| 1. |
- Areskoug Josefsson, Kristina, et al.
(författare)
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Detecting decreased sexual health with MDHAQ-S
- 2013
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Ingår i: Health (Irvine). - 1949-4998 .- 1949-5005. ; :5, s. 38-47
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Tidskriftsartikel (refereegranskat)abstract
- There are instruments that measure sexual function or sexual health for persons with RA, but since sexual health is a sensitive issue, the hypothesis is that it would be easier to have a standard questionnaire that could indicate the need for communication about sexual health issues instead of an extra questionnaire with more detailed questions on sexual health. The aim of the study is to find out whether sexual health difficulties can be screened by factors included in the MDHAQ-S for persons with RA. This study explores the relation between factors included in the MDHAQ-S and the Sexual Health Questionnaire (QSH) using a mixed methods design combining quantitative and qualitative data. The MDHAQ-S covers sexual health issues, not only by using the question on sexual health, but also on other factors included in the questionnaire such as increased pain, fatigue, depression, anxiety, physical capacity, level of physical activity and body weight. To explore decreased sexual arousal, decreased sexual satisfaction and decreased sexual well-being, in-depth interviews must be held with persons with RA, either using a sexual health questionnaire or in a clinical interview.
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| 2. |
- Areskoug-Josefsson, Kristina, et al.
(författare)
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Health care students' attitudes toward addressing sexual health in their future profession : Validity and reliability of a questionnaire
- 2016
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Ingår i: International Journal of Sexual Health. - : Informa UK Limited. - 1931-7611 .- 1931-762X. ; 28:3, s. 243-250
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: To test the reliability and validity of the Students' Attitudes Towards Addressing Sexual Health Questionnaire (SA-SH), measuring students' attitudes toward addressing sexual health in their future professions.Method: A cross-sectional online survey (22 items) were distributed to 186 nursing, occupational therapy and physiotherapy students in Sweden, April 2015. Validity and reliability were tested.Results: The construct validity analysis led to three major factors: present feelings of comfortableness, future working environment, and fear of negative influence on future patient relations. The construct validity, internal consistency reliability, and intrarater reliability showed good results.Conclusion: The SA-SH is valid and reliable.
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| 3. |
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| 4. |
- Areskoug-Josefsson, Kristina, et al.
(författare)
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Health Care Students’ Attitudes Towards Working with Sexual Health in Their Professional Roles : Survey of Students at Nursing, Physiotherapy and Occupational Therapy Programmes
- 2016
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Ingår i: Sexuality and Disability. - : Springer Science and Business Media LLC. - 0146-1044 .- 1573-6717. ; 34:3, s. 289-302
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to explore differences and similarities in health care students’ attitudes towards working with and communicating with patients about sexual health issues in their future professions. The aim was also to explore whether the students’ gender, age and future professions were influencing factors and whether there was a change in attitude depending on educational levels, gender, age and future professions. The study also aimed to explore the potential development of those differences and similarities in attitudes between health care students having achieved different levels of education and training in their future professions. A cross-sectional quantitative study was performed with an online survey distributed to nursing, occupational therapy and physiotherapy students. The students believed that they needed increased sexual health education and increased communication skills about sexual health. Gender and future profession are factors that significantly affect the attitudes of the students towards working with sexual health. Nursing and occupational therapy students have a more positive attitude towards addressing sexual health in their future professions than do physiotherapy students. Further research is needed in this field to improve competence in sexual health for all student groups, particularly physiotherapy students. Further research is also needed to explore the significance of gender regarding education in sexual health and attitudes towards working with sexual health.
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| 5. |
- Areskoug Josefsson, Kristina, et al.
(författare)
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Physiotherapy as a promoter of sexual health
- 2015
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Ingår i: Physiotherapy Theory and Practice. - 0959-3985 .- 1532-5040. ; 31:6, s. 390-395
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Tidskriftsartikel (refereegranskat)abstract
- Despite the holistic intention of physiotherapy, sexual health receives insufficient attention by physiotherapists. Sexual health is an important part of general health and well-being, which is often negatively affected by physical and psychological disorders. There are several reasons why sexual health should be addressed by physiotherapists, and this article aims to describe the role of the physiotherapist as a promoter of good sexual health and implementation of sexual health in clinical physiotherapy.
