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Baskici, C., Aytar, A., Ersoy, H., Wikström-Grotell, C., Arell-Sundberg, M., Neves, H., . . . Kav, S. (2024). “Being in the digital box”. Academic staff experiences in online practical teaching: A qualitative study from six universities and countries. Heliyon, 10(2), Article ID e24275.
Open this publication in new window or tab >>“Being in the digital box”. Academic staff experiences in online practical teaching: A qualitative study from six universities and countries
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2024 (English)In: Heliyon, E-ISSN 2405-8440, Vol. 10, no 2, article id e24275Article in journal (Refereed) Published
Abstract [en]

The COVID-19 pandemic has caused radical changes in education, as in everything else, bringing many challenges. Despite all the difficulties, the COVID-19 pandemic has enormous opportunities for online teaching and the use of digital technologies. A comprehensive understanding of this period is needed to investigate these opportunities. Thus, this study aims to explore the academic staff's experiences of online teaching and the use of digital technologies in practical skills-based courses in health care education. This study was conducted at six universities from six countries (Türkiye, Sweden, Finland, Portugal, Latvia, Lithuania). Data were collected between June 17, 2021 and November 30, 2021 via a focus group with an in-depth interview technique. 22 focus group interviews were conducted with a total of 117 participants. Colaizzi's method was used to evaluate the data to discover, comprehend, and define the experiences of academic staff. The analysis of the interview data resulted in 6 themes, 25 subthemes and 56 categories that captured participants' experiences regarding online teaching of practical skills and using digital technologies in health care education. The findings of the study provide crucial information that will help online teaching and digital technology for practical skills be successfully integrated.

Place, publisher, year, edition, pages
Elsevier, 2024
Keywords
Experience, Health care education, Online teaching, Practical skills, Qualitative study
National Category
Pedagogical Work
Identifiers
urn:nbn:se:mdh:diva-65794 (URN)10.1016/j.heliyon.2024.e24275 (DOI)2-s2.0-85182676186 (Scopus ID)
Available from: 2024-01-31 Created: 2024-01-31 Last updated: 2024-01-31Bibliographically approved
Fritz, J., von Heideken Wågert, P. & Söderlund, A. (2023). CHRONIC PAIN AND SEDENTARY BEHAVIOR - WHAT TO DO?. International Journal of Behavioral Medicine, 30, S147-S148
Open this publication in new window or tab >>CHRONIC PAIN AND SEDENTARY BEHAVIOR - WHAT TO DO?
2023 (English)In: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 30, p. S147-S148Article in journal, Meeting abstract (Other academic) Published
Place, publisher, year, edition, pages
SPRINGER, 2023
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-64542 (URN)001058769400400 ()
Available from: 2023-10-24 Created: 2023-10-24 Last updated: 2023-10-24Bibliographically approved
Lostelius, V. L., Mattebo, M., Adolfsson, E. T., Söderlund, A., Andersén, M., Vadlin, S. & Revenäs, Å. (2023). Development and usability evaluation of an electronic health report form to assess health in young people: a mixed-methods approach. BMC Medical Informatics and Decision Making, 23(1), Article ID 91.
Open this publication in new window or tab >>Development and usability evaluation of an electronic health report form to assess health in young people: a mixed-methods approach
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2023 (English)In: BMC Medical Informatics and Decision Making, E-ISSN 1472-6947, Vol. 23, no 1, article id 91Article in journal (Refereed) Published
Abstract [en]

Background: Electronic Patient-Reported Outcomes (ePROs) have potential to improve health outcomes and healthcare. The development of health-technology applications, such as ePROs, should include the potential users and be theoretically grounded. Swedish Youth Health Clinics (YHCs) offer primarily sexual and psychological healthcare for young people aged 12 to 25 years old. Young people in healthcare settings are considered a vulnerable group. The development of a collection of Patient-Reported Outcomes (PROs) in an Electronic Health Report Form (eHRF) for identifying health and health-related problems in young people, was preceded by a qualitative interview study, exploring young people’s views on using an eHRF at YHCs and which questions about health an eHRF should contain. The aim of the current study was to develop and evaluate the usability of an eHRF prototype for identifying health and health-related problems in young people visiting YHCs. Methods: This study used a participatory design. During the development, an expert panel consisting of eight researchers and one Information Technology worker, participated. A wide literature search was performed to find PROs to construct an eHRF prototype to cover health areas. A mixed methods usability evaluation included 14 participants (young people, healthcare professionals, and an expert panel). Results: The development resulted in an eHRF prototype, containing ten reliable and valid health questionnaires addressing mental-, physical-, and sexual health and social support, a self-efficacy question, and background questions, in total 74 items. The interviews in the usability evaluation resulted in three categories describing the usability of the eHRF: ‘Captures the overall health of young people but needs clarification’, ‘Fun, easy, and optional and will keep young people’s interest’, and ‘Potential contribution to improve the health consultation’. The quantitative results support the usability of the eHRF for YHCs. Conclusions: The participatory approach contributed to development of the eHRF prototype to cover health areas adapted for the target population. The usability evaluation showed that the eHRF was usable and had the potential for self-reflection and contributions to cooperation between young people and healthcare professionals during the health consultation.

Place, publisher, year, edition, pages
BioMed Central Ltd, 2023
Keywords
Developmental study, Electronic patient-reported outcome, Medical informatics, Mixed methods research, Participatory research, Usability study, Young people, Youth health clinic, adolescent, article, clinical article, consultation, controlled study, female, health center, human, information technology, interview, juvenile, male, outcome assessment, patient-reported outcome, questionnaire, self concept, sexual health, social support, usability, worker
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-62588 (URN)10.1186/s12911-023-02191-7 (DOI)000984814800002 ()37165371 (PubMedID)2-s2.0-85158839793 (Scopus ID)
Available from: 2023-05-30 Created: 2023-05-30 Last updated: 2023-08-31Bibliographically approved
Borg, S., Öberg, B., Nilsson, L., Alfredsson, J., Söderlund, A. & Bäck, M. (2023). Effectiveness of a behavioral medicine intervention in physical therapy on secondary psychological outcomes and health-related quality of life in exercise-based cardiac rehabilitation: a randomized, controlled trial. BMC Sports Science, Medicine and Rehabilitation, 15(1), Article ID 42.
Open this publication in new window or tab >>Effectiveness of a behavioral medicine intervention in physical therapy on secondary psychological outcomes and health-related quality of life in exercise-based cardiac rehabilitation: a randomized, controlled trial
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2023 (English)In: BMC Sports Science, Medicine and Rehabilitation, ISSN 2052-1847, Vol. 15, no 1, article id 42Article in journal (Refereed) Published
Abstract [en]

Background: Interventions promoting adherence to exercise-based cardiac rehabilitation (exCR) are important to achieve positive physical and psychological outcomes, but knowledge of the added value of behavioral medicine interventions for these measures is limited. The aim of the study was to investigate the added value of a behavioral medicine intervention in physical therapy (BMIP) in routine exCR on psychological outcomes and health-related quality of life (HRQoL) versus routine exCR alone (RC). Methods: A total of 170 patients with coronary artery disease (136 men), mean age 62.3 ± 7.9 years, were randomized at a Swedish university hospital to a BMIP plus routine exCR or to RC for four months. The outcome assessments included HRQoL (SF-36, EQ-5D), anxiety and depression (HADS), patient enablement and self-efficacy and was performed at baseline, four and 12 months. Between-group differences were tested with an independent samples t-test and, for comparisons within groups, a paired t-test was used. An intention-to-treat and a per-protocol analysis were performed. Results: No significant differences in outcomes between the groups were shown between baseline and four months or between four and 12 months. Both groups improved in most SF-36 domains, EQ-VAS and HADS anxiety at the four-month follow-up and sufficient enablement remained at the 12-months follow-up. Conclusion: A BMIP added to routine exCR care had no significant effect on psychological outcomes and HRQoL compared with RC, but significant improvements in several measures were shown in both groups at the four-month follow-up. Since recruited participants showed a better psychological profile than the general coronary artery disease population, further studies on BMIP in exCR, tailored to meet individual needs in broader patient groups, are needed. Trial registration number NCT02895451, 09/09/2016, retrospectively registered.

Place, publisher, year, edition, pages
BioMed Central Ltd, 2023
Keywords
Control theory, Coronary artery disease, Patient-reported outcome measurements, Secondary prevention, Self-efficacy
National Category
Cardiac and Cardiovascular Systems
Identifiers
urn:nbn:se:mdh:diva-62182 (URN)10.1186/s13102-023-00647-x (DOI)000954150500001 ()2-s2.0-85150972283 (Scopus ID)
Available from: 2023-04-05 Created: 2023-04-05 Last updated: 2023-04-19Bibliographically approved
Söderlund, A., Blazeviciene, A., Elvén, M., Vaskelyte, A., Strods, R., Blese, I., . . . Wikström-Grotell, C. (2023). Exploring the activities and outcomes of digital teaching and learning of practical skills in higher education for the social and health care professions: a scoping review. Discover Education, 2(1), Article ID 2.
Open this publication in new window or tab >>Exploring the activities and outcomes of digital teaching and learning of practical skills in higher education for the social and health care professions: a scoping review
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2023 (English)In: Discover Education, E-ISSN 2731-5525, Vol. 2, no 1, article id 2Article, review/survey (Refereed) Published
Abstract [en]

Higher education for health care professionals faces numerous challenges. It is important to develop and apply methods supporting education, especially the practical skills. This scoping review aimed to explore the activities and learning outcomes of digital technology in practical skills teaching and learning in higher education for the social and health professions. Scoping review recommendations and the PRISMA-ScR checklist were applied. Randomized controlled trials published between 2016 and 2021 involving students in higher education who were taking courses in the social sciences and health care and reported interventions with digital technology activities and practices in practical teaching and learning were included. The CINAHL Plus, PubMed, Scopus, ERIC, and Sociological Abstracts/Social Services Abstracts databases were searched. Teaching methods were blended, e-learning or other online-based, and digital simulation-based activities. Teaching and learning environments, methods, resources, and activity characteristics varied, making a summary difficult. Interventions were developed in a face-to-face format prior to digitalization. The outcomes were measured at the knowledge level, not at the performance level. One-third of the studies showed a significant improvement in practical skills in the intervention group in comparison to the control conditions. The use of digital technology in the learning and teaching process have potential to develop of students' skills, knowledge, motivation, and attitudes. The pedagogy of technology use is decisive. The development of new digital methods for teaching and learning practical skills requires the engagement of students and teachers, in addition the researchers.

National Category
Medical and Health Sciences Health Sciences
Research subject
Physiotherapy
Identifiers
urn:nbn:se:mdh:diva-62020 (URN)10.1007/s44217-022-00022-x (DOI)
Funder
Mälardalen University
Available from: 2023-03-05 Created: 2023-03-05 Last updated: 2023-03-14Bibliographically approved
Sterling, M., Andersen, T., Carroll, L., Connelly, L., Côté, P., Curatolo, M., . . . Westergren, H. (2023). Recommendations for a core outcome measurement set for clinical trials in whiplash associated disorders. Pain, 164(10), 2265-2272
Open this publication in new window or tab >>Recommendations for a core outcome measurement set for clinical trials in whiplash associated disorders
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2023 (English)In: Pain, ISSN 0304-3959, E-ISSN 1872-6623, Vol. 164, no 10, p. 2265-2272Article in journal (Refereed) Published
Abstract [en]

ABSTRACT: Inconsistent reporting of outcomes in clinical trials of treatments for whiplash associated disorders (WAD) hinders effective data pooling and conclusions about treatment effectiveness. A multidisciplinary International Steering Committee recently recommended 6 core outcome domains: Physical Functioning, Perceived Recovery, Work and Social Functioning, Psychological Functioning, Quality of Life and Pain. This study aimed to reach consensus and recommend a core outcome set (COS) representing each of the 6 domains. Forty-three patient-reported outcome measures (PROMs) were identified for Physical Functioning, 2 for perceived recovery, 37 for psychological functioning, 17 for quality of life, and 2 for pain intensity. They were appraised in 5 systematic reviews following COSMIN methodology. No PROMs of Work and Social Functioning in WAD were identified. No PROMs had undergone evaluation of content validity in patients with WAD, but some had moderate-to-high-quality evidence for sufficient internal structure. Based on these results, the International Steering Committee reached 100% consensus to recommend the following COS: Neck Disability Index or Whiplash Disability Questionnaire (Physical Functioning), the Global Rating of Change Scale (Perceived Recovery), one of the Pictorial Fear of Activity Scale-Cervical, Pain Self-Efficacy Questionnaire, Pain Catastrophizing Scale, Harvard Trauma Questionnaire, or Posttraumatic Diagnostic Scale (Psychological Functioning), EQ-5D-3L or SF-6D (Quality of Life), numeric pain rating scale or visual analogue scale (Pain), and single-item questions pertaining to current work status and percent of usual work (Work and Social Functioning). These recommendations reflect the current status of research of PROMs of the 6 core outcome domains and may be modified as evidence grows.

Place, publisher, year, edition, pages
NLM (Medline), 2023
Keywords
Humans, Pain, Pain Measurement, Quality of Life, Treatment Outcome, Whiplash Injuries, complication, human, psychology, whiplash injury
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-64442 (URN)10.1097/j.pain.0000000000002926 (DOI)001073695400012 ()37171189 (PubMedID)2-s2.0-85171393801 (Scopus ID)
Available from: 2023-10-05 Created: 2023-10-05 Last updated: 2023-11-15Bibliographically approved
Söderlund, A. (2023). Sedentary lifestyle–ongoing pandemic with no” vaccine”–Editorial. European Journal of Physiotherapy, 25(6)
Open this publication in new window or tab >>Sedentary lifestyle–ongoing pandemic with no” vaccine”–Editorial
2023 (English)In: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 25, no 6Article in journal, Editorial material (Refereed) Published
Place, publisher, year, edition, pages
Taylor & Francis, 2023
Keywords
Editorial, hip pain, human, malignant neoplasm, non communicable disease, obesity, pandemic, physical activity, quality of life, screen time, sedentary lifestyle, sleep time
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:mdh:diva-65180 (URN)10.1080/21679169.2023.2284580 (DOI)2-s2.0-85177178134 (Scopus ID)
Available from: 2023-12-21 Created: 2023-12-21 Last updated: 2023-12-21Bibliographically approved
Ritchie, C., Andersen, T. E., Ravn, S. L., Söderlund, A., Sterling, M., Carroll, L., . . . Westergren, H. (2022). A systematic review shows minimal evidence for measurement properties of psychological functioning outcomes in whiplash. Journal of Clinical Epidemiology, 151, 29-44
Open this publication in new window or tab >>A systematic review shows minimal evidence for measurement properties of psychological functioning outcomes in whiplash
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2022 (English)In: Journal of Clinical Epidemiology, ISSN 0895-4356, E-ISSN 1878-5921, Vol. 151, p. 29-44Article in journal (Refereed) Published
Abstract [en]

Objectives: The aim of this study was to systematically identify, synthesize, and appraise studies on the measurement properties of patient-reported outcome measures (PROMs) for anxiety, depression, fear of movement, pain catastrophizing, post-traumatic stress, self-efficacy, and stress in people with whiplash-associated disorders (WAD). Study Design and Setting: PsycINFO, MEDLINE, EMBASE, CINAHL, PILOTS, Web of Science, and Scopus were searched (November 9, 2021). Studies evaluating any measurement property of relevant PROMs in WAD were included. Two reviewers independently screened the studies and assessed the measurement properties in accordance with the COSMIN guidelines. Results: Measurement properties of 10 PROMs were evaluated in WAD: Pictorial Fear of Activity Scale-Cervical (PFActS-C), Tampa Scale of Kinesiophobia-11, Pain Catastrophizing Scale (PCS), Pain Self-Efficacy Questionnaire (PSEQ), PSEQ-4 item, PSEQ-2a, PSEQ-2b, Self-Efficacy Scale, Harvard Trauma Questionnaire, and Post-Traumatic Stress Diagnostic Scale. Content validity was not examined in any of these PROMs in whiplash. Moderate- or high-quality evidence showed adequate internal structure for the PSEQ, PCS, and PFActS-C, whereas the original structures of the remaining seven PROMs were not confirmed in whiplash. Conclusion: Until further research on the measurement properties of these PROMs is available, researchers may opt to use the PSEQ, PCS, or PFActS-C if the construct is aligned with research aims. © 2022 Elsevier Inc.

Place, publisher, year, edition, pages
Elsevier Inc., 2022
Keywords
Internal structure, Measurement property, Patient-reported outcome measure, Psychological functioning, Psychometrics, Whiplash
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-59848 (URN)10.1016/j.jclinepi.2022.07.011 (DOI)000861032300003 ()2-s2.0-85136242025 (Scopus ID)
Available from: 2022-08-31 Created: 2022-08-31 Last updated: 2022-10-12Bibliographically approved
Åkerberg, A., Arwald, J., Söderlund, A. & Lindén, M. (2022). An Approach to a Novel Device Agnostic Model Illustrating the Relative Change in Physical Behavior Over Time to Support Behavioral Change. Journal of Technology in Behavioral Science, 7(2), 240-251
Open this publication in new window or tab >>An Approach to a Novel Device Agnostic Model Illustrating the Relative Change in Physical Behavior Over Time to Support Behavioral Change
2022 (English)In: Journal of Technology in Behavioral Science, ISSN 2366-5963, Vol. 7, no 2, p. 240-251Article in journal (Refereed) Published
Abstract [en]

Today, there is a lack of useful visual presentations of data showing progress over long time periods for users of physical activity self-monitoring devices. The aim of this paper was to present a novel theoretical model that describes the relative change in physical behavior over time and to provide examples of model application with previously collected data. Physical behavior, which includes both sedentary behavior and physical activity, was categorized into four dimensions and further processed and adjusted to fit the novel model. The model was visualized both theoretically and by using example data for two out of 20 participants, illustrating the relative change compared to baseline and trendlines for all dimensions. This approach to a novel device agnostic model can visualize the data over time and is intended to be used on an individual basis by users that need support for physical behavioral change. The model, which is based on earlier research, has flexibility and was developed to be used as a complement for data processing, to future and currently available self-monitoring devices within this arena. In the future, the novel model should be studied to see if it is valid, tested with larger samples over longer study periods, and tested for use with other self-monitoring devices to ensure its usefulness and trustworthiness.

Place, publisher, year, edition, pages
Springer, 2022
Keywords
Behavioral change, Dimension, Model, Physical activity, Physical behavior, Sedentary behavior
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:mdh:diva-60390 (URN)10.1007/s41347-022-00246-6 (DOI)2-s2.0-85139797621 (Scopus ID)
Available from: 2022-10-26 Created: 2022-10-26 Last updated: 2022-10-26Bibliographically approved
Lostelius, P., Mattebo, M., Söderlund, A., Revenäs, Å. & Adolfsson, E. T. (2022). An electronic patient-reported outcome created based on my needs is worth using: an explorative qualitative study investigating young people's opinions for a health assessment tool. JOURNAL OF PATIENT-REPORTED OUTCOMES, 6(1), Article ID 29.
Open this publication in new window or tab >>An electronic patient-reported outcome created based on my needs is worth using: an explorative qualitative study investigating young people's opinions for a health assessment tool
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2022 (English)In: JOURNAL OF PATIENT-REPORTED OUTCOMES, ISSN 2509-8020, Vol. 6, no 1, article id 29Article in journal (Refereed) Published
Abstract [en]

Background: Young people in different healthcare settings are positive about using electronic patient-reported outcomes (ePROs), which are meant to increase the effectiveness and safety of interventions from the patient's perspective. Sweden offers free healthcare to young people aged 12-25 years at 275 youth health clinics (YHCs), whose goals are to strengthen young people and promote sexual, physical, and mental health. YHCs need effective ways to identify the overall picture of young people's health and health-related problems. To our knowledge, there is no ePRO for YHCs that provides an overview of young people's health from several health perspectives. The aim of this study was to explore young people's view on content and design of an ePRO to provide an overview of their health and health related problems when visiting a YHC, and their opinion on what healthcare needs to consider when using the ePRO. This was an explorative qualitative study. The participants were included from five YHCs, in different socioeconomic areas in central Sweden. Fifteen participants were included: 10 girls, three boys, and two non-binary participants with an age range of 16-22 years. Data were collected using a semi-structured interview guide and individual interviews, and inductive content analysis was performed.

Results: One main theme, "ePRO created based on my needs is worth using" and two sub-themes, "Appealing content and design" and "Trusting healthcare", emerged. The participants wanted that an ePRO should include overall questions about mental-, physical-, and sexual health and social support. Participants also believed the ePRO must disclose the risks of self-harm or suicide. The participants noted the importance of emotional and digital security when using the ePRO and having a confidential conversation with a healthcare provider. To share health information means to trust to gain health.

Conclusions: The study participants' views on content and design can form the basis for designing an ePRO for young people. Their thoughts on safety and treatment in healthcare can be considered in the development process. This study is the starting point for developing an ePRO for young people at YHCs.

National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-57733 (URN)10.1186/s41687-022-00436-z (DOI)000773956800001 ()35347495 (PubMedID)2-s2.0-85127274094 (Scopus ID)
Available from: 2022-04-06 Created: 2022-04-06 Last updated: 2023-08-31Bibliographically approved
Projects
Development, evaluation and cost effectiveness of a treatment program with a behavioural medicine approach for adolescents with persistent pain [2009-02336_VR]; Uppsala University
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-4537-030X

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