| 1. |
- Andersén, Åsa, 1975-, et al.
(författare)
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Positive experiences of a vocational rehabilitation intervention for individuals on long-term sick leave, the Dirigo project : a qualitative study
- 2017
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Ingår i: BMC Public Health. - : Springer Science and Business Media LLC. - 1471-2458. ; 17
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Tidskriftsartikel (refereegranskat)abstract
- Background: The process of returning to work after long-term sick leave can sometimes be complex. Many factors, (e.g. cooperation between different authorities and the individual as well as individual factors such as health, emotional well-being and self-efficacy) may have an impact on an individual’s ability to work. The aim of this study was to investigate clients’ experiences with an individually tailored vocational rehabilitation, the Dirigo project, and encounters with professionals working on it. The Dirigo project was based on collaboration between rehabilitation authorities, individually tailored interventions and a motivational interviewing approach. Methods: A descriptive qualitative design was used with data collected through interviews. Fourteen individuals on long-term sick leave took part in individual semi-structured interviews. The interviews were analysed using content analysis.Results: The analysis showed overall positive experience of methods and encounters with professionals in a vocational rehabilitation project. The positive experiences were based on four key factors: 1. Opportunities for receiving various dimensions of support. 2. Good overall treatment by the professionals. 3. Satisfaction with the working methods of the project, and 4. Opportunities for personal development.Conclusions: The main result showed that the clients had an overall positive experience of a vocational rehabilitation project and encounters with professionals who used motivational interviewing as a communication method. The overall positive experience indicated that their interactions with the different professionals may have affected their self-efficacy in general and in relation to transition to work. The knowledge is essential for the professionals working in the area of vocational rehabilitation. However, vocational rehabilitation interventions also need a societal approach to be able to offer clients opportunities for job training and real jobs.
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| 2. |
- Andersén, Åsa, 1975-, et al.
(författare)
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Strengthened General Self-Efficacy with Multidisciplinary Vocational Rehabilitation in Women on Long-Term Sick Leave : A Randomised Controlled Trial
- 2018
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Ingår i: Journal of occupational rehabilitation. - : Springer Science and Business Media LLC. - 1053-0487 .- 1573-3688. ; 28:4, s. 691-700
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Tidskriftsartikel (refereegranskat)abstract
- Purpose To investigate the effects of two vocational rehabilitation interventions on self-efficacy, for women on long-term sick leave ≥ 1 year due to chronic pain and/or mental illness. Methods This study uses data from a randomised controlled trial consisting of two phases and comprising 401 women on long-term sick leave. They were allocated to either (1) a multidisciplinary team assessment and multimodal intervention (TEAM), (2) acceptance and commitment therapy (ACT), or (3) control group. Data were collected through repeated measurements from self-reported questionnaires before intervention, 6 and 12 months later and registry data. Data from measurements of general self-efficacy, sociodemographics, anxiety and depression were analysed with linear regression analyses. Results During the intervention period, the women in the TEAM group’s self-efficacy mean increased from 2.29 to 2.74. The adjusted linear regression model, which included group allocation, sociodemographics, self-efficacy pre-treatment, anxiety and depression showed increased self-efficacy for those in the TEAM intervention at 12 months (B = 0.25, 95% CI 0.10–0.41). ACT intervention had no effect on self-efficacy at 12 months (B = 0.02, 95% CI − 0.16 to 0.19). The results in the adjusted model also showed that higher self-efficacy at pre-treatment was associated with a higher level of self-efficacy at 12 months (B = 0.68, 95% CI 0.54–0.81). Conclusion A multidisciplinary team assessment and multimodal intervention increased self-efficacy in women on sick leave for an extremely long time (mean 7.8 years) who had a low mean level of self-efficacy prior to inclusion. Thus, self-efficacy needs to be addressed in vocational rehabilitation.
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| 3. |
- Andersén, Åsa, 1975-, et al.
