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  • 1.
    Falk, Gabriella
    et al.
    Department of Clinical and Experimental Medicine, Faculty of Health Sciences, Linköping University, Linköping, Sweden.
    Brynhildsen, Jan
    Department of Clinical and Experimental Medicine, Faculty of Health Sciences, Linköping University, Linköping, Sweden.
    Ivarsson, Ann-Britt
    Örebro University, School of Health and Medical Sciences.
    Contraceptive counselling to teenagers at abortion visits: a qualitative content analysis2009In: The European Journal of Contraception & Reproductive Health Care, ISSN 1473-0782, Vol. 14, no 5, p. 357-364Article in journal (Refereed)
    Abstract [en]

    Objective: Contraceptive counselling at the time of an abortion is crucial for preventing new unintended pregnancies especially in teenagers. What is discussed on this occasion should be recorded in the patient's file. In this study we examined what was documented in medical records (MRs) about previous contraceptive use and further plans as a reflection of what was discussed between the gynaecologist and the teenager.

    Methods: Thirty-six MRs were consecutively selected in 2006. The study design was descriptive, retrospective and qualitative. Data were analysed using qualitative content analysis. The text areas were transcribed and analysed in several steps.

    Results: Two themes were generated from the analysis: 'Contraceptive methods previously used' and 'Plan for future contraceptive use'. Information on previous contraceptive use was absent in ten MRs. In five MRs data about future contraceptive use were missing and eight teenagers had not started a contraceptive method at follow-up.

    Conclusion: The MR often lacked information about contraception; this could be a reflection of insufficient contraceptive counselling at the abortion-visit. Both contraceptive counselling and documentation thereof must be improved to enhance contraceptive use in teenagers.

  • 2.
    Falk, Gabriella
    et al.
    Örebro University, Department of Clinical Medicine.
    Ivarsson, Ann-Britt
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Brynhildsen, Jan
    Teenagers' struggles with contraceptive use: do adults help enough?2010Conference paper (Refereed)
  • 3.
    Falk, Gabriella
    et al.
    Div Obstet & Gynaecol, Dept Clin & Expt Med, Fac Hlth Sci, Linköping Univ, Linköping, Sweden.
    Ivarsson, Ann-Britt
    Örebro University, School of Health and Medical Sciences.
    Brynhildsen, Jan
    Div Obstet & Gynaecol, Dept Clin & Expt Med, Fac Hlth Sci, Linköping Univ, Linköping, Sweden.
    Teenagers' struggles with contraceptive use: What improvements can be made?2010In: European journal of contraception & reproductive health care, ISSN 1362-5187, E-ISSN 1473-0782, Vol. 15, no 4, p. 271-279Article in journal (Refereed)
    Abstract [en]

    Objective To study the experiences of teenagers using contraceptives at an out-patient abortion clinic and to explore the reasons behind their choices. Methods Twelve teenagers who had applied for induced abortion were interviewed three to four weeks after abortion. The interviews comprised open questions about contraceptive experiences focusing on hindrance for contraceptive use. Qualitative content analysis was used. Results One theme was identified: Struggling with feelings of uncertainty and patterns of behaviour. Three categories emerged from the analysis. Uncertainty dealt with decisions and behaviours that varied with time and between the different individuals. Factors that influence contraceptive use dealt with the persons that the participants had discussed contraceptives with, how they acquired knowledge about contraceptive use and the nature of their behaviour. Anxiety dealt with the side effects of contraception and feelings of fear related to contraceptive use. Conclusion The participants had feelings of uncertainty, anxiety and fear towards contraceptive use which led to non use and inconsistent use. Guidance from health care providers and access to youth clinics varied and was unsatisfactory. Parents were supportive of contraceptive use but not active in the process of getting their child to initiate it. Friends and the Internet were the main sources for acquiring information.

  • 4.
    Frisk, Margot
    et al.
    Örebro University, Department of Health Sciences.
    Arvidsson, Helena
    Arbets- och miljömed. kliniken, USÖ.
    Kiviloog, Jaak
    Lungkliniken, USÖ.
    Ivarsson, Ann-Britt
    Örebro University, Department of Health Sciences.
    Kamwendo, Kitty
    Örebro University, Department of Health Sciences.
    Stridh, Göran
    Örebro University, Department of Technology.
    An investigation of the housing environment for persons with asthma and persons without asthma2006In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 13, no 1, p. 4-12Article in journal (Refereed)
    Abstract [en]

    Asthma is a chronic disease affected by environmental factors that may increase symptoms that impact on a persons' well-being. An important issue in occupational therapy is to improve the relationship between a person's functional capacity and the physical environment. The aim of the study was to compare the housing environment of persons with asthma (cases, n=49) and persons without asthma (controls, n=48), with regard to building construction and condition, physical, chemical and biological factors, and cleaning routines. A secondary aim was to compare different types of accommodation within cases and controls. A specialist team, including a construction engineer, a biological scientist, and an occupational therapist, conducted the study. Data were collected using protocols, as well as a number of established technical methods from the field of occupational and environmentsl medicine. The primary results showed no major differences in the housing environment between the two groups. However, in individual homes environmental factors at levels that could increase symptoms were identified. When single-familyhouses were compared with multi-family houses, significant differences were found indicating that preventive interventions may be needed in some single-family houses. Further studies are needed to clarify the person-environment relationship for persons with asthma, focusing on their ability to perform daily activities.

  • 5.
    Frisk, Margot L. A.
    et al.
    Örebro University, Department of Health Sciences.
    Magnuson, Anders
    Statistical and Epidemiological Unit, Center for Clinical Research, Örebro University Hospital.
    Kiviloog, Jaak
    Department of Respiratory Medicine, Örebro University Hospital.
    Ivarsson, Ann-Britt
    Örebro University, Department of Health Sciences.
    Kamwendo, Kitty
    Örebro University, Department of Health Sciences.
    Increased occurrence of respiratory symptoms is associated with indoor climate risk indicators: a cross-sectional study in a Swedish population2007In: Respiratory Medicine, ISSN 0954-6111, E-ISSN 1532-3064, Vol. 101, no 9, p. 2031-2035Article in journal (Refereed)
    Abstract [en]

    A basic assumption was that exposure to the indoor environment would increase the manifestation of respiratory symptoms in predisposed individuals. The aim was to investigate the proportion of perceived respiratory symptoms attributed to specific environmental exposures, and associations related to indoor climate risk indicators, i.e. occurrence of damp or mould, insufficient ventilation and condensation on windows.

    Method

    A questionnaire was mailed to a random sample of 8008 individuals, stratified for gender and age. The response rate was 84% (n=6732). Established criteria for current asthma were used to classify subjects into three subgroups: asthmatics, healthy and symptomatics (but without current asthma).

