| 1. |
- Fristedt, Sofi, et al.
(författare)
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Concurrent validity of the Swedish version of the life-space assessment questionnaire
- 2016
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Ingår i: BMC Geriatrics. - : BioMed Central. - 1471-2318. ; 16
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: The Life-Space Assessment (LSA), developed in the USA, is an instrument focusing on mobility with respect to reaching different areas defined as life-spaces, extending from the room where the person sleeps to mobility outside one's hometown. A newly translated Swedish version of the LSA (LSA-S) has been tested for test-retest reliability, but the validity remains to be tested. The purpose of the present study was to examine the concurrent validity of the LSA-S, by comparing and correlating the LSA scores to other measures of mobility.METHOD: The LSA was included in a population-based study of health, functioning and mobility among older persons in Sweden, and the present analysis comprised 312 community-dwelling participants. To test the concurrent validity, the LSA scores were compared to a number of other mobility-related variables, including the Short Physical Performance Battery (SPPB) as well as "stair climbing", "transfers", "transportation", "food shopping", "travel for pleasure" and "community activities". The LSA total mean scores for different levels of the other mobility-related variables, and measures of correlation were calculated.RESULTS: Higher LSA total mean scores were observed with higher levels of all the other mobility related variables. Most of the correlations between the LSA and the other mobility variables were large (r = 0.5-1.0) and significant at the 0.01 level. The LSA total score, as well as independent life-space and assistive life-space correlated with transportation (0.63, 0.66, 0.64) and food shopping (0.55, 0.58, 0.55). Assistive life-space also correlated with SPPB (0.47). With respect to maximal life-space, the correlations with the mobility-related variables were generally lower (below 0.5), probably since this aspect of life-space mobility is highly influenced by social support and is not so dependent on the individual's own physical function.CONCLUSION: LSA was shown to be a valid measure of mobility when using the LSA total, independent LS or assistive LSA.
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| 2. |
- Fristedt, Sofi, et al.
(författare)
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Factors Influencing the Use of Evidence-Based Practice among Physiotherapists and Occupational Therapists in Their Clinical Work
- 2016
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Ingår i: The Internet Journal of Allied Health Sciences & Practice. - : NSUWorks. - 1540-580X. ; 14:3
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Tidskriftsartikel (refereegranskat)abstract
- Background: Evidence-based practice (EBP) is a process through which research is applied in daily clinical practice. Occupational therapists (OTs) and physiotherapists (PTs) are expected to work in line with EBP in order to optimise health care resources. This expectation is too seldom fulfilled. Consequently, research findings may not be implemented in clinical practice in a timely manner, or at all. To remedy this situation, additional knowledge is needed regarding what factors influence the process of EBP among practitioners. The purpose of the present study was to identify factors that influence the use of EBP and the experienced effects of the use of EBP among PTs and OTs in their clinical work. Method: This was a qualitative interview study that consisted of six group interviews involving either OTs or PTs employed by the Jönköping County Council in the South of Sweden. Resulting data were analysed using content analysis. Results: The analysis resulted in the following categories: “definition of evidence and EBP”, “sources of evidence”, “barriers to acquiring evidence and to using evidence in clinical work”, “factors that facilitate the acquisition of evidence and the use of evidence in clinical work”, and “personal experiences of using EBP”. Basing clinical practice on scientific evidence evoked positive experiences, although an ambivalent view towards acting on clinical experience was evident. Participants reported that time for and increased knowledge about searching for, evaluating, and implementing EBP were needed. Conclusion: Because OTs are more oriented towards professional theories and models, and PTs are more focused on randomised controlled trials of interventions, different strategies appear to be needed to increase EBP in these two professions. Management support was considered vital to the implementation of EBP. However, the personal obligation to work in line with EBP must also be emphasised; the participants apparently underestimate its importance.
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| 3. |
- Fristedt, Sofi, et al.
(författare)
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Life-space mobility and participation in daily activities and social life among older men and women
- 2015
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Konferensbidrag (refereegranskat)abstract
- BackgroundLife-space mobility, i.e., the frequency and independence of transferring to different life-spaces (extending from a person’s bedroom to places beyond hometown), is evident to decrease in later life with potential risk of restricted participation in daily activities and social life. Modes of transport support participation through life-space mobility differently, and older men and women tend to choose different modes. The aim was to identify differences in participation in daily activities and social life related to life-space mobility and gender.MethodsData included the Life-Space Assessment (LSA), transportation, activities of daily living, and community activities. Participants living in their own housing in Sweden (n=312; 147 men, 165 women), aged 75+ (mean age 80), were randomly selected from a population register.ResultLSA total score differed significantly (p<0.001) between men (mean=72) and women (mean=58), and between different modes of transport (p<0.001) with bike users (mean=79) and car drivers (mean=77) reaching the highest LSA total scores. Gender differences were evident related to mode of transport (p<0.001), with men predominantly (74%) driving their own car, while women were driving (32%), going by car as a passenger (32%) or used public transportation (21%). Participation in community activities did not differ significantly between genders, but between LSA total scores (p<0.001). For example, LSA total score was lower for persons taking part in no (mean=55) compared to five (mean=84) community activities at least once a month.ConclusionLife-space mobility is vital to consider when aiming to support continuing participation in daily activities and social life.
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| 4. |
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| 5. |
- Fristedt, Sofi, 1969-, et al.
(författare)
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Physical functioning associated with life-space mobility in later life among men and women
- 2022
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Ingår i: BMC Geriatrics. - London, United Kingdom : BioMed Central. - 1471-2318. ; 22:1
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundLife-space mobility is defined as the ability to access different areas extending from the room where the person sleeps to places outside one’s hometown. Life-space mobility is vital to support performance of daily life activities and autonomous participation in social life. However, there is a dearth of research that investigates a wider range of physical functions and functioning in relation to life-space mobility rather than just single aspects. Thus, the purpose of the present study was to identify and describe several measures of physical functioning associated with life-space mobility among older men and women.MethodsData used in this study was derived from the OCTO 2 study, a population-based study of health, functioning and mobility among older persons (n = 312) in Sweden. Associations between Life-Space Assessment (LSA) total score and age, sex, Short Physical Performance Battery (SPPB), dizziness, lung function i.e. Peak Expiratory Flow (PEF), grip strength, self-rated vision and hearing were analysed through bivariate and multivariate regression models.ResultsThe bivariate models showed that life-space mobility was significantly associated with sex, but also age, SPPB, PEF and grip strength in the total group as well as among men and women. In addition, hearing was significantly associated with life-space mobility among women. Those factors that were statistically significant in the bivariate models were further analysed in multivariable models for the total group, and for men and women separately. In these models, sex, grip strength and SPPB remained significantly associated with life-space mobility in the total group, as well as SPPB among both men and women.ConclusionSex, physical function in terms of physical performance measured by SPPB (balance, gait speed and chair stand), and grip strength are associated with life-space mobility. Consequently, these factors need to be considered in assessments and interventions aiming to maintain mobility in old age.
