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  • 1.
    Ahlström, Sara Wallin
    et al.
    Mälardalen University, Västerås; Center for Clinical Research Dalarna, Uppsala University, Falun; Habilitation Center in Falun.
    Almqvist, Lena
    Mälardalen University, Västerås.
    Janeslätt, Gunnel
    Center for Clinical Research Dalarna, Uppsala University, Falun; Habilitation Center in Falun, Dalarna; Uppsala University, Uppsala.
    Gustavsson, Catharina
    Dalarna University, School of Health and Welfare, Medical Science. Center for Clinical Research Dalarna, Uppsala University, Falun; Uppsala University, Uppsala.
    Harder, Maria
    Mälardalen University, Västerås.
    The experiences and the meaning of using MyTime in the preschool context from the perspective of children in need of special support, 5-6 years of age2023In: Child Care Health and Development, ISSN 0305-1862, E-ISSN 1365-2214, Vol. 49, no 6, p. 1096-1103Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Children in need of special support often display delays in time processing ability, affecting everyday functioning. MyTime is an intervention programme for systematic training of time processing ability. To support preschool children's development of time processing ability and everyday functioning, it is necessary to include their perspectives of the MyTime intervention programme. A previous study shows that MyTime is feasible with children in the preschool setting and shows positive effects on time processing ability for older children in special schools. Yet, there is a lack of knowledge regarding how preschool children experience the intervention programme and how they understand its meaning. The aim of this study was to explore the experiences and the meaning of using MyTime from the perspective of children with informal needs of special support (INS) 5-6 years of age in the preschool context.

    METHODS: To explore the children's perspectives, video-recorded interviews with 21 children were analysed hermeneutically. To facilitate the interview situation with the children in need of special support, the Talking Mats© was used. Both body and spoken languages were analysed.

    RESULTS: The results reveal children as active participants, willing to share their experiences of using the MyTime intervention in the preschool context. The conceptualization of the children's experiences and expressions uncovers their meaning of using the MyTime intervention as to know and to understand time by doing.

    CONCLUSIONS: When children are given the opportunity to use concrete tools to understand and measure time, they experience themselves as active participants involved and engaged in the intervention. They reveal meaningful experiences to be able to manage time that facilitate their everyday functioning and participation in the preschool context.

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  • 2. Baudin, Katarina
    et al.
    Sundström, Angelina
    Gustafsson, Christine
    Borg, Johan
    Dalarna University, School of Health and Welfare, Medical Science.
    What's in it for me? A retrospective cost-consequence study of a digital assistive technology2022In: Gerontechnology, ISSN 1569-1101, E-ISSN 1569-111X, Vol. 21Article in journal (Refereed)
  • 3. Baudin, Katarina
    et al.
    Sundström, Angelina
    Gustafsson, Christine
    Borg, Johan
    Dalarna University, School of Health and Welfare, Medical Science.
    Äldre brukares användning av Memoplanner med fokus på aktivitet, delaktighet, hälsorelaterade livskvalitet samt dess relaterade kostnader. Närståendes erfarenheter2021Report (Other academic)
  • 4. Bunketorp Käll, Lina
    et al.
    Lexell, Jan
    Larsson Lund, Maria
    Möller, Marika
    Stenberg, Maud
    Strandberg, Thomas
    Örebro universitet, Institutionen för juridik, psykologi och socialt arbete.
    Rehabilitering för vuxna med traumatisk hjärnskada: En systematisk översikt och utvärdering av medicinska, ekonomiska, sociala och etiska aspekter2019Report (Other academic)
  • 5. Eide, Arne
    et al.
    Müller, Sebastien
    Khasnabis, Chapal
    Borg, Johan
    Dalarna University, School of Health and Welfare, Medical Science.
    Blakstad, M
    Mannan, H
    Antypas, K
    Loeb, M
    Zhang, Wei
    Assistive technology for older persons – analyses of data from WHO's rapid assistive technology assessment2022In: Gerontechnology, ISSN 1569-1101, E-ISSN 1569-111X, Vol. 21Article in journal (Refereed)
  • 6.
    Enlund, John
    et al.
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Mattsson, Petter
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Fysiologiska skillnader mellan dominant och icke-dominant ben vid motviktad enbenscykling2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Purpose:

    Counterweighted single-leg cycling is a new training method that can be used to increase intensity. Studies have shown differences between dominant and non-dominant leg during normal cycling. The purpose of this study was to analyse physiological assymetries during counterweighted single-leg cycling. Method: Eight volunteers (age 24,1 ± 4,2 years, height 177,0 ± 5,5 cm , weight 74,6 ± 9,0 kg, vo2max 69,0 ± 6,4 ml/kg/min) participated in this study. Participants were randomly divided into two groups (dominant or non-dominant). Waterloo Footedness Questionnaire was used to decide participants dominant leg. The dominant group used their dominant leg in the first interval at the second test, and the non-dominant group used their non-dominant leg in the first interval. At the first test a standarized incremental cycling test was performed until exhaustion. The second test , >48 hours later, consisted of four ten-minute intervals of counterweighted single-leg cycling, alternating legs.The second test was blinded. Results: Differences were observed, but no significant differences. Tendencies showed a higher power-output with the dominant leg (dominant leg 168 ±18,9 W, non-dominant leg 162 ±18,1W), but a higher cadence with the non-dominant leg (dominant leg 93 ± 12,7 rpm, non-dominant leg 95 ± 10,3 rpm). Conclusion: Differences exist between dominant and non-dominant leg in counterweighted single-legged cycling, but no significant differences. Our conclusion is that the learning effect affected the results in this study. To counteract this in future studies concerning counterweighted single-legged cycling the studies should include a learning period with the training method.

