| 1. |
- Bejerholm, Ulrika, et al.
(författare)
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Bedömning av aktivitetsförmåga
- 2020
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Ingår i: Aktivitet och relation : mål och medel inom psykosocial rehabilitering - mål och medel inom psykosocial rehabilitering. - 9789144125985 ; , s. 197-218
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Bokkapitel (refereegranskat)
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| 2. |
- Bejerholm, Ulrika, et al.
(författare)
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Aktivitetsengagemang
- 2020. - 2
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Ingår i: Aktivitet och relation : mål och medel inom psykosocial rehabilitering - mål och medel inom psykosocial rehabilitering. - 9789144125985 ; , s. 161-179
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Bokkapitel (populärvet., debatt m.m.)
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| 3. |
- Bejerholm, Ulrika, et al.
(författare)
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Bedömning av aktivitetsförmåga
- 2010. - 2
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Ingår i: Aktivitet och relation : mål och medel inom psykosocialrehabilitering - mål och medel inom psykosocialrehabilitering. - 9789144125985 ; , s. 197-218
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Bokkapitel (populärvet., debatt m.m.)
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| 4. |
- de Diego-Alonso, Cristina, et al.
(författare)
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Psychometric Properties of the Spanish Version of the Satisfaction With Daily Occupations and Occupational Balance in Spanish Stroke Survivors
- 2024
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Ingår i: AMERICAN JOURNAL OF OCCUPATIONAL THERAPY. - 0272-9490 .- 1943-7676. ; 78:3
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Tidskriftsartikel (refereegranskat)abstract
- Importance: Stroke survivors experience changes in participation level, satisfaction with participation, and participation balance, making it necessary to have a validated tool for their assessment. Objective: To evaluate the psychometric properties of the Spanish version of the Satisfaction With Daily Occupations and Occupational Balance (SDO-OB) in stroke survivors. Design: Psychometric study. Setting: National multicenter study (rehabilitation centers, and hospitals). Participants: One hundred forty stroke survivors with and without a primary caregiver. Outcomes and Measures: Participants completed the SDO-OB, the five -level version of the EQ-5D (EQ-5D-5L), and the Activity Card Sort (ACS). Internal consistency, convergent validity, known -groups validity, and floor and ceiling effects were assessed. Intraobserver reliability was assessed 1 wk apart. Results: The internal consistency was acceptable; Cronbach's a = .80, 95% confidence interval (CI) [0.75, 0.85]. A moderate correlation was found between the SDO-OB summed participation level and summed participation satisfaction (r = .53). Both SDO-OB summed scores correlated with ACS scores (0.25 < r < .61). However, only summed participation satisfaction scores correlated with the emotional component of the EQ-5D-5L (r = .32). The SDO-OB discriminated between groups with and without a caregiver ( p = .001) and had no floor or ceiling effects (<7%). Good intraclass correlation coefficients (ICCs) were obtained for summed participation level (ICC = .91; 95% CI [.85, .94]) and summed participation satisfaction (ICC = .86; 95% CI [.78, .92]). Standard error of measurement and minimum detectable change were 0.7 and 1.9 points, respectively, for summed participation level and 4.5 and 12.4, respectively, for summed participation satisfaction. Conclusions: The Spanish version of the SDO-OB presented good psychometric properties, making it a suitable instrument to address participation level, participation satisfaction, and participation balance in stroke survivors. Plain -Language Summary: After a stroke, survivors experience changes in their participation in daily activities and how satisfied they are with them. This study examined whether a tool called Satisfaction With Daily Occupations and Occupational Balance (SDO-OB) could provide reliable information about this. We looked at 140 stroke survivors from different places in Spain to see whether they had someone caring for them, how healthy they were, and how their participation in daily activities changed after stroke. We found that the SDO-OB is helpful for understanding a stroke survivor's situation and can identify areas needing intervention and track changes caused by intervention plans.
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| 5. |
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| 6. |
- Eklund, Mona, et al.
(författare)
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Empowerment and occupational engagement among people with psychiatric disabilities.
- 2015
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1651-2014 .- 1103-8128. ; 22:1, s. 54-61
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Tidskriftsartikel (refereegranskat)abstract
- Abstract Background: Empowerment is essential in the rehabilitation process for people with psychiatric disabilities and knowledge about factors that may play a key role within this process would be valuable for further development of the day centre services. Objective: The present study investigates day centre attendees' perceptions of empowerment. The aim was to investigate which factors show the strongest relationships to empowerment when considering occupational engagement, client satisfaction with day centres, and health-related and socio-demographic factors as correlates. Methods: 123 Swedish day centre attendees participated in a cross-sectional study by completing questionnaires regarding empowerment and the targeted correlates. Data were analysed with non-parametric statistics. Results: Empowerment was shown to be significantly correlated with occupational engagement and client satisfaction and also with self-rated health and symptoms rated by a research assistant. The strongest indicator for belonging to the group with the highest ratings on empowerment was self-rated health, followed by occupational engagement and symptom severity. Implications: Occupational engagement added to the beneficial influence of self-rated health on empowerment. Enabling occupational engagement in meaningful activities and providing occupations that can generate client satisfaction is an important focus for day centres in order to assist the attendees' rehabilitation process so that it promotes empowerment.
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| 7. |
- Harrison, Michele, et al.
