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  • 101.
    Ejlertsson, Göran
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS).
    Dychawy Rosner, Irena
    Hälsa och samhälle, Malmö högskola.
    Masterutbildning i hälsovetenskap: folkhälsovetenskap i ett integrerat ämnesområde2009In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 86, no 1, p. 43-51Article in journal (Refereed)
    Abstract [en]

    In 2007 a master programme in (integrative) health sciences at Kristianstad University College was approved by the Swedish National Agency for Higher Education. The process to secure approval by the Swedish national Agency was extensive and complex. The programme aimed to combine scientific knowledge from various disciplines into a joined body of knowledge geared to both the national and international labour markets in public health, health care and social sectors. The development process incorporated keywords including "interdisciplinary" and "multiprofessional". New innovative working methods were used in this process. A broad engagement with intensive dialogues was developed among the personnel as well as to the surrounding community.

  • 102.
    Ejlertsson, Göran
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS).
    Edén, Lena
    Kristianstad University, Department of Health Sciences.
    Leden, Ido
    Centralsjukhuset, Kristianstad.
    Predictors of positive health in disability pensioners: a population-based questionnaire study using Positive Odds Ratio2002In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 2, p. 20-Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Determinants of ill-health have been studied far more than determinants of good and improving health. Health promotion measures are important even among individuals with chronic diseases. The aim of this study was to find predictors of positive subjective health among disability pensioners (DPs) with musculoskeletal disorders. METHODS: Two questionnaire surveys were performed among 352 DPs with musculoskeletal disorders. Two groups were defined: DPs with positive health and negative health, respectively. In consequence with the health perspective in this study the conception Positive Odds Ratio was defined and used in the logistic regression analyses instead of the commonly used odds ratio. RESULTS: Positive health was associated with age > or = 55 years, not being an immigrant, not having fibromyalgia as the main diagnosis for granting an early retirement, no regular use of analgesics, a high ADL capacity, a positive subjective health preceding the study period, and good quality of life. CONCLUSION: Positive odds ratio is a concept well adapted to theories of health promotion. It can be used in relation to positive outcomes instead of risks. Suggested health promotion and secondary prevention efforts among individuals with musculoskeletal disorders are 1) to avoid a disability pension for individuals <55 years of age; if necessary, to make sure rehabilitation actions continue, 2) to increase efforts to support immigrants to adjust to circumstances connected to ill-health and retirement, 3) to pay special attention to individuals with fibromyalgia and other general pain disorders, and 4) to strengthen ADL activities to support an independent active life among disability pensioners.

  • 103.
    Ejlertsson, Göran
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS).
    Persson, Lars
    Kristianstad University.
    Sollerhed, Ann-Christine
    Kristianstad University, School of Education and Environment, Avdelningen för Praktisk-estetiska ämnen.
    Österlenprojektet: utökad fysisk aktivitet i skolan2004Conference paper (Other academic)
  • 104.
    Ejlertsson, Göran
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS).
    Sollerhed, Ann-Christin
    Kristianstad University, Department of Humanities and Social Sciences.
    More physical activity in school - a winning concept: results from a 3-year intervention in Sweden2007In: European Journal of Public Health, 17(Suppl.2), 2007, Vol. 17, no Suppl. 2, p. 204-Conference paper (Other academic)
  • 105.
    Ejlertsson, Göran
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS).
    Sollerhed, Ann-Christin
    Kristianstad University, Department of Humanities and Social Sciences.
    Predictors of good quality of life in school children: a population-based Swedish study using a new concept, Positive Odds Ratio2002In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 12, no Suppl. 1, p. 53-Article in journal (Refereed)
  • 106.
    Ejlertsson, Göran
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS).
    Sollerhed, Ann-Christine
    Kristianstad University, Department of Humanities and Social Sciences.
    Lower self-perceived competence and less favourable body image in overweight school children2005In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 15, no Suppl. 1, p. 172-Article in journal (Refereed)
  • 107.
    Ejlertsson, Göran
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS).
    Sollerhed, Ann-Christine
    Kristianstad University, Department of Humanities and Social Sciences.
    Lower self-perceived competence and less favourable body image in overweight school children. Paper presented at the 13TH EUPHA CONFERENCE, Promoting the public's health: reorienting health policies, linking health promotion and health care, Graz, 10-12 November2005In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 15, no Suppl. 1, p. 172-Article in journal (Refereed)
  • 108.
    Eklund, Mona
    et al.
    Department of Health Sciences, Lund University.
    Erlandsson, Lena-Karin
    Department of Health Sciences, Lund University.
    Hagell, Peter
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Psychometric properties of a Swedish version of the Pearlin Mastery Scale in people with mental illness and healthy people2012In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 66, no 6, p. 380-388Article in journal (Refereed)
    Abstract [en]

    Background: Mastery refers to the degree to which people perceive that they can control factors that influence their life situation, and has been found important for people's quality of life and well-being. It is thus essential to be able to measure mastery in a valid and reliable way. Aim: This study aimed at using the Rasch measurement model to investigate the psychometric properties of a Swedish version of the Pearlin Mastery Scale (Mastery-S). Methods: A sample of 300 healthy individuals and 278 persons with mental illness responded to the Mastery-S. Item responses were Rasch analysed regarding model fit, response category functioning, differential item functioning (DIF) and targeting, using the partial credit model. Results: The Mastery-S items represented a logical continuum of the measured construct but one item displayed misfit. Reliability (Person Separation Index) was 0.7. The response categories did not work as expected in three items, which could be corrected for by collapsing categories. Three items displayed DIF between the two subsamples, which caused a bias when comparing mastery levels between subsamples, suggesting the Mastery-S is not truly generic. Conclusions: The Mastery-S may be used to obtain valid and reliable data, but some precautions should be made. If used to compare groups, new analyses of DIF should first be made. Users of the scale should also consider exempting item 6 from the scale and analyse it as a separate item. Finally, rewording of response categories should be considered in order to make them more distinct and thereby improve score reliability.

  • 109.
    Elgán, Carina
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Fridlund, Bengt
    Jönköping University.
    Middle-aged women and everyday life: implications for health2011In: British Journal of Nursing, ISSN 0966-0461, E-ISSN 2052-2819, Vol. 20, no 9, p. 570-575Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe middle-aged women's perceptions of lifestyle and how it was experienced in their daily lives. Interviews with 15 women selected using network sampling were analysed using a phenomenographic approach. Lifestyle was perceived as either 'handle life', describing a framework of how everyday life should manifest itself in different areas of life, or 'relate to life' implying accepting life as it is and making the best of it based on previous experiences. In terms of providing preventive and health-promoting guiding, it is essential that nurses have an insight into people's reasoning to support them to improve health or deal with illness.

  • 110.
    Elgán, Carina
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Fridlund, Bengt
    Hälsohögskolan i Jönköping.
    Vuxet vardagsliv2009In: Omvårdnadens grunder: perspektiv och förhållningssätt / [ed] Febe Friberg & Joakim Öhlén, Lund: Studentlitteratur, 2009, p. 147-174Chapter in book (Other academic)
  • 111.
    Ericsson, Ulf
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Samhällsvetenskap.
    Bengtsson Tops, Anita
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Housing support workers as equilibrists between instrumentality and situation: a qualitative study in congregated housings for people with smi2014In: Vulnerable Groups & Inclusion, ISSN 2000-8023, E-ISSN 2000-8023, Vol. 5, article id 23755Article in journal (Refereed)
    Abstract [en]

    Community-based psychiatry as an arena for studying work efforts is relatively unexplored. The professional role of a housing support worker (HSW) in congregated supported housings for people with severe mental illness (SMI) is fairly new. The role has emerged due to major changes in Swedish mental care and services. Our aim was to describe the work experiences of HSWs and to understand the conditions provided when work assignments are being constructed. By doing this we provide an important piece of the puzzle in understanding the processes in contemporary congregated supported housings for people with SMI. Four focus group interviews were conducted and included 25 participants. Four different facilities of congregated supported housings for people with SMI were represented in the material. The interpretation of the material was inspired by a constructionist approach. The work of an HSW is experienced as complex and ambiguous. Together with different significant actors (including objects), the HSWs are negotiating the content of the responsibilities. Thus, different actors help co-construct the work content. Furthermore, the HSWs are caught between two different logics, one that is related to a complex practice and one that is related to instrumental and routine-based ideas. The complex emotional work of an HSW is often not supported by the principles of the organization. The findings can be helpful when organizing the work in congregated supported housings for people with SMI. This paper highlights the importance of bridging the gap between organizational demands and expectations and the individual preconditions and basic needs.

  • 112.
    Erovic Ademovski, Seida
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön Oral Hälsa - Allmänhälsa - Livskvalitet.
    Persson, G. Rutger
    Department of Periodontology, School of Dental Medicine, University of Bern.
    Winkel, Edwin
    Academic Centre for Oral Health, Department of Periodontology, University Medical Centre Groningen.
    Tangerman, Albert
    Department of Gastroenterology and Hepatology, Radboud University Medical Centre, Nijmegen.
    Lingström, Peter
    Department of Cariology, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg.
    Renvert, Stefan
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön Oral Hälsa - Allmänhälsa - Livskvalitet.
    The short-term treatment effects on the microbiota at the dorsum of the tongue in intra-oral halitosis patients: a randomized clinical trial2013In: Clinical Oral Investigations, ISSN 1432-6981, E-ISSN 1436-3771, Vol. 17, no 2, p. 463-473Article in journal (Refereed)
    Abstract [en]

    Objectives This study aims to assess the effects of rinsing with zinc- and chlorhexidine-containing mouth rinse with or without adjunct tongue scraping on volatile sulfur compounds (VSCs) in breath air, and the microbiota at the dorsum of the tongue. Material and methods A randomized single-masked controlled clinical trial with a cross-over study design over 14 days including 21 subjects was performed. Bacterial samples from the dorsum of the tongue were assayed by checkerboard DNA–DNA hybridization. Results No halitosis (identified by VSC assessments) at day 14 was identified in 12/21 subjects with active rinse alone, in 10/21with adjunct use of tongue scraper, in 1/21 for negative control rinse alone, and in 3/21 in the control and tongue scraping sequence. At day 14, significantly lower counts were identified only in the active rinse sequence ( p &lt; 0.001) for 15/78 species including , Fusobacterium sp., Porphyromonas gingivalis , Pseudomonas aeruginosa , Staphylococcus aureus , and Tannerella forsythia . A decrease in bacteria from baseline to day 14 was found in successfully treated subjects for 9/74 species including: P. gingivalis , Prevotella melaninogenica , S. aureus , and Treponema denticola . Baseline VSC scores were correlated with several bacterial species. The use of a tongue scraper combined with active rinse did not change the levels of VSC compared to rinsing alone. Conclusions VSC scores were not associated with bacterial counts in samples taken from the dorsum of the tongue. The active rinse alone containing zinc and chlorhexidine had effects on intra-oral halitosis and reduced bacterial counts of species associated with malodor. Tongue scraping provided no beneficial effects on the microbiota studied. Clinical relevance Periodontally healthy subjects with intra-oral halitosis benefit from daily rinsing with zinc- and chlorhexidine-containing mouth rinse.

  • 113.
    Fardal, Øystein
    et al.
    Private practice, Egersund.
    Fardal, Patrick
    Dublin Dental University Hospital, Dublin.
    Persson, G. Rutger
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön Oral Hälsa - Allmänhälsa - Livskvalitet.
    Periodontal and general health in long-term periodontal maintenance patients treated in a Norwegian private practice: a descriptive report from a compliant and partially compliant survivor population2013In: Journal of Periodontology, ISSN 0022-3492, E-ISSN 1943-3670, Vol. 84, no 10, p. 1374-1381Article in journal (Refereed)
    Abstract [en]

    Background There is weak evidence to support the benefit of periodontal maintenance therapy in preventing tooth loss. In addition, the effects of long-term periodontal treatment on general health are unclear.

    Materials/Methods Compliant and partially compliant patients (15-25 years follow-up) in private practice were observed for oral and systemic health changes.

    Results 219 compliant patients (128 females, 91 males) were observed for 19.1 years (range 15-25, SD ± 2.8). Age at reassessment was 64.6 years (range 39-84 SD ±9.0). 145 patients were stable (0-3 teeth lost), 54 were downhill (4-6 teeth lost) and 21 patients extreme downhill (>6 teeth lost). 16 patients developed hypertension, 13 developed diabetes II, and 15 suffered myocardial infarcts (MI). A minority developed other systemic diseases. Risk factors for MI included overweight (OR 9.04,95% CI:2.9-27.8, p=0.000), family history with cardiovascular disease (OR 3.10, 95 % CI:1.07-8.94, p=0.029), diabetes I at baseline (p=0.02) and developing diabetes II (O.R. 7.9, 95 % CI: 2.09-29.65, p=0.000). 25 partially compliant patients (8 females, 17 males) were observed for 19 years. This group had a higher proportion of downhill and extreme downhill cases and MI.

    Conclusion Patients who left the maintenance program in a periodontal specialist practice in Norway had a higher rate of tooth loss than compliant patients. Compliant maintenance patients in specialist practice in Norway have a similar risk of developing diabetes type II as the general population. A rate of 0.0037 myocardial infarcts per patient per year was recorded for this group. Due to the lack of external data, it is difficult to assess how this compares with untreated periodontal patients.

  • 114.
    Folkesson, Agneta
    et al.
    Kristianstad University, School of Health and Society.
    Petersen, Karin Anna
    Kristianstad University, School of Health and Society.
    Abrahamsson, Agneta
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Blomqvist, Kerstin
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Petersson, Pia
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Pajalic, Zada
    Kristianstad University, Department of Health Sciences.
    Lindskov, Cecilia
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Johansson, Yvonne
    Kristianstad University, School of Health and Society.
    Participatory practice in a Non Participatory world experiences and challenges of working in the health and social care sector in Sweden and elsewhere2008Conference paper (Refereed)
  • 115.
    Furenbäck, Ingela
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Platform for Collaboration for Health.
    Improving the quality of care through communication arena2013In: International Journal of Integrated Care, ISSN 1568-4156, E-ISSN 1568-4156, Vol. 13, no WCIC Conf SupplArticle in journal (Other academic)
    Abstract [en]

    Purpose: Collaboration has become an increasingly more common strategy when developing care sectors while, coincidentally, experience and research show that collaboration development may be problematic in itself. This study aims to achieve better understanding of collaboration processes.

    Method: A local project that aimed at improving the quality of healthcare and social care by developing the co-operation between organizations took place in Sweden, and by using participatory action research, PAR, this process was followed between 2004 and 2008. Material was gathered through participant observation from the perspective of patients, relatives, staff, managers and politicians. A descriptive narrative was compiled and a hermeneutic interpretation was performed.

    Results: Initially, the development of collaboration was impeded due to lack of communication between the participants from various levels within the organizations. With the support of PAR, communication arenas were arranged to handle social interaction as well as different perspectives and conflicts, which led to improved collaboration within the organizations as well as between the care organizations.

    Conclusion: Development of collaboration between organizations reflects how collaboration within one organization works. Collaboration is a social and interpersonal phenomenon, and readily available communication arenas are crucial for its development.

  • 116.
    Garmy, Pernilla
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO).
    Aktuellt kunskapsläge om spädbarnsmassage: systematisk litteraturöversikt 2006-20112012In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 32, no 4, p. 29-33Article in journal (Refereed)
    Abstract [en]

    Aim: Reviewing the scientific literature 2006-2011 on infant massage.

    Background: The study is a follow-up of a literature review of studies on infant massage published 1995-2005, in which it was shown that infant massage has a favorable effect on weight gain, health, sleep and behavioral development in infants and on parental-infant interaction.

    Methods: A computer-aided search utilizing the Cochrane Central Register of Controlled Trials, Pubmed and CINAHL was conducted in January 2012, the MeSH term «infant massage», limited to clinical controlled trials (CCT) for infants aged 0-23 months, being employed.

    Findings: A total of 29 articles were found, concerning 1670 children altogether who satisfied the inclusion criteria, 18 of the studies concerning preterm infants. Results in five different areas are taken up: weight gain (n=8), analgesia (n=5), health (n=5), behavioral development (n=7) and depression prevention in mothers (4).

    Conclusions: No harmful effects of infant massage were reported. It was found to have positive effects on children's growth, health and behavioral development, and to have beneficial effects on the mothers' psychological well-being when they gave their children massage. It is concluded that parental education in infant massage is a cost-effective and health promoting measure.

  • 117.
    Garmy, Pernilla
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO).
    Tema sömn: Skolbarns sömnvanor2012In: Barnbladet, ISSN 0349-1994, no 5, p. 20-26Article in journal (Other (popular science, discussion, etc.))
  • 118.
    Garmy, Pernilla
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO).
    Tonårssömn: Ungdomars sömn och dygnsrytm2012In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 109, no 1219Article, book review (Other (popular science, discussion, etc.))
  • 119.
    Garmy, Pernilla
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Clausson, Eva
    Kristianstad University, School of Health and Society.
    Jacobsson, Ulf
    Centrum för primärvårdsforskning, Lunds Universitet.
    Berg, Agneta
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Kartläggning av DISA – ett skol­baserat program för att förebygga depression hos ungdomar. Poster presenterad vid Riksföreningen för skolsköterskors kongress, april 2012, Stockholm2012Conference paper (Other academic)
    Abstract [sv]

    Depression och annan psykisk ohälsa hos ungdomar skapar stort lidande hos den enskilde och dess närstående, och har också ett samband med lägre studieresultat och ökade kostnader för samhället. Det är därför viktigt att undersöka om skolbaserade insatser för att förebygga depression har effekt.

  • 120.
    Gonda, Tomoya
    et al.
    Osaka University.
    Macentee, Michael I.
    University of British Columbia.
    Kiyak, H. Asuman
    University of Washington.
    Persson, G. Rutger
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön Oral Hälsa - Allmänhälsa - Livskvalitet.
    Persson, Rigmor E.
    University of Washington.
    Wyatt, Christopher
    University of British Columbia.
    Predictors of multiple tooth loss among socioculturally diverse elderly subjects2013In: International Journal of Prosthodontics, ISSN 0893-2174, E-ISSN 1139-9791, Vol. 26, no 2, p. 127-134Article in journal (Refereed)
    Abstract [en]

    Purpose: This study identifies clinical factors that predict multiple tooth loss in a socioculturally diverse population of older adults.

    Materials and Methods: A total of 193 participants from English-, Chinese-, or Punjabi-speaking communities in Vancouver, British Columbia, with low incomes and irregular use of dental services were followed for 5 years as part of a clinical trial of a 0.12% chlorhexidine mouthrinse. The participants were interviewed and examined clinically, including panoramic radiographs, at baseline and annually for 5 years. Binary logistic regression was used to test the hypothesis that there was no difference between incidence of multiple (≥ 3) tooth loss in older people with various biologic, behavioral, prosthodontic, and cultural variables over 5 years.

    Results: Multiple tooth loss, which was distributed similarly among the groups in the trial, occurred in 39 (20%) participants over 5 years. The use of removable prostheses was the best predictor of loss, followed by the number of carious surfaces and number of sites with gingival attachment loss > 6 mm. The pattern of prediction was consistent across the three linguocultural groups.

    Conclusion: The use of removable dentures was the dominant predictor of multiple tooth loss in the three communities, but that tooth loss was not significantly associated with the cultural heritage of the participants.

  • 121.
    Gruvebäck, Anders
    et al.
    Palliativt utvecklingscentrum, Lunds universitet, Region Skåne.
    Törnqvist, Kicki
    Palliativt utvecklingscentrum, Lunds universitet, Region Skåne.
    Olsson Möller, Ulrika
    Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Beck, Ingela
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Palliativt utvecklingscentrum, Lunds universitet, Region Skåne.
    Healthcare professionals' experiences of using IPOS in the care encounter2019Conference paper (Refereed)
  • 122.
    Gunnarsson, Jennie
    et al.
    Kristianstad University, School of Health and Society.
    Andersson, Ingemar
    Kristianstad University, School of Health and Society.
    Ejlertsson, Göran
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS).
    Egna krav i arbetet betydelsefulla för symtomförekomst: resultatet från en enkätstudie till vårdanställda2009Report (Other academic)
    Abstract [sv]

    Arbetsplatsen är en viktig arena för att påverka människors hälsa. Hälsofrämjande insatser på arbetsplatsen kan förbättra arbetsmiljön och främja människors hälsa i relation till arbetet. Syftet med rapporten var att studera vilka arbets- och individrelaterade faktorer som har betydelse för en bra hälsa mätt som en låg rapportering av symtom. Studien genomfördes genom enkät till vårdanställda vid en vårdenhet i södra Sverige (n =511). Resultatet visade att individens egna krav hade anmärkningsvärt högt samband med symtomförekomst. Låga egna krav relaterade till låg symtomförekomst. Den allmänna trivseln och en positiv syn på den närmaste chefen relaterade också till låg symtomförekomst. Sambandet mellan egna krav och symtomförekomst kan vara en effekt av den utveckling som har skett i samhället och på arbetsplatserna, där det många gånger är individen själv som sätter gränser och värderar den egna insatsen. Följden av de upplösta strukturerna kan bli att individen ökar kraven på sig själv, och i förlängningen kan det leda till minskad återhämtning, ökad stress och därmed symtomförekomst. Att en stor andel av respondenterna upplevde att de hade höga krav på sig själva kan därmed vara en varningssignal. Vår studie visar dessutom att de egna kraven är högre bland yngre anställda. Hälsofrämjande insatser för att minska individens egna krav är av vikt då insatserna möjligen kan leda till lägre grad av symtomförekomst. Dessutom var sjuknärvaron påtagligt hög bland respondenterna. Konsekvenserna av sjuknärvaron är inte tillräckligt utforskad för att påvisa vilka följderna kan bli. Att inte få möjlighet till återhämtning kan dock leda till symtom och stressrelaterade besvär. Frågan som måste ställas är hur de ökade kraven på individen ska bemötas?

  • 123.
    Gustafsson, Susanne
    et al.
    Department of Clinical Neuroscience and Rehabilitation, The Sahlgrenska Academy at the University of Gothenburg.
    Eklund, Kajsa
    Department of Clinical Neuroscience and Rehabilitation, The Sahlgrenska Academy at the University of Gothenburg.
    Wilhelmson, Katarina
    Vårdalinstitutet, The Swedish Institute for Health Sciences, Gothenburg/Lund.
    Edberg, Anna-Karin
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Johansson, Boo
    Vårdalinstitutet, The Swedish Institute for Health Sciences, Gothenburg/Lund.
    Häggblom Kronlöf, Greta
    Department of Clinical Neuroscience and Rehabilitation, The Sahlgrenska Academy at the University of Gothenburg.
    Gosman-Hedström, Gunilla
    Department of Clinical Neuroscience and Rehabilitation, The Sahlgrenska Academy at the University of Gothenburg.
    Dahlin-Ivanoff, Synneve
    Department of Clinical Neuroscience and Rehabilitation, The Sahlgrenska Academy at the University of Gothenburg.
    Long-term outcome for ADL following the health-promoting RCT: elderly persons in the risk zone2013In: The Gerontologist, ISSN 0016-9013, E-ISSN 1758-5341, Vol. 53, no 4, p. 654-663Article in journal (Refereed)
    Abstract [en]

    Purpose: To examine independence in activities of daily living (ADL) at the 1- and 2-year follow-ups of the health-promoting study Elderly Persons in the Risk Zone.

    Design and Method: A randomized, three-armed, single-blind, and controlled study. A representative sample of 459 independent and community-dwelling older adults, 80 years and older, were included. A preventive home visit was compared with four weekly multiprofessional senior group meetings including a follow-up home visit.

    Results: Analysis showed a significant difference in favor of the senior meetings in postponing dependence in ADL at the 1-year follow-up (odds ratio [OR] = 1.92, 95% confidence interval [CI] = 1.19–3.10) and also in reducing dependence in three (OR = 0.52, 95% CI = 0.31–0.86) and four or more ADL (OR = 0.40, 95% CI = 0.22–0.72) at the 2-year follow-up. A preventive home visit reduced dependence in two (OR = 0.40, 95% CI = 0.24–0.68) and three or more ADL (OR = 0.37, 95% CI = 0.17–0.80) after 1 year.

    Implications: A long-term evaluation of Elderly Persons in the Risk Zone showed that both senior meetings and a preventive home visit reduced the extent of dependence in ADL after 1 year. The senior meetings were superior to a preventive home visit since additional significant effects were seen after 2 years. To further enhance the long-term effects of the senior meetings and support the process of self-change in health behavior, it is suggested that booster sessions might be a good way of reinforcing the intervention.

  • 124.
    Hagell, Peter
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Effect of recall period on item responses to activity limitation items in multiple sclerosis2012Conference paper (Refereed)
  • 125.
    Hagell, Peter
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Testing for unidimensionality using the principal component analysis (PCA)/t test protocol in Rasch analysis: a cautionary note2013In: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 22, no 1 Suppl., p. 63-64Article in journal (Refereed)
  • 126.
    Hagell, Peter
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE. Department of Health Sciences, Lund University.
    Höglund, Arja
    Reimer, Jan
    Eriksson, Brita
    Knutsson, Ingmari
    Widner, Håkan
    Cella, David
    Measuring fatigue in Parkinson's disease: a psychometric study of two brief generic fatigue questionnaires.2006In: Journal of Pain and Symptom Management, ISSN 0885-3924, E-ISSN 1873-6513, Vol. 32, no 5, p. 420-32Article in journal (Refereed)
    Abstract [en]

    This study evaluated and compared the measurement properties of the 13-item Functional Assessment of Chronic Illness Therapy-Fatigue Scale (FACIT-F) and the 9-item Fatigue Severity Scale (FSS) in 118 consecutive Parkinson's disease (PD) patients, using traditional and Rasch measurement methodologies. Both questionnaires exhibited excellent data quality and reliability (coefficient alpha>or=0.9), and acceptable rating scale functionality, and both discriminated between fatigued and nonfatigued patients. Factor and Rasch analyses provided general support for unidimensionality of both FACIT-F and FSS, although they do not appear to measure identical aspects of fatigue. No signs of differential item functioning (DIF) were found for the FACIT-F, whereas potential age DIF was detected for two FSS items. These results support the measurement validity of both questionnaires in PD, although the FACIT-F displayed better measurement precision and modest psychometric advantages over the FSS. Availability of psychometrically sound fatigue measures that are applicable across disorders provides a sound basis for advancing the understanding of this common and distressing complaint.

