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  • 101.
    Nilsen, Charlotta
    et al.
    Aging Research Center, Karolinska Institutet and Stockholm University, Stockholm, Sweden; Stress Research Institute, Stockholm University, Stockholm, Sweden; Institute of Gerontology, Jönköping University, Jönköping, Sweden.
    Celeste, Roger K
    Department of Preventive and Social Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
    Lennartsson, Carin
    Aging Research Center, Karolinska Institutet and Stockholm University, Stockholm, Sweden; Swedish Institute for Social Research, Stockholm University, Stockholm, Sweden.
    McKee, Kevin
    Dalarna University, School of Health and Welfare, Social Work.
    Dahlberg, Lena
    Dalarna University, School of Health and Welfare, Social Work. Aging Research Center, Karolinska Institutet and Stockholm University, Stockholm, Sweden.
    Long-term risk factors for old-age social exclusion in Sweden: a 30-year longitudinal study2022In: Archives of gerontology and geriatrics (Print), ISSN 0167-4943, E-ISSN 1872-6976, Vol. 103, article id 104760Article in journal (Refereed)
    Abstract [en]

    PURPOSE OF THE RESEARCH: Social exclusion threatens quality of life in older age. However, there is a lack of research on social exclusion from life-course and gender perspectives. We investigated early- and midlife risk factors for old-age social exclusion among women and men.

    MATERIALS AND METHODS: Two individually linked studies of Swedish nationally representative samples provided longitudinal data over a 30-year period on 1,819 people at baseline. Indicators of economic exclusion, leisure/social exclusion, and civic exclusion were assessed at early late life (M=70 years) and late life (M=81). Educational attainment, non-employment, psychological health problems and mobility problems were measured as risk factors at midlife (M=54) and late midlife (M=61). Path analysis derived a model of old-age social exclusion.

    RESULTS: Exclusion on a domain in early late life led to exclusion on the same domain in late life, except for the economic domain. Leisure/social exclusion in early late life also led to civic exclusion in late life. Midlife risk factors influenced late-life exclusion almost exclusively through early late-life exclusion. While model fit could not be significantly improved by allowing coefficients to vary freely by gender, there was a stronger effect of non-employment on exclusion in women and a stronger effect of psychological health problems on exclusion in men.

    CONCLUSIONS: This study confirms that old-age exclusion is persistent and dynamic, and influenced by risk factors experienced earlier in life. A holistic approach with integrated efforts across different policy areas is needed to efficiently reduce old-age social exclusion.

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  • 102.
    Nordin, Susanna
    et al.
    Dalarna University, School of Health and Welfare, Caring Science/Nursing.
    Elf, Marie
    Dalarna University, School of Health and Welfare, Caring Science/Nursing.
    McKee, Kevin
    Dalarna University, School of Health and Welfare, Social Work.
    Development and initial validation of the staff perception of residential care environments (SPORE) instrument2024In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 19, no 1, article id e12596Article in journal (Refereed)
    Abstract [en]

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

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

    DESIGN: An instrument development and psychometric evaluation study.

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

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

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

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

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  • 103.
    Nordin, Susanna
    et al.
    Dalarna University, School of Health and Welfare, Caring Science/Nursing.
    McKee, Kevin
    Dalarna University, School of Health and Welfare, Social Work.
    Elf, Marie
    Dalarna University, School of Health and Welfare, Caring Science/Nursing.
    Exploring the design of physical environments for older adults – a qualitative study on staff perceptions of outdoor areas2022Conference paper (Refereed)
    Abstract [en]

    Background: Although the importance of the design of physical care environments for older adults and healthcare staff of residential care facilities (RCFs) is well recognized, few studies have taken the staff perspective regarding how environmental factors influence its users. This study considers healthcare staff perceptions of older adults’ RCFs with a focus on outdoor areas. 

    Methods: Twenty RCFs in Sweden were purposively sampled to obtain facilities with varying building design, type of ownership, year of construction, building size and geographic location. Ten healthcare staff from each facility were randomly selected and recruited by the care home managers. Healthcare staff completed the Staff Perception of Older People’s Residential Care Environments (SPORE) questionnaire. In this study, only written responses to open-ended questions on the physical care environment were analysed, using qualitative content analysis. 

    Results: The importance of outdoor areas for the well-being of older adults was emphasised, and several requirements and deficiencies in the physical features of such areas were identified. Concerns were expressed about the lack of accessibility to outdoor areas. Physical features that can provide support for older adults when using outdoor areas, such as ramps and stable surfaces, were limited, as was their maintenance. 

    Conclusions: This study shows the importance of taking the users’ needs into account when planning and designing RCFs for older adults. There is potential for improving the design of outdoor areas in order to provide safe and supportive physical care environments and to facilitate care delivery.

  • 104.
    Nordin, Susanna
    et al.
    Dalarna University, School of Health and Welfare, Caring Science/Nursing.
    Saade, Sandra
    Dalarna University, School of Health and Welfare, Caring Science/Nursing.
    McKee, Kevin
    Dalarna University, School of Health and Welfare, Social Work.
    Elf, Marie
    Dalarna University, School of Health and Welfare, Caring Science/Nursing.
    Borg, Johan
    Dalarna University, School of Health and Welfare, Medical Science.
    Digital homecare twin expectations among Swedish social service professionals – a qualitative study2024Conference paper (Refereed)
    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. 

  • 105.
    Nordin, Susanna
    et al.
    Dalarna University, School of Health and Welfare, Caring Science/Nursing.
    Sturge, Jodi
    Ayoub, Maria
    Dalarna University, School of Health and Welfare, Care Sciences.
    Jones, Allyson
    McKee, Kevin
    Dalarna University, School of Health and Welfare, Social Work.
    Dahlberg, Lena
    Dalarna University, School of Health and Welfare, Social Work. Aging Research Center, Karolinska Institutet & Stockholm University.
    Meijering, Louise
    Elf, Marie
    Dalarna University, School of Health and Welfare, Caring Science/Nursing.
    The Role of Information and Communication Technology (ICT) for Older Adults’ Decision-Making Related to Health, and Health and Social Care Services in Daily Life—A Scoping Review2022In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, no 1, article id 151Article in journal (Refereed)
    Abstract [en]

    Information and communication technology (ICT) can potentially support older adults in making decisions and increase their involvement in decision-making processes. Although the range of technical products has expanded in various areas of society, knowledge is lacking on the influence that ICT has on older adults’ decision-making in everyday situations. Based on the literature, we aimed to provide an overview of the role of ICT in home-dwelling older adults’ decision-making in relation to health, and health and social care services. A scoping review of articles published between 2010 and 2020 was undertaken by searching five electronic databases. Finally, 12 articles using qualitative, quantitative, and mixed-method designs were included. The articles were published in journals representing biology and medicine, nursing, informatics, and computer science. A majority of the articles were published in the last five years, and most articles came from European countries. The results are presented in three categories: (i) form and function of ICT for decision-making, (ii) perceived value and effect of ICT for decision-making, and (iii) factors influencing ICT use for decision-making. According to our findings, ICT for decision-making in relation to health, and health and social care services was more implicitly described than explicitly described, and we conclude that more research on this topic is needed. Future research should engage older adults and health professionals in developing technology based on their needs. Further, factors that influence older adults’ use of ICT should be evaluated to ensure that it is successfully integrated into their daily lives. 

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  • 106.
    Norlin, Jerry
    et al.
    Dalarna University, School of Health and Welfare, Social Work.
    Randell, Eva
    Dalarna University, School of Health and Welfare, Social Work.
    Social workers’ perceptions of assessing the parental capacity of parents with intellectual disabilities in child protection investigations2023In: Journal of Intellectual Disabilities, ISSN 1744-6295, E-ISSN 1744-6309, Vol. 27, no 4, p. 976-993Article in journal (Refereed)
    Abstract [en]

    Aim Parental capacity is one of the main aspects assessed by social workers as part of child protection investigations. The aim of this study is to explore the social workers’ perceptions of assessing the parental capacity of parents with intellectual disabilities in child protection investigations.

    Design/methodology Four focus group interviews were conducted with twelve social workers in May-October 2021. Data were analysed using an inductive, conventional qualitative content analysis.

    Results One overarching theme, “Parental capacity in relation to the child’s needs was assessed, not disability of parents” was created. Three main categories and ten sub-categories were identified exploring the social workers’ perceptions of assessing parental capacity.

    Conclusions The study shows that social workers perceive the assessment of parental capacity in parents with intellectual disabilities as demanding and complex, in which the assessment of what is good enough is perceived as the most difficult task.

