Driving to Learn. The process of growing consciousness of tool use - a grounded theory of de-plateauing.

Lisbeth Nilsson

Driving to Learn. The process of growing consciousness of tool use - a grounded theory of de-plateauing.

Lisbeth Nilsson

Sustainable occupations and health in a life course perspective

Research output: Thesis › Doctoral Thesis (compilation)

180 Downloads (Pure)

Abstract

The Driving to Learn project explored possible achievements of training people with cognitive disabilities in a joystick-operated powered wheelchair utilizing the grounded theory approach. Theoretical sampling led the concomitant collection and analysis of data. During a period of 12 years, 45 participants with profound cognitive disabilities, aged 12 months to 52 years, were engaged in the project. Typically developed infants and participants with less degree of cognitive disabilities formed two reference groups. Data sources were video-recordings, field notes, interviews and information from medical records. Constant comparative analyses led the emergence of an eight-phase process of growing consciousness of tool-use, training strategies, a tool for assessment of joystick-use and identification of factors influencing the outcome of the training. The tool was tested for inter-rater reliability and used to evaluate the outcome of the 45 participants.

Growing consciousness was by amplification conceptualised to a grounded theory of de-plateauing. Attainment of de-plateauing was reliant on the interdependent properties motivation, endurance, responsiveness, adaptability and access to resources with high predictability and usability. De-plateauing was defined as a positional change exceeding preconceived expectations. I argue that the grounded theory of de-plateauing might be useful in many more fields, where the phenomenon of plateauing attitudes is present either explicitly or implicitly.

Original language	English
Qualification	Doctor
Awarding Institution	Sustainable occupations and health in a life course perspective
Supervisors/Advisors	Eklund, Mona, Supervisor
Award date	2007 Mar 9
Publisher	Lund University, Faculty of Medicine, Department of Health Sciences, Division of Occupational Therapy and Gerontology
ISBN (Print)	978-91-85559-11-4
Publication status	Published - 2007

Bibliographical note

Defence details

Date: 2007-03-09
Time: 09:00
Place: Hörsal 01 Vårdvetenskapens Hus Baravägen 3 221 00 LUND

External reviewer(s)

Name: Granlund, Mats
Title: Professor i psykologi med inriktning mot funktionshinder, intervention och hälsa
Affiliation: Avdelningen för Beteendevetenskap och Socialt arbete, Hälsohögskolan i Jönköping

---

<div class="article_info">Lisbeth Nilsson and Per Nyberg. <span class="article_issue_date">2003</span>. <span class="article_title">Driving to Learn: A new concept for training children with profound cognitive disabilities in a powered wheelchair.</span> <span class="journal_series_title">The American Journal of Occupational Therapy</span>, <span class="journal_volume">vol 57</span> <span class="journal_pages">pp 229-233</span>. <span class="journal_distributor">Lund University, Faculty of Medicine, Doctoral Dissertation Series 2007:34</span></div>
<div class="article_info">Lisbeth Nilsson, Per Nyberg, Hans Thulesius and Mona Eklund. <span class="article_issue_date"></span>. <span class="article_title">Driving to Learn in a powered wheelchair: Identification of the process of growing consciousness of joystick-use in people with profound cognitive disabilities.</span> <span class="journal_distributor">Lund University, Faculty of Medicine, Doctoral Dissertation Series 2007:34</span> (submitted)</div>
<div class="article_info">Lisbeth Nilsson and Mona Eklund. <span class="article_issue_date">2006</span>. <span class="article_title">Driving to Learn: Powered wheelchair training for those with cognitive disabilities.</span> <span class="journal_series_title">International Journal of Therapy and Rehabilitation</span>, <span class="journal_volume">vol 13</span> <span class="journal_pages">pp 517-527</span>. <span class="journal_distributor">Lund University, Faculty of Medicine, Doctoral Dissertation Series 2007:34</span></div>
<div class="article_info">Lisbeth Nilsson, Mona Eklund and Per Nyberg. <span class="article_issue_date"></span>. <span class="article_title">Driving to Learn in a powered wheelchair. Inter-rater reliability of a tool for assessment of joystick-use.</span> <span class="journal_distributor">Lund University, Faculty of Medicine, Doctoral Dissertation Series 2007:34</span> (submitted)</div>
<div class="article_info">Lisbeth Nilsson, Per Nyberg and Mona Eklund. <span class="article_issue_date"></span>. <span class="article_title">Training charachteristics important for growing consciousness of joystick-use in people with profound cognitive disabilities. The Driving to Learn project.</span> <span class="journal_distributor">Lund University, Faculty of Medicine, Doctoral Dissertation Series 2007:34</span> (submitted)</div>

