| 1. |
- Grooten, Liset, et al.
(författare)
-
A scaling-up strategy supporting the expansion of integrated care : a study protocol
- 2019
-
Ingår i: Journal of Integrated Care. - : Emerald Group Publishing Limited. - 1476-9018. ; 27:3, s. 215-231
-
Tidskriftsartikel (refereegranskat)abstract
- PurposeTo ensure that more people will benefit from integrated care initiatives, scaling-up of successful initiatives is the way forward. However, new challenges present themselves as knowledge on how to achieve successful large-scale implementation is scarce. The EU-funded project SCIROCCO uses a step-based scaling-up strategy to explore what to scale-up, and how to scale-up integrated care initiatives by matching the complementary strengths and weaknesses of five European regions involved in integrated care. The purpose of this paper is to describe a multi-method evaluation protocol designed to understand what factors influence the implementation of the SCIROCCO strategy to support the scaling-up of integrated care.Design/methodology/approachThe first part of the protocol focuses on the assessment of the implementation fidelity of the SCIROCCO step-based strategy. The objective is to gain insight in whether the step-based strategy is implemented as it was designed to explore what works and does not work when implementing the scaling-up strategy. The second part concerns a realist evaluation to examine what it is about the SCIROCCO’s strategy that works for whom, why, how and in which circumstances when scaling-up integrated care.FindingsThe intended study will provide valuable information on the implementation of the scaling-up strategy which will help to explain for what specific reasons the implementation succeeds and will facilitate further improvement of project outcomes.Originality/valueThe expected insights could be useful to guide the development, implementation and evaluation of future scaling-up strategies to advance the change towards more sustainable health and care systems.
|
|
| 2. |
- Kassberg, Ann-Charlotte, et al.
(författare)
-
Ability to manage everyday technology after acquired brain injury
- 2013
-
Ingår i: Brain Injury. - : Informa UK Limited. - 0269-9052 .- 1362-301X. ; 27:13-14, s. 1583-1588
-
Tidskriftsartikel (refereegranskat)abstract
- Purpose: To investigate and describe how persons with an acquired brain injury (ABI) manage everyday technology (ET) in their daily activities and to explore whether the ability to manage ET was related to the severity of the disability. Method: Eighty-one persons with ABI were observed while managing ET by using the Management of Everyday Technology Assessment (META). The Glasgow Outcome Scale-Extended (GOSE) was used to assess the severity of disability after the ABI. A computer application of a Rasch measurement model was used to generate measures of the participants’ ability to manage ET and the measures were compared groupwise with analysis of covariance (ANCOVA). Results: The degree of severity of disability had a significant main effect on the ability to manage ET. The groups with severe and moderate disability exhibited a significantly lower ability to manage ET compared to the group with good recovery. Conclusion: The result indicates that the ability to manage ET in daily activities can be related to the global severity of disability after ABI. This demonstrates the importance of considering the ability to manage ET to support the performance of activities at home, at work and in society in persons with ABI.
|
|
| 3. |
|
|
| 4. |
- Kassberg, Ann-Charlotte, et al.
(författare)
-
Experiences of ethical dilemmas in rehabilitation : Swedish occupational therapists' perspectives
- 2008
-
Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1103-8128 .- 1651-2014. ; 15:4, s. 204-211
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to describe Swedish occupational therapists' experiences of encountering ethical dilemmas in rehabilitation and strategies they used to handle the situations. Twelve occupational therapists who work with adults with developmental disabilities were interviewed using a semi-structured interview design. Data were analysed using qualitative content analysis. The results showed that ethical dilemmas were common in the occupational therapists' daily work within rehabilitation. Many situations that created ethical dilemmas were related to occupational therapists who worked with clients and their relatives, and other healthcare providers. The results showed further that occupational therapists found it difficult to make decisions and to optimize clients' participation in decision-making, to set limits and act professionally, and to best handle the situation for the client and avoid ethical dilemmas. This study indicates the importance of illustrating experiences of ethical dilemmas within occupational therapy praxis and the meaning of discussing ethical dilemmas with different healthcare providers to reach a divided view of the client in order to develop successful and healthy strategies that will optimize the rehabilitation of clients with developmental disabilities.
