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Adolfsson, Päivi
Publications (10 of 10) Show all publications
Adolfsson, P., Lindstedt, H., Pettersson, I., Norling Hermansson, L. & Janeslätt, G. (2016). Perception of the influence of environmental factors in the use of electronic planning devices in adults with cognitive disabilities. Disability and Rehabilitation: Assistive Technology, 11(6), 493-500
Open this publication in new window or tab >>Perception of the influence of environmental factors in the use of electronic planning devices in adults with cognitive disabilities
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2016 (English)In: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 11, no 6, p. 493-500Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Adults with cognitive disabilities often have difficulties in dealing with the complexity of everyday life. With cognitive assistive technology (e.g. electronic planning devices [EPDs] and individual support), they can bring order to their often chaotic life. Assumptions are that environmental factors influence with non-use of EPDs.

OBJECTIVE: To explore how adults with cognitive disabilities perceive the influence of environmental factors in the use of EPDs.

METHODS: A reference group with experience of use of EPDs assisted the researchers. Twelve adults with cognitive disabilities and experience of using EPDs participated. An interview guide was implemented covering environmental factors according to the International Classification of Functioning, Disability and Health. Qualitative content analysis was applied in the analyses.

RESULTS: Five categories and two themes emerged, which were integrated into a model of facilitating factors influencing the use of EPDs. Measures to prevent or eliminate negative influences of the device use are important to be taken. CONCLUSIONS: Professionals need more knowledge about EPDs, while users need individual adaption of the EPDs. EPDs need to be user-friendly, manageable and work in any seasons. Implications for Rehabilitation The users should have access to specially trained prescribers. There is a need for development of user-friendly and manageable products to function in any climate. Knowledge is lacking on how to implement the users in all stages of the prescribing process. Prescribers should increase knowledge in the use of EPDs to influence the attitudes of the social environment.

National Category
Occupational Therapy
Identifiers
urn:nbn:se:uu:diva-236953 (URN)10.3109/17483107.2014.989418 (DOI)000386459700007 ()25434402 (PubMedID)
Available from: 2014-11-25 Created: 2014-11-25 Last updated: 2017-12-05Bibliographically approved
Janeslätt, G., Lindstedt, H. & Adolfsson, P. (2015). Daily time management and influences of environmental factors on use of electronic planning devices in adults with mental disability. Disability and Rehabilitation: Assistive Technology, 10(5), 371-377
Open this publication in new window or tab >>Daily time management and influences of environmental factors on use of electronic planning devices in adults with mental disability
2015 (English)In: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 10, no 5, p. 371-377Article in journal (Refereed) Published
Abstract [en]

Purpose:  To describe daily time management in adults with and without mental disability and to examine differences in the level of their daily time management; to describe the possessions and use of electronic planning devices (EPDs) in activities and how environmental factors influence the use of EPDs in adults with mental disability. Methods: In a descriptive and cross-sectional design 32 participants using EPDs and a matched comparison group of 32 healthy adults was recruited. Time-Self rating scale measuring daily time management was adapted for adults. A study specific questionnaire was applied to collect data on five ICF environmental factors. Rasch modelling, descriptive and non-parametric statistics were applied. Results: Time-S has acceptable psychometric properties for use on adults with mental disability. People with mental disability and low level of daily time management who use advanced EPDs are more influenced by environmental factors. The study group perceived that encouragement and support from professionals as well as services influence their use of EPDs. Conclusions: Time-S can safely be used for people with mental disability. EPDs do not fully compensate the needs of the target-group. Prescribers need to give considerations to this and therefore they should be provided with more knowledge about this matter.

