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  • 1.
    Abdi, Yasmin
    Örebro universitet, Institutionen för hälsovetenskaper.
    Tinnitus i relation till livskvalité: En jämförande studie mellan personer med normal hörsel och personer med hörselnedsättning2018Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 2.
    Algilani, Samal
    Örebro universitet, Institutionen för hälsovetenskaper.
    To be at one's best: The evolution of Optimal Functionality and its possible implementation in an ICT-platform2016Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    At the Nutrition and Physical Activity Research Centre for Optimal Health and Functionality through Life (NUPARC), a research gap was uncovered regarding the concept optimal functionality based on the older adult’s own perspective. The overall aim was to explore the concept of optimal functionality among older adults and the possibility of creating and developing an ICT-platform to measure it. Method: An existing cohort from NUPARC was used for recruitment in studies I-III and to some extent study IV. A scoping study design and framework was adopted for the inclusion of the articles in Study I. Study II had a descriptive design. Six focus group discussions were conducted and analysed using qualitative deductive content analysis to extend the qualitative understanding. Study III used a phenomenological approach describing the experience of mental health and its impact on the ability to function as optimally as possible. Six interviews were analysed using Giorgi’s phenomenological approach. Study IV was a feasibility study and included 8 older adults using an ICTplatform for a period of four weeks. Results: Optimal Functionality comprises three major corner stones: Body-related factors, Self-related factors and External factors (I) accompanied by nine aspects, and according to older adults it is a matter of functioning as optimally as possible (II). The three major cornerstones are intricately linked and all but the mental aspects were included in the discussions (II). Life situations affecting mental health, consequences of mental health and strategies for maintaining good mental health were described by older adults as having an impact on mental health and affecting their ability to function as optimally as possible (III). The older adults managed the usage of an ICT-tool well and it was perceived as meaningful (IV). Conclusion: Optimal functionality is holistic, subjective, dynamic and applicable to all older adults. Identification of the factors involved can help the older adults on their path to health. An ICT-platform can facilitate the identification of the factors for optimal functionality and the eventual measurement of it.

    Delarbeten
    1. Exploring the concept of optimal functionality in old age
    Öppna denna publikation i ny flik eller fönster >>Exploring the concept of optimal functionality in old age
    Visa övriga...
    2014 (Engelska)Ingår i: Journal of Multidisciplinary Healthcare, ISSN 1178-2390, E-ISSN 1178-2390, Vol. 7, s. 69-79Artikel, forskningsöversikt (Refereegranskat) Published
    Abstract [en]

    BACKGROUND: Aging is characterized by loss of function and represents a perspective that puts the focus on the negative aspects of aging. Thus, it is fundamental to shift the focus from loss of function to maintaining good health and personal satisfaction through life; in other words, to promote optimal functionality at a level appropriate for older adults. However, it is not yet known what constitutes optimal functionality from the older adult's own perspective.

    OBJECTIVE: To explore the concept of optimal functionality in old age from the older adult's perspective (ie, people over 65 years of age) in industrialized Western countries.

    METHODS: We undertook a scoping review and searched two electronic databases (PubMed and the Cumulative Index to Nursing and Allied Health Literature [CINAHL]) from January 2002 to July 2013 for scientific studies, using the key search term personal satisfaction. In total, 25 scientific studies were analyzed.

    RESULTS: Only six of the included articles applied a qualitative methodology. By analyzing the results of these articles, three major themes were identified as cornerstones in the concept of optimal functionality at old age: 1) self-related factors (eg, mental well-being); 2) body-related factors (eg, physical well-being); and 3) external factors equal to demographic and environmental factors.

    CONCLUSION: There is a lack of qualitative studies in the current literature, and hence of what constitutes optimal functionality from the older adult's perspective. The results outlined in this review identify three cornerstones (self-related factors, body-related factors, and external factors) of what constitutes optimal functionality at old age. However, it is vital that these findings are taken further and are evaluated through qualitative studies to reflect older adults' opinions.

    Ort, förlag, år, upplaga, sidor
    Dove Medical Press, 2014
    Nyckelord
    optimal functionality, aging, personal satisfaction
    Nationell ämneskategori
    Omvårdnad
    Forskningsämne
    Medicin; Vårdvetenskap
    Identifikatorer
    urn:nbn:se:oru:diva-33866 (URN)10.2147/JMDH.S55178 (DOI)24516333 (PubMedID)2-s2.0-84893293812 (Scopus ID)
    Tillgänglig från: 2014-02-20 Skapad: 2014-02-20 Senast uppdaterad: 2018-06-05Bibliografiskt granskad
    2. Increasing the qualitative understanding of optimal functionality in older adults: a focus group based study
    Öppna denna publikation i ny flik eller fönster >>Increasing the qualitative understanding of optimal functionality in older adults: a focus group based study
    Visa övriga...
    2016 (Engelska)Ingår i: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 16, nr 1, artikel-id 70Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    Background: Decreased independence and loss of functional ability are issues regarded as inevitably connected to old age. This ageism may have negative influences on older adults' beliefs about aging, making it difficult for them to focus on their current ability to maintain a good health. It is therefore important to change focus towards promoting Optimal Functionality (OF). OF is a concept putting the older adult's perspective on health and function in focus, however, the concept is still under development. Hence, the aim was to extend the concept of optimal functionality in various groups of older adults.

    Methods: A qualitative study was conducted based on focus group discussions (FGD). In total 6 FGDs were performed, including 37 older adults from three different groups: group 1) senior athletes, group 2) free living older adults, group 3) older adults living in senior living homes. All data was transcribed verbatim and analyzed following the process of deductive content analysis.

    Results: The principal outcome of the analysis was "to function as optimally as you possibly can", which was perceived as the core of the concept. Further, the concept of OF was described as multifactorial and several new factors could be added to the original model of OF. Additionally the findings of the study support that all three cornerstones comprising OF have to occur simultaneously in order for the older adult to function as optimal as possible.

    Conclusions: OF is a multifaceted and subjective concept, which should be individually defined by the older adult. This study further makes evident that older adults as a group are heterogeneous in terms of their preferences and views on health and should thus be approached as such in the health care setting. Therefore it is important to promote an individualized approach as a base when caring for older adults.

    Ort, förlag, år, upplaga, sidor
    London, United Kingdom: BioMed Central, 2016
    Nyckelord
    Older adults, optimal functionality, person centered care, focus group discussions
    Nationell ämneskategori
    Geriatrik
    Forskningsämne
    Geriatrik
    Identifikatorer
    urn:nbn:se:oru:diva-49605 (URN)10.1186/s12877-016-0244-z (DOI)000372822200002 ()27007861 (PubMedID)
    Forskningsfinansiär
    KK-stiftelsen, 20110225
    Anmärkning

    Funding Agencies:

    Olle Engkvist Byggmästare Foundation

    Faculty of Medicine and Health at Örebro University

    Tillgänglig från: 2016-04-02 Skapad: 2016-04-02 Senast uppdaterad: 2018-04-27Bibliografiskt granskad
    3. Mental health as a prerequisite for functioning as optimally as possible in old age: a phenomenological approach
    Öppna denna publikation i ny flik eller fönster >>Mental health as a prerequisite for functioning as optimally as possible in old age: a phenomenological approach
    Visa övriga...
    (Engelska)Manuskript (preprint) (Övrigt vetenskapligt)
    Nationell ämneskategori
    Annan hälsovetenskap
    Identifikatorer
    urn:nbn:se:oru:diva-50048 (URN)
    Tillgänglig från: 2016-04-29 Skapad: 2016-04-29 Senast uppdaterad: 2017-10-17Bibliografiskt granskad
    4. An interactive ICT-platform for early assessment and management of patient-reported concerns among older adults living in Ordinary Housing: Development and Feasibility
    Öppna denna publikation i ny flik eller fönster >>An interactive ICT-platform for early assessment and management of patient-reported concerns among older adults living in Ordinary Housing: Development and Feasibility
    (Engelska)Manuskript (preprint) (Övrigt vetenskapligt)
    Nationell ämneskategori
    Annan hälsovetenskap
    Identifikatorer
    urn:nbn:se:oru:diva-50049 (URN)
    Tillgänglig från: 2016-04-29 Skapad: 2016-04-29 Senast uppdaterad: 2017-10-17Bibliografiskt granskad
  • 3.
    Algilani, Samal
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Langius-Ekelöf, Ann
    Karolinska Institutet, Stockholm, Sweden.
    Kihlgren, Annica
    Örebro universitet, Institutionen för hälsovetenskaper.
    Blomberg, Karin
    Örebro universitet, Institutionen för hälsovetenskaper.
    An interactive ICT-platform for early assessment and management of patient-reported concerns among older adults living in Ordinary Housing: Development and FeasibilityManuskript (preprint) (Övrigt vetenskapligt)
  • 4.
    Algilani, Samal
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Östlund-Lagerström, Lina
    Örebro universitet, Institutionen för medicinska vetenskaper.
    Kihlgren, Annica
    Örebro universitet, Institutionen för hälsovetenskaper.
    Schoultz, Ida
    Örebro universitet, Institutionen för medicinska vetenskaper.
    Schröder, Agneta
    Örebro universitet, Institutionen för hälsovetenskaper.
    Mental health as a prerequisite for functioning as optimally as possible in old age: a phenomenological approachManuskript (preprint) (Övrigt vetenskapligt)
  • 5.
    Anderzén-Carlsson, Agneta
    Örebro universitet, Institutionen för hälsovetenskap och medicin. Region Örebro län. Audiological Research Centre, Region Örebro County, Örebro University Hospital, Örebro, Sweden; The Swedish Institute for Disability Research (SIDR), Örebro, Sweden.
    CHARGE syndrome: a five case study of the syndrome characteristics and health care consumption during the first year in life2015Ingår i: Journal of Pediatric Nursing: Nursing Care of Children and Families, ISSN 0882-5963, E-ISSN 1532-8449, Vol. 30, nr 1, s. 6-16Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    CHARGE syndrome is characterized by impaired vision and hearing, as well as physical malformations. The aim of this study is to describe the characteristics of the malformations and the health care consumption during the first year, in a Swedish sample having CHARGE syndrome. Three of the five individuals fulfilled all the traditional criteria for a clinical diagnosis of CHARGE syndrome. All infants were hospitalized from 26 to 230. days, subjected to 10-34 different diagnostic procedures and prescribed 10-28 different medications during their first year. Coordinated and individually adapted care is urged, as these infants and their families are in of need multiple health care contacts.

  • 6.
    Arnell, Susann
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper. University Health Care Research Center (UFC) Region Örebro County, Örebro, Sweden.
    Jerlinder, K.
    Faculty of Health and Occupational Studies, University of Gävle, Gävle , Sweden.
    Lundqvist, Lars-Olov
    Örebro universitet, Institutionen för juridik, psykologi och socialt arbete. University Health Care Research Center (UFC) Region Örebro County, Örebro, Sweden.
    Participation in physical activities: a multilevel challenge for adolescents with autism spectrum disorders2017Konferensbidrag (Övrigt vetenskapligt)
    Abstract [en]

    Introduction: Physical inactivity is one of the biggest current public health problems. Few adolescents with autism spectrum disorder (ASD) achieve the recommendation of daily physical activity (PA). The reasons for not being physically active depend on several complex factors, yet not comprehensively described from the adolescents’point of view. The absence of their perspective means that intervention strategies for health enhancing physical activity may not encompass the experiences of the adolescents themselves. Therefore the purpose of this study was to develop an understanding of the perceptions, experiences and reflections of adolescents with ASDs’participation in PA.

    Participants and methods: Twenty-four adolescents, diagnosed with ASD without a co-occurring intellectual disability, aged 12-16 years, participated in the study.Data was collected using qualitative interviews and inductively analyzed using qualitative content analysis.

    Results: Adolescents with ASD were a heterogeneous group in regard to their current PA habits and preferences. Their willingness to participate in PA was conditioned regarding; what, where, when and with whom. They described challenges in the activity and the social context during PA, especially during the mandatory physical education. Perceived demands, freedom of choice, physical ability and sense of control affected their PA participation.

    Conclusion: Findings indicate that the adolescents’willingness to participate was associated with interacting and individual-related conditions, which can be misinterpreted as unwillingness to participate in PA. Thus aspects of autonomy and knowledge about individual conditions and needs have to be recognized when intervention strategies for health enhancing physical activities are planned for this population.

  • 7.
    Arvidsson Lindvall, Mialinn
    Örebro universitet, Institutionen för hälsovetenskaper.
    Physiotherapeutic perspectives on balance control after stroke: exercises, experiences and measures2018Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    The overall aim of this thesis was to investigate physiotherapeutic perspectives on balance after stroke, in terms of exercises, experiences and measurements. Study I was a pilot randomized controlled trial with 46 persons who had had a stroke, 24 of whom were included in the intervention group and 22 who were included in the control group. The intervention consisted of 8 weeks of body awareness therapy (BAT). There were no significant differences over time between the groups in the outcome measures of balance, walking, self-reported balance confidence and quality of life. Study II had a qualitative design using content analysis. Participants in the intervention group from Study I and the four physiotherapists who had been in charge of the BAT were interviewed. One overall theme emerged: "Simple yet challenging", which was based on six categories. Study III investigated the validity and test-retest reliability of the Six-Spot Step test (SSST), an instrument used to assess the ability to take load on each leg. A cross-sectional design with 81 persons who had had stroke was performed. The convergent validity was strong to moderate, and the test-retest reliability was good. In Study IV a mixed method design including both qualitative and quantitative data collection was used. The participants’ experiences of balance and its influence in everyday life were presented in two themes: "Feeling dizzy and unstable is a continuous challenge" and "Feeling trust and confidence despite dizziness and unsteadiness". Taken together, the different data sets provided complementary and confirmatory information about balance. All participants experienced the balance limitations as a continuous challenge in everyday life, yet they also felt trust and confidence.

