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Åberg, Anna CristinaORCID iD iconorcid.org/0000-0001-8196-0553
Publications (10 of 87) Show all publications
Blomberg, O., Svedin, F., Farrand, P., Brantnell, A., von Essen, L., Karlsson, J. P., . . . Woodford, J. (2024). Adaptation of a guided low-intensity behavioral activation intervention for people with dementia in Sweden: a qualitative study exploring the needs and preferences of key stakeholders. BMC Geriatrics, 24(1), Article ID 113.
Open this publication in new window or tab >>Adaptation of a guided low-intensity behavioral activation intervention for people with dementia in Sweden: a qualitative study exploring the needs and preferences of key stakeholders
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2024 (English)In: BMC Geriatrics, E-ISSN 1471-2318, Vol. 24, no 1, article id 113Article in journal (Refereed) Published
Abstract [en]

Background

Despite depression being prevalent in people with dementia, contributing to negative health outcomes and placing increased burden on individuals and family members, access to psychological interventions is limited. A potential solution is guided low-intensity behavioral activation, supported by informal caregivers and guided by healthcare professionals. However, it is necessary to adapt interventions to meet the needs and preferences of key stakeholders to enhance acceptability and relevance. Study objectives were to: (1) explore needs and preferences concerning the content and delivery model of the guided low-intensity behavioral activation intervention; and (2) adapt the intervention to ensure cultural appropriateness, relevancy, and acceptability to people with dementia and their caregivers in Sweden. 

Methods

Semi-structured interviews and focus group discussions were conducted with key stakeholders, including healthcare professionals (n = 18), community stakeholders (n = 7), people with dementia (n = 8), and informal caregivers (n = 19). A draft of the written low-intensity behavioral activation intervention and a description of the proposed intervention delivery model were provided to participants. Open-ended questions explored the perceived relevance of the intervention, alongside needs and preferences concerning content and delivery. A manifest content analysis approach was adopted. 

Results

Content analysis resulted in three categories: Content, Delivery procedures, and Illness trajectory. Results highlighted a need to consider the intervention Content via increased cultural adaptation to the Swedish context, and increasing the inclusiveness of intervention content. Delivery procedures were identified as needing to be flexible given the unpredictable nature of caring for people with dementia, with the provision of additional guidance to informal caregivers supporting the intervention. Illness trajectory was viewed as essential to consider, with the intervention regarded as suitable for those early in the dementia trajectory, alongside a need to reduce workbook text to minimize burden given dementia symptomology. 

Conclusions

The intervention and proposed delivery model were generally well received by all stakeholders. We were able to identify key adaptations to enhance cultural appropriateness, relevancy, and acceptability for a currently neglected population. Results will inform a feasibility study to explore the feasibility and acceptability of the intervention and study procedures to inform the design of a future superiority randomized controlled trial.

Keywords
Needs, Preferences, Dementia, Psychological Well-being, Intervention development
National Category
Nursing Geriatrics
Identifiers
urn:nbn:se:du-47961 (URN)10.1186/s12877-023-04606-6 (DOI)001153277100001 ()38291349 (PubMedID)2-s2.0-85183623706 (Scopus ID)
Funder
Uppsala University
Available from: 2024-02-01 Created: 2024-02-01 Last updated: 2024-02-22
Blomberg, O., Svedin, F., Brantnell, A., Farrand, P., von Essen, L., Åberg, A. C. & Woodford, J. (2023). Development of a self‐help behavioural activation intervention INVOLVERA for people with dementia: a qualitative study. Alzheimer's & Dementia: Journal of the Alzheimer's Association, 19(S19)
Open this publication in new window or tab >>Development of a self‐help behavioural activation intervention INVOLVERA for people with dementia: a qualitative study
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2023 (English)In: Alzheimer's & Dementia: Journal of the Alzheimer's Association, ISSN 1552-5260, E-ISSN 1552-5279, Vol. 19, no S19Article in journal (Refereed) Published
National Category
Nursing
Identifiers
urn:nbn:se:du-47676 (URN)10.1002/alz.076090 (DOI)
Available from: 2024-01-04 Created: 2024-01-04 Last updated: 2024-01-04Bibliographically approved
Åberg, A. C., Larsson, L. E., Giedraitis, V., Berglund, L. & Halvorsen, K. (2023). Dual-Task Interference of Gait Parameters During Different Conditions of the Timed Up-and-Go Test Performed by Community-Dwelling Older Adults. Journal of Aging and Physical Activity, 31(5), 823-832
Open this publication in new window or tab >>Dual-Task Interference of Gait Parameters During Different Conditions of the Timed Up-and-Go Test Performed by Community-Dwelling Older Adults
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2023 (English)In: Journal of Aging and Physical Activity, ISSN 1063-8652, E-ISSN 1543-267X, Vol. 31, no 5, p. 823-832Article in journal (Refereed) Published
Abstract [en]

