| 1. |
- Blomstrand, Peter, et al.
(author)
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Mind body exercise improves cognitive function more than aerobic- and resistance exercise in healthy adults aged 55 years and older : an umbrella review
- 2023
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In: European Review of Aging and Physical Activity. - : Springer. - 1813-7253 .- 1861-6909. ; 20:1
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Research review (peer-reviewed)abstract
- Exercise is often cited as a major factor contributing to improved cognitive functioning. As a result, the relationship between exercise and cognition has received much attention in scholarly literature. Systematic reviews and meta-analyses present varying and sometimes conflicting results about the extent to which exercise can influence cognition. The aim of this umbrella review was to summarize the effects of physical exercise on cognitive functions (global cognition, executive function, memory, attention, or processing speed) in healthy adults & GE; 55 years of age.Methods An umbrella review of systematic reviews with meta-analyses investigating the effect of exercise on cognition was performed. Databases (CINAHL, Cochrane Library, MEDLINE, PsycInfo, Scopus, and Web of Science) were searched from inception until June 2023 for reviews of randomized or non-randomised controlled trials. Full-text articles meeting the inclusion criteria were reviewed and methodological quality assessed. Overlap within included reviews was assessed using the corrected covered area method (CCA). A random effects model was used to calculate overall pooled effect size with sub-analyses for specific cognitive domains, exercise type and timing of exercise.Results Database searches identified 9227 reviews. A total of 20 met the inclusion criteria. They were based on 332 original primary studies. Overall quality of the reviews was considered moderate with most meeting 8 or more of the 16 AMSTAR 2 categories. Overall pooled effects indicated that exercise in general has a small positive effect on cognition (d = 0.22; SE = 0.04; p < 0.01). Mind-body exercise had the greatest effect with a pooled effect size of (d = 0.48; SE = 0.06; p < 0.001). Exercise had a moderate positive effect on global cognition (d = 0.43; SE = 0,11; p < 0,001) and a small positive effect on executive function, memory, attention, and processing speed. Chronic exercise was more effective than acute exercise. Variation across studies due to heterogeneity was considered very high.Conclusions Mind-body exercise has moderate positive effects on the cognitive function of people aged 55 or older. To promote healthy aging, mind-body exercise should be used over a prolonged period to complement other types of exercise. Results of this review should be used to inform the development of guidelines to promote healthy aging.
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| 2. |
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| 3. |
- Engel, Jörgen, 1942, et al.
(author)
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A ghrelin receptor (GHS-R1A) antagonist attenuates the rewarding properties of morphine and increases opioid peptide levels in reward areas in mice
- 2015
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In: European Neuropsychopharmacology. - : Elsevier BV. - 0924-977X .- 1873-7862. ; 25:12, s. 2364-2371
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Journal article (peer-reviewed)abstract
- Gut-brain hormones such as ghrelin have recently been suggested to have a role in reward regulation. Ghrelin was traditionally known to regulate food intake and body weight homoeostasis. In addition, recent work has pin-pointed that this peptide has a novel role in drug-induced reward, including morphine-induced increase in the extracellular levels of accumbal dopamine in rats. Herein the effect of the ghrelin receptor (GHS-R1A) antagonist, JMV2959, on morphine-induced activation of the mesolimbic dopamine system was investigated in mice. In addition, the effects of JMV2959 administration on opioid peptide levels in reward related areas were investigated. In the present series of experiment we showed that peripheral JMV2959 administration, at a dose with no effect per se, attenuates the ability of morphine to cause locomotor stimulation, increase the extracellular levels of accumbal dopamine and to condition a place preference in mice. JMV2959 administration significantly increased tissue levels of Metenkephalin-Arg(6)Phe(7) in the ventral tegmental area, dynorphin B in hippocampus and Leuenkephalin-Arg(6) in striatum. We therefore hypothesise that JMV2959 prevents morphine-induced reward via stimulation of delta receptor active peptides in striatum and ventral tegmental areas. In addition, hippocampal peptides that activate kappa receptor may be involved in JMV2959's ability to regulate memory formation of reward. Given that development of drug addiction depends, at least in part, of the effects of addictive drugs on the mesolimbic dopamine system the present data suggest that GIS-R1A antagonists deserve to be elucidated as novel treatment strategies of opioid addiction.
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| 4. |
- Fernell, Elisabeth, 1948, et al.
(author)
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ADHD bör uppmärksammas mer - tidiga insatser spar lidande.
- 2014
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In: Läkartidningen. - 0023-7205. ; 111
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Journal article (peer-reviewed)abstract
- ADHD is a common neurodevelopmental/neuropsychiatric disorder affecting about 5 percent of children. About 2-3 percent meet diagnostic criteria in adulthood as well. The core symptoms include inattention with or without hyperactivity/restlessness and impulsivity. The main cognitive deficit involves executive functions, probably related to a weak reward system. Symptoms will affect daily functioning at home, among friends and at school/work. In girls and women particularly, a correct diagnosis of ADHD is often late, or is not at all appropriately considered. Co-existing disorders are common; dyslexia, developmental coordination disorder, emotional lability, conduct disorder, autistic symptoms, obsessive compulsive disorder, depression, bipolar disorder, Tourette syndrome, eating disorder, sleeping disorder, and substance abuse. Extensive research in ADHD has increased knowledge in genetics, neurobiology, neuropsychology, intervention, and treatment. Despite this, many individuals with ADHD are not offered a correct assessment, and accordingly, not given appropriate support and treatment.
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| 5. |
- Haraldsson, Patrik, et al.
(author)
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Implementation of work environment interventions in healthcare : A systematic literature review protocol [protocol]
- 2021
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Other publication (other academic/artistic)abstract
- INTRODUCTIONOccupational health service (OHS) is considered an expert function when it comes to supporting workplaces in their systematic work environment management (SWEM). Scientific research shows that OHS is not used as support in preventive SWEM, but instead to support individuals when work related problems are already acquired. Since OHS is not used in preventive SWEM, the knowledge about how to conduct successful SWEM is limited. More knowledge about important implementation factors in this field is needed.OBJECTIVEThe aim of this study is to increase the knowledge of how work environment interventions in healthcare settings are implemented and how this implementation affects the outcome.METHODSA systematic literature review with a narrative synthesis.DISCUSSIONThe results can be used as a guide for how to implement future work environment intervention studies. It can also be used as a guide to practical OHS work, how to support employers and employees inSWEM, or preventive work interventions with a systems approach. Increased knowledge and increased support within the work environment management might be of great value, benefiting employers, employees, the healthcare system and society.
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| 6. |
- Haraldsson, Patrik, et al.
