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  • 451.
    Larsson, Agneta
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Berggård, Glenn
    Luleå tekniska universitet, Institutionen för samhällsbyggnad och naturresurser, Arkitektur och vatten.
    Rosander, Peter
    Luleå tekniska universitet, Institutionen för samhällsbyggnad och naturresurser, Arkitektur och vatten.
    The impact of users gait patterns and perceptions in the development of quality criterias for anti-slip devices and winter shoes2016Konferansepaper (Fagfellevurdert)
  • 452.
    Larsson, Agneta
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Näslund, Annika
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Karlqvist, Lena
    Projekt: Hälsa och säkerhet i vård- och socialt servicearbete, i ett samhällsperspektiv2013Annet (Annet (populærvitenskap, debatt, mm))
    Abstract [sv]

    Syftet med projektet är att utveckla metoder där förebyggande insatser med satsning på ett förbättrat säkerhetsklimat och en ökad fysisk kompetens blandpersonal inom vård- och social service integreras i verksamhetsutvecklingen.

  • 453.
    Larsson, Agneta
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Holmgren, Lena
    Gävleborg county hospital, Department of physical therapy.
    Development of a strictly individualized heart rehabilition model1998Inngår i: Abstracts of the 4th Scandinavian congress om medicine and science in sports: november 5-8, 1998, Lahti, Finland, 1998, s. 353-Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    Introduction: Traditional cardiac rehabilitation programs have not consistently been shown to improve the level of compliance with medical recommendations, and it is a limited part of patients suffering from coronary heart disease (CHD) that in reality participate in these programs. Rethinking of approaches to cardiac rehabilitation is needed. Important is to pay regard to patients risk factor modification, improvement in their capacity to perform physical work put i relation to the physical demands of various activities and/or jobs in their workplace. It is also known that patients' perceptions of their self-efficacy often exert greater influence over their return to normal activities than does their medical status. Aims: This study examined individual features, actual and perceived loss of physical capacities in patients with CHD, in order to develop a new model for cardiac rehabilitation and find relevant assessment instruments. Materialandmethods: 31male and female patients (ages 45-79 yrs) with CHD were assessed prior to and after undergoing a traditional cardiac rehabilitation program. The variables studied included individual goals, self-efficacy and physical capacities. Results: The results demonstrate great differences in all studied variables. Patients differ in gender, age, prior experience, medical status and individual goals (level of activities/work and or secondary prevention). The physical capacity improves bit may still imply limitations and patients may still lack confidence in their ability to perform physical activities. The vide range of individual features indicates the necessity to individualize the rehabilitation process to meet patient needs. Conclusion: The rehabilitation actors has to take up a more guiding and instructive role regarding elements relevant for the invdividual, with patients own experience and capacities as the starting point. This include taking measures (separate or extensive) individual or in group. Our intention is to present a new strictly individualized heart rehabilitation model based on on-going case studies.

  • 454.
    Larsson, Agneta
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Holmgren, Lena
    Länssjukhuset i Gävle.
    Dose-response of physical activity in the prevention of coronary heart disease: A literature review 1985 -19971997Rapport (Annet (populærvitenskap, debatt, mm))
  • 455.
    Larsson, Agneta
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Karlqvist, Lena
    Department of Health Sciences, Mid Sweden University, Östersund.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Effects of work ability and health promoting interventions for women with musculoskeletal symptoms: a 9-month prospective study2008Inngår i: BMC Musculoskeletal Disorders, ISSN 1471-2474, E-ISSN 1471-2474, Vol. 9Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Women working in the public human service sector in 'overstrained' situations run the risk of musculoskeletal symptoms and long-term sick leave. In order to maintain the level of health and work ability and strengthen the potential resources for health, it is important that employees gain greater control over decisions and actions affecting their health - a process associated with the concept of self-efficacy. The aim of this study was to describe the effects of a self-efficacy intervention and an ergonomic education intervention for women with musculoskeletal symptoms, employed in the public sector. MethodsThe design of the study was a 9-month prospective study describing the effects of two interventions, a comprehensive self-efficacy intervention (n = 21) and an ergonomic education intervention (n = 21). Data were obtained by a self-report questionnaire on health- and work ability-related factors at baseline, and at ten weeks and nine months follow-up. Within-group differences over time were analysed. ResultsOver the time period studied there were small magnitudes of improvements within each group. Within the self-efficacy intervention group positive effects in perceived work ability were shown. The ergonomic education group showed increased positive beliefs about future work ability and a more frequent use of pain coping strategies. ConclusionBoth interventions showed positive effects on women with musculoskeletal symptoms, but in different ways. Future research in this area should tailor interventions to participants' motivation and readiness to change.

