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Title [sv]
Hantera tid vid demens: Effekter av tidshjälpmedel på tidsuppfattning, tidshantering i vardagen och välbefinnande hos personer med demens
Publications (5 of 5) Show all publications
Persson, A.-C., Möller, M. C., Dahlberg, L., Löfgren, M. & Janeslätt, G. (2023). Assessing time processing ability and daily time management in persons with dementia: Psychometric properties of three instruments.. Australian Occupational Therapy Journal, 70(1), 3-17
Open this publication in new window or tab >>Assessing time processing ability and daily time management in persons with dementia: Psychometric properties of three instruments.
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2023 (English)In: Australian Occupational Therapy Journal, ISSN 0045-0766, E-ISSN 1440-1630, Vol. 70, no 1, p. 3-17Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: Persons with dementia experience time-related problems, but there is a lack of instruments evaluating their time processing ability and daily time management. This study aimed to evaluate the psychometric properties of the instruments KaTid®-Senior measuring time processing ability, and Time-S© Senior and Time-Proxy© measuring daily time management for persons with dementia.

METHODS: Persons with dementia (n = 53) and their significant others (n = 49) participated in the study. Rasch analyses were used to evaluate the instruments' rating scale functioning; internal scale validity; person-response validity; unidimensionality; person-separation reliability; and internal consistency. Versions excluding items with poor fit to the Rasch model were also evaluated.

RESULTS: Overall, the Rasch analyses showed acceptable psychometric properties. All instruments met the criteria for unidimensionality and the reliability was good. More challenging items should be added in KaTid-Senior for better targeting of persons with mild dementia. Person-response validity issues in Time-S Senior need to be addressed.

CONCLUSION: The instruments can validly and reliably be used to assess time processing ability and daily time management in persons with dementia in clinical research and healthcare settings. In turn, this can contribute to the development of methods to compensate for impaired time processing ability and daily time management. The assessments can also increase the possibility of early detection of impaired time processing ability and daily time management, thereby facilitating adequate timing of interventions and enhanced occupational performance.

Keywords
Alzheimer's disease, cognition, measurement, time orientation, time perception
National Category
Health Sciences
Identifiers
urn:nbn:se:du-41822 (URN)10.1111/1440-1630.12827 (DOI)000818586600001 ()35769002 (PubMedID)2-s2.0-85126874470 (Scopus ID)
Available from: 2022-07-05 Created: 2022-07-05 Last updated: 2023-03-17Bibliographically approved
Persson, A.-C., Dahlberg, L., Janeslätt, G., Möller, M. & Löfgren, M. (2023). Daily time management in dementia: qualitative interviews with persons with dementia and their significant others. BMC Geriatrics, 23(1), Article ID 405.
Open this publication in new window or tab >>Daily time management in dementia: qualitative interviews with persons with dementia and their significant others
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2023 (English)In: BMC Geriatrics, E-ISSN 1471-2318, Vol. 23, no 1, article id 405Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Persons with dementia encounter time-related problems and significant others often need to provide support in daily time management and use of time assistive technology (AT). Further research has been requested on how time AT for persons with dementia affects the situation of significant others. Moreover, there are a few previous qualitative studies on the experiences of time AT by persons with dementia. This study explores the experiences of persons with dementia and significant others in daily time management and their perceptions on how time AT affects everyday life.

METHOD: Semi-structured interviews with persons with mild to moderate dementia (n = 6) and significant others (n = 9) were conducted three months after receiving prescribed time AT. Interviews were analysed using qualitative content analysis.

RESULTS: A main category "Support by significant others is always part of daily time management", and three categories "Facing new challenges", "Using strategies to handle changes", and "Time assistive technology in daily life" illustrated that significant others provided support for daily time management in all phases of dementia. This support was often embedded in other kinds of support for emerging challenges. Support in time management was needed from an early stage in dementia, and responsibility for time management was gradually transferred to significant others. Time AT could support time orientation and were important for sharing the time management conducted by others but did not enable independent time management.

CONCLUSIONS: Time-related assessments and interventions should be offered at an early stage of dementia to increase the possibility of maintaining daily time management skills. Using time AT to communicate time might increase agency and participation in daily occupations for persons with dementia. Given the central role of significant others for daily time management, the society needs to adequately support persons with dementia lacking support from significant others.

Keywords
Agency, Assistive technology, Informal care, Older adults, Participation, Qualitative research, Strategies
National Category
Occupational Therapy
Identifiers
urn:nbn:se:du-46426 (URN)10.1186/s12877-023-04032-8 (DOI)001021486400002 ()37400773 (PubMedID)2-s2.0-85163959717 (Scopus ID)
Available from: 2023-07-11 Created: 2023-07-11 Last updated: 2024-07-04Bibliographically approved
Persson, A.-C. -., Janeslätt, G., Dahlberg, L., Löfgren, M. & Möller, M. (2022). Associations between Time Processing Ability, Daily Time Management, and Dementia Severity. International Journal of Environmental Research and Public Health, 19(7), Article ID 3928.
Open this publication in new window or tab >>Associations between Time Processing Ability, Daily Time Management, and Dementia Severity
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2022 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, no 7, article id 3928Article in journal (Refereed) Published
Abstract [en]

This study investigated associations between time processing ability (TPA), daily time management (DTM), and dementia severity. Persons with dementia (PwDs) (n = 53) and their significant others (n = 49) participated in this cross-sectional study. Bivariate analyses were used to investigate associations between TPA and DTM and the dementia severity. Linear regression models were used to further predict the contribution of the subtests in the Mini Mental State Examination (MMSE) for TPA results. The results showed significant correlations between TPA and dementia severity, where visuospatial functions were the most highly correlated. TPA also showed a significant correlation to proxy-rated DTM. In addition, proxy-rated DTM was significantly correlated with dementia severity and PwDs’ own self-ratings of their DTM. Knowledge of the association between TPA, dementia severity, and visuospatial functions can enable early detection of TPA impairments. For a comprehensive assessment of TPA and DTM, objective measures should be used in combination with self-ratings and proxy-ratings. The findings can be used in clinical research and healthcare settings to develop methods to compensate for impaired TPA and support DTM in PwDs. © 2022 by the authors. Licensee MDPI, Basel, Switzerland.

Place, publisher, year, edition, pages
MDPI, 2022
Keywords
Alzheimer’s disease, Attention, Cognition, Elderly, Memory assessment, MMSE, Time management, Time orientation, Time perception, Visuospatial
National Category
Occupational Therapy Geriatrics
Identifiers
urn:nbn:se:du-41222 (URN)10.3390/ijerph19073928 (DOI)000781790200001 ()35409618 (PubMedID)2-s2.0-85126846490 (Scopus ID)
Available from: 2022-04-08 Created: 2022-04-08 Last updated: 2023-04-14Bibliographically approved
Dsouza, S. A., Ramachandran, M., Nishiura, Y., Venkatesh, B. T. & Dahlberg, L. (2021). Assessment of time-related deficits in older adults: a scoping review protocol.. BMJ Open, 11(9), Article ID e050521.
Open this publication in new window or tab >>Assessment of time-related deficits in older adults: a scoping review protocol.
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2021 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 11, no 9, article id e050521Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: People with cognitive impairments often have difficulties in managing their time for daily activities. In older adults with cognitive impairments such as dementia and stroke, these may present as disorientation, poor time awareness, time perception, daily time management and so on. Time-related deficits and associated behaviours impede independent living and add considerably to caregiver strain. Several interventions are being investigated to help people with cognitive impairments orient and navigate time and do their daily activities. The provision of interventions requires the use of sound assessment tools. However, it is not clear how time-related concepts are specifically evaluated in practice, what are the available assessments and how these assessments should be selected.

METHOD AND ANALYSIS: This protocol follows the Joanna Briggs Institute Reviewer's Manual (2020) for scoping reviews and is registered with the Open Science Framework (https://osf.io/4ptgy/). We will include the following databases: PubMed, CINAHL, Scopus, Web of Science and PsycINFO. Two reviewers will independently screen eligible studies for inclusion against the selection criteria and then review the full-text of the selected studies. We will extract the bibliographic data, study design and setting, and details of assessments used in the studies to evaluate time-related concepts including format, mode and duration of administration, psychometric properties and so on. The identified assessments will be mapped with regard to time-related concepts being evaluated and described using narrative synthesis.

ETHICS AND DISSEMINATION: As secondary data analysis, ethics approval is not required for this scoping review. We plan to disseminate the results through peer-reviewed journals and conferences targeting health professionals working with older adults.

Keywords
delirium & cognitive disorders, dementia, parkinson-s disease, stroke
National Category
Nursing Geriatrics
Identifiers
urn:nbn:se:du-38337 (URN)10.1136/bmjopen-2021-050521 (DOI)000702261600023 ()34561261 (PubMedID)2-s2.0-85116133480 (Scopus ID)
Available from: 2021-09-29 Created: 2021-09-29 Last updated: 2023-08-28Bibliographically approved
Persson, A.-C., Boman, I.-L., Dahlberg, L., Janeslätt, G., Möller, M. C. & Löfgren, M. (2020). Lack of time and dependence on significant others: Occupational therapists´ experiences of prescribing time assistive technology for persons with dementia.. Scandinavian Journal of Occupational Therapy, 27(8), 614-624
Open this publication in new window or tab >>Lack of time and dependence on significant others: Occupational therapists´ experiences of prescribing time assistive technology for persons with dementia.
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2020 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 27, no 8, p. 614-624Article in journal (Refereed) Published
Abstract [en]

Background: There is lack of knowledge on how occupational therapists (OTs) assess daily time management (DTM) for persons with dementia (PwDs) and on which aspects affect prescription of time assistive technology (AT).Aim: To explore OTs' experiences of assessing the need for and prescribing time AT for PwDs.Material and methods: Focus group interviews with OTs that prescribe time AT for PwDs analyzed via qualitative content analysis.Results: A main category and four categories were identified. The categories illustrated a complex and time-consuming prescription process, which was facilitated if the PwD was supported by a significant other (SO). Support from a SO was especially important during implementation and follow-up. OTs had to take individual responsibility for staying informed about time AT. Organizational limitations and time constraints were barriers for OTs striving to work according to national prescription guidelines.Conclusions and significance: High demands are made on SO's participation during the prescription process. PwDs with no support from SOs are at risk not receiving or fully benefitting from time AT. To avoid inequalities, specific forms of support need to be developed and targeted at PwDs without SOs to ensure that they have sufficient opportunities to access and use time AT.

Keywords
Cognitive dysfunction, daily time management, memory investigation, self-help devices, strategies, time perception, time processing ability
National Category
Health Sciences
Research subject
Research Profiles 2009-2020, Health and Welfare
Identifiers
urn:nbn:se:du-32647 (URN)10.1080/11038128.2020.1751875 (DOI)000531982000001 ()32356475 (PubMedID)2-s2.0-85084366232 (Scopus ID)
Available from: 2020-05-07 Created: 2020-05-07 Last updated: 2023-01-27Bibliographically approved
Co-InvestigatorBorg, Johan
Co-InvestigatorDahlberg, Lena
Co-InvestigatorMcKee, Kevin
Period
Identifiers
DiVA, id: project:2597

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Forskningsprojekt Högskolan Dalarna