(författare)
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Quality of life outcomes for people with serious mental illness living in supported accommodation : systematic review and meta-analysis
- 2020
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Ingår i: Social Psychiatry and Psychiatric Epidemiology. - : Springer Science and Business Media LLC. - 0933-7954 .- 1433-9285. ; 55:8, s. 977-988
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Forskningsöversikt (refereegranskat)abstract
- Purpose: To conduct a systematic review and meta-analysis of quality of life (QoL) outcomes for people with serious mental illness living in three types of supported accommodation. Methods: Studies were identified that described QoL outcomes for people with serious mental illness living in supported accommodation in six electronic databases. We applied a random-effects model to derive the meta-analytic results. Results: 13 studies from 7 countries were included, with 3276 participants receiving high support (457), supported housing (1576) and floating outreach (1243). QoL outcomes related to wellbeing, living conditions and social functioning were compared between different supported accommodation types. Living condition outcomes were better for people living in supported housing (g= − 0.31; CI = [− 0.47; − 0.16]) and floating outreach (g= − 0.95; CI = [− 1.30; − 0.61]) compared to high-support accommodation, with a medium effect size for living condition outcomes between supported housing and floating outreach (g= − 0.40; CI = [− 0.82; 0.03]), indicating that living conditions are better for people living in floating outreach. Social functioning outcomes were significant for people living in supported housing compared to high support (g = − 0.37; CI = [− 0.65; − 0.09]), with wellbeing outcomes not significant between the three types of supported accommodation. Conclusion: There is evidence that satisfaction with living conditions differs across supported accommodation types. The results suggest there is a need to focus on improving social functioning and wellbeing outcomes for people with serious mental illness across supported accommodation types.
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| 8. |
- Hult, Johan, et al.
(författare)
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Application of a high-repetition-rate laser diagnostic system for single-cycle-resolved imaging in internal combustion engines
- 2002
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Ingår i: Applied Optics. - 2155-3165. ; 41:24, s. 5002-5014
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Tidskriftsartikel (refereegranskat)abstract
- High-repetition-rate laser-induced fluorescence measurements of fuel and OH concentrations in internal combustion engines are demonstrated. Series of as many as eight fluorescence images, with a temporal resolution ranging from 10 mus to 1 ms, are acquired within one engine cycle. A multiple-laser system in combination with a multiple-CCD camera is used for cycle-resolved imaging in spark-ignition, direct-injection stratified-charge, and homogeneous-charge compression-ignition engines. The recorded data reveal unique information on cycle-to-cycle variations in fuel transport and combustion. Moreover, the imaging system in combination with a scanning mirror is used to perform instantaneous three-dimensional fuel-concentration measurements.
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| 9. |
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| 10. |
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| 11. |
- Hultqvist, Anders, et al.
(författare)
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The Hcci Combustion Process in a Single Cycle-High-Speed Fuel Tracer Lif and Chemiluminescence Imaging
- 2002
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Ingår i: SAE Technical Papers.
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Tidskriftsartikel (refereegranskat)abstract
- The Homogeneous Charge Compression Ignition (HCCI) combustion progress has been characterized by means of high- speed fuel tracer Planar Laser-Induced Fluorescence (PLIF) combined with simultaneous chemiluminescence imaging. Imaging has been conducted using a high-speed laser and detector system. The system can acquire a sequence of eight images within less than one crank angle. The engine was run at 1200 rpm on iso-octane or ethanol and a slight amount of acetone was added as a fuel tracer, providing a marker for the unburned areas. The PLIF sequences showed that, during the first stage of combustion, a well distributed decay of fuel concentration occurs. During the later parts of the combustion process the fuel concentration images present much more structure, with distinct edges between islands of unburned fuel and products. The transition between the evenly distributed fuel oxidation in the beginning and the large structures at the end, is most likely the result of a gradual amplification of small temperature inhomogeneities and an expansion of burned gas compressing the unburned.
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| 12. |
- Hultqvist, Jenny, 1966, et al.
(författare)
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Does a brief work-stress intervention prevent sick-leave during the following 24 months? : A randomized controlled trial in Swedish primary care
- 2021
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Ingår i: Work. - : IOS Press. - 1051-9815 .- 1875-9270. ; 70:4, s. 1141-1150
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Work-related stress (WRS) presents a risk for sick leave. However, effective methods to identify people at risk for sick leave due to WRS at an early stage are lacking in primary health care.OBJECTIVE: To evaluate whether a systematic early identification of WRS can prevent sick leave over 24 months after the intervention.METHODS: Study participants (n = 132 intervention; n = 139 control) were employed, non-sick-listed persons seeking care at primary health care centres. The intervention included early identification of WRS by a validated instrument, general practitioner (GP) awareness supported by a brief training session, patients' self-reflection by instrument completion, GP giving the patient feedback at consultation and GP identifying preventive measures. The control group received treatment as usual. Outcome data were retrieved from the Swedish Social Insurance Agency.RESULTS: The intervention group had less registered median sick leave days (n = 56) than the control group (n = 65) but the difference was not statistically significant.CONCLUSIONS: The brief intervention was not proven effective in preventing sick leave in the following 24 months compared to treatment as usual. Further research on how to identify, advice and treat those at high risk for sick leave in primary health care is needed.
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| 13. |
- Hultqvist, Jenny, et al.
