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  • 251.
    Holmefur, Marie
    et al.
    Karolinska Institutet, Solna, Astrid Lindgrens Barnsjukhus, Stockholm, Sverige.
    Krumlinde-Sundholm, Lena
    Neuropediatriska Forskningsenheten, Karolinska Institutet, Astrid Lindgrens Barnsjukhus, Stockholm, Sverige.
    Eliasson, Ann-Christin
    Neuropediatriska Forskningsenheten, Karolinska Institutet, Astrid Lindgrens Barnsjukhus, Stockholm, Sverige.
    Assisting Hand Assessment: Validity and Reliability for the age range 18 months to 12 years2007Conference paper (Refereed)
  • 252.
    Holmefur, Marie
    et al.
    Karolinska Institutet, Institutionen för Kvinnors och Barns Hälsa, Astrid Lindgrens Barnsjukhus, Stockholm, Sverige.
    Krumlinde-Sundholm, Lena
    Eliasson, Ann-Christin
    Hur utvecklas bimanuell förmåga hos barn (18 mån – 8 år) med unilateral CP? En longitudinell studie2009Conference paper (Refereed)
  • 253.
    Holmefur, Marie
    et al.
    Örebro University, Department of Nursing and Caring Sciences.
    Krumlinde-Sundholm, Lena
    Karolinska Institutet.
    Eliasson, Ann-Christin
    Interrater and intrarater reliability of the Assisting Hand Assessment2007In: American Journal of Occupational Therapy, ISSN 0272-9490, Vol. 61, no 1, p. 79-84Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: The aim of this study was to evaluate interrater and intrarater reliability for the Assisting Hand Assessment.

    METHOD: For interrater reliability, two designs were used: 2 occupational therapists rated the same 18 children, and 20 occupational therapists rated the same 8 children. For intrarater reliability, 20 raters each rated one child twice. Both English and Swedish versions of the instrument were used. Intraclass correlation coefficients (ICCs) and standard error of measurement (SEM) were calculated.

    RESULTS: ICCs for the sum score for the interrater were 0.98 (two raters) and 0.97 (20 raters) and for the intrarater 0.99. SEM was 1.5 for interrater and 1.2 for the intrarater study, which gave an error interval of +/-3 raw scores for interrater and +/- 2.4 raw scores for intrarater.

    CONCLUSION: This study shows excellent interrater and intrarater reliability for sum scores.

  • 254.
    Holmefur, Marie
    et al.
    Örebro University, School of Health and Medical Sciences.
    Krumlinde-Sundholm, Lena
    Karolinska Institutet, Stockholm.
    Eliasson, Ann-Christin
    Karolinska Institutet, Stockholm.
    Longitudinal develpoment of affected hand use in bimanual tasks in children with unilateral cerebral palsy2009In: 3rd International Cerebral Palsy Conference, Sydney, Australia, 2009Conference paper (Refereed)
  • 255.
    Holmefur, Marie
    et al.
    Örebro University, School of Health and Medical Sciences.
    Krumlinde-Sundholm, Lena
    Karolinska Institutet, Stockholm.
    Eliasson, Ann-Christin
    Karolinska Institutet, Stockholm.
    Rater reliability of the Assisting Hand Assessment2006In: World Federation of Occupational Therapists Congress, 2006Conference paper (Refereed)
  • 256.
    Holmefur, Marie
    et al.
    Örebro University, School of Health and Medical Sciences.
    Krumlinde-Sundholm, Lena
    Karolinska Institutet, Stockholm.
    Eliasson, Ann-Christin
    Karolinska Institutet, Stockholm.
    Rater reliability of the Assisting Hand Assessment2006In: 18th Annual Meeting of the European Academy of Childhood Disability, 2006Conference paper (Refereed)
  • 257. Holmefur, Marie
    et al.
    Krumlinde-Sundholm, Lena
    Eliasson, Ann-Christin
    Utveckling av bimanuell förmåga hos barn med CP hemiplegi2008Conference paper (Other academic)
  • 258.
    Holmefur, Marie
    et al.
    Örebro University, School of Health Sciences.
    Lidström-Holmqvist, Kajsa
    Örebro University, School of Health Sciences. Örebro University Hospital.
    Arvidsson, Patrik
    Jönköping University, Jönköping, Sweden.
    Roshanai, Afsaneh
    Uppsala University, Uppsala, Sweden.
    White, Suzanne
    SUNY Downstate University, New York, NY, USA.
    Janeslätt, Gunnel
    Uppsala University, Uppsala, Sweden.
    Let’s Get Organized: pilot study of an occupational therapy group intervention aimed to improve time management skills2018Conference paper (Refereed)
    Abstract [en]

    Introduction: Managing daily life activities requires time management and organizing skills. Individuals with cognitive disabilities commonly have poor ability to manage time, which often results in decreased ability to properly manage daily life activities. An intervention aimed to increase time management skills is "Let’s get organized" (LGO).

    Objective: The current pilot study was designed to explore the outcome of the LGO with regards to time management skills, executive functions and satisfaction with daily occupations among individuals with cognitive disabilities.

