hh.sePublications
Change search
Refine search result
45678910 301 - 350 of 1598
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Rows per page
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sort
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
Select
The maximal number of hits you can export is 250. When you want to export more records please use the Create feeds function.
  • 301.
    Eklund, Monica
    et al.
    Halmstad University, School of Teacher Education (LUT), Research on Education and Learning within the Department of Teacher Education (FULL).
    Högdin, Sara
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Rydin, Ingegerd
    Halmstad University, School of Social and Health Sciences (HOS), Center for Social Analysis (CESAM).
    Educational Integration of Asylum-seeking and Refugee Children in Sweden2013In: Migrants and Refugees: Equitable Education for Displaced Populations / [ed] Elinor L. Brown, University of Kentucky & Anna Krasteva, New Bulgarian University, Charlotte, NC: Information Age Publishing, 2013, p. 73-93Chapter in book (Refereed)
    Abstract [en]

    The Nordic countries (Denmark, Finland, Iceland, Norway and Sweden) have undergone substantial cultural and social changes due to increased migration from the 1970s onwards. While the Nordic region has become more multicultural in terms of demography, workforces and cultural practices, criticism of multicultural politics has increased. Despite different patterns of immigration in the Nordic countries, they all seem to share growing political tensions with regard to multiculturalism and migration. Many migrants have experiences of racism and discrimination (Eide & Nikunen, 2010:1). In all Nordic countries, right-wing conservative parties have strengthened their position. In Norway and Denmark, such parties have for some time been represented in the Parliament, and in Sweden, the Sweden Democrats came into the Parliament after the 2010 election. This party has on its agenda to reduce the costs for migration and dramatically change the national migration policy. They blame the government for being too permissive and generous. It is against this background the present report is written.

  • 302.
    Eklund, Monica
    et al.
    Halmstad University, School of Teacher Education (LUT), Research on Education and Learning within the Department of Teacher Education (FULL).
    Sjöberg, Ulrika
    Halmstad University, School of Social and Health Sciences (HOS), Center for Social Analysis (CESAM), Centre for Studies of Political Science, Communication and Media (CPKM).
    Rydin, Ingegerd
    Halmstad University, School of Social and Health Sciences (HOS), Center for Social Analysis (CESAM), Centre for Studies of Political Science, Communication and Media (CPKM).
    Högdin, Sara
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Good practices in the field of educational integration of refugee and asylum-seeking children: Country report : Sweden2011In: Integrating Refugee and Asylum-seeking Children in the Educational Systems of EU Member States / [ed] Andrey Nonchev and Nikolai Tagarov, Sofia, Bulgaria: Center for the Study of Democracy , 2011, , p. 35p. 182-214Chapter in book (Refereed)
  • 303.
    Eklund, Monica
    et al.
    Halmstad University, School of Teacher Education (LUT), Research on Education and Learning within the Department of Teacher Education (FULL).
    Sjöberg, Ulrika
    Halmstad University, School of Social and Health Sciences (HOS), Center for Social Analysis (CESAM), Centre for Studies of Political Science, Communication and Media (CPKM).
    Rydin, Ingegerd
    Halmstad University, School of Social and Health Sciences (HOS), Center for Social Analysis (CESAM), Centre for Studies of Political Science, Communication and Media (CPKM).
    Högdin, Sara
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Integrating refugee and asylum-seeking children in the educational systems: Country report : Norway2011Report (Refereed)
  • 304.
    Elbe, A.-M.
    et al.
    University of Copenhagen, Copenhagen, Denmark.
    Lintunen, T.
    University of Jyväskylä, Jyväskylä, Finland.
    Apitzsch, E.
    Lund University, Lund, Sweden.
    Strengell, A.-M.
    University of Jyväskylä, Jyväskylä, Finland.
    Alfermann, Dorothee
    University of Leipzig, Leipzig, Germany.
    Bakker, F.
    Vrije Universiteit Amsterdam, Amsterdam, Netherlands.
    Boen, F.
    Katholieke Universiteit Leuven, Leuven, Belgium.
    Cruz, J.
    Autonomous University of Barcelona, Barcelona, Spain.
    Gernigon, C.
    University Montpellier 1, Montpellier, France.
    Johnson, Urban
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Sport Health and Physical activity.
    Papaioannou, A.
    University of Thessaly, Trikala, Greece.
    Roberts, G.
    Norwegian School of Sport Sciences, Oslo, Norway.
    Serpa, S.
    Technical University of Lisbon, Lisbon, Portugal.
    Stambulova, Natalia
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Sport Health and Physical activity.
    Stelter, R.
    University of Copenhagen, Copenhagen, Denmark.
    Career and Employment Survey for the Former Students of the European Master’s Programme in Sport and Exercise Psychology2009In: Congrès International de Psychologie du Sport, Vincennes, 1-3 juillet 2009: Actes, Paris: Institut National du Sport, de l'Expertise et de la Performance (INSEP) , 2009, p. 121-121Conference paper (Other academic)
    Abstract [en]

    The purpose of the European Master’s Programme in Sport and Exercise Psychology (EMPSEP) is to pool expertise of 12 European universities within one Master’s programme (see http://www.fepsac.com/). The 60 ECTS European programme provides students with advanced knowledge and skills. The EMPSEP comprises a joint intensive course, a study module similar in all the participating universities, lectures and seminars, a Master’s thesis, and a mobility period of 4-5 months at an EMPSEP host university. Ten years after the graduation of the first students the EMPSEP consortium conducted an online survey. Seventy of the invited 174 former students participated in the study (mean age 31.5 years, SD= 4.7). The aim of the survey was to discover the participants’ employment status and how their participation in the master’s program was related to this. Results indicate that 86% of the participants have started working since they completed their degree. Forty percent of those participants who have started working in their first job have managed to receive a permanent position, 27% a fixed term or temporary job, 25% a part time job, 6% are self employed and 1 person (2%) was employed by subsidies in his/ her first job after graduation. On a scale from extremely dissatisfied (1) to extremely satisfied (6), the participants rated their satisfaction with the program in relation to their career as 4.72 (SD=1.13) on average. Sixty nine of the participants felt that they had benefited from the international network provided by the students and teachers within the programme, and 94% would recommend the European Master’s program to other students in their field.

  • 305.
    Elbe, Anne-Marie
    et al.
    Leipzig University, Leipzig, Germany.
    Bertollo, Maurizio
    “G. d’Annunzio” University of Chieti-Pescara, Chieti, Italy & University of Suffolk, Ipswich, United Kingdom.
    Debois, Nadine
    National Institute of Sport, Expertise and Performance (INSEP), Paris, France.
    de Oliveira, Rita F.
    London South Bank University, London, United Kingdom.
    Fritsch, Julian
    Goethe University Frankfurt, Frankfurt, Germany.
    Hatzigeorgiadis, Antonis
    University of Thessaly, Trikala, Greece.
    Moesch, Karin
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). The Swedish Sports Confederation, Stockholm, Sweden.
    Raab, Markus
    London South Bank University, London, United Kingdom & German Sport University Cologne, Cologne, Germany.
    Sanchez, Xavier
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Sport.
    Vaisetaite, Lina
    National Olympic Committee of Lithuania, Vilnius, Lithuania.
    Preface to the special issue: 50 years of FEPSAC2019In: Psychology of Sport And Exercise, ISSN 1469-0292, E-ISSN 1878-5476, Vol. 42, p. 5-7Article in journal (Refereed)
  • 306.
    Elbe, Anne-Marie
    et al.
    University of Copenhagen, Copenhagen, Denmark.
    Hatzigeorgiadis, Antonis
    University of Thessaly, Trikala, Greece.
    Morela, Eleftheria
    University of Copenhagen, Copenhagen, Denmark & University of Thessaly, Trikala, Greece.
    Ries, Francis
    University of Seville, Seville, Spain.
    Kouli, Olga
    Democritus University of Thrace, Komotini, Greece.
    Sanchez, Xavier
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Sport.
    Acculturation through sport: Different contexts different meanings2018In: International Journal of Sport and Exercise Psychology, ISSN 1612-197X, E-ISSN 1557-251X, Vol. 16, no 2, p. 178-190Article in journal (Refereed)
    Abstract [en]

    Research on the role of sport as a social integrative agent for migrants has provided equivocal results. The purpose of this study was to investigate the relation between ethnic–cultural identity and sport environmental factors. Young migrant male athletes from two different societal and sport contexts were studied: migrants from Eastern European countries living in Greece (n=60) and from Latin America living in Spain (n=60). Participants completed measures of ethnic and cultural identity, task-oriented motivational climate, and autonomy- supportive coaching behaviour. Analysis of variance revealed that Eastern European inhabitants of Greece scored higher on fringe and assimilation, and lower on lack of interaction compared to Latin American inhabitants of Spain. In addition, for the former group, a mastery motivational climate and autonomy-supportive coaching predicted an integrative identity, whereas for the latter group, the motivational environment did not predict acculturation patterns. The results suggest that sport may serve different acculturation purposes, thus explaining to a degree the lack of consistent results regarding the integrative role of sport. The study provides preliminary support for the importance of the sport motivational environment for the facilitation of integration. © 2016 International Society of Sport Psychology.

