| 31. |
- Lindgren, Eva-Carin, 1962-, et al.
(författare)
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Influencing Exercise Adherence in Physically Non-active Young Women : Suggestion for a Model
- 1999
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Ingår i: Women in Sport & Physical Activity Journal. - Reston, United States : National Association for Girls and Women in Sport. - 1063-6161 .- 1938-1581. ; 8:2, s. 17-44
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of this study was to develop a theoretical understanding of what could influence exercise adherence in physically non-active young women. Interviews with twelve physically non-active young women werw strategically selected and analyzed by grounded theory. The results were that several factors could influence exercise adherence in physically non-active young women, and that these factors can be regarded as a number of interrelated dimensions. The influence was coming either from the exercise or from the environment connected to the exercise. The participants wanted to feel enjoyment and to learn something during the exercise (recreation/learning influence). They also wanted to feel belongingness during the exercise (social influence). An influence that promotes health or builds skills (investment influence) could be a trigger to start exercising among the participants, but not to maintain exercise adherence. Influence coming from the environment (enabling influence) was both important and stimulating for physically non-active young women in establishing regular exercise. It is important to present the model developed in this study to communities, sport federations and other authorities working with health promotion activities so that they can explore innovative ways to promote exercise adherence among physically non-active young women. Good examples could be to offer non-cometitive sports as well as to develop well-designed exercise programs for physically non-active young women.
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| 32. |
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| 33. |
- Marklund, Bertil, et al.
(författare)
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A primary preventive coronary health survey among a finnish immigrant population in Sweden
- 1999
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Ingår i: Coronary Health Care. - Amsterdam : Elsevier. - 1362-3265 .- 1532-2025. ; 3:1, s. 32-37
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Tidskriftsartikel (refereegranskat)abstract
- Primary prevention strategies aimed at immigrants are insufficiently documented in primary health care services and, in Sweden, this is especially true regarding coronary health care with a gender perspective. The aim of this study was to examine the coronary health condition among a Finnish immigrant population in Sweden in terms of gender differences. Immigrated Finns (256 men and women aged 25-64) belonging to one primary health care centre were invited to participate in a coronary health survey. The instruments used, comprising a well-established self-rated questionnaire as well as tests forming a coronary heart disease (CHD) risk index, were analysed using descriptive and inferential statistics. The findings show that 23% were at high risk; more men than women (P<0.015). Men indicated more problems in food (e.g. fibre intake P<0.012) and drink (e.g. alcohol use P<0.000) habits while women indicated more psychosocial problems (e.g. psychosocial strain P<0.020). Furthermore, male and female Finnish immigrants are at least at an equal risk of CHD compared to their Swedish and Finnish counterparts, due to a high smoking rate (42% and 43%). Both genders show higher body mass index and waist-hip ratio figures compared to Swedish people on average. Establishing permanent connections with immigrant organizations and finding key persons anchored both among the immigrants and in the primary health care are important tasks in order to reach compliance in coronary health care. An important research implication would be to implement a primary prevention clinical trial based partly on the general findings of risk indicators and partly on gender differences among the risk indicators with regard to language obstacles.
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| 34. |
- Marklund, Berit, et al.
(författare)
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Effects on Sickness Pattern of Early Mini-rehabilitation Groups Among Patients with Musculoskeletal Problems in Primary Healthcare
- 1999
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Ingår i: Scandinavian Journal of Occupational Therapy. - London, UK : Informa Healthcare. - 1103-8128 .- 1651-2014. ; 6:2, s. 90-94
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Tidskriftsartikel (refereegranskat)abstract
- People with musculoskeletal problems are repetitive users of the occupational and primary healthcare services; it seems that traditional medical treatment and physiotherapy are of little help. The aim of this study was to evaluate the effects on the sickness pattern among patients with musculoskeletal problems after an early rehabilitation programme and 3 months later based on interdisciplinary efforts in primary healthcare. The intervention was implemented in one of two primary healthcare areas during a 10-month period involving an intervention group (n=138) and a control group (n=75). Descriptive and analytical statistics were used. The result reflected a significantly shorter average sick period in the intervention group (63.8 days) than in the control group (92.8 days). The study indicates that such a model of early rehabilitation based on interdisciplinary efforts has the potential to provide significant socioeconomic benefits. © 1999 Scandinavian University Press.
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| 35. |
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| 36. |
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| 37. |
- Marklund, Bertil, et al.
(författare)
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Promoting medical self-care : evaluation of a family intervention implemented in the primary health care by pharmacies
- 1999
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Ingår i: Family Practice. - : Oxford University Press. - 0263-2136 .- 1460-2229. ; 16:5, s. 522-527
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Tidskriftsartikel (refereegranskat)abstract
- Background: Medical self-care is the range of behaviours undertaken by people to promote or restore health when dealing with a medical problem.Objectives: The aim of the study was to evaluate medical self-care effects of a family intervention implemented in primary health care by pharmacies, in terms of non-professional and professional involvement.Methods: The intervention was implemented in one of two primary health care areas during a 4-month period and involved consecutive families acting as an intervention (IG, n = 94) or a control (CG, n = 93) group. Eight telephone interviews were conducted with each family. The families were asked about complaints of illness, how long they prevailed and how they were treated.Results: The results showed (P < 0.05–0.0001) that the IG had more medical problems (931 versus 621) compared with the CG, were less hospitalized (4 versus 10), stayed at home more to take care of sick children (84 versus 40), read more medical brochures (121 versus 31), tried more non-medical treatments (228 versus 116), and had fewer visits to the department of paediatrics but more visits to primary health care (69 and 98 versus 90 and 68).Conclusions: Due to the non-randomization procedure, some caution with regard to generalization of the results must be taken, but they are in concordance with established knowledge of the usefulness of medical self-care. The results indicate that a brief intervention for families can change the use of health authorities. It therefore seems meaningful to implement the intervention in a more comprehensive way in the primary health care setting, while at the same time trying to implement it as a large-scale randomized experimental study, comprising aspects such as the individual's need for care, the use of the right organization level and the assessment of economic costs and savings.
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| 38. |
- Månsson, J., et al.
(författare)
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Evaluation of an educational programme for the early detection of cancer
- 1999
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Ingår i: Patient Education and Counseling. - Amsterdam : Elsevier. - 0738-3991 .- 1873-5134. ; 37:3, s. 231-242
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Tidskriftsartikel (refereegranskat)abstract
- Avoiding patient's and doctor's delay is important for the detection of cancer. In order to study the possibilities for shortening the delay, without causing anxiety, an educational programme for early detection of cancer (EPEDC) was worked out, aimed to be evaluated at the community level. A community with 77 100 inhabitants, was informed about cancer symptoms in a letter. Participants who observed the cancer symptoms, described in the letter, were invited to visit the health centres, where they were interviewed and examined according to a specially designed schedule. Guidelines for taking care of these participants were also worked out. Fifteen previously unknown cancers were detected. By means of a telephone interview and a questionnaire the reactions to the EPEDC were studied. The results indicate that it is possible to inform and educate the population about cancer symptoms without causing anxiety on condition that there is an organisation which can be contacted without delay by subjects with potential cancer symptoms. (C) 1999 Elsevier Science Ireland Ltd. All rights reserved.
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| 39. |
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| 40. |
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