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  • 51.
    Jansson, Elisabeth
    et al.
    Mälardalen University, Department of Caring and Public Health Sciences.
    Tillgren, Per
    Mälardalen University, Department of Caring and Public Health Sciences.
    Det lokala folkhälsoarbetets kontext - begreppets definition och position i nationella folkhälsodokument.2004In: Den 2:a nationella folkhälsostämman, Stockholm 11-13 oktober., 2004Conference paper (Other (popular science, discussion, etc.))
  • 52.
    Jansson, Elisabeth
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare.
    Health promotion at local level: A case study of content, organization and development in four Swedish municipalities2010In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 10, no Article Number: 455Article in journal (Refereed)
    Abstract [en]

    Background: Several health determinants are related to local conditions and prerequisites at community level. For this reason, strengthening community action has been one of five strategies implemented in health promotion since the end of the 1980s. Such action includes setting priorities, making decisions, planning strategies, and implementing them to achieve better health. The aim of this paper is to obtain a deeper understanding of content, organization and processes in the development of local health promotion.

    Methods: A qualitative multiple case study of four Swedish municipalities. The cases were analyzed in accordance with the principles of cross-case study analysis, and a content analysis of documents and interviews was conducted in two steps. First, a manifest content analysis was performed to identify present and former actors and measures. Thereafter, a latent content analysis was performed to investigate structures and processes in local contexts.

    Results: The results of the inductive content analysis showed development of local health promotion in three phases: initiation, action, and achievement. Strengthening factors were local actors, health statistics and events. Hindering factors were lack of resources and vague objectives. External factors, e.g. national policies, were not perceived as prominent influencing factors. Media reports were regarded as having had an influence, but only to some extent. The content of local health promotion has developed from ad-hoc lifestyle and behaviour-related actions into structural, intersectoral actions related to determinants of health.

    Conclusions: The municipalities have organized and developed their health promotion targets, actions and priorities on the basis of local needs and prerequisites. The three phases in the identified health promotion processes were experienced and documented as being subject to greater influence from internal rather than external strengthening and hindering factors in their local contexts.

  • 53.
    Jansson, Elisabeth
    et al.
    Mälardalen University, Department of Caring and Public Health Sciences.
    Tillgren, Per
    Mälardalen University, Department of Caring and Public Health Sciences.
    Local politicians and Officials perspective on Health Promotion activities in four municipalities in Sweden.2007Manuscript (preprint) (Other (popular science, discussion, etc.))
    Abstract [en]

    Introduction: In the Swedish National Public Health Policy (SNPHP) from year 2003 the overall aim is "to create social conditions which ensure good health for the entire population". The policy includes three levels of determinants for health; structural factors, living conditions and lifestyles.

    The aim of this study was to gain knowledge about local politicians and officials definitions of local health promotion and activities in comparison with the SNPHP.

    Method: An empirical study based on semi structured interviews with 35 local government politicians and officials in four Swedish municipalities was conducted in year 2006. Content analysis has been used as the analytical approach to get systematic information from the transcripts of the interviews in order to gain deeper understanding of how the interviewed described local health promotion.

    Findings: The interviewed key persons define health promotion as wide-ranging incorporation of several actors in order to improve populations living conditions such as safe and healthy environments. Lifestyle issues mentioned is e.g. alcohol and tobacco prevention. Prioritized target groups for actions are children and adolescents. Politicians speak more about responsibility and structural issues and local officials talk more about community action.

    Conclusion: Local politicians and officials define health promotion as an extensive population-oriented phenomenon dependent of factors related to SNPHPs three levels of determinants for health. Also highlighted is the guiding principles of the Ottawa Charter such as intersectorial and community action.

  • 54.
    Jansson, Elisabeth VG
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Fosse, Elisabeth
    University of Bergen, Norway.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare.
    National public health policy in a local context: implementation in two Swedish municipalities2010In: How to transfer public health research into practice: Challenges in implementation research, 2010Conference paper (Refereed)
    Abstract [en]

    Background: In 2003 the Swedish parliament adopted a wide-ranging national objective for public health, focusing specifically on health determinants. It is envisaged that the overall objective will be achieved through the efforts of different bodies, including agencies, county councils and municipalities. Responsibility for implementation is located at regional and local level, without any specified guidelines or, for example, economic incentives for how the work should be performed.

    This study’s intention is, from a bottom-up perspective, to investigate public-health policy in two municipalities, and to see whether municipal policies can be related to the national objective.  The bottom-up perspective focuses on the actors, the people responsible for implementation, and on the process as seen from their own perspective. The implementers play a key role, as mediators of empirical knowledge and bases for decisions to the national decision-makers. Thus, in the implementation of national policy at local level, decision-makers are dependent on the decisions made and priorities set by the municipalities in their own local settings, as these are related to competing or similar laws, policies, stakeholders and needs. Local and committed actors have an important function in the implementation process. Serious commitment and occupying a position of power are important aspects of success, but so too is professional expertise. At the same time, local actors’ opportunities to act and implement national targets within their own organization is restricted by surrounding structures, e.g. the party-political (partisan) composition of the municipality and its administrative organization, and also the presence or not of formal or informal support networks.

    Methods: Scrutiny of documents and interviews provided a foundation for a qualitative case study.

    Results: The results reveal a loose fit between policy implementation and the national public health policy. The local level does not regard the national objective as implementable; instead, it has, to varying degrees, chosen to redefine its goals according to municipal needs and conditions. A success-promoting factor in the two municipalities was the presence of committed and knowledgeable actors/implementers. Also, the municipality with a more centrally controlled and stable party-political leadership succeeded better in implementing structural and intersectoral community-wide policies for coordinated local public-health promotion.

    Discussion /Conclusions: Problems that accompany major, ambitious and non-specific goals, like those in the Swedish public health policy, are that they risk being integrated into a solely symbolic structure, entailing formal adoption but with only a superficial finish.  Below the surface, the informal, original organization remains in the administrations, which hinders implementation.