  • 307.
    Elf, Mikael
    et al.
    Department of Psychology, University of Gothenburg, Gothenburg, Sweden.
    Rystedt, Hans
    Department of Education, Communication and Learning, University of Gothenburg, Gothenburg, Sweden.
    Skärsäter, Ingela
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention. Institute of Health and Care Science, University of Gothenburg, Gothenburg, Sweden.
    Krevers, Barbro
    Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
    An Investigation of Intended and Real Use of a Research Web Health Portal and Its Implementation2014In: Electronic Journal of Health Informatics, ISSN 1446-4381, E-ISSN 1446-4381, Vol. 8, no 1, article id e8Article in journal (Refereed)
    Abstract [en]

    Participatory design (PD) projects involve prospective users as co-designers in a process where the design object emerges through several iterations. However, the result of such a process can only partly anticipate how the future real users will use the designed object. For this reason, its actual use needs to be investigated. The present study investigated the relationship between intended use and real use in two web-based health support systems in order to explore the conditions for redesign. The dependency between intended use and real use was found to be weak. Rather, the real use was dependent on 1) the context of use and 2) the needs or interest of the users. We conclude that redesign should be based on continuous use of web metrics collected in natural settings and by involving users on a recurring basis. While a web health portal must have an agenda it is important to adapt thing design to use design, why redesign in essence will become an adaptation to user needs. ©Copyright of articles originally published in www.eJHI.net under the Creative Commons Attribution 3.0 License is retained by the authors.

  • 308.
    Ellilä, Heikki
    et al.
    Turku University of Applied Sciences, Turku, Finland.
    Kilkku, Nina
    Turku University of Applied Sciences, Turku, Finland.
    Callaghan, Patrick
    University of Nottingham, Nottingham, United Kingdom.
    van Dommelen, Riet
    Utrecht University of Applied Sciences, Utrecht, The Netherlands.
    Doyle, Louise
    Trinity College, Dublin, Ireland.
    Higgins, Agnes
    Trinity College, Dublin, Ireland.
    Jormfeldt, Henrika
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Keogh, Brian
    Trinity College, Dublin, Ireland.
    van de Sande, Roland
    Utrecht University of Applied Sciences, Utrecht, The Netherlands.
    Sitvast, Jan
    Utrecht University of Applied Sciences, Utrecht, The Netherlands.
    Skärsäter, Ingela
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Stickley, Theodore
    University of Nottingham, Nottingham, United Kingdom.
    Vuokila-Oikkonen, Päivi
    Diaconia University of Applied Sciences, Helsinki, Finland.
    eMenthe: a European co-operation project to enhance Master’s level education in mental health practice with eLearning material2014Conference paper (Refereed)
  • 309.
    Elovsson, Margaretha
    et al.
    Fritsla Hemsjukvård, Marks kommun, Mark, Sverige.
    Boström, Barbro
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Sjuksköterskors upplevelse av smärtbehandling av äldre personeri kommunal hälso- och sjukvård2011In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 31, no 102, p. 10-15Article in journal (Refereed)
    Abstract [en]

    Background: Pain is a symptom that affects quality of life negatively for many people. As a person gets older, the symptoms will increase and more than 50 % of the elderly in the municipal health care is expected to have some sort of pain. This makes pain management a key question.

    Aim: The aim of this study was to describe what nurses perceive affect pain management for older people.

    Method: The study is based on interviews with 18 nurses from two municipalities in Sweden. The method used was qualitative content analysis.

    Results: Four categories affecting pain management were revealed: Proficiency, communication, organization and treatment strategies. Within each category three to four sub-categories were formed, such as medicine and older, documentation, work environment and pharmacological treatment. Several variations were revealed within each sub- categories. The results showed possibilities for good pain relief but the lack of tailored pain assessment tools, communication and treatment strategies tailored for older patients in pain made it difficult. The emerging theme was an unstructured organization makes it difficult to provide good pain relief.

    Conclusion: If evidence-based pain management strategies including pain assessment tools adapted in municipal health were developed, more patients should receive adequate pain treatment.

  • 310.
    Erdtman, Emil
    et al.
    Swedish Disability Federation, Stockholm, Sweden.
    Tideman, Magnus
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Fleetwood, Christina
    Nordic School of Public health, Gothenburg, Sweden.
    Möller, Kerstin
    Örebro University, Swedish Institute of Disability Research, Örebro, Sweden.
    Research initiation based on idea-circles: from research object to co-actor2012In: Disability & Society, ISSN 0968-7599, E-ISSN 1360-0508, Vol. 27, no 6, p. 879-882Article in journal (Refereed)
    Abstract [en]

    This article details an evaluation of a research project based on participatory research methods organized by the Swedish Disability Federation from 2008 to 2011. In Sweden there has been a lack of productive dialogue with the traditional academic world and the question was raised whether proposals for future research would be different if disabled people formulated them. Nine idea-circles with disabled participants and invited researchers from fields of interest close to the participants produced ideas, developed out of the life experience of being a disabled person. These ideas were developed into 72 research drafts that often reflected key advocacy areas, rather than operationalized research issues. The adjustment from the familiar discourse of political struggle to discussion of research was a complicated process for many. When asked to prioritize among areas for research, the representatives from the disability movement chose areas that are not stressed in mainstream disability research in Sweden. © 2012 Copyright Taylor and Francis Group, LLC.

  • 311.
    Eriksson, Helena
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Högdin, Sara
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Isaksson, Anna
    Halmstad University, School of Education, Humanities and Social Science, Centrum för lärande, kultur och samhälle (CLKS).
    Education and Career Choices: How the School Can Support Young People to Develop Knowledge and Decision-making Skills2018In: Universal Journal of Educational Research, ISSN 2332-3205, E-ISSN 2332-3213, Vol. 6, no 9, p. 1900-1908Article in journal (Refereed)
    Abstract [en]

    Contemporary society is characterized by rapid changes in the labor market, increased flow of information, and more opportunities to make choices in relation to education and career. Previous research has demonstrated how many young people in school don't think they get the support they need to make such choices. The overall aim of this article is to contribute to more in-depth knowledge of what kind of support and knowledge young adults describe as important in order to be able to make informed choices. This knowledge might help school to better support young people in acquiring the knowledge, skills, and attitudes in relation to their education and career choices. The article is based on interviews with 25-year-old men and women. 23 interviews were conducted. In sum, the analysis indicates that guidance activities that aims to contribute to knowledge about the labor market, programs and courses and requirements for different education programs would probably be perceived as more fruitful by the young adults if they are organized in a combination of different levels, i.e. both as group activities (exhibitions, general information/discussion) and individual activities (personal information/discussion). Further, the authors demonstrate that roles and expectations between pupils, teachers and guidance counselors should be discussed and clarified.

  • 312.
    Eriksson, Helena
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Högdin, Sara
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Isaksson, Anna
    Halmstad University, School of Education, Humanities and Social Science, Center for Social Analysis (CESAM).
    Urbas, Anders
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Strategier för höjd utbildningsnivå: Slutrapport från en studie i Falkenbergs kommun2014Report (Other academic)
    Abstract [sv]

    Syftet med studien är att undersöka och förstå den bristande utbildningsbenägenheten i Falkenbergs kommun utifrån de ungas perspektiv. Studiens frågeställningar är:

    – Hur definierar unga ett ”framgångsrikt” liv och vilka vägar har de för att nå dit?

    – Vad har unga för attityd till högre utbildning?

    – Vilken betydelse har omgivningen (hem, skola, arbetsmarknad) för de ungas utbildnings- och framtidsval?

    För att fånga studiens syfte så allsidigt som möjlig valdes ett upplägg med fyra delstudier där ett flertal olika aktörer fick möjlighet komma till tals, så som unga, skolpersonal, arbetsförmedlare och företrädare för arbetslivet. Den första delstudien består av en enkätstudie bland unga i tre åldersgrupper; grundskoleelever i årskurs nio, gymnasieelever i avgångsklasserna på tredje året och 25-åringar. I den andra delstudien fördjupas resultaten från enkätstudierna bland unga genom intervjuer med ett flertal 25-åringar med anknytning till Falkenbergs kommun. Den tredje delstudien består av intervjuer med föräldrar tillsammans med sina barn samt med lärare och studie- och yrkesvägledare. Den fjärde delstudien består av en enkätstudie bland företrädare från det privata och kommunala näringslivet i Falkenbergs kommun samt intervjuer med arbetsförmedlare.

    Resultatet av studien visar att den dominerande synen på högre utbildning i Falkenberg är att det är ett medel för att få ett arbete, även om det också i viss utsträckning framkommer perspektiv på högre utbildning som något som leder till personlig utveckling och mer kunskap. Det senare perspektivet står främst de unga som studerar eller har studerat på högskola eller universitet för. Den sammantagna bilden som ges av de unga, lärare, studie- och yrkesvägledare, arbetsförmedlare och näringslivet, är att Falkenberg är en kommun där högre utbildning inte värderas så högt och att Falkenberg inte är en kommun där högre utbildning är särskilt betydelsefullt. Högre utbildning ses inte av unga i Falkenberg som så betydelsefullt för att skapa sig vad man själv anser vara ett bra och framgångsrikt liv. De unga värderar främst fritid, vänner och trygghet i form av till exempel arbete med stabil inkomst för ett gott liv. Detta förefaller vara möjligt att uppnå utan högre utbildning för dem som bor i Falkenberg. Särskilt gäller detta för männen, vilka prioriterar att bygga upp ett kontaktnät för att erhålla ett arbete i Falkenberg. Denna strategi är gångbar då den del av näringslivet som inte värderar högre utbildning bland sin personal tenderar att rekrytera män i sitt eget kontaktnät. Kvinnor däremot ser i högre utsträckning vikten av att vidareutbilda sig, men har då svårt att se möjlighet till karriär i Falkenberg.