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  • 107. Nyberg, J.
    et al.
    Andersson, J.
    Strandberg, Thomas
    Dalarna University, School of Health and Welfare, Social Work. Örebro University.
    Experienced processes and outcomes of driving license withdrawal due to visual field loss: A Swedish survey study of trust in authorities2023In: Transportation Research Interdisciplinary Perspectives, ISSN 2590-1982, Vol. 17, article id 100758Article in journal (Refereed)
    Abstract [en]

    Citizen perceptions of justice, regarding both processes and outcomes, are closely related to the perceived legitimacy of the authorities involved and are thus significant for trust. This study investigates how a withdrawn driving license due to visual field loss might affect trust in the authorities involved in withdrawal processes and outcomes: the health-care system, the Swedish Transport Agency, and the judicial system. The factors influencing trust were investigated as was whether the withdrawal experience had changed the trust in other authorities not involved in the withdrawal process. Also, the aetiology of the visual field loss and gender were investigated. A survey study was conducted in which 402 Swedish respondents with visual field loss and a withdrawal experience participated. Variance, regression, and content analyses were conducted. The following conceptual factors were used in understanding trust: Benevolence, Openness, Integrity, Ability, and Value Congruence. The results revealed that processes and outcomes affected the overall trust in all three authorities, although the highest trust was in the health-care system (but still low). Diagnosis, but not gender, was important for the experienced trust. Differences in levels of trust in each authority were related to the aetiology of the diagnosis. Benevolence and Ability were the trust factors most important for overall trust in the health-care system and the Swedish Transport Agency. For some respondents (46%), the negative experiences of the withdrawal had worsened their trust in other, not involved authorities, as well. © 2023 The Author(s)

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  • 108. Nyberg, J.
    et al.
    Björklund, G.
    Aretun, Å.
    Berg, H. -Y
    Strandberg, Thomas
    Dalarna University, School of Health and Welfare, Social Work. Örebro University.
    How does driving license withdrawal affect subjective well-being?: A Swedish comparative survey study of visual field loss2021In: European Transport Research Review, ISSN 1867-0717, E-ISSN 1866-8887, Vol. 13, no 1, article id 51Article in journal (Refereed)
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  • 109.
    Nyberg, Jonna
    et al.
    Statens väg- och trafikforskningsinstitut.
    Levin, Lena
    Statens väg- och trafikforskningsinstitut.
    Larsson, Katarina
    Transportstyrelsen.
    Strandberg, Thomas
    Dalarna University, School of Health and Welfare, Social Work. Örebro universitet.
    Distrust of Authorities: Experiences of Outcome and Processesof People Who Had Their Driving License Withdrawndue to Visual Field Loss2021In: Social Sciences, E-ISSN 2076-0760, Vol. 10, no 2, p. 1-14, article id 76Article in journal (Refereed)
    Abstract [en]

    Citizens’ trust of authorities is of general importance, as it can affect trust in society as a whole. The Swedish Transport Agency is a state administrative authority responsible for driving license withdrawal. If withdrawals are experienced as unfair by those affected, this might lead to decreased trust in the agency and in other actors involved. This study accordingly examines how the experiences of people who have had their driving license for a private car withdrawn due to visual field loss might affect their distrust of the authorities, as related to outcomes and processes. Follow-up interviews were conducted with nine people from a previous study. Content analysis revealed one overarching theme, struggling for justice within a system perceived as unfair, which comprised four identified categories: preparedness for and understanding of the withdrawn driving license (WDL); perceptions of assessment methods, reactions and actions regarding the decision, and perceptions of the authorities’ performance. In sum, the vision tests on which withdrawals are based were perceived as unfair, as they did not measure individual driving ability. Furthermore, rejections of appeals led to feelings of hopelessness. Distrust regarding outcomes and processes related to the withdrawals was also fueled by experiences of deficiencies regarding, for example, performance and information.

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  • 110.
    Olsen, Marie
    et al.
    Dalarna University, School of Health and Welfare, Caring Science/Nursing. Karolinska Institute, Stockholm University.
    Udo, Camilla
    Dalarna University, School of Health and Welfare, Social Work. Center for Clinical Research, Dalarna; Ersta Sköndal Bräcke University College.
    Boström, Anne-Marie
    Karolinska Institute; Karolinska University Hospital; Stockholms Sjukhem, R&D Unit, Stockholm.
    Marmstål Hammar, Lena
    Malardalen University, Karolinska Institute.
    Important aspects in home care service: an interview study with persons with dementia2021In: Dementia, ISSN 1471-3012, E-ISSN 1741-2684, Vol. 20, no 5, p. 1649-1663Article in journal (Refereed)
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  • 111.
    Olsen, Marie
    et al.
    Dalarna University, School of Health and Welfare, Caring Science/Nursing. Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden.
    Udo, Camilla
    Dalarna University, School of Health and Welfare, Social Work. Center for Clinical Research Dalarna-Uppsala University, Falun, Sweden.
    Dahlberg, Lena
    Dalarna University, School of Health and Welfare, Social Work. Department of Neurobiology, Care Sciences and Society, Ageing Research Centre, Karolinska Institutet, Stockholm, Sweden.
    Boström, Anne-Marie
    Department of Neurobiology, Care Sciences and Society, Ageing Research Centre, Karolinska Institutet, Stockholm, Sweden; Theme Inflammation and Ageing, Karolinska University Hospital, Huddinge, Sweden; R&D Unit, Stockholms Sjukhem, Stockholm, Sweden.
    Older persons' views on important values in Swedish home care service: A semi-structured interview study2022In: Journal of Multidisciplinary Healthcare, ISSN 1178-2390, E-ISSN 1178-2390, Vol. 15, p. 967-977Article in journal (Refereed)
    Abstract [en]

    Introduction: Knowledge of older person’s experiences of important values in home care service can facilitate the development and delivery of high-quality services supporting their well-being, dignity and participation in the care provided. To date, few studies have explored older person’s values and experiences of home care services.

    Purpose: This study aimed to explore values that older person holds regarding home care services and their experiences of how these values manifest in home care service delivery.

    Participants and Methods: The study has a qualitative exploratory design. Semi-structured interviews were conducted with 16 older persons aged 74–90 who received home care service. Data were analysed using qualitative content analysis.

    Results: Two themes (each with sub-themes) of values relating to the experience of home care service from the perspective of the 16 older persons were identified: to be supported as an autonomous person and to be supported as a relational being. The participants experience that these two values were only partly manifested in the home care services they received. They also noted that their well-being was negatively affected when staff failed to implement these values. The fundamental values identified in study related to the older person feeling safe, being autonomous, maintaining control and independence, and having relationships. The values constitute help to guide practice from the perspective of older persons who receive home care services.

    Conclusion: The identified values are primarily interpersonal-level values. However, such values are also of importance for homecare service organisations when promoting delivery of person-centred care. Taking such a position implies adopting a relation-oriented rather than a task-oriented approach in providing home care services for older persons.

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  • 112.
    Olsson, Maria
    et al.
    Dalarna University, School of Teacher Education, Education.
    Ericson, Jenny
    Dalarna University, School of Health and Welfare, Caring Science/Nursing.
    Randell, Eva
    Dalarna University, School of Health and Welfare, Social Work.
    von Ahlefeld Nisser, Désirée
    Dalarna University, School of Teacher Education, Education.
    Between an educational task and an idea for treatment: multiprofessional collaboration for supporting children “at risk” – a coordinator role in pedagogical practice2023In: Scandinavian Journal of Educational Research, ISSN 0031-3831, E-ISSN 1470-1170Article in journal (Refereed)
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  • 113.
    Osman, Fatumo
    et al.
    Dalarna University, School of Health and Welfare, Caring Science/Nursing.
    Randell, Eva
    Dalarna University, School of Health and Welfare, Social Work.
    Mohamed, Abdikerim
    Sorbring, Emma
    Centre for Child and Youth Studies, Department of Individual and Society, University West, Trollhättan.
    Dialectical Processes in Parent-child Relationships among Somali Families in Sweden2021In: Journal of Child and Family Studies, ISSN 1062-1024, E-ISSN 1573-2843, Vol. 30, no 7, p. 1752-1762Article in journal (Refereed)
    Abstract [en]

    Non-voluntary migration has been demonstrated to have an impact on family relationships as a result of children acculturating to the host country faster than their parents. Studies have reported on immigrant parents’ perceptions of their parenting in host countries. However, less is known about how both children and parents view and make sense of their relationships in new contexts. This exploratory qualitative study aims to capture the dialectical processes in parent-child relationships among Somali families in Sweden. Data were collected using focus group discussions with youth (n = 47) and their parents (n = 33). The data were analysed using a thematic analysis. Two themes, each with three themes of their own, were identified from the analysis: finding a balance between hierarchical and egalitarian relationships and sharing of spaces. Youth and parents described different factors, including contextual changes, generational gaps, peer pressure and lack of a father figures, as affecting their relationships with each other and sometimes creating conflicts between them. Both perceived themselves as active agents in contributing to family life after migrating to Sweden. In general, the youth expressed their emotional needs, the motivations desired from their parents and their desire to be equally treated as sons and daughters. Overall, this study demonstrates that there is a need to offer immigrant families culturally tailored parenting support programmes, thereby strengthening parent-child relationships.