(författare)
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Everyday Occupations and Other Factors in Relation to Mental Well-Being among Persons with Advanced Parkinson’s Disease
- 2020
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Ingår i: Occupational Therapy in Health Care. - : Informa UK Limited. - 0738-0577 .- 1541-3098. ; 34:1, s. 1-18
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Tidskriftsartikel (refereegranskat)abstract
- This cross-sectional study investigated performed activities and the level of satisfaction with everyday occupations among people (n = 67) with advanced Parkinson’s disease (PD), and how these factors and experiences of social relationships were related to mental well-being. Managing one’s hygiene and physical exercises were activities that the majority still performed, whereas few were engaged in work or other productive occupations. Perceived health problems and satisfaction with everyday occupations were important factors for mental well-being since satisfaction with everyday occupations may be an important focus for occupational therapists and other health professionals when supporting mental well-being among persons with advanced PD.
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| 14. |
- Hultqvist, Jenny, et al.
(författare)
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Managerial preventions of common mental disorders and the association with stigmatizing attitudes
- 2022
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Ingår i: European Journal of Public Health. - Oxford : Oxford University Press. - 1101-1262 .- 1464-360X. ; 32:Suppl. 3, s. 518-518
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Tidskriftsartikel (refereegranskat)abstract
- Background: Common mental disorders (CMDs) are an extensive problem in the society and attributed to stigma. Prevention of CMD at work is advocated but few studies have investigated what kind of preventive actions managers take. We investigated managers’ attitudes to depression and two managerial preventive actions (MPA): ‘reviewing assignments and the work situation’ (MPA-review) and ‘taking initiative to talk about depression and anxiety at the workplace’ (MPA-talk). We hypothesized that managers’ negative attitudes towards depression would be negatively associated with both MPAs.Methods: An on-line survey was sent in 2017 to 4737 managers, answer rate 71% (n = 3358), of which 2 899 were included in this study. Negative attitudes were measured through the 12-item instrument “Managerial stigma towards employee depression” (scores 12-72), a cut-off at the 3rd quartile was used as an indicator for having negative attitudes. MPAs were measured with two single questions. Negative attitudes to depression were analyzed in relation to MPA-review and MPA-talk using binary logistic regression analysis with adjustments for sex, education, managerial experience and training, lived experiences of CMD, work organizational context and general preventive actions in the organization towards CMD. Results: The proportion of managers with negative attitudes to depression was 20%, performing MPA-review and MPA-talk was 50% and 57% respectively. Adjusted for all co-variates, managers with negative attitudes towards employees with depression were less likely to do both MPA-review (OR 0.71; 95% CI, 0.57-0.89) and MPA-talk (OR 0.53; 95% CI, 0.42-0.66).Conclusions: Managers with negative attitudes to depression were less likely to take actions to prevent CMD among their employees which confirmed the study hypotheses. The study suggests that initiatives to reduce stigma among managers could be a way forward to prevent CMD at work.Key messages: • Stigma to depression hampers managers’ prevention of CMD and needs to be addressed. • To increase managers prevention of CMD, managerial training to reduce stigma towards depression is essential.© The Author(s) 2022. Published by Oxford University Press on behalf of the European Public Health Association.
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| 15. |
- Hultqvist, Jenny, 1966, et al.
(författare)
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Managers´ Influence on the Prevention of Common Mental Disorders in the Workplace : A Cross-Sectional Study among Swedish Managers
- 2023
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Ingår i: Journal of Occupational and Environmental Medicine. - Philadelphia : Lippincott Williams & Wilkins. - 1076-2752 .- 1536-5948. ; 65:12, s. 1008-1016
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To investigate the association between managers' attitudes towards subordinates with common mental disorders (CMD), self-confidence in supporting these subordinates and managerial preventive actions (MPAs).Methods: A cross-sectional study was conducted among Swedish managers (n = 2988) and two types of MPAs: reviewing assignments and work situation (MPA-review); talking about CMD at the workplace (MPA-talk). Binary logistic regression models were applied and adjusted for individual and organizational covariates.Results: Managers with negative attitudes towards subordinates with CMD were less likely to have done both MPAs. Managers with higher self-confidence in supporting these subordinates were more likely to have done both MPAs compared with managers with lower self-confidence.Conclusions: Managerial negative attitudes towards CMD and self-confidence in supporting subordinates with CMD have a role in MPAs and should be addressed in manager training programmes to encourage preventive actions. Copyright © 2023 American College of Occupational and Environmental Medicine.
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| 16. |
- Hultqvist, Jenny, et al.
