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- Larsson-Lund, Maria, et al.
(författare)
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Associations between perceptions of environmental barriers and participation in persons with late effects of polio
- 2009
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1103-8128 .- 1651-2014. ; 16:4, s. 194-204
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this pilot study was to assess the association between perceived environmental barriers and perceived participation in everyday life situations encountered by people with late effects of polio. A sample of 45 persons with clinically verified late effects of polio answered the Swedish versions of the Impact on Participation and Autonomy Questionnaire (IPA-S) and the Craig Hospital Inventory of Environmental Factors (CHIEF-S). The relationships between the perceived occurrence of a broad range of environmental barriers and perception of participation in life situations and problems with participation were explored. The majority of the respondents perceived that they encountered environmental barriers, but their occurrence was generally infrequent and their magnitude tended to be low. The barriers identified in the physical/structural subscale were generally most strongly related to problems with participation, compared with the four other environmental subscales. A high frequency of never encountering environmental barriers in the three subscales physical/structural, work and education, and policies in CHIEF-S were significantly related to more reports of good participation in IPA-S. These associations indicate that the participation of those with late effects of polio is influenced by their perception of the barriers they encounter. Further studies of these concepts can provide a greater understanding of disabilities and help us to promote participation in life situations for people with late effects of polio.
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- Larsson-Lund, Maria, et al.
(författare)
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Delaktighet och omgivningsfaktorer i ICF : möjligheter och utmaningar vid användning inom rehabilitering
- 2009
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Ingår i: Läkartidningen. - 0023-7205 .- 1652-7518. ; 106:13, s. 932-935
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Tidskriftsartikel (refereegranskat)abstract
- Med ICF (International classification of functioning, disability and health) och fokus på innebörden av delaktighetsbegreppet och omgivningsfaktorer ökar möjligheterna att utveckla rehabiliteringen för personer med funktionshinder. Forskning visar att olika grupper av personer med funktionshinder kan känna god delaktighet och att detta relaterar till hög livstillfredsställelse, medan hinder i omgivningen påverkar delaktigheten negativt. Inom rehabiliteringen är det därför viktigt att identifiera underlättande faktorer i omgivningen och förändra omgivningsfaktorer i positiv riktning för att stärka delaktigheten. Fortsatt forskning behövs för att öka kunskapen om delaktighet och betydelsen av olika omgivningsfaktorer hos personer med funktionshinder. Ett fortsatt utvecklingsarbete behövs också för att på ett optimalt sätt använda delaktighetsbegreppet och omgivningsfaktorerna i det kliniska rehabiliteringsarbetet.
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- Larsson Lund, Maria, et al.
(författare)
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Perceived participation in life situations in persons with late effects of polio
- 2008
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Ingår i: Journal of Rehabilitation Medicine. - Uppsala : Medical Journals Sweden AB. - 1651-2081 .- 1650-1977. ; 40:8, s. 659-664
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To investigate how persons with late effects of polio perceive their participation and problems with participation in life situations and to determine the association between perceived problems with participation and sex, age, marital status, use of mobility aids and access to instrumental support. Design: Cross-sectional. Subjects: A total of 160 persons with prior polio 6-30 months after an individualized, goal-oriented, comprehensive inter-disciplinary rehabilitation programme. Methods: All subjects answered the Swedish version of the Impact on Participation and Autonomy Questionnaire. Results: A majority of the respondents perceived their participation as sufficient in most activities and 65% of the respondents perceived no severe problems with participation. The remaining 35% perceived 1-6 severe problems with participation. All 5 domains of participation were positively correlated with the 9 items for problem experience. Most restrictions in participation were reported in the domains of Family role, Autonomy outdoors, and Work and education. Insufficient instrumental support was most strongly associated with the perception of severe problems with participation. Conclusion: Rehabilitation programmes for persons with late effects of polio need to focus on areas of participation that are perceived as a problem by these persons and to promote access to a supportive environment to enhance their participation.
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- Larsson Lund, Maria, et al.
(författare)
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Relationship between participation in life situations and life satisfaction in persons with late effects of polio
- 2009
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Ingår i: Disability and Rehabilitation. - : Informa UK Limited. - 0963-8288 .- 1464-5165. ; 31:19, s. 1592-1597
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Tidskriftsartikel (refereegranskat)abstract
- Purpose. To assess the relationship between participation and problems with participation in life situations, and life satisfaction in persons with late effects of polio. Methods. One hundred fifty-eight persons with late effects of polio responded to a postal questionnaire including the Swedish versions of the Impact on Participation and Autonomy Questionnaire (IPA-S) and Life Satisfaction Questionnaire (LiSat-11). Results. The persons' perceived participation in the five domains of participation in the IPA-S was significantly correlated with their satisfaction with life as a whole and with most of the 10 domains of life satisfaction. Significant differences in satisfaction with life as a whole and with eight of the 10 domains in LiSat-11 were found between groups of increasing severe problems with participation. Greater number of reports of severe problems with participation corresponded with gradually decreased satisfaction with life as a whole and with satisfaction in the eight domains in LiSat-11. Conclusions. Perceived participation and problems with participation in life situations are determinants of life satisfaction in persons with late effects of polio. This implies that addressing participation and problems with participation in the rehabilitation of persons with late effects of polio may lead to an enhanced life satisfaction.
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