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  • 7.
    Eriksson, Paula
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science.
    Söderström, Sofia
    Dalarna University, School of Education, Health and Social Studies, Caring Science.
    En kartläggning av användandet av postoperativa restriktioner efter en total höftprotesoperation på svenska ortopedkliniker2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Joint movement- and load precautions are common after a total hip arthroplasty and aims to prevent dislocation of the hip and to prevent the loss of sutured muscles while the soft tissue heal, usually 6-8 weeks. Prosthesis and surgical technics have changed over the years, which had led to a reduced number of postoperative hip dislocations and hence have some orthopedic clinics in Sweden begun abandon postoperative joint movementand load precautions.

    Aim: A mapping of the use of joint movement- and load precautions in Swedish orthopedic clinics and if there has been any changes in precautions during the last five years.

    Method: The study was conducted as a quantitative cross-sectional study with the help of a selfdeveloped validated online survey.

    Result: 81 % of the 16 respondent clinics stated they had some form of precautions (joint movement- or load precautions) for their hip replaced patients. The most common precaution was joint movement where 62% of respondents answered yes to the question "Does your unit/Clinic recommend patients undergoing surgery with total hip replacement any joint movement precautions". The corresponding figure for load precautions was 50%. A total absence of restrictions occurred in 19 % of the respondent clinics. 63 % responded that modifications of load precautions took place for more than 10 years ago while 50 % responded that the modifications of joint movement precaution took place over the past 5 years. The result in our study indicated that the use of precautions had decreased. The most common change was a decrease in jointmovementprecautions that occurred with 60 % of the respondents.

    Conclusion: In our study we found that 4 out of 5 Swedish orthopaedic clinics who participated in our survey recommended joint movement- or load precautions after a hip replacement and it also showed that 1 out of 5 didn´t recommend precautions. Half of the clinics had changed the movement precautions during the past five years, and less than 40 % had changed the load precautions.

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  • 8.
    Grooten, Wilhelmus Johannes Andreas
    et al.
    Karolinska Institutet, Huddinge; Karolinska University Hospital, Stockholm.
    Boström, Carina
    Karolinska Institutet, Huddinge; Karolinska University Hospital, Stockholm.
    Dedering, Åsa
    Karolinska Institutet, Huddinge; Region Dalarna, Falun.
    Halvorsen, Marie
    Karolinska Institutet, Huddinge; Karolinska University Hospital, Stockholm.
    Kuster, Roman P
    Karolinska Institutet, Huddinge.
    Nilsson-Wikmar, Lena
    Karolinska Institutet, Huddinge.
    Olsson, Christina B
    Karolinska Institutet, Huddinge; Region Stockholm, Stockholm.
    Rovner, Graciela
    Karolinska Institutet, Huddinge; ACT Institutet Sweden, Gothenburg.
    Tseli, Elena
    Dalarna University, School of Health and Welfare, Medical Science. Karolinska Institutet, Huddinge.
    Rasmussen-Barr, Eva
    Karolinska Institutet, Huddinge.
    Summarizing the effects of different exercise types in chronic low back pain: a systematic review of systematic reviews2022In: BMC Musculoskeletal Disorders, E-ISSN 1471-2474, Vol. 23, no 1, article id 801Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: In chronic LBP (CLBP), guideline-endorsed treatment is to stay active, return to normal activity, and to exercise. Several reviews on various exercise types used in CLBP have been published. We aimed to identify systematic reviews of common exercise types used in CLBP, to appraise their quality, and to summarize and compare their effect on pain and disability.

    METHODS: We searched the databases OVID MEDLINE, EMBASE, COCHRANE LIBRARY, and WEB OF SCIENCE (Core collection) for systematic reviews and meta-analyses on adults between 18 and 70 years of age suffering from chronic or recurrent LBP for a period of at least 12 weeks, which investigated the effects of exercises on pain and disability. All searches were conducted without language restriction. The search was performed up until 2022-01-26. The included reviews were grouped into nine exercise types: aerobic training, aquatic exercises, motor control exercises (MCE), resistance training, Pilates, sling exercises, traditional Chinese exercises (TCE), walking, and yoga. The study quality was assessed with AMSTAR-2. For each exercise type, a narrative analysis was performed, and the level of evidence for the effects of exercise was assessed through GRADE.

    RESULTS: Our database search resulted in 3,475 systematic reviews. Out of the 253 full texts that were screened, we included 45 systematic reviews and meta-analyses. The quality of the included reviews ranged from high to critically low. Due to large heterogeneity, no meta-analyses were performed. We found low-to-moderate evidence of mainly short-term and small beneficial effects on pain and disability for MCE, Pilates, resistance training, TCE, and yoga compared to no or minimal intervention.