    In summary, BAT can be a complement in physiotherapeutic stroke rehabilitation and the SSST can be used as a measuring instrument of walking balance in persons with stroke. Living with balance limitations was experienced as a challenge but the participants were still able to manage their everyday life and activities.

    Delarbeten
    1. Body awareness therapy in persons with stroke: a pilot randomised controlled trial
    Öppna denna publikation i ny flik eller fönster >>Body awareness therapy in persons with stroke: a pilot randomised controlled trial
    2014 (Engelska)Ingår i: Clinical Rehabilitation, ISSN 0269-2155, E-ISSN 1477-0873, Vol. 28, nr 12, s. 1180-1188Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    Objective: To investigate the effects of body awareness therapy on balance, mobility, balance confidence, and subjective health status in persons with stroke.

    Design: A pilot randomized controlled study with follow-up at one and 4–6 weeks after the intervention period.

    Setting: Four primary healthcare centres in Örebro County Council.

    Subjects: Persons more than six months post stroke, with walking ability of 100 metres.

    Intervention: The experimental intervention was body awareness therapy in groups once a week for eight weeks. The controls were instructed to continue their usual daily activities.

    Main measures: Berg Balance Scale, Timed Up and Go Test, Timed Up and Go Test with a cognitive component, 6-minute walk test, and Timed-Stands Test. Self-rated balance confidence was assessed using the Activities-specific Balance Confidence Scale, and subjective health status using the Short Form 36 (SF-36) questionnaire.

    Results: A total of 46 participants were included (mean age 64 years); 24 in the experimental intervention group and 22 in the control group. No significant differences in changed scores over time were found between the groups. Within the experimental intervention group, significant improvements over time was found for the tests Berg Balance Scale, Timed Up and Go cognitive, and 6-minute walk test. Within the control group, significant improvements over time were found for the Timed Up and Go Cognitive, and the Timed-Stands Test.

    Conclusion: In comparison to no intervention, no effects were seen on balance, mobility, balance confidence, and subjective health status after eight weeks of body awareness therapy.

    Ort, förlag, år, upplaga, sidor
    Sage Publications, 2014
    Nyckelord
    Body awareness therapy, postural control, physiotherapy, stroke
    Nationell ämneskategori
    Hälsovetenskaper Omvårdnad
    Forskningsämne
    Hälso- och sjukvårdsforskning; Rehabiliteringsmedicin
    Identifikatorer
    urn:nbn:se:oru:diva-35843 (URN)10.1177/0269215514527994 (DOI)000347118700004 ()24668360 (PubMedID)2-s2.0-84921668455 (Scopus ID)
    Anmärkning

    Funding Agencies:

    Swedish Stroke Association

    Norrbacka Eugenia Foundation 803-11

    Research Committee Orebro County Council OLL-227701

    Tillgänglig från: 2014-08-04 Skapad: 2014-08-04 Senast uppdaterad: 2018-05-09Bibliografiskt granskad
    2. Basic Body Awareness Therapy for patients with stroke: Experiences among participating patients and physiotherapists
    Öppna denna publikation i ny flik eller fönster >>Basic Body Awareness Therapy for patients with stroke: Experiences among participating patients and physiotherapists
    2016 (Engelska)Ingår i: Journal of Bodywork & Movement Therapies, ISSN 1360-8592, E-ISSN 1532-9283, Vol. 20, nr 1, s. 83-89Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    Background: After a stroke many patients have muscle weakness, spasticity and compromised sensation leading to decreased postural stability. Basic Body Awareness Therapy includes slow movements that challenge postural control.

    Aim: The aim was to describe experiences of 8 weeks of Basic Body Awareness Therapy from the perspective of both patients with stroke and physiotherapists.

    Method: This study had a qualitative design. Twenty-one patients and four physiotherapists were interviewed. The interviews were analysed using manifest and latent content analysis.

    Results: One overall theme emerged "Simple yet challenging" which was based on six categories: "Facing one's limitations", "Individualized movements", "A feeling of harmony", "Improved balance", "Integrated knowledge" and "Frustration and doubt". The patients described improvement in balance and stability, as well as increased wellbeing.

    Conclusion: The patients and physiotherapists related that Basic Body Awareness Therapy challenges balance but also provides an opportunity to reflect on the body.

    Ort, förlag, år, upplaga, sidor
    Elsevier, 2016
    Nyckelord
    Basic Body Awareness Therapy, Physiotherapy, Qualitative study, Stroke
    Nationell ämneskategori
    Omvårdnad
    Forskningsämne
    Rehabiliteringsmedicin
    Identifikatorer
    urn:nbn:se:oru:diva-52163 (URN)10.1016/j.jbmt.2015.06.004 (DOI)000381689000012 ()26891641 (PubMedID)2-s2.0-84958039596 (Scopus ID)
    Tillgänglig från: 2016-09-14 Skapad: 2016-09-14 Senast uppdaterad: 2019-01-18Bibliografiskt granskad
    3. Validity and test-retest reliability of the Six-Spot Step Test in persons after stroke
    Öppna denna publikation i ny flik eller fönster >>Validity and test-retest reliability of the Six-Spot Step Test in persons after stroke
    (Engelska)Manuskript (preprint) (Övrigt vetenskapligt)
    Nationell ämneskategori
    Annan hälsovetenskap
    Identifikatorer
    urn:nbn:se:oru:diva-66907 (URN)
    Tillgänglig från: 2018-05-09 Skapad: 2018-05-09 Senast uppdaterad: 2018-05-09Bibliografiskt granskad
    4. "I can still manage": a mixed-method study of balance after stroke
    Öppna denna publikation i ny flik eller fönster >>"I can still manage": a mixed-method study of balance after stroke
    (Engelska)Manuskript (preprint) (Övrigt vetenskapligt)
    Nationell ämneskategori
    Annan hälsovetenskap
    Identifikatorer
    urn:nbn:se:oru:diva-66909 (URN)
    Tillgänglig från: 2018-05-09 Skapad: 2018-05-09 Senast uppdaterad: 2018-05-09Bibliografiskt granskad
  • 8.
    Arvidsson Lindvall, Mialinn
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Anderzén-Carlsson, Agneta
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län. Karlstad University, Karlstad, Sweden.
    Appelros, Peter
    Department of University Health Care Research Centre, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
    Forsberg, Anette
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län.
    Validity and test-retest reliability of the Six-Spot Step Test in persons after strokeManuskript (preprint) (Övrigt vetenskapligt)
  • 9.
    Arvidsson Lindvall, Mialinn
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Forsberg, Anette
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län.
    Appelros, Peter
    Department of University Health Care Research Centre, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
    Anderzén-Carlsson, Agneta
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län.
    "I can still manage": a mixed-method study of balance after strokeManuskript (preprint) (Övrigt vetenskapligt)
  • 10.
    Barzangi, Jir
    Örebro universitet, Institutionen för hälsovetenskaper.
    Infant Dental Enucleation in Sweden: Perspectives on a Practice among Residents of Eastern African Origin2017Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    Infant dental enucleation (IDE) is a practice consisting of the removal of deciduous canine tooth buds in infants. Practiced mainly in Eastern Africa, the purpose is to treat or to prevent bodily symptoms and diseases. IDE can cause both general and oral complications. The occurrence of IDE among Eastern African immigrants in a few European countries has been reported. However, knowledge surrounding the practice in Sweden was poor. The overall aim of this work was to explore IDE in the Swedish context. Four studies were conducted. Paper I presents a review of scientific publications. An overview of IDE was gained, and some knowledge gaps were identified. Paper II describes a cross-sectional study to determine the prevalence of IDE in small children. Dental records of 1133 children (mean age 4.6 years, SD 1.4) from a multi-ethnic area were studied. Missing deciduous canines without any registered reason were documented. One or more deciduous canines were missing in 21% of the children with known Eastern African origin (n=101), compared to only three children in the rest of the population (n=1032). Six adults of Somali origin were interviewed to explore their experiences and perceptions of IDE (paper III). These experiences and perceptions were categorised in four essentially different ways: an effective and necessary treatment, a disputed tradition, an option to failure and a desperate measure. Their experiences and perceptions were found to be highly influenced by contexts. In the final study (paper IV), the knowledge, experiences and attitudes among dental and health care personnel were examined. Questionnaires were sent to licensed personnel working in emergency departments, midwifery and child health centres, school health services and public dental health services in ten municipalities. Less than 20% had any knowledge of IDE, while 12.5% of the respondents encountering children had seen at least one patient subjected to IDE. Different attitudes were reported between clinical settings regarding responsibilities and possibilities concerning the management and prevention of IDE. From the findings presented in this thesis, it was concluded that there is a need for initiatives to increase awareness of and knowledge on IDE among dental and health care professionals. Legally obligated responsibilities in these professions regarding IDE need to be clarified, and initiatives should include guidelines regarding both the management of IDE and its prevention in Sweden. Educational programmes should also be produced for residents of Eastern African origin to change their perceptions of IDE, and a culturally sensitive approach should be adopted to ensure that such programmes are effective.

    Delarbeten
    1. Infant dental enucleation: A literature review on a traditional remedial practice in East Africa
    Öppna denna publikation i ny flik eller fönster >>Infant dental enucleation: A literature review on a traditional remedial practice in East Africa
    2014 (Engelska)Ingår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 72, nr 3, s. 168-178Artikel, forskningsöversikt (Refereegranskat) Published
    Abstract [en]

    Objective. To summarize and review the literature on infant dental enucleation, a traditional remedial procedure prevalent mainly in East Africa.

    Materials and methods. Literature searches were made electronically using general and specialized search engines. The main search was performed through a systematic strategy in PubMed, comprising tabulated keywords, search codes, and translated and transliterated terms. Criteria for the selection of studies were designed to provide a general understanding of the procedure. The findings were synthesized into two sections: a summary of the population prevalence studies, and a thematic literature review.

    Results. An overview of the known prevalence and clinical specifications was established. Insight was gained into the purpose of the procedure and the factors influencing its performance. Diverging suggestions were seen with regard to the rationale for use of infant dental enucleation between different populations. Moreover, reports of complications and consequences involving the general health and the dentoalveolar structures of patients were examined.

    Conclusions. Prevalence, clinical features and risks of infant dental enucleation point to a need for greater awareness of the procedure. Further, there is a need for specific guidelines regarding management of suspected cases within dental and healthcare communities.

    Ort, förlag, år, upplaga, sidor
    London: Informa Healthcare, 2014
    Nyckelord
    African traditional medicine, attitude to health, cuspid, post-operative complications, tooth germ surgery
    Nationell ämneskategori
    Odontologi
    Forskningsämne
    Medicin
    Identifikatorer
    urn:nbn:se:oru:diva-34848 (URN)10.3109/00016357.2013.817603 (DOI)000333047400002 ()
    Anmärkning

    Funding Agencies:

    Public Dental Health Organizations of the county of Västmanland, Sweden

    Public Dental Health Organizations of the county of Örebro, Sweden

    Tillgänglig från: 2014-04-28 Skapad: 2014-04-25 Senast uppdaterad: 2018-09-12Bibliografiskt granskad
    2. Infant dental enucleation in an East African population in Sweden: a cross-sectional study on dental records
    Öppna denna publikation i ny flik eller fönster >>Infant dental enucleation in an East African population in Sweden: a cross-sectional study on dental records
    Visa övriga...
    2014 (Engelska)Ingår i: International Journal of Paediatric Dentistry, ISSN 0960-7439, E-ISSN 1365-263X, Vol. 24, nr 3, s. 209-214Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    Aim: To examine the prevalence of infant dental enucleation (IDE) of primary canines, an East African traditional remedial procedure, in a multiethnic population of children in Sweden.

    Design: A cross-sectional study was conducted of dental records of 1133 patients (mean age 4.6years, SD +/- 1.4) attending one public dental service clinic in Sweden. The clinic was located in an area with a large multiethnic community. All were born within the years 2002-2006 and had received a check-up in one of the years 2007-2009. A registry was made of missing primary canines where no reason could be found. In documented cases, information about ethnic origin was extracted. Statistical grouping was made according to known East African ethnicities.

    Results: At least 36 ethnicities were recorded. Twenty-four (2.1%) patients were missing one or more canines according to the criteria for IDE. Significant difference was seen when comparison was made between patients of known East African ethnicities, of whom 20.8% (21/101) manifested findings consistent with the criteria, and the rest of the population (3/1032; P<0.001).

    Conclusions: Prevalence of cases suggestive of IDE among patients of East African origin points to a need for increased awareness within dental and healthcare communities.

