Rehabilitering, samverkan och åldrande – Elisabeth Rydwiks forskargrupp

Fokus för denna forskargrupp är pre- och rehabilitering för sköra äldre personer i hemmiljö, hur samverkan inom vård- och omsorg fungerar och hur vårdövergångar påverkar olika utfall. Ett genomgående tema är ett tvärprofessionellt tillvägagångssätt och/eller en komponent i alla projekt.

Forskningsfokus

Fokus för denna forskargrupp är pre- och rehabilitering för sköra äldre personer i hemmiljö, hur samverkan inom vård- och omsorg fungerar och hur vårdövergångar påverkar olika utfall. Ett genomgående tema är ett tvärprofessionellt tillvägagångssätt och/eller en komponent i alla projekt.

Mer information finns på den engelska sidan.

Publikationer

Utvalda publikationer

Alla gruppmedlemmars publikationer

Finansiering

Forskningsbidrag

  • PoPEx: Evaluation of a digital tool for preoperative exercise before abdominal cancer surgery and exploring prerequisites for implementation
    Karolinska Institutet, SFO-V
    9 September 2023 - 31 August 2025
  • CANOPTIFYS/e-hälsa: OPTImering av FYSisk funktion för äldre personer som ska genomgå bukCANcer-kirurgi
    Karolinska Institutet, Forskarskolan i hälsovetenskap
    1 September 2023 - 31 August 2024
  • CANOPTIPHYS/mHealth - OPTImizing PHYSical function before CANcer surgery: development and evaluation of mHealth support for older people
    Karolinska Institutet, SFO-V
    1 December 2021 - 31 December 2023
  • Swedish Research Council for Health Working Life and Welfare
    1 November 2021 - 31 October 2025
    Home rehabilitation for older people is widely implemented, but research on the content and the effectiveness of the rehabilitation interventions used in practice are scarce and we lack of knowledge of how home-rehabilitation units collaborate with social- and health care services. The aim is to evaluate the state of home rehabilitation in relation to scientific evidence and the effectiveness on older persons’ well-being, participation and ability in daily activities as well as the older persons satisfaction with the interventions, the collaboration between social service- and health care providers, and level of service utilization. The design is based on the realist evaluation method, where a defined program theory is used as a base for the evaluation. The main characteristic is to identify context, mechanism and outcomes of the target process. The project will be conducted in Jönköping, Luleå and Stockholm which reflects different parts of the country in relation to size and care organisations. During phase 1, a program theory is established through systematic searches of scientific and grey literature
    extracting data, analyzes and synthesizing will be conducted and discussed during four workshops. During phase 2, the context and mechanisms of impact is explored at home-rehabilitation units at the three sites, through observations of interaction between staff and patients, patient record auditing, and focus groups and interviews. During phase 3, the effectiveness of home rehabilitation will be evaluated by patient record auditing, register data, questionnaires and interviews and will be analyzed in relation to the described program theory. An overarching analysis of what, for whom and under which circumstances that home rehabilitation leads to change will be conducted with data from all three phases using mixed methods. The results of identified mechanisms and relevant context factors will be related to the outcomes of effectiveness to identify outcome patterns.
  • Swedish Research Council for Health Working Life and Welfare
    1 November 2021 - 31 October 2025
    Older adults make up approximately 20% of the Swedish population. The ongoing demographic development, with an ageing population and a continuously larger proportion of older adults, leads to continuously increasing demand for appropriate and efficient geriatric care. One particularly critical moment in the continuum of care for older adults is the transition between different responsible authorities, between regional and municipal care.The project consists of four phases and the aims are (I) to map and assess the situation in terms of health, care activities and resource use after discharge, (II) analyse associations with care-transition outcomes, (III) based on phase I-II, generate viable ideas for addressing and improving the situation, and (IV) implement new and improved ways of working as well as perform a post-implementation evaluation of effects (IV). The design of the study is closed cohorts based on registry data (phases I-II) together with an experience-based co-design (phase III), implementation and evaluation (phase IV).The data set leveraged in phases I-II consists of patient records from geriatric care, health care utilization data for six months after discharge extracted from the Stockholm Regional Healthcare Data Warehouse, socioeconomic data from Statistics Sweden, and data from the National Board of Health and Welfare on social services and death cause. In phase III, an experience-based co-design approach will be leveraged to develop a new model for the coordination of care, where the synthesised knowledge from phases I-II will be used as a base. In phase IV, the co-designed new model of coordination of care will be implemented. To be able to draw adequate conclusion from the outcome analyses, data on the process of implementation will be collected, and frequency of readmission will be the primary outcome measure to evaluate the effect of new ways of working. Costs of readmission will be computed before and after implementation.
  • CanOptiFys: OPTImerad FYSisk funktion inför bukCANcerkirurgi - effekter på postoperativa komplikationer och livskvalitet för sköra äldre personer
    Cancerfonden
    1 January 2020 - 31 December 2024
  • Swedish Research Council
    1 January 2020 - 31 December 2022
  • Swedish Research Council for Health Working Life and Welfare
    1 December 2014 - 30 November 2017

Medarbetare och kontakt

Gruppledare

Alla medarbetare i gruppen

Andra personer med koppling till gruppen

  • Andersson, Mikael
  • Naseer, Mahwish