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Fredriksson, Carin
Publications (10 of 19) Show all publications
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
Open this publication in new window or tab >>Children with congenital limb deficiency: Parent’s experiences of their role in decision and treatment
2018 (English)In: Book of Abstracts / [ed] Burger, Helena & Mlakar, Maja, Ljubljana, Slovenia: ISPO Slovenia , 2018, p. 68-68Conference paper, Oral presentation with published abstract (Refereed)
Place, publisher, year, edition, pages
Ljubljana, Slovenia: ISPO Slovenia, 2018
National Category
Orthopaedics
Identifiers
urn:nbn:se:oru:diva-73834 (URN)978-961-288-734-6 (ISBN)
Conference
International Central European ISPO Conference 2018, Portoroz, Slovenia, September 20-22, 2018
Available from: 2019-04-17 Created: 2019-04-17 Last updated: 2019-04-17Bibliographically approved
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.
Open this publication in new window or tab >>Parent’s experiences of their role in decision and treatment for children with congenital limb deficiency
2018 (English)Conference paper, Poster (with or without abstract) (Refereed)
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.

National Category
Occupational Therapy
Identifiers
urn:nbn:se:oru:diva-70785 (URN)
Conference
WFOT Congress 2018, Cape Town, South Africa,May 21-25, 2018
Available from: 2018-12-17 Created: 2018-12-17 Last updated: 2018-12-18Bibliographically approved
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.
Open this publication in new window or tab >>Possibilities and hindrances in daily occupations for older readmitted people discharged to home
2018 (English)Conference paper, Poster (with or without abstract) (Refereed)
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.

Keywords
Activities of daily living, Aging, Patient readmission, Patient discharge
National Category
Health Sciences Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:oru:diva-71077 (URN)
Conference
International Congress of the World Federation of Occupational Therapy (WFOT), Cape Town, South Africa, May 22-25, 2018
Available from: 2019-01-02 Created: 2019-01-02 Last updated: 2019-01-22Bibliographically approved
Hagberg, L., Hermansson, L. M., Fredriksson, C. & Pettersson, I. (2017). Cost-effectiveness of powered mobility devices for elderly people with disability. Disability and Rehabilitation: Assistive Technology, 12(2), 115-120
Open this publication in new window or tab >>Cost-effectiveness of powered mobility devices for elderly people with disability
2017 (English)In: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 12, no 2, p. 115-120Article in journal (Refereed) Published
Abstract [en]

Purpose: The aim of this study was to analyse the cost-effectiveness of prescribing powered mobility devices (PMDs) to elderly users.

Methods: Forty-five persons participated in the preand post-intervention study with a follow-up at four months. All participants were prescribed a scooter model and were offered individual support to get started using the PMD. In the analysis, the use of the PMD was compared to the situation prior to its use. The cost-utility analysis takes a societal perspective and considers costs, savings and quality of life (QoL) using answers to the EQ-5D questionnaire.

Results: Costs for the first year with the PMD were 1395 USD and then 592 USD per subsequent year. There was a significant decrease in transportation costs and in relatives' time use, but the increase in QoL of 0.041 was not significant. Costs per gained quality adjusted life year (QALY) were 12 400-14 700 USD/QALY if the value of time saved not was considered and 600-2900 USD/QALY when an hour was valued at 3.6 USD.

Conclusion: Prescription of PMDs to elderly users might be cost-effective. However, there are shortcomings in measuring QALY gains from the use of a PMD, and it is unclear how time savings among relatives should be valued.

Implications for Rehabilitation

  • Prescription of powered mobility devices for the elderly with disability seems to be cost effective and should be a standard intervention.

  • In economic evaluations of powered mobility devices and other assistive devices, the commonly used analyses methods are not always appropriate and therefore need to be adjusted.

Place, publisher, year, edition, pages
Taylor & Francis, 2017
Keywords
Assistive devices; cost-utility analysis; QALY
National Category
Occupational Therapy
Research subject
Nursing Science w. Occupational Therapy Focus
Identifiers
urn:nbn:se:oru:diva-40113 (URN)10.3109/17483107.2014.1002540 (DOI)000396533100002 ()25634493 (PubMedID)2-s2.0-84938500069 (Scopus ID)
Note

Funding Agencies:

Swedish Institute of Assistive Technology

Promobilia Foundation, Sweden

Available from: 2015-01-02 Created: 2015-01-02 Last updated: 2017-12-05Bibliographically approved
Jönsson, M., Appelros, P. & Fredriksson, C. (2017). Older people readmitted to hospital for acute medical care: Implications for occupational therapy. Scandinavian Journal of Occupational Therapy, 24(2), 143-150
Open this publication in new window or tab >>Older people readmitted to hospital for acute medical care: Implications for occupational therapy
2017 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 24, no 2, p. 143-150Article in journal (Refereed) Published
Abstract [en]

Objective: To compare ADL, cognitive function, risk of pressure sores, malnutrition and falls in older people readmitted to hospital.

Methods: This was a comparative study. Persons ≥ 75 years, who were readmitted to hospital, were assessed using the ADL-taxonomy and the Mini Mental State Examination. Risks of pressure sores, malnutrition and falls were assessed using Risk Assessment Pressure Sores, Short-Form Mini Nutritional Assessment and Downton Fall Risk Index. Data for comparison for ADL were obtained from an earlier study and risk assessments from a national quality register.

Results: Sixty persons were included whose median age was 84 years. The patients had a median of four diagnoses. The mean hospital stay was five days. Most patients were independent in food intake. There was a high degree of dependency in other ADL activities. Nineteen out of 48 patients had 24 point or lower in MMSE. Compared to an age-matched sample, these patients showed a higher risk of pressure sores, risk of falls and dependency in ADL.

Conclusion: There is of importance to assess ADL, cognition, risk of falls and pressure sores to determine the needs of older people who are admitted to hospitals. Such assessments, and necessary interventions taken, may prevent unnecessary readmissions.

Place, publisher, year, edition, pages
Oxfordshire, United Kingdom: Taylor & Francis, 2017
Keywords
ADL-taxonomy, cognition, frail elderly, MMSE, occupational performance
National Category
Geriatrics
Research subject
Geriatrics
Identifiers
urn:nbn:se:oru:diva-52411 (URN)10.1080/11038128.2016.1227367 (DOI)000395105700008 ()27633187 (PubMedID)2-s2.0-84987859165 (Scopus ID)
Note

Funding Agency:

Department of Medicine, University Hospital, Region Örebro County

Available from: 2016-09-21 Created: 2016-09-20 Last updated: 2019-01-22Bibliographically approved
Jönsson, M., Appelros, P. & Fredriksson, C. (2016). Elderly people readmitted to hospital for acute medical care: Implications for occupational therapy. In: Abstracts of the 12th Congress of the European Union Geriatric Medicine Society: . Paper presented at 12th Congress of the European Union Geriatric Medicine Society (EUMGS), Lisbon, Portugal, October 5-7, 2016 (pp. 6). Elsevier, 7, Article ID P-030.
Open this publication in new window or tab >>Elderly people readmitted to hospital for acute medical care: Implications for occupational therapy
2016 (English)In: Abstracts of the 12th Congress of the European Union Geriatric Medicine Society, Elsevier, 2016, Vol. 7, p. 6-, article id P-030Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Introduction: Being old and visiting acute care several times has been shown to be more than a medical problem. Aging individuals often have a vulnerable life situation, with physical frailty combined with mental disorders. In occupational therapy it is important to assess and describe the elderly patients’ ability to perform activities of daily living (ADL) and cognitive function. The aim is to describe ADL, cognitive function but also the risk for pressure sores, malnutrition and falls in this group.

Methods: This was a comparative study, where data were collected during four months. Persons 75 years, were assessed on one occasion by an occupational therapist using the ADL-taxonomy and the MMSE. Risks for pressure sores, malnutrition and falls were assessed using Risk Assessment Pressure Sores, Mini Nutritional Assessment, and Downton Fall Risk Index. External data was used for comparison.Results:60 persons were included, mean age was 84 years. The patients had a median of 4 diagnoses. Mean hospital stay was 5 days. Most patients were independent in food intake. There was a high degree of dependency in other ADL activities. Nineteen of 48 patients had 24 point or lower in MMSE. Compared to an age-matched sample, these patients showed a higher risk for pressure sores, risk for falls and dependency in ADL.

Conclusion: There is a need for assessments of ADL, cognition, risk for falls, and pressure sores in older people who are readmitted to hospitals. Such assessments, and necessary interventions taken, may prevent unnecessary admissions.

Place, publisher, year, edition, pages
Elsevier, 2016
Series
European Geriatric Medicine, ISSN 1878-7649 ; 7
Keywords
Older people, Readmission, ADL, cognive function
National Category
Health Sciences Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:oru:diva-71073 (URN)
Conference
12th Congress of the European Union Geriatric Medicine Society (EUMGS), Lisbon, Portugal, October 5-7, 2016
Available from: 2019-01-02 Created: 2019-01-02 Last updated: 2019-04-03Bibliographically approved
Pettersson, I., Hagberg, L., Fredriksson, C. & Hermansson, L. M. (2016). The effect of powered scooters on activity, participation and quality of life in elderly users. Disability and Rehabilitation: Assistive Technology, 11(7), 558-563
Open this publication in new window or tab >>The effect of powered scooters on activity, participation and quality of life in elderly users
2016 (English)In: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 11, no 7, p. 558-563Article in journal (Refereed) Published
Abstract [en]

Purpose: The aim was to explore the effect of using a powered mobility device (PMD) on older peoples’ activity, participation and quality of life (QoL).