    Ort, förlag, år, upplaga, sidor
    Hoboken: Wiley-Blackwell, 2014
    Nyckelord
    NORTHERN UGANDA; WEST ETHIOPIA; CHILD HEALTH; MUTILATION; MORBIDITY; MORTALITY; MAASAI; SUDAN; EBINO; JUBA
    Nationell ämneskategori
    Odontologi
    Forskningsämne
    Medicin
    Identifikatorer
    urn:nbn:se:oru:diva-34940 (URN)10.1111/ipd.12063 (DOI)000333828800007 ()
    Anmärkning

    Funding Agency:

    Public Dental Services of Västmanland and Örebro in Sweden

    Tillgänglig från: 2014-05-05 Skapad: 2014-05-05 Senast uppdaterad: 2018-06-05Bibliografiskt granskad
    3. Experiences and perceptions of infant dental enucleation among Somali immigrants in Sweden: A phenomenographic study
    Öppna denna publikation i ny flik eller fönster >>Experiences and perceptions of infant dental enucleation among Somali immigrants in Sweden: A phenomenographic study
    (Svenska)Manuskript (preprint) (Övrigt vetenskapligt)
    Nationell ämneskategori
    Annan hälsovetenskap
    Identifikatorer
    urn:nbn:se:oru:diva-54270 (URN)
    Tillgänglig från: 2017-01-03 Skapad: 2017-01-03 Senast uppdaterad: 2017-10-18Bibliografiskt granskad
    4. Knowledge, experiences and attitudes of dental and health care personnel in Sweden towards infant dental enucleation
    Öppna denna publikation i ny flik eller fönster >>Knowledge, experiences and attitudes of dental and health care personnel in Sweden towards infant dental enucleation
    (Engelska)Manuskript (preprint) (Övrigt vetenskapligt)
    Nationell ämneskategori
    Annan hälsovetenskap
    Identifikatorer
    urn:nbn:se:oru:diva-54271 (URN)
    Tillgänglig från: 2017-01-03 Skapad: 2017-01-03 Senast uppdaterad: 2017-10-18Bibliografiskt granskad
  • 11.
    Barzangi, Jir
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper. Public Dental Health Service, Västmanland County Council, Västerås, Sweden.
    Arnrup, Kristina
    Örebro universitet, Institutionen för hälsovetenskaper. Dental Research Department, Public Dental Helath Service, Region Örebro County, Örebro, Sweden.
    Unell, Lennart
    School of Helath Sciences, Örebro University, Örebro, Sweden; Dental Research Department, Public Dental Helath Service, Region Örebro County, Örebro, Sweden .
    Skovdahl, Kirsti
    Department of Nursing Science, University College of Southeast Norway, Drammen, Norway.
    Experiences and perceptions of infant dental enucleation among Somali immigrants in Sweden: A phenomenographic studyManuskript (preprint) (Övrigt vetenskapligt)
  • 12.
    Barzangi, Jir
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper. Public Dental Health Service, Västmanland County Council, Västerås, Sweden.
    Unell, Lennart
    School of Helath Sciences, Örebro University, Örebro, Sweden; Dental Research Department, Public Dental Helath Service, Region Örebro County, Örebro, Sweden .
    Skovdahl, Kirsti
    Department of Nursing Science, University College of Southeast Norway, Drammen, Norway.
    Arnrup, Kristina
    Örebro universitet, Institutionen för hälsovetenskaper. Dental Research Department, Public Dental Helath Service, Region Örebro County, Örebro, Sweden.
    Knowledge, experiences and attitudes of dental and health care personnel in Sweden towards infant dental enucleationManuskript (preprint) (Övrigt vetenskapligt)
  • 13.
    Beijer, Evelina
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Hagman, Helén
    Örebro universitet, Institutionen för hälsovetenskaper.
    Hör du vad jag säger?: En kvalitativ intervjustudie om hur en hörselnedsättning påverkar samtalet i en parrelation2018Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 14.
    Berg, Carolina
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Eklundh, My
    Örebro universitet, Institutionen för hälsovetenskaper.
    Effekten av plugging som behandling av Superior Canal Dehiscence Syndrome: En systematisk litteraturstudie2018Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 15.
    Bjarnason, Sif
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Arbetsanpassning med arbetshjälpmedel2016Ingår i: Arbetsliv för alla: funktionsnedsättning och arbete / [ed] Berth Danermark & Susanna Larsson Tholén, Gleerups Utbildning AB, 2016, s. 179-192Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 16.
    Bjarnason, Sif
    et al.
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Danermark, Berth
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Möjligheter och hinder att nå arbetsmarknaden för personer med funktionsnedsättning: handikapprörelsen i civilsamhället2016Ingår i: Vägar till arbetsliv för personer med funktionsnedsättning / [ed] Susanna Larsson Tholén & Berth Danermark, Gleerups Utbildning AB, 2016, s. 85-100Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 17.
    Bjarnason, Sif
    et al.
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Larsson Tholén, Susanna
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Danermark, Berth
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Attityder till personer med funktionsnedsättning och interventioner för att påverka attityder: En systematisk kunskapsöversikt2015Rapport (Övrigt vetenskapligt)
  • 18.
    Björck-Åkesson, Eva
    et al.
    School of Education and Communication, Jönköping University, Jönköping, Sweden.
    Wilder, Jenny
    School of Health Sciences, Jönköping University, Jönköping, Sweden .
    Granlund, Mats
    School of Health Sciences, Jönköping University, Jönköping, Sweden .
    Pless, Mia
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden .
    Simeonsson, Rune
    School of Education and Communication, Jönköping University, Jönköping, Sweden.
    Adolfsson, Margareta
    School of Education and Communication, Jönköping University, Jönköping, Sweden.
    Almqvist, Lena
    Swedish Institute of Public Health, Östersund, Sweden.
    Klang, Nina
    Academy for Education, Communication and Culture, Mälardalen University, Västerås, Sweden.
    Lillvist, Anne
    Academy for Education, Communication and Culture, Mälardalen University, Västerås, Sweden.
    The International Classification of Functioning, Disability and Health and the version for children and youth as a tool in child habilitation/early childhood intervention: Feasibility and usefulness as a common language and frame of reference for practice2010Ingår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 32, nr SUPPL. 1, s. 125-138Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Early childhood intervention and habilitation services for children with disabilities operate on an interdisciplinary basis. It requires a common language between professionals, and a shared framework for intervention goals and intervention implementation. The International Classification of Functioning, Disability and Health (ICF) and the version for children and youth (ICF-CY) may serve as this common framework and language. This overview of studies implemented by our research group is based on three research questions: Do the ICF-CY conceptual model have a valid content and is it logically coherent when investigated empirically? Is the ICF-CY classification useful for documenting child characteristics in services? What difficulties and benefits are related to using ICF-CY model as a basis for intervention when it is implemented in services? A series of studies, undertaken by the CHILD researchers are analysed. The analysis is based on data sets from published studies or master theses. Results and conclusion show that the ICF-CY has a useful content and is logically coherent on model level. Professionals find it useful for documenting children's body functions and activities. Guidelines for separating activity and participation are needed. ICF-CY is a complex classification, implementing it in services is a long-term project

  • 19.
    Boman, Tomas
    Örebro universitet, Institutionen för hälsovetenskaper.
    Situation på den svenska arbetsmarknaden för personer med funktionsnedsättning: en sekundäranalys om sysselsättning, yrkesnivå, stöd och anpassning för personer med olika typer av funktionsnedsättning2019Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    The overall aim of this thesis is to explore how the labour market situation appears to persons with different types of disabilities in Sweden. Study I (n=4 359) examined the importance of the person’s type of disability for the possibility of having a job. Study II (n=3 396) examined whether there were differences in occupational attainment between persons with different types of disabilities and between persons with and without a disability (n=19 004). Study III (n=4 359) examined perceived discrimination in the workplace among persons with different types of disabilities. Study IV (n=2 268) examined whatsupport and adaptation persons with different types of disabilities need in their actual workplace or to enter the labour market. In studies I–III the respondents were divided into six disability types, and in study IV the respondents were divided into four disability types.

    Overall, it can be concluded that a person’s type of disability is of importance for the situation in the labour market, where persons with psychological disabilities encounter barriers to a greater extent than other groups, both difficulties at the present workplace and difficulties entering the labour market. Further, they were subjected to discrimination and they expressed a great need for adaptations to acquire employment and at their actual workplace. It can also be concluded that there are discriminatory mechanisms against women, who have more difficulties than men in acquiring employment, and that men, despite lower education, can more easily progress in the labour market. It is suggested that, in order to achieve inclusion and recognition, factors in the environment, such as existing support systems, need to be changed and developed, and social prejudices vis-à-vis people with disabilities must also be addressed.

    Delarbeten
    1. Employment opportunities for persons with different types of disability
    Öppna denna publikation i ny flik eller fönster >>Employment opportunities for persons with different types of disability
    2015 (Engelska)Ingår i: Alter;European Journal of Disability Research ;Journal Europeen de Recherche Sur le Handicap, ISSN 1875-0672, E-ISSN 1875-0680, Vol. 9, nr 2, s. 116-129Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    The employment status of groups with different disabilities was analysed as were potentially important moderating factors (work ability, structural and individual factors). A secondary analysis was performed on 4359 respondents with disabilities from Statistics Sweden's Labour Market Investigation. The respondents were divided into six disability groups (communicative-hearing, communicative-speech-reading, communicative-vision, psychological disability, medical disability, physical disability). Logistic regression analyses showed that the probability of being employed was highest among respondents with hearing disabilities and respondents with psychological disabilities were least likely to be employed. Being a woman (very young or old) with only primary education and with partially or very impaired work ability, reduced employment opportunities. Higher education did not increase employment opportunities for respondents with impaired workability. In summary, the type of disability is essential for employment opportunities, and differences between disability groups cannot be explained by differences in other variables. The moderating factors studied were found to be of equal importance in all groups.

    Ort, förlag, år, upplaga, sidor
    Elsevier, 2015
    Nyckelord
    Type of disability, Employment, Self-estimated work ability, Education level
    Nationell ämneskategori
    Allmänmedicin
    Forskningsämne
    Allmänmedicin
    Identifikatorer
    urn:nbn:se:oru:diva-47084 (URN)10.1016/j.alter.2014.11.003 (DOI)000365124200003 ()2-s2.0-84928769973 (Scopus ID)
    Tillgänglig från: 2015-12-15 Skapad: 2015-12-15 Senast uppdaterad: 2019-10-22Bibliografiskt granskad
    2. Can people with disabilities gain from education?: Similarities and differences between occupational attainment among persons with and without disabilities
    Öppna denna publikation i ny flik eller fönster >>Can people with disabilities gain from education?: Similarities and differences between occupational attainment among persons with and without disabilities
    2014 (Engelska)Ingår i: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 49, nr 2, s. 193-204Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    BACKGROUND: More knowledge is needed of occupational attainment of persons with disabilities, i.e. the relationship between their educational level and their profession, and factors of importance for this relationship.

    OBJECTIVE: To compare occupational attainment among persons with and without a disability.

    METHOD: 3396 informants with disabilities and 19004 non-disabled informants participated (control group) in a survey study by Statistics Sweden. The informants with disabilities were divided into six groups.

    RESULTS: Occupational attainment did not differ between the disability groups, neither between persons with and without a disability. Follow-up analysis showed that men with disabilities with primary or secondary school had an occupation above their educational level to a significantly larger extent than women with disabilities. This pattern was even clearer in comparison with the control group. Persons without disabilities, with secondary or higher education, were more successful in the labor market than persons with disabilities. Occupational attainment increased with age in both groups.

    CONCLUSIONS: Young women with disabilities who only have primary or secondary education run a higher risk of having a job that is below their educational level than men at the same educational level. This indicates discriminating mechanisms in the society related to gender and ability.

    Ort, förlag, år, upplaga, sidor
    IOS Press, 2014
    Nyckelord
    Discrimination, occupational attainment, educational level, self-estimated work ability
    Nationell ämneskategori
    Medicin och hälsovetenskap Arbetsterapi
    Forskningsämne
    Handikappvetenskap
    Identifikatorer
    urn:nbn:se:oru:diva-39248 (URN)10.3233/WOR-131718 (DOI)000344347900004 ()24004782 (PubMedID)
    Tillgänglig från: 2014-12-02 Skapad: 2014-12-02 Senast uppdaterad: 2019-10-22Bibliografiskt granskad
    3. Disability and discrimination in the workplace context: A comparative study between persons with different types of disabilities [Invalidité et discrimination sur le lieu de travail: Une étude comparative entre les personnes ayant diverses formes de handicap]
    Öppna denna publikation i ny flik eller fönster >>Disability and discrimination in the workplace context: A comparative study between persons with different types of disabilities [Invalidité et discrimination sur le lieu de travail: Une étude comparative entre les personnes ayant diverses formes de handicap]
    (Engelska)Manuskript (preprint) (Övrigt vetenskapligt)
    Nationell ämneskategori
    Annan hälsovetenskap
    Identifikatorer
    urn:nbn:se:oru:diva-77506 (URN)
    Tillgänglig från: 2019-10-22 Skapad: 2019-10-22 Senast uppdaterad: 2019-10-22Bibliografiskt granskad
    4. The Need of Support and Adaptation in the Workplace for Persons with Different Types of Disabilities and Reduced Work Ability
    Öppna denna publikation i ny flik eller fönster >>The Need of Support and Adaptation in the Workplace for Persons with Different Types of Disabilities and Reduced Work Ability
    (Engelska)Manuskript (preprint) (Övrigt vetenskapligt)
    Nationell ämneskategori
    Annan hälsovetenskap
    Identifikatorer
    urn:nbn:se:oru:diva-77508 (URN)
    Tillgänglig från: 2019-10-22 Skapad: 2019-10-22 Senast uppdaterad: 2019-10-22Bibliografiskt granskad
  • 20.
    Boman, Tomas
    et al.
    Faculty of Health and Occupational Studies, Department of Social Work and Criminology, University of Gävle, Gävle, Sweden; Swedish Institute for Disability Research, Örebro University, Örebro, Sweden.
    Kjellberg, Anders
    Faculty of Engineering and Sustainable Development, Department of Building, Energy and Environmental Engineering, University of Gävle, Gävle, Sweden.
    Danermark, Berth
    Örebro universitet, Institutionen för hälsovetenskaper. Swedish Institute for Disability Research.
    Boman, Anna
    Faculty of Health and Occupational Studies, Department of Occupational Health and Psychology, University of Gävle, Gävle.
    The Need of Support and Adaptation in the Workplace for Persons with Different Types of Disabilities and Reduced Work AbilityManuskript (preprint) (Övrigt vetenskapligt)
  • 21.
    Boman, Tomas
    et al.
    Faculty of Health and Occupational Studies, Department of Social Work and Criminology, University of Gävle, Gävle, Sweden; Swedish Institute for Disability Research, Örebro University, Örebro, Sweden.
    Kjellberg, Anders
    Faculty of Engineering and Sustainable Development, Department of Building, Energy and Environmental Engineering, University of Gävle, Gävle, Sweden.
    Danermark, Berth
    Örebro universitet, Institutionen för hälsovetenskaper. Swedish Institute for Disability Research.
    Boman, Eva
    Faculty of Health and Occupational Studies, Department of Occupational Health and Psychology, University of Gävle, Gävle.
    Disability and discrimination in the workplace context: A comparative study between persons with different types of disabilities [Invalidité et discrimination sur le lieu de travail: Une étude comparative entre les personnes ayant diverses formes de handicap]Manuskript (preprint) (Övrigt vetenskapligt)
  • 22.
    Boström, Marianne
    Örebro universitet, Institutionen för hälsovetenskaper.
    Vardagslivets aktiviteter. Handlingen som terapeutiskt redskap vid återhämtning för personer med svårare psykiska funktionshinder: En analys av arbetsterapeuters berättelser med utgångspunkt i G H Meads teori om social handling2017Doktorsavhandling, monografi (Övrigt vetenskapligt)
    Abstract [en]

