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  • 351.
    Jäger, Werner
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. Vårdhögskolan i Boden.
    Rehabiliteringsprocessen och dess processfaktorer1999Rapport (Annet (populærvitenskap, debatt, mm))
  • 352.
    Jäger, Werner
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. Vårdhögskolan i Boden.
    Slå vakt om chefgymnastens ledningsansvar!1983Inngår i: Sjukgymnasten, ISSN 0037-6019, nr 6, s. 13-15Artikkel i tidsskrift (Annet vitenskapelig)
  • 353.
    Jäger, Werner
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. Vårdhögskolan i Boden.
    Världen förändras därför förändras rehabiliteringen2001Inngår i: Svensk rehabilitering, ISSN 1403-4468, nr 1, s. 52-53Artikkel i tidsskrift (Annet vitenskapelig)
  • 354.
    Jäger, Werner
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. Vårdhögskolan i Boden.
    Överensstämmelse mellan sjukgymnastutbildningen i Boden och yrkeslivets krav1990Rapport (Annet vitenskapelig)
  • 355.
    Jörgensen, Sophie
    et al.
    Department of Health Sciences, PO Box 157, Lund University.
    Iwarsson, Susanne
    Department of Health Sciences, Lund University.
    Lexell, Jan
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. Department of Health Sciences, Rehabilitation Medicine Research Group, Lund University.
    Secondary health conditions, activity limitations, and life satisfaction in older adults with long-term spinal cord injury2017Inngår i: PM&R, ISSN 1934-1482, E-ISSN 1934-1563, Vol. 9, nr 4, s. 356-366Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background

    Many individuals with a spinal cord injury (SCI) have lived several decades with their injury, leading to a need for a deeper understanding of factors associated with healthy aging in people with long-term SCI.

    Objectives

    To (1) describe secondary health conditions, activity limitations, and life satisfaction in older adults with long-term SCI, and to (2) investigate how sociodemographics, injury characteristics, and secondary health conditions are associated with their activity limitations and life satisfaction.

    Design

    Cross-sectional descriptive cohort study.

    Setting

    Home and community settings.

    Participants

    A total of 123 individuals (71% men, injury levels C1-L5, American Spinal Injury Association Impairment Scale A-D), mean age 63 years, mean time since injury 24 years.

    Methods

    Baseline data as part of the Swedish Aging with Spinal Cord Injury Study. Associations between variables were investigated with multivariable linear regression analyses.

    Main Outcome Measurements

    Bowel and bladder function, nociceptive and neuropathic pain, spasticity, the Spinal Cord Independence Measure, third version, and the Satisfaction With Life Scale.

    Results

    Bowel-related and bladder-related problems were reported by 32% and 44%, respectively, 66% reported moderate or severe nociceptive and/or neuropathic pain, and 44% reported spasticity. Activity limitations were moderate (mean Spinal Cord Independence Measure, third version, total score 65.2, range 8-100) where injury characteristics and spasticity explained 68% of the variance. Higher level and more severe SCI (based on the American Spinal Injury Association Impairment Scale) exhibited the strongest association with more activity limitations. Life satisfaction was rated just above the midpoint between satisfied and dissatisfied with life (mean Satisfaction With Life Scale total score 20.7, range 6-34). Marital status, vocational situation, bladder function and injury characteristics explained 38% of the variance, where having a partner showed the strongest association with greater life satisfaction. Activity limitations and life satisfaction were not associated with gender, age and time since injury.

    Conclusion

    Older adults with long-term SCI can maintain a relatively high level of physical independence and generally are satisfied with their lives, regardless of gender, age or time since injury. The associations demonstrate the importance of injury characteristics for the performance of daily activities and the social context for life satisfaction in older adults with long-term SCI.

    Level of Evidence

    III

  • 356.
    Jörgensen, Sophie
    et al.
    Department of Health Sciences, Rehabilitation Medicine Research Group, Lund University.
    Martin Ginis, K.A.
    School of Health and Exercise Sciences, University of British Columbia, Okanagan Campus, Kelowna, BC.
    Lexell, Jan
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Leisure time physical activity among older adults with long-term spinal cord injury2017Inngår i: Spinal Cord, ISSN 1362-4393, E-ISSN 1476-5624, Vol. 55, nr 9, s. 848-856Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    STUDY DESIGN:

    Cross-sectional.

    OBJECTIVES:

    To describe participation in leisure time physical activity (LTPA) (amount, intensity and type) among older adults with long-term spinal cord injury (SCI), and to investigate the associations with sociodemographics, injury characteristics and secondary health conditions (SHCs).

    SETTING:

    Home settings in southern Sweden.

    METHODS:

    Data from the Swedish Aging with Spinal Cord Injury Study (SASCIS). The physical activity recall assessment for people with SCI was used to assess LTPA among 84 men and 35 women (mean age 63.5 years, mean time since injury 24 years, injury levels C1-L5, American Spinal Injury Association Impairment Scale A-D). Associations were analyzed statistically using hierarchical multivariable regression.

    RESULTS:

    Twenty-nine percent reported no LTPA, whereas 53% performed moderate-to-heavy intensity LTPA. The mean minutes per day of total LTPA was 34.7 (±41.5, median 15, range 0-171.7) and of moderate-to-heavy LTPA 22.5 (±35.1, median 5.0, range 0-140.0). The most frequently performed activities were walking and wheeling. Sociodemographics, injury characteristics and SHCs (bowel-related and bladder-related problems, spasticity and pain) explained 10.6% and 13.4%, respectively, of the variance in total and moderate-to-heavy LTPA. Age and wheelchair use were significantly, negatively associated with total LTPA. Women, wheelchair users and employed participants performed significantly less moderate-to-heavy LTPA than men, those using walking devices/no mobility device and unemployed participants.

