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  • 1.
    Röijezon, Ulrik
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Prellwitz, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Innala Ahlmark, Daniel
    van Deventer, Jan
    Luleå tekniska universitet, Institutionen för system- och rymdteknik, EISLAB.
    Nikolakopoulos, George
    Luleå tekniska universitet, Institutionen för system- och rymdteknik, Signaler och system.
    Hyyppä, Kalevi
    Luleå tekniska universitet, Institutionen för system- och rymdteknik, EISLAB.
    A haptic navigation aid for individuals with visual impairments: Indoor and outdoor feasibility evaluations of the LaserNavigator2019Ingår i: Journal of Visual Impairment & Blindness, ISSN 0145-482X, E-ISSN 1559-1476, Vol. 113, nr 2, s. 194-201Artikel i tidskrift (Refereegranskat)
  • 2.
    Lindgren, Eva
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Gabrielsson, Sebastian
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Kostenius, Catrine
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    A method to give voice to young people with experience of mental ill-health2019Ingår i: 5TH HORATIO FESTIVAL OF PSYCHIATRIC NURSING, 2019Konferensbidrag (Refereegranskat)
  • 3.
    Nordström, Birgitta
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap.
    Prellwitz, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    A pilot study of children and parents experiences of the use of a new assistive device: the electro suit Mollii2019Ingår i: Assistive technology, ISSN 1040-0435, E-ISSN 1949-3614Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Electrical stimulation has been used for many years to treat spasticity in children with cerebral palsy and some improvements have been noted. Building on the benefits of electrical stimulation, a new assistive device, a suit with imbedded electrodes designed to reduce spasticity through electrical stimulation of the antagonistic muscles, has been tested.

    Aim: The aim of this study was to describe experiences from children with cerebral palsy and their parents regarding the use of the suit. Methods: Individual interviews were conducted with six children 5 to 10 years of age and their parents. The interviews were transcribed and analyzed using a qualitative content analysis. Results: The analysis resulted in three themes: (1) the suit’s impact on image, (2) changes that make a difference and (3) dealing with a desire for change. Each of the themes included subthemes. Conclusion: All children reported some impact on their body and self and/or in some activities after the use of the suit. The parents also saw improvements during the trial period. However, the results are inconclusive and a larger study is needed to determine if the suit is useful from a longer perspective and whether it can affect activity and participation in daily activities for children with spasticity.

  • 4.
    Skjaerven, Liv Helvik
    et al.
    Department Health and Function, Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway;.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. Department of Health Sciences, Division of Physiotherapy, Lund University, Lund, Sweden.
    Gómez-Conesa, Antonia
    Murcia University Research Group in Physiotherapy and Health Promotion, Regional Campus of International Excellence “Campus Mare Nostrum”, Murcia, Spain.
    Catalan-Matamoros, Daniel
    Department of Journalism and Communication, University Carlos III of Madrid, Madrid, Spain. Research Group of Health Sciences CTS-451, University of Almeria, Almeria, Spain.
    A vocabulary describing health-terms of movement quality: a phenomenological study of movement communication2019Ingår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: The aim of the study was to develop a vocabulary targeting communication of health-terms ofmovement quality, establishing professional knowledge of a movement terminology usefull withinrehabilitation.

    Methods: A phenomenological study design was chosen, inviting movement experts working inrehabilitation to describe movement observations when a change into more functional, health relatedways of moving appeared in the rehabilitation processes. 15 physiotherapy experts were recruited,five from the field of neurology, primary health care and psychiatry. The informants had between12-38 years of clinical practice, treating patients of all ages with a wide specter of diagnoses. Datacollection followed a qualitative study design, of individual, in-depth interviews, based on a semi-structured interview guide. The interviews were taped, transcribed and sent to the informants forvalidation. Data analysis followed recommendation of Giorgi, modified by Malterud. Ethical considera-tions were followed.

    Results: Data revealed a vocabulary, clustered in five themes, Biomechanical, Physiological, Psycho-socio-cultural, Existential and Overarching perspective, 16 underlying categories and 122 descriptive health-terms of movement quality.

    Conclusion: The study demonstrated a multi-perspective movement vocabulary of 122 health characteris-tic terms, developed to facilitate movement communication within the broad field of rehabilitation. Theresult calls for further research concerning a movement vocabulary.

  • 5.
    Lindqvist, Anna-Karin
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Löf, Marie
    Karolinska Institutet; Linköping University, Linköping.
    Ek, Anna
    Karolinska Institutet.
    Rutberg, Stina
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Active School Transportation in Winter Conditions: Biking Together is Warmer2019Ingår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 16, nr 2, artikel-id 234Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    There has been a decline in children’s use of active school transportation (AST) while there is also limited research concerning AST in winter conditions. This study aimed to explore the prerequisites and experiences of schoolchildren and parents participating in an empowerment- and gamification-inspired intervention to promote students’ AST in winter conditions. Methods: Thirty-five students, who were aged 12–13 years, and 34 parents from the north of Sweden participated in the study. Data were collected using photovoice and open questions in a questionnaire and analyzed using qualitative content analysis. Results: The results show that involvement and togetherness motivated the students to use AST. In addition, during the project, the parents changed to have more positive attitudes towards their children’s use of AST. The students reported that using AST during wintertime is strenuous but rewarding and imparts a sense of pride. Conclusion: Interventions for increasing students’ AST in winter conditions should focus on the motivational aspects for both children and parents. For overcoming parental hesitation with regards to AST during winter, addressing their concerns and empowering the students are key factors. To increase the use of AST all year around, targeting the challenges perceived during the winter is especially beneficial.

  • 6.
    Antoniewicz, Lukasz
    et al.
    Division of Internal Medicine, Department of Clinical Sciences, Karolinska Institutet, Danderyd University Hospital, Stockholm, Sweden.
    Brynedal, Amelie
    Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
    Hedman, Linnea
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad. Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine, The OLIN Unit, Umeå University, Umeå, Sweden.
    Lundbäck, Magnus
    Division of Cardiovascular Medicine, Department of Clinical Sciences, Karolinska Institutet, Danderyd University Hospital, Stockholm, Sweden.
    Bosson, Jenny A
    Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
    Acute Effects of Electronic Cigarette Inhalation on the Vasculature and the Conducting Airways2019Ingår i: Cardiovascular Toxicology, ISSN 1530-7905, E-ISSN 1559-0259Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The use of electronic cigarettes has increased exponentially since its introduction onto the global market in 2006. However, short- and long-term health effects remain largely unknown due to the novelty of this product. The present study examines the acute effects of e-cigarette aerosol inhalation, with and without nicotine, on vascular and pulmonary function in healthy volunteers. Seventeen healthy subjects inhaled electronic cigarette aerosol with and without nicotine on two separate occasions in a double-blinded crossover fashion. Blood pressure, heart rate, and arterial stiffness measured by pulse wave velocity and pulse wave analysis were assessed at baseline, and then at 0 h, 2 h, and 4 h following exposure. Dynamic spirometry and impulse oscillometry were measured following vascular assessments at these time points, as well as at 6 h following exposure. e-Cigarette aerosol with nicotine caused a significant increase in heart rate and arterial stiffness. Furthermore, e-cigarette aerosol-containing nicotine caused a sudden increase in flow resistance as measured by impulse oscillometry, indicating obstruction of the conducting airways. Both aerosols caused an increase in blood pressure. The present study indicates that inhaled e-cigarette aerosol with nicotine has an acute impact on vascular and pulmonary function. Thus, chronic usage may lead to long-term adverse health effects. Further investigation is warranted.

  • 7.
    Backman, Tess
    et al.
    Ambulance Care, Mora, Sweden.
    Juuso, Päivi
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Borg, Ronja
    Västerås Hospital, Region of Västmanland, Västerås, Sweden.
    Engström, Åsa
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Ambulance nurses' experiences of deciding a patient does not require ambulance care2019Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 6, nr 3, s. 783-789Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: To describe ambulance nurses’ experience of deciding a patient does not require ambulance care.

    Design:An inductive, empirical study with a qualitative approach.Methods: Data collection was conducted through semi‐structured interviews, and collected data were analysed with qualitative manifest content analysis. Data were collected during the spring 2017, and eight ambulance nurses participated.Results:The findings are presented in one main category, which is “Not very ill but a difficult decision” with totally three subcategories. The ambulance nurse's experi‐ence of making the assessment when the patient has no need for ambulance care is like walking the balance of slack line. This means that the assessment can be both easy and very difficult but something that definitely requires experience, knowledge and dedication.

  • 8.
    Selberg, Stina
    et al.
    The OLIN Studies, Norrbotten County Council, Luleå.
    Hedman, Linnea
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad. The OLIN Studies, Norrbotten County Council, Luleå. Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine, The OLIN unit, Umeå University, Umeå.
    Jansson, Sven-Arne
    Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine, The OLIN unit, Umeå University, Umeå.
    Backman, Helena
    The OLIN Studies, Norrbotten County Council, Luleå. Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine, The OLIN unit, Umeå University, Umeå.
    Stridsman, Caroline
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Medicinsk vetenskap. Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Asthma control and acute health care visits among young adults with asthma: A population‐based study2019Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aims

    To study asthma control and acute health care visits among young adults with asthma.

