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The Swedish response to the COVID-19 pandemic included age-based recommendations of voluntary quarantine specifically for those 70 years of age or older. This paper investigates the experiences of a sudden change of policy in the form of an age restriction that trumped the contemporary active aging ideal. A web-based qualitative survey was conducted in April 2020. Through manual coding of a total of 851 responses, six different ways of relating to the age-based recommendations were identified. The results show that age is not an unproblematic governing principle. Instead, in addition to protecting a vulnerable group, the age-based recommendation meant deprivation of previously assigned individual responsibility and, consequently, autonomy. It is shown how respondents handled this tension through varying degrees of compliance and resistance. Findings highlight the importance of continuously tracking the long-term consequences of age-based policy to avoid negative self-image and poorer health among older adults.

This article draws on empirically derived illustrations of return to work and unemployment to critically explore how a narrow understanding of work pervades contemporary social policies and programmes. This is particularly relevant in economic and labour market transitions aligned with neoliberalism that individualise the social problem of unemployment and thus restrict occupational possibilities related to work. An overview of how work and related concepts have been conceptualised in occupational science scholarship is presented. After describing the theoretical orientation of the paper, three illustrations derived from a secondary analysis of data from projects conducted in Sweden and the United States are presented. The three empirically grounded illustrations are integrated with theory to highlight tensions between the politically informed structures that shape social policies and programmes and the individual experiences of work, unemployment, and return to work that users and providers of these programmes communicate. By asserting that success in work-related placement programmes is not synonymous with meaningful employment, we attempt to heighten awareness of the potential risks associated with a reliance on measuring work by merely being in paid formal employment., Forskningsfinansiärer:- Social Sciences and Humanities Research Council of Canada (SSHRC), Grant number: 435-2014-0847- Arbetsförmedlingen, Skåne- SLU - Sveriges lantbruksuniversitet, Alnarp

The Swedish response to the COVID-19 pandemic included age-based recommendations of voluntary quarantine specifically for those 70 years of age or older. This paper investigates the experiences of a sudden change of policy in the form of an age restriction that trumped the contemporary active aging ideal. A web-based qualitative survey was conducted in April 2020. Through manual coding of a total of 851 responses, six different ways of relating to the age-based recommendations were identified. The results show that age is not an unproblematic governing principle. Instead, in addition to protecting a vulnerable group, the age-based recommendation meant deprivation of previously assigned individual responsibility and, consequently, autonomy. It is shown how respondents handled this tension through varying degrees of compliance and resistance. Findings highlight the importance of continuously tracking the long-term consequences of age-based policy to avoid negative self-image and poorer health among older adults. © 2021 The Author(s). Published with license by Taylor & Francis Group, LLC.

IntroductionHousing shortage due to population growth within metropolitan areas, combined with an ageing population has put pressure on current housing provision policies in Sweden. Thus, there is an urgent need to develop sustainable housing policies to accommodate the growing number of seniors in accessible home environments. This study aimed to gain an in-depth understanding of how municipalities currently address housing accessibility issues and to explore what types of policy solutions they consider for the future.Material and methodsFive Swedish municipalities were selected to represent a diversity of population, housing situations and geographical areas. Two key actors from each municipality (public officials, housing adaptation grant managers, city architects etc.) participated in semi-structured interviews (N=10). Data were analysed using content analysis, i.e. inductive category formation, described by Mayring (2014). ResultsImportant themes included how such factors as the organizational structure of the municipality and the level of collaboration between municipal and private actors impacted the goals and ambitions of current housing policies. Emerging themes concerning possible measures and policies for the future were innovative types of housing and the need for economic incentives for older people to move from housing with poor accessibility to housing designed to better meet their needs. ConclusionMunicipalities struggle with the lack of accessible and affordable housing for the ageing population. The results suggest there is a need to consider how to prevent organizational issues from hampering policy initiatives and implementation and how to improve collaboration between municipal and private actors involved in housing provision.

Aim: The aim of this study was to investigate whether there are any differences in awareness of ability between persons with left and right hemispheric stroke. Methods: The sample consisted of data from the Assessment of Awareness of Ability (A³) database, primarily consisting of clients admitted to occupational therapy services. In total the study included 183 data records from clients, 78 with left and 105 with right hemispheric stroke. Awareness of ability was assessed using the Assessment of Awareness of Ability (A³). Differences in awareness were investigated using t-tests, CI, effect size, and differential item functioning. Results: No significant overall mean difference (t-test = 1.31, p = 0.19) in awareness between left and right hemispheric stroke was identified. However, significant differences (p < 0.05) were identified on three specific items included in the A³. In these cases, persons with right hemispheric stroke showed a more limited awareness. Conclusion: Persons with right hemispheric stroke have more pronounced problems with being aware of limitations in specific ADL performance skills compared with persons with left hemispheric stroke.