|
|
| 5. |
- Kassberg, Ann-Charlotte
(författare)
-
Förmåga att använda vardagsteknik efter förvärvad hjärnskada : med fokus mot arbete
- 2015
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Det övergripande syftet med denna avhandling var att generera ny kunskap om förmågan att använda vardagsteknik (VT) hos personer i arbetsför ålder med förvärvad hjärnskada (FHS) med fokus mot arbete. Syftet var också att bidra till utveckling av arbetsterapeutisk intervention genom att beskrivaoch utvärdera hur förmågan att använda VT kunde bedömas samt att utforska hur aktivitetsbaserade klientcentrerade interventioner kunde stödja förmågan att använda VT i arbetet. Studie I syftade till att genom en kvalitativ explorativ design utforska och beskriva hur personer med FHS använde den VT som de behövde i arbetet och användningens betydelse för deras möjligheter att arbeta. Studie II syftade till att genom en kvantitativ tvärsnittsstudie beskrivaförmågan att använda VT hos personer med FHS samt att utforska huruvida förmågan var relaterad till funktionshindrets svårighetsgrad. Studie III syftade till att utvärdera test-retest reliabilitet för bedömningsinstrumentet Management of Everyday Technology Assessment (META). Studie IVsyftade till att genom en kvalitativ multipel fallstudie utforska hur klientcentrerade arbetsterapeutiska interventioner kunde designas för att stödja personer med FHS förmåga att använda VT i arbetsuppgifter.I studie I framkom en diskrepans mellan deltagarnas förmåga och de utmaningar som användningen av VT i arbetet utgjorde. Samtliga nio deltagare uppvisade svårigheter, vilka varierade i omfattning från svårigheter med användningen av nästan all VT, och befinna sig i en osäker arbetssituation, till att föreställa sig framtida svårigheter i användningen av VT i arbetet. Resultatet av studie II visade att förmågan att använda VT skilde sig åt mellan de tre grupperna med olika svårighetsgrader av funktionshinder efter FHS (totalt 81 deltagare). Medelvärdet av deltagarnas mått av förmåga att använda VT var lägst i gruppen med "svåra funktionshinder" och högst i gruppen med"god återhämtning". Vid jämförelse av de tre grupperna framkom det att svårighetsgraden av funktionshindret var den enda variabel som signifikant inverkade på förmågan att använda VT. Alla deövriga variablerna: kön, ålder, utbildningsnivå, levnadsförhållanden och år sedan skada inverkade inte signifikant på förmågan att använda VT. Resultatet av studie III indikerade att 22 av de 25 deltagarnas mått av förmåga att använda VT förhöll sig stabila mellan de båda mättillfällena, baserat på valda kriterier. Detta indikerar att META har god test-retest reliabilitet vid bedömning av personer med FHS förmåga att använda VT. Resultatet från studie IV visade att de tre deltagarnas klientcentrerade interventionsprocesser initialt bestod av likartade arbetsterapeutiska åtgärder men att de senare i processen kom att ha olika fokus och intensitet. Vidare indikerade resultatet att interventionerna bidrog till förbättrad upplevd och observerad förmåga att använda VT i arbetet efter FHS.Konklusion: Denna avhandling har bidragit till att generera ny kunskap om personer med FHS förmåga att använda VT, med särskilt fokus på användningen av VT i arbetet. Resultaten visar att användningen av VT i arbetet kan innebära olika utmaningar, vilka kan ha varierade betydelse förmöjlighet att arbeta. Detta visar på behovet av att beakta den roll som användningen av VT kan utgöra för återgång i arbete. Resultatet har även bidragit till kunskap om att variationer i förmågan att använda VT kan vara relaterat till funktionshindrets svårighetsgrad. Vidare framkom det att personermed FHS sparsamt beskrev svårigheter i användningen av VT, vilket indikerar att intervju behöver kompletteras med observation. Avhandlingen indikerar också att observationsinstrumentet META kan användas för bedömning och utvärdering av förmågan att använda VT för personer med FHS.Slutligen, har avhandlingen bidragit till ny kunskap om hur arbetsterapeutiska klientcentrerade interventioner kan utformas för att stödja förmågan att använda VT i arbetet efter FHS.
|
|
| 6. |
- Kassberg, Ann-Charlotte, et al.
