Profession, didactics and innovation

Project Title: The Role of the Occupational Therapist in Face-to-face Encounters with the Patient

Research Problem: How may the occupational therapist’s interactive competence be shaped and developed in encounters with patients? How is personal behaviour incorporated into the  professional interaction? What is the significance of personal behaviour with regard to the development of the therapist role in encounters with patients?

Objective: To develop new knowledge and theoretical insights into the role of the therapist   and interactional competence.

Contact  at FHS: Assistant ProfessorGrete Alve, Grete.Alve@hf.hio.no

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Project Title: Change and Development of Practical Training in the Occupational Therapy Programme

Research Problem: How to ensure an appropriate and pedagogical distribution of practical training in the clinics and at the college throughout the occupational therapy programme.

Objective: To standardise this teaching model for all the clinical instructors in the occupational therapy programme.

Contact  at FHS: Lecturer Lena Andersson, Lena.Andersson@hf.hio.no

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Project Title: Understanding the Concepts of Public Healthcare and Rehabilitation.

Objective/Research Question:   To investigate informants’ points of view regarding the concepts of public healthcare and rehabilitation as the basis for future education within these fields at Bachelor’s  degree, further education and Master’s degree levels, by focussing on the ways different professions associated with the field of  public healthcare (health promotion and preventative work) and comprehensive rehabilitation, understand these concepts.

Contact  at FHS: Associate Professor PhD Astrid Bergland, Astrid.Bergland@hf.hio.no and Assistant Professor Jorid Grimeland, Jorid.Grimeland@hf.hio.no

-------------------------------------------------------------------------------------------------------------- Project Title: Rehabilitation and the Elderly and Teaching Cooperation in the Nordic Countries with regard to teaching on the elderly/gerontology, Nordplus cooperation

Research Question: The compilation of joint programme  for education on the elderly, which will form the foundation of student and teacher exchanges. The teaching is to be undertaken by each of the Nordic countries in turn.

Contact  at FHS: Associate Professor PhD Astrid Bergland, Astrid.Bergland@hf.hio.noand Assistant Professor  Birgitta Langhammer, birgitta.langhammer@hf.hio.no

Cooperating in the project: Karin Hellstrom karin.hellstrom@sjukgym.uu.se UppsalaUniversity; Finn Marlet   fma@cvsu.dk   Odense universitet; Aune Joutsemo Aune.Joutsemo@stadia.fi   Helsingin ammattikorkeakoulu Stadia

-------------------------------------------------------------------------------------------------------------- Project Title: Rehabilitation and the Elderly: Adapted Physical Activity for the Elderly THENAPA II, EU cooperation on Adapted Physical Activity for the Elderly

Objective/Research Question: "The aim of Thematic Network Projects (TNP) is to define and develop aEuropean dimension within a given academic discipline or other topics of common interest, through co-operation between university faculties or departments and existing academic, and possibly also professional, associations. Such co-operation should lead to curriculum development or related outcome, with a lasting and widespread impact across a range of institutions within or between specific professional fields.

Objectives 1) to analyse existing structures of education, inter-university structures, European Associations on APA, governmental organisations and structures on the one hand, with the national sports federations, rehabilitation centres, special schools and the individual with a disability in general on the other hand, and 2) to set up a network of ‘reflection and action’ towards educational and social integration of persons with a handicap through Adapted Physical Activity in the different partner countries.

The final outcome of the TNP can be diversified into two major realisations:

- the creation of updated and adequate educational programs in APA throughout Europe following the definition of a ‘hard-core’ profile of a specialism in adapted physical education and activity at different educational levels, so that an ‘ideal’ profile of an APA specialist can be defined (formation pillar)

- the creation and implementation of national groups for implementation and integration strategies that might forward solutions to national problems regarding the integration, through physical activity, of disabled persons into society (integration pillar).

