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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)
Available from: 2019-05-24 Created: 2019-05-24 Last updated: 2019-06-10Bibliographically 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
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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
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: 2019-05-27Bibliographically 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
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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
Karlsson, J., Winroth, J., Bremander, A., Haglund, E., Holmquist, M., Lindgren, E.-C., . . . Staland Nyman, C. (2018). Förändringsledarskap vid digital transformation inom vård och omsorg: En sammanfattande rapport från kompetensutvecklingsprojektet ”Trygg motivation och inspiration” i Kungsbacka kommun 2018. Halmstad
Open this publication in new window or tab >>Förändringsledarskap vid digital transformation inom vård och omsorg: En sammanfattande rapport från kompetensutvecklingsprojektet ”Trygg motivation och inspiration” i Kungsbacka kommun 2018
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2018 (Swedish)Report (Other academic)
Place, publisher, year, edition, pages
Halmstad: , 2018. p. 49
Keywords
Digitalisering, förändringsledarskap, hälsa, arbetsmiljö, lärande, kompetensutveckling, aktionsforskning
National Category
Work Sciences
Identifiers
urn:nbn:se:hh:diva-38303 (URN)
Projects
HIcube Kompetenta vården
Funder
European Social Fund (ESF)
Available from: 2018-11-11 Created: 2018-11-11 Last updated: 2019-05-27Bibliographically 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: 2019-05-27Bibliographically approved
Kristén, L., Lydell, M. & Nyholm, M. (2017). Physical activity for children in need of support: views from coaches from local sports clubs. In: Krister Hertting & Urban Johnson (Ed.), Proceedings of the Nordic Sport Science Conference – ‘The Double-Edged Sword of Sport: Health Promotion Versus Unhealthy Environments’: . Paper presented at Nordic Sport Science Conference “The Double Edged Sword of Sport: Health Promoting Versus Unhealthy Environments”, November 21–23, 2017, Halmstad University, Halmstad, Sweden (pp. 29-29). Halmstad: Halmstad University Press
Open this publication in new window or tab >>Physical activity for children in need of support: views from coaches from local sports clubs
2017 (English)In: Proceedings of the Nordic Sport Science Conference – ‘The Double-Edged Sword of Sport: Health Promotion Versus Unhealthy Environments’ / [ed] Krister Hertting & Urban Johnson, Halmstad: Halmstad University Press, 2017, p. 29-29Conference paper, Oral presentation with published abstract (Refereed)
Place, publisher, year, edition, pages
Halmstad: Halmstad University Press, 2017
National Category
Sport and Fitness Sciences
Identifiers
urn:nbn:se:hh:diva-35389 (URN)
Conference
Nordic Sport Science Conference “The Double Edged Sword of Sport: Health Promoting Versus Unhealthy Environments”, November 21–23, 2017, Halmstad University, Halmstad, Sweden
Available from: 2017-11-10 Created: 2017-11-10 Last updated: 2019-05-27Bibliographically 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: 2019-05-27Bibliographically approved
Wiman, V., Lydell, M. & Nyholm, M. (2016). Views of the workplace as a health promotion arena among managers of small companies. Health Education Journal, 75(8), 950-960
Open this publication in new window or tab >>Views of the workplace as a health promotion arena among managers of small companies
2016 (English)In: Health Education Journal, ISSN 0017-8969, E-ISSN 1748-8176, Vol. 75, no 8, p. 950-960Article in journal (Refereed) Published
Abstract [en]

Introduction: Several studies have shown that workplace health promotion leads to better health, increased productivity, as well as reduced absenteeism and presenteeism among employees. The objective of this study was to describe how managers in small companies (10–19 employees) perceive their company as an arena for promoting employees’ health.

Method: A sample of 10 managers (four women) was strategically selected. Semi-structured interviews were conducted with each person. Interviews were transcribed and analysed using qualitative content analysis. The analysis focused on both manifest and latent content.

Results: Three main categories emerged from the analysis: the potential to promote employees’ health, responsibility as an employer and the need for external support. An arena for workplace health promotion is created when managers prioritise health at the workplace.

Conclusion: Small companies often lack the knowledge and resources to manage health and safety problems and also have less access to occupational health services. This paper highlights the importance of the views of small company managers as resources for the development of health promotion. © 2016 by Health Education Journal

Place, publisher, year, edition, pages
London: Sage Publications, 2016
Keywords
Health promotion, small companies, Sweden, workplace
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hh:diva-30819 (URN)10.1177/0017896916643355 (DOI)2-s2.0-85000786895 (Scopus ID)
Available from: 2016-04-28 Created: 2016-04-28 Last updated: 2019-05-27Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-5568-402x

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