(författare)
-
Interventions aimed at improving the ability to use everyday technology in work after brain injury
- 2016
-
Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1103-8128 .- 1651-2014. ; 23:2, s. 147-157
-
Tidskriftsartikel (refereegranskat)abstract
- Objective The aim of this study was to explore and describe how client-centred occupationaltherapy interventions may support and improve the ability to use everyday technology (ET) in worktasks in people with acquired brain injury (ABI). Method A qualitative, descriptive multiple-casestudy was designed, and occupation-based interventions were provided to three working-ageparticipants with ABI. Multiple sources were used to collect data throughout the three interventionprocesses, including assessments, field notes, and interviews. The Canadian OccupationalPerformance Measure and the Management of Everyday Technology Assessment were administeredbefore the interventions, after the interventions and at a follow-up session 2–3 monthssubsequent to the interventions. Results The three intervention processes initially consisted ofsimilar actions, but subsequently the actions took on a different focus and intensity for each case.All of the goals in each of the three case processes were achieved, and both perceived andobserved abilities to use ET in work tasks improved. Conclusions Client-centred occupationaltherapy interventions might have the potential to improve the ability to use ET in work tasks inpeople with ABI.
|
|
| 7. |
|
|
| 8. |
- Kassberg, Ann-Charlotte, et al.
(författare)
-
Perceived occupational balance in people with stroke
- 2021
-
Ingår i: Disability and Rehabilitation. - : Taylor & Francis. - 0963-8288 .- 1464-5165. ; 43:4, s. 553-558
-
Tidskriftsartikel (refereegranskat)abstract
- Background The balance of activities in daily life can become disrupted after a stroke; however, previous research has mainly focused on the performance of daily activities. Therefore, it is important to understand the impact that stroke has on various aspects of balance in activities for working-age people.Purpose To describe how persons with stroke perceived their occupational balance and to explore whether occupational balance was associated with the severity of disability, fatigue and sociodemographic characteristics.Methods This cross-sectional study included 63 working-age persons with stroke. The Occupational Balance Questionnaire, Glasgow Outcome Scale and Fatigue Severity Scale were used and analyzed statistically.Results The majority of participants disagreed or strongly disagreed that they perceived occupational balance in most of the investigated aspects. Moreover, few significant associations were found between total summed occupational balance and injury and sociodemographic characteristics.Conclusion These results demonstrate the importance of considering occupational balance in the rehabilitation of persons with stroke to support their engagement in a variety of meaningful activities that contribute to health.IMPLICATIONS FOR REHABILITATIONRehabilitation need to support persons with stroke to monitor their entire patterns of activities and perceived balance to support wider engagement in meaningful activities and promote health.Balance between all kinds of activities in daily life besides work, needs to be considered in the later phase of rehabilitation in persons with stroke.A majority of the participants with stroke in this study disagreed that they had a satisfying level of occupational balance.Perceived balance between all activities in daily life can together with performance of activities add to the understanding of consequences after stroke.
|
|
| 9. |
- Kassberg, Ann-Charlotte, et al.
(författare)
-
The challenges of everyday technology in the workplace for persons with acquired brain injury
- 2013
-
Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1103-8128 .- 1651-2014. ; 20:4, s. 272-281
-
Forskningsöversikt (refereegranskat)abstract
- Purpose: To explore and describe how persons with an acquired brain injury (ABI) managed the everyday technology (ET) that they needed to use in their workplace and how this use influences their opportunities to work. Methods: Nine persons with an ABI were interviewed and observed when managing ET in their workplace. The data were analysed qualitatively with a constant comparative method. Results: The main category, "The challenge of managing ET in the workplace", consisted of three categories, all of which reflected different kinds of discrepancies between the participants' ability to manage ET and the demands that ET imposes on them in work: "Struggling with ET to be able to continue to work; "Depending on strategies to cope with ET to continue in a particular profession", and "Managing ET at work but concerned about keeping up with the changes". Conclusions: The result revealed discrepancies between the abilities of the persons with ABI to manage ET in relation to the demands that technology imposed on them in their work setting. This indicated that professionals need to consider the role of ET when designing interventions supporting a person's return to work after an ABI.
|
|
| 10. |
|
|
