hh.sePublications
Change search
Refine search result
1 - 50 of 50
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Rows per page
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sort
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
Select
The maximal number of hits you can export is 250. When you want to export more records please use the Create feeds function.
  • 1.
    Baigi, Amir
    et al.
    FoU-enheten, Primärvården Halland.
    Bergh, Håkan
    FoU-enheten, Primärvården Halland.
    Haraldsson, Katarina
    FoU-enheten, Primärvården Halland.
    Lindgren, Eva-Carin
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Lydell, Marie
    FoU-enheten, Primärvården Halland.
    Månsson, Jörgen
    FoU-enheten, Primärvården Halland.
    Wendt, Eva
    FoU-enheten, Primärvården Halland.
    Hälsa på lika villkor? Hallands resultat från en nationell folkhälsoenkät2005Book (Other academic)
    Abstract [sv]

    N/A

  • 2.
    Dohlsten, John
    et al.
    Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Barker-Ruchti, Natalie
    Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Lindgren, Eva-Carin
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Caring as sustainable coaching in elite athletics: benefits and challenges2019In: Sport Coaching Review, ISSN 2164-0629Article in journal (Refereed)
    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.

  • 3.
    Eriksson, Linn
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Baigi, Amir
    Primary Health Care Research and Development, Council Halland, Falkenberg, SwedenPrimary Health Care Research and Development, Council Halland, Falkenberg, Sweden.
    Lindgren, Eva-Carin
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Ambition of a perfect body: a risk factor of body dissatisfaction2009Conference paper (Other (popular science, discussion, etc.))
  • 4.
    Eriksson, Linn
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Baigi, Amir
    Primary Health Care Research and Development, Halland County Council, Falkenberg.
    Lindgren, Eva-Carin
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Ett generellt skolbaserat hälsopromotivt program: en studie om skolungdomars mat- och rörelsevanor, tilltro till egen förmåga och syn på kroppsligt utseende2010In: Aktuell beteende- och samhällsvetenskaplig idrottsforskning, ISSN 0284-4672, p. 54-80Article in journal (Refereed)
    Abstract [en]

    This study is a one year case study of a programme promoting physical activity and healthy eating habits in a secondary school. The aim was to describe and evaluate a school-based health promoting programme on interest in and participation in physical education (PE), eating habits and physical exercise habits, Sociocultural Attitudes Towards Appearance and self-efficacy for boys and girls before and after the programme. One hundred and sixty-four participants completed questionnaires in December 2007 and December 2008. The results showed increased interest and active participation in PE in girls and an opposite among boys at the post-test. Fewer boys reported regular eating habits after the programme. Girls scored higher on the Sociocultural Attitudes Towards Appearance Questionnaire subdomain awareness of a slimness ideal, and boys on the subdomain awareness of a muscular body as well as on the subdomain muscular appearance at the post-test. The results from this study cannot be generalized. Instead, the findings can be used for future research and to develop school-based health promotion programs. Conclusions and implications are discussed in the article.

  • 5.
    Eriksson, Linn
    et al.
    Göteborgs universitet.
    Baigi, Amir
    Göteborgs universitet.
    Marklund, Bertil
    Göteborgs universitet.
    Lindgren, Eva-Carin
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Obsession with diet among fitness center participants in relation to body ideal and social physique anxiety2009Conference paper (Refereed)
    Abstract [en]

    Several studies indicate that women are more likely than men to exercise for appearancerelated reasons, but today, even men have become more concerned about how they look. Exercise and/or diets are sometimes used in an attempt to develop a more attractive physique. Strict diets such as an obsession with healthy food, sometimes termed orthorexia nervosa (ON), are controversial and have been questioned by researchers. This study investigates how scores on the Social Physique Anxiety Scale (SPAS) and the Sociocultural Attitudes Towards Appearance Questionnaire (SATAQ) relate to Bratman’s orthorexia test (BOT) scores with regard to age, sex, and self-reported exercise frequency and duration. The fitness participants (n=251, 166 women and 85 men, 21% dropout) were consecutively selected from five fitness centers in Sweden. They completed the BOT, SPAS, SATAQ, and a questionnaire focusing on exercise frequency and duration. Multiple stepwise regression analysis was used and the significance level set at 5%. In men, the results indicated that the SATAQ subdomain internalization could itself explain the variation in BOT results. In women, the results demonstrated that exercise frequency, in combination with the SPAS score and the SATAQ subdomains of internalization and awareness, could explain the variation in BOT results. Internalization of a slimness ideal (for women) and a muscular body (for men) can be a risk factor for obsession with diet. In the same way, higher exercise frequency, a higher level of social physique anxiety and awareness of Western body ideals seem to be predictors of obsession with diet among women. It is possible that the fitness center environment emphasizes a body ideal that leads to an increased obsession with diet. On the other hand, it may be that people who are aware of the body ideal and are obsessed with diet are the ones who engage in fitness center activities.

  • 6.
    Eriksson, Linn
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Baigi, Amir
    Primary Health Care Research and Development, Council Halland, Falkenberg, Sweden.
    Marklund, Bertil
    Primary Health Care Research and Development, Council Halland, Falkenberg, Sweden.
    Lindgren, Eva-Carin
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Social physique anxiety and sociocultural attitudes toward appearance impact on orthorexia test in fitness participants2008In: Scandinavian Journal of Medicine and Science in Sports, ISSN 0905-7188, E-ISSN 1600-0838, Vol. 18, no 3, p. 389-394Article in journal (Refereed)
    Abstract [en]

    This study investigates how scores on the Social Physique Anxiety Scale (SPAS) and the Sociocultural Attitudes Towards Appearance Questionnaire (SATAQ) relate to Bratman's orthorexia test (BOT) scores with regard to age, sex, and self-reported exercise frequency and duration in a sample of Swedish participants in fitness center activities. A total of 251 participants (166 women and 85 men) completed the SPAS, the SATAQ, and a questionnaire focusing on exercise frequency and duration. The results indicated that the SATAQ subdomain internalization could itself explain the variation in BOT results. In women, the results indicated that exercise frequency, followed by SPAS score and the SATAQ subdomains internalization and awareness, could together explain the variation in BOT results. Fitness centers could make a point of emphasizing that some physical ideals are neither healthy nor realistic, thus strengthening member self-image and preventing social physique anxiety, eating disorders, and negative attitudes toward appearance.

