Kristianstad University

• Stakeholders identified five themes for home-based stroke rehabilitation. • Patient involvement and staff competence were both rated feasible and important. • The physical home environment and social networks were rated as important, yet less feasible to implement. • A gap was found between policy ambitions and real-world rehabilitation delivery. • Concept mapping enabled stakeholder-driven priorities in care development. Despite growing emphasis on home-based rehabilitation following stroke, there remains limited understanding of how to effectively tailor services to individual needs. This study employed concept mapping to explore diverse stakeholder perspectives on adapting home-based rehabilitation to better support the recovery process after stroke. Through this mixed-methods participatory approach, we engaged 89 stakeholders, including stroke survivors, significant others, healthcare professionals, managers, and architects. Participants generated, sorted, and rated statements about what matters most in home-based stroke rehabilitation. A hierarchical cluster analysis was conducted to organize the data into concepts. Five clusters were identified: 1) social support at home and beyond; 2) professional competence; 3) supportive home environment; 4) teamwork and resources; and 5) patient involvement. Patient involvement was rated highest for importance and feasibility, followed by professional competence. Specifically, stakeholders emphasized that rehabilitation should feel meaningful and be tailored to the patient's needs. No generated ideas from the cluster “supportive home environment” were found in the go-zone, and adapting rehabilitation to diverse home environments was recognized as crucial but hard to implement. The findings underscore the need for individualized, context-sensitive approaches and suggest that strengthening professional competence, particularly in navigating diverse environments and engaging support networks, will be essential to translating person-centered principles into everyday rehabilitation practice.

Why are some men attracted to misogynistic groups? Drawing on literature on intergroup threat, we hypothesize that men who perceive that their status is threatened are more likely to engage with misogynistic groups. We also hypothesize that anger reactions to such threats is an important mechanism explaining why perceived masculine status threats lead to such engagement. In a survey ( N = 2,751) we find that perceived masculine status threat, measured as belief in a sexism shift, is related to higher engagement with the manosphere among Swedish men. In three survey experiments ( N s = 608, 661, 593) we manipulated masculine status threats, using fictive social media content, and measuring anger as an emotional reaction to the threat. We find an indirect effect of threat via anger in all three studies on intentions to engage with the manosphere (Study 2), with men’s rights groups (Study 3), and generally with groups working to improve men’s status (Study 4). The results provide a better understanding of why men may react to potential threats to their status with higher engagement with misogynistic groups, for example on the manosphere.

Digital technology has become an integral part of education, influencing how people read, write, and learn, as well as shaping efforts to create inclusive education for all students. There is a growing need to understand how teachers address the diverse needs and abilities of students in digitally mediated classrooms, and what teacher competencies this work demands. This scoping review synthesizes research on general education teachers’ practices and competencies related to the use of digital tools in text activities within inclusive education. Fourteen empirical studies published between 2008 and 2024 were identified across four databases and analyzed through reflexive thematic analysis. The findings indicate that digital tools have the potential to enhance variation in texts, foster student engagement, improve task structure, and support individualization in inclusive settings. To realize this potential, teachers require digital text competencies encompassing the ability to vary textual modalities, scaffold both teaching content and the use of digital tools and undertake additional planning and preparation necessary for digital tool integration.

Grades are expected to motivate students to perform well in school. However, the connection between grades and student motivation and achievement is not clear. Understanding the relations between grades and student motivation and achievement requires knowledge about students' experiences of being graded, which is underreported in research. This study uses large-scale data to investigate Swedish upper secondary school students' perceptions about how grades influence their motivation. Confirmatory factor analysis has been used to create two factors based on the students' perceptions of being affected by grades: (1) that grades evoke negative emotions and (2) that grades act as an external motivator. Structural equation modeling has been used to relate the factors to background variables (gender, cognitive ability, and parental education), as well as Grade Point Average. Results indicate that grades evoke negative emotions more often among female students, students with lower cognitive ability, and students with lower parental education. Students with higher parental education, as well as female students with higher cognitive ability and highly educated parents, are more likely to perceive that grades act as an external motivator. The results also indicate that the perception of grades evoking negative emotions is negatively related to achievement, whereas the perception that grades act as an external motivator is positively related to achievement.

People with intellectual disabilities face challenges related to health, including those associated with food and eating behaviour. Participation and inclusion are closely linked to health and wellbeing, and relate to people's equal value, autonomy and integrity. Improving cooking skills as well as social and communicative competences by cooking food together and having shared meals might make a major contribution to good health. The aim of this qualitative study was to explore cooking together by people with intellectual disabilities and staff at a daily activity centre in Sweden using interviews, observations, a focus group and a digital diary. Six themes were identified: Clear, simple and a flexible approach; Courage and curiosity; Cooking as learning; Participation through cooperation; Building relationships and competences; Pride and joy. Cooking and eating together have major implications not only for learning about food, but also for promoting health, well-being, participation, and inclusion.

