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| 2. |
- Eriksson, Marit, et al.
(författare)
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Trends in prevalence of thinness, overweight and obesity among Swedish children and adolescents between 2004 and 2015.
- 2018
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Ingår i: Acta Paediatrica. - : John Wiley & Sons. - 0803-5253 .- 1651-2227. ; 107:10, s. 1818-1825
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Tidskriftsartikel (refereegranskat)abstract
- AIM: This study explored weight trends among children aged 4, 7, 11, 14 and 17 years in Jönköping County Sweden, from 2004 to 2015.METHODS: The study had a repeated cross-sectional design, and body mass index (BMI) was calculated based on height and weight measurements collected from child health and school health records. The prevalence of thinness, overweight and obesity was estimated with international cut-offs, with linear trends calculated separately for boys and girls.RESULTS: There were 190 965 measurements of BMI and these covered 82-97% of the younger children and 55-69% of the older children during the study period. The prevalence of thinness varied between 0.2% and 2.2% across time and age groups and did not change over the study period. There was a small decrease in overweight among both girls and boys aged four years. There were increasing trends in overweight and obesity in both girls and boys aged 11 and 14 years of age and a sharp increase among 17-year-old boys, with 7.3% obese in 2014/2015 and 3.6% in 2004/2005.CONCLUSION: The prevalence of obesity decreased from 2004 to 2015 or was stable in younger Swedish children, but increased among older children, with a large increase in adolescent boys.
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| 3. |
- Golsäter, Marie, et al.
(författare)
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Adolescents' and school nurses' perceptions of using a health and lifestyle tool in health dialogues
- 2011
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Ingår i: Journal of Clinical Nursing. - : Wiley. - 0962-1067 .- 1365-2702. ; 20:17-18, s. 2573-2583
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Tidskriftsartikel (refereegranskat)abstract
- Aim and objective. To describe and explore adolescents’ and nurses’ perceptions of using a health and lifestyle tool in healthdialogues in the School Health Service.Background. In Sweden, dialogues concerning health and lifestyle are offered to adolescents aged 14 years with the purpose of encouraging an interest in a healthy lifestyle. A health and lifestyle tool including a health questionnaire and a health profile has recently been developed, with the aim of facilitating the communication about health and lifestyle in these dialogues.Design.Qualitative descriptive design.Method. Twenty-nine adolescents and 23 nurses participated in focus group interviews, which were subjected to qualitative content analysis.Results. The health and lifestyle tool was perceived as constituting a structure for the dialogues and as a clear and applicable starting point, focusing on individual aspects. The tool contributed to an understanding of the health situation and to the transmittal of health information on an individual as well as a group level.Conclusion.The tool was perceived as constituting a useful structure for the dialogues about health and lifestyle. When it was used the individual’s health and lifestyle were concretised, which opened up for a dialogue and different aspects of health and lifestyle were detected. However, in some cases the outcome of the tool could be conceived as a stringent assessment and thereby complicate the dialogues.Relevance to clinical practice.The use of a tool, such as the one used in this study, is one way to improve the dialogues in the School Health Service, allowing them to be more focused on the individual’s needs and to detect aspects that would otherwise not be so easily detected. The implications of this study include using the findings to guide counselling sessions in the schools and other health care settings.
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| 5. |
- Golsäter, Marie, et al.
(författare)
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Health counselling : parental-oriented health dialogue - an innovation for child health nurses
- 2009
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Ingår i: Journal of Child Health Care. - : Sage Publications. - 1367-4935 .- 1741-2889. ; 13:1, s. 75-88
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Tidskriftsartikel (refereegranskat)abstract
- The Health Curve, used by nurses in community-based health care, is an educational tool for conducting goal-directed dialogues concerning lifestyle and health. The aim of this study was to investigate how child health nurses experienced the Health Curve as a tool for conducting dialogues with parents. Fourteen nurses were interviewed. The data were analysed according to qualitative analysis. The results showed that nurses working in child health care experienced the Health Curve as a useful tool for conducting health dialogues with parents. Through their work with the Health Curve, the nurses gained a greater insight into, and understanding of, the families' health and life situation. The results indicated that working with the Health Curve could increase the opportunity for nurses to provide parents with support early in the process, helping the family to lead a healthy lifestyle.
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| 6. |
- Golsäter, Marie, et al.
(författare)
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Health dialogues between pupils and school nurses : A description of the verbal interaction
- 2012
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Ingår i: Patient Education and Counseling. - : Elsevier. - 0738-3991 .- 1873-5134. ; 89:2, s. 260-266
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Tidskriftsartikel (refereegranskat)abstract
- Objective: The purpose of this study was to explore and describe the content of and the verbal interaction in health dialogues between pupils and school nurses. Methods: Twenty-four health dialogues were recorded using a video camera and the conversations were analysed using the paediatric version of the Roter Interaction analysis system. Results: The results showed that the age appropriate topics suggested by national recommendations were brought up in most of the health dialogues. The nurses were the ones who talked most, in terms of utterances. The pupils most frequently gave information about their lifestyle and agreed with the nurses' statements. The nurses summarised and checked that they had understood the pupils, asked closed-ended questions about lifestyle and gave information about lifestyle. Strategies aimed to make the pupil more active and participatory in the dialogues were the most widely used verbal interaction approaches by the nurses. Conclusion: The nurses' use of verbal interaction approaches to promote pupils' activity and participation, trying to build a partnership in the dialogue, could indicate an attempt to build patient-centred health dialogues. Practice implications: The nurses' great use of questions and being the ones leading the dialogues in terms of utterances point at the necessity for a nurses to have an openness to the pupils own narratives and an attentiveness to what he or she wants to talk about.
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| 7. |
- Golsäter, Marie, et al.
(författare)
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Pupils' perspectives on preventive health dialogues
- 2010
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Ingår i: British Journal of School Nursing. - : Mark Allen Group. - 1752-2803 .- 2052-2827. ; 5:1, s. 26-33
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the study was to understand pupils’ perspectives on health dialogues with school nurses. Background: A preventive health dialogue with a school nurse is offered to pupils in grades 4 and 7 in compulsory school and during their first year of upper secondary school in Sweden. The dialogue has been developed by school nurses as a method in health prevention work, but knowledge of how it is experienced from the pupil’s perspective is scant. Method: A total of 15 focus group interviews comprising 74 pupils altogether were performed. The data was subjected to qualitative content analysis. Results: The results emerged in four categories: Preparation creates preparedness and Adaptability creates dialogues based on wishes and needs, which were seen as prerequisites for a satisfactory health dialogue; the health dialogue benefits were Providing opportunity for knowledge and insight about health and lifestyle and Providing opportunity to develop a trustful relationship with the school nurse, which could result in a satisfactory outcome of a health dialogue. Conclusions: These results highlight that it is essential to create a respectful and open atmosphere in the encounter between pupil and school nurse. The pupil can gain insight into his or her health situation and get advice based on his or her individual needs if the nurse can adapt to the pupil’s wishes and needs through the dialogue.
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| 8. |
- Johansson, Lisbeth, et al.
(författare)
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Can physical activity compensate for low socioeconomic status with regard to poor self-rated health and low quality-of-life?
- 2019
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Ingår i: Health and Quality of Life Outcomes. - : BioMed Central. - 1477-7525. ; 17:1, s. 1-10
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Both high socioeconomic status (SES) and high physical activity (PA) are associated with better self-rated health (SRH) and higher quality-of-life (QoL).AIM: To investigate whether high levels of PA may compensate for the association between low SES and subjective health outcomes in terms of poorer SRH and lower QoL.METHOD: Data from a cross-sectional, population-based study (n = 5326) was utilized. Multiple logistic regression models were used to estimate odds ratios (OR) and 95% confidence intervals (95% CI) for the associations between indicators of SES (economic situation and educational level), SRH and QoL, as well as between the combination of SES and PA in relation to SRH and QoL.RESULT: Participants with high PA and economic problems had approximately the same OR for good SRH as those with low PA and without economic problems (OR 1.75 [95% CI 1.20-2.54] and 1.81 [1.25-2.63] respectively). Participants with high PA and low education had higher odds for good SRH (OR 3.34 [2.96-5.34] compared to those with low PA and high education (OR 1.46 [0.89-2.39]).Those with high PA and economic problems had an OR of 2.09 [1.42-3.08], for high QoL, while the corresponding OR for those with low PA and without economic problems was 4.38 [2.89-6.63].CONCLUSION: Physically active people with low SES, had the same or even better odds to report good SRH compared to those with low PA and high SES. For QoL the result was not as consistent. The findings highlight the potential for promotion of PA to reduce SES-based inequalities in SRH.
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| 9. |
- Johansson, Lisbeth, et al.
(författare)
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Exploring how people achieve the recommended levels of physical activity despite self-reported economic difficulties : a sense of coherence perspective
- 2024
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Ingår i: BMC Primary Care. - : BioMed Central (BMC). - 2731-4553. ; 25:1
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundThe salutogenic theory forms the basis for health promotion and describes health as a continuum from a dis-ease pole of health to an ease pole. The core concept for the salutogenic theory is sense of coherence (SOC). For a strong SOC, general resistance resources, such as solid economic situation, are essential. The aim was to explore how people – despite self-reported economic difficulties – comprehend, manage and find it meaningful to achieve the level of physical activity recommended by World Health Organisation (WHO).MethodThe study is based on interviews with people achieving the recommended physical activity (PA) level despite economic difficulties. The interviews were conducted at primary health care centres and family centres after a targeted health dialogue. We used a qualitative deductive content analysis based on sense of coherence as the main category, with the three generic categories of comprehensibility, manageability and meaningfulness.ResultThe findings elucidate a pattern of a process. In this process, the participants comprehend their knowledge of the health benefits of PA and have a plan for performing their PA. They utilise their resources in order to manage to apply their knowledge and plan for PA in their lives despite their challenges. When PA becomes meaningful to them, they have an intrinsic motivation to perform it and experience its benefits.ConclusionThis study suggests a possible process that might help in achieving the recommended PA level among people with economic difficulties and other challenges. The findings might be used in health promotion work, such as targeted health dialogues in primary health care, to reduce health inequalities when supporting people who are not achieving the recommended levels of PA.Trial registrationNot applicable.
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| 10. |
- Johansson, Lisbeth, et al.
(författare)
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Healthcare professionals' experiences of targeted health dialogues in primary health care
- 2023
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Ingår i: Scandinavian Journal of Caring Sciences. - : John Wiley & Sons. - 0283-9318 .- 1471-6712.
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: In Sweden, population-based targeted health dialogues are an important part of health promotion and disease prevention in primary health care. Targeted health dialogues are performed with a pedagogical approach to allow individuals to reflect over their resources, situation and motivation to change lifestyle habits together with a healthcare professional.AIM: The aim of this study was to explore healthcare professionals' experiences of targeted health dialogues in primary health care.METHODS: Three focus group interviews were conducted with 20 healthcare professionals. The interviews were analysed using qualitative content analysis.RESULTS: The main category A possibility to promote healthy behaviours and prevent disease describes how the targeted health dialogues were experienced as a valuable opportunity to promote health among inhabitants. The significance of the primary healthcare centre's health promotion and prevention strategies was emphasised to enable the targeted health dialogues as a part of the assignment to promote health. These strategies were expressed as shared focus and organisational space and support making it possible for example to reach all socioeconomic groups. The work with targeted health dialogue was described as a complex task requiring extensive competence. Furthermore, the pedagogical tool including the visual health profile was experienced to have an important impact on the dialogue offering direction for actions to promote health and prevent disease.CONCLUSIONS: Targeted health dialogues can be a valuable opportunity for healthcare professionals in primary health care to promote a healthy lifestyle among inhabitants. Certain preconditions at both the meso- and the micro level is however required for this to come about.
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