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  • Björk, Annette, et al. (författare)
  • A nurse-led lifestyle intervention for adult persons with attention-deficit/hyperactivity disorder (ADHD) in Sweden
  • 2020
  • Ingår i: Nordic Journal of Psychiatry. - : Taylor & Francis Group. - 0803-9488 .- 1502-4725. ; 74:8, s. 602-612
  • Tidskriftsartikel (refereegranskat)abstract
    • Introduction: Attention-deficit/hyperactivity disorder (ADHD) is associated with lifestyle-related diseases. Therefore, a nurse-led lifestyle intervention including interpersonal relationships, health education and cognitive support was developed to facilitate healthier lifestyle habits.Aim: The aim was to develop a lifestyle intervention and investigate its impact on mental and physical healthMethod: The 52-week intervention included 35 adults with ADHD. In a pre- and post-test design, symptoms of ADHD were measured with the Adult ADHD Self-Report Scale, quality of life was measured with the Adult ADHD Quality of Life scale and mental health was measured with the Hospital Anxiety and Depression scale. Lifestyle habits and dimensions of health were measured by the Lifestyle-Performance-Health Questionnaire and physical fitness was measured by the VO2 Max Test and calculations of waist circumference and body mass index. Result: Post-tests for a group of 25 persons showed positive changes following the intervention regarding weekly physical activity, quality of life and general and mental health. Lifestyle habit support was found to be important. The impact of the intervention should be confirmed in a long-term study with a control group.Conclusion: This intervention may be beneficial and may be implemented in a primary healthcare setting or in other open care units.
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  • Björk, Annette, et al. (författare)
  • Health, lifestyle habits, and physical fitness among adults with ADHD compared with a random sample of a Swedish general population
  • 2018
  • Ingår i: Society, health and vulnerability. - : Informa UK Limited. - 2002-1518. ; 9:1
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Persons with Attention Deficit Hyperactive Disorder (ADHD) represent a high-risk population according to health and lifestyles. In the present study, 48 adults with ADHD were recruited to a forthcoming lifestyle intervention. The ADHD sample was matched to a random sample of 42 persons from a Swedish general population that was selected from LIV (a Lifestyle-Performance-Health project).Objective: To identify potential differences in health, lifestyle habits, and physical fitness between adults with and without ADHD.Method: Self-reported questionnaires and physical fitness tests.Results: The ADHD group show worse health outcomes with higher odds ratios for bad general health (OR;13 CI; (3,4–50)), and poorer lifestyle habits with higher odds ratios for low weekly exercise (OR; 3,8 CI; (1,2–13)). When adjusting for education, employment status, and cash margin, the ADHD sample did not show decreased aerobic fitness (OR; 0,9 CI; (0,8–1,0), but lower odds ratios for doing less sit-ups (OR; 0,6 CI; (0,4–0,9)) compared to the general population group.Conclusion: It is not possible to prove that the ADHD diagnosis itself cause the worse health and lifestyle. Other lifestyle factors may have negative consequences of adult ADHD, such as lower levels of education, less succeed in working life, and minor financial margins.
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  • Björk, Annette, et al. (författare)
  • Perspectives on Everyday Suffering among People with Adult Attention Deficit Hyperactivity Disorder and Concurrent Mental Disorders
  • 2017
  • Ingår i: Open Journal of Nursing. - : Scientific Research Publishing, Inc.. - 2162-5336 .- 2162-5344. ; 7, s. 583-598
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of this study was to describe the perceptions of everyday suffering among adults with attention deficit hyperactivity disorder (ADHD) and comorbid mental disease. Directed content analysis guided by Eriksson’s theory on human suffering was performed on data from 20 individual interviews. Expressions of both suffering and well-being were identified; the former centred on loneliness and related to life, illness, and care, which supported Eriksson’s theory, whereas expressions of well-being related to ADHD diagnosis and supportive social relationships. Nevertheless, results indicate the need to expand those expressions in order to better contribute to developing a supportive rehabilitation regimen that can provide more interpersonal care.
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6.
  • Björk, Annette (författare)
  • Stödjande gemenskap : Utveckling och utvärdering av en intervention för livsstilsförändring bland vuxna med adhd
  • 2020
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • The entire project revolves around a lifestyle intervention that has been developed, implemented and evaluated. The intervention included adults with ADHD and comorbid mental illness. ADHD (Attention Deficiency Hyperactive Disorder) is a neuropsychiatric diagnosis/disability characterized by attention problems, impulsivity and hyperactivity and can affect education, working life, social relationships and form the basis for impaired lifestyle habits. Previous research shows shortened life expectancy in adults with ADHD, which related to deteriorating lifestyle habits. In the long run, the disability may be the basis for impaired living conditions and lifestyle habits and contribute to the individual's well-being and quality of life. In the field of health sciences, it is important to alleviate suffering, promote health and prevent ill health. Thus, the overall aim of this dissertation is to analyze living conditions among people with ADHD and mental illness, as well as to develop and evaluate a lifestyle intervention for this group.The PhD project includes four sub-studies: Study I, a qualitative interview study (n = 20) of adults with ADHD and mental illness, aimed at describing experiences of everyday suffering in this group. The analysis showed experiences of both suffering and well-being in living with ADHD. The focus of the suffering was the experience of loneliness, both regarding relationships in life, relationships in health care, but also to ADHD diagnosis and mental illness. Well-being was experienced when diagnosed with ADHD but also in relation to supportive social relationships. Study II, a quantitative descriptive and comparative study, aimed to gain more knowledge about people withADHD and their health situation. One group of people with ADHD (n = 48)was compared to the normal population without ADHD (n = 42). The results showed poorer health outcomes regarding self-perceived general health and the group with ADHD was less weekly physical active but nevertheless had no decreased aerobic fitness compared to the normal population. Study III, aquantitative descriptive study (n = 25), aimed to examine the degree of acceptance of the intervention and its impact on lifestyle habits, health and well-being, MBI and physical fitness. The tests before and after completing intervention showed small positive effects regarding weekly physical activity, quality of life and general- and mental health. Study IV, a qualitative study(n = 15), with adults with ADHD and comorbid mental illness aimed to investigate the experience of participating in a nurse-led lifestyle intervention. The analysis, based on material from interviews, showed that the participants perceived the intervention as supportive, which is related to the interpersonal relationships that arose in the intervention. Through supportive kindship with the other participants in the intervention, lifestyle habits and health experience were improved.The conclusion of the thesis is that the lifestyle intervention, based on interpersonal relationships and supported kindship, can be useful for making lifestyle changes in adults with ADHD and mental illness. Such support is important because adults with ADHD and mental illness experience a lack of and a desire for social support and has an increased risk of deteriorating health and unhealthy lifestyles. However, future adjustments to the content of the intervention must be made to improve the lifestyle intervention towards more sustainable lifestyle changes. Above all, the lifestyle intervention ought to be continuous. It is also of great importance for further research that insider perspective is used, that is, investigate the professionals' experiences regarding the intervention.
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9.
  • Gelin, Gunnar, et al. (författare)
  • Networks, ICT-levels and work conditions as determinants of developmental processes in SMEs
  • 2000
  • Ingår i: <em>Proceedings NES-2000 - At the gateway to Cyberspace - ergonomic thinking in a new millenium</em>. ; , s. 181-184
  • Konferensbidrag (refereegranskat)abstract
    • This paper discusses how social networks and ICT-structures in combination mayinfluence and set conditions for work environment/work organisation changeprocesses in small and medium sized enterprises. To begin with an integrativemodel is presented, followed by some empirical illustrations from an ongoingresearch and development project including about sixty small enterprises in thenorthern part of Norway and Sweden. An underlying theme is that many workplace change processes are context specific: goals, how the processes aremanaged, and participation tend to differ between different company types.
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10.
