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  • 151.
    Bring, Annika
    et al.
    Uppsala university, Sweden.
    Åsenlöf, Pernilla
    Uppsala university, Sweden.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Comparison of different treatment approaches after acute WAD – Standard-treatment compared to behavioural medicine interventions: A randomized group study2010Inngår i: European Journal of Pain, ISSN 1090-3801, E-ISSN 1532-2149, Vol. 13, nr S1, s. S265-Artikkel i tidsskrift (Fagfellevurdert)
  • 152.
    Bring, Annika
    et al.
    Uppsala University, Uppsala, Sweden.
    Åsenlöf, Pernilla
    Uppsala University, Uppsala, Sweden.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    What is the comparative effectiveness of current standard treatment, against an individually tailored behavioural programme delivered either on the internet or face-to-face for people with acute whiplash associated disorder?: A randomized controlled trial.2016Konferansepaper (Fagfellevurdert)
  • 153.
    Bring, Annika
    et al.
    Uppsala Universitet, Sweden.
    Åsenlöf, Pernilla
    Uppsala Universitet, Sweden.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    What is the comparative effectiveness of current standard treatment, against an individually tailored behavioural programme delivered either on the Internet or face-to-face for people with acute whiplash associated disorder?: A randomized controlled trial2016Inngår i: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 30, nr 5, s. 187-188, artikkel-id Meeting Abstract: O579Artikkel i tidsskrift (Fagfellevurdert)
  • 154.
    Bring, Annika
    et al.
    Uppsala Universitet, Sweden.
    Åsenlöf, Pernilla
    Uppsala Universitet, Sweden.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    What is the comparative effectiveness of current standard treatment, against an individually tailored behavioural programme delivered either on the Internet or face-to-face for people with acute whiplash associated disorder?: A randomized controlled trial2016Inngår i: Clinical Rehabilitation, ISSN 0269-2155, E-ISSN 1477-0873, Vol. 30, nr 5, s. 441-453Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVE: To investigate the comparative effectiveness of current standard treatment, against an individually tailored behavioural programme delivered via the Internet or face-to-face for people with acute whiplash associated disorders.

    DESIGN: A multicentre, randomized, three-group design, with concealed allocation.

    SUBJECTS AND SETTINGS: A total of 55 participants (37 female), age 18-65, with acute Whiplash Associated Disorder (Grade I-II), recruited at two emergency clinics in Sweden.

    INTERVENTIONS: Before randomization all participants received standard self-care instructions. The Internet and face-to-face groups followed a seven-week behavioural programme involving individual tailoring, via email (Internet group), or in sessions at a physical therapy unit (face-to-face group). The control group only received the self-care instructions.

    MAIN MEASURES: Pain-related disability, pain intensity, self-efficacy in daily activities, catastrophizing and fear of movement/(re)injury. Assessments were performed at baseline (2-4 weeks postinjury) and at three, six and 12 months postintervention.

    RESULTS: Both the Internet (n = 16) and face-to-face (n = 14) group showed a larger decrease in pain-related disability than the control group (n = 16); -12 and -11, respectively, compared with -5 in the control group at 12-months follow-up. Significant differences between the groups in overall treatment effect were shown in all outcomes except pain intensity. All groups improved significantly over time in all outcomes, except for fear of movement/(re)injury and catastrophizing in the control group.

    CONCLUSION: An individually tailored behavioural programme improved biopsychosocial factors in patients with whiplash associated disorders up to 12 months after treatment. Internet-delivered intervention was as effective as clinic-based face-to-face therapy sessions.

  • 155.
    Broberg, Anders
    et al.
    Göteborgs universitet, Sweden.
    Almqvist, Kjerstin
    Karlstads universitet, Sweden.
    Appell, Petra
    Karstads universitet, Sweden.
    Axberg, Ulf
    Göteborgs universitet, Sweden.
    Cater, Åsa
    Örebro universitet, Sweden.
    Draxler, Helena
    Karlstads universitet, Sweden.
    Eriksson, Maria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Grip, Karin
    Göteborgs universitet, Sweden.
    Hjärthag, Fredrik
    Karlstads universitet, Sweden.
    Hultmann, Ole
    Göteborgs universitet, Sweden.
    Iversen, Clara
    Uppsala universitet, Sweden.
    Röbäck de Souza, Karin
    Göteborgs universitet, Sweden.
    Utveckling av bedömningsinstrument och stödinsatser för våldsutsatta barn2015Rapport (Annet vitenskapelig)
  • 156.
    Brunnberg, Elinor
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Mälardalen Research Center.
    Ensamkommande barn och unga på flykt: Att växa upp utan familj eller i ett transnationellt familjesystem2015Inngår i: Migration och etnicitet: Perspektiv på ett mångkulturellt Sverige / [ed] Mehrdad Darvishpour & Charles Westin, Lund: Studentlitteratur AB, 2015, 2, s. 219-248Kapittel i bok, del av antologi (Fagfellevurdert)
    Abstract [sv]

    Barn kan vara på flykt tillsammans med båda eller en av sina föräldrar. Barn kan lämnas ensamma när föräldrarna reser till ett annat land för att arbeta. Barn kan också vara på flykt helt ensamma för att de förlorat båda sina föräldrar eller skickats iväg av föräldrarna från en konfliktfylld situation. I beslutet om flykten tar barnet vanligen inte någon aktiv roll utan beslutet fattas av vuxna i deras omgivning. De känner ibland inte ens till vart de är på väg när de ger sig av. I det här kapitlet fokuseras situationen för ensamkommande asylsökande barn. Det utgår från en systematisk genomgång av internationell forskning 2000–2010 och nationell forskning till och med 2014 (se Brunnberg, Borg & Fridström 2011). Sverige har under många år varit det land i Europa som tar emot flest ensamkommande barn, men i Sverige har mycket lite forskning bedrivits om de ensamkommande barnens erfarenheter och hur de omhändertas (Eriksson 2010; Brunnberg & Osman 2012; Stretemo & Melander 2013). Det finns också en brist på de ensamkommande barnens delaktighet i den forskning som skett (Wernesjö 2014).

  • 157.
    Brunnberg, Elinor
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Focus groups with creative elements, PI-interviews2013Inngår i: New Tools in Welfare Research / [ed] Elinor Brunnberg and Elisabet Cedersund, Aarhus: Aarhus Universitetsforlag, 2013, s. 113-122Kapittel i bok, del av antologi (Fagfellevurdert)
  • 158.
    Brunnberg, Elinor
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Mälardalen Research Center.
    JANUSZ KORCZAK AND THE RIGHTS OF THE CHILD2015Inngår i: Golden Research Thoughts, ISSN 2231-5063, Vol. 4, nr 9, s. 1-4Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Janusz Korczak was a Polish writer, doctor and leader in the field of education and social work who introduced the concept of children’s rights in the early 20th century. Through his work Korczak contributed to the first international treaty to address children’s rights: the 1924 Geneva Declaration of the Rights of the Child. The United Nations Convention on the Rights of the Child (UNCRC) was not opened for ratification until 1989. Twenty-five years later, in 2014, children, young people and adults from 41 countries spanning the continents of Africa, America, Europe, Asia and Oceania met at a world conference on children’s rights and participation titled Children as Actors for Transforming Society (CATS).

