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Hildingh, Cathrine
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Publications (10 of 61) Show all publications
Bräutigam Ewe, M., Hildingh, C., Månsson, J. & Lydell, M. (2021). Primary care nurses’ perceptions and experiences of patients being overweight or obese as well as visions and attitudes about working with lifestyle issues: a qualitative interview study. BMC Nursing, 20(1), Article ID 170.
Open this publication in new window or tab >>Primary care nurses’ perceptions and experiences of patients being overweight or obese as well as visions and attitudes about working with lifestyle issues: a qualitative interview study
2021 (English)In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 20, no 1, article id 170Article in journal (Refereed) Published
Place, publisher, year, edition, pages
London: BioMed Central, 2021
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-45902 (URN)10.1186/s12912-021-00685-1 (DOI)000696206300003 ()34526017 (PubMedID)2-s2.0-85115115300 (Scopus ID)
Available from: 2021-11-19 Created: 2021-11-19 Last updated: 2021-11-19Bibliographically approved
Bräutigam-Ewe, M., Lydell, M., Bergh, H., Hildingh, C., Baigi, A. & Månsson, J. (2020). Two-year weight, risk and health factor outcomes of a weight-reduction intervention programme: Primary prevention for overweight in a multicentre primary healthcare setting. Scandinavian Journal of Primary Health Care, 38(2), 192-200
Open this publication in new window or tab >>Two-year weight, risk and health factor outcomes of a weight-reduction intervention programme: Primary prevention for overweight in a multicentre primary healthcare setting
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2020 (English)In: Scandinavian Journal of Primary Health Care, ISSN 0281-3432, E-ISSN 1502-7724, Vol. 38, no 2, p. 192-200Article in journal (Refereed) Published
Abstract [en]

Objective: To study the long-term effects of weight reduction, quality of life and sense of coherence in a primary health care (PHC)-based programme with two different intensities. Design: Prospective two-armed randomised intervention. Setting: Three PHC centres in south west of Sweden. Subjects: In total, 289 women and men aged 40-65 years with a BMI of 28-35 were recruited for a two-year weight-reduction programme. Participants were randomized to high-intensity or low-intensity groups. Blood samples, physical measurements and questionnaires were analysed. Participants received cookbooks and dietary lectures. The high-intensity group also received Motivational interviewing (MI), dietary advice on prescription (DAP- advice), a grocery store lecture, a website and weekly e-mails. Main outcome measures: Weight, quality of life, risks and health factors. Results: In total, 182 (64%) participants completed the 2-year follow-up. The total sample reduced their weight by 1 kg (p = 0.006). No significant differences regarding weight were found between the groups. Anxiety/depression decreased in EQ5-D (p = 0.021), EQ5-D VAS (p = 0.002) and SOC (p = 0.042). Between the groups, there were significant differences in EQ5-D usual activities (p = 0.004), anxiety/depression (p = 0.013), pain/discomfort (p = 0.041), fruit and vegetables (p = 0.005), HLV anxiety (p = 0.005), and visits to nurses (p = 0.012). Conclusion: The total population lost weight, and the high-intensity and low-intensity programmes did not result in significant differences in terms of weight. The high-intensity programme reported health benefits linked to lower levels of anxiety and depression, increased activity and intake of greens and reduced visits to physicians and nurses.Key points Both groups had a consisting weight- reduction after two years. High intensity did not lead to a significant difference in weight reduction between the groups. The high-intensity group reported more health effects, such as better quality of life, reduced anxiety, and increased greenery intake. It is unknown how much support patients in a weight- reduction programme in PHC require to succeed with weight loss and a healthy lifestyle. © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Place, publisher, year, edition, pages
Abingdon: Taylor & Francis Group, 2020
Keywords
Obesity, overweight, primary health care, quality of life, sweden, weight-reduction programme
National Category
Physiotherapy
Identifiers
urn:nbn:se:hh:diva-43266 (URN)10.1080/02813432.2020.1753379 (DOI)000532258700001 ()32362238 (PubMedID)2-s2.0-85084253407 (Scopus ID)
Note

Funding Agency:

