To Örebro University

oru.seÖrebro University Publications
Change search
Refine search result
1 - 31 of 31
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Rows per page
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sort
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
Select
The maximal number of hits you can export is 250. When you want to export more records please use the Create feeds function.
  • 1. Cesta, Amedeo
    et al.
    Cortellessa, Gabriella
    Fracasso, Francessca
    Orlandini, Andrea
    Fredriksson, Carin
    Lidskog, Marie
    Pettersson, Ingvor
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Engfeldt, Peter
    Forsberg, Anette
    Östlund, Britt
    Lund University, Lund, Sweden.
    Turno, Marcello
    Gutierrez, Carlos
    GiraffPlus: D1.1 User Requirements and Design Principles Report2012Report (Other academic)
    Abstract [en]

    This document reports on the work performed in Task 1.1 User requirements analysis and Task 1.2 GiraffPlus Environment Design Principles. Specifically, it describes the results of a deep involvement of users, both primary (elderly living in their apartment), and secondary (health care professional or family members and friends) recruited in our studies. The report details the qualitative and quantitative research carried out in the three countries of Sweden, Spain and Italy, to elicit user requirements and expectations in terms of type of services as well as system design and appearance. Some qualitative cross-cultural analysis has also been performed in order to highlight differences emerged during the studies in the three countries. Result of this effort is list of user requirements and a set of preferences on different mockups of a component of the system that can be both used to influence the future architecture definition and functional specification of the GiraffPlus system. The work described in this deliverable constitutes the starting point of T1.3 Technological Component Assessment and Selection and overall provides useful hints to the whole system development.

  • 2.
    Forsberg, Anette
    et al.
    Örebro University, School of Health Sciences. Örebro University Hospital. Region Örebro County, Physiotherapy, Örebro University Hospital, Örebro, Sweden.
    Fredriksson, Carin
    Örebro University, School of Health Sciences.
    Hermansson, Liselotte
    Örebro University, School of Health Sciences. University Health Care Centre.
    Holmefur, Marie
    Örebro University, School of Health Sciences.
    Nilsagård, Ylva
    Örebro University, School of Health Sciences. Örebro University Hospital. Region Örebro County, Health Care Management, Örebro, Sweden.
    Prescribing rolling walkers: A survey study of experiences from physiotherapists2019Conference paper (Refereed)
  • 3.
    Fredriksson, Carin
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Hermansson, Liselotte
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Hagberg, Lars
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Pettersson, Ingvor
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Elderly spouses experiences of powered scooters used by their next of kinManuscript (preprint) (Other academic)
  • 4.
    Fredriksson, Carin
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Hermansson, Liselotte M. N.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Hagberg, Lars
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Pettersson, Ingvor
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    The value of a powered wheelchair: spouses´ perspective2013In: Association for the Advancement of Assistive Technology in Europe Conference 2013 (AAATE 2013) / [ed] P Encarnação et al, Amsterdam, Netherlands: Elsevier, 2013, p. 222-225Conference paper (Refereed)
    Abstract [en]

    Research concerning the significance of assistive technology to spouses of persons who uses technology is sparse and the impact of a powered wheelchair on spouses' activity and participation is not at all researched. Thus, the aim was to explore how spouses experience the significance of a powered wheelchair prescribed to and used by their next of kin. A descriptive design with a qualitative approach focusing on the experiences of the spouses was used. The sample comprised of 10 spouses of elderly people that have been prescribed a powered wheelchair. Semi-structured interviews were conducted with the ten spouses (nine women and one man). The participants were 65-86 years of age. The questions posed during the interview concerned: i) the significance of the powered scooter for personal everyday activities, participation and quality of life; ii) the significance of the scooter for shared activity and participation; and iii) the significance of the next of kin using a scooter, from the perspective of the spouse. Interviews were transcribed verbatim and analyzed using qualitative content analysis. The results showed that the spouses experienced that their everyday life and life situation had changed in a positive way as their next of kin received a powered wheelchair. They experienced a sense of freedom that had an impact on their own activities as well as on the activities they performed together with their next of kin. The spouses expressed that they now to a larger extent shared responsibility for different tasks in the home and also how the powered wheelchair had made it possible to spontaneously do things together again and to do things with more ease. In conclusion, the narratives of the spouses of the elderly powered wheelchair users were to a great extent positive. The powered wheelchair was of great value and brought freedom to everyday life.

