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  • 1.
    Axelsson, Sarianne Wiklund
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Prerequisites for sustainable life style changes among older persons with obesity and for ICT support2015Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

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

  • 2.
    Melander-Wikman, Anita
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nyberg, Lars
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Näslund, Annika
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Wiklund-Axelsson, Sari-Anne
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Wikberg-Nilsson, Åsa
    Luleå tekniska universitet, Institutionen för ekonomi, teknik och samhälle, Innovation och Design.
    Lindahl Norberg, Annika
    Uppsala universitet, Sverige.
    Projekt: Äldre personers förväntningar på användandet av informations- och kommunikationsteknologi som stöd2013Annet (Annet (populærvitenskap, debatt, mm))
    Abstract [sv]

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

  • 3.
    Wikberg-Nilsson, Åsa
    et al.
    Luleå tekniska universitet, Institutionen för ekonomi, teknik och samhälle, Människa och teknik.
    Normark, Carl Jörgen
    Luleå tekniska universitet, Institutionen för ekonomi, teknik och samhälle, Människa och teknik.
    Björklund, Cecilia
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Axelsson, Sarianne Wiklund
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    HealthCloud: promoting healthy living through co-design of user experiences in a digital service2018Inngår i: Proceedings of NordDesign: Design in the Era of Digitalization, 2018, 2018Konferansepaper (Fagfellevurdert)
    Abstract [en]

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

  • 4.
    Wiklund Axelsson, Sarianne
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Björklund, Cecilia
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Wikberg Nilsson, Åsa
    Luleå tekniska universitet, Institutionen för ekonomi, teknik och samhälle, Innovation och Design. Luleå University of Technology.
    Normark, Carl Jörgen
    Luleå tekniska universitet, Institutionen för ekonomi, teknik och samhälle, Innovation och Design.
    HealthCloud: Participatory design of user interfaces for senior people's active aging2017Rapport (Annet (populærvitenskap, debatt, mm))
    Abstract [en]

    The aim of the HealthCloud project has been twofold: to develop knowledge of user needs for interface design specifically for an ageing population, and also to develop a user interface design specially designed for senior persons with sensory decline to promote healthy living through five Core Health Projects. A participatory approach was chosen to investigate the aim of the project and data was collected and analysed in three sequential steps. A reference-group with senior citizens recruited from retirement organizations interactively evolved data for the project during three workshops. The continuous interaction with the reference group resulted in a conceptual user interface design aimed for the digital HealthCloud service. In the design of the conceptual user interface, the identified core factors were a strive for simplicity: to reduce, organize, and make it enjoyable to use. Participants in the reference-group found the developed interface easy to use regardless of previous computer skills and they were also motivated and stimulated by the interface to start using the computer for promoting their health om a daily basis. Participants also wanted to display and recommend this interface to other members of retirement organizations.

  • 5.
    Wiklund Axelsson, Sarianne
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Wikberg-Nilsson, Åsa
    Luleå tekniska universitet, Institutionen för ekonomi, teknik och samhälle, Industriell Ekonomi.
    Melander Wikman, Anita
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Sustainable Lifestyle Change: Participatory Design of Support Together with Persons with Obesity in the Third Age2016Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, ISSN 1661-7827, Vol. 13, nr 12, artikkel-id 1248Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

  • 6.
    Wiklund-Axelsson, Sari-Anne
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Melander-Wikman, Anita
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Ready for eHealth2016Konferansepaper (Fagfellevurdert)
    Abstract [en]

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

  • 7.
    Wiklund-Axelsson, Sari-Anne
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Melander-Wikman, Anita
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Ready for eHealth. Older Swedes’ Perceptions of eHealth Services: Using the PIADS scale as a Predictor for Readiness2016Inngår i: Technologies, ISSN 2227-7080, Vol. 4, nr 29Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

  • 8.
    Wiklund-Axelsson, Sari-Anne
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Melander-Wikman, Anita
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Näslund, Annika
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nyberg, Lars
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Older people's health-related ICT-use in Sweden2013Inngår i: Gerontechnology, ISSN 1569-1101, E-ISSN 1569-111X, Vol. 12, nr 1, s. 36-43Artikkel i tidsskrift (Fagfellevurdert)
  • 9.
    Wiklund-Axelsson, Sari-Anne
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nyberg, Lars
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Näslund, Annika
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Melander-Wikman, Anita
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Ready to adopt: Swedish older person’s perceptions of psychosocial impact of existing and future mobile health related ICT applications2013Konferansepaper (Fagfellevurdert)
  • 10.
    Wiklund-Axelsson, Sari-Anne
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nyberg, Lars
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Näslund, Annika
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Melander-Wikman, Anita
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    The anticipated positive psychosocial impact of present web-based e-health services and future mobile health applications: an investigation among older Swedes2013Inngår i: International Journal of Telemedicine and Applications, ISSN 1687-6415, E-ISSN 1687-6423, ISSN 1687-6415, artikkel-id 509198Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

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