hh.sePublications
Change search
Link to record
Permanent link

Direct link
Publications (10 of 92) Show all publications
Törnblom, M., Rönkkö, K., Ådahl, K., Karlsson, S., Olsson Möller, U. & Nivestam, A. (2025). Older persons’ experiences with wearable sensor-based fall risk screening in free-living conditions - a qualitative study. BMC Geriatrics, 25(1), 1-11, Article ID 426.
Open this publication in new window or tab >>Older persons’ experiences with wearable sensor-based fall risk screening in free-living conditions - a qualitative study
Show others...
2025 (English)In: BMC Geriatrics, E-ISSN 1471-2318, Vol. 25, no 1, p. 1-11, article id 426Article in journal (Refereed) Published
Abstract [en]

Background: Falls are common among older persons and can have a major impact on their lives. Wearable sensors used in free-living conditions (moving naturally in one’s daily living environment) can be used to predict falls and fall risks. To understand if using the wearable sensors is an acceptable way for older persons to be screened for fall risks, it is important to have knowledge of older persons’ experiences using wearable sensor-based technologies for fall risk assessment in free-living conditions Therefore, this study aimed to describe older persons’ experiences of using such technology. Methods: A qualitative study using individual interviews was conducted with 21 community-dwelling older persons (aged 77–81) in Sweden between April and September 2024. The older persons wore a thigh-mounted wearable sensor for one week to screen for fall risks in free-living conditions. Interviews were conducted 9–89 days (median 15 days) after sensor use and were analysed using conventional qualitative content analysis. Results: Older persons’ experiences with wearable sensor-based fall risk screening were described using the overarching theme ‘Being an older person in a fall screening process’ containing five categories: ‘Seeing a need for a fall risk sensor but imagining it as an unattainable ideal’, ‘Utilising a wearable sensor can be uncomplicated and fun’, ‘Having worries and experiencing problems’, ‘Thinking about what the wearable sensor has registered about me’, and ‘Reflecting on how I can benefit from the screening’. Conclusions: The older persons had various experiences with the wearable sensor-based screening for fall risks in free-living conditions. The wearable sensor was easy to use, although problems could occur while wearing it, such as losing the sensor or developing skin problems. The older persons wanted to benefit from the screening and improve their health based on the results. Further research could focus on the accuracy of fall predictors used in free-living conditions for assessing fall risks in older persons, since the wearable sensor was perceived as acceptable to use. © The Author(s) 2025.

Place, publisher, year, edition, pages
London: BioMed Central (BMC), 2025
Keywords
Aged, Balance, Community-dwelling, Fall risk assessment, Falls, Interviews, Person-centredness, Physical activity, Preventive home visits, Sensor, Technology
National Category
Nursing Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hh:diva-56995 (URN)10.1186/s12877-025-06100-7 (DOI)001512410100001 ()2-s2.0-105008567148 (Scopus ID)
Available from: 2025-07-22 Created: 2025-07-22 Last updated: 2025-10-01Bibliographically approved
Skantze, C., Almqvist-Tangen, G., Nyholm, M. & Karlsson, S. (2025). Parents’ Experiences of Communication With School Nurses About Their Child's Weight Development in Sweden. Journal of School Nursing, 570-578
Open this publication in new window or tab >>Parents’ Experiences of Communication With School Nurses About Their Child's Weight Development in Sweden
2025 (English)In: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364, p. 570-578Article in journal (Refereed) Published
Abstract [en]

This study aimed to describe parents’ experiences of communication with school nurses concerning the growth data and weight development of their children aged 8 and 10 years old in Sweden. Eighteen interviews with parents were conducted and analyzed through qualitative content analysis. The result showed a need for improved dialogue where the parents viewed the health visit's purpose as unclear and lacked feedback. The parents desired access to their child's growth data and described the need for an improved channel for receiving information. The parents moreover experienced the lack of a child-centered perspective, described the child's context as not in focus, and desired collaboration around their child. This study shows the need for the development of evidence-based methods for communicating growth data and weight development between School Health Service (SHS) and parents, as well as the need for a reformed SHS perspective towards parents and children. © The Author(s) 2023.

Place, publisher, year, edition, pages
Thousand Oaks, CA: Sage Publications, 2025
Keywords
children, communication, parents, school nurses, weight development
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-52382 (URN)10.1177/10598405231221050 (DOI)001129485400001 ()38130128 (PubMedID)2-s2.0-85180424280 (Scopus ID)
Funder
Region HallandHalmstad University
Available from: 2024-01-09 Created: 2024-01-09 Last updated: 2025-10-28Bibliographically approved
Dinse, D., Möller, U. O., Nilsson, M., Karlsson, S. & Haak, M. (2025). Strategies for person-centredness at meeting places arranging group exercises for community-dwelling older persons- A focus group study from a stakeholder perspective. BMC Public Health, 25(1), 1-15, Article ID 998.
Open this publication in new window or tab >>Strategies for person-centredness at meeting places arranging group exercises for community-dwelling older persons- A focus group study from a stakeholder perspective
Show others...
2025 (English)In: BMC Public Health, E-ISSN 1471-2458, Vol. 25, no 1, p. 1-15, article id 998Article in journal (Refereed) Published
Abstract [en]

BackgroundHealth-promotive interventions targeting older persons are important for active and healthy ageing. Hence, physical group exercises for community-dwelling older persons are arranged by various stakeholders via meeting places within the municipalities. Increased knowledge of how group exercises via meeting places can be arranged to promote health for the older population is needed. Therefore, the aim was to explore involved stakeholders' experiences of group exercises for older persons arranged via meeting places in municipalities in relation to health promotion.MethodsSix focus group interviews were conducted online with 25 stakeholders from seven municipalities in Sweden. The stakeholders were managers of prevention units, municipal coordinators for physical activity, group exercise leaders, stakeholders from study associations, sports associations and private stakeholders, and non-profit stakeholders who arranged group exercises via the meeting places. The data was analysed using focus group methodology, where the focus of the analysis was to obtain the stakeholders' collective understanding of the topic.FindingsThe analysis resulted in two main themes and seven categories. In the main theme Strategies to strengthen empowerment and exercise habits among older persons, the stakeholders highlighted strategies on an individual level. Strategies of importance to attract new participants and supporting them in maintaining their exercise habits, empowering them through social belonging, adapting to older persons through responsiveness and evaluation, facilitating participation in decision-making, and enabling older persons to lead group exercises. The other main theme, Strategies to strengthen the arrangement of group exercises over time, highlighted strategies on an organisational level concerning financial resources, supportive environments, the importance of human resources, competence development as well as collaboration.ConclusionsPerson-centredness emerges in health-promoting strategies both at the individual and organisational level. The study contributes to an understanding of how person-centredness is significant when working with health-promotive interventions for healthy ageing. Thus, a potential implication is to use a person-centred approach in the encounter with older persons and in the organisation when arranging group exercises for community-dwelling older persons. © The Author(s) 2025.

Place, publisher, year, edition, pages
London: BioMed Central (BMC), 2025
Keywords
Centres for the aged, Community network, Health promotion, Municipal government, Person-centred approach, Physical activity, Preventive health services, Older adults, Senior centres, Stakeholder engagement
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hh:diva-55686 (URN)10.1186/s12889-025-21843-z (DOI)001444909800007 ()40082816 (PubMedID)2-s2.0-105000184155& (Scopus ID)
Note

We are most grateful to all the stakeholders who shared their time and experiences during the interviews. This study was accomplished within the context of the Swedish National Graduate School on Ageing and Health (SWEAH) and was supported by Kristianstad University. In addition, this study was conducted within the Research Platform Collaboration for Health at the Faculty of Health Science at Kristianstad University.

Available from: 2025-04-01 Created: 2025-04-01 Last updated: 2025-10-01Bibliographically approved
Hjort-Telhede, E., Arvidsson, S. & Karlsson, S. (2024). Frail older adults with insomnia experiences of using weighted blankets: A qualitative study. Nordic journal of nursing research, 44
Open this publication in new window or tab >>Frail older adults with insomnia experiences of using weighted blankets: A qualitative study
2024 (English)In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 44Article in journal (Refereed) Published
Abstract [en]

Insomnia is common among frail older people living in nursing homes. The aim of the study was to explore how frail older people with insomnia experience the use of a weighted blanket. The study was conducted in nine nursing homes in Sweden. A total of 19 people (4 men, 15 women) aged 67 years and older were included. The study had an inductive qualitative design. Consolidated Criteria for Reporting Qualitative Research (COREQ) was utilized as a checklist to ensure transparency and comprehensiveness and enhance reliability by guaranteeing that all relevant aspects of the research process are thoroughly documented. The semi-structured interviews were analyzed with qualitative content analysis. The results formed four categories: Experiencing proximity, which raised older people’s encounters with the weighted blankets; Changes in sleeping patterns, where older people encountered the weighted blanket’s influence in changing sleep patterns; Experiencing conditions for use, where frail older people experienced the right conditions; and Stimulating senses, where frail older people experienced changes in their senses. Frail older people experienced that weighted blankets could provide comfort, positively influence sleep patterns, and reduce anxiety. This intervention can be considered valuable and offers a possible alternative to medication for frail older people with insomnia. © The Author(s) 2024.

Place, publisher, year, edition, pages
London: Sage Publications, 2024
Keywords
frail older people, health intervention, insomnia, nursing home residence, weighted blanket
National Category
Pharmacology and Toxicology
Identifiers
urn:nbn:se:hh:diva-55909 (URN)10.1177/20571585241279973 (DOI)2-s2.0-85207015784 (Scopus ID)
Note

Funding: Halmstad University and Mondian AB (based on an agreement)

Available from: 2025-04-23 Created: 2025-04-23 Last updated: 2025-10-01Bibliographically approved
Skantze, C., Almqvist-Tangen, G., Nyholm, M. & Karlsson, S. (2024). It must not be dangerous to talk about it! Parents views of communication with schoolnurses on weight. Paper presented at 17th European Public Health Conference 2024, Sailing the Waves of European Public Health: Exploring a Sea of Innovation, Lisbon, Portugal, 12-15 November, 2024. European Journal of Public Health, 34(Supplement 3)
Open this publication in new window or tab >>It must not be dangerous to talk about it! Parents views of communication with schoolnurses on weight
2024 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 34, no Supplement 3Article in journal, Meeting abstract (Refereed) Published
Abstract [en]

Background The study aimed to describe parents’ experiences of communication with school nurses concerning the growth data and weight development of their children aged 8 and 10 years old in Sweden.

Methods The design was descriptive and qualitative. 15 women and 3 men in south Sweden were included, with children who had performed health visits in the School Health Service (SHS). Data were collected through in - person semi structured interviews. Qualitative content analysis was used.

Results The results illustrated the health visit’s purpose as unclear with need for improved dialogue and lacking feedback from the SHS. “To be able to get guidelines of what is the normal growth and what is a normal deviation and maybe a bit more about diet and lifestyle and movement.” The need for an improved channel for receiving information from SHS, and access to their child’s growth data. “Couldn’t they have a school nurse site or information page, where you get information about your child from the day they enroll in school until they leave.” Parents experienced a lack of a child-centered perspective, described the child’s context as not in focus, and desired collaboration. “I think that it is very important that children feel good in their bodies, and that is a really important task for health care.”

Conclusions (a) Initiating a discussion regarding the preventive health work of school nurses and the main assignment of SHS. (b) Development of a child-centered perspective towards parents and children with focus on the child’s entire social context. (c) Implementation of evidence-based methods for communicating growth data and weight development between SHS and parents.

Key messages• An increased dialogue between parents and SHS was requested, with a reachable way of communication via a digital platform.

• A holistic view of the child, with positive professional attitudes seem essential to meet the needs of the child.

© The Author(s) 2024

Place, publisher, year, edition, pages
Oxford: Oxford University Press, 2024
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-55390 (URN)10.1093/eurpub/ckae144.1997 (DOI)001398326000027 ()
Conference
17th European Public Health Conference 2024, Sailing the Waves of European Public Health: Exploring a Sea of Innovation, Lisbon, Portugal, 12-15 November, 2024
Available from: 2025-02-06 Created: 2025-02-06 Last updated: 2025-10-01Bibliographically approved
Håkansson, T., Svensson, H. & Karlsson, S. (2024). Living with a person with young onset dementia–spousal experience. International Journal of Qualitative Studies on Health and Well-being, 19(1), 1-13
Open this publication in new window or tab >>Living with a person with young onset dementia–spousal experience
2024 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 19, no 1, p. 1-13Article in journal (Refereed) Published
Abstract [en]

Purpose: Being of working age while at the same time needing to help a partner with young onset dementia has specific consequences for spouses. Research to date has been sparse concerning this particular group of spouses. The aim of the study was to explore spouses’ everyday experiences when living with a person with young onset dementia. Method: The study had a descriptive qualitative design with semi-structured interviews with nine spouses. The interviews were analysed using content analysis. Result: The interviewed spouses experienced emotions that varied from feelings of loneliness, frustration, and worry to peace of mind. They said that they used coping strategies, which included adopting a positive mindset, adapting to inabilities, adopting an avoidant approach, and finding ways to recharge. Spouses also felt that they could use more support, both formal and informal. Conclusion: The spouse of a person with young onset dementia has a range of emotional experiences and has resourceful ways of handling everyday life. Various types of support are offered to spouses, however, they seemed to desire more from health care services. © 2024 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Place, publisher, year, edition, pages
Oxfordshire: Taylor & Francis, 2024
Keywords
emotional impact, everyday life, experience, spouse, Young onset dementia
National Category
Health Sciences
Identifiers
urn:nbn:se:hh:diva-53057 (URN)10.1080/17482631.2024.2330233 (DOI)001186102600001 ()38493492 (PubMedID)2-s2.0-85188045363 (Scopus ID)
Available from: 2024-04-09 Created: 2024-04-09 Last updated: 2025-10-01Bibliographically approved
Norell Pejner, M. & Karlsson, S. (2023). Restoring Balance—A Woman’s Expressions of Lived Experience of Everyday Life During a Period of Aging: A Case Study. Inquiry, 60
Open this publication in new window or tab >>Restoring Balance—A Woman’s Expressions of Lived Experience of Everyday Life During a Period of Aging: A Case Study
2023 (English)In: Inquiry, ISSN 0046-9580, E-ISSN 1945-7243, Vol. 60Article in journal (Refereed) Published
Abstract [en]

Bereaved older people face stressors from the changes in roles associated with the death of a spouse. To illustrate the lived experience of everyday life during a period of aging after a woman’s loss of her spouse. One woman born in 1918 was followed between 74 and 80 years of age after her husband died. Data consisted of daily diary. The text from the diaries were analyzed with a phenomenological hermeneutical approach. Everyday life after becoming a widow is characterized by balancing between personal resources to manage everyday life and vulnerability. In health and social care, it is important to identify experiences of vulnerability because these are associated with poor health. © The Author(s) 2023.

Place, publisher, year, edition, pages
Rochester, NY: Excellus Health Plan, Inc., 2023
Keywords
aging, case study, everyday life, experience, loss of spouse
National Category
Social Work
Identifiers
urn:nbn:se:hh:diva-50414 (URN)10.1177/00469580231167133 (DOI)000968868400001 ()37036069 (PubMedID)2-s2.0-85152172507 (Scopus ID)
Available from: 2023-05-10 Created: 2023-05-10 Last updated: 2025-10-01Bibliographically approved
Skantze, C., Almqvist-Tangen, G. & Karlsson, S. (2023). School nurses’ experience of communicating growth data and weight development to parents of children 8 and 10 years of age. BMC Public Health, 23(1), Article ID 21.
Open this publication in new window or tab >>School nurses’ experience of communicating growth data and weight development to parents of children 8 and 10 years of age
2023 (English)In: BMC Public Health, E-ISSN 1471-2458, Vol. 23, no 1, article id 21Article in journal (Refereed) Published
Abstract [en]

Introduction: The prevalence of overweight and obesity among children has risen sharply during recent decades. School nurses are key health professionals in interventions targeting the early onset of overweight and obesity during childhood. Understanding how school nurses experience communication with parents concerning their child´s growth and weight development are essential. The aim of the study is to describe school nurses’ experience of communicating growth data and weight development to parents of school children ages 8 and 10 years. Method: The design of the study is a descriptive, qualitative design with purposive and snowball sampling. Sixteen interviews with school nurses were conducted and analysed with qualitative content analysis. Result: The analysis resulted in three main categories including subcategories. In Challenges in the professional role, the school nurses expressed a lack of knowledge, skills and tools in communication, described a perception of parental responsibility and stated using several different approaches in communicating growth data and weight development to parents. In Sustainable communication with parents, the school nurses described the value of creating a dialogue, a supportive approach to the parents, and the building of a relation between them and the parents as essential. In Barriers in communicating the child´s weight, the school nurses described the experience of stigma concerning the subject of overweight and obesity, increased concern when they detected underweight as well as an ambivalence towards measuring weight. Conclusion: The study highlights an educational challenge concerning the need for training, skills, and strategies for communication with parents. A variety of ways in school nurses’ communication with parents were identified in the present study and this shows an inconsistency in how School health services was offered and a need for the development of evidence-based procedures for communicating growth data and weight development to parents. © 2023, The Author(s).

Place, publisher, year, edition, pages
London: BioMed Central (BMC), 2023
Keywords
Children, Communication, Growth data, Parents, School nurses, Weight development
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-49857 (URN)10.1186/s12889-022-14941-9 (DOI)000908842000003 ()36600248 (PubMedID)2-s2.0-85145517744 (Scopus ID)
Funder
Region HallandHalmstad University
Available from: 2023-01-27 Created: 2023-01-27 Last updated: 2025-10-01Bibliographically approved
Dinse, D., Haak, M., Nilsson, M., Karlsson, S. & Olsson Möller, U. (2023). The influence of the Covid-19 pandemic on municipal meeting places arranging group exercise for older persons. International Journal of Qualitative Studies on Health and Well-being, 18(1), Article ID 2235130.
Open this publication in new window or tab >>The influence of the Covid-19 pandemic on municipal meeting places arranging group exercise for older persons
Show others...
2023 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 18, no 1, article id 2235130Article in journal (Refereed) Published
Abstract [en]

PURPOSE: Many municipalities today, together with other stakeholders, offer group exercises for the older population via municipal meeting places, focusing on promoting good health. During the Covid-19 pandemic, these group exercises either continued in a modified form or ceased. The aim of this study was to explore involved stakeholders' experiences of group exercises for older persons arranged via municipal meeting places during the Covid-19 pandemic. METHODS: Six online focus group interviews were conducted with 25 stakeholders, such as decision-makers and representatives from the non-profit sector, from seven municipalities in Sweden. Data were analysed using thematic analysis. FINDINGS: The collaboration around the group exercises was challenged due to affected communication and decision-making. The stakeholders described the importance of adapting and finding new ways to offer group exercise. Furthermore, the re-arranging of group exercises created concerns about the well-being of the older persons but also happiness with the older persons ability to act for their own well-being during the pandemic. CONCLUSIONS: This study highlights the importance of the municipalities exchanging experiences, making the older persons more involved in the decision-making process, enabling a person-centred encounter with the older persons when exercising in groups, and strengthening supportive environments by sharing the ownership of arranging the group exercises with the older persons.

Place, publisher, year, edition, pages
Abingdon: Taylor & Francis, 2023
Keywords
Aged, Covid-19, health promotion, meeting places, municipal government, person-centredness, physical activity, stakeholder participation
National Category
Public Health, Global Health and Social Medicine
Identifiers
urn:nbn:se:hh:diva-51378 (URN)10.1080/17482631.2023.2235130 (DOI)001039079000001 ()37499132 (PubMedID)2-s2.0-85165876317 (Scopus ID)
Note

Funding: Kristianstad University supported the study.

Available from: 2023-08-14 Created: 2023-08-14 Last updated: 2025-10-01Bibliographically approved
Hjort-Telhede, E., Arvidsson, S. & Karlsson, S. (2022). Nursing staff’s experiences of how weighted blankets influence resident’s in nursing homes expressions of health. International Journal of Qualitative Studies on Health and Well-being, 17(1), Article ID 2009203.
Open this publication in new window or tab >>Nursing staff’s experiences of how weighted blankets influence resident’s in nursing homes expressions of health
2022 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 17, no 1, article id 2009203Article in journal (Refereed) Published
Abstract [en]

Purpose

The most common treatment for resident’s health problems is pharmacological. Little research has been done on how an intervention with a non-pharmacological method, such as a weighted blanket, Through the nursing staff view, we can learn how weighted blankets influence resident’s health in nursing homes. The aim of this study was to explore nursing staff’s experiences of how an intervention with weighted blankets influenced resident’s expressions of health.

Methods

The study had a descriptive qualitative design with semi-structured interviews with 20 nursing staff working in nursing homes, and an inductive content analysis was applied.

Results

The nursing staff expressed that the weighted blanket positively influenced resident’s health in the areas of sleep, physical activity, and psychological behaviour. The weighted blanket made them fall asleep faster, sleep was uninterrupted andthey felt more rested in the morning. The nursing staff observed an increased level of activity as the resident became more energetic . The nursing staff also experienced reduced negative psychological behaviours like anxiety and worrying.

Conclusion

This study indicated that the weighted blanket changed the health expression of resident in several crucial areas. Deep pressure treatment indicates an alternative health-improved treatment for resident in nursing homes. © 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Place, publisher, year, edition, pages
Abingdon: Taylor & Francis, 2022
Keywords
Experiences, health problem, non-pharmacological intervention, nursing home, nursing staff, older person, sleep problems, sleep-promoting, weighted blanket
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-46516 (URN)10.1080/17482631.2021.2009203 (DOI)000729997800001 ()34904541 (PubMedID)2-s2.0-85121288591 (Scopus ID)
Funder
Swedish Foundation for Strategic Research
Note

Funding: The Mondian AB, Halmstad University och SSF.

Available from: 2022-03-24 Created: 2022-03-24 Last updated: 2025-10-01Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-6624-9963

Search in DiVA

Show all publications