| 1. |
- Eklund, Lisa, et al.
(författare)
-
A cross-sectional study addressing the importance of work and other everyday activities for well-being among people with mental illness: does additional vulnerability matter?
- 2021
-
Ingår i: BMC Psychiatry. - : Springer Science and Business Media LLC. - 1471-244X. ; 21:1
-
Tidskriftsartikel (refereegranskat)abstract
- Background Work and other everyday activities are beneficial for well-being among people with mental illness, but poor circumstances can create detrimental effects, possibly aggravated by additional vulnerabilities linked with their mental illness. This study aimed to investigate how activity factors were related to well-being and functioning among three vulnerable groups using outpatient mental health care - young people with psychosis, people with a history of substance use disorder (SUD), and immigrants with post-traumatic stress disorder (PTSD) - while controlling for vulnerability group, age and gender. Methods Participants represented the three types of vulnerability (n = 46/57/39). Data collection, using self-report and interviewer-rated questionnaires, concerned aspects of everyday activity (work experiences; views of the worker role; satisfaction with everyday occupations; activity level), well-being (quality of life: life and health; quality of life: environmental aspects; recovery) and functioning (psychosocial functioning; symptom severity). Spearman correlations and General Linear Modelling were used. Results Activity satisfaction was positive (p < 0.001) but recent work experience negative (p = 0.015) for the life and health aspect of quality of life. Activity satisfaction was positive for the environmental aspects of quality of life (p < 0.001). Resources for having a worker role (p < 0.001) and belief in having a future worker role (p = 0.007) were positively associated with better recovery. Activity level (p = 0.001) and resources for having a worker role (p = 0.004) showed positive associations with psychosocial functioning. Belief in a future worker role (p = 0.011) was related with symptom level. Women had less severe symptoms in the young group with psychosis. Regarding vulnerability group, young people with psychosis perceived better quality of life; those with a history of SUD had less severe psychiatric symptoms; and the recent immigrants with PTSD had the highest level of psychosocial functioning. Conclusion Work experience may not be conducive to well-being in itself; it is satisfaction with work and other activities that matters, and worker and employer expectations need alignment. No vulnerability group seemed consistently more disadvantaged regarding well-being and functioning, but the fact that differences existed is vital to acknowledge in activity-based rehabilitation. Inquiring about meaningful activities and providing opportunities for executing them would be a fruitful way of support.
|
|
| 2. |
- Eklund, Lisa, et al.
(författare)
-
Doing or Undoing Gender? An Explorative Study of Gender, Activities, and Wellbeing among People with Mental Illness Attending Day Centers in Sweden
- 2015
-
Ingår i: Society and Mental Health. - : SAGE Publications. - 2156-8693 .- 2156-8731. ; 5:3, s. 218-233
-
Tidskriftsartikel (refereegranskat)abstract
- This study explores gender, activity, and well-being among people with mental illness attending day centers in Sweden. Based on survey data of 215 attendees, this study applies the concepts of doing gender and regulatory regimes to analyze the relationship between being involved in gendered activities and wellbeing. The results show that while both male and female participants are involved in gender-neutral activities, men are less likely to engage in women-dominated (WD) activities while women are more prone to engage in men-dominated (MD) activities. Moreover, women involved in MD activities show a positive correlation with well-being, while the same does not hold for men engaging in WD activities. The study concludes that both women and men are ‘‘undoing’’ gender but that women also tend to ‘‘re-do’’ gender, suggesting that gendered regulatory regimes are more permissive to diversified feminist subjectivities than masculine subjectivities.
|
|
| 3. |
- Eklund, Mona, et al.
(författare)
-
Gender in relation to work motivation, satisfaction and use of day center services among people with psychiatric disabilities
- 2017
-
Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1103-8128 .- 1651-2014. ; 24:3, s. 214-221
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Day centres can prepare for open-market employment, and attendees’ work motivation is key in this. Aims: Adopting a gender perspective, this study investigated (1) motivation for day centre attendance, satisfaction with the day centre services, number of hours spent there, and number and type of occupations performed; and (2) whether those factors were related with motivation for open-market employment. Methods: Women (n = 164) and men (n = 160) with psychiatric disabilities completed self-report questionnaires. Results: There were no gender differences regarding satisfaction with the day centre services or number of hours spent there, but women engaged in more occupations. More women than men performed externally-oriented services and textile work, while men were in the majority in workshops. Externally oriented services, working in workshops, and low satisfaction with the day centre services were associated with higher motivation for employment. Women and men were equally motivated for employment. Women scored higher on motivation for attending the day centre, something that may deter transition into open-market employment. For men, less motivation for attending day centres may reduce their possibilities of gaining skills that can facilitate transitioning to open-market employment. Conclusion: Thus, the possibility for transitioning from day centre activities to open-market employment may be gendered.
|
|
| 4. |
- Eklund, Mona, et al.
(författare)
-
Work experiences, resources, and beliefs among vulnerable subgroups of mental health care users
- 2021
-
Ingår i: Work. - : IOS Press. - 1051-9815 .- 1875-9270. ; 70:1, s. 125-134
-
Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: People with mental illness may have difficulties related to work and employment, especially if they experience additional difficult life situations.OBJECTIVE: To explore how subgroups with mental illness and additional adversities perceived their situation with respect to work and employment prospects.METHODS: Three subgroups were included, exposed to an additional difficult life situation: i) psychosis interrupting their career development at young age (n = 46), ii) having a history of substance use disorder (SUD) (= 57) or iii) having recently immigrated (n = 39). They responded to questionnaires addressing sociodemographics, work-related factors, everyday activity, and well-being. A professional assessed their level of functioning and symptom severity.RESULTS: The young people with psychosis had a low education level, little work experience, the poorest worker role resources, and a low level of functioning, but a high quality of life. The SUD group had the fewest work experiences, were the least satisfied with work experiences, and had the lowest activity level, but had the least severe psychiatric symptoms. The immigrant group had severe psychiatric symptoms, but high ratings on work experiences, work resources, and activity level.CONCLUSIONS: Each group presented unique assets and limitations pertaining to work and employment, suggesting that they also needed unique support measures.
|
|
| 5. |
|
|
| 6. |
- Andersson, Christina, 1955, et al.
