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  • 1.
    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.

  • 2.
    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.

  • 3.
    Olofsson, Alexandra
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nyman, Anneli
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Everyday activities outside the home are a struggle: Narratives from two persons with acquired brain injury2018Ingår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND

    Participation restriction is a common consequence after acquired brain injury (ABI).

    AIM

    To explore and identify problematic situations in everyday activities outside the home for persons with acquired brain injury.MATERIAL AND METHODTwo persons of working age with ABI were included. Data were generated through repeated semi-structured interviews and participant observations. Narrative analysis was used to capture ongoing processes related to problematic situations during engagement in everyday activities outside the home.

    RESULTS

    The narratives reflect how places, everyday activities and social relations were closely connected and influenced engagement in everyday activities outside the home. The participants visited fewer places and performed more of their everyday activities alone in their homes after the injury compared to before. They were struggling to create meaning in their lives and trying to reformulate their identity. Problematic situations often occurred outside the home as a result of unexpected events. The narratives indicate a struggle to find new routines to handle challenging situations.

    CONCLUSIONS

    The results provide an understanding of how problematic situations occurred and were managed in different ways. By observing everyday situations professionals can gain access to how persons with ABI act in and reflect upon problematic situations which can eventually improve the design of individually tailored interventions.

  • 4.
    Kottorp, Anders
    et al.
    Division of Occupational Therapy, Karolinska Institutet, Huddinge; Department of Occupational Therapy, University of Illinois at Chicago.
    Malinovsky, Camilla
    Division of Occupational Therapy, Karolinska Institutet, Huddinge.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nygård, Louise
    Division of Occupational Therapy, Karolinska Institutet, Huddinge.
    Gender and diagnostic impact on everyday technology use: a differential item functioning (DIF) analysis of the Everyday Technology Use Questionnaire (ETUQ)2018Ingår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

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

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

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

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

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

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

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

  • 5.
    Malinovsky, Camilla
    et al.
    Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy , Karolinska Institutet .
    Fallhapour, Mandana
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nygård, Louise
    Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy , Karolinska Institutet .
    Kottorp, Anders
    Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Stockholm.
    Skill clusters of ability to manage everyday technology among people with and without cognitive impairment, dementia and acquired brain injury2018Ingår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 25, nr 2, s. 99-107Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND:

    In order to develop supporting interventions for people demonstrating problems ET use, a detailed level of description of strengths and deficits is needed.

    AIMS:

    To explore clusters of specific performance skill required when using ET, and to evaluate if and in what way such clusters are associated with age, gender, diagnosis, and types of ETs managed.

    MATERIALS AND METHODS:

    A secondary analysis of 661 data records from 203 heterogeneous samples of participants using the Management of Everyday Technology Assessment (META) was used. Ward's method and a hierarchical tree cluster analysis were used to determine and define the skill clusters.

    RESULTS:

    Four distinct clusters of performance skill item profiles were found, across the 661 data records. These were then, based on each individuals' cluster profiles in managing ET, categorized into two groups. The two groups were associated with, diagnosis and type of ETs managed.

    CONCLUSIONS AND SIGNIFICANCE:

    The findings support a more dyadic person-ET approach in evaluation of ET management. The information from the skill clusters can be used to develop targeted intervention guides for occupational therapy and healthcare.

  • 6.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    The digital society: Occupational therapists need to act proactively to meet the growing demands of digital competence2018Ingår i: British Journal of Occupational Therapy, ISSN 0308-0226, E-ISSN 1477-6006, Vol. 81, nr 12, s. 733-735Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

  • 7.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    A new landscape for higher education evolves: How can digital competence be enhanced to match the needs in the  digital society?2017Konferensbidrag (Övrigt vetenskapligt)
    Abstract [en]

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

  • 8.
    Sirkka, Marianne
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Zingmark, Karin
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Arbetsterapeuters erfarenheter av förbättringsarbete: en resa mot hållbar evidensbaserad praktik2017Konferensbidrag (Refereegranskat)
    Abstract [sv]

    Bakgrund: Arbetsterapeuter har skyldighet att bedriva en evidensbaserad verksamhet baserad på bästa tillgängligavetenskapliga kunskap, professionens expertkunnande, patienternas erfarenheter och tillgängliga resurser. Forskningvisar dock att implementering av evidensbaserade åtgärder kan vara besvärliga att omsätta i praktiken och påbörjadeförbättringsarbeten kan vara svåra att få hållbara över tid. Det har även visat sig att praxismodeller där de används gerförutsättningar för ett evidensbaserat arbetssätt men användandet har studerats i begränsad omfattning.Syfte: var att utforska arbetsterapeuters erfarenheter av att delta i ett långsiktigt förbättringsarbete baserad påOccupational Therapy Intervention Process Model (OTIPM).Metod: Data utgjordes av semistrukturerade intervjuer med 19 arbetsterapeuter i tre fokusgrupper år 2006 ochuppföljande tre fokusgruppsintervjuer år 2011. Materialet analyserades med kvalitativ innehållsanalys.Resultat/preliminärt resultat: Det långsiktiga förbättringsarbetet beskrevs som en resa mot en hållbar ochevidensbaserad praktik. Resultatet visar på en förändringsresa med tre sammanflätade perspektiv; 1) omvandla tankaroch handlingar genom återkommande kollegial reflektion, 2) hantera den upplevda dubbelheten av förändring, 3)utveckla en ömsesidigt professionell kultur.Slutsats: Studien visar hur ett reflekterande kollegialt förhållningssätt och användning av en arbetsterapeutisk praxismodell kan leda till implementering av evidensbaserad kunskap som stödjer kontinuerliga hållbara förbättringar ipraktiken.