    There is a need of community-based treatment methods with focus on everyday occupations, for persons with severe mental disabilities. The importance of occupation in achieving health has been highlighted in large mental hospitals and community-based service/support designed for people with severe mental disabilities who today live in society. Despite this support these people are in a vulnerable position, as they often have extensive difficulties in carrying out daily occupations which also leads to poorer well-being and health conditions. In the rehabilitation process, it is necessary to enable the person to use her own effort to perform activities. Occupational therapy has a unique role in community-based efforts for people with severe mental disabilities through their person-centered practices approaches and knowledge of daily occupations and how these can be used as therapeutic means of recovery and development of the self.

    The purpose of the study is to use theory about social action to contribute theoretical understanding about how everyday occupations are used as a therapeutic means for people with severe mental disabilities in occupational therapy, with the goal of contributing to their recovery and development of self. A qualitative, interpretative approach is used in the study to examine how everyday life can be used as a therapeutic tool. Empirical data of 11 events were generated from interviews with four occupational therapists. A theoretical tool developed by George Herbert Mead’s social psychological theory of the social act, were used as a frame for new-descriptions. Through abductive analyses reconstructed events are given new (theoretical) understanding.

    The result indicate that the social acts have met such difficulties that they have almost ceased and at the same time risk losing their meaning. The therapist adjusts the activity to find the level at which the person can participate with his/her own experience in the implementation of the everyday action. This gives the person with severe mental disabilities opportunities to use one self in the social process which eventually makes the person regain the ability to perform everyday activities

  • 23.
    Brunnberg, Elinor
    Örebro universitet, Institutionen för beteende-, social- och rättsvetenskap.
    'Då blev jag besviken': en fenomenologisk analys av fyra berättelser2007Ingår i: Välfärdspolitik i praktiken: om perspektiv och metoder i forskning, Uppsala: NSU Press , 2007, s. 65-86Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Abstract [sv]

    I det här kapitlet diskuteras fenomenologisk filosofi och dess influenser på olika forskningsmetoder som deskriptiv fenomenologi och fenomenografi. I kapitlet kommer även att visas hur man kan göra en deskriptiv fenomenologisk analys. Utgångspunkten för analysen är fyra korta berättelser som skrivits av fyra flickor som deltagit i en kurs inom ett s.k. individuellt program. Syftet med kapitlet är att visa hur en deskriptiv fenomenologisk analys kan ge en fördjupad förståelse för flickors erfarenheter av sociala relationer samt när och hur de upplevt besvikelser i relationer till andra.

  • 24.
    Carling, Anna
    et al.
    Örebro universitet, Institutionen för medicinska vetenskaper. University Health Care Research Centre, Faculty of Medicine and Health, Örebro University, Örebro, Sweden; Department of Physiotherapy, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
    Nilsagård, Ylva
    Health Care Management, Region Örebro County, Örebro, Sweden.
    Forsberg, Anette
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län. Department of Physiotherapy.
    Balance exercise facilitates everyday life for people with multiple sclerosis: A qualitative study2018Ingår i: Physiotherapy Research International, ISSN 1358-2267, E-ISSN 1471-2865, Vol. 23, nr 4, artikel-id e1728Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVES: The aim of this qualitative study was to describe the experience and perceived effects on everyday life for people with multiple sclerosis after participating in a balance exercise programme focusing on core stability, dual tasking, and sensory strategies (the CoDuSe programme).

    METHODS: A qualitative approach was chosen, using face-to-face interviews analysed with content analysis. Twenty-seven people with multiple sclerosis (20 women, 7 men) who had participated in the CoDuSe programme were included. All could walk 20 m with or without walking aids but could not walk further than 200 m. The CoDuSe programme was given twice weekly during a 7-week period.

    RESULTS: The analysis revealed five categories. Learning to activate the core muscles described how the participants gained knowledge of using their core muscles and transferred this core muscle activation into everyday life activities. Improved bodily confidence covered narratives of being more certain of the ability to control their bodies. Easier and safer activities showed how they could now perform activities in everyday life more safely and easily. Increased independence and participation involved the participants' improved ability and self-confidence to execute activities by themselves, as well as their increased participation in activities in daily living. Experiences of the balance exercise programme revealed that they found the programme novel and challenging. The overall theme was balance exercise facilitates everyday life.

    CONCLUSION: Participating in the CoDuSe programme was perceived to facilitate everyday life for people with multiple sclerosis. Taking part in the balance exercise programme taught the participants how to activate and use the core muscles, which increased their bodily confidence. Having increased bodily confidence helped them to perform everyday life activities with more ease and safety, which increased their independence and participation. The participants described the CoDuSe programme as novel and challenging, yet feasible.

  • 25.
    Carlsson, Per-Inge
    et al.
    Department of otorhioloaryngology, Central hospital, Karlstad, Sweden; Audiological Research Center, Örebro University Hospital, Örebro, Sweden.
    Hjaldahl, Jennie
    Örebro universitet, Institutionen för hälsovetenskap och medicin. Audiological Research Center, Örebro university hospital, Örebro, Sweden.
    Magnuson, Anders
    Clinical epidemiology and biostatistics unit, Örebro university hospital, Örebro, Sweden.
    Ternevall, Elisabeth
    Department of audiology, Karolinska University hospital, Stockholm, Sweden.
    Edén, Margareta
    Department of hearing impairment and deafness, Mölndal hospital, Göteborg, Sweden.
    Skagerstrand, Åsa
    Örebro universitet, Institutionen för hälsovetenskap och medicin. Audiological Research Center, Örebro university hospital, Örebro, Sweden.
    Jönsson, Radi
    Department of Otorhinolaryngology, Sahlgrenska university Hospital, Göteborg, Sweden.
    Severe to profound hearing impairment: quality of life, psychosocial consequences and audiological rehabilitation2014Ingår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 37, nr 20, s. 1849-1856Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: To study the quality of life (QoL) and psychosocial consequences in terms of sick leave and audiological rehabilitation given to patients with severe to profound hearing impairment.

    Method: A retrospective study of data on 2319 patients with severe to profound hearing impairment in The Swedish Quality Register of Otorhinolaryngology, followed by a posted questionnaire including The Hospital Anxiety and Depression Scale (HADS). 

    Results: The results indicate greater levels of anxiety and depression among patients with severe or profound hearing impairment than in the general population, and annoying tinnitus and vertigo had strong negative effects on QoL. The proportion of sick leave differed between the studied dimensions in the study. The proportion of patients who received extended audiological rehabilitation was 38% in the present study. 

    Conclusions: Treatment focused on anxiety, depression, tinnitus and vertigo must be given early in the rehabilitation process in patients with severe or profound hearing impairment. Because sick leave differs greatly within this group of patients, collaboration with the regional Social Insurance Agency is crucial part of the rehabilitation. The study also shows that presently, only a small proportion of patients in Sweden with severe to profound hearing impairment receive extended audiological rehabilitation. Implications for Rehabilitation

    • Greater levels of anxiety and depression have been found among patients with severe or profound hearing impairment than in the general population, and annoying tinnitus and vertigo have strong negative effects on QoL in this group of patients.

    • Only a small proportion of patients with severe to profound hearing impairment receive extended audiological rehabilitation today, including medical, technical and psychosocial efforts.

    • Extended audiological rehabilitation focused on anxiety, depression, tinnitus and vertigo must be given, together with technical rehabilitation, early in the rehabilitation process in patients with severe or profound hearing impairment.

  • 26.
    Chen, Rong
    et al.
    Department of Microbiology, Tumor and Cell Biology, Karolinska Institutet, Stockholm.
    Enberg, Gösta
    Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm.
    Klein, Gunnar O.
    Department of Microbiology, Tumor and Cell Biology, Karolinska Institutet, Stockholm; Department of Medicine, Karolinska Institutet, Stockholm.
    Julius: a template based supplementary electronic health record system2007Ingår i: BMC Medical Informatics and Decision Making, ISSN 1472-6947, E-ISSN 1472-6947, Vol. 7, artikel-id 10Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: EHR systems are widely used in hospitals and primary care centres but it is usually difficult to share information and to collect patient data for clinical research. This is partly due to the different proprietary information models and inconsistent data quality. Our objective was to provide a more flexible solution enabling the clinicians to define which data to be recorded and shared for both routine documentation and clinical studies. The data should be possible to reuse through a common set of variable definitions providing a consistent nomenclature and validation of data. Another objective was that the templates used for the data entry and presentation should be possible to use in combination with the existing EHR systems.

    Methods: We have designed and developed a template based system (called Julius) that was integrated with existing EHR systems. The system is driven by the medical domain knowledge defined by clinicians in the form of templates and variable definitions stored in a common data repository. The system architecture consists of three layers. The presentation layer is purely web-based, which facilitates integration with existing EHR products. The domain layer consists of the template design system, a variable/clinical concept definition system, the transformation and validation logic all implemented in Java. The data source layer utilizes an object relational mapping tool and a relational database.

    Results: The Julius system has been implemented, tested and deployed to three health care units in Stockholm, Sweden. The initial responses from the pilot users were positive. The template system facilitates patient data collection in many ways. The experience of using the template system suggests that enabling the clinicians to be in control of the system, is a good way to add supplementary functionality to the present EHR systems.

    Conclusion: The approach of the template system in combination with various local EHR systems can facilitate the sharing and reuse of validated clinical information from different health care units. However, future system developments for these purposes should consider using the openEHR/CEN models with shareable archetypes.

  • 27.
    Chen, Rong
    et al.
    Department of Biomedical Engineering, Linköping University, Linköping.
    Garde, Sebastian
    Ocean Informatics UK, London, United Kingdom.
    Beale, Thomas
    Ocean Informatics UK, London, United Kingdom.
    Nyström, Mikael
    Department of Biomedical Engineering, Linköping University, Linköping.
    Karlsson, Daniel
    Department of Biomedical Engineering, Linköping University, Linköping.
    Klein, Gunnar
    Karolinska Institute, Stockholm.
    Ahlfeldt, Hans
    Department of Biomedical Engineering, Linköping University, Linköping.
    An archetype-based testing framework2008Ingår i: eHealth Beyond the Horizon: Get IT There, Amsterdam, Netherlands: IOS Press, 2008, Vol. 136, s. 401-6Konferensbidrag (Refereegranskat)
    Abstract [en]

    With the introduction of EHR two-level modelling and archetype methodologies pioneered by openEHR and standardized by CEN/ISO, we are one step closer to semantic interoperability and future-proof adaptive healthcare information systems. Along with the opportunities, there are also challenges. Archetypes provide the full semantics of EHR data explicitly to surrounding systems in a platform-independent way, yet it is up to the receiving system to interpret the semantics and process the data accordingly. In this paper we propose a design of an archetype-based platform-independent testing framework for validating implementations of the openEHR archetype formalism as a means of improving quality and interoperability of EHRs.

  • 28.
    Chen, Rong
    et al.
    Department of Biomedical Engineering, Linköping University.
    Klein, Gunnar
    Department of Medicine, Karolinska Institutet, Stockholm.
    The openEHR Java reference implementation project2007Ingår i: Studies in Health Technology and Informatics, ISSN 0926-9630, E-ISSN 1879-8365, Vol. 129, nr Pt 1, s. 58-62Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The openEHR foundation has developed an innovative design for interoperable and future-proof Electronic Health Record (EHR) systems based on a dual model approach with a stable reference information model complemented by archetypes for specific clinical purposes.A team from Sweden has implemented all the stable specifications in the Java programming language and donated the source code to the openEHR foundation. It was adopted as the openEHR Java Reference Implementation in March 2005 and released under open source licenses. This encourages early EHR implementation projects around the world and a number of groups have already started to use this code. The early Java implementation experience has also led to the publication of the openEHR Java Implementation Technology Specification. A number of design changes to the specifications and important minor corrections have been directly initiated by the implementation project over the last two years. The Java Implementation has been important for the validation and improvement of the openEHR design specifications and provides building blocks for future EHR systems.

