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Sökning: WFRF:(Nilsson M.) > Högskolan i Gävle

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1.
  • Crafoord, M.-T., et al. (författare)
  • Patients’ usage and perception of an interactive app for symptom management and self-care during cancer treatment
  • 2019
  • Ingår i: Annals of Oncology. - : Elsevier. - 0923-7534 .- 1569-8041. ; 30:s5, s. v816-
  • Tidskriftsartikel (refereegranskat)abstract
    • BackgroundEmploying apps in assessment of symptoms during cancer treatment facilitates detection of adverse events and may improve patient outcomes. Our interactive app Interaktor supports patients’ symptom management by regular symptom reporting, alerts for rapid access to staff in case of severe symptoms and continual access to relevant self-care advice. The aim of this study was to describe usage and explore perceptions of using Interaktor during cancer treatment.MethodsThe study includes the participants from the intervention arms of two separate randomized controlled trials (RCT) on patients with breast cancer (n = 74) during neoadjuvant chemotherapy and locally advanced prostate cancer (n = 75) during radiotherapy. It comprises usage metrics analysed by descriptive statistics and interviews analyzed by conventional content analysis.ResultsAdherence to daily reporting during treatment was in median above 80 %. Most patients viewed the information pages with self-care advice numerous times. The app was perceived user-friendly, faciliating interaction with health care professionals and supporting self care. Symptom reporting was a quick and comfortable way to access help. Using the app generated feelings of being monitored, involved and cared for. Further it supported attentiveness to and reflection of own well- being but could also serve as a reminder of illness. Some patients described that vigor, comorbidity, and cognitive side effects from the treatment influenced the motivation for and ability to symptom report. The information pages with self care advice were useful and appreciated and gave an idea of what was to be expected during treatment. Patients requested added and more comprehensive information on psychological symptoms and dietary advice.ConclusionsThe Interaktor app is a userfriendly and convenient alternative for patients contact and involvement with health care that aided symptom management, self-care and further enhanced patients participation in their care.Clinical trial identificationNCT02479607 and NCT02477137.
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  • Helmerson, Birgitta, et al. (författare)
  • A pilot study of the feasibility of a Swedish multimodal group intervention for severe migraine - The migraine patient school
  • 2021
  • Ingår i: Cephalalgia Reports. - : SAGE. - 2515-8163. ; 4, s. 1-9
  • Tidskriftsartikel (refereegranskat)abstract
    • Objectives: To evaluate a multidisciplinary group intervention, the migraine patient school (MPS), for patients with severe, mostly chronic migraine. Method: A 13-week group intervention program including seven sessions of patient education, practical body awareness and relaxation exercises, and home assignments was performed in small groups with 5–11 participants. Four groups were consecutively included from spring 2014 to fall 2015. Headache diaries and standardized and study-specific questionnaires were used for evaluation at baseline before MPS (pre-interventional phase), and at follow-up. Results: Twenty-four of 30 included patients completed the study, i.e. attended ≥ four sessions. Most participants found it rewarding to participate in the MPS and easy to take part in, understand and complete home assignments. Validated standardized questionnaires delivered before, and after (follow-up) MPS showed that the impact on life (HIT-6) and avoidance behavior (PIPS-A) were significantly improved whereas quality of life (MSQL), anxiety and depression (HAD) and perceived stress (PSS-14) did not show a statistically significant change. Conclusion: The Migraine patient school with a multimodal educational and behavioral group intervention program was feasible to perform and seem to benefit patients with severe (high-frequency or chronic) migraine. © The Author(s) 2021.
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4.
  • Nilsson Tengelin, M., et al. (författare)
  • A Novel Method for Studying Threshold Levels for Positive Phototaxis in Insects
  • 2021
  • Ingår i: CIE x048. - Vienna : CIE Central Bureau. - 9783902842299 ; , s. 262-268
  • Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
    • This paper presents a novel method for studying threshold levels for positive phototaxis ofinsects and smaller mobile organisms. Outdoor lighting affects light sensitive species and thereis a need to evaluate the effect of light levels, spectral composition of the light and lightdistribution to mitigate the ecological impacts of the artificial light. For this purpose, a test boxinvestigating the effect of light on insects in a controlled manner has been constructed. The boxis equipped with a luminance source and the light levels can be varied from a maximum valuecontinuously down to zero. The spectral composition of the light can be varied by changing thelamp or using optical filters. For visibility of the insects the box has infrared light emitting diodesin the ceiling and two wide-angle cameras monitor the light response. The functionality of thebox is tested with the species greater wax moth.
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