umu.sePublications
Change search
Refine search result
1234567 151 - 200 of 448
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Rows per page
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sort
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
Select
The maximal number of hits you can export is 250. When you want to export more records please use the Create feeds function.
  • 151.
    Gantschnig, Brigitte E
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Page, Julie
    Nilsson, Ingeborg
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Fisher, Anne G
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Detecting differences in activities of daily living between children with and without mild disabilities2013In: American Journal of Occupational Therapy, ISSN 0272-9490, E-ISSN 1943-7676, Vol. 67, no 3, p. 319-327Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE. We evaluated whether the Assessment of Motor and Process Skills (AMPS) measures are valid for detecting differences in activities of daily living (ADL) ability among children with and without mild disabilities.

    METHOD. Retrospective data from the AMPS database were analyzed using many-facet Rasch analyses and forced regression analyses to evaluate for significant group differences.

    RESULTS. Regression analyses of data for 10,998 children ages 4-15 who met the inclusion criteria revealed significant Age x Group interaction effects (B >= 0.23, T >= 6.20, p <= .001). Post hoc t tests revealed significant group differences in ADL ability at all ages beyond age 4. ADL process ability effect sizes were moderate to large at all ages, and ADL motor ability was mostly moderate to large at ages 6 or older.

    CONCLUSION. These findings support the validity of the AMPS measures when used to identify ADL problems, among children with mild disabilities.

  • 152.
    Gantschnig, Brigitte Elisabeth
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy. Zurich University of Applied Science, School of Health Professions.
    Occupation-based and occupation-focused evaluation and intervention with children: a validation study of the assessment of motor and process skills (AMPS)2014Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Introduction

    Occupational therapists are concerned with enabling people to perform the daily life tasks they need, want, or are expected to perform for fullest possible integration into community living and participation in society. Children with mild disabilities have problems performing personal and instrumental activities of daily living (ADL) tasks at home or school, and that can limit their full integration and participation in their homes and school lives. There is a need, therefore, to identify their specific problems with ADL task performance so as to be able to develop effective interventions. Not only, there is a need for evidence related to effectiveness of occupational therapy interventions for children with mild disabilities, but also a need for valid occupational-therapy-specific evaluation tools for use with children.

    Purpose

    The purpose of this thesis was to contribute evidence to support the valid use of the Assessment of Motor and Process Skills (AMPS) with children, including children living in Middle Europe. More specifically, I aimed to evaluate validity evidence from different sources related to the use of the AMPS in occupation-based and occupation-focused evaluation and intervention.

    Method

    This thesis consisted of four studies, implemented in two phases. Phase one focused on evaluation of a) validity evidence of the AMPS scales in relation to internal structure and stability of item difficulty calibration values for a Middle European sample compared to samples from other world regions (Study I); b) the stability of the mean AMPS measures between typically-developing children from Middle Europe and from other world regions (Study II); and c) the sensitivity of the AMPS measures to discriminate between typically-developing children and children with and at risk for mild disabilities (Study III). Participants for phase one were from both Middle Europe and from other world regions and they were selected from the AMPS database, Ft. Collins, Colorado, USA. Data were analyzed using many-facet Rasch analyses, ANOVAs, regression analyses, related post-hoc tests, and effect size calculations. Phase two of the research project focused on evaluating validity evidence for the use of the AMPS as a standardized, occupation-based, and occupation-focused evaluation tool in the context of a feasibility study with children with mild disabilities implemented in a Swiss setting (Study IV). Data were analyzed based on feasibility objectives and the principles of deductive content analysis. The evaluation of validity evidence of the AMPS in relation to consequences of testing and test fairness was a focus of all studies (Studies I to IV).

    Results

    In Study I, data for 1346 participants from Middle Europe and 144,143 participants from other world regions were analyzed. The participants were between the ages of 3 and 103 years, and they were well or had a variety of diagnoses. The results revealed that overall the item difficulty calibration values of the AMPS remained stable and that only one out of 36 ADL items of the AMPS demonstrated DIF, but this DIF did not lead to DTF (i.e., all measures fell within 95% confidence bands).

    In Study II, data for 11,189 typically-developing children from Middle Europe and other world regions who were between the ages of 2 and 15 were analyzed. The results of ANOVAs revealed significant effects for mean ADL motor and for ADL process ability measures by region and a significant age by region interaction effect for mean ADL process ability. Out of 168 estimated contrasts between Middle Europe and the other world regions for mean ADL motor and ADL process ability, only seven were statistically significant (4.17%), and only two were more than ±1 SE from the international means.

    In Study III, regression analyses of data for 10,998 children, 4 to 15 years, who were typically-developing or with mild disabilities, revealed significant age by group interaction effects. Post hoc t tests revealed significant group differences in ADL ability at all ages beyond the age of 4. ADL process ability effect sizes were moderate to large at all ages and ADL motor ability effect sizes were mostly moderate to large age 6 and above.

    In Study IV, the use of the AMPS within the context of a feasibility study based on data of 17 Swiss children with mild disabilities was evaluated. The analyses revealed several strengths and problems that were related to the time, equipment, and materials for administering the AMPS, the adherence to standardized administration procedures, the scope of the AMPS as a test of ADL performance, and the reliable rating by the blinded rater.

    Conclusion

    This thesis provided evidence to support the validity of the AMPS measures and scales when used to evaluate quality of ADL task performance of persons from Middle Europe. Additionally, this thesis provided evidence that the international age-normative means of the AMPS are likely applicable to children from Middle Europe. Moreover, the findings supported the sensitivity of the AMPS measures to discriminate between typically-developing children and children with and at risk for mild disabilities. When it comes to implementation of the AMPS in the context of a feasibility study, the findings indicated both strengths and problems in using the AMPS as an outcome measure that need to be considered when planning further studies.

  • 153.
    Gedde, Maria
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Richloow, Linnea
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Arbetsterapeuters erfarenhet av att använda bildskapande interventioner i mötet med vuxna personer med psykisk ohälsa2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    I dagens Sverige lider många av psykisk ohälsa. Att få möjlighet att uttrycka sig med hjälp av skapande aktiviteter, exempelvis bildskapande kan vara lämpligt i rehabilitering för personer med psykisk ohälsa. Det ger individen möjlighet att uttrycka sina känslor, vara kreativ och bli självmedveten vilket kan främja en persons hälsa samt välmående. En begränsad del av dagens yrkesverksamma arbetsterapeuter använder bildskapande interventioner i sitt arbete. Syftet med studien var att belysa arbetsterapeuters erfarenhet av att använda bildskapande interventioner i mötet med vuxna personer med psykisk ohälsa. Kvalitativa semistrukturerade intervjuer utfördes med fem kvinnliga arbetsterapeuter i åldrarna 55-63 år. Materialet analyserades med hjälp av kvalitativ innehållsanalys. Analysen frambringade tre kategorier, Faktorer som påverkat valet att arbeta med bildskapande interventioner, Vikten av ett individanpassat arbetssätt och Erfarenheter av bristen på evidens i arbetet med bildskapande interventioner. Resultatet visade att arbetsterapeuterna upplevde bildskapande interventioner roligt, verksamt och lätt att använda speciellt inom psykiatrin. De ansåg att bildskapande var ett sätt för patienterna att uttrycka och reflektera över livsfrågor samt ett sätt för arbetsterapeuten att utveckla  den terapeutiska samarbetsrelationen. Ett intresse för bildskapande hos patienten samt en god relation mellan arbetsterapeut och klient var avgörande för en positiv rehabiliteringsprocess. Slutsatsen visar att bildskapande  interventioner  är lämpliga för denna målgrupp eftersom metoden kan hjälpa  patienten i dess rehabiliteringsprocess samt öka arbetsterapeutens förståelse för  sin  patient,  dock finns behov av forskning inom området för att eftersträva ett evidensbaserat arbetssätt.

  • 154.
    Georgiev, Dejan
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy. Department of Neurology, University Clinical Centre Ljubljana, Ljubljana, Slovenia; Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology, University College London, London, UK.
    Hamberg, Katarina
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Hariz, Marwan
    Umeå University, Faculty of Medicine, Department of Pharmacology and Clinical Neuroscience, Clinical Neuroscience. Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology, University College London, London, UK.
    Forsgren, Lars
    Umeå University, Faculty of Medicine, Department of Pharmacology and Clinical Neuroscience, Clinical Neuroscience.
    Hariz, Gun-Marie
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation.
    Gender differences in Parkinson's disease: a clinical perspective2017In: Acta Neurologica Scandinavica, ISSN 0001-6314, E-ISSN 1600-0404, Vol. 136, no 6, p. 570-584Article in journal (Refereed)
    Abstract [en]

    Available data indicate that there are gender differences in many features of Parkinson's disease (PD). Precise identification of the gender differences is important to tailor treatment, predict outcomes, and meet other individual and social needs in women and men with PD. The aim of this study was to review the available clinical data on gender differences in PD. Original articles and meta-analyses published between 1990 and 2016 systematically exploring gender differences in PD were reviewed. There is slight male preponderance in incidence and prevalence of PD. PD starts earlier in men. Women tend to be more prone to develop tremor-dominant PD but are less rigid than men. Motor improvement after deep brain stimulation is equal in both sexes, but women tend to show better improvement in activities of daily living. Furthermore, women with PD show better results on tests for general cognitive abilities, outperform men in verbal cognitive tasks, show more pain symptoms, and score higher on depression scales. It seems, however, that the differences in cognition, mood, and pain perception are not disease specific as similar gender differences can be found in healthy subjects and in other neurological conditions. Despite PD being the most frequently studied movement disorder, studies investigating gender differences in PD are still scarce with most of the studies being cross-sectional. Good-quality, prospective, longitudinal studies analyzing gender differences in PD and comparing them to matched healthy controls are needed in order to properly address the issues of gender differences in PD.

