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Arvidsson Lindvall, MialinnORCID iD iconorcid.org/0000-0002-0009-0953
Alternative names
Publications (10 of 23) Show all publications
Ohlsson-Nevo, E., Arvidsson Lindvall, M., Hellerstedt Börjesson, S., Hagberg, L., Hultgren Hörnquist, E., Valachis, A., . . . Duberg, A. (2023). A Digitally Distributed Yoga Intervention in Breast Cancer Rehabilitation (DigiYogaCaRe): Protocol for a Randomized Controlled Trial. In: : . Paper presented at Nordic Conference in Nursing Research, Reykjavik, Iceland, 2-4 October, 2023.
Open this publication in new window or tab >>A Digitally Distributed Yoga Intervention in Breast Cancer Rehabilitation (DigiYogaCaRe): Protocol for a Randomized Controlled Trial
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2023 (English)Conference paper, Poster (with or without abstract) (Other academic)
National Category
Nursing Physiotherapy Cancer and Oncology
Identifiers
urn:nbn:se:oru:diva-109650 (URN)
Conference
Nordic Conference in Nursing Research, Reykjavik, Iceland, 2-4 October, 2023
Available from: 2023-11-09 Created: 2023-11-09 Last updated: 2024-01-02Bibliographically approved
Appelros, P., Matérne, M., Jarl, G. & Arvidsson Lindvall, M. (2023). Comorbidity in Stroke Survivors in a Medium-Sized Swedish Municipality. In: : . Paper presented at 14th World Congress on Brain Injury, Dublin, Ireland, March 29 April, 2023..
Open this publication in new window or tab >>Comorbidity in Stroke Survivors in a Medium-Sized Swedish Municipality
2023 (English)Conference paper, Poster (with or without abstract) (Other academic)
National Category
Neurology
Identifiers
urn:nbn:se:oru:diva-105849 (URN)
Conference
14th World Congress on Brain Injury, Dublin, Ireland, March 29 April, 2023.
Available from: 2023-05-05 Created: 2023-05-05 Last updated: 2023-11-02Bibliographically approved
Appelros, P., Matérne, M., Jarl, G. & Arvidsson Lindvall, M. (2023). Comorbidity in stroke survivors in a medium-sized Swedish municipality. Paper presented at 14th World Congress on Brain Injury, Dublin, Ireland, March 29 April, 2023. Brain Injury, 37(Suppl. 1), 135-136
Open this publication in new window or tab >>Comorbidity in stroke survivors in a medium-sized Swedish municipality
2023 (English)In: Brain Injury, ISSN 0269-9052, E-ISSN 1362-301X, Vol. 37, no Suppl. 1, p. 135-136Article in journal, Meeting abstract (Other academic) Published
Abstract [en]

Objectives: The purpose of this study was to evaluate the prevalence and impact of stroke-related comorbidity in a community-based sample of stroke survivors. With respect to the patients’ functional outcomes and general health, we wanted to find out which types of comorbidity were most important.

Materials and Methods: All stroke survivors (n = 330) living in a medium-sized Swedish municipality were included. To determine the presence of comorbidities patient records were reviewed. A selection of patient reported outcomes were used to assess subjective symptoms, functional outcomes, and general health. All patients were asked to answer a questionnaire, the Swedish Stroke Register (Riksstroke). Three questions from the questionnaire were used as additional measures of comorbidity. “Do you feel tired?,” “Do you have pain?” and “Do you feel depressed?” As outcome measures the patient reported measures from the Riksstroke questionnaire were used: * Do you still have problems after your stroke? * Have you been able to return to the life and activities you had before the stroke? * How is your mobility now? * Do you get help from someone when visiting the toilet? * Do you get help with dressing and undressing? * How do you assess your general health? Logistic regression models were used to investigate the association between comorbidities, residual symptoms, and subjective symptoms on the one hand, and functional outcomes and general health on the other hand.

Results: Hypertension (80%) was the most common cardiovascular risk factor. Ischemic heart disease was found in 18% and congestive heart failure in 10%. Of non-cardiovascular disorders, orthopedic diseases were commonest (30%). Psychiatric disorders and cognitive impairment were present in 11% and 12% respectively. Logistic regression analyses found that hemiparesis was associated with both poorer functional outcomes and lower general health. Additionally, orthopedic disorders, vertigo, cognitive impairment, nicotine use, chronic pulmonary disorders, and older age, were also associated with poorer functional outcomes. Psychiatric, orthopedic and neurological disorders were associated with poorer general health. The patient-reported outcome measure “feeling of tiredness” was a predictor of both outcomes, while “feeling depressed” and “having pain” were associated with poorer general health.

