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Jönsson, M., Holmefur, M., Appelros, P. & Fredriksson, C. (2024). Close relatives' perspectives of everyday activities at home for older adults repeatedly readmitted to hospital: A qualitative study. British Journal of Occupational Therapy (1), 39-48
Åpne denne publikasjonen i ny fane eller vindu >>Close relatives' perspectives of everyday activities at home for older adults repeatedly readmitted to hospital: A qualitative study
2024 (engelsk)Inngår i: British Journal of Occupational Therapy, ISSN 0308-0226, E-ISSN 1477-6006, nr 1, s. 39-48Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Introduction: Relatives are important when older adults return home after a hospital stay. The aim of this study was to describe close relatives' perspectives of the everyday activities of older adults who are repeatedly readmitted to hospital and discharged to home.

Methods: A semi-structured interview was performed to collect data from twenty relatives (aged 45-82 years). Data were analysed using a deductive qualitative content analysis based on the results of a previous study within this field.

Results: The overall theme 'In need of support to manage an unpredictable everyday life' shows that the older adults often needed support in everyday activities. In the two categories 'Difficulties in dealing with an unstable day' and 'Managing an unstable day' and the 10 subcategories, close relatives described that the older adults needed support in various ways from relatives or other individuals. Close contact was important for how everyday activities worked at home and in maintaining social contacts and contact with healthcare.

Conclusion: It was found that social needs, such as social contacts/activities, are just as important to assess at discharge as medical and functional needs.

sted, utgiver, år, opplag, sider
Sage Publications, 2024
Emneord
Ageing, everyday activities, patient readmission, occupational therapy, qualitative research, relatives
HSV kategori
Identifikatorer
urn:nbn:se:oru:diva-108623 (URN)10.1177/03080226231191366 (DOI)001060087200001 ()2-s2.0-85170556850 (Scopus ID)
Tilgjengelig fra: 2023-10-03 Laget: 2023-10-03 Sist oppdatert: 2024-03-04bibliografisk kontrollert
Sjöberg, L., Hermansson, L., Lindner, H. & Fredriksson, C. (2022). Adolescents with congenital limb reduction deficiency: Perceptions of treatment during childhood and its meaning for their current and future situation. Child Care Health and Development, 48(4), 613-622
Åpne denne publikasjonen i ny fane eller vindu >>Adolescents with congenital limb reduction deficiency: Perceptions of treatment during childhood and its meaning for their current and future situation
2022 (engelsk)Inngår i: Child Care Health and Development, ISSN 0305-1862, E-ISSN 1365-2214, Vol. 48, nr 4, s. 613-622Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: Children with congenital limb reduction deficiency live with the decisions made by their parents and healthcare professionals about treatments to be carried out during the first years of life. To understand better the meaning of treatment during childhood, it is necessary to listen to adolescents who have had this experience. The aim of this study was to investigate the perceptions of adolescents with congenital limb reduction deficiency concerning the treatment they received during childhood and what it meant to them currently and in the future.

Methods: A descriptive design with a qualitative approach was used. Semi-structured interviews were conducted with 10 adolescents (six girls and four boys) with upper and/or lower limb reduction deficiency, median age 17.5 years (range 16–19). The interview data were analysed using a phenomenographic approach.

Results: The treatment received during childhood had contributed to shaping the adolescents, as shown in the emerging description categories Creating opportunities, Choosing one's own path and Belonging in a context. Their current situation fell into three categories: A continuous journey, indicating that they still used the skills learned during childhood; Leaving the door open, indicating that they were not currently using the skills learned during childhood, but felt that there could be opportunities ahead; and Closing a chapter, indicating that they had stopped using their prosthesis or assistive devices and no longer needed those skills. Further, the adolescents' thoughts about the future are portrayed in the categories Uncertainty about the future and Confidence about the future.

