hh.sePublications
Change search
Refine search result
1 - 15 of 15
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • 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.
    Etminani, Kobra
    et al.
    Halmstad University, School of Information Technology, Halmstad Embedded and Intelligent Systems Research (EIS), CAISR - Center for Applied Intelligent Systems Research.
    Engström, Arianna Tao
    Halmstad University, School of Information Technology.
    Göransson, Carina
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Sant'Anna, Anita
    Halmstad University, School of Information Technology, Halmstad Embedded and Intelligent Systems Research (EIS), CAISR - Center for Applied Intelligent Systems Research.
    Nowaczyk, Sławomir
    Halmstad University, School of Information Technology, Halmstad Embedded and Intelligent Systems Research (EIS), CAISR - Center for Applied Intelligent Systems Research.
    How Behavior Change Strategies are Used to Design Digital Interventions to Improve Medication Adherence and Blood Pressure Among Patients With Hypertension: Systematic Review2020In: Journal of Medical Internet Research, E-ISSN 1438-8871, Vol. 22, no 4, article id e17201Article in journal (Refereed)
    Abstract [en]

    Background: Information on how behavior change strategies have been used to design digital interventions (DIs) to improve blood pressure (BP) control or medication adherence (MA) for patients with hypertension is currently limited.

    Objective: Hypertension is a major modifiable risk factor for cardiovascular diseases and can be controlled with appropriate medication. Many interventions that target MA to improve BP are increasingly using modern digital technologies. This systematic review was conducted to discover how DIs have been designed to improve MA and BP control among patients with hypertension in the recent 10 years. Results were mapped into a matrix of change objectives using the Intervention Mapping framework to guide future development of technologies to improve MA and BP control.

    Methods: We included all the studies regarding DI development to improve MA or BP control for patients with hypertension published in PubMed from 2008 to 2018. All the DI components were mapped into a matrix of change objectives using the Intervention Mapping technique by eliciting the key determinant factors (from patient and health care team and system levels) and targeted patient behaviors.

    Results: The analysis included 54 eligible studies. The determinants were considered at two levels: patient and health care team and system. The most commonly described determinants at the patient level were lack of education, lack of self-awareness, lack of self-efficacy, and forgetfulness. Clinical inertia and an inadequate health workforce were the most commonly targeted determinants at the health care team and system level. Taking medication, interactive patient-provider communication, self-measurement, and lifestyle management were the most cited patient behaviors at both levels. Most of the DIs did not include support from peers or family members, despite its reported effectiveness and the rate of social media penetration.

    Conclusions: This review highlights the need to design a multifaceted DI that can be personalized according to patient behavior(s) that need to be changed to overcome the key determinant(s) of low adherence to medication or uncontrolled BP among patients with hypertension, considering different levels including patient and healthcare team and system involvement. © Kobra Etminani, Arianna Tao Engström, Carina Göransson, Anita Sant’Anna, Sławomir Nowaczyk.

    Download full text (pdf)
    fulltext
  • 2.
    Etminani, Kobra
    et al.
    Halmstad University, School of Information Technology, Halmstad Embedded and Intelligent Systems Research (EIS), CAISR - Center for Applied Intelligent Systems Research.
    Göransson, Carina
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Galozy, Alexander
    Halmstad University, School of Information Technology, Halmstad Embedded and Intelligent Systems Research (EIS), CAISR - Center for Applied Intelligent Systems Research.
    Norell Pejner, Margaretha
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Nowaczyk, Sławomir
    Halmstad University, School of Information Technology, Halmstad Embedded and Intelligent Systems Research (EIS), CAISR - Center for Applied Intelligent Systems Research.
    Improving Medication Adherence Through Adaptive Digital Interventions (iMedA) in Patients With Hypertension: Protocol for an Interrupted Time Series Study2021In: JMIR Research Protocols, E-ISSN 1929-0748, Vol. 10, no 5, article id e24494Article in journal (Refereed)
    Abstract [en]

    Background: There is a strong need to improve medication adherence (MA) for individuals with hypertension in order to reduce long-term hospitalization costs. We believe this can be achieved through an artificial intelligence agent that helps the patient in understanding key individual adherence risk factors and designing an appropriate intervention plan. The incidence of hypertension in Sweden is estimated at approximately 27%. Although blood pressure control has increased in Sweden, barely half of the treated patients achieved adequate blood pressure levels. It is a major risk factor for coronary heart disease and stroke as well as heart failure. MA is a key factor for good clinical outcomes in persons with hypertension.