Conclusions: Many medical conditions, several of which have received little attention so far, are associated with poorer functional outcome and lower general health among stroke survivors. Future research into comorbidities relevant to function and general health in stroke patients could further focus on these disorders that hitherto have received little attention.

Place, publisher, year, edition, pages
Informa Healthcare, 2023
Keywords
Cerebrovascular disorders, Epidemiology, Sweden
National Category
Neurology
Identifiers
urn:nbn:se:oru:diva-110854 (URN)001092280000257 ()
Conference
14th World Congress on Brain Injury, Dublin, Ireland, March 29 April, 2023
Available from: 2024-02-02 Created: 2024-02-02 Last updated: 2024-02-02Bibliographically approved
Arvidsson Lindvall, M., Appelros, P., Forsberg, A. & Anderzen-Carlsson, A. (2023). Experiences of living with balance limitations after first-ever stroke. In: : . Paper presented at World Physiotherapy Congress, WCPT, Geneva, Switzerland, 2019.
Open this publication in new window or tab >>Experiences of living with balance limitations after first-ever stroke
2023 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Background:  

Stroke is the leading cause of serious, long-term disability among adults. Balance control after stroke may be affected due to motor impairment such as muscle weakness, spasticity and impaired sensory function and also cognitive deficits may affect balance control. The balance limitations affect walking and independence in activities of daily living. Having good balance has been described as an important factor in outdoor walking and for participation in exercises. Studies in which persons with stroke describe their experience of balance in everyday life are scarce.

Purpose:  

The aim of the present presentation is to describe experiences of living with balance limitations in everyday life after first-ever stroke.

Methods:  

Twenty persons initially agreed to participate; however, one person later declined further participation, thus giving a sample size of 19 participants (10 females and 9 men), aged between 42-92 years. The inclusion criteria were: having had a first-ever stroke and having self-reported impaired balance, unaffected speech, independence in toileting and dressing, and walking ability indoors and outdoors with or without a walking aid. A qualitative data collection through individual interviews was conducted. Data was analysed by means of an inductive content analysis covering both the manifest and the latent content of the transcribed interviews.

Results:  

The participants' experiences of balance and its influence in everyday life, are presented in two themes. The first theme “Feeling dizzy and unstable is a continuous challenge”, revolves around participants' descriptions of balance as a constant feeling of dizziness and unsteadiness. The second theme “Feeling trust and confidence despite dizziness and unsteadiness” is about perceived abilities and feelings of confidence about still being able to do things oneself, despite the dizziness and unsteadiness.

Conclusion(s):  

All participants experienced the balance limitations as a continuous challenge in everyday life, yet they also felt trust and confidence and experienced that they still managed their everyday life. In future research it would be of interest to establish which strategies can make persons with stroke feel in balance in relation to fear of falling.

Implications:

In physical therapy practice, the experiences of balance limitations after stroke from the person with stroke add valuable information to various assessments. By asking the person about their abilities and challenges in daily living, rehabilitation interventions can be more individualized and based on the person's actual condition and their wishes and needs.

Keywords
stroke, balance experience, qualitative method
National Category
Occupational Therapy Physiotherapy Neurology
Identifiers
urn:nbn:se:oru:diva-109619 (URN)
Conference
World Physiotherapy Congress, WCPT, Geneva, Switzerland, 2019
Funder
The Swedish Stroke Association, 2017Region Örebro County, OLL-636861
Available from: 2023-11-07 Created: 2023-11-07 Last updated: 2024-01-03Bibliographically approved
Axelsson Svedell, L., Lidström-Holmqvist, K., Arvidsson Lindvall, M., Cao, Y. & Msghina, M. (2023). Feasibility and tolerability of moderate intensity regular physical exercise as treatment for core symptoms of attention deficit hyperactivity disorder: a randomized pilot study. Frontiers in Sports and Active Living, 5, Article ID 1133256.
Open this publication in new window or tab >>Feasibility and tolerability of moderate intensity regular physical exercise as treatment for core symptoms of attention deficit hyperactivity disorder: a randomized pilot study
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2023 (English)In: Frontiers in Sports and Active Living, E-ISSN 2624-9367, Vol. 5, article id 1133256Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Attention deficit hyperactivity disorder (ADHD) is associated with sedentary lifestyle, low quality of life and low physical fitness. Studies in children with ADHD have shown that regular physical exercise can help reduce core ADHD symptoms, but evidence for this is lacking in adults. Although guidelines recommend multi-modal treatment, central stimulants (CS) remain the mainstay of treatment. CS are effective in the short-term, but their long-term efficacy remains to be established. There is thus huge unmet need for developing non-pharmacological treatment options, and for well-designed randomized controlled trials (RCTs).