    CONCLUSIONS: Our findings show that the effect of various exercise types used in CLBP on pain and disability varies with no major difference between exercise types. Many of the included systematic reviews were of low-to-moderate quality and based on randomized controlled trials with high risk of bias. The conflicting results seen, undermine the certainty of the results leading to very-low-to-moderate quality of evidence for our results. Future systematic reviews should be of higher quality to minimize waste of resources.

    TRIAL REGISTRATION: PROSPERO: Reg no 190409 Registration date 01AUG 2020.

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  • 9.
    Gut, Mikael
    et al.
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Carlberg, Ida
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Stillasittande hos högskoleanställda lärare2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Purpose

    The purpose of the study was to map the sedentary behavior of college-faculty teachers during the working day. Furthermore, the study aimed at investigating factors that contributed to being sedentary. Method The study used a mixed method approach. Data collection was conducted through 4 individual interviews and a questionnaire with 49 teachers at Högskolan Dalarna. Results The average of the participants' sedentary time per working day was 6,62 (±1.97) hours. The number of interruptions from being sedentary was in average 1,6 (±0.89) per hour. There was no statistically significant difference in sedentary time (p= 0,22) or number of interruptions (p= 0,21) during the working day between men and women. Relationship value (r= -0,34) indicated that there was a weak relationship that showed that participants who were more sedentary also made fewer interruptions in their sitting time. The main reason for being sedentary was that sitting improved the ability to concentrate on tasks requiring a lot of focus. Other prominent factors that affected the intake of sedentary behavior were time pressure and high workload. The individual himself was said to be the biggest obstacle to reducing his own sedentary behavior, where the habitual behavior of sitting when doing certain tasks in the workplace had a major impact. Participants' knowledge of sedentary behavior and consequences was inadequate, and it was not a discussion topic that was discussed in greater detail at the workplace. Conclusions Higher education teachers are a risk group for negative health effects caused by sedentary behavior. Engagement and increased knowledge at individual, interpersonal and organizational levels are required to achieve changes in sedentary behavior.

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  • 10.
    Johnsson, Oliver
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Effekten av fysisk träning på e-sportprestation2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Purpose

    The purpose of this study was to investigate the effects of physical exercise on different skills that affect e-sports performance for e-sportsmen at amateur level in the game Overwatch. This is to gain knowledge about how e-sports training could be developed and streamlined.

    Methods

    The study is of the explorative research type since it deals with a topic that haven’t previously been broadly investigated. The method used was a quantitative exploratory method. The design was an intervention study.

    Results

    The study has not been able to demonstrate that skills affecting e-sports performance have changed through physical training. However, it is possible to read that the study participants who received the training intervention are more susceptible to and aware of changes in these skills compared to the study participants in the control group.

    Conclusions

    The purpose of the study has not been answered because the design was inadequate. However, the study may form the basis for further research. A number of important basic assumptions have been identified during the work. Based on these lessons a discussion took place, about how design deficiencies can be addressed and what is important to consider in future studies in the field.

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  • 11.
    Karimyan, Harde
    et al.
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Abouzeedan, Sara
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Användning av instruktioner, feedbackfrågeställningsteknik och träningsövningar blandungdomsfotbollstränare.: En fallstudie utifrån teorierna Teaching Games for Understandingoch Enhanced Guided Discovery2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    There are different theories that implement teaching soccer in different ways. Enhance

    Guided Discovery and Teaching Games for Understanding are two theories that have a more

    playing approach than the traditional coaching model which is more isolated. Studies have

    been showing that elite football players today have been doing less isolated exercises and

    more competition specific training.

    Aim

    The aim of this study was to look at soccer coaches for the younger ages 15-17 years and

    specifically look at their way to give instructions, feedback, question technique and how they

    choose exercises to develop their players.

    Method

    For this study, we chose observation and interview as data collecting methods, and compared

    the results to the different theories. Five coaches have been interviewed and observed once.

    Three coaches were from soccer academies, and two were volunteer coaches.

    Results

    The results showed that it has been a difference between the academy coaches and volunteer

    in the way they behaved during the observation, and how they answered the questions in the

    interview. The academy coaches tended to be more aware of what they where doing in both

    practical and verbal way.

    Conclusion

    The majority of coaches that was included in the study were implementing the theory TGfU

    in their teaching. They chose to do more

    competition specific exercises more than isolated

    exercises

    . The research did also show that the academy coaches were more aware of the

    theories and had it easier on implementing them in their teaching. Therefore, the conclusion

    of the study was that the coaches education is very important to develop soccer players, and

    that the clubs should focus on educating the coaches.