  • 456.
    Larsson, Agneta
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Karlqvist, Lena
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Safety climate and participatory safety activities in municipal home care services2010Konferansepaper (Annet vitenskapelig)
  • 457.
    Larsson, Agneta
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Karlqvist, Lena
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    To Tailor health promoting interventions to user needs: effects of work ability and health promoting interventions for women with musculoskeletal symptoms2010Inngår i: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 42, nr 4, s. 402-403Artikkel i tidsskrift (Annet vitenskapelig)
  • 458.
    Larsson, Agneta
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Karlqvist, Lena
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Westerberg, Mats
    Luleå tekniska universitet, Institutionen för ekonomi, teknik och samhälle, Innovation och Design.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Identifying work ability promoting factors for home care aides and assistant nurses2012Inngår i: BMC Musculoskeletal Disorders, ISSN 1471-2474, E-ISSN 1471-2474, Vol. 13, nr 1Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In workplace health promotion, all potential resources needs to be taken into consideration, not only factors relating to the absence of injury and the physical health of the workers, but also psychological aspects. A dynamic balance between the resources of the individual employees and the demands of work is an important prerequisite. In the home care services, there is a noticeable trend towards increased psychosocial strain on employees at work. There are a high frequency of work-related musculoskeletal disorders and injuries, and a low prevalence of sustainable work ability. The aim of this research was to identify factors promoting work ability and self-efficacy in care aides and assistant nurses within home care services.This study is based on cross-sectional data collected in a municipality in northern Sweden. Care aides (n = 58) and assistant nurses (n = 79) replied to a self-administered questionnaire (response rate 46%). Hierarchical multiple regression analyses were performed to assess the influence of several independent variables on self-efficacy (model 1) and work ability (model 2) for care aides and assistant nurses separately.Perceptions of personal safety, self-efficacy and musculoskeletal wellbeing contributed to work ability for assistant nurses (R2adj of 0.36, p < 0.001), while for care aides, the safety climate, seniority and age contributed to work ability (R2adj of 0.29, p = 0.001). Self-efficacy was associated with the safety climate and the physical demands of the job in both professions (R2adj of 0.24, p = 0.003 for care aides), and also by sex and age for the assistant nurses (R2adj of 0.31, p < 0.001).The intermediate factors contributed differently to work ability in the two professions. Self-efficacy, personal safety and musculoskeletal wellbeing were important for the assistant nurses, while the work ability of the care aides was associated with the safety climate, but also with the non-changeable factors age and seniority. All these factors are important to acknowledge in practice and in further research. Proactive workplace interventions need to focus on potentially modifiable factors such as self-efficacy, safety climate, physical job demands and musculoskeletal wellbeing.

  • 459.
    Larsson, Agneta
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Karlqvist, Lena
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Westerberg, Mats
    Luleå tekniska universitet, Institutionen för ekonomi, teknik och samhälle, Innovation och Design.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Perceptions of health and risk management among home care workers in Sweden2013Inngår i: Physical Therapy Reviews, ISSN 1083-3196, E-ISSN 1743-288X, Vol. 18, nr 5, s. 336-343Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Municipal home care workers provide high-quality services to an increasing proportion of elderly people living in private homes. The work environments and working conditions of these workers vary to a great extent, implying rapid prioritymaking among both employers and employees to ensure that the work can be performed in a safe way. Objectives: This study aims to examine home care workers perceptions of health, risks, working conditions and risk management within their organisation. Method: The study was based on cross-sectional data collected from home care service staff' in a municipality in the north of Sweden. Nursing assistants and care aides(n=133) replied to a self-administered questionnaire. Descriptive statistics and between-group differences were analysed. Results: Home care work was perceived to require high levels of professional skill and ingenuity, a good psychosocial work situation, but required a high physical workload. The general health, the capacity and self-efficacy of the staff in relation to work were good. Difficulties in performing risk assessments and to follow safety regulations due to lack of time, equipment and information were identified.Conclusion: There is a need to increase participation in risk assessments among the staff, improve management support, structures and cooperation with other divisions of the social services and the medical care organisations.

