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Lundqvist, Lars-OlovORCID iD iconorcid.org/0000-0002-6703-7575
Publications (10 of 69) Show all publications
Jarl, G., Alnemo, J., Tranberg, R. & Lundqvist, L.-O. (2019). Gender differences in attitudes and attributes of people using therapeutic shoes for diabetic foot complications. Journal of Foot and Ankle Research, 12, Article ID 21.
Open this publication in new window or tab >>Gender differences in attitudes and attributes of people using therapeutic shoes for diabetic foot complications
2019 (English)In: Journal of Foot and Ankle Research, ISSN 1757-1146, Vol. 12, article id 21Article in journal (Refereed) Published
Abstract [en]

Background: Therapeutic shoes can prevent diabetic foot reulcerations but their use is complicated by the fact that shoes have psychological and social meanings, which is believed to put a larger burden on women than men. The aim was to compare attitudes and attributes of women and men using therapeutic shoes for diabetic foot complications.

Methods: A questionnaire was posted to 1230 people with diabetes who had been fitted with therapeutic shoes. Women's and men's answers were compared using t-tests, Mann-Whitney U tests and chi-square tests with Fischer's exact tests. P-values<0.05 were considered statistically significant.

Results: Questionnaires from 443 (36.0%) respondents (294 men, 149 women, mean age 69.2years) were analyzed. More men than women (p<0.05) had paid employment (20.4% vs 9.4%), had someone who reminded them to wear their therapeutic shoes (27.6% vs 10.0%), and had a history of foot ulcers (62.9% vs 46.3%) or minor amputation (17.7% vs 6.7%). More women than men received disability pension (18.8% vs 10.2%). Women reported worse general health, lower internal locus of control regarding ulcer prevention, and more negative attitudes to the appearance and price of therapeutic shoes and how they felt about wearing them in public. Other comparisons were non-significant: other shoe attributes, education, diabetes type, current foot ulcers, major amputations, satisfaction with shoe services, understanding of neuropathy as a risk factor, locus of control regarding ulcer healing, belief in the shoes' efficacy to prevent and heal ulcers, worries about ulcer healing and new ulcerations, self-efficacy, depression, shoe use/adherence, paying a fee for therapeutic shoes, and social support.

Conclusions: Men had worse foot complications. Women had worse general health, lower internal locus of control regarding ulcer prevention, and more negative attitudes toward therapeutic shoes. Clinicians should pay more attention to their female patients' concerns. Future research and development should focus on improving the weight and appearance of therapeutic shoes, particularly for women. Research is also needed on how to facilitate the adaption and reevaluation process where patients change from viewing shoes purely as items of clothing to also viewing them as medical interventions.

Place, publisher, year, edition, pages
BMC, 2019
Keywords
Diabetes mellitus, Diabetic foot, Diabetes complications, Shoes, Patient compliance, Treatment adherence and compliance
National Category
Orthopaedics
Identifiers
urn:nbn:se:oru:diva-73768 (URN)10.1186/s13047-019-0327-0 (DOI)000463602200001 ()30976327 (PubMedID)
Note

Funding Agency:

Region Örebro County, Sweden 

Available from: 2019-04-16 Created: 2019-04-16 Last updated: 2019-04-16Bibliographically approved
Selvin, M., Almqvist, K., Kjellin, L., Lundqvist, L.-O. & Schröder, A. (2019). Patient and staff experiences of quality in Swedish forensic psychiatric care: a repeated cross-sectional survey with yearly sampling at two clinics. International Journal of Mental Health Systems, 13, Article ID 8.
Open this publication in new window or tab >>Patient and staff experiences of quality in Swedish forensic psychiatric care: a repeated cross-sectional survey with yearly sampling at two clinics
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2019 (English)In: International Journal of Mental Health Systems, ISSN 1752-4458, E-ISSN 1752-4458, Vol. 13, article id 8Article in journal (Refereed) Published
Abstract [en]

Background: Systematic efforts to improve the quality, safety and value of health care have increased over the last decades. Even so, it is hard to choose priorities and to know when the desired results are reached, especially in forensic psychiatric care where there can be a discrepancy between patient and staff expectations of what good quality of care is and how it should be reached. The aim of the present study was to describe and compare patient and staff experiences of quality of care in two forensic psychiatric clinics over a period of 4years.

