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  • 1. Baudin, Katarina
    et al.
    Sundström, Angelina
    Borg, Johan
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap.
    Gustafsson, Christine
    Decision-Making Is in the Making! Aspects of Decision-Making in the Area of Assistive and Welfare Technology—A Qualitative Study2021Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 18, artikkel-id 4028Artikkel i tidsskrift (Fagfellevurdert)
    Fulltekst (pdf)
    fulltext
  • 2. Baudin, Katarina
    et al.
    Sundström, Angelina
    Gustafsson, Christine
    Borg, Johan
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap.
    What's in it for me? A retrospective cost-consequence study of a digital assistive technology2022Inngår i: Gerontechnology, ISSN 1569-1101, E-ISSN 1569-111X, Vol. 21Artikkel i tidsskrift (Fagfellevurdert)
  • 3. Baudin, Katarina
    et al.
    Sundström, Angelina
    Gustafsson, Christine
    Borg, Johan
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap.
    Äldre brukares användning av Memoplanner med fokus på aktivitet, delaktighet, hälsorelaterade livskvalitet samt dess relaterade kostnader. Närståendes erfarenheter2021Rapport (Annet vitenskapelig)
  • 4.
    Borg, Farhana
    et al.
    Högskolan Dalarna, Institutionen för lärarutbildning, Pedagogiskt arbete.
    Borg, Johan
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap.
    Preschool Children's Self-reported Sources of Knowledge of Environmental, Social, and Economic Sustainability: An interview Study2024Inngår i: Book of Abstracts, 2024, artikkel-id 218Konferansepaper (Fagfellevurdert)
  • 5.
    Borg, Farhana
    et al.
    Högskolan Dalarna, Institutionen för lärarutbildning, Pedagogiskt arbete.
    Gericke, Niklas
    Karlstads universitet.
    Winberg, Mikael
    Umeå universitet.
    Borg, Johan
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap.
    A whole (pre)school approach to sustainability in eco- and non-eco-certified preschools in Sweden: Principals’ views and attitudes2023Inngår i: Konferens i pedagogiskt arbete, 2023: Book of abstracts / [ed] David Rapp, Linköping: Linköping University Electronic Press, 2023, s. 22-23Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Although a whole school approach (WSA) to sustainability has been described as one of the most meaningful education approaches, the concept of WSA has not yet been widely explored within the context of preschool education, where the play, learning, and care are preconditions for a wholeness in childhood. The concept of the WSA considers raising quality and standard across entire education institution (Henderson & Tilbury, 2004). This approach also emphasizes the needs for (pre)school to engage children, teachers, parents, and the wider community in sustainability (Mogren, Gericke & Scherp, 2019). The principals have important roles to play in reforming and prioritizing preschools activities towards sustainability (Borg & Vinterek, 2020). This paper explores 50 principals’ views and attitudes towards sustainability from a WSA perspective. Using randomized sampling, the principals were selected from 25 eco-certified and 25 non-eco-certified preschools in 25 municipalities in Sweden, out of 290. A questionnaire was utilized to collect demographic information about the preschools, number of children, number of qualified teachers, principals’ attitudes towards preschool’s activities with sustainability, and also an open-ended question about how the principals themselves integrate sustainability in their planning of preschool activities and what they actually do. The qualitative data was analyzed by using Wals and Mathie’s (2022) six component Whole School Approach Flower Model. The components are: 1. Vision, ethos, leadership and coordination; 2. Institutional practices; 3. Pedagogy and learning; 4. Curriculum; 5. Community connections; and 6. Capacity building. The components were adapted and operationalized within a preschool context. The quantitative data was analyzed by principal component analysis (PCA) in the SIMCA statistical software (Umetrics 2020). This study is a part of a project, “Eco-certified preschools and children’s learning for sustainability: Researching holistic outcomes of preschool education for sustainability (HOPES)” (Swedish Research Council, Dnr. 2018-04445). The analyses will be completed by June, 2023. 

    References

    Borg, F., & Vinterek, M. (2020). Principals´ Views on and Descriptions of Preschool Education for Sustainable Development. Journal of Applied Technical and Educational Sciences, 10(2), 18-40. doi:10.24368/jates.v10i2.170

    Henderson, K., & Tilbury, D. (2004). Whole school approaches to sustainability: An international review of sustainable school programs. Report prepared by Macquarie University for the Australian Government Department of the Environment and Heritage. Sydney.

    Mogren, A., Gericke, N., & Scherp, H.-Å. (2019). Whole school approaches to education for sustainable development: a model that links to school improvement. Environmental Education Research, 25(4), 508-531. https://doi:10.1080/13504622.2018.1455074  

    Umetrics. (2020). SIMCA-P+. In (Version 16.0) [Computer software]. Sartorius Stedim Inc. https://www.sartorius.com/en/products/process-analytical-technology/data-analytics-software/mvda-software/simca?gclid=Cj0KCQiAvvKBBhCXARIsACTePW-oD9sm_Ng1dgNBivHH9GFSApdp5wo2G0EDOydryNnzZQ-20Xoj_vIaApIwEALw_wcB  

    Fulltekst (pdf)
    fulltext
  • 6.
    Borg, Farhana
    et al.
    Högskolan Dalarna, Institutionen för lärarutbildning, Pedagogiskt arbete.
    Pramling Samuelsson, Ingrid
    Göteborgs universitet.
    Borg, Johan
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap.
    Davis, Julie M.
    Queensland University of Technology.
    Mikael, Winberg
    Umeå University.
    Alexiadou, Nafsika
    Umeå University.
    Gericke, Niklas
    Karlstad University.
    Methodological and ethical issues when interviewing preschool children: Experiences from a study on sustainability in Sweden2023Inngår i: 31st EECERA ANNUAL CONFERENCE. Children’s Curiosity, Agency and Participation: Challenges for Professional Action and Development: Book of Abstracts, 2023, s. 135-135Konferansepaper (Fagfellevurdert)
    Abstract [en]

    To contribute to the methodological and ethical discourse on children’sparticipation in research on complex issues, this case-study critically discusses experiences from a large-scale randomized interview study about preschool education for sustainability in Sweden. Young children’s ability to express their views has been subject to debate, resulting in them often being excluded asresearch participants. Hence, age-appropriate methodological approaches are needed to ensure their participation.

    This study draws from Josefsson and Wall’s(2020) concept of children’s “empowered inclusion” and Lundy’s (2007) model of voice, space, audience, and influence.

    Employing a qualitative case-studyapproach, methodological approaches and ethical considerations and experiences of a randomized study are scrutinized. A total of 403 children from 50 preschools were interviewed about sustainability using illustrations. An interview instrument was developed and pretested in two iterations. Data were analyzed thematically. The Swedish Ethical Review Authority did not raise any objection to the interview study. Consent to participate was collected from parents and children.

