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  • 51.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Linköpings universitet, Socialt arbete.
    Dementia care and  “best practice”- in everyday life until end of life2018In: International Conference Innovation, Prevention and Care for NCDs and Global Health,, 2018Conference paper (Refereed)
  • 52.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Examples of  support to staff in  care work  for and with persons with dementia: 2018Conference paper (Other (popular science, discussion, etc.))
  • 53.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    ”KÖP –projektet”: Kunskapsöversikt för praktiker, BEST PRACTICE Äldreomsorg2017Conference paper (Other academic)
  • 54.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Methods in social care work for older persons with dementia- from daily life to end of life2018In: Nationell forskningskonferens i socialt arbete; Abstractsammanställning av Sara Thunberg, Daniel Uhnoo, Anders Bruhn / [ed] Anders Bruhn och Åsa Källström, Örebro: Örebro University , 2018Conference paper (Other academic)
  • 55.
    Anbäcken, Els-Marie
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Almqvist, Anna-Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Johansson, Carl
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Kinugasa, Kazushige
    Obata, Miho
    Doshisha University, Japan.
    Hyun, Jinhee
    Daegu University, South Korea.
    Lee, Jinsook
    Daegu University, South Korea.
    Park, Young Joon
    Daegu University, South Korea.
    Older adults and care: reshaped family roles in societal change: A comparative study of Japan, South Korea, and Sweden2021In: Aging and the Family: Understanding Changes in Structural and Relationship Dynamics / [ed] Patricia Neff Claster; Sampson Lee Blair, Bingley, UK: Emerald Group Publishing Limited, 2021, 1, p. 1-38Chapter in book (Refereed)
    Abstract [en]

    Purpose: The aim is to explore how family relations are affected by societal

    changes in relation to informal and formal caregiving and self-determination

    of older adults.

    Design/methodology/approach: Care managers (CMs)/social workers (SWs)

    (N = 124) participated in a comparative vignette study including Japan, South

    Korea, and Sweden. Systems theory was used.

    Findings: Japanese CMs/SWs clearly describe their efforts to create networks

    in a relational way between formal and informal actors in the community. South

    Korean CMs/SWs balance between suggesting interventions to support daily

    life at home or a move to a nursing home, often acknowledging the family as the

    main caregiver. In Sweden, CMs/SWs highlight the juridical element in meeting

    the older adult and the interventions offered, and families primarily give social

    support. Regarding self-determination, the Japanese priority is for CMs/SWs

    to harmonize within the family and the community. South Korean CMs/SWs

    express ambivalent attitudes to older adults’ capability for self-determination in

    the intersection between formal and family care. Swedish CMs/SWs adhere to

    the older adult’s self-determination, while acknowledging the role of the family

    in persuading the older adult to accept interventions. The results suggest emerging

    defamilialization in South Korea, while tendencies to refamilialization are

    noticed in Japan and Sweden, albeit in different ways.

    Research limitations/implications: In translation, nuances may be lost. A

    focus on changing families shows that country-specific details in care services

    have been reduced. For future research, perspectives of “care” need to be studied

    on different levels.

    Originality/value: Using one vignette in three countries with different welfare

    regimes, discussing changing views on families’, communities’ and societal caregiving

    is unique. This captures changes in policy, influencing re- and defamilialization.

  • 56.
    Anbäcken, Els-Marie
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Gustafsson, Lena-Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Elfström, Magnus
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Zander, Viktoria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    A holistic way ofworking interprofessionally in home care with and for older people2016Conference paper (Refereed)
  • 57.
    Anbäcken, Els-Marie
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Linköpings universitet, Socialt arbete.
    Hashimoto, Masaaki
    Inagaki, Mikako
    Yamamoto, Etsuko
    Hellström, Linda
    Nilsson, Karin
    Voices from inside. A study of nursing home residents´ views of life, ageing and care in Japan and Sweden2008In: Older people in an international local context: The cases of Japan and Sweden / [ed] Els-Marie Anbäcken & Yasuhito Kinoshita, Stockholm: Dreamforce , 2008, 1, p. 165-213Chapter in book (Other academic)
  • 58.
    Anbäcken, Els-Marie
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Zander, Viktoria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Bondesson, Anna
    Mälardalen University, School of Health, Care and Social Welfare.
    Pettersson, Tina
    Mälardalen University, School of Health, Care and Social Welfare.
    Gustafsson, Lena-Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Team-Talk and Time; keys to support in complex care of older adults at home2021In: ECSWR 2021 10th European Conference for social work research: Book of abstracts, 2021, p. 215-Conference paper (Refereed)
  • 59.
    Andersen, Kajsa
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Yagiz, Elisabeth
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    KULTURELL INDIVIDANPASSADPALLIATIV OMVÅRDNAD: En systematisk litteraturstudie utifrån sjuksköterskors perspektiv2021Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Patients with a non-European cultural background may experience thatpalliative care does not meet their cultural needs. Due to communication difficulties such aslanguage differences and other cultural factors that may affect communication, patients mayexperience these as an obstacle to having their cultural needs fulfilled. Palliative care shouldbe based on a holistic view of the human being, where mental, social and existential needsneed to be accounted for. The theory of transcultural care aims to understand the humanperspective from the persons cultural perspective. Aim: To describe nurses' experiences ofproviding palliative care to patients with a non-European cultural background. Method: Aqualitative systematic literature study with a descriptive synthesis. Result: Based on theanalysis, two themes emerged; to meeting cultural barriers and to face another culture.Based on the first theme to meeting cultural barriers, three sub-themes emerged, linguisticdifferences, finding good ways to communicate and the lack of cultural competence. Basedon the second theme, to face another culture, two sub-themes emerged, meeting the patient'scultural needs and taking into account the human being regardless of cultural background.Conclusion: The nurses experienced several challenges in creating a culturally adaptedpalliative care for patients with a non-European cultural background. Nurses experiencedthese challenges due to lack of knowledge and lack of understanding of the patient's culturalneeds.

  • 60.
    Andersson, Anna Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Everyday functioning in six year-old children born preterm: From a child perspective towards the child's perspective2017Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The overall aim of the thesis was to explore everyday functioning in six year-old children born preterm, from the children’s perspectives and from their parents’ perspectives. The relation between everyday functioning and neonatal risk factors, behavioural characteristics was studied with descriptive and correlational statistics, ANOVA and multiple linear regression (I). Patterns of everyday functioning were explored in a cluster analysis following a person-oriented approach (II). In a mixed method approach, the children’s and their parents’ perceptions on children’s competence in everyday activities were explored with a pictorial instrument and analysed with descriptive statistics and qualitative content analysis (III). The children’s perceptions of meaningful everyday life situations were explored in a photo voice study, analysed with qualitative content analysis. In total, 144 children born preterm and 222 children born at term and their parents were involved.

    The results indicated that from the parents’ perspective most children born preterm and full-term were perceived with strong everyday functioning featuring strong motor, process and communication skills, a positive interaction pattern and low levels of behaviour problems. As a group, the children born very preterm were perceived weaker in their everyday functioning than the full-term group but the pattern of performance skills, interaction and behaviour varied similar to that of children born full-term. Further, it was found that preterm birth was not the main predictor, instead hyperactivity had most influence on everyday functioning. Moreover, the children born preterm perceived themselves to be overall strong performers of everyday activities. They wanted to be active and do things and for that they wanted to have skills and significant others i.e. siblings, parents, friends and pets to interact with and to feel safe and loved. Further, the children born preterm expressed a will to develop, improve and gain new skills and to have more opportunities to do meaningful things.

    In conclusion, the results in this thesis indicate that young children born preterm are able to reflect on their everyday functioning, and express needs and desires for their participation in meaningful everyday life situations. Moreover, preterm birth is not the sole predictor of everyday functioning more critical is the interaction of individual, behavioural and contextual factors.     