  • 7.
    Eriksson, Linn
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Marklund, Bertil
    Primary Health Care Research and Development, Council Halland, Falkenberg, Sweden.
    Baigi, Amir
    Primary Health Care Research and Development, Council Halland, Falkenberg, Sweden.
    Lindgren, Eva-Carin
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    On the concept of orthorexia nervosa: a rebuttal: Letter to the Editor2008In: Scandinavian Journal of Medicine and Science in Sports, ISSN 0905-7188, E-ISSN 1600-0838, Vol. 18, no 3, p. 397-397Article in journal (Refereed)
  • 8.
    Fridlund, Bengt
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Lindgren, Eva-Carin
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Ivarsson, A.
    Sahlgrenska universitetssjukhuset, Göteborg.
    Jinhage, B.-M.
    Sahlgrenska universitetssjukhuset, Göteborg.
    Bolse, Kärstin
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Flemme, Inger
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Sandstedt, B.
    Sahlgrenska universitetssjukhuset, Göteborg.
    Mårtensson, J.
    Göteborgs Universitet.
    Patients with implantable cardioverter-defibrillators and their conceptions of the life situation: a qualitative analysis2000In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 9, no 1, p. 37-45Article in journal (Refereed)
    Abstract [en]

    The implantable cardioverter-defibrillator (ICD) is today widely used for the treatment of sudden cardiac near-death episodes as a result of malignant ventricular dysrhythmia.After examining the literature, only four descriptive studies, all carried out in the USA, with a qualitative analysis based on ICD-patients' own perspectives on their life situation have been found.The aim of this study was to describe how patients living with an ICD-device in south-western Sweden conceive their life situation.As the focus was on patients' conceptions seen from a holistic perspective, an analysis inspired by phenomenography was employed on a strategic sample of 15 ICD-patients.Six categories emerged: a feeling of safety, a feeling of gratitude, a feeling of being, having a network, having a belief in the future, and gaining awareness.Although the findings cannot be generalized because of the descriptive research design, they illuminate the beneficial as well as intrusive effects of such a device, and emphasize the need for support groups for patients and families as well as further education for personnel in hospital and primary health care.

  • 9.
    Fröberg, Andreas
    et al.
    Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Jonsson, Linus
    Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Berg, Christina
    Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Lindgren, Eva-Carin
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Korp, Peter
    Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Lindwall, Magnus
    Department of Psychology, University of Gothenburg, Gothenburg, Sweden.
    Raustorp, Anders
    Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden & Department of Sport Science, Linnaeus University, Kalmar, Sweden.
    Larsson, Christel
    Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Effects of an Empowerment-Based Health-Promotion School Intervention on Physical Activity and Sedentary Time among Adolescents in a Multicultural Area2018In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 15, no 11, article id 2542Article in journal (Refereed)
    Abstract [en]

    Physical activity (PA) decreases with age, and interventions are needed to promote PA during adolescence, especially, among those in low-socioeconomic status (SES) areas. The aim of this study was to investigate whether a two-year, empowerment-based health-promotion school intervention had any effects on changes in (a) moderate-to-vigorous PA (MVPA), (b) sedentary time (SED), (c) exercise training (ET) frequency, and (d) ET duration, among adolescents. Participants (aged 12⁻13 years at baseline) from one intervention school and two control schools, were recruited from a multicultural area of Sweden, characterized by low-SES. During the course of the two-year intervention, a total of 135 participants (43% boys) were included in the study. The intervention was developed and implemented as a result of cooperation and shared decision-making among the researchers and the participants. MVPA and SED were measured with accelerometers, and ET frequency and duration was self-reported at the beginning of the seventh, eighth, and ninth grade, respectively. There were no significant effects of the two-year, empowerment-based health-promotion school intervention on changes in the accelerometer-measured MVPA and SED, or the self-reported ET frequency and duration, among the adolescents. Overall, the intervention was unsuccessful at promoting PA and reducing SED. Several possible explanations for the intervention's lack of effects are discussed.

  • 10.
    Grill, Christina
    et al.
    Occupational and Environmental Medicine, Institute of Medicine at Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Ahlborg, Gunnar
    Occupational and Environmental Medicine, Institute of Medicine at Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Lindgren, Eva-Carin
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Valuation and handling of dialogue in leadership: a grounded theory study in Swedish hospitals2011In: Journal of Health Organisation & Management, ISSN 1477-7266, E-ISSN 1758-7247, Vol. 25, no 1, p. 34-54Article in journal (Refereed)
    Abstract [en]

    Purpose:

    Leadership can positively affect the work environment and health. Communication and dialogue are an important part in leadership. Studies of how dialogue is valued and handled in first-line leadership have not so far been found. The aim of this study is to develop a theoretical understanding of how first-line leaders at hospitals in western Sweden value and handle dialogue in the organisation.

    Design/methodology/approach:

    The study design was explorative and based on grounded theory. Data collection consisted of interviews and observations. A total of 11 first-line leaders at two hospitals in western Sweden were chosen as informants, and for four of them observation was also used.

    Findings:

    One core category emerged in the analysis: leaders' communicative actions, which could be strategically or understanding-oriented, and experienced as equal or unequal and performed equitably or inequitably, within a power relationship. Four different types of communicative actions emerged: collaborative, nurturing, controlling, and confrontational. Leaders had strategies for creating arenas and relationships for dialogue, but dialogue could be constrained by external circumstances or ignorance of the frameworks needed to conduct and accomplish dialogue.

    Practical implications:

    First-line leaders should be offered guidance in understanding the consequences of consciously choosing and strengthening the communication component in leadership.

    Originality/value:

    The positive valuation of dialogue was not always manifest in practical action. One significant consequence of not using dialogue was that information with impact on organisational efficiency and finances was communicated upwards in the management system. © Emerald Group Publishing Limited.

  • 11.
    Haraldsson, Katarina
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Lindgren, Eva-Carin
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Fridlund, Bengt
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Baigi, Aamir
    Department of Public Health and Community Medicine, Göteborg University, Göteborg, Sweden.
    Lydell, Marie C.
    Department of Public Health and Community Medicine, Göteborg University, Göteborg, Sweden.
    Marklund, B.
    Department of Public Health and Community Medicine, Göteborg University, Göteborg, Sweden.
    Evaluation of a school-based adolescent health promotion programme with focus on well-being related to stress2008In: Proc. European Conference on Public Health: ”Health and innovation in Europe”, Centro Congressos de Lisboa 5-8 November 2008, 2008Conference paper (Refereed)
  • 12.
    Haraldsson, Katarina
    et al.
    Department of Public Health and Community Medicine, Göteborg University, Göteborg, Sweden.
    Lindgren, Eva-Carin
    Department of Public Health and Community Medicine, Göteborg University, Göteborg, Sweden.
    Fridlund, Bengt
    Department of Public Health and Community Medicine, Göteborg University, Göteborg, Sweden.
    Baigi, Amir
    Department of Public Health and Community Medicine, Göteborg University, Göteborg, Sweden.
    Lydell, Marie C.
    Department of Public Health and Community Medicine, Göteborg University, Göteborg, Sweden.
    Marklund, Bertil
    Department of Public Health and Community Medicine, Göteborg University, Göteborg, Sweden.
    Evaluation of a school-based health promotion programme for adolescents aged 12-15 years with focus on well-being related to stress2008In: Public Health, ISSN 0033-3506, E-ISSN 1476-5616, Vol. 122, no 1, p. 25-33Article in journal (Refereed)
    Abstract [en]

    Objective: The aim of this study was to evaluate a school-based adolescent health promotion programme with focus on well-being related to stress.

    Study design: Interventional and evaluative with tests before and after the intervention. The study was performed in two secondary schools in a town on the west coast of Sweden.

    Methods: A health promotion programme comprising massage and mental training was implemented for a single academic year in one school (intervention school, 153 participants) in order to strengthen and maintain well-being. No intervention was implemented in the other school (non-intervention school, 287 participants). A questionnaire was developed and tested, resulting in 23 items distributed across the following six areas: self-reliance; leisure time; being an outsider; general and home satisfaction; school satisfaction; and school environment.

