| 1. |
- Ahlstrand, Inger, et al.
(författare)
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Health-promoting factors among students in higher education within health care and social work : a cross-sectional analysis of baseline data in a multicentre longitudinal study
- 2022
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Ingår i: BMC Public Health. - London : BioMed Central. - 1471-2458. ; 22:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: Educational environments are considered important in strengthening students’ health status and knowledge, which are associated with good educational outcomes. It has been suggested to establish healthy universities based on a salutogenic approach – namely, health promotion. The aim of this study was to describe health-promoting resources and factors among first-semester students in higher education in healthcare and social work.Methods: This cross-sectional study is based on a survey distributed among all students in seven healthcare and social work programmes at six universities in southern Sweden. The survey was carried out in 2018 using a self-reported, web-based questionnaire focussing on general health and well-being, lifestyle factors together with three validated instruments measuring health-promoting factors and processes: the Sense of Coherence (SOC) scale, Salutogenic Health Indicator Scale (SHIS) and Occupational Balance Questionnaire (OBQ).Results: Of 2283 students, 851 (37.3%) completed the survey, of whom 742 (87.1%) were women; 722 (84.8%) were enrolled on healthcare programmes, and 129 (15.2%) were enrolled on social work programmes. Most reported good general health and well-being (88.1% and 83.7%, respectively). The total mean scores for the SOC scale, SHIS and OBQ were, respectively, 59.09 (SD = 11.78), 44.04 (SD = 9.38) and 26.40 (SD = 7.07). Well-being and several healthy lifestyles were related to better general health and higher SOC, SHIS and OBQ scores. Multiple linear and logistic regressions showed that perceived well-being and no sleeping problems significantly predicted higher general health and higher SOC, SHIS and OBQ scores. Being less sedentary and non-smoking habits were significant predictors of higher SOC.Conclusions: Swedish students in higher education within the healthcare and social work sector report good general health and well-being in the first semester, as well as health-promoting resources (i.e. SOC, SHIS and OBQ), and in some aspects, a healthy lifestyle. High-intensity exercise, no sleeping problems and non-smoking seem to be of importance to both general health and health-promotive resources. This study contributes to knowledge about the health promotive characteristics of students in the healthcare and social work fields, which is of importance for planning universities with a salutogenic approach.
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| 2. |
- Astell, A. J., et al.
(författare)
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INLIFE - Independent Living Support Functions for the Elderly: Technology and Pilot Overview
- 2018
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Ingår i: INTELLIGENT ENVIRONMENTS 2018. - 9781614998747 - 9781614998730 ; , s. 526-535
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- In this paper, we present the European H2020 project INLIFE (INdependent LIving support Functions for the Elderly). The project brought together 20 partners from nine countries with the goal of integrating into a common ICT platform a range of technologies intended to assist community-dwelling older people with cognitive impairment. The majority of technologies existed prior to INLIFE and a key goal was to bring them together in one place along with a number of new applications to provide a comprehensive set of services. The range of INLIFE services fell into four broad areas: Independent Living Support, Travel Support, Socialization and Communication Support and Caregiver Support. These included security applications, services to facilitate interactions with formal and informal caregivers, multilingual conversation support, web-based physical exercises, teleconsultations, and support for transport navigation. In total, over 2900 people participated in the project; they included elderly adults with cognitive impairment, informal caregivers, healthcare professionals, and other stakeholders. The aim of the study was to assess whether there was improvement/stabilization of cognitive/emotional/physical functioning, as well as overall well-being and quality of life of those using the INLIFE services, and to assess user acceptance of the platform and individual services. The results confirm there is a huge interest and appetite for technological services to support older adults living with cognitive impairment in the community. Different services attracted different amounts of use and evaluation with some proving extremely popular while others less so. The findings provide useful information on the ways in which older adults and their families, health and social care services and other stakeholders wish to access technological services, what sort of services they are seeking, what sort of support they need to access services, and how these services might be funded.
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| 4. |
- Derbring, Sandra, et al.
(författare)
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Effects of a digital reminiscing intervention on people with dementia and their care-givers and relatives
- 2023
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Ingår i: Ageing & Society. - 0144-686X .- 1469-1779. ; 43:9, s. 1983-2000
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Tidskriftsartikel (refereegranskat)abstract
- Dementia is a source of growing concern globally, and often impacts on social and communicative functioning. INdependent LIving Support Functions for the Elderly (IN LIFE) was a project carried out within the European Commission Research and Innovation programme Horizon 2020 that resulted in the development of two digital communication aids for reminiscence intervention for elderly people with dementia and their communication partners. The purpose of this intervention study was to investigate the effects on quality of life for people with dementia when using these aids. People with dementia (N = 118) and their formal care-givers (N = 187) and relatives (N = 9) were given the communication aids for a period of 4–12 weeks. To assess a range of outcomes, questionnaires developed within the project were used along with the EQ-5D (European Quality of Life – 5 Dimensions) and QoL-AD (Quality of Life in Alzheimer's Disease) questionnaires. Quality of life improved among people with dementia when measured using EQ-5D (p < 0.05). There was also a correlation between the impact on the participants’ health and wellbeing, the carers’ rating of the usefulness of the digital communication aids and the care-givers’ satisfaction with using technology (p < 0.05). These results indicate that digital communication aids may be useful in social interaction where one partner has dementia.
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| 5. |
- Israelsson-Skogsberg, Åsa, 1968-, et al.
(författare)
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'I'm almost never sick': Everyday life experiences of children and young people with home mechanical ventilation
- 2018
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Ingår i: Journal of Child Health Care. - : SAGE Publications. - 1367-4935 .- 1741-2889. ; 22:1, s. 6-18
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Tidskriftsartikel (refereegranskat)abstract
- Developments in medical technology and treatment have increased the survival rates of children with serious illnesses or injuries, including those receiving home mechanical ventilation, which is a small but growing group. The aim of this study was to explore everyday life experiences of children and young people living with home mechanical ventilation (HMV). Data were obtained through interviews with nine participants. The interviews were supported by photovoice methodology: photographs taken by the participants before or during the interviews were used to facilitate conversation. Interview data were analyzed using qualitative content analysis. The findings revealed that everyday life on a ventilator can be described as including power but simultaneously as characterized by vulnerability to the outside world, comparable to balancing on a tightrope. Various types of technology, both information and communication technology (ICT) and vital medical technology, enabled the participants to engage with the world around them. This study contributes knowledge about the experiences of children and young people with HMV, who depict their lives as good and valuable. The study also underscores, when designing plans and home support, it is necessary to take a sensible approach to personal experiences of what a good life is and what resources are needed to attain and maintain health.
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| 6. |
- Israelsson-Skogsberg, Åsa, 1968-, et al.
(författare)
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Siblings' Lived Experiences of Having a Brother or Sister With Home Mechanical Ventilation: A Phenomenological Hermeneutical Study
- 2019
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Ingår i: Journal of Family Nursing. - : SAGE Publications. - 1074-8407 .- 1552-549X.
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Tidskriftsartikel (refereegranskat)abstract
- Over the past few decades, there has been an increase in the number of children receiving home mechanical ventilation (HMV), and in many ways, families have taken responsibility for the required advanced homecare, which has placed considerable time demands on the family unit. Little is known about the life situation of the siblings of HMV-assisted children; their own voices and an insider perspective are missing. The aim of this study was to illuminate the everyday life experiences of siblings of HMV-assisted children. Data were obtained via interviews with 10 siblings with a median age of 9 years. Data were analyzed using a phenomenological hermeneutical method inspired by the French philosopher Ricoeur. Four themes emerged, all of which suggest that a complex and profound intertwined sibling bond develops that links the past, present, and future. The findings of this study provide valuable information from an insider's perspective about the meaning of having an HMV-assisted sibling. Family-focused care with particular attention and support for siblings of HMV-assisted children can encourage the development of internal strengths, self-confidence, and resilience.
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| 8. |
- Ahlberg, Emilia, 1983, et al.
(författare)
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Perceived changes in communication as an effect of STN surgery in Parkinson's disease: a qualitative interview study.
- 2011
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Ingår i: Parkinson's disease. - : Hindawi Limited. - 2090-8083 .- 2042-0080.
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the present study was to explore four individuals' perspective of the way their speech and communication changed as a result of subthalamic nucleus deep brain stimulation treatment for Parkinson's disease. Interviews of two men and two women were analyzed using qualitative content analysis. Three themes emerged as a result of the analysis. The first theme included sub-themes describing both increased and unexpected communication difficulties such as a more vulnerable speech function, re-emerging stuttering and cognitive difficulties affecting communication. The second theme comprised strategies to improve communication, using different speech techniques and communicative support, as well as trying to achieve changes in medical and stimulation parameters. The third theme included descriptions of mixed feelings surrounding the surgery. Participants described the surgery as an unavoidable dramatic change, associated both with improved quality of life but also uncertainty and lack of information, particularly regarding speech and communication changes. Despite negative effects on speech, the individuals were generally very pleased with the surgical outcome. More information before surgery regarding possible side effects on speech, meeting with a previously treated patient and possibly voice and speech therapy before or after surgery are suggested to facilitate the adjustment to the new speech conditions.
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| 10. |
- Behrns, Ingrid, 1961, et al.
(författare)
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Riktlinjer för bibehållen integritet och god etik vid användningen av patientbaserade inspelningar i interaktivt lärande
- 2012
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Ingår i: NU 2012, 17–19 oktober, Göteborg.
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Konferensbidrag (refereegranskat)abstract
- Syftet med projektet är att dra upp riktlinjer för god etik och bibehållen integritet vid användande av inspelat patientmaterial i undervisningen. Frågeställningar. (1) Vad sätter gränserna tekniskt, etiskt och juridiskt vid användandet av patientbaserade inspelningar i undervisningen? (2) Vilka verktyg och metoder kan vi använda för utveckling av undervisning med patientbaserat material? Tekniken har gjort det möjligt att utveckla nya undervisningssätt. Men detta leder också till att vi ställs inför nya frågor. Projektet tar upp frågeställningar som rör skärningspunkten mellan pedagogik, teknik, juridik och etik. Projektet har utgått från utbildning av logopeder, men området är aktuellt för all undervisning som använder digitala media. Logopedprogrammet är en flervetenskaplig professionsutbildning och ger kunskap om kommunikation och vad som händer vid kommunikationsstörningar http://www.neurophys.gu.se/sektioner/klinisk_neurovetenskap_och_rehabilitering/logopedi/utbildning/grundutb_logopedi/. I det kommande yrkeslivet krävs en förståelse för det komplexa sammanhang som en kommunikationsstörning innebär för patienten. För att bilda sig en helhetsbild av en patients svårigheter behövs stor praktisk erfarenhet (Norman, 2005). Ett sätt för studenten att få den praktiska erfarenheten är att få tillgång till inspelat audio- och video material och analysera kommunikationen ifrån olika perspektiv (Howard, Perkins & Martland, 2001; Hoben, Varley & Cox, 2007). Men med ökad tillgänglighet ökar också kraven på hantering av analysmaterialet så att patientens integritet bevaras. Utbildningen behöver därför ta hänsyn till offentlighetslagstiftningen och personuppgiftslagen. Vi har undersökt forskningsfrågorna från olika personperspektiv: patientens, studentens och lärarens. Projektets första steg var att göra en inventering av hur patientinspelningar hanteras på logopedutbildningarna i Sverige. Vi har skapat kontakter med jurist, filosof och experter på digital lagring och utrett möjligheter och begränsningar i användingen av patientbaserat material. Under projektets gång har vi konkretiserat riktlinjer för hantering av den här typen av känsliga personuppgifter. Vi har utvecklat självinstruerande laborationer på logopedprogrammet vid GU i enlighet med riktlinjerna. Vidare har personerna som spelats in intervjuats om deras egna upplevelser av inspelningssituationen och tankarna om användandet av inspelningen. Vi har tagit fram exempel på blanketter för skriftligt medgivande, riktlinjer för avväganden som måste göras i den tekniska tillämpningen. Under arbetet har vi konstaterat att tekniska möjligheter och juridik och etik kommer i konflikt. Inventeringen har visat att det råder osäkerhet kring hur patientbaserade inspelningar bör användas. Vi har insett behov av att fokusera på etik och professionellt förhållningssätt redan tidigt under utbildningen av logopeder. I arbetet med projektet har vi haft anledning att reflektera över vår egen lärandeprocess där fokus i projektet skiftat från tekniska till etiska frågeställningar. Referenser Hoben, K., Varley, R. and Cox, R. (2007). Clinical reasoning skills of speech and language therapy students. International Journal of Language and Communication Disorders, S1: 123-135. Howard, S., Perkins, M. and Martland, P. (2001). An integrated multi-media package för learning clinical phonetics and linguistics. International Journal of Language and Communication Disorders, 1: 327-332. Norman, G.R. (2005). Research in clinical reasoning. Past history and current trends. Medical Education, 39: 418-427.
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