| 1. |
- Weimer, A. K., et al.
(författare)
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Physical Activity in People Age 80 Years and Older as a Means of Counteracting Disability, Balanced in Relation to Frailty
- 2012
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Ingår i: Journal of Aging and Physical Activity. - : Human Kinetics. - 1063-8652 .- 1543-267X. ; 20:3
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to describe experiences of physical activity, perceived meaning, and the importance of and motives and barriers for participation in physical activity in people 80 years of age and older. A qualitative design with focus-group methodology was used. The sample consisted of 20 communityliving people age 80–91 yr. Data analyses revealed 4 themes: physical activity as a part of everything else in life, joie de vivre, fear of disease and dependence, and perceptions of frailty. Our results suggest that physical activity was not seen as a separate activity but rather as a part of activities often rated as more important than the physical activity itself. Thus, when designing physical activity interventions for elderly people, health care providers should consider including time for social interaction and possibilities to be outdoors. Moreover, assessment of physical activity levels among elderly people should include the physical activity in everyday activities.
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| 2. |
- Guidetti, Susanne, et al.
(författare)
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F@ce: a team-based, person-centred intervention for rehabilitation after stroke supported by information and communication technology : a feasibility study
- 2020
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Ingår i: BMC Neurology. - : BioMed Central (BMC). - 1471-2377. ; 20:1
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Globally, there is a growing use of Information and Communication Technology (ICT), including mobile phones, tablets and computers, which are being integrated into people's daily activities. An ICT-based intervention called F@ce was developed in order to provide a structure for the process in stroke rehabilitation and facilitate change by integrating a global problem-solving strategy using SMS alerts. The aim of the study was to evaluate the feasibility of i) F@ce within in-patient and primary care rehabilitation after stroke, ii) the study design and outcome measures used, and iii) the fidelity, adherence and acceptability of the intervention.METHODS: Three teams comprising occupational therapists and physiotherapists who work in neurological rehabilitation participated in a preparatory workshop on F@ce and then enrolled 10 persons with stroke to participate in the intervention. Goals were set using the Canadian Occupational Performance Measure (COPM) and the participants with stroke rated their performance and satisfaction with the activities associated with the three goals every day for 8 weeks. Data were collected at inclusion, at four and 8 weeks, using the COPM, Stroke Impact Scale, Frenchay Activities Index, Life Satisfaction Checklist, Self-Efficacy Scale, Hospital Anxiety and Depression Scale, Fatigue Severity Scale, follow-up survey, daily ratings on the web platform and logbooks.RESULTS: All of the participants showed increased scores in the primary outcome (COPM) and a clinically meaningful improvement of ≥2 points was found in four participants regarding performance and in six participants regarding satisfaction. Overall fidelity to the components of F@ce was good. The response rates to the F@ce web platform were 44-100% (mean 78%). All of the participants stated that F@ce had supported their rehabilitation.CONCLUSION: The results indicate that the most beneficial part of F@ce was the person-centred, goal-setting process and SMS alerts. All participants were satisfied with F@ce and highlighted the benefits of receiving daily alerts about their goals. This encouraged them to be more active. The only downside mentioned was that they felt under an obligation to practice, although this was described as "a positive obligation".
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| 3. |
- Anund, Anna, 1964-, et al.
(författare)
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Are professional drivers less sleepy than non-professional drivers?
- 2018
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Ingår i: Scandinavian Journal of Work, Environment and Health. - : SCANDINAVIAN JOURNAL WORK ENVIRONMENT & HEALTH. - 0355-3140 .- 1795-990X. ; 44:1, s. 88-95
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Tidskriftsartikel (refereegranskat)abstract
- Objective It is generally believed that professional drivers can manage quite severe fatigue before routine driving performance is affected. In addition, there are results indicating that professional drivers can adapt to prolonged night shifts and may be able to learn to drive without decreased performance under high levels of sleepiness. However, very little research has been conducted to compare professionals and non-professionals when controlling for time driven and time of day.Method The aim of this study was to use a driving simulator to investigate whether professional drivers are more resistant to sleep deprivation than non-professional drivers. Differences in the development of sleepiness (self-reported, physiological and behavioral) during driving was investigated in 11 young professional and 15 non-professional drivers.Results Professional drivers self-reported significantly lower sleepiness while driving a simulator than nonprofessional drivers. In contradiction, they showed longer blink durations and more line crossings, both of which are indicators of sleepiness. They also drove faster. The reason for the discrepancy in the relation between the different sleepiness indicators for the two groups could be due to more experience to sleepiness among the professional drivers or possibly to the faster speed, which might unconsciously have been used by the professionals to try to counteract sleepiness.Conclusion Professional drivers self-reported significantly lower sleepiness while driving a simulator than non-professional drivers. However, they showed longer blink durations and more line crossings, both of which are indicators of sleepiness, and they drove faster.
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| 4. |
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| 5. |
- Pettersson, Anna, et al.
