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| 2. |
- Bergvall-Kåreborn, Birgitta, et al.
(författare)
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A Model for Reflective Participatory Design : The Role of Participation, Voice and Space
- 2015
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Ingår i: 21st Americas Conference on Information Systems. - : Americas Conference on Information Systems. - 9780996683104
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Konferensbidrag (refereegranskat)abstract
- This paper aims to contribute to the participatory tradition in health informatics by presenting a model for reflective participatory design emerging from qualitative fieldwork in a participatory project aimed to improve the health and wellbeing of older people in the northern periphery regions of Europe, through new mobile services. The model brings together two established processes in novel ways: systems development and user participation. Within each process three concepts are presented to facilitate discussion and reflection at the concept level, the process level and the integrated process level.
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| 3. |
- Bergvall-Kåreborn, Birgitta, et al.
(författare)
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Participation in living lab : designing systems with users
- 2010
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Ingår i: Human Benefit through the Diffusion of Information Systems Design Science Research. - Berlin, Heidelberg : Encyclopedia of Global Archaeology/Springer Verlag. - 9783642121128 ; , s. 317-326
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Konferensbidrag (refereegranskat)abstract
- Drawing on a case study of a living lab, this paper considers the process of participation during the design stages of a health care project for the elderly in Sweden. While participation has an established history, more recently it has been described as an "old, tired concept" that is in need of revitalization in order to cater for changing IS practices. In this paper, we reflect on how participation materializes in a context that is quite dissimilar from more traditional development settings and report on the kinds of practices that may be used to assist design with users
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| 4. |
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| 5. |
- Eriksson, Lisbeth, et al.
(författare)
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The concept of palpation of the shoulder – A basic element of physiotherapy practice: A focus group study with physiotherapists
- 2012
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Ingår i: Advances in Physiotherapy. - : Taylor & Francis. - 1403-8196 .- 1651-1948. ; 14:4, s. 183-193
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Tidskriftsartikel (refereegranskat)abstract
- Although palpation is frequently used in physiotherapy examinations, a limited amount of research has been done to clarify this concept. The aim of this study was to describe physiotherapists’ experiences of shoulder palpation with the intention of obtaining detailed descriptions of the concept of palpation. Three focus group interviews were conducted, including a total of seven physiotherapists who had experience of patients with shoulder disability built up over a long period. A qualitative content analysis of the interviews was carried out. The findings showed how palpation can be perceived as a skill that could be described from two different perspectives: Manual and technical palpation and Palpation being dependent on the relationship between the physiotherapist and the patient. Palpation requires time, and the knowledge and experience of palpating built up over time. We also found how the two “perspectives” of palpation were inseparable from each other. The ability to perform manual and technical palpation and the relationship between the physiotherapist and the patient can be considered an interactive learning situation where the physiotherapist and the patient develop mutual knowledge of the body.
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| 7. |
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| 8. |
- Ghaye, Tony, et al.
(författare)
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Participatory and appreciative action and reflection (PAAR) : democratizing reflective practices
- 2008
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Ingår i: Reflective Practice. - : Informa UK Limited. - 1462-3943 .- 1470-1103. ; 9:4, s. 361-397
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Tidskriftsartikel (refereegranskat)abstract
- The paper introduces a new approach to reflecting and acting called participatory and appreciative action and reflection (PAAR). It explores its potential to enable individuals and groups to move forward, to improve their working practices and lives in particular communities and contexts. The paper situates PAAR in the historical context of participatory and action methodologies and reflective learning. It suggests that using PAAR requires four strategic ‘turns'. By turn we mean a change in direction from one way of thinking and practising to another. The four turns are: (i) away from a preoccupation with changing behaviours in order to solve problems, with ‘fixing' things and an engagement in deficit-based discourses, towards the development of appreciative insight, understanding the root causes of success and sustaining strengths-based discourses in order to amplify those things that will help build a better future from the positive present; (ii) away from self-learning (individualism and isolation) and towards collective learning through interconnectedness, appreciative knowledge sharing and the use of new forms of communications technology which enable simultaneous action in dispersed geopolitical spaces; (iii) away from one way of knowing and one perspective on truth to an acceptance of more pluralistic view of ways of knowing, of understanding human experience and putting this knowing to good use; (iv) away from reflective cycles and spirals and towards the use of a reflective learning (r-learning) framework comprising four mutually supportive processes. They are those of developing an appreciative ‘gaze', of reframing experience, of building practical wisdom and of achieving and moving forward.
