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Lidström-Holmqvist, Kajsa, Med.Dr
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Publications (10 of 29) Show all publications
Widehammar, C., Lidström-Holmqvist, K., Pettersson, I. & Hermansson, L. (2019). Attitudes is the most important environmental factor for use of powered mobility devices - users' perspectives. Scandinavian Journal of Occupational Therapy
Open this publication in new window or tab >>Attitudes is the most important environmental factor for use of powered mobility devices - users' perspectives
2019 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014Article in journal, Editorial material (Refereed) Epub ahead of print
Abstract [en]

Introduction: Different factors in the environment influence the use of powered wheelchairs or powered scooters, i.e. powered mobility devices (PMDs), but there is limited knowledge about how these factors interact and if any factor has a greater impact. According to the ICF the environment consists of five areas.

Aim: To describe users' experiences of how environmental factors from all ICF areas influence the use of PMDs.

Methods: Descriptive qualitative design including 14 interviews with PMD users, analyzed using inductive qualitative content analysis.

Findings: Use of PMDs means a conditional freedom depending on the interaction of several environmental factors. Regardless of environmental factor the societal attitudes were always present, directly or indirectly, and influenced the participants' feeling of being included and involved in society. The environmental factors and how they influence PMD use are described in four categories, comprising the following subjects: societal attitudes, the service delivery process, accessibility to the physical environment and financial resources.

Conclusion: The findings show that societal attitudes influence all other factors, directly by others people's attitudes, or indirectly by how legislation and guidelines are formulated, interpreted and applied. Therefore, a change of societal attitudes seems necessary to increase accessibility and participation for PMD users.

Place, publisher, year, edition, pages
Taylor & Francis, 2019
Keywords
Powered mobility devices, environment, qualitative research, assistive technology, powered scooters, powered wheelchairs
National Category
Occupational Therapy Other Health Sciences
Identifiers
urn:nbn:se:oru:diva-71766 (URN)10.1080/11038128.2019.1573918 (DOI)000472909700001 ()30856033 (PubMedID)
Note

Funding Agencies:

Uppsala-Örebro Regional Research Council  

Research Committee of Örebro County Council, Sweden 

Available from: 2019-01-23 Created: 2019-01-23 Last updated: 2019-07-23Bibliographically approved
Lidström-Holmqvist, K., Tollén, A. & Holmefur, M. (2019). Erfarenheter av att delta i gruppinterventionen Ha Koll! för personer med nedsatt tidshanteringsförmåga. In: : . Paper presented at Arbetsterapiform, Nationell forskningskonferens, Stockholm, Sweden, 2-3 April, 2019.
Open this publication in new window or tab >>Erfarenheter av att delta i gruppinterventionen Ha Koll! för personer med nedsatt tidshanteringsförmåga
2019 (Swedish)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Other Health Sciences
Research subject
Occupational therapy
Identifiers
urn:nbn:se:oru:diva-73822 (URN)
Conference
Arbetsterapiform, Nationell forskningskonferens, Stockholm, Sweden, 2-3 April, 2019
Available from: 2019-04-16 Created: 2019-04-16 Last updated: 2019-04-16Bibliographically approved
Spang, L., Holmefur, M., Hermansson, L. & Lidström-Holmqvist, K. (2019). Factors in daily life leading to the need for moving to a nursing home: Experiences from nursing home applicants. In: : . Paper presented at International Association of Gerontology and Geriatrics European Region Congress (IAGG-ER), Gothenburg, Sweden, May 23-25, 2019.
Open this publication in new window or tab >>Factors in daily life leading to the need for moving to a nursing home: Experiences from nursing home applicants
2019 (English)Conference paper, Poster (with or without abstract) (Other academic)
Abstract [en]

Background/Aim In Sweden, most people age in ordinary housing, called aging in place. To support aging in place, older people can apply for home-based care such as Meals on Wheels or response alarm .Despite this support, the municipalities receive applications to nursing homes on a daily basis, which indicates that aging in place does not fill everyone’s needs. The aim of this study was to describe what experiences in daily life that make older people aging in place apply for a nursing home.

Method This study has a descriptive design. Face to face interviews were conducted with older people with declining physical health who had a granted application for a place in a nursing home and were waiting for a placement. Some waited in their homes with or without home-based care and some waited in a short-term facility run by the municipality. Interviews were analyzed by qualitative content analysis according to Elo and Kyngäs.

Preliminary findings One main category emerged - “To move to a nursing home- a way to regain control over my life”. It was characterized by a feeling of decreasing level of independence which led to experiences of lack of social context or being in a state of dependence where someone else controlled decisions of their lives.  The participants had reached a point where they strongly felt that something has to be done to change their situation. This was usually associated with a critical event such as a hospitalization or after been informed of a cancer diagnosis. These experiences are described by three generic categories with seven subcategories.  The generic categories are “The opportunity to belong to a context”, “A state of dependence” and “Reaching a turning point”.

Conclusions The findings show that a feeling of lost control due to perceived dependence, falling health or critical everyday life events may lead to a nursing home application. Therefore, in order to enhance aging in place it is important to enable older people to be socially involved, get support to stay as independent as possible in their daily activities and to handle critical events such as hospitalization.

National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:oru:diva-73633 (URN)
Conference
International Association of Gerontology and Geriatrics European Region Congress (IAGG-ER), Gothenburg, Sweden, May 23-25, 2019
Available from: 2019-04-10 Created: 2019-04-10 Last updated: 2019-06-07Bibliographically approved
Holmefur, M., Lidström-Holmqvist, K., Roshanay, A., Arvidsson, P., White, S. & Janeslätt, G. (2019). Ha koll!: pilotstudie av en arbetsterapeutisk gruppintervention som syftar till förbättrad tidshantering. In: : . Paper presented at Arbetsterapiforum, Nationell forskningskonferens, Stockholm, Sweden, 2-3 April, 2019.
Open this publication in new window or tab >>Ha koll!: pilotstudie av en arbetsterapeutisk gruppintervention som syftar till förbättrad tidshantering
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2019 (Swedish)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Other Health Sciences
Research subject
Occupational therapy
Identifiers
urn:nbn:se:oru:diva-73824 (URN)
Conference
Arbetsterapiforum, Nationell forskningskonferens, Stockholm, Sweden, 2-3 April, 2019
Available from: 2019-04-16 Created: 2019-04-16 Last updated: 2019-04-16Bibliographically approved
Lidström-Holmqvist, K. & James, I. (2019). Patient participation in municipal elderly care from the perspective of nurses and occupational therapists. Nursing Open, 6(3), 1171-1179
Open this publication in new window or tab >>Patient participation in municipal elderly care from the perspective of nurses and occupational therapists
2019 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 6, no 3, p. 1171-1179Article in journal (Refereed) Published
Abstract [en]

Aim: The aim of this study was to describe how nurses and occupational therapists in municipal care of older people define and implement patient participation in their daily work.

Design: This study had a cross-sectional design. Data were collected using an online questionnaire.

Methods: The questionnaire had both closed and open-ended questions. One-hundred and fourteen nurses and occupational therapists responded. Data were analysed with descriptive statistics and thematic analysis.

Results: Two main themes were identified as follows: "The professionals' perspective at the centre - Patient participation to enhance compliance" and "The patients' perspective at the centre - Patient participation as an ongoing process." The themes covered a continuum. On one extreme, patient participation was equated with making the patient comply with what the professionals wanted to do. On the other extreme, all power was transferred to the patient. The first theme was restricted to the decision-making process. The second theme covered the entire care or, rehabilitation, process.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2019
Keywords
Health services for older people, nurses, occupational therapists, patient participation
National Category
Nursing
Identifiers
urn:nbn:se:oru:diva-75562 (URN)10.1002/nop2.302 (DOI)000476917700057 ()31367443 (PubMedID)2-s2.0-85069769004 (Scopus ID)
Note

Funding Agency:

Örebro University

Available from: 2019-08-09 Created: 2019-08-09 Last updated: 2019-08-16Bibliographically approved
Holmefur, M., Lidström-Holmqvist, K., Roshanay, A. H., Arvidsson, P., White, S. & Janeslätt, G. (2019). Pilot Study of Let's Get Organized: A Group Intervention for Improving Time Management. American Journal of Occupational Therapy, 73(5), 7305205020p1-7305205020p10
Open this publication in new window or tab >>Pilot Study of Let's Get Organized: A Group Intervention for Improving Time Management
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2019 (English)In: American Journal of Occupational Therapy, ISSN 0272-9490, E-ISSN 1943-7676, Vol. 73, no 5, p. 7305205020p1-7305205020p10Article in journal (Refereed) Published
Abstract [en]

IMPORTANCE: There is a need for evidence-based occupational therapy interventions to enhance time management in people with time management difficulties.

OBJECTIVE: To pilot test the first part of the Let's Get Organized (LGO) occupational therapy intervention in a Swedish context by exploring enhancements of time management skills, aspects of executive functioning, and satisfaction with daily occupations in people with time management difficulties because of neurodevelopmental or mental disorders.

DESIGN: One-group pretest-posttest design with 3-mo follow-up.

SETTING: Outpatient psychiatric and habilitation settings.

PARTICIPANTS: Fifty-five people with confirmed or suspected mental or neurodevelopmental disorder and self-reported difficulties with time management in daily life.

INTERVENTION: Swedish version of Let's Get Organized (LGO-S) Part 1, with structured training in the use of cognitive assistive techniques and strategies using trial-and-error learning strategies in 10 weekly group sessions of 1.5 hr.

OUTCOMES AND MEASURES: Time management, organization and planning, and emotional regulation were measured with the Swedish version of the Assessment of Time Management Skills (ATMS-S). Executive functioning was measured with the Swedish version of the Weekly Calendar Planning Activity, and satisfaction with daily occupations was assessed with the Satisfaction With Daily Occupations measure.

RESULTS: Participants displayed significantly improved time management, organization and planning skills, and emotional regulation, as well as satisfaction with daily occupations. Aspects of executive functioning were partly improved. ATMS-S results were sustained at 3-mo follow-up.

CONCLUSION AND RELEVANCE: LGO-S Part 1 is a promising intervention for improving time management skills and satisfaction with daily occupations and should be investigated further.

WHAT THIS ARTICLE ADDS: This study shows that LGO-S Part 1 is feasible for use in psychiatric and habilitation outpatient services. The results are promising for improved time management skills, organization and planning skills, and satisfaction with daily occupations and need to be confirmed in further studies.

Place, publisher, year, edition, pages
American Occupational Therapy Association, Inc., 2019
National Category
Occupational Therapy
Identifiers
urn:nbn:se:oru:diva-76098 (URN)10.5014/ajot.2019.032631 (DOI)31484026 (PubMedID)
Available from: 2019-09-09 Created: 2019-09-09 Last updated: 2019-09-09Bibliographically approved
Lidström-Holmqvist, K., Holmefur, M. & Arvidsson, P. (2019). Test-retest reliability of the Swedish version of the Weekly Calendar Planning Activity: a performance-based test of executive functioning. Disability and Rehabilitation, 1-6
Open this publication in new window or tab >>Test-retest reliability of the Swedish version of the Weekly Calendar Planning Activity: a performance-based test of executive functioning
2019 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, p. 1-6Article in journal (Refereed) Epub ahead of print
Abstract [en]

PURPOSE: The Weekly Calendar Planning Activity is a performance test aiming to examine how subtle problems with executive functioning influence the performance of multi-step activities in daily life. The purpose of this study was to explore the Swedish version of the Weekly Calendar Planning Activity, regarding test-retest reliability and possible learning effects.

MATERIAL AND METHODS: Twenty-four adults with psychiatric, neurodevelopmental or mild intellectual disorders and with difficulties in executive functioning performed the test on three separate occasions, with two weeks apart. Test-retest reliability was determined using intraclass correlation coefficients. Possible learning effects were evaluated. The smallest detectable change was calculated to determine the precision of individual scores.

RESULTS AND CONCLUSION: The intraclass correlation coefficients between the first two test occasions were weak (0.42-0.66), but were acceptable to excellent (0.65-0.91) between test occasions 2 and 3. There was a considerable amount of random variation in the results, but little systematic variation, indicating no or possibly a small learning effect in the total number of accurately recorded appointments. This variation indicates a need to use two consecutive baseline measurements when the Swedish version of the Weelky Calendar Planning Acitivity is used as an outcome measure. Together, our results suggest that the Swedish version of the Weelky Calendar Planning Acitivity is a useful performance-based measure of how subtle problems in executive functioning affects activity performance. Implications for rehabilitation Executive functioning is crucial for managing daily life, and ecologically valid tests are needed to measure such functioning. The Weekly Calendar Planning Activity is a new performance-based test using a task that is relevant to daily life. The outcomes obtained in the Weekly Calendar Planning Activity are highly useful in clinical practice. The day-to-day variation in the Weekly Calendar Planning Activity results warrants the need for two consecutive baseline measurements when it is used to measure change.

Place, publisher, year, edition, pages
Informa Healthcare, 2019
Keywords
Assessment, activities of daily living, cognition, mental processes, psychometrics, task performance and analyses
National Category
Physiotherapy
Identifiers
urn:nbn:se:oru:diva-72785 (URN)10.1080/09638288.2019.1568590 (DOI)30782039 (PubMedID)
Available from: 2019-02-26 Created: 2019-02-26 Last updated: 2019-02-26Bibliographically approved
Lidström-Holmqvist, K. & Holmefur, M. (2019). The ADL taxonomy for persons with mental disorders: adaptation and evaluation. Scandinavian Journal of Occupational Therapy, 26(7), 524-534
Open this publication in new window or tab >>The ADL taxonomy for persons with mental disorders: adaptation and evaluation
2019 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 26, no 7, p. 524-534Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: There is a lack of occupation-focused instruments to assess Activities of Daily Living (ADL) that are intended for persons with mental disorders. The ADL Taxonomy is an instrument that is widely-used within clinical practice for persons with physical impairment. The aim of this study was to adapt the ADL Taxonomy for persons with mental disorders and evaluate its validity.

METHODS: An expert group of Occupational Therapists (OTs) from psychiatric care adapted the ADL Taxonomy to fit the client group, including creating three new items. OTs in psychiatric care collected client data and evaluated the instrument for usability. Rasch analysis was used to evaluate the contruct validity of 16 activities separately.

RESULTS: The OTs collected 123 assessments from clients with various mental disorders. Ten activities had excellent, and four had acceptable, psychometric properties with regard to item and person fit and unidimensionality. The activity managing the day/time gave complex results and would benefit from further development. The OTs found the test version intelligible, relevant and easy to use.

CONCLUSIONS: The ADL Taxonomy for persons with mental disorders has 16 activities with three to six actions each, and is now ready for clinical use.

Place, publisher, year, edition, pages
Taylor & Francis, 2019
Keywords
Activities of daily living, assessment, occupational therapy, psychometric properties, rasch analysis
National Category
Occupational Therapy Other Health Sciences
Identifiers
urn:nbn:se:oru:diva-67023 (URN)10.1080/11038128.2018.1469667 (DOI)000466812000006 ()29720019 (PubMedID)2-s2.0-85046401319 (Scopus ID)
Note

Funding Agencies:

Örebro University  

Swedish Association of Occupational Therapists 

Available from: 2018-05-18 Created: 2018-05-18 Last updated: 2019-06-19Bibliographically approved
Roshanai, A., Janeslätt, G., White, S. & Lidström-Holmqvist, K. (2019). TIME MANAGEMENT SKILLS IN RELATION TO GENERAL SELF-EFFICACY AND PARENTAL SENSE OF COMPETENCE IN INDIVIDUALS WITH AND WITHOUT COGNITIVE DISABILITIES. Journal of Intellectual Disability Research, 63(7), 757-757
Open this publication in new window or tab >>TIME MANAGEMENT SKILLS IN RELATION TO GENERAL SELF-EFFICACY AND PARENTAL SENSE OF COMPETENCE IN INDIVIDUALS WITH AND WITHOUT COGNITIVE DISABILITIES
2019 (English)In: Journal of Intellectual Disability Research, ISSN 0964-2633, E-ISSN 1365-2788, Vol. 63, no 7, p. 757-757Article in journal, Meeting abstract (Other academic) Published
Place, publisher, year, edition, pages
John Wiley & Sons, 2019
Keywords
Time management skills, Cognitive disability, Self-efficacy, Parental sense of competence
National Category
Neurology
Identifiers
urn:nbn:se:oru:diva-75402 (URN)000474486302142 ()
Available from: 2019-07-30 Created: 2019-07-30 Last updated: 2019-07-30Bibliographically approved
Janeslätt, G. K., Lidström-Holmqvist, K., White, S. & Holmefur, M. (2018). Assessment of time management skills: psychometric properties of the Swedish version. Scandinavian Journal of Occupational Therapy, 25(3), 153-161
Open this publication in new window or tab >>Assessment of time management skills: psychometric properties of the Swedish version
2018 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 25, no 3, p. 153-161Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Persons with impaired time management skills are often in need of occupational therapy. Valid and reliable instruments to assess time management and organizational skills are needed for the evaluation of intervention. The purpose of this study was to evaluate the psychometric properties of a Swedish version of the Assessment of Time Management Skills (ATMS-S) for persons with and without impaired time management skills.

METHOD: A total of 238 persons participated in the study, of whom 94 had self-reported impaired time management skills due to mental disorders such as schizophrenic spectrum or neurodevelopmental disorders such as attention deficit/hyperactivity disorder (ADHD), autism spectrum disorder (ASD) and mild intellectual disabilities, and 144 persons had no reported impaired time management skills. Rasch analysis was used to analyze data.

RESULTS: Three subscales were detected: the time management subscale with 11 items, the organization & planning subscale with 11 items, and the subscale of regulation of emotions with 5 items, with excellent to acceptable psychometric properties. The conclusions were that: ATMS-S is a valid instrument for self-rating of time management, organization & planning and for the regulation of emotions. ATMS-S can be useful for persons with mental disorders including mild neurodevelopmental disorders.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2018
Keywords
Psychometrics; executive function; rehabilitation; reproducibility of results; mental disorders
National Category
Occupational Therapy Other Health Sciences
Identifiers
urn:nbn:se:oru:diva-62489 (URN)10.1080/11038128.2017.1375009 (DOI)000429357900001 ()28882081 (PubMedID)2-s2.0-85029432949 (Scopus ID)
Note

Funding Agencies:

Centre for Clinical research in Dalarna  CKFUU-312401  CKFUU-37254 

Örebro university  1.3.2-2134/2014 

Faculty Board of Medicine and Health at Örebro university  1.3.1-01838/2015 

Available from: 2017-11-27 Created: 2017-11-27 Last updated: 2018-08-11Bibliographically approved
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