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  • 1.
    Fischl, Caroline
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Arbetsterapi.
    Asaba, Eric
    Karolinska Institutet.
    Nilsson, Ingeborg
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Arbetsterapi. Faculty of Health, Care and Nursing, Norwegian University of Science and Technology, Gjøvik, Norway.
    Exploring potential in participation mediated by digital technology among older adults2017Ingår i: Journal of Occupational Science, ISSN 1442-7591, E-ISSN 2158-1576, Vol. 24, nr 3, s. 314-326Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Facets of participation have changed with the growing pervasiveness of digital technology in daily life. To enable older adults as active participants in an evolving digital society, it is relevant to examine how they engage in and situate digital technology-mediated occupations in daily life. Narrative inquiry was used to elucidate features in older adults’ engagement in occupations involving digital technology situated in everyday life. Analysis was based on data gathered through concurrent think aloud protocol and observations from 10 older adults in Northern Sweden. In line with narrative analysis, findings were presented as three stories about negotiating needs and values while interacting with the technological and social environments, entitled playing by the rules, being on the same wavelength, and calling the shots. Looking at these stories with an occupational lens resulted in an understanding that older adults’ participation involving digital technology likewise deals with negotiating and refining identities, as well as finding and experiencing meaning in daily life. There is potential for older adults to become active participants through digital technology, and new challenges in research and practice emerge.

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  • 2.
    Lood, Qarin
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad. School of Nursing and Midwifery, La Trobe University, Australia.
    Björk, Sabine
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Sköldunger, Anders
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad. Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Sweden.
    Backman, Annica
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Sjögren, Karin
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Edvardsson, David
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad. School of Nursing and Midwifery, La Trobe University, Australia.
    The relative impact of symptoms, resident characteristics and features of nursing homes on residents’ participation in social occupations: cross-sectional findings from U-Age Swenis2017Ingår i: Journal of Occupational Science, ISSN 1442-7591, E-ISSN 2158-1576, Vol. 24, nr 3, s. 327-337Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Social occupations have been described as meaningful occupations, and a determinant of health in old age. With ageing populations, and increased need for nursing home care, it is therefore important to support participation in social occupations in nursing homes. However, the limited evidence on factors that may have an impact on nursing home residents’ participation in social occupations makes it difficult to know how and when to support their participation and who to target. Therefore, the aim of this study was to explore the impact of symptoms, resident characteristics and features of nursing homes on residents’ participation in social occupations. In a sample of 4,451 nursing home residents, the average number of social occupations participated in during the week preceding data collection was 5.8. Additionally, participation in social occupations was positively influenced by fewer symptoms of cognitive impairment, female sex, shorter length of stay, and living in a dementia specific care unit. The study thereby contributes with knowledge on populations at risk for occupational deprivation, and implications for understanding who to target with interventions to promote social occupations and when. However, very little is known about how to design interventions to support nursing home residents’ occupational opportunities, and what occupations they desire and need. Further research is therefore needed to identify nursing home residents’ occupational opportunities, wishes and needs in relation to environmental barriers, individual characteristics, and individual choice.

  • 3.
    Lundgren, Anna Sofia
    et al.
    Umeå universitet, Humanistiska fakulteten, Institutionen för kultur- och medievetenskaper. Umeå universitet, Samhällsvetenskapliga fakulteten, Enheten för demografi och åldrandeforskning (CEDAR).
    Atler, Karen
    Nilsson, Ingeborg
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering.
    Negotiating occupation: How older people make sense around of the concept of "occupation"2020Ingår i: Journal of Occupational Science, ISSN 1442-7591, E-ISSN 2158-1576, Vol. 27, nr 2, s. 236-250Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: The concept of occupation has been widely discussed and developed theoretically in occupational science and occupational therapy.

    Objectives: To explore how older community living adults themselves describe and negotiate the meaning and definition of “occupation”.

    Methods: Twenty-seven persons in northern Sweden (67-95 years old) participated in workshops with audio-recorded discussions. The transcribed discussions were analyzed using discourse theory.

    Findings: Discussions started with efforts to establish a initial definition of occupation focusing on what kinds of practices could be seen as occupations. Second, there were significant efforts to value and grade different occupations, described as evaluative definitions. Last, participants resonated around the disadvantages of stable definitions of occupations, and put forth reflexive arguments for more relativizing definitions.

    Conclusion: While physical occupations were tellable, social and mental occupations seemed to require a language that was less familiar. Therefore, interventions that suggest participants to engage in social or mental occupations need to provide a language that makes non-physical occupations comprehensible as occupations.

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  • 4.
    Nilsson, Ingeborg
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Arbetsterapi. Center for Population Studies, Ageing and Living Conditions Programme, Sweden.
    Lundgren, Anna Sofia
    Umeå universitet, Humanistiska fakulteten, Institutionen för kultur- och medievetenskaper. Center for Population Studies, Ageing and Living Conditions Programme, Sweden .
    Liliequist, Marianne
    Umeå universitet, Humanistiska fakulteten, Institutionen för kultur- och medievetenskaper. Center for Population Studies, Ageing and Living Conditions Programme, Sweden .
    Occupational well-being among the very old2012Ingår i: Journal of Occupational Science, ISSN 1442-7591, E-ISSN 2158-1576, Vol. 19, nr 2, s. 115-126Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Limited knowledge is available on how very old people orchestrate and carry out their occupational life to achieve a sense of occupational well-being.

    Study objectives: To highlight very old persons’ ways of describing and discussing their occupational engagement in relation to a sense of occupational well-being.

    Methods: Qualitative interviews were conducted with 48 men and women between 90 and 98 years of age in their urban homes. Data were analysed using qualitative content analysis.

    Results: The results show that occupational engagement in relation to the surrounding world and occupational engagement unconstrained by space and time were important in achieving occupational well-being. The surrounding world involves having contact with family, friends, and society as well as living up to a shared norm of being independent. Unconstrained by space and time includes thinking, planning and creating a narrative of life based on the past, present and future.

    Limitations: The present study contributes to the body of knowledge focusing on occupational engagement and how it is linked to health through occupational well-being among older people, however; it is not known to what degree the respondents were experiencing healthy ageing.

    Recommendations: Future studies should further develop the understanding of doing in relation to being among older people.

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