  • 9.
    Olofsson, Alexandra
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nyman, Anneli
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Att leva som förut är inte ett alternativ: Berättelser från två personer med förvärvad hjärnskada2017Konferensbidrag (Refereegranskat)
    Abstract [sv]

    Aktiviteter utanför hemmet kan vara utmanande för personer med förvärvad hjärnskada (FHS) och måste betraktas i förhållande till personens hela repertoar av aktiviteter. Vi vet idag lite om den komplexitet av interagerande faktorer som kan orsaka problematiska situationer för personer med FHS vilket gör att dessa är svåra att förutse. För att hantera pågående förändringar i aktivitetssituationer krävs stödjande strategier. Mer kunskap behövs därför om den ömsesidiga relationen mellan person och kontext för att bättre förstå hur det påverkar personens agerande och hur de influerar tillgång till platser samt aktiviteter utanför hemmet. Syftet med studien var att utforska och identifiera problematiska situationer relaterat till aktiviteter utanför hemmet. Metod: Berättelser från två personer med FHS användes för att illustrera hur de agerade i och reflekterade över problematiska situationer. Data samlades in via kvalitativa intervjuer och deltagande observationer som genomfördes vid upprepade tillfällen. En narrativ metod användes för att kunna fånga pågående processer relaterat till hur deltagarna agerade och reflekterade kring problematiska situationer relaterat till deras engagemang i aktiviteter utanför hemmet. Resultatet: visar hur deltagarna på olika sätt ställs inför problematiska situationer i samband med att de engagerar sig i aktiviteter utanför hemmet. Att leva ett liv som tidigare är inte längre ett alternativ och de kämpar för att upprätthålla men också finna nya vanor och rutiner som får vardagen att fungera. Det är en ständigt pågående kamp att försöka hantera oförutsedda händelser och försöka kontrollera olika situationer de ställs inför. Då de inte längre yrkesarbetar blir aktiviteter utanför hemmet än viktigare än tidigare men deras berättelser speglar hur deras aktivitetsrepertoar minskar och hur de dragit sig tillbaka från olika arenor vilket medfört att deras sociala värld har krympt och de utför fler aktiviteter ensam och i hemmet.

  • 10.
    Larsson-Lund, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nyman, Anneli
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Begreppen delaktighet och aktivitet: utmaningar och möjligheter för utbildning, praxis och forskning2017Konferensbidrag (Refereegranskat)
    Abstract [sv]

    Aktivitetsbegreppet är och har varit centralt inom arbetsterapi sedan professionens begynnelse. Dock har fokus på aktivitet varit mer eller mindre tydligt under olika paradigm inom arbetsterapi och i det framväxande och nutida aktivitetsparadigmet framhålls utmaningar att arbeta utifrån en aktivitetsfokuserad och aktivitetsbaserad praxis. Det är därför intressant att reflektera över hur begrepp som relateras till arbetsterapins teoribildning kommit att influera vår utbildning, praxis och forskning. Ett sådant begrepp är delaktighet. Begreppet delaktighet har kommit att influera arbetsterapi framförallt efter introduktionen av den internationella klassifikationen för funktionstillstånd, funktionshinder och hälsa (ICF). Begreppet delaktighet kom snabbt därefter att, på olika sätt, inkluderas och eller relateras till praxismodeller i arbetsterapi. En reflektion av hur delaktighetsbegreppet knyts an till praxismodeller kan identifiera utmaningar och möjligheter relaterat till arbetsterapins unika fokus på aktivitet. Syftet med workshopen är att generera en diskussion inom arbetsterapi kring användningen av begreppen delaktighet och aktivitet i utbildning, forskning och yrkesutövning. Tillvägagångssätt: Reflektion och diskussion i grupp utifrån frågeställningar som baseras på en granskning av begreppen delaktighet och aktivitet i praxismodeller i arbetsterapi. Förväntat resultat En ökad medvetenhet om hur begreppen används och kan stödja en aktivitetsfokuserad och aktivitetsbaserad praxis och forskning.