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| 6. |
- Fristedt, Sofi, 1969-, et al.
(författare)
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Validitet och reliabilitet för Life-Space Assessment (LSA) - ett instrument för bedömning av äldre personers mobilitet
- 2015
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Konferensbidrag (refereegranskat)abstract
- Bakgrund: Förmågan och möjligheter att förflytta (mobilitet) begränsas ofta i senare delen av livet, med negativa konsekvenser fördelaktighet i dagliga och sociala aktiviteter. Såväl i praktisk verksamhet som för forskning behövs instrument som kanbedöma mobilitet. The Life Space Assessment (LSA), utvecklat i USA, är bedömer en individs mobilitet genom attfokusera på förmågan att ta sig till olika “life-spaces”, från rummet där personen sover till platser bortom hemorten undersenaste månaden. LSA beaktar dessutom hur ofta detta sker, och om det sker med hjälpmedel eller hjälp av annanperson.Syfte: Syftet var att undersöka samtidig validitet och testa reliabilitet av LSAs svenska version.Metod: LSA översattes till svenska och inkluderades tillsammans med andra hälsorelaterade mått i en populationsbaserad studiemed slumpmässigt utvalda personer mellan 75 och 90 år (medelålder 81 år) i enskilt boende. LSA summerades till fyrapoängsummor, dvs total, oberoende, assisterad och maximal life-space poäng. 298 individer ingick i reliabilitetstudienoch besvarade LSA vid två tillfällen med 14 dagars mellanrum. 312 individer ingick i validitetsstudien där LSA jämfördesmed andra mobilitetsrelaterade mått.Resultat/preliminärt resultat: Det fanns inga signifikanta skillnader mellan skattningarna över tid för LSA fyra poängsummor. Medelvärdet för total life-space poäng var t ex 65 (22) och 65 (23) (max 120). Korrelationsvärden (ICC) mellan 0.84-0.94 visar på god till utmärktreliabilitet för total, oberoende och assisterad LSA. Vad gäller validitet påvisas signifikanta (p<0.01) och måttligt till godakorrelationer (0.50- 0.75) mellan LSAs fyra poängsummor och förmåga till förflyttning (överflyttning, balans, uppresningoch gångförmåga), transport (vardagliga resor och nöjesresor), och aktivitet i samhället (inköp och fritid)Slutsats: Den svenska versionen av LSA har god validitet samt god till utmärkt reliabilitet och kan med förtroende användas för attbedöma mobilitet hos äldre i enskilt boende.
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| 7. |
- Kammerlind, Ann-Sofi, et al.
(författare)
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Test–retest reliability of the Swedish version of the life-space assessment questionnaire among community-dwelling older adults
- 2014
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Ingår i: Clinical Rehabilitation. - : SAGE Publications. - 0269-2155 .- 1477-0873. ; 28:8, s. 817-823
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To examine the test–retest reliability of the Swedish version of the Life-Space Assessment Questionnaire.Design: Test–retest reliability study.Subjects: A total of 298 community-dwelling subjects between 75 and 90 years of age.Methods: The Life-Space Assessment Questionnaire was translated into Swedish. By personal interviews during home visits and two weeks later by telephone interviews the subjects were asked about their life-space mobility during the past four weeks, and how often and whether they were independent or needed assistance from another person or equipment to reach different life-space levels.Results: None of the four scoring methods showed significant difference between test sessions. The mean (SD) total scores were 65 (22) and 65 (23) out of the maximum possible score of 120 at the two sessions. High levels were found for independent, assisted, and maximal life-space at both sessions. Intraclass correlation coefficients and weighted Kappa-values between 0.84–0.94 were found for the total score, the independent, and the assisted life-space levels, indicating good to excellent reliability. A lower Kappa-value was observed for the maximal life-space level, mainly owing to skewed distributions. The method error values showed that a change of 10 in the total score and a change of one level in any of the three life-space levels can be considered to indicate a real change in clinical practice.Conclusion: The Swedish version of the Life-Space Assessment Questionnaire can be reliably used among community-dwelling older adults.
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| 8. |
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| 9. |
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| 10. |
- Annear, Michael, et al.
(författare)
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Walkability in Japan’s aging neighborhoods : A comparative audit analysis of pedestrian journeys in urban Tokyo
- 2024
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Ingår i: Journal of Transport & Health. - : Elsevier. - 2214-1405 .- 2214-1413. ; 35
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Tidskriftsartikel (refereegranskat)abstract
- Tokyo is the most aged mega-city in the world, yet it has been subjected to few micro-scale evaluations of walkability in its super-aged neighborhoods. Systematic walking audits were conducted in two aging cities within western aspect of Tokyo to assess street-level walkability from older-adult housing to local destinations. A multi-method approach included administration of the Microscale Analysis of Pedestrian Streetscapes (MAPS-mini) tool augmented with GIS analyses and photography across 10 super-aged neighborhoods (40 walking routes and 102 street segments) in the cities of Musashino and Mitaka. Musashino city had measurably better conditions for walking than the adjacent municipality of Mitaka with evidence of significant intra- and inter-city environmental variations. Prevailing barriers across both cities included poor access to parks and public transit, limited seating and shelter, inconsistent pedestrian infrastructure, narrow roadways, and few traffic calming measures. Signs of neighborhood disorder were conspicuously absent suggesting that sociocultural influences may enhance walkability in the context of sparse infrastructural support. These findings have implications for age-friendly remediation of pedestrian conditions in aging mega cities.
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| 11. |
- Areskoug Josefsson, Kristina, 1973-, et al.