    CONCLUSION:

    Many older adults with long-term SCI do not reach the amount or intensity of LTPA needed to achieve fitness benefits. Research is needed on how to increase LTPA and to identify modifiable factors that could enhance their participation.Spinal Cord advance

  • 357.
    Jörgensen, Sophie
    et al.
    Department of Health Sciences, PO Box 157, Lund University.
    Martin Ginis, Kathleen A.
    School of Health and Exercise Sciences, University of British Columbia, Okanagan Campus, Kelowna, BC.
    Iwarsson, Susanne
    Department of Health Sciences, Lund University.
    Lexell, Jan
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Depressive symptoms among older adults with long-term spinal cord injury: Associations with secondary health conditions, sense of coherence, coping strategies and physical activity2017Inngår i: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 49, nr 8, s. 644-651Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVES:

    To assess the presence of depressive symptoms among older adults with long-term spinal cord injury and investigate the association with sociodemographic and injury characteristics; and to determine how potentially modifiable factors, i.e. secondary health conditions, sense of coherence, coping strategies and leisure-time physical activity, are associated with depressive symptoms.

    DESIGN:

    Cross-sectional study.

    SUBJECTS:

    A total of 122 individuals (70% men, injury levels C1-L5, American Spinal Injury Association Impairment Scale A-D), mean age 63 years, mean time since injury 24 years.

    METHODS:

    Data from the Swedish Aging with Spinal Cord Injury Study, collected using the Geriatric Depression Scale-15, the 13-item Sense of Coherence Scale, the Spinal Cord Lesion-related Coping Strategies Questionnaire and the Physical Activity Recall Assessment for people with Spinal Cord Injury. Associations were analysed using multivariable linear regression.

    RESULTS:

    A total of 29% reported clinically relevant depressive symptoms and 5% reported probable depression. Sense of coherence, the coping strategy Acceptance, neuropathic pain and leisure-time physical activity explained 53% of the variance in depressive symptoms.

    CONCLUSION:

    Older adults with long-term spinal cord injury report a low presence of probable depression. Mental health may be supported through rehabilitation that strengthens the ability to understand and confront life stressors, promotes acceptance of the injury, provides pain management and encourages participation in leisure-time physical activity.

  • 358.
    Kangas, M.
    et al.
    Department of Medical Technology, Institute of Biomedicine, University of Oulu.
    Vikman, Irene
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nyberg, Lars
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Korpelainen, R.
    Department of Medical Technology, Institute of Biomedicine, University of Oulu.
    Lindblom, J.
    Department of Medical Technology, Institute of Biomedicine, University of Oulu.
    Jämsä, T.
    Department of Medical Technology, Institute of Biomedicine, University of Oulu.
    Comparison of real-life accidental falls in older people with experimental falls in middle-aged test subjects2012Inngår i: Gait & Posture, ISSN 0966-6362, E-ISSN 1879-2219, ISSN 0966-6362, Vol. 35, nr 3, s. 500-505Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Falling is a common accident among older people. Automatic fall detectors are one method of improving security. However, in most cases, fall detectors are designed and tested with data from experimental falls in younger people. This study is one of the first to provide fall-related acceleration data obtained from real-life falls. Wireless sensors were used to collect acceleration data during a six-month test period in older people. Data from five events representing forward falls, a sideways fall, a backwards fall, and a fall out of bed were collected and compared with experimental falls performed by middle-aged test subjects. The signals from real-life falls had similar features to those from intentional falls. Real-life forward, sideways and backward falls all showed a pre impact phase and an impact phase that were in keeping with the model that was based on experimental falls. In addition, the fall out of bed had a similar acceleration profile as the experimental falls of the same type. However, there were differences in the parameters that were used for the detection of the fall phases. The beginning of the fall was detected in all of the real-life falls starting from a standing posture, whereas the high pre impact velocity was not. In some real-life falls, multiple impacts suggested protective actions. In conclusion, this study demonstrated similarities between real-life falls of older people and experimental falls of middle-aged subjects. However, some fall characteristics detected from experimental falls were not detectable in acceleration signals from corresponding heterogeneous real-life falls.

  • 359.
    Kangas, Maarit
    et al.
    Department of Medical Technology, Institute of Biomedicine, Oulu Deaconess Institute.
    Korpelainen, Raija
    Department of Medical Technology, Institute of Biomedicine, Oulu Deaconess Institute.
    Vikman, Irene
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nyberg, Lars
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Jämsä, Timo
    Department of Medical Technology, Institute of Biomedicine, Oulu Deaconess Institute.
    Sensitivity and false alarm rate of a fall sensor in long-term fall detection in the elderly2015Inngår i: Gerontology, ISSN 0304-324X, E-ISSN 1423-0003, ISSN 0304-324x, Vol. 61, nr 1, s. 61-68Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: About a third of home-dwelling older people fall each year, and institutionalized older people even report a two- or threefold higher rate for falling. Automatic fall detection systems have been developed to support the independent and secure living of the elderly. Even though good fall detection sensitivity and specificity in laboratory settings have been reported, knowledge about the sensitivity and specificity of these systems in real-life conditions is still lacking. Objective: The aim of this study was to evaluate the long-term fall detection sensitivity and false alarm rate of a fall detection prototype in real-life use. Methods: A total of 15,500 h of real-life data from 16 older people, including both fallers and nonfallers, were monitored using an accelerometry-based sensor system with an implemented fall detection algorithm. Results: The fall detection system detected 12 out of 15 real-life falls, having a sensitivity of 80.0%, with a false alarm rate of 0.049 alarms per usage hour with the implemented real-time system. With minor modification of data analysis the false alarm rate was reduced to 0.025 false alarms per hour, equating to 1 false fall alarm per 40 usage hours. Conclusion: These data suggest that automatic accelerometric fall detection systems might offer a tool for improving safety among older people.