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| 11. |
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| 14. |
- Kostenius, Catrine, et al.
(författare)
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From rocking horse to rocking chair in good health : research methods for intergenerational knowledge sharing in health promotion
- 2013
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Konferensbidrag (refereegranskat)abstract
- The overall purpose of this presentation is to discuss research methods for data collection togive voice throughout the lifespan including children, adults and elderly. More specifically,the aim is to present research methods to capture intergenerational experiences ofpsychosocial well-being, and transformation of knowledge between age groups. Subjectivewell-being is people’s positive evaluation of their lives including pleasant emotions,fulfillment and satisfaction. The methods are based on the concept of salutogenese, focusingon empowerment combining written and oral, individual and group methods to access variousforms of communication. The focus is on self-determination, ability to influence andparticipation as dimensions of empowerment, which lead us to an approach that is solutionfocusedwith a starting point in the participants’ own experiences of psychosocial well-being.First reflective narratives – open letters – are offered to the children, adults and elderly as away to share their experiences, thoughts and ideas on how to amplify health and well-being.Then participants meet in different constellations, focus groups, to share their healthpromoting experiences first with each homogeneous group; children, adults and elderly, thenin mixed age groups. The purpose of the heterogeneous focus groups are to develop the openletters, with health promotion ideas the individual participants have written, in order todeepen the understanding of how health promotion activities can be designed in differentcontexts. The purpose of the homogeneous focus groups are to make knowledgetransformation possible between different age groups, both as a way to enrich the discussionabout the topic as well as to empower the participants. Based on research showing thatpsychosocial well-being increase when people are listened to, taken seriously and have thepossibility to participate, these research methods may not only be ways to collect researchdata but promote health and well-being as well.
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| 15. |
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| 16. |
- Melander-Wikman, Anita
(författare)
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Ageing well : mobile ICT as a tool for empowerment of elderly people in home health care and rehabilitation
- 2008
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The ageing of Europe's population is a crucial challenge for the 21st century. Today, the mean life expectancy in Sweden is 83 years for women and 78 for men. Ageing well is a frequently used process, describing the objectives of future elderly care and rehabilitation. Enabling elderly people to live longer and independently in their homes is one goal for society as a whole. Providing health care of high quality, on equal terms for all citizens, is an important political goal in Sweden. It is a great challenge for providers to achieve elderly care of high quality and to develop products, services and technologies that meet the needs of elderly people. There is an assumption that Information and Communication Technologies (ICT) will enhance quality of life. Additionally "electronic accessibility" is one of the goals for the European Information Society to support and enable self-determination and mobility. Dimensions of empowerment such as participation and ability to influence/control one's life situation imply an approach to health care with the patient/client in focus. The aim of this thesis was to explore different dimensions of empowerment and an empowerment methodology for elderly persons in home health care, and if ICT was a useful tool in this process. A multi-method approach was used that included interviews with patients with experience of rehabilitation, interviews with elderly persons with homecare and safety alarms, exploring their needs in relation to empowerment dimensions such as autonomy, self-determination, participation and mobility, an intervention where a mobile safety alarm was tested by elderly individuals and reflective learning workshops with front line staff in home care. Different methods of analysis were used, including Grounded Theory, Latent Content analysis and Constructivist Grounded Theory together with reflections. One of the overall findings was that all patients/clients that participated in these studies had not reflected upon whether it would be possible or not, to influence care and rehabilitation. The results indicate low patient participation in and influence on, the rehabilitation process. Elderly people perceived freedom of movement as a prerequisite for participation and in one of the studies the elderly participants felt that they could influence care and be participating in one aspect, but they still wanted more support with, for example, being more physically active, like walking out doors. The overall findings show a genuine patient/client desire, but limited possibilities to influence care and rehabilitation. Put another way, patients/clients want to have influence and participate authentically, but they do not exactly know how to achieve this. All patients/clients were positive towards the professionals in care and rehabilitation. They were really grateful and admired the professionals and also identified themselves with how stressed and how overloaded with work the professionals were. This might mean that the concept interdependency is looked upon as more important than real autonomy. The patients/clients tried to be compliant and this can be understood as "learning unpretentiousness". After reflecting upon their situation they were more able to articulate their needs that were not responded to or taken care of. When ICT, as an empowering tool, was implemented, findings showed that elderly people experienced the use of a mobile safety alarm as empowering. The mobile safety alarm gave them the freedom of movement needed to be physically active and still feel safe. The positioning device was not experienced as a threat to their integrity. Mobility and safety were experienced as more important than privacy. The research findings indicate that in order to improve home health care services from the patient's/client's perspective, we need to work with the triads of participation, empowerment and mobile Information and Communication Technology. We need to critically and creatively reflect on what clients say and then try to respond positively to what we learn and shift the focus away from ‘what's life like?' and ‘what should life be like?', towards the explicit action question, ‘what needs to be done to make life as good as it can be?' Real improvement is more likely to be sustained with some changes in accountability.