The information about affiliations in this record was updated in December 2015.
The record was previously connected to the following departments: Division of Occupational Therapy (Closed 2012) (013025000)

Subject classification (UKÄ)

Occupational Therapy

Free keywords

Rehabilitering (medicinsk och social)
Social sciences
Samhällsvetenskaper
rehabilitation
revalidation
kinesitherapy
Physical medicine
arbetsmiljömedicin
Yrkesmedicin
industrial medicine
Occupational health
assessment
outcome
profound cognitive disabilities
powered wheelchair
joystick
well-being
control
self-awareness
growth
facilitate
activity
occupation

Access to Document

Driving_to_Learn_KAPPA

1 Article

Classic Grounded Theory: A Rigorous Methodology for Research Involving Participants With Severe/Profound Intellectual Disabilities: A Discussion of Classic Grounded Theory as a Way of Undertaking Rigorous, Credible Research Involving Participants With Severe/Profound Intellectual Disability
Martin, A.-M., Nilsson, L. & Andrews, T., 2024 Dec 8, (E-pub ahead of print) In: British Journal of Learning Disabilities.
Research output: Contribution to journal › Article › peer-review

Open Access

Cite this

@phdthesis{cb71b421b10f477e91fc38f058935dad,

title = "Driving to Learn. The process of growing consciousness of tool use - a grounded theory of de-plateauing.",

abstract = "The Driving to Learn project explored possible achievements of training people with cognitive disabilities in a joystick-operated powered wheelchair utilizing the grounded theory approach. Theoretical sampling led the concomitant collection and analysis of data. During a period of 12 years, 45 participants with profound cognitive disabilities, aged 12 months to 52 years, were engaged in the project. Typically developed infants and participants with less degree of cognitive disabilities formed two reference groups. Data sources were video-recordings, field notes, interviews and information from medical records. Constant comparative analyses led the emergence of an eight-phase process of growing consciousness of tool-use, training strategies, a tool for assessment of joystick-use and identification of factors influencing the outcome of the training. The tool was tested for inter-rater reliability and used to evaluate the outcome of the 45 participants. Growing consciousness was by amplification conceptualised to a grounded theory of de-plateauing. Attainment of de-plateauing was reliant on the interdependent properties motivation, endurance, responsiveness, adaptability and access to resources with high predictability and usability. De-plateauing was defined as a positional change exceeding preconceived expectations. I argue that the grounded theory of de-plateauing might be useful in many more fields, where the phenomenon of plateauing attitudes is present either explicitly or implicitly.",

keywords = "Rehabilitering (medicinsk och social), Social sciences, Samh{\"a}llsvetenskaper, rehabilitation, revalidation, kinesitherapy, Physical medicine, arbetsmilj{\"o}medicin, Yrkesmedicin, industrial medicine, Occupational health, assessment, outcome, profound cognitive disabilities, powered wheelchair, joystick, well-being, control, self-awareness, growth, facilitate, activity, occupation",

author = "Lisbeth Nilsson",

note = "Defence details Date: 2007-03-09 Time: 09:00 Place: H{\"o}rsal 01 V{\aa}rdvetenskapens Hus Barav{\"a}gen 3 221 00 LUND External reviewer(s) Name: Granlund, Mats Title: Professor i psykologi med inriktning mot funktionshinder, intervention och h{\"a}lsa Affiliation: Avdelningen f{\"o}r Beteendevetenskap och Socialt arbete, H{\"a}lsoh{\"o}gskolan i J{\"o}nk{\"o}ping --- <div class={"}article_info{"}>Lisbeth Nilsson and Per Nyberg. <span class={"}article_issue_date{"}>2003</span>. <span class={"}article_title{"}>Driving to Learn: A new concept for training children with profound cognitive disabilities in a powered wheelchair.</span> <span class={"}journal_series_title{"}>The American Journal of Occupational Therapy</span>, <span class={"}journal_volume{"}>vol 57</span> <span class={"}journal_pages{"}>pp 229-233</span>. <span class={"}journal_distributor{"}>Lund University, Faculty of Medicine, Doctoral Dissertation Series 2007:34</span></div> <div class={"}article_info{"}>Lisbeth Nilsson, Per Nyberg, Hans Thulesius and Mona Eklund. <span class={"}article_issue_date{"}></span>. <span class={"}article_title{"}>Driving to Learn in a powered wheelchair: Identification of the process of growing consciousness of joystick-use in people with profound cognitive disabilities.</span> <span class={"}journal_distributor{"}>Lund University, Faculty of Medicine, Doctoral Dissertation Series 2007:34</span> (submitted)</div> <div class={"}article_info{"}>Lisbeth Nilsson and Mona Eklund. <span class={"}article_issue_date{"}>2006</span>. <span class={"}article_title{"}>Driving to Learn: Powered wheelchair training for those with cognitive disabilities.</span> <span class={"}journal_series_title{"}>International Journal of Therapy and Rehabilitation</span>, <span class={"}journal_volume{"}>vol 13</span> <span class={"}journal_pages{"}>pp 517-527</span>. <span class={"}journal_distributor{"}>Lund University, Faculty of Medicine, Doctoral Dissertation Series 2007:34</span></div> <div class={"}article_info{"}>Lisbeth Nilsson, Mona Eklund and Per Nyberg. <span class={"}article_issue_date{"}></span>. <span class={"}article_title{"}>Driving to Learn in a powered wheelchair. Inter-rater reliability of a tool for assessment of joystick-use.</span> <span class={"}journal_distributor{"}>Lund University, Faculty of Medicine, Doctoral Dissertation Series 2007:34</span> (submitted)</div> <div class={"}article_info{"}>Lisbeth Nilsson, Per Nyberg and Mona Eklund. <span class={"}article_issue_date{"}></span>. <span class={"}article_title{"}>Training charachteristics important for growing consciousness of joystick-use in people with profound cognitive disabilities. The Driving to Learn project.</span> <span class={"}journal_distributor{"}>Lund University, Faculty of Medicine, Doctoral Dissertation Series 2007:34</span> (submitted)</div> The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Division of Occupational Therapy (Closed 2012) (013025000)",

year = "2007",

language = "English",

isbn = "978-91-85559-11-4",

series = "Doctoral Dissertation Series",

publisher = "Lund University, Faculty of Medicine, Department of Health Sciences, Division of Occupational Therapy and Gerontology",

type = "Doctoral Thesis (compilation)",

school = "Sustainable occupations and health in a life course perspective",

}

TY - THES

T1 - Driving to Learn. The process of growing consciousness of tool use - a grounded theory of de-plateauing.

AU - Nilsson, Lisbeth

N1 - Defence details Date: 2007-03-09 Time: 09:00 Place: Hörsal 01 Vårdvetenskapens Hus Baravägen 3 221 00 LUND External reviewer(s) Name: Granlund, Mats Title: Professor i psykologi med inriktning mot funktionshinder, intervention och hälsa Affiliation: Avdelningen för Beteendevetenskap och Socialt arbete, Hälsohögskolan i Jönköping --- <div class="article_info">Lisbeth Nilsson and Per Nyberg. <span class="article_issue_date">2003</span>. <span class="article_title">Driving to Learn: A new concept for training children with profound cognitive disabilities in a powered wheelchair.</span> <span class="journal_series_title">The American Journal of Occupational Therapy</span>, <span class="journal_volume">vol 57</span> <span class="journal_pages">pp 229-233</span>. <span class="journal_distributor">Lund University, Faculty of Medicine, Doctoral Dissertation Series 2007:34</span></div> <div class="article_info">Lisbeth Nilsson, Per Nyberg, Hans Thulesius and Mona Eklund. <span class="article_issue_date"></span>. <span class="article_title">Driving to Learn in a powered wheelchair: Identification of the process of growing consciousness of joystick-use in people with profound cognitive disabilities.</span> <span class="journal_distributor">Lund University, Faculty of Medicine, Doctoral Dissertation Series 2007:34</span> (submitted)</div> <div class="article_info">Lisbeth Nilsson and Mona Eklund. <span class="article_issue_date">2006</span>. <span class="article_title">Driving to Learn: Powered wheelchair training for those with cognitive disabilities.</span> <span class="journal_series_title">International Journal of Therapy and Rehabilitation</span>, <span class="journal_volume">vol 13</span> <span class="journal_pages">pp 517-527</span>. <span class="journal_distributor">Lund University, Faculty of Medicine, Doctoral Dissertation Series 2007:34</span></div> <div class="article_info">Lisbeth Nilsson, Mona Eklund and Per Nyberg. <span class="article_issue_date"></span>. <span class="article_title">Driving to Learn in a powered wheelchair. Inter-rater reliability of a tool for assessment of joystick-use.</span> <span class="journal_distributor">Lund University, Faculty of Medicine, Doctoral Dissertation Series 2007:34</span> (submitted)</div> <div class="article_info">Lisbeth Nilsson, Per Nyberg and Mona Eklund. <span class="article_issue_date"></span>. <span class="article_title">Training charachteristics important for growing consciousness of joystick-use in people with profound cognitive disabilities. The Driving to Learn project.</span> <span class="journal_distributor">Lund University, Faculty of Medicine, Doctoral Dissertation Series 2007:34</span> (submitted)</div> The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Division of Occupational Therapy (Closed 2012) (013025000)

PY - 2007

Y1 - 2007

N2 - The Driving to Learn project explored possible achievements of training people with cognitive disabilities in a joystick-operated powered wheelchair utilizing the grounded theory approach. Theoretical sampling led the concomitant collection and analysis of data. During a period of 12 years, 45 participants with profound cognitive disabilities, aged 12 months to 52 years, were engaged in the project. Typically developed infants and participants with less degree of cognitive disabilities formed two reference groups. Data sources were video-recordings, field notes, interviews and information from medical records. Constant comparative analyses led the emergence of an eight-phase process of growing consciousness of tool-use, training strategies, a tool for assessment of joystick-use and identification of factors influencing the outcome of the training. The tool was tested for inter-rater reliability and used to evaluate the outcome of the 45 participants. Growing consciousness was by amplification conceptualised to a grounded theory of de-plateauing. Attainment of de-plateauing was reliant on the interdependent properties motivation, endurance, responsiveness, adaptability and access to resources with high predictability and usability. De-plateauing was defined as a positional change exceeding preconceived expectations. I argue that the grounded theory of de-plateauing might be useful in many more fields, where the phenomenon of plateauing attitudes is present either explicitly or implicitly.

AB - The Driving to Learn project explored possible achievements of training people with cognitive disabilities in a joystick-operated powered wheelchair utilizing the grounded theory approach. Theoretical sampling led the concomitant collection and analysis of data. During a period of 12 years, 45 participants with profound cognitive disabilities, aged 12 months to 52 years, were engaged in the project. Typically developed infants and participants with less degree of cognitive disabilities formed two reference groups. Data sources were video-recordings, field notes, interviews and information from medical records. Constant comparative analyses led the emergence of an eight-phase process of growing consciousness of tool-use, training strategies, a tool for assessment of joystick-use and identification of factors influencing the outcome of the training. The tool was tested for inter-rater reliability and used to evaluate the outcome of the 45 participants. Growing consciousness was by amplification conceptualised to a grounded theory of de-plateauing. Attainment of de-plateauing was reliant on the interdependent properties motivation, endurance, responsiveness, adaptability and access to resources with high predictability and usability. De-plateauing was defined as a positional change exceeding preconceived expectations. I argue that the grounded theory of de-plateauing might be useful in many more fields, where the phenomenon of plateauing attitudes is present either explicitly or implicitly.

KW - Rehabilitering (medicinsk och social)

KW - Social sciences

KW - Samhällsvetenskaper

KW - rehabilitation

KW - revalidation

KW - kinesitherapy

KW - Physical medicine

KW - arbetsmiljömedicin

KW - Yrkesmedicin

KW - industrial medicine

KW - Occupational health

KW - assessment

KW - outcome

KW - profound cognitive disabilities

KW - powered wheelchair

KW - joystick

KW - well-being

KW - control

KW - self-awareness

KW - growth

KW - facilitate

KW - activity

KW - occupation

M3 - Doctoral Thesis (compilation)

SN - 978-91-85559-11-4

T3 - Doctoral Dissertation Series

PB - Lund University, Faculty of Medicine, Department of Health Sciences, Division of Occupational Therapy and Gerontology

ER -

Driving to Learn. The process of growing consciousness of tool use - a grounded theory of de-plateauing.

Abstract

Bibliographical note

Subject classification (UKÄ)

Free keywords

Access to Document

Fingerprint

Research output

Classic Grounded Theory: A Rigorous Methodology for Research Involving Participants With Severe/Profound Intellectual Disabilities: A Discussion of Classic Grounded Theory as a Way of Undertaking Rigorous, Credible Research Involving Participants With Severe/Profound Intellectual Disability

Cite this