| 1. |
- Lundvik Gyllensten, Amanda, et al.
(författare)
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Interaction between patient and physiotherapist in psychiatric care-the physiotherapist perspective
- 2000
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Ingår i: Advances in Physiotherapy. - : Informa UK Limited. - 1651-1948 .- 1403-8196. ; 2:4, s. 157-167
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the study was to investigate what factors the physiotherapy experts in psychiatric physiotherapy believed to be important in the interaction between the patient and the physiotherapist (PT). The objective was to obtain a deeper insight into their reasoning concerning interaction and treatment outcomes. Eleven nominated ''expert'' PTs were each interviewed twice. Triangulation of important events, an exemplar (critical incident) and a key informant interview were used in the data collection. A qualitative design with crosscase analysis was used in the data analysis. Important interaction factors were divided into a ''prerequisites dimension'', ''interaction dimension'' and ''outcome dimension''. In the prerequisites dimension there were three themes: ''prerequisites of the PT'', ''prerequisites of the patient'' and ''external factors''. In the interaction dimension there were also three themes: ''ways of contact'', ''therapeutic process'' and ''structure of treatment''. In the outcome dimension the theme ''outcome'' and the two categories ''patient - awareness of own resources and ''PT - improvement of interaction skills with the aid of reflection'' were found. Interaction was considered to be important for the outcome and for the patient's awareness of his:her resources. The body awareness skills of the PT, the therapeutic relationships, help for the patient to identify his:her resources and the contract were also important. The ability to be fully mentally present in the encounter and the use of non-verbal skills were emphasized. Supervision and reflection about the outcome increased the PT's interaction skills in a learning process. The physiotherapy process expressed was resource-oriented.
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| 2. |
- Lundvik Gyllensten, Amanda, et al.
(författare)
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Outcome of Basic body awareness therapy. A randomized controlled study of patients in psychiatric outpatient care
- 2003
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Ingår i: Advances in Physiotherapy. - : Informa UK Limited. - 1651-1948 .- 1403-8196. ; 5:4, s. 179-190
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Tidskriftsartikel (refereegranskat)abstract
- The aim was to study the outcome of Basic Body Awareness Therapy (Basic BAT) added to treatment as usual (TAU) compared to TAU only, for patients with mood, somatoform or personality disorders in psychiatric outpatient services. Seventy-seven patients were randomized to Basic BAT and TAU (n=38) or TAU only (n=39). Patients were assessed at baseline and after 12 sessions of Basic BAT, 3 months after baseline. At the termination of Basic BAT sessions, patients receiving Basic BAT in addition to TAU showed significant improvements concerning the quality of movements using the Body Awareness Scale-Health (BAS-H), and psychiatric symptoms and attitudes towards body and movement using the Body Awareness Scale interview, compared to the TAU-only patients. A significant improvement in favour of the patients receiving Basic BAT was also shown with regard to self-efficacy, physical coping resources and sleep. Age and sex showed no significant influence on outcome. The results indicate that Basic BAT in addition to TAU, in a relatively short intervention period improves the body awareness and attitude towards the body as well as self-efficacy, sleep and physical coping resources compared to TAU only. This study indicates a positive short-term outcome of the Basic BAT treatment. However, studies of the long-term outcome remain to be undertaken.
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| 3. |
- Gyllensten, Amanda Lundvik, et al.
(författare)
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Long-term effectiveness of basic body awareness therapy in psychiatric outpatient care. A randomized controlled study
- 2009
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Ingår i: Advances in Physiotherapy. - : Informa UK Limited. - 1403-8196 .- 1651-1948. ; 11:1, s. 2-12
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Tidskriftsartikel (refereegranskat)abstract
- The long-term effects of Basic Body Awareness Therapy (BBAT) in addition to treatment as usual (TAU) were studied in a randomized, controlled design in psychiatric outpatient care. Seventy-seven patients with mood, stress-related somatoform, behavioural or personality disorders were studied at baseline, after a 3-month treatment period and at a 6-month follow-up. The use of psychiatric healthcare and social services were studied during 12 months, starting with baseline. The study comprised a control group (n=39) that received TAU and a treatment group (n=38) that in addition to TAU also received 12 sessions of BBAT. The aim was to study the effects of BBAT in addition to TAU compared with TAU only, regarding: body awareness, health-related factors and coping strategies as well as the use of the social services and psychiatric healthcare. Analysis of variance (ANOVA) repeated-measures analysis of the intention-to-treat population (n=77) revealed that the BBAT group had a significantly improved body awareness (p<0.001), attitude to the body fewer symptoms (p<0.001) and improved self-efficacy (p<0.05), from baseline to 6 months after the termination of treatment, compared with the control group. The treatment group also had a significantly less use of psychiatric treatment from healthcare professionals other than the psychiatrist (p<0.05) during 1 year after baseline and a significantly less total use of social services (p<0.05). The evidence of the positive effects as well as the lower costs for psychiatric healthcare and social services for the group that had received BBAT in addition to TAU is discussed, and it is concluded that BBAT seem an effective intervention in psychiatric outpatient care also in the long term for patients who in addition to psychiatric disorders also present somatic symptoms.
