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Sökning: LAR1:lu > Högskolan i Jönköping > Falkmer Torbjörn

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  • Fristedt, Sofi, et al. (författare)
  • Changes in community mobility in older men and women. A 13-year prospective study
  • 2014
  • Ingår i: PLoS ONE. - 1932-6203. ; 9:2, s. e87827
  • Tidskriftsartikel (refereegranskat)abstract
    • Community mobility, defined as "moving [ones] self in the community and using public or private transportation", has a unique ability to promote older peoples' wellbeing by enabling independence and access to activity arenas for interaction with others. Early predictors of decreased community mobility among older men and women are useful in developing health promoting strategies. However, long-term prediction is rare, especially when it comes to including both public and private transportation. The present study describes factors associated with community mobility and decreased community mobility over time among older men and women. In total, 119 men and 147 women responded to a questionnaire in 1994 and 2007. Respondents were between 82 and 96 years old at follow-up. After 13 years, 40% of men and 43% of women had decreased community mobility, but 47% of men and 45% of women still experienced some independent community mobility. Cross-sectional independent community mobility among men was associated with higher ratings of subjective health, reporting no depression and more involvement in sport activities. Among women, cross-sectional independent community mobility was associated with better subjective health and doing more instrumental activities of daily living outside the home. Lower subjective health predicted decreased community mobility for both men and women, whereas self-reported health conditions did not. Consequently, general policies and individual interventions aiming to improve community mobility should consider older persons' subjective health.
  • Fristedt, Sofi, 1969-, et al. (författare)
  • Continuing Mobility and Occupational Participation Outside the Home in Old Age is an Act of Negotiation
  • 2011
  • Ingår i: Activities, Adaptation & Aging. - Taylor & Francis Group. - 0192-4788. ; 35:4, s. 275-297
  • Tidskriftsartikel (refereegranskat)abstract
    • Facilitated by mobility, occupational participaton is vital in old age. However, the relative importance of other influencing factors remains unclear. The present study describes older people's motives for, and experiences of, mobility and occuoational participation outside the home. Nine focus group interviews were conducted and analyzed using content analysis. Occupational participation and mobility was individually experienced even if some subjective perspectives were common. Continuing mobility and occupational participation outside the home in old age is an act of negotiation, encompassing occupational means and goals, occupational and mobility adaptation, and occupational barrieres and facilitators.
  • Fristedt, Sofi, et al. (författare)
  • Viewpoints on community mobility and participation in older age
  • 2012
  • Ingår i: Journal of Human Subjectivity. - 1598-8643. ; 10:1, s. 103-123
  • Tidskriftsartikel (refereegranskat)abstract
    • Background/Aim: Community mobility supports participation in activities. However, knowledge about issues that influence community mobility and, hence, participation in activities outside the home is limited. Since participation and community mobility are subjectively defined phenomena, further knowledge from an insider’s perspective is needed. The aim of this study was to identify and describe viewpoints on community mobility and participation in older age. Methods: A Q-methodology study was conducted with 36 male and female participants, including drivers and non-drivers. Participants sorted 45 Q-statements along a most to least continuum, indicating their current habitual situation of mobility and participation in activities outside their homes. Results: Three viewpoints were found and assigned content-describing denominations; “Prefer being mobile by car, “Prefer being mobile by public transport” and “Prefer flexible mobility”. Conclusions: All participants were satisfied with their actual participation in activities outside their homes. However, those who preferred to use public transport were less satisfied with their opportunities and possibilities to participate in activities outside their homes. The existing demand-responsive Special Transportation System was not considered to be an attractive enough alternative by any of the participants. Intermediate community mobility options are thus needed for those who can no longer drive or use public transport.
  • Wretstrand, Anders, et al. (författare)
  • Injuries in special transport services-Situations and risk levels involving wheelchair users
  • 2010
  • Ingår i: MEDICAL ENGINEERING and PHYSICS. - Elsevier Science B.V., Amsterdam.. - 1350-4533. ; 32:3, s. 248-253
  • Tidskriftsartikel (refereegranskat)abstract
    • Previous research has shown that wheelchair-seated passengers using special transportation services (STS) have been injured without being involved in a vehicle crash. In order to estimate incident rate and societal costs for these vehicle-related injuries, the focus needs to be adjusted towards a traveler/incident-oriented perspective. The aim of the project was to utilize such a perspective, related to travelers using STS in Sweden. In order to address the chosen perspective, a mixed method approach was used, involving quantitative as well as qualitative research techniques applied on four different sets of data one hospital-based record, two sets of STS incident report databases, and interviews with wheelchair-seated STS passengers. The results showed that the injury incidence rate in STS is considerable, i.e. 10 per 100,000 trips. However, this high incidence rate is not due to road traffic collisions, but to non-collision injury incidents involving many elderly and frail passengers, who easily sustain traumas ranging from minor to moderate. The costs were estimated to be 23 million USD per annum or 14 USD per trip. Results suggest that future injury prevention measures should focus on safety in boarding and alighting procedures, as well as the continuing development of WTORS.
  • Wretstrand, Anders, et al. (författare)
  • Older people and local public transit : Mobility effects of accessibility improvements in Sweden
  • 2009
  • Ingår i: Journal of Transport and Land Use. - 1938-7849. ; 2:2, s. 49-65
  • Tidskriftsartikel (refereegranskat)abstract
    • Several transportation factors concerning older and disabled people are under transition in Sweden at present. By the year 2010, the public transit system must be fully accessible for all passengers. The present survey studied older people, in order to assess the perceived travel opportunities. Questionnaires were sent to a sample of older citizens (75+) in three Swedish mid-sized municipalities. The general conclusions were that even though older people show appreciation of the existing travel opportunities, there was evidence for restricted mobility for some sub-groups of these older people, due to various perceived barriers. These groups have few optional modes, and despite various accessibility measures, special transportation services – the mandatory demand-responsive transport service – continues to provide crucial mobility. Hence, there is more to be done regarding accessibility and usability in public transit for older people. Further studies have to clarify reasons for bus travel cessation. Even larger efforts have to be put into accessibility improvements, in particular intermediate transit solutions in order to meet the regulations and policies.
  • Wretstrand, Anders, et al. (författare)
  • Reducing non-collision injuries in special transportation services by enhanced safety culture
  • 2010
  • Ingår i: MEDICAL ENGINEERING and PHYSICS. - Elsevier Science B.V., Amsterdam.. - 1350-4533. ; 32:3, s. 254-262
  • Tidskriftsartikel (refereegranskat)abstract
    • Previous research has pointed out that non-collision injuries occur among wheelchair users in Special Transportation Services (STS - a demand-responsive transport mode). The organization of such modes is also quite complex, involving both stakeholders and key personnel at different levels. Our objective was therefore to qualitatively explore the state of safety, as perceived and discussed within a workplace context. Focus groups were held with drivers of both taxi companies and bus companies. The results indicated that passengers run the risk of being injured without being involved in a vehicle collision. The pertinent organizational and corporate culture did not prioritize safety. The drivers identified some relatively clear-cut safety threats, primarily before and after a ride, at vehicle standstill. The drivers work place seemed to be surrounded with a reactive instead of proactive structure. We conclude that not only vehicle and wheelchair technical safety must be considered in STS, but also system safety. Instead of viewing drivers error as a cause, it should be seen as a symptom of systems failure. Human error is connected to aspects of tools, tasks, and operating environment. Enhanced understanding and influence of these connections within STS and accessible public transport systems will promote safety for wheelchair users.
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