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  • 151.
    Bogg, Lennart
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Söderbäck, Maja
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Tillgren, Per
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Thailand and Sweden as welfare regimes: examples from the healthcare sector2014Konferensbidrag (Refereegranskat)
    Abstract [en]

    The characteristics of a welfare state is largely related to social justice and welfare reforms. This is mainly in the form of legislation, economic transfers and services that help to ensure that all citizens receive a basic economic security and access to services such as health care and nursing. A key factor for this is a country's economy and political will. In Thailand, there was a strong economic growth during the 1970s. The corresponding development in Sweden took place in the mid 1940's. Health and welfare is the main area of collaboration between the Ministry of Health in Thailand and Mälardalen University. The aim of this study is from a welfare perspective, a comparison of the similarities and differences in the basic elements of the health care systems in Thailand and Sweden.

    The study is based on analysis of national policy documents from Thailand and Sweden as well as from United Nations Agency.

    Both countries emphasize health and welfare from a social rights perspective in constitutions and other laws. E.g. the Thailand Constitution of 2007 states that a person shall enjoy an equal right to receive standard public health service, and the indigent shall have the right to receive free medical treatment from State's infirmary. The Swedish Constitution recognizes that the personal, economic and cultural welfare should be the fundamental goal of public activity through, among other things promote social care and social security, and good conditions for health. In the Swedish Health Care Act of 1982, the goal is a good health and care on equal terms for the entire population.

    Both Thailand and Sweden have a national system of Universal Health Coverage (UHC), which is defined according to World Health Organization (WHO) as ensuring that all people can use the promotive, preventive, curative, rehabilitative and palliative health services they need, of sufficient quality to be effective, while also ensuring that the use of these services does not expose the user to financial hardship.

    In terms of selected indicators shows for the year 2012 that the Total health expenditure (THE) % of Gross Domestic Product (GDP) amounts in Thailand 4% and 10% in Sweden, general government expenditure on health as % of GDP are 3% resp. 8%, prevention and public health services are 9 resp. 4%, physician density per 1,000 population 0.3 resp. 3.9. The proportion of beds at public/private hospitals are 78/21% resp. 99/1%.

    The example from the health care system shows that the two countries have legislation that emphasizes health as a social right and a public financing of health care. In terms of specific indicators, there are wide variations in terms of costs to society and the individual including prevention and public health services, access to doctors and proportion of beds in public and private hospitals.

  • 152.
    Bohlin, Henrik
    et al.
    Södertörns högskola, Sweden.
    Håkansson Eklund, JakobMälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Empati: Teoretiska och praktiska perspektiv2013Samlingsverk (redaktörskap) (Övrigt vetenskapligt)
  • 153.
    Boij, Anita
    et al.
    Veta Mera Boij AB, Skövde, Sweden.
    Nilsson, Maria
    Umeå universitet, Sweden.
    Odén, Niklas
    A Non Smoking Generation, Sweden.
    Tillgren, Per
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Kunskapsbaserat tobaksförebyggande arbete i skolan: A Non Smoking Generations (NSG) flerkomponentsprogram2018Ingår i: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 95, nr 4, s. 432-444Artikel i tidskrift (Refereegranskat)
  • 154. Bonn, S. E.
    et al.
    Holmberg, E.
    Regional Cancer Center Western Sweden, Gothenburg, United States.
    Hugosson, J.
    Karolinska Institutet, Stockholm, Sweden.
    Bälter, Katarina
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Is leisure time sitting associated with mortality rates among men diagnosed with localized prostate cancer?2020Ingår i: European Journal of Cancer Prevention, ISSN 0959-8278, E-ISSN 1473-5709, Vol. 29, nr 2, s. 134-140Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: Being physically active postdiagnosis has been associated with lower rates of prostate cancer progression and mortality, but studies investigating postdiagnostic time spent sitting are lacking. We aim to study the association between leisure time sitting after a prostate cancer diagnosis and overall and prostate cancer-specific mortality. METHODS: Data from 4595 men in Sweden, diagnosed with localized prostate cancer between 1997-2002 and followed-up until the end of 2012, were analyzed. Time spent sitting during leisure time postdiagnosis was categorized into <2, 2-3, 3-4, and >4 h/day. Multivariable-adjusted Cox proportional hazards models were used to estimate hazard ratios (HRs) with 95% confidence intervals (CI) of postdiagnosis leisure time sitting and a joint variable of sitting time and exercise, and time to overall or prostate cancer-specific death. RESULTS: The results showed no significant associations between postdiagnostic leisure time sitting and overall or prostate cancer-specific mortality rates. When the joint effect of both sitting and exercise time was considered, borderline significantly lower mortality rates for overall and prostate cancer-specific mortality were seen among participants that sat the least and exercised the most compared to the reference category with participants sitting the most and exercising least (HR: 0.75; 95% CI: 0.56-1.00 and HR: 0.61; 95% CI: 0.36-1.05, respectively). CONCLUSIONS: No significant association between leisure time sitting and mortality rates among men diagnosed with localized prostate cancer was seen. This study does not support an association between leisure time sitting per se; however, being physically active may have beneficial effects on survival among men diagnosed with localized prostate cancer.

  • 155.
    Borg, S.
    et al.
    Linköping University, Sweden.
    Öberg, B.
    Linköping University, Sweden.
    Nilsson, L.
    Linköping University, Sweden.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Bäck, M.
    Linköping University, Sweden.
    The role of a behavioural medicine intervention in physiotherapy for the effects of rehabilitation outcomes in exercise-based cardiac rehabilitation (ECRA) - the study protocol of a randomised, controlled trial2017Ingår i: BMC Cardiovascular Disorders, ISSN 1471-2261, E-ISSN 1471-2261, Vol. 17, nr 1, artikel-id 134Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: To help patients with coronary artery disease (CAD) benefit from the positive health effects attained by exercise-based cardiac rehabilitation (CR), adherence to these programmes according to international guidelines is important. Strategies to increase adherence to exercise-based CR are mainly an unexplored area. The objective of this study is to investigate the effects of a behavioural medicine intervention in physiotherapy, containing goal-setting, self-monitoring and feedback, with the aim of improving rehabilitation outcomes for exercise-based CR, compared with usual care. Methods: This is a randomised, controlled trial. A total of 160 patients with CAD will be included consecutively at the Coronary Care Unit at a university hospital in Sweden. Patients are randomised 1:1 using sealed envelopes to usual care or a behavioural medicine intervention in physiotherapy, in addition to usual care for 4 months. Outcome assessment at baseline, 4 and 12 months includes submaximal aerobic capacity (primary outcome), exercise adherence, muscle endurance, level of physical activity, biomarkers, anxiety and depression, health-related quality of life, patient enablement and self-efficacy (secondary outcomes). Discussion: This is the first study to evaluate the role of an integrated behavioural medicine intervention in exercise-based CR in the effects of rehabilitation outcomes. The results of this study will provide valuable information about the effect of these interventions in exercise-based CR and it has the potential to inform and assist in further treatment in secondary prevention for patients with CAD. Trial registration: The study include all items from the World Health Organization Trial Registration Data Set. Trial registration number: NCT02895451, 2016-08-16, retrospectively registered. 

  • 156.
    Bose, C. Nahlen
    et al.
    Karolinska Inst, Stockholm, Sweden..
    Bjorling, G.
    Karolinska Inst, Stockholm, Sweden.;Red Cross Univ Coll, Stockholm, Sweden..
    Elfström, Magnus
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Persson', H.
    Karolinska Inst, Dept Clin Sci, Danderyd Hosp, Stockholm, Sweden..
    Saboonchi, F.
    Karolinska Inst, Stockholm, Sweden.;Red Cross Univ Coll, Stockholm, Sweden..
    ASSESSMENT OF COPING IN A CHRONIC HEART FAILURE PATIENT POPULATION: THE BRIEF COPE RESTRUCTURED2014Ingår i: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 21, s. S17-S17Artikel i tidskrift (Övrigt vetenskapligt)
  • 157.
    Bose, C. Nahlen
    et al.
    Karolinska Inst, Stockholm, Sweden.
    Bjorling, G.
    Karolinska Inst, Stockholm, Sweden.
    Elfström, Magnus
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Persson, H.
    Karolinska Inst, Stockholm, Sweden.
    Saboonchi, F.
    Karolinska Inst, Stockholm, Sweden.
    Implementation of coping effectiveness training in patients with chronic heart failure: participants evaluations indicate psychosocial benefits2015Ingår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 14, s. S10-S10Artikel i tidskrift (Refereegranskat)
  • 158.
    Bose, C. Nahlen
    et al.
    Karolinska Inst, Dept Clin Sci, Danderyd Hosp, Stockholm, Sweden.;Swedish Red Cross Univ Coll, Stockholm, Sweden..
    Persson, H.
    Karolinska Inst, Dept Clin Sci, Danderyd Hosp, Stockholm, Sweden..
    Bjorling, G.
    Karolinska Inst, Dept Clin Sci, Danderyd Hosp, Stockholm, Sweden.;Swedish Red Cross Univ Coll, Stockholm, Sweden..
    Ljunggren, G.
    Karolinska Inst, LIME, Stockholm, Sweden.;Stockholm Cty Council, Publ Healthcare Serv Comm Adm, Stockholm, Sweden..
    Elfström, Magnus
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Saboonchi, F.
    Swedish Red Cross Univ Coll, Stockholm, Sweden.;Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden..
    Evaluation of a coping effectiveness training intervention in patients with chronic heart failure a randomized controlled trial2016Ingår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 15, s. S1-S1Artikel i tidskrift (Övrigt vetenskapligt)
  • 159.
    Breitholtz, Agneta
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Snellman, Ingrid
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Fagerberg, Ingegerd
    Ersta Sköndal University College, Stockholm, Sweden, Karolinska Institutet, Stockholm.
    Carers’ ambivalence in conflict situations with older persons2013Ingår i: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 20, nr 2, s. 226-237Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [en]

    The aim of this study was to illuminate the meaning of professional carers’ experiences in caring situations when a conflict of interest arises with the older person receiving care. The findings reveal the complexity of the carers’ ambivalence when facing a conflict of interest, weighing between the older persons’ right to self-determination and external demands. The carers are alone in their ambivalence and the conclusion is that they need help and support to be more present in the encounter. The implication for this study is a person-centred practice, and to focus on people as interdependent on support carers to maintain older people’s right to self-determination in the relationship.

  • 160.
    Breitholtz, Agneta
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
    Snellman, Ingrid
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Fagerberg, Ingegerd
    Department of Health Care Sciences of Ersta Sköndal University College and Researcher.
    Older people’s dependence on caregivers’ help in their own homes and their lived experiences of their opportunity to make independent decisions2013Ingår i: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 8, nr 2, s. 139-148Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to illuminate the meaning of older people’s dependence on caregivers’ help, and of their opportunity to make independent decisions.

    Background. Throughout the world, the older population is growing, and in Sweden, the system of care for older people is currently undergoing change. Older people in the need of care are expected to live at home for as long as possible.

    Design.A qualitative and life world approach was used.

    Methods. Audio-taped interviews were conducted with twelve older persons living at home, dependent on daily municipal home help service. A phenomenological hermeneutic method was utilised to disclose the meanings of lived experiences.

    Finding. The findings revealed three themes : being facilitated to make one’s own decisions, being hindered from making one’s own decisions, struggling for vs. resigning oneself to losing the opportunity to make one’s own decisions.

    The comprehensive understanding revealed that as older people become more dependent on caregivers’ help, their opportunity to self-determine is challenged and this is stressful for them.

    Conclusion. The older persons assess their opportunity to self-determine differently, depending on who they are as a person. The caregivers need an awareness of this, and further research is needed to gain knowledge and understanding of how caregivers can improve the way they support and enhance older people’s opportunity to decide for themselves.

    Implications for practice. The findings revealed older persons need to exercise more self-determination and caregivers’ need for knowledge to enable this. Further, it indicates a move towards a person-centred approach to focus on persons as individuals and see them as interdependent. The findings contribute to improvements in similar contexts worldwide.

  • 161.
    Bring, Annika
    et al.
    Uppsala University.
    Bring, Johan
    University of Gävle.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Wasteson, Elisabeth
    Mid Sweden University.
    Åsenlöf, Pernilla
    Uppsala University.
    Coping patterns and their relation to daily activity, worries, depressive mood, and pain intensity in acute Whiplash Associated Disorders2013Ingår i: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 20, nr 2, s. 293-303Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND:

    There is a lack of knowledge regarding how individuals with acute whiplash-associated disorders (WAD) appraise and cope with situation-specific stressors.

    PURPOSE:

    The aim of the study was to describe the daily process of coping reported in a daily coping assessment by individuals with acute WAD within 1 month after the accident. More specifically, profiles of coping strategies were identified and patterns between stressors, primary and secondary appraisals, and coping strategy profiles were described in relation to reported level of activity, worries, depressed mood and pain intensity during the day.

    METHOD:

    A descriptive and exploratory design was applied. Two hundred and twenty-nine whiplash-associated disorders-daily coping assessment (WAD-DCA) collected during seven consecutive days from 51 participants with acute WAD in Sweden, were included. Cluster analysis was used to obtain coping strategy profiles and data were graphically visualised as patterns through the coping process.

    RESULTS:

    When measuring coping as a daily process relating to the specific stressful situation, different coping process patterns appeared. During days with a high degree of physical and mental well-being, high self-efficacy beliefs seemed to be working as an important secondary appraisal, whereas during days with a low degree of physical and mental well-being primary appraisals of the stressor as a threat and catastrophic thoughts were present in the coping process.

    CONCLUSIONS:

    Early identification of situational- and individual-specific stressors, appraisals and coping efforts as measured by the WAD-DCA may contribute to the understanding of the coping process in the acute stage of WAD and its possible impact on recovery and adjustment.

  • 162.
    Bring, Annika
    et al.
    Uppsala University, Sweden.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Wasteson, Elisabeth
    Mid Sweden University, Sweden.
    Åsenlöf, Pernilla
    Uppsala University, Sweden.
    Daily stressors in patients with acute Whiplash Associated Disorders2012Ingår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 34, nr 21, s. 1783-1789Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: Stressors in acute whiplash associated disorders (WAD), as reported on a daily basis, have hitherto been neglected in research. The primary aim of this study was to describe the most stressful daily situation or event reported by individuals with acute WAD within a month of a whiplash trauma. Another aim was to describe the meaning and significance of these daily stressors, i.e. primary appraisal. Method: A descriptive design with a content analysis approach was used. 260 WAD-daily coping assessments (WAD-DCA) generated during 1 week by 51 participants with acute WAD were included in the study. Stressors were analysed using qualitative content analysis. Results: The reported stressors generated 13 categories covering a wide range of stressful situations in daily life related to (i) work, (ii) physical symptoms, (iii) feelings and cognitions, (iv) family and home responsibilities and (v) recreation. The majority of the stressors were appraised as "expected" as well as "disabling". Most threatening stressors were related to work, driving and feelings/cognitions. Conclusions: The wide variety of stressors indicates that it is not only pain itself that influences daily life in acute WAD. Early identification of individual and situation-specific stressors gives new data regarding what bothers individuals suffering from WAD after a collision and may be helpful in understanding the coping process in relation to specific stressors and stressor appraisals

  • 163.
    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 study2010Ingår i: European Journal of Pain, ISSN 1090-3801, E-ISSN 1532-2149, Vol. 13, nr S1, s. S265-Artikel i tidskrift (Refereegranskat)
  • 164.
    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.2016Konferensbidrag (Refereegranskat)
  • 165.
    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 trial2016Ingår i: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 30, nr 5, s. 187-188, artikel-id Meeting Abstract: O579Artikel i tidskrift (Refereegranskat)
  • 166.
    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 trial2016Ingår i: Clinical Rehabilitation, ISSN 0269-2155, E-ISSN 1477-0873, Vol. 30, nr 5, s. 441-453Artikel i tidskrift (Refereegranskat)
    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.

  • 167.
    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 (Övrigt vetenskapligt)
  • 168.
    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 familjesystem2015Ingår i: Migration och etnicitet: Perspektiv på ett mångkulturellt Sverige / [ed] Mehrdad Darvishpour & Charles Westin, Lund: Studentlitteratur AB, 2015, 2, s. 219-248Kapitel i bok, del av antologi (Refereegranskat)
    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).

  • 169.
    Brunnberg, Elinor
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Focus groups with creative elements, PI-interviews2013Ingår i: New Tools in Welfare Research / [ed] Elinor Brunnberg and Elisabet Cedersund, Aarhus: Aarhus Universitetsforlag, 2013, s. 113-122Kapitel i bok, del av antologi (Refereegranskat)
  • 170.
    Brunnberg, Elinor
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Mälardalen Research Center.
    JANUSZ KORCZAK AND THE RIGHTS OF THE CHILD2015Ingår i: Golden Research Thoughts, ISSN 2231-5063, Vol. 4, nr 9, s. 1-4Artikel i tidskrift (Refereegranskat)
    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).

    ,

  • 171.
    Brunnberg, Elinor
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Narratives from children in vulnerable situations2013Ingår i: New Tools in Welfare Research / [ed] Elinor Brunnberg and Elisabet Cedersund, Aarhus: Aarhus Universitetsforlag, 2013, s. 59-84Kapitel i bok, del av antologi (Refereegranskat)
  • 172.
    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 (Övrigt vetenskapligt)
    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

  • 173.
    Brunnberg, Elinor
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Release of sensitation Kit: Men for women's health2015Ingår i: An International and gender perspective of mens and womens  movement for women's health, Pune, Indien, 2015Konferensbidrag (Övrig (populärvetenskap, debatt, mm))
  • 174.
    Brunnberg, Elinor
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    The life of children in sheltered housing2015Ingår i: Rights of Children in the Nordic Welfare States / [ed] Gro Hellesdatter Jacobsen, Aarhus: Aarhus Universitetsforlag , 2015Kapitel i bok, del av antologi (Refereegranskat)
    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.

  • 175.
    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 (Övrigt vetenskapligt)
    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.

  • 176.
    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 care2014Ingår 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. 21-27Konferensbidrag (Övrigt vetenskapligt)
  • 177.
    Brunnberg, Elinor
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Cedersund, ElisabetLinköpings universitet.
    New Tools in Welfare Research2013Proceedings (redaktörskap) (Refereegranskat)
    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.

  • 178.
    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 skolan2016Ingår i: Skolans möte med nyanlända / [ed] Pirjo Lahdenperä och Eva Sundgren, Liber, 2016, s. 111-132Kapitel i bok, del av antologi (Refereegranskat)
    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

  • 179.
    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 lärande2016Ingår 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. 167-177Kapitel i bok, del av antologi (Övrig (populärvetenskap, debatt, mm))
  • 180.
    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 livssituationer2016Ingår i: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 93, nr 1, s. 82-97Artikel i tidskrift (Refereegranskat)
    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.

  • 181.
    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 Thailand2016Ingår i: Joint World Conference on Social Work, Education and Social Development 2016, 2016Konferensbidrag (Refereegranskat)
  • 182.
    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 (Övrigt vetenskapligt)
    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.

  • 183.
    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 (Övrigt vetenskapligt)
    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.

  • 184.
    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 research2013Ingår i: New Tools in Welfare Research / [ed] Elinor Brunnberg and Elisabet Cedersund, Aarhus: Aarhus university Press/NSU Press , 2013, s. 123-144Kapitel i bok, del av antologi (Refereegranskat)
  • 185.
    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 (Övrigt vetenskapligt)
    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.

     

  • 186.
    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 Netherlands2015Ingår i: The International Journal of Children's Rights, ISSN 0927-5568, E-ISSN 1571-8182, Vol. 23, nr 3, s. 569-601Artikel i tidskrift (Refereegranskat)
    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.

  • 187.
    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.2015Ingår i: Golden Research Thoughts, ISSN 2231-5063, Vol. 4, nr 7Artikel i tidskrift (Refereegranskat)
    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.

  • 188.
    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 Sweden2018Ingår i: European Journal of Social Work, ISSN 1369-1457, E-ISSN 1468-2664, Vol. 21, nr 2, s. 181-192Artikel i tidskrift (Refereegranskat)
    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.

  • 189.
    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 Sweden2018Ingår i: Journal of Social Welfare and Family Law, ISSN 0964-9069, E-ISSN 1469-9621, Vol. 40, nr 4, s. 426-440Artikel i tidskrift (Refereegranskat)
    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.

  • 190.
    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 study2019Konferensbidrag (Övrigt vetenskapligt)
    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.

  • 191.
    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 study2017Ingår i: Archives of Public Health, ISSN 0778-7367, E-ISSN 2049-3258, Vol. 75, nr 1, artikel-id 17Artikel i tidskrift (Refereegranskat)
    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. 

  • 192.
    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 participants2018Ingår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 15, nr 2, artikel-id 303Artikel i tidskrift (Refereegranskat)
    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.

  • 193.
    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 ohälsa2019Ingår i: Tidskrift för Genusvetenskap, ISSN 1654-5443, E-ISSN 2001-1377, Vol. 40, nr 1, s. 73-95Artikel i tidskrift (Refereegranskat)
    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.

  • 194.
    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 householdsIngår i: European Journal of Social Work, ISSN 1369-1457, E-ISSN 1468-2664Artikel i tidskrift (Refereegranskat)
    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.

  • 195.
    Carlmark, Christofer
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Högskolestudenter och alkohol: Akademisk locus of control i förhållande till alkoholrelaterade studieproblem2015Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    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.

  • 196.
    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 perspektiv2014Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    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. 

  • 197.
    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 study2015Ingår i: BMC Family Practice, ISSN 1471-2296, E-ISSN 1471-2296, Vol. 16, nr 1, artikel-id 21Artikel i tidskrift (Refereegranskat)
    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.

  • 198.
    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 study2017Ingår i: European Early Childhood Education Research Journal, ISSN 1350-293X, E-ISSN 1752-1807, Vol. 25, nr 1, s. 122-135Artikel i tidskrift (Refereegranskat)
    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.

  • 199.
    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 trial2017Ingår i: Journal of Pain Research, ISSN 1178-7090, E-ISSN 1178-7090, Vol. 10, s. 845-853Artikel i tidskrift (Refereegranskat)
    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. 

  • 200.
    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 study2014Ingår i: Clinical Interventions in Aging, ISSN 1176-9092, E-ISSN 1178-1998, Vol. 9, s. 1383-1397Artikel i tidskrift (Refereegranskat)
    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.

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