Methods: A quantitative design was used and yearly between 2011 and 2014, a total of 105 questionnaires were answered by patients and 598 by staff.

Results: The sample consisted of four different groups; patient and staff in Clinic A and Clinic B respectively. The repeated measurements showed that quality of care, as described by the patients, varied over time, with significant changes over the 4years. The staff evaluations of the quality of care were more stable over time in both clinics compared with the patients. Generally, the staff rated the quality as being better than the patients but these differences tended to decrease when efforts were made to improve the care.

Conclusions: It is important to highlight both what staff and patients perceive as both high and low quality care. With regular measurements and sufficient resources, training, support and leadership, the chances of successful improvement work increase. This knowledge is important in forensic nursing practice, for teaching and for management and decision makers in the constant work of improving forensic psychiatric care.

Place, publisher, year, edition, pages
BMC, 2019
Keywords
Forensic psychiatry, Forensic nursing, Quality improvement
National Category
Psychiatry
Identifiers
urn:nbn:se:oru:diva-72424 (URN)10.1186/s13033-019-0265-z (DOI)000457489600001 ()30733827 (PubMedID)2-s2.0-85061003262 (Scopus ID)
Available from: 2019-02-14 Created: 2019-02-14 Last updated: 2019-02-14Bibliographically approved
Brunt, D., Schröder, A., Lundqvist, L.-O. & Rask, M. (2019). Residents' Perceptions of Quality in Supported Housing for People with Psychiatric Disabilities. Issues in Mental Health Nursing, 40(8), 697-705
Open this publication in new window or tab >>Residents' Perceptions of Quality in Supported Housing for People with Psychiatric Disabilities
2019 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 40, no 8, p. 697-705Article in journal (Refereed) Published
Abstract [en]

The residents' perspective of the quality of housing support for people with psychiatric disabilities living in congregate supported housing has been studied and a comparison has been made with the findings from those from a previous study in ordinary housing with outreach support. One-hundred and seventy-eight residents from 27 supported housing facilities in eight Swedish municipalities completed the Quality of Psychiatric Care-Housing (QPC-H) instrument. The highest quality ratings were found for: Secluded Environment, Encounter and Support, while Participation, Housing Specific and Secure Environment were rated at lower levels. Despite relatively high ratings, a majority of items did not attain the 80% cutoff point deemed as defining satisfactory quality of service. The residents in ordinary housing with outreach support rated higher levels for the majority of the QPC-H dimensions in comparison with those in supported housing. A conclusion is that the quality of care in supported housing facilities has a number of deficiencies that need to be addressed. Supported housing is generally rated as having a lower quality of care than in ordinary housing with outreach support. Suggestions for the content of staff training are made based on the results.

Place, publisher, year, edition, pages
Taylor & Francis, 2019
National Category
Occupational Therapy Psychiatry Nursing
Identifiers
urn:nbn:se:oru:diva-74313 (URN)10.1080/01612840.2019.1585496 (DOI)000478574200008 ()31099719 (PubMedID)2-s2.0-85066105299 (Scopus ID)
Available from: 2019-05-20 Created: 2019-05-20 Last updated: 2019-08-16Bibliographically approved
Matérne, M., Strandberg, T. & Lundqvist, L.-O. (2019). Risk Markers for Not Returning to Work Among Patients with Acquired Brain Injury: A Population-Based Register Study. Journal of occupational rehabilitation
Open this publication in new window or tab >>Risk Markers for Not Returning to Work Among Patients with Acquired Brain Injury: A Population-Based Register Study
2019 (English)In: Journal of occupational rehabilitation, ISSN 1053-0487, E-ISSN 1573-3688Article in journal (Refereed) Epub ahead of print
Abstract [en]

Purpose: The aim of this study is to investigate person-related, injury-related, activity-related and rehabilitation-related risk markers for not return to work among patients with acquired brain injury (ABI).

Methods: Retrospective data from the Quality register, WebRehab Sweden, on an ABI cohort of 2008 patients, was divided into two groups: those who had returned to work (n = 690) and those who had not returned to work (n = 1318) within a year of the injury.