  • 360.
    Kangas, Maarit
    et al.
    University of Oulu.
    Vikman, Irene
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Wiklander, Jimmie
    Luleå tekniska universitet, Institutionen för system- och rymdteknik, EISLAB.
    Lindgren, Per
    Luleå tekniska universitet, Institutionen för system- och rymdteknik, EISLAB.
    Nyberg, Lars
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Jämsä, Timo
    University of Oulu.
    Sensitivity and specificity of fall detection in people aged 40 years and over2009Inngår i: Gait & Posture, ISSN 0966-6362, E-ISSN 1879-2219, ISSN 0966-6362, Vol. 29, nr 4, s. 571-574Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    About one third of home-dwelling people over 65 years of age fall each year. Falling, and the fear of falling, is one of the major health risks that affects the quality of life among older people, threatening their independent living. In our pilot study, we found that fall detection with a waist-worn triaxial accelerometer is reliable with quite simple detection algorithms. The aim of this study was to validate the data collection of a new fall detector prototype and to define the sensitivity and specificity of different fall detection algorithms with simulated falls from 20 middle-aged (40-65 years old) test subjects. Activities of daily living (ADL) performed by the middle-aged subjects, and also by 21 older people (aged 58-98 years) from a residential care unit, were used as a reference. The results showed that the hardware platform and algorithms used can discriminate various types of falls from ADL with a sensitivity of 97.5% and a specificity of 100%. This suggests that the present concept provides an effective method for automatic fall detection.

  • 361. Kangas, Maarit
    et al.
    Wiklander, Jimmie
    Luleå tekniska universitet, Institutionen för system- och rymdteknik, EISLAB.
    Wikman, Irene
    Nyberg, Lars
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lindgren, Per
    Luleå tekniska universitet, Institutionen för system- och rymdteknik, EISLAB.
    Jämsä, Timo
    Sensorband fall detector prototype: validation through data collection and analysis2008Inngår i: 2nd International Symposium on Medical Information and Communications Technology: ISMICT'07. Proceedings, Oulu: University of Oulu, 2008Konferansepaper (Fagfellevurdert)
  • 362.
    Karlqvist, Lena
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Ergonomic conditions and health at gender segregated workplaces2012Inngår i: Ergonomics Open Journal, ISSN 1875-9343, E-ISSN 1875-9343, Vol. 2012, nr 5, s. 10-18Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose: To investigate working conditions and health at gender segregated (most women, ≥ 60% women or most men, ≥ 60% men) workplaces with a focus on associations of ergonomic exposures with musculoskeletal disorders.Methods: A comprehensive questionnaire was randomly sent to 10 000 inhabitants in three municipalities in the middle of Sweden. The response rate was 50% (4965 men and women). Organisational, physical and psychosocial working conditions and the musculoskeletal symptom panorama as well as general health and psychological well-being were compared between men and women in the gender segregated workplaces.Results: There were significant differences in working conditions between men and women both in female and male dominated workplaces. Most differences concerned physical work environment factors at both workplaces. However, the level of low control and strain were more prevalent among women in male dominated workplaces. A significantly greater share of women, compared to men, reported symptoms in all body parts except in low back and knees at both workplaces. Good general health was reported by 80% of both men and women but men in male dominated workplaces perceived significantly better psychological well-being than the others.Conclusions: Women and men in this region performed different work tasks and a greater share of women than men reported musculoskeletal symptoms. This was the fact also when working in the same type of segregated workplaces.

  • 363.
    Karlqvist, Lena
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Health-promoting educational interventions: A one-year follow-up study2013Inngår i: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 41, nr 1, s. 32-42Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aims: The purpose of this study was to describe and analyse the effects of health-promoting educational interventions among employees in a municipality in Sweden. Methods: A randomized controlled educational intervention study was performed with 340 employees. Supervisors and workplace champions took part in two separate educational programmes with focus on health promotion. Intervention groups were teams of supervisors, teams of workplace champions and a mixed group (supervisors and workplace champions). The control group did not take part in any of the activities. Evaluations with physical fitness tests and a self-administrated questionnaire were performed twice. Focus group discussions were held. Results: All groups raised their physical fitness level from baseline to follow-up. Females in the supervisor group had increased their mean maximal oxygen uptake from 32.0 mlO2/kg*min to 34.9 mlO2/kg*min which was more than the others. Supervisors had reached increased knowledge within the area ‘organizational factors’ and behavioural changes had been obtained within the area ‘life-style’. Workplace champions working together with their supervisors had an easier and more motivated situation than workplace champions working by themselves. Conclusions: Coaching supervisors as well as the mixed group seemed to improve the intervention of health promotion most and should be continued.

