SwePub
Sök i SwePub databas

  Utökad sökning

Träfflista för sökning "WFRF:(Olsson Lillemor Lundin) "

Sökning: WFRF:(Olsson Lillemor Lundin)

Sortera/gruppera träfflistan
   
NumreringReferensOmslagsbildHitta
11.
  • Bråndal, Anna, 1966- (författare)
  • Rehabilitation after stroke with focus on early supported discharge and post-stroke fatigue
  • 2016
  • Doktorsavhandling (övrigt vetenskapligt)abstract
    • <p><strong>Background</strong> Stroke is a major cause of disability worldwide. After treatment in a specialized stroke unit, early supported discharge (ESD) followed by home rehabilitation has shown to be an effective way to improve patient outcome and quality of care for persons with mild to moderate stroke. ESD service is recommended in the national and international guidelines for stroke care, but has only partially been implemented in Sweden. Following stroke, fatigue is a common consequence that often becomes more evident when the patient comes home. Currently, there is insufficient evidence about how to measure, treat and handle post-stroke fatigue. The overall aim of this thesis was to evaluate and implement early supported discharge (ESD) based on stroke patients experience after discharge from the stroke unit and local conditions. The aim was also to evaluate post-stroke fatigue with a potentially valid and reliable scale and finally to prepare for a study to evaluate cardiorespiratory training as a part of ESD service for patients with post-stroke fatigue.</p><p><strong>Methods</strong> In paper I, nine strategically chosen patients were interviewed of their experience of falling ill, the hospital stay, discharge, contact with health care after discharge and their request of support. Papers II-III describe and evaluate the development, content, implementation and effects of a locally adopted method for early supported discharge (Umeå Stroke Center ESD) in modern stroke care. Paper II included 153 consecutive patients and paper III, 30 232 patients with first-ever stroke registered in the Riksstroke registry in Sweden. Paper II evaluated number of patients/year, clinical and functional health status, satisfaction in relation to needs, accidental falls/other injuries and resources with the result summarized in a value compass. The implementation process was evaluated retrospectively by means of Consolidated Framework for Implementation (CFIR). Paper III evaluated patient reported outcome measurements (PROMs) at 3 months. The primary outcome in paper III was satisfaction with the rehabilitation after discharge. Secondary outcomes were information about stroke provided, tiredness/fatigue, pain, dysthymia/depression, general health status and dependence in activities of daily living (mobility, toilet hygiene and dressing). Multivariable logistic regression models for each PROM was used to analyze associations between PROMs and ESD/no ESD. In Paper IV, the Fatigue Assessment scale (FAS) was translated into Swedish and evaluated regarding psychometric properties when self-administered by persons with mild to moderate stroke. 72 consecutively patients selected from the stroke unit admission register received a letter including three questionnaires: the FAS, the Short Form Health Survey (SF-36) subscale for vitality and the Geriatric Depression Scale GDS-15. A second letter with FAS was sent within 2 weeks, for re-test evaluation. Paper V is a study protocol for a planned randomized controlled trial (RCT) of 50 consecutive stroke patients will who receive stroke unit care followed by ESD-service at Umeå Stroke Center, University Hospital, Umeå, Sweden. Paper V will investigate if a structured cardiorespiratory interval training program (CITP) added to the ESD-service may result in relieved post-stroke fatigue and increased oxygen uptake.