five elderly persons living with late-life depression focusing on how they engaged in everyday occupations with others, over time, and how this was related to their experience of meaning. Repeated interviews and participant observations generated data that was analyzed using a narrative approach. Based on the analysis, the concept of enacted togetherness was constructed, comprehending togetherness as an acted relation, creating an acted belonging rather than just a feeling or sense of belonging. Being part of an enacted togetherness was a way for the participants to negotiate and create meaning in their everyday lives. Further, findings suggest that being part of an enacted togetherness created possibilities to enact agency. Study III explored how agency is enacted in everyday occupations with others and evolves over time for an older woman living with late-life depression. A contextualized in-depth story was created through narrative analysis based on interviews and participant observations. Findings provide an example of how conditions for agency is related to socially situated and embedded experiences rather than associated with the individual’s capacity or ability to act independently in different situations. In Study IV focus group discussions was conducted with twelve old persons and a constant comparative method was used to explore and gain insight into how togetherness in everyday occupations with others was experienced and discussed. Findings show how everyday occupation with others can be comprehended as a multifold transactional process, emphasizing how an acted belonging was a situated experience connecting people and places through an unfolding story. In conclusion, this thesis contributes with an understanding of how everyday occupations with others can be comprehended as an arena where togetherness and belonging can be created. Engaging in occupations with others was a way to gain access to and become part of an unfolding story where issues related to meaning-making could be negotiated. Moreover, this thesis emphasizes how situated experiences connected to occupations with others promote participation and enable change. Therefore, it is of importance to consider occupation as transactional and focus on the situations in which people’s everyday occupations take place, in order to support agency and participation when empowering clients to achieve change.

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    FULLTEXT01
  • 18.
    Nyman, Anneli
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Isaksson, Gunilla
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Enacted togetherness: A concept to understand occupation as socio-culturally situated2021In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 28, no 1, p. 41-45Article in journal (Refereed)
    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.

  • 19.
    Nyman, Anneli
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Isaksson, Gunilla
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    The Internet: an Entrance to Togetherness or a Risk of Segregation Among Older Adults?2016Conference paper (Refereed)
    Download full text (pdf)
    fulltext
    Download full text (pdf)
    fulltext
  • 20.
    Nyman, Anneli
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Isaksson, Gunilla
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Togetherness in another way: Internet as a tool for togetherness in everyday occupations among older adults2015In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 22, no 5, p. 387-393Article in journal (Refereed)
    Abstract [en]

    Objective: This article explores and describes how the Internet was experienced as a tool for togetherness in everyday occupations among older adults. Methods: Discussions with 12 older adults, divided into three focus groups, generated data that were analysed using a grounded theory approach. Six women and six men between 67 and 79 years of age were purposively selected and recruited from a retirement organization in northern Sweden. Results: Findings reflect how online contexts generated new possibilities for togetherness in everyday occupations and created a sense of belonging with others and to society at large. However, togetherness through the Internet was also associated with ambiguity and uncertainty among older adults. The Internet provided opportunities for togetherness that were somehow different from togetherness derived from face-to-face contact, but it was also connected with a fear and a resistance. Conclusions: Findings from this research can extend our understanding of how online contexts have the possibility to promote togetherness in everyday occupations and what it means to be part of such a context among older adults. In light of these findings, the need is highlighted to consider the Internet as a tool for older adults to be socially engaged with the potential to reduce loneliness and isolation.

  • 21.
    Nyman, Anneli
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Isaksson, Gunilla
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Josephsson, Staffan
    Karolinska Institutet.
    Delaktighet i dagliga aktiviteter genom sociala interaktioner2011Conference paper (Other academic)
    Download full text (pdf)
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  • 22.
    Nyman, Anneli
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Isaksson, Gunilla
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Josephsson, Staffan
    Karolinska Institutet.
    Alsaker, Sissel
    Norwegian University of Science and Technology.
    Lindström, Maria
    Umeå Universitet.
    Aldrich, Rebecca
    University of southern California.
    Rethinking occupation in research and clinical practice: Joining people, places and meaning2012Conference paper (Refereed)
    Abstract [en]

    Josephsson S, Alsaker S, Isaksson G, Lindström M, Aldrich R, Nyman A. Rethinking occupation in research and clinical practice: Joining people, places and meaning. Discussion Forum at Conference: SSO: USA; Society for the Study of occupation: USA, October 2012.