  • 364.
    Karlsson, Carina
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Arbetsgivares erfarenheter av SE/IPS på den svenska konkurrensutsatta arbetsmarknaden2017Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Syftet med aktuell studie är att belysa arbetsgivares erfarenheter av arbetsrehabiliteringsmetoden SE/ IPS för personer med psykisk funktionsnedsättning på den svenska konkurrensutsatta arbetsmarknaden. Lämplighetsurval praktiserades och utforskande kvalitativ ansats valdes utifrån studiens syfte, intervjuer genomfördes som datainsamlingsmetod och kvalitativ innehållsanalys tillämpades. Analysen av intervjutexterna utmynnade i ett övergripande tema och fyra kategorier. Det övergripande temat ”arbetsgivarnas engagemang för att inkludera kontra produktionskrav och resurser” visar på en spänning mellan arbetsgivarnas starka drivkraft att inkludera personen i samhället utifrån personens vilja till arbete och svårigheten att finna meningsfulla arbetsuppgifter vars krav svarar mot personens arbetsförmåga. De fyra kategorierna är: ”Skapar egna förutsättningar för arbete trots utmaningar”, ”oklara yttre förutsättningar äventyrar arbetsrehabilitering”, ”ständigt drivande och samordnande vägledare” och ”arbetslivet som en del av vardagen”. Slutsats: Arbetsgivarna har tydliga ambitioner att utgöra en utgöra en stödjande omgivningsfaktor enligt PEO-modellen. Resultatet presenterar arbetsgivarnas behov för att kunna leva upp till sina ambitioner. Det kvalificerade stöd i form av information och vägledning som arbetsgivarna efterfrågar motsvaras av PEO-matchning, en teoretisk modell tillämpad inom arbetsterapi.

  • 365.
    Karlsson, Frida
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Inter-rater reliability of clinical movement-control tests of the hip for runners with or without knee pain2018Independent thesis Advanced level (degree of Master (Two Years)), 20 poäng / 30 hpOppgave
    Abstract [en]

    Background:  Long-distance runners are prone to develop imbalance in the musculature of the hip and weakness in the hip abductors and external rotators, which might lead to overuse injuries in the knee. Poor motor control and change in recruitment of the hip musculature can be contributing factors for the movement dysfunctions. To identify uncontrolled movement (UCM) dysfunctions, Comerford and Mottram developed dissociation tests for several joints, i.e. Kinetic Control (KC) test. To our knowledge, no previous studies regarding the reliability of KC tests for the hip have been published. Therefore the aim of the study was to determine the inter-rater reliability of three clinical movement control tests, for the hip on both legs, in runners with or without knee pain. Methods: 36 healthy individuals, running at least once a week for six months, with or without knee pain was included in the study sample. Two independent raters assessed three KC tests: Single leg stance lateral pelvic shift test, Single leg small knee bend test and Side lying top leg turnout lift test on the same occasion, using a standardised test protocol. The inter-rater reliability was analysed using Cohen´s kappa coefficient (κ), 95% confidence interval, bias index, prevalence index and percentage of agreement. Results:  The inter-rater agreement of Single leg stance lateral pelvic shift test was fair (right κ = 0.29, left κ = 0.36); Single leg small knee bend test substantial to almost perfect (right κ = 0.66, left κ = 0.83) and Side lying top leg turnout lift test fair to moderate (right κ = 0.49, left κ = 0.26). Conclusions: This inter-rater reliability study shows acceptable inter-rater reliability for one out of three evaluated tests, the Single leg small knee bend test. The settings and the rating criteria of the Single leg stance lateral pelvic shift test and the Side lying top leg turnout lift test can be discussed and developed further in order to make the tests more reliable

  • 366.
    Karlsson, Louise
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Upplevelse av aktivitet och vardagsohälsa- infördeltagande i ReDO intervention2018Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Sjukskrivningstalen pga. stress och psykiskohälsa fortsätter att stiga varje år. Inom arbetsterapi anses ett balanserat aktivitetsmönster att vara en viktig komponent för upplevelsen av hälsa. Inte enbart balans mellan aktivitet och vila, utan även mellan t ex meningsfulla och nödvändiga aktiviteter eller olika upplevda värden i aktivitet. Syftet: med denna studie är att undersöka vilka samband som finns mellan upplevelse av aktivitetsvärde och självskattad subjektiv hälsa, respektive sociodemografiska faktorer, för personer som har behov av att förändra sin vardag och är eller riskerar att bli sjukskrivna pga. psykisk ohälsa. Metoden som användes var en kvantitativ tvärsnittsstudie där data från 97 kvinnor insamlades med hjälp av enkäter vid baslinjen av en arbetsterapeutiskintervention. De enkäter som användes var Oval-pd, EQ5D samt sociodemografiskdata. Resultatet visar att personerna inför interventionen upplevde låga aktivitetsvärden samt låg självskattad hälsa. Det fanns en tydlig statistisk signifikant korrelation mellan upplevd hälsa och aktivitetsvärde, men inte mellan de analyserade sociodemografiska faktorerna och upplevt aktivitetsvärde. Slutsats. Det finns ett tydligt samband mellan hur personerna upplever sina aktivitetsvärden och hur de skattar sin hälsa. Även om inget samband kunde identifieras mellan sociodemografiska faktorer och aktivitetsvärde så är detta ett område som behöver fortsatt forskning kring vad som kan påverka, och vara en bidragande orsak till att personer utvecklarpsykisk ohälsa pga. sin vardag.