  • 460.
    Larsson, Agneta
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Karlqvist, Lena
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Westerberg, Mats
    Luleå tekniska universitet, Institutionen för ekonomi, teknik och samhälle, Innovation och Design.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap.
    Promoting a safety climate and safety activities for health and work ability in home care services workers2011Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Purpose: The present study aims to describe home care service workers' perceptions of safety climate and safety activities at work as well as working conditions, self-efficacy, and health and work ability. Relevance: High frequencies of work-related musculoskeletal disorders and injuries and low prevalence of sustainable work ability in home care services workers are of great concern. They are to provide high quality services to an increasingly proportion of elderly people living in private homes. In order to promote health and safety for the home care workers, increased focus should be on organisational, psychosocial and physical factors contributing to a healthy working environment. Participants: 158 nursing assistants and nursing aides divided in 18 work units participated in this study. They all met the criterion of having worked in the same home care services unit in the last 6 months. Their mean age was 46 years, the majority were women, and the distribution of nursing aides and nursing assistants was about 40/60%. Methods: This study is based on cross-sectional data gathered in February 2009 in home care services in a municipality in the North of Sweden. All the home-care work units shared the experiences of using a model for participatory risk management in home care services. Data were obtained through a comprehensive self-administered questionnaire, covering working conditions, safety climate, safety activities, self-efficacy, health and work ability. Analysis: Descriptive statistics as well as data on between-group differences are analysed. Results: In general, the results showed fairly good levels of safety climate but only moderate levels of safety activities and of perceived safety grade at work. These variables differed significantly between work units. Environmental barriers, such as lack of time and equipment, were given as reasons for not complying with safety rules or participating in proactive risk assessment. Besides a high frequency of musculoskeletal symptoms and high physical exposure at work, the home care workers in general reported being in good health and with good work ability. They also expressed high decision making latitude, skill discretion, social support and self-efficacy. Conclusions: To promote health and safety for the home care workers, interventions could build on the high levels of safety climate and proactive activities in single work units, proposing good solutions and safe behaviour. Focus need to be placed on improved safety climate, communication and coordination with all professionals forming the home care services setting. Also, on individuals' and work units' awareness of safe behaviour and on alternatives of actions in critical risk situations at work. This may act preventive on musculoskeletal well-being and a good working environment. Implications: There need to be an increase in means given to physical therapists in occupational health services, to work with these issues. The ergonomic skills and the safety climate of the front-line home care services workers need to be addressed, as well as the organisational prerequisites for workplace safety and health.

  • 461.
    Larsson, Agneta
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Näslund, Annika
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Projekt: Tjänsteinnovationer i tiden2013Annet (Annet (populærvitenskap, debatt, mm))
  • 462.
    Larsson, Agneta
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Röijezon, Ulrik
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Olsson, Ing-Mari
    Artist- och musikerhälsan i Malmö.
    Engquist, Karin
    Artist- och musikerhälsan i Malmö.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    A web-based health promotion intervention for music students in Sweden2015Inngår i: Musician's Health and Performance. 2nd Conference (MHPC2015): Book of abstracts, 2015Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Aim: In this presentation a study protocol for a web-based health promotion intervention for music students, and the rationale behind it, will be described. The aim is to develop a new dynamic web-portal with an interactive multimodal health intervention program for musicians and music students, and perform a controlled feasibility and effect study among music students.Methods: A web-based competence development and coaching program for music students in Sweden will be developed and performed according to a cognitive approach with focus on the students own goals. The program will include knowledge concerning how to promote cognitive and emotional coping in performance situations; ergonomically sound playing postures; as well as how to prevent bodily symptoms, mental distress and hearing disorders. Participants will be music students from two regions in Sweden, Skåne and Norrbotten. The intervention group will have access to the web-based program together with web-based group coaching, while the control group will receive general web-based information. The intervention will continue for 6 month and outcome measures will be collected before, after intervention and after 12 months to evaluate the feasibility and health effects of the intervention. Expected outcomes: It is reasonable to believe that an increased awareness of healthy and balanced positions while playing, systematic use of pauses and variation during rehearsal, stress management skills and a sound attitude towards control of e.g. playing related fatigue and pain can improve the music students’ prerequisites for a healthy and sustainable working life. Discussion/Conclusion: This project will contribute with knowledge about feasibility and effects of e-health solutions specifically designed for music students and musicians. Feasible and efficient e-health solutions for musicians and other performing artists can have major impact for these professions in Sweden due to the large distances and the scarceness of specialized occupational health care providers within performing arts medicine.Acknowledgement: This research is supported by the Areas of excellence in research and innovation at Luleå university of technology - Innovative art and science, who have granted funding for project initiation.

