| 1. |
- Boström, Marianne, et al.
(author)
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Modeller i Arbetsterapi : En introduktion
- 2023
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Book (pop. science, debate, etc.)abstract
- Modeller i arbetsterapi är en översiktlig grundbok som förklarar och sammanfattar några centrala arbetsterapeutiska modeller, Model of Human Occupation (MOHO), Canadian Model of Occupational Performance - Engagement (CMOP-E), Kawamodellen och Transactional Model of Occupation (TMO)Arbetsterapeuter arbetar med att stödja människor att få sitt dagliga liv att fungera, vilket ofta sker i konkreta situationer i vardagen. Arbetsterapeutiska modeller ger arbetsterapeuter vägledning i hur det praktiska arbetet kan utformas. De olika modellerna hjälper till med att sätta ord på det som görs för att kunna beskriva, förstå och förklara de arbetsterapeutiska insatser som genomförs. Modellerna, som ständigt utvecklas, används även för att beforska komplexiteten i mänskligt görande och hur det påverkar människors hälsa och välbefinnande.I bokens inledning behandlas skillnaden mellan teori och modell och vidare förklaras vad en arbetsterapeutisk modell innebär. I efterföljande kapitel presenteras respektive modell genom en sammanfattande beskrivning av modellens centrala koncept. Varje kapitel avslutas med den arbetsprocess som åtföljer varje modell. I det avslutande kapitlet görs en jämförelse mellan de olika arbetsterapeutiska modellerna.Modeller i arbetsterapi riktar sig till studerande inom arbetsterapi på grundnivå och avancerad nivå samt till yrkesverksamma arbetsterapeuter som vill uppdatera sina kunskaper i arbetsterapeutiska modeller. Boken lämpar sig också för dem som är intresserade av hur aktivitet, görande och delaktighet kan förstås på ett teoretiskt plan.
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| 2. |
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| 3. |
- Granbom, Marianne, et al.
(author)
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A public health perspective to environmental barriers and accessibility problems for senior citizens living in ordinary housing
- 2016
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In: BMC Public Health. - : BioMed Central. - 1471-2458. ; 16:1
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Journal article (peer-reviewed)abstract
- BACKGROUND: Housing environments that hinder performance of daily activities and impede participation in social life have negative health consequences particularly for the older segment of the population. From a public health perspective accessible housing that supports active and healthy ageing is therefore crucial. The objective of the present study was to make an inventory of environmental barriers and investigate accessibility problems in the ordinary housing stock in Sweden as related to the functional capacity of senior citizens. Particular attention was paid to differences between housing types and building periods and to identify environmental barriers generating the most accessibility problems for sub-groups of senior citizens.METHODS: Data on environmental barriers in dwellings from three databases on housing and health in old age was analysed (N = 1021). Four functional profiles representing large groups of senior citizens were used in analyses of the magnitude and severity of potential accessibility problems. Differences in terms of type of housing and building period were examined.RESULTS: High proportions of one-family houses as well as multi-dwellings had substantial numbers of environmental barriers, with significantly lower numbers in later building periods. Accessibility problems occurred already for senior citizens with few functional limitations, but more profound for those dependent on mobility devices. The most problematic housing sections were entrances in one-family houses and kitchens of multi-dwellings.CONCLUSIONS: Despite a high housing standard in the Swedish ordinary housing stock the results show substantial accessibility problems for senior citizens with functional limitations. To make housing accessible large-scale and systematic efforts are required.
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| 4. |
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| 5. |
- Granbom, Martin, et al.
(author)
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Students' explanation : Wider variety of teaching methods increases motivation and give higher results in biology
- 2019
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In: NorDiNa: Nordic Studies in Science Education. - : University of Oslo Library. - 1504-4556 .- 1894-1257. ; 15:2, s. 193-205
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Journal article (peer-reviewed)abstract
- According to a previous study, results in one topic within an Upper Secondary School Biology course were increased due to student centered, formative working methods. The current study investigates student's perspective on the reasons for the observed increase in performance through focus group discussions. According to the findings, there was not a single factor explaining the increased result, but students felt more motivated during the topic, mainly due to the increased variation in working methods, ways to learn, and examination format. By phrasing goals in their own words and planning activities in order to achieve goals, transparency increased, and the students felt met at their level of prior knowledge. By allowing students to suggest and choose their own working methods that met individual learning styles, students were more interested in the material and motivated to learn. Having an oral examination in a science subject was new to the students. The oral examination added variation to the assessment format and the way students had to prepare for the assessment, which, in turn, influenced the increase in the assessment results. Formative methods may be more applicable in certain topics, and practical implications are discussed.
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| 6. |
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| 7. |
- Pettersson, Cecilia, 1963-, et al.
(author)
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Housing accessibility for senior citizens in Sweden : Estimation of the effects of targeted elimination of environmental barriers.
- 2018
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In: Scandinavian Journal of Occupational Therapy. - : Informa Healthcare. - 1103-8128 .- 1651-2014. ; 25:6, s. 407-418
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Journal article (peer-reviewed)abstract
- AIM: To estimate the effects of targeted elimination of environmental barriers (EB) in the ordinary housing stock in Sweden, and to explore the estimated effects on accessibility at a population level in relation to (a) residents with different functional profiles, (b) different housing types and (c) building periods.METHOD: Data on dwellings from existing Swedish research databases were utilized. EB and accessibility were assessed by means of the Housing Enabler instrument. In simulations of EB removal, five items that correspond to the most common housing adaptations were selected. The simulations were applied to four functional profiles of different complexity.RESULT: EB known to be commonly removed by housing adaptations exist in large proportions of the existing ordinary housing stock. Estimated targeted elimination of selected barriers would have the largest accessibility effects for the more complex functional profiles. The effects would be consistently larger for one-family houses, and for all types of dwellings built before 1960.CONCLUSIONS: The elimination of the EB most commonly addressed by housing adaptations could result in a reduction of the housing accessibility problems that community-living older people are facing. For society to solve the housing situation for the ageing population well-informed and efficient upgrading of ordinary housing is imperative.
