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  • 251.
    Carlsson, Ing-Marie
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention. Institutionen för Kvinnors och Barns Hälsa, Karolinska Institutet, Stockholm, Sverige.
    The movement towards birth: A study of women's childbirth self-efficacy and early labour2014Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Aim: The overall aim of this thesis was to increase the understanding of early labour, the latency phase of labour, based on women’s experiences and ability to handle the situation. Furthermore, the aim was to perform a psychometric testing of an instrument measuring childbirth self-efficacy and to explore the relationships to women´s well-being and number of obstetric interventions and birth outcomes.

    Methods: In study I, a grounded theory method was used to obtain a deeper understanding of how women who seek care at an early stage experience the latent phase of labour. The same method, grounded theory was used in study II, but in this study, the aim was to obtain a deeper understanding of how women, who remain at home until the active phase of labour, experience the period from labour onset before admission to maternity ward. In both these studies (I & II) interviews were used to collect data. Study III and IV were cross sectional studies with a  consecutive data collection. In study III, a forward-backward translation was used to translate the childbirth self-efficacy inventory (CBSEI) into a Swedish version. An explorative factor analysis with principal component analysis was used to test the psychometric properties of the inventory and reliability tests with Cronbach's alpha and inter item total correlation was performed. In study IV, chi-2 test, Fisher's exact test and student's t-test for independent samples was performed between women´s estimated childbirth self-efficacy and demographics, obstetric interventions and birth outcomes. Correlations were also performed between different scales measuring well-being during pregnancy and childbirth self-efficacy. Finally a logistic regression analysis was performed to predict the probability for low or high childbirth self-efficacy.

    Findings: Being in a safe place is essential for the women in the early labour process. But a safe place has different meanings for different women, depending on how they assess their own ability to handle their impending labour. For some women, the hospital is a secure place, a place where somebody else can take over the responsibility for themselves, the labour process or their child’s well-being. Some women choose to remain in their homes, which they consider as a kind of base camp which they can leave and go back to whenever they please. There is also a difference in how women ascribe ability to their own bodies and women´s belief in their own ability to cope and deal with the impending birth, their self-efficacy. These differences together with the women´s choice of seeking care or not, during the early labour process, affect the women´s experience of the labour process. The women's experience during the early labour process varies from feeling powerful and strong, to perceiving themselves as victims and feeling totally powerless. Women with high self-efficacy as measured by CBSEI had less previous mental illness and had more often been told their sister´s birth story. During the labour process, women with a higher childbirth self-efficacy have a lower frequency of epidural analgesia than women with low childbirth self-efficacy.

    Conclusion: Women´s belief in their childbirth self-efficacy affects their choice of place to be, during the early labour process. The place in turn, affects the women´s experiences and the way they handle the early labour process. The early labour process is a sensitive period that requires attention and should not be neglected. Through increased knowledge and understanding of the problematic issues related to the early labour process, the birth preparation and antenatal obstetric care, as well as the care during labour can be improved.

  • 252.
    Carlsson, Ing-Marie
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Berg, Marie
    Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden & Sahlgrenska University Hospital, Gothenburg, Sweden.
    Adolfsson, Annsofie
    Örebro University, Örebro, Sweden.
    Sparud-Lundin, Carina
    Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Reprioritizing life: A conceptual model of how women with type 1 diabetes deal with main concerns in early motherhood2017In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 12, no 1, article id 1394147Article in journal (Refereed)
    Abstract [en]

    Purpose: Becoming a mother is related to increased demands for women with type 1 diabetes mellitus, and more research is needed to identify their needs for support in everyday living. Thus, the aim of this study was to explore the main concerns in daily life in early motherhood for women with type 1 diabetes and how they deal with these concerns. Method: A grounded theory study was conducted in which 14 women with type 1 diabetes were interviewed individually 7 to 17 months after childbirth. Results: A conceptual model was identified with the core category “reprioritizing life”, and three related categories: adjusting to motherhood, taking command of the diabetes, and seeking like-minded women. Becoming a mother was a turning point towards a greater awareness and acceptance of prioritizing diabetes management and health, and thus, life. There was a gap in provision of diabetes care after birth and during the time of early motherhood compared with during pregnancy. Conclusions: Healthcare contacts already planned before delivery can promote person-centred care during the whole period from pregnancy to motherhood. Moreover, providing alternative sources for health information and peer support could improve the life situation during early motherhood. © 2017 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group

  • 253.
    Carlsson, Ing-Marie
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Blomqvist, Marjut
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Jormfeldt, Henrika
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Ethical and methodological issues in qualitative studies involving people with severe and persistent mental illness such as schizophrenia and other psychotic conditions: a critical review2017In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 12, no Sup. 2, article id 1368323Article in journal (Refereed)
    Abstract [en]

    Undertaking research studies in the field of mental health is essential in mental health nursing. Qualitative research methodologies enable human experiences to become visible and recognize the importance of lived experiences. This paper argues that involving people with schizophrenia in research is critical to promote their health and well-being. The quality of qualitative research needs scrutinizing according to methodological issues such as trustworthiness and ethical standards that are a fundamental part of qualitative research and nursing curricula. The aim of this study was to critically review recent qualitative studies involving people with severe and persistent mental illness such as schizophrenia and other psychotic conditions, regarding descriptions of ethical and methodological issues in data collection and analysis. A search for relevant papers was conducted in three electronic databases, in December 2016. Fifteen qualitative interview studies were included and reviewed regarding methodological issues related to ethics, and data collection and analysis. The results revealed insufficient descriptions of methodology regarding ethical considerations and issues related to recruitment and sampling in qualitative interview studies with individuals with severe mental illness, putting trustworthiness at risk despite detailed descriptions of data analysis. Knowledge from the perspective of individuals with their own experience of mental illness is essential. Issues regarding sampling and trustworthiness in qualitative studies involving people with severe mental illness are vital to counteract the stigmatization of mental illness.

  • 254.
    Carlsson, Ing-Marie
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Hallberg, Lillemor
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Odberg Pettersson, Karen
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Vad gör vi med latensfasen?2008Conference paper (Refereed)
  • 255.
    Carlsson, Ing-Marie
    et al.
    Länssjukhuset i Halmstad, Halmstad, Sverige.
    Hallberg, Lillemor
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Odberg-Pettersson, Karen
    Lunds universitet, Lund, Sverige.
    Kvinnor som söker vård i tidigt förlossningsskede och deras upplevelse av latensfasen2007In: Reproduktiv Hälsa, Stockholm: Svenska Barnmorskeförbundet , 2007, p. 21-21Conference paper (Refereed)
  • 256.
    Carlsson, Ing-Marie
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Hallberg, Lillemor R.-M.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Group for Research on health promotion and disease prevention.
    Odberg Pettersson, Karen
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Swedish women's experiences of seeking care and being admitted during the latent phase of labour: A grounded theory study2007In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 25, no 2, p. 172-180Article in journal (Refereed)
    Abstract [en]

    Objective: to gain a deeper understanding of how women who seek care at an early stage experience the latent phase of labour.

    Design: a qualitative interview study using the grounded theory approach.

    Setting: the study was conducted at a hospital in the southwestern part of Sweden with a range of 1600-1700 deliveries per year. The interviews took place in the women's homes two to six weeks after birth.

    Participant: eighteen Swedish women, aged 22-36, who were admitted to the tabour ward while they were stilt in the latent phase of tabour.

    Findings: 'Handing over responsibility' to professional caregivers emerged as the core category or the central theme in the data. The core category and five additional categories formed a conceptual model explaining what it meant to women being admitted in the early stage of tabour and their experiences of the Latent phase of tabour. The categories, which all related to the core category, were labelled: (1) 'longing to complete the pregnancy,' (2) 'having difficulty managing the uncertainty,' (3) 'having difficulty enduring the stow progress,' (4) 'suffering from pain to no avail' and (5) 'oscillating between powerfulness and powerlessness.'

    Conclusions and implications for practice: findings indicate that women being admitted to the tabour ward in the latent phase of tabour experienced a need for handing over responsibility for the tabour, the welt-being of the unborn baby, and for themselves. Midwives have an important role in assisting women with coping during the latent phase of tabour, and in giving the women opportunity to hand over responsibility. This care should include validation of experienced pain and confirmation of the normality of the slow process, information and support. © 2007 Elsevier Ltd. All rights reserved.