  • 11.
    Larsson, Ellinor
    et al.
    Department of Community Medicine and Rehabilitation, Occupational Therapy, Umeå University.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nilsson, Ingeborg
    Department of Community Medicine and Rehabilitation, Occupational Therapy, Umeå University.
    Developing social contact and participation insocial activities: Seniors’ experiences from asocial internet-based intervention process2017Ingår i: Gerontechnology, ISSN 1569-1101, E-ISSN 1569-111X, Vol. 16, nr 2, s. 101-108Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

  • 12.
    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.
    Digitaliseringen i samhället: Nya möjligheter för människans aktivitet, professionen, utbildningen och forskningen?2017Konferensbidrag (Refereegranskat)
    Abstract [sv]

    Workshop

    Digitaliseringen i samhället: Nya möjligheter för människans aktivitet, professionen, utbildningen och forskningen?

    Bakgrund: Digitaliseringen har bidragit till en ökad användning av teknik i våra aktiviteter i hem, skola, på arbetsplatser  och i samhället Digital kompentens har följaktligen blivit en viktig förutsättning för ett självständigt, aktivt liv, för delaktighet och inklusion i samhället, för hälsa och välbefinnande hos de klientgrupper arbetsterapeuten möter. Det här förändrar delvis arbetsterapeutens (framtida) arbetsinnehåll och arbetssätt. Likaså bidrar digitaliseringen till en ständig utveckling av digitala verktyg och tjänster samt ny e- hälsa teknik, vilka kommer att förändra arbetssätten inom hälso-och sjukvård.  Digital kompetens är följaktligen av stor vikt för arbetsterapeuter liksom andra yrkesgrupper inom hälso- och sjukvård. Såväl nationellt som internationellt påtalas vikten av att utbildning reorganiseras så att digitaliseringen och den tekniska utvecklingen tillvaratas för att motsvara (framtida) behov i samhället och för att öka utbildningens kvalité.  I linje med detta definieras digital kompetens av EU som en av nyckel komponenterna för livslångtlärande.  Mot bakgrund till denna utveckling i samhället behöver utvecklingsområden för kunskaper i arbetsterapi identifieras. Kunskaper om digitaliseringen, kvalitets kriterier för e- lärande, teorier/ modeller för digital kompetens och e-lärande samt digitala verktyg kan utgöra ett stöd i detta utvecklingsarbete.

    Syftet med workshopen är att bidra till en ökad insikt i digitaleringens betydelse för människors aktiviteter, för professionen arbetsterapeut, vår utbildning och forskning.

    Förväntat resultat: Avsikten är att stärka deltagarnas digitala kompetens kring de effekter digitaliseringen kan få för människans aktiviteter och skapa bättre beredskap för att möta utmaningar och möjligheter som digitaliseringen medför.  Vidare att ge ökad förståelse för den kompetens som kommer krävas av framtidens arbetsterapeuter och behovet av livslångt lärande.

  • 13.
    Sirkka, Marianne
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Zingmark, Karin
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    En process för utveckling av hållbar evidensbaserad arbetsterapi2017Konferensbidrag (Refereegranskat)
    Abstract [sv]

    Bakgrund: För att uppnå hög kvalitet inom arbetsterapi måste ny kunskap hela tiden övervägas, reflekteras ochintegreras i det dagliga arbetet. Implementering av ny kunskap kräver ett långsiktigt förbättringsarbete med struktur, stödoch tid för att lyckas. Professionsanpassade modeller och ramverk avser att stödja arbetsterapeutisk intervention ochutveckla professionell kompetens. När modellerna används ger det förutsättningar för hållbart förbättringsarbete ochevidensbaserat arbetssätt men har i mycket begränsad utsträckning studerats ur detta perspektiv.Syfte: att utforska och beskriva hur ett långsiktigt förbättringsarbete vid en arbetsterapienhet baserat på OccupationalTherapy Intervention Process Model (OTIPM) utvecklades.Metod: Studien var en kvalitativ beskrivande studie av skriftliga dokument från långsiktigt förbättringsarbete. Dokumentenbestod av a) enhetsplaner, b) dokumentering från förbättringsarbetet, c) resultat av genomförda patientenkäter, d)resultat av genomförda journalgranskningar, e) ett generellt arbetsterapiprogram och sju specifika arbetsterapiprogram(både aktuella och reviderade versioner), f) aktuell journalföringsmanual, g) 20 patientinformationer, h) 90 rutindokument.Data analyserdes med mönsterjämförelser (pattern matching).Resultat/preliminärt resultat: Analysen av dokumenten bildade tre huvudmönster: a) omorientering mot OTIPM, b)implementeringen av OTIPM, c) säkerställande av hållbarheten av implementeringen. Varje mönster innehöll ett antalfaser som beskrev skälen till varför varje fas påbörjades, vad som påbörjades i varje fas och vad förbättringsarbetetresulterade i, flera av faserna blev startpunkter för nya förbättringar som fortsatte kontinuerligt genom åren.Slutsats: Resultatet visar hur en arbetsterapeutisk praxismodell som till exempel OTIPM, kan vägleda enförbättringsprocess och hålla den pågående under en länge tid och därigenom stödja hållbara kontinuerliga förbättringar ien arbetsterapi verksamhet