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| 8. |
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| 9. |
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| 10. |
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| 11. |
- Yadav, Agata, et al.
(author)
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Support Needs Among Older Tenants Living in Public Housing in Sweden : Perspectives of Janitors and Maintenance Staff
- 2023
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In: Journal of Applied Gerontology. - 1552-4523. ; 42:8, s. 1727-1737
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Journal article (peer-reviewed)abstract
- Neighborhood support can improve aging in place for older adults, but research on the role of public housing staff in supporting older tenants is lacking. Twenty-nine participants (janitors, n = 11; maintenance staff, n = 18) collected data about critical situations among older tenants residing in apartments in Sweden. Modifying the Critical Incident Technique (CIT) and applying a mixed-methods design, quantitative and qualitative data were collected and analyzed with descriptive statistics and thematic analysis, integrated through narrative. We found that older tenants asked staff for help with daily tasks. The staff identified CI management dilemmas in meeting older tenants' support needs while following the housing company's regulations, maintaining professional responsibilities, respecting individual work attitudes and preferences, and experienced a lack of competencies in some situations. Staff members were responsive to offering support in simple, practical, and emotional situations and in addressing matters they perceived as deficits in social and health services.
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| 12. |
- Boonyaratana, Yadanuch, et al.
(author)
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The Psychometric Properties of the Meaning of Home and Housing-Related Control Beliefs Scales among 67–70 Year-Olds in Sweden
- 2021
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In: International Journal of Environmental Research and Public Health. - : MDPI AG. - 1660-4601. ; 18:8
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Journal article (peer-reviewed)abstract
- The housing environment is important for health and well-being among older people, and it is important to consider both physical and perceived aspects of housing. Psychometrically sound scales are necessary to assess perceived housing. This study evaluated the psychometric properties of two instruments that measure perceived aspects of housing among a younger cohort of older adults in Sweden. Methods: A random sample of 371 participants aged 67 to 70 years (mean 67.9 (SD = 0.98)) was used. Participants lived in ordinary housing in the south of Sweden. Data on perceived aspects of housing were collected with the Meaning of Home Questionnaire (MOH) and the Housing-Related Control Beliefs Questionnaire (HCQ). Internal consistency, corrected item–total correlations, floor and ceiling effects, and construct validity were analyzed. Results: Cronbach’s alphas for all four subscales of MOH and two of three subscales of HCQ had acceptable levels (α > 0.50). Some items from both scales had low item–total correlations. All subscales, except for one from HCQ, had good construct validity. Conclusion: While both instruments had some limitations, all subscales with one exception had adequate psychometric properties. When used in different national contexts, further development may be necessary to achieve conceptual equivalence. Keywords: psychometric; perceived housing; aging; meaning of home; housing-related control beliefs
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| 13. |
- Carlsson, Gunilla, et al.
(author)
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A hundred days in confinement : Doing, being, becoming, and belonging among older people in Sweden during the COVID-19 pandemic
- 2022
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In: Journal of Occupational Science. - : Informa UK Limited. - 1442-7591 .- 2158-1576. ; 29:3, s. 402-416
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Journal article (peer-reviewed)abstract
- Background: When and how people were able to engage in everyday occupations changed suddenly with the coronavirus pandemic. Defined as a risk group due to their age, people 70 years and older in Sweden experienced confinement, as did older adults globally. Aim: To explore how doing, being, becoming, and belonging as dimensions of occupation were manifested in the lives of Swedish people 70 years or older, 100 days into the coronavirus pandemic. Method: Data were elicited through semi-structured interviews with 17 participants (11 women, 6 six men, mean age 76 years), living in ordinary housing in Sweden. Interviews were conducted in June 2020 as part of a larger longitudinal research project. A directed content analysis approach was used to analyse the data based on the occupational dimensions of doing, being, becoming, and belonging. Results: After 100 days of confinement, daily occupations had been changed, and habits and routines disrupted. However, the need to engage in occupations was strong. Participants expressed how they adapted their occupations to the restrictions, but also how their doing affected their well-being, further development, and opportunities for social interactions. Conclusion: The participants, who were older people without any specific diagnosis, reflected upon their daily occupations during an unrehearsed natural experiment when, more than anything else, the social environmental circumstances changed. The analysis elucidates how doing, being, becoming, and belonging is embedded in people’s lives. The study can serve as a foundation to further research on understanding people’s individual needs as occupational beings.
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| 14. |
- Fristedt, Sofi, 1969-, et al.