    They were informed that the children could withdraw at any time if they wanted. The findings demonstrate that research with young children can be undertaken in an ethically acceptable manner. The use of illustrations was helpful in creating a friendly environment and supporting children’s understanding of complex issues. Individual and pair interviews were effective while group interviews were problematic. Children’s attention dropped after 12-15 minutes. These findings suggest that preschool children can express their views on important matters under ethically acceptable and methodologically appropriate conditions.

    Fulltekst (pdf)
    Conference Proceedings
  • 7. Borg, Johan
    Assistive technology - A facilitator of human freedoms for people with disabilities?2011Konferansepaper (Annet vitenskapelig)
  • 8.
    Borg, Johan
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Medicinsk vetenskap.
    Commentary on selection of assistive technology in a context with limited resources2019Inngår i: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 14, nr 8, s. 753-754Artikkel i tidsskrift (Fagfellevurdert)
  • 9.
    Borg, Johan
    Lund universitet.
    The Participation Pyramid: a response to "Reconsideration ICF scheme" by Heerkens et al. 20172018Inngår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 40, nr 1, s. 123-124Artikkel i tidsskrift (Annet vitenskapelig)
  • 10.
    Borg, Johan
    et al.
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap.
    Alam, Moudud
    Högskolan Dalarna, Institutionen för information och teknik, Statistik.
    Boström, Anne-Marie
    Karolinska Institutet, Huddinge; Karolinska University Hospital, Stockholm; Stockholms Sjukhem, Stockholm.
    Marmstål Hammar, Lena
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Omvårdnad. Karolinska Institutet, Huddinge; Mälardalen University, Västerås.
    Experiences of Assistive Products and Home Care among Older Clients with and without Dementia in Sweden2022Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, nr 19, artikkel-id 12350Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The purpose was to compare selection, use and outcomes of assistive products among older home care clients with and without dementia in Sweden, and to explore the relations between the use of assistive products and perceptions of home care, loneliness and safety. Self-reported data from 89,811 home care clients aged 65 years or more, of whom 8.9% had dementia, were analysed using regression models. Excluding spectacles, 88.2% of them used assistive products. Respondents without dementia were more likely to use at least one assistive product but less likely to use assistive products for remembering. Respondents with dementia participated less in the selection of assistive products, used less assistive products, and benefited less from them. Users of assistive products were more likely to be anxious and bothered by loneliness, to feel unsafe at home with home care, to experience that their opinions and wishes regarding assistance were disregarded by home care personnel, and to be treated worse by home care personnel. The findings raise concerns about whether the needs for assistive products among home care clients with dementia are adequately provided for. They also indicate a need to strengthen a person-centred approach to providing home care to users of assistive products.

    Fulltekst (pdf)
    fulltext
  • 11.
    Borg, Johan
    et al.
    Lunds universitet.
    Bergman, Anna-Karin
    Ostergren, Per-Olof
    Is ‘legal empowerment of the poor’ relevant to people with disabilities in developing countries?: An empirical and normative review2013Inngår i: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 6, nr 1, s. 1-15Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Legal empowerment of the poor is highly relevant to public health as it aims to relieve income poverty, a main determinant of health. The Commission on Legal Empowerment of the Poor (CLEP) has proposed legal empowerment measures in the following four domains: access to justice and the rule of law, property, labor, and business rights. Despite being overrepresented among the poor, CLEP has not explicitly considered the situation of people with disabilities. Objectives: To examine the empirical evidence for the relevance of the CLEP legal empowerment measures to people with disabilities in low-and lower middle-income countries, and to evaluate the extent to which the Convention on the Rights of Persons with Disabilities (CRPD) addresses those measures. Methods: Critical literature review of empirical studies and a checklist assessment of the CRPD. Results: Fourteen included articles confirm that people with disabilities experience problems in the domains of access to justice and the rule of law, labor rights, and business rights. No texts on property rights were found. Evidence for the effectiveness of the proposed measures is insufficient. Overall, the CRPD fully or partially supports two-thirds of the proposed measures (seven out of nine measures for access to justice and the rule of law, none of the five measures for property rights, all seven measures for labor rights, and six out of nine measures for business rights). Conclusions: Although most of the domains of the CLEP legal empowerment measures are relevant to people with disabilities from both empirical and normative perspectives, it is uncertain whether the devised measures are of immediate relevance to them. Further research is warranted in this regard.

    Fulltekst (pdf)
    fulltext
  • 12.
    Borg, Johan
    et al.
    Lunds universitet.
    Ekman, Björn Olof
    Östergren, Per-Olof
    Is centre-based provision of hearing aids better than community-based provision?: A cluster-randomized trial among adolescents in Bangladesh2018Inngår i: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 13, nr 6, s. 497-503Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose: In response to the need for hearing aids in low-income countries, an approach to provide hearing aids through trained community workers was developed. This study compares the effectiveness of the community-based approach with that of a centre-based approach. Methods: One hundred and forty adolescents (56% girls; 12-18 years; mean: 15 years) from eleven sub-districts participated in a cluster-randomized trial comparing a community-based service (n = 75) with a centre-based service (n = 65) in Bangladesh. The International Outcome Inventory for Hearing Aids (IOI-HA) was administered to the participants six weeks after fitting of a hearing aid, and its scores were analyzed by Mann-Whitney U-tests and an ordinal regression model. Results: The community-based approach performed as well as the centre-based approach on five out of seven outcome measures. The latter approach performed statistically significantly better on Residual participation restrictions (p = .007) and Impact on others (p = .012), but the effect sizes were small. Controlling for sex, age, hearing loss, place of living and proxy responses did not change the results. Conclusions: The community-based approach is a viable and effective option for hearing aid delivery in low-resourced settings. The approach needs to be adapted to particular contexts, and possible down-sides may need to be counteracted by special interventions.

  • 13.
    Borg, Johan
    et al.
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap.
    Gustafsson, Christine
    Mälardalen University, Västerås; Eskilstuna Municipality, Eskilstuna.
    Landerdahl Stridsberg, Sara
    Mälardalen University, Västerås.
    Zander, Viktoria
    Mälardalen University, Västerås.
    Implementation of welfare technology: a state-of-the-art review of knowledge gaps and research needs.2023Inngår i: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 18, nr 2, s. 227-239Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    PURPOSE: To offer guidance for future welfare technology research, this review provides an overview of current knowledge gaps and research needs as reported in primary scientific studies addressing the implementation of welfare technology for older people, people with disabilities and informal caregivers.

    MATERIALS AND METHODS: This paper conducted a state-of-the-art review based on systematic searches in 11 databases followed by a descriptive qualitative analysis of 21 selected articles.

    RESULTS: Knowledge gaps and research needs were identified concerning two categories: research designs and populations and focus of research. The articles reported needs for comparative studies, longitudinal studies, and demonstration trials as well as the development of co-design processes involving technology users. They also called for studies applying a social system theory approach, involving healthy and frail older adults, representative samples of users within and across countries, informal and formal caregivers, inter-and multidisciplinary teams, and care organizations. Moreover, there are reported needs for studies of acquirement, adoption and acceptance of welfare technology, attitudes, beliefs, and context related to welfare technology, caregiver perspectives on welfare technology, services to provide welfare technology and welfare technology itself.