    ,

  • 159.
    Brunnberg, Elinor
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Narratives from children in vulnerable situations2013Inngår i: New Tools in Welfare Research / [ed] Elinor Brunnberg and Elisabet Cedersund, Aarhus: Aarhus Universitetsforlag, 2013, s. 59-84Kapittel i bok, del av antologi (Fagfellevurdert)
  • 160.
    Brunnberg, Elinor
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Om socionomutbildningar, forskarutbildningar och samtliga avhandlingar i socialt arbete 1980-2012: Förteckning över samtliga doktors- och licentiatavhandlingar i socialt arbete i Sver2013Rapport (Annet vitenskapelig)
    Abstract [sv]

    Den här rapporten innehåller en sammanställning av samtliga avhandlingar som skrivits inom ämnet socialt arbete i Sverige sedan ämnet etablerades som ett akademiskt ämne Den första avhandlingen inom ämnet kom 1980 och handlade om barnavård-slagstiftningens roll i socialt förändringsarbete och särskilt om barns rätt (Krantz, 1980:1). Det är skriven på ett tema som fortfarande 2013 ett mycket aktuellt tema. Sammanlagt 319 avhandlingar i socialt arbete har skrivits fram till och med december 2012 vid svenska universitet och högskolor (se bilaga 1). De har skrivits vid Göteborgs universitet, Högskolan i Jönköping, Linnéuniversitetet, Lunds universitet, Malmö högskola, Mittuniversitetet, Stockholms universitet, Umeå universitet, och Örebro universitet

  • 161.
    Brunnberg, Elinor
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Release of sensitation Kit: Men for women's health2015Inngår i: An International and gender perspective of mens and womens  movement for women's health, Pune, Indien, 2015Konferansepaper (Annet (populærvitenskap, debatt, mm))
  • 162.
    Brunnberg, Elinor
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    The life of children in sheltered housing2015Inngår i: Rights of Children in the Nordic Welfare States / [ed] Gro Hellesdatter Jacobsen, Aarhus: Aarhus Universitetsforlag , 2015Kapittel i bok, del av antologi (Fagfellevurdert)
    Abstract [en]

    The chapter provides in-depth knowledge of how children’s lives change when they move with their mothers into a women’s shelter and how the activities for children at the residence reveal and address their needs. The chapter also presents how mothers perceive the situation of their children. More children than women live at this shelter. Almost all the children are victims of violence. Most were born in Sweden, but several have mothers or fathers who were born in another country. Some of the children are subjected to honour-related violence, with threats of kidnapping. No systematic violence and security assessment at which the children can make their voices heard is ordinarily conducted at the shelter. Half of the school-age children did not attend school for several months and received home schooling only to a very limited extent. Many of the younger children did not attend preschool. Resilience can be promoted for children in the life at a shelter also by volunteers.

  • 163.
    Brunnberg, Elinor
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Undergraduate education, graduate programmes, and dissertations: Within the field of social work in Sweden2013Rapport (Annet vitenskapelig)
    Abstract [sv]

    This report contains information about undergraduate education and graduate programmes in Social Work, as well as a compilation of all theses written since the subject was established as an academic discipline in Sweden in the 1970s. As of 2013, Sweden has 16 universities or colleges that offer undergraduate training and instruction in the field of Social Work. Most also offer third-cycle courses on site. Swedish academic research in Social Work originated within a primarily sociological context, but because there are now several graduate programmes and a large number of senior researchers in the field, the knowledge base of Social Work has been deepened and is a discipline in its own right. This report begins by briefly describing the context in which the PhD theses are written. The background section reveals a process of development in which many changes have occurred and are still occurring. These changes are discussed from a gender perspective. In this report you will find the titles and authors of all theses in Social Work written in Sweden between the years of 1980 and 2012. Information is also provided on where to find abstracts and full-text copies of the theses.

  • 164.
    Brunnberg, Elinor
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Anbäcken, Els-Marie
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    From public sector to Welfare pluralism - the Swedish situation in child, family and elderly care2014Inngår i: International seminar about the role of the family for the elderly care, between Sweden, Korea and japan: Who care for the elderly? / [ed] Lee, Jinsook, Daegue University, Dague University, Korea, 2014, s. 21-27Konferansepaper (Annet vitenskapelig)
  • 165.
    Brunnberg, Elinor
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Cedersund, ElisabetLinköpings universitet.
    New Tools in Welfare Research2013Konferanseproceedings (Fagfellevurdert)
    Abstract [en]

    In New tools in Welfare research various tools for qualitative and quantitative research on welfare are presented. The anthology presents both new and established theoretical perspectives and research methods in welfare research. The anthology has been developed within the framework of the Nordic Summer University and thus influenced by different research traditions at colleges and universities in the Nordic countries.Research tools in which people are involved are described, people's own statements and experiences are utilized and can be interpreted on the basis of established theoretical perspectives as phenomenology, hermeneutics, and interactionism. The research approaches presented enables people in different ages to participate even themselves and formulating the image of their living conditions. In the anthology shows how research using these approaches can be together with children, adults or old people in different life situations. It is also shown that comparative approaches may offer new insights into the various dimensions of the welfare system as a cultural practice.

  • 166.
    Brunnberg, Elinor
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Darvishpour, Mehrdad
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Etnicitet, kultur och genus.: Om ensamkommande barn och mötet med den svenska skolan2016Inngår i: Skolans möte med nyanlända / [ed] Pirjo Lahdenperä och Eva Sundgren, Liber, 2016, s. 111-132Kapittel i bok, del av antologi (Fagfellevurdert)
    Abstract [sv]

    I det här kapitlet fokuseras situationen för ensamkommande barn. Det inleds med en kartläggning av ensamkommande barns bakgrund och situation i Sverige. Hälften av de asylsökande barnen som 2015 anlände till Sverige kom utan sina föräldrar. Eftersom de allra flesta ensamkommande barnen kommer ifrån Afghanistan ges i kapitlet en beskrivning av afghanska barns specifika bakgrund med fattigdom, patriarkal kultur och begränsad skolgång. Kapitlet innehåller en sammanställning av tidigare forskning av ensamkommande och andra migrerande barns situation samt en analytisk genomgång av uppgifter från Migrationsverket. Bland de yngsta ensamkommande barnen kommer lika många pojkar som flickor, men från sju års ålder sker en könad migration då det kommer betydligt fler pojkar än flickor. Ensamkommande pojkar och flickor möter olika utmaningar i Sverige när det gäller utbildning, arbete och bemötande. Avslutningsvis diskuteras strukturella hinder i majoritetssamhället och möjligheter som kan leda till en positiv etablering och skolgång

  • 167.
    Brunnberg, Elinor
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Davishpour, Merhdad
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Gupta, Shweta
    Kanaskar, Mukesh
    Kulkarni, Vijay
    Verghese, Usha
    Östlund, Gunnel
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Metodik för samarbetsinriktat lärande2016Inngår i: Samproduktionens retorik och praktik: inom hälsa och välfärd / [ed] Knutsson Holmström, Inger, Stier, Jonas, Tillgren, Per & Östlund, Gunnel, Lund: Studentlitteratur AB, 2016, 1, s. 167-177Kapittel i bok, del av antologi (Annet (populærvitenskap, debatt, mm))
  • 168.
    Brunnberg, Elinor
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Mälardalen Research Center, Sweden.
    Hart, Angie
    Brighton University, United Kingdom.
    En magisk box för resiliensskapande insatser: Strategiskt, kreativt och engagerat stöd i samverkan med barn i kris, på flykt eller i andra svåra livssituationer2016Inngår i: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 93, nr 1, s. 82-97Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [sv]

    I den här artikeln beskrivs en ny modell utformad för att ge professionella, föräldrar och andra betydelsefulla personer i daglig kontakt med barn och unga redskap för resiliensskapande interventioner. Barn och unga som lever i en svår livssituation, på flykt eller på annat sätt i kris kan visa oanade krafter och lyckas klara sig ”mot alla odds”. De kan vara maskrosbarn som uppvisar det som brukar beskrivas som resiliens. Den grundläggande idén med resiliensskapande interventioner, som i den här artikeln även kallas för resiliensterapi (RT), är att de vuxna i barnets omgivning kan använda olika metoder för att bidra till att stärka barnets motståndskraft. I artikeln presenteras en magisk box med fem olika arenor som innehåller verktyg för att bygga och utveckla barnets resiliens och gynna en optimal utveckling.