(författare)
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The relationship between self-efficacy and transition to work or studies in young adults with disabilities
- 2018
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Ingår i: Scandinavian Journal of Public Health. - : Sage Publications. - 1403-4948 .- 1651-1905. ; 46:2, s. 272-278
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Tidskriftsartikel (refereegranskat)abstract
- Aim: To investigate perceived self-efficacy in unemployed young adults with disabilities and the association between self-efficacy and transition to work or studies. Methods: This prospective cohort study collected data through self-report questionnaires and registry data from a vocational rehabilitation project with young adults, aged 19-29 years. The Swedish Social Insurance Agency, the Swedish Public Employment Service and the participating municipalities identified potential participants to the study. A total of 531 participants were included in the study, of which 249 (47%) were available for analysis. Multinomial logistic regression models were carried out to estimate the associations between self-efficacy, demographic, health and employment status. The latter was coded as: “no transition to work or studies”, “transition to studies”, and “transition to work”.Results: A higher level of self-efficacy was associated with increased odds for “transition to work” (OR=2.37, p<0.05). This finding remained consistent when adjusting for possible confounders. The mean value of self-efficacy was low, and participants with lower self-efficacy reported worse self-rated health (p<0.001) compared with participants with higher self-efficacy.Conclusions: The results from this study suggest that self-efficacy should be addressed in vocational rehabilitation of young adults with disabilities in order to support their transition and integration into the labour market.
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| 4. |
- Larsson, Kjerstin, 1952-, et al.
(författare)
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Vocational Rehabilitation Professionals’ Perceptions of Facilitators and Barriers to Return to Work : A Qualitative Descriptive Study
- 2022
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Ingår i: Rehabilitation counseling bulletin. - : Sage Publications. - 0034-3552 .- 1538-4853. ; 66:1, s. 66-78
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Tidskriftsartikel (refereegranskat)abstract
- This is a qualitative descriptive study of professionals' perceptions of facilitators and barriers for returning to work for women on long-term sick leave due to musculoskeletal pain and/or common mental disorder who participated in a vocational rehabilitation project. Data were collected through semi-structured interviews with 13 purposefully selected professionals from the Swedish Social Insurance Agency, the Swedish Public Employment Service, the health care services, and the municipal services. The interviews were analyzed with a manifest content analysis. The main facilitators were the close cooperation between the professionals and the individual support that was offered to the project participants. The main barriers were differences among the stakeholders' missions and goals, limitation in project duration and within the labor market, and the project participants' personal factors. These results emphasize the importance of cooperation between the professionals from the various stakeholders and focus on the individual's resources and needs. The study highlights the value of including health care professionals in vocational rehabilitation to benefit from their specific knowledge of the target group and their strengths and needs. Moreover, the study highlights the need to incorporate collaboration with employers and align with the local labor market in the development of vocational rehabilitation interventions.
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| 5. |
- Ståhl, Christian, et al.
(författare)
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Process evaluation of an interorganizational cooperation initiative in vocational rehabilitation: the Dirigo project
- 2017
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Ingår i: BMC Public Health. - : BIOMED CENTRAL LTD. - 1471-2458. ; 17
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Tidskriftsartikel (refereegranskat)abstract
- Background: This study analyzes the process of establishing and developing a cooperative vocational rehabilitation project with special focus on organizational and professional aspects. In the project, officials from the Swedish Social Insurance Agency and the Swedish Public Employment Service worked cooperatively with participants on long-term sick leave, youths with disability benefits, and people receiving social allowances. The officials used Motivational Interviewing (MI) as a method when meeting participants, and were able to offer flexible and tailored case management. The goal was to improve work ability and promote self-sufficiency. Methods: The process evaluation was carried out through continuous data collection throughout the project (2012-2014), resulting in a total of 28 individual interviews and 17 focus groups with officials and managers. The material was categorized through an inductive content analysis, and analyzed using social capital as a theoretical frame. Results: The evaluation points to how issues related to design, organization and management contributed to the project not reaching its goals, e.g. problems with recruitment of participants, the funding structure, and staffing problems on the managerial level. Still, officials reported positive effects of close cooperation, which was perceived as facilitating the case management by fostering a mutual understanding and access to resources and rehabilitation measures from more than one authority. Conclusions: Cooperative work combined with the use of MI and flexible case management seem to promote an increased trust between officials from different authorities and participants, which in the study is conceptualized as bonding and bridging social capital (between officials) and linking social capital (between officials and participants). The organizational problems combined with the relatively large differences in approaches between the project and regular practice obstructed implementation, where the authorities involved did not appear to be ready for implementing methodologies that require organizational restructuring.