(författare)
-
The association between patterns of women’s daily occupations and alcohol consumption; a cluster analytic approach.
- 2009
-
Ingår i: 35th Annual Alcohol Epidemiology Symposium of the Kettil Bruun Society, Köpenhamn, DK 2009601-05.
-
Konferensbidrag (refereegranskat)abstract
- Earlier studies on women's health and women's drinking and contemporary associated risk factors have highlighted the need for more complex approaches in understanding the pathways into women's problem drinking. Research from both social science and occupational therapy theory have underlined the importance of deconstructing the often dichotomised way of investigating women's daily lives (such as in paid and unpaid work or in work and leisure) when discussing factors from the daily life environment and their impact on health issues. The aim of this study is to explore the relationship between patterns of women's daily occupation and alcohol consumption using the broader concept of occupation from occupational therapy theory. Method: A cross-sectional study with data from the latest wave (2000) of a population-based project, Women and Alcohol in Göteborg (WAG). The study group consists of in total 871 women, aged 20-55 years. For identifying different groups of occupational patterns we are using an individual oriented method; Two-step clustering. Further we aim to use analyses of variance to analyse if there are specific occupational patterns related to problematic alcohol consumption. The specific variables constituting the patterns of daily occupations in this study are employment status, leisure, distribution of household/maintenance work, time for free disposal and the satisfaction with each of these four domains. Preliminary results will be presented.
|
|
| 7. |
- Andersson, Christina, 1955, et al.
(författare)
-
Women's patterns of everyday occupations and alcohol consumption : Everyday occupations and alcohol consumption
- 2012
-
Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1651-2014 .- 1103-8128. ; 19:3, s. 225-238
-
Tidskriftsartikel (refereegranskat)abstract
- Earlier studies on women's health and drinking and the contemporary associated risk factors, have highlighted the need for more complex approaches in understanding the pathways into women's problem drinking. Research, from both social science and from occupational therapy models, has underlined the importance of deconstructing the often dichotomized way of investigating women's daily lives (such as in paid and unpaid work or in work and leisure) when discussing factors from the daily life environment and their impact on health issues. The aim of this study was to explore the relationship between women's patterns of everyday occupation and alcohol consumption using the broader concept of occupation from occupational therapy models. This was a cross-sectional study from the latest wave (2000) of a population-based project, Women and Alcohol in Gothenburg (WAG). The study group consisted of 851 women, aged 20-55 years. Using an individually oriented method, two-step clustering, three distinct patterns of everyday occupations were identified. Significant associations with problematic alcohol consumption were found in the clusters, characterized by lower engagement in leisure activities and a larger amount of spare time. The need for new preventive approaches, including investigating the importance of having engaging leisure activities, is discussed.
|
|
| 8. |
- Andersson, Christina, et al.
(författare)
-
Women's patterns of everyday occupations and alcohol consumption
- 2012
-
Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1651-2014 .- 1103-8128. ; 19:3, s. 225-238
-
Tidskriftsartikel (refereegranskat)abstract
- Earlier studies on women's health and drinking and the contemporary associated risk factors have highlighted the need for more complex approaches in understanding the pathways into women's problem drinking. Research, from both social science and from occupational therapy models, has underlined the importance of deconstructing the often dichotomized way of investigating women's daily lives (such as in paid and unpaid work or in work and leisure) when discussing factors from the daily life environment and their impact on health issues. The aim of this study was to explore the relationship between women's patterns of everyday occupation and alcohol consumption using the broader concept of occupation from occupational therapy models. This was a cross-sectional study from the latest wave (2000) of a population-based project, Women and Alcohol in Gothenburg (WAG). The study group consisted of 851 women, aged 20-55 years. Using an individually oriented method, two-step clustering, three distinct patterns of everyday occupations were identified. Significant associations with problematic alcohol consumption were found in the clusters, characterized by lower engagement in leisure activities and a larger amount of spare time. The need for new preventive approaches, including investigating the importance of having engaging leisure activities, is discussed.
|
|
| 9. |
- Andersson, Maria, et al.
(författare)
-
Frames for choice and market characteristics - a Swedish case study of community mental health services in change
- 2015
-
Ingår i: Nordic Social Work Research. - 2156-857X .- 2156-8588. ; 5:3, s. 227-243
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to describe and analyse structural frames for choice, as well as characteristics of a free-choice market, implemented in community mental health services in Sweden. Day centres were focused. A case study was conducted. Documents were collected and semi-structured interviews were conducted with twenty-eight agents involved in the implementation process. Content analysis of data showed that users’ freedom of choice was influenced by detailed regulation. Freedom of choice was extended, but it was also substantially reduced. The gain or loss of freedom of choice depended on which aspects of the system were emphasised. Features, which could be interpreted as paternalistic, were once again structurally embedded, despite a system addressing individual freedom of choice. Further, the market did not seem to be adjusted for the average user of community mental health services.
|
|
| 10. |
- Andersson, Maria, et al.
(författare)
-
Freedom of choice or cost efficiency? : the implementation of a free-choice market system in community mental health services in Sweden
- 2016
-
Ingår i: Scandinavian Journal of Disability Research. - : Stockholm University Press. - 1501-7419 .- 1745-3011. ; 18:2, s. 129-141
-
Tidskriftsartikel (refereegranskat)abstract
- This case study investigates the implementation of a free-choice market system in community mental health services using the example of day centres for people with psychiatric disabilities. It was conducted in a major city that was about to implement a free-choice market system due to a new legislation that made it feasible. Eighteen semi-structured interviews were conducted. Agents situated in different parts of the organization were interviewed one year before and two years after the free-choice system was launched in 2010. Data showed a top–down political process. A majority of the intentions of the legislation advocated individual autonomy as the market system's main purpose; only one concerned organizational efficiency. Data reflected, however, that financial efficiency dominated the agents' experiences of the implemented system. The twofold market purpose was clearly reflected in the interviews. Front-line staff hoped for improvements mainly for the users, whereas managers mainly focused on the market as a resource allocator.
|
|
| 11. |
|
|
| 12. |
- Andersson, Maria, 1976-, et al.
(författare)
-
The implementation of a Free-choice Market System in Swedish Community Mental Health Services by the Example of Day Centres
- 2014
-
Ingår i: Jubilee Congress 50 years WASP World Association of Social Psychiatry, London, November 13-15, 2014..