  • 29.
    Chen, Rong
    et al.
    Linköping University, Linköping, Sweden; Cambio Healthcare System, Linköping, Sweden.
    Klein, Gunnar O.
    Karolinska Institutet, Solna, Sweden.
    Sundvall, Erik
    Linköping University, Linköping, Sweden.
    Karlsson, Daniel
    Linköping University, Linköping, Sweden.
    Åhlfeldt, Hans
    Linköping University, Linköping, Sweden.
    Archetype-based conversion of EHR content models: pilot experience with a regional EHR system2009Ingår i: BMC Medical Informatics and Decision Making, ISSN 1472-6947, E-ISSN 1472-6947, Vol. 9, s. 33-, artikel-id 33Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Exchange of Electronic Health Record (EHR) data between systems from different suppliers is a major challenge. EHR communication based on archetype methodology has been developed by openEHR and CEN/ISO. The experience of using archetypes in deployed EHR systems is quite limited today. Currently deployed EHR systems with large user bases have their own proprietary way of representing clinical content using various models. This study was designed to investigate the feasibility of representing EHR content models from a regional EHR system as openEHR archetypes and inversely to convert archetypes to the proprietary format.

    METHODS: The openEHR EHR Reference Model (RM) and Archetype Model (AM) specifications were used. The template model of the Cambio COSMIC, a regional EHR product from Sweden, was analyzed and compared to the openEHR RM and AM. This study was focused on the convertibility of the EHR semantic models. A semantic mapping between the openEHR RM/AM and the COSMIC template model was produced and used as the basis for developing prototype software that performs automated bi-directional conversion between openEHR archetypes and COSMIC templates.

    RESULTS: Automated bi-directional conversion between openEHR archetype format and COSMIC template format has been achieved. Several archetypes from the openEHR Clinical Knowledge Repository have been imported into COSMIC, preserving most of the structural and terminology related constraints. COSMIC templates from a large regional installation were successfully converted into the openEHR archetype format. The conversion from the COSMIC templates into archetype format preserves nearly all structural and semantic definitions of the original content models. A strategy of gradually adding archetype support to legacy EHR systems was formulated in order to allow sharing of clinical content models defined using different formats.

    CONCLUSION: The openEHR RM and AM are expressive enough to represent the existing clinical content models from the template based EHR system tested and legacy content models can automatically be converted to archetype format for sharing of knowledge. With some limitations, internationally available archetypes could be converted to the legacy EHR models. Archetype support can be added to legacy EHR systems in an incremental way allowing a migration path to interoperability based on standards.

  • 30.
    Colliander, Karin
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Lind, Josefin
    Örebro universitet, Institutionen för hälsovetenskaper.
    ”En kvinnas röst, har den betydelse?”: Signal-Brus-forhallande och psykometriska egenskaper for tal-ibrusmatning med en kvinnorost. - En experimentell studie2018Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 31. Coniavitis Gellerstedt, Lotta
    et al.
    Bjarnason, Sif
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    "Vad var det du inte hörde?": Hörteknik och dess användning i skolan – HODA2015Rapport (Övrigt vetenskapligt)
  • 32.
    Coorevits, Pascal
    et al.
    Ghent University, Ghent, Belgium; The European Institute for Health Records (EuroRec), Sint-Martens-Latem, Belgium.
    Sundgren, M
    AstraZeneca R&D, Mölndal, Sweden.
    Klein, Gunnar O.
    University of Science and Technology, Trondheim, Norway.
    Bahr, A
    Sanofi R&D, Chilly-Mazarin, France.
    Claerhout, B
    Custodix NV, Sint-Martens-Latem, Belgium.
    Daniel, C
    Paris Descartes University INSERM, Paris, France.
    Dugas, M
    University of Münster, Münster, Germany.
    Dupont, D
    Data Mining International SA, Geneva, Switzerland.
    Schmidt, A
    Pharma Product Development, F Hoffmann-La Roche Ltd, Basel, Switzerland.
    Singleton, P
    Cambridge Health Informatics, Cambridge, UK.
    De Moor, G
    Ghent University, Ghent, Belgium; The European Institute for Health Records (EuroRec), Sint-Martens-Latem, Belgium.
    Kalra, D
    University College London, London, UK.
    Electronic health records: new opportunities for clinical research2013Ingår i: Journal of Internal Medicine, ISSN 0954-6820, E-ISSN 1365-2796, Vol. 274, nr 6, s. 547-60Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Clinical research is on the threshold of a new era in which electronic health records (EHRs) are gaining an important novel supporting role. Whilst EHRs used for routine clinical care have some limitations at present, as discussed in this review, new improved systems and emerging research infrastructures are being developed to ensure that EHRs can be used for secondary purposes such as clinical research, including the design and execution of clinical trials for new medicines. EHR systems should be able to exchange information through the use of recently published international standards for their interoperability and clinically validated information structures (such as archetypes and international health terminologies), to ensure consistent and more complete recording and sharing of data for various patient groups. Such systems will counteract the obstacles of differing clinical languages and styles of documentation as well as the recognized incompleteness of routine records. Here, we discuss some of the legal and ethical concerns of clinical research data reuse and technical security measures that can enable such research while protecting privacy. In the emerging research landscape, cooperation infrastructures are being built where research projects can utilize the availability of patient data from federated EHR systems from many different sites, as well as in international multilingual settings. Amongst several initiatives described, the EHR4CR project offers a promising method for clinical research. One of the first achievements of this project was the development of a protocol feasibility prototype which is used for finding patients eligible for clinical trials from multiple sources.

  • 33.
    Dahlberg, Karuna
    Örebro universitet, Institutionen för hälsovetenskaper.
    e-Assessed follow-up of postoperative recovery: developement, evaluation and patient experiences2018Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    The majority of all surgeries are performed as day surgery. After discharge, patients are expected to take responsibility for their postoperative recovery themselves. Recovery Assessment by Phone Points (RAPP) is an e-assessment developed for assessing and providing follow-up on postoperative recovery, which includes the Swedish web-version of the Quality of Recovery questionnaire (SwQoR). It also enables the patient to get in contact with the day surgery unit. The overall aim of this thesis was to further develop and evaluate a systematic follow-up of postoperative recovery using a mobile app in adult persons undergoing day surgery, as well as to describe their experiences of postoperative recovery when using the mobile app. Study I: This study included three steps. Equivalence testing between the paper and app versions of the SwQoR showed agreement (n=69). The feasibility and acceptability evaluation showed that participants (n=63) were positive towards using a mobile phone application during postoperative recovery. Content validity of the SwQoR reduced the original 31 items to 24. Studies II and III: A multicentre, two-group, parallel, single-blind randomized controlled trial including 997 participants was conducted to investigate the effect of e-assessment on postoperative recovery (II) and cost-effectiveness (III) in a RAPP group compared with a control group. The RAPP group reported significantly better quality of postoperative recovery on postoperative days 7 and 14 compared with the control group. Moreover, RAPP may be cost-effective as it provides low-cost care. Study IV: Explored experience of postoperative recovery in participants using a mobile phone app during their postoperative recovery. Qualitative inductive semi-structured interviews (n=18) were performed. Findings showed that feeling safe is important during postoperative recovery. This feeling can be created by patients themselves, but sufficient support and information from health care and next of kin is needed. Overall, this thesis showed positive results for RAPP, suggesting that RAPP is a solution that may benefit patients after day surgery.

    Delarbeten
    1. Evaluation of the Swedish Web-Version of Quality of Recovery (SwQoR): Secondary Step in the Development of a Mobile Phone App to Measure Postoperative Recovery
    Öppna denna publikation i ny flik eller fönster >>Evaluation of the Swedish Web-Version of Quality of Recovery (SwQoR): Secondary Step in the Development of a Mobile Phone App to Measure Postoperative Recovery
    2016 (Engelska)Ingår i: JMIR Research Protocols, ISSN 1929-0748, E-ISSN 1929-0748, Vol. 5, nr 3, artikel-id e192Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    Background: The majority of all surgeries are performed on an outpatient basis (day surgery). The Recovery Assessment by Phone Points (RAPP) app is an app for the Swedish Web-version of Quality of Recovery (SwQoR), developed to assess and follow-up on postoperative recovery after day surgery.

    Objectives: The objectives of this study are (1) to estimate the extent to which the paper and app versions of the SwQoR provide equivalent values; (2) to contribute evidence as to the feasibility and acceptability of a mobile phone Web-based app for measuring postoperative recovery after day surgery and enabling contact with a nurse; and (3) to contribute evidence as to the content validity of the SwQoR.

    Methods: Equivalence between the paper and app versions of the SwQoR was measured using a randomized crossover design, in which participants used both the paper and app version. Feasibility and acceptability was evaluated by a questionnaire containing 16 questions regarding the value of the app for follow-up care after day surgery. Content validity evaluation was based on responses by day surgery patients and the staff of the day surgery department.

    Results: A total of 69 participants completed the evaluation of equivalence between the paper and app versions of the SwQoR. The intraclass correlation coefficient (ICC) for the SwQoR was .89 (95% CI 0.83-0.93) and .13 to .90 for the items. Of the participants, 63 continued testing the app after discharge and completed the follow-up questionnaire. The median score was 69 (inter-quartile range, IQR 66-73), indicating a positive attitude toward using an app for follow-up after day surgery. A total of 18 patients and 12 staff members participated in the content validity evaluation. The item-level content validity index (I-CVI) for the staff group was in the 0.64 to 1.0 range, with a scale-level content validity index (S-CVI) of 0.88. For the patient group, I-CVI was in the range 0.30 to 0.92 and S-CVI was 0.67. The content validity evaluation of the SwQoR, together with three new items, led to a reduction from 34 to 24 items.

    Conclusions: Day surgery patients had positive attitudes toward using the app for follow-up after surgery, and stated a preference for using the app again if they were admitted for a future day surgery procedure. Equivalence between the app and paper version of the SwQoR was found, but at the item level, the ICC was less than .7 for 9 items. In the content validity evaluation of the SwQoR, staff found more items relevant than the patients, and no items found relevant by either staff or patients were excluded when revising the SwQoR.

    Ort, förlag, år, upplaga, sidor
    Toronto, Canada: JMIR Publications, Inc, 2016
    Nyckelord
    mHealth, ambulatory surgical procedures, postoperative period, mobile phones
    Nationell ämneskategori
    Omvårdnad
    Identifikatorer
    urn:nbn:se:oru:diva-52584 (URN)10.2196/resprot.5881 (DOI)27679867 (PubMedID)
    Tillgänglig från: 2016-09-27 Skapad: 2016-09-27 Senast uppdaterad: 2018-05-22Bibliografiskt granskad
    2. Evaluation of postoperative recovery in day surgery patients using a mobile phone application: a multicentre randomized trial
    Öppna denna publikation i ny flik eller fönster >>Evaluation of postoperative recovery in day surgery patients using a mobile phone application: a multicentre randomized trial
    2017 (Engelska)Ingår i: British Journal of Anaesthesia, ISSN 0007-0912, E-ISSN 1471-6771, Vol. 119, nr 5, s. 1030-1038Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    Background: Many patients undergoing anaesthesia and surgery experience postoperative complications. Our aim was to investigate whether a systematic follow-up smartphone-based assessment, using recovery assessment by phone points (RAPP) compared with standard care, had a positive effect on day surgery patients' postoperative recovery. We also investigated whether there were differences in women and men's recovery and recovery scores.

    Methods: The study was a single-blind, multicentre randomized controlled trial. A total of 997 patients were randomly allocated to either RAPP or standard care. The Swedish web version of a quality of recovery (SwQoR) questionnaire was used to evaluate the patients' postoperative recovery, either on paper or using an application (RAPP) on postoperative days seven and 14.

    Results: On postoperative day seven the RAPP group reported significantly better values in seven out of 24 items of the SwQoR: sleeping difficulties; not having a general feeling of wellbeing; having difficulty feeling relaxed/comfortable; and dizziness; headache; pain in the surgical wound; and a swollen surgical wound compared with the control group, implying a good postoperative recovery. Both men and women in the RAPP group reported significantly better values (and, hence good postoperative recovery) compared with the control group in the items sleeping difficulties; not having a general feeling of wellbeing and pain in the surgical wound.

    Conclusions: Measurement of patient-reported outcomes using a smartphone-based application was associated with decreased discomfort from several postoperative symptoms. Systematic e-assessment can thereby increase patients' quality of recovery and identify key areas for improvement in perioperative care.

    Ort, förlag, år, upplaga, sidor
    Oxford University Press, 2017
    Nyckelord
    Mobile application, patient outcome assessment, postoperative complications, postoperative period
    Nationell ämneskategori
    Anestesi och intensivvård
    Identifikatorer
    urn:nbn:se:oru:diva-61084 (URN)10.1093/bja/aex331 (DOI)000413642900026 ()29077818 (PubMedID)2-s2.0-85034763250 (Scopus ID)
    Forskningsfinansiär
    Forte, Forskningsrådet för hälsa, arbetsliv och välfärd, 2013-4765Vetenskapsrådet, 2015-02273
    Tillgänglig från: 2017-09-19 Skapad: 2017-09-19 Senast uppdaterad: 2019-03-26Bibliografiskt granskad
    3. Cost-effectiveness of a systematic e-assessed follow-up of postoperative recovery after day surgery: a multicentre randomized trial
    Öppna denna publikation i ny flik eller fönster >>Cost-effectiveness of a systematic e-assessed follow-up of postoperative recovery after day surgery: a multicentre randomized trial
    Visa övriga...
    2017 (Engelska)Ingår i: British Journal of Anaesthesia, ISSN 0007-0912, E-ISSN 1471-6771, Vol. 119, nr 5, s. 1039-1046Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    Background: Most surgeries are done on a day-stay basis. Recovery assessment by phone points (RAPP) is a smartphonebased application (app) to evaluate patients after day surgery. The aim of this study was to estimate the cost-effectiveness of using RAPP for follow-up on postoperative recovery compared with standard care.