  • 12.
    Kylén, Maya
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    von Koch, Lena
    Pessah-Rasmussen, Hélène
    Ytterberg, Charlotte
    Heylighen, Ann
    Elf, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    The importance of the built environment in person-centred stroke rehabilitation at home2019In: The importance of the built environment in person-centred stroke rehabilitation at home, 2019Conference paper (Other academic)
    Abstract [en]

    Introduction: Health services will change dramatically as the prevalence of home healthcare increases. Only technologically advanced stroke acute care will be performed in hospitals. This, along with the rising demand for services to be more person-centred will place pressure on healthcare to consider quality across the continuum of care. Research indicates that planned discharge tailored to individual needs can reduce adverse events and promote competence in self-management. However, the environmental factors that may play a role in a patient’s recovery process remain unexplored. In this presentation, experiences and emerging findings from a research project targeting such issues will be presented. The purpose is to explore factors in the built environment that can facilitate/hinder a person-centred rehabilitation process in the home. Methods: The study uses a mixed methods design, with the ICF and person-environment theories as conceptual frameworks. Qualitative and quantitative data are currently collected from medical records and during home visits three months after stroke by use of questionnaires, interviews and observations. Workshops will be held to identify what experts and users (patients, significant others, staff) consider important in the built environment. Results: Emerging findings concerning the contexts and mechanisms that are important to support the rehabilitation process at home will be presented. Conclusions: Providing scientific knowledge that support patients’ recovery process in the home poses challenges for research that requires multidisciplinary knowledge. By bringing together international experts committed to improve care models and design, we will contribute to this under researched field and build capacity for the future.

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  • 13.
    Matérne, Marie
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Lundqvist, Lars-Olov
    Örebro universitet, Institutionen för hälsovetenskaper.
    Strandberg, Thomas
    Örebro universitet, Institutionen för juridik, psykologi och socialt arbete.
    Support Persons' Perceptions of Giving Vocational Rehabilitation Support to Clients With Acquired Brain Injury in Sweden2016In: Journal of Social Work in Disability & Rehabilitation, ISSN 1536-710X, E-ISSN 1536-7118, Vol. 15, no 3-4, p. 351-369Article in journal (Refereed)
    Abstract [en]

    The aim is to explore the perception of being a support person for clients with acquired brain injury undergoing vocational rehabilitation. Nine support persons, identified by clients with brain injury, were interviewed. Interviews were analyzed using qualitative content analysis, resulting in three themes for assisting the client: (i) commitment; (ii) adaptation; and (iii) cooperation. Within each theme, multiple dimensions were identified, reflecting the complexity of vocational rehabilitation following acquired brain injury. Commitment built on social relations is linked to sustainability of support. The included support persons' role was especially valuable in contexts where adaptation and cooperation were required.

  • 14.
    Matérne, Marie
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Lundqvist, Lars-Olov
    Örebro universitet, Institutionen för juridik, psykologi och socialt arbete.
    Strandberg, Thomas
    Örebro universitet, Institutionen för juridik, psykologi och socialt arbete.
    Support Persons’ Perceptions of Giving Vocational Rehabilitation Support to Clients With Acquired Brain Injury in Sweden: 2018In: Contemporary Perspectives on Social Work in Acquired Brain Injury / [ed] Grahame K. Simpson, Francis K. Yuen, Routledge , 2018, 1, p. 183-201Chapter in book (Refereed)
  • 15.
    Matérne, Marie
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Strandberg, Thomas
    Örebro universitet, Institutionen för juridik, psykologi och socialt arbete.
    Lundqvist, Lars-Olov
    Örebro universitet, Institutionen för hälsovetenskaper.
    Risk Markers for Not Returning to Work Among Patients with Acquired Brain Injury: A Population-Based Register Study2019In: Journal of occupational rehabilitation, ISSN 1053-0487, E-ISSN 1573-3688, Vol. 29, no 4, p. 728-739Article in journal (Refereed)
    Abstract [en]

    Purpose: The aim of this study is to investigate person-related, injury-related, activity-related and rehabilitation-related risk markers for not return to work among patients with acquired brain injury (ABI).

    Methods: Retrospective data from the Quality register, WebRehab Sweden, on an ABI cohort of 2008 patients, was divided into two groups: those who had returned to work (n = 690) and those who had not returned to work (n = 1318) within a year of the injury.

    Results: Risk ratio analyses showed that several factors were risk markers for not returning to work: personal factors, including being a woman, being born outside of Sweden, having a low education level, and not having children in the household; injury-related factors, including long hospital stay (over 2 months), aphasia, low motor function, low cognitive function, high pain/discomfort, and high anxiety/depression; activity-related factors, including low function in self-care, inability to perform usual activities, and not having a driver's license; and rehabilitation-related factors, including being dissatisfied with the rehabilitation process and the attentiveness of the staff having limited influence over the rehabilitation plan, or not having a rehabilitation plan at all. Conclusion Several factors in different aspects of life were risk markers for not returning to work among patients with ABI. This suggests that rehabilitation and interventions need to address not only direct injury-related issues, but also person-related, activity-related, and rehabilitation-related factors in order to increase the patient's opportunities to return to work.

  • 16.
    Mauritzson, Elin
    et al.
    Dalarna University, School of Health and Welfare, Care Sciences. Dalarna University, School of Health and Welfare, Caring Science/Nursing.
    McKee, Kevin
    Dalarna University, School of Health and Welfare, Social Work.
    Elf, Marie
    Dalarna University, School of Health and Welfare, Caring Science/Nursing.
    Borg, Johan
    Dalarna University, School of Health and Welfare, Medical Science.
    Perceptions and experiences of safety at home: a survey among older adults in Sweden2022In: 26th Nordic Congress of Gerontology. Abstracts: Change and continuity, 2022, p. 277-277Conference paper (Refereed)
    Abstract [en]

    Introduction

    Home safety is important to prevent injuries and accidents in older adults living at home. Feeling safe at home is also essential for frail older adults’ well-being. "Ageing in place" is a term focusing on enabling older adults to stay in their ordinary homes, rather than in special housing. But when older adults continue living at home, more injuries and accidents can occur. The aim of this study was to explore older adults’ experiences, preventive measures, and feelings of safety in their home in relation to a range of potential home-based health and safety hazards.

    Methods and Materials

    The study had a cross-sectional design and was based on a national telephone survey among 400 adults over 70 years of age, living at home in ordinary housing in Sweden. Descriptive and comparative statistics were used to analyse the data.

    Results

    The participants rated the importance of feeling safe at home as high, and seldom felt unsafe. Higher age, greater frequency of feeling unsafe at home or in the neighbourhood, access to support, better health, importance of safety and living alone were associated with level of worry or for having taken preventive measures against some but not all hazards in the home.

    Conclusions

    Taking preventive measures is not always is not always associated with experiences or level of worry. Age, feelings of safety, access to support, health and living alone or not, are all factors that can influence level of worry or for taking preventive measures or not against specific hazards in the home.

  • 17.
    Morell, Martina
    et al.
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Csagola, Linda
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Vuxna individers grad av självtillit till att avstå från sockerhaltiga livsmedel i olika situationer2012Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med studien var att testa ett nykonstruerat instrument för att beskriva grad av självtillit till att avstå från sockerhaltiga livsmedel i olika situationer. Syftet var även att beskriva vuxna individers intag av sockerhaltiga livsmedel samt att beskriva skillnaden mellan sockerintag och självtillit. Urvalet bestod av 62 patienter som kommit för undersökning eller behandling till privata och folktandvårdskliniker. Data samlades in via enkät. Resultatet visade att 16 (26,2 %) individer åt sockerhaltiga livsmedel minst en gång per dag och 45 (73,8 %) åt sockerhaltiga livsmedel mer sällan än en gång per dag. Det mest förekommande sockerhaltiga livsmedlet var bullar, sockerkaka och andra mjuka kakor, 5 (8,7 %) individer intog dessa typer av livsmedel minst en gång per dag. Det minst förekommande sockerhaltiga livsmedlet var fruktsoppa och kräm, 40 (67,8 %) individer intog aldrig detta livsmedel. Medelvärdet för graden av självtillit till att avstå från sockerhaltiga livsmedel i olika situationer var 6,4 (SD 2,2) av 10 på en 11-gradig Likertskala. En signifikant skillnad kunde ses i graden av självtillit bland de som intog sockerhaltiga livsmedel minst en gång per dag jämfört med de som mer sällan intog sockerhaltiga livsmedel (t=3.036; p=0.004). Instrumentet hade ett Cronbach´s Alpha värde på 0.94, vilket visar en god reliabilitet. Utifrån de resultat som framkommit tycks individer med lägre grad av självtillit inta sockerhaltiga livsmedel oftare än individer med högre grad av självtillit. Instrumentet visade sig användbart.

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  • 18.
    Nordin, Susanna
    et al.
    Dalarna University, School of Health and Welfare, Caring Science/Nursing.
    Elf, Marie
    Dalarna University, School of Health and Welfare, Caring Science/Nursing.
    McKee, Kevin
    Dalarna University, School of Health and Welfare, Social Work.
    Development and initial validation of the staff perception of residential care environments (SPORE) instrument2024In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 19, no 1, article id e12596Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The impact of the physical environment on healthcare staff well-being and work performance is well recognised, yet there is a lack of instruments assessing environmental features from the perspective of staff working in residential care facilities (RCFs) for older people.

    OBJECTIVES: To develop and provide initial validation of the instrument Staff Perceptions Of Residential care facility Environments (SPORE).

    DESIGN: An instrument development and psychometric evaluation study.

    METHODS: Based on material from a British project, items were translated and adapted for Swedish residential care facilities as SPORE. Care staff (N = 200), recruited from 20 Swedish RCFs, completed a questionnaire-based survey containing the SPORE instrument and two other instruments selected as suitable for use in the validation. In addition, an environmental assessment instrument was used for further validation. Analyses were performed at individual (staff) level and home (RCF) level.

    RESULTS: The SPORE subscales demonstrated good internal consistency reliability and were moderately to strongly correlated at the individual level with the subscales of measures of person-centred care, and strongly correlated with the same measures at the home level. The SPORE subscales were also highly correlated with the total score of the instrument used to assess the quality of the physical environment.

    CONCLUSION: The initial validation indicates that the SPORE instrument is promising for measuring care staff perceptions of environmental features in care facilities for older people. SPORE can be a valuable instrument for use in research and in practice to evaluate the environment as part of working towards high-quality care.

