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Liljestrand, C. & Zingmark, M. (2024). Use of information and communication technology in occupational therapy for older adults. Scandinavian Journal of Occupational Therapy, 31(1), Article ID 2271035.
Open this publication in new window or tab >>Use of information and communication technology in occupational therapy for older adults
2024 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 31, no 1, article id 2271035Article in journal (Refereed) Published
Abstract [en]

Background: Information and communication technology (ICT) provides one solution to meet increasing demands for occupational therapy for older adults.

Aims/Objectives: To examine if and how municipality-based occupational therapists (OTs) include ICT in their work, and which factors are associated with use of occupational therapy at a distance.

Material and Methods: Survey study including 167 OTs. Data were presented descriptively. Associations were analysed by Chi2 test and logistic regression models.

Results: Forty-eight percent of OTs used ICT once a month or more. OTs belief on possibilites to use ICT is associated with replacement of physical home visits. Managers expectations and support also seem to be important factors.

Conclusion: ICT solutions are frequently used by OTs in home health care and can be considered complementing rather than replacing physical home visits. More knowledge is needed on when and how ICT solutions can be used by OTs and how factors that impact the use of ICT can be managed.

Place, publisher, year, edition, pages
Taylor & Francis, 2024
Keywords
Digitalization, e-health, intervention delivery, tele-health
National Category
Occupational Therapy
Identifiers
urn:nbn:se:umu:diva-216140 (URN)10.1080/11038128.2023.2271035 (DOI)001090449400001 ()37878825 (PubMedID)2-s2.0-85174840612 (Scopus ID)
Note

Published online: 07 Nov 2023

Available from: 2023-11-02 Created: 2023-11-02 Last updated: 2024-01-09Bibliographically approved
Nordeström, F., Granbom, M., Iwarsson, S. & Zingmark, M. (2023). Ageing in the right place—usability of a web-based housing counselling service. Scandinavian Journal of Occupational Therapy, 31(1), Article ID 2294777.
Open this publication in new window or tab >>Ageing in the right place—usability of a web-based housing counselling service
2023 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 31, no 1, article id 2294777Article in journal (Refereed) Published
Abstract [en]

Introduction: Residential reasoning is a complex process that includes decisions on whether to age in place or to relocate. Ageing in the Right Place (ARP), a web-based housing counselling service was created to support older adults in this process. The study’s aim was to evaluate the usability of the ARP as regards content, design, specific functions, and self-administration as a mode of delivery and to lay the ground for further optimisation.

Material and method: Nine women and five men (aged 66–82) completed a series of tasks using the ARP. Qualitative and quantitative usability data were collected through online interviews. Data were analysed using qualitative content analysis and descriptive statistics.

Results: Experiences of the specific functions, content, and design of the ARP were described as mainly positive. Additions to the content and optimisation to assist in the general navigation of the website were suggested. The participants disagreed regarding the preferred mode of delivery, which indicates a need for selectable options. A system usability scale median score of 84 indicated acceptable usability.

Conclusion: The ARP seems to have acceptable usability, which paves the way for further evaluation.

Significance: By enabling residential reasoning, older adults are supported to make proactive choices based on informed decisions.

Place, publisher, year, edition, pages
Taylor & Francis, 2023
Keywords
Aged, healthy ageing, home environment, occupational therapy, residential reasoning, user-centred design, web-based intervention
National Category
Occupational Therapy
Identifiers
urn:nbn:se:umu:diva-223209 (URN)10.1080/11038128.2023.2294777 (DOI)001132277900001 ()38151044 (PubMedID)2-s2.0-85181202803 (Scopus ID)
Funder
Swedish Research Council, 2019-00996Forte, Swedish Research Council for Health, Working Life and Welfare, 2019-01104
Available from: 2024-04-11 Created: 2024-04-11 Last updated: 2024-04-12Bibliographically approved
Johanson, S., Gregersen Oestergaard, L., Bejerholm, U., Nygren, C., van Tulder, M. & Zingmark, M. (2023). Cost-effectiveness of occupational therapy return-to-work interventions for people with mental health disorders: a systematic review. Scandinavian Journal of Occupational Therapy, 30(8), 1339-1356
Open this publication in new window or tab >>Cost-effectiveness of occupational therapy return-to-work interventions for people with mental health disorders: a systematic review
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2023 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 30, no 8, p. 1339-1356Article, review/survey (Refereed) Published
Abstract [en]