    CONCLUSIONS: There are considerable knowledge gaps and research needs concerning the implementation of welfare technology. They relate not only to the research focus but also to research designs, a social system theory approach and study populations. IMPLICATIONS FOR REHABILITATION When planning for the implementation of welfare technology for older people and persons with disabilities, it is important to be aware that necessary evidence and guidance may not always be available in peer-reviewed scientific literature but considerable knowledge gaps and research needs remain. Actors implementing welfare technology are encouraged to include researchers in their projects to study, document and report experiences made, and thereby contribute to building the evidence base and supporting evidence-based implementation.

    Fulltekst (pdf)
    fulltext
  • 14.
    Borg, Johan
    et al.
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap.
    Khasnabis, ChapalWorld Health Organization.Zhang, WeiWorld Health Organization.
    Global report on assistive technology2022Collection/Antologi (Fagfellevurdert)
  • 15. Borg, Johan
    et al.
    Kwee, Hoc
    Fagerberg, Gunnar
    Biomechanical aspects on the IRV mobile headrest1994Inngår i: Proceedings of the RESNA ’94 Annual Conference / [ed] M Binion, Arlington, 1994, s. 271-273Konferansepaper (Fagfellevurdert)
  • 16.
    Borg, Johan
    et al.
    KTH.
    Lantz, Ann
    KTH.
    Gulliksen, Jan
    KTH.
    Accessibility to electronic communication for people with cognitive disabilities: a systematic search and review of empirical evidence2015Inngår i: Universal Access in the Information Society, ISSN 1615-5289, E-ISSN 1615-5297, Vol. 14, nr 4, s. 547-562Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The purpose of this study was to identify and synthesize measures for accessibility to electronic communication for people with cognitive disabilities by seeking answers to the following research questions: What measures to make electronic communication accessible to people with cognitive disabilities are evaluated and reported in the scientific literature? What documented effects do these measures have? Empirical studies describing and assessing cognitive accessibility measures were identified by searches of 13 databases. Data were extracted and methodological quality was assessed. Findings were analyzed and recommendations for practice and research were made. Twenty-nine articles with considerable variations in studied accessibility measures, diagnoses, methods, outcome measures, and quality were included. They address the use of Internet, e-mail, telephone, chat, television, multimedia interfaces, texts and pictures, operation of equipment, and entering of information. Although thin, the current evidence base indicates that the accessibility needs, requirements, and preferences of people with cognitive disabilities are diverse. This ought to be reflected in accessibility guidelines and standards. Studies to systematically develop and recommend effective accessibility measures are needed to address current knowledge gaps.

    Fulltekst (pdf)
    fulltext
  • 17.
    Borg, Johan
    et al.
    Lunds universitet.
    Larsson, Stig
    Assistive devices for people affected by leprosy: Underutilised facilitators of functioning?2009Inngår i: Leprosy Review, ISSN 0305-7518, E-ISSN 2162-8807, Vol. 80, nr 1, s. 13-21Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives People affected by leprosy and their families face social and economic problems. The focus of interventions is often on prevention of disabilities and socioeconomic rehabilitation. The objective of this study was to explore to what extent the potential of assistive devices to facilitate activities and participation of people affected by leprosy has been utilised. Design Published literature was reviewed and the findings analysed. Results Considerable attention has been given to the protecting role of assistive devices. The focus of assistive devices facilitating functioning has been on mobility aspects of self-care and domestic life. Conclusions The findings indicate that the potential of assistive devices to facilitate activities and participation in life areas such as work and employment is still waiting to be utilised on a broad scale.

    Fulltekst (pdf)
    fulltext
  • 18.
    Borg, Johan
    et al.
    Lunds universitet.
    Larsson, Stig
    Ostergren, Per-Olof
    The right to assistive technology: for whom, for what, and by whom?2011Inngår i: Disability & Society, ISSN 0968-7599, E-ISSN 1360-0508, Vol. 26, nr 2, s. 151-167Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Despite its facilitating role in creating opportunities for people with disabilities to exercise human rights, access to assistive technology is limited in many countries. It is therefore promising that the Convention on Rights of Persons with Disabilities (CRPD) addresses this area. The purpose of this study was to analyse the assistive technology content of the CRPD from a basic human rights perspective in order to clarify its limitations and opportunities for formulation of policies and implementation strategies. Data were collected through a content analysis of the CRPD. It is concluded that a non-discriminatory interpretation of the provisions entitles all people with disabilities to a right to demand available and affordable assistive technology. Ensuring this right is a national as well as an international responsibility.

  • 19.
    Borg, Johan
    et al.
    Lunds universitet.
    Larsson, Stig
    Ostergren, Per-Olof
    Eide, Arne H.
    The Friction Model - a dynamic model of functioning, disability and contextual factors and its conceptual and practical applicability2010Inngår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 32, nr 21, s. 1790-1797Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose. To develop a model of the dynamics of functioning, disability and contextual factors which harmonises with the International Classification of Functioning, Disability and Health (ICF). Method. Model parts based on ICF were identified and a model drawing from engineering concepts was developed. The conceptual and practical applicability of the model was discussed. Results. The so called Friction Model was created, which incorporates the ICF entities capacity, performance, environmental factors, health condition, body functions and structures, and personal factors. Friction describes the interaction between a person and his or her environment. The coefficient of friction is defined as the ratio between capacity and performance. Conclusion. Carrying conceptual strengths and limitations, the Friction Model appears to offer opportunities for practical applications, including ICF-based alternatives to health-economic analyses. Harmonising with the ICF model and terminology, the model uses friction to describe the interaction between a person and the environment. The coefficient of friction can be used as a simple measure of how facilitating an environment is. The applicability is not limited to functioning of people with impairments.

  • 20.
    Borg, Johan
    et al.
    Lunds universitet.
    Larsson, Stig
    Ostergren, Per-Olof
    Rahman, A. S. M. Atiqur
    Bari, Nazmul
    Khan, A. H. M. Noman
    Assistive technology use and human rights enjoyment: a cross-sectional study in Bangladesh2012Inngår i: BMC International Health and Human Rights, E-ISSN 1472-698X, Vol. 12, artikkel-id 18Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: About half a billion people with disabilities in developing countries have limited access to assistive technology. The Convention on the Rights of persons with Disabilities requires governments to take measures to ensure provision of such technologies. To guide implementation of these measures there is a need for understanding health outcomes from a human rights perspective. The objective of this study was therefore to explore the relation between assistive technology use and enjoyment of human rights in a low-income country. Methods: Data was collected in eight districts of Bangladesh through interviews of people with hearing impairments using and not using hearings aids, and people with ambulatory impairments using and not using manual wheelchairs (N = 583). Using logistic regression, self-reported outcomes on standard of living, health, education, work, receiving information and movement were analyzed. Results: The adjusted likelihood of reporting greater enjoyment of human rights was significantly higher among people using hearing aids compared to non-users for all outcomes except working status. Compared to non-users, users of wheelchairs reported a significantly higher adjusted likelihood of good ambulatory performance and a significantly lower adjusted likelihood of reporting a positive working status. Further analyses indicated that physical accessibility to working places and duration of wheelchair use had a statistically significant impact on the likelihood of reporting positive work outcomes. Conclusions: The findings support the notion that assistive technology use increases the likelihood of human rights enjoyment, particularly hearing aid use. Physical accessibility should always be addressed in wheelchair provision.