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  • 61.
    Andersson, Anna Karin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Almqvist, Lena
    Mälardalen University, School of Health, Care and Social Welfare.
    Strand Brodd, Katarina
    Martin, Lene
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Born too soon: a project about everyday functioning, health and welfare2014Conference paper (Refereed)
  • 62.
    Andersson, Anna Karin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Martin, Lene
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Strand Brodd, K.
    Uppsala University, Sweden.
    Almqvist, Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Patterns of everyday functioning in preschool children born preterm and at term2017In: Research in Developmental Disabilities, ISSN 0891-4222, E-ISSN 1873-3379, Vol. 67, p. 82-93Article in journal (Refereed)
    Abstract [en]

    Background/Aim Children born preterm are at risk of neonatal complications but the long-term consequences for everyday functioning is not well known. The study aimed to identify patterns of everyday functioning in preschool children born preterm and at term in relation to perinatal data, neonatal risk factors, behaviour, and socioeconomic status. Registry data and data from parent rated questionnaires were collected for 331 children. Method A person-oriented approach with a cluster analysis was used. Results A seven cluster solution explained 65.91% of the variance. Most children (n = 232) showed patterns of strong everyday functioning. A minority of the children (n = 99), showed diverse patterns of weak everyday functioning. Perinatal characteristics, neonatal risk factors and socio-economics did not predict cluster group membership. Children born preterm were represented in all clusters. Conclusion, implications Most preschool children are perceived by their parents with strong everyday functioning despite being born preterm. However small groups of children are, for various reasons, perceived with weak functioning, but preterm birth is not the sole contributor to patterns of weak everyday functioning. More critical for all children's everyday functioning is probably the interaction between individual factors, behavioural factors and contextual factors. To gain a broader understanding of children's everyday functioning. Child Health Services need to systematically consider aspects of body function, activity and in addition participation and environmental aspects.

  • 63.
    Andersson, Anna Karin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Martin, Lene
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Strand Brodd, K.
    Uppsala University, Sweden.
    Almqvist, Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Predictors for everyday functioning in preschool children born preterm and at term2016In: Early Human Development, ISSN 0378-3782, E-ISSN 1872-6232, Vol. 103, p. 147-153Article in journal (Refereed)
  • 64.
    Andersson, Anna Karin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Martin, Lene
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Strand Brodd, Katarina
    Almqvist, Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Childrens and parents percpetions of everyday functioning in preschool children born preterm2017Conference paper (Refereed)
  • 65.
    Andersson, Ann-Katrin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Sköld, Peter
    Mälardalen University, School of Health, Care and Social Welfare.
    "Personalen måste hjälpa mig att resa mig upp": Erfarenheter av hälsofrämjande motivationsarbete inom rättspsykiatrisk vård2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Tidigare forskning har visat att patienter inom rättspsykiatrisk slutenvård lider av övervikt och svår fetma i högre grad än någonsin tidigare. Betydelsen av en positiv förstärkning från vårdpersonalen är viktig för att patienterna ska orka fullfölja sina livsstilförändringar. Syftet med studien är att beskriva sjuksköterskors och patienters erfarenheter av hälsofrämjande motivationsarbete inom rättspsykiatrisk vård. Studien har en kvalitativ ansats där författarna har använt semistrukturerade intervjufrågor. Författarna har intervjuat fem sjuksköterskor och fem patienter. Intervjuerna har bearbetats utifrån en kvalitativ innehållsanalys. I resultatet framkommer att sjuksköterskor erfar att det är svårt med motivationsarbetet då vården styrs av regler och struktur, men att även strukturen ligger till grund för motivationsarbetet. Sjuksköterskornas erfarenheter är att det gör skillnad i det hälsofrämjande motivationsarbetet när de har en relation med patienterna. Deras erfarenhet är även att de har sig själva som verktyg vilket speglar av sig till patienterna. Patienterna erfar att vårdens struktur är byråkratisk, vilket bidrar till bristande motivation i det hälsofrämjande arbetet. Engagerad vårdpersonal och positiva förebilder bidrar till en mer inspirerande motivationskultur på vårdavdelningar men negativa erfarenheter av personalens engagemang hämmar motivationen. Slutsatsen är att det blir skillnad i det hälsofrämjande motivationsarbetet när sjuksköterskor och patienter har en relation och arbetar mot gemensamma mål.

    Nyckelord: hälsofrämjande arbete, kvalitativ innehållsanalys, motivation, rättspsykiatriska patienter, sjuksköterskor inom rättspsykiatrisk vård.

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  • 66.
    Andersson, Henrik
    et al.
    University of Borås, Sweden.
    Ullgren, Andreas
    University of Borås, Sweden.
    Holmberg, Mats
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. University of Borås, Sweden.
    Karlsson, Thomas
    University of Gothenburg, Gothenburg, Sweden.
    Herlitz, Johan
    University of Borås, Sweden.
    Wireklint Sundström, Birgitta
    University of Borås, Sweden.
    Acute coronary syndrome in relation to the occurrence of associated symptoms: A quantitative study in prehospital emergency care.2017In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 33, p. 43-47Article in journal (Refereed)
    Abstract [en]

    INTRODUCTION: Acute chest pain is a common symptom among prehospital emergency care patients. Therefore, it is crucial that ambulance nurses (ANs) have the ability to identify symptoms and assess patients suffering from acute coronary syndrome (ACS). The aim of this study is to explore the occurrence of dyspnoea and nausea and/or vomiting in the prehospital phase of a suspected ACS and the associations with patients' outcome.

    METHODS: This study has a quantitative design based on data from hospital records and from a previous interventional study (randomised controlled trial) including five Emergency Medical Service (EMS) systems in western Sweden in the years 2008-2010.

    RESULTS: In all, 1836 patients were included in the interventional study. Dyspnoea was reported in 38% and nausea and/or vomiting in 26% of patients. The risk of death within one year increased with the presence of dyspnoea. The presence of nausea and/or vomiting increased the likelihood of a final diagnosis of acute myocardial infarction (AMI).

    CONCLUSION: This study shows that dyspnoea, nausea and/or vomiting increase the risk of death and serious diagnosis among ACS patients. This means that dyspnoea, nausea and/or vomiting should influence the ANs' assessment and that special education in cardiovascular nursing is required.

  • 67.
    Andersson, Jeanette
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    "Blir jag mer skrivbordsprodukt kommer min själ att dö": Förskolerektorers arbetsvillkor2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Studiens syfte var att utifrån krav-resursmodellen undersöka hur förskolerektorer uppfattade sina arbetsförhållanden samt hur detta påverkade deras ledarskap för att skapa en bild av rektorers syn på sin arbetsbörda och dess påverkan på ledarskap. Detta undersöktes med hjälp av semistrukturerade intervjuer av åtta kvinnliga förskolerektorer mellan 48 och 63 år som sedan tematiserades. Resultaten visade att rektorerna upplever emotionella krav av ensamt ansvar, påfrestande samtal, brist på kontroll och bristande öppenhet i organisationen att synliggöra problem, men även en hög grad av administrativa arbetsuppgifter samt tidsbrist. Utöver det upplever alla rektorer att det finns flertalet uppgifter som inte bör vara deras ansvar, varav flera de känner sig tvungna att utföra då de är ytterst ansvariga för sin enhet. I diskussionen sammanfattas slutsatsen att rektorerna har för hög kvantitativ och emotionell arbetsbörda, vilket innebär att bland annat ledarskapet blir lidande och att det finns en tystnadskultur som motverkar förändring av problemen.