  • 367.
    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 processes2019Inngår i: Journal of Interprofessional Care, ISSN 1356-1820, E-ISSN 1469-9567Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 368.
    Karlsson, Martin
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Berglund, Lotta
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Införandet av e-portfolio på Hälsovägledarprogrammet2014Inngår i: NU 2014 :: Umeå 8-10 oktober : abstracts, Umeå: Umeå universitet. Pedagogiska institutionen , 2014, s. 85-Konferansepaper (Fagfellevurdert)
  • 369.
    Karlsson, Sanna
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Velic, Alma
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Arbetsterapeutiska interventioner och dess betydelse för personer med depression i vuxen ålder2017Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Syftet med studien var att beskriva arbetsterapeutiska åtgärder för personer med depression i vuxen ålder. För att besvara studiens syfte valdes en litteraturöversikt för att få en överblick av tidigare forskning och sammanställa till en ny helhet.Data insamlades genom sökning i databaser som resulterade i 12 artiklar som kvalitetsgranskades och analyserades med Fishers (2009) interventionsmodeller som raster. Analysen visade att arbetsterapeutiska åtgärder kunde placeras under tre av interventionsmodellerna och kunde summeras i form av fritidsaktivitet, fritidssysselsättning, fysisk träning, skrivterapier, gruppterapier, coopingstrategier, The Tree Theme Metod, byte av erfarenheter i grupp och livsberättelser. Resultatet visade vidare på att de arbetsterapeutiska åtgärderna är varierande och att det fanns sparsamt vetenskapliga artiklar som tar upp arbetsterapeutiska åtgärder för personer med depression i vuxen ålder. Arbetsterapeutiska åtgärder ger positiva resultat när det gäller åtgärder för personer med depression i vuxen ålder. The Tree Theme Metod (TTM) är en klientcentrerad metod som var mer framträdande i de granskade studierna och författarna kunde summera metoden som betydelsefull åtgärd för arbetsterapeuter att använda i arbete med personer med depression, detta speciellt då depression är ett växande problem i samhället.

  • 370.
    Karlsson, Teodor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Effekter av träningsbelastning på muskelstyrka och muskelhypertrofi: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund: Styrketräning är en vanlig motion- och rehabiliteringsform som exempelvis höjer den anaeroba uthålligheten, bidrar till hypertrofi i muskelcellerna och ökar muskelstyrkan. Fysioterapeuter instruerar, ordinerar och leder styrketräning för olika patientgrupper i alla åldrar. Det har blivit en viktig del i dagens rehabilitering. Patienter har olika förutsättningar till att styrketräna med låg- respektive hög belastning beroende på skada eller sjukdom. Syfte: Syftet med litteraturöversikten var att undersöka hur belastningen vid styrketräning påverkar muskelstyrka och muskelhypertrofi. Metod: En artikelsökning genomfördes i databaserna: PubMED, Web of Science, Cochrane Library, SportDiscus och Scopus. Relevanta ämnesord för respektive databas tillämpades. Enbart studier som jämförde låg belastning (<60% 1RM) kontra hög belastning (>60% 1RM) på utfallsmåtten styrka och hypertrofi blev inkluderade i resultatet. Resultat: Totalt blev 9 artiklar inkluderade i litteraturstudien. Artiklarna visade att muskelstyrkan ökar oavsett om träningen sker med hög eller låg belastning. Träning med hög belastning ger en större ökning av muskelstyrkan än träning med låg belastning. Både träning med hög och låg belastning gav upphov till hypertrofi. Ingen utom en av studierna kunde redovisa signifikanta skillnader i hypertrofi utifrån belastning. Konklusion Att träna styrketräning med målsättningen att öka i styrka och/eller hypertrofi går att göra genom både hög- och låg belastning. Hög belastning har större effekt på muskelstyrka och är fördelaktigt i jämförelse med låg belastning.

  • 371. Karlström, Lillemor
    et al.
    Myhr, Ulla
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Handikappad i Murmansk2002Inngår i: Intra, ISSN 1102-4143, nr 1, s. 10-11Artikkel i tidsskrift (Annet vitenskapelig)
  • 372.
    Karvelis, Petros
    et al.
    Laboratory of Knowledge and Intelligent Computing, Department of Computer Engineering, Technological Educational Institute of Epirus.
    Röijezon, Ulrik
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Faleij, Ragnar
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Georgoulas, George
    Luleå tekniska universitet, Institutionen för system- och rymdteknik, Signaler och system.
    Mansouri, Sina Sharif
    Luleå tekniska universitet, Institutionen för system- och rymdteknik, Signaler och system.
    Nikolakopoulos, George
    Luleå tekniska universitet, Institutionen för system- och rymdteknik, Signaler och system.
    A Laser Dot Tracking Method for the Assessment of Sensorimotor Function of the Hand2017Inngår i: 2017 25th Mediterranean Conference on Control and Automation, MED 2017, Piscataway. NJ: Institute of Electrical and Electronics Engineers (IEEE), 2017, s. 217-222, artikkel-id 7984121Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Assessment of sensorimotor function is crucial during the rehabilitation process of various physical disorders, including impairments of the hand. While moment performance can be accurately assessed in movement science laboratories involving highly specialized personnel and facilities there is a lack of feasible objective methods for the general clinic. This paper describes a novel approach to sensorimotor assessment using an intuitive test and a specifically tailored image processing pipeline for the quantification of the test. More specifically the test relies on the patient being instructed on following a zig-zag pattern using a handled laser pointer. The movement of the pointer is tracked using image processing algorithm capable of automating the whole procedure. The method has potential for feasible objective clinical assessment of the hand and other body parts

  • 373.
    Kassberg, Ann-Charlotte
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Förmåga att använda vardagsteknik efter förvärvad hjärnskada: med fokus mot arbete2015Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [sv]

    Det övergripande syftet med denna avhandling var att generera ny kunskap om förmågan att använda vardagsteknik (VT) hos personer i arbetsför ålder med förvärvad hjärnskada (FHS) med fokus mot arbete. Syftet var också att bidra till utveckling av arbetsterapeutisk intervention genom att beskrivaoch utvärdera hur förmågan att använda VT kunde bedömas samt att utforska hur aktivitetsbaserade klientcentrerade interventioner kunde stödja förmågan att använda VT i arbetet. Studie I syftade till att genom en kvalitativ explorativ design utforska och beskriva hur personer med FHS använde den VT som de behövde i arbetet och användningens betydelse för deras möjligheter att arbeta. Studie II syftade till att genom en kvantitativ tvärsnittsstudie beskrivaförmågan att använda VT hos personer med FHS samt att utforska huruvida förmågan var relaterad till funktionshindrets svårighetsgrad. Studie III syftade till att utvärdera test-retest reliabilitet för bedömningsinstrumentet Management of Everyday Technology Assessment (META). Studie IVsyftade till att genom en kvalitativ multipel fallstudie utforska hur klientcentrerade arbetsterapeutiska interventioner kunde designas för att stödja personer med FHS förmåga att använda VT i arbetsuppgifter.I studie I framkom en diskrepans mellan deltagarnas förmåga och de utmaningar som användningen av VT i arbetet utgjorde. Samtliga nio deltagare uppvisade svårigheter, vilka varierade i omfattning från svårigheter med användningen av nästan all VT, och befinna sig i en osäker arbetssituation, till att föreställa sig framtida svårigheter i användningen av VT i arbetet. Resultatet av studie II visade att förmågan att använda VT skilde sig åt mellan de tre grupperna med olika svårighetsgrader av funktionshinder efter FHS (totalt 81 deltagare). Medelvärdet av deltagarnas mått av förmåga att använda VT var lägst i gruppen med "svåra funktionshinder" och högst i gruppen med"god återhämtning". Vid jämförelse av de tre grupperna framkom det att svårighetsgraden av funktionshindret var den enda variabel som signifikant inverkade på förmågan att använda VT. Alla deövriga variablerna: kön, ålder, utbildningsnivå, levnadsförhållanden och år sedan skada inverkade inte signifikant på förmågan att använda VT. Resultatet av studie III indikerade att 22 av de 25 deltagarnas mått av förmåga att använda VT förhöll sig stabila mellan de båda mättillfällena, baserat på valda kriterier. Detta indikerar att META har god test-retest reliabilitet vid bedömning av personer med FHS förmåga att använda VT. Resultatet från studie IV visade att de tre deltagarnas klientcentrerade interventionsprocesser initialt bestod av likartade arbetsterapeutiska åtgärder men att de senare i processen kom att ha olika fokus och intensitet. Vidare indikerade resultatet att interventionerna bidrog till förbättrad upplevd och observerad förmåga att använda VT i arbetet efter FHS.Konklusion: Denna avhandling har bidragit till att generera ny kunskap om personer med FHS förmåga att använda VT, med särskilt fokus på användningen av VT i arbetet. Resultaten visar att användningen av VT i arbetet kan innebära olika utmaningar, vilka kan ha varierade betydelse förmöjlighet att arbeta. Detta visar på behovet av att beakta den roll som användningen av VT kan utgöra för återgång i arbete. Resultatet har även bidragit till kunskap om att variationer i förmågan att använda VT kan vara relaterat till funktionshindrets svårighetsgrad. Vidare framkom det att personermed FHS sparsamt beskrev svårigheter i användningen av VT, vilket indikerar att intervju behöver kompletteras med observation. Avhandlingen indikerar också att observationsinstrumentet META kan användas för bedömning och utvärdering av förmågan att använda VT för personer med FHS.Slutligen, har avhandlingen bidragit till ny kunskap om hur arbetsterapeutiska klientcentrerade interventioner kan utformas för att stödja förmågan att använda VT i arbetet efter FHS.

  • 374.
    Kassberg, Ann-Charlotte
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap.
    Malinowsky, Camilla
    Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge.
    Jacobsson, Lars
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Ability to manage everyday technology after acquired brain injury2013Inngår i: Brain Injury, ISSN 0269-9052, E-ISSN 1362-301X, Vol. 27, nr 13-14, s. 1583-1588Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

  • 375.
    Kassberg, Ann-Charlotte
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nyman, Anneli
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Perceived occupational balance in people with stroke2019Inngår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: The balance of activities in daily life can become disrupted after a stroke; however, previous research has mainly focused on the performance of daily activities. Therefore, it is important to understand the impact that stroke has on various aspects of balance in activities for working-age people. 

    Purpose: To describe how persons with stroke perceived their occupational balance and to explore whether occupational balance was associated with the severity of disability, fatigue and sociodemographic characteristics. 

    Methods: This cross-sectional study included 63 working-age persons with stroke. The Occupational Balance Questionnaire, Glasgow Outcome Scale and Fatigue Severity Scale were used and analyzed statistically. 

    Results: The majority of participants disagreed or strongly disagreed that they perceived occupational balance in most of the investigated aspects. Moreover, few significant associations were found between total summed occupational balance and injury and sociodemographic characteristics. 

    Conclusion: These results demonstrate the importance of considering occupational balance in the rehabilitation of persons with stroke to support their engagement in a variety of meaningful activities that contribute to health. IMPLICATIONS FOR REHABILITATION Rehabilitation need to support persons with stroke to monitor their entire patterns of activities and perceived balance to support wider engagement in meaningful activities and promote health. Balance between all kinds of activities in daily life besides work, needs to be considered in the later phase of rehabilitation in persons with stroke. A majority of the participants with stroke in this study disagreed that they had a satisfying level of occupational balance. Perceived balance between all activities in daily life can together with performance of activities add to the understanding of consequences after stroke.