  • 169.
    Brunnberg, Elinor
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Mälardalen Research Center.
    Hyun, Jinhee
    Daegu University, South Korea.
    Kinugasa, Kazushige
    Oita University, Japan.
    Puchong, Senanuch
    Huachiew Chalermprakiet University, Thailand.
    EMERGENCE OF SOCIAL WORK EDUCATION Sweden, South Korea, Japan and Thailand2016Inngår i: Joint World Conference on Social Work, Education and Social Development 2016, 2016Konferansepaper (Fagfellevurdert)
  • 170.
    Brunnberg, Elinor
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Mälardalen Research Center.
    Johansson, Carl
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Åkerström Kördel, Jeanette
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Mälardalsmodellen.: Att samordna samhällets stöd till föräldrar och deras barn med funktionsnedsättning.2016Rapport (Annet vitenskapelig)
    Abstract [sv]

    I den här rapporten presenteras Mälardalsmodellen från projeketet Samodnat stöd till föräldrar med barn med funktionsnedsättning. SAMFÖR sätter barn/unga med funktionsnedsättning och deras föräldrar i fokus, istället för organisationers uppdrag och gränser. SAMFÖR ger barn/unga med funktionsnedsättning och deras föräldrar hjälp att hitta i samhällets utbud av resurser. SAMFÖR samordnar befintligt stöd. SAMFÖR ger föräldrar möjlighet att möta andra föräldrar. SAMFÖR ger barn/unga med funktionsnedsättning möjlighet att mötas och göra sin röst hörd. SAMFÖR bidrar till ett kunskapslyft om barns rättigheter.

  • 171.
    Brunnberg, Elinor
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Mälardalen Research Center.
    Johansson, Carl
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Åkerström Kördel, Jeanette
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Samordnat föräldrastöd till barn och unga med funktionsnedsättning: Slutrapport2016Rapport (Annet vitenskapelig)
    Abstract [sv]

    I den här rapporten presenteras projektet SAMFÖR (Samodnat stöd till föräldrar med barn med funktionsnedsättning). Syftet med SAMFÖR projektet har varit att utveckla en modell för att lokalt samordna samhällets resurser till familjer med barn och ungdomar med olika typer av funktionsnedsättningar. När projektet startade var det föräldrarna som själva måste ta initiativ, söka efter och samordna det stöd som barn med funktionsnedsättning kan behöva. För en familj kan det innebära att samordningsansvaret kan vila på föräldrarnas axlar och innebära en stor mängd av kontakter med professionella på olika verksamheter som förskola, skola, sjukvård, socialtjänst, intresseorganisationer med flera. SAMFÖR vill

    • bidra till ett kunskapslyft i samhället om situationen för föräldrar till barn med funktionsnedsättning och för barnen
    • vara en aktör som tillgängliggör och samordnar insatser som underlättar vardagen för barn och unga med funktionsnedsättning och deras familjer
    • att ge barn och ungdomar möjlighet att göra sin röst hörd när det gäller samhällets stöd
    • att öka föräldrarnas och andra betydelsefulla personers kunskap om hur man underlättar samspelet med barnet
    • att ge föräldrar, barn och ungdomar samt andra viktiga personer ett forum med möjlighet att utbyta erfarenheter.
    • att utarbeta en verktygslåda för att öka barns delaktighet

    SAMFÖRprojektet startades för att utforma och testa en modell för samordning av samhällets stöd till familjer med barn med funktionsnedsättning.

  • 172.
    Brunnberg, Elinor
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Kullberg, Christian
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Using the vignette method in comparative welfare research2013Inngår i: New Tools in Welfare Research / [ed] Elinor Brunnberg and Elisabet Cedersund, Aarhus: Aarhus university Press/NSU Press , 2013, s. 123-144Kapittel i bok, del av antologi (Fagfellevurdert)
  • 173.
    Brunnberg, Elinor
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Ronsten, Catherina
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    En resa i etikprövningarnas landskap: Om etisk granskning av projektet Betydelsefulla möten i familjehemsvård2013Rapport (Annet vitenskapelig)
    Abstract [sv]

    Den här rapporten är en reflekterande samman-ställning av sammanlagt fyra etiska prövningar av i princip samma forskningsprojekt. Projektet rör betydelsefulla möten för familjehemsplacerade barn/ungdomar och vuxna omkring dem. Det är ett etiskt väl granskat projekt där granskningen väcker många tankar om vad som är etiska frågor.

    Den första ansökan fick avslag från Regionala etikprövningsnämnden (EPN) (bilaga 1). Beslutet överklagades till Centrala etikprövningsnämnden (CPN) och fick på nytt avslag men av andra skäl (bilaga 2). Projektet omformulerades utifrån etikprövnings-nämndernas synpunkter och en ansökan för ett liknande projekt skickades in till EPN som på nytt gav avslag (bilaga 3). Detta överklagades till CPN som gav tillstånd (bilaga 4 och 5). Det var en resa i etikprövningarnas landskap där tre ansökningar lett till avslag och den fjärde fick bifall. Vi hoppas att den här rapporten skall öppna för diskussion om etik och etikprövningens roll. Rapporten avslutas med påståenden att utgå ifrån vid fortsatt diskussion

    SKILDA PERSPEKTIV

    De fyra etiska prövningar synliggör att man kan ha skilda perspektiv på 1) samverkan mellan forskare och de verksamheter som studeras, 2) när det är möjligt att använda modern teknik i forskning. En annan fråga är 3) om valet av vetenskaplig analysmetod kan ses som en etisk fråga eller om det är en vetenskaplig fråga. Ytterligare frågor som lyfts fram av etikprövningsnämndernas beslut är 4) tillämpningen av FNs konvention om barns rättigheter och vad som är för barnets bästa samt 5) vad som kan ses som integritetskränkningar eller integritetsrisker. Att be barn och ungdomar i en utsatt situation berätta om betydelsefulla möten, alltså en berättelse som kan gälla något positivt, var mer provocerande än vad vi projektmedarbetare kunde föreställa oss.

     

    POLITIK, VÄRDEGRUNDSFRÅGA ELLER VETENSKAPLIG FRÅGA

    Arbetet med de olika etikprövningarna har väckt tankar om vad som är de etiska nämndernas uppgift. Vad är istället en politisk fråga, en värdegrundsfråga/attityd alternativt en vetenskaplig/kunskapsrelaterad fråga. När blir frågan en etisk fråga? Under tiden den etiska prövningen av projektet pågick, blev den centrala nämndens eget etiska handlande ifrågasatt. CPN fick dels stark kritik för sin handläggning av ett ärende och dels ett mer generellt ifrågasättande. Detta ledde till granskning av CNPs handläggningstider och hur tillsynsarbetet bedrivits. Granskningen av CPN har inget med vår prövning att göra, men kom att sammanfalla i tid då våra ansökningar varit föremål för granskning.

     

  • 174.
    Brunnberg, Elinor
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Mälardalen Research Center.
    Visser-Schuurman, Mieke
    Eurochild.
    Speak Up! Voices of European Children in Vulnerable Situations: An Explorative Study of Children’s Rights in Greece, Bulgaria, Hungary, Poland, Sweden, the uk, Ireland and the Netherlands2015Inngår i: The International Journal of Children's Rights, ISSN 0927-5568, E-ISSN 1571-8182, Vol. 23, nr 3, s. 569-601Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of the Speak up! study is to increase our knowledge of European children in vulnerable situations or with special needs, and their own views about their rights and what needs to be improved. The methodology was to play a children’s rights game and to hold in-depth discussions about children’s rights in focus groups with children in vulnerable situations and in control groups. The qualitative study of children took place in eight European countries. Children, particularly children in vulnerable situations or with special needs, are insufficiently aware of their rights. Children living in vulnerable situations have very little experience of being listened to. They face discrimination due to disability, ethnic background or social disadvantage, and also due to being under 18-years-old. This study concludes that children in vulnerable situations or with special needs should not be viewed as passive victims but as social actors with the right to be listened to.