This presentation will discuss how the World Café method can be used to analyze data interactively together with users, in this case, organizers of senior camps. As part of the Senior Camp Study we were particularly interested in ways of “doing age” and how discourses on age influenced the organization of senior camps. The World Café was arranged with two main purposes: 1) involve users to discuss preliminary findings to validate and problematize the results; 2) use the discussions recorded during the World Café session as data to deepen the analysis. We experience that combining those two purposes was a challenge in the sense that the users were more keen on validating the results and explaining their standpoint than problematize around conceptions of age. We will elaborate and discuss this further in our presentation and also share our experiences of involving users in this stage of the research process. © The Authors 2017. Published by Oxford University Press on behalf of The Gerontological Society of America.

Objective: Compare caregiver burden, provision of informal care, participation in everyday occupationsand life satisfaction of caregivers to people with stroke, who either had received a client-centred, activitiesof daily living intervention or usual activities of daily living interventions. Design: A multicentre cluster randomized controlled trial in which 16 rehabilitation units were randomlyassigned to deliver a client-centred, activities of daily living intervention or usual activities of daily livinginterventions. Caregiver outcomes were compared cross-sectionally at 12 months and changes inoutcomes between three and 12 months after people with stroke were included in the study. Setting: Inpatient and outpatient rehabilitation. Participants: Caregivers of people with stroke enrolled in the trial. Intervention: A client-centred, activities of daily living intervention aiming to increase agency in dailyactivities and participation in everyday life for people after stroke. Main measures: Caregiver Burden Scale, Occupational Gaps Questionnaire, LiSat-11. Results: There were no differences in outcomes between caregivers in the client-centred, activities ofdaily living (n = 88) and the usual activities of daily living (n = 95) group at 12 months. The caregiver burdenscore was 42.7 vs. 41.8, p = 0.75, mean occupational gaps were 3.5 vs. 4.0, p = 0.52 and satisfaction with lifewas 53% vs. 50%, p = 0.87. There were no differences in changes between three and 12 months. However,within groups there were significant differences in caregiver burden, factor general strain, for caregivers inthe client-centred, activities of daily living group, and in provision of informal care for the usual activitiesof daily living group. Conclusion: The client-centred intervention did not bring about any difference between caregivergroups,but within groups some difference was found for caregiver burden and informal care.

Since the beginning of 2000 senior camps have been established on several places in Sweden, with the purpose to decrease social exclusion and improve health amongst elderly people. These senior camps build on notions of what it means to age and to ”be old” in relation to activity, health, functional abilities and participation in society. In a cross-scientific and holistic study at CASE, Lund University these senior camps have been studied from three perspectives 1) History of ideas: What is the cultural meaning of senior camps?. 2) Ethnology: How is age made visible and important at senior camps? 3) Occupational Science: What are the individual social and health aspects of the senior camp? In this presentation we focus on findings from part study 2, that is, how age is performed and made meaningful at senior camps. The data consists of ethnographical field notes collected from two central senior camps. We are going to show examples of how and when the participators use “age negotiation” and “perform age” in social relations at senior camps and discuss how this negotiation can be interpreted relative to societal norms about older people and health and what is considered “age appropriate”; but also how the seniors use age performance to object to images of older people or to claim their independence. In the perfomance of age the body and functionality becomes central and bodies are compared, evaluated and discussed in relation to age and ageing.

Senior camps for as a summerstay or resort have been established on several places in Sweden. These camps build on notions of what it means to age and to ”be elderly” in relation to activity, health, functional abilities and participation in society. In a cross-scientific and holistic study at CASE, Lund university these senior camps have been studied from three perspectives 1) History of ideas. What is the cultural meaning of senior camps? 2) Ethnology: how is age made visible and important at senior camps? 3) Occupational Science: What are the individual social and health aspects of the senior camp? In this presentation we focus on the results from part study 1. The data consists of texts concerning senior camps as well as interviews with directors for the senior camps. The camps are pictured as places where “elderly people almost become children again”. Simultaneously these camps are inprinted with nostalgic ideas of “Swedishnes” and “The good Old Age”. What structural and ideological values are made visible in these utterances and activities? We will discuss the contextual and ideological conditions for senior camps in Sweden and their relations to the historical heritage to other forms of summer camps in Sweden.