Agency (i.e., the ability to act intentionally within the constraints of a given social context) is an important aspect of constructing a narrative identity. For young people in secure care, their freedom is highly restricted, which may hinder their abilities to act and feel agentic. Therefore, the aim of this study was to examine how agency was expressed in stories written by young people in secure care in Sweden. A thematic narrative analysis of 53 narratives resulted in three main themes— change in perspective , engagement with the outer world and resistance —indicating that agency can be expressed despite a constrained environment and may include both adaptive and harmful behaviours. Based on the findings, it is suggested that key elements of adaptive agency in young people are social relationships and trust, as well as support of their achievement and competence.

Background: The integration of Artificial Intelligence in healthcare is transforming care delivery. While Artificial Intelligence offers efficiency and precision, it also raises ethical concerns about the potential for dehumanization. Maintaining person-centred care, with its emphasis on human dignity, empathy, and relationships, becomes essential in this evolving context. This study aims to identify practical strategies that can help ensure the humanization of care is not compromised amid the ongoing technological transformation. Methods: A qualitative study will be conducted with healthcare professionals, managers, and Artificial Intelligence experts. Participants will be recruited through purposive sampling and invited via digital platforms and academic networks. Semi-structured interviews will be held online, guided by five dimensions of a Person-Centred Practice Framework. Interviews will be audio-recorded, transcribed, and thematically analysed using Braun and Clarke’s method, supported by QDA Miner Lite. Conclusion: By examining diverse perspectives, this study aims to identify strategies for upholding person-centred care in Artificial Intelligence -driven contexts. The findings can support the implementation of ethically responsible Artificial Intelligence that reinforces, rather than diminishes the human aspects of care.

Smart cities collect lots of data from sources like traffic systems and sensors. This data is vital for improving services such as transport management, public safety, energy saving, and citizen involvement. However, keeping people’s privacy secure by making data anonymous can make the data less useful. Anonymization methods include mix-zones, pseudonymization, and data masking. Existing systems often evaluate the usefulness of data after it’s processed, but usually can not adjust to changes in real-time or work well across different fields. It also does not typically consider fairness for individuals or integrate well with privacy-preserving data methods on devices, which are crucial for city services needing quick responses. This paper presents a new system to assess anonymized data in smart cities in real-time. The system includes four main components: 1. A real-time tool that continuously monitors how anonymization affects data quality across various areas. 2. A utility model that adjusts usefulness scores based on the needs of different smart city services. 3. A module that detects and addresses unfair differences in data usefulness caused by anonymization. 4. A data combination layer that operates well on devices, allowing on-site decision-making while complying with privacy regulations like GDPR. The framework is tested with multiple real-world transportation datasets, anonymized in different ways, and applied to tasks like traffic prediction, anomaly detection, and location-based services. The results demonstrate that the framework provides accurate data usefulness estimation with minimal computing effort, and it offers fair, situation-specific trade-offs in usefulness in real-time. This work connects privacy and usefulness, offering a scalable solution for responsibly using anonymized data in smart city environments. The framework is validated on both transportation and smart energy datasets, demonstrating consistent improvements in privacy–utility–fairness balance and confirming its generality across smart-city domains.

Background To promote healthy ageing, it is crucial to involve older adults in social planning. Preventive home visits allow older adults to express their opinions, with home visitors playing a key role in gathering and relaying this information to decision‐makers. Thus, highlighting the perspectives of home visitors is essential for maximising the utility of the collected information. Therefore, the purpose of this study was to gain a deeper understanding of important aspects regarding the utilisation of information from preventive home visits to create a society that promotes healthy ageing. Methods Five online focus group discussions were conducted with 16 home visitors from 15 municipalities representing various parts of Sweden. The discussion material was analysed with a focus on the content of the discussions. Results The analysis resulted in a main category: engaging in communication to promote healthy ageing—acting as the ‘spider in the web’ and advocating for older adults . Five subcategories were identified, highlighting the utilisation of information from preventive home visits for promoting healthy ageing: using older adults’ needs and capabilities as a starting point ; empowering older adults to make their voices heard ; compiling information to efficiently reach out ; having people in leading positions close by ; and receiving feedback on proposals. Conclusions Utilising information from preventive home visits to promote healthy ageing requires engagement from the home visitor, the older adults and a committed organisation. One critical aspect is the dialogue during the visit, which empowers the older adult and enables the home visitor to obtain information. Another important aspect is the home visitor’s engagement in communicating the information to actors who can promote healthy ageing in society. Finally, an organisation where leaders are available and give feedback on proposals based on information compiled during home visits is essential to promote healthy ageing.