Conclusions: An understanding of the meaning of treatment received during childhood may help improve the delivery of treatment and continued support to meet the needs of children with congenital limb reduction deficiency in the short and long term.

sted, utgiver, år, opplag, sider
John Wiley & Sons, 2022
Emneord
limb malformations, paediatric rehabilitation, phenomenography
HSV kategori
Forskningsprogram
Arbetsterapi; Pediatrik; Ortopedi
Identifikatorer
urn:nbn:se:oru:diva-96807 (URN)10.1111/cch.12967 (DOI)000747423500001 ()35043417 (PubMedID)2-s2.0-85123703865 (Scopus ID)
Forskningsfinansiär
Norrbacka-Eugenia FoundationFredrik och Ingrid Thurings Stiftelse
Merknad

Funding agencies:

Faculty of Medicine and Health, Örebro University, Örebro, Sweden

Research Committee, Region Örebro County, Sweden

Tilgjengelig fra: 2022-01-28 Laget: 2022-01-28 Sist oppdatert: 2023-12-08bibliografisk kontrollert
Jönsson, M., Fredriksson, C., Holmefur, M. & Appelros, P. (2022). Close relatives ́perspectives of everyday activities for older people readmitted to hospital and discharge to home. In: : . Paper presented at World Federation of Occupational Therapists Congress, Paris, France, 28-31 August, 2022..
Åpne denne publikasjonen i ny fane eller vindu >>Close relatives ́perspectives of everyday activities for older people readmitted to hospital and discharge to home
2022 (engelsk)Konferansepaper, Oral presentation only (Annet vitenskapelig)
HSV kategori
Identifikatorer
urn:nbn:se:oru:diva-105839 (URN)
Konferanse
World Federation of Occupational Therapists Congress, Paris, France, 28-31 August, 2022.
Tilgjengelig fra: 2023-05-04 Laget: 2023-05-04 Sist oppdatert: 2024-03-04bibliografisk kontrollert
Jönsson, M., Holmefur, M. & Fredriksson, C. (2022). Everyday activities at home: Experiences of older repeatedly readmitted people. Scandinavian Journal of Occupational Therapy, 29(7), 555-562
Åpne denne publikasjonen i ny fane eller vindu >>Everyday activities at home: Experiences of older repeatedly readmitted people
2022 (engelsk)Inngår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 29, nr 7, s. 555-562Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

INTRODUCTION: Limitations in everyday activities are a risk factor for hospital readmission. Despite this, few studies have focussed on everyday activities of repeatedly readmitted older people. The experiences and specific needs of this group have been poorly described regarding their everyday activities at home. A deeper understanding may help occupational therapists and other health professions to facilitate readiness for this group at and after discharge. The aim of this study was, therefore, to describe the experiences of performing everyday activities of older people repeatedly readmitted to hospital and discharged to home.

METHODS: A qualitative interview study was used to collect data from sixteen participants (75 years and older). Data were analysed using qualitative content analysis.

RESULTS: One theme 'trying to manage an unpredictable everyday life' and two categories describe experiences of everyday activities at home. The participants expressed the importance of continuing everyday activities after discharge where support from relatives and healthcare seemed to be of importance.

CONCLUSION: It was found that performance of everyday activities and contact with family members were of importance in their everyday life. Therefore, assessments and support were of particular importance for the group of older people who do not have close social relations at home.

sted, utgiver, år, opplag, sider
Informa Healthcare, 2022
Emneord
Activities of daily living, aging, everyday activities, occupational therapy, patient discharge, patient readmission, performance
HSV kategori
Identifikatorer
urn:nbn:se:oru:diva-87556 (URN)10.1080/11038128.2020.1849393 (DOI)000591821900001 ()33222567 (PubMedID)2-s2.0-85096541841 (Scopus ID)
Merknad

Funding Agency:

Regions Örebro County 

Tilgjengelig fra: 2020-11-24 Laget: 2020-11-24 Sist oppdatert: 2024-03-04bibliografisk kontrollert
Fredriksson, C., Pettersson, I., Hagberg, L. & Hermansson, L. (2022). The value of powered mobility scooters from the perspective of elderly spouses of the users: a qualitative study. Disability and Rehabilitation: Assistive Technology, 17(7), 747-751
Åpne denne publikasjonen i ny fane eller vindu >>The value of powered mobility scooters from the perspective of elderly spouses of the users: a qualitative study
2022 (engelsk)Inngår i: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 17, nr 7, s. 747-751Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Purpose: To explore spouses’ experiences of the value of mobility scooters prescribed to their partner.