  • Gunnarsson, Kristina, 1947- (författare)
  • Entrepreneurs and Small-Scale Enterprises : Self Reported Health, Work Conditions, Work Environment Management and Occupational Health Services
  • 2010
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • This thesis focused on factors contributing to improved work environment in small-scale enterprises and sustainable health for the entrepreneurs. In Study I, implementation of the provision of Systematic Work Environment Management (SWEM) with and without support was investigated. Two implementation methods were used, supervised and network method. The effect of the project reached the employees faster in the enterprises with the supervised method. In general, the work environment improved in all enterprises. However, extensive support to small-scale enterprises in terms of advice and networking aimed at fulfilling SWEM regulations had limited effect – especially considering the cost of applying these methods. Studies II, III, and IV focused on entrepreneurs’ health, work conditions, strategies for maintaining good health, and utilisation of Occupational Health Service (OHS). A closed cohort of entrepreneurs in ten different trades responded to two self-administered questionnaires on health and work conditions, with five years between the surveys: at baseline, 496 entrepreneurs responded, and 251 entrepreneurs responded at follow-up. Differences were tested by Chi2-test, and associations estimated with logistic regression analyses. Qualitative interviews on entrepreneurs’ strategies for maintaining good health were included. In Study II, the most frequently reported complaints, musculoskeletal pain and mental health problems, were associated with poor job satisfaction and poor physical work environment. In Study III, consistent self-reported good health, i.e. good health both at baseline and at follow up, was associated with self-valued good social life when adjusted for physical work conditions and job satisfaction. Entrepreneurs’ strategies for maintaining good health included good planning and control over work, flexibility at work, good social contact with family, friends and other entrepreneurs, and regular physical exercise. Study IV concerned entrepreneur’s utilisation of OHS. Entrepreneurs affiliated to OHS had either better or more adverse work conditions than non-affiliated entrepreneurs. Medical care and health check-ups were the services most utilised. Affiliation to OHS correlated with use of specific information sources and active work environment management. The entrepreneurs were not consistently affiliated to OHS over the five-year-period.
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11.
  • Hagqvist, Emma, et al. (författare)
  • A balancing act : Swedish occupational safety and health inspectors' reflections on their bureaucratic role when supervising micro-enterprises
  • 2021
  • Ingår i: Small Business Economics. - : Springer Science and Business Media LLC. - 0921-898X .- 1573-0913. ; 57, s. 821-834
  • Tidskriftsartikel (refereegranskat)abstract
    • The safety and health of many workers employed in micro-enterprises (with less than 10 employees) is poor, and legal arrangements related to working environments remain a considerable challenge in these enterprises. The aim of this study is to gain a deeper understanding of how Swedish occupational safety and health (OSH) inspectors perceive themselves as inspectors and their role as bureaucratic regulators when meeting micro-enterprises. In the study, 11 Swedish inspectors were interviewed and asked to reflect on their role as inspectors, how they perceive themselves as inspectors and what their role is as bureaucratic regulators when inspecting micro-enterprises. The qualitative content analysis revealed one theme-a balancing act-and three categories: one inspector, many roles; interactions with micro-entrepreneurs; and exercise the profession as an inspector. The results showed that OSH inspectors experience challenges in meeting the requirements of street-level bureaucracy while addressing the needs of micro-enterprises. In conclusion, OSH inspectors need organisational support to develop inspection models and enforcement styles tailored to micro-enterprises, as this could ease their work and contribute to better inspection outcomes. The implications of this study include a need for increased competence about working environment issues in micro-enterprises, development of enforcement styles among the inspectors, emphasis of the importance of specific governmental projects for OSH and development of models in this enterprise group. Additionally, development of micro-enterprise managers' competence and ability to handle issues related to the working environment and health were also important.
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12.
  • Hagqvist, Emma, 1980-, et al. (författare)
  • Falling outside the system : Occupational safety and health inspectors’ experiences of micro-enterprises in Sweden
  • 2020
  • Ingår i: Safety Science. - : Elsevier B.V.. - 0925-7535 .- 1879-1042. ; 125
  • Tidskriftsartikel (refereegranskat)abstract
    • In this study, 11 Swedish occupational safety and health (OSH) inspectors were interviewed about their views of and experiences interacting with micro-enterprises (1-9 employees). The qualitative content analysis found one theme, “Falling outside the system”, and three subthemes, “The inspector—shaped by specific standards”, “The bureaucrat and the micro-entrepreneur—two separate worlds”, and “System faults and system changes”. According to the inspectors, the Swedish OSH regulatory system, with inspectors on the front line, neglects the specific needs, circumstances and characteristics of micro-enterprises. Therefore, we suggest revising the OSH regulatory system and following inspection methods and enforcement styles to better address the needs of micro-enterprises.
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  • Hagqvist, Emma, 1980-, et al. (författare)
  • Is the gap between experienced working conditions and the perceived importance of these conditions related to subjective health?
  • 2018
  • Ingår i: International Journal of Workplace Health Management. - 1753-8351 .- 1753-836X. ; 11:1, s. 2-15
  • Tidskriftsartikel (refereegranskat)abstract
    • PurposeThe purpose of this paper is to explore the gaps between experienced working conditions (WCs) and the perceived importance of these conditions in relation to subjective health in Swedish public sector workplaces.Design/methodology/approachIn total, 379 employees answered questions concerning WCs and health. Nine WC areas were created to measure the gap between the experienced WCs and the perceived importance of each condition. These WC areas were: physical work environment, social relationships, communication, leadership, job control, recognition, self-development, workplace culture and work/life satisfaction. Subjective health was measured using mental ill health, well-being and general health.FindingsThe results indicated relatively large gaps in all nine WC areas. Leadership, physical work environment and work/life satisfaction in particular seemed to be problematic areas with relatively large gaps, meaning that employees have negative experiences of these areas while perceiving these areas as very important. Additionally, all WC areas were significantly related to subjective health, especially regarding mental ill health and well-being; the larger the gaps, the worse the subjective health. The WC areas of work/life satisfaction, self-development, social relationships, communication and recognition had the highest relationships and model fits. This indicates that it is most problematic from an employee’s point of view if there are large gaps within these WC areas.Originality/valueThis study improves the understanding of workplace health by exploring the gap between experienced WCs and the perceived importance of these conditions.
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  • Hagqvist, Emma, 1980-, et al. (författare)
  • The gender time gap : Time use among self-employed women and men compared to paid employees in Sweden
  • 2019
  • Ingår i: Time & Society. - 0961-463X .- 1461-7463. ; 28:2, s. 680-696
  • Tidskriftsartikel (refereegranskat)abstract
    • In this article, the authors set out to study the time use of men and women in Sweden, comparing self-employed and employed individuals. Previous studies indicate that there are reasons to believe that both gendered time use and mechanisms related to time use might differ between the self-employed and employees. Employing time use data, the aim was to study whether there are differences in gendered time use between self-employed individuals and employees in Sweden, and furthermore, which mechanism relates to gendered time use among self-employed individuals and employees. The results show that self-employed men and women distribute their time in a more gender-traditional manner than employees. In addition, relative resources are found to be an important factor related to gendered time use among the self-employed. For employees, gender relations tend to be a mechanism related to gendered time use. The conclusion is that working conditions are important for gendered time use and should be considered in future studies.
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  • Hagqvist, Emma, 1980-, et al. (författare)
  • The leader identity - a means to experience conflict and constructing balance
  • 2018
  • Ingår i: Gender, Work and Organisation International Interdisciplinary Conference ABSTRACTS BOOKLET, 13-16 JUNE 2018. ; , s. 120-120
  • Konferensbidrag (refereegranskat)abstract
    • Literature shows that self-employed individuals seem to experience more conflict between work and family demands than employees but variation is great, especially among self-employed men and women. For instance, studies suggest that women chooses self-employment as a strategy to balance work and family while men uses self-employment as a way to find employment and earnings. Many self-employed individuals describe a feeling of being always on. Self-employment is closely related to masculine values giving emphasis to long work hours and high job demands. Self-employment is an identity and impede men and women to draw a line between work and private life. It is often argued that this is not a problem in the Nordic countries because of high gender equality. However, quantitative data shows rather the opposite.Sparse literature suggest that both men and women use self-employment as a way to ease conflict between work and family. In recent years the concept of work-life enrichment has grown as an explanation how one role can improve quality in other roles easing conflicts. Research suggest that high job control for self-employed men and women eases conflict demand and perhaps create enrichment.In this study, we analyzed interview data from managers in 18 small scale enterprises (SSE), of which 8 were women and 10 men, in the central regions of Norway and Sweden aiming to gain a deeper understanding of how they men and women construct and relate to work and private life in their role as managers of SSEs.Preliminary results show that self-employed men and women narrate a strong identification in their leader identity resulting in a duality in relation to work and family. We identify that interviewees describe that conflict seams to part of the deal of being a leader. They describe how the strong leader identity legitimate a high level of conflict among both men and women. This is in line with the notion that self-employment builds on masculine values and women, though being the main responsible of the home, seem to construct these male values. Meanwhile, the strong leader identity is used as a way to construct balance. In their role as managers and leaders they are allowed to be flexible, more flexible than their employees. However, this flexibility is often used as a way to fit work around family. Lastly, interviewees describe how managerial identity contribute to a work-life enrichment. High job identification gave the leader self-esteem, skills and perspectives which produced a positive affect in relation to work.
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16.
  • Hagqvist, Emma, 1980-, et al. (författare)
  • The Same, Only Different : Doing Management in the Intersection between Work and Private Life for Men and Women in Small-scale Enterprises
  • 2020
  • Ingår i: Work, Employment and Society. - : SAGE Publications. - 0950-0170 .- 1469-8722. ; 34:2, s. 262-280
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of this article is to elucidate how male and female managers of small-scale enterprises in Norway and Sweden relate to and experience the intersection between work and private life. A qualitative content analysis was adopted to explore interviews with 18 managers. The analysis resulted in three primary categories: conflict as a part of the deal, using management to construct balance, and management identity contributing to enrichment. A key theme that emerged was doing management. Both men and women reproduced masculine values in describing their management identities and in explaining how they enacted management. This clear identification was used to legitimate conflict, construct balance and explain the interaction between work and private life as enriching. How the managers enacted gender emerged primarily in how they related to family responsibilities and their feelings of guilt in relation to home and children.
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17.
  • Hagqvist, Emma, et al. (författare)
  • Time strain among employed and self employed women and men in Sweden
  • 2015
  • Ingår i: Society, Health & Vulnerability. - : CoAction Publishing. - 2002-1518. ; 6, s. 1-16
  • Tidskriftsartikel (refereegranskat)abstract
    • Dual-earner families are common in Sweden, and most women are involved in the labour market. It has been shown that employees and self-employed individuals perceive their working conditions differently: self-employed individuals are more likely to experience an imbalance between work and family, higher job demands, and the feeling that they must be ‘‘always on.’’ Thus, there may also be a difference between employees and self-employed individuals in terms of perceived time strain. Previous studies have identified differences in time-use patterns among men and women who are employed and self-employed. This study uses time-use data to examine potential gender differences among men and women who are self-employed and those who are employees with regard to time strain effects related to time spent on paid and unpaid work in Sweden. The results show that self-employed individuals, particularly self-employed women, report the highest levels of time strain. For self-employed women, an increase in the time spent on paid work reduces perceived time strain levels, whereas the opposite is true for employees and self-employed men. It is primarily individual and family factors, and not time use, that are related to time strain. The results provide evidence that gender differences in time strain are greater among self-employed individuals than among employees.
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18.
  • Hagqvist, Emma, et al. (författare)
  • Time strain among self-employed women and men compared to employees in Sweden
  • 2015
  • Ingår i: Society, Health & Vulnerability. - : Informa UK Limited. - 2002-1518. ; 6:22 dec
  • Tidskriftsartikel (refereegranskat)abstract
    • Dual-earner families are common in Sweden, and most women are involved in the labour market. It has been shown that employees and self-employed individuals perceive their working conditions differently: self-employed individuals are more likely to experience an imbalance between work and family, higher job demands, and the feeling that they must be ‘‘always on.’’ Thus, there may also be a difference between employees and self-employed individuals in terms of perceived time strain. Previous studies have identified differences in time-use patterns among men and women who are employed and self-employed. This study uses time-use data to examine potential gender differences among men and women who are self-employed and those who are employees with regard to time strain effects related to time spent on paid and unpaid work in Sweden. The results show that self-employed individuals, particularly self-employed women, report the highest levels of time strain. For self-employed women, an increase in the time spent on paid work reduces perceived time strain levels, whereas the opposite is true for employees and self-employed men. It is primarily individual and family factors, and not time use, that are related to time strain. The results provide evidence that gender differences in time strain are greater among self-employed individuals than among employees.
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19.
  • Hansen, Elisabeth, et al. (författare)
  • Leader-Based Workplace Health Interventions — A Before–After Study in Norwegian and Swedish Small-Scale Enterprises
  • 2016
  • Ingår i: International Journal of Disability Mangement Research. - : Cambridge University Press (CUP). - 1833-8550 .- 1834-4887. ; 11:e5, s. 1-14
  • Tidskriftsartikel (refereegranskat)abstract
    • The purpose of this study is to contribute to knowledge about leader-based workplace health interventions by investigating changes in psychosocial working conditions and health in Norwegian and Swedish small-scale enterprises (SSEs). The study also aims to investigate whether there are differences between position, and countries. In total, 30 leaders and 149 coworkers in 34 SSEs participated in two intervention and two reference groups. Leaders and coworkers completed the validated questionnaires (Nordic Questionnaire on Positive Organizational Psychology ([N-POP]), Work Experience Measurement Scale (WEMS), and Salutogenic Health Indicator Scale (SHIS), which cover different psychosocial working conditions and health outcomes. The interventions were carried out by advisors from occupational health services (OHSs) over a one-year period and consisted of analyses of health and psychosocial working conditions, company visits, education and networking meetings, including information and tools on issues such as leadership, work environment and health, and leadership support. The statistical methods used included principal component analyses, reliability tests, paired sample t tests and three-way ANOVA. The results indicate a significant positive development concerning external job performance in the intervention groups. Regarding internal job performance, both the Norwegian intervention group and the reference group showed positive improvements. However, there were negative or nonsignificant developments for several of the psychosocial working conditions and health outcomes in the intervention groups. With regard to associations and interactions between the studied variables, there were significantly positive developments with regard to external job performance and sickness absences in the total intervention group. The study indicates that more thorough procedures and testing of leader-based interventions in SSEs are required.
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20.
  • Hansen, Elisabeth, et al. (författare)
  • Ledarfokuserade hälsofrämjande insatser i små företag: resultat och erfarenheter (Leader-based workplace health interventions in small enterprises: results and experiences)
  • 2016
  • Ingår i: Inkluderande och hållbart arbetsliv - Book of abstracts - FALF 2016. - Östersund. ; , s. 43-44
  • Konferensbidrag (refereegranskat)abstract
    • Leader-based workplace health interventions in small-scale enterprises: a pre post Study. Introduction Leader’s competence about health and working environment issues is of particular importance in small scale enterprises (SSEs). Studies indicate lack of tools for 44 Book of abstracts – FALF 2016implementation of working environment improvements and support from occupationalhealth services to develop such services towards SSE`s. The aim of the study was to investigate organizational-, psychosocial working environment- and health outcomes among leaders and employees in SSEs before and after workplace health interventions, and to contribute to knowledge about tools suited for implementation. Description Data presented is part of a research project concerning leader-based workplace health interventions in SSEs. 179 subjects, intervention group (103) and control group (76), from 32 SSE ́s in the middle part of Norway and Sweden participated. Leaders (N=30) and Employees (N=149) answered validated questionnaires (WEMS, SHIS and N-POP) covering organizational outcomes, psychosocial working conditions and health. The interventions were carried out by advisers from occupational health services, and consisted of courses, meetings including information, advices and tools for working on issues like leadership, working environment, and health during a one year period. Results Organizational outcomes as Job Performance indicatedan interaction in favor of intervention group compared to control group, and for leaders compared to employees. For Psychosocial working conditions, the Swedish leaders reported a positive change concerning pressure of Time. Regarding Health outcomes the Norwegian leaders reported a more positive development concerning sleep problems compared to employees in Norway, and leaders in Sweden. The Intervention group reported lower Sickness absence. Conclusion Leader-based interventions in SSE`s seems effectively to a limited extent. Time between pre and post intervention including measure points, might be too short to detect improvements over time.
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21.
  • Hansen, Elisabeth, et al. (författare)
  • Resistance Training in People at Risk of Developing Type 2 Diabetes and Their Experience of Health-Related Quality of Life
  • 2016
  • Ingår i: Health. - : Scientific Research Publishing, Inc.. - 1949-4998 .- 1949-5005. ; 8, s. 1323-1334
  • Tidskriftsartikel (refereegranskat)abstract
    • Background : Research indicates an association between impaired glucose metabolismand overweight, a serious public health problem involving an increased risk ofType 2 diabetes, related hypertension, and a reduced quality of life. Aim: The firstaim is to assess different dimensions of Health-Related Quality of Life (HRQoL) inoverweight individuals at risk of developing Type 2 diabetes compared to a normalpopulation. The second aim is to examine the impact of resistance training on thepre-post HRQoL dimension scores of the intervention group. Methods : Eighteenparticipants were randomly assigned to one of the two resistance training groups.Group 1 engaged in supervised maximal resistance training (Bernstein inverted pyramidsystem: 5× 3 - 4, 60% - 85% of 1 Repetition Maximum (RM)), three days/weekover four months, and Group 2 performed endurance resistance training (includinglower weight loads and more repetitions over four months). The intervention consistedof eight exercises involving the entire body. The subjects completed theShort-Form Health Survey (SF-36) on HRQoL. The HRQoL scores of the norm populationwere higher than those of people at risk of developing Type 2 diabetes, andresistance training seemed to have a limited significant positive effect on the differentHRQoL dimensions.
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22.
  • Hansen, Elisabeth, et al. (författare)
  • Work Experience and Health before and after interventions among leaders and employees in small-scale enterprises
  • 2016
  • Ingår i: Decent Work: 4th Conference Disability Management. - Olten. ; , s. 26-
  • Konferensbidrag (refereegranskat)abstract
    • Background: Workplace-based prevention and rehabilitation programs including strategy to change might contribute to increase employee health. The importance of leader competence in small scale enterprises (SSE´s) to prioritize health and adjusting the work-environment are important. Some studies indicate associations between psychosocial work environment factors and mental health, but contradicting findings suggest that good leadership does not substantially ameliorate any effects of emotional demands at work on employee mental health. The cost-effect for the society as whole, the enterprise alone and the workers employed e.g. regarding sick leave, injury rates, stable employment levels and other factors are complex. Traditionally there has been a focus on these factors mostly in large workplaces, but a broader understanding, sustainable standards, procedures, implementing methods, and more knowledge regarding leadership, health, work-environment, stress and health promoting interventions towards SSE´s is needed. Purpose and method: The aim of the study is to investigate Work Experience (WEMS) and Salutogenic Health (SHIS) changes among leaders and employees in SSEs pre-post intervention. Present study analyzed data from two questionnaires (WEMS, and SHIS) based on established theories regarding work and health. Leaders (N=30) and employees (N=149) from 32 small scale enterprises in the middle part of Norway and Sweden participated. The interventions were carried out by work environment advisers and consisted of meetings including information, advices and tools towards leaders and employees during a one year period. The methodology used to identify any pre-post changes, and changes between groups (ex. Norway-Sweden, leaders-employees) involved SPSS analyses with descriptive statistics, univariate analysis of variance and t-tests. Findings: The analysis revealed no positive significant changes from pre to post intervention for the total Index of SHIS, nor the total Index of WEMS. Some indications of changes however could be detected, were the main tendency was a negative development after intervention. The subindex of WEMS regarding Management (MT) though, yielded a significant effect of mean for leaders compared with employees after intervention. Conclusions: Present interventions towards leaders and employees regarding Work environment and Salutogenic health in SSE`s seems not to be sufficient. More knowledge regarding leadership, work-environment and health are crucial, and even more thorough procedures and testing of interventions in SSE´s needs to be carried out to improve these parameters.
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23.
  • Hansen, Elisabeth, et al. (författare)
  • Workplace Health Interventions and Physical Fitness Status among Managers of Small-Scale Enterprises in Norway and Sweden
  • 2016
  • Ingår i: Health. - : Scientific Research Publishing, Inc.. - 1949-4998 .- 1949-5005. ; 8, s. 1697-1712
  • Tidskriftsartikel (refereegranskat)abstract
    • Background : The ability of managers of small-scale enterprises (SSEs) to prioritize health, working conditions, and their own physical fitness is an important issue for workplace health promotion in Norway and Sweden, where most owner-manager positions are in SSEs. Aim : To assess the physical fitness status of SSE managers compared to a norm population and to study changes in physical fitness status, self-reported physical activity, and sickness outcomes after workplace health interventions. Methods : The study allocated SSE managers to either an intervention or a reference group. The intervention, over twelve months, consisted of motivational input related to lifestyle and physical activity through tests and feedback, individual support, and courses on health and psychosocial working conditions. The participants (N = 28) completed health screening checks, questionnaires and testing before and after the intervention. Results : SSE managers in the study had positive outcomes for BMI levels and strength compared to the norm population, while percentage of fat for both men and women indicated poor results. There were no further improvements in the intervention group after comparison with the reference group. Separately, both groups seemed to improve strength and body composition. Conclusion : Workplace health interventions with essentially motivational components may increase SSE managers’ attention to physical fitness, but appear to have limited effects on objective and subjective physical fitness outcomes.
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24.
  • Hansson, Josefine, et al. (författare)
  • A Comparative Study of Financial Support and Resilience of Self-Employed people in Sweden and Canada
  • 2023
  • Ingår i: <em>European Journal of Public Health</em>, Volume 33, Issue Supplement_2, October 2023. - : Oxford University Press (OUP).
  • Konferensbidrag (refereegranskat)abstract
    • BackgroundGlobally the COVID-19 pandemic presented major difficulties for self-employed people such as financial decline, restrictions and business closures. A plethora of financial support measures was rolled out worldwide to support them, but there is a lack of research looking at the effectiveness of the policy measures on small businesses. The aim of the study was to compare policies addressing government financial support in Sweden and Canada to get an understanding of how different governmental financial support measures enhanched self-employed people's resilience and improved their chances to manage the pandemic. In addition, individual interviews with Swedish and Canadian self-employed people were conducted to get an understanding of how they experienced the support measures and how these measures factored into their resilience during and after the restrictions had ended.MethodsWe conducted a mixed-method study encompassing document analysis and semi-structured interviews with self-employed people in Sweden and Canada. The constant comparative method guided the data analysis and documentary and interview data were analysed together. Three categories were formed: Welfare protection and effects, Self-employed well-being and Agility during COVID-19, based on their ability to represent the overall sense of the phenomena.ResultsKey results were that self-employed people in both countries unable to telework, were less resilient during the pandemic due to financial problems, restrictions and lockdowns, and that this negatively affected their well-being.ConclusionsPotential future policy responses in Sweden and Canada to support self-employed people during crises or adversity should consider the diversity among small businesses and tailor programmes towards viable businesses in greatest need of support, such as those in businesses unable to telework.Key messages • Self-employed people in Sweden and Canada unable to telework, were less resilient during the pandemic due to financial problems, restrictions and lockdowns. • Future policy responses to support self-employed people during adversity should tailor programmes towards viable businesses in greatest need of support.
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25.
  • Hansson, Josefine, et al. (författare)
  • A comparative study of governmental financial support and resilience of self-employed people in Sweden and Canada during the COVID-19 pandemic
  • 2024
  • Ingår i: International Journal of Circumpolar Health. - : Informa UK Limited. - 1239-9736 .- 2242-3982. ; 83:1
  • Tidskriftsartikel (refereegranskat)abstract
    • Globally, self-employed people were among the hardest hit by the repercussions of the COVID-19 pandemic and faced hardships such as financial decline, restrictions, and business closures. A plethora of financial support measures were rolled out worldwide to support them, but there is a lack of research looking at the effect of the policy measures on self-employed people. To understand how different governmental financial support measures enhanced the resilience of the self-employed and improved their ability to manage the pandemic, we conducted a mixed-method study using policy analysis and semi-structured interviews. The documents described policies addressing governmental financial support in Sweden and Canada during the pandemic, and the interviews were conducted with Swedish and Canadian self-employed people to explore how they experienced the support measures in relation to their resilience. The key results were that self-employed people in both countries who were unable to telework were less resilient during the pandemic due to financial problems, restrictions, and lockdowns. The interviews revealed that many self-employed people in hard-hit industries were dissatisfied with the support measures and found them to be unfairly distributed. In addition, the self-employed people experiencing difficulties running their businesses reported reduced well-being, negatively affecting their business survival.
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26.
  • Hansson, Josefine (författare)
  • Self-employed people navigating difficult times : business challenges and well-being from a salutogenic perspective
  • 2024
  • Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • BackgroundGlobally, the COVID-19 pandemic presented major difficulties for many self-employed people because it caused pressures such as decreased customer demand, production stagnation, disruptions in supply chains and increased uncertainty. The vast amount of the studies of self-employed people during the pandemic have focused on traditional pathogenic effects. Hence, overall aim of this thesis is to explore how self-employed people experienced and used internal and external salutogenic resources to navigate the pandemic, from a business challenge and an individual well-being perspective. MethodsDifferent methods of data collection and analysis were employed in the thesis. For study I, a qualitative design was used to explore whether a sense of coherence was experienced, and any general resistance resources were used by small business managers in Sweden and Norway during the pandemic. For study II, a cross-sectional quantitative design was employed to investigate the well-being of self-employed people in Europe during the pandemic and whether their well-being was influenced by factors representing four socio-ecological levels. Lastly, study III applied a mixed-method design including comparative policy analysis and interviews to gain an understanding of how different governmental financial support measures aimed to aid the resilience of Swedish and Canadian self-employed people and improve their ability to manage the COVID-19 pandemic. Study I was analysed through a deductive content analysis, study II was analysed using independent sample t-tests, correlations and linear regression, and study III used comparative policy analysis and inductive content analysis. ResultsFindings from the interviews in study I demonstrated that it was important for the participants to comprehend and manage challenges during the pandemic in a resourceful manner, and to see meaningfulness in their situations. In study II, the findings highlight that the socio-ecological factors of resilience, social support, doing useful work and experiencing rules as clear affected the self-employed people’s well-being, and that these factors may be even more important for those who had difficulties running their business. Study III found that self-employed people in both Sweden and Canada who 10 were unable to telework were relatively less resilient during the pandemic. The interviews revealed that many self-employed people in hard-hit industries were dissatisfied with government financial support measures and found them to be unfairly distributed. In addition, the self-employed people who experienced difficulties running their businesses reported reduced well-being, which had a negative effect on their business survival. Conclusion While the three studies in this thesis had different foci, they collectively provide insights into the internal and external salutogenic resources that influenced how self-employed people navigated the pandemic. A sense of coherence, resilience and well-being were deemed important for handling the pandemic well, for both the individuals and their businesses. The research also indicated the interconnectedness between self-employed people and their businesses. For instance, financial difficulties may lead to increased stress and pressure to make decisions to sustain the business. Reduced well-being, in turn, made it harder to adapt and adjust positively to adversity. The importance of supporting factors at multiple socio-ecological levels was also highlighted, and these may be particularly important to those who had difficulties running their businesses.
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27.
  • Hansson, Josefine, et al. (författare)
  • Small business managers and Covid-19 – the role of a sense of coherence in coping with stressors
  • 2022
  • Ingår i: Framtidens arbete – arbetets framtid. - Kiruna.
  • Konferensbidrag (refereegranskat)abstract
    • Small business managers and Covid-19 – the role of a sense of coherence in coping with stressors Many businesses around the world are facing a significant impact from the Covid-19 pandemic, with the transport, tourism, and hospitality sectors being among the most affected. Compared to larger businesses, the effect on small businesses has generally been more severe due to their limited human, financial and technical resources. In addition, the degree of government financial aid, in combination with changes in the supply chain, may strongly affect the operations and survival of small businesses. The response of small business managers to an external event such as the pandemic can have a profound effect on the work environment, health, and well-being of themselves and their employees. Previous research on small business managers during the pandemic has mainly focused on traditional pathogenic effects, and there is a lack of studies looking at the issue from a salutogenic health promotion perspective. Aim of study The aim of the study was to explore whether a sense of coherence and general resistance resources were experienced by small business managers in Sweden and Norway during the Covid-19 pandemic. Methods A qualitative design was applied through exploratory interviews with 16 managers of small businesses in Sweden and Norway. The inclusion criteria were small businesses with less than 20 employees representing different types of services in the private sector. Further criteria were that the businesses were located in comparable geographic regions in Sweden and Norway. A content analysis of the interviews was conducted using the sense of coherence concept by Aaron Antonovsky, with the three main components of comprehensibility, meaningfulness, and manageability acting as a conceptual framework for the analysis process. Results Findings from the interviews demonstrated that it was important for the managers to comprehend and manage the challenges during the pandemic in a resourceful manner, and to see the meaningfulness in the situation. Within the three main sense-of-coherence categories, six general resistance resources were identified as being important for the managers to handle uncertainty during the pandemic. These were understanding rules and regulations, social support, optimism, proactivity, problem-solving and flexibility and cooperation. Conclusions The small business managers handled the pandemic in a way that worked well in their contexts, and the pandemic generally did not have a negative effect on their businesses or themselves. A salutogenic approach, through which the managers focused on identifying and using resources, was an important factor in managing stressors and adversity during the pandemic. Hence, the concept of salutogenesis may be used as an intervention to foster better health in small businesses, both at a personal and organisational level in order to handle future challenges effectively
  •  
28.
  • Hansson, Josefine, et al. (författare)
  • Small business managers and Covid-19—The role of a sense of coherence and general resistance resources in coping with stressors
  • 2022
  • Ingår i: PLOS ONE. - : Public Library of Science (PLoS). - 1932-6203. ; 17:3
  • Tidskriftsartikel (refereegranskat)abstract
    • Background The response of small business managers to an external event such as the pandemic canhave a profound effect on the work environment, health and well-being for themselves and their employees. Previous research on small business managers during the pandemic has mainly focused on traditional pathogenic effects, and there is a lack of studies looking at the issue from a salutogenic health promotion perspective. The aim of this study is to explore whether a sense of coherence and general resistance resources were experienced by small business managers in Sweden and Norway during the Covid-19 pandemic.Methods A qualitative design was applied through exploratory interviews with 16 managers of small businesses in Sweden and Norway. A content analysis of the interviews was conducted using the sense of coherence concept by Aaron Antonovsky, with the three main components of comprehensibility, meaningfulness and manageability acting as a conceptual framework for the analysis process.Results Within the three main sense-of-coherence categories, six general resistance resources were identified as being important for the managers to handle uncertainty during the pandemic. These were understanding rules and regulations, social support, optimism, proactivity, problem-solving and flexibility and cooperation.Conclusions The small business managers handled the pandemic in a way that worked well in their contexts, and the pandemic generally did not have a negative effect on their businesses orthemselves. A salutogenic approach, through which the managers focused on identifying and using resources, was an important factor for managing stressors and adversity during the pandemic. Hence, the concept of salutogenesis may be used as an intervention to foster better health in small businesses, both at a personal and organisational level in order to handle future challenges effectively.
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29.
  • Hansson, Josefine, et al. (författare)
  • Socio-Ecological Factors and Well-Being among Self-Employed in Europe during the COVID-19 Pandemic
  • 2022
  • Ingår i: International Journal of Environmental Research and Public Health. - : MDPI AG. - 1661-7827 .- 1660-4601. ; 19, s. 1-13
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: The self-employed are at increased risk of negative well-being outcomes when facing adversity such as the COVID-19 pandemic. Studies that examine socio-ecological factors that may protect their well-being are warranted.Methods: Data were drawn from a cross-sectional survey of European self-employed people (n = 1665). The WHO-5 Well-being Index was used to examine the impact on well-being of factors at four socio-ecological levels. Independent sample t-tests, Pearson correlations and linear regression were applied to analyse differences between groups of self-employed and interactions between variables using SPSS.Results: Well-being and the socio-ecological factors of resilience, social support, useful work and finding the rules clear were positively correlated with well-being. For self-employed who reported that it was challenging to run their business during the pandemic, social support and finding rules clear were of significantly greater importance to their well-being.Conclusions: The findings highlight that the socio-ecological factors of resilience, social support, doing useful work and finding the rules clear affect well-being. The results also indicate that it is vital to consider factors at multiple socio-ecological levels to improve the well-being of the self-employed during adversity.
  •  
30.
  • Hansson, Josefine, et al. (författare)
  • Socio-Ecological Factors and Well-Being among Self-Employed in Europe during the COVID-19 Pandemic
  • 2023
  • Ingår i: 10th Nordic Health Promotion Research Conference June 14-16 2023, Halmstad June 14–16, 2023. - Halmstad.
  • Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
    • Background: The self-employed are at increased risk of negative well-being outcomes when facing adversity such as the COVID-19 pandemic. Studies that examine socio-ecological factors that may protect their well-being are warranted. Methods: Data were drawn from a cross-sectional survey of European self-employed people (n = 1665). The WHO-5 Well-being Index was used to examine the impact on well-being of factors at four socio-ecological levels. Independent sample t-tests, Pearson correlations and linear regression were applied to analyse differences between groups of self-employed and interactions between variables using SPSS. Results: Well-being and the socio-ecological factors of resilience, social support, useful work and finding the rules clear were positively correlated with well-being. For self-employed who reported that it was challenging to run their business during the pandemic, social support and finding rules clear were of significantly greater importance to their well-being. Conclusions: The findings highlight that the socio-ecological factors of resilience, social support, doing useful work and finding the rules clear affect well-being. The results also indicate that it is vital to consider factors at multiple socio-ecological levels to improve the well-being of the self-employed during adversity.
  •  
31.
  • Hedlund, Marianne, et al. (författare)
  • Tightrope walking : external impact factors on workplace health management in small-scale enterprises
  • 2017
  • Ingår i: Society, health and vulnerability. - : Informa UK Limited. - 2002-1518. ; 8:Sup 1, s. 53-66
  • Tidskriftsartikel (refereegranskat)abstract
    • Small-scale enterprises (SSEs) are important for ensuring growth, innovation, job creation,and social integration in working life. Research shows that SSEs pay little attention to andhave insufficient competence in workplace health management. From the perspective ofmanagers, this study explores how external factors influence the development of thismanagement. The article refers to a case study among eight Norwegian and ten Swedishmanagers of SSEs in the middle part of Norway and Sweden. We used a stepwisequalitative approach to analyse data, using an interpretive indexing of main categories.Two main categories were found to have an influence on the development of workplacehealth management: (1) restricted leeway and (2) commitments. Concerning the first maincategory, areas that managers highlight as important comprise the legal framework andregulations; workforce and market situation, production, economy; and occupationalsafety and health issues. Areas related to the second main category were advice fromthe board, guidance from mentors, work-related networks, and family and friends asbuffers. One conclusion is that despite limited scope for developing workplace healthmanagement, managers find supportive guidance and inspiration from environments thatare committed to helping them and their enterprise.
  •  
32.
  • Hedlund, Marianne, et al. (författare)
  • Tightrope walking - external impact factors on workplace health management in small-scale enterprises
  • 2018
  • Konferensbidrag (refereegranskat)abstract
    • Small-scale enterprises (SSEs) are important for ensuring growth, innovation, job creation, in addition to social integration in working life. Research shows that SSEs pay little attention to and have insufficient competence in workplace health management. From the perspective of managers, this study explores how external factors influence the development of this management. The article refers to a case study between eight Norwegian and ten Swedish managers of SSEs in the middle part of Norway and Sweden. We used a stepwise qualitative approach to analyse data, using an interpretive indexing of main categories. Two main categories were found to have an influence on the development of workplace health- management: (1) Restricted leeway and (2) Commitments. Concerning the first main category, areas that managers highlight as important comprise the legal framework and regulations; workforce and market situation, production, finances; and occupational safety and health issues. Areas related to the second main category were advice from the board, guidance from mentors, work-related networks, and family and friends as buffers. One conclusion is that despite limited scope for developing workplace health anagement, managers find supportive guidance and inspiration from environments that are committed to helping them and their enterprise.
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33.
  • Johansson Sevä, Ingemar, et al. (författare)
  • Subjective well-being among the self-employed in Europe : macroeconomy, gender and immigrant status
  • 2016
  • Ingår i: Small Business Economics. - : Springer-Verlag New York. - 0921-898X .- 1573-0913. ; 46:2, s. 239-253
  • Tidskriftsartikel (refereegranskat)abstract
    • Previous research shows that the self-employed generally experience a higher degree of job satisfaction compared to regular employees. However, our knowledge of subjective well-being among the self-employed, the differences between various groups of self-employed and the potential influence of contextual factors is somewhat limited. The purpose of the present paper is to address this gap by taking macroeconomic conditions, gender and immigrant status into consideration. The results show that self-employment is positively related to subjective well-being, but there are also differences between groups of the self-employed; self-employed with employees report a higher level of life satisfaction than the self-employed without employees. Economic growth is more important for the level of life satisfaction among the self-employed than among employees. The analyses also point to different patterns for female and male self-employed without employees: only women experience a higher level of life satisfaction compared to employees. The results also show that the relationship is stronger among immigrants than natives. The results of this study confirm the importance of considering potential heterogeneity when examining subjective well-being among the self-employed.
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34.
  • Julià, Mireia, et al. (författare)
  • Employment and Labor Market Results of the SOPHIE Project : Concepts, Analyses, and Policies
  • 2017
  • Ingår i: International Journal of Health Services. - : SAGE Publications. - 0020-7314 .- 1541-4469. ; 47:1, s. 18-39
  • Tidskriftsartikel (refereegranskat)abstract
    • This article reports evidence gained by the SOPHIE Project regarding employment and labor market-related policies. In the first step, quality of employment and of precarious and informal employment in Europe were conceptualized and defined. Based on these definitions, we analyzed changes in the prevalence and population distribution of key health-affecting characteristics of employment and work between times of economic prosperity and economic crisis in Europe and investigated their impact on health outcomes. Additionally, we examined the effects of several employment and labor market-related policies on factors affecting health equity, including a specific analysis concerning work-related gender equity policies and case studies in different European countries. Our findings show that there is a need to standardize definitions and indicators of (the quality of) employment conditions and improve information systems. This is challenging given the important differences between and within European countries. In our results, low quality of employment and precarious employment is associated with poor mental health. In order to protect the well-being of workers and reduce work-related health inequalities, policies leading to precarious working and employment conditions need to be suspended. Instead, efforts should be made to improve the security and quality of employment for all workers.
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35.
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36.
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37.
  • Källmén, Håkan, et al. (författare)
  • The Prevalence of Alcohol Prevention Efforts in Swedish Workplaces
  • 2013
  • Ingår i: International Journal of Disability Mangement Research. - : Cambridge University Press (CUP). - 1833-8550 .- 1834-4887. ; 8:3, s. 1-7
  • Tidskriftsartikel (refereegranskat)abstract
    • This article presents results from a survey aimed at identifying the extent of alcohol prevention efforts in Swedish workplaces focusing on the dissemination of a model for secondary prevention — the 'Risk Drinking model'. From a random sample of 929 human resource managers at Swedish workplaces, 374 answered a web-based questionnaire (response rate = 40%). Results showed that about 70% had an alcohol policy at their workplace, 51% were engaged in alcohol prevention efforts and about 19% used the Risk Drinking model. Regression analyses showed that large workplaces, workplaces where employees received training on alcohol, public sector and female-dominated workplaces were significantly associated with alcohol prevention activities. We conclude that training is important for the implementation of alcohol prevention at Swedish workplaces, and is of particular importance in small enterprises.
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38.
  • Landstad, Bodil, et al. (författare)
  • A statistical human resources costing and accounting model for analysing the economic effects of an intervention at a workplace
  • 2002
  • Ingår i: Ergonomics. - : Informa UK Limited. - 0014-0139 .- 1366-5847. ; 45:11, s. 764-787
  • Tidskriftsartikel (refereegranskat)abstract
    • The study had two primary aims. The first aim was to combine a human resources costing and accounting approach (HRCA) with a quantitative statistical approach in order to get an integrated model. The second aim was to apply this integrated model in a quasi-experimental study in order to investigate whether preventive intervention affected sickness absence costs at the company level. The intervention studied contained occupational organizational measures, competence development, physical and psychosocial working environmental measures and individual and rehabilitation measures on both an individual and a group basis. The study is a quasi-experimental design with a non-randomized control group. Both groups involved cleaning jobs at predominantly female workplaces. The study plan involved carrying out before and after studies on both groups. The study included only those who were at the same workplace during the whole of the study period. In the HRCA model used here, the cost of sickness absence is the net difference between the costs, in the form of the value of the loss of production and the administrative cost, and the benefits in the form of lower labour costs. According to the HRCA model, the intervention used counteracted a rise in sickness absence costs at the company level, giving an average net effect of 266.5 Euros per person (full-time working) during an 8-month period. Using an analogue statistical analysis on the whole of the material, the contribution of the intervention counteracted a rise in sickness absence costs at the company level giving an average net effect of 283.2 Euros. Using a statistical method it was possible to study the regression coefficients in sub-groups and calculate the p-values for these coefficients; in the younger group the intervention gave a calculated net contribution of 605.6 Euros with a p-value of 0.073, while the intervention net contribution in the older group had a very high p-value. Using the statistical model it was also possible to study contributions of other variables and interactions. This study established that the HRCA model and the integrated model produced approximately the same monetary outcomes. The integrated model, however, allowed a deeper understanding of the various possible relationships and quantified the results with confidence intervals.
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39.
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40.
  • Landstad, Bodil, 1965-, et al. (författare)
  • Female leaders' experiences of psychosocial working conditions and its health consequences in Swedish public human service organizations
  • 2013
  • Ingår i: Vulnerable Groups & Inclusion. - : Informa UK Limited. - 2000-8023. ; 4
  • Tidskriftsartikel (refereegranskat)abstract
    • Municipal workplaces have high levels of sickness absence, and deterioration of the psychosocial work environment has been most pronounced for women and employees in this sector of Swedish working life. This study explores how female leaders in one rural municipality in Sweden experience their psychosocial working conditions and its health consequences. Interviews were carried out with 20 female leaders. Data were analyzed with a content analysis method using major dimensions of work stress models. These were job demands, job control, job resources, social support, and its health consequences. The analysis shows that the leaders experience high and conflicting job demands, limited possibilities to influence their work situation, insufficient job resources and social support, and limited time for their own health promotion. However, the leaders experience possibilities to develop skills in their jobs and opportunities to participate in educational programs. The analyses confirm the need for improvements in the prerequisites for female leaders in public human service organizations. It is important to improve female leaders' psychosocial working conditions by implementing a more narrow control range, increased personal and economical recourses, leadership support, and leader development programs.
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41.
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42.
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43.
  • Landstad, Bodil, 1965-, et al. (författare)
  • How managers of small-scale enterprises can create a health promoting corporate culture
  • 2017
  • Ingår i: International Journal of Workplace Health Management. - 1753-8351 .- 1753-836X. ; 10:3, s. 228-248
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose – Small-scale enterprises are important for sustainable development in Europe and account for a significant proportion of private enterprises and their large contribution to employment. The overall research aim of the study is to explore workplace health management from the perspective of managers in small-scale enterprises (SSEs) in Norway and Sweden. Methodology – In-depth interviews with 18 managers in SSEs were conducted and a stepwise qualitative analysis was used. Findings – The findings are presented as two main patterns 1) Interorganisational dynamics and 2) Participative leadership. Managers discussed opportunities for workplace health management to foster solidarity and flexibility in the workplace, the potential of employees for self-governance, and a cultural environment at the workplace characterized by safety,trust, care, loyalty and humour. The managers employed a process-oriented communicato style, were all-rounders, and demonstrated dedicated and distinct management. Managers in small-scale enterprises were lonely problem-solvers and experienced high and conflicting work demands and work-family conflicts. Research limitations – The findings should be interpreted with caution concerning representation of small-scale enterprises generally. The enterprises were recruited from an intervention project focusing on workplace health management and might therefore have a positive attitude. Originality – This study adds important knowledge regarding the preconditions for creating health-promoting workplaces in SSEs, an area for which limited research exists. The findings provide insights and knowledge about managers’ possibilities and obstacles in workplace health management. The findings could be transferrable to management in similar contexts if managers develop more awareness and knowledge. Practical implications – The managers obtain recommended information about what to doand how to address workplace health management in SSEs.
  •  
44.
  • Landstad, Bodil, 1965-, et al. (författare)
  • How managers of small-scale enterprises can create a health promoting corporate culture
  • 2018
  • Konferensbidrag (refereegranskat)abstract
    • Purpose – Small-scale enterprises are important for sustainable development in Europe and account for a significant proportion of private enterprises and their large contribution to employment. The overall research aim of the study is to explore workplace health management from the perspective of managers in small-scale enterprises (SSEs) in Norway and Sweden. Methodology – In-depth interviews with 18 managers in SSEs were conducted and a stepwise qualitative analysis was used. Findings – The findings are presented as two main patterns 1) Interorganisational dynamics and 2) Participative leadership. Managers iscussed opportunities for workplace health management to foster solidarity and flexibility in the workplace, the potential of employees for self-governance, and a cultural environment at the workplace characterized by safety, trust, care, loyalty and humour. The managers employed a process-oriented communicator style, were all-rounders, and demonstrated dedicated and distinct management. Managers in small-scale enterprises were lonely problem-solvers and experienced high and conflicting work demands and work-family conflicts. Research limitations – The findings should be interpreted with caution concerning representation of small-scale enterprises generally. The enterprises were recruited from an development project focusing on workplace health management and might therefore have a positive attitude. Originality – This study adds important knowledge regarding the preconditions for creating health-promoting workplaces in SSEs, an area for which limited research exists. The findings provide insights and knowledge about managers’ possibilities and obstacles in workplace health management. The findings could be transferrable to management in similar contexts if managers develop more awareness and knowledge. Practical implications – The managers obtain recommended information about what to do and how to address workplace health management in SSEs.
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45.
  • Landstad, Bodil Johanne, 1965-, et al. (författare)
  • Change in pattern of absenteeism as a result of workplace intervention for personnel support
  • 2001
  • Ingår i: Ergonomics. - : Informa UK Limited. - 0014-0139 .- 1366-5847. ; 44:1, s. 63-81
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim was to investigate whether a preventive intervention carried out in a predominantly female workplace, that of hospital cleaners (consisting of a group of 97 women), had any effect on patterns of absenteeism. As a background, a model for analysing complex patterns of absenteeism, including sickness absences, was also developed. A further aim was to study the interactions between different forms of absenteeism. Comparison was made with a reference group consisting of employees in the same job category who only received the customary personnel support. For individuals in the intervention group who were <42 years of age, total absence due to sickness decreased. In a multiple regression analysis, the contribution from the intervention to the decrease was significant at the 5% level. This change was particularly obvious in those who had a previous history of high absence due to sickness. No clear relationship was shown between short-term absenteeism and the interventions applied. For those who were > 42 years, short-term absence decreased for those who had been in the same jobs for a long time. The combination of increased age and experience showed a tendency to enhance this decline in short-term absenteeism due to sickness. For those > 42 years, and who at the same time have a previous history of high absenteeism, long-term absenteeism due to sickness seemed to be increasing. Increased experience tended to reduce this increase in long-term sickness absence. This combination of different effects possibly indicated the presence of a process of selection which determined who remained in the job as opposed to those who did not. An important conclusion is that different forms of absenteeism need to be looked at in parallel, and at the same time multivariate statistical analysis needs to be carried out to determine the different interactions between the factors.
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46.
  • Landstad, Bodil J., 1965-, et al. (författare)
  • Making things work–In spite of a pandemic small scale enterprise managers’ approach to business changes and health issues
  • 2023
  • Ingår i: PLOS ONE. - : Public Library of Science (PLoS). - 1932-6203. ; 18:7
  • Tidskriftsartikel (refereegranskat)abstract
    • BackgroundCovid-19 is one of the worst crises in modern working life with a direct negative impact on many enterprises and organizations. The aim of this study is to explore what managers in Small Scale Enterprises (SSEs) changed in their business during the Covid-19 pandemic, particularly addressing health issues.MethodsA longitudinal qualitative research methodology was used, interviewing 16 managers of SSEs in the Norwegian and Swedish manufacturing and service sector both before (round 1) and during the pandemic (round 2). In this approach, time is designed into the research process, making change a key focus for analysis.ResultsThe analysis resulted in two main themes, resilience and demanding occupational health and safety conditions, and five sub-themes. Results show how managers in SSEs changed their business during the Covid-19 pandemic and the impact of these changes. Although, the enterprises were heavily affected in the beginning of the pandemic, several managers found new solutions for their businesses to maintain and reach new customers. They applied a socially responsible management which addressed different health issues.ConclusionCrises like the Covid-19 pandemic will have future impact on SSEs making it important to understand how managers in such enterprises address business and health issues. This knowledge may have practical implications for supporting managers in SSEs in how to perform a socially responsible management and maintain occupational health and safety measures. The managerial implications from this research are that they need to be flexible, reorientable and, at the same time, be loyal to the core business. This study shows the importance of doing longitudinal studies about business and health issues among mangers in SSEs.
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47.
  • Landstad, Bodil J., 1965-, et al. (författare)
  • Management by values : A qualitative study of how small business owners in the cleaning sector view and implement their employer responsibilities with respect to occupational safety and health management
  • 2022
  • Ingår i: Safety Science. - : Elsevier BV. - 0925-7535 .- 1879-1042. ; 148
  • Tidskriftsartikel (refereegranskat)abstract
    • Nine Swedish small business owners in the cleaning sector were interviewed regarding their personal views and experiences concerning employer responsibilities in relation to occupational safety and health management for this study. The analysis is guided by a qualitative content analysis exploring strategies applied to responsible leadership. We found that there was one specific behavioural pattern that stood out above all others. Small business owners regularly implemented a form of responsible leadership we call management by values. Management by values was applied using three strategies building employee relationships, rational management and transferring responsibility. This managing style can be both a strength and a weakness for the employees working conditions. The strengths are that the owners are supporting, guiding, and communicating in their leadership with their employees while the weaknesses can be that they, the owners, base their occupational safety and health management on values rather than knowledge. As a result, there is a transference in responsibilities from the small business owners to their employees for measures related to the working environment. The conclusions of the study are that by applying management by values, the small business owners seem to promote good psychosocial working conditions in their enterprises while showing a lack of knowledge about occupational safety and health management. This might mean a risk that systematic approaches will not be applied to physical working environment conditions regarding safety issues. 
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48.
  • Landstad, Bodil J, 1965-, et al. (författare)
  • Personal Perspectives on Vocational Rehabilitation in Singapore and Sweden
  • 2010
  • Ingår i: The Asia Pacific Disability & Rehabilitation Journal. - Bangalore. ; 21:1, s. 3-25
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of the study is to describe and analyse personal reflections on vocational rehabilitation in Singapore and Sweden as described by employees who have been on sick leave. Further, the study investigates what similarities and differences can be discerned from the accounts provided by the participants in the different countries. Interviews were conducted with five Singaporeans and five Swedes undergoing rehabilitation due to musculoskeletal problems. The most significant result is that more differences than similarities were identified; e.g. the Singaporeans had fewer days of sickness absence, they were diagnosed more swiftly, treatment and the rehabilitation process began earlier and there were no queues for treatment. The conclusion is that the Singaporean system seems to be more effective with respect to returning people to work. However, the Swedish system creates more security for all groups of people.
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49.
  • Landstad, Bodil, et al. (författare)
  • Leader´s view of health promotion workplaces in small-scale enterprises
  • 2016
  • Ingår i: Decent Work: 4th Conference Disability Management. - Olten, Schweiz : Fachhochschule Nordwestschweiz. ; , s. 25-
  • Konferensbidrag (refereegranskat)abstract
    • Background: Small-scale enterprises (SSEs) are regarded as important contributors to economic development. However, there is a limited understanding about the importance of the psychosocial working conditions, the work-life balance, health and well-being in these enterprises. Research on psychosocial working conditions in SSEs is polarized and shows contradictory results, and it is often stated that SSEs have trouble with workplace health and disability management processes due to their limited resources, and lack of support from human resource consultants. According to the Luxemburg Declaration of Workplace Health Promotion health in the workplace can be achieved by monitoring a wide range of factors; e.g. management principles, organizational culture, involvement of all the workforce and balance between job demands and control in work. ‘Disability Management’ is an approach which goes beyond traditional vocational rehabilitation due to its focus on prevention of injury as well as return to work assistance following injury, and the importance of using the workplace for interventions at all levels of the organization. Purpose and method: The overall aim of the study is, from a leader perspective, to explore small scale enterprises (SSEs) conditions for managing health promoting workplaces. This study analyzes data from interviews with leaders in 18 small scale enterprises in the middle part of Norway and Sweden. The methodology used to study conditions to create health promoting workplaces was based on a step-wise inductive method. Findings: The analyses revealed two main categories as important for creating health-promoting workplaces: conditions for managing workplace health promotion and conditions for a health promoting leadership. Each category contained several sub-themes that were related to solidarity and flexibility among employees, self-steered task management, good and joyful working conditions and managing leadership role essential for developing a healthy workplace. Conclusions: The leader’s view of health promoting workplaces point at great consciousness and maturity in their approach to create a health-promotive workplace. The premises for healthy work conditions in small-scale enterprises seem to be favorable despite obstacles and limited resources available.
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50.
  • Landstad, Bodil, et al. (författare)
  • Ledares perspektiv på hälsofrämjande arbete i små företag (Leaders' perspective on workplace health promotion in small enterprises)
  • 2016
  • Konferensbidrag (refereegranskat)abstract
    • Small-scale enterprises (SSEs) are important for sustainable development at national development and regional levels, and account for a large part of private enterprises and their large contribution to employment. Earlier research shows that SSEs are limited with respect to personnel, economic resources and competence for creating health-promoting workplaces. This study explores the premises for managing health-promoting workplaces from a leadership perspective in eight Norwegian and ten Swedish SSEs. A stepwise qualitative approach and analysis were used to analyze data. The analysis shows two main categories: corporative health promotion workplaces and cultivating health-promoting leadership.The leader’s experience of solidarity and flexibility, self-steered task management, safety, trust and care, job satisfaction, loyalty, humor and recruitment indicates these as important components related to a health-promoting workplace. They point to the importance of being a process-oriented communicator, an all-rounder, and the need to make use of a dedicated and distinct leadership style. However, they also indicate problems with being a lonely problem solver, high and conflicting work demands and work-family conflicts. One conclusion is that leaders exhibit an awareness of the importance of applying a holistic approach for creating health-promoting workplaces. Another conclusion, which is not in line with previous research, is that the leaders exhibit a maturity about the importance of combining individual and organizational health promotion measures and that they have a high motivation to work with these areas.
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