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- Melder, Cecilia A, 1966-, et al.
(författare)
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Modern Meaning-making : Adolescent understanding of existential aspects in Health-related quality of life [HRQL]
- 2017
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Ingår i: IAPR Conference in Hamar 2017. ; , s. 30-30
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Konferensbidrag (populärvet., debatt m.m.)abstract
- Aims: Present results from focus interviews concerning existential aspects related to the adaptation of the WHOQOL-SRPB(BREF) for Swedish adolescents.Background: Exploring existential aspects of HRQL are important when mental ill-health is increasing among adolescents in a secular context. WHO introduced WHOQOL-SRPB in 2002 for measuring HRQL, including Spiritual, Religious and Personal beliefs [SRPB]. It is validated for Swedish adults. Now it requires adaptation for youth, even internationally.Methods: Pupils (age 15–19) in four groups were interviewed following WHO instructions for cognitive interviewing. Content analysis of the transcribed interviews was conducted.Results: The pupils considered existential aspects important for HRQL. The items: Meaning, Awe, Wholeness, Peace and Hope were comprehensible for them. Faith and Personal beliefs were related to e.g. insecurity, individualism:”To believe in yourself” and traditional aspects:”I personally believe in Jesus but I do not believe in God”. Spiritual Strength and Spiritual Connection did not require transcendence and could relate to various ideas e.g. nature or popular culture:”The first thing that pops up is the Lion King that talks to Simba in the clouds. It is his inner spirituality”.Conclusion: Results show the importance of adaptation of existential aspects in HRQL to the cultural (secularized) context.
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- Dyar, Oliver J., et al.
(författare)
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Rainbows over the world's public health : determinants of health models in the past, present, and future
- 2022
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Ingår i: Scandinavian Journal of Public Health. - : Sage Publications. - 1403-4948 .- 1651-1905. ; 50:7, s. 1047-1058
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Tidskriftsartikel (refereegranskat)abstract
- The need to visualise the complexity of the determinants of population health and their interactions inspired the development of the rainbow model. In this commentary we chronicle how variations of this model have emerged, including the initial models of Haglund and Svanström (1982), Dahlgren and Whitehead (1991), and the Östgöta model (2014), and we illustrate how these models have been influential in both public health and beyond. All these models have strong Nordic connections and are thus an important Nordic contribution to public health. Further, these models have underpinned and facilitated other examples of Nordic leadership in public health, including practical efforts to address health inequalities and design new health policy approaches.Apart from documenting the emergence of rainbow models and their wide range of contemporary uses, we examine a range of criticisms levelled at these models – including limitations in methodological development and in scope. We propose the time is ripe for an updated generic determinants of health model, one that elucidates and preserves the core value in older models, while recognising the developments that have occurred over the past decades in our understanding of the determinants of health. We conclude with an example of a generic model that fulfills the general purposes of a determinants of health model while maintaining the necessary scope for further adjustments to be made in the future, as well as adjustments to location or context-specific purposes, in education, research, health promotion and beyond.
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| 6. |
- Melder, Cecilia A, T.Dr. 1966-, et al.
(författare)
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Validating WHOQOL-SRPB in Sweden : instrument adaption for measuring existential aspects of health-related quality of life [HRQL] in secular contexts
- 2016
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Ingår i: Quality of Life Research. - : Springer. - 0962-9343 .- 1573-2649. ; 25, s. 100-100
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Aims: To present the validation process of WHOQOL-SRPB andWHOQOL-SRPB BREF in Sweden, one of the most secular countriesin the world though multi-religious, thus emphasising the need forprerequisite adjustments for cultural validation of the spirituality,religiousness and personal beliefs facets [SRPB].Methods: Theprocess adopted here follows WHO guidelines for translation andadaptation of instruments: Forward and Back translation, Pre-testing,Cognitive Interviewing, and Final version. Four bilingually and biculturallyexperienced researchers worked in two groups, comprisingexperience of either the Swedish translation of WHOQOL-100, -Brefand -OLD, or research into existential public health. Based on initialindependent translations from each, a final version was then developedthrough consensus translation, which was then back-translated.A pre-testing phase was conducted with individuals representingdifferent religious and non-religious worldviews. The final Swedishversion was completed by 170 persons, aging between 21 and 89(m = 46.6), with 105 women, and comprising both ‘‘healthy’’ individualsand individuals with mental health or somatic issues.Results:It was found that the instruction and particularly SRPB items thatused religious terminology needed adjustment. For example, ‘‘Spiritualbeing’’ was replaced with ‘‘Spiritual dimension’’, ‘‘Belief’’ with‘‘Your belief/idea’’, and ‘‘higher and more powerful’’ (instructiontext) was translated to ‘‘force/power/dimension’’. The pre- test resultswere useful in this process, especially qualitative information fromindividuals representing secular existential worldviews includingdifferent philosophical and political traditions. The internal consistencyreliability of the overall SRPB-module was high (alpha = .97)as well as for the 8 facets (alpha ranging .80–.97). Test- retest(n = 19) showed r = .83 (p\.01). There were strong correlationsbetween all facets, the overall SRPB-module, and the overall qualityof life general health perceptions. No difference was found betweenwomen and men in the overall SRPB-module but in the ‘‘Connect’’facet, women scored higher (p = .02) whereas in ‘‘Peace’’ menscored higher (p = .04).Conclusions: The significance found throughusing existing translation/adaption guidelines, confirms that not onlyis it possible, but also relevant to include culturally validated existentialaspects in studies of HRQL even in contexts that are largelysecular.
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