  • 14.
    Kottorp, Anders
    et al.
    Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Stockholm.
    Malinovsky, Camilla
    2Sektionen for Arbetsterapi, Karolinska Institutet.
    Fallhapour, Mandana
    3Sektionen for Arbesterapi, Karolinska Instiutet, Huddinge.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nygård, Louise
    2Sektionen for Arbetsterapi, Karolinska Institutet.
    Färdigheter i teknikanvändning bland äldre med/utan kognitiv nedsättning eller förvärvad hjärnskada: en klusteranalys2017Konferensbidrag (Refereegranskat)
    Abstract [sv]

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

  • 15.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Improving digital competence in Europe: how can it be accomplished to make use of the benefits of the new digital technology2017Konferensbidrag (Övrigt vetenskapligt)
  • 16.
    Olofsson, Alexandra
    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.
    Occupations outside the home: Experiences of people with acquired brain injury2017Ingår i: British Journal of Occupational Therapy, ISSN 0308-0226, E-ISSN 1477-6006, Vol. 80, nr 8, s. 486-493Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction

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

    Method

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

    Findings

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

    Conclusion

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

  • 17.
    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.
    Participation and occupation in occupational therapy models of practice: A discussion of possibilities and challenges2017Ingår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 24, nr 6, s. 393-397Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

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

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

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

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

  • 18.
    Larsson-Lund, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Kottorp, Anders
    Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Karolinska Institutet.
    Malinowsky, Camilla
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. Karolinska institutet, Department of Neurobiology, Care Sciences and Society, Stockholm, Sweden.
    Return to work in people with acquired brain injury: association with observed ability to use everyday technology2017Ingår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 24, nr 4, s. 281-289Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

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

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

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

  • 19.
    Larsson, Ellinor
    et al.
    Department of Community Medicine and Rehabilitation, Occupational Therapy, Umeå University.
    Padyab, Mojgan
    Centre for Demographic and Ageing Research (CEDAR) and Department of Social Work, Umeå University.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nilsson, Ingeborg
    Department of Community Medicine and Rehabilitation/Occupational Therapy, Ageing and Living Conditions Program (ALC), Umeå University.
    Effects of a social internet-based intervention programme for older adults: An explorative randomised crossover study2016Ingår i: British Journal of Occupational Therapy, ISSN 0308-0226, E-ISSN 1477-6006, Vol. 79, nr 10, s. 629-636Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

  • 20.
    Kassberg, Ann-Charlotte
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Prellwitz, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Malinowsky, Camilla
    Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Luleå tekniska universitet.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. Maria.Larsson-Lund@ltu.se .
    Interventions aimed at improving the ability to use everyday technology in work after brain injury2016Ingår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 23, nr 2, s. 147-157Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective The aim of this study was to explore and describe how client-centred occupationaltherapy interventions may support and improve the ability to use everyday technology (ET) in worktasks in people with acquired brain injury (ABI). Method A qualitative, descriptive multiple-casestudy was designed, and occupation-based interventions were provided to three working-ageparticipants with ABI. Multiple sources were used to collect data throughout the three interventionprocesses, including assessments, field notes, and interviews. The Canadian OccupationalPerformance Measure and the Management of Everyday Technology Assessment were administeredbefore the interventions, after the interventions and at a follow-up session 2–3 monthssubsequent to the interventions. Results The three intervention processes initially consisted ofsimilar actions, but subsequently the actions took on a different focus and intensity for each case.All of the goals in each of the three case processes were achieved, and both perceived andobserved abilities to use ET in work tasks improved. Conclusions Client-centred occupationaltherapy interventions might have the potential to improve the ability to use ET in work tasks inpeople with ABI.

  • 21.
    Kassberg, Ann-Charlotte
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Prellwitz, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Occupational Therapy Interventions to Improve the Ability to use Everyday Technology in Work After Acquired Brain Injury: a comparison with controls2016Konferensbidrag (Refereegranskat)
  • 22.
    Fallahpour, Mandana
    et al.
    Karolinska institute, Neurobiology Care Sciences and Society, Division of Occupational Therapy.
    Kottorp, Anders
    Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Karolinska Institutet, University of Illinois at Chicago.
    Nygård, Louise
    Department of Clinical NeuroScience, Occupational Therapy and Elderly Care Research, Karolinska Institutet, Umeå University, Department of Community Medicine and Rehabilitation, Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institute.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Perceived difficulty in everyday technology use among persons with acquired brain injury of different severity: a comparison with controls2016Ingår i: 1st CONTEC-ENOTHE Congress: National University of Ireland, Galway 15-19 June 2016, 2016, s. 154-Konferensbidrag (Refereegranskat)
  • 23.
    Malinowsky, Camilla
    et al.
    Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Luleå tekniska universitet.
    Kassberg, Ann-Charlotte
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Kottorp, Anders
    Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Karolinska Institutet.
    Stability of person ability measures in people with acquired brain injury in the use of everyday technology: the test–retest reliability of the Management of Everyday Technology Assessment (META)2016Ingår i: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 11, nr 5, s. 395-399Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: To evaluate the test–retest reliability of the Management of Everyday Technology Assessment (META) in a sample of people with acquired brain injury (ABI). Method: The META was administered twice within a two-week period to 25 people with ABI. A Rasch measurement model was used to convert the META ordinal raw scores into equal-interval linear measures of each participant’s ability to manage everyday technology (ET). Test–retest reliability of the stability of the person ability measures in the META was examined by a standardized difference Z-test and an intra-class correlations analysis (ICC 1). Results: The results showed that the paired person ability measures generated from the META were stable over the test–retest period for 22 of the 25 subjects. The ICC 1 correlation was 0.63, which indicates good overall reliability. Conclusion: The META demonstrated acceptable test–retest reliability in a sample of people with ABI. The results illustrate the importance of using sufficiently challenging ETs (relative to a person’s abilities) to generate stable META measurements over time.Implications for Rehabilitation •The findings add evidence regarding the test–retest reliability of the person ability measures generated from the observation assessment META in a sample of people with ABI.•The META might support professionals in the evaluation of interventions that are designed to improve clients’ performance of activities including the ability to manage ET.

  • 24.
    Malinowsky, Camilla
    et al.
    Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Luleå tekniska universitet.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    The match between everyday technology in public space and the ability of working-age people with acquired brain injury to use it2016Ingår i: British Journal of Occupational Therapy, ISSN 0308-0226, E-ISSN 1477-6006, Vol. 79, nr 1, s. 26-34Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction In today's society, the access to and use of everyday technology, such as cell phones and internet-based services, can be claimed as a condition for participation in many tasks in everyday life. This study aims to determine and compare levels of perceived access to and difficulties in the use of common everyday technologies in public space, among people with acquired brain injury compared with controls. Methods The perceived access to and difficulty in the use of 14 everyday technologies were investigated in a sample with acquired brain injury (n = 59; returned to work, n = 28; not returned to work, n = 31) and matched controls (n = 52) using the everyday technology use questionnaire. Findings Perceived access to the everyday technologies was generally high. The potential to use each of the everyday technologies independently or with minor difficulties significantly differed between controls and persons with acquired brain injury in eight of the 14 everyday technologies. In particular, difficulties were found among those persons with acquired brain injury who had not returned to work. Conclusion People with acquired brain injury perceive that they have access to everyday technologies commonly used in public space, but the everyday technology difficulty is not always satisfactorily matched to their ability to use it. To enable participation in society, it is important to consider both the accessibility and usability of everyday technology.

  • 25.
    Larsson-Lund, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Malinowsky, Camilla
    Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Luleå tekniska universitet.
    The match between the demand of everyday technology in public space and ability to use everyday technology: a comparison of people with acquired brain injury and controls2016Ingår i: 1st CONTEC-ENOTHE Congress: National University of Ireland, Galway 15-19 June 2016, 2016, s. 156-Konferensbidrag (Refereegranskat)
  • 26.
    Lexell, Eva Månsson
    et al.
    Department of Rehabilitation Medicine, Skåne University Hospital.
    Lexell, Jan
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    The rehabilitation plan can support clients’ active engagement and facilitate the process of change: experiences from people with late effects of polio participating in a rehabilitation programme2016Ingår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 38, nr 4, s. 329-336Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: To explore how the rehabilitation plan influences the rehabilitation process and its outcome in people with late effects of polio participating in an individualised goal-oriented interdisciplinary rehabilitation programme. Methods: Four women and two men with late effects of polio were interviewed before rehabilitation, at discharge, and at follow-up. Data were analysed according to the constant comparative method of grounded theory. Findings: The participants’ experiences formed one core category: “The same starting point but different rehabilitation processes”. Before rehabilitation, all participants experienced a similar starting point: Naïve understanding of rehabilitation. During rehabilitation, two separate processes followed. Four participants experienced their rehabilitation as being a mutually shared process that led to a process of change. They were actively engaged, using the rehabilitation plan, and working towards goals targeting a broad perspective of daily activities. The remaining two participants experienced their rehabilitation as a staff-directed process, with limited use of the rehabilitation plan, focusing on goals mainly related to body functions and self-care, not leading to any substantial changes. Conclusion: When clients experience that they develop a mutually shared rehabilitation process, based on a rehabilitation plan, they became more engaged in their rehabilitation and gained a better understanding of their participation during the process. Knowledge of the differences in how clients use the rehabilitation plan during the rehabilitation process can support their active engagement during rehabilitation. This, in turn, can promote a more holistic view among clients and professionals during the rehabilitation for people with late effects of polio

  • 27.
    Olofsson, Alexandra
    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.
    Engagemang i aktivitet i offentliga miljöer: erfarenheter hos personer med förvärvad hjärnskada2015Konferensbidrag (Övrigt vetenskapligt)
  • 28.
    Olofsson, Alexandra
    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.
    Engagement in occupations outside home: Experiences of people with acquired brain injury2015Konferensbidrag (Refereegranskat)
  • 29.
    Fallahpour, Mandana
    et al.
    Karolinska institute, Neurobiology Care Sciences and Society, Division of Occupational Therapy.
    Kottorp, Anders
    Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Karolinska Institutet.
    Nygård, Louise
    Department of Clinical NeuroScience, Occupational Therapy and Elderly Care Research, Karolinska Institutet, Umeå University, Department of Community Medicine and Rehabilitation, Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institute.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Participation after acquired brain injury: Associations with everyday technology and activities in daily life2015Ingår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 22, nr 5, s. 366-376Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

  • 30.
    Sirkka, Marianne
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Zingmark, Karin
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    A process for developing sustainable evidence-based occupational therapy practice2014Ingår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 21, nr 6, s. 429-437Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: The purpose of this qualitative descriptive study was to describe how long-term improvement work based on the Occupational Therapy Intervention Process Model (OTIPM) evolved in an occupational therapy unit. Method: Data included written documents related to the improvement work (435 pages in total) from 2001 to 2013 that were analysed using pattern matching. Results: The findings from the analysis of the documents formed three main patterns describing reorientation towards the OTIPM, establishment of the implementation of the OTIPM, and ensuring the sustainability of the implementation. Each pattern contained a number of phases of the improvement work emanating from different reasons and resulting in different long-term achievements. The transformation between the phases was smooth, and several of the phases became starting points for improvement work that continued throughout the years. Conclusion: The findings showed how an occupational therapy model of practice, such as the OTIPM, can guide an improvement process and keep it going over a long period of time, thereby supporting sustainable improvements in practice.

  • 31.
    Sirkka, Marianne
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Zingmark, Karin
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Occupational therapists' experiences of improvement work: a journey towards sustainable evidence-based practice2014Ingår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 21, nr 2, s. 90-97Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: The aim of this qualitative descriptive study was to describe occupational therapists' experiences of participating in long-term improvement work based on the Occupational Therapy Intervention Process Model. Method. Data were collected by focus groups interviewed on two occasions (2006 and 2011). Nineteen occupational therapists participated on each occasion. The data obtained were analysed using a qualitative content analysis. Findings. The long-term improvement work was experienced as a journey towards sustainable and evidence-based occupational therapy practice. The journey, guided by the Occupational Therapy Intervention Process Model, led to increased client-centred and occupation-focused practice. The long journey of change involved three intertwined themes. The first theme describes how the occupational therapists transformed their thoughts and actions on an individual and group level. The second theme describes how they dealt with conflicting feelings and faced the duality of change. The third theme describes a shared professional culture, including confidence, clarity, and inter-professional community. Conclusion: The study shows how the collective use of an occupational therapy model of practice can lead to an integration of evidence-based knowledge that has long-lasting achievements in practice.

  • 32.
    Larsson-Lund, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nygård, Louise
    Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Karolinska Institutet.
    Kottorp, Anders
    Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Karolinska Institutet.
    Perceived difficulty in the use of everyday technology: relationships with everyday functioning in people with acquired brain injury with a special focus on returning to work2014Ingår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 36, nr 19, s. 1618-1625Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

  • 33.
    Fallahpour, Mandana
    et al.
    Karolinska institute, Neurobiology Care Sciences and Society, Division of Occupational Therapy.
    Kottorp, Anders
    Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Karolinska Institutet.
    Nygard, Louise
    Karolinska institute, Neurobiology Care Sciences and Society, Division of Occupational Therapy.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Percieved difficulty in use of everyday technology in persons with aquired brain injury of different severity: a comparison with controls2014Ingår i: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 46, nr 7, s. 635-641Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

  • 34.
    Malinowsky, Camilla
    et al.
    Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Luleå tekniska universitet.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    The association between perceived and observed ability to use everyday technology in people of working age with ABI2014Ingår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 21, nr 6, s. 465-472Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: Everyday technology (ET), including computers and automated telephone services, is increasingly required for everyday functioning. However, people with acquired brain injury (ABI) may have difficulty with ET use. To design interventions to support ET use, further knowledge of how to assess dimensions of such use is needed. Methods: This study investigated the relationship between the perceived difficulty of ET use (self-reported using the short version of the Everyday Technology Use Questionnaire, S-ETUQ) and observed ability to use ET (observed using the Management of Everyday Technology Assessment, META) in a sample of people with ABI (n = 81). Data were analysed using a Rasch measurement model, and person measures of perceived difficulty and observed ability to use ET were identified and correlated. Results and conclusions: The person measures had a correlation of 0.49 (p < 0.001). In groups of different severity levels after ABI, significant associations were found in the moderate (0.36) and severe (0.47) disability groups. In the good recovery group, only a non-significant correlation was found (0.21). This indicates that the S-ETUQ and the META measure different but complementary dimensions of ET use. Hence, the assessments are proposed to be used together in clinical practice to more fully understand the ability of people with ABI to use ET.