    Results: A pre- and postintervention comparison of the six areas was made within each school. In the intervention school, the boys maintained a very good or good sense of well-being related to stress in all six areas, while the girls’ sense of well-being was maintained in five areas and deteriorated in one area. In the non-intervention school, the boys maintained a very good or good sense of well-being related to stress in four areas and deteriorated in two areas, while the girls’ sense of well-being was maintained in two areas and deteriorated in four areas.

    Conclusion: Massage and mental training helped to maintain adolescents’ very good or good sense of well-being related to stress. A questionnaire with acceptable validity and reliability was developed and tested in order to evaluate the health promotional approach. However, there is a need for further study to develop both the intervention and the questionnaire for young people.

  • 13.
    Haraldsson, Katarina
    et al.
    Sahlgrenska School of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden .
    Lindgren, Eva-Carin
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Hildingh, Cathrine
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Marklund, Bertil
    Sahlgrenska School of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden .
    What makes the everyday life of Swedish adolescent girls less stressful: a qualitative analysis2010In: Health Promotion International, ISSN 0957-4824, E-ISSN 1460-2245, Vol. 25, no 2, p. 192-199Article in journal (Refereed)
    Abstract [en]

    Stress is a widespread phenomenon in society today, not least among children and adolescents. Stress-related ill-health has increased in this population and affects girls to a greater extent than boys. Against this background, it is important to acquire knowledge about measures that prevent stress, especially in girls. The aim of this study was therefore to illuminate adolescent girls' experiences and reflections about what makes everyday life less stressful. An explorative design, qualitative content analysis, was used. In-depth interviews were conducted with fifteen 17-year-old girls. The analysis comprised both manifest and latent content and revealed the girls' own experiences of and reflections about what makes everyday life less stressful. Three categories, 'Enjoyment and Recovery', 'Trust' and 'Insight and Influence', and nine subcategories emerged. The latent content of these categories is described by the theme 'access to sources of strength'. It is essential that persons in the girls' surroundings are aware of all sources that provide the strength to resist and prevent stress in everyday life. A climate has to be created in all arenas of the girls' everyday life in which they can access these sources of strength. Utilizing the girls' experiences and views about what needs to be done is the first step towards a preventive and promotive mode of working on their own circumstances and wishes. This approach is consistent with the Ottawa Charter for Health Promotion, which emphasizes the importance of involving the target group.

  • 14.
    Haraldsson, Katarina
    et al.
    Research and Development Unit, General Practice and Public Health, Halland County Council, Falkenberg.
    Lindgren, Eva-Carin
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Mattsson, Bengt
    Sahlgrenska School of Public Health and Community Medicine, Göteborg University.
    Fridlund, Bengt
    Sahlgrenska School of Public Health and Community Medicine, Göteborg University.
    Marklund, Bertil
    Research and Development Unit, General Practice and Public Health, Halland County Council, Falkenberg.
    Adolescent Girls' Experiences of Underlying Social Processes Triggering Stress in Their Everyday Life: A grounded theory study2011In: Stress and Health, ISSN 1532-3005, E-ISSN 1532-2998, Vol. 27, no 2, p. E61-E70Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to generate a theoretical model of underlying social processes that trigger stress in adolescent girls’ everyday life. In-depth interviews regarding the experiences of stress at home, school and during leisure time were conducted with 14 17-year-old schoolgirls. Data were analysed by means of the grounded theory method. Stress was triggered in the interaction between responsibility and the way in which the girls were encountered. Triggered emotional reactions took the form of four dimensions of stress included ambivalence, frustration, despair and downheartedness. These reactions were dependent on whether the girls voluntary assumed responsibility for various situations or whether they were forced, or felt they were being forced, to assume responsibility in interaction with an encounter characterized by closeness or distance. These forms of stress reactions could appear in one dimension and subsequently shift to another. From the public health perspective, the generated stress model can be used in the planning and implementation of future actions to prevent stress and promote well-being related to stress in adolescent girls.

  • 15.
    Holmberg, Christopher
    et al.
    Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Larsson, Christel
    Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Korp, Peter
    Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Lindgren, Eva-Carin
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Jonsson, Linus
    Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Fröberg, Andreas
    Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Chaplin, John E
    Department of Pediatrics, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden & Sahlgrenska University Hospital, Gothenburg, Sweden.
    Berg, Christina
    Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Empowering aspects for healthy food and physical activity habits: adolescents’ experiences of a school-based intervention in a disadvantaged urban community2018In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 13, no sup1: Equal Health, article id 1487759Article in journal (Refereed)
    Abstract [en]

    Purpose:

    This study aimed to describe adolescents’ experiences of participating in a health-promoting school-based intervention regarding food and physical activity, with a focus on empowering aspects. 

    Method:

    The school was located in a urban disadvantaged community in Sweden, characterized by poorer self-reported health and lower life expectancy than the municipality average. Focus group interviews with adolescents (29 girls, 20 boys, 14–15 years) and their teachers (n = 4) were conducted two years after intervention. Data were categorized using qualitative content analysis. 

    Results: 

    A theme was generated, intersecting with all the categories: Gaining control over one’s health: deciding, trying, and practicing together, in new ways, using reflective tools. The adolescents appreciated influencing the components of the intervention and collaborating with peers in active learning activities such as practicing sports and preparing meals. They also reported acquiring new health information, that trying new activities was inspiring, and the use of pedometers and photo-food diaries helped them reflect on their health behaviours. The adolescents’ experiences were also echoed by their teachers. 

    Conclusions: 

    To facilitate empowerment and stimulate learning, health-promotion interventions targeting adolescents could enable active learning activities in groups, by using visualizing tools to facilitate self-reflection, and allowing adolescents to influence intervention activities.

  • 16.
    Håman, Linn
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Barker Ruchti, Natalie
    Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Patriksson, Göran
    Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Lindgren, Eva-Carin
    Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Orthorexia nervosa: An integrative literature review of a lifestyle syndrome2015In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 10, article id 26799Article in journal (Refereed)
    Abstract [en]

    Bratman first proposed orthorexia nervosa in the late 1990s, defining it an obsession with eating healthy food to achieve, for instance, improved health. Today, in the Swedish media, excessive exercising plays a central role in relation to orthorexia. A few review articles on orthorexia have been conducted; however, these have not focused on aspects of food and eating, sport, exercise, or a societal perspective. The overall aim of this study was to provide an overview and synthesis of what philosophies of science approaches form the current academic framework of orthorexia. Key questions were: What aspects of food and eating are related to orthorexia? What role do exercise and sports play in relation to orthorexia? In what ways are orthorexia contextualized? Consequently, the concept of healthism was used to discuss and contextualize orthorexia. The method used was an integrative literature review; the material covered 19 empirical and theoretical articles published in peer-reviewed journals. This review demonstrates a multifaceted nature of orthorexia research; this field has been examined from four different philosophies of science approaches (i.e., empirical-atomistic, empirical-atomistic with elements of empirical-holistic, empirical-holistic, and rational-holistic) on individual, social, and societal levels. The majority of the articles followed an empirical-atomistic approach that focused on orthorexia as an individual issue, which was discussed using healthism. Our analysis indicates a need for (a) more empirical-holistic research that applies interpretive qualitative methods and uses a social perspective of health, e.g., healthism and (b) examining the role of sports and exercise in relation to orthorexia that takes the problematizing of “orthorexic behaviours” within the sports context into account.