    Recent developments in occupational science conceptualize occupation and its relation to place in terms of dynamic processes rather than components and structures. It could be phrased as a move from what occupation is to how it works. There has been a simultaneous trend of challenging the view of occupation as residing within individuals. Combining these two developments, occupation may now be conceptualized as emerging from situations that encompass transactions of person, culture, environment, and more. The aim of this panel is to reflect and discuss the consequence of this shift for occupation-based research and practice. Based on the included papers we will argue for the need of a less individual and static conceptualization of occupation and we will consider possible ways on how such shift of conceptualization can be achieved. The panel will include five papers: Sissel Alsaker will present research on enacted meaning using a narrative– in – action approach among women in Norway with chronic rheumatic condition. She will argue for how narrative – in – action might be an analytic resource to access occupation as ongoing processes rather than in terms of static characteristics. Maria Lindström will discuss based on her intervention research on persons with persistent mental illness, showing how the lack of a social conceptualization of occupation can decrease the visibility of certain research results. Gunilla Isaksson will base her reasoning on a narrative study on how men living with women with spinal cord injury experienced and acted in the complex process of change they went through after the women’s injury and how support was acted among them and their social network. Rebecca Aldrich will discuss the relationship of process and occupation’s social nature, as exemplified by data on routines from ethnographic research on North Carolinian discouraged workers. Finally, Anneli Nyman will demonstrate drawing from an ongoing study on social processes of participation among elderly women with depression and using narrative analysis on interview data, how enacted togetherness can be a resource for occupation-based practice with persons under such conditions. References: Aldrich, R. & Dickie, V. (In press): “It’s hard to plan your day when you have no money”: Discouraged workers’ occupational possibilities and the need to reconceptualize routine. Work, A Journal of Prevention, Assessment, and Rehabilitation. Alsaker, S. & Josephsson, S. (2010) Occupation and meaning: Narrative in everyday activities of women with chronic rheumatic conditions. OTJR – Occupation, Participation and Health, 30(2), 58-67). Lindström, M (2011) Promoting agency among people with severe psychiatric disability: occupation-oriented interventions in home and community settings. (Doctoral dissertation). Umeå University Key words: occupation; social; process; unit of analyses Discussion: -Why is it important for occupational science research to rethink how we conceptualize occupation? -What can a contextual, process-oriented and multifaceted conceptualization of occupation mean in occupational science research as well as clinical practice? -What are the consequences of such conceptualizations for how we measure and assess outcomes in research as well as in practice?

  • 23.
    Nyman, Anneli
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Josephsson, Staffan
    Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institute.
    Isaksson, Gunilla
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    A Narrative of Agency Enacted within the Everyday Occupations of an Older Swedish Woman2014In: Journal of Occupational Science, ISSN 1442-7591, E-ISSN 2158-1576, Vol. 21, no 4, p. 459-472Article in journal (Refereed)
    Abstract [en]

    This article explores how agency is enacted in everyday occupations with others and evolves over time. Agency is a complex concept that is closely linked to human occupation. By using a transactional perspective and a narrative approach, our ambition was to explore agency beyond individual acts or responsibilities. To achieve this, we used a story of an older woman in the context of being widowed and living with late-life depression. Data were generated over time using interviews and by taking part in the participant's everyday occupations. Narrative analysis was used to create a contextualized in-depth story. The findings show how resources embedded in enacted stories can challenge one's view of oneself as a victim and create possibilities to be an agent, thereby illustrating how agency becomes enacted in the context of acting together in everyday occupations. In light of these findings, we reflect on how a transactional perspective can contribute to exploring the concept of agency as contextually situated and embedded in occupations. Further, we reflect on how the transactional dimensions of everyday occupations can be explored through a narrative approach.

  • 24.
    Nyman, Anneli
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Josephsson, Staffan
    Karolinska Institutet.
    Isaksson, Gunilla
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Being part of an enacted togetherness: narratives of elderly people with depression2012In: Journal of Aging Studies, ISSN 0890-4065, E-ISSN 1879-193X, Vol. 26, no 4, p. 410-418Article in journal (Refereed)
    Abstract [en]

    In this article, we explored how five elderly persons with depression engaged in everyday activities with others, over time, and how this was related to their experience of meaning. Repeated interviews and participant observations generated data that was analysed using a narrative approach. Analysis identified togetherness as an acted relation, “enacted togetherness”, emphasising how the act of doing everyday activities with someone created togetherness and belonging, and being part of an enacted togetherness seemed to be a way for the participants to negotiate and construct meaning. Opportunities for doing things together with someone were closely associated to the place where the participants lived. Furthermore, engagement in activities together with others created hope and expectations of future acting. Findings from this research can extend our understanding of how participating in everyday activities is experienced as a social process including change over time, presenting the perspective of elderly people themselves. In light of these findings, we highlight the need to consider how opportunities to become part of an enacted togetherness can be created. Also, we aspire to contribute to the debate on how to understand the complexity related to social aspects of ageing and add to the emerging understanding of everyday activities as transactional, incorporating people and the environment in a dynamic process that goes beyond the individual.