Contact  at FHS: Associate Professor PhD Astrid Bergland, Astrid.Bergland@hf.hio.no and Assistant Professor Birgitta Langhammer, birgitta.langhammer@hf.hio.no

Cooperating in the project: THENAPA II, herman.vancoppenolle@faber.kuleuven.be

http://www.erasmusmundus.be/

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Project Title: Functioning and Life Quality for People with Hip Fractures

Objective/Research Question: The main  objective is to investigate whether there are differences at the three-monthly check-up with regard to muscle strength, balance, stamina, activity and life quality in patients older than 65  who are operated for neck of the femur and per-trochanteric fractures, in comparison with a healthy control group.

Contact  at FHS: Associate Professor PhD Astrid Bergland, Astrid.Bergland@hf.hio.no

Cooperating in the project: Gunhild Berdal and Tone Wagle, AkerUniversityHospital

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Project Title: ‘Physical Daily Activities for Residents in a Nursing Home Setting’: a Nordic multi-centre study

Objective/Research Question: The main objective of this study is to see whether physical functioning, life quality and mental health are retained or improved in nursing home clients, using an individually adapted intervention for three months.

Contact  at FHS: Associate Professor PhD Astrid Bergland, Astrid.Bergland@hf.hio.no

Cooperating in the project: Professor Knut Engedal, Head of Department, National Competency Centre for Senile Dementia, Dr. Phil.  Jorun Helbostad, Norwegian University of Science and Technology, PhD Kerstin Frandin (Stockholm), PhD Lena Borell (Stockholm), Professor Åke Seiger (Stockholm), PhD Karin Hellstrom (Uppsala),  professor Lis Puggard, (Odense), Senior lecturer Terrttu Parkatti (Jyvaskyla)

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Project Title: Mastering Stress Through Movement and the Experience of Connection: Is the Salutogenic Principle Useful as an Overall Perspective in the Movement Group?

Objective/Research Question: The objective is to investigate and describe the effects of physical movement based on psychomotoric principles. The focus is on mastery of stress through movement and consciousness raising. The aim is to  discover good tools for working with movement groups.

Contact  at FHS: Associate Professor PhD Astrid Bergland, Astrid.Bergland@hf.hio.no

Cooperating in the project: Ingvild Raudstøl, Inner Østfold Psychomotoric Physiotherapy, Askim

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Project Title: Compliance With – and Effect of – Soft Hip Protectors Compared to Hard Hip Protectors in Preventing Hip Fracture in Nursing Homes

Objective/Research Question: The main objective is to find out whether soft hip protectors provide as good protection as hard protectors, especially at night and in other situations with extended bed-rest. The consequence of this would be increased compliance regarding the use of these protectors in order to reduce the incidence of hip fractures.

Partial objective: Prevention of hip fractures in the nursing homes involved in this study by addressing these topics:

a)      Optimal compliance, ie as many patients using the protection for  as many hours throughout the day as possible

b)      Optimal registration of information on their use, and on falls, necessary for the subsequent work on the primary objective of the study. Relevant topics are:

-How much better compliance would be achieved with soft protectors than with rigid ones?

-To what degree would a soft protector function almost as adequately as hard protection in the event of a fall?

-Would the use of soft hip protectors lead to a reduction of incidents involving hip fractures to the same extent as the use of hard protectors?

Contact  at FHS: Associate Professor PhD Astrid Bergland (co-supervisor), Astrid.Bergland@hf.hio.no

Cooperating in the project: Hege Bentzen (doctoral fellow), Lisa Forsen ( main supervisor) Institute for Public Health, and Clemens Becker, StuttgartHospital

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Project Title: The Physical Examination: Post- doctoral Project in Collaboration between OsloUniversityCollege and the Medical Faculties, Universities of Oslo and Bergen

Objective/Research Question: The intention of this study is to merge The Comprehensive Physical Examination with The Global Physiotherapy Examination in order to achieve a better physical examination

Contact  at FHS:  PhD Berit Heir Bunkan; BeritHeir.Bunkan@hf.hio.no

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Project Title: Updating of the book Body, Respiration and Body Image: resource oriented physical examination and treatment. The book was first published by Universitets Forlaget, last edition 1996. The new edition is forthcoming from Gyldendal Academic Press in the spring of 2006

Contact  at FHS: PhD Berit Heir Bunkan, BeritHeir.Bunkan@hf.hio.no

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Project Title: Updating of the book Medical Massage. This book was written in collaboration with Cathrine Melbye Schultz and first published in 1991. In the updating of this book Hanne Hagland will contribute. The new edition is forthcoming from Gyldendal Academic Press in the autumn of 2007

Contact  at FHS: PhD Berit Heir Bunkan, BeritHeir.Bunkan@hf.hio.no

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Project Title : Physical Experience as a Source of Learning

Objective/Research Question: The project is concerned with physical experience as a source of knowledge. The objective is to show the ways in which various pedagogical approaches can contribute to promote this in teaching.

Contact  at FHS: Assistant ProfessorSidsel Byhring, sidsel.byhring@hf.hio.no

-------------------------------------------------------------------------------------------------------------- Project Title: Experience of physical treatment over en extended period of time in patients who have received psychomotoric physiotherapy.

Objective/Research Question: Gaining insight into how psychomotoric physiotherapy is experienced by those who have benefited from this treatment. Foci for the project are:

1)      The first encounter with Norwegian Psychomotoric Physiotherapy

2)      Massage as experienced as interaction and source of information

3)      The role and importance of respiration in body therapy

4)      Body therapy and exercises; activity and relaxation

Contact at FHS: Associate Professor PhD Kirsten Ekerholt, Kirsten.Ekerholt@hf.hio.no

Cooperating in the project: Associate Professor PhD Astrid Bergland, Astrid.Bergland@hf.hio.no

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Project Title: Distance Learning

Objective/Research Question:

1)      Establishment of a distance learning group, in the first instance development of distance learning solutions for the faculty’s Joint Modules 2, the digitalisation of rich cases.

2)      Development of internet applications for the development of searches and discussion of professional terminology within occupational therapy.

Contact at FHS: Assistant Professor Brian Ellingham, Brian.Ellingham@hf.hio.no

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Project Title: Peer Learning

In which ways do students experience that peer learning promotes their learning outcomes and  reflections on their learning processes. Which factors do they believe are of significance for this learning?

Contact at FHS: Assistant ProfessorLise Fogstad, Lise.Fogstad@hf.hio.no

Cooperating in the project: Associate Professor PhD Astrid Bergland, Astrid.Bergland@hf.hio.no

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Project title: Observation in the workplace – a learning model within interprofessional education.

Research problem: How can workplace observation as informal learning address core concepts introduced by video triggers? How can conceptual knowledge be transferred to other contexts?   

Objective:The objectives of this study are to assess the effects of observation as  a way to learn about interprofessional collaboration and to address core concepts introduced by video triggers; ethical questions and dilemmas related to patient-centred approaches in clinical consultations.

Contact at FHS: Assistant ProfessorMarit Fougner, Marit.Fougner@hf.hio.no

Cooperating in the project: Associate Professor PhD Gerd Bjørke,  Gerd.Bjorke@hio.no

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Project Title: Quality Development and Competence Raising. Development of digitalised cases for the joint modules at FHS. A cooperative project between  the professional groups involved in the joint modules and the Distance Learning group at FHS.

Research Question: Which central topics associated with client involvement may be identified, and what is their relevance for interdisciplinary cooperation? How may these topics be mirrored in a client’s narrative on her/his experiences on meeting the health services,  when presented as ‘video-triggers’? How may video material be used to develop competence in client -oriented activity?

Contact at FHS: Assistant ProfessorMarit Fougner, Marit.Fougner@hf.hio.no

Cooperating in the project: Helge Høivik,  helge.hoivik@hio.no

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Project Title: Peer Learning - Collaborative Learning

How do physiotherapy students learn from, and with, each other by reflecting on their own experiences of treating patients?

Contact at FHS: Assistant Professor Birgit Gunnari, Birgit.Gunnari@hf.hio.no

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Project Title: Interprofessionality within health care educations: ideology and practice

Objective/Research Question: To explore how occupational-, physiotherapy-, medical- and nursing students become involved in, and perceive interaction across professional boundaries during their vocational placements. Today’s treatment and patient care often involves interactions between several professions. At the same time professions are criticized for their shortcomings in cooperation. Interprofessionality is often taken for granted in interprofessional interaction, and this project will question interprofessionality as a point of departure for actions taken.

Link to project

Contact at FHS: Assistant Professor Hanne Hagland, Hanne.Hagland@hf.hio.no

Cooperating in the project: Professor Per Solvang, Professor Jens-Christian Smeby

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Project Title: Stroke Patients and Walking Training

Objective/Research Question: Describe the cooperation between two institutions, AkerUniversityHospital and the Health Sciences Faculty at OsloUniversityCollege with respect to this joint profession–specific  project.

Contact at FHS: Assistant Professor Nora Hagstrøm, Nora.Hagstrom@hf.hio.no and Siri Tessem Siri.Tessem@hf.hio.no

Cooperating in the project: Siri Merethe Omang and Anne Splendrup Erichsen, AkerUniversityHospital

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Project Title: Rehabilitation – Stroke Research in Early Phases of Rehabilitation

Objective/Research Question:The study targets stroke patients who are unable to walk independently on admission for rehabilitation. It will determine the efficacy of treadmill walking with partial weight support via an overhead harness on the establishment and quality of independent walking. Furthermore, by reassessing the subjects six months later, it will evaluate the longer-term effect of this physiotherapy intervention.

The experimental hypotheses are:

In patients who have recently suffered a stroke and are unable to walk, ambulatory training using a treadmill with partial weight support via an overhead harness will be more effective than assisted walking on the ground. Benefits include:

-reducing the time taken to achieve independent walking,

-improving the quality of walking and

-producing a better quality of walking 6 months later.

A randomised controlled trial. A prospective multi-centre study, in cooperation with various institutions in  Australia and Norway
Contact at FHS: Assistant professor Birgitta Langhammer, birgitta.langhammer@hf.hio.no

Cooperating in the project: Dr. Louise Ada l.ada@fhs.usyd.edu.au , Physiotherapist Ellen Høyer Ellen.Hoyer@sunnaas.no

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Project Title: Rehabilitation in Stroke Research - the Acute Phase

Objective/Research Question: Our broad aim is to improve outcome for the upper limb after stroke. Specifically, we will develop protocols for physiotherapy intervention to prevent secondary musculoskeletal problems in the upper limb after stroke. In doing so, we will design better supportive devices that will not only reduce the incidence of subluxation, but will also hinder the development of contractions and pain. The proposed study will determine the efficacy of an innovative intervention to prevent subluxation of the affected shoulder (using a modified lapboard while seated and a triangular sling while standing) compared with current physiotherapy intervention (using a hemisling) in patients after stroke. The experimental hypotheses are:

Patients who have recently suffered a stroke and are unable to move their arm, benefit from using a modified lapboard while seated and a triangular sling while standing . This is more effective than using a hemisling in the

-prevention of subluxation of the affected shoulder

-prevention of pain in the affected shoulder,

-maintenance of range of motion in the affected shoulder, and

-improvement of function of the affected upper arm

both after 4 weeks of intervention and after the 6 weeks follow-up. 