  • 155.
    Gerginova, Kyamile
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Gamboa, Tania
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Gånghjälpmedel möjliggör aktivitet och delaktighet i vardagen bland barn med Cerebral Pares: En litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Forskning visar att barn med Cerebral Pares ofta har stora rörelsesvårigheter som tillsammans med andra funktionsnedsättningar kan utgöra hinder för barnens möjlighet att självständigt kunna klara sin vardag. Syftet med denna studie var att beskriva gånghjälpmedels inverkan och betydelse bland barn med Cerebral Pares för att möjliggöra aktivitet och delaktighet. Metoden var en litteraturstudie baserad på fem kvantitativa vetenskapliga artiklar. Vid litteratursökningen användes följande databaser: CINAHL, PubMed och OTseeker. Resultatet visade att lämpligt gånghjälpmedel har betydelse för att barn med Cerebral Pares ska kunna vara delaktiga i sina vardagliga aktiviteter. Slutsatsen är att gånghjälpmedel är stödjande för barn med Cerebral Pares medan att miljö både kan hindra eller underlätta användningen av gånghjälpmedel. Mer forskning krävs för att underlätta användningen av gånghjälpmedel bland barn med Cerebral Pares för att möjliggöra samspel med andra barn och anhöriga.

  • 156.
    Gjersvold Jansson, Helene
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Vardagsrehabilitering: En litteraturstudie om vardagsrehabilitering.2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet var att granska det aktuella kunskapsläget om vardagsrehabilitering. För att besvara syftet valdes ett litteraturstudium där inhämtning av data genomfördes i olika databaser. Sökningen genererade 12 artiklar som granskades av författaren genom en systematisk litteraturstudie. Resultatet presenterade utifrån huvudrubrikerna: Målgrupp, Intervention, Jämförelsegrupp, Utfallsmått och resultat. Resultaten visade att det finns få och ofta bristfälligt beskrivna studier i området. De flesta visade positiva resultat inom något av de undersökta områdena, dock fanns även motstridiga resultat. Slutsatsen var att det behövs mer forskning, som är välbeskriven utifrån gällande rekommendationer, men att det finns indikationer på att vardagsrehabilitering skulle vara en lovande intervention för hemmaboende äldre.

  • 157.
    Gren, Karina
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Zimmermann, Grit
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Dagliga aktiviteter hos en grupp personer med kronisk hjärtsvikt – en tvärsnittsstudie2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Hjärtsvikt har en stigande prevalens bland populationen i industriella länder. Hjärtsvikt är ett syndrom då hjärtat får svårt att förse kroppens alla organ tillräckligt med blod. Syndromet kan debutera akut eller utvecklas till ett kroniskt tillstånd. Det kroniska tillståndet, med svåra symtom som fatigue och andfåddhet, går inte att bota och kräver en livslång behandling. Syftet med undersökningen är att beskriva ADL-förmåga hos en grupp personer med kronisk hjärtsvikt. Belysa oberoende och beroende i aktivtiter, samt att undersöka deltagarnas behov av extra tid, ansträngning, risk och användning av hjälpmedel vid utförande av ADL-aktiviteter. Som metod valdes en kvantitativ ansats i form av en deskriptiv redovisning av en tvärsnittsstudie. Resultatet visar att de flesta deltagarna är oberoende i PADL och vid dessa används hjälpmedel i större utsträckning. Vid IADL skattade många deltagare sig vara beroende av assistans. Risk att skada sig vid aktivitetsutförande skattades ha mindre betydelse. Vidare forskning behövs i ADL-bedömning när det gäller personer med kronisk hjärtsvikt. Arbetsterapeutiska interventioner, som hjälpmedel och energibesparande arbetssätt, hjälper till att göra aktiviteter mer anpassade till en fungerande vardag. Arbetsterapeutens kunskaper, blir en naturlig resurs då denne ser till hela individen och dess aktivitets- och livssituation samt miljö.

     

    Sökord: Fatigue, andfåddhet, arbetsterapi, aktiviteter i dagligt liv, intervention, hjälpmedel, energibesparande arbetssätt, självständighet

     

  • 158.
    Guraish, Jasmine
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Wickström, Anna
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Barn till alkoholmissbrukare: Aktivitetsbegränsningar i vardagen2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Att växa upp med en förälder som lider av alkoholmissbruk kan vara mycket svårt och kan orsaka negativa konsekvenser för ett barns vardag. Syftet med denna systematiska litteraturstudie var att belysa vad som kännetecknar barns vardag i familjer där alkoholmissbruk förekommer. En litteratursökning genomfördes i databaserna EBSCO, CINAHL, SocINDEX, PsycINFO och genom manuell sökning. Fokus för funna artiklar var barns upplevelser av vardagslivet. Sju artiklar inkluderades och granskades. De inkluderade studiernas resultat analyserades enligt en beskrivande syntes. Detta resulterade i sex teman; Inkonsekvent hemmiljö, barnet tar över föräldrarollen, våld och hot i hemmet, negativa känslor, ansträngda/förstörda sociala relationer och svårigheter med skolgång. Resultatet visade att det som kännetecknade barnens vardag var att de levde i en inkonsekvent hemmiljö och barnet fick ett utökat ansvar för familj och hem. Barnen levde i ett hem där det förekom våld och hot och upplevde negativa känslor gällande hemmiljön. Barnet hade svårigheter att etablera och upprätthålla sociala relationer utanför hemmet och hade svårigheter med skolgången. Förälderns alkoholmissbruk skapar en aktivitetsobalans i barnens vardag och inverkar på barnens möjlighet till ett meningsfullt aktivitetsliv. I dagsläget utförs arbetsterapeutisk forskning och kliniskt arbete på vuxna som lider av alkoholmissbruk men det finns betydligt mindre studier på hur vardagen påverkas hos barn till alkoholmissbrukare. Denna systematiska litteraturstudie visar att det finns ett behov inom arbetsterapi att studera barnens aktivitetsliv och utforma insatser som främjar barnens möjlighet till att leva ett meningsfullt liv.

  • 159.
    Gustafsson, Emma
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Lidvall, Annie
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Problematik i arbetslivet för personer med bipolär sjukdom: En litteraturstudie2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Att ha ett arbete är något som de flesta eftersträvar, både på individ- och samhällsnivå, dock kan det vara extra krävande för en person med psykisk ohälsa att sköta ett arbete. Syftet var därför att beskriva vilka problem personer med bipolär sjukdom kan ha i ar­ betslivet. En systematisk litteraturstudie genomfördes med sökning i sju olika databaser, vilket gav åtta ar­ tiklar för analys. En manuell sökning genomfördes också för att komplettera den initiala sökningen, vil­ ket resulterade i ytterligare en artikel. Resultatet visa­ de att kognitiva  problem,  främst  minnessvårigheter var den största bidragande faktorn till minskad ar­ betsförmåga. Annan problematik var stress, depres­ sion, osäkerhet och svårigheter med att skapa relatio­ ner till andra. Det framkom att depression visade sig skapa en starkare inverkan på människors arbetsför­ måga än mani eller hypomani. Stigmatisering och utanförskap på arbetsplatsen upplevdes  som en följd av den psykiska ohälsan vilket ansågs leda till mins­ kat självförtroende och nedsatt arbetsförmåga.  Ut­ ifrån den problematik som framkom i resultatet skulle arbetsterapi kunna ha en positiv inverkan på arbetsli­ vet för personer med bipolär sjukdom. Arbetsterapeu­ ten kan till exempel erbjuda interventioner som syftar till att möjliggöra för individen genom att bland annat hitta kompensatoriska lösningar och lämpliga strate­ gier eller anpassningar.

  • 160.
    Hallberg, Anna
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Jonsson, Maria
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Vägen från väggen: Upplevelser av vardagen i samband med sjukskrivning hos män med utmattningssyndrom.2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Arbetsrelaterad stress som leder till utmattningssyndrom har varit ett ökande problem alltsedan 1970-talet. Idag har utmattningssyndrom kommit att bli ett kvinnligt syndrom och trots att forskning visar att män, liksom kvinnor, uppvisar en rad negativa konsekvenser av sin sjukdom finns begränsat med forskning om hur männen upplever sin vardag. Syftet med denna studie var att beskriva hur män med utmattningssyndrom upplever sin vardag i samband med sjukskrivning. Kriterierna för att delta i studien var att befinna sig eller ha befunnit sig i sjukskrivning på grund av utmattningssyndrom och att vara man. Tre män som mötte kriterierna intervjuades. Kvalitativ innehållsanalys låg till grund för den bearbetning av data som utfördes. Analysen resulterade i de fem huvudkategorierna; Dagsformen styr vardagen, Att tas eller inte tas på allvar, Att återgå till ett socialt liv, En ständig utmaning att hantera stress samt Omorientering. Studien visar att möjligheten att utföra meningsfulla aktiviteter har betydelse för den förändringsprocess männen med utmattningssyndrom genomgår och inte minst för deras vardag under sjukskrivning.

