Universities of Lund and Gothenburg

of Lund and, Sweden

Universities of Lund and Gothenburg

of Lund and, Sweden
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Cederfeldt M.,Gothenburg University | Cederfeldt M.,Universities of Lund and Gothenburg | Widell Y.,Skaraborg Hospital | Andersson E.E.,Health Science University | And 4 more authors.
British Journal of Occupational Therapy | Year: 2011

Introduction: Studies have shown that executive dysfunction is common in adults after stroke. Occupational therapists working in acute care assess the performance of activities of daily living; most instruments focus on personal care. However, the assessment of instrumental activities of daily living has been shown to discriminate executive dysfunction more effectively. An instrument for assessing executive dysfunction in more complex activities that is easy to handle in acute care is consequently required for clinical use. The Executive Function Performance Test (EFPT) was recently introduced into Sweden. The purpose of this study was to evaluate the concurrent validity of the EFPT in acute care for patients with mild stroke. Method: Twenty-three patients from an acute stroke unit were assessed with both the EFPT and the Assessment of Motor and Process Skills (AMPS). Results: The correlation between the EFPT and the AMPS assessments was highly significant (p = 0.003) and the concurrent validity was rho = 0.61. Conclusion: Since there is a risk that adult patients with mild stroke are discharged without rehabilitation, and there is a lack of a relevant instrument for occupational therapists that discriminates executive dysfunction in acute stroke care, the EFPT may be a suitable instrument to use with these patients. © The College of Occupational Therapists Ltd.


Peny-Dahlstrand M.,Gothenburg University | Peny-Dahlstrand M.,Sahlgrenska University Hospital | Gosman-Hedstrom G.,Gothenburg University | Gosman-Hedstrom G.,Universities of Lund and Gothenburg | Krumlinde-Sundholm L.,Karolinska Institutet
Scandinavian Journal of Occupational Therapy | Year: 2012

Introduction: In many studies of self-care assessments for children, cultural differences in age-norm values have been shown. No study has evaluated whether there are cross-cultural differences in ADL motor and/or process skills in children when measured with the Assessment of Motor and Process Skills (AMPS). Aim: To investigate if there were systematic differences in ADL ability measured with the AMPS between children from the Nordic countries and North America and to evaluate the applicability of the existing international age-normative values for children from these two regions. Methods: Values from a total of 4 613 children, 315 years old, without known disabilities, from these geographical regions were compared with ANOVA. The difference in logits between each region and the mean values for each age group were calculated. Results: No differences of relevance in age-related ADL ability measures between children from the two geographical regions were found, and the age-norm values are applicable to both regions. Implications: The AMPS may be considered free from cultural bias and useful in both clinical practice and research concerned with children in both the Nordic countries and North America. © 2012 Informa Healthcare.


Peny-Dahlstrand M.,Gothenburg University | Peny-Dahlstrand M.,Sahlgrenska University Hospital | Krumlinde-Sundholm L.,Astrid Lindgrens Childrens Hospital | Gosman-Hedstrom G.,Gothenburg University | Gosman-Hedstrom G.,Universities of Lund and Gothenburg
Disability and Rehabilitation | Year: 2013

Purpose: To evaluate how children with spina bifida (SB) participate in school-related activities and to explore if their motor and process skills in task performance were related to their level of active participation in school. Method: Fifty children from a geographical cohort of children with SB (aged 6-14 years) and their teachers rated the children's frequency of participation in school-related activities using a Swedish adaptation of the Availability and Participation Scale. The teachers also rated each child's level of active participation with the School Function Assessment, part one. Each child's motor and process skills were evaluated with the Assessment of Motor and Process Skills. The relation between levels of active participation and motor and process skills was subjected to binary logistic regression analysis. Results: The children participated very frequently in school activities, but their level of active participation was restricted, particularly in the recess/playground setting. There was a highly significant relation between full active participation in most school settings and the children's motor and process skills. Conclusion: Children with SB need support to become more actively involved, particularly in unstructured peer activities. The school staff need to be informed that not only the motor skills but also the process skills have an impact on the children's active participation.Implications for RehabilitationThe children with spina bifida (SB) showed a low level of active participation and involvement in school settings even though their frequency of participation was high.It is of highest importance to enable children with SB to be actively involved in peer-related and unstructured activities and to encourage them to participate in both academic and societal learning.To achieve active participation, it is important to inform the school staff about how this issue is affected not only by the level of the child's motor skills but also, and probably even more so, by the level of his/her process skills. From this knowledge, individual strategies can be worked out. © 2013 Informa UK Ltd. All rights reserved: reproduction in whole or part not permitted.


Lood Q.,Gothenburg University | Dahlin Ivanoff S.,Gothenburg University | Dellenborg L.,Gothenburg University | Dellenborg L.,Universities of Lund and Gothenburg | Martensson L.,Gothenburg University
International Journal of Integrated Care | Year: 2014

Objective: For the aim of improving the implementation of a health-promoting intervention for older persons who are born abroad, this study aimed to explore health care professionals' experiences of facilitators and barriers for their possibilities to support a healthy ageing in the context of migration. Methods: Qualitative data were collected from four focus groups with health professionals who all had experience of working with older persons who are born abroad. Data were analysed with the guidance from the method developed by Krueger and Casey, progressing from an empirical to an abstract level. Results: Five different conditions were found to influence supporting healthy ageing in the context of migration: Sense of belonging through significant others, Emotional bonds to a place called home, Expectations on health and support during the ageing process, Mutual understanding as a means for communication and Heterogeneity as a point of departure. The one comprehensive theme complexity describes how those aspects are interrelated in a complex and unpredictable way. Conclusions: The results point at the need for focusing on each person's experiences and health expectations, and the study provides a foundation for future research on the integration of whole-system and person-centred practice.

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