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- Arola, Lea Annikki, 1961, et al.
(författare)
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Distribution and evaluation of sense of coherence among older immigrants before and after a health promotion intervention - results from the RCT study promoting aging migrants' capability
- 2018
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Ingår i: Clinical Interventions in Aging. - 1178-1998. ; 13, s. 2317-2328
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Tidskriftsartikel (refereegranskat)abstract
- Background: The migration process can be a threat to a person's sense of coherence (SOC) and to their ability to experience life as comprehensible, manageable, and meaningful. Seen from a salutogenic perspective, this may have a negative impact on the experience of health. Purpose: We describe the distribution of SOC and its components among older persons with an immigrant background now aging in Sweden. In addition, we evaluated whether a group-based health promotion program with a person-centered approach could support the SOC among older persons in this group. Materials and methods: A randomized controlled trial with postintervention follow-ups at 6 and 12 months was conducted with 131 independently living persons aged >= 70 years from Finland and the Balkan Peninsula. Participants were randomly allocated to an intervention group (4 weeks of group intervention and one follow-up home visit) and a control group (no intervention but access to ordinary health care services). The outcome measure was the SOC measured by SOC-13. Chi-square and ORs were calculated. Results: There was a significant improvement in total SOC scores for the intervention group at 6-month follow-up. Also, the ORs for the SOC components were higher in the person-centered intervention group. However, we found no significant between-group differences nor did the effect last until the 12-month follow-up. Conclusion: Persons who have lived a long time in a host country after migration seem to have a SOC similar to native-born persons. Interventions with a person-centered approach could support the SOC by capturing individual life situations. Such interventions could support older persons by making everyday life more comprehensible and manageable and helping them to cope with challenges in daily life caused by aging.
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| 3. |
- Arola, Lea Annikki, 1961, et al.
(författare)
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Impact of a person-centred group intervention on life satisfaction and engagement in activities among persons aging in the context of migration
- 2020
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1103-8128 .- 1651-2014. ; 27:4, s. 269-279
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Tidskriftsartikel (refereegranskat)abstract
- Background: There is a growing need to support the health and wellbeing of older persons aging in the context of migration. Objectives: We evaluated whether a group-based health promotion program with person-centred approach, maintained or improved life satisfaction and engagement in activities of older immigrants in Sweden. Methods: A randomised controlled trial with post-intervention follow-ups at 6 months and 1 year was conducted with 131 older independently living persons aged ≥70 years from Finland and the Balkan Peninsula. Participants were randomly allocated to an intervention group (4 weeks of group intervention and a follow-up home visit) and a control group (no intervention). Outcome measures were life satisfaction and engagement in activities. Chi-square and odds ratios were calculated. Results: The odds ratios for maintenance or improvement of life satisfaction (for social contact and psychological health) were higher in the person-centred intervention group. More participants in the intervention group maintained or improved their general participation in activities compared with the control group. However, no significant between-group differences were found. Conclusion: Person-centred interventions can support older person’s capability to maintain their health in daily life when aging in migration. Further research is needed with a larger sample and longer intervention period to determine the effectiveness of the intervention.
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| 4. |
- Arola, Lea Annikki, 1961, et al.
(författare)
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Occupational perspective of health among persons ageing in the context of migration
- 2018
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Ingår i: Journal of Occupational Science. - : Informa UK Limited. - 1442-7591 .- 2158-1576. ; 25:1, s. 65-75
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Tidskriftsartikel (refereegranskat)abstract
- In the context of migration, ageing is described as a negative stressor for subjective perceptions of health in everyday life. Most research has adopted a biomedical perspective. An occupational perspective of health was the starting point for this study. The aim was to explore how older persons from Finland who are ageing in Sweden experienced health from an occupational perspective. Qualitative interviews were conducted with 16 persons who had migrated from Finland to Sweden as labour immigrants several decades ago. The interviews were analysed and interpreted using a hermeneutic approach. Participants experienced health when they managed their daily life occupations. Health was also reinforced through affiliation with others who shared similar life situations. A key health resource was maintaining a sense of dual belonging to the country of birth and to the host country. The present study revealed that the experience of health could be seen as a continuum in time and place, which creates a sense of belonging and continuity in life. Connections between health and doing, being and becoming are fundamental aspects to consider when enabling health in everyday life among older persons ageing in the context of migration.
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| 5. |
- Arola, Lea Annikki, 1961, et al.
(författare)
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Viewing oneself as a capable person - experiences of professionals working with older Finnish immigrants
- 2017
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 31:4, s. 759-767
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Tidskriftsartikel (refereegranskat)abstract
- © 2016 Nordic College of Caring Science.The proportion of older immigrants in the population is expected to increase in Sweden. Research indicates that older immigrants face the double burden of frailty, caused by a weaker health status, and the immigration process. Health promotion interventions can be used to prevent frailty and support healthy ageing in this population. Healthcare professionals are a crucial part of health promotion and the present study aimed to explore healthcare professionals' experiences of health in context of daily life among older immigrants to and provide a basis for the development of a health promotion intervention targeted at older immigrants. Four focus group discussions were conducted with professionals who worked with home-dwelling older people from Finland, currently living in Sweden. Participants represented a variety of healthcare professions. Data were analysed using qualitative content analysis. The healthcare professionals perceived that health in daily life was (i) connected to the view of oneself as a capable person and (ii) participants strove to maintain their own origin. The findings highlighted that when planning for health promotion interventions for older immigrants, the point of departure should be to recognise the person as a person and the background of immigration is not the first issue to address. Therefore, a person-centred health promotion intervention is recommended to open a dialogue between healthcare professionals and older immigrants, so that a common view of the intervention can be reached.
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| 6. |
- Asaba, Eric, et al.
(författare)
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Reframing everyday occupation in the context of migration: Drawing on projects in Gothenburg & Stockholm
- 2012
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Ingår i: Occupation Diversity for the Future, 9th COTEC congress of Occupational therapy, 24 - 27 may, Stockholm.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Introduction: The topic of migration concerns many people with an immediate impact on culture, politics, education, and healthcare around the world. The geographical mobility associated with migration arguably challenges the form, function, and meaning of everyday occupations and thus has a direct impact upon peoples health. This workshop will tackle some of these topics by drawing on a series of ongoing community and intervention projects. Aims: to explore topics of everyday occupations in the context of migration from multiple perspectives. Methods: workshop consists of short presentations followed by groupwork. Outcomes: at the end of this workshop, participants will have: 1) Reflected on challenges concerning research in areas of migration and occupational therapy/occupational science, 2) applied concepts of diversity to own practice, 3) applied concepts and ideas from presentations through groupwork with a WFOT position paper, and 4) initiated contact with occupational therapists from around the world who share common interests.
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| 7. |
- Bergqvist, Lena, 1958, et al.
(författare)
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Mötet som ger möjligheter - arbetsterapeutens erfarenheter
- 2017
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Ingår i: Persson H-I., Javinger M., Ekman I. (Eds) Personcentrerad hälso- och sjukvård: rapport från verkligheten. - : Liber. - 9789147113316
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 8. |
- Dahlin-Ivanoff, Synneve, 1950, et al.
(författare)
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For whom is a health-promoting intervention effective? : Predictive factors for performing activities of daily living independently
- 2016
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Ingår i: BMC Geriatrics. - : BioMed Central. - 1471-2318 .- 1471-2318. ; 16
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Tidskriftsartikel (refereegranskat)abstract
- Background: Health-promoting interventions tailored to support older persons to remain in their homes, so-called “ageing in place” is important for supporting or improving their health. The health-promoting programme “Elderly Persons in the Risk Zone,” (EPRZ) was set up for this purpose and has shown positive results for maintaining independence in activities of daily living for older persons 80 years and above at 1- and 2 year follow-ups. The aim of this study was to explore factors for maintaining independence in the EPRZ health-promoting programme. Methods: Total of 459 participants in the original trial was included in the analysis; 345 in the programme arm and 114 in the control arm. Thirteen variables, including demographic, health, and programme-specific indicators, were chosen as predictors for independence of activities of daily living. Logistic regression was performed separately for participants in the health promotion programme and in the control arm. Results: In the programme arm, being younger, living alone and self-rated lack of tiredness in performing mobility activities predicted a positive effect of independence in activities of daily living at 1-year follow-up (odds ratio [OR] 1.18, 1.73, 3.02) and 2-year, (OR 1.13, 2.01, 2.02). In the control arm, being less frail was the only predictor at 1-year follow up (OR 1.6 1.09, 2.4); no variables predicted the outcome at the 2-year follow-up. Conclusions: Older persons living alone - as a risk of ill health - should be especially recognized and offered an opportunity to participate in health-promoting programmes such as “Elderly Persons in the Risk Zone”. Further, screening for subjective frailty could form an advantageous guiding principle to target the right population when deciding to whom health-promoting intervention should be offered. Trial registration: The original clinical trial was registered at ClinicalTrials.gov. Identifier: NCT00877058 , April 6, 2009.
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| 10. |
- Dahlin-Ivanoff, Synneve, 1950, et al.
(författare)
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Vardagsaktivitet och stöd för att kunna bo kvar hemma
- 2012
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Ingår i: Äldres hälsa : ett sjukgymnastiskt perspektiv / Elisabeth Rydwik (red.). - Lund : Studentlitteratur. - 9144073127
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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