(author)
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Changes in daily life and wellbeing in adults, 70 years and older, in the beginning of the COVID-19 pandemic
- 2021
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In: Scandinavian Journal of Occupational Therapy. - : Taylor & Francis. - 1103-8128 .- 1651-2014. ; 29:6, s. 511-521
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Journal article (peer-reviewed)abstract
- BACKGROUND: In the beginning of the COVID-19 pandemic, Swedish authorities enforced specific recommendations on social distancing for adults 70 years and older (70+). Day-to-day life changed for 15% of the Swedish population. The aim of the study was to explore how adults 70+ experienced and managed changes in everyday life due to the COVID-19 pandemic and how those changes affected wellbeing at the beginning of the virus outbreak.METHODS: Eleven women and six men, (mean age 76 years), living in ordinary housing, participated in remote semi-structured interviews in April 2020. The interviews were analysed with qualitative content analysis.FINDINGS: The theme Suddenly at risk - '…but it could have been worse' included four categories My world closed down; Negotiations, adaptations and prioritizations to manage staying at home; Barriers and facilitators to sustain occupational participation; and Considerations of my own and other's health and wellbeing emerged from the data analysis.CONCLUSION: Everyday life changes had implications for health and well-being. The participants questioned previous conceptions of meaning in relation to habitual activities, likely leading to consistent occupational changes. However, these long-term effects remain to be explored, and considered to enable older adult's health during the pandemic and beyond.
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| 15. |
- Fristedt, Sofi, et al.
(author)
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Suddenly at risk: Older adults’ changes in everyday life early on during the COVID-19 pandemic
- 2022
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Conference paper (peer-reviewed)abstract
- ABSTRACT:Introduction / Rationale: From the onset of the COVID-19 pandemic, social distancing was recommended for adults 70 years and older (70+) in Sweden. From an outside view, they then became deprived of possibilities to engage in meaningful activities. However, as meaning is highly subjective, we need to listen to older adults’ voices to really know.Objectives: To explore how adults 70+ experienced and managed changes in everyday life due to the COVID-19 pandemic and how those changes affected wellbeing at the beginning of the virus outbreak.Method / Approach: Eleven women and six men, (mean age 76 years), living in ordinary housing, participated in remote semi-structured interviews in April and June 2020. The interviews were analysed with qualitative content analysis.Results: An overall theme Suddenly at risk – “…but it could have been worse” and four categories emerged from the data analysis. The participants had to accept some changes summarized in the first category; my world closed down. They described continuous negotiations, adaptations and prioritizations to manage staying at home in the second category, but they also experienced contextual barriers and facilitators to sustain occupational participation as the third category elucidate, where e.g. the shift of seasons facilitated social activities. Their experiences of health and wellbeing varied and are captured in the fourth category, considerations about my own and other’s health and wellbeing.Conclusion: The participants questioned previous conceptions of meaning in relation to habitual activities, likely leading to consistent occupational changes, potentially affecting health and well-bring also beyond the pandemic.
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| 16. |
- Frögren, Joakim, et al.
(author)
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Characteristics and Attitudinal Changes of Senior Citizens and Persons with Functional Impairments Involved in a Citizen Science Project on Housing Accessibility
- 2023
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In: Citizen Science: Theory and Practice. - 2057-4991. ; 8:1
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Journal article (peer-reviewed)abstract
- Citizen Science (CS) projects targeting senior citizens and persons with functional impairments are rare, and interest among citizens to become involved in such remains uncertain. There is a lack of systematic analyses as to what distinguishes citizens’ willingness to contribute, and what such involvement could lead to in terms of acquired skills or changed attitudes. Based on a Swedish CS project on housing accessibility – the Housing Experiment (HX) – this study aimed to investigate: 1) the characteristics of senior citizens and persons with functional impairments involved in the HX; and 2) changes in attitudes and mobile digital literacy after completing the HX. Data were collected via online questionnaires before and after the HX (N = 147), and were analyzed statistically. The response rates were lower than anticipated. Study participants completing the HX reported high levels of mobile digital literacy and functional ability, and a higher education level than the general Swedish population. The only attitudinal change was that significantly more participants rated the importance of housing accessibility lower after their involvement in the HX compared with those rating it higher. This study confirms indications from previous studies that limitations in mobile digital literacy and functional ability affect the willingness and ability to get involved in research. Further research is warranted to investigate how similar CS projects could be designed to attract more participants and to create the conditions for greater gains for citizen scientists.
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| 17. |
- Granbom, Marianne, et al.
(author)
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Ageing in the right place–a prototype of a web-based housing counselling intervention for later life
- 2020
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In: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1103-8128 .- 1651-2014. ; 27:4, s. 289-297
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Journal article (peer-reviewed)abstract
- Background: Despite a strong desire among most older adults to age in place, there are few widely available services to support planning and preparing for one’s future housing needs. Objective: To develop a prototype of a web-based housing counselling intervention for use in later life, by employing a user-centred design. Material and Methods: As the first step in intervention development, we employed a development process based on research circle methodology. Nine older adults participated in three sessions. Findings from literature reviews, a meeting with a technology and design panel (n = 6) and interviews with representatives of nonprofit organizations, companies, and municipalities (n = 7) served as discussion points. Result: An on-paper prototype was derived, composed of the THINK, LEARN and ACT module reflecting different stages of the decision-making process. Each module addressed preferences, health, home and social and financial resources. Key design features and theoretical underpinnings were included. Conclusion and Significance: A user-centred design process can result in services that are aligned with older adults’ preferences for obtaining housing information. Services for planning and preparing future housing needs have the potential to increase older adults´ well-being at home as well as reduce costs for care and housing provision by the municipalities.
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| 18. |
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| 19. |
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| 20. |
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| 21. |
- Granbom, Marianne, et al.
(author)
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Att vara äldre i socialt utsatta bostadsområden : Strategier och erfarenheter av att bo och leva på en plats där kriminalitet och störningar har blivit en del av vardagen
- 2022
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In: Perspektiv på utsatthet och problem under åldrandet. - : Socialhögskolan, Lunds universitet. - 9789178955473 - 9789178955480 ; , s. 15-33
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Book chapter (peer-reviewed)abstract
- Sedan Polismyndigheten 2015 publicerade den första listan över socialt utsatta områden i svenska städer har problematiken där fått mycket uppmärksamhet i den politiska samhällsdebatten, i media och i forskning. På kommunal och nationell nivå diskuteras orsaker och möjliga lösningar rörande dåliga levnadsförhållanden, parallella maktstrukturer, kriminalitet och utanförskap. I fokus för diskussionerna är oftast barn, ungdomar och personer i arbetsför ålder, medan äldre personers perspektiv sällan lyfts. Vi vet i dag väldigt lite om de boende som på grund av hög ålder inte anses vara aktuella för utbildnings-, arbets- eller integrationsinsatser. Detta kapitel vill vi ägna åt erfarenheter, uppfattningar och strategier bland äldre personer som bor i utsatta områden i Sverige. Hur upplever de den kriminalitet och de störningar som pågår i området? Hur påverkar dessa händelser deras vardag och hur hanterar de i så fall det? Hur resonerar äldre personer om det rykte som deras bostadsområde fått? Materialet samlade vi in 2020 och 2021 genom intervjuer med 6 män och 16 kvinnor, 65 till 92 år gamla, i projektet ”Att vara äldre och leva i utsatta områden”. I kapitlet kommer vi att beskriva och diskutera de kriminella händelser som förekom, hur deltagarna hanterade dessa händelser, hur de förhöll sig till stigma samt hur de handgripligen bidrog till att förbättra områdets rykte.
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| 22. |
- Granbom, Marianne, et al.
(author)
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Cohabitants’ perspective on housing adaptations: a piece of the puzzle
- 2017
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In: Scandinavian Journal of Caring Sciences. - : Wiley. - 1471-6712 .- 0283-9318. ; 31:4, s. 805-813
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Journal article (peer-reviewed)abstract
- As part of the Swedish state-funded healthcare system, housing adaptations are used to promote safe and independent living for disabled people in ordinary housing through the elimination of physical environmental barriers in the home. The aim of this study was to describe the cohabitants' expectations and experiences of how a housing adaptation, intended for the partner, would impact their everyday life. In-depth interviews were conducted with cohabitants of nine people applying for a housing adaptation, initially at the time of the application and then again 3 months after the housing adaptation was installed. A longitudinal analysis was performed including analysis procedures from Grounded Theory. The findings revealed the expectations and experiences in four categories: partners' activities and independence; cohabitants' everyday activities and caregiving; couples' shared recreational/leisure activities; and housing decisions. A core category putting the intervention into perspective was called 'Housing adaptations - A piece of the puzzle'. From the cohabitants' perspective, new insights on housing adaptations emerged, which are important to consider when planning and carrying out successful housing adaptations.
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| 23. |
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| 24. |
- Granbom, Marianne, et al.
(author)
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Community Relocation in Very Old Age: Changes in Housing Accessibility.
- 2016
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In: American Journal of Occupational Therapy. - : AOTA Press. - 0272-9490 .- 1943-7676. ; 70:2, s. 1-7002270020
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Journal article (peer-reviewed)abstract
- The objective of this study was to compare environmental barriers, housing accessibility, and usability before and after relocation of very old, single-living people in the community. It also examined whether accessibility improved after relocation compared with a simulated scenario in which participants would have remained in their former dwellings.
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| 25. |
- Granbom, Marianne, et al.
(author)
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Effects on leisure activities and social participation of a case management intervention for frail older people living at home : A randomised controlled trial
- 2017
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In: Health and Social Care in the Community. - : Hindawi Limited. - 0966-0410 .- 1365-2524. ; 25:4, s. 1416-1429
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Journal article (peer-reviewed)abstract
- Frailty causes disability and restrictions on older people's ability to engage in leisure activities and for social participation. The objective of this study was to evaluate the effects of a 1-year case management intervention for frail older people living at home in Sweden in terms of social participation and leisure activities. The study was a randomised controlled trial with repeated follow-ups. The sample (n = 153) was consecutively and randomly assigned to intervention (n = 80) or control groups (n = 73). The intervention group received monthly home visits over the course of a year by nurses and physiotherapists working as case managers, using a multifactorial preventive approach. Data collections on social participation, leisure activities and rating of important leisure activities were performed at baseline, 3, 6, 9 and 12 months, with recruitment between October 2006 and April 2011. The results did not show any differences in favour of the intervention on social participation. However, the intervention group performed leisure activities in general, and important physical leisure activities, to a greater extent than the control group at the 3-month follow-up (median 13 vs. 11, P = 0.034 and median 3 vs. 3, P = 0.031 respectively). A statistically significantly greater proportion of participants from the intervention group had an increased or unchanged number of important social leisure activities that they performed for the periods from baseline to 3 months (93.2% vs. 75.4%, OR = 4.48, 95% CI: 1.37-14.58). Even though statistically significant findings in favour of the intervention were found, more research on activity-focused case management interventions is needed to achieve clear effects on social participation and leisure activities.
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| 26. |
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| 27. |
- Granbom, Marianne, et al.