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| 17. |
- Melander-Wikman, Anita
(författare)
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Aktivitet: Alec 2012
- 2012
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Annan publikation (populärvet., debatt m.m.)
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| 18. |
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| 19. |
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| 20. |
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| 21. |
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| 22. |
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| 23. |
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| 24. |
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| 25. |
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| 26. |
- Melander-Wikman, Anita
(författare)
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Definitioner och modeller för e-hälsa
- 2012
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Ingår i: E-hälsa. - Lund : Studentlitteratur AB. - 9789144067629 ; , s. 17-31
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Bokkapitel (populärvet., debatt m.m.)
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| 27. |
- Melander-Wikman, Anita, et al.
(författare)
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Developing mobile ICT for improved health, safety and well-being together with elderly people : experiences from the MyHealth@Age (2008-2010) project
- 2010
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Ingår i: Ubiquitous Healthcare and Supporting Technolgies (UBI-HEALTH'10). ; , s. 1-5
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Konferensbidrag (refereegranskat)abstract
- The population is ageing in most economically developed countries. For elderly persons, safety is seen as important. The fear of falling is an experience that has been reported by numerous studies. Falls present the most common cause of injury in old age. A "health ageing paradigm" is a comprehensive approach to prevent injuries from falling. Home-based and mobile monitoring technology is considered to assist elderly people in terms of keeping healthy and staying at home longer. The MyHealth@Age Project (2008-2010) involves partners from Northern Ireland, Norway and Sweden. It aims to provide mobile ICT products and services to promote a process of healthy ageing. Thirteen elderly persons, 63-80 years of age, are the research persons in the Swedish part. The project-methodology is participatory and collaborative. It draws upon FormIT, Participatory and Appreciative Action & Reflection research (PAAR) and Living Lab approaches. Three areas were identified; safety, prescribed healthcare and social networking. Safety and freedom of mobility were the most important identified needs. Much of the learning was accumulated with regard to the processes of empowerment. It is important to co-construct empowering research and development methodologies, products and services, which promote social participation of elderly persons in order to keep healthy, safe and to promote well-being
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| 28. |
- Melander-Wikman, Anita
(författare)
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Empowerment in living practice : mobile ICT as a tool for empowerment of elderly people in home health care
- 2007
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Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The aging of Europe's population is a crucial challenge for the 21st century. Today, the mean life expectancy in Sweden is 83 years for women and 78 for men. Providing health care of high quality on equal terms for all citizens is an important political goal in Sweden. It is a great challenge for providers to achieve elderly care of high quality and to develop products, services and technologies that meet the needs of elderly people. Increased use of various forms of Information and Communication Technology (ICT) can enable the citizens to take more active part in their own health care. Dimensions of empowerment such as participation and ability to influence/control one's life situation imply an approach to health care with the patient/client in focus. The aim of this thesis was to explore different dimensions of empowerment and empowerment methodology for elderly persons in home health care, and if ICT is a useful tool in this process. Methods used included interviews with patients with experience of rehabilitation, reflective learning workshops with first line staff in home care and an intervention where a mobile safety alarm was tested by elderly individuals. Different analysis methods were used, including Grounded Theory, Latent content analysis and constructivist Grounded Theory together with reflections. My findings were that the process of rehabilitation was experienced as a parallel process based on traditional and individual models, implying that a patient copes with a situation by shifting between being compliant and adopting more self-regulatory behaviour. The results indicated low patient participation in and influence on the rehabilitation process in the hospital. When ICT as an empowering tool was implemented, findings showed that elderly people experienced the use of a mobile safety alarm as an empowering tool. The mobile safety alarm gave the freedom of movement needed to be physical active and still feel safe. The positioning device was not experienced as a threat to their integrity. Mobility and safety were experienced as more important than privacy. Freedom of movement and mobility were described as matters of freedom and empowerment. My research findings indicate that in order to improve home health care services from the patient's/client's perspective, we need to work with the triads of participation, empowerment and mobile Information and Communication Technology. We need to critically and creatively reflect on what clients say and then try to respond positively to what we learn. Real improvement might only occur when accountability changes.