Sparbanksstiftelsen Varberg - Vetenskapliga rådet in Halland

Södra sjukvårdsregionen in Skåne 

Available from: 2020-10-16 Created: 2020-10-16 Last updated: 2020-10-16Bibliographically approved
Bräutigam Ewe, M., Lydell, M., Bergh, H., Hildingh, C., Baigi, A. & Månsson, J. (2019). Characteristics of patients seeking a health promotion and weight reduction program in primary care. Journal of Multidisciplinary Healthcare, 12, 235-242
Open this publication in new window or tab >>Characteristics of patients seeking a health promotion and weight reduction program in primary care
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2019 (English)In: Journal of Multidisciplinary Healthcare, ISSN 1178-2390, E-ISSN 1178-2390, Vol. 12, p. 235-242Article in journal (Refereed) Published
Abstract [en]

Purpose: An important task in primary health care (PHC) is to address lifestyle-related diseases. Overweight (OW) individuals make up a large proportion of PHC patients, and they increasingly have lifestyle-related illnesses that influence their quality of life. Structured health promotion and weight reduction programs could help these patients. The objective of this study was to explore the characteristics, lifestyle habits, and health conditions of individuals seeking a health promotion and weight reduction program in PHC.

Patients and methods: The study involved a comparative cross-sectional design performed in PHC in southwestern Sweden. The study population comprised 286 participants (231 women, aged 40–65 years, body mass index [BMI] 28–35 kg/m2) who were recruited between March 2011 and April 2014 to the 2-year program by adverts in local newspapers and recruitment from three PHC centers. Two reference populations were used: a general population group and an OW group. The study population data were collected using a questionnaire, with validated questions regarding health, lifestyle, illnesses, and health care utilization.

Results: People seeking a health promotion and weight reduction program were mostly women. They had a higher education level and experienced worse general health than the OW population, and they visited PHC more frequently than both reference groups. They also felt more stressed, humiliated, had more body pain, and smoked less compared to the general population. However, they did not exercise less or had a lower intake of fruits and vegetables than either reference population.

Conclusion: Individuals seeking a weight reduction program were mostly women with a higher education level and a worse general health than the OW population. They used more health care services compared to the reference groups.

Place, publisher, year, edition, pages
Macclesfield: Dove Medical Press (Dovepress), 2019
Keywords
lifestyle, overweight, primary health care, weight loss
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hh:diva-39458 (URN)10.2147/JMDH.S195269 (DOI)000464048400001 ()31043787 (PubMedID)2-s2.0-85070379616 (Scopus ID)
Available from: 2019-05-24 Created: 2019-05-24 Last updated: 2020-02-03Bibliographically approved
Lydell, M., Hildingh, C., Söderbom, A. & Ziegert, K. (2019). How to Promote Workplace Health in order to Work into Old Age: Experiences from Employees in an Industrial Setting. Scientifica, 2019, Article ID 3942569.
Open this publication in new window or tab >>How to Promote Workplace Health in order to Work into Old Age: Experiences from Employees in an Industrial Setting
2019 (English)In: Scientifica, ISSN 2090-908X, E-ISSN 2090-908X, Vol. 2019, article id 3942569Article in journal (Refereed) Published
Abstract [en]

Background. Health is important in workplaces. A good organisational climate in a workplace plays a major role in the employees’ well-being at work and is also associated with increased productivity. Today, employees are expected to work into older age and it is a challenge for companies to promote health and well-being for this growing group. Purpose. The purpose of this study was to explore how to promote workplace health at present time and for the end of working life in the perspective of employees. Design/Methodology/Approach. The study had an explorative design, and a thematic analysis was chosen. The inclusion criteria were persons 50 years and older, working in the company and planning to continue working into old age. A total of 21 coworkers (14 men) participated in the study. Three focus group interviews were conducted. Findings. The results from the focus group interviews are presented in four themes: handle change in a changeable workplace, take responsibility for health concerns, get confirmation for feeling needed, and support and tolerance adapted for each employee. Practical Implications. Promoting health should be an urgent mission for employees themselves as well as for managers in order to support employees in working into old age. The health promotion must be suitable for each employee and should be designed in such a way as to avoid inequality in workplace health. Originality/Value. There is a need for more health-promoting behaviours, support, and activities for employees in order to work into old age.