  • 257.
    Carlsson, Ing-Marie
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Larsson, Ingrid
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Jormfeldt, Henrika
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Place and space in relation to childbirth: a critical interpretive synthesis2019In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631Article in journal (Refereed)
  • 258.
    Carlsson, Ing-Marie
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Nygren, Jens M.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Patient participation, a prequisite for care: A grounded theory study of healthcare professionals’ perceptions of what participation means in a paediatric care context2018In: Nursing Open, E-ISSN 2054-1058, Vol. 5, no 1, p. 45-52Article in journal (Refereed)
    Abstract [en]

    Aims

    To explore healthcare professionals’ perceptions of what patient participation means in a paediatric care context.

    Design

    A qualitative explorative design with grounded theory.

    Methods

    Fifteen healthcare professionals who worked in paediatric care settings were either interviewed or asked open-ended questions in a survey, during December 2015–May 2016. Grounded theory was used as a method.

    Results

    The study results provide a theoretical conceptualization of what patient participation meant for healthcare professionals in paediatric care and how participation was enabled. The core category “participation a prerequisite for care” emerged as the main finding explaining the concept as ethical, practical and integrated in the care givers way of working. However, the concept was implicit in the organization. Four additional categories illustrated the healthcare professionals’ different strategies used to enhance patient participation; “meeting each child where the child is,” “building a relationship with the child,” “showing respect for each individual child” and “making the most of the moment.” © 2017 The Authors. Nursing Open published by John Wiley & Sons Ltd

  • 259.
    Carlsson, Ing-Marie
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention. Department of Women's and Children's health, Karolinska Institutet, Stockholm, Sweden.
    Ziegert, Kristina
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention. School of Social and Health Sciences, Örebro University, Örebro, Sweden.
    Nissen, Eva
    Department of Women's and Children's health, Karolinska Institutet, Stockholm, Sweden.
    Psychometric properties of the Swedish Child-Birth Self-efficacy Inventory (Swe-CBSEI)2014In: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 14, no 1, article id 1Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Previous research has reported that women who are admitted to delivery wards in early labour process before an active stage of labour has started run an increased risk of instrumental deliveries. Therefore, it is essential to focus on factors such as self-efficacy that can enhance a woman's own ability to cope with the first stage of labour. However, there was no Swedish instrument measuring childbirth self-efficacy available. Thus, the aim of the study was to translate the Childbirth Self-efficacy Inventory and to psychometrically test the Swedish version on first- time mothers within the Swedish culture.

    METHODS: The method included a forward-backward translation with face and content validity. The psychometric properties were evaluated using a Principal Component Analysis and by using Cronbach's alpha coefficient and inter-item correlations. Descriptive statistics and non-parametric tests were used to describe and compare the scales. All data were collected from January 2011 to June 2012, from 406 pregnant women during the gestational week 35-42.

    RESULTS: The Swedish version of the Childbirth Self-Efficacy Inventory indicated good reliability and the Principal Component Analysis showed a three-component structure. The Wilcoxon Signed-Ranks Test indicated that the women could differentiate between the concepts outcome expectancy and self-efficacy expectatancy and between the two labour stages, active stage and the second stage of labour.

    CONCLUSIONS: The Swedish version of Childbirth Self-efficacy Inventory is a reliable and valid instrument. The inventory can act as a tool to identify those women who need extra support and to evaluate the efforts of improving women's self-efficacy during pregnancy. © 2014 Carlsson et al.; licensee BioMed Central Ltd.

  • 260.
    Carlsson, Ing-Marie
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention. Halland Hospital Halmstad, Halmstad, Sweden & Karolinska Institutet, Stockholm, Sweden.
    Ziegert, Kristina
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Nissen, Eva
    Karolinska Institutet, Stockholm, Sweden.
    The relationship between childbirth self-efficacy and aspects of well-being, birth interventions and birth outcomes2015In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 31, no 10, p. 1000-1007Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: this study aimed to examine how women׳s childbirth self-efficacy beliefs relate to aspects of well-being during the third trimester of pregnancy and whether there was any association between childbirth self-efficacy and obstetric factors.

    DESIGN: a cross-sectional design was used. The data was obtained through the distribution of a composite questionnaire and antenatal and birth records.

    SETTING: data were recruited from antenatal health-care clinics in Halland, Sweden.

    PARTICIPANTS: a consecutive sample of 406 pregnant women was recruited at the end of pregnancy at gestational weeks of 35-42.

    MEASUREMENTS: five different measures were used; the Swedish version of Childbirth Self-Efficacy Inventory, the Wijma Delivery Expectancy/Experience Questionnaire, the Sense of Coherence Questionnaire, the Maternity Social Support Scale and finally the Profile of Mood States.

    FINDINGS: results showed that childbirth self-efficacy was correlated with positive dimensions as vigour, sense of coherence and maternal support and negatively correlated with previous mental illness, negative mood states and fear of childbirth. Women who reported high childbirth self-efficacy had less epidural analgesia during childbirth, compared to women with low self-efficacy.

    KEY CONCLUSIONS: this study highlights that childbirth self-efficacy is a positive dimension that interplays with other aspects and contributes to well-being during pregnancy and thereby, acts as an asset in the context of childbirth. © 2015 Elsevier Ltd.

  • 261.
    Carlsson, Ing-Marie
    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), Health promotion and disease prevention.
    Sahlberg-Blom, Eva
    Hälsoakademin, Örebro University, Örebro, Sweden.
    Nissen, Eva
    Karolinska Institutet, Stockholm, Sweden.
    Maintaining power: Women's experiences from labour onset before admittance to maternity ward2011In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 28, no 1, p. 86-92Article in journal (Refereed)
    Abstract [en]

    Background: in Sweden pregnant women are encouraged to remain at home until the active phase of labour. Recommendation is based on evidence, that women who seek care and are admitted in the latent phase of labour are subjected to more obstetric interventions and suffer more complications than women who remain at home until the active phase of labour. The aim of this study was to obtain a deeper understanding of how women, who remain at home until the active phase of labour, experience the period from labour onset until admission to labour ward. Method: interviews were conducted with 19 women after they had given birth to their first child. A Constructivist Grounded theory method was used. Findings: 'Maintaining power' was identified as the core category, explaining the women's experience of having enough power, when the labour started. Four related categories: to share the experience with another', to listen to the rhythm of the body', to distract oneself and to be encased in a glass vessel', explained how the women coped and thereby maintained power. Conclusions: the first time mothers in this study, who managed to stay at home during the latent phase of labour, had a sense of power that was expressed as a driving force towards the birth, a bodily and mental strength and the right to decide over their own bodies. This implies that women who maintain power have the ability to make choices during the birth process. The professionals need to be sensitive, supportive and respectful to women's own preferences in the health-care encounter, to promote the existing power throughout the birthing process. © 2010 Elsevier Ltd.

  • 262.
    Chan, Derwin K. C.
    et al.
    University of Hong Kong, Hong Kong, Hong Kong & Curtin University, Perth, Australia.
    Ivarsson, Andreas
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Stenling, Andreas
    Umeå University, Umeå, Sweden.
    Hagger, Martin S.
    Curtin University, Perth, Australia.
    Inter-Item Distance Changes the Predictive Power of Motivation on Health Behavior?: A Randomised Controlled Trial2016In: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 23, no Suppl. 1, p. S237-S237, article id O730Article in journal (Other academic)
  • 263.
    Chan, Derwin K. C.
    et al.
    University of Hong Kong, Pokfulam, Hong Kong & Curtin University, Perth, Australia.
    Ivarsson, Andreas
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Sport Health and Physical activity.
    Stenling, Andreas
    Umeå University, Umeå, Sweden.
    Yang, Sophie X.
    Curtin University, Perth, Australia & Sichuan University, Chengdu, China.
    Chatzisarantis, Nikos L. D.
    Curtin University, Perth, Australia.
    Hagger, Martin S.
    Curtin University, Perth, Australia.
    Response-Order Effects in Survey Methods: A Randomized Controlled Crossover Study in the Context of Sport Injury Prevention2015In: Journal of Sport & Exercise Psychology (JSEP), ISSN 0895-2779, E-ISSN 1543-2904, Vol. 37, no 6, p. 666-673Article in journal (Refereed)
    Abstract [en]

    Consistency tendency is characterized by the propensity for participants responding to subsequent items in a survey consistent with their responses to previous items. This method effect might contaminate the results of sport psychology surveys using cross-sectional design. We present a randomized controlled crossover study examining the effect of consistency tendency on the motivational pathway (i.e., autonomy support → autonomous motivation → intention) of self-determination theory in the context of sport injury prevention. Athletes from Sweden (N = 341) responded to the survey printed in either low inter-item distance (IID; consistency tendency likely) or high IID (consistency tendency suppressed) on two separate occasions, with a one-week interim period. Participants were randomly allocated into two groups, and they received the survey of different IID at each occasion. Bayesian structural equation modeling showed that low IID condition had stronger parameter estimates than high IID condition, but the differences were not statistically significant. © 2015 Human Kinetics, Inc.