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  • 114.
    Osman, Fatumo
    et al.
    Dalarna University, School of Health and Welfare, Caring Science/Nursing.
    Schön, Ulla-Karin
    Dalarna University, School of Health and Welfare, Social Work. Stockholm University.
    Klingberg-Allvin, Marie
    Dalarna University, School of Health and Welfare, Sexual Reproductive Perinatal Health.
    Flacking, Renée
    Dalarna University, School of Health and Welfare, Caring Science/Nursing.
    Tistad, Malin
    Dalarna University, School of Health and Welfare, Medical Science.
    The implementation of a culturally tailored parenting support programme for Somali immigrant parents living in Sweden: A process evaluation2022In: PLOS ONE, E-ISSN 1932-6203, Vol. 17, no 9, article id e0274430Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Parental support programmes aim to strengthen family functioning and the parent-child relationship and to promote the mental health of children and parents. However, there is a lack of knowledge on how parenting support programmes can be implemented for newly arrived immigrant parents. This process evaluation describes the implementation of a successful parenting programme for immigrant parents from Somalia and identifies key components of the implementation process with a focus on Reach, Adaptation, and Fidelity of Ladnaan intervention.

    METHOD: This process evaluation considered context, implementation and mechanism of impact, in accordance with the Medical Research Council's guidance. Data were collected through focus group discussions, a questionnaire, attendance lists, field and reflection notes and observations of the sessions. The data were then analysed using content analysis and descriptive statistics.

    RESULTS: Of the 60 parents invited to the parenting programme, 58 participated in the sessions. The study showed that involving key individuals in the early stage of the parenting programme's implementation facilitated reaching Somali-born parents. To retain the programme participants, parents were offered free transportation. The programme was implemented and delivered as intended. A majority of the parents were satisfied with the programme and reported increased knowledge about children's rights and the support they could seek from social services.

    CONCLUSIONS: This study illustrates how a parenting support programme can be implemented for Somali-born parents and provides guidance on how to attract immigrant parents to and engage them in participating in parenting support programmes.

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  • 115. Persson, A. -C
    et al.
    Janeslätt, G.
    Dahlberg, Lena
    Dalarna University, School of Health and Welfare, Social Work. Aging Research Center, Karolinska Institutet & Stockholm University.
    Löfgren, M.
    Möller, M.
    Associations between Time Processing Ability, Daily Time Management, and Dementia Severity2022In: 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)
    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.

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  • 116.
    Persson, Ann-Christine
    et al.
    Danderyd Hospital, Karolinska Institutet; Danderyd University Hospital.
    Dahlberg, Lena
    Dalarna University, School of Health and Welfare, Social Work. Karolinska Institutet; Stockholm University.
    Janeslätt, Gunnel
    Uppsala University; Center for Clinical Research in Dalarna.
    Möller, Marika
    Danderyd Hospital, Karolinska Institutet; Danderyd University Hospital.
    Löfgren, Monika
    Danderyd Hospital, Karolinska Institutet; Danderyd University Hospital.
    Daily time management in dementia: qualitative interviews with persons with dementia and their significant others2023In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 23, no 1, article id 405Article in journal (Refereed)
    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.

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  • 117.
    Persson, Ann-Christine
    et al.
    Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden; Department of Rehabilitation Medicine, Danderyd University Hospital, Stockholm, Sweden.
    Möller, Marika C
    Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden; Department of Rehabilitation Medicine, Danderyd University Hospital, Stockholm, Sweden.
    Dahlberg, Lena
    Dalarna University, School of Health and Welfare, Social Work. Aging Research Center, Karolinska Institutet & Stockholm University, Solna, Sweden.
    Löfgren, Monika
    Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden; Department of Rehabilitation Medicine, Danderyd University Hospital, Stockholm, Sweden.
    Janeslätt, Gunnel
    Department of Public Health and Caring Sciences, Disability and Habilitation, Uppsala University, Uppsala, Sweden; Center for Clinical Research in Dalarna, Falun, Sweden.
    Assessing time processing ability and daily time management in persons with dementia: Psychometric properties of three instruments.2023In: Australian Occupational Therapy Journal, ISSN 0045-0766, E-ISSN 1440-1630, Vol. 70, no 1, p. 3-17Article in journal (Refereed)
    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.

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  • 118.
    Persson, Stina
    Dalarna University, School of Health and Welfare, Social Work.
    Mäns våld mot kvinnor i vårdnadsutredningar: En kvalitativ innehållsanalys av familjerättens resonemang i vårdnadsutredningar där det inkommit uppgifter om våld.2022Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med studien var att undersöka vilka resonemang som ligger till grund i familjerättens utredningar när det finns uppgifter om våld i nära relation, samt undersöka hur våldet värderas, bedöms och synliggörs i familjerättens utredningar. I denna kvalitativa innehållsanalys undersöks åtta vårdnadsutredningar. Resultatet visar att barnets bästa i stor utsträckning bedöms vara kontakt med båda föräldrarna trots uppgifter om våld. Genom fokus på föräldrarnas samarbete finns en strävan hos familjerätten att hålla ihop den separerade kärnfamiljen. Mammans utsatthet diskuteras i begränsad utsträckning, barnets behov av kontakt med pappan anses som viktigt oavsett hur det påverkar mamman. Slutsatsen är att resultatet i studien stämmer överens med tidigare forskning, uppgifter om våld utreds inte ordentligt och implicit värderas kärnfamiljen högt.

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  • 119.
    Petersson, Eva-Lisa
    et al.
    Sahlgrenska Akademin, Göteborgs universitet; Region Västra Götaland.
    Hange, Dominique
    Sahlgrenska Akademin, Göteborgs universitet; Region Västra Götaland.
    Udo, Camilla
    Dalarna University, School of Health and Welfare, Social Work. Center for Clinical Research Dalarna, Uppsala Universitet.
    Björkelund, Cecilia
    Sahlgrenska Akademin, Göteborgs universitet; Region Västra Götaland.
    Svenningsson, Irene
    Sahlgrenska Akademin, Göteborgs universitet; Region Västra Götaland.
    Long-term effect of a care manager on work ability for patients with depression - the PRIM-CARE RCT2022In: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 72, no 2, p. 601-609Article in journal (Refereed)
    Abstract [en]

    Background:  Collaborative care with a care manager in primary care improves care.

    Objective:  To study whether care manager support leads to improved work ability, decreased job strain and reduced time of sick leave among primary care patients with depression.

    Methods:  A clinical effectiveness study of care managers for depression patients seeking care in primary care was conducted in a RCT 2014 -2016. Patients in the intervention group were assigned a care manager. In the 12-month follow-up, patients with employment (n = 269; intervention n = 142, control n = 127) were studied concerning work ability, job strain and sick leave.

    Results:  An association was shown between reduction of depressive symptoms and improved work ability for the entire group. At 12-month follow-up a statistically significant difference of reduction of depressive symptoms was seen between the groups (MADRS-S: intervention 10.8 vs control 13.1, p = 0.05) as well as increased quality of life (EQ-5D: intervention 0.77 vs control 0.70, p = 0.04). In the intervention group, a concordance was found between the patient's prediction of return to work and the actual return to work (91%for intervention and 68 %for control group, p = 0.047).

    Conclusions:  Compared to usual care, the care manager does not seem to further improve perception of work ability, job strain or perception of social support per se among the patients despite a long-term effect on depression symptoms. The lack of a long-term effect regarding these aspects may be due to the fact that care manager support was only provided during the first three months.

  • 120.
    Petersson, Eva-Lisa
    et al.
    Primary Health Care/School of Public Health and Community Medicine/Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Törnbom, Karin
    Department of Social Work, University of Gothenburg, Goteborg, Sweden.
    Björkelund, Cecilia
    Primary Health Care/School of Public Health and Community Medicine/Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Jerlock, Margareta
    Primary Health Care/School of Public Health and Community Medicine/Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Hange, Dominique
    Primary Health Care/School of Public Health and Community Medicine/Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Udo, Camilla
    Dalarna University, School of Health and Welfare, Social Work.
    Svenningsson, Irene
    Primary Health Care/School of Public Health and Community Medicine/Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Process evaluation of the CO-WORK-CARE model: Collaboration and a person-centred dialogue meeting for patients with common mental disorder in primary health care2024In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Article in journal (Refereed)
    Abstract [en]

    Rationale: To ensure optimal patient care based on evidence, it is crucial to understand how to implement new methods in practice. However, intervention studies often overlook parts of the implementation process. A comprehensive process evaluation is necessary to understand why interventions succeed or fail in specific contexts and to integrate new knowledge into daily practice. This evaluation examines the full implementation of the Co-Work-Care model in Swedish primary healthcare to identify strengths and weaknesses. 

    Aim: This study aimed to evaluate the process of implementing the CO-WORK-CARE model that focuses on close collaboration and the use of a person-centred dialogue meeting in primary healthcare for patients on sick leave due to common mental disorders. 

    Method: The CO-WORK-CARE model emphasises collaboration among the GP, rehabilitation coordinator and care manager, along with person-centred dialogue meetings involving employers. Following UK Medical Research Council guidelines, we conducted a process evaluation. Data from previous studies were reanalysed. We also analysed field notes and meeting notes using Malterud's qualitative method. 

    Results: The evaluation identified key facilitators for model implementation, including regular visits by facilitators and guidance from the research physician. Peer support meetings also bolstered implementation. However, challenges emerged due to conflicts with existing structures and limitations in person-centred dialogue meetings. 

    Conclusion: Adapting the CO-WORK-CARE model to Swedish primary care is feasible and beneficial, with collaboration among the care manager, rehabilitation coordinator and GP and person-centred dialogue meetings. Thorough preparations, ongoing facilitator and peer support and integrated information enhanced implementation efficiency, despite challenges posed by existing structures. 

  • 121.
    Quarles van Ufford, Sara
    Dalarna University, School of Health and Welfare, Care Sciences. Dalarna University, School of Health and Welfare, Social Work.
    Polisanmälan och tvärprofessionell samverkan i Barnahus: Om socialtjänstens perspektiv på polisanmälan och tvärprofessionell samverkan när barn misstänks vara utsatta för våld och sexuella övergrepp2023Report (Other academic)
    Abstract [sv]

    I denna rapport presenteras resultaten av en studie som genomförts på uppdrag av Barnahus i Dalarna. Barnahus i Dalarna startades 2007 med målsättningen att erbjuda barn som misstänks vara utsatta för våldsbrott i nära relationer och sexualbrott ett behovsanpassat omhändertagande. Verksamheten utgörs av tvärprofessionell samverkan mellan Åklagarkammaren i Falun, Polismyndigheten Dalarna, socialtjänsten i Dalarnas samtliga kommuner, Barn- och ungdomsmedicin i Dalarna och Barn- och ungdomspsykiatrin i Dalarna. Under 2021 uppmärksammades en minskning av ärenden som aktualiseras för samråd i Barnahus och det uppfattades viktigt att öka kunskapen om socialtjänsternas perspektiv på polisanmälan och tvärprofessionell samverkan. Det uppdrogs därför till Sara Quarles van Ufford, Högskolan Dalarna, att genomföra en intervjustudie med representanter för de socialtjänster som ingår i barnahussamverkan. 

    Syftet var att undersöka socialtjänsternas perspektiv på polisanmälan av misstänkta vålds- och sexualbrott mot barn och identifiera upplevda hinder, möjligheter och förbättringsområden för tvärprofessionell samverkan, samt belysa socialtjänsternas utgångspunkter vid utredning av våld mot barn. Studien baserades på semistrukturerade intervjuer med första linjens arbetsledare inom socialtjänsten som analyserades kvalitativt med hjälp av tematisk analysmetod. 

    Resultaten visade att socialtjänsterna delvis har olika utgångspunkter och strategier för att utreda våld mot barn vilket påverkar inställningen till att polisanmäla brottsmisstankar – och som leder till att våld mot barn handläggs på olika sätt. Det framkom att bedömningar av om en polisanmälan ska göras kraftigt skiljer sig åt, liksom den upplevda nyttan och konsekvenserna av en polisanmälan. Medan vissa betonar vikten av att barnet synliggörs som brottsoffer menar andra att en polisanmälan försvårar samarbete och stöd till familjen. Generellt uppfattas socialtjänstens utredningsprocess försvåras när brottsutredningen drar ut på tiden med negativa konsekvenser för barn och familjer – och vetskapen om att förundersökningar tenderar att dra ut på tiden kan upplevas som ett hinder för att göra en polisanmälan. Samtidigt menar flera informanter att en utebliven polisanmälan kan innebära risker för att våld och intressekonflikter mellan barn och föräldrar förminskas och inte utreds på djupet. Vidare framkom att tvärprofessionell samverkan ofta uppfattas upphöra efter det initiala samrådet och att barnpsykiatrisk kompentens inte upplevs tillgänglig vid behovsbedömningar som aktualiseras i ett senare skede av processen. Det uppfattas också vara svårt för barn som aktualiseras i Barnahus att få hjälp via Barn- och ungdomspsykiatrin. Generellt uppfattas det finnas flera vinster med att göra en polisanmälan – men också flera förbättringsområden för tvärprofessionell samverkan som kan sammanfattas i fem övergripande områden: 

    • Tydliggöra, stärka och jämställa barnahusaktörernas roller 
    • Ökad snabbhet i brottsutredningen och synkronisering med socialtjänstens utredning
    • Förbättrade möjligheter för fortsatt tvärprofessionell samverkan i Barnahus med fokus på stöd och behandling
    • I större utsträckning beakta geografiska aspekter i barnahussamverkan
    • Ökat fokus på ”barnets bästa” i barnahussamverkan 
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  • 122.
    Quarles van Ufford, Sara
    Dalarna University, School of Health and Welfare, Social Work. Dalarna University, School of Health and Welfare, Care Sciences.
    The Protection Paradox: A Study of Children’s Rights to Participation and Protection against Violence in Swedish Child Welfare Practice2023In: The International Journal of Children's Rights, ISSN 0927-5568, E-ISSN 1571-8182, Vol. 31, no 3, p. 756-776Article in journal (Refereed)
    Abstract [en]

    Child participation is considered crucial for the authorities’ ability to protect children from violence – yet children’s actual participation is limited, and participation and protection rights under the UN Convention on the Rights of the Child are often understood as opposites. This article aims to explore children’s rights to participation and protection against violence in Swedish social services’ handling of violence against children. Child welfare reports, investigations and child social records, were analysed using quantitative content analysis and thematic analysis. Insufficient conditions for child participation and poor access to protection and support were indicated. Upon closer analysis of cases that did not lead to protection or support, different aspects of an overarching theme, The Protection Paradox, were identified, which meant protection against participation or unprotected autonomy.

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  • 123.
    Quarles van Ufford, Sara
    et al.
    Dalarna University, School of Health and Welfare, Care Sciences. Dalarna University, School of Health and Welfare, Social Work.
    Heimer, Maria
    Uppsala University, Uppsala .
    Schön, Ulla-Karin
    Dalarna University, School of Health and Welfare, Social Work. Stockholm University, Stockholm.
    Linell, Hanna
    Stockholm University, Stockholm.
    Discretion and Strategies for Investigating Child Abuse: Social Workers’ Conceptions of Child Abuse Investigations and Police Reporting2023In: British Journal of Social Work, ISSN 0045-3102, E-ISSN 1468-263XArticle in journal (Refereed)
    Abstract [en]

    Understanding the capacity of child welfare (CW) organisations to deal with child abuse is complex, and dependent on the specific CW context. Sweden occupies a unique position in trying to balance high demands for CW and protection with a strong family support focus, which carries a risk of overlooking children who need protection. Drawing on an understanding of social service organisations as street-level bureaucracies, this article explores discretion in child abuse cases by examining conditions affecting discretion and strategies for investigating child abuse, including police reporting. Thematic analysis of interviews with Swedish supervising social workers showed that staff’s conceptions of the CW system influenced the exercise of discretion, leading to different strategies for dealing with child abuse. This resulted in different practices and potentially unequal access to child protection and support, highlighting the wide margin of discretion. This article concludes that the interplay between knowledge and governance is central to equal child protection. This article contributes to the discussion of discretion in CW organisations by underlining the importance of being particularly vigilant about discretion when both children and parents are considered clients, as the child risks being lost as a subject with individual needs and rights.

  • 124.
    Quarles van Ufford, Sara
    et al.
    Dalarna University, School of Health and Welfare, Care Sciences. Dalarna University, School of Health and Welfare, Social Work.
    Heimer, Maria
    Uppsala University, Uppsala.
    Schön, Ulla-Karin
    Dalarna University, School of Health and Welfare, Social Work.
    Linell, Hanna
    Stockholm University, Stockholm.
    The Swedish social services' police reporting and children's access to protection and support in child abuse cases: A quantitative content analysis.2022In: International Journal of Child Abuse & Neglect, ISSN 0145-2134, E-ISSN 1873-7757, Vol. 133, article id 105828Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The UN Convention on the Rights of the Child prohibits all forms of violence against children. Sweden was early in introducing a ban on disciplinary violence; however, difficulties have been noted in identifying children in need of protection and providing help for children exposed to violence.

    OBJECTIVES: The purpose of this study was to explore the social services' police reporting and children's access to protection and support in cases of physical and sexual child abuse.

    METHODS: The sample consisted of 291 child welfare reports from three Swedish municipalities. Data were collected from child welfare reports, investigations, and child social records and analyzed using quantitative content analysis.

    RESULTS: A majority of the cases, including cases with a high indication for police reporting, were not reported to the police by the social services. Although the child in 60.1 % of cases provided information about violence, 70.7 % of all child welfare investigations were completed without support measures, and only 8.2 % led to protection or support linked to violence. Children's participation was limited, suggesting inadequate conditions for children's access to protection and support.

    CONCLUSIONS: Children's right to protection against violence requires the recognition of children as active participants with access to safe participation. Failure to report suspected crimes against children risks minimizing acts of violence or making violence invisible. Difficulties in handling conflicts of interest between children and parents risk neither protection nor support being provided for the child.

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  • 125.
    Randell, Eva
    et al.
    Dalarna University, School of Health and Welfare, Social Work.
    Arvidsson, Patrik
    Centre for Research & Development, Uppsala University/Region Gävleborg, Gävle, Sweden and Centre for Augmentative and Alternative Communication, University of Pretoria, South Africa.
    Janeslätt, Gunnel
    Center for Clinical Research in Dalarna, Associated to Department of Public Health and Caring Sciences, Disability and Habilitation, Uppsala University.
    Höglund, Berit
    Department of Women´s and Children´s Health, Uppsala University.
    Attitudes to parenthood in youth with ID – intervention as a means for informed choices2021Conference paper (Refereed)
    Abstract [en]

    Abstract IASSIDD 2021

    Attitudes to parenthood in youth with ID – intervention as a means for informed choices

    Eva Randell, Patrik Arvidsson, Gunnel Janeslätt, Berit Höglund

    AIM The aim of our study was to investigate the attitudes to future parenthood in youth with intellectual disabilities (ID) before and after an intervention in special upper schools. 

    Methods: This is a controlled intervention study, with inclusions of new students in autumn each year for three consecutive years. Participants (n=107) were students with mild or moderate ID age 16 – 20 years old with informed consent. Data were collected before and after the intervention. The Infant Simulator Attitude Scale (ISA) was used to measure attitudes concerning future parenthood. The intervention included a combination of 13 weekly theoretical lessons and practical care with the RCB simulator during 3 days. The theoretical lessons were held at school ones a week using the Toolkit “Children—what does that involve?” (ASVZ). The practical care endured a three day and night caring session when the RCB simulator at home.

    Results: Preliminary data shows no significant differences but some change in attitudes were discovered.

    Conclusions: Possibly the instrument was not optimal for this purpose. However, the results indicate that the intervention can change attitudes and thereby give insights and help youth with ID to make informed choices of adult life and of parenthood.    

    Key words: intervention study, youth with ID, parenthood, school

    _____________

    Authors

    Eva Randell, PhD, Senior Lecturer Social Work, Dalarna University, Sweden

    Patrik Arvidsson, PhD, Clin. Psychologist, Centre for Research & Development, Uppsala University/Region Gävleborg, Gävle, Sweden and Centre for Augmentative and Alternative Communication, University of Pretoria, South Africa

    Gunnel Janeslätt, PhD, OT(reg) Center for Clinical Research in Dalarna, Associated to Department of Public Health and Caring Sciences, Disability and Habilitation, Uppsala University, Sweden

    Berit Höglund, Associate Professor, midwife, Department of Women´s and Children´s Health, Uppsala University, Sweden

     

     

     

  • 126.
    Randell, Eva
    et al.
    Dalarna University, School of Health and Welfare, Social Work.
    Janeslätt, Gunnel
    SUF Resource Centre, Centre for Clinical research in Dalarna, Uppsala University.
    Höglund, Berit
    Department of Women's and Children's Health, Uppsala University.
    A school-based intervention can promote insights into future parenting in students with intellectual disabilities: A Swedish interview study2021In: JARID: Journal of applied research in intellectual disabilities, ISSN 1360-2322, E-ISSN 1468-3148, Vol. 34, no 2, p. 471-479Article in journal (Refereed)
    Abstract [en]

    Background: Few studies have focused on how youth with intellectual disability (ID) can be facilitated in reasoning about future parenthood. This study aimed to explore an intervention using the Toolkit “Childrenwhat does it involve?” and the Real-CareBaby (RCB) simulator among students with ID.

    Method: Sixteen students with ID who participated in an intervention with 13 educational sessions, with adapted knowledge and a three-day caring session with the RCB simulator, were individually interviewed after the intervention. Qualitative content analysis was used.

    Results: Participants reported that the intervention provided important thoughts and insights on future parenting, providing a basis for informed decisions. The ability to be responsible and have autonomy in life and in caring for a future child were described as important.

    Conclusion: After an intervention, with structured and adapted knowledge and experiences of the RCB simulator, students with ID reported an understanding of the importance of informed decisions about future parenthood

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  • 127.
    Randell, Eva
    et al.
    Dalarna University, School of Health and Welfare, Social Work.
    Osman, Fatumo
    Dalarna University, School of Health and Welfare, Caring Science/Nursing. Uppsala University.
    Living in the Shadow of Political Decisions: Former Refugees’ Experiences of Supporting Newly Arrived Refugee Minors2021In: The Journal of Refugee Studies, ISSN 0951-6328, E-ISSN 1471-6925, Vol. 34, no 4, p. 4121-4139Article in journal (Refereed)
    Abstract [en]

    Intending to support the cultural integration of unaccompanied refugee minors into the Swedish society, the Save the Children charity organization arranged meeting places in 2018 in four municipalities in Sweden. The mentors for the activities at these meeting places were recruited among former refugees who themselves had arrived in Sweden as unaccompanied minors. The study aimed to explore the experiences of being a mentor offering peer support to unaccompanied minor refugees at the meeting places. In this study, four semi-structured group interviews were conducted at the meeting places with 14 mentors, also former refugees. Data were analysed using thematic network analysis. Although the respondents expressed frustration concerning the Swedish migration politics, they all perceived the helping role as of utmost importance and connected this to positive emotions. The study highlights the unique contributions of peer support to the integration process of refugee minors by mentors providing social support, sharing experience-based knowledge and helping minors to navigate an often confusing and complex welfare system.

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  • 128.
    Randell, Eva
    et al.
    Dalarna University, School of Health and Welfare, Social Work.
    Udo, Camilla
    Dalarna University, School of Health and Welfare, Social Work. Center for Clinical Research (CKF), Dalarna; Ersta Sköndal Bräcke University College, Stockholm.
    Warne, Maria
    Mittuniversitetet.
    A sense of health and coherence in young schoolchildren in Sweden2021In: International Journal of Circumpolar Health, ISSN 1239-9736, E-ISSN 2242-3982, Vol. 80, no 1, article id 1893534Article in journal (Refereed)
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  • 129.
    Rodin, Susanne
    et al.
    Dalarna University, School of Health and Welfare, Social Work.
    Lindh, Zanna
    Dalarna University, School of Health and Welfare, Social Work.
    Lika, Olika eller Unika?: En kvalitativ intervjustudie med socialsekreterare som utför mognadsbedömningar i samband med barnavårdsutredningar2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of this study was to examine how child welfare social workers handle the complexity of maturity assessments, and more precisely how they reason concerning the potentialdifferences between children that they take into account in such assessments. Furthermore, the aim was to examine how social workers reason concerning their interpretation primacy over children’s maturity versus the right of the children to have their say in child welfare investigations. The study uses critical childhood studies as a theoretical framework. Empirically, it is based on seven semi-structured interviews with social workers. Our findings indicate that although social workers address all children as unique individuals, they still foreground differences related to “talkable” or “vulnerable” children as essential in assessments. The respondents discuss a “strong child perspective” and simultaneously how their mandate in maturity assessments is “scary” and even “dangerous” because maturity assessments have a great impact on children’s lives. The outcome of our study revealed that itis complex to carry out maturity evaluations on children as there are no comprehensible recommendations on how it should be carried out.

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  • 130.
    Roos, Charlotte
    et al.
    Dalarna University, School of Health and Welfare, Caring Science/Nursing.
    Fjellfeldt, Maria
    Dalarna University, School of Health and Welfare, Social Work.
    Mapping priorities in Swedish suicide prevention policy: What, how and who are prioritized. A qualitative document study2023In: Mental Health and Prevention, ISSN 2212-6570, Vol. 31, article id 200296Article in journal (Refereed)
    Abstract [en]

    Background: Suicide is a serious public health problem. All 194 member states of the World Health Organization have signed the Comprehensive Mental Health action plan 2013–2030 which tasks governments with implementing evidence-based interventions in community settings to prevent suicide at all stages of life. This study aims to map the priorities in suicide prevention policy in community-settings in Sweden, one of the World Health Organization's member states. Method: A document study, using data from suicide prevention policy documents in the 21 counties in Sweden. Data was analyzed using qualitative content analysis. Results: Suicide prevention interventions at the universal, selective and indicated prevention levels were prioritized. Most of the suicide prevention interventions intended to be implemented at each prevention level was evidence-based. Most of the suicide prevention interventions at all prevention levels did not prioritize any specific age group, however when age groups were targeted there were some emphases on children and adolescents. Conclusion: There is a need to improve suicide prevention interventions prioritizing age-groups who have high suicide rates. As educational interventions that encourage young people to develop their ability to face life challenges related to adolescence are found to be appropriate suicide prevention interventions, so too could educational interventions aimed at other age-groups be developed, to enable them to develop their ability to face life challenges related to their age. © 2023

  • 131.
    Rosberg Petersson, Johanna
    et al.
    Dalarna University, School of Health and Welfare, Care Sciences. Dalarna University, School of Health and Welfare, Medical Science.
    Berglund, Lars
    Dalarna University, School of Health and Welfare, Medical Science.
    Giedraitis, Vilmantas
    Dalarna University, School of Health and Welfare.
    Halvorsen, Kjartan
    Dalarna University, School of Health and Welfare, Medical Science. Uppsala University.
    Rosendahl, Erik
    Umeå University.
    McKee, Kevin
    Dalarna University, School of Health and Welfare, Social Work.
    Åberg, Anna Cristina
    Dalarna University, School of Health and Welfare, Medical Science. Uppsala University.
    Step length during Timed Up and Go performance: preliminary results of a cross-sectional cohort study2023Conference paper (Refereed)
  • 132.
    Saade, Sandra
    et al.
    Dalarna University, School of Health and Welfare, Caring Science/Nursing.
    Nordin, Susanna
    Dalarna University, School of Health and Welfare, Caring Science/Nursing.
    McKee, Kevin
    Dalarna University, School of Health and Welfare, Social Work.
    Elf, Marie
    Dalarna University, School of Health and Welfare, Caring Science/Nursing.
    Borg, Johan
    Dalarna University, School of Health and Welfare, Medical Science.
    Digital twin of homecare services in Sweden- views of older adults2024Conference paper (Refereed)
    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. 

  • 133.
    Sandegärd, Madeleine
    et al.
    Region Örebro.
    Udo, Camilla
    Dalarna University, School of Health and Welfare, Social Work.
    Existentiella samtal inom hälso- och sjukvård: Kuratorers erfarenheter av samtal om döden2023In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 100, no 1, p. 88-96Article in journal (Refereed)
  • 134.
    Schmöker, Annika
    et al.
    Dalarna University, School of Health and Welfare, Care Sciences. Uppsala University.
    Ericson, Jenny
    Dalarna University, School of Health and Welfare, Caring Science/Nursing. Center for Clinical Research Dalarna, Uppsala University; Department of Paediatrics, County of Dalarna, Falun.
    Flacking, Renée
    Dalarna University, School of Health and Welfare, Caring Science/Nursing.
    Udo, Camilla
    Dalarna University, School of Health and Welfare, Social Work. Center for Clinical Research Dalarna, Uppsala University; Palliative Research Centre, Ersta Sköndal University College, Stockholm.
    Needs and Perceptions Relative to Emotional Support in Parents With Preterm Infants.2021In: Journal of Perinatal & Neonatal Nursing, ISSN 0893-2190, E-ISSN 1550-5073Article in journal (Refereed)
    Abstract [en]

    Objectives of this study were to explore parents' needs for emotional support and how such support could be best delivered during admittance to a neonatal unit. This study took place at 6 neonatal units in Sweden. Forty-two semistructured interviews were analyzed using qualitative content analysis: 26 individual telephone interviews with mothers of preterm infants 6 to 10 months after discharge and 16 face-to-face interviews with parents of preterm infants admitted to neonatal units. The main category to emerge was needs and preferences for emotional support, which consisted of 2 generic categories: emotional needs and preferences for potential support interventions. Emotional needs define the importance of comprehending the new situation, finding meaning, and managing the situation through resources. Preferences for potential support interventions identify possible ways to deliver emotional support in the form of parental PhD group, diary writing, professional counseling, and Internet support. The results highlight the importance of supporting parents' sense of coherence in their situation and parenthood by offering different interventions according to parent preferences. Parental groups could serve as a keystone for emotional support with the possibility to combine with other support mechanisms.

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  • 135.
    Sernbo, Elisabet
    et al.
    Göteborgs universitet.
    Udo, Camilla
    Dalarna University, School of Health and Welfare, Social Work.
    Flink, Maria
    Socialt arbete i hälso- och sjukvård i Sverige – en analys av avhandlingar skrivna av socionomer under åren 2008–20192021In: Socionomens forskningssupplement, ISSN 0283-1929, no 1, p. 18-29Article in journal (Other academic)
  • 136.
    Shojaei Borjouei, Leili
    et al.
    Dalarna University, School of Health and Welfare, Social Work.
    Puhakka, David
    Dalarna University, School of Health and Welfare, Social Work.
    Samverkanspusslet: Skolkuratorers och lärares upplevelser av samverkan med varandra i skolvärlden2024Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of the present study was to examine the experiences of school counselors and teachers regarding collaboration, as well as to identify facilitating and complicating/hindering factors in their collaboration. The study addressed three research questions and employed a qualitative method, utilizing seven interviews with four school counselors and three teachers in four different municipalities in Sweden. The results of this study indicated that the majority of the school counselors and teachers had positive experiences of collaboration. Those who had positive experiences perceived collaboration as continuous and generally effective. Others, who described collaboration as less effective, mentioned that school counselors and teachers did not take each other´s knowledge and competence seriously, and school counselors perceived that teachers sometimes attempted to pass inaccurate tasks to them as school counselors. The facilitating factors that emerged in the results were professional experience, knowledge and understanding of each other´s professions, an engaged principal, and regular meetings. Lack of resources and confidentiality were identified as hindering factors for collaboration.

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  • 137.
    Svedman, Saga
    et al.
    Dalarna University, School of Health and Welfare, Social Work.
    Vega Larsson, Anita
    Dalarna University, School of Health and Welfare, Social Work.
    Partnervåld utanför (cis)normerna och transpersoners särskilda utsatthet: En scoping review om transpersoners utsatthet för våld i parrelationer2022Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Purpose: The aim was to explore the current state of knowledge within scientific research regarding transgender people’s exposure to intimate partner violence. Moreover to study the structure of the violence, transgender specific vulnerabilities and access to support. Method: Through scoping review, thirteen scientific articles were included and analyzed through content analysis (manifest and latent). Results: Three main themes emerged with appurtenant sub-themes, (1) intimate partner violence in relation to trans identity; transspecific intimate partner violence, psychological intimate partner violence, (2) specific vulnerabilities inrelation to intimate partner violence; societal norms, additional risk factors, (3) Support from society and personal network; formal support from society, informal support from personal network, normative roles for victims and perpetrators. Conclusion: Prevalence of intimate partner violence was extensive among transgender people, specific circumstances emerged related to the victims trans identity, which calls for transspecific support services and increased knowledge of the target group amongst professionals.

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  • 138.
    Svenningsson, Irene
    et al.
    Sahlgrenska Akademin, Göteborgs universitet.
    Hange, Dominique
    Sahlgrenska Akademin, Göteborgs universitet.
    Udo, Camilla
    Dalarna University, School of Health and Welfare, Social Work. Center for Clinical Research, Dalarna.
    Törnbom, Karin
    Sahlgrenska Akademin, Göteborgs universitet.
    Björkelund, Cecilia
    Sahlgrenska Akademin, Göteborgs universitet.
    Petersson, Eva-Lisa
    Sahlgrenska Akademin, Göteborgs universitet.
    The Care Manager meeting the patients’ unique needs using the care manager model - A qualitative study of experienced care managers2021In: BMC Primary Care, E-ISSN 2731-4553, Vol. 22, no 1, article id 175Article in journal (Refereed)
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  • 139.
    Thermaenius, Ingrid
    et al.
    Marie Cederschiöld högskola.
    Udo, Camilla
    Dalarna University, School of Health and Welfare, Social Work.
    Alvariza, Anette
    Marie Cederschiöld högskola.
    Lundberg, Tina
    Marie Cederschiöld högskola.
    Holm, Maja
    Marie Cederschiöld högskola.
    Kreicbergs, Ulrika
    Marie Cederschiöld högskola.
    Lövgren, Malin
    Marie Cederschiöld högskola.
    The Family Talk Intervention för barnfamiljer med palliativa vårdbehov: Hälso- och sjukvårdskuratorers initiala erfarenheter av hinder och möjligheter i användandet av interventionen2023Conference paper (Refereed)
  • 140.
    Udo, Camilla
    et al.
    Dalarna University, School of Health and Welfare, Social Work.
    Kreicbergs, Ulrika
    Marie Cederschiöld högskola.
    Lessons learned during the COVID-19 and beyond pandemic for children living with rare diseases: Experiences of families of children with spinal muscular atrophy during the COVID-19 pandemic2022Conference paper (Refereed)
  • 141.
    Udo, Camilla
    et al.
    Dalarna University, School of Health and Welfare, Social Work.
    Lövgren, Malin
    Marie Cederschiöld högskola.
    Sejersen, Thomas
    Karolinska Institutet.
    Tulinius, Mar
    Sahlgrenska akademin, Göteborgs universitet.
    Kreicbergs, Ulrika
    Marie Cederschiöld högskola.
    “We still suffer from the consequences”. Experiences of family members of children with spinal muscular atrophy during the COVID-19 pandemic: a nationwide study2022Conference paper (Refereed)
    Abstract [en]

    Background and aim: Little is known regarding how families including a child with spinal muscular atrophy (SMA) have experienced life during the coronavirus disease 2019 (COVID-19) pandemic. In this study, we explored how parents and grandparents of a child with SMA feel the COVID-19 pandemic has affected their lives, particularly as regards medication and rehabilitation of the child. 

    Methods: Thirty-nine parents (24 mothers, 15 fathers), and 3 grandmothers, of 28 children with SMA, answered a web-based survey with closed- and open-ended questions. In addition, telephone follow-ups were conducted with seven of the parents. 

    Results: The daily life of parents and grandmothers of children with SMA has been affected by the pandemic. The most prominent change related to social life and the children’s access to care, e.g., physiotherapy, and personal assistance, which has impacted on the way of life for entire families. The pandemic has also had some impact on where the children receive nusinersen treatment. Few family members reported having tested positive for COVID-19. None reported that their child with SMA had been severely ill in COVID-19. 

    Conclusions: Given these results, it may be valuable to reach out to families of severely ill children when societies and healthcare systems open up, to find out how they have coped with the consequences of the COVID-19 pandemic and offer further support if needed. 

  • 142.
    Udo, Camilla
    et al.
    Dalarna University, School of Health and Welfare, Social Work.
    Sejersen, Thomas
    Karolinska University Hospital, Stockholm, Sweden.
    Kreicbergs, Ulrika
    Louis Dundas Centre, Great Ormond Street Institute of Child Health, University College London, UK.
    Experiences of family members of children with spinal muscular atrophy during the Covid-19 pandemic2024Conference paper (Refereed)
  • 143.
    Vicente, Joana
    et al.
    Faculty of Health and Life Sciences, Department of Health and Caring Sciences, Linnaeus University, Kalmar, Sweden.
    McKee, Kevin
    Dalarna University, School of Health and Welfare, Social Work.
    Magnusson, Lennart
    Faculty of Health and Life Sciences, Department of Health and Caring Sciences, Linnaeus University, Kalmar, Sweden; The Swedish Family Care Competence Centre, Kalmar, Sweden.
    Johansson, Pauline
    The Swedish Family Care Competence Centre, Kalmar, Sweden; Faculty of Health and Life Sciences, Department of Medicine and Optometry, Linnaeus University, Kalmar, Sweden.
    Ekman, Björn
    Department of Clinical Sciences, Lund University, Malmö, Sweden.
    Hanson, Elizabeth
    Faculty of Health and Life Sciences, Department of Health and Caring Sciences, Linnaeus University, Kalmar, Sweden; The Swedish Family Care Competence Centre, Kalmar, Sweden.
    Informal care provision among male and female working carers: Findings from a Swedish national survey2022In: PLOS ONE, E-ISSN 1932-6203, Vol. 17, no 3, article id e0263396Article in journal (Refereed)
    Abstract [en]

    INTRODUCTION: Informal carers in paid employment-working carers (WKCs)-have complex support needs. However, little is known about WKCs' pattern of informal care provision, the support they receive, the impact providing care has on their employment, and how these vary between male and female WKCs. This study describes the pattern of informal care provision and received support among Swedish WKCs.

    RESEARCH METHOD/DESIGN: The study was a cross-sectional questionnaire-based survey of a stratified random sample of the Swedish population aged 18 or over. The questionnaire addressed the type and extent of informal care provided, support received and the impact of care provision on employment. Of the 30,009 people who received the questionnaire, 11,168 (37.3%) responded, providing an analytic sample of 818 (7.32% of respondents) employed or self-employed informal carers.

    FINDINGS: A typical Swedish WKC was a middle-aged female, providing weekly or daily care to a non-cohabitant parent, who experiences care as sometimes demanding and receives no formal support as a carer. Female WKCs were more likely than males to care alone and with higher intensity, to report a need for help in meeting their care-recipient's needs, and to experience care as demanding. Approximately 17% of WKCs reported their employment had been affected due to caring, 40% their ability to work, and 31% their career development opportunities. Female WKCs' ability to work was affected more than males', and they were more commonly prevented from applying for work.

    CONCLUSION: Swedish female WKCs compared to males provide more hours of informal care, across more care domains, more often alone. This places them in a challenging situation when combining paid work and care. Greater recognition of the challenges faced by WKCs is required in Sweden and other countries, as are policies to reduce gender inequalities in informal care provision in this group.

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  • 144.
    von Saenger, Isabelle
    et al.
    Aging Research Center, Karolinska Institutet and Stockholm University, Stockholm.
    Dahlberg, Lena
    Dalarna University, School of Health and Welfare, Social Work. Aging Research Center, Karolinska Institutet and Stockholm University, Stockholm.
    Augustsson, Erika
    Aging Research Center, Karolinska Institutet and Stockholm University, Stockholm.
    Fritzell, Johan
    Aging Research Center, Karolinska Institutet and Stockholm University, Stockholm.
    Lennartsson, Carin
    Aging Research Center, Karolinska Institutet and Stockholm University, Stockholm; Swedish Institute for Social Research, Stockholm University, Stockholm.
    Will your child take care of you in your old age? Unequal caregiving received by older parents from adult children in Sweden2023In: European Journal of Ageing, ISSN 1613-9372, E-ISSN 1613-9380, Vol. 20, no 1, article id 8Article in journal (Refereed)
    Abstract [en]

    Intergenerational family care provided to older parents by adult children is growing and differs based on gender and socioeconomic status. Few studies consider these elements in relation to both the parent and their adult child, and little is known about the number of care tasks received even though those providing intensive levels of care are at risk of experiencing adverse consequences in their lives. This study uses data from the nationally representative 2011 Swedish Panel Study of Living Conditions of the Oldest Old (SWEOLD) and includes child-specific information from parents aged 76 years and above. Analyses used ordinal logistic regression and are presented as average marginal effects and predictive margins. Results show that parents in need of care report that one-third of all adult children in the sample provide care to three out of five of them. The care is most often non-intensive, yet nearly one in ten of all children provide more intensive care of two or more tasks. When adjusting for dyad characteristics as well as geographic proximity, results show adult-child gender differences where parents receive more care from manual-working-class daughters than manual-working-class sons. Overall, manual-working-class daughters are most commonly reported as carers among adult children, and they are particularly overrepresented in providing intensive care. We conclude that gender and socioeconomic inequalities exist among care receivers' adult children, even in a strong welfare state such as Sweden. Knowledge about levels and patterns of intergenerational care have important implications for how to reduce unequal caregiving.

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  • 145. Wamara, C. K.
    et al.
    Bennich, M.
    Strandberg, Thomas
    Dalarna University, School of Health and Welfare, Social Work. Örebro Universitet.
    Missing voices: older people’s perspectives on being abused in Uganda2021In: Journal of Elder Abuse & Neglect, ISSN 0894-6566, E-ISSN 1540-4129, Vol. 33, no 4, p. 288-310Article in journal (Refereed)
    Abstract [en]

    Abuse of older people is a major challenge for people who are aging. Studies into older people’s perspectives on abuse focus mainly on developed countries, while the views of those in sub-Saharan Africa remain largely unheard in social research. To address this imbalance, we report a qualitative study using in-depth semi-structured interviews and focus group discussions to examine older people’s perceptions of abuse in Uganda. Thirty-three participants were selected from four districts of Uganda to reflect different locations, levels of development, cultures, and contexts. Behaviors considered abusive were categorized into five themes: economic abuse, harassment and violence, disrespect, neglect and abandonment, and discrimination. Results showed that participants largely viewed their abuse from a cultural perspective, contrary to the West’s perception based on a discourse of human rights. The findings show the need for a broader definition that includes the cultural dimensions of the abuse of older people in developing societies. © 2021 The Author(s). Published with license by Taylor & Francis Group, LLC.

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  • 146. Wamara, C. K.
    et al.
    Twikirize, J.
    Bennich, M.
    Strandberg, Thomas
    Dalarna University, School of Health and Welfare, Social Work. Örebro University.
    Reimagining Indigenised social work in Uganda: Voices of practitioners2023In: International Social Work, ISSN 0020-8728, E-ISSN 1461-7234, Vol. 66, no 5, p. 1396-1409Article in journal (Refereed)
    Abstract [en]

    Using thematic analysis, this study examined social workers’ (n = 21) descriptions of what Indigenised social work practice in Uganda entails. Responses from semi-structured interviews revealed the following three themes that inform social workers’ understanding of Indigenised social work practice: (1) collective action and mutuality, (2) communal welfare and respect for life and (3) liberation and restoration. The discussion aims at understanding the hallmarks of each description in relation to the notions of Indigenised social work as culturally inclusive and responsive practice, developmental social work and political action. © The Author(s) 2022.

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  • 147.
    Westelius, Maja
    Dalarna University, School of Health and Welfare, Social Work.
    Våld mot husdjur i våldsutsatta kvinnors hem: En litteraturstudie över varför män utövar våld och kvinnor stannar2023Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte: Syftet med den här studien är att ta reda på vad en våldsutövande man har för motiv till att utöva våld mot husdjur, huruvida husdjur är en bidragande faktor till att kvinnor stannar längre hos en våldsutövande partner och vad det vilka behov det finns av hjälp och stöd som kvinnor kan få i samband med våld i hemmet där det finns husdjur med i bilden. Metod: Denna studie är en litteraturöversikt med en tematisk analysmetod. Resultat: Resultatet visade att kvinnor i större utsträckning stannar längre eller återgår till en våldsrelation när husdjur finns med i bilden. Motivet för våld mot husdjur handlar ofta om att upprätthålla en maktposition och kontroll över kvinnan. Det finns begränsade resurser för att kunna hjälpa kvinnor att fly våldsrelationer. I många fall erbjuds endast skyddat boende för kvinnor men då innebär det att kvinnan ej kan ta med sitt husdjur i många avseenden

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  • 148.
    Witte, Ingrid
    et al.
    Örebro University.
    Strandberg, Thomas
    Dalarna University, School of Health and Welfare, Social Work. Örebro University.
    Granberg, Sarah
    Örebro University.
    Gustafsson, Johanna
    Örebro University; Oslo Metropolitan University, Oslo, Norway.
    Intersectional perspectives on the employment rate in Supported Employment for people with psychiatric, neuropsychiatric, or intellectual disabilities: A scoping review2023In: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 74, no 2, p. 435-454Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Supported Employment (SE) has shown better results in the employment rate for persons with disabilities than other methods within vocational rehabilitation, but how SE affects the employment rate for subgroups in the interventions needs further attention.

    OBJECTIVE: To examine previous research regarding the influence of intersecting statuses on the employment rate in SE for people with psychiatric, neuropsychiatric, or intellectual disabilities according to type of diagnosis, sex, race/ethnicity, age, level of education and previous work history.

    METHODS: A systematic literature search was conducted in nine databases including peer-reviewed articles from 2000 to April 2021. Articles presenting the employment rate in SE interventions according to the intersecting statuses listed in the objective were included.

    RESULTS: The searches identified 3777 unique records, of which 53 articles were included in data extraction. In most of the included articles, intersecting statuses did not affect the employment rate for people in the SE interventions with psychiatric disabilities. Few studies have examined neuropsychiatric and intellectual disabilities. A majority of the studies subjected to full-text analysis were excluded due to a lack of reporting of the effects of intersecting statuses on the employment rate. The studies that reported on the effects of intersecting statuses on the employment rate often had small samples and lacked statistical power.

    CONCLUSIONS: Intersecting statuses do not appear to affect the employment rate for people receiving SE interventions, but systematic reviews with pooled samples need to be undertaken because of the low reporting rate and underpowered sample sizes in existing studies.

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  • 149.
    Yasa, Melissa
    et al.
    Dalarna University, School of Health and Welfare, Social Work.
    Boucharaba, Rihab
    Dalarna University, School of Health and Welfare, Social Work.
    Upplevelser av kamerabevakning i bostadsområden: En kvalitativ studie2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The essay is a qualitative study and the method used to collect data was through semistructured interviews of seven respondents who live in different areas in Sweden that are see nas vulnerable areas. These areas have camera surveillance, and they are seen as dangerous areas in Sweden. The analysis of the collected material was then conducted using a thematic analysis.The purpose of this study is to investigate how adults experience living in a camera monitored vulnerable area. The aim of the study is to gain a deeper understanding of individual’s experiences of camera surveillance and how they may feel about it. The method that is used in this study is a qualitative method and an abductive approach, the goal of the study is to capture the respondent’s experiences of camera surveillance in their area. The results that the study showed were that the individuals have different attitudes towards camera surveillance. Some may believe that cameras contribute to personal safety by enabling authorities to monitor an area marked by crime. Through constant contact with authorities some respondents feel safe. However, it is discussed that camera surveillance only contributes to social exclusion, intrusion into privacy and the abuse of power by the authorities.

  • 150.
    Åberg, Anna Cristina
    et al.
    Dalarna University, School of Health and Welfare, Medical Science. Uppsala University.
    Rosberg Petersson, Johanna
    Dalarna University, School of Health and Welfare, Care Sciences. Dalarna University, School of Health and Welfare, Medical Science. Uppsala University.
    Giedraitis, Vilmantas
    Dalarna University, School of Health and Welfare. Uppsala University.
    McKee, Kevin J
    Dalarna University, School of Health and Welfare, Social Work.
    Rosendahl, Erik
    Umeå University.
    Halvorsen, Kjartan
    Dalarna University, School of Health and Welfare, Medical Science. Tecnologico de Monterrey, Campus Estado de Mexico, Mexico.
    Berglund, Lars
    Dalarna University, School of Health and Welfare, Medical Science. Uppsala University.
    Prediction of conversion to dementia disorders based on timed up and go dual-task test verbal and motor outcomes: a five-year prospective memory-clinic-based study2023In: BMC Geriatrics, E-ISSN 1471-2318, Vol. 23, no 1, article id 535Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: While assessment tools can increase the detection of cognitive impairment, there is currently insufficient evidence regarding clinical outcomes based on screening for cognitive impairment in older adults.

    METHODS: The study purpose was to investigate whether Timed Up and Go dual-task test (TUGdt) results, based on TUG combined with two different verbal tasks (name different animals, TUGdt-NA, and recite months in reverse order, TUGdt-MB), predicted dementia incidence over a period of five years among patients (N = 186, mean = 70.7 years; 45.7% female) diagnosed with Subjective Cognitive Impairment (SCI) and Mild Cognitive Impairment (MCI) following assessment at two memory clinics. Associations between TUG parameters and dementia incidence were examined in Cox regression models.

    RESULTS: During follow-up time (median (range) 3.7 (0.1-6.1) years) 98 participants converted to dementia. Novel findings indicated that the TUGdt parameter words/time, after adjustment for age, gender, and education, can be used for the prediction of conversion to dementia in participants with SCI or MCI over a period of five years. Among the TUG-related parameters investigated, words/time showed the best predictive capacity, while time scores of TUG and TUGdt as well as TUGdt cost did not produce significant predictive results. Results further showed that the step parameter step length during TUGdt predicts conversion to dementia before adjustment for age, gender, and education. Optimal TUGdt cutoffs for predicting dementia at 2- and 4-year follow-up based on words/time were calculated. The sensitivity of the TUGdt cutoffs was high at 2-year follow-up: TUGdt-NA words/time, 0.79; TUGdt-MB words/time, 0.71; reducing respectively to 0.64 and 0.65 at 4-year follow-up.

    CONCLUSIONS: TUGdt words/time parameters have potential as cost-efficient tools for conversion-to-dementia risk assessment, useful for research and clinical purposes. These parameters may be able to bridge the gap of insufficient evidence for such clinical outcomes.

    TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT05893524: https://www.

    CLINICALTRIALS: gov/study/NCT05893524?id=NCT05893524&rank=1 .

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