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  1. Article ; Online: Management of carpal tunnel syndrome in primary care.

    Kjeken, Ingvild / Sundin, Ulf

    Rheumatology (Oxford, England)

    2022  Volume 62, Issue 2, Page(s) 495–496

    MeSH term(s) Humans ; Carpal Tunnel Syndrome/diagnosis ; Carpal Tunnel Syndrome/therapy ; Primary Health Care
    Language English
    Publishing date 2022-07-11
    Publishing country England
    Document type Editorial ; Comment
    ZDB-ID 1464822-2
    ISSN 1462-0332 ; 1462-0324
    ISSN (online) 1462-0332
    ISSN 1462-0324
    DOI 10.1093/rheumatology/keac396
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  2. Article ; Online: Dialogued into being: Constructing knowledge about hand osteoarthritis from a polyphony of voices in healthcare encounters.

    Magnussen, Hege Johanne / Kjeken, Ingvild / Pinxsterhuis, Irma / Sjøvold, Trine Amalie / Feiring, Marte

    International journal of qualitative studies on health and well-being

    2024  Volume 19, Issue 1, Page(s) 2330221

    Abstract: Purpose: Multiple knowledge sources inform healthcare. In healthcare encounters, patients and health professionals' ideas intersect to understand illness and disease. Exploring what is thought of as legitimate knowledge, and where those reflections come ...

    Abstract Purpose: Multiple knowledge sources inform healthcare. In healthcare encounters, patients and health professionals' ideas intersect to understand illness and disease. Exploring what is thought of as legitimate knowledge, and where those reflections come from is central to the process of improving and developing healthcare. Within this context, we aim to explore how knowledge about hand osteoarthritis (OA) is constructed and negotiated in clinical consultations.
    Methodology: The article is based on interviews with 21 patients and 14 health professionals in combination with observation in 16 clinical consultations. Reflexive thematic analysis was used to interpret the data.
    Results: We generated four themes from codes to tell an interpretive story about how hand OA meaning-making is "talked into being" in patient-provider encounters: from the dominant voice of health professionals, from patients as knowers in the chronic healthcare dialogue, from health professionals and patients constructing knowledge together and from the construction of knowledge in hybrid positions when patients are health professionals and health professionals have hand OA.
    Conclusion: New knowledge about hand OA is co-constructed in the situated context of the clinical encounter through a polyphony of voices-some of which are dominant, while others occupy the periphery-within and between the interactants in dialgue.
    MeSH term(s) Humans ; Qualitative Research ; Delivery of Health Care ; Health Personnel ; Health Facilities ; Osteoarthritis
    Language English
    Publishing date 2024-03-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2232726-5
    ISSN 1748-2631 ; 1748-2623
    ISSN (online) 1748-2631
    ISSN 1748-2623
    DOI 10.1080/17482631.2024.2330221
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  3. Article ; Online: Long-term changes in pain and function in patients with thumb base osteoarthritis receiving brief information, occupational therapy and/or surgery.

    Tveter, Anne Therese / Østerås, Nina / Nossum, Randi / Eide, Ruth Else Mehl / Klokkeide, Åse / Matre, Karin Hoegh / Olsen, Monika / Kjeken, Ingvild

    Musculoskeletal care

    2024  Volume 22, Issue 2, Page(s) e1883

    MeSH term(s) Humans ; Occupational Therapy ; Thumb/surgery ; Pain ; Exercise Therapy ; Osteoarthritis
    Language English
    Publishing date 2024-04-17
    Publishing country England
    Document type Journal Article
    ZDB-ID 2171452-6
    ISSN 1557-0681 ; 1478-2189
    ISSN (online) 1557-0681
    ISSN 1478-2189
    DOI 10.1002/msc.1883
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  4. Article: Exploring Goals and Functional Changes in Reablement for People with Fractures and People with Dizziness and Balance Problems.

    Licina, Selma / Kjeken, Ingvild / Førland, Oddvar / Langeland, Eva / Tuntland, Hanne

    Journal of multidisciplinary healthcare

    2023  Volume 16, Page(s) 2323–2337

    Abstract: Background: Although older people often have challenges with fractures and dizziness/balance problems, knowledge concerning the impact of reablement of people with these conditions is limited.: Aim: To explore functional changes in reablement for ... ...

    Abstract Background: Although older people often have challenges with fractures and dizziness/balance problems, knowledge concerning the impact of reablement of people with these conditions is limited.
    Aim: To explore functional changes in reablement for older home-dwelling people with fractures and dizziness/balance problems regarding 1) occupational performance and satisfaction with performance, 2) physical function and 3) health-related quality of life, and 4) which occupations they prioritize as rehabilitation goals.
    Material and methods: The sample is derived from a nationwide clinically controlled trial in Norway consisting of 149 participants with fractures and 113 with dizziness/balance problems who participated in a four to 10-week reablement program. Data were collected at baseline and at 10-week, 6-month, and 12-month follow-up and were analyzed with paired
    Results: Both groups had significant short-, mid-, and long-term improvements in occupational performance and satisfaction with performance. Except for balance from baseline to 12-month follow-up, the fracture group showed significant improvements in physical function and health-related quality of life at all follow-ups. The results varied more in the group with dizziness/balance problems in physical function and health-related quality of life. Functional mobility was the highest prioritized occupational sub-area in both groups.
    Conclusion: The findings of this study provide extended knowledge about goals and functional changes in people with fractures and dizziness/balance problems following a reablement program.
    Significance: Tailoring and individual adjustments according to diagnosis may be important in person-centered care in reablement.
    Language English
    Publishing date 2023-08-15
    Publishing country New Zealand
    Document type Journal Article
    ZDB-ID 2453343-9
    ISSN 1178-2390
    ISSN 1178-2390
    DOI 10.2147/JMDH.S417883
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  5. Article ; Online: Patients' experiences with goal pursuit after discharge from rheumatology rehabilitation: A qualitative study.

    Hamnes, Bente / Berdal, Gunnhild / Bø, Ingvild / Kjeken, Ingvild

    Musculoskeletal care

    2020  Volume 19, Issue 3, Page(s) 249–258

    Abstract: Purpose/objective: To explore rehabilitation goals and experiences with goal striving in patients with rheumatic diseases after rehabilitation discharge.: Method: Thirty-three patients with rheumatic diseases participated in goal-setting ... ...

    Abstract Purpose/objective: To explore rehabilitation goals and experiences with goal striving in patients with rheumatic diseases after rehabilitation discharge.
    Method: Thirty-three patients with rheumatic diseases participated in goal-setting conversations with healthcare professionals during a 1-week rehabilitation programme. After discharge, they received four follow-up phone calls over a period of 5 months to support individual goal striving and self-management. A qualitative thematic analysis was conducted of the patients' rehabilitation goals, action plans and their statements about their experiences pursuing their goals at home after discharge.
    Results: Analysis revealed that the experiences were related to five overarching themes: (1) things take time, (2) the importance of changing ways of thinking, (3) the pieces fall into place, (4) own health = own responsibility and (5) events outside of the plan.
    Conclusion: At discharge, the participants had set between one and five long-term goals, focussing mainly on having a healthier lifestyle and a better quality of life. The study showed that, to a large extent, the participants employed different self-management strategies after discharge from rehabilitation. In addition, the findings demonstrated that they experienced certain challenges when pursuing their goals. These challenges were related to health problems and changes in routine, such as holidays. Health professionals should explain to participants who pursue their own rehabilitation goals after discharge that changes in habit require conscious decision-making, priority setting and time, as well as the importance of having alternative plans for holidays and periods of disease exacerbations.
    MeSH term(s) Goals ; Humans ; Motivation ; Patient Discharge ; Quality of Life ; Rheumatology
    Language English
    Publishing date 2020-10-01
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2171452-6
    ISSN 1557-0681 ; 1478-2189
    ISSN (online) 1557-0681
    ISSN 1478-2189
    DOI 10.1002/msc.1515
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  6. Article: Negotiating Professional Tasks in a Hospital: A Qualitative Study of Rheumatologists and Occupational Therapists in the Management of Hand Osteoarthritis.

    Magnussen, Hege Johanne / Kjeken, Ingvild / Pinxsterhuis, Irma / Sjøvold, Trine Amalie / Feiring, Marte

    Journal of multidisciplinary healthcare

    2023  Volume 16, Page(s) 3057–3074

    Abstract: Purpose: Societal change and rise in demand for healthcare call for new health professional practices and task redistribution. Through negotiated order theory, this study explores how hospital rheumatologists (RT) and occupational therapists (OT) ... ...

    Abstract Purpose: Societal change and rise in demand for healthcare call for new health professional practices and task redistribution. Through negotiated order theory, this study explores how hospital rheumatologists (RT) and occupational therapists (OT) negotiate professional tasks in the clinical management of hand osteoarthritis.
    Methodology: Fourteen qualitative interviews and 16 observations in clinical consultations were conducted in two hospitals specialized in rheumatology in Norway. Participants included eight OTs, six RTs, and patients in consultations. Data were analyzed using reflexive thematic analysis.
    Results: Three themes were developed from codes: hierarchical ordering of hospital work impacts interprofessional negotiations; diagnostic organization of tasks preserves RT authority; and evidence-based recommendations in rheumatology enhance OT responsibilities. Overall, RTs and OTs enact tasks in succession where higher-ranking RTs establish a diagnosis and decide the subsequent in-hospital trajectory entrenched in a medical knowledge system. When medicine does not hold evidence-based treatment alternatives for patients, OTs respond by providing therapeutic interventions that are legitimized through international recommendations in rheumatology when they equip patients with tools to cope with chronic illness.
    Conclusion: Negotiations over tasks do not take place from equal power positions when status and knowledge hierarchies frame professional practices. The enactment of tasks is concurrently highly influenced by the arena of the workplace, where the two professional groups both cross boundaries and work together in concert despite professional differences in order to meet patient interests and provide relevant healthcare.
    Language English
    Publishing date 2023-10-18
    Publishing country New Zealand
    Document type Journal Article
    ZDB-ID 2453343-9
    ISSN 1178-2390
    ISSN 1178-2390
    DOI 10.2147/JMDH.S425640
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  7. Article ; Online: Interventions for osteoarthritis pain: A systematic review with network meta-analysis of existing Cochrane reviews.

    Smedslund, Geir / Kjeken, Ingvild / Musial, Frauke / Sexton, Joseph / Østerås, Nina

    Osteoarthritis and cartilage open

    2022  Volume 4, Issue 2, Page(s) 100242

    Abstract: Objective: To conduct a network meta-analysis comparing all treatments for osteoarthritis (OA) pain in the Cochrane Library.: Design: The Cochrane Library and Epistemonikos were searched for randomized controlled trials (RCTs) about treatments for ... ...

    Abstract Objective: To conduct a network meta-analysis comparing all treatments for osteoarthritis (OA) pain in the Cochrane Library.
    Design: The Cochrane Library and Epistemonikos were searched for randomized controlled trials (RCTs) about treatments for hip and knee OA. We constructed 17 broad categories, comprising drug treatments, exercise, surgery, herbs, orthotics, passive treatments, regenerative medicine, diet/weight loss, combined treatments, and controls. In addition to a full network analysis, we compared the direct/indirect effects, and studies with shorter-/longer follow-up. CINeMA software was used for assessing confidence in network meta-analysis estimates.
    Results: We included 35 systematic reviews including 445 RCTs. There were 153 treatments for OA. In total, 491 comparisons were related to knee OA, less on hip OA, and only nine on hand OA. Six treatment categories showed clinically significant effects favoring treatment over control on pain. "Diet/weight loss" and "Surgery" had effect sizes close to zero. The network as a whole was not coherent. Of 136 treatment comparisons, none were rated as high confidence, six as moderate, 13 as low, and 117 as very low.
    Conclusions: Direct comparison of different available treatment options for OA is desirable, however not currently feasible in practice, due to heterogeneous study populations and lack of clear descriptions of control interventions. We found that many treatments were effective, but since the network as a whole was not coherent and lacked high confidence in the treatment comparisons, we could not produce a ranking of effects.
    Language English
    Publishing date 2022-02-15
    Publishing country England
    Document type Journal Article ; Review
    ISSN 2665-9131
    ISSN (online) 2665-9131
    DOI 10.1016/j.ocarto.2022.100242
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  8. Article ; Online: Measurement in occupational therapy.

    Kjeken, Ingvild

    Scandinavian journal of occupational therapy

    2012  Volume 19, Issue 6, Page(s) 466–467

    MeSH term(s) Disability Evaluation ; Humans ; Motor Activity/physiology ; Occupational Therapy/methods ; Outcome Assessment (Health Care)
    Language English
    Publishing date 2012-11
    Publishing country England
    Document type Editorial ; Introductory Journal Article
    ZDB-ID 2144132-7
    ISSN 1651-2014 ; 1103-8128
    ISSN (online) 1651-2014
    ISSN 1103-8128
    DOI 10.3109/11038128.2012.727599
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    In stock of ZB MED Cologne/Königswinter

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  9. Article: Patient Involvement in the Rehabilitation Process Is Associated with Improvement in Function and Goal Attainment: Results from an Explorative Longitudinal Study.

    Sagen, Joachim Støren / Kjeken, Ingvild / Habberstad, Andreas / Linge, Anita Dyb / Simonsen, Ann Elisabeth / Lyken, Anne Dorte / Irgens, Eirik Lind / Framstad, Heidi / Lyby, Peter Solvoll / Klokkerud, Mari / Dagfinrud, Hanne / Moe, Rikke Helene

    Journal of clinical medicine

    2024  Volume 13, Issue 2

    Abstract: The objective was to explore the associations between patient involvement in the rehabilitation process and improvements in function and goal attainment in the first year after rehabilitation. The longitudinal multicenter study RehabNytte provided data ... ...

    Abstract The objective was to explore the associations between patient involvement in the rehabilitation process and improvements in function and goal attainment in the first year after rehabilitation. The longitudinal multicenter study RehabNytte provided data from participants who had been referred to rehabilitation (
    Language English
    Publishing date 2024-01-06
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm13020320
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  10. Article ; Online: Does follow-up really matter? A convergent mixed methods study exploring follow-up across levels of care in rehabilitation of patients with rheumatic and musculoskeletal diseases.

    Berdal, Gunnhild / Sand-Svartrud, Anne-Lene / Linge, Anita Dyb / Aasvold, Ann Margret / Tennebø, Kjetil / Eppeland, Siv G / Hagland, Anne Sirnes / Ohldieck-Fredheim, Guro / Lindtvedt Valaas, Helene / Bø, Ingvild / Klokkeide, Åse / Sexton, Joseph / Azimi, Maryam / Dager, Turid N / Kjeken, Ingvild

    Disability and rehabilitation

    2024  , Page(s) 1–14

    Abstract: Purpose: To explore what patients with rheumatic and musculoskeletal diseases (RMDs) need and receive of follow-up care after specialized rehabilitation, and whether received follow-up is associated with health outcomes after 1 year. Further, to compare ...

    Abstract Purpose: To explore what patients with rheumatic and musculoskeletal diseases (RMDs) need and receive of follow-up care after specialized rehabilitation, and whether received follow-up is associated with health outcomes after 1 year. Further, to compare these findings with patients' experiences to improve the understanding of how follow-up takes place.
    Methods: In a mixed methods study, patients received a rehabilitation programme designed to improve the continuity in rehabilitation across care levels. A total of 168 patients completed questionnaires, of which 21 were also interviewed.
    Results: At discharge, most patients reported needs for follow-up. These needs were largely met within 1 year, mainly resulting from patients' initiatives to re-connect with previous contacts. The degree of received follow-up was not associated with goal attainment, quality of life, or physical function. Factors related to providers (competence, communication skills), context (delays, limited access to care), and patients (motivation, life situation, preferences) seemed to be decisive for the progress of the rehabilitation process over time.
    Conclusions: The results provide evidence that access to follow-up care is crucial to patients with RMDs. However, it also highlights several factors that may influence its impact. These results can be used to optimise design and implementation of future follow-up interventions.
    Language English
    Publishing date 2024-02-09
    Publishing country England
    Document type Journal Article
    ZDB-ID 1104775-6
    ISSN 1464-5165 ; 0963-8288
    ISSN (online) 1464-5165
    ISSN 0963-8288
    DOI 10.1080/09638288.2024.2310170
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