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21.
  • Fjellman-Wiklund, Anncristine, et al. (författare)
  • Take charge Patients' experiences during participation in a rehabilitation programme for burnout
  • 2010
  • Ingår i: Journal of Rehabilitation Medicine. - 1650-1977 .- 1651-2081. ; 42:5, s. 475-481
  • Tidskriftsartikel (refereegranskat)abstract
    • <p>Objective: The aim of this study was to explore the experiences of patients with burnout during a rehabilitation programme.</p><p>Patients and methods: Eighteen patients with burnout were interviewed at the end of a one-year rehabilitation programme. The programme consisted of 2 groups, one with a focus on cognitively-oriented behavioural rehabilitation and Qigong and 1 with a focus on Qigong alone. The interviews were analysed using the grounded theory method.</p><p>Results: One core category, Take Charge, and 6 categories emerged. The core category represents a beneficial recovery process that helped the patients to take control of their lives. The common starting point for the process is presented in the 3 categories of Good encounters, Affirmation and Group cohesiveness. The categories were basic conditions for continuing development during rehabilitation. In the categories Get to know myself, How can I be the one I want to be? and Choice of track, the more group-specific tools are included, through which the patients adopted a new way of behaving.</p><p>Conclusion: Patients in both groups experienced group participation as being beneficial for recovery and regaining control of their lives, although in somewhat different way. An experience of affirmation and support from health professionals and group participants is of importance for behavioural change</p>
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22.
  • Gillander Gådin, Katja, et al. (författare)
  • School health promotion to increase empowerment, gender equality and pupil participation : A focus group study of a Swedish elementary school initiative
  • 2013
  • Ingår i: Scandinavian Journal of Educational Research. - Routledge. - 0031-3831 .- 1470-1170. ; 57:1, s. 54-70
  • Tidskriftsartikel (refereegranskat)abstract
    • <p>A school health promotion project was carried out in an elementary school in Sweden where active participation, gender equality, and empowerment were leading principles. The objective of the study was to understand challenges and to identify social processes of importance for such a project. Focus group interviews were conducted with 6 single-sex groups (7–12 year olds) in grade 1–2, grade 3–4, and grade 5–6 on 2 occasions. The analysis used a grounded theory approach. The analysis identified the core category “normalization processes of violence and harassment.” It is argued that school health promotion initiatives need to be aware of normalization processes of violence and, which may be counter-productive to the increase of empowerment and participation among all pupils.</p>
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23.
  • Gillander Gådin, Katja, 1960-, et al. (författare)
  • School health promotion to increase empowerment, gender equality and pupil participation: A focus group study of a Swedish elementary school initiative.
  • 2013
  • Ingår i: Scandinavian Journal of Educational Research. - 0031-3831 .- 1470-1170. ; 57:1, s. 54-70
  • Tidskriftsartikel (refereegranskat)abstract
    • <p>A school health promotion project was carried out in an elementary school in Sweden where active participation, gender equality, and empowerment were leading principles. The objective of the study was to understand challenges and to identify social processes of importance for such a project. Focus group interviews were conducted with 6 single-sex groups (7–12 year olds) in grade 1–2, grade 3–4, and grade 5–6 on 2 occasions. The analysis used a grounded theory approach. The analysis identified the core category “normalization processes of violence and harassment.” It is argued that school health promotion initiatives need to be aware of normalization processes of violence and, which may be counter-productive to the increase of empowerment and participation among all pupils.</p>
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24.
  • Gillander Gådin, Katja, 1960-, et al. (författare)
  • Young students as participants in school health promotion: an intervention study in a Swedish elementary school
  • 2009
  • Ingår i: International Journal of Circumpolar Health. - 1239-9736 .- 2242-3982. ; 68:5, s. 498-507
  • Tidskriftsartikel (refereegranskat)abstract
    • <p>Objectives. The aim was to analyse if young students could be substantive participants in a healthpromoting school project. The specific aims were to analyse the changes the students proposed in their school environment, how these changes were prioritized by a school health committee and to discuss the students' proposals and the changes from a health and gender perspective. Study design. An intervention project was carried out in an elementary school with students (about 150) in Grades 1 through 6. The intervention included small-group discussions about health promoting factors, following a health education model referred to as "It's your decision." At the last of 6 discussions, the students made suggestions for health-promoting changes in their school environment. A health committee was established with students and staff for the purpose of initiating changes based on the proposals. Methods. A content analysis was used to analyse the proposals and the protocols developed by the health committee. Results. The analysis showed 6 categories of the students' proposals: social climate, influence on schoolwork, structure and orderliness, security, physical environment and food for well-being. Their priorities corresponded to the students' categories, but had an additional category regarding health education. Conclusions. Principles that guide promoting good health in schools can be put into action among students as young as those in Grades 1 through 6. Future challenges include how to convey experiences and knowledge to other schools and how to evaluate if inequalities in health because of gender, class and ethnicity can be reduced through the focus on empowerment and participation.</p>
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25.
