| 1. |
- Pramling Samuelsson, Ingrid, 1946, et al.
(författare)
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Student Teachers' and Preschool Children's Questions about Life
- 2000
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Ingår i: European Early Childhood Educational Research Journal. ; 8:2, s. 5-22
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Tidskriftsartikel (refereegranskat)abstract
- The Swedish Higher Education Ordinance (Högskoleförordning, 1993) outlines a set of goals for the education of preschool teachers. These goals state that education should help student teacher's [1] to develop a capacity for identifying and working with issues of an existential, ethical, ecological, international and cultural character in preschool. Previous research (Hartman, 1986; Johansson, 1992; Pramling & Johansson, 1995) indicates that preschool teachers find children's questions about life complicated to handle. The purpose of the present study is threefold. First, an empirical study aims to find out and describe students' perspectives of childrens' questions about life, that is, children's search for meaning in their experience of living. Second, an intervention study aims to develop student's competence in working with preschool childrens' questions about life and to offer students a phenomenographical oriented pedagogy to use in their future work. Finally, we want to compare these student teacher's ways of experencing with student teacher's involved in a traditional oriented pedagogy at another university. The results show a significant change in the preschool teacher trainees' expereinces of what they consider childrens' questions about life and the strategies for working with these questions in preschool. After the intervention study was completed, the students emphasised the importance of finding the child's point of view and of tackling the child's questions together. The student teachers found that their roles and the questions were a tool for helping children develop their thinking and understand the world around them.
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| 2. |
- Ebrahimi, Zahra, et al.
(författare)
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Integrating Health Promotion with and for Older People - eHealth (IHOPe) – Evaluating remote integrated person-centred care - Protocol of a randomised controlled trial with effectiveness, health economic, and process evaluation
- 2023
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Ingår i: BMC Geriatrics. - : Springer Science and Business Media LLC. - 1471-2318. ; 23:1
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Tidskriftsartikel (refereegranskat)abstract
- Abstract Background Healthcare and welfare systems worldwide are unprepared to accommodate the growing population of older people. Simultaneously, the cost of reactive care for older people is increasing. However, healthcare systems in many countries are reforming towards integrated and person-centred care with a focus on health promotion and proactive actions. The Integrating Health Promotion with and for Older People – eHealth (IHOPe) project aims to describe and evaluate a person-centred e-support intervention that promotes a sustainable partnership between community dwelling frail older people and health and social care professionals. Methods The IHOPe project is designed as a randomised controlled trial comparing a control group receiving standard care with an intervention group receiving standard care and add-on person-centred care through telephone support and a digital platform. The primary outcome measure is a composite score of changes in general self-efficacy and the need for unscheduled hospital care. The project is conducted in Gothenburg, Sweden. At least 220 participants aged ≥ 75 years will be included after being screened using a frailty instrument. The study design, intervention components, digital platform, and questionnaires were developed in close collaboration with an advisory group of inter-professional researchers, stakeholders, clinicians, and older representatives. Data will mainly be collected through questionnaires at baseline and 3, 6, and 12 months after inclusion in the study. Recruitment is ongoing and should be completed during 2023. Data will be analysed using quantitative and qualitative methods. The evaluation will include effectiveness, process, and health economics. The study was approved by the Regional Ethical Review Board in Gothenburg, Sweden (Dnr 2019–05364, Dnr 2020–03550, Dnr 2021–03255). Discussion The findings will expand our knowledge of remotely integrated person-centred care for frail older people. Thereby, the IHOPe project is expected to fill highlighted knowledge gaps on intervention evaluations including the triad of person-centred, digital, and integrated care elements, as well as economic evaluations of remote health services for frail older people. The study is ongoing, and the results are not completed but if they turn out to be positive, implementation is not limited to time or location. Trial registration ClinicalTrial.gov: NCT04416815. Registered 07/06/2021.
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| 3. |
- Enthoven, Paul, 1955-, et al.
(författare)
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Patients experiences of the BetterBack model of care for low back pain in primary care : a qualitative interview study
- 2021
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Ingår i: International Journal of Qualitative Studies on Health and Well-being. - : Taylor & Francis. - 1748-2623 .- 1748-2631. ; 16:1
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: The aim of this study was to describe patient experiences of received primary care for low back pain (LBP) according to the BetterBack Model of Care (MoC) with a focus on illness beliefs and self-management enablement. Methods: Individual interviews were conducted with 15 adults 4-14 months after receiving treatment according to the BetterBack MoC for LBP in primary care in Sweden. Data were analysed using content analysis. Results: When analysing the data, the following theme emerged; "Participant understanding of their treatment for low back pain and self-management strategies-a matter of support systems", comprising the following categories: "Knowledge translation", "Interaction and dialogue", "The health care professional support" and "Form organization". Participants experienced that they had better knowledge about their LBP and received tools to better manage their health condition. The participants expressed good communication with the treating physiotherapist and provided suggestions to further improve the treatment of LBP. Conclusions: Participants experienced that they had gained new knowledge about their health problems and after the treatment they had the tools to handle their back problems. This suggests that the BetterBack MoC may be used as a basis for a support system to provide valuable tools for self-management for patients with low back pain.