    Studien visar, liksom tidigare forskning, att socioekonomiska faktorer och kön påverkar motivation och benägenheten att studera vidare på högskola eller universitet. De unga som har föräldrar som har högre utbildning är mer benägna att själva studera på högskola eller universitet och flickor/kvinnor studerar i högre utsträckning på högskola eller universitet än pojkar/män. Utöver dessa faktorer har anknytning till Falkenberg en betydelse för de ungas motivation och utbildningsval. Har man minst en förälder som är född utanför Falkenberg ökar motivationen att studera vidare. De som är motiverade till högre studier vill i stor utsträckning flytta från Falkenberg och de (25-åringar) som har flyttat från Falkenberg har högre utbildningsnivå än de som bor i Falkenberg.

    Studien visar att unga som är engagerade i sina studier i grund- och gymnasieskolan ofta också uppger att de är motiverade till högre studier. De sammantagna resultaten synliggör att stödet från vuxna, speciellt föräldrar och lärare, i de ungas studier har avgörande betydelse för deras engagemang i studierna. Föräldrar med högre utbildning stöttar oftare sina barn i deras skolarbete än föräldrar utan sådan utbildning. Om föräldrarna inte har tillräckliga kunskaper för att stötta sina barn blir stödet från vuxna i skolan avgörande för deras studiemotivation. Resultaten visar att flickor inte är lika beroende av stödet i hemmet eftersom de i högre utsträckning än pojkarna svarar att de får stöd av lärare. Det framgår att lärarna känner till att flickorna få mer stöd men upplever en avsaknad av strategier för stötta pojkar att bli mer engagerade i sina studier.

    Studien visar att en övervägande majoritet av grundskole- och gymnasieeleverna är osäkra på sitt val av framtida utbildning och yrke. Valet att studera på högskola eller universitet görs många gånger redan vid valet av gymnasieprogram, även om det i vissa fall har gjorts senare. Många unga uttrycker en påtaglig avsaknad av stöd från omgivningen, i synnerhet från vuxna i skolan, när det gäller val av yrke och utbildning. Lärarna och studie- och yrkesvägledarna beskriver hur de bör vara aktiva i förhållande till att få eleverna att tänka på framtiden samtidigt som de anser att de ska vara passiva i förhållande till att påverka och styra eleverna, exempelvis till att gå vidare till högre studier. Lärarna uppger att frågor som rör framtidsval berörs utanför ordinarie undervisning eftersom de inte anser att de har stöd i det styrande regelverket för att ta upp frågan om framtiden (inkluderat högre studier) inom ramen för undervisningen. De beskriver att det saknas strategier kring att belysa frågor som rör arbetsliv och högre studier. Samtidigt framhåller studie- och yrkesvägledarna att de saknar strategier för att möta dagens unga som de beskriver som okunniga om arbetsliv och utbildning och därmed allt för omogna för att göra några framtidsval. Sammanfattningsvis åläggs de unga ett stort eget ansvar för sina utbildnings- och framtidsval parallellt med att vuxenvärlden saknar strategier för att öka unga kunskaper om deras framtida möjligheter och abdikerar på grund av sin rädsla för att påverka.

  • 313.
    Eriksson, Helena
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Högdin, Sara
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Isaksson, Anna
    Halmstad University, School of Education, Humanities and Social Science, Center for Social Analysis (CESAM).
    Urbas, Anders
    Halmstad University, School of Education, Humanities and Social Science, Center for Social Analysis (CESAM).
    Young people, higher education and choice: The lack of support from guidance counsellors and teachers2014Conference paper (Refereed)
    Abstract [en]

    In a changing and complex world, young people are expected to make decisions and choices regarding their education and future. The purpose of this paper is to illustrate how guidance counsellors and teachers view their role in supporting students in these choices, and how young people regard the support they receive and have received during their years in school. The empirical data used in this paper is part of a larger study conducted in a municipality in Sweden. Interviews with teachers, guidance counsellors and young adults who live in or grew up in the municipality are presented and analysed in the paper. The empirical data also consists of surveys with students in their ninth year as well as students in their last year at school. The analysis is based on Pierre Bourdieu’s theory of field, capital and habitus. The analysis shows that there are differences in how the professionals and the young people view the support regarding education and the future. Young people feel that they have received little support from the school and want more guidance/help from teachers and guidance counsellors regarding their educational choices and their future. From the professionals’ side, there is an explicit fear of influencing the young and therefore they take a more passive approach. How to understand this fear and its consequences from a gender and class perspective is discussed in the conclusion of the paper.

  • 314.
    Eriksson, Helena
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Isaksson, Anna
    Halmstad University, School of Education, Humanities and Social Science, Center for Social Analysis (CESAM).
    Flerspråkig hemtjänst: En studie av behovet av flerspråkig hemtjänst2012Report (Other academic)
  • 315.
    Eriksson, Helena
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Isaksson, Anna
    Halmstad University, School of Education, Humanities and Social Science, Center for Social Analysis (CESAM).
    Trygg om natten: En studie av kunders, anhörigas och personals perspektiv på införandet av ny teknik inom nattpatrullens arbete2011Report (Other academic)
  • 316.
    Eriksson, Helena
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Isaksson, Anna
    Halmstad University, School of Education, Humanities and Social Science, Center for Social Analysis (CESAM).
    Lundström, Jens
    Halmstad University, School of Information Technology, Halmstad Embedded and Intelligent Systems Research (EIS).
    Technology and trust: Social and technical innovation in elderly care2013In: Abstracts EGI2013, 2013, p. 17-18Conference paper (Other academic)
    Abstract [en]

    A demographic change is occurring in many areas of the world. The elderly population share has been increasing for the last decades and estimations predict that this group will be large in proportion to the number of economically active younger people. This change will bring exponentially increasing costs of health care. Technical developments could be one way to meet these new challenges. In a recent study called “Safe at night” the aim was to investigate whether a technical solution based can be used to supplement the home care work, with focus on the nightly visits of the elderly. The study raises questions regarding technical issues as well as actors (users, relatives and staffs) perspective on the methods. Researchers from both social and technical disciplines were involved in the study. In this paper, we highlight the importance of scientists from different disciplines participating in the study, as well as municipalities and industry. We show in particular the knowledge gained from a technical perspective and from a social science perspective and how and why these perspectives together constitute the necessary components to create innovation regarding elderly care and issues related to technology and trust.

  • 317.
    Eriksson, Helena
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Tideman, Magnus
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Från Dubbla spår till elevhälsa – en utvärdering av ett förändringsarbete2007Report (Other academic)
  • 318.
    Eriksson, Helena
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Tideman, Magnus
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Levnadsvillkor idag och jämförelser med 1990-talet: En studie om barn, unga och vuxna med utvecklingsstörning och autism samt vuxna med förvärvad hjärnskada i Halmstad kommun2010Report (Other academic)
    Abstract [sv]

    Högskolan i Halmstad har på uppdrag av Halmstad kommun undersökt levnadsvillkoren för barn, ungdomar och vuxna med utvecklingsstörning och autism samt vuxna med förvärvad hjärnskada. Genom enkätstudier, en enkät som vänder sig till föräldrar till barn och ungdomar och en som riktar sig till vuxna, har en bild av livssituationen inom olika områden för dessa grupper tagits fram. I studien jämförs resultaten i viss utsträckning med levnadsvillkor för befolkningen i övrigt. Framförallt ställs resultaten i relation till motsvarande undersökningar för samma grupp från år 1991 respektive år 1995.

  • 319.
    Eriksson, Lena
    et al.
    Göteborgs universitet, Göteborg, Sverige.
    Sager, Morten
    Göteborgs universitet, Göteborg, Sverige.
    Staland-Nyman, Carin
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group. Sahlgrenska akademin vid Göteborgs universitet, Göteborg, Sverige.
    Hensing, Gunnel
    Göteborgs universitet, Göteborg, Sverige.
    Expertis, sjukskrivning och mötet mellan normal och post-normal vetenskap2014In: Socialvetenskaplig tidskrift, ISSN 1104-1420, Vol. 21, no 2, p. 160-174Article in journal (Refereed)
  • 320.
    Eriksson, Lena
    et al.
    Göteborgs Universitet, Göteborg, Sverige.
    Sager, Morten
    Göteborgs Universitet, Göteborg, Sverige.
    Staland-Nyman, Carin
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Hensing, Gunnel
    Göteborgs Universitet, Göteborg, Sverige.
    Kunskap och bedömningar i sjukskrivning: En vetenskapsteoretisk studie av det försäkringsmedicinska beslutsstödet2014In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 91, no 4, p. 323-331Article in journal (Refereed)
  • 321.
    Eriksson, Linn
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Baigi, Amir
    Primary Health Care Research and Development, Council Halland, Falkenberg, SwedenPrimary Health Care Research and Development, Council Halland, Falkenberg, Sweden.
    Lindgren, Eva-Carin
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Ambition of a perfect body: a risk factor of body dissatisfaction2009Conference paper (Other (popular science, discussion, etc.))
  • 322.
    Eriksson, Linn
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Baigi, Amir
    Primary Health Care Research and Development, Halland County Council, Falkenberg.
    Lindgren, Eva-Carin
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Ett generellt skolbaserat hälsopromotivt program: en studie om skolungdomars mat- och rörelsevanor, tilltro till egen förmåga och syn på kroppsligt utseende2010In: Aktuell beteende- och samhällsvetenskaplig idrottsforskning, ISSN 0284-4672, p. 54-80Article in journal (Refereed)
    Abstract [en]

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

  • 323.
    Eriksson, Linn
    et al.
    Göteborgs universitet.
    Baigi, Amir
    Göteborgs universitet.
    Marklund, Bertil
    Göteborgs universitet.
    Lindgren, Eva-Carin
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Obsession with diet among fitness center participants in relation to body ideal and social physique anxiety2009Conference paper (Refereed)
    Abstract [en]

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

  • 324.
    Eriksson, Linn
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Baigi, Amir
    Primary Health Care Research and Development, Council Halland, Falkenberg, Sweden.
    Marklund, Bertil
    Primary Health Care Research and Development, Council Halland, Falkenberg, Sweden.
    Lindgren, Eva-Carin
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Social physique anxiety and sociocultural attitudes toward appearance impact on orthorexia test in fitness participants2008In: Scandinavian Journal of Medicine and Science in Sports, ISSN 0905-7188, E-ISSN 1600-0838, Vol. 18, no 3, p. 389-394Article in journal (Refereed)
    Abstract [en]

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

  • 325.
    Eriksson, Linn
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Marklund, Bertil
    Primary Health Care Research and Development, Council Halland, Falkenberg, Sweden.
    Baigi, Amir
    Primary Health Care Research and Development, Council Halland, Falkenberg, Sweden.
    Lindgren, Eva-Carin
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    On the concept of orthorexia nervosa: a rebuttal: Letter to the Editor2008In: Scandinavian Journal of Medicine and Science in Sports, ISSN 0905-7188, E-ISSN 1600-0838, Vol. 18, no 3, p. 397-397Article in journal (Refereed)
  • 326.
    Erlandsson, Lena-Karin
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Department of Clinical Neuroscience, Division of Occupational Therapy, Lund University, Lund, Sweden.
    Eklund, Mona
    Department of Health Sciences, Lund University, Lund, Sweden.
    Describing patterns of daily occupations - A methodological study comparing data from four different methods.2001In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 8, no 1, p. 31-39Article in journal (Refereed)
    Abstract [en]

    The importance of patterns of daily occupations to health has been emphasised ever since occupational therapy was founded, but little is known about this relationship. The aim of this study was to describe in detail one woman’s pattern of daily occupations as an initial step in developing strategies for further studies of patterns of daily occupations. Four different methods were used, one on each of four days. Three types of occupations were discerned; main occupations, hidden occupations, and unexpected occupations, which intertwined and formed an occupational pattern. The occupations were, in turn, composed of actions. Using the diary method gave an overall picture of main occupations during a whole day. Direct observation and video-recorded observation added additional information about the actions that were the building blocks of the occupations, as well as about hidden and unexpected occupations. The fourth method, a variant of the experience sampling method, gave deeper knowledge about the informant’s reflections when performing an occupation. It was assumed that a detailed description of patterns of occupation is needed to understand its relationship to health. Therefore, if the diary method is used, it has to be combined with a subsequent interview. Direct observation was the single method that best captured the complexity of the pattern of daily occupations as captured in this study. Copyright © 2019 Informa UK Limited.

  • 327.
    Erlandsson, Lena-Karin
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Department of Clinical Neuroscience, Division of Occupational Therapy, Lund University, Lund, Sweden.
    Eklund, Mona
    Department of Clinical Neuroscience, Division of Occupational Therapy, Lund University, Lund, Sweden.
    Women's experiences of hassles and uplifts in their everyday patterns of occupations2003In: Occupational Therapy International, ISSN 0966-7903, E-ISSN 1557-0703, Vol. 10, no 2, p. 95-114Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to investigate experiences of hassles and uplifts among women. One hundred working mothers were interviewed using the Target Complaints instrument. Content analysis, resulting in both qualitative categories and quantitative variables, was used. Working mothers' hassles were mainly generated by their social, temporal and doing contexts and illustrate the importance of considering women's total patterns of everyday occupations and not focusing one-sidedly on the work situation when treating occupation-related ill-health. Women's uplifts were experienced through the social context and by doing such different occupations as going to the movies, cleaning the house, or attending a class. This indicates the appropriateness of using a client-centred approach in interventions with openness to the client's unique situation. Unexpected occupations were identified almost exclusively among the hassles. This is important knowledge for occupational therapists since women will continue to be dual workers and at potential risk of developing unbalanced and detrimental patterns of occupations, in turn causing ill health. Copyright © 1999-2019 John Wiley & Sons, Inc. All rights reserved.

  • 328.
    Erlandsson, Lena-Karin
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Department of Health Sciences, Lund University, Lund, Sweden & Vårdal Institute, Swedish Institute of Health Sciences, Lund University, Lund, Sweden.
    Eklund, Mona
    Department of Health Sciences, Lund University, Lund, Sweden.
    Persson, Dennis
    Department of Health Sciences, Lund University, Lund, Sweden.
    Occupational value and relationships to meaning and health: Elaborations of the ValMO-model2011In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 18, no 1, p. 72-80Article in journal (Refereed)
    Abstract [en]

    Abstract This study investigates the theoretical assumption of the Value and Meaning in Occupations model. The aim was to explore the relationship between occupational value, perceived meaning, and subjective health in a sample of individuals of working age, 50 men and 250 women. Frequency of experienced values in occupations was assessed through the Occupational Value instrument with pre-defined items. Perceived meaning was operationalized and assessed by the Sense of Coherence measure. Subjective health was estimated by two questions from the SF-36 questionnaire. The analyses implied descriptive analyses, correlations, and logistic regression analyses in which sociodemographic variables were included. The findings showed highly significant relationships between occupational value and perceived meaning and when belonging to the high group of occupational value the likelihood was tripled of belonging to the high group of perceived meaning. When married or cohabitating there was double the likelihood of belonging to the high group of perceived meaning. Although perceived meaning was found to be positively associated with subjective health, working full time was the most important factor in explaining subjective health, compared with working less than full time. The results confirm assumptions in the ValMO-model, and the importance of focusing on occupational value in clinical practice is highlighted. © 2011 Informa Healthcare.

  • 329.
    Fallby, Johan
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Ivarsson, Andreas
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Johnson, Urban
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Hagen, Kjetil
    Lilja, Henric
    Parental support as a predictors to success in adolescent male football2011In: Proceedings of the 13th European Congress of Sport Psychology, Madeira, Portugal. FEPSAC on-line publication, 2011, p. 308-Conference paper (Refereed)
    Abstract [en]

    The aim of the study was to examine if parental support could predict elite academy participation in an adolescent football population. The participants were 767 adolescent male football players, where 443 represented an academy team and 324 represented lower ranked teams, in age between 11 and 18. The participants were classified into three groups; a) children (11-12 years), b) youth (13-15 years) and c) junior (16-18 years). The questionnaire used was the Swedish health survey developed by the Swedish Health Institute with a number of football specific items added. Parental support was measured with six items that all measured emotional support (for example if the player experience that his parents understand, listen to, and treat him fair).One way ANOVA showed that academy players reported significant higher level of parental support then the non–academy players in children (F(1, 196)= 7,071, p = 0,008) and junior ages (F(1,194) = 10,830, p = 0,001). A logistic regression showed that parental support predicted approximately 68% of the players belonging accurate both in the children- (68,2%) and junior (67,9%) sample.The result supports previous findings showing that adaptive coping resources, such as social support seeking, could predict athletic success (Yperen, 2009). One recommendation for football clubs with youth academies is to involve parents in the social support network in order to give the players more adaptive coping resources. Further, educating parents about demands and career transitions that the players are exposed to in an elite academy could be beneficial in a developmental perspective.

  • 330.
    Fallby, Johan
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Sport Health and Physical activity. Swedish Football Association, Solna, Sweden.
    Ivarsson, Andreas
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Sport Health and Physical activity.
    Johnson, Urban
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Sport Health and Physical activity.
    Lilja, Henrik
    Halmstad University, School of Social and Health Sciences (HOS).
    Hagen, Kjetil
    Halmstad University, School of Social and Health Sciences (HOS).
    Psychosocial predictors of well-being among junior players in Swedish football academies2012In: Proceedings of the 3rd Conference on Science and Soccer, 2012, p. 142-142Conference paper (Refereed)
  • 331.
    Fallby, Johan
    et al.
    Stockholms universitet.
    Stambulova, Natalia
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Johnson, Urban
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Rådgivarens roll i Sverige och världen2004In: Guiden till idrottspsykologisk rådgivning / [ed] Johan Fallby, Stockholm: SISU idrottsböcker , 2004, p. 68-91Chapter in book (Other (popular science, discussion, etc.))
  • 332.
    Fallhagen, Lisa
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI), Sport Health and Physical activity.
    "Handbollstjejer har korta shorts": normer, identitet och femininisering i ett tjejhandbollslag vid tal om kläder.2012Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Den här studien handlar om tjejer som spelar handboll och hur de använder sina kläder. Intresset för handbollstjejer kommer från den långa erfarenhet inom handboll och den synliga fenomenet att handbollstjejer använder ”korta shorts”. Syftet med studien är att studera hur handbollstjejer materialiserar kläder genom normer och femininisering samt vilken betydelse den får för identiteten i ett maskulint sammanhang uttryckt i tal om idrottskläder. Tre gruppinterjvuer med ett handbollslag i åldern 14-17 år genomfördes och bearbetades genom en kvalitativ innehållsanalys. I analysen framkom att homogenitet i laget har betydelse för hur tjejerna väljer att klä sig samt att det sker en feminisering av kläderna i den manliga kontexten. Normer och identiteten styr den homogena gruppen genom att det finns oskrivna regler för tjejerna att förhålla sig till samt en handbollsidentitet att leva upp till. Genuskonstruktioner i form av att handbollen ses som en maskulin idrott och feminitet som en anledning till uppvikta shorts.  

  • 333.
    Fernström, Maria
    et al.
    Department of Clinical Medicine, School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Bakkman, Linda
    Department of Medicine, Clinical Epidemiology Unit, Karolinska Institutet, Solna, Stockholm, Sweden.
    Loogna, Peter
    Bariatric Center, Sophiahemmet, Stockholm, Sweden.
    Rooyackers, Olav
    Department of Anaesthesiology and Intensive Care, Karolinska Institutet, Huddinge, Stockholm, Sweden.
    Svensson, Madeleine
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Department of Medicine, Clinical Epidemiology Unit, Karolinska Institutet, Solna, Stockholm, Sweden.
    Jakobsson, Towe
    Department of Anaesthesiology and Intensive Care, Karolinska Institutet, Huddinge, Stockholm, Sweden.
    Brandt, Lena
    Department of Clinical Medicine, School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Lagerros, Ylva Trolle
    Department of Medicine, Clinical Epidemiology Unit, Karolinska Institutet, Solna, Stockholm, Sweden & Department of Endocrinology, Metabolism and Diabetes, Karolinska University Hospital, Huddinge, Stockholm, Sweden.
    Improved Muscle Mitochondrial Capacity Following Gastric Bypass Surgery in Obese Subjects2016In: Obesity Surgery, ISSN 0960-8923, E-ISSN 1708-0428, Vol. 26, no 7, p. 1391-1397Article in journal (Refereed)
    Abstract [en]

    Background

    Weight loss resulting from low-calorie diets is often less than expected. We hypothesized that energy restriction would influence proton leakage and improve mitochondrial efficiency, leading to reduced energy expenditure, partly explaining the difficulties in weight loss maintenance.

    Methods

    Eleven women with a median BMI of 38.5 kg/m2 (q-range 37–40), and referred to gastric bypass surgery participated. Before surgery, and at 6 months of follow-up, muscle biopsies were collected from the vastus lateralis muscle. Mitochondria were isolated and analyzed for coupled (state 3) and uncoupled (state 4) respiration and mitochondrial capacity (P/O ratio).

    Results

    At follow-up, the participants had a median BMI of 29.6 kg/m2 (28.3–32.0). State 3 increased from 20.6 (17.9–28.9) to 34.9 nmol O2/min/U citrate synthase (CS) (27.0–49.0), p = 0.01, while state 4 increased from 2.8 (1.8–4.2) to 4.2 nmol O2/min/U CS (3.1–6.1), although not statistically significant. The P/O ratio increased from 2.7 (2.5–2.8) to 3.2 (3.0–3.4), p = 0.02, indicating improved mitochondrial efficiency.

    Conclusions

    Six months after gastric bypass surgery, the mitochondrial capacity for coupled, i.e., ATP-generating, respiration increased, and the P/O ratio improved. Uncoupled respiration was not enhanced to the same extent. This could partly explain the decreased basal metabolism and the reduced inclination for weight loss during energy restriction. © Springer Science+Business Media New York 2015

  • 334.
    Fernández, M. L.
    et al.
    Centro de Estudios Universitarios San Isidoro, Centro Adscrito A la Universidad Pablo de Olavide, Spain.
    Pérez, R. C.
    Centro de Estudios Universitarios San Isidoro, Centro Adscrito A la Universidad Pablo de Olavide, Spain.
    Jiménez, A. M. L.
    Universidad de Sevilla, Spain.
    Hertting, Krister
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Sport.
    "Entrenando a familias". Evaluación de un programa de optimización de actitudes parentales en un club de fútbol2018In: Revista de Psicologia del Deporte, ISSN 1132-239X, E-ISSN 1988-5636, Vol. 27, no Supplement 3, p. 37-42Article in journal (Refereed)
  • 335.
    Flemme, Inger
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Health-related quality of life in recipients with an implantable cardioverter defibrillator due to life-threatening arrhythmias: a 5 year follow-up2004Licentiate thesis, comprehensive summary (Other academic)
    Abstract [en]

    The general aim of this thesis was to describe self-reported health-related quality of life (HRQoL) in recipients with an implantable cardioverter defibrillator (ICD) due to life-threatening arrhythmias over a S-year period. The design was prospective and longitudinal. Fifty-six patients participated in Paper I, and 35 of these patients, who had survived at least five years, were included in Paper II. All patients had received their ICD as a form of secondary prevention. The Quality of Life Index-Cardiac version (QLI-C), Mishel Uncertainty in Illness Scale-Community version (MUIS-C), and multiple regression analysis were used. Higher scores indicate higher HRQoL and uncertainty. The questionnaires were completed on four occasions: before implantation, at three months and at 1 year and 5 years after implantation. ICD recipients were also asked how many shocks they had perceived. At the S-year data collection, the  average ICD recipient had lived with an ICD for 6 years and 9 months. In general, HRQoL was lower at year 1 than at baseline (p : 0.033). A decrease in the socioeconomic domain was observed at year 1 (p : 0.006) but improved again at year 5 (p : 0.027) although it remained below the baseline value, ICD recipients' satisfaction with the family domain decreased from the time of the ICD implantation (p < 0.001) and from year I (p : 0.039) to year 5 after implantation. Uncertainty related to information had  decreased at year 1 in relation to baseline (p < 0.001). A decrease in overall uncertainty was observed at year 5 in relation to year 1 (p : 0.009) as well as at year 5 in relation to baseline (p : 0.009). The longer the ICD recipient had lived with the device, the greatil the risk of receiving a shock. However, ICD recipients who  received shocks reported being less troubled by them over time. Uncertainty was identified as a predictor of low HRQoL. The recipients reported a higher level of HRQoL at year 5 than at year 1. HRQoL was reasonably good 5 years after implantation, and the ICD recipients felt more secure and perceived their ICD as a lifesaver.

  • 336.
    Flemme, Inger
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Living with life-saving technology: Long-term follow up of recipients with implantable cardioverter defibrillator2009Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The evidence that treatment of life-threatening arrhythmia (LTA) with an Implantable Cardioverter Defibrillator (ICD) can prolong life is convincing. Living with a lifelong heart disease will gradually influence the everyday life and encompasses some or all aspects of life. In order to influence health outcomes, the impact of the ICD must be considered in a broader context including not only the physical, but also the psychological and social functioning of the individual.

    The general aim of this thesis was to describe everyday life in recipients living with an ICD in a longterm perspective. The aim in Paper I was to describe changes in the life situation of recipients’ with an ICD over a period of 1 year. The aim in Paper II was to describe quality of life (QOL) and uncertainty in recipients who have an ICD and to predict QOL at long-term follow-up. Fifty-six recipients participated (I) and 35 of these recipients, who had survived at least five years, were further included (II). The Quality of Life Index-Cardiac version (I, II), Mishel Uncertainty in Illness Scale-Community version (I, II), Patient ICD Questionnaire (I) and multiple regression analysis (II) were used. Higher scores indicate higher QOL and uncertainty. The questionnaires were completed before implantation, three and twelve months after implantation (I) and also five years after implantation i.e. long-term follow up (II). At the long-term follow up, the average ICD recipient had lived with an ICD for six years and nine months (6.9 years). The results showed the overall QOL and QOL in the health/functioning domain were unchanged over time. QOL in the socio-economic (p= .002) and psychological/spiritual domains (p= .012) decreased in the first year. From baseline to long-term follow up, the QOL in the family domain (p= .011) and overall uncertainty (p= .002) decreased. Uncertainty related to the information decreased at year 1 in relation to baseline (p= .001).

    The aim in Paper III was to illuminate the main concern of recipients living with an ICD and how they handle this in their daily life. Sixteen recipients who had lived with an ICD between six to twenty-four months were interviewed. Data was collected and analysed in a simultaneous process according to guidelines for classical grounded theory. In the analysis, a substantive theory was generated explaining the main concern of ICD recipients and how they handle this in their daily life. The core category, labelled “Striving to resume command”, illuminates the main concern of ICD recipients. To manage this main concern, the recipients used the following strategies: Economizing resources, Distracting oneself, Submitting to one’s fate and Re-evaluating life.

    The aim in Paper IV was to explore relationships between OQL, coping strategies, anxiety, depression and perceived control in recipients living with an ICD and to compare those having received an ICD less or more than one year ago and those with a primary or secondary preventive indication. A cross-sectional, correlational, multicenter design was used, and 147 recipients who had lived with an ICD between six to twenty-four months completed Quality of Life Index-Cardiac version, Jalowiec Coping Scale, Hospital Anxiety and Depression Scale and Control Attitude Scale. The results showed that anxiety, depression and perceived control were predictors of QOL. Anxiety was also a predictor of coping with optimistic coping being the most used coping strategy. There was no relationship between QOL and coping. No differences were found in QOL, coping, anxiety, depression and perceived control between recipients implanted either on a primary or secondary preventive indication or having the device less or more than one year.

    In this thesis, it was concluded that the ICD recipients strived to resume command over their life (III) and the more control the recipients perceived the more satisfied they were with their QOL (IV) and the more symptoms of anxiety, depression and uncertainty they experienced the less satisfied they were with their QOL (II, IV). Coping strategies were used more frequently by ICD recipient perceiving more anxiety (IV). QOL was fairly good 6,9 years after implantation and ICD recipients felt less uncertain once they had passed the first year of their illness.

  • 337.
    Flemme, Inger
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Livssituationen hos patienter med ICD2009Conference paper (Refereed)
  • 338.
    Flemme, Inger
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Trygghet/säkerhet och livskvalité hos individer med ICD (implanterad hjärtdefibrillator) fem år efter implantationen2007In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 84, no 3, p. 230-238Article in journal (Refereed)
    Abstract [sv]

    Hjärt-kärlsjukdomar (Holmberg, M, Holmberg, S coh Herlitz 1999) är den främsta orsaken till död i västvärlden. I Europa orsakas 40 % av alla dödsfall av hjärt-kärlsjukdomar. En hjärt- kärlsjukdom kan leda till livshotande rytmrubbningar (arytmier) som i sin tur kan leda till plötslig hjärtdöd. Implanterad hjärtdefibrillator (implantable cardioverter defibrillator, ICD) (Socialstyrelsen 2004) har utvecklats för att behandla livshotande arytmier. Att leva med en ICD (Luderitz et al. 1994) kan upplevas på olika sätt. En del individer lever ett normalt liv, ICD besvärar dem inte och de ser den som en livräddare. Andra förändras i sin personlighet efter implantationen (Charmaz 1987, Sauve 1995) och ICD utgör ett hinder för ett normalt liv. En individs livskvalité (Eckert och Jones 2002) påverkas inte bara av sjukdomen utan också av anpassningen till en förändrad livssituation som ett resultat av ICD. Studiernas syfte var att beskriva otrygghet/osäkerhet och livskvalité hos individer som har levt med ICD i minst fem år. Trettiofem ICD-bärare från sydvästra Sverige studerades under en 5-årsperiod med avseende på otrygghet/osäkerhet och livskvalité. Resultaten visar att otryggheten/osäkerheten var som högst ett år efter implantationen. Den totala livskvaliten och livskvaliten inom det socioekonomiska livsområdet var lägst ett år efter implantationen för att därefter åter öka fram till år fem efter implantationen. Livskvaliten inom familjelivet skattades högst från början, i förhållande till de andra livsområdena, men minskade sedan åter. Den skattades efter fem år fortfarande högt. Slutsatsen av studien är att ICD-bärare efter 5 år hade en rimligt god livskvalité med undantag från det första året. De kände sig tryggare/mindre osäkra med tiden och upplevde ICD som en livräddare

  • 339.
    Flemme, Inger
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Bolse, Kärstin
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Ivarsson, Anita
    Sahlgrenska University Hospital, Gothenburg.
    Jinhage, Britt-Marie
    Sahlgrenska University Hospital, Gothenburg.
    Sandstedt, Bengt
    Sahlgrenska University Hospital, Gothenburg.
    Edvardsson, Nils
    Associate Professor, Sahlgrenska University Hospital, Gothenburg.
    Fridlund, Bengt
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Life situation of patients with an implantable cardioverter defibrillator: a descriptive longitudinal study2001In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 10, no 4, p. 563-572Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe changes in the life situation of patients with an implantable cardioverter defibrillator over a period of 1 year. A sample of 56 consecutive patients took part in the study.

    Life situation was measured through uncertainty in illness, satisfaction, and fear of the life situation. Descriptive statistics were used to present results, and analytical statistics were used to map out changes over time.

    Overall uncertainty showed a decrease over time. A statistically significant difference was found within the domain uncertainty related to information (P < 0.001).

    Satisfaction increased within the domains health-functioning, socio-economic, psychological–spiritual, and family.

    The ability to act within the domain health-functioning showed a statistical significance (P < 0.05).

    The domain life changes within fear in the life situation decreased and showed a statistical significance (P < 0.05).

    The overall life situation showed increased satisfaction as well as lower uncertainty and fear in the life situation.

    The research indicates that patients need more information about changes in the life situation after the implantable cardioverter defibrillator-implantation. The study encourages more humanistic, holistic research about patients’ life situations as well as more education in teaching skills for health care personnel.

  • 340.
    Flemme, Inger
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Edvardsson, Nils
    Sahlgrenska universitetssjukhuset, Göteborg.
    Dalman, Margareta
    Sahlgrenska universitetssjukhuset, Göteborg.
    Jinhage, Britt-Marie
    Sahlgrenska universitetssjukhuset, Göteborg.
    Hinic, Hansi
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Fridlund, Bengt
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Quality of life related to shocks in ICD-recipients: a 5-year follow-up2006In: 6th Annual Spring Meeting of the Working Group on Cardiovascular Nursing of the European Society of Cardiology and the Spring Meeting of the Norwegian National Society of Cardiovascular Nurses Bergen, Norway 5–6 May 2006, London: Sage Publications, 2006, p. S20-S20Conference paper (Refereed)
    Abstract [en]

    Purpose: The purpose of this study was to describe QoL in relation to shocks and uncertainty in ICD-recipients and to identify predictors of QoL over a 5-year period. Methods: The design was prospective and longitudinal. Thirty-five patients who had lived with the ICD for at least five years had taken part in the study. All recipients had received their ICD as a form of secondary prevention. The questionnaires Mishel Uncertainty in Illness Scale – community version (MUIS-C), Quality of Life Index – cardiac version (QLI-CV) were completed on three occasions: before implantation, at year 1 and at year 5 after implantation. Self-reported number of shocks between the implantation and year 1 and between year 1 and year 5 were described. Data were analyzed by descriptive as well as analytical statistics. Results: In general, QoL was lower at year 1 than before implantation (p = 0.033). A decrease in the socio-economic domain was observed at year 1 (p = 0.006) but improved again at year 5 (p = 0.027) although it remained below the value before implantation. ICD recipient’s satisfaction with the family domain decreased from the time before ICD implantation (p = < 0.001) and from year 1 (p = 0.039) to year 5 after implantation. A decrease in overall uncertainty was observed at year 5 in relation to year 1 (p = 0.009). The longer the ICD recipient had lived with the device, the greater the risk of receiving a shock. However, ICD recipients who received shocks reported being less troubled by them over time. Uncertainty was identified as a predictor of low QoL. Conclusion: The recipients reported a higher level of QoL at year 5 than at year 1. QoL was reasonably good 5 years after implantation and the ICD recipient felt more secure and perceived their ICD as a lifesaver.

  • 341.
    Flemme, Inger
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Edvardsson, Nils
    Sahlgrenska universitetssjukhuset, Göteborg.
    Hinic, Hansi
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Dalman, Margareta
    Sahlgrenska universitetssjukhuset, Göteborg.
    Jinhage, Britt-Marie
    Sahlgrenska universitetssjukhuset, Göteborg.
    Fridlund, Bengt
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Quality of profile 1 and 5 years after ICD implantation2004Conference paper (Refereed)
    Abstract [en]

    Aim: Treatment with implantable cardioverter defibrillators (ICDs) increases survival in patients suffering from ventricular tachyarrhythmias. The physiologic effects of having an ICD implanted are well-known but there is still limited knowledge about quality of life (QoL), especially in a long-term perspective. Therefore, the aim of this prospective, follow-up study was to describe and compare uncertainty and QoL at year 1 and year 5 after implantation in patients living with an ICD.

    Methods: The Mishel Uncertainty in Illness Scale-community version (MUIS-C) and Quality of Life Index-cardiac version (QLI) was used for 35 patients, living with an ICD in average 6 years 9 months. Higher scores indicate higher uncertainty and QoL.

    Results: An improvement in uncertainty was found at year 5 compared to year 1 (p=0.009), and at year 5 compared to baseline (p = 0.009). Overall QoL decreased at year 1 compared to baseline (p = 0.033). QoL in the socioeconomic domain decreased at year 1 compared to baseline (p = 0.006), and increased at year 5 compared to year 1 (p=0.027). QoL in the family domain decreased at year 5 compared to year 1 (p=0.039), and at year 5 compared to baseline (p=<0.001).

    Conclusion: Patients with ICD feel better at year 5 than at year 1. The QoL is reasonable good 5 years after implant once they have passed the first years and adapted to lifestyle changes, and patients are more certain and perceive the ICD as a parachute of life. 