    Objective: The overall aim of this study is to design, develop, test, and evaluate an adaptive digital intervention called iMedA, delivered via a mobile app to improve MA, self-care management, and blood pressure control for persons with hypertension.

    Methods: The study design is an interrupted time series. We will collect data on a daily basis, 14 days before, during 6 months of delivering digital interventions through the mobile app, and 14 days after. The effect will be analyzed using segmented regression analysis. The participants will be recruited in Region Halland, Sweden. The design of the digital interventions follows the just-in-time adaptive intervention framework. The primary (distal) outcome is MA, and the secondary outcome is blood pressure. The design of the digital intervention is developed based on a needs assessment process including a systematic review, focus group interviews, and a pilot study, before conducting the longitudinal interrupted time series study.

    Results: The focus groups of persons with hypertension have been conducted to perform the needs assessment in a Swedish context. The design and development of digital interventions are in progress, and the interventions are planned to be ready in November 2020. Then, the 2-week pilot study for usability evaluation will start, and the interrupted time series study, which we plan to start in February 2021, will follow it.

    Conclusions: We hypothesize that iMedA will improve medication adherence and self-care management. This study could illustrate how self-care management tools can be an additional (digital) treatment support to a clinical one without increasing burden on health care staff. © Kobra Etminani, Carina Göransson, Alexander Galozy, Margaretha Norell Pejner, Sławomir Nowaczyk.

  • 3.
    Göransson, Carina
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Eriksson, I.
    School of Health and Education, University of Skövde, Skövde, Sweden.
    Ziegert, Kristina
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Wengström, Y.
    Cancer Theme, Karolinska University Hospital, Stockholm, Sweden.
    Langius-Eklöf, Ann
    Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
    Brovall, M.
    School of Health and Education, University of Skövde, Skövde, Sweden.
    Kihlgren, A.
    Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden.
    Blomberg, K.
    Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden.
    Testing an app for reporting health concerns-Experiences from older people and home care nurses2018In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 13, no 2, article id e12181Article in journal (Refereed)
    Abstract [en]

    Aims and objectives: To explore the experiences of using an app among older people with home-based health care and their nurses. Background: Few information and communication technology innovations have been developed and tested for older people with chronic conditions living at home with home-based health care support. Innovative ways to support older people's health and self-care are needed. Design: Explorative qualitative design. Methods: For 3 months to report health concerns, older people receiving home-based health care used an interactive app, which included direct access to self-care advice, graphs and a risk assessment model that sends alerts to nurses for rapid management. Interviews with older people (n = 17) and focus group discussions with home care nurses (n = 12) were conducted and analysed using thematic analysis. Results: The findings reveal that a process occurs. Using the app, the older people participated in their care, and the app enabled learning and a new way of communication. The interaction gave a sense of security and increased self-confidence among older people. The home care nurses viewed the alerts as appropriate for the management of health concerns. However, all participants experienced challenges in using new technology and had suggestions for improvement. Conclusions: The use of an app appears to increase the older people's participation in their health care and offers them an opportunity to be an active partner in their care. The app as a new way to interact with home care nurses increased the feeling of security. The older people were motivated to learn to use the app and described potential use for it in the future. Implications for practice: The use of an app should be considered as a useful information and communication technology innovation that can improve communication and accessibility for older people with home-based health care. © 2017 John Wiley & Sons Ltd

  • 4.
    Göransson, Carina
    et al.
    Halmstad University, School of Health and Welfare.
    Larsson, Ingrid
    Halmstad University, School of Health and Welfare.
    Carlsson, Ing-Marie
    Halmstad University, School of Health and Welfare.
    Art of connectedness: Value-creating care for older persons provided with toileting assistance and containment strategies—A critical interpretive synthesis2023In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 32, no 9-10, p. 1806-1820Article in journal (Refereed)
    Abstract [en]

    Aims and objectives

    The aim was to conduct a synthesis of the literature on value-creating care for older persons with incontinence provided with toileting assistance and containment strategies, from the perspectives of older persons and healthcare professionals.

    Background

    Incontinence is a health problem for many persons worldwide and the problem will increase as the global population ages. It can have a profound impact on a person's wellbeing, and assistance with toileting and containment strategies is common in home care settings and nursing homes.

    Design

    The design was a literature review with an iterative, reflexive and critical approach.

    Methods

    A critical interpretive synthesis was conducted. Ten papers published between 2011 and 2019 were analysed. The PRISMA -ScR Checklist was used in this review.