    Swedish municipal self-governance, with its enhanced scope for local action, offers an opportunity for communities to shape their own politics and policies. But, at the same time, this acts as a barrier to opportunities for decision-makers at national-government level to influence and guide the municipalities towards the national objective of more organized and structured health promotion focusing on the determinants of healthInc reased knowledge of the policy, and of its specific focus on health determinants, is needed to increase understanding/motivation to implement the national policy locally.

  • 55.
    Jansson, Elisabeth
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Zetterquist, Susanne
    Karlsson Vestman, Ove
    Mälardalen University, School of Education, Culture and Communication.
    Tillgren, Per
    Evaluating the implementation of a county council policy in two municipalities - methodological strategies and tools.2009Conference paper (Refereed)
    Abstract [en]

     

    Background: In year 2004 the Stockholm County Council (CC) approved a policy to reduce overweight and obesity. The implementation at local level started in two pilot municipalities during a two years period and resulted in several subprojects. Program theory (PT) is a methodology used to understand and identify key components in complex programs.

     

    Objectives: To highlight strategies and tools applied in planning and conducting an implementation evaluation of a CC policy in two municipalities.

     

    Methods: A descriptive process analysis of identified obstacles and solutions in all phases of the evaluation. Work notes, minutes from the steering group and the evaluating group meetings where analyzed to recapture the evaluation process.

     

    Result: PT was used to get an understanding of the components of the policy, the projects and their interrelations. Three separate PT where developed, one for the CC policy and one for the project in each municipality. To get a general idea of the projects and to organise the vast amount of documentation a form was developed for the project managers to fill in. To identify stakeholders and actors, organisational charts (OC) were developed for the project’s organisations including CC representatives. The evaluation’s data collection was based on principles for triangulation (documents, survey and interviews). The PT and OC where used in the purposeful sample of respondents. The PT and OC also worked as a component when reporting the results.

     

    Conclusion: PT is a useful tool to clarify the intentions and relations between levels of implementation when evaluating complex, multilevel programs. Using multiple means for data collection is a helpful strategy to generate both general and in depth understanding of a policy’s implementation. PT and OC are useful tools to make sure everyone has the same understanding of the policy’s components and organisation when communicating with stakeholders and respondents in all phases of the evaluation process.

  • 56. Johansson, P.
    et al.
    Tillgren, Per
    Mälardalen University, Department of Caring and Public Health Sciences.
    Sadigh, S.
    Poce de Leon, A.
    Are safety promotion interventions for elderly also cost-effective?2006Conference paper (Refereed)
  • 57. Johansson, P.
    et al.
    Tillgren, Per
    Mälardalen University, Department of Caring and Public Health Sciences.
    Stadigh, S.
    Ponce de Leon, A.
    Economi evaluation of an elderly safety promotion intervention.2006Conference paper (Refereed)
  • 58.
    Johansson, Pia
    et al.
    Karolinska Institutet, Dep. Public Health Sciences .
    Eriksson, Lina
    Statens folkhälsoinstitut.
    Sadigh, SIV
    Karolinska Institutet, Dep. Public Health Sciences .
    Rehnberg, Clas
    Karolinska Institutet, LIME.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare.
    Participation, resource mobilisation and financial incentives in community-based health promotion - an economic evaluation perspective from Sweden.2009In: Health Promotion International, ISSN 0957-4824, E-ISSN 1460-2245, Vol. 24, no 2, p. 177-184Article in journal (Refereed)
    Abstract [en]

     Local community participation is an important objective for many health promotion interventions, but it hinges on the incentives for local organizations to participate. Both aspects might be explored with information obtained from economic evaluations, illustrated in this study with data from a cost-effectiveness analysis of an elderly safety promotion programme implemented in Sweden. Previously, resource mobilization has been used as a process indicator for successful community participation. We propose that resource mobilization can be measured as the proportion of total intervention costs paid by collaborators. In the case presented here, local collaborators contributed 50 per cent of the total intervention costs (SEK 6.45 million, in Swedish krona 2004; 1 USD = 7.35 SEK), while participants, i.e. the elderly in the intervention area, contributed 13 per cent and the remainder, 37 per cent, was paid by project funds. In a subsector financial analysis, the distribution of costs and financial benefits from interventions among different sectors in society is described. The estimated financial benefits in the case were divided between the health-care system (SEK 2.5 million), the local authority (SEK 3.7 million) and the elderly and their relatives (SEK 0.3 million). The only net beneficiary was the local authority. In the case presented here, the health promotion objective of local community participation was achieved as half of the total costs was mobilized from local collaborators. The local community participation objective was supported by financial incentives for at least one key collaborator.

  • 59. Johansson, Pia M
    et al.
    de Leon, Antonio P
    Sadigh, Siv
    Tillgren, Per E
    Mälardalen University, School of Health, Care and Social Welfare.
    Rehnberg, Clas
    Statistical modelling needed to find the effects from a community-based elderly safety promotion program.2009In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 19, no 1, p. 100-105Article in journal (Refereed)
    Abstract [en]

    Background: Multiple control areas and time-series analyses have been recommended for effect evaluations of community-based health promotion. Large fluctuations, maybe due to chance, among the areas and over the years might obscure the intervention effect. Methods: A quasi-experimental time-series analysis with several control areas was performed as an effect evaluation of a community-based elderly safety promotion program. The program was implemented during 199599 in a community in the Stockholm Metropolitan area (population 65 years: 5500; number of first hip fractures in 1995: 60). Four control areas were selected based on similar hip fracture-related characteristics as the intervention community, complemented with two larger control areas. The time series covered 6 years pre-intervention (199095) and 6 years post-intervention (19962001). The study population was divided into two age groups and gender, resulting in 28 panels. The first hip fracture incidence was obtained from the Swedish national in-patient register. Results: The time series revealed no discernible pattern, and conventional analyses showed no conclusive results. A multivariate analysis, examining the time trends by employing the intra-annual and intra-panel variance, revealed the underlying trends in hip fracture rates. Comparisons between predicted numbers of hip fractures in the intervention and control areas was enabled, which resulted in 14 less hip fractures in the intervention community than expected from the control communities. If one extreme value was altered, the result changed considerably. Conclusion: Effect evaluations of community-based health promotion programs using time-series from small communities might give faulty results, if statistical modelling is not employed.

