| 1. |
- Andersen, Pia, et al.
(författare)
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Utvärdering av implementeringen av hälsotorgen i Blekinge -med fokus på hälsotorgens utvecklingsmöjligheter
- 2008
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Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
- I den svenska folkhälsopolitiken betonas hälso- och sjukvårdens roll i folkhälsoarbetet genom ett eget målområde, ”En hälsofrämjande hälso- och sjukvård” År 2000 påbörjade Landstinget i Blekinge ett samarbete med Apoteket AB för utveckling av Hälsotorg som en ny typ av offentlig arena för hälsofrämjande och förebyggande arbete. Den är tänkt som en mötesplats för hälsoinformation, egenvårdsrådgivning och hälsosamtal med professionell personal från landsting och apotek. Syftet med denna utvärdering är att beskriva implementeringen av hälsotorgen i Blekinge och hälsotorgens utvecklingsmöjligheter. Enskilda intervjuer har genomförts med nyckelinformanter för att ta del av deras erfarenheter och upplevelser av hälsotorgsarbetet. Verksamhetschefer och hälsotorgspersonal intervjuades, sammanlagt tolv personer. Idag finns hälsotorg som har byggts upp i samverkan mellan Apoteket AB och Landstinget Blekinge i fyra av länets fem kommuner. Hälsotorgen har startat vid olika tidpunkter mellan år 2000 och 2006. De är något olika utformande, bemannade och lokaliserade. Resultatet visar en övervägande positiv bild av hälsotorgens verksamhet och det finns en framtidstro på fortsatt utveckling av hälsotorgen. Såväl ”uppifrån” stöd i form av direktiv och ekonomiska medel som ”underifrån” stöd genom lokalt engagemang och delaktighet har varit betydelsefulla faktorer i implementeringsprocessen. Det finns en ganska samstämmig uppfattning om hur de övergripande målen för hälsotorgen uppfyllts men målen är inte väl förankrade i verksamheten. Varje hälsotorg har utformat sin egen verksamhet utifrån befintligt avtal mellan Apoteket AB och Landstinget Blekinge samt utifrån hälsotorgspersonalens engagemang. Den mest framträdande svagheten är en otillräcklig marknadsföring, vilket har medfört att hälsotorgens verksamhet inte har blivit förankrad i önskvärd omfattning bland befolkningen och övrig personal på vårdcentralerna. Det råder en osäkerhet om hur det fortsatta samarbetet med Apoteket AB kan utvecklas med anledning av omregleringen av apoteksmarknaden 2009. Utvärderingen ger en positiv bild av hälsotorg både som fenomen och verksamhet. Informanterna anser att hälsotorgen har potential till att kunna vara en hälsofrämjande arena. För fortsatt utveckling till en sådan arena är det betydelsefullt med utbildningsinsatser som kan stärka hälsotorgspersonalens kompetens för hälsofrämjande arbete. Det är också betydelsefullt med informationsinsatser bland befolkning och hälso- och sjukvårdspersonal för att öka medvetenheten om hälsotorgens verksamhet och därmed skapa grund för samarbete och ett ökat utnyttjande av hälsotorgens service.
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| 2. |
- Håkansson, Linda, et al.
(författare)
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Parents' experiences of a health dialogue in the child health services : a qualitative study
- 2019
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Ingår i: BMC Health Services Research. - : BMC. - 1472-6963. ; 19:1
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: The Child Health Services in Sweden is a well-attended health promoting setting, and thereby has an important role in promoting healthy living habits in families with young children. Due to lack of national recommendations for health dialogues, a Child Centred Health Dialogue (CCHD) model was developed and tested in two Swedish municipalities. The aim of this study was to explore parents' experiences of health dialogues based on the CCHD model focusing on food and eating habits during the scheduled child health visit at four years of age. METHODS: A qualitative design with purposeful sampling was used. Twelve individual interviews with parents were conducted and analysed with qualitative content analysis. RESULTS: The analysis resulted in three categories: The health dialogue provides guidance and understanding; Illustrations promote the health dialogue; and Space for children and parents in the health dialogue. In addition, analysis of the latent content resulted in a single theme reflecting the parents' voice on the importance of having a health dialogue on food and eating habits. The health dialogue, promoted by illustrations, provided guidance and understanding, and gave space for children's and parents' involvement. CONCLUSIONS: The results indicate that health dialogues using the CCHD- model create supportive conditions for family members' active participation in the visits, which may strengthen empowerment and health literacy. The study provides knowledge and guidance for further development, evaluation and implementation of the model.
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| 3. |
- Jama Mahmud, Amina, et al.
(författare)
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Health communication in primary health care -A case study of ICT development for health promotion
- 2013
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Ingår i: BMC Medical Informatics and Decision Making. - : BioMed Central. - 1472-6947. ; 13:17, s. 1-15
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Tidskriftsartikel (refereegranskat)abstract
- Background Developing Information and Communication Technology (ICT) supported health communication in PHC could contribute to increased health literacy and empowerment, which are foundations for enabling people to increase control over their health, as a way to reduce increasing lifestyle related ill health. However, to increase the likelihood of success of implementing ICT supported health communication, it is essential to conduct a detailed analysis of the setting and context prior to the intervention. The aim of this study was to gain a better understanding of health communication for health promotion in PHC with emphasis on the implications for a planned ICT supported interactive health channel. Methods A qualitative case study, with a multi-methods approach was applied. Field notes, document study and focus groups were used for data collection. Data was then analyzed using qualitative content analysis. Results Health communication is an integral part of health promotion practice in PHC in this case study. However, there was a lack of consensus among health professionals on what a health promotion approach was, causing discrepancy in approaches and practices of health communication. Two themes emerged from the data analysis: Communicating health and environment for health communication. The themes represented individual and organizational factors that affected health communication practice in PHC and thus need to be taken into consideration in the development of the planned health channel. Conclusions Health communication practiced in PHC is individual based, preventive and reactive in nature, as opposed to population based, promotive and proactive in line with a health promotion approach. The most significant challenge in developing an ICT supported health communication channel for health promotion identified in this study, is profiling a health promotion approach in PHC. Addressing health promotion values and principles in the design of ICT supported health communication channel could facilitate health communication for promoting health, i.e. ‘health promoting communication’.
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| 4. |
- Lilje, Stina Charlotta, et al.
(författare)
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Experiences of Older Adults With Mobile Phone Text Messaging as Reminders of Home Exercises After Specialized Manual Therapy for Recurrent Low Back Pain : A Qualitative Study
- 2017
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Ingår i: JMIR mhealth and uhealth. - : J M I R Publications. - 2291-5222. ; 5:3
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Clinical experience of manual therapy for musculoskeletal pain is that patients often suffer from recurrent pain and disorders, but that they do not continue to perform their physical home exercises when they are free from symptoms. The chance of positive long-term effects of manual therapy would probably increase if patients were reminded that they are to continue to perform their exercises. Mobile phone text messaging (short messaging service, SMS) is increasingly used as an innovative intervention to remind patient to exercise. However, there are only a few studies on such interventions in the field of low back pain (LBP). Qualitative studies of patients' experiences of receiving text messages as reminders of home exercises after manual treatment for recurrent LBP have to the best of our knowledge never been published.OBJECTIVES: The aim of this study was to explore older persons' common experiences of receiving reminders of home exercises through mobile phone text messaging after specialized manual therapy for recurrent LBP.METHODS: A total of 7 men and 8 women (67-86 years), who had sought specialized manual therapy (Naprapathic manual therapy) for recurrent LBP were included in the study. Individual one-way text messages as reminders of home exercises (to be performed on a daily basis) were sent to each patient every third day for 3 weeks, then once a week for another 2 weeks. Semistructured interviews with 2 broad, open-ended questions were held and data were analyzed with systematic text condensation, based on Giorgi's principles of psychological phenomenological analysis.RESULTS: The participants appreciated the messages, which were perceived as timely and usable, and also stimulated memorizing. The messages made the participants reflect on the aim of the exercise, value of being reminded, and on their improvement in pain. During the interviews, the participants created their own routines for continued adherence to the exercises.CONCLUSIONS: It seems plausible that mobile phone text messaging may serve as a useful tool for patient empowerment with regard to recurrent LBP in older persons. Further studies are needed to explore whether future compliance with the exercises will be as large if the participants are not being interviewed.
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| 5. |
- Mahmud, Amina Jama, et al.
(författare)
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Health promoting settings in primary health care - "hälsotorg" : an implementation analysis
- 2010
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Ingår i: BMC Public Health. - : Bio Med Central. - 1471-2458. ; 10:707
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Tidskriftsartikel (refereegranskat)abstract
- Background Sweden, like many other western countries, faces increasing rates of lifestyle related diseases and corresponding rise in costs for health care. To meet these challenges, a number of efforts have been introduced at different societal levels. One such effort is "Hälsotorg" (HS). HS is a new health promotion setting that emerged in collaboration between the Swedish County Councils and Apoteket AB, a state-owned pharmacy company. HS's overall aim was to improve population health and facilitate inhabitants' responsibility for self-care. A new National Public Health Policy, introduced in 2008, emphasizes more focus on individual's needs and responsibility as well as strong need for county councils to provide supportive environment for individual-centred health services and increased health literacy among the population. In light of this policy, there is a need to examine existing settings that can provide supportive environment for individuals at community level. The aim of this study was to explore HS's policy implementation at local level and analyse HS's activities, in order to provide a deeper understanding of HS's potential as a health promoting setting. Methods Materials included a survey and key documents related to the development and nature of HS on local and national levels. A policy analysis inspired by Walt and Gilson was used in data analysis. In addition, an analysis using the principles of health promotion in relation to HS policy process and activities was also carried out. Results The analysis illuminated strengths and weaknesses in the policy process, its actors, contextual factors and activities. The health communication approach in the analysed documents contained health promoting intentions but the health promoting approach corresponding to a health promoting setting was neither apparent nor shared among the stakeholders. This influenced the interpretation and implementation of HS negatively. Conclusions The analysis indicates that HS has potential to be a valuable health promotion setting for both population and individuals, given the strong intentions for a health and empowerment building approach that is expressed in the documents. However, for a more sustainable implementation of HS, there is need for an in- depth understanding of the health promotion approach among HS stakeholders.
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| 6. |
- Mahmud, Amina Jama, et al.
(författare)
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Virtual Health Square : a new Health Promotion Setting?
- 2008
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Konferensbidrag (refereegranskat)abstract
- Health Square is a new health promotion setting in Sweden. Health Squares are meeting places for health; offering activities such as information on health management, advice on lifestyle related health issues and advice on when and where to seek medical help in case of illness. Health Squares also provide access to Internet based health information from trustworthy sites through a “customer computer”. The concept was initiated in collaboration between Primary Health Care and the Pharmacy Association of Sweden in order to provide community members a supportive environment for health. Health communication is an integral part of Health Square activities. Technologies for health communication need to be adapted to the needs and local contexts of the consumers. Health Square integrates both the local context and uses interactive technology to support the visitors in their effort to make informed healthy lifestyle choices but there is a need to involve the community in order to make technology accessible, reliable and sustainable. The aim The aim of this paper is to present a planned intersectorial research project on the development of a multi-lingual- Health Square Channel (HS channel) using Participatory Action Research (PAR) methods. Background The information and communication landscape is rapidly changing, especially in developed countries such as Sweden. Information and communication technology (ICT) are widely used in the health sector. This has resulted in a great burden being placed on the individual to seek information on self-care and healthy lifestyle choices. This is not an easy task for the majority of the population despite the offensive health information in the public spheres. Information alone does not lead to better lifestyle choices. The consumer (of the information) must be health literate. Health literacy as a concept encompasses more than transmitting information and developing skills, it entails improving people’s access to health information and capacity to use it effectively. Accessibility also entails providing health information in other languages besides that of the majority. Health promotion and ICT have a long-standing and productive relationship. New technologies are revolutionizing health promotion by providing easily accessible and timely information to consumers in the comfort of their homes. Digital Interactive Television (DiTV) is a new platform for Health Communication. Little is known on the potential of DiTV as a tool for health promotion communication in communities. There is a need to explore the potential and application of modern technology in health promotion using health promotion principals. There is a call for the use of Participatory Action Research (PAR) in Health Promotion and information systems research. The underpinning essence of PAR is the concept of equity and social justice. Equity in health is also the central concept in the Swedish national health policy, whose overarching aim is to create social conditions to ensure good health on equal terms for the entire population, and it’s first goal is to ensure participation and influence of the citizens. Methods Health Square (HS) channel will be based on a Health Square in a small town in the South of Sweden. The HS channel will be developed in collaboration between different professional categories and laymen. This work will be done in a workshop physically based at the HS. The project will be implemented between 2008-2011. Symbolic interaction and PAR form the theoretical base for the proposed research project which will stretch over the period Multiple research methods will be used for data collection due to the complexity of the planned project. A modified adaptation of a model named; Spiral Technology Action Research (STAR) will be used in the different stages of the research project. STAR model is a developmental process model that combines health promotion, principles social theories, Participatory action research approach and Freire’s (1970) “critical pedagogy. The research studies will be carried in four phases: 1) Exploration of HS as a setting for Health Promotion. 2) Case study; needs assessment of the provider and user of the HS channel in an environment of open dialogue. 3) “Workshop” and collaborative process of developing the HS channel. 4) Testing the accessibility and usability of the developed HS channel to a selected population in stratified local residential areas. Corresponding author: Amina Jama Tel: 0046455385427 E-mail: amina.jama.mahmud@bth.se
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| 7. |
- Olander, Ewy, et al.
(författare)
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Applied Health Technology – a New Research Discipline at Blekinge Institute of Technology
- 2009
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Konferensbidrag (refereegranskat)abstract
- Since spring 2008 is Applied Health Technology a new research discipline at Blekinge Institute of Technology. The discipline has been developed in collaboration between the School of Health Science and the School of Technology. In the general syllabus for third-cycle (doctoral research) studies in Applied Health Technology underlines the value of multidisciplinary as well as interdisciplinary research, focusing on how Caring and Nursing Sciences, Public Health Science and Clinical Medical Science, can be linked to research areas in technology. The formation of research teams and third-cycle programs are in progress. Applied Health Technology corresponds to increasing national and international stated societal needs of technology development in health promotion and prevention efforts as well as in health care and social services.
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| 8. |
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| 9. |
- Olander, Ewy
(författare)
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Health counselling in Child Health Services – synthesising two missions.
- 2005
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Konferensbidrag (refereegranskat)abstract
- Child Health Services (CHS) form a strategic arena for Swedish health promotion, from a societal as well as individual perspective. The present study focuses on district nurses´ health counselling in CHS. The aim is to improve understanding of what is important in shaping and accomplishing health promotion, and to generate theory useful in a CHS context. Data were collected at CHS in primary health care. Data sources consist of video-observations with recalled interviews, field notes, notes from group discussions, individual interviews and data from my earlier study of health counselling. Data analysis followed the classic Grounded Theory (GT) method. Empirical data indicated that health promotion in CHS has two approaches, a population approach and an individual approach. District nurses thus have two missions: a public health mission (a government demand based on families as parts of the population), and a family health mission (a request from individual families). District nurses' main concern in CHS is to synthesise these two opposing missions and approaches in their practical work at the CHC (Child Health Centres). The category Population-individualisation evolved as the core category. Four dynamic fields between public and family health missions and four patterns for synthesis evolved. Through the generating analysis a substantive theory could be formulated. The generated theory grounded in empirical data within the context of CHS provides us with knowledge that can help district nurses understand and manage their main concern for synthesising these two missions. This theory may also contribute to increased awareness among administrators, decision makers and nurse- and health promotion educators with regard to the double mission in health promotion and the strategies for coping with it. In this way, generated theory should be able to contribute to improve health promotion and health counselling in CHS.
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| 10. |
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