  • 161.
    Hallin, Julia
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Kajander, Anna
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Äldres uppfattning av körsång och dess betydelse för engagemang i vardagliga aktiviteter.2013Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Att sjunga i kör har visats sig i tidigare studier påverka känslor genom bland annat upplevd glädje och en känsla av gemenskap. Vid pension kan det vara svårt att upprätthålla en god aktivitetsbalans och känna meningsfullhet i varda-gen. Syftet med denna studie var att undersöka äldres upp-fattning om körsång och dess betydelse för välbefinnande och engagemang i vardagliga aktiviteter . En kvantitativ an-sats valdes och en enkät utformades bestående utav frågor av demografisk karaktär, engagemang i vardagliga aktivite-ter och känslomässigt tillstånd. Enkäten fick 46 stycken kördeltagare i en seniorkör besvara före och efter en körre-petition. Resultatet visar att deltagarna efter körrepetitionen rapporterade signifikanta positiva förändringar i flera käns-lotillstånd, till exempel glädje och känslan av att vara bety-delsefull samt att även positiva tendenser fanns till ökat en-gagemang i vardagliga aktiviteter. En slutsats som dras i diskussionen är att fritidsaktiviteter som upplevs menings-fulla kan väcka ökat engagemang i övriga vardagliga aktivi-teter.

  • 162.
    Hamberg, Katarina
    et al.
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Hariz, Gun-Marie
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy. Umeå University, Faculty of Medicine, Department of Pharmacology and Clinical Neuroscience, Clinical Neuroscience.
    The decision-making process leading to deep brain stimulation in men and women with parkinson's disease: an interview study2014In: BMC Neurology, ISSN 1471-2377, E-ISSN 1471-2377, Vol. 14, p. 89-Article in journal (Refereed)
    Abstract [en]

    Background: Deep brain stimulation (DBS) is an established treatment for patients with advanced parkinson's disease (PD). Research shows that women are under-represented among patients undergoing DBS surgery. This may be due to gender-biased selection of patients, but patients' wishes and attitudes may also contribute. This study investigated the decision making process to undergo DBS from the patient's perspective, and explored any gender patterns in the participants' decision-making. Methods: All patients operated on with DBS for PD at the University Hospital of Northern Sweden between January 2002 and April 2010 were invited to an interview study. In this way 39 patients were recruited, 31 men and eight women. Three additional women, operated elsewhere, were recruited to acheive a more gender-balanced sample. In a mixed-method analysis, the interviews were analysed according to the constant comparison technique in grounded theory and descriptive statistics was used to present demographics and compare categories. Results: Three different approaches to DBS were identified among the patients. `Taking own initiative', included 48% of the patients and implied that the patients' own initiatives and arguments had been crucial for having surgery. `Agreeing when offered', and accepting DBS when suggested by doctors embraced 43%. The third approach, `Hesitating and waiting' included < 10% of the patients. Most of the men were either `taking own initiative' or `agreeing when offered'. The 11 women were evenly distributed in all three approaches. Among the interviewed, more women than men expressed strong fear of complications and more women consulted friends and relatives prior to deciding about DBS. Half of the patients had held a leadership position at work or in another organisation, and among patients `taking own initiative' the proportion with leadership experiences was 80%. At time for surgery ten men but no woman were professionally active. Conclusion: This study suggests that many patients with advanced PD have to argue and struggle with their clinicians in order to be referred to a DBS-team. The study further suggests that patients' wishes, behaviour and position in society may all contribute to the skewed gender distribution among patients treated with DBS.

  • 163.
    Hammar, Amanda
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Lek som intervention för barn med neuropsykiatriska funktionsnedsättningar: - En litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Leken är barnens viktigaste aktivitet och används för att stärka och lära barn olika förmågor och färdigheter. Det finns olika typer av lekar som barnen använder för att stärkas på olika sätt, några exempel är den sociala leken, fiktiv lek och den sensoriska leken. För barn med neuropsykiatriska funktionsnedsättningar (NPF) kan den sociala leken begränsas på grund av problem med sociala färdigheter. Syftet med studien var att undersöka hur lek används för barn med neuropsykiatriska nedsättningar och vilken effekt det gav på sociala färdigheter och sociala lekfärdigheter. En litteraturstudie genomfördes med kvantitativ forskning. Sökningarna genomfördes i Pubmed, CINAHL, PsycINFO, Academic Search Elite och OT Seeker. Elva artiklar inkluderades, kvalitetsgranskades och analyserades. Resultatet visar att lekbaserade interventioner har stor effekt på sociala färdigheter och sociala lekfärdigheter. Att använda en lekkamrat visas även vara betydelsefullt för resultatet. Arbetsterapi går ut på att arbeta klientcentrerat och det är viktigt att anpassa interventionen utifrån barnets problem och intressen. Arbetsterapeuter bör därför arbeta med dessa interventioner för att främja engagemang och motivation hos barnen för att ge dem en möjlighet att förbättra sin lek och sociala förmåga.

  • 164.
    Hammarström Östman, Christina
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Att arbeta med skam i bildterapi2007Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Inom bildterapi har skam inte uppmärksammats mer än i enstaka fall och adekvat litteratur saknas. Syftet med studien var att pröva en metod för att analysera bilder målade på temat skam. Tretton bilder, målade av kvinnor med erfarenhet av bildterapi, analyserades med en beskrivande fenomenologisk metod. Fokus för analysen var bildernas färger, former, symboler samt bilduttryck enligt SRT-teorin, skamkompassen och realiaaspekterna vikt och bemålad yta för att se om bilderna var att hänföra till beskrivande eller införlivad bildnivå. Resultatet visade att genom uppmärksamhet på bildframställningen, färger, former och symboler, samt bilduttryck kan bildterapeuten finna ledtrådar som kan ge hänvisning till affekten skam.

  • 165.
    Hansen, Annie
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Edlund, Curt
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
    Bränholm, Inga-Britt
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Significant resources needed for return to work after sick leave2005In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 25, no 3, p. 231-240Article in journal (Refereed)
    Abstract [en]

    There are increasing numbers of people on long-term sick leave, especially with stress-related ill health and musculoskeletal disorders. The main purpose of this study is to, early on in the sick leave, find predictors of individual resources for a return to work. The study group consists of women and men on sick leave compared with reference groups of healthy persons. A questionnaire was used regarding diagnosis given on the doctor's certificate, self-reported symptoms, residential area, education, and kind of work. It also contained open questions about consequences in daily life and beliefs about future. Checklists concerning life satisfaction, sense of coherence, locus of control, coping resources and sick leave information over a four-year period have been used. Significant differences between the study group and the reference groups were found, relating to sense of coherence, locus of control, life satisfaction and coping resources. More than half of the study group were still on sick leave at a two-year follow-up. Important predictive factors turned out to be: previous sick leave, own belief about future and self-reported symptoms.

  • 166.
    Hansen Falkdal, Annie
    Umeå University, Faculty of Medicine, Community Medicine and Rehabilitation, Occupational Therapy.
    Sjukskrivnas resurser och hinder för återgång i arbete: viktiga faktorer för tidig bedömning2005Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The overall aim of this thesis was to identify factors that early in a sick leave period could illuminate people’s resources and obstacles for returning to work; factors that could predict need for professional support in the sick leave process leading to a positive outcome for the individual.

    This thesis consists of four studies. The studied population was living in a rural part of a northern county in Sweden, and had been on sick leave for 28 days irrespective of diagnosis. The participants have been followed for five years with different investigation methods and subgroups of participants. The thesis was initiated by sending a questionnaire to the participants; the responses were compared to groups of healthy controls. The aim was to find predictors of the likelihood of a return to work that can be identified early in a sick leave period. The main focus was on individual mental resources (Study I). The next phase involved studies of sick leave statistics obtained from the Swedish Social Insurance Office, for the study population two years before and two years after the start of the research project. The material from the sick leave statistics was analysed together with responses from the questionnaire study with Partial Least Square (PLS). This was done to search for connections between the participants and factors of concern for sick leave and returning to work in different subgroups (Study II). In-depth interviews also were conducted to explore what the participants experienced as important in their sick leave process as they progressed back to work, or to long term sick leave or disability pension (Study III). Another study investigated client files in the Swedish Social Insurance Office to describe what information that was possible to find: in terms of medical and vocational rehabilitation including assessments, predictors for the outcome of the sick leave process, and the quality of the information in the files (Study IV).

    The findings showed significantly lower life satisfaction and psychosocial resources in the study-group compared to the healthy controls. The PLS analysis showed that it was the impact of multiple factors that influenced the study group, and the PLS analysis could help with early prediction of the outcome. Important factors were: personal belief in an ability to work in the future, number of sick leave days in the past, diagnosis, self-evaluated symptoms, life satisfaction and sense of coherence, length of education and sector of employment, and many different consequences in daily life caused by activity limitations. The interview study confirmed these results and added the following important resources: confirmation and support, structural and contextual factors, and participation in the sick leave process. Ideal-types were crystallized that can be identified in the early phases of the sick leave process. The client file study showed that some information was possible to find but a majority of the wanted information was limited why an improvement on the quality of documentation is suggested to give better basis for the files.