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| 29. |
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| 30. |
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| 31. |
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| 32. |
- Melander-Wikman, Anita, et al.
(författare)
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Improving health and safety for elderly people through an ethic-of-appreciation
- 2009
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Ingår i: The Journal of Nutrition, Health & Aging. - 1279-7707 .- 1760-4788. ; 13:6, Suppl. 1, s. S449-
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- IntroductionThis paper uses data from My Health @ Age (2008-2010), an EU, Northern Periphery funded project. Its aim is to offer the rapidly ageing population in the northern periphery regions of Europe, improved health, safety and well-being through the use of new services and new mobile ICT products. The project methodology is informed by the values and processes of Participatory Design, Form-IT and appreciative action research. The project's aim and its approach raise a fundamental ethical question, namely, ' In what ways do ICT solutions for improving the quality of life for older people (over 65 years) in the northern periphery regions, have an ethical dimension?MethodsOur developing ethical awareness uses data from focus group meetings and storyboarding activities conducted with a group of 20 elderly persons, with/with out functional limitations, in Norrbotten, Sweden. Using conversational analysis, thematic elucidation, semiotic and iconographic analysis, we present our efforts to do the 'right thing' and the 'best thing' to enhance the well-being of elderly people.ResultsThis paper illustrates ethical conflicts and dilemmas associated with trying to balance user needs ( e.g. elderly people, health care professionals) with technological (product) design requirements and commercial or market opportunities. Four ethical themes have emerged which, collectively, form an etic-of-appreciation. They are the need to clearly demonstrate an;* Ethic of respect: Where the lived experiences of older people are actively listened to.*Ethic of empowerment: Where older people feel they have a voice in descisions about their well-being.* Ethic of critique: Where power differentials that often constrain and marginalise older adults, are confronted.* Ethic of concern: Where ICT solutions enable older people to feel dignified and treated with kindness.ConclusionICT and ethics need to be creatively synthesised into an ethic-of-appreciation. This is imperative for projects based on participatory design principles.ReferencesGhaye, T., Melander Wikman, A., Kisare, M., Chambers, P., Bergmark, U., Kostenius, C. and Lillyman, S. (2008) Participatory and appreciative action and reflection (PAAR) - democratizing reflective practices. Reflective Practice, 9(4) 361-397Melander Wikman, A., Jansson, M. & Ghaye, T. (2006) Reflections on an appreciative approach to empowering elderly people in home healthcare. Reflective Practice, 7; 4:423-443
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| 33. |
- Melander-Wikman, Anita, et al.
(författare)
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Methodology for empowering elderly persons in home care by means of ICT
- 2006
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Ingår i: Telemedicin and eHealth Beyond Tomorrow. ; , s. 83-
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- If future demands on health and home care are to be met effectively, implementing information and communication technology (ICT) is acknowledged as a necessity. New (mobile) ICT may also be seen as a tool for empowering elderly people. Enabling the right to self-determination among the elderly will also change professionals'ways of thinking, and thus the basis of their involvement. In the e-Home Health Care @ North Calotte project (eHHC, 2003-2005) a set of guidelines was developed for a methodology for empowennent when implementing mobile ICT into home healthcare. This project coordinated field trials in four municipalities in northern Finland, Norway and Sweden. The Swedish trial used a Participatory Action Research approach (PAR) and included Future Workshops, focus-group interviews, reflective interviews and observations. The aim of this study is to present the working process and the methods used when creating guidelines for a methodology for empowerment. The dimensions of empowennent are discussed, together with results from the Swedish trial in the eHHC project. The experiences from this trial show that to ensure the empowerment process when developing ICT in home care, close cooperation with clients, relatives and professionals is needed.
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| 34. |
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| 35. |
- Melander-Wikman, Anita, et al.
(författare)
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MobiHealth projektet - mobil teknik
- 2003
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Ingår i: Abstractbok för sjukgymnasdagarna 2003. - Stockholm : Legitimerade sjukgymnasters riksförbund. ; , s. 49-
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)
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| 36. |
- Melander-Wikman, Anita
(författare)
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Mobil informations-och kommunikationsteknik (IKT) : en väg till ökad rörelsefrihet för äldre?
- 2009
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Ingår i: Fysioterapi. - 1653-5804. ; :9, s. 44-52
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Ett gott åldrande är ett generellt mål för samhället. Det ökande antalet äldre i Europa gör det viktigt att utveckla tjänster och produkter som inkluderar äldre och som ökar äldres möjlighet att klara sig själva. Det finns en förväntan om att självbestämmande och rörelsefrihet kan stöttas genom användning av informations- och kommunikationsteknik (IKT). Dimensioner av empowerment som delaktighet, självbestämmande, inflytande och rörelsefrihet är viktiga för ett gott åldrande. Forskning visar att mobil IKT kan stötta äldre genom att bidra till en ökad rörelsefrihet och trygghet. Äldre bör själva medverka i utvecklingen av ny teknik och service för att den skall motsvara deras behov. Mer forskning behövs som identifierar äldres behov, hur IKT kan vara ett stöd för både professionella och patienter/brukare i förbättring av vård och rehabilitering, och som utgår från äldres perspektiv på ett gott åldrande. Den fråga som kan ställas är: "Vad behöver göras för att göra livet så gott som möjligt?"
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| 37. |
- Melander-Wikman, Anita, et al.
(författare)
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Mobilt larm och rörelsefrihet : upplevelser av ett mobilt trygghetslarm
- 2006
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Den framtida demografiska utvecklingen innebär en allt högre andel äldre i befolkningen i Sverige. En av de största utmaningarna för ett samhälle med en åldrande befolkning är att ordna vården och omsorgen om de äldre i framtiden. Många äldre håller sig aktiva och friska upp i allt högre ålder men en ökad medellivslängd innebär inte detsamma som en ökad hälsa. Oftast har den demografiska utvecklingen framställts som ett stort problem men nu börjar det även komma en diskussion som innebär att äldreboomen, sedd som ett kluster, även kan innebära en möjlighet ett tillväxtområde. Nya tjänster och ny teknik som vänder sig till en växande del äldre i befolkningen utvecklas och testas. Man vet från forskning att faktorer som har med den enskildes upplevelse av egenmakt, integritet och rörelsefrihet, det vill säga empowerment är av stor betydelse för bibehållen hälsa. Trygghet är också av betydelse. För att göra det möjligt att bo kvar så länge som möjligt i hemmet används ofta olika former av teknik. Trygghetslarm är vanligt och används av framförallt äldre men även av funktionshindrade. Syftet med projektet Mobilt larm (MTL CDH) var att undersöka hur dagens trygghetslarm används, utveckla och testa ett mobilt trygghetslarm samt undersöka hur detta larm upplevs utifrån ett empowerment perspektiv. Metoder som använts är analys av alla inkomna larm i Luleå kommun under en 5 dagars period, en intervention i form av ett mobilt larm med fallsensor som testades av 9 äldre personer under 3 veckor, intervju med testpersonerna och två enkäter kring funktion, användarvänlighet samt graden av rörelsefrihet som besvarats av testpersonerna. Resultatet visar att dagens trygghetslarm används förutom till att påkalla hjälp även som kommunikationsmedel för att skapa trygghet. Det testade mobila larmet sågs som en möjlighet till ökad rörelsefrihet. Det faktum att man var positionerad genom larmet upplevdes inte som integritetskränkande så länge man upplevde att det var personen själv som bestämde att använda larmet. Det testade larmet var endast en prototyp under utveckling och testpersonerna bidrog med förslag till förbättring
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| 38. |
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| 39. |
- Melander-Wikman, Anita, et al.
