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  • 1. Gunnarsson, Kristina
    et al.
    Andersson, Ing-Marie
    Högskolan Dalarna, Akademin Industri och samhälle, Arbetsvetenskap.
    Josefsson, Malin
    Swedish entrepreneurs’ use of occupational health ervices2011Ingår i: AAOHN Journal, ISSN 1938-2448, Vol. 59, nr 10, s. 437-445Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Small-scale enterprises are less often covered by occupational health services and have insufficient awareness about health and risks in the work environment. This study investigated how Swedish entrepreneurs in small-scale enterprises use occupational health services. The study used a questionnaire sent in two waves, 5 years apart. At baseline, 496 entrepreneurs responded, and 251 participated 5 years later. The questionnaire included items about affiliation with and use of occupational health services, physical and psychosocial work environments, work environment management, sources of work environment information, and membership in professional networks. Only 3% of entrepreneurs without employees and 19% of entrepreneurs with employees were affiliated with an occupational health service. Entrepreneurs affiliated with occupational health services were more active in work environment management and gathering information about the work environment. The occupational health services most used were health examinations, health care, and ergonomic risk assessments. Affiliation with occupational health services was 6% at both measurements, 4% at baseline, and 10% 5 years later.

  • 2.
    Matérne, Marie
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Lundqvist, Lars-Olov
    Örebro universitet, Institutionen för hälsovetenskaper.
    Strandberg, Thomas
    Örebro universitet, Institutionen för juridik, psykologi och socialt arbete.
    Opportunities and barriers for successful return to work after acquired brain injury: A patient perspective2017Ingår i: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 56, nr 1, s. 125-134Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Many people who suffer an acquired brain injury (ABI) are of working age. There are benefits, for the patient, the workplace, and society, to finding factors that facilitate successful return to work (RTW).

    Objective: The aim was to increase knowledge of opportunities and barriers for a successful RTW in patients with ABI.

    Method: Five men and five women with ABI participated. All had successfully returned to work at least 20 hours a week. Their experiences were gathered by semi-structured interviews, which were subsequently subjected to qualitative content analysis.

    Results: Three themes that influenced RTW were identified: individually adapted rehabilitation; motivation for RTW; and cognitive and social abilities. An individually adapted rehabilitation was judged important because the patients were involved in their own rehabilitation and required individually adapted support from rehabilitation specialists, employers, and colleagues. A moderate level of motivation for RTW was needed. Awareness of the person's cognitive and social abilities is essential, in finding compensatory strategies and adaptations.

    Conclusions: It seems that the vocational rehabilitation process is a balancing act in individualized planning and support, as a partnership with the employer needs to be developed, motivation needs to be generated, and awareness built of abilities that facilitate or hinder RTW.

  • 3.
    Matérne, Marie
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Strandberg, Thomas
    Örebro universitet, Institutionen för juridik, psykologi och socialt arbete.
    Lundqvist, Lars-Olov
    Örebro universitet, Institutionen för juridik, psykologi och socialt arbete.
    Change in quality of life in relation to returning to work after acquired brain injury: a population-based register study2018Ingår i: Brain Injury, ISSN 0269-9052, E-ISSN 1362-301X, Vol. 32, nr 13-14, s. 1731-1739Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    PURPOSE: This study investigated changes in quality of life (QoL) in relation to return to work among patients with acquired brain injury (ABI).

    METHOD: The sample consisted of 1487 patients with ABI (63% men) aged 18-66 years (mean age 52) from the WebRehab Sweden national quality register database. Only patients who worked at least 50% at admission to hospital and were on full sick leave at discharge from hospital were included. QoL was measured by the EuroQol EQ-5D questionnaire.

    RESULTS: Patients who returned to work perceived a larger improvement in QoL from discharge to follow-up one year after injury compared to patients who had not returned to work. This difference remained after adjustment for other factors associated with improved QoL, such as having a university education, increased Extended Glasgow Outcome Scale scores and getting one's driving licence reinstated.

    CONCLUSION: Return to work is an important factor for change in QoL among patients with ABI, even after adjusting for other factors related to QoL. This is consistent with the hypothesis that having employment is meaningful, increases self-esteem and fosters participation in society. Thus, helping patients with ABI return to work has a positive influence on QoL.

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  • 4.
    Matérne, Marie
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Strandberg, Thomas
    Örebro universitet, Institutionen för juridik, psykologi och socialt arbete.
    Lundqvist, Lars-Olov
    Örebro universitet, Institutionen för hälsovetenskaper.
    Opportunities and barriers for successful return to work after acquired brain injury: A client perspective2015Konferensbidrag (Övrigt vetenskapligt)
    Abstract [en]

    Research aim

    The aim of this study was to increase our knowledge about the opportunities and barriers for successfully return to work (RTW) among individuals with acquired brain injury (ABI).

    Methodology

    Adults who have ABI were interviewed in regard to their experiences of the work rehabilitation process. The informants (5 females, 5 males) had participated in a work rehabilitation, had successfully RTW and had worked at least 50 % in at least a year after the injury. The interviews were transcribed, structured and analyzed by latent content analysis with a hermeneutic approach.

    Findings and conclusions

    Three main themes that influenced RTW after ABI were identified: (i) individually adapted rehabilitation process, (ii) motivation for RTW and (iii) cognitive abilities and inabilities.

    The findings indicated that an individually adapted vocational rehabilitation (VR) process was important because the individuals with ABI involved actively in their own rehabilitation process and they required continuous support from the society, the specialists, their employers and colleagues. A moderate level of motivation for RTW was necessary to achieve the best result for RTW and it was important to achieve a balance between too high and too low motivation. Finally, a comprehensive knowledge about the cognitive abilities and inabilities of the individual after ABI helped the individuals and their employers to find compensatory strategies to handle their work tasks.

    One implication of the findings was the necessity of a good support system and a good VR that functions well and lasts for a longer period. When there are obstacles in the VR process, it is important to have strategies and awareness of how to proceed further.

    Consequently the support built for a person individually, with a balanced motivation, a high knowledge about the cognitive abilities and awareness of how to proceed further in the process will help to build a successful and sustainable RTW.

     

  • 5. Ramsten, C.
    et al.
    Martin, L.
    Dag, M.
    Marmstål Hammar, Lena
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    A balance of social inclusion and risks: Staff perceptions of information and communication technology in the daily life of young adults with mild to moderate intellectual disability in a social care context2019Ingår i: Journal of Policy and Practice in Intellectual Disabilities, ISSN 1741-1122, E-ISSN 1741-1130, Vol. 16, nr 3, s. 171-179Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Information and communication technology (ICT) has increased in importance and facilitates participation in several life areas throughout society. However, young adults with mild to moderate intellectual disability make less use ICT than the general population. Disability services staff play a central role in supporting and enabling service users in daily life, and their perceptions of ICT are important to their role in service provision. The aim of the study is to describe staff perceptions of the role of ICT and how it affects daily life in young adults with mild to moderate intellectual disability living in residential homes. Focus group interviews and individual interviews were conducted with staff working in residential homes in which young adults with mild to moderate intellectual disability live. All materials were transcribed verbatim and analyzed using latent content analysis. Staff perceived ICT and, more specifically, the Internet as being supportive of both daily life and social relationships of these young adults, but they also viewed ICT as posing social risks. Perceptions of and support for ICT were related to staff perceptions about what is appropriate and manageable in relation to an individual resident's functioning level. Staff members also considered the views of parents about appropriate content when providing support. Staff in residential homes for young adults with mild to moderate intellectual disability use their implicit moral judgment about the use of ICT by residents. Their enablement of and support for ICT are not primarily based on the service user's wishes or interests. This finding implies a risk that the organization of a conflict-free service provision is a higher priority than service users' participation in social life.

  • 6.
    Strandberg, Thomas
    et al.
    Örebro universitet, Institutionen för juridik, psykologi och socialt arbete.
    Möller, Kerstin
    Örebro universitet, Institutionen för hälsovetenskaper.
    Widén, Stephen
    Örebro universitet, Institutionen för hälsovetenskaper.
    Doctoral theses within the Swedish Institute for Disability Research 2000-2012: A review of content and interdisciplinarity2017Ingår i: International Journal of Health Sciences, ISSN 2372-5060, Vol. 5, nr 2, s. 1-10Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

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