hh.sePublications
Change search
Link to record
Permanent link

Direct link
BETA
Publications (10 of 55) Show all publications
Håman, L., Lundin, I. & Lindgren, E.-C. (2019). ”Appearance, that’s the only thing that matters” Personal trainers’ negotiations of valued bodies in a gym context. In: : . Paper presented at Svensk Beteendevetenskaplig Idrottsforsknings konferens (SVEBI 2019) 21-22 november, 2019 , Stockholm, Sverige.
Open this publication in new window or tab >>”Appearance, that’s the only thing that matters” Personal trainers’ negotiations of valued bodies in a gym context
2019 (English)Conference paper, Poster (with or without abstract) (Refereed)
Keywords
Body ideals, emphasized femininity, fitness gym, gender, hegemonic masculinity, personal trainer
National Category
Sport and Fitness Sciences
Identifiers
urn:nbn:se:hh:diva-41060 (URN)
Conference
Svensk Beteendevetenskaplig Idrottsforsknings konferens (SVEBI 2019) 21-22 november, 2019 , Stockholm, Sverige
Funder
Swedish National Centre for Research in Sports
Available from: 2019-12-01 Created: 2019-12-01 Last updated: 2019-12-06Bibliographically approved
Dohlsten, J., Barker-Ruchti, N. & Lindgren, E.-C. (2019). Caring as sustainable coaching in elite athletics: benefits and challenges. Sport Coaching Review
Open this publication in new window or tab >>Caring as sustainable coaching in elite athletics: benefits and challenges
2019 (English)In: Sport Coaching Review, ISSN 2164-0629Article in journal (Refereed) Epub ahead of print
Abstract [en]

Coaches in elite sport must ensure a balance between performance, high pressure and well-being. A caring approach, based on a coach’s commitment to caring for athletes, has the potential to create such a balance and sustainability. The aim of this study was to identify coaches’ caring and problematise their ethics of care in relation to sustainability. We draw on and integrate the theoretical concept of caring into a conception of (un-) sustainable sport. Semi-structured interviews were conducted with seven Swedish elite athletics coaches. Results show that coaches’ ethics of care is important for creating sustainable elite athletics practices, but that caring also conflicts with sustainability thinking if coaches do not base their actions on practical wisdom and moral and ethical dilemmas.

Place, publisher, year, edition, pages
Abingdon: Routledge, 2019
Keywords
Caring, sustainability, coaching, practical wisdom, athletics
National Category
Sport and Fitness Sciences
Identifiers
urn:nbn:se:hh:diva-38493 (URN)10.1080/21640629.2018.1558896 (DOI)
Note

Funding: the Gothenburg Athletics Federation

Available from: 2018-12-04 Created: 2018-12-04 Last updated: 2019-01-02Bibliographically approved
Bittlingmayer, U. H., Harsch, S., Hertting, K., Kostenius, C., Lindgren, E.-C., Lydell, M. & Pelters, P. (2019). Health promotion of refugees: lessons learned from interventions in two European countries. In: : . Paper presented at Nordic Health Promotion Research Conference, Roskilde, Denmark, June 12-14, 2019.
Open this publication in new window or tab >>Health promotion of refugees: lessons learned from interventions in two European countries
Show others...
2019 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

The migration of many people to European countries in the last years created various challenges and evoked diverse responses. But rarely, lessons learned and good practice for health promotion interventions are exchanged between countries nor common solutions sought. In this workshop, we will shed light on the health situations of refugees in Sweden and Germany, and present four research projects regarding the health of refugees.

Initially, we will outline the situation for refugees in the two countries generally, provide ample evidence on the health needs and particular burden of refugees, and discuss the increasing influence of racism. Finally, we will discuss the issue health promotion of refugees, needs, approaches, limitations.

National Category
Pedagogy
Identifiers
urn:nbn:se:hh:diva-41197 (URN)
Conference
Nordic Health Promotion Research Conference, Roskilde, Denmark, June 12-14, 2019
Available from: 2019-12-09 Created: 2019-12-09 Last updated: 2019-12-16
Mirskaya, M., Lindgren, E.-C. & Carlsson, I.-M. (2019). Online reported women’s experiences of symptomatic pelvic organ prolapse after vaginal birth. BMC Women's Health, 19, Article ID 129.
Open this publication in new window or tab >>Online reported women’s experiences of symptomatic pelvic organ prolapse after vaginal birth
2019 (English)In: BMC Women's Health, ISSN 1472-6874, E-ISSN 1472-6874, Vol. 19, article id 129Article in journal (Refereed) Published
Abstract [en]

Background: Pelvic organ prolapse (POP) is a major public health problem with a relative high lifetime risk of surgery. The main risk factor for developing POP is vaginal birth. Many women become symptomatic later in life and most of the existing research on symptomatic pelvic organ prolapse (sPOP) predominantly concentrates on the effects of the condition on postmenopausal women. However bothersome symptoms of POP can be reported as early as in women’s 20s and may occur shortly after vaginal birth. Limited studies provide an insight into daily life of fertile women with sPOP. Thus, we aimed to explore fertile women’s experiences of symptomatic pelvic organ (sPOP) after vaginal birth.

Methods: An inductive, text-driven approach was taken by selecting thread posts from an internet forum written by 33 Swedish fertile women who had experienced sPOP after vaginal birth.

Results: The overarching theme “being irreparably damaged” was identified as representing an experience of being disabled by sPOP after vaginal birth. The fertile women experienced that their lives were ruined because of physical and psychological limitations caused by this unexpected, unfamiliar and unexplained condition. Living with sPOP impinged on sexual health, restricted daily and sports activities and affected the women’s ability to fulfill everyday parental duties. This in turn compromised women’s psychological health. In addition, the negligence of healthcare professionals who tended to trivialize and normalize the symptoms led to the belief that there were no sustainable treatments and that women would have to live with bothersome symptoms of POP for rest of their lives.

Conclusions: This study found that sPOP had a significant negative impact on fertile women’s lives. The women indicated that they had not had the opportunity to voice their concerns and had not been taken seriously by healthcare professionals. It is of the utmost importance to acknowledge this problem and develop guidelines for prevention and management of sPOP to improve the quality of life for women. © Mirskaya, Lindgren & Carlsson. 2019

Place, publisher, year, edition, pages
London, UK: BioMed Central, 2019
Keywords
Fertile women, Pelvic organ prolapse, Pelvic organ prolapse symptoms, Psychological trauma, Qualitative research, Vaginal birth
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:hh:diva-40969 (URN)10.1186/s12905-019-0830-2 (DOI)31664987 (PubMedID)2-s2.0-85074336233 (Scopus ID)
Available from: 2019-11-16 Created: 2019-11-16 Last updated: 2019-11-28Bibliographically approved
Håman, L., Prell, H. & Lindgren, E.-C. (2019). Personal trainer´s health advice to clients in the fitness gym. In: : . Paper presented at AIESEP World Congress, AIESEP2019, New York, USA, June 19-22, 2019.
Open this publication in new window or tab >>Personal trainer´s health advice to clients in the fitness gym
2019 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Fitness gyms have become popular places for physical activity. Several individuals exercise at gyms and an increasing number hire a personal trainer (PT). PTs have an important role in offering advice and exercise programs as well as detecting unhealthy behaviors among their clients. Norms regarding exercise habits in the gyms appear to be strongly gendered, which may influence PTs’ advice. The purpose of this presentation is to describe PTs’ health advice to clients. In total, 19 PTs, nine women and ten men, aged 23 – 47 years were recruited through purposive sampling. An explorative design was employed and seven focus group discussions were carried out. These were analyzed using a qualitative content analysis guided by a gender perspective. The findings suggest that PTs had a gendered health advice approach towards women regarding exercise and diet. The PTs gave reactive health advice especially to women showing unhealthy exercise and eating behaviors in order to correct these unhealthy behaviors. The specific advice involved a) eating more and exercising less, b) focusing on performance rather than appearance and c) avoiding heavy weight lifting. However, the PTs avoided to advise men showing similar unhealthy training and eating behaviors. The PTs also had a transgressive health advice approach. They advised both women and men to a) adopt a relaxed attitude to exercise and diet, b) to prioritize and rationalize their exercise and diet and c) to eat a natural diet. The gendered health advice approach might give women and men different opportunities to improve their physical fitness, health and well-being. Men with unhealthy behaviors might not be supported by the PTs, which adversely can affect men's health. We recommend that gym managers and PT-educators increase their awareness about the importance of providing equal opportunities for women and men to improve their physical fitness and health.