Place, publisher, year, edition, pages
New York, NY: Hindawi Publishing Corporation, 2019
National Category
Work Sciences
Identifiers
urn:nbn:se:hh:diva-39472 (URN)10.1155/2019/3942569 (DOI)000464811400001 ()2-s2.0-85065777787 (Scopus ID)
Funder
Knowledge Foundation
Available from: 2019-05-24 Created: 2019-05-24 Last updated: 2021-05-19Bibliographically approved
Bräutigam-Ewe, M., Lydell, M., Mansson, J., Johansson, G. & Hildingh, C. (2018). Dietary advice on prescription: experiences with a weight reduction programme. European Journal of Public Health, 28, 422-422
Open this publication in new window or tab >>Dietary advice on prescription: experiences with a weight reduction programme
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2018 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 28, p. 422-422Article in journal, Meeting abstract (Other academic) Published
Place, publisher, year, edition, pages
Oxford: Oxford University Press, 2018
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hh:diva-41486 (URN)000461384202037 ()
Available from: 2020-02-03 Created: 2020-02-03 Last updated: 2020-02-03Bibliographically approved
Lindgren, E.-C., Hildingh, C. & Linnér, S. (2017). Children’s stories about team selection: a discourse analysis. Leisure Studies, 36(5), 633-644
Open this publication in new window or tab >>Children’s stories about team selection: a discourse analysis
2017 (English)In: Leisure Studies, ISSN 0261-4367, E-ISSN 1466-4496, Vol. 36, no 5, p. 633-644Article in journal (Refereed) Published
Abstract [en]

The aim of our study was to identify and problematise messages and value principles visible in children’s stories about team selection in sport. To achieve this, we adopted a discourse analysis approach. Semi-structured face-to-face interviews were conducted with 24 children aged 10–11 years who participated in four team sports in 12 different Swedish sports clubs. Based on the children’s stories, the findings reveal two discourses of team selection: one participation/inclusion-oriented and one performance/ exclusion-oriented discourse in which four different forms of team selection work. The participation/inclusion-oriented discourse constructs sport as a fun game that involves all participating children. The performance/exclusionoriented discourse shows that coaches select the best children in the team to obtain the best chance of winning games. Some of the coaches have given conflicting messages that align with both discourses, which are revealed by both the girls’ and the boys’ voices in varying degrees. The findings also demonstrate that children’s reasons for playing sport are in harmony with the participation/inclusive-oriented discourse. This discourse represents a child’s perspective, promoting every child’s right to participate under the same conditions. However, the selection procedure in both discourses exhibits strong classification, since coaches are the ones who possess the power to select. © 2017 Informa UK Limited, trading as Taylor & Francis Group

Place, publisher, year, edition, pages
Abingdon: Routledge, 2017
Keywords
Children, children’s rights, discourse analysis, sport
National Category
Social Work
Identifiers
urn:nbn:se:hh:diva-35138 (URN)10.1080/02614367.2016.1272624 (DOI)000410769900003 ()2-s2.0-85008392092 (Scopus ID)
Available from: 2017-10-03 Created: 2017-10-03 Last updated: 2018-12-10Bibliographically approved
Bräutigam-Ewe, M., Lydell, M., Månsson, J., Johansson, G. & Hildingh, C. (2017). Dietary Advice on Prescription: Experiences with a Weight Reduction Programme. Journal of Clinical Nursing, 26(5-6), 795-804
Open this publication in new window or tab >>Dietary Advice on Prescription: Experiences with a Weight Reduction Programme
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2017 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 26, no 5-6, p. 795-804Article in journal (Refereed) Published
Abstract [en]

Aims and objectives: To describe overweight persons' experiences with weight reduction and participation in the dietary advice on prescription.

Background: Approximately 20% of overweight individuals are able to successfully lose weight. Experiences from earlier weight reduction programmes indicate that those who succeed typically manage to avoid overeating to handle stress and have high motivation to lose weight. Those who fail have low self-control and engage in negative health behaviours such as eating when experiencing negative emotions and stress.

Design: The study used adescriptive qualitative design and was conducted at a Primary Health Care Centre in south-west Sweden.

Methods: The first nineteen study participants who completed the weight reduction programme in two years responded in writing to five open questions about their experiences with the programme. Data were analysed using inductive content analysis.

Results: The participants appreciated the face-to-face meetings with the nurse because they felt seen and listened to during these sessions. They also felt their life situations and self-discipline had an impact on how well they were able to follow the programme. Dietary advice on prescription advice was considered to be helpful for achieving behavioural changes and losing weight. People who succeeded in sustainably losing weight described the importance of support from partners or close friends.

Conclusions: To achieve sustainable weight reduction, it is important to individualise the programme in order to address each person's life situation and the unique difficulties they may encounter.

Relevance to clinical practice: Motivational interviewing appears to be a good technique for developing a successful relationship between the nurse and the patient. The dietary advice on prescription advice was perceived to be a good way to improve food habits and can easily be used at many Primary Health Care Centres. Patient's partners should also be offered the opportunity to participate in the programme.

© 2016 John Wiley & Sons Ltd.

Place, publisher, year, edition, pages
Chichester: Wiley-Blackwell, 2017
Keywords
Experiences, life situation, obesity, primary health care
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-31914 (URN)10.1111/jocn.13532 (DOI)000398914400022 ()27549032 (PubMedID)2-s2.0-85006717007 (Scopus ID)
Available from: 2016-09-01 Created: 2016-09-01 Last updated: 2019-05-27Bibliographically approved
Lydell, M., Hildingh, C., Söderbom, A. & Ziegert, K. (2017). Future challenges for occupational health services can be prevented by proactive collaboration with the companies using the services: a participatory and reflection project. Journal of Multidisciplinary Healthcare, 10, 217-225
Open this publication in new window or tab >>Future challenges for occupational health services can be prevented by proactive collaboration with the companies using the services: a participatory and reflection project
2017 (English)In: Journal of Multidisciplinary Healthcare, ISSN 1178-2390, E-ISSN 1178-2390, Vol. 10, p. 217-225Article in journal (Refereed) Published
Abstract [en]

Background: There is clearly a need for research in the field of occupational health service (OHS) for applying new perspectives. Proactive collaboration is needed between the OHSs and the companies. The customers of the companies using the services should be able to safeguard themselves from the health problems caused by the work environment through proactive collaboration with the OHSs.

Objective: The main purpose of this interdisciplinary study was to explore how the stakeholders reflected to create and agree on core values for future challenges in OHS, as seen from the perspectives of OHS professionals and customer companies.

Methodology: An action research process was conducted. This study was divided into three phases. In phase I, the data were collected from interviews and diaries of interdisciplinary occupational health professionals (n=12). A focus group that sampled the eight managers of the customer companies was also included. In phase II, a questionnaire was developed with 24 questions focusing on examining the future challenges for OHS. The questionnaire was sent to customer companies (n=116). In phase III, a scoping review was undertaken.

Results: Three categories emerged from the analysis: “Balancing complex situations” clarified the complexity regarding senior employees; “Working with a proactive approach” indicated the need for working with a new proactive approach supporting sustainable health; and “Collaborate internally and externally” showed good relationships between the customer and the OHS, which is a mutual responsibility to both the partners.

Conclusion: The results outlined that it is necessary to take action to apply new proactive health promotions, with a focus on workplace health promotion. The results also indicated that interventions for senior employees are of importance. This study was done in collaboration with the stakeholders from the occupational health care service center and the managers from the customer companies. The use of a participatory research design, including close collaboration with the participants, allows the researchers to see the challenges.

 

Place, publisher, year, edition, pages
Macclesfield: Dove Medical Press Ltd. (Dovepress), 2017
Keywords
health-promoting workplace, managers, future challenges
National Category
Work Sciences Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hh:diva-33911 (URN)10.2147/JMDH.S131382 (DOI)000402175300001 ()2-s2.0-85020846105 (Scopus ID)
Available from: 2017-05-29 Created: 2017-05-29 Last updated: 2021-05-19Bibliographically approved
Källstrand Eriksson, J., Hildingh, C. & Bengtsson, B. (2016). History of falling and visual ability among independently living elderly in Sweden. Clinical Ophthalmology, 10, 1265-1273
Open this publication in new window or tab >>History of falling and visual ability among independently living elderly in Sweden
2016 (English)In: Clinical Ophthalmology, ISSN 1177-5467, E-ISSN 1177-5483, Vol. 10, p. 1265-1273Article in journal (Refereed) Published
Abstract [en]

Purpose: The aim of this study was to assess the performance-based visual ability among independently living elderly subjects and to investigate whether there was any association between visual ability and falls.