  • 463.
    Larsson, Agneta
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Westerberg, Mats
    Luleå tekniska universitet, Institutionen för ekonomi, teknik och samhälle, Industriell Ekonomi.
    Karlqvist, Lena
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Teamwork and Safety Climate in home care: a mixed method study2018Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 15, nr 11, artikkel-id 2495Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    A rapidly changing homecare service sector implies difficulties to control safety and health risks for staff and to guarantee standardised deliveries of services to recipients. This study aimed to describe staff perceptions of safety climate and practices in homecare service teams, and suggestions for improvements. A second aim was to identify if and how the appraisals of safety climate were related to individual perceptions of safety, mental strain and adverse events/injury. A convergent parallel mixed methods design was used. Nursing assistants and care aides (133 in total, representing 11 work teams) in the north of Sweden replied to a survey and participated in focus group interviews. Results were analysed with ANOVA (inter-team differences) and by qualitative content analysis. Significant diversity was identified between the teams in five of seven dimensions of safety climate. Important areas for improvement were: a need to define and agree on criteria for a safe working environment; leadership prioritising safety at work; and management able to provide trust, support and time. A prerequisite for these agreements was improved authority and communication between all parties involved. The safety climate dimensions were related to personal perceptions of safety and mental strain and, partly, to adverse events/injuries.

  • 464.
    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 process2017Inngår i: Gerontechnology, ISSN 1569-1101, E-ISSN 1569-111X, Vol. 16, nr 2, s. 101-108Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 465.
    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 society2013Inngår i: Educational gerontology, ISSN 0360-1277, E-ISSN 1521-0472, Vol. 39, nr 3, s. 155-167Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 466.
    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 processes2013Inngår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 20, nr 6, s. 471-480Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 467.
    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 study2016Inngår i: British Journal of Occupational Therapy, ISSN 0308-0226, E-ISSN 1477-6006, Vol. 79, nr 10, s. 629-636Artikkel i tidsskrift (Fagfellevurdert)
    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

  • 468.
    Larsson, Ingalill
    et al.
    Lunds universitet, Institutionen för vård, hälsa och samhälle.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Sjukgymnasters uppfattningar om sjukgymnastisk kunskap: en fenomenografisk studie2005Inngår i: Abstractbok för sjukgymnastdagarna 2005, Stockholm: Legitimerade sjukgymnasters riksförbund , 2005, s. 55-Konferansepaper (Annet vitenskapelig)
  • 469.
    Larsson, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Hemrehabilitering: en möjlighet att utveckla och förbättra rehabiliteringen1997Inngår i: Rehab Arcticus, nr 3-4, s. 12-13Artikkel i tidsskrift (Annet vitenskapelig)
  • 470.
    Larsson, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Andersson, Marit
    Bränholm, Inga-Britt
    Umeå universitet.
    Arbetsterapeutisk modell för utredning av sjukskrivna1996Rapport (Annet vitenskapelig)
  • 471.
    Larsson, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Bränholm, Inga-Britt
    Umeå universitet.
    An approach to goal-planning in occupational therapy and rehabilitation1996Inngår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 3, nr 1, s. 14-9Artikkel i tidsskrift (Fagfellevurdert)
  • 472.
    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?2017Konferansepaper (Annet vitenskapelig)
    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.

