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Träfflista för sökning "WFRF:(Dahlin Ivanoff Synneve 1950 ) srt2:(2010-2014)"

Sökning: WFRF:(Dahlin Ivanoff Synneve 1950 ) > (2010-2014)

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1.
  • Ekman, Inger, 1952, et al. (författare)
  • Person-centered care -ready for prime time.
  • 2011
  • Ingår i: European Journal of Cardiovascular Nursing. - : Sage Publications. - 1474-5151 .- 1873-1953. ; 10:4, s. 248-251
  • Tidskriftsartikel (refereegranskat)abstract
    • Long-term diseases are today the leading cause of mortality worldwide and are estimated to be the leading cause of disability by 2020. Person-centered care (PCC) has been shown to advance concordance between care provider and patient on treatment plans, improve health outcomes and increase patient satisfaction. Yet, despite these and other documented benefits, there are a variety of significant challenges to putting PCC into clinical practice. Although care providers today broadly acknowledge PCC to be an important part of care, in our experience we must establish routines that initiate, integrate, and safeguard PCC in daily clinical practice to ensure that PCC is systematically and consistently practiced, i.e. not just when we feel we have time for it. In this paper, we propose a few simple routines to facilitate and safeguard the transition to PCC. We believe that if conscientiously and systematically applied, they will help to make PCC the focus and mainstay of care in long-term illness.
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2.
  • Cederfeldt, Marie, 1957, et al. (författare)
  • Mellanbedömarreliabilitet av instrumentet Executive Function Performance Test (EFPT)
  • 2011
  • Ingår i: Poster.
  • Konferensbidrag (refereegranskat)abstract
    • Bakgrund: Studier har visat att nedsatt exekutiv funktion är vanligt hos personer som fått stroke. Arbetsterapeuter som arbetar inom akutvården bedömer hur patienten klarar aktiviteter i det dagliga livet, men de flesta instrumenten som används är inom personlig vård. Instrument som bedömer mer komplexa aktiviteter har visat sig vara de mest effektiva avseende att upptäcka nedsatt exekutiv funktion. Eftersom instrumentet Assessment of Motor and Process Skills (AMPS) kan vara allt för omfattande att göra i den akuta fasen, skulle det kunna vara användbart att ha ett instrument som är mer lätthanterbart i det akuta skedet. Executive Function Performance Test (EFPT) är ett bedömningsinstrument som nyligen introducerats i Sverige. Studier saknas avseende validitet och reliabilitet utifrån Svenska förhållande. När ett nytt instrument skall användas är det viktigt att det har god validitet och reliabilitet. Syftet med denna studie var att utvärdera innehållsvaliditet och inter-bedömar validitet. Metoden innefattar en “forward” och en “backward” översättning av EFPT och en utvärdering av interbedömar reliabilitet genom att sjutton patienter från en stroke enhet har bedömts av två oberoende arbetsterapeuter. Studien är ett samarbete med kärnsjukhuset i Skövde. Resultatet håller på att analyseras och preliminära resultat kommer att presenteras på AT-forum.
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3.
  • Behm, Lina, 1978, et al. (författare)
  • Multi-professional and multi-dimensional group education- a key to action in elderly persons
  • 2013
  • Ingår i: Disability and Rehabilitation. - : Informa UK Limited. - 1464-5165 .- 0963-8288. ; 35:5, s. 427-435
  • Tidskriftsartikel (refereegranskat)abstract
    • This study was intended to evaluate a multi-professional health-promoting and disease-preventive intervention organized as multi-professional senior group meetings, which addressed home-dwelling, independently living, cognitively intact elderly persons (80±), by exploring the participants’ experiences of the intervention. Method: The focus group methodology was used to interview a total of 20 participants. The informants had participated in four multi-professional senior group meetings at which information about the ageing process and preventive strategies for enhancing health were discussed. Results: The overall finding was that the elderly persons involved in the intervention lived in the present, but that the supportive environment together with learning a preventive approach contributed to the participants’ experiencing the senior meetings as a key to action. Conclusions: Elderly persons who are independent may have difficulty accepting information about preventing risks to health. However, group education with a multi-professional approach may be a successful model for achieving an exchange of knowledge, which may possibly empower the participants, give them role models, the opportunity to learn from each other and a sense of sharing problems with people in similar circumstances.
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4.