    Results

    Based on the findings, the conceptual construct ‘The art of connectedness’ was developed, built on co-created care, personalised care and reflective care between the older person and healthcare professionals. Co-created care is based on establishing a relationship, building trust and respecting preferences. Personalised care consists of meeting the person's needs, promoting comfort and maintaining self-determination. Reflective care entails showing empathy, upholding the person's dignity and developing professional competence.

    Conclusions

    Value-creating care consists conceptually of a connectedness that starts with co-creating the care together with the older person in a close relationship. Assistance is given and received based on the older person's individual needs and is highly valued by the older person as it helps them maintain self-determination. Reflective care is of importance for healthcare professionals.

    Relevance for practice

    The findings are hoped to enhance healthcare professionals’ understanding of how to improve the clinical encounter in nursing when providing assistance. They may also stimulate critical reflection among healthcare professionals on how to improve assistance to meet the older person's values. © 2022 The Authors. 

  • 5.
    Göransson, Carina
    et al.
    Halmstad University, School of Health and Welfare.
    Larsson, Ingrid
    Halmstad University, School of Health and Welfare.
    Huige, Nicole
    Essity Hygiene and Health AB.
    Carlsson, Ing-Marie
    Halmstad University, School of Health and Welfare.
    Value-creating continence care for older persons2022In: ICS 2022 Vienna Abstracts, Amsterdam: Elsevier, 2022Conference paper (Refereed)
    Download full text (pdf)
    fulltext
  • 6. Göransson, Carina
    et al.
    Skärsäter, Ingela
    Göteborgs universitet, Göteborg, Sverige.
    Wijk, Helle
    Göteborgs universitet, Göteborg, Sverige.
    Kvalitetsutveckling inom hälso- och sjukvård2006In: Grundläggande omvårdnad. 4 / [ed] Nina Jahren Kristoffersen, Finn Nortvedt & Eli-Anne Skaug, Stockholm: Liber, 2006, 1, p. 152-171Chapter in book (Refereed)
  • 7.
    Göransson, Carina
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden.
    Wengström, Yvonne
    Theme Cancer, Karolinska University Hospital, Stockholm, Sweden & Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden.
    Hälleberg-Nyman, Maria
    Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden.
    Langius-Eklöf, Ann
    Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden.
    Ziegert, Kristina
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Blomberg, Karin
    Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden.
    An app for supporting older people receiving home care – usage, aspects of health and health literacy: a quasi-experimental study2020In: BMC Medical Informatics and Decision Making, E-ISSN 1472-6947, Vol. 20, article id 226Article in journal (Refereed)
    Abstract [en]

    Background: During the last decade, there has been an increase in studies describing use of mHealth, usingsmartphones with apps, in the healthcare system by a variety of populations. Despite this, few interventions including apps are targeting older people receiving home care. Developing mobile technology to its full potential of being interactive in real time remains a challenge. The current study is part of a larger project for identifying and managing health concerns via an app by using real-time data. The aim of the study was to describe older people’s usage of an app and to evaluate the impact of usage on aspects of health and health literacy over time.Methods: A quasi-experimental design was employed. Seventeen older people self-reported health concerns via Interaktor twice a week for 3-months and answered questionnaires at baseline, the end of the intervention and at a 6–month follow-up. Logged data on app usage and data on Sense of Coherence, Health Index, Nutrition Form for the Elderly, Geriatric Depression Scale-20, Swedish Communicative and Critical Health Literacy and Swedish Functional Health Literacy were collected and analysed using descriptive and non-parametric inferential statistics.Results: The median usage of the app as intended was 96%. Pain was one of the most reported health concerns and was also the health concern that triggered an alert (n = 33). The older people’s communicative and critical health literacy improved significantly over time. Regarding the scores of Sense of Coherence, Health Index, Nutritional Form for the Elderly, Geriatric Depression Scale-20 and Swedish Functional Health Literacy scale, there were no significant differences over time.Conclusions: The high app usage showed that an app may be a suitable tool for some older people living alone and receiving home care. The results indicate that the usage of Interaktor can support older people by significantly improving their communicative and critical health literacy. Aspects of health were not shown to be affected by the usage of the app. Further research with larger sample is needed for evaluation the effect on health literacy, andwhich aspects of health of importance to support by an app. © 2020 The Author(s).