Background: Senior camps have been established with the purpose to decrease social exclusion and improve health amongst elderly people. These senior camps build on notions of what it means to age and to ”be old” in relation to functional abilities, activity, participation and health.Method:Eight persons who participated in a senior camp were interviewed in their homes before and after the stay. The data was analysed using a narrative case-centred approach. Results: Seniors going to the camp were looking forward to meet friends and do things they did not commonly do. The pace at the camp, just being and not doing much, was appreciated by some while others whished for more organized activities. Being together with others, including eating together, talking and even sharing rooms was appreciated. Being close to nature was described to contribute both to peace of mind and to become spirited and strong, feelings that persisted after returning home. Being at a camp close to nature and the serving of traditional food was linked to memories from the childhood. Conclusion: Occupations were used both to consolidate and to challenge perceptions of age at the camp. The stay contributed to a feeling of belonging and experiences of doing during the camp and being in nature influenced the participants’ everyday life. Application to Practice: The experience of pace and place at the camp was important for a successful stay that could contribute to wellbeing. This presentation will elaborate on how occupations were used to challenge perceptions of age.

Sommarkollon för äldre – äldrekollon – har i olika former etablerats runt om i Sverige, inte minst sedan början av 2000-talet. Några verksamheter har kommunalt stöd och andra drivs ideellt. De arrangeras vanligen i en naturskön miljö som ska möjliggöra utevistelser och da-garna växlar mellan planerade aktiviteter i grupp och fri tid. Det som förenar verksamheter-na är den positiva effekt äldrekollot beskrivs ha för deltagarnas hälsa, välbefinnande och livskvalitet. Kollovistelsen antas bryta en socialt exkluderande vardag och leda till nya vanor och vänskapsband som består. Sommarkollon är annars något som brukar förknippats med barn och barndom, där stadsbarn ges en möjlighet att få komma ut på landet och leka, bada och andas frisk luft. I denna rapport diskuteras hur de här associationerna inverkar på hur kollon för äldre arrangeras och upplevs?, Where "miracle" happens. Senior camps, doing age and implications for older people's health and quality of life: Summer camps for older people - senior camps - has in various forms been established around Sweden, not least since the early 2000s. They are usually arranged in a natural setting that will allow staying outdoors and the days alternate between planned group activities and free time. Recurrent is the positive effect senior camps are de-scribed to have on the participants' health, wellbeing and quality of life. The stay at a senior camp is said to break a socially exclusive everyday life and lead to new habits and long-term friendships. Summer camps are usually associated with children and childhood, where urban children are given an opportunity to get out of the country and play, swim and breathe fresh air. In this report it is discussed how these associations affect how senior camps are organized and experienced?

Objectives: The aim of the study was to explore the associations between the dyad's (person with stroke and informal caregiver) perception of the person with stroke's rehabilitation needs and stroke severity, personal factors (gender, age, sense of coherence), the use of rehabilitation services, amount of informal care and caregiver burden. Further, the aim was to explore the personal experience of everyday life changes among persons with stroke and their caregivers and their strategies for handling these 1 year after stroke. Design: A mixed methods design was used combining quantitative and qualitative data and analyses. Setting: Data were mainly collected in the participants' homes. Outcome measures: Data were collected through established instruments and open-ended interviews. The dyad's perceptions of the person with stroke's rehabilitation needs were assessed by the persons with stroke and their informal caregivers using a questionnaire based on Ware's taxonomy. The results were combined and classified into three groups: met, discordant (ie, not in agreement) and unmet rehabilitation needs. To assess sense of coherence (SOC) in persons with stroke, the SOC-scale was used. Caregiver burden was assessed using the Caregiver Burden Scale. Data on the use of rehabilitation services were obtained from the computerised register at the Stockholm County Council. Participants: 86 persons with stroke (mean age 73 years, 38% women) and their caregivers (mean age 65 years, 40% women). Results: Fifty-two per cent of the dyads perceived that the person with stroke's need for rehabilitation was met 12 months after stroke. Met rehabilitation needs were associated with less severe stroke, more coping strategies for solving problems in everyday activities and less caregiver burden. Conclusions: Rehabilitation interventions need to focus on supporting the dyads' process of psychological and social adaptation after stroke. Future studies need to explore and evaluate the effects of

"Pensioneer camps", summer camps aimed at older people, has for some years been established in several locations in Sweden. What unites the camps is the claimed positive effect they have for older people's health and quality of life. The stay is said to break isolation and lead to new habits and friendships that endure. This multidisciplinary study focuses on the phenomenon "Pensioneer camp" with the overall aim to study its health and life enhancing potential. Pensioneer camps are examined from a structural cultural-historical perspective focusing on the discourses in action, from an ethnographic perspective, focusing on identity construction and performance of age and from an activity perspective, focusing on quality of life and health in everyday life before and after the camp stay. Key issues are: What impact have older or more general discourses of "summer camp" on the activities? What age coded practices are made possible and how is age performed? How is the camp experienced by the elderly and it can be said to have any long-lasting impact in their lives after their stay? By studying both the individual, cultural and organizational aspects in relation to Pensioneer camps it enables both in- depth scientific knowledge of older people's quality of life and health in general, and, recommendations for future local investment in Pensioneer camps in terms of possibilities and limitations. © Irish Gerontological Society, 2015