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- Lindmark, Ulrika, 1965-, et al.
(author)
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Health-promoting factors in higher education for a sustainable working life : protocol for a multicenter longitudinal study
- 2020
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In: BMC Public Health. - London : BioMed Central. - 1471-2458. ; 20:1
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Journal article (peer-reviewed)abstract
- BACKGROUND: The World Health Organization has highlighted the importance of health promotion for health service providers in order to ensure sustainable working life for individuals involved in providing health services. Such sustainability begins when students are preparing to manage their own future health and welfare in working life. It has been suggested that universities, employees and trainee health professionals should adopt or follow a salutogenic approach that not only complements the providing of information on known health risks but also favors health promotion strategies. This paper describes the study design and data collection methods in a planned study aiming to explore health-promoting factors for a sustainable working life among students in higher education within healthcare and social work. METHODS: This protocol describes a multicenter longitudinal study involving Swedish students on higher education programs in the healthcare and social work sectors. In 2018, the study invited students on seven education programs at six universities to participate. These programs were for qualification as: biomedical laboratory scientists (n = 121); dental hygienists (n = 87); nurses (n = 1411); occupational therapists (n = 111); physiotherapists (n = 48); radiographers (n = 60); and, social workers (n = 443). In total, 2283 students were invited to participate. Participants completed a baseline, a self-reported questionnaire including six validated instruments measuring health-promoting factors and processes. There are to be five follow-up questionnaires. Three while the students are studying, one a year after graduating, and one three years after graduating. Each questionnaire captures different health-promoting dimensions, namely: health-promoting resources (i.e. sense of coherence); occupational balance; emotional intelligence; health and welfare; social interaction; and work and workplace experiences/perceptions. DISCUSSION: This study focuses on the vastly important aspect of promoting a sustainable working life for healthcare and social work employees. In contrast to previous studies in this area, the present study uses different, validated instruments in health promotion, taking a salutogenic approach. It is hoped that, by stimulating the implementation of new strategies, the study's findings will lead to education programs that prepare students better for a sustainable working life in healthcare and social work.
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- Håman, Linn, 1982-, et al.
(author)
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An Empowerment-Based Physical Activity Intervention for Older People with Advanced Age-Related Macular Degeneration : An Exploratory Qualitative Case Study Design
- 2024
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In: Journal of Clinical Medicine. - Basel : MDPI. - 2077-0383. ; 13:13, s. 1-14
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Journal article (peer-reviewed)abstract
- Background: Age-related macular degeneration (AMD) is the most common cause of incurable visual impairment and impacts daily life. There are benefits of physical activity for people who are affected with AMD; however, living with AMD is associated with lower levels of physical activity and social isolation. The aim of this study was to explore how older people with AMD in Sweden experienced participation in a 6-month empowerment-based physical activity intervention and how it influenced their physical abilities. Methods: The participants were nine individuals with AMD aged 70–87 years. The intervention comprised physical and social activities in a group twice a week and individual health coaching on three occasions. The study was based on an exploratory qualitative case study design. Results: The findings showed two themes: created meaningfulness in life and creative and playful ways to develop body movements. The findings also showed improved muscle strength after the intervention. Conclusions: The findings showed that participants had increased social connectedness, improved physical self-efficacy and physical ability, as well as improved muscle strength. The empowerment process of the intervention was appreciated by the participants and challenged them to participate in physical activity offered by the municipality for older individuals. © 2024 by the authors.
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- Håman, Linn, 1982-, et al.
(author)
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Empowering older people with age-related macular degeneration : An Empowerment-Based Physical Activity Intervention
- 2023
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Conference paper (peer-reviewed)abstract
- Background: Age-related macular degeneration (AMD) is the most common cause of incurable visual impairment. These impacts include loss of social activities, decreased functional independence, and reduced physical activity.The purpose of the study was to explore the participants' experiences and meanings expressed by people with AMD participating in an empowerment-based intervention.Methods: The study has an explorative design based on ethnographic observations and informal interviews during the Empowerment-Based Physical Activity Intervention (EPI). The intervention embraced empowerment as a process and adopted the reflective equilibrium community empowerment approach. The EPI was carried out over six months and comprised adapted physical activity and social activities twice a week—furthermore, individual health coaching on three occasions. Nine women and two men aged 70-87 years old with AMD in Sweden participated in EPI. Field notes of the observations were analysed using a thematic method with an abductive approach.Findings: The analysis resulted in five themes: a) Feeling seen and included, b) Having a sense of security, c) Developing physical skills, d) Feeling meaningful and social connectedness, and e) Feeling increased motivation.Conclusion: Based on the findings, EPI has been a resource for the participants' well-being and development. The findings also filled a gap in the research literature and may provide insights into the potential of creative supervised, adapted physical activity in groups, health coaching, and socialising.
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- Källstrand-Eriksson, Jeanette, 1965-, et al.
(author)
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A grounded theory of seniors’ self-preservation : maintaining residual self and resisting decay
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Other publication (other academic/artistic)abstract
- One of the major health issues in elderly are injuries and the second most prevalent causes of injury-related hospitalizations are falls. The purpose of this grounded theory study was to generate an explanatory theory of seniors living independently in the community and how they possibly resolve issues influenced by visual impairment and risk of falling. Thirteen elderly people living independently in the community (seven women and six men, aged between 73 and 85 years) and six visual instructors participated as data informants in this interview and observational study where we applied classic grounded theory. The elderly individuals were maintaining their residual self and resisting self-decay as part of an overarching pattern of behaviour that we call self-preservation. The main concern of participants was to remain themselves as who they used to be. This study is not a typology of people but of their behaviour and one person could use both these strategies to preserve self. He or she would both maintain their residual selves by living with the past, keeping their home intact, maintaining past activities and appearances by facading and avoiding burdening their family; as well as resisting self-decay by exercising, using walking aids or hearing aids or maintaining support networks with neighbours, friends or other groups of seniors as well as being physically active. Whilst maintaining one’s residual self is mostly driven by inertia resisting self-decay is often a proactive and purposely driven strategy.
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5. |
- Källstrand Eriksson, Jeanette, 1965-
(author)
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Being on the trail of ageing : Functional visual ability and risk of falling in an increasingly ageing population
- 2014
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Doctoral thesis (other academic/artistic)abstract
- The elderly population is estimated to increase worldwide. One of the major health determinants identified in this population are injuries where one of the most prevalent causes are falls. The overall aim of this thesis was to describe and explore visual impairment and falls of inpatients and independently living elderly in the community and how daily life activities were influenced by visual ability and risk of falling. Methods in the studies were a quantitative retrospective descriptive design for study I followed by two quantitative retrospective and explorative studies where in study II perceived vision related quality of life and in study III performance-based visual ability were investigated. Study IV was a qualitative explorative study using classic grounded theory. In study I all falls of inpatients at a medical clinic 65 years and older (n=68) were registered during one year. In study II and III a random sample (n=212) of independently living elderly between 70 and 85 years of age participated in both studies. In study IV seven women and six men between 73 and 85 years of age from the two previous studies and six visual instructors (n=19) participated. The data in study I was collected during 2004, study II and III between February 2009 to March 2010 and study IV December 2009 to January 2013. The results in study I showed that most falls in five hospital wards occurred at night and those most affected had an established visual impairment. Almost half the population in study II and III fell at least once. Perceived vision when performing daily life activities showed a positive association between visual impairment and falls in men but not in women (II). No associations were found between performance-based measured visual ability and falls (III). Visually impaired elderly did not consider risk of falling as a problem (IV). Their main concern is to remain themselves as who they used to be which is managed by self- preservation while maintaining their residual selves and resisting self decay. Maintaining residual self is done by living in the past mostly driven by inertia while resisting self decay is a proactive and purposeful driven strategy.It is a complex issue to do fall risk assessments and planning fall preventive action where the individual’s entire life situation has to be taken into consideration.
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7. |
- Källstrand Eriksson, Jeanette, 1965-
(author)
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Fallskador på grund av synfel
- 2009
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Other publication (film/video) (pop. science, debate, etc.)abstract
- Att falla är något som kan få mycket allvarliga konsekvenser för äldre människor. Men varför faller man som äldre och när faller man? Jeanette Källstrand Ericson är forskarstuderande på Högskolan i Halmstad. Hon har undersökt problemet och upptäckte att det inte riktigt var som man trodde...
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8. |
- Källstrand Eriksson, Jeanette, 1965-
(author)
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Healthy aging and self-management : Visual ability as a risk factor of falling among independently living seniors – What methods are to be used?
- 2016
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In: Journal of Nursing & Care. - Los Angeles, CA : Omics. - 2167-1168. ; 5:4 (Suppl), s. 145-145
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Journal article (peer-reviewed)abstract
- Injuries among seniors such as fall injuries are one major problem today even though various actions are taken in promoting healthy ageing and self-management. However age is one of the most important independent fall predictors since the body does change with age. A decline of visual ability is one of the natural changes and it is known that affected visual ability is one of the most predictive risk factor of falling both independently and in combination with other risk factors. In a population of independently living seniors 70 years and older (n=212) 43%, 36 men and 55 women, reported at least one fall. Both perceived and performance-based visual ability and its association to falls were investigated. The National Eye Institute Visual Function Questionnaire (NEI VFQ-25) was used assessing various dimensions of self-reported vision functioning in daily life activities such as going down steps or curbs, and difficulties in noticing objects off to the side while walking along. Significant associations with falling (p<5%) were found for nine out of eleven NEI VFQ- 25 vision-related subscales for men, but none for women. However regarding performance-based visual ability such as visual acuity, contrast sensitivity, stereopsis and visual field no associations were found with falls(p<5%). The majority of the seniors presented normal performance- based visual ability even though falls were common. One reason may be that at an eye clinic the conditions are optimal and standardized and do not agree with the conditions in the seniors’ daily life where difficulties may occur. The results shows that when planning fall prevention actions it is of importance investigating seniors’ perceived visual ability when performing various daily life activities.
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9. |
- Källstrand Eriksson, Jeanette, 1965-, et al.
(author)
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History of falling and visual ability among independently living elderly in Sweden
- 2016
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In: Clinical Ophthalmology. - Auckland : Dove Medical Press. - 1177-5467 .- 1177-5483. ; 10, s. 1265-1273
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Journal article (peer-reviewed)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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10. |
- Källstrand Eriksson, Jeanette, 1965-, et al.
(author)
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History of falling and visual ability among independently living elderly in Sweden
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Other publication (other academic/artistic)abstract
- Purpose To assess performance-based visual ability among independently living elderly subjects and to investigate whether there was any association between visual ability and falls.Methods Two hundred and ninety eight randomly selected subjects 70–85 years of age were invited for an examination including mono- and binocular visual acuity (VA) and contrast sensitivity (CS), stereoscopic vision, monocular visual fields (VF), which were integrated to estimate the binocular visual fields. Type of lenses used in their habitual correction was noted.Results Out of the 212 subjects who came for examination 43 % reported at least one fall. Most subjects had normal visual tests; 90% had normal binocular VA, 85% had normal binocular CS, and almost 80% had positive stereopsis. Twenty-nine subjects had visual field defects in the lower quadrants of the binocular visual field, 14 of these reported at least one fall. No significant associations were seen between falls and the various visual parameters; odds ratios were 0.80 for worse binocular VA, 0.77 for worse binocular CS, 1.55 for not normal stereoscopic vision, but wide confidence limits 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 non-faller (p=0.42).Conclusion Even though more than 40% of the sample had experienced one or more falls, no associations were seen with functional visual tests. Our results suggest that there may be more powerful predictors of falling than decreased visual ability.
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