  • 175.
    Brunnberg, Elinor
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Mälardalen Research Center.
    Visser-Schuurman, Mieke
    LL.M in Law, Consultant/Expert on children's participation and children’s rights, the Netherlands.
    The methodology of focus groups on children’s rights composed of children in vulnerable situations.: A comparative study conducted with children in Bulgaria, Greece, Hungary, Ireland, the Netherlands, Poland, Sweden and the UK.2015Inngår i: Golden Research Thoughts, ISSN 2231-5063, Vol. 4, nr 7Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Acomparative qualitative study titled Speak up! was conducted with children in eight European countries. The aims were to increase our knowledge about European children in vulnerable situations or with special needs and to elicit their views about their rights and what needs to be improved. The methodology of the project involved playing a children’s rights game and holding in-depth discussions in focus groups with children in vulnerable situations and with control groups. The vulnerable groups comprised children with disabilities, asylum-seeking children, children living in ‘urban pockets of poverty’, Roma children, Traveller children, children in juvenile justice institutions and children in care. The control groups were made up of children with mixed backgrounds from ordinary classes in regular school. According to the United Nations Convention on the Rights of the Child (UN CRC) all children have the right to be listened to, however many children, particularly children in vulnerable situations or with special needs, have very little experience of being listened to. They face discrimination due to disability, ethnic background or social disadvantage, as well as for being under 18 years old. The methodology of the Speak up! project shows that children in vulnerable situations or with special needs can take part in research and other activities where they communicate their experiences and suggest ideas for how to improve their situation in line with the UN CRC. Consultations need to be adapted to their specific circumstances and communication needs, and the children need to be able to trust the interviewer/moderator.

  • 176.
    Bruno, Linnea
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Uppsala Univ, Uppsala, Sweden.
    Financial oppression and post-separation child positions in Sweden2018Inngår i: European Journal of Social Work, ISSN 1369-1457, E-ISSN 1468-2664, Vol. 21, nr 2, s. 181-192Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The present paper deals with post-separation child positions in two domains of practice in the Swedish welfare state: welfare benefits such as financial aid and child contact. The area of concern is financial oppression in the context of parental separation. Empirically, the study draws upon three types of material: interviews with victimised mothers, court orders in welfare benefit appeals and court orders in contested contact cases. Findings suggest that financial abuse in the context of parental separation is a non-question in the domain of welfare benefits, and in the domain of child contact framed as a conflict between equal parties. Object without voice and with needs ignored was the typical child position in welfare benefits cases, whereas incompetent subject was more prominent in child contact cases. Age order as a form of domination may be reinforced by the practice of both domains.

  • 177.
    Brüno, Linnéa
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    National self-image as an obstacle to ensuring children’s rights in the context of domestic violence and family law: the case of Sweden2018Inngår i: Journal of Social Welfare and Family Law, ISSN 0964-9069, E-ISSN 1469-9621, Vol. 40, nr 4, s. 426-440Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this paper is to highlight and discuss contradictions and challenges in the current policy and practice regarding fathers’ violence towards mothers and children in the Swedish welfare state. In particular, professional discourses and understandings of domestic violence in disputes about contact, custody, residence and maintenance, following parental separation, are analysed. My research suggests that abusers find ways to manipulate professionals and get them unwittingly to enable their continued control of victimised mothers and children. One conclusion is that oppression is maintained through processes of familialisation and selective repression. These discursive practices reproduce intersectional inequalities and, in doing so, in many cases result in the administration rather than prevention of further violence.

  • 178.
    Bälter, Katarina
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Karolinska Institutet.
    Climate friendly food habits and risk factors for cardiovascular disease in young adults in the LifeGene study2019Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    Background: Different food products, and thus also diets, are associated with various levels of greenhouse gas emission. Animal food products typically cause larger emissions than plant-based products and it would be beneficial for the climate to limit the global consumption of beef and dairy products while increasing the intake of vegetables, legumes, and grains.

    Aim: We will relate a climate friendly diet to individual risk factors for cardiovascular disease (CVD) such as overweight, triglyceride levels, HDL cholesterol levels, systolic and diastolic blood pressure and glucose levels, as well as a combination of risk factors, i.e. a proxy of the metabolic syndrome.

    Method: LCA data expressed as kilogram COequivalents per kilogram of food products (kg CO2e/kg) were linked to the dietary intake in the LifeGene study of 5,364 subjects in Sweden.

    Results: A diet generating high levels of CO2e was associated with higher BMI, waist circumference and body fat than a diet with lower levels of CO2e.

    Conclusions: A climate friendly diet is also a healthy diet i.e. a win-win situation.

  • 179.
    Bälter, Katarina
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Karolinska Institutet, Stockholm, Sweden.
    Sjörs, C.
    Karolinska Institutet, Stockholm, Sweden.
    Sjölander, A.
    Karolinska Institutet, Stockholm, Sweden.
    Gardner, C.
    Stanford School of Medicine, USA.
    Hedenus, Fredrik
    Chalmers University of Technology, Sweden.
    Tillander, A.
    Karolinska Institutet, Stockholm, Sweden.
    Is a diet low in greenhouse gas emissions a nutritious diet?: - Analyses of self-selected diets in the LifeGene study2017Inngår i: Archives of Public Health, ISSN 0778-7367, E-ISSN 2049-3258, Vol. 75, nr 1, artikkel-id 17Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Climate change is an urgent global issue and the food sector is a major contributor to greenhouse gas emissions (GHGE). Here we study if a diet low in GHGE could be a nutritious diet compared to the Nordic Nutrition Recommendations (NNR). Methods: The environmental impact of foods from Life Cycle Assessment (LCA) data was linked to a food frequency questionnaire (FFQ) filled out by 5,364 participants in the Swedish LifeGene study. Thereafter, we calculated the daily emission of CO2 equivalents (CO2e) as well as the intake of selected nutrients associated with vegetables, fruits, meat and dairy products. The CO2e was divided into quartiles were quartile 1 corresponds to a diet generating the lowest CO2e, and quartile 4 corresponds to a diet with the highest CO2e. Results: The overall diet-related emission was 4.7kg CO2e/day and person, corresponding to 1.7 ton CO2e/year. In general, there were only small differences in nutrient intake between groups of varying levels of CO2e, regardless if the intake was analyzed as absolute intake, energy percent or as nutrient density. Moreover, adherence to NNR was high for the group with the lowest CO2e, except for saturated fat where the intake was higher than recommended for all CO2e groups. On the other hand, only the group with the lowest CO2e fulfilled recommended intake of fiber. However, none of the CO2e groups reached the recommended intake of folate and vitamin D. Conclusions: Here we show that a self-selected diet low in CO2e provides comparable intake of nutrients as a diet high in in CO2e. 

  • 180.
    Bälter, O.
    et al.
    Department of Media Technology and Interaction Design, KTH—Royal Institute of Technology, Stockholm, Sweden.
    Hedin, B.
    Department of Media Technology and Interaction Design, KTH—Royal Institute of Technology, Stockholm, Sweden.
    Tobiasson, H.
    Department of Media Technology and Interaction Design, KTH—Royal Institute of Technology, Stockholm, Sweden.
    Toivanen, Susanna
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Walking outdoors during seminars improved perceived seminar quality and sense of well-being among participants2018Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 15, nr 2, artikkel-id 303Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Low levels of physical activity and sedentary behaviour are a growing health problem globally. Physical inactivity is associated with increased risk of numerous ailments, cardiovascular disease and mortality. Our primary aim was to perform a feasibility study on how to incorporate physical activity among students and teachers in regular teaching activities. The second aim was to investigate how students and teachers perceived the differences between outdoor walking seminars and regular indoor seminars. By transforming an on-campus course into a blended course, we were able to conduct seminars outdoors in nearby nature while walking. These walking seminars were evaluated among 131 students and nine teachers leading the walking seminars. The responses to the student survey and teacher interviews indicate that discussions, sense of well-being and the general quality of the seminar improved, regardless of how physically active participants were the rest of the time. The study shows one way to increase physical activity with small means; in our case, a reorganization of how we prepared for the seminars which allowed for walking discussions.