    Methods: This study was a prospective parallel single-blind multicentre randomized controlled trial. Participants were randomly allocated to the intervention group using RAPP or the control group receiving standard care. A cost-effectiveness analysis was performed based on individual data and included costs for the intervention, health effect [quality-adjusted life-years (QALYs)], and costs or savings in health-care use.

    Results: The mean cost for health-care consumption during 2 weeks after surgery was estimated at e37.29 for the intervention group and e60.96 for the control group. The mean difference was e23.66 (99% confidence interval 46.57 to0.76; P¼0.008). When including the costs of the intervention, the cost-effectiveness analysis showed net savings of e4.77 per patient in favour of the intervention. No difference in QALYs gained was seen between the groups (P¼0.75). The probability of the intervention being cost-effective was 71%.

    Conclusions: This study shows that RAPP can be cost-effective but had no effect on QALY. RAPP can be a cost-effective toolin providing low-cost health-care contacts and in systematically assessing the quality of postoperative recovery.

    Clinical trial registration:NCT02492191

    Ort, förlag, år, upplaga, sidor
    Oxford University Press, 2017
    Nyckelord
    Ambulatory surgery, cost effectiveness, mobile applications, postoperative period
    Nationell ämneskategori
    Anestesi och intensivvård
    Identifikatorer
    urn:nbn:se:oru:diva-61954 (URN)10.1093/bja/aex332 (DOI)000413642900027 ()29077819 (PubMedID)2-s2.0-85034731856 (Scopus ID)
    Forskningsfinansiär
    Forte, Forskningsrådet för hälsa, arbetsliv och välfärd, 2013-4765Vetenskapsrådet, 2015-02273
    Tillgänglig från: 2017-10-25 Skapad: 2017-10-25 Senast uppdaterad: 2019-03-26Bibliografiskt granskad
    4. Holding it together: patients’ perspectives on postoperative recovery when using an e-assessed follow-up
    Öppna denna publikation i ny flik eller fönster >>Holding it together: patients’ perspectives on postoperative recovery when using an e-assessed follow-up
    Visa övriga...
    (Engelska)Manuskript (preprint) (Övrigt vetenskapligt)
    Nationell ämneskategori
    Annan hälsovetenskap
    Identifikatorer
    urn:nbn:se:oru:diva-67060 (URN)
    Tillgänglig från: 2018-05-21 Skapad: 2018-05-21 Senast uppdaterad: 2019-03-26Bibliografiskt granskad
  • 34.
    Dahlberg, Karuna
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Jaensson, Maria
    Örebro universitet, Institutionen för hälsovetenskaper.
    Nilsson, Ulrica
    Örebro universitet, Institutionen för hälsovetenskaper.
    Eriksson, Mats
    Örebro universitet, Institutionen för hälsovetenskaper.
    Odencrants, Sigrid
    Örebro universitet, Institutionen för hälsovetenskaper.
    Holding It Together - Patients' Perspectives on Postoperative Recovery When Using an e-Assessed Follow-Up: Qualitative Study2018Ingår i: JMIR mhealth and uhealth, E-ISSN 2291-5222, Vol. 20, nr 5, artikel-id e10387Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: There is an emerging trend to perform surgeries as day surgery. After a day surgery, most of the recovery period takes place at home, and patients are responsible for their own recovery. It has been suggested that electronic health (eHealth) technologies can support patients in this process. A mobile app has recently been developed to assess and follow up on postoperative recovery after a day surgery.

    Objective: The aim of this study was to explore experiences associated with postoperative recovery after a day surgery in patients using a mobile app to assess the quality of their recovery.

    Methods: This is a qualitative interview study with an explorative and descriptive design. Participants were recruited from 4 different day surgery units in different parts of Sweden. The study included 18 participants aged >17 years who had undergone day surgery and used the Recovery Assessment by Phone Points, a mobile app for follow-up on postoperative recovery after day surgery. Participants were purposively selected to ensure maximum variation. Semistructured individual interviews were conducted. Data were analyzed using thematic analysis.

    Results: A total of two themes and six subthemes emerged from the data: (1) the theme Give it all you’ve got with the subthemes Believing in own capacity, Being prepared, and Taking action, where participants described their possibilities of participating and themselves contributing to improving their postoperative recovery; and (2) the theme The importance of feeling safe and sound with the subthemes Feeling safe and reassured, Not being acknowledged, and Not being left alone, which describe the importance of support from health care professionals and next of kin.

    Conclusions: It is important that patients feel safe, reassured, and acknowledged during their postoperative recovery. They can achieve this themselves with sufficient support and information from the health care organization and their next of kin. Using a mobile app, both for assessment and to enable contact with the day surgery unit during the postoperative recovery period, can improve care and create a feeling of not being alone after surgery. We propose that postoperative recovery starts in the prerecovery phase when patients prepare for their recovery to get the best possible outcome from their surgery.

  • 35.
    Dahlberg, Karuna
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Jaensson, Maria
    Örebro universitet, Institutionen för hälsovetenskaper.
    Nilsson, Ulrica
    Örebro universitet, Institutionen för hälsovetenskaper.
    Eriksson, Mats
    Örebro universitet, Institutionen för hälsovetenskaper.
    Odencrants, Sigrid
    Örebro universitet, Institutionen för hälsovetenskaper.
    Holding it together: patients’ perspectives on postoperative recovery when using an e-assessed follow-upManuskript (preprint) (Övrigt vetenskapligt)
  • 36.
    Danermark, Berth
    Örebro universitet, Institutionen för hälsovetenskaper.
    Applied interdisciplinary research - a critical realist perspective2019Ingår i: Journal of Critical Realism, ISSN 1476-7430, E-ISSN 1572-5138Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This article uses the philosophy of critical realism to overcome the problem that most contemporary guidelines for interdisciplinary research fail to provide would-be researchers with adequate advice. It arrives at five important steps in the interdisciplinary research process: an initial planning phase; a disciplinary phase; a teamwork phase characterized by cross-disciplinary understanding; and a transdisciplinary, creative phase that involves epistemic emergence, and that results in the integration of knowledge. The fifth phase is the result of the integrative fourth phase; it provides a holistic interdisciplinary understanding of the involved structures and mechanisms of the issue at hand. To make interventions derived from interdisciplinary research useful, they must be disseminated in such way as to include a return to reality, that is, there must be a movement from epistemology to ontology.

  • 37.
    Danermark, Berth
    Örebro universitet, Institutionen för hälsovetenskaper. Institutet för Handikappvetenskap.
    The role of communication partners in the audiological rehabilitation2018Ingår i: International Journal of Audiology, ISSN 1499-2027, E-ISSN 1708-8186, Vol. 57, s. 558-559Artikel, recension (Refereegranskat)
  • 38.
    Danermark, Berth
    et al.
    Örebro universitet, Hälsoakademin.
    Cieza, Alarcos
    Inst Hlth & Rehabil Sci, ICF Res Branch, WHO CC FIC, Univ Munich, Munich, Germany.
    Gangé, Jean-Pierre
    Inst Univ Geriatrie Montreal, Ecole Orthophonie & Audiol, Univ Montreal, Montreal PQ, Canada.
    Gimigliano, Francesca
    Dept Audiol & Speech Sci, Univ Naples 2, Naples, Italy.
    Granberg, Sarah
    Örebro universitet, Hälsoakademin.
    Hickson, Louise
    Sch Hlth & Rehabil Sci, Commun Disabil Ctr, Univ Queensland, Brisbane Qld, Australia.
    Kramer, Sophia
    Med Ctr, Dept ENT Audiol, EMGO Inst Hlth & Care Res, Vrije, Univ Amsterdam, Amsterdam, Netherlands.
    McPherson, Bradley
    Ctr Commun Disorders, Univ Hong Kong, Hong Kong, Peoples R China.
    Möller, Claes
    Centre for Audiological Research, The University Hospital, Örebro, Sweden.
    Russo, Ieda
    Programa Estudos Posgrad Fonoaudiol, Pontificia Univ Catolica Sao Paulo, Sao Paulo, Brazil.
    Strömgren, Jan Peter
    Nottwil & Seminar Hlth Sci & Hlth Policy, Univ Lucerne, Luzern, Switzerland.
    Stucki, Gerold
    Nottwil & Seminar Hlth Sci & Hlth Policy, Univ Lucerne, Luzern, Switzerland.
    Swanepoel, DeWet
    Dept Commun Pathol, Univ Pretoria, Pretoria, South Africa; Callier Ctr Commun Disorders, Univ Texas Dallas, Dallas TX, USA.
    International classification of functioning, disability, and health core sets for hearing loss: A discussion paper and invitation2010Ingår i: International Journal of Audiology, ISSN 1499-2027, E-ISSN 1708-8186, Vol. 49, nr 4, s. 256-262Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The World Health Organization’s International Classification of Functioning, Disability and Health (ICF) has adopted a multifactorial understanding of functioning and disability, merging a biomedical paradigm with a social paradigm into a wider understanding of human functioning. Altogether there are more than 1400 ICF-categories describing different aspects of human functioning and there is a need to developing short lists of ICF categories to facilitate use of the classification scheme in clinical practice. To our knowledge, there is currently no such standard measuring instrument to facilitate a common validated way of assessing the effects of hearing loss on the lives of adults. The aim of the project is the development of an internationally accepted, evidence-based, reliable, comprehensive and valid ICF Core Sets for Hearing Loss. The processes involved in this project are described in detail and the authors invite stakeholders, clinical experts and persons with hearing loss to actively participate in the development process.

  • 39.
    Danermark, Berth
    et al.
    Örebro universitet, Institutionen för hälsovetenskap och medicin. Audiological Research Centre, Örebro University Hospital, Örebro, Sweden; Swedish Institute for Disability Research, Örebro University, Örebro, Sweden.
    Granberg, Sarah
    Örebro universitet, Institutionen för hälsovetenskap och medicin. Swedish Institute for Disability Research, Örebro University, Örebro, Sweden; Audiological Research Centre, Örebro University Hospital, Örebro, Sweden; HEAD (Hearing and Deafness) Research School, Linköping University, Linköping, Sweden.
    Kramer, Sophia E.
    Vrije University Medical Center, Amsterdam, Netherlands.
    Selb, Melissa
    WHO Collaborating Centre for the Family of International Classifications in Germany (at DIMDI), Nottwil, Switzerland; Swiss Paraplegic Research, Nottwil, Switzerland.
    Möller, Claes
    Örebro universitet, Institutionen för hälsovetenskap och medicin. Audiological Research Centre, Örebro University Hospital, Örebro, Sweden; Swedish Institute for Disability Research, Örebro University, Örebro, Sweden.
    The Creation of a Comprehensive and a Brief Core Set for Hearing Loss Using the International Classification of Functioning, Disability and Health2013Ingår i: American Journal of Audiology, ISSN 1059-0889, E-ISSN 1558-9137, Vol. 22, nr 2, s. 323-328Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: In May 2001, to integrate biological, psychological, and social aspects of human functioning, the World Health Assembly endorsed the International Classification of Functioning, Disability and Health (ICF). The aim of this article is to describe the creation of Comprehensive and Brief ICF Core Sets for Hearing Loss. The core sets consist of the most relevant ICF categories for hearing loss. Method and Results: Four preparatory studies were carried out and presented at a consensus conference, resulting in a Comprehensive ICF Core Set for Hearing Loss, consisting of 117 ICF categories, and a Brief ICF Core Set for Hearing Loss, consisting of 27 categories (of the 117). Conclusion: The Comprehensive ICF Core Set for Hearing Loss can be a user-friendly tool for conducting comprehensive, multidisciplinary assessments. The Brief ICF Core Set can be used for many purposes, such as research and population studies. However, its most common use is by individuals seeking to provide a brief description and assessment of functioning of a person with hearing loss.

  • 40.
    Duberg, Anna
    Örebro universitet, Institutionen för hälsovetenskaper.
    Dance Intervention for Adolescent Girls with Internalizing Problems: Effects and Experiences2016Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    Globally, psychological health problems are currently among the most serious public health challenges. Adolescent girls suffer from internalizing problems, such as somatic symptoms and mental health problems, at higher rates than in decades. By age 15, over 50 % of all girls experience multiple health complaints more than once a week and one in five girls reports fair or poor health.

    The overall aim of this study was to investigate the effects of and experiences with an after-school dance intervention for adolescent girls with internalizing problems. The intervention comprised dance that focused on resources twice weekly for 8 months. Specifically, this thesis aimed to: I) investigate the effects on self-rated health (SRH), adherence and over-all experience; II) evaluate the effects on somatic symptoms, emotional distress and use of medication; III) explore the experiences of those participating in the intervention; and IV) assess the cost-effectiveness.

    A total of 112 girls aged 13 to 18 years were included in a randomized controlled trial. The dance intervention group comprised 59 girls, and the control group 53. In paper I, the dance group showed increased SRH scores compared to the control group (p = .02). Girls in the intervention group showed high adherence and a positive overall experience. In paper II, the dance group exhibited a decrease in somatic symptoms (p = .021), emotional distress (p = .023) and use of medication (p = .020) compared to the control group. In paper III, a strategic sample of 24 girls was interviewed. Qualitative content analysis was performed, and five generic categories emerged. Two were “An Oasis from Stress” and “Supportive Togetherness”, which was shown to represent the fundamental basis and setting of the intervention. The main category, participants’ central experience, was understood as “Finding embodied self-trust that opens new doors”. Paper IV revealed that, due to decreased number of visits to the school nurse and an increase in health related quality of life; the intervention was considered to be cost-effective (combined with the usual school health services). In summary, the results of this thesis show that this dance intervention for adolescent girls with internalizing problems generated positive health effects and proved to be cost-effective. For this target group, a non-judgmental environment and supportive togetherness proved to be of importance for participation. The results of this study may provide practical information for school health care staff and caregivers in designing future interventions.

    Delarbeten
    1. Influencing self-rated health among adolescent girls with dance intervention: a randomized controlled trial
    Öppna denna publikation i ny flik eller fönster >>Influencing self-rated health among adolescent girls with dance intervention: a randomized controlled trial
    2013 (Engelska)Ingår i: JAMA pediatrics, ISSN 2168-6203, E-ISSN 2168-6211, Vol. 167, nr 1, s. 27-31Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    Objective: To investigate whether dance intervention influenced self-rated health for adolescent girls with internalizing problems.

    Design: Randomized controlled intervention trial with follow-up measures at 8, 12, and 20 months after baseline.

    Setting: A Swedish city with a population of 130 000.

    Participants: Girls aged 13 to 18 years with internalizing problems, ie, stress and psychosomatic symptoms. A total of 59 girls were randomized to the intervention group and 53 were randomized to the control group.

    Intervention: The intervention comprised dance classes twice weekly during 8 months. Each dance class lasted 75 minutes and the focus was on the joy of movement, not on performance.

    Main Outcome Measures: Self-rated health was the primary outcome; secondary outcomes were adherence to and experience of the intervention.

    Results: The dance intervention group improved their self-rated health more than the control group at all follow-ups. At baseline, the mean score on a 5-point scale was 3.32 for the dance intervention group and 3.75 for the control group. The difference in mean change was 0.30 (95% CI, −0.01 to 0.61) at 8 months, 0.62 (95% CI, 0.25 to 0.99) at 12 months, and 0.40 (95% CI, 0.04 to 0.77) at 20 months. Among the girls in the intervention group, 67% had an attendance rate of 50% to 100%. A total of 91% of the girls rated the dance intervention as a positive experience.

    Conclusions: An 8-month dance intervention can improve self-rated health for adolescent girls with internalizing problems. The improvement remained a year after the intervention

    Ort, förlag, år, upplaga, sidor
    Chicago, USA: American Medical Association, 2013
    Nationell ämneskategori
    Annan hälsovetenskap Omvårdnad
    Forskningsämne
    Medicin
    Identifikatorer
    urn:nbn:se:oru:diva-24206 (URN)10.1001/jamapediatrics.2013.421 (DOI)000316797500007 ()23403597 (PubMedID)2-s2.0-84873503070 (Scopus ID)
    Anmärkning

    Funding Agencies:

    Örebro County Council 

    municipality of Örebro 

    Tillgänglig från: 2012-08-03 Skapad: 2012-08-03 Senast uppdaterad: 2018-09-12Bibliografiskt granskad
    2. Dance Intervention for Adolescent Girls: Effects on Somatic Symptoms, Emotional Distress, and Use of Medication. A Randomized Controlled Trial
    Öppna denna publikation i ny flik eller fönster >>Dance Intervention for Adolescent Girls: Effects on Somatic Symptoms, Emotional Distress, and Use of Medication. A Randomized Controlled Trial
    (Engelska)Manuskript (preprint) (Övrigt vetenskapligt)
    Nationell ämneskategori
    Annan hälsovetenskap
    Identifikatorer
    urn:nbn:se:oru:diva-50024 (URN)
    Tillgänglig från: 2016-04-29 Skapad: 2016-04-28 Senast uppdaterad: 2017-10-17Bibliografiskt granskad
    3. “I feel free”: Experiences of a Dance Intervention for Adolescent Girls with Internalizing Problems
    Öppna denna publikation i ny flik eller fönster >>“I feel free”: Experiences of a Dance Intervention for Adolescent Girls with Internalizing Problems
    (Engelska)Manuskript (preprint) (Övrigt vetenskapligt)
    Nationell ämneskategori
    Annan hälsovetenskap
    Identifikatorer
    urn:nbn:se:oru:diva-50025 (URN)
    Tillgänglig från: 2016-04-29 Skapad: 2016-04-28 Senast uppdaterad: 2017-10-17Bibliografiskt granskad
    4. Cost-utility analysis of a dance intervention for adolescent girls with internalizing problems
    Öppna denna publikation i ny flik eller fönster >>Cost-utility analysis of a dance intervention for adolescent girls with internalizing problems
    2013 (Engelska)Ingår i: Cost Effectiveness and Resource Allocation, ISSN 1478-7547, E-ISSN 1478-7547, Vol. 11, nr 1, s. 4-Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    Background: The increasing prevalence of psychological health problems among adolescent girls is alarming. Knowledge of beneficial effects of physical activity on psychological health is widespread. Dance is a popular formof exercise that could be a protective factor in preventing and treating symptoms of depression. The aim of thisstudy was to assess the cost-effectiveness of a dance intervention in addition to usual school health services foradolescent girls with internalizing problems, compared with usual school health services alone.

    Methods: A cost-utility analysis from a societal perspective based on a randomized controlled intervention trial wasperformed. The setting was a city in central Sweden with a population of 130 000. A total of 112 adolescent girls, 13–18 years old, with internalizing problems participated in the study. They were randomly assigned to intervention (n =59) or control (n = 53) group. The intervention comprised dance twice weekly during eight months in addition to usualschool health services. Costs for the stakeholder of the intervention, treatment effect and healthcare costs wereconsidered. Gained quality-adjusted life-years (QALYs) were used to measure the effects. Quality of life was measuredwith the Health Utility Index Mark 3. Cost-effectiveness ratios were based on the changes in QALYs and net costs forthe intervention group compared with the control group. Likelihood of cost-effectiveness was calculated.

    Results: At 20 months, quality of life had increased by 0.08 units more in the intervention group than in the controlgroup (P = .04), translating to 0.10 gained QALYs. The incremental cost-effectiveness ratio was USD $3,830 per QALYand the likelihood of cost-effectiveness was 95%.

    Conclusions: Intervention with dance twice weekly in addition to usual school health services may be consideredcost-effective compared with usual school health services alone, for adolescent girls with internalizing problems.

    Nyckelord
    Internalizing problems, Adolescent girls, Physical activity, Dance, Cost-utility analysis
    Nationell ämneskategori
    Företagsekonomi Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi
    Forskningsämne
    Företagsekonomi
    Identifikatorer
    urn:nbn:se:oru:diva-38723 (URN)10.1186/1478-7547-11-4 (DOI)23425608 (PubMedID)2-s2.0-84873979104 (Scopus ID)
    Anmärkning

    Trial registration:

    Name of the trial registry: “Influencing Adolescent Girls’ With Creative Dance Twice Weekly”

    Trial registration number: NCT01523561

    Tillgänglig från: 2014-11-18 Skapad: 2014-11-18 Senast uppdaterad: 2018-05-22Bibliografiskt granskad
  • 41.
    Duberg, Anna
    et al.
    Örebro universitet, Institutionen för hälsovetenskap och medicin. Centre for Health Care Sciences, Örebro University Hospital, Örebro, Sweden; Örebro County Council, Örebro, Sweden.
    Hagberg, Lars
    Örebro universitet, Institutionen för hälsovetenskap och medicin. Centre for Health Care Sciences, Örebro University Hospital, Örebro, Sweden; Örebro County Council, Örebro, Sweden.
    Sunvisson, Helena
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Möller, Margareta
    Örebro universitet, Institutionen för hälsovetenskap och medicin. Örebro University Hospital, Örebro, Sweden.
    Influencing self-rated health among adolescent girls with dance intervention: a randomized controlled trial2013Ingår i: JAMA pediatrics, ISSN 2168-6203, E-ISSN 2168-6211, Vol. 167, nr 1, s. 27-31Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: To investigate whether dance intervention influenced self-rated health for adolescent girls with internalizing problems.

    Design: Randomized controlled intervention trial with follow-up measures at 8, 12, and 20 months after baseline.

    Setting: A Swedish city with a population of 130 000.

    Participants: Girls aged 13 to 18 years with internalizing problems, ie, stress and psychosomatic symptoms. A total of 59 girls were randomized to the intervention group and 53 were randomized to the control group.

    Intervention: The intervention comprised dance classes twice weekly during 8 months. Each dance class lasted 75 minutes and the focus was on the joy of movement, not on performance.

    Main Outcome Measures: Self-rated health was the primary outcome; secondary outcomes were adherence to and experience of the intervention.

    Results: The dance intervention group improved their self-rated health more than the control group at all follow-ups. At baseline, the mean score on a 5-point scale was 3.32 for the dance intervention group and 3.75 for the control group. The difference in mean change was 0.30 (95% CI, −0.01 to 0.61) at 8 months, 0.62 (95% CI, 0.25 to 0.99) at 12 months, and 0.40 (95% CI, 0.04 to 0.77) at 20 months. Among the girls in the intervention group, 67% had an attendance rate of 50% to 100%. A total of 91% of the girls rated the dance intervention as a positive experience.

    Conclusions: An 8-month dance intervention can improve self-rated health for adolescent girls with internalizing problems. The improvement remained a year after the intervention

  • 42.
    Duberg, Anna
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Jutengren, Göran
    University of Borås.
    Hagberg, Lars
    Örebro universitet, Institutionen för hälsovetenskaper.
    Möller, Margareta
    Örebro universitet, Institutionen för hälsovetenskaper.
    Dance Intervention for Adolescent Girls: Effects on Somatic Symptoms, Emotional Distress, and Use of Medication. A Randomized Controlled TrialManuskript (preprint) (Övrigt vetenskapligt)
  • 43.
    Duberg, Anna
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Möller, Margareta
    Örebro universitet, Institutionen för hälsovetenskaper.
    Sunvisson, Helena
    Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
    “I feel free”: Experiences of a Dance Intervention for Adolescent Girls with Internalizing ProblemsManuskript (preprint) (Övrigt vetenskapligt)
  • 44.
    Edström, Evelina
    et al.
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Löfgren, Sofia
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Förskolepersonalens faktiska och upplevda bullerbelastning på arbetet2012Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Buller är benämningen på icke önskvärda ljud och blir skadliga när ljudnivåerna blir tillräckligt höga. Effekterna av bullerexponering är många. Höga ljudnivåer förekommer bl.a. inom förskolor. Trots att detta är allmänt känt saknas det en del forskning kring hur just förskolepersonal upplever och påverkas av den höga ljudnivån på arbetet.

    Syfte: Syftet med studien är att undersöka ljudnivån på en förskola samt hur förskolepersonalen upplever och påverkas av ljudmiljön på arbetet.

    Metod: En egen tillverkad enkätundersökning riktad till förskolepersonal samt dosmätning genomfördes på en småbarnsavdelning och en äldrebarnsavdelning. Enkäten berörde frågor gällande ljudnivån på förskolan samt förskolepersonalens upplevelse och påverkan.

    Resultat: De ekvivalenta ljudnivåerna på småbarnsavdelningen låg mellan 73,2 – 78,5 dB(A) och på äldrebarnsavdelningen 71,7 – 78,1 dB(A). Impulstoppvärdena på småbarnsavdelningen låg mellan 110,6 – 135,7 dB(C) och på äldrebarnsavdelningen 116,5 – 143,4 dB(C). Majoriteten av förskolepersonalen upplever hög ljudnivå på arbetet dagligen.

    Slutsatser: Resultatet visar att förskolepersonalen inte utsätts för högre ekvivalenta ljudnivåer än tillåtet. Trots detta upplever majoriteten av förskolepersonalen att de dagligen utsätts för höga ljudnivåer på arbetet. En orsak till detta kan vara att impulstoppvärdena i vissa fall överskrider insatsvärdena. Denna studie är dock inte representativ för populationen, utan är enbart en deskriptiv studie för denna specifika förskola.

  • 45.
    Ehn, Mattias
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper. Örebro University Hospital, Audiological Research Centre, Örebro, Sweden; Swedish Institute for Disability Research, Örebro University, Örebro, Sweden.
    Möller, Kerstin
    Örebro universitet, Institutionen för hälsovetenskaper. Örebro University Hospital, Audiological Research Centre, Örebro, Sweden; Swedish Institute for Disability Research, Örebro University, Örebro, Sweden.
    Danermark, Berth
    Örebro universitet, Institutionen för hälsovetenskaper. Örebro University Hospital, Audiological Research Centre, Örebro, Sweden; Swedish Institute for Disability Research, Örebro University, Örebro, Sweden.
    Möller, Claes
    Örebro universitet, Institutionen för hälsovetenskaper. Örebro University Hospital, Audiological Research Centre, Örebro, Sweden; Swedish Institute for Disability Research, Örebro University, Örebro, Sweden.
    The relationship between work and health in persons with Usher syndrome type 22016Ingår i: Journal of Visual Impairment & Blindness, ISSN 0145-482X, E-ISSN 1559-1476, Vol. 110, nr 4, s. 233-244Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction: Persons with deafblindness may have additional physical and psychological health problems. In this study we have focused on health from a work-life perspective in persons with Usher syndrome type 2 (USH2), a disorder with sensorineural hearing loss and retinitis pigmentosa. The aim of this study was to investigate the relationship between work and disability pension and physical and psychological health in persons with USH2.