(författare)
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Managers’ prevention and self-confidence in supporting employees with common mental disorders
- 2022
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Ingår i: European Journal of Public Health. - Oxford : Oxford University Press. - 1101-1262 .- 1464-360X. ; 32:Suppl. 3
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Tidskriftsartikel (refereegranskat)abstract
- Background: Despite managers’ responsibility for work environment and employee health few studies have investigated managers’ actions to prevent common mental disorders (CMD). Concerning prevention of CMD, qualitative studies report managers feeling unconfident. We investigated managers’ self-confidence in supporting employees with CMD and two managerial preventive actions (MPA): ‘reviewing assignments and the work situation’ (MPA-review) and ‘taking initiative to talk about depression and anxiety at the workplace’ (MPA-talk). We hypothesized that managers’ self-confidence in supporting employees with CMD would be positively associated with both MPAs.Methods: An on-line survey was sent in 2017 to 4737 managers, answer rate 71% (n = 3358), of which 2 899 were included in this study. Both independent and dependent variables were measured through single questions. Self-confidence in supporting employees with CMD was analyzed in relation to MPA-review and MPA-talk using binary logistic regression analysis adjusted for sex, education, managerial experience and training, lived experiences of CMD, work organizational context and general preventive actions in the organization towards CMD.Results: The proportion of managers with higher self-confidence in supporting employees with CMD was 48.9%, performing MPA-review and MPA-talk was 50% and 57% respectively. Adjusted for all co-variates, managers with higher self-confidence in supporting employees with CMDs were more likely to do both MPA-review (OR 1.57; 95% CI, 1.31-1.87) and MPA-talk (OR 2.06; 95% CI, 1.71-2.25).Conclusions: The study hypotheses were confirmed. Managers with more self-confidence in supporting employees with CMD were more likely to take actions to prevent CMD, particularly regarding initiating talks about CMD with subordinates. The study suggests it is important to strengthen managers self-confidence in supporting employees with CMD to increase their preventive actions towards CMD.Key messages: • Managers’ self-confidence in supporting employees with CMD is vital for workplace prevention. • To strengthen managers’ self-confidence in supporting employees with CMD is essential.© The Author(s) 2022. Published by Oxford University Press on behalf of the European Public Health Association.
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| 17. |
- Hultqvist, Jenny, 1966, et al.
(författare)
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Managers' sick leave recommendations for employees with common mental disorders: a cross-sectional video vignette study
- 2023
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Ingår i: BMC Psychology. - : Springer Science and Business Media LLC. - 2050-7283. ; 11:1
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Tidskriftsartikel (refereegranskat)abstract
- Background To better understand the initial phases of sickness absence due to common mental disorders (CMD), the aim of the present video vignette study was to test the following three hypotheses: (1) Managers who have negative attitudes towards employees with CMD will not recommend sick leave. (2) Managers with experience of CMD recommend sick leave to a significantly higher extent than managers lacking this experience. (3) Managers with previous experience of recommending sick leave for people with CMD will recommend sick leave to a significantly higher extent also based on the vignettes.MethodsAn online survey, including a CMD-labelled video vignette, was sent to 4737 Swedish managers (71% participated, n = 3358). For aims (1) and (2), a study sample consisting of 2714 managers was used. For aim (3), due to the design of the survey questions, a subsample (n = 1740) was used.ResultsThere was no significant association between negative attitudes towards employee depression and managers' recommendation of employee sick leave with the vignette case. The bivariate analysis showed that personal experience of CMD was associated with managers' recommendation of employee sick leave. In the adjusted regression model, it became non-significant. Previous experience of recommending sick leave to one employee and to several employees was associated with recommending sick leave, also when adjusting for gender, level of education, years of managerial experience, and management training on CMDsConclusionsThe likelihood of a manager recommending sick leave after watching a CMD-labelled video vignette was higher if the manager had previous experience of this situation in real life. This study highlights the importance of including managerial behaviours and attitudes to better understand sick leave among employees with CMD.
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| 18. |
- Hultqvist, Jenny, et al.
(författare)
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Predictors of clinically important improvements in occupational and quality of life outcomes among mental health service users after completion and follow-up of a lifestyle intervention : multiple regression modelling based on longitudinal data
- 2019
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Ingår i: BMC psychology. - : Springer Science and Business Media LLC. - 2050-7283. ; 7:1
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Balancing Everyday Life (BEL) is a new activity-based lifestyle intervention for mental health service users. An earlier study found BEL to be effective in increasing occupational engagement, occupational balance, activity level, and quality of life scores when compared with a care-as-usual group. However, it is unclear whether care context and socio-demographic, clinical and self-related factors at baseline also influence the results. Thus, the aim of the current study was to explore whether such factors could predict clinically important improvements in occupational and quality of life aspects. METHODS: Participants were interviewed and filled out self-report questionnaires before starting the 16-week intervention (n = 133), upon completion (n = 100), and 6 months following (n = 89). Bi-variate and multi-variate statistical analyses were performed. RESULTS: Several baseline factors were associated with clinically important improvements, but few predictors were found in the multivariate analyses. Having children was found to be a predictor of improvement in occupational engagement at BEL completion, but reduced the chance of belonging to the group with clinically important improvement in activity level at follow-up. Regarding occupational balance, having a close friend predicted belonging to the group with clinically important improvement in the leisure domain. At BEL completion, other predictors for improvements were female gender for the self-care domain, and self-esteem for the home chores domain. At follow-up, psychosocial functioning and lower education level predicted general balance. None of the factors explored in this study were found to be predictors for improvements in quality of life. CONCLUSIONS: Few of the studied care context, socio-demographic, clinical and self-related factors were found to predict clinically important improvements in occupational engagement, activity level, occupational balance, or QOL. This study, together with previous studies showing positive results, suggests that BEL can be an appropriate intervention in both community and clinical settings, and can support improvement in occupational aspects and QOL for participants with diverse socio-demographic, clinical, and self-related characteristics. TRIAL REGISTRATION: This study is part of a larger research project that is registered at ClinicalTrials.gov. Reg. No. NCT02619318.
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| 19. |
- Hultqvist, Jenny, et al.
(författare)
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Programme characteristics and everyday occupations in day centres and clubhouses in Sweden
- 2017
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Taylor & Francis. - 1103-8128 .- 1651-2014. ; 24:3, s. 197-207
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Tidskriftsartikel (refereegranskat)abstract
- Background: Meaningful everyday occupations are important for mental health and recovery and are provided by both community-based day centres (DCs) and clubhouses. It is unknown, however, if any of the two has more recovery-promoting features. Objective: This nine-month longitudinal study compared DC and clubhouses, concerning the users' perceptions of unit and programme characteristics, and aspects of everyday occupations in terms of engagement and satisfaction. Stability over time in these respects, as well as motivation for participation and relationships with occupational engagement and satisfaction, were explored. Methods: Participants from 10 DCs (n = 128) and 5 clubhouses (n = 57) completed self-report instruments. Results: DC attendees rated lower levels on two organizational factors; choice and ability to influence decisions, and the unit's social network. Motivation showed to be an important factor for perceived occupational engagement, which did not differ between the two groups. DC attendees were more satisfied with their everyday occupations at baseline, but that factor increased more in the clubhouse group and there was no group difference at follow-up. The unit and programme characteristics and occupational engagement showed stability over time. Discussion: Clubhouses seemed more advantageous and DC services may consider developing users' opportunities for choice and decision-making, and peer support.
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| 20. |
- Hultqvist, Jenny, et al.
(författare)
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Quality of life among people with psychiatric disabilities attending community-based day centres or Clubhouses
- 2018
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Ingår i: Scandinavian Journal of Caring Sciences. - : John Wiley & Sons. - 0283-9318 .- 1471-6712. ; 32:4, s. 418-1427
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Tidskriftsartikel (refereegranskat)abstract
- Background: People with psychiatric disability have been found to have a poorer quality of life (QOL) compared to the general population, and QOL is an important outcome from psychosocial rehabilitation.Aims: This study aimed at comparing users of two approaches to psychosocial rehabilitation in Sweden, community‐based mental health day centres (DCs) and clubhouses, regarding QOL. A further aim was to investigate predictors of QOL.Methods: People regularly attending DCs (n = 128) or clubhouses (n = 57) completed questionnaires at baseline and a 9‐month follow‐up about socio‐demographics, QOL, self‐esteem, social network, satisfaction with daily occupations, satisfaction with services and the unit's organisation.Results: Quality of life remained stable over time in both groups. QOL at follow‐up was associated with baseline self‐esteem, social network, satisfaction with daily occupations and QOL at baseline. The strongest indicator of a higher QOL at follow‐up was attending a clubhouse programme followed by having scored high on QOL at baseline.Conclusion: Both approaches were suited for supporting their users in maintaining QOL. Visiting clubhouses seems, however, advantageous for QOL in a longer‐term perspective. Although this study contributed some new knowledge, research should further address which circumstances are associated with maintaining stability in QOL.
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| 21. |
- Hultqvist, Jenny, et al.
(författare)
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Recovery in mental illness: Focus on subjective perceptions of occupations in Clubhouses
- 2018
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Ingår i: American Journal of Psychiatric Rehabilitation. - 1548-7768. ; 21:3-4, s. 219-242
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Tidskriftsartikel (refereegranskat)abstract
- The primary study aim was to explore which factors could predict recovery at baseline and follow- up, with occupational value, occupational balance, satisfaction with daily occupations, occupational engagement, and sociodemographic and clinical factors as predictors. A secondary aim was to investigate stability over time in personal recovery from baseline to a 9- month follow- up among people with psychiatric disabilities at ending clubhouses. Clubhouse members completed questionnaires at baseline (N = 57) and at a 9- month follow- up (N = 37). The data were analyzed with nonparametric statistics. Occupational value showed a bivariate relationship with recovery at baseline and follow-up. At follow-up there was also a relationship between occupational engagement and recovery. Satisfaction with daily occupations was not associated with recovery. There were two baseline predictors of recovery at follow-up: a higher level of recovery at baseline and perceiving that one’s activities pertaining to work and clubhouse participation formed a good balance. The personal recovery scores remained stable over time. The result indicates the importance of clubhouses in maximizing occupational opportunities for experience of occupational value and engagement, while also considering members’ occupational balance, in an effort to support the members’ recovery process
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| 22. |
- Hultqvist, Jenny
(författare)
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Recovery-promoting factors in day centres and Clubhouses for people with psychiatric disabilities. A comparative study.
- 2017
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The thesis aims to compare two approaches to psychosocial rehabilitation – day centres and clubhouses – and to explore if either appears better suited to support people in mental health recovery. The recovery focus is on opportunities for engaging in meaningful daily occupations, accessibility to social interaction and factors pertaining to perceived health and well-being. The thesis consists of four quantitative studies based on self-report questionnaires administered to users of day centres (DC) and clubhouses. Study I showed that there was an association between occupational engagement and motivation to attend the DC/clubhouse in the study group as a whole. Albeit that there were few differences between DC and clubhouses regarding the studied factors, the clubhouses appeared to be somewhat more beneficial in terms of users’ opportunities for choice and decision-making in the programme. Furthermore, the clubhouses also appeared somewhat more beneficial for stimulating socialization among the participants. The results from Study II showed that the clubhouse group had larger social networks and more often someone they would nominate as a close friend compared to the DC group. Moreover, the results of Study II showed that a high level of self-esteem and having seen a friend recently were strong predictors of belonging to the group with a larger network in a cross-sectional perspective (baseline). Strong indicators of belonging to the group with a larger social network at follow-up were being a woman and attending a clubhouse programme, and also having scored high on social network at baseline. The result from Study III showed that, in the total sample, subjective quality of life (SQOL) at follow-up was associated with baseline self-esteem, social network, satisfaction with daily occupations and the SQOL at baseline. The strongest indicator for belonging to the group with the highest scores on SQOL at follow-up was attending a clubhouse, indicating that attending clubhouse programmes is beneficial for SQOL in the long term. The relationships between various subjective perceptions of everyday occupations and recovery were explored in Study IV. Self-reward occupational value showed a bivariate relationship with recovery at both baseline and the follow-up. These results suggest that self-reward occupational value and recovery mutually influence each other. Although a number of bivariate associations were established between subjective perceptions of occupation and recovery, none of these became statistically significant in the regression analyses. The findings suggest the importance of providing valued and engaging occupations in clubhouses to maximize opportunities for recovery.The results of this thesis add to previous knowledge of DC services and clubhouses and discern some strengths of the Clubhouse Model. The results may be used when developing community-based mental health services.
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| 23. |
- Hultqvist, Jenny, et al.
(författare)
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Satisfaction with Daily Occupations for Elderly People (SDO-E)—Adaptation and Psychometric Testing
- 2017
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Ingår i: Healthcare. - : MDPI AG. - 2227-9032. ; 5:4
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Tidskriftsartikel (refereegranskat)abstract
- Satisfaction with everyday occupations has been shown to be important for health and well-being in various populations. Research into satisfaction with everyday occupations among elderly persons is, however, lacking. The aim was to investigate the psychometric properties of an adapted test version of the Satisfaction with Daily Occupations instrument (SDO) for elderly people, called SDO-E. Five hospital-based occupational therapists working with elderly people evaluated the content validity and usability of the SDO-E. The elderly participants consisted of 50 people from outside of the health services and 42 inpatients at an internal medicine clinic. They completed the SDO-E and rated their perceived health, activity level, and general satisfaction with daily occupations. The SDO-E showed fair content validity and utility, acceptable internal consistency, good preliminary construct validity and relevant known-groups validity. The SDO-E thus appears to be a useful screening tool for assessing activity level and satisfaction with daily occupations among elderly people, and a complement to other self-report instruments concerning factors connected with health and well-being. Future research should further explore the content validity of the SDO-E, particularly the views of the elderly themselves, and investigate the SDO-E in terms of sensitivity to change.
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| 24. |
- Hultqvist, Jenny, et al.
(författare)
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Social networks and social interaction among people with psychiatric disabilities : comparison of users of day centres and clubhouses
- 2017
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Ingår i: Global Journal of Health Science. - : Canadian Center of Science and Education. - 1916-9736 .- 1916-9744. ; 9:6, s. 107-120
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: The aim of the study was to compare users of community-based mental health day centres (DCs) and clubhouses in Sweden regarding reported social networks and social interaction and the stability of these over time. A further aim was to investigate social network predictors both cross-sectionally and longitudinally. METHODS: People regularly attending DCs (n=128) or clubhouses (n=57) completed questionnaires about social network and social interaction (social engagement and social functioning), self-esteem and socio-demographics at baseline and a nine-month follow-up. RESULTS: Perceived social engagement and social functioning did not differ between the groups and remained stable over time. Fewer in the DC reported having a close friend but there was no difference regarding having recently (the past week) seen a friend. When naming "someone with whom you can share your innermost thoughts and feelings", the DC group named more professional contacts, fewer friends and more often "nobody" compared to the clubhouse group. Finally, on both occasions the DC group scored significantly lower on size of the social network compared to the clubhouse users. Self-esteem and having recently seen a friend could predict size of the social network in the cross-sectional perspective. Strong indicators of belonging to the group with a larger social network at follow-up were being a woman, attending a clubhouse programme and having scored high on social network at baseline. CONCLUSION & IMPLICATION FOR PRACTICE: Having friends and strengthening one’s self-esteem may be essential factors for the social network of people with psychiatric disabilities in a short-term perspective. Visiting clubhouses seems advantageous in a longer-term perspective.
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| 25. |
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| 26. |
- Kirsh, Bonnie, et al.
(författare)
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Occupational Therapy Interventions in Mental Health : A Literature Review in Search of Evidence
- 2019
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Ingår i: Occupational Therapy in Mental Health. - 0164-212X. ; 35:2, s. 109-156
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Tidskriftsartikel (refereegranskat)abstract
- A growing body of literature sheds light on occupational therapy (OT) interventions and outcomes in adult mental health. Although this research has not developed to the point where a systematic review is warranted, a synthesis of these findings is needed. This article provides an overview of OT interventions in adult mental health and their documented outcomes. Fifty peer-reviewed intervention studies targeting adults with mental illness were reviewed. Seven categories of interventions emerged: employment/education; psychoeducation; creative occupations/activity; time use/occupational balance; skills/habit development; group/family approaches; and animal-assisted therapy. Further research involving rigorous designs is needed to establish a solid evidence base for OT interventions in adult mental health.
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| 27. |
- Lexén, Annika, et al.
(författare)
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Occupational therapy student experiences of a university mental health course based on an integrated application of problem-based and team-based learning
- 2018
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1103-8128 .- 1651-2014. ; 25:1, s. 70-77
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Tidskriftsartikel (refereegranskat)abstract
- Background: The goal of problem-based and team-based learning (PBL/TBL) is to maximize student engagement and encourage interactive learning. Combining these methods in course design is described as a win-win situation that optimizes student learning, professional development, and uses varied teaching approaches that fit well within health science. More research is needed in the effectiveness of such a hybrid approach. Objectives: The aim of this study was to explore student experiences of a newly developed mental health course based on an integrated application of PBL and TBL in a university occupational therapy program in Sweden. Methods: In this grounded theory study data were collected through logbooks (n = 13) and supplemental open-ended interviews (n = 7) at the end of the course. Results: The analysis resulted in two core categories: 1) learning is facilitated by a course design based on the integrated application of PBL and TBL, a current topic, and teachers who are perceived as engaging, and 2) a perceived safe setting facilitates learning and creates a good study environment. There were six related sub-categories. Conclusions: Combining elements of PBL and TBL may have a range of benefits in promoting student learning and professional development. Other aspects may also have a role to play.
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| 28. |
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| 29. |
- Lork, Kristin, 1959, et al.
(författare)
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Does the number of reasons for seeking care and self-rated health predict sick leave during the following 12 months? A prospective, longitudinal study in swedish primary health care
- 2022
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Ingår i: International Journal of Environmental Research and Public Health. - : MDPI AG. - 1661-7827 .- 1660-4601. ; 19
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Tidskriftsartikel (refereegranskat)abstract
- Background: Sick leave has major social and economic consequences for both individuals and society. Primary Health Care (PHC) meets people who seek care before they risk going on sick leave. This study examined the impact of self-perceived health on sick leave within 12 months for workers seeking care in PHC. Methods: The study had a prospective longitudinal design with 271 employed, non-sick-listed patients aged 18–64 years seeking care for physical and/or mental symptoms at PHC. In a logistic regression, an estimation of the odds ratio (OR) for belonging to the group workers with >14 days of sick-leave (W-SL) was made. Results: A high number of reasons when seeking care, with an OR of 1.33 (confidence interval 1.14 to 1.56), and lower self-rated health, with an OR of 1.45 (confidence interval 1.10 to 1.91), were determinants for sick leave at 12 months after adjusting for covariates and confounders. Mental symptoms constituted the main reason for seeking care, followed by musculoskeletal pain, and significant differences in proportions regarding most symptoms were shown between the groups with and without sick-leave >14 days. Conclusion: Health care professionals in PHC need to be aware of the risk of future sick leave at comorbidity and low self-perceived health. Preventive rehabilitation interventions should be offered to improve health and prevent sick leave for this group.
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| 30. |
- Lund, Kristine, et al.
(författare)
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Group leader and participant perceptions of Balancing Everyday Life, a group-based lifestyle intervention for mental health service users
- 2020
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1103-8128 .- 1651-2014. ; 27:6, s. 462-473
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Tidskriftsartikel (refereegranskat)abstract
- Background: There exist few recovery and occupation-based interventions for mental health service users. Balancing Everyday Life (BEL) is a new occupation-based lifestyle intervention that was created to fill this need. Aim: To gain group leaders’ and participants’ perspectives of the BEL intervention content and format, including factors that helped, hindered, and could be improved. Methods: A constructivist grounded theory method guided data collection and analysis. Interviews took place with 12 BEL group leaders and 19 BEL participants from out-patient psychiatry settings and community-based day centers in Sweden. Results: BEL’s structure and content were appreciated, yet flexibility was desired to adapt to participant needs. BEL could act as a bridge, helping participants connect with others, and to a more engaged and balanced everyday life. Facilitating factors included a person-focused (versus illness-focused) approach, physical and emotional environments, and connection. Barriers included room resources. More sessions were desired for the intervention. Conclusion: Group leaders and participants experienced BEL as a useful tool to instigate meaningful change and connection in the participants’ lives. The combination of a positive person-focused approach and group support was appreciated. These results could inform future research, evaluation, and development of occupation-focused lifestyle interventions for mental health service users.
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| 31. |
- Lundqvist, Lars-Olov, 1958-, et al.
(författare)
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Psychometric properties of the Neuropsychiatric Inventory for adults with intellectual disability
- 2020
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Ingår i: JARID. - : Blackwell Publishing. - 1360-2322 .- 1468-3148. ; 33:6, s. 1210-1220
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Problem behaviours are common among people with intellectual disabilities (ID), but psychometrically evaluated instruments for assessing such behaviours are scarce. The present study evaluated the psychometric properties of the Neuropsychiatric Inventory-Intellectual Disability (NPI-ID).METHOD: We assessed 108 residents with intellectual disabilities living in group-homes using the NPI-ID, which included the 12 symptoms of the original NPI-Nursing Home and two supplementary symptoms: self-injurious behaviour and impulsive risk-taking behaviour.RESULTS: The NPI-ID showed adequate internal consistency (α = 0.76) and test-retest reliability (intraclass correlation coefficient = 0.88). Exploratory factor analysis revealed five factors accounting for 64.1% of the variance. Cluster analysis revealed that residents were clustered in three groups with distinctly different symptom profiles.CONCLUSIONS: The psychometric properties were satisfactory, supporting the use of the NPI-ID as a screening tool for people with intellectual disabilities. Additional research is needed to further evaluate the utility of the NPI-ID among people with intellectual disabilities.