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| 10. |
- Anmyr, Lena, et al.
(författare)
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Children with hearing impairment : living with cochlear implants or with hearing aids
- 2011
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Ingår i: International Journal of Pediatric Otorhinolaryngology. - Amsterdam : Elsevier. - 0165-5876 .- 1872-8464. ; 75:6, s. 844-849
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Tidskriftsartikel (refereegranskat)abstract
- Objective The aim of this study was to enhance knowledge about the life circumstances of children with cochlear implants or hearing aids, regarding daily functioning and attitude to the impairment. Methods Data were obtained from 36 children with cochlear implants and 38 children with hearing aids via study-specific questionnaires with fixed answer alternatives. The questions covered (1) usage of aids and related factors, (2) hearing in different everyday situations, (3) thoughts about the children's own hearing and others’ attitudes to it, and (4) choice of language. The data were analyzed using SPSS, and presented via the theoretical frame of the International Classification of Functioning, Disability and Health, Child and Youth version (ICF-CY). Results Children with CI and HA functioned equally well in daily life, but there were also certain differences. Symptoms from neck and shoulders were more common among children with hearing aids than among children with cochlear implants (p < .001). Children with hearing aids used their aids significantly less often than those with cochlear implants (p < .001). The participation variables showed that children with hearing aids had significantly more hearing problems in team sports (p = .033) and outdoor activities (p = .019), in comparison to children with cochlear implants. The two groups had similar thoughts regarding their own hearing, mostly considering it not to be a problem. They also did not generally think that other people found their hearing to be a problem. Conclusions Children with cochlear implants and children with hearing aids have, in some aspects, equally good functioning in everyday life situations. However, certain differences were found in dimensions of functioning, regarding neck and shoulder pain, usage of aids and sign language, and hearing problems in some activities.
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| 11. |
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| 12. |
- Heiwe, S, et al.
(författare)
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Evidence-based practice among Swedish medical social workers
- 2013
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Ingår i: Social work in health care. - : Routledge. - 0098-1389 .- 1541-034X. ; 52:10, s. 947-958
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Tidskriftsartikel (refereegranskat)abstract
- We have explored Swedish medical social workers' attitudes, beliefs, knowledge, and behavior concerning evidence-based practice (EBP) and investigated the properties of a questionnaire to measure EBP. One hundred seventy-four Swedish medical social workers within university hospital care and primary care participated in a cross-sectional survey. Our results showed positive attitudes toward EBP and the use of evidence to support clinical decision making. EBP was seen as necessary and something that needed to be implemented more often. The main barriers to implementing EBP were lack of time (78%), the perception that EBP does not take into account the limitations of the clinical practice setting (78%), and lack of knowledge about relevant research (46%).
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| 13. |
- Lagging, Eva, et al.
(författare)
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Potential living kidney donors' positive experiences of an information letter from healthcare : a descriptive qualitative study
- 2022
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Ingår i: BMC Nephrology. - : BioMed Central (BMC). - 1471-2369. ; 23:1
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundPatients who need a live donor kidney transplant (LDKT) must often ask potential donors (PLDs) themselves. This is a difficult task and healthcare could unburden them by making this first contact, ensuring also that PLDs receive correct information. We investigated how PLDs experience receiving a letter from healthcare about LDKT, live kidney donation, and inviting them to meet with professionals to get more information.MethodsThe letter (LD-letter) was sent to a cohort of 46 individuals, from which a purposeful sample of 15 were interviewed using a semi-structured guide covering their experience of the letter, views on being approached by healthcare, and opinions on style and content. Interviews were analyzed using conventional inductive analysis.ResultsWe identified three categories of experiences: Category (1) Reflections on receiving the letter, contains three subcategories relating to how the letter did not induce pressure to donate, did not affect the PLD's relationship with the patient with kidney disease, and made the letter-receiver feel important in the transplant process; Category (2) The letter creates clarification and trust, also contains three subcategories, relating to how it clarified the voluntariness of donation and neutrality of healthcare providers with respect to the PLD's decision, elucidated the patient with kidney disease's current stage of disease (where transplantation was approaching), and unburdened patients from the responsibility of contacting PLDs on their own; Category (3) Opinions and suggestions about the letter and further communication, with four subcategories, relating to preference of a letter as the first step for communication about LDKT, suggestions on style and content, views on following up the letter, and how open meetings about LDKT were an important information source. Furthermore, 80% of the interviewees found the letter's information comprehensive, 67% found it easy to read and respectful, and 86% rated it as good or very good.ConclusionPotential donors prefer and recommend a letter as the first step for communication regarding LD. The LD-letter unburdens patients from the task of asking PLDs and stresses the voluntariness of donation, does not leave PLDs feeling coerced or lead to negative effects in their relationship with the patient.
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| 18. |
- Larsson, Kjerstin, 1952-
(författare)
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Alkoholprogrammet Drick mindre
- 2007
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Ingår i: Alkoholprogrammet Drick mindre.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)
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| 19. |
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| 20. |
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| 21. |
- Larsson, Kjerstin, 1952-, et al.
(författare)
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Health social workers' assessments as part of a specialized pain rehabilitation : a clinical data-mining study
- 2019
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Ingår i: Social work in health care. - : Taylor & Francis Group. - 0098-1389 .- 1541-034X. ; 58:10, s. 936-951
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Tidskriftsartikel (refereegranskat)abstract
- This study examines how health social workers (HSW) assess the rehabilitation needs of patients with long-term pain. Data were extracted from 66 patient assessments through a retrieval form based on the International Classification of Functioning, Disability, and Health. The assessments included information about relations, work, and recreation. Stress management, problem solving, self-care, participation in community life, and providing personal care were missing in parts of or all assessments. Differences in assessments suggest that information was registered based on traditional gender roles and age. Therefore, HSW need standardized assessment tools to ensure that assessments are relevant for all patients with long-term pain irrespective of gender or age.
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| 22. |
- Larsson, Kjerstin, 1952-, et al.
(författare)
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Ordinarie hälsokommunikation inom Stockholms län
- 2018
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- En viktig metod för att främja hälsa hos nyanlända migranter är hälsokommunikation på det egna modersmålet. Flera initiativ har tagits för att utveckla hälsokommunikationen med migranter i Sverige. Särskild Hälsokommunikation har införts i flera delar av landet, däribland i Stockholms län. Sedan 2015 är hälsokommunikation integrerad i Samhällsorienteringen i Stockholms län, för de flyktingar som omfattas av etableringslagen.I denna rapport presenteras en utvärdering av utvecklingen av den tidigare etablerade ordinarie hälsokommunikationen som ges av Stockholms läns landstings hälsokommunikatörer i tolv kommuner i länet. Syftet är att utvärdera vilka utvecklingsbehov som finns för den ordinarie hälsokommunikationen.Genom intervjuer med aktörer inom landsting och kommuner har vi undersökt hur de aktuella kommunerna ser på organisation och finansieringsmodeller för ordinarie hälsokommunikation. Vidare har en enkätundersökning bland deltagare i hälsokommunikationen genomförts med syfte att kartlägga vad som kännetecknar deltagarna i den ordinarie hälsokommunikationen utifrån sociodemografiska och hälsorelaterade faktorer.Utvärderingen pekar på flera utvecklingsområden för den ordinarie hälsokommunikationen.Denna hälsokommunikation skulle exempelvis i större utsträckning kunna fördjupas och inriktas mot specifika målgruppers behov. Det finns också utrymme för att utveckla samverkan med andra aktörer som når målgrupperna, såsom Arbetsförmedling, hälso- och sjukvård och socialtjänst, samt att nå manliga migranter och yngre vuxna i större utsträckning.Innehåll och metodik kan anpassat till målgruppens bristande hälsolitteracitet, d.v.s. förmåga att få tag på, förstå, värdera och använda sig av hälsoinformation. Det finns även ett intresse av att utveckla den lokala förankringen av verksamheten, samtidigt som den centrala samordningen och stödet har en viktig funktion. Rollfördelningen mellan de centrala funktionerna och de lokala aktörerna kan förtydligas och långsiktiga avtal anpassas till detta.
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| 23. |
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| 24. |
- Larsson, Kjerstin, 1952-
(författare)
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Quality of Life and Coping with Ulcerative colitis and Crohn's disease
- 2007
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The aim of this thesis was to investigate health-related quality of life (HRQoL) and coping strategies for individuals with ulcerative colitis (UC) or Crohn’s disease (CD), and to study the effect of a group-based patient information on anxiety/depression and HRQoL. HRQoL and anxiety/depression were investigated (n=492) (Study I). In Study II, anxiety/depression, HRQoL, satisfaction with information and evaluation of the patient information were studied (n=49). Coping with disease activity was investigated in 166 patients reporting current exacerbation (Study III). Fifteen patients were interviewed about disease-related stress, how this is managed and the need of support from the health care (Study IV). Patients with UC reported better HRQoL and less anxiety/depression than did patients with CD during both remission and exacerbation. Satisfaction with information had increased at follow-up 6 months after patient information. The information and the possibility to discuss with lecturers and group members were valued as most important. No change was found in anxiety/depression or HRQoL at follow-up. Both problem-focused and emotion-focused strategies were employed to cope with disease activity, with no difference between patients with UC or CD. The urgent need of toilet availability and stress associated to social situations were the major disease-related stressors. This stress was managed by finding out the location of toilets, bringing toilet paper and extra underwear and emptying bowel before an activity. The patients wanted information and possibilities to talk to experienced staff and to other patients about how to live with the disease. This thesis shows that HRQoL for some patients with UC, and primarily for patients with CD, is impaired. Thus medical staff should be observant of the psychosocial well-being of patients with CD and also of patients with relapse. Methods to identify and support patients with anxiety/depression and poor HRQoL need to be developed. Interventions should target the patient’s specific problems and at appropriate times.
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| 31. |
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| 32. |
- Larsson, Kjerstin, 1952-
(författare)
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Ung Intro : Förrehabiliterande insatser för unga med aktivitetsersättning
- 2020
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- BakgrundMed ekonomiskt stöd av Samordningsförbundet Uppsala län inleddes hösten 2018 arbetet med utveckling av förrehabiliterande insatser riktade till unga med aktivitetsersättning. Uppsala kommun var insatsägare och Arbetsförmedlingen, Försäkringskassan och Region Uppsala var samverkanspartners. En styrgrupp med representanter från de medverkande organisationerna formerades, och projektledare och projektmedarbetare anställdes.Insatsens mål var tvåfaldigt; att utveckla en verksamhet riktad till unga vuxna i behov av stöd att komma i arbete samt att skapa en gemensam plattform för organisationernas arbete med målgruppen. Insatsen beviljades medel t o m juni 2020, och förlängdes efter förnyad ansökan t o m juni 2021.Verksamheten fick namnet Ung Intro och som arbetssätt valdes Case Manager-metodiken i kombination med motiverande samtal. Case Manager-metodiken är en stödmodell där en Case Manager har koordinerande funktion för utredning, planering, insatser och uppföljning. MetodInstitutionen för Folkhälso- och vårdvetenskap vid Uppsala universitet fick uppdraget att genomföra en process- och effektutvärdering i syfte att studera insatsens arbetssätt i relation till dess mål, hinder och möjligheter för samverkan mellan partner och i relation till målgruppen samt att följa deltagarna från start till avslut i insatsen.Data insamlades genom intervjuer vid tre tillfällen med Ung Intros medarbetare och styrgrupp. Vid två tillfällen intervjuades även berörda medarbetare vid Arbetsförmedling och Försäkringskassa. Dessutom tillkom projektdokumentation i form av styrgruppens minnesanteckningar, Ung Intros kvartalsrapporter till Samordningsförbundet Uppsala län och enkäter till insatsens deltagare vid inklusion och avslut. Data analyserades med kvalitativa och kvantitativa metoder, sammanställdes och återfördes till projektets styrgrupp.Uppsala universitet hade även uppdrag att bidra till diskussion och planering av eventuell implementering av insatsen.ResultatUng Intros medarbetare hade utbildningar av relevans för både arbetet med målgruppen och utvecklingen av en ny verksamhet. Fokus på individens behov, önskemål och resurser samt arbetssättet med Case Management i kombination med motiverande samtal ansågs skapa nytta för både Ung Intros deltagare och dess samverkanspartners.Ett antal oklarheter och brister identifierades under intervjuerna, av vilka några var kvarstående även vid den tredje intervjuomgången. Oklarheterna rörde tidpunkt för när gemensam kartläggning ska genomföras, tidpunkt för när deltagare ska skrivas in i det förstärkta samarbetet mellan Arbetsförmedling och Försäkringskassa samt Arbetsförmedlingens roll för Ung Intros deltagare. Bland de identifierade bristerna var långa väntetider för utredning och behandling och bristande kontinuitet på grund av byten av personal inom organisationerna. Genom regelbundna möten har Ung Intros medarbetare och handläggare från Arbetsförmedling och Försäkringskassa fått förståelse och respekt för varandras uppdrag och arbetssätt, vilket underlättar deras samverkan i arbetet med deltagarna. Samverkan mellan organisationerna försvåras däremot av deras olika prioriteringar och regelverk.För de av Ung Intros deltagare som besvarade både inklusions- och avslutsenkät framkom förbättringar avseende self-efficacy och självskattad hälsa vid avslutat deltagande i insatsen. Det är faktorer som är betydelsefulla för återgång i arbete och inträde på arbetsmarknaden.Insatsen har en fungerande styrgrupp med relevanta och engagerade representanter från de medverkande organisationerna. Det framkom dock svårigheter att förankra och implementera beslut som fattats av styrgruppen i organisationernas ordinarie arbete, vilket medfört oklarheter kring vilka rutiner som gäller.De diskussioner kring implementering av verksamhet eller rutiner som påbörjades hösten 2019 pågår fortfarande vid denna rapports skrivande. Inget resultat av implementeringsprocessen kan därför redovisas här men projektets förlängning ger möjlighet till fortsatt arbete kring implementeringen. MetoddiskussionAnvändning av enkäter för uppföljning av Ung Intros deltagare var tidsmässigt krävande för medarbetarna och endast sex personer valde att besvara både inklusions- och avslutsenkät. Övriga metoder för datainsamling (intervjuer och dokumentation) genomfördes utan större problem. Det blev dock allt svårare att samla styrgruppens medlemmar, bl a orsakat av Corona-pandemin, vilket försenade den tredje intervju-omgången samt förhindrade återföring av resultatet av dessa intervjuer. SlutsatserDet finns stöd i forskningen inom området för Ung Intros arbetssätt med utgångspunkt i individens behov, Case Managers med koordinerande uppgifter och ansvar samt insatser i form av arbets- och/eller studierelaterade aktiviteter i kombination med psykosociala stödsamtal och social träning.Regelbundna möten mellan Ung Intros medarbetare och medarbetare vid de medverkande organisationerna bör stödjas och prioriteras för att stärka en långsiktigt hållbar samverkan dem emellan.Self-efficacy och hälsa är faktorer som har betydelse för återgång i arbete/inträde på arbetsmarknaden. För de personer som besvarade enkät vid avslut av Ung Intro, framkom högre nivåer av self-efficacy och förbättrad självskattad hälsa jämfört med i den enkät som besvarades vid inklusion.Om styrgruppen har mandat för att fatta beslut som rör arbetet i de egna organisationerna, bör strategier tas fram för hur rutiner som beslutats i styrgruppen ska förankras och implementeras som rutin i organisationernas ordinarie arbete. Fortsatt arbete behövs för att besluta vad som ska implementeras i ordinarie verksamhet och hur detta ska ske för att bli långsiktigt hållbart. Eftersom insatsen har en fungerande styrgrupp, som har skapat kontakter mellan organisationerna, bör den kunna användas som pådrivande kraft för det arbetet.Det behövs även fortsatt arbete för att uppnå insatsmålen, d v s att etablera rutiner och skapa överenskommelser på strukturell nivå mellan parterna för arbetet med målgruppen. Det kan göras under den förlängning som insatsen beviljats.
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| 33. |
- Larsson, Kjerstin, 1952-, et al.
(författare)
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Utvärdering av Ordinarie hälsokommunikation till migranter inom Stockholms läns landsting: en kvalitativ studie
- 2019
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Ingår i: Socialmedicinsk Tidskrift. - : Socialmedicinsk Tidskrift. - 0037-833X. ; 96:1, s. 77-84
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Tidskriftsartikel (refereegranskat)abstract
- Ordinarie hälsokommunikation inom Stockholms läns landsting har utvärderats genom 10 intervjuer med aktörer inom landstinget och aktuella kommuner. I artikeln redovisas resultatet av intervjuerna samt av en workshop för berörda aktörer där resultat diskuterades. Studien visar att informanterna uppfattar den ordinarie hälsokommunikation som givande för deltagarna men för att fler personer ska få tillgång till aktiviteten behöver vissa problem diskutera och adresseras. Detta gäller organisationsform och finansieringsmodeller, att utveckla samarbete med övriga aktörer och myndigheter samt att utveckla information till personal vid aktuella myndigheter, till länets kommuner samt till de personer som inbjuds till aktiviteten. Fortsatt forskning bör även undersöka deltagarnas åsikter och erfarenheter av denna hälsokommunikationen.
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| 34. |
- Lejelind, Eva, et al.
(författare)
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Condom use among Swedes while traveling internationally: A qualitative descriptive study
- 2017
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Ingår i: Nursing and Health Sciences. - : Wiley. - 1441-0745 .- 1442-2018. ; 19:2, s. 257-263
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Tidskriftsartikel (refereegranskat)abstract
- This study explores factors influencing condom use among Swedish women and men who visited a sexual health clinic after unprotected sex during international travel. Semi-structured interviews were conducted with 25 women and 25 men. The data were analyzed using conventional content analysis. The informants' narratives were categorized as strategies and barriers. Strategies found were: risk assessment, testing, and treatment for sexually transmitted infections. The barriers were characterized as technical and personal or emotional. The findings indicate that sexual behavior may be different while traveling internationally, and that a release of social constraints and increased alcohol consumption were risk factors for practicing unprotected sex. Some of the strategies may be appropriate for the prevention of sexually transmitted infections, but several strategies and most barriers were used to explain why unprotected sex was practiced. Thus, people need the opportunity to reconsider strategies and strengthen confidence in their ability to use condoms. An individual-based approach employed within routine health care may support the practice of safer sex and prevent further transmission of sexually transmitted infections.
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- Lytsy, Per, et al.
(författare)
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Health in women on long-term sick leave because of pain or mental illness
- 2015
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Ingår i: International Journal of Rehabilitation Research. - 0342-5282 .- 1473-5660. ; 38:1, s. 27-33
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Tidskriftsartikel (refereegranskat)abstract
- Mental illness and pain are common causes of long-term sick absence and major difficulties in vocational rehabilitation. The aim of this study was to investigate health in a group of women with pain or mental illness who had exhausted their days of sickness benefit. This cross-sectional study uses baseline data from 355 women on long-term sick leave participating in controlled intervention studies aiming at returning to work. The study population filled in a written questionnaire with questions of self-rated health and sleep quality and validated indexes of mental health, satisfaction with life and general self-efficacy. Clinical psychiatric screening was performed on 230 individuals. The study population had a mean age of 48.8 years (SD 8.4), with an average time on sick leave of 7.8 years (SD 3.2). Self-rated health and sleep quality was poor compared with other populations. In all, 80.1% had at least one psychiatric diagnosis according to the psychiatric screening, and the average numbers of psychiatric diagnoses were 2.2 (SD 1.9). Foreign-born women showed significantly higher levels of mental illness, poorer self-rated health and sleep quality and lower self-efficacy and life satisfaction than native Swedish women. Women with long sick leave because of mental illness and/or pain have poor self-rated health and sleep quality, high prevalence of mental illness and low self-efficacy and life satisfaction. Psychiatric screening suggests more extensive mental illness than what was stated on the sick leave certificates. The health of foreign-born women seems to be worse than that of native Swedish women.
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