    Method: Persons with mental and neurodevelopmental disorder with decreased ability to manage time in daily life according to self-rated measures, were recruited by their local Occupational Therapist. All participants took part in LGO, which is a 10-week manual based group intervention with weekly meetings. Each session has a separate theme, with a common structure and goal to improve time management skills and to implement the use of a calendar in daily life. Measured outcomes were time management skills (Assessment of Time Management Skills), executive functioning (Weekly Calendar Planning Activity) and overall satisfaction with daily activities (Satisfaction with Daily Occupations).

    Results: In all 55 persons participated in the study. Preliminary results from a subgroup indicate significant improvements in time management skills, in aspects of executive functioning and in overall satisfaction with daily occupations.

    Conclusion: The LGO seems to be a promising intervention to improve time management skills and satisfaction with daily occupations in the short term. The used instruments appear to be sensitive to capture change from LGO.

  • 259.
    Holmefur, Marie
    et al.
    Örebro University, School of Health Sciences.
    Lidström-Holmqvist, Kajsa
    Örebro University, School of Health Sciences. University Health Care Research Center.
    Roshanay, Afsaneh Hayat
    Clinical Psychologist, Department of Public Health and Caring Sciences, Disability and Habilitation, Uppsala University, Uppsala, Sweden.
    Arvidsson, Patrik
    Swedish Institute for Disability Research, Jönköping University, Jönköping, Sweden; Centre for Research and Development, Uppsala University/Region Gävleborg, Gävle, Sweden.
    White, Suzanne
    State University of New York Downstate Medical Center, Brooklyn, USA.
    Janeslätt, Gunnel
    Department of Public Health and Caring Sciences, Disability and Habilitation, and Researcher, Centre for Clinical Research Dalarna, Uppsala University, Falun, Sweden.
    Pilot Study of Let's Get Organized: A Group Intervention for Improving Time Management2019In: American Journal of Occupational Therapy, ISSN 0272-9490, E-ISSN 1943-7676, Vol. 73, no 5, article id 7305205020Article in journal (Refereed)
    Abstract [en]

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

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

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

    SETTING: Outpatient psychiatric and habilitation settings.

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

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

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

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

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

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

  • 260.
    Holmefur, Marie
    et al.
    Örebro University, School of Health Sciences.
    Lidström-Holmqvist, Kajsa
    Örebro University, School of Health Sciences.
    White, Suzanne
    College Of Health Related Professions, SUNY Downstate Medical Center, New York, USA.
    Janeslätt, Gunnel
    Centre For Clinical Research, Dalarna County Council, Falun, Sweden.
    Assessment of Time Management Skills: psychometric properties of the Swedish version (ATMS-S)2017Conference paper (Refereed)
  • 261.
    Holmefur, Marie
    et al.
    Örebro University, School of Health Sciences.
    Lidström-Holmqvist, Kajsa
    Örebro University, School of Health Sciences.
    White, Suzanne
    Occupational Therapy Program, Downstate University, New York, USA.
    Janeslätt, Gunnel
    Centrum för klinisk forskning, Landstinget i Dalarna, Falun, Sverige.
    Prövning av validitet hos den svenska versionen av Assessment of Time Management Skills (ATMS-S)2017Conference paper (Refereed)
  • 262.
    Holmqvist, Kajsa
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Kognitiva funktionsnedsättningarefterförvärvad hjärnskada. Konsekvenser i vardagen och rehabiliteringmed fokus på arbetsterapi2014Report (Other academic)
  • 263.
    Holmqvist, Kajsa
    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: 16th International Congress of the World federation of Occupational Therapists, 2014Conference paper (Refereed)
    Abstract [en]

    Introduction: Persons with cognitive impairments following acquired brain injury are a common client group among occupational therapists and occupational therapy has shown to have a positive effect on occupational performance. However, the scarcity of research into occupational therapists practice patterns has resulted in a lack of knowledge of the exact nature of the interventions used.

    Primary objective: To describe Swedish Occupational Therapists’ 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 intervention 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 more used than instruments assessing cognitive function. Instruments were used more within regional-, county- and primary care compared to municipality rehabilitation. Interventions focusing abilities related to executive functioning represented the highest percentages. Another prominent practice pattern was the collaborative approach toward clients, relatives and other staff.  Theories used to support practice were to a large extent general not focusing cognitive functioning in specific.

    Conclusions and contribution to the practice and evidence base of occupational therapy: Swedish occupational therapy practice for clients with cognitive impairments following acquired brain injury highly focuses on occupational performance. Much instruments and theories used are general. The result contributes with knowledge of the specific content of practice, and shows that occupational therapists practice patterns both follow and do not follow current evidence in the area of cognitive rehabilitation.

  • 264.
    Holmqvist, Kajsa
    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 impairments following acquired brain injury2014Conference paper (Refereed)
    Abstract [en]

    Introduction: The concept therapeutic use of self has mainly been described theoretically and empirical descriptions are few. With empirical validation the concept will become more useful for informing practice and explaining what occupational therapists do in the interaction with their clients to facilitate successful outcomes.

    The objective of this study was to empirically define the aspects that occupational therapists working with clients with cognitive impairments following acquired brain injury (CIABI) 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 out 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 and contribution to practice: The empirical descriptions generated from this study may help occupational therapists working with clients with CIABI 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.

  • 265.
    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.

  • 266.
    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.  

  • 267.
    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.

  • 268.
    Hua, Håkan
    et al.
    Linnaeus Centre HEAD, Swedish Institute for Disability Research, Linköping University, Linköping, Sweden; Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
    Anderzén-Carlsson, Agneta
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Linnaeus Centre HEAD, Swedish Institute for Disability Research, Linköping University, Linköping, Sweden; Audiological Research Centre, Örebro University Hospital, Örebro, Sweden.
    Widén, Stephen
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Linnaeus Centre HEAD, Swedish Institute for Disability Research, Linköping University, Linköping, Sweden.
    Möller, Claes
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Linnaeus Centre HEAD, Swedish Institute for Disability Research, Linköping University, Linköping, Sweden; Audiological Research Centre, Örebro University Hospital, Örebro, Sweden.
    Lyxell, Björn
    Linnaeus Centre HEAD, Swedish Institute for Disability Research, Linköping University, Linköping, Sweden; Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
    Conceptions of working life among employees with mild-moderate aided hearing impairment: A phenomenographic study2015In: International Journal of Audiology, ISSN 1499-2027, E-ISSN 1708-8186, Vol. 54, no 11, p. 874-880Article in journal (Refereed)
    Abstract [en]

    Objectives: The aim was to explore the conceptions of working life among employees with mild-moderate aided hearing impairment (HI).

    Design: This study has a descriptive design, in which data was collected by means of semi-structured interviews. All interviews were audio-recorded and transcribed verbatim. The text was analysed in accordance with the phenomenographic approach.

    Study sample: Fifteen participants with mild-moderate aided HI were recruited to the current study.

    Results: The analysis of the interviews resulted in four main categories describing the participants’ conceptions of working life: (1) diffiiculties in daily work, (2) communication strategies, (3) facilitating factors in work environment, and (4) impact on daily life. The four identified descriptive categories show that the effects of HI on the lives of working adults generate far-reaching psychosocial consequences for the individual.

    Conclusions: This study demonstrates that difficulties and impact of having a HI interact with strategies used by the individual and contextual facilitators made in the work environment. We argue that there is a need for extensive services in aural rehabilitation for this population. This includes identifying the need of assistive listening devices, teaching the individual with HI about communication strategies and informing stakeholders about the consequence of having a HI.

  • 269.
    Hultgren, Elin
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Jansson, Linnea
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Fibromyalgi - svårigheter med dagliga livets aktiviteter och hur det hanteras: en litteraturstudie av patienterfarenheter2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med studien är att beskriva svårigheter i det dagliga livets aktiviteter för personer med fibromyalgi, samt vilka strategier som används för att hantera svårigheterna. Använd metod är en litteraturöversikt av 12 kvalitativa vetenskapliga artiklar. Resultat visar att personer med fibromyalgi påverkas av fysiska, kognitiva och emotionella svårigheter samt sömnsvårigheter vilket starkt påverkar förmåga att utföra dagliga aktiviteter som att ta hand om sig själv och hushåll, att arbeta och att engagera sig i fritid och socialt liv. De fysiska svårigheterna påverkar förmågan att anstränga sig, att vara inaktiv, att planera dagarna och att utföra monotona uppgifter. De kognitiva svårigheterna består av minnes- och koncentrationssvårigheter samt försämrad kommunikations- och reaktionsförmåga. En viktig strategi för att hantera svårigheterna är att lära sig att leva ett balanserat liv. Ytterligare strategi innebar att avleda smärtan, genom att distrahera, ignorera och undvika smärtan. Slutligen användes strategier för att lindra smärtan via alternativa behandlingar, engagemang i aktiviteter eller positiva tankar. Det sociala livet påverkades genom oförståelse från omgivningen, sämre relationer och rollförluster. Socialt stöd ansågs ytterst viktigt för ett välmående. Slutsats: Att lära sig att leva med smärtan och att leva ett balanserat liv är viktigt för att hantera svårigheter i vardagen. Det sociala stödet är viktigt för välmåendet men samtidigt kan en bristande förståelse från omgivningen upplevas stigmatiserande, vilket alla hälsoprofessioner bör vara medvetna om och motverka. Arbetsterapeuter och övriga hälsoprofessioner kan med detta öka sin förståelse för patientgruppen och hjälpa nyinsjuknade att finna egna strategier i livet med inspiration från ovanstående sätt att hantera svårigheterna.

  • 270.
    Hultqvist, Maria
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Lindberg, Malin
    Hunden som komplement i arbetsterapeutisk intervention: En systematisk litteraturstudie2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 271.
    Håkansson, Evelina
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Serrano Nilsson, Quenie
    Rädsla för fall hos äldre - konsekvenser och arbetsterapeutiska åtgärder.: En litteraturstudie2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Att ha möjlighet att få bo kvar hemma är för äldre personer mycket viktigt. Hemmet har en central betydelse hos var och en, där personen kan känna sig trygg. Men hemmet kan vara förenat med miljörisker som ökar risken för fall. Fall är ett av de vanligaste hälsoproblemen bland äldre, och äldre personer som har fallit har en ökad rädsla för att falla igen. Rädslan att falla påverkar aktivitetsutförandet. Syfte: Att undersöka hur rädslan för att falla påverkar aktivitetsutförandet bland äldre personer. Metod: En systematisk litteraturstudie utfördes, där tio vetenskapliga artiklar med både kvantitativ och kvalitativ ansats analyserades. Resultat: Fall sågs som en situation som inte kan kontrolleras eller förebyggas. Den vanligaste rekommendationen för att förebygga fall var att ta bort mattor. Personer som har fallit är mer benägna att ta emot förslag om förändringar än de som inte har fallit tidigare. Rädslan för att falla gör att de äldre begränsar sina aktivitetsutföranden. För att kunna förebygga fall bör det tas hänsyn till personens egen upplevda rädsla. Slutsats: Badrummet, köket och trappor anses som de rum med flest risker i de äldres hem. Mattor anses även som en stor risk i hemmet. Rädslan för att falla påverkar aktivitetsutförandet på ett negativt sätt. Äldre personer ser inte alltid att förändringar i hemmet kan förebygga fall. Om rekommendationer från en arbetsterapeut följs kan riskerna för fall minska. 

  • 272.
    Högfeldt, Anna
    Örebro University, School of Health and Medical Sciences.
    Inte bara äta: Måltidsträning inom ätstörningsbehandling ur ettt arbetsterapeutiskt perspektiv2011Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 273.
    Hörnell, Marie
    et al.
    Örebro University, School of Health and Medical Sciences.
    Pettersson, Lena
    Örebro University, School of Health and Medical Sciences.
    Möjlighetens Arena: En studie om individers erfarenheter av deltagande i arbetsträning2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract: 

    The aim of this study is to identify changes in psychosocial and environmental conditions for people who has taken part in the project called “Centrum för förberedande arbetsträning”. The aim is also to describe how the participants have experienced the work training. Eight participants have been interviewed using qualitative research interview. Both quantitative and qualitative methods are used in this study. In the initial phase of the project an interview was conducted with the participants using the Worker role interview (WRI). In this study we have used the findings from this interview and conducted our own interview to find if anything has changed since the project, and in that case in which areas change has occurred. For the purpose of the qualitative research we asked the participants two open questions in order to find out what the participants found positive or negative about the work training. The data was analyzed using qualitative content analysis, which resulted in five categories. These describe the participants’ experiences which are very similar when it comes to what the project has meant for their chance to be included in the labour market.  The workplace gives one the sense of belonging and gives the chance of a natural social interaction as well as it gives a structure to everyday life.  The study also shows that the work training has given the participants a greater sense of understanding and faith in their own ability and has aided the participants in creating and achieving work related goals. It is important that the participants are part of the process so that the process can be adjusted according to their living situation. The stories of the participants show that the work training has been meaningful and that taking part in the project has enabled them to better handle their situation.     

  • 274.
    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.

  • 275.
    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

  • 276.
    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.

  • 277.
    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

  • 278.
    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

  • 279.
    Jacobson, Therese
    et al.
    Örebro University, School of Health Sciences.
    Samman, Marie-Ren
    Örebro University, School of Health Sciences.
    Arbetsterapeuters kunskap om och användning av sociala berättelser för personer med autismspektrumtillstånd -  En enkätstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 280.
    Jadari, Mirsal
    Örebro University, School of Health Sciences.
    Vardagsteknik och vardagstekniska hjälpmedel för personer med kognitiva nedsättningar efter en förvärvad hjärnskada – En litteraturstudie om möjligheter och svårigheter2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 281.
    Jakobsson, Niklas
    et al.
    Örebro University, School of Health Sciences.
    Olofsson, Fabian
    Örebro University, School of Health Sciences.
    Arbetsterapeutens tillvägagångssätt vid bedömning och implementering av intervention vid depression: En kvalitativ intervjustudie2019Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
  • 282.
    Jamell, Jonna
    et al.
    Örebro University, School of Health Sciences.
    Ohlsson, Filippa
    Örebro University, School of Health Sciences.
    Åldersnormer för Box & Block Test hos barn i åldrarna 11 och 13 år: En kvantitativ studie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 283.
    Janeslätt, Gunnel Kristina
    et al.
    Centre for Clinical Research Dalarna, Uppsala University, Falun, Sweden; Department of Public Health and Caring Sciences, Disability and Habilitation, Uppsala University, Uppsala, Sweden.
    Lidström-Holmqvist, Kajsa
    Örebro University, School of Health Sciences. Örebro University Hospital. University Health Care Research Center, Region Örebro County, Örebro, Sweden.
    White, Suzanne
    Occupational therapy program, State University of New York Downstate Medical Center, Brooklyn NY, USA.
    Holmefur, Marie
    Örebro University, School of Health Sciences.
    Assessment of time management skills: psychometric properties of the Swedish version2018In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 25, no 3, p. 153-161Article in journal (Refereed)
    Abstract [en]

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

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

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

  • 284.
    Jansson, Andreas
    et al.
    Örebro University, Department of Health Sciences.
    Svensson, Olof
    Örebro University, Department of Health Sciences.
    Att beskriva klientcentrerad arbetsterapi - En litteraturstudie2006Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med C-uppsatsen var att beskriva genomförandet av klientcentrerad arbetsterapi.