    Fulltekst (pdf)
    fulltext
  • 21.
    Borg, Johan
    et al.
    Lunds universitet.
    Larsson, Stig
    Östergren, Per-Olof
    Rahman, A. S. M. Atiqur
    Bari, Nazmul
    Khan, A. H. M. Noman
    User involvement in service delivery predicts outcomes of assistive technology use: A cross-sectional study in Bangladesh2012Inngår i: BMC Health Services Research, E-ISSN 1472-6963, Vol. 12, artikkel-id 330Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Knowledge about the relation between user involvement in the provision of assistive technology and outcomes of assistive technology use is a prerequisite for the development of efficient service delivery strategies. However, current knowledge is limited, particularly from low-income countries where affordability is an issue. The objective was therefore to explore the relation between outcomes of assistive technology use and user involvement in the service delivery process in Bangladesh. Methods: Using structured interviews, data from 136 users of hearing aids and 149 users of manual wheelchairs were collected. Outcomes were measured using the International Outcome Inventory for Hearing Aids (IOI-HA), which was adapted for wheelchair users. Predictors of user involvement included preference, measurement and training. Results: Users reported outcomes comparable to those found in other high- and low-income countries. User involvement increased the likelihood for reporting better outcomes except for measurement among hearing aid users. Conclusions: The findings support the provision of assistive technology as a strategy to improve the participation of people with disabilities in society. They also support current policies and guidelines for user-involvement in the service delivery process. Simplified strategies for provision of hearing aids may be explored.

    Fulltekst (pdf)
    fulltext
  • 22.
    Borg, Johan
    et al.
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap.
    Layton, Natasha
    Ostergren, Per-Olof
    Larsson, Stig
    Do Assistive Products Enhance or Equalize Opportunities?: A Comparison of Capability across Persons with Impairments Using and Not Using Assistive Products and Persons without Impairments in Bangladesh2022Inngår i: Societies, E-ISSN 2075-4698, Vol. 12, nr 5, artikkel-id 141Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aiming to compare capability across persons with impairments using and not using assistive products and persons without impairments in Bangladesh for 16 different functionings, we contrast two sets of self-reported cross-sectional data from eight districts of Bangladesh: (i) data from persons with hearing impairment not using hearing aids, persons with hearing impairment using hearing aids and persons without impairments (N = 572); and (ii) data from persons with ambulatory impairment not using manual wheelchairs, persons with ambulatory impairment using manual wheelchairs and persons without impairments (N = 598). Kruskal-Wallis tests were used to compare levels of capability across the three groups in each data set. Results showed that, for all functionings in both data sets, the levels of capability were statistically significantly highest for persons without impairments. Compared to persons with hearing impairment not using hearing aids, persons with hearing impairment using hearing aids scored higher in all functionings, with statistical significance at the .05 level for 12 of them. Persons with ambulatory impairment using manual wheelchairs scored higher than persons with ambulatory impairment not using manual wheelchairs for 11 of the functionings, but none of the comparisons between the two groups were significant at the .05 level. Assistive products-hearing aids more than manual wheelchairs-enhance capabilities but do not fully equalize opportunities between people with and without impairments.

    Fulltekst (pdf)
    fulltext
  • 23.
    Borg, Johan
    et al.
    Lunds universitet.
    Lindstroem, Anna
    Larsson, Stig
    Assistive technology in developing countries: national and international responsibilities to implement the Convention on the Rights of Persons with Disabilities2009Inngår i: The Lancet, ISSN 0140-6736, E-ISSN 1474-547X, Vol. 374, nr 9704, s. 1863-1865Artikkel i tidsskrift (Fagfellevurdert)
  • 24.
    Borg, Johan
    et al.
    Lunds universitet.
    Lindstrom, Anna
    Larsson, Stig
    Assistive technology in developing countries: a review from the perspective of the Convention on the Rights of Persons with Disabilities2011Inngår i: Prosthetics and Orthotics International, ISSN 0309-3646, E-ISSN 1746-1553, Vol. 35, nr 1, s. 20-29Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: The ‘Convention on the Rights of Persons with Disabilities’ (CRPD) requires governments to meet the assistive technology needs of citizens. However, the access to assistive technology in developing countries is severely limited, which is aggravated by a lack of related services. Objectives: To summarize current knowledge on assistive technology for low- and lower-middle-income countries published in 1995 or later, and to provide recommendations that facilitate implementation of the CRPD. Study design: Literature review. Methods: Literature was searched in web-based databases and reference lists. Studies carried out in low- and lower-middle-income countries, or addressing assistive technology for such countries, were included. Results: The 52 included articles are dominated by product oriented research on leg prostheses and manual wheelchairs. Less has been published on hearing aids and virtually nothing on the broad range of other types of assistive technology. Conclusions: To support effective implementation of the CRPD in these countries, there is a need for actions and research related particularly to policies, service delivery, outcomes and international cooperation, but also to product development and production.

  • 25.
    Borg, Johan
    et al.
    Lunds universitet.
    Ostergren, Per-Olof
    Users’ perspectives on the provision of assistive technologies in Bangladesh: awareness, providers, costs and barriers2015Inngår i: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 10, nr 4, s. 301-308Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose: The purpose of this work was to contribute to a better understanding of challenges and solutions to equitable provision of assistive technologies in resource limited environments by (i) describing sources of awareness, types of providers and costs of assistive technologies; (ii) describing common reasons for not possessing assistive technologies; and (iii) comparing these sources, providers, costs and reasons among younger and older men and women living in urban and rural settings. Methods: Descriptive and analytic statistics were used to analyze crosssectional data from a total sample of 581 hearing aid users, wheelchair users, individuals with hearing impairments not using hearing aids and individuals with ambulatory impairments not using wheelchairs living in eight districts of Bangladesh. Results: Major sources of awareness, types of providers and costs paid varied between users of different types of assistive technology. Lack of affordability was the main reason for not possessing assistive technology. Outcome differences were found between younger and older groups, men and women, and literate and illiterate respondents, while no differences related to place of living were identified. Conclusions: Age, gender, type of impairment and socioeconomic status need to be considered when planning and implementing equitable provision of assistive technologies.