(författare)
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Patient empowerment in rehabilitation : "somebody told me to get rehabilitated"
- 2006
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Ingår i: Advances in Physiotherapy. - : Informa UK Limited. - 1403-8196 .- 1651-1948. ; 8:1, s. 23-32
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Tidskriftsartikel (refereegranskat)abstract
- Within healthcare, there is a growing interest in patient influence and participation. The aim of this study is to describe patients' experience of participation in and influence on rehabilitation with the focus on physiotherapy. Interviews with patients from three different primary healthcare centres were conducted. The result indicated low patient participation in and influence on the rehabilitation process within the hospital. The informants trusted the competence of the caregivers and tried to be as compliant as possible. Their experiences were that training must be supported and followed up. Information about rights was requested. The informants felt that they were listened to and confirmed by the physiotherapists. The positive attitude was combined with low demands and a great feeling of gratitude as a matter of course. Using information and support from the physiotherapist, together with friends and next of kin, the informants had learned to cope with the new situation. In this paper, these results are understood and described in terms of the parallel process of rehabilitation, based on traditional and individual models, and implying that the patient copes with the situation by shifting between being compliant and adopting more self-regulatory behaviour, for example. Attitudes are changing in society and this study reflects the patient of today, and is confirmed by recent studies
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| 40. |
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| 41. |
- Melander-Wikman, Anita, et al.
(författare)
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Positionering av äldre : "storebror ser dig"
- 2005
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Ingår i: Abstractbok för sjukgymnastdagarna 2005. - Stockholm : Legitimerade sjukgymnasters riksförbund. ; , s. 30-
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)
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| 42. |
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| 43. |
- Melander-Wikman, Anita, et al.
(författare)
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Project: e-Balance
- 2014
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Annan publikation (populärvet., debatt m.m.)
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| 44. |
- Melander-Wikman, Anita
(författare)
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Project: e-Home HealthCare @ North Calotte
- 2013
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Annan publikation (populärvet., debatt m.m.)abstract
- Projektet är en gemensam nordisk ansats för vård i hemmet, i regionerna Kemi-Tornio, Luleå-Boden, Rovaniemi-Ranua och Tromsø. Syfte och mål Projektets syfte var att skapa en bättre och effektivare vård genom att utveckla och testa nya verksamhetsstöd och mobila lösningar till personal som arbetar med vård i hemmet. Till problembilden hör att andelen äldre människor i befolkningen ökar, de stora avstånden i de nordiska länderna och det minskande antalet människor som arbetar med äldrevård. Genomförande Det gjordes olika tester i de olika geografiska områdena. Gemensamt var att man använde bärbara datorer, handterminaler och olika lösningar för kommunikation för överföring av information. Upplägget var också likartat. Man tog fram det system man ville testa, utbildade personalen som skulle använda det och genomförde och utvärderade testerna. Försöken i Luleå bestod dels av en teknisk del och dels en forskardel. Den tekniska delen gick ut på att testa en mobil handenhet medan forskardelen handlade om att studera hur personalen upplever att använda ny teknik i arbetet. Utöver detta skulle förändrade arbetssätt och rutiner utvärderas. Resultat Deltagarna upplever att det förbättrade informationsflödet sparar tid och gör informationen mer tillgänglig, även under hembesöken. Detta förde med sig ökad flexibilitet, säkerhet och kunskap om brukarna. Personalen i Luleå poängterar att det blev betydligt lugnare och mindre stress då arbetsdagen började, tack vara den centraliserade planeringen. Det upptäcktes inga negativa etiska konsekvenser med användandet av ICT i vården. Tvärtom ökas informationssäkerheten tack vare användandet av lösenord och definitionen av yrkesroller som användes för att styra vilken information olika personer skulle ha tillgång till. Vetenskapliga resultat Ett antal vetenskapliga artiklar har publicerats och presentationer av projektet har gjorts vid ett flertal konferenser, bl a the International Telemedicine Conference i Tromsö och the Nordic Conference on Telemedicine i Umeå. Projektet har också senare utmynnat i en licentiatavhandling och doktorsavhandlingen ”Ageing well - Mobile ICT as a tool for empowerment of elderly people in home health care and rehabilitation”, Anita Melander-Wikman.
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| 45. |
- Melander-Wikman, Anita, et al.
(författare)
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Project: Early signs of mobility limitations and fall events in old age: long-term consequences and tailored preventive interventions through interactive media
- 2012
-
Annan publikation (populärvet., debatt m.m.)abstract
- The aims of this project are 1) to investigate the consequences over five years of early signs of mobility limitations expressed as fallevents, a changed walking pattern with a cognitive load (dual-task costs), and decreased balance confidence on severe fall-relatedinjuries, perceived health, participation, activities of daily living, and gait performance, and 2) to develop, together with older people,and evaluate tailored fall-prevention through interactive media in a randomized controlled trial with two arms.
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| 46. |
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| 47. |
- Melander-Wikman, Anita
(författare)
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Project: MobiHealth
- 2013
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Annan publikation (populärvet., debatt m.m.)abstract
- Ett EU-projekt med 14 deltagande parter, för att utveckla nya mobila tjänster för hälsovården. MobiHealth avsåg att utveckla och testa nya mobila tjänster som för ut hälsovården till patienten, med ett ökat mervärde för hälsovården. MobiHealths system ger patienter möjlighet till fullständig mobilitet samtidigt som deras hälsotillstånd övervakas. Genomförande I projektet utvecklades bland annat systemet MobiHealth BAN (Body Area Network) – vilket är anpassat för att bevaka personens egna hälsobehov. Systemet mäter fysiska data, som blodtryck eller EKG och överför detta trådlöst till patientens läkare, sjukhus eller vårdcentral. Detta gör att en patient som under en tid kräver övervakning inte behöver stanna på sjukhus utan fritt kan utföra de aktiviteter som ingår i det dagliga livet. Projektet bidrar med lösningar som kan minska vårdkostnaderna, samtidigt som det hjälper till att tillgodose patientens ökande behov av fri rörlighet och personligt anpassad vård. Resultat De viktigaste resultaten från testerna och användar undersökningarna var: • Användarna ansåg att en kommersiell produkt vore användbar, då projektet visat på tydliga behov av olika mobila tjänster. • MobiHealths system behöver utvecklas vidare och valideras för att möta marknadskrav och användares behov.• Systemet har en stor potentiell marknad för viken man kunnat sätta upp trovärdiga affärsmodeller.• Det har kommit flera förfrågningar från sjukhus och fonder för hälsovård från hela världen om att få delta i den fortsatta utvecklingen och valideringen av systemet. Vid en konferens i Belfast 13 – 15 december 2005 blev MobiHealth listat som ett av endast två flaggskeppsprojekt som pekar på viktiga närliggande trender inom e-hälsa. Vetenskapliga resultat Projektet resulterade i ett tiotal konferensbidrag och en presentation vid ”the 12th Biennial Conference of the Workgroup of European Nurses Researchers”. En vetenskaplig artikel publicerades i tidskriften eHealth International. Tidsperiod 2002 – 2004, 18 månader förlängt till 22 månader, för tester man ville utföra.
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| 48. |
- Melander-Wikman, Anita, et al.
(författare)
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Project: MyHealth@Age
- 2013
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Annan publikation (populärvet., debatt m.m.)abstract
- MyHealth@Age projektet utvecklade tjänster och produkter som aktivt involverar äldre personer i deras egen vård- och omsorg för att de ska få bättre hälsa, trygghet och välbefinnande. Målsättningen var att de äldre ska förbli så friska och välmående att de klarar sig själva 3-5 år längre än vad som annars vore fallet. På så sätt ökas de äldres livskvalitet samtidigt som vård- och omsorgsorganisationerna ges bättre verksamhetsförutsättningar. I nära samverkan med äldre slutanvändare, vård- och omsorgspersonal, leverantörer och forskare utvecklades produkter och tjänster för mobilt trygghetslarm, ordinerad egenvård samt social samverkan. Syftet var att de nya produkterna och tjänsterna ska bli viktiga för medverkande aktörers konkurrenskraft, tillväxtmöjligheter (företag) och verksamhetsförutsättningar (organisationer).De vård- och omsorgsorganisationer som involverades i det svenska fältprovet var Luleå och Bodens kommun samt Norrbottens läns landsting. Projektet genomfördes januari 2008-december 2010. Fältprov genomfördes september 2009 – november 2010 i Boden/Luleå, Tromsö och Belfast för utvärdering och vidareutveckling av tjänsterna och produkterna. Fältproven involverade 15-tal äldre slutanvändare per land samt berörd primärvård- och kommunal omsorgspersonal. Totalt var 15 organisationer och företag engagerade i projektet. MyHealth@Age projektet finansierades av EU programmet Norra Periferin.
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| 49. |
- Melander-Wikman, Anita, et al.
(författare)
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Projekt: Äldre personers förväntningar på användandet av informations- och kommunikationsteknologi som stöd
- 2013
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Annan publikation (populärvet., debatt m.m.)abstract
- Informations- och kommunikationsteknologi används idag inom hälso- och sjukvård för bland annat livsstilsrelaterade sjukdomar som tillexempel vid övervikt och fetma, IKT är en del av den verksamhet som hälso- och sjukvården satsar på i framtiden. Användning av IKT i hälsorelaterade sammanhang för större befolkningsgrupper förutsätter en viss grad av beredskap hos befolkningen som sannolikt inte bara är relaterad till kännedom om möjligheterna och vana vid teknologin, utan en förväntan om att det kan vara av värde för personen själv. Kunskaperna är magra om befolkningens beredskap för och inställning till IKT som ett verktyg för kontakten mellan vårdtagare och vårdgivare, och de undersökningar som finns över detta visar på en bild av återhållna förväntningar. I projektet studeras vilken betydelse informations- och kommunikationsteknik har för äldre personers livskvalitet och vilka förväntningar som finns framtida IKT lösningar som stöd för viktnedgång. Datainsamlingar genomförs via enkäter som skickas ut till slumpmässigt valda personer i Sverige och genom intervjuer gemomförda individuellt och i grupp.
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| 50. |
- Melander-Wikman, Anita, et al.
(författare)
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Reflections on an appreciative approach to empowering elderly people in home healthcare
- 2006
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Ingår i: Reflective Practice. - : Taylor & Francis. - 1462-3943 .- 1470-1103. ; 7:4, s. 423-443
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Tidskriftsartikel (refereegranskat)abstract
- This is a reflective account of aspects of our collective concern about developing and sustaining ways that might enable elderly people to feel more empowered to exercise their right of self-determination. This work has been undertaken in the context of home healthcare in northern Sweden. In this paper we put three espoused values 'under pressure' from client, professional (homecare staff) and research perspectives. We also explore three aspects of the pictorial landscape of homecare (see Figure 1). They are the notions of client participation, empowerment and ICT. The living data for this paper is drawn from two days of workshop activities with 35 homecare staff working in the municipality of Lule, Sweden. The workshop was one outcome of the e-Home Health Care @ North Calotte (eHHC) Project of 2003-2005. We conclude with some collective reflections about: (a) the practice of participation (dialogue) and an intention of it (empowerment) in the context of clients accelerating service change; (b) how to reframe traditional views of the relationships between research and practice and, as a consequence, open up new possibilities for understanding how elderly people's lived experiences can be a positive force for service improvement; and (c) the use of storyboards as an appreciative approach to enable frontline staff to reflect on their work, share and learn together
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