  • 25.
    Nyman, Anneli
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Josephsson, Staffan
    Department of Neurobiology, Caring Sciences and Society, Division of Occupational Therapy, Karolinska Institutet.
    Isaksson, Gunilla
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Being part of an unfolding story: togetherness in everyday occupations when ageing2014In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 21, no 5, p. 368-376Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of this study was to explore and enhance the understanding of how togetherness in everyday occupations is experienced and discussed among older adults. Method: Focus-group discussions generated the data and a total of 12 participants, including six women and six men, divided into three groups, participated in this study. Analysis was performed using a grounded theory approach. Results: The findings reflect how togetherness in everyday occupations can be comprehended as multifold transactional processes, emphasizing how an acted belonging was a situated experience connecting people and places through unfolding stories. The findings suggest that the process of meaning-making in ongoing life was closely associated with togetherness and was negotiated with others through shared culture and experiences. Togetherness meant being part of something in which the persons involved were contributing to each other in various ways. However, being part of togetherness was complicated, especially when the person’s life situation was challenged in some way. Conclusions: It was apparent from the analysis that togetherness could not be taken for granted. Rather, the findings reflect how togetherness was created and maintained through an ongoing process of nurturing established relationships as well as creating something new around occupations with others.

  • 26.
    Nyman, Anneli
    et al.
    Luleå University of Technology, Department of Health Sciences, Health, Medicine and Rehabilitation.
    Kassberg, Ann-Charlotte
    Luleå University of Technology, Department of Health Sciences, Health, Medicine and Rehabilitation. Department of Research, Region Norrbotten, Luleå, Sweden .
    Larsson-Lund, Maria
    Luleå University of Technology, Department of Health Sciences, Health, Medicine and Rehabilitation.
    Perceived occupational value in people with acquired brain injury2021In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 28, no 5, p. 391-398Article in journal (Refereed)
    Abstract [en]

    Background: It is well known that engagement in occupations becomes restricted after acquired brain injury (ABI), but little is known about how this influences occupational values and occupational balance.

    Aim: To describe the extent to which persons with ABI perceived occupational value; to explore whether occupational value and occupational balance were associated with life satisfaction, and to explore how occupational value, occupational balance, the severity of disability, fatigue and sociodemographic characteristics influenced life satisfaction.

    Materials and methods: A cross-sectional study was undertaken with 75 participants of work- ing age with ABI who responded to questionnaires on occupational value, occupational balance, and life satisfaction. Additionally, instruments covering fatigue and severity of disability were administered. Data were analyzed by means of comparisons, correlations and logistic regression.

    Results: A high perceived occupational value and a high perceived occupational balance were significantly associated with satisfaction with life as a whole, psychological health and somatic health. The logistic regression showed that occupational value, occupational balance and sever- ity of disability significantly impacted satisfaction with life as a whole.

    Conclusions and significance: Occupational value and occupational balance together with severity of disability, are important areas of focus in the later phase of rehabilitation after ABI to promote satisfaction with life as a whole.

  • 27.
    Nyman, Anneli
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Larsson-Lund, Maria
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Influences of the social environment on engagement in occupations: the experience of persons with rheumatoid arthritis2007In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 14, no 1, p. 63-72Article in journal (Refereed)
    Abstract [en]

    The aim of this explorative study was to describe and enhance the understanding of how persons with rheumatoid arthritis (RA) experience the influence of the social environment on their engagement in occupations. Nine persons were interviewed and the data obtained were analysed using a comparative method. The findings revealed that other persons in the social environment influenced informants' experiences of engaging in occupations in two ways, which formed the categories: "Constructive collaboration" and "Insufficient collaboration". These categories had certain properties related to the actions the others undertook to assist the informants during their collaboration. These assisting actions influenced the informants' possibilities to engage in occupations, and also their experience of engagement. The findings also showed that the "Conditions for collaboration" varied and influenced their collaboration, which thereby constituted a third category. The findings may contribute to a deeper understanding of how other persons can facilitate and restrict meaningful occupational experiences. This provides knowledge that can be used by occupational therapists when empowering their clients and those close to them to reflect on their actions and the consequences of these actions to enhance occupational engagement.