(author)
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Workplace interventions focusing on how to plan, organize and design the work environment in hospital settings : A systematic review
- 2024
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In: Work. - : IOS Press. - 1051-9815 .- 1875-9270. ; 78:2, s. 331-348
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Research review (peer-reviewed)abstract
- BACKGROUND: Occupational Health Service (OHS) is a service that should support employers and employees with their work environment. Previous research indicates the need for deeper knowledge about the effect of workplace interventions with a focus on planning, organizing and designing the workplace to improve work conditions in hospital settings.OBJECTIVE: The aim was to evaluate the outcomes, workplace interventions and intervention strategies in hospital settings.METHODS: A systematic literature review was conducted. CINAHL, MEDLINE, PsycInfo, Scopus, and Web of Science Core Collection were searched in September 2021. The Mixed Methods Appraisal Tool was used to evaluate the quality of the included studies. Study results are presented through a narrative synthesis. A protocol for this study was registered on the Open Science Framework.RESULTS: Twenty-six studies, published between 2010 and 2021, were included. These included randomized controlled trials (RCTs), non-RCTs, and mixed methods reports with moderate to good quality. The results support the use of workplace interventions to improve work conditions, health, and well-being in hospital settings. Combinations of different interventions, tailored to the specific organization, were used. Important intervention strategies commonly used in the start-up, evaluation, and intervention of successful workplace interventions, were identified. Using a pragmatist complexity approach in workplace interventions can improve outcomes by providing clear intervention strategies and combinations of tailored interventions, related to context specific problems.CONCLUSION: OHS support in workplace interventions with clear intervention strategies will contribute to improve work conditions, health and well-being in hospital settings.
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| 7. |
- Haraldsson, Patrik, et al.
(author)
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Workplace interventions focusing on how to plan, organize and design the work environment in hospital settings : A systematic review
- 2024
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In: Work. - 1051-9815 .- 1875-9270. ; , s. 1-18
-
Journal article (peer-reviewed)abstract
- BACKGROUND: Occupational Health Service (OHS) is a service that should support employers and employees with theirwork environment. Previous research indicates the need for deeper knowledge about the effect of workplace interventionswith a focus on planning, organizing and designing the workplace to improve work conditions in hospital settings.OBJECTIVE: The aim was to evaluate the outcomes, workplace interventions and intervention strategies in hospital settings.METHODS: A systematic literature review was conducted. CINAHL, MEDLINE, PsycInfo, Scopus, and Web of ScienceCore Collection were searched in September 2021. The Mixed Methods Appraisal Tool was used to evaluate the quality ofthe included studies. Study results are presented through a narrative synthesis. A protocol for this study was registered onthe Open Science Framework.RESULTS: Twenty-six studies, published between 2010 and 2021, were included. These included randomized controlledtrials (RCTs), non-RCTs, and mixed methods reports with moderate to good quality. The results support the use of workplaceinterventions to improve work conditions, health, and well-being in hospital settings. Combinations of different interventions,tailored to the specific organization, were used. Important intervention strategies commonly used in the start-up, evaluation,and intervention of successful workplace interventions, were identified. Using a pragmatist complexity approach in workplaceinterventions can improve outcomes by providing clear intervention strategies and combinations of tailored interventions,related to context specific problems.CONCLUSION: OHS support in workplace interventions with clear intervention strategies will contribute to improve workconditions, health and well-being in hospital settings.
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| 8. |
- Landgren, Valdemar, et al.
(author)
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Inability to start or complete upper secondary school strongly predicts unemployment and psychosocial and psychiatric adversities – A register-based follow-up study from southwestern Sweden
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In: Acta Paediatrica, International Journal of Paediatrics. - 0803-5253.
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Journal article (peer-reviewed)abstract
- Aim: To study academic, social and psychiatric outcomes among adults in the general population in southwestern Sweden. Groups of individuals born in 1998 and ineligible, eligible but not completed, and eligible and completed upper secondary school were followed in 2020. Methods: Data were retrieved from Statistics Sweden, the Swedish National Agency for Education, the Longitudinal Integrated Database for Health Insurance and Labour Market Studies, the Swedish National Crime Register and the National Patient Register. The four adverse outcomes neither engaging in post-secondary studies nor having a regular salary, needing social benefits, having any criminal conviction, and having a psychiatric disorder at age ≥16 were examined. Results: Of the final sample of 2706 individuals who had attended 9th grade of compulsory school in 2014, 273 (10%) were ineligible for upper secondary school. Of eligible individuals, 82 (3%) never started, 282 (10%) did not complete and 2065 (77%) completed upper secondary school. Compared with completers, the odds ratios for adverse outcomes were markedly increased for all other groups up to 22 years old. Conclusion: Inability to start or complete upper secondary school strongly predicted unemployment and psychosocial and psychiatric adversities. School authorities should consider offering vocational programmes post compulsory school without grade restrictions.
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| 9. |
- Landgren, Valdemar, 1988, et al.
(author)
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Inability to start or complete upper secondary school strongly predicts unemployment and psychosocial and psychiatric adversities - A register-based follow-up study from southwestern Sweden
- 2024
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In: ACTA PAEDIATRICA. - 0803-5253 .- 1651-2227.
-
Journal article (peer-reviewed)abstract
- AimTo study academic, social and psychiatric outcomes among adults in the general population in southwestern Sweden. Groups of individuals born in 1998 and ineligible, eligible but not completed, and eligible and completed upper secondary school were followed in 2020.MethodsData were retrieved from Statistics Sweden, the Swedish National Agency for Education, the Longitudinal Integrated Database for Health Insurance and Labour Market Studies, the Swedish National Crime Register and the National Patient Register. The four adverse outcomes neither engaging in post-secondary studies nor having a regular salary, needing social benefits, having any criminal conviction, and having a psychiatric disorder at age >= 16 were examined.ResultsOf the final sample of 2706 individuals who had attended 9th grade of compulsory school in 2014, 273 (10%) were ineligible for upper secondary school. Of eligible individuals, 82 (3%) never started, 282 (10%) did not complete and 2065 (77%) completed upper secondary school. Compared with completers, the odds ratios for adverse outcomes were markedly increased for all other groups up to 22 years old.ConclusionInability to start or complete upper secondary school strongly predicted unemployment and psychosocial and psychiatric adversities. School authorities should consider offering vocational programmes post compulsory school without grade restrictions.
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| 10. |
- Larsson, Ingrid, 1968-, et al.
(author)
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Patients’ experiences of living with RA after 1-2 years of DMARD treatment
- 2022
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In: Reumabulletinen. - Stockholm : Svensk reumatologisk förening. - 2000-2246 .- 2001-8061. ; 154:4, s. 66-67
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Journal article (peer-reviewed)abstract
- Background: Rheumatoid arthritis (RA) is a disease with a great impact on all aspects of life. Living with RA affects patients’ health including physical, emotional, psychological, and social aspects. Patients with RA are treated with disease-modifying anti-rheumatic drugs (DMARDs) and monitored with tight control to achieve low disease activity or remission. Nevertheless, RA can be life-changing when the patients need long-term treatment to control the disease activity. The goal of treatment for patients with chronic diseases such as RA is to achieve optimal health and a life as normal as possible. It is therefore important to gain knowledge about how patients experience everyday life a short period after the initiation of DMARD treatment. Aim: To describe patients’ experiences of living with RA after 1-2 years of DMARD treatment.Methods: The study has a qualitative design with an inductive approach. Focus groups (n=17) and individual (n=5) interviews were conducted with 22 patients with RA. The participants consisted of 15 women and 7 men with a mean age of 57 years and a disease duration of 12-21 months. The participants were treated with conventional or biological DMARDS for 12-20 months. The main questions were: “Can you tell me how RA impacts your daily life?” “Which outcomes of your RA are important to you at this moment?“ The interviews were analyzed with qualitative content analysis and five categories with an overarching theme emerged (Table 1).Results: Patients’ experiences of living with RA after 1-2 years of DMARD treatment lead to new insights into life and were expressed as 1) Surrendering to disease limitations due to being restricted by pain, fatigue, and in function; 2) Adapting to disease limitations by adjusting one´s work balance and one’s social life; 3) Transitioning in self-identity due to disease limitations by not recognising oneself and experiencing a change of bodily appearance and mood; 4) Fighting disease limitations by experiencing joy through exercise, promoting health by exercise and dietary habits, and; 5) Feeling humility despite disease limitations by being grateful for the treatment and seizing the day.Conclusions: Despite the fact that patients have been living with RA and treated with DMARD for 1-2 years, they are still struggling to make everyday life work. Although patients adapt their lives to the new conditions, their lives are affected by symptoms such as fatigue, pain, stiffness, and side effects such as nausea, hair loss, and weight gain. However, patients highlight the positive effects of how exercise influences their health and how living with RA leads to new insights into life.
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| 11. |
- Lindblad, Ida, et al.
(author)
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Adolescents with type 1 diabetes mellitus and attention-deficit/hyperactivity disorder require specific support from healthcare professionals
- 2017
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In: Acta Paediatrica. - : Wiley. - 0803-5253 .- 1651-2227. ; 106:12, s. 1994-1997
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Journal article (peer-reviewed)abstract
- AIM: Managing type 1 diabetes mellitus requires efficient cognitive and executive skills, and adolescents who have attention-deficit/hyperactivity disorder (ADHD) may face specific challenges. This study explored young people's experiences of diabetes treatment and care.METHOD: In a population-based study, comprising 175 patients aged 5-16 years with type 1 diabetes mellitus in two Swedish counties, we found that eight also met criteria for ADHD. Six of these, aged 14.5-16 years, participated 2013-2014 in interviews that targeted aspects of their diabetes treatment. Conducted by two psychologists, these used the inductive qualitative, semi-structured interview format.RESULTS: The two boys and four girls all reported difficulties in creating routines for their diabetes treatment and that problems were aggravated during stress. They had been criticised by their parents and the diabetes team when their blood levels indicated inadequate diabetes control. They requested ongoing information, involvement of their friends, group meetings and easy access to the healthcare system during difficult times.CONCLUSION: Patients with type 1 diabetes mellitus and concomitant ADHD faced problems with their diabetes management, especially during stressful situations. Diabetes care provision should pay particular attention to patients with co-existing neuropsychiatric and neurodevelopmental disorders such as ADHD.
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| 12. |
- Masterson, Daniel, et al.
(author)
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Mapping definitions of co-production and co-design in health and social care : A systematic scoping review providing lessons for the future
- 2022
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In: Health Expectations. - : John Wiley & Sons. - 1369-6513 .- 1369-7625. ; 25:3, s. 902-913
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Research review (peer-reviewed)abstract
- OBJECTIVES: This study aimed to explore how the concepts of co-production and co-design have been defined and applied in the context of health and social care and to identify the temporal adoption of the terms.METHODS: A systematic scoping review of CINAHL with Full Text, Cochrane Central Register of Controlled Trials, MEDLINE, PsycINFO, PubMed and Scopus was conducted to identify studies exploring co-production or co-design in health and social care. Data regarding date and conceptual definitions were extracted. From the 2933 studies retrieved, 979 articles were included in this review.RESULTS: A network map of the sixty most common definitions and-through exploration of citations-eight definition clusters and a visual representation of how they interconnect and have informed each other over time are presented. Additional findings were as follows: (i) an increase in research exploring co-production and co-design in health and social care contexts; (ii) an increase in the number of new definitions during the last decade, despite just over a third of included articles providing no definition or explanation for their chosen concept; and (iii) an increase in the number of publications using the terms co-production or co-design while not involving citizens/patients/service users.CONCLUSIONS: Co-production and co-design are conceptualized in a wide range of ways. Rather than seeking universal definitions of these terms, future applied research should focus on articulating the underlying principles and values that need to be translated and explored in practice.PATIENT AND PUBLIC CONTRIBUTION: The search strategy and pilot results were presented at a workshop in May 2019 with patient and public contributors and researchers. Discussion here informed our next steps. During the analysis phase of the review, informal discussions were held once a month with a patient who has experience in patient and public involvement. As this involvement was conducted towards the end of the review, we agreed together that inclusion as an author would risk being tokenistic. Instead, acknowledgements were preferred. The next phase involves working as equal contributors to explore the values and principles of co-production reported within the most common definitions.
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| 13. |
- Mueller Nylander, Elisabeth
(author)
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Digital Archives: Where is the community in history?
- 2012
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Conference paper (other academic/artistic)abstract
- The purpose of digitizing cultural heritage collections is often presented in terms of preservation or distribution. Concerns center around how to best ensure the sustainability of materials or how to enable user interactivity. However, especially within the field of history, there is a push to think in terms of how to create community through the narratives the authors produce. The authors orientation is shifting from author-centered to reader-centered, and how the authors construct knowledge is becoming increasingly social and democratic. This can be explained as part of a greater cultural shift where, "until recently, public memory was constructed and disseminated for the people but not by the people" (Haskins, 2007, p. 408).This presentation explores such issues through the examination of three digital archives: 1) The Valley of the Shadow: Two Communities in the American Civil War site (http://valley.lib.virginia.edu/). 2) The Virtual Vietnam Archive (http://911digitalarchive.org). After a brief description of each project, a critique is provided covering the four aspects of: motives, preservation, interactivity and barriers.While all three digital archives place a focus on personal narratives and deal with the complexities of conflict intimately, none of the projects manage to create the vibrant virtual community one might hope for or expect. This discovery indicates that there is more discussion needed about what purposes digital history resources might serve.ReferenceEkaterina Haskins (2007) Between Archive and Participation: Public Memory in a Digital Age, Rhetoric Society Quarterly, 37:4, 401-422, DOI: 10.1080/02773940601086794
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| 14. |
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| 15. |
- Nylander, Charlotte, 1979-, et al.
(author)
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Children and adolescents with type 1 diabetes and high HbA1c - a neurodevelopmental perspective.
- 2013
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In: Acta paediatrica (Oslo, Norway : 1992). - : Wiley. - 1651-2227 .- 0803-5253. ; 102:4, s. 410-415
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Journal article (peer-reviewed)abstract
- AIM: To examine the association between neurodevelopmental problems and high HbA1c among paediatric patients with type 1 diabetes. METHODS: A population-based study was performed among patients with type 1 diabetes (5-16 years) in two Swedish counties (n=233). The Five to Fifteen (FTF) questionnaire targeted neurodevelopmental qualities. Scores above the 90(th) percentile in the various domains are considered as definitive problems and scores above the 75(th) percentile as mild. FTF-scores were compared with regard to HbA1c ≤73 mmol/mol and >73 mmol/mol (8.0%). RESULTS: The response rate was 190 (82%). Neurodevelopmental problems were not over-represented among patients in general. Memory and learning problems were associated with HbA1c >73 mmol/mol (p = 0.01). This correlation was especially seen in adolescents (12-16 years) where mild executive problems (adjOR 3.1), definite memory problems (adjOR 5.0) and definite learning problems (adjOR 5.0) were associated with HbA1c >73 mmol/mol after adjustment for gender, diabetes duration and age of onset. CONCLUSION: Our findings that high HbA1c are more common in adolescent diabetes patients with neurodevelopmental problems generate the hypothesis that these problems might precede poor metabolic control. If so, early detection of neurodevelopmental problems would allow individually tailored treatment that may improve metabolic control and prevent complications.
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| 16. |
- Nylander, Charlotte, et al.
(author)
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Chronic conditions and coexisting ADHD-a complicated combination in adolescents
- 2015
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In: European Journal of Pediatrics. - : Springer Science and Business Media LLC. - 0340-6199 .- 1432-1076. ; 174:9, s. 1209-1215
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Journal article (peer-reviewed)abstract
- Adolescents with chronic conditions (CCs) take more health risks than peers. However, coexisting ADHD has not sufficiently been considered. The aim of the present study was to investigate the impact of different CCs on protective factors and health-risk behaviors, taking coexisting ADHD into account. A school-based study among 6895 15- and 17-year-old students was performed in the county of Sormland, Sweden in 2011 (response rate 80 %). The questionnaire explored background factors, CCs, protective factors, and health-risk behaviors. CCs were reported by 11 %, while 55 % were healthy. Students with CCs more often reported coexisting ADHD than healthy students. In adolescents with neurological conditions, the odds ratio for having ADHD was 7.34 (95 % CI 3.00-17.99) as compared to healthy peers. Few protective factors (< 4) and clustered health-risk behaviors (a parts per thousand yen4) were more common among students with CCs, especially if ADHD or a combination including ADHD was reported. Conclusion: CCs and coexisting ADHD are associated with few protective factors and clustered-health risk behaviors. Adolescents with ADHD-in addition to a chronic condition-should be specially acknowledged by health care professionals in order to prevent health risk behaviors. ADHD should be considered when studying these outcomes in adolescents.
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| 17. |
- Nylander, Charlotte, 1979-, et al.
(author)
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Previously undiagnosed attention-deficit/hyperactivity disorder associated with poor metabolic control in adolescents with type 1 diabetes
- 2018
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In: Pediatric Diabetes. - : Hindawi Limited. - 1399-543X .- 1399-5448. ; 19:4, s. 816-822
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Journal article (peer-reviewed)abstract
- Background: Managing modern diabetes treatment requires efficient executive functions. Patients with attention-deficit/hyperactivity disorder (ADHD) and type 1 diabetes have poor metabolic control and present with ketoacidosis more often than patients without ADHD. Objective: To assess whether patients with type 1 diabetes and with indications of executive problems met criteria for ADHD, and to investigate whether these patients had difficulties achieving metabolic control. Methods: In a hospital-based study, including 3 pediatric departments at hospitals in Stockholm and Uppsala, Sweden, questionnaires regarding executive problems had been filled out by 12- to 18-year-old patients with type 1 diabetes and their parents. Out of 166 patients with completed questionnaires, 49 were selected for a clinical study due to reported executive problems/ADHD symptoms. However, 7 already had a diagnosis of ADHD, 21 denied follow-up, 8 did not respond, leaving 13 adolescents for the clinical assessment. Results: Of the clinically assessed adolescents, 9 (6 girls) met criteria for ADHD. Patients who did not respond to the follow-up and patients who were diagnosed with ADHD within the study, showed to a larger extent than the other study groups high HbA1c levels (>70 mmol/mol, 8,6%). HbA1c >70 mmol/mol (8.6%) was associated with diagnosed ADHD (prior to or within the study), odds ratio 2.96 (95% confidence interval 1.02-8.60). Conclusion: Patients with type 1 diabetes and poor metabolic control should be assessed with regard to ADHD. There is a need for paying special attention to girls with poor metabolic control.
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| 18. |
- Nylander, Charlotte, 1979-
(author)
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Protective factors, health-risk behaviours and the impact of coexisting ADHD among adolescents with diabetes and other chronic conditions
- 2016
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Doctoral thesis (other academic/artistic)abstract
- Mental health problems are increasing in Swedish adolescents and mortality rates are higher in this age group than among younger. 10-20% of all adolescents suffer from a chronic medical condition (CC). Few protective factors (PF) and clustering of health-risk behaviours (HRB) are frequent among adolescents with CCs.One of the most common CC in Swedish adolescents is type 1 diabetes mellitus (T1DM). Metabolic control often deteriorates during adolescence, especially in girls. Poor metabolic control is associated with increased risk for long-term complications, of which cognitive problems are common. However, the implication of cognitive/executive problems in patients with T1DM has not been sufficiently studied. Neither has the impact of neurodevelopmental problems (NDP), such as ADHD, on HRB in adolescents with CCs been analysed.Methods: In paper I and II the questionnaire ”Life and Health in Youth” was distributed to all students in year nine and year two of the upper secondary school in the county of Sörmland, 2008 (n=5771) and 2011 (n=5550). Adolescents with CCs were compared to healthy peers with regard to PFs and HRBs. In paper III, the ”Five to Fifteen” questionnaire was used in 175 paediatric patients with T1DM. Patients with indications of NDPs were compared with patients without such problems with regard to metabolic control. In paper IV, the BRIEF questionnaire and the ADHD Rating Scale as well as data from the Swedish Childhood Diabetes Registry was used in 241 adolescents with T1DM. Patients with indications of executive problems were compared with patients without such problems with regard to diabetes control.Results: CCs were associated with few PFs and clustered HRBs. The combination of CCs and low numbers of PFs was found to be associated with an increased risk of clustered HRBs. In the presence of coexisting ADHD the pattern of few PFs and clustering of HRBs was aggravated. ADHD was more common among adolescents with other CCs.Definite memory and learning problems as well as mild executive problems were associated with poor metabolic control, especially among adolescents. Executive problems were also associated with many outpatient visits and low physical activity. Girls with T1DM tended to self-report executive problems to a larger extent than boys, while parents more often reported these problems in boys.Conclusion: Knowledge about factors influencing treatment adherence and life in general is essential in the work with chronically ill adolescents. Focus must be put on enhancing PFs in order to avoid HRBs. Identification of coexisting NDPs, such as ADHD, is crucial, since such problems can adversely influence treatment adherence, HRBs and school achievements
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| 19. |
- Nylander, Charlotte, et al.
(author)
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Risky sexual behaviour among adolescents may be related to ADHD.
- 2015
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In: Acta Paediatrica. - : Wiley. - 0803-5253 .- 1651-2227. ; 104:6
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Journal article (other academic/artistic)abstract
- We would like to comment on the recent paper by Kastbom etal on Sexual debut before the age of 14 leads to poorer psychosocial health and risky behaviour in later life (1) The study focused on more than 3,000 Swedish 18-year-old adolescents, who had completed a survey about sexuality, health and abuse. It compared those who had reported an early sexual debut before 14-years-of-age with those who had a later sexual debut. Current socio-economic factors, health behaviour, mental health and previous experience of sexual and, or, physical abuse in the two groups were analysed. This article is protected by copyright. All rights reserved.
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| 20. |
- Nylander, Charlotte, 1979-, et al.
(author)
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Self- and parent-reported executive problems in adolescents with type 1 diabetes are associated with poor metabolic control and low physical activity.
- 2018
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In: Pediatric Diabetes. - : Hindawi Limited. - 1399-543X .- 1399-5448. ; 19:1, s. 98-105
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Journal article (peer-reviewed)abstract
- BACKGROUND: Management of diabetes is demanding and requires efficient cognitive skills, especially in the domain of executive functioning. However, the impact of impaired executive functions on diabetes control has been studied to a limited extent. The aim of the study is to investigate the association between executive problems and diabetes control in adolescents with type 1 diabetes.MATERIALS AND METHODS: Two hundred and forty-one of 477 (51%) of 12- to 18-year-old adolescents, with a diabetes duration of >2 years in Stockholm, Uppsala, and Jönköping participated. Parents and adolescents completed questionnaires, including Behavioral Rating Inventory of Executive Function (BRIEF), Attention-Deficit/Hyperactivity Disorder (ADHD)-Rating Scale (ADHD-RS) and demographic background factors. Diabetes-related data were collected from the Swedish Childhood Diabetes Registry, SWEDIABKIDS. Self-rated and parent-rated executive problems were analyzed with regard to gender, glycosylated hemoglobin (HbA1c), frequency of outpatient visits, and physical activity, using chi-square tests or Fisher's test, where P-values <.05 were considered significant. Furthermore, adjusted logistic regressions were performed with executive problems as independent variable.RESULTS: Executive problems, according to BRIEF and/or ADHD-RS were for both genders associated with mean HbA1c >70 mmol/mol (patient rating P = .000, parent rating P = .017), a large number of outpatient visits (parent rating P = .015), and low physical activity (patient rating P = .000, parent rating P = .025). Self-rated executive problems were more prevalent in girls (P = .032), while parents reported these problems to a larger extent in boys (P = .028).CONCLUSION: Executive problems are related to poor metabolic control in adolescents with type 1 diabetes. Patients with executive problems need to be recognized by the diabetes team and the diabetes care should be organized to provide adequate support for these patients.
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| 21. |
- Nylander, Elisabeth, et al.
(author)
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Development and validation of a sensitive MEDLINE search strategy to identify literature relevant to limb prostheses
- 2021
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In: Prosthetics and Orthotics International. - : Wolters Kluwer. - 0309-3646 .- 1746-1553. ; 45:3, s. 289-294
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Journal article (peer-reviewed)abstract
- Background: Researchers and clinicians may find it challenging to identify relevant articles about limb prostheses in online databases. Searches may be improved by using standardized strategies, also known as filters or hedges.Objectives: To develop and validate a highly sensitive MEDLINE (EBSCOHost) search strategy for limb prostheses.Study Design: Search strategy development/validation.Methods: A gold standard (GS) list of peer-reviewed articles on the topic of limb prostheses was created using a relative recall method. This involved identifying and including relevant systematic reviews/meta-analyses and then adding articles that were included in the analysis section of these reviews. Possible terms for the search strategy were identified through brainstorming and exploration of medical subject headings in MEDLINE (MeSH) and standards from the International Organization for Standardization (ISO). Concepts were grouped using relevant Boolean operators (e.g. AND and OR) and database record search fields (i.e. MeSH terms, title, and abstract). Part of the GS was used to refine the search strategy and reduce the number of records retrieved in total. The remaining GS set was used to validate and calculate sensitivity of the search strategy. Performance of the search strategy was compared against searches using only relevant MeSH terms.Results: After screening, the final GS totaled 853 records. The developed search strategy was highly sensitive (99.80%) and performed with higher relative recall than searches with relevant MeSH terms.Conclusions: This study provides a highly sensitive search strategy that can be used by clinicians and researchers when searching for relevant literature on limb prostheses in MEDLINE (EBSCOHost).
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| 22. |
- Nylander, Elisabeth
(author)
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Health sciences librarians doing research : Experiences from the first annual RTI cohort
- 2020
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Conference paper (other academic/artistic)abstract
- IntroductionIn July 2018, the Medical Library Association (MLA) of the USA held its first annual Research Training Institute (RTI). The RTI is a three-year program funded by the Institute of Museum and Library Services (IMLS) created “to provide practicing health sciences librarians with key research competencies related to scholarly research, inquiry, and publishing” (Kloda, Philbrick and Lessick 2019). I had the privilege of being accepted as one of the first RTI fellows.Could such an institute be a way to meet the continuing education needs of EAHIL members as well?AimTo inform EAHIL members about professional developments within the USA by sharing my personal experience of the RTI.MethodDuring my presentation, I will present an introduction to the RTI, give an overview of the cohorts’ current research projects, and share personal insights as to how this type of program might benefit EAHIL members.
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| 23. |
- Nylander, Elisabeth, et al.
(author)
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How can we help? Information literacies of doctoral (PhD) students in the health sciences
- 2019
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Conference paper (other academic/artistic)abstract
- INTRODUCTIONDoctoral studies offer a unique phase in the development and legitimization of researchers, in which PhD students shift from the consumption to the production of knowledge. If librarians are to support this process in an evidence-based manner, it is essential to understand the distinct practices of this population. While literature exists concerning the information behavior of graduate students and researchers, there is little work which focuses specifically on the information literacies of PhD students within the health sciences.AIMThe aim of this project was: 1) to establish the depth and breadth of evidence describing the information literacies of PhD students within the health sciences, and 2) to explore how Jönköping University Library can support the PhD students and their supervisors at the Research School of Health and Welfare.METHODThe project aims suggested a mixed method approach. In order to examine the concept of information literacies among PhD students, a scoping review was performed [1]. General trends within the literature were mapped based on the extraction of the following data: geographic location, population, academic discipline, and method of investigation. To better understand the information practices at our health sciences research school, we interviewed both PhD students and their supervisors. These open-ended interviews were conducted and analyzed according to a hermeneutic dialectic process [2], resulting in synthesized constructions of the study participants’ experiences.RESULTSOur scoping review revealed that many studies fail to treat doctoral studies as a unique process. The result is that PhD students in the health sciences are underrepresented as a distinct group within the recent literature. We are currently performing a critical analysis of the few studies that focus specifically on health science PhD students. Later this year, we expect to present a discussion of these results as well as the findings from interviews at our own health sciences research school.CONCLUSIONThis project highlights the need for more primary research on the information literacies of PhD students in the health sciences.REFERENCES 1. Arksey H, O'Malley L. Scoping studies: towards a methodological framework. International Journal of Social Research Methodology. 2005 2005/02/01;8(1):19-32. https://doi.org/10.1080/1364557032000119616.
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| 24. |
- Nylander, Elisabeth, et al.
(author)
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How can we help? Information literacies of PhD students in the health sciences
- 2020
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In: Poster sessions. ; , s. 22-23
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Conference paper (other academic/artistic)abstract
- IntroductionDoctoral studies offer a unique phase in the development and legitimization of researchers, in which PhD students shift from the consumption to the production of knowledge. If librarians are to support this process in an evidence-based manner, it is essential to understand the distinct practices of this population. While literature exists concerning the information behavior of graduate students and researchers, there is little work which focuses specifically on the information literacies of PhD students within the health sciences.AimThe aim of this project was to explore how Jönköping University Library can support the PhD students and their supervisors at the Research School of Health and Welfare.MethodsBoth PhD students and their supervisors were interviewed. The open-ended interviews were conducted and analyzed according to a hermeneutic dialectic process, resulting in synthesized constructions of the study participants’ experiences. A total of twelve interviews were held, resulting in two constructions: one for the PhD students and one for their supervisors.ResultsPreliminary findings revealed that PhD students find themselves in a phase of “in-between”, i.e., they are not merely graduate students and not quite recognized as researchers. A common assumption among supervisors was that PhD students already have the information literacy skills they need. Yet, the students self-reported that they often felt uncertain when searching and got “stuck” with one strategy. This difficulty was most prevalent at the beginning of their PhD journey. Responses indicated that the unique competency of research librarians is essential. However, both the PhD students and their supervisors noted that they were often unaware of what services and support the library could provide.DiscussionThis project highlights the need for more primary research on the information literacies of PhD students in the health sciences. Implications for health librarianship include the need to encourage collaboration between academic libraries and research schools, resulting in better guidance for researchers in training.
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| 25. |
- Nylander, Elisabeth, et al.
(author)
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Information Literacies of PhD Students : A Hermeneutic Dialectic Study within the Health Sciences
- 2022
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In: New Review of Academic Librarianship. - : Taylor & Francis. - 1361-4533 .- 1740-7834. ; 28:2, s. 172-192
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Journal article (peer-reviewed)abstract
- Doctoral studies offer a unique phase in the development and legitimisation of researchers, in which PhD students shift from consumption to production of knowledge. While literature exists concerning the information behaviour of graduate students and researchers, there is little work which focuses specifically on the information literacies of PhD students within the health sciences. To better understand this user group, we undertook a qualitative study at the Research School of Health and Welfare in Jönköping, Sweden. Twelve open-ended interviews with both PhD students and their supervisors were conducted and analysed according to a hermeneutic dialectic process. Findings revealed that the supervisors commonly assumed that PhD students already have necessary information literacy skills. Yet some of the students self-reported feeling uncertain when searching and getting ‘stuck’ with one strategy. Responses also indicated that the PhD students and their supervisors were often unaware of what services and support the library could provide.
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| 26. |
- Nylander, Elisabeth, et al.
(author)
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Information literacies of PhD students in the health sciences : A review of scholarly articles (2009 - 2018)
- 2020
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In: Evidence Based Library and Information Practice. - : University of Alberta. - 1715-720X. ; 15:1, s. 142-158
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Journal article (peer-reviewed)abstract
- Objective – Doctoral studies offer a unique phase in the development and legitimization of researchers, in which PhD students shift from the consumption to the production of knowledge. If librarians are to support this process in an evidence based manner, it is essential to understand the distinct practices of this user population. While recent reviews exist concerning the information behaviours of graduate students and researchers, there is little knowledge synthesis focused on the information literacies of PhD students in specific disciplines. The aim of this article is to explore the depth and breadth of recent evidence which describes the information literacies of students pursuing a doctoral degree in the health sciences.Methods – Strategic searches were performed in databases, hand-searched key journals, and reference lists. Records were screened independently by both authors based on pre-determined criteria. General trends within the literature were mapped based on the extraction of the following data: geographic location, population, study aims, and method of investigation. Further analysis of the articles included charting the academic disciplines represented, summarizing major findings related to PhD students in health sciences, and which databases indexed the relevant articles.Results – Many studies fail to treat doctoral studies as a unique process. PhD students are often grouped together with other graduate students or researchers. Studies tend to be based on small populations, and the number of PhD students involved is either unclear or only equals a few individuals within the entire group of study. In addition, of the limited number of studies which focus exclusively on PhD students, few conduct explicit examination of information practices in the health sciences. The result is that this user group is underrepresented within recent journal publications.Conclusion – This review highlights the need for more primary, in-depth research on the information literacies of PhD students in the health sciences. In addition, librarians are encouraged to share their knowledge in scholarly publications which can reach beyond their own professional circles.
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| 27. |
- Nylander, Elisabeth, et al.
(author)
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PhD students and information literacy in the health sciences: A scoping review
- 2019
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Conference paper (peer-reviewed)abstract
- IntroductionIn the current socio-cultural climate of “alternative facts”, the need for rigorous research is greater than ever. Doctoral studies offer a unique phase in the development and legitimization of researchers, in which PhD students shift from the consumption to the production of knowledge. If librarians are to support this process in an evidence-based manner, it is essential to understand the distinct practices of this population. While recent literature reviews exist concerning the information practices of graduate students and researchers, there is little knowledge synthesis which focuses solely on the information literacies of PhD students within the health sciences.Aim The aim of this project was to explore the depth and breadth of evidence which describes the information literacies of students pursing a doctoral degree within the health sciences. Method In order to investigate the research activity concerning PhD students within the health sciences, we performed a scoping review (Arksey & O´Malley, 2005). Relevant literature was identified through strategic searches in databases, handsearched key journals, and reference lists. References were screened independently by both authors based on predetermined inclusion criteria. General trends within the literature were mapped based on the extraction of the following data: geographic location, population, academic discipline, and method of investigation.Results Many studies fail to treat doctoral studies as a unique process. PhD students are often grouped together with other graduate students or researchers. Studies tend to be based on small populations, and the number of PhD students involved is either unclear or only equals a few individuals within the entire group of study. In addition, of the limited number of studies which focus on PhD students only, few conduct explicit examination of information practices within the health sciences. The result is that PhD students in the health sciences are underrepresented as a distinct group within the recent literature.ConclusionThis review highlights the need for more primary research on the information literacies of PhD students in the health sciences.ReferenceArksey, H., & O'Malley, L. (2005). Scoping studies: towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19-32. doi:10.1080/1364557032000119616
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| 28. |
- Nylander, Lena, et al.
(author)
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Intellectual developmental disorder in adult psychiatry : A 24-year register study
- 2016
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In: Nordic Journal of Psychiatry. - : Informa UK Limited. - 0803-9488 .- 1502-4725. ; 70:7, s. 508-513
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Journal article (peer-reviewed)abstract
- Background: Intellectual developmental disorder (IDD) may pre-dispose for mental health disorders. It is sometimes debated whether the needs of this group are adequately met in general psychiatry. However, little is known about patients with IDD in the psychiatric clinical setting—occurrence, clinical diagnoses, or service use. Aims: This study aimed to assess the number of adult patients diagnosed with IDD in a psychiatric clinic, their psychiatric diagnoses, and their use of psychiatric services. Methods: Individuals with registered IDD diagnoses were identified in a university hospital adult psychiatric clinic register comprising 67 384 patients. Results: IDD had been diagnosed in 0.6% of the patients. Psychotic disorders were the most common co-existing psychiatric diagnoses (25.5%). In 21.8% no psychiatric diagnosis other than IDD was registered. More than 50% had been inpatients; 21% had been compulsorily admitted. Patients with IDD had required a mean of five hospital beds per day. Conclusions: The percentage, 0.6%, of IDD diagnoses was lower than estimates of the prevalence of IDD in the general population. This may reflect a lower need for psychiatric care, barriers to access services, or diagnostic over-shadowing. One fifth of the patients in this study had no psychiatric diagnosis beside IDD, which may be due to diagnostic difficulties, or other problems (e.g. somatic or behavioural disorders) leading to psychiatric contact. Since patients with IDD use the equivalent of five inpatient beds every year, it is suggested that it may be worthwhile to consider specialized psychiatry with expertise in IDD, even though this group is small.
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| 29. |
- Nylander, Lena, et al.
(author)
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Vuxna med utvecklingsstörning en eftersatt grupp i sjukvården.
- 2014
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In: Läkartidningen. - 0023-7205. ; 111, s. 49-49
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Journal article (peer-reviewed)abstract
- Adults with intellectual developmental disorder are at considerable risk of somatic as well as psychiatric illness, but seldom have access to services on equal conditions as adults without intellectual developmental disorder. The symptoms of illness are often difficult to interpret, due to communication difficulties, and examinations may be difficult to carry out. Patients with moderate/severe/profound intellectual disability therefore need »interpreters« and to be given sufficient time when making clinic visits. Patients with intellectual disability have excess mortality from somatic illness and are at risk for suboptimal treatment with psychotropic medications.
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| 30. |
- Pettersson, Emelie, et al.
(author)
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Children with autism spectrum disorder in high technology medicine environments : a qualitative systematic review of parental perspectives
- 2024
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In: Systematic Reviews. - : BioMed Central (BMC). - 2046-4053. ; 13:1
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Research review (peer-reviewed)abstract
- Background: Children with autism spectrum disorders are frequent visitors to high technology environments, and their needs may differ from those of their typically developed peers. Procedures in high technology environments can constitute a challenge for these children and their parents since the environment presents many challenges relevant to the child’s impairments. This systematic review aimed to explore the experiences of children with autism spectrum disorders and their parents during procedures in a high technology environment. Methods: The following sources were searched for this systematic review: Cochrane CENTRAL Trials, CINAHL, Dentistry and Oral Sciences Source, MEDLINE, PsycINFO, Scopus, and Web of Science Core Collection. The search terms included variants of the following concepts: (1) children with autism spectrum disorder and/or their parents and (2) anesthesia or radiographic departments. Publications were not limited by date or study design. Result: Out of 13,389 bibliographic records, nine studies were eligible for synthesis. After another search in October 2022, one additional study was eligible for synthesis.None of the studies reported children’s experiences, and all ten reported their parents’ experiences. Only one study was conducted in a radiographic context. Parents’ experiences were both positive and negative and were categorized into two main categories: (1) challenges in a new environment and (2) health care professionals’ approaches. Conclusion: Studies describing children’s experiences with procedures in high technology environments are lacking. The parents described a need for health care professionals to work in structured ways with their child and to be able to make suitable adaptations. Systematic review registration: This systematic review was registered in advance on the Open Science Framework, https://doi.org/10.17605/OSF.IO/5TXWJ .
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| 31. |
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| 32. |
- Ramstrand, Nerrolyn, 1974-, et al.
(author)
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Interventions and evaluation of intercultural competence of students enrolled in higher education : a scoping review
- 2024
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In: Education Inquiry. - : Taylor & Francis. - 2000-4508.
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Research review (peer-reviewed)abstract
- Over the past decade there has been an increase in scientific publications addressing intercultural competence (IC) of students. The sheer volume of publications available makes it difficult to determine the extent, breadth, and nature of research within the area. The aim of this scoping review was to describe the state of peer reviewed research related to IC, including academic disciplines addressing the issue, regions of the world conducting research, types of interventions used to foster IC and how outcomes are being evaluated. Six databases were searched, resulting in 15,128 articles. A total of 464 met the inclusion criteria. A trend was observed towards studying IC in interdisciplinary student populations as well as a post-COVID-19 trend towards more online interventions. Most research was conducted in North America (n = 198; 42.7%) within the discipline of education (n = 87; 18.8%). The most common intervention was pedagogical approaches delivered at the students’ home institution (n = 161; 34.7%). Results highlight a gap in research from the Global South and a lack of consensus regarding appropriate tools for evaluating IC. Continued work is required to determine the effects of specific interventions and to support educators in identifying appropriate tool(s) for measuring outcomes.
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| 33. |
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| 34. |
- Ritoša, Andrea, et al.
(author)
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Measuring Children's Engagement in Early Childhood Education and Care Settings : A Scoping Literature Review
- 2023
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In: Educational psychology review. - : Springer. - 1040-726X .- 1573-336X. ; 35:4
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Research review (peer-reviewed)abstract
- The purpose of this scoping review was to explore operationalizations and related conceptualizations of young children's engagement in early childhood education and care (ECEC) settings. The literature search was conducted in March 2021 across ERIC, PsycINFO, Scopus, and Web of Science databases, with the aim of identifying studies where child engagement or involvement in ECEC settings was quantitatively assessed. The search resulted in 5965 articles, of which 286 were included in this review. Data were extracted about engagement conceptualization, theoretical frameworks, study population, study design, and engagement measurement tools and methods. Findings show variations in definitions and measurement of child engagement. Almost two-thirds of the studies lacked an explicit definition of child engagement. Young children's engagement was typically defined as behaviors and interactions with the social and material environment, while involvement was depicted as an internal experience. The most common method of measuring children's engagement in ECEC was observations by an external observer, followed by teacher surveys. Seventy-seven unique established measures of child engagement were identified. About one-third of the identified studies relied on unestablished measures of child engagement. Measures of general child engagement in ECEC had a focus on behavioral aspects of engagement, whereas most measures with a focus on engagement in academic activities also included cognitive and emotional aspects. To advance the research of child engagement in ECEC settings, more attention should be put into clarifying the concept of child engagement in terms of its generalizability, specificity, and temporality. Corresponding operationalizations should be precisely described. Our recommendations also include validating existing measures of child engagement and developing self-reports for young children.
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| 35. |
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| 36. |
- Rusaw, David, 1978-, et al.
(author)
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Optimizing strategies for literature searching in Prosthetics & Orthotics
- 2019
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Conference paper (peer-reviewed)abstract
- This instructional course is intended for graduate and post-graduate students, as well as those actively involved in research within the Prosthetics and Orthotics field.Literature searches are a necessary component of effective research. To identify and access suitable literature, researchers need to understand which databases are most appropriate, how they differ in terms of content and search structure, and how to develop a search strategy which optimizes the proportion of relevant literature sources. Additionally, scholarly journals are increasingly requiring authors to publish utilized search strings to allow duplication of results.The choice of terms and syntax used to construct searches within literature databases have a major influence on the outcomes of a literature search. If this process is not conducted correctly, it can result in unnecessary identification of inappropriate sources or unintended omission of appropriate literature. This instructional course will be led by academic P&Os and librarians and will equip participants with the tools to develop an advanced search strategy for a prosthetics and orthotics related topic. In addition, the concept of validated search filters, also known as search hedges, will be introduced. These can be used to efficiently and accurately filter the evergrowing volume of literature. During the course, participants will be provided with a validated search hedge which has been developed by the instructional team to be utilized when conducting a systematic search for literature within the area of limb prosthetics.Statement of the objective / learning objectives. Upon completion, the student will:Understand the concept of a search hedgeMake informed decisions about the selection and use of literature databasesIndependently develop a search strategy for a prosthetics and orthotics related topic
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| 37. |
- Sterlingova, Tatiana, et al.
(author)
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Factors affecting women's participation in mammography screening in Nordic countries : A systematic review
- 2023
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In: Radiography. - : Elsevier. - 1078-8174 .- 1532-2831. ; 29:5, s. 878-885
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Research review (peer-reviewed)abstract
- Introduction: Mammography screening programs have been implemented in European countries as prevention tools aimed at reducing breast cancer mortality through early detection in asymptomatic women. Nordic countries (Denmark, Finland, Iceland, Norway, Sweden, the Faroe Islands, and Greenland) demonstrated high participation rates; however, breast cancer mortality could be limited by further optimizing screening. This review aimed to explore factors that affect women's participation in mammography screening in Nordic countries.Method: A systematic review of segregated mixed research synthesis using a deductive approach was conducted. The following databases and platforms were searched to identify relevant studies: CINAHL with Full Text (EBSCOHost), MEDLINE (EBSCOHost), PsycInfo (ProQuest), Scopus (Elsevier) and Web of Science Core Collection (SCI-EXPANDED, SSCI, A&HCI, CPCI-S, CPCI-SSH, and ESCI). The Critical Appraisal Skills Program was used for quality assessment. The Health Promotion Model was applied to integrate findings from qualitative and qualitative research. All methodological steps followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.Results: The final selection (16 articles) included studies from three Nordic countries: Denmark (four quantitative studies), Norway (one qualitative and four quantitative studies), and Sweden (three qualitative and seven quantitative studies). Sixty-three factors were identified as barriers, facilitators, or factors with no influence.Conclusion: A substantial number of obtained factors, spread across a wide spectrum, describe (non-)participation in mammography screening as a versatile phenomenon.Implications for practice: The findings of this review could benefit the mammography staff and providers regarding possible interventions aimed at improving screening participation rates.
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| 38. |
- Wikström, Lotta, et al.
(author)
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Patients' and providers' perspectives on e-health applications designed for self-care in association with surgery - a scoping review
- 2022
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In: BMC Health Services Research. - : Springer Nature. - 1472-6963. ; 22:1, s. 386-
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Research review (peer-reviewed)abstract
- BACKGROUND: Before and after major surgery, access to information in a user-friendly way is a prerequisite for patients to feel confident in taking on the responsibility for their surgical preparation and recovery. Several e-health applications have been developed to support patients perioperatively. The aim of this review was to give an overview of e-health applications designed for self-care associated with surgery by providing a scoping overview of perspectives from providers and patients. METHODS: We searched the following data sources to identify peer-reviewed quantitative and qualitative studies published between 2015 and 2020: CINAHL, Google Scholar, MEDLINE, PsycInfo, Web of Science, and Scopus. After identifying 960 titles, we screened 638 abstracts, of which 72 were screened in full text. Protocol register: https://doi.org/10.17605/OSF.IO/R3QND . RESULTS: We included 15 studies which met our inclusion criteria. Data from several surgical contexts revealed that the most common self-care actions in e-health applications were preoperative preparations and self-assessments of postoperative recovery. Motivational factors for self-care were information, combined with supportive reminders and messages, and chat features. Although there was great variance in research designs and technical solutions, a willingness to engage with and adhere to e-health seemed to increase patients' self-care activities and thereby accelerate return to work and normal activities. In addition, the need for physical visits seemed to decrease. Even though age groups were not primarily studied, the included studies showed that adult patients of any age engaged in surgical self-care supported by e-health. The providers' perspectives were not found. CONCLUSIONS: E-health applications supporting perioperative self-care indicated a positive impact on recovery. However, experiences of healthcare professionals delivering e-health associated with surgery are missing. Additionally, studies based on patients' perspectives regarding willingness, adherence, and motivation for self-care supported by e-health are sparse. A need for studies examining the supporting role of e-health for self-care in the surgical context is therefore needed.
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