    Uppsatsen har en kvalitativ ansats med en deskriptiv design där datainsamling skett genom sökning av litteratur.

    I hälso- och sjukvårdslagen står det: ”Vården och behandlingen skall så långt det är möjligt utformas och genomföras i samråd med patienten.”. Att arbeta klientcentrerat innebär en respekt för individens vilja, att arbeta tillsammans med klienten, ge information om olika alternativ samt underlätta för klientens beslutstagande. Många av de individer en arbetsterapeut möter saknar förmågan att fullt ut kommunicera och/eller samarbeta. Detta ställer krav på förmågan, som arbetsterapeut, att arbeta klientcentrerat.

    Resultatet visar vikten av att se individen samt ha en god kommunikationsförmåga där arbetsterapeuten aktivt arbetar för att öka förståelsen. Det är viktigt att reflektera över sina strategier och tillvägagångssätt. Arbetsterapeuten bör arbeta för en jämlik maktfördelning mellan klient och arbetsterapeut. Arbetsterapeuten bör ges tid till att lära sig arbetssättet samt få träning, kunskap och handledning. Organisationens struktur och miljö bör gås igenom för att ta bort eventuella hinder samt för att främja ett klientcentrerat arbetssätt.

  • 285.
    Jansson, Ann-Christine
    et al.
    Örebro University, School of Health and Medical Sciences.
    Gustafsson, Cecilia
    Örebro University, School of Health and Medical Sciences.
    Upplevelsen av aktivitet och delaktighet i aktiviteten matlagning hos kvinnor med Reumatoid Artrit2007Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Sammanfattning: Matlagning är för de flesta en aktivitet som utförs varje dag. Det är en aktivitet som påverkas vid funktionsnedsättning på grund av Reumatoid Artrit (RA). Kan inte personen med RA vara aktiv i matlagningen så kanske hon/han vill vara delaktig i denna aktivitet.

    Denna studie såg aktivitet och delaktighet enligt Model of Human Occupation (MOHO). Aktivitet är beroende av det vi vill, kan och gör. Aktivitet möjliggörs eller begränsas av social och fysisk miljö. Att vara aktiv innebär att kunna utföra aktiviteten. Delaktighet innebär att vara engagerad i en aktivitet som personen vill och behöver göra. Genom att miljön anpassas kan personen vara delaktig trots att kroppsfunktioner att utföra inte finns.

    Arbetsterapeuter vill främja aktivitet och delaktighet genom ledskydd. Ledskydd innefattar hjälpmedel, ledbesparande arbetssätt, ortoser och anpassning av miljön. De arbetar med aktivitet som medel och som mål.

    Syftet med studien var att beskriva hur kvinnor med RA upplever sin möjlighet att vara aktiva och delaktiga i vardagsaktiviteten matlagning. Vi ville också studera hur hjälpmedel, ledbesparande arbetssätt och ortoser användes i matlagningssituationen.

    Sex kvinnor, med högt HAQ-värde (medelvärde 2,5), boende i två kommuner i mellersta Sverige, deltog i halvstrukturerade intervjuer. Frågor ställdes om hur kvinnorna praktiskt kan utföra matlagningen, om vilja, vanor, värderingar och miljö. Frågor ställdes också om hjälpmedel, ledbesparande arbetssätt och ortoser. Aktiviteten matlagning var definierad utifrån ADL-taxonomin och bestod av fem delaktiviteter. Dessa delaktiviteter bildade teman som materialet från intervjun sorterades in under. Ytterligare ett tema framträdde vid analysen av materialet. Det var tema matlagning. Där samlades material från intervjuerna, som hörde till hela aktiviteten.

    Alla intervjuer spelades in på band, transkriberades och kodades.

    Resultatet visade att kvinnorna upplever sig vara aktiva och delaktiga i vissa delar av matlagningen. Detta var möjligt med hjälp av ledbesparande arbetssätt, hjälpmedel och den fysiska - och sociala miljön. Också kvinnans inre egenskaper som till exempel tålamod och problemlösande egenskaper påverkade aktivitet och delaktighet.

  • 286.
    Jarl, Gustav M.
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Heinemann, Allen W
    Rehabilitation Institute of Chicago, Chicago IL, United States; Feinberg School of Medicine, Northwestern University, Chicago IL, United States.
    Lindner, Helen Y
    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.
    Cross-cultural validity and differential item functioning of the Orthotics and Prosthetics Users’ Survey with Swedish and American users of lower-limb prosthesis2015In: Archives of Physical Medicine and Rehabilitation, ISSN 0003-9993, E-ISSN 1532-821X, Vol. 96, no 9, p. 1615-1626Article in journal (Refereed)
    Abstract [en]

    Objectives: To investigate the cross-cultural validity of the Orthotics and Prosthetics Users’ Survey (OPUS), to evaluate differential item functioning (DIF) related to country, sex, age, amputation level, and amputated side (unilateral, bilateral), and to determine known-group validity of the OPUS.

    Design: Survey.

    Setting: Outpatient clinics.