Keywords
diet, exercise, fitness gym, gender, health advice, personal trainer
National Category
Sport and Fitness Sciences
Identifiers
urn:nbn:se:hh:diva-39468 (URN)
Conference
AIESEP World Congress, AIESEP2019, New York, USA, June 19-22, 2019
Funder
Swedish National Centre for Research in Sports, P2018-0064
Available from: 2019-05-24 Created: 2019-05-24 Last updated: 2019-09-25Bibliographically approved
Jonsson, L., Fröberg, A., Korp, P., Larsson, C., Berg, C. & Lindgren, E.-C. (2019). Possibilities and Challenges in Developing and Implementing an Empowerment-based School-Intervention in a Swedish Disadvantaged Community. Health Promotion International, Article ID daz021.
Open this publication in new window or tab >>Possibilities and Challenges in Developing and Implementing an Empowerment-based School-Intervention in a Swedish Disadvantaged Community
Show others...
2019 (English)In: Health Promotion International, ISSN 0957-4824, E-ISSN 1460-2245, article id daz021Article in journal (Refereed) Epub ahead of print
Abstract [en]

In this paper, we describe and critically reflect on the possibilities and challenges of developing and implementing an empowerment-based school intervention regarding healthy food and physical activity (PA), involving participants from a Swedish multicultural area characterized by low socioeconomic status. The 2-year intervention was continually developed and implemented, as a result of cooperation and shared decision making among researchers and the participants. All 54 participants were seventh graders, and the intervention comprised health coaching, health promotion sessions and a Facebook group. We experienced that participants valued collaborating with peers, and that they took responsibility in codeveloping and implementing the intervention. Participants expressed feeling listened to, being treated with respect and taken seriously. However, we also experienced a number of barriers that challenged our initial intentions of aiding participation and ambition to support empowerment. Moreover, it was challenging to use structured group health coaching and to work with goal-setting in groups of participants with shared, and sometimes competing, goals, wishes and needs related to food and PA. Successful experiences from this intervention was the importance of acquiring a broad and deep understanding of the context and participants, being open to negotiating, as well as adjusting the intervention. © The Author(s) 2019. Published by Oxford University Press. All rights reserved.

Place, publisher, year, edition, pages
Oxford: Oxford University Press, 2019
Keywords
food, participation, physical activity, shared decision making, socioeconomic
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hh:diva-38804 (URN)10.1093/heapro/daz021 (DOI)30848788 (PubMedID)
Note

The study received funding from the Department of Food and Nutrition, and Sport Science at the University of Gothenburg and the Swedish Nutrition Foundation.

Available from: 2019-01-29 Created: 2019-01-29 Last updated: 2019-12-10Bibliographically approved
Lindgren, E.-C., Haraldsson, K. & Håman, L. (2019). ‘Pulse for learning and health [PuLH]’ in primary school; pupil’s experiences. In: : . Paper presented at AIESEP World Congress, New York, USA, June 19-22, 2019.
Open this publication in new window or tab >>‘Pulse for learning and health [PuLH]’ in primary school; pupil’s experiences
2019 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

To improve academic performance and health in schoolchildren, the program Pulse for learning and health [PuLH] in Sweden has introduced moderate to vigorous physical activities [MVPA] three times a week (á 30 minutes). The teachers used a child-centered coaching approach, which has the child’s best interests in mind and focused on having fun. The objective of this contribution is to describe what Swedish pupils convey, using their own voices, about their experiences of participating in the school-based program PuLH. We have taken on children’s perspectives in order to be able to understand the children’s own culture. Eight schools in the Region of Jönköping, Sweden, have implemented PuLH. In total, 73 pupils (34 girls, 39 boys, grades 4-9) were recruited through purposive sampling. Thirteen focus group interviews (n=71) and individual interviews (n=2) were carried out. An explorative design was employed, in which data were categorized using qualitative content analysis. The analysis resulted in four major themes, which we classify as ‘promotes academic performance’, ‘promotes a learning school environment’, ‘promotes health and well-being’, and ‘individual and structural barriers’. The pupils stated that they increased their working capacity, the classroom environment became more calm and peaceful, they got more cohesion and new friends, their needs and interest were in focus, they felt more alert and got in a better mood, they increased their physical competence, their habits became healthier and illness decreased. However, some of the pupils revealed individual and structural barriers, which reduced pleasure and motivation to participate in MVPA due to; poor planning and that they felt time pressure, felt uncomfortable showing their bodies and digital challenges. We recommend that schools take pupils’ interests and needs into consideration when planning for and implementing MVPA activities and not use MVPA as a 'quick fix' i.e. to solve complex problems regarding pupil's learning.

National Category
Sport and Fitness Sciences
Identifiers
urn:nbn:se:hh:diva-39471 (URN)
Conference
AIESEP World Congress, New York, USA, June 19-22, 2019
Available from: 2019-05-24 Created: 2019-05-24 Last updated: 2019-08-16Bibliographically approved
Pelters, P., Lindgren, E.-C., Lydell, M., Hertting, K. & Kostenius, C. (2019). Room to move as room to improve?: Health-related integration-interventions in civil society. In: : . Paper presented at 16th IMISCOE Annual Conference Understanding International Migration in the 21st Century: Conceptual and Methodological Approaches, Malmö University, Malmö, Sweden, June 26-28, 2019.
Open this publication in new window or tab >>Room to move as room to improve?: Health-related integration-interventions in civil society
Show others...
2019 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Migrant groups belong to one of the most vulnerable sections of society, where issues of health inequalities and integration are at stake. Civil society is often highlighted as being an important actor in the integration of newly-arrived citizens and has also been encouraged to help migrants improve their health. The aim of the study was to explore what aspects of general and health-related acculturation and health work are expressed in research into health-related integration-interventions for migrant groups provided by civil society agents. An integrative review has been conducted. By searching databases, journal websites and reference lists, ten articles could be identified. The data has been analyzed using a concept of acculturation, different approaches to health work and the health discourse as a theoretical framework. Two different accumulations of studies have been identified: an assimilation-integration spectrum and an integration-separation spectrum. The interventions in the assimilation-integration spectrum tend to promote assimilation to the host culture and to a Western view of health. Most of these interventions are driven by representatives of the host culture. The interventions in the integration-separation spectrum are characterized by a greater openness concerning home-cultural understandings of health, alongside to an appreciation of home culture in general. These interventions are mostly migrant-driven. The acculturation strategies suggested by migrant-driven organizations tend to be orientated towards integration, whereas the strategies of native-driven organizations are more orientated towards assimilation. Thus, an awareness of basic ideas and methods in health intervention work is regarded as being crucial for civil society organizations.

National Category
Pedagogy
Identifiers
urn:nbn:se:hh:diva-41196 (URN)
Conference
16th IMISCOE Annual Conference Understanding International Migration in the 21st Century: Conceptual and Methodological Approaches, Malmö University, Malmö, Sweden, June 26-28, 2019
Available from: 2019-12-09 Created: 2019-12-09 Last updated: 2019-12-16
Mirskaya, M., Lindgren, E.-C. & Carlsson, I.-M. (2019). Ruined active life: Experiences of fertile women with symptomatic pelvic organ prolapse in daily physical active life. In: : . Paper presented at International Continence Society (ICS) 2019, Gothenburg, Sweden, September 3-6, 2019.
Open this publication in new window or tab >>Ruined active life: Experiences of fertile women with symptomatic pelvic organ prolapse in daily physical active life
2019 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Background: Pelvic organ prolapse (POP) is a major public health problem. Symptomatic POP (sPOP) affects quality of life and implies an increased risk for surgery. Many women become symptomatic later in life. Existing research on sPOP predominantly concentrates on the effects of the condition on postmenopausal women. However, bothersome symptoms of POP may occur shortly after delivery. This paper provides insight into fertile women's daily physical active lives in order to better understand their situation and improve care for this group.

Aim: To explore how fertile women with symptomatic POP after vaginal delivery experience their daily physical active life.

Methods: An inductive, text-driven approach was taken, selecting thread posts from an internet forum written by 33 women. The data presented in this article stem from a larger empirical data that explored fertile women's experiences of symptomatic POP after vaginal delivery (VD). Data were processed using qualitative content analysis. The data consisted of chains of questions and answers or comments on the topic of sPOP, posted on an online forum by fertile women who had experienced sPOP after VD.          

Results: The theme “Ruined active life” showed that many of the fertile women experienced that their lives were ruined because of unexpected physical limitations caused by sPOP. They found themselves balancing being a parent and being disabled because of sPOP. Bothersome symptoms like vaginal heaviness, fullness, soreness and pain were aggravated by many basic daily activities, generating fear that any action involving physical activity might worsen the situation. The women were extremely scared that doing daily household chores and parenting, e.g. lifting and carrying the baby or using a carrycot, might aggravate the symptoms. Moreover, this fear restricted women from playing active games with their older children, such as helping them onto a swing, teaching them to ride a bike, and jumping on a trampoline. All these restrictions led to feelings of being inadequate mothers, resulting in frustration, sadness, anger, uncertainty and a growing sense of hopelessness.Another substantial result of this study addresses sport activities. For many fertile women, sports activities had played an important role before delivery, and now sPOP restricted them from it. The realisation that they could not continue engaging in sports at the same level of athletic performance as before delivery led to intense grief, anxiety and frustration. For instance, women had to give up running and high-intensity training. Some of them did not dare to participate in any activities at the gym. One of them had to quit her job as a training instructor. Giving up favourite activities that were a part of the women’s identity caused an identity crisis, leading to depression. They often expressed that they “just wanted their life back”, demonstrating an inability to accept the new situation. Discussions concerning exercise and safe workouts were very common in the thread. Women were desperate to find information and sought advice from healthcare providers regarding lifestyle changes and how to adjust physical activity in relation to sPOP. However, it was found to be difficult to access satisfactory, unambiguous information. Instead, information was inconsistent, unclear and difficult to understand. Although some healthcare providers were considered helpful and kind, unfortunately they lacked knowledge, which led to useless advice being given which often was not in line with the information that the women had found out by themselves from independent sources. For instance, one woman was encouraged to continue with life as usual and with exercises such as doing sit-ups in spite of her complaints about aggravating her symptoms by physical activity. The woman was told that “nothing would fall out” and in any case if it did happen she was in no danger. Moreover, the fertile women who sought professional help expressed that normalisation of sPOP as a condition was common among healthcare providers. On the contrary, women did not perceive the symptoms of POP as normal or natural, and the attitude of healthcare professionals was experienced as humiliating and discouraging and caused feelings of not being taken seriously. This led to mistrust, disappointment, frustration and criticism of healthcare professionals and the system.

Discussion: The fertile women in this study experienced failure to carry out their parental responsibilities, both physically and emotionally. Fear that activities such as lifting children or playing active games with them might worsen the symptoms led to emotional imbalance. This worry has reasonable grounds, owing to an assumption that increased load to the pelvic floor in the form of elevated intra-abdominal pressure (IAP) contributes to development of POP. It has also been shown that IAP increases during brisk walking and as a result of carrying things in a front carry position, which is used by postpartum women to carry their babies in car seats (1).

One of the main findings of this study was psychological suffering due to an inability to participate in high-intensity exercise, since for some women, exercise was a part of self-esteem and a natural part of life. It is well established that physical activity has positive effects on health. Moreover, moderate or vigorous physical activity such as brisk walking, cycling, tennis, swimming and running has been shown to reduce depressive symptoms postpartum (2). Some of the fertile women in this study suffered from anxiety and depression and would probably have benefited from participating in physical activity. However, they felt unsure about what kind of physical activities they could resume without worsening their symptoms and became disappointed when they faced a lack of understanding and competence among healthcare professionals in terms of advising suitable exercises. Likely recommendations regarding leisure-time physical activity for postpartum women with depression without sPOP must differ from those with sPOP. One such physical activity that has been found to be suitable for women with sPOP is basic Pilates exercises, which does not raise IAP and, for instance, is safe to recommend for women after POP surgery (3).

Conclusion and clinical implications: This study demonstrates that sPOP has a significant impact on fertile women’s active life. sPOP restricts daily and sports activities and affects the ability to fulfil everyday parental duties. In addition, the lack of information from healthcare providers regarding suitable physical activities adds more emotional stress and worsens the situation. It is of the utmost importance to acknowledge this problem. There is a need to develop guidelines for management of sPOP after VD, including information regarding safe lifting techniques and suitable exercises. Copyright © ICS 2019.

Keywords
pelvic organ prolapse, prolapse symptoms, quality of life
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:hh:diva-39744 (URN)
Conference
International Continence Society (ICS) 2019, Gothenburg, Sweden, September 3-6, 2019
Available from: 2019-06-13 Created: 2019-06-13 Last updated: 2019-12-20Bibliographically approved
Lindgren, E.-C., Håman, L. & Haraldsson, K. (2019). Voices from Pupil Participation in the Health Promotion Intervention “Pulse for Learning and Health [PuLH]” in Primary and Middle School. International Journal of Environmental Research and Public Health, 16(22), Article ID 4543.
Open this publication in new window or tab >>Voices from Pupil Participation in the Health Promotion Intervention “Pulse for Learning and Health [PuLH]” in Primary and Middle School
2019 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 16, no 22, article id 4543Article in journal (Refereed) Published
Abstract [en]

In order to improve the learning conditions and health of schoolchildren, the Pulse for Learning and Health [PuLH] program in Sweden has introduced additional mandatory moderate to vigorous physical activity [MVPA] that lasts for 30 min three times a week. The PE teachers used a child-centered coaching approach to support all pupils. The aim of this study was to explore pupils’ perception and experience of PuLH that has been implemented in primary and middle schools in Sweden. We have taken into account children’s rights perspectives and adopted an exploratory and interpretive approach. In total, 73 pupils (34 girls, 39 boys, grades 4–9) were recruited through purposive sampling. 13 focus group interviews (n = 71) and individual interviews (n = 2) were carried out. All interviews were analyzed using qualitative content analysis. The analysis resulted in three major themes: ‘promotes academic performance and a learning school environment’, ‘promotes health and well-being’, and ‘individual and structural barriers’. From children’s perspective, the results highlight the importance of teachers and principals taking into account the interests and needs of all pupils, to have a well-planned MVPA intervention and to deal with issues regarding body ideals. © 2019 by the authors. Licensee MDPI, Basel, Switzerland.

Place, publisher, year, edition, pages
Basel: MDPI, 2019
Keywords
children’s perspective, coaching, health promotion, learning, MVPA, pupils, well-being
National Category
Social Work
Identifiers
urn:nbn:se:hh:diva-41095 (URN)10.3390/ijerph16224543 (DOI)31744178 (PubMedID)2-s2.0-85075212933& (Scopus ID)
Note

Funders: Department of Research and Development within Education, Region Jönköping County, Sweden & the following municipalities: Aneby, Eksjö, Gislaved, Habo, Mullsjö, Nässjö, Vaggeryd and Tranås & CVHI, School of Health and Welfare, Halmstad University.

Available from: 2019-12-03 Created: 2019-12-03 Last updated: 2019-12-06Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-8345-8994

Search in DiVA

Show all publications