  • 264.
    Chan, Derwin
    et al.
    Faculty of Education and Human Development, The Education University of Hong Kong, New Territories, Hong Kong, China & The University of Hong Kong, Hong Kong, China & .
    Stenling, Andreas
    University of Otago, Dunedin, New Zealand & Umeå University, Umeå, Sweden.
    Yusainy, Cleoputri
    Department of Psychology, Brawijaya University, Malang, Indonesia.
    Hikmiah, Ziadatul
    Department of Psychology, Brawijaya University, Malang, Indonesia.
    Ivarsson, Andreas
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Hagger, Martin
    University of California, Merced, CA, United States & Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
    Rhodes, Ryan
    Health and Physical Education, University of Victoria, Victoria, BC, Canada.
    Beauchamp, Mark
    University of British Columbia, Vancouver, BC, Canada.
    Consistency tendency and the theory of planned behavior: A randomized controlled crossover trial in physical activity2019In: Psychology and Health, ISSN 0887-0446, E-ISSN 1476-8321Article in journal (Refereed)
    Abstract [en]

    Objective: This study examined the effects of consistency tendency on the predictive power of the theory of planned behavior (TPB) in relation to physical activity behavior.

    Methods: In this randomized controlled cross-over trial, we recruited 770 undergraduate students from Indonesia who were randomly assigned into two groups. Participants completed physical activity versions of TPB measures at T1 (baseline) and T2 (post 1 week), and the International Physical Activity Questionnaire at T3 (post 1 month). At T1 and T2, the TPB questions were either presented in ensemble-order (i.e., consistency tendency supressed) or alternate-order (i.e., consistency tendency facilitated).

    Results: The parameter estimates of the model (CFI > .92, TLI > .90, SRMR < .08, RMSEA < .08) aligned with the tenets of TPB. As compared to ensemble-order, a TPB measured in alternate-order yielded stronger cross-sectional relationships, but this pattern did not appear in the prospective relationships in TPB (i.e., intention/perceived behavioral control and behavior).

    Conclusions: Consistency tendency inflated the factor correlations of cross-sectionally measured TPB variables, but the inflation was not observed in the prospective prediction of behavior. Health psychology questionnaires with items presented in ensemble order may represent a viable means of reducing the confounding effect of consistency tendency. © 2019 Informa UK Limited, trading as Taylor & Francis Group.

  • 265.
    Christine, Bigby
    et al.
    La Trobe University, Melbourne, VIC, Australia.
    Tideman, MagnusHalmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Research and practice in Intellectual and Developmental disabilities: Special Issue: Swedish Disability Research: What Lessons for Australia?2015Collection (editor) (Refereed)
  • 266.
    Cider, Asa
    et al.
    Sahlgrenska University Hospital, Gothenburg, Sweden.
    Mårtensson, Jan
    Jönköping University, Jönköping, Sweden.
    Fridlund, Bengt
    Jönköping University, Jönköping, Sweden.
    Strömberg, Anna
    Linköping University, Linköping, Sweden.
    Pihl, Emma
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Response to 'Exercise programmes and quality of life in the elderly important facts'2012In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 11, no 1, p. 128-128Article in journal (Refereed)
  • 267.
    Claeson, Andreas
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Johnson, Urban
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Psychological perspectives on post-surgery and conservative rehabilitation following along-term sport injury2007In: Svensk idrottspsykologisk förening, SIPF: Årsbok 2007 / [ed] Peter Hassmén & Nathalie Hassmén, Örebro: Svensk idrottspsykologisk förening , 2007, p. 31-46Chapter in book (Other academic)
    Abstract [en]

    The purpose of the present study was to identify which psychological features characterize competitive and recreational athletes suffering from a long-term injury. Moreover, the purpose was also to investigate psychosocial differences between athletes going through postsurgery rehabilitation and conservative rehabilitation, as well as to examine differences in gender. Participants (men=106, women=52) were distributed a questionnaire assessing hedonic tone and four sub categories of coping strategies (self-confidence, problem solving, seeking social support, and wishful thinking) and sociodemographic data. The results revealed that athletes in the post-surgery group were significantly higher on hedonic tone, self-confidence, and problem solving. Men counting for all groups scored higher on hedonic tone and self-confidence whereas women scored higher on seeking social support. These findings are not congruent with earlier studies and will be discussed. 

  • 268.
    Claeson, Andreas
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI), Sport Health and Physical activity.
    Johnson, Urban
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI), Sport Health and Physical activity.
    Psychological risk factors on rehabilitation on post-surgery and conservative rehabilitation after severe sport injury2008In: : Nordic Conference: Health, participation and effects of sport and exercise / [ed] Carlsson, B., Johnson U., Stambulova, N, 2008, p. 24-Conference paper (Other academic)
  • 269.
    Clausson, Eva K.
    et al.
    Högskolan Kristianstad.
    Einberg, Eva-Lena
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Teider, Karin
    Vänersborgs kommun.
    Dokumentation av elevers hälsa2012In: Skolsköterskans hälsofrämjande arbete / [ed] Eva K. Clausson och Siv Morberg, Lund: Studentlitteratur, 2012, 1, p. 121-136Chapter in book (Refereed)
  • 270.
    Clausson, Eva K.
    et al.
    Högskolan Kristianstad, Kristianstad, Sweden.
    Teider, Karin
    Vänersborgs kommun, Vänersborg, Sverige.
    Einberg, Eva-Lena
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    School VIPS: A Swedish Model for Documenting All Aspects of Schoolchildren’s Health2011Conference paper (Refereed)
    Abstract [sv]

    BAKGRUND:

    Dokumentation av skolbarns hälsa kan vara en praktisk och etisk utmaning för skolsköterskor. Då forskning visar att skolbarns psykiska och sociala hälsoproblem har ökat under de senaste decennierna och god omvårdnad innefattar en tillförlitlig dokumentation finns ett uppenbart behov av att utveckla en struktur som underlättar arbetet för skolsköterskor. VIPS-modellen är väl utvärderad och används i en mängd olika vårdsammanhang.

    SYFTE:

    Syftet med projektet var att utveckla en särskild skol-VIPS modell.

    METOD:

    Original -VIPS, Psyk-VIPS och Prim-VIPS användes som förlaga. Modellen expertgranskades samt pilottestades av yrkesverksamma skolsköterskor.

    RESULTAT:

    Resultatet presenteras i en folder utifrån omvårdnadsprocessens huvudrubriker. Sökord relaterade till hälsosamtal och vanliga hälsoproblem bland skolbarn i olika ålder såsom kost och hudproblem är exempel på sådant som kommenteras. Hälsoproblem som kan vara ett dilemma för skolsköterskor att dokumentera är självförvållade skador och könsstympning vilka också kommenteras specifikt. Andra sökord som är relevanta för skolhälsovården är Sexualitet / Reproduktion inklusive pubertetsutveckling där även pojkars utveckling lagts till. I sökordet Psykosocialt ingår skolsituationen och drogmissbruk.

    SLUTSATS:

    En gemensam struktur av dokumentationen i skolhälsovårdsjournalen kan göra det möjligt att jämföra barn och ungdomars hälsoutveckling samt att utvärdera omvårdnadsåtgärder. Möjligheterna till uppföljning av verksamheten och framtida omvårdnadsforskning kan också öka.

  • 271.
    Clausson, Eva
    et al.
    Högskolan Kristianstad, Kristianstad, Sverige.
    Teider, Karin
    Vänersborgs kommun, Vänersborg, Sverige.
    Einberg, Eva-Lena
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    School-VIPS: a Swedish Model for Documenting All Aspects of Schoolchildren's Health2012Conference paper (Refereed)
    Abstract [sv]

    BAKGRUND:

    Dokumentation av skolbarns hälsa kan vara en praktisk och etisk utmaning för skolsköterskor. Då forskning visar att skolbarns psykiska och sociala hälsoproblem har ökat under de senaste decennierna och god omvårdnad innefattar en tillförlitlig dokumentation finns ett uppenbart behov av att utveckla en struktur som underlättar arbetet för skolsköterskor. VIPS-modellen är väl utvärderad och används i en mängd olika vårdsammanhang.

    SYFTE:

    Syftet med projektet var att utveckla en särskild skol-VIPS modell.

    METOD:

    Original -VIPS, Psyk-VIPS och Prim-VIPS användes som förlaga. Modellen expertgranskades samt pilottestades av yrkesverksamma skolsköterskor.

    RESULTAT:

    Resultatet presenteras i en folder utifrån omvårdnadsprocessens huvudrubriker. Sökord relaterade till hälsosamtal och vanliga hälsoproblem bland skolbarn i olika ålder såsom kost och hudproblem är exempel på sådant som kommenteras. Hälsoproblem som kan vara ett dilemma för skolsköterskor att dokumentera är självförvållade skador och könsstympning vilka också kommenteras specifikt. Andra sökord som är relevanta för skolhälsovården är Sexualitet / Reproduktion inklusive pubertetsutveckling där även pojkars utveckling lagts till. I sökordet Psykosocialt ingår skolsituationen och drogmissbruk.

    SLUTSATS:

    En gemensam struktur av dokumentationen i skolhälsovårdsjournalen kan göra det möjligt att jämföra barn och ungdomars hälsoutveckling samt att utvärdera omvårdnadsåtgärder. Möjligheterna till uppföljning av verksamheten och framtida omvårdnadsforskning kan också öka.

  • 272.
    Clausson, Eva
    et al.
    Högskolan Kristianstad, Kristianstad, Sverige.
    Teider, Karin
    Vänersborgs kommun, Vänersborg, Sverige.
    Einberg, Eva-Lena
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    School-VIPS: a Swedish Model for Documenting all Aspects of Schoolchildren's Health2012Conference paper (Other academic)
    Abstract [sv]

    BAKGRUND:

    Dokumentation av skolbarns hälsa kan vara en praktisk och etisk utmaning för skolsköterskor. Då forskning visar att skolbarns psykiska och sociala hälsoproblem har ökat under de senaste decennierna och god omvårdnad innefattar en tillförlitlig dokumentation finns ett uppenbart behov av att utveckla en struktur som underlättar arbetet för skolsköterskor. VIPS-modellen är väl utvärderad och används i en mängd olika vårdsammanhang.

    SYFTE:

    Syftet med projektet var att utveckla en särskild skol-VIPS modell.

    METOD:

    Original -VIPS, Psyk-VIPS och Prim-VIPS användes som förlaga. Modellen expertgranskades samt pilottestades av yrkesverksamma skolsköterskor.

    RESULTAT:

    Resultatet presenteras i en folder utifrån omvårdnadsprocessens huvudrubriker. Sökord relaterade till hälsosamtal och vanliga hälsoproblem bland skolbarn i olika ålder såsom kost och hudproblem är exempel på sådant som kommenteras. Hälsoproblem som kan vara ett dilemma för skolsköterskor att dokumentera är självförvållade skador och könsstympning vilka också kommenteras specifikt. Andra sökord som är relevanta för skolhälsovården är Sexualitet / Reproduktion inklusive pubertetsutveckling där även pojkars utveckling lagts till. I sökordet Psykosocialt ingår skolsituationen och drogmissbruk.

    SLUTSATS:

    En gemensam struktur av dokumentationen i skolhälsovårdsjournalen kan göra det möjligt att jämföra barn och ungdomars hälsoutveckling samt att utvärdera omvårdnadsåtgärder. Möjligheterna till uppföljning av verksamheten och framtida omvårdnadsforskning kan också öka.

  • 273.
    Clausson, Eva
    et al.
    Högskolan Kristianstad, Kristianstad, Sverige.
    Teider, Karin
    skolsköterska med medicinskt ledningsansvar Vänersborgs kommun, Sverige.
    Einberg, Eva-Lena
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    SkolVIPS: En modell för skolsköterskans dokumentation2014Other (Other academic)
  • 274.
    Clement, Damien
    et al.
    West Virginia University, Morgantown, West Virginia, United Kingdom.
    Ivarsson, Andreas
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Sport.
    Tranaeus, Ulrika
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Johnson, Urban
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Sport.
    Stenling, Andreas
    Umeå University, Umeå, Sweden.
    Investigating the influence of intra-individual changes in perceived stress symptoms on injury risk in soccer2018In: Scandinavian Journal of Medicine and Science in Sports, ISSN 0905-7188, E-ISSN 1600-0838, Vol. 28, no 4, p. 1461-1466Article in journal (Refereed)
    Abstract [en]

    Research has shown that high levels of stress and stress responsivity can increase the risk of injuries. However, most of the research that has supported this notion has focused on between-person relationships, ignoring the relationships at the within-person level. As a result, the objective of this study was to investigate if within-person changes in perceived stress symptoms over a 1-month time period could predict injury rates during the subsequent 3 months. A prospective design with two measurement points (Time 1—at the beginning of the season and Time 2—1 month into the season) was utilized. A total of 121 competitive soccer players (85 males and 36 females; Mage = 18.39, SD = 3.08) from Sweden and the United States completed the Kessler Psychological Distress Scale (KPDS) and a demographic sheet at Time 1. The KPDS was also completed at Time 2, and all acute injuries that occurred during the subsequent 3-month period were recorded. A Bayesian latent change scores model was used to determine whether within-person changes in stress symptoms could predict the risk of injury. Results revealed that there was a credible positive effect of changes in stress symptoms on injury rates, indicating that an increase in reported stress symptoms was related to an increased risk for injury. This finding highlights the importance of creating caring and supportive sporting environments and relationships and teaching stress management techniques, especially during the earlier portion of competitive seasons, to possibly reduce the occurrence of injuries. © 2018 John Wiley & Sons A/S.

  • 275.
    Condelius, Anna
    et al.
    Lund University, Lund, Sweden.
    Jakobsson, Ulf
    Lund University, Malmö, Sweden.
    Karlsson, Staffan
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing. Lund University, Lund, Sweden.
    Exploring the Implementation of Individual Care Plans in Relation to Characteristics of Staff2016In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 6, no 8, p. 582-590Article in journal (Refereed)
    Abstract [en]

    The aim was to explore the implementation of individual care plans in municipal elderly care in relation to characteristics of staff. Data regarding characteristics of staff were derived through a questionnaire distributed to all staff working in the care for older people, (N = 908, n = 245) in four municipalities in Sweden. The number of care plans established during a one-year period was collected through a contact person in each municipality. In total 47 individual care plans were es-tablished during the study year. Significantly more staff in the municipality that had the most number of established individual care plans agreed that there had been sufficient education (p = 0.017), sufficient time (p = 0.002) and routines established regarding individual care plans (p = 0.014) and had a significantly better job satisfaction (p = 0.001), compared to staff in the other municipalities. Implementation leaders may need to take the working conditions and the percep-tion of available resources among staff into consideration in the on-going process of implementing individual care plans.

  • 276.
    Cruz, Jaume
    et al.
    Autonomous Univeristy of Barcelona, Barcelona, Spain.
    Garcia-Mas, Alexandre
    Universitat de les Illes Balears, Palma, Illes Balears, Spanien.
    Stambulova, Natalia
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Sport.
    Lucidi, Fabio
    University of La Sapienza, Rome, Italy.
    Márquez, Sara
    University of León, León, Spain.
    Reyes, Santiago
    ONECO.
    Serpa, Sidonio
    University of Lisbon, Lisbon, Portugal.
    Jaenes, Jose Carlos
    University Pablo de Olavide, Seville, Spain.
    PsyTool design and theoretical background2017In: Sport psychology: Linking theory to practice: Proceedings of the 14th ISSP World Congress of Sport Psychology / [ed] G. Si, J. Cruz and J.C. Jaenes, 2017, p. 212-212Conference paper (Refereed)
    Abstract [en]

    PsyTool is a European project, funded by Erasmus+ Sport Programme, led by the Universidad Pablo de Olavide (Sevilla, Spain). It brings together 13 partners from Spain, Portugal, Italy, United Kingdom and Sweden, running from January 2016 to December 2017. PsyTool is based theoretically on the concept of youth development through the practice of sport in positive and safe environments. The central idea is that this type of practice leads to a psychological wellbeing in all areas of personal development of athletes. Through sport programs that are free of bullying; zero permissiveness towards substance use; low acceptance of gamemanship and cheating, and at the same time promoters of fair play and clean competition, young athletes are more likely to increase their psychological well-being while they practice the sport to their best level of capacity. One of the most important assets of PsyTool is the formation of Agents of Change as inductors of this well-being promoter environment, according to their different responsibilities, from the politics to grassroot coaching. The AoCs’ selection, training and certification is one of the key points of this program. This so-called “targeted snowball” approach is expected to produce a spreading impact on the young athletes, which can be evaluated in the short and medium term, depending of the nature of the different AoCs. Coming form this design and theoretical background, this program –once the results have been analyzed- has to lead to a more ambitious development both in its scope and on the educational methods involved with.

  • 277.
    Cuesta, Marta
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Helath & Space2019In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631Article in journal (Refereed)
  • 278.
    Cuesta, Marta
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Solidaridad transnacional: Narrativa feminista2016In: Interpretextos, no 15, p. 49-66Article in journal (Refereed)
    Abstract [es]

    El objetivo de este artículo es reflexionar sobre la narrativa feminista decolonial como testimonio de prácticas feministas transnacionales. Poniendo particularmente foco en que tipo de preguntas se priorizan y que tipo de alianzas se establecen en marcos de solidaridad transnacional.  El texto parte de una mirada dialéctica basada en el discurso de análisis crítico como metodológica, a través del cual se interrelacionan referencias teóricas y relatos de prácticas feministas concretas (textos y contextos), en forma interdependiente.  De esta manera se puede afirmar que el feminismo decolonial revitaliza la narrativa feminista desde un planteo transgresor y pluralista. 

  • 279.
    Cuesta, Marta
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    TEJIENDO LAZOS: Paros Feministas2020In: Article in journal (Refereed)
  • 280.
    Cuesta, Marta
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    WelfarE technology, ethics and well-being: A qualitative study about the implementation of welfare technology within areas of social services in a Swedish municipality2019In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631Article in journal (Refereed)
  • 281.
    Cuesta, Marta
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    What needs to improve welfare technology carefully: Some qualitative observation's studies2020In: Journal of Nursing Education and Practice, ISSN 1925-4040, E-ISSN 1925-4059Article in journal (Refereed)
  • 282.
    Cuesta, Marta
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Eklund, Monica
    Halmstad University, School of Education, Humanities and Social Science, Research on Education and Learning within the Department of Teacher Education (FULL).
    Rydin, Ingegerd
    Halmstad University, School of Education, Humanities and Social Science, Center for Social Analysis (CESAM).
    Witt, Ann-Katrin
    Halmstad University, School of Education, Humanities and Social Science, Center for Social Analysis (CESAM).
    Using Facebook as a Co-learning Community in Higher Education2016In: Learning, Media & Technology, ISSN 1743-9884, E-ISSN 1743-9892, Vol. 41, no 1, p. 55-72Article in journal (Refereed)
    Abstract [en]

    Students’ cultural capital plays a major role in their success in higher education. In Sweden today, many students come from diverse cultural, social and educational backgrounds. Knowledge of requirements in academic systems differs widely. Some students feel insecure about how to interpret academic codes, thus weakening these students’ opportunities for academic success. The major goal of this project was to lay the groundwork for a more equal educational system. Using social media, in this case conversations (e.g., chats) in a closed forum on Facebook monitored by a tutor, we aimed to improve student integration into academic culture. We differentiated two central themes related to student conversations on Facebook: (1) Access to academic habituscracking codes and (2) Emancipation by co-learning – extended academic codes. It was found that students participating in study groups created on Facebook learnt to better crack and extend the codes extant in university studies. © 2015 Taylor & Francis

  • 283.
    Cuesta, Marta
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Liinason, Mia
    University of Gothenburg, Gothenburg, Sweden.
    Interconnections: Narrating Nordic feminisms2018In: Labrys, ISSN 1676-9651, Vol. 31, p. 1-21Article in journal (Refereed)
    Abstract [en]

    This article examines different narratives of feminism in the Nordic region, drawing on a variegated material collected during ethnographic fieldwork with feminist actors. At first, we examine how women and lgbt feminists of color navigate and negotiate everyday space in a struggle against racism, transphobia, misogyny and islamophobia, and suggest that these enactments shape a narrative of feminism around a logic of interconnections. Then, we explore the logic of a current influential developmental narrative of Nordic feminism as a forerunner on a global arena. Here, we offer a set of autoethnographical vignettes to highlight and explore the key logics such a narrative relies upon. We propose that a feminist narrative of interconnections illuminate another narrative logic than the developmental logic currently influential in narrations of Nordic feminisms. Creating linkages to historical memory and to the present multiplicity of relations of power, we suggest that a feminist narrative of interconnections opens up new political questions and new feminist agendas in this context. We use these discussions to illuminate a shift in the relationship between civil society and the state in this context and suggest that a methodology of histories as connected fruitfully can capture these changes, due to its possibility to bridge, and attend to, the ambivalence inherent in history as multiple.

  • 284.
    Cuesta, Marta
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Mulinari, Diana
    University of Lund, Lund, Sweden.
    The bodies of others in Swedish feminism2018In: Gender, Place and Culture: A Journal of Feminist Geography, ISSN 0966-369X, E-ISSN 1360-0524, Vol. 25, no 7, p. 978-993Article in journal (Refereed)
    Abstract [en]

    The body – or, more specifically, women’s bodies – has long been one of feminism’s central topics. This discussion has ranged from explorations of the cultural meaning of biology to the challenging of classification systems regulating bodies not only culturally coded as female or male but also understood through race regimes. This article seeks to explore the location of bodies within Swedish feminism, examining how women’s bodies are understood, designated and acted upon in feminist agendas. Our focus is on the location that bodies take in political conflicts among and between feminists. In particular, we explore the impact of the presence of black bodies within the field of Swedish feminism. On a theoretical level, this article bridges decolonial feminist contributions of Black, Chicano and Latin American feminist thought on the body. The research methodology combined autoethnography with feminist ethnography, including an analysis of 25 narratives of young feminist activists engaged in public resistance against, and confrontation with, the growing presence of right-wing xenophobic social movements and political parties in the public sphere. © 2018 Informa UK Limited, trading as Taylor & Francis Group

  • 285.
    Cuesta, Marta
    et al.
    Halmstad University, School of Business, Engineering and Science, Centre for Innovation, Entrepreneurship and Learning Research (CIEL), Sustainability, Innovation and Management in Building (SIMB). Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Rämgård, Margareta
    Malmö University, Malmö, Sweden.
    Intersectional Perspective in Elderly Care2016In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 11, article id 30544Article in journal (Refereed)
    Abstract [en]

    Earlier research has shown that power relationships at workplaces are constructed by power structures. Processes related to power always influence the working conditions for (in this study in elderly care) the working groups involved. Power structures are central for intersectional analysis, in the sense that the intersectional perspective highlights aspects such as gender and ethnicity (subjective dimensions) and interrelates them to processes of power (objective dimension). This qualitative study aims to explore in what way an intersectional perspective could contribute to increased knowledge of power structures in a nursing home where the employees were mostly immigrants from different countries. By using reflexive dialogues related to an intersectional perspective, new knowledge which contributes to the employeés well-being could develop. Narrative analysis was the method used to conduct this study. Through a multi-stage focus group on six occasions over six months, the staff was engaged in intersectional and critical reflections about power relationship with the researchers, by identifying patterns in their professional activities that could be connected to their subjectivities (gender, ethnicity, etc.). The result of this study presents three themes that express the staffs experiences and connect these experiences to structural discrimination. 1. Intersectionality, knowledge and experiences of professionalism, 2. Intersectionality, knowledge and experiences of collaboration, 3. Intersectionality, knowledge and experiences of discrimination. The result demonstrates that an intersectional perspective reinforces the involved abilities, during the conversations, into being clear about, for example, their experiences of discrimination, and consequently developing a better understanding of their professionalism and collaboration. Such deeper reflections became possible through a process of consciousness-raising, strengthening the employee’s self-confidence, in a positive way. © 2016 M. Cuesta.

  • 286.
    Dahl, Mattias
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Sport Health and Physical activity.
    Rolling with the tackles: Helping handball players and coaches cope withclub transition2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The study’s purpose was to explore a team’s perception of transition within the clubexperienced by both players and coaches, investigate influences of the clubs transition onbasic needs satisfaction as perceived by players as well as coaches and lastly conduct a shortterm intervention aimed at facilitating players’ adaptation to the clubs transition. The study isbased on three theories: the Athletic Career Transitional Model, Self Determination theoryand the holistic ecological approach. The study’s participants all represented a club in thesouth of Sweden and consisted of a total of 23 players at the age of 15-17 (M= 15,96, SD=0,64), the club manager, coaches and parents. The study was a mixed method interventionstudy (questionnaire, semi-structured interviews and an intervention consisting of educationalsessions and an implementation phase).The study revealed that the club is still facilitating with remnants of its transition despiteover-looking it. The study found the targeted club to predominantly demand elite investmentfrom players, experience barriers regarding individual differences and communication withinthe club and resources in the form of popular, well-educated coaches. The clubs transition wasfound to influence all basic needs in some way, the change in management brought positivevalues with autonomy supportive measures and coaches. Increased elite investment anddeficient communication within the club also influenced basic needs. Results from theintervention are presented as well as implications with a basis in the theories used.

  • 287.
    Dahlqvist Jönsson, Patrik
    et al.
    Halmstad University, School of Health and Welfare. Department of Research, Development and Education (FoUU), Region of Halland, Halmstad, Sweden.
    Nunstedt, Håkan
    Department of Nursing, Health and Culture, University West, Trollhättan, Sweden.
    Johansson Berglund, Inger
    Skaraborg Hospital, Skövde, Sweden.
    Hedman Ahlström, Britt
    Department of Nursing, Health and Culture, University West, Trollhättan, Sweden.
    Hedelin, Birgitta
    Department of Nursing, Gjøvik University College, Gjøvik, Norway.
    Skärsäter, Ingela
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Jormfeldt, Henrika
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Problematization of perspectives on health promotion and empowerment in mental health nursing – within the research network “MeHNuRse” and the Horatio conference, 20122014In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 9, no 1, article id 22945Article in journal (Refereed)
    Abstract [en]

    Mental illness is increasing worldwide, while a trend towards an ever more specialized health care takes place. This development creates great demands on nurses to work from a holistic perspective of nursing. The health perspective emphasizes cooperation and communication with those who suffer from long-term mental illness, focusing on their independence and health. From a health perspective, every human being is an actor in his/her own life with an inherent ability to make their own choices. However, persons who suffer from long-term mental illness are at risk of losing power and control over areas of their lives and their health. Mental health nurses are in position to support these persons in promoting health and to regain control over their lives. The emphasis of this paper is thus to discuss mental health nurses responsibility to provide health promoting nursing care, through interpretation of the concepts of empowerment, emancipation, self-efficacy and self-management how can mental health nurses work from a health-promoting perspective in relation to these concepts. The focus of this paper is the challenge of real health promotion in mental health nursing discussed at a workshop at the European Horatio festival in Stockholm 2012 with over 600 participating mental health nurses and researchers from European countries. © 2014 P. D. Jönsson et al.

  • 288.
    Dahlqvist Jönsson, Patrik
    et al.
    Region Halland, Halmstad, Sweden.
    Sandlund, Mikael
    Umeå University, Umeå, Sweden.
    Schön, Ulla-Karin
    Dalarna University, Falun, Sweden.
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    The meaning of Shared decision making for persons with long-term mental illness2013In: Breaking barriers 2013, 2013, p. 19-19Conference paper (Refereed)
  • 289.
    Dahlqvist Jönsson, Patrik
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Department of Research, Development and Education (FoUU), Region of Halland, Halmstad, Sweden.
    Schön, Ulla-Karin
    School of Health and Social Work, Dalarna University, Falun, Sweden.
    Rosenberg, David
    Umeå University, Umeå, Sweden.
    Sandlund, Mikael
    Umeå University, Umeå, Sweden.
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Service users’ experiences of participation in decision making in mental health services2015In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 22, no 9, p. 688-697Article in journal (Refereed)
    Abstract [en]

    Service user participation in decision making is considered an essential component of recovery-oriented mental health services. Despite the potential of shared decision making to impact service users knowledge and positively influence their experience of decisional conflict, there is a lack of qualitative research on how participation in decision making is promoted from the perspective of psychiatric service users. In order to develop concrete methods that facilitate shared decision making, there is a need for increased knowledge regarding the users' own perspective. The aim of this study was to explore users' experiences of participation in decisions in mental health services in Sweden, and the kinds of support that may promote participation. Constructivist Grounded Theory (CGT) was utilized to analyse group and individual interviews with 20 users with experience of serious mental illness. The core category that emerged in the analysis described a ‘struggle to be perceived as a competent and equal person’ while three related categories including being the underdog, being controlled and being omitted described the difficulties of participating in decisions. The data analysis resulted in a model that describes internal and external conditions that influence the promotion of participation in decision making. The findings offer new insights from a user perspective and these can be utilized to develop and investigate concrete methods in order to promote user's participation in decisions. © 2015 John Wiley & Sons Ltd.

  • 290.
    Danielsson, Martin
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Class conditioning and class positioning in young people's everyday life with digital media: Exploring new forms of class-making in the Swedish media welfare state2018Conference paper (Refereed)
    Abstract [en]

    Sweden is regularly highlighted as one of the most egalitarian and wired countries in the world. While this might be correct in the light of international statistical comparisons, there is also another side to the story. Despite years of policy reforms designed in order to counter the emergence and solidification of digital inequalities, this paper shows that economic and cultural forces are still at work structuring people’s internet access and digital media use along the lines of preexisting social divisions.

    Drawing on Bourdieusian theory and qualitative interview data from two different research projects, the paper specifically sheds light on the ways in which social class shapes the conditions and configurations of digital media practice in the everyday life of young people in Sweden. In particular, Bourdieu’s conceptualization of social classes as defined both intrinsically (by their material conditions of existence) and relationally (by their position in relation to each other) is invoked in order to explore and elucidate two different but interrelated processes whereby class makes difference in young people’s everyday relationship to digital media: class conditioning and class positioning.

    In order to illustrate the process of class conditioning, i.e. how certain material conditions of existence both condition and produce certain conditionings in relation to digital media practice, the paper draws mainly on in-depth interviews with parents and children conducted within a still ongoing project on digital media in economically deprived families with children. Class positioning is exemplified and discussed with reference to the findings of a completed qualitative study on the role of social class for young men’s digital media preferences and practices. The results of this study, based on interviews with 34 young men (16-19 years) of different social origin, clearly indicate how such preferences and practices are not only configured relationally in terms of class, but also potentially involved in the reproduction of the existing class structure.The ways in which the dual processes of class conditioning and class positioning are played out in the context of young people’s mediatized everyday life bear witness to the complexities involved in advancing a media policy geared towards general social welfare in the age of digital media. Universal internet penetration is a necessary but hardly sufficient condition for the abolishment of digital inequalities. The findings presented and discussed in this paper rather suggest that the ongoing proliferation of new media technologies and practices creates a rich soil for new forms of class-making.

  • 291.
    Danielsson, Martin
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    In the Peripheries of Network Society: Digital Media in Economically Deprived Families with Children in Sweden2016In: ECREA 2016 Abstract Book, Prague: Czech-In , 2016, p. 21-21Conference paper (Refereed)
    Abstract [en]

    For most people in Sweden access to the internet can be taken for granted today, much in the same way as access to water and electricity. However, there are still parts of the population, not only among the elderly, for whom internet access might be a scarce resource and therefore also a source of struggle. This paper focuses on one such group, namely economically deprived families with children. More specifically, it presents the rationales and early results of an ongoing media ethnographic study on the various meanings attributed to digital media by the members of such households (both parents and children), focusing especially on the concerns, conflicts and strategies associated with the limitations surrounding their acquisition of digital media devices as well as their internet access and use, within an everyday context of economic deprivation.

    Even though previous research on digital divides has convincingly shown them to be irreducible to a generational problem that will disappear by itself over time – for example, class-related variables such as educational level, occupation and income also matter – relatively little is known about their occurrences within the so-called “digital generation”, especially in Sweden. More generally, large-scale surveys have successfully evidenced and mapped the empirical patterns of digital divides among young people, but we still have limited knowledge about the contextually embedded generative mechanisms through which these patterns emerge. Even less attention has been paid to the ways in which young people at the margins of network society, along with their parents, actually experience and deal with their potentially limited internet access in everyday life.

    Against this backdrop, this paper deals with the fundamental question of what it feels like raising children and growing up under conditions of scarce economic resources and potentially limited internet access in a highly wired society generally associated with social equality. What does it feel like not being able to give your children equal technological opportunities as their friends (or having to make huge sacrifices in order to secure such opportunities)? How do the potential experiences of feeling different and digitally excluded matter for the children’s well-being? And how are the potential conflicts stemming from the scarcity of (digital) resources affecting family life? Adopting a non-media-centric approach built around Bourdieusian social theory and insights from domestication research, the paper thus sets out to explore not only the meanings and uses of digital media in the particular context of economically deprived families with children in Sweden, but also the subjective and emotional dimensions of economic vulnerability and social class in today’s network society.

  • 292.
    Danielsson, Martin
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    The merits of Bourdieu in qualitative audience research: Uncovering class and continuity in the fragmented space of media practice2017In: NordMedia 2017: 23rd Nordic Conference on Media and Communication Research: Tampere, 17–19 August 2017, Abstracts, TWG 8, Audience Studies, 2017Conference paper (Refereed)
    Abstract [en]

    For someone leaning towards statistical data analyses and showing little interest in the media as an integral part of people’s everyday life, French sociologist Pierre Bourdieu has surprisingly much to offer qualitative audience research in an increasingly complex everyday media environment. Drawing on the analytical experiences from a media ethnographic study on digital media practice in the everyday lives of young men (16-19 years) with different class backgrounds, this paper argues that Bourdieusian theory, despite certain limitations, might advance qualitative audience research in the “media manifold” (Couldry, 2012) in at least three important respects: (1) The first merit of Bourdieu’s theoretical framework is that it enables us to conceptualize and analyse the seemingly mundane media practices of everyday life as involved in macrostructural power relations and processes, e.g. social class and social reproduction. How people orientate and navigate themselves among the various possibilities embedded in their everyday media environment is clearly a matter of taste, and taste is neither innocent nor neutral in terms of class. Hence, Bourdieu might prevent us from getting stuck in what David Morley (2009) has called “an endless play of contextual specificity and infinite difference”. (2) The second merit of Bourdieusian theory in the context of qualitative audience research is that it allows us to grasp digital media practice not as an exceptional, almost elevated kind of practice, but as a variety of practices among other cultural practices. This accomplishes an important break with the still quite prevalent media-centrism and techno-romanticism of early new media studies, and thus makes it possible to pose new, perhaps more critical questions about the various roles of digital media in people’s everyday lives. (3) Because Bourdieusian theory allows us to theorize digital media practice as a variety of practices among other cultural practices, i.e. as an inseparable part of entire lifestyles in Bourdieu’s sense of the word – lifestyles through which social power relations (e.g. class) are expressed and reproduced – it also has the merit of supporting critical interrogations of the association commonly made between digital innovation, young people and social change. In other words, it makes it possible to uncover and make sense of the social and cultural continuities at play within recent technological changes, as well as the structural differences concealed by the widespread generational rhetoric of “digital natives” and “digital immigrants” (Prensky, 2001).

  • 293.
    De Cock, Rozane
    et al.
    KU Leuven, Leuven, Belgium.
    Mertens, Stefan
    KU Leuven, Leuven, Belgium.
    Sundin, Ebba
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Lams, Lut
    KU Leuven, Leuven, Belgium.
    Mistiaen, Valeriane
    KU Leuven, Leuven, Belgium.
    Joris, Willem
    KU Leuven, Leuven, Belgium.
    d'Haenens, Leen
    KU Leuven, Leuven, Belgium.
    Refugees in the News: Comparing Belgian and Swedish Newspaper Coverage of the European Refugee Situation during Summer 20152018Conference paper (Refereed)
    Abstract [en]

    This comparative content analysis of Belgian and Swedish newspaper coverage of the 'refugee situation' in 2015 (N=898) revolves around responsibility indicators, news actor characteristics, and thematic emphasis. As they are a potential influential factor in the public-opinion formation process, the studying of media portrayals is an essential first step in investigating the dynamic interplay between media discourse and societal reactions. Belgium and Sweden differ with respect to migration policy, integration indicators, and the number of incoming refugees. They also differ in terms of journalistic cultural values. As a result, they make for an excellent case study of intercultural differences and similarities in how refugees are reported on. Our analysis made clear that Belgian news coverage shows regional diversity, with Francophone Belgian journalists showing more tolerance towards migrants and thus tending to be more in line with their Swedish counterparts. Still, refugees are seldom allowed to speak for themselves. This warrants attention and action by news professionals. © 2018 Walter de Gruyter GmbH, Berlin/Boston.

  • 294.
    De Cock, Rozane
    et al.
    Institute for Media Studies, KU Leuven, Leuven, Belgium.
    Mertens, Stefan
    Institute for Media Studies, KU Leuven, Leuven, Belgium.
    Sundin, Ebba
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Lams, Lutgard
    Faculty of Arts, Brussels Campus, KU Leuven, Brussels, Belgium.
    Mistianen, Valeriane
    Centre de Recherche en Information et Communication, Université Libre de Bruxelles, Brussels, Belgium.
    Joris, Willem
    Institute for Media Studies, KU Leuven, Leuven, Belgium.
    d'Haenens, Leen
    Institute for Media Studies, KU Leuven, Leuven, Belgium.
    Refugees in the news: Comparing Belgian and Swedish newspaper coverage of the European refugee situation during summer 20152018In: Communications: the European Journal of Communication Research, ISSN 0341-2059, E-ISSN 1613-4087, Vol. 43, no 3, p. 301-323Article in journal (Refereed)
    Abstract [en]

    This comparative content analysis of Belgian and Swedish newspaper coverage of the ‘refugee situation’ in 2015 (N=898) revolves around responsibility indicators, news actor characteristics, and thematic emphasis. As they are a potential influential factor in the public-opinion formation process, the studying of media portrayals is an essential first step in investigating the dynamic interplay between media discourse and societal reactions. Belgium and Sweden differ with respect to migration policy, integration indicators, and the number of incoming refugees. They also differ in terms of journalistic cultural values. As a result, they make for an excellent case study of intercultural differences and similarities in how refugees are reported on. Our analysis made clear that Belgian news coverage shows regional diversity, with Francophone Belgian journalists showing more tolerance towards migrants and thus tending to be more in line with their Swedish counterparts. Still, refugees are seldom allowed to speak for themselves. This warrants attention and action by news professionals. © 2018 Walter de Gruyter GmbH, Berlin/Boston

  • 295.
    De Cock, Rozane
    et al.
    Katholieke Universiteit Leuven, Leuven, Belgium.
    Sundin, Ebba
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Mistiaen, Valérianen
    Université Libre de Bruxelles, Brussels, Belgium.
    The Refugee Situation as Portrayed in News Media: A Content Analysis of Belgian and Swedish Newspapers - 2015-20172019In: Images of Immigrants and Refugees in Western Europe: Media Representations, Public Opinion and Refugees' Experiences / [ed] Leen d´Haenens, Willem Joris & Francois Heinderyckx, Leuven: Leuven University Press, 2019, p. 39-55Chapter in book (Refereed)
  • 296.
    de Ruiter, Hans
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). University of Mantako.
    Skärsäter, Ingela
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Introducing a Future-Oriented Approach to Healthcare Technologies and Welfare Techniques: A Swedish innovative ethics project2019In: Creative Nursing, ISSN 1078-4535, E-ISSN 1946-1895Article in journal (Refereed)
  • 297.
    Defruyt, Simon
    et al.
    Vrije Universiteit Brussel, Brussels, Belgium.
    Wylleman, Paul
    Vrije Universiteit Brussel, Brussels, Belgium.
    De Brandt, Koen
    Vrije Universiteit Brussel, Brussels, Belgium.
    Stambulova, Natalia
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Sport.
    Linnér, Lukas
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Sport.
    Helping dual career athletes to recover from injury: a dual career support providers’ (DCSPs’) perspective2017Conference paper (Refereed)
    Abstract [en]

    Introduction

    The combination of elite sport and study, called a dual career (DC), can be challenging for athletes. DC Athletes can encounter co-occurring challenges at different domains of development (athletic, psychological, psychosocial, educational/vocational and financial) (Wylleman & Lavallee, 2004). In this challenging period and environment, the burden of an injury is likely to be stressful for DC athletes. Although previous research have looked at how sports stakeholders can support the athletes within the athletic domain, no research up to our knowledge addressed how elite athletes can be supported holistically (i.e. in the different domains of development) outside of the club context. Therefore, current research aimed at gathering good practices of holistic support for DC athletes from a dual career support provider (DCSP) perspective.

    Methods

    Within the ‘Gold in education and Elite Sport’ (GEES) project, co-funded by the Erasmus+ Programme of the European Union, focus groups were conducted with a selection of DCSPs. As inclusion criterion for the participants, a DCSP was defined as: ‘a professional consultant, related to an educational institute and/or an elite sport organization – or certified by one of those – that provides support to elite athletes in view of optimizing their DC (combination of elite sport and education).’ One focus group in Sweden with six DCSPs and two focus groups in Belgium with two and three DCSPs were held. Using a phenomenological approach, participants were asked to share their methods used to holistically support DC athletes in coping with an injury.

    Results

    Five main themes of support emerged from the DCSPs discussions: a) practical support (e.g. support with transport problems if necessary), b) emotional support (e.g. empathic listening), c) reframing the injury in a holistic perspective (e.g. athletes will have more time for studies and family), d) empowerment of self-regulation competences (e.g. encourage the use of a recovery agenda), e) multidisciplinary and multi-organizations’ cooperation (e.g. structural meetings between different DC stakeholders).

    Conclusion

    Findings underscore the importance of a developmental and empowering approach in holistically supporting DC athletes to recover from an injury. Moreover, the cooperation between stakeholders in a DC support environment is crucial for an optimal recovery. Future research and practice could use current findings to develop injury recovery programs in a DC setting.

    References

    Wylleman P, Lavallee D. (2004). A Developmental Perspective on Transitions Faced by Athletes. In M Weis (Ed.), Developmental sport psychology. Morgantown, WV: Fitness International Technology.

  • 298.
    Dehlin, Lena
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Mårtensson Rag, Lena
    Research and Development Unit, Varberg Hospital, Varberg, Sweden.
    Adolescents' experiences of a parent's serious illness and death2009In: Palliative & Supportive Care, ISSN 1478-9515, E-ISSN 1478-9523, Vol. 7, no 1, p. 13-25Article in journal (Refereed)
    Abstract [en]

    Objective:

    Adolescence is characterized by increasing liberation from parents as the young person evolves into an independent individual. Experiencing the serious illness and death of a parent during this phase implies great stress. Serious illness involves uncertainty, worry, and hope at the same time that it is necessary for everyday life to function. This study sought to describe adolescents' experiences in the serious illness and death of a parent.

    Methods:

    The study was carried out using a qualitative method. Data were collected in interviews with five adolescents who were 14-17 years of age when one of their parents died.

    Results:

    The results show that the parent's illness was a strong threat, as the adolescents understood that their own and the family's lives would be greatly changed by the illness/death. The incomprehensibility of the parent's serious illness and death was a threatening condition on its own. The adolescents strived to make the inconceivable more conceivable to understand what was happening. They also described the necessity of finding different ways of relating to and managing the threat, such as restoring order, seeking closeness, adapting, gaining control, avoiding talking about the illness, not accepting and counting the parent out. The adolescents described feelings of being alone and alienated, even though they were close to family and friends and they did not actively seek support. The lives of the adolescents were changed by their experiences, beyond their bereavement over the parent. They felt that they had become more mature than their friends and that there had been a change in their thinking about life, changes in values, and changes in their views of relationships with other people.

    Significance of results:

    The results of the present study can form a basis for developing a support program whose purpose would be to prevent effects on health.

  • 299.
    Dellve, Lotta
    et al.
    Department of Public Health and Community Medicine, Sahlgrenska Academy at Göteborg University, Göteborg, Sweden.
    Hallberg, Lillemor R.-M.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    “Making it work in the frontline” explains female home care workers' defining, recognizing, communicating and reporting of occupational disorders2008In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, E-ISSN 1748-2623, Vol. 3, no 3, p. 176-184Article in journal (Refereed)
    Abstract [en]

    Epidemiological research has so far failed to explain the high incidence of occupational disorders among home care workers (HCWs) and the great differences in organizational incidence rate. A qualitative approach may contribute to a deeper understanding of work group reasoning and handling in a more contextual manner. The aim of this grounded theory study was to gain a deeper understanding of the main concern in the processes of recognizing, communicating and reporting occupational disorders among HCWs. Focus group interviews were conducted with 40 HCWs in 9 focus groups. The selected municipalities represented variations in municipality type and incidence rate of occupational disorders. Making it work in the frontline was identified as the core category explaining that the perceived work situation in home care work was the main concern but interacted with work-group socialising processes as well as with the communicability and derivability of the occupational disorder when defining and reporting occupational disorders. Complex problems could be reformulated and agreed within the workgroup to increase communicability. Described significances for reporting/non-reporting were related to financial compensation, to a part of organizational political game or to an existential uncertainty, i.e. questioning if it belonged to their chosen work and life. Our conclusion is that working situation and work group attitudes have importance for reporting of occupational disorders. To support work-related health for HCWs, integrating communication should be developed about work-related challenges in work situation, as well as about attitudes, culture and efficiency within work-group.

  • 300.
    Dellve, Lotta
    et al.
    Department of Public Health and Community Medicine, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.
    Samuelsson, Lena
    Regional Rehabilitation Centre for Children and Adolescents, Queen Silvia Children's Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Tallborn, Andreas
    Queen Silvia Children's Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Fasth, Anders
    Institute for the Health of Woman and Children, Department of Paediatrics, Gothenburg University, Sweden.
    Hallberg, Lillemor R.-M.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Stress and well-being among parents of children with rare diseases: a prospective intervention study2006In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 53, no 4, p. 392-402Article in journal (Refereed)
    Abstract [en]

    Aim:

    This paper reports a study to assess stress, well-being and supportive resources experienced by mothers and fathers of children with rare disabilities, and how these variables were affected by an intensive family competence intervention.

    Background:

    Despite diagnosis-specific studies, little overall knowledge exists about life-consequences for families of children with rare disorders.

    Method:

    We used a prospective design with baseline data and two follow-ups (at 6 and 12 months) after an intervention. The intervention aimed at empowering parents in managing their child's disability. Parents from all parts of Sweden visiting a national centre for families of children with rare disabilities were consecutively selected (n = 136 mothers, 108 fathers). Instruments of parental stress, social support, self-rated health, optimism and life satisfaction and perceived physical or psychological strain were used. Stratified analyses were carried out for mothers and fathers, and related to parental demands: single mothers, full-time employment, participation in a parent association, child's age and type of disability.

    Results:

    We found high parental stress, physical and emotional strain among mothers, especially among single mothers. Fathers showed high stress related to incompetence, which decreased after the intervention. Decreased strain was found among full-time working mothers and fathers after the intervention. Parents' perceived knowledge and active coping and mothers' perceived social support were increased at follow-up. Factors related to parents' overall life satisfaction (57–70% explained variance) changed after the intervention, from being more related to internal demands (perceived strain, incompetence and social isolation) to other conditions, such as problems related to spouse, paid work and social network.

    Conclusion:

    Parents, especially fathers and full-time working parents, may benefit from an intensive family competence programme.

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