| 1. |
- Bräutigam Ewe, Marie, et al.
(författare)
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Characteristics of patients seeking a health promotion and weight reduction program in primary care
- 2019
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Ingår i: Journal of Multidisciplinary Healthcare. - Macclesfield : Dove Medical Press (Dovepress). - 1178-2390. ; 12, s. 235-242
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: An important task in primary health care (PHC) is to address lifestyle-related diseases. Overweight (OW) individuals make up a large proportion of PHC patients, and they increasingly have lifestyle-related illnesses that influence their quality of life. Structured health promotion and weight reduction programs could help these patients. The objective of this study was to explore the characteristics, lifestyle habits, and health conditions of individuals seeking a health promotion and weight reduction program in PHC.Patients and methods: The study involved a comparative cross-sectional design performed in PHC in southwestern Sweden. The study population comprised 286 participants (231 women, aged 40–65 years, body mass index [BMI] 28–35 kg/m2) who were recruited between March 2011 and April 2014 to the 2-year program by adverts in local newspapers and recruitment from three PHC centers. Two reference populations were used: a general population group and an OW group. The study population data were collected using a questionnaire, with validated questions regarding health, lifestyle, illnesses, and health care utilization.Results: People seeking a health promotion and weight reduction program were mostly women. They had a higher education level and experienced worse general health than the OW population, and they visited PHC more frequently than both reference groups. They also felt more stressed, humiliated, had more body pain, and smoked less compared to the general population. However, they did not exercise less or had a lower intake of fruits and vegetables than either reference population.Conclusion: Individuals seeking a weight reduction program were mostly women with a higher education level and a worse general health than the OW population. They used more health care services compared to the reference groups.
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| 2. |
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| 3. |
- Bräutigam-Ewe, Marie, et al.
(författare)
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Dietary advice on prescription: experiences with a weight reduction programme
- 2017
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Ingår i: Journal of Clinical Nursing. - Chichester : Wiley. - 0962-1067 .- 1365-2702. ; 26:5-6, s. 795-804
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Tidskriftsartikel (refereegranskat)abstract
- Aims and objectivesTo describe overweight persons' experiences with weight reduction and participation in the dietary advice on prescription. BackgroundApproximately 20% of overweight individuals are able to successfully lose weight. Experiences from earlier weight reduction programmes indicate that those who succeed typically manage to avoid overeating to handle stress and have high motivation to lose weight. Those who fail have low self-control and engage in negative health behaviours such as eating when experiencing negative emotions and stress. DesignThe study used a descriptive qualitative design and was conducted at a Primary Health Care Centre in south-west Sweden. MethodsThe first nineteen study participants who completed the weight reduction programme in two years responded in writing to five open questions about their experiences with the programme. Data were analysed using inductive content analysis. ResultsThe participants appreciated the face-to-face meetings with the nurse because they felt seen and listened to during these sessions. They also felt their life situations and self-discipline had an impact on how well they were able to follow the programme. Dietary advice on prescription advice was considered to be helpful for achieving behavioural changes and losing weight. People who succeeded in sustainably losing weight described the importance of support from partners or close friends. ConclusionsTo achieve sustainable weight reduction, it is important to individualise the programme in order to address each person's life situation and the unique difficulties they may encounter. Relevance to clinical practiceMotivational interviewing appears to be a good technique for developing a successful relationship between the nurse and the patient. The dietary advice on prescription advice was perceived to be a good way to improve food habits and can easily be used at many Primary Health Care Centres. Patient's partners should also be offered the opportunity to participate in the programme.
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| 4. |
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| 5. |
- Bräutigam-Ewe, Marie, et al.
(författare)
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Two-year weight, risk and health factor outcomes of a weight-reduction intervention programme : Primary prevention for overweight in a multicentre primary healthcare setting
- 2020
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Ingår i: Scandinavian Journal of Primary Health Care. - Abingdon : Taylor & Francis Group. - 0281-3432 .- 1502-7724. ; 38:2, s. 192-200
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To study the long-term effects of weight reduction, quality of life and sense of coherence in a primary health care (PHC)-based programme with two different intensities. Design: Prospective two-armed randomised intervention. Setting: Three PHC centres in south west of Sweden. Subjects: In total, 289 women and men aged 40-65 years with a BMI of 28-35 were recruited for a two-year weight-reduction programme. Participants were randomized to high-intensity or low-intensity groups. Blood samples, physical measurements and questionnaires were analysed. Participants received cookbooks and dietary lectures. The high-intensity group also received Motivational interviewing (MI), dietary advice on prescription (DAP- advice), a grocery store lecture, a website and weekly e-mails. Main outcome measures: Weight, quality of life, risks and health factors. Results: In total, 182 (64%) participants completed the 2-year follow-up. The total sample reduced their weight by 1 kg (p = 0.006). No significant differences regarding weight were found between the groups. Anxiety/depression decreased in EQ5-D (p = 0.021), EQ5-D VAS (p = 0.002) and SOC (p = 0.042). Between the groups, there were significant differences in EQ5-D usual activities (p = 0.004), anxiety/depression (p = 0.013), pain/discomfort (p = 0.041), fruit and vegetables (p = 0.005), HLV anxiety (p = 0.005), and visits to nurses (p = 0.012). Conclusion: The total population lost weight, and the high-intensity and low-intensity programmes did not result in significant differences in terms of weight. The high-intensity programme reported health benefits linked to lower levels of anxiety and depression, increased activity and intake of greens and reduced visits to physicians and nurses.Key points Both groups had a consisting weight- reduction after two years. High intensity did not lead to a significant difference in weight reduction between the groups. The high-intensity group reported more health effects, such as better quality of life, reduced anxiety, and increased greenery intake. It is unknown how much support patients in a weight- reduction programme in PHC require to succeed with weight loss and a healthy lifestyle. © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
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| 6. |
- Malmström, Nina, et al.