  • 376.
    Kassberg, Ann-Charlotte
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap.
    Prellwitz, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Användning av vardagsteknik: hinder eller möjlighet till återgång i arbete efter förvärvad hjärnskada?2011Konferansepaper (Annet vitenskapelig)
  • 377.
    Kassberg, Ann-Charlotte
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Prellwitz, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Occupational Therapy Interventions to Improve the Ability to use Everyday Technology in Work After Acquired Brain Injury: a comparison with controls2016Konferansepaper (Fagfellevurdert)
  • 378.
    Kassberg, Ann-Charlotte
    et al.
    Division of Primary Rehabilitation Lulea, The County Council of Norrbotten.
    Prellwitz, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    The challenges of everyday technology in the workplace for persons with acquired brain injury2013Inngår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 20, nr 4, s. 272-281Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

  • 379.
    Kassberg, Ann-Charlotte
    et al.
    Norrbottens Läns Landsting, Primärvården FoU.
    Prellwitz, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Utmaningar med att använda teknik i arbetet efter förvärvad hjärnskada2012Konferansepaper (Annet vitenskapelig)
  • 380.
    Kassberg, Ann-Charlotte
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Prellwitz, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Malinowsky, Camilla
    Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Luleå tekniska universitet.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. Maria.Larsson-Lund@ltu.se .
    Interventions aimed at improving the ability to use everyday technology in work after brain injury2016Inngår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 23, nr 2, s. 147-157Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

  • 381.
    Kim, Jihoon
    et al.
    University of Texas, Austin.
    Castelli, Darla M.
    University of Texas, Austin.
    Lindqvist, Anna-Karin
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Global Communication of Social Determinants of Health for Emerging Adults2018Inngår i: Research Quarterly for Exercise and Sport, ISSN 0270-1367, E-ISSN 2168-3824, Vol. 89, nr Suppl. 1, s. A107-Artikkel i tidsskrift (Fagfellevurdert)
  • 382.
    Kostenius, Catrine
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Activity: ArctiChildren project: A good example of giving voice and space to students in an international cross-border network2014Konferansepaper (Annet (populærvitenskap, debatt, mm))
  • 383.
    Kostenius, Catrine
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Activity: Collaboration between homes and school: Some Aspects on Developing Collaboration between Participants in the Swedish Project2004Konferansepaper (Annet (populærvitenskap, debatt, mm))
  • 384.
    Kostenius, Catrine
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Activity: Creating opportunities for diversity and unpredictability: inviting children to be co-researchers2014Konferansepaper (Annet (populærvitenskap, debatt, mm))
  • 385.
    Kostenius, Catrine
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Activity: Psychosocial Well-being: the concept and the situation in the Northern school communities2003Konferansepaper (Annet (populærvitenskap, debatt, mm))
  • 386.
    Kostenius, Catrine
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Activity: Research with schoolchildren to increase well-being2005Konferansepaper (Annet (populærvitenskap, debatt, mm))
  • 387.
    Kostenius, Catrine
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Activity: ’The golden rule’ and enabling technology: Schoolchildren’s experiences give perspectives on promoting health literacy2016Konferansepaper (Annet (populærvitenskap, debatt, mm))
  • 388.
    Kostenius, Catrine
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Future health2018Inngår i: Addressing Societal Challenges / [ed] Editors Johan Frishammar Åsa Ericson, Luleå: Luleå University of Technology, 2018, s. 71-85Kapittel i bok, del av antologi (Fagfellevurdert)
    Abstract [en]

    Good health has always been crucial to people’s life situation.Throughout the history of health care, cures for diseaseshave been discovered, and great strides have been made toallow humans to live longer and healthier lives. However, newchallenges arise, for example, mental ill-health in childrenand young adults, coping with an older population, and servicingsparsely populated areas, such as the Arctic regions.Moreover, increased migration brings unique challenges andliving in a digital world increase health risks. However, inevery challenge, there is an opportunity. At LTU, health is aprioritized area, with a focus on innovative interdisciplinaryresearch, for example, including the perspective of health inArctic living, widening educational research to include healthpromotion, and exploring technology within the e-health field.One possible approach is to support people to increase controlover and improve their health at individual and organizationallevels, as well as using social innovations to promotehealth with a “cool” northern perspective.

  • 389.
    Kostenius, Catrine
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Giving voice and space to children in health promotion2008Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    The interest for children's health is a global issue and concerns are voiced in areas of children's psycho-social health and well-being, in many countries including Sweden. There have been a number of research projects undertaken on children's health alerting us of the decrease in children's psycho-social health and well-being, although it seems as if children's perspectives are rare. Therefore the overall aim of this thesis is to describe and develop an understanding of schoolchildren's lived experiences of health and ill health, as well as health promotion activities through children's perspectives. The 128 children who participated were selected from one school district in northern Sweden. The studies included 10 children in a pilot study as well as 99 children age 10-12, all of them attending grades 4-6 in the smallest and largest schools in the school district, one suburban and one rural (I). Twenty- three of these children were invited to an interview (II, III). In addition all the 19 children in a 4th grade class, 11 boys and 8 girls, from a suburban school participated in a one year health promotion project (IV). Data was collected through narratives in search for the children's lived experiences, by using open letters (I,II,III), drawings (IV), individual interviews (II,III), and group discussions (I,IV). The data was analyzed using a hermeneutic phenomenological data analysis (I,III,IV), and a phenomenological-hermeneutical data analysis (II). The findings of the four different studies included in this thesis can be summarized under the headings; Being met as a "we" - relationships to others and to oneself, Being caught in life's challenges, Being relaxed and powerful, and Friendship is like an extra parachute. The children's lived experiences point at the importance of being trusted, respected, included, involved and met as a "we". From this thesis it can be understood that including children in health promotion is a matter of openness and humbleness, suggesting adults, be it parents, health care professionals, teachers or researchers, taking on an empowered child perspective.