Material and Methods: A descriptive design with a qualitative approach was used. Thirteen spouses (11 females) aged 65–86 years participated. Semi-structured interviews were conducted when the spouse’s partner had had the mobility scooter for 4–6 months. The interviews were analysed using qualitative content analysis.

Results: The interviews showed primarily that the spouses experienced that their everyday lives and life situation had improved since their partner had received a mobility scooter. They reported that they could engage in activities of their own choice to a greater extent. The prescription of a mobility scooter to their partner had also yielded a sense of freedom related to shared activities. On the other hand, the spouses  described some of the scooter’s limitations. Three categories emerged: a sense of freedom related to thespouse’s own activities, a sense of freedom related to shared activities and a somewhat restricted freedom.

Conclusion: Prescription of a powered mobility scooter was of value to the users’ spouses because it facilitated independent and shared activities and participation in the community. The value was mainly expressed as a sense of freedom when doing things on their own or together with their partner. Spouses are key persons in the rehabilitation of people with mobility restrictions. Their views on the assistive device may influence the rehabilitation process. Knowledge of spouses’ experiences is thus crucial, as this may influence the future rehabilitation outcome.

sted, utgiver, år, opplag, sider
Taylor & Francis, 2022
Emneord
Assistive technology, powered mobility devices, ICF, aged, mobility limitation
HSV kategori
Identifikatorer
urn:nbn:se:oru:diva-84678 (URN)10.1080/17483107.2020.1804632 (DOI)000558407900001 ()32776786 (PubMedID)2-s2.0-85089299595 (Scopus ID)
Merknad

Funding Agencies:

Swedish Institute of Assistive Technology  

Promobilia Foundation, Sweden 

Tilgjengelig fra: 2020-08-11 Laget: 2020-08-11 Sist oppdatert: 2024-03-04bibliografisk kontrollert
Sjöberg, L., Hermansson, L., Lindner, H. Y. & Fredriksson, C. (2020). Swedish parents' experiences of their role in treatment for children with congenital limb reduction deficiency: Decision‐making and treatment support. Child Care Health and Development, 46(6), 723-732
Åpne denne publikasjonen i ny fane eller vindu >>Swedish parents' experiences of their role in treatment for children with congenital limb reduction deficiency: Decision‐making and treatment support
2020 (engelsk)Inngår i: Child Care Health and Development, ISSN 0305-1862, E-ISSN 1365-2214, Vol. 46, nr 6, s. 723-732Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: Parents of children with congenital limb reduction deficiency have an essential role in making treatment decisions during their child's first years of life. Treatment options usually concern surgical and/or prosthetic treatment. To tailor treatment options to fit different family values and priorities, the family‐centred approach indicates the importance of understanding the parental role in partnership with health care professionals. The aim of this study was to describe parents' experiences of their role in decision‐making and treatment for children with congenital limb reduction deficiency.

Methods: A descriptive design with a qualitative approach was used. Semi‐structured interviews were conducted with 17 parents (12 mothers and 5 fathers) of children with upper and/or lower limb deficiency (mean age 5.9 years). The interview data were analysed using qualitative content analysis with an inductive approach.