    Download full text (pdf)
    fulltext
  • 8.
    Göransson, Carina
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention. Örebro University, Örebro, Sweden.
    Wengström, Yvonne
    Karolinska Institutet, Stockholm, Sweden.
    Ziegert, Kristina
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Kihlgren, Annica
    Örebro University, Örebro, Sweden.
    Blomberg, Karin
    Örebro University, Örebro, Sweden.
    The elderly persons´ experiences of reporting health status in an ICT-platform2015In: Abstracts: 19th International Philosophy of Nursing Society (IPONS) conference: August 24-26, 2015 Karolinska Institutet, Stockholm, Sweden: Technology, Health Care and Person-centeredness: Beyond Utopia and Dystopia. Thinking the Future, Stockholm: Karolinska Institutet , 2015, p. 19-20Conference paper (Refereed)
    Abstract [en]

    Background

    More and more elderly persons are living in their own home and with support from home care due to health deterioration. This puts demands on society and especially health care to support health and self-care for the elderly persons. Therefore its essential to develop new innovative solutions which both enhance communication between the elderly person and the nurse and also increase the elderly persons´ involvement in their everyday care. An information- and communication technology (ICT)-platform was developed with content from the perspective from elderly persons, health care professionals and the literature. The platform is developed in collaboration with a Swedish company specialized in health care management consulting and new innovative care (Health Navigator). The aim with the project is to describe experiences an ICT-platform with focus on user friendly and acceptability by elderly persons living in own homes with assistance of home care nurses.

    Method

    The study has a mixed methods approach advocated for the evaluation of new technologies within health care. The design is underpinned by the Medical Research Council´s complex intervention framework.

    Elderly persons > 65 years, living in own homes, with assistance from home care nurses have regularly reported health status for three months. They have also access to evidence-based self-care advice with links to web-based pages and graph on reported health status. The home care nurse receive an alarm according to a risk assessment model and can instant  contact the elderly persons for discussion the health concerns.

    Individual interviews with the elderly persons are conducted after the intervention on the experience of using the ICT-platform, with focus on user friendly and acceptability .

    Results

    Preliminary results will be presented of the elderly persons experiences with focus on user friendly and acceptability of using an ICT-platform from reporting health status, using self-care advice and graph of reported health status.

  • 9.
    Göransson, Carina
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden.
    Wengström, Yvonne
    Cancer Theme, Karolinska University Hospital, Stockholm, Sweden; Department of Neurobiology, CareSciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden.
    Ziegert, Kristina
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Lagnius-Eklöf, Ann
    Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden.
    Blomberg, Karin
    Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden.
    Self-care ability and sense of security among older persons when using an app as a tool for support2020In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 34, no 3, p. 772-781Article in journal (Refereed)
    Abstract [en]

    The study's rationale: The need for home care among older persons is increasing, and mHealth is evolving to help meet the challenge. When developing an app to help maintain their health, it is essential to incorporate older persons' preferences.

    Aims and objectives: To describe and evaluate the experiences of self-care support and sense of security among older persons using an interactive app to report health concerns.

    Methodological design and justification: The study had a descriptive and evaluative design. Qualitative and quantitative methods were applied to achieve a broader understanding.

    Ethical issues and approval: Ethical approval was obtained from the Regional Ethical Review Board. The older persons received verbal and oral information about the study and gave written informed consent.

    Research methods: Questionnaires (n = 17 older persons) answered at baseline, end of the intervention and at a 6-month follow-up were analysed with statistical analysis. Interviews (n = 17 older persons) conducted at the end of the intervention were analysed using a qualitative directed approach.

    Measurements and intervention: The questionnaire included the Appraisal of Self-care Agency Scale and a question concerning sense of security. For 3 months, the older persons used an app for regular reporting of health concerns. The app included self-care advice, graphs and a risk assessment model that generated alerts directly to the nurses.

    Results: The older persons described how self-care and sense of security increased at the end of intervention, but statistically, it was shown to decrease afterwards.

    Study limitations: The small sample size for statistical analysis.

    Conclusions: This study shows that an app can be a complementary tool to conventional home care that can increase older persons' sense of security and self-care ability. The results mirror the older persons' awareness that the support they received with the app was only temporary. Larger studies are needed for generalisation. 

    © 2019 Nordic College of Caring Science.