-
Konferensbidrag (refereegranskat)abstract
- Marketization in community mental health services is a new phenomenon and might be the most comprehensive reform in the field since the deinstitutionalisation that occurred during the second half of the twentieth century. Historically, mental health services have been characterized by discipline and paternalistic practices.There has been an absence ofwhat is now, due to the new organizational model based on individual freedom of choice, is to be introduced. The aim of this study was to investigate the implementation of a free-choice market system in community mental health services, using the example of day centres for people with psychiatric disabilities. The study was conducted in a major city that was about to implement a free-choice market system due to a new legislation. Eighteen semi-structured interviews were conducted. Agents situated in different parts of the organization were interviewed one year before and two years after the free-choice system was launched in 2010. Data showed a top-down political process. The policy intentions of the new Act were in focus when studying the relation between policy and practice during the implementation process. A majority of the policy intentions of the new Act advocated individual autonomy as the market system’s main purpose, only one intention concerned organizational efficiency. Interview data reflected, however, that financial efficiency dominated the agents’ experiences of the implemented system. The twofold market purpose was clearly reflected in the interviews. Front-line staff hoped for improvements mainly for the users, when managers mainly focused on the market as a resource allocator.
|
|
| 13. |
- Argentzell, Elisabeth, et al.
(författare)
-
Experience of meaning in everyday occupations among unemployed people with severe mental illness
- 2012
-
Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1103-8128 .- 1651-2014. ; 19:1, s. 49-58
-
Tidskriftsartikel (refereegranskat)abstract
- Background. Knowledge about how people with severe mental illness find meaning in non-work occupations is important in order to develop programmes of meaningful daily occupations for this group. Purpose. To examine the meaning daily occupations may bring to those who are severely mentally ill and unemployed. Methods. Twelve unemployed people with severe mental illness were interviewed regarding their experience of meaning in daily occupations.Findings. Meaning was experienced in a balance between occupations that helped the informants control their mental illness. Themes of meaning were: feeling competent and being socially engaged, having routines and being productive, being creative and seeking knowledge, and taking care of body and mind. Substitutes for paid work were found in occupations such as taking care of the household or being productive at a day centre.Implications. People with severe mental illness should be allowed to play an active role in their rehabilitation process, using the occupational therapist for forming daily routines, creating a balance between work-like and restful occupations, finding occupations that meet one’s skills and training social behaviour. Besides, work-related occupations should be emphasized in the rehabilitation.
|
|
| 14. |
- Argentzell, Elisabeth, et al.
(författare)
-
Exploring mediators of the recovery process over time among mental health service users, using a mixed model regression analysis based on cluster RCT data
- 2020
-
Ingår i: BMC Psychiatry. - : Springer Science and Business Media LLC. - 1471-244X. ; 20:1
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Personal recovery is associated with many significant health-related factors, but studies exploring associations between activity factors and personal recovery among service users are scarce. The aims of this study were hence to; 1) investigate if various aspects of activity may mediate change in recovery while also acknowledging clinical, sociodemographic and well-being factors; 2) explore the effects of two activity-based interventions, Balancing Everyday Life (BEL) or standard occupational therapy (SOT), on personal recovery among service users. Methods: Two-hundred-and-twenty-six service users were included in a cluster RCT, 133 from BEL units and 93 from SOT units. Participants commonly had a diagnosis of mood disorder and the mean age was 40. Instruments used targeted activity, mastery and functioning. A mixed-model regression analysis was employed. Results: The model tested was whether selected variables could be used to mediate the change in recovery from the start to a six-month follow-up after intervention. Participants’ personal recovery increased after treatment and increased further at the follow-up. The general level of recovery was negatively related to a diagnosis of depression/anxiety, both before and after treatment, but depressed/anxious service users still increased their recovery. There were no significant relations between recovery and sex or age. The interactions between change in recovery and changes in depression/anxiety, satisfaction with activities, sex, and age were all non-significant. All possible treatment mediators included were related to change in recovery, the strongest being occupational engagement and mastery, followed by activity satisfaction and symptoms. Mediation was shown by the decrease in the effect of the time factor (from intervention start to completion) when the covariates were introduced. In all cases the time variable was still significant. When testing a model with all variables simultaneously as covariates, occupational engagement and mastery were strongly significant. There was no difference between interventions regarding recovery improvement. Conclusion: The treatments were equally beneficial and were effective regardless of gender, age and diagnosis. Those who gained most from the treatment also gained in feelings of mastery and activity engagement. Activity engagement also moderated the level of recovery. To enhance recovery, interventions should facilitate meaningful activities and gaining control in life. Trial registration: The study was registered with ClinicalTrials.gov. Reg. No. NCT02619318. Retrospectively registered: December 2, 2015.
|
|
| 15. |
- Argentzell, Elisabeth, et al.
(författare)
-
Factors influencing subjective perceptions of everyday occupations: Comparing day centre attendees with non-attendees.
- 2012
-
Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1651-2014 .- 1103-8128. ; 19, s. 68-77
-
Tidskriftsartikel (refereegranskat)abstract
- Abstract Background: Subjective perceptions of everyday occupations are important for the well-being of people with psychiatric disabilities (PD) and are likely to vary with factors such as attending a day centre or not, activity level, self-mastery, sociodemographic and clinical factors. Aim: To explore differences in subjective perceptions of occupation and activity level between day centre attendees and non-attendees, and to investigate factors of importance for the subjective perceptions of occupations. Methods: The study groups comprised 175 participants: 93 day centre attendees and 82 non-attendees. Data were collected with instruments concerning; subjective perceptions of everyday occupations, activity level, self-mastery, and sociodemographic and clinical factors. Results: Day centre attendees perceived higher levels of occupational value and activity level, while the groups perceived a similar level of satisfaction with daily occupations. For the total sample, self-mastery influenced both valued and satisfying everyday occupations while only value was affected by activity level. Satisfaction with daily occupation increased with age and both value and satisfaction increased with lower levels of psychiatric symptoms. Conclusion: Day centres provide perceptions of occupational value and stimulate activity. Non-differences between the groups regarding satisfaction with everyday occupations implied, however, that day centres might not cover all relevant occupational needs.
|
|
| 16. |
- Argentzell, Elisabeth, et al.