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| 6. |
- Areskoug Josefsson, Kristina, et al.
(författare)
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Sexual Health as a Part of Physiotherapy: The Voices of Physiotherapy Students
- 2015
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Ingår i: Sexuality and Disability. - : Springer Science and Business Media LLC. - 0146-1044 .- 1573-6717. ; 33:4, s. 513-532
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the project was to explore and describe the views of physiotherapy students concerning sexual health as a part of physiotherapy education, and to enable them in their future profession as physiotherapists to be able to discuss sexual health matters with patients in an informed, sensitive and relaxed way. A qualitative interview study with data collection through focus group interviews was performed and analyzed with thematic content analysis. There was a strong consensus among the physiotherapy students in believing that sexual health should be acknowledged by physiotherapists. The theme that emerged from the data was: Sexual health-a professional challenge. The interviews resulted in the following categories: professional challenge, personal life experiences, communication, perceptive patient understanding, environmental factors and need for competence development. Students are positive towards working with sexual health. They believe that sexual health is an important aspect of quality of life, and therefore should be a part of physiotherapy education. Sexual health needs to be more addressed in the physiotherapy education. Students lack knowledge of lesbian, gay, bisexual, transgender and queer, sexual health and communication about sensitive issues. Perceived barriers towards working with sexual health could probably be lessened with increased education, but further research is needed. Personal development, knowledge, experience and environmental factors facilitate communication about sexual health.
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| 7. |
- Areskoug Josefsson, Kristina, et al.
(författare)
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Sexual health in patients with rheumatoid arthritis : experiences, needs and communication with health care professionals
- 2012
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Ingår i: Musculoskeletal Care. - : Wiley. - 1478-2189 .- 1557-0681. ; 10:2, s. 76-89
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Tidskriftsartikel (refereegranskat)abstract
- Pain, fatigue and decreased joint mobility caused by rheumatoid arthritis (RA) often decrease sexual health in RA patients. Regular physiotherapy interventions in patients with RA are often aimed at improving those factors. The aim of the present study was to explore the experiences and views of patients concerning the impact of RA on their sexual health, the possible impact of physiotherapy interventions, and communication in clinical situations. A self-administered questionnaire was sent to patients with RA at two rehabilitation clinics in Sweden. The questionnaire included questions concerning the impact of RA on intimate relationships and sexual function, as well as experiences of physiotherapy and sexual health communication with health professionals. The questionnaire was answered by 63 patients. The majority of the patients thought that pain, stiffness, fatigue and physical capacity were related to sexual health. Communication between health professionals and patients about sexual health was less common, even if the desire for communication about sexual health was higher in this study than in other studies. The authors concluded that physiotherapists need to be aware that pain, fatigue, decreased joint mobility and physical capacity can affect sexual health and that physiotherapy can make a difference in sexual health in patients with RA. The impact of RA on sexual health is rarely discussed by health professionals and RA patients, and needs greater attention
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| 8. |
- Areskoug Josefsson, Kristina, et al.