  • Gådin, Katja Gillander, et al. (författare)
  • Young students as participants in school health promotion : an intervention study in a Swedish elementary school
  • 2009
  • Ingår i: International Journal of Circumpolar Health. - 1239-9736 .- 2242-3982. ; 68:5, s. 498-507
  • Tidskriftsartikel (refereegranskat)abstract
    • <p>OBJECTIVES: The aim was to analyse if young students could be substantive participants in a health-promoting school project. The specific aims were to analyse the changes the students proposed in their school environment, how these changes were prioritized by a school health committee and to discuss the students' proposals and the changes from a health and gender perspective.</p> <p>STUDY DESIGN: An intervention project was carried out in an elementary school with students (about 150) in Grades 1 through 6. The intervention included small-group discussions about health promoting factors, following a health education model referred to as "It's your decision." At the last of 6 discussions, the students made suggestions for health-promoting changes in their school environment. A health committee was established with students and staff for the purpose of initiating changes based on the proposals.</p> <p>METHODS: A content analysis was used to analyse the proposals and the protocols developed by the health committee.</p> <p>RESULTS: The analysis showed 6 categories of the students' proposals: social climate, influence on schoolwork, structure and orderliness, security, physical environment and food for well-being. Their priorities corresponded to the students' categories, but had an additional category regarding health education.</p> <p>CONCLUSIONS: Principles that guide promoting good health in schools can be put into action among students as young as those in Grades 1 through 6. Future challenges include how to convey experiences and knowledge to other schools and how to evaluate if inequalities in health because of gender, class and ethnicity can be reduced through the focus on empowerment and participation.</p>
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26.
  • Hammarström, Anne, et al. (författare)
  • Experiences of barriers and facilitators to weight-loss in a diet intervention a qualitative study of women in Northern Sweden
  • 2014
  • Ingår i: BMC Women's Health. - BioMed Central. - 1472-6874 .- 1472-6874. ; 14, s. 59
  • Tidskriftsartikel (refereegranskat)abstract
    • <p><strong>BACKGROUND</strong>: There is a lack of research about the experiences of participating in weight-reducing interventions. The aim of this study was to explore barriers and facilitators to weight-loss experienced by participants in a diet intervention for middle-aged to older women in the general population in Northern Sweden.</p><p><strong>METHOD</strong>: In the intervention the women were randomised to eat either a Palaeolithic-type diet or a diet according to Nordic Nutrition recommendations for 24 months. A strategic selection was made of women from the two intervention groups as well as from the drop-outs in relation to social class, civil status and age. Thematic structured interviews were performed with twelve women and analysed with qualitative content analyses.</p><p><strong>RESULTS</strong>: The results showed that the women in the dietary intervention experienced two main barriers - struggling with self (related to difficulties in changing food habits, health problems, lack of self-control and insecurity) and struggling with implementing the diet (related to social relations and project-related difficulties) - and two main facilitators- striving for self-determination (related to having clear goals) and receiving support (from family/friends as well as from the project) - for weight-loss. There was a greater emphasis on barriers than on facilitators.</p><p><strong>CONCLUSION</strong>: It is important to also include drop-outs from diet interventions in order to fully understand barriers to weight-loss. A gender-relational approach can bring new insights into understanding experiences of barriers to weight-loss.</p>
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27.
  • Hammarström, Anne, et al. (författare)
  • Experiences of barriers and facilitators to weight-loss in a diet intervention : a qualitative study of women in Northern Sweden
  • 2014
  • Ingår i: BMC Women's Health. - BioMed Central. - 1472-6874 .- 1472-6874. ; 14, s. 59
  • Tidskriftsartikel (refereegranskat)abstract
    • <p><strong>BACKGROUND</strong>: There is a lack of research about the experiences of participating in weight-reducing interventions. The aim of this study was to explore barriers and facilitators to weight-loss experienced by participants in a diet intervention for middle-aged to older women in the general population in Northern Sweden.</p><p><strong>METHOD</strong>: In the intervention the women were randomised to eat either a Palaeolithic-type diet or a diet according to Nordic Nutrition recommendations for 24 months. A strategic selection was made of women from the two intervention groups as well as from the drop-outs in relation to social class, civil status and age. Thematic structured interviews were performed with twelve women and analysed with qualitative content analyses.</p><p><strong>RESULTS</strong>: The results showed that the women in the dietary intervention experienced two main barriers - struggling with self (related to difficulties in changing food habits, health problems, lack of self-control and insecurity) and struggling with implementing the diet (related to social relations and project-related difficulties) - and two main facilitators- striving for self-determination (related to having clear goals) and receiving support (from family/friends as well as from the project) - for weight-loss. There was a greater emphasis on barriers than on facilitators.</p><p><strong>CONCLUSION</strong>: It is important to also include drop-outs from diet interventions in order to fully understand barriers to weight-loss. A gender-relational approach can bring new insights into understanding experiences of barriers to weight-loss.</p>
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28.
  • Hammarström, Anne, et al. (författare)
  • Experiences of barriers and facilitators to weight-loss in a diet intervention - a qualitative study of women in Northern Sweden
  • 2014
  • Ingår i: BMC Women's Health. - 1472-6874. ; 14
  • Tidskriftsartikel (refereegranskat)abstract
    • Abstract Background There is a lack of research about the experiences of participating in weight-reducing interventions. The aim of this study was to explore barriers and facilitators to weight-loss experienced by participants in a diet intervention for middle-aged to older women in the general population in Northern Sweden. Method In the intervention the women were randomised to eat either a Palaeolithic-type diet or a diet according to Nordic Nutrition recommendations for 24&#160;months. A strategic selection was made of women from the two intervention groups as well as from the drop-outs in relation to social class, civil status and age. Thematic structured interviews were performed with twelve women and analysed with qualitative content analyses. Results The results showed that the women in the dietary intervention experienced two main barriers &#8211; struggling with self (related to difficulties in changing food habits, health problems, lack of self-control and insecurity) and struggling with implementing the diet (related to social relations and project-related difficulties) &#8211; and two main facilitators&#8211; striving for self-determination (related to having clear goals) and receiving support (from family/friends as well as from the project) &#8211; for weight-loss. There was a greater emphasis on barriers than on facilitators. Conclusion It is important to also include drop-outs from diet interventions in order to fully understand barriers to weight-loss. A gender-relational approach can bring new insights into understanding experiences of barriers to weight-loss.
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29.
  • Hammarström, Anne, et al. (författare)
  • Living in the shadow of unemployment - an unhealthy life situation a qualitative study of young people from leaving school until early adult life
  • 2019
  • Ingår i: BMC Public Health. - BMC. - 1471-2458 .- 1471-2458. ; 19:1
  • Tidskriftsartikel (refereegranskat)abstract
    • <p><strong>BACKGROUND:</strong> Despite the magnitude of youth unemployment there is a lack of studies, which explore the relations between health experiences and labour market position in various contexts. The aim of this paper was to analyse health experiences among young people in NEET (not in education, employment or training) in relation to labour market position from leaving school until early adult life.</p><p><strong>METHOD:</strong> The population consists of everyone (six women, eight men) who became unemployed directly after leaving compulsory school in a town in Northern Sweden. Repeated personal interviews were performed from age 16 until age 33. The interviews were analysed using qualitative content analysis.</p><p><strong>RESULTS:</strong> Health experiences can be viewed as a contextual process, related to the different phases of leaving school, entering the labour market, becoming unemployed and becoming employed. Perceived relief and hope were related to leaving compulsory school, while entering the labour market was related to setbacks and disappointments as well as both health-deteriorating and health-promoting experiences depending on the actual labour market position. Our overarching theme of "Living in the shadow of unemployment - an unhealthy life situation" implies that it is not only the actual situation of being unemployed that is problematic but that the other phases are also coloured by earlier experiences of unemployment .</p><p><strong>CONCLUSION:</strong> A focus on young people's health experiences of transitions from school into the labour market brings a new focus on the importance of macroeconomic influence on social processes and contextualised mechanisms from a life-course perspective.</p>
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30.
  • Hörnqwist Bylund, Sonya, et al. (författare)
  • Experiences and consequences for women with hand-arm vibration
  • 2010
  • Ingår i: Work : A journal of Prevention, Assessment and rehabilitation. - 1051-9815 .- 1875-9270. ; 35:4, s. 431-439
  • Tidskriftsartikel (refereegranskat)abstract
    • <p>Vibrating machines are used in a variety of occupations. Exposure to hand-arm vibration can cause vascular, neurological, and muscular symptoms in the hands and arms. This qualitative study provides a deeper understanding of the consequences of vibration injuries in women. In depth interviews were conducted with eight women with vibration injuries. The women were metal and wood product assemblers and dental personnel. The transcribed interviews were analyzed in accordance with the grounded theory method.</p><p>The core category in the findings was "{another life}". This was constructed by the categories "consequences for everyday activities", "work performance", "household duties", "leisure", and "self perception" and shows that the injury had affected most parts of the women's lives and decreased their quality of life. The importance of well-functioning hands in all activities was highlighted. Reduced hand function due to numbness, muscle weakness, and pain caused restricted abilities to perform activities at work, at home, and during leisure time. The women described impact on their self-perception, as the injury had affected them in their roles as a worker, mother, and woman. The findings indicate that a vibration injury is a multidimensional problem that can affect every aspect of an individual's life. Health care providers should be aware of these complex consequences.</p>
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