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  • 1.
    Ali, Lilas
    et al.
    Sahlgrenska Academy, Gothenburg University, Institute of Health and Care Science, Sweden.
    Krevers, Barbro
    Linköping University, Department of Medical and Health Sciences, Sweden.
    Sjöström, Nils
    Sahlgrenska Academy, Gothenburg University, Institute of Health and Care Science, Sweden.
    Skärsäter, Ingela
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Effectiveness of web-based versus folder support interventions for young informal carers of persons with mental illness: a randomized controlled trial2014In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 94, no 3, p. 362-371Article in journal (Refereed)
    Abstract [en]

    Objective: Compare the impact of two interventions, a web-based support and a folder support, for young persons who care for people who suffer from mental illness. 

    Methods: This study was a randomized control trial, following the CONSORT statements, which compared the impact of two interventions. Primary outcome variable was stress, and secondary outcome variables were caring situation, general self-efficacy, well-being, health, and quality of life of young informal carers (N = 241). Data were collected in June 2010 to April 2011, with self-assessment questionnaires, comparing the two interventions and also to detect changes. 

    Results: The stress levels were high in both groups at baseline, but decreased in the folder group. The folder group had improvement in their caring situation (also different from the web group), general self-efficacy, well-being, and quality of life. The web group showed increase in well-being. 

    Conclusion: Young informal carers who take on the responsibility for people close to them; suffer consequences on their own health. They live in a life-situation characterized by high stress and low wellbeing. This signals a need for support. 

    Practice implications: The non-significant differences show that each intervention can be effective, and that it depends upon the individual's preferences. This highlights the importance of adopting person-centered approach, in which young persons can themselves choose support strategy. (C) 2013 Elsevier Ireland Ltd. All rights reserved.

  • 2.
    Månsson, J.
    et al.
    Research and Development Unit, Prim. Hlth. Care, Co. Cncl. H., Falkenberg, Sweden.
    Marklund, Bertil
    Prim. Hlth. Care R. and D. Unit, County Council Halland, Falkenberg, Sweden.
    Bengtsson, C.
    Department of Primary Health Care, Göteborg Univ., Vasa Hospital, Gothenburg, Sweden.
    Fridlund, Bengt
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Evaluation of an educational programme for the early detection of cancer1999In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 37, no 3, p. 231-242Article in journal (Refereed)
    Abstract [en]

    Avoiding patient's and doctor's delay is important for the detection of cancer. In order to study the possibilities for shortening the delay, without causing anxiety, an educational programme for early detection of cancer (EPEDC) was worked out, aimed to be evaluated at the community level. A community with 77 100 inhabitants, was informed about cancer symptoms in a letter. Participants who observed the cancer symptoms, described in the letter, were invited to visit the health centres, where they were interviewed and examined according to a specially designed schedule. Guidelines for taking care of these participants were also worked out. Fifteen previously unknown cancers were detected. By means of a telephone interview and a questionnaire the reactions to the EPEDC were studied. The results indicate that it is possible to inform and educate the population about cancer symptoms without causing anxiety on condition that there is an organisation which can be contacted without delay by subjects with potential cancer symptoms. (C) 1999 Elsevier Science Ireland Ltd. All rights reserved.

  • 3.
    Strömberg, Anna
    et al.
    Department of Cardiology, University Hospital, Linköping, Sweden.
    Dahlström, Ulf
    Department of Cardiology, University Hospital, Linköping, Sweden.
    Fridlund, Bengt
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Computer-based education for patients with chronic heart failure: A randomised, controlled, multicentre trial of the effects on knowledge, compliance and quality of life2006In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 64, no 1-3, p. 128-135Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To evaluate the effects of a single-session, interactive computer-based educational program on knowledge, compliance and quality of life in heart failure patients with special emphasis on gender differences.

    METHODS: One hundred and fifty-four patients, mean age 70 years, from five heart failure clinics were randomised to either receiving only standard education (n = 72) or standard education and additional computer-based education (n = 82).

    RESULTS: Knowledge was increased in both groups after 1 month with a trend towards higher knowledge (P = 0.07) in the computer-based group. The increase in knowledge was significantly higher in the computer-based group after 6 months (P = 0.03). No differences were found between the groups with regard to compliance with treatment and self-care or quality of life. The women had significantly lower quality of life and did not improve after 6 months as the men did (P = 0.0001).