(författare)
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Portfolio : Ett verktyg för lärande och synliggörande av kompetens
- 2013
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Ingår i: Fysioterapi. - Stockholm : Sjukgymnastförbundet. - 1653-5804. ; :02, s. 32-37
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Tidskriftsartikel (refereegranskat)abstract
- Begreppet portfolio kan ha olika innebörder och användas för olika syften. I vissa sammanhang innebär det en systematisk beskrivning av en persons samlade professionella kompetens. I andra sammanhang innebär det ett verktyg för lärande och utveckling. En sådan portfolio kan benämnas lärande portfolio eller pedagogisk portfolio. I den här kunskapsöversikten förklaras och diskuteras portfolio som verktyg för att främja lärande och synliggöra kompetens i en hälso- och sjukvårdskontext. En portfolio som används för lärande i en professionell kontext bygger på erfarenhetsbaserat lärande samt på principer om hur vuxna lär. Stor vikt läggs på reflektion kopplat till gjorda erfarenheter. Studier och utvärderingar har visat att portfolioanvändning främjar kopplingen mellan teori och praktik och att det också bidragit till ökad självkännedom och bättre självförtroende samt utvecklat användarens kapacitet att lära. Användarens tillgång till vägledning och stöd har stor betydelse för att portfolion ska kännas meningsfull och användbar.
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| 6. |
- Vikman, Irene, et al.
(författare)
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Incidence and seasonality of falls amongst old people receiving home help services in a municipality in northern Sweden
- 2011
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Ingår i: International Journal of Circumpolar Health. - : Informa UK Limited. - 1239-9736 .- 2242-3982. ; 70:2, s. 195-204
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Tidskriftsartikel (refereegranskat)abstract
- Objectives. Falls among old people is a well-documented phenomenon; however, falls among people living in the community and receiving home help services have been under-researched. The aim of this study was to investigate the incidence, including possible seasonal variation, circumstances and injuries related to falls among community living home help receivers, and to investigate whether fall incidence is associated with the type and amount of home help services received. Study design. Prospective cohort study. Methods. All 614 persons aged 65 and over who were living in a particular northern Swedish community and receiving municipality home help were included. Data on age, sex and home help service use were collected from home help service records, and falls were reported by staff on report forms specifically designed for the study. Results. A total number of 264 falls were recorded among 122 participants. The overall fall incidence was 626 per 1,000 PY, and incidence rate ratios were significantly correlated to the total amount of services used (p<0.001), as well as to the degree of help for I-ADL needs (p<0.001), P-ADL needs (p<0.001) and escort service (p=0.007). The proportion of falls reported as resulting in injury was 33%. The monthly fall incidence was significantly associated to daylight photoperiod, however it was not associated to temperature. Conclusions. Fall incidence among home help receivers aged 65 and over seems correlated to the amount of services they receive. This is probably explained by the fact that impairments connected to ADL limitations and home help needs also are connected to an increased risk of falls. This implies that fall prevention should be considered when planning home help care for old people with ADL limitations. Further research on the connection between daylight photoperiod and fall incidence in populations at different latitudes is needed.
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| 7. |
- Sjöström, Malin, et al.
(författare)
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Internet-based treatment of stress urinary incontinence: a randomised controlled study with focus on pelvic floor muscle training
- 2013
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Ingår i: BJU International. - : Wiley-Blackwell. - 1464-4096 .- 1464-410X. ; 112:3, s. 362-372
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Tidskriftsartikel (refereegranskat)abstract
- Objective less thanbrgreater than less thanbrgreater thanTo compare two treatment programmes for stress urinary incontinence (SUI) without face-to-face contact: one Internet-based and one sent by post. less thanbrgreater than less thanbrgreater thanPatients and Methods less thanbrgreater than less thanbrgreater thanRandomised, controlled trial conducted in Sweden 2009-2011. Computer-generated block-randomisation, allocation by independent administrator. No blinding. less thanbrgreater than less thanbrgreater thanThe study included 250 community-dwelling women aged 18-70 years, with SUI andgt;= 1 time/week. Consecutive online recruitment. less thanbrgreater than less thanbrgreater thanThe women had 3 months of either; (i) An Internet-based treatment programme (124 women), including e-mail support and cognitive behavioural therapy assignments or (ii) A treatment programme sent by post (126). Both programmes focused mainly on pelvic floor muscle training. less thanbrgreater than less thanbrgreater thanPrimary outcomes: symptom-score (International Consultation on Incontinence Questionnaire Short Form, ICIQ-UI SF) and condition-specific quality of life (ICIQ-Lower Urinary Tract Symptoms Quality of Life, ICIQ-LUTSQoL). Secondary outcomes: (i) Patient Global Impression of Improvement, (ii) Incontinence aids, (iii) Patient satisfaction, (iv) Health-specific QoL (EQ5D-Visual Analogue Scale), and (v) Incontinence episode frequency. Follow-up after 4 months via self-assessed postal questionnaires. less thanbrgreater than less thanbrgreater thanResults less thanbrgreater than less thanbrgreater thanIn all, 12% (30 women) were lost to follow-up. Intention-to-treat analysis showed highly significant improvements (P andlt; 0.001) with large effect sizes (andgt;0.8) with both interventions, but there were no significant differences between groups in primary outcomes. The mean (SD) changes in symptom-score were: Internet 3.4 (3.4), Postal 2.9 (3.1) (P = 0.27). The mean (SD) changes in condition-specific QoL were: Internet 4.8 (6.1), Postal 4.6 (6.7) (P = 0.52). less thanbrgreater than less thanbrgreater thanCompared with the postal-group, more participants in the Internet-group perceived they were much or very much improved (40.9% (43/105) vs 26.5% (30/113), P = 0.01), reported reduced usage of incontinence aids (59.5% (47/79) vs 41.4% (34/82), P = 0.02) and were satisfied with the treatment programme (84.8% (89/105) vs 62.9% (71/113), P andlt; 0.001). less thanbrgreater than less thanbrgreater thanHealth-specific QoL improved in the Internet-group (mean change 3.7 (10.9), P = 0.001), but not in the postal-group (1.9 (13.0), P = 0.13). less thanbrgreater than less thanbrgreater thanOverall, 69.8% (120/172) of participants reported complete lack of leakage or reduced number of leakage episodes by andgt;50%. less thanbrgreater than less thanbrgreater thanConclusions less thanbrgreater than less thanbrgreater thanConcerning primary outcomes, treatment effects were similar between groups whereas for secondary outcomes the Internet-based treatment was more effective. less thanbrgreater than less thanbrgreater thanInternet-based treatment for SUI is a new, promising treatment alternative.
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| 8. |
- Klintwall, Lars, et al.
(författare)
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Perceived Causal Problem Networks : Reliability, Central Problems, and Clinical Utility for Depression
- 2022
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Ingår i: Assessment (Odessa, Fla.). - : SAGE Publications. - 1073-1911 .- 1552-3489. ; 30:1, s. 73-83
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Tidskriftsartikel (refereegranskat)abstract
- Personalized case conceptualization is often regarded as a prerequisite for treatment success in psychotherapy for patients with comorbidity. This article presents Perceived Causal Networks, a novel method in which patients rate perceived causal relations among behavioral and emotional problems. First, 231 respondents screening positive for depression completed an online Perceived Causal Networks questionnaire. Median completion time (including repeat items to assess immediate test–retest reliability) was 22.7 minutes, and centrality measures showed excellent immediate test–retest reliability. Networks were highly idiosyncratic, but worrying and ruminating were the most central items for a third of respondents. Second, 50 psychotherapists rated the clinical utility of Perceived Causal Networks visualizations. Ninety-six percent rated the networks as clinically useful, and the information in the individual visualizations was judged to contain 47% of the information typically collected during a psychotherapy assessment phase. Future studies should individualize networks further and evaluate the validity of perceived causal relations.
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| 9. |
- Belvederi Murri, Martino, et al.
(författare)
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The body of evidence of late-life depression : the complex relationship between depressive symptoms, movement, dyspnea and cognition
- 2023
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Ingår i: Experimental Aging Research. - 0361-073X .- 1096-4657.
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Tidskriftsartikel (refereegranskat)abstract
- Background: Physical symptoms play an important role in late-life depression and may contribute to residual symptomatology after antidepressant treatment. In this exploratory study, we examined the role of specific bodily dimensions including movement, respiratory functions, fear of falling, cognition, and physical weakness in older people with depression.Methods: Clinically stable older patients with major depression within a Psychiatric Consultation-Liaison program for Primary Care underwent comprehensive assessment of depressive symptoms, instrumental movement analysis, dyspnea, weakness, activity limitations, cognitive function, and fear of falling. Network analysis was performed to explore the unique adjusted associations between clinical dimensions.Results: Sadness was associated with worse turning and walking ability and movement transitions from walking to sitting, as well as with worse general cognitive abilities. Sadness was also connected with dyspnea, while neurovegetative depressive burden was connected with activity limitations.Discussion: Limitations of motor and cognitive function, dyspnea, and weakness may contribute to the persistence of residual symptoms of late-life depression.
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| 10. |
- Mahrs Träff, Annsofie, 1958-, et al.
(författare)
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What Promotes and What Limits Physical Activity in Assisted Living Facilities? A Study of the Physical Environment's Design and Significance
- 2020
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Ingår i: Journal of Aging and Environment. - : Informa UK Limited. - 2689-2618 .- 2689-2626. ; 34:3, s. 291-309
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Tidskriftsartikel (refereegranskat)abstract
- The design of assisted living facilities is an issue that has engaged architects and contractors since they began building the first residential homes. Previous research has shown that participation in everyday activities promotes wellbeing in older people. Many assisted living facilities have locked units that limit the individual’s ability to move freely. Our interest is directed towards older people’s opportunities to be physically active in assisted living facilities and how the physical environment affects these opportunities. The aim of this study was to increase the understanding of the importance of the physical environment to enable physical activities in assisted living facilities. The empirical material consists of observations and semistructured interviews with thirteen residents and seventeen staff in four assisted living facilities in Sweden. The results show how the physical environment influences the opportunities for physical activity. Certain factors in the physical environment can be both promoting and limiting. An unsuitable environment limits the ability of older people to be physically active.
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