  • 342.
    Flemme, Inger
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Edvardsson, Nils
    Division of Cardiology, Sahlgrenska University Hospital.
    Hinic, Hansi
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Jinhage, Britt-Marie
    Division of Cardiology, Sahlgrenska University Hospital.
    Dalman, Margareta
    Division of Cardiology, Sahlgrenska University Hospital.
    Fridlund, Bengt
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Long-term quality of life and uncertainty in patients living with an implantable cardioverter defibrillator2005In: Heart & Lung, ISSN 0147-9563, E-ISSN 1527-3288, Vol. 34, no 6, p. 386-392Article in journal (Refereed)
    Abstract [en]

    Purpose: This study describes the quality of life (QOL) and uncertainty in patients who have an implantable cardioverter defibrillator (ICD) and predicts QOL at long-term follow-up.

    Methods: Long-term follow-up was defined as 6.9 years ± 1 year (range 4.11–8.7 years). QOL was measured with the Quality of Life Index, and uncertainty was measured with the Mishel Uncertainty in Illness Scale.

    Results: The overall QOL and health/functioning were unchanged over time. QOL in the socioeconomic (P = .002) and psychologic/spiritual domains (P = .012) decreased in the first year. From baseline to long-term follow-up, the QOL in the family domain (P = .011) and uncertainty (P = .002) decreased. Uncertainty was a predictor of low QOL.

    Conclusion: QOL was reasonably good 6.9 years post-ICD implantation. Patients felt less uncertain once they had passed the first year of their illness.

  • 343.
    Flemme, Inger
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Fridlund, Bengt
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Strömberg, Anna
    Hälsouniversitetet, Linköping.
    Living with life-saving technology: long-term follow-up of recipients with implantable cardioverter defibrillator2010Conference paper (Refereed)
    Abstract [en]

    The evidence that treatment of life-threatening arrhythmia (LTA) with an Implantable Cardioverter Defibrillator (ICD) can prolong life is convincing. Living with a lifelong heart disease will gradually influence the everyday life and encompasses some or all aspects of life. In order to influence health outcomes, the impact of the ICD must be considered in a broader context including not only the physical, but also the psychological and social functioning of the individual.The general aim of this thesis was to describe everyday life in recipients living with an ICD in a longterm perspective. The aim in Paper I was to describe changes in the life situation of recipients’ with an ICD over a period of 1 year. The aim in Paper II was to describe quality of life (QOL) and uncertainty in recipients who have an ICD and to predict QOL at long-term follow-up. Fifty-six recipients participated (I) and 35 of these recipients, who had survived at least five years, were further included (II). The Quality of Life Index-Cardiac version (I, II), Mishel Uncertainty in Illness Scale-Community version (I, II), Patient ICD Questionnaire (I) and multiple regression analysis (II) were used. Higher scores indicate higher QOL and uncertainty. The questionnaires were completed before implantation, three and twelve months after implantation (I) and also five years after implantation i.e. long-term follow up (II). At the long-term follow up, the average ICD recipient had lived with an ICD for six years and nine months (6.9 years). The results showed the overall QOL and QOL in the health/functioning domain were unchanged over time. QOL in the socio-economic (p= .002) and psychological/spiritual domains (p= .012) decreased in the first year. From baseline to long-term follow up, the QOL in the family domain (p= .011) and overall uncertainty (p= .002) decreased. Uncertainty related to the information decreased at year 1 in relation to baseline (p= .001).The aim in Paper III was to illuminate the main concern of recipients living with an ICD and how they handle this in their daily life. Sixteen recipients who had lived with an ICD between six to twenty-four months were interviewed. Data was collected and analysed in a simultaneous process according to guidelines for classical grounded theory. In the analysis, a substantive theory was generated explaining the main concern of ICD recipients and how they handle this in their daily life. The core category, labelled “Striving to resume command”, illuminates the main concern of ICD recipients. To manage this main concern, the recipients used the following strategies: Economizing resources, Distracting oneself, Submitting to one’s fate and Re-evaluating life.The aim in Paper IV was to explore relationships between OQL, coping strategies, anxiety, depression and perceived control in recipients living with an ICD and to compare those having received an ICD less or more than one year ago and those with a primary or secondary preventive indication. A cross-sectional, correlational, multicenter design was used, and 147 recipients who had lived with an ICD between six to twenty-four months completed Quality of Life Index-Cardiac version, Jalowiec Coping Scale, Hospital Anxiety and Depression Scale and Control Attitude Scale. The results showed that anxiety, depression and perceived control were predictors of QOL. Anxiety was also a predictor of coping with optimistic coping being the most used coping strategy. There was no relationship between QOL and coping. No differences were found in QOL, coping, anxiety, depression and perceived control between recipients implanted either on a primary or secondary preventive indication or having the device less or more than one year.In this thesis, it was concluded that the ICD recipients strived to resume command over their life (III) and the more control the recipients perceived the more satisfied they were with their QOL (IV) and the more symptoms of anxiety, depression and uncertainty they experienced the less satisfied they were with their QOL (II, IV). Coping strategies were used more frequently by ICD recipient perceiving more anxiety (IV). QOL was fairly good 6,9 years after implantation and ICD recipients felt less uncertain once they had passed the first year of their illness.

  • 344.
    Flemme, Inger
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Hallberg, Ulrika
    Nordiska hälsohögskolan, Göteborg.
    Johansson, Ingela
    Hälsouniversitetet, Linköping.
    Strömberg, Anna
    Hälsouniversitetet, Linköping.
    Living with uncertainty: main concern for recipients of implantable cardioverter defibrillator - a qualitative study2010Conference paper (Refereed)
    Abstract [en]

    Background:

    the implantable cardioverter defibrillator is a sophisticated and multifunctional device to treat life-threatening arrhythmias. With increasing numbers of recipients implanted due to rapid technical development of devices and enlarged implantation indications, the consequences for recipients with an implantable cardioverter defibrillator daily life has attracted increased attention during the last decade.

    Aim:

    to illuminate the main concern of individuals living with an implantable cardioverter defibrillator and how they handle this in their daily life.

    Design and method:

    the grounded theory method was used. Sixteen Swedish recipients (9 men) who had lived with a defibrillator for 6 to 24 months were interviewed. Data was collected and analysed in a simultaneous process according to guidelines for classic grounded theory. 

    Results:

    in the analysis, a conceptual model was generated explaining the main concern of recipients with an implantable cardioverter defibrillator and how they handle this in their daily life. The core category, labelled "Living with uncertainty" illuminates the main concern of the recipients. To handle uncertainty the recipients used the following strategies: Restricting one’s activities, Distracting oneself, Accepting one’s fate and Re-evaluating one’s life.

    Conclusions:

    Recipients with an implantable cardioverter defibrillator were not paralyzed by the uncertainty they experienced. Instead, they handled the uncertainty by using different strategies which may produce a sense of perceived control to initiate a living process that facilitates physical and social activities.

    Relevance to clinical practice:

    this study suggests that nurses should support recipients with an implantable cardioverter defibrillator to handle uncertainty and contribute by optimizing the recipients sense of perceived control in daily life and thereby personal growth.

  • 345.
    Flemme, Inger
    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.
    Hallberg, Ulrika
    Nordiska hälsohögskolan, Göteborg.
    Johansson, Ingela
    Hälsouniversitetet, Linköping.
    Strömberg, Anna
    Hälsouniversitetet, Linköping.
    Uncertainty is a major concern for patients with implantable cardioverter defibrillators2011In: Heart & Lung, ISSN 0147-9563, E-ISSN 1527-3288, Vol. 40, no 5, p. 420-428Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: The study objective was to explore the main concern of individuals living with an implantable cardioverter defibrillator (ICD) and how they handle this in daily life. For improved management and follow-up, it is important to understand how the ICD affects the recipient's daily life. METHODS: A grounded theory method was used. Sixteen Swedish recipients (9 men) living with an ICD for 6 to 24 months were interviewed. RESULTS: The core category labeled, "Incorporating uncertainty in daily life," illuminates the main concern. To handle uncertainty, recipients used the following strategies: restricting activities, distracting oneself, accepting being an ICD recipient, and reevaluating life. CONCLUSION: Recipients were not paralyzed by uncertainty. Instead, they incorporated uncertainty in life by using strategies to handle their daily life. Questions, comments, and plans for supportive communication were provided, which can be used by healthcare professionals in cardiac rehabilitation.

  • 346.
    Flemme, Inger
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Hallberg, Ulrika
    Nordiska hälsohögskolan, Göteborg.
    Strömberg, Anna
    Hälsouniversitetet, Linköping.
    Striving to resume command of one’s life: Voices from individuals living with an ICD2008Conference paper (Refereed)
    Abstract [en]

    The aim of this study was to gain a deeper understanding for the main concern of indivi­duals living with an implantable cardioverter defibrillator (ICD) and what they did to hand­le it. The study group consisted of 16 patients, who had experienced a cardiac arrest or life-threatening arrhythmias, with a mean age of 56 years. In-depth interviews, con­duc­ted 6-24 months after ICD implant, were analysed using the grounded theory method. Four emergent categories were labelled economizing resources, distracting oneself, sub­mitting to one’s fate and re­valuing life. The core category, striving to resume command of one’s life, describes the uncertain process of living with discomfort of not knowing. The participants economized with their limited resources by restricting and planning every day and distracted themselves by divert attention away from the problems at hand and en­gaged physically or mentally in something else. They felt omitted when they could not in­fluence their situation and what happened to them. They had no or little control over the disease and the device and must accept physical and social changes. As time had passed, they were grateful for having survived, felt secure and accepted the ICD treatment. How­ever, a subgroup that had experienced complications as ICD shocks had hard to accept the changed life situation.