Subjects and methods: A total of 298 randomly selected subjects aged 70–85 years were invited for an examination including monocular and binocular visual acuity (VA), contrast sensitivity (CS), stereoscopic vision, and monocular visual fields (VFs), which were integrated to estimate the binocular VFs. Type of lenses used in their habitual correction was noted.

Results: Out of the 212 subjects who were examined, 38% reported at least one fall and 48% of these reported at least two falls during the last 2 years. Most subjects had normal results; 90% had normal binocular VA, 85% had normal binocular CS, and ~80% had positive stereopsis. Twenty-nine subjects had VF defects in the lower quadrants of the binocular VF, and 14 of these reported at least one fall. A significant association was seen between one fall or more and VA better eye, the odds ratio (OR) was 2.26, P=0.013, and between recurrent falls and lack of stereoscopic vision, the OR was 3.23, P=0.002; no other functional test showed any significant association with recurrent falls. The ORs were 1.58 for worse binocular VA, 0.60 for worse binocular CS, and 0.71 for non-normal stereoscopic vision for at least one fall, but wide confidence intervals made it difficult to draw firm conclusions about any association. Bifocal or progressive spectacles were worn by 71% with no significant difference between fallers and nonfallers (P=0.078).

Conclusion: Even though ~40% of the total sample had experienced one or more falls, the only visual function test significantly associated with falls were VA better eye, lack of stereoscopic vision, and recurrent falls. Our results suggest that there may be more powerful predictors of falling than decreased visual ability. © 2016 Källstrand-Eriksson et al.

Place, publisher, year, edition, pages
Auckland: Dove Medical Press, 2016
Keywords
elderly, falls, independently living, visual ability
National Category
Ophthalmology
Identifiers
urn:nbn:se:hh:diva-32542 (URN)10.2147/OPTH.S101060 (DOI)000379678800001 ()27468223 (PubMedID)2-s2.0-84982696409 (Scopus ID)
Available from: 2016-11-30 Created: 2016-11-30 Last updated: 2018-03-23Bibliographically approved
Rodgers, W., Hildingh, C., Söderbom, A., Ziegert, K. & Lydell, M. (2016). Organizing Senior Employees Occupational Health Resource Management Service in Innovation and Entrepreneurial Context. In: : . Paper presented at 31st Workshop on Strategic Human Resource Management, IE University, Segovia, Spain, April 25-26, 2016.
Open this publication in new window or tab >>Organizing Senior Employees Occupational Health Resource Management Service in Innovation and Entrepreneurial Context
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2016 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Changing the determinants of health also requires modifying aspects of the settings that has not been done sufficiently in occupational health service. The European Network for workplace health recommended a holistic approach in workplace health promotion including programs concerning individual’s lifestyle and safety management as well as psychosocial and organizational work factors. To this end, we utilize a decision making model that captures the key components of explain how the aging issues pertaining to healthcare employees employ their perception, information, and judgment on decision choices. We collected 116 questionnaire responses from affiliated to the occupational health care center in Sweden. We found that employees’ perception of health care challenges and staffing had a significant impact on their decision choices regarding whether to request, stimulate and collaborate on activities. Finally, our results indicated that aging options related to healthcare issues to request, stimulate and collaborate on activities influence employees’ decision choices.

Keywords
entrepreneurial context, innovation, occupational health, senior employees
National Category
Work Sciences
Identifiers
urn:nbn:se:hh:diva-31511 (URN)
Conference
31st Workshop on Strategic Human Resource Management, IE University, Segovia, Spain, April 25-26, 2016
Available from: 2016-07-01 Created: 2016-07-01 Last updated: 2022-03-02Bibliographically approved
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