Background: Return-to-work (RTW) resources for persons with mental health disorders are limited and costs are typically shared by several stakeholders in society. Occupational therapists (OT) provide RTW interventions for this target group, however, increased knowledge of health, and employment effects, as well as costs are needed to better inform decision makers in their prioritisations.

Aims/objectives: To identify and summarise evidence of cost-effectiveness of RTW interventions for persons with mental health disorders which OTs provide.

Materials and methods: A systematic search was applied and resulted in 358 articles. After screening, nine articles met inclusion criteria and were reviewed. Quality assessment was conducted using the economic evaluation tool by Joanna Briggs Institute.

Results: Supported employment, Individual Placement and Support was cost-effective in several contexts while three studies showed larger effects and higher costs. An OT intervention added to treatment for major depression was indicated to be cost-beneficial and an advanced supported employment was cost-saving. The methodological quality varied considerably between studies.

Conclusions and significance: The results of the included studies are promising, however, to further strengthen the economic perspective in OT RTW interventions, the need for conducting more and methodologically robust economic evaluations is crucial in future studies.

Place, publisher, year, edition, pages
Taylor & Francis, 2023
Keywords
depression, health economy, mental health, rehabilitation, work resumption
National Category
Occupational Therapy Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-208956 (URN)10.1080/11038128.2023.2200576 (DOI)000978544600001 ()37119175 (PubMedID)2-s2.0-85158898413 (Scopus ID)
Available from: 2023-06-02 Created: 2023-06-02 Last updated: 2023-12-20Bibliographically approved
Brodén, K., Snyder, K., Sörensen, H. & Zingmark, M. (2023). Determining value in welfare-technology: the need for a multi-perspective framework. International Journal of Health Economics and Policy, 8(4), 76-88
Open this publication in new window or tab >>Determining value in welfare-technology: the need for a multi-perspective framework
2023 (English)In: International Journal of Health Economics and Policy, ISSN 2578-9295, Vol. 8, no 4, p. 76-88Article in journal (Refereed) Published
Abstract [en]

Background: Stakeholders in health and social care are implementing digital solutions to facilitate person-centred care for citizens. One problem is choosing which digital solution to implement. Ordinary cost-benefit analysis implicates the measurable parts of the value, leaving the immeasurable without any trace in an analysis.

Results: We used design thinking to design a framework that implicates what to add as valuable factors on individual, organisational, and governmental levels. The design is based on empirical material from workshops and literature reviews on systems thinking, quality management, and value factors. The valuable factors at an individual level could include independence, autonomy, and empowerment, and the factors at the organisational level accessibility, competence, and independence. On a central level, the factors are related to person-centred care and its value proposals, such as autonomy and independence.

Conclusions: While conducting a cost-benefit analysis, focusing on a standard definition of the value concept is essential. The designed framework needs to be dynamic due to the broad range of welfare technology. The created rubrics cube model, including strategic, organisational-operational and individual levels, should be used by decision-making groups as a flexible foundation. Forthcoming research will test this framework, including the proposed scale for measurement and focusing on welfare technology for older citizens.

Place, publisher, year, edition, pages
Science Publishing Group, 2023
Keywords
Value, Measurements, Person-Centred Care, Welfare Technology, Immeasurable
National Category
Other Health Sciences
Identifiers
urn:nbn:se:umu:diva-223216 (URN)10.11648/j.hep.20230804.11 (DOI)
Available from: 2024-04-11 Created: 2024-04-11 Last updated: 2024-04-12Bibliographically approved
Eliassen, M., Sørensen, B. A., Hartviksen, T. A., Holm, S. & Zingmark, M. (2023). Emplacing reablement co-creating an outdoor recreation model in the rural Arctic. International Journal of Circumpolar Health, 82(1), Article ID 2273013.
Open this publication in new window or tab >>Emplacing reablement co-creating an outdoor recreation model in the rural Arctic
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2023 (English)In: International Journal of Circumpolar Health, ISSN 1239-9736, E-ISSN 2242-3982, Vol. 82, no 1, article id 2273013Article in journal (Refereed) Published
Abstract [en]

Reablement aims to enable older persons with functional decline to re-engage in meaningful activities. The benefits of engagement in outdoor activities are significant; however, reablement services primarily target function in indoor environments whereas descriptions of outdoor activities are sparse. The aim of this study was to create a model that integrates outdoor recreation into reablement. We therefore elaborated on an experienced based co-design methodology to create a model that integrates outdoor recreation for older persons in reablement in an Arctic, rural context in northern Norway. Stakeholders (N = 35), including reablement participants, participated in workshops, focus groups, and individual interviews. Based on the results, we co-created a person-centred model for outdoor recreation in reablement, including an assessment tool that can guide reablement staff in goal-setting practices. Accordingly, we argue that cherished locations holds significant meaning in the lives of older people and warrant recognition in reablement programmes. There is a need to evaluate the effects and feasibility of the model and the possibility for its implementation in other health care settings.

Place, publisher, year, edition, pages
Taylor & Francis, 2023
Keywords
activity, emplacement, health care services, nature-based, Outdoor recreation, public health
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-216211 (URN)10.1080/22423982.2023.2273013 (DOI)37883476 (PubMedID)2-s2.0-85175018578 (Scopus ID)
Available from: 2023-11-06 Created: 2023-11-06 Last updated: 2023-11-06Bibliographically approved
Zingmark, M. & Kylén, M. (2023). Feasibility of a reablement-program in a Swedish municipality. Scandinavian Journal of Occupational Therapy, 30(1), 53-64
Open this publication in new window or tab >>Feasibility of a reablement-program in a Swedish municipality
2023 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 30, no 1, p. 53-64Article in journal (Refereed) Published
Abstract [en]

Background: While occupational therapists (OT) and physiotherapists (PT) have a central role in reablement, no structured approach for these professions has been described in Sweden.

Aims/Objectives: The aim was to explore the feasibility of a reablement program developed to guide OTs and PTs in a Swedish municipality context.

Material and methods: Eligible participants were OTs and PTs working with reablement. Feasibility was evaluated in terms of how OTs (n = 16) and PTs (n = 15) experienced the application of the program. Data were collected through web surveys during a pilot study over four months.

Results: The program was implemented for 62 clients. Baseline assessments were conducted in 97% of all cases and follow-ups in 77%. The average duration of the program was 8 weeks and includeed 5 home visits and 3 contacts by phone. In 15 cases, a new goal was identified after follow-up. Collaboration was included with other professionals and relatives in 89% and 35% of the cases, respectively. The program was categorized as feasible to some extent in 34 cases and not feasible in 21 cases.

Conclusions and significance: The program was feasible to some extent. To enhance feasibility, flexibility may be needed in order to tailor assessments according to the client’s health status.

Place, publisher, year, edition, pages
Taylor & Francis, 2023
Keywords
Assessment, healthy ageing, home care, home-dwelling, intervention design, occupation-focus, restorative care
National Category
Occupational Therapy
Identifiers
urn:nbn:se:umu:diva-198055 (URN)10.1080/11038128.2022.2089229 (DOI)000819535600001 ()35771642 (PubMedID)2-s2.0-85133246880 (Scopus ID)
Available from: 2022-07-14 Created: 2022-07-14 Last updated: 2023-03-24Bibliographically approved
Kylén, M., Slaug, B., Iwarsson, S., Dahlgren, D., Bjork, J. & Zingmark, M. (2023). Housing attribute preferences when considering relocation in older age. Paper presented at GSA 2023 Annual Scientific Meeting, “Building Bridges > Catalyzing Research > Empowering All Ages”, Tampa, Florida, USA, 8-12 November, 2023.. Innovation in Aging, 7(Supplement_1), 223-223
Open this publication in new window or tab >>Housing attribute preferences when considering relocation in older age
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2023 (English)In: Innovation in Aging, E-ISSN 2399-5300, Vol. 7, no Supplement_1, p. 223-223Article in journal, Meeting abstract (Refereed) Published
Place, publisher, year, edition, pages
Oxford University Press, 2023
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:umu:diva-223212 (URN)10.1093/geroni/igad104.0736 (DOI)
Conference
GSA 2023 Annual Scientific Meeting, “Building Bridges > Catalyzing Research > Empowering All Ages”, Tampa, Florida, USA, 8-12 November, 2023.
Available from: 2024-04-11 Created: 2024-04-11 Last updated: 2024-04-12Bibliographically approved
Norström, F., Zingmark, M., Pettersson-Strömbäck, A., Sahlen, K.-G., Öhrling, M. & Bölenius, K. (2023). How does the distribution of work tasks among home care personnel relate to workload and health-related quality of life?. International Archives of Occupational and Environmental Health, 96(8), 1167-1181
Open this publication in new window or tab >>How does the distribution of work tasks among home care personnel relate to workload and health-related quality of life?
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2023 (English)In: International Archives of Occupational and Environmental Health, ISSN 0340-0131, E-ISSN 1432-1246, Vol. 96, no 8, p. 1167-1181Article in journal (Refereed) Published
Abstract [en]

Background: The work for Swedish home care workers is challenging with a variety of support and healthcare tasks for home care recipients. The aim of our study is to investigate how these tasks relate to workload and health-related quality of life among home care workers in Sweden. We also explore staff preferences concerning work distribution.

Methods: A cross-sectional study was conducted in 16 municipalities in Northern Sweden. Questionnaires with validated instruments to measure workload (QPSNordic) and health-related quality of life (EQ-5D), were responded by 1154 (~ 58%) of approximately 2000 invited home care workers. EQ-5D responses were translated to a Quality-adjusted life-year (QALY) score. For 15 different work task areas, personnel provided their present and preferred allocation. Absolute risk differences were calculated with propensity score weighting.

Results: Statistically significantly more or fewer problems differences were observed for: higher workloads were higher among those whose daily work included responding to personal alarms (8.4%), running errands outside the home (14%), rehabilitation (13%) and help with bathing (11%). Apart from rehabilitation, there were statistically significantly more (8–10%) problems with anxiety/depression for these tasks. QALY scores were lower among those whose daily work included food distribution (0.034) and higher for daily meal preparation (0.031), both explained by pain/discomfort dimension. Personnel preferred to, amongst other, spend less time responding to personal alarms, and more time providing social support.

Conclusion: The redistribution of work tasks is likely to reduce workload and improve the health of personnel. Our study provides an understanding of how such redistribution could be undertaken.

Place, publisher, year, edition, pages
Springer, 2023
Keywords
EQ-5D, Health care, Occupational health, QPSNordic, Sweden, Work environment
National Category
Occupational Health and Environmental Health Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:umu:diva-212245 (URN)10.1007/s00420-023-01997-2 (DOI)2-s2.0-85164466556 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2015-00647
Available from: 2023-07-20 Created: 2023-07-20 Last updated: 2023-12-22Bibliographically approved
Nyman, A., Zingmark, M., Lilja, M. & Guidetti, S. (2023). Information and communication technology in home-based rehabilitation – a discussion of possibilities and challenges. Scandinavian Journal of Occupational Therapy, 30(1), 14-20
Open this publication in new window or tab >>Information and communication technology in home-based rehabilitation – a discussion of possibilities and challenges
2023 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 30, no 1, p. 14-20Article in journal (Refereed) Published
Abstract [en]

Background: Information and communication technology (ICT) has been proven to have effect in terms of providing alternative ways to deliver rehabilitation services. The intention with this paper is to serve as a foundation for discussions regarding the future development, design, and delivery of home-based rehabilitation, including ICT.