OBJECTIVE: The study aimed to test the feasibility and tolerability of structured moderate-intensity 12-week physical exercise program for adults with ADHD, as a prelude to an adequately powered RCT which includes long-term follow-up.

MATERIALS AND METHODS: Fourteen adults with ADHD were recruited, 9 randomized to an intervention group and 5 to a control group. The intervention group received physiotherapist-led 50-minute mixed exercise program, three times a week for 12 weeks, and the control group treatment as usual. Participants were assessed at baseline and after 6 and 12 weeks using clinical and physical evaluations, self-rating questionnaires, and functional magnetic resonance imaging (fMRI) together with paradigms that tested attention, impulsivity and emotion regulation.

RESULTS: Three participants (21%) dropped out shortly after inclusion before receiving any intervention, while roughly 80% completed the intervention according to protocol. One participant from the intervention group participated in less than 60% of treatment sessions, and one who had done baseline fMRI was unwilling to do post-intervention imaging. Four participants in the intervention group (67%) reported increased stress in prioritizing the intervention due to time-management difficulties. Overall, consistent trends were observed that indicated the feasibility and potential benefits of the intervention on core ADHD symptoms, quality of life, body awareness, sleep and cognitive functioning.

CONCLUSION: Physiotherapist-led twelve-week regular physical exercise is a feasible and potentially beneficial intervention for adults with ADHD. There was a 20% drop-out initially and 67% of those who completed the intervention reported stress with time management difficulties due to participation. A third arm was thus added to the planned RCT where cognitive intervention administered by an occupational therapist will be given together with physical exercise. Clinical Trial Registration: https://clinicaltrials.gov, identifier NCT05049239.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2023
Keywords
ADHD, cognition, emotion regulation, hyperactivity, impulsivity, physical exercise, randomized controlled trial
National Category
Psychiatry
Identifiers
urn:nbn:se:oru:diva-106118 (URN)10.3389/fspor.2023.1133256 (DOI)000996081900001 ()37255729 (PubMedID)2-s2.0-85161012600 (Scopus ID)
Funder
Region Örebro County
Note

Funding agency:

ALF

Available from: 2023-06-01 Created: 2023-06-01 Last updated: 2024-01-02Bibliographically approved
Drakenberg, A., Arvidsson Lindvall, M., Ericsson, E., Ågren, S. & Sundqvist, A.-S. (2023). Side-by-side joint display integration: an example from a mixed-methods study on interprofessional attitudes to family involvement in care. In: : . Paper presented at Nordic Conference in Nursing Research, Reykjavik, Iceland, 2–4 October 2023.
Open this publication in new window or tab >>Side-by-side joint display integration: an example from a mixed-methods study on interprofessional attitudes to family involvement in care
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2023 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Background

Family involvement improves patient outcomes after surgery and is important for the family´s well-being. Attitudes to family involvement in care among health care professionals influence how families are treated and cared for. We therefore aimed to describe these attitudes, held by nurses and medical doctors, working in the open-heart surgical care context.

Methods

A mixed-methods convergent parallel design was applied. A questionnaire with scaled and open-ended questions generated a qualitative (n=206) and a quantitative (n=267) dataset from nurses. In parallel with this data collection, qualitative interviews with medical doctors (n=20) generated a second qualitative dataset. Data were analyzed separately and thereafter merged into mixed-methods concepts using a side-by-side joint display. Meta-inferences of the concepts convergence and divergence were discussed and presented in a visual side-by-side joint display.

 

Results

Seven categories from the qualitative results were merged with the inference of statistical results into four mixed-methods concepts: Supporting, informing and improving care, Caring for the family, Impairing care and Depending on the situation. Out of these concepts, presenting interprofessional attitudes to family involvement in open-heart surgical care, two were convergent and two divergent. 

Conclusion

The side-by-side joint display was useful in both the integration and presentation of meta-inference. Even though attitudes, as described by nurses and medical doctors, are foremost positive, the importance of family involvement in open-heart surgical care depends on the situation. 