    IMPLICATIONS FOR PRACTICE: The design of the physical environment within RCFs can affect the staff's health and work performance. The instrument is useful for evaluating the environment and informing decisions about design solutions that support staff in their important work.

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  • 19.
    Nüth, Lisa
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science.
    Österlund, Åsa
    Dalarna University, School of Education, Health and Social Studies, Caring Science.
    Kartläggning av utvärderingsinstrument vid endometrios: En enkätstudie riktad mot endometriosteam i Sverige2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Endometriosis is a condition that affects around 10 % of the female population in Sweden. The disease can lead to very severe symptoms and pain with sickness absence and suffering as a result. Since 2018 there are national guidelines for healthcare for endometriosis. Quality of life assessment with the form The Endometriosis Health Profile (EHP-30), an endometriosis-specific numeric rating scale, is recommended in the Clinical guidelines. EHP30 is the only validated endometriosis-specific patient reported outcome measure available in Swedish translation. There are knowledge gaps about which patient reported outcome measures that are used in endometriosis teams in Sweden.

    Purpose: Mapping of outcome and options on outcome measures for endometriosis within endometriosis teams in Sweden and the health professions included in the team. The purpose was also to more specifically map the use of the endometriosis-specific evaluation insrument EHP-30, which is recommended in the care guidelines

    Method: A non-experimental cross-sectional study based on a self-designed web survey with both multiple-choice and free-text questions. The study was aimed at endometriosis teams in Sweden, the result being based on 47 respondents who answered the questionnaire.

    Results: 33 % of the respondents used outcome measures, while 85% considered it is very or fairly important to use endometriosis patients. VAS/NRS was the most commonly used patient reported outcome measures. Eighteen respondents indicated that they know the EHP30. Four respondents stated that they use the EHP-30, one uses it regularly. The lack of time and resources as well as knowledge and availability are stated as explanations for the fact that evaluation instruments are not used.

    Conclusion: Numeric rating scales for estimating pain intensity are used to a greater extent than patient reported outcome measures for, for example, quality of life. There may be a need to better address a biopsychosocial approach in evaluating endometriosis patients. The availability and dissemination of the EHP-30 needs to be prioritized just as the National Board of Health and Welfare states in the health guidelines. Time and resources may need to be added to make it easier for the healthcare facilities to implement the EHP-30.

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  • 20.
    Rasoal, Dara
    Örebro universitet, Institutionen för hälsovetenskaper.
    Perspectives on clinical ethics support and ethically difficult situations: reflections and experiences2017Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Healthcare personnel encounter ethically difficult situations in their everyday work and clinical ethics support might be important to support healthcare personnel to deal with these situations. The overall aim of this thesis was to describe perspectives on clinical ethics support, experiences of being in ethically difficult situations and experiences of facilitating ethics reflection. Methods. Study I had a descriptive design in which research articles were reviewed (n=54). In study II audio-recorded moral case deliberation (n=70) in 10 Swedish workplaces in hospitals and community care were analysed. In study III interviews were conducted with facilitators (n=11) of moral case deliberation. Study IV used non-participant observation during three weeks as well as informal conversations with healthcare personnel (n=12) in community home healthcare. Results and conclusion. In study I, two perspectives emerged on clinical ethics support, a “Top-down” perspective, where an individual or a group of “experts” in ethics could recommend the best course of action and a “Bottom-up” perspective that allows healthcare personnel to manage ethically difficult situations through ethical reflections led by a facilitator. Studies II and IV showed how ethically difficult situations on different levels are often connected with emotions and uncertainties. Study III showed the role of the facilitator to be fundamental in creating a space for self-reflection among healthcare personnel. Study IV showed that healthcare personnel face complex demands and expectations from the healthcare organization regarding the provision of care as well as having to meet the needs of patients and their next-of-kin. To conclude, healthcare personnel needed to find a balance among demands and expectations in order to satisfy those stakeholders involved and they had to seek compromise. There is a need for clinical ethics support that helps healthcare personnel reflect individually and collectively on ethically difficult situations they encounter in their everyday clinical practice. From this standpoint, a “Bottom-up” perspective may reduce the risk of moral distress among healthcare personnel and promote care based on person-centred values.

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  • 21. Sjömark, Cecilia
    et al.
    Wingstedt, Johnny
    Luleå University of Technology.
    Axelsson, Karin
    Berg, Jan
    Luleå University of Technology.
    Musical parameters for promoting relaxation and stress-reduction in listeners2005In: Proceedings of Ambience 05, International Scientific Conference on Intelligence Ambience and Well-Being, 2005Conference paper (Refereed)
  • 22. Smith, Emma
    et al.
    Borg, Johan
    Mannan, H
    MacLachlan, Malcolm
    Assistive technology content in United Nations Convention on the Rights of Persons with Disabilities reports by states parties2019In: Global perspectives on assistive technology: proceedings of the GReAT Consultation 2019 / [ed] Natasha Layton, Johan Borg, 2019, p. 350-361Conference paper (Refereed)
  • 23.
    Strandberg, Thomas
    Örebro universitet, Institutionen för juridik, psykologi och socialt arbete.
    Case-management – rehabilitation support for people with Acquired Brain Injury2018Conference paper (Refereed)
    Abstract [en]

    Approximately 70 000 acquire a brain injury yearly in Sweden which often result in disabilities. Acquired brain injury (ABI) can be caused by trauma, stroke or disease. The rehabilitation process is divided into acute and subacute phase and the late stage. Studies shows that clients with moderate and severe injuries have difficulties in coordinating rehabilitation and societal support. Rehabilitation can be a long-term process and clients with ABI are often referred to next of kin for coordinating societal support, e.g. rehabilitation and social services. Case-management have since 1980’s been a rehabilitation support in an international perspective, but in a Swedish context it is a relatively new form of support.

    The aim is to describe, based on a book chapter (Strandberg 2018), how this form of support has been developed in Sweden, as well as putting the form of support in relation to the client’s empowerment.

    The results show that there are different theoretical models for how Case-management can be organized, the support is designed differently in different countries and context. Furthermore, it is demonstrated that the support may be helpful to the client as well as the next of kin in terms of participation.

    Although, Case-management has been known since 1980s, the scientific studies are limited and there is no evidence for the clinical significance using this support. Research is therefore necessary to demonstrate its clinical significance.

  • 24.
    Strandberg, Thomas
    et al.
    Örebro universitet, Institutionen för juridik, psykologi och socialt arbete.
    Möller, Kerstin
    Örebro universitet, Institutionen för hälsovetenskaper.
    Widén, Stephen
    Örebro universitet, Institutionen för hälsovetenskaper.
    Doctoral theses within the Swedish Institute for Disability Research 2000-2012: A review of content and interdisciplinarity2017In: International Journal of Health Sciences, ISSN 2372-5060, Vol. 5, no 2, p. 1-10Article in journal (Refereed)
    Abstract [en]

    The Swedish Institute for Disability Research (SIDR) was founded in 2000. The SIDR graduate programmedis a leading research programmedin disability science. The scientific method at SIDR is based on an interdisciplinary approach.The aim of this study is to describe content of doctoral theses presented within SIDR, and to analyzethe occurrence of interdisciplinarywithin the theses published between 2000 and 2012. Forty-one theses were included in the study. First, the manifest data was categorized in a matrix, and second, the latent content was analyzedwithin a scheme. The scheme included seven criteria within interdisciplinary theory, namely: Is the phenomenon multi-dimensional? Does the aim reflect an interdisciplinary approach? Are the studies non-reductionist? Have multiple methods been used? Is the knowledge integrated? Are the results discussed as a whole?Do they explicitly show an interdisciplinaryknowledge?Findings show a variety of disability groups studied within SIDR, but the main disabilities are hearing impairment or deafness, and cognitive and communication difficulties. Different theoretical perspectives are used within the theses. To different extents, an interdisciplinary approach is used as an overall meta-theory.

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  • 25.
    Strömberg, Josephine
    et al.
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Bergeå, Johanna
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Tävlingsryttares uppfattning gällande styrketräning2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Equestrian sport is one of the biggest sports in Sweden with 29 600-competition riders. Equestrian sport demands a high physical capacity and competition riders need to have both strength, endurance and balance. Therefore, strength training should always be a part of a competition rider´s training regime, because strength training can lead to enhanced performance at the same time as it prevents injuries. Despite this, research that show how much strength training a competition rider perform is limited. Some say that competition riders most often don´t perform any training outside of riding, while some say that physical training is a natural element in a competition rider everyday life.

    Purpose

    : The purpose of this study was to describe competition rider´s perceptions regarding strength training as well as the motivation for strength training. Furthermore, the study aims at examining how much and what kind of strength training competition riders perform as well as why/why not strength training is being performed.

    Method:

    Information was gathered through questionnaires and through interviews. The selection for the questionnaire was based of competition riders over the age of 18 that compete in islandic horse-competition. The selection for the interviews was based of equestrian trainers in the south of Dalarna that all train competition rider.

    Results:

    The result showed that more than half of the competition riders that were part of this study reach the recommendations that are set for strength training. The result also showed a generally positive attitude towards strength training where a perception of strength training leading to a better riding performance was noticeable. The reasons why competition riders perform strength training turned out to be "To be healthy" and "To become a better rider". The reasons why competition rider’s don´t perform strength training turned out to be "Lack of time", "Lack of motivation" and to some extent also "Lack of knowledge".

    Slutsatser

    : The competition riders and equestrian trainers in this study generally have a positive attitude towards strength training, but despite of this there are some barriers that prevent strength training. Competition riders should work to overcome these barriers, because strength training has been showed important when performing on top in equestrian sport.

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  • 26.
    Svedbo Engström, Maria
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Göteborgs universitet, Sahlgrenska akademin, Institutionen för medicin.
    Capability Approach2013Conference paper (Other academic)
  • 27.
    Thomson, Gill
    et al.
    Dalarna University, School of Health and Welfare, Caring Science/Nursing. Maternal and Infant Nutrition & Nurture Unit (MAINN), School of Community Health and Midwifery, University of Central Lancashire (UCLan), Preston, UK.
    Cook, Julie
    Research Facilitation and Delivery Unit, Applied Health Research Hub, UCLan, Preston, UK.
    Nowland, Rebecca
    Maternal and Infant Nutrition & Nurture Unit (MAINN), School of Community Health and Midwifery, University of Central Lancashire (UCLan), Preston, UK.
    Donnellan, Warren James
    School of Community Health & Midwifery, UCLan, Preston, UK.
    Topalidou, Anastasia
    Department of Psychology, University of Liverpool, Liverpool, UK.
    Jackson, Leanne
    Research in Childbirth and Health (ReaCH), School of Community Health and Midwifery, UCLan, Preston, UK.
    Fallon, Vicky
    Institute of Population Health, University of Liverpool, Liverpool, UK.
    Resilience and post-traumatic growth in the transition to motherhood during the COVID-19 pandemic: A qualitative exploratory study2022In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 36, no 4, p. 1143-1155Article in journal (Refereed)
    Abstract [en]

    Most perinatal research relating to COVID-19 focuses on its negative impact on maternal and parental mental health. Currently, there are limited data on how to optimise positive health during the pandemic. We aimed to bridge this knowledge gap by exploring how women have adapted to becoming a new parent during the pandemic and to identify elements of resilience and growth within their narratives. Mothers of infants under the age of 4 months were recruited as part of a wider UK mixed-methods study. Semi-structured interviews with 20 mothers elicited data about how COVID-19 had influenced their transition to parent a new infant, and if and how they adapted during the pandemic, what strategies they used, and if and how these had been effective. Directed qualitative content analysis was undertaken, and pre-existing theoretical frameworks of resilience and post-traumatic growth (PTG) were used to analyse and interpret the data set. The findings show evidence of a range of resilience and PTG concepts experienced during the pandemic in this cohort. Salient resilience themes included personal (active coping, reflective functioning, and meaning-making), relational (social support, partner relationships, and family relationships), and contextual (health and social connectedness) factors. There was also evidence of PTG in terms of the potential for new work-related and leisure opportunities, and women developing wider and more meaningful connections with others. Although further research is needed, and with individuals from diverse socioeconomic backgrounds, these findings emphasise the significance of social support and connectivity as vital to positive mental health. Opportunities to increase digital innovations to connect and support new parents should be maximised to buffer the negative impacts of further social distancing and crisis situations.

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  • 28.
    Udo, Camilla
    et al.
    Dalarna University, School of Health and Welfare, Social Work.
    Kreicbergs, Ulrika
    Marie Cederschiöld högskola.
    Lessons learned during the COVID-19 and beyond pandemic for children living with rare diseases: Experiences of families of children with spinal muscular atrophy during the COVID-19 pandemic2022Conference paper (Refereed)
  • 29.
    van der Maarel, Martin
    et al.
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Byqvist, Mikael
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Hur parkmiljöer kan påverka vardagsrörelse: en studie utifrån aktiva unga vuxnas uppfattningar2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Reduced movement in everyday life is a problem that is becoming increasingly common in the world today. Although people today are becoming more and more regularly physically active and conduct more planned exercise, the everyday movement that is needed to maintain a good health and reduce the risk of dying prematurely, is decreasing. Something that has been shown to increase everyday activity is the presence of park environments. Research has shown that where fewer parks existed, people were more sedentary and less active. The

    aim of this study was to investigate the relationship between everyday movement and park environments based on the view of physically active young adults. The method used in this study consisted of interviewing young adults (18-30 years of age). Why this selection was used was because this group of age were previously considered to have good health during their period of life, but new evidence shows that people of these ages are becoming increasingly inactive in their daily lives. Physically active people were chosen to see how their perceptions of movement in addition to their normal training meant to them. Six active young adults were recruited to the study and interviewed. The results showed that young adults understand the meaning of the positive effects of movement, but at the same time they were negatively motivated to visit park environments. The single movement in parks indicated by the participants was in the form of walks and jogging. Participants suggested that more types of activities (kiosks, outdoor gyms, etc.) should be available to increase the visitor level in park environments for a longer period of time, as well as conduct more daily living there.

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  • 30. Welch, Vivian
    et al.
    Mathew, Christine M
    Babelmorad, Panteha
    Li, Yanfei
    Ghogomu, Elizabeth T
    Borg, Johan
    Lund University.
    Conde, Monserrat
    Kristjansson, Elizabeth
    Lyddiatt, Anne
    Howe, Tracey E
    Health, social care and technological interventions to improve functional ability of older adults living at home: An evidence and gap map2021In: Campbell Systematic Reviews, E-ISSN 1891-1803, Vol. 17, no 3, p. 1-245, article id e1175Article in journal (Refereed)
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  • 31.
    Åberg, Anna Cristina
    et al.
    Uppsala universitet, Geriatrik ; Akademiska sjukhuset.
    Lundin-Olsson, Lillemor
    Umeå Universitet.
    Rosendahl, Erik
    Umeå Universitet.
    Nationell satsning för ökad patientsäkerhet: Fall och fallskador: åtgärder för att förebygga2011Other (Other academic)
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