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  • 1.
    Aaby, Anders
    et al.
    Specialized Hosp Polio & Accid Victims, Roedovre, Denmark.;Univ Southern Denmark, Dept Psychol, InCoRE, Odense, Denmark..
    Ravn, Sophie L.
    Specialized Hosp Polio & Accid Victims, Roedovre, Denmark.;Univ Southern Denmark, Dept Psychol, InCoRE, Odense, Denmark.;Univ Southern Denmark, Dept Psychol, ThRIVE, Odense, Denmark..
    Elfström, Magnus L.
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Kasch, Helge
    Aarhus Univ Hosp, Dept Neurol, Aarhus, Denmark.;Aarhus Univ, Dept Clin Med, Aarhus, Denmark..
    Andersen, Tonny E.
    Univ Southern Denmark, Dept Psychol, InCoRE, Odense, Denmark..
    Does the Danish version of the Spinal Cord Lesion-related Coping Strategies Questionnaire measure what we think it measures?: A triangulated mixed-methods validation approach2022Inngår i: Spinal Cord, ISSN 1362-4393, E-ISSN 1476-5624Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Study design: Triangulated mixed-methods validation study.

    Objectives: To validate the Danish version of the Spinal Cord Lesion-related Coping Strategies Questionnaire (SCL-CSQ).

    Setting: Community in Denmark.

    Methods: Participants were invited via a patient organization and its specialized hospital. Eligibility criteria were having a spinal cord injury (SCI), being 18 years or older, and able to understand and respond in Danish. Quantitative data were collected to determine internal consistency and criterion validity of the three subscales of SCL-CSQ, i.e., acceptance, fighting spirit, and social reliance. The Three-Step Test-Interview approach was employed to determine whether items measured what they were intended to measure (i.e., construct validity based on response processes).

    Results: The quantitative sample consisted of 107 participants, and the interview sample comprised 11 participants. The acceptance and fighting spirit subscales showed adequate internal consistency (Cronbach's alpha of 0.72 and 0.76 respectively) and satisfactory criterion validity (expected correlations with quality of life and depression). The social reliance subscale showed inadequate internal consistency (Cronbach's alpha of 0.58) and criterion validity. All fighting spirit items and all but one acceptance items were interpreted congruently by most participants. Conversely, two social reliance items were only interpreted congruently by 9 and 27%.

    Conclusion: The acceptance and fighting spirit subscales of the Danish version of the SCL-CSQ showed good psychometric properties, while the social reliance subscale showed serious issues and should be revised. Researchers and clinicians are urged to reflect on these findings when revising the SCL-CSQ or adapting it to other languages, cultural contexts, and rehabilitation settings.

  • 2.
    Abdulwasai, Kalid
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Det blir bara värre och värre..: En kvalitativ studie om kriminalvårdarnas arbetsmiljö inne på anstalten2022Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Ett arbete kan både vara en risk eller friskfaktor och de krav som ställs på arbetstagaren kan leda till olika konsekvenser. Arbetsmiljö innefattar den fysiska och den psykosociala arbetsmiljön, den fysiska arbetsmiljön handlar om exempelvis buller, ventilation och ljus medan psykosocial arbetsmiljö handlar om exempelvis socialt stöd, krav, inflytande och belöning. Arbetsmiljö är en viktig pelare inom folkhälsan eftersom en stor del av dygnet spenderas på arbetsplatsen. Syftet med denna studie är att beskriva hur kriminalvårdare upplever sin arbetsmiljö inne i anstalten. Krav-kontroll-stöd-modellen har tillämpats till studien som teoretiskt perspektiv.

    För att få syftet besvarat gjordes en kvalitativ metod med ett målstyrturval där fem kriminalvårdare intervjuades enskilt. Samtliga intervjuer var semistrukturerade som spelades in och sedan transkriberades och analyserades. Intervjupersonerna arbetar på samma anstalt och har varit anställda olika länge.

     Resultatet visade att intervjupersonerna upplevde att ledningen sätter hög press trots personalbristen och att inget förändras trots flera påpekningar av personalen. Gällande den psykosociala delen upplevde intervjupersonerna att yrket är psykiskt påfrestande på grund av den höga kraven från ledningen men även det dagliga hotet från de intagna. Trots detta upplevde intervjupersonerna att samarbetet bland kollegorna är god vilket kan öka arbetsglädjen.

    Nyckelord: Arbetsmiljö, Krav-kontroll-stöd-modellen, Kriminalvårdare, Kvalitativ metod

    Fulltekst (pdf)
    fulltext
  • 3.
    Abed, Hadir Carmen
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Mångfald som risk och möjlighet: En kvalitativ studie om hur rekryterare i Sverige ser på mångfald.2023Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Varje individ i Sverige bör ha samma rätt att verka i vardagen, och det inkluderar alla personer oavsett kön, etnicitet, religion, sexuell läggning, funktionsnedsättning, utbildning eller social klass. Dessa aspekter ska inte vara avgörande för att sedan bli exkluderad från att arbeta. Att arbeta anses vara en del av en mänsklig rättighet och individer som befinner sig utanför arbetsmarknaden bör inkluderas oavsett aspekt de erhåller som anses vara fördomsfullt i samhället. Rekryterare anses ha en omfattande roll om att anställa personal med olika egenskaper som i sin följd främjar mångfalden hos företag, av denna anledning valdes rekryterare ut att vara ett fokusområde i föreliggande studie. Syftet med föreliggande studien är att öka förståelsen kring hur olika rekryterare i Sverige arbetar mångfaldsfrämjande vid rekrytering till företag. Tio intervjuer genomfördes och respondenterna arbetade som rekryterare inom olika branscher med olika års erfarenhet och utbildning. Det insamlade materialet har analyserats genom en manifest innehållsanalys. Resultatet visar att rekryterare följer sin magkänsla kring kandidaten, men främst utifrån de egenskaper som kandidaten besitter som också efterfrågas från den sökta tjänsten; det är dock inte uteslutet att diskriminering kan förekomma vid rekrytering. Uppsatsen drar slutsatsen att samhället ställer krav på hur företag ska anpassa sig när det kommer till underrepresenterade grupper i samhället och rekryterare vill möta de behov som finns med rätt verktyg. Flera av dem medger att diskriminering förekommer inom deras respektive arbetsområden och menar att anställning av personer från etniska minoriteter ibland betraktas som ett risktagande, och de beskriver en förekomst av rädsla för konflikter baserade på kulturella skillnader. Intervjupersonerna understryker att mångfaldsarbete även fortsättningsvis bör vara ett aktivt ämne i arbetslivet.

    Fulltekst (pdf)
    fulltext
  • 4.
    Ahlqvist, Robyn
    et al.
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Lanbro, Emelie
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Att få stöd att växa: Unga vuxna patienters erfarenhet av delaktighet inom barn- och ungdomspsykiatrin2022Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund: Delaktighet i vården är viktigt, då det finns skrivet i styrdokument och lagar. Tidigare forskning tyder det på att vårdpersonal och patienter inte alltid har samma syn på begreppet delaktighet. Att belysa patientens levda erfarenheter av delaktighet inom barn- och ungdomspsykiatrin synliggör det vad delaktighet betyder för patienten. Det kan bidra till att öka kunskapen hos vårdpersonal och förbättra vårdprocessen för patienten. Syfte: Studiens syfte är att beskriva vad unga vuxna erfarit som delaktighet under den period de själva har varit patienter inom barn- och ungdomspsykiatrin. Metod: Studien har en kvalitativ design med induktiv ansats. Ändamålsenligt urval gjordes och 8st deltagare i åldern 18–20 deltog i studien. Semistrukturerade intervjuer användes som datainsamlingsmetod. Intervjuerna transkriberades och analyserades med kvalitativ innehållsanalys. Resultat: Resultatet skrivs ut i fyra kategorier Att bli bekräftad, Att få utrymme, Att förstå sig själv, Att förstå sammanhang dessa kategorier fick även subkategorier för att kunna beskriva kategorierna tydligare. Kategorierna och subkategorier bildade ett tema; Att få stöd att växa. Slutsats: Begreppet delaktighet har många betydelser. Att bli bekräftad i den situationen man befinner sig i och känna tillit blir viktigt i relationen till vårdpersonalen. En trygg relation främjar patientens delaktighet i vården.

    Fulltekst (pdf)
    fulltext
  • 5.
    Ahlstedt, Carina
    et al.
    Uppsala University, Dept of Public health & Caring Sciences, Sweden.
    Eriksson Lindvall, Carin
    Uppsala University, Dept of Business Studies, Sweden.
    Holmström, Inger
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Uppsala University, Dept of Public health & Caring Sciences, Sweden.
    Muntlin, Åsa
    Uppsala University, Dept of Public Health & Caring Sciences, and Dept of Medical Sciences, Sweden.
    Flourishing at work: Nurses' motivation through daily communication - an ethnographic approach2020Inngår i: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 22, nr 4, s. 1169-1176Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Shortage and turnover of registered nurses are worldwide challenges, and work motivation is one factor in retaining staff in the healthcare sector. The aim of this study was to explore registered nurses' motivation expressed in daily communication, using the basic needs in self‐determination theory as a framework. A secondary analysis of ethnographic data, collected through participant observations, informal interviews during observations, and individual interviews, was used. A total sample of all registered nurses employed at a hospital unit in Sweden (n = 10) participated. The data were analyzed thematically through the lens of the basic needs in self‐determination theory: autonomy, competence, and relatedness. Self‐regulation of learning, the possibilities to discuss work‐related challenges with colleagues, and having registered nurses lead dialogues with physicians were factors connected to autonomy. Having a registered nurse and physician solve problems together was a factor connected to competence. A sense of belonging and security in a permissive climate between registered nurses was connected to relatedness. This paper has implications for increased awareness of the three basic motivational needs, which could be used in the development of attractive workplaces.