  • 167.
    Hansson-Böe, Elin
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Pihl, Ellen
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Faktorer som påverkar lagförda vid återanpassning till samhället: En litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Inom kriminalvården är rehabiliteringen som riktar sig mot långsiktig förändring bristfällig. Studier och forskning visar att återfallsrisken är hög, desto högre vid tidigare belastningar. Syftet med studien var att identifiera faktorer som lagförda upplever påverkar återanpassningsprocessen tillbaka till samhället. Metoden var en systematisk litteraturstudie med data från åtta studier som representerar kvalitativ forskning. Resultaten innehåller sex kategorier där faktorer lyfts fram, som både kan möjliggöra och hindra återanpassningsprocessen till samhället för lagförda. Kategorierna benämns enligt följande: Sociala nätverket- kan både stjälpa och hjälpa, Motivationskälla- viljekraften är källan till motivation, Sysselsättning- en stor utmaning och möjlighet, Institutionella miljön- en betydande inverkan på återanpassningsprocessen, Stigmatisering- den kriminella stämpeln bidrar till många begränsningar och Missbruk- en kritisk barriär. En viktig faktor som framkommer är individens vilja för att uppnå en förändring under processen. Diskussionen lyfter bland annat hur dessa faktorer kan närmas utifrån ett arbetsterapeutiskt perspektiv.  

  • 168.
    Hariz, Gun-Marie
    et al.
    Umeå University, Faculty of Medicine, Department of Pharmacology and Clinical Neuroscience. Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation.
    Bergenheim, A Tommy
    Umeå University, Faculty of Medicine, Department of Pharmacology and Clinical Neuroscience, Neurosurgery.
    Hariz, Marwan I
    Umeå University, Faculty of Medicine, Department of Pharmacology and Clinical Neuroscience, Neurosurgery.
    Lindberg, Margareta
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Assessment of ability/disability in patients treated with chronic thalamic stimulation for tremor.1998In: Movement Disorders, ISSN 0885-3185, E-ISSN 1531-8257, Vol. 13, no 1, p. 78-83Article in journal (Refereed)
    Abstract [en]

    Chronic thalamic stimulation (CTS) has a documented good effect on tremor in patients with Parkinson's disease (PD) and essential tremor (ET). This study evaluates whether the alleviation of impairment, i.e., tremor, translates into improvement of the patient's ability in performing instrumental activities of daily living (IADL). Thirteen patients were assessed with an occupational therapy tool called Assessment of Motor and Process Skills (AMPS). This observation-based scale rates the patient's motor and process skills needed to perform a given task. The evaluations were done at a mean of 13 months after surgery in the patient's home, and included assessments of IADL with the CTS activated and switched off, respectively. The results showed that most patients improved to variable degrees in their IADL ability when the thalamic stimulation was on. The improvement was more marked in patients operated on for tremor of their dominant hand. The improvement concerned mainly the skill items related to the patients' abilities of coordination, calibration, endurance, and accommodation during IADL task performance. The authors concluded that for some patients with tremor, CTS can improve independence in domestic activities of daily living.

  • 169.
    Hariz, Gun-Marie
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy. Umeå University, Faculty of Medicine, Department of Pharmacology and Clinical Neuroscience, Clinical Neuroscience.
    Blomstedt, Patric
    Umeå University, Faculty of Medicine, Department of Pharmacology and Clinical Neuroscience, Neurosurgery.
    Koskinen, Lars-Owe D
    Umeå University, Faculty of Medicine, Department of Pharmacology and Clinical Neuroscience, Neurosurgery.
    Long-term effect of deep brain stimulation for essential tremor on activities of daily living and health-related quality of life2008In: Acta Neurologica Scandinavica, ISSN 0001-6314, E-ISSN 1600-0404, Vol. 118, no 6, p. 387-394Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: To report long-term effects of thalamic deep brain stimulation (DBS) on activities of daily living (ADL) and health-related quality of life (HRQoL) in patients with essential tremor (ET).

    MATERIALS AND METHODS: Nineteen consecutive patients were evaluated at baseline, at a mean of 1 year, then at a mean of 7 years after DBS using Tremor Rating Scale, Mini Mental Test, ADL Taxonomy, Nottingham Health Profile, Life Satisfaction Checklist, Visual Analogue Scale and interview.

    RESULTS: There was a decrease of DBS efficacy on tremor between 1 and 7 years post-operatively. The marked improvement in ADL at 1 year was no longer sustained at long-term, except for the ability to eat. Social life remained improved.

    CONCLUSION: Although there is a decrease of DBS effect on tremor at 7 years, and even though further ageing and co-morbidities may impact on the well-being of patients, there is still relevant benefit of DBS on few aspects of ADL and HRQoL in patients with ET.

  • 170.
    Hariz, Gun-Marie
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Forsgren, Lars
    Umeå University, Faculty of Medicine, Department of Pharmacology and Clinical Neuroscience, Clinical Neuroscience.
    Activities of daily living and quality of life in persons with newly diagnosed Parkinson's disease according to subtype of disease, and in comparison to healthy controls.2011In: Acta Neurologica Scandinavica, ISSN 0001-6314, E-ISSN 1600-0404, Vol. 123, no 1, p. 20-27Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE:

    To describe activity of daily living (ADL) and quality of life (QoL) at first visit to a neurological centre, in patients subsequently diagnosed with Parkinson's disease (PD), according to subtype of disease and compared to healthy controls.

    MATERIALS AND METHODS:

    99 patients and 31 controls were included. Patients were classified into three groups according to predominant symptoms: 50 Postural instability-gait difficulties (PIGD), 37 tremor dominant, 12 indeterminate. Evaluations included ADL-taxonomy, SF-36, and the Parkinson disease questionnaire (PDQ-39).

    RESULTS:

    Patients experienced early on limitations in ADL and QoL compared to controls. Patients with PIGD subtype had already at first visit a worse status, clinically and in ADL and QoL, than patients with tremor dominant type.

    CONCLUSIONS:

    Already at first visit to a neurological centre, patients who will eventually receive the diagnosis of PD exhibited restrictions in ADL and QoL. Patients with axial symptoms were affected most.

  • 171.
    Hariz, Gun-Marie
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy. Umeå University, Faculty of Medicine, Department of Pharmacology and Clinical Neuroscience, Clinical Neuroscience.
    Hamberg, Katarina
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Perceptions of living with a device-based treatment: an account of patients treated with deep brain stimulation for Parkinson’s disease2014In: Neuromodulation (Malden, Mass.), ISSN 1094-7159, E-ISSN 1525-1403, Vol. 17, no 3, p. 272-278Article in journal (Refereed)
    Abstract [en]

    Objectives Deep brain stimulation (DBS) is an established treatment for Parkinson's disease. Little is known about patients' own perceptions of living with the implanted hardware. We aimed to explore patients' own perceptions of living with an implanted device. Materials and Methods Semistructured interviews with open-ended questions were conducted with 42 patients (11 women) who had been on DBS for a mean of three years. The questions focused on patients' experiences of living with and managing the DBS device. The interviews were transcribed verbatim and analyzed according to the difference and similarity technique in grounded theory. Results From the patients' narratives concerning living with and managing the DBS device, the following four categories emerged: 1) The device—not a big issue: although the hardware was felt inside the body and also visible from outside, the device as such was not a big issue. 2) Necessary carefulness: Patients expressed the need to be careful when performing certain daily activities in order not to dislocate or harm the device. 3) Continuous need for professional support: Most patients relied solely on professionals for fine-tuning the stimulation rather than using their handheld controller, even if this entailed numerous visits to a remote hospital. 4) Balancing symptom relief and side-effects: Patients expressed difficulties in finding the optimal match between decrease of symptoms and stimulation-induced side-effects. Conclusions The in-depth interviews of patients on chronic DBS about their perceptions of living with an implanted device provided useful insights that would be difficult to capture by quantitative evaluations.

  • 172.
    Hariz, Gun-Marie
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy. Umeå University, Faculty of Medicine, Department of Pharmacology and Clinical Neuroscience.
    Hariz, Marwan I
    Umeå University, Faculty of Medicine, Department of Pharmacology and Clinical Neuroscience, Neurosurgery.
    Gender distribution in surgery for Parkinson's disease.2000In: Parkinsonism & Related Disorders, ISSN 1353-8020, E-ISSN 1873-5126, Vol. 6, no 3, p. 155-157Article in journal (Refereed)
    Abstract [en]

    Parkinson's disease (PD) affects both women and men. The surgical treatment of this disease has experienced a worldwide increase since the mid-eighties. In order to document eventual differences in gender distribution of patients undergoing various stereotactic surgical procedures for PD, we reviewed scientific papers published during the last 14years.A literature search provided 145 clinical papers, published between January 1985 and February 1999, and dealing with pallidotomy, thalamotomy and deep brain stimulation procedures. These papers were scrutinised with respect to redundancies or other overlap of reported patients. The resulting numbers of patients were compiled according to gender, to surgical procedure, and to geographic area of origin of the publishing centers.In one third of the reviewed publications the gender of the patients was not specified. In the remaining papers, the overall sex distribution of patients who underwent surgery was 35% females and 65% males. These proportions between sexes were relatively consistent regardless of surgical procedure, and regardless of geographic origin of the publications.Male preponderance in patients undergoing surgery for PD cannot be explained by a corresponding difference in gender-prevalence of the disease. The criteria of selection, and patterns of referral, of patients for surgery, as well as the respective attitude of female and male patients toward surgery, may account for the uneven gender distribution in surgical PD patients.