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| 4. |
- Enthoven, Paul, et al.
(författare)
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Physiotherapists' experiences of implementation of the BetterBack model of care for low back pain in primary care - a focus group interview study
- 2024
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Ingår i: Physiotherapy Theory and Practice. - : TAYLOR & FRANCIS INC. - 0959-3985 .- 1532-5040.
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: The BetterBack model of care (MoC), a best practice physiotherapy MoC for low back pain (LBP), was implemented in Swedish primary care to improve management of patients with LBP and provide patients with support tools to better self-manage episodes of LBP.Purpose: The objective was to describe how physiotherapists in primary care experienced the implementation of the BetterBack MoC for LBP.MethodsFocus group interviews were conducted with physiotherapists in 2018-2019, 14-18 months after the introduction of the BetterBack MoC. Data were analyzed using qualitative content analysis.Results: Five focus group interviews with 23 (15 female and 8 male) physiotherapists, age range 24-61 years were analyzed. A supportive organization and adaptation to the local culture, combined with health care professionals' attitudes and collaboration between physiotherapists emerged as important factors for a successful implementation and for long-term sustainability of the MoC. Physiotherapists had differing opinions if the implementation led to change in clinical practice. Improved confidence in how to manage patients with LBP was expressed by physiotherapists.Conclusions: Several barriers and facilitators influence the implementation of a best practice physiotherapy MoC for LBP in primary care, which need to be considered in future implementation and sustainability processes.
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| 5. |
- Fors, Björn Milesson, et al.
(författare)
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Mortality among persons with schizophrenia in Sweden : An epidemiological study
- 2007
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Ingår i: Nordic Journal of Psychiatry. - : Informa UK Limited. - 0803-9488 .- 1502-4725. ; 61:4, s. 252-259
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Tidskriftsartikel (refereegranskat)abstract
- The objective of the study was to analyse 10-year mortality among persons with schizophrenia from an epidemiological perspective. This cohort study included all persons with schizophrenia (n=255) living in the northern catchment area in Uppsala in 1991, and 1275 subjects from the national population register matched for sex, age and living area. The prevalence of schizophrenia was 0.37% and the mortality rate for individuals with schizophrenia was higher than for referents: 23.0% vs. 11.2%. The higher mortality among those with schizophrenia was mainly the result of unnatural causes and cardiovascular disease, especially in men. Excess mortality from cardiovascular disease was more pronounced in middle age, irrespective of gender. Multivariate analysis revealed higher mortality among individuals with schizophrenia living in the city than among those living in less urbanized areas. People with schizophrenia die more often than those without schizophrenia from unnatural causes or circulatory diseases. Individuals with schizophrenia die sooner from circulatory diseases than those without schizophrenia. Having schizophrenia and living in the city also results in higher mortality than having schizophrenia and living in other areas. The risk of early death from circulatory disease needs to be studied in more detail to reveal the potential respective contributions of intrinsic patient vulnerability, lifestyle factors and side-effects from psychotropic drugs.
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| 6. |
- Fors, Erik, et al.
(författare)
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Development of an H-TDMA for long-term unattended measurement of the hygroscopic properties of atmospheric aerosol particles
- 2009
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Ingår i: Atmospheric Measurement Techniques. - : Copernicus GmbH. - 1867-1381 .- 1867-8548. ; 2:1, s. 313-318
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Tidskriftsartikel (refereegranskat)abstract
- A new hygroscopic tandem differential mobility analyzer (H-TDMA) has been constructed at Lund University within the frameworks of the EU FP6 Infrastructure Project EUSAAR (www.eusaar.org). The aim of this coordinated H-TDMA development is to design and evaluate a new generation of H-TDMAs that are capable of conducting long term measurements of the hygroscopic growth and state of mixing of sub-micrometer atmospheric aerosol particles at the EUSAAR aerosol super-sites across Europe. The H-TDMA constructed for this project has been validated with respect to hygroscopic growth factor, stability of relative humidity (RH), temperature stability and its ability to operate unattended for longer periods of time. When measuring growth factors of ammonium sulphate, the new H-TDMA system was found to measure within a growth factor deviation of +/- 0.05 compared to previously recorded data by Tang et al. (1994). The long term RH of the system has been found stable at 90.0% with a standard deviation of +/- 0.23% and an average temperature variability of the second DMA less than +/- 0.1 K. Daily automated ammonium sulphate measurements have validated the ambient measurements. The instrument is operated at the EMEP/EUSAAR background station Vavihill in the southern part of Sweden.
