Niina Kolehmainen

Niina Kolehmainen
Newcastle University | NCL · Institute of Health and Society

PhD in Health Services Research

About

50
Publications
15,653
Reads
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589
Citations
Introduction
My core research expertise is in children with long-term conditions, with specific focus on population health interventions to enable these children's physical activity and self-care. I also have a strong academic interest and extensive expertise in methods related to developing and evaluating complex interventions, and in behavioural medicine.
Additional affiliations
August 2013 - August 2016
Newcastle University
Position
  • Senior Researcher
September 2005 - August 2013
University of Aberdeen
Position
  • Clinician Research Fellow

Publications

Publications (50)
Article
Participation in physical play/leisure ('PPP') is an important therapy goal of children with motor impairments. Evidence for PPP interventions for these children is scarce. The first step is to identify modifiable, clinically meaningful predictors of PPP for targeting by interventions. To identify body function and structure, activity, environment,...
Article
Participation in leisure has known health benefits. Children and young people (CYP) with physical disabilities demonstrate reduced participation in leisure. To facilitate their meaningful participation, one must understand what leisure means to CYP. The aim of this study was to systematically synthesize evidence from qualitative studies on the mean...
Article
Full-text available
Background Clinicians’ emotions about practice are a potentially powerful yet largely overlooked factor in implementation of good-quality care. The present paper expands the current, limited evidence about clinicians’ emotions by (i) describing clinician-reported examples of emotions about practice and (ii) identifying the clinical situations in wh...
Article
Effective family-clinician interactions are important for good health outcomes. Two types of interactions are consistently recommended: relational (e.g. listening, empathy, and respect) and participatory (e.g. shared decision-making, planning and problem-solving), but there is little specific guidance on how to implement these interactions in pract...
Article
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Background It is widely agreed that interventions to change professionals’ practice need to be clearly specified. This involves (1) selecting and defining the intervention techniques, (2) operationalising the techniques and deciding their delivery, and (3) formulating hypotheses about the mechanisms through which the techniques are thought to resul...
Article
Full-text available
Background National audits are a common, but variably effective, intervention to improve services. This study aimed to design an intervention to increase the effectiveness of national audit. Methods We used interviews, documentary analysis, observations, co-design and stakeholder engagement methods. The intervention was described in an interventio...
Article
Background: Advancing physical therapy interventions for children and young people is a high research priority. This includes research to describe and specify the control condition, typically "current care", for effectiveness trials. This paper aims to identify physical therapy outcomes commonly targeted, and intervention techniques and approaches...
Article
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Background Young people with neurodisability experience lower levels of mental wellbeing and are at increased risk of mental illness compared to their non‐disabled peers. Social participation is recognised as a protective factor against mental illness and a potential pathway to support better mental wellbeing in neurodisability. Method This co‐desi...
Article
Full-text available
Context: Pre-appointment written materials, including letters and leaflets, are commonly used by healthcare organisations to deliver professional-patient interactions. The written materials potentially change patients' knowledge and behaviour as part of a healthcare intervention but have received little investigation. Objective: To describe the...
Article
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Background: One-fifth of all disabled children have mobility limitations. Early provision of powered mobility for very young children (aged < 5 years) is hypothesised to trigger positive developmental changes. However, the optimum age at which to introduce powered mobility is unknown. Objective: The aim of this project was to synthesise existing ev...
Article
Introduction The facilitation of meaningful leisure participation for children and young people requires an understanding of what leisure means to them. This study aimed to understand meaningful leisure from the perspective of children and young people with complex physical and communication disabilities. Method A hermeneutic phenomenological rese...
Article
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Background: Standing frames are recommended as part of postural management for young people with cerebral palsy (CP) Gross Motor Function Classification System (GMFCS) level IV or V. They may have a variety of benefits, including improving bone mineral density, gastrointestinal function and social participation. The NHS needs to know if these bene...
Data
Figure S1. Flow diagram of participants from responses received to responses in final analysis.
Article
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Background: Consensus opinion supports standing frame use as part of postural management for nonambulant young people with cerebral palsy. Although the rationale for standing frame use and the associated challenges have been described, little attention has been given to the users' experiences. The aim of the current study was to explore young peop...
Article
Background: Evidence-based care for people with dementia is a priority for patients, carers and clinicians and a policy priority. There is evidence that people with dementia do not always receive such care. Audit and feedback, also known as clinical audit, is an extensively-used intervention to improve care. However, there is uncertainty about the...
Article
Full-text available
Objective We explored what constitutes successful commissioning for transition and what challenges are associated with this. We aimed: (1) to identify explicit and implicit organisational structures, processes and relationships that drive commissioning around transition; (2) to identify challenges faced by commissioners; and (3) to develop a concep...
Article
Full-text available
Background: Standing frames are used for children with cerebral palsy (CP). They may improve body structure and function (e.g., reducing risk of hip subluxation, and improving bladder and bowel function), improving activity (e.g., motor abilities) and participation (e.g., interaction with peers), but there is little evidence that they do. We aimed...
Article
Full-text available
Background Systematic reviews consistently indicate that interventions to change healthcare professional (HCP) behaviour are haphazardly designed and poorly specified. Clarity about methods for designing and specifying interventions is needed. The objective of this review was to identify published methods for designing interventions to change HCP b...
Article
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Background Implementing good-quality health and social care requires empowerment of staff members within organizations delivering care. Video Interaction Guidance (VIG) is an intervention using positive video feedback to empower staff through reflection on practice. This qualitative study explored the implementation of VIG within an autism care org...
Article
There is an urgent, agreed need to improve participation outcomes and interventions for children and young people with neurodisability. We worked together with service users and providers to design research into participation outcomes and interventions in neurodisability. We built on existing evidence about participation outcomes and interventions...
Article
Background: There is limited evidence about the effectiveness of occupational therapy interventions for participation outcomes in children with coordination difficulties. Developing theory about the interventions, i.e. their ingredients and change processes, is the first step to advance the evidence base. Aim: To develop theory about the key ingred...
Article
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Knowledge translation (KT) is a topic of interest for researchers; however, little has been published about how to plan and prioritize KT activities. This article describes the development and outcomes of a KT strategic planning activity for a research organization. An online survey and planning meeting resulted in the identification of six priorit...
Research
Full-text available
Participating in leisure activities is important for the health and well-being of all children. Children with communication and mobility difficulties participate in leisure much less than other children, and the gap widens at age 8-12 years. The proposed study asks: What influences leisure participation in these children? What can NHS clinicians do...
Article
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INTRODUCTION A significant proportion of patients with primary Sjӧgren’s syndrome (PSS) are functionally impaired and experience difficulties participating in many various aspects of everyday life. There is currently no evidence of efficacy for non-pharmacological interventions aimed specifically at supporting them to improve participation and the...
Article
Full-text available
Introduction A significant proportion of patients with primary Sjögren's syndrome (PSS) is functionally impaired and experience difficulties participating in various aspects of everyday life. There is currently no evidence of efficacy for non-pharmacological interventions aimed specifically at supporting the patients with PSS to improve their parti...
Article
Full-text available
Participation in leisure is a human right and is central to the health of children and youth. The World Health Organization's International Classification of Functioning, Disability and Health for Children and Youth supported a change in thinking about what outcomes are most relevant in the context of children's health and places participation as o...
Article
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Setting shared treatment goals: • is central to good quality allied health (AHP) care provision • is not effectively implemented. A collaborative, programmatic approach involving researchers, service providers and users may be beneficial. The aim: To implement shared goal-setting in children's AHP services. The research programme has been effective...
Article
Full-text available
Access and equity in children's therapy services may be improved by directing clinicians' use of resources toward specific goals that are important to patients. A practice-change intervention (titled 'Good Goals') was designed to achieve this. This study investigated uptake, adoption, and possible effects of that intervention in children's occupati...
Data
Appendix. Case studies of Services A, B and C.
Data
Appendix. The Theoretical Domains Framework: reflection on its use in the Good Goals mixed methods study [last updated in October 2011].
Article
Purpose: Clinicians' actions impact the patient care process and pathway. This study identified clinicians' actions associated with successful care processes in one community healthcare setting, children's occupational therapy. Method: A secondary analysis in a form of a quantitative content analysis was conducted of 47 interview transcripts, de...
Article
Full-text available
Children with motor impairments (e.g. difficulties with motor control, muscle tone or balance) experience significant difficulties in participating in physical play and leisure. Current interventions are often poorly defined, lack explicit hypotheses about why or how they might work, and have insufficient evidence about effectiveness. This project...
Article
Individual therapists' behaviour contributes to overall caseload management in therapy services. Therapists' caseload management (i.e. actions in relation to assessment, treatment and discharging) is likely to relate to their beliefs about caseload management; it may be possible to change therapists' caseload management by changing their beliefs. T...
Article
Full-text available
Long waiting times and large caseloads are a challenge to children's therapy services internationally. Research in hospital-based healthcare indicates that waiting times are a function of throughput, and that length of care episode is related to clinicians' caseload management behaviour (i.e. actions at assessment, treatment, post-treatment, and di...
Article
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This study aimed to explore parents' views of the management of their children's occupational therapy in the United Kingdom (UK). Forty-one parents of children recently seen by occupational therapists were approached. Seven mothers from four different health boards who agreed to participate were interviewed about their experiences and views of thei...
Article
Full-text available
To review the literature on individual community professionals' caseload management (behaviours related to assessment, treatment and discharging of clients) to identify the main themes and concepts, and to synthesize the findings to inform practice, policy and research. Publications were systematically identified from electronic databases, hand sea...
Article
Full-text available
It is generally accepted that whether or not a client receives occupational therapy should be based on the client's needs not on the therapist that the client sees. However, in the United Kingdom there is little evidence to show that treatment provision is similar between therapists or even that therapists share a common rationale for providing tre...

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