A randomised controlled trial. A prospective multicentre study, in cooperation with various institutions in  Australia and Norway
Contact at FHS: Assistant Professor Birgitta Langhammer, birgitta.langhammer@hf.hio.no

Cooperating in the project: Dr Louise Ada l.ada@fhs.usyd.edu.au , Physiotherapist Audhild Tørstad, Audhild.Torstad@sabhf.no

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Project Title: Rehabilitation: Stroke Research in the Rehabilitation and Post-stroke Phase

Objective/Research Question: What results from regular physical stamina, weight lifting and training balance may be gained by people who have suffered a stroke? Results are measured by recording motoric functioning, mortality and I and P-ADL at 6 and 12 months’ follow-up, and  compared with results from people who have had a stroke and received today’s follow-up as practiced in healthcare already.

A blind experimental longitudinal randomised stratified controlled study. Randomisation and stratification using  dice to divide the two groups; one control group and a treatment group upon discharge, ‘blinded’ with the envelopes remaining sealed until the last treatment of the last patient is completed two years post-stroke. The treatment group receives training in relation to stamina ( max. VO2), weight lifting and training balance four times per year,  20 times for one hour’s duration, altogether 80 hours. The other group receives functional training: walking, moving from place to place at home, according to individual need, as practiced in social healthcare today. The training begins one month after admission to hospital and continues for one year.

Contact at FHS: Assistant Professor Birgitta Langhammer, birgitta.langhammer@hf.hio.no

Cooperating in the project: Professor Johan Stanghelle Johan.Stanghelle@sunnaas.no , Professor Birgitta Lindmark Birgitta.Lindmark@sjukgym.uu.se , Asker og Bærum hospital, Physiotherpaist Audhild Tørstad audhild.torstad@sabhf.no , Bærum kommune: Head of rehabilitation Physiotherapist Gerd Bjerkaas gerd.bjerkaas@baerum.kommune.no , Head of rehabilitation Physiotherapist Aud Karlsrud Aud.R.Karlsrud@baerum.kommune.no , Head of rehabilitation Occupational Therapist trine.arvidsen@baerum.kommune.no Asker kommune Head of rehabilitation Physiotherapist  Gerd Kaasa gerd.kaasa@asker.kommune.no and private practicing physiotherapists i Asker og Bærum.

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Project Title: Dental Technician Competence in a Perspective of Change and Development

Objective/Research Question: How may the competence reform be utilised to achieve a professional qualification aligned to the needs of the profession and its competency requirements?

Contact at FHS: Assistant Professor Anne Karin Larsen, AnneKarin.Larsen@hf.hio.no

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Project Title: Evaluation and Programme Quality

Objective/Research Question: Evaluation has become a prominent method used to ensure quality or promote development in our society. The focus of this project is the way in which evaluation may be used as a tool to develop a better quality of teaching for students attending the dental technician programme at OUC.

Contact at FHS: LecturerTrude Myhrer, Trude.Myhrer@hf.hio.no

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Project Title:  Development of an Integrated Teaching Programme for Basic Science Subjects and  Practical Methodology for Biomedical Laboratory Technology

Objective/Research Question:

-How may basic and methodology subjects be integrated into a joint study programme which promotes students’ holistic understanding and professional competence?

-What changes should be made in teaching, work and assessment methods, and how should these be implemented?

Contact at FHS:  Assistant Professor Elin Stensvold, Elin.Stensvold@hf.hio.no

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Project Title:   Good Versus Bad Respiration, Patterns of Movement and Posture in Relation to Personality and Distress

Objective/Research Question: Are there differences in respiration, patterns of movement and posture in people with psychosomatic conditions with a significant degree of personality problems and distress when compared to people with psychosomatic conditions not showing such symptoms?

Contact at FHS: Assistant professor  Slawomir Swavek Wojniusz, Slawomir.Wojniusz@hf.hio.no

Cooperating in the project: ProfessorUlrik Malt, RikshospitaletUniversityHospital, Dr. Toril Dammen, UllevålUniversityHospital

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