  • 173.
    Hariz, Gun-Marie
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy. Umeå University, Faculty of Medicine, Department of Pharmacology and Clinical Neuroscience, Clinical Neuroscience. UCL Institute of Neurology, Queen Square, London, UK.
    Limousin, P.
    Zrinzo, L.
    Tripoliti, E.
    Aviles-Olmos, I.
    Jahanshahi, M.
    Hamberg, Katarina
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Foltynie, T.
    Gender differences in quality of life following subthalamic stimulation for Parkinson's disease2013In: Acta Neurologica Scandinavica, ISSN 0001-6314, E-ISSN 1600-0404, Vol. 128, no 4, p. 281-285Article in journal (Refereed)
    Abstract [en]

    Objectives - Surveys of subthalamic nucleus (STN) deep brain stimulation (DBS) for Parkinson's disease (PD) have shown that this procedure is roughly twice more common in men than in women. Here, we investigate possible differences between women and men undergoing STN DBS, with respect to health-related quality of life.

    Materials and methods - Forty-nine consecutive patients (18 women) received STN DBS. The impact of PD and its surgical treatment was compared between women and men, before and at mean of 19 +/- 11months after surgery, using the Unified Parkinson Disease Rating Scale (UPDRS) and the Parkinson's Disease Questionnaire-39 (PDQ-39).

    Results - Duration of disease at surgery and off-medication scores of the motor part of the UPDRS were similar in women and men. At baseline, women had lower doses of dopaminergic medication than men, experienced more disability due to dyskinesias, had more sensory symptoms and perceived more difficulties in mobility. Following DBS, both men and women showed equal and significant (P<0.001) improvement in off-medication scores on the UPDRS III. On the PDQ-39, women expressed improvement in ADL to a greater extent than men. Moreover, women but not men showed a positive effect on mobility, stigma and cognition as well as on the summary score of PDQ-39.

    Conclusions - Although STN DBS results in equal degree of motor improvement between women and men, health-related quality of life seems to improve to a greater extent in women.

  • 174.
    Hariz, Gun-Marie
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy. Umeå University, Faculty of Medicine, Department of Pharmacology and Clinical Neuroscience, Clinical Neuroscience.
    Limousin, Patricia
    Hamberg, Katarina
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    "DBS means everything - for some time": Patients' Perspectives on Daily Life with Deep Brain Stimulation for Parkinson's Disease2016In: Journal of Parkinson's Disease, ISSN 1877-7171, E-ISSN 1877-718X, Vol. 6, no 2, p. 335-347Article in journal (Refereed)
    Abstract [en]

    Background: Deep brain stimulation (DBS) is an established treatment for Parkinson's disease. However, patients' own perceptions of the impact of DBS on their daily living is not fully explored. 

    Objective: We aimed to collect and analyse patients' narratives about their everyday experiences of being on chronic DBS. 

    Methods: Semi-structured interviews with open-ended questions were conducted with 42 patients (11 women) who had been on DBS for a mean of three years. The questions were related to patients' ordinary daily life and eventual changes, both negative and positive, brought about by DBS. The interviews were transcribed verbatim and analysed according to the difference and similarity technique in grounded theory. 

    Results: From the patients' narratives the core category `DBS means everything - for some time' was established, and supported by the following categories: 1) Relief from invasive tremor. 2) A rescue from cramps and pain. 3) Easier movement swings and more predictable living space. 4) Hard, but compared to previous suffering, bearable adverse events. 5) Parkinson's disease is progressing despite DBS. 

    Conclusions: The analysis of the participants' narratives shed light on patients' unique perceptions and perspectives of the impact of DBS on their everyday lives. Patients with advanced PD highly appreciated the positive impact of DBS on their daily life even if this impact is limited in time. For the majority, the relief from the severe parkinsonian symptoms, especially tremor and painful cramps, outweighed the side effects of DBS. The study provided information not readily captured by pre-formulated questionnaires and scales.

  • 175.
    Hariz, Gun-Marie
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy. Umeå University, Faculty of Medicine, Department of Pharmacology and Clinical Neuroscience, Clinical Neurophysiology.
    Limousin, Patricia
    UCL Institute of Neurology, Sobell Department of Motor Neuroscience and Movement Disorders, Unit of Functional Neurosurgery, London, United Kingdom.
    Tisch, Stephen
    Department of Neurology, St. Vincent’s Hospital, Darlinghurst, NSW, Australia.
    Jahanshahi, Marjan
    UCL Institute of Neurology, Sobell Department of Motor Neuroscience and Movement Disorders, Unit of Functional Neurosurgery, London, United Kingdom.
    Fjellman-Wiklund, Anncristine
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Patients' perceptions of life shift after deep brain stimulation for primary dystonia: a qualitative study2011In: Movement Disorders, ISSN 0885-3185, E-ISSN 1531-8257, Vol. 26, no 11, p. 2101-2106Article in journal (Refereed)
    Abstract [en]

    Studies of deep brain stimulation for dystonia have shown significant motor improvement. However, patients' perceptions of surgery and its effects have been less studied. We aimed to explore perceptions of changes in life in patients with primary dystonia after deep brain stimulation. Thirteen patients underwent thematic interviews 8-60 months after pallidal deep brain stimulation. Interviews were transcribed verbatim and analyzed with grounded theory. Patients described a profound impact of dystonia on daily life. After surgery, physical changes with a more upright posture and fewer spasms translated into an easier, more satisfying life with greater confidence. Notwithstanding this positive outcome, the transition from a limited life before surgery to opportunities for a better life exhibited obstacles: The "new life" after deep brain stimulation was stressful, including concern about being dependent on the stimulator as well as having to deal with interfering side effects from deep brain stimulation. The whole coping process meant that patients had to quickly shift focus from struggling to adapt to a slowly progressive disorder to adjustment to a life with possibilities, but also with new challenges. In this demanding transition process, patients wished to be offered better professional guidance and support. Even though deep brain stimulation provides people with primary dystonia with a potential for better mobility and more confidence, patients experienced new challenges and expressed the need for support and counseling after surgery. Grounded theory is a useful method to highlight patients' own experience and contributes to a deeper understanding of the impact of deep brain stimulation on patients with dystonia.

  • 176.
    Hariz, Gun-Marie
    et al.
    Umeå University, Faculty of Medicine, Department of Pharmacology and Clinical Neuroscience, Clinical Neuroscience.
    Lindberg, Margareta
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Bergenheim, A Tommy
    Umeå University, Faculty of Medicine, Department of Pharmacology and Clinical Neuroscience, Clinical Neuroscience.
    Impact of thalamic deep brain stimulation on disability and health-related quality of life in patients with essential tremor2002In: Journal of Neurology, Neurosurgery and Psychiatry, ISSN 0022-3050, E-ISSN 1468-330X, Vol. 72, no 1, p. 47-52Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: To evaluate the impact of thalamic deep brain stimulation (DBS) on disability and health-related quality of life in patients with essential tremor.

    METHODS: Twenty seven consecutive patients were evaluated prospectively, before surgery and at a mean of 12 months (range 6-26) after thalamic DBS. Assessment tools included the Fahn-Tolosa-Marìn tremor rating scale (TRS), activities of daily living (ADL) taxonomy, Nottingham health profile (NHP) and the visual analogue scale (VAS) for measuring impact of disease on life. Additional information on the side effects of, and expectations from surgery was obtained by interview.

    RESULTS: Thalamic DBS improved the ability of the patients in eating, drinking, writing, home maintenance, hobbies, and participation in society. Activities of daily life requiring bimanual skills were less improved. The emotional condition of the patients was positively affected and the negative impact of the disease on life as a whole, and on social life was decreased. Seventy per cent of the patients considered that the surgical treatment met their expectations.

    CONCLUSIONS: After thalamic DBS, health-related quality of life including disability in ADL and social life were improved in patients with essential tremor.

  • 177.
    Hariz, Gun-Marie
    et al.
    Umeå University, Faculty of Medicine, Department of Pharmacology and Clinical Neuroscience, Neurosurgery. Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Lindberg, Margareta
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Hariz, Marwan I
    Umeå University, Faculty of Medicine, Department of Pharmacology and Clinical Neuroscience, Neurosurgery.
    Bergenheim, A Tommy
    Umeå University, Faculty of Medicine, Department of Pharmacology and Clinical Neuroscience, Neurosurgery.
    Gender differences in disability and health-related quality of life in patients with Parkinson's disease treated with stereotactic surgery2003In: Acta Neurologica Scandinavica, ISSN 0001-6314, E-ISSN 1600-0404, Vol. 108, no 1, p. 28-37Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES:

    To investigate eventual differences between women and men with Parkinson's disease (PD) before and after surgery, with respect to clinical status, disability and health-related quality of life (HRQoL).

    MATERIAL AND METHODS:

    Twenty-four men and 14 women with PD received a total of 46 surgical procedures (pallidotomy, thalamotomy and deep brain stimulation of the thalamus, pallidum or subthalamic nucleus). The impact of PD on disability and other aspects of HRQoL was analysed separately in men and women before and at a mean of 11 months after surgery, using the following assessment tools: The Unified Parkinson's Disease Rating Scale (UPDRS), the ADL Taxonomy, the Nottingham Health Profile, the Life Satisfaction Questionnaire and a Visual Analogue Scale.

    RESULTS:

    At surgery, women had a significantly longer duration of disease than men (mean: 15 vs. 10 years, P < 0.01). They had a higher stage on the Hoehn and Yahr scale and worse scores on UPDRS parts II (ADL) and IV (complications), as well as on the Schwab and England scale and on the ADL Taxonomy. Following surgery, both men and women showed improvement, but women experienced greater benefit than men in ADL, in emotions, and in social life.

    CONCLUSIONS:

    Perhaps women with PD should be offered surgery more often and earlier in the course of their disease.

  • 178.
    Hariz, Gun-Marie
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy. Umeå University, Faculty of Medicine, Department of Pharmacology and Clinical Neuroscience, Clinical Neuroscience.
    Nakajama, Takeshi
    UCL Institute of Neurology, Queen Square, London, UK; Department of Neurosurgery, Tokyo Women’s Medical University, Tokyo, Japan.
    Limousin, Patricia
    UCL Institute of Neurology, Queen Square, London, UK.
    Foltynie, Tom
    UCL Institute of Neurology, Queen Square, London, UK.
    Zrinzo, Ludvic
    UCL Institute of Neurology, Queen Square, London, UK.
    Jahanshahi, Marjan
    UCL Institute of Neurology, Queen Square, London, UK.
    Hamberg, Katarina
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Gender distribution of patients with Parkinson's disease treated with subthalamic deep brain stimulation: a review of the 2000-2009 literature2011In: Parkinsonism & Related Disorders, ISSN 1353-8020, E-ISSN 1873-5126, Vol. 17, no 3, p. 146-149Article, review/survey (Refereed)
    Abstract [en]

    Purpose: Deep brain stimulation (DBS) of the subthalamic nucleus (STN) has been the mainstream surgical procedure for advanced Parkinson’s disease (PD) during the last decade. Reports from a few individual centres have hinted that women who receive STN DBS are under-represented. We aimed to evaluate the gender distribution of patients with PD who had received STN DBS during the last ten years, and to discuss the findings in relation to studies on gender prevalence of PD.

    Methods: A search of the PubMed database of clinical papers in English language related to STN DBS between 2000 and 2009 was conducted. Care was taken to minimize redundancies in reporting of published patients. The proportion of men and women were expressed in total and according to pre-defined geographic regions.

    Results: One hundred and thirty five papers were eligible for review. The gender of the patients was specified in 119 papers on a total of 3880 patients, of which 63% were men. According to geographic origin of publications, the percentage of men with STN DBS was 68% in North America, 62% in Europe, 69% in Australia and 50% in Asia.

    Conclusions: The proportion of male patients who undergo STN DBS seems to exceed the reported male/female ratio of patients with PD.

  • 179. Hariz, Marwan I
    et al.
    Hariz, Gun-Marie
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Hyping deep brain stimulation in psychiatry could lead to its demise2012In: BMJ. British Medical Journal, E-ISSN 1756-1833, Vol. 345, p. e5447-Article in journal (Other academic)
  • 180.
    Hassan, Jomanah
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Säfström, Karin
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Musikprojekt på ett demensboende: en kvalitativ studie2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Tidigare forskning belyser att för personer med demenssjukdom är musik en aktivitet som ökar möjligheten till sociala interaktioner och bidrar till positiva fysiska och psykiska effekter. Personer med demenssjukdom är inte sällan beroende av personer i sin omgivning för att delta i aktiviteter, därför är vårdpersonalens inställning väsentlig. Syftet med studien var att belysa personalens erfarenheter av att delta i ett projekt med strukturerade musikaktiviteter i ett boende för personer med demenssjukdomar. Sju av de anställda på boendet intervjuades utifrån en semistrukturerad intervjuguide. Innan projektet började beskrev personalen vissa tveksamheter för musikaktiviteter när det gällde tid, personal och vilja från både personal och brukare. Sammantaget beskrivs efter projektets genomförande positiva erfarenheter av musikaktiviteterna och en positiv inställning till att använda musik på boenden i framtiden. Dock finns en viss osäkerhet gällande tillgång till resurser, till exempel tillgången till personal samt personalens motivation.

  • 181. Hayase, Dale
    et al.
    Mosenteen, Desiree
    Thimmaiah, Deepa
    Zemke, Sarah
    Atler, Karen
    Fisher, Anne G.
    Umeå University, Faculty of Medicine, Community Medicine and Rehabilitation, Occupational Therapy.
    Age-related changes in activities of daily living ability2004In: Australian Occupational Therapy Journal, ISSN 0045-0766, Vol. 51, no 4, p. 192-198Article in journal (Refereed)
  • 182.
    Hedman Karnå, Agneta
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Att som specialpedagog introducera och förankra bildarbete inom skolan2009Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med studien var att undersöka olika sätt att introducera bildarbete i skolan och att kartlägga möjligheter och hinder vid införandet och förankringen av bildarbete i skolan. Fyra intervjuer med specialpedagoger som varit eller var verksamma med bildarbete i svenska skolor genomfördes. Den kvalitativa metod som användes vid bearbetningen visade att det tidsbegränsade projektet var det bästa introduktionssättet. Hinder var tids- och lokalbrist, felaktiga förväntningar och ekonomi. Information om bildarbete och att tydligt definiera bildarbete var av stor betydelse. Specialpedagogrollen innebar både hinder och möjlighet. Omgivningens reaktioner varierade. Möjligheter fanns i allianser, arbetsgång, samarbetsförmåga, rektorers stöd och föräldrars och elevers positiva respons. Bildterapeuter i USA och Israel redovisade liknande erfarenheter. Bildarbete i skolan visade sig fylla en viktig funktion.

  • 183.
    Hedström, Maria
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    ”We are in charge of making it happen!”: Exploring art therapists’ experiences of conducting art therapy in Thailand2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Art therapy is spreading from country to country in the world. The aim of this study was to explore art therapists’ experiences of conducting art therapy in Thailand. The data was collected through semi-structured interviews with seven art therapists during a six month period. Three of the participating art therapist were native Thais, three Caucasian and one Asian but not Thai. The data were analyzed using inductive thematic analysis. The analysis resulted in four themes: adjusting art therapy to the Thai client and context, being open-minded, flexible and eclectic as an art therapist, dealing with severe emotional and physical sufferings and we are in charge of developing art therapy. Examples of cultural adjustments and ways to use art therapy in Thailand are presented in the study results. The conclusion is that art therapy is a method well suited for therapeutic work in an Asian country like Thailand. The art therapists’ experiences uncovers i

  • 184.
    Heinull, Maria
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Lindman, Marie-Louise
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Jämförelse mellan Sverige och Finland gällande arbetsterapi för barn: En kvantitativ enkätstudie om sjukhusanställda arbetsterapeuter2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Arbetsterapeutens roll på sjukhus har länge varit svårdefinierad. Trots liknande grundantaganden har stora skillnader funnits mellan Sverige och Finland vad gäller arbetsterapi för barn. Syftet med studien var att identifiera likheter och skillnader mellan sjukhusanställda arbetsterapeuters förutsättningar och arbetssätt i mötet med barn i Sverige, respektive Finland. Kvantitativ an-sats med deskriptiv design användes och en elektronisk enkät skickades ut. I studien deltog 38 arbetsterapeuter, 17 från Sverige och 21 från Finland. Den största likheten handlade om var och hur barnen kommer i kontakt med en arbetsterapeut. Vad gäller skillnader framkom det att arbetsterapeuterna i Sverige främst arbetade med fysiska utmaningar, hjälpmedel och miljöutredningar, medan de i Finland inte genomförde behandlingsinsatser på sjukhusen, utan i större grad arbetade med utredning av kognitiva och sociala förmågor. Vidare studier behövs för att arbetsterapeutens roll med barn på sjukhus ska kunna fastställas och evidensbaserad arbetsterapi kunna erbjudas barnen.

  • 185. Hellman, Therese
    et al.
    Bergstrom, Aileen
    Eriksson, Gunilla
    Falkdal, Annie Hansen
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Johansson, Ulla
    Return to work after stroke: Important aspects shared and contrasted by five stakeholder groups2016In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 55, no 4, p. 901-911Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Poor co-operation between the various stakeholders underscores the need for reviewing important factors that facilitate return to work (RTW) after stroke.

    OBJECTIVE: To explore and describe important aspects expressed by Swedish stakeholders in the RTW process for persons post stroke and to contrast the stakeholders’ aspects exploring different perspectives that may influence optimal RTW.

    METHODS: Data from seven focus group interviews with the stakeholders were analyzed using qualitative content analysis.

    RESULTS: Three main categories made up the findings; the prolonged RTW process, the need for extended knowledge, and the assessment of work ability in the RTW process. Despite the stakeholders’ agreement on these important aspects, they presented divergent views of the categories, representing their diverse agendas.

    CONCLUSIONS: A stroke coordinator may remediate the stakeholders’ divergent perspectives. The coordinator should be versed in stroke specific knowledge and in a person centered approach to inform the decision process regarding RTW, while finding optimal solutions within regulatory boundary conditions. A coordinator could increase collaboration of the various stakeholders, provide support and coordinate services for the client with stroke and the employer throughout the whole process facilitating RTW after stroke. Future studies are needed to confirm this proposal.

  • 186.
    Hemmingsson, Helena
    et al.
    Karolinska institutet, Stockholm, Sweden.
    Kottorp, Anders
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Bernspång, Birgitta
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Validity of the School Setting Interview: An assessment of the student-environment fit2004In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 11, no 4, p. 171-178Article in journal (Refereed)
    Abstract [en]

    The School Setting Interview (SSI) is an internationally used client-centred interview assessment that specifically investigates the student–environment fit for students with physical disabilities. In this study the Rasch measurement model was used to examine validity of the SSI; specifically, whether or not the SSI measures a unidimensional construct. Data for analysis included SSI assessments of 87 Swedish students with physical disabilities aged between 8 and 19 years of age. The results of the Rasch analysis revealed that all items had acceptable infit MnSq and z values supporting evidence of construct validity of the SSI. The established order of the difficulty of the items was also shown to be in acceptable congruence with the theoretical basis for item development. In addition, the analysis revealed aspects of the SSI that need improvements, such as the need for more challenging items and refinements of the manual. Further investigations of validity in different cultural contexts are recommended.