  • 181.
    Callegari, Julia
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Levander, Ulrika
    Lunds universitet, Sweden.
    Kompetent aktör eller psykiskt skör?: Barn- och flickdiskurser i konstruktionen av ungas psykiska ohälsa2019Inngår i: Tidskrift för Genusvetenskap, ISSN 1654-5443, E-ISSN 2001-1377, Vol. 40, nr 1, s. 73-95Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Mental health problems among children and youth is positioned as one of the most urgent public health issues in Sweden today. Both research and official reports assert that mental health issues have increased among adolescents, especially girls, during the last decades. The aim of this study is to investigate how changes in childhood and gender discourses has implicated the construction of young people’s mental health as a public problem since the early 1990s up until today. The empirical material consists of documents published by state authorities between 1990 and 1998, and between 2006 and 2017. The results show that the construction of mental health issues among children and youth is characterized by an ideological and gendered shift, promoting different ideals of childhood. In early 1990s, young people’s poor mental health was understood as a result of social inequality, most common among working-class boys with behavioral problems. Today, it is framed as an introvert phenomenon most common among girls, who are depicted as having trouble handling stress and performance-related pressure. In this shift, the child (read boy) is initially framed as a “child of society” in need of support, to later on being defined as a “competent child” (read girl) who has the responsibility to create a good life for herself. In this way, the construction of mental health among children and youths reflects how gender orders are reformulated in the individualized era, where young girls who do not embody neoliberal ideals of independency, flexibility, and female empowerment are framed as mentally fragile and in crisis. Furthermore, the construction shows how current ideas about the child as a competent actor has central implications for today’s understanding of young people’s mental health.

  • 182.
    Callegari, Julia
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Liedgren, Pernilla
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Kullberg, Christian
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Gendered debt: A scoping study review of research on debt acquisition and management in single and couple householdsInngår i: European Journal of Social Work, ISSN 1369-1457, E-ISSN 1468-2664Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In the current economic environment, social workers are increasingly being required to support households that suffer from severe debt burdens. However, previous research has questioned if social workers are sufficiently prepared to meet this emerging form of financial exclusion, especially from a gender perspective. Thus, there is a risk that interventions for indebted households will overlook gender-specific, inequality-generating patterns in the acquisition and management of debts. With this in mind, the aim of this article is to provide an overview of the existing literature related to gender and household debt, in order to enable a development towards gender-aware social work interventions that equally support women and men in creating financially stable lives. The results show that gender dynamics affect how households acquire and manage their debt. These dynamics result in different forms and levels of debt for women and men, unequally divided spheres of responsibility for managing the acquired debt burden and differences in their willingness to seek debt advice. Unequal power relations between men and women and gender-stereotypic expectations are found to be key factors for explaining these results. The results are discussed in relation to practical implications for social policy and social work practice.

  • 183.
    Carlmark, Christofer
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Högskolestudenter och alkohol: Akademisk locus of control i förhållande till alkoholrelaterade studieproblem2015Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Studenter är bland de som konsumerar mest alkohol i Sverige. Hög alkoholkonsumtion och extern akademisk locus of control (ALC) har liknande negativ effekter på studier. Denna studie undersökte relationen mellan alkoholkonsumtion, ALC och alkoholrelaterade studieproblem. 120 studenter, varav 91 var kvinnor, deltog genom att besvara en enkät bestående av The Academic Locus of Control Scale for College Students, the AUDIT Alcohol Consumption Questions och en egenkonstruerad skala som mätte alkoholrelaterade studieproblem. Data analyserades med en 2 (riskbruk/ickeriskbruk) x 2 (extern ALC/intern ALC) ANOVA för oberoende mätningar. Resultatet visade att hög alkoholkonsumtion var associerad med att studenter upplever fler olika alkoholrelaterade problem. Prediktionen om en interaktionseffekt mellan alkoholkonsumtion och ALC gick åt rätt håll men uppnådde inte statistisk signifikans. Resultatet gick åt samma håll som tidigare studier. Utveckling av skalan alkoholrelaterade studieproblem rekommenderas.

  • 184.
    Carlsson, Elin
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Bjerring, Gabriella
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Patienters delaktighet: En kvalitativ litteraturstudie ur sjuksköterskans perspektiv2014Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund: Forskning har visat att patienter som är delaktiga i sin vård kan få ökad motivation som kan leda till en bättre behandling. En viktig del för sjuksköterskan är att ge tillfälle för patienten att medverka i vården. Hinder för delaktighet kan uppstå på vägen, som makt och dominans i relationen mellan sjuksköterska och patient. Problem: Sjuksköterskan har ett ansvar att ta till vara på patientens resurser. Dock kände sig patienten ibland utsatta och hade dålig kontroll över sin situation. Patienters delaktighet ses därmed inte alltid som problemfri, men som en positiv faktor i vården. Syfte: Syftet är att beskriva hur patienters delaktighet tillvaratas i vårdandet ur ett sjuksköterskeperspektiv. Metod: För att få fram sjuksköterskors upplevelser har Evans (2002) beskrivande syntes för kvalitativa artiklar tillämpats. Resultat: Resultatet visade att relationen mellan sjuksköterskan och patienten var en förutsättning för delaktighet. Sjuksköterskan behövde tillvarata patientens kunskaper samt jobba utifrån patientens önskan. Hinder för delaktighet i vården ansågs vara tids- och personalbrist samt sjuksköterskornas tvivel på patientens förmåga. Slutsatser: För att ett bra samarbete mellan sjuksköterskan och patienten skulle bli möjlig krävdes det tillit och ärlighet. Vårdrelationen mellan patienten och sjuksköterskans hade en central roll i möjliggörandet för patientens delaktighet. 

  • 185.
    Carlsson, L.
    et al.
    Uppsala Univ., Sweden.
    Lännerström, L.
    Uppsala Univ., Sweden.
    Wallman, T.
    Uppsala Univ., Sweden.
    Holmström, Inger K.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    General practitioners' perceptions of working with the certification of sickness absences following changes in the Swedish social security system: A qualitative focus-group study2015Inngår i: BMC Family Practice, ISSN 1471-2296, E-ISSN 1471-2296, Vol. 16, nr 1, artikkel-id 21Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Many physicians in Sweden, as well as in other countries, find the matter of certification of sickness absence (COSA) particularly burdensome. The issuing of COSAs has also been perceived as a work-environment problem among physicians. Among general practitioners (GPs) are the highest proportion of physicians in Sweden who experience difficulties with COSA. Swedish authorities have created several initiatives, by changing the social security system, to improve the rehabilitation of people who are ill and decrease the number of days of sick leave used. The aim of this study was to describe how GPs in Sweden perceive their work with COSA after these changes. Methods: A descriptive design with a qualitative, inductive focus-group discussion (FGD) approach was used. Results: Four categories emerged from the analysis of FGDs with GPs in Sweden: 1) Physicians' difficulties in their professional role; 2) Collaboration with other professionals facilitates the COSA; 3) Physicians' approach in relation to the patient; 4) An easier COSA process. Conclusions: Swedish GPs still perceived COSA to be a burdensome task. However, system changes in recent years have facilitated work related to COSA. Cooperation with other professionals on COSA was perceived positively.

