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Sökning: WFRF:(Melander Wikman Anita) > Medicin och hälsovetenskap

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1.
  • Åberg, Anna Cristina, et al. (författare)
  • A Study Protocol for Applying User Participation and Co-Learning—Lessons Learned from the eBalance Project
  • 2017
  • Ingår i: International Journal of Environmental Research and Public Health. - Basel : MDPI. - 1661-7827 .- 1660-4601. ; 14:5
  • Tidskriftsartikel (refereegranskat)abstract
    • The eBalance project is based on the idea that serious exergames-i.e., computer gaming systems with an interface that requires physical exertion to play-that are well adapted to users, can become a substantial part of a solution to recognized problems of insufficient engagement in fall-prevention exercise and the high levels of fall-related injuries among older people. This project is carried out as a collaboration between eight older people who have an interest in balance training and met the inclusion criteria of independence in personal activities of daily living, access to and basic knowledge of a computer, four staff working with the rehabilitation of older adults, and an interdisciplinary group of six research coordinators covering the areas of geriatric care and rehabilitation, as well as information technology and computer science. This paper describes the study protocol of the project's initial phase which aims to develop a working partnership with potential users of fall-prevention exergames, including its conceptual underpinnings. The qualitative methodology was inspired by an ethnographical approach implying combining methods that allowed the design to evolve through the study based on the participants' reflections. A participatory and appreciative action and reflection (PAAR) approach, accompanied by inquiries inspired by the Normalization Process Theory (NPT) was used in interactive workshops, including exergame testing, and between workshop activities. Data were collected through audio recordings, photos, and different types of written documentation. The findings provide a description of the methodology thus developed and applied. They display a methodology that can be useful for the design and development of care service and innovations for older persons where user participation is in focus.
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2.
  • Ghaye, Tony, et al. (författare)
  • Participatory and appreciative action and reflection (PAAR) : democratizing reflective practices
  • 2008
  • Ingår i: Reflective Practice. - : Informa UK Limited. - 1462-3943 .- 1470-1103. ; 9:4, s. 361-397
  • Tidskriftsartikel (refereegranskat)abstract
    • The paper introduces a new approach to reflecting and acting called participatory and appreciative action and reflection (PAAR). It explores its potential to enable individuals and groups to move forward, to improve their working practices and lives in particular communities and contexts. The paper situates PAAR in the historical context of participatory and action methodologies and reflective learning. It suggests that using PAAR requires four strategic ‘turns'. By turn we mean a change in direction from one way of thinking and practising to another. The four turns are: (i) away from a preoccupation with changing behaviours in order to solve problems, with ‘fixing' things and an engagement in deficit-based discourses, towards the development of appreciative insight, understanding the root causes of success and sustaining strengths-based discourses in order to amplify those things that will help build a better future from the positive present; (ii) away from self-learning (individualism and isolation) and towards collective learning through interconnectedness, appreciative knowledge sharing and the use of new forms of communications technology which enable simultaneous action in dispersed geopolitical spaces; (iii) away from one way of knowing and one perspective on truth to an acceptance of more pluralistic view of ways of knowing, of understanding human experience and putting this knowing to good use; (iv) away from reflective cycles and spirals and towards the use of a reflective learning (r-learning) framework comprising four mutually supportive processes. They are those of developing an appreciative ‘gaze', of reframing experience, of building practical wisdom and of achieving and moving forward.
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4.
  • Kostenius, Catrine, et al. (författare)
  • From rocking horse to rocking chair in good health : research methods for intergenerational knowledge sharing in health promotion
  • 2013
  • Konferensbidrag (refereegranskat)abstract
    • The overall purpose of this presentation is to discuss research methods for data collection togive voice throughout the lifespan including children, adults and elderly. More specifically,the aim is to present research methods to capture intergenerational experiences ofpsychosocial well-being, and transformation of knowledge between age groups. Subjectivewell-being is people’s positive evaluation of their lives including pleasant emotions,fulfillment and satisfaction. The methods are based on the concept of salutogenese, focusingon empowerment combining written and oral, individual and group methods to access variousforms of communication. The focus is on self-determination, ability to influence andparticipation as dimensions of empowerment, which lead us to an approach that is solutionfocusedwith a starting point in the participants’ own experiences of psychosocial well-being.First reflective narratives – open letters – are offered to the children, adults and elderly as away to share their experiences, thoughts and ideas on how to amplify health and well-being.Then participants meet in different constellations, focus groups, to share their healthpromoting experiences first with each homogeneous group; children, adults and elderly, thenin mixed age groups. The purpose of the heterogeneous focus groups are to develop the openletters, with health promotion ideas the individual participants have written, in order todeepen the understanding of how health promotion activities can be designed in differentcontexts. The purpose of the homogeneous focus groups are to make knowledgetransformation possible between different age groups, both as a way to enrich the discussionabout the topic as well as to empower the participants. Based on research showing thatpsychosocial well-being increase when people are listened to, taken seriously and have thepossibility to participate, these research methods may not only be ways to collect researchdata but promote health and well-being as well.