(författare)
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Occupational therapy students’ views on addressing sexual health
- 2019
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Taylor & Francis. - 1103-8128 .- 1651-2014. ; 26:4, s. 306-314
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Tidskriftsartikel (refereegranskat)abstract
- Background: Sexual health is an important issue in daily life, but little is known about occupational therapy (OT) students’ views on these matters.Aim: To explore occupational therapy students’ views on addressing sexual health in their future professional role.Material and methods: A descriptive qualitative study involving 37 OT students in 5 focus groups was performed and analyzed using content analysis.Results: Three categories: ‘Sexual health is part of occupational therapy and but not of the OT educational program’; ‘Need for knowledge to identify and intervene related to sexual health problems’; and finally, ‘Communication about sexual health—unknown, untried, but necessary’, formed the theme, ‘Willing to try, wanting to know more, and recognizing not only the difficulties and challenges but also the importance of sexual health in OT practice’.Conclusions: OT-students consider sexual health as part of OT-practice, but experience lack of knowledge of sexual health related to disease/disability, cultural diversity, and age and sexual orientation. Educational programs need to cover these matters, including how to address sexual health in OT-practice, to enhance OT’s future competence related to promotion of sexual health for clients.Significance: Knowledge on students’ views are vital to guide education on this important, rather neglected, area.
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| 12. |
- Boström, Marianne, et al.
(författare)
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Modeller i Arbetsterapi : En introduktion
- 2023
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Bok (populärvet., debatt m.m.)abstract
- Modeller i arbetsterapi är en översiktlig grundbok som förklarar och sammanfattar några centrala arbetsterapeutiska modeller, Model of Human Occupation (MOHO), Canadian Model of Occupational Performance - Engagement (CMOP-E), Kawamodellen och Transactional Model of Occupation (TMO)Arbetsterapeuter arbetar med att stödja människor att få sitt dagliga liv att fungera, vilket ofta sker i konkreta situationer i vardagen. Arbetsterapeutiska modeller ger arbetsterapeuter vägledning i hur det praktiska arbetet kan utformas. De olika modellerna hjälper till med att sätta ord på det som görs för att kunna beskriva, förstå och förklara de arbetsterapeutiska insatser som genomförs. Modellerna, som ständigt utvecklas, används även för att beforska komplexiteten i mänskligt görande och hur det påverkar människors hälsa och välbefinnande.I bokens inledning behandlas skillnaden mellan teori och modell och vidare förklaras vad en arbetsterapeutisk modell innebär. I efterföljande kapitel presenteras respektive modell genom en sammanfattande beskrivning av modellens centrala koncept. Varje kapitel avslutas med den arbetsprocess som åtföljer varje modell. I det avslutande kapitlet görs en jämförelse mellan de olika arbetsterapeutiska modellerna.Modeller i arbetsterapi riktar sig till studerande inom arbetsterapi på grundnivå och avancerad nivå samt till yrkesverksamma arbetsterapeuter som vill uppdatera sina kunskaper i arbetsterapeutiska modeller. Boken lämpar sig också för dem som är intresserade av hur aktivitet, görande och delaktighet kan förstås på ett teoretiskt plan.
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| 13. |
- Browall, Maria, et al.
(författare)
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Digi-Do : A digital information tool to support patients with breast cancer before, during, and after start of radiotherapy treatment
- 2020
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Ingår i: Annals of Oncology. - : Elsevier. - 0923-7534 .- 1569-8041. ; 31:Supplement 4, s. S1126-S1126
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Tidskriftsartikel (refereegranskat)abstract
- Radiation Therapy (RT) is a common treatment after breast cancer surgery. The high-tech environment and unfamiliar nature of RT can affect the patient’s experience of the treatment. Misconceptions or a lack of knowledge about RT processes can increase levels of anxiety and enhance feelings of being unprepared at the beginning of treatment. Moreover, the waiting time can be long and experienced as meaningless or even life threatening. For successful radiotherapy, the person often needs to be immobilized. A calm, well informed patient might enhance quality of treatment, both from patient and provider perspective. Waiting times can become meaningful instead of meaningless if used wisely for information and preparation for patients and loved ones.
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| 14. |
- Carlsson, Gunilla, et al.
(författare)
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A hundred days in confinement : Doing, being, becoming, and belonging among older people in Sweden during the COVID-19 pandemic
- 2022
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Ingår i: Journal of Occupational Science. - : Informa UK Limited. - 1442-7591 .- 2158-1576. ; 29:3, s. 402-416
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Tidskriftsartikel (refereegranskat)abstract
- Background: When and how people were able to engage in everyday occupations changed suddenly with the coronavirus pandemic. Defined as a risk group due to their age, people 70 years and older in Sweden experienced confinement, as did older adults globally. Aim: To explore how doing, being, becoming, and belonging as dimensions of occupation were manifested in the lives of Swedish people 70 years or older, 100 days into the coronavirus pandemic. Method: Data were elicited through semi-structured interviews with 17 participants (11 women, 6 six men, mean age 76 years), living in ordinary housing in Sweden. Interviews were conducted in June 2020 as part of a larger longitudinal research project. A directed content analysis approach was used to analyse the data based on the occupational dimensions of doing, being, becoming, and belonging. Results: After 100 days of confinement, daily occupations had been changed, and habits and routines disrupted. However, the need to engage in occupations was strong. Participants expressed how they adapted their occupations to the restrictions, but also how their doing affected their well-being, further development, and opportunities for social interactions. Conclusion: The participants, who were older people without any specific diagnosis, reflected upon their daily occupations during an unrehearsed natural experiment when, more than anything else, the social environmental circumstances changed. The analysis elucidates how doing, being, becoming, and belonging is embedded in people’s lives. The study can serve as a foundation to further research on understanding people’s individual needs as occupational beings.
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| 15. |
- Falkmer, Marita, et al.
(författare)
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Viewpoints of adults with and without Autism Spectrum Disorders on public transport
- 2015
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Ingår i: Transportation Research. Part A: Policy & Practice. - : Elsevier BV. - 0965-8564 .- 1879-2375. ; 80, s. 163-183
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Tidskriftsartikel (refereegranskat)abstract
- Background: Public transport is low cost, allows for independence, and facilitates engagement and participation for non-drivers. However, the viewpoints of individuals with cognitive disabilities are rarely considered. In Australia, the prevalence of Autism Spectrum Disorders (ASD) is approximately 1% and increasing. Many individuals with ASD do not possess a driver's licence, indicating that access to public transport is crucial for their independence. However, at present, there is no research on the opinions of adults with ASD on public transport. Aim: To identify the viewpoints of adults with ASD regarding the barriers and facilitators of public transport usage and their transportation preferences, and to contrast these against the viewpoints of neurotypical adults. Methods: Q. method was used to identify the viewpoints of both participant groups on public transport. Participants consisted of 55 adults with a diagnosis of ASD and a contrast group of 57 neurotypical adults. Both groups completed a Q sort task which took place in either Perth or Melbourne, Australia. Results: The most prominent viewpoint indicated that both groups preferred to use public transport over driving and believed that it supported their independence. This viewpoint also indicated that both groups preferred to use electronic ticketing when using public transport. Interestingly, the second most prominent viewpoint indicated that both groups preferred to drive themselves by private car rather than use public transport. Discussion: It appears that the viewpoints of adults with and without ASD regarding public transportation were largely similar. However, questions arose about whether the preference for public transport in the ASD group may be more a result of difficulties obtaining a driving licence than a deliberate choice. The only barrier specified by adults with ASD related to crowding on public transport. Safety and convenience in relation to location and timing of services were barriers reported by neurotypical adults. (C) 2015 Elsevier Ltd. All rights reserved.
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| 16. |
- Fristedt, Sofi, 1969-, et al.
(författare)
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"Am I representative (of my age)? No, I'm not"-Attitudes to technologies and technology development differ but unite individuals across rather than within generations
- 2021
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Ingår i: PLOS ONE. - : Public Library of Science (PLOS). - 1932-6203. ; 16:4
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Tidskriftsartikel (refereegranskat)abstract
- While a broad spectrum of technologies is integrated in everyday life and routines, most research on ageing, health and technology has focused on attitudes toward and adoption of digital technologies including e-health, or home based monitoring systems. The aim of this study was to explore differences and similarities in attitudes and experiences with different types of technologies and development within and between three generations. We applied a qualitative, descriptive design and recruited a purposeful sample of participants from three generations (30-39, 50-59, 70-79 year old). The 25 participants took part in 3 x 2 focus groups. Forming four categories, the findings show that technologies enable as well as complicate everyday life. Participants expressed trust as well as uncertainty about risks when using technology and stated that use of digital services is required while support is limited. They identified that technology development is inevitable but not always in the service of users. In conclusion, experiences of and attitudes towards technologies and technology development are not limited to generation; perspectives sometimes unite individuals across rather than within generations. Thus future technologies and technology development, as well as services and policies aiming to support the use of said technologies should consider individual user perspectives including needs, desires, beliefs or goals neglected in the existing technology models, and involve users beyond generations defined by chronological age. Such strategies are likely to be more successful in supporting development of technologies usable for all.
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| 17. |
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| 18. |
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| 19. |
- Fristedt, Sofi, et al.
(författare)
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Changes in Community Mobility in Older Men and Women. A 13-Year Prospective Study
- 2014
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Ingår i: PLOS ONE. - : Public Library of Science. - 1932-6203. ; 9:2, s. 87827-
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Tidskriftsartikel (refereegranskat)abstract
- Community mobility, defined as "moving [ones] self in the community and using public or private transportation", has a unique ability to promote older peoples wellbeing by enabling independence and access to activity arenas for interaction with others. Early predictors of decreased community mobility among older men and women are useful in developing health promoting strategies. However, long-term prediction is rare, especially when it comes to including both public and private transportation. The present study describes factors associated with community mobility and decreased community mobility over time among older men and women. In total, 119 men and 147 women responded to a questionnaire in 1994 and 2007. Respondents were between 82 and 96 years old at follow-up. After 13 years, 40% of men and 43% of women had decreased community mobility, but 47% of men and 45% of women still experienced some independent community mobility. Cross-sectional independent community mobility among men was associated with higher ratings of subjective health, reporting no depression and more involvement in sport activities. Among women, cross-sectional independent community mobility was associated with better subjective health and doing more instrumental activities of daily living outside the home. Lower subjective health predicted decreased community mobility for both men and women, whereas self-reported health conditions did not. Consequently, general policies and individual interventions aiming to improve community mobility should consider older persons subjective health.
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| 20. |
- Fristedt, Sofi, 1969-, et al.
(författare)
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Changes in daily life and wellbeing in adults, 70 years and older, in the beginning of the COVID-19 pandemic
- 2021
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Taylor & Francis. - 1103-8128 .- 1651-2014. ; 29:6, s. 511-521
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: In the beginning of the COVID-19 pandemic, Swedish authorities enforced specific recommendations on social distancing for adults 70 years and older (70+). Day-to-day life changed for 15% of the Swedish population. The aim of the study was to explore how adults 70+ experienced and managed changes in everyday life due to the COVID-19 pandemic and how those changes affected wellbeing at the beginning of the virus outbreak.METHODS: Eleven women and six men, (mean age 76 years), living in ordinary housing, participated in remote semi-structured interviews in April 2020. The interviews were analysed with qualitative content analysis.FINDINGS: The theme Suddenly at risk - '…but it could have been worse' included four categories My world closed down; Negotiations, adaptations and prioritizations to manage staying at home; Barriers and facilitators to sustain occupational participation; and Considerations of my own and other's health and wellbeing emerged from the data analysis.CONCLUSION: Everyday life changes had implications for health and well-being. The participants questioned previous conceptions of meaning in relation to habitual activities, likely leading to consistent occupational changes. However, these long-term effects remain to be explored, and considered to enable older adult's health during the pandemic and beyond.
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| 21. |
- Fristedt, Sofi, 1969-, et al.
(författare)
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Community mobility in older men and women - a cross-sectional and 13 years prospective perspective
- 2014
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Ingår i: Age well.
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Konferensbidrag (refereegranskat)abstract
- Community mobility, defined as "moving [ones] self in the community and using public or private transportation", has a unique ability to promote older peoples' wellbeing by enabling independence and access to activity arenas for interaction with others. Early predictors of decreased community mobility among older men and women are useful in developing health promoting strategies. However, long-term prediction is rare, especially when it comes to including both public and private transportation. In the present study factors associated with community mobility and decreased community mobility over time among older men and women were identified. Gender-balanced data from a project entitled "Aging in men and women: a longitudinal study of gender differences in health behavior and health among elderly" (GENDER) based on pairs of unlike-sex twins were utilized. In total, 119 men and 147 women responded to a questionnaire in 1994 and 2007. Respondents were between 82 and 96 years old at follow-up. After 13 years, 40% of men and 43% of women had decreased community mobility, but 47 % of men and 45 % of women still experienced some independent community mobility. Cross-sectional independent community mobility among men was associated with higher ratings of subjective health, reporting no depression and more involvement in sport activities. Among women, cross-sectional independent community mobility was associated with better subjective health and doing more instrumental activities of daily living outside the home. Lower subjective health predicted decreased community mobility for both men and women, whereas self-reported health conditions did not. Consequently, general policies and individual interventions aiming to improve community mobility should consider older persons' subjective health.
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| 22. |
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| 23. |
- Fristedt, Sofi, 1969-, et al.
(författare)
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Continuing Mobility and Occupational Participation Outside the Home in Old Age is an Act of Negotiation
- 2011
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Ingår i: Activities, Adaptation & Aging. - : Taylor & Francis Group. - 0192-4788 .- 1544-4368. ; 35:4, s. 275-297
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Tidskriftsartikel (refereegranskat)abstract
- Facilitated by mobility, occupational participaton is vital in old age. However, the relative importance of other influencing factors remains unclear. The present study describes older people's motives for, and experiences of, mobility and occuoational participation outside the home. Nine focus group interviews were conducted and analyzed using content analysis. Occupational participation and mobility was individually experienced even if some subjective perspectives were common. Continuing mobility and occupational participation outside the home in old age is an act of negotiation, encompassing occupational means and goals, occupational and mobility adaptation, and occupational barrieres and facilitators.
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| 24. |
- Fristedt, Sofi, 1969-, et al.
(författare)
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Digi-Do: a digital information tool to support patients with breast cancer before, during, and after start of radiotherapy treatment: an RCT study protocol
- 2021
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Ingår i: BMC Medical Informatics and Decision Making. - : Springer Science and Business Media LLC. - 1472-6947. ; 21:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: Radiation Therapy (RT) is a common treatment after breast cancer surgery and a complex process using high energy X-rays to eradicate cancer cells, important in reducing the risk of local recurrence. The high-tech environment and unfamiliar nature of RT can affect the patient's experience of the treatment. Misconceptions or lack of knowledge about RT processes can increase levels of anxiety and enhance feelings of being unprepared at the beginning of treatment. Moreover, the waiting time is often quite long. The primary aim of this study will be to evaluate whether a digital information tool with VR-technology and preparatory information can decrease distress as well as enhance the self-efficacy and health literacy of patients affected by breast cancer before, during, and after RT. A secondary aim will be to explore whether the digital information tool increase patient flow while maintaining or increasing the quality of care. Method: The study is a prospective and longitudinal RCT study with an Action Research participatory design approach including mixed-methods data collection, i.e., standardised instruments, qualitative interviews (face-to-face and telephone) with a phenomenological hermeneutical approach, diaries, observations, and time measurements, and scheduled to take place from autumn 2020 to spring 2022. The intervention group (n=80), will receive standard care and information (oral and written) and the digital information tool; and the control group (n=80), will receive standard care and information (oral and written). Study recruitment and randomisation will be completed at two centres in the west of Sweden. Discussion: Research in this area is scarce and, to our knowledge, only few previous studies examine VR as a tool for increasing preparedness for patients with breast cancer about to undergo RT that also includes follow-ups six months after completed treatment. The participatory approach and design will safeguard the possibilities to capture the patient perspective throughout the development process, and the RCT design supports high research quality. Digitalisation brings new possibilities to provide safe, person-centred information that also displays a realistic picture of RT treatment and its contexts. The planned study will generate generalisable knowledge of relevance in similar health care contexts.Trial registration: ClinicalTrials.gov Identifier: NCT04394325. Registered May 19, 2020. Prospectively registered.
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| 25. |
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| 26. |
- Fristedt, Sofi
(författare)
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Funktionellt åldrande.
- 2011
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Ingår i: Äldre och åldrande.. - Stockholm : Gothia Förlag AB. - 9789172057548 ; , s. 142-167
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Bokkapitel (populärvet., debatt m.m.)
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| 27. |
- Fristedt, Sofi, 1969-
(författare)
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Funktionellt åldrande.
- 2013. - 2
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Ingår i: <em>Äldre och åldrande</em>. - Malmö : Gleerups Utbildning AB. ; , s. 119-140
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 28. |
- Fristedt, Sofi, 1969-
(författare)
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Funktionellt åldrande
- 2020. - 3
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Ingår i: Äldre och åldrande. - Malmö : Gleerups Utbildning AB. - 9789151102689 ; , s. 183-208
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 29. |
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| 30. |
- Fristedt, Sofi, 1969-, et al.
(författare)
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Landräddningen- structuring human support and volunteers the app way
- 2015
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Konferensbidrag (refereegranskat)abstract
- Rationale for seminar and how it relates to the conference theme: New and good technological solutions are needed to enable older persons to age in place, i.e., to remain living in their own housing, with safety and security as long as possible (Swedish Institute of Assistive Technology, 2011). Importantly, ageing in place is the general policy in Sweden these days (National Board of Health and Welfare, 2011) and the municipalities are responsible for supporting older persons in their own housing. On the other hand a great deal of support to older persons is informal and provided by family caregivers, i.e., partners or relatives providing basic care (Johansson, Long & Parker, 2012). Moreover, technologies supporting ageing in place are likely to influence health in a positive way from both the older persons’ and their family caregiver’s perspective.“Landräddningen” provides a GPS-based extended safety and support system (ESS) available through a mobile phone application or a special unit that the user wears around the wrist. Both these (app and special unit) works outside the home, while the traditional PERS (personal emergency response system) provided by the municipalities works merely inside the users’ home. Importantly, it is a vital, societal goal that everyone, regardless of age, functional ability and circumstance in life feel secure also when participating in activities outside the home and being mobile in the community. Consequently, “Landräddningen” is an innovative, technological solution that supports ageing in place, by also filling a gap in social services. The user of “Landräddningen” could let family caregivers follow their position when they feel unsafe. It is also possible to establish a safe perimeter (geo fencing) for people with impaired orientation or memory. “Landräddningen” also provide a monitoring station that in case of an unplanned incident could search for available, listed volunteers that could support users on spot or in case of emergency alert ambulance or police. Given the GPS function and net of volunteers “Landräddningen” has a geographical and sectorial cross border functionality.The long term goal of “Landräddningen” is that nobody shall disappear, and that all of us shall have a good chance to receive quick support. In previous research including persons with dementia (pwd) using the same ESS that “Landräddningen” builds one, carers noted that pwd were more independent when engaged in activities dependent on community mobility. Staff considered that nearly half of pwd could remain living at home due to the ESS, compared with a third amongst carers.Objectives/Outcomes: The session will introduce and describe the services provided by “Landräddningen”. It will also give insight to previous research on the ESS used by “Landräddningen” focusing on users and care givers. Finally, current research on “Landräddningen” including preliminary results will be presented both from users’, care givers, ethical and organizational perspectives. The intent is also to give insight about the effects and benefits of a service like “Landräddningen”, but also challenges when introducing and implementing a service with cross border functionality and how these challenges could be successfully handled.Outline plan for the session plus timings (not included in word count): Brief introduction to “Landräddningen”Previous research on “Landräddningen”Current research on “Landräddningen”Implications for service like “Landräddningen” including experiences from introducing and implementing and how implementation challenges could be successfully handled. List of key references/resources (not included in word count): Johansson, L., Long, H. & Parker M.G. (2012) Informal caregiving for Elders in Sweden: An Analysis of Current Policy Developments Journal of Aging and Social Policy 23, 335-353.Magnusson, L., Samdman, L., Rosén, K.G., & Hanson, E. (2014) Extended saftey and support systems for people with dementia living at home Jounral of Assistive Technologies (; 188-206National Board of Health and Welfare. (2011). Bostad i särskilt boende är den enskildes hem [Living in Nursing homes are the Individual’s home]. Stockholm: National Board of Health and Welfare.Swedish Institute of Assistive Technology. (2011). Teknik för äldre [Technology for older people]. Retrieved 0830, 2013, from http://teknikforaldre.se/
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| 31. |
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| 32. |
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| 33. |
- Fristedt, Sofi, et al.
(författare)
-
Mobile geriatric teams – A cost-effective way of improving patient safety and reducing traditional healthcare utilization among the frail elderly? A randomized controlled trial
- 2019
-
Ingår i: Clinical Interventions in Aging. - : Dove Medical Press. - 1176-9092 .- 1178-1998. ; 14, s. 1911-1924
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Demographic changes combined with costly technological progress put a financial strain on the healthcare sector in the industrialized world. Hence, there is a constant need to develop new cost-effective treatment procedures in order to optimize the use of available resources. As a response, the concept of a Mobile Geriatric Team (MGT) has emerged not only nationally but also internationally during the last decade; however, scientific evaluation of this initiative has been very scarce. Thus, the objective of this study was to perform a mixed methods analysis, including a prospective, controlled and randomized quantitative evaluation, in combination with an interview-based qualitative assessment, to measure the effectiveness and user satisfaction of MGT. Materials and methods: Community-dwelling, frail elderly people were randomized to an intervention group (n=31, mean age 84) and a control group (n=31, mean age 86). A twoyear retrospective quantitative data collection and a prospective one-year follow-up on healthcare utilization were combined with qualitative interviews. Non-parametric statistics and difference-in-difference (DiD) analyses were applied to the quantitative data. Qualitative data were analyzed using content analysis. Results: No significant group differences in healthcare utilization were found before inclusion. Post intervention, primary care contact (includingMGTs) increased for theMGT group. Inpatient care decreased dramatically for both groups. Hence, the increase in primary care contact forMGT patients was not accompanied by a reduction in inpatient care compared to the control group. Utilization of non-primary care was lower (p< 0.01) post-intervention in both groups. Conclusion: There appears to be a “natural” variation in healthcare needs over time among frail elderly people. Hence, it is vital to perform open, controlled clinical studies in tandem with the implementation of new caregiving strategies. The MGT initiative was clearly appreciated but did not fully achieve the desired reduction in healthcare utilization in this study.
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| 34. |
- Fristedt, Sofi, 1969-, et al.
(författare)
-
Mobilt geriatriskt team - till nytta för multisjuka äldre?!
- 2015
-
Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Bakgrund:Mobila geriatriska team (MGT), bestående av läkare och sjuksköterska, har visat sig vara en framgångsrik resurs förmultisjuka äldre med upprepade inläggningar, mycket läkemedel och nedsatt ADL-förmåga. På Höglandet i Jönköpingslän arbetar sedan hösten 2013 ett MGT, som utöver läkare och sjuksköterska också erbjuder insatser från sjukgymnastoch arbetsterapeut under 15 veckor eller längre. MGT inkluderar ett geriatriskt arbetssätt som beaktar helalivssituationen, genom att lindra symtom och behandla sjukdomar, motverka funktionsnedsättningar och främjadelaktighet i aktivitet, för att göra det dagliga livet så bra och tryggt som möjligt för patienten och dennes närstående.Syfte:Projektets syfte är att utvärdera effekter och upplevd nytta av MGT.Metod:Hittills har 18 patienter i åldrarna mellan 65 och 84 fått insatser av teamet och data för utvärdering samlas kontinuerligt.Telefonintervjuer genomförs efter utskrivning med patient och/eller närstående kring upplevd nytta ochförbättringsmöjligheter. En enkät till berörd personal utanför MGT avser att belysa MGT ur ett deras perspektiv. Skattningmed Katz och COPM genomförd före MGT och direkt efter avslutad MGT, utgör ytterligare data, liksom demografiskauppgifter och måluppfyllelse. Uppgifter om besök till sjukvård och inläggning året före anslutning till MGT, under MGT-perioden samt tre respektive sex månader efter MGT registreras.Resultat/preliminärt resultat:Preliminära resultat visar på nöjdhet med MGT från patient/närstående, men också personal. ADL-förmåga påverkasinte. Däremot har 19 av 25 rehabiliteringsmål utvärderats som uppfyllda. Gruppen hade året innan anslutning till MGT 71inläggningar/akutbesök och under 6 månaders MGT-anslutning är motsvarande siffra 24. Om denna förändring kvarståröver tid har ännu inte analyserats, men kommer att kunna presenteras vid Arbetsterapiforum tillsammans med data sombeskrivits under metod.Slutsats:MGT förväntas bidra till att främja målgruppens hälsa, trygghet, aktivitetsnivå och motverka återinläggningar