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| 7. |
- Fors, Erik, et al.
(författare)
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Hygroscopic properties of Amazonian biomass burning and European background HULIS and investigation of their effects on surface tension with two models linking H-TDMA to CCNC data
- 2010
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Ingår i: Atmospheric Chemistry and Physics. - : Copernicus GmbH. - 1680-7324. ; 10:12, s. 5625-5639
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Tidskriftsartikel (refereegranskat)abstract
- HUmic-LIke Substances (HULIS) have been identified as major contributors to the organic carbon in atmospheric aerosol. The term "HULIS" is used to describe the organic material found in aerosol particles that resembles the humic organic material in rivers and sea water and in soils. In this study, two sets of filter samples from atmospheric aerosols were collected at different sites. One set of samples was collected at the K-puszta rural site in Hungary, about 80 km SE of Budapest, and a second was collected at a site in Rondonia, Amazonia, Brazil, during the Large-Scale Biosphere-Atmosphere Experiment in Amazonia - Smoke Aerosols, Clouds, Rainfall and Climate (LBA-SMOCC) biomass burning season experiment. HULIS were extracted from the samples and their hygroscopic properties were studied using a Hygroscopicity Tandem Differential Mobility Analyzer (H-TDMA) at relative humidity (RH) < 100%, and a cloud condensation nucleus counter (CCNC) at RH > 100%. The H-TDMA measurements were carried out at a dry diameter of 100 nm and for RH ranging from 30 to 98%. At 90% RH the HULIS samples showed diameter growth factors between 1.04 and 1.07, reaching values of 1.4 at 98% RH. The cloud nucleating properties of the two sets of aerosol samples were analysed using two types of thermal static cloud condensation nucleus counters. Two different parameterization models were applied to investigate the potential effect of HULIS surface activity, both yielding similar results. For the K-puszta winter HULIS sample, the surface tension at the point of activation was estimated to be lowered by between 34% (47.7 mN/m) and 31% (50.3 mN/m) for dry sizes between 50 and 120 nm in comparison to pure water. A moderate lowering was also observed for the entire water soluble aerosol sample, including both organic and inorganic compounds, where the surface tension was decreased by between 2% (71.2 mN/m) and 13% (63.3 mN/m).
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| 8. |
- Fors, Erik, et al.
(författare)
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Hygroscopic properties of the ambient aerosol in southern Sweden - a two year study
- 2011
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Ingår i: Atmospheric Chemistry and Physics. - : Copernicus GmbH. - 1680-7324. ; 11:16, s. 8343-8361
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Tidskriftsartikel (refereegranskat)abstract
- The hygroscopic growth of the atmospheric aerosol is a critical parameter for quantifying the anthropogenic radiative forcing. Until now, there has been a lack of long term measurements due to limitations in instrumental techniques. In this work, for the first time the seasonal variation of the hygroscopic properties of a continental background aerosol has been described, based on more than two years of continuous measurements. In addition to this, the diurnal variation of the hygroscopic growth has been investigated, as well as the seasonal variation in CCN concentration. These physical properties of the aerosol have been measured with a Hygroscopic Tandem Differential Mobility Analyzer (H-TDMA), a Differential Mobility Particle Sizer (DMPS), and a Cloud Condensation Nuclei Counter (CCNC). The results show that smaller particles are generally less hygroscopic than larger ones, and that there is a clear difference in the hygroscopic properties between the Aitken and the accumulation mode. A seasonal cycle was found for all particle sizes. In general, the average hygroscopic growth is lower during wintertime, due to an increase in the relative abundance of less hygroscopic or barely hygroscopic particles. Monthly averages showed that the hygroscopic growth factors of the two dominating hygroscopic modes (one barely hygroscopic and one more hygroscopic) were relatively stable. The hygroscopic growth additionally showed a diurnal cycle, with higher growth factors during day time. CCN predictions based on H-TDMA data underpredicted the activated CCN number concentration with 7% for a 1% water supersaturation ratio. The underprediction increases with decreasing s, most likely due to a combination of measurement and modeling uncertainties. It was found that although the aerosol is often externally mixed, recalculating to an internal mixture with respect to hygroscopicity did not change the CCN concentration as a function of supersaturation significantly.
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| 9. |
- Fors, Maria, et al.
(författare)
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Are illness perceptions and patient self-care enablement mediators of treatment effect in best practice physiotherapy low back pain care? Secondary mediation analyses in the BetterBack trial
- 2023
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Ingår i: Physiotherapy Theory and Practice. - : Taylor & Francis. - 0959-3985 .- 1532-5040. ; , s. 1-14
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Tidskriftsartikel (refereegranskat)abstract
- INTRODUCTION: A best practice physiotherapy model of care (BetterBack MoC) for low back pain (LBP) aimed to improve patients' illness perceptions and self-care enablement, according to the Common-Sense Model of Self-Regulation (CSM).OBJECTIVE: To confirm if illness perceptions and patient self-care enablement, in line with the CSM, are mediators of treatment effects on disability and pain of the BetterBack MoC for patients with LBP compared to routine primary care. A secondary aim was to explore if illness perceptions and patient self-care enablement are mediators of guideline adherent care.METHODS: Pre-planned single mediation analyses tested whether hypothesized mediators at 3 months mediated the treatment effect of the MoC (n = 264) compared to routine care (n = 203) on disability and pain at 6 months. Secondary mediation analyses compared guideline adherent care with non-adherent care.RESULTS: No indirect effects were identified. The BetterBack intervention did not have superior effects over routine care on the hypothesized mediators. Illness perceptions and self-care enablement were significantly associated with disability and pain at 6 months. Secondary analyses showed significant indirect effects of guideline adherent care through tested mediators.CONCLUSION: Despite no indirect effects, patients' illness perceptions and self-care enablement were associated with disability and back pain intensity outcomes and are potentially relevant treatment targets.
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| 10. |
- Fors, Maria, 1987-, et al.
(författare)
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Effects of pre-surgery physiotherapy on walking ability and lower extremity strength in patients with degenerative lumbar spine disorder : Secondary outcomes of the PREPARE randomised controlled trial
- 2019
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Ingår i: BMC Musculoskeletal Disorders. - : BioMed Central. - 1471-2474. ; 20:1
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundDegenerative lumbar spine disorders are common among musculoskeletal disorders. When disabling pain and radiculopathy persists after adequate course of rehabilitation and imaging confirms compressive pathology, surgical decompression is indicated. Prehabilitation aiming to augment functional capacity pre-surgery may improve physical function and activity levels pre and post-surgery. This study aims to evaluate the effect and dose-response of pre-surgery physiotherapy on quadriceps femoris strength and walking ability in patients with degenerative lumbar spine disorders compared to waiting-list controls and their association with postoperative physical activity level.MethodIn this single blinded, 2-arm randomised controlled trial, 197 patients were consecutively recruited. Inclusion criteria were: MRI confirmed diagnosis and scheduled for surgery due to disc herniation, lumbar spinal stenosis, degenerative disc disease or spondylolisthesis, ages 25-80 years. Patients were randomised to 9 weeks of pre-surgery physiotherapy or to waiting-list. Patient reported physical activity level, walking ability according to Oswestry Disability Index item 4, walking distance according to the SWESPINE national register and physical outcome measures including the timed ten-meter walk test, maximum voluntary isometric quadriceps femoris muscle strength, patient-rated were collected at baseline and follow-up. Parametric or non-parametric within and between group comparisons as well as multivariate regression was performed.ResultsPatients who received pre-surgery physiotherapy significantly improved in all variables from baseline to follow-up (p < 0.001 – p < 0.05) and in comparison to waiting-list controls (p < 0.001 – p < 0.028). Patients adhering to ≥12 treatment sessions significantly improved in all variables (p < 0.001 – p < 0.032) and those receiving 0-11 treatment session in only normal walking speed (p0.035) but there were no significant differences when comparing dosages. Physical outcome measures after pre-surgery physiotherapy together significantly explain 27.5% of the variation in physical activity level 1 year after surgery with pre-surgery physical activity level having a significant multivariate association.ConclusionPre-surgery physiotherapy increased walking ability and lower extremity strength in patients with degenerative lumbar spine disorders compared to waiting-list controls. A clear treatment dose-response response relationship was not found. These results implicate that pre-surgery physiotherapy can influence functional capacity before surgical treatment and has moderate associations with maintained postoperative physical activity levels mostly explained by physical activity level pre-surgery.Trial registrationNCT02454400. Trial registration date: August 31st 2015, retrospectively registered.
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