Place, publisher, year, edition, pages
Informa healthcare: , 2015
Keywords
Assistive technology, cognitive dysfunction, ICF, occupational therapy, Rasch modeling, Time-S
National Category
Occupational Therapy
Research subject
Health Care Research
Identifiers
urn:nbn:se:uu:diva-224614 (URN)10.3109/17483107.2014.917124 (DOI)24805929 (PubMedID)
Available from: 2014-05-14 Created: 2014-05-14 Last updated: 2017-12-05Bibliographically approved
Adolfsson, P., Lindstedt, H. & Janeslätt, G. (2015). How people with cognitive disabilities experience electronic planning devices. NeuroRehabilitation (Reading, MA), 37(3), 379-392
Open this publication in new window or tab >>How people with cognitive disabilities experience electronic planning devices
2015 (English)In: NeuroRehabilitation (Reading, MA), ISSN 1053-8135, E-ISSN 1878-6448, Vol. 37, no 3, p. 379-392Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: People with cognitive disabilities have difficulties in accomplishing everyday tasks. Electronic planning devices (EPDs) may compensate for the gap between a person’s capacity and everyday challenges. However, the devices are not always used as intended. Despite that, cognitive assistive technology has been investigated in several studies, knowledge regarding when and what makes adults decide to use EPDs is incomplete. People with cognitive disabilities have difficulties in accomplishing everyday tasks. Electronic planning devices (EPDs) may compensate for the gap between a person’s capacity and everyday challenges. However, the devices are not always used as intended. Despite that, cognitive assistive technology has been investigated in several studies, knowledge regarding when and what makes adults decide to use EPDs is incomplete. OBJECTIVE: The aim was to explore the subjective experiences of people with cognitive disabilities in relation to the use of EPDs. The aim was to explore the subjective experiences of people with cognitive disabilities in relation to the use of EPDs. METHODS: A qualitative approach was applied with a qualitative content analysis. Twelve respondents were interviewed with support from a study specific guide. A qualitative approach was applied with a qualitative content analysis. Twelve respondents were interviewed with support from a study specific guide. RESULTS: A model representing the respondents’ experiences in the use of EPDs, comprising one theme, Possibility to master my daily life , four categories, Degree of fit to my needs, I am aware of my cognitive disability, I get help to structure my everyday life and The EPD improves my volition and ten subcategories, was developed. A model representing the respondents’ experiences in the use of EPDs, comprising one theme, Possibility to master my daily life , four categories, Degree of fit to my needs, I am aware of my cognitive disability, I get help to structure my everyday life and The EPD improves my volition and ten subcategories, was developed. CONCLUSIONS: EPDs allow people with cognitive disabilities the possibility to deal with daily challenges; those who find EPDs beneficial tend to use them. EPDs can help people with cognitive disabilities in organisation, managing time and improve volition. EPDs allow people with cognitive disabilities the possibility to deal with daily challenges; those who find EPDs beneficial tend to use them. EPDs can help people with cognitive disabilities in organisation, managing time and improve volition.

National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:uu:diva-268003 (URN)10.3233/NRE-151268 (DOI)000366324100005 ()
Available from: 2015-12-01 Created: 2015-12-01 Last updated: 2017-12-01
Janeslätt, G., Jöreskog, K., Springer, L. & Adolfsson, P. (2014). Parents on the outside - a pilot study of a support group for parents with cognitive limitations who have lost the care of their children. JARID: Journal of applied research in intellectual disabilities, 27(4), 356-356
Open this publication in new window or tab >>Parents on the outside - a pilot study of a support group for parents with cognitive limitations who have lost the care of their children
2014 (English)In: JARID: Journal of applied research in intellectual disabilities, ISSN 1360-2322, E-ISSN 1468-3148, Vol. 27, no 4, p. 356-356Article in journal, Meeting abstract (Other academic) Published
National Category
Health Sciences
Identifiers
urn:nbn:se:uu:diva-230253 (URN)000338992800402 ()
Available from: 2014-08-21 Created: 2014-08-21 Last updated: 2017-12-05
Adolfsson, P. (2012). Food security and people with intellectual disabilities living in community residences in Sweden. In: Journal of Intellectual Disability Research 56; 7/8: . Paper presented at 14th IASSID World Congress: A WORLD OF POTENTIAL.
Open this publication in new window or tab >>Food security and people with intellectual disabilities living in community residences in Sweden
2012 (English)In: Journal of Intellectual Disability Research 56; 7/8, 2012Conference paper, Poster (with or without abstract) (Refereed)
National Category
Other Medical Sciences not elsewhere specified
Research subject
Food, Nutrition and Dietetics
Identifiers
urn:nbn:se:uu:diva-221492 (URN)
Conference
14th IASSID World Congress: A WORLD OF POTENTIAL
Available from: 2014-03-31 Created: 2014-03-31 Last updated: 2016-10-03
Adolfsson, P., Fjellström, C., Lewin, B. & Mattsson Sydner, Y. (2012). Foodwork among people with intellectual disabilities and dietary implications depending on staff involvement. Scandinavian Journal of Disability Research, 14(1), 40-55
Open this publication in new window or tab >>Foodwork among people with intellectual disabilities and dietary implications depending on staff involvement
2012 (English)In: Scandinavian Journal of Disability Research, ISSN 1501-7419, E-ISSN 1745-3011, Scandinavian Journal of Disability Research, ISSN ISSN 1501-7419, EISSN 1745-3011, Vol. 14, no 1, p. 40-55Article in journal (Refereed) Published
Abstract [en]

The food provision for people with intellectual disability (ID) in Sweden is organized within their own households. The aim of this study was to describe how foodwork – planning for meals, shopping for food and cooking – is performed in different social contexts in community settings involving people with ID, staff or both. Dietary intake in the main meals in relation to foodwork practice was also studied. Four different foodwork practices could be distinguished. For some participants only one kind of foodwork practice was found, but for most of them two or more different practices. There was a tendency that food items and dishes chosen and used differed depending on what foodwork practice was performed, which, in turn, affected the nutrient intake. More attention needs to be directed to these everyday matters as a means to increase the quality of support in food for people with ID.

Place, publisher, year, edition, pages
London: Taylor & Francis, 2012
Keywords
community housing, foodwork, intellectuel disability, dietary intake
National Category
Social Sciences
Research subject
Nutrition
Identifiers
urn:nbn:se:uu:diva-131325 (URN)10.1080/15017419.2010.507384 (DOI)
Available from: 2010-09-29 Created: 2010-09-29 Last updated: 2018-08-09
Lindstedt, H., Adolfsson, P., Janeslätt, G., Pettersson, I. & Norling Hermansson, L. (2012). Omgivningens hjälp eller stjälp?: Dokumentation av personers med psykisk funktionsnedsättning erfarenheter av användning av elektroniska planeringshjälpmedel. Sundbyberg: Hjälpmedelsinstitutet
Open this publication in new window or tab >>Omgivningens hjälp eller stjälp?: Dokumentation av personers med psykisk funktionsnedsättning erfarenheter av användning av elektroniska planeringshjälpmedel
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2012 (Swedish)Report (Other academic)
Abstract [sv]

Vuxna personer med psykisk funktionsnedsättning har ofta problem med sin kognitiva förmåga, vilket leder till problem med att hantera vardagslivets komplexitet. Med behovsanpassade kognitiva hjälpmedel och individuellt stöd från kunnig personal finns möjlighet för personen att få ordning på sitt ofta kaotiska vardagsliv. Dock finns studier och klinisk erfarenhet som påtalar att hjälpmedel inte används i den utsträckning som förväntats. Antaganden finns om att komplexa faktorer i omgivningen interagerar med hjälpmedelsanvändning.

Syftet med studien var att dokumentera erfarenheter av underlättande och hindrande omgivningsfaktorer som personer med psykisk funktionsnedsättning har av användningen av elektroniska planeringshjälpmedel. Metod: tolv personer med psykisk funktionsnedsättning och med erfarenhet av elektroniska planeringshjälpmedel rekryterades efter informerat samtycke via förskrivare och besök vid dagliga verksamheter. En studiespecifik frågeguide med öppna frågor med ett innehåll som täcker omgivningsfaktorer enligt Klassifikation av funktionstillstånd, funktionshinder och hälsa (ICF) användes i de inspelade intervjuerna. Materialet bearbetades med kvalitativ, induktiv innehållsanalys. Resultatet utmynnade i sex kategorier och två teman formade till en modell med underlättande eller hindrande faktorer som inverkar på användning av elektroniska planeringshjälpmedel enligt deltagarna. Kategorierna benämndes: Insikt om funktionsnedsättning/behov; Medveten social omgivning; Egen kontroll och hanterbarhet av hjälpmedel; Nytta av och brister i hjälpmedlets funktion; stöd av Kunnig personal; och Tydligt och lättbegripligt myndighetsutövande. Teman benämndes: Tydlig önskan om delaktighet och Nödvändig individuell anpassnnig. Åtgärder för att förebygga eller förhindra omgivningens negativa inverkan på hjälpmedelsanvändning är angelägen.

Abstract [sv]

Syftet med projektet var att dokumentera erfarenheter av underlättande och hindrande omgivningsfaktorer när det gäller som personer med psykisk funktionsnedsättning som använder elektroniska planeringshjälpmedel.

Place, publisher, year, edition, pages
Sundbyberg: Hjälpmedelsinstitutet, 2012. p. 23
Series
Hjälpmedel i fokus ; 12319
Keywords
ADHD, psykiatri, kognitiv, hjälpmedel
National Category
Occupational Therapy
Research subject
Caring Sciences
Identifiers
urn:nbn:se:uu:diva-173109 (URN)
Note

Rapport från projekt som fått stöd av Hjälpmedel i fokus

Hjälpmedelsinstitutet fick 2007 i uppdrag av regeringen att informera, utbilda och utveckla bra hjälpmedel för personer med psykiska funktionsnedsättningar. En del i arbetet var att dela ut projektmedel för bland annat utveckling av hjälpmedel och metoder.

Available from: 2012-05-04 Created: 2012-04-18 Last updated: 2012-05-04Bibliographically approved
Lindstedt, H., Adolfsson, P., Janeslätt, G., Pettersson, I. & Norling Hermansson, L. (2011). Omgivningens hjälp eller stjälp?: Dokumentation av personers med psykisk funktionsnedsättning erfarenheter av användning av elektroniska planeringshjälpmedel. Solna
Open this publication in new window or tab >>Omgivningens hjälp eller stjälp?: Dokumentation av personers med psykisk funktionsnedsättning erfarenheter av användning av elektroniska planeringshjälpmedel
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2011 (Swedish)Report (Other academic)
Abstract [sv]

Vuxna personer med psykisk funktionsnedsättning har ofta problem med sin kognitiva förmåga, vilket leder till problem med att hantera vardagslivets komplexitet. Med behovsanpassade kognitiva hjälpmedel och individuellt stöd från kunnig personal finns möjlighet för personen att få ordning på sitt ofta kaotiska vardagsliv. Dock finns studier och klinisk erfarenhet som påvisar att hjälpmedel inte används i den utsträckning som förväntats. Antaganden finns om att komplexa faktorer i omgivningen interagerar med hjälpmedelsanvändning.

Syftet med studien var att dokumentera erfarenheter av underlättande och hindrande omgivningsfaktorer som personer med psykisk funktionsnedsättning har av användningen av elektroniska planeringshjälpmedel.

Metod: tolv personer med psykisk funktionsnedsättning och med erfarenhet av elektroniska planeringshjälpmedel rekryterades efter informerat samtycke via förskrivare och besök vid dagliga verksamheter. En studiespecifik frågeguide med öppna frågor med ett innehåll som täcker omgivningsfaktorer enligt Klassifikation av funktionstillstånd, funktionshinder och hälsa (ICF) användes i de inspelade intervjuerna. Materialet bearbetades med kvalitativ, induktiv innehållsanalys.

Resultatet utmynnade i sex kategorier och två teman formade till en modell med underlättande eller hindrande faktorer som inverkar på användning av elektroniska planeringshjälpmedel enligt deltagarna. Kategorierna benämndes: Insikt om funktionsnedsättning/behov; Medveten social omgivning; Egen kontroll och hanterbarhet av hjälpmedel; Nytta av och brister i hjälpmedlets funktion; stöd av kunnig personal; och Tydligt och lättbegripligt myndighetsutövande. Teman benämndes: Tydlig önskan om delaktighet och Nödvändig individuell anpassning. Åtgärder för att förebygga eller förhindra omgivningens negativa inverkan på hjälpmedelsanvändning är angelägen.

Abstract [en]

Adults with mental disabilities often have problems with their cognitive ability, leading to problems in dealing with everydaylife's hindrancecomplexity. With the needs-based cognitive assistive technology and individual support from knowledgeable staff it is possible for the person to bring order to their often chaotic daily life. However, there are studies and clinical experience which indicate that assistive technology is not used to the extent expected. Assumptions are that complex environmental factors interact with use of the assistive technology.

The purpose of this study was to document the experiences of facilitating or hindrance environmental factors that people with mental disabilities have of using electronic planning devices.

Method: Using prescribers and at visits to community activity centres twelve adult persons with mental disabilities and own experience of useing electronic planning devices were, after informed consent, recruited. A study-specific interview guide with open questions, with a content that covers environmental factors according to International Classification of Functioning, Disability and Health (ICF) was used in the recorded interviews. The material was analysed by using qualitative inductive content analysis.

Result: From the interviews six categories and two themes emerged, wich were molded to a model of facilitating or impeding factors affecting the use of electronic planning devices. The categories were named: Insight of disability/needs; Cognisant social environment; Self control and manageability of the device; Benefits and shortcomings of using the device; Assistance of skilled personnel and Clear and simple exercise of authority. The themes are named: A clear desire for participation and Necessity of individual adaption of the device. Measures to prevent or eliminate ambient negative impact of the device use is keen.