National Category
Nursing
Identifiers
urn:nbn:se:oru:diva-110119 (URN)
Conference
Nordic Conference in Nursing Research, Reykjavik, Iceland, 2–4 October 2023
Available from: 2023-12-08 Created: 2023-12-08 Last updated: 2023-12-13Bibliographically approved
Arvidsson Lindvall, M., Lidström-Holmqvist, K., Axelsson Svedell, L., Philipson, A., Cao, Y. & Msghina, M. (2023). START - physical exercise and person-centred cognitive skills training as treatment for adult ADHD: protocol for a randomized controlled trial. BMC Psychiatry, 23(1), Article ID 697.
Open this publication in new window or tab >>START - physical exercise and person-centred cognitive skills training as treatment for adult ADHD: protocol for a randomized controlled trial
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2023 (English)In: BMC Psychiatry, E-ISSN 1471-244X, Vol. 23, no 1, article id 697Article in journal (Refereed) Published
Abstract [en]

Background: Core symptoms in attention deficit hyperactivity disorder (ADHD) are inattention, impulsivity and hyperactivity. Many individuals with this disorder also have a sedentary lifestyle, co-morbid mental illness such as depressive and anxiety disorders, and reduced quality of life. People with ADHD often have impaired executive function, which among other things may include difficulty in time management and structuring of everyday life. Pharmacological treatment is often the first-line option, but non-pharmacological treatment is also available and is used in clinical settings. In children and adolescents with ADHD, physical exercise is used as a non-pharmacological treatment. However, the evidence for the effectiveness of exercise in adults is sparse.

Objective: To implement the START intervention (START = Stöd i Aktivitet, Rörelse och Träning [Support in activity, movement and exercise]) consisting of a 12-week, structured mixed exercise programme with or without a cognitive intervention, in adults with ADHD, and study whether it has an effect on core symptoms of ADHD as well as physical, cognitive, mental and everyday functioning compared with usual treatment. A secondary aim is to investigate the participants' experiences of the intervention and its possible benefits, and to evaluate the cost-effectiveness of START compared with usual treatment.

Methods: This is a randomized controlled trial planned to be conducted in 120 adults with ADHD, aged 18-65. The intervention will be given as an add-on to standard care. Participants will be randomized to three groups. Group 1 will be given a physiotherapist-led mixed exercise programme for 12 weeks. Group 2 will receive the same intervention as group 1 with the addition of occupational therapist-led cognitive skills training. Group 3 will be the control group who will receive standard care only. The primary outcome will be reduction of ADHD symptoms measured using the World Health Organization (WHO) Adult ADHD Self-Report Scale (ASRS-v1.1), Clinical Global Impression-Severity scale (CGI-S) and CGI-Improvement scale (CGI-I). The effect will be measured within 1 week after the end of the intervention and 6 and 12 months later.

Discussion: Data collection began in March 2021. The final 12-month follow-up is anticipated to be completed by autumn 2024.

Trial registration: ClinicalTrials.gov (Identifier: NCT05049239). Registered on 20 September 2021 (last verified: May 2021).

Place, publisher, year, edition, pages
BioMed Central (BMC), 2023
Keywords
ADHD, Cognitive support, Intervention, Physical activity, RCT
National Category
Psychiatry
Identifiers
urn:nbn:se:oru:diva-108557 (URN)10.1186/s12888-023-05181-1 (DOI)001084029200005 ()37749523 (PubMedID)2-s2.0-85172173837 (Scopus ID)
Funder
Region Örebro County, OLL960152Region Örebro County, OLL973102Region Örebro County, OLL942156Region Örebro County, OLL970524Nyckelfonden, OLL973050
Available from: 2023-09-26 Created: 2023-09-26 Last updated: 2024-01-17Bibliographically approved
Matérne, M., Simpson, G., Jarl, G., Appelros, P. & Arvidsson Lindvall, M. (2023). Stroke Survivors expericence of quality of life, participation and resilience. In: : . Paper presented at 14th World Congress on Brain Injury, Dublin, Ireland, March 29-April 1, 2023..
Open this publication in new window or tab >>Stroke Survivors expericence of quality of life, participation and resilience
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2023 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Neurology
Identifiers
urn:nbn:se:oru:diva-107065 (URN)
Conference
14th World Congress on Brain Injury, Dublin, Ireland, March 29-April 1, 2023.
Available from: 2023-07-10 Created: 2023-07-10 Last updated: 2023-07-31Bibliographically approved
Matérne, M., Simpson, G., Jarl, G., Appelros, P. & Arvidsson Lindvall, M. (2023). Stroke survivors experience of quality of life, participation and resilience. Brain Injury, 37(Suppl. 1), 92-92, Article ID 251.
Open this publication in new window or tab >>Stroke survivors experience of quality of life, participation and resilience
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2023 (English)In: Brain Injury, ISSN 0269-9052, E-ISSN 1362-301X, Vol. 37, no Suppl. 1, p. 92-92, article id 251Article in journal, Meeting abstract (Other academic) Published
Abstract [en]

Background: Within a Swedish context, the lived experience of stroke in the acute phase has been documented in a number of studies using a biopsychosocial perspective. However less is known about the challenges in the chronic long-term phase.

Objective: In this study we wanted to explore the lived experience from stroke survivors in Sweden about their resilience and participation, and the relationship between these two constructs and quality of life.

Materials and Method: Kumla is a medium-sized municipality in Sweden in which 330 people living with stroke were identified at the 31st December 2019. A purposive sample of 19 informants were selected based on age, gender, occupation and severity of stroke. Semi-structured telephone interviews were conducted with 10 male and 9 females. The informants were aged between 44–89 years and had lived with their stroke between 1 and 19 years. The interviews were transcribed verbatim and analyzed using qualitative content analysis.

Results: The informants described how the stroke had affected their lives and that they had to ‘adapt life’ due to their stroke. They described their experience as while having found ways to cope with life after stroke, they did not accept the situation. This was captured in the material with an overarching theme; Life with stroke has been adapted to but not accepted. However, the lack of acceptance was explained by some as a resignation, that their lives had changed for good and it has to be accommodated, while others’ experience was one of still working to overcome many of the limitations that they faced. The overarching theme was linked to five sub-themes: 1) Adapting and adjusting to life, 2) Meaningful values in life, 3) Inner resources, 4) Support and treatment from social relations, and 5) Support and treatment from external resources.

Conclusion: Informants explored a tension between adapting to the circumstances and accepting life after stroke. Factors associated with adaptation in life included meaningful values, the informants’ own strategies for adaptation and also support from relationship and society. Resilience strategies were useful, and the contribution of individual, social and societal resources for recovery was important. Quality of life was enhanced both directly and through increased participation.

Place, publisher, year, edition, pages
Informa Healthcare, 2023
National Category
Neurology
Identifiers
urn:nbn:se:oru:diva-110879 (URN)001092280000173 ()
Available from: 2024-02-02 Created: 2024-02-02 Last updated: 2024-02-02Bibliographically approved
Drakenberg, A., Arvidsson Lindvall, M., Ericsson, E., Ågren, S. & Sundqvist, A.-S. (2023). The symphony of open-heart surgical care: A mixed-methods study about interprofessional attitudes towards family involvement. International Journal of Qualitative Studies on Health and Well-being, 18(1), Article ID 2176974.
Open this publication in new window or tab >>The symphony of open-heart surgical care: A mixed-methods study about interprofessional attitudes towards family involvement
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2023 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 18, no 1, article id 2176974Article in journal (Refereed) Published
Abstract [en]

Purpose: The overall aim of this study was to describe the attitudes towards family involvement in care held by nurses and medical doctors working in open-heart surgical care and the factors influencing these attitudes.

Methods: Mixed-methods convergent parallel design. A web-based survey was completed by nurses (n = 267) using the Families’ Importance in Nursing Care-Nurses Attitudes (FINC-NA) instrument and two open-ended questions, generating one quantitative and one qualitative dataset. Qualitative interviews with medical doctors (n = 20) were conducted in parallel, generating another qualitative dataset. Data were analysed separately according to each paradigm and then merged into mixed-methods concepts. Meta-inferences of these concepts were discussed.

Results: The nurses reported positive attitudes in general. The two qualitative datasets from nurses and medical doctors resulted in the identification of seven generic categories. The main mixed-methods finding was the attitude that the importance of family involvement in care depends on the situation.

Conclusions: The dependence of family involvement on the situation may be due to the patient’s and family’s unique needs. If professionals’ attitudes rather than the family’s needs and preferences determine how the family is involved, care runs the risk of being unequal.

Place, publisher, year, edition, pages
Taylor & Francis, 2023
Keywords
Attitude, cardiac surgical procedures, family, family nursing, interprofessional research
National Category
Nursing
Research subject
Caring Sciences w. Medical Focus; Caring sciences
Identifiers
urn:nbn:se:oru:diva-104444 (URN)10.1080/17482631.2023.2176974 (DOI)000935224800001 ()36812009 (PubMedID)2-s2.0-85148584740 (Scopus ID)
Funder
Region Örebro County
Available from: 2023-02-23 Created: 2023-02-23 Last updated: 2023-03-20Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-0009-0953

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