    CONCLUSION: Computer-based education gave increased knowledge about heart failure. PRACTICE IMPLICATIONS: Computers can be a useful tool in heart failure education, but to improve compliance a single-session educational intervention is not sufficient. Gender differences in learning and quality of life should be further evaluated.

  • 4.
    Strömberg, Anna
    et al.
    Department of Cardiology, Heart Centre, Linköping University Hospital, Linköping, Sweden.
    Åhlén, Henrik
    Gravity, Stockholm, Sweden.
    Fridlund, Bengt
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Dahlström, Ulf
    Department of Cardiology, Heart Centre, Linköping University Hospital, Linköping, Sweden.
    Interactive education on CD-ROM - A new tool in the education of heart failure patients2002In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 46, no 1, p. 75-81Article in journal (Refereed)
    Abstract [en]

    The study aimed to develop and evaluate whether a computer-based program for patients with heart failure was user-friendly, could be operated by elderly patients and gave sufficient information about heart failure. The program was developed by a multidisciplinary group and designed with large, clear illustrations and buttons. A total of 42 patients aged 51-92 years tested the program and completed afterwards a questionnaire. Three heart failure nurses evaluated how the patients used the program and their attitudes towards the computer. All patients could use the program, despite the fact that only six had used a computer before. The patients were satisfied with the computer-based information and appreciated that the program was interactive, flexible and contained a self-test. They thought it was a better way of receiving information than reading a booklet or watching a video about heart failure. The nurses reported that the patients were positive towards the computer and seemed to understand the information and that the patient education was less time-consuming, when the patients could seek knowledge on their own. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved.

  • 5.
    Svensson, Madeleine
    et al.
    Karolinska Institutet, Unit of Clinical Epidemiology, Stockholm, Sweden.
    Lagerros, Ylva Trolle
    Karolinska Institutet, Unit of Clinical Epidemiology, Stockholm, Sweden.
    Motivational technologies to promote weight loss—From Internet to gadgets2010In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 79, no 3, p. 356-360Article, review/survey (Refereed)
  • 6.
    Zabalegui, Adelaida
    et al.
    Nursing Hospital Clínic de Barcelona, Spain.
    Hamers, Jan
    Care of Older People at Maastricht University, The Netherlands.
    Karlsson, Staffan
    Department of Health Sciences, Faculty of Medicine, Lund University, Sweden.
    Leino-Kilpi, Helena
    University of Turku, Finland & Hospital District of Southwest, Finland.
    Renom-Guiteras, Anna
    Witten/Herdecke University, Germany.
    Saks, Kai
    University of Tartu, Estonia.
    Soto, Maria
    Alzheimer Acute Care Unit, Gérontopôle Toulouse, Department of Geriatric Medicine University Hospital, France.
    Sutcliffe, Caroline
    Manchester University, UK.
    Cabrera, Esther
    School of Health Sciences at Fundació Tecnocampus Mataró-Maresme Tecnocampus, Spain.
    Best practices interventions to improve quality of care of people with dementia living at home2014In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 95, no 2, p. 175-184Article in journal (Refereed)
    Abstract [en]

    Objective: To identify effective interventions which improve quality of care for people with dementia (PwD) living at home.

    Methods: MEDLINE-(via PubMed), CINAHL, PsycINFO and ISI Web of Science databases were searched. Inclusion criteria: (1) randomized controlled trials; (2) published in English-language, peer-reviewed journals between 1990 and 2012; (3) evaluated strategies to improve quality of care for PwD cared at home; and (4) participants older than 65.

    Results: 23 studies met inclusion criteria. All the studies aimed to improve PwD quality of care and most of them focused on PwD caregivers. Psychoeducational programs are the most frequently assessed interventions and multicomponent interventions produced the most promising results.

    Conclusion: Due to the great variety of interventions describing specific samples and contexts, comparison of practice effectiveness is difficult. However, cognitive rehabilitation in PwD is effective when applied at an early stage of the disease. Case managers have demonstrated to reduce PwD institutionalization and the use of other community services. The studies were limited by sample heterogeneity, short follow-up or insufficiently detailed description.

    Practice implications: To improve PwD homecare, health professionals should educate and support caregivers. Before specific interventional recommendations can be made, further research addressing the limitations of current studies is needed.

    © 2014 Elsevier Ireland Ltd.

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