| 1. |
- Östberg, Anna-Lena, et al.
(författare)
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Oral impacts on daily performances : associations with self-reported general health and medication
- 2009
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Ingår i: Acta Odontologica Scandinavica. - 0001-6357 .- 1502-3850. ; 67:6, s. 370-376
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Tidskriftsartikel (refereegranskat)abstract
- Objective. The aim of the present study was to examine the impact of general diseases and medication on oral health-related quality of life (OHRQoL) in a Swedish adult population using the Swedish version of Oral Impacts on Daily Performances (OIDP). Material and methods. A three-site sample of 200 adults (20-86 years; participation rate 70%) was interviewed using the OIDP, and a medical anamnesis was performed in 2006-7. A self-reported questionnaire provided complementary socio-economic data. Results. The burden of medical diagnoses and medications was greatest among the older participants in the study. The mean number of medicines in regular users was: ≥60 years, 3.6 (SD 2.6); 40-59 years, 1.9 (SD 1.5); and 20-40 years, 1.9 (SD 1.8) (p =0.013). There were no gender differences in general health or medication variables. Self-reported health, medical diagnoses and medication were significantly and consistently associated with the OIDP score: subjects with ≥1 diagnosis, OR 2.22 (95% CI 1.19-4.14) and subjects with ≥1 medicines, OR 1.85 (95% CI 1.01-3.40) versus those without diagnoses or medication. However, there was a clear gradient: OIDP scores increased with increasing numbers of diagnoses and medicines. Conclusion. The Swedish version of the OIDP was found useful for measuring impacts of general health and medication on OHRQoL. Dental care should pay special attention to patients with medical conditions or who are on medication, because these patients are more likely to experience oral impacts on daily performances.
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| 2. |
- Johansson, Gunvi, et al.
(författare)
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Measuring oral health from a public health perspective
- 2008
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Ingår i: Swedish Dental Journal. - Stockholm : Swedish Dental Journal. - 0347-9994. ; 32:3, s. 125-137
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Tidskriftsartikel (refereegranskat)abstract
- The paper aims to analyse measures of oral health-related quality of life (OHQOL) from a Public Health perspective. Twenty-two measures were analysed conceptually as to their mirroring of the Public Health principles: empowerment, participation, holism and equity. Elements of empowerment were found in connection with application of the measures. Participation was found in using lay opinions during development in 12 measures. All measures analysed had elements of a holistic approach so far that they were not wholly biological. Two measures captured positive health effects. Measures were available for all ages, various languages and populations, an element of equity. No measure was wholly compatible with Public Health. They were based on a utilitarian theory not in full accordance with modern health promotion. There is a need to develop measures that more obviously capture the positive aspects of health and health as a process, as well as the personal perspective of oral health.
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| 3. |
- Johansson, Gunvi, et al.
(författare)
-
Measuring oral health from a public health perspective
- 2008
-
Ingår i: Swedish Dental Journal. - Stockholm : Swedish Dental Association. - 0347-9994. ; 32:3, s. 125-137
-
Tidskriftsartikel (refereegranskat)abstract
- The paper aims to analyse measures of oral health-related quality of life (OHOOL) from a Public Health perspective. Twenty-two measures were analysed conceptually as to their mirroring of the Public Health principles: empowerment, participation, holism and equity. Elements of empowerment were found in connection with application of the measures. Participation was found in using lay opinions during development in 12 measures. All measures analysed had elements of a holistic approach so far that they were not wholly biological. Two measures captured positive health effects. Measures were available for all ages, various languages and populations, an element of equity. No measure was wholly compatible with Public Health. They were based on a utilitarian theory not in full accordance with modern health promotion. There is a need to develop measures that more obviously capture the positive aspects of health and health as a process, as well as the personal perspective of oral health.
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| 4. |
- Ostberg, Anna-Lena, et al.
(författare)
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Cross-cultural adaptation and validation of the oral Iimpacts on daily performances (OIDP) in Swedish.
- 2008
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Ingår i: Swedish dental journal. - : Swedish Dental Association. - 0347-9994. ; 32:4, s. 187-95
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVES: The aim was to assess the validity and reliability of a Swedish version of the Oral impacts on Daily Performance (OIDP) index measuring oral health-related quality of life. MATERIAL AND METHODS: After translation and cultural adaptation, a 3-site sample of 204 adults (20-86 years) was interviewed using the OIDP. Moreover, the study included a self-administered questionnaire and a clinical examination. RESULTS: A total of 39.7% reported at least one oral impact on daily life. The most common performances affected were eating and cleaning teeth (both 20.6%). Oral effects on psychological performances caused the highest impacts. No gender or age differences were demonstrated with respect to having at least one impact. However, among those affected, women, old and young subjects scored higher than men and other ages, respectively, on the OIDP. The face and content validity were deemed good in pilot interviews with laypersons and dental professionals. The construct validity was confirmed, as the OIDP score was consistently associated with self-perceived oral health OR 2.13 (95% CI 1.10-4.10) and other self-rated variables, e.g. satisfaction with oral health OR 2.43 (CI 1.34-4.41), also when accounting for age, gender and socioeconomic differences. Associations were estimated using logistic regression. Lacking 10 or more teeth was associated with a higher OIDP score, which supports the criterion validity of the instrument. In a test-retest analysis Cohen's kappa was 0.77. CONCLUSIONS: The Swedish version of the OIDP appears to be a valid and reliable measure for assessing oral impacts on daily performances.
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| 5. |
- Ostberg, Anna-Lena, et al.
(författare)
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Group treatment of obesity in primary care practice : A qualitative study of patients' perspectives
- 2011
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Ingår i: Scandinavian Journal of Public Health. - : Sage Publications. - 1403-4948 .- 1651-1905. ; 39:1, s. 98-105
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Tidskriftsartikel (refereegranskat)abstract
- Aims: To explore patients' experiences of very low calorie diet (VLCD) and subsequent corset treatment of obesity in a primary care setting, and to explore their perceptions of factors influencing weight control. Methods: In western Sweden, five focus group sessions were carried out. The main themes for the discussions were the informants' perceptions of the treatment they had received and their experiences of living with obesity. The analysis was based on the Grounded Theory methodology. Results: The outcomes reflect obese individuals' struggle to handle the demands of their life situation and to recognize their own resources. The core category generated was labelled "Achieving a balance in life and adjusting one's identity". Three categories related to the process of weight reduction were identified: living with obesity, reducing weight and developing self-management. The group treatment with VLCD was positively perceived by the participants, but the corset treatment was considered to be of less value. Conclusions: Maintenance after weight reduction was demanding and the findings indicate a need for extended support. For some individuals the corset treatment could be a psychological support. Follow-up after weight reduction programmes should focus on long-term self-help strategies.
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