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  • 68.
    Andersson Kakos, Sandra
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Har de äldres aktivitetsvanor ändrats under pågående covid-19 pandemin?: En kvantitativ studie om äldres fysiska aktivitet innan och under pågående covid-19 pandemi2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 69.
    Andersson, Kin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Predictors of re-employment: A question of attitude, behavior, or gender?2015In: Scandinavian Journal of Psychology, ISSN 0036-5564, E-ISSN 1467-9450, Vol. 56, no 4, p. 438-446Article in journal (Refereed)
    Abstract [en]

    This longitudinal study examined the predictive value of attitudes, personal-related variables, job search behaviour, and demographic variables on re-employment among 142 assembly workers who had been made redundant. Participants completed a questionnaire within a week after leaving their jobs, and another 15 months later. Results of hierarchical logistic regression revealed that gender (being male), was the strongest predictor of re-employment. Willingness to relocate and desire to change occupation also increased the odds of re-employment 15 months after dismissal. On the other hand - having children at home and anonymous-passive job-search behaviour, which is more prevalent among women, decreased the odds for re-employment. The study is contributing to research by revealing gender differences in job search behaviour and the importance of focusing qualitative differences instead of merely quantitative measures in job-search behaviour. And even more important, despite attitude and job-search behaviour, there is still differences that seems to be related to gender and family responsibility.

  • 70.
    Andersson, Lena
    et al.
    Uppsala University.
    Eriksson, Henrik
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Nordgren, Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Differences between heart failure clinics and primary health care regarding information and follow-up2013In: British Journal of Community Nursing, ISSN 1462-4753, E-ISSN 2052-2215, Vol. 18, no 6, p. 288-292Article in journal (Refereed)
    Abstract [en]

    There is a paucity of knowledge concerning how people with heart failure experience differences between specialised heart failure clinics and primary healthcare in Sweden. This study aimed to describe differences regarding information and followup in heart failure clinics and primary healthcare. The study was conducted in Sweden in 2011. Four people (three men, one woman; aged 60 to 84) with heart failure (NYHA II) were interviewed. The interviews were analysed with qualitative content analysis. The findings revealed after referral from the heart failure clinic to primary healthcare, follow-ups were omitted. Still, the patients needed care, support and information. The findings are illuminated in four themes. The patients' varying and individual needs can be difficult to recognise and manage unless they are followed-up from either HFC or PHC on a regular basis.

  • 71.
    Andersson, Linn
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    "Var drar man gränsen för solidaritet?": En studie om kommunens och ideella organisationers insatser för tiggande EU-medborgare.2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    EU-citizens who are coming to Sweden to beg is a current topic. The purpose of the study was to investigate the actions offered by the municipality and non-profit organizations to help these people. A qualitative approach was chosen and altogether five interviews were carried out, three with municipal representatives and two with different non-profit organizations. The result showed that there is a number of different actions and many of these are based on collaboration with the two parties. All informants were of the opinion that the implementation worked well but that there were clear limitations. The limitations included lack of knowledge about the current group and language difficulties. The results also showed that the most common merits was that the vulnerable EU-citizens were treated as people and that they got food and a roof over their heads. The results were analysed by previous research, Maslow's hierarchy of needs and Antonovsky’s sense of coherence. One of the study’s conclusions was that further knowledge about vulnerable EU-citizens who begs is necessary.

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  • 72.
    Andersson, Marita
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Utvärdering av multimodal rehabilitering för patienter med långvarig smärta: En jämförande behandlingsstudie i primärvård2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Långvarig smärta är ett vanligt förekommande problem och bidrar till lidande för den det drabbar, samt för med sig stora kostnader för samhället. Multimodal rehabilitering (MMR) sker i team utifrån ett biopsykosocialt synsätt och är en lämplig rehabiliteringsform för personer med långvarig smärta. Detta betyder att förutom fysiologiska aspekter omfattar behandlingen kognitiva, psykologiska, beteendemässiga och arbetsrelaterade komponenter.

    Syfte: Att utvärdera effekten av MMR för patienter med långvarig smärta inom primärvård avseende upplevd aktivitetsbegränsning, self-efficacy, samt sömnkvalitet.

    Metod: Studien hade en jämförande kvasiexperimentell design. Redan insamlad data via självskattningsformulär från 50 patienter analyserades efter MMR jämfört med före. De mätinstrument som användes var Pain Disability Index, Self-efficacy Scale samt två frågor om sömn.

    Resultat: Patienternas upplevda aktivitetsbegränsning minskade signifikant efter rehabiliteringen och self-efficacy ökade signifikant. Inga skillnader i sömnen kunde ses efter MMR jämfört med före.

    Slutsats: MMR i denna form förbättrade patienternas upplevda aktivitetsbegränsning och ökade self-efficacy, men avseende sömnkvalitet framkom ingen skillnad. För att bättre kunna möta och behandla sömnproblem hos smärtpatienter föreslås förbättringar i innehållet i MMR angående de behandlingsmodaliteter som erbjuds.

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  • 73.
    Andreou, Dimitrios
    et al.
    Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden.;Univ Athens, Dept Psychiat 1, Athens, Greece..
    Comasco, Erika
    Uppsala Univ, Dept Neurosci, Sci Life Lab, Uppsala, Sweden..
    Aslund, Cecilia
    Uppsala Univ, Dept Neurosci, Ctr Clin Res, Vasteras, Sweden..
    Nilsson, Kent W.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Uppsala Univ, Dept Neurosci, Ctr Clin Res, Vasteras, Sweden..
    Hodgins, Sheilagh
    Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden.;Univ Montreal, Inst Univ Sante Mentale Montreal, Montreal, PQ, Canada..
    Maltreatment, the Oxytocin Receptor Gene, and Conduct Problems Among Male and Female Teenagers2018In: Frontiers in Human Neuroscience, E-ISSN 1662-5161, Vol. 12, article id 112Article in journal (Refereed)
    Abstract [en]

    The oxytocin receptor gene (OXTR) influences human behavior. The G allele of OXTR rs53576 has been associated with both prosocial and maladaptive behaviors but few studies have taken account of environmental factors. The present study determined whether the association of childhood maltreatment with conduct problems was modified by OXTR rs53576 genotypes. In a general population sample of 1591 teenagers, conduct problems as well as maltreatment were measured by self-report. DNA was extracted from saliva samples. In males, there was a significant positive association between maltreatment and conduct problems independent of the genotype. In females, among G allele carriers, the level of conduct problems was significantly higher among those who had been maltreated as compared to those not maltreated. By contrast, among female AA carriers, conduct problems did not vary between those who were, and who were not, maltreated. The results indicate that OXTR rs53576 plays a role in antisocial behavior in females such that the G allele confers vulnerability for antisocial behavior if they experience maltreatment, whereas the A allele has a protective effect.

  • 74.
    Angantyr, Malin
    et al.
    Mälardalen University.
    Hansen, Eric M.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Eklund, Jakob
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Malm, K.
    Skara, Sweden.
    Reducing Sex Differences in Children’s Empathy for Animals Through a Training Intervention2016In: Journal of Research in Childhood Education, ISSN 0256-8543, E-ISSN 2150-2641, Vol. 30, no 3, p. 273-281Article in journal (Refereed)
    Abstract [en]

    ABSTRACT: Humane education programs designed to increase children’s empathy for animals are becoming more common. A quasi-experiment tested the effectiveness of one such program by comparing 80 children who had completed the program with a control group of 57 children who had not. The children read a story involving an injured dog and rated the degree of empathic concern they felt for him. The results showed that girls tended to express more empathy for a dog than did boys, but this difference was not significant for children who underwent an animal empathy training program. This suggests that humane education programs can reduce sex differences by increasing boys’ empathy. 