  • 187. Hermansson, Liselotte M
    et al.
    Fisher, Anne G.
    Umeå University, Faculty of Medicine, Community Medicine and Rehabilitation, Occupational Therapy.
    Bernspång, Birgitta
    Umeå University, Faculty of Medicine, Community Medicine and Rehabilitation, Occupational Therapy.
    Eliasson, Ann-Christin
    Assessment of capacity for myoelectric control: A new Rasch-built measure of prosthetic hand control2005In: Journal of Rehabilitation Medicine, ISSN 1650-1977, Vol. 37, no 3, p. 166-71Article in journal (Refereed)
  • 188.
    Herre, Charlotte
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Bildterapeuters arbete med barn och tonåringar som flytt till Sverige: En intervjuundersökning2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aims: To, by means of a qualitative study assess how art therapists work with children below the age of 18 that has taken refuge to Sweden.

    Methods: Five semi-structured interviews with educated art therapists were conducted and analysed by using a qualitative subject analysis. The triangular model of communication and the concepts of "art as therapy" and "art in psychotherapy" were used as theoretical frames of reference.

    Results: The art therapists create a feeling of security and predictability through group-work, themed exercises and a recurring structure. Both closed and open therapy groups occur.

    Communication between client and therapist can be difficult. Some art therapists rely on non-verbal communication, body language and the artwork, while others use an interpreter. The art therapists work with "art as therapy", focusing on the communication between artwork and client, as well as "art in psychotherapy" with emphasis on therapist/client communication.

    Some therapist actively seek knowledge about the clients’ culture of origin and what their current situation is like, while others let the client express it through the artwork. All therapists approach each client individually even though they work in a group.

    Conclusion: The art therapists adapt their approach to the needs of the individual client, in the moment and over time. When the art therapist applies the concept of "art as therapy" the communication is mostly non-verbal, while "art in psychotherapy" emphasizes verbal communication. Thus, "art as therapy" as well as "art in psychotherapy" can be applied simultaneously in the same client group.

  • 189.
    Hien, Hannah
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Alm Petrini, Regina
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Att vara närstående till någon som diagnostiserats med Beteendemässiga och Psykiska Symtom vid Demens (BPSD): – En kvalitativ litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Antalet människor som uppvisar beteendemässiga och psykiska symtom vid demens (BPSD) är idag högt och beräknas konstant öka i framtiden, både i Sverige och i resten av världen. Symtomen är svåra att förutse och kan skapa problem för både närstående och demenssjuka. Syftet med denna studie är att undersöka hur närstående upplever sin vardag när de i hemmet vårdar en närstående som uppvisar BPSD-symtom. Studien är en litteraturstudie och vi använde oss av kvalitativ innehållsanalys och kunde identifiera sex kategorier. Resultatet redovisar vårt insamlade data i sex kategorier, förändrad familjerelation, skam, saknar kunskap, social isolering, okontrollerbara BPSD-symtom och behov av meningsfull aktivitet.

  • 190.
    Hjelm, Johan
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Junes, Markus
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Arbetsterapeuters upplevelser och erfarenheter av smartphones och applikationer som kognitivt hjälpmedel: Intervjuer med arbetsterapeuter inom Habilitering2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Smartphones och applikationer är en allt mer förekommande teknik i samhället som effektiviserar och underlättar vardagen för många personer. Arbetsterapeuter inom habiliteringsverksamheten möter klienter som använder smartphones och applikationer som kognitivt hjälpmedel. Klienterna kan vara i behov av råd och stöd angående användningen av smartphones och applikationer. Syftet med denna studie var att beskriva arbetsterapeuters upplevelser och erfarenheter av smartphones och applikationer som kognitivt hjälpmedel för klienter inom habiliterande verksamhet. En kvalitativ metod användes och fyra arbetsterapeuter verksamma inom habilitering med unga vuxna med kognitiva svårigheter intervjuades med stöd av en semistrukturerad frågeguide. De inspelade intervjuerna transkriberades och resultatet analyserades genom en kvalitativ innehållsanalys. Resultatet utgjordes av följande kategorier: "Förväntad professionalism inom området ställer krav", "En osäker strävan mot klientcentrerad intervention" och "Möjligheter och svårigheter med smartphones och applikationer". Resultatet visar att arbetsterapeuterna upplever en osäkerhet hur de ska förhålla sig angående smartphones och applikationer som kognitivt hjälpmedel. Arbetsterapeuterna är tveksamma till utbildning inom smartphones och applikationer och istället föredrar konsultation eller remittering till kunnig inom området vid behov. Det framkom att utredning är viktig för ett klientcentrerat arbete och att den största fördelen med smartphones är att den fungerar som ett ’dolt’ hjälpmedel eftersom de flesta individer i samhället använder produkten.

     

    Sökord: Arbetsterapi, Vardagsteknik, Kognitivt stöd.

  • 191.
    Hognert, Lovisa
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Sundberg, Linda
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Bildskapande i väntrummet på enbarn- och ungdomspsykiatrisk mottagning2013Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    This study was carried out on a child and adolescent psychiatric unit in northern Sweden. The aim of the study was to describe what children and young people create in their pictures in the waiting room. In the waiting room voluntary participants were invited to create and put up images on screens. Data collection lasted for 4 months. Data were analyzed using a specially designed assessment form which rested on a theory of visual semiotics basis and using qualitative content analysis. The results showed six categories based on image analysis and nine categories based on text analysis. Communication of thoughts and feelings could be identified in both images and texts. The conclusion is that some of the visitors in the child and adolescent psychiatry waiting room take the opportunity to create images and that the project stimulated a kind of visual dialogue in the waiting room. The images hade in some cases a strong emotional content that was both visual and verbal.

  • 192.
    Holback, Linda
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Lundqvist, Alexander
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Fysisk träning för ett hälsosamt åldrande: En enkätstudie2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Att bedriva fysisk träning som äldre (+65 år) bidrar till ett hälsosamt åldrande genom att styrka, funktion och ork behålls, på så sätt kan de äldre vara självständiga längre och utföra de aktiviteter som för dem upplevs som viktiga. Syftet med denna studie var att undersöka äldres tillgång till träning, träningens påverkan på det vardagliga livet, om ett internet baserat träningsstöd är intressant för åldersgruppen, vad som motiverar till träning och vilka träningsvanor de äldre har. En kvantitativ metod i form av en enkätstudie genomfördes där de äldre söktes upp på träffpunkter och träningsanläggningar för att besvara enkäten. I resultatet framkom bland annat att det finns en signifikant positiv korrelation mellan motivation till träning påverkades av tillgänglighet till träning och en anpassad träningsform. Trots rekommendationer enligt folkhälsoguiden om regelbunden styrketräning och balansträning var det få av deltagarna som tränade styrka och balans. Det som motiverade de äldre i studien till fysisk träning var främst de fysiska, psykiska och sociala effekterna som träningen bidrar till. För att förbättra hälsan hos den äldre befolkningen bör en viktig del inom hälso- sjukvården vara att motivera äldre till fysisk aktivitet.

  • 193.
    Holm, Anton
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Myrsten, Johan
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Parkinsons sjukdom: En litteraturstudie av förändring över tid beträffande dagliga aktiviteter2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Parkinsons sjukdom (PS) är en kronisk, progressiv och neurodegenerativ sjukdom som främst drabbar personer över 55 år. PS är den näst vanligaste neurodegenerativa sjukdomen efter Alzheimers sjukdom. Syftet var att sammanställa kunskap om hur Parkinsons sjukdom över tid påverkar utförande av ADL-aktiviteter, samt förändringen av beroende/oberoende. För att besvara syftet utfördes en litteraturstudie där sökningen genomfördes i fyra databaser och resulterade i åtta artiklar som sedan analyserades. Resultatet visade att utförande av ADL-aktiviteter försämras över tid bland PS patienter och att de flesta patienterna blir beroende av andra och slutligen hamnar på vårdhem. Både icke-motoriska och motoriska symtom påverkar progressionen och utförandet av ADL-aktiviteter. Studien kan användas som underlag för vidare forskning kring PS och ADL-aktiviteter, där fokus kan vara hur förändringen ser ut beträffande specifika aktiviteter och hur individens vardag påverkas. Detta fokus och forskning kring ADL-aktiviteter samt beroende/oberoende kan idag ses som bristfällig. Ytterligare forskning inom dessa områden kan bidra till en ökad förståelse och förbättrade arbetsterapeutiska insatser vid PS.

  • 194.
    Holmberg, Johanna
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Palmér, Lovisa
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    ”Jag är på väg i rätt riktning”: En kvalitativ utvärderingsstudie av Livsentreprenören version II2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Personer med neuropsykiatriska funktionsnedsättningar (NPF) kan erfara aktivitetsutmaningar som i många fall påverkar den upplevda självständigheten i vardagslivet. Detta kan i sin tur leda till utanförskap, passivitet och isolering, faktorer som visat sig försvåra övergången från ungdom till vuxen. Livsentreprenören version II (LEV II) är en utbildningsinsats där unga vuxna med NPF stöttas i att ta kommando över den egna livssituationen. Syftet med denna studie var att följa upp och beskriva hur deltagare i LEV II tänker och agerar kring fritid, hälsa och livsmål i slutfasen av projektet. Utifrån kvalitativ ansats användes fokusgrupp som datainsamlingsmetod med totalt sex deltagare i åldern 18-26 år. Materialet analyserades därefter utifrån kvalitativ innehållsanalys. Resultatet visade att deltagarna i slutet av utbildningen fått en ökad motivation och fler strategier för att påverka den egna livssituationen. Deltagandet i utbildningen beskrevs vara utmanande och kräva engagemang för att nå en personlig utveckling. Gruppträffarna och det individuella stödet utgjorde en viktig del i processen mot självständighet samt bidrog till en utveckling av deltagarnas sociala färdigheter. Vidare studier rekommenderas för att studera utbildningens långsiktiga effekt.

  • 195.
    Holmgren Persson, Andreas
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Lindqvist, Fredrik
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Använda ReDo i kliniskt arbete: En kvalitativ studie från primärvård och smärtrehabilitering2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Sjukskrivning på grund av stressrelaterad problematik har ökat markant i Sverige. Metoder behövs för att möta de ökade behoven. Den arbetsterapeutiska metoden Redesigning Daily Occupation (ReDo) kan användas för sjukskrivna med stressrelaterad problematik. Få studier har gjorts på arbetsterapeuters erfarenheter av att använda metoden i klinisk verksamhet. Därför görs denna studie i syfte att undersöka arbetsterapeuters erfarenheter av att använda ReDo i klinisk verksamhet. En kvalitativ metod användes där sex arbetsterapeuter utbildade i metoden ReDo intervjuades. Intervjuerna analyserades med hjälp av kvalitativ innehållsanalys vilket resulterade i tre kategorier, dessa är rfarenheter av metodens uppbyggnad, Faktorer som underlättar och försvårar implementering och Testade och föreslagna anpassningar av metoden. Resultatet visade att arbetsterapeuterna tyckte att metoden var bra och att den gett klienterna en effektiv arbetsterapeutisk rehabilitering. De använde metoden i sin helhet i grupp, delar från metoden med klienter individuellt och några gjorde anpassningar av metoden utifrån sin verksamhet. Arbetsterapeuterna uttryckte behov av anpassning, som att korta ner metoden och anpassa metoden till multidisciplinära team så att andra yrkesgrupper kan ta del av metoden. I diskussionen framgår det att en kortare version av ReDo har utvecklats, vilket eventuellt kan bemöta arbetsterapeuternas beskrivna behov. Arbetsterapeuternas önskan om att öppna användningen av ReDo även för andra yrkesgrupper diskuterats, då det kan underlätta implementeringen men även leda till att arbetsterapeuternas ansvarsområde minskas och att färre arbetsterapeutiska insatser utförs. Användbarhet och effektivitet av dessa anpassningar av metoden bör i framtiden utvärderas.

  • 196.
    Holmqvist, Gärd
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Hur gör de, vad gör de och varför?: Några bildterapeuters beskrivningar av hur de introducerar kreativ lek med konstnärligt material i bildterapi med vuxna klienter2009Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Clinical experience has shown that it is not always easy to introduce creative play with art materials in art therapy with adult clients. The aim of this study was to investigate how some art therapists describe their introduction to creative play with art materials in art therapy with adult clients. The approach was qualitative. Six art therapists, of different basic professions, discussed in a focus group. The discussion was transcribed and analyzed using the method of content analysis. The results were accounted for in a comprehensive part and in three themes: how – to motivate and activate, what – suggests methods of work based on the reactions of the client, why – to encourage and awaken a desire for creating art. The study concludes in a description of the different possible strategies available for this group of art therapists. The reactions of the client were the determining factor in choosing a preferred strategy. The study gives information to those interested and may promote method development.

  • 197.
    Hägesten, Sara
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Högberg, Emilia
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Sex och samlevnadsundervisningen på arbetsterapeututbildningarna i Sverige – Kursansvarigas perspektiv.2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Sexualitet och sexuella aktiviteter upplevs i allmänhet vara meningsfullt för människan och betydelsefullt för ett tillfredsställande vardagsliv. Sexuella aktiviteter kan ses som en del av aktiviteter i det dagliga livet (ADL). Syftet med studien var att beskriva omfattningen och innehållet i sex- och samlevnadsundervisningen på arbetsterapeutprogrammen i Sverige och att undersöka de kursansvarigas perspektiv på ämnets relevans på utbildningen. Studiens deltagare var kursansvariga i arbetsterapikurser eller kurser med arbetsterapiinslag. Metoden som användes i studien var webbenkät. Totalt deltog 19 deltagare från sju universitet där utbildning till arbetsterapeut bedrivs. I resultatet framkom det att majoriteten av universiteten involverade ämnet sex och samlevnad i sin undervisning till arbetsterapeutstudenterna. Däremot skedde detta på olika sätt och inte i samma omfattning på de olika universiteten. Majoriteten av deltagarna anser att sex och samlevnad är ett viktigt ämne inom arbetsterapi och de önskar mer undervisning till arbetsterapeutstudenterna. Eftersom svarsfrekvensen i studien var låg samt att ämnes- och begreppsdefinitioner, frågeställningar och svarsalternativ visade sig vara otillräckliga bör materialet tolkas med försiktighet. Vidare studier inom ämnet kopplat till arbetsterapi rekommenderas.

  • 198.
    Hägglöf, Maria
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Jonsson, Stina
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Arbetsterapeutiska metoder för yngre personer med demens: En kvalitativ studie2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Att få en demenssjukdom i ett mer aktivt skede i livet kan göra så att problem verkar mer extrema och felaktiga beslut kan få betydande konsekvenser. De drabbade personernas yrkes- och familjeliv påverkas i hög grad av problemen som uppstår i vardagen. Syftet med studien var att ta reda på hur arbetsterapeuter arbetar för att öka delaktighet och minska social isolering för yngre personer med demenssjukdom och deras anhöriga. Intervjuer genomfördes med sju arbetsterapeuter om hur de arbetar med dessa frågor. Resultatet visar att arbetsterapeuter genom att hitta nya strategier, ta fram hjälpmedel, göra miljöanpassningar och involvera anhöriga i interventionerna kan underlätta vardagen för de berörda. Genom denna studie har författarna kommit fram till att det är viktigt att vården anpassas efter yngre personers behov eftersom de är i ett annat skede i livet och har andra intressen än äldre.

     

     

  • 199.
    Hällgren, Monica
    et al.
    Disability Services, Lycksele, Sweden.
    Kottorp, Anders
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy. Neurotec Department, Division of Occupational Therapy, Karolinska institutet, Stockholm, Sweden.
    Effects of occupational therapy intervention on activities of daily living and awareness of disability in persons with intellectual disabilities2005In: Australian Occupational Therapy Journal, ISSN 0045-0766, E-ISSN 1440-1630, Vol. 52, no 4, p. 350-359Article in journal (Refereed)
    Abstract [en]

    Aim: The purpose of this study was to evaluate the effects of an occupational therapy intervention program on activities of daily living (ADL) ability and awareness of disability.

    Methods: Six persons with intellectual disabilities participated in the study, which was based on a single-case design. Assessment of Motor and Process Skills and Assessment of Awareness of Disability were used as evaluation tools.

    Results: Activities of daily living performance improved in five of the six participants after implementation of the program, with improvement across both motor and process skills. However, no clear improvement in awareness of disability was found following implementation of the program.

    Conclusion: It may be concluded from this study that persons with intellectual disabilities can benefit from occupational therapy interventions to improve ADL ability, even in the absence of any change in their awareness of disability.

  • 200.
    Hästö, Angelica
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation.
    Vallmark, Rebecka
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Constraint induced movement therapy inom geriatrisk strokerehabilitering: Betydelsen vid utförande av vardagliga aktiviteter2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Stroke är en vanlig sjukdom i Sverige och funktionsnedsättningar efter stroke påverkar individens självständighet och aktivitetsutförande. Constraint Induced Movement Therapy (CIMT) är en behandlingsmetod inom rehabilitering för patienter med stroke som har motoriska nedsättningar i övre extremitet. Syftet var att undersöka om behandlingsmetoden CIMT inom geriatrisk dagrehabilitering förbättrar aktivitetsutförandet hos personer med stroke efter tre månaders uppföljning samt hur olika bakgrundsvariabler påverkar utfallet. Undersökningspersoner var strokepatienter från en geriatrisk klinik i Västerbotten som mellan åren 1999-2011 genomgått behandling med CIMT. Analys utfördes utifrån journalhandlingar av de arbetsterapeutiska bedömningsinstrumenten ADL-taxonomin och Assessment of Motor and Process skills (AMPS). ADL-taxonomin användes som ett självskattningsinstrument och AMPS som observationsinstrument. Resultatet visar att traditionell CIMT har förbättrat patienternas aktivitetsutförande i vissa aktiviteter i ADL-taxonomin, skattad en vecka innan påbörjad till tre månader efter avslutad behandling. Gällande AMPS motor- och processfärdigheter kunde även en klar signifikant förbättring ses vid jämförelse en vecka före påbörjad och tre månader efter avslutad behandling med CIMT. En slutsats är att CIMT har en betydande effekt på förbättring av utförandet av aktiviteter och det har inte någon betydelse för förbättringen hur många månader efter stroke som patienterna påbörjar behandling med CIMT.

    Sökord: arbetsterapi, ADL-taxonomin, AMPS, könsskillnader, civilstånd

1234567 151 - 200 of 448
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf