| 1. |
- Björklund, Anita, et al.
(author)
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Femton arbetsterapeutstudenters paradigmutveckling genom utbildning och yrkespraktik : en sexårsstudie
- 2007
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Conference paper (peer-reviewed)abstract
- Studien handlar om paradigmutveckling hos arbetsterapeutstudenter, senare arbetsterapeuter, under en sexårsperiod. Speciellt studeras deras världsbild och verksamhetssyn enligt Törnebohms paradigmteori. Kvalitativ data samlades in genom essäfrågor, första veckan och sista terminen på arbetsterapeutprogrammet vid Hälsohögskolan i Jönköping, samt efter tre års yrkespraktik. Genom kvalitativ innehållsanalys framträdde informanternas syn på arbetsterapi vilken kan karaktäriseras som "allmänhetens syn" 1995, "teoretisk syn" 1998 och en "erfarenhetsbaserad/kontextuell syn" 2001.
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| 2. |
- Gosman-Hedström, Gunilla, 1947
(author)
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Vårdalinstitutets tematiska rum om stroke
- 2007
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In: Förbundet Sveriges Arbetsterapeuter At - Forum och Nordisk kongress för arbetsterapeuter. Stockholm 19-20 April, Sweden.
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Conference paper (peer-reviewed)
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| 3. |
- Bunketorp, Lina, 1975, et al.
(author)
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The effectiveness of a supervised physical training model tailored to the individual needs of patients with whiplash-associated disorders--a randomized controlled trial.
- 2006
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In: Clinical rehabilitation. - : SAGE Publications. - 0269-2155 .- 1477-0873. ; 20:3, s. 201-17
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Journal article (peer-reviewed)abstract
- OBJECTIVE: To evaluate the effects of a physical training programme which is supervised and tailored to meet the needs of patients with subacute whiplash-associated disorders. DESIGN: A randomized controlled trial with follow-up at three and nine months after randomization. SETTING: An interdisciplinary rehabilitation centre. SUBJECTS: Forty-seven patients with subacute disorders following a whiplash trauma. INTERVENTIONS: Patients were randomized to a supervised training group or a self-administered home training group. MAIN MEASURES: Primary outcome measures were the Self-Efficacy Scale, the Tampa Scale for Kinesiophobia and the Pain Disability Index. Secondary outcome measures were neck pain intensity, sensory and affective dimensions of pain, pain location and duration, muscle tenderness, grip strength, cervical mobility, sick leave and analgesic consumption. RESULTS: Forty patients (85%) completed the intervention period, and the drop-outs were followed up by intention-to-treat. The results showed that supervised training was significantly more favourable than home training, with a more rapid improvement in self-efficacy (P = 0.03), fear of movement/(re)injury (P = 0.03) and pain disability (P = 0.03) at three months. Further, supervised training significantly reduced the frequency of analgesic consumption (P = 0.03). The improvements were partly maintained at nine months, even though there was no amelioration in pain and physical disorders. Despite the favourable outcome, supervised intervention did not reduce sick leave. CONCLUSIONS: The findings indicate a treatment approach that is feasible in the rehabilitation of patients with subacute whiplash-associated disorders in the short term, but additional research is needed to extend these findings and elucidate treatment strategies that also are cost effective.
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| 4. |
- Bunketorp, Lina, 1975, et al.
(author)
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The perception of pain and pain-related cognitions in subacute whiplash-associated disorders: its influence on prolonged disability.
- 2006
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In: Disability and rehabilitation. - : Informa UK Limited. - 0963-8288 .- 1464-5165. ; 28:5, s. 271-9
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Journal article (peer-reviewed)abstract
- PURPOSE: To clarify the relations between the sensory, affective and cognitive dimensions of pain and to analyse what influence these components have on persistent disability in patients with subacute whiplash-associated disorders (WAD). METHOD: The data was obtained from an on-going randomised controlled trial (RCT) on 47 patients. The sensory dimension of pain was evaluated with a visual analogue scale (VAS) diary and a Painometer. The affective dimension was assessed using the Painometer. The Tampa Scale for Kinesiophobia (TSK) and the Self-Efficacy Scale (SES) were used as measures of pain-related cognitions. The Pain Disability Index (PDI) was used as the outcome measure. RESULTS: Forty patients (85%) completed the trial. The correlations between the sensory and affective dimensions of pain were non-significant, which indicates that they are two independent constructs that describe various dimensions of whiplash-related pain. High pain intensity and pain affect, more widespread pain, and high fear of movement/(re)injury corresponded to low self-efficacy. Multiple regression analyses showed that self-efficacy was the most important predictor of persistent disability contributing to 42% of the variation in the PDI score. CONCLUSION: The treatment approach for patients with subacute WAD should incorporate the multidimensional nature of pain and to prevent disability special effort should be made to enhance the patient's self-efficacy beliefs.
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| 5. |
- Gosman-Hedström, Gunilla, 1947
(author)
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Studiecirkel om stroke
- 2009
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In: StrokeKontakt. ; :4
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Journal article (other academic/artistic)abstract
- Artikel beskriver hur aktuell kunskap och forskning på det webb-baserade tematiska rummet "Strokerummet" har anpassats för att utgöra en studieplan för vård- omsorgs- och rehabiliteringspersonal. Studieplanen kan laddas ner från Vårdalinstitutets hemsida i pdf format från Tematiskt Rum Stroke "Strokerummet" www.vardalinstitutet.net/tema
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| 6. |
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| 8. |
- Isaksson, Gunilla, et al.
(author)
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To regain participation in occupations through human encounters : narratives from women with spinal cord injury
- 2007
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In: Disability and Rehabilitation. - : Informa UK Limited. - 0963-8288 .- 1464-5165. ; 29:22, s. 1679-1688
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Journal article (peer-reviewed)abstract
- Purpose. To gain an understanding of how women with spinal cord injury (SCI) experienced human encounters in occupations and how these influenced their participation. Method. The data were collected through two or three in-depth interviews with 13 women (age 25 - 61 years) with SCI. Data analysis was carried out by using a paradigmatic analysis of narrative data, followed by an interpretation based on a narrative theory. Results. The results showed a complexity where the women's experiences and acting in human encounters changed over time. In these human encounters the women struggled with conflicts, supported other persons that were insecure and revaluated their apprehension about persons in their social network. These multidimensional human encounters thereby enabled them to regain participation in occupations. Conclusions. This shows that human encounters are important for persons with disabilities so they can restructure their occupational identity and their needs for participation in occupations. The study also showed that the use of narratives as a tool within rehabilitation could lead to an increased understanding of the subjective changes that occur over time for a person with a disability
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| 9. |
- Isaksson, Gunilla, et al.
(author)
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Women's perception of changes in the social network after a spinal cord injury
- 2005
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In: Disability and Rehabilitation. - : Informa UK Limited. - 0963-8288 .- 1464-5165. ; 27:17, s. 1013-1021
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Journal article (peer-reviewed)abstract
- PURPOSE: To describe how women with a spinal cord injury (SCI) perceived changes in the social network, and how these changes affected their ability to participate in occupation. METHOD: Thirteen women, aged 25 to 61 years, with a SCI were interviewed twice. The interviews focused on their ability to participate in occupation, their relations with individuals within the social network, and changes in the social network following the SCI. The analysis was carried out using qualitative content analysis. RESULTS: The women described an emotional need for social support after the SCI to participate in occupation. This was a new experience that required time to adapt to. The women also described a need for practical social support from the social network members to manage meaningful occupation. After the SCI, the women had developed new habits through close cooperation with members in the social network. The women felt that they had become more responsible for the development of their relations. Many relations had improved after the SCI, while some had decreased. The women had also developed new relations with other persons with disabilities. CONCLUSIONS: The women perceived substantial changes in the social network following the SCI, which in several ways affected their ability to participate in occupation. To adapt to their new life situation, the women gradually developed different strategies. The results point out the need to identify persons in the social network that women with SCI develop relations with, and integrate them in the rehabilitation process.
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| 10. |
- Björklund, Anita, et al.
(author)
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A Longitudinal Study on the Transformation of Fifteen Occupational Therapist Students' Paradigms into Occupational Therapists' Paradigms.
- 2006
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In: Australian Occupational Therapy Journal. - 0045-0766 .- 1440-1630. ; 53:2, s. 87-97
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Journal article (peer-reviewed)abstract
- This study describes the transformation of 15 occupational therapist students’ paradigms into occupational therapists’ paradigms according to Törnebohm’s theory of paradigms, over a period of six years. This research particularly considers the paradigm components world view and field of action view in Törnbohm’s sense. Qualitative data were collected using essay-questions on three occasions: first week, and last semester, at the Occupational Therapy Programme at the School of Health Sciences, Jönköping, Sweden, and after three years of occupational therapy practice. A content-analysis of the collected materials was performed and the transformation of the informants’ views could be characterized as comprising three different perspectives: a ‘public’ view in 1995, a ‘theoretical’ view in 1998 and an ‘experiential/contextual’ view in 2001.
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