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Navigating everyday life to promote occupational health – from an individual, group and organisational perspective
Halmstad University, School of Health and Welfare. Centrum för klinisk forskning Region Sörmland, Eskilstuna, Sweden.ORCID iD: 0000-0002-0037-2504
2025 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

With the upcoming challenges of an aging population, it is crucial that individualsof working age experience good health and can work and contribute to society.Occupational ill health is a widespread issue in Sweden with many negative effectsboth on an individual, group, and societal level. Therefore, it is important to gainmore knowledge on what is causing this ill health and, more so, how occupationalhealth can be promoted.The overall aim of this thesis was to broaden the knowledge regarding what isneeded to promote occupational health in everyday life, including paid work,within the working population. In Study I, the aim was to analyse the relationshipsbetween sociodemographic factors, occupational value, occupational balance, andperceived health in people suffering from occupational ill health to explore themain risk factors for developing occupational ill health. The results showed thathaving a low sense of occupational balance, followed by a low number ofoccupations that had a high level of socio-symbolic values, were stronglyconnected to experiencing occupational ill health. Study II aimed to describe whatis needed to improve/regain a balanced everyday life, including paid work,described by individuals who had/were experiencing occupational ill health. Theresults illustrated a highly relational process, where private life and work aredifficult to separate, presupposing balance in everyday life in multiple dimensions.Therefore, the individuals included in the study had to take control of theireveryday life as a whole. They needed to focus on structuring and prioritisingsocial interactions, boundary settings, and occupational meaningfulness. In StudyIII, the aim was to describe the individuals’ experiences of maintaining orregaining occupational health in everyday life, including paid work, two to fiveyears after participating in Study II. The results showed that “flex-ability” in theworkplace is crucial for regaining or maintaining occupational balance and healthin everyday life. The term flex-ability (flexibility + capability) refers to theindividual’s need to be open to change and adapt to new challenges, both at workand in everyday life, but also to be met with flex-ability from their surroundings.To understand employers' perspectives on this, Study IV aimed to describe how agroup of managers promote a healthy work environment and to what extent theyconsider their employees' everyday lives. The results showed the importance ofviewing health promotion as a shared responsibility for occupational health beyondthe workplace, which included: Handling a multifaceted responsibility, tweakingthe organisational culture, shaping supportive work conditions, and bridgingboundaries between private and working life. The overall results illustrate the needto understand how occupations in everyday life influence not only each other andour lifestyle, but also the overall experience of health. Promotion of health ineveryday life, including work, is a complex effort that involves navigatingmultiple, interwoven processes and roles. Central to this is the concept of perceivedoccupational balance, which this thesis identifies as a key component ofoccupational health. Therefore, it seems beneficial to value the concept ofoccupational health in the broader context of everyday life, as a whole.

Place, publisher, year, edition, pages
Halmstad: Halmstad University Press, 2025. , p. 66
Series
Halmstad University Dissertations ; 135
Keywords [en]
everyday life, health, health promotion, occupational balance, work
National Category
Occupational Therapy Public Health, Global Health and Social Medicine Health Care Service and Management, Health Policy and Services and Health Economy Rehabilitation Medicine Other Health Sciences
Identifiers
URN: urn:nbn:se:hh:diva-57238ISBN: 9789189587885 (electronic)OAI: oai:DiVA.org:hh-57238DiVA, id: diva2:1991964
Public defence
2025-09-25, S1022, Kristian IV väg, Halmstad, 10:34 (Swedish)
Opponent
Supervisors
Available from: 2025-08-26 Created: 2025-08-26 Last updated: 2025-10-01Bibliographically approved
List of papers
1. Exploring risk factors for developing occupational ill health – departing from an occupational perspective
Open this publication in new window or tab >>Exploring risk factors for developing occupational ill health – departing from an occupational perspective
2022 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 29, no 5, p. 363-372Article in journal (Refereed) Published
Abstract [en]

Background: Sick leave due to stress-related mental ill health increases in society. In occupational therapy, occupational balance is considered important for experiencing health and well-being. Thus, knowledge regarding occupational balance and occupational value constitute essential parts of occupational therapists’ work with people suffering from occupational ill health.

Objective: The aim of this study is to analyse the relationships between sociodemographic factors, occupational value, occupational balance and perceived health in people suffering from occupational ill health.

Methods: In a quantitative cross-sectional study data from a total of 218 individuals were included, 192 women, 22 men and 4 individuals who did not specify their gender. Data were collected by means of surveys prior to an occupational therapy intervention. The instruments used included OVal-pd, OBQ, EQ5D and a sociodemographic questionnaire. Data were analysed using regression and decision tree analysis.

Results: The results show that individuals who experience an imbalance in their everyday life and who have few or no experiences of daily occupations imprinted by socio-symbolic occupational value experienced lower perceived health.