  • 127.
    Hagell, Peter
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Knutsson, Ida
    Lund University.
    Single-item assessment of perceived health in neurological disorders: verbal response categories vs visual analog scale2013In: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 22, no 1 Suppl., p. 116-117Article in journal (Refereed)
  • 128.
    Hagell, Peter
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Knutsson, Ida
    Department of Health Sciences, Lund University, Lund, Sweden.
    Samuelson, Karin
    Institutionen för hälsa, vård och samhälle, Medicinska fakulteten, Lunds Universitet.
    Interpretation of response categories in patient-reported rating scales: a test-retest study among people with neurological disorders2012Conference paper (Refereed)
  • 129.
    Hagell, Peter
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Rosblom, Tomas
    Department of Neurology, Karolinska University Hospital Huddinge, Stockholm, Sweden.
    Pålhagen, Sven
    Department of Neurology, Karolinska University Hospital Huddinge, Stockholm, Sweden.
    A Swedish version of the 16-item Parkinson Fatigue Scale (PFS-16)2012In: Acta Neurologica Scandinavica, ISSN 0001-6314, E-ISSN 1600-0404, Vol. 125, no 4, p. 288-292Article in journal (Refereed)
    Abstract [en]

    Background –  The PFS-16 is a 16-item fatigue scale for Parkinson’s disease (PD) developed in the UK. However, documented translations and psychometric evaluations are sparse.

    Aim –  To translate the PFS-16 into Swedish and conduct initial testing of its psychometric properties.

    Methods –  Following translation, the PFS-16 was administered twice (2 weeks apart) to 30 people with PD (18 men; mean age/PD duration, 60/6.4 years). The PFS-16 uses five response categories (1 = strongly disagree, 5 = strongly agree), and the total score is the mean over item scores (1–5; 5 = more fatigue). An alternative, dichotomised scoring method has also been suggested (total score, 0–16; 16 = more fatigue). Scaling assumptions, floor/ceiling effects, reliability, and correlations with other variables including the generic fatigue scale Functional Assessment of Chronic Illness Therapy – Fatigue scale (FACIT-F) were tested.

    Results –  Scaling assumptions were generally supported for the original scoring [range of mean (SD) item scores, 2.1–3.3 (1–1.4); corrected item-total correlations, ≥0.40], but not for dichotomised scoring [range of mean (SD) item scores, 0.1–0.6 (0.3–0.5); corrected item-total correlations, ≥0.16]. Reliabilities were ≥0.88. Floor effects were absent (original scoring) and >23% (dichotomised scoring); there were no ceiling effects. Correlations with other variables followed expectations (e.g. −0.88 with FACIT-F scores).

    Conclusions –  These observations support the psychometric properties of the Swedish PFS-16, but cautions against dichotomised scoring.

  • 130.
    Hagell, Peter
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Smith, Stephen
    School of Nursing Sciences, Faculty of Medicine and Health, University of East Anglia.
    A psychometric comparison of two Carer Quality of Life Questionnaires in Huntington's disease: implications for neurodegenerative disorders2013In: Journal of Huntington's Disease, ISSN 1879-6397, Vol. 2, no 3, p. 315-322Article in journal (Refereed)
    Abstract [en]

    Background: The carer impact of neurodegenerative disorders such as Huntington's disease (HD) is vast. Attempts to measure carer QoL in neurodegenerative disorders include the three-dimensional (Practical aspects of Caregiving, PC; Satisfaction with Life, SL; Feelings about Living with Huntington's disease, FL) Huntington's Disease Quality of Life Battery for Carers (HDQoL-C) and the unidimensional Alzheimer's Carer's Quality of Life Inventory (ACQLI). However, evidence regarding their psychometric properties is sparse. Objectives: To test and compare the psychometric properties of the HDQoL-C, its short-form, and the ACQLI among HD carers. Methods: Data from 61 HD carers (36 women; mean age, 55) were analysed using traditional psychometric methods. Results: Data completeness was good (&gt;95% computable scale scores) but compromised for the PC and total HDQoL-C scales (≤80% computable scale scores). Scaling assumptions were supported for the SL and ACQLI scales (corrected item-total correlations ≥0.38; scaling success rates, 94–100%) but not for the PC, FL or total HDQoL-C scales (corrected item-total correlations ≥0.08; scaling success rates, 39–62%). Floor/ceiling effects were ≤9.8%. Reliabilities were ≥0.84, except for the PC scale (0.62). Conclusions: The HDQoL-C failed to exhibit suitability as a HD carer outcome measure, as two of its three scales did not meet basic psychometric criteria. The third scale (SL) did not outperform the ACQLI. This suggests that carer impact is not disease specific across neurodegenerative disorders.

  • 131.
    Hagell, Peter
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Smith, Steve
    School of Nursing Sciences, Faculty of Medicine and Health, University of East Anglia, Norwich.
    Why psychometrics is important - a response to: Aubeeluck, Buchanan & Stupple (2013) Journal of Huntington's Disease 2(4) 453–4542013In: Journal of Huntington's Disease, ISSN 1879-6397, Vol. 2, no 4, p. 455-457Article in journal (Other academic)
  • 132.
    Hagell, Peter
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Westergren, Albert
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Measurement properties of the SF-12 Health Survey in Parkinson's disease2011In: Journal of Parkinson's Disease, ISSN 1877-7171, E-ISSN 1877-718X, Vol. 1, no 2, p. 185-196Article in journal (Refereed)
    Abstract [en]

    The 12-item Short-Form Health Survey (SF-12) is an abbreviated version of the SF-36, one of the most widely used patient-reported health outcome rating scales. Similar to the SF-36, it yields summary scores of physical and mental health (PCS and MCS, respectively). However, SF-36 derived PCS and MCS scores have not been found valid in neurological disorders such as Parkinson's disease (PD). Here we used modern psychometric methodology (Rasch analysis) to test the SF-12 in PD, and explored the appropriateness of a total SF-12 score representing overall health. SF-12 data from 150 non-demented people with PD (56% men; mean age/PD-duration, 70/5 years) were analyzed regarding Rasch model fit for the PCS, MCS, as well as for the full SF-12. Data showed some signs of misfit to the Rasch model for all three scales (overall item-trait interaction, P ≥ 0.003; reliability, ≥ 0.85). For example, all scales exhibited signs of dependency between item responses, and the PCS measured with relatively low precision. Model fit (but not measurement precision) was improved following deletion of one PCS and one MCS item (overall item-trait interaction, P ≥ 0.387; reliability, ≥ 0.82). These observations suggest that the SF-12 can be used as a coarse health survey tool in PD and that a total SF-12 may be useful as a measure of overall health. However, its appropriateness as an outcome measure can be questioned and it is somewhat unclear exactly what the derived scores represent. As such, the SF-12 should probably be considered an assessment tool (or index) rather than a measurement instrument.

  • 133. Hallberg R., Ingalill
    et al.
    Berg, Agneta
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Arlehamn, Leni
    The parallel process in clinical supervision with a schizophrenic client1994In: Perspectives in psychiatric care, ISSN 0031-5990, E-ISSN 1744-6163, Vol. 30, no 2, p. 26-32Article in journal (Refereed)
    Abstract [en]

    The authors analyze a male nurse's account of how he experienced his interaction with a female schizophrenic client during sessions of systematic clinical supervision. Notes taken during 15 sessions were analyzed by means of open coding. The analysis revealed the importance of being aware of the parallel process that occurs among the client, the primary nurse, and the unit staff.

  • 134.
    Halling, Anders
    et al.
    Blekinge Institute for Research and Development, Karlshamn.
    Persson, G. Rutger
    University of Bern, Bern, Switzerland & University of Washington, Seattle, WA, USA.
    Berglund, Johan
    Blekinge Institute for Research and Development, Karlshamn & Department of Community Medicine, Lund University, Malmö, Sweden.
    Johansson, Owe
    Department of Periodontology, Public Dental Services, Karlskrona, Sweden.
    Renvert, Stefan
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Comparison between the Klemetti index and heel DXA BMD measurements in the diagnosis of reduced skeletal bone mineral density in the elderly.2005In: Osteoporosis International, ISSN 0937-941X, E-ISSN 1433-2965, Vol. 16, no 8, p. 999-1003Article in journal (Refereed)
    Abstract [en]

    Osteopenia/osteoporosis affect many elderly people and might not be detected until symptoms of fractures occur. Early detection of osteopenia/osteoporosis is important and would allow preventive measures and treatment. Access to screening for osteopenia/osteoporosis is often limited, whereas panoramic radiography is commonly used in dentistry. The aim of this study was to determine the validity of the Klemetti index (KI), measured on panoramic radiographs, in the diagnosis of osteopenia/osteoporosis as defined by a bone mineral density (BMD) measurement below -1.5 standard deviations (SDs) of a community based sample. In total, 211 consecutive participants (102 men and 109 women) 60-96 years in the SNAC-Blekinge study (Swedish National Study on Ageing and Care) underwent bone densitometry [by dual-energy X-ray absorptiometry (DXA)] of both heels. A panoramic radiograph was taken of each participant, and mandibular cortex on a panoramic radiograph was classified as '0' or normal (even and sharp endosteal margin), '1', moderately eroded (evidence of lacunar resorption or endosteal cortical residues), or '2', severely eroded (unequivocal porosity). From logistic regression, the odds ratio of having a BMD measurement below -1.5 SD was 8.04 (95% CI 2.39 to 27.12, P<0.001) in the 'osteopenic' (KI category 2), compared with the 'normal' group (KI categories 0 and 1). Receiver operating characteristic (ROC) curve analysis was used to measure the validity of the KI indicating osteopenia (KI category 2) in predicting reduced BMD. This point provided a sensitivity of 50% and a specificity of 89%. Positive and negative predictive values were 21% and 97%, respectively. There were 87% correctly classified subjects. The area under the ROC curve was 0.64. The present study demonstrated that a negative finding (KI category <2) is highly predictive of the absence of osteopenia/osteoporosis as defined by the DXA measurements.

  • 135.
    Hallström, Hadar
    et al.
    Maxillofacial unit, Halland Hospital, Halmstad.
    Lindgren, Susann
    Maxillofacial unit, Halland Hospital, Halmstad.
    Yucel-Lindberg, Tülay
    Department of Dental Medicine, Karolinska Institutet.
    Dahlén, Gunnar
    Department of Odontology, Oral microbiology, Sahlgenska Academy at Gothenburg University.
    Renvert, Stefan
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön Oral Hälsa - Allmänhälsa - Livskvalitet.
    Twetman, Svante
    Maxillofacial unit, Halland Hospital, Halmstad.
    Effect of probiotic lozenges on inflammatory reactions and oral biofilm during experimental gingivitis2013In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 71, no 3-4, p. 828-833Article in journal (Refereed)
    Abstract [en]

    Aim. Probiotic bacteria have been introduced for prevention and treatment of periodontal diseases. The aim was to assess if daily oral administration of probiotic bacteria could influence the inflammatory response and the composition of supragingival plaque in an experimental gingivitis model. Materials and methods. Eighteen healthy female adults volunteered after informed consent. A double-blind randomized placebo-controlled cross-over design was used. The buccal surface of first molars was used as experimental sites. A mouth-guard covering the first premolar to second molar was used when brushing, preventing accidental cleaning during 3 weeks of plaque accumulation. Lozenges containing L. reuteri (ATCC55730 and ATCC PTA5289) or placebo were taken twice a day. During the run-in and washout periods, professional tooth cleaning was performed 5 days/week. At baseline and follow-up, plaque index, gingival index and bleeding on probing were recorded. Samples of gingival crevicular fluid (GCF) were analysed for concentration of seven inflammatory mediators. Bacterial samples were processed with checkerboard DNA/DNA-hybridization. Results. All subjects presented a local plaque accumulation and developed manifest gingivitis at the test sites during the intervention periods. The volume of GCF increased in both groups but was statistically significant only in the placebo group (p < 0.05). The concentrations of IL1-β and IL-18 increased significantly (p < 0.05), while IL-8 and MIP1-β decreased (p < 0.05). No differences were displayed between test and placebo. Likewise, the microbial composition did not differ between the groups. Conclusion. Daily intake of probiotic lozenges did not seem to significantly affect the plaque accumulation, inflammatory reaction or the composition of the biofilm during experimental gingivitis.

  • 136.
    Hallström, Hadar
    et al.
    Malmö University.
    Persson, G. Rutger
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life.
    Strömberg, Ulf
    Halland Hospital.
    Twetman, Svante
    University of Copenhagen.
    Renvert, Stefan
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life.
    Reproducibility of subgingival bacterial samples from patients with peri-implant mucositis2015In: Clinical Oral Investigations, ISSN 1432-6981, E-ISSN 1436-3771, Vol. 19, no 5, p. 1063-1068Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: The aim of the present study was to investigate the reproducibility of bacterial enumeration from subsequent subgingival samples collected from patients with peri-implant mucositis.

    MATERIAL AND METHODS: Duplicate microbial samples from 222 unique implant sites in 45 adult subjects were collected with paper points and analyzed using the checkerboard DNA-DNA hybridization technique. Whole genomic probes of 74 preselected bacterial species were used. Based on the bacterial scores, Cohen's kappa coefficient was used to calculate the inter-annotator agreement for categorical data. The percentage agreement was considered as "good" when the two samples showed the same score or differed by 1 to the power of 10.

    RESULTS: Moderate to fair kappa values were displayed for all bacterial species in the test panel (range 0.21-0.58). There were no significant differences between Gram-positive and Gram-negative species. The percentage of good agreement between the first and second samples averaged 74.7 % (n = 74; range 56-83 %), while the proportion of poor agreement ranged from 1 to 19 % for the various strains.

    CONCLUSION: While an acceptable clinical agreement was obtained in most cases, diverging bacterial scores may appear in subgingival samples collected at the same time point from patients with peri-implant mucositis.

    CLINICAL RELEVANCE: The broad bulky base of implant crowns may present an obstacle for the collection of reproducible subgingival samples with paper points.

  • 137.
    Heimer, Gun
    et al.
    Uppsala universitet och Akademiska sjukhuset.
    Castrén, Maaret
    Karolinska institutet, Södersjukhuset, Stockholm.
    Janson, Staffan
    Karlstads och Örebro universitet och landstinget i Värmland.
    Saveman, Britt-Inger
    Umeå universitet.
    Bengtsson Tops, Anita
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Höglund, Anna T.
    Uppsala universitet.
    Larsson, Margareta
    Uppsala universitet och Akademiska sjukhuset, Uppsala.
    Kurland, Lisa
    Karolinska institutet och Södersjukhuset, Stockholm.
    Berglund, Anna
    Uppsala universitet och Västmanlands sjukhus, Västerås.
    Danielsson, Ingela
    Umeå universitet och Sundsvalls sjukhus.
    Smith, Lena
    Uppsala universitet och Akademiska sjukhuset, Uppsala.
    Stenson, Kristina
    Uppsala universitet och Akademiska sjukhuset, Uppsala.
    Tönnesen, Elisabeth
    Landstinget i Uppsala län.
    Lindblom, Pauline
    Södersjukhuset och Stureby vårdcentral, Stockholm.
    ”Vården måste fråga kvinnor om de har utsatts för våld”2011In: DN.se / DN-debatt, no 13 majArticle in journal (Other (popular science, discussion, etc.))
  • 138.
    Henricsson, Sara
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Plattformen för forskning om verksamhetsförlagd utbildning och professionslärande.
    Professionsöverlappande fält: en jämförelse mellan Tandhygienistprogrammet och Gastronomiprogrammet2013Report (Other academic)
  • 139.
    Högberg, Cecilia
    et al.
    Ersta Sköndal Bräcke högskola, Palliativt utvecklingscentrum, Lunds universitet, Region Skåne.
    Alvariza, Anette
    Ersta Sköndal Bräcke högskola.
    Beck, Ingela
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Faculty of Health Science, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Palliativt utvecklingscentrum, Lunds universitet, Region Skåne.
    Patients’ experience of using the integrated palliative care outcome scale in palliative home care2019Conference paper (Refereed)
  • 140.
    Jakobsson, Liselotte
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Aktionsforskning i vård och omsorg: tillämpning och teori2013Collection (editor) (Other academic)
    Abstract [sv]

    Aktionsforskning innebär ett möte mellan forskarens och praktikerns kunskapsfält. Det är genom deras samverkan som aktionsforskning sker. Praktiker kan sakna möjligheter och metoder för att synliggöra vardagsarbetet, medan forskare kan sakna att ingå i ett arbetslag och vara en del av en verksamhet. Aktionsforskning förenar praktik med teori och är ett användbart redskap i arbetet med att förändra och förbättra en verksamhet. 

    I den här boken ges flera exempel på hur aktionsforskning har använts inom områden som vård och omsorg, t.ex. på en familjecentral eller vid matdistribution till äldre. Författarna ger en teoretisk introduktion till aktionsforskning och visar hur forskningsresultat kan implementeras i den dagliga verksamheten. Boken innehåller också reflektionsfrågor som utmanar läsaren att uppmärksamma både sitt eget arbete och verksamheten i stort och på så sätt hitta möjligheter till förbättring.

    Aktionsforskning i vård och omsorg. Tillämpning och teori vänder sig till studerande på avancerad nivå och till yrkesverksamma inom vård, omvårdnad, socialt arbete och social omsorg.

  • 141.
    Jakobsson, Liselotte
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Erfarenheter från en familjecentral2013In: Aktionsforskning i vård och omsorg: tillämpning och teori / [ed] Liselotte Jakobsson, Malmö: Gleerups Utbildning AB , 2013, p. 149-156Chapter in book (Other academic)
  • 142.
    Jakobsson, Liselotte
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Erfarenheter från ett FoU-nätverk2013In: Aktionsforskning i vård och omsorg: tillämpning och teori / [ed] Liselotte Jakobsson, Malmö: Gleerups Utbildning AB , 2013, p. 165-172Chapter in book (Other academic)
  • 143.
    Jakobsson, Liselotte
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Erfarenheter från ett kommunalt projekt2013In: Aktionsforskning i vård och omsorg: tillämpning och teori / [ed] Liselotte Jakobsson, Malmö: Gleerups Utbildning AB , 2013, p. 157-164Chapter in book (Other academic)
  • 144.
    Jakobsson, Liselotte
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Patientdelaktighet2013In: Aktionsforskning i vård och omsorg: tillämpning och teori / [ed] Liselotte Jakobsson, Malmö: Gleerups Utbildning AB , 2013, p. 59-66Chapter in book (Other academic)
  • 145.
    Jakobsson, Liselotte
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Fransson, Per
    Patient reported outcome measure (PROM) of quality of life after prostatectomy: results from a 5-year study2013In: Open Nursing Journal, ISSN 1874-4346, E-ISSN 1874-4346, Vol. 7, p. 165-173Article in journal (Refereed)
    Abstract [en]

    Prostate cancer is the most common cancer among men in Sweden, and treatment is negatively affecting the patients' quality of life. Even so, long term experiences are sparse and implications for nursing practice are little known. The aim of this study was to determine areas of functioning and factors impacting quality of life, QOL, during and five years after radical prostatectomy (RP) using a quality of life questionnaire and a specific module for prostate cancer. A longitudinal study was performed with consecutively included Swedish men from baseline and after RP treatment (n=222) from 2003 to 2011 to obtain their opinions on quality of life. Data was gathered through a mail out - mail in procedure at baseline, 3 months, 1-3 and 5 years after treatment with a response rate of 94.14% - 75.2%. One reminder was sent on each occasion. Identified areas with increased functioning after five years were emotional and social functioning. QOL ratings did not change over the years. Sexual activity and functioning decreased and hormonal treatment-related symptoms increased. Impact on QOL was found regarding emotional and social functioning, nausea/vomiting, pain and hormone-related symptoms. Increasing age, living with a partner and educational level had no significant impact on QOL. Implications for nursing are to initially focus on physical problems and at times for follow-up visits pay attention also to emotional and social aspects of life. To be able to make a difference in the patient's life, nurses need to bridge the gap between in-hospital treatment and everyday life outside hospital.

  • 146.
    Jakobsson, Liselotte
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Holmberg, Leif
    Kristianstad University, School of Health and Society, Avdelningen för Ekonomi. Kristianstad University, Forskningsmiljön Organisatorisk Samverkan.
    Quality from the patient's perspective: a one-year trial2012In: International Journal of Health Care Quality Assurance, ISSN 0952-6862, E-ISSN 1758-6542, Vol. 25, no 3, p. 177-188Article in journal (Refereed)
    Abstract [en]

    Purpose - Purpose - To study how changing information routines might influence patients’ service quality perceptions. A secondary aim was to test an instrument’s everyday feasibility for healthcare quality assessment.

    Design/methodology/approach - Patients often show high grade satisfaction with general care although they display dissatisfaction with information they receive. A questionnaire survey is used to establish pa-tients’ satisfaction with an intervention consisting of introducing standardized guidelines for nursing performance and information provision. Patient satisfaction was assessed through a standardized questionnaire: ‘Quality from the Patient’s Perspective’ (QPP). A cross sectional interventional survey was applied to patients from gynaecological and haematological wards (n=71). A comparison group was used (n=67). Patients were given the questionnaire when their diagnosis was confirmed, after six months and 12 months. Data were collected succes-sively over 36-months.

    Findings - Findings - The study group showed an increased satisfaction with information from nurses (p=0.001) but not physicians. However, patients tended to put greater emphasis on socio-cultural issues than information and some kind of cooperation seemed to represent high qual-ity from the patient’s perspective.

    Research limitations/implications - Limitations – Successively lower response rate, mainly owing to cancer patients’ deteriorating medical conditions.

    Practical implications - Implications for research, practice and/or society –The study seems to verify the concor-dance model’s relative merits and that the softer side of care appears to be more important to patients than specific improvements regarding information

    Originality/value - Value - Result confirm that patients’ satisfaction with information had implications for overall quality; but social issues seemed more important and enhancing quality is best achieved through participation and cooperation.

  • 147.
    Jakobsson, Liselotte
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Persson, Lena
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Lundqvist, Pia
    Division of Nursing, Department of Health Sciences, Lund.
    Daily life and life quality 3 years following prostate cancer treatment2013In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 12, p. 11-Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Knowledge of experiences from prostate cancer is sparse in a longitudinal perspective. From a nursing perspective, results from combined qualitative and quantitative studies are lacking however would present the broadest knowledge base for best practice. Present descriptions of medical-physical symptoms such as urinary, bowel and sexual dysfunction from quantitative inquiries need be complemented with qualitative results. Such knowledge is essential in relation to treatment and communication with patients over the years and not only shortly after surgery.

    METHODS: A longitudinal study was formatted to investigate general and specific health quality and sense of coherence quantitative alterations over three years. A general health quality module (EORTC QLC-C30) and a disease-specific module (EORTC PR-25) were applied for the longitudinal study together with the Orientation to life questionnaire (SOC), measuring a persons' sense of coherence. In order to strengthen reliability and compensate for low participation we used the Directed content analysis for interviewing and analysis. The method allows using findings from earlier research when interviewing along with detecting new areas. Twenty-one men were followed over three years and six of them, in the third year, accepted to be interviewed.

    RESULTS: We found high quality of life ratings and extended the study with follow-up interviews in year three, to investigate whether questionnaire results were in line with interview findings. We found high life quality and functioning ratings that were in line with qualitative descriptions. Interview analysis showed retrieval of life as lived before, yet in a different way, the men never forgot the diagnosis event, had a unique illness history worth hearing, and had come to terms with most treatment-related shortcomings. Sense of coherence ratings were medium to high and confirmed stability over time in comprehensibility, manageability and meaningfulness after prostate cancer treatment.

    CONCLUSIONS: Over the years, the men's negative experiences from shifted into 'a good life' though in a different way than before. The interpretation is supported in the study by quantitative results showing a high degree of functioning. The men's sense of coherence seamed to support their handling of life three years after prostate cancer treatment.

  • 148.
    Jakobsson, Liselotte
    et al.
    Kristianstad University, School of Education and Environment, Avdelningen för Humanvetenskap.
    Persson, Lena
    Kristianstad University, Forskningsplattformen Hälsa i samverkan. Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Lundqvist, Pia
    Lund University.
    Life after prostatectomy2011Conference paper (Refereed)
  • 149.
    Jakobsson, Liselotte
    et al.
    Kristianstad University, School of Education and Environment, Avdelningen för Humanvetenskap.
    Persson, Lena
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Lundqvist, Pia
    Lund University.
    Prostate cancer - not the end of life2012Conference paper (Refereed)
  • 150.
    Jakobsson, Liselotte
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Petersson, Pia
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Implementering2013In: Aktionsforskning i vård och omsorg: tillämpning och teori / [ed] Liselotte Jakobsson, Malmö: Gleerups Utbildning AB , 2013, p. 111-124Chapter in book (Other academic)
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