Method: A pre- and post-intervention design with outcome measures for activity, participation (Individually Prioritized Problem Assessment, IPPA; World Health Organization Disability Assessment Schedule, WHODAS 2.0) and QoL (SF-36) were used. T-test was used to analyse the data. The magnitude of the effects was measured by Cohen’s criteria for effect sizes (d).

Results: The sample consisted of 45 individuals (36 men) aged 66–88 years referred for prescription of a PMD. All were prescribed a powered scooter (PS). A statistically significant improvement with a large effect on IPPA in the ICF domains of Self-care (d¼2.47), Domestic life (d¼2.40), Interpersonal interactions and relationships (d¼2.08), and Community, social, and civic life (d¼2.36) was found. Medium-sized improvement on the WHODAS 2.0 domain of Participation and small improvements in the SF-36 domains of Physical Health and Role-Physical were also found.

Conclusion: A PS has significant effects on the areas of activity, participation and QoL in elderly people. These findings have implications for prescriptions of a PS to this population.

Place, publisher, year, edition, pages
Taylor & Francis, 2016
Keywords
Aged, assistive technology, ICF, mobility, limitation, powered mobility devices
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:oru:diva-40304 (URN)10.3109/17483107.2015.1027301 (DOI)000386460300003 ()25799878 (PubMedID)2-s2.0-84984620299 (Scopus ID)
Available from: 2015-01-08 Created: 2015-01-08 Last updated: 2018-07-09Bibliographically approved
Pettersson, I., Hagberg, L., Fredriksson, C. & Hermansson, L. M. N. (2015). Effekten av en eldriven rullstol (scooter) för äldre personer. In: : . Paper presented at Arbetsterapiforum 2015, Göteborg, 15-16 april, 2015.. Stockholm
Open this publication in new window or tab >>Effekten av en eldriven rullstol (scooter) för äldre personer
2015 (Swedish)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [sv]

Bakgrund: Att kunna förflytta sig är ofta en förutsättning för att kunna delta i olika aktiviteter, en eldriven rullstol kan bidra till detta.

Syfte: Syftet var att undersöka effekten av en eldriven rullstol på äldre personers aktivitet, delaktighet och livskvalitet.

Metod: Personer > 65 år som för första gången remitterats till Centrum för hjälpmedel; ÖLL, för utprovning av eldriven rullstol för utomhusbruk inkluderades konsekutivt. Mätning gjordes före förskrivning och efter 4 månaders användning av eldriven rullstol med olika instrument för aktivitet, delaktighet (Individually Prioritized Problem Assessment, IPPA och WHO-Disability Assessment Schedule, WHODAS 2.0) och hälsorelaterad livskvalitet (SF-36). Analyser genomfördes med t-test. Cohens d användes för beräkning av effektstorlek. För att klassificera deltagarnas självskattade aktivitetsproblem (IPPA) användes Klassifikation av funktionstillstånd, funktionshinder och hälsa (ICF).

Resultat/preliminärt resultat: Fyrtiofem personer (m=78 år, 36 män, 9 kvinnor inkluderades, samtliga fick en trehjulig eldriven rullstol med manuell styrning förskriven (scooter). För hela gruppen visade resultatet en statistisk signifikant förbättring med stor effekt av scootern på personernas aktivitetsproblem (IPPA; n=164). Majoriteten av problem var inom områdena Hemliv (i huvudsak olika inköp) och Samhällsgemenskap, socialt och medborgerligt liv (rekreation och fritidsaktiviteter): För hela gruppen framkom små signifikanta förbättringar inom WHODAS 2.0 domän Delaktighet och inom SF-36 index Fysisk hälsa och delskala Fysiska roller. Vid subgruppsanalyser framkom medelstora signifikanta förbättringar för kvinnor inom domänen Delaktighet (WHODAS 2.0) och för män små förbättringar inom delskalorna Fysiska roller och Social funktion (SF-36).

Slutsats: En eldriven scooter har ett stort positivt värde för äldre personers egna prioriterade aktiviteter och en liten effekt på hälsorelaterad livskvalitet.  