Aim: To reflect on and discuss the possibilities and challenges of using ICT in home-based rehabilitation services.

Method and material: We use experiences and results from various projects to reflect on and discuss possibilities and challenges related to the use of ICT in home-based rehabilitation.

Findings and discussion: We exemplify how ICT present new possibilities that can increase the quality of the rehabilitation process and improve access to services. We reflect on some challenges in the use of ICT, related to non-user-friendly solutions, to the specific rehabilitation situation, and a lack of technical support. At an organisational level, readiness to use ICT can impact the extent to which new solutions are integrated into practice.

Conclusion: We emphasise that ICT has the potential to develop and improve service delivery and contribute to increased quality and accessibility of home-based rehabilitation.

Place, publisher, year, edition, pages
Taylor & Francis, 2023
Keywords
e-health, intervention, occupational therapy, older adults, technology, telehealth
National Category
Occupational Therapy Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-193165 (URN)10.1080/11038128.2022.2046152 (DOI)000764966800001 ()35245989 (PubMedID)2-s2.0-85126044947 (Scopus ID)
Available from: 2022-03-18 Created: 2022-03-18 Last updated: 2023-01-11Bibliographically approved
Olsson Möller, U., Zingmark, M., Ekstrand, J. & Haak, M. (2023). The content of physiotherapy and factors impacting on reablement: a national study. Journal of Multidisciplinary Healthcare, 16, 3075-3088
Open this publication in new window or tab >>The content of physiotherapy and factors impacting on reablement: a national study
2023 (English)In: Journal of Multidisciplinary Healthcare, E-ISSN 1178-2390, Vol. 16, p. 3075-3088Article in journal (Refereed) Published
Abstract [en]

Purpose: Reablement is a multidisciplinary intervention aimed at promoting function and independence for people with functional decline. Detailed descriptions of various professions’ actions are needed for organization and evaluation of reablement services. This study describes physiotherapy practice in a reablement context in Swedish municipalities, focusing on the content and magnitude of interventions.

Methods: Physiotherapists (n=108) from 34 municipalities answered a web-based survey covering the target group, content and duration of their actions, and number of contacts initiated over a 3-week period. Data were analyzed with descriptive statistics and multiple logistic regression.

Results: Overall, 1005 cases were reported, with a mean age of 78.9 years (SD: 11.7); about 91% (n=912) were aged ≥65 and 61% (n=612) were women. About 70% were allocated to home care; 16% (n=160) of these had minor functional limitations (eg, needing safety alarms/help with domestic tasks), and 55% (n=550) had major functional limitations (eg, needing help with personal activities of daily living). The most reported actions were providing technical aids (60.8%, n=576), instructions/counseling (41.5%, n=393), walking/climbing stairs (27.6%, n=262), strength training (27.2%, n=258), and fall prevention (25.5%, n=242). Almost half of the cases included one action (n=494) and about 89% (n=890) targeted primary needs (body functions, walking indoors, self-care, or domestic life), mainly in clients with major functional limitations (odds ratio=2.96; 95% confidence interval: 1.95–4.49). About 50% (n=517) of the cases involved 1–2 contacts; about 55% (n=549) were completed within 3 weeks. Exercise was associated with ≥6 visits over ≥7 weeks. Supervision of home care staff was performed in 19.1% (n=181) of cases.

Conclusion: Reablement physiotherapy mostly comprises a few actions over a relatively short period. Whether this is a conscious strategy based on the purpose of home-based physiotherapy or clients’ needs and wishes, or conversely an expression of limited resources, remains to be investigated.

Place, publisher, year, edition, pages
Dove Medical Press, 2023
Keywords
healthy aging, home care, physical activity, physiotherapy, reablement, technical aids
National Category
Physiotherapy
Identifiers
urn:nbn:se:umu:diva-216204 (URN)10.2147/JMDH.S415112 (DOI)37881528 (PubMedID)2-s2.0-85174964753 (Scopus ID)
Available from: 2023-11-07 Created: 2023-11-07 Last updated: 2024-07-04Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-1087-8656

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