  • 75.
    Anna, Bengtsson
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Pensionärers självupplevda hälsa: En kvalitativ studie om vilka aspekter som har varit av betydelse för den egna hälsan under Covid-19 hos pensionärer över 70 år med eget boende.2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    År 2020 drabbades världen av en ny smittsam sjukdom vid namn Covid-19 och en pandemi var ett faktum. Flera restriktioner infördes och länder agerade på olika sätt med olika rekommendationer till sin befolkning. I Sverige beslutades att riskgrupper som innefattas av personer över 70 år skulle begränsa sina sociala kontakter för att minska risken att insjukna i Covid-19. Detta då mortaliteten bland äldre betraktades som tydligt märkbar. Eftersom det är en nyuppkommen sjukdom finns det fortfarande frågetecken som behöver tydliggöras och redas ut genom mer forskning, både när det gäller sjukdomsbilden, sjukdomsförloppet och vilka konsekvenser det kan medföra på befolkningen och samhället.  

    Syftet med studien var att beskriva aspekter som har varit av betydelse för den egna hälsan under covid-19 hos pensionärer över 70 är med eget boende. En kvalitativ metod användes för att besvara studiens syfte. Totalt medverkade sex personer och de semistrukturerade intervjuerna genomfördes på ett smittsäkert sätt genom telefonintervjuer. Materialet har analyserats med manifest innehållsanalys. Resultatet visade att aspekter såsom ökad hälsomedvetenhet, bostaden, stöd och inskränkningar i tillvaron haft betydelse för hälsan under Covid-19 pandemin.

    Nyckelord: coping, Covid-19, kvalitativ metod, självupplevd hälsa, social distansering  

  • 76.
    Anttila, M. -R
    et al.
    Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Paajanen, T.
    Finnish Institute for Health and Welfare, Helsinki, Finland.
    Kivistö, H.
    Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
    Kokko, K.
    Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
    Sjögren, T.
    Biopsychosocial profiles of patients with cardiac disease in remote rehabilitation processes: Mixed methods grounded theory approach2021In: JMIR Rehabilitation and Assistive Technologies, ISSN 2369-2529, Vol. 8, no 4, article id e16864Article in journal (Refereed)
    Abstract [en]

    Background: Digital development has caused rehabilitation services and rehabilitees to become increasingly interested in using technology as a part of rehabilitation. This study was based on a previously published study that categorized 4 groups of patients with cardiac disease based on different experiences and attitudes toward technology (e-usage groups): feeling outsider, being uninterested, reflecting benefit, and enthusiastic using. Objective: This study identifies differences in the biopsychosocial profiles of patients with cardiac disease in e-usage groups and deepen the understanding of these profiles in cardiac rehabilitation. Methods: Focus group interviews and measurements were conducted with 39 patients with coronary heart disease, and the mean age was 54.8 (SD 9.4, range 34-77) years. Quantitative data were gathered during a 12-month rehabilitation period. First, we used analysis of variance and Tukey honestly significant difference test, a t test, or nonparametric tests—Mann–Whitney and Kruskal–Wallis tests—to compare the 4 e-usage groups—feeling outsider, being uninterested, reflecting benefit, and enthusiastic using—in biopsychosocial variables. Second, we compared the results of the 4 e-groups in terms of recommended and reference values. This analysis contained 13 variables related to biomedical, psychological, and social functioning. Finally, we formed biopsychosocial profiles based on the integration of the findings by constant comparative analysis phases through classic grounded theory. Results: The biomedical variables were larger for waistline (mean difference [MD] 14.2; 95% CI 1.0-27.5; P=.03) and lower for physical fitness (MD −0.72; 95% CI −1.4 to −0.06; P=.03) in the being uninterested group than in the enthusiastic using group. The feeling outsider group had lower physical fitness (MD −55.8; 95% CI −110.7 to −0.92; P=.047) than the enthusiastic using group. For psychosocial variables, such as the degree of self-determination in exercise (MD −7.3; 95% CI −13.5 to −1.1; P=.02), the being uninterested group had lower values than the enthusiastic using group. Social variables such as performing guided tasks in the program (P=.03) and communicating via messages (P=.03) were lower in the feeling outsider group than in the enthusiastic using group. The feeling outsider and being uninterested groups had high-risk lifestyle behaviors, and adherence to the web-based program was low. In contrast, members of the being uninterested group were interested in tracking their physical activity. The reflecting benefit and enthusiastic using groups had low-risk lifestyle behavior and good adherence to web-based interventions; however, the enthusiastic using group had low self-efficacy in exercise. These profiles showed how individuals reflected their lifestyle risk factors differently. We renamed the 4 groups as building self-awareness, increasing engagement, maintaining a healthy lifestyle balance, and strengthening self-confidence. Conclusions: The results facilitate more effective and meaningful personalization guidance and inform the remote rehabilitation. Professionals can tailor individual web-based lifestyle risk interventions using these biopsychosocial profiles.

  • 77.
    Anttila, Marjo-Riitta
    et al.
    University of Jyväskylä, Finland.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Sjögren, Tuulikki
    University of Jyväskylä, Finland.
    Patients’ experiences of the complex trust-building process within digital cardiac rehabilitation2021In: PLOS ONE, E-ISSN 1932-6203, Vol. 16, no 3, article id e0247982Article in journal (Refereed)
    Abstract [en]

    The development of digital solutions is becoming increasingly important in facing global challenges. Therefore, research on this topic is important in taking into account cardiac patients’ experiences of the rehabilitation process for the design of digital counseling solutions. The aim of the present qualitative study was to explore the different meanings that patients give to the rehabilitation process using a Glaserian grounded theory (GT) approach. Qualitative interviews were conducted with 30 participants from a rehabilitation center in Finland. The findings indicated a “complex trust-building process” core category comprising five categories of trust-building in rehabilitation: feeling that one has hit rock bottom, facing and coping in a crosscurrent, understanding together as a peer group, moving toward a healthier lifestyle with technology, and finding self-awareness. The complex process of trust-building involved interactions among emotion, cognition, and acceptance and support processes. Therefore, digital rehabilitation should be incorporated into counseling based on patients’ psychosocial, physical and emotional needs to help patients become aware of their own feelings and thoughts during the rehabilitation process.

  • 78.
    Aparicio, Ciro
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Aytar, Osman
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Jonsson, Bosse
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Moberg, Johan
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Nordh, Lillemor
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Studenter som kunskapsbärare: En förstudie om studenter som kunskapsbärare mellan verksamhetsförlagd och högskoleförlagd utbildning i Fysioterapeutprogrammet, Sjuksköterskeprogrammet och Socionomprogrammet2015Report (Other (popular science, discussion, etc.))
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  • 79.
    Appelgren Engström, Heléne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Family formation in two-mother families: Experiences of parental support in antenatal and child health care in Sweden2021Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The aim with the thesis was to examine same-sex mothers experiences of forming a family, pregnancy, parenthood and parental support from professionals in antenatal and child health care. An additional purpose was to explore professionals' experiences of meeting and supporting families with two mothers.

    The results are based on four articles (three studies). The project started with exploratory semi-structured interviews (n = 20) with mothers in same-sex relationships who had children with the help of assisted reproduction at a Swedish clinic. Thereafter, a web survey was designed based on the results from the first sub-study. The survey, as well as a survey on perceived parenting stress (SPSQ), was answered by 146 mothers in same-sex relationships. Finally, focus groups were held with professionals (n = 13) in antenatal and child health care with experience of meeting and supporting families with two mothers.

    The results showed that the mothers in same-sex relationships experienced the process of forming a family as a stressful journey in a heteronormative world, and that they lacked psychological / emotional support (Articles I, III). The results also showed that the mothers strived for equal parenthood and that they lacked professional support (Articles II, III).

    Furthermore, the results showed that the non-birth mother experienced a lower degree of acknowledgement from antenatal and child health care than the mother who gave birth, and a lower degree of support from antenatal care but no difference in the experience of support from child health care. The mothers also experienced a low degree of parenting stress (Article III).

    Professionals strived for an open approach in meeting new parents. They met well-prepared mothers who planned for equal parenting. Professionals expressed that they either gave equal support to all parents, or that they provided tailored support to same-sex mothers (Article IV).

    The thesis contributes with an in-depth understanding and increased knowledge about mothers in same-sex relationships' experience of family formation as well as their experience of treatment and support from professionals in antenatal and child health care. Furthermore, it also shows professionals' experiences of meeting and supporting families with two mothers.

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  • 80.
    Appelgren Engström, Heléne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    SUPPORTING PARENTHOOD IN FAMILIES WITH TWO MOTHERS2018Conference paper (Refereed)
    Abstract [en]

    Background: The number of planned two-mother families are growing as legislation about assisted reproduction technique (ART) changes. Since 2005 two-mother families are offered ART within the Swedish National Health Care (SOSFS 2005:17), and about 120 female couples underwent ART with donated sperm during the first years after this legislation. Although there is an increasing amount of research on planned two-mother families, there is still limited knowledge of what early parental support these mothers may need.

    Aim: The aim was to study same-sex mother’s experiences and perceptions of family forming and early parental support.

    Methods: Participants was recruited by nurses at child health care centers and via Internet. The sampling method was both purposeful and theoretical. Twenty mothers (birth-mothers & non-birth mothers) in a same-sex relationship, who conceived through ART at Swedish clinics participated and semi-structured interviews were performed. Open questions about parenthood, parental support from health care professionals and parental leave were posed. The interviews were tape-recorded and transcribed verbatim. Data collection and data analysis were performed in parallel. The analyze strategy was constant comparative analysis in tree steps, open-, axial and selective coding.

    Results: The result describe mother in same-sex relationships experiences of forming a family through assisted reproductions techniques at Swedish clinics.  Their path to parenthood, how the mothers faced different decisions, and their experiences of early parental support from health care professionals in antenatal and child health care is described. Moreover the mothers’ perception of parenting and their thoughts about gender equality and parental leave is described.

     

    Keywords: two-mother families, assisted reproduction technique, experiences, antenatal and child health care, parenthood, parental support

  • 81.
    Appelgren Engström, Heléne
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Borneskog, C.
    Häggström-Nordin, Elisabet
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Loeb, Carina
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Almqvist, Anna-Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Professionals' experiences of meeting and supporting two-mother families in antenatal and child health care. In manuscriptManuscript (preprint) (Other academic)
  • 82.
    Appelgren Engström, Heléne
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Borneskog, Catrin
    Northumbria Univ, Fac Hlth & Life Sci, Newcastle, NSW, Australia.;Dalarna Univ, Sch Hlth & Welf, Falun, Sweden..
    Loeb, Carina
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Häggström-Nordin, Elisabet
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Almqvist, Anna-Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Associations between heteronormative information, parental support and stress among same-sex mothers in Sweden-A web survey2021In: Nursing Open, E-ISSN 2054-1058Article in journal (Refereed)
    Abstract [en]

    The aim was to investigate same-sex mothers' self-assessed experiences of forming a family, and the association between heteronormative information, parental support and parenting stress. Design: A quantitative, cross-sectional study. Methods: In a web survey conducted in Sweden in 2019, same-sex mothers (N = 146) with a child aged 1-3 years answered questions about their experiences of forming a family through assisted reproduction and questions about parenting stress. Descriptive statistics describes the process of forming a family. Pearson's correlation analyses and independent sample t tests were used to test hypotheses about heteronormative information, parental support and parenting stress. Results: Same-sex mothers experienced going through assisted reproduction treatment as stressful, and parental groups as not being supportive. Heteronormative information correlated with both lower perceived parental support and higher perceived parenting stress. Non-birth mothers experienced less acknowledgement and support than birthmothers.

  • 83.
    Appelgren Engström, Heléne
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Häggström-Nordin, Elisabet
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Borneskog, Catrin
    Linköpings universitet, Sweden.
    Almqvist, Anna-Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Mothers in same‐sex relationships—Striving for equal parenthood:: A grounded theory study2019In: JOURNAL OF CLINICAL NURSING, ISSN 0962-1067, Vol. 28, no 19-20, p. 3700-3709Article in journal (Refereed)
    Abstract [en]

    To get a deeper understanding of how mothers in same-sex relationships think and reason about their parenthood in terms of gender equality, and how they experience early parental support from child healthcare professionals. Background: There is an increasing amount of research on how women in same-sex relationships experience healthcare services when forming a family. Yet there is limited knowledge of what kind of early parental support these women may request. Design: Grounded theory. Follows guidelines for qualitative research (COREQ). Method: Twenty women ranging from 25 to 42 years of age participated in semi-structured interviews. Data collection and analysis took place in parallel, as recommended in grounded theory methodology. Results: The results are described by the core category Same-sex mothers request professional support to achieve equal parenthood, which includes five categories: (a) equality in everyday life, (b) diversity in mother and child attachment, (c) justification of the family structure, (d) ambivalent thoughts about their child's future and (e) a special need for networking and request for professional support. These findings provide a deeper understanding of how same-sex mothers experience their parenthood and the parental support that is offered. Conclusion: Child healthcare professionals need to be sensitive and recognise both mothers as equal parents and offer early parenting groups where two-mother families feel included and supported. Relevance to clinical practice: Healthcare professionals need to be aware of diverse family formations and meet each parent as a unique individual without heteronormative assumptions. Same-sex mothers must be treated as equal parents and acknowledged as mothers. Healthcare professionals should offer inclusive and supportive parental groups to same-sex families. They should also inform and support nonbirth mothers about the possibility to breastfeed.

  • 84.
    Appelgren Engström, Heléne
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Häggström-Nordin, Elisabet
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Kvinnors och barns hälsa, Uppsala universitet.
    Borneskog-Sinclair, Catrin
    Linköpings universitet.
    Almqvist, Anna-Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Mothers in Same-Sex Relationships Describe the Process of Forming a Family as a Stressful Journey in a Heteronormative World: A Swedish Grounded Theory Study2018In: Maternal and Child Health Journal, ISSN 1092-7875, E-ISSN 1573-6628, Vol. 22, no 10, p. 1444-1450Article in journal (Refereed)
    Abstract [en]

    Objectives The aim of this study was to gain insight into how women in same-sex relationships experience the process of forming a family through the use of assisted reproduction technique (ART), from planning the pregnancy to parenthood, and their experience of parental support from healthcare professionals. Methods The participants were 20 women in a same-sex relationship who had conceived through ART at a Swedish clinic. Semi-structured interviews including open questions about pregnancy, parenthood and support from healthcare professionals were conducted. The interviews were tape-recorded and transcribed verbatim. The data were analysed according to grounded theory. Results The core category, A stressful journey through a heteronormative world, emerged from the analysis, as did three subcategories: A journey fraught with difficulties and decisions; The nuclear family as the norm; and A need for psychological support. Same-sex parents expressed a need for more information about how to access ART in Sweden. Both the healthcare organization and treatment were perceived as heteronormative. In particular, these women lacked psychological support during the demanding process of utilizing a sperm donor to conceive. Conclusions for Practice Professionals in antenatal care should undergo mandatory cultural competency training to ensure cultural sensitivity and the provision of updated information, tailored brochures and early parental support for families with same-sex parents. All parents need guidance and support from competent, caring personnel throughout the entire process of forming a family.