Results: Risk ratio analyses showed that several factors were risk markers for not returning to work: personal factors, including being a woman, being born outside of Sweden, having a low education level, and not having children in the household; injury-related factors, including long hospital stay (over 2 months), aphasia, low motor function, low cognitive function, high pain/discomfort, and high anxiety/depression; activity-related factors, including low function in self-care, inability to perform usual activities, and not having a driver's license; and rehabilitation-related factors, including being dissatisfied with the rehabilitation process and the attentiveness of the staff having limited influence over the rehabilitation plan, or not having a rehabilitation plan at all. Conclusion Several factors in different aspects of life were risk markers for not returning to work among patients with ABI. This suggests that rehabilitation and interventions need to address not only direct injury-related issues, but also person-related, activity-related, and rehabilitation-related factors in order to increase the patient's opportunities to return to work.

Place, publisher, year, edition, pages
Springer, 2019
Keywords
Brain Injuries, Employment, Registries, Rehabilitation, vocational, Return to work
National Category
Other Health Sciences
Research subject
Occupational therapy
Identifiers
urn:nbn:se:oru:diva-73202 (URN)10.1007/s10926-019-09833-6 (DOI)30830502 (PubMedID)
Available from: 2019-03-19 Created: 2019-03-19 Last updated: 2019-03-19Bibliographically approved
Zetterlund, C., Lundqvist, L.-O. & Richter, H. O. (2019). Visual, musculoskeletal and balance symptoms in individuals with visual impairment. Clinical and experimental optometry, 102(1), 63-69
Open this publication in new window or tab >>Visual, musculoskeletal and balance symptoms in individuals with visual impairment
2019 (English)In: Clinical and experimental optometry, ISSN 0816-4622, E-ISSN 1444-0938, Vol. 102, no 1, p. 63-69Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Visual impairment is globally among the most prevalent disabilities. Research concerning the health consequences of visual deficits is challenged by confounding effects of age, because visual impairment becomes more prevalent with age. This study investigates the influence of visual deficits on visual, musculoskeletal and balance symptoms in adults with and without visual impairment, while controlling for age effects.

METHODS: Thirty-nine patients with visual impairment, aged 18-72 years, were compared to 37 age-matched controls with normal vision, allocated to two age groups: < 45 and ≥ 45 years. Self-reported symptoms were measured using the Visual, Musculoskeletal and Balance Symptoms Questionnaire and compared with demographic and optometric variables.

RESULTS: In total, patients with visual impairment reported more symptoms than age-matched normally sighted controls. Younger adults in the control group were almost free from symptoms, whereas younger adults with visual impairment reported levels of symptoms equal to older adults with visual impairment. Multiple logistic regression modelling identified use of eyeglasses, magnifying aids and presence of anisometropia to be the most influential risk factors for reporting visual, musculoskeletal and balance symptoms, with accentuated influence on balance symptoms.

CONCLUSIONS: People with visual impairments and people with age-related normal visual deficits are both predisposed to report visual, musculoskeletal and balance symptoms relative to people without visual defects or need for eye-wear correction. Age-related variations in symptoms were observed in the control groups but not in the visual impairment groups, with younger visual impairment patients reporting as many symptoms as older visual impairment patients. These findings indicate a need for a wider interdisciplinary perspective on eye care concerning people with visual impairment and people with need for habitual daily use of eye wear correction.

Place, publisher, year, edition, pages
Wiley-Blackwell Publishing Inc., 2019
Keywords
Age differences, musculoskeletal and balance symptoms, optometric measures, visual impairment
National Category
Geriatrics
Identifiers
urn:nbn:se:oru:diva-67624 (URN)10.1111/cxo.12806 (DOI)000453531500009 ()29938826 (PubMedID)2-s2.0-85052638671 (Scopus ID)
Note

Funding Agencies:

