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  • 1. Frieberg, Otto-Patrik
    et al.
    Millqvist, Eva
    Nilsson, Jan
    From, Ingrid
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Development and validation of the self-administered Falun health instrument (SAFHI) using data from health promoted workplaces in Sweden2018In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 46, no 7, p. 735-743Article in journal (Refereed)
    Abstract [en]

    AIM: The aim of this study was to develop and to validate the self-administered Falun health instrument. An additional aim was to test its applicability in measuring people's lifestyles linked to health.

    METHODS: In 2002, an instrument was constructed containing questions regarding the hazardous use of alcohol, tobacco, unhealthy diets and insufficient physical activity. A pilot study using the instrument was assessed between 2002 and 2006. In Sweden, it was further expanded and tested during the years 2004-2014 among a total of 1295 people.

    RESULTS: Face validity was evaluated among colleagues and experts for clarity and completeness resulting in minor adjustments of some questions. With the test-retest method, the self-administered Falun health questionnaire showed a positive and high reproducibility and high compliance. Cronbach's alpha showed a high level of consistency (average 0.86). Factor analysis demonstrated the choice of questions correlated highly to the measured lifestyle.

    CONCLUSIONS: This study showed that the self-administered Falun health questionnaire is a valid and reliable instrument, useful for detecting individuals at risk of developing diseases that are related to individual choice of lifestyle.

  • 2.
    From, Ingrid
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Elderly people´s opinion on health and caring in community care2003Conference paper (Refereed)
  • 3.
    From, Ingrid
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper.
    Experiences of health and care, when being old and dependent on community care2007Licentiate thesis, comprehensive summary (Other academic)
  • 4.
    From, Ingrid
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper.
    Health and quality of care from older peoples' and formal caregivers' perspective2011Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Aim: The overall aim of this thesis was to gain a deeper understanding of older people's view of health and care while dependent on community care. Furthermore to describe and compare formal caregivers' perceptions of quality of care, working conditions, competence, general health, and factors associated with quality of care from the caregivers' perspective.

    Method: Qualitative interviews were conducted with 19 older people in community care who were asked to describe what health and ill health((I), good and bad care meant for them (II). Data were analyzed using content analysis (I) and a phenomenological analysis (II).

    The formal caregivers; 70 nursing assistants (NAs) 163 enrolled nurses (ENs) and 198 registered nurses (RNs), answered a questionnaire consisting of five instruments: quality of care from the patient's perspective modified to formal caregivers, creative climate questionnaire, stress of conscience, health index, sense of coherence and items on education and competence (III). Statistical analyses were performed containing descriptive statistics, and comparisons between the occupational groups were made using Kruskal-Wallis ANOVA, Mann-Whitney U-test and Pearson's Chi-square test (III). Pearson's  product moment correlation analysis and multiple regression analysis were performed studying the associations between organizational climate, stress of conscience, competence, general health and sense of coherence with quality of care (IV).

    Results: The older people's health and well-being were related to their own ability to adapt to and compensate for their disabilities and was described as negative and positive poles of autonomy vs. dependence, togetherness vs. being an onlooker, security vs. insecurity and tranquility vs. disturbance (I).  The meaning of good care (II) was that the formal caregivers respected the older people as unique individuals, having the opportunity to live their lives as usual and receiving a safe and secure care. Good care could be experienced when the formal caregivers had adequate knowledge and competence in caring for older people, adequate time and continuity in the care organization (II).

    Formal caregivers reported higher perceived quality of care in the dimensions medical-technical competence and physical-technical conditions than in identity-oriented approach and socio-cultural atmosphere (III). In the organizational climate three of the dimensions were close to the value of a creative climate and in seven near a stagnant climate. The formal caregivers reported low rate of stress of conscience. The RNs reported to a higher degree than the NAs/ENs a need to gain more knowledge, but the NAs and the ENs more often received training during working hours. The RNs reported lower emotional well-being than the NAs/ENs (III). The formal caregivers' occupation, organizational climate and stress of conscience were associated with perceived quality of care (IV).

    Implications: The formal caregivers should have an awareness of the importance of kindness and respect, supporting the older people to retain control over their lives. The nursing managers should employ highly competent and adequate numbers of skilled formal caregivers, organize formal caregivers having round the clock continuity. Improvements of organizational climate and stress of conscience are of importance for good quality of care.

  • 5.
    From, Ingrid
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Äldre personers hälsa, omvårdnad och omsorg inom kommunal hälso- och sjukvård2003In: Äldre personers hälsa, omvårdnad och omsorg inom kommunal hälso- och sjukvård, 2003Conference paper (Refereed)
  • 6.
    From, Ingrid
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Forsner, Maria
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Portfolio in Nursing Education2014Conference paper (Refereed)
  • 7.
    From, Ingrid
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Johansson, Inger
    Athlin, Elsy
    Experiences of health and well-being, a question of adjustment and compensation - views of older people dependent on community care.2007In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 2, no 4, p. 278-87Article in journal (Refereed)
    Abstract [en]

    Most studies concerning older people's health and well-being have focused on their ill health, disease and complaints and have mainly been conducted with a quantitative design. Hence, there is still a need for qualitative studies in which these peoples' own views on health and well-being are shown, especially when they are dependent on health care in a community setting. A qualitative approach was used in the study reported here and aimed at obtaining a deeper understanding of older peoples' own views about their health and well-being. Interviews were carried out on two occasions with 19 older people living in their own homes and in sheltered accommodation. The data were analysed using content analysis. The findings suggested that the possibility to feel healthy was dependent both on the older person's own ability to adjust or compensate to their situation, and on how their caregivers, relatives and friends could compensate for the obstacles the older person faced. The subcategories that captured the informants' experiences of health and ill health were described as positive and negative poles of autonomy, togetherness, tranquillity and security in daily life. The significance of the caregivers was clearly evident. Their competence, commitment and treatment were prerequisites for the older person's ability to experience health in spite of being dependent on care.

  • 8.
    From, Ingrid
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Johansson, Inger
    Athlin, Elsy
    The meaning of good and bad care in the community care: older people's lived experiences2009In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 4, no 3, p. 156-65Article in journal (Refereed)
    Abstract [en]

    In spite of a considerable body of research in the past decades on what does or does not constitute good care for older people, there are still few studies addressing this question in which older people narrate their experiences of being dependent on community care. This study was therefore carried out aiming to explore older people's lived experiences of what good and bad care meant to them, when it was offered by community care services. Nineteen older persons in three Swedish communities participated in the study, which used a phenomenological-hermeneutic approach. Data were collected through unstructured interviews and Colaizzi's framework was utilized in the analysis of the data. The key theme arising from the analysis was that of being encountered as a human being by caregivers who, through the provision of safe and secure care, provide opportunities for living life as usual. When any of these circumstances are lacking, bad care will be the consequence. As the general intention in society is to ensure good quality of care to older people as well as others, the findings in our study should have important implications for providers of community care for older people.

  • 9.
    From, Ingrid
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Leksell, Janeth
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Marusarz, Marika
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Roeli, Kjell
    Sairanen, Raija
    Schröder, Margit
    Vabo, Grete
    Söderhamn, Olle
    Good nursing care for older nursing home clients in a Nordic context2009In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, no 4Article in journal (Refereed)
    Abstract [en]

    Introduction: In order to make nursing homes more attractive as work places in the Nordic countries, it should be important to identify possible issues that are central in good nursing care in this context. Aim: The aim of this study was to illuminate and interpret how good nursing care for older nursing home clients may be narrated by registered nurses in a Nordic context. Methods: Nine expert nurses from nursing homes in Denmark, Finland, Norway and Sweden narrated experiences of good nursing care for older people that were tape recorded, transcribed verbatim and analysed by means of qualitative content analysis. Results: Communication, creativity and community were the themes that constituted good nursing care for older people in the studied context. It was interpreted as a process of reciprocity between caregivers, clients and significant others, characterised by transcendence for the individuals that took part in the process. Discussion/Conclusion: Good nursing care in nursing homes demands mature individuals who are conscious and skilled professionals, able to create reciprocity in the care context. Such professional nurses could also serve as radiant role models to other registered nurses who are hesitant in entering nursing care of older people.

  • 10.
    From, Ingrid
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Liljas, Juvas Marianne
    Dalarna University, School of Education, Health and Social Studies, Educational Work.
    Structural integration of internationalization in learning objectives in higher education2019In: Action Research, ISSN 1476-7503, E-ISSN 1741-2617, p. 23-Article in journal (Refereed)
  • 11.
    From, Ingrid
    et al.
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Marusarz, Marika
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Hälsoekonomi lösningen för kommunal äldreomsorg?2003In: Falu Kuriren, ISSN 1103-9256Article in journal (Other (popular science, discussion, etc.))
  • 12.
    From, Ingrid
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Marusarz, Marika
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Nurses experiences of palliative care for older people in municipal nursing homes2014In: Nurses experiences of palliative care for older people in municipal nursing homes, 2014Conference paper (Refereed)
  • 13.
    From, Ingrid
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Marusarz, Marika
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Specialistutbildning av sjuksköterskor i vård av äldre.2007Conference paper (Refereed)
  • 14.
    From, Ingrid
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Nordström, G.
    Wilde-Larsson, B.
    Johansson, I.
    Caregivers in older peoples’ care: perception of quality of care, working conditions, competence and personal health2013In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 27, no 3, p. 704-714Article in journal (Refereed)
    Abstract [en]

    The aim was to describe and compare nursing assistants’, enrolled nurses’ and registered nurses’ perceptions of quality of care, working conditions, competence and personal health in older peoples’ care. Altogether 70 nursing assistants, 163 enrolled nurses and 198 registered nurses completed a questionnaire comprising Quality from the Patient’s Perspective modified for caregivers, Creative Climate Questionnaire, Stress of Conscience Questionnaire, items on education and competence and Health Index. The caregivers reported higher perceived reality of quality of care in medical-technical competence and physical-technical conditions than in identity-oriented approach and socio-cultural atmosphere. In subjective importance, the highest rating was assessed in one of the physical-technical items. The organisational climate was for three of the dimensions rather close/reached the value for a creative climate, for seven dimensions close to a stagnant climate. In perceived stress of conscience, there were low values. Nursing assistants had lower values than enrolled nurses and registered nurses. The caregivers reported highest values regarding previous education making them feel safe at work and lowest value on the item about education increasing the ability for a scientific attitude. Registered nurses could use knowledge in practice and to a higher degree than nursing assistants/enrolled nurses reported a need to gain knowledge, but the latter more often received education during working hours. The health index among caregivers was high, but registered nurses scored lower on emotional well-being than nursing assistants/enrolled nurses. The caregivers’ different perceptions of quality of care and work climate need further attention. Although stress of conscience was low, it is important to acknowledge what affected the caregivers work in a negative way. Attention should be paid to the greater need for competence development among registered nurses during working hours. © 2012 Nordic College of Caring Science.

  • 15.
    From, Ingrid
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Karlstads universitet, Avdelningen för omvårdnad.
    Wilde-Larsson, Bodil
    Karlstads universitet, Avdelningen för omvårdnad.
    Nordström, Gun
    Karlstads universitet, Avdelningen för omvårdnad.
    Johansson, Inger
    Karlstads universitet, Avdelningen för omvårdnad.
    Formal caregivers' perceptions of quality of care for older people: associating factors2015In: BMC Research Notes, ISSN 1756-0500, E-ISSN 1756-0500, Vol. 8, no 1, article id 623Article in journal (Refereed)
    Abstract [en]

    Background:

    Despite the growing number of studies concerning quality of care for older people, there is a lack of studies depicting factors associated with good quality of care from the formal caregivers' perspective. The aim was to describe formal caregivers' perceptions of quality of care for older people in the community and explore factors associated with these perceptions. In total, 70 nursing assistants, 163 enrolled nurses and 198 registered nurses from 14 communities in central Sweden participated in the study. They filled out the following questionnaires: a modified version of Quality from the Patient's Perspective, Creative Climate Questionnaire, Stress of Conscience Questionnaire, items regarding education and competence, Health Index and Sense of coherence questionnaire. The overall response rate was 57 % (n = 431).

    Results:

    In the perceived reality of quality of care respondents assessed the highest mean value in the dimension medical-technical competence and physical technical conditions and lower values in the dimensions; identity-oriented approach, socio-cultural atmosphere and in the context specific dimension. The caregivers estimated their competence and health rather high, had lower average values in sense of coherence and organizational climate and low values in stress of conscience.

    Conculsions:

    The PR of quality of care were estimated higher among NA/ENs compared to RNs. Occupation, organizational climate and stress of conscience were factors associated with quality of care that explained 42 % of the variance. Competence, general health and sense of coherence were not significantly associated to quality of care. The mentioned factors explaining quality of care might be intertwined and showed that formal caregivers' working conditions are of great importance for quality of care.

  • 16.
    From, Ingrid
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Åberg, Anna Cristina
    Dalarna University, School of Education, Health and Social Studies, Medical Science.
    Reflective Participation and Co-Learning to Achieve a Partnership with Potential Users of Fall-Prevention Exergames in the e-Balance Project2018Conference paper (Refereed)
  • 17.
    Liljas, Juvas Marianne
    et al.
    Dalarna University, School of Education, Health and Social Studies, Educational Work.
    From, Ingrid
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Mål 3: Alla studenter som tar examen från högskolan har utvecklat sin internationella förståelse eller interkulturella kompetens: Högskolan Dalarnas pilotprojekt angående Internationalisering och det akademiska värdet av mobilitet: Erfarenheter från arbetet med att internationalisera utbildningens innehåll genom att se över lärandemålen2018Conference paper (Other academic)
  • 18.
    Liljas, Juvas Marianne
    et al.
    Dalarna University, School of Education, Health and Social Studies, Educational Work.
    From, Ingrid
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Structural integration of internationalisation in learning goals in higher education2019In: Imagine Tomorrow: Practitioner Learning for the Future, 2019Conference paper (Refereed)
    Abstract [en]

    Current research shows that students through internationalization can develop a higher awareness of global perspectives in higher education. Dalarna University has participated as one of seven Universities in Sweden and Finland, in the project, The Academic Value of Mobility (https://www.uhr.se/globalassets/_uhr.se/publikationer/2018/rapport-2018-9-det-akademiska-vardet-av-mobilitet.pdf), funded by European Union and organised by the Swedish Council of Higher Education [Universitets- och högskolerådet (UHR)]. The overall aim was to increase student’s mobility as well as developing international perspectives involving all students in higher education. This presentation has a method developing design. We have elaborated a model of internationalisation in the curriculum based on ICOMs definition of competencies. This definition visualizes the progression of competencies based on learning goals in the preschool and nursing programmes at Dalarna University. Ethnographic method was used during the project. Methodically PAAR, Participatory and appreciative action research, and its four subprocesses were selected. According to the learning goals, the progression of ICOMs competencies were operationalized in a flowchart. As a result, the flowchart was found for the usability of internationalisation opportunities in all programs in higher education.

    Our model has received attention in national contexts as well as local presentations at our own university.

  • 19.
    Marusarz, Marika
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    From, Ingrid
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Municipal home care staff and their experience of having delegation for administration of drugs2014Conference paper (Other academic)
    Abstract [en]

    Municipal home care staff and their experience of having delegation for administration of drugs

    Pia Ekman, RN, MSc , Annika Sjörs, RN, MSc, Ingrid From, RN, Ph.D., Marika Marusarz, Ph.D.

    Background: Municipal home care staff should be able to work from a community heath perspective and have knowledge of delegation for administration of drugs.

    Aim: The aim of the study was to describe the experiences of staff in home care after receiving delegation for the administration of drugs and how they managed with problems that might arise associated with drug administration.

    Method: Ten informants were interviewed with a qualitative approach describing their experiences of delegation for administration of drugs.

    Findings: The management and administration of drugs were perceived as unsafe. Home care staff lacked information on drug efficacy and side effects.  Furthermore, they expressed the need of annual monitoring of the delegation moment. The working system TES was experienced as stressful and a possible risk factor for failure in managing delegations.

    Conclusion: There was a need for the development and improvement of information clarifying the delegation of drug administration in order to enhance engagement and a safe drug administration. Furthermore there is a need of allocating additional time for drug administration and further education. It is important to review the responsibilities and continuity of cooperation between nurses and health professionals.

    Key words: delegation, home care staff, administration of drugs, experience, medical tasks

  • 20.
    Marusarz, Marika
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    From, Ingrid
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Leksell, Janeth
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Röli, Kjell
    Saranen, Raija
    Schröder, Margit
    Vabo, Grete
    Söderhamn, Olle
    Good nursing care for older nursing home clients in a Nordic context.2009In: Verksamhetsförlagd utbildning i en föränderlig vård - en kvalitetsutmaning, Borås, 2009Conference paper (Refereed)
    Abstract [en]

    Introduction: In order to make nursing homes more attractive as work places in the Nordic countries, it should be important to identify possible issues that are central in good nursing care in this context. Aim: The aim of this study was to illuminate and interpret how good nursing care for older nursing home clients may be narrated by registered nurses in a Nordic context. Methods: Nine expert nurses from nursing homes in Denmark, Finland, Norway and Sweden narrated experiences of good nursing care for older people that were tape recorded, transcribed verbatim and analysed by means of qualitative content analysis. Results: Communication, creativity and community were the themes that constituted good nursing care for older people in the studied context. It was interpreted as a process of reciprocity between caregivers, clients and significant others, characterised by transcendence for the individuals that took part in the process. Discussion/Conclusion: Good nursing care in nursing homes demands mature individuals who are conscious and skilled professionals able to create reciprocity in the care context. Such professional nurses could also serve as radiant role models to other registered nurses who are hesitant in entering nursing care of older people.

  • 21. Nilsson, Madeleine
    et al.
    From, Ingrid
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Lindwall, Lillemor
    The significance of patient participation in nursing care - a concept analysis2019In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 33, no 1, p. 244-251Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: The purpose of this study was to report on a concept analysis of the meaning of patients' participation. Participation is commonplace in many areas of health care and has become an important issue in healthcare services. Participation is essential when giving nursing care. Challenges exist throughout clinical practice to make the patient a participant in their own care. The study had a caring science perspective.

    METHOD: A literature study based on Walker and Avant's method was used with eight steps. Data were collected using several databases covering the years 1995-2017. The analysis covered fifteen articles, dissertations, reports and textbooks.

    FINDINGS: Patients' participation may be defined as a concept that relates to and includes the three caring science concepts: learning, caring relationship and reciprocity (defining attributes).

    CONCLUSION: Participation is a concept with vague meaning that is prevalent in nursing practice. Patients' participation is a complex concept. By using the attributes, it could be more visible in nursing care. The next question for research in this area is how these three attributes can best practically be achieved in a clinical context.

  • 22.
    Nilsson, Madeleine
    et al.
    Åbo Akademi.
    Lindwall, Lillemor
    Karlstad Universitet.
    Nilsson, Jan
    Karlstad Universitet.
    From, Ingrid
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Patientens delaktighet i val av vårdgivare. En litteratur review2018In: Nordisk tidsskrift for helseforskning, ISSN 1504-3614, E-ISSN 1891-2982, Vol. 14 årgang, no 1Article in journal (Refereed)
    Abstract [en]

    The idea behind care choice is that healthcare providers would be more responsive to patients' health problems and needs and in doing so compete with increased quality and that patients should be able to choose from this. The question is how patients choose a healthcare provider by themselves. The aim was to describe what affected when patients chose healthcare providers. A literature review was carried out. The results showed that patients' choice of healthcare providers depended on the following three themes: their own care experiences, caring relationships with staff and service provided by caregivers. The underlying idea of care choice is competition based on quality of care, but the results show that patients make their choices based on other factors as described in the result and therefore improvement can be achieved if focus is placed on being responsive for patient care needs.

  • 23.
    Åberg, Anna Cristina
    et al.
    Dalarna University, School of Education, Health and Social Studies, Medical Science. Uppsala University.
    Halvorsen, Kjartan
    Uppsala University.
    From, Ingrid
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Bergman Bruhn, Åsa
    Dalarna University, School of Technology and Business Studies, Occupational science.
    Oestreicher, Lars
    Uppsala University.
    Melander-Wikman, Anita
    Luleå University of Technology.
    A study protocol for applying user participation and co-learning: lessons learned from the eBalance project2017In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 14, no 5, article id 512Article in journal (Refereed)
    Abstract [en]

    The eBalance project is based on the idea that serious exergames—i.e., computer gaming systems with an interface that requires physical exertion to play—that are well adapted to users, can become a substantial part of a solution to recognized problems of insufficient engagement in fall-prevention exercise and the high levels of fall-related injuries among older people. This project is carried out as a collaboration between eight older people who have an interest in balance training and met the inclusion criteria of independence in personal activities of daily living, access to and basic knowledge of a computer, four staff working with the rehabilitation of older adults, and an interdisciplinary group of six research coordinators covering the areas of geriatric care and rehabilitation, as well as information technology and computer science. This paper describes the study protocol of the project’s initial phase which aims to develop a working partnership with potential users of fall-prevention exergames, including its conceptual underpinnings. The qualitative methodology was inspired by an ethnographical approach implying combining methods that allowed the design to evolve through the study based on the participants’ reflections. A participatory and appreciative action and reflection (PAAR) approach, accompanied by inquiries inspired by the Normalization Process Theory (NPT) was used in interactive workshops, including exergame testing, and between workshop activities. Data were collected through audio recordings, photos, and different types of written documentation. The findings provide a description of the methodology thus developed and applied. They display a methodology that can be useful for the design and development of care service and innovations for older persons where user participation is in focus.

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