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  • 2651.
    Sundström, Björn
    et al.
    Department of Public Health and Clinical Medicine, Umeå University, Sweden.
    Wållberg-Jonsson, Solveig
    Department of Public Health and Clinical Medicine, Umeå University, Sweden.
    Johansson, Gunnar
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Diet, disease activity, and gastrointestinal symptoms in patients with ankylosing spondylitis2011In: Clinical Rheumatology, ISSN 0770-3198, E-ISSN 1434-9949, Vol. 30, no 1, p. 71-76Article in journal (Refereed)
    Abstract [en]

    The aims of this study were to investigate, firstly, the relationship between diet and disease activity and, secondly, the presence of gastrointestinal symptoms and their relationship to diet among patients with ankylosing spondylitis (AS) using a cross-sectional design. One hundred sixty-five individuals diagnosed with AS were invited to complete a self-administered postal questionnaire regarding demographic data, diet, medication, and gastrointestinal symptoms in addition to two established disease assessment questionnaires, i.e., the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) and Bath Ankylosing Spondylitis Functional Index (BASFI). No significant correlation between diet and disease activity was found. Overall, 27% of the patients reported aggravating gastrointestinal problems when consuming certain foodstuff(s). The 30% of patients who reported suffering from gastrointestinal pain had significantly greater disease activity and poorer functional status according to their BASDAI and BASFI scores (p < 0.01 and p = 0.01, respectively). Patients who reported gastrointestinal pain had a significantly higher consumption of vegetables (p < 0.01) and lower consumption of milk and soured milk (p = 0.04). No significant correlation was found between the use of non-steroidal anti-inflammatory drugs (NSAID) and gastrointestinal symptoms. In multiple regression models, BASDAI and the consumption of vegetables were independent and statistically significant predictors of gastrointestinal pain. To conclude, in a group of Swedish AS patients, no correlation between diet and disease activity could be detected. There were, however, correlations between diet and gastrointestinal pain. Gastrointestinal problems were also found to be prevalent in AS, independent of NSAID usage.

  • 2652.
    Sundström, Tomas
    Halmstad University, School of Business and Engineering (SET), Biological and Environmental Systems (BLESS), Biomechanics and Biomedicine. Halmstad University, School of Business and Engineering (SET).
    Five weeks of plyometric training improved vertical jump height in female handball players during in-season.2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Handboll, as a team-sport, puts emphasis on many different physical qualities where one is good jumping ability. The aim of this study was to examine if a small amount of additional plyometric training (PT) during in-season, combining drop jumps and box jumps could give significant improvements in vertical jump height in female handball players after five weeks of plyometric training. Jumping performance was evaluated through the squat jump test (SJ), countermovement jump test (CMJ) and a one-leg jump test (OLJ). The Intervention-group improved their jumping performance significant in all three tests. In contrast, the control- group had diminishing results in the SJ and CMJ but without any change in the OLJ. Furthermore, significant correlations were discovered between the SJ, CMJ and OLJ. The improvements seen in this study is relevant for coaches that need to provide gains in jumping performance during in-season when there is not a lot of time for additional training. The OLJ test developed in this study could be a first step to a future handball-test that better resembles the jumping performance in handball than already established two leg tests.

  • 2653.
    Sundström, Tomas
    et al.
    Halmstad University, School of Business, Engineering and Science.
    Ronkainen, Fanny
    Halmstad University, School of Business, Engineering and Science.
    Brorsson, Sofia
    Halmstad University, School of Business, Engineering and Science, Biological and Environmental Systems (BLESS).
    Olsson, M. Charlotte
    Halmstad University, School of Business, Engineering and Science, Biological and Environmental Systems (BLESS), Biomechanics and Biomedicine.
    Five Weeks of Plyometric Training Improve Vertical Jump Height in Female Handball Players During In-Season2010In: Nordic Conference 2010: Abstracts / [ed] Karen Søgaard, Karsten Froberg & Mette Krogh Christensen, Odense: University of Southern Denmark , 2010, p. 112-113Conference paper (Refereed)
    Abstract [en]

    Introduction: Handball is a sport requiring many different physical qualities in order to perform well, one of which is good jumping ability. For handball players available time to enhance power during in-season is often restricted due to an already high training load emphasizing other aspects of the sport than jumping ability. Therefore, one aim of this study was to examine if a small amount of additional plyometric training during in-season, combining drop jumps and box jumps, could give significant improvements in vertical jump height in female handball players after five weeks of training. Generally, vertical jump height is evaluated with two-legged tests, however, the question arises if the tests are relevant in sports that predominantly use several steps and one-leg jumps such as handball. A second aim of this study was thus to develop, evaluate and validate a handball-specific test performed on one leg.

    Methods: Two Swedish female handball-teams playing in the third division were recruited. Players from one team made up the intervention-group (n = 9) and players from the other team functioned as the control-group (n = 4). Plyometric training was added to the regular handball training session twice per week during five weeks, lasting approximately 15 minutes per session, consisting of two sets of eight repetitions of drop jumps and box jumps respectively, while the control-group continued their training as normal. Jumping performance was evaluated through the squat jump test (SJ), countermovement jump test (CMJ) and the handball-specific one leg jump test (OLJ) developed for this study in order to offer a more sport-specific evaluation tool when testing sports that predominantely jump on one leg.

    Results: The intervention-group improved their jumping height significantly with 2,7 cm in the SJ, 3,6cm in the CMJ and 3,6 cm in the OLJ (p < 0,01 for all). The control-group had an opposite trend with diminishing results in all three jumps, -1,5 cm in the SJ (p < 0,05), -1,7 cm in the CMJ (p < 0,05) and -0,9 cm in the OLJ (not significant). The one-legged jump test (OLJ) correlated well with both SJ (r= 0,79, p <0,01 ), and CMJ (r=0,75, p < 0,01).

    Discussion: The present study found significant improvements in jumping height after only five weeks of plyometric training for female handball players. Interestingly, the intervention-group improved to the same extent in both the one and the two-leg jumps test, which might be explained by the accumulation of handball specific training drills performed on one-leg, together with the two-legged plyometric exercises. The same assumption could also explain why the control-group showed no change in the one-leg jump test between the pre and post-tests, but displayed significant lower scores in the two-legged jumping tests after 5 weeks with only regular handball training.

    Conclusion: The improvements seen in this study with a small amount of additional plyometric training is relevant for coaches that need to provide gains in jumping performance during in-season when there is not a lot of time for additional training. Moreover, an evaluation test needs to be as specific as possible to the performance in the sport. The one-leg vertical jump test, developed in this study, could be a first step to a future handball-test that better resembles the jumping performance in handball than already established two-leg jumping tests.

  • 2654.
    Sunesson, Evelina
    Halmstad University, School of Business, Engineering and Science.
    The Effects on Habitual Sitting Posture after a three-week Posture Tape Treatment, a Randomised Control Trial2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Improving habitual sitting posture in office environment has beneficial effectson behaviour changes and reduces the risk of musculoskeletal symptom. There are different treatments to improve habitual sitting posture, one is kinesiology tape. However, studies on kinesiology tape do not confirm if tape is a valid treatment on postural control, improvingmuscular function, or releasing pain. What physiological mechanism is behind kinesiologytape is also unclear. A hypothesis is that kinesiology tape affects postural control by mechanoreceptors. Balancing body tape is a new type of postural tape with similar qualities as kinesiology tape. Aim: The aim was to investigate the effects of a three-week Balance body tape-treatment onhabitual sitting posture, assessed as the thoracic angle and the cervical angle, during a six minute computer work session. Method: Twenty-six subjects completed the RCT study, 12 were in the intervention group, 14 were in the control group (non-treated subjects). A questionnaire and a photographic postureanalysis method was conducted to investigate the subjects thoracic- and cervical angle beforeand after a three-week intervention with Balancing body tape compared with a control group. Paired sample and independent sample t-test was conducted to examine the mean angular difference and the changes between starting position and angular change from minutes 2-6, both in and between the two groups. Result: There was a statistically significant improvement in the mean thoracic angle of the intervention group after posture treatment with 6° decrease (p = 0.008), while no significantimprovement was found in the cervical angle (p = 0.058). No significant difference was foundbetween the intervention group and the control groups thoracic or cervical angle (p=0.151 - p=0.937). There was a 5° thoracic angle difference in the ability to maintain an upright sittingposture between the two groups in the baseline data (p=0.004). However, the ability to maintain an upright sitting posture during 6-minute computer work was not changed, either in the intervention group or between the groups. Conclusion: These founding’s suggest that the Balancing body tape has a small impact on subject’s thoracic angle in sitting posture after a three-week intervention. But compared witha control group no significant difference was established in mean angular, which reduces thecredibility that the Balancing body tape has an impact on thoracic angle in sitting posture. Further studies are required during a longitudinal randomised control trail to establish a scientific result.