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| 35. |
- Fristedt, Sofi
(författare)
-
Occupational participation through community mobility among older men and women
- 2012
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The overall aim of the present thesis was to explore and characterise occupational participation and community mobility from an occupational perspective of health and well-being, and to elucidate potential barriers and facilitators for occupational participation and community mobility in older men and women.In Study I, questionnaires were sent to a sample of older citizens (75+) in three Swedish mid-sized municipalities. This survey focused on actual and preferred travel opportunities and was returned by 957 persons (response rate 46%). Although older people appreciated the existing travel opportunities, there was evidence of restricted community mobility for some sub-groups of older people, due to various perceived barriers. More efforts must be put into accessibility improvements including usability from the perspective of older people.In Study II nine focus group interviews with a total of 42 participants (20 men) were conducted, focusing on older peoples’ motives for, and experiences of, community mobility and occupational participation outside the home. The main category “Continuing mobility and occupational participation outside the home in old age is an act of negotiation” summarised the findings. This main category was abstracted from the generic categories “Occupational means and goals”, “Occupational and mobility adaptation” and “Occupational barriers and facilitators”, and their subcategories. Community mobility was identified as an important occupation that in itself also facilitated occupational participation outside the home. Individual community mobility seemed to be influenced by, for example, age and gender, as well as habits acquired over time. Furthermore, community mobility was negatively affected not only by physical barriers, but also by social and attitudinal barriers in the public environment.Study III identified and described older people’s viewpoints on community mobility and occupational participation in older age through a Q-methodology study conducted with 36 participants, including men and women, both drivers and non-drivers. Three viewpoints were found and assigned content-descriptive denominations; viz.: “Prefer being mobile by car”, “Prefer being mobile by public transport” and “Prefer flexible mobility”. Unfortunately, the existing demand-responsive Special Transportation Systems was not considered an attractive enough alternative by any of the participants. Thus, intermediate community mobility options are needed for those who no longer can drive or use public transport. InStudy IV factors associated with community mobility, and decreased community mobility over time, for older men and women were described. Data were based on the Gender study “Aging in men and women: a longitudinal study of gender differences in health behaviour and health among elderly” and collected through surveys in 1994 and 2007. The base-line sample consisted of 605 twin-pairs, i.e., 1,210 individuals, aged 69-88, and the follow-up of 357 individuals (165 men and 192 women), aged 83-97. This surveycovered health and health-related issues including community mobility and occupational participation. Continuing community mobility was cross-sectionally (at follow-up) and prospectively (from baseline to follow-up) associated with better self-reported subjective health rather than self-reported health conditions for both men and women. For men, community mobility was also cross-sectionally associated with few or non-existant depressive symptoms, while reduced community mobility was prospectively associated with higher age for women. Consequently, interventions aiming to enable community mobility must move beyond interventions directed towards health conditions and instead target subjective health and well-being.
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| 36. |
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| 37. |
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| 38. |
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| 39. |
- Fristedt, Sofi, 1969-, et al.
(författare)
-
Registered nurses and undergraduate nursing students' attitudes to performing end-of-life care
- 2021
-
Ingår i: Nurse Education Today. - : Elsevier BV. - 0260-6917 .- 1532-2793. ; 98
-
Tidskriftsartikel (refereegranskat)abstract
- Registered Nurses (RNs) are in the immediate position to provide End-of-life (EOL) care and counselling for patients and families in various settings. However, EOL-care often creates feelings of uncertainty and inadequacy linked to inexperience, lack of education, and attitude. To identify and describe factors associated with RNs' attitudes towards EOL-care, and to identify whether and how these attitudes differ from undergraduate nursing students' (UNSs) attitudes, a descriptive and comparative, quantitative study was performed. The FATCOD-instrument, focusing on attitude towards EOL-care, was used and the results analysed with descriptive and nonparametric statistics. In total, 287 RNs in 14 different specialist programmes, and 124 UNSs participated. A statistically significant difference (p = 0.032) was found in attitude towards EOL-care based on clinical experience. RNs in “Acute Care” and “Paediatric & Psychiatry Care” specialist programmes had a less positive attitude towards EOL-care (compared to RNs in other specialist programmes), while RNs attending the Palliative Care programme had the most positive attitudes. RNs and UNSs' scores differed statistically significantly in 17 out of 30 FATCOD variables. Finally, the results imply that there is a need for greater emphasis on further continuing education within EOL care for RNs working in all types of clinical specialities to encourage RNs talking about death and to enhance attitudes towards EOL care. © 2021 Elsevier Ltd
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| 40. |
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| 41. |
- Fristedt, Sofi, et al.
(författare)
-
Suddenly at risk: Older adults’ changes in everyday life early on during the COVID-19 pandemic
- 2022
-
Konferensbidrag (refereegranskat)abstract
- ABSTRACT:Introduction / Rationale: From the onset of the COVID-19 pandemic, social distancing was recommended for adults 70 years and older (70+) in Sweden. From an outside view, they then became deprived of possibilities to engage in meaningful activities. However, as meaning is highly subjective, we need to listen to older adults’ voices to really know.Objectives: To explore how adults 70+ experienced and managed changes in everyday life due to the COVID-19 pandemic and how those changes affected wellbeing at the beginning of the virus outbreak.Method / Approach: Eleven women and six men, (mean age 76 years), living in ordinary housing, participated in remote semi-structured interviews in April and June 2020. The interviews were analysed with qualitative content analysis.Results: An overall theme Suddenly at risk – “…but it could have been worse” and four categories emerged from the data analysis. The participants had to accept some changes summarized in the first category; my world closed down. They described continuous negotiations, adaptations and prioritizations to manage staying at home in the second category, but they also experienced contextual barriers and facilitators to sustain occupational participation as the third category elucidate, where e.g. the shift of seasons facilitated social activities. Their experiences of health and wellbeing varied and are captured in the fourth category, considerations about my own and other’s health and wellbeing.Conclusion: The participants questioned previous conceptions of meaning in relation to habitual activities, likely leading to consistent occupational changes, potentially affecting health and well-bring also beyond the pandemic.
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| 42. |
- Fristedt, Sofi, et al.
(författare)
-
The inter-rater and test-retest reliability of the Self-care and Transfer scales, and intra-rater reliability of all scales of the Swedish Translation of the Australian Therapy Outcome Measures for Occupational Therapy (AusTOMs-OT-S)
- 2013
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1103-8128 .- 1651-2014. ; 20:3, s. 182-189
-
Tidskriftsartikel (refereegranskat)abstract
- Objective: The Australian Therapy Outcome Measures for Occupational Therapy (AusTOMs-OT) are used internationally to measure the outcomes of occupational therapy services across diagnoses, ages, and health care settings. This study reports on the inter-rater and test-retest reliability of the Self-care and Transfer scales as well as the intra-rater reliability of all scales of the Swedish (AusTOMs-OT-S) translation.Methods: Fifteen occupational therapists rated 11 case study clients on two occasions, separated by two weeks. Test-retest reliability and inter-rater reliability were calculated for the Self-care scale and Transfer scales. Moreover, intra-rater reliability was calculated for each of the 15 therapists across all 12 scales.Results: The inter-rater reliability intraclass correlation coefficients (ICCs) were all found to be high to very high, ranging from ICC 0.762 to 0.904; the intra-rater reliability coefficients were also very good with 11 of the 15 therapists achieving ICCs of 0.745 or over, and finally the test-retest ICCs were also found to be high, ranging from 0.705 to 0.920.Conclusions: Although further research is required to confirm reliability, preliminary reliability of the AusTOMs-OT Swedish translation has been demonstrated and therapists can have confidence when using the scales.
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| 43. |
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| 44. |
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| 45. |
- Fristedt, Sofi, et al.
(författare)
-
Viewpoints on community mobility and participation in older age
- 2012
-
Ingår i: Journal of Human Subjectivity. - 1598-8643. ; 10:1, s. 103-123
-
Tidskriftsartikel (refereegranskat)abstract
- Background/Aim: Community mobility supports participation in activities. However, knowledge about issues that influence community mobility and, hence, participation in activities outside the home is limited. Since participation and community mobility are subjectively defined phenomena, further knowledge from an insider’s perspective is needed. The aim of this study was to identify and describe viewpoints on community mobility and participation in older age. Methods: A Q-methodology study was conducted with 36 male and female participants, including drivers and non-drivers. Participants sorted 45 Q-statements along a most to least continuum, indicating their current habitual situation of mobility and participation in activities outside their homes. Results: Three viewpoints were found and assigned content-describing denominations; “Prefer being mobile by car, “Prefer being mobile by public transport” and “Prefer flexible mobility”. Conclusions: All participants were satisfied with their actual participation in activities outside their homes. However, those who preferred to use public transport were less satisfied with their opportunities and possibilities to participate in activities outside their homes. The existing demand-responsive Special Transportation System was not considered to be an attractive enough alternative by any of the participants. Intermediate community mobility options are thus needed for those who can no longer drive or use public transport.
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| 46. |
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| 47. |
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| 48. |
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| 49. |
- Gabrielsson-Järhult, Felicia, et al.
(författare)
-
Hur klickar vi med vården? En vetenskaplig studie av digitala och fysiska vårdkontakter utifrån användarmönster och patienters erfarenheter av primärvård
- 2023
-
Rapport (refereegranskat)abstract
- Patienter och professionella vårdaktörer är i en gemensam förändrings- och lärandeprocess, där vården parallellt med medborgarna och samhället lär sig hantera digitalisering. Under senare år, bl.a. pådrivet av covid-pandemin, har digitaliseringen och införande av nya arbetssätt gått så fort att utvärdering och forskning inte hunnit med i samma takt. Syftet med rapporten ”Hur klickar vi med vården?” är att bidra med aktuell kunskap om patienters användarmönster och erfarenheter av digitala och fysiska kontakter med primärvården. Resultaten är tänkt att användas som faktaunderlag och stöd för vårdens utvecklingsarbete.Sveriges Kommuner och Regioner (SKR) tog hösten 2022 initiativet till forskningsprojektet ”Hur klickar vi med vården?”. Uppdraget genomfördes under 2023 av en oberoende forskargrupp på Hälsohögskolan vid Jönköping University. Resultaten är presenterade i två delstudier baserade på registerdata från primärvården och intervjuer med patienter. All registrerad data från den regionala primärvården i Region Jönköpings län och Region Sörmland under perioden januari 2020 – december 2022 har ingått i undersökningen. Data från Region Jönköpings län omfattar ca 352.000 personer vilka sammanlagt hade haft kontakt med primärvården ca 4,2 miljoner gånger, motsvarande för Region Sörmland var ca 245.000 personer som hade haft ca 3,2 miljoner kontakter. I dessa data ingår kontakter med privata helt digitala vårdgivare och för Region Jönköpings län data från 1177 Sjukvårdsrådgivning. I rapporten ingår även 35 kvalitativa intervjuer med ett nationellt urval av patienter. Resultatet av den kvalitativa studien är presenterat som sex teman som beskriver patienters erfarenheter av kontakt med vården.
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| 50. |
- Granbom, Marianne, et al.
(författare)
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'Normality in all the abnormality' : Older adults' experiences of holidays and celebrations from the COVID-19 pandemic
- 2024
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Ingår i: Australian Occupational Therapy Journal. - : John Wiley & Sons. - 1440-1630 .- 0045-0766.
-
Tidskriftsartikel (refereegranskat)abstract
- INTRODUCTION: The importance of holidays, traditions, and family celebrations to human culture and occupational engagement has been neglected. The aim of this study was to explore how older adults experienced holidays and celebrations with social and physical distancing during the COVID-19 pandemic.METHODS: A secondary analysis was made on data from the At-Risk Study. Seventeen community-living adults (11 women and 6 men) aged 71-87 years, from Sweden participated. They were interviewed remotely four times during the first year of the pandemic. Data were analysed with qualitative content analysis. No consumer/community involvement occurred.FINDINGS: Three categories on how the participants hoped for, planned, decided, adapted, avoided, and experienced holidays and celebrations with social and physical distancing included expectations and preparations in unpredictable times; the constant need for re-evaluation; and almost everything turned out differently.CONCLUSIONS: The desire to celebrate despite pandemic restrictions shows the importance and meaning holidays hold for older adults. Celebrations can be disrupted for many reasons, not only as extreme as the ongoing pandemic. For wellbeing in later life health care, social care, and society need to understand the inherent components and acknowledge ways of supporting participation in occasional events such as holidays, traditions, and family celebrations.
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