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5.
  • Sandlund, Marlene, et al. (författare)
  • Gender perspectives on views and preferences of older people on exercise to prevent falls : mixed studies review
  • 2017
  • Ingår i: BMC Geriatrics. - : BioMed Central. - 1471-2318 .- 1471-2318. ; 17:1
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUNDTo offer fall prevention exercise programs that attract older people of both sexes there is a need to understand both women's and men's views and preferences regarding these programs. This paper aims to systematically review the literature to explore any underlying gender perspectives or gender interpretations on older people's views or preferences regarding uptake and adherence to exercise to prevent falls.METHODSA review of the literature was carried out using a convergent qualitative design based on systematic searches of seven electronic databases (PubMed, CINAHL, Amed, PsycINFO, Scopus, PEDro, and OTseeker). Two investigators identified eligible studies. Each included article was read by at least two authors independently to extract data into tables. Views and preferences reported were coded and summarized in themes of facilitators and barriers using a thematic analysis approach.RESULTSNine hundred and nine unique studies were identified. Twenty five studies met the criteria for inclusion. Only five of these contained a gender analysis of men's and women's views on fall prevention exercises. The results suggests that both women and men see women as more receptive to and in more need of fall prevention messages. The synthesis from all 25 studies identified six themes illustrating facilitators and six themes describing barriers for older people either starting or adhering to fall prevention exercise. The facilitators were: support from professionals or family; social interaction; perceived benefits; a supportive exercise context; feelings of commitment; and having fun. Barriers were: practical issues; concerns about exercise; unawareness; reduced health status; lack of support; and lack of interest. Considerably more women than men were included in the studies.CONCLUSIONAlthough there is plenty of information on the facilitators and barriers to falls prevention exercise in older people, there is a distinct lack of studies investigating differences or similarities in older women's and men's views regarding fall prevention exercise. In order to ensure that fall prevention exercise is appealing to both sexes and that the inclusion of both men and women are encouraged, more research is needed to find out whether gender differences exists and whether practitioners need to offer a range of opportunities and support strategies to attract both women and men to falls prevention exercise.
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7.
  • Bergvall-Kåreborn, Birgitta, et al. (författare)
  • A Model for Reflective Participatory Design : The Role of Participation, Voice and Space
  • 2015
  • Ingår i: 21st Americas Conference on Information Systems. - : Americas Conference on Information Systems. - 9780996683104
  • Konferensbidrag (refereegranskat)abstract
    • This paper aims to contribute to the participatory tradition in health informatics by presenting a model for reflective participatory design emerging from qualitative fieldwork in a participatory project aimed to improve the health and wellbeing of older people in the northern periphery regions of Europe, through new mobile services. The model brings together two established processes in novel ways: systems development and user participation. Within each process three concepts are presented to facilitate discussion and reflection at the concept level, the process level and the integrated process level.
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8.
  • Bergvall-Kåreborn, Birgitta, et al. (författare)
  • Participation in living lab : designing systems with users
  • 2010
  • Ingår i: Human Benefit through the Diffusion of Information Systems Design Science Research. - Berlin, Heidelberg : Encyclopedia of Global Archaeology/Springer Verlag. - 9783642121128 ; , s. 317-326
  • Konferensbidrag (refereegranskat)abstract
    • Drawing on a case study of a living lab, this paper considers the process of participation during the design stages of a health care project for the elderly in Sweden. While participation has an established history, more recently it has been described as an "old, tired concept" that is in need of revitalization in order to cater for changing IS practices. In this paper, we reflect on how participation materializes in a context that is quite dissimilar from more traditional development settings and report on the kinds of practices that may be used to assist design with users
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10.
  • Eriksson, Lisbeth, et al. (författare)
  • The concept of palpation of the shoulder – A basic element of physiotherapy practice: A focus group study with physiotherapists
  • 2012
  • Ingår i: Advances in Physiotherapy. - : Taylor & Francis. - 1403-8196 .- 1651-1948. ; 14:4, s. 183-193
  • Tidskriftsartikel (refereegranskat)abstract
    • Although palpation is frequently used in physiotherapy examinations, a limited amount of research has been done to clarify this concept. The aim of this study was to describe physiotherapists’ experiences of shoulder palpation with the intention of obtaining detailed descriptions of the concept of palpation. Three focus group interviews were conducted, including a total of seven physiotherapists who had experience of patients with shoulder disability built up over a long period. A qualitative content analysis of the interviews was carried out. The findings showed how palpation can be perceived as a skill that could be described from two different perspectives: Manual and technical palpation and Palpation being dependent on the relationship between the physiotherapist and the patient. Palpation requires time, and the knowledge and experience of palpating built up over time. We also found how the two “perspectives” of palpation were inseparable from each other. The ability to perform manual and technical palpation and the relationship between the physiotherapist and the patient can be considered an interactive learning situation where the physiotherapist and the patient develop mutual knowledge of the body.
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