    Methods: Participants were recruited from the Swedish Usher database. Eighty-four persons (aged 18 to 65 years) received a health-related questionnaire and 67 (36 women and 31 men) agreed to participate. The participants formed two groups (working group, n = 34; disability pension group, n = 33). A Swedish Health on Equal Terms questionnaire comprising questions on psychological and physical health, living conditions, work activity, and social relationships was used. A chi-square test of significance was used with a significance level of p < 0.05.

    Results: The two groups did not differ in terms of age, gender, degree of hearing loss, visual acuity, or visual field loss. The working group had statistically significant better health compared to the disability pension group in areas such as being overweight, handling problems, concentration, feeling unhappy, depressive symptoms, and feelings of worthlessness. Suicidal thoughts and attempts were significantly more common in the disability pension group.

    Discussion: Persons with USH2 generally reported very poor physical and psychological health, with significant differences between persons who were working and those who were not. This study highlights the need for early rehabilitation, vocational training, and opportunities to access the labor market. Implications for practitioners: It is important that persons with USH2 receive vocational support from an early age and that professionals in the field of rehabilitation always include work activity as a key element of interventions.

  • 46.
    Ek, Viktor
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Pettersson, Linnéa
    Örebro universitet, Institutionen för hälsovetenskaper.
    Frekvensförflyttningsstrategier – en explorativ studie2018Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 47.
    Emmanouil, A.
    et al.
    Centre for Health Telematics, Karolinska Institute, Stockholm, Sweden.
    Klein, Gunnar O.
    Centre for Health Telematics, Karolinska Institute, Stockholm, Sweden.
    Anamnesis via the Internet: Prospects and pilot results2001Ingår i: MEDINFO 2001: Proceedings of the 10th World Congress on Medical Informatics, PTS 1 and 2 / [ed] V.L. Patel, R. Rogers, R. Haux, Amsterdam, Netherlands: IOS Press, 2001, Vol. 84, s. 805-809Kapitel i bok, del av antologi (Refereegranskat)
    Abstract [en]

    A comprehensive computerized questionnaire was developed to obtain the anamnesis of patients seeking contact with a physician for any type of new problem. The purpose of this pilot study was to investigate ifa structured questionnaire filled out by the patient and complementing an interview at the physician’s office would contribute to a better quality of the total anamnesis and/or lead to savings in time at the visit. The results encourage further developments in this direction. The potential uses proposed are, in addition to being used to improve a visit, the correct assessment of the history for prioritization and scheduling of visits and in some situations, the anamnesis obtained over the net may be the basis for medical advice without a visit. This study emphasizes the great improvement of information captured by this type of questionnaire based on medical knowledge about associated symptoms and relevant questions depending on the problem presented compared to the results obtained by a simple open question used in many e-health services today.

  • 48.
    Englund, Ulrika
    Örebro universitet, Institutionen för hälsovetenskaper.
    Samverkansprojekt, och sen då?: en uppföljande studie av samverkansprocessen kring barn och unga som far illa eller riskerar att fara illa2017Doktorsavhandling, monografi (Övrigt vetenskapligt)
    Abstract [en]

    Satisfactory collaboration regarding children and youth in need of a comprehensive support is particularly important. Despite extensive research on collaborative work, knowledge of long term development of the collaboration process is lacking. The present thesis concerns inter-organizational collaboration within the framework of a former Swedish policy effort – focusing collaboration between schools, social services, police and the child and youth psychiatry – for the benefit of children and young people in distress or at risk. Applying a critical realist perspective, the overall aim of the thesis is to describe how former collaboration projects develop over time, and to identify significant mechanisms within this development. Through three questionnaire studies, the collaborative process development within the same collaborative settings is described (n=66) over a period of close to seven years. Estimations of 58 collaboration quality indicators within three categories *rules and regulations, *structural aspects and *shared perspectives/ consensus were collected at baseline in 2008, after one year at the final project stage in 2009, as well as five years after the project period (and the policy effort) ended, in 2014 (n=38). Two developmental trends occur: I) an overall positive trend and II) a negative trend on a comprehensive level. I) Collaboration on the target group has increased over time, are mainly incorporated into permanent organizational structures and is judged to have worked well/very well over time. II) Overall deteriorations of high estimates of the 58 quality indicators for collaborations is seen over the five year period, following the project period. However, less dramatic changes is noted on quality indicators concerning shared perspectives/consensus than on matters regarding rules and regulations and structural aspects. Five mechanisms of particular importance for the collaboration development are identified: anchoring, holistic perspectives, engagement, knowledge and clarity.

  • 49. Eriksson, Madeleine
    et al.
    Eriksson, Anni
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Jämlik vård: en undersökning om den tekniska hörselrehabiliteringen påverkas av patientens ålder2012Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Jämlik vård är att alla ska bemötas, behandlas och vårdas på lika villkor oavsett enskilda faktorer. I hörselrehabiliteringen ingår det flera delar och varje del ska utgå från helhetsperspektivet och ske i samverkan med den enskilde. Audionomen ska inte påverkas av faktorer såsom kön eller ålder. Tidigare studier visar dock att ålder är en avgörande faktor i många fall, det råder en form av ålderism och åldersdiskriminering inom vården. Inga tidigare studier har hittats på hur den tekniska rehabiliteringen påverkas av ålder inom hörselvården varför detta låg i vårt intresse.

    Syfte: Syftet med studien är att undersöka hur jämlik den tekniska rehabiliteringen är inom hörselvården beroende på patienternas ålder.

    Metod: Studien är deskriptiv retrospektiv och är gjord genom journalgenomgång.

    Resultat: Resultatet visar inte några tydliga skillnader i den tekniska rehabiliteringen beroende på patientens ålder. Patienternas behov varierade mycket både inom grupperna och mellan grupperna. Skillnader kunde dock ses gällande patienter med samma behov och typ av hörapparat där patienter oavsett ålder kunde ha fått olika typer av hörapparater trots samma behov/mål.

    Slutsatser: Inga generella slutsatser kan dras huruvida den tekniska hörselrehabiliteringen är jämlik eller ej. Fler studier behövs inom ämnet där urvalet är större.

  • 50.
    Ewertsson, Mona
    Örebro universitet, Institutionen för hälsovetenskaper.
    Lärande av praktiska färdigheter inom sjuksköterskeprofessionen: studier av lärande i olika arenor2017Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    A central part of the nursing profession is the performance of practical skills. In order to provide adequate care, maintain patient-safety, and feel comfortable in the profession, registered nurses (RNs) need to be equipped with requisite skills. Overall aim: To explore and describe how learning and development of practical skills occurs during the preparatory phases and within the nursing profession. Method: Qualitative (I, III, IV) and quantitative methods (II) were used. Data were collected through individual interviews (I, IV), questionnaires (II) and participant observations, including informal talks (III, IV). Results: Both students and new RNs expressed a need to learn and develop practical skills (I, II, III, IV). Less than half of the new RNs had access to a clinical skill laboratory (CSL), where they could learn and practice practical skills (II). The students described that learning at a CSL had been meaning for their clinical practice. They also expressed a great need for continuing learning in real patient situations (I, III, IV). During clinical practice, preceptors and students took different approaches which affected student’s learning processesö (I, III, IV). There was a tension between learning at a CSL and learning in clinical practice sites because students perceived differences in the performance of skills. Students described that they understood that performance of skills could be done in different ways without injuring patients. However, the data also showed deviations in performances that could jeopardize patientsafety. In these situations, student’s behavior differed (I, IV). One third of new RNs deviated from evidence based guidelines when they performed practical skills which they were unfamiliar with (II). Both students and new RNs reported that reflection in connection with the performance of practical skills was not common (I, II III, IV). Conclusions: Cooperation between university CSLs and clinical settings must be intensified in order to enhance the understanding of learning processes regarding practical skills. A consensus regarding academic approaches should be reached. Universities need to support preceptors in educational issues where the importance of reflection is clarified and exemplified. Increasing patient-safety requires that new RNs receive opportunities for training in artificial environments, and that a culture that reinforces the use of guidelines and a reflective stance is cultivated.

    Delarbeten
    1. Walking the bridge: Nursing students' learning in clinical skill laboratories
    Öppna denna publikation i ny flik eller fönster >>Walking the bridge: Nursing students' learning in clinical skill laboratories
    2015 (Engelska)Ingår i: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 15, nr 4, s. 277-283Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    Despite an increasing focus on simulation as a learning strategy in nursing education, there is limited evidence on the transfer of simulated skills into clinical practice. Therefore it's important to increase knowledge of how clinical skills laboratories (CSL) can optimize students' learning for development of professional knowledge and skills, necessary for quality nursing practice and for patient safety. Thus, the aim was to describe nursing students' experiences of learning in the CSL as a preparation for their clinical practice. Interviews with 16 students were analysed with content analysis. An overall theme was identified walking the bridge in which the CSL formed a bridge between the university and clinical settings, allowing students to integrate theory and practice and develop a reflective stance. The theme was based on categories: conditions for learning, strategies for learning, tension between learning in the skills laboratory and clinical settings, and development of professional and personal competence. The CSL prepared the students for clinical practice, but a negative tension between learning in CSL and clinical settings was experienced. However, this tension may create reflection. This provides a new perspective that can be used as a pedagogical approach to create opportunities for students to develop their critical thinking.

    Nyckelord
    Clinical skills laboratory, Learning, Nursing education, Nursing students, Practical skills, Simulation
    Nationell ämneskategori
    Omvårdnad
    Forskningsämne
    Omvårdnadsvetenskap
    Identifikatorer
    urn:nbn:se:oru:diva-45675 (URN)10.1016/j.nepr.2015.03.006 (DOI)000358807100005 ()25892366 (PubMedID)
    Tillgänglig från: 2015-08-28 Skapad: 2015-08-28 Senast uppdaterad: 2018-07-01Bibliografiskt granskad
    2. Use of technical skills and medical devices among new registered nurses: A questionnaire study
    Öppna denna publikation i ny flik eller fönster >>Use of technical skills and medical devices among new registered nurses: A questionnaire study
    Visa övriga...
    2015 (Engelska)Ingår i: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 35, nr 12, s. 1169-1174Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    Background: One comprehensive part of nursing practice is performing technical skills and handling of medical equipment. This might be challenging for new registered nurses (RNs) to do in patient-safe way.

    Objectives: The aim of this study was to describe and compare the extent to which new RNs perform various technical skills and handle medical devices in different settings, and to investigate their possibility for continued learning in this respect. A further aim was to describe their perceptions of incident reporting related to technical skills and medical devices.

    Design: A cross-sectional study with descriptive and comparative design.

    Participants: RNs who recently graduated from a nursing programme at three Swedish universities and had worked as a RN for up to 1year were included in the study (n=113, response rate 57%).

    Method: Data were collected by means of a postal questionnaire.

    Results: Half of the RNs reported that they performed several of the listed tasks every day or every week, regardless of workplace. These tasks were most frequently performed in surgical departments. The majority of the participants (76%) stated a need of continued practical training. However, less than half of them (48%) had access to a training environment. Several participants (43%) had been involved in incidents related to technical skills or medical devices, which were not always reported. Nearly a third of the participants (31%) did not use the existing guidelines when performing technical skills, and reflection on performance was uncommon.

    Conclusions: This study highlights the importance of shared responsibilities between nurse educators and health care employers to provide learning opportunities for new RNs in technical skills, to maintain patient safety. To increase the safety culture where nursing students and new RNs understand the importance of using evidence-based guidelines and taking a reflective approach in the performance of technical tasks is needed.

    Ort, förlag, år, upplaga, sidor
    Churchill Livingstone, 2015
    Nyckelord
    Clinical competence, Clinical laboratory, Equipment and supplies, Incident reports, Medical devices, New registered nurses, Nursing skills, Patient safety
    Nationell ämneskategori
    Omvårdnad
    Forskningsämne
    Omvårdnadsvetenskap
    Identifikatorer
    urn:nbn:se:oru:diva-47060 (URN)10.1016/j.nedt.2015.05.006 (DOI)000365372700007 ()26059922 (PubMedID)2-s2.0-84946492078 (Scopus ID)
    Tillgänglig från: 2015-12-11 Skapad: 2015-12-11 Senast uppdaterad: 2018-07-02Bibliografiskt granskad
    3. Nursing students’ socialisation into practical skills
    Öppna denna publikation i ny flik eller fönster >>Nursing students’ socialisation into practical skills
    (Engelska)Manuskript (preprint) (Övrigt vetenskapligt)
    Nationell ämneskategori
    Annan hälsovetenskap
    Identifikatorer
    urn:nbn:se:oru:diva-56895 (URN)
    Tillgänglig från: 2017-03-29 Skapad: 2017-03-29 Senast uppdaterad: 2017-10-18Bibliografiskt granskad
    4. Tensions in learning professional identities: nursing students narratives and participation in practical skills during their clinical practice
    Öppna denna publikation i ny flik eller fönster >>Tensions in learning professional identities: nursing students narratives and participation in practical skills during their clinical practice
    (Engelska)Manuskript (preprint) (Övrigt vetenskapligt)
    Nationell ämneskategori
    Annan hälsovetenskap
    Identifikatorer
    urn:nbn:se:oru:diva-56896 (URN)
    Tillgänglig från: 2017-03-29 Skapad: 2017-03-29 Senast uppdaterad: 2017-10-18Bibliografiskt granskad
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