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- Dahlin-Ivanoff, Synneve, 1950, et al.
(författare)
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A health education program for elderly persons with visual impairments and perceived security in the performance of daily occupations: a randomized study.
- 2002
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Ingår i: The American journal of occupational therapy. : official publication of the American Occupational Therapy Association. - 0272-9490. ; 56:3, s. 322-30
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: The purpose of this randomized, longitudinal study was to investigate the impact of a health education program on perceived security in the performance of daily occupations 4 months after the intervention period. METHOD: Two groups of persons with age-related macular degeneration were compared: Those who had followed a newly developed health education program that was based on occupation and those who took part in a standard individual intervention program. RESULTS: Significant differences in the level of perceived security between the groups were found for 13 of 28 occupations. Participants in the health education group maintained or improved their level of perceived security in 22 daily occupations, whereas those in the individual intervention group declined to a lower level in 17 daily occupations. CONCLUSION: This study provides support for the effectiveness of the health education program to enhance security and hinder a progressive decline in perceived security in daily occupations.
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- Dahlin-Ivanoff, Synneve, 1950, et al.
(författare)
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Assistive devices in activities of daily living used by persons with age-related macular degeneration: a population study of 85-year-olds living at home.
- 2005
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Ingår i: Scandinavian journal of occupational therapy. - 1103-8128. ; 12:1, s. 10-7
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of this study was to investigate the overall use of assistive devices among persons with age-related macular degeneration (ARMD) and how it is related to dependence in daily activities. This was a retrospective, descriptive, cross-sectional population study of 85-year-olds. The most common category of assistive devices was bathing devices followed by mobility devices. The overall use of assistive devices was 82%, and around 80% of the device users were independent in activities of daily living. They were multiple device users (57%) and used more mobility devices and personal assistance in mobility. In conclusion, the ARMD group comprises very frequent users of assistive devices and uses assistive devices to remain independent. This implies that health services should provide assistive devices at an early stage in the disablement process to avoid the development of dependence and should consider the likelihood of multiple health problems when assessing the needs of assistive devices among persons with ARMD.
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- Dahlin-Ivanoff, Synneve, 1950, et al.
(författare)
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Changes in the use of assistive devices among 90-year-old persons.
- 2005
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Ingår i: Aging clinical and experimental research. - 1594-0667. ; 17:3, s. 246-51
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND AND AIMS: The growing numbers of elderly people are expected to lead to an increasing demand for assistive devices. The purpose of this study was to examine changes in the use of assistive devices over time and their relation to dependence in daily activities among 90-year-old persons living at home. METHODS: This retrospective longitudinal study examined the 90-year-old population at the ages of 85 and 90, and 195 persons participated. RESULTS: 92% of the 90-year-old population used assistive devices at the age of 90, compared with 74% at the age of 85. Between this interval, 19% became new users, 73% were permanent users, and 7% did not make any use of assistive devices. There was a significantly higher proportion of device-users among those who were dependent in both personal daily activities (PADL) and instrumental activities of daily living (IADL) (98.5%, p < 0.001) and among those who were dependent in IADL (94%, p < 0.001) compared with those who were independent in ADL (72%). At the age of 90, bathing and mobility devices were the most frequently used. Mobility devices such as walking-frames and wheel-chairs were the most widely distributed devices in this group. CONCLUSIONS: The use of assistive devices increases with age, very few 90-year-olds remain nonusers at age 90, and the multiple use of assistive devices at 90 years of age is very common. This complexity put great demands on health care services, and highly skilled professionals are needed to meet these demands.
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- Dahlin-Ivanoff, Synneve, 1950, et al.
(författare)
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Development of an ADL instrument targeting elderly persons with age-related macular degeneration.
- 2001
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Ingår i: Disability and rehabilitation. - 0963-8288. ; 23:2, s. 69-79
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: In order to estimate the needs of early intervention in a health education program, an ADL instrument measuring feelings of (in)security was needed. The instrument was intended to detect early signs of decline and to evaluate ADL performance among persons with AMD. An evaluative instrument must have a high level of responsiveness, which is the ability to detect true changes over time but must also show a high level of intra-individual agreement in a test-retest assessment. PURPOSE: The purpose of this study was to develop an ADL instrument for evaluative purposes and to establish the reliability and the responsiveness of the instrument. METHOD: The target group comprised all persons referred by an ophthalmologist for low vision rehabilitation, 65 years and older, living at home, with aged-related macular degeneration as the primary diagnosis and with distance visual acuity of the better eye with best correction not lower than 0.1. A non-parametric statistical method that is developed for paired ordered parametrical data was applied in order to measure the systematic and occasional intra-rater disagreement separately and to measure the responsiveness. CONCLUSION: The test-retest study showed that the ADL-instrument had a high level of test-retest stability, which is a condition for responsiveness. The instrument was found to be responsive. It could therefore detect true longitudinal changes and be used for evaluative purposes targeting elderly with AMD.
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- Dahlin-Ivanoff, Synneve, 1950, et al.
(författare)
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Du behöver inte känna dig osäker
- 2009
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Ingår i: Livslots för seniorer. Dahlin Ivanoff S, redaktör. - : Vårdalinstitutet 2009. ; , s. 85-92
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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- Dahlin-Ivanoff, Synneve, 1950, et al.
(författare)
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Occupational therapy research on assistive technology and physical environmental issues: a literature review.
- 2006
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Ingår i: Canadian journal of occupational therapy. Revue canadienne d'ergothérapie. - 0008-4174. ; 73:2, s. 109-19
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Forskningsöversikt (refereegranskat)abstract
- BACKGROUND: To determine future directions for research in the area of assistive technology and physical environmental issues, it is important to have an understanding of prior research. PURPOSE: This literature review examined how assistive technology and physical environmental issues have been studied in the research published in international peer-reviewed occupational therapy journals. METHOD: Five recent volumes of nine journals were manually searched utilizing specific criteria. The publications were classified according to their perspective, application of the Person-Environment-Occupation (PEO) model, and the research design. RESULTS: Both research fields demonstrated use of different research methods and they displayed equal needs with regard to improved research methodologies. PRACTICE IMPLICATIONS: There are a lack of studies involving all three PEO components indicating a lack of research in occupational performance issues. Further research on occupational performance is important for developing occupational therapy practice in the area of assistive technology and physical environmental issues. Furthermore, study designs reflecting the societal level in all three PEO components are required. Finally, there is a strong need for conceptual and theoretical development in both fields.
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- Dahlin-Ivanoff, Synneve, 1950, et al.
(författare)
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Use of assistive devices in daily activities among 85-year-olds living at home focusing especially on the visually impaired.
- 2004
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Ingår i: Disability and rehabilitation. - : Informa UK Limited. - 0963-8288 .- 1464-5165. ; 26:24, s. 1423-30
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: The purpose was to investigate the use of assistive devices in daily activities and its relation to daily activities. METHOD: 85-year-old persons (n = 617) were studied in a descriptive, cross-sectional population study. RESULTS: The overall use of assistive devices was 77% in the total population of 85-year-old persons and the results show that persons who have visual impairment use more assistive devices. The most common category of assistive devices in the population was connected with bathing followed by mobility devices. The majority of the assistive device users in all groups were independent in both instrumental (I-ADL) and personal daily activities (P-ADL). There was a statistically significant higher proportion of device users who were independent in daily activities in the normal vision group compared to the visual impairment groups. There was already a significant difference in the use of assistive devices at a visual acuity level of 0.7-0.5 compared to participants with normal vision. CONCLUSION: The results show that it is imperative to provide intervention such as assistive devices in P and I-ADL earlier in the disablement process in order to slow down the progression of decline, as persons with visual impairment are at high risk of developing disability.
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- Eklund, Kajsa, 1952, et al.
(författare)
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A cost-effectiveness analysis of a health education programme for elderly persons with age-related macular degeneration: a longitudinal study.
- 2005
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Ingår i: Disability and rehabilitation. - : Informa UK Limited. - 0963-8288 .- 1464-5165. ; 27:20, s. 1203-12
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: To analyse the cost-effectiveness of the activity-based Health Education Programme 'Discovering New Ways' versus a standard Individual Programme. METHOD: Two-hundred and twenty-nine persons were randomized to either the Health Education Programme or an Individual Programme. The present study is based on 131 persons who participated in the 28-month follow-up. Costs for the low vision clinic were documented prospectively along with external costs. A cost-effectiveness analysis was done using cases with an improved level of perceived security in daily activities as the effectiveness measure. RESULTS: The Health Education Programme led to significantly more cases with an improved level of perceived security (45 vs. 10%, CI 95%: 21-49, p value < 0.001) and the total social cost per treatment was lower (28,004 vs. 36,341 SEK). Taken separately the low vision clinic costs were slightly higher due to a higher prescription of assistive devices, but external costs were lower for the Health Education Programme compared to the Individual Programme, though neither of these differences was statistically significant. CONCLUSION: The results suggest that replacing the standard Individual Programme with the Health Education Programme 'Discovering New Ways' is cost-effective as more persons experience increased security to a lesser total cost.
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