(author)
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Household Accessibility and Residential Relocation in Older Adults
- 2019
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In: Journals of Gerontology - Series B Psychological Sciences and Social Sciences. - : Oxford University Press (OUP). - 1079-5014. ; 74:7, s. 72-83
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Journal article (peer-reviewed)abstract
- ObjectivesIt is unclear how home environmental factors influence relocation decisions. We examined whether indoor accessibility, entrance accessibility, bathroom safety features, housing type, and housing condition were associated with relocations either within the community or to residential care facilities.MethodsWe used prospective data over 4 years from the nationally representative National Health and Aging Trends Study in the United States of Medicare beneficiaries 65 years and older living in the community (N = 7,197). We used multinomial regression analysis with survey weights.ResultsOver the 4 years, 8.2% of the population moved within the community, and 3.9% moved to residential care facilities. After adjusting for demographics and health factors, poor indoor accessibility was found to be associated with moves within the community but not to residential care facilities. No additional home environmental factors were associated with relocation.DiscussionOne-floor dwellings, access to a lift, or having a kitchen, bedroom, and bathroom on the same floor may help older adults age in place. Understanding which modifiable home environmental factors trigger late-life relocation, and to where, has practical implications for developing policies and programs to help older adults age in their place of choice.
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| 28. |
- Granbom, Marianne, et al.
(author)
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Involving Members of the Public to Develop a Data Collection App for a Citizen Science Project on Housing Accessibility Targeting Older Adults
- 2023
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In: Citizen Science - Theory and Practise. - 2057-4991. ; 8:1, s. 1-12
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Journal article (peer-reviewed)abstract
- Background: While citizen science approaches are emerging within both social and health sciences, projects aimed at improving the living conditions of older adults remain rare. To enable forward-looking housing provision for the ageing population, valid and detailed information is needed on environmental barriers in the housing stock. Moreover, to promote active ageing and avoid involuntary moves to residential care facilities, there is a need for both increased public knowledge and raised awareness about accessible housing among older adults. Thus, Swedish senior citizens were engaged in a citizen science project—the Housing Experiment 2021—using a smartphone application to report environmental barriers in dwellings. Aim: This paper describes in detail the process by which varied members of the public participated to develop an application that assured reliable data collection of environmental barriers by older adults. Methods and Results: The scientific foundation for the app was the Housing Enabler. The development process comprised six iterative phases including participatory activities, namely, developing a citizen science version of the Housing Enabler; developing a print mock-up; developing an app prototype; testing and improving usability; beta version testing for reliability; final tests; and finishing touches. Discussion: Through an iterative development process involving researchers, professionals, and members of the public, a reliable app suitable for senior citizens was created. The results can serve as an inspiration for development protocols increasing the involvement of older adults in app development as well as for citizen science projects targeting older adults.
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| 29. |
- Granbom, Malena, et al.
(author)
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Nitrate reductase in the marine macroalga Kappaphycus alvarezii (Rhodophyta) : oscillation due to the protein level
- 2007
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In: Botanica Marina. - 0006-8055 .- 1437-4323. ; 50:2, s. 106-112
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Journal article (peer-reviewed)abstract
- Nitrate reductase, (NR; EC 1.6.6.1) of the marine red macroalga Kappaphycus alvarezii was examined in algae maintained under L:D and constant light conditions. Undenaturated protein had a molecular mass of about 210 kD (+/- 23 kD); based on sodium dodecyl sulfate-polyacrylamide gel electrophoresis and immunoblotting techniques, the enzyme appears to be composed of two possibly identical subunits of 100 kD. The NR of K alvarezii was recognized by 10 out of 17 monoclonal antibodies raised against the NR from the red alga Porphyra yezoensis. Basal parts of the algal thallus had higher NR protein content, although the highest activity of NR has been located previously in the apical thallus parts, suggesting a post-translational regulation. The cellular expression of NR exhibits a daily rhythm. In extracts of algae grown under either constant light or a light:dark cycle, staining with antibodies NR 6 and NR 10 showed that the amount of protein varied by a factor of about 2, with the maximum occurring in the early day phase.
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| 30. |
- Granbom, Marianne, et al.
(author)
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'Normality in all the abnormality' : Older adults' experiences of holidays and celebrations from the COVID-19 pandemic
- 2024
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In: Australian Occupational Therapy Journal. - : John Wiley & Sons. - 1440-1630 .- 0045-0766.
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Journal article (peer-reviewed)abstract
- INTRODUCTION: The importance of holidays, traditions, and family celebrations to human culture and occupational engagement has been neglected. The aim of this study was to explore how older adults experienced holidays and celebrations with social and physical distancing during the COVID-19 pandemic.METHODS: A secondary analysis was made on data from the At-Risk Study. Seventeen community-living adults (11 women and 6 men) aged 71-87 years, from Sweden participated. They were interviewed remotely four times during the first year of the pandemic. Data were analysed with qualitative content analysis. No consumer/community involvement occurred.FINDINGS: Three categories on how the participants hoped for, planned, decided, adapted, avoided, and experienced holidays and celebrations with social and physical distancing included expectations and preparations in unpredictable times; the constant need for re-evaluation; and almost everything turned out differently.CONCLUSIONS: The desire to celebrate despite pandemic restrictions shows the importance and meaning holidays hold for older adults. Celebrations can be disrupted for many reasons, not only as extreme as the ongoing pandemic. For wellbeing in later life health care, social care, and society need to understand the inherent components and acknowledge ways of supporting participation in occasional events such as holidays, traditions, and family celebrations.
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| 33. |
- Granbom, Marianne, et al.
(author)
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Older Adults Living in Disadvantaged Areas : Protocol for a Mixed Methods Baseline Study on Homes, Quality of Life, and Participation in Transitioning Neighborhoods
- 2022
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In: JMIR Research Protocols. - : JMIR Publications Inc.. - 1929-0748. ; 11:10, s. 1-10
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Journal article (peer-reviewed)abstract
- BACKGROUND: Swedish policy states that older adults should be able to age safely with continued independence and lead active lives. However, this plays out differently in different Swedish municipalities depending upon degree of demographic change, globalization, and urbanization. Internationally, older adults living in disadvantaged areas have worse physical and mental health, activity restrictions, and reduced life expectancy. In Sweden, research on how disadvantaged areas impact older adults' quality of life is virtually nonexistent. We argue that disadvantaged areas exist in both urban and rural contexts.OBJECTIVE: We aimed to investigate how older adults' homes and neighborhoods influence their community participation, quality of life, identity, and belonging in urban and rural disadvantaged areas in Sweden, and how these person-context dynamics are experienced by older adults in transitioning neighborhoods.METHODS: The study has a mixed methods design and includes 3 phases. Adults 65 years and older living in certain urban and rural disadvantaged areas in the south of Sweden will be included. Phase 1 is an interview study in which qualitative data are collected on neighborhood attachment, identity, and belonging through semistructured interviews and photo-elicitation interviews with 40 subjects. A variety of qualitative data analysis procedures are used. In phase 2, a survey study will be conducted to explore associations between observable and self-rated aspects of housing and neighborhood (physical, social, and emotional), participation, and quality of life; 400 subjects will be recruited and added to the 40 phase-1 subjects for a total of 440. The survey will include standardized measures and study-specific questions. Survey data will be analyzed with mainstream statistical analyses and structural equation modeling to understand the interactions between quality of life, home and neighborhood factors, and sociodemographic factors. In phase 3, the integration study, survey data from the 40 participants who participated in both data collections will be analyzed together with qualitative data with a mixed methods analysis approach.RESULTS: As of the submission of this protocol (August 2022), recruitment for the interview study is complete (N=39), and 267 participants have been recruited and have completed data collection in the survey study. We expect recruitment and data collection to be finalized by December 2022.CONCLUSIONS: With an increasing proportion of older adults, an increasing number of disadvantaged areas, and an increasing dependency ratio in more than 50% of Swedish municipalities, these municipalities are transforming and becoming increasingly segregated. This study will add unique knowledge on what it is like to be older in a disadvantaged area and deepen knowledge on housing and health dynamics in later life. Further, the design of the current study will allow future follow-up studies to facilitate longitudinal analysis (if funding is granted) on aging in a transforming societal context.INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/41255.
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| 34. |
- Granbom, Marianne, et al.
(author)
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Preventing falls among older fallers : Study protocol for a two-phase pilot study of the multicomponent LIVE LiFE program
- 2019
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In: Trials. - : Springer Science and Business Media LLC. - 1745-6215. ; 20:1
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Journal article (peer-reviewed)abstract
- Background: Falls reflect sentinel events in older adults, with significant negative consequences. Although fall risk factors have been identified as intrinsic (e.g., muscle weakness, balance problems) and extrinsic (e.g., home hazards), most prevention programs target only intrinsic factors. We present the rationale and design of a home-based multicomponent fall prevention program - the LIVE LiFE program - for community-living older adults. The program adapts and expands the successful Lifestyle Intervention Functional Exercise (LiFE) program by adding home safety, vision contrast screening, and medication review. The specific aims of the study are to (1) adapt the LiFE program to a US context and expand it into a multicomponent program (LIVE LiFE) addressing intrinsic and extrinsic fall risks, (2) examine feasibility and acceptability, and (3) estimate program impact on multiple outcome measures to prepare for an efficacy trial. Methods: The study involves two phases: an open-label pilot, followed by a two-group, single-blinded randomized pilot trial. Eligible participants are community-living adults 70+ years reporting at least one injurious fall or two non-injurious falls in the previous year. Participants are randomized in a 2:1 ratio to the program group (LIVE LiFE, n = 25) or the control group (written fall risk assessment, n = 12). The open-label pilot participants (n = 3) receive the program without randomization and are assessed based on their experience, resulting in a stronger emphasis on the participant's personal goals being integrated into LIVE LiFE. Fall risk and balance outcomes are assessed by the Timed Up and Go and the 4-Stage Balance Test at 16 weeks. Additional outcomes are incidence of falls and near falls, falls efficacy, fear of falling, number of home hazards, and medications assessed at 16 weeks. Incidence of falls and near falls, program adherence, and satisfaction are assessed again at 32 weeks. Discussion: By expanding and adapting the evidence-based LiFE program, our study will help us understand the feasibility of conducting a multicomponent program and estimate its impact on multiple outcome measures. This will support moving forward with an efficacy trial of the LIVE LiFE program for older adults who are at risk of falling. Trial registration: ClinicalTrials.gov, NCT03351413. Registered on 22 November 2017.
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| 35. |
- Granbom, Marianne, et al.
(author)
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Preventing falls with the LIVE-LIFE program: Pilot outcomes of a multicomponent OT-led intervention addressing health-related and home-related fall risks in community-living older adults
- 2022
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Conference paper (peer-reviewed)abstract
- Introduction: There are multiple contributors to falls in older adults. Both health-related (poor balance, polypharmacy, and poor vision), and home-related (home hazards). However, most fall risk interventions only address one or two. The successful Lifestyle Intervention Functional Exercise (LiFE) program could likely be developed into a multicomponent intervention. Objectives: The objectives were to expand the LIFE program into a multicomponent program (LIVE-LIFE) addressing health-related and home-related fall risks, test feasibility and acceptability, and explore the intervention’s effect on measures of balance, strength and falls efficacy.Methods: We did an open-label pilot (n=3) followed by a single-blinded randomized pilot trial. Community-living older adults, 70+ years, with a history of falls, were randomized to the intervention (n=25) or the control group (n=12). The intervention was led by an occupational therapist and included strength and balance training into daily habits over 12 weeks and US$500 in home safety changes, vision screening and, and medication screening. Data were collected at baseline and at 12 and 32 weeks, on the TUG, the 4-stage balance test, incidence of falls, fall efficacy, the number of home hazards, and medications. Program adherence and satisfaction were assessed as well.Results: The intervention had a large effect (1.1) for tandem stand, moderate (0.5) in falls efficacy, and small (0.1) in the TUG. Participant satisfaction and experiences will be presented in the presentation.Conclusion: The results support moving forward with an efficacy trial and we will discuss clinical implications for occupational therapists working at reducing falls in older adults.
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| 36. |
- Granbom, Marianne
(author)
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Relocation and residential reasoning in very old age -Housing, health and everyday life
- 2014
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Doctoral thesis (other academic/artistic)abstract
- Introduction: Moving in very old age is considered to be a major life event and relocation and access to appropriate housing options is a hot topic in the public debate across Europe. For very old people, the decision-making process and aspects influencing relocation is not well studied. Occupational therapy interventions mainly focus on ageing-in-place solutions when aiming for independence and well-being for older people. Although theoretically, relocation can be seen as a major form of environmental adaptation that helps counter aspects of age-related functional decline. Aims: The aim was to expand and deepen the knowledge on relocation in very old age in two Western European countries (Sweden and Germany). With a focus on person-environment relations concerning housing and health, predictors and consequences of relocation were explored. Also, residential decision-making was explored with focus on how very old people reason about their home and everyday life in relation to relocation and ageing-in-place. Methods & Results: The thesis is based on the Swedish (studies I to IV) and German (studies III and IV) parts of the ENABLE-AGE Project. At baseline, the participants were 80-89 years old and lived alone in ordinary housing. In study I (N=384), Cox regression models showed dependence in cleaning but perceived functional independence when living in a one-family house predict a move within the ordinary housing stock. Dependence in cooking and cognitive deficits in combination with accessibility problems predicted a move to special housing. After relocation to another dwelling in the ordinary housing stock (N=29) the number of environmental barriers in the new dwelling were fewer than in the former (study II). Usability and accessibility were stable comparing former and new dwellings. Analyses of in-depth interviews of 80 participants in 2002 (study III) and 16 participants in 2003 and 2011 (study IV) revealed ambivalence between moving and ageing-in-place to arise along with increasing problems in everyday life. The findings supported the use of residential reasoning as a concept describing older peoples reasoning on relocation and ageing-in-place as one intertwined topic. Conclusions: The findings contribute to the knowledgebase on relocation in very old age, with practical implications for very old people and their families, occupational therapists and other professionals and for societal planning at large. The knowledge can be used as a first step in designing counselling services to help deal with very old people´s ambivalence and to guide in their decision-making processes. Further, having the potential to integrate theoretical perspectives from different disciplines to enhance our understanding on residential decision-making in old age, theoretical development on the concept residential reasoning is needed.
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| 37. |
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| 38. |
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| 39. |
- Granbom, Marianne, et al.
(author)
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Residential normalcy and environmental experiences of very old people: Changes in residential reasoning over time.
- 2014
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In: Journal of Aging Studies. - : Elsevier BV. - 0890-4065. ; 29:Jan 6, s. 9-19
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Journal article (peer-reviewed)abstract
- The decision to relocate in old age is intricately linked to thoughts and desires to stay put. However, most research focuses either on strategies that allow people to age in place or on their reasons for relocation. There is a need for more knowledge on very old peoples' residential reasoning, including thoughts about aging in place and thoughts about relocation as one intertwined process evolving in everyday life. The aim of this study was to explore what we refer to as the process of residential reasoning and how it changes over time among very old people, and to contribute to the theoretical development regarding aging in place and relocation. Taking a longitudinal perspective, data stem from the ENABLE-AGE In-depth Study, with interviews conducted in 2003 followed up in interviews in 2011. The 16 participants of the present study were 80-89years at the time of the first interview. During analysis the Theoretical Model of Residential Normalcy by Golant and the Life Course Model of Environmental Experience by Rowles & Watkins were used as sensitizing concepts. The findings revealed changes in the process of residential reasoning that related to a wide variety of issues. Such issues included the way very old people use their environmental experience, their striving to build upon or dismiss attachment to place, and their attempts to maintain or regain residential normalcy during years of declining health and loss of independence. In addition, the changes in reasoning were related to end-of-life issues. The findings contribute to the theoretical discussion on aging in place, relocation as a coping strategy, and reattachment after moving in very old age.
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| 40. |
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| 41. |
- Granbom, Marianne, et al.
(author)
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“So I am stuck, but it´s OK” : residential reasoning and housing decision-making of low-income older adults with disabilities in Baltimore, Maryland
- 2021
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In: Housing and Society. - : Informa UK Limited. - 0888-2746 .- 2376-0923. ; 48:1, s. 43-59
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Journal article (peer-reviewed)abstract
- Housing preferences and housing decision-making in later life are critical aspects of aging in place, which is a public health priority in many Western countries. However, few studies have examined the economic, social, and health factors that guide older adults’ preferences and decisions about where to live, and even less so among older adults with low income or disabilities who may face greater barriers to aging in place. We sought to understand what housing decision-making and residential reasoning means for low-income older adult homeowners in Baltimore, Maryland. Using a grounded theory approach, we interviewed 12 older adults in June 2017 and February 2018. Our findings revealed how the strong desire to age in place turned into the realization that they had to age in place due to limited resources and options. The overarching category “shifting between wanting to age in place and having to age in place” was influenced by family needs, being a homeowner, the neighborhood, and coping at home. In conclusion, for low-income older adults with disabilities, it is important to acknowledge that sometimes aging in place may be equivalent to being stuck in place.
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| 42. |
- Haak, Maria, et al.
(author)
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Cross-national and multi-language qualitative research: challenges and recommendations
- 2013
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In: British Journal of Occupational Therapy. - 1477-6006. ; 76:7, s. 333-336
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Journal article (peer-reviewed)abstract
- Interest in cross-national partnership is increasing in Europe, a situation very much reflected in calls for funding. Multi-language qualitative research methodologies need to be strengthened in order to support this growing trend toward the promotion of cross-national collaboration. This practice analysis reports on our experience of carrying out cross-national and multi-language based qualitative research. Based on this, we recommend taking into account the potential challenges of language and national culture from the planning phase onwards, handling them in a structured, predefined way throughout the research process and using software to assist with the challenges brought about in a multi-language environment.
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| 43. |
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| 44. |
- Iwarsson, Susanne, et al.
(author)
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Synthesizing implications of a collaborative project on socially sustainable housing policies for the aging population
- 2023
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In: BMC Research Notes. - 1756-0500. ; 16:1
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Journal article (peer-reviewed)abstract
- Objective: Based on findings from four transdisciplinary original research studies on housing issues for the aging population, whereof three had a particular focus on marginalized groups, we report a co-produced synthesis of implications from a collaborative research project on socially sustainable housing policies. Researchers and non-academic partners in the ongoing Thematic Collaboration Initiative Social Rights and Housing for the Aging Population at Lund University collaborated in co-creative activities aiming at policy recommendations. Results: Seven types of implications (i.e., themes) that represent macro and meso level approaches with potential to generate impact on social rights and housing for the aging population were identified. The content of legislation and regulations, financial institution strategies, and housing and neighbourhood development exemplify macro level implications. The three themes education and training, communicating with a diversity of stakeholders, and communicating with the public all relate to an overall need for integrated knowledge translation. The theme involving older adults as a resource delivered insight into underutilized capacities of the diverse target group. As the quest for integrated knowledge translation is growing stronger, this research note contributes to development of co-production approaches to synthesize implications of transdisciplinary collaboration, connecting research, practice and policy on societal challenges that ay population aging.
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| 45. |
- LaFave, Sarah E., et al.
(author)
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Attention control group activities and perceived benefit in a trial of a behavioral intervention for older adults
- 2019
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In: Research in Nursing and Health. - : Wiley. - 0160-6891 .- 1098-240X. ; 42:6, s. 476-482
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Journal article (peer-reviewed)abstract
- Researchers trialing behavioral interventions often use attention control groups, but few publish details on attention control activities or perceived benefit. Attention control groups receive the same dose of interpersonal interaction as intervention participants but no other elements of the intervention, to control for the benefits of attention that may come from behavioral interventions. Because intervention success is analyzed compared to control conditions, it is useful to examine attention control content and outcomes. The purpose of this study is to report on attention control visit activities and their perceived benefit in a randomized control trial. The trial tested an aging-in-place intervention comprised of a series of participant goal-directed visits facilitated by an occupational therapist, nurse, and handyman. The attention control group participants received visits from a lay person. We report on the number and length of visits received, types of visit activities that participants chose, and how much visit time was spent on each activity, based on the attention visitor's records. We report on participant perceptions of benefit based on a 10-item Likert-scale survey. The attention control group participants (n = 148) were cognitively intact, at least 65 years old, with at least one Instrumental Activities of Daily Living. Attention control group participants most often chose conversation (20.1% of visit time), and playing games (18.7%), as visit activities. The majority of attention control group participants (63.4%) reported “a great deal” of perceived benefit. Attention control group visits may be an appropriate comparison in studies of behavioral interventions for community-dwelling older adults.
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| 46. |
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| 47. |
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| 48. |
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| 49. |
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| 50. |
- Löfqvist, Charlotte, et al.
(author)
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Voices on Relocation and Aging in Place in Very Old Age--A Complex and Ambivalent Matter.
- 2013
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In: The Gerontologist. - : Oxford University Press (OUP). - 1758-5341 .- 0016-9013. ; 53:6, s. 919-927
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Journal article (peer-reviewed)abstract
- PURPOSE: This cross-national qualitative study explores how very old people reflect upon relocation and aging in place. DESIGN AND METHODS: Swedish and German data are utilized in this study. About 80 community-living participants, 80-89 years of age, were interviewed with open-ended questions at home by trained interviewers. The interviews were analyzed by using conventional qualitative content analyses. RESULTS: Reasoning about relocation or aging in place in very old age is a complex and ambivalent matter. A variety of reflections, emotions, and behaviors for and against a move are revealed. Reasons to move reflect the urge to maintain independence, to stay in control, and to avoid loneliness. This is mainly expressed reactively. Reasons not to move reflect a strong attachment to the home and neighborhood. Moreover, reasons not to move reflect practical aspect such as economy and strain, as well as fear of losing continuity of habits and routines. IMPLICATIONS: There is a need for society to develop counseling systems to meet very old people's ambivalence and practical considerations to move or not to move. Thus, the ambivalence to stay put or to relocate needs to be further explored from an applied perspective by also taking nonmovers into account.
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