  • 85.
    Arkkukangas, Marina
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Research and Development in Sörmland, Region Sörmland, Eskilstuna, Sweden;Dalarna University, Falun, Sweden.
    App-based strength and balance self-test in older adults: an exploratory study from a user perspective2021In: BMC Research Notes, E-ISSN 1756-0500, Vol. 14, no 1, article id 379Article in journal (Refereed)
    Abstract [en]

    Objectives: Falls are a common problem, especially in the older population. The number of older adults aged over 65 years is increasing globally, leading to a major challenge in providing effective fall prevention interventions to older adults requiring such interventions. This study aimed to explore the usability of an app-based strength and balance self-tests in a small sample of four older adults. This study is a side product of another project. Results: The results from this study indicated that self-test of strength and balance by using a smartphone application is a challenge for older adults. Basic test measures, such as start and stop and counts of sit-to-stand, were difficult to self-administer. However, from a user perspective, the possibility of independently performing these measures was considered important and needed to be further developed and evaluated in future studies.

  • 86.
    Arkkukangas, Marina
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Evaluation of the Otago Exercise Programme with or without motivational interviewing: Feasibility, experiences, effects and adherence among older community-dwelling people2017Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Falls and injuries related to falls are one of the most common health problems among older people and are becoming increasingly more frequent. Regular exercise has been identified as one of the most effective fall-prevention activities for older people; however, awareness of the impact of exercise programmes and adherence to recommended exercise among the elderly population is generally low. Research examining how an exercise programme is administered to and experienced by elderly community-dwelling people is needed.

    The overall aim of this thesis was to investigate the feasibility, experiences and effects of and adherence to the fall-preventive Otago Exercise Programme (OEP) with or without motivational interviewing (MI) among community-dwelling people aged 75 years or older.

    Four studies were performed from October 2012 to May 2016 in a sample of 175 people. Both quantitative and qualitative research methods were used. The methods included the feasibility for conducting a randomized controlled trial (RCT) (I), individual face-to-face interviews (II), an RCT (III) and a prospective cohort study (IV). The intervention was given to two groups. The participants who received OEP with or without MI were compared with a control group that received standard care.

    The feasibility of performing an exercise intervention with or without MI was acceptable from the perspective of the participating physiotherapists. From the perspective of the older participants performing the exercise with behavioural change support, the inclusion of monitored exercises in everyday life and daily routines was important. The participants also expressed experiencing more strength, improved physical functioning and greater hope for an extended active life during old age.

    From the short-term perspective, there were significant improvements within the OEP combined with MI group in terms of physical performance, fall self-efficacy, activity level, and handgrip strength. Improved physical performance and fall self-efficacy were also found within the control group; however, corresponding differences did not occur in the OEP group without MI. There were no significant differences between the study groups after 12 weeks of regular exercise. Adherence to the exercises in the pooled exercise group was 81% at the 12-week follow-up.

    At the 52-week follow-up, the behavioural factors being physically active and obtaining behavioural support in terms of MI had a significant association with adherence to the exercise programme.

    These studies provide some support for the combination of OEP with MI as the addition of MI was valuable for achieving adherence to the exercise programme over time in older community-dwelling people.

     

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  • 87.
    Arkkukangas, Marina
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Res & Dev Sormland, Sormland, Sweden..
    Keep on and keep up the fall prevention work: older adults need evidence-based fall prevention actions now more than ever!2021In: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 23, no 1, p. 1-2Article in journal (Other academic)
  • 88.
    Arkkukangas, Marina
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Research and Development in Sörmland, Eskilstuna, Sweden.
    Bååthe, K. S.
    Högskolan Dalarna, Falun, Sweden.
    Ekholm, A.
    Research and Development in Sörmland, Eskilstuna, Sweden.
    Tonkonogi, M.
    Högskolan Dalarna, Falun, Sweden.
    A 10-week judo-based exercise programme improves physical functions such as balance, strength and falling techniques in working age adults2021In: BMC Public Health, E-ISSN 1471-2458, Vol. 21, no 1, article id 744Article in journal (Refereed)
    Abstract [en]

    Background: Falls and fall-related injuries are major threats not only for older adults but also for younger age groups such as working-age adults. It has been shown that it is possible to reduce the risk of falls and fall-related injuries, to some extent. However, interventions aiming at reducing both the risk of falls and mitigating fall-related injuries through teaching safe falling techniques are still sparsely investigated. The aim with this study was to investigate the effect of a 10-week workplace-based judo inspired exercise programme (Judo4Balance). The measures in the study include physical functions, fall-related self-efficacy and safe falling techniques. Methods: A total of 142 working-age adults participated in this non-randomised controlled study. The participants were allocated to the Judo4Balance group (n = 79), or to a waiting list control group (n = 63). The mean age was 47 years (18–68). The recruitment period was from May 2018 to October 2019. A total of 128 participants were included in the analysis. Logistic Regression models were used to analyse the outcomes: physical function, balance and fall-related self-efficacy as well as falling techniques (backwards and forwards). Results: At the 10-week follow-up, the results displayed significant differences between the two groups in all measurements, except for the fall-related self-efficacy with OR = 1.8. Techniques for falling forwards and backwards displayed the highest OR = 124.1 and OR = 98.9. Physical function and balance showed OR = 3.3 and OR = 6.4. Conclusions: This exercise programme under study displayed significant differences in strength, balance and safe falling techniques between the groups. It is suggested that these functions, which were studied here, can effectively be trained in working-age adults by using the Judo4Balace exercise programme. Thus, it may be beneficial to further investigate and include training in proper falling techniques when designing fall prevention exercise programmes. Furthermore, it may be a novel way of addressing fall-related injuries, which are of utmost importance to prevent in near future. Trial registration: NCT04294342. Registered 4 March 2020 - The Impact of Specifically Adapted Judo-based Training Program on Risk Factors for Falls Among Adults.

  • 89.
    Arkkukangas, Marina
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Res & Dev Sormland, Eskilstuna, Sweden.;Dalarna Univ, Sch Educ Hlth & Social Studies, Dept Med Sport & Fitness Sci, Falun, Sweden..
    Cederbom, Sara
    OsloMet Oslo Metropolitan Univ, Fac Hlth Sci, Dept Physiotherapy, Oslo, Norway..
    Movement toward an evidence-Based, digital fall prevention future-Perceptions from a physiotherapy perspective2021In: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040Article in journal (Refereed)
    Abstract [en]

    Background Physiotherapy plays an important role in fall prevention, and is a science- and evidence-based profession that is constantly undergoing development. Currently, the possibility of digital fall prevention is being explored; however, the perception of physiotherapists (PTs) toward a digital approach is still a sparsely investigated topic. Purpose This study aimed to explore the PT's experiences with a fall prevention exercise program used in their daily work and their thoughts regarding the use of digital support in this context. Methods Discussions were held in two focus groups with seven PTs (age: 26-48 years). A qualitative content analysis was performed. Results We identified two main categories: 1) The importance of evidence-based fall prevention exercise; and 2) Transition toward a digital fall prevention exercise approach. The participants expressed that they had time- and resource-related limitations affecting evidence-based work and adherence to fall prevention exercise programs. They stated that education and management support were required. Conclusion There is a need for fall prevention exercise to be evidence-based and prioritized in physiotherapy. The study results provide insights into the lack of adherence to fall prevention exercise programs and highlighted the need for a transition toward working digitally in the future.

  • 90.
    Arkkukangas, Marina
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Research and Development in S€ormland, Eskilstuna, Sweden;.
    Eriksson, Hans-Georg
    Research and Development in S€ormland, Eskilstuna, Sweden;.
    Denison, Eva
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Risk factors for fall-related injuries among community-dwelling men andwomen over 70 years of age, based on social cognitive theory: results from apopulation study2021In: EUROPEAN JOURNAL OF PHYSIOTHERAPY, ISSN 2167-9169, Vol. 23, no 4, p. 221-226Article in journal (Refereed)
    Abstract [en]

    Introduction: Healthcare professionals’, especially physiotherapists’ role as promoters, preventers andrehabilitators play a significant role in prevention of falls. The purpose of this study was to gain knowledgeon the risk factors which are associated with fall-related injuries among community dwellingmen and women, based on Social Cognitive Theory (SCT) concepts.Patients and methods: The study includes 13,151 people who responded to a postal survey questionnairein 2017. The random sample consisted of men and women aged 70 years and older. Multivariate regressionmodels were used to explore associations between theory-based risk factors and fall-related injuries.Results: A total of 16% (1951 people) reported a fall-related injury during the past 12months. Formen, a total of seven risk factors were associated with fall-related injury: age, pain (neck/shoulder),incontinence, depression, help in daily living, education and sedentary behaviour. For women, a totalof nine risk factors were associated with fall-related injury: age, pain (extremities and neck/shoulder),tiredness, incontinence, appetite, economy, accommodation and participation in social activities.Conclusions: This study identified risk factors from all aspects of the SCT, serving as a clinically usefultheory in addition to traditional fall preventive actions. Gender differences should be considered whendesigning fall prevention strategies.

  • 91.
    Arkkukangas, Marina
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Johnson, S. T.
    Uppsala University, Uppsala, Sweden.
    Hellström, K.
    Uppsala University, Uppsala, Sweden.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Eriksson, S.
    Centre for Clinical Research Sörmland, Sweden.
    Johansson, Ann-Christin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    A feasibility study of a randomised controlled trial comparing fall prevention using exercise with or without the support of motivational interviewing2015In: Preventive Medicine Reports, E-ISSN 2211-3355, Vol. 2, p. 134-140Article in journal (Refereed)
    Abstract [en]

    Objective: The aim of this investigation was to study the feasibility of a randomised controlled trial (RCT) based on a multicentre fall prevention intervention including exercise with or without motivational interviewing compared to standard care in community-living people 75. years and older. Method: The feasibility of a three-armed, randomised controlled trial was evaluated according to the following: process, resources, management by questionnaire, and treatment outcomes. The outcome measures were fall frequency, physical performance and falls self-efficacy evaluated after three months. Twelve physiotherapists conducted the measurements and treatments and responded to the questionnaire. The first 45 participants recruited to the ongoing RCT were included: 16 individuals in the Otago Exercise Program group (OEP), 16 individuals in the OEP combined with motivational interviewing group (MI), and 13 individuals in the control group. The study was conducted from November 2012 to December 2013. Results: The feasibility of the study process, resources and management reached the set goals in most aspects; however, the set goal regarding the MI guide and planned exercise for the participating older people was not completely reached. No significant differences were found between the groups regarding the outcome measures. Conclusion: This study confirmed the acceptable feasibility for the study protocol in the ongoing RCT.

  • 92.
    Arkkukangas, Marina
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Research and Development in Sörmland, Sweden; Centre for Clinical Research Sörmland, Uppsala University, Uppsala, Sweden; Department of Neuroscience, Physiotherapy, Uppsala University, Uppsala, Sweden.
    Strömqvist Bååthee,, Karin
    Högskolan Dalarna, Falun, Sweden.
    Ekholm, Anna
    Research and Development in Sörmland, Sweden.
    Tonkonogi, Michail
    Högskolan Dalarna, Falun, Sweden.
    Health promotion and prevention: The impact of specifically adapted judo inspired training program on risk factors for falls among adults2020In: Preventive Medicine Reports, E-ISSN 2211-3355, Vol. 19, article id 101126Article in journal (Refereed)
    Abstract [en]

    Globally, falls and fall-related injuries constitute a severe threat to public health at all ages. New approaches arewarranted since existing knowledge and actions have failed to reduce the incidence of falls and fall-relatedinjuries, both at work and during leisure time. The purpose of this quasi-experimental study was to investigatethe impact of a 10-week supervised judo-inspired exercise program, Judo4Balance, provided in a workplacesetting among men and women targeting: physical functions, activity level, fall-related self-efficacy, and techniquesfor safe landing when falling. A total of 79 adults from seven different workplaces in Sweden, mean age45 years (18–68), participated in the program. The study was conducted from May 2018 to June 2019. The 10-week exercise program performed in a workplace setting improved physical and psychological functions, as wellas techniques for falling safely, factors of great importance to prevent falls and fall-related injuries among menand women. Therefore, it is suggested that the judo-inspired exercise program may be an effective tool in thequest to promote health and prevention of risk factors for falls and fall-related injuries among those of workingage.

  • 93.
    Arkkukangas, Marina
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Sundler, Annelie Johansson
    Univ Boras, Fac Caring Sci Work Life & Social Welf, Boras, Sweden.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Eriksson, Staffan
    Uppsala Univ, Ctr Clin Res Sormland, Eskilstuna, Sweden.
    Johansson, Ann Christin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Older persons’ experiences of a home-based exercise programme with behavioural change support2017In: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 33, no 12, p. 905-913Article in journal (Refereed)
    Abstract [en]

    Background: It is a challenge to promote exercise among older persons. Knowledge is needed regarding the maintenance of exercise aiming at preventing falls and promoting health and wellbeing in older persons.

    Purpose: This descriptive study used a qualitative inductive approach to describe older persons’ experiences of a fall-preventive, home-based exercise programme with support for behavioural change.

    Methods: Semi-structured interviews were conducted with twelve older persons aged 75 years or older, and a qualitative content analysis was performed.

    Results: Four categories emerged: facilitators of performing exercise in everyday life, the importance of support, perceived gains from exercise, and the existential aspects of exercise.

    Conclusion: With support from physiotherapists, home-based exercise can be adapted to individual circumstances in a meaningful way. By including exercises in everyday life and daily routines could support the experience of being stronger, result in better physical functioning and give hope for an extended active life in old age.

  • 94.
    Arkkukangas, Marina
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Eriksson, Staffan
    Uppsala University, Sweden.
    Johansson, Ann-Christin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Centrum för klinisk forskning LTV.
    Fall Preventive Exercise with or without behavior change support for community-dwelling older adults: A Randomized Controlled Trial With Short-Term Follow-up.2019In: Journal of Geriatric Physical Therapy, ISSN 1539-8412, E-ISSN 2152-0895, Vol. 42, no 1, p. 9-17Article in journal (Refereed)
  • 95.
    Arkkukangas, Marina
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Eriksson, Staffan
    Johansson, Ann-Christin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    One- year adherence to the Otago Exercise Programme with or without motivational interviewing in older peopleManuscript (preprint) (Other academic)
  • 96.
    Arkkukangas, Marina
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Eriksson, Steffan
    Uppsala Univ, Sweden.
    Johansson, Ann-Christin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Uppsala Univ, Ctr Clin Res, Vasteras, Sweden..
    One-Year Adherence to the Otago Exercise Program With or Without Motivational Interviewing in Community-Dwelling Older Adults2018In: Journal of Aging and Physical Activity, ISSN 1063-8652, E-ISSN 1543-267X, Vol. 26, no 3, p. 390-395Article in journal (Refereed)
    Abstract [en]

    This study investigated if behavioral factors, treatment with behavioral support, readiness to change, fall self-efficacy, and activity habits could predict long-term adherence to an exercise program. Included in this study were 114 community-dwelling older adults who had participated in one of two home-based exercise interventions. Behavioral factors associated with adherence to the exercise program over 52 weeks were analyzed. The behavioral factors, specifically activity habits at baseline, significantly predicted adherence to the exercise program, with an odds ratio = 3.39, 95% confidence interval [1.38, 8.32], for exercise and an odds ratio = 6.11, 95% confidence interval [2.34, 15.94], for walks. Being allocated to a specific treatment including motivational interviewing was also significantly predictive: odds ratio = 2.47, 95% confidence interval [1.11, 5.49] for exercise adherence. In conclusion, activity habits and exercise in combination with motivational interviewing had a significant association with adherence to the exercise program at a 1-year follow-up.

  • 97.
    Arman, M.
    et al.
    Karolinska Institutet, Huddinge, Sweden.
    Ranheim, Albertine
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Rydenlund, K.
    Forensic Psychiatric Regional Clinic, Vadstena, Sweden.
    Rytterström, P.
    Linköping University, Norrköping, Sweden.
    Rehnsfeldt, A.
    Stord/Haugesund University College, Stord, Norway.
    The Nordic Tradition of Caring Science: The Works of Three Theorists2015In: Nursing Science Quarterly, ISSN 0894-3184, E-ISSN 1552-7409, Vol. 28, no 4, p. 288-296Article in journal (Refereed)
    Abstract [en]

    The Nordic tradition of caring science has had a significant influence on healthcare research, healthcare education and clinical development in the Nordic countries from 1990 to the present. Theoretical contributions from the professors and scientists Katie Eriksson, Kari Martinsen and Karin Dahlberg form the basis for this paper. The tradition has established a paradigm of ethics, ontology and epistemology for the caring science domain. Short introductions present the scientific background of Eriksson, Martinsen, and Dahlberg, and show how interpretive teamwork has led to the formation of an intertwining of the essential qualities of the theories. The synthesis emphasizes caring science as a human science, and views caring as a natural phenomenon where the patient’s world, vulnerability, health, and suffering are primary. In the art and act of caring, relationships and dialogue are essential; they provide parameters where caring becomes visible in its absence.

  • 98.
    Arman, Maria
    et al.
    Mälardalen University, School of Health, Care and Social Welfare. Karolinska Institutet, Sweden.
    Alvenäng, Annika
    Alanus University, Stuttgart, Sweden.
    El Madani, Nadia
    Vidarkliniken, Sweden.
    Hammarqvist, Ann- Sofie
    Vidarkliniken, Sweden.
    Ranheim, Albertine
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Caregiving for existential wellbeing: existential literacy. A clinical study in an anthroposophic healthcare context2013In: IPDJ International Practice Development Journal, ISSN 2046-9292, Vol. 3, no 1, p. 1-15Article in journal (Refereed)
    Abstract [en]

    Background and context: The occurrence of existential caregiving as a natural element of healthcare is the focus of this research. According to the literature, there is a lack of understanding of this issue, from a theoretical as well as a clinical point of view. In this design ‘existential’ and ‘spiritual’ are seen as synonymous and without religious association. Existential questions are regarded as questions about life, death, meaning, love, vulnerability, responsibility and dependence. The context for the project is an integrated anthroposophic hospital that offers rehabilitation for patients with cancer.

    Aims and objectives

    : With the support of an anthroposophic and caring scientific view of human beings, and by using concrete examples, the aim is to develop and deepen an understanding of existential care for patients in life-decisive phases in the care and rehabilitation of cancer. Clinical application research was used in cooperation with academic researchers and clinically active colleagues. Eleven clinicians from varying professions and two researchers collaborated over the course of two years. The data used came from 65 case reports of significant care situations experienced by the team members. A joint interpretive qualitative analysis led to the formulation of the findings.

    Conclusions

    : Existential caregiving in practice requires an ‘existential literacy’, using the metaphor of human life as a text or a book whose contents are legible only for the one versed in the language. In order to gain a complete understanding of caregiving, an ability to read a suffering human’s language and decipher its meaning is essential. The patient’s narrative might open up a caregiver’s awareness in a single illuminating moment. An authentic and listening attitude together with an active restriction of one’s own suppositions increase the possibility of providing existential care. Compassion and professional judgement function as the caregiving compass and ‘lexica’ for existential care.

    Implications for practice:

    1. An understanding of existential caregiving moments implies a developed insight into and sensitivity for the patient’s signs and needs
    2. Existential caring moments have countless variations, while bodily and intimate situations are sometimes found to be an opening to spontaneous, trustful interactions. Such moments could be learning moments if reflected and shared
    3. For training in the ability to ‘read the patient’, clinical reflections in groups where existential literacy is collectively sought are an option
    4. Clinical application research can allow caring scientific theory and healthcare research to be implemented in practice immediately, which may enhance quality of care and ultimately benefit the patient
  • 99.
    Aronsson, Gunnar
    et al.
    Stockholm Univ, S-10691 Stockholm, Sweden .
    Astvik, Wanja
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Stockholm Univ, Dept Psychol, S-10691 Stockholm, Sweden .
    Gustafsson, Klas
    Karolinska Inst, Dept Clin Neurosci, Div Insurance Med, Stockholm, Sweden.
    Work Conditions, Recovery and Health: A Study among Workers within Pre-School, Home Care and Social Work2014In: British Journal of Social Work, ISSN 0045-3102, E-ISSN 1468-263X, Vol. 44, no 6, p. 1654-1672Article in journal (Refereed)
    Abstract [en]

    The study investigated the working conditions associated with the accumulation of stress and lack of recovery and how recovery is related to health. The study group was employed in pre-school, home care and social work (n = 193). Recovery was assumed to be an explanatory variable for the relations between work and health. The response rate on a survey was 79 per cent. Cluster analysis identified three groups: the 'Recovered' (36 per cent of the total group) and 'Not Recovered' (25 per cent) and the 'In-between' (39 per cent). The Not Recovered displayed the whole chain of risk factors, involving difficult working conditions to which they responded with increased compensatory strategies. Despite this group having significantly greater reports of ill health, work absenteeism was not greater, which is likely related to their substituting sickness absence with sickness presence. As many as 43 per cent of the social workers were found to belong to the Not Recovered group. Multiple regression analyses controlling for background variables revealed that the Not Recovered group had a significantly higher relative risk for poor self-rated health than those in the Recovered group. Even sharper increases in relative risk existed for the other five symptoms that were analysed. Practical implications and new research questions are discussed.

  • 100.
    Aronsson, Vanda
    et al.
    Stockholm Univ.
    Toivanen, Susanna
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Stockholm Univ, Dept Publ Hlth Sci, Stockholm, Sweden..
    Leineweber, Constanze
    Stockholm Univ, Stress Res Inst, S-10691 Stockholm, Sweden..
    Nyberg, Anna
    Stockholm Univ, Stress Res Inst, S-10691 Stockholm, Sweden..
    Can a poor psychosocial work environment and insufficient organizational resources explain the higher risk of ill-health and sickness absence in human service occupations?: Evidence from a Swedish national cohort2019In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 47, no 3, p. 310-317Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of this study was to investigate differences in burnout, self-rated health (SRH) and sickness absence between human service occupations (HSOs) and other occupations, and whether they can be attributed to differences in psychosocial work environment and organizational resources. Methods: Data were derived from the Swedish Longitudinal Occupational Survey of Health, an approximately representative sample of the Swedish working population (n = 4408). Employment in HSOs, psychosocial work environment and organizational resources in 2012 predicted relative risks of sickness absence, burnout and suboptimal SRH in 2014 using modified Poisson regressions. The psychosocial work factors' and organizational resource variables' relative importance were estimated by adding them to the models one by one, and with population attributable fractions (PAFs). Results: Employment in HSOs was associated with a higher risk of sickness absence and the risk was explained by psychosocial and organizational factors, particularly high emotional demands, low work-time control and exposure to workplace violence. Employment in HSOs was not associated with burnout after sociodemographic factors were adjusted for, and furthermore not with SRH. A lower risk of suboptimal SRH was found in HSOs than in other occupations with equivalent psychosocial work environment and organizational resources. PAFs indicated that psychosocial work environment and organizational resource improvements could lead to morbidity reductions for all outcomes; emotional demands were more important in HSOs. Conclusions: HSOs had higher risks of sickness absence and burnout than other occupations. The most important work factors to address were high emotional demands, low work-time control, and exposure to workplace violence.

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