  • 35.
    Kassberg, Ann-Charlotte
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap.
    Malinowsky, Camilla
    Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge.
    Jacobsson, Lars
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Ability to manage everyday technology after acquired brain injury2013Ingår i: Brain Injury, ISSN 0269-9052, E-ISSN 1362-301X, Vol. 27, nr 13-14, s. 1583-1588Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: To investigate and describe how persons with an acquired brain injury (ABI) manage everyday technology (ET) in their daily activities and to explore whether the ability to manage ET was related to the severity of the disability. Method: Eighty-one persons with ABI were observed while managing ET by using the Management of Everyday Technology Assessment (META). The Glasgow Outcome Scale-Extended (GOSE) was used to assess the severity of disability after the ABI. A computer application of a Rasch measurement model was used to generate measures of the participants’ ability to manage ET and the measures were compared groupwise with analysis of covariance (ANCOVA). Results: The degree of severity of disability had a significant main effect on the ability to manage ET. The groups with severe and moderate disability exhibited a significantly lower ability to manage ET compared to the group with good recovery. Conclusion: The result indicates that the ability to manage ET in daily activities can be related to the global severity of disability after ABI. This demonstrates the importance of considering the ability to manage ET to support the performance of activities at home, at work and in society in persons with ABI.

  • 36.
    Larsson, Ellinor
    et al.
    Department of Community Medicine and Rehabilitation, Occupational Therapy, Umeå University.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nilsson, Ingeborg
    Department of Community Medicine and Rehabilitation/Occupational Therapy, Ageing and Living Conditions Program (ALC), Umeå University.
    Internet Based Activities (IBAs): Seniors' experiences of the conditions required for the performance of and the influence of these conditions on their own participation in society2013Ingår i: Educational gerontology, ISSN 0360-1277, E-ISSN 1521-0472, Vol. 39, nr 3, s. 155-167Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

  • 37.
    Larsson, Ellinor
    et al.
    Department of Community Medicine and Rehabilitation, Occupational Therapy, Umeå University.
    Nilsson, Ingeborg
    Department of Community Medicine and Rehabilitation/Occupational Therapy, Ageing and Living Conditions Program (ALC), Umeå University.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Participation in social internet-based activities: Five seniors' intervention processes2013Ingår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 20, nr 6, s. 471-480Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

  • 38.
    Kassberg, Ann-Charlotte
    et al.
    Division of Primary Rehabilitation Lulea, The County Council of Norrbotten.
    Prellwitz, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    The challenges of everyday technology in the workplace for persons with acquired brain injury2013Ingår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 20, nr 4, s. 272-281Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

  • 39.
    Larsson-Lund, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lövgren-Engström, Ann-Louice
    Luleå tekniska universitet, Institutionen för hälsovetenskap.
    Lexell, Jan
    Response actions to difficulties in using everyday technology after acquired brain injury2012Ingår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 19, nr 2, s. 164-175Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

  • 40.
    Kassberg, Ann-Charlotte
    et al.
    Norrbottens Läns Landsting, Primärvården FoU.
    Prellwitz, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Utmaningar med att använda teknik i arbetet efter förvärvad hjärnskada2012Konferensbidrag (Övrigt vetenskapligt)
  • 41.
    Larsson-Lund, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lindén, Anita
    Luleå tekniska universitet, Institutionen för hälsovetenskap.
    Vardagsteknik: en möjlighet att underlätta i dagligt liv efter förvärvad hjärnskada : informationsmaterial för brukare, närstående och rehabiliterigspersonal avsett att användas av informatörer2012Rapport (Övrig (populärvetenskap, debatt, mm))
  • 42.
    Kassberg, Ann-Charlotte
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap.
    Prellwitz, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Användning av vardagsteknik: hinder eller möjlighet till återgång i arbete efter förvärvad hjärnskada?2011Konferensbidrag (Övrigt vetenskapligt)
  • 43. Lindén, Anita
    et al.
    Lexell, Jan
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Improvements of task performance in daily life after acquired brain injury using commonly available everyday technology2011Ingår i: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 6, nr 3, s. 214-224Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose. To investigate how individualised occupation-based interventions with commonly available everyday technology (ET) can compensate for perceived difficulties with daily life tasks after an aquired brain injury (ABI) and improve satisfaction with occupational performance. Method. This intervention study was designed as a multiple case study according to Yin. Ten men and women with an ABI (traumatic or non-traumatic) participated. Data were collected through interviews, observations and field notes before and after the intervention and at follow-up (on average 11 weeks afterwards). The interventions focused on enabling each participant's prioritised goals related to task performance in daily life. Results. All participants achieved all their goals by learning to use both new functions in their own familiar ET and new ET. The participant's perceived difficulties in occupational performance decreased and their satisfaction with occupational performance increased with the use of ET. Conclusions. An individualised intervention process, involving the use of own familiar ET or ET off-the-shelf, has the potential to compensate for perceived difficulties following an ABI and improve satisfaction with occupational performance in daily life

  • 44.
    Larsson-Lund, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lexell, Jan
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Medicinsk vetenskap.
    Life satisfaction in persons with late effects of polio2011Ingår i: Applied Research in Quality of Life, ISSN 1871-2584, E-ISSN 1871-2576, Vol. 6, nr 1, s. 71-80Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

  • 45.
    Lexell, Eva Månsson
    et al.
    Department of Rehabilitation Medicine, Skåne University Hospital.
    Iwarsson, Susanne
    Department of Health Sciences, Lund University.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Occupational adaptation in people with multiple sclerosis2011Ingår i: OTJR (Thorofare, N.J.), ISSN 1539-4492, E-ISSN 1938-2383, Vol. 31, nr 3, s. 127-134Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to gain an enhanced understanding of how people with multiple sclerosis experience their occupational adaptation. Ten people with multiple sclerosis were interviewed and the constant comparative method was used to analyze the data. Their occupational adaptation was experienced as a constant struggle and non-linear, and served as the means of achieving either a desired self or a desired family life. Adaptations of occupations differed according to the evolving goals of the participants. The findings showed that the participants often selected occupational adaptations to meet their family needs over their own. These findings can help professionals to establish where their clients with multiple sclerosis are in the adaptation process and offer appropriate client-centered interventions.

  • 46.
    Larsson-Lund, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lövgren-Engström, Ann-Louice
    Luleå tekniska universitet, Institutionen för hälsovetenskap.
    Lexell, Jan
    Luleå tekniska universitet, Institutionen för hälsovetenskap.
    Using everyday technology to compensate for difficulties in task performance in daily life: Experiences in persons with acquired brain injury and their significant others2011Ingår i: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 6, nr 5, s. 402-411Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

  • 47.
    Larsson-Lund, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lexell, Jan
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Medicinsk vetenskap.
    A positive turning point in life: how persons with late effects of polio experience the influence of an interdisciplinary rehabilitation programme2010Ingår i: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 42, nr 6, s. 559-565Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

  • 48.
    Larsson-Lund, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lindén, Anita
    Luleå tekniska universitet, Institutionen för hälsovetenskap.
    Användning av vardagsteknik efter förvärvad hjärnskada: arbetsterapeutisk bedömning och intervention i daglig aktivitet2010Rapport (Övrig (populärvetenskap, debatt, mm))
  • 49.
    Lövgren-Engström, Ann-Louice
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap.
    Lexell, Jan
    Luleå tekniska universitet, Institutionen för hälsovetenskap.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Difficulties in using everyday technology after acquired brain injury: a qualitative analysis2010Ingår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 17, nr 3, s. 233-243Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to identify and describe the characteristics of the difficulties using everyday technology in persons with an aquired brain injury (ABI), and their experiences of how these difficulties influenced their life. Thirteen persons with an ABI were interviewed about their difficulties in using everyday technology and were observed in their use of technology. Data were analysed qualitatively with a constant comparative method. The results showed that the persons' experiences formed two categories: "A variety of combinations of difficulties in the use of everyday technology" and "Restrictions in life". The difficulties identified were related not only to everyday technology itself but also to the interaction between the technology, the task, the person, and the environment. These difficulties influenced their experiences of restrictions in occupational performance, personal identification, and participation in society. The results emphasize that occupational therapists who design interventions for people with an ABI need to accommodate both the technology and other interacting aspects in order to overcome difficulties in using everyday technology.

  • 50.
    Lindén, Anita
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap.
    Lexell, Jan
    Luleå tekniska universitet, Institutionen för hälsovetenskap.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Perceived difficulties using everyday technology after acquired brain injury: influence on activity and participation2010Ingår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 17, nr 4, s. 267-75Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Using everyday technology (ET) is a prerequisite for activities and participation at home and in the community. It is well known that persons with an acquired brain injury (ABI) can have limitations in activities of daily living but our knowledge of their difficulties using ET is not known. Thirty-six persons (27 men and 9 women, mean age 44 years, age range 26-60) with an ABI (2-10 years post injury) were interviewed, using the Everyday Technology Use Questionnaire (ETUQ), about their perceived difficulties using ET and how these difficulties influenced their everyday activities and their possibilities to participate at home and in the community. A majority (78%) of the persons reported difficulties using ET. The most common difficulties were related to the use of telecommunication and computers. Despite these difficulties, a majority still used most objects and services independently. Twenty-six participants (72%) perceived that their difficulties using ET influenced their everyday activities and their possibility to participate at home and in the community. The results indicate that rehabilitation following an ABI should consider whether clients' use of ET influences their activity and participation and adopt interventions accordingly. The results also indicate that difficulties using ET need to be considered in the design of community services to prevent societal barriers.

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