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| 32. |
- Nygren, Jenny, et al.
(författare)
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Three-dimensional laser induced fluorescence of fuel distributions in an HCCI engine
- 2002
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Ingår i: Proceedings of the Combustion Institute. - 0082-0784 .- 1878-027X. ; 29, s. 679-685
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Konferensbidrag (refereegranskat)abstract
- Three-dimensional imaging of fuel tracer planar laser-induced fluorescence in a homogeneous charge compression ignition (HCCI) engine is presented. A high-speed multiple Nd:YAG laser and detection system, in combination, with a scanning mirror, are used to collect eight images, with an equidistant separation of 0.5 mm. Three-dimensional isoconcentration surfaces calculated from the data are visualized. Three-dimensional imaging offers new opportunities to study different combustion events, specifically the topology of flame structures. For example, it is possible to distinguish if separate islands in a fluorescence image really are separate or if it is an effect from wrinkling in and out of the laser sheet. The PLIF images were also analyzed by identifying five intensity ranges corresponding to increasing degrees of reaction progress. The gradual fuel consumption and thus combustion was then analyzed by calculating the volumetric fraction of these intensity ranges for different crank angle positions. The occurrence of multiple isolated ignition spots and the observed gradual decrease in fuel concentration indicates that HCCI combustion relies on distributed reactions and not flame propagation.
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| 33. |
- Staland Nyman, Carin, 1963, et al.
(författare)
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The significance of managers' knowledge of common mental disorders on managerial stigma towards employee depression: a cross-sectional study in Sweden
- 2024
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Ingår i: BMC PUBLIC HEALTH. - London : BioMed Central (BMC). - 1471-2458. ; 24:1
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Tidskriftsartikel (refereegranskat)abstract
- Background Common mental disorders (CMD) such as depression, anxiety and stress-related disorders have increased in the working-age population in many countries but are still often associated with social stigma in workplaces. Managers have a key role in supporting employees with impaired health. Identifying factors that can improve stigmatizing attitudes among managers towards CMD is crucial. The aim of this study was to investigate managers' knowledge of CMD on managerial stigma; more specifically knowledge aquired through training and education and through occupational and personal experience of CMD on low managerial stigma towards employee depression. Methods Data from a web-based survey conducted in 2017 among 3038 managers in Sweden were used. Managers' attitudes towards employee depression were measured using the Swedish version of the Managerial Stigma towards Employee Depression questionnaire. Binary logistic regression analysis, with adjustments for work setting and managerial experience, was conducted for associations between sources of knowledge of CMD and low managerial stigma. Results With regard to knowledge acquired through training, medical training on CMD was significantly associated with a higher probability for low managerial stigma towards employee depression after adjustments (odds ratio [OR], 1.95; 95% confidence interval [CI], 1.26-3.01), whereas no significant associations were found between knowledge acquired through managerial training on CMD or level of formal education and low managerial stigma. With regard to knowledge acquired through professional and personal experience, occupational experience of treating people with CMD was significantly associated with a higher probability for low managerial stigma (OR, 2.03; 95% CI, 1.40-2.94) as was occupational experience of employees with CMD (1 employee: OR, 1.31; 95% CI, 1.04-1.66); >1 employee, OR 1.35 (CI 1.05-1.73). Personal experience of CMD was significantly associated with low managerial stigma (OR, 1.98; 95% CI, 1.60-2.46). Conclusions Managers' knowledge and understanding of CMD may increase the probability of a low level of managerial stigma towards employees with depression. Managers' professional and/or personal experiences of CMD were important sources of knowledge in relation to a low level of stigmatizing attitudes. Organizations should encourage the use of managers' experience-based knowledge of CMD in addition to training on CMD to reduce managerial stigma.
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| 34. |
- Vidaña-Moya, Laura, et al.
(författare)
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Cross-cultural adaptation, validation and reliability of the spanish satisfaction with daily occupations-occupational balance (Sdo-ob) : An evaluation tool for people with mental disorders
- 2020
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Ingår i: International Journal of Environmental Research and Public Health. - : MDPI AG. - 1661-7827 .- 1660-4601. ; 17:23
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Tidskriftsartikel (refereegranskat)abstract
- Occupation can be defined as all activities that occupy a person’s time. The Satisfaction with Daily Occupations and Occupational Balance instrument evaluates the perceived satisfaction with performance and the balance in time dedicated to different occupations. The main aim was to translate the original instrument to Spanish and examine and establish the psychometric properties. This is a quantitative, cross-sectional study conducted in two stages: translation and cultural adaptation (forward translation, expert panel, back-translation, second expert panel and pre-testing and cognitive interviewing) and collecting data to evaluate psychometric properties (homogeneity, construct validity, known-groups validity, and floor/ceiling effects). One hundred participants took part in the study, adults with a diagnosis of a mental health disorder and adults without any known health problems. The Spanish version showed known-groups validity, acceptable internal consistency, and construct validity, although the relationships with some of the indicators of discriminant validity were somewhat higher than expected. The instrument shows promise as a useful screening tool for assessing activity level and satisfaction with daily occupations among a Spanish speaking population.
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| 35. |
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