Capio Research Foundation

Region Örebro län Research Committee

Available from: 2018-06-29 Created: 2018-06-29 Last updated: 2019-01-08Bibliographically approved
Schröder, A. & Lundqvist, L.-O. (2019). What patients think about quality of psychiatric care in different countries. European psychiatry, 56, S373-S373
Open this publication in new window or tab >>What patients think about quality of psychiatric care in different countries
2019 (English)In: European psychiatry, ISSN 0924-9338, E-ISSN 1778-3585, Vol. 56, p. S373-S373Article in journal, Meeting abstract (Other academic) Published
Place, publisher, year, edition, pages
Elsevier, 2019
National Category
Psychiatry
Identifiers
urn:nbn:se:oru:diva-75271 (URN)000471659001161 ()
Available from: 2019-07-24 Created: 2019-07-24 Last updated: 2019-07-24Bibliographically approved
Lobenius Palmér, K., Sjöqvist, B., Hurtig-Wennlöf, A. & Lundqvist, L.-O. (2018). Accelerometer-Assessed Physical Activity and Sedentary Time in Youth With Disabilities. Adapted Physical Activity Quarterly, 35(1), 1-19
Open this publication in new window or tab >>Accelerometer-Assessed Physical Activity and Sedentary Time in Youth With Disabilities
2018 (English)In: Adapted Physical Activity Quarterly, ISSN 0736-5829, E-ISSN 1543-2777, Vol. 35, no 1, p. 1-19Article in journal (Refereed) Published
Abstract [en]

This study compared accelerometer-assessed habitual physical activity (PA), sedentary time, and meeting PA recommendations among 102 youth with disabilities (7-20 years) in four subgroups-physical/visual impairments, intellectual disability, autism spectrum disorders, and hearing impairment-and 800 youth with typical development (8-16 years). Low proportions of youth with disabilities met PA recommendations, and they generally were less physically active and more sedentary than youth with typical development. The hearing impairment and autism spectrum disorder groups were the most and least physically active, respectively. Older age and to some extent female sex were related to less PA and more sedentary time. Considering the suboptimal levels of PA in youth with disabilities, effective interventions directed at factors associated with PA among them are needed.

Place, publisher, year, edition, pages
Human Kinetics, 2018
Keywords
autism spectrum disorder, deaf/hearing impaired, health, intellectual disability, physical disabilities
National Category
Sport and Fitness Sciences
Identifiers
urn:nbn:se:oru:diva-62402 (URN)10.1123/apaq.2015-0065 (DOI)000429368400001 ()29072484 (PubMedID)
Note

Funding Agencies:

Royal Wedding Fund  

National Association for Disabled Children  

Adolescent Research Foundation-RBU's Research Foundation  

Sunnerdahl Handikappfond  

Odd Fellows, Örebro  

Centre for Rehabilitation Research and Research Committee at Region Örebro County 

Available from: 2017-12-28 Created: 2017-12-28 Last updated: 2018-08-16Bibliographically approved
Jarl, G. & Lundqvist, L.-O. (2018). An alternative perspective on assistive technology: the Person-Environment-Tool (PET) model. Assistive technology
Open this publication in new window or tab >>An alternative perspective on assistive technology: the Person-Environment-Tool (PET) model
2018 (English)In: Assistive technology, ISSN 1040-0435, E-ISSN 1949-3614Article in journal (Refereed) Epub ahead of print
Abstract [en]

The medical and social models of disability are based on a dichotomy that categorizes people as able-bodied or disabled. In contrast, the biopsychosocial model, which forms the basis for the International Classification of Functioning, Disability and Health (ICF), suggests a universalistic perspective on human functioning, encompassing all human beings. In this article we argue that the artificial separation of function-enhancing technology into assistive technology (AT) and mainstream technology might be one of the barriers to a universalistic view of human functioning. Thus, an alternative view of AT is needed. The aim of this article was to construct a conceptual model to demonstrate how all human activities and participation depend on factors related to the person, environment, and tools, emphasizing a universalistic perspective on human functioning. In the Person-Environment-Tool (PET) model, a person's activity and participation are described as a function of factors related to the person, environment, and tool, drawing on various ICF components. Importantly, the PET model makes no distinction between people of different ability levels, between environmental modifications intended for people of different ability levels, or between different function-enhancing technologies (AT and mainstream technology). A fictive patient case is used to illustrate how the universalistic view of the PET model lead to a different approach in rehabilitation. The PET model supports a universalistic view of technology use, environmental adaptations, and variations in human functioning.

