| 1. |
- Ahlstrand, Inger, et al.
(författare)
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Occupational balance and its relation to performance of valued life activities in persons with rheumatoid arthritis in working age
- 2018
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Ingår i: Annals of the Rheumatic Diseases. - : BMJ Publishing Group Ltd. - 0003-4967 .- 1468-2060. ; 77:Suppl. 2, s. 186-186
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Tidskriftsartikel (refereegranskat)abstract
- Background Experience of balance in everyday activities where work is an essential part is important to health and well-being, as has also been observed in previous studies in people with rheumatoid arthritis (RA). The Valued life activity scale (VLA-swe) is a questionnaire in which patient’s first report if the separate activities are valued or not to perform and secondly difficulties to perform these activities. Occupational Balance Questionnaire (OBQ) focuses on satisfaction with the amount and variation of occupations.Objectives The objectives were to 1) describe the relationship between performance of valued activities and experienced occupational balance, and to 2) identify aspects associated with low occupational balance in persons with RA.Methods 368 persons (age 18–65 years, 77% women) with RA responded to a questionnaire measuring occupational balance (OBQ) and performance of valued life activities (VLA-swe). Other aspects of interest were activity limitations measured by Health Assessment Questionnaire (HAQ), pain (measured by VAS), continuous stress (stressed continuously for more than a month during the last 12 months), children at home, education, and living situation. The relation between OBQ and performance in VLA across genders and Workers/Non-workers were analysed using non-parametric correlation analyses. To identify the impact of different aspects on the likelihood that participants would report lower occupational balance, OBQ was analysed using workers/nonworkers, stress, gender, age, pain and difficulties performing valued activities as independent variables in logistic regressions models. The study was approved by the Regional Ethics Committee (Dnr2011/452–31).Results The OBQ was significantly related to difficulties to perform valued activities reported by VLA (r=-0.41, p<0.001). Having more difficulties performing valued activities was the strongest predictor of lower occupation balance and increased the risk of reporting lower occupation balance with nearly five times (OR=4.54, p 0.001). Continuous stress increased the risk of having lower occupation balance more than three times (OR=3.27, p<0.0001) than those who not reported being stressed. The other variables show no significant impact on the likelihood that the participants would report lower occupational balance.Conclusions The results showed support for the relationship between occupation balance and performance of valued life activities and highlights to identify what’s important for the individual and to assume that in the rehabilitation. The results also show the importance of ability to manage stress, in order to enable for retaining ability to work and achieve high occupational balance.
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| 2. |
- Borgh, Madeleine, et al.
(författare)
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Organisational factors and occupational balance in working parents in Sweden
- 2018
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Ingår i: Scandinavian Journal of Public Health. - : SAGE Publications. - 1403-4948 .- 1651-1905. ; 46:3, s. 409-416
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Tidskriftsartikel (refereegranskat)abstract
- Background: Parents with small children constitute a vulnerable group as they have an increased risk of sick leave due to stress-related disorders compared to adults without children. It has been shown that mothers and fathers to small children together spend more time in paid work than any other group, which could create negative stress and an experience of low occupational balance. Aim: The aim of this study was to examine associations between organisational factors and occupational balance among parents with small children in Sweden. Methods: Data were collected by a survey including questions about occupational balance, organisational factors and age, sex, employment rate, work position, monthly household income, number of children at home, separation/divorce last five years and overtime. The total number of parents included in this study was 718 (490 mothers and 228 fathers). Logistic regression models were applied to examine the odds ratios for occupational balance in relation to organisational factors. Results: Parents who experienced positive attitudes towards parenthood and parental leave among colleagues and managers were more likely to experience high occupational balance than parents who experienced negative or neutral attitudes. Having a clear structure for handover when absent from work was also strongly associated with high occupational balance. Conclusions : The result of the present study indicates that some organisational factors could be important for the occupational balance of parents with small children.
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| 3. |
- Evans, Kiah L., et al.
(författare)
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Viewpoints of working sandwich generation women and occupational therapists on role balance strategies
- 2017
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Ingår i: Scandinavian Journal of Occupational Therapy. - : TAYLOR & FRANCIS LTD. - 1103-8128 .- 1651-2014. ; 24:5, s. 366-382
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Tidskriftsartikel (refereegranskat)abstract
- Occupational therapists need to be cognizant of evidence-based role balance advice and strategies that women with multigenerational caring responsibilities can implement independently or with minimal assistance, as role balance may not be the primary goal during many encounters with this population. Hence, this study aimed to identify the viewpoints on the most helpful role balance strategies for working sandwich generation women, both from their own perspectives and from the perspective of occupational therapists. This was achieved through a Q methodology study, where 54 statements were based on findings from interviews, sandwich generation literature and occupational therapy literature. In total, 31 working sandwich generation women and 42 occupational therapists completed the Q sort through either online or paper administration. The data were analysed using factor analysis with varimax rotation and were interpreted through collaboration with experts in the field. The findings revealed similarities between working sandwich generation women and occupational therapists, particularly in terms of advocating strategies related to sleep, rest and seeking practical assistance from support networks. Differences were also present, with working sandwich generation women viewpoints tending to emphasize strategies related to coping with a busy lifestyle attending to multiple responsibilities. In contrast, occupational therapy viewpoints prioritized strategies related to the occupational therapy process, such as goal setting, activity focused interventions, monitoring progress and facilitating sustainable outcomes.
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| 4. |
- Gunnarsson, A. Birgitta, et al.
(författare)
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Arbetsterapi för personer med depression och ångest : En randomiserad kontrollerad studie av Tree Theme Method®
- 2015
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Konferensbidrag (refereegranskat)abstract
- Tema: InterventionStadier i livet: VuxnaProjekttyp: ForskningsarbeteBakgrund: Vid depression och ångest försvåras förmåga att klara vardagens aktiviteter liksom att relatera till andra. Svårigheterna bidrar till höga sjukskrivningstal. Tree Theme Method® (TTM) är en arbetsterapeutisk metod som syftar till ökad förmåga att utveckla strategier och struktur i vardagens aktiviteter. TTM består av 5 sessioner och innebär att måla och berätta sin livsberättelse med fokus på vardagslivets aktiviteter samt skapa en bild av framtida mål. Fokus i tidigare studier avseende TTM har varit processutvärdering. Nu är det viktigt att utvärdera eventuella effekter av interventionen. I den här studien prövas TTM mot kontroll. Kontrollgruppen får annan arbetsterapeutisk behandling, dvs 5 sessioner om vardagens aktiviteter och psykiskt välmående i den aktuella situationen. Hypotesen är att interventionsgruppen får högre grad av struktur i vardagens aktiviteter och förbättrad psykisk hälsa jämfört med kontrollgruppen.Syfte: Undersöka effekter av TTM jämfört med kontrollgrupp avseende aktivitet, psykiska symtom och självskattad hälsa.Metod: Randomiserad multicenterstudie i primärvård och vuxenpsykiatri. Totalt 130 patienter inkluderas. Inklusion är fastställd depression och/eller ångest, 18-65 år samt aktivitetsproblem. Patienter lottas till TTM alternativt annan arbetsterapeutisk behandling. Deltagarna besvarar självskattningsformulär avseende vardagens aktiviteter, psykiska symtom samt självskattad hälsa. Detta sker före och direkt efter behandling samt 3 och 12 månader efter avslutad behandling. Icke-parametrisk statistisk analys kommer att användas.Resultat/preliminärt resultat: Hittills har 55 patienter inkluderats. I nuläget finns inga preliminära resultat. Presentation av baslinjemätningar sker vid arbetsterapiforum.Slutsats: Det är betydelsefullt att kunna erbjuda patienter med depression och ångest olika behandlingsmetoder. Den här studien kan bidra till högre grad av evidens för arbetsterapeutisk behandling.
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| 5. |
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| 6. |
- Gunnarsson, Birgitta, 1958-, et al.
(författare)
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Treatment of depression and/or anxiety - outcomes of a randomised controlled trial of the tree theme method® versus regular occupational therapy
- 2018
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Ingår i: BMC psychology. - : Springer Science and Business Media LLC. - 2050-7283. ; 6:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: Depression and anxiety disorders are a major concern in western countries, and because these often have a negative affect on everyday life interventions based on activities in everyday life are needed. The Tree Theme Method® (TTM) is a client-centred occupational therapy intervention designed to increase the ability to cope with, and to enhance satisfaction with, everyday life, both at home and at work. The aim of this study was to compare the short term outcomes of the TTM intervention with regular occupational therapy treatment for people with depression and/or anxiety disorders. Methods: This randomised controlled trial included patients from three counties in Sweden. Men and women with depression and/or anxiety disorders, ages 18 to 65, were randomised to either TTM or regular occupational therapy. Assessment data were collected at baseline and the follow-up directly after completing the intervention. Non-parametric and parametric statistical methods were used. Results: The questionnaires were answered by 118 patients at baseline and by 107 patients after completing the intervention. No significant differences in short term outcomes were found between the groups. Both groups showed positive significant outcomes regarding almost all aspects of activities in everyday life, psychological symptoms, and health-related and intervention-related aspects. Conclusions: Despite the lack of differences between the groups, the positive outcomes regarding activities in everyday life, psychological symptoms, and health-related aspects after completing the intervention indicates the need for further research on the long-term perspective of TTM compared to regular occupational therapy.
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| 7. |
- Håkansson, Carita, et al.
(författare)
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Aktivitetsbalance
- 2017
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Ingår i: Nordisk aktivitetsvidenskab. - : Munksgaard Forlag. - 9788762816497 - 9788762816879 ; , s. 111-126
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Bokkapitel (refereegranskat)
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| 8. |
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| 9. |
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| 10. |
- Håkansson, Carita, et al.
(författare)
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Occupational balance, work and life satisfaction in working cohabiting parents in Sweden
- 2019
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Ingår i: Scandinavian Journal of Public Health. - : Sage Publications. - 1403-4948 .- 1651-1905. ; 47:3, s. 366-374
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Occupational balance is the experience of having the right amount and right variation between work, domestic work, leisure, rest, and sleep. There is limited knowledge about which factors predict parents’ combined occupational balance, and if the combined occupational balance is associated with work and life satisfaction.Aim: The first aim was to explore whether domestic work and childcare at baseline predicted combined occupational balance at follow-up among working cohabiting parents. The second aim was to explore associations between different combinations of occupational balance, and work and life satisfaction at follow-up.Method: A sample of 139 cohabiting parents responded to a questionnaire. Cohabiting parents can experience their occupational balance differently, and in the present study their experiences were divided into high and low after the median. The parents’ balance was then combined in terms of high-high, high-low and low-low. Associations between childcare, domestic work, work and life satisfaction, and combined occupational balance were analysed with multinomial logistic regression analyses.Results: Satisfaction with the division of domestic work predicted a high-high occupational balance in parent couples. Associations were found between high-high as well as high-low combined occupational balance and life satisfaction, and between high-high occupational balance and work satisfaction.Conclusions: It seems important for both parents in a couple to experience satisfaction with the division of domestic work to experience high occupational balance as well as work and life satisfaction.
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