  • 186.
    Castro, Susana
    et al.
    Univ Roehampton, Sch Educ, London, England..
    Granlund, Mats
    Jonkoping Univ, Sch Educ & Commun, Jonkoping, Sweden..
    Almqvist, Lena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    The relationship between classroom quality-related variables and engagement levels in Swedish preschool classrooms: a longitudinal study2017Inngår i: European Early Childhood Education Research Journal, ISSN 1350-293X, E-ISSN 1752-1807, Vol. 25, nr 1, s. 122-135Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Child engagement has been defined as active participation in classroom routines, appropriate interactions with the environment and it also predicts academic achievement. Therefore, it is necessary to identify predictors of engagement over time. Moreover, cross-cultural data is needed to provide a global picture of the quality of Early Childhood Education and Care (ECEC) across countries. This study aims to describe the quality of Swedish preschool classrooms and its relationship with students' engagement over time. Data was collected from 165 preschool teachers in 55 preschool units in Sweden. Results show that all classroom-related variables (Emotional Support, Instructional Support and Classroom Organisation) have increased levels over time, while engagement remained stable. Three groups of preschool classroom units were identified with similar patterns of classroom quality over time (higher emotional support and lower instructional practice) and similar differences in level. Emotional Support was found to be the best predictor of student engagement over time.

  • 187.
    Cederbom, S.
    et al.
    Oslo and Akershus University College of Applied Sciences, Oslo, Norway.
    Denison, Eva
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Bergland, A.
    Oslo and Akershus University College of Applied Sciences, Oslo, Norway.
    A behavioral medicine intervention for community-dwelling older adults with chronic musculoskeletal pain: Protocol for a randomized controlled trial2017Inngår i: Journal of Pain Research, ISSN 1178-7090, E-ISSN 1178-7090, Vol. 10, s. 845-853Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Chronic musculoskeletal pain is a major health problem among older adults, particularly those who live alone and/or those who are dependent on formal care. Chronic pain is associated with mobility problems, falls, fear of falling, catastrophizing thoughts, and a lower quality of life. Research shows that physical therapy interventions based on behavioral medicine approaches are beneficial for middle-aged adults with chronic pain. However, there appears to be no previous randomized controlled trials (RCTs) based on this theoretical framework that have examined the effect on older adults with chronic musculoskeletal pain who live alone at home and are dependent on formal care to manage their everyday lives. The aim of the planned study is to evaluate the effect of an individually tailored integrated physical therapy intervention based on a behavioral medicine approach compared with the effect of standard care. Methods/design: The planned study is an RCT that will include one intervention and one control group involving a total of 150 adults aged ≥75 years with chronic musculoskeletal pain who live alone at home and are dependent on formal care to manage their everyday lives. The intervention will involve a 12-week home-based individually tailored intervention that will be designed to enhance the participants’ ability to perform everyday activities by improving physical function and reducing pain-related disability and beliefs. The control group will be given standard care, including general advice about physical activity. The participants will be assessed at baseline and at 3 and 6 months after baseline. The primary outcome will be pain-related disability and physical performance. Discussion: The intervention, if effective, will have the potential to be the basis of the first evidence-based guidelines for physical therapists who work with older adults with chronic musculoskeletal pain. 

  • 188.
    Cederbom, Sara
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Rydwik, Elisabeth
    Jakobsbergs Hosp, Sweden.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Denison, Eva
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Frandin, Kerstin
    Karolinska Inst, Sweden.
    Petra, von Heideken Wågert
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    A behavioral medicine intervention for older women living alone with chronic pain - a feasibility study2014Inngår i: Clinical Interventions in Aging, ISSN 1176-9092, E-ISSN 1178-1998, Vol. 9, s. 1383-1397Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: To be an older woman, live alone, have chronic pain, and be dependent on support are all factors that may have an impact on daily life. One way to promote ability in everyday activities in people with pain-related conditions is to use individualized, integrated behavioral medicine in physical therapy interventions. How this kind of intervention works for older women living alone at home, with chronic pain, and dependent on formal care to manage their everyday lives has not been studied. The aim was to explore the feasibility of a study and to evaluate an individually tailored integrated behavioral medicine in physical therapy intervention for the target group of women. Materials and methods: The study was a 12-week randomized trial with two-group design. Primary effect outcomes were pain-related disability and morale. Secondary effect outcomes focused on pain-related beliefs, self-efficacy for exercise, concerns of falling, physical activity, and physical performance. Results: In total, 23 women agreed to participate in the study and 16 women completed the intervention. The results showed that the behavioral medicine in physical therapy intervention was feasible. No effects were seen on the primary effect outcomes. The experimental intervention seemed to improve the level of physical activity and self-efficacy for exercise. Some of the participants in both groups perceived that they could manage their everyday life in a better way after participation in the study. Conclusion: Results from this study are encouraging, but the study procedure and interventions have to be refined and tested in a larger feasibility study to be able to evaluate the effects of these kinds of interventions on pain-related disability, pain-related beliefs, self-efficacy in everyday activities, and morale in the target group. Further research is also needed to refine and evaluate effects from individualized reminder routines, support to collect self-report data, safety procedures for balance training, and training of personnel to enhance self-efficacy.

  • 189.
    Cederbom, Sara
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Denison, Eva
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    von Heideken Wågert, Petra
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Chronic pain among older women living alone. A study focusing on disability and morale.2014Inngår i: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 16, nr 3, s. 139-150Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose: To investigate 1)how older women who are living alone perceive chronic musculoskeletal pain,Activities of Daily Living (ADL), physical activity, affective distress,pain-related beliefs, pain management, and rate pain-related disability andmorale,  2) the relationships betweendemographic variables, ADL, physical activity, affective distress, pain-relatedbeliefs, and pain management with pain-related disability and morale.Method: The study had across-sectional and correlational design. Sixty women, living alone with chronicpain and community support aged ≥65 years were included.Results: The women were on average 81 years old and had lived with pain forabout 21.5 years. They reported low scores of affective distress,catastrophizing thoughts and self-efficacy, high scores of fear of movement,low degrees of pain-related disability, and low levels of  morale. The multiple regression analysisshowed that only catastrophizing thoughts significantlyexplained the variation in pain-related disability, and both affective distress and catastrophizing thoughtssignificantly explained the variation in morale. Conclusion: These older women livingalone with chronic pain reported similar prevalence ofchronic pain and pain-related disability but lower morale when comparingthe results with similar studies about older people in the same age group orolder people who are in need of help to manage their daily life. The only variable that was independely associated to bothpain-related disability and morale was catastrophizing. Further researchshould focus on identifying catastrophizing thougts,and also on developing a rehabilitation program based on a biopsychosocialperspective with the goal to decrease catastrophizing, pain-relateddisability, and increase morale for this target group

  • 190.
    Cederbom, Sara
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Karolinska Institutet, Huddinge, Sweden; The Unit for Rehabilitation in the municipality of Eskilstuna, Sweden.
    Thunborg, Charlotta
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Denison, Eva
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    von Heideken Wågert, Petra
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Home Help Service Staffs' Descriptions of Their Role in Promoting Everyday Activities Among Older People in Sweden Who Are Dependent on Formal Care.2017Inngår i: Journal of Applied Gerontology, ISSN 0733-4648, E-ISSN 1552-4523, Vol. 36, nr 8, s. 971-992Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The study aimed to explore how home help service staff described their role in improving the abilities of older people, in particular, older women with chronic pain who are dependent on formal care, to perform everyday activities. Three focus group interviews were conducted, and a qualitative inductive thematic content analysis was used. The analysis resulted in one theme: struggling to improve the care recipients' opportunities for independence but being inhibited by complex environmental factors. By encouraging the care recipients to perform everyday activities, the staff perceived themselves to both maintain and improve their care recipients' independence and quality of life. An important goal for society and health care professionals is to improve older people's abilities to "age in place" and to enable them to age independently while maintaining their quality of life. A key resource is home help service staff, and this resource should be utilized in the best possible way.