  • 10.
    Göransson, Carina
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden.
    Wengström, Yvonne
    Division of Nursing, Department of Neurobiology, Care Science and Society, Karolinska Institutet, Stockholm, Sweden.
    Ziegert, Kristina
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Langius-Eklöf, Ann
    Division of Nursing, Department of Neurobiology, Care Science and Society, Karolinska Institutet, Stockholm, Sweden.
    Eriksson, Irene
    School of Life Sciences, University of Skövde, Skövde, Sweden.
    Kihlgren, Annica
    Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden.
    Blomberg, Karin
    Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden.
    Perspectives of health and self-care among older persons – To be implemented in an interactive information and communication technology-platform2017In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 26, no 23-24, p. 4745-4755Article in journal (Refereed)
    Abstract [en]

    Aim and objectives: To acquire knowledge regarding the contents to be implemented in an interactive information and communication technology-platform perceived to be relevant to health and self-care among older persons based on the literature, healthcare professionals and the older persons themselves. Background: The growing ageing population places demands on the healthcare system to promote healthy ageing and to strengthen the older person's self-care ability. This requires innovative approaches to facilitate communication between the older person and healthcare professionals, and to increase the older person's participation in their care. An information and communication technology-platform could be used for this purpose, but the content needs to be relevant to both the older persons and the healthcare professionals. Design: Descriptive qualitative design. Methods: This study was based on three samplings: a scoping review of the literature (n = 20 articles), interviews with healthcare professionals (n = 5) and a secondary analysis of interviews with older persons (n = 8) and nursing assistants (n = 7). The data were analysed using qualitative content analysis. Results: Four areas were identified to be of relevance to older persons' perceived health: frame of mind, having relationships and social activities, physical ability and concerns, and maintaining self-care. Self-care was described in the literature and by the healthcare professionals more than by the older persons. Conclusions: The results show a concordance in the data samplings that give a clear indication of the areas relevant to older persons' health and self-care that can be integrated in an interactive information and communication technology-platform for use in regular daily care assessments. Descriptions of self-care were limited indicating a possible gap in knowledge that requires further research. Relevance to clinical practice: Areas relevant to older persons' health and self-care could be used for regular assessment to support and promote healthy ageing. © 2017 John Wiley & Sons Ltd

  • 11.
    Göransson, Carina
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention. School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Ziegert, Kristina
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Kihlgren, Annica
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Wengström, Yvonne
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden & Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden.
    Blomberg, Karin
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Increased well-being and participatory care for older adults with support of an interactive web-based platform2014In: Book of Abstracts: Nobel Day Festivities 10th of December 2014, 2014, p. 12-12Conference paper (Refereed)
  • 12.
    Göransson, Carina
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Ziegert, Kristina
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Wengström, Yvonne
    Karolinska institutet, Huddinge, Sweden.
    Kihlgren, Annica
    Örebro University, Örebro, Sweden.
    Blomberg, Karin
    Örebro University, Örebro, Sweden.
    Feasibility and acceptability of an interactive ICT-platform in older adults for participatory care2015In: ACENDIO 2015: eHealth and Nursing: Knowledge for Patient Care / [ed] Fintan Sheerin, Walter Sermeus & Anna Ehrenberg, Dublin: Association for Common European Nursing Diagnoses, Interventions and Outcomes , 2015, p. 328-330Conference paper (Refereed)
    Abstract [en]

    Background

    The increasing ageing population puts demands on society and particularly on health care system to promote a health related qualityof life. Thus, it is necessary to develop strategies that promote self-care among older adults that enable them to live in their own homes as long as possible and to make them feel safe and involved in their care. In order to encourage their participationin their care, new innovative solutions are needed. The market of information-and communication technology (ICT)-based platforms directed to the health care arena has exploded during recent years. Despite the large range of products few are developed withinteractive components. In collaboration within a multicenter research group and a Swedish health care company (Health Navigator) an ICT-platform is developed for use in a mobile phone or tablet that includes an interactive mobile application for reporting problems and concerns. This platform is unique through the real-time communication enabling rapid management of early-detected problems.

    Aim

    The aim with the project is to evaluate an ICT-platform by older adults living in own homes with assistance from home care nurses in a community in Sweden.

    Method

    The study is prospective and has a mixed methods approach advocated for the evaluation of new technologies within healthcare. This includes a quantitative approach to evaluate effects, qualitative methods such as interviews and focus group discussions to evaluate how patients and health care professionals perceive the intervention. The design is underpinned by the Medical Research Council’s complex intervention evaluation framework. Thirty older adults >65 years or above, living in their own homes, with assistance from home care nurses have through an application in a tablet reported health status twice a week and when needed during three months. They have continuous access to evidence based self-care advice directly related to their reported problems and concerns. The risk assessment model sends alarms to involved nurses via text messaging (SMS). This initiates an interaction between the nurse and the older adult who is contacted by telephone to discuss the reported problems. Furthermore, the nurses in charge can also log into a web-interface and view the reports of the participants. Individually interviews with the older adults and focus groups interviews with nurses are conducted after the study period. Questionnaires are given to the older adults before intervention, after the study ́s completed and after six months with primarily main outcomes as self-care, health literacy and well-being. A control group with older adults 65 years and above is used as a comparison.

    Results

    Preliminary results will be presented with focus on feasibility, acceptability and benefit of the ICT-platform from the perspective of older adults and home care nurses. Additional logged data on the frequency of symptom reports, alerts, and page views will also be presented.

    Summary

    An interactive ICT-platform is developed and used by older adults to report problems and concerns which enabling rapid management of early-detected problems. This study aims to evaluate the ICT-platform by thirty older adults living in own home with assistance from home care nurses.

  • 13.
    Göransson, Carina
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention. Institutionen för hälsovetenskap och medicin, Örebro universitet, Örebro, Sverige.
    Ziegert, Kristina
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Wengström, Yvonne
    Sektionen för omvårdnad, Institutionen för neurobiologi, vårdvetenskap och samhälle, Karolinska Institutet, Stockholm, Sverige & Institutionen för hälsovetenskap och medicin, Örebro universitet, Örebro, Sverige.
    Kihlgren, Annica
    Institutionen för hälsovetenskap och medicin, Örebro universitet, Örebro, Sverige.
    Blomberg, Karin
    Institutionen för hälsovetenskap och medicin, Örebro universitet, Örebro, Sverige.
    Ökat välbefinnande och delaktighet hos äldre personer via en interaktiv webbaserad plattform2014In: De ska va gôtt å leva: Vårdforskningens dag: 16 oktober 2014, 2014, p. 18-18Conference paper (Refereed)
    Download full text (pdf)
    fulltext
  • 14.
    Göransson, Carina
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention. Institutionen för hälsovetenskap och medicin, Örebro universitet, Örebro, Sverige.
    Ziegert, Kristina
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Wengström, Yvonne
    Örebro universitet, Örebro, Sverige; Karolinska Institutet, Stockholm, Sverige.
    Kihlgren, Annica
    Örebro universitet, Örebro, Sverige.
    Blomberg, Karin
    Örebro universitet, Örebro, Sverige.
    Ökat välbefinnande och delaktighet hos äldre personer via interaktiv webbaserad plattform2014In: FoUU-dagen 2014: En upptäcktsfärd genom hallänningens liv, 2014, p. 21-21Conference paper (Refereed)
    Download full text (pdf)
    fulltext
  • 15.
    Göransson, Carina
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Öman, Anders
    Medicinkliniken, Länssjukhuset Halmstad.
    Ziegert, Kristina
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    När söker patienter med kroniskt obstruktiv lungsjukdom för akuta exacerbationer?2010Other (Other academic)
    Abstract [en]

    Chronic obstructive pulmonary disease (COPD) is expected to be the third common disease worldvide and third common cause of death in Sweden 2020.The main cuase is smoking and build up an irreversible respiratory obstruction of the small bronchioles. With time some patiens have frequent acute exacerbations wich demand repeatedly need of treatment. Studies have shown different factors of individual-and organization which influence on patients needs of care due to acute exacerbation.The aim of this study was to investigate connection for patients with COPD when they seek emergency ward due to acute exacerbation and their early need for care. Data was collected between january-may 2009. All consecutive patients who seek acute to emergency ward due to acute exacerbation was included. Patient´s medical records was examined for socio-demographic and clinical characteristics, which time they seek and early care. A questionnaire was constructed based on literature and own empirical experience.Only in-patiens have sureyed regard to lack of registratin routine for patients who was directly discharged. 160 patients seek of current diagnosis related groups of whom 98 had COPD and 30 meet inclusionscriteria. Distributed on 17 women and 13 men. Most patients seek daytimes and nearly as often weekdays as weekends. Patients with shorter duration of disease seek day and night while patiens with longer duration seek daytime. This studie is based on a small sample and only discern some trends. However,it show new aspect regarding timeaspect when patients with COPD seek due to acute exacerbation. Further research is required for improve patients coping and optimize organization

     

    Download full text (pdf)
    FULLTEXT05
1 - 15 of 15
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • 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