  • 28.
    Nyman, Anneli
    et al.
    Luleå University of Technology, Department of Health, Learning and Technology, Health, Medicine and Rehabilitation.
    Rutberg, Stina
    Luleå University of Technology, Department of Health, Learning and Technology, Health, Medicine and Rehabilitation.
    Lilja, Margareta
    Luleå University of Technology, Department of Health, Learning and Technology, Health, Medicine and Rehabilitation.
    Isaksson, Gunilla
    Luleå University of Technology, Department of Health, Learning and Technology, Health, Medicine and Rehabilitation.
    The Process of Using Participatory Action Research when Trying out an ICT Solution in Home-Based Rehabilitation2022In: International Journal of Qualitative Methods, E-ISSN 1609-4069, Vol. 21Article in journal (Refereed)
    Abstract [en]

    This article describes the process of using PAR and discusses the strengths and challenges of adopting it as a methodology. With a pilot project “the rehabilitation journey” as a showcase, we share experiences of how we co-created knowledge and illustrate the actions taken and participants’ involvement in the process. This pilot project aimed to explore how ICT solutions can create new ways to deliver home-based rehabilitation that meet the needs of the organization, rehabilitation professionals, and older persons. Our experience is that using PAR as a research method had several strengths. Our project stemmed from demographic and epidemiological trends in society viewed as a “real life problem” experienced on different levels in the organization of home-based rehabilitation. At the same time, PAR was a challenging research method to use, as it was time-consuming and required the commitment and contribution over time of the different participants involved. There were also specific challenges that had to be considered regarding routines and regulations, as the pilot project was conducted in a health care context. This article aspires to offer methodological guidelines by using a six-step method to illustrate a PAR process. We propose that these guidelines can act as a tool to guide researchers in carrying out PAR.

  • 29.
    Nyman, Anneli
    et al.
    Luleå University of Technology, Department of Health, Learning and Technology, Health, Medicine and Rehabilitation.
    Zingmark, Magnus
    Health and Social Care Administration, Municipality of Östersund, Östersund, Sweden; Department of Epidemiology and Global Health, Umeå University, Umeå, Sweden; Department of Health Sciences, Lund University, Lund, Sweden.
    Lilja, Margareta
    Luleå University of Technology, Department of Health, Learning and Technology, Health, Medicine and Rehabilitation.
    Guidetti, Susanne
    Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Karolinska Institute, Huddinge, Sweden; Women’s Health and Allied Health Professionals Theme, Medical Unit Occupational therapy and Physiotherapy, Karolinska University Hospital, Sweden.
    Information and communication technology in home-based rehabilitation – a discussion of possibilities and challenges2023In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 30, no 1, p. 14-20Article in journal (Refereed)
    Abstract [en]

    Background: Information and communication technology (ICT) has been proven to have effect in terms of providing alternative ways to deliver rehabilitation services. The intention with this paper is to serve as a foundation for discussions regarding the future development, design, and delivery of home-based rehabilitation, including ICT.

    Aim: To reflect on and discuss the possibilities and challenges of using ICT in home-based rehabilitation services.Method and material: We use experiences and results from various projects to reflect on and discuss possibilities and challenges related to the use of ICT in home-based rehabilitation.

    Findings and discussion: We exemplify how ICT present new possibilities that can increase the quality of the rehabilitation process and improve access to services. We reflect on some challenges in the use of ICT, related to non-user-friendly solutions, to the specific rehabilitation situation, and a lack of technical support. At an organisational level, readiness to use ICT can impact the extent to which new solutions are integrated into practice.

    Conclusion: We emphasise that ICT has the potential to develop and improve service delivery and contribute to increased quality and accessibility of home-based rehabilitation.

  • 30.
    Olofsson, Alexandra
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Larsson-Lund, Maria
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Nyman, Anneli
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Att leva som förut är inte ett alternativ: Berättelser från två personer med förvärvad hjärnskada2017Conference paper (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.

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  • 31.
    Olofsson, Alexandra
    et al.
    Luleå University of Technology, Department of Health Sciences, Health, Medicine and Rehabilitation.
    Larsson-Lund, Maria
    Luleå University of Technology, Department of Health Sciences, Health, Medicine and Rehabilitation.
    Nyman, Anneli
    Luleå University of Technology, Department of Health Sciences, Health, Medicine and Rehabilitation.
    Everyday activities outside the home are a struggle: Narratives from two persons with acquired brain injury2020In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 27, no 3, p. 194-203Article in journal (Refereed)
    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.

  • 32.
    Olofsson, Alexandra
    et al.
    Luleå University of Technology, Department of Health Sciences, Health, Medicine and Rehabilitation.
    Nyman, Anneli
    Luleå University of Technology, Department of Health Sciences, Health, Medicine and Rehabilitation.
    Kassberg, Ann-Charlotte
    Luleå University of Technology, Department of Health Sciences, Health, Medicine and Rehabilitation. Department of Research, Region Norrbotten, Luleå, Sweden.
    Malinowsky, Camilla
    Department of Neurobiology, Care Science and Society (NVS), Karolinska Institutet, Stockholm, Sweden.
    Larsson-Lund, Maria
    Luleå University of Technology, Department of Health Sciences, Health, Medicine and Rehabilitation.
    Places visited for activities outside the home after stroke: Relationship with the severity of disability2020In: British Journal of Occupational Therapy, ISSN 0308-0226, E-ISSN 1477-6006, Vol. 83, no 6, p. 405-412Article in journal (Refereed)
    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.

  • 33.
    Olofsson, Alexandra
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Nyman, Anneli
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Larsson-Lund, Maria
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Engagemang i aktivitet i offentliga miljöer: erfarenheter hos personer med förvärvad hjärnskada2015Conference paper (Other academic)
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  • 34.
    Olofsson, Alexandra
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Nyman, Anneli
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Larsson-Lund, Maria
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Engagement in occupations outside home: Experiences of people with acquired brain injury2015Conference paper (Refereed)
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    FULLTEXT01
  • 35.
    Olofsson, Alexandra
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Nyman, Anneli
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Larsson-Lund, Maria
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Occupations outside the home: Experiences of people with acquired brain injury2017In: British Journal of Occupational Therapy, ISSN 0308-0226, E-ISSN 1477-6006, Vol. 80, no 8, p. 486-493Article in journal (Refereed)
    Abstract [en]

    Introduction

    Understanding those occupations outside the home that people with acquired brain injury find difficult, including the influencing factors, may help to develop appropriate support. The aim of this paper was to explore and describe how people with acquired brain injury experience engagement in occupations outside the home.

    Method

    This qualitative study included repeated semi-structured interviews with eight working-age persons with acquired brain injury, which were analysed by a constant comparison analysis.

    Findings

    The findings indicated that there were three influencing factors that had a critical effect on the participants’ changes in their engagement in occupations, the strategies they adopted, and the consequences for their lives. The categories reflected how the different changes in occupations outside the home were influenced by their struggles with sensory processing and fatigue, difficulties with completing preparations, and occupational risks.

    Conclusion

    The findings indicate that to improve engagement in occupations outside the home for people with acquired brain injury, professionals need to identify the different factors that are critical for each person’s engagement. The findings also indicate the importance of considering not only occupations outside the home but also preparations required at home and recovery afterward, and how engagement outside the home is influenced by the entire occupational repertoire.

  • 36.
    Synnes, Kåre
    et al.
    Luleå University of Technology, Department of Computer Science, Electrical and Space Engineering, Computer Science.
    Lilja, Margareta
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Nyman, Anneli
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Espinilla, Macarena
    Department of Computer Architecture and Technologies, University of Jaen, 23071 Jaén, Spain.
    Cleland, Ian
    School of Computing, Ulster University, 16G14 Jordanstown, Newtownabbey BT37 0QB, UK.
    Sanchez Comas, Andres Gabriel
    Department of Computer Science, Universidad de la Costa, Barranquilla 080002, Colombia.
    Comas Gonzalez, Zhoe Vanessa
    Department of Computer Science, Universidad de la Costa, Barranquilla 080002, Colombia.
    Hallberg, Josef
    Luleå University of Technology, Department of Computer Science, Electrical and Space Engineering, Computer Science.
    Karvonen, Niklas
    Luleå University of Technology, Department of Computer Science, Electrical and Space Engineering, Computer Science.
    Ourique de Morais, Wagner
    Department of Information Technology, Halmstad University, 30118 Halmstad, Sweden.
    Cruciani, Federico
    School of Computing, Ulster University, 16G14 Jordanstown, Newtownabbey BT37 0QB, UK.
    Nugent, Chris
    School of Computing, Ulster University, 16G14 Jordanstown, Newtownabbey BT37 0QB, UK.
    H2Al: The Human Health and Activity Laboratory2018In: Proceedings, 2018, UCAmI 2018: The 12th International Conference on Ubiquitous Computing and Ambient ‪Intelligence (UCAmI 2018) / [ed] José Bravo, Oresti Baños, MDPI, 2018, article id 1241Conference 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.

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