| 61. |
- Melander-Wikman, Anita, et al.
(författare)
-
Reflections on an appreciative approach to empowering elderly people in home healthcare
- 2006
-
Ingår i: Reflective Practice. - : Taylor & Francis. - 1462-3943 .- 1470-1103. ; 7:4, s. 423-443
-
Tidskriftsartikel (refereegranskat)abstract
- This is a reflective account of aspects of our collective concern about developing and sustaining ways that might enable elderly people to feel more empowered to exercise their right of self-determination. This work has been undertaken in the context of home healthcare in northern Sweden. In this paper we put three espoused values 'under pressure' from client, professional (homecare staff) and research perspectives. We also explore three aspects of the pictorial landscape of homecare (see Figure 1). They are the notions of client participation, empowerment and ICT. The living data for this paper is drawn from two days of workshop activities with 35 homecare staff working in the municipality of Lule, Sweden. The workshop was one outcome of the e-Home Health Care @ North Calotte (eHHC) Project of 2003-2005. We conclude with some collective reflections about: (a) the practice of participation (dialogue) and an intention of it (empowerment) in the context of clients accelerating service change; (b) how to reframe traditional views of the relationships between research and practice and, as a consequence, open up new possibilities for understanding how elderly people's lived experiences can be a positive force for service improvement; and (c) the use of storyboards as an appreciative approach to enable frontline staff to reflect on their work, share and learn together
|
|
| 62. |
- Melander-Wikman, Anita, et al.
(författare)
-
The MobiHealth usability evaluation questionnaire
- 2005
-
Ingår i: eHealth International. - 1476-3591. ; 2:1, s. 9-14
-
Tidskriftsartikel (refereegranskat)abstract
- There is a need for high quality evaluation instruments when testing new mobile devices and services. The aim of this study was to describe the development of the MobiHealth Usability Evaluation Questionnaire. It was developed in a step-wise consensus process with close interaction between researchers, technology developers and end-users. The questionnaire ten dimensions: functionality, user interface, effectiveness, efficiency, satisfaction, safety, functional and aspirational needs, mastery and empowerment, mobility and activity, quality of life and ethical considerations. These dimensions are defined and their usage as parameters in an evaluation instrument is discussed. The conclusion is that the MobiHealth Evaluation Questionnaire can be used as a basis for method development when evaluating mobile care and rehabilitative devices, but it should be tested for reliability before actual use.
|
|
| 63. |
|
|
| 64. |
- Lundborg, Glenn, et al.
(författare)
-
Test of anti-skid devices
- 1997
-
Ingår i: From experience to innovation. ; , s. 377-379
-
Konferensbidrag (refereegranskat)
|
|
| 65. |
- Eriksson, Lisbeth, et al.
(författare)
-
Physiotherapy at a distance : a controlled study of rehabilitation at home after a shoulder joint operation
- 2009
-
Ingår i: Journal of Telemedicine and Telecare. - : Sage Publications. - 1357-633X .- 1758-1109. ; 15:5, s. 215-220
-
Tidskriftsartikel (refereegranskat)abstract
- We explored the benefit of video communication in home rehabilitation after shoulder joint replacement and compared it to referral for physiotherapy in the conventional way. A total of 22 patients were included in the study. The intervention group (n = 10) had training at home under the supervision of a physiotherapist at the hospital using videoconferencing. The control group (n = 12) had physiotherapy training in a conventional way in their home town. All patients had the same postoperative, three-phase-programme for two months. The outcome measures were a Visual Analogue Scale (VAS) for pain, range of motion (ROM), shoulder function ability (Constant score and SRQ-S) and health-related quality of life (SF-36). Questions about areas of priority for improvement and general satisfaction with the shoulder were also included. The telemedicine group received a greater number of treatments compared to the control group. After the intervention, there were significant improvements in VAS-pain, Constant score and SRQ-S for both groups. The telemedicine group improved significantly more in all three measurements than the control group (P < 0.001 for all). When changes from baseline to follow-up were compared, the telemedicine group improved significantly more in terms of decrease in pain (P = 0.004) and vitality (P = 0.001) than the control group. Despite some limitations, there seem to be clear benefits from physiotherapy at a distance with a telemedicine technique that allows patients to obtain access to physiotherapy at home.
|
|
| 66. |
- Gronqvist, Raoul, et al.
(författare)
-
Human-centred approaches in slipperiness measurement
- 2001
-
Ingår i: Ergonomics. - : Informa UK Limited. - 0014-0139 .- 1366-5847. ; 44:13, s. 1167-1199
-
Tidskriftsartikel (refereegranskat)abstract
- A number of human-centred methodologies-subjective, objective, and combined-are used for slipperiness measurement. They comprise a variety of approaches from biomechanically-oriented experiments to psychophysical tests and subjective evaluations. The objective of this paper is to review some of the research done in the field, including such topics as awareness and perception of slipperiness, postural and balance control, rating scales for balance, adaptation to slippery conditions, measurement of unexpected movements, kinematics of slipping, and protective movements during falling. The role of human factors in slips and falls will be discussed. Strengths and weaknesses of human-centred approaches in relation to mechanical slip test methodologies are considered. Current friction-based criteria and thresholds for walking without slipping are reviewed for a number of work tasks. These include activities such as walking on a level or an inclined surface, running, stopping and jumping, as well as stair ascent and descent, manual exertion (pushing and pulling, load carrying, lifting) and particular concerns of the elderly and mobility disabled persons. Some future directions for slipperiness measurement and research in the field of slips and falls are outlined. Human-centred approaches for slipperiness measurement do have many applications. First, they are utilized to develop research hypotheses and models to predict workplace risks caused by slipping. Second, they are important alternatives to apparatus-based friction measurements and are used to validate such methodologies. Third, they are used as practical tools for evaluating and monitoring slip resistance properties of footwear, anti-skid devices and floor surfaces.
|
|
| 67. |
|
|
| 68. |
- Melander-Wikman, Anita, et al.
(författare)
-
Patient empowerment in rehabilitation : "somebody told me to get rehabilitated"
- 2006
-
Ingår i: Advances in Physiotherapy. - : Informa UK Limited. - 1403-8196 .- 1651-1948. ; 8:1, s. 23-32
-
Tidskriftsartikel (refereegranskat)abstract
- Within healthcare, there is a growing interest in patient influence and participation. The aim of this study is to describe patients' experience of participation in and influence on rehabilitation with the focus on physiotherapy. Interviews with patients from three different primary healthcare centres were conducted. The result indicated low patient participation in and influence on the rehabilitation process within the hospital. The informants trusted the competence of the caregivers and tried to be as compliant as possible. Their experiences were that training must be supported and followed up. Information about rights was requested. The informants felt that they were listened to and confirmed by the physiotherapists. The positive attitude was combined with low demands and a great feeling of gratitude as a matter of course. Using information and support from the physiotherapist, together with friends and next of kin, the informants had learned to cope with the new situation. In this paper, these results are understood and described in terms of the parallel process of rehabilitation, based on traditional and individual models, and implying that the patient copes with the situation by shifting between being compliant and adopting more self-regulatory behaviour, for example. Attitudes are changing in society and this study reflects the patient of today, and is confirmed by recent studies
|
|
| 69. |
|
|
| 70. |
- Melander-Wikman, Anita, et al.
(författare)
-
Safety vs. privacy : elderly persons' experiences of a mobile safety alarm
- 2008
-
Ingår i: Health & Social Care in the Community. - : Hindawi Limited. - 0966-0410 .- 1365-2524. ; 16:4, s. 337-346
-
Tidskriftsartikel (refereegranskat)abstract
- The demographic development indicates an increased elderly population in Sweden in the future. One of the greatest challenges for a society with an ageing population is to provide high-quality health and social care. New information and communication technology (ICT) and services can be used to further improve health care. To enable elderly persons to stay at home as long as possible, various kinds of technology, such as safety alarms, are used at home. The aim of this study was to describe the experiences of elderly persons through testing a mobile safety alarm and their reasoning about safety, privacy and mobility. The mobile safety alarm tested was a prototype in development. Five elderly persons with functional limitations and four healthy elderly persons from a pensioner's organisation tested the alarm. The mobile alarm with a drop sensor and a positioning device was tested for six weeks. This intervention was evaluated with qualitative interviews, and analysed with latent content analysis. The result showed four main categories: feeling safe, being positioned and supervised, being mobile and reflecting on new technology. From these categories, the overarching category "Safety and mobility are more important than privacy" emerged. The mobile safety alarm was perceived to offer an increased opportunity for mobility in terms of being more active and as an aid for self-determination. The fact that the informants were located by means of the positioning device was not experienced as violating privacy as long as they could decide how to use the alarm. Conclusions: This mobile safety alarm was experienced as a tool to be active and mobile. As a way to promote self-determination and empowerment, the individual has to make a "cost-benefit" analysis where privacy is sacrificed to the benefit of mobility and safety. The participants were actively contributing to the development process.
|
|
