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Optimizing meaningful engagement of older adults with multimorbidity and their caregivers as partners in health care research / Background: The importance of engaging older adults (> 65 years) with multimorbidity and their caregivers as partners in health care research has been widely recognized. Inclusion of patients as research partners has resulted in largely positive effects. However, little is known about how best to engage and support them in this role. The objective of this study was to examine how to optimize meaningful engagement of older adults with multimorbidity and their caregivers as research partners. Methods: The research objective was addressed using the persona-scenario method. Study participants were older adults with previous experience as a research partner or a research participant. Participants worked in pairs to create a persona and a scenario about how their persona(s) was involved on the research team. Analysis was conducted in two phases: (a) identification of themes, subthemes, and codes using a qualitative descriptive approach, and (b) interpretation of themes and subthemes into design specifications (actions and products). Results: Four persona-scenario sessions were held with 8 patient participants. Three major themes emerged from the data: (a) recruitment of patient or caregiver research partners (PCRPs); (b) planning for meaningful engagement; and (c) establishing collaborative relationships. These major themes contained 15 corresponding subthemes, and design specifications (52 actions and 37 products). Findings highlight key factors influencing the engagement of older adults with multimorbidity and their caregivers as research partners, such as the need for: early engagement of PCRPs; clarification of PCRPs’ roles and responsibilities; a flexible patient-centred approach to PCRP involvement; identifying and addressing barriers to their engagement (e.g., caregiving support, transportation); training about research; and continued dialogue and feedback to clarify roles and manage expectations. The results are important for identifying ways to promote greater patient engagement in research and ensure that the research reflects the needs of the patients it strives to serve. / Thesis / Master of Science (MSc) / The importance of engaging patients with multimorbidity and their caregivers as partners in health care research has been widely recognized. However, little is known about how to best engage and support them in this role. The objective of this study was to examine how researchers can best engage and support older adults with multimorbidity and their caregivers as research partners in health care research teams. The persona-scenario method was used for participants to create fictional stories. These stories were analyzed to shed light on specific strategies that can support older adults and their caregivers as partners on health care research teams, such as a patient-centred approach, identifying and addressing barriers to engagement, and clarifying roles and responsibilities on the research team. The results from this study can be used to inform research, policy, and education on supporting older adults with multimorbidity and their caregivers as research partners.

In this study, I have investigated the effects of station-near development in Kumla to smaller urban areas with sustainable transport. To be able to promote sustainable means of transport and station development in smaller municipalities and urban areas. Transport is mostly done by car and replacing the need for transport with other sustainable modes of transport can be problematic in the smaller towns if it’s not properly encouraged. As similar research has previously been conducted in larger towns, the purpose of this study is to investigate the effect of the station’s proximity in Kumla to smaller towns and encourage sustainable transport to the station from the urban areas. The method for the investigation is a smaller inductive case study that’s applied qualitatively and scenario-work that Kumla municipality has participated in. The strategy Transit-Oriented Development has been used as a point of departure for the scenario work and as a theoretical framework to discuss the results. The result show a current situation analysis and a destination analysis based on the existing environment in the municipality. The result also show the municipality's work with building scenarios, which were then analyzed in a multi-criteria-analysis based on Transit-Oriented Development. Based on these analyses, Kumla Municipality is well placed to develop its objectives and strategies. Transit-Oriented Development is a good guide for Kumla Municipality to develop near-station within the scope of the strategy with sustainable transport. It is also something that can be extended and further used in the routes between the towns based on the winning scenario. / I denna studie har jag undersökt de effekterna med stationsnära utveckling i Kumla till mindre tätorter med hållbara transporter. För att kunna främja hållbara transportmedel och stationsutveckling i mindre kommuner och tätorter. Transporterna sker för det mesta med bil och ersätta transportbehovet med andra hållbara trafikslag kan vara problematisk i de mindre orterna om det inte främjas ordentligt. Då motsvarande forskning har tidigare genomförts i större orter, syftet i denna studie är att undersöka effekten av stationens närhet i Kumla till mindre orter, samt främja kopplingen med hållbara transporter till stationen från tätorterna. Metoden till studien är en mindre induktiv fallstudie som är tillämpad kvalitativt och scenarioarbete som Kumla kommun har deltagit i. Strategin Transit-Oriented Development har använts som en teori i scenarioarbetet och för att diskutera resultatet. Resultatet visar en nulägesanalys och en resmålsanalys utifrån den befintliga miljön i kommunen. Resultatet visar även kommunens arbete med scenariomatrisen, som sedan analyserades och utvärderades i en multikriterieanalys utifrån Transit-Oriented Development. De förutsättningarna utifrån analyserna har Kumla kommun goda förutsättningar att utveckla dess mål och strategier. Transit-Oriented Development en bra vägledning för Kumla kommun att utveckla stationsnära utveckling inom strategins räckvidd med hållbara transporter. Det är även något som kan utvidgas och användas vidare i stråken mellan orterna utifrån det vinnande scenariot.