| 1. |
- Brobeck, Elisabeth, 1962-, et al.
(författare)
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Lifestyle advice and lifestyle change : to what degree does lifestyle advice of healthcare professionals reach the population, focusing on gender, age and education?
- 2015
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Ingår i: Scandinavian Journal of Caring Sciences. - Chichester : Wiley. - 0283-9318 .- 1471-6712. ; 29:1, s. 118-125
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Tidskriftsartikel (refereegranskat)abstract
- Health promotion practice in health care has a high priority in the endeavour to achieve equal opportunities for health and diversity in health among the population. The purpose of the study was to investigate whether there is any connection between the lifestyle advice given by healthcare professionals and the lifestyle change of the population, focusing on age, gender and education level. The study is based on the data from a national population survey in Sweden in which 52 595 patients who had attended health care were interviewed by phone. The participants were asked whether healthcare professionals had raised the subject of lifestyle during the visit and whether the advice they gave had contributed to a lifestyle change. The results indicated that lifestyle issues were raised with 32.2% of those who attended health care, particularly among men, younger patients and those with a high education level. When lifestyle issues were raised, the advice contributed to 39.2% of patients making a lifestyle change, to a higher extent among men, older patients and those with a low education level. The study shows that lifestyle advice given by healthcare professionals, during both emergency and outpatient healthcare visits, is an important contributor to patients' lifestyle change.
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| 2. |
- Bräutigam Ewe, Marie, et al.
(författare)
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Characteristics of patients seeking a health promotion and weight reduction program in primary care
- 2019
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Ingår i: Journal of Multidisciplinary Healthcare. - Macclesfield : Dove Medical Press (Dovepress). - 1178-2390. ; 12, s. 235-242
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: An important task in primary health care (PHC) is to address lifestyle-related diseases. Overweight (OW) individuals make up a large proportion of PHC patients, and they increasingly have lifestyle-related illnesses that influence their quality of life. Structured health promotion and weight reduction programs could help these patients. The objective of this study was to explore the characteristics, lifestyle habits, and health conditions of individuals seeking a health promotion and weight reduction program in PHC.Patients and methods: The study involved a comparative cross-sectional design performed in PHC in southwestern Sweden. The study population comprised 286 participants (231 women, aged 40–65 years, body mass index [BMI] 28–35 kg/m2) who were recruited between March 2011 and April 2014 to the 2-year program by adverts in local newspapers and recruitment from three PHC centers. Two reference populations were used: a general population group and an OW group. The study population data were collected using a questionnaire, with validated questions regarding health, lifestyle, illnesses, and health care utilization.Results: People seeking a health promotion and weight reduction program were mostly women. They had a higher education level and experienced worse general health than the OW population, and they visited PHC more frequently than both reference groups. They also felt more stressed, humiliated, had more body pain, and smoked less compared to the general population. However, they did not exercise less or had a lower intake of fruits and vegetables than either reference population.Conclusion: Individuals seeking a weight reduction program were mostly women with a higher education level and a worse general health than the OW population. They used more health care services compared to the reference groups.
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| 3. |
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| 4. |
- Bräutigam-Ewe, Marie, et al.
(författare)
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Dietary advice on prescription: experiences with a weight reduction programme
- 2017
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Ingår i: Journal of Clinical Nursing. - Chichester : Wiley. - 0962-1067 .- 1365-2702. ; 26:5-6, s. 795-804
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Tidskriftsartikel (refereegranskat)abstract
- Aims and objectivesTo describe overweight persons' experiences with weight reduction and participation in the dietary advice on prescription. BackgroundApproximately 20% of overweight individuals are able to successfully lose weight. Experiences from earlier weight reduction programmes indicate that those who succeed typically manage to avoid overeating to handle stress and have high motivation to lose weight. Those who fail have low self-control and engage in negative health behaviours such as eating when experiencing negative emotions and stress. DesignThe study used a descriptive qualitative design and was conducted at a Primary Health Care Centre in south-west Sweden. MethodsThe first nineteen study participants who completed the weight reduction programme in two years responded in writing to five open questions about their experiences with the programme. Data were analysed using inductive content analysis. ResultsThe participants appreciated the face-to-face meetings with the nurse because they felt seen and listened to during these sessions. They also felt their life situations and self-discipline had an impact on how well they were able to follow the programme. Dietary advice on prescription advice was considered to be helpful for achieving behavioural changes and losing weight. People who succeeded in sustainably losing weight described the importance of support from partners or close friends. ConclusionsTo achieve sustainable weight reduction, it is important to individualise the programme in order to address each person's life situation and the unique difficulties they may encounter. Relevance to clinical practiceMotivational interviewing appears to be a good technique for developing a successful relationship between the nurse and the patient. The dietary advice on prescription advice was perceived to be a good way to improve food habits and can easily be used at many Primary Health Care Centres. Patient's partners should also be offered the opportunity to participate in the programme.
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| 5. |
- Hildingh, Cathrine, 1949-, et al.
(författare)
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Health promotion in nursing education : Attitudes among nurse students
- 2015
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Ingår i: Acta Biomedica. - Fidenza : L'Ateneo Parmense. - 0392-4203. ; 86, s. 91-96
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Tidskriftsartikel (refereegranskat)abstract
- Background: The World Health Organization (WHO) European Strategy for Nursing and Midwifery has called for the explicit inclusion and application of health promotion in all nursing curricula. However, research indicates that there are deficiencies in nursing education regarding health promotion in both the theoretical and practical elements of education. Insight into the experiences of European nursing students’ attitudes, positive or negative, about working in health promotion may provide a clue whether health promotion will be regarded as an important task and to what extent it will have priority in different parts of Europe. Aim: The aim of this study was to compare Italian and Swedish nursing students’ attitudes towards health promotion practice on matriculation to nursing school and after a three-year nursing education, and to explore whether attitudes towards health promotion practice correlate with BMI and smoking. Method: The study involved students who started their nursing education in autumn 2009 (n =240). Data were collected via a questionnaire. Results: The results show that the Swedish students had a more positive stance on health promotion than Italian students did. After completion of a three-year nursing education programme, Italian students’ attitudes on health promotion had improved, while no such development was seen in Sweden. Further, no correlation between lifestyle issues and attitudes to health promotion was found. Conclusion: Health promotion in nursing education may have important influence on students’ attitudes and thereby on the quantity and quality of future health promotion practice. © Mattioli 1885.
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| 6. |
- Källstrand Eriksson, Jeanette, 1965-, et al.
(författare)
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History of falling and visual ability among independently living elderly in Sweden
- 2016
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Ingår i: Clinical Ophthalmology. - Auckland : Dove Medical Press. - 1177-5467 .- 1177-5483. ; 10, s. 1265-1273
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: The aim of this study was to assess the performance-based visual ability among independently living elderly subjects and to investigate whether there was any association between visual ability and falls. Subjects and methods: A total of 298 randomly selected subjects aged 70-85 years were invited for an examination including monocular and binocular visual acuity (VA), contrast sensitivity (CS), stereoscopic vision, and monocular visual fields (VFs), which were integrated to estimate the binocular VFs. Type of lenses used in their habitual correction was noted. Results: Out of the 212 subjects who were examined, 38% reported at least one fall and 48% of these reported at least two falls during the last 2 years. Most subjects had normal results; 90% had normal binocular VA, 85% had normal binocular CS, and ~80% had positive stereopsis. Twenty-nine subjects had VF defects in the lower quadrants of the binocular VF, and 14 of these reported at least one fall. A significant association was seen between one fall or more and VA better eye, the odds ratio (OR) was 2.26, P=0.013, and between recurrent falls and lack of stereoscopic vision, the OR was 3.23, P=0.002; no other functional test showed any significant association with recurrent falls. The ORs were 1.58 for worse binocular VA, 0.60 for worse binocular CS, and 0.71 for non-normal stereoscopic vision for at least one fall, but wide confidence intervals made it difficult to draw firm conclusions about any association. Bifocal or progressive spectacles were worn by 71% with no significant difference between fallers and nonfallers (P=0.078). Conclusion: Even though ~40% of the total sample had experienced one or more falls, the only visual function test significantly associated with falls were VA better eye, lack of stereoscopic vision, and recurrent falls. Our results suggest that there may be more powerful predictors of falling than decreased visual ability.
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| 7. |
- Källstrand Eriksson, Jeanette, 1965-, et al.
(författare)
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Seniors' self-preservation by maintaining established self and defying deterioration : A grounded theroy
- 2016
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Ingår i: International Journal of Qualitative Studies on Health and Well-being. - Järfälla, Sweden : Co-action Publishing. - 1748-2623 .- 1748-2631. ; 11
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of this classic grounded theory study was to understand how seniors who are living independently resolve issues influenced by visual impairment and high fall risk. We interviewed and observed 13 seniors with visual impairment in their homes. We also interviewed six visual instructors with experience from many hundreds of relevant incidents from the same group of seniors. We found that the seniors are resolving their main concern of ‘‘remaining themselves as who they used to be’’ by self-preservation. Within this category, the strategies maintaining the established self and defying deterioration emerged as the most prominent in our data. The theme maintaining the established self is mostly guided by change inertia and includes living the past (retaining past activities, reminiscing, and keeping the home intact) and facading (hiding impairment, leading to avoidance of becoming a burden and to risk juggling). Defying deterioration is a proactive scheme and involves moving (by exercising, adapting activities, using walking aids, driving), adapting (by finding new ways), and networking by sustaining old support networks or finding new networks. Self-preservation is generic human behavior and modifying this theory to other fields may therefore be worthwhile. In addition, health care providers may have use for the theory in fall preventive planning.
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| 8. |
- Lidell, Evy, 1942-, et al.
(författare)
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Health-related quality of life in European women following myocardial infarction : A cross-sectional study
- 2015
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Ingår i: European Journal of Cardiovascular Nursing. - London, UK : Oxford University Press (OUP). - 1474-5151 .- 1873-1953. ; 14:4, s. 326-333
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Tidskriftsartikel (refereegranskat)abstract
- Background: Coronary heart disease is a major contributor to women's health problems. Design: Self-perceived social support, well-being and health-related quality of life (HRQL) were documented in the cross-sectional HeartQoL survey of European women one and six months after a myocardial infarction. Methods: European women were recruited in 18 European countries and grouped into four geographical regions (Southern Europe, Northern Europe, Western Europe and Eastern Europe). Continuous socio-demographic variables and categorical variables were compared by age and region with ANOVA and (2), respectively; multiple regression models were used to identify predictors of social support, well-being and HRQL. Results: Women living in the Eastern European region rated social support, well-being and HRQL significantly lower than women in the other regions. Older women had lower physical HRQL scores than younger women. Eastern European women rated social support, well-being and HRQL significantly lower than women in the other regions. Prediction of the dependent variables (social support, well-being and HRQL) by socio-demographic factors varied by total group, in the older age group, and by region; body mass index and managerial responsibility were the most consistent significant predictors.
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| 9. |
- Lindgren, Eva-Carin M, et al.
(författare)
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Children’s stories about team selection: a discourse analysis
- 2017
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Ingår i: Leisure Studies. - Abingdon : Informa UK Limited. - 0261-4367 .- 1466-4496. ; 36:5, s. 633-644
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Tidskriftsartikel (refereegranskat)abstract
- © 2017 Informa UK Limited, trading as Taylor & Francis GroupThe aim of our study was to identify and problematise messages and value principles visible in children’s stories about team selection in sport. To achieve this, we adopted a discourse analysis approach. Semi-structured face-to-face interviews were conducted with 24 children aged 10–11years who participated in four team sports in 12 different Swedish sports clubs. Based on the children’s stories, the findings reveal two discourses of team selection: one participation/inclusion-oriented and one performance/exclusion-oriented discourse in which four different forms of team selection work. The participation/inclusion-oriented discourse constructs sport as a fun game that involves all participating children. The performance/exclusion-oriented discourse shows that coaches select the best children in the team to obtain the best chance of winning games. Some of the coaches have given conflicting messages that align with both discourses, which are revealed by both the girls’ and the boys’ voices in varying degrees. The findings also demonstrate that children’s reasons for playing sport are in harmony with the participation/inclusive-oriented discourse. This discourse represents a child’s perspective, promoting every child’s right to participate under the same conditions. However, the selection procedure in both discourses exhibits strong classification, since coaches are the ones who possess the power to select.
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| 10. |
- Lydell, Marie, 1961-, et al.
(författare)
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Future challenges for occupational health services can be prevented by proactive collaboration with the companies using the services : a participatory and reflection project
- 2017
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Ingår i: Journal of Multidisciplinary Healthcare. - Macclesfield : Dove Medical Press Ltd. (Dovepress). - 1178-2390. ; 10, s. 217-225
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Tidskriftsartikel (refereegranskat)abstract
- Background: There is clearly a need for research in the field of occupational health service (OHS) for applying new perspectives. Proactive collaboration is needed between the OHSs and the companies. The customers of the companies using the services should be able to safeguard themselves from the health problems caused by the work environment through proactive collaboration with the OHSs.Objective: The main purpose of this interdisciplinary study was to explore how the stakeholders reflected to create and agree on core values for future challenges in OHS, as seen from the perspectives of OHS professionals and customer companies.Methodology: An action research process was conducted. This study was divided into three phases. In phase I, the data were collected from interviews and diaries of interdisciplinary occupational health professionals (n=12). A focus group that sampled the eight managers of the customer companies was also included. In phase II, a questionnaire was developed with 24 questions focusing on examining the future challenges for OHS. The questionnaire was sent to customer companies (n=116). In phase III, a scoping review was undertaken.Results: Three categories emerged from the analysis: “Balancing complex situations” clarified the complexity regarding senior employees; “Working with a proactive approach” indicated the need for working with a new proactive approach supporting sustainable health; and “Collaborate internally and externally” showed good relationships between the customer and the OHS, which is a mutual responsibility to both the partners.Conclusion: The results outlined that it is necessary to take action to apply new proactive health promotions, with a focus on workplace health promotion. The results also indicated that interventions for senior employees are of importance. This study was done in collaboration with the stakeholders from the occupational health care service center and the managers from the customer companies. The use of a participatory research design, including close collaboration with the participants, allows the researchers to see the challenges.
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