  • 60. Johansson, Pia M
    et al.
    Sadigh, Siv
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare.
    Rehnberg, Clas
    Non-pharmaceutical prevention of hip fractures: a cost-effectiveness analysis of a community-based elderly safety promotion program in Sweden2008In: Cost Effectiveness and Resource Allocation, ISSN 1478-7547, E-ISSN 1478-7547, Vol. 6, p. 11-Article in journal (Refereed)
  • 61.
    Johansson, Pia
    et al.
    Karolinska Institutet.
    Sadigh, Siv
    Tillgren, Per
    Johansson P, Sadigh P, Tillgren P. The community-based elderly safety promotion program Safe Seniors in Sundbyberg - cost-effective with large benefits for the municipality2009Conference paper (Refereed)
  • 62.
    Johansson, Pia
    et al.
    Karolinska Institutet, Institutionen för folkhälsovetenskap.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare.
    Financing intersectoral health promotion programmes: some reasons why collaborators are collaborating as indicated by cost-effectiveness analyses2011In: Scandinavian Journal of Public Health, ISSN 1403-4948, Vol. 39, p. 26-32Article in journal (Refereed)
    Abstract [en]

    Aims: Intersectoral collaboration is an important part of many health promotion programmes. The reasons for the local organisations to collaborate, i.e. to finance programmes, are presumably based on benefits they derive from the collaboration. The aim of this study is to discuss whether subsector financial analyses based on data from cost-effectiveness analyses reflect incentives of collaborating organisations in two intersectoral health promotion programmes. Methods: Within economics, financial incentives are important reasons for actions. The financial incentives of collaborators are exemplified with two subsector financial analyses containing avoided disease-related costs as estimated in two cost-effectiveness analyses, on an elderly safety promotion programme (Safe Seniors in Sundbyberg) and on a diabetes prevention programme (Stockholm Diabetes Prevention Program, SDPP) from Stockholm, Sweden. Results: The subsector financial analyses indicate that there are financial incentives for the key local community organisation, i.e. the local authority, to collaborate in one of the programmes but not the other. There are no financial benefits for other important community organisations, such as non-governmental organisations. Conclusions: The reasons for collaborating organisations to collaborate within intersectoral health promotion programmes extend beyond financial benefits from averted disease. Thus, the reported subsector financial analyses are only partial reflections of the incentives of collaborators, but they might be used as a starting point for discussions on cost sharing among potential intersectoral collaborators.

  • 63. Johansson, Pia
    et al.
    Tillgren, Per
    Mälardalen University, Department of Caring and Public Health Sciences.
    Guldbrandsson, Karin
    Lars, Lindholm
    A model for cost-effectiveness analyses of smoking cessation interventions applied to a Quit-and-Win contest for mothers to small children2005In: Scandinavian Journal of Public Health, Vol. 33, p. 343-52Article in journal (Other (popular science, discussion, etc.))
  • 64.
    Johansson, Pia
    et al.
    Karolinska Institutet, Institutionen för folkhälsa.
    Östensson, Claes-Göran
    Karolinska institutet.
    Hilding, Agneta
    Karolinska Institutet.
    Andersson, Camilla
    Rehnberg, Claes
    Karolinska Institutet, LIME.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare.
    A cost-effectiveness analysis of a community-based diabetes prevention program in Sweden2009In: International Journal of Technology Assessment in Health Care, ISSN 0266-4623, E-ISSN 1471-6348, Vol. 25, no 3, p. 350-358Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: Lifestyle changes to prevent type 2 diabetes among high-risk persons have been shown to be cost-effective. This study investigates the cost-effectiveness of a community-based program promoting general population lifestyle changes to prevent diabetes. METHODS: The 10-year program was implemented in three municipalities in Sweden. Effectiveness was measured with a quasiexperimental cohort design, that is, risk factor levels in a population group aged 36-56 years at baseline and 8-10 years later (2,149 men; 3,092 women) in the program municipalities and a control area were compared. The incremental cost-utility analysis included future diabetes and cardiovascular disease-related health effects and societal costs (discounted 3 percent), estimated by a Markov model. RESULTS: In all areas, risk factor levels increased during follow-up, leading to increased societal costs of between SEK40,000 and 90,000 (1 Euro 2004 = SEK9.13; 1 US$ = SEK 7.35) and quality-adjusted life-year (QALY) losses between 0.12 and 0.48 per individual. Compared with the control area, the cost increases and QALY losses for women were more favorable in two program areas but less favorable in one, and less favorable for men in both areas (data unavailable for one municipality). The findings indicate that the program was cost-effective in only two female study groups. CONCLUSIONS: Conflicting results on the cost-effectiveness of the program were obtained. As several potentially valuable aspects of the program are not included in the cost-effectiveness analysis, the societal value of the program might not be adequately reflected.

  • 65. Johnsson, Isabel
    et al.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare.
    Hagströmer, Maria
    Karolinska Institutet.
    Understanding and interpreting the concept of physical activity - a focus group study among Swedish women2009In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 37, no 1, p. 20-27Article in journal (Refereed)
    Abstract [en]

    Aims: Strong epidemiological evidence indicates that physical activity is highly beneficial for health. To follow physical activity trends and correctly target interventions, feasible, reliable and valid assessment methods are needed. This paper examines Swedish women's understanding and interpretations of the concepts of physical activity and exercise, as well as different intensity modifiers used in the International Physical Activity Questionnaire (IPAQ). Methods: Four focus group discussions were conducted with 27 women in total aged 35 to 69 (median 52). Responses and accompanying discussion were analysed according to the principles for qualitative content analysis including both manifest and latent content in the text. Findings: Understanding of physical activity and exercise depends on differences in people's experiences. The women felt physical activity and exercise were different concepts, but ultimately agreed that physical activity and exercise were terms along a continuum of movement experiences, from informal to formal settings. The interpretations of the intensity modifiers "moderate'' and "vigorous'' were close to the formal definitions in IPAQ. However the Swedish terms "mattligt anstrangande'' (moderate intensity) and ''mycket anstrangande'' (vigorous intensity) are the best possible terms and should be used in IPAQ. Conclusions: There are different interpretations of the meaning of the key concepts in IPAQ that must be considered. The use of a qualitative approach when developing physical activity questionnaires can lead to more feasible, reliable and valid assessment methods as well as a clearer message for health-enhancing physical activity recommendations. 