    Background

    Despite the access to effective treatment and nursing interventions, poor asthma control is still common among individuals with asthma. However, studies describing clinical characteristics among young adults with asthma are rare.

    Design

    A population‐based cohort study.

    Methods

    In 2015, as a part of the OLIN pediatric cohort I (recruited in 1996 at age 7‐8yr), N=2291 young adults (27‐28 yr) completed a postal questionnaire survey including questions on asthma and respiratory symptoms. Of these, N=280 (12%) were identified as having current asthma and were further studied.

    Results

    Of those with current asthma, women reported respiratory symptoms and smoking to a greater extent than men. Approximately one‐fourth had uncontrolled asthma and acute health care visits due to asthma was reported by 15% of women and 8% of men. Uncontrolled asthma was associated with smoking, lower educational level, use of reliever treatment most days and acute health care visits. Acute health care visits due to asthma were associated with periodic use of regular controller treatment also after adjustment for uncontrolled asthma.

    Conclusion

    The result indicate poor adherence to asthma treatment which may lead to decreased asthma control and acute health care visits.

    Impact

    Most young adults with asthma are diagnosed and treated in primary care, ideally in a team with a nurse. The main findings highlight the need for evidenced‐based nursing interventions, contributing to a more efficient asthma management in primary care.

  • 9.
    Gard, Gunvor
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. Lund University, Lund, Sweden.
    Nyboe, L.
    Aarhus University Hospital, Risskov, Denmark.
    Gyllensten, A.L.
    Lund University, Lund, Sweden.
    Clinical reasoning and clinical use of basic body awareness therapy in physiotherapy: a qualitative study?2019Ingår i: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

  • 10.
    Lundvik Gyllensten, Amanda
    et al.
    Department of Health Sciences, Research Group Physiotherapy, Lund University, Lund, Sweden.
    Nyboe Jacobsen, Lene
    Research unit for PTSD, Section for depression and anxiety, Aarhus University Hospital, Risskov, Denmark.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. Department of Health Sciences, Research Group Physiotherapy, Lund University, Lund, Sweden.
    Clinician perspectives of Basic Body Awareness Therapy (BBAT) in mental health physical therapy: An international qualitative study2019Ingår i: Journal of Bodywork & Movement Therapies, ISSN 1360-8592, E-ISSN 1532-9283Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction

    Body awareness is a movement therapy used in Physical Therapy in Mental Health especially in Scandinavia. The method Basic Body Awareness Therapy has been scientifically investigated in particular for patients with Depression, Schizophrenia and Post Traumatic Stress Syndrome (PTSD).

    Methods

    Thirty-four Physical Therapists from 13 countries working with the Basic Body Awareness Therapy method in Mental Health Care were interviewed in six focus groups about what effects they have experienced in their work with patients. The Physical Therapists worked within the whole Mental Health spectra. Content analysis was used to analyze the informants’ experiences of the clinical effects of body awareness.

    Results

    Five categories emerged: To be in contact, Refocus and coping, Sense of Self, Relations to others and Daily life activities. The results are discussed in relation to previous research, existing theories of body awareness and cognitive neuroscience and findings of experimental psychology.

    Conclusion

    The informants experienced that Basic Body Awareness Therapy worked mainly by helping the patients to be in better contact with their “bodily self.” Stability, balance, improved grounding and the ability to relax were understood as the basis to establish an improved sense of self and leading to improved acceptance of oneself and one’s ability to relate to others.

  • 11.
    Skjærven, Liv H.
    et al.
    Department of Occupational Therapy, Physiotherapy and Radiography , Western Norway University of Applied Sciences, Campus Kronstad, Bergen, Norway.
    Mattsson, M.
    Department of Clinical Sciences, Division of Psychiatry , Umeå University, Umeå, Sweden.
    Catalan-Matamoros, D.
    Department of Nursing, Physiotherapy and Medicine, University of Almeria; Faculty of Humanities, Communication and Documentation, University Carlos III of Madrid, Spain.
    Parker, A.
    Physiotherapy Department, Royal Edinburgh Hospital.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. Department of Health Sciences, Lund University, Lund, Sweden.
    Gyllensten, Al
    Department of Health Sciences, Lund University, Lund, Sweden.
    Consensus on core phenomena and statements describing Basic Body Awareness Therapy within the movement awareness domain in physiotherapy2019Ingår i: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 35, nr 1, s. 80-93Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Physiotherapists are facing complex health challenges in the treatment of persons suffering from long-lasting musculoskeletal disorders and mental health problems. Basic Body Awareness Therapy (BBAT) is a physiotherapy approach within the movement awareness domain developed to bridge physical, mental, and relational health challenges. The purpose of this study was to reach a consensus on core phenomena and statements describing BBAT. A consensus-building process was conducted using the nominal group technique (NGT). Twenty-one BBAT experts from 10 European countries participated in a concentrated weekend workshop of 20 hours. All participants signed informed consent. Participants reached a consensus on 138 core phenomena, clustered in three overarching categories: clinical core, historical roots, and research and evaluation phenomena. Of the 106 clinical core phenomena, the participants agreed on three categories of phenomena: movement quality, movement awareness practice, and movement awareness therapy and pedagogy. Furthermore, the participants reached 100 percent consensus on 16 of 30 statements describing BBAT. This study provides a consensus on core phenomena and statements describing BBAT. The data reveal phenomena implemented when promoting movement quality through movement awareness. Data provide clarity in some aspects of the vocabulary as fundamental theory. Further reearch will be developed.

  • 12.
    Lindqvist, Anna-Karin
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Cykelväg till skolan kan vara vägen till framgång2019Ingår i: Skolledaren, ISSN 0037-6515, nr 3Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
  • 13.
    Dabija, Marius
    et al.
    Division of Surgery, Sollefteå Hospital.
    Fedog, Fredrik
    Division of Surgery-Anaesthesia, Stavanger University Hospital.
    Engström, Åsa
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Gustafsson, Silje
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Difficult airways: key factors for sucessful management2019Ingår i: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 34, nr 1, s. 151-159Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: To describe anesthetic nurses’ experiences of key factors for thesuccessful management of difficult airways in adult patients.Design: This study had a qualitative observational and descriptive designfollowing the critical incident technique.Methods: Twelve experienced anesthetic nurses were interviewed.Findings: We identified five key factors for the successful management ofdifficult airways: identification of the difficult airway, creating a plan ofaction, remaining calm and focusing on the task, technical skills, and usingthe equipment. Identification of the difficult airway implies preassessmentwith standardized methods and actively observing for signsindicative of a difficult airway. Having all equipment available atbedside during induction and creating a backup plan increases the actionforce in unexpected situations. A calm and methodical work procedurefacilitates the management of the difficult airway as well as selectingtechniques and equipment according to the patient and situation.Conclusions: Reflective practice can aid the anesthetic nurse in drawingon experience and remaining calm in acute situations.

  • 14.
    Gabrielsson, Sebastian
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Ejneborn-Looi, Git-Marie
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Ett personligt ansvar för god och säker vård2019Ingår i: Vårdande vid psykisk ohälsa - på avancerad nivå / [ed] Lena Wiklund Gustin, Lund: Studentlitteratur AB, 2019, 3, s. 571-594Kapitel i bok, del av antologi (Övrig (populärvetenskap, debatt, mm))
  • 15.
    Gabrielsson, Sebastian
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Engström, Åsa
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Gustafsson, Silje
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Evaluating reflective practice groups in a mental health context: Swedish translation and psychometric evaluation of the clinical supervision evaluation questionnaire2019Ingår i: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 18, artikel-id 2Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background

    Implementation of reflective practice groups in psychiatric and mental health contexts might improve the quality of care through promoting self-awareness, clinical insight, and facilitating stress management and team building. There is a need for valid and reliable instruments to test the outcomes of reflective practice groups in the mental health context. This study aimed to test the validity and reliability of the Swedish version of the Clinical Supervision Evaluation Questionnaire.

    Methods

    The instrument was translated from English to Swedish using a translation and back-translation procedure. Data for the calculation of content validity was collected from an expert group. Data for the reliability analysis was collected from rehabilitation assistants and ward managers participating in reflective practice groups (n = 20). Content validity was measured by computing a content validity index. Construct validity was assessed by calculating the corrected item-total correlation statistics. Reliability was evaluated by analysing the Cronbach’s alpha coefficient, the intraclass correlation coefficient and inter-item correlations.

    Results

    The content validity index for the scale as a whole was 0.94. Item-total correlations ranged between 0.23 and 0.81, and deletion of an item did not notably improve Cronbach’s alpha. Cronbach’s alpha for the scale was 0.89. The intraclass correlation coefficient for single measures was 0.35. The mean inter-item correlation was .37.

    Conclusion

    The Swedish version of the Supervision Evaluation Questionnaire has a degree of reliability and validity that is comparable to the original version in English, indicating that it can be used as an assessment of reflective practice groups in the mental health context.

  • 16.
    Kostenius, Catrine
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Melder, Cecilia
    Uppsala University, Sweden.
    Existential health: A valuable dimension when promoting health throughout the life-course in Sweden2019Ingår i: WAIORA: Promoting Planetary Health and Sustainable Development for All, 2019Konferensbidrag (Refereegranskat)
  • 17.
    Nilsson, Carina
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Lindberg, Birgitta
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Juuso, Päivi
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Olsson, Malin
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Experiences of striving to maintain daily life among women with osteoporosis2019Ingår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 14, artikel-id 1647402Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    In order to describe how women with osteoporosis strive to maintain daily life we interviewed11 women using a reflective lifeworld approach based on phenomenological analysis.Osteoporosis is a major public health concern in the Western world, and is predominantamong women. Our findings indicated that meanings of striving to maintain daily life implya belief in oneself and one’s own capabilities. The women expressly speak out for themselvesas a way of finding reconciliation without giving in to the illness. Women with osteoporosisexpect to gain support early in the course of their illness. They require advice on how tomanage the disease as well as support for striving to maintain daily living. Therefore, it iscrucial that the women not only are given information about the disease. Equally important isto establish continuity in healthcare encounters, and that health care offers support foundedin the women’s lived experiences with focus on their capacities.

  • 18.
    Sandström, Linda
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Nilsson, Carina
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Engström, Åsa
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Juuso, Päivi
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Experiences of suffering multiple trauma: A qualitative study2019Ingår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objectives

    In an effort to strengthen health care professionals’ ability to anticipate and address multiple trauma patients’ needs, this study aims to explore the experience of suffering from multiple trauma.

    Design

    This is a qualitative descriptive study. Nine interviews were analysed using content analysis.

    Setting

    The study included patients who had been registered in the Swedish Intensive Care registry [SIR] due to suffering multiple trauma.

    Findings

    The analysis revealed one theme, A detour in life, based on three sub-themes: (a) Feeling lost and not knowing what to expect, (b) Striving to get life back on track and (c) Dealing with ‘dead ends’ during rehabilitation. The theme showed that those who suffered multiple trauma did not know what to expect of their recovery and they expressed experiencing a lack of understanding and guidance from healthcare professionals. As it was important to focus on the present and find ways to move on in life, they sought for other ways to find direction in matters of rehabilitation and care.

    Conclusions

    A shared understanding is essential in order to define a person’s needs. By setting short-term goals and improving documentation, healthcare professionals across the trauma recovery continuum could more easily gain insight of their patients’ needs and address them with supportive guidance.

  • 19.
    Larsson, Agneta
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Berggård, Glenn
    Luleå tekniska universitet, Institutionen för samhällsbyggnad och naturresurser, Arkitektur och vatten.
    Rosander, Peter
    Luleå tekniska universitet, Institutionen för samhällsbyggnad och naturresurser, Arkitektur och vatten.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Gait speed with anti-slip devices on icy pedestrian crossings relate to perceived fall-risk and balance2019Ingår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 16, nr 14, artikel-id 2451Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    It is important to find criteria for preventive measures and appropriate assistive devices to reduce pedestrian injuries and increase walking in winter. Reducing the rate of falls on icy surfaces and improving people’s ability to safely cross a street in winter conditions by achieving an adequate walking speed, for example, need to be considered. This study explores pedestrian perceptions of fall risk, balance, and footfall transitions while using different designs for anti-slip devices on ice and snow-covered ice and relates these to measures of gait speed and friction. Trials were performed with nine pedestrians testing 19 anti-slip devices on ice and ice covered with snow. Laboratory tests of the dynamic coefficient of friction (DCOF) on plain ice were also performed. The findings suggest that there was conformity in the participants’ perceptions of good balance and low fall risk for one-fifth of the devices (three whole-foot designs and one design with built-in spikes). We also found that gait speed on icy pedestrian crossings is related to perceived fall-risk and balance control, but not to DCOF of the anti-slip devices.

  • 20.
    Strandkvist, Viktor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. Norrbotten County Council.
    Hand grip strength and postural control among individuals with and without Chronic Obstructive Pulmonary Disease: Epidemiological and motion laboratory studies2019Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
  • 21.
    Röijezon, Ulrik
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Johansson, Anna-Maria
    Handen och underarmen2019Ingår i: Motorisk kontroll och inlärning: Med inriktning på muskuloskeletal rehabilitering / [ed] Ulrik Röijezon, Lund: Studentlitteratur AB, 2019, 1, s. 247-258Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Abstract [sv]

    Den stora variation av uppgifter som människohanden kan utföra kräver god sensomotorisk funktion. Därför kan muskuloskeletala besvär med störningar i handens sensoriska och motoriska funktioner inverka stort på individens förmåga och delaktighet, i såväl arbetsliv som fritid. Handens funktion är också tätt förknippad med underarmens och armbågens anatomi och funktion; därför omfattar detta kapitel besvärstillstånd i både hand, underarm och armbåge. Först beskrivs översiktligt sensomotoriska funktionsstörningar som rapporterats vid några specifika diagnoser, därefter följer exempel på metoder för undersökning och träning av sensomotorisk funktion.

  • 22.
    Röijezon, Ulrik
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Brorsson, Sofia
    Johansson, Anna-Maria
    Handens sensomotoriska funktion2019Ingår i: Motorisk kontroll och inlärning: Med inriktning på muskuloskeletal rehabilitering / [ed] Ulrik Röijezon, Lund: Studentlitteratur AB, 2019, 1, s. 91-106Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Abstract [sv]

    Handen med alla dess mångfasetterade funktioner har central betydelse för människors vardagsaktiviteter, både i hemmet, i yrkesarbetet och på fritiden. Genom sin unika konstruktion, med bland annat opposition av tummen mot övriga fingrar möjliggörs ett flertal olika grepp och ändamålsenlig manipulation. Handen är även viktig för vår uppfattning om vår omvärld samt för vårt kroppsspråk och vår kommunikation. Handens särställning vad gäller såväl sensorisk som motorisk funktion exemplifieras av den relativt sett stora representation som handen har i såväl sensoriska som motoriska kortex. I detta kapitel presenteras handens funktionella anatomi och sensomotoriska funktioner.

  • 23.
    Riekkola, Jenni
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Rutberg, Stina
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lilja, Margareta
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Isaksson, Gunilla
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Healthcare professionals’ perspective on how to promote older couples’ participation in everyday life when using respite care2019Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 33, nr 2, s. 427-435Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aims

    The aim is to describe healthcare professionals’ perspectives on how they understand and promote older couples’ participation in everyday life when using residential respite care.

    Design and Methods

    Eighteen healthcare professionals with varying degrees of competence and from one residential respite care facility participated in four focus group interviews. Data were analysed through qualitative latent content analysis.

    Findings

    The findings revealed a broad, multifaceted view of participation and ways in which participation in everyday life is promoted by these professionals. Trustworthy relationships between professionals, spousal caregivers and clients were implicated. Promoting participation also necessitated that clients have access to meaningful activities. In addition, participation entailed an environment that supported various needs.

    Conclusion

    Promoting participation for older couples that are using respite care involves multifaceted perspectives that consider social–relational aspects including both the client and their spouse. Furthermore, attention is needed to the meaning a change of context between home and the respite care facility has on relationships, environments and activities in everyday life. Such an approach could benefit the couples’ shared everyday life situation and in a wider perspective, also influence their health and well‐being when ageing in place together.

  • 24.
    Kostenius, Catrine
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. Norrbotten Association of Local Authorities.
    Lundqvist, Catarina
    Norrbotten Association of Local Authorities.
    Nyström, Lena
    Norrbotten Association of Local Authorities.
    Henriksson, Annica
    Norrbotten Association of Local Authorities.
    Nordstrand, Annika
    Norrbotten County Council.
    "Hälsoskolan": the national government, local authorities and university in a joint effort to promote health literacy in arctic children and youth2019Ingår i: WAIORA: Promoting Planetary Health and Sustainable Development for All, 2019Konferensbidrag (Refereegranskat)
  • 25.
    Jobe, Ingela
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Engström, Åsa
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Lindberg, Birgitta
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Knowledge and views about coordinated individual planning from the perspective of active older adults2019Ingår i: Clinical Journal of Nursing Care and Practice, ISSN 2639-9911, Vol. 3, s. 17-26Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background Today’s older adults are often well informed and want to participate in decision-making processes. The coordinated individual planning process offers them active involvement in deciding and owning how their care will be managed.

    Aim

    The aim of the study was to explore active older adults’ knowledge and views regarding coordinated individual planning.

    MethodsThe study has an exploratory inductive approach. Five focus-group discussions were conducted with 40 participants from different organizations and associations. A qualitative interpretive description framework was used, and the analysis resulted in four unique themes.

    ResultsThe four themes resulting from the analysis are collaboration and continuity, participation and involvement in decision, individual need for support, and access to information and service. Collaboration between different levels of the healthcare system and between professionals is crucial. Older adults wanted to be participating actors in their healthcare. They worried about the lack of continuity and thought that services were not responsive or did not meet individuals’ needs.

    ConclusionsOlder adults want their views and preferences to be taken into consideration, and they want to be actively engaged in the decision-making process regarding their care.

  • 26.
    Röijezon, Ulrik
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Bexander, Catharina
    Koordination av öga, huvud och hand2019Ingår i: Motorisk kontroll och inlärning: Med inriktning på muskuloskeletal rehabilitering / [ed] Ulrik Röijezon, Lund: Studentlitteratur AB, 2019, s. 79-90Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Abstract [sv]

    Vid manuella uppgifter som att äta, laga mat, snickra, spela bordtennis eller sätta en nyckel i ett lås är det synen som vägleder handens rörelse. För att kunna tolka synintrycken korrekt måste kroppen känna till huvudets position och rörelse, dels i rummet och dels i förhållande till bålen. Dessutom måste denna information samordnas med information om handens och armens position och rörelse i förhållande till bålen. Motoriska kommandon för såväl ögon, huvud, arm och hand måste koordineras så att rörelserna utförs med stor precision. Detta involverar en mängd sensoriska och motoriska omkopplingar och kontrollprocesser och inkluderar såväl reflexer som viljemässiga rörelser. I detta kapitel beskrivs samordningen av öga–nacke och öga–huvud–handrörelser. Dessutom ges några exempel på hur smärttillstånd kan störa denna koordination.

  • 27.
    Haley, Katarina L.
    et al.
    Department of Allied Health Sciences, University of North Carolina at Chapel Hill.
    Womack, Jennifer L.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. Department of Allied Health Sciences, University of North Carolina at Chapel Hill.
    Harmon, Tyson G.
    Department of Allied Health Sciences, University of North Carolina at Chapel Hill.
    McCulloch, Karen L.
    Department of Allied Health Sciences, University of North Carolina at Chapel Hill.
    Richard A., Faldowski
    Department of Allied Health Sciences, University of North Carolina at Chapel Hill.
    Life activity choices by people with aphasia: repeated interviews and proxy agreement2019Ingår i: Aphasiology, ISSN 0268-7038, E-ISSN 1464-5041, Vol. 33, nr 6, s. 710-730Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Person-centered rehabilitation requires that meaningful life activities are identified on a case-by-case basis, but the discovery process can be inaccessible for clients with aphasia. Card-sorting methodology addresses core barriers and help clients communicate their preferences.

    Aims: To characterize life activities that people with aphasia want to do, to estimate consistency in selections over time, and to replicate previous findings about the ability of family members and friends to identify their loved ones’ activity preferences.

    Methods & Procedures:  We administered the Life Interests and Values (LIV) Cards to 26 people with aphasia, asking them which of 95 depicted life activities they wanted to do more in their lives. Half the activity cards were presented again one to ten weeks later. Twenty family members or friends responded as proxies by selecting from a questionnaire with the same items.

    Outcomes & Results: Participants with aphasia selected diverse activities, though as a group they identified significantly more activities from the “social” activity category than from the “home and community”, “creative and relaxing”, or “physical” categories. Across the repeated interviews, they selected identical activities on average 78% of the time. Item-to-item agreement between people with aphasia and their proxy responders was significantly lower at 69%.

    Conclusions: People with aphasia have diverse activity interests and are reliable informants about their preferences. Because significant others have limited ability to predict these choices, their impressions are inadequate substitutes for direct interviews.

  • 28.
    Brännström, Margareta
    et al.
    Department of Nursing, Umeå University, Sweden. Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden.
    Grönlund, Catarina Fischer
    Department of Nursing, Umeå University, Sweden.
    Zingmark, Karin
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Söderberg, Anna
    Department of Nursing, Umeå University, Sweden.
    Meeting in a 'free-zone': Clinical ethical support in integrated heart-failure and palliative care2019Ingår i: Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Integrating heart-failure and palliative care combines expertise from two cultures, life-saving cardiology and palliative care, and involves ethically difficult situations that have to be considered from various perspectives. We found no studies describing experiences of clinical ethical support (CES) in integrated cardiology and palliative care teams.Objective: Our aim is to describe experiences of CES among professionals after a period of three years working in a multidisciplinary team in integrated heart-failure and palliative homecare.Method: The study design was descriptive qualitative, comprising interviews with seven professionals from one integrated heart-failure and palliative care team who received CES over a three-year period. The interview data were subjected to qualitative content analysis.Results: The CES was found to offer possibilities for meeting in an ethical ‘free-zone’ where the participants could relate to each other beyond their various professional roles and specialties. The trust within the team seemed to increase and the participants were confident enough to express their points of view. Together they developed an integrated understanding, and acquired more knowledge and a comprehensive view of the ethically difficult situation of concern. The CES sessions were considered a means of becoming better prepared to deal with ethical care issues and developing action strategies to apply in practice, from shared standpoints.Conclusion: Participating in CES was experienced as meeting in an ethical ‘free-zone’ and seemed to be a means of facilitating integration of palliative and heart-failure care.

  • 29.
    Sundbaum, Johanna
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Medicinsk vetenskap. Department of Medical Sciences, Rheumatology, Uppsala University, Uppsala, Sweden.
    Eriksson, Niclas
    Department of Medical Sciences, Clinical Pharmacology and Science for Life Laboratory, Uppsala University, Uppsala, Sweden.
    Hallberg, Pär
    Department of Medical Sciences, Clinical Pharmacology and Science for Life Laboratory, Uppsala University, Uppsala, Sweden.
    Lehto, Niklas
    Luleå tekniska universitet, Institutionen för teknikvetenskap och matematik, Materialvetenskap. Department of Health Sciences, Luleå University of Technology, Luleå, Sweden.
    Wadelius, Mia
    Department of Medical Sciences, Clinical Pharmacology and Science for Life Laboratory, Uppsala University, Uppsala, Sweden.
    Baecklund, Eva
    Department of Medical Sciences, Rheumatology, Uppsala University, Uppsala, Sweden.
    Methotrexate treatment in rheumatoid arthritis and elevated liver enzymes: A long‐term follow‐up of predictors, surveillance, and outcome in clinical practice2019Ingår i: International Journal of Rheumatic Diseases, E-ISSN 1756-185X, Vol. 22, nr 7, s. 1226-1232Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim

    To assess predictors of alanine aminotransferase (ALT) elevation in methotrexate (MTX) treated rheumatoid arthritis (RA) patients, and to describe the monitoring of liver enzymes, including handling and outcome of elevated ALT.

    Methods

    All RA patients starting MTX in January, 2005 to April, 2013 at a rheumatology clinic, (Uppsala University Hospital, Sweden) were identified from electronic medical records. Clinical and laboratory data were obtained from medical records, supplemented by telephone interviews. Predictors for ALT >1.5× over the upper limit of normal (ULN) were identified by multiple regression analysis.

    Results

    The study comprised 213 RA patients starting MTX. During a mean follow‐up of 4.3 years, 6288 ALT tests were performed; 7% of tests with ALT were >ULN. ALT >1.5× ULN was observed in 44 (21%) patients and the strongest predictor was a pre‐treatment elevation of ALT (adjusted odds ratio = 6.8, 95% CI 2.2‐20.5). Recurrent elevations occurred in 70% of patients who continued treatment, and the proportion was similar in those with and without interventions, for example MTX dose reduction (67% vs 73%, P = 0.43). Seven patients (3%) permanently stopped MTX due to ALT elevation, and two were eventually diagnosed with non‐alcoholic fatty liver disease. No patient developed hepatic failure.

    Conclusion

    Only a small number of ALT tests performed during MTX therapy in RA capture an elevation. A pre‐treatment elevation of ALT was the strongest predictor for early and recurrent ALT elevations during therapy. This study supports a more individualized approach to monitoring and handling of ALT elevations during MTX therapy in RA than recommended in current guidelines.

  • 30.
    Srivastava, Karnica
    et al.
    Physics Department, University of Lucknow, Lucknow, India.
    Shukla, Anuradha
    Physics Department, University of Lucknow, Lucknow, India.
    Karthick, T.
    Physics Department, University of Lucknow, Lucknow, India;Institute of Organic Chemistry and Biochemistry, Academy of Sciences, Prague, Czech Republic.
    Velaga, Sitaram
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Medicinsk vetenskap.
    Tandon, Poonam
    Physics Department, University of Lucknow, Lucknow, India.
    Sinha, Kirti
    Physics Department, University of Lucknow, Lucknow, India.
    Shimpi, Manishkumar R.
    Luleå tekniska universitet, Institutionen för samhällsbyggnad och naturresurser, Kemiteknik.
    Molecular structure, spectroscopic signature and reactivity analyses of paracetamol hydrochloride monohydrate salt using density functional theory calculations2019Ingår i: CrystEngComm, ISSN 1466-8033, E-ISSN 1466-8033, Vol. 21, nr 5, s. 857-865Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to understand the role of the intermolecular hydrogen bond interactions present in paracetamol hydrochloride monohydrated salt. Paracetamol hydrochloride monohydrate salt (PRA-HCl) and paracetamol (form I) were investigated via vibrational (FT-IR and FT-Raman) spectroscopy and density functional theory (DFT) to gain insight into the hydrogen bond patterns present in these crystalline materials. Two different density functionals, wB97X-D and M062X, were used for the comparison of the results. The geometrical parameters of PRA-HCl and form I obtained using these functional were compared with the crystallographic data, which proved the existence of intra-molecular and intermolecular hydrogen bonds. The C10O2 group of form I forms an intramolecular hydrogen bond, while the O1–H18 group of PRA-HCl forms an intermolecular hydrogen bond with a chloride ion (Cl), resulting in the elongation of the bond length and shift to a lower wavenumber for the O1–H18 group. To examine the potency of hydrogen bonding, quantum theory of atoms in molecules (QTAIM) calculations were performed and the results suggested that O1–H18⋯Cl22 is a strong intermolecular hydrogen bond. The chemical reactivity parameters reveal that the PRA-HCl and PRA-OXA cocrystals are more reactive and softer (low HOMO–LUMO energy gap) in comparison to paracetamol (form I).

  • 31.
    Röijezon, Ulrik
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Motorisk inlärning2019Ingår i: Motorisk kontroll och inlärning: Med inriktning på muskuloskeletal rehabilitering / [ed] Ulrik Röijezon, Lund: Studentlitteratur AB, 2019, 1, s. 127-139Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Abstract [sv]

    Träning av motorisk kontroll vid rehabilitering av smärttillstånd inkluderar bland annat övningar för proprioception, neuromuskulär koordination, stabilitet, balans, hållning och koordinerade rörelsemönster. Målet med träningen är att förmågan att utföra färdigheten ska kvarstå över tid och omsättas i praktiken vid olika aktiviteter i patientens vardagliga liv, till exempel vid lyft, datorarbete, musicerande eller idrottande. Träning av motorisk kontroll involverar med andra ord inlärning av motoriska färdigheter. För att träningen ska bli så effektiv som möjligt är det en god idé att ta del av kunskap som presenterats inom forskningsområdet för motorisk inlärning. I detta kapitel presenteras metoder och teorier kring motorisk inlärning med tillämpning vid prevention och rehabilitering av muskuloskeletala besvär. De är applicerbara på alla typer av inlärning av nya färdigheter eller korrigering av utförande av tidigare färdigheter, liksom på träning som syftar till att öka till exempel styrka, uthållighet eller rörlighet för ökad effektivitet och minskad skaderisk.

  • 32.
    Röijezon, Ulrik
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Motorisk kontroll och inlärning: Med inriktning på muskuloskeletal rehabilitering2019Samlingsverk (redaktörskap) (Övrigt vetenskapligt)
    Abstract [sv]

    Boken ger en aktuell kunskapsöversikt över fysiologiska system och mekanismer som är involverade i motorisk kontroll och motorisk inlärning, samt ger en beskrivning av kliniska metoder för undersökning och behandling.

    Boken är uppdelad i tre delar:

    • Del 1 omfattar generella teoretiska kunskaper inom bland annat muskel- och neurofysiologi, sensomotorisk kontroll, patofysiologi och motorisk inlärning.
    • Del 2 beskriver övergripande olika koncept och system för undersökning och träning av motorisk kontroll.
    • Del 3 har en mer specifik inriktning med presentation av sensomotoriska funktionsstörningar och metoder för undersökning och träning för varje separat kroppsdel, från nacke till fot. Denna del avslutas med ett kapitel om hypermobilitet.

    Motorisk kontroll och inlärning är författad av en mycket framstående grupp svenska och internationella forskare och kliniker som generöst bidrar med sin expertkompetens till bokens olika kapitel.

    Boken vänder sig till personer som utbildar sig eller är verksamma inom prevention och rehabilitering av muskuloskeletala besvärstillstånd, såsom fysioterapeuter, arbetsterapeuter, läkare, kiropraktorer, osteopater och naprapater, men även andra som arbetar med rörelsebeteende och inlärning, till exempel idrottslärare och idrottstränare.

  • 33.
    Olofsson, Alexandra
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Möjlighet till aktivitet och delaktighet utanför hemmet för personer med förvärvad hjärnskada2019Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [sv]

    Det övergripande syftet med denna avhandling var att öka kunskapen om möjlighet till aktivitet och delaktighet utanför hemmet för personer i yrkesverksam ålder med förvärvad hjärnskada (FHS).

    Studie I syftade till att utforska och beskriva hur personer med FHS erfar engagemang i aktiviteter utanför hemmet. Intervjuer genomfördes med åtta deltagare och data analyserades genom konstant komparativ metod. Resultatet visade att svårigheter att bearbeta intryck, fatigue, förberedelse och upplevda risker var avgörande för deras begräsningar av engagemang i aktiveter. De använde nya strategier för att möjliggöra engagemang i aktiviteter med olika konsekvenser för deras liv. Studie II syftade till att utforska och identifiera problematiska situationer relaterat till aktiviteter utanför hemmet för personer med FHS. Upprepade intervjuer och deltagande observationer genomfördes med två deltagare och genererade data som analyserades med narrativ metod. Deltagarnas berättelser speglar hur det var en ständig kamp att försöka hantera oförutsedda händelser och kontrollera olika situationer de ställdes inför när de engagerade sig i aktiviteter utanför hemmet. Vidare, hur de dragit sig tillbaka från olika platser vilket medförde att deras sociala liv begränsats och att fler aktiviteter utfördes ensam och i hemmet efter skadan. Studie III syftade till att beskriva och jämföra upplevd delaktighet på platser utanför hemmet hos personer med stroke samt relationen mellan det totalt antal platser som besöktes, funktionshindrets svårighetsgrad och sociodemografisk data. Intervjuer genomfördes med sextiotre deltagare med stroke utifrån instrumentet ACT-OUT. Data analyserades med deskriptiv statistik, icke parametriska test, ANOVA och General Linear Model (GLM). Resultatet visade att gruppen med god återhämtning besökte i genomsnitt flest antal platser följt av dem med medelsvårt och svårt funktionshinder och skillnaden mellan grupperna vara signifikant. Skillnader i besökta platser var framförallt relaterat till platser för sociala, kulturella och andliga aktiviteter samt platser för rekreation och fysisk aktivitet. Oavsett funktionhindrets svårighetsgrad önskade deltagarna besöka platser i framtiden som de förnärvarande inte besökte. Funktionshindrets svårighetsgrad och bilkörning var signifikant associerade med det totala antalet besökta platser för aktiviteter utanför hemmet. Studie IV syftade till att utforska mönster av delaktighet på platser för aktiviteter utanför hemmet och om dessa mönster var relaterade till funktionshindrets svårighetsgrad och faktorer i miljön. Intervjuer genomfördes med samma deltagare och instrument som i studie III och analyserades med deskriptiv statistik, icke parametriska test och tvåstegs klusteranalys. Av analysen framkom fem mönster av delaktighet innehållande fyra möjliggörande och hindrande aspekter; upplevt avstånd till platsen, hur frekvent platsen besöktes och hur familjär platsen samt vägen till platsen var. Resultatet visade att det endast fanns signifikanta skillnader mellan mönstren när det gällde transport till och från platsen och socialt stöd.

    Sammanfattningsvis bidrar denna avhandling med kunskap om de mångfacetterade ständigt föränderliga utmaningar och problematiska situationer som personer med FHS erfar vid engagemang i aktiviteter utanför hemmet. Vidare, om strategier i aktivitet som möjliggör att personer med FHS kan återuppta och/eller bibehålla aktiviteter utanför hemmet. Avhandlingen bidrar även med kunskap om samband och mönster som påverkar upplevd delaktighet på platser för aktiviteter utanför hemmet, vilket är av betydelse för att förstå relationen mellan aktiviteter och platser. För att utveckla utformningen av rehabiliteringsinsatser som stärker möjlighet till aktivitet och delaktighet efter FHS behöver såväl aktiviteter som platser utanför hemmet samt aspekter som påverkar relationer dem emellan beaktas.