(författare)
-
Opportunities and barriers for occupational engagement among residents in supported housing
- 2023
-
Ingår i: Scandinavian Journal of Occupational Therapy. - : Taylor & Francis Group. - 1103-8128 .- 1651-2014. ; 30:1, s. 125-135
-
Tidskriftsartikel (refereegranskat)abstract
- Opportunities and barriers for occupational engagement among residents in supported housing. Background Research shows that people with psychiatric disabilities view supported housing (SH) as a possibility for social contact, but also as entailing a risk of deprived self-determination. There is, however, little research on the target group's engagement in everyday occupations. Aim To explore SH residents' opportunities and barriers for occupational engagement. Materials and methods Sixteen participants were interviewed, and data was analysed using content analysis. Results An overarching theme, Struggling to create meaning and seeking affection, and three underlying categories, emerged. Finding meaning through self-chosen occupations and support focussed on receiving support, doing self-chosen occupations, and having social contacts. Feeling neglected and insecure limits engagement in occupations was related to feelings of not being seen by staff, and insecurity, which hampered daily life. The third theme was Having a negative self-image and low level of ability hinders an active life. Conclusion Residents' self-view and ability to create an inner drive for being active was important for occupational engagement, which was linked to social connectedness. Occupational based interventions and a personal recovery approach is warranted in order to facilitate needs for meaningful occupations. Significance The results from the study can be used to further develop optimal support within SH units.
|
|
| 17. |
- Argentzell, Elisabeth, et al.
(författare)
-
Perceptions of the worker role among people with psychiatric disabilities: Description and investigation of associated factors.
- 2013
-
Ingår i: Work: A Journal of Prevention, Assessment & Rehabilitation. - 1875-9270. ; 45:3, s. 289-298
-
Tidskriftsartikel (refereegranskat)abstract
- Objective: To investigate how subjective perceptions of everyday occupations, activity level, day centre attendance, social interaction, self-mastery and clinical factors were related to how unemployed people with psychiatric disabilities (PD) envision a future worker role, also controlling for socio-demographic variables. Participants: 175 people with PD; 93 attended a day centre and 82 did not. Of the 93 day centre attendees 39 visited meeting place-oriented day centres and 54 attended work-oriented ones. Methods: Self-ratings and interview-based instruments were used to assess the view of the worker role, social interaction, subjective perceptions of everyday occupations, activity level, self-mastery, and socio-demographic and clinical factors. Non-parametric statistics were used when analysing the data. Results: A few aspects of the worker role seemed positively influenced by attending a day centre, in particular a work-oriented one. High levels of activity (p=0.009) and self-mastery (p=0.024), being younger (p=0.004) and having less depression (p=0.008) were also associated with a more positive view of the worker role. Conclusion: In order to enhance a future worker role the individual's feeling of control in the rehabilitation process should be highlighted and possibilities for general activity engagement be offered. Since the findings indicate that most aspects of the worker role were not enhanced by day centre attendance community-based care should further concentrate on promoting this future role for people with PD.
|
|
| 18. |
- Argentzell, Elisabeth, et al.
(författare)
-
Quality of Life Among People with Psychiatric Disabilities : Does Day Centre Attendance Make a Difference?
- 2017
-
Ingår i: Community Mental Health Journal. - : Springer Science and Business Media LLC. - 0010-3853 .- 1573-2789. ; 53:8, s. 984-990
-
Tidskriftsartikel (refereegranskat)abstract
- The purpose was to investigate (i) how people with psychiatric disabilities who attend day centres experience their quality of life (QoL) compared to non-attendees, (ii) differences in QoL between those who attend meeting place-oriented centres and those who attend work-oriented centres, (iii) possible correlates of QoL among day centre attendees. Ninety-three day centre attendees and 82 non-attendees completed questionnaires addressing QoL and selected correlates. No group difference was found regarding QoL. Factors related with a good QoL were high levels of self-mastery and motivation. Thus, promoting day centre attendees’ self-mastery and motivation might enhance their QoL.
|
|
| 19. |
- Argentzell, Elisabeth, et al.
(författare)
-
Social interaction among people with psychiatric disabilities - Does attending a day centre matter?
- 2014
-
Ingår i: International Journal of Social Psychiatry. - : SAGE Publications. - 1741-2854 .- 0020-7640. ; 60:6, s. 519-527
-
Tidskriftsartikel (refereegranskat)abstract
- Background:Engaging in social interaction has, for people with psychiatric disabilities, been shown to enhance well-being and the experience of meaning and to generally prevent the worsening of mental illness.Aim:The aim of the study was to investigate how day centre attendees differed from non-attendees regarding different aspects of social interaction and to investigate how occupational factors, including day centre attendance, and previously known predictors were related to social interaction in the study sample as a whole.Methods:A total of 93 day centre attendees and 82 non-attendees with psychiatric disabilities were examined regarding social interaction, subjective perception of occupation, activity level, sense of self-mastery and socio-demographic and clinical variables. Data were analysed with non-parametric statistics, mainly logistic regression.Results:Social support was mainly provided by informal caregivers such as family members. The day centre attendees had more social relations but did not experience better quality or closeness in their relationships than non-attendees. Important factors for social interaction were subjective perceptions of daily occupation, being married/cohabiting, self-mastery and severity of psychiatric symptoms.Conclusion:Alternative ways of enhancing social interactions in the community is needed, targeting the group’s feeling of satisfaction and value in daily life together with self-mastery.
|
|
| 20. |
- Bejerholm, Ulrika, et al.
(författare)
-
Aktivitetsengagemang
- 2020. - 2
-
Ingår i: Aktivitet och relation : mål och medel inom psykosocial rehabilitering - mål och medel inom psykosocial rehabilitering. - 9789144125985 ; , s. 161-179
-
Bokkapitel (populärvet., debatt m.m.)
|
|
| 21. |
- Bejerholm, Ulrika, et al.
(författare)
-
Aktivitetsengagemang
- 2010. - 1
-
Ingår i: Aktivitet & relation : Mål och medel inom psykosocial rehabilitering - Mål och medel inom psykosocial rehabilitering. - 9789144048680 ; , s. 161-179
-
Bokkapitel (refereegranskat)
|
|
| 22. |
- Bejerholm, Ulrika, et al.
(författare)
-
Bedömning av aktivitetsförmåga
- 2020
-
Ingår i: Aktivitet och relation : mål och medel inom psykosocial rehabilitering - mål och medel inom psykosocial rehabilitering. - 9789144125985 ; , s. 197-218
-
Bokkapitel (refereegranskat)
|
|
| 23. |
- Bejerholm, Ulrika, et al.
(författare)
-
Bedömning av aktivitetsförmåga
- 2010. - 2
-
Ingår i: Aktivitet och relation : mål och medel inom psykosocialrehabilitering - mål och medel inom psykosocialrehabilitering. - 9789144125985 ; , s. 197-218
-
Bokkapitel (populärvet., debatt m.m.)
|
|
| 24. |
|
|
| 25. |
|
|
| 26. |
- Bejerholm, Ulrika, et al.
(författare)
-
Occupational engagement in persons with schizophrenia: relationships to self-related variables, psychopathology, and quality of life.
- 2007
-
Ingår i: American Journal of Occupational Therapy. - 0272-9490. ; 61:1, s. 21-32
-
Tidskriftsartikel (refereegranskat)abstract
- Previous research suggests that having schizophrenia involves not being fully equipped to engage in daily occupations. This study was aimed at exploring relationships between occupational engagement and the issues of self-related variables, psychiatric symptoms, and quality of life. Seventy-four outpatients with schizophrenia entered the study. Instruments used in this study were Profile of Occupational Engagement in People with Schizophrenia, Locus of Control, Mastery, Sense of Coherence, Brief Psychiatric Rating Scale, and Lancashire Quality of Life Profile. The results showed that a high level of occupational engagement was related to higher ratings of self-related variables, fewer psychiatric symptoms, and better ratings of quality of life, and vice versa. A significant difference and a linear trend were found among the three subgroups of different levels of occupational engagement and the estimated variables. In the regression model, negative symptoms and internal locus of control together explained 47% of the variance in occupational engagement. The results add a new dimension to understanding mental health and suggest the importance of assessing the level of occupational engagement.
|
|
| 27. |
|
|
| 28. |
|
|
| 29. |
- Bejerholm, Ulrika, et al.
(författare)
-
Profiles of occupational engagement in persons with schizophrenia, POES: Development of a new instrument based on time diaries
- 2006
-
Ingår i: British Journal of Occupational Therapy. - 1477-6006. ; 69:2, s. 58-68
-
Tidskriftsartikel (refereegranskat)abstract
- Previous time-use research suggests that it is highly relevant for an occupational therapist to estimate time use and occupational engagement in order to understand some of the determinants of wellbeing for people with schizophrenia. This article describes the development and the testing of the psychometric properties of an instrument, Profiles of Occupational Engagement in people with Schizophrenia (POES), with the aim of helping to interpret and evaluate time-use diaries and thus providing a systematic description of status regarding occupational engagement. The first part of POES involves completion of time-use diaries and the second part, the assessment, is based on nine items that are rated on a four-point ordinal scale. The time-use diaries of 41 people with schizophrenia and the judgements from 12 occupational therapists were used in the study. A test of content validation involved experts from Sweden and the United Kingdom and resulted in two stages of revisions. The strength of agreement between two raters resulted in a mean weighted kappa of 0.70. Internal consistency was calculated for both raters separately and the alpha coefficients were 0.97 and 0.95. This study provides initial support for the content validity, interrater agreement and internal consistency of POES. Based on the judgements of the occupational therapists in this study, POES seems to have good clinical utility. However, further research on the clinical utility as well as the criterion validity of the construct is warranted.
|
|
| 30. |
|
|
| 31. |
- Bejerholm, Ulrika, et al.
(författare)
-
Time use and occupational performance among persons with schizophrenia
- 2004
-
Ingår i: Occupational Therapy in Mental Health. - 0164-212X. ; 20:1, s. 27-47
-
Tidskriftsartikel (refereegranskat)abstract
- The human occupational/activity pattern is a product of person–occupation–environment interaction, it is of importance to explore all these factors to understand the daily occupational pattern among persons with schizophrenia. This study aimed to describe the time use of 10 persons with schizophrenia, reflecting the participants’ daily occupations, social and geographical environments, and emotional reaction and reflection on their occupational performance.
|
|
| 32. |
- Bejerholm, Ulrika, et al.
(författare)
-
Vardagslivet
- 2005
-
Ingår i: Att leva med psykiska funktionshinder – livssituation och effektiva stödinsatser. - 9144033168 ; , s. 103-103
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Det här kapitlet tar upp hur vardagslivet kan te sig för personer som har ett psykiskt funktionshinder. Vardagen består för oss människor av olika sysslor, och vi upplever dem på olika sätt och de betyder olika saker. Många av dem utförs automatiskt utan reflektion, som exempelvis att duscha på morgonen eller att handla på hemvägen från jobbet. Det kan sägas vara en slags autopilot inkopplad som gör att minimalt med energi och koncentration behöver läggas på sådana uppgifter. Andra saker som utförs kräver mer koncentration och innebär kanske anspänning, som att hålla ett föredrag eller klättra i berg. För en person som drabbats av psykisk sjukdom slås mycket av autopilotfunktionen ut, och därmed blir vardagens olika sysslor en ansträngande och ibland övermäktig uppgift. Vardagslivet får ett annorlunda utseende, och det vanliga mönstret av arbete, fritid, vila och egenvård förändras. Även upplevelsen av det som en person gör förändras vanligtvis. Rent generellt kan det sägas att det psy
|
|
| 33. |
- Bejerholm, Ulrika, et al.
(författare)
-
Vardagslivet
- 2014. - 2
-
Ingår i: Att leva med psykisk funktionsnedsättning : Livssituation och effektiva vård- och stödinsatser - Livssituation och effektiva vård- och stödinsatser. - 9789144083872 ; , s. 117-137
-
Bokkapitel (refereegranskat)
|
|
| 34. |
- Bejerholm, Ulrika, et al.
(författare)
-
Vardagslivet
- 2005
-
Ingår i: Att leva med psykiska funktionshinder : livssituation och effektiva stödinsatser - livssituation och effektiva stödinsatser. - 9789144033167 ; , s. 103-117
-
Bokkapitel (populärvet., debatt m.m.)
|
|
| 35. |
|
|
| 36. |
- Bigelius, Ulla, et al.
(författare)
-
The value and meaning of an instrumental occupation performed in a clinical setting
- 2010
-
Ingår i: Scandinavian Journal of Occupational Therapy. - London : Informa Healthcare. - 1103-8128 .- 1651-2014. ; 17:1, s. 4-9
-
Tidskriftsartikel (refereegranskat)abstract
- The aim was to investigate how patients in a clinical setting, combining acute stroke care and rehabilitation, perceived the value and meaning attached to a commonly used instrumental occupation, namely "Brewing coffee and making an open-face cheese sandwich with sliced vegetable". Another aim was to validate the ValMO model, proposing that value and meaning are related phenomena. Upon performing the occupation, 38 participants answered questionnaires concerning perceived meaning and occupational value. The results showed that the occupation was highly valued by the participants and that it was perceived as meaningful. No age or gender differences were found. The findings confirmed the proposed link between value and meaning. In conclusion, a commonly used and supposedly meaningful occupation was indeed found to be valued and meaningful by the patients and the findings validated the targeted aspects of the ValMO model. This study was unique in its focus on value and meaning in a clinical context. Futures studies should clarify if the link between meaningful occupation and well-being, which has been shown in many studies of everyday situations and is another of the assumptions in the ValMO model, can be proved in clinical contexts as well. © 2010 Informa UK Ltd.
|
|
| 37. |
- Brolin, Rosita, 1958-, et al.
(författare)
-
"It's not just the residents who need to be motivated for activity" : a qualitative study of the perspectives of staff on providing activity support for people with psychiatric disabilities in supported housing in Sweden
- 2024
-
Ingår i: Frontiers in Psychiatry. - : Frontiers Media S.A.. - 1664-0640. ; 14
-
Tidskriftsartikel (refereegranskat)abstract
- Background: The goals for staff in Supported Housing for people with psychiatric disabilities include helping to develop the residents’ independence and self-confidence in activities. However, staff have expressed frustration about providing this type of support when motivating residents to engage in meaningful activities and also about the difficulty in finding suitable levels of independence within a housing setting with limitations.Objective: The aim is to explore the views and experiences of housing staff in Supported Housing on how they can stimulate and support engagement in activities for people with psychiatric disabilities.Methods: Twenty-six members of staff from 20 supported housing units in 10 municipalities in Sweden were interviewed in five focus groups. A semi-structured interview guide was used, and the transcribed material was analyzed using qualitative content analysis.Results: Three main categories emerged from the analysis: Multi-faceted factors influencing the staff’s provision of activity support, Staff’s approach for supporting activities, and Staff’s struggles to develop their work. Obstacles to participating in activities in the community were identified. Many contrasting factors were found, such as spontaneous or structured activities and individual or group activities, which affected the staff’s ability to motivate to activity.Conclusion: A broad approach encompassing in-house training including a focus on values, recruitment policies, staff supervision and interventions focusing on both residents and staff are ways to support staff in motivating residents toward being more active within Supported Housing.
|
|
| 38. |
- Cicerali, Lutfiye K., et al.
(författare)
-
Meanings Turkish people perceive in everyday occupations: Factor structure of Turkish OVal-pd
- 2015
-
Ingår i: International Journal of Psychology. - : Wiley. - 1464-066X .- 0020-7594. ; 50:1, s. 75-80
-
Tidskriftsartikel (refereegranskat)abstract
- Occupational value with predefined items scale is an originally 26-item Swedish tool used to assess values people find in their everyday doings. The present study validated this scale on a Turkish sample and described the values that Turks perceived in their daily doings. The participants included a convenience sample of 446 adults with mean age 26 (SD = 7.3). Initial item analysis followed by principal component analysis (Promax) and internal reliability analyses of the components were conducted. Statistics yielded a 19-item solution distributed across four factors. The Cronbach's alpha was .86, indicating good reliability. Confirming the earlier applications of the scale in the European and the American samples, factors related to recuperation, goal direction and social interaction emerged. Additionally, there appeared another occupational value subfactor, conservation, which did not show up in the Swedish and the American data analyses.
|
|
| 39. |
- Darawsheh, Wesam, et al.
(författare)
-
The Challenge of Cultural Competency in the Multicultural 21st Century: A Conceptual Model to Guide Occupational Therapy Practice
- 2015
-
Ingår i: Open Journal of Occupational Therapy. - : WMU Department of Occupational Therapy. - 2168-6408. ; 3:2
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Occupational therapists increasingly encounter clients from diverse cultural backgrounds and need to meet their professional obligation of delivering culturally competent practice. Yet the process of cultural competency is poorly understood in occupational therapy practice. There is a need for a clear understanding of the meaning and process of cultural competency as it is enacted in practice with a wide range of individuals from culturally diverse backgrounds.Aim: To investigate the process, stages, characteristics, and requirements of cultural competency as practiced by experienced occupational therapists.Method: Semi-structured interviews were carried out with 13 community occupational therapists experienced in delivering occupational therapy services in clients’ homes in a culturally diverse area in London, England.Findings: Interview data were analyzed and ordered into the format of a conceptual process model where cultural competency formed the core concept. The model of cultural competency that emerged from this study comprised six stages: cultural awareness, cultural preparedness, a cultural picture of the person, cultural responsiveness, cultural readiness, and cultural competence.Conclusion: Cultural competency is a complex process that needs to be based on underpinning occupational theory and actualized at the level of practice. Further research is needed to test out the model and illuminate the process of cultural competency in different areas of occupational therapy practice.
|
|
| 40. |
- de Diego-Alonso, Cristina, et al.