Conclusions: Low level of experiences of balance in daily life and occupational value seems to be the main risk factors for the development of occupational ill health, rather than sociodemographic factors. © 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Place, publisher, year, edition, pages
London: Informa Healthcare, 2022
Keywords
Mental illness, occupational therapy, occupational value, occupational balance, perceived health, stress-related illness
National Category
Health Sciences
Identifiers
urn:nbn:se:hh:diva-46056 (URN)10.1080/11038128.2021.1936160 (DOI)000668004700001 ()34184961 (PubMedID)2-s2.0-85131509098 (Scopus ID)
Note

Funding: Region Sörmland, Lund University and Halmstad University

Available from: 2021-12-07 Created: 2021-12-07 Last updated: 2025-10-01Bibliographically approved
2. Taking control of one's everyday life - a qualitative study of experiences described by participants in an occupational intervention
Open this publication in new window or tab >>Taking control of one's everyday life - a qualitative study of experiences described by participants in an occupational intervention
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2023 (English)In: BMC Public Health, E-ISSN 1471-2458, Vol. 23, no 1, article id 605Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Sick leave due to stress-related ill-health is increasing and is often caused by occupational imbalance. These types of issues tend to affect both the ability to work and cope with everyday life, as well as the overall experience of health, negatively. There is still little knowledge on how to prepare people and workplaces for the return-to-work process after participation in a work rehabilitation program due to stress and occupational ill-health. Therefore, this study aimed to describe what is needed to achieve a balanced everyday life that includes paid work as experienced by individuals who had participated in a ReDO® intervention due to occupational imbalance and ill-health. METHODS: The concluding notes from 54 informants' medical records were used for qualitative content analysis. The informants had participated in an occupational therapy group intervention to promote occupational health and regain full work capacity. RESULTS: The analysis resulted in one major theme and four categories describing how the informants perceive that they must take control of their everyday life as a whole. By doing so, they need to work with structurization and prioritization, social interaction, boundary setting, and occupational meaningfulness. CONCLUSION: The study indicates a highly relational process, where it is impossible to divide life into private and work, and presupposes balance in everyday life in multiple dimensions. Its contribution includes the formulation of perceived needs in the transition between intervention and return to work and could, through further research, be used to generate a more effective and sustainable return- and rehabilitation models. © 2023. The Author(s).

Place, publisher, year, edition, pages
London: BioMed Central (BMC), 2023
Keywords
Empowerment, Everyday life, Health, Home-related demands, Mental illness, Occupational balance, ReDO®, Stress, Work
National Category
Occupational Therapy
Identifiers
urn:nbn:se:hh:diva-51219 (URN)10.1186/s12889-023-15515-z (DOI)000984101900002 ()36997894 (PubMedID)2-s2.0-85151315898 (Scopus ID)
Note

Funding agency:

Centre of Clinical Research at Region Sormland

Halmstad University

Available from: 2023-07-06 Created: 2023-07-06 Last updated: 2025-10-01Bibliographically approved
3. Flex-ability - a key concept to promote occupational health in everyday life beyond sick leave
Open this publication in new window or tab >>Flex-ability - a key concept to promote occupational health in everyday life beyond sick leave
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2025 (English)In: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 81, no 1, p. 2370-2379Article in journal (Refereed) Published
Abstract [en]

Background: Sick leave and ill health due to stress are significant concerns today and negatively affect the individual, the organisations, and the community. High demands, multitasking, and inexplicit boundaries between different occupations contribute to an explanation. However, research shows that more qualitative studies are needed to better understand this issue and how to promote health in the working population.

Objective: The study aims to explore participants’ experiences of maintaining or regaining occupational health in their everyday life, including paid work, several years after sick leave.

Method: Nine semi-structured interviews were conducted and analysed using inductive content analysis. The analysis resulted in one major theme and three categories describing the current experiences handling their everyday life and work situations.

Results: The result showed that returning to work and maintaining occupational health after sick leave due to occupational ill health calls for “flex-ability”. The term describes that individuals need to be open to change and adapt to new challenges at work and in everyday life.

Conclusion: The findings highlight the importance of health-promotive organisations where the individual factor is more considered. Furthermore, a broader view of health-promotive work in society where work is included in everyday life, instead of divided into and outside of work, is needed. © The Author(s) 2025.

Place, publisher, year, edition, pages
Thousand Oaks: Sagamore Publishing, 2025
Keywords
everyday life, health, health promotion, occupational balance, rehabilitation, stress, work
National Category
Occupational Therapy Occupational Health and Environmental Health Public Health, Global Health and Social Medicine
Research subject
Smart Cities and Communities, TRAINS
Identifiers
urn:nbn:se:hh:diva-55957 (URN)10.1177/10519815251317338 (DOI)001464052800001 ()39973651 (PubMedID)2-s2.0-105005531168 (Scopus ID)
Funder
Halmstad UniversityRegion Sörmland
Available from: 2025-05-07 Created: 2025-05-07 Last updated: 2025-10-01Bibliographically approved
4. Reasoning around promoting employees ́ occupational health: A qualitative study among managers in healthcare, education, and IT sectors
Open this publication in new window or tab >>Reasoning around promoting employees ́ occupational health: A qualitative study among managers in healthcare, education, and IT sectors
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(English)Manuscript (preprint) (Other academic)
Keywords
flex-ability, health promotion, management, occupational balance, occupational culture, public sector
National Category
Public Health, Global Health and Social Medicine Health Care Service and Management, Health Policy and Services and Health Economy Occupational Health and Environmental Health
Identifiers
urn:nbn:se:hh:diva-57236 (URN)
Available from: 2025-08-25 Created: 2025-08-25 Last updated: 2025-10-01Bibliographically approved

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