Place, publisher, year, edition, pages
Stockholm: , 2015
Keywords
hjälpmedel, eldriven rullstol, äldre, ICF, aktivitet, delaktighet, livskvalitet
National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:oru:diva-44494 (URN)
Conference
Arbetsterapiforum 2015, Göteborg, 15-16 april, 2015.
Projects
Värdet av en eldriven rullstol: fokus på äldre användare, anhöriga och hälsoekonomi
Available from: 2015-04-28 Created: 2015-04-28 Last updated: 2019-04-11Bibliographically approved
Jönsson, M., Fredriksson, C. & Appelros, P. (2014). Activities of daily living, cognitive function,risk for pressure scores, malnutrition and falls in elderlypatients readmitted to medical acute care. In: : . Paper presented at 16th International Congress of the World Federation of Occupational Therapy (WFOT), Yokohama, Japan, June 18-21, 2014.
Open this publication in new window or tab >>Activities of daily living, cognitive function,risk for pressure scores, malnutrition and falls in elderlypatients readmitted to medical acute care
2014 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Introduction: Being old and visiting acute care several times has been shown to be more than a medical problem. Aging individuals often have a vulnerable life situation, with physical frailty combined with mental disorders. It is important to assess and describe the elderly patients´ ability to perform activities of daily living (ADL) and cognitive function in medical acute care.

Objectives: To describe ADL, cognitive function and risk for pressure sores, malnutrition and falls in elderly inpatients readmitted to acute care medical ward.

Design: A prospective cross-sectional study from acute medical ward (n= 60) in Örebro, Sweden. Data were collected during a period of four months.

Methods: The patients were assessed on one occasion by occupational therapist. ADL were assessed using the ADL-taxonomy. Cognitive function was assessed using the MMSE (n=48). Risk assessments for pressure sores, malnutrition and falls were assessed using the Senior alert register.

Results:Mean age was 84 years, mean hospital stay 5 days and the most common head-diagnosis heart failure. Most patients were independent in “Eating and Drinking”. When comparing ADL between patients (n=60) and another study (n=684) where the ADL taxonomy were used, showed that there was a significant difference in five of six activities. The assessments of cognitive function showed a higher incidence of cognitive impairment compared to other research. The patients also showed a higher risk for pressure sores and risk for falls compared with persons aged 75 to the Senior alert register.

Conclusion: There is of importance of earlier assessments of ADL, risk for falls, pressure scores and early detection of cognitive impairment for the elderly who are at risk for readmission to medical acute care. An early assessment is vital to allow interventions aimed to reducing inacitivity and avoid hospital stay.

Keywords
Older people, Readmission, ADL, Cognitive function, Pressure sores, Malnutrition, Falls
National Category
Health Sciences Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:oru:diva-71067 (URN)
Conference
16th International Congress of the World Federation of Occupational Therapy (WFOT), Yokohama, Japan, June 18-21, 2014
Available from: 2019-01-02 Created: 2019-01-02 Last updated: 2019-01-22Bibliographically approved
Sjöberg, L., Nilsagård, Y. & Fredriksson, C. (2014). Life situation of adults with congenital limb reduction deficiency in Sweden. Disability and Rehabilitation, 38(18), 1562-1571
Open this publication in new window or tab >>Life situation of adults with congenital limb reduction deficiency in Sweden
2014 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 38, no 18, p. 1562-1571Article in journal (Refereed) Published
Abstract [en]

Purpose: To describe the current life situation of adults with congenital limb reduction deficiencies (CLRD), living in Sweden, regarding their main daily occupation, leisure activities and self-reported general health.

Method: A cross-sectional survey was conducted using a study-specific questionnaire, sent by post. A hundred and seventeen persons with different extent, forms, and levels of CLRD (mean age 33 years) responded to the questionnaire.

Results: Work or study was the main occupation for 86 % of the participants and 50 % had completed a college or university education. Seven per cent were unemployed and three per cent were on sick leave. The participants were highly involved in social and physical activities during leisure time. The majority reported good or very good general health.

Conclusion: This study is the first investigation of the life situation of adults with CLRD described with a perspective from Swedish society. The participants were educated and worked to a great extent, which corresponds well to the Swedish population as a whole. Further research is needed especially with a focus on the internal perspective of life situation, different aspects of work capacity, occurences of strain injuries and the benefit of assistive devices among adults with CLRD.

Place, publisher, year, edition, pages
Informa Healthcare, 2014
Keywords
adults, congenital limb reduction deficiency, daily occupation, life situation
National Category
Nursing
Research subject
Occupational therapy
Identifiers
urn:nbn:se:oru:diva-32602 (URN)10.3109/09638288.2013.854839 (DOI)000341971300013 ()24236497 (PubMedID)2-s2.0-84907061453 (Scopus ID)
Note

Funding agencies:

Norrbacka Eugenia-foundation, Stockholm  

Centre for Health Care Sciences, Örebro University Hospital

Available from: 2013-12-03 Created: 2013-12-03 Last updated: 2018-06-04Bibliographically approved
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