    Participants: The sample (NZ321) consisted of Swedish (nZ195) and U.S. (nZ126) adults using lower-limb prostheses.

    Interventions: Not applicable.

    Main Outcome Measures: Four OPUS modules were used: lower extremity functional status, client satisfaction with device (CSD), client satisfaction with services (CSS), and health-related quality of life. Rasch analysis was used to calculate measures for persons and items.

    Results: The cross-cultural validity was satisfactory. Many items demonstrated DIF related to country and demographic characteristics, but the impact on mean person measures was negligible. The rating scales of CSD and CSS needed adjustments, and the unidimensionality of CSD and CSS was weak. The differences between the mean measures of known patient groups were statistically significant for 2 out of 6 comparisons.

    Conclusions: This study supports the validity of OPUS measure comparisons between Sweden and the United States and between subgroups with different demographic characteristics. Some of the country-related DIF may reflect the different health care financing systems. The findings demonstrate that the OPUS can discriminate between certain patient groups. The results also challenge some of our preconceptions about persons with bilateral amputation, indicating that we might know these persons less well than we think.

  • 287.
    Jason, Johanna
    et al.
    Örebro University, School of Health and Medical Sciences.
    Jirong, Marie
    Örebro University, School of Health and Medical Sciences.
    Arbetsterapeuters kunskap och användning av Grafisk Alternativ och Kompletterande Kommunikation inom habilitering2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Grafisk alternativ och kompletterande kommunikation (GAKK) används för att ge uttrycksmöjligheter för kommunikativa behov för personer som har kommunikationssvårigheter. Inom barn-, ungdoms- och vuxenhabilitering möter arbetsterapeuter dessa personer. I deras arbetsuppgifter ingår att arbeta klientcentrerat och försäkra sig om att utgå ifrån individens önskningar och behov även då dennes förmåga att uttrycka dessa är reducerad. Grafisk alternativ och kompletterande kommunikation skulle kunna vara ett stöd för arbetsterapeuten i detta arbete. Syftet med denna studie var att undersöka och beskriva arbetsterapeuters kunskap och användning av GAKK inom habilitering i Sverige. En kvantitativ ansats användes och data samlades in via en studiespecifik internetbaserad enkät. Resultatet visade att arbetsterapeuterna ansåg sig ha ett stort behov av kunskap om GAKK. Många av arbetsterapeuterna ökade sina kunskaper genom utbildningar, kurser och samverkan mellan professioner inom habiliteringsteamet. Olika typer och metoder knutna till GAKK användes och anpassades efter de individer arbetsterapeuterna arbetade med. Vikten av att se helheten i individens livssituation framkom. Med tanke på detta ger arbetsterapeuten även insatser med GAKK till individens omgivning och sociala nätverk.

    Slutsatser som utifrån resultatet kan dras är att arbetsterapeuternas användning av GAKK var beroende av individens förutsättningar och behov. En bild av hur GAKK kan användas av arbetsterapeuter inom dessa verksamheter har framkommit genom studien. Resurserna för insatser med GAKK ansågs av flera arbetsterapeuter som otillräckliga. Vidare forskning för att belysa om resursbrist kan vara en hindrande faktor för arbetsterapeuters insatser med GAKK och Alternativ och kompletterande kommunikation (AKK) vore därför av intresse.

  • 288.
    Jegerfalk, Karin
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Arbetsterapeuters arbete avseende aktivitetsområdet sex och samlevnad hos personer med funktionsnedsättning2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 289.
    Jensen, Malin
    et al.
    Örebro University, School of Health and Medical Sciences.
    Wiking, Tove
    Örebro University, School of Health and Medical Sciences.
    Förändringar hos barn med autismspektrumstörning och insititutionaliseringsproblematik vid utökade möjligheter till kommunikation: En fallstudie i Rumänien2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Studiens syfte var att beskriva eventuella förändringar avseende beteende och kommunikation hos barn med autismspektrumstörning och institutionaliseringsproblematik när de fick möjlighet att kommunicera med hjälp av bildstöd. En kvalitativ metod med en fallstudiedesign valdes. Två barn ingick i studien. Datainsamlingen skedde genom delvis strukturerade intervjuer av personal samt observationer och bedömningar av barnen. Interventionerna pågick under knappt fyra veckor. Resultatet visade att båda barnen trots sin institutionaliseringsproblematik utvecklade sin förståelse för kommunikation generellt samt visade ett ökat lugn efter interventionerna. Förmågan att ta initiativ till kommunikation ökade. Det ena barnet utvecklade även sitt talade språk och fick större förståelse för abstrakta begrepp. Slutsats: Barnen i studien kunde trots sina institutionaliseringsproblem utvecklas både beteende- och kommunikationsmässigt när de fick tillgång till utökade kommunikationsmöjligheter.