  • 390.
    Kostenius, Catrine
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Hälsofrämjande möten och samtal i primärvården2013Inngår i: Omvårdnad i primärvården, Lund: Studentlitteratur AB, 2013, s. 81-99Kapittel i bok, del av antologi (Annet (populærvitenskap, debatt, mm))
  • 391.
    Kostenius, Catrine
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Interviewing children: an ethical discussion about the imbalance of power and suggestions on how to handle it2007Inngår i: School, culture and well-being: ArctiChildren research and development findings from Northern Finland, Sweden and Norway, and North-West Russia, Rovaniemi: Lapland University of Applied Sciences, 2007, s. 23-35Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 392.
    Kostenius, Catrine
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    “It’s important to take care of each other”: health promotion in schools based on Swedish schoolchildren’s experiences2016Konferansepaper (Fagfellevurdert)
  • 393.
    Kostenius, Catrine
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    "Like the cement in a brick wall": Health Promotion in schools according to students, school staff and politicians2018Konferansepaper (Fagfellevurdert)
  • 394.
    Kostenius, Catrine
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lärande och fysisk aktivitet: elevers upplevelser i ord och bild2002Inngår i: Svensk Idrottsforskning: Organ för Centrum för Idrottsforskning, ISSN 1103-4629, Vol. 11, nr 1, s. 20-5Artikkel i tidsskrift (Annet vitenskapelig)
  • 395.
    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 region2019Inngår i: WAIORA: Promoting Planetary Health and Sustainable Development for All, 2019Konferansepaper (Fagfellevurdert)
  • 396.
    Kostenius, Catrine
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Partners in the Arctic: Student-driven health promoting activities in northern Sweden2013Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    The point of departure was the interest in partnering with students inviting them to be actively part of health promotion efforts in school to examine what possible benefits partnerships with students can offer and ways of implementation. The aim was to examine how studentsin the arctic region of the world experienced creating, leading and participating in student-driven health promoting activities in cooperation with their teacher. Inspired by the PAAR method (participatory appreciative action research) 19 Swedish students, ages 10 - 11 participated in health promotion work in school.The questions posed to the students were - What makes you feel good in school? - If you got to decide what health promoting activities to do what would be your choice?Then they participated through creating, leading, participating in and evaluating their own and their peers’ health promoting activities. The student’s health promoting activities included tools such as music, massage, physical activity and the outdoors . The comprehensive understanding of how students in the arctic region of the world experienced creating, leading and participating in student - driven health promoting activities in cooperation with their teacher, revealed three key points; i) When students were asked to choose health promoting activities, they were not only in line with existing research but were able to reflect on how to develop praxis, ii) Students are competent to lead health promoting activities with the support of their teacher and participating in health promoting activities lead by their peers, iii) The group assignment in this study offer one example of implementing health promoting activities in school to increase health literacy. This study can serve as an example of viewing students as partners and giving them voice and space in health promotion and the concept of the “Arctic gate” for health promotion is suggested.

  • 397.
    Kostenius, Catrine
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Picture this - our dream school!: Swedish schoolchildren sharing their visions of school2011Inngår i: Childhood, ISSN 0907-5682, E-ISSN 1461-7013, Vol. 18, nr 4, s. 509-525Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this study was to make visible, and understand, possible opportunities for school improvement based on schoolchildren’s lived experience and visionary ideas of school. Schoolchildren aged 10–12 from the northern part of Sweden participated in the study. The phenomenological analysis resulted in three themes, with no particular order of preference: the school of ‘Friendship and involvement’, the school of ‘Work and play’ and the school of ‘Places and spaces’. The comprehensive understanding of the children’s dream school is the school of ‘Friendship, freedom and fun’, which is discussed with school improvement in mind.

  • 398.
    Kostenius, Catrine
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Research with a child perspective2006Inngår i: NERA's 34th Congress, Örebro 9-11 March, 2006: Abstracts, Nordic educational research association, NERA , 2006, s. 131-Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    Schoolchildren's health and wellbeing is in focus in this paper which attempts to share part of a classroom research project within the Arctic Children project. A class of 18 schoolchildren ages 10-11 years old in a suburban school in the northern part of Sweden participated in the study. The aim was to widen the understanding of working with a child perspective in health promotion activities in the classroom setting. The schoolchildren were divided into smaller groups and given the task to plan and conduct wellbeing activities for their classmates. The board of Welfare in Sweden indicates in their resent guidelines that the school health care are to be more prevention and promotion oriented. The results that emerged in this study are discussed in light of these guidelines. In addition this paper try to illuminate problems as well as possibilities with a perspective of conducting research with children as suppose to on children.

  • 399.
    Kostenius, Catrine
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Student-driven health promotion activities2013Inngår i: Health Education, ISSN 0965-4283, E-ISSN 1758-714X, Vol. 113, nr 5, s. 407-419Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose - The aim was to examine how students experienced creating, leading and praticipating in student-driven health promoting activities in cooperation with their teacher. Design/methodology/approach - Inspired by the PAAR method (participatory appreciative action research) 19 Swedish students, ages 10-11 participated in health promotion work in the classroom through creating, leading, participating in and evaluating their own and their peers’ health promoting activities.Findings - The analysis of the student’s health promoting activities resulted in three themes; (i) the friendly touch (ii) the outdoor run for fun (iii) the sounds of well-being, including health promotion tools such as music, massage, physical activity and the outdoors.Originality/value - The comprehensive understanding of how students experienced creating, leading and participating in student-driven health promoting activities in cooperation with their teacher, revealed three key points; i) When students were asked to choose health promoting activities, they were not only in line with existing research but were able to reflect on how to develop praxis, ii) Students are competent to lead health promoting activities with the support of their teacher and participating in health promoting activities lead by their peers, iii) The group assignment in this study offer one example of implementing health promoting activities in school to increase health literacy

  • 400.
    Kostenius, Catrine
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Taking on a child’s perspective2005Konferansepaper (Annet vitenskapelig)
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