The Timed Up-and-Go (TUG) test has been combined with different verbal/cognitive tasks (i.e., TUG dual task [TUGdt]) as a form of motor-cognitive testing. However, it is still unclear how different TUGdt conditions affect gait among older adults. Thirty community-dwelling older adults, with mean age of 73 years, participated in the study. Data were collected using marker-free video recordings. Gait parameters were extracted using a semiautomatic deep learning system. Comparisons of execution time and gait parameter outcomes were made under TUG and three types of TUGdt test conditions: TUGdt-naming animals, TUGdt-months backwards, and TUGdt-serial 7s. Statistical analyses were based on mean values of the gait parameters for each participant and TUG condition, including TUGdt gait cost, that is, the relative difference between TUGdt and TUG. All the investigated TUGdt conditions resulted in varying degrees of gait parameter changes. Under TUGdt conditions, participants took shorter and slower steps, with TUGdt-serial 7s causing the largest interference.

Keywords
executive function, mobility, video
National Category
Geriatrics
Identifiers
urn:nbn:se:du-45830 (URN)10.1123/japa.2022-0304 (DOI)000968004200001 ()37019438 (PubMedID)
Available from: 2023-04-06 Created: 2023-04-06 Last updated: 2023-11-20
Svedin, F., Blomberg, O., Farrand, P., Brantnell, A., von Essen, L., Åberg, A. C. & Woodford, J. (2023). Effectiveness, acceptability, and completeness and quality of intervention reporting of psychological interventions for people with dementia or mild cognitive impairment: protocol for a mixed-methods systematic review. BMJ Open, 13(12), Article ID e077180.
Open this publication in new window or tab >>Effectiveness, acceptability, and completeness and quality of intervention reporting of psychological interventions for people with dementia or mild cognitive impairment: protocol for a mixed-methods systematic review
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2023 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 13, no 12, article id e077180Article in journal (Refereed) Published
Abstract [en]

Introduction: Mental health difficulties such as anxiety and depression have negative impacts on psychological well-being and are common in people with dementia and mild cognitive impairment. However, access to psychological treatments is limited. This mixed-method systematic review will: (1) examine the effectiveness of psychological interventions to improve mental health and psychological well-being in people with dementia or mild cognitive impairment; (2) examine the effectiveness of these psychological interventions to improve mental health and psychological well-being in informal caregivers; (3) examine potential clinical and methodological moderators associated with effectiveness; (4) explore factors associated with the acceptability of psychological interventions from the perspective of key stakeholders; and (5) examine the completeness and quality of intervention reporting.

Methods and analysis: Electronic databases (ASSIA, CENTRAL, CINAHL, EMBASE, PsycINFO and MEDLINE) will be systematically searched and supplemented with expert contact, reference and citation checking, and grey literature searches. If possible, we will conduct a meta-analysis to examine the overall effectiveness of psychological interventions to improve mental health and psychological well-being in people with dementia or mild cognitive impairment and their informal caregivers; and examine potential clinical and methodological moderators associated with effectiveness. We will conduct a deductive framework synthesis, informed by the theoretical framework of acceptability, to explore factors associated with the acceptability of psychological interventions from the perspective of key stakeholders. In accordance with Joanna Briggs Institute guidance, we will adopt a convergent segregated approach to data synthesis and integration of quantitative and qualitative findings. We will examine the completeness and quality of intervention reporting according to the Template for Intervention Description and Replication checklist and guide.

Ethics and dissemination: No primary data will be collected, and therefore, ethical approval is not required. Results will be disseminated through a peer-reviewed publication, academic conferences, and plain language summaries.