  • 5.
    Fredriksson, Carin
    et al.
    Örebro University, School of Health Sciences.
    Pettersson, Ingvor
    School of Health Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
    Hagberg, Lars
    Örebro University, School of Health Sciences. Örebro University Hospital. University Health Care Research Center.
    Hermansson, Liselotte
    Örebro University, School of Health Sciences. University Health Care Research Center, Örebro University Hospital, Örebro, Sweden.
    The value of powered mobility scooters from the perspective of elderly spouses of the users: a qualitative study2022In: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 17, no 7, p. 747-751Article in journal (Refereed)
    Abstract [en]

    Purpose: To explore spouses’ experiences of the value of mobility scooters prescribed to their partner.

    Material and Methods: A descriptive design with a qualitative approach was used. Thirteen spouses (11 females) aged 65–86 years participated. Semi-structured interviews were conducted when the spouse’s partner had had the mobility scooter for 4–6 months. The interviews were analysed using qualitative content analysis.

    Results: The interviews showed primarily that the spouses experienced that their everyday lives and life situation had improved since their partner had received a mobility scooter. They reported that they could engage in activities of their own choice to a greater extent. The prescription of a mobility scooter to their partner had also yielded a sense of freedom related to shared activities. On the other hand, the spouses  described some of the scooter’s limitations. Three categories emerged: a sense of freedom related to thespouse’s own activities, a sense of freedom related to shared activities and a somewhat restricted freedom.

    Conclusion: Prescription of a powered mobility scooter was of value to the users’ spouses because it facilitated independent and shared activities and participation in the community. The value was mainly expressed as a sense of freedom when doing things on their own or together with their partner. Spouses are key persons in the rehabilitation of people with mobility restrictions. Their views on the assistive device may influence the rehabilitation process. Knowledge of spouses’ experiences is thus crucial, as this may influence the future rehabilitation outcome.

  • 6.
    Hagberg, Lars
    et al.
    Örebro University Hospital. Örebro University, School of Health Sciences.
    Hermansson, Liselotte M.
    Örebro University, School of Health Sciences.
    Fredriksson, Carin
    Örebro University, School of Health Sciences.
    Pettersson, Ingvor
    Örebro University, School of Health Sciences.
    Cost-effectiveness of powered mobility devices for elderly people with disability2017In: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 12, no 2, p. 115-120Article in journal (Refereed)
    Abstract [en]

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

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

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

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

    Implications for Rehabilitation

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

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

  • 7.
    Hagberg, Lars
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Hermansson, Liselotte M. N.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Fredriksson, Carin
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Pettersson, Ingvor
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Värdet av en eldriven rullstol: hälsoekonomisk analys av förskrivning av eldrivna rullstolar till äldre personer med funktionsnedsättning2013Report (Other academic)
    Abstract [sv]

    Delresultat från en studie där man utvärderat om förskrivning av eldrivna rullstolar för äldre personer med bestående funktionsnedsättning och betydande förflyttningssvårigheter är kostnadseffektiv.

  • 8.
    Hermansson, Liselotte M. N.
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Hagberg, Lars
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Fredriksson, Carin
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Pettersson, Ingvor
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    The impact of powered wheelchairs on activity, participation and health related quality of life in older people2013In: Special Session Power mobility: User experiences and Outcomes, Association for the Advancement of Assistive Technology in Europe , 2013Conference paper (Refereed)
  • 9.
    James, Inger
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Fredriksson, Carin
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Wahlström, Catrin
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Kihlgren, Annica
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Blomberg, Karin
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Making Each Other’s Daily Life: Nurse Assistants’ Experiences and Knowledge on Developing a Meaningful Daily Life in Nursing Homes2014In: Open Nursing Journal, E-ISSN 1874-4346, Vol. 8, p. 34-42Article in journal (Refereed)
    Abstract [en]

    Background: In a larger action research project, guidelines were generated for how a meaningful daily life could be developed for older persons. In this study, we focused on the nurse assistants’ (NAs) perspectives, as their knowledge is essential for a well-functioning team and quality of care. The aim was to learn from NAs’ experiences and knowledge about how to develop a meaningful daily life for older persons in nursing homes and the meaning NAs ascribe to their work. Methods: The project is based on Participatory and Appreciative Action and Reflection. Data were generated through interviews,participating observations and informal conversations with 27 NAs working in nursing homes in Sweden, and a thematic analysis was used.

    Result: NAs developed a meaningful daily life by sensing and finding the “right” way of being (Theme 1). They sense and read the older person in order to judge how the person was feeling (Theme 2). They adapt to the older person (Theme 3) and share their daily life (Theme 4). NAs use emotional involvement to develop a meaningful daily life for the older person and meaning in their own work (Theme 5), ultimately making each other’s daily lives meaningful.

    Conclusion: It was obvious that NAs based the development of a meaningful daily life on different forms of knowledge: theoretical and practical knowledge, and practical wisdom, all of which are intertwined. These results could be used within the team to constitute a meaningful daily life for older persons in nursing homes.

  • 10.
    Jönsson, Marie
    et al.
    Örebro University, School of Health Sciences. Department of Medicine, Örebro University Hospital, Örebro, Sweden.
    Appelros, Peter
    Department of Neorology, Örebro University Hospital, Örebro, Sweden.
    Fredriksson, Carin
    Örebro University, School of Health Sciences.
    Elderly people readmitted to hospital for acute medical care: Implications for occupational therapy2016In: Abstracts of the 12th Congress of the European Union Geriatric Medicine Society, Elsevier, 2016, Vol. 7, p. 6-, article id P-030Conference paper (Refereed)
    Abstract [en]

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

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

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

  • 11.
    Jönsson, Marie
    et al.
    Örebro University, School of Health Sciences. Department of Medicine, Örebro University Hospital, Örebro, Sweden.
    Appelros, Peter
    Department of Neurology, Orebro University Hospital, Örebro, Sweden.
    Fredriksson, Carin
    Örebro University, School of Health Sciences.
    Older people readmitted to hospital for acute medical care: Implications for occupational therapy2017In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 24, no 2, p. 143-150Article in journal (Refereed)
    Abstract [en]

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

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

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

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

  • 12.
    Jönsson, Marie
    et al.
    Örebro University, School of Health Sciences.
    Fredriksson, Carin
    Örebro University, School of Health Sciences.
    Appelros, Peter
    Activities of daily living, cognitive function,risk for pressure scores, malnutrition and falls in elderlypatients readmitted to medical acute care2014Conference paper (Refereed)
    Abstract [en]

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

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

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

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

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

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

  • 13.
    Jönsson, Marie
    et al.
    Örebro University, School of Health Sciences. Örebro University Hospital.
    Fredriksson, Carin
    Örebro University, School of Health Sciences.
    Holmefur, Marie
    Örebro University, School of Health Sciences.
    Appelros, Peter
    Close relatives ́perspectives of everyday activities for older people readmitted to hospital and discharge to home2022Conference paper (Other academic)
  • 14.
    Jönsson, Marie
    et al.
    Örebro University, School of Health Sciences. Örebro University Hospital. Department of Medicine.
    Holmefur, Marie
    Örebro University, School of Health Sciences.
    Appelros, Peter
    University Health Care Research Center, Örebro University, Örebro, Sweden.
    Fredriksson, Carin
    Örebro University, School of Health Sciences.
    Close relatives' perspectives of everyday activities at home for older adults repeatedly readmitted to hospital: A qualitative study2024In: British Journal of Occupational Therapy, ISSN 0308-0226, E-ISSN 1477-6006, no 1, p. 39-48Article in journal (Refereed)
    Abstract [en]

    Introduction: Relatives are important when older adults return home after a hospital stay. The aim of this study was to describe close relatives' perspectives of the everyday activities of older adults who are repeatedly readmitted to hospital and discharged to home.

    Methods: A semi-structured interview was performed to collect data from twenty relatives (aged 45-82 years). Data were analysed using a deductive qualitative content analysis based on the results of a previous study within this field.

    Results: The overall theme 'In need of support to manage an unpredictable everyday life' shows that the older adults often needed support in everyday activities. In the two categories 'Difficulties in dealing with an unstable day' and 'Managing an unstable day' and the 10 subcategories, close relatives described that the older adults needed support in various ways from relatives or other individuals. Close contact was important for how everyday activities worked at home and in maintaining social contacts and contact with healthcare.

    Conclusion: It was found that social needs, such as social contacts/activities, are just as important to assess at discharge as medical and functional needs.

  • 15.
    Jönsson, Marie
    et al.
    Örebro University, School of Health Sciences.
    Holmefur, Marie
    Örebro University, School of Health Sciences.
    Appelros, Peter
    Department of Neurology, Örebro University Hospital, Örebro, Sweden.
    Fredriksson, Carin
    Örebro University, School of Health Sciences.
    Close relatives’ perspectives of everyday activities for older adults readmitted to hospital and discharged to homeManuscript (preprint) (Other academic)
  • 16.
    Jönsson, Marie
    et al.
    Örebro University, School of Health Sciences.
    Holmefur, Marie
    Örebro University, School of Health Sciences.
    Appelros, Peter
    Department of Neurology, Örebro University Hospital, Örebro, Sweden.
    Fredriksson, Carin
    Örebro University, School of Health Sciences.
    Healthcare professionals’ perceptions on how to prevent readmission to hospital on an unplanned basis of older adultsManuscript (preprint) (Other academic)
  • 17.
    Jönsson, Marie
    et al.
    Örebro University, School of Health Sciences. University Hospital, Region Örebro County.
    Holmefur, Marie
    Örebro University, School of Health Sciences.
    Fredriksson, Carin
    Örebro University, School of Health Sciences.
    Barriers and Opportunities in Daily Occupations: From the Perspective of the Older Readmitted People2019Conference paper (Refereed)
    Abstract [en]

    Introduction: Older people admitted to hospital are at risk of decreased ability to perform ADL, lower quality of life and dependency after discharge. There is also a higher risk for readmission to hospital shortly after discharge. To be old and repeatedly seeking acute care is also more than a medical problem. Their repeated contacts with the healthcare system may be due to a dependency on others that may affect daily occupations at home. The specific needs of this group of older people have been poorly described from these older persons perspective.

    Objectives: The objective of this study was to describe barriers and opportunities in daily occupations for older people repeatedly readmitted to hospital and now discharged to home.

    Methods: Sixteen participants (≥75 years) readmitted to hospital for the third time within a 12 -month period were interviewed in their homes after discharge from an acute medical ward about two weeks after their latest hospital stay. A qualitative content analysis was used for analysis.

    Results: An overarching theme was found, trying to manage an unpredictable everyday life. Three categories and seven subcategories were identified, which represented barriers and opportunities for their daily occupations. The categories were Dealing with an unstable day, Dealing with social relations and Dealing with the health care system. These categories were important for maintaining daily occupations for most of the participants.

    Conclusion: To the extent the older person had the opportunity to perform daily occupations, this was seen as important and contributed to maintain abilities. Close contact with relatives was essential to the performance of daily occupations at home, and for the old person without contact with relatives this was a barrier to occupation and increased their vulnerability. Therefore, occupational interventions and appropriate support are required in acute care and these must be communicated at discharge. Interventions and timed support are of particular importance for those who do not have close social relations at home.

  • 18.
    Jönsson, Marie
    et al.
    Örebro University, School of Health Sciences. Department of Medicine.
    Holmefur, Marie
    Örebro University, School of Health Sciences.
    Fredriksson, Carin
    Örebro University, School of Health Sciences.
    Everyday activities at home: Experiences of older repeatedly readmitted people2022In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 29, no 7, p. 555-562Article in journal (Refereed)
    Abstract [en]

    INTRODUCTION: Limitations in everyday activities are a risk factor for hospital readmission. Despite this, few studies have focussed on everyday activities of repeatedly readmitted older people. The experiences and specific needs of this group have been poorly described regarding their everyday activities at home. A deeper understanding may help occupational therapists and other health professions to facilitate readiness for this group at and after discharge. The aim of this study was, therefore, to describe the experiences of performing everyday activities of older people repeatedly readmitted to hospital and discharged to home.

    METHODS: A qualitative interview study was used to collect data from sixteen participants (75 years and older). Data were analysed using qualitative content analysis.

    RESULTS: One theme 'trying to manage an unpredictable everyday life' and two categories describe experiences of everyday activities at home. The participants expressed the importance of continuing everyday activities after discharge where support from relatives and healthcare seemed to be of importance.

    CONCLUSION: It was found that performance of everyday activities and contact with family members were of importance in their everyday life. Therefore, assessments and support were of particular importance for the group of older people who do not have close social relations at home.

    Download full text (pdf)
    fulltext
  • 19.
    Jönsson, Marie
    et al.
    Örebro University, School of Health Sciences. marie.jonsson@regionorebrolan.se.
    Holmefur, Marie
    Örebro University, School of Health Sciences.
    Fredriksson, Carin
    Örebro University, School of Health Sciences.
    Possibilities and hindrances in daily occupations for older readmitted people discharged to home2018Conference paper (Refereed)
    Abstract [en]

    Introduction: Older people admitted to hospital are at risk of decreased ability to perform ADL, lower quality of life and dependency after discharge. There is also a higher risk for readmission to hospital shortly after discharge. The specific needs of this group of older people have been poorly described from these older peoples’ perspective. A deeper understanding may help the occupational therapist and other health professions to choose interventions in order to maintain daily occupations for this group. The aim of this study was to describe barriers and opportunities in daily occupations for older people repeatedly readmitted to hospital and now discharged to home.

    Methods: Sixteen participants 75 years and older were interviewed in their homes after discharge from an acute medical ward. A qualitative content analysis was used to analyze barriers and opportunities in daily occupations.

    Results: An overarching theme was found trying to manage an unpredictable everyday life. Three categories and seven subcategories were identified representing barriers and opportunities. The categories were Dealing with an unstable day, Dealing with social relations and Dealing with the health care system. These were important for maintaining daily occupations for most of the participants.

    Conclusion: The result indicates that daily occupations and contact from relatives were of importance. Therefore, appropriate support and occupational interventions are required in acute care and these must be communicated at discharge. Occupational therapy interventions and timed support are of particular importance for the group of older people who do not have close social relations at home.

  • 20.
    Pettersson, Ingvor
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Hagberg, Lars
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Vårdvetenskapligt forskningscentrum, Örebro Läns Landsting, Örebro, Sverige.
    Fredriksson, Carin
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Hermansson, Liselotte M. N.
    Vårdvetenskapligt forskningscentrum, Örebro Läns Landsting, Örebro, Sverige.
    Effekten av en eldriven rullstol (scooter) för äldre personer2015Conference paper (Refereed)
    Abstract [sv]

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

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

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

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

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

  • 21.
    Pettersson, Ingvor
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Hagberg, Lars
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Fredriksson, Carin
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Hermansson, Liselotte M N
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Department of Prosthetics and Orthotics, Örebro University Hospital, Örebro, Sweden.
    The effect of powered scooters on activity, participation and quality of life in elderly users2016In: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 11, no 7, p. 558-563Article in journal (Refereed)
    Abstract [en]

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

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

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

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

  • 22.
    Pettersson, Ingvor
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Hermansson, Liselotte M N
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Hagberg, Lars
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Larsholt, Gunilla
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Fredriksson, Carin
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Värdet av en eldriven rullstol: fokus på äldre användare och anhöriga2013Report (Other academic)
    Abstract [sv]

    Undersökningen som redovisas i den här rapporten har studerat värdet av en eldriven rullstol för den primära användaren och dennes anhörige. Syftet har varit att få en djupare förståelse för hur förskrivning av en eldriven rullstol till äldre personer med funktionsnedsättning påverkar vardagen för äldre anhöriga.

  • 23.
    Sjöberg, Lis
    et al.
    Örebro University, School of Health Sciences.
    Hermansson, Liselotte
    Örebro University, School of Health Sciences. Department of Prosthetics and Orthotics, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
    Fredriksson, Carin
    Örebro University, School of Health Sciences.
    Children with congenital limb deficiency: Parent’s experiences of their role in decision and treatment2018In: Book of Abstracts / [ed] Burger, Helena & Mlakar, Maja, Ljubljana, Slovenia: ISPO Slovenia , 2018, p. 68-68Conference paper (Refereed)
  • 24.
    Sjöberg, Lis
    et al.
    Örebro University, School of Health Sciences.
    Hermansson, Liselotte
    Örebro University, School of Health Sciences. Region Örebro län.
    Fredriksson, Carin
    Örebro University, School of Health Sciences.
    Parents' experience of their own, others and shared knowledge about congenital limb reduction deficiency (dysmelia)Manuscript (preprint) (Other academic)
  • 25.
    Sjöberg, Lis
    et al.
    Örebro University, School of Health Sciences.
    Hermansson, Liselotte
    Örebro University, School of Health Sciences.
    Fredriksson, Carin
    Örebro University, School of Health Sciences.
    Parent’s experiences of their role in decision and treatment for children with congenital limb deficiency2018Conference paper (Refereed)
    Abstract [en]

    Introduction: In the past decade the relationship between parents, families and health service providers has changed. Parents are increasingly involved in decision making and treatment processes. Parents to children with congenital limb deficiency are facing many decisions related to their child during the child’s first years; decisions about e.g. when or if to start interventions. Usually interventions concern surgical and/or prosthetic treatment.

    Objectives: The aim of this study is to describe parent´s experiences of their role in decision-making and treatment for children with congenital limb deficiency. 

    Method: Qualitative data were collected through semi-structured individual interviews. The interviews were conducted with parents to children, one to ten year of age, with some kind of congenital limb deficiency. The data was analyzed using qualitative content analysis with inductive approach.    

    Results: The result from the analysis shows themes revealing parents’ experiences of being a collaborator within the family and between health providers and family, facing and handling early decisions for the child, and, being and acting as a supporter in everyday life.

    Conclusion: The results contribute to new knowledge and understanding of parents’ role in decision and treatment of children with congenital limb deficiency. This may help to further improvement of family centered health service for families with children with congenital disabilities.

  • 26.
    Sjöberg, Lis
    et al.
    Örebro University, School of Health Sciences.
    Hermansson, Liselotte
    Örebro University, School of Health Sciences. Department of Prosthetics and Orthotics; University Health Care Research Center.
    Lindner, Helen
    Örebro University, School of Health Sciences.
    Fredriksson, Carin
    Örebro University, School of Health Sciences.
    Adolescents with congenital limb reduction deficiency: Perceptions of treatment during childhood and its meaning for their current and future situation2022In: Child Care Health and Development, ISSN 0305-1862, E-ISSN 1365-2214, Vol. 48, no 4, p. 613-622Article in journal (Refereed)
    Abstract [en]

    Background: Children with congenital limb reduction deficiency live with the decisions made by their parents and healthcare professionals about treatments to be carried out during the first years of life. To understand better the meaning of treatment during childhood, it is necessary to listen to adolescents who have had this experience. The aim of this study was to investigate the perceptions of adolescents with congenital limb reduction deficiency concerning the treatment they received during childhood and what it meant to them currently and in the future.

    Methods: A descriptive design with a qualitative approach was used. Semi-structured interviews were conducted with 10 adolescents (six girls and four boys) with upper and/or lower limb reduction deficiency, median age 17.5 years (range 16–19). The interview data were analysed using a phenomenographic approach.

    Results: The treatment received during childhood had contributed to shaping the adolescents, as shown in the emerging description categories Creating opportunities, Choosing one's own path and Belonging in a context. Their current situation fell into three categories: A continuous journey, indicating that they still used the skills learned during childhood; Leaving the door open, indicating that they were not currently using the skills learned during childhood, but felt that there could be opportunities ahead; and Closing a chapter, indicating that they had stopped using their prosthesis or assistive devices and no longer needed those skills. Further, the adolescents' thoughts about the future are portrayed in the categories Uncertainty about the future and Confidence about the future.

    Conclusions: An understanding of the meaning of treatment received during childhood may help improve the delivery of treatment and continued support to meet the needs of children with congenital limb reduction deficiency in the short and long term.

    Download full text (pdf)
    Adolescents with congenital limb reduction deficiency: Perceptions of treatment during childhood and its meaning for their current and future situation
  • 27.
    Sjöberg, Lis
    et al.
    Örebro University, School of Health Sciences.
    Hermansson, Liselotte
    Örebro University, School of Health Sciences. Department of Prosthetics and Orthotics; University Health Care Center.
    Lindner, Helen
    Örebro University, School of Health Sciences.
    Fredriksson, Carin
    Örebro University, School of Health Sciences.
    Adolescents with congenital limb reduction deficiency: perceptions of treatment during childhood and its meaning for their current and future situationManuscript (preprint) (Other academic)
  • 28.
    Sjöberg, Lis
    et al.
    Örebro University, School of Health Sciences.
    Hermansson, Liselotte
    Örebro University, School of Health Sciences. Department of Prosthetics and Orthotics, University Health Care Research Center.
    Lindner, Helen Y
    Örebro University, School of Health Sciences.
    Fredriksson, Carin
    Örebro University, School of Health Sciences.
    Swedish parents' experiences of their role in treatment for children with congenital limb reduction deficiency: Decision‐making and treatment support2020In: Child Care Health and Development, ISSN 0305-1862, E-ISSN 1365-2214, Vol. 46, no 6, p. 723-732Article in journal (Refereed)
    Abstract [en]

    Background: Parents of children with congenital limb reduction deficiency have an essential role in making treatment decisions during their child's first years of life. Treatment options usually concern surgical and/or prosthetic treatment. To tailor treatment options to fit different family values and priorities, the family‐centred approach indicates the importance of understanding the parental role in partnership with health care professionals. The aim of this study was to describe parents' experiences of their role in decision‐making and treatment for children with congenital limb reduction deficiency.

    Methods: A descriptive design with a qualitative approach was used. Semi‐structured interviews were conducted with 17 parents (12 mothers and 5 fathers) of children with upper and/or lower limb deficiency (mean age 5.9 years). The interview data were analysed using qualitative content analysis with an inductive approach.

    Results: Two major themes emerged from the data. The first theme, being a decision maker for someone else, was described as an ambivalent parental role, including collaboration within the family and with health care professionals. The second theme, becoming and being a treatment supporter in the child's everyday life, was made up of four categories: being a supporter of the child in everyday activities, mentoring the child to handle encounters with others, becoming a coordinator of information and being an ‘extended arm’ of the health care provision for the child.

    Conclusions: This study enhances our understanding of the parental role in decision‐making and treatment for children with congenital limb reduction deficiency. The results may contribute to the continued development of the family‐centred service approach by providing guidelines for treatment programmes, with the goal of improving decision support and broadening the support for parents during treatment for these children.

    Download full text (pdf)
    Swedish parents' experiences of their role in treatment for children with congenital limb reduction deficiency
  • 29.
    Sjöberg, Lis
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Department of Paediatrics, Limb Deficiency and Arm Prosthesis Centre, Örebro University Hospital, Örebro, Sweden.
    Nilsagård, Ylva
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Örebro University Hospital. Centre for Health Care Sciences, Örebro University, Örebro, Sweden.
    Fredriksson, Carin
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Life situation of adults with congenital limb reduction deficiency in Sweden2014In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 38, no 18, p. 1562-1571Article in journal (Refereed)
    Abstract [en]

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

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

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

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

  • 30.
    Tollén, Anita
    et al.
    Örebro University, Department of Health Sciences.
    Fredriksson, Carin
    Örebro University, Department of Health Sciences.
    Kamwendo, Kitty
    Örebro University, Department of Health Sciences.
    Elderly persons' expectations of day-care rehabilitation2007In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 14, no 3, p. 173-182Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to explore elderly persons' conceptions of what they expected to gain from attending day-care rehabilitation centres (DCR). A purposeful sampling procedure was employed. Interviews with 22 prospective elderly day-care patients were carried out and analysed according to a phenomenographic approach. The analysis yielded eight categories. Two categories, Social contact and Exercise, described what the elderly persons expected to encounter. The remaining categories, A change from the monotony of everyday life, An opportunity to be yourself, A balm for the body, A safety net, A mastery of everyday activities, and An energizing spark, described the meanings of the encounters. Two categories were attributed to the elderly persons' physical presence at the centre and the gains were expected to end when the programme ended. In three categories the expected improvements were projected into the future and were expected to last. The findings imply that follow-up home visits and suggestions for alternative social activities in order to provide stimulation and social equality would be a valuable complement to the DCR programme. Rehabilitation personnel need to consider the ambivalent view on assistive devices as well as the elderly person's need for continuity when setting goals and planning individual programmes.

  • 31.
    Tollén, Anita
    et al.
    Örebro University, School of Health and Medical Sciences.
    Fredriksson, Carin
    Örebro University, School of Health and Medical Sciences.
    Kamwendo, Kitty
    Örebro University, School of Health and Medical Sciences.
    Elderly persons with disabilities in Sweden: their experiences of everyday life2008In: Occupational therapy international, ISSN 0966-7903, Vol. 15, no 3, p. 133-149Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe the everyday life experiences of 22 elderly persons with physical disabilities in Sweden. The participants were aged between 65 and 91 years. Interviews were conducted and analysed according to a qualitative research approach. Disengagement in activities and social contacts resulted in feelings of resignation and dejection for some participants, while others delegated tasks as a satisfactory alternative. Participants also described how activities and social contacts continued, albeit in a different way, and being active and socializing gave feelings of pleasure and a sense of belonging. While receiving help was experienced as valuable, it also increased the fear of becoming dependent. Occupational therapy intervention should be directed at increasing social contacts and engagements in meaningful activities, as well as strengthening the individual's autonomy. The transferability of the study can be questioned as the sample only included elderly persons with physical disabilities from urban areas. Further research is needed to address the impact of occupational therapy interventions on life satisfaction.

1 - 31 of 31
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf