Emplacing reablement co-creating an outdoor recreation model in the rural Arctic

Figures & data

Table 1. Participant information.

Target group	5 representatives from the local senior council 3 reablement participants*		n=8
Reablement staff in the project team	1 PT 1 OT 1 RN		n=3
Reablement staff in “inspiration team 1” from a comparable municipality	1 PT 1 OT		n=2
Reablement staff in “inspiration team 2” from a comparable municipality	1 PT 1 OT 1 assistant nurse		n=3
Stakeholders	Administration and policy staff from the municipality Staff from other health care services in the municipality		n=16
Research team	2 PTs 1 RN		n=3
*Only participated in individual interviews		Total number of participators	N=35

Figure 1. Schematic presentation of the five stages of the co-creation process.

Figure 2. The place attachment assessment tool (PAAT): identifying meaningful places as a fundament for goal-setting practices in reablement.

Table

Themes	Guiding questions	Follow-up questions
Introduction and creating confidence	Introducing the project, project aim and setting
	Can you tell about yourself; professional and educational background, experiences with reablement services and outdoor recreation?
	What connection do you personally have to outdoor recreation?
Organizational settings in the reablement services	How does a workday normally look like?
	How do outdoor activities fit with the organisational settings of your additional reablement offerings?
Experiences with outdoor activities in reablement settings	For how long have your reablement team been providing outdoor activities as part of the service? Can you tell about how it started?
	What was the initial rationale behind implementing outdoor activities?
	Can you provide us with some positive experiences or cases of particular interest?	Follow up to get thorough descriptions about cases: Who were the user, goals, motivation, places of relevance, social network of relevance?
	Can you provide us with some less positive experiences that you have had?	Follow up to assess possible challenges: Physical, motivational, social, cultural or environmental challenges?
Recriutment and goalsetting	What kind of people would you say fit for outdoor recreation offerings in reablement?
	What assessment guides the goalsetting practice? Outdoor activities
	Explain what activities that you have experiences with doing. Why are these activities chosen? Why are these activities conducted? What preparations are needed?

Table

Themes	Guiding questions	Follow-up questions
Introduction and creating confidence	Introducing the project, project aim and setting
	Can you tell about yourself; professional and educational background, experiences with reablement services and outdoor recreation?
	What connection do you personally have to outdoor recreation?	Do you have a local background from the area? Experiences with outdoor activities in the arctic context?
Organizational settings in the reablement services	How does a workday normally look like?
		can you tell more about the rationale behind choosing the assessment tools you use? Challenges and benefits with using them?
	How do outdoor activities fit with the organisational settings of your additional reablement offerings?
Experiences with outdoor activities in reablement settings	For how long have your reablement team been providing outdoor activities as part of the service? Can you tell about how it started?
	What was the initial rationale behind implementing outdoor activities?
	Can you provide us with some positive experiences or cases of particular interest?	Follow up to get thorough descriptions about cases: Who were the user, goals, motivation, places of relevance, social network of relevance?
	Can you provide us with some less positive experiences that you have had?	Follow up to assess possible challenges: Physical, motivational, social, cultural or environmental challenges?
Recriutment and goalsetting	What kind of people would you say fit for outdoor recreation offerings in reablement?
	What assessment guides the goalsetting practice?
Arctic cultural factors	Why do you think this population finds outdoor recreation to be of significance?
	Can you try to describe any cases that you have experiences that reveal a cultural connection between people and the nature in which they live in?
Arctic environmental factors	Have you experienced any challenges concerning weather, climate, or other possible issues?	Experiences with aids or technical advice, clothing, etc.?

Table

Themes	Guiding questions	Follow-up questions
Introduction and creating confidence	Introducing the project, project aim and setting
	Can you tell about yourself; professional and educational background, experiences with reablement services and outdoor recreation?
	What connection do you personally have to outdoor recreation?
Organizational settings in the reablement services	How does a workday normally look like?
	Your team started practicing reablement services for only a short while ago. How do you experience the start up?	How did you share tasks and responsibility? What kind of assessment tools are used in your reablement practice? Who is the typical reablement participant?
Experiences with outdoor activities in reablement settings	What was the initial rationale behind implementing outdoor activities?	Why did you consent to participate in this project?
	What was your experiences of the workshop and what processes was generated within the reablement team after participating in the workshop?	What formal and non-formal procedures and practices were generated? How were tasks and responsibility shared and distributed?
	How did you recruit participants, and how did they respond to the service offer?	How did you introduce outdoor activities to them? Did they have to be motivated to go outside? Can you elaborate on challenges if you experience any?
	Can you provide us with some positive experiences or cases of particular interest?	Follow up to get thorough descriptions about cases: Who were the user, goals, motivation, places of relevance, social network of relevance?
	Can you provide us with some less positive experiences that you have had?	Follow up to assess possible challenges: Physical, motivational, social, cultural or environmental challenges?
Recruitment and goalsetting	What kind of people would you say fit for outdoor recreation offerings in reablement?
	What assessment guides the goalsetting practice?	What is important to assess? How can you contribute to motivate participants?
	What do the participants perceive as motivating factors for engaging in outdoor recreation?
Arctic cultural factors	Why do you think this population finds outdoor recreation to be of significance?
	Can you try to describe any cases that you have experiences that reveal a cultural connection between people and the nature in which they live in?
Arctic environmental factors	Have you experienced any challenges concerning weather, climate, or other possible issues?
	How do you plan for challenges in the outdoor climate during seasonal changes?	Equipment, tools, clothing, aids?

Table

Introduction and creating confidence	Can you tell about how you got in contact with the reablement team in the first place?	Story behind engagement in the reablement service? Had you heard about the service? What were your expectation, goals, concerns, etc.?
Outdoor activities as part of reablement services	How did you experience being introduced to outdoor activities by the reablement team?
	Can you tell about the details of the outdoor interventions?	What was done? By whom? Where did you go? Was the place and activities familiar to you?
	How did you and the reablement staff talk about goals and preferences?	Were there used any standardised tools? Free conversation? Leading questions or suggested activities by the team?
	Can you tell about the outdoor activities that you perceive as of highest significance for you?	Why do you think these activities are important for you?
Experiences with outdoor activities	What activities do you normally do outside?
	What places are of importance to you?
	What motivates you to be outside in nature (or other outdoor areas)?
	Can you tell about your connection with being outdoor in nature?	Can you tell about earlier outdoor experiences of relevance from childhood up to this current data?
	Have you had any connection with outdoor activities based on your work or leisure activities?
Arctic environmental factors	Are there any seasons that you are more outside than others? How do seasonal changes affect your engagement with outdoor activities?

Table

Place attachment	Before	Now	In the future
Emotional attachment
Cognitive attachment
Conative attachment
Social attachment
Prioritized places		Challenges or obstacles to account for
1.
2.
3.
1.