  • 6.
    Ahlzén, Louise
    et al.
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Lind, Karl
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Patienters upplevelser av awareness i samband med generell anestesi: En integrativ systematisk litteraturöversikt2024Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund: Anestesi är en utsatt situation för patienter där anestesisjuksköterskor har en väsentlig roll genom att vara ett stöd för, informera, stödja delaktighet och motverka anestesirelaterade komplikationer. Awareness är en anestesirelaterad komplikation och innebär att patienter återfår medvetandet under operation, ofta till följd av otillräcklig anestesi. Forskning visar på faktorer som påverkar förekomsten av awareness, men belyser inte i lika stor utsträckning patienters egna upplevelser av awareness. Syfte: Syftet är att beskriva patienters upplevelser i samband med awareness under generell anestesi. Metod: Systematisk integrativ litteraturöversikt av 21 artiklar enligt Whittemore och Knafls modell. Resultat: Patienter som upplevde awareness under generell anestesi beskrev smärtsamma och icke-smärtsamma taktila intryck. De beskrev även visuella- och auditiva intryck, samt förmågan eller oförmågan att påkalla uppmärksamhet. Patienter upplevde även akuta känslomässiga reaktioner, kognitiv närvaro eller frånvaro samt psykosociala följder efter awareness. Slutsats: Examensarbetet redogör för patienters fysiska och psykiska upplevelser under awareness. Upplevelserna som beskrivs är dels negativa och beroende på hur patienter upplevt awareness gav händelsen upphov till olika svåra postoperativa komplikationer. Awareness är ett komplext fenomen som kräver vårdvetenskapliga teorier och vetenskapliga metoder som kan göra komplexiteten rättvisa. 

    Fulltekst (pdf)
    fulltext
  • 7.
    Ahmadi, Fereshteh
    et al.
    University of Gävle, Sweden.
    Cetrez, Önver A.
    Uppsala University, Sweden.
    Akhavan, Sharareh
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Zandi, Saeid
    Allameh Tabataba’i University, Tehran, Iran.
    Meaning-Making Coping With COVID-19 in Academic Settings: The Case of Sweden2022Inngår i: Illness, crisis and loss, ISSN 1054-1373, E-ISSN 1552-6968, Vol. 30, nr 4, s. 770-794Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In this study, we map and describe the coping methods used by members of the university community in Sweden to deal with the first wave of the coronavirus pandemic. This study, which used simple random sampling, was quantitative. It employed a modified version of the RCOPE instrument as well as items from earlier studies of meaning-making coping in Sweden. Among participants (n = 277, 64% women), the most frequently used coping method was nature as a resource in dealing with stress and sadness, followed by listening to the sounds of surrounding nature and thinking of life as part of a greater whole; these coping methods were the most common in all subgroups studied. We used a cultural perspective to better understand the application of certain meaning-making coping methods.

  • 8. Akenine, Daniel
    et al.
    Stier, JonasMälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Människor och AI - fem år senare : en bok om artificiell intelligens och oss själva2023Collection/Antologi (Annet vitenskapelig)
  • 9. Akenine, Daniel
    et al.
    Stier, JonasMälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Människor och AI: fem år senare - en bok om artificiell intelligens och oss själva2023Collection/Antologi (Annet (populærvitenskap, debatt, mm))
  • 10.
    Akenine, U.
    et al.
    Department of Neurobiology, Care Sciences and Society, Division of Clinical Geriatrics, Karolinska Institutet, Stockholm, Sweden.
    Thunborg, Charlotta
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Department of Neurobiology, Care Sciences and Society, Division of Clinical Geriatrics, Karolinska Institutet, Stockholm, Sweden.
    Kivipelto, M.
    Department of Neurobiology, Care Sciences and Society, Division of Clinical Geriatrics, Karolinska Institutet, Stockholm, Sweden.
    Fallahpour, M.
    Department of Neurobiology, Care Sciences and Society, Division of Clinical Geriatrics, Karolinska Institutet, Stockholm, Sweden.
    Experiences of Participation in a Multimodal Preventive Trial MIND-AD(MINI) Among Persons with Prodromal Alzheimer's Disease: A Qualitative Study: A Qualitative Study2022Inngår i: Journal of Multidisciplinary Healthcare, ISSN 1178-2390, E-ISSN 1178-2390, Vol. 15, s. 219-234Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Introduction: Alzheimer's disease (AD) is one of the world's leading public health challenges. One-third of AD cases are attributable to modifiable vascular and lifestyle related risk factors. The Multimodal Preventive Trial for Alzheimer's Disease, MINDADMINI a 6-month multinational parallel-group randomized controlled trial (RCT), targeted persons with prodromal AD and built on the positive outcomes from the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER) trial. The intervention consisted of four main components of (i) physical exercise training program, (ii) nutrition guidance, (iii) cognitive training, and (iv) social stimulation, as well as (iv) monitoring of metabolic/vascular risk factors.

    Aim: The study aimed to explore and describe the experiences of participation in MINDADMINI among persons with prodromal AD.

    Methods: This qualitative study was part of the larger MIND-ADMINI project. Eight participants were interviewed twice, before and after the intervention. The data was analyzed using qualitative content analysis.

    Results: The results are presented as categories of (i) knowledge of AD and prevention, (ii) motives for study participation, (iii) experiences of the received information about the study, (iv) taking the decision to participate, (v) expectations on study participation, (vi) experiences of study participation and (vii) internal and external factors influencing study participation.

    Conclusion: The MIND-ADMINI was well-tolerated by the participants. At the beginning of the study, the number of tasks and visits was perceived as burdensome but was later well tolerated. The participant' knowledge about AD and prevention increased during the trial. Their motives for participating in MIND-ADMINI were described as both altruistic and self beneficial. Health benefits from the study components, access to specialized medical care were identified as benefits. Managing the intensive flow of information was described a major challenge. The participants' needs for personalized support during the trial stress the importance of applying a person-centered approach providing the preventive trials.

  • 11.
    Almqvist, Anna-Lena
    et al.
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Lassinantti, Kitty
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Tensions and change in liminal spaces – Young people in Swedish out-of-home care2024Inngår i: Children and youth services review, ISSN 0190-7409, E-ISSN 1873-7765, Vol. 157, artikkel-id 107395Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The objective of this paper is to further the understanding of young people's experiences of out-of-home care (OHC). The focus will be on the tension between negative and positive experiences of OHC, refracted through the concept of liminality. The study is based on semi-structured interviews with 10 young people aged 15–22 (7 women, 3 men) with long-term contact with social services and psychiatric care. OHC can be experienced as a liminal space in both a negative and a positive sense. It is negative when perceived as containment rather than meaningful treatment. It can also be a negative experience when connected to fear, a lack of influence, and uncertainty in terms of being in between the social services and psychiatric care. It is positive when it is perceived as a turning point that enables positive change. It is then connected to feelings of meaningfulness, being respected, hope, and empowerment. The young people participating in the study also connect their experiences of OHC to a context of greater austerity in the welfare state. They reflect upon the benfits of OHC in terms of costs for society, but also the costs for the young person if the OHC is not perceived as meaningful support leading towards positive change. The participants have complex, interrelated needs and problems, and they also experience institutional gaps between psychiatric care and social services. It is important to overcome these gaps, so that young people are not located in ‘in-between spaces’ in terms of service provision. 

  • 12.
    Almqvist, Lena
    et al.
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. CHILD Research Group, School of Learning and Communication, Jönköping University, Jönköping, Sweden.
    Sjöman, Madeleine
    Jönköping University, Sweden.
    Golsäter, Marie
    Jönköping University, Sweden; Futurum Region Jönköping County, Sweden.
    Granlund, Mats
    Jönköping University, Sweden; Department of Special Education, Oslo University, Oslo, Norway.
    Special Support for Behavior Difficulties and Engagement in Swedish Preschools2018Inngår i: Frontiers in Education, E-ISSN 2504-284X, Vol. 3, artikkel-id 35Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The Swedish preschool curriculum stipulates that all children independent of support needs should attend mainstream preschool groups, with equal opportunities for learning and engagement. Preschool teachers are responsible for paying attention to children in need of special support to achieve this. How support is provided for children in need of special support due to behavior difficulties in Swedish preschools varies, however. Some children, often formally identified as in need of special support, are supported by preschool staff supervised by external services. Other children receive support initiated and implemented by preschool staff, without supervision from external services. A further number of children receive no support for behavior difficulties, on top of what is provided to all children. This study investigated associations between support format (i.e., supervised support, staff-initiated support, or no additional support), support content (i.e., implementation of support), behavior difficulties, socio-demographics and engagement. A mixed methods approach was used with a sample of 232 preschool children 15–71 months with assessed behavior difficulties. Preschool staff reported on the children's engagement, behavior difficulties, socio-demographics, and support provision. Logistic regression models were used to analyze the probability of children receiving either support format. Content analysis was used to categorize the support content, reported by preschool staff through open-ended questions. Point-biserial correlations were used to test associations between support content, behavior, socio-demographics and engagement. All children receiving supervised support for behavior difficulties were formally identified by external services as in need of special support. Supervised support was also more common if children disturbed the free play in the preschool group, with the most frequent support being collaboration with external teams. Staff-initiated support was most commonly given to children with high engagement, and for children who are not early second language learners. These children were most frequently supported by staff paying attention to negative behavior. Children who were not perceived as a burden to the group were less likely to receive any form of additional support. Ways of managing the preschool group seem to guide support strategies for children with behavior difficulties, rather than child-focused strategies emphasizing engagement in everyday activities.

  • 13.
    Anbäcken, Els-Marie
    et al.
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Ichinose, Akiko
    Kwansei Gakuin Unversity, Nishinomiya, JAPAN.
    "End of life care in group home for older persons with dementia: An exploratory case study in Japan" Caring in a changing world 4th International NCCS & EACS Conference April 27th – 28th 2022 at Mälardalen University.2022Konferansepaper (Annet vitenskapelig)
  • 14.
    Andersen, Mikael B.
    et al.
    Uppsala Univ, Dept Womens & Childrens Hlth, Uppsala, Sweden.;Reg Uppsala, Acad Primary Hlth Care, Uppsala, Sweden..
    Revenäs, Åsa
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Uppsala Univ, Vastmanland Hosp Västerås, Ctr Clin Res, Reg Vastmanland, Västerås, Sweden.;Mälardalen Univ, Sch Hlth Care & Social Welf, Västerås, Sweden.;Vastmanland Hosp Västerås, Orthoped Clin, Västerås, Sweden..
    Lostelius, Petra
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Uppsala Univ, Vastmanland Hosp Västerås, Ctr Clin Res, Reg Vastmanland, Västerås, Sweden.;Clin Pain Rehabil Vastmanland, Reg Vastmanland, Västerås, Sweden..
    Olsson, Erik M. G.
    Uppsala Univ, Dept Womens & Childrens Hlth, Uppsala, Sweden..
    Bring, Annika
    Uppsala Univ, Dept Womens & Childrens Hlth, Uppsala, Sweden..
    Ring, Lena
    Uppsala Univ, Dept Womens & Childrens Hlth, Uppsala, Sweden.;Reg Uppsala, Acad Primary Hlth Care, Uppsala, Sweden..
    "It's about how you take in things with your brain" - young people's perspectives on mental health and help seeking: an interview study2024Inngår i: BMC Public Health, E-ISSN 1471-2458, Vol. 24, nr 1, artikkel-id 1095Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Introduction Poor mental health in young people has become a growing problem globally over the past decades. However, young people have also been shown to underutilize available healthcare resources. The World Health Organisation (WHO) has formulated guidelines for youth-friendly health services (YFHSs) to increase youth participation in healthcare. Still, little is known about how young people using these services perceive mental health, indicating a knowledge gap concerning the subjective evaluation of their mental health.Aim To investigate how young people visiting youth health clinics (YHC) perceive the concept of mental health and factors they view as central to maintaining mental health.Methods In total 21 interviews were carried out, 16 in 2018, and 5 in 2023 to assure no changes in findings after the COVID-19 pandemic. Subjects were recruited during visits to youth health clinics (YHCs) in mid-Sweden and were aged 15-23 years. Recruitment strived to achieve heterogeneity in the sample concerning gender, sexual orientation, gender identity and age. Interviews were transcribed and analysed using qualitative content analysis.Findings Findings of the analysis revealed two themes, "Mental health is helped and hindered by the surroundings" and "Mental health is difficult to understand and difficult to achieve". The participants described their health as highly dependent on their social surroundings, and that these are important to maintaining health but may also affect health negatively. They described mixed experiences of the health care services and mentioned prerequisites for seeking care for mental health problems such as accessibility and respect for their integrity, including the right to turn down offered treatment. The informants also viewed mental health as an ongoing undertaking that one must work for, and that it is sometimes difficult to know what constitutes mental health. They also expressed a need from healthcare services to enquire about their health, and to show an active interest in how they are doing.Conclusions Findings underline the need of young people's individual needs to be met in the healthcare system and their vulnerability to their social surroundings. Health status assessments in young people should consider social and individual factors to fully capture mental health.

  • 15.
    Andersson, Anna Karin
    et al.
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Almqvist, Lena
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Brodd, Katarina Strand
    Uppsala Univ, Dept Womens & Childrens Hlth, Perinatal Neonatal & Pediat Cardiol Res, Uppsala, Sweden..
    Harder, Maria
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Meaningful everyday life situations from the perspective of children born preterm: A photo-elicitation interview study with six-year-old children2023Inngår i: PLOS ONE, E-ISSN 1932-6203, Vol. 18, nr 8, artikkel-id e0284217Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    AimThe aim of the study was to explore meaningful everyday life situations as perceived by six-year-old children born preterm. Materials and methodsThe study had a descriptive qualitative design with an inductive approach. Ten, six-year-old children born preterm, not diagnosed with any disabilities, participated. Data was collected by photo-elicitation interviews to stimulate and help the children to describe their meaningful everyday life situations. A qualitative content analysis according to Elo and Kyngas was applied. ResultsThe children's descriptions of meaningful everyday life situations can be understood as being in an active and dynamic process, representing the core category. The analysis resulted in three generic categories, as the children described the significance of having significant circumstances and doing things. The experiences the children gain when they do things create their desire for further development. DiscussionThe results reveal that children born preterm are able to reflect on and give detailed descriptions of situations of importance to them. The study suggests that if six-year-old children born preterm are given the opportunity to share their views they can take an active role e.g. in planning and carrying through of interventions by health care services.

  • 16.
    Andreae, Christina
    et al.
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för omvårdnad. Linköpings universitet, Medicinska fakulteten..
    Årestedt, Kristofer
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för omvårdnad. Linköpings universitet, Medicinska fakulteten..
    Evangelista, Lorraine
    Sue and Bill Gross School of Nursing, University of California, Irvine, CA..
    Strömberg, Anna
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för omvårdnad. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Hjärt- och Medicincentrum, Kardiologiska kliniken US..
    Sedentary lifestyle is associated with poor appetite in patients with heart failure.2017Konferansepaper (Fagfellevurdert)
  • 17.
    Anneroth, Emelie
    et al.
    Sweco, Sweden.
    Jukkala, Tanya
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Ferlander, Sara
    Södertörns högskola, Sweden.
    Feministisk stadsplanering som social innovation2022Inngår i: Social innovation för hållbar utveckling / [ed] Karl Johan Bonnedahl; Annika Egan Sjölander; Malin Lindberg, Lund: Studentlitteratur AB, 2022, s. 149-166Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 18.
    Antoniadou, Marianna
    et al.
    Jonkoping Univ, Sch Educ & Commun, CHILD, Jonkoping, Sweden.;Linkoping Univ, Dept Hlth Med & Caring Sci, Linkoping, Sweden..
    Granlund, Mats
    Jonkoping Univ, Sch Hlth & Welf, CHILD, Jonkoping, Sweden.;Norwegian Univ Sci & Technol, Dept Mental Hlth, Trondheim, Norway..
    Andersson, Anna Karin
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Strategies Used by Professionals in Pediatric Rehabilitation to Engage the Child in the Intervention Process: A Scoping Review2024Inngår i: Physical & Occupational Therapy in Pediatrics, ISSN 0194-2638, E-ISSN 1541-3144Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    AimTo investigate strategies used by professionals in pediatric rehabilitation to engage children in every step of the intervention process, including assessment, goal setting, planning and implementation of the intervention, and results evaluation.MethodsA scoping literature review was conducted, and seven databases were searched, including CINAHL and MEDLINE, ProQuest Central, PsycINFO, Social Science Premium Collection, PubMed, and Web of Science. A citation search of included articles was completed. Predetermined criteria, quality standards, and PIO framework guided the selection process. Results were presented in relation to Self-Determination Theory (SDT) and the contextual model of therapeutic change.ResultsIn total, 20 studies were included in the review. Pediatric professionals reported that therapeutic use of self and their own engagement in the intervention facilitated the establishment of a supportive relationship. Providing clear explanations about their role and therapy rationale developed positive expectations. By making the child feel successful within-session and outside-session activities, professionals enhanced child mastery. Professionals' strategies were abstractly described.ConclusionsFurther research is needed to investigate strategies that are effective in the different steps of the intervention. More observational, longitudinal studies are required to capture fluctuations in in-session engagement.

  • 19.
    Appelgren Engström, Heléne
    et al.
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Borneskog, Catrin
    Northumbria Univ, Fac Hlth & Life Sci, Newcastle Upon Tyne, Tyne & Wear, England.
    Häggström-Nordin, Elisabet
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Almqvist, Anna-Lena
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Professionals' experiences of supporting two-mother families in antenatal and child health care in Sweden2022Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background In Sweden, antenatal and child health care are offered free of charge to all expectant and new parents. Professionals in antenatal and child health care play an important role in supporting parents. Previous research shows that same-sex mothers face heteronormative assumptions and insufficient support during their transition to parenthood. Objective To explore professionals' experiences of supporting two-mother families in antenatal and child health care. Method A qualitative method with focus group discussions was used. An interview guide was followed, and the discussions were held online. The data was analysed according to inductive content analysis. Settings and participants The participants were midwives (n = 8) and nurses (n = 5) in antenatal and child health care from different parts of Sweden. Participants were recruited through the coordinating midwives and child health care nurses in the different regions. Findings One main category was identified: Striving to be open-minded in supporting same-sex mothers. Health care professionals described meeting well-prepared mothers, with an equal commitment between each other, and mothers on guard against heteronormative views. Professionals provided support through empowerment by creating a safe environment and aiming at providing equal support to all parents or tailored support to same-sex mothers. Mothers described handling challenges, as a balancing act to acknowledge both mothers. Struggling with documents and communication and a lack of information were other challenges to be handled. Professionals reflected on their own professional competence and expressed that knowledge acquired through education, experience and personal interest all contributed to their competence. Conclusions Forms and documentation need to be updated to be gender neutral to be including to a variety of family constelleations. Health care professionals need time to reflect on norms and challenges to better support both mothers in a two-mother family.

  • 20.
    Arkkukangas, Marina
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Department of Medicine, Sport and Fitness Science, Dalarna University, Falun, Sweden.
    Involvement of Older Adults, the Golden Resources, as a Primary Measure for Fall Prevention2023Inngår i: Clinical Interventions in Aging, ISSN 1176-9092, E-ISSN 1178-1998, Vol. 18, s. 2165-2170Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Falls remain the second leading cause of injury-related deaths worldwide; therefore, longstanding practical fall-prevention efforts are needed. Falls can also lead to a reduction in independence and quality of life among older adults. Fall-prevention research has found that early prevention promotes a prolonged independence. However, it remains unknown which intervention is most beneficial for early prevention and how these interventions should be implemented for long-term effects. In addition, the present and future burden on social and healthcare services contributes to a gap in needs and requires an evidence-based fall prevention. Research suggests that strength, balance, and functional training are effective in reducing falls and fall-related injuries. Such training could greatly impacting independence. Fear of falling and strategies for managing falls are the suggested components to be included when evaluating fall-prevention programs. Thus, the preservation of physical functions is highly relevant for both independence and quality of life. It also contributes to psychological and social well-being, which are important factors for enabling individuals to stay at home for as long as possible. To meet future challenges associated with the expected increase in the older population, older adults should be viewed as a golden resource. With assistance from professionals and researchers, they can learn and gain the ability to institute fall-prevention programs in their own environments. These environments are primarily beyond the responsibilities of the healthcare sector. Therefore, programs comprising current knowledge about fall prevention should be developed, evaluated, and implemented with older adults by using a “train-The-trainer” approach, where a natural collaboration is established between civil society and/or volunteers, healthcare professionals, and researchers. For sustainable and effective fall-prevention programs, a co-design and early collaborative approach should be used in the natural environment, before social and healthcare services are required.

  • 21.
    Arkkukangas, Marina
    et al.
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Dalarna University, Falun, 791 88, Sweden; Research and Development in Sörmland, Region Sörmland, Eskilstuna, 632 17, Sweden.
    Strömqvist Bååthe, K.
    Dalarna University, Falun, 791 88, Sweden.
    Ekholm, A.
    Region Sörmland, Eskilstuna, 632 17, Sweden.
    Tonkonogi, M.
    Dalarna University, Falun, 791 88, Sweden.
    Short Multicomponent Group Exercise Intervention Promotes Long-Term Physical Activity Habits among Community-Dwelling Older Adults during COVID-19 Restrictions: A Cohort Study2022Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, nr 22, artikkel-id 15140Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This study investigated whether strength, balance, body mass index, falls self-efficacy, activity levels, self-rated health, and participation in a multicomponent exercise intervention could predict physical activity levels after 5 months of self-quarantine due to the COVID-19 pandemic. This study included baseline data of 200 community-dwelling older adults (79% women, 21% men) with a mean age of 72 years who participated in a randomized controlled trial investigating a multicomponent exercise program, with 7-month follow-up survey data of their physical activity levels. The results showed significant associations with the activity levels at the 7-month follow-up. The activity levels (odds ratio (OR): 2.83, 95% CI: 1.20–6.71), the self-rated health score (2.80, 1.42–5.53), and being allocated to a specific multicomponent group-based exercise program (2.04, 1.04–4.00) showed a significant association with the activity habits at the 7-month follow-up. As this study suggests, besides the physical activity levels and the self-rated health score, participation in a high challenge multicomponent exercise program was significantly associated with physical activity levels at the 7-month follow-up. This study indicates that a relatively short multicomponent group exercise program (6–9 weeks) can motivate individuals to sustain their own training and activity levels even several months after the program has been paused or terminated. Identifying older adults’ physical activity levels and self-rated health scores and prescribing multicomponent group-based exercise programs to promote sustained physical activity habits may be a successful alternative to provide for older adults in the future. 

  • 22.
    Aryuwat, Pimwalunn
    et al.
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Asp, Margareta
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Lövenmark [Åberg] [Engström], Annica
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Radabutr, Matanee
    Praboromarajchanok Institute, Boromarajonani College of Nursing Changwat Nonthaburi The Ministry of Public Health Nonthaburi Thailand.
    Holmgren, Jessica
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    An integrative review of resilience among nursing students in the context of nursing education2022Inngår i: Nursing Open, E-ISSN 2054-1058Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This integrative review aimed to examine empirical research on resilience among nursing students in the context of nursing education. Resilience helps nursing students handle challenges, such as changing learning styles and experiencing their first clinical practice.DesignAn integrative review.MethodsThe search terms focused on resilience and health in nursing students and nursing education. The database used in this review were CINAHL Plus, PubMed and MEDLINE. The Mixed Methods Appraisal Tool appraised the studies' quality.

    ResultsThis study explored 52 records and revealed three current research focuses related to nursing students' resilience: (1) the concept and description of resilience, (2) the characteristics affecting resilience and (3) the mediating role of resilience in maintaining holistic health. Recommendations include adding a resilience topic to the nursing curriculum, providing resilience enhancement programs, examining the relationship between resilience and holistic health and exploring the influence of resilience about global health crises.

    Public Contribution Resilience among nursing students plays a vital role in helping them to overcome adversities during their nursing education. Additionally, after graduation, nursing students can continue contributing to society as resilient Registered Nurses in the future.

  • 23.
    Aryuwat, Pimwalunn
    et al.
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Holmgren, Jessica
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Asp, Margareta
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Lövenmark [Åberg] [Engström], Annica
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Radabutr, Matanee
    Boromarajonani College of Nursing, Changwat Nonthaburi, Faculty of Nursing, Praboromarajchanok Institute, Nonthaburi 11000, Thailand.
    Sandborgh, Maria
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Factors Associated with Resilience among Thai Nursing Students in the Context of Clinical Education: A Cross-sectional Study2024Inngår i: Education Sciences, E-ISSN 2227-7102, Vol. 14, nr 1, artikkel-id 78Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Resilience aids nursing students in dealing with adversities during their nursing education. This study examined the relationship between nursing students’ resilience and relevant variables in the context of clinical education. Methods: A cross-sectional study was conducted to collect data from 319 undergraduate nursing students in Northeast Thailand. The Connor–Davidson Resilience Scale, the Multidimensional Scale of Perceived Social Support, the Learning Experience Scale or the Personal Responsibility Orientation to Self-Direction in Learning Scale, and the Stressors in Nursing Students scale were administered. A multiple regression analysis was performed for factors presumed to be associated with resilience. Results reported that Thai nursing students’ average resilience score was 71.79 ± 16.33. Multiple regression analysis indicated factors associated with resilience, in which social support (β = 0.354, p < 0.001, 95%CI: 0.240 to 0.469) and self-directed learning (β = 0.787, p < 0.001, 95%CI: 0.606 to 0.968) showed a positive association, while stress (β = −0.083, p = 0.025, 95%CI: −0.083 to −0.006) had a negative association. The final model accounted for 43.4% of the variance in the resilience score. In conclusion, self-directed learning, social support, and perceived stress among nursing students during clinical education are associated with their resilience.

  • 24.
    Astvik, Wanja
    et al.
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Schön, Ulla-Karin
    Stockholms universitet, Sweden.
    Tranquist, Joakim
    Tranquist Utvärdering, Sweden.
    Samverkan för unga till arbete: – följeforskning av projekten SamMA och Rätt stöd för mig2022Rapport (Annet vitenskapelig)
    Fulltekst (pdf)
    Samverkan för unga till arbete
    Fulltekst (pdf)
    fulltext
  • 25.
    Asztalos Morell, Ildikó
    et al.
    The Swedish University for Agricultural Sciences, Uppsala, Sweden.
    De, Santa
    Science in Nursing, RN RM, Sandra Shroff ROFEL College of Nursing, Vapi, India.
    Johansson, Carl
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Gustafsson, Lena-Karin
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Middle-class older adults living alone in urban India: Older adults’ understandings of ageing alone2023Inngår i: Journal of Religion, Spirituality & Aging, ISSN 1552-8030, s. 1-26Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This study sheds light on the value systems of the middle-class metropolitan older adults living alone, on the ageing self and the person's relationship to the surrounding society based on eight interviews. Ageing research has emphasized the traditional features of elderly care in India including its collectivist values rooted in filial piety and the extended family as well as embracement of disengagement influenced by the Hindu texts on two phases in later life: "hermit" and "renunciate". Increased social and geographical mobility, however, challenges traditional family systems. Using the example of the urban middle-class older adults living alone, this study explored whether living alone constitutes a challenge to the norms that previous research associated with Indian elderly care. Using abductive phenomenographic analysis the study found that the understandings of older adults in the study show great reflexivity concerning key aspects of their lives. Although the life conditions of older adults living alone deviated in many aspects from dominant traditional norms of filial piety and a care regime based on strong intergenerational interdependence, their responses and reflections mirrored assemblages of values deeply rooted in Hindu Vedic philosophy of the Ashramas and perceptions of independence, autonomy and self-reliance associated with Western "productive" aging.

  • 26. Athlin, Muntlin Å
    et al.
    Farrokhnia, N
    von Thiele Schwarz, Ulrica
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Karolinska Institutet, Sweden.
    Teamwork in the emergency department-a systematic evaluation of a new working routine2011Konferansepaper (Fagfellevurdert)
  • 27.
    Augustsson, Hanna
    et al.
    Karolinska Inst, Med Management Ctr, Dept Learning Informat Management & Eth, Procome Res Grp, Stockholm, Sweden.;Ctr Epidemiol & Community Med CES, Unit Implementat & Evaluat, Stockholm, Sweden..
    Morici, Belen Casales
    Karolinska Inst, Med Management Ctr, Dept Learning Informat Management & Eth, Procome Res Grp, Stockholm, Sweden.;Uppsala Univ, Dept Business Studies, Uppsala, Sweden..
    Hasson, Henna
    Karolinska Inst, Med Management Ctr, Dept Learning Informat Management & Eth, Procome Res Grp, Stockholm, Sweden.;Ctr Epidemiol & Community Med CES, Unit Implementat & Evaluat, Stockholm, Sweden..
    von Thiele Schwarz, Ulrica
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Karolinska Inst, Med Management Ctr, Dept Learning Informat Management & Eth, Procome Res Grp, Stockholm, Sweden..
    Schalling, Sara Korlen
    Karolinska Inst, Med Management Ctr, Dept Learning Informat Management & Eth, Procome Res Grp, Stockholm, Sweden..
    Ingvarsson, Sara
    Karolinska Inst, Med Management Ctr, Dept Learning Informat Management & Eth, Procome Res Grp, Stockholm, Sweden..
    Wijk, Hanna
    Karolinska Inst, Med Management Ctr, Dept Learning Informat Management & Eth, Procome Res Grp, Stockholm, Sweden..
    Roczniewska, Marta
    Karolinska Inst, Med Management Ctr, Dept Learning Informat Management & Eth, Procome Res Grp, Stockholm, Sweden..
    Nilsen, Per
    Linkoping Univ, Dept Hlth Med & Caring Sci, Div Publ Hlth, Linkoping, Sweden..
    National governance of de-implementation of low-value care: a qualitative study in Sweden2022Inngår i: Health Research Policy and Systems, ISSN 1478-4505, E-ISSN 1478-4505, Vol. 20, nr 1, artikkel-id 92Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background The de-implementation of low-value care (LVC) is important to improving patient and population health, minimizing patient harm and reducing resource waste. However, there is limited knowledge about how the de-implementation of LVC is governed and what challenges might be involved. In this study, we aimed to (1) identify key stakeholders' activities in relation to de-implementing LVC in Sweden at the national governance level and (2) identify challenges involved in the national governance of the de-implementation of LVC. Methods We used a purposeful sampling strategy to identify stakeholders in Sweden having a potential role in governing the de-implementation of LVC at a national level. Twelve informants from nine stakeholder agencies/organizations were recruited using snowball sampling. Semi-structured interviews were conducted, transcribed and analysed using inductive thematic analysis. Results Four potential activities for governing the de-implementation of LVC at a national level were identified: recommendations, health technology assessment, control over pharmaceutical products and a national system for knowledge management. Challenges involved included various vested interests that result in the maintenance of LVC and a low overall priority of working with the de-implementation of LVC compared with the implementation of new evidence. Ambiguous evidence made it difficult to clearly determine whether a practice was LVC. Unclear roles, where none of the stakeholders perceived that they had a formal mandate to govern the de-implementation of LVC, further contributed to the challenges involved in governing that de-implementation. Conclusions Various activities were performed to govern the de-implementation of LVC at a national level in Sweden; however, these were limited and had a lower priority relative to the implementation of new methods. Challenges involved relate to unfavourable change incentives, ambiguous evidence, and unclear roles to govern the de-implementation of LVC. Addressing these challenges could make the national-level governance of de-implementation more systematic and thereby help create favourable conditions for reducing LVC in healthcare.

  • 28.
    Axelsson, Anna Karin
    et al.
    Jönköping Univ, CHILD Res Grp, Box 1026, S-55111 Jönköping, Sweden..
    Ullenhag, Anna
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Odman, Pia
    Linköping Univ Hosp, Dept Med & Hlth Sci, Div Physiotherapy, Linköping, Sweden..
    A Swedish cultural adaptation of the participation questionnaire Functional Scale of the Disability Evaluation System - Child version2022Inngår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 44, nr 9, s. 1720-1727Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose: The aim was to culturally validate a questionnaire about children's/youth's participation to be used in a Swedish context. Methods: FUNDES-Child, based on the well-established CASP, was chosen. Questions about engagement and hindering factors were added to the existing questions about frequency and independence in 20 activity areas. Using a qualitative, explorative design, 16 interviews with children/youths/caregivers were made to explore opinions about the questionnaire. Follow-up interviews confirmed the result of the revised questionnaire. Qualitative content analysis was performed. Results: The interviews provided support for the questionnaire's relevance by being a tool to assess important aspects of participation, to gain insights into one's own/the child's participation, and to promote ideas about what causes the degree of participation. To achieve comprehensiveness, no activity area was found to be missing nor superfluous. However, some examples were needed to be modified where "parades" are unusual in Sweden and therefore removed, while "singing in choir" was added. In search for comprehensibility, opinions about the layout of the first version were raised and a varying degree of understanding of wording and concepts were found and thus taken into account. Conclusions: The questionnaire can be used for establishing meaningful goals and to potentially increase children's participation.

  • 29.
    Aytar, Osman
    et al.
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Larsson, Lina
    FoU i Sörmland, Sweden.
    Tillsammans för barnens bästa i Sörmland: Följeforskning om utvecklingsarbetet – delrapport 12022Rapport (Annet vitenskapelig)
    Abstract [sv]

    Syftet med denna delstudie har varit att undersöka hur initiering och start av utvecklingsarbetet Tillsammans för barnens bästa i Sörmland har gått till. Fokus har varit på generella reflektioner om initiering och start av utvecklingsarbetet som process; framgångar, risker och hinder i utvecklingsarbetet hittills, samt förbättringsmöjligheter för det fortsatta utvecklingsarbetet.

    Utvecklingsarbetets egen dokumentation och självrapporteringar, observationer vid gemensamma möten under utvecklingsarbetet samt intervjuer utgör de grundläggande källorna för datainsamling. Intervjupersoner valdes utifrån deras involvering under initieringen och starten av utvecklingsarbetet. En fokusgruppsintervju med elva deltagare gjordes inom ramen för Lärande workshop 1 i slutet av mars 2022 och två kompletterande skriftliga intervjuer gjordes efter fokusgruppsintervjun. 

    Utvecklingsarbetet hade inte en enda startpunkt, eller ett specifikt problem att utgå från. Gemensamt i beskrivningar av startpunkter är att flera parter delar en upplevelse av att något behöver göras tillsammans för barns fysiska och psykiska hälsa samt att Skottlandsmodellen lyfts som en intressant utgångspunkt. En upplevd framgångsfaktor är denna delade övertygelse om att länet behöver utvecklingsarbete för att förbättra barns mående. Det finns ett engagemang hos både politiker och tjänstemän. En annan framgångsfaktor är skolans delaktighet i styrningen av arbetet. Intervjupersonerna uttryckte även att det hade varit en lyckad rekrytering av processledare, både utifrån kompletterade kompetenser och framåtdriv. Under uppstartsfasen upplevdes att fokus var på effektmål snarare än projektmål. Intervjupersonerna lyfter detta som en dubbel risk, både att det kan forma/förskjuta förväntningarna på vad projektet kommer att uppnå och att tiden för konkret arbete blir kortare. Även omsättning i personal och chefsnivå ses som en risk. I intervjuerna lyfts även förslag till det kommande arbetet. Att arbeta aktivt med informationsspridning och att arbeta praktiskt tillsammans med hjälp av ”case”, samt att komma i gång med pilotverksamhet bedöms som viktiga framåtriktade aktiviteter. 

    Upplevelser och erfarenheter av processen från och med initiering till start och fastställande av projektplan visar många lärdomar för att upprätthålla och främja framgångar, förebygga risker och hinder, samt att sätta i gång förbättringar i det fortsatt utvecklingsarbetet. En generell rekommendation är att identifierade framgångar, risker/hinder och förbättringsförslag tas som utgångspunkt för förbättringsarbetet i fortsättningen. Några övergripande rekommendationer:

    1. Att ha mer fokus på projektets målsättningar 

    2. Tydlig och enhetlig informationsspridning till, och förankring hos, berörda aktörer och verksamheter. Nyhetsbrevet kan behöva kompletteras med exempelvis dialogträffar, workshops eller liknande.   

    3. Eftersom det finns andra aktörer som inte är representerade i styrgruppen rekommenderas att mer dialog förs med dessa aktörer.

    4. Case som ett förslag på metod för att synliggöra olika förståelser för vad utvecklingsarbetet skulle innebära för olika parter i samverkan

    5. Kartläggning om vad som fungerar bra och mindre bra i fråga om inkludering av berörda aktörer och att ett förbättringsarbete inleds med bland annat mer involvering av barn och vårdnadshavare.

    Fulltekst (pdf)
    Tillsammans för barnens bästa i Sörmland. Följeforskning om utvecklingsarbetet – delrapport 1
  • 30.
    Bahner, Julia
    et al.
    Lund University, School of Social Work, Sweden.
    Gäddman Johansson, Richard
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Svanelöv, Eric
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Who Counts as a Sexual Subject?: The Impact of Ableist Rhetoric for People with Intellectual Disability in Sweden2023Inngår i: Sexuality Research & Social Policy, ISSN 1868-9884, E-ISSN 1553-6610Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Introduction The ableist rhetoric around sexuality in disability services and beyond can hinder subjective sexual expression and have a powerful impact on health, self-esteem, and everyday life through internalized ableism, structural marginalization, and interpersonal discrimination. The aim of this study was to explore the ableist rhetoric of sexuality and its impacton sexual scripting for people with intellectual disability.

    Methods A thematic analysis was carried out on data generated through ethnographic fieldwork at five sheltered accommodations and semi-structured interviews with ten individuals with intellectual disability.

    Results The results show that people in Sweden with intellectual disability are desexualized within a moral order that ismaintained in post-institutional social care. Through this moral order, which is deeply embedded in an ableist rhetoric about sexual relationships, sexual scripting for disabled people is constrained both inside post-institutional social care initiatives, and in the broader community of “ableist environments.” In response, disabled people employ various strategies of resistance.

