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  • Månsson Lexell, Eva, et al. (författare)
  • Occupational adaptation in people with Multiple Sclerosis.
  • 2011
  • Ingår i: OTJR: Occupation, Participation and Health. - American Occupational Therapy Foundation. - 1539-4492. ; 31:3, s. 127-134
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of this study was to gain an enhanced understanding of how people with multiple sclerosis experience their occupational adaptation. Ten people with multiple sclerosis were interviewed and the constant comparative method was used to analyze the data. Their occupational adaptation was experienced as a constant struggle and non-linear, and served as the means of achieving either a desired self or a desired family life. Adaptations of occupations differed according to the evolving goals of the participants. The findings showed that the participants often selected occupational adaptations to meet their family needs over their own. These findings can help professionals to establish where their clients with multiple sclerosis are in the adaptation process and offer appropriate client-centered interventions.
  • Nilsson, Maria H, et al. (författare)
  • Walking ability is a major contributor to fear of falling in people with Parkinson's disease: implications for rehabilitation.
  • 2012
  • Ingår i: Parkinson's Disease. - Hindawi Publishing Corporation. - 2090-8083 .- 2042-0080. ; 2012:Sep 19, s. 713236
  • Tidskriftsartikel (refereegranskat)abstract
    • Although fear of falling (FOF) is common in people with Parkinson's disease (PD), there is a lack of research investigating potential predictors of FOF. This study explored the impact of motor, nonmotor, and demographic factors as well as complications of drug therapy on FOF among people with PD. Postal survey data (including the Falls Efficacy Scale, FES) from 154 nondemented people with PD were analyzed using multiple regression analyses. Five significant independent variables were identified explaining 74% of the variance in FES scores. The strongest contributing factor to FOF was walking difficulties (explaining 68%), followed by fatigue, turning hesitations, need for help in daily activities, and motor fluctuations. Exploring specific aspects of walking identified three significant variables explaining 59% of FOF: balance problems, limited ability to climb stairs, and turning hesitations. These results have implications for rehabilitation clinicians and suggest that walking ability is the primary target in order to reduce FOF. Specifically, balance, climbing stairs, and turning seem to be of particular importance.
  • Månsson Lexell, Eva, et al. (författare)
  • Constantly Changing Lives: Experiences of People With Multiple Sclerosis
  • 2009
  • Ingår i: American Journal of Occupational Therapy. - Amer Occupational Therapy Assoc, Inc. - 1943-7676 .- 0272-9490. ; 63:6, s. 772-781
  • Tidskriftsartikel (refereegranskat)abstract
    • The purpose of this study was to gain an enhanced understanding of how people with multiple sclerosis (MS) experience their engagement in occupations. We interviewed 10 people and then analyzed the data gathered using the constant comparative method of grounded theory, The findings encompassed the core category "essentials of a constantly changing life," showing that along a continuum of change, the participants experienced a decreasing engagement in occupations that forced them to continuously struggle to maintain engagement. This struggle changed them and required them to construct a different life than before. Our findings suggest that professionals working in MS rehabilitation need to broaden their repertoire of interventions relevant to conditions in clients' social environment, with the intention of influencing those occupations that are individually most meaningful. Occupational therapists should focus on the client's engagement in occupations and its consequences for the client's life and self-identity.
  • Månsson Lexell, Eva, et al. (författare)
  • The complexity of daily occupations in multiple sclerosis.
  • 2006
  • Ingår i: Scandinavian Journal of Occupational Therapy. - Scandinavian University Press. - 1103-8128. ; 13:4, s. 241-8
  • Tidskriftsartikel (refereegranskat)abstract
    • The aims of this study were to describe which self-care, productivity, and leisure occupations individuals with multiple sclerosis (MS) perceive as difficult to perform on admission to rehabilitation and the individuals' own perception of the importance of, performance of, and satisfaction with these occupations. Whether the reported self-care, productivity, and leisure occupations were related to sex, age, disease severity, and living arrangements was also investigated. Forty-seven men and women (mean age 49.4 years) were assessed with the Canadian Occupational Performance Measure (COPM) on admission to rehabilitation. The individuals reported 366 occupations (median 8, range 3-15), which were categorized as self-care (51%), productivity (30%), and leisure (19%). Three COPM subcategories—household management (26%), personal care (21%), and functional mobility (20%)—accounted for two-thirds of the reported occupations. All prioritized occupations (n=238; (median 5, range 2-7) had high ratings for importance and the ratings for performance and satisfaction were generally low. Men reported significantly more occupations related to self-care than women, but no significant difference between the sexes could be found for productivity and leisure. No significant differences between the occupational areas were found when age, disease severity, or/and living arrangements were included in the analysis. In conclusion, individuals with MS perceive difficulties with occupations related to all aspects of daily life. This underscores the need to use assessment tools that capture the complexity of daily occupations.
  • Nilsson, Maria H, et al. (författare)
  • Psychometric properties of the General Self-Efficacy Scale in Parkinson's disease.
  • 2015
  • Ingår i: Acta Neurologica Scandinavica. - Wiley-Blackwell Publishing. - 0001-6314 .- 1600-0404. ; 132:2, s. 89-96
  • Tidskriftsartikel (refereegranskat)abstract
    • This study aimed to investigate the psychometric properties of the General Self-Efficacy Scale (GSE) in people with Parkinson's disease (PD). More specifically, we investigated data completeness, scaling assumptions, targeting, reliability, and construct validity.
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