  • 347.
    Flemme, Inger
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Hinic, Hansi
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Dalman, Margareta
    Kardiologkliniken, Sahlgrenska Universitetssjukhuset, Göteborg, Sverige.
    Jinhage, Britt-Marie
    Kardiologkliniken, Sahlgrenska Universitetssjukhuset, Göteborg, Sverige.
    Fridlund, Bengt
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Edvardsson, Nils
    Kardiologkliniken, Sahlgrenska Universitetssjukhuset, Göteborg, Sverige.
    Livskvalitet och upplevda chocker under ICD-behandling: en 5-års uppföljning2004Conference paper (Refereed)
    Abstract [sv]

    ICD–behandling ökar överlevnaden hos patienter (pat), som har överlevt en malign ventrikulär tachyarytmi. Pats livskvalitet (QoL) har angivits variera betydande och långtidseffekterna är ännu mindre väl kända. Vi följde ett antal konsekutiva pat under minst 5 år med avseende på livskvaliteten.

    Metod.   Pat undersöktes med MUIS-C (Mishel Uncertainty in Illness Scale – community version) och QLI-CV (Quality of Life Index – cardiac version) och multipel regressionsanalys användes hos 35 patienter. Formulären fylldes i vid tre tillfällen: före implantationen, efter 1 och 5 år. Pats egen uppfattning om antalet upplevda chocker oavsett anledning noterades.

    Patienter. Ur en grupp pat, som tidigare undersöktes efter 1 år, hade 39 pat överlevt med sin ICD i minst 5 år. Av dessa avböjde tre deltagande i uppföljningen utan orsak och en pga cancer. Alla pat hade fått sin ICD på indikationen sekundär prevention.  

    Resultat.  Under det första året rapporterade 13 pat totalt 79 chocker och 22 pat ingen chock. Tio pat hade ingen chock vare sig efter 1 eller 5 år, och deras QoL var likvärdig med dem som hade haft ≤5 chocker. Tre pat rapporterade ≥6 chocker och hade sänkt QoL. Mellan år 1 och 5 rapporterade 20 pat 94 shocker och 15 pat ingen shock. Det var ingen skillnad mellan pat med eller utan chocker i deras QoL år 5 vs. år 1. Pat med chocker blev mindre besvärade med tiden.

    QoL var generellt sänkt år 1 vs baseline. En försämring i den socio-ekonomiska domänen sågs år 1 men var förbättrad år 5. En försämring i familjedomänen var oförändrad vid 1 och 5 år vs. baseline. En förbättring av otrygghet noterades vid 5 år vs år 1.

    Konklusioner. Pat med ICD mådde bättre år 5 än år 1 efter implantationen.  Livskvaliteten var rimligt god 5 år efter implantationen och pat kände sig mer trygga och upplevde sin ICD som en livräddare. Pat med många chocker under det första året mådde sämre än övriga. Under resten av observationsperioden var chocktätheten lägre, möjligen delvis pga farmakologisk behandling, och pat upplevde mindre besvär av chockerna. 

  • 348.
    Flemme, Inger
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Johansson, Ingela
    Hälsouniversitetet, Linköpings universitet, Division of Nursing Science, Department of Medicine and Health Sciences, Faculty of Health Sciences, Linköping University, Department of Cardiology UHL, County Council of Östergötland, Linköping, Sweden and Molde University College, Faculty of Health Sciences, Molde, Norway.
    Strömberg, Anna
    Hälsouniversitetet, Linköpings universitet, Division of Nursing Science, Department of Medicine and Health Sciences, Faculty of Health Sciences, Linköping University and Department of Cardiology UHL, County Council of Östergötland, Linköping, Sweden.
    Living with life-saving technology: coping strategies in implantable cardioverter defibrillators recipients2011In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 21, no 3-4, p. 311-321Article in journal (Refereed)
    Abstract [en]

    Aims. To describe coping strategies and coping effectiveness in recipients with an implantable cardioverter defibrillator and to explore factors influencing coping.

    Background. Implantable cardioverter defibrillators are documented as saving lives and are used to treat ventricular tachycardia and ventricular fibrillation. Despite the implantable cardioverter defibrillator not evidently interfering with everyday life, there is conflicting evidence regarding the psychosocial impact of an implantable cardioverter defibrillator implantation such as anxiety, depression, perceived control and quality of life and how these concerns may relate to coping.

    Design. Cross-sectional multicentre design.

    Methods. Individuals (n = 147, mean age 63 years, 121 men) who had lived with an implantable cardioverter defibrillator between 6-24 months completed the Jalowiec Coping Scale-60, Hospital Anxiety and Depression Scale, Control Attitude Scale and Quality of Life Index-Cardiac version.

    Results. Implantable cardioverter defibrillators recipients seldom used coping strategies, and the coping strategies used were perceived as fairly helpful. Optimism was found to be the most frequently used (1·8 SD 0·68) and most effective (2·1 SD 0·48) coping strategy, and recipients perceived moderate control in life. Anxiety (β = 3·5, p ≤ 0·001) and gender (β = 12·3, p = 0·046) accounted for 26% of the variance in the total use of coping strategies, suggesting that the more symptoms of anxiety and being women the greater use of coping strategies.

    Conclusions. Most recipients with an implantable cardioverter defibrillator did not appraise daily concerns as stressors in need of coping and seem to have made a successful transition in getting on with their lives 6-24 months after implantation.

    Relevance to clinical practice. Nurses working with recipients with an implantable cardioverter defibrillator should have a supportive communication so that positive outcomes such as decreased anxiety and increased perceived control and quality of life can be obtained. Through screening for anxiety at follow-up in the outpatient clinic, these recipients perceiving mental strain in their daily life can be identified.

  • 349.
    Flemme, Inger
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Johansson, Ingela
    Hälsouniversitetet, Linköping.
    Strömberg, Anna
    Hälsouniversitetet, Linköping.
    Quality of life and coping strategies in recipients with an implantable cardioverter defibrillator2010Conference paper (Refereed)
    Abstract [en]

    Objectives:

    To explore relationships between quality of life (QOL), coping strategies, anxiety, depression and perceived control in recipients living with an implantable cardioverter defibrillator (ICD) and compare those having received an ICD less or more than one year ago and those with a primary or secondary preventive indication.

    Methods:

    A cross-sectional, correlational design was used and 147 individuals (mean age 63 years, 121 men) who had lived with an ICD between 6 to 24 months completed Quality of Life Index-Cardiac version, Jalowiec Coping Scale, Hospital Anxiety and Depression Scale and Control Attitude Scale.

    Results: 

    A regression analysis showed that anxiety and depression were negatively correlated (ß=.16, p=0.025, ß=.30, p=0.012) respectively and perceived control was positively correlated (ß= .26, p=0.001) with overall QOL in ICD recipient 6-24 months after implant. A second regression analysis showed significant relationships between the dependent variable overall use of coping strategies and the anxiety (R2 adj = 0.213, F (4.132) = 10.186, p=0.001). More anxiety was correlated (β = 3.27, p=0.001) with increased use of coping strategies. Anxiety was quite common up to 2 years after ICD implant. Optimism was found to be the most frequently used coping strategy, but the recipients did not use a multitude of coping strategies. There was no relationship found between QOL and the use of different coping strategies. Time since implantation or the indication for receiving an ICD did not influence QOL, the use of coping strategies, symptoms of anxiety and depression or perceived control.

    Conclusions:

    Despite being a cost-effective, reliable and efficient implanted device for reducing the incidence of sudden cardiac death, the ICD can be associated with notable consequences in everyday life for the recipient. We suggest that follow-up with education and psychosocial support should be provided more intensively during the first six months after implantation and thereafter be tailored toward those recipients experiencing symptoms of depression and anxiety, a lower perceived control in life and a diminished QOL. By using screening tools to assess perceived control, anxiety and depression during follow up after implantation in the outpatient ICD clinic, recipients perceiving low control and mental strain in their everyday life can be identified and supportive interventions considered in order to increase their QOL. Coping strategies should be further explored in research and clinical practice in order to support ICD recipient to use the appropriate coping strategies.

  • 350.
    Flodin, Eva
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Interactive Design - The desire for autonomous upright mobility: A longitudinal case study2007In: Technology and Disability, ISSN 1055-4181, E-ISSN 1878-643X, Vol. 19, no 4, p. 213-224Article in journal (Refereed)
    Abstract [en]

    When a child is born with a motor disability, making it difficult or impossible to acquire independent locomotion, a challenging task is to find assistive compensating technology. This study addresses the motor needs of a child, Hanna, with Spinal Muscular Atrophy (SMA II). She participated in the development of her assistive technology, with a focus on her independent locomotion and posture, during her infancy, childhood and early teens in a longitudinal and interactive design project. From the very beginning, she expressed a strong attraction to autonomous upright mobility, in contrast to the more common sitting posture in a wheelchair. She has used different versions of the resulting powered walking aid ever since. The upright independent locomotion it has afforded has been of major importance for her self-image, independence and physical development. © 2007 IOS Press. All rights reserved.

45678910 301 - 350 of 1598
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf