| 1. |
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| 2. |
- Jansson-Fröjmark, Markus, et al.
(författare)
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Paradoxical intention for insomnia : A systematic review and meta-analysis
- 2021
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Ingår i: Journal of Sleep Research. - : Wiley-Blackwell Publishing Inc.. - 0962-1105 .- 1365-2869. ; , s. 1-14
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Tidskriftsartikel (refereegranskat)abstract
- Paradoxical intention (PI) has been considered an evidence-based treatment for insomnia since the 1990s, but it has not been evaluated with modern review techniques such as meta-analysis. The present study aimed to conduct the first systematic review and meta-analysis of studies that explore the effectiveness of PI for insomnia on insomnia symptomatology and theory-derived processes. A systematic review and meta-analysis was conducted by searching for eligible articles or dissertations in six online bibliographic databases. Randomised controlled trials and experimental studies comparing PI for insomnia to active and passive comparators and assessing insomnia symptoms as outcomes were included. A random effects model was estimated to determine the standardised mean difference Hedge's g at post-treatment. Test for heterogeneity was performed, fail-safe N was calculated, and study quality was assessed. The study was pre-registered at International Prospective Register of Systematic Reviews (PROSPERO, CRD42019137357). A total of 10 trials were identified. Compared to passive comparators, PI led to large improvements in key insomnia symptoms. Relative to active comparators, the improvements were smaller, but still moderate for several central outcomes. Compared to passive comparators, PI resulted in great reductions in sleep-related performance anxiety, one of several proposed mechanisms of change for PI. PI for insomnia resulted in marked clinical improvements, large relative to passive comparators and moderate compared to active comparators. However, methodologically stronger studies are needed before more firm conclusions can be drawn.
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| 3. |
- Garmy, Pernilla, et al.
(författare)
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Sleep habits and nighttime texting among adolescents
- 2018
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Ingår i: Journal of School Nursing. - : SAGE Publications. - 1059-8405 .- 1546-8364. ; 34:2, s. 121-127
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to examine sleep habits (i.e., bedtimes and rising times) and their association with nighttime text messaging in 15- to 17-year-old adolescents. This cross-sectional study analyzed data from a web-based survey of adolescent students attending secondary schools in southern Sweden ( N = 278, 50% female). Less than 8 hr of time in bed during school nights was significantly associated with more sleep difficulties, wake time variability on school days and weekends, daytime tiredness, and less enjoyment at school (all ps < .05). Sending and/or receiving text messages (Short Message Service [SMS]) at night was significantly associated with later bedtimes, shorter time in bed, daytime tiredness during school, and irregular sleep habits ( p < .05). These findings highlight the importance of regular, consistent sleep habits and the problems associated with sleeping with a cell phone in the bedroom.
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| 4. |
- Ledwith, Margaret, et al.
(författare)
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Participatory practice : community-based action for transformative change
- 2009
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Bok (populärvet., debatt m.m.)abstract
- Participatory Practice explores the core ideas of participatory practice and how theory and practice can be integrated to achieve transformative change. The ideas in the book are founded on two premises: firstly, that transformative practice begins in the everyday stories that people tell about their lives and that practical theory generated from these narratives is the best way to inform both policy and practice. Secondly, that participatory practice is a tool for examining this knowledge in that it allows practitioners to examine the way they view the world and to situate their local practice within bigger social issues. The book is expected to be of interest to both academics and community-based practitioners. Professor Springett commented: “Writing the book was a transformative experience in itself because we had to cross the divide between our different professions. The idea to write it came from our joint concern for the appropriation of the language of participation by many politicians and agencies without a real examination of what true participation actually consists of."
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| 5. |
- Abrahamsson, Agneta, et al.
(författare)
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A salutogenic perspective could be of practical relevance for the prevention of smoking amongst pregnant women
- 2002
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Ingår i: Midwifery. - 0266-6138 .- 1532-3099. ; 18:4, s. 323-331
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: to use empirical data to assess the theoretical relevance of using a salutogenic, instead of a pathogenic, perspective to prevent smoking during pregnancy. DESIGN: quantitative study, a questionnaire was completed during the first trimester of pregnancy and an interview was conducted after the baby was born. SETTING: a geographically defined area in the south-east of Sweden. PARTICIPANTS: all 395 women in the study area who were pregnant during the study period 1994-1995. FINDINGS: the women were categorised according to their smoking habits. A significant difference in the sense of coherence (SOC) score was shown between smoking and non-smoking women in indicators of bad health. Women who relapsed to smoking showed a lower level of SOC, particularly in the manageability component, than others. The SOC score was higher in the whole study group than in other comparable, non-pregnant populations. KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: a salutogenic perspective could be used in antenatal care as a basis for encouraging pregnant women to stop smoking. This could enhance the SOC by making smoking more understandable for the woman, by discussing smoking as a way of coping, and by encouraging the woman's own capacity and motivation to stop smoking. Starting a dialogue about smoking from the woman's point of view could do this, with the midwife and the woman exploring together the woman's thoughts about the smoking problem.
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| 6. |
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| 7. |
- Abrahamsson, Agneta, 1951-
(författare)
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Betydelsen av alkohol och drogsamordnare på Länsstyrelsen i Blekinge län : en utvärdering
- 2009
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Rapporten utgår ifrån länssamordnarens egen beskrivning av funktionen och speglar den sedan i andra intressenters/informanters uppfattningar av hennes funktion. De uppfattar att arbetet som länssamordnare har fungerat mycket bra. Däremot har hon inte lyckats med att bygga upp en länsövergripande struktur för folkhälsoarbetet på beslutsfattande nivå. Något som är nödvändigt för att på lång sikt åstadkomma ett effektivt arbete. Rapporten avslutas med två förslag till framtida organisation av arbetet i länet och hur utvecklingen av policy och handlingsprogram kan gå till.
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| 8. |
- Abrahamsson, Agneta, 1951-, et al.
(författare)
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Building bridges or negotiating tensions? : experiences from a project aimed at enabling migrant access to health and social care in Sweden
- 2009
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Ingår i: Diversity in Health and Care. - 1759-1422 .- 1743-4904. ; 6:2, s. 85-95
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Tidskriftsartikel (refereegranskat)abstract
- A current challenge for many European countries is to enable forced migrants to access health and social care that meets their needs. One solution is to use paraprofessionals - that is, trained individuals who are not professionals - to act as bridge-builders between minority communities and the health and social care sectors. This paper explores the development of a quality improvement project in Sweden. The project aimed to recruit and train forced migrants who had lived in Sweden for more than five years to act as bridge-builders. The aim was to use their unique experiences and knowledge in two ways - to work with service staff in developing new ways of working, and to become culturally competent paraprofessionals working with their own communities. This paper focuses on how an understanding of the role evolved as the participants reflected on their experiences and undertook an inquiry process culminating in the development of three possible models of what the task of a bridge-builder should be in developing culturally appropriate health and social services that are responsive to the needs of forced migrants. The conclusion reflects on what was learned and how the experiences from this project may be useful for others who are struggling with the same kind of problem in Sweden and in other countries.
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| 9. |
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| 10. |
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| 11. |
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| 12. |
- Abrahamsson, Agneta, 1951-, et al.
(författare)
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Making sense of the challenge of smoking cessation during pregnancy : a phenomenographic approach.
- 2005
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Ingår i: Health Education Research. - : Oxford University Press. - 0268-1153 .- 1465-3648. ; 20:3, s. 367-378
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Tidskriftsartikel (refereegranskat)abstract
- In general, most women are familiar with the need to stop smoking when they are pregnant. In spite of this, many women find it difficult to stop. Using a phenomenographic approach, this study explored Swedish pregnant and post-pregnant women's ways of making sense of smoking during pregnancy. A total of 17 women who either smoked throughout pregnancy or stopped smoking during pregnancy were interviewed. Five different story types of how they are making sense of smoking during pregnancy were identified: smoking can be justified; will stop later; my smoking might hurt the baby; smoking is just given up; smoking must be taken charge of. Based on the study it is argued that the approach used in health education in relation to smoking cessation in antenatal care needs to move from information transfer and advice-giving to the creation of a dialogue. The starting point should be the woman's knowledge, concerns, rationalizations and prejudices. A model is suggested in which a woman may move in a space on three axes depending on life encounters, dialogue and reflections on meaning. The goal in health education would be to encourage movement along three axes: 'increase of self-efficacy towards control', 'increase awareness by reflection on meaning of the smoking issue' and 'avoidance of defense of the smoking behavior'.
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| 13. |
- Abrahamsson, Agneta, 1951-, et al.
(författare)
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Sense of coherence of reindeer herders and other Samis in comparison to other Swedish citizens
- 2013
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Ingår i: International Journal of Circumpolar Health. - : Taylor & Francis. - 2242-3982 .- 2242-3982 .- 1239-9736. ; 72, s. 20633-
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Samis are indigenous people in north Europe. In the territory called Sápmi (Lapland), reindeer herding is the traditional base for the Sami economy. The relation between living conditions and positive health of the Swedish Samis has been sparsely studied. As health is closely linked to sense of coherence (SOC), an understanding of the background factors to SOC may contribute knowledge that might be useful in promoting living conditions and health.METHODS: The study examines relations between the level of SOC and background factors from surveys in a Sami population (n=613) in comparison to a non-Sami population (n=525) in Sweden, and in comparison between 2 subsamples of Samis, that is, herders and non-herders.RESULTS: There are more similarities than differences between the Sami and non-Sami populations. However, dividing the Sami population, reindeer herders had significantly lower SOC, and in specific the subcomponent manageability, that is, less ability to use available resources to meet different demands in life, compared to non-herders.CONCLUSIONS: In addition to age and health, predictors of SOC are related to the life form of reindeer husbandry and the belonging to the herding community.
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| 14. |
- Abrahamsson, Agneta, et al.
(författare)
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Smoking patterns during pregnancy : differences in socio-economic and health-related varaiables
- 2000
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Ingår i: European Journal of Public Health. - 1101-1262 .- 1464-360X. ; 10:3, s. 208-213
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Tidskriftsartikel (refereegranskat)abstract
- Background: The objective of this study was to assess different smoking patterns during and after pregnancy and relate these patterns to socioeconomic conditions and different health issues such as symptoms, drug consumption and health care use. Methods: The study group included 337 pregnant women from a district in south Sweden. A questionnaire was filled in during the first part of pregnancy and an interview was conducted after the baby was born. The women were categorised according to their smoking habits. Results: The categories defined were continuers, relapsers, decreasers, quitters and non-smokers. Among relapsers three symptoms, difficulty in relaxing (OR 4.48), restlessness (OR 9.59) and dysphoria (OR 3.98), were more common than among non-smokers. All three musculoskeletal symptoms were most common among continuers. Among quitters the OR for backache was 2.05, for numbness In the arms and legs 2.76 and for tearfulness 2.92. Educational level was relatively high among quitters and few had a smoking partner. Among smokers (decreasers, relapsers and continuers) 24% used drugs regularly, compared to 5% among non-smokers. Conclusions: To prevent smoking during pregnancy awareness of the relations between different smoking categories and symptoms could make it easier for hearth personnel to individualise support. A possible starting point is to discuss how to cope with different symptoms occurring during smoking cessation. Women with predictors for continued smoking during pregnancy, such as low education, unemployment, a smoking partner and multiparous, should be focused on more intensively and preventive strategies suitable for their special needs should be developed.
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| 15. |
- Abrahamsson, Agneta, 1951-, et al.
(författare)
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Some lessons from Swedish midwives' experiences of approaching women smokers in antenatal care
- 2005
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Ingår i: Midwifery. - : Elsevier. - 0266-6138 .- 1532-3099. ; 21:4, s. 335-345
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: to describe the qualitatively different ways in which midwives make sense of how to approach women smokers. DESIGN, SETTING AND PARTICIPANTS: a more person-centred national project 'Smoke-free pregnancy' has been in progress in Sweden since 1992. Using a phenomenographic approach, 24 midwives who have been regularly working in antenatal care were interviewed about addressing smoking during pregnancy. FINDINGS: four different story types of how the midwives made sense of their experiences in addressing smoking in pregnancy were identified: 'avoiding', 'informing', 'friend-making', 'co-operating'. KEY CONCLUSION: the midwives' story types about how they approached women who smoke illustrated the difficulties of changing from being an expert who gives information and advice to being an expert on how to enable a woman in finding out why she smoked and how to stop smoking. IMPLICATIONS FOR PRACTICE: health education about smoking that is built on co-operation and dialogue was seen by the midwives as a productive way of working. The starting point should be the lay perspective of a woman, which means that her thoughts about smoking cessation are given the space to grow while she talks.
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| 16. |
- Abrahamsson, Agneta, 1951-, et al.
(författare)
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Välfärdssektorns projektifiering : kortsiktiga lösning av långsiktiga problem
- 2009
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Ingår i: Kommunal ekonomi och politik. - 1402-8700. ; 13:4, s. 35-60
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Tidskriftsartikel (refereegranskat)abstract
- In this article we use two immigrant projects to identify similarities and consequences in order to discuss and analyse outwarding collaborative projects in human service organizations as a tool for change. The heavy use of projects in a slimmed public sector originates from projects’ contradictory promises of flexibility and effectiveness in the New Public Management context. Usually projects are used as a way to get more resources to long-term needs but are seldom implemented as planned in the regular organisation. Seemingly politicians, management and civil servants preferred are focusing on the positive side of projects as means to legitimate the organizations and to bring change by targeting and steering activities. However, they tend to overlook the negative consequences from projects. Citizens and participants experience frustration and distrust. The long-term development in organizations is scarce. Projects are seldom implemented meanwhile as the problems the projects were expected to target still are remaining or even are increasing.
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| 17. |
- Al Omari, Omar, et al.
(författare)
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Knowledge, attitudes, prevalence and associated factors of cigarette smoking among university students : a cross sectional study
- 2020
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Ingår i: Journal of community health. - 0094-5145 .- 1573-3610. ; 46:3, s. 450-456
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Tidskriftsartikel (refereegranskat)abstract
- This study aimed to assess the prevalence of smoking and associated sociodemographic and economic factors as well as students' knowledge about and attitudes towards smoking among university students in Oman. A proportionate random sampling technique recruited 401 students from three universities in a cross-sectional study. The prevalence of smoking was 9.0%. Significant differences in gender, place of residence, if participants had received medical advice, years spent at the university, student income/day, family members who smoked, knowledge and attitude scores were identified. Universities in collaboration with health care providers should be leading the development of strategies to reduce the prevalence of smoking and to sustain the current knowledge and attitude towards smoking. Gender-specific approaches to smoking interventions need to be developed.
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| 18. |
- Al Omari, Omar, et al.
(författare)
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Prevalence and predictors of loneliness among youth during the time of COVID-19 : A multinational study
- 2021
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Ingår i: Journal of the American Psychiatric Nurses Association. - 1078-3903 .- 1532-5725. ; , s. 1-11
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Given the restrictions associated with COVID-19, feelings of loneliness among youth may increase.AIMS: The aims of the current study were to assess the prevalence of loneliness among young people at the time of COVID-19 and to identify whether selected variables related to the pandemic predicted the level of loneliness.METHOD: A cross-sectional study using WhatsApp and Facebook social media platforms was conducted to survey 1,057 young people aged 15 to 24 years from six Middle Eastern countries. Participants completed survey items including demographic and COVID-19-related questions; the Depression, Anxiety and Stress Scale (DASS); the Satisfaction With Life Scale (SWLS); and the UCLA Loneliness Scale.RESULTS: The prevalence of experienced loneliness was 1 (0.1%), 625 (59.1%), 429 (40.6%), and 2 (0.2%), reflecting low, moderate, moderately high, and high experiences for loneliness, respectively. History of depression or anxiety, being dissatisfied with life, and having depression at the time of COVID-19 were significant predictors of loneliness among youth. The model was significant (F = 44.95, p < .05) and accounted for 29.8% of the variance in UCLA Loneliness Scale scores.CONCLUSIONS: We found that the high prevalence rate of loneliness during the COVID-19 pandemic was correlated with depression and impaired life satisfaction among Middle Eastern youth. Thus, special attention and interventional action plans need to be developed taking into consideration the youths' special situation during COVID-19.
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| 19. |
- Andersson, Anders-Petter, 1969-, et al.
(författare)
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Musical interaction for health improvement
- 2014
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Ingår i: Oxford handbook of interactive audio. - Oxford : Oxford University Press. - 9780199797226 ; , s. 247-262
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Bokkapitel (refereegranskat)abstract
- During the past decade, tangible sensor technologies have matured and become less expensive and easier to use, leading to an explosion of innovative musical designs within video games, smartphone applications, and interactive art installations. Interactive audio has become an important design quality in commercially successful games like Guitar Hero , and a range of mobile phone applications motivating people to interact, play, dance, and collaborate with music. Parallel to the game, phone, and art scenes, an area of music and health research has grown, showing the positive results of using music to promote health and wellbeing in everyday situations and for a broad range of people, from children and elderly to people with psychological and physiological disabilities. Both quantitative medical and ecological humanistic research show that interaction with music can improve health, through music’s ability to evoke feelings, motivate people to interact, master, and cope with difficult situations, create social relations and experience shared meaning. Only recently, however, the music and health field has started to take interest in interactive audio, based on computer-mediated technologies’ potential for health improvement. Here, we show the potential of using interactive audio in what we call interactive musicking in the computer-based interactive environment Wave. Interactive musicking is based on musicologist Christopher Small’s concept “musicking”, meaning any form of relation-building that occurs between people, and people and things, related to activities that include music. For instance, musicking includes dancing, listening, and playing with music (in professional contexts and in amateur, everyday contexts). We have adapted the concept of "musicking" on the design of computer-based musical devices. The context for this chapter is the research project RHYME. RHYME is a multidisciplinary collaboration between the Centre for Music and Health at the Norwegian Academy of Music, the Oslo School of Architecture and Design (AHO), and Informatics at the University of Oslo. Our target group is families with children with severe disabilities. Our goal is to improve health and wellbeing in the families through everyday musicking activities in interactive environments. Our research approach is to use knowledge from music and health research, musical composition and improvisation, musical action research, musicology, music sociology, and soundscape studies, when designing the tangible interactive environments. Our focus here is interaction design and composition strategies, following research-by-design methodology, creating interactive musicking environments. We describe the research and design of the interactive musicking environment Wave, based on video documentation, during a sequence of actions. Our findings suggest some interactive audio design strategies to improve health. We base the design strategies on musical actions performed while playing an instrument, such as impulsive or iterative hitting, or sustainable stroking of an instrument. Musical actions like these can also be used for musicking in everyday contexts, creating direct sound responses to evoke feelings that create expectations and confirm interactions. In opposition to a more control-oriented, instrument and interface perspective, we argue that musical variation and narrative models can be used to design interactive audio, where the audio is seen as an actor taking many different roles, as instrument, co-musician, toy, etc. In this way, the audio and the interactive musicking environments will change over time, answering with direct response, as well as nose-thumbing and changing response, motivating creation, play, and social interaction. Musical variation can also be used to design musical backgrounds and soundscapes that can be used for creating layers of ambience. These models create a safe environment and contribute to shared meaning.
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| 20. |
- Andersson, Anders-Petter, 1969-, et al.
(författare)
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Vocal and tangible interaction crossing borders
- 2013
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Ingår i: Include Asia 2013 Proceedings. - London : Helen Hamlyn Centre of Design, The Royal College of Art in London, The Hong Kong Design Centre. - 9781907342707
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Konferensbidrag (refereegranskat)abstract
- Our voice and body are important parts of our self-expression and self-experience for all of us. They are also essential for our way to communicate and build relations cross borders such as abilities, ages, locations and backgrounds. Voice, body and tangibility gradually become more important for ICT, due to increased development of tangible interaction and mobile communication. The voice and tangible interaction therefore also become more important for the Universal Design field. In this paper we present and discuss our work with voice and tangible interaction in our ongoing research project RHYME. The goal is to improve health for families, adults and children with disabilities through use of collaborative, musical, tangible and sensorial media. We build on use of voice in Music Therapy, knowledge from multi-sensory stimulation and on a humanistic health approach. Our challenge is to design vocal and tangible interactive media that are sensorially stimulating. Interactive media that through use reduce isolation and passivity and increase empowerment for all the users. We use sound recognition, generative sound synthesis, vibrations and cross-media techniques, to create rhythms, melodies and harmonic chords to stimulate voice-body connections, positive emotions and structures for actions.
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| 21. |
- Andersson, H. Ingemar, 1950-
(författare)
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Biomedicin : viktig grund men också hinder
- 2009
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Ingår i: Andersson, Ingemar & Ejlertsson, Göran (red.). Folkhälsa som tvärvetenskap. - Lund : Studentlitteratur. - 9789144040097 ; , s. 63-85
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 22. |
- Andersson, H. Ingemar, 1950-, et al.
(författare)
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Characteristics of subjects with chronic pain, in relation to local and widespread pain report : a prospective study of symptoms, clinical findings and blood tests in subgroups of a geographically defined population
- 1996
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Ingår i: Scandinavian Journal of Rheumatology. - 0300-9742 .- 1502-7732. ; 25:3, s. 146-154
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Tidskriftsartikel (refereegranskat)abstract
- The relation between reported chronic pain and clinical findings was studied by comparing survey data six months before and eighteen months after a clinical examination. Studied individuals (n = 165) were randomly selected from subsamples of an initial survey (n = 1806) to a general population. Among individuals reporting chronic pain 85% were assessed to have chronic pain at the examination. Diagnoses were found in 22% of examined pain individuals. Myofascial pain syndrome and myalgia were the most common findings. Compared with located neck-shoulder pain, widespread pain had a greater impact on the individual, a worse prognosis regarding pain duration and working capacity, and revealed a raised serum urate level of unclear significance. Although no specific cause of pain is found in individuals with widespread pain it is important to identify and treat this group due to the great effects on functional capacity and the worse prognosis.
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| 23. |
- Andersson, H. Ingemar, 1950-
(författare)
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Chronic pain : epidemiological studies in a general population
- 1998
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The aim was to study the epidemiology of chronic pain (> 3 months duration) and factors associated to pain prevalence, prognosis, health care and medication in a general population. A cross-sectional mailed survey to a random population sample (n = 1806) was followed by a clinical examination and a prospective study of three selected groups. Pain related diagnoses from primary health care was monitored and compared with pain prevalence. The most important findings were: - a high total prevalence of chronic pain, 55.2%, without gender difference but varying by age and socioeconomic level. About one fourth (12.8%) reported high pain intensity and functional impairments. Women experienced pain at more locations and with higher intensity. - in a multivariate analysis increasing age, female gender, low education, high work strain, depression and insomnia were associated with chronic pain. - widespread pain showed a worse 2- year prognosis compared with neck shoulder pain. - musculoskeletal location of pain dominated, myalgia and myofascial pain being the most common symptom descriptions. - co-morbidity with chronic pain was common. More hypertensives and an increased level of serum uric acid associated to widepread pain indicated possible metabolic connections to pain. - smoking (current and previous) was associated with low-back and widespread pain. - chronic pain had a substantial influence of primary health care-seeking and medication; high pain intensity being the most important predictor of care and medication. - pain related diagnoses in primary health care increased between 1987 and 1996. Chronic pain, mainly with musculoskeletal location, is a community health problem. A multi-factorial approach in prevention and treatment on the basis of present knowledge is necessary.
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| 24. |
- Andersson, H. Ingemar, 1950-, et al.
(författare)
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Chronic pain in a geographically defined general population : studies of differences in age, gender, social class, and pain localization.
- 1993
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Ingår i: The Clinical Journal of Pain. - 0749-8047 .- 1536-5409. ; 9:3, s. 174-182
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To establish basic epidemiological data on chronic pain (duration > 3 months) in a defined population. Relationships between age, gender, and social class were tested. DESIGN: A survey of pain symptoms, including location, intensity, duration, and functional capacity, was conducted by means of a mail questionnaire. SETTING: General populations in two Swedish primary health care districts. Medical care was provided in a state health system. SUBJECTS: A random sample (from the population register) of 15% of the population aged 25-74 (n = 1,806). The response rate was 90%. OUTCOME MEASURES: Descriptive epidemiologic data in relation to objectives of the study. RESULTS: Without sex differences, 55% (95% confidence interval, 53-58%) of the population had perceived persistent pain for 3 months and 49% for 6 months. Among individuals with chronic pain, 90% localized their pain to the musculoskeletal system to a variable extent. Women experienced more multiple localizations of pain and had pain in the neck, shoulder, arm, and thigh to a greater extent than men. Prevalence of pain increased by age up to 50-59 years for both genders and then slowly decreased. The neck-shoulder area was the most common site of pain (30.2%), followed by the lower back (23.2%). Even in the youngest age groups more than one of four reported chronic pain. Blue-collar workers and employers (including farmers) reported chronic pain to a greater extent than other groups. In 13% of the population, manifest pain problems were associated with reduced functional capacity. CONCLUSION: Chronic pain symptoms are common but unevenly distributed in a general population. The results may influence planning and consultation in primary health care as well as warranting selective prevention activities.
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| 25. |
- Andersson, H. Ingemar, 1950-
(författare)
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Epidemiologi : att bestämma folkhälsans innehåll och orsaker
- 2009
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Ingår i: Andersson, Ingemar & Ejlertsson Göran (red.). Folkhälsa som tvärvetenskap. - Lund : Studentlitteratur. - 9789144040097 ; , s. 157-180
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 26. |
- Andersson, H. Ingemar, 1950-, et al.
(författare)
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Folkhälsovetenskap : perspektiv och framtid
- 2009
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Ingår i: Folkhälsa som tvärvetenskap. - Lund : Studentlitteratur. - 9789144040097 ; , s. 367-375
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 27. |
- Andersson, H. Ingemar, 1950-
(författare)
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Increased mortality among individuals with chronic widespread pain relates to lifestyle factors : a prospective population-based study
- 2009
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Ingår i: Disability and Rehabilitation. - 0963-8288 .- 1464-5165. ; , s. 1-8
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Tidskriftsartikel (refereegranskat)abstract
- Purpose. Widespread chronic pain has been related to disability and loss of quality of life, but in a few epidemiological studies also to increased mortality. The aim of this study was to further investigate the relationship between chronic pain, lifestyle factors and all cause mortality. Methods. A random sample of an adult (age 25-74) Swedish population (n = 1609) responded to a comprehensive questionnaire on pain, other symptoms, lifestyle, work and socioeconomic factors in 1988. Mortality data for this cohort between 1988 and 2002 were analysed. Survival analysis (Kaplan-Meier) and Cox proportional regression were used to study initially reported factors influencing survival. Results. Individuals with widespread chronic pain showed an increased mortality risk (hazard ratio, HR = 1.95, CI: 1.26-3.03) compared to the group without chronic pain. Death due to cardiovascular disease accounted for the increased mortality. Adjustment for lifestyle factors eliminated the excess risk. Conclusions. Increased mortality among individuals with widespread chronic pain is related to factors like smoking, sleep disturbances and low physical activity. The result emphasises the importance of including lifestyle factors in a cognitive-behavioural rehabilitation process. It remains to be shown whether health promotion activities aimed at lifestyle could change mortality among individuals with chronic pain.
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| 28. |
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| 29. |
- Andersson, H. Ingemar, 1950-, et al.
(författare)
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Salutogenetic and pathogenetic factors of equal importance to predict mortality in a Swedish general population
- 2008
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Ingår i: European Journal of Public Health, 18(Suppl. 1). ; , s. 193-194
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Social support and physical exercise seem to be salutogenetic factors of importance for longterm survival to balance traditional risk factors such as smoking and defined diseases. The results support health promotion initiatives focused on salutogenetic factors and not only prevention in relation to traditional risk factors and diseases.
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| 30. |
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| 31. |
- Andersson, H. Ingemar
(författare)
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The course of non-malignant chronic pain : a 12-year follow-up of a cohort from the general population
- 2004
-
Ingår i: European Journal of Pain. - 1090-3801 .- 1532-2149. ; 8:1, s. 47-53
-
Tidskriftsartikel (refereegranskat)abstract
- The high prevalence of chronic pain (duration >3 months) reported from different populations indicates a public health problem. Knowledge of the long-term course of chronic non-malignant pain is incomplete and scarce.This paper describes a follow-up of a cohort recruited from a survey in the general population. The cohort (n=214) consisted initially of individuals with widespread or located (neck-shoulder) pain or without chronic pain. The individuals were initially examined and replied to questionnaires on pain, social factors, lifestyle, medication and health care after two and 12 years. The deaths during the period were obtained from the population register. Complete data exist for 77% of the eligible individuals.After 12 years one-third of the individuals initially without pain reported chronic pain, and among those with initial chronic pain 85% still reported chronic pain. The number of painful areas was the strongest predictor of chronic pain 12 years later (OR 15.8; >3 locations vs. 0) whereas a social factor (having a close friend) decreased the risk (OR 0.44). The onset of chronic pain during the same period was related to the physical workload (work with bent positions; OR 5.31; yes vs. no). Mortality was significantly higher in the group initially reporting widespread pain compared with the other groups. The chronicity of widespread chronic pain supports early and intense intervention among individuals with located pain. The association between chronic widespread pain and increased mortality needs further investigation but may deepen the view of chronic pain as a public health problem.
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| 32. |
- Andersson, H. Ingemar, 1950-
(författare)
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The epidemiology of chronic pain in a Swedish rural area.
- 1994
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Ingår i: Quality of Life Research, 1994 3(Suppl. 1). ; , s. S19-S26
-
Konferensbidrag (refereegranskat)abstract
- In order to establish basic epidemiological data on chronic pain (duration > 3 months) in a rural population, a survey of pain symptoms was conducted by means of a postal questionnaire. The questionnaire was sent to a random sample (from the population register) of 15% of the population aged 25-74 (n = 1806) in two Swedish primary health care districts. The response rate was 90%. In a follow-up study individuals selected among the responders (neck-shoulder pain, widespread pain and controls without pain; n = 213) were examined and interviewed. They were requestioned about pain symptoms 24 months after the initial survey. Without sex differences 55% of the population had perceived persistent pain for 3 months and 49% for 6 months. Women experienced more multiple localizations of pain and had pain in neck, shoulder, arm and thigh to a greater extent than men. Prevalence of pain increased by age up to 50-59 years for both genders and then slowly decreased. The neck-shoulder area was the most common site of pain (women 32.9%, men 27.5%). Blue-collar workers and employers (including farmers) reported chronic pain to a greater extent than other groups. In 13% of the population, manifest pain problems were associated with reduced functional capacity. Examination of selected pain groups indicated a high proportion of unspecific musculoskeletal symptoms. Diagnosis with definite definitions, explaining the pains, were found in 40% of the individuals. Individuals with widespread pain had a higher pain intensity, more somatic symptoms, were more depressive and had the lowest scores for quality of life.(ABSTRACT TRUNCATED AT 250 WORDS)
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| 33. |
- Andersson, H. Ingemar, 1950-, et al.
(författare)
-
Widespread musculoskeletal chronic pain associated with smoking : an epidemiological study in a general rural population
- 1998
-
Ingår i: Scandinavian Journal of Rehabilitation Medicine. - 0036-5505 .- 1940-2228. ; 30:3, s. 185-191
-
Tidskriftsartikel (refereegranskat)abstract
- Data on smoking and pain symptoms from a random sample (n = 1806) of a general population were used to evaluate the association between chronic pain at various locations and smoking. In both genders current smoking was associated with reports of increased pain in low back, neck and with multiple locations. In a multiple logistic regression analysis current smoking was associated with an increase in widespread chronic musculoskeletal pain (OR 1.60, CI 1.04-2.46, in relation to non-smokers) and chronic low back pain (OR 1.58, CI 1.13-2.20, in relation to non-smokers). A dose-response relationship was found between the daily cigarette consumption and the prevalence of chronic low back pain. Smoking is associated not only with low back pain but also with chronic widespread musculoskeletal pain. No conclusive decrease in pain prevalence was found after quitting smoking. Further studies are necessary to elucidate an aetiologic relationship between smoking and chronic pain.
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| 34. |
- Andersson, Ingemar, 1950-
(författare)
-
Epidemiologi för hälsovetare : en introduktion
- 2016. - 2
-
Bok (övrigt vetenskapligt/konstnärligt)abstract
- Den andra upplagan av Epidemiologi för hälsovetare har aktualiserats och uppdaterats i alla delar. Flera nya delar som relaterar till utvecklingen inom epidemiologin har också tillkommit.Boken ger en grundläggande beskrivning av arbetssätt, teorier och metoder inom epidemiologin. Med utgångspunkt i rubrikerna Beskriva, Analysera och Åtgärda förklaras begrepp och analysmetoder, olika typer av studier samt hur epidemiologin kan användas i hälsofrämjande syfte. Statistiska metoder, felkällor samt etiska frågeställningar relaterade till området behandlas och exempel ges på praktiska tillämpningar inom flera områden. Nytt i den här upplagan är bl.a. avsnitt om kvalitetsregister, epigenetik, livsförloppsepidemiologi samt evidensbaserad medicin liksom ett kapitel om socialepidemiologi. Författaren introducerar läsaren i ämnet epidemiologi på ett enkelt och tydligt sätt, bland annat med hjälp av konkreta exempel på arbetssätt och analysmöjligheter. Bokkapitlen avslutas i den nya upplagan med ett ökat antal studieuppgifter med tillhörande facit.Epidemiologi för hälsovetare vänder sig i första hand till universitets- och högskolestuderande inom vård- och folkhälsoområdet, det vill säga till blivande folkhälsovetare, sjuksköterskor, sjukgymnaster, farmaceuter, socialarbetare och arbetsterapeuter, men även som introduktion under läkarutbildningen och till yrkesverksamma inom dessa områden.
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| 35. |
- Andersson, Ingemar, 1950-
(författare)
-
Epidemiologi för hälsovetare : en introduktion
- 2006
-
Bok (övrigt vetenskapligt/konstnärligt)abstract
- Boken ger en grundläggande beskrivning av arbetssätt, teorier och metoder inom epidemiologin. Med utgångspunkt i rubrikerna Beskriva, Analysera och Åtgärda förklaras begrepp och analysmetoder, olika typer av studier samt hur epidemiologin kan användas i hälsofrämjande syfte. Statistiska metoder, felkällor samt etiska frågeställningar relaterade till området behandlas och exempel på hur kunskapsområdet kan tillämpas på bland annat livsstilsfaktorer, infektioner och genetik presenteras. Författaren introducerar läsaren i ämnet epidemiologi på ett enkelt och tydligt sätt, bland annat med hjälp av konkreta exempel på arbetssätt och analysmöjligheter. Flera kapitel avslutas med studieuppgifter. Epidemiologi för hälsovetare vänder sig i första hand till universitets- och högskolestuderande inom vård- och folkhälsoområdet, det vill säga till blivande folkhälsovetare, sjuksköterskor, sjukgymnaster, socialarbetare och arbetsterapeuter, men även som introduktion under läkarutbildningen och till yrkesverksamma inom dessa områden. Till boken finns en webbplats med ett stort antal interaktiva övningar, faktafrågor, beräkningsuppgifter, simuleringar och länkar. Detta kompletterande material är ett bra stöd som gör det enkelt och roligt att ta till sig viktig kunskap.
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| 36. |
- Andersson, Ingemar, 1950-
(författare)
-
Epidemiologi för vård- och hälsovetenskaperna : en fördjupning
- 2013
-
Bok (övrigt vetenskapligt/konstnärligt)abstract
- Epidemiologi för vård- och hälsovetenskaperna är avsedd som en fördjupning i epidemiologi för dem som tillägnat sig grunderna. Den vänder sig främst till universitets- och högskolestuderande inom vård- och hälsoområdet, d.v.s. till blivande folkhälsovetare, sjuksköterskor, läkare, apotekare, sjukgymnaster, socialarbetare och arbetsterapeuter. Den är också användbar för yrkesverksamma inom samma områden samt i forskningsmetodiska utbildningar.
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| 37. |
- Andruškienė, Jurgita, et al.
(författare)
-
Psychosocial work experiences related to health : a study of Lithuanian hospital employees
- 2015
-
Ingår i: Work. - 1051-9815 .- 1875-9270. ; 53:3, s. 669-677
-
Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Research in the area of workplace health promotion from a salutogenic perspective is lacking in Eastern Europe.OBJECTIVE: To evaluate the relationship between psychosocial work environment and health from a salutogenic perspective among Lithuanian hospital workers.METHODS: Using a cross-sectional design a questionnaire was distributed to staff in a large hospital in Lithuania. Out of 811 employees, 714 completed the survey: 151 physicians, 449 nurses and 114 other staff members (e.g., psychologists, technicians, therapists). A response rate of 88.0% was achieved. The Work Experience Measurement Scale (WEMS) and the Salutogenic Health Indicator Scale (SHIS) were linguistically adapted and used for the first time in a Lithuanian context. Logistic and multiple linear regression models were used for the analyses.RESULTS: Supportive working conditions, positive internal work experiences and time experience contributed the most to good health, defined as a high SHIS index. Having an executive post was significantly related to good work experiences, i.e. a high WEMS score, while being at the age of 40-54 years was associated with a low WEMS score. Physicians had the highest score on supportive working conditions; while nurses had the lowest scores on autonomy.CONCLUSIONS: A salutogenic approach enables an organisation to identify how to improve working conditions for the employees by focusing on possibilities and resources. Individual activities for workplace health promotion among different work groups seem necessary.
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| 38. |
- Atroshi, Isam, et al.
(författare)
-
Primary care patients with musculoskeletal pain : value of health-status and sense-of-coherence measures in predicting long-term work disability
- 2002
-
Ingår i: Scandinavian Journal of Rheumatology. - 0300-9742 .- 1502-7732. ; 31:4, s. 239-244
-
Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To investigate long-term sick leave among primary care patients with musculoskeletal disorders and the predictive value of health-status and sense-of-coherence measures. METHODS: Patients aged 17 to 64 years who, during seven weeks, attended one of six primary care centers because of non-traumatic musculoskeletal pain and who completed the SF-36 health questionnaire and the sense of coherence (SOC) scale at baseline and after one year. RESULTS: Of 189 patients, 36 (19%) were sicklisted for at least three months before and/or after their visit; the most common diagnoses were non-specific soft-tissue or multiple joint, low back, and shoulder pain. The long-term sicklisted patients had significantly worse baseline SF-36 and SOC scores than the non-sicklisted patients; moderate improvement in the SF-36 bodily pain but no improvement in the physical functioning scores occurred. The duration of sick leave at baseline and the SF-36 bodily pain score were significant predictors of continuos one-year work disability. CONCLUSION: Long-term sick leave was common among primary care patients with musculoskeletal pain. The physical functioning and return-to-work outcomes after one year were poor. The SF-36 bodily pain scale might be helpful in identifying at risk patients.
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| 39. |
- Axelsson, Lars, et al.
(författare)
-
Inequalities of quality of life in unemployed young adults : a population-based questionnaire study
- 2007
-
Ingår i: International Journal for Equity in Health. - 1475-9276 .- 1475-9276. ; 6, s. 1-
-
Tidskriftsartikel (refereegranskat)abstract
- Background: It is well known that unemployment is a great problem both to the exposed individual and to the whole society. Unemployment is reported as more common among young people compared to the general level of unemployment. Inequity in health status and lifesatisfaction is related to unemployment. The purpose of this population-based study was to describe QOL among unemployed young people compared to those who are not unemployed, and to analyse variables related to QOL for the respective groups.Methods: The sample consisted of 264 young unemployed individuals and 528 working or studying individuals as a reference group. They all received a questionnaire about civil status, educational level, immigration, employment status, self-reported health, self-esteem, social support, social network, spare time, dwelling, economy and personal characteristics. The response rate was 72%. The significance of differences between proportions was tested by Fisher's exact test or by χ2 test. Multivariate analysis was carried out by means of a logistic regression model.Results: Our results balance the predominant picture of youth unemployment as a principally negative experience. Although the unemployed reported lower levels of QOL than the reference group, a majority of unemployed young adults reported good QOL, and 24% even experienced higher QOL after being unemployed. Positive QOL related not only to good health, but also to high self-esteem, satisfaction with spare time and broad latitude for decision-making.Conclusion: Even if QOL is good among a majority of unemployed young adults, inequalities in QOL were demonstrated. To create more equity in health, individuals who report reduced subjective health, especially anxiety need extra attention and support. Efforts should aim at empowering unemployed young adults by identifying their concerns and resources, and by creating individual programmes in relation not only to education and work, but also to personal development.
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| 40. |
- Axelsson, Lars, et al.
(författare)
-
Work ethics and general work attitudes in adolescents are related to quality of life, sense of coherence and subjective health : a Swedish questionnaire study
- 2005
-
Ingår i: BMC Public Health. - 1471-2458 .- 1471-2458. ; 5, s. 103-
-
Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Working life is an important arena in most people's lives, and the working line concept is important for the development of welfare in a society. For young people, the period before permanent establishment in working life has become longer during the last two decades. Knowledge about attitudes towards work can help us to understand young people's transition to the labour market. Adolescents are the future workforce, so it seems especially important to notice their attitudes towards work, including attitudes towards the welfare system. The aim of this study was to describe and analyse upper secondary school students' work attitudes, and to explore factors related to these attitudes. METHODS: The sample consisted of 606 upper secondary school students. They all received a questionnaire including questions about quality of life (QOL), sense of coherence (SOC), subjective health and attitudes towards work. The response rate was 91%. A factor analysis established two dimensions of work attitudes. Multivariate analyses were carried out by means of logistic regression models. RESULTS: Work ethics (WE) and general work attitudes (GWA) were found to be two separate dimensions of attitudes towards work. Concerning WE the picture was similar regardless of gender or study programme. Males in theoretical programmes appeared to have more unfavourable GWA than others. Multivariate analyses revealed that good QOL, high SOC and good health were significantly related to positive WE, and high SOC was positively related to GWA. Being female was positively connected to WE and GWA, while studying on a practical programme was positively related to GWA only. Among those who received good parental support, GWA seemed more favourable. CONCLUSION: Assuming that attitudes towards work are important to the working line concept, this study points out positive factors of importance for the future welfare of the society. Individual factors such as female gender, good QOL, high SOC and good health as well as support from both parents, positive experience of school and work contacts related positively to attitudes towards work. Further planning and supportive work have to take these factors into account.
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| 41. |
- Beery, Thomas, 1962-, et al.
(författare)
-
Covid-19 and outdoor recreation management : Increased participation, connection to nature, and a look to climate adaptation
- 2021
-
Ingår i: Journal of Outdoor Recreation. - 2213-0780 .- 2213-0799. ; 36, s. 100457-100457
-
Tidskriftsartikel (refereegranskat)abstract
- Outdoor recreation management perspectives were investigated based on the general perception of increased public outdoor recreation participation during the Covid-19 pandemic and supported by survey research at local, regional, and national levels in Sweden. There is an interest in how outdoor recreation professionals perceived outdoor recreation by the public during the pandemic and whether professionals could identify specific implications from the Covid-19/outdoor recreation experience. Climate adaptation literature supports the idea that current global challenge coupled with projections for ongoing challenge requires a pro-active approach; this turn to climate adaptation for potential consideration or guidance is based on characteristics that the Covid-19 pandemic shares with climate change. Outdoor recreational professionals' review of a recent public survey and subsequent semi-structured interviews with this group were conducted to obtain outdoor recreation professionals' detailed perceptions on survey outcomes. Results show that the professionals confirm a rapid and significant increase in outdoor recreation participation. Further, professionals identified critical trends in the increase of new or inexperienced outdoor recreation participants. A positive and proactive list of implications emerged as themes of the interviews. A review and synthesis of the themes support the national goals for outdoor recreation in Sweden. Further, results indicate a current opportunity for outdoor recreation to address concerns for diminishing nature experience and support connectedness to nature. The connectedness to nature outcome further strengthens the comparison with climate adaptation strategy given the potential relationship between connectedness to nature and pro-environmental behavior.
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| 42. |
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| 43. |
- Björklund, Margereth, 1950-
(författare)
-
Living with head and neck cancer : a health promotion perspective - a qualitative study
- 2010
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Background and aim: In society there is a growing awareness that a vital factor for patientswith chronic diseases, such as head and neck cancer (HNC), is how well they are able to function in their every day lives – a common, but often overlooked, public health issue. The overall aim of this thesis is to reach a deeper understanding of living with HNC and to identify the experiences that patients felt promoted their health and well-being. It also explores the patients' experiences of contact and care from health professionals and whether these encounters could increase their feelings of health and well-being; salutogenic approach.Methods: This thesis engages a qualitative data design. On three occasions, 35 purposivelyselected patients were interviewed (31 from Sweden and one from Denmark, Finland, Island, and Norway). The first study was conducted in the Nordic counties (I), and the remainingstudies were conducted in Sweden (II, III, IV). Interviews were performed on a single basis(I, II, III) and then repeated (IV). The individual, semi-structured qualitative interviews usedopen-ended questions (n=53). Three different forms of analyses were used: critical incident technique (I), thematic content analysis (II), latent content analysis (III), and interpretativedescriptive analysis (paper IV).Findings: Living with head and neck cancer was expressed as living in captivity, in the sensethat patients' sometimes life-threatening symptoms were constant reminders of the disease. The patients experienced a threat against identity and existence. Patients struggled to find power and control over everyday life, and if successful this appeared to offer them better health and well-being along with spiritual growth. The general understanding was that these patients had strong beliefs in the future despite living on a virtual rollercoaster. The patients went through a process of interplay of internal and external enabling that helped them acquire strength and feelings of better health and well-being. Consequently, they found power and control from inner strength and other health resources, e.g. social networks, nature, hobbies, activity, and health professionals. However, the findings also revealed the opposite; that some patients were more vulnerable and felt powerless and faced everyday life with emotional and existential loneliness. They were dependent on next of kin and health professionals. Having good interpersonal relationships and emotional support 24 hours a day from next of kin were crucial, as were health promoting contacts and care from health professionals. This health promoting contact and care built on working relationships with competent health professionals that were available, engaged, respectful, validating, and, above all experienced in the treatment phase. But many patients experienced not health promoting contact and care – and a sense of not being respected, or even believed. Added were the patients' experiences of inadequate coordination between phases of their lengthy illness trajectory. They felt lost and abandoned by health services, especially before and after treatment.Conclusions: Inner strength, good relationships with next of kin, nature, hobbies, andactivities could create strength and a sense of better health and well-being. Patients experienced a mutual working relationship during dialoguing and sensed co-operation and equality in encounters with competent health professionals. This could lead to enhanced power and control i.e. empowerment in a patient's everyday life. The findings highlight psychosocial rehabilitation in a patient-centred organisation when health professionals supportpatients' inner strength and health resources , and also offer long-term support to next of kin.Finally, this research suggests that if health professionals could gain a deeper understanding of the psychosocial, existential, social, and economic questions on patients' minds, they could better sense how patients feel and would be better equipped not only to offer greater support, but to raise their voices to improve health policy and health care for these patients.
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| 44. |
- Boggs, Dorothy, et al.
(författare)
-
Rating early child development outcome measurement tools for routine health programme use.
- 2019
-
Ingår i: Archives of disease in childhood. - : BMJ. - 1468-2044 .- 0003-9888. ; 104:Suppl 1, s. S22-S33
-
Forskningsöversikt (refereegranskat)abstract
- Identification of children at risk of developmental delay and/or impairment requires valid measurement of early child development (ECD). We systematically assess ECD measurement tools for accuracy and feasibility for use in routine services in low-income and middle-income countries (LMIC).Building on World Bank and peer-reviewed literature reviews, we identified available ECD measurement tools for children aged 0-3 years used in ≥1 LMIC and matrixed these according to when (child age) and what (ECD domains) they measure at population or individual level. Tools measuring <2 years and covering ≥3 developmental domains, including cognition, were rated for accuracy and feasibility criteria using a rating approach derived from Grading of Recommendations, Assessment, Development and Evaluations.61 tools were initially identified, 8% (n=5) population-level and 92% (n=56) individual-level screening or ability tests. Of these, 27 tools covering ≥3 domains beginning <2 years of age were selected for rating accuracy and feasibility. Recently developed population-level tools (n=2) rated highly overall, particularly in reliability, cultural adaptability, administration time and geographical uptake. Individual-level tool (n=25) ratings were variable, generally highest for reliability and lowest for accessibility, training, clinical relevance and geographical uptake.Although multiple measurement tools exist, few are designed for multidomain ECD measurement in young children, especially in LMIC. No available tools rated strongly across all accuracy and feasibility criteria with accessibility, training requirements, clinical relevance and geographical uptake being poor for most tools. Further research is recommended to explore this gap in fit-for-purpose tools to monitor ECD in routine LMIC health services.
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| 45. |
- Bolejko, Anetta, et al.
(författare)
-
Psychometric properties of a Swedish version of the Consequences of Screening : Breast Cancer questionnaire
- 2014
-
Ingår i: Journal of Advanced Nursing. - : John Wiley & Sons. - 0309-2402 .- 1365-2648. ; 70:10, s. 2373-2388
-
Tidskriftsartikel (refereegranskat)abstract
- AIM: To evaluate the psychometric properties of a questionnaire addressing psychosocial consequences of false-positive mammographic screening.BACKGROUND: The Consequences of Screening - Breast Cancer and Lung Cancer questionnaires target psychosocial consequences of false-positive cancer screening. The Consequences of Screening - Breast Cancer questionnaire and ten items not considered lung cancer specific from the Lung Cancer questionnaire have been adapted for use in mammographic screening in Sweden, but remain psychometrically untested.DESIGN: Instrument development paper with psychometric cross-sectional and test-retest design.METHODS: Twelve scales of a Swedish questionnaire version were tested by the Rasch model and traditional psychometric methods. Women with false-positive (Group I, n = 640) and negative (Group II, n = 802) screening mammography responded to the study questionnaire and the Nottingham Health Profile during 2009-2011.RESULTS: Iterative analyses resulted in nine scales demonstrating Rasch model fit, but all scales exhibited poor targeting with relatively large floor effects. Corrected item-total correlations exceeded the recommended criterion. Score differences between Groups I and II and correlations with Nottingham Health Profile sections followed an expected pattern. Cronbach's α and test-retest reliability was acceptable for group-level assessments for ten and seven scales, respectively.CONCLUSIONS: Five scales (Sense of dejection, Anxiety, Behavioural, Sleep and Existential values) of the Swedish questionnaire version demonstrated the best psychometric properties. Other scales should be used more cautiously. Although filling an important gap, causes of concern were identified across scales. The questionnaire should therefore be considered for group-level assessments rather than for measurement of individual degrees of psychosocial consequences.
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| 46. |
- Bringsén, Åsa, 1970-, et al.
(författare)
-
Development and quality analysis of the Salutogenic Health Indicator Scale (SHIS)
- 2009
-
Ingår i: Scandinavian Journal of Public Health. - : SAGE Publications. - 1403-4948 .- 1651-1905. ; 37:1, s. 13-19
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Current health measurement instruments tend to measureaspects of ill-health rather than health in general. There isa need for a salutogenic perspective when describing healthand developing a health measurement instrument. The aim of thisarticle is to present the development process and quality assessmentof a salutogenic health indicator scale. Methods: A descriptionof health, emanating from the concept of health, positive healthand well-being, was used as a basis for the construction ofthe scale. The scale is a semantic differential consisting of12 indicator items covering nine heath-related dimensions. Aprincipal component analysis was performed, and three healthindicator indexes were constructed. Correlation with self-ratedhealth questions was investigated, weighted kappa values werecalculated, and Cronbach's alpha (CA) was used to check internalconsistency. Results: The analysis resulted in a two-factormodel, and the indexes were named intrapersonal characteristics(CA= 0.90) and interactive function (CA= 0.84), summarised intohealth complete (CA= 0.92). Kappa values ranged from 0.44 to0.67, and correlations with self-rated health status were strongerthan those with self-rated sick-leave. Conclusions: Our healthdescription was characterized by complexity, but the instrumentis a short salutogenic health indicator scale. The shortnessincreases the usability. The instrument seems to be able tooffset the current problem of there being a lack of salutogenichealth measurement instruments. The results indicate that furthertesting is justified.
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| 47. |
- Bringsén, Åsa, 1970-, et al.
(författare)
-
Health care staff's opinions about an individually controlled and flexible working time arrangement
- 2009
-
Konferensbidrag (refereegranskat)abstract
- IntroductionIn the health care sector shift work is common and a variety of flexible working hour arrangements have been implemented and evaluated. High variability of working hours is repeatedly being related to ill health, especially if the variability is company controlled. In order to minimize the harmful effects on health and psychosocial wellbeing individually controlled flexible working time arrangements have been put into practice. AimThe aim of this study was to explore health care staff’s opinions about their individually controlled and flexible working time arrangement. MethodsEight focus group interviews were conducted, between November 2002 and February 2003, at a medical emergency ward in a medium sized Swedish hospital. Sixteen nurses and 19 assistant nurses where mixed in the eight groups. The interviews aimed at being unstructured and the main question emanated from the aim of the study. The analysis was influenced by qualitative content analysis. Five interviews were chosen through a condensation process and these interviews were transcribed verbatim by an external secretary. ResultsTwo patterns of employees’ opinions were revealed. Some of the participants expressed a positive attitude towards their individually controlled and flexible working time arrangement. They enjoyed the possibility to adjust their working schedule to their family situation and leisure activities. The positive ones were also talking about a health promoting possibility for reflection and learning, emanating from frequently working with different co workers, as a result of the flexibility. These participants emphasised an importance of everyone taking part in the planning process and taking turns in adjusting their schedule after the needs of the establishment. Other participants linked the individually controlled and flexible working time arrangement to a negative experience. They talked about a time consuming planning process resulting in less predictable working hours. These participants wanted to have a permanent schedule so that they could adjust their private life after their working hours. The negative ones wanted work to be characterised by predictability and efficiency. They linked this type of work to knowing their co workers well, so that they knew what the other ones were doing without having to communicate while working. The latter group of participants were reluctant to adjusting their schedule after the needs of the establishment. ConclusionsIt seems as if an individually controlled and flexible working time arrangement can result in either positive or negative experiences. Negative feelings form the base for psychological and biological processes that might have a negative impact on health. It is therefore important to reflect on how we implement and organise individually controlled and flexible working time arrangements for employees to have positive experiences with opportunities for sustained or improved health.
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| 48. |
- Bringsén, Åsa, 1970-, et al.
(författare)
-
Success factors for visual artists functioning as health promoters at a workplace : results from a Swedish case study
- 2009
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Konferensbidrag (refereegranskat)abstract
- IntroductionThe interest in relations between arts and workplace related health has increased. The focus has mostly been on the work of arts and health from a disease perspective and to the best of our knowledge the research focusing on relation between the artists and workplace related health from a salutogenic perspective is rare. In 2007 a project called the Contemporary Artists in Contemporary Society (CACS) Scania project was implemented and evaluated. The project consisted of twelve visual artists being positioned at eight workplaces on half time for a period of six months. The idea of the project was that unprejudiced meetings between the artists and the staff could result in workplace related health promoting processes. This study will try to unravel some of the mystery of how artists’ presence can result in workplace related promotion of health. AimThe aim was to identify success factors for visual artists functioning as health promoters at a workplace. ProcedureThe search for success criterion started with going through the project descriptions and the evaluation reports from the CACS Scania project. This exposition led to the selection of one project that was considered a particularly successful case. Two artists had been placed at the office for management of regional development in Scania. The employees consisted mainly of civil servants and administrators. The evaluation material belonging to this particular project was studied, searching for possible explanations to the success of the project. The material consisted of digital recordings from a focus group interview with five of the participating staff, an interview with the manager, an interview with the two artists as well as stories written by the two artists throughout the project and finally the project description as well as the folder that the two artists produced as a summary of the project. The analysis of the material was influenced by qualitative content analysis and three categories of success factors were found. ResultsThe experience of the participating staffThe result showed that the staff mainly had had positive project related experiences. The staffs’ experiences could be linked to the salutogenic factors comprehensibility, manageability and meaningfulness. The various project related activities were found to be meaningful and the different activities were considered a pleasant reflective break from an everyday routine based and hectic practice. Some of the staff reported having problems managing the openness and indistinctiveness of the project, but the frequent communication with the artists, as well as support from the manager made the indistinctiveness manageable. The presence of the artists and the different project related activities were often found to be amusing, with adherent facilitation of wellbeing among the staff. At other occasions the presence of the artists could be considered disturbing. The artists brought new perspectives into the workplace that sometimes challenged the staffs’ customary way of thinking and acting, opening up possibilities for creativity and reflective processes of work related learning. It seemed as if the positive health related experiences of the staff relied on communication and mutual construction of intellectual fellowship and project related meaning (intersubjectivity). A framework for the work of the artistsFour criteria were considered a useful framework for a description of the artists successful work at the workplace. 1. Presence - The artists were often present at the workplace. 2. Inspiration – The artists were inspired by the workplace. 3. Activity - The artists were constantly presenting things and activated the staff through out the project 4. Communication – The artists communicated with the staff during the development, implementation and completion process of the project. Organisational climateIt seemed as if the organisational climate was suitable for using artists as health promoters. The staff and the manager were for instance describing them as willing to try new and innovative strategies for the development of their work in general and their work related health in particular. ConclusionTo conclude there is a health promoting potential when involving artists as health promoters at a workplace. For this potential to be realised we found three categories of success factors. The experience of the participating staff were considered important since positive experiences, with adherent positive feelings, form the base for psychological and biological processes that generally have a positive impact on health. These experiences are on the other hand dependent on other facilitating factors, that here can be linked to for instance the artists as well as the organisational climate.
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| 49. |
- Budhathoki, Shyam Sundar, et al.
(författare)
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Does the Helping Babies Breathe Programme impact on neonatal resuscitation care practices? Results from systematic review and meta-analysis.
- 2019
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Ingår i: Acta paediatrica (Oslo, Norway : 1992). - : Wiley. - 1651-2227 .- 0803-5253. ; 108:5, s. 806-813
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Forskningsöversikt (refereegranskat)abstract
- This paper examines the change in neonatal resuscitation practices after the implementation of the Helping Babies Breathe (HBB) programme.A systematic review was carried out on studies reporting the impact of HBB programmes among the literature found in Medline, POPLINE, LILACS, African Index Medicus, Cochrane, Web of Science and Index Medicus for the Eastern Mediterranean Region database. We selected clinical trials with randomised control, quasi-experimental and cross-sectional designs. We used a data extraction tool to extract information on intervention and outcome reporting. We carried out a meta-analysis of the extracted data on the neonatal resuscitation practices following HBB programme using Review Manager.Four studies that reported on neonatal resuscitation practices before and after the implementation of the HBB programme were identified. The pooled results showed no changes in the use of stimulation (RR-0.54; 95% CI, 0.21-1.42), suctioning (RR-0.48; 95% CI, 0.18-1.27) and bag-and-mask ventilation (RR-0.93; 95% CI, 0.47-1.83) after HBB training. The proportion of babies receiving bag-and-mask ventilation within the Golden Minute of birth increased by more than 2.5 times (RR-2.67; 95% CI, 2.17-3.28).The bag-and-mask ventilation within Golden minute has improved following the HBB programme. Implementation of HBB training improves timely initiation of bag-and-mask ventilation within one minute of birth.
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| 50. |
- Cappelen, Birgitta, 1962-, et al.
(författare)
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Towards an empowering tangible interaction design for diversity
- 2013
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Ingår i: Include Asia 2013 Proceedings. - London : The Helen Hamlyn Centre for Design, The ROyal College of Art in London, Hong Kong Desing Centre. - 9781907342707
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Konferensbidrag (refereegranskat)abstract
- The seven principles of Universal Design, such as ”4. Perceptible Information” and ”5. Tolerance for errors”, are formulated from the design’s or system’s perspective. The principles focus on the qualities of the system or design, not on the value of use, the long time experience and use by many different people. Nor do the principles embrace a cultural and social understanding of the value of things, designs and situations. In this paper we argue for the necessity to broaden this narrow system or product design perspective, when designing to empower diverse users. Our field of study is musical and cross-media Tangible Interaction Design, where multimedia computer capabilities are included in everyday objects. Our goal is to motivate social and musical co-creation for families with disabled children to improve their health and quality of life. To extend our design thinking, practice and understanding of a design’s value, meaning and empowering potential, we build on a humanistic health approach, resource-oriented thinking, Positive psychology and Empowerment philosophy. In the paper we present and discuss how we design cross-media, interactive, tangible and musical things to motivate and empower a variety of users in our on-going RHYME project.
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