(författare)
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"Womanhood," a shared experience of participating in a lifestyle intervention with a focus on integration and physical activity to promote health among pregnant women : perspectives from pregnant women, midwives, and cultural interpreter doulas
- 2022
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Ingår i: International Journal of Qualitative Studies on Health and Well-being. - Abingdon : Taylor & Francis. - 1748-2623 .- 1748-2631. ; 17:1
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: Migrating women, have an overall increased risk of adverse outcomes and poorer health during pregnancy and childbirth. In addition, they do not participate in planned antenatal care to the same extent as natives. These disparities among migrants and native pregnant women point to the need for interventions to improve equal health and care during pregnancy and childbirth. This study aimed to explore the experiences of participating in a lifestyle intervention, named “Dancing for birth,” focusing on integration and physical activity, from the perspectives of the participating pregnant women, midwives, and cultural interpreter doulas.Method: Qualitative interviews were conducted from March 2019 to December 2020, with ten women who participated in a lifestyle intervention in Sweden: four pregnant women, three midwives, and three cultural interpreter doulas. Thematic analysis was used to analyse the data.Results: The lifestyle intervention ”Dancing for birth” provided positive shared Health-promoting experiences among the participants with social inclusivness and a commitment to supporting each other. This seemed to encourage the sense of strength as a woman- a strengthboth for the individual woman and as a kind of women´s power.Conclusions: Interventions targeting physical activity, social inclusiveness, and health literacy are of utmost importance in promoting positive pregnancy experiences and equal healthcare during pregnancy. Further research is needed on how to implement antenatal education that includes all women in society. © 2022 The Author(s).
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| 7. |
- Zimmerman Nilsson, Marie-Helene, 1967-, et al.
(författare)
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Health and Well-being Among Immigrated Women in Higher Education : An Integrative Literature Review
- 2023
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Background: Society in general and higher education in particular need to find constructive strategies for the partly changed situation that the multicultural society entails. A successful integration promotes health and a new identity in the new society. Immigrant women´s experiences show aspects that influence their well-being and inclusion in society. Immigrant women encounter many barriers and are a group at high risk of marginalization in higher education. Hence, increased insight into immigration research is significant for the organization of higher education, especially focusing on women´s health and well-being within this area.Purpose of the study: The purpose is to provide an overview of experienced health and well-being among immigrant women in the context of higher education and the possible facilitators and barriers they encounter.Methods: This study was designed as an integrative literature review. Databases were searched for international scientific articles. The final material comprised 14 empirical articles published in peer-reviewed journals. Also, a manual search was conducted, involving checking reference lists of the collected articles.Findings: The findings showed that immigrant women in higher education are perseverant. According to women’s experiences, higher education studies challenged traditional gender roles and created tensions. The women described stress and anxiety during their studiesConclusion: Several problematic aspects related to health and well-being were evident for immigrant women in higher education, while possible facilitators appeared to be less prominent and need further exploration.
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| 8. |
- Zimmerman Nilsson, Marie-Helene, 1967-, et al.
(författare)
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Health and Well-being Among Immigrated Women in Higher Education : An Integrative Literature Review
- 2023
-
Konferensbidrag (refereegranskat)abstract
- Background: Society in general and higher education in particular need to find constructive strategies for the partly changed situation that the multicultural society entails. A successful integration promotes health and a new identity in the new society. Immigrant women´s experiences show aspects that influence their well-being and inclusion in society. Immigrant women encounter many barriers and are a group at high risk of marginalization in higher education. Hence, increased insight into immigration research is significant for the organization of higher education, especially focusing on women´s health and well-being within this area.Purpose of the study: The purpose is to provide an overview of experienced health and well-being among immigrant women in the context of higher education and the possible facilitators and barriers they encounter.Methods: This study was designed as an integrative literature review. Databases were searched for international scientific articles. The final material comprised 14 empirical articles published in peer-reviewed journals. Also, a manual search was conducted, involving checking reference lists of the collected articles.Findings: The findings showed that immigrant women in higher education are perseverant. According to women’s experiences, higher education studies challenged traditional gender roles and created tensions. The women described stress and anxiety during their studies.Conclusion: Several problematic aspects related to health and well-being were evident for immigrant women in higher education, while possible facilitators appeared to be less prominent and need further exploration.
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| 9. |
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| 10. |
- Bittlingmayer, Uwe H., et al.
(författare)
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Health Promotion of Refugees – Empirical Evidence from Approaches in two European Countries
- 2019
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Ingår i: 9th Nordic Health Promotion Research Conference. ; , s. 39-40
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Konferensbidrag (refereegranskat)abstract
- The migration of many people to European countries in the last years created various challenges and evoked diverse responses. But rarely, lessons learned and good practice for health promotion interventions are exchanged between countries nor common solutions sought. In this workshop, we will shed light on the health situations of refugees in Sweden and Germany, and present four research projects regarding the health of refugees.Initially, we will outline the situation for refugees in the two countries generally, provide ample evidence on the health needs and particular burden of refugees, and discuss the increasing influence of racism. Finally, we will discuss the issue health promotion of refugees, needs, approaches, limitations.
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| 11. |
- Bräutigam-Ewe, Marie, et al.
(författare)
-
Characteristics of patients seeking a health promotion and weight reduction program in primary care
- 2019
-
Ingår i: Journal of Multidisciplinary Healthcare. - 1178-2390. ; 12, s. 235-242
-
Tidskriftsartikel (refereegranskat)abstract
- Purpose: An important task in primary health care (PHC) is to address lifestyle-related diseases. Overweight (OW) individuals make up a large proportion of PHC patients, and they increasingly have lifestyle-related illnesses that influence their quality of life. Structured health promotion and weight reduction programs could help these patients. The objective of this study was to explore the characteristics, lifestyle habits, and health conditions of individuals seeking a health promotion and weight reduction program in PHC. Patients and methods: The study involved a comparative cross-sectional design performed in PHC in southwestern Sweden. The study population comprised 286 participants (231 women, aged 40-65 years, body mass index [BMI] 28-35 kg/m(2)) who were recruited between March 2011 and April 2014 to the 2-year program by adverts in local newspapers and recruitment from three PHC centers. Two reference populations were used: a general population group and an OW group. The study population data were collected using a questionnaire, with validated questions regarding health, lifestyle, illnesses, and health care utilization. Results: People seeking a health promotion and weight reduction program were mostly women. They had a higher education level and experienced worse general health than the OW population, and they visited PHC more frequently than both reference groups. They also felt more stressed, humiliated, had more body pain, and smoked less compared to the general population. However, they did not exercise less or had a lower intake of fruits and vegetables than either reference population. Conclusion: Individuals seeking a weight reduction program were mostly women with a higher education level and a worse general health than the OW population. They used more health care services compared to the reference groups.
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| 12. |
- Fransson, Louise, et al.
(författare)
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Managers' experiences of promoting employees' health and work environment from a salutogenic perspective during organizational change
- 2022
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Ingår i: International Journal of Workplace Health Management. - Bingley : Emerald Group Publishing Limited. - 1753-8351 .- 1753-836X. ; 16:1, s. 75-88
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: This study aims to describe the managers' experiences of promoting employees' health and work environment from a salutogenic perspective during an organizational change. Design/methodology/approach: Ten managers going through an organizational change, including three men and seven women. The managers belonged to the same management team and was participating in discussions with researchers regarding organizational changes. The managers were between the age of 32 and 59 and had between one and 25 years of experience in a managerial position. Semi-structured interviews were conducted, and the analysis was performed using qualitative content analysis with an abductive approach. Findings: The experiences from the managers were described, and during the analysis, six categories emerged. The categories were about the salutogenic theory sense of coherence, and therefore, the categories were placed in the domains comprehensibility, manageability and meaningfulness. In the domain comprehensibility, two categories emerged in the analysis; transparent managers create an understandable change and continuous information contributes to comprehensibility. In the domain manageability, two categories emerged in the analysis; clear structure provides manageable change and balance between requirements and expectations provides manageable change. In the domain meaningfulness, two categories emerged in the analysis; an open conversational climate creates meaningful participation and common consensus contributes to meaningfulness in work. Originality/value: This study highlights what it is like to be a manager during an organizational change and describes how employees' health and work environment can be promoted. By being clear with information about the change and being transparent in what is happening, an opportunity is created to promote good health among employees during the change period. © 2022, Emerald Publishing Limited.
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| 13. |
- Fridén, Linda, 1973-, et al.
(författare)
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Experiences of a Therapeutic Equine-Assisted Group Intervention for People with Common Mental Disorders on Sick-Leave
- 2024
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Ingår i: Issues in Mental Health Nursing. - Philadelphia, PA : TAYLOR & FRANCIS INC. - 0161-2840 .- 1096-4673.
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Tidskriftsartikel (refereegranskat)abstract
- Common mental disorders such as anxiety, depression and stress-related disorders are increasing worldwide, resulting in long-term sick leave and lower quality of life. Traditional treatment is often insufficient to facilitate the recovery process, and the need for holistic interventions that enable successful recovery is evident. Equine-assisted interventions have shown promising results in health promotion among people with mental disorders, and further research is needed to implement them within the range of available care. The aim of the study is therefore to describe experiences of a therapeutic equine-assisted group intervention for people with common mental disorders on sick leave. The study has a descriptive qualitative design with an inductive approach. Ten participants with common mental disorders on sick leave were interviewed after participating in a 12-week equine-assisted intervention and the data were analysed with conventional content analysis. The analysis generated the overall theme "The equine-assisted group intervention facilitates recovery," which summons the four categories "The environment of the horses contributes to relaxation and an ability to be in the present," "The presence of the horses facilitates supportive relationships in the group," "Interplay with the horses entails physical activity and bodily improvements" and "Emotional interactions with the horses strengthen inner power." In conclusion, equine-assisted interventions have the potential to facilitate recovery for people with common mental disorders by providing relaxation, promoting the ability to be in the present, cultivating supportive relationships and providing physical activity and bodily improvements as well as emotional interactions that strengthen the participants' inner power.
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| 14. |
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| 15. |
- Fridén, Linda, 1973-, et al.
(författare)
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Relatives’ experiences of an equine-assisted intervention for people with psychotic disorders
- 2022
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Ingår i: International Journal of Qualitative Studies on Health and Well-being. - Abingdon : Taylor & Francis. - 1748-2623 .- 1748-2631. ; 17:1
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: The aim of this study was to describe relatives’ experiences of an equine-assisted intervention for people with psychotic disorders.Methods: The study has a qualitative and descriptive design. Ten semi-structured interviews were performed with relatives of people with a psychotic disorder who had participated in an equine-assisted intervention. A conventional content analysis was used to analyse the data.Result: The overall category “Being with the horses strengthens health capabilities” summarizes the four identified subcategories “The horses contribute to a context with a common focus”, “Interaction with the horses enhances self-confidence and motivation”, “The interplay with the horses nurtures positive emotions” and “Being with the horses encourages physical activity”.Conclusions: The result of this study contributes to the growing body of research about the potential outcomes of equine-assisted interventions. The result also indicates that equine-assisted interventions may improve health capabilities among people with psychotic disorders. The generated knowledge may be useful in mental health services when developing equine-assisted interventions. © 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
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| 16. |
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| 17. |
- Haraldsson, Katarina, 1958, et al.
(författare)
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Evaluation of a school-based health promotion programme for adolescents aged 12-15 years with focus on well-being related to stress.
- 2008
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Ingår i: Public health. - London : Elsevier BV. - 0033-3506 .- 1476-5616. ; 122:1, s. 25-33
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: The aim of this study was to evaluate a school-based adolescent health promotion programme with focus on well-being related to stress. STUDY DESIGN: Interventional and evaluative with tests before and after the intervention. The study was performed in two secondary schools in a town on the west coast of Sweden. METHODS: A health promotion programme comprising massage and mental training was implemented for a single academic year in one school (intervention school, 153 participants) in order to strengthen and maintain well-being. No intervention was implemented in the other school (non-intervention school, 287 participants). A questionnaire was developed and tested, resulting in 23 items distributed across the following six areas: self-reliance; leisure time; being an outsider; general and home satisfaction; school satisfaction; and school environment. RESULTS: A pre- and postintervention comparison of the six areas was made within each school. In the intervention school, the boys maintained a very good or good sense of well-being related to stress in all six areas, while the girls' sense of well-being was maintained in five areas and deteriorated in one area. In the non-intervention school, the boys maintained a very good or good sense of well-being related to stress in four areas and deteriorated in two areas, while the girls' sense of well-being was maintained in two areas and deteriorated in four areas. CONCLUSION: Massage and mental training helped to maintain adolescents' very good or good sense of well-being related to stress. A questionnaire with acceptable validity and reliability was developed and tested in order to evaluate the health promotional approach. However, there is a need for further study to develop both the intervention and the questionnaire for young people.
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| 18. |
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| 19. |
- Karlsson, Louise, 1989-, et al.
(författare)
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Taking control of one's everyday life - a qualitative study of experiences described by participants in an occupational intervention
- 2023
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Ingår i: BMC Public Health. - London : BioMed Central (BMC). - 1471-2458. ; 23:1
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Sick leave due to stress-related ill-health is increasing and is often caused by occupational imbalance. These types of issues tend to affect both the ability to work and cope with everyday life, as well as the overall experience of health, negatively. There is still little knowledge on how to prepare people and workplaces for the return-to-work process after participation in a work rehabilitation program due to stress and occupational ill-health. Therefore, this study aimed to describe what is needed to achieve a balanced everyday life that includes paid work as experienced by individuals who had participated in a ReDO® intervention due to occupational imbalance and ill-health. METHODS: The concluding notes from 54 informants' medical records were used for qualitative content analysis. The informants had participated in an occupational therapy group intervention to promote occupational health and regain full work capacity. RESULTS: The analysis resulted in one major theme and four categories describing how the informants perceive that they must take control of their everyday life as a whole. By doing so, they need to work with structurization and prioritization, social interaction, boundary setting, and occupational meaningfulness. CONCLUSION: The study indicates a highly relational process, where it is impossible to divide life into private and work, and presupposes balance in everyday life in multiple dimensions. Its contribution includes the formulation of perceived needs in the transition between intervention and return to work and could, through further research, be used to generate a more effective and sustainable return- and rehabilitation models. © 2023. The Author(s).
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| 20. |
- Karlsson, Louise, 1989-, et al.
(författare)
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What if we should add activites rather than scale them down during stress-related ill-health to promote health?
- 2023
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Ingår i: 10th Nordic Health Promotion Research Conference. Sustainability and the impact on health and well-being. - Halmstad : Halmstad University Press. - 9789189587410 ; , s. 34-34
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Introduction: Stress-related ill-health is one of the fastest-growing reasons for sick leave and an extensive societal problem. It affects the individual, the workplace, and society at large. People can experience stress in all areas of everyday life and often cope by stopping prioritizing themselves. Agenda 2030 third goal aims to promote good health and well-being for all and ensure people's opportunity to reach their full potential and contribute to society's development. However, the focus is often on interventions to rehabilitate people back from ill health, not to promote their health.The aim was to explore what the risk factors, and what promotes well-being in people with stress-related ill-health from both a work and everyday perspective.Method Through mixed methods with both quantitative tree analysis of 218 people before entering a work rehabilitation program, and qualitative content analysis of concluding notes of 54 people after the intervention a compilation was made. Results The findings of the studies show a highly relational process, where it is impossible to divide life into private and work, and presupposes balance in everyday life in multiple dimensions. It also indicates that risk factors aren’t about gender, age, or education- but about complex occupational patterns in daily life and a lack of social context.Conclusion: Work and everyday life are highly intertwined. Perhaps the key to promoting our health and preventing stress-related ill-health is not to scale down on occupations and sleep more, but to add more meaningful occupations that give us a sense of participation and fellowship.
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| 21. |
- Kristén, Lars, 1956-, et al.
(författare)
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Children with neurodevelopmental disorder participating in an intervention -physical activity on prescription (PAP) : parent's reasoning about their children's participation in sport
- 2023
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Ingår i: European Journal of Adapted Physical Activity. - Olomouc : European Federation of Adapted Physical Activity. - 1803-3857. ; 16, s. 1-17
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Tidskriftsartikel (refereegranskat)abstract
- Children with disabilities engage less in physical activity and sports during their spare time compared to their peers without disabilities. Modern sports, contextual factors, and parents’ fear of discrimination have been discussed as barriers to participation. The aim of this study is to describe parents’ experiences of their child with neurodevelopmental disorders (NDD) participating in a PAP intervention. The intervention involved a Child and Adolescent Psychiatry outpatient clinic (CAP), the Regional Sport Federation, and local sport clubs in the southwestern region of Sweden. A sample of 13 parents took part in semi-structured interviews, and qualitative content analysis was used for data analysis. The analysis resulted in three main categories, including sub-categories. By being part of a collaboration, the parents experienced two different worlds coming together, the CAP and the sport world, and they were also aware of the collaboration’s organisation and need for resources. In growing with sports, the parents described that treating the children with respect involved learning sports from the child’s condition and creating a social space for them. Regarding individual motivation for participating in sports, the parents expressed that the children felt proud to be part of the PAP intervention and experienced a sense of belonging in the group with the other children. The study highlights perspectives for developing sports for all in local sport clubs and improving sports as part of the CAP care for children with NDD. © 2023 by the authors.
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| 22. |
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| 23. |
- Lydell, Marie C, 1961, et al.
(författare)
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Predictive factors for work capacity in patients with musculoskeletal disorders.
- 2005
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Ingår i: Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine. - Oslo, Norway : Taylor & Francis. - 1650-1977 .- 1651-2081. ; 37:5, s. 281-5
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To identify predictive factors for work capacity in patients with musculoskeletal disorders. DESIGN: A descriptive, evaluative, quantitative study. SUBJECTS/PATIENTS: The study was based on 385 patients who participated in a rehabilitation programme. METHODS: Patients were divided into 2 groups depending on their ability to work. The groups were compared with each other with regard to sociodemographic factors, diagnoses, disability pension and number of sick days. The patient's level of exercise habits, ability to undertake activities, physical capacity, pain and quality of life were compared further using logistic regression analysis. RESULTS: Predictive factors for work capacity, such as ability to undertake activities, quality of life and fitness on exercise, were identified as important independent factors. Other well-known factors, i.e. gender, age, education, pain and earlier sickness certification periods, were also identified. Factors that were not significantly different between the groups were employment status, profession, diagnosis and levels of exercise habits. CONCLUSION: Identifying predictors for ability to return to work is an essential task for deciding on suitable individual rehabilitation. This study identified new predictive factors, such as ability to undertake activities, quality of life and fitness on exercise.
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| 24. |
- Lydell, Marie C, 1961, et al.
(författare)
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Predictive factors of sustained return to work for persons with musculoskeletal disorders who participated in rehabilitation.
- 2009
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Ingår i: Work (Reading, Mass.). - Amsterdam : IOS Press. - 1051-9815 .- 1875-9270. ; 33:3, s. 317-328
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Tidskriftsartikel (refereegranskat)abstract
- Musculoskeletal disorders (MSD) account for the majority of total morbidity cases in the working-age Swedish population. These disorders are thought to be the reason given for one-third of total certified sick leave requests. In addition to the high cost to society, MSD involve both physical and emotional suffering, pain and financial and social problems for the injured persons. The aim of this study was to identify predictive multidimensional factors for sustainable return to work (RTW) in a long-term follow-up persons with MSD. During the period 1992-1999, 385 persons participated in a rehabilitation program. Ten years later, 354 of these took part in a prospective follow-up study. The average post-rehabilitation time was ten years (range=7-13 years) and 243 persons (69%) completed a questionnaire. The "working full-time" group (n=110) and the "sick-listed" group (n=73) were included in the study. The two groups were compared in terms of predictors for RTW. Multiple stepwise logistic regression and bivariate analysis, as well as parametric and non-parametric tests, were used to identify predictive factors. The number of sick-listed days before rehabilitation, age, self-rated pain, life events, gender, physical capacity, self-rated functional capacity, educational level and light physical labor were predictors of long-term RTW. Return to work an be facilitated by planning at an early stage of the certified sick leave period using instrument that take these predictors into account.
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| 25. |
- Lydell, Marie C, 1961, et al.
(författare)
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Return or no return - psychosocial factors related to sick leave in persons with musculoskeletal disorders: a prospective cohort study.
- 2011
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Ingår i: Disability and rehabilitation. - Abingdon : Informa UK Limited. - 1464-5165 .- 0963-8288. ; 33:8, s. 661-666
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Tidskriftsartikel (refereegranskat)abstract
- Purpose. The aim of this study was to compare psychosocial factors between healthy persons and sick-listed persons with musculoskeletal disorders (MSD); both groups with MSD 10 years ago. Methods. This cohort study was prospective and 385 persons participated in a rehabilitation program 10 years ago, and 354 persons took part in the follow-up. Of these, 243 persons completed a questionnaire. Two groups were included in the study: a healthy group (not sick-listed) (n = 112) and a sick-listed group (n = 74). Psychosocial factors related to sick leave were compared between the groups. Results. In the 10-year follow-up, the healthy group showed a significantly higher quality of life, more control over the working situation, better sense of coherence and unexpectedly more life events. There was no significant difference in social integration and emotional support between the groups. Conclusions. Using the knowledge about the characteristics of the healthy group, adequate rehabilitation for every sick-listed person with a musculoskeletal disorder can be given and therefore facilitate the returning to work process. A multidimensional approach taking into account a person's physical condition and workplace related problems, as well as psychosocial factors, is of great importance for the person and for society.
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| 26. |
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| 27. |
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| 28. |
- Lydell, Marie, 1961-, et al.
(författare)
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Future challenges for occupational health services can be prevented by proactive collaboration with the companies using the services : a participatory and reflection project
- 2017
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Ingår i: Journal of Multidisciplinary Healthcare. - Macclesfield : Dove Medical Press Ltd. (Dovepress). - 1178-2390. ; 10, s. 217-225
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Tidskriftsartikel (refereegranskat)abstract
- Background: There is clearly a need for research in the field of occupational health service (OHS) for applying new perspectives. Proactive collaboration is needed between the OHSs and the companies. The customers of the companies using the services should be able to safeguard themselves from the health problems caused by the work environment through proactive collaboration with the OHSs.Objective: The main purpose of this interdisciplinary study was to explore how the stakeholders reflected to create and agree on core values for future challenges in OHS, as seen from the perspectives of OHS professionals and customer companies.Methodology: An action research process was conducted. This study was divided into three phases. In phase I, the data were collected from interviews and diaries of interdisciplinary occupational health professionals (n=12). A focus group that sampled the eight managers of the customer companies was also included. In phase II, a questionnaire was developed with 24 questions focusing on examining the future challenges for OHS. The questionnaire was sent to customer companies (n=116). In phase III, a scoping review was undertaken.Results: Three categories emerged from the analysis: “Balancing complex situations” clarified the complexity regarding senior employees; “Working with a proactive approach” indicated the need for working with a new proactive approach supporting sustainable health; and “Collaborate internally and externally” showed good relationships between the customer and the OHS, which is a mutual responsibility to both the partners.Conclusion: The results outlined that it is necessary to take action to apply new proactive health promotions, with a focus on workplace health promotion. The results also indicated that interventions for senior employees are of importance. This study was done in collaboration with the stakeholders from the occupational health care service center and the managers from the customer companies. The use of a participatory research design, including close collaboration with the participants, allows the researchers to see the challenges.
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| 29. |
- Lydell, Marie, 1961-, et al.
(författare)
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Health promotion – future challenges in occupational health services. A mixed method approach
- 2015
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Ingår i: European Journal of Public Health. - Oxford : Oxford University Press. - 1101-1262 .- 1464-360X. ; 25:Suppl. 3, s. 355-355
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundOccupational health services (OHS) are often working from a pathogenic perspective, seeing the customer as a patient. To meet the future challenges in a more holistic way there is a need of changing perspective. The occupational health services must promote health and prevent the problems before they appear.The study will answer the following questions: What experiences do the employees at an OHS have regarding their daily work? What experiences do the employers have regarding the OHS? What challenges do the employers see for the future and how can OHS be supportive?MethodsThis study included a three-stage process; the first stage included qualitative data from diaries, collected during one and a half year, interviews with occupational health professionals (n = 12) in an occupational health service center as well as focus groups interviews with managers of the customer companies affiliated to the occupational health service center. The second stage was a quantitative part with a questionnaire to managers of the customer companies (n = 116) and the third stage will be a review of existing literature in occupational health.ResultsFindings from stage 1, 2 and 3 are presented in three categories:Balancing complex situations was e.g. about the difficulty between loyalty to the client and the company's profits and also that major changes in the workplace are leading to difficulties for many employees. Working with a proactive approach was e.g. about new approaches that are needed in the OHS. Collaborate internal and external showed e.g that more collaboration between companies, OHS and external actors was of importance.Conclusionsa. Change and apply new perspectives in occupational health services.b. There is clearly a need for research in OHS using a comprehensive approach to health promotion.c. There must be interactions between the occupational health services and the management of the customer companies for designing new proactive health promotion interventions.Key messagesIt is significant for occupational health centers taking into account the importance of balancing complex situations, having a proactive approach and collaborating in working lifeTo change perspective and approaches in occupational health centers are of importance in order to meet future challenges in working life© The Author 2015. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.
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| 30. |
- Lydell, Marie, 1961-, et al.
(författare)
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Health promotion partnership to promote physical activity in Swedish children with ASD and ADHD
- 2022
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Ingår i: Health Promotion International. - Oxford : Oxford University Press. - 0957-4824 .- 1460-2245. ; 37:6, s. 1-9
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Tidskriftsartikel (refereegranskat)abstract
- Children with autism spectrum disorder (ASD) or attention-deficit/hyperactivity disorder (ADHD) have a higher risk of inactivity, and efforts to promote physical activity among this population have been limited. Physical activity on prescription (PAP) may be a suitable tool for motivating participation in physical activity among children with these diagnoses. However, PAP calls for synergy and partnership between health care and other sectors of the community. The aim of this study was to describe a health promotion partnership for physical activity targeting children with ASD or ADHD. Data were obtained through individual interviews with professionals at CAP (n = 11) and three focus-group interviews with coaches from local sports clubs. We used the Bergen Model of Collaborative Functioning as the theoretical framework and used qualitative content analysis as the method of analysis to study partnerships between professionals from the Child and Adolescent Psychiatry outpatient clinic (CAP) and coaches from local sport clubs. The findings demonstrate that the partnerships included both positive and negative processes. Although the two partners shared values regarding the project, such as working for a good cause for the children and seeing the potential in the collaboration, there were doubts about sharing common resources and uncertainties about the sustainability of the PAP project. Challenges remain and further research is needed into developing, monitoring and evaluating health promotion partnerships when promoting physical activity for all. © The Author(s) 2022. Published by Oxford University Press.
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| 31. |
- Lydell, Marie, 1961-, et al.
(författare)
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How to Promote Workplace Health in order to Work into Old Age : Experiences from Employees in an Industrial Setting
- 2019
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Ingår i: Scientifica. - New York, NY : Hindawi Publishing Corporation. - 2090-908X. ; 2019
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Tidskriftsartikel (refereegranskat)abstract
- Background. Health is important in workplaces. A good organisational climate in a workplace plays a major role in the employees’ well-being at work and is also associated with increased productivity. Today, employees are expected to work into older age and it is a challenge for companies to promote health and well-being for this growing group. Purpose. The purpose of this study was to explore how to promote workplace health at present time and for the end of working life in the perspective of employees. Design/Methodology/Approach. The study had an explorative design, and a thematic analysis was chosen. The inclusion criteria were persons 50 years and older, working in the company and planning to continue working into old age. A total of 21 coworkers (14 men) participated in the study. Three focus group interviews were conducted. Findings. The results from the focus group interviews are presented in four themes: handle change in a changeable workplace, take responsibility for health concerns, get confirmation for feeling needed, and support and tolerance adapted for each employee. Practical Implications. Promoting health should be an urgent mission for employees themselves as well as for managers in order to support employees in working into old age. The health promotion must be suitable for each employee and should be designed in such a way as to avoid inequality in workplace health. Originality/Value. There is a need for more health-promoting behaviours, support, and activities for employees in order to work into old age.
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| 32. |
- Lydell, Marie, 1961-, et al.
(författare)
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Thoughts and feelings of future working life as a predictor of return to work : a combined qualitative and quantitative study of sick-listed persons with musculoskeletal disorders
- 2011
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Ingår i: Disability and Rehabilitation. - London : Taylor & Francis Group. - 0963-8288 .- 1464-5165. ; 33:13-14, s. 1262-1271
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Tidskriftsartikel (refereegranskat)abstract
- Purpose. The main aim of this study was to describe the thoughts and feelings of future working life related to return to work (RTW) in sick-listed persons due to musculoskeletal disorders (MSD). Further aim was to compare these descriptions with the person’s actual working situation 1, 5 and 10 years after a rehabilitation period.Methods. This study consisted of two parts. The first part had an explorative design, and qualitative content analysis was chosen in order to analyse the response to an open question regarding future working life answered before, persons sick-listed due to MSD (n = 320), took part in a rehabilitation programme 10 years ago. The second part had a prospective design and quantitative analysis was used to compare the results of the qualitative analysis with RTW and the working situation 1, 5 and 10 years after baseline.Results. Three categories emerged from the data with a total of nine subcategories. In the categories Motivation and optimism and Limitations to overcome, there were significantly more persons who had RTW 1 year after baseline when compared with the category Hindrance and hesitation. There were also some significant differences between the subcategories.Conclusions. The question, regarding thoughts and feelings of future working life, may be a simple screening method to predict RTW in persons sick-listed with MSD. This will guide the rehabilitation team to adjust the rehabilitation to each person’s needs and facilitating RTW.
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| 33. |
- Pelters, Pelle, 1972-, et al.
(författare)
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Health-related integration interventions for migrants by civil society organizations: an integrative review
- 2021
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Ingår i: International Journal of Qualitative Studies on Health and Well-Being. - Abingdon : Informa UK Limited. - 1748-2623 .- 1748-2631. ; 16:1
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: Migrants are a vulnerable group concerning health and integration. Civil society organizations are deemed important for the integration and health of migrants and have been encouraged to help. This study explored health and acculturation, as expressed in research into health-related integration interventions for migrant groups provided by civil society organizations. Methods: Databases, journal websites and reference lists were searched in an integrative review. Thirteen articles were found and analysed using concepts of health strategies/perspectives and of acculturation with regard to general and health culture. Results: Studies were divided between two primary spectrums: 1) assimilation-integration and 2) integration-separation spectrum. Spectrum 1 interventions tend to promote assimilation into the present host culture and into a Western view of health. They are mostly driven by representatives of the host culture. Spectrum 2 interventions are characterized by a greater openness concerning the home-culture understandings of health, alongside an appreciation of the home culture in general. They are mostly migrant-driven. Conclusions: The different acculturating approaches in migrant and native-driven civil society organizations call for an awareness of their guiding health and acculturation assumptions and their applied perspectives and strategies. This awareness is considered crucial in order to achieve desired health and acculturation outcomes.
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| 34. |
- Rodgers, Waymond, et al.
(författare)
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Organizing Senior Employees Occupational Health Resource Management Service in Innovation and Entrepreneurial Context
- 2016
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Konferensbidrag (refereegranskat)abstract
- Changing the determinants of health also requires modifying aspects of the settings that has not been done sufficiently in occupational health service. The European Network for workplace health recommended a holistic approach in workplace health promotion including programs concerning individual’s lifestyle and safety management as well as psychosocial and organizational work factors. To this end, we utilize a decision making model that captures the key components of explain how the aging issues pertaining to healthcare employees employ their perception, information, and judgment on decision choices. We collected 116 questionnaire responses from affiliated to the occupational health care center in Sweden. We found that employees’ perception of health care challenges and staffing had a significant impact on their decision choices regarding whether to request, stimulate and collaborate on activities. Finally, our results indicated that aging options related to healthcare issues to request, stimulate and collaborate on activities influence employees’ decision choices.
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| 35. |
- Wiman, Virginia, 1985-, et al.
(författare)
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Views of the workplace as a health promotion arena among managers of small companies
- 2016
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Ingår i: Health Education Journal. - London : Sage Publications. - 0017-8969 .- 1748-8176. ; 75:8, s. 950-960
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Several studies have shown that workplace health promotion leads to better health, increased productivity, as well as reduced absenteeism and presenteeism among employees. The objective of this study was to describe how managers in small companies (10–19 employees) perceive their company as an arena for promoting employees’ health.Method: A sample of 10 managers (four women) was strategically selected. Semi-structured interviews were conducted with each person. Interviews were transcribed and analysed using qualitative content analysis. The analysis focused on both manifest and latent content.Results: Three main categories emerged from the analysis: the potential to promote employees’ health, responsibility as an employer and the need for external support. An arena for workplace health promotion is created when managers prioritise health at the workplace.Conclusion: Small companies often lack the knowledge and resources to manage health and safety problems and also have less access to occupational health services. This paper highlights the importance of the views of small company managers as resources for the development of health promotion. © 2016 by Health Education Journal
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| 36. |
- Wiman, Virginia, 1985-, et al.
(författare)
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Workplace health promotion; views from managers of small companies
- 2012
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Ingår i: European Journal of Public Health. - Oxford : Oxford University Press. - 1101-1262 .- 1464-360X. ; 22:Suppl. 2, s. 129-129
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Background: Workplace health promotion leads to better health, high morale, increased productivity and reduced absenteeism among employees. The role of leadership is vital when creating strategies for workplace health promotion. Small companies (less than 50 employees) have increased need for health promotion, as they often lack knowledge and resources to manage health and safety problems. Moreover, small companies have less access to occupational health service. The aim of this study was to describe how managers at small companies perceive their company as an arena for health promotion. Methods: A sample of ten managers (four females) was strategically selected using maximal variation in terms of branch of industry. Semi-structured interviews were conducted. The interviews were transcribed and analyzed using qualitative content analysis. The analysis comprised of both manifest and latent content and triangulation between the authors was used. Results: Three main categories emerged from the analysis; sees the workplace as a possible arena, sees the opportunity to promote employees health and sees a need for external support. More in-depth analysis resulted in six subcategories. The latent content of these categories is described by the theme; Health promotion leadership in order to perceive the company as a health promotion arena. A key factor for workplace health promotion was the manager´s view of health promotion as a beneficial factor for the company. Furthermore, the managers expressed that they could promote employees´ health by organizing health promotion activities and promote a positive psychosocial work environment. The findings showed a need for easily accessible external support to assist managers in their work with health promotion. It is essential that the external support contributes with inspiration and knowledge of health promotion activities, for example by highlighting good practice from other small companies. Conclusions: Using the manager´s view about the workplace as an arena for promoting health can be a step towards strategies for implementing workplace health promotion. However, for the development of healthy organizations it is necessary to have a comprehensive strategy in which employers, employees and society is pursuing the same goal.
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