  • 66.
    Löfgren, Johanna
    et al.
    Kariolinska Institutet, Institutione för folkhälosvetenskap.
    Byamugisha, Josaphat
    Kampala University, Uganda.
    Tillgren, Per
    Mälardalen University, Department of Caring and Public Health Sciences.
    Rubenson, Birgitta
    Karolinska Institutet, Institutionen för folkhälovetenskap.
    The perspectives of in-school youths in Kampala, Uganda, on the role of parents in HIV prevention.2009In: AJAR, ISSN 1608-5906, Vol. 8, no 2, p. 193-200Article in journal (Refereed)
  • 67. Marttila, A.
    et al.
    Svantesson, L.
    Tillgren, Per
    Mälardalen University, Department of Caring and Public Health Sciences.
    Att växa upp i en förort: narrativa intervjuer med vuxna.2004Report (Other academic)
  • 68.
    Müllersdorf, Maria
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Granström, Fredrik
    FoU Sörmland, Sweden.
    Sahlqvist, L
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare.
    Aspects of health, physical/leisure activities, work and socio-demographics associated with pet ownership in Sweden.2010Conference paper (Refereed)
  • 69.
    Müllersdorf, Maria
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Granström, Fredrik
    R&D Centre/Centre for Clinical Research, Sörmland County Council, Eskilstuna, Sweden.
    Sahlqvist, Lotta
    R&D Centre/Centre for Clinical Research, Sörmland County Council, Eskilstuna, Sweden.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare.
    Aspects of health, physical/leisure activities, work and socio-demographics associated with pet ownership in Sweden2010In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 38, no 1, p. 56-63Article in journal (Refereed)
    Abstract [en]

    AIMS: The aim of the work presented here was to explore differences between pet owners and non-pet-owners concerning aspects of health, physical/leisure activities, work and socio-demographics. METHODS: The study was based on nationally representative data from the Swedish population (n = 43,589). Associations between pet ownership and background variables were investigated using logistic regression analysis. RESULTS: A total of 39,995 respondents were included in the analysis (non-pet-owners = 25,006; pet owners = 14,989). Pet ownership was associated with both positive and negative aspects of health, physical/leisure activities and socio-demographics. Pet owners had better general health but suffered more from mental health problems than non-pet-owners. Their leisure activities involved a greater interest in nature life and/or gardening than those of non-pet-owners. The logistic regression analysis showed that people who were self-employed, in the age range 35 to 49, of female sex, and suffering from pain in the head, neck and shoulders were more likely to own a pet than others. People physically active at a level sufficient to have a positive effect on their health more often owned a pet than people who were less active. CONCLUSIONS: Pet owners differ from non-pet-owners in aspects of socio-demographics, health, physical/leisure activities and work situation. This study, based on a general regional population in Sweden, showed differences of both a positive and a negative kind between non-pet-owners and pet owners concerning aspects of health, physical and leisure activities, and work situation.

  • 70.
    Müllersdorf, Maria
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Granström, Fredrik
    FoU Sörmland, Sweden.
    Tillgren, Per
    Adolescents and pets. Prevalence and aspects of importance, health and socio-demographics - A Swedish study.2010Conference paper (Refereed)
  • 71.
    Nohlert, E.
    et al.
    Centre for Clinical Research, Uppsala University, Västerås, Sweden.
    Öhrvik, J.
    Karolinska Institutet.
    Tegelberg, A.
    Centre for Clinical Research, Uppsala University, Västerås, Sweden.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare.
    Helgason, A. R.
    Karolinska Institutet.
    Long-term follow-up of a high- and a low-intensity smoking cessation intervention in a dental setting- a randomized trial2013In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 13, no 9, p. Article number: 592-Article in journal (Refereed)
    Abstract [en]

    Background: Achieving lifelong tobacco abstinence is an important public health goal. Most studies use 1-year follow-ups, but little is known about how good these are as proxies for long-term and life-long abstinence. Also, intervention intensity is an important issue for development of efficient and cost-effective cessation treatment protocols.The study aims were to assess the long-term effectiveness of a high- and a low-intensity treatment (HIT and LIT) for smoking cessation and to analyze to what extent 12-month abstinence predicted long-term abstinence. Methods. 300 smokers attending dental or general health care were randomly assigned to HIT or LIT at the public dental clinic. Main outcome measures were self-reported point prevalence, continuous abstinence (≥6 months), and sustained abstinence. The study was a follow-up after 5-8 years of a previously performed 12-month follow-up, both by postal questionnaires. Results: Response rate was 85% (n=241) of those still alive and living in Sweden. Abstinence rates were 8% higher in both programs at the long-term than at the 12-month follow-up. The difference of 7% between HIT and LIT had not change, being 31% vs. 24% for point prevalence and 26% vs. 19% for 6-month continuous abstinence, respectively. Significantly more participants in HIT (12%) than in LIT (5%) had been sustained abstinent (p=0.03). Logistic regression analyses showed that abstinence at 12-month follow-up was a strong predictor for abstinence at long-term follow-up. Conclusions: Abstinence at 12-month follow-up is a good predictor for long-term abstinence. The difference in outcome between HIT and LIT for smoking cessation remains at least 5-8 years after the intervention. Trial registration number. NCT00670514.

  • 72.
    Nohlert, Eva
    et al.
    Centre for Clinical Research, Uppsala University, Västerås, Sweden.
    Helgasson, Asgeir R
    Karolinska Institutet,Stockholm, Sweden; Reykjavik University, Iceland.
    Tillgren, Per
    Tegelberg, Åke
    Centre for Clinical Research, Uppsala University, Västerås, Sweden; Malmö University, Sweden .
    Johansson, Pia
    Karolinska Institutet, Stockholm, Sweden.
    Comparison of the cost-effectiveness of a high- and a low-intensity smoking cessation intervention in Sweden: A randomized trial2013In: Nicotine & tobacco research, ISSN 1462-2203, E-ISSN 1469-994X, Vol. 15, no 9, p. 1519-1527Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE:

    To assess the relative cost-effectiveness of a high-intensity treatment (HIT) and a low-intensity treatment (LIT) for smoking cessation.