  • 17.
    Håman, Linn
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Barker-Ruchti, Natalie
    University of Gothenburg, Gothenburg, Sweden.
    Patriksson, Göran
    University of Gothenburg, Gothenburg, Sweden.
    Lindgren, Eva-Carin
    University of Gothenburg, Gothenburg, Sweden.
    Orthorexia is framed as exercise dependence in Swedish daily newspapers2015Conference paper (Refereed)
  • 18.
    Håman, Linn
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Barker-Ruchti, Natalie
    University of Gothenburg, Gothenburg, Sweden.
    Patriksson, Göran
    University of Gothenburg, Gothenburg, Sweden.
    Lindgren, Eva-Carin
    University of Gothenburg, Gothenburg, Sweden.
    The framing of orthorexia nervosa in Swedish daily newspapers: A longitudinal qualitative content analysis2016In: Scandinavian Sport Studies Forum, ISSN 2000-088X, E-ISSN 2000-088X, Vol. 7, p. 27-46Article in journal (Refereed)
    Abstract [en]

    This study explored and elucidated how orthorexia is framed in Swedish daily newspapers with a focus on characteristics of orthorexia. Key questions include: 1) how do the newspaper articles connect exercise with orthorexia? and 2) what trends in depicting exercise in relation to orthorexia do the newspaper articles represent over time? The method used was a longitudinal qualitative content analysis guided by the framing theory. We analyzed 166 articles published between 1998 and 2013. Our analysis revealed that orthorexia originally was framed as an eating disorder and subsequently included unhealthy exercise. Two trend shifts could be identified: in 2004, exercise was added as an element and in 2013 extreme exercise trends were described to influence the increase of orthorexia. The findings indicate that Swedish newspapers extend Bratman’s definition and depict orthorexia indiscriminately to describe a range of different behavioral characteristics. These results are discussed in terms of the idea of “healthism” and general health trends in society.

  • 19.
    Håman, Linn
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Sport.
    Lindgren, Eva-Carin
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Sport. University of Gothenburg, Gothenburg, Sweden.
    Prell, Hillevi
    University of Gothenburg, Gothenburg, Sweden.
    “If it’s not Iron it’s Iron f*cking biggest Ironman”: personal trainers’s views on health norms, orthorexia and deviant behaviours2017In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 12, no Suppl. 2, article id 1364602Article in journal (Refereed)
    Abstract [en]

    Orthorexia nervosa (ON) describes a pathological obsession with healthy eating to avoid ill health. In the Swedish context, ON is also understood in terms of unhealthy exercise. Fitness gyms are popular health-promoting places, but exercise-related problems, disordered eating and ON-like behaviour are increasing. Personal trainers (PTs) play an important role in detecting unhealthy behaviours. The aim of the present study was to illuminate PTs’ understandings of healthy and unhealthy exercise and eating behaviours in relation to orthorexia nervosa in a fitness gym context. Five focus groups with 14 PTs were conducted. These were analysed using interpretative qualitative content analysis and Becker’s model “Kinds of Deviance.” In contrast to PTs’ health norms (practicing balanced behaviours and contributing to well-being), ON was expressed mainly in terms of exercise behaviour and as being excessive and in total control. The PTs maintain that extreme behaviours are legitimized by an aggressive exercise trend in society and that they fear to falsely accuse clients of being pathological. Certain sport contexts (bodybuilding, fitness competitions and elite sports) and specific groups (fitness professionals) contribute to complicating PTs’ negotiations due to a competition, performance and/or profession norm, making it difficult to determine whether or not to intervene. © 2017 The Author(s)

  • 20.
    Håman, Linn
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Sport.
    Lindgren, Eva-Carin
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Sport. Department of Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Prell, Hillevi
    Department of Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    The challenges in responding to unhealthy eating and exercise behaviours among clients: From personal trainers’ views2017In: 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. 57-58Conference paper (Refereed)
  • 21.
    Håman, Linn
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Prell, Hillevi
    Department of Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Lindgren, Eva-Carin
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Department of Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Personal trainer´s health advice to clients in the fitness gym2019Conference paper (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.

  • 22.
    Håman (née Eriksson), Linn
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Center for Sport and Health Science (CIHF). Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Barker-Ruchti, Natalie
    Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Patriksson, Göran
    Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Lindgren, Eva-Carin
    Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Research ethics within the study: Fitness professionals’ talk of health and orthorexia nervosa2014In: 4th International Conference on Qualitative Research in Sport & Exercise, 2014, p. 37-37Conference paper (Refereed)
    Abstract [en]

    Fitness center activities have gained popularity. One central role fitness staff members have is to help participants to become or maintain health and fitness. In recent years, a new phenomenon – orthorexia nervosa, which M.D. Bratman coined in the late 1990s – has emerged. He termed orthorexia as "a fixation on eating healthy food". Research has mentioned that participants in sports and fitness activities may be at higher risk of becoming orthorexic. Since the late 1990s, orthorexia has been noticed, also in Swedish newspaper articles. In so doing, the 'condition' has evolved to include fanatic exercise and eating behaviours. Fitness professionals might thus work with individuals that are considered to suffering from orthorexia. The purpose of this presentation is to elucidate and problematize ethical issues that are raised during the research that deals with personal trainers and group fitness instructors talk of health and orthorexia. The material will consist of four focus groups with 18 fitness professionals that work in Swedish fitness centers. It will be carried out as a qualitative study. This study raises ethical issues, including for instance: a) by focusing and giving attention to orthorexia, the study may contribute to categorizing "the problem", as well as enlarge it. This paradoxical situation as the aim is to contribute scientific knowledge that can problematize orthorexia; b) the challenge to manage and balance a critical approach without causing harm (e.g. introduce orthorexia to fitness professionals who might have an erroneous perspective of and/or have little knowledge about orthorexia) (cf. Halse & Honey, 2005).

  • 23.
    Håman (née Eriksson), Linn
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Center for Sport and Health Science (CIHF). University of Gothenburg, Gothenburg, Sweden.
    Patriksson, Göran
    University of Gothenburg, Gothenburg, Sweden.
    Barker-Ruchti, Natalie
    University of Gothenburg, Gothenburg, Sweden.
    Lindgren, Eva-Carin
    University of Gothenburg, Gothenburg, Sweden.
    Disordered eating outside the sport setting: Contextualizing representations of orthorexia nervosa in Swedish daily newspapers2014Conference paper (Refereed)
    Abstract [en]

    In the late 1990s, Bratman coined the term orthorexia nervosa to mean an unhealthy obsession of only eating healthy foods (Bratman & Knight, 2000). The research is limited and orthorexia has rarely been researched in sport settings (e.g. Eriksson et al., 2008; Segura-García et al., 2012). At this stage, this concept is considered under establishment and negotiation – a process of formation where it is not clear what orthorexia is. How orthorexia is contextualized and represented influences the establishment and understanding of the condition and concept. The aim of this study is to analyze representations of orthorexia in articles printed in Swedish newspapers, with a special view on how the articles refer to sport as a social setting. Notions of healthy and disordered eating are influenced by cultural ideas in society. The language is central in this process as it creates and organizes beliefs about social reality. Perceptions and knowledge about orthorexia are created through, for example, newspaper texts. The material included in this study was limited to national, regional and local Swedish daily newspaper articles published between January 2004 and June 2011. A total of 102 articles were included as they explicitly dealt with orthorexia. The articles were analyzed using a discourse analytical approach through a qualitative content analysis. The articles represented orthorexia in different ways: a) (un)controlled and obsessive patterns of behavior; b) sacrificing social situations; c) an eating disorder in new clothes; d) a painful existence; and e) an invisible problem. Within the last category, the way orthorexia is represented in relation to sport points to how different norms and values apply in and outside this setting. Orthorexia is only considered as disordered eating in non-sport settings. In sport, orthorexic behaviours are considered standard practice. These findings thus further problematize disordered eating in and outside sport settings.