  • Behm, Lina, 1978, et al. (författare)
  • Positive health outcomes following health-promoting and disease-preventive interventions for independent very old persons: Long-term results of the three-armed RCT Elderly Persons in the Risk Zone
  • 2014
  • Ingår i: Archives of gerontology and geriatrics. - : Elsevier BV. - 0167-4943 .- 1872-6976. ; 58:3, s. 376-383
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of this study was to analyze the long-term effect of the two health-promoting and disease-preventive interventions, preventive home visits and senior meetings, with respect to morbidity, symptoms, self-rated health and satisfaction with health. The study was a three-armed randomized, single-blind, and controlled trial, with follow-ups at one and two years after interventions. A total of 459 persons aged 80 years or older and still living at home were included in the study. Participants were independent in ADL and without overt cognitive impairment. An intention-to-treat analysis was performed. The result shows that both interventions delayed a progression in morbidity, i.e. an increase in CIRS-G score (OR = 0.44 for the PHV and OR = 0.61 for senior meetings at one year and OR = 0.60 for the PHV and OR = 0.52 for the senior meetings at two years) and maintained satisfaction with health (OR = 0.49 for PHV and OR = 0.57 for senior meetings at one year and OR = 0.43 for the PHV and OR = 0.28 for senior meetings after two years) for up to two years. The intervention senior meetings prevented a decline in self-rated health for up to one year (OR = 0.55). However, no significant differences were seen in postponing progression of symptoms in any of the interventions. This study shows that it is possible to postpone a decline in health outcomes measured as morbidity, self-rated health and satisfaction with health in very old persons at risk of frailty. Success factors might be the multi-dimensional and the multi-professional approach in both interventions. Trial registration: NCT0087705. © 2014 Elsevier Ireland Ltd. All rights reserved.
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5.
  • Behm, Lina, 1978, et al. (författare)
  • Preventive home visits and health - experiences among very old people.
  • 2013
  • Ingår i: BMC public health. - : Springer Science and Business Media LLC. - 1471-2458. ; 13
  • Tidskriftsartikel (refereegranskat)abstract
    • As more people reach older age, there is a growing interest in improving old person's health, activity, independence and social participation, thereby adding quality to the extended years. Preventive home visits (PHV) programs for old people have received much attention in recent decades. A large body of research shows mixed effects, and argues that a home visit is a complex social process influenced by numerous factors. To evaluate the impact of PHV, as well as making decisions on whether, how, and to whom the service should be provided, requires a deeper understanding of PHV than we have now. Consequently, the aim of the study was to describe the variations in older people's (80+) experiences of a single preventive home visit and its consequences for health.
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6.
  • Castro, Daniela, 1974, et al. (författare)
  • Kultur i arbetsterapeutisk teori och praktik: En litteraturstudie
  • 2013
  • Ingår i: At-FORUM 2013, 24-25 April 2013, Stockholm, Sverige.
  • Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
    • Bakgrund: I den arbetsterapeutiska litteraturen beskrivs sedan länge begreppet kultur på olika sätt och i olika dimensioner På senare tiden har en fokus legat på att förklara hur aktiviteter och individer ingår som en del i ett socialt sammanhang. Några författare har påvisat ett behov att begreppsliggöra arbetsterapi som en äkta klientcentrerad disciplin där samhället (med mångfalden som en kärnfråga bland kulturer) betraktas som en egen aktör med egna behov och möjligheter till förändring. I en sådan omvärdering är det angeläget att utveckla teoretiska ansatser som betonar kulturell mångfald. Syfte: Att identifiera och förstå innebörden i begreppet kultur (och tillhörande konstruktioner) så som arbetsterapeuter använder eller uttrycker det i den vetenskapliga litteraturen. Tillvägagångssätt och analys: Studien är en integrativ litteraturstudie med utgång i vetenskapliga artiklar publicerade mellan åren 2006 och 2011 i indexerade tidskrifter. Analysen består av en övergripande kartläggning och kategorisering av de olika slag eller konstruktioner som är kopplade till begreppet kultur (mångfald, kompetens, organisatoriska, etnicitet osv.) samt hur dessa används för att förbättra praxis och teoriutveckling. Resultat/förväntat resultat: Studien är pågående. Den förväntade betydelsen av studien är att kunna påvisa olika uppfattningar om kultur inom disciplinen arbetsterapi och att främja implementering av kulturfokuserad teori och praktik som riktas direkt mot meningen och betydelsen av aktiviteter i samhället.
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7.
  • Castro, Daniela, 1974, et al. (författare)
  • Occupational therapy and culture: a literature review
  • 2014
  • Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1103-8128 .- 1651-2014. ; 21:6, s. 401-414
  • Forskningsöversikt (refereegranskat)abstract
    • Background: Occupational therapy has culture as a relevant phenomenon of interest. Culture appears increasingly often in occupational therapy research, from diverse approaches and foci. As culture is difficult to define, and has political and ethical implications, an investigation into its usage is warranted. Aim: To identify and describe how culture as a broad phenomenon is expressed in OT research published between 2006 and 2011, regarding knowledge development in the discipline and its impact on practice. Methods: A qualitative study was carried out, using an integrative literature review. Thirty-nine studies in English were included. Results: From the analysis, two dimensions concerning expressions of culture emerged: “culture is alive” and “occupational therapy as a culture”. Aside from these dimensions, a group of forces that have an impact on these dimensions is described. Conclusions: In its understanding of expressions of culture, occupational therapy stands at a crossroads between traditional and critical approaches. A lack of critical insight into professional knowledge increases the risk that occupational therapy will remain satisfied with the current understanding of culture, based on the dominant knowledge. The discipline could fail to address the political, ethical, and theoretical issues required to reach the targeted diversity in its practice.
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8.
  • Castro, Daniela, 1974, et al. (författare)
  • Occupational therapy and culture: a literature review
  • 2014
  • Ingår i: 16th International Congress of the World Federation of Occupational Therapists, 18-21 Juni 2014, Yokohama, Japan.
  • Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
    • Introduction: Culture and cultural issues appear increasingly often in research in the field of occupational therapy, reflecting both a growing interest in cultural diversity and a critical reflection on the culture of the discipline and its practices. As the term is difficult to define and has political and ethical implications, an investigation into its usage is warranted. Objectives: To identify and describe how “culture” has been used in occupational therapy research (2006-2011). Methods: A qualitative study has been carried out using an integrative literature review. 39 studies were included. Results: Two main categories emerged in the analysis. First one, expresses the multidimensional quality of culture, from the visible to invisible aspects; the importance of the cultural aspects to determine identity and membership to social groups; as well as temporal aspects. Second category, presents Occupational Therapy’s culture, from its theories to practice, as well as diverse paradoxes and gaps across the discipline. Conclusion: The meaning of what culture is for the profession has been contested, and there is a lack of agreement on their usage among researchers, given the strong western influences over its theoretical development. By approaching this issue critically, it is possible to gain a better perspective on culture as a complex phenomenon inside the discipline. Lack of critical insight increases the risk that occupational therapy remains satisfied with the current understanding of culture, correlated with the dominant western discourse, and fails to address urgent political, ethical and theoretical issues. Contribution to Occupational Therapy: Culture is a very complex phenomenon in occupational therapy. The study offers a critical approach over it, as a core concept for the discipline, considering the close relationship with occupation. If unequal power distribution in knowledge development worldwide is not addressed, political, ethical and theoretical issues will have a pervasive effect on the discipline.
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9.
  • Cederfeldt, Marie, 1957, et al. (författare)
  • Concurrent validity of the Executive Function Performance Test in people with mild stroke
  • 2011
  • Ingår i: The British Journal of Occupational Therapy. - 0308-0226 .- 1477-6006. ; 74:9, s. 443-449
  • Tidskriftsartikel (refereegranskat)abstract
    • Introduction: Studies have shown that executive dysfunction is common in adults after stroke. Occupational therapists working in acute care assess the performance of activities of daily living; most instruments focus on personal care. However, the assessment of instrumental activities of daily living has been shown to discriminate executive dysfunction more effectively. An instrument for assessing executive dysfunction in more complex activities that is easy to handle in acute care is consequently required for clinical use. The Executive Function Performance Test (EFPT) was recently introduced into Sweden. The purpose of this study was to evaluate the concurrent validity of the EFPT in acute care for patients with mild stroke. Method: Twenty-three patients from an acute stroke unit were assessed with both the EFPT and the Assessment of Motor and Process Skills (AMPS). Results: The correlation between the EFPT and the AMPS assessments was highly significant (p = 0.003) and the concurrent validity was rho = 0.61. Conclusion: Since there is a risk that adult patients with mild stroke are discharged without rehabilitation, and there is a lack of a relevant instrument for occupational therapists that discriminates executive dysfunction in acute stroke care, the EFPT may be a suitable instrument to use with these patients.
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10.
  • Claesson, Lisbeth, 1955, et al. (författare)
  • Comparison of visual acuity charts identifying visual impairment among older people outside the eye clinic
  • 2013
  • Ingår i: Disability and Rehabilitation. - : Informa UK Limited. - 0963-8288 .- 1464-5165. ; 35:16, s. 1394-1400
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose: Evaluate the construct validity and describe sensitivity, specificity and predictive value of two short charts of visual acuity (VA) and examine whether these can identify and detect signs of visual impairment among older people. Method: The study included 43 persons, >65 years, with age related eye disease, living in their own homes. An ophthalmologist assessed the individuals' VA at an eye clinic with the 5 m KM chart. A research assistant assessed individuals' VA by the 1 m KM chart and the Visual Acuity Screening Test in their home environment. Results: All persons with a VA level of <0.5 were correctly identified by both instruments. The instruments have good positive and negative predictive values for the 1 m KM chart (73% and 100%) and for the Visual Acuity Screening Test (69% and 100%). The construct validity between the instruments was good, but the assessment at the eye clinic assessed the participants as having higher VA level. Conclusions: Both instruments have good construct validity, considering they were carried out in poorer lighting conditions and a good predictive value for screening out VA levels <0.5. The 1 m KM chart showed the best agreement with the 5 m KM chart.
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