Place, publisher, year, edition, pages
New York, USA: Taylor & Francis, 2018
National Category
Orthopaedics
Identifiers
urn:nbn:se:oru:diva-66705 (URN)10.1080/10400435.2018.1467514 (DOI)29676966 (PubMedID)
Available from: 2018-04-23 Created: 2018-04-23 Last updated: 2018-08-30Bibliographically approved
Matérne, M., Strandberg, T. & Lundqvist, L.-O. (2018). Change in quality of life in relation to returning to work after acquired brain injury: a population-based register study. Brain Injury, 32(13-14), 1731-1739
Open this publication in new window or tab >>Change in quality of life in relation to returning to work after acquired brain injury: a population-based register study
2018 (English)In: Brain Injury, ISSN 0269-9052, E-ISSN 1362-301X, Vol. 32, no 13-14, p. 1731-1739Article in journal (Refereed) Published
Abstract [en]

PURPOSE: This study investigated changes in quality of life (QoL) in relation to return to work among patients with acquired brain injury (ABI).

METHOD: The sample consisted of 1487 patients with ABI (63% men) aged 18-66 years (mean age 52) from the WebRehab Sweden national quality register database. Only patients who worked at least 50% at admission to hospital and were on full sick leave at discharge from hospital were included. QoL was measured by the EuroQol EQ-5D questionnaire.

RESULTS: Patients who returned to work perceived a larger improvement in QoL from discharge to follow-up one year after injury compared to patients who had not returned to work. This difference remained after adjustment for other factors associated with improved QoL, such as having a university education, increased Extended Glasgow Outcome Scale scores and getting one's driving licence reinstated.

CONCLUSION: Return to work is an important factor for change in QoL among patients with ABI, even after adjusting for other factors related to QoL. This is consistent with the hypothesis that having employment is meaningful, increases self-esteem and fosters participation in society. Thus, helping patients with ABI return to work has a positive influence on QoL.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2018
Keywords
Stroke, life satisfaction, rehabilitation, traumatic brain injury, vocational rehabilitation
National Category
Neurology Occupational Therapy
Identifiers
urn:nbn:se:oru:diva-69466 (URN)10.1080/02699052.2018.1517224 (DOI)000453393600016 ()30296173 (PubMedID)2-s2.0-85054574457 (Scopus ID)
Note

Funding Agency:

University Health Care Research Centre, Region Örebro County, Sweden

Available from: 2018-10-09 Created: 2018-10-09 Last updated: 2019-01-08Bibliographically approved
Lindner, H. Y., Lilienthal, A., Karlsson, G. & Lundqvist, L.-O. (2018). Eye gaze technology to gain access to cognitive processes in individuals with profound intellectual and physical disabilities (PIPD). In: : . Paper presented at Nobel Day Festivities, Örebro University, Örebro, Sweden December 10, 2018.
Open this publication in new window or tab >>Eye gaze technology to gain access to cognitive processes in individuals with profound intellectual and physical disabilities (PIPD)
2018 (English)Conference paper, Poster (with or without abstract) (Other academic)
Abstract [en]

Objective: Individuals with profound intellectual and physical disabilities (PIPD) often cannot speak for themselves and do things for themselves. Their level of cognitive abilities is unclear. Eye gaze technology has the potential to gain access to cognitive processes and eventually enable communication among these individuals.

Method: Six individuals with PIPD were given multiple sessions of eye gaze training (9-36 sessions) between February 17 to October 18. They used a screen eye-tracker (Tobii pc eye-mini) to control the objects/icons on the screen. An eye-gaze training program with different levels of activities was used to teach cause and effect, give appropriate response, explore the whole screen, target specific objects, choosing objects AND turn taking.

Keywords
Eye-tracking, profound intellectual and physical disabilities
National Category
Occupational Therapy Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:oru:diva-71949 (URN)
Conference
Nobel Day Festivities, Örebro University, Örebro, Sweden December 10, 2018
Available from: 2019-01-30 Created: 2019-01-30 Last updated: 2019-02-01Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-6703-7575

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