  • 24.
    Håman (née Eriksson), Linn
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Center for Sport and Health Science (CIHF). Institutionen för kost- och idrottsvetenskap, Göteborgs universitet, Göteborg, Sverige.
    Patriksson, Göran
    Institutionen för kost- och idrottsvetenskap, Göteborgs universitet, Göteborg, Sverige.
    Barker-Ruchti, Natalie
    Institutionen för kost- och idrottsvetenskap, Göteborgs universitet, Göteborg, Sverige.
    Lindgren, Eva-Carin
    Institutionen för kost- och idrottsvetenskap, Göteborgs universitet, Göteborg, Sverige.
    “Men do not want to be associated with medical conditions that are perceived women-only issues”: gendered constructions of orthorexia nervosa in Swedish daily newspapers2012In: Perspektiv på idrottens prestationssystem – från debut till avslut: Abstracts: SVEBI 2012, 2012Conference paper (Refereed)
  • 25.
    Jonsson, Linus
    et al.
    Department of Food and Nutrition and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Berg, Christina
    Department of Food and Nutrition and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Larsson, Christel
    Department of Food and Nutrition and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Korp, Peter
    Department of Food and Nutrition and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Lindgren, Eva-Carin
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Department of Food and Nutrition and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Facilitators of Physical Activity: Voices of Adolescents in a Disadvantaged Community2017In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 14, no 8, article id 839Article in journal (Refereed)
    Abstract [en]

    Despite increasing socioeconomic inequalities in the health and well-being of adolescents, the voices of adolescents in disadvantaged communities regarding facilitators of physical activity (PA) have received relatively little attention. In response, the purpose of this study was to illuminate what adolescents in a multicultural community of low socioeconomic status (SES) in Sweden convey concerning facilitators of PA. Adolescents (n = 53, aged 12–13 years) were recruited from a school in a multicultural community of low SES in Sweden. Following an interpretive approach, 10 focus group interviews were conducted to produce data for a qualitative content analysis. When the adolescents mentioned PA, they mostly referred to spontaneous PA rather than organized PA, and expressed that they enjoyed their PA engagement, which they stated was promoted by the variation of PA, available options for PA, their physical skills, and the presence of peers. They reported that social support from family and friends facilitated their PA, and they offered several suggestions regarding how the school environment could better support their PA. From the perspective of self-determination theory (SDT), the results stress the importance of facilitating intrinsic motivation with a supportive PA environment in which adolescents can satisfy their needs for autonomy, competence, and relatedness. © 2017 by the authors. Licensee MDPI, Basel, Switzerland

  • 26.
    Jonsson, Linus
    et al.
    Department of Food and Nutrition and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Fröberg, Andreas
    Department of Food and Nutrition and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Korp, Peter
    Department of Food and Nutrition and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Larsson, Christel
    Department of Food and Nutrition and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Berg, Christina
    Department of Food and Nutrition and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Lindgren, Eva-Carin
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Department of Food and Nutrition and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Possibilities and Challenges in Developing and Implementing an Empowerment-based School-Intervention in a Swedish Disadvantaged Community2019In: Health Promotion International, ISSN 0957-4824, E-ISSN 1460-2245Article in journal (Refereed)
    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.

  • 27.
    Jonsson, Linus
    et al.
    Univ Gothenburg, Dept Food & Nutr & Sport Sci, Gothenburg, Sweden.
    Larsson, Christel
    Univ Gothenburg, Dept Food & Nutr & Sport Sci, Gothenburg, Sweden.
    Berg, Christina
    Univ Gothenburg, Dept Food & Nutr & Sport Sci, Gothenburg, Sweden.
    Korp, Peter
    Univ Gothenburg, Dept Food & Nutr & Sport Sci, Gothenburg, Sweden.
    Lindgren, Eva-Carin
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Univ Gothenburg, Dept Food & Nutr & Sport Sci, Gothenburg, Sweden.
    What undermines healthy habits with regard to physical activity and food?: Voices of adolescents in a disadvantaged community2017In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 12, article id 1333901Article in journal (Refereed)
    Abstract [en]

    This study aimed to illuminate factors that undermine the healthy habits of adolescents from a multicultural community with low socioeconomic status (S.E.S.) in Sweden with regard to physical activity (P.A.) and food, as stated in their own voices. Adolescents (n = 53, 12–13 y/o) were recruited from one school situated in a multicultural community characterized by low S. E.S. Embracing an interpretive approach, 10 focus-group interviews were conducted to produce data for the study. The focus-group interviews were audio recorded, transcribed verbatim, and analysed using qualitative content analysis. The analysis resulted in two major themes: (1) the availability of temptations is large, and support from the surroundings is limited; and (2) norms and demands set the agenda. The adolescents’ voices illuminate a profound awareness and the magnitude of tempting screen-based activities as undermining their P.A. and healthy food habits. Moreover, several gender boundaries were highlighted as undermining girls’ P.A. and healthy food habits. The adolescents’ stories illuminated that it is difficult for them, within their environment, to establish healthy habits with regard to P.A. and food. To facilitate the adolescents’ healthy habits, we suggest that support from family, friends, the school, and society at large is essential.

  • 28.
    Karlsson, Jan
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Winroth, Jan
    Högskolan Väst, Trollhättan, Sweden.
    Bremander, Ann
    Halmstad University, School of Business, Engineering and Science, The Rydberg Laboratory for Applied Sciences (RLAS).
    Haglund, Emma
    Halmstad University, School of Business, Engineering and Science, The Rydberg Laboratory for Applied Sciences (RLAS).
    Holmquist, Mats
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Lindgren, Eva-Carin
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Lydell, Marie
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Staland Nyman, Carin
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Förändringsledarskap vid digital transformation inom vård och omsorg: En sammanfattande rapport från kompetensutvecklingsprojektet ”Trygg motivation och inspiration” i Kungsbacka kommun 20182018Report (Other academic)
  • 29.
    Kittelman-Flensner, Karin
    et al.
    Department of Social and Behavioural Studies, University West, Vänersborg, Sweden.
    Korp, Peter
    Department Food and Nutrition and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Lindgren, Eva-Carin
    Department Food and Nutrition and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    "Everyone can play football no matter where they come from": Discourses in open sport activities for newly arrived children and teenagers2017Conference paper (Refereed)
    Abstract [en]