    Results

    The proportion of symptoms attributed to specific environmental exposures increased in the total sample and in the three subgroups when indoor climate risk indicators, particularly damp or mould, were reported. Generally, the lowest proportions were found for healthy and the highest for asthmatics. Univariate analyses presented as relative risks (RR) (95% CI) showed significantly increased risks for perceived overall influence on airways for all groups, with RR ranging from 4.3 to 6.8. Although respiratory symptoms attributed to dust, environmental tobacco smoke (ETS) and strong scents increased when risk indicators were reported, RR were generally lower in all groups.

    Conclusion

    The high frequency of respiratory symptoms among asthmatics increased when occurrences of risk indicators were reported. Similarly, increased symptoms were found for healthy indicating that indoor climate risk indicators may affect both healthy and unhealthy individuals.

  • 6.
    Frisk, Margot L. A.
    et al.
    Örebro University, School of Health and Medical Sciences.
    Stridh, Göran
    Arbets- och miljömed. kliniken, USÖ.
    Ivarsson, Ann-Britt
    Örebro University, School of Health and Medical Sciences.
    Kamwendo, Kitty
    Örebro University, School of Health and Medical Sciences.
    Can a housing environmental index establish associations between indoor risk indicators and clinical tests in persons with asthma?2009In: International Journal of Environmental Health Research, ISSN 0960-3123, E-ISSN 1369-1619, Vol. 19, no 6, p. 389-404Article in journal (Refereed)
    Abstract [en]

    The aim was to investigate the associations between indoor risk indicators, identified by a Housing Environmental index (HE-index), and clinical tests of lung function, allergy and bronchial hyper-responsiveness (BHR). Forty-nine eligible subjects participated in the investigation. The HE-index was based on national and international guidelines and related to measurements of humidity, temperature, carbon dioxide, formaldehyde, nitrogen dioxide, allergens and occurrence of tobacco smoke and pets. Only 18% of the investigated homes did not have any of the risk indicators. Statistically significant associations were found between exposure to mites and lung function, and to a lesser degree in BHR for subjects living in homes with pets. The cut-off levels in the HE-index were not specifically related to health effects and may therefore have been too high for sensitive persons. Further studies are needed to establish relevant guidelines for the identification of risk indicators in the housing environment for persons with asthma.

  • 7.
    Gullberg, Mats
    et al.
    Faculty of Health Sciences, Dept Caring Sciences, Linköping University, Linköping, Sweden.
    Olsson, Henny
    Faculty of Health Sciences, Dept Caring Sciences, Linköping University, Linköping, Sweden.
    Alenfelt, Gunilla
    Faculty of Health Sciences, Dept Caring Sciences, Linköping University, Linköping, Sweden.
    Ivarsson, Ann-Britt
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Nilsson, Margareta
    Faculty of Health Sciences, Dept Caring Sciences, Linköping University, Linköping, Sweden.
    Ability to solve problems, professionalism, management, empathy, and working capacity in occupational therapy: The Professional Self Description Form1994In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, no 8, p. 173-178Article in journal (Refereed)
    Abstract [en]

    The majority of occupational therapists in Sweden previously worked on large occupational therapy wards. Health care policy has changed over the years and the system has been reorganized accordingly. The employment situation for occupational therapists has also changed. This paper focuses on the perception of professional self among occupational therapists. The objective was to explore the professional self and to suggest components important to the occupational therapist profession. The Professional Self Description Form (PSDF) was used for the exploration of self. The 19 items in the PSDF cover areas relevant to professional functioning and activity. Sixty-eight employed occupational therapists participated. The results of the PSDF were subjected to factor analysis and five factors were obtained; Ability to solve problems, Professionalism, Management, Empathy, and Working capacity. We believe that these five factors can function as improving domains of the role of the professional occupational therapist in Sweden

  • 8.
    Holmqvist, Kajsa
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Ivarsson, Ann-Britt
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Holmefur, Marie
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Occupational therapists' practice patterns for clients having cognitive impairments following acquired brain injury2012In: Brain Injury, ISSN 0269-9052, E-ISSN 1362-301X, Vol. 26, no 4-5, p. 458-459Article in journal (Refereed)
    Abstract [en]

    Objectives: Studies have shown that occupational therapy interventions for clients with cognitive impairment following acquired brain injury (CIABI) have a positive effect on performance of activities of daily living, although the exact nature of the interventions are not clearly described. A better understanding of current practice is therefore needed to move further in the search for evidence based occupational therapy for clients with CIABI. Research on occupational therapists’ (OTs’) practice can play an important role to explore and describe current practice and furthermore define and evaluate the effectiveness of different components in OT interventions. The aim of this study was to survey Swedish OTs’ practice patterns for clients having CIABI.

    Methods: The study had a cross-sectional design using a questionnaire developed in two former studies. A stratified random sample was done with 250 OTs each from the following areas: regional care, somatic county care, primary care and municipal eldercare. The questionnaire was sent out using on-line survey software and 462 participants responded. Data is currently analyzed by descriptive and comparative statistics.

    Results: Preliminary results show that the interventions targeted a wide range of cognitive impairments and its consequences. Interventions were both remedial and compensatory with graded activity as the most common remediating intervention. To compensate for activity limitations prescription, or recommendation, of assistive devices (AD) as well as supporting clients in finding internal strategies were used extensively. The ADs used consisted of both high and low technology devices. Eighty-two percent also included different specific interventions to improve clients’ decreased self-awareness in their practice. A vast majority of the OTs (94%) preferred to use observations in daily activities to assess both activity limitations and cognitive impairment. Almost all participants also used interviews and sixty-two percent used tests on impairment level. To support practice general Occupational Therapy models were widely used while theories focusing on cognitive impairments specifically were used less. The participants’ answers reflected a client-centered attitude with collaborative goal-setting and feedback discussions after each session. Eighty- four percent felt dependent on relatives to reach a successful outcome and most of them worked deliberately to involve relatives in the rehabilitation. The OTs responses were evenly distributed over the spheres of activity. Ninety-two percent of the participants worked in team and the most common diagnoses were stroke and traumatic brain injury. There were some differences in responses between the spheres.

    Conclusions: Preliminary conclusions are that the OTs practice patterns included interventions targeting most cognitive impairments and their consequences in daily activities. The use of daily activities as a mean was preferred irrespective of whether the interventions were remediative or compensatory. Interventions targeting decreased self-awareness as well as the use of ADs were common. A client-centered approach was dominating including collaboration with relatives.

    For personal

    centered approach was dominating including collaboration

    with relatives.

  • 9.
    Holmqvist, Kajsa
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Ivarsson, Ann-Britt
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Olstam, Margaretha
    Örebro Läns Landsting, Örebro, Sverige.
    Pettersson, Ingvor
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Yilmaz, Maria
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Kartläggning kognitiva hjälpmedel: Projektrapport2011Report (Other academic)
  • 10.
    Holmqvist, Kajsa
    et al.
    Örebro University, School of Health and Medical Sciences.
    Kamwendo, Kitty
    Örebro University, School of Health and Medical Sciences.
    Ivarsson, Ann-Britt
    Örebro University, School of Health and Medical Sciences.
    Occupational therapists' descriptions of their work with persons suffering from cognitive impairment following acquired brain injury2009In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 16, no 1, p. 13-24Article in journal (Refereed)
    Abstract [en]

    The aim of the present study was to investigate how Swedish occupational therapists’ describe their work with persons suffering from cognitive impairment following acquired brain injury. A qualitative descriptive approach was used and interviews were conducted with 12 occupational therapists working in community and county council care. Qualitative content analysis was used and revealed three main themes: 1) “To make the invisible visible”, 2) “To collaborate- a prerequisite for success” and 3) “Dilemmas to handle”. The findings showed a complex scenario where the occupational therapists worked to make the cognitive impairments visible to themselves, the clients, and persons close to the client. Collaboration was perceived as a key factor. The dilemmas concerned different aspects in the rehabilitation process, which affected the occupational therapists’ work with the clients. Identified areas in need of improvement are prioritisations and additional education regarding both intervention methods and theory. A reluctance to use standardised assessments was expressed and research that identifies and overcomes those hindrances in clinical practice is needed. Therapeutic use of self was described as important. To understand and illuminate the occupational therapists’ comprehension of the concept further research is required.  

  • 11.
    Holmqvist, Kajsa
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Kamwendo, Kitty
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Ivarsson, Ann-Britt
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Occupational therapists' practice patterns for clients with cognitive impairment following acquired brain injury: development of a questionnaire2012In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 19, no 2, p. 150-163Article in journal (Refereed)
    Abstract [en]

    Clients with cognitive impairment following acquired brain injury (CIABI) are a common group to receive occupational therapy services. Research has shown that occupational therapy has a positive effect on occupational performance for these clients, but the exact nature of the interventions is not clearly described and needs to be better understood and defined. The aim of this study was to develop and evaluate an empirically derived questionnaire for the purpose of surveying occupational therapists' (OTs') practice patterns in relation to CIABI. The questionnaire was developed from the results of a former qualitative study. It was evaluated for content validity by a group of six OT researchers with experience in CIABI, using the content validity index (CVI). Reliability was evaluated by a test-retest design with a group of 51 OTs. Data were analysed by non-parametric statistical methods. Initially the questionnaire consisted of 90 items dealing with OT practice and nine demographic questions. After the reliability and content validity process the OT practice items were reduced to 44. The revised questionnaire will be used to survey and explicitly describe occupational therapy practice for clients with CIABI.

  • 12.
    Ivarsson, Ann-Britt
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Aktivitet som terapeutiskt medel för personer med psykisk ohälsa2004Conference paper (Other academic)
  • 13.
    Ivarsson, Ann-Britt
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Aktivitetsförmåga och aktivitet som terapeutiskt medel hos personer med psykiska funktionshinder2005Conference paper (Refereed)
  • 14.
    Ivarsson, Ann-Britt
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Experiences of occupation therapy2003Conference paper (Refereed)
  • 15.
    Ivarsson, Ann-Britt
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Experiences of OT: the meaning and form of occupationa therapy as expereinced by women with psychosis2002Conference paper (Refereed)
  • 16.
    Ivarsson, Ann-Britt
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Goal, intervention and effect of occupational therapy in individuals with psychosis2000Conference paper (Refereed)
  • 17.
    Ivarsson, Ann-Britt
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Innehåll i arbetsterapi för personer med psykos: en fenomenologisk studie2000Conference paper (Refereed)
  • 18.
    Ivarsson, Ann-Britt
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Innehåll och mening i begreppet aktivitet: en integrerad analys2007Conference paper (Refereed)
  • 19.
    Ivarsson, Ann-Britt
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Kan dokumeterat innehåll för patienter med psykisk störning av psykotisk karaktär analyseras?1999Conference paper (Refereed)
  • 20.
    Ivarsson, Ann-Britt
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Kan journaldokumentation analyseras?1999Conference paper (Refereed)
  • 21.
    Ivarsson, Ann-Britt
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Kännetecken och effekt av arbetsterapi för personer med psykotisk diagnos2001Conference paper (Refereed)
  • 22.
    Ivarsson, Ann-Britt
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Occupational Performance in Individuals with Severe Mental Disorders: Assessment and Family Burden2002Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The overall aim of the present thesis was three-fold. The first was to study occupational performance in individuals with severe mental disorders and their experiences of occupational therapy, the second to study experienced burden of family caregivers and the third to test the validity and the homogeneity of assessment tools in this area. The samples consisted of individuals with severe mental disorders participating in organised occupations (n= 112), occupational therapy records (n=64), occupational therapists working in mental health care (n=7) and family caregivers of individuals with severe mental disorders (n=256). Data were collected by questionnaires, structured and narrative interviews, observations and occupational therapy records. Individuals with severe mental disorders reported problems related to leisure and work activities and the occupational therapists recorded problems concerning how to organise and structure occupational performance. Individuals functioning on a high cognitive level experienced problems related to work and productive activities. Participation in occupational therapy strengthened their confidence in their own ability. The “Experience of Occupational Performance Questionnaire” (EOPQ) was developed from data on the experiences of women participating in occupational therapy. A principal component analysis gave seven factors with acceptable homogeneity. There is a need for assessment tools to evaluate occupational therapy. The EOPQ represents an attempt to fulfil this need. Family caregivers experienced limitations of daily activities as a burden. The ability to perform daily activities was studied from three perspectives, the individuals’, the occupational therapists’, and the experienced burden of the family caregivers. These perspectives are complementary and thus necessary for planning and implementation of individually adapted occupational therapy as well as for the evaluation of outcomes.

    List of papers
    1. The meaning and form of occupational therapy as experienced by women with psychoses: A phenomenological study
    Open this publication in new window or tab >>The meaning and form of occupational therapy as experienced by women with psychoses: A phenomenological study
    2002 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 16, no 1, p. 103-110Article in journal (Refereed) Published
    Abstract [en]

    The aim of this study was to illuminate the experiences of occupational therapy interventions in individuals with psychoses. Repeated tape-recorded narrative interviews were conducted with six women participating in occupational therapy immediately after an intervention. The subsequent analyses followed a phenomenological approach. Key constituents integrated in two structures, are the main ®ndings. The meaning of occupational therapy as expressed in the key constituents relief, selfknowledge, belief in the future, capability, resistance and satisfaction formed one structure. The form of occupational therapy as expressed in the key constituents time, environment, guidance, voluntariness and collaboration represented the other structure. These ®ndings con®rm and give empirical support to beliefs and assumptions expressed in occupational therapy literature. The results form a conceptual base for developing an evaluative assessment instrument for individuals with psychoses participating in occupational therapy.

    Place, publisher, year, edition, pages
    Oxford: Blackwell, 2002
    Keywords
    occupational therapy, individuals with psychoses, phenomenology
    National Category
    Nursing
    Research subject
    vårdvetenskap
    Identifiers
    urn:nbn:se:oru:diva-6032 (URN)10.1046/j.1471-6712.2002.00064.x (DOI)
    Available from: 2009-03-18 Created: 2009-03-18 Last updated: 2017-12-13Bibliographically approved
    2. The factor structure of the Burden Assessment Scale and the perceived burden of caregivers for individuals with severe mental disorders
    Open this publication in new window or tab >>The factor structure of the Burden Assessment Scale and the perceived burden of caregivers for individuals with severe mental disorders
    2004 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, no 2, p. 396-401Article in journal (Refereed) Published
    Abstract [en]

    The aims of this study were to test the construct validity and the homogeneity of the Swedish version of the Burden Assessment Scale (BAS) and study perceived burden in daily life among family caregivers of individuals with severe mental disorders. A total of 256 caregivers took part in the study. The participants completed two questionnaires. One was the BAS, a brief scale that focuses on specific subjective and objective consequences of families caring for individuals with severe mental disorders. The other one was a questionnaire constructed for the study including demographic data. A principal component analysis yielded three factors: 'activity limitation', 'feelings of worry and guilt' and 'social strain'. The internal consistency calculated by Cronbach's alpha coefficients varied between 0.73 and 0.88 for the three factors. The findings indicated that the caregivers experienced more 'activity limitation' and 'social strain' in relation to the youngest and to those who had an elementary educational level than they did for comparison groups. There were no differences found between the caregivers in relation to clients' daily occupation outside home. The results confirm that family caregiver burden is complex and includes several areas such as activities in daily life, worry and social strain. Given this knowledge about caregivers' situation, it is critical that families be given opportunities to identify what support might help. Further research is needed to identify such support.

    Keywords
    family burden; severe mental disorders; daily occupation; factor analysis
    National Category
    Nursing
    Research subject
    Caring sciences
    Identifiers
    urn:nbn:se:oru:diva-37315 (URN)10.1111/j.1471-6712.2004.00298.x (DOI)000226103100008 ()
    Available from: 2014-10-01 Created: 2014-10-01 Last updated: 2017-12-05Bibliographically approved
    3. Performance of occupations in daily life among individuals with severe mental disorders
    Open this publication in new window or tab >>Performance of occupations in daily life among individuals with severe mental disorders
    2004 (English)In: Occupational Therapy in Mental Health, ISSN 0164-212X, E-ISSN 1541-3101, no 2, p. 33-50Article in journal (Refereed) Published
    Abstract [en]

    The aims of this study were to describe self-perceived capability to perform daily occupations, functional cognitive ability and differences between self-perceived capability to perform daily occupations and cognitive levels among individuals with severe mental disorders. Fifty-one persons participated in the study. The participants completed a structured interview concerning their own perceived experiences of daily occupations, they were also observed during performance of a standardized task and assigned a cognitive level score. The results showed that most participants perceived small problems in Activities of Daily Living. On the other hand, Play and Leisure Activities seemed problematic to them. The participants' cognitive levels seem to correlate with their performance of Work and Productive Activities. The results also showed that a structural tool focusing on capability to perform daily occupations enabled mentally disabled persons to have a perspective of their own. Together with observed assessment it gave complementary information about these people's occupational performance. These shared identified occupational problems could serve as a foundation for planning individually adapted interventions

    Keywords
    Severe mental disorders, occupations in daily living, structured assessments
    National Category
    Occupational Therapy
    Research subject
    Occupational therapy
    Identifiers
    urn:nbn:se:oru:diva-37319 (URN)2-s2.0-3242688723 (Scopus ID)
    Available from: 2014-10-01 Created: 2014-10-01 Last updated: 2017-12-05Bibliographically approved
    4. Goal, intervention and outcome of occupational therapy in individuals with psychosis: content analysis through a chart review
    Open this publication in new window or tab >>Goal, intervention and outcome of occupational therapy in individuals with psychosis: content analysis through a chart review
    2000 (English)In: Occupational Therapy International, ISSN 0966-7903, E-ISSN 1557-0703, Vol. 7, no 1, p. 21-41Article in journal (Refereed) Published
    Abstract [en]

    The purpose of the study was to analyse the content of occupational therapy records documenting treatment for individuals with psychoses. A retrospective content analysis of occupational therapy records regarding treatment goals, interventions and outcome was undertaken using a coding scheme, the Template of Occupational Therapy (TOT). Twenty-five occupational therapists chosen at random contributed 64 occupational therapy records, generating 2992 statements.

    The patients’ disorders and functional and activity limitations (n=1723) were comprehensively described. Ability to manage self-care and the home environment, and to engage in a daily occupation, emerged as the prominent treatment goals. The content of the occupational therapy interventions was characterized by descriptions of a wide range of activities, which were used as therapeutic resources.

    The occupational therapist had a client-centred approach, combining the use of the current activity with the use of herself/himself as a resource. A few statements in the records were interpreted as relating to outcomes of treatment for this patient group. Statements related to outcome were the patients’ self-reports and how they were able to manage activities of daily living. This retrospective study was found to be a useful conceptual model for designing studies of evidence-based occupational therapy in mental health

    Keywords
    content analysis, mental health, occupational therapy, psychoses, patient record
    National Category
    Occupational Therapy
    Research subject
    Occupational therapy
    Identifiers
    urn:nbn:se:oru:diva-37321 (URN)2-s2.0-0002082209 (Scopus ID)
    Available from: 2014-10-01 Created: 2014-10-01 Last updated: 2017-12-05Bibliographically approved
    5. Developement of the experience of occupational performance questionnarie: validity and reliability in a sample of individuals with severe mental disorders
    Open this publication in new window or tab >>Developement of the experience of occupational performance questionnarie: validity and reliability in a sample of individuals with severe mental disorders
    2002 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 9, no 4, p. 184-191Article in journal (Refereed) Published
    Abstract [en]

    The purpose of this study was to assess the validity and reliability of a new tool called the Experiences of Occupational Performance Questionnaire (EOPQ) and also to investigate whether there were any gender differences in the answers. The EOPQ was completed by 32 women and 73 men with severe mental disorders, who participated in an occupation arranged by the healthcare system in Sweden. The EOPQ was originally developed from interviews with six women participating in occupational therapy. An analysis of the content validity of the EOPQ was performed with the help of seven occupational therapists. Forty-six of the 49 items in the EOPQ were valued as representative of the concept occupation as a resource in therapy. Principal component analysis performed in two steps yielded seven factors called: "Satisfaction with own ability"; "Confidence in own ability"; "Capability to perform"; "Challenge"; "Ability to handle difficult situatio"; "Forgetting time and self"; and "Identification with others". The internal consistency calculated by Cronbach's &#102 values varied between 0.63 and 0.91 in the seven factors. No gender differences were found on the factor level but differences in five items were found. The results showed that EOPQ could be used as a tool to measure therapeutic potentials in occupations and could also contribute to knowledge to secure the use of occupations as a therapeutic resource for individuals with severe mental disorders.

    Keywords
    factor analysis, occupation, resource, severe mental disorders, therapeutic
    National Category
    Occupational Therapy
    Research subject
    Occupational therapy
    Identifiers
    urn:nbn:se:oru:diva-37320 (URN)
    Available from: 2014-10-01 Created: 2014-10-01 Last updated: 2017-12-05Bibliographically approved
  • 23.
    Ivarsson, Ann-Britt
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Performance of occupations in daily life among individuals with severe mental disorders2004Conference paper (Refereed)
  • 24.
    Ivarsson, Ann-Britt
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Perfromance of occupation in daily life among individuals with severe mental disorders2006Conference paper (Refereed)
  • 25.
    Ivarsson, Ann-Britt
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Research-linked education in occupational therapy1996In: Ergoterapi i hele Norden, København: Ergoterapeutforeningen , 1996Conference paper (Refereed)
  • 26.
    Ivarsson, Ann-Britt
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Systematisk dokumentation av arbetsterapi2001Conference paper (Refereed)
  • 27.
    Ivarsson, Ann-Britt
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Upplevelse av att delta i aktivitet som medel i terapi2003Conference paper (Refereed)
  • 28.
    Ivarsson, Ann-Britt
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Department of Public Health and Caring Sciences, Section of Caring Sciences, Uppsala University, Uppsala, Sweden.
    Carlsson, Marianne
    Department of Public Health and Caring Sciences, Section of Caring Sciences, Uppsala University, Uppsala, Sweden.
    Developement of the experience of occupational performance questionnarie: validity and reliability in a sample of individuals with severe mental disorders2002In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 9, no 4, p. 184-191Article in journal (Refereed)
    Abstract [en]

    The purpose of this study was to assess the validity and reliability of a new tool called the Experiences of Occupational Performance Questionnaire (EOPQ) and also to investigate whether there were any gender differences in the answers. The EOPQ was completed by 32 women and 73 men with severe mental disorders, who participated in an occupation arranged by the healthcare system in Sweden. The EOPQ was originally developed from interviews with six women participating in occupational therapy. An analysis of the content validity of the EOPQ was performed with the help of seven occupational therapists. Forty-six of the 49 items in the EOPQ were valued as representative of the concept occupation as a resource in therapy. Principal component analysis performed in two steps yielded seven factors called: "Satisfaction with own ability"; "Confidence in own ability"; "Capability to perform"; "Challenge"; "Ability to handle difficult situatio"; "Forgetting time and self"; and "Identification with others". The internal consistency calculated by Cronbach's &#102 values varied between 0.63 and 0.91 in the seven factors. No gender differences were found on the factor level but differences in five items were found. The results showed that EOPQ could be used as a tool to measure therapeutic potentials in occupations and could also contribute to knowledge to secure the use of occupations as a therapeutic resource for individuals with severe mental disorders.

  • 29.
    Ivarsson, Ann-Britt
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Caring Sciences, Uppsala University, Department of Public Health, Sweden; .
    Carlsson, Marianne
    Department of Public Health and Caring Sciences, Uppsala Science Park, 751 85, Uppsala, Sweden.
    Sidenvall, Birgitta
    Department of Public Health and Caring Sciences, Uppsala Science Park, 751 85, Uppsala, Sweden.
    Performance of occupations in daily life among individuals with severe mental disorders2004In: Occupational Therapy in Mental Health, ISSN 0164-212X, E-ISSN 1541-3101, no 2, p. 33-50Article in journal (Refereed)
    Abstract [en]

    The aims of this study were to describe self-perceived capability to perform daily occupations, functional cognitive ability and differences between self-perceived capability to perform daily occupations and cognitive levels among individuals with severe mental disorders. Fifty-one persons participated in the study. The participants completed a structured interview concerning their own perceived experiences of daily occupations, they were also observed during performance of a standardized task and assigned a cognitive level score. The results showed that most participants perceived small problems in Activities of Daily Living. On the other hand, Play and Leisure Activities seemed problematic to them. The participants' cognitive levels seem to correlate with their performance of Work and Productive Activities. The results also showed that a structural tool focusing on capability to perform daily occupations enabled mentally disabled persons to have a perspective of their own. Together with observed assessment it gave complementary information about these people's occupational performance. These shared identified occupational problems could serve as a foundation for planning individually adapted interventions

  • 30.
    Ivarsson, Ann-Britt
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Josephsson, Stefan
    Karolinska institutet, Stockholm, Sweden.
    Eklund, Mona
    Lunds universitet, Lund, Sweden.
    Hur möjliggör vi delaktighet i vardag och samhällsliv för personer med psykiska funktionshinder?2007Conference paper (Refereed)
  • 31.
    Ivarsson, Ann-Britt
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Lindstedt, Helena
    Uppsala University, Uppsala, Sweden.
    Individuell måluppfyllelse och långtidsuppföljning för peroner med psykisk funktionsnedsättning2010Conference paper (Refereed)
  • 32.
    Ivarsson, Ann-Britt
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Lindstedt, Helena
    Uppsala University, Uppsala, Sweden.
    Carlsson, Marianne
    Uppsala University, Uppsala, Sweden.
    En sak i taget: Goal Attainment Scaling som stöd vid formulering av mätbara mål2011Conference paper (Refereed)
  • 33.
    Ivarsson, Ann-Britt
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Lindstedt, Helena
    Department of Public Health and Caring Sciences, Örebro University Hospital, Örebro, Sweden; Caring Sciences, Uppsala University, Uppsala, Sweden.
    Carlsson, Marianne
    Department of Public Health and Caring Sciences, Örebro University Hospital, Örebro, Sweden; Caring Sciences, Uppsala University, Uppsala, Sweden.
    The development of the Self Assessment of Occupational Ability: a tool to measure occupation as a medium in therapy among persons with mental disability2014Conference paper (Refereed)
    Abstract [en]

    To add knowledge on how occupations contribute to health and wellbeing and to explicit describe thetherapeutic potential in occupations deeper knowledge is needed. One way is to ground the knowledgeon narratives from people’s experiences. In consequence a questionnaire was constructed based onnarratives from persons with mental disorders who have taken part in occupational therapy. A new version of the questionnaire was developed and as the items have been reformed a new underlying structure was expected.

    The aim of the present study was to investigate the construct validity and the internal consistency of the questionnarie in a new sample of individuals with severe mental disorders. Persons (n=106) with mental disorders participated in the study by answering the questionnarie after performing an occupation in therapy. The correlation between each of the 35 items was analyzed and items with high correlation were excluded from further analysis. Twenty-five items were left to explorethe underlying factor structure of the questionnarie.

    A principal component analysis with varimaxrotation resulted in the five factors, “Ability to perform occupation”, “Feeling of belongingness”, “Engaging in occupation”, “Influencing on occupation” and “Insight into ability”. A second order factoranalysis resulted in a three component structure explaining 79 % of the variance. In summery, a pattern of occupation as a therapeutic medium was found and gave a ground for the construction of the questionnaire Self Assessment of Occupational Ability (SAO).

    The pattern found is constructed by the three components, “Sense of competence, “Feeling of belongingness” and “Insight into ability”including the five factors and 25 items. The SAO will be presented the first time in the WFOT 2014, a tool to bee used by occupational therapist in their cooperation with persons with mental disability to find out how occupation can be of help in their recovery.

  • 34.
    Ivarsson, Ann-Britt
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Mullersdorf, Maria
    Mälardalen University, Eskilstuna/Västerås.
    Occupation as described by occupational therapy students in Sweden: A follow-up study2009In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 16, no 1, p. 57-64Article in journal (Refereed)
    Abstract [en]

    This study is the second in a series of studies carried out in Sweden concerning the dimensions of the concept occupation. The specific aim of this study was to explore new and confirm previously found dimensions of the concept of occupation in the context of occupational therapy. Occupational therapy students, a few weeks from their completion of studies, were asked to write down spontaneously what they personally considered to be occupation. Forty-two women and three men, aged between 25 and 33 years, participated. Grounded theory with the constant comparative method was used to analyse the data. A coding scheme of 40 codes was used to compare new data with previously found data concerning the concept of occupation as described by occupational therapy students. Six new codes concerning occupation expanded the dimensions of the concept. Five of those were found within the doing and context dimensions. These codes defined occupation as something that depends on who is performing the occupation and where the occupation is performed. Thus, occupation is not a permanent state but also very much depends on subjective experience. Additional studies with experienced occupational therapists have been planned to further expand these findings and aim to give a stronger foundation to the concept of occupation built on empirical grounds.

  • 35.
    Ivarsson, Ann-Britt
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Müllersdorf, Maria
    Mälardalen University, Västerås, Sweden.
    Aktivitet ett centralt begrepp inom arbetsterapi2009Conference paper (Refereed)
  • 36.
    Ivarsson, Ann-Britt
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Müllersdorf, Maria
    Mälardalen University, Västerås, Sweden.
    Aktivitet för arbetsterapi i ett svenskt sammanhang: utveckling av en modell2011Conference paper (Refereed)
  • 37.
    Ivarsson, Ann-Britt
    et al.
    Örebro University, School of Health and Medical Sciences.
    Müllersdorf, Maria
    Mälardalens högskola.
    An integrative review combined with a semantic review to explore the meaning of Swedish terms compatible with occupation, activity, doing and task2008In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 15, no 1, p. 52-63Article in journal (Refereed)
    Abstract [en]

     The aims of this study were to explore the intended meaning of the terms “occupation”, “activity”, “doing”, and “task” used in international occupational therapy literature and from this perspective explore which Swedish terms best capture these meanings. A literature review of occupational therapy-related journals was performed to gain a basic understanding of the term occupation and related terms. In addition, a semantic review was used: English and Swedish dictionaries were reviewed to explore the semantic meaning of the English terms “occupation”, “activity”, “doing”, and “task”, and the Swedish terms “aktivitet”, “syssla/sysselsättning”, “görande”, and “uppgift”. A comparison was also performed by searching for parallels between the results of the literature review, the semantic definitions of the English and Swedish terms and the comprehensive meaning of the Swedish terms aktivitet and syssla/sysselsättning. An overarching idea of the concept of occupation was found in the literature review and for the purposes of this study we have identified this as Occupation for survival. From this overarching idea, three themes were identified: The feature of occupation, Impact of occupation and Occupation an occupational therapy concept. Each theme could be subdivided into sub-themes. The Swedish term aktivitet was found to have more power, strength, and spirit connected to the synonyms found in the semantic analysis than to those connected with the Swedish term syssla/sysselsättning. According to the findings in this study we found that the term “aktivitet” is the best comparable term in Swedish to the English term “occupation”.

  • 38.
    Ivarsson, Ann-Britt
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Müllersdorf, Maria
    Mälardalen University, Västerås, Sweden.
    Occupation described in a culture specific and empirically based theory2010Conference paper (Refereed)
  • 39.
    Ivarsson, Ann-Britt
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Müllersdorf, Maria
    School of Health, Care and Social welfare, Mälardalen university, Västerås, Sweden.
    The use of creative activities in occupational therapy practice in Sweden2014Conference paper (Refereed)
    Abstract [en]

    Occupation as a mean in therapy contributes to personal development, stimulates people’s senses, and generates positive energy, happiness and satisfaction. Creative activities might be one form of occupation that mediates these outcomes. The aim of this study was to describe the prevalence of creative activities in occupational therapy in Sweden and how often occupational therapists use creative activities as a means of intervention. A web-mail survey was sent to 2975 occupational therapists working in health care and 63 % answered the questionnaire, of these 44 % did use creative activities. The extent to which the respondents used creative activities varied; 48 % used creative activities once a week or more, 36 % once a month or more, and 14 % at some point every six months. There was a significant relationship between the level of health care the respondent worked at and use of creative activities. Creative activities were more often used by respondents working at county council, regional and “other” health care levels than by those working in primary health care or with vocational rehabilitation. Respondents who worked with patients in psychiatric rehabilitation used creative activities significantly more often than those working with patients in somatic rehabilitation, stressed patients/patients with chronic pain or other patients. Occupational therapists working in psychiatric rehabilitation reported using creative activities more frequently compared to the other areas of health care. No relationships were found between the use of creative activities and the variables gender or years of experience as occupational therapists. Further research should focus on more in-depth inquiries about how occupational therapists and their patients perceive the use of creative activities as a means of intervention in occupational therapy

  • 40.
    Ivarsson, Ann-Britt
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Sidenvall, Birgitta
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Carlsson, Marianne
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    The factor structure of the Burden Assessment Scale and the perceived burden of caregivers for individuals with severe mental disorders2004In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, no 2, p. 396-401Article in journal (Refereed)
    Abstract [en]

    The aims of this study were to test the construct validity and the homogeneity of the Swedish version of the Burden Assessment Scale (BAS) and study perceived burden in daily life among family caregivers of individuals with severe mental disorders. A total of 256 caregivers took part in the study. The participants completed two questionnaires. One was the BAS, a brief scale that focuses on specific subjective and objective consequences of families caring for individuals with severe mental disorders. The other one was a questionnaire constructed for the study including demographic data. A principal component analysis yielded three factors: 'activity limitation', 'feelings of worry and guilt' and 'social strain'. The internal consistency calculated by Cronbach's alpha coefficients varied between 0.73 and 0.88 for the three factors. The findings indicated that the caregivers experienced more 'activity limitation' and 'social strain' in relation to the youngest and to those who had an elementary educational level than they did for comparison groups. There were no differences found between the caregivers in relation to clients' daily occupation outside home. The results confirm that family caregiver burden is complex and includes several areas such as activities in daily life, worry and social strain. Given this knowledge about caregivers' situation, it is critical that families be given opportunities to identify what support might help. Further research is needed to identify such support.

  • 41.
    Ivarsson, Ann-Britt
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Söderback, Ingrid
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Stein, Frank
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    The application of concept analysis in the occupational therapy treatment process in mental health1998In: Occupational Therapy International, ISSN 0966-7903, E-ISSN 1557-0703, Vol. 5, no 2, p. 83-103Article in journal (Refereed)
    Abstract [en]

    The objective of this study was to construct a coding schema for analysing the occupational therapy process, often described as formulating the treatment goal, implementing treatment and evaluating the effect of treatment. The concepts underlying the terms treatment goal, treatment intervention and effect or outcome of treatment, as used in occupational therapy, were defined and an analytical template of questions was constructed, using the analysis method designed by Walker and Avant (1995). The method included a third part; definitions of the three concepts were formulated on the basis of excerpts from occupational therapy textbooks in mental health that are well known in Sweden. The results showed that the concept of treatment goal included the attributive components planning goals, step-by-step goal, and group goal; the concept of treatment intervention included the components planning process, available resources and level; and the concept of effect or outcome of treatment included type and measurement. The excerpts for each of the components were then summarized as statements. These statements were converted into the questions that constituted the template. Third, these questions were used to test the usefulness of the template in analysing the occupational therapy content of 10 scientific reports on individuals with psychosis. All but two questions served to identify attributes of the three concepts. The template was useful for analysing the content of 10 research studies relevant to the occupational therapy process in mental health

  • 42.
    Ivarsson, Ann-Britt
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Department of Public Health and Caring Sciences, Unit of Caring Science, Uppsala University, Uppsala, Sweden.
    Söderback, Ingrid
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden; epartment of Rehabilitation Medicine Clinic, Karolinska Hospital, Stockholm.
    Stein, Franklin
    Department of Occupational Therapy, University of South Dakota, Vermillion, USA.
    Goal, intervention and outcome of occupational therapy in individuals with psychosis: content analysis through a chart review2000In: Occupational Therapy International, ISSN 0966-7903, E-ISSN 1557-0703, Vol. 7, no 1, p. 21-41Article in journal (Refereed)
    Abstract [en]

    The purpose of the study was to analyse the content of occupational therapy records documenting treatment for individuals with psychoses. A retrospective content analysis of occupational therapy records regarding treatment goals, interventions and outcome was undertaken using a coding scheme, the Template of Occupational Therapy (TOT). Twenty-five occupational therapists chosen at random contributed 64 occupational therapy records, generating 2992 statements.

    The patients’ disorders and functional and activity limitations (n=1723) were comprehensively described. Ability to manage self-care and the home environment, and to engage in a daily occupation, emerged as the prominent treatment goals. The content of the occupational therapy interventions was characterized by descriptions of a wide range of activities, which were used as therapeutic resources.

    The occupational therapist had a client-centred approach, combining the use of the current activity with the use of herself/himself as a resource. A few statements in the records were interpreted as relating to outcomes of treatment for this patient group. Statements related to outcome were the patients’ self-reports and how they were able to manage activities of daily living. This retrospective study was found to be a useful conceptual model for designing studies of evidence-based occupational therapy in mental health

  • 43.
    Ivarsson, Ann-Britt
    et al.
    Örebro University, Department of Nursing and Caring Sciences.
    Söderback, Ingrid
    Uppsala universitet.
    Ternestedt, Britt-Marie
    Ersta Sköndals högskola.
    The meaning and form of occupational therapy as experienced by women with psychoses: A phenomenological study2002In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 16, no 1, p. 103-110Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to illuminate the experiences of occupational therapy interventions in individuals with psychoses. Repeated tape-recorded narrative interviews were conducted with six women participating in occupational therapy immediately after an intervention. The subsequent analyses followed a phenomenological approach. Key constituents integrated in two structures, are the main ®ndings. The meaning of occupational therapy as expressed in the key constituents relief, selfknowledge, belief in the future, capability, resistance and satisfaction formed one structure. The form of occupational therapy as expressed in the key constituents time, environment, guidance, voluntariness and collaboration represented the other structure. These ®ndings con®rm and give empirical support to beliefs and assumptions expressed in occupational therapy literature. The results form a conceptual base for developing an evaluative assessment instrument for individuals with psychoses participating in occupational therapy.

  • 44.
    Lidström Holmqvist, Kajsa
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Holmefur, Marie
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Ivarsson, Ann-Britt
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Therapeutic use of self as defined by Swedish occupational therapists working with clients with cognitive impairment following acquired brain injury: a Delphi study2013In: Australian Occupational Therapy Journal, ISSN 0045-0766, E-ISSN 1440-1630, Vol. 60, no 1, p. 48-55Article in journal (Refereed)
    Abstract [en]

    BACKGROUND/AIM: The concept therapeutic use of self has mainly been described theoretically. Empirical descriptions are few and empirical validation is needed to make the concept more useful for informing practice and explaining what occupational therapists do in the interaction with their clients to facilitate successful outcomes. The aim of this study was to empirically define the aspects that occupational therapists working with clients with cognitive impairments following acquired brain injury find are consistent with the concept of therapeutic use of self.

    METHOD: Thirteen expert occupational therapists participated. Reactive Delphi technique in three rounds was used where each round built on the results of the previous one. A questionnaire based on current literature was developed for the first round.

    RESULTS: Twenty of 33 statements reached a consensus level of 75% or more. These statements reflected the therapists' consciousness, self-awareness and use of personal characteristics. The statements also concerned the intentions of therapeutic use of self, including client group-specific intentions such as enhancing self-awareness. The results indicate that the content of the concept may be defined differently depending on the client group.

    CONCLUSIONS: The empirical descriptions generated from this study may help occupational therapists working with clients with cognitive impairments following acquired brain injury to describe how and with what intention they use themselves therapeutically in the rehabilitation process. In occupational therapy education, the results may be used to highlight how the concept may be understood in practice and to discuss it in relation to different client groups.

  • 45.
    Lidström Holmqvist, Kajsa
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Ivarsson, Ann-Britt
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Holmefur, Marie
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Occupational therapist practice patterns in relation to clients with cognitive impairment following acquired brain injury2014In: Brain Injury, ISSN 0269-9052, E-ISSN 1362-301X, Vol. 28, no 11, p. 1365-1373Article in journal (Refereed)
    Abstract [en]

    Primary objective: To describe Swedish occupational therapist practice patterns for clients with cognitive impairment following acquired brain injury.

    Research design: A cross-sectional stratified random sample of 462 occupational therapists.

    Methods: An online questionnaire was used to collect data.

    Main results: The predominant practice pattern was the use of ADL-activities for assessment and therapy regardless of whether limitations in occupational performance or cognitive function were assessed or whether the approach was remedial or compensatory. For assessment, general ADL-instruments were used more often than instruments that assessed cognitive function. Instruments were used less often within municipal rehabilitation facilities compared to regional, county and primary care facilities. The most common focus of the therapies was in regard to abilities related to executive functioning. Another prominent practice pattern was a collaborative approach involving clients, relatives and other staff. The theories used in practice were, to a large extent, general in nature and did not focus specifically on cognitive functioning.

    Conclusions: Swedish occupational therapy practice for clients with cognitive impairments following acquired brain injury focuses highly on occupational performance. Therapies targeting executive functioning seem particularly important in practice and a collaborative approach involving clients, relatives and other staff is a prominent feature in practice.

  • 46.
    Lidström-Holmqvist, Kajsa
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Kamwendo, Kitty
    Örebro University, School of Health and Medical Sciences.
    Ivarsson, Ann-Britt
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Arbetsterapi för personer med kognitiva svårigheter efter förvärvad hjärnskada2007Conference paper (Refereed)
  • 47.
    Lindstedt, Helena
    et al.
    Uppsala University, Uppsala, Sweden.
    Ivarsson, Ann-Britt
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Carlsson, Marianne
    Uppsala University, Uppsala, Sweden.
    Individual Goal Attainment Scaling (GAS) and structured long-term follow-up: first measurement2010Conference paper (Refereed)
  • 48.
    Lindstedt, Helena
    et al.
    Uppsala universitet.
    Ivarsson, Ann-Britt
    Örebro University, Department of Health Sciences.
    Söderlund, Anne
    Uppsala universitet.
    Background factors related to and/or influencing occupation in mentally disordered offenders2006In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 20, no 3, p. 331-338Article in journal (Refereed)
    Abstract [en]

    Objective: Knowledge of background and occupational related factors of mentally disordered offenders are missing. It is essential to understand these issues when planning discharge from forensic psychiatric hospital careto enable community dwelling. Aims: One aim was to investigate mentally disordered offenders’ background factors, confidence in and how they value occupations. Another aim was to investigate MDOs background factors’ in relation to and the influences on Occupational Performance and Social Participation. Method: Data was collected with an explorative, correlative design after informed consent, from 74 mentally disordered offenders (mean age 34,2) cared for in forensic psychiatric hospitals. Assessments were Allen Cognitive Level Screen, Capability to Perform Daily Occupations, Interview Schedule of Social Interaction, Manchester Short Assessment of Quality of Life, Self-efficacy Scale and Importance scale. Eight background factors were assembled from the individual forensic psychiatric investigation. Findings: Most of the investigated background factors relate to and half of them influence occupational performance, particular the cognitive aspect of occupational performance. The influences on occupation originate from adulthood, such as suffering from schizophrenia, psycho/social problems, and having performed violent crimes. These findings indicate that staff in forensic hospital care should initiate rehabilitation with knowledge about MDOs’ complex daily occupations. For avoiding information bias, information gathering preceding treatment planning should be performed in collaboration between caring staff and mentally disordered offenders.

  • 49.
    Lundqvist, Lars-Olov
    et al.
    Örebro University, School of Law, Psychology and Social Work. Centre for Rehabilitation Research, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
    Ivarsson, Ann-Britt
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Brunt, David
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Rask, Mikael
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Schröder, Agneta
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Psychiatric Research Centre, Örebro University Hospital, Örebro, Sweden.
    Quality of community-based day centre services for people with psychiatric disabilities: psychometric properties of the Quality in Psychiatric Care - Daily Activities (QPC-DA)2016In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 23, no 2, p. 91-96Article in journal (Refereed)
    Abstract [en]

    Background/aims: The aim of the present study was to test the psychometric properties and dimensionality of the instrument Quality in Psychiatric Care - Daily Activities (QPC-DA) and to briefly describe the day centre attendees' perception of the quality at community-based day centre services.

    Methods: A sample of 218 attendees from 14 community-based day centre services in seven municipalities in Sweden participated in the study.

    Results: Confirmatory factor analysis revealed that the QPC-DA consists of six dimensions and has a factor structure that to a large extent corresponds to that found in other studies of quality in psychiatric care settings, such as inpatient, outpatient, forensic inpatient, and housing support for people with psychiatric disabilities. The internal consistency of the factors was satisfactory and thus the QPC-DA showed adequate psychometric properties. The attendees' ratings of quality of community-based day centre services were generally high. The highest rating was for the encounter dimension and the lowest for the participation and the secluded environment dimensions, indicating areas for improvement.

    Conclusion/significance: The QPC-DA includes important aspects of the attendees' assessment of quality of community-based day centre services and offers a simple and inexpensive way to evaluate quality from their perspective.

  • 50.
    Lundqvist, Lars-Olov
    et al.
    Örebro University, School of Law, Psychology and Social Work.
    Rask, Mikael
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Brunt, David
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Ivarsson, Ann-Britt
    Örebro University, School of Health Sciences.
    Schröder, Agneta
    Örebro University, School of Health Sciences. RNT, Fac Med & Hlth, Univ Hlth Care Res Ctr, Univ Örebro, Örebro, Sweden..
    Measuring quality in community based housing support: the QPC-H instrument2016In: International Journal of Health Care Quality Assurance, ISSN 0952-6862, E-ISSN 1758-6542, Vol. 29, no 3, p. 267-275Article in journal (Refereed)
    Abstract [en]

    Purpose - The purpose of this paper is to test the psychometric properties and dimensionality of the instrument Quality in Psychiatric Care-Housing (QPC-H) and briefly describe the residents' perception of quality of housing support. Design/methodology/approach - A sample of 174 residents from 22 housing support services in nine Swedish municipalities participated in the study. Confirmatory factor analysis (CFA) revealed that the QPC-H consisted of six dimensions and had a factor structure largely corresponding to that found among other instruments in the Quality in Psychiatric Care (QPC) family of instruments. Findings - CFA revealed that the QPC-H consisted of six dimensions and had a factor structure largely corresponding to that found among other instruments in the QPC family of instruments. The internal consistency of the factors was acceptable except in the case of secure and secluded environment, probably due to few numbers of items. With this exception, the QPC-H shows adequate psychometric properties. Social implications - The residents' ratings of quality of housing service were generally high; the highest rating was for secluded environment and the lowest for participation. This dimension would thus seem to indicate an important area for improvement. Originality/value - The QPC-H includes important aspects of residents' assessment of quality of housing service and offers a simple and inexpensive way to evaluate housing support services from the residents' perspective.

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