hh.sePublications
Change search
Link to record
Permanent link

Direct link
Alternative names
Publications (10 of 152) Show all publications
Drake af Hagelsrum, K., Mogard, E., Bremander, A., Lindqvist, E. & Larsson, I. (2023). Healthcare professionals' perceptions of working on lifestyle management for patients with early rheumatoid arthritis – a qualitative study. International Journal of Qualitative Studies on Health and Well-being, 18(1), Article ID 2241225.
Open this publication in new window or tab >>Healthcare professionals' perceptions of working on lifestyle management for patients with early rheumatoid arthritis – a qualitative study
Show others...
2023 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 18, no 1, article id 2241225Article in journal (Refereed) Published
Abstract [en]

AIM: To explore HPs' perceptions of working on lifestyle management for patients with early rheumatoid arthritis (RA). METHODS: In this qualitative study, individual interviews were conducted with 20 HPs. Qualitative content analysis was used, and three categories and six subcategories were identified. RESULTS: HPs' perceptions of working on lifestyle management for patients with early RA revealed a need for commitment from different levels. This included commitment from healthcare managers and organizations prioritizing work on lifestyle management and providing competence development for HPs. Commitment within the team regarding coordination of interdisciplinary teamwork and development of a structured lifestyle management approach, and commitment to involving patients in lifestyle management, by facilitating patient engagement and a person-centred approach. CONCLUSIONS: HPs' perceptions of working on lifestyle management for patients with early RA revealed that commitment from healthcare managers, organizations, and the interdisciplinary team was essential to facilitate collaboration, patient involvement, and a person-centred approach. © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Place, publisher, year, edition, pages
Abingdon: Taylor & Francis, 2023
Keywords
Alcohol, arthritis, diet, interdisciplinary team, lifestyle, person-centred care, physical activity, qualitative content analysis, tobacco
National Category
Rheumatology and Autoimmunity Medical and Health Sciences
Research subject
Health Innovation, Information driven care; Health Innovation, M4HP - Movement for health and performance
Identifiers
urn:nbn:se:hh:diva-51379 (URN)10.1080/17482631.2023.2241225 (DOI)001036754200001 ()37499140 (PubMedID)2-s2.0-85165875601 (Scopus ID)
Funder
Swedish Rheumatism Association
Note

Funding: The research was supported by grants from the Swedish Rheumatism Association and the Anna-Greta Crafoord’s Foundation.

Available from: 2023-08-14 Created: 2023-08-14 Last updated: 2023-11-22Bibliographically approved
Landgren, E., Mogard, E., Bremander, A., Nylander, M., Lindqvist, E. & Larsson, I. (2023). Patients' understanding of health in early rheumatoid arthritis - a qualitative study. Paper presented at 39th Scandinavian Congress of Rheumatology, Copenhagen, Denmark, 23-26 August, 2023. Scandinavian Journal of Rheumatology, 52, 49-50
Open this publication in new window or tab >>Patients' understanding of health in early rheumatoid arthritis - a qualitative study
Show others...
2023 (English)In: Scandinavian Journal of Rheumatology, ISSN 0300-9742, E-ISSN 1502-7732, Vol. 52, p. 49-50Article in journal, Meeting abstract (Refereed) Published
Place, publisher, year, edition, pages
Abingdon: Taylor & Francis, 2023
Keywords
Interviews, health, phenomenography
National Category
Rheumatology and Autoimmunity
Research subject
Health Innovation, IDC; Health Innovation, M4HP
Identifiers
urn:nbn:se:hh:diva-52240 (URN)10.1080/03009742.2023.2233370 (DOI)001078522900039 ()
Conference
39th Scandinavian Congress of Rheumatology, Copenhagen, Denmark, 23-26 August, 2023
Note