(författare)
-
Psychometric Properties of the Spanish Version of the Satisfaction With Daily Occupations and Occupational Balance in Spanish Stroke Survivors
- 2024
-
Ingår i: The American journal of occupational therapy : official publication of the American Occupational Therapy Association. - 0272-9490. ; 78:3
-
Tidskriftsartikel (refereegranskat)abstract
- IMPORTANCE: Stroke survivors experience changes in participation level, satisfaction with participation, and participation balance, making it necessary to have a validated tool for their assessment. OBJECTIVE: To evaluate the psychometric properties of the Spanish version of the Satisfaction With Daily Occupations and Occupational Balance (SDO-OB) in stroke survivors. DESIGN: Psychometric study. SETTING: National multicenter study (rehabilitation centers, and hospitals). PARTICIPANTS: One hundred forty stroke survivors with and without a primary caregiver. OUTCOMES AND MEASURES: Participants completed the SDO-OB, the five-level version of the EQ-5D (EQ-5D-5L), and the Activity Card Sort (ACS). Internal consistency, convergent validity, known-groups validity, and floor and ceiling effects were assessed. Intraobserver reliability was assessed 1 wk apart. RESULTS: The internal consistency was acceptable; Cronbach's α = .80, 95% confidence interval (CI) [0.75, 0.85]. A moderate correlation was found between the SDO-OB summed participation level and summed participation satisfaction (ρ = .53). Both SDO-OB summed scores correlated with ACS scores (0.25 < ρ < .61). However, only summed participation satisfaction scores correlated with the emotional component of the EQ-5D-5L (ρ = .32). The SDO-OB discriminated between groups with and without a caregiver (p = .001) and had no floor or ceiling effects (<7%). Good intraclass correlation coefficients (ICCs) were obtained for summed participation level (ICC = .91; 95% CI [.85, .94]) and summed participation satisfaction (ICC = .86; 95% CI [.78, .92]). Standard error of measurement and minimum detectable change were 0.7 and 1.9 points, respectively, for summed participation level and 4.5 and 12.4, respectively, for summed participation satisfaction. CONCLUSIONS: The Spanish version of the SDO-OB presented good psychometric properties, making it a suitable instrument to address participation level, participation satisfaction, and participation balance in stroke survivors. Plain-Language Summary: After a stroke, survivors experience changes in their participation in daily activities and how satisfied they are with them. This study examined whether a tool called Satisfaction With Daily Occupations and Occupational Balance (SDO-OB) could provide reliable information about this. We looked at 140 stroke survivors from different places in Spain to see whether they had someone caring for them, how healthy they were, and how their participation in daily activities changed after stroke. We found that the SDO-OB is helpful for understanding a stroke survivor's situation and can identify areas needing intervention and track changes caused by intervention plans.
|
|
| 41. |
- de Diego-Alonso, Cristina, et al.
(författare)
-
Psychometric Properties of the Spanish Version of the Satisfaction With Daily Occupations and Occupational Balance in Spanish Stroke Survivors
- 2024
-
Ingår i: AMERICAN JOURNAL OF OCCUPATIONAL THERAPY. - 0272-9490 .- 1943-7676. ; 78:3
-
Tidskriftsartikel (refereegranskat)abstract
- Importance: Stroke survivors experience changes in participation level, satisfaction with participation, and participation balance, making it necessary to have a validated tool for their assessment. Objective: To evaluate the psychometric properties of the Spanish version of the Satisfaction With Daily Occupations and Occupational Balance (SDO-OB) in stroke survivors. Design: Psychometric study. Setting: National multicenter study (rehabilitation centers, and hospitals). Participants: One hundred forty stroke survivors with and without a primary caregiver. Outcomes and Measures: Participants completed the SDO-OB, the five -level version of the EQ-5D (EQ-5D-5L), and the Activity Card Sort (ACS). Internal consistency, convergent validity, known -groups validity, and floor and ceiling effects were assessed. Intraobserver reliability was assessed 1 wk apart. Results: The internal consistency was acceptable; Cronbach's a = .80, 95% confidence interval (CI) [0.75, 0.85]. A moderate correlation was found between the SDO-OB summed participation level and summed participation satisfaction (r = .53). Both SDO-OB summed scores correlated with ACS scores (0.25 < r < .61). However, only summed participation satisfaction scores correlated with the emotional component of the EQ-5D-5L (r = .32). The SDO-OB discriminated between groups with and without a caregiver ( p = .001) and had no floor or ceiling effects (<7%). Good intraclass correlation coefficients (ICCs) were obtained for summed participation level (ICC = .91; 95% CI [.85, .94]) and summed participation satisfaction (ICC = .86; 95% CI [.78, .92]). Standard error of measurement and minimum detectable change were 0.7 and 1.9 points, respectively, for summed participation level and 4.5 and 12.4, respectively, for summed participation satisfaction. Conclusions: The Spanish version of the SDO-OB presented good psychometric properties, making it a suitable instrument to address participation level, participation satisfaction, and participation balance in stroke survivors. Plain -Language Summary: After a stroke, survivors experience changes in their participation in daily activities and how satisfied they are with them. This study examined whether a tool called Satisfaction With Daily Occupations and Occupational Balance (SDO-OB) could provide reliable information about this. We looked at 140 stroke survivors from different places in Spain to see whether they had someone caring for them, how healthy they were, and how their participation in daily activities changed after stroke. We found that the SDO-OB is helpful for understanding a stroke survivor's situation and can identify areas needing intervention and track changes caused by intervention plans.
|
|
| 42. |
- Dychawy-Rosner, Irena, et al.
(författare)
-
Caring dynamics as perceived by staff supporting daily occupations for developmentally disabled adults
- 2001
-
Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 1471-6712 .- 0283-9318. ; 15:2, s. 123-132
-
Tidskriftsartikel (refereegranskat)abstract
- This study addresses caring staff experiences of hindrances and help in the support of daily occupations among people with developmental disabilities. Data were collected by means of a questionnaire consisting of open-ended questions about the staff perceptions of their work experiences. The respondents (n = 81), corresponding to 94.1% of all care staff employed in a geographically defined care area in southern Sweden, worked in various day activity units supporting the daily occupations of their clients. A constant comparative method of data analysis was used. Staff expressions were classified in two main categories of caring dynamics: an operational level and a managerial level. Four areas were identified at the operational level: encountering realities of practice, attitudes to the clients and work demand, using the potential of knowledge and strategies and applying helping actions to the client. The managerial level included two areas, generalized work strategy and individualized work strategy. It is suggested that to develop the quality of interventions for supporting daily activities among persons with developmental disabilities, efforts should be made to identify caring dynamics as experienced by the caring staff.
|
|
| 43. |
- Dychawy-Rosner, Irena, et al.
(författare)
-
Content validity and clinical applicability of the Irena Daily Activity assessment measuring occupational performance in adults with developmental disability
- 2003
-
Ingår i: Occupational Therapy International. - : Wiley. - 1557-0703 .- 0966-7903. ; 10:2, s. 127-149
-
Tidskriftsartikel (refereegranskat)abstract
- The purpose of this study was to investigate the validity of the Irena Daily Activity (IDA) assessment which measures occupational performance in adults with developmental disabilities. The instrument's content validity was investigated by elucidating its general appropriateness, its clinical applicability and the feasibility of the measurement procedure. Data were collected from a multidisciplinary panel of clinical experts working in day activity centres. Each expert independently judged and reviewed the IDA instrument's content validity. The results show that the content validity index (CVI) values ranged from 0.8 to 1.0 for the instrument's general appropriateness and clinical applicability, and from 0.7 to 1.0 with respect to the significance of the IDA domains' clinical applicability. The applicability of the IDA items were judged as satisfactory (CVI > 80) with respect to their importance for planning treatment and intervention. The feasibility of the measurement procedure was estimated as satisfactory in relation to the items (CVI > 0.70) and satisfactory with respect to the time needed and material used, with CVI values ranging from 0.8 to 1.0. The results of this study support the use of the IDA as a feasible and time-efficient assessment that provides insights regarding the occupational performance of adults with developmental disabilities. A limitation of this study was that it could not illuminate all-important aspects of validity. In conclusion, the IDA has the potential to become a reliable and valid clinical assessment, but additional research on psychometric properties is still needed.
|
|
| 44. |
- Dychawy-Rosner, Irena, et al.
(författare)
-
Content validity and clinical applicability of the Irena Daily Activity assessment measuring occupational performance in developmentally disabled adults
- 2003
-
Ingår i: Occupational Therapy International. - : Whurr Publishers Ltd. - 0966-7903 .- 1557-0703. ; 2:10, s. 127-149
-
Tidskriftsartikel (refereegranskat)abstract
- The purpose of this study was to investigate the validity of the Irena Daily Activity (IDA) assessment which measures occupational performance in adults with developmental disabilities. The instrument's content validity was investigated by elucidating its general appropriateness, its clinical applicability and the feasibility of the measurement procedure. Data were collected from a multidisciplinary panel of clinical experts working in day activity centres. Each expert independently judged and reviewed the IDA instrument's content validity. The results show that the content validity index (CVI) values ranged from 0.8 to 1.0 for the instrument's general appropriateness and clinical applicability, and from 0.7 to 1.0 with respect to the significance of the IDA domains' clinical applicability. The applicability of the IDA items were judged as satisfactory (CVI ≥ 80) with respect to their importance for planning treatment and intervention. The feasibility of the measurement procedure was estimated as satisfactory in relation to the items (CVI ≥ 0.70) and satisfactory with respect to the time needed and material used, with CVI values ranging from 0.8 to 1.0. The results of this study support the use of the IDA as a feasible and time-efficient assessment that provides insights regarding the occupational performance of adults with developmental disabilities. A limitation of this study was that it could not illuminate all-important aspects of validity. In conclusion, the IDA has the potential to become a reliable and valid clinical assessment, but additional research on psychometric properties is still needed. Copyright © 2003 Whurr Publishers Ltd.
|
|
| 45. |
|
|
| 46. |
- Dychawy-Rosner, I, et al.
(författare)
-
Direct care staff's need for support in their perceived work role in day activities units
- 2000
-
Ingår i: Journal of Nursing Management. - : Hindawi Limited. - 1365-2834 .- 0966-0429. ; 8:1, s. 39-48
-
Tidskriftsartikel (refereegranskat)abstract
- AIMS: This study sets out to investigate direct care staff's views of their need for support, supervision, and training in their practice in day care settings when supporting daily occupations among developmentally disabled persons. BACKGROUND: The first line staff are considered as having a prominent role in the successful delivery of service. METHODS: Three municipalities, one urban and two rural areas in southern Sweden, were chosen for the study. The studied population n = 81 consisted of 94.1% of all staff employed in day activities units supporting the clients' daily occupations or community-integrated, sheltered work employment. The data were collected by means of a questionnaire. FINDINGS: This material identified the staff's perceived work role, and their needs for support, supervision, and training in the areas of communication, environment adaptation, individual activation and training methods, with regard to learning disabilities and special needs. CONCLUSIONS: Care managers should focus upon preparation of staff support programmes to improve the quality and efficiency in this area of care.
|
|
| 47. |
- Eakman, Aaron M., et al.
(författare)
-
Reliability and structural validity of an assessment of occupational value
- 2011
-
Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1651-2014 .- 1103-8128. ; 18:3, s. 231-240
-
Tidskriftsartikel (refereegranskat)abstract
- This study evaluated the psychometric properties of the American English (Am. Eng.) version of the Occupational Value Assessment with predefined items (OVal-pd). The OVal-pd is a 26-item Likert-like questionnaire designed to assess the construct of occupational value as framed within the Value and Meaning in Occupations model (ValMO). Following a translation from the Swedish OVal-pd, 277 randomly selected graduate and undergraduate students from a public university in the northwestern United Stated completed the Am. Eng. OVal-pd. Test-retest and internal consistency reliability coefficients were very good utilizing an improved 22-item version of the OVal-pd. The structural validity of the 22-item Am. Eng. OVap-pd was partly confirmed through exploratory factor analysis. The scale was found to assess a one-dimensional value construct supporting the ValMO model, consisting of components clearly reflective of self-reward and concrete value. Exploratory factor analysis results were equivocal with regard to the symbolic dimension of the ValMO model as assessed by the OVal-pd. Discussion suggests the refinement of both the OVal-pd and ValMO model in the light of present and related empirical findings.
|
|
| 48. |
|
|
| 49. |
|
|
| 50. |
- Ekberg, Kerstin, et al.
(författare)
-
Lättare psykisk ohälsa
- 2015
-
Ingår i: Återgång i arbete. Processer, bedömningar och åtgärder. - Lund : Studentlitteratur AB. ; , s. 111-127, s. 111-128
-
Bokkapitel (populärvet., debatt m.m.)
|
|