  • 473.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Aktivitet: Delaktighet i livssituationen vid ryggmärgskada2005Konferansepaper (Annet (populærvitenskap, debatt, mm))
  • 474.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Aktivitet: Delaktighet i livssituationen vid ryggmärgsskada2005Konferansepaper (Annet (populærvitenskap, debatt, mm))
  • 475.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Aktivitet: En interdisciplinär modell för rehabilitering av neurologiskt sjuka1995Konferansepaper (Annet (populærvitenskap, debatt, mm))
  • 476.
    Larsson-Lund, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Aktivitet: Hur personer med funktionshinder upplever rehabiliteringen över tid1999Konferansepaper (Annet (populærvitenskap, debatt, mm))
  • 477.
    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 technology2017Konferansepaper (Annet vitenskapelig)
  • 478.
    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 competence2018Inngår i: British Journal of Occupational Therapy, ISSN 0308-0226, E-ISSN 1477-6006, Vol. 81, nr 12, s. 733-735Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 479.
    Larsson-Lund, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Fisher, Anne G.
    Department of Community Medicine and Rehabilitation, Occupational Therapy, Umeå University.
    Lexell, Jan
    Benspång, Birgitta
    Department of Community Medicine and Rehabilitation, Occupational Therapy, Umeå University.
    Impact on participation and autonomy questionnaire: internal scale validity of the Swedish version for use in people with spinal cord injury2007Inngår i: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 39, nr 2, s. 156-162Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: To evaluate aspects of internal scale validity and reliability of the Swedish version of the Impact on Participation and Autonomy questionnaire (IPA-S) for use in people with spinal cord injury. Subjects: A total of 161 persons with spinal cord injury. Method: IPA-S psychometric properties were evaluated using Rasch rating scale analysis. Results: The results show that the IPA-S has 27 items for perceived participation and 6 items for perceived problems with participation, indicating 2 underlying unidimensional constructs for use in people with spinal cord injury, after removal of misfitting items. The established hierarchical order of the item calibration values in both scales appeared logical and the distances between the items, with a few exceptions in the problem scale, were appropriate. Both scales demonstrated good separation reliability. The range of item calibration values in both scales did not fully cover the range of measures of persons' perceived participation and problems thereof. Conclusion: The psychometric properties of IPA-S are promising and indicate that IPA-S has potential to be developed further.

  • 480.
    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 technology2017Inngår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 24, nr 4, s. 281-289Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 481.
    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 programme2010Inngår i: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 42, nr 6, s. 559-565Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 482.
    Larsson-Lund, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lexell, Jan
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Medicinsk vetenskap.
    Associations between perceptions of environmental barriers and participation in persons with late effects of polio2009Inngår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 16, nr 4, s. 194-204Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this pilot study was to assess the association between perceived environmental barriers and perceived participation in everyday life situations encountered by people with late effects of polio. A sample of 45 persons with clinically verified late effects of polio answered the Swedish versions of the Impact on Participation and Autonomy Questionnaire (IPA-S) and the Craig Hospital Inventory of Environmental Factors (CHIEF-S). The relationships between the perceived occurrence of a broad range of environmental barriers and perception of participation in life situations and problems with participation were explored. The majority of the respondents perceived that they encountered environmental barriers, but their occurrence was generally infrequent and their magnitude tended to be low. The barriers identified in the physical/structural subscale were generally most strongly related to problems with participation, compared with the four other environmental subscales. A high frequency of never encountering environmental barriers in the three subscales physical/structural, work and education, and policies in CHIEF-S were significantly related to more reports of good participation in IPA-S. These associations indicate that the participation of those with late effects of polio is influenced by their perception of the barriers they encounter. Further studies of these concepts can provide a greater understanding of disabilities and help us to promote participation in life situations for people with late effects of polio.

  • 483.
    Larsson-Lund, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lexell, Jan
    Luleå tekniska universitet, Institutionen för hälsovetenskap.
    Delaktighet och omgivningsfaktorer i ICF: möjligheter och utmaningar vid användning inom rehabilitering2009Inngår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 106, nr 13, s. 932-935Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Med ICF (International classification of functioning, disability and health) och fokus på innebörden av delaktighetsbegreppet och omgivningsfaktorer ökar möjligheterna att utveckla rehabiliteringen för personer med funktionshinder. Forskning visar att olika grupper av personer med funktionshinder kan känna god delaktighet och att detta relaterar till hög livstillfredsställelse, medan hinder i omgivningen påverkar delaktigheten negativt. Inom rehabiliteringen är det därför viktigt att identifiera underlättande faktorer i omgivningen och förändra omgivningsfaktorer i positiv riktning för att stärka delaktigheten. Fortsatt forskning behövs för att öka kunskapen om delaktighet och betydelsen av olika omgivningsfaktorer hos personer med funktionshinder. Ett fortsatt utvecklingsarbete behövs också för att på ett optimalt sätt använda delaktighetsbegreppet och omgivningsfaktorerna i det kliniska rehabiliteringsarbetet.