  • 2655.
    Sunesson, Olof
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Verdin, Peter
    Halmstad University, School of Social and Health Sciences (HOS).
    Smärtsam förlust: Närståendes behov vid plötslig död2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    When sudden death occurs, the survivors do not have a chance to mentally prepare for the loss. Survivors suffer high risk of complicated grief reactions, resulting in mental and physical illness. This group is not met sufficiently by structured evidence-based care, in proportion to the care of survivors expecting the loss. The purpose of the literature study was to highlight the needs of relatives confronted with sudden death, and to emphasize relevant nursing measures in acute stages. This paper is a survey of literature based on 13 research articles, in various ways dealing with needs of bereaved confronted with sudden death. The result deals with the needs of close relatives based on five categories: caring, information, proximity, viewing the body and follow-up. Survivors often experience gaps in health professionals' ability to meet their needs. Deficiencies regarding relatives’ needs of caring and information often results in negative long lasting memories. Knowledge of the benefits of meeting the needs of survivors regarding follow-up after a sudden death, is to this date considered insufficient. Knowledge of survivors confronted with sudden death need to be further explored. Further research is required, since the area of current situation is neglected. Initially, however, existing research need to be implemented.

  • 2656.
    Suoraniemi, Dennis
    et al.
    Halmstad University, School of Health and Welfare.
    Carlsson, Hampus
    Halmstad University, School of Health and Welfare.
    Uttryck och skattning av smärta hos personer med Alzheimers sjukdom: En litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Alzheimer disease is a slow progressive disease that is the most common type of dementia. The disease cause deterioration of cache and limit the ability to communicate. How pain is expressed in comparison to healthy people of the same age is unclear. Aim: The purpose was to highlight how people with Alzheimer's disease expressed their pain. Result: This literature study has highlighted three different categories: The variation of pain intensity, manifestation of pain and estimation of pain. Conclusion: What emerged was how people with Alzheimer's disease expressed their pain could not be generalized, pain was different for each individual. Observing scales was preferable to self-assessment scales for pain assessment in people with Alzheimer's disease.   

  • 2657.
    Svanberg, Marcus
    et al.
    Halmstad University, School of Health and Welfare.
    Svantesson, Isac
    Halmstad University, School of Health and Welfare.
    Att vara tillräcklig i en otillräcklig vård: En litteraturstudie om personcentrerad vård och sjuksköterskans prioriteringar2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    With a growing global population the demands on health care increases. Research shows that the need of care is getting bigger but quality is decreasing. A question rises, whether it is even possible to provide person-centred care or if it is an ideal picture of care. Healthcare professionals believe that they work based on person- centered care where the patient is seen as a person and at the heart of care. This led up to the aim of the study which was to show how registered nurses priorities in caring correspond with person-centered care. The study was conducted as a general literature study. Guided by content analysis similarities and differences, in registered nurses priorities related to person-centered care where found. The results show that registered nurses felt, unlike what they would want, that the care provided was not person-centered but rather what was necessary from a medical perspective. Instead of being person-centered and adapted to the individual at hand, care was based on routines. Providing care together with the patient is what characterizes person- centered care and it has beneficial consequences. It is of importance that future research explores how person-centered care could be implemented in health care. 

  • 2658.
    Svedberg, Petra
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI), Group for Research on health promotion and disease prevention.
    Attitudes to health promotion interventions among patients in mental health services: Differences in relation to socio-demographic clinical and health-related variables2011In: Journal of Mental Health, ISSN 0963-8237, E-ISSN 1360-0567, Vol. 20, no 2, p. 126-135Article in journal (Refereed)
    Abstract [en]

    Background: Increasing evidence about the high social and economic costs of poor mental health has contributed to a growing recognition of the need for health promotion interventions in mental health services. In spite of this, little empirical research has been performed investigating patients' attitudes to health promotion interventions. Aims: The aim of the present study was to investigate differences in patients' attitudes to health promotion interventions with regard to socio-demographic, clinical and health-related variables. Methods: The study has a cross-sectional design. The participants were recruited randomly and consisted of 141 outpatients, 91 women and 50 men. The participants rated their attitudes in accordance to the Health Promotion Intervention Questionnaire (HPIQ).   Results: The result showed a clear indication that there are gender differences in attitudes of health promotion interventions in mental health services. The main significant differences were that, females rated overall health promotion interventions as well as alliance and empowerment as more important than males did. Conclusions: It is suggested that gender issues have to be considered in health promotion interventions in mental health services and taken into account in the assessment, planning and delivery of the interventions as well as the evaluation of outcomes.

  • 2659.
    Svedberg, Petra
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI), Group for Research on health promotion and disease prevention.
    Hälsofrämjande psykiatrisk omvårdnad2006In: Psykiatrisk omvårdnad: att stödja hälsofrämjande processer / [ed] Skärsäter, Ingela & Arvidsson, Barbro, Lund: Studentlitteratur, 2006, p. 39-61Chapter in book (Other academic)
  • 2660.
    Svedberg, Petra
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    In what direction should we go to promote health in mental health care?2013In: 21st International Conference on Health Promoting Hospitals and Health Services: Abstract book, Copenhagen: WHO-CC , 2013, p. 35-35Conference paper (Refereed)
  • 2661.
    Svedberg, Petra
    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.
    In what direction should we go to promote health in mental health care?2011In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 6, no 2, article id 7118Article in journal (Refereed)
    Abstract [en]

    There is a growing recognition of the need for health promotion interventions in all health care today. In spite of this, health promotion interventions among patients with mental illnesses have been scarce in research, practice, and policies. There is also an ambiguous interpretation of the definition of health promotion in the literature. The emphasis in this paper is thus to (1) discuss why we should pay attention to the interpretations of the concept of health promotion and (2) present a possible model for what nurses do when they intend to promote health in mental health care. This paper was presented at the Nordic Conference of Mental Health Nursing in Helsinki, Finland in 2010.

  • 2662.
    Svedberg, Petra
    et al.
    Vaxjo Univ, Sch Hlth Sci & Social Work.
    Arvidsson, Barbro
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Svensson, Bengt
    Lund Univ, Dept Hlth Sci.
    Hansson, Lars
    Lund Univ, Dept Hlth Sci.
    Psychometric characteristics of a self-report questionnaire (HPIQ) focusing on health promotion interventions in mental health services2008In: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349, Vol. 17, no 3, p. 171-179Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to develop and investigate psychometric properties of the Health Promotion Intervention Questionnaire, a newly developed instrument intended to measure patients' subjective experiences of health promotion interventions in the mental health services. Health promotion practice has often been contested; therefore, it is important to produce convincing evidence that health promotion initiated by the health-care services actually works. A cross-sectional study was performed in order to investigate health promotion interventions among mental health service outpatients. A sample of 135 patients was used to test the psychometric properties of a new questionnaire designed to measure subjective experiences of health promotion interventions carried out by the mental health services. The factor structure of the questionnaire was tested by means of principal component factor analysis with varimax rotation. Reliability was measured in terms of internal consistency of the factors and test-retest reliability in a subsample of patients. The final scale contained 19 items derived from four factors: alliance, empowerment, educational support, and practical support. In terms of internal consistency, reliability was found to be good, both for the overall scale and the subscales. Test-retest reliability was moderate or higher in 13 out of 19 items and poor in only one item. This questionnaire, developed to evaluate patients' experiences of health promotion interventions in mental health services, may be used as an alternative in further empirical studies. With additional testing, the questionnaire could facilitate the work of defining and evaluating health promotion interventions conducted by the mental health services.

  • 2663.
    Svedberg, Petra
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Arvidsson, Susann
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Larsson, Ingrid
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Carlsson, Ing-Marie
    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), Health and Nursing.
    Barriers and Enablers Affecting Successful Implementation of the Electronic Health Service Sisom: Multicenter Study of Child Participation in Pediatric Care2019In: Journal of Medical Internet Research, ISSN 1438-8871, E-ISSN 1438-8871, Vol. 21, no 11, p. 1-15, article id 14271Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Children's participation in health care is one of the most important components in the management of their disease. Electronic health (eHealth) services that are adapted to the needs of children have the potential for restructuring how children and professionals work together. Therefore, a digital interactive assessment and communication tool, Sisom, was developed to give children aged between 6 and 12 years a voice in their own health care. However, the implementation of eHealth services such as Sisom in daily practice in pediatric health care is rarely investigated. OBJECTIVE: The aim of this study was to explore the process of implementing Sisom for children in pediatric care in Sweden. More specifically, the study aimed to (1) evaluate whether the implementation strategy was conducted as planned, (2) understand the barriers and facilitators of the implementation strategy in pediatric care settings, (3) gain insight into how professionals work with the specific intervention, and (4) gain insight into the usefulness and effects of the intervention from the professionals' perspectives. METHODS: A process evaluation design was used to study the implementation of Sisom at 4 pediatric care centers in Sweden. An extensive amount of qualitative and quantitative data was collected before, during, and after the intervention through self-report checklists, memos, and interviews with professionals. In total, 46 children, aged between 6 and 13 years, participated. The children used Sisom on two occasions during 6 months. When they used Sisom, a printed report formed the basis for a forthcoming dialogue between professionals, children, and their parents. RESULTS: To our knowledge, this is the first implementation study of an eHealth communication tool aimed at strengthening children's participation in pediatric health care. Key factors for successful implementation were alignment of the solution with the values and goals of the organization, health care professionals' beliefs in the usefulness and usability of the solution, and health care professionals' willingness to change their professional roles guided by the solution. CONCLUSIONS: The results from the study show that it is possible to restructure health care delivery toward a child-centered approach, if there is a willingness and preparedness in the organization to implement an eHealth solution with the aim of restructuring the way of working with children's participation. ©Petra Svedberg, Susann Arvidsson, Ingrid Larsson, Ing-Marie Carlsson, Jens M Nygren.