(författare)
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Swedish version of the multi dimensional health assessment questionnaire – translation and psychometric evaluation
- 2013
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Ingår i: BMC Musculoskeletal Disorders. - : Springer Science and Business Media LLC. - 1471-2474. ; 14
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundHealth assessment measurements for patients with Rheumatoid arthritis (RA) have to be meaningful, valid and relevant. A commonly used questionnaire for patients with RA is the Stanford Health Assessment Questionnaire Disability Index (HAQ), which has been available in Swedish since 1988. The HAQ has been revised and improved several times and the latest version is the Multi Dimensional Health Assessment Questionnaire (MDHAQ). The aim of this study was to translate the MDHAQ to Swedish conditions and to test the validity and reliability of this version for persons with RA. MethodsTranslation and adaption of the MDHAQ were performed according to guidelines by Guillemin et al. The translated version was tested for face validity and test-retest in a group of 30 patients with RA. Content validity, criterion validity and internal consistency were tested in a larger study group of 83 patients with RA. Reliability was tested with test-retest and Cronbach´s alpha for internal consistency. Two aspects of validity were explored: content and criterion validity. Content validity was tested with a content validity index. Criterion validity was tested with concurrent validity by exploring the correlation between the MDHAQ-S and the AIMS2-SF. Floor and ceiling effects were explored. ResultsTest-retest with intra-class correlation coefficient (ICC) gave a coefficient of 0.85 for physical function and 0.79 for psychological properties. Reliability test with Cronbach´s alpha gave an alpha of 0.65 for the psychological dimension and an alpha of 0.88 for the physical dimension of the MDHAQ-S. The average sum of the content validity index for each item was of the MDHAQ-S was 0.94. The MDHAQ-S had mainly a moderate correlation with the AIMS2-SF, except for the social dimension of the AIMS2-SF, which had a very low correlation with the MDHAQ-S. ConclusionsThe MDHAQ-S was considered to be reliable and valid, but further research is needed concerning sensitivity to change.
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| 9. |
- Areskoug Josefsson, Kristina, et al.
(författare)
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Women's experiences of sexual health when living with Rheumatoid Arthritis : an explorative qualitative study
- 2010
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Ingår i: BMC Musculoskeletal Disorders. - : Springer Science and Business Media LLC. - 1471-2474. ; 11, s. 240-247
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Tidskriftsartikel (refereegranskat)abstract
- Background: The ICF core sets for patients with Rheumatoid Arthritis (RA) acknowledge sexual function and intimate relationships as important since the patients' sexual health can be affected by the disease. About 36-70% of all RA-patients experience a reduced sexual health, and their perceived problems are directly or indirectly caused by their disease. Physiotherapy is often used as non-pharmacological treatment for RA. Mobility treatment, pain reduction, and physical activities are often included in physiotherapy for patients with RA. The aim of the study was to explore sexual health in relation to physiotherapy in women living with RA. Method: An explorative qualitative interview study with a phenomenological approach was performed. The study consisted of ten interviews with women with RA. The analysis was performed according to Giorgi. Results: The main theme that emerged in the material was that the body and the total life situation affected sexual health. Three categories were included in the theme: 1) sexual health - physical and psychological dimensions, 2) Impacts of RA, and 3) Possibilities to increase sexual health - does physiotherapy make a difference?. Conclusions: Sexual health was affected by RA in different ways for the informants. Possibilities to improve sexual health were improved partner communication and physiotherapy. Physiotherapy can play an active role in improving sexual health for patients with RA
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| 10. |
- Berggård, Glenn, et al.