    Conclusions A rhetoric of positive sexuality should be a guiding principle for successfully supporting the development of sexual agency on each individual’s own term.

    Policy Implications We conclude by encouraging the development of initiatives that will empower and support people with intellectual disability to learn about their sexual rights and to find solutions that allow for development of sexual agencyand subjectivity.

  • 31.
    Baskici, C.
    et al.
    Department of Healthcare Management, Başkent University, Ankara, Turkey.
    Aytar, A.
    Department of Orthopedic Physiotherapy and Rehabilitation, University of Health Sciences, Ankara, Turkey.
    Ersoy, H.
    Department of Computer Education and Instructional Technology, Başkent University, Ankara, Turkey.
    Wikström-Grotell, Camilla
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Graduate School and Research, Arcada University of Applied Sciences, Helsinki, Finland.
    Arell-Sundberg, M.
    School of Engineering, Culture and Wellbeing, Arcada University of Applied Sciences, Helsinki, Finland.
    Neves, H.
    Health Sciences Research Unit: Nursing, Nursing School of Coimbra, Coimbra, Portugal.
    Coutinho, V.
    Health Sciences Research Unit: Nursing, Nursing School of Coimbra, Coimbra, Portugal.
    Blaževičienė, A.
    Department of Nursing, Lithuanian University of Health Sciences, Kaunas, Lithuania.
    Vaškelytė, A.
    Department of Nursing, Lithuanian University of Health Sciences, Kaunas, Lithuania.
    Söderlund, Anne
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Graduate School and Research, Arcada University of Applied Sciences, Helsinki, Finland.
    Fritz, Johanna
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Strods, R.
    Centre for Educational Growth, Rīga Stradiņš University, Rīga, Latvia.
    Jansone-Ratinika, N.
    Centre for Educational Growth, Rīga Stradiņš University, Rīga, Latvia.
    Kav, S.
    Department of Nursing, Başkent University, Ankara, Turkey.
    “Being in the digital box”. Academic staff experiences in online practical teaching: A qualitative study from six universities and countries2024Inngår i: Heliyon, E-ISSN 2405-8440, Vol. 10, nr 2, artikkel-id e24275Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 32.
    Behtoui, Alireza
    et al.
    Södertörns högskola, Sociologi.
    Carlson, Per
    Södertörns högskola, Socialt arbete.
    Ferlander, Sara
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Södertörns högskola, Sociologi.
    Heber, Anita
    Stockholms universitet.
    Jukkala, Tanya
    Södertörns högskola, Sociologi.
    Lindström, Jonas
    Södertörns högskola, Socialt arbete.
    Politiskt färgad undersökning med dålig representativitet: Replik DN Debatt 19/22019Inngår i: Dagens Nyheter, ISSN 1101-2447Artikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
  • 33.
    Behtoui, Alireza
    et al.
    Södertörns högskola, Sweden.
    Ferlander, Sara
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Södertörns högskola, Sweden.
    Forkby, Torbjörn
    Linnéuniversitetet, Sweden.
    Hertzberg, Fredrik
    Stockholms universitet, Sweden.
    Neergaard, Anders
    Linköpings universitet, Sweden.
    Barn som deltar i organiserad idrott lyckas bättre i skolan2020Inngår i: Dagens nyheter, ISSN 1101-2447, nr 31 maj, s. 7-Artikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
  • 34.
    Berhane, Senhit
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    UNGA VUXNAS UPPLEVELSER AV VAD SOM KAN SKAPA ETT PSYKISKT VÄLBEFINNANDE: En kvalitativ intervjustudie2022Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
  • 35.
    Bernhard-Oettel, Claudia
    et al.
    Department of Psychology, Stockholm University, Stockholm, Sweden.
    Bergman, Louise
    Department of Psychology, Stockholm University, Stockholm, Sweden.
    Leineweber, Constanze
    Department of Psychology, Stockholm University, Stockholm, Sweden.
    Toivanen, Susanna
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Flourish, fight or flight: health in self-employment over time—associations with individual and business resources2024Inngår i: International Archives of Occupational and Environmental Health, ISSN 0340-0131, E-ISSN 1432-1246Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    PurposeUsing COR theory to study developments of health and other key resources in self-employed workers in Sweden over 6 years, this study: (1) explored whether the heterogenous group of self-employed workers contained subgroups with different health trajectories, (2) investigated whether these were more typical for certain individuals (with respect to age, gender, sector, education, employment status), and (3) compared the different health trajectories regarding resource development in mental well-being, business resources, employment status, work ability.

    MethodThe study used data from the Swedish longitudinal occupational survey of health (SLOSH) and included participants working as self-employed or combiner (N = 2642).

    ResultFive trajectories were identified with latent class growth curve model analysis (LCGM). Two health trajectories with (1) very good, respective (2) good stable health (together comprising 78.5% of the participants), (3) one with moderate stable health (14.8%), (4) one with a U-shaped form (1.9%), and (5) one with low, slightly increasing health (4.7%). The first two trajectories flourish: they maintained or increased in all key resources and were more likely to remain self-employed. Trajectories three and five consist of those who fight to maintain or increase their resources. Workers in the U-shaped health trajectory show signs of fight and flight after loss in health and other key resources.

    ConclusionsStudying subgroups with different resource developments over time was suitable to understand heterogeneity in self-employed workers. It also helped to identify vulnerable groups that may benefit from interventions to preserve their resources.

  • 36.
    Beyermann, Alexandra
    et al.
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Asp, Margareta
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Godskesen, Tove
    Palliative Research Centre, Department of Health Care Sciences, Marie Cederschiöld University, Stockholm, Sweden; Centre for Research Ethics & Bioethics, Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Söderman, Mirkka
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Nurses’ challenges when supporting the family of patients with ALS in specialized palliative home care: A qualitative study2023Inngår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 18, nr 1, artikkel-id 2238984Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose: Being a family member to someone who has amyotrophic lateral sclerosis (ALS) is demanding and often requires sacrificing a lot. Family members can experience fatigue, anxiety, guilt and need support. The aim was to explore registered nurses’ (RNs’) experiences of providing support to the families of patients with ALS within specialized palliative home care (SPHC).

    Methods: A qualitative explorative design. Interviews were conducted with RNs (n = 11) from five SPHCs in Sweden and analysed using qualitative content analysis.

    Results: The results emerged in the following categories:”To support in an increasingly difficult everyday life”, based on the sub-categories: “Creating a trusting relationship”, “Balancing between the needs of patients and their families”, and “Sharing knowledge about dying to the families”;”To support in emotionally challenging situations”, based on the sub-categories: “Harbouring family members’ difficult feelings”, “Providing support even though the situation is unpleasant” and “Being able to give support by receiving confirmation and support from others”.

    Conclusions: RNs working in SPHC have an important role in providing support in several ways to the families of patients with ALS, through facilitating their everyday life and giving emotional support when needed, based on the needs of both patients and the families.

  • 37.
    Björklund, Christina
    et al.
    Karolinska Institutet, Sweden.
    Toivanen, Susanna
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Rudolfsson, Lisa
    Karolinska institutet, Sweden.
    Gender-based harassment among university students in Sweden during Covid-192022Konferansepaper (Fagfellevurdert)
    Abstract [en]

    This presentation analyses gender-based harassment in terms of bullying and sexual harassment among university students within the academy sector in Sweden. Bullying and harassment are severe risk factors in the psychosocial work environment, affecting both performance and health. This study is part of a collaboration program between four universities in Sweden with the aim to create research-based knowledge for the prevention of gender-based harassment (GBH) in Swedish academia.

    This study was conducted during Covid-19. Preliminary results show that GBH is more prevalent among university students than among staff. In total, 4.8 percent of university students in Sweden state that they have been subjected to sexual harassment (SH) at the university during the last 12 months. Among women, a larger proportion state that they have been exposed (5.7 %), compared to men (3.2 %). A pilot study prior to the larger prevalence study was conducted in the fall of 2020, an early stage of Covid-19. In the pilot study, 7 percent of university students (women 9.1%; men 3.1%) stated that they had been subjected to SH during the last 12 months. Consequently, results show a decrease in SH, especially among women. Furthermore, in the large-scale prevalence study one question asked respondents if Covid-19 had increased or decreased their vulnerability. Results show that about 11 percent of the women reported that exposure had decreased during Covid-19.

    Regarding methodological considerations, a previous review study shows that students exposed to SH seldom file official reports but they frequently face a variety of mental and physical health consequences. Also, how questions about sexual harassment are stated most likely affects response rates among university students. To work for a sustainable and inclusive working life free from gender-based harassment, we need to continue to monitor the development over time in the academia in Sweden.

  • 38.
    Bohman, Daniel
    et al.
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Abu Chaqra, Anaes
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    FÖRVÄNTNINGAR PÅ OCH FÖRESTÄLLNINGAR OM REHABILITERANDE EGENTRÄNING EFTER AXELLEDSPLASTIKOPERATION: En kvalitativ intervjustudie2022Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 39.
    Borg, Johan
    et al.
    Dalarna Univ, Sch Hlth & Welf, Falun, Sweden.
    Alam, Moudud
    Dalarna Univ, Sch Informat & Engn, Falun, Sweden.
    Boström, Anne-Marie
    Karolinska Inst, Dept Neurobiol Care Sci & Soc, Div Nursing, Huddinge, Sweden.
    Marmstål Hammar, Lena
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Dalarna Univ, Sch Hlth & Welf, Falun, Sweden; Karolinska Inst, Dept Neurobiol Care Sci & Soc, Div Nursing, Huddinge, Sweden.
    Experiences of Assistive Products and Home Care among Older Clients with and without Dementia in Sweden2022Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, nr 19, s. 12350-12350Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The purpose was to compare selection, use and outcomes of assistive products among older home care clients with and without dementia in Sweden, and to explore the relations between the use of assistive products and perceptions of home care, loneliness and safety. Self-reported data from 89,811 home care clients aged 65 years or more, of whom 8.9% had dementia, were analysed using regression models. Excluding spectacles, 88.2% of them used assistive products. Respondents without dementia were more likely to use at least one assistive product but less likely to use assistive products for remembering. Respondents with dementia participated less in the selection of assistive products, used less assistive products, and benefited less from them. Users of assistive products were more likely to be anxious and bothered by loneliness, to feel unsafe at home with home care, to experience that their opinions and wishes regarding assistance were disregarded by home care personnel, and to be treated worse by home care personnel. The findings raise concerns about whether the needs for assistive products among home care clients with dementia are adequately provided for. They also indicate a need to strengthen a person-centred approach to providing home care to users of assistive products.

  • 40.
    Borg, Johan
    et al.
    Dalarna Univ, Sch Hlth & Welf,Falun, Sweden..
    Gustafsson, Christine
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Eskilstuna Municipal, Dept Hlth & Social Care, Eskilstuna, Sweden.
    Landerdahl Stridsberg, Sara
    Mälardalens universitet.
    Zander, Viktoria
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Implementation of welfare technology: a state-of-the-art review of knowledge gaps and research needs2022Inngår i: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    Purpose: To offer guidance for future welfare technology research, this review provides an overview of current knowledge gaps and research needs as reported in primary scientific studies addressing the implementation of welfare technology for older people, people with disabilities and informal caregivers.

    Materials and methods: This paper conducted a state-of-the-art review based on systematic searches in 11 databases followed by a descriptive qualitative analysis of 21 selected articles.

    Results: Knowledge gaps and research needs were identified concerning two categories: research designs and populations and focus of research. The articles reported needs for comparative studies, longitudinal studies, and demonstration trials as well as the development of co-design processes involving technology users. They also called for studies applying a social system theory approach, involving healthy and frail older adults, representative samples of users within and across countries, informal and formal caregivers, inter-and multidisciplinary teams, and care organizations. Moreover, there are reported needs for studies of acquirement, adoption and acceptance of welfare technology, attitudes, beliefs, and context related to welfare technology, caregiver perspectives on welfare technology, services to provide welfare technology and welfare technology itself.

    Conclusions: There are considerable knowledge gaps and research needs concerning the implementation of welfare technology. They relate not only to the research focus but also to research designs, a social system theory approach and study populations.

  • 41.
    Borg, S.
    et al.
    Department of Health, Medicine and Caring Sciences, Unit of Physiotherapy, Linköping University, Linköping, 581 83, Sweden.
    Öberg, B.
    Department of Health, Medicine and Caring Sciences, Unit of Physiotherapy, Linköping University, Linköping, 581 83, Sweden.
    Nilsson, L.
    Department of Health, Medicine and Caring Sciences, Unit of Cardiovascular Sciences, Linköping University, Linköping, Sweden.
    Alfredsson, J.
    Department of Cardiology and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
    Söderlund, Anne
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Bäck, M.
    Department of Health, Medicine and Caring Sciences, Unit of Physiotherapy, Linköping University, Linköping, 581 83, Sweden.
    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 trial2023Inngår i: BMC Sports Science, Medicine and Rehabilitation, ISSN 2052-1847, Vol. 15, nr 1, artikkel-id 42Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 42.
    Borg, Sabina
    et al.
    Linköping University, Sweden.
    Öberg, Birgitta
    Linköping University, Sweden.
    Nilsson, A
    Linköping University, Sweden.
    Söderlund, Anne
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Bäck, Maria
    Linköping University, Sweden.
    The added value of a behavioural medicine intervention in physiotherapy on adherence and physical fitness in exercise-based cardiac rehabilitation (ECRA): A Randomised, Controlled Trial2020Inngår i: Patient Preference and Adherence, E-ISSN 1177-889X, Vol. 14, s. 2517-2529Artikkel i tidsskrift (Fagfellevurdert)
  • 43.
    Bose, Catarina Nahlén
    et al.
    Department of Health Sciences, The Swedish Red Cross University, Huddinge, Sweden.
    L. Elfström, Magnus
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Experiences of a psychosocial intervention for patients with heart failure at one year after completion: A reflexive thematic analysis2022Inngår i: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, artikkel-id 205715852211023Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Chronic heart failure is a common and a serious condition. Research has shown that chronic heart failure has been associated with detrimental effects on wellbeing. Coping effectiveness training (CET) has been applied for patients with heart failure to improve stress appraisal and stress management skills. The aim of this study was to explore the experience of participating in CET for patients with heart failure one year after completion. Eleven patients were interviewed. The study adheres to the SRQR guidelines. A thematic analysis generated three themes: rewarding but challenging to meet other people with heart failure; improved conditions to cope with stress; and not relevant to me. Implications for further development of the intervention were to include existential aspects, recognize comorbidities, test follow-up sessions and apply a codesign.

  • 44.
    Bratt, A S
    et al.
    Linnaeus Univ, Fac Hlth & Life Sci, Dept Psychol, S-35195 Vaxjo, Sweden.
    Johansson, M
    Linnaeus Univ, Fac Hlth & Life Sci, Dept Psychol, S-35195 Vaxjo, Sweden.
    Holmberg, Mats
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Linnaeus Univ, Fac Hlth & Life Sci, Dept Hlth & Caring Sci, Vaxjo, Sweden; Uppsala Univ, Ctr Clin Res Sormland, Eskilstuna, Sweden.
    Fagerstrom, C
    Linnaeus Univ, Fac Hlth & Life Sci, Dept Hlth & Caring Sci, Vaxjo, Sweden.
    Elmqvist, C
    Linnaeus Univ, Fac Hlth & Life Sci, Dept Hlth & Caring Sci, Vaxjo, Sweden.
    Rusner, M
    Sodra Alvsborg Hosp, Dept Res Educ & Innovat, Boras, Region Vastra G, Sweden.
    Kaldo, V
    Linnaeus Univ, Fac Hlth & Life Sci, Dept Psychol, S-35195 Vaxjo, Sweden.
    An internet-based compassion course for healthcare professionals: Rationale and protocol for a randomised controlled trial2022Inngår i: Internet Interventions, ISSN 2214-7829, Vol. 28Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Severe stress is one of the most common causes of sick leave in Sweden. Previous research has shown that compassion interventions for healthcare professionals can decrease work-related stress through the introduction of self-care, self-awareness, and emotion regulation abilities when experiencing difficult situations. Internet-based stress management interventions have hitherto shown promising results in reducing stress. However, further research is needed to examine the effectiveness of internet-based compassion interventions for healthcare professionals. Objective: In the present study protocol, a randomised controlled trial is described, aiming to examine the effects of an internet-based compassion course for healthcare professionals on work-related stress and stress of conscience. Method: Healthcare professionals will be offered an internet-based stress management course of five modules across a period of five weeks. The design is a randomised controlled study consisting of three groups enrolled in one of the following: a compassion course (n = 120), a cognitive behavioural stress management course (n = 120), or placed on a waitlist followed by either the compassion course or the cognitive behavioural stress management course (n = 36). We hypothesise that the internet-based compassion course would reduce the participants' stress of conscience to a greater degree compared to the other two groups. The secondary hypothesis is that the compassion course would increase the participants' professional quality of life (i.e., higher job satisfaction and lower empathy fatigue) and self-compassion. In addition, the internet-based compassion course is expected to reduce the participants' work-related stress and sick leave rates to the same degree (non-inferiority) as the cognitive behavioural stress management course and to a higher degree when compared to the waitlist condition. The primary outcome measure is the Stress of Conscience Questionnaire (SCQ) and the secondary outcome measures are the Professional Quality of Life Scale (PROQOL), the Work-related Stress Copenhagen Psychosocial Questionnaire (COPSOQ), and the Self-compassion Scale (SCS). Assessments will be performed at baseline, four weekly assessments during treatment, post-treatment (5 weeks), and follow-ups at 10 weeks, 15 weeks, and 6 months. The repeated measures data will be analysed using a generalised estimating equation for repeated measurements to examine whether changes over time differ between the groups and whether the improvements persist over time. Discussion: The clinical trial is expected to provide novel data on the effects of compassion interventions and add to the existing knowledge of internet-based interventions for stress management in healthcare professionals.

  • 45.
    Brindeberg, Ulrica
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Samband mellan biopsykosociala faktorer och vidmakthållande av rehabilitering efter thoraxkirurgi: En beskrivande tvärsnittsstudie2023Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund: Många svenska patienter genomgår årligen thoraxkirurgi. Initial postoperativ rehabilitering riktas främst till att förbättra patienternas grad av dyspné samt rörlighet i thorax, och patienterna rekommenderas att vidmakthålla rehabiliteringsprogrammen även efter hospitaliseringstillfället. I hälsopsykologiska teorier beskrivs att biopsykosociala faktorer simultant inverkar på vidmakthållande av rehabilitering, något som inte tidigare har studerats på patienter som genomgått thoraxkirurgi.

    Syfte: Denna deskriptiva tvärsnittsstudie undersökte samband mellan vidmakthållande av rörlighets- samt andningsträning och psykologiskt stöd samt emotionellt tillstånd hos patienter 3 månader efter thoraxkirurgi.

    Metod: Kvantitativa data insamlades av en forskargrupp genom ett frågeformulär som undersökte vidmakthållande av rehabiliterande insatser samt mätinstrumenten Modified Medical Research Council dyspnea scale (mMRC) och Quality of Recovery -15 Sweden (QoR-15swe). Insamlade data analyserades av författaren med Spearman’s korrelationskoefficient i SPSS.

    Resultat: Resultaten visade inga signifikanta samband mellan vidmakthållande av rehabiliteringsprogrammen och grad av dyspné, psykologiskt stöd eller emotionellt tillstånd. Resultaten hade genomgående liten spridning kring medianen.

    Slutsatser: Studien påvisade inte att centrala biopsykosociala faktorer korrelerade med vidmakthållande av rehabilitering efter thoraxkirurgi. Majoriteten av patienterna uppgav ett gott postoperativt mående. Dock kunde förväxlingsfaktorer ha påverkat resultaten vilket tyder på att det krävs fler studier med större kontroll över förväxlingsfaktorer för att säkerställa att det inte finns någon korrelation.

    Fulltekst (pdf)
    Brindeberg Examensarbete Fysioterapi
  • 46.
    Buli, Benti Geleta
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Mental health problems among adolescents in Sweden: Analysis of trends, developmental trajectories, and associated factors2024Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    The overall aim of this thesis was to investigate trends and trajectories of mental health problems and associated factors among adolescents in Sweden. The project consisted of four studies, with the first presenting trends and the subsequent ones exploring influencing factors. The first two studies used data from SALVe, repeated cross-sectional surveys from 2004 – 2020, while the third used national HBSC data from 2002 – 2018. Study IV was based on data from SALVe cohorts conducted among young people born in 1997 and 1999 where data were collected in four waves every three years from 2012 – 2021.   

    Study I investigated trends in mental health problems among adolescents in Västmanland County, revealing an overall decrease but disparities based on socioeconomic status (SES) and sex. Higher SES was associated with reduced mental health problems, while lower SES showed an increase. Girls exhibited a more pronounced decrease in depressive symptoms and suicidal ideations than boys. Study II, using the same dataset, confirmed these trends and identified school-related factors influencing mental health problems, with improvements correlating with reduced problems in the high SES group. Study III found a significant increase in PSS over time, higher in girls, and linked to lifestyle factors, particularly alcohol drunkenness among high SES adolescents. Study IV focused on cohorts born in 1997 and 1999, exploring the impact of family and peer relationships on depressive and anxiety symptoms among young people.

    The results indicate that intermediary factors, including school-related factors, lifestyle choices, and social relationships, which vary across SES gradients, are linked to adolescent mental health problems. The associations between these intermediary factors and the mental health problems were, in most cases, influenced by a group of factors, including SES, sex, country of origin, and birth cohort, collectively named structural determinants. These determinants discriminated results between boys and girls, high SES and low SES, Nordic and non-Nordic origin, and the 1997 and 1999 cohorts. This underscores the need for at least two-tiered policy intervention. The first involves an immediate to mid-term response, targeting these intermediary factors with a special focus on the low SES group, girls, and young people with foreign backgrounds. The second entails a long-term policy intervention to narrow the divide.

  • 47.
    Buli, Benti Geleta
    et al.
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Giannotta, Fabrizia
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Stockholm University, Stockholm, Sweden.
    Larm, Peter
    Stockholm University, Stockholm, Sweden.
    Nilsson, Kent W.
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Uppsala University, Västmanland County Hospital, Västerås, Sweden.
    Trends in adolescent mental health problems 2004–2020: do sex and socioeconomic status play any role?2023Inngår i: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aims:This study aims to investigate trends in four types of adolescent mental health problems; that is, psychosomatic symptoms, depressive symptoms, suicidal ideations, and suicide attempts 2004–2020. A second aim is to investigate the moderating roles of socioeconomic status and sex in these trends.

    Methods:The analysis is based on repeated cross-sectional data 2004–2020 among grade 9 students in secondary schools in a Swedish county. In total, data from 19,873 students were included in the analysis. We fitted linear and logistic regression equations and used survey-years’ coefficients to estimate the trends. We also estimated the moderating effects of socioeconomic status and sex using interactions between survey year and socioeconomic status and sex, respectively.

    Results:The trends in all mental health problems declined over time. Through its interaction with survey year, socioeconomic status moderated the trends; psychosomatic symptoms (B = −0.115, P<0.001), depressive symptoms (B = −0.084, P<0.001) and suicidal ideations (odds ratio 0.953, confidence interval 0.924–0.983) significantly declined over time among those with high socioeconomic status. However, socioeconomic status did not have an association with the trend in suicide attempts. Interaction between sex and year of survey was associated with significant decreasing trends in depressive symptoms and suicidal ideations only among girls.

    Conclusions:Adolescent mental health problems have decreased over time, but only for adolescents with high socioeconomic status, or only in depressive symptoms and suicidal ideations for girls. The results shed light on the growing inequalities in health outcomes across levels of socioeconomic status.

    Fulltekst (pdf)
    fulltext
  • 48.
    Buli, Benti Geleta
    et al.
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Larm, P.
    Stockholm Univ, Publ Hlth Sci, Stockholm, Sweden..
    Nilsson, Kent W.
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Uppsala Univ, Neurosci, Uppsala, Sweden..
    Hellström-Olsson, Charlotta
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Lehtinen-Jacks, Susanna
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Mälardalen Univ, Publ Hlth Sci, Västerås, Sweden..
    Giannotta, Fabrizia
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Stockholm Univ, Publ Hlth Sci, Stockholm, Sweden..
    Trends in adolescent mental health problems and the role of lifestyle factors2023Inngår i: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 33Artikkel i tidsskrift (Annet vitenskapelig)
  • 49.
    Buli, Benti Geleta
    et al.
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Larm, Peter
    Department of Public Health Sciences, Stockholm University, Stockholm, Sweden.
    Nilsson, Kent W.
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Center for Clinical Research, Uppsala University, Västmanland County Hospital, Västerås, Sweden;Department of Neuroscience, Uppsala University, Uppsala, Sweden.
    Hellström-Olsson, Charlotta
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Giannotta, Fabrizia
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Department of Public Health Sciences, Stockholm University, Stockholm, Sweden.
    Trends in mental health problems among Swedish adolescents: Do school-related factors play a role?2024Inngår i: PLOS ONE, E-ISSN 1932-6203, Vol. 19, nr 3, s. e0300294-e0300294Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: The aim of this study is to investigate the extent to which school-related factors, such as school liking, participation in decision-making, school-related parental support, teachers’ support, and school physical environment, explain trends in mental health problems. The problems considered are psychosomatic symptoms (PSS), depressive symptoms (DS), suicidal ideations (SI), and suicide attempts (SA) among Swedish adolescents of varying socioeconomic status (SES) from 2004 to 2020.

    Methods: We analyzed data collected through repeated cross-sectional surveys from 19,873 15-year-old students at schools in a county in Sweden. Boys and girls each constituted 50% of the participants. We fitted linear and logistic regression models to investigate associations between school-related factors and trends in mental health problems.

    Results: Increased school-related parental support and school liking were cross-sectionally associated with decreased PSS, DS, and SI, with school liking also associated with decreased SA. A conducive school physical environment was also found to be cross-sectionally associated with lower PSS and DS scores. Over time, mental health problems have shown a general increase among adolescents in the low SES group and a decrease among those in the high SES group. While school-related factors explained the improvement in mental health in the high SES group, we found such an association only between parental support trends in PSS and DS, along with participation and trends in SA over time among adolescents in the low SES group.

    Conclusions: The results show that school-related factors play significant roles in influencing adolescent mental health. The influence, however, varied across SES gradients over time. This suggests that working against inequities in school-related factors would help address inequities in mental health.

  • 50.
    Buli, Benti Geleta
    et al.
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Larm, Peter
    Nilsson, Kent W.
    Mälardalens universitet, Akademin för hälsa, vård och välfärd.
    Hellström-Olsson, Charlotta
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Åslund, Cecilia
    Giannotta, Fabrizia
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    The impact of family and peer relationships on developmental trajectories of depressive and anxiety symptoms among young peopleManuskript (preprint) (Annet vitenskapelig)
    Abstract [en]

    Background: Adolescent mental health is a growing global concern, with depressive and anxiety symptoms on the rise over recent decades. The significance of supportive social relationships, particularly within family and peer groups, is well-established in research. However, limited evidence exists on the impact of social relationships in predicting the developmental trajectories of mental health problems over time.

    Methods: This study aims to fill this gap by identifying distinct trajectories of depressive and anxiety symptoms among adolescents and exploring the impact of various factors, including family relationships, peer relationships, sex, and country of origin, on predicting individuals' likelihood of belonging to specific trajectories. Based on data collected from adolescents in Sweden born in 1997 and 1999, the study utilized Group-Based Trajectory Modeling (GBTM) to analyze longitudinal data. Statistical analyses, including multinomial logistic regression, were conducted to examine the predictive effects of social relationships on depressive and anxiety symptom trajectories.

    Results: Positive social relationships with family and peers emerged as robust predictors across depressive and anxiety symptom trajectories. Female participants consistently exhibited higher mean scores of depressive and anxiety symptoms than males, while participants originating from countries outside the Nordic region were at higher risk of belonging to depressive symptom trajectory groups with higher mean scores. Despite limitations such as high attrition rates, the study's methodological rigor offers valuable insights into the predictive effects of social relationships on mental health trajectories.

    Conclusions: The study underscores the importance of addressing social factors in adolescent mental health prevention strategies. Despite facing limitations such as high attrition rates, the study's strengths lie in its methodological rigor, providing valuable insights into the predictive effects of social relationships on mental health trajectories and addressing crucial gaps in the literature. This pioneering approach offers implications for future intervention and prevention strategies, emphasizing the importance of social factors in understanding and addressing adolescent mental health.

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