</p><p><strong>Results</strong> The interviews in Paper I revealed three main categories with subcategories: “Responsible and implicated”, “Depersonalized object for caring measures” and “The striving for repersonalization and autonomy”. The findings indicate that coming home gave the informants’ important insights and understanding of the stroke, its consequences and was also an important factor for the recovery. Paper II-III showed that it is possible to develop and implement an adapted ESD service for stroke patients based on the patients’ experiences and requests, evidence-based recommendations and local conditions. The ESD service reduced dependence of activity, increased mobility with seemingly no increased risk of accidental falls or other injuries. The patient satisfaction in relation to needs regarding the ESD was high. Paper III showed that patients that received ESD were more satisfied with rehabilitation after discharge, had less need for assistance with ADL and less dysthymia/depression compared to patients that did not receive ESD. Study IV showed that the Swedish FAS used at home as a selfadministered questionnaire is a reliable and valid questionnaire for measuring fatigue in persons with mild to moderate stroke. The internal consistency was good, the agreement between the test and retest reliability for individual items (weighted kappa) was for the majority of items good or moderate. The relative reliability for total scores was good and the absolute reliability was 9 points. The Swedish FAS had no floor nor ceiling effects and correlated both with the SF-36, subscale for vitality and the GDS-15 indicating convergent construct validity, but not divergent construct validity.</p><p><strong>Conclusion</strong> It is possible to develop and implement ESD care for stroke patients based on patients’ experience and needs, evidence-based principles and local conditions. Early supported discharge (ESD) in the setting of modern stroke unit care appears to have positive effects on rehabilitation in the subacute phase. The Swedish FAS used at home as a self-administered questionnaire is reliable and valid for measuring fatigue in persons with mild to moderate stroke.</p>
  •  
12.
  • Bråndal, Anna, 1966-, et al. (författare)
  • Reliability and validity of the Swedish Fatigue Assessment Scale when self-administrered by persons with mild to moderate stroke
  • 2016
  • Ingår i: Topics in Stroke Rehabilitation. - 1074-9357 .- 1945-5119. ; 23:2, s. 90-97
  • Tidskriftsartikel (refereegranskat)abstract
    • <p><strong>Objective:</strong> To examine internal consistency, test-retest reliability, floor/ceiling effects and construct validity of the Fatigue Assessment Scale (FAS), when self-administrated by persons with mild to moderate stroke.</p><p><strong>Method:</strong> The FAS was translated into Swedish and tested for psychometric properties when self-administrated by persons with mild to moderate stroke. Participants, consequently selected from the stroke unit admission register received a letter with three questionnaires: the FAS, Short Form Health Survey (SF-36) subscale for vitality and Geriatric Depression Scale, GDS-15. Within two weeks, a second letter with FAS was sent for re-test.</p><p><strong>Result:</strong> Seventy-tree persons with mild to moderate stroke participated in the study. Internal consistency was good (Cronbach’s alpha 0.82). The test and retest reliability of individual items showed that five items out of 10 items were good (weighted kappa &gt; 0.60), four were moderate (0.40-0.60), and one was fair (0.22). The relative reliability between total scores was good (ICC <sub>3.1</sub> = 0.73) and the absolute reliability was nine points, meaning that a change of at least nine points in total score implies a real change of fatigue level. Correlation analysis showed that the Swedish FAS correlated with the SF-36 subscale for vitality (r<sub>s</sub> = - 0.73) and GDS-15 (r<sub>s</sub> = 0.62), suggesting convergent construct validity. There were no floor or ceiling effects.</p><p><strong>Conclusion:</strong> The Swedish translation of the FAS used as a self-administrated questionnaire is reliable and valid for measuring fatigue in persons with mild to moderate stroke.</p>
  •  
13.
  • Carlsson, Maine, 1955-, et al. (författare)
  • Effects of high-intensity exercise and protein supplement on muscle mass in ADL dependent older people with and without malnutrition : a randomized controlled trial
  • 2011
  • Ingår i: The Journal of Nutrition, Health & Aging. - 1279-7707 .- 1760-4788. ; 15:7, s. 554-560
  • Tidskriftsartikel (refereegranskat)abstract
    • <p><strong>Background  </strong>Loss of muscle mass is common among old people living in institutions but trials that evaluate interventions aimed at increasing the muscle mass are lacking.</p> <p><strong>Objective, participants and intervention</strong>  This randomized controlled trial was performed to evaluate the effect of a high-intensity functional exercise program and a timed protein-enriched drink on muscle mass in 177 people aged 65 to 99 with severe physical or cognitive impairments, and living in residential care facilities.</p> <p><strong>Design  </strong>Three-month high-intensity exercise was compared with a control activity and a protein-enriched drink was compared with a placebo drink. A bioelectrical impedance spectrometer (BIS) was used in the evaluation. The amount of muscle mass and body weight (BW) were followed-up at three and six months and analyzed in a 2 × 2 factorial ANCOVA, using the intention to treat principle, and controlling for baseline values.</p> <p><strong>Results  </strong>At 3-month follow-up there were no differences in muscle mass and BW between the exercise and the control group or between the protein and the placebo group. No interaction effects were seen between the exercise and nutritional intervention. Long-term negative effects on muscle mass and BW was seen in the exercise group at the 6-month follow-up.</p> <p><strong>Conclusion  </strong>A three month high-intensity functional exercise program did not increase the amount of muscle mass and an intake of a protein-enriched drink immediately after the exercise did not induce any additional effect on muscle mass. There were negative long-term effects on muscle mass and BW, indicating that it is probably necessary to compensate for an increased energy demand when offering a high-intensity exercise program.</p>
  •  
14.
  • Conradsson, Mia, et al. (författare)
  • Berg Balance Scale : intrarater test-retest reliability among older people dependent in activities of daily living and living in residential care facilities
  • 2007
  • Ingår i: Physical Therapy. - 0031-9023 .- 1538-6724. ; 87:9, s. 1155-1163
  • Tidskriftsartikel (refereegranskat)abstract
    • <p>The Berg Balance Scale (BBS) is frequently used to assess balance in older people, but knowledge is lacking about the absolute reliability of BBS scores. The aim of this study was to investigate the absolute and relative intrarater test-retest reliability of data obtained with the BBS when it is used among older people who are dependent in activities of daily living and living in residential care facilities. The participants were 45 older people (36 women and 9 men) who were living in 3 residential care facilities. Their mean age was 82.3 years (SD=6.6, range=68-96), and their mean score on the Mini Mental State Examination was 17.5 (SD=6.3, range=4-30). The BBS was assessed twice by the same assessor. The intrarater test-retest reliability assessments were made at approximately the same time of day and with 1 to 3 days in between assessments. Absolute reliability was calculated using an analysis of variance with a 95% confidence level, as suggested by Bland and Altman. Relative reliability was calculated using the intraclass correlation coefficient (ICC). The mean score was 30.1 points (SD=15.9, range=3-53) for the first BBS test and 30.6 points (SD=15.6, range=4-54) for the retest. The mean absolute difference between the 2 tests was 2.8 points (SD=2.7, range=0-11). The absolute reliability was calculated as being 7.7 points, and the ICC was calculated to .97. Despite a high ICC value, the absolute reliability showed that a change of 8 BBS points is required to reveal a genuine change in function among older people who are dependent in activities of daily living and living in residential care facilities. This knowledge is important in the clinical setting when evaluating an individual's change in balance function over time in this group of older people.</p>
  •  
15.
  •  
16.
  • Conradsson, Mia, et al. (författare)
  • The Berg Balance Scale : Intra-rater reliability in older people dependent in ADL and living in residential care facilities
  • 2006
  • Konferensbidrag (övrigt vetenskapligt)abstract
    • <p>Aim: The aim of this study was to investigate the absolute and the relative intra-rater reliability of the Berg Balance Scale (BBS) among older people who are dependent in activities of daily living (ADL) and living in residential care facilities.Methods: The participants were 45 older people, 36 females and 9 men, who were dependent in ADL and living in three residential care facilities. Their mean age ± SD was 82.3 ± 6.6 (range 68-96) and mean ± SD of Mini Mental State Examination score was 17.5 ± 6.3 (range 4-30). The BBS was assessed twice by the same assessor, at approximately the same time of day, and with 1-3 days in between. The absolute reliability for the difference in score between the two test occasions was calculated with the Bland and Altman analysis of variance with 95 % confidence level. The relative reliability was calculated with Intraclass Correlation Coefficient (ICC).Results: For the first test of the BBS, mean ± SD was 30.1 ± 15.9 (range 3-53) points and for the retest 30.6 ± 15.6 (range 4-54). The absolute difference between the two test occasions was in mean ± SD 2.8 ± 2.7 (range 0-11) points. The absolute intra-rater reliability was calculated to 7.7 points and the ICC value was 0.97. Conclusions: Despite a high ICC value, the result of the absolute reliability show that a change of 8 BBS points is required to reveal a genuine change of function among older people who are dependent in ADL and living in residential care facilities. This knowledge is important in the clinical setting when evaluating an individual's change in balance function over time.</p>
  •  
17.
  •  
18.
  •  
19.
  •  
20.
  •  
Skapa referenser, mejla, bekava och länka
Åtkomst
fritt online (36)
Typ av publikation
tidskriftsartikel (100)
konferensbidrag (26)
doktorsavhandling (11)
annan publikation (9)
rapport (8)
bokkapitel (8)
visa fler...
bok (1)
visa färre...
Typ av innehåll
refereegranskat (112)
övrigt vetenskapligt (70)
populärvet., debatt m.m. (5)
Författare/redaktör
Lundin-Olsson, Lille ... (142)
Rosendahl, Erik, (67)
Gustafson, Yngve, (62)
Nyberg, Lars, (41)
Lindelöf, Nina, (23)
Littbrand, Håkan, (23)
visa fler...
Melander-Wikman, Ani ... (20)
Ahlgren, Christina, (15)
Bergvall-Kåreborn, B ... (15)
Eriksson, Staffan, (12)
Kallin, Kristina, (11)
Håglin, Lena (9)
Åberg, Anna Cristina ... (9)
Lindgren, Helena, (8)
von Heideken Wågert, ... (7)
Lundman, Berit, (6)
Backman, Anders (6)
Sondell, Björn, (6)
Stenvall, Michael, (6)
Lundin-Olsson, Lille ... (6)
Norberg, Astrid, (5)
Bucht, Gösta, (5)
Maxhall, Marcus, (5)
Nygren, Björn, (5)
Gunnarsdottir, Elin ... (4)
Conradsson, Mia, (4)
Malmqvist, Lisa, (4)
Stenlund, Hans (3)
Arnadottir, Solveig ... (3)
Lundin-Olsson, Lille ... (3)
Wester, Per (3)
Gustavsson, Janna M ... (3)
Lundquist, Anders, (3)
Bråndal, Anna, 1966- ... (3)
von Heideken Wågert, ... (3)
Olsson, Tommy, (2)
Fjellman-Wiklund, An ... (2)
Nordström, Peter, (2)
Ryberg, Mats, (2)
Schyllander, Jan (2)
Arnadottir, Solveig, ... (2)
Fahlström, Gunilla (2)
Gustafson, Yngve Pro ... (2)
Stomby, Andreas, (2)
Otten, Julia, 1973-, (2)
Wester, Per, Profess ... (2)
Holmberg, Henrik, (2)
Öhman, Ann, (2)
Svensson, Michael, (2)
Carlsson, Maine, 195 ... (2)
visa färre...
Lärosäte
Umeå universitet (86)
Luleå tekniska universitet (57)
Uppsala universitet (4)
Karlstads universitet (4)
Mälardalens högskola (2)
Linköpings universitet (2)
visa fler...
Gymnastik- och idrottshögskolan (2)
Ersta Sköndal Bräcke högskola (2)
Högskolan Dalarna (2)
Göteborgs universitet (1)
Lunds universitet (1)
visa färre...
Språk
Engelska (129)
Svenska (28)
Forskningsämne (UKÄ/SCB)
Medicin och hälsovetenskap (114)
Samhällsvetenskap (16)
Naturvetenskap (2)
Teknik (1)

År

 
pil uppåt Stäng

Kopiera och spara länken för att återkomma till aktuell vy