  • 290.
    Jessica, Arvidsson
    et al.
    School of Social and Health Sciences, Disability Research, Halmstad University, Halmstad, Sweden.
    Widén, Stephen
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Tideman, Magnus
    School of Social and Health Sciences, Disability Research, Halmstad University, Halmstad, Sweden.
    Post-school options for young adults with intellectual disabilities in Sweden2015In: Research and Practice in Intellectual and Developmental, ISSN 2329-7018, Vol. 2, no 2, p. 180-193Article in journal (Refereed)
    Abstract [en]

    The aim of this article is to examine life after school for young adults with intellectual disabilities in Sweden. It identifies a snapshot of the post-school destination in 2011 of students of Swedish Upper Secondary Schools for Pupils with Intellectual Disability (Special Secondary Schools), who graduated between 2001 and 2011. This national registry study used personal identification numbers to link data for about 12,269 former students in the Halmstad University Register on Pupils with Intellectual Disability with data about labour market participation and service provision under the Swedish disability legislation (Swedish LSS Act, 1994, the Act Concerning Support and Service for Persons With Certain Functional Impairment). Results showed that the largest proportion (47%) of former students participated in disability day programs, known as “daily activities”; 22.4% were employed, most with some type of wage subsidy; and 6.6% participated in various types of further education programs. A sizeable group (24%) were described as being “elsewhere”, not engaged in employment, education, or disability day programs. The type of post-school occupation is associated with gender, the type of educational program undertaken at secondary school, and age. The authors found a high risk of young people with intellectual disabilities falling through safety-net welfare or post-school participation provisions. Even in a country such as Sweden, which has comprehensive post-school programs, almost a quarter of young adults with intellectual disabilities were socially excluded, without education, disability day programs, or employment.

  • 291.
    Joghammar, Lisa
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Johansson, Malin
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Arbetsterapeutiska instrument för bedömning av kognitiva svårigheter hos personer efter stroke2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrunden visar att stroke idag klassas som en folksjukdom och att svårigheterna som följer är såväl motoriska som kognitiva. Arbetsterapeuter har en central roll i rehabiliteringen och en del i deras arbete är att bedöma de kognitiva funktionsnedsättningarna. Det är av vikt att de instrument som används vid bedömning är utvärderade för patientgruppen och har bevisats lämpliga genom psykometriska bedömningar. Syftet med denna studie var att undersöka vilka psykometriska egenskaper som testats och utvärderats för arbetsterapeutiska instrument vid bedömning av kognitiva svårigheter hos personer efter stroke, från år 2009 och framåt. Metoden som användes var en systematisk litteraturöversikt och tio vetenskapliga studier låg till grund för resultatet. Resultatet visar att sju instrument har testats de senaste tre åren. Grad av reliabilitet och validitet som visats i studierna indikerar att endast tre av instrumenten har vetenskapligt stöd för användbarhet i det kliniska arbetet för personer som drabbats av stroke. De övriga fyra har motstridiga indikationer på lämplighet. Slutsatsen är att det finns varierande vetenskapligt stöd för användning av instrumenten, samt att studier för fortsatt undersökning av instruments validitet och reliabilitet genomförs. Yrkesverksamma arbetsterapeuter bör även hålla sig uppdaterade vad gäller forskning och evidens för att säkerställa att de bedömningsinstrument som används är optimala.

  • 292.
    Johannesson, Jenny
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Karlsson, Cecilia
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Arbetsterapeuters uppfattningar om betydelsen av arbetsterapi i skolan – en kvalitativ intervjustudie2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 293.
    Johansson, Andreas
    et al.
    Örebro University, School of Health Sciences.
    Victor, Brandt
    Örebro University, School of Health Sciences.
    Arbetsterapeuters erfarenheter av hemrehabilitering för strokepatienter2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 294.
    Johansson, Anna
    et al.
    Örebro University, School of Health and Medical Sciences.
    Kadic, Suada
    Örebro University, School of Health and Medical Sciences.
    Vård- och omsorgspersonals erfarenheter av städ, tvätt och matlagning i klientens bostad utifrån skonsam arbetsteknik2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Vård- och omsorgspersonal som arbetar på gruppbostäder utför en mängd sysslor bl.a. hushållssysslor som städ, tvätt och matlagning. Dessa kan vara belastande vid frekvent och ogynnsamt utförande om personalen exempelvis saknar tid eller kunskaper/färdigheter om skonsam arbetsteknik. Syftet med studien var att kartlägga vårdpersonalens (inom LSS) erfarenheter av städ, tvätt och matlagning i klientens bostad utifrån skonsam arbetsteknik. Syftet var även att kartlägga personalens uppfattningar kring utbildning i skonsam arbetsteknik gällande städ/tvätt/matlagning. Metod: En enkätstudie utförs för att ge svar på syfte och frågeställningar. Åtta gruppbostäder i Örebro kommun väljs att delta i studien där 46 av 58 personer besvarar enkäterna. Enkäten bearbetas och analyseras med hjälp av deskriptiv statistik. Huvudsakligt resultat: Städning uppfattas både som tyngst och mest fysiskt belastande. 23 personer uppfattar fysiska besvär i större utsträckning eller alltid i utförande av städ samt hela 59 % relaterar sina besvär till aktivitetsutförandet i samma utsträckning. Majoriteten anser att de är medvetna om sina arbetsrörelser och arbetsställningar, samt anser sig ha goda kunskaper/färdigheter i skonsam arbetsteknik vid utförande av städ, tvätt och matlagning. Skonsam arbetsteknik undviks framförallt p.g.a. tidsbrist. Hinder i miljön anser flera förekommer som påverkar arbetstekniken negativt, exempelvis trånga utrymmen. Psykisk belastning uppfattas överlag mest vid tidspress. Konklusion: Resultatet visar att de flesta personal har goda kunskaper/färdigheter i skonsam arbetsteknik, ändå uppfattar majoriteten fysiska besvär i samband med städ, samt kan relatera dem till utförandet.   