  • 34. Treleaven, Julia
    et al.
    Röijezon, Ulrik
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nacken: proprioception2019Ingår i: Motorisk kontroll och inlärning: Med inriktning på muskuloskeletal rehabilitering / [ed] Ulrik Röijezon, Lund: Studentlitteratur AB, 2019, 1, s. 203-214Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Abstract [sv]

    Besvärstillstånd med nacksmärta är heterogena och därför varierar symtom och avvikelser i motoriska kontrollfunktioner betydligt mellan individer. Vägledning om och i så fall vilken typ av träning av cervikal proprioception som bör inkluderas i rehabiliteringsregimen för den enskilde erhålls via anamnes och klinisk undersökning. I detta kapitel beskrivs först specifika symtom, följt av avvikelser i proprioception och sensomotoriska funktioner som kan vara relaterade till störningar i cervikal proprioception. Slutligen beskrivs kliniska metoder för undersökning och träning av nackens proprioception, okulomotorisk kontroll, öga–huvud–kroppkoordination och postural kontroll hos personer med nackbesvär.

  • 35.
    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.
    Occupational challenges in a digital society: A discussion inspiring occupational therapy to cross thresholds and embrace possibilities2019Ingår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014Artikel i tidskrift (Refereegranskat)
    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.

  • 36.
    Womack, Jennifer L.
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. The University of North Carolina at Chapel Hill, USA.
    Lilja, Margareta
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Dickie, Virginia
    The University of North Carolina at Chapel Hill, USA.
    Isaksson, Gunilla
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Occupational Therapists’ Interactions With Older Adult Caregivers: Negotiating Priorities and Expertise2019Ingår i: OTJR (Thorofare, N.J.), ISSN 1539-4492, E-ISSN 1938-2383, Vol. 39, nr 1, s. 48-55Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Although numerous studies have examined provider–caregiver interactions and their influence on care outcomes, few represent the perspective of the provider or specifically consider occupational therapy practitioners. The aim of this article is to explore the perspectives of occupational therapists regarding interactions with older adult caregivers in geriatric practice settings. The study was conducted using a constructivist grounded theory approach based on data obtained from repeated focus group sessions and subsequent individual reflections. Occupational therapy practitioners interact with older adult caregivers in ways that reflect negotiations about who holds expertise and whose priorities are most relevant in care situations. These interactions are influenced by health care contexts that foreground the needs of the care recipient. A deeper understanding of caregiving as an occupation via a transactional perspective may serve to illuminate complex care situations and optimize therapist–caregiver interactions.

  • 37.
    Riekkola, Jenni
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Older couples' participation in everyday life - when living in changing and shifting contexts2019Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    The overall aim of this thesis was to explore and develop an understanding about older couples’ participation in everyday life when living in shifting contexts. To achieve the aim, multiple perspectives were sought and a variety of qualitative methods were applied. Data were generated through interviews and observations with older couples and through focus groups with spousal caregivers, healthcare professionals, and other stakeholders and those data were analyzed through a constant comparative method, content analysis, and narrative analysis.

    From the perspective of spousal caregivers, the findings in study I revealed the complexity and ambiguity that influences participation in everyday life. Being in charge of everyday life was described as challenging in many ways and produced a need for recovery and own time. Interacting with social contexts and being confident with the provided social services, such as respite care, was described as complex. The partner’s wellbeing and participation had an impact on the spousal caregiver’s own participation when living in shifting contexts. The perspective of healthcare professionals related to residential respite care was captured in study II. They described a broad and multifaceted picture of participation in everyday life and how promoting participation for older couples involved building trustworthy relationships, enabling meaningful activities, and arranging a comfortable shared environment. Both of the partners in the older couples needed to be considered by the professionals. In study III, the perspectives of the older couples were explored. In order to understand how meaning and togetherness is created in older couples’ everyday life, the focus has to be on the couples’ whole situation, including their relationship. The results showed that the couples strived to continue living their lives in togetherness. Strategies used by the couples were shifting responsibilities, doing more things together than before, using residential respite care, and rearranging social interactions with family and friends. Study IV offered the perspectives of multiple stakeholders. The findings suggested that the focus has to be on older couples through maintaining abilities and creating comfort. Support is also required from both an engaged civil society and healthcare professionals that are motivated and have both competence and time. Further, social services need to work together to ensure that resources are properly available.

    Overall, this thesis contributes to a deeper understanding about older couples’ participation in everyday life when living in shifting contexts. The findings showed that acknowledging the couples’ relationship, seeing beyond the client and the spousal caregiver, was vital for supporting their participation. Furthermore, living in shifting contexts was multifaceted and the couples strived to continue living their lives in togetherness. The meaning that the change of life situation and context has on a couple’s participation in everyday life is important to consider when supporting aging in place. In light of demographic changes and challenges, bringing together the interests of older couples, professionals, systems of services, and civil society is vital for a sustainable future. Systems and situations that are both closely and remotely related to the older couples’ daily life need to be addressed in an ideal situation of aging in place. Knowledge from this thesis could be valuable for occupational therapists and other healthcare professionals, as well as social services that are supporting older couples to age in place. Consequently, this knowledge could be used to benefit the situations of older couples and their health and wellbeing when aging in place.

  • 38.
    Kostenius, Catrine
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. Norrbotten Association of Local Authorities.
    "On top of the world": promoting health and equity in children andyouth in the arctic region2019Ingår i: WAIORA: Promoting Planetary Health and Sustainable Development for All, 2019Konferensbidrag (Refereegranskat)
  • 39.
    Karlsson, Margareta
    et al.
    Luleå tekniska universitet, Institutionen för ekonomi, teknik och samhälle, Industriell Ekonomi.
    Garvare, Rickard
    Luleå tekniska universitet, Institutionen för ekonomi, teknik och samhälle, Industriell Ekonomi.
    Zingmark, Karin
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Nordström, Birgitta
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Organizing for sustainable inter-organizational collaboration in health care processes2019Ingår i: Journal of Interprofessional Care, ISSN 1356-1820, E-ISSN 1469-9567Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Integrating health care services has proven to be important from both the patient and organizational perspectives. This study explores what defines a perceived well-functioning collaboration in the inter-organizational process of providing assistive devices in Sweden. Two focus groups comprising participants with profound knowledge of collaboration were performed, and data were analyzed in five steps, resulting in a data structure. Results yield the identification of three interacting processes: coordinating efforts to patient needs, ensuring evidence-based practice, and planning for efficient use of resources. These processes affected one another, and, therefore, would likely not have been effectively managed separately. The study contributes to theories of process management and organization by specifically focusing on how to analyze and improve sustainable collaboration in health care processes at both the management and professional levels. Theoretical frameworks that show different ways of organizing collaboration, as well as the concepts of action nets and boundary objects, can support both analysis and planning of collaboration. The intention would be to develop integration in inter-organizational health care processes, resulting in more person-centered care.

  • 40.
    Lindgren, Ingrid
    et al.
    Department of Neurology and Rehabilitation Medicine, Skåne University Hospital, Lund; Physiotherapy Research Group, Department of Health Sciences, Lund University, Lund.
    Brogårdh, Christina
    Department of Neurology and Rehabilitation Medicine, Skåne University Hospital, Lund; Physiotherapy Research Group, Department of Health Sciences, Lund University, Lund.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Pain management strategies among persons with long-term shoulder pain after stroke: a qualitative study2019Ingår i: Clinical Rehabilitation, ISSN 0269-2155, E-ISSN 1477-0873, Vol. 33, nr 2, s. 357-364Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: To explore strategies that persons with persistent shoulder pain after stroke use to manage their pain in daily life. Design: A qualitative study using semi-structured face-to-face interviews, analysed by content analysis. Setting: A university hospital. Subjects: Thirteen community-dwelling persons (six women; median age: 65 years; range 57-77) with shoulder pain after stroke were interviewed median two years after the pain onset. Results: An overall theme 'Managing shoulder pain by adopting various practical and cognitive strategies' emerged from the analysis. Three categories were identified: (1) practical modifications to solve daily life problems; (2) changed movement patterns and specific actions to mitigate the pain, by non-painful movements, avoidance of pain-provoking activities and various pain distracting activities and (3) learned how to deal with the pain mentally. Several strategies were used simultaneously and they were experienced successful to various degrees. Conclusion: The findings in the present study indicate that persons with persistent shoulder pain after stroke use both practical and cognitive strategies to manage their pain.

  • 41.
    Gustafsson, Silje
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Wälivaara, Britt-Marie
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Gabrielsson, Sebastian
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Patient Satisfaction With Telephone Nursing: A Call for Calm, Clarity, and Competence2019Ingår i: Journal of Nursing Care Quality, ISSN 1057-3631, E-ISSN 1550-5065Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background:Studies of patient satisfaction with telephone nursing can provide a better understanding of callers' needs and inform the improvement of services.Purpose:This study described patients' experiences and perceptions of satisfaction with telephone nursing.Methods:The design was nonexperimental and descriptive, with an inductive approach. Data were collected using open-ended questions in a questionnaire that was dispatched to 500 randomly selected callers to the Swedish Healthcare Direct in Northern Sweden.Results:Patients' satisfaction with telephone nursing was related to calm, clarity, and competence. Calm referred to the nurse remaining calm and composed during the call. Clarity was described as distinct, concrete, and practical advice on how to act, what to observe, and where to seek further assistance. Competence referred to both health care knowledge and caring skills.Conclusion:These aspects of nursing are dependent on each other and on-call telephone nursing services, which value patient satisfaction need to target all 3.

  • 42.
    Röijezon, Ulrik
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Patofysiologiska modeller: samband mellan smärta och störningar i motorisk kontroll2019Ingår i: Motorisk kontroll och inlärning: Med inriktning på muskuloskeletal rehabilitering / [ed] Ulrik Röijezon, Lund: Studentlitteratur AB, 2019, 1, s. 117-126Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Abstract [sv]

    En mängd olika störningar i sensoriska och motoriska funktioner har beskrivits vid smärttillstånd i rörelseapparaten. Bland annat störd proprioception, neuromuskulär koordination och balans samt förändrade hållnings- och rörelsemönster. Utifrån empiriska studier på personer med muskuloskeletala besvär och experimentella studier på såväl människor som djur har flera olika teoretiska modeller utvecklats för att beskriva de fysiologiska mekanismerna bakom sambanden mellan smärta och störningar i motoriska kontrollfunktioner. Några av de mest uppmärksammade modellerna presenteras i detta kapitel. Dessa modeller skiljer sig åt i vissa avseenden, men inte i alla. I huvudsak kompletterar de dock varandra och ger värdefulla förklaringar till möjliga mekanismer bakom uppkomst, återkomst och långvarighet av muskuloskeletala besvär, och dess samband med förändringar i motoriska kontrollfunktioner.

  • 43.
    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 stroke2019Ingår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165Artikel i tidskrift (Refereegranskat)
    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.

  • 44.
    Jobe, Ingela
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Lindberg, Birgitta
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Engström, Åsa
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Perceptions of healthcare services and preference of factors related to care planning among active older persons2019Konferensbidrag (Refereegranskat)
    Abstract [en]

    Introduction

    The care-planning process offers people active involvement in deciding, agreeing and owning how their care will be managed. It is intended to be a process of collaboration supported by the principles of person-centredness, partnership and empowerment. According to Swedish legislation, coordinated individual planning must occur for patients transferring to another level of care or when an individual, living in their own home, has the need of efforts from different welfare actors. Awareness of older peoples’ preferences regarding different factors related to the care-planning process may generate knowledge that can facilitate bridging the gaps between care recipients’ preferences and caregivers’ decisions during the care-planning process. The aim of the study was to explore active older persons’ perceptions of healthcare services and preferences of factors related to care planning.

    Methods

    A qualitative interpretive description framework was chosen for the study. Five focus-group were conducted with 40 members, aged between 70 to 88 years, from six different organizations and associations. Participants represent the growing older population in society that remains active for many years after retirement. The general principles of interpretative descriptions were used in the analysis.

    Results

    The results showed that the participants thought that many organizational changes that had been made had not improved healthcare services. The participants wanted more flexibility regarding decisions and the possibility to change them. Personal freedom and making choices independently were momentous. They worried about the lack of continuity and perceived that no one assumed overall responsibility. Overall, participants cared more about the quality of the interactions with personnel than about how services were organized. The majority of participants were not aware of the development of a coordinated individual plan. A new service of being able to access the coordinated individual plan on the Internet is offered. A majority of the participants did not have Internet access; they saw themselves as the generation between the old and new systems. They did not resist the new technology but stressed the importance of not excluding anyone.

    Discussions

    Older persons want their views and preferences to be taken into consideration, and they want to be actively engaged in the decision-making process and make decisions themselves. Older people’s lives have become more individualized with the rest of society, and this requires healthcare service solutions that are more tailored and include different options.

    Conclusions

    Older persons’ want to be active partners in healthcare and social services and they value a personal relation with the professional actor, easy access and well-coordinated and more personalized and flexible services. They value their independency and want to stay active as long as possible.

    Lessons learned

    Older persons value their independency and want to remain active and maintain functioning. Views of older people must be considered on different levels, from planning healthcare and social services to individualized care-planning processes.

    Limitations

    It is important to remember that older people are not a homogeneous group. The participants in this study are active in society and chose to participate. Majority of the participants had no previous experiences of the coordinated individual planning however, they can still have other experiences of healthcare and social services that influence their preferences, and made them participate in the study. Their views do not necessarily correspond with older persons’ views in general.

    Suggestions for future research

    More knowledge is needed about how individuals and their relatives experiences the Coordinated individual planning process.

  • 45.
    Engström, Åsa
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Forsberg, Angelica
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Peripheral intravenous catheter difficulty: A clinical survey of registered nurse and critical care nurse performance2019Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 28, nr 3-4, s. 686-694, artikel-id 15960276Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objectives To describe the characteristics, problems and interventions associated with performing peripheral intravenous catheterisation in difficult situations when registered nurses need support from critical care nurses. Background Only a few studies have focused on peripheral intravenous catheterisation problems or interventions to promote success. There is limited research on the education, knowledge, confidence and skills of registered nurses associated with successful peripheral intravenous catheterisations. Design A descriptive cross‐sectional survey design was used. Results A total of 101 questionnaires were completed by critical care nurses (n = 32) and 92 by registered nurses (n = 83); the total number of participants was 115. The same critical care nurses and registered nurses could participate several times on different occasions. Statistical analyses were performed using descriptive statistics. The patterns differed in part between the registered nurses who needed support and the critical care nurses who provided the support. Both registered nurses and critical care nurses used ultrasound to a very low extent (2.2% vs. 1.0%). The registered nurses indicated to a significantly higher extent (p = 0.02) that the veins were invisible and that they had performed the optional interventions. The success rate for critical care nurses was considerably high (86.1%). The most common place for successful insertion was the wrist. Critical care nurses performed fewer interventions, and they informed the patients and assessed that the veins were fragile to a higher extent. Conclusions Superior nursing skills are required in order to adapt and assess specific situations related to peripheral intravenous catheterisation difficulties and to choose the adequate interventions. Young and newly graduated registered nurses should be offered individualised training during the post‐educational period on how to assess problems and perform peripheral intravenous catheterisations in specific difficult situations. Relevance to Clinical Practice Simulation is suggested for practical training in order to increase patient safety related to the performance of technical skills such as peripheral intravenous catheterisation.

  • 46.
    Ek, Anna
    et al.
    Department of Biosciences and Nutrition, The Innovative Use of Mobile Phones to Promote Physical Activity and Nutrition Across the Lifespan Research Group, Karolinska Institutet, Huddinge, Sweden. Division of Pediatrics, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Huddinge, Sweden.
    Sandborg, Johanna
    Department of Biosciences and Nutrition, The Innovative Use of Mobile Phones to Promote Physical Activity and Nutrition Across the Lifespan Research Group, Karolinska Institutet, Huddinge, Sweden.Division of Community Medicine, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
    Delisle Nyström, Christine
    Department of Biosciences and Nutrition, The Innovative Use of Mobile Phones to Promote Physical Activity and Nutrition Across the Lifespan Research Group, Karolinska Institutet, Huddinge, Sweden.
    Lindqvist, Anna-Karin
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Rutberg, Stina
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Löf, Marie
    Department of Biosciences and Nutrition, The Innovative Use of Mobile Phones to Promote Physical Activity and Nutrition Across the Lifespan Research Group, Karolinska Institutet, Huddinge, Sweden.Division of Community Medicine, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
    Physical Activity and Mobile Phone Apps in the Preschool Age: Perceptions of Teachers and Parents2019Ingår i: JMIR mhealth and uhealth, E-ISSN 2291-5222, Vol. 7, nr 4, artikel-id e12512Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND:

    Physical activity (PA) is already beneficial at the preschool age. In many countries, young children spend most of their days in the preschool setting, making it a common arena for PA interventions. Mobile health tools are becoming increasingly popular to promote PA in different populations; however, little is known about the interest for and how the preschool setting could incorporate such a tool.

    OBJECTIVE:

    This study aimed to examine how teachers and parents perceive PA in preschool-aged children in general and their perceptions of how a mobile phone app could be used to promote PA in the preschool setting.

    METHODS:

    Semistructured interviews were conducted with 15 teachers (93%, [14/15] women, mean age 43.5 years, 47%, [7/15] with a university degree and 10 parents [91%, 9/10] women, mean age 38.9 years, all with a university degree) recruited from 2 urban preschools in central Sweden. The interviews were recorded, fully transcribed, coded, and analyzed using thematic analysis by means of an inductive approach.

    RESULTS:

    The analysis revealed 4 themes: (1) children are physically active by nature, (2) the environment as a facilitator or a barrier, (3) prerequisites of the adult world, and (4) an app in the preschool setting-challenges and possibilities. Parents and teachers perceived preschoolers as being spontaneously physically active; however, high-intensity PA was perceived as low. The PA was specifically performed during the day in the preschool. Identified facilitators of PA were access to safe and engaging outdoor environments such as forests, spacious indoor areas, and adult involvement. Adult involvement was considered especially important for children preferring sedentary activities. Identified barriers for PA were restricted indoor and outdoor space, rules for indoor activities, and lack of adult involvement because of time constraints. The teachers perceived that they had limited skills and experiences using apps in general, although they also acknowledged the increasing role of technological tools in the curriculum. Thus, the teachers expressed an interest for an app designed as a support tool for them, especially for situations when PA was limited because of perceived barriers. They suggested the app to include accessible information regarding the health benefits of PA in children linked to a library of activities for different settings and seasons. Parents suggested interactive app features including problem-solving tasks and music and dance, but not video clips as they made children passive.

    CONCLUSIONS:

    Vigorous PA was perceived as low in preschool-aged children. Future tailoring of interventions in the preschool setting should work around barriers and support facilitators to PA, especially PA of high intensity. In such work, an app could serve as a source of inspiration for PA in different ages, settings, and seasons and thus reduce environmental and structural inequalities in the preschool setting.

  • 47.
    Mikaelsson, Katarina
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Rutberg, Stina
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lindqvist, Anna-Karin
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Michaelson, Peter
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Physically inactive adolescents’ experiences of engaging in physical activity2019Ingår i: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: This study aimed to describe physically inactive adolescents’ experiences and reflections about engaging in physical activity. Methods: Nine graduate students from the third year of upper secondary school (six women and three men) participated in this study. Narrative interviews were used for data collection and qualitative content analysis was used to analyse the interviews. Results: The analysis revealed three themes ‘Acknowledging resistance and barriers to performing physical activity’, ‘Knowing that it is good is not enough’, and ‘Feeling included and accepted is fun and motivating’. These themes show that the adolescent’s experienced barriers, acknowledged pros and cons and identified possibilities to be physically active. Conclusions: Identifying experiences that impact on inactive adolescents’ attitude and willingness to perform physical activity can be useful to understand the needs of the individual. By relating these experiences to the different stages of the transtheoretical model, this study could provide valuable knowledge for designing future interventions to enhance physical activity in this target group.

  • 48.
    Calner, Tommy
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Isaksson, Gunilla
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Michaelson, Peter
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. Luleå tekniska universitet, Institutionen för hälsovetenskap, Medicinsk vetenskap.
    Physiotherapy treatment experiences of persons with persistent musculoskeletal pain: A qualitative study2019Ingår i: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to explore and describe the physiotherapy treatment experiences of persons with persistent musculoskeletal pain. Eleven participants with persistent musculoskeletal pain in the back, neck, or shoulders were included in the study. Data was collected via semi-structured interviews and were analysed with qualitative content analysis. The analysis resulted in the theme "Towards acceptance and management of pain", comprising four sub-themes: 1) Establishing and maintaining a therapeutic alliance; 2) Being active, taking initiative and facing challenges; 3) Appreciating guidance, incentive and having a sounding board; and 4) Acquired knowledge and new body awareness change behaviours. The theme and sub-themes describe how the participants used increased knowledge, awareness, movements and exercises learned from the physiotherapy treatment to develop strategies for managing pain and the process of acceptance. A trusting relationship and continual dialogue with the physiotherapist was considered to be important. The participants were actively involved in the process as exercises, activities and other treatment modalities were individualized. This was rewarding but also challenging and required effort on their part. The physiotherapist's initiatives and actions were an important incentive and means of support.

  • 49.
    Forsberg, Hanna
    et al.
    Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden.
    Carlerby, Heidi
    Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden.
    Nordstrand, Annika
    Director of the Public Health Center, Region Norrbotten, Luleå, Sweden.
    Risberg, Anitha
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Kostenius, Catrine
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Positive self-reported health might be an important determinant of student's experiences of high school in northern Sweden2019Ingår i: International Journal of Circumpolar Health, ISSN 1239-9736, E-ISSN 2242-3982, Vol. 78, nr 1, artikel-id 1598758Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    There is a need for more knowledge about positive health determinants in the school setting. The overall aim of this study was to analyse if positive self-reported health is associated with experiences of school among high-school students. Data originated from the health dialogue questionnaire answered by students in grade 1 of high school. A total of 5035 students participated from the academic years 2013 to 2016. Logistic regression with positive odds ratio (POR) was used to analyse associations between positive self-reported health and school experiences. There was an association between positive self-reported health and school experiences among students. Positive mental health was the strongest predictor for positive school experiences. To frequently participate in Physical Education, have a positive body image and satisfactory sleep nearly doubled the students' odds for positive school experiences. The results also revealed gender differences; boys more often reported positive experiences of school and positive health than girls. Positive self-reported health is associated with positive experiences of school, particularly mental health. Moreover, these findings have significant implications for how students experience school and demonstrate the importance of including health-promoting interventions in systemic school improvement, meeting both girls' and boys' needs.

  • 50.
    Hyun, Sang-Min
    et al.
    College of Pharmacy, Yonsei University, 85 Songdogwahak-ro, Yeonsu-gu, Incheon, Republic of Korea. Yonsei Institute of Pharmaceutical Sciences, Yonsei University, 85 Songdogwahak-ro, Yeonsu-gu, Incheon, Republic of Korea.
    Joon Lee, Benjamin
    College of Pharmacy, Yonsei University, 85 Songdogwahak-ro, Yeonsu-gu, Incheon, Republic of Korea.
    Abuzar, Sharif Md
    College of Pharmacy, Yonsei University, 85 Songdogwahak-ro, Yeonsu-gu, Incheon, Republic of Korea. Yonsei Institute of Pharmaceutical Sciences, Yonsei University, 85 Songdogwahak-ro, Yeonsu-gu, Incheon, Republic of Korea.
    Lee, Soohun
    College of Pharmacy, Yonsei University, 85 Songdogwahak-ro, Yeonsu-gu, Incheon, Republic of Korea. Yonsei Institute of Pharmaceutical Sciences, Yonsei University, 85 Songdogwahak-ro, Yeonsu-gu, Incheon, Republic of Korea.
    Joo, Yechan
    College of Pharmacy, Yonsei University, 85 Songdogwahak-ro, Yeonsu-gu, Incheon, Republic of Korea. Yonsei Institute of Pharmaceutical Sciences, Yonsei University, 85 Songdogwahak-ro, Yeonsu-gu, Incheon, Republic of Korea.
    Hong, Seung-Hyeon
    College of Pharmacy, Yonsei University, 85 Songdogwahak-ro, Yeonsu-gu, Incheon, Republic of Korea. Yonsei Institute of Pharmaceutical Sciences, Yonsei University, 85 Songdogwahak-ro, Yeonsu-gu, Incheon, Republic of Korea.
    Kang, Han
    College of Pharmacy, Yonsei University, 85 Songdogwahak-ro, Yeonsu-gu, Incheon, Republic of Korea.
    Kwon, Kyung-Ae
    Dae Hwa pharmaceutical Co., Ltd., 2145 Nambusunhwan-ro, Seocho-gu, Seoul, Republic of Korea.
    Velaga, Sitaram
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Medicinsk vetenskap.
    Hwang, Sung-Joo
    College of Pharmacy, Yonsei University, 85 Songdogwahak-ro, Yeonsu-gu, Incheon, Republic of Korea. Yonsei Institute of Pharmaceutical Sciences, Yonsei University, 85 Songdogwahak-ro, Yeonsu-gu, Incheon, Republic of Korea.
    Preparation, characterization, and evaluation of celecoxib eutectic mixtures with adipic acid/saccharin for improvement of wettability and dissolution rate2019Ingår i: International Journal of Pharmaceutics, ISSN 0378-5173, E-ISSN 1873-3476, Vol. 554, s. 61-71Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Celecoxib (CEL) is a selective cyclooxygenase-2 (COX-2) inhibitor therapeutically indicated for the treatment of rheumatoid arthritis, osteoarthritis, acute pain, and inflammation. However, its poor solubility and dissolution rate significantly hinders its broader application. In this study, eutectic mixtures, as binary pharmaceutical compositions of CEL with adipic acid (ADI) and saccharin (SAC), were identified through a phase diagram and Tammann’s triangle intended to improve the wettability and dissolution rate of poorly water-soluble CEL. The contact angles at 0s in the liquid-solid interface were approximately θs (theta) 79.7° ± 0.50° and 86.65° ± 0.45° for CEL-ADI and CEL-SAC, respectively, which were much lower than the value obtained for CEL (92.05° ± 0.75° θ). Moreover, a comparison of the disk intrinsic dissolution rate and powder dissolution properties demonstrated that eutectic mixtures significantly increased the dissolution rate compared with CEL and physical mixtures. A general relationship was elucidated and indicated that the dissolution rate was increased as the contact angle decreased (correlation coefficient, r = 0.9966 ± 0.0031). Therefore, CEL-ADI and CEL-SAC eutectics may offer a novel formulation strategy to enhance the solubility and oral bioavailability of CEL.

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