| 1. |
- Ivarsson, Ann-Britt
(författare)
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Occupational performance in individuals with severe mental disorders : Assessment and family burden
- 2002
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The overall aim of the present thesis was three-fold. The overall aim of the present thesis was three-fold. The first was to study occupational performance in individuals with severe mental disorders and their experiences of occupational therapy, the second to study experienced burden of family caregivers and the third to test the validity and the homogeneity of assessment tools in this area. The samples consisted of individuals with severe mental disorders participating in organised occupations (n= 112), occupational therapy records (n=64), occupational therapists working in mental health care (n=7) and family caregivers of individuals with severe mental disorders (n=256). Data were collected by questionnaires, structured and narrative interviews, observations and occupational therapy records. Individuals with severe mental disorders reported problems related to leisure and work activities and the occupational therapists recorded problems concerning how to organise and structure occupational performance. Individuals functioning on a high cognitive level experienced problems related to work and productive activities. Participation in occupational therapy strengthened their confidence in their own ability. The "Experience of Occupational Performance Questionnaire" (EOPQ) was developed from data on the experiences of women participating in occupational therapy. A principal component analysis gave seven factors with acceptable homogeneity. There is a need for assessment tools to evaluate occupational therapy. The EOPQ represents an attempt to fulfil this need. Family caregivers experienced limitations of daily activities as a burden. The ability to perform daily activities was studied from three perspectives, the individuals’, the occupational therapists’, and the experienced burden of the family caregivers. These perspectives are complementary and thus necessary for planning and implementation of individually adapted occupational therapy as well as for the evaluation of outcomes.
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| 2. |
- Ahlström, Stina, et al.
(författare)
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Occupational performance of persons who have suffered a stroke : a follow-up study
- 2003
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Taylor & Francis. - 1103-8128 .- 1651-2014. ; 10:2, s. 88-94
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Tidskriftsartikel (refereegranskat)abstract
- The main purpose of this study was to describe the progress made in terms of occupational performance during a two-year period by persons who had suffered a stroke and had been discharged to their home after their initial hospital stay. The population of the study consisted of 49 persons, 30 men and 19 women, with a mean age of 69 years. The Assessment of Motor and Process Skills (AMPS) was used to assess their occupational performance. Of the whole population at discharge, 66% showed increased effort and 29% showed decreased efficiency and independency. The results also showed that the persons who had decreased the most in their efficiency dropped out from the study. Twenty-nine persons participated in the study for 2 years. The best ADL ability was seen in the population at 3 months after discharge. A decrease was seen at 18 months after discharge in AMPS ADL process ability and at 24 months in AMPS ADL motor ability. The results suggest that persons who have suffered a stroke and live in their homes maintain their AMPS ADL ability performance for 1.5 to 2 years. A low AMPS ADL process ability measure in persons who have suffered a stroke signifies a reduced possibility of living at home.
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| 3. |
- Asplund, Kjell, et al.
(författare)
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[Perceptual impairment].
- 1989
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Ingår i: Nordisk Medicin. - 0029-1420. ; 104:11, s. 276-7, 304
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- After a brain injury, whether traumatic or caused by a stroke, perceptual impairments are common. They are, however, only seldom revealed by a routine physical examination. In this article, the many manifestations of perceptual impairment and tests for perceptual function are briefly presented. It appears that perceptual deficits contribute largely to reduced self-care ability in patients with brain lesions. An effective training program for perceptual deficits remains to be developed.
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| 4. |
- Bernspång, Birgitta, et al.
(författare)
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Aktivitetsengagemang under åldrandet
- 2012. - 1
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Ingår i: Det goda åldrandet. - Lund : Studentlitteratur AB. - 9789144068046 ; , s. 217-236
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 5. |
- Bernspång, Birgitta, 1951-
(författare)
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Consequences of stroke : aspects of impairments, disabilities and life satisfaction : with special emphasis on perception and on occupational therapy
- 1987
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Perceptual and motor functions and self-care ability after stroke were assessed within two weeks (n:109; mean age 69±10) and 4-6 years (n:75;70±9) after admission to a non-intensive care stroke unit. Sixty-two of the long-term stroke survivors reported on their life satisfaction (7 items) as experienced (in retrospect) before the stroke and at the time of the investigation. Perceptual functions and actual levels of life satisfaction were registered in 60 clinically healthy subjects aged about 60 or about 80 years.Both early on and late after stroke the 16 items of perceptual function were clearly grouped into two factors, which neatly fitted an ecological perceptual concept. One factor characterized low-order and the other higher-order perception. Impairments of low-order perception occurred for about 10% of the patients, whether investigated early or late after stroke. No one among the reference populations had such impairments. Higher-order perceptual impairments prevailed in 60% early on and in 57% late after stroke and were often more pronounced than those occurring in the reference populations, among whom 35% of the 60 year olds and significantly more - 77% - of the 80 year olds had such impairments. Hence, perceptual impairments are common after stroke, but slight age-dependent reductions should be considered when higher-order perceptual function is assessed and treated after stroke.Together with motor function, which was impaired in 52% of the early and 36% of the late stroke samples, higher-order perceptual function and to a limited extent low-order perception could predict the level of self-care ability in 70% and 62% of the early and late samples, respectively.Whereas levels of global and of domain specific variables of life satisfaction were similar in the two reference populations, the stroke had lead to a reduction in life satisfaction for 61% of the long-term survivors. Reductions were particularly pronounced for global life satisfaction and for satisfaction with leisure and sexuality. Although significantly associated with motor impairment and self-care disability, these reductions could not be attributed only to impairments and disability.The findings are discussed with particular reference to assessment and treatment in occupational therapy.
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| 6. |
- Bernspång, Birgitta, et al.
(författare)
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Differences between persons with right or left cerebral vascular accident on the Assessment of Motor and Process Skills
- 1995
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Ingår i: Archives of Physical Medicine and Rehabilitation. - : WB Saunders. - 0003-9993 .- 1532-821X. ; 76:12, s. 1144-1151
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: Persons with right and left cerebral vascular accident (RCVA and LCVA) differ in terms of discrete impairments, but there is limited information with regard to how such impairments translate into differences in disability. The following hypotheses were tested: (1) persons with stroke have lower instrumental or domestic activities of daily living (IADL) ability than do matched nondisabled controls, (2) persons with RCVA do not differ from persons with LCVA in IADL ability, and (3) persons with RCVA and LCVA differ in specific motor and process skills that affect IADL performance.DESIGN: Descriptive comparison.SETTING: Subjects were tested in settings where rehabilitation services were received (home or clinic).SUBJECTS: 71 persons with RCVA, 76 persons with LCVA, and 83 community-living nondisabled individuals drawn from the Assessment of Motor and Process Skills (AMPS) database, matched for age, gender, and number of tasks performed.MAIN OUTCOME MEASURE: AMPS, designed to measure type and severity of impairments manifested in the context of IADL performance. The AMPS was administered to all subjects in accordance with standardized testing procedures.RESULTS: The two stroke groups did not differ significantly in IADL ability, but both stroke groups had significantly lower IADL performance than did the nondisabled subjects. On the AMPS motor scale, persons with RCVA demonstrated greater impairment in pacing, transporting, and coordinating two body parts. Persons with LCVA demonstrated greater impairments in calibrating movements. No differences were found between the two groups in AMPS process skills.CONCLUSIONS: Persons with RCVA and LCVA have hemisphere-specific differences in motor impairments, but do not differ significantly in IADL ability.
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| 7. |
- Bernspång, Birgitta
(författare)
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Editorial
- 2007
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa Healthcare. - 1103-8128 .- 1651-2014. ; 14:4, s. 203-204
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Tidskriftsartikel (refereegranskat)
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| 8. |
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| 9. |
- Bernspång, Birgitta, et al.
(författare)
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Från kulturell nyfikenhet till samarbete
- 2015
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Ingår i: Universitetspedagogiska konferensen 2015. - Umeå : Umeå universitet. ; , s. 65-
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Enheterna för arbetsterapi vid Umeå universitet och Kilimanjaro Christian Medical College i Moshi, Tanzania etablerade kontakt först i 2009. Genom diskussion blev en ömsesidig vision att öka kulturell medvetenhet och bidra till utveckling av arbetsterapeututbildning och klinisk verksamhet i båda länder. Denna vision förverkligas genom student- och lärarutbyten under flera år. Syften med vår poster är att illustrera processer vid etablering av samarbetet mellan enheterna samt beskriva resultat och lärdomar utifrån såväl student och lärarutbyten som samordning inom utbytesprogrammen.
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| 10. |
- Bernspång, Birgitta
(författare)
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International occupational therapy journal.
- 2010
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa Healthcare. - 1103-8128 .- 1651-2014. ; 17:2, s. 99-100
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Tidskriftsartikel (refereegranskat)
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