Keywords
Anxiety disorders; Dementia; Depression & mood disorders; MENTAL HEALTH; Old age psychiatry; PSYCHIATRY
National Category
Psychiatry
Identifiers
urn:nbn:se:du-47477 (URN)10.1136/bmjopen-2023-077180 (DOI)38086581 (PubMedID)2-s2.0-85179640105 (Scopus ID)
Funder
Swedish Research Council, 2009–1093Swedish Research Council, 2018-02691
Available from: 2023-12-15 Created: 2023-12-15 Last updated: 2023-12-28
Svedin, F., Blomberg, O., Brantnell, A., Farrand, P., Åberg, A. C. & Woodford, J. (2023). Healthcare and community stakeholders’ perceptions of barriers and facilitators to implementing a behavioral activation intervention for people with dementia and depression: a qualitative study using Normalization Process Theory. BMC Geriatrics, 23, Article ID 814.
Open this publication in new window or tab >>Healthcare and community stakeholders’ perceptions of barriers and facilitators to implementing a behavioral activation intervention for people with dementia and depression: a qualitative study using Normalization Process Theory
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2023 (English)In: BMC Geriatrics, E-ISSN 1471-2318, Vol. 23, article id 814Article in journal (Refereed) Published
Abstract [en]

Background Depression is commonly experienced by people with dementia, and associated with lower quality of life and functional decline. However, access to evidence-based psychological interventions for people with dementia and depression is limited. One potential solution is guided low-intensity behavioral activation. Following the new Medical Research Council Framework, considering factors such as potential barriers and facilitators to implementation is recommended during the development of new interventions. Aims of this study were to: (1) develop an understanding of existing healthcare and community support in the Swedish context for people with dementia and their informal caregivers; and (2) identify barriers and facilitators to intervention uptake informed by Normalization Process Theory. Methods Semi-structured interviews and focus groups were held with healthcare (n = 18) and community (n = 7) stakeholders working with people with dementia and/or informal caregivers. Interview questions were informed by Normalization Process Theory. Data was analysed utilizing a two-step deductive analysis approach using the Normalization Process Theory coding manual, with inductive categories applied to data related to the main mechanisms of the theory, but not captured by its sub-constructs. Results Twelve deductive and three inductive categories related to three Normalization Process Theory primary mechanisms (Coherence, Cognitive Participation, and Collective Action) were identified. Identified barriers to intervention uptake included: (1) additional burden for informal caregivers; (2) lack of appropriate workforce to provide guidance; (3) lack of time and financial resources; (4) people with dementia not recognising their diagnosis of dementia and/or a need for support; and (5) stigma. Identified facilitators to intervention uptake included: (1) intervention has potential to fill a large psychological treatment gap in Sweden; (2) objectives and potential benefits understood and agreed by most stakeholders; and (3) some healthcare professionals recognized their potential role in providing intervention guidance. Conclusions Several barriers and facilitators for future implementation, specific to the intervention, individuals and families, as well as professionals, were identified during intervention development. Barriers were mapped into evidence-based implementation strategies, which will be adopted to overcome identified barriers. A feasibility study further examining implementation potential, acceptability and feasibility, alongside clinical, methodological, and procedural uncertainties associated with the intervention will be conducted. 

Place, publisher, year, edition, pages
BioMed Central (BMC), 2023
Keywords
Dementia, Depression, Mental Health, Behavioral Activation, Normalization Process Theory, Intervention Development
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:du-47450 (URN)10.1186/s12877-023-04522-9 (DOI)001116849300004 ()38062362 (PubMedID)2-s2.0-85178946701 (Scopus ID)
Funder
Swedish Research Council, Dnr: 2018-02691
Available from: 2023-12-08 Created: 2023-12-08 Last updated: 2024-01-15Bibliographically approved
Olsson, F., Halvorsen, K. & Åberg, A. C. (2023). Neuromuscular controller models for quantifying standing balance in older people: A systematic review. IEEE Reviews in Biomedical Engineering, 16, 560-578
Open this publication in new window or tab >>Neuromuscular controller models for quantifying standing balance in older people: A systematic review
2023 (English)In: IEEE Reviews in Biomedical Engineering, ISSN 1941-1189, E-ISSN 1937-3333 , Vol. 16, p. 560-578Article in journal (Refereed) Published
National Category
Geriatrics
Identifiers
urn:nbn:se:du-36262 (URN)10.1109/RBME.2021.3057673 (DOI)000910722500037 ()2-s2.0-85100843904 (Scopus ID)
Available from: 2021-03-02 Created: 2021-03-02 Last updated: 2023-05-15Bibliographically approved
Åberg, A. C., Rosberg Petersson, J., Giedraitis, V., McKee, K. J., Rosendahl, E., Halvorsen, K. & Berglund, L. (2023). Prediction of conversion to dementia disorders based on timed up and go dual-task test verbal and motor outcomes: a five-year prospective memory-clinic-based study. BMC Geriatrics, 23(1), Article ID 535.
Open this publication in new window or tab >>Prediction of conversion to dementia disorders based on timed up and go dual-task test verbal and motor outcomes: a five-year prospective memory-clinic-based study
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2023 (English)In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 23, no 1, article id 535Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: While assessment tools can increase the detection of cognitive impairment, there is currently insufficient evidence regarding clinical outcomes based on screening for cognitive impairment in older adults.

METHODS: The study purpose was to investigate whether Timed Up and Go dual-task test (TUGdt) results, based on TUG combined with two different verbal tasks (name different animals, TUGdt-NA, and recite months in reverse order, TUGdt-MB), predicted dementia incidence over a period of five years among patients (N = 186, mean = 70.7 years; 45.7% female) diagnosed with Subjective Cognitive Impairment (SCI) and Mild Cognitive Impairment (MCI) following assessment at two memory clinics. Associations between TUG parameters and dementia incidence were examined in Cox regression models.

RESULTS: During follow-up time (median (range) 3.7 (0.1-6.1) years) 98 participants converted to dementia. Novel findings indicated that the TUGdt parameter words/time, after adjustment for age, gender, and education, can be used for the prediction of conversion to dementia in participants with SCI or MCI over a period of five years. Among the TUG-related parameters investigated, words/time showed the best predictive capacity, while time scores of TUG and TUGdt as well as TUGdt cost did not produce significant predictive results. Results further showed that the step parameter step length during TUGdt predicts conversion to dementia before adjustment for age, gender, and education. Optimal TUGdt cutoffs for predicting dementia at 2- and 4-year follow-up based on words/time were calculated. The sensitivity of the TUGdt cutoffs was high at 2-year follow-up: TUGdt-NA words/time, 0.79; TUGdt-MB words/time, 0.71; reducing respectively to 0.64 and 0.65 at 4-year follow-up.

CONCLUSIONS: TUGdt words/time parameters have potential as cost-efficient tools for conversion-to-dementia risk assessment, useful for research and clinical purposes. These parameters may be able to bridge the gap of insufficient evidence for such clinical outcomes.

TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT05893524: https://www.

CLINICALTRIALS: gov/study/NCT05893524?id=NCT05893524&rank=1 .

Keywords
Demenetia disorder, Dual-task, Gait, Mild cognitive impairment, Subjective cognitive impairment
National Category
Geriatrics
Identifiers
urn:nbn:se:du-46896 (URN)10.1186/s12877-023-04262-w (DOI)001058979100001 ()37660032 (PubMedID)2-s2.0-85169513958 (Scopus ID)
Available from: 2023-09-05 Created: 2023-09-05 Last updated: 2023-11-20Bibliographically approved
Åberg, A. C., Rosberg Petersson, J., Giedraitis, V., McKee, K., Rosendahl, E. & Berglund, L. (2023). Prediction of conversion to dementia disorders based on Timed Up and Go dual-task test verbal outcomes: A longitudinal prospective memory-clinic-based study. In: : . Paper presented at The 19th International Congress of the European Union Geriatric Medicine Society, September 2023, Helsinki, Finland.
Open this publication in new window or tab >>Prediction of conversion to dementia disorders based on Timed Up and Go dual-task test verbal outcomes: A longitudinal prospective memory-clinic-based study
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2023 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Physiotherapy
Identifiers
urn:nbn:se:du-47225 (URN)
Conference
The 19th International Congress of the European Union Geriatric Medicine Society, September 2023, Helsinki, Finland
Available from: 2023-11-07 Created: 2023-11-07 Last updated: 2023-11-20Bibliographically approved
Rosberg Petersson, J., Berglund, L., Giedraitis, V., Halvorsen, K., Rosendahl, E., McKee, K. & Åberg, A. C. (2023). Step length during Timed Up and Go performance: preliminary results of a cross-sectional cohort study. In: : . Paper presented at The 19th International Congress of the European Union Geriatric Medicine Society, September 2023, Helsinki, Finland.
Open this publication in new window or tab >>Step length during Timed Up and Go performance: preliminary results of a cross-sectional cohort study
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2023 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Physiotherapy
Identifiers
urn:nbn:se:du-47226 (URN)
Conference
The 19th International Congress of the European Union Geriatric Medicine Society, September 2023, Helsinki, Finland
Available from: 2023-11-07 Created: 2023-11-07 Last updated: 2023-11-20Bibliographically approved
Åberg, A. C., Olsson, F., Åhman, H. B., Tarassova, O., Arndt, A., Giedraitis, V., . . . Halvorsen, K. (2022). Corrigendum to "Extraction of gait parameters from marker-free video recordings of timed up-and-go tests: Validity, inter- and intra-rater reliability" [Gait Posture 90 (2021) 489-495]. Gait & Posture, 94, 195-197
Open this publication in new window or tab >>Corrigendum to "Extraction of gait parameters from marker-free video recordings of timed up-and-go tests: Validity, inter- and intra-rater reliability" [Gait Posture 90 (2021) 489-495]
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2022 (English)In: Gait & Posture, ISSN 0966-6362, E-ISSN 1879-2219, Vol. 94, p. 195-197Article in journal (Refereed) Published
National Category
Physiotherapy
Identifiers
urn:nbn:se:du-41208 (URN)10.1016/j.gaitpost.2022.03.015 (DOI)000806791900005 ()35358828 (PubMedID)2-s2.0-85127180553 (Scopus ID)
Note

Published Erratum

Available from: 2022-04-06 Created: 2022-04-06 Last updated: 2023-11-20Bibliographically approved
Projects
UDDGait™: Uppsala-Dalarna Dementia and Gait project; Publications
Åberg, A. C., Larsson, L. E., Giedraitis, V., Berglund, L. & Halvorsen, K. (2023). Dual-Task Interference of Gait Parameters During Different Conditions of the Timed Up-and-Go Test Performed by Community-Dwelling Older Adults. Journal of Aging and Physical Activity, 31(5), 823-832Åberg, A. C., Rosberg Petersson, J., Giedraitis, V., McKee, K. J., Rosendahl, E., Halvorsen, K. & Berglund, L. (2023). Prediction of conversion to dementia disorders based on timed up and go dual-task test verbal and motor outcomes: a five-year prospective memory-clinic-based study. BMC Geriatrics, 23(1), Article ID 535. Åberg, A. C., Rosberg Petersson, J., Giedraitis, V., McKee, K., Rosendahl, E. & Berglund, L. (2023). Prediction of conversion to dementia disorders based on Timed Up and Go dual-task test verbal outcomes: A longitudinal prospective memory-clinic-based study. In: : . Paper presented at The 19th International Congress of the European Union Geriatric Medicine Society, September 2023, Helsinki, Finland. Rosberg Petersson, J., Berglund, L., Giedraitis, V., Halvorsen, K., Rosendahl, E., McKee, K. & Åberg, A. C. (2023). Step length during Timed Up and Go performance: preliminary results of a cross-sectional cohort study. In: : . Paper presented at The 19th International Congress of the European Union Geriatric Medicine Society, September 2023, Helsinki, Finland. Åberg, A. C., Olsson, F., Åhman, H. B., Tarassova, O., Arndt, A., Giedraitis, V., . . . Halvorsen, K. (2021). Extraction of gait parameters from marker-free video recordings of Timed Up-and-Go tests: Validity, inter- and intra-rater reliability. Gait & Posture, 90, 489-495Åhman, H. B., Berglund, L., Cedervall, Y., Giedraitis, V., McKee, K., Rosendahl, E. & Åberg, A. C. (2021). Timed "Up & Go" Dual-Task Tests: Age- and Sex-Specific Reference Values and Test-Retest Reliability in Cognitively Healthy Controls.. Physical Therapy, 101(10), Article ID pzab179. Åhman, H. B., Cedervall, Y., Kilander, L., Giedraitis, V., Berglund, L., McKee, K., . . . Åberg, A. C. (2020). Dual-task tests discriminate between dementia, mild cognitive impairment, subjective cognitive impairment, and healthy controls: a cross-sectional cohort study. BMC Geriatrics, 20(1), Article ID 258. B Åhman, H., Berglund, L., Cedervall, Y., Kilander, L., Giedraitis, V., McKee, K., . . . Åberg, A. C. (2020). Dual-Task Tests Predict Conversion to Dementia-A Prospective Memory-Clinic-Based Cohort Study. International Journal of Environmental Research and Public Health, 17(21), Article ID E8129. Åberg, A. C., Åhman, H., Olsson, F., Tarassova, O., Cedervall, Y., Arndt, T., . . . Halvorsen, K. (2020). Gait parameters during the Timed Up-and-Go dual-task test: A validation study of video-recorded data. Gait & Posture, 81, 2-3Cedervall, Y., Stenberg, A. M., Åhman, H., Giedraitis, V., Tinmark, F., Berglund, L., . . . Åberg, A. C. (2020). Timed up-and-go dual-task testing in the assessment of cognitive function: A mixed methods observational study for development of the UDDGait protocol. International Journal of Environmental Research and Public Health, 17(5), Article ID 1715.
SveNN: Svenskt Nätverk för Normalization Process Theory-relaterad implementeringsforskning
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ORCID iD: ORCID iD iconorcid.org/0000-0001-8196-0553

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