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| 2. |
- Jonsson, Oskar, et al.
(författare)
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Transformation av kunskap om åldrande och hälsa i samverkan med parter utanför akademin : erfarenheter från fyra forskningscentrum
- 2024
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Ingår i: äic Vetenskapligt supplement. - : Stiftelsen Äldrecentrum. - 2003-9069. ; 4:1, s. 15-32
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Tidskriftsartikel (refereegranskat)abstract
- För att överbrygga gapet mellan forskning och praktik har initiativ för att transformera kunskap blivit allt viktigare. Med transformation av kunskap avser vi förhållningssätt och aktiviteter där forskare och andra samhällsaktörer samverkar för att syntetisera, utbyta, skapa, överföra och tillämpa kunskap för att öka den praktiska användningen av forskningsresultat och därmed främja hälsa och välfärd. Denna studie är genomförd inom programmet UserAge – ett samarbete mellan fyra forskningscentrum – och bygger på självgranskning, med syftet att beskriva erfarenheter av att transformera kunskap. Data utgjordes av dokument, intervjuer, återkoppling och seminarier med företrädare för de fyra forskningscentrumen och parter utanför akademin. Vi redogör för gynnsamma strategier för samordning av forskningssamverkan som främjar hälsa och välfärd: ömsesidighet, öppenhet och inkludering. Resultaten visar att det krävs mötesplatser, resurser, tid, vägledning och stöd, samt engagemang från både forskare och parter utanför akademin.
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| 3. |
- Löfqvist, Charlotte, et al.
(författare)
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Doctoral students’ experiences of being affiliated with an interdisciplinary graduate school in aging and health
- 2024
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Ingår i: Teaching in Higher Education. - : Taylor & Francis. - 1356-2517 .- 1470-1294. ; 29:2, s. 502-517
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Tidskriftsartikel (refereegranskat)abstract
- The aim is to describe the development of a novel interdisciplinary graduate school, using the Swedish National Graduate School for Competitive Science on Ageing and Health (SWEAH) as a case example. We explore doctoral students’ perceptions of being part of SWEAH and provide implications for practice. Written self-reports reflecting 78 students’ experiences and perceptions were analyzed using thematic analysis. The findings reveal that affiliation with SWEAH is highly valued. The students emphasized the tailored courses and learning activities and reported that it was instrumental in deepening their knowledge and broadening their research perspectives. The findings demonstrate how students navigate between disciplinary and interdisciplinary contexts and become enculturated with intellectual mindset and understanding of the importance of network building. The graduate school adds an interdisciplinary layer of learning, influenced by peers and researchers, and demonstrates the importance of community building within interdisciplinary environments and how it can be achieved.
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| 4. |
- Maini Gerhardsson, Kiran, et al.
(författare)
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Light, activity, and sleep: Design and usability evaluations of a web-based course supporting changes to routines and the home
- 2024
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Ingår i: International Journal of Population Studies. - 2424-8150. ; 10:2, s. 27-43
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Tidskriftsartikel (refereegranskat)abstract
- While research indicates that indoor lighting, exposure to daylight, physical activity, and sleep interact to influence functioning, mood, and daily rhythm, strategies are needed to support behavioral changes among older adults who often spend more time at home after retirement. The objective was to design a web-based course to encourage behavior change related to light, activity, and sleep. Grounded in the information-motivation-behavioral skills model, the course aims to promote well-being and improve lighting and darkness conditions at home. The technology acceptance model was used as a framework for evaluating usability aspects of the course. Data were collected through video observations, interviews, and questionnaires. Three experts on pedagogy, design for older adults, and/or interaction design were invited to independently assess usability of the course content in a full-scale model of an apartment. Six adults (age 70 – 79) participated in a similar usability evaluation in a second round in the apartment. A two-step usability evaluation by experts in the first round and target users in the second proved valuable. Findings enabled refinement of the course content and significantly reduced the number of identified usability issues in the second round. All six participants in the second round rated the overall user-friendliness as 6 out of 7. Changes to the content after the second round included, e.g., clarifying the different types of text links and considering issues with online enrolment in the course. The web-based course, supplemented with physical meetings, can benefit late-life learners because of the relevant easy-to-use content.
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| 5. |
- Offerman, Jens, et al.
(författare)
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Self-reported changes in use of and attitudes toward ICT in three generations in Sweden during the early phase of the COVID-19 pandemic
- 2024
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Ingår i: Gerontology and geriatric medicine. - : Sage Publications. - 2333-7214. ; 10
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Tidskriftsartikel (refereegranskat)abstract
- COVID-19 has affected the daily activities of people worldwide. Recommendations introduced to reduce the spread of the virus led to increased use of Information and Communication Technologies (ICT) to meet everyday needs. Such rapid digitalization had not been seen previously and not been possible to study before. Hence, this study aimed to identify and describe self-reported changes in usage of and attitudes toward ICT among three generations in Sweden during the early phase of the COVID-19 pandemic. Additionally, it aimed to identify whether and how belonging to a specific generation was related to these changes. A national cross-sectional survey was conducted in June 2020 with a final sample of N?=?3,000, stratified into three generations (30?39, 50?59, and 70?79-year-old persons). A majority reported using digital technology more often than before the pandemic. Compared to the youngest generation, the oldest and middle-aged generations reported that they used digital technology more often than before the pandemic. Our results show which technologies were considered essential for different generations during the early phase of the pandemic. This information can be used to guide policy makers based on knowledge concerning the needs and demands for digital technologies in everyday life among people of different ages.
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| 6. |
- Ringsten, Martin, et al.
(författare)
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Interventions to improve outdoor mobility among adults with disability.
- 2024
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Ingår i: Campbell Systematic Reviews. - 1891-1803. ; 20:2, s. 1-78
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Forskningsöversikt (refereegranskat)abstract
- BackgroundAround 15% of the global population live with some form of disabilities and experience worse health outcomes, less participation in the community and are part of fewer activities outside the home. Outdoor mobility interventions aim to improve the ability to move, travel and orient outside the home and could influence the number of activities outside the home, participation and quality of life. However, outdoor mobility interventions may also lead to harm like falls or injuries or have unforeseen effects which could lead to mortality or hospitalization.ObjectivesTo assess the efficacy of interventions aiming to improve outdoor mobility for adults living with disabilities and to explore if the efficacy varies between different conditions and different intervention components.Search MethodsStandard, extensive Campbell search methods were used, including a total of 12 databases searched during January 2023, including trial registries.Selection CriteriaOnly randomized controlled trials were included, focusing on people living with disabilities, comparing interventions to improve outdoor mobility to control interventions as well as comparing different types of interventions to improve outdoor mobility.Data Collection and AnalysisStandard methodological procedures expected by Campbell were used. The following important outcomes were 1. Activity outside the home; 2. Engagement in everyday life activities; 3. Participation; 4. Health-related Quality of Life; 5. Major harms; 6. Minor harms. The impact of the interventions was evaluated in the shorter (≤6 months) and longer term (≥7 months) after starting the intervention. Results are presented using risk ratios (RR), risk difference (RD), and standardized mean differences (SMD), with the associated confidence intervals (CI). The risk of bias 2-tool and the GRADE-framework were used to assess the certainty of the evidence.Main ResultsThe screening comprised of 12.894 studies and included 22 studies involving 2.675 people living with disabilities and identified 12 ongoing studies. All reported outcomes except one (reported in one study, some concerns of bias) had overall high risk of bias. Thirteen studies were conducted in participants with disabilities due to stroke, five studies with older adults living with disabilities, two studies with wheelchair users, one study in participants with disabilities after a hip fracture, and one study in participants with cognitive impairments.Skill training interventions versus control interventions (16 studies)The evidence is very uncertain about the benefits and harms of skill training interventions versus control interventions not aimed to improve outdoor mobility among all people living with disabilities both in the shorter term (≤6 months) and longer term (≥7 months) for Activity outside the home; Participation; Health-related Quality of Life; Major harms; and Minor harms, based on very low certainty evidence. Skill training interventions may improve engagement in everyday life activities among people with disabilities in the shorter term (RR: 1.46; 95% CI: 1.16 to 1.84; I2 = 7%; RD: 0.15; 95% CI: −0.02 to 0.32; I2 = 71%; 692 participants; three studies; low certainty evidence), but the evidence is very uncertain in the longer term, based on very low certainty evidence. Subgroup analysis of skill training interventions among people living with disabilities due to cognitive impairments suggests that such interventions may improve activity outside the home in the shorter term (SMD: 0.44; 95% CI: 0.07 to 0.81; I2 = NA; 118 participants; one study; low certainty evidence). Subgroup analysis of skill training interventions among people living with cognitive impairments suggests that such interventions may improve health-related quality of life in the shorter term (SMD: 0.49; 95% CI: 0.12 to 0.88; I2 = NA; 118 participants; one study; low certainty evidence).Physical training interventions versus control interventions (five studies)The evidence is very uncertain about the benefits and harms of physical training interventions versus control interventions not aimed to improve outdoor mobility in the shorter term (≤6 months) and longer term (≥7 months) for: Engagement in everyday life activities; Participation; Health-related Quality of Life; Major harms; and Minor harms, based on very low certainty evidence. Physical training interventions may improve activity outside the home in the shorter (SMD: 0.35; 95% CI: 0.08 to 0.61; I2 = NA; 228 participants; one study; low certainty evidence) and longer term (≥7 months) (SMD: 0.27; 95% CI: 0.00 to 0.54; I2 = NA; 216 participants; one study; low certainty evidence).Comparison of different outdoor mobility interventions (one study)The evidence is very uncertain about the benefits and harms of outdoor mobility interventions of different lengths in the shorter term (≤6 months) and longer term (≥7 months) for Activity outside the home; Engagement in everyday life activities; Participation; Health-related Quality of Life; Major harms; and Minor harms, based on very low certainty evidence. No studies explored the efficacy of other types of interventions.Authors’ ConclusionsTwenty-two studies of interventions to improve outdoor mobility for people living with disabilities were identified, but the evidence still remains uncertain about most benefits and harms of these interventions, both in the short- and long term. This is primarily related to risk of bias, small underpowered studies and limited reporting of important outcomes for people living with disabilities. For people with disabilities, skill training interventions may improve engagement in everyday life in the short term, and improve activity outside the home and health-related quality of life for people with cognitive impairments in the short term. Still, this is based on low certainty evidence from few studies and should be interpreted with caution. One study with low certainty evidence suggests that physical training interventions may improve activity outside the home in the short term. In addition, the effect sizes across all outcomes were considered small or trivial, and could be of limited relevance to people living with disabilities. The evidence is currently uncertain if there are interventions that can improve outdoor mobility for people with disabilities, and can improve other important outcomes, while avoiding harms. To guide decisions about the use of interventions to improve outdoor mobility, future studies should use more rigorous design and report important outcomes for people with disabilities to reduce the current uncertainty.
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| 7. |
- Slaug, Björn, et al.
(författare)
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Estimating Accessibility Problems in the Swedish Housing Stock Using Citizen Science : The Housing Experiment 2021
- 2024
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Ingår i: Journal of Applied Gerontology. - 0733-4648.
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Tidskriftsartikel (refereegranskat)abstract
- Accessible housing for the aging population is important, but large-scale reliable information on accessibility problems in ordinary housing is lacking. This study aimed to describe the prevalence of environmental barriers and analyze potential accessibility problems in the Swedish housing stock and to evaluate the validity and representativeness of housing data collected in a citizen science project. Data on environmental barriers in 1181 dwellings were collected by members of the public. Prevalence of barriers and potential accessibility problems were analyzed using descriptive statistics and ranking methodology. Validity and representativeness were addressed by comparisons with public statistics and research, and analysis of data properties. It was found there are substantial numbers of environmental barriers in dwellings across Sweden that generate accessibility problems for people with functional limitations. The results suggest that with user-friendly data collection tools and instructions, data validity and representativeness can be achieved in citizen science projects involving older adults.
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| 8. |
- Slaug, Björn, et al.
(författare)
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Meaning of home attenuates the relationship between functional limitations and active aging
- 2024
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Ingår i: Aging Clinical and Experimental Research. - : Springer. - 1594-0667 .- 1720-8319. ; 36:1
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Tidskriftsartikel (refereegranskat)abstract
- Background and aims: Active aging is the process through which people strive to maintain wellbeing when growing old. Addressing the lack of research on active aging in the context of housing, the aim was to describe active aging among people aged 55 and older considering relocation and investigate whether perceived housing moderates the relationship between functional limitations and active aging.Methods: We utilized cross-sectional data from a sub-sample (N = 820; mean age = 69.7; 54% women) of the Prospective RELOC-AGE. Functional limitations were reported using 10 dichotomous questions. Active aging was assessed with the University of Jyvaskyla Active Aging Scale (UJACAS; 17 items, self-rated for four perspectives). Perceived housing was self-rated with four usability questions and meaning of home (MOH; 28 items). Cross-sectional associations and interactions were analysed using linear regression models, adjusting for gender and educational level.Results: Each functional limitation decreased the active aging score by almost five points (p < 0.001). Usability did not moderate that relationship while MOH significantly attenuated the association between functional limitations and active aging (p = 0.039). Those with high MOH had two points less decrease in active aging score compared to those with low MOH.Discussion and conclusions: Having a home with more personal meaning attached to it seems to provide more ability and opportunity for meaningful activities, thus supporting active aging despite functional limitations. This sheds new light on the known association between MOH and different aspects of wellbeing in old age and has relevance for theory development, housing policies and housing counselling targeting younger older adults.
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| 9. |
- Wanka, Anna, et al.
(författare)
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Moving in together in later life : Making spaces into places as a joint endeavor
- 2024
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Ingår i: Journal of Aging Studies. - 0890-4065. ; 68
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Tidskriftsartikel (refereegranskat)abstract
- Background and objectives: We focus on the linkages between relocation, new forms of partner cohabitation, and retirement. What are the patterns and trajectories of moving in with a partner in retirement? How do older adults experience different transitions, place attachment, and placemaking when they move in with a partner? Research design and methods: In this qualitative study, 50 persons between 60 and 75 years old were interviewed in Sweden and Germany. For this paper, we focused on nine participants who experienced a relocation with a partner in retirement. Interviews were transcribed and analyzed using a strategy derived from social constructivist Grounded Theory and thematic analysis. Results: Research participants described experiences of several relocations and cohabitation trajectories. In particular, we identified two patterns of relocating with a partner in retirement: moving into a new place with a partner and moving into a partner's pre-existing home, the latter proving more challenging for forming place attachment and for the couple relationship. Relocation experiences appeared to form a joint process in which relationships and retirement were renegotiated. Discussion and implications: Using cross-cultural data, this novel study shows an unexpected diversity in housing and cohabitation trajectories among older adults. More research is needed to understand what “aging in the right place” with “the right person” really means and the role of life course trajectories and couple negotiations in such processes. Future research should focus on what comes before and after relocation rather than solely studying the decision-making process that leads up to a move.
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| 10. |
- Andersson, Nilla, et al.
(författare)
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Environmental barriers and housing accessibility problems for people with Parkinson’s disease : A three-year perspective
- 2023
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1103-8128 .- 1651-2014. ; 30:5, s. 661-672
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Tidskriftsartikel (refereegranskat)abstract
- Background: Although housing accessibility is associated with important health outcomes in other populations, few studies have addressed this in a Parkinson’s disease population. Aim: To determine the most severe environmental barriers in terms of housing accessibility problems and how these evolved over 3 years among people with Parkinson’s disease. Material and Methods: 138 participants were included (men = 67%; mean age = 68 years). The most severe environmental barrier were identified by the Housing Enabler instrument and ranked in descending order. The paired t-test was used to analyse changes in accessibility problems over time. Results: The top 10 barriers remained largely unchanged over 3 years, but with notable changes in order and magnitude. ‘No grab bar in hygiene area’ and ‘Stairs only route’ were top-ranked in generating accessibility problems at baseline but decreased significantly (p = 0.041; p = 0.002) at follow-up. ‘Difficulties to reach refuse bin’ was top-ranked at follow-up, with a significant increase (p < 0.001) of related accessibility problems. Conclusions and Significance: The new knowledge about how accessibility problems evolve over time could be used by occupational therapists to recommend more effective housing adaptations taking the progressive nature of Parkinson’s disease into account. On societal level, the results could be used to address accessibility problems systematically.
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