Place, publisher, year, edition, pages
Solna: , 2011. p. 25
Keywords
neuropsykiatrisk funktionsnedsättning, vardagsteknologi, icf, kognitiv
National Category
Occupational Therapy
Research subject
Caring Sciences in Social Sciences
Identifiers
urn:nbn:se:uu:diva-211965 (URN)
Available from: 2013-12-03 Created: 2013-12-03 Last updated: 2013-12-04Bibliographically approved
Adolfsson, P., Mattsson Sydner, Y. & Fjellström, C. (2010). Social aspects of eating events among people with intellectual disability in community living. Journal of Intellectual & Developmental Disability, 35(4), 259-267
Open this publication in new window or tab >>Social aspects of eating events among people with intellectual disability in community living
2010 (English)In: Journal of Intellectual & Developmental Disability, ISSN 1366-8250, E-ISSN 1469-9532, Vol. 35, no 4, p. 259-267Article in journal (Refereed) Published
Abstract [en]

Background:

In Sweden, a process involving the deinstitutionalisation of services and the establishment of community-based settings for people with intellectual disability has meant changes in meal arrangements. In the present study, we focus on the social arrangements of meals in community-based settings.

Method:

Participant observations were used to study the meals as social events for 32 participants, 9 of whom lived in supported living and 23 in group homes.

Results:

Breakfast and dinner were often eaten alone, while lunch at the daily activity centre and the food eaten between meals snacks were mostly shared with other people. Meals for participants in supported living were seldom social, and meals for participants in the group homes often hierarchical.

Conclusion:

The participants were often limited in choosing their company at meals, which typically consisted of other people with intellectual disability and staff. If they made such choices, they were dependent upon staff support to realise them.

Keywords
Meals, intellectual disability, deinstitutionalisation commensality, community living, nutrition
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-131326 (URN)10.3109/13668250.2010.513329 (DOI)000284764100005 ()20887234 (PubMedID)
Available from: 2010-09-29 Created: 2010-09-29 Last updated: 2017-12-12
Adolfsson, P., Mattsson Sydner, Y., Fjellström, C., Lewin, B. & Andersson, A. (2008). Observed dietary intake in adults with intellectual disability living in the community. Food & Nutrition Research, 52
Open this publication in new window or tab >>Observed dietary intake in adults with intellectual disability living in the community
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2008 (English)In: Food & Nutrition Research, ISSN 1654-6628, Vol. 52Article in journal (Refereed) Published
Abstract [en]

Background: Knowledge is lacking about dietary habits among people with intellectual disability (ID) living in community residences under new living conditions.

Objective: To describe the dietary habits of individuals with ID living in community residences, focusing on intake of food, energy and nutrients as well as meal patterns.

Design: Assisted food records and physical activity records over a 3-day observation period for 32 subjects.

Results: Great variation was observed in daily energy intake (4.9-14 MJ) dispersed across several meals, with on average 26% of the energy coming from in-between-meal consumption. Main energy sources were milk products, bread, meat products, buns and cakes. The daily intake of fruit and vegetables (320_221 g) as well as dietary fiber (21_99.6 g) was generally low. For four vitamins and two minerals, 19-34% of subjects showed an intake below average requirement (AR). The physical activity level (PAL) was low for all individuals (1.4_0.1).

Conclusion: A regular meal pattern with a relatively high proportion of energy from in-between-meal eating occasions and a low intake of especially fruits were typical of this group of people with ID. However, the total intake of energy and other food items varied a great deal between individuals. Thus, every adult with ID has to be treated as an individual with specific needs. A need for more knowledge about food in general and particularly how fruit and vegetables could be included in cooking as well as encouraged to be eaten as inbetween-meals seems imperative in the new living conditions for adults with ID.

Place, publisher, year, edition, pages
Co-Action Publishing, 2008
Keywords
diet, food record, dietary habits, fruit and vegetable, intellectual disability, community residence
National Category
Food Science
Research subject
Nutrition
Identifiers
urn:nbn:se:uu:diva-86988 (URN)10.3402/fnr.v52i0.1857 (DOI)
Available from: 2008-12-16 Created: 2008-12-11 Last updated: 2018-08-09
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