| 1. |
- Bäccman, Charlotte, Lektor, 1973-, et al.
(author)
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Elderly and care personnel's user experiences of a robotic shower
- 2020
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In: Journal of Enabling Technologies (JET). - : Emerald Group Publishing Limited. - 2398-6263 .- 2398-6271. ; 14:1, s. 1-13
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Journal article (peer-reviewed)abstract
- Purpose The purpose of this study is to explore the expectations and experiences regarding a robotic shower, from a dual user perspective. Design/methodology/approach This was an explorative qualitative study in which elderly and personnel were interviewed before the robotic shower was installed and again after four or five months of usage. Findings The elderly participants found the robotic shower empowering. The personnel's experiences encompassed their own work conditions, as well as the user value for the elderly. A shared experience for both user groups was a more independent shower situation for the elderly. Originality/value This study presents a dual user experience of a DAT in an intimate care situation and shows the importance of including both elderly and personnel to fully understand the value of DATs.
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| 2. |
- Bäccman, Charlotte, Lektor, 1973-, et al.
(author)
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Motivational intermissions : Optimizing fitness technology for the co-creation of motivation
- 2022
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In: Proceedings of the QUIS17 – The 17th International Research Symposium on Service Excellence in Management. - : Universitat Politècnica de València. - 9788413960197 ; , s. 28-36
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Conference paper (peer-reviewed)abstract
- This study focuses on how fitness technology services can be designed in order to support the co-creation of motivation to sustain a healthy behavior. The study used an exploratory qualitative design in which we interviewed eight seasoned runners about their running routines and their use of fitness trackers. The result shows that the fitness routines require careful planning and deliberation, and that the maintenance of a healthy lifestyle relies more on what happens between the activities than during said activity. Thus, fitness trackers should focus on feedback that allows users to co-create motivation during intermissions between health promoting behaviors.
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| 3. |
- Bäccman, Charlotte, Lektor, 1973-, et al.
(author)
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Personalized Coaching via Texting for Behavior Change to Understand a Healthy Lifestyle Intervention in a Naturalistic Setting : Mixed Methods Study
- 2023
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In: JMIR Formative Research. - : JMIR Publications. - 2561-326X. ; 7
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Journal article (peer-reviewed)abstract
- Background: Digital health interventions, such as personalized SMS coaching, are considered affordable and scalable methods to support healthy lifestyle changes. SMS, or texting, is a readily available service to most people in Sweden, and personalizedSMS coaching has shown great promise in supporting behavior changes.Objective: This study aims to explore the effectiveness of highly personalized SMS coaching for behavior change according to the Capability, Opportunity, Motivation–Behavior (COM-B) model on a sample of physically inactive adults in a nonprofit fitness organization in Sweden.Methods: The study used a mixed methods design in which clients acted as their own controls. The participants were clients(n=28) and fitness consultants (n=12). Three types of data were collected: (1) quantitative data at baseline and after the SMS intervention and the waitlist from the clients, (2) qualitative data from semistructured interviews with the fitness consultants, and(3) pseudonymized texting conversations between the fitness consultants and clients.Results: Overall, the results showed that personalized SMS coaching was effective in supporting the clients’ behavior changes. The quantitative analysis showed how the clients’ capabilities (Cohen d=0.50), opportunities (Cohen d=0.43), and relationship with the fitness consultants (Cohen d=0.51) improved during the SMS intervention in comparison with baseline. Furthermore, the qualitative analysis revealed how personalized texts added value to existing work methods (eg, increasing continuity and flexibility) and how the relationship between the clients and fitness consultants changed during the intervention, which helped motivate the clients.Conclusions: Personalized SMS coaching is an effective method for supporting healthy behavior changes. The human connection that emerged in this study needs to be further explored to fully understand the effectiveness of a digital health intervention.
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| 4. |
- Gunnarsdottir, Maria J., et al.
(author)
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Status of risk-based approach and national framework for safe drinking water in small water supplies of the Nordic water sector
- 2020
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In: International Journal of Hygiene and Environmental Health. - : Elsevier BV. - 1438-4639. ; 230
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Journal article (peer-reviewed)abstract
- Reliable safe water supply is a pillar of society and a key to public health. The Nordic countries have an abundance of clean fresh water as a source for drinking water supplies. They have followed developments in safeguarding water, both the recommendations of the World Health Organization framework for safe drinking water and European legislation. Worldwide, including the Nordic countries, small water supplies are less compliant with water safety regulation. The forthcoming EU directive on drinking water require risk-based approaches and improved transparency on water quality. This research looks at the Nordic frameworks for safe water supply, with emphasis on risk-based approaches and smaller systems. We analyzed the legal frameworks for safe water, the structure of the water sector across the Nordic countries and explored how prepared these countries are to meet these requirements. Our findings show that, while legal requirements are mostly in place, delivery of information to the public needs to be improved. Most Nordic countries are in the process of implementing risk-based management in large and medium size water supplies, whereas small supplies are lagging. We conclude that a key to success is increased training and support for small supplies. We suggest wider adoption of the Nordic model of cooperation with benchmarking of safe water for all to transfer knowledge between the countries. This work provides insights into challenges and opportunities for the Nordic countries and provides insights relevant to countries worldwide in their effort towards realization of SDG Target 6.1.
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| 5. |
- Moberg, Christina, et al.
(author)
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De unga gör helt rätt när de stämmer staten : 1 620 forskare och lärare i forskarvärlden: Vi ställer oss bakom Auroras klimatkrav
- 2022
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In: Aftonbladet. - : Aftonbladet. ; :2022-12-07
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Journal article (pop. science, debate, etc.)abstract
- Vi, 1 620 forskare samt lärare vid universitet och högskolor, är eniga med de unga bakom Auroramålet: De drabbas och riskerar att drabbas allvarligt av klimatkrisen under sin livstid. De klimatåtgärder vi vidtar i närtid avgör deras framtid. Sverige måste ta ansvar och göra sin rättvisa andel av det globala klimatarbetet. I strid med Parisavtalet ökar utsläppen av växthusgaser i en takt som gör att 1,5-gradersmålet kan överskridas om några år. De globala effekterna blir allt mer synliga med ständiga temperaturrekord, smältande isar, havshöjning och extremväder som torka, förödande bränder och skyfall med enorma översvämningar, som i Pakistan nyligen. Försörjningen av befolkningen utsätts för allvarliga hot i många länder.Minskningen av den biologiska mångfalden är extrem. Klimatkrisen är enligt WHO det största hotet mot människors hälsa i hela världen och barn utgör en särskilt sårbar grupp. Med Sveriges nordliga läge sker uppvärmningen här dubbelt så fort som det globala genomsnittet. Det förskjuter utbredningsområden för växtlighet och sjukdomsbärande insekter och ökar förekomsten av extremväder såsom värmeböljor, skogsbränder och översvämningar samt av många olika sorters infektioner och allergier. När extremväder ökar, ökar även stressen och risken för mental ohälsa. Värmeböljor ökar risken för sjukdom och död hos sårbara grupper som äldre, små barn och personer med kroniska sjukdomar. De negativa effekterna på hälsan kommer att öka i takt med klimatkrisen och barn riskerar att drabbas av ackumulerade negativa hälsoeffekter under hela sina liv. Redan i dag är mer än hälften av unga mellan 12 och 18 år i Sverige ganska eller mycket oroliga för klimat och miljö. Detta är förståeligt när våra beslutsfattare inte gör vad som krävs.Den juridiska och moraliska grunden för arbetet mot klimatförändringarna är att varje land måste göra sin rättvisa andel av det globala klimatarbetet. Centralt i det internationella klimatramverket är att rika länder med höga historiska utsläpp, däribland Sverige, måste gå före resten av världen. Dessa länder måste också bidra till att finansiera klimatomställningen i länderna i det Globala Syd, som är minst ansvariga för klimatkrisen men drabbas hårdast. Denna rättviseprincip är tydlig i Parisavtalet och var en het diskussionsfråga under COP27 i Sharm el-Sheikh, men lyser med sin frånvaro i det svenska klimatarbetet. Sverige har satt mål för att minska sina utsläpp. Men de är helt otillräckliga: minskningstakten är för låg och målen tillåter samtidigt att åtgärder skjuts på framtiden. Dessutom exkluderas merparten av Sveriges utsläpp från de svenska nationella utsläppsmålen; bland annat utelämnas utsläpp som svensk konsumtion orsakar utanför Sveriges gränser, utsläpp från utrikes transporter och utsläpp från markanvändning och skogsbruk, exempelvis utsläpp från förbränning av biobränslen eller utsläpp från dikade våtmarker (Prop. 2016/17:146 s.25-28).Sverige saknar dessutom ett eget mål för att öka upptaget av växthusgaser genom utökat skydd och restaurering av ekosystem, något som krävs för att begränsa de värsta konsekvenserna av klimatkrisen (IPCC s.32). Trots dessa låga ambitioner misslyckas Sverige med att nå sina utsläppsmål, konstaterar både Klimatpolitiska rådet och Naturvårdsverket. En klimatpolitik i linje med Parisavtalet kräver både att alla typer av växthusgasutsläpp minskar samtidigt som – inte i stället för – upptaget av växthusgaser maximeras: i dag misslyckas Sverige på bägge fronter.Slutsatsen är tydlig. Sverige vidtar inte de åtgärder som krävs för att skydda barns och ungdomars rättigheter enligt Europakonventionen till skydd för de mänskliga rättigheterna. Detta medför allvarliga risker för liv och hälsa för unga generationer, människor i andra länder och särskilt utsatta grupper. Detta kan inte fortsätta. Därför ställer vi oss bakom Auroras krav att Sverige börjar göra sin rättvisa andel och omedelbart sätter igång ett omfattande och långtgående klimatarbete som vilar på vetenskaplig grund och sätter rättvisa i centrum.
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| 6. |
- Svensson, Ann, 1962-, et al.
(author)
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Challenges in implementing digital assistive technology in municipal healthcare
- 2021. - first
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In: Management and Information Technology after Digital Transformation. - London : Routledge. - 9781003111245 ; , s. 81-90
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Book chapter (peer-reviewed)abstract
- This chapter focuses on the early preparatory phase of the digital assistive technology (DAT) implementation process, and explores the challenges older people, healthcare personnel, healthcare managers, and IT-staff may experience. The chapter is based on two independent case studies, both part of longitudinal projects on DAT implementation in municipalities in Sweden and Norway. The two cases provide insights into DAT implementation and its challenges, in relation to four different categories: 1) complex innovation characteristics, 2) external policy and incentives, 3) organizational characteristics, and 4) individual characteristics. The chapter demonstrates that DAT does not only transform work practices and daily routines but also the entire healthcare profession, from being primarily concerned with caring and nursing to a profession involving technological skills. DAT implementation is about transformation, and may even be disruptive. Successful digitalization of healthcare needs a new mindset, new work practices, as well as new roles and professions.
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| 7. |
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| 8. |
- Wästlund, Erik, 1969-, et al.
(author)
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Personalized digital services to promote healthy behavior changes
- 2022
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Conference paper (peer-reviewed)abstract
- Purpose and motivation: Research has repeatedly shown that physical activity contributes to physical and mental wellbeing. Nevertheless, the gap between intentions and behavior results in sedentary lifestyles, unhealthy habits, and lower wellbeing persists. This Transformative Service Research (TSR) project focuses on creating novel services that enhance the wellbeing of individuals, regardless of resources.Myriad digital services have been designed to support behavioral changes with the goal of stimulating health, such as starting to exercise, losing weight, or sleeping better. These technological innovations help users integrate resources and manage their value-creation process toward health.One important strategy for supporting behavior change is to provide feedback that helps users regulate their own behavior. Behavior change requires that digital solutions be designed for motivation and not just loaded with technical features. However, few digital solutions are equipped with functions, such as coaching, that can be adapted to fit the individuals’ value-creation process towards a better health and wellbeing. Therefore, the aims of this study were to explore whether an individually tailored digital service solution could support individual behavior changes, and to examine how the coaches experienced their situation. Methodology: We tested how people in need of behavior changes experienced individually tailored digital support. This was done by implementing a protocol for motivational communication via short text messaging (SMS). The participants in this study were clients and wellness consultants at a non-profit organization that helps individuals who need lifestyle changes regarding, for example, unhealthy dietary habits or sedentary lifestyles. The majority of the clients have been prescribed physical activity by a physician. Data consisted of both interviews with the wellness consultants and the clients, and their SMS conversations. The interviews and SMS conversations were analyzed with the aim of identifying themes in the data. The study was approved by an ethical advisor at Karlstad University. Findings: The preliminary results show that both the wellness consultants and the clients found that the digital solution supported the clients’ motivation for behavior change, and hence goal achievements. The results further indicate that the SMS coaching enhanced the clients’ motivation and maintained an easy rapport between the face-to-face meetings. The added value provided by the SMS coaching to the existing service provision for both wellness consultant and client has led the non-profit organization to permanently offer this service to its clients. Originality/value: This study contributes to the growing body of TSR by showing how the application of digital solutions and service research perspectives can support individuals’ behavior change processes and wellness promotion.
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