(författare)
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Konsumenttester av vinterskor och halkskydd
- 2015
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Sjukvårdsbaserad skadestatistik från Sverige visar att singelolyckor med fotgängare på is och snö, orsakar höga skadetal. I Sverige beräknas ca 10000 män och 15000 kvinnor uppsöka sjukvård på grund av skada vid fall på snö och is. Personer skadade i fallolyckor på snö och is har svårare skador och längre konvalescenstid jämfört med fotgängare som faller på barmark. Det är därför viktigt att identifiera preventiva metoder och hjälpmedel för fallolyckor vintertid.Syftet med detta arbete har varit att genomföra konsumenttester av vinterskor och halkskydd på olika underlag med avseende på hur väl de fungerar som skydd mot att halka samt hur användarvänliga de upplevs av brukaren. I arbetet har det också varit viktigt att försöka identifiera kriterier som kan anses vara betydelsefulla för att bedöma vinterväglagsegenskaperna. Dessutom fanns ett behov av att ta fram underlag och förslag på en standardiserad metod för halkskydds-/vinterskortester och en märkning som ger konsumenterna möjlighet att bedöma och jämföra halkskyddens respektive vinterskornas egenskaper innan köp.Testmetoden som tagits fram för att undersöka halkskyddens och skornas egenskaper bygger på tidigare erfarenheter från tester av halkskydd. Metoden bygger på att försökspersoner genomför gångtester med halkskydd och skor på olika underlag samtidigt som olika mätmetoder, både objektiva och subjektiva, används för att kategorisera gång. Tester har genomförts av 9 försökspersoner, över 45 år, 4 män och 5 kvinnor, som testat 19 halkskydd och 20 olika skor. Fyra olika underlag har använts för att kategorisera egenskaperna på de undersökta halkskydden och skorna: is, is täckt med snö, packad snö, torr betong.Testmetoden har kompletterats med laboratoriemätningar av halkskyddens och skosulornas friktion på is samt hårdheten hos skornas sulor. Multipel hierarkisk multipel regressionsanalys användes för att identifiera vilka kriterier som kan ha betydelse för fotgängarnas skattade helhetsupplevelse av de testade halkskydden på olika underlag.Resultatet av förmätningarna visar att testgruppen (fem kvinnor och fyra män med medålder 47 år) motsvarar en normalpopulation, avseende variationer i de uppmätta bakgrundsparametrarna.FIOH:s friktionsmätningar på is av samtliga skor och halkskydd visar att halkskydden har genomgående högre friktionsvärden än skorna, dvs. de har bättre fäste på is än de skor som testats men resultaten visar på små skillnader mellan de sämsta halkskydden och de bästa skorna.Resultat från friktionsmätningen, som den utförs idag i fixerat utförande, ger inte överensstämmelse med försökspersonernas upplevelser av gångsäkerhet eller fallrisk. Försökspersonernas gångcykel med hälisättning, överrullning och fotavveckling bygger upp den samlade uppfattningen om egenskaperna och fångas enbart i de subjektiva mätmetoderna.Sex kriterier som bedömts viktiga att ta hänsyn till när det gäller halkfri gång med en vintersko har kunnat identifieras via analys av försökspersonernas fritextsvar avseende fördelar, nackdelar och övrig funktionalitet: gångsäkerhet, möjliggör ett naturligt gångmönster, stabilitet, förutsägbarhet, flexibilitet och passform/komfort. Gångsäkerhet är viktigast och omfattar fäste/grepp, detta är viktigast på is, is/snö vid gång samt vid start och stopp.Sju subjektiva kriterier för halkskydd har också identifierats; gångsäkerhet, tillåter naturligt gångmönster, stabilitet, förutsägbarhet, flexibilitet, passform/komfort, och ljud. Gångsäkerhet är viktigast.Den självskattade hälisättningen på underlagen ren is samt på snö på is framkom som det viktigaste kriteriet för testpersonernas helhetsupplevelse av skyddet. Även skattad fotavveckling på alla underlag med främst på främst på snö på is var av betydelse. Upplevd balans och fallrisk var mest utslagsgivande för helhetsupplevelsen av de halkskydd som inte valdes för eget bruk. Det tyder på att en lägre grad av skattad kontroll av kroppshållning och balans under gång med skyddet är en relevant indikator för att identifiera skydd med bristande funktioner.Variablerna subjektivt skattad fallrisk, balans, hälisättning och fotavveckling kan samtliga relateras till ett skydds halkegenskaper och funktion. Upplevd fallrisk samvarierar med såväl balans, hälisättning och fotavveckling vilket innebär att kriteriet upplevd fallrisk kan antas omfatta de övriga och kan väljas som en enskild variabel i fortsatta analyser.Kvalitetsnivåer i bedömningsskalor kan antas gå att knyta till de subjektiva kriterierna.En standardiserat testmetod för klassindelning av egenskaper för vinterskor respektive halkskydd bör bygga på mätmetoder med försökspersoner enligt ovan.Fortsatta studier med fler testpersoner behövs för att verifiera de resultat som indikeras ovan.
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