  • 26.
    Borg, Johan
    et al.
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap.
    Shae, Kylie
    Access to Assistive Technology (ATA), Medicines and Health Products, World Health Organization, Geneva, Switzerland (CH).
    Harnessing the potential of digital health for assistive technology.2024Inngår i: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Worldwide, one out of every three individuals requires assistive products to enjoy and exercise their human rights. In certain nations, only 3% have access to the assistive products they need. Digital technology, and specifically digital health interventions, stands as a powerful solution to improve access and maximize the benefits for users, their families, service providers, and society. Digital health interventions can enable user engagement, support service planning and monitoring, streamline procurement and stock management, boost service efficiency and coverage, and provide avenues for workforce competency development. By harnessing the potential of digital health, universal access to assistive technology can be accelerated.

    Fulltekst (pdf)
    fulltext
  • 27.
    Borg, Johan
    et al.
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap.
    Winberg, Mikael
    Department of Science and Mathematics Education, Umeå University, 90187 Umeå, Sweden.
    Eide, Arne H
    Department of Health Research, SINTEF Digital, 0373 Oslo, Norway.
    Calvo, Irene
    Assistive Technology Access Team, Health Product Policy and Standards Department, World Health Organization, 1211 Geneva, Switzerland.
    Khasnabis, Chapal
    Assistive Technology Access Team, Health Product Policy and Standards Department, World Health Organization, 1211 Geneva, Switzerland.
    Zhang, Wei
    Assistive Technology Access Team, Health Product Policy and Standards Department, World Health Organization, 1211 Geneva, Switzerland.
    On the Relation between Assistive Technology System Elements and Access to Assistive Products Based on 20 Country Surveys2023Inngår i: Healthcare, E-ISSN 2227-9032, Vol. 11, nr 9, artikkel-id 1313Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The objective of this study was to explore the relationship between assistive technology system elements and access to assistive products. Data on assistive technology system elements and self-reported survey data on access to assistive products from 20 countries were analyzed using multivariate statistical methods, including orthogonal partial least squares analyses. Access to assistive products was primarily associated with the geographic coverage of assistive technology services in a country, followed by system elements related to policy and personnel. To achieve universal access to assistive technology, geographic coverage of assistive technology services is an instrumental system element. However, it requires the implementation of appropriate policies along with sufficient funding, recruitment of adequately trained personnel, and availability of assistive products in need.

    Fulltekst (pdf)
    fulltext
  • 28.
    Borg, Johan
    et al.
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap.
    Zhang, Wei
    World Health Organization, Geneva, Switzerland.
    Assistive Technology Needs, Use and Experiences among Adults in Sweden Based on a Representative Survey2022Inngår i: ICCHP-AAATE 2022 Open Access Compendium: Assistive Technology, Accessibility and (e)Inclusion / [ed] Petz, Andrea; Hoogerwerf, Evert-Jan; Mavrou, Katerina, Linz: Association ICCHP , 2022, s. 101-107Konferansepaper (Fagfellevurdert)
    Abstract [en]

    The objective of the study was to estimate the prevalence of needs for and use of assistive products, and experiences of assistive technology among adults under COVID-19 pandemic circumstances in Sweden. Mainly during June 2021, a nationally representative telephone survey was conducted to collect data through an adapted version of the WHO rapid Assistive Technology Assessment (rATA) questionnaire. Including spectacles, the prevalence of needing at least one assistive product was 68.9% and the prevalence of using at least one assistive product was 68.1%. Excluding spectacles, these prevalence rates were 17.1% and 15.8%, respectively. The access rate was 89.7% including spectacles and 83.2% excluding spectacles. The impact of the pandemic on assistive technology provision appeared to be relatively small.

  • 29.
    Borg, Johan
    et al.
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap.
    Zhang, Wei
    Smith, Emma M.
    Holloway, Cathy
    Introduction to the companion papers to the global report on assistive technology2021Inngår i: Assistive technology, ISSN 1040-0435, E-ISSN 1949-3614, Vol. 33, nr sup1, s. 1-2Artikkel i tidsskrift (Fagfellevurdert)
  • 30.
    Borg, Johan
    et al.
    Lund University.
    Östergren, Per-Olof
    Larsson, Stig
    Rahman, A A
    Bari, Nazmul
    Khan, A N
    Assistive technology use is associated with reduced capability poverty: a cross-sectional study in Bangladesh2012Inngår i: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 7, nr 2, s. 112-121Artikkel i tidsskrift (Fagfellevurdert)
  • 31. Desmond, Deirdre
    et al.
    Layton, Natasha
    Bentley, Jacob
    Boot, Fleur Heleen
    Borg, Johan
    Lunds universitet.
    Dhungana, Bishnu Maya
    Gallagher, Pamela
    Gitlow, Lynn
    Gowran, Rosemary Joan
    Groce, Nora
    Mavrou, Katerina
    Mackeogh, Trish
    McDonald, Rachael
    Pettersson, Cecilia
    Scherer, Marcia J.
    Assistive technology and people: a position paper from the first global research, innovation and education on assistive technology (GREAT) summit2018Inngår i: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 13, nr 5, s. 437-444Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Assistive technology (AT) is a powerful enabler of participation. The World Health Organization’s Global Collaboration on Assistive Technology (GATE) programme is actively working towards access to assistive technology for all. Developed through collaborative work as a part of the Global Research, Innovation and Education on Assistive Technology (GREAT) Summit, this position paper provides a “state of the science” view of AT users, conceptualized as “People” within the set of GATE strategic “P” s. People are at the core of policy, products, personnel and provision. AT is an interface between the person and the life they would like to lead. People’s preferences, perspectives and goals are fundamental to defining and determining the success of AT. Maximizing the impact of AT in enabling participation requires an individualized and holistic understanding of the value and meaning of AT for the individual, taking a universal model perspective, focusing on the person, in context, and then considering the condition and/or the technology. This paper aims to situate and emphasize people at the centre of AT systems: we highlight personal meanings and perspectives on AT use and consider the role of advocacy, empowerment and co-design in developing and driving AT processes.

    Fulltekst (pdf)
    fulltext
  • 32. Eide, A. H.
    et al.
    Muller, S.
    Zhang, W.
    Khasnabis, C.
    Antypas, K.
    Blakstad, M.
    Borg, Johan
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap.
    Barriers for Accessing Assistive Products in Low- and Middle-Income Countries (LMICs)2023Inngår i: Studies in Health Technology and Informatics, ISSN 0926-9630, E-ISSN 1879-8365, Vol. 306, s. 297-302Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    WHO implemented the Rapid Assistive Technology Assessment in 2021. This is a household survey on self-reported use, need and barriers for accessing AT in 35 countries globally. In order to obtain comparable data, all surveys followed guidelines developed by WHO, including national two-stage random sampling of households. The 2021 rATA survey included 32 of a total of 140 LMICs globally. Around 40 % of the total respondents (all countries) estimated travel distance to be <5 km, varying from less than 10 % to almost 60 % among the countries. Around 15 % had to travel more than 50 km, varying from 1.3 % to 37.5 %. More individuals living in rural as compared to urban areas had to travel more than 25 km to get their main assistive product. Gender differences were marginal. By far the most prevalent barrier to access assistive products was "Cannot afford", amounting to 39.9% and varying from 6.7 % to 79.1 % among countries. This was followed by "No support" with 14.3 %, varying from 2.3 % to 36.9 %, and "Not available" with 8.1 %, varying from 1 % to 21.5 %. More barriers were reported in rural than urban areas and women report more barriers than men. Variation between countries in both travel time and barriers is substantial and country-specific service development is needed to guide service development.

  • 33. Eide, Arne
    et al.
    Müller, Sebastien
    Khasnabis, Chapal
    Borg, Johan
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap.
    Blakstad, M
    Mannan, H
    Antypas, K
    Loeb, M
    Zhang, Wei
    Assistive technology for older persons – analyses of data from WHO's rapid assistive technology assessment2022Inngår i: Gerontechnology, ISSN 1569-1101, E-ISSN 1569-111X, Vol. 21Artikkel i tidsskrift (Fagfellevurdert)
  • 34. Ekman, Björn
    et al.
    Borg, Johan
    Lunds universitet.
    Provision of hearing aids to children in Bangladesh: costs and cost-effectiveness of a community-based and a centre-based approach2017Inngår i: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 12, nr 6, s. 625-630Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose: The aim of this study is to provide evidence on the costs and health effects of two alternative hearing aid delivery models, a community-based and a centre-based approach. The study is set in Bangladesh and the study population is children between 12 and 18 years old. Methods: Data on resource use by participants and their caregivers were collected by a household survey. Follow-up data were collected after two months. Data on the costs to providers of the two approaches were collected by means of key informant interviews. Results: The total cost per participant in the community-based model was BDT 6,333 (USD 79) compared with BDT 13,718 (USD 172) for the centre-based model. Both delivery models are found to be cost-effective with an estimated cost per DALY averted of BDT 17,611 (USD 220) for the community-based model and BDT 36,775 (USD 460) for the centre-based model. Conclusions: Using a community-based approach to deliver hearing aids to children in a resource constrained environment is a cost-effective alternative to the traditional centre-based approach. Further evidence is needed to draw conclusions for scale-up of approaches; rigorous analysis is possible using well-prepared data collection tools and working closely with sector professionals.

  • 35.
    Ekman, Björn
    et al.
    Lund University.
    Borg, Johan
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Medicinsk vetenskap.
    Khan, AHM Noman
    Centre for Disability in Development, Dhaka, Bangladesh.
    Bari, Nazmul
    Centre for Disability in Development, Dhaka, Bangladesh.
    Tanbir, Moin
    Centre for Disability in Development, Dhaka, Bangladesh.
    Emmelin, Maria
    Lund University.
    Disability, Sociodemographics, and Discrimination: A Descriptive Analysis of Household Survey Data from Bangladesh2020Inngår i: Disability, CBR & Inclusive Development, E-ISSN 2211-5242, Vol. 31, nr 3, s. 6-22, artikkel-id 424Artikkel i tidsskrift (Fagfellevurdert)
    Fulltekst (pdf)
    fulltext
  • 36. Garcon, Loic
    et al.
    Khasnabis, Chapal
    Walker, Lloyd
    Nakatani, Yukiko
    Lapitan, Jostacio
    Borg, Johan
    Lunds universitet.
    Ross, Alex
    Berumen, Adriana Velazquez
    Medical and assistive health technology: Meeting the needs of aging populations2016Inngår i: The Gerontologist, ISSN 0016-9013, E-ISSN 1758-5341, Vol. 56, nr S2, s. S293-S302Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose of the Study: To identify policy gaps in the delivery and availability of assistive health technology (AHT) and medical devices (MD) for aging populations, particularly in low-and middle-income countries (LMICs). Design and Methods: The findings presented in this paper are the results of several narrative overviews. They provide a contextual analysis of the conclusions and evidence from WHO commissioned research and expert consultations in 2013 and 2014, as well as a synthesis of literature reviews conducted on AHT and MD. Results: Practical, life-enhancing support for older people through AHT, MD, and related health and social services is a neglected issue. This is particularly so in LMICs where the biggest increases in aging populations are occurring, and yet where there is commonly little or no access to these vital components of healthy aging. Implications: Health technologies, especially medical and assistive health technology, are essential to ensure older people’s dignity and autonomy, but their current and potential benefits have received little recognition in LMICs. Viewing these technologies as relevant only to disabled people is an inadequate approach. They should be accessible to both older adults with disabilities and older adults with functional limitation. Many countries need much greater official awareness of older adults’ needs and preferences. Such attitudinal changes should then be reflected in laws and regulations to address the specificities of care for older people.

  • 37. Kamaraj, Deepan C.
    et al.
    Bray, Nathan
    Rispin, Karen
    Kankipati, Padmaja
    Pearlman, Jonathan
    Borg, Johan
    Lunds universitet.
    A conceptual framework to assess effectiveness in wheelchair provision2017Inngår i: African Journal of Disability, ISSN 2223-9170, E-ISSN 2226-7220, Vol. 6, artikkel-id a355Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Currently, inadequate wheelchair provision has forced many people with disabilities to be trapped in a cycle of poverty and deprivation, limiting their ability to access education, work and social facilities. This issue is in part because of the lack of collaboration among various stakeholders who need to work together to design, manufacture and deliver such assistive mobility devices. This in turn has led to inadequate evidence about intervention effectiveness, disability prevalence and subsequent costeffectiveness that would help facilitate appropriate provision and support for people with disabilities. Objectives: In this paper, we describe a novel conceptual framework that can be tested across the globe to study and evaluate the effectiveness of wheelchair provision. Method: The Comparative Effectiveness Research Subcommittee (CER-SC), consisting of the authors of this article, housed within the Evidence-Based Practice Working Group (EBP-WG) of the International Society of Wheelchair Professionals (ISWP), conducted a scoping review of scientific literature and standard practices used during wheelchair service provision. The literature review was followed by a series of discussion groups. Results: The three iterations of the conceptual framework are described in this manuscript. Conclusion: We believe that adoption of this conceptual framework could have broad applications in wheelchair provision globally to develop evidence-based practices. Such a perspective will help in the comparison of different strategies employed in wheelchair provision and further improve clinical guidelines. Further work is being conducted to test the efficacy of this conceptual framework to evaluate effectiveness of wheelchair service provision in various settings across the globe.

    Fulltekst (pdf)
    fulltext
  • 38. Layton, Natasha
    et al.
    Bell, Diane
    Steel, Emily
    Borg, Johan
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Medicinsk vetenskap.
    MacLachlan, Malcolm
    Tebbutt, Emma
    Khasnabis, Chapal
    Swaminathan, Soumya
    Assistive technology as a pillar of universal health coverage: qualitative analysis of stakeholder responses to the world health assembly resolution on assistive technology2020Inngår i: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 15, nr 7, s. 825-831Artikkel i tidsskrift (Fagfellevurdert)
  • 39. Layton, Natasha
    et al.
    Borg, Johan
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap.
    Assistive technology and the wellbeing of societies from a capabilities approach2023Inngår i: Societies, E-ISSN 2075-4698, Vol. 13, nr 2, s. 19-19Artikkel i tidsskrift (Annet vitenskapelig)
    Fulltekst (pdf)
    fulltext
  • 40. Layton, Natasha
    et al.
    Borg, JohanHögskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Medicinsk vetenskap.
    Global perspectives on assistive technology: Global perspectives on assistive technology: proceedings of the GReAT Consultation 2019, World Health Organization, Geneva, Switzerland, 22–23 August 2019. Volume 12019Konferanseproceedings (Fagfellevurdert)
  • 41. Layton, Natasha
    et al.
    Borg, JohanHögskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Medicinsk vetenskap.
    Global perspectives on assistive technology: Global perspectives on assistive technology: proceedings of the GReAT Consultation 2019, World Health Organization, Geneva, Switzerland, 22–23 August 2019. Volume 22019Konferanseproceedings (Fagfellevurdert)
  • 42. MacLachlan, Malcolm
    et al.
    Banes, David
    Bell, Diane
    Borg, Johan
    Lunds universitet.
    Donnelly, Brian
    Fembek, Michael
    Ghosh, Ritu
    Gowran, Rosemary Joan
    Geiser, Priscille
    Hooks, Hilary
    Assistive technology policy: a position paper from the first global research, innovation, and education on assistive technology (GREAT) summit2018Inngår i: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 13, nr 5, SI, s. 454-466Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Increased awareness, interest and use of assistive technology (AT) presents substantial opportunities for many citizens to become, or continue being, meaningful participants in society. However, there is a significant shortfall between the need for and provision of AT, and this is patterned by a range of social, demographic and structural factors. To seize the opportunity that assistive technology offers, regional, national and sub-national assistive technology policies are urgently required. This paper was developed for and through discussion at the Global Research, Innovation and Education on Assistive Technology (GREAT) Summit; organized under the auspices of the World Health Organization’s Global Collaboration on Assistive Technology (GATE) program. It outlines some of the key principles that AT polices should address and recognizes that AT policy should be tailored to the realities of the contexts and resources available. AT policy should be developed as a part of the evolution of related policy across a number of different sectors and should have clear and direct links to AT as mediators and moderators for achieving the Sustainable Development Goals. The consultation process, development and implementation of policy should be fully inclusive of AT users, and their representative organizations, be across the lifespan, and imbued with a strong systems-thinking ethos. Six barriers are identified which funnel and diminish access to AT and are addressed systematically within this paper. We illustrate an example of good practice through a case study of AT services in Norway, and we note the challenges experienced in less well-resourced settings. A number of economic factors relating to AT and economic arguments for promoting AT use are also discussed. To address policy-development the importance of active citizenship and advocacy, the need to find mechanisms to scale up good community practices to a higher level, and the importance of political engagement for the policy process, are highlighted. Policy should be evidence-informed and allowed for evidence-making; however, it is important to account for other factors within the given context in order for policy to be practical, authentic and actionable. IMPLICATIONS FOR REHABILITATION The development of policy in the area of asssitive technology is important to provide an overarching vision and outline resourcing priorities. This paper identifies some of the key themes that should be addressed when developing or revising assistive technology policy. Each country should establish a National Assistive Technology policy and develop a theory of change for its implementation.

    Fulltekst (pdf)
    fulltext
  • 43. Matter, Rebecca
    et al.
    Harniss, Mark
    Oderud, Tone
    Borg, Johan
    Lunds universitet.
    Eide, Arne H.
    Assistive technology in resource-limited environments: a scoping review2017Inngår i: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 12, nr 2, s. 105-114Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose: It is estimated that only 5-15% of people in low and middle income countries (LMICs) who need assistive technologies (AT) have access to them. This scoping review was conducted to provide a comprehensive picture of the current evidence base on AT within LMICs and other resource limited environments. Method: The scoping review involved locating evidence, extracting data, and summarizing characteristics of all included research publications. Results: Of the 252 publications included, over 80% focused on types of AT that address mobility (45.2%) and vision (35.5%) needs, with AT types of spectacles and prosthetics comprising over 50% of all publications. Evidence on AT that addresses hearing, communication, and cognition is the most underrepresented within the existing evidence base. The vast majority of study designs are observational (63%). Conclusions: Evidence on AT in resource-limited environments is limited in quantity and quality, and not evenly distributed across types of AT. To advance this field, we recommend using appropriate evidence review approaches that allow for heterogeneous study designs, and developing a common language by creating a typology of AT research focus areas. Funders and researchers must commit much greater resources to the AT field to ameliorate the paucity of evidence available.

  • 44.
    Mauritzson, Elin
    et al.
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Vårdvetenskap. Högskolan Dalarna, Institutionen för hälsa och välfärd, Omvårdnad.
    McKee, Kevin
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Socialt arbete.
    Elf, Marie
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Omvårdnad.
    Borg, Johan
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap.
    Perceptions and experiences of safety at home: a survey among older adults in Sweden2022Inngår i: 26th Nordic Congress of Gerontology. Abstracts: Change and continuity, 2022, s. 277-277Konferansepaper (Fagfellevurdert)
    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.

  • 45.
    Mauritzson, Elin
    et al.
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Vårdvetenskap. Högskolan Dalarna, Institutionen för hälsa och välfärd, Omvårdnad.
    McKee, Kevin
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Socialt arbete.
    Elf, Marie
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Omvårdnad.
    Borg, Johan
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap.
    Preventing accidents and injuries: older adults' experiences, worries, and preventive measures regarding home hazards2022Inngår i: 36th Annual Conference of the European Health Psychology Society. Abstracts: Charting new territories in health psychology, 2022, s. 707-707Konferansepaper (Fagfellevurdert)
  • 46.
    Mauritzson, Elin
    et al.
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Vårdvetenskap. Högskolan Dalarna, Institutionen för hälsa och välfärd, Omvårdnad.
    McKee, Kevin J
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Socialt arbete.
    Elf, Marie
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Omvårdnad.
    Borg, Johan
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap.
    Older Adults' Experiences, Worries and Preventive Measures Regarding Home Hazards: A Survey on Home Safety in Sweden2023Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 20, nr 2, artikkel-id 1458Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Home safety is important for preventing injuries and accidents among older adults living at home. Feeling safe at home is also essential for older adults' well-being. Thus, this study aimed to explore older adults' perceptions of safety in their homes by examining their experiences, worries and preventive measures in relation to a range of potential home-based health and safety hazards. The study was a national cross-sectional telephone survey of 400 randomly selected adults over 70 years of age living at home in ordinary housing in Sweden. Participants were asked for their experience of, worry about, and preventive measures taken regarding fifteen home hazards. Data were also collected on background variables including age, health, and cohabitation status. Falls and stab/cut injuries were the most experienced hazards and worry was highest for burglary and falls, while preventive measures were most common for fire and burglary. While older adults' experience and worry regarding home hazards were associated with preventive measures, these associations were not strong and other factors were associated with preventive behaviour. Further identification of the main determinants of older adults' preventive behaviour can contribute to policy for effectively reducing home accidents.

    Fulltekst (pdf)
    fulltext
  • 47.
    Nordin, Susanna
    et al.
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Omvårdnad.
    Saade, Sandra
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Omvårdnad.
    McKee, Kevin
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Socialt arbete.
    Elf, Marie
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Omvårdnad.
    Borg, Johan
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap.
    Digital homecare twin expectations among Swedish social service professionals – a qualitative study2024Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Digital homecare twin expectations among Swedish social service professionals – a qualitative study

    Background and purpose

    Designing care and support interventions that are tailored to the persons’ needs is essential to high-quality care and is increasingly recognised as associated with positive effects on the health and well-being of older adults and caregivers. In line with demographic trends observed in many countries, Sweden is confronted with a double demographic challenge where the proportion of older adults is increasing while the proportion of people of working age is decreasing. This will lead to a significant shortage of personnel within the sector of health and social care services by the year 2030 with the risk of deteriorations in the quality of care. This pressing situation underscores an urgent need for novel and innovative solutions in municipal homecare. Therefore, the purpose of this study was to identify expectations of social service professionals in Sweden concerning a digital homecare twin intended to support person-centeredness and enhance the working environment in homecare. A digital twin serves as a digital representation of assets, processes, and systems, which in the context of homecare includes older adults and their homes, as well as homecare services and personnel. This study constitutes an integral part of a broader research project aimed at the co-development and evaluation of a digital twin for homecare, which is based on Industry 4.0 technology. 

    Methods

    The present study adopted a qualitative design with four focus groups involving thirty participants working in municipal homecare in urban and rural locations. They represented a diverse spectrum of social service roles: homecare workers, planners, IT specialists, and managers across various levels of responsibility. During the two-hour focus group sessions, the participants discussed three topics: valuable aspects of homecare; knowledge needs for effective homecare delivery; and anticipations related to a digital twin. The focus group sessions were recorded, transcribed verbatim and analysed thematically. 

    Findings

    The analysis will be completed by the end of 2023 and the preliminary results will be presented at ECSWR 2024.

    Conclusions and implications

    The present study can contribute to valuable knowledge on how a digital twin can be used in homecare, and the results are expected to support person-centered homecare and increase job satisfaction for homecare workers. The main outcomes and their implications for practice and further research will be presented at ECSWR 2024. 

  • 48. Palm, Klas
    et al.
    Kronlid, Carl
    Brantnell, Anders
    Elf, Marie
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Omvårdnad.
    Borg, Johan
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap.
    Identifying and Addressing Barriers and Facilitators for the Implementation of Internet of Things in Distributed Care: Protocol for a Case Study2023Inngår i: JMIR Research Protocols, E-ISSN 1929-0748, Vol. 12, artikkel-id e44562Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: The internet of things (IoT) is recognized as a valuable approach to supporting health care to achieve quality and person-centered care. This study aims to identify the facilitators and barriers associated with implementing IoT solutions in health care within a Scandinavian context. It addresses the pressing need to adapt health care systems to the demographic changes occurring in Scandinavia. The vision of “Vision eHealth 2025,” a long-term strategic direction for digitalization in Sweden, serves as the background for this project. The implementation of IoT solutions is a crucial aspect of achieving the vision’s goal of making Sweden a global leader in using digitalization and eHealth opportunities by 2025. IoT is recognized as a valuable approach to supporting health care to achieve quality and person-centered care. Previous research has shown that there is a gap in our understanding of social and organizational challenges related to IoT and that the implementation and introduction of new technology in health care is often problematic.

    Objective: In this study, we will identify facilitating and hindering factors for the implementation of IoT solutions in social and health care.

    Methods: We will use an explorative design with a case study approach. The data collection will comprise questionnaires and qualitative interviews. Also, a literature review will be conducted at the start of the project. Thus, quantitative and qualitative data will be collected concurrently and integrated into a convergent mixed methods approach.

    Results: As of June 2023, data for the review and 22 interviews with the stakeholders have been performed. The co-design with stakeholders will be performed in the fall of 2023.

    Conclusions: This study represents a unique and innovative opportunity to gain new knowledge relevant and useful for future implementation of new technology at health care organizations so they can continue to offer high-quality, person-centered care. The outcomes of this research will contribute to a better understanding of the conditions necessary to implement and fully use the potential of IoT solutions. By developing cocreated implementation strategies, the study seeks to bridge the gap between theory and practice. Ultimately, this project aims to facilitate the adoption of IoT solutions in health care for promoting improved patient care and using technology to meet the evolving needs of health care.

    Fulltekst (pdf)
    fulltext
  • 49.
    Saade, Sandra
    et al.
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Omvårdnad.
    Nordin, Susanna
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Omvårdnad.
    McKee, Kevin
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Socialt arbete.
    Elf, Marie
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Omvårdnad.
    Borg, Johan
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap.
    Digital twin of homecare services in Sweden- views of older adults2024Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Background and purpose

    The older population is steadily increasing globally and in Sweden and there is a fear that dwindling human and financial resources will not be sufficient to provide high-quality person-centred homecare in the near future. To address this situation initiatives have been taken to use digital technologies as a part of the solution. To explore the potential of using artificial intelligence-supported Industry 4.0 technology in the homecare setting, a research project was initiated in Sweden. This study aimed to identify preferences and expectations of older homecare users for a digital homecare twin to facilitate ageing in place and is an integral part of the project. A digital twin in this context is a digital representation of homecare clients and their homes, as well as homecare services and personnel, which is informed by sensor data. Sensor data may include information on older adults’ daily life in real time, their movement patterns and behaviors, as well as information on deviations in health indicators. It is believed that a digital twin with this kind of data, has the potential to add value for older people. The digital twin can lead to a better understanding of the homecare system and identifying areas for improvement. The digital twin is expected to support the homecare services and lead to more personalized services, and thereby improve homecare user satisfaction.  

    Methods

    This study employs a qualitative strategy in which focus groups discussions are conducted in two municipalities in Sweden, involving a total of 24 older homecare users. The participants represent people of various age and gender, with diverse living and housing situations as well as homecare needs. During the two-hour focus group sessions, the participants discuss valued outcomes of homecare services, how a digital twin can help with reaching valued outcomes, and preferences and expectations for a digital homecare twin. The focus groups are recorded, transcribed and analyzed thematically. 

    Findings

    The analysis will be completed by the end of 2023 and the results will be presented at ECSWR 2024.

    Conclusions and implications

    This study explores the potential of digital twins in homecare services by capturing the voices and preferences of older adults to tailor specific solutions. Employing focus group discussions will engage older adults in expressing their needs and concerns which later can be incorporated into the development of personalized digital twins.  The main outcomes of the study and their implications for practice and further research will be added once the findings are ready. 

  • 50. 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 parties2019Inngår i: Global perspectives on assistive technology: proceedings of the GReAT Consultation 2019 / [ed] Natasha Layton, Johan Borg, 2019, s. 350-361Konferansepaper (Fagfellevurdert)
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