     

  • 295.
    Johansson, Ann-Sofie
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Johansson, Eva
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Sociala aktiviteters betydelse för äldre människor: En litteraturstudie2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte: Studiens syfte är att undersöka vilken betydelse sociala aktiviteter har för äldre människor.

    Metod: En litteraturstudie av elva kvalitativa vetenskapliga artiklar. Studierna artiklarna bygger på har ett urval av socialt aktiva äldre deltagare med fokus på sociala aktiviteter ur ett deltagarperspektiv. I dataanalysen användes kvalitativ innehållsanalys med induktiv ansats.

    Resultat: Analysen resulterade i följande kategorier: Sociala relationer, vidgade vyer, meningsfullhet, tillhörighet, delaktighet, sociala rutiner, livsberikande, tillföra något till andra, personlig utveckling och välbefinnande.

    Slutsats: Sociala aktiviteter var betydelsefulla för deltagarna i studierna som utgör underlag för den här studien. De bidrog till sociala relationer och välbefinnande.

  • 296.
    Johansson, Kajsa
    et al.
    Örebro University, School of Health and Medical Sciences.
    Jatko, Emelie
    Örebro University, School of Health and Medical Sciences.
    Virtuella tv- och dataspel som medel inom rehabilitering: - En systematisk litteraturstudie2010Independent thesis Basic level (professional degree), 5 credits / 7,5 HE creditsStudent thesis
    Abstract [sv]

    Att använda sig av virtuella tv- och dataspel inom rehabilitering är ett relativt nytt medel som det finns begränsat med forskning inom. Syfte: Uppsatsens syfte är att beskriva till vilket ändamål virtuella tv- och dataspel används inom rehabilitering och vad det ger för utfall. Metod: En systematisk litteraturstudie användes som metod i uppsatsen. De databaser som använts är Amed, Cinahl, PubMed och Medline (via Ebsco). De sökord som använts är virtual video game, video game, computer game, rehabilitation, outcome, movement, playthings och occupational therapy. Artiklar avgränsades efter publiceringsår (2000-2010), att de blivit expertis granskade och inte var litteraturstudier. 11 artiklar utgör resultatet och inkluderades efter inkludering - och exklusionskriterier. Resultat: Virtuella tv- och dataspel används som medel i rehabilitering av framförallt strokedrabbade patienter. Träningen används till störst del av funktionsnedsättning av övre extremitet men även för balans, kognition och nedre extremitet. Studier visar på att effekten av virtuella tv- och dataspel kan förbättra patienters funktionsnedsättningar. Patienter som deltagit i studier där de använder sig av virtuella tv- och dataspel beskriver det som tillfredsställande och utmanande.

  • 297.
    Johansson, Karl-Oscar
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Lander, Victor
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Kvinnor med multipel skleros och deras upplevelser av att använda en eldriven rullstol i vardagslivet: En kvalitativ intervjustudie2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 298.
    Johansson, Maria
    et al.
    Örebro University, Department of Health Sciences.
    Löf, Sofia
    Örebro University, Department of Health Sciences.
    Följden av långvarig smärta i det dagliga livets aktiviteter2006Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    För de människor som lider av muskuloskeletala smärttillstånd orsakar smärtan ofta aktivitetsbegränsningar. Syftet med studien var att beskriva vilka följder långvarig smärta har på människors aktiviteter i det dagliga livet. Vi har gjort en litteraturstudie med artikelsökning på databaserna Cinahl, Medline, Elin@Örebro och Amed. I resultatet framkommer det att följderna av långvarig smärta på aktiviteter i det dagliga livet är individuellt. Det finns många faktorer som styr vilka följder långvarig smärta har hos en individ. Kvinnor blir ofta mer begränsade i sitt aktivitetsutförande än män av långvarig smärta, liknade gäller även mellan åldersgrupperna där yngre personer blir mindre påverkade än de äldre. Arbetande kvinnor mår allmänt bättre än icke arbetande kvinnor med långvarig smärta. Hur stor aktivitetsbegränsningen blir beror bland annat på vilken sorts aktivitetsmönster dessa människor ta till sig och om de kan acceptera smärtan.

  • 299.
    Johansson, Marika
    et al.
    Örebro University, School of Health Sciences.
    Johansson, Sandra
    Örebro University, School of Health Sciences.
    Barn med Downs syndrom och fritidsaktivitet: Ur ett föräldraperspektiv2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 300.
    Johansson, Mathias
    et al.
    Örebro University, School of Health Sciences.
    Kalinin, Pavel
    Örebro University, School of Health Sciences.
    Självupplevda besvär i arbetslivet hos vuxna med diagnosticerad ADHD: Enkätstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
3456789 251 - 300 of 577
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