  • 191.
    Cederbom, Sara
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    von Heideken Wågert, Petra
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Söderbäck, Maja
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Older women´s daily rhythm of activities in a supporting environment, Living with persistent musculoskeletal pain.2012Konferansepaper (Annet vitenskapelig)
  • 192.
    Cederbom, Sara
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    von Heideken Wågert, Petra
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Söderbäck, Maja
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    The importance of a daily rhythm in a supportive environment-  promoting ability in daily activities among older women livingalone with chronic pain2014Inngår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 36, nr 24, s. 2050-2058Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose: The aim of this study was to explore how older women living alone with chronic musculoskeletal pain, describe their ability in performing activities in everyday life and what could promote their ability in activities in everyday life as well as their perceived meaning of a changed ability to perform activities in everyday life. Method: Qualitative interviews were conducted with 12 women, and an inductive content analysis was used. Results: The results showed the importance of a daily rhythm of activities. Activities included in the daily rhythm were socializing with family and friends, physical activities, doing own activities as well as activities supported by relatives and the community. The activities described by the women also promoted their ability in activities in everyday life. Other findings were the women's perceived meaning of being independent and maintaining that independency, along with the meaning of accepting and adapting to a changed life situation. Conclusion: This paper concludes that it is important to be sensitive of individual needs regarding the daily rhythm of activities when health-care professionals intervene in the activities in everyday life of older women living alone, promote the women's independency, and enable them to participate in the community. 

  • 193.
    Cedersund, Elisabet
    et al.
    Linköping universitet.
    Brunnberg, Elinor
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Introduction2013Inngår i: New Tools in Welfare Research / [ed] Elinor Brunnberg and Elisabet Cedersund, Aarhus: Aarhus Universitetsforlag, 2013, s. 19-32Kapittel i bok, del av antologi (Fagfellevurdert)
  • 194.
    Chamoun, Charbel
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Före detta fängelseintagnas återanpassning till samhället2019Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
  • 195.
    Chatchumni, Manaporn
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Post-operative pain management practice: Current situation and challenges within nursing practice in a Thai context2016Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    Patients’ recovery after surgery is one of the most important health processes in planned hospital healthcare and has a direct impact on welfare and welfare systems. Therefore, what nurses do in the im­mediate postoperative period is of vital importance. This thesis addresses the question of understanding how nurses work in managing post-operative pain by exploring their daily nursing practices and experiences in responding to the patient in pain within a Thai cultural context.

    The project applied a qualitative methodology where the local culture and its day-to-day practices of pain management were studied by using observations, focus groups, in-depth interviews and a critical incident interview approach with nurses. Informants were recruited at a public hospital in Bangkok in a surgical ward. In all, 100 hours of observations, 39 interviews and 69 descriptions of critical incidents related to nurse’s pain management were gathered. The data analysis followed the principles of qualitative research.

    The findings showed that, although there is a clearly defined approach to pain management, the response system followed by the nurses to address patients’ pain is complex and includes much lead time between assessing patients’ pain and the nurses responding to the pain. Furthermore, nurses are caught in what is labeled a patient pa­radigm, where evidence of pain often is double- and triple-checked by scoring and recording signs that are then subject to confirmation by a third party. Underpinning this is a culture of pain management cultivated between the nurses that rests first and foremost on their own experiences and a working/professional culture where nurses offer each other practical help in urgent situations, but seldom discuss event-based strategies together. Nevertheless, when nurses described situations when they were successful in practicing pain management, they considered their own engagement and their availability of time, space and therapeutic options to be important.

    Keywords: Culture of nursing, Nursing in pain management, Pain assessment, Perception of pain, Pain management, Pain post-operative

  • 196.
    Chatchumni, Manaporn
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Namvongprom, Amaporn
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Eriksson, Henrik
    The Red Cross University College, Stockholm, Sweden.
    Mazaheri, Monir
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Engagement and availability shapes agency-based maneuvering in nurse’s pain management: A critical incident study2018Inngår i: Electronic Physician, ISSN 2008-5842, Vol. 10, nr 8Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Studies reporting inadequate nursing care for patients indicate that nurses are negatively affected in such situations, and research is needed to study nursing care in postoperative situations. 

    Objective: To describe situations of postoperative pain management in a surgical ward in Thailand.

    Methods: A qualitative approach using the Critical Incident Technique was chosen to investigate situations of postoperative pain management from the perspective of surgical nurses in Thailand. Data were collected through multiple semi-structured interviews with nine nurses over a five-week period.

    Results: The situations of surgical nurses described three elements that heavily influenced the quality of postoperative pain management: engagement in a trustful nurse-patient relationship, availability of pain medication and nursing care when needed, and imbalance between meeting the patient’s needs and completing routine nursing duties. 

    Conclusion: The results help to expand our understanding of how Thai nurses manage pain in postoperative situations and indicate areas that could be improved in terms of how nurses respond to patients’ pain. Nurses challenge existing guidelines and facilitate development of new nursing guidelines and/or policies in pain management.

  • 197.
    Chatchumni, Manaporn
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Namvongprom, Ampaporn
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Rangsit University, Pathum Thani, Thailand.
    Eriksson, Henrik
    The Red Cross University College, Stockholm, Sweden.
    Mazaheri, Monir
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. The Red Cross University College, Stockholm, Sweden.
    Thai Nurses' experiences of post-operative pain assessment and its' influence on pain management decisions2016Inngår i: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 15, nr 1, artikkel-id 12Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: While many studies have addressed various issues with regards to pain management, there is limited knowledge about how nurses assess pain in surgical wards. This study aimed to describe Thai nurses' experiences of pain assessment in a surgical ward.

    METHODS: A cross-sectional explorative study was conducted. Participants were selected through theoretical sampling. Data was collected through interviews with twelve registered nurses working in surgical wards. Qualitative content analysis guided the analysis of the data.

    RESULTS: Nurses use a double/triple check system, communicated to the healthcare team via records and protocols, and they used their skills and experiences in pain assessment. The results showed that nurses missed the opportunity to include the patients' self-reported pain in their accounts. Though much evidence of pain was collected, this did not seem to benefit the patients. Furthermore, the nurses were not using instruments to measure pain, which illustrates the potential unreliability of professionals who have differing opinions concerning the patients' pain.

    CONCLUSIONS: Thai nurses worked based on a 'patient-evidence' paradigm when assessing patients in pain; this should be shifted to an evidence-based paradigm. Furthermore, by including the patients' self-reported pain in their assessment, nurses would both improve the quality of the pain assessment and empower patients in their pain management. Pain management practices in Thailand should be improved through education, training, supportive innovation, and collegial competence development in order to improve the quality of care in the post-operative field.

  • 198.
    Chatchumni, Manaporn
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Namvongprom, Ampaporn
    Rangsit Univ, Sch Nursing, Rangsit, Thailand.
    Sandborgh, Maria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Mazaheri, Monir
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Eriksson, Henrik
    The Red Cross University College, Stockholm, Sweden.
    Nurses’ perceptions of patients in pain and pain management: a focus group study in Thailand2015Inngår i: Pacific Rim International Journal of Nursing Research, ISSN 1906-8107, Vol. 19, nr 2, s. 164-177Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In Thailand, nurses have a key role in the assessment of symptoms and advising on pain management in patients with post-operative in a surgical ward. This study provides insight into nurses’ perceptions of patients in pain and subsequent pain management. A focus group discussion method was used with 18 registered nurses working in surgical wards. The data were analysed using qualitative content analysis. The participants’ descriptions of their perceptions of patients in pain and pain management were condensed into four themes. Two themes revolved around their perceptions of patient pain, uncomfortable patient, and restricted mobility and changed mood. The two remaining themes comprised intolerable pain would be managed, and managing pain through our own experience seems to be of importance in their professional assumption that evidence-based practice is inadequate for patients’ postoperative care. It is suggested that nurses work to a organized pain assessment guideline and pain management models according to cultural contexts. This should be developed within an understanding of the nurse-patient relationship, and specifically holistic nursing models of care can play an important role in bridging the connection between training and practice, not only between personal and professional perceptions of pain and selected strategies, but also between professional knowledge and nurses’ perceptions of patients in pain.The findings may have relevance for other similar contexts and settings.

  • 199.
    Chen, Kenneth
    et al.
    Univ Queensland, Recover Injury Res Ctr, Herston, Qld, Australia.;Univ Queensland, NHMRC Ctr Res Excellence Rd Traff Injury Recovery, Herston, Qld, Australia..
    Andersen, Tonny
    Univ Southern Denmark, Dept Psychol, Odense M, Denmark..
    Carroll, Linda
    Univ Alberta, Sch Publ Hlth, Edmonton, AB, Canada..
    Connelly, Luke
    Univ Queensland, NHMRC Ctr Res Excellence Rd Traff Injury Recovery, Herston, Qld, Australia.;Univ Queensland, Ctr Business & Econ Hlth, PACE, Woollongabba, Qld, Australia.;Univ Bologna, Dept Sociol & Business Law, Bologna, Italy..
    Cote, Pierre
    Univ Ontario Inst Technol, Fac Hlth Sci, Oshawa, ON, Canada.;UOIT CMCC Ctr Disabil Prevent & Rehabil, Oshawa, ON, Canada.;Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada..
    Curatolo, Michele
    Univ Washington, Dept Anesthesiol & Pain Med, Seattle, WA 98195 USA..
    Elliott, James
    Univ Sydney, Fac Hlth Sci, Sydney, NSW, Australia.;Northwestern Univ, Dept Phys Therapy & Human Movement Sci, Feinberg Sch Med, Chicago, IL 60611 USA..
    Grant, Genevieve
    Univ Queensland, NHMRC Ctr Res Excellence Rd Traff Injury Recovery, Herston, Qld, Australia.;Monash Univ, Fac Law, Australian Ctr Justice Innovat, Melbourne, Vic, Australia..
    Jul, Gwendolen
    Univ Queensland, Sch Hlth & Rehabil Sci, Div Physiotherapy, St Lucia, Qld, Australia..
    Kasch, Helge
    Reg Hosp Viborg, Res Unit, Spinal Cord Injury Ctr Western Denmark, Viborg, Denmark.;Reg Hosp Viborg, Dept Neurol, Viborg, Denmark.;Aarhus Univ, Dept Clin Med, Aarhus, Denmark..
    MacDermid, Joy
    Western Univ, Sch Phys Therapy, Perth, WA, Australia.;St Josephs Hlth Ctr, Hand & Upper Limb Ctr, London, ON, Canada..
    Malmstrom, Eva-Maj
    Skane Univ Hosp, Dept Pain Rehabil, Lund, Sweden.;Lund Univ, Dept Clin Sci, Lund, Sweden..
    Maujean, Annick
    Univ Queensland, Recover Injury Res Ctr, Herston, Qld, Australia.;Univ Queensland, NHMRC Ctr Res Excellence Rd Traff Injury Recovery, Herston, Qld, Australia..
    McLean, Samuel A.
    Univ N Carolina, Dept Anesthesiol, Inst Trauma Recovery, Sch Med, Chapel Hill, NC 27515 USA..
    Nielsen, Mandy
    Chron Pain Australia, Sydney, NSW, Australia..
    Rebbeck, Trudy
    Univ Queensland, NHMRC Ctr Res Excellence Rd Traff Injury Recovery, Herston, Qld, Australia.;Univ Sydney, Fac Hlth Sci, Sydney, NSW, Australia..
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Sterling, Joanna
    Univ Queensland, Recover Injury Res Ctr, Herston, Qld, Australia..
    Treleaven, Julia
    Univ Queensland, Sch Hlth & Rehabil Sci, Div Physiotherapy, St Lucia, Qld, Australia..
    Walton, David M.
    Western Univ, Sch Phys Therapy, Perth, WA, Australia..
    Westergren, Hans
    Skane Univ Hosp, Dept Pain Rehabil, Lund, Sweden.;Lund Univ, Dept Clin Sci, Lund, Sweden..
    Sterling, Michele
    Univ Queensland, Recover Injury Res Ctr, Herston, Qld, Australia.;Univ Queensland, NHMRC Ctr Res Excellence Rd Traff Injury Recovery, Herston, Qld, Australia.;Griffith Univ, Menzies Hlth Inst Queensland, Parklands, Australia..
    Recommendations For Core Outcome Domain Set For Whiplash-Associated Disorders (CATWAD)2019Inngår i: The Clinical Journal of Pain, ISSN 0749-8047, E-ISSN 1536-5409, Vol. 35, nr 9, s. 727-736Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: Inconsistent reporting of outcomes in clinical trials of treatments for Whiplash-associated Disorders (WAD) hinders effective data pooling and conclusions that can be drawn about the effectiveness of tested treatments. The aim of this study was to provide recommendations for core outcome domains that should be included in clinical trials of WAD. Materials and Methods: A 3-step process was used: (1) A list of potential core outcome domains were identified from the published literature. (2) Researchers, health care providers, patients, and insurance personnel participated and rated the importance of each domain via a 3-round Delphi survey. A priori criteria for consensus were established. (3) Experts comprising researchers, health care providers, and a consumer representative participated in a multidisciplinary consensus meeting that made final decisions on the recommended core outcome domains. Results: The literature search identified 63 potential core domains. A total of 223 participants were invited to partake in the Delphi surveys, with 41.7% completing round 1, 45.3% round 2, and 51.4% round 3. Eleven core domains met the criteria for inclusion across the entire sample. After the expert consensus meeting, 6 core domains were recommended: Physical Functioning, Perceived Recovery, Work and Social Functioning, Psychological Functioning, Quality of Life, and Pain. Discussion: A 3-step process was used to recommend core outcome domains for clinical trials in WAD. Six core domains were recommended: Physical Functioning, Perceived Recovery, Work and Social Functioning, Psychological Functioning, Quality of Life, and Pain. The next step is to determine the outcome measurement instruments for each of these domains.

  • 200.
    Choowong, Jiraporn
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Barriers, Enablers and challenges in the practice of directly observed treatment for tuberculosis patients in a local Thai community2017Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    Tuberculosis (TB) has presented a challenge to the public health community in Thailand, especially as regards patient adherence to TB treatment. Direct observed treatment (DOT) is recommended for promoting patient adherence to TB treatment. There is good evidence that DOT can significantly increase the patient adherence to TB treatment. However, the implementation of DOT has complex relationships to socioeconomic factors and Thai context issues. 

    The overall aim was (1) to obtain a deeper understanding of what happens when the DOT is practised in a local Thai community, and (2) to generate knowledge for improving the implementation of DOT, and thereby improve patient adherence to TB treatment.

    The empirical data were collected in Trang province, in the southern region of Thailand, between 2013 and 2015. The sample of study I consisted of five District TB Coordinators and five TB clinic staff from the public health sectors in rural and urban areas. Phenomenographic analysis was used. Study II: Five focus group discussions were conducted with 25 village health volunteers and six family members; manifest and latent content analysis was used for the analysis. Study III: Twenty TB patients were interviewed, using grounded theory methodology. Study IV: A mixed-method systematic review was accessed through databases. Data from the selected studies were extracted and synthesized using thematic analysis. 

    The fear of stigma of TB patients was considered a significant barrier to the practice of DOT and adherence to TB treatment (studies I, II and III). Lack of TB knowledge and skills among DOT observers were revealed as barriers to the practice of DOT (studies I and II). At the same time, social facilitation and TB patients’ positive thinking and self-awareness were considered enablers of patient adherence to TB treatment (studies I and III). Another result is to provide an empowerment approach for DOT observers, who, in turn, will increase the empowerment of TB patients to achieve adherence to TB treatment  (study IV).

    This thesis contributes a deeper understanding of the perspective of healthcare providers, DOT observers and TB patients when DOT is practised in a local Thai community. A challenge from these results is to provide an empowerment approach towards DOT observers. The results of this thesis will be useful for policy-makers who will consider strategies for improving the implementation of DOT and enabling patient adherence to TB treatment in the Thai context.

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