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| 4. |
- Sundén, Anne, et al.
(författare)
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Analyzing Movements Development and Evaluation of the Body Awareness Scale Movement Quality (BAS MQ).
- 2014
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Ingår i: Physiotherapy Research International. - : Wiley. - 1358-2267.
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Tidskriftsartikel (refereegranskat)abstract
- Limitations in everyday movements, physical activities are/or pain are the main reasons for seeking help from a physiotherapist. The purpose of this study was to investigate the psychometric properties of the Body Awareness Scale Movement Quality (BAS MQ) focusing on factor structure, validity and reliability and to explore whether BAS MQ could discriminate between healthy individuals and patients. BAS MQ assesses both limitations and resources concerning functional ability and quality of movements.
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| 5. |
- Lundvik Gyllensten, Amanda, et al.
(författare)
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Interaction between patient and physiotherapist: a qualitative study reflecting the physiotherapist's perspective
- 1999
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Ingår i: Physiotherapy Research International. - : Wiley. - 1358-2267 .- 1471-2865. ; 4:2, s. 89-109
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Tidskriftsartikel (refereegranskat)abstract
- Background and Purpose The interaction between patient and physiotherapist (PT) is central in physiotherapeutic treatment. The purpose of this study was to investigate expert physiotherapists' perception of important factors influencing the quality of the interaction in physiotherapeutic treatment. Method Ten experienced PTs working in primary healthcare were interviewed twice, triangulating a sort of important events, an exemplar and a key informant interview. The data were transcribed, coded and analysed for main themes and categories according to the qualitative technique described by Shepard et al. (1993) and Merriam (1988). Results Important factors in interaction could be divided into the Prerequisites dimension and the Interaction dimension. In the former, the most dominant theme was Internal prerequisites of the PT. The most-cited category in this theme was Practical professional skills and patient experience. In the latter, the themes Establishing contact, Ways of contact, Frames and the Therapeutic process emerged. Here, the most-cited categories were Establishing contact and confidence, having a Therapeutic role, Being sensitive and intuitive, Encountering, Listening and Identification of patient resources. These factors were seen as essential for promoting a positive patient outcome. Interaction skills were reinforced by reflection on patients' experiences. Conclusions Interaction skills of the expert PT were thought to enhance the resources of the patient and lead to a positive patient outcome. Within professional development more emphasis ought to be put on reinforcing the reflective process of the PT, for instance by the use of supervision by an experienced colleague.
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| 8. |
- Winkel, Annette, et al.
(författare)
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Early discharge to therapy-based rehabilitation at home in patients with stroke. A systematic review
- 2007
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Ingår i: Physical Therapy Reviews. - 1743-288X .- 1083-3196. ; 13:3, s. 167-187
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Tidskriftsartikel (refereegranskat)abstract
- Early discharge and home rehabilitation (EDHR) for stroke patients seems logical as an alternative to rehabilitation in stroke units, as these patients often show impaired ability to perform activities of daily living. The objective of this review is to present the effects of EDHR for stroke patients on health, quality of life and costs, and to describe the physiotherapy provided. Seventeen randomised controlled trials were included, assessed with the PEDro scale and rated using Sackett's rules of scientific evidence. The results showed that EDHR can reduce the length of time spent in hospital. It might improve basic activities of daily living, but is more likely to improve patients' instrumental activities of daily living and quality of life. The context is a core issue for the physiotherapy intervention. Early discharge and home rehabilitation seems to be cost-effective if rehabilitation at home is provided by a multidisciplinary team from a hospital. It is important to consider patients' coping capacities and possible strain on caregivers as contributing factors to the efficacy of EDHR.
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| 9. |
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| 10. |
- Areskoug Josefsson, Kristina, et al.
(författare)
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Detecting decreased sexual health with MDHAQ-S
- 2013
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Ingår i: Health (Irvine). - 1949-4998 .- 1949-5005. ; :5, s. 38-47
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Tidskriftsartikel (refereegranskat)abstract
- There are instruments that measure sexual function or sexual health for persons with RA, but since sexual health is a sensitive issue, the hypothesis is that it would be easier to have a standard questionnaire that could indicate the need for communication about sexual health issues instead of an extra questionnaire with more detailed questions on sexual health. The aim of the study is to find out whether sexual health difficulties can be screened by factors included in the MDHAQ-S for persons with RA. This study explores the relation between factors included in the MDHAQ-S and the Sexual Health Questionnaire (QSH) using a mixed methods design combining quantitative and qualitative data. The MDHAQ-S covers sexual health issues, not only by using the question on sexual health, but also on other factors included in the questionnaire such as increased pain, fatigue, depression, anxiety, physical capacity, level of physical activity and body weight. To explore decreased sexual arousal, decreased sexual satisfaction and decreased sexual well-being, in-depth interviews must be held with persons with RA, either using a sexual health questionnaire or in a clinical interview.
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