    The recent international crises has brought about the largest movements of refugees since World War II. There is a need for constructive strategies to manage the challenges the comprehensive migration imposes on society's ability to integrate new residents. Research highlights the central role of civil society organizations to create trust, social networks and civic engagement, i.e. basic conditions for a democratic society (Putnam, 2013; Wijkström, 2012). International research also shows that civil society organizations and the voluntary sector can have a compensating function for economically and socially disadvantaged groups (Field, 2005; Portes & Rumbaut; Zhou & Kim, 2006). Many of these organizations have an ambition to welcome newcomers and offer a social milieu and a meaningful leisure time. Sports are often considered as contributing to the inclusion in society of marginalized groups (Misener & Mason, 2006; Schulenkorf & Edwards, 2012). There is a well-established notion that participation in sports promotes positive identity construction, social inclusion and education for democratic citizenship (cf. Donnelly & Coakley, 2002). However, there is little scientific evidence that sport has the potential to fulfill this role,

    In Sweden a strong emphasis has been put on the role of sports clubs to actively strengthen democratic values and equality. Different governments have provided extensive funding for this purpose, but also for the purpose of including children and youth independent of who they are and were they come from. However, there is little scientific evidence that sport clubs and their activities has the potential to fulfill this role in the community and there is very little systematically developed knowledge of how sporting activities and programs should be designed to achieve positive social outcomes (Rich, Misener & Dubeau, 2015). It is the leaders in the clubs that have the challenging task of ensuring that the objective of developing democratic values, equality, inclusion and well-being come true. Therefore it is important to examine how they understand and translate such normative goals into action.

    The overall aim of the study is to explore the ways in which a sport club, in the context of open sport activities, are working with and potentially promoting values such as intercultural understanding, inclusion and equality among young people, of which a significant part are new arrivals in Sweden.  Research questions focused in this presentation are:

    • How are the open sports activities  organized, and what are their stated purposes?
    • What kind of discourses and practices dominate among the leaders of the open sport activities?

    The sport club studied has since 2010 worked actively with various social projects aiming to promote intercultural understanding, inclusion, gender equality, counteract effects of social and economic segregation and increase young people's agency. The club is a football club which conducts organized football training for children and young people but have also "open sports activities" which is free of charge and requires no registration. Every other Friday arrange the sport club Sporty Friday” where they offer young people the opportunity to try basketball, football, table tennis, boxing, martial arts, wrestling and fencing. They also offer open football for both boys and girls and every week they engage 100-300 children and teenagers. These activities are financially supported by the municipality and are the focus of this research project.

  • 30.
    Lindgren, Eva-Carin
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Empowering young female athletes - a possible challenge to the male hegemony in sport: a descriptive and interventional study2002Doctoral thesis, monograph (Other academic)
    Abstract [en]

    N/A

  • 31.
    Lindgren, Eva-Carin
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Kan stärkta idrottsflickor utmana den manliga hegemonin inom idrotten?2003In: SVEBIS årsbok: aktuell beteendevetenskaplig idrottsforskning. 2003 / [ed] Göran Patriksson, Lund: Svensk förening för beteendevetenskaplig idrottsforskning (SVEBI) , 2003, p. 81-100Chapter in book (Other academic)
  • 32.
    Lindgren, Eva-Carin
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Annerstedt, Claes
    Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Dohlsten, John
    Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    “The individual at the centre” – a grounded theory explaining how sport clubs retain young adults2017In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 12, no 1, article id 1361782Article in journal (Refereed)
    Abstract [en]

    Purpose: There is still a lack of knowledge regarding which social processes occur in sport clubs and what factors influence young adults to want to remain in a sport club context. Thus, the purpose of this study was to construct a grounded theory (GT) explaining how sport clubs can retain their young adults.

    Method: The study uses an intersectional approach. In line with constructivist GT methodology, data from 14 focus-group interviews (27 coaches and 28 young adults) were collected and analysed using a constant comparative method.

    Results: The core category, “The individual at the centre of a community”, summarizes a process, whereby the generated GT contains three main categories, namely (1) “Participation and influence”, (2) “Social connectedness” and (3) “Good conditions”.

    Conclusions: The coaches put the individual at the centre of a community and pay attention to the needs and interests of all the young adults, regardless of their background, ambitions, and skills. However, while the idea of a moral imperative to provide for diversity was not directly absent in the discussions with both the coaches and young adults, most of the diversity approaches seemed to be based on ambition and skills, gender, age and sexuality.

  • 33.
    Lindgren, Eva-Carin
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Baigi, Amir
    Section of Primary Health Care, Department of Public Health and Community Medicine, Institute of Medicine at Sahlgrenska Academy, University of Gothenburg, Gothenburg.
    Apitzsch, Erwin
    Department of Psychology, Lund University.
    Bergh, Håkan
    Research and Development Unit (R&D) General Practice and Public Health, Halland County Council, Falkenberg.
    Impact of a 6-month empowerment-based exercise intervention programme in non-physically active adolescent Swedish girls2010In: Health Education Journal, ISSN 0017-8969, E-ISSN 1748-8176, Vol. 70, no 1, p. 9-20Article in journal (Refereed)
    Abstract [en]

    Objective: This study evaluated changes in self-efficacy in non-physically active adolescent girls (13–19 years old) who participated in a six-month, empowerment-based exercise intervention programme (EIP).

    Design: The study used a pre- and post-test randomized group design and included one pre- and one post-test (at six months) and non-physically active adolescent girls (N = 110) were assigned to an intervention group (n = 54) or a comparison group (n = 56).

    Setting: Two upper secondary schools and five secondary schools, located in the low socio-economic areas of two communities in southern Sweden were involved in the study.

    Method: The Swedish version of a 10-item General Self-efficacy Scale (GSES) and the Social Barriers to Exercise Self-efficacy Questionnaire (SPBESQ) were used. In addition, BMI and results from a physical fitness test were measured. For statistical analysis, the Mann-Whitney U-test and the Wilcoxon’s matched-pairs signed-rank test were used.

    Results: Analysis showed a statistically significant difference in GSES scores (p = 0.037) between the groups after the EIP was implemented. Girls in the intervention group had increased their levels of general perceived self-efficacy (p = 0.004). Both groups increased their level of physical fitness (intervention, p = 0.06 and control, p = 0.013). BMI increased in the control group (p = 0.031).

    Conclusions: The EIP had an impact on adolescent girls’ general perceived self-efficacy and can be regarded as an outcome of empowerment that indicates the development of the adolescent girls’ ability to effectively deal with a variety of stressful situations in general.

  • 34.
    Lindgren, Eva-Carin
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Baigi, Amir
    Department of Public Health and Community Medicine, Göteborg University, Göteborg.
    Bergh, Håkan
    Department of Public Health and Community Medicine, Göteborg University, Göteborg.
    The impact of an empowerment based exercise programme for non-physically active adolsecent girls on social physique anxiety as well as general and specific self-efficiacy2009Conference paper (Refereed)
  • 35.
    Lindgren, Eva-Carin
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Barker-Ruchti, Natalie
    Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Balancing performance-based expectations with a holistic perspective on coaching: a qualitative study of Swedish women’s national football team coaches’ practice experiences2017In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 12, no 1, article id 1358580Article in journal (Refereed)
    Abstract [en]

    Purpose: The purpose of this study was to explore how an exclusive sample of women’s national football team coaches described how they implement careful coaching while facing social and organizational pressure to win medals.

    Method: To consider coaches’ negotiations, we drew on Noddings’ concept of caring. Using an interpretive research paradigm, we conducted in-depth interviews with five Swedish women’s national football team coaches. An abductive approach was used to simultaneously process the theoretical framework of “ethics of care” and the empirical data.

    Results: The coaches unanimously adopted a holistic perspective to coaching. The coaching strategies they described included promoting players’ development, well-being, and sustainable elite performance; listening to the players’ voices and engaging in dialogue; and creating a positive environment and promoting fair play.

    Conclusions: These findings demonstrate that the women coaches, despite performance pressure, adopt caring coaching in the form of Noddings’ pedagogical modelling, dialogue, and confirmation strategies, and provide an example of how coaches can adopt caring, holistic, and athlete-centred coaching while working at the highest level of competitive sport and achieving competitive success. 

    © 2017 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. 

  • 36.
    Lindgren, Eva-Carin
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Eriksson, Linn
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Fanatiska levnadsvanor för hälsa eller kroppsligt utseende?2010In: Hälsa & Livsstil: Forskning & praktiska tillämpningar / [ed] Lillemor Hallberg, Lund: Studentlitteratur , 2010, p. 227-240Chapter in book (Other academic)
  • 37.
    Lindgren, Eva-Carin
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Fridlund, Bengt
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Influencing Exercise Adherence in Physically Non-active Young Women: Suggestion for a Model1999In: Women in Sport & Physical Activity Journal, ISSN 1063-6161, E-ISSN 1938-1581, Vol. 8, no 2, p. 17-44Article in journal (Refereed)
    Abstract [en]

    The purpose of this study was to develop a theoretical understanding of what could influence exercise adherence in physically non-active young women. Interviews with twelve physically non-active young women werw strategically selected and analyzed by grounded theory. The results were that several factors could influence exercise adherence in physically non-active young women, and that these factors can be regarded as a number of interrelated dimensions. The influence was coming either from the exercise or from the environment connected to the exercise. The participants wanted to feel enjoyment and to learn something during the exercise (recreation/learning influence). They also wanted to feel belongingness during the exercise (social influence). An influence that promotes health or builds skills (investment influence) could be a trigger to start exercising among the participants, but not to maintain exercise adherence. Influence coming from the environment (enabling influence) was both important and stimulating for physically non-active young women in establishing regular exercise. It is important to present the model developed in this study to communities, sport federations and other authorities working with health promotion activities so that they can explore innovative ways to promote exercise adherence among physically non-active young women. Good examples could be to offer non-cometitive sports as well as to develop well-designed exercise programs for physically non-active young women.

  • 38.
    Lindgren, Eva-Carin
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Fridlund, Bengt
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Motives for participation in sport and exercise among young women2000In: Sport Psychology Conference in the New Millennium -A dynamic research-practice perspective, proceedings / [ed] Björn A. Carlsson, Urban Johnson, Fredrik Wetterstrand, Halmstad: Centre for Sport Science [Centrum för idrottsvetenskap] , 2000, p. 254-258Conference paper (Refereed)
  • 39.
    Lindgren, Eva-Carin
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Department of Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
    Haraldsson, Katarina
    Department of Research and Development within Education, Region Jönköping County, Jönköping, Sweden & Department of Public Health and Community Medicine/Primary Health Care, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Håman, Linn
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    ‘Pulse for learning and health [PuLH]’ in primary school; pupil’s experiences2019Conference paper (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.

  • 40.
    Lindgren, Eva-Carin
    et al.
    department of Food and Nutrition, and sport science, university of Gothenburg, Gothenburg, Sweden.
    Hildingh, Cathrine
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Linnér, Susanne
    department of sport science, Linneus university, Växjö, Sweden.
    Children’s stories about team selection: a discourse analysis2017In: Leisure Studies, ISSN 0261-4367, E-ISSN 1466-4496, Vol. 36, no 5, p. 633-644Article in journal (Refereed)
    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

  • 41.
    Lindgren, Eva-Carin
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Hinic, Hansi
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Förekommer ”toppning” inom barnidrotten?2005In: SVEBIS årsbok: aktuell beteendevetenskaplig idrottsforskning. 2005 / [ed] Göran Patriksson, Lund: Svensk förening för beteendevetenskaplig idrottsforskning (SVEBI) , 2005, p. 109-132Chapter in book (Other academic)
  • 42.
    Lindgren, Eva-Carin
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Hinic, Hansi
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    "Toppningsstudien": en kvalitativ analys av barn och ledares uppfattningar av hur lag konstitueras inom barnidrott2005Book (Other (popular science, discussion, etc.))
  • 43.
    Lindgren, Eva-Carin
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Patriksson, Göran
    University of Gothenburg, Gothenburg, Sweden.
    Fridlund, Bengt
    Halmstad University, School of Social and Health Sciences (HOS).
    Empowering young female athletes through a self-strengthening programme: A qualitative analysis2002In: European Physical Education Review, ISSN 1356-336X, E-ISSN 1741-2749, Vol. 8, no 3, p. 230-248Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe how young female athletes perceived the influences of a self-strengthening programme. The self-strengthening programme for young female athletes was run by the Swedish Sport Confederation. The programme was designed to empower young female athletes. The study methodology was based on a phenomenographic approach and entailed interviews with a strategically selected group of 14 participants in the programme. The informants were between 13 and 20 years of age and came from individual and team sports. The findings show that perceived influences of the programme were: a feeling of self-confidence; a feeling of being seen and confirmed; awareness of women’s issues; a feeling of belongingness; and an improvement in coaching skills. The self-strengthening programme empowered young female athletes due to increased self-efficacy and an increased awareness of women’s issues.

  • 44.
    Lindgren, Eva-Carin
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Tebelius, Ulla
    Halmstad University, School of Education, Humanities and Social Science, Center for Social Analysis (CESAM).
    Fridlund, Bengt
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    The impact of sport on young women’s attitude to physical activity in adult life2000In: Women in Sport & Physical Activity Journal, ISSN 1063-6161, E-ISSN 1938-1581, Vol. 9, no 1, p. 65-86Article in journal (Refereed)
    Abstract [en]

    Sport participation or regular physical activity is often seen as a factor, which leads to better health and well being. Sport also has a social function, as most of the activities are performed together with other people. However, while club sports in Sweden have a stimulating effect on young men, there is a risk that they do not provide enough scope for young women. In particular, early specialization and a high level of seriousness do not suit all young sportswomen. The purpose of this study was to develop a theoretical understanding of the ways in which sport has influenced young women’s lifestyles in terms of their attitudes to physical activity in adult life. The data were collected using strategic interviews and analyzed using the grounded theory method. Based upon the results, young women’s physically active lifestyles varied depending on how they valued their sport in combination with how they handled their sport. Sport was regarded as having a positive effect on health and well-being. This led to the young women studied intending to pursue a physically active lifestyle also in adult life. They enjoyed participating in sport, but not particularly sport with a high level of seriousness or a high level of vigor, which is what characterizes most club sports today.

  • 45.
    Lindwall, Magnus
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Lindgren, Eva-Carin
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    The effects of a 6-month exercise intervention programme on physical self-perceptions and social physique anxiety in non-physically active adolescent Swedish girls2005In: Psychology of Sport And Exercise, ISSN 1469-0292, E-ISSN 1878-5476, Vol. 6, no 6, p. 643-658Article in journal (Refereed)
    Abstract [en]

    Objectives:

    To examine the effects of a 6-month exercise intervention programme (EIP) on physical self-perceptions (PSP) and social physique anxiety (SPA) of non-physically active adolescent Swedish girls.

    Methods:

    A true experimental design with randomization into an intervention or control group was used. The empowerment based EIP, offered to the intervention group twice a week for 6 months, consisted of 45-min exercise sessions followed by 15 min of discussions regarding a healthy lifestyle. A variety of exercise activities, chosen by the participants themselves, were used. Twenty-seven participants in the intervention group and 35 in the control group completed the Physical Self-Perception Profile (PSPP) and the Social Physique Anxiety Scale (SPAS) at pre- and posttest and, in addition, physical fitness, weight and height were measured.

    Results and conclusions:

    The intent to treat analysis showed no significant improvements in PSPP subdomains, but lower SPAS scores for the intervention group, compared to the control group. However, when using a less conservative analysis, including only those who completed assessments both pre- and post-intervention, the intervention significantly reduced both PSPP subdomain and SPAS scores. The changes in PSPP and SPAS scores were not linked to changes in physiological variables. The results are put in the context of previous longitudinal and review studies, theoretical frameworks and models. The direction of effects, possible mechanisms and limitations of the study are discussed along with practical applications linked to exercise and modern diseases.

  • 46.
    Marklund, Bertil
    et al.
    FoU-enheten, Primärvården Halland.
    Baigi, Amir
    FoU-enheten, Primärvården Halland.
    Bergh, Håkan
    FoU-enheten, Primärvården Halland.
    Haraldsson, Katarina
    FoU-enheten, Primärvården Halland.
    Lindgren, Eva-Carin
    FoU-enheten, Primärvården Halland.
    Wendt, Eva
    FoU-enheten, Primärvården Halland.
    Lennartsson, Ingrid
    FoU-enheten, Primärvården Halland.
    Ung i Halland2006Report (Other (popular science, discussion, etc.))
    Abstract [sv]

    De främsta miljöerna där barn/ungdomar vistas är i hemmet, skolan och fritiden. Dessa miljöer har därmed stor betydelse för ungdomars hälsa och välbefi nnande. Under sin uppväxt tillbringar t.ex. barn mer än 15 000 timmar i skolan!

    Det är viktigt att ställa sig frågorna; Vad kan göras för att bevara, stärka och främja hälsan och välbefi nnandet för alla ungdomar? Vilka generella insatser har betydelse oavsett om det gäller i hemmet, i skolan eller på fritidsarenan? Vad kan göras för att förebygga och komma tillrätta med den ohälsa som vi kan se drabbar ungdomarna idag? Vilka specifi ka insatser har betydelse? Det är viktigt med konkreta insatser i många fall omgående, men det är också viktigt att tänka långsiktigt, att våga satsa tidigt och tänka efter före. Att även satsa på forsknings- och utvecklingsprojekt behövs för att på ett vetenskapligt sätt kunna följa upp konsekvenserna av olika insatser för att insatserna i framtiden skall bli så rätta som möjligt. Detta behöver göras för både generella och specifi ka insatser.

    Hälsa och välbefi nnande är ett välfärdsmått och därmed en politisk fråga på alla plan, lokalt, regionalt, nationellt och globalt. Barn och ungdomars hälsa och välbefi nnande är också en angelägenhet för alla, vår framtid, våga därför satsa nu! Delaktighet och infl ytande har positiv effekt på både hälsa och välbefinnande, låt därför barn och ungdomar i än större omfattning vara med och bestämma i de frågor som rör dem. Att utgå från Barnkonventionen ”att barns bästa ska sättas i främsta rummet samt att barn och unga har rätt till bästa uppnåeliga hälsa” i alla beslut som fattas är ett utmärkt utgångsläge – för framtiden!

  • 47.
    Marklund, Bertil
    et al.
    Allmänläkare, Professor, FoUU Halland.
    Baigi, Amir
    Epidemiolog, Docent, FoUU Halland.
    Bergh, Håkan
    Allmänläkare, Med Dr, FoUU Halland.
    Haraldsson, Katarina
    Folkhälsovetare, Med Dr, FoUU Halland.
    Lindgren, Eva-Carin
    FoUU Halland.
    Ström, Mayvor
    Sjuksköterska, Med Dr, FoUU Halland.
    Hur mår hallänningen? : Hallands resultat från nationella folkhälsoenkäten – Hälsa på lika villkor2010Report (Other academic)
  • 48.
    Mirskaya, Maria
    et al.
    Halmstad University, School of Health and Welfare.
    Lindgren, Eva-Carin
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Carlsson, Ing-Marie
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Ruined active life: Experiences of fertile women with symptomatic pelvic organ prolapse in daily physical active life2019Conference paper (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.

  • 49.
    Nilsson, Pia
    et al.
    Research and Development Unit, Primary Health Care, General Practice and Public Health, Falkenberg, Sweden.
    Lindgren, Eva-Carin
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Månsson, Jörgen
    Department of Primary Health Care, Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden.
    Lateral epicondylalgia. A quantitative and qualitative analysis of interdisciplinary cooperation and treatment choice in the Swedish health care system2012In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 26, no 1, p. 28-37Article in journal (Refereed)
    Abstract [en]

    Objective and aim: Interdisciplinary cooperation is essential to develop a broad range of knowledge and skills. The aim of this study was to describe health care professionals' treatment choices, their cooperation with other professionals and their perceptions of potential risks regarding treatments of acute lateral epicondylalgia (LE).

    Design: A quantitative descriptive study design with a summative approach to qualitative analysis.

    Ethical issues: The ethical committee was asked verbally for approval but, as this study was performed to develop an organised way to treat LE, it did not require approval. The four ethical aspects information, consent, confidentiality and the use of the study materials were all addressed.

    Subjects: All orthopaedic surgeons, general practitioners, physiotherapists and occupational therapists in a county.

    Methods: Questionnaire with 18 dichotomous, multiple-response, multiple-choice questions and three open-ended questions were analysed using quantitative cross-tab and qualitative content analysis with summative approach.

    Results: The most common treatment choices were Non Steroidal Anti Inflammatory Drugs (NSAID), corticosteroid injections, training programmes, braces and ergonomics. Advantages from interdisciplinary cooperation were higher rated than disadvantages. The qualitative findings dealt with perceptions of interdisciplinary cooperation and resulted in three categories; right level of care, increased quality of care and decreased quality of care. Almost half of the physicians felt potential risks associated with their treatment methods. The qualitative findings dealt with perceptions of the potential risks and resulted in two categories: side effects and inadequate treatment.

    Study limitations: The number of responses varied because some of the respondents did not answered all of the questions.

    Conclusion: Interdisciplinary cooperation in the treatment of patients with acute LE benefits the patients by shortening the rehabilitation period and provides health care professionals the opportunity for an improved learning and exchanging experiences. These basic conditions must be met to improve health care quality.

  • 50. Ström, Josefina
    et al.
    Lindgren, Eva-Carin
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Rekryteringsstrategier av aktiva och ledare inom idrottsföreningar: ett genusperspektiv2005In: SVEBIS årsbok: aktuell beteendevetenskaplig idrottsforskning. 2005 / [ed] Göran Patriksson, Lund: SVEBI , 2005, p. 173-187Chapter in book (Other academic)
1 - 50 of 50
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf