| 1. |
- Malmström, Nina, et al.
(författare)
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"Womanhood," a shared experience of participating in a lifestyle intervention with a focus on integration and physical activity to promote health among pregnant women : perspectives from pregnant women, midwives, and cultural interpreter doulas
- 2022
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Ingår i: International Journal of Qualitative Studies on Health and Well-being. - Abingdon : Taylor & Francis. - 1748-2623 .- 1748-2631. ; 17:1
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: Migrating women, have an overall increased risk of adverse outcomes and poorer health during pregnancy and childbirth. In addition, they do not participate in planned antenatal care to the same extent as natives. These disparities among migrants and native pregnant women point to the need for interventions to improve equal health and care during pregnancy and childbirth. This study aimed to explore the experiences of participating in a lifestyle intervention, named “Dancing for birth,” focusing on integration and physical activity, from the perspectives of the participating pregnant women, midwives, and cultural interpreter doulas.Method: Qualitative interviews were conducted from March 2019 to December 2020, with ten women who participated in a lifestyle intervention in Sweden: four pregnant women, three midwives, and three cultural interpreter doulas. Thematic analysis was used to analyse the data.Results: The lifestyle intervention ”Dancing for birth” provided positive shared Health-promoting experiences among the participants with social inclusivness and a commitment to supporting each other. This seemed to encourage the sense of strength as a woman- a strengthboth for the individual woman and as a kind of women´s power.Conclusions: Interventions targeting physical activity, social inclusiveness, and health literacy are of utmost importance in promoting positive pregnancy experiences and equal healthcare during pregnancy. Further research is needed on how to implement antenatal education that includes all women in society. © 2022 The Author(s).
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| 2. |
- Carlsson, Ing-Marie, 1961-, et al.
(författare)
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Reprioritizing life : A conceptual model of how women with type 1 diabetes deal with main concerns in early motherhood
- 2017
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Ingår i: International Journal of Qualitative Studies on Health and Well-being. - Abingdon : Taylor & Francis. - 1748-2623 .- 1748-2631. ; 12:Sup. 2
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: Becoming a mother is related to increased demands for women with type 1 diabetes mellitus, and more research is needed to identify their needs for support in everyday living. Thus, the aim of this study was to explore the main concerns in daily life in early motherhood for women with type 1 diabetes and how they deal with these concerns.Method: A grounded theory study was conducted in which 14 women with type 1 diabetes were interviewed individually 7 to 17 months after childbirth.Results: A conceptual model was identified with the core category “reprioritizing life”, and three related categories: adjusting to motherhood, taking command of the diabetes, and seeking like-minded women. Becoming a mother was a turning point towards a greater awareness and acceptance of prioritizing diabetes management and health, and thus, life. There was a gap in provision of diabetes care after birth and during the time of early motherhood compared with during pregnancy.Conclusions: Healthcare contacts already planned before delivery can promote person-centred care during the whole period from pregnancy to motherhood. Moreover, providing alternative sources for health information and peer support could improve the life situation during early motherhood.
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| 3. |
- Ekengren, Johan, 1979-
(författare)
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Careers of Swedish Professional Handball Players : From an Empirical Model to Career-Long Psychological Support Services
- 2020
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This PhD Project with a specialization in sport psychology is inspired by the cultural praxis of athletes’ careers paradigm. This implies that the Project blends theory, research, and practice within the context of Swedish handball, by investigating career pathways of professional players providing empirically based, and context specific, implications. The overarching aim of the Project is twofold: (a) to examine the career experiences of Swedish professional handball players and consolidate them into the empirical career model of Swedish professional handball players (ECM-H), and (b) based on the ECM-H, to develop, validate, and test an applied framework promoting career-long psychological support services in Swedish handball (CPS-H). The first aim is covered by Study I and II, and the second aim is met in Study III and IV. The dissertation is designed as a collection of four articles with one article per study. Study I focused on a qualitative exploration of career experiences from 18 Swedish professional handball players including major career stages and transitions in their athletic and non-athletic development. The players’ accounts were consolidated into the ECM-H describing the context-specific features and pathways throughout the handball career. When developing the ECM-H, gender-specific issues appeared of interest for further investigation. Gender issues were addressed in Study II by re-analyzing the data from Study I. Two composite vignettes were created describing the career pathways of nine male and nine female players. Study III initiated a move from research to practice. Based on the ECM-H, applied sport psychology literature and experiences of the research team led by the first author, the applied framework CPS-H was heuristically developed and validated in three focus groups with end users; professional players, coaches, and sport psychology practitioners. The validated version of the CPS-H is presented with general and career stage-specific recommendations for its implementation among support providers (i.e., where, when, what, who, why, and how of psychological support service). Study IV was designed as an instrumental case study for testing a part of the CPS-H framework. More specifically, the mastery career stage. A career assistance program (CAP) named Life as a professional handball player was developed for, implemented with, and evaluated by Swedish League team. The program included eight workshops dealing with various aspects of the players’ athletic and non-athletic life (e.g., performance, training, lifestyle, recovery, future planning), together with crisis-related issues (e.g., coping with uncertainty). These workshops were delivered by the first author during 12 weeks of a competitive season. The mixed-methods evaluation revealed a perceived improvement in players’ personal coping resources (e.g., increased awareness) and a decrease in their fatigue and stress. This Project contributes to the athlete career sport psychology discourse and the emerging athlete mental health discourse by presenting the ECM-H and CPS-H frameworks, and the CAP Life as a professional handball player, grounded in the cultural context of Swedish handball. The frameworks and CAP can serve as inspiration for future research and practice, informed by a cultural praxis. The Project shows the usefulness of working as a scientist-practitioner and establishing theory-researchpractice-context links for the promotion of culturally informed implications, and supports the work of facilitating a holistic understanding of athletes’ striving for healthy, successful, and long-lasting careers in sport and life.
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| 4. |
- Ekengren, Johan, 1979-, et al.
(författare)
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Composite vignettes of Swedish male and female professional handball players’ career paths
- 2020
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Ingår i: Sport in Society. - Abingdon : Routledge. - 1743-0437 .- 1743-0445. ; 23:4, s. 595-612
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to describe gender-specific career paths of Swedish professional handball players. A reanalysis of Ekengren et al. (2018) career interviews with nine male and nine female players led to creating two composite vignettes using the athletes’ own words, accounted for typical features in the male and female players’ career paths. Seven themes were identified in the analysis of the men’s transcripts and eight themes derived from the women’s transcripts. Further, the themes of both vignettes were aligned with career stages described in our previous study (Ekengren et al. 2018). The male players’ vignette is interpreted as a performance narrative congruent with elite handball culture that promotes performance success and profitable professional contracts. The female players’ vignette is more holistic, embracing handball, studies, motherhood, and how they ought to be as Swedish women. Recommendations for future research are provided. © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group
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| 5. |
- Ekengren, Johan, 1979-, et al.
(författare)
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Exploring career experiences of Swedish professional handball players : Consolidating firsthand information into an empirical career model
- 2020
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Ingår i: International Journal of Sport and Exercise Psychology. - New York : Taylor & Francis. - 1612-197X .- 1557-251X. ; 18:2, s. 156-175
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Tidskriftsartikel (refereegranskat)abstract
- The study was aimed at developing the empirical career model of Swedish professional handball players by means of exploring their career experiences in athletic and non-athletic developments through the lens of the holistic athletic career model. Eighteen Swedish professional handball players (nine men and nine women), who had recently terminated or were finishing their careers took part in semi-structured interviews about their careers from the beginning to the end with an interest in both athletic and non-athletic developments. Thematic analysis initially focused on identifying the handball career structure (i.e. stages and sub-stages). Then, the interviews were analysed inductively to identify shared themes in the players’ experiences relevant to each career stage. These themes were incorporated in the relevant stages, and the empirical career model of Swedish professional handball players (further – the empirical model) was finalised. The empirical model describes careers of Swedish handball players as having four athletic stages – initiation, development (with three sub-stages), mastery (with four sub-stages), and discontinuation – complemented by players’ psychological, psychosocial, academic/vocational, and financial developments. Each stage is also aligned with age markers and contains themes describing players’ career experiences from the holistic perspective. The empirical model contributes to contextualised career research and serves as a basis for developing career-long psychological support services in Swedish handball including player/coach/parent education organised by the Swedish Handball Federation.© 2018 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group
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| 6. |
- Wilhsson, Marie, et al.
(författare)
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Handling Demands of Success Among Girls and Boys in Primarly School : A Conceptual Model
- 2017
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Ingår i: Journal of School Nursing. - Thousand Oaks, CA : Sage Publications. - 1059-8405 .- 1546-8364. ; 33:4, s. 316-325
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Tidskriftsartikel (refereegranskat)abstract
- Stress among adolescents in Western societies is becoming an issue of increasing concern, and the global trend of adolescents’ health shows a gradual deterioration that is independent of national differences and increases with age. The aim of this study was to explore the main concern of adolescents and about how they cope with demands in everyday life. Participants were 14–16 years old, and data were collected from three sources. A constructivist grounded theory was used as a method for generating a model of the adolescents’ description of how they cope with demands in their everyday lives. The main concern described by participants in this study was to strive to be successful and to succeed in the present and throughout their lives. We conclude that differences between girls and boys, in terms of coping with demands in their everyday lives, are important to consider in the development of health promotion initiatives targeted at adolescents.
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| 7. |
- Blomqvist, Marjut, 1966-, et al.
(författare)
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Enabling healthy living : Experiences of people with severe mental illness in psychiatric outpatient services
- 2018
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Ingår i: International Journal of Mental Health Nursing. - Richmond, VIC : Wiley-Blackwell. - 1445-8330 .- 1447-0349. ; 27:1, s. 236-246
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Tidskriftsartikel (refereegranskat)abstract
- It is well known that people with severe mental illness have a reduced life expectancy and a greater risk of being affected by preventable physical illnesses such as metabolic syndrome, cardiovascular disease and type 2 diabetes. There are still, however, only a few published studies focusing on what enables healthy living for this group. This study thus aimed to describe what enables healthy living among people with severe mental illness in psychiatric outpatient services. The data were collected in qualitative interviews (n=16) and content analysis was used to analyze the data. The interviews resulted in an overall theme Being regarded as a whole human being by self and others, which showed the multidimensional nature of health and the issues that enable healthy living among people with severe mental illness. Three categories emerged: (i) everyday structure (ii), motivating life events and (iii) support from significant others. The results indicate that a person with severe mental illness needs to be encountered as a whole person if healthy living is to be enabled. Attaining healthy living requires collaboration between the providers of care, help and support. Health care organizations need to work together to develop and provide interventions to enable healthy living and to reduce poor physical health among people with severe mental illness.
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| 8. |
- Blomqvist, Marjut, 1966-, et al.
(författare)
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Experiences of data collection issues in qualitative studies involving people diagnosed with schizophrenia
- 2016
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Ingår i: Abstracts. ; , s. 41-41
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Konferensbidrag (refereegranskat)abstract
- Background: The viewpoint and special needs of individuals with severe mental illness are crucial for the development of mental health nursing. In-depth knowledge of the perspectives of people with schizophrenia is primarily established in dialogue with individuals with experience of the phenomenon investigated. Attaining trustworthiness in the findings in qualitative studies is of great importance and the interview approach used should assure trustworthiness in the data collection at different levels with regard to the perspectives of the individual, which is essential for developing nursing research and practice.Aim: The aim of the paper was to describe and discuss the issues related to data collection in qualitative studies involving people diagnosed with schizophrenia.Method: Six qualitative interview studies regarding experiences of different aspects of life among people diagnosed with schizophrenia were reflected on and discussed in terms of issues related to data collection involving people with severe mental illness such as schizophrenia (N=75).Results: The discussions that generated the results revealed three topics in qualitative studies involving individuals diagnosed with schizophrenia: 1) Selection of research context with respect to participants’ different aspects of life, 2) Sampling issues with regard to judgements of participants’ ability to contribute with information and 3) Choice of data collection methods to meet the aim of the enquiry.Conclusion: Three crucial areas in data collection in qualitative studies with individuals diagnosed with schizophrenia were revealed. Further studies regarding sampling procedures and analysis of collected data are needed to ensure trustworthiness of findings regarding interviews involving people with severe mental illness.
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| 9. |
- Blomqvist, Marjut, 1966-
(författare)
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Health among people with psychotic disorders and effects of an individualized lifestyle intervention to promote health
- 2020
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The overall aim of the thesis was to increase knowledge of health among people with psychotic disorders such as schizophrenia and other long-term psychotic conditions. The aim was also to investigate health effects, in terms of clinical health outcomes and self-reported questionnaires, of atwo-year individualized lifestyle intervention implemented in psychiatric outpatient services involving cooperation with the municipal social psychiatry services. The motivation for the study was to generate new knowledge in order to be able to promote health in people with psychotic disorders and to improve the care and support provided for this target group. The thesis consists of four studies. A quantitative study (Study I), was conducted using a cross-sectional design to investigate the prevalence of overweight, obesity, risk of cardiovascular disease (CVD) and the relationships between self-rated salutogenic health, sense of coherence, CVD risk, and body mass index among people with psychoticdisorders (n=57). The study was conducted in four psychiatric outpatient services; questionnaires were completed by the participants and clinical health measurements were collected by the participant’s contact nurse at the psychiatric outpatient services. The participants showed a moderate/high risk of CVD, the mean for BMI was 31.9 (59.6% were obese) and 31.6% were overweight. The results did not reveal any relationships between the subjective and objective measuresof health indicating the need for both subjective and objective assessments of health in psychiatric care. In a qualitative study (Study II), data were collected with semi-structured interviews (n=16) andanalyzed with qualitative content analysis. The interviews resulted in an overall theme “Being regarded as a whole human being by self and others”, which showed the multidimensional nature of health and the issues that enable healthy living among people with severe mental illness. Three categories emerged: (i) everyday structure (ii), motivating life events and (iii) support from significant others. The results indicate that a person with severe mental illness needs to be encountered as a wholeperson if healthy living is to be enabled. In a quasi-experimental study (Study III), the potential effects of participation in the two-year lifestyle intervention (intervention group n=54 and control group (n=13) were investigated. The data were collected at baseline, after 12 months and after 24 months using the self-reported questionnaire the Salutogenic Health Indicator Scale (SHIS), the Hopkins Symptom Checklist (HSCL-25) and the National Public Health Survey. Measures of clinical healthoutcomes were conducted by the participant’s contact nurse at the psychiatric outpatient services. Multilevel modeling was used to test differences in changes over time. Significant changes were foundin physical activity, HbA1c and waist circumference after participation in individualized lifestyle intervention. The relationship between changes in physical activity, levels of salutogenic health and glycated hemoglobin (Hb1Ac) were investigated (n=54) in Study IV. The data were collected atbaseline, after 12 months and after 24 months using the self-reported questionnaires Salutogenic Health Indicator Scale (SHIS) and National Public Health Survey. Within-person changes in physical activity between baseline and at the end of the twenty-four-month intervention were calculated. Selfreported increased physical activity was positively associated with self-rated salutogenic health and negatively associated with level of HbA1c after participation in the intervention. The thesis shows that a well-founded assessment of general health needs must consider both the individual's subjective experiences and objective measurements in order to form a solid foundation for dialogue and shareddecision-making about essential care services. The results also show that it is possible to stimulate healthy behavioral changes with a two-year individualized lifestyle intervention and bring both subjectively and objectively measured health benefits for people with psychotic disorders. The importance of nurses in psychiatric care applying a holistic approach and integrating lifestyle interventions into daily person-centered psychiatric care in collaboration with other healthcare providers to facilitate changes towards a healthy lifestyle in persons with psychotic illness is emphasized in the thesis.
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| 10. |
- Blomqvist, Marjut, 1966-, et al.
(författare)
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Health effects of an individualized lifestyle intervention for people with psychotic disorders in psychiatric outpatient services : a two year follow-up
- 2019
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Ingår i: Issues in Mental Health Nursing. - Philadelphia : Taylor & Francis. - 0161-2840 .- 1096-4673. ; 40:10, s. 839-850
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Tidskriftsartikel (refereegranskat)abstract
- People with psychotic disorders experience to a great extent avoidable physical illnesses and early mortality. The aim of the study was to investigate the potential effects for this group of participating in a lifestyle intervention. A multi-component nurse-led lifestyle intervention using quasi-experimental design was performed. Changes in biomedical and clinical measurements, self-reported health, symptoms of illness and health behavior were investigated. Multilevel modeling was used to statistically test differences in changes over time. Statistically significant changes were found in physical activity, HbA1c and waist circumference. A lifestyle intervention for people with severe mental illness can be beneficial for increasing physical activity.
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