Results: Two major themes emerged from the data. The first theme, being a decision maker for someone else, was described as an ambivalent parental role, including collaboration within the family and with health care professionals. The second theme, becoming and being a treatment supporter in the child's everyday life, was made up of four categories: being a supporter of the child in everyday activities, mentoring the child to handle encounters with others, becoming a coordinator of information and being an ‘extended arm’ of the health care provision for the child.

Conclusions: This study enhances our understanding of the parental role in decision‐making and treatment for children with congenital limb reduction deficiency. The results may contribute to the continued development of the family‐centred service approach by providing guidelines for treatment programmes, with the goal of improving decision support and broadening the support for parents during treatment for these children.

sted, utgiver, år, opplag, sider
John Wiley & Sons, 2020
Emneord
family-centred service, paediatric rehabilitation, parental role, qualitative
HSV kategori
Forskningsprogram
Arbetsterapi
Identifikatorer
urn:nbn:se:oru:diva-84974 (URN)10.1111/cch.12802 (DOI)000560146800001 ()32789897 (PubMedID)2-s2.0-85089484429 (Scopus ID)
Merknad

Funding Agencies:

Faculty of Medicine and Health, Örebro University, Örebro, Sweden  

Research Committee, Region Örebro County, Sweden  

Norrbacka-Eugenia Foundation, Stockholm, Sweden 

Tilgjengelig fra: 2020-08-19 Laget: 2020-08-19 Sist oppdatert: 2024-03-04bibliografisk kontrollert
Forsberg, A., Fredriksson, C., Hermansson, L., Holmefur, M. & Nilsagård, Y. (2019). Prescribing rolling walkers: A survey study of experiences from physiotherapists. In: : . Paper presented at World Confederation of Physiotherapists Congress, Geneva, Switzerland, 10-13 May, 2019..
Åpne denne publikasjonen i ny fane eller vindu >>Prescribing rolling walkers: A survey study of experiences from physiotherapists
Vise andre…
2019 (engelsk)Konferansepaper, Poster (with or without abstract) (Fagfellevurdert)
Emneord
Assistive device, prescription, older people
HSV kategori
Identifikatorer
urn:nbn:se:oru:diva-83585 (URN)
Konferanse
World Confederation of Physiotherapists Congress, Geneva, Switzerland, 10-13 May, 2019.
Tilgjengelig fra: 2020-06-24 Laget: 2020-06-24 Sist oppdatert: 2024-03-04bibliografisk kontrollert
Sjöberg, L., Hermansson, L. & Fredriksson, C. (2018). Children with congenital limb deficiency: Parent’s experiences of their role in decision and treatment. In: Burger, Helena & Mlakar, Maja (Ed.), Book of Abstracts: . Paper presented at International Central European ISPO Conference 2018, Portoroz, Slovenia, September 20-22, 2018 (pp. 68-68). Ljubljana, Slovenia: ISPO Slovenia
Åpne denne publikasjonen i ny fane eller vindu >>Children with congenital limb deficiency: Parent’s experiences of their role in decision and treatment
2018 (engelsk)Inngår i: Book of Abstracts / [ed] Burger, Helena & Mlakar, Maja, Ljubljana, Slovenia: ISPO Slovenia , 2018, s. 68-68Konferansepaper, Oral presentation with published abstract (Fagfellevurdert)
sted, utgiver, år, opplag, sider
Ljubljana, Slovenia: ISPO Slovenia, 2018
HSV kategori
Identifikatorer
urn:nbn:se:oru:diva-73834 (URN)978-961-288-734-6 (ISBN)
Konferanse
International Central European ISPO Conference 2018, Portoroz, Slovenia, September 20-22, 2018
Tilgjengelig fra: 2019-04-17 Laget: 2019-04-17 Sist oppdatert: 2024-05-22bibliografisk kontrollert
Sjöberg, L., Hermansson, L. & Fredriksson, C. (2018). Parent’s experiences of their role in decision and treatment for children with congenital limb deficiency. In: : . Paper presented at WFOT Congress 2018, Cape Town, South Africa, May 21-25, 2018.
Åpne denne publikasjonen i ny fane eller vindu >>Parent’s experiences of their role in decision and treatment for children with congenital limb deficiency
2018 (engelsk)Konferansepaper, Poster (with or without abstract) (Fagfellevurdert)
Abstract [en]

Introduction: In the past decade the relationship between parents, families and health service providers has changed. Parents are increasingly involved in decision making and treatment processes. Parents to children with congenital limb deficiency are facing many decisions related to their child during the child’s first years; decisions about e.g. when or if to start interventions. Usually interventions concern surgical and/or prosthetic treatment.