  • 484.
    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 polio2011Inngår i: Applied Research in Quality of Life, ISSN 1871-2584, E-ISSN 1871-2576, Vol. 6, nr 1, s. 71-80Artikkel i tidsskrift (Fagfellevurdert)
    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

  • 485.
    Larsson-Lund, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lexell, Jan
    Luleå tekniska universitet, Institutionen för hälsovetenskap.
    Perceived participation in life situations in persons with late effects of polio2008Inngår i: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 40, nr 8, s. 659-664Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    To investigate how persons with late effects of polio perceive their participation and problems with participation in life situations and to determine the association between perceived problems with participation and sex, age, marital status, use of mobility aids and access to instrumental support.Design: Cross-sectional.Subjects: A total of 160 persons with prior polio 6-30 months after an individualized, goal-oriented, comprehensive interdisciplinary rehabilitation programme.Methods: All subjects answered the Swedish version of the Impact on Participation and Autonomy Questionnaire.Results: A majority of the respondents perceived their participation as sufficient in most activities and 65% of the respondents perceived no severe problems with participation. The remaining 35% perceived 1-6 severe problems with participation. All 5 domains of participation were positively correlated with the 9 items for problem experience. Most restrictions in participation were reported in the domains of Family role, Autonomy outdoors, and Work and education. Insufficient instrumental support was most strongly associated with the perception of severe problems with participation.Conclusion: Rehabilitation programmes for persons with late effects of polio need to focus on areas of participation that are perceived as a problem by these persons and to promote access to a supportive environment to enhance their participation.

  • 486.
    Larsson-Lund, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lexell, Jan
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Medicinsk vetenskap.
    Relationship between participation in life situations and life satisfaction in persons with late effects of polio2009Inngår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 31, nr 19, s. 1592-1597Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose. To assess the relationship between participation and problems with participation in life situations, and life satisfaction in persons with late effects of polio. Methods. One hundred fifty-eight persons with late effects of polio responded to a postal questionnaire including the Swedish versions of the Impact on Participation and Autonomy Questionnaire (IPA-S) and Life Satisfaction Questionnaire (LiSat-11). Results. The persons' perceived participation in the five domains of participation in the IPA-S was significantly correlated with their satisfaction with life as a whole and with most of the 10 domains of life satisfaction. Significant differences in satisfaction with life as a whole and with eight of the 10 domains in LiSat-11 were found between groups of increasing severe problems with participation. Greater number of reports of severe problems with participation corresponded with gradually decreased satisfaction with life as a whole and with satisfaction in the eight domains in LiSat-11. Conclusions. Perceived participation and problems with participation in life situations are determinants of life satisfaction in persons with late effects of polio. This implies that addressing participation and problems with participation in the rehabilitation of persons with late effects of polio may lead to an enhanced life satisfaction.

  • 487.
    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 (Annet (populærvitenskap, debatt, mm))
  • 488.
    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 (Annet (populærvitenskap, debatt, mm))
  • 489.
    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 injury2012Inngår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 19, nr 2, s. 164-175Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 490.
    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 others2011Inngår i: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 6, nr 5, s. 402-411Artikkel i tidsskrift (Fagfellevurdert)
    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

  • 491.
    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 controls2016Inngår i: 1st CONTEC-ENOTHE Congress: National University of Ireland, Galway 15-19 June 2016, 2016, s. 156-Konferansepaper (Fagfellevurdert)
  • 492.
    Larsson-Lund, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nordlund, Anders
    Bernspång, Birgitta
    Institutionen för samhällsmedicin och rehabilitering, Umeå universitet.
    Lexell, Jan
    Luleå tekniska universitet, Institutionen för hälsovetenskap.
    Perceived participation and problems in participation are determinants of life satisfaction in people with spinal cord injury2007Inngår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 29, nr 18, s. 1417-1422Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose. To determine the relationships between perceived participation and problems in participation, and life satisfaction in people with spinal cord injury (SCI). Method. A total of 157 men and women with SCI completed the Swedish versions of the Impact on Participation and Autonomy Questionnaire (IPA) and the Life Satisfaction Questionnaire (LiSat-9). Results. The respondents' perceived participation in the five domains of the IPA was significantly correlated with their satisfaction with life as a whole (P < 0.01) and in most of the eight other domains of life satisfaction (P < 0.05 to P < 0.01) in the LiSat-9. The respondents' life satisfaction decreased gradually with increasing frequency of severe problems in participation and significant differences within groups of increasingly severe problems were found. The level of life satisfaction in respondents that perceived no severe problems with participation was similar to those of a normal population. Conclusions. Perceived participation and problems in participation are determinants of life satisfaction in people with SCI. The results emphasize the importance to focus on severe problems with participation in order to optimize life satisfaction during the rehabilitation after SCI.

  • 493.
    Larsson-Lund, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nordlund, Anders
    Nygård, Louise
    Karolinska institutet, Divison of occupational therapy. Department of Neurotec.
    Lexell, Jan
    Luleå tekniska universitet, Institutionen för hälsovetenskap.
    Bernspång, Birgitta
    Umeå University, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Perceptions of participation and predictors of perceived problems with participation in persons with spinal cord injury2005Inngår i: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 37, nr 1, s. 3-8Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: To describe how persons with spinal cord injury perceived their participation in life situations and to determine the relationship between their participation and perceived problems therewith. The purpose was also to evaluate the influence of age, sex, level of injury, time since injury, marital status and access to social support on perceived problems with participation. Design: Cross-sectional. Subjects: One hundred sixty-one persons with spinal cord injury. Methods: A postal questionnaire including socio-demographic characteristics and a Swedish version of the Impact on Participation and Autonomy questionnaire. Results: A majority of the respondents perceived their participation as sufficient in most activities addressed. Still, a majority of the respondents perceived one or more severe problems with their participation. Access to social support was the most influencing variable in predicting perceived severe problems with participation as compared with certain personal and health-related factors. Conclusion: The results suggest that it is important to consider access to social support along with other factors in the person-environment interaction and their influence on severe problems with participation in enhancing clients' participation in rehabilitation.

  • 494.
    Larsson-Lund, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nygård, Louise
    Karolinska institutet, Divison of occupational therapy. Department of Neurotec.
    Incorporating or resisting assistive devices: Different approaches to achieving a desired occupational self-image2003Inngår i: OTJR (Thorofare, N.J.), ISSN 1539-4492, E-ISSN 1938-2383, Vol. 23, nr 2, s. 67-75Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The purpose of this study was to enhance the understanding of how people with disabilities experience the meaning of their assistive devices in their occupations and how they act on their experiences. Seventeen participants were interviewed and data were analyzed using a qualitative approach. The participants' experiences showed that they reacted differently to the manifold and often contradictory meaning of assistive devices. The analysts organized the participants' reactions into three categories: pragmatic users, ambivalent users, and reluctant users. The differences between the participants were understood as representing different adaptive approaches to achieve desired occupational self-images. Thus, the assistive devices were not in themselves important, but were merely a means to achieve a desired self-image. The findings reflect that the participants' experiences of using assistive devices reveal meanings about their use that go beyond the traditional medical perspective that focuses on the role of assistive devices as compensation for physical impairment

  • 495.
    Larsson-Lund, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nygård, Louise
    Umeå University, Department of Community Medicine and Rehabilitation.
    Occupational life in the home environment: the experiences of people with disabilities2004Inngår i: Canadian Journal of Occupational Therapy / Revue Canadienne d`Ergotèrapie, ISSN 0008-4174, Vol. 71, nr 1, s. 243-51Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: There is a need to empirically explore the occupational engagement of people with disabilities to support the development of occupational therapy interventions. PURPOSE: This study describes how people with disabilities experience their occupational lives in their home environment. METHOD: Thirteen people with physical disabilities living at home were interviewed and data were subsequently analysed using a constant comparative method. RESULTS: The findings showed that interactions between the individuals and their environment influenced their experiences of engaging in occupations and the meaning of their home. Occupations formed three categories: always performed with others, occasionally disrupted or deprived. These were particularly related to the social support that was provided under different conditions. This condition formed a central category: access to social support for occupations. Their experiences of performing occupations in the home also formed another central category: transformed meaning of the home. PRACTICE IMPLICATIONS: By understanding enabling conditions as well as barriers to occupational engagement, effective occupational therapy interventions can be developed to support the occupational lives of people with disabilities

  • 496.
    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 work2014Inngår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 36, nr 19, s. 1618-1625Artikkel i tidsskrift (Fagfellevurdert)
    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

  • 497.
    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 forskning2017Konferansepaper (Fagfellevurdert)
    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.

  • 498.
    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?2017Konferansepaper (Fagfellevurdert)
    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.

  • 499.
    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 possibilities2019Inngår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 500.
    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 challenges2017Inngår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 24, nr 6, s. 393-397Artikkel i tidsskrift (Fagfellevurdert)
    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.

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