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A stakeholder perspective on adolescents' needs for support to cope with school-related stress
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).ORCID iD: 0000-0001-8647-8299
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).ORCID iD: 0000-0003-4438-6673
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).ORCID iD: 0000-0002-3576-2393
(English)Manuscript (preprint) (Other academic)
Abstract [en]

Background; Adolescents’ experiences of stress have increased in recent decades and is associated with an increase of psychosomatic symptoms and poorer academic achievement. Identification of ways to support adolescents’ handling of school related stress is a major challenge to promote their health and academic achievement. The purpose of this study was to describe the stakeholder’s perspectives on services that are needed for supporting adolescents in secondary school when coping with school-related stress.

Methods; Representatives from the school health service and school management organization (n=23) from five secondary schools and parents (n=4) were recruited by snowball sampling. Interviews were analyzed by qualitative content analysis with an inductive approach.  

Results; The study highlight different aspects of stakeholders’ perceptions of what is needed to support adolescents who experience school-related stress. Described are actions such as highlighting and changing organizational and contextual structures and developing the dialogue between the school and the home. Other described actions are to support adolescents’ abilities to plan and visualizing how time is used and to strengthen their adolescents’ belief in their own abilities.

Conclusions; Our findings could be used in schools for developing interventions from a salutogenic approach to promote adolescents’ health in the present and for the future.

Keyword [en]
secondary school adolescent, coping, school-related stress
National Category
Nursing
Identifiers
URN: urn:nbn:se:hh:diva-34385OAI: oai:DiVA.org:hh-34385DiVA: diva2:1117031
Note

Som manuskript i avhandling. / As manuscript in dissertation.

Available from: 2017-06-28 Created: 2017-06-28 Last updated: 2017-06-28Bibliographically approved
In thesis
1. Ungdomars strävan mot att lyckas och nå framgång i livet – skolan som hälsofrämjande arena
Open this publication in new window or tab >>Ungdomars strävan mot att lyckas och nå framgång i livet – skolan som hälsofrämjande arena
2016 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [sv]

Syfte: Avhandlingens övergripande syfte var att öka kunskapen om perspektiv på ungdomars hälsa som utgångspunkt för att utveckla hälsofrämjande insatser i skolan.

Metod: Studie I hade en kvantitativ beskrivande tvärsnittsdesign. Datamaterialet inhämtades från 948 ungdomar (11-15 år) som analyserades med multivariat logistik regressionsanalys. Studie II hade en kvalitativ utforskande design. Datamaterialet inhämtades från 117 ungdomar (14-17 år) och analyserades med grundad teori. Studie III hade en kvalitativ beskrivande design. Datamatmaterialet inhämtades från 42 ungdomar (14-15 år) och analyserades med kvalitativ innehållsanalys. Studie IV hade en kvalitativ beskrivande design. Datamaterialet inhämtades från 27 intressenter och analyserades med kvalitativ innehållsanalys.

Resultat: Ungdomarna strävar mot att lyckas och att bli framgångsrika i nuet och i framtiden. En strävan som för ungdomarna upplevs som en kamp om sin tid, en kamp som de hanterar genom att använda sig av olika strategier för att balansera skolarbete och fritid. Flickors strävan handlar om att nå framgång i skolan för att bli självständig i framtiden. För pojkarna innebär framgång att bli framgångsrika inom någon av sina fritidsaktiviteter så som sport, som visar deras fysiska styrka. Framgång i nuet är av betydelse för pojkarna till skillnad från flickorna som ser på sin framgång i ett längre perspektiv. Det hälsofrämjande arbetet bör inrikta sig på att stödja ungdomars känsla av sammanhang och stärka optimism redan tidigt i tonåren samt synliggöra organisatoriska och kontextuella strukturer och normer som påverkar flickors och pojkars hälsa och livsstil.

Konklusion:Sammanfattningsvis visar avhandlingen att perspektiv på ungdomars hälsa bör förstås på olika nivåer i samhället och också inkluderar perspektiv på kön. Vidare bör faktorer som är av betydelse för ungdomars livsstil diskuteras utifrån ett salutogent perspektiv och det hälsofrämjande arbetet i skolan bör utveckla insatser med kontextuella och könsspecifika utgångspunkter för att främja flickors och pojkars hälsa och livsstil.

Abstract [en]

Aim: The overall aim of the dissertation was to gain greater knowledge about perspectives on adolescent´s health as a basis for developing actions to promote health in schools.

Methods: Study I had a quantitative, descriptive cross-sectional design, in which the data was collected from 948 adolescent (11-15 years old) and analyzed with multivariate logistic regression. Study II had a qualitative, investigative design, in which the data was collected from 117 adolescent (14-17 years old) and analyzed with Grounded Theory methodology. Study III had a qualitative, descriptive design, in which the data was collected from 42 adolescent (14-16 years old) and analyzed with qualitative content analysis. Study IV had a qualitative, descriptive design, in which the data was collected from 27 stakeholders and analyzed with qualitative content analysis.

Results: The adolescent aspire to make out and be successful both in the present and the future. This aspiration is experienced by the adolescent as a struggle about time, a struggle that they cope with by using various strategies to balance schoolwork and leisure. The girls’ aspiration is to achieve success in school in order to be independent in the future. Success, for the boys, entails being successful in one of their leisure activities such as sport, which demonstrates their physical strength. Success is of importance for the boys in the present, while on the other hand the girls view their success in a longer time perspective. The focus in health promotion should be aimed at supporting the adolescent´s sense of coherence, at strengthening their optimism early in their teenage years as well as making more visible the organizational and contextual structures and norms that affect the health and lifestyles of girls and boys.

Conclusions: In summary, the dissertation shows that perspectives on adolescent’s health should be understood at different levels in society and include a gender perspective. Furthermore, factors that are important for adolescent’s lifestyle should be discussed from a salutogenic perspective and the health promotion performed in schools should develop actions that have contextual and gender-specific points of departure in order to enhance the health and lifestyles of girls and boys.

Place, publisher, year, edition, pages
Halmstad: Halmstad University Press, 2016. 80 p.
Series
Halmstad University Dissertations, 31
Keyword
Adolescent, optimism, school-related stress, health promotion, sense of coherence, Ungdomar, optimism, skolrelaterad stress, hälsofrämjande arbete, känsla av sammanhang
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-34283 (URN)978-91-87045-64-6 (ISBN)978-91-87045-65-3 (ISBN)
Public defence
2017-06-16, Beartlingsalen, Hus J (Visionen), Kristian IV:s väg 3, Halmstad, 10:00 (Swedish)
Opponent
Supervisors
Available from: 2017-06-28 Created: 2017-06-21 Last updated: 2017-06-28Bibliographically approved

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Svedberg, PetraNygren, Jens M.

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