Objectives: The aim of this study is to describe parent´s experiences of their role in decision-making and treatment for children with congenital limb deficiency. 

Method: Qualitative data were collected through semi-structured individual interviews. The interviews were conducted with parents to children, one to ten year of age, with some kind of congenital limb deficiency. The data was analyzed using qualitative content analysis with inductive approach.    

Results: The result from the analysis shows themes revealing parents’ experiences of being a collaborator within the family and between health providers and family, facing and handling early decisions for the child, and, being and acting as a supporter in everyday life.

Conclusion: The results contribute to new knowledge and understanding of parents’ role in decision and treatment of children with congenital limb deficiency. This may help to further improvement of family centered health service for families with children with congenital disabilities.

HSV kategori
Identifikatorer
urn:nbn:se:oru:diva-70785 (URN)
Konferanse
WFOT Congress 2018, Cape Town, South Africa, May 21-25, 2018
Tilgjengelig fra: 2018-12-17 Laget: 2018-12-17 Sist oppdatert: 2024-03-04bibliografisk kontrollert
Jönsson, M., Holmefur, M. & Fredriksson, C. (2018). Possibilities and hindrances in daily occupations for older readmitted people discharged to home. In: : . Paper presented at International Congress of the World Federation of Occupational Therapy (WFOT), Cape Town, South Africa, May 22-25, 2018.
Åpne denne publikasjonen i ny fane eller vindu >>Possibilities and hindrances in daily occupations for older readmitted people discharged to home
2018 (engelsk)Konferansepaper, Poster (with or without abstract) (Fagfellevurdert)
Abstract [en]

Introduction: Older people admitted to hospital are at risk of decreased ability to perform ADL, lower quality of life and dependency after discharge. There is also a higher risk for readmission to hospital shortly after discharge. The specific needs of this group of older people have been poorly described from these older peoples’ perspective. A deeper understanding may help the occupational therapist and other health professions to choose interventions in order to maintain daily occupations for this group. The aim of this study was to describe barriers and opportunities in daily occupations for older people repeatedly readmitted to hospital and now discharged to home.

Methods: Sixteen participants 75 years and older were interviewed in their homes after discharge from an acute medical ward. A qualitative content analysis was used to analyze barriers and opportunities in daily occupations.

Results: An overarching theme was found trying to manage an unpredictable everyday life. Three categories and seven subcategories were identified representing barriers and opportunities. The categories were Dealing with an unstable day, Dealing with social relations and Dealing with the health care system. These were important for maintaining daily occupations for most of the participants.

Conclusion: The result indicates that daily occupations and contact from relatives were of importance. Therefore, appropriate support and occupational interventions are required in acute care and these must be communicated at discharge. Occupational therapy interventions and timed support are of particular importance for the group of older people who do not have close social relations at home.

Emneord
Activities of daily living, Aging, Patient readmission, Patient discharge
HSV kategori
Forskningsprogram
Arbetsterapi
Identifikatorer
urn:nbn:se:oru:diva-71077 (URN)
Konferanse
International Congress of the World Federation of Occupational Therapy (WFOT), Cape Town, South Africa, May 22-25, 2018
Tilgjengelig fra: 2019-01-02 Laget: 2019-01-02 Sist oppdatert: 2024-03-04bibliografisk kontrollert
Organisasjoner
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0002-9188-7510