| 61. |
- Granberg, Sarah, et al.
(författare)
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The Development of ICF Core Sets for Hearing Loss
- 2010
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Ingår i: PERSPECTIVES ON AUDIOLOGY. - 1940-8587. ; 6:1, s. 20-23
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Tidskriftsartikel (refereegranskat)abstract
- The International Classification of Functioning, Disabilityand Health (ICF), adopted by the World Health Organization (WHO) in 2001, offers a framework for a comprehensive understandingof health. One of the main goals of the ICF is to provide aconceptual framework of health that can be applied both forresearch purposes and in clinical settings. In order to promotethe use of the ICF in clinical settings, the WHO initiated theCore Sets project. Core Sets, targeting a specific health condition,consist of a set of ICF categories that can serve as minimalstandards (Brief ICF Core Set) or as standards for comprehensiveassessment (Comprehensive ICF Core Set). In 2009, a processof developing ICF Core Sets for Hearing Loss was initiated.This process involves three phases of development. In the firstphase, four scientific studies are conducted to collect evidencefor relevant ICF categories to be used in the Core Sets. Inphase two, a consensus conference is held to establish relevantICF categories, and in the third phase, the Core Sets that areretained are tested and validated. This paper describes theprocess of developing ICF Core Sets for Hearing Loss as wellas an invitation to participate in the project
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| 62. |
- Granberg, Sarah, 1973-, et al.
(författare)
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The ICF core sets for hearing loss project : International expert survey on functioning and disability of adults with hearing loss using the International classification of functioning, disability, and health (ICF)
- 2014
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Ingår i: International Journal of Audiology. - : Informa Healthcare. - 1499-2027 .- 1708-8186. ; 53:8, s. 497-506
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To identify relevant aspects of functioning, disability, and contextual factors for adults with hearing loss (HL) from hearing health professional perspective summarized using the ICF classification as reference tool.Design: Internet-based cross-sectional survey using open-ended questions. Responses were analysed using a simplified content analysis approach to link concept to ICF categories according to linking rules.Study sample: Hearing health professionals (experts) recruited through e-mail distribution lists of professional organizations and personal networks of ICF core set for hearing loss steering committee members. Stratified sampling according to profession and world region enhanced the international and professional representation.Results: Sixty-three experts constituted the stratified sample used in the analysis. A total of 1726 meaningful concepts were identified in this study, resulting in 209 distinctive ICF categories, with 106 mentioned by 5% or more of respondents. Most categories in the activities & participation component related to communication, while the most frequent environmental factors related to the physical environment such as hearing aids or noise. Mental functions, such as confidence or emotional functions were also frequently highlighted.Conclusions: More than half (53.3%) of the entire ICF classification categories were included in the expert survey results. This emphasizes the importance of a multidimensional tool, such as the ICF, for assessing persons with hearing loss.
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| 63. |
- Granberg, Sarah, 1973-, et al.
(författare)
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The ICF core sets for hearing loss project : Functioning and disability from the patient perspective
- 2014
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Ingår i: International Journal of Audiology. - London, UK : Informa Healthcare. - 1499-2027 .- 1708-8186. ; 53:11, s. 777-786
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To explore areas of functioning, disability, and environmental factors of adults with hearing loss (HL) by using the ICF classification as a tool to determine and document each element. Design: A qualitative study applying mainly focus-group methodology was applied.Study sample: Thirty-six Dutch and South African adults (18 years of age) with HL (20–95 dB HL) who used oral communication as first communication. Summative content analysis was performed on the transcripts by linkage to appropriate ICF categories.Results: 143 ICF categories were identified, most of which belonged to the Activities & Participation (d) component, closely followed by the Environmental factors component. Participants specifically mentioned categories related to oral communication and interaction. Assistive technology (such as hearing aids), noise, and support by and attitudes of others in the environment of the participants were considered highly influential for functioning and disability.Conclusions: The present study illustrates the complex and encompassing nature of aspects involved in functioning and disability of adults with HL. Findings highlight the necessity of using a multidimensional tool, such as the ICF, to map functioning and disability with hearing loss, allowing consideration and evaluation of aspects that are both internal and external.
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| 64. |
- Granberg, Sarah, 1973-, et al.
(författare)
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The ICF Core Sets for hearing loss - researcher perspective. Part I : Systematic review of outcome measures identified in audiological research
- 2014
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Ingår i: International Journal of Audiology. - London, UK : Informa Healthcare. - 1499-2027 .- 1708-8186. ; 53:2, s. 65-76
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Forskningsöversikt (refereegranskat)abstract
- Objective: To review the literature in order to identify outcome measures used in research on adults with hearing loss (HL) as part of the ICF Core Sets development project, and to describe study and population characteristics of the reviewed studies.Design: A systematic review methodology was applied using multiple databases. A comprehensive search was conducted and two search pools were created, pool I and pool II.Study sample: The study population included adults (>= 18 years of age) with HL and oral language as the primary mode of communication.Results: 122 studies were included. Outcome measures were distinguished by 'instrument type', and 10 types were identified. In total, 246 (pool I) and 122 (pool II) different measures were identified, and only approximately 20% were extracted twice or more. Most measures were related to speech recognition. Fifty-one different questionnaires were identified. Many studies used small sample sizes, and the sex of participants was not revealed in several studies.Conclusion: The low prevalence of identified measures reflects a lack of consensus regarding the optimal outcome measures to use in audiology. Reflections and discussions are made in relation to small sample sizes and the lack of sex differentiation/descriptions within the included articles.
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| 65. |
- Granberg, Sarah, 1973-, et al.
(författare)
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The ICF Core Sets for hearing loss: researcher perspective, Part II : Linking outcome measures to the International Classification of Functioning, Disability and Health (ICF)
- 2014
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Ingår i: International Journal of Audiology. - : Informa Healthcare. - 1499-2027 .- 1708-8186. ; 53:2, s. 77-87
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Forskningsöversikt (refereegranskat)abstract
- Objective: To link outcome measures used in audiological research to the ICF classification and thereby describe audiological research from the ICF perspective.Design: Through a peer-reviewed or a joint linking procedure, link outcome measures to the ICF classification system using standardized ICF linking rules. Additional linking rules were developed in combination with the established rules to overcome difficulties when connecting audiological data to ICF. Absolute and relative frequencies of ICF categories were reported.Study sample: The identified outcome measures from the previous study (Part I) constituted the empirical material. Results: In total, 285 ICF categories were identified. The most prevalent categories were related to listening, hearing functions, auditory perceptions, emotions and the physical environment, such as noise and hearing aids. Categories related to communication showed lower relative frequencies, as did categories related to the social and attitudinal environment.Conclusions: Based on the linked outcome measures, communication as a research topic is subordinated to other research topics. The same conclusion can be drawn for research targeting the social and attitudinal environment of adults with HL. Difficulties in the linking procedure were highlighted and discussed, and suggestions for future revisions of the ICF from the audiological perspective were described.
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| 66. |
- Gustafsson, Johanna, 1975-, et al.
(författare)
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Supported Employment and Social Inclusion : Experiences of Workers with Disabilities in Wage Subsidized Employment in Sweden
- 2018
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Ingår i: Scandinavian Journal of Disability Research. - Stockholm, Sweden : Stockholm University Press. - 1501-7419 .- 1745-3011. ; 20:1, s. 26-36
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Tidskriftsartikel (refereegranskat)abstract
- Labour market policies targeting people with disabilities primarily focus on establishing a working life based on reaching and procuring employment. Less attention is directed towards the qualitative aspects of working conditions or opportunities to retain employment. This study seeks to examine how people with disabilities who, with the help of Supported Employment (SE) methods, are establishing themselves in the labour market, experience social inclusion at their workplaces and how their working conditions influence their experiences with social inclusion. Data were collected in semi-structured interviews. Two themes were prominent in the interviewees’ experiences with social inclusion: the importance of being a valued worker and the sense of social belonging. Competence is important to feeling valued, as is working in fair working conditions. Disclosure of disability often helps to create fairness. The sense of social belonging arises from natural support and mattering to others. Important conditions that increase social inclusion are job-matching and natural support. The SE method can therefore contribute to the creation of social inclusion by ensuring that the matching process is well thought out and by utilizing strategies for inclusion, such as encouragement of natural support.
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| 67. |
- Hillborg, Helene, et al.
(författare)
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Expectations, visions and sense of empowerment : in the face of a vocational rehabilitation process for people with psychiatric disabilities
- 2010
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Ingår i: Scandinavian Journal of Disability Research. - : Stockholm University Press. - 1501-7419 .- 1745-3011. ; 12:2, s. 109-124
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study is to reveal the meaning some people with psychiatric disabilities assigned to important experiences related to long periods of participation restrictions owing to unemployment and sick leave. The data comprise open-ended interviews with eight informants. A hermeneutic approach together with a comparative analysis was used to analyze the data. The results showed six types of mechanisms important for the outcome of the rehabilitation process: support, understanding, time, control, self-image and vision of the future. Our results indicate that environmental factors such as experience of support and understanding of professionals and time-efficacy seemed to have a great effect on the individuals' attitudes concerning the activities and measures they expected to carry out during their coming rehabilitation. These experiences seemed to affect their belief in their own abilities, their sense of control, and their belief in successful performance. Theories about empowerment closely related to social emotions like pride and shame are also discussed in an attempt to deepen the understanding of the studied phenomena.
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| 68. |
- Hillborg, Helene, 1968-, et al.
(författare)
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Professionals perceptions of and views about vocational rehabilitation for people with psychiatric disabilities
- 2013
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Ingår i: Work. - Amsterdam, Netherlands : IOS Press. - 1051-9815 .- 1875-9270. ; 44:4, s. 471-480
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: One of the challenges agencies and professionals face is to enable people on sick leave to be successful in their vocational rehabilitation. The objective of this study was to explore and analyze some professionals perceptions of and views about vocational rehabilitation among people with psychiatric disabilities. less thanbrgreater than less thanbrgreater thanPARTICIPANTS: Eight professionals from four different agencies (social services, the employment service, the social insurance office, and a psychiatric outpatient setting) working in the area of vocational rehabilitation for people with psychiatric disabilities. less thanbrgreater than less thanbrgreater thanMETHODS: Eight in-depth interviews were conducted. The data collected was analyzed using qualitative content analysis together with an interpretive approach. less thanbrgreater than less thanbrgreater thanRESULTS: The results suggested the respondents were in consensus regarding that which they considered to facilitate or enable successful vocational rehabilitation. Intensive support over a long period of time and a holistic view that takes into account the habits and routines of daily life outside of work as well as the social and psychological aspects of individuals during their rehabilitation processes were considered to be just as crucial to the vocational rehabilitation process as training in the workplace. less thanbrgreater than less thanbrgreater thanCONCLUSIONS: These professionals dealt with a complex vocational rehabilitation system; they felt that their organizations directives and inability to collaborate successfully with other authorities restricted their scope of action and hindered their exercise of good practice.
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| 69. |
- Hillborg, Helene, et al.
(författare)
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Towards a working life? : Experiences in a rehabilitation process for people with psychiatric disabilities
- 2010
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Ingår i: Scandinavian Journal of Occupational Therapy. - London, United Kingdom : Informa Healthcare. - 1103-8128 .- 1651-2014. ; 17:2, s. 149-161
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to reveal the meaning some people with psychiatric disabilities assigned to important personal experiences in relation to an ongoing rehabilitation process. The data comprises open-ended interviews of eight participants. A hermeneutic approach together with a content analysis was used to analyse the data. The results indicated the importance of not relying on simplified prognoses early in a rehabilitation process when assessing rehabilitation measures and/or work capacity. The phenomenon of rehabilitation seemed to be very complex, diverse, and changed over time depending on different circumstances that arose during the rehabilitation process. These circumstances arose on individual, contextual as well as structural levels and all had an impact on the outcomes. The results also indicated that it seemed to be possible to achieve success, change attitudes, and create a positive image of a future related to a working life if the support was perceived as relevant and the activities undertaken were perceived as contributing to achievement of the individual's goals. Regardless of which path the informants later chose these factors were seen to support an empowerment process and active participation in their own rehabilitation.
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| 70. |
- Jansson-Fröjmark, Markus, 1971-, et al.
(författare)
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Cognitive-behavioral therapy for insomnia co-morbid with hearing impairment : a randomized controlled trial
- 2012
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Ingår i: Journal of clinical psychology in medical settings. - New York, USA : Springer. - 1068-9583 .- 1573-3572. ; 19:2, s. 224-234
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of the current study was to examine the effects of cognitive behavior therapy (CBT-I) for insomnia on patients with insomnia co-morbid with hearing impairment. A randomized controlled design was used with a 3-month follow-up. Thirty-two patients with insomnia co-morbid with hearing impairment were randomized to either CBT-I or a waitlist condition (WLC). The primary outcome was insomnia severity. Secondary outcomes were sleep diary parameters, dysfunction, anxiety, and depression. Compared to WLC, CBT-I resulted in lower insomnia severity at post-treatment and at follow-up (d = 1.18–1.56). Relative to WLC, CBT-I also led, at both assessment points, to reduced total wake time (d = 1.39) and increased sleep restoration (d = 1.03–1.07) and sleep quality (d = 0.91–1.16). Both groups increased their total sleep time, but no significant group difference emerged. Compared to WLC, CBT-I resulted in higher function (d = 0.81–0.96) and lower anxiety (d = 1.29–1.30) at both assessment points. Neither CBT-I nor WLC led to improvement on depression. Based on the Insomnia Severity Index, more CBT-I (53–77%) than WLC participants (0–7%) were treatment responders. Also, more CBT-I (24%) than WLC participants (0%) remitted. In patients with insomnia co-morbid with hearing impairment, CBT-I was effective in decreasing insomnia severity, subjective sleep parameters, dysfunction, and anxiety. These findings are in line with previous results on the effects of CBT-I in other medical conditions.
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