Meeting Abstract: OP38

Available from: 2023-12-15 Created: 2023-12-15 Last updated: 2023-12-18Bibliographically approved
Mogard, E., Bremander, A. & Haglund, E. (2022). A combination of two or more unhealthy lifestyle factors is associated with impaired physical and mental health in patients with spondyloarthritis: a cross-sectional study. BMC Rheumatology, 6(1), Article ID 29.
Open this publication in new window or tab >>A combination of two or more unhealthy lifestyle factors is associated with impaired physical and mental health in patients with spondyloarthritis: a cross-sectional study
2022 (English)In: BMC Rheumatology, ISSN 2520-1026, Vol. 6, no 1, article id 29Article in journal (Refereed) Published
Abstract [en]

Background: There is increasing knowledge of how individual lifestyle factors affect patients with spondyloarthritis, while studies exploring the combination of unhealthy lifestyle factors are lacking. Thus, our aim was to study the frequency of two or more unhealthy lifestyle factors and their associations with physical and mental health in patients with spondyloarthritis (SpA).

Methods: A population-based postal survey involving questions on lifestyle factors was completed by 1793 patients with ankylosing spondylitis (AS), psoriatic arthritis (PsA), and undifferentiated spondyloarthritis (USpA). Self-reported physical activity, body mass index, and tobacco use were respectively dichotomized as “healthy” or “unhealthy”, summarized for each patient and stratified into four groups (0–3; 0 = no unhealthy lifestyle factors). Group comparisons were performed with Chi-squared tests, and associations with physical and mental health outcomes were performed with analysis of covariance and logistic regression analysis.

Results: Out of 1426 patients (52% women) with complete information for all studied lifestyle factors, 43% reported ≥ two unhealthy lifestyle factors—more frequently patients with PsA (48%) than AS (39%) or USpA (38%)—and with no difference between women and men (p = 0.399). Two or more unhealthy lifestyle factors were associated with worse health-related quality of life, disease activity, physical function, pain, fatigue, anxiety, and depression, adjusted for age and SpA-subgroup. If an unhealthy level of physical activity was one of the two unhealthy lifestyle factors, patients reported worse health outcomes.

Conclusion: Reporting two or more unhealthy lifestyle factors were associated with worse physical and mental health in patients with SpA. This highlights the need to screen for a combination of unhealthy lifestyle factors and offer individualized coordinated interventions, and tailored coaching to support behavioral change, in order to promote sustainable health. © 2022, The Author(s).

Place, publisher, year, edition, pages
London: BioMed Central (BMC), 2022
Keywords
Ankylosing spondylitis, Body mass index, Health-related quality of life, Overweight/obesity, Physical activity, Psoriatic arthritis, Smoking, Spondyloarthropathy, Tobacco
National Category
Pharmacology and Toxicology
Identifiers
urn:nbn:se:hh:diva-48506 (URN)10.1186/s41927-022-00260-4 (DOI)000801155700001 ()35610662 (PubMedID)2-s2.0-85130731987 (Scopus ID)
Funder
Region SkåneSwedish Rheumatism AssociationLund University
Note

Funding: Open access funding provided by Lund University. This work was supported by grants from: Region Skåne; Skåne University Hospital; Spenshult Research and Development Centre; the Swedish Rheumatism Association; and the Kock Foundation.

Available from: 2022-11-02 Created: 2022-11-02 Last updated: 2023-01-02Bibliographically approved
Reinodt, S., Haglund, E., Bremander, A., Jarbin, H. & Larsson, I. (2022). Adolescents’ Long-Term Experiences of Manageability, Comprehensibility, and Meaningfulness of a Group-Based Exercise Intervention for Depression. International Journal of Environmental Research and Public Health, 19(5), Article ID 2894.
Open this publication in new window or tab >>Adolescents’ Long-Term Experiences of Manageability, Comprehensibility, and Meaningfulness of a Group-Based Exercise Intervention for Depression
Show others...
2022 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, no 5, article id 2894Article in journal (Refereed) Published
Abstract [en]

Physical exercise is a potentially effective treatment for adolescents with mild to moderate depression. However, there is a lack of long-term follow-ups to reveal adolescents’ experiences of exercise as a treatment for depression. The salutogenic concept of sense of coherence (SOC), comprising the domains manageability, comprehensibility, and meaningfulness is important to understand behaviour change. This study aimed to describe adolescents’ long-term experiences of manageability, comprehensibility, and meaningfulness of a group-based exercise intervention for depression. Fourteen adolescents with persistent depression were recruited from a psychiatric outpatient clinic and interviewed one year after participating in a 14-week moderate to vigorous exercise intervention for depression. An abductive qualitative content analysis was conducted, based on the three SOC domains manageability, comprehensibility, and meaningfulness. The results revealed that participation in the intervention was made manageable by a supportive environment, including: the intervention design, togetherness with peer group, and encouragement from adults. The comprehensibility of the intervention emerged through the insights regarding health benefits of exercise and the aim of the intervention. Meaningfulness was achieved through improved health behaviour, well-being and self-esteem, along with strengthened belief in the future and increased commitment to everyday life. The group-based exercise intervention was experienced as manageable, comprehensible, and meaningful. © 2022 by the authors. Licensee MDPI, Basel, Switzerland.

Place, publisher, year, edition, pages
Basel: MDPI, 2022
Keywords
Adolescents, Comprehensibility, Depression, Exercise intervention, Manageability, Meaningfulness, Qualitative content analysis, Treatment
National Category
Health Sciences
Research subject
Health Innovation, Information driven care
Identifiers
urn:nbn:se:hh:diva-46488 (URN)10.3390/ijerph19052894 (DOI)000768042200001 ()35270586 (PubMedID)2-s2.0-85125405791 (Scopus ID)
Available from: 2022-03-18 Created: 2022-03-18 Last updated: 2023-01-02Bibliographically approved
Andersson, M. L. .., Haglund, E., Aili, K., Bremander, A. & Bergman, S. (2022). Associations between metabolic factors and radiographic knee osteoarthritis in early disease - a cross-sectional study of individuals with knee pain. BMC Musculoskeletal Disorders, 23(1), Article ID 938.
Open this publication in new window or tab >>Associations between metabolic factors and radiographic knee osteoarthritis in early disease - a cross-sectional study of individuals with knee pain
Show others...
2022 (English)In: BMC Musculoskeletal Disorders, E-ISSN 1471-2474, Vol. 23, no 1, article id 938Article in journal (Refereed) Published
Abstract [en]

Objective: Metabolic factors have been shown to be associated to severe radiographic knee osteoarthritis (RKOA). However, more knowledge is needed in early clinical knee osteoarthritis (KOA). The aim was to study associations between metabolic factors and radiographic knee osteoarthritis (OA) in individuals with knee pain. A second aim was to study associations between metabolic factors and RKOA in those with normal BMI and in those overweight/obese, respectively. Method: This cross-sectional study included 282 individuals with knee pain (without cruciate ligament injury) and aged 30–67 years, and 70% women. Waist circumference, body mass index (BMI), proportion of fat and visceral fat area (VFA) were assessed. RKOA was defined as Ahlbäck grade 1 in at least one knee. Fasting blood samples were taken and triglycerides, cholesterol (total, low density lipoprotein (LDL) and high density lipoprotein (HDL)), C-reactive protein (CRP), glucose, HbA1C were analysed. Metabolic syndrome was defined in accordance with the International Diabetes Federation (IDF). Associations were analysed by logistic regression. Results: Individuals with RKOA were older, had higher BMI, higher VFA, larger waist circumference and had increased total cholesterol, triglycerides and LDL-cholesterol, but not fasting glucose. There was no difference between the group with RKOA vs. non-radiographic group regarding the presence of metabolic syndrome. In a subgroup analysis of individuals with normal BMI (n = 126), those with RKOA had higher VFA, more central obesity, higher levels of CRP and total cholesterol, compared with individuals without RKOA. In individuals with obesity, age was the only outcome associated to RKOA. Conclusion: There were clear associations between metabolic factors and RKOA in individuals with knee pain, also in those with normal BMI. In individuals with obesity age was the only variable associated to RKOA. Trial registration:: clinicalTrials.gov Identifier: NCT04928170. © 2022, The Author(s).

Place, publisher, year, edition, pages
London: BioMed Central (BMC), 2022
Keywords
Knee osteoarthritis, Knee pain, Metabolic factors
National Category
Orthopaedics
Identifiers
urn:nbn:se:hh:diva-48784 (URN)10.1186/s12891-022-05881-x (DOI)000876271800005 ()36307803 (PubMedID)2-s2.0-85141056952 (Scopus ID)
Funder
Swedish Rheumatism Association, R-531621, R-635431, R-939824, R-967899The Crafoord Foundation
Note

The study was funded by the Swedish Rheumatism Association, grant number R-531621, R-635431, R-939824, R-967899, Targeted investment from the Swedish Rheumatism Association – Osteoarthritis from 2014 to 2019, and the Crafoord Foundation. The funders have not influenced the study design, collection, analysis, or interpretation of data, nor the writing of the manuscript or the decision to submit the manuscript for publication. Open access funding provided by Lund University

Available from: 2022-12-09 Created: 2022-12-09 Last updated: 2024-01-17Bibliographically approved
Larsson, J., Dencker, M., Bremander, A. & Olsson, M. C. (2022). Cardiorespiratory responses of load carriage in female and male soldiers. Applied Ergonomics, 101, Article ID 103710.
Open this publication in new window or tab >>Cardiorespiratory responses of load carriage in female and male soldiers
2022 (English)In: Applied Ergonomics, ISSN 0003-6870, E-ISSN 1872-9126, Vol. 101, article id 103710Article in journal (Refereed) Published
Abstract [en]

Purpose

To investigate the effect of sex and load carriage on cardiorespiratory responses to high intensity exercise in male and female soldiers.

Methods

Soldiers (9 women, 9 men) performed a graded treadmill test until exhaustion with no load (NL) and combat-gear with body armor (CG). Cohen's d effect sizes, paired t-tests and ANOVA were used to study differences between conditions. A mixed linear regression model analyzed the relationship between heart rate (HR) and oxygen uptake (V̇O2) with load and between sexes.

Results

Wearing CG resulted in, for both sexes, a decreased time to exhaustion (−11 min), lower V̇O2peak (L/min) ES = 0.56; VO2peak (mL//kg/min) ES = 2.44, both p < 0.001, a net decrease in minute ventilation (ES = 3.53) and no change in HRmax. No sex-difference were present except for absolute V̇O2peak. The VO2 and HR relationship showed a cardiorespiratory reduction wearing CG vs. NL. Added load was equal between sexes, although female soldiers' CG relative to body mass was higher (25%) than male soldiers’ (20%), p < 0.01.

Conclusion

Wearing CG reduces soldiers’ cardiorespiratory capacity and exercise performance level, although the reduction cannot be explained solely based on the added load of CG, instead CG seems to restrict the capacity to fully ventilate. No sex differences were found in relative cardiorespiratory responses to wearing CG compared to NL.

Place, publisher, year, edition, pages
Oxford: Elsevier, 2022
Keywords
Aerobic capacity, Ventilation, VO2peak, Graded exercise test
National Category
Medical and Health Sciences Sport and Fitness Sciences
Identifiers
urn:nbn:se:hh:diva-46417 (URN)10.1016/j.apergo.2022.103710 (DOI)000799850300012 ()35217405 (PubMedID)2-s2.0-85124976436 (Scopus ID)
Funder
Swedish Armed Forces
Note

Funding: Halmstad University and Swedish Armed Forces

Available from: 2022-02-27 Created: 2022-02-27 Last updated: 2023-08-21Bibliographically approved
Andersson, M. L., Haglund, E., Aili, K., Bremander, A. & Bergman, S. (2022). Cohort profile: the Halland osteoarthritis (HALLOA) cohort–from knee pain to osteoarthritis: a longitudinal observational study in Sweden. BMJ Open, 12(7), Article ID e057086.
Open this publication in new window or tab >>Cohort profile: the Halland osteoarthritis (HALLOA) cohort–from knee pain to osteoarthritis: a longitudinal observational study in Sweden
Show others...
2022 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 12, no 7, article id e057086Article in journal (Refereed) Published
Abstract [en]

Purpose: The overall objective in this study is to investigate the early development of radiographic knee osteoarthritis (OA) and its association with hand or/and knee OA, metabolic diseases, biomarkers, chronic pain, physical function and daily physical activity types.