  • 2664.
    Svedberg, Petra
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Arvidsson, Susann
    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).
    Carlsson, Ing-Marie
    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).
    Barriers And Enablers for Successful Implementation of the eHealth Service Sisom for Improved Child Participation in Paediatric Care - A Multi-Centre Study2019Conference paper (Refereed)
  • 2665.
    Svedberg, Petra
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Arvidsson, Susann
    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).
    Carlsson, Ing-Marie
    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).
    Barriers And Enablers for Successful Implementation of the eHealth Service Sisom for Improved Child Participation in Paediatric Care - A Multi-Centre Study2019In: Pediatric Blood & Cancer, ISSN 1545-5009, E-ISSN 1545-5017, Vol. 66, no S4, p. S122-S122, article id PPO18 SIOP19-1183Article in journal (Refereed)
    Abstract [en]

    Background/Objectives:

    Participation in healthcare is one of the most important components in management of children’s disease. eHealth services that are adapted to the needs of children have the potential to reorganize how children and professionals work together. The digital interactive communication tool Sisom, was developed to give children in pediatric oncology care “a voice". However, the implementation of eHealth services, such as Sisom, in daily practice is rarely being investigated. The objective of this study was to explore the process and effects of implementing Sisom at four pediatric care centers in Sweden.

    Design/Methods:

    A process and effect evaluation design was used to investigate the implementation of Sisom in a clinical context at four pediatric care centers in Sweden. In total, 46 children, age 6- 13 years, participated and most of them had a cancer diagnosis. The children used Sisom at two occasions during 6 months. Following the use of Sisom, a printed report formed the basis for a forthcoming dialogue between professionals, children and their parents.

    Results:

    Key factors for successful implementation of Sisom was; i) alignment of the solution with values and goals of the organization, ii) professional’s beliefs in the usefulness and usability of the solution, and iii) professional’s willingness to apply changes in their professional roles promoted by the solution. Sisom directed healthcarecommunication from the parents’ voices toward the child’s voice and made children’s needs and preferences explicitly visible in decision-making.Sisom was experienced, by the children, as a user-friendly tool through which they could find ways to express themselves and share information with their parents and healthcare professionals.

    Conclusions:

    The results show how healthcare deliverycan be reorganized towards a child-centered approach, and the importance of implementing an eHealth service to support restructuring ofways of working with children’s participation to succeed with this.

  • 2666.
    Svedberg, Petra
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Einberg, Eva-Lena
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention. Jönköping University, Jönköping, Sweden.
    Wärnestål, Pontus
    Halmstad University, School of Information Technology, Halmstad Embedded and Intelligent Systems Research (EIS), Man and Information technology laboratory (MI-lab).
    Stigmar, Jennie
    Skåne University Hospital, Lund, Sweden.
    Castor, Anders
    Skåne University Hospital, Lund, Sweden.
    Enskär, Karin
    Jönköping University, Jönköping, Sweden.
    Nygren, Jens
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Support from healthcare services during transition to adulthood – Experiences of young adult survivors of pediatric cancer2016In: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 21, p. 105-112Article in journal (Refereed)
    Abstract [en]

    Purpose: Improved survival rates of pediatric cancer have drawn attention on how to best facilitate long-term follow up and transition from pediatric to adult care. The transition process is multifactorial and necessitates the joint involvement of the patient, the family and the healthcare providers. The purpose of this study was to explore the experiences of support from healthcare services during the transition from adolescence to adulthood described by young adult survivors of pediatric cancer.

    Methods: A mixed method with a convergent parallel design was used to evaluate the experiences of receiving support from healthcare services (eg pediatric oncology and pediatric clinic) during transition from adolescence to adulthood described by young adult survivors of pediatric cancer (n = 213) in a nation wide cross-sectional survey.

    Results: A quantitative assessment of the experienced extent and satisfaction of support from healthcare services to handle physical, mental and social changes to continue life after the disease showed that a majority of the participants had received insufficient support. The qualitative analysis indicated a need for equal roles in healthcare to promote participation, a need to manage and process consequences of the disease, and a need for continuous support.

    Conclusions: During transition to adulthood, there's a need for a personalized care plan that takes a holistic approach towards supporting the young cancer survivor in managing life in the best way. Identifying and handling the individual needs of pediatric cancer survivors is important for providing the resources and support required to increase the likelihood of successful transition to adulthood. © 2016 Elsevier Ltd.

  • 2667.
    Svedberg, Petra
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI), Group for Research on health promotion and disease prevention.
    Hansson, Lars
    Department of Health Sciences, Lund University, Lund, Sweden.
    Svensson, Bengt
    Department of Health Sciences, Lund University, Lund, Sweden.
    The attitudes of patients and staff towards aspects of health promotion interventions in mental health services in Sweden2009In: Health Promotion International, ISSN 0957-4824, E-ISSN 1460-2245, Vol. 24, no 3, p. 269-276Article in journal (Refereed)
    Abstract [en]

    The present study investigates attitudes towards aspects of health promotion in mental health services, as rated by patients and staff. The aim of the study was to investigate similarities and differences in attitudes towards health promotion interventions among patients and staff in mental health services, using a newly developed questionnaire, the Health Promotion Intervention Questionnaire (HPIQ). The study has a cross-sectional design and a sample of 141 patients and 140 staff were recruited to the study. The response rate was 59% for the patients and 50% for the staff. The participants were asked to rate the attitudes of the 19 items included in the HPIQ. The result showed that patients and staff in some cases share similar attitudes regarding aspects of health promotion intervention. According to both groups, empowerment is the most important intervention in health promotion. Significant differences between the ratings of patients and staff appeared regarding all subscales of HPIQ. Patients rated alliance and educational support significantly higher than staff and staff-rated empowerment and practical support significantly higher than patients. Based on these findings, it is of importance to meet patients' desire for information and knowledge in an interactive manner with an empowerment approach to promote health in mental health services.

  • 2668.
    Svedberg, Petra
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Hutton, Katrin
    Einberg, Eva-Lena
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Nygren, Jens
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Barn och ungdomars självskattade hälsa: En undersökning i Halmstad kommun2012Report (Other academic)
  • 2669.
    Svedberg, Petra
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Ivarsson, Bodil
    Department of Cardiothoracic Surgery, University Hospital of Lund, Lund, Sweden.
    Nilsson, Ulrica G.
    Centre of Health Care Sciences Orebro University Hospital, Örebro, Sweden.
    Roxberg, Åsa
    University College of Haraldsplass, Bergen, Norway.
    Baigi, Amir
    General Practice and Public Health, Halland County Council, Falkenberg, Sweden.
    Brunt, David
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Brännström, Margareta
    Department of Nursing, Umeå University, Umeå, Sweden.
    Fridlund, Bengt
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Persson, Sylvi
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Rask, Mikael
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Alm-Roijer, Carin
    The Faculty of Health and Society, Malmö University, Malmö, Sweden.
    Psychometric evaluation of a Swedish version of Krantz Health Opinion Survey2012In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 2, no 3, p. 181-187Article in journal (Refereed)
    Abstract [en]

    The purpose of this study was to evaluate the psychometric properties of a Swedish version of The Krantz Health Opinion Survey (KHOS). A convenience sample of 79 persons (47 men and 32 women) was recruited from The Heart and Lung Patients’ National Association at ten local meeting places in different areas in Sweden. The questionnaire was examined for face and content validity, internal consistency and test-retest reliability. The findings showed that the Swedish version of KHOS is acceptable in terms of face and content validity, internal consistency and test-retest reliability over time among 79 individuals >65 years of age and with a cardiac disease. In conclusion, wider evaluations of the psychometric use of KHOS for other populations and settings are recommended.

  • 2670.
    Svedberg, Petra
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Johansson, Ingela
    Division of Nursing Sciences, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden & Department of Cardiology, Linköping Heart Centre, Linköping University Hospital, Linköping, Sweden & Faculty of Health Sciences, Molde University College, Molde, Norway.
    Persson, Sylvie
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Roxberg, Åsa
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden & University College of Haraldsplass, Bergen, Norway.
    Fridlund, Bengt
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden & School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Baigi, Amir
    General Practice and Public Health, Halland County Council, Falkenberg, Sweden.
    Brunt, David
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Alm Roijer, Carin
    The Faculty of Health and Society, Malmö University, Malmö, Sweden.
    Malm, Dan
    School of Health Sciences, Jönköping University, Jönköping, Sweden & Department of Cardiology, County Hospital Ryhov, Jönköping, Sweden .
    Rask, Mikael
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Nilsson, Ulrica
    Centre of Heath Care Sciences Örebro County Council and School of Health and Medical Sciences, Örebro University, Sweden.
    Psychometric evaluation of ‘The 25-item Sex after MI Knowledge Test’ in a Swedish context2012In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 26, no 1, p. 203-208Article in journal (Refereed)
    Abstract [en]

    The patients’ sexual life after a myocardial infarction is important for his/her quality of life. In spite of this, many patients are in doubt regarding their sex life after a myocardial infarction (MI) and the sexual information received, and counselling from health care providers has been seen to be insufficient. The purpose of this study was to evaluate the psychometric properties of ‘The 25-item Sex after MI Knowledge Test’ in a Swedish context. A convenience sample was recruited. The scale was translated into Swedish and completed by 79 former patients from The Heart and Lung Patients’ National Association on two occasions, with an interval of 2 weeks. The scale was tested for face and content validity, internal consistency and test–retest reliability. The result in this study indicates that the instrument has good face and content validity and displayed a moderate internal consistency (alpha 0.61). The instrument showed some level of instability in test–retest reliability with 60% of the items presenting moderate or strong agreement between the test and retest. Further studies that use this instrument in larger and more diverse samples are thus needed.

  • 2671.
    Svedberg, Petra
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Jormfeldt, Henrika
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Defining and assessing dimensions of health and health promotion intervention in mental health services2007In: : Joining forces across Europe for Prevention and Promotion in Mental Health, Imhpa - European Network for Mental Health Promotion and Mental Disorder Prevention , 2007Conference paper (Refereed)
    Abstract [en]

    Research in the area of health promotion usually focuses on disease prevention, and people with mental health problems are seldom included. Development of methods to assess perceived health promoting interventions and health in a broader perspective among patients in mental health services are needed. In order to properly evaluate health promoting interventions and health outcomes, the concepts of health and health promotion related to validation mesures must bee investigated. The aim was to investigate the construct validity of two newly developed questionnaires; Health Promotion Intervention Questionnaire (HPIQ), intended to measure patients’ subjective experinces of health promoting interventions and the Health Questionnaire (HQ) to measure subjectively experienced health among patients within mental health services. A cross sectional study was performed and one- hundred and forty – one participants in contact with outpatient mental health services responded to the questionnaires and to validation measures assessing psychiatric symptoms, empowerment, helping alliance and satisfaction with care, self-esteem, quality of life, and experiences of stigmatization. Health promoting interventions include alliance, empowerment, educational support and practical support and were positively correlated to alliance, client satisfaction with care and empowerment. Strong relationships were found between perceived health promotion intervention and helping alliance. Perceived health showed positive associations with self-esteem, empowerment and quality of life and negative associations with psychiatric symptoms, discrimination and rejection experiences. Self- esteem explained 60% of perceived health while psychiatric symptoms only explained about 6% of perceived health. Interventions focusing on respect, participation and empowerment are essential parts of mental health care delivery, supporting good health, including autonomy, social involvement and comprehensibility, The Health Promotion Intervention Questionnaire and the Health Questionnaire measures meaningful and valid constructs, useful in clinical mental health care and research. These questionnaires support an enhanced focus on mental health resources among patients and reinforce the perspective of health within mental health care practice and research.

  • 2672.
    Svedberg, Petra
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Jormfeldt, Henrika
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Arvidsson, Barbro
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Patients' conceptions of how health processes are promoted in mental health nursing: A qualitative study2003In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 10, no 4, p. 448-456Article in journal (Refereed)
    Abstract [en]

    The most important goal of nursing care is to promote the subjective experience of health. The health promoting efforts of mental health care nurses must be aimed at creating encounters where the patient will be confirmed both existentially and as an individual worthy of dignity. The patient in mental health care is often viewed by the nurse as nothing more than a passive recipient of care and the belief in the patient's potential is minimal. This can lead to a situation where the patient loses control in the caring situation and feels unable to improve his/her health, which conflicts with the goal of the nursing care. The aim of the study was to describe patients' conceptions of how health processes are promoted in mental health nursing. Twelve patients with experience of mental health nursing were interviewed, and the data material was analysed using a phenomenographic approach. The results show 13 different conceptions of the phenomenon, and these were summarized into four descriptive categories: interaction, attention, development and dignity. The conceptions described show that the patients need to be treated as equals and that the nurse must trust the patient's ability to make decisions and to promote his/her health process. It is suggested that mental health nursing should be built on humanistic science and its view that every individual has the ability to grow and develop. This view is one of the most important preconditions for the promotion of health processes in mental health nursing.

  • 2673.
    Svedberg, Petra
    et al.
    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).
    Fridlund, Bengt
    Halmstad University, School of Social and Health Sciences (HOS).
    Arvidsson, Barbro
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Perceptions of the concept of health among patients in mental health nursing2004In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 25, no 7, p. 723-736Article in journal (Refereed)
    Abstract [en]

    Health has been a central concept in nursing science since the 18th century but the holistic concept of health that includes both the body and the soul, still has to be clarified. The concept of health is often unclear and represents an unreachable ideal state that can be hard to use as a realistic goal in nursing care. The aim of this study was to describe how the patient perceives the concept of health in mental health nursing. Twelve patients with experience of mental health nursing were interviewed and the data were analyzed with a phenomenographic approach. The patients described nine different perceptions that were divided into three descriptive categories: autonomy, meaningfulness, and community. All of these are important to achieve health. There is ambiguity about the possibility to influence the concept of health. Health is described, on the one, hand as a prerequisite to experiencing freedom and finding meaning in life and, on the other hand, it is believed that the search for meaning and the courage to fight and try in spite of the disease is what leads to health. The patients' descriptions are mostly about things that they need in the present time to achieve health, but health as a process with growth and potential for development does not appear that clearly. One conclusion is that mental health nursing must deliver a more process-focused nursing care where the concept of health is visibly used as a goal for all nursing interventions.

  • 2674.
    Svedberg, Petra
    et al.
    Centrum för evidensbaserade psykosociala insatser för personer med psykiska funktionshinder (CEPI), Lund, Lunds universitet, Sverige.
    Jormfeldt, Henrika
    Centrum för evidensbaserade psykosociala insatser för personer med psykiska funktionshinder (CEPI), Lund, Lunds universitet, Sverige.
    Hansson, Lars
    Centrum för evidensbaserade psykosociala insatser för personer med psykiska funktionshinder (CEPI), Lund, Lunds universitet, Sverige.
    Svensson, Bengt
    Centrum för evidensbaserade psykosociala insatser för personer med psykiska funktionshinder (CEPI), Lund, Lunds universitet, Sverige.
    Utvärdering av rehabiliteringsprojektet i psykiatrin i Halland: Rapport del 1. Uppföljning av klienter och närstående2011Report (Other academic)
  • 2675.
    Svedberg, Petra
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Morgan, Antony
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Glasgow Caledonian University, Glasgow, United Kingdom.
    Nygren, Jens M.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Nyholm, Maria
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    The association between social capital on health quality of life among adolescents2017In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 27, no Suppl. 3, p. 365-365, article id ckx189.162Article in journal (Refereed)
  • 2676.
    Svedberg, Petra
    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).
    Patientdelaktighet och medverkan hos barn och unga2018In: Delaktighet och patientmedverkan / [ed] Ann Catrine Eldh, Lund: Studentlitteratur AB, 2018, 1, p. 59-104Chapter in book (Other academic)
  • 2677.
    Svedberg, Petra
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Nygren, Jens M.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Hutton, Katrin
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Nyholm, Maria
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Sport.
    Self-reported objective and subjective indicators of socio-economic status and mental health between two adolescent age groups in Sweden2014In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 24, no Suppl. 2, p. 31-31Article in journal (Refereed)
    Abstract [en]

    Background: Research has shown that socio-economic status (SES) contributes to the mental health of adolescents; however the causality of this effect is debated. SES among adolescents is methodologically difficult to assess and SES indicators differ between age groups. The aim of this study was to evaluate objective and subjective indicators of SES and their relation to mental health in two adolescent age groups.

    Methods: This is a cross-sectional study based on data collected by self- report questionnaires from 11-13 years old n = 457 (younger age group) and 14-16 years old n = 462 (older age group) adolescents at schools in a rural town in south western Sweden. The Family Affluence Scale (FAS) (high, medium, low) and Perceived Wealth (PW) (high, medium, low) were used as measurement for objective and subjective socio-economic wealth. The domain psychological functioning health from the Minneapolis Manchester Quality of Life instrument (MMQL-PF) (continuous variable) was used to measure self-rated mental health.

    Results: When measuring SES using the two different scales, the proportion of adolescents in the younger age group stating a low SES was 28.1% using FAS and 12.1% using PW. In the older age group the proportion was 21.4% in FAS and 15.5% in PW. There was a positive significant relation between PW and self-rated mental health in both age groups, by 0.112 (95% CI.0.024; 0.199) in the younger age group and by 0.140 (95% CI.0.051; 0.223) in the older age group. This relation was not seen regarding FAS.

    Conclusion: In the search for SES’ relation to mental health, different aspects of adolescents’ socio-economic conditions should be considered. In this study we suggest that the subjective experiences of adolescents regarding the wealth of the family might be a stronger indicator of SES influencing mental health. This might be taken into consideration when planning for public health interventions and effective prevention programs suited for adolescents with lower SES. 

    Key message:

    • In the search for SES’ relation to mental health, different aspects of adolescents’ socio-economic conditions should be considered.

    © The Author 2014

  • 2678.
    Svedberg, Petra
    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).
    Källstrand Eriksson, Jeanette
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Håman, Linn
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Utvärdering - Välmående ger Resultat2019Report (Other (popular science, discussion, etc.))
  • 2679.
    Svedberg, Petra
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Nygren, Jens
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Staland Nyman, Carin
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Nyholm, Maria
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    The validity of socioeconomic status measures among adolescents based on self-reported information about parents occupations, FAS and perceived SES; implication for health related quality of life studies2016In: BMC Medical Research Methodology, ISSN 1471-2288, E-ISSN 1471-2288, Vol. 16, article id 48Article in journal (Refereed)
    Abstract [en]

    Background

    Research has shown inconsistencies in results and difficulties in conceptualization of assessment of socioeconomic status (SES) among adolescents. The aim of this study was thus to test the validity of self-reported information on SES in two age-groups (11–13 and 14–16 years old) in an adolescent population and to evaluate its relationship to self-reported health related quality of life (HRQOL). Different measures of SES commonly used in research in relation to HRQOL were tested in this study; parent’s occupations status, family material affluence status (FAS) and perceived SES.

    Method

    A cross-sectional study, with a sample of 948 respondents (n = 467, 11–13 years old and n  = 481, 14–16 years old) completed questionnaires about SES and HRQOL. The adolescents’ completion rates were used, with chi2-test, to investigate differences between gender and age-group. Correlation was used for convergent validity and ANOVA for concurrent validity.

    Results

    We found a low completion rate for both fathers’ (41.7 %) and mothers' (37.5 %) occupation status, and a difference in completion rate between gender and age-groups. FAS had the highest completion rate (100 %) compared to parent's occupations status and perceived SES. The convergent validity between the SES-indicators was weak (Spearman correlation coefficient below 0.3), suggesting that the indicators measured different dimensions of SES. Both FAS and perceived SES showed a gradient in mean HRQOL between low and high SES in relation to HRQOL, this was significant only for perceived SES (p < 0.01, both age-groups).

    Conclusion

    This study indicates the need for considering different approaches to measures of SES among adolescences and when evaluating SES in relation to HRQOL. Further research is needed to investigate sustainable ways to measure SES, delineating the relevance of tangible measures of education, occupation and income in relation to the perceived socioeconomic status in comparison with others in immediate social networks and in society at large.

  • 2680.
    Svedberg, Petra
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Schön, Ulla-Karin
    Dalarna University, Falun, Sweden.
    Grim, Katarina
    Karlstad University, Karlstad, Sweden.
    Rosenberg, David
    Umeå University, Umeå, Sweden.
    Measuring client’s experiences of shared decision making in psychiatric services2015In: Closing the gap between research and policy in mental health: Book of abstracts / [ed] Fase20 S.L., Málaga: ENMESH , 2015, p. 117-118Conference paper (Refereed)
    Abstract [en]

    Introduction: While increased democratization and user participation are strongly emphasized political and ideological goals within the entire healthcare sector, research-based knowledge about how to achieve these goals is limited, not least in the psychiatric field. Shared decision-making, SDM, is an internationally described method which seeks to increase users’ involvement in health care decisions. However, knowledge of SDM as a method is limited, and research has focused primarily on SDM in medical decisions in somatic care. Despite the potential impact of SDM on users satisfaction with care and the quality in health care decisions, there is a lack of competence and skills in how to work with SDM among health care providers. Validated measures of SDM can play a critical role in supporting healthcare providers to increase their knowledge and skills in order to promote patient participation in healthcare.

    Aims: This project intends to increase knowledge regarding how SDM can be effectively evaluated in psychiatric services in Sweden.

    Methods: The present study has a methodological design where the translated version of the instruments Dyadic option, SURE and CollaboRATE were psychometrically investigated. It was carried out in 2014 at 19 municipal social psychiatry units in Sweden. The study sample consisted of 105 clients in contact with these services and the criteria for inclusion were that the clients were over 18 years of age and had experience of a decision having been taken.

    Results: A Swedish version of Dyadic option, SURE and CollaboRATE are acceptable in terms of face and content validity, internal consistency and stability. The concurrent validity of Dyadic option was demonstrated with positive correlations with SURE and CollaboRATE. However, there was no correlation between SURE and CollaboRATE.

    Conclusions: In the presentation, the findings of the evaluation of the SDM process in psychiatric care will be discussed. Furthermore, we will also discuss how the use of instruments that measure SDM in psychiatric health care can provide a tool for contributing to a structured person-centered dialogue between clients and staff, as well as how evaluations of SDM can contribute to the quality of the decision and ensure informed consent.

  • 2681.
    Svedberg, Petra
    et al.
    Department of Health Sciences, Lund University, Lund, Sweden.
    Svensson, Bengt Göran
    Department of Health Sciences, Lund University, Lund, Sweden.
    Arvidsson, Barbro
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Hansson, Lars
    Department of Health Sciences, Lund University, Lund, Sweden.
    The construct validity of a self-report questionnaire focusing on health promotion interventions in mental health services2007In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 14, no 6, p. 566-572Article in journal (Refereed)
    Abstract [en]

    Health promotion has become a widespread concept, although little empirical research as to its importance and outcome has been performed in the mental health field. The aim of the present study was to investigate the construct validity of a newly developed Health Promotion Intervention Questionnaire, intended to measure patients' subjectively experienced health-promoting interventions within mental health services. A total of 135 participants responded to the questionnaire and to validation measures assessing psychiatric symptoms, empowerment, helping alliance and satisfaction with care. Bivariate correlations showed that overall perceived health-promoting interventions were positively correlated to, helping alliance, client satisfaction with care and empowerment. Stepwise multiple regression analysis showed that the strongest relationship was found between perceived health promotion intervention and helping alliance. In conclusion, the construct validity of the scale was satisfactory, except for one of its subscales where further investigations are needed.

  • 2682.
    Svedberg, Petra
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Svensson, Bengt
    Department of Health Sciences, Lund University, Lund, Sweden.
    Hansson, Lars
    Department of Health Sciences, Lund University, Lund, Sweden.
    Jormfeldt, Henrika
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    A 2-year follow-up study of people with severe mental illness involved in psychosocial rehabilitation2014In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 68, no 6, p. 401-408Article in journal (Refereed)
    Abstract [en]

    Backgrounds. A focus on psychiatric rehabilitation in order to support recovery among persons with severe mental illness (SMI) has been given great attention in research and mental health policy, but less impact on clinical practice. Despite the potential impact of psychiatric rehabilitation on health and wellbeing, there is a lack of research regarding the model called the Psychiatric Rehabilitation Approach from Boston University (BPR). Aim: The aim was to investigate the outcome of the BPR intervention regarding changes in life situation, use of healthcare services, quality of life, health, psychosocial functioning and empowerment. Methods: The study has a prospective longitudinal design and the setting was seven mental health services who worked with the BPR in the county of Halland in Sweden. In total, 71 clients completed the assessment at baseline and of these 49 completed the 2-year follow-up assessments. Results: The most significant finding was an improved psychosocial functioning at the follow-up assessment. Furthermore, 65% of the clients reported that they had mainly or almost completely achieved their self-formulated rehabilitation goals at the 2-year follow-up. There were significant differences with regard to health, empowerment, quality of life and psychosocial functioning for those who reported that they had mainly/completely had achieved their self-formulated rehabilitation goals compared to those who reported that they only had to a small extent or not at all reached their goals. Conclusions: Our results indicate that the BPR approach has impact on clients’ health, empowerment, quality of life and in particular concerning psychosocial functioning. © 2014 Informa Healthcare.

  • 2683.
    Svenningsson, Irene
    et al.
    Sahlgrenska School of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden & Research and Development Unit, Primary Health Care FyrBoDal, Vänersborg, Sweden.
    Hallberg, Lillemor R-M.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Gedda, Birgitta
    Research and Development Unit, Primary Health Care FyrBoDal, Vänersborg, Sweden.
    Health care professionals meeting with individuals with Type 2 diabetes and obesity: Balancing coaching and caution2011In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 6, no 2, article id 7129Article in journal (Refereed)
    Abstract [en]

    The burden of diabetes and obesity is increasing worldwide, indicating a need to find the best standard for diabetes care. The aim of this study was to generate a theory grounded in empirical data derived from a deeper understanding of health care professionals’ main concerns when they consult with individuals with diabetes and obesity and how they handle these concerns. Tape-recorded interviews were conducted with seven groups and three individual members of a diabetes team in an area of western Sweden. The grounded theory (GT) method was used to analyse the transcribed interviews. A core category, labelled Balancing coaching and caution and three categories (Coaching and supporting, Ambivalence and uncertainty, and Adjusting intentions) emerged. The core category and the three categories formed a substantive theory that explained and illuminated how health care professionals manage their main concern; their ambition to give professional individualised care; and find the right strategy for each individual with diabetes and obesity. The theory generated by this study can improve our understanding of how a lack of workable strategies limits caregivers’ abilities to reach their goals. It also helps identify the factors that contribute to the complexity of meetings between caregivers and individuals with diabetes. © 2011 I. Svenningsson et al.

  • 2684.
    Svensson, Anna
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Pålsson, Sara
    Halmstad University, School of Social and Health Sciences (HOS).
    Ungdomars motivationsfaktorer & barriärer för att vara fysiskt aktiva och för att delta i ett idrottsprojektunder skoltid: en intervjustudie2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    High School students are a group with many physical inactive. Hallands Idrottsförbund runs a project to gain physical activity in adolescents, were they get an opportunity to play a soccer game during some of their lessons on their lector time. The Project lasts one hour a week. All students who attend the project is studying on High School level and are studying on the electrical programme. As an evaluation of the project 10 interviews were carried out. The aim of the study was to describe the factors that motivate adolescent’s and the factors that were barriers to be physical active and to attend a sports project. Motivational factors for attending the sports project that came up was well-beeing, to become more alert, to have an attractive body and have fun with there friends. Motivational factors to attend the sports project was different, one motive that came up was to escape from the ordinary lessons. Other motives to attend the project were the competition between classes. At school those classes who had teachers with a positive attitude towards the project was more motivated to attend. In this study those adolescent’s who indentified themselves as physical active persons were more likely to attend the project and to be more physical active. Barriers that prevent the students from being more physical active was lack of time and competing activities, for example dealing with computers and social contacts. Barriers that prevents students to attend the project was schoolwork, that they didn’t want to miss any lessons and that they didn’t want to catch up with the schoolwork afterwards.  By doing a larger study with more interviews, more motivators and barriers highlighted.

  • 2685.
    Svensson, Anton
    et al.
    Halmstad University, School of Health and Welfare.
    Case, Matilda
    Halmstad University, School of Health and Welfare.
    ”Jag kommer aldrig att bli frisk igen”: Barns upplevelser av att leva med diabetes mellitus2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Diabetes type 1 (DM type 1) is one ofe the most common chronical diseases and affects mainly children and adolescents. DM type 1 requires a lifelong monitoring and treatment with insulin injections, which sets high standards of responsibility on the affected person. Childhood and adolescence is characterized by different phases. To foster the development of a good patient participation thoughout the maturation process, it is important that nurses possess indepth knowledge about youth´s experiences. The aim of this study was to describe children´s, in the age of 10-18, experiences of livning with DM type 1. The method was a literature study which consisted of ten scientific articles. The findings was performed by three main themes and three sub-categories: the experience of self-care, the experience of support with the sub-categories: support from parents, support from friends and support through the healtcare team and the school. The last theme described the experience of the diseases impact on everyday life. Over time the experienced understanding and knowledge of the disease increased, which generated in improved self-care. Children experienced that good problem solvning skills were the key to a functioning everyday life. Each meeting with a patient must in a deeper way be adapted to the individual to optimize the experience of everyday life for a young person with DM type 1. The nurses role in improvning young people´s experiences of everyday life should therefore be discussed further.

  • 2686.
    Svensson, Emma
    et al.
    Halmstad University, School of Health and Welfare.
    Månsson, Sofie
    Halmstad University, School of Health and Welfare.
    Copingstrategier hos vuxna personer med diagnosen epilepsi: En litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The number of people who are diagnosed with epilepsy increases each year and what is more each person stricken by the disease also experiences different issues all related to the illness. To be able handle the problems generated from epilepsy they can use different coping strategies. The aim of this study was to examine coping strategies among adults diagnosed with epilepsy and it was made as a literary study where article search, examination and selection was done according to a structural and methodical approach. The result was based upon eight scholarly articles. After an analysis of the articles three main categories emerged: Internalized coping strategy, external coping strategy and allocation and use of coping strategies. Internalized coping strategy gave rise to two additional lower categories: situation-focused coping and emotion-focused coping. The result shows that the most common coping strategies are adaption, denial and religion. Furthermore it is also shown that similar strategies are used among many countries, whereas there is a difference between men and women. Additional research is needed within this field to increase the knowledge about coping strategies among people with epilepsy. The effect of this knowledge is that it will be easier for nurses to guide and understand people diagnosed with epilepsy. 

  • 2687.
    Svensson, Erik
    Halmstad University, School of Business and Engineering (SET), Biological and Environmental Systems (BLESS), Biomechanics and Biomedicine.
    Hur starkt korrelerar unilateral hoppförmåga vertikalt respektive horisontellt med sprintförmåga upp till 30 meter hos manliga fotbollsspelare?2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund och syfte

    Under en fotbollsmatch rör sig spelarna någonstans mellan 9-12 km i olika hastigheter. Ungefär 10 % av denna sträcka genomförs genom löpningar av hög intensitet, där de flesta sprinter sker kring 2 sekunder. Under 2 sekunder hinner en spelare ungefär 10-15 meter, beroende på spelarens accelerationsförmåga. Studier har visat ett samband mellan hopp och sprintförmåga både bilateralt och unilateralt. Dock är det få studier som följt förloppet från start till 30 meter med mellantider om varje 5 meter och få studier genomförda unilateralt hos fotbollsspelare. Syftet med studien var att undersöka sambandet mellan unilateral horisontell respektive vertikal hoppförmåga med sprintförmåga hos manliga fotbollsspelare.

    Metod

    22 manliga fotbollsspelare från division 4 elit deltog i studien. Testprotokollet bestod av unilaterala vertikalhopp (CMJ och SJ), unilateralt stående längdhopp samt sprinttest på 30 meter med mellantider på 5, 10, 15, 20 och 25m. Samtliga hopptester genomfördes med händerna vid höfterna och sprinttesterna genomfördes med stående start 60cm före första sensorn. Pearsons korrelationskoefficient (r) undersöktes mellan hopp och sprintförmåga med gränsvärdena r ≤ 0.35 för svaga, r = 0.36-0.67 för moderata och r = 0.68-1.0 för starka korrelationer, där korrelationer r ≥ 0.9 ansågs vara mycket starka.

    Resultat

    Överlag ökade sambanden mellan alla hopptester desto längre sprintsträckor som genomfördes. SJ visade starkast korrelationer vid nästan alla sprintsträckor. Starkaste sambandet mellan stående längdhopp och sprintförmåga fanns mellan hopp på vänster ben och mellantiden på 25 meter (r=-0,64). Starkaste sambandet mellan CMJ och sprintförmåga fanns mellan hopp på vänster ben och sprintsträckan 30 meter (r=-0,69). Starkast korrelation av alla hopptester upptäcktes mellan SJ och 30 meter sprint (r = -0,73).

    Slutsats

    Korrelationen mellan unilateral hoppförmåga horisontellt respektive vertikalt och sprintförmåga blir starkare ju längre sträckan blir, med sprinttester utförda upp till 30 meter. Den starkaste korrelationen ses mellan SJ och sprintsträckan 30 meter.

  • 2688.
    Svensson, Hannah
    Halmstad University, School of Business, Engineering and Science.
    A correlation study between 10 and 15 meter sprint and vertical jump height in young female teamgymnasts2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Teamgym is originally from Scandinavia and the first competition was held in Finland in 1996. The sport includes parts such as trampette, tumbling and floor programs which is performed by the whole team which often consists of six to twelve gymnasts. Trampette and tumbling program consists of three series of tumbles and vaults performed by six gymnasts of the team. The floor program is three minutes long and performed by the team. Female elite gymnasts are often short, lightweight and have a good strength and power and are very flexible and limber. Jumping movements are common in this sport especially to vault and floor programs. It is also preferable that the gymnasts achieves a high sprint speed in order to carry out the movements that are included in the sport. Plyometric training along with resistance training has proven to have positive effects on the gymnasts jumping ability. Especially the jumping ability is incredibly important for a gymnast and for its development in the sport. Plyometrics improves not only the acceleration during the sprint, but also increases the athlete’s strength in the lower extremity. Very few previous studies have been done on gymnastics, particularly in teamgymnastic. Aim: The aim of this study was to investigate if there is any linear correlation between vertical jump height and 10 and 15 meter sprint in teamgym gymnastics. Method: 17 young female teamgymnasts, 12-17 years old, were tested in 10 and 15 meter sprint and two different vertical jumps, countermovement jump with arm swing (CMJa) and squat jump (SJ). The highest was correlated with the fastest sprint time. To analyze the correlation between vertical jumps and sprint the Spearman’s rank correlation (rs) was used. Result: CMJa shows a moderate negative correlation to 10 meter sprint (rs = -0.447) and CMJa also shows moderate negative correlation to 15 meter sprint (rs = -0.488). SJ shows a weak negative correlation to 10 meter sprint (rs = -0.23). SJ also shows weak negative correlation to 15 meter sprint (rs = -0.16). When controlling for the weight, SJ and both sprints went from a weak correlation to a strong correlation. Conclusion: The strongest correlation was found between CMJa and 15 meter sprint. When controlling for the weight, SJ and both sprints went from a weak correlation to a strong correlation. The result showed that the test subjects jumped higher during CMJa than during SJ, with a median of 36.0 compared with 30.0 centimeters. No previous studies have examined these variables and their relationship on teamgymnasts. Further research should be done on the teamgymnasts, since very little previous research has been done in this area.

  • 2689.
    Svensson, Hilda
    et al.
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden & Gothenburg Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden.
    Hansson-Olofsson, Elisabeth
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden & Gothenburg Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden.
    Karlsson, Jón
    Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Hansson, Tommy
    Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Olsson, Lars-Eric
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden & Gothenburg Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden.
    A painful, never ending story: older women's experiences of living with an osteoporotic vertebral compression fracture2016In: Osteoporosis International, ISSN 0937-941X, E-ISSN 1433-2965, Vol. 27, no 5, p. 1729-1736Article in journal (Refereed)
    Abstract [en]

    Vertebral compression fractures (VCF) cause pain and decreased physical ability, with no known well-established treatment. The aim of this study was to illuminatethe experience of living with a VCF. The results show that fear and concerns are a major part of daily life. The women's initial contact with health-careproviders should focus on making them feel acknowledged by offering person-centered and tailored support.

    INTRODUCTION: In the past decade,osteoporotic-related fractures have become an increasingly common and costlypublic health problem worldwide. Vertebral compression fracture (VCF) is the second most common osteoporotic fracture, and patients with VCF describe anabrupt descent into disability, with a subsequent desire to regain independence in everyday life; however, little is known of their situation. The aim of thisstudy was to illuminate the lived experience of women with an osteoporotic VCF.

    METHODS: Ten women were interviewed during 2012-2013, starting with an open-endedquestion: could you tell me what it is like to live with a vertebral compression fracture? The verbatim transcribed interviews were analyzed using a phenomenological hermeneutical approach.

    RESULTS: The narrative provided descriptions of living in turmoil and chaos, unable to find stability in their life with little improvement regarding pain and physical function. Shifts from periods of constant pain to periods of fear of constant pain created a loss of confidence and an increased sense of confinement.The structural analysis revealed fear and concerns as the most prominentexperience building on five themes: struggling to understand a deceiving body,breakthrough pain fueling fear, fearing a trajectory into isolation, concerns of dependency, and fearing an uncertain future.

    CONCLUSIONS: Until researchers find a successful prevention or medical/surgical treatment for osteoporotic VCFs, health-care providers and society abandon these women to remain in a painful and never ending story. © 2015, The Author(s).

  • 2690.
    Svensson, Hilda
    et al.
    Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg Centre for Person-Centered Care (GPCC) & University of Gothenburg, Gothenburg, Sweden.
    Olsson, Lars-Eric
    Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg Centre for Person-Centered Care (GPCC) & University of Gothenburg, Gothenburg, Sweden.
    Hansson, Tommy
    Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Karlsson, Jón
    Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Hansson-Olofsson, Elisabeth
    Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg Centre for Person-Centered Care (GPCC) & University of Gothenburg, Gothenburg, Sweden.
    The effects of person-centered or other supportive interventions in older women with osteoporotic vertebral compression fractures–a systematic review of the literature2017In: Osteoporosis International, ISSN 0937-941X, E-ISSN 1433-2965, Vol. 28, no 9, p. 2521-2540Article in journal (Refereed)
    Abstract [en]

    Vertebral compression fracture (VCF) is a common fragility fracture and the starting point of a lasting, painful, disabling condition. The aim was to summarize the evidence of person-centered/non-medical interventions supporting women with VCF. Results show small numbers of studies with only probable effect onfunction, pain, QoL, fear of falling, and psychological symptoms. The vertebralcompression fracture (VCF) caused by osteoporosis is the third most common fragility fracture worldwide. Previously, it was believed that the pain caused by VCF was self-subsiding within weeks or a few months post-fracture. However, this positive prognosis has been refuted by studies showing that, for the great majority of patients, the VCF was the starting point of a long-lasting, severely painful, and disabling condition. The low number of studies focusing on the experience of the natural course of VCF, and what support is available and how itis perceived by those affected, calls for further investigation. Strengthening older patients' sense of security and increasing confidence in their ownabilities are of great importance for successful rehabilitation following VCF. More research is needed to identify resources, possibilities, and strategies that can assist older patients to reach their goals to improve well-being. The purposeof this systematic review was to identify and summarize the current evidence ofperson-centered or other structured non-medical/non-surgical interventions supporting older women after experiencing an osteoporotic VCF. A systematic literature search was conducted on the MeSH terms encompassing osteoporosis andvertebral compression fractures in the PubMed-MEDLINE and Cumulative Index forNursing and Allied Health Literature (CINAHL) databases during March through June 2015. The initial search identified 8789 articles, but only seven articles (sixrandomized controlled trials and one observational study with a control group)met the inclusion criteria. It became evident from the current study that theavailability of evidence on the effects of non-medical interventions aiming tosupport older women with VCF is limited, to say the least. The trials included inthis review have few limitations and were mainly considered to be of moderatequality. This systematic literature review suggests that non-medical interventions aiming to support older women with VCF might decrease levels ofpain and use of analgesic as well as promote improved physical mobility andfunction. These interventions would probably result in an improved difference in experiences of fear of falling and perceived psychological symptoms, but would only slightly improve quality of life. However, given the nature of the seven studies, potential biases in patient selection, issues around precision with small cohorts, and failure to control for confounders, makes it difficult to drawa definitive conclusion about the significant effects of non-medical interventions. Incurring a VCF is a complex and diverse event, necessitating equally complex interventions to identify new ways forward. However, to date,interventions struggle with a risk of selection bias in that only the needs of the healthiest of the population are addressed and the voices of the remaining majority of the people affected by VCF are unheard. © 2017, The Author(s).

  • 2691.
    Svensson, Jamilah
    et al.
    Halmstad University, School of Health and Welfare.
    Dahlgren, Lina
    Halmstad University, School of Health and Welfare.
    Att drunkna utan vatten: en litteraturstudie om att leva med cystisk fibros2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Cystic fibrosis (CF) is no longer a pediatric disease since 95% live up to adulthood. The disease has a great impact on the organs especially the lungs and the gastrointestinal tract. The treatment is very demanding and consists mainly of selfcare. Aim: The aim of this study was to illustrate persons´ experience of living with CF. Method: The study was constructed as a general literature study with an inductive approach. The searches were conducted in three different databases and resulted in eleven articles. Result: These eleven articles resulted in four categories: The worry of being different, The symptoms effect on life, Hope and suffering and Health care experience. Conclusion: People with CF experience a lack of normality, a wish for a normal life and they have a relationship with death. Being involved in the care is a prerequisite for people with CF and it contributes to independence. Continued research within the disease is necessary to relieve the suffering of people with CF.

  • 2692.
    Svensson, Jessica
    Halmstad University, School of Health and Welfare.
    Mindfulness i skolan -en häslofrämjande intervention i förhållande till empowerment och SOC2019Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    High school students who implemented the mindfulness program "My Claim " describe how different mindfulness components such as attention and acceptance have contributed to their perceived well-being, and their view and management of their schoolwork and school environment. Twelve students participated in a voluntary, self-reported interview after the program and the the interviews were analyzed with a qualitative content analysis. The welfare of most students increased as a result of a more flexible way of thinking and feeling in different situations. Study technique was improved as a result of a focused and self-reflecting way of studying. As far as the school environment is concerned, the pupils did not experience any general improvement, however, the students meant that they developed a distance between their own and other’s thoughts and feelings, and partly that a mindfulness practice in classrooms affects itself. The pupils also considered it important to understand the purpose of different exercises, as it both increases the insight about the purpose of the practice and motivates students to want to participate.

  • 2693.
    Svensson, Johanna
    et al.
    Halmstad University, School of Health and Welfare.
    Persson, Jessica
    Halmstad University, School of Health and Welfare.
    Patienters erfarenheter av att leva med sväljningssvårigheter2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Swallowing difficulties occur in people of all ages, but is increasingly common in the elderly. Malnourishment and aspiration pneumonia are consequences of swallowing difficulties that lead to increase in ill-health and high costs for society. Swallowing difficulties are not an illness, but a symptom of other diseases. Since malnourishment is common in people with swallowing difficulties nurses should have knowledge of patients with experiences of having swallowing difficulties. The purpose of this study was to describe patients’ experiences of swallowing difficulties. Through the performance of a literature review four themes emerged: Experiences of swallowing difficulties hindering the meal, Experiences of limitations in daily life, Experiences of dealing with everyday life and The joyless meal. The meal was characterized by coughing, feelings of choking and food getting stuck in the throat. Social life and family life alike were limited. Patients handled the situation by avoiding eating with others. Patients no longer experienced joy in eating. Further research on public’s attitude towards swallowing difficulties are of interest. The development of a texture modified menu for restaurants would be helpful for this patient group.

  • 2694.
    Svensson, Madeleine
    Karolinska Institutet, Stockholm, Sweden.
    Motivational technologies to promote weight loss – from Internet to gadgets2011Conference paper (Refereed)
  • 2695.
    Svensson, Madeleine
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Bellocco, Rino
    Department of Statistics, University of Milano-Bicocca, Milan, Italy.
    Bakkman, Linda
    Unit of Clinical Epidemiology, Department of Medicine, Karolinska Institutet, Stockholm, Sweden.
    Trolle Lagerros, Ylva
    Unit of Clinical Epidemiology, Department of Medicine, Karolinska Institutet, Stockholm, Sweden.
    An Interactive Internet-Based Plate for Assessing Lunchtime Food Intake: A Validation Study on Male Employees2013In: Journal of Medical Internet Research, ISSN 1438-8871, E-ISSN 1438-8871, Vol. 15, no 1, article id e13Article in journal (Refereed)
    Abstract [en]

    Background: Misreporting food intake is common because most health screenings rely on self-reports. The more accurate methods (eg, weighing food) are costly, time consuming, and impractical.

    Objectives: We developed a new instrument for reporting food intake—an Internet-based interactive virtual food plate. The objective of this study was to validate this instrument’s ability to assess lunch intake.

    Methods: Participants were asked to compose an ordinary lunch meal using both a virtual and a real lunch plate (with real food on a real plate). The participants ate their real lunch meals on-site. Before and after pictures of the composed lunch meals were taken. Both meals included identical food items. Participants were randomized to start with either instrument. The 2 instruments were compared using correlation and concordance measures (total energy intake, nutritional components, quantity of food, and participant characteristics).

    Results: A total of 55 men (median age: 45 years, median body mass index [BMI]: 25.8 kg/m2) participated. We found an overall overestimation of reported median energy intake using the computer plate (3044 kJ, interquartile range [IQR] 1202 kJ) compared with the real lunch plate (2734 kJ, IQR 1051 kJ, P<.001). Spearman rank correlations and concordance correlations for energy intake and nutritional components ranged between 0.58 to 0.79 and 0.65 to 0.81, respectively.

    Conclusion: Although it slightly overestimated, our computer plate provides promising results in assessing lunch intake. © Filippo Castiglione.

  • 2696.
    Svensson, Madeleine
    et al.
    Karolinska Institutet, Unit of Clinical Epidemiology, Stockholm, Sweden.
    Lagerros, Ylva Trolle
    Karolinska Institutet, Unit of Clinical Epidemiology, Stockholm, Sweden.
    Motivational technologies to promote weight loss—From Internet to gadgets2010In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 79, no 3, p. 356-360Article, review/survey (Refereed)
  • 2697.
    Svensson, Madeleine
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Pasquali, Elena
    Division of Epidemiology and Biostatistics, European Institute of Oncology, Milan, Italy.
    Bellocco, Rino
    Unit of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
    Petersson, Lena
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Bakkman, Linda
    Unit of Clinical Epidemiology, Karolinska Institutet, Stockholm, Sweden.
    Trolle Lagerros, Ylva
    Unit of Clinical Epidemiology, Stockholm, Sweden.
    The Effects of a Randomized Workplace Lifestyle Intervention - Using Web-Based Feedback with Health Behavior Theories for Self-Empowered Health and Health Literacy2013Conference paper (Refereed)
  • 2698.
    Svensson, Madeleine
    et al.
    Unit of Clinical Epidemiology, T2, Department of Medicine, Karolinska Institutet, Stockholm, Sweden.
    Svensson, Tobias
    Unit of Clinical Epidemiology, T2, Department of Medicine, Karolinska Institutet, Stockholm, Sweden.
    Hansen, Andreas Wolff
    National Institute of Public Health, University of Southern Denmark, Odense, Denmark.
    Lagerros, Ylva Trolle
    Unit of Clinical Epidemiology, T2, Department of Medicine, Karolinska Institutet, Stockholm, Sweden.
    The effect of reminders in a web-based intervention study2012In: European Journal of Epidemiology, ISSN 0393-2990, E-ISSN 1573-7284, Vol. 27, no 5, p. 333-340Article in journal (Refereed)
    Abstract [en]

    Knowledge on effective strategies to encourage participation in epidemiological web-based research is scant. We studied the effects of reminders on overall participation. 3,876 employees were e-mailed a baseline web-based lifestyle questionnaire. Nine months later, a follow-up questionnaire was sent. To encourage study participation, 4–5 and 11 e-mail reminders were sent at baseline and follow-up, respectively. Additional reminders (media articles, flyers, SMS etc) were also administered. Reminders (e-mails + additional) were given in low (≤6 reminders), medium (7–9 reminders) or high amounts (>9 reminders). Participation was examined with respect to participant characteristics (i.e. age, sex, Body Mass Index, occupation), type/number of reminders, and time of participation. Most participants were males, 35–49 years, and field workers (non-office based). About 29 % responded before any e-mail reminder, following 26 and 45 % after 1 respective ≥ 2 e-mail reminders. Participant characteristics were not related to when the participants responded. The 4–5 e-mail reminders increased total response rate by 15 %, the eleven by 21 % (greatest increases in September). Those receiving medium amounts of reminders (reference) had the highest response rate (75 %), likewise office workers (54 %) compared to field workers (33 %). High amounts of reminders were particularly effective on office workers. The participants’ characteristics were not related to when they responded in this web-based study. Frequent reminders were effective on response rates, especially for those with high Internet availability. The highest increases in response rates were found in September. © The Author(s) 2012.

  • 2699.
    Svensson, Madeleine
    et al.
    Karolinska Institutet, Stockholm, Sweden.
    Svensson, Tobias
    Karolinska Institutet, Stockholm, Sweden.
    Lagerros, Ylva Trolle
    Karolinska Institutet, Stockholm, Sweden.
    Strategies to Encourage E-health: The Effects of Using Different Reminders to Various Extents on Overall Response Patterns in a Large Randomized Internet-based Intervention Study2011Conference paper (Refereed)
    Abstract [en]

    Background

    The use of the Internet as a research tool has dramatically increased in the past several years. Yet, the current literature favors the response rate achieved from paper-based studies. Knowledge of successful methods to increase participation in Internet-based research is scarce. The objective of this study is to examine the effects of different reminders to encourage study participation on overall response patterns in an Internet-based intervention study.

    Methods

    In 2008, 3,876 employees at four companies in the railway sector in Sweden were randomly e-mailed an Internet-based lifestyle questionnaire consisting of: A) questions, B) questions + interactive personalized automated feedback, or C) questions + interactive personalized automated feedback + telephone counseling. The questionnaire assessed health aspects including diet, physical activity, sleep, stress, alcohol/tobacco consumption, and motivation to change health. Interactive feedback was provided for all health sections; telephone counseling was offered for diet, physical activity, alcohol and smoking habits. Nine months later, a follow-up questionnaire (C) was e-mailed to examine health improvements. 4-5 and 11 e-mail reminders were sent at baseline and follow-up, respectively. Additional reminders (flyers, texts in internal media/bulletin board, information talks, SMS, visit by the research group etc) were also administered at the four companies, to various extents. The number of additional reminders was summarized and analyses were based on the total number of received additional reminders (low, moderate or high). Response patterns were examined in relation to basic characteristics, company, work type (office/field worker), received e-mail reminders, and total number of received additional reminders. As a result of the study, the companies received recommendations for future health implementations.

    Results

    38% and 36% completed the baseline and follow-up questionnaire, respectively. The majority of the participants was male, non-smokers, employed as field workers, and had a BMI ≥25. The 4-5 e-mail reminders increased the total response rate by 15%; the 11 e-mail reminders by 21%. Additional reminders had a marginal effect on total response rate, yet generated a positive effective on the response rate among office workers (71%). Since the planning process of the study, the company involved had the highest overall response rate (61%: P<0.001), despite receiving a moderate number of additional reminders. The employees at this company were almost 1.80 (CI: 1.55-2.08) times more likely to participate in the baseline questionnaire, compared to the company which entered the study just prior to the start and had the lowest overall response rate. Participant characteristics including sex, age, BMI, smoking, motivation to change health habits, and version of the completed questionnaire (A, B or C) were not associated with time of response. The highest participation at follow-up, however, was found for those who completed baseline questionnaire A, consisting solely of questions.

    Conclusions

    A well-established collaboration with the participants prior to study start and to send out e-mail reminders on a continuous basis are two effective strategies to increase the response rate in Internet-based studies. Additional reminders conducted in the work setting may only be effective among office workers participating in Internet-based studies.

  • 2700.
    Svensson, Madeleine
    et al.
    Karolinska Institutet, Stockholm, Sweden.
    Van der Mark, Marianne
    Karolinska Institutet, Stockholm, Sweden.
    Trolle Lagerros, Ylva
    Karolinska Institutet, Stockholm, Sweden.
    TFEQ-R18 on the Internet – results from a Swedish cohort of 22,800 participants2010Conference paper (Refereed)
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