Participants: The Halland osteoarthritis (HALLOA) cohort is a longitudinal cohort study that includes individuals with knee pain in the southwest of Sweden. Enrolment took place from 2017 to 2019. The inclusion criteria were current knee pain, with no former known radiographic knee OA and no cruciate ligament rupture or rheumatological disorder. The participants were recruited: (1) when seeking care for knee pain in primary healthcare or (2) by advertisements in local newspapers. There are 306 individuals included in the study, mean age (SD) 51.7 (8.7) years and 69% are women. The baseline and follow-ups include clinical tests, radiographical examinations, blood samples, metabolic measures, pain pressure thresholds, tests of physical functions, daily physical activity types and patient-reported outcomes.

Findings to date: There were associations between metabolic factors and radiographic knee OA, even in those with normal body mass index at baseline. In addition, clinical hand OA was positively associated with fasting plasma glucose. We also found that modifiable factors as increased visceral fat and total body fat were associated with increased pain sensitivity among individuals with knee pain.

Future plans: By studying possible pathophysiological mechanisms of OA over time, we aim to provide new insights on OA progression, identify usable preventive measures helping the clinicians in the management of the disease and improve health for the patients. It is also important to study the development of chronic pain in OA, to get tools to identify individuals at risk and to be able to offer them treatment.

 © Author(s) (or their employer(s)) 2022. 

Place, publisher, year, edition, pages
London: BMJ Publishing Group Ltd, 2022
Keywords
Internal Medicine, Knee, Musculoskeletal disorders, Rheumatology
National Category
Rheumatology and Autoimmunity Health Sciences
Identifiers
urn:nbn:se:hh:diva-48969 (URN)10.1136/bmjopen-2021-057086 (DOI)000826598000010 ()35835523 (PubMedID)2-s2.0-85134137962 (Scopus ID)
Funder
Swedish Rheumatism Association, R-531621Swedish Rheumatism Association, R-635431Swedish Rheumatism Association, R-939824Swedish Rheumatism Association, R-967899The Crafoord Foundation
Note

Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Available from: 2022-12-20 Created: 2022-12-20 Last updated: 2023-08-28Bibliographically approved
Lindholm, A., Almqvist-Tangen, G., Alm, B., Bremander, A., Dahlgren, J., Roswall, J., . . . Bergman, S. (2022). Early rapid weight gain, parental body mass index and the association with an increased waist-to-height ratio at 5 years of age. PLOS ONE, 17(9), Article ID e0273442.
Open this publication in new window or tab >>Early rapid weight gain, parental body mass index and the association with an increased waist-to-height ratio at 5 years of age
Show others...
2022 (English)In: PLOS ONE, E-ISSN 1932-6203, Vol. 17, no 9, article id e0273442Article in journal (Refereed) Published
Abstract [en]

Background/Objectives: Obesity-related adverse health consequences are closely associated with abdominal obesity. Risk factors for overweight and obesity have been studied but there is a lack of information regarding risk factors for abdominal obesity, especially in the preschool population. The aim of the present study was to examine early life risk factors for an increased waist-to-height ratio (WHtR) in children at five years of age and, in addition, to investigate if these risk factors also were associated with overweight or obesity. 

Subjects/Methods: The study population comprised 1,540 children from a population-based longitudinal birth cohort study that included 2,666 Swedish children. The children were included if they had complete growth data for the analyses used in this study. Children were classified as having WHtR standard deviation scores (SDS) ≥ 1 or < 1 at five years of age, according to Swedish reference values, and as having body mass index standard deviation scores (BMISDS) for overweight/obesity, or normal weight/underweight according to the International Obesity Task Force criteria. Associations between child-related, socioeconomic status-related, parental health-related and nutrition- and feeding practice-related factors during the first two years and a WHtRSDS ≥ 1 or a BMISDS for overweight/obesity at five years were investigated with logistic regression analyses. 

Results: At five years of age, 15% of the children had WHtRSDS ≥ 1 and 11% had overweight or obesity. In multivariable analyses, rapid weight gain (RWG) during 0-6 months (OR: 1.90, 95% CI: 1.23–2.95, p=0.004), maternal pre-pregnancy BMI (1.06, 1.01–1.11, p=0.019) and paternal BMI (1.11, 1.01–1.21, p=0.028) were associated with WHtRSDS ≥ 1. RWG during 0-6 months (2.53, 1.53–4.20, p<0.001), 6-12 months (2.82, 1.37–5.79, p=0.005), and maternal pre-pregnancy BMI (1.11, 1.06–1.17, p<0.001) were associated with overweight or obesity.

Conclusions: Early risk factors, including rapid weight gain, are associated with increased WHtRSDS and overweight or obesity at 5 years of age. Preventive interventions should target early RWG and parental overweight and obesity. 

 

Place, publisher, year, edition, pages
San Francisco, CA: Public Library of Science, 2022
Keywords
Abdominal obesity, Body mass index, Parental body mass index, Pediatric obesity, Pediatric overweight, Rapid weight gain, Waist-to-height ratio
National Category
Endocrinology and Diabetes
Identifiers
urn:nbn:se:hh:diva-48018 (URN)10.1371/journal.pone.0273442 (DOI)000986598300001 ()36070291 (PubMedID)2-s2.0-85137736227 (Scopus ID)
Projects
Halland health and Growth study
Funder
Halmstad UniversityH.R.H. Crown Princess Lovisa's Association for Child Care
Available from: 2022-09-07 Created: 2022-09-07 Last updated: 2023-08-21Bibliographically approved
Drake af Hagelsrum, K., Mogard, E., Bremander, A., Lindqvist, E. & Larsson, I. (2022). Healthcare professionals’ experiences of lifestyle management in patients with early rheumatoid arthritis: A qualitative study. In: Annals of the Rheumatic Diseases: . Paper presented at Annual European Congress of Rheumatology (EULAR 2022), Copenhagen, Denmark, 1-4 June, 2022 (pp. 239-240). London: BMJ Publishing Group Ltd, 81, Suppl 1
Open this publication in new window or tab >>Healthcare professionals’ experiences of lifestyle management in patients with early rheumatoid arthritis: A qualitative study
Show others...
2022 (English)In: Annals of the Rheumatic Diseases, London: BMJ Publishing Group Ltd, 2022, Vol. 81, Suppl 1, p. 239-240Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Background: Rheumatoid Arthritis (RA) is a chronic inflammatory systemic disease that mainly affects joints and with symptoms such as stiffness, pain, and increased fatigue. RA also appears to be an independent risk factor for accelerated atherosclerosis with an increased risk of cardiovascular diseases, why national and international guidelines recommend proper pharmacological treatment together with a healthy lifestyle (1). Supporting people with early RA to achieve and maintain a healthy lifestyle is therefore of great importance. However, few studies have explored healthcare professionals’ views of working with lifestyle management. A healthy lifestyle does not only have the potential to lower cardiovascular risk but may also improve a person’s quality of life.

Objectives: The aim of this study was to explore healthcare professionals´ experiences of lifestyle management in patients with early RA.

Methods: In this explorative qualitative study, individual interviews were conducted with 20 healthcare professionals who had a mean of 16 years of professional experience in the field of working with patients with RA. An interview guide with open-ended questions was used e.g.: “How do you work with lifestyle changes in patients with RA?” and “What theories do you use to support lifestyle changes?” Qualitative content analysis was used, where three categories emerged: “The importance of a well-functioning organization”, “The importance of teamwork” and “The importance of person-centered care” and nine subcategories, representing the overall content of the interviews ( Table 1 ). 

Place, publisher, year, edition, pages
London: BMJ Publishing Group Ltd, 2022
Series
Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060 ; 81
Keywords
Inflammatory arthritis, lifestyle habits, physical activity, diet, tobacco, alcohol, person-centered care, interdisciplinary team, qualitative content analysis
National Category
Health Sciences Nursing
Research subject
Health Innovation, Information driven care
Identifiers
urn:nbn:se:hh:diva-48737 (URN)10.1136/annrheumdis-2022-eular.2308 (DOI)000850279000365 ()
Conference
Annual European Congress of Rheumatology (EULAR 2022), Copenhagen, Denmark, 1-4 June, 2022
Available from: 2022-12-02 Created: 2022-12-02 Last updated: 2023-08-21Bibliographically approved
Drake af Hagelsrum, K., Mogard, E., Bremander, A., Lindqvist, E. & Larsson, I. (2022). Healthcare Professionals’ Experiences Of Lifestyle management In Patients With Early Rheumatoidarthritis – A Qualitative Study. Paper presented at Reumadagarna, Göteborg, Sweden, 14-16 september, 2022. ReumaBulletinen, 154(4), 60-61
Open this publication in new window or tab >>Healthcare Professionals’ Experiences Of Lifestyle management In Patients With Early Rheumatoidarthritis – A Qualitative Study
Show others...
2022 (English)In: ReumaBulletinen, ISSN 2000-2246, Vol. 154, no 4, p. 60-61Article in journal, Meeting abstract (Refereed) Published
Abstract [en]

Background: Rheumatoid Arthritis (RA) is a chronic inflammatory systemicdisease that mainly affects joints and with symptoms such asstiffness, pain, and increased fatigue. RA also appears to be anindependent risk factor for accelerated atherosclerosis withan increased risk of cardiovascular diseases, why national andinternational guidelines recommend proper pharmacologicaltreatment together with a healthy lifestyle (1). Supportingpeople with early RA to achieve and maintain a healthy lifestyleis therefore of great importance. However, few studies haveexplored healthcare professionals’ views of working with lifestylemanagement. A healthy lifestyle does not only have the potential tolower cardiovascular risk but may also improve a person’s qualityof life.

Objectives: The aim of this study was to explore healthcare professionals´experiences of lifestyle management in patients with early RA.

Methods: In this explorative qualitative study, individual interviews wereconducted with 20 healthcare professionals who had a mean of 16years of professional experience in the field of working with patientswith RA. An interview guide with open-ended questions was usede.g.: “How do you work with lifestyle changes in patients withRA?“ and “What theories do you use to support lifestyle changes?”Qualitative content analysis was used, where three categoriesemerged: “The importance of a well-functioning organization“,“The importance of teamwork“ and “The importance of personcenteredcare” and nine subcategories, representing the overallcontent of the interviews (table 1).

Results: Healthcare professionals’ experiences of lifestyle managementin patients with early RA included the importance of a wellfunctioningorganization with supportive leadership, priority oflifestyle management, and competence development in lifestylemanagement. The importance of teamwork was emphasizedincluding interdisciplinary team, professional expertise in lifestylehabits, and structured approach to lifestyle management. The healthcare professionals also highlighted the importance of personcenteredcare with individually tailored lifestyle management,shared decision-making, and patient engagement.

Conclusion: Healthcare professionals’ experiences of lifestyle managementin patients with early RA reveal that commitment from both themanagement, the team, and the patient is important.

References: 1. Agca R, Heslinga SC, Rollefstad S, et al. EULAR recommendationsfor cardiovascular disease risk management in patients withrheumatoid arthritis and other forms of inflammatory jointdisorders: 2015/2016 update. Ann Rheum Dis 2017;76:17-28.

Place, publisher, year, edition, pages
Stockholm: Svensk reumatologisk förening, 2022
National Category
Nursing
Research subject
Health Innovation; Health Innovation, Information driven care
Identifiers
urn:nbn:se:hh:diva-50222 (URN)
Conference
Reumadagarna, Göteborg, Sweden, 14-16 september, 2022
Note

Abstract no. C2

Available from: 2023-03-27 Created: 2023-03-27 Last updated: 2023-04-06Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-8081-579X

Search in DiVA

Show all publications