    METHODS:

    The societal and health care perspective economic evaluation was based on the reported number of quitters at 12-month follow-up (point prevalence) from a randomized controlled trial of 2 smoking cessation programs in Sweden. Future disease-related costs (in Swedish kronor [SEK] 2004; SEK7.35 = USD1) and health effects (in quality-adjusted life-years [QALYs]) were estimated via a Markov model comprising lung cancer, chronic obstructive pulmonary disease, and cardiovascular disease including stroke with costs and QALYs discounted 3% annually.

    RESULTS:

    HIT was more effective than LIT (23% vs. 16% quitters), but at a considerably higher intervention cost: SEK26,100 versus 9,100 per quitter. The model-estimated societal costs avoided did not balance the higher intervention costs, so the incremental cost-effectiveness ratio (ICER) amounted to SEK100,000 per QALY for HIT versus LIT. All sensitivity analyses indicated an ICER below SEK300,000 and that HIT is the preferred option if the decision maker willingness-to-pay exceeds SEK50,000 per QALY. Compared with no intervention, LIT was cost saving, whereas HIT was estimated at SEK8,400 per QALY.

    CONCLUSIONS:

    Compared with no smoking cessation program, it is a societal waste not to implement the LIT as it is estimated to result in lower societal costs. The incremental cost per QALY gained of SEK100,000 for HIT is considered very cost-effective in Sweden. Thus, if smoking cessation programs are judged in the same manner as other Swedish health care measures, the high-intensity program should be chosen before the low-cost program.

  • 73.
    Nohlert, Eva
    et al.
    Uppsala University, Central Hospital, Västerås, Sweden.
    Tegelberg, Åke
    Uppsala University, Central Hospital, Västerås, Sweden; Malmö University, Malmö, Sweden .
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare. Karolinska Institutet, Stockholm, Sweden.
    Johansson, Pia
    Stockholm County Council; Karolinska Institutet, Stockholm, Sweden.
    Rosenblad, Anders
    Uppsala University, Central Hospital, Västerås, Sweden.
    Helgason, Asgier R
    Karolinska Institutet, Stockholm, Sweden; Reykjavik University, Iceland .
    Comparison of a high and a low intensity smoking cessation intervention in a dentistry setting in Sweden: A randomized trial2009In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 9, no 121Article in journal (Refereed)
    Abstract [en]

    BACKGROUND:

    Tobacco is still the number one life style risk factor for ill health and premature death and also one of the major contributors to oral problems and diseases. Dentistry may be a potential setting for several aspects of clinical public health interventions and there is a growing interest in several countries to develop tobacco cessation support in dentistry setting. The aim of the present study was to assess the relative effectiveness of a high intensity intervention compared with a low intensity intervention for smoking cessation support in a dental clinic setting.

    METHODS:

    300 smokers attending dental or general health care were randomly assigned to two arms and referred to the local dental clinic for smoking cessation support. One arm received support with low intensity treatment (LIT), whereas the other group was assigned to high intensity treatment (HIT) support. The main outcome measures included self-reported point prevalence and continuous abstinence (> or = 183 days) at the 12-month follow-up.

    RESULTS:

    Follow-up questionnaires were returned from 86% of the participants. People in the HIT-arm were twice as likely to report continuous abstinence compared with the LIT-arm (18% vs. 9%, p = 0.02). There was a difference (not significant) between the arms in point prevalence abstinence in favour of the HIT-protocol (23% vs. 16%). However, point prevalence cessation rates in the LIT-arm reporting additional support were relatively high (23%) compared with available data assessing abstinence in smokers trying to quit without professional support.

    CONCLUSION:

    Screening for willingness to quit smoking within the health care system and offering smoking cessation support within dentistry may be an effective model for smoking cessation support in Sweden. The LIT approach is less expensive and time consuming and may be appropriate as a first treatment option, but should be integrated with other forms of available support in the community. The more extensive and expensive HIT-protocol should be offered to those who are unable to quit with the LIT approach in combination with other support.

  • 74.
    Nohlert, Eva
    et al.
    CKF, Västerås.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare.
    Tegelberg, Åke
    CKF, Västerås.
    Helgason, Asgier
    Karolinska Institutet, Institutionen för folkhälsovetenskap.
    Long term follow up of a high and low intensity smoking cessation intervention in a dentistry setting in Sweden: a randomized trial. Poster presentation.2012Conference paper (Other academic)
  • 75.
    Nordin, Maria
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Wallin, Emmie
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare.
    Evidence and knowledge base for prevention of substance use within the Swedish sports movement – an interview study with project managers.2009Conference paper (Refereed)
  • 76.
    Nordin, Maria
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Wallin, Emmie
    Högskolan Väst.
    Tillgren, Per
    Projektledares syn på effekter och erfarenheter av drogförebyggande arbete inom idrottsrörelsen2010In: Svensk Idrottsforskning: Organ för Centrum för Idrottsforskning, ISSN 1103-4629, no 2, p. 34-38Article in journal (Other academic)
    Abstract [sv]

    Vad blir effkterna av drogförebyggande arbete inom idrottsrörelsen? Vilken är kunskapsbasen för att genomgöra sådant arbete. Det är några frågor som denna artikel vill lyfta fram. Resultatet baseras på en studie som genomförts med stöd från centrum för idrottsforskning (CIF).

  • 77.
    Norfjord van Zyl, Maria
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Akhavan, Sharareh
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Natl Board Hlth & Welf, Evaluat & Anal Unit, Stockholm, Sweden..
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Asp, Margareta
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Experiences and perceptions about undergoing mammographic screening: a qualitative study involving women from a county in Sweden2018In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 13, no 1, article id 1521256Article in journal (Refereed)
    Abstract [en]

    Purpose:An organized population-based mammographic screening programme aims for an early detection of potential breast abnormalities so that treatment can commence. Continuous participation and a high attendance rate are vital for an effective programme. It is important to understand the underlying reasons for participation in mammographic screening, should there be factors that are amendable within reason and could be adjusted. Therefore, the invited women are valuable sources of information. This study aimed at describing the experiences and perceptions about mammographic screening of women from three municipalities in a Swedish county.Method:Six semi-structured focus-group discussions, each with four to five participants, were held. Content analysis was then conducted.Results:The screening procedure, such as staff professionalism, was covered. Other people's opinions and the woman's own understanding affected the women's decisions on whether or not to undergo the procedure. Structural conditions, such as travel time and financial issues, were sources of concern. However, the offer to perform mammographic screening was perceived with gratitude.Conclusions:Structural conditions, risk and time perceptions, the screening procedure, attitudes towards undergoing it and appreciation of its benefit may influence the women's continuous willingness to be screened, which in turn may affect public and individual health.

  • 78.
    Norfjord van Zyl, Maria
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Akhavan, Sharareh
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Asp, Margareta
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Non-participation in mammographic screening – experiences of women from a region in Sweden2020In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 20, no 1, article id 219Article in journal (Refereed)
    Abstract [en]

    Understanding women’s life conditions regarding their non-participation in different health-promoting and disease-preventing activities is important as it may draw attention to potential areas for improvement in the healthcare sector. Mammographic screening, a disease-preventing service, facilitates early detection of any potential malignancies and consequently prompts initiation of treatment. The reasons for non-participation in mammographic screening can be understood from different perspectives, such as socioeconomic and lifestyle-related determinants of health. This study aims to gain a deeper understanding of women’s experiences and perceptions about non-participation in mammographic screening in a Swedish region with a single mammographic facility.

    Methods

    Data from individual semi-structured interviews, conducted in 2018 with eleven women between the ages of 48 and 73, were analysed by a qualitative content analysis.

    Results

    The findings reveal three main categories: 1) doubts regarding mammographic screening and its organisation, 2) sense and sensibility in the decision to refrain from mammographic screening, and 3) dependency and options. These three categories indicate aspects, such as the individual’s life situation, accessibility to the offered service, and the flexibility of the healthcare system, that need to be considered to improve the organisation of mammographic screening.

    Conclusion

    Listening to the women’s voices regarding their experiences and perceptions about mammographic screening is important as individual characteristics and social circumstances interact with healthcare and affect the degree of participation.

  • 79.
    Norfjord Zidar, Maria
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Larm, Peter
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Akhavan, Sharareh
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Non-attendance of mammographic screening: the roles of age and municipality in a population-based Swedish sample.2015In: International Journal for Equity in Health, ISSN 1475-9276, E-ISSN 1475-9276, Vol. 14, no 1, article id 157Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Inequality in health and health care is increasing in Sweden. Contributing to widening gaps are various factors that can be assessed by determinants, such as age, educational level, occupation, living area and country of birth. A health care service that can be used as an indicator of health inequality in Sweden is mammographic screening. The non-attendance rate is between 13 and 31 %, while the average is about 20 %. This study aims to shed light on three associations: between municipality and non-attendance, between age and non-attendance, and the interaction of municipality of residence and age in relation to non-attendance.

    METHODS: The study is based on data from the register that identifies attenders and non-attenders of mammographic screening in a Swedish county, namely the Radiological Information System (RIS). Further, in order to provide a socio-demographic profile of the county's municipalities, aggregated data for women in the age range 40-74 in 2012 were retrieved from Statistics Sweden (SCB), the Public Health Agency of Sweden, the National Board of Health and Welfare, and the Swedish Social Insurance Agency. The sample consisted of 52,541 women. Analysis conducted of the individual data were multivariate logistic regressions, and pairwise chi-square tests.

    RESULTS: The results show that age and municipality of residence associated with non-attendance of mammographic screening. Municipality of residence has a greater impact on non-attendance among women in the age group 70 to 74. For most of the age categories there were differences between the municipalities in regard to non-attendance to mammographic screening.

    CONCLUSIONS: Age and municipality of residence affect attendance of mammographic screening. Since there is one sole and pre-selected mammographic screening facility in the county, distance to the screening facility may serve as one explanation to non-attendance which is a determinant of inequity. From an equity perspective, lack of equal access to health and health care influences facility utilization.

  • 80.
    Olander, Ewy
    et al.
    Blekinge tekniska Högskola, Karlskrona.
    Ringsberg, Karin C
    Göteborgs universitet.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Health literacy: ett dynamiskt begrepp2014In: Health literacy: Teori och praktik i hälsofrämjande arbete / [ed] Karin C Ringsberg, Ewy Olander, Per Tillgren, Lund: Studentlitteratur AB, 2014, 1, p. 47-74Chapter in book (Other academic)
  • 81.
    Ringsberg, K. C.
    et al.
    University of Gothenburg, Gothenburg, Sweden.
    Olander, E.
    Blekinge Institute of Technology, Department of Health, Karlskrona, Sweden.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Thualagant, N.
    Roskilde University, Roskilde, Denmark.
    Trollvik, A.
    University of Applied Sciences, Elverum, Norway.
    Concerns and future challenges of health literacy in the Nordic countries - From the point of view of health promotion practitioners and researchers2018In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 46, no 20_suppl, p. 107-117Article in journal (Refereed)
    Abstract [en]

    Background: Health literacy is an essential social determinant for promoting and maintaining the health of a population. Aim: From a health promotion perspective, explore health literacy issues, concerns and future challenges among Nordic practitioners and researchers. Methods: Data were collected in a workshop at the 8th Nordic Health Promotion Conference, and in a literature review, with articles from five databases. The search included title and abstract with the search terms health literacy* and health literacy as a MeSH term and all the Nordic countries. Qualitative and quantitative analysis were used. Results: Twenty-five persons participated in the workshop. The discussions were summarized in six themes: concept of health literacy in national language; risk of victim blaming; measuring health literacy; content in school curricula on health literacy; new technologies for information and communication; communication and collaboration between different actors in support of health. Forty-three articles on health literacy were identified, mainly conducted within three fields: development, test and adaptation of instruments for measuring health literacy; measurement of health literacy among patients, or other defined target groups and on populations; and developing and evaluating methods/tools for the training of personnel groups or different target groups. Conclusions: There is a need for further studies providing a more in-depth understanding of the health literacy concept, knowledge on how to measure health literacy, ethical aspects, application in intersectoral collaboration as well as the adaptation to new technologies for information and communication in education supporting health literacy. As health literacy is an essential social health determinant, a concern and a future challenge must be, to make the health literacy concept familiar and visible in health promotion policies, research and practice such as health education. 

  • 82.
    Ringsberg, Karin C
    et al.
    Göteborgs universitet.
    Olander, EwyBlekinge tekniska Högskola, Karlskrona.
    Health literacy: Teori och praktik i hälsofrämjande arbete2014Collection (editor) (Other academic)
  • 83.
    Ringsberg, Karin
    et al.
    Göteborgs universitet, Sweden.
    Olander, Evy
    Karlskrona Tekniska Högskola, Sweden.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Trollvik, Anne
    Høgskolen i Innlandet.
    Health literacy – challenges for the future2016Conference paper (Refereed)
    Abstract [en]

    Objective of the workshop: The aim is to highlight and discuss critical health literacy issues and concerns and pinpoint future challenges in theory, research and practice in order to strengthen supportive environments for health literacy.  Background: Health literacy is a dynamic concept that more and more has come to the fore over the last ten years. This has led to an evolvement of a number of definitions with varying conceptual definitions and focus. A progression has occurred from health literacy focused on individuals' understanding of health information, to more complex definitions on people´s ability to use health literacy for societal influence i.e. critical health literacy. In a health promotion approach and in health promotion practice, health literacy is seen as a resource for the individual's health as well as for population health. Health literacy is also seen as a result of efforts to enhance health and equity in health between population groups, locally, nationally and internationally. In this workshop critical health literacy will be discussed from a health promotion perspective. PhD students who participate in the workshop and thereafter write a paper can be examined and approved equivalent for 1,5 ECTS.  Organization of the workshop The workshop is building upon active interaction between the participants.  It starts with a short introduction to the concept of health literacy, the most common definitions and a summing-up of current research within the field, elucidated from different perspectives with some Nordic examples from practice. Thereafter the participants discuss and reflect issues, and concerns and future challenges in research and practice from their own experiences and perspectives in subgroups. Finally a summary of the group discussions with pinpoint of future challenges according to supportive environments in plenum will be done.

  • 84.
    Ringsberg, Karin
    et al.
    Nordiska högskolan för folkhälsovetenskap (NHV), Sweden.
    Thorpenberg, Stefan
    Nordiska högskolan för folkhälsovetenskap (NHV), Sweden .
    Borup, Ina
    Nordiska högskolan för folkhälsovetenskap (NHV), Sweden.
    Haglund, Bo
    Karolinska Institutet, Dept. Public Health Sciences, Sweden.
    Bovisen, Lene
    Nordiska högskolan för folkhälsovetenskap (NHV), Sweden .
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare.
    Differences and similarities between the Nordic countries regarding health promotion research: A literature review 1986-2008.2008Conference paper (Refereed)
  • 85.
    Stenfors-Hayes, Terese
    et al.
    Karolinska Institutet.
    von Thiele Schwarz, Ulrika
    Hasson, Hanna
    Karolinska Institutet.
    Hvitfeldt Forsberg, Helena
    Karolinska Institutet.
    Augustsson, Hanna
    Karolinska Institutet.
    Nyström, Monica
    Mazzocato, P
    Tillgren, Per
    LeanHealth – Integrating health promotion with quality improvement2012Conference paper (Other academic)
  • 86.
    Stier, Jonas
    et al.
    Högskolan Dalarna, Sweden.
    Holmström, Inger
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Tillgren, Per
    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.
    Samarbete, samverkan, samproduktion2016In: Samproduktionens retorik och praktik: inom området hälsa och välfärd, Lund: Studentlitteratur AB , 2016, 1Chapter in book (Other academic)
  • 87.
    Stier, Jonas
    et al.
    Högskolan Dalarna, Sweden.
    Holmström, Inger
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Tillgren, Per
    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.
    Samproduktionens praktik och teori2016In: Samproduktionens retorik och praktik: inom området hälsa och välfärd, Lund: Studentlitteratur AB , 2016, 1Chapter in book (Other academic)
  • 88.
    Stjerna, M-L.
    et al.
    University of Stockholm.
    Olin Lauritzen, S.
    University of Stockholm.
    Tillgren, Per
    Mälardalen University, Department of Caring and Public Health Sciences.
    ”Social thinking” and cultural images: Teenagers notions of tobacco use.2004In: Social Science and Medicine, ISSN 0277-9536, E-ISSN 1873-5347, Vol. 59, no 3, p. 573-583Article in journal (Refereed)
    Abstract [en]

    The health hazards of tobacco use are well-known, and it is considered particularly important to prevent tobacco use among teenagers. New generations of teenagers still start using tobacco. To develop a more profound understanding of tobacco use among teenagers, the purpose of this study is to explore representations of tobacco use, smoking as well as snuffing, at the age when young people often start using tobacco. Focus-group interviews were carried out with 14-15 year olds in two schools in the Stockholm area. The analysis reveals that teenagers are well informed about the health-hazards of tobacco use. At the same time they hold complex and conflicting ideas concerning the relationship between tobacco use, risk, the body and "human nature". At the most general level of "social thinking" there is a dynamic relation between the three main representations of tobacco use related to: (1) notions of risk, (2) "human nature" and; (3) society's efforts to discipline its citizens, which together can be seen as the social representation of tobacco use. These representations of tobacco use are discussed as related to the teenagers' identity-work and gender identities. 

  • 89.
    Söderbäck, Maja
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Carlsson, Marie
    Mälardalen University, School of Health, Care and Social Welfare.
    Olausson, Malin
    Mälardalen University, School of Health, Care and Social Welfare.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare.
    PERCEPTIONS OF HEALTH PROMOTING ACTIVITIES AMONG SWEDISH PUBLIC HEALTH NURSES: Poster presentation2013Conference paper (Refereed)
  • 90.
    Söderbäck, Maja
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Co-production by scientific papers in the field of Health and Welfare among Scientists / Institutions in Thailand and Sweden2014Conference paper (Refereed)
    Abstract [en]

    AIM

    The aim of this study is to examine to what extent there is a co-production in research in the field of health and welfare between scientific institutions and universities in Thailand and Sweden.

     

    BACKGROUND

    At the School of Health, Care and Social Welfare at Mälardalen University the cooperation with Thailand includes both education and research. The cooperation has went on since 2009 including the Ministry of Health and their nursing and public health colleges as well as two universities, Mahidol university and Rangsit university. The latest agreement of cooperation covers the years 2013 - 2017. The cooperation takes place mainly through student exchange and training on graduate and advanced in the field of health and welfare, but also by some research contacts.

                   

    METHOD

    The study is based on a systematic literature review in three multidisciplinary databases; Scopus, Web of Science and PubMed databases. The scoping has been limited to scientific articles. Three different search strategies have been used. To elaborate on the precision of the search it has been carried out in three steps. The initial search was based on the keywords ‘Health and Welfare’ as well as ‘Thailand and Sweden’ in the title as well as abstract. The second search was focused on ‘affiliation/address, author, Thailand and Sweden’. For PubMed the search included only 2013, because it was from this year it was possible to search for more than one affiliation/address. The third search was a deepening search by a concretization of ‘Health and Welfare’ based on other keywords related to disciplines, as specific concepts such as ‘caring, nursing, sociology, physiotherapy, public health, social work, psychology’ or appropriate disciplines. A limitation was made by including only studies between the two countries, not multicenter studies from more countries in which the two countries have signed. Further, duplicates were excluded in the analysis. Regarding the reliability of the articles the quality of the articles will be more analyzed in a final step of the process.

    FINDINGS

    The first conceptual search resulted in 210 articles, distributed by the keywords Health and Welfare (4), Health (199) and Welfare (7). The second search resulted in 422 articles that showed that most of these items were not at all in the area of ​​health and welfare, but other fields as engineering, physics, medical chemistry, biomedicine and animal studies. In the third search 56 articles in all three databases were identified. For the aim of this study 17 were considered relevant.

     

    IMPLICATIONS

    This study demonstrates that there is a research collaboration and joint scientific publishing in many scientific disciplines and areas between the two countries, Thailand and Sweden. The co-production occurred primarily during the last 10 years. However there is a limited degree in the area of Health and Welfare. Only one of the identified articles were written by a cooperation with researchers in Thailand and at Mälardalen University.

    Recurring annual systematic literature reviews in the area of Health and Welfare will be a way to track the progress of co-production between universities in Thailand and Mälardalen University. This study can function as baseline study for such reviewing.

  • 91.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Folkhälsovetenskap i högre utbildning – olika perspektiv2017In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 94, no 3, p. 276-277Article in journal (Other academic)
    Abstract [sv]

    Behovet av en kvalificerad yrkeskompetens inom folkhälsoområdet är en viktig förutsättning för att kunna identifiera och följa folkhälsans utmaningar, men också för att kunna genomföra nödvändiga insatser på individ-, organisations- och samhällsnivå. En viktig katalysator och drivkraft som lyft fram detta behov är Världshälsoorganisationen (WHO).

  • 92.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare.
    Politik: folkhälsa som politikområde2009In: Folkhälsa som tvärvetenskap: möten mellan ämnen / [ed] Ingemar Andersson & Göran Ejlertsson, Lund: Studentlitteratur , 2009, 1:a, p. 181-207Chapter in book (Other (popular science, discussion, etc.))
  • 93.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Utvärdering: en reflektion utifrån tobaksförebyggande arbete.2017Conference paper (Other academic)
  • 94.
    Tillgren, Per
    et al.
    Mälardalen University, Department of Caring and Public Health Sciences.
    Nohlert, E
    Johansson, P
    Helgason, A
    Tegelberg, Å
    Att sluta röka – en effektstudie av två rökavvänjningsprogram utförda inom Folktandvården, Landstinget Västmanland2007Report (Other (popular science, discussion, etc.))
  • 95.
    Tillgren, Per
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Ringsberg, Karin C
    Göteborgs universitet.
    Olander, Ewy
    Blekinge tekniska Högskola, Karlskrona.
    Det moderna folkhälsoarbetet och dess utmaningar2014In: Health literacy: Teori och praktik i hälsofrämjande arbete / [ed] Karin C Ringsberg, Ewy Olander, Per Tilglren, Lund: Studentlitteratur AB, 2014, 1, p. 19-46Chapter in book (Other academic)
  • 96.
    Tillgren, Per
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Mälardalens högskola.
    Stier, Jonas
    Högskolan Dalarna, Sweden.
    Perspektivet samproduktion inom hälsa och välfärd2016In: Samproduktionens retorik och praktik: inom området hälsa och välfärd, Lund: Studentlitteratur AB , 2016, 1Chapter in book (Other academic)
  • 97. Tillgren, Per
    et al.
    Söderbäck, Maja
    Mälardalen University, School of Health, Care and Social Welfare.
    Haglund, Bo JA
    Karolinska Institutet.
    A capacity building PBL-course module for health promotion strategies.2013Conference paper (Refereed)
  • 98.
    Tillgren, Per
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Wallin, Emmie
    Tillgren P. Wallin E. Handslaget ”Kamp mot droger” - vad blev resultatet av kampen?2007In: Svensk Idrottsforskning: Organ för Centrum för Idrottsforskning, ISSN 1103-4629, Vol. 16, no (3/4), p. 86-90Article in journal (Refereed)
  • 99.
    Tillgren, Per
    et al.
    Mälardalen University, Department of Caring and Public Health Sciences.
    Zetterquist (Carlsson), Susanne
    Erikson, Lina
    Haglund, Bo JA
    Fördjupad metodutveckling av nationella tobaksförebyggande strategier: en metautvärdering av regeringens Tobaksuppdrag 2002-20052005Report (Other (popular science, discussion, etc.))
  • 100. Viljonen, C.T.
    et al.
    Kirsten, T.G.J.
    Haglund, B.J.A.
    Tillgren, Per
    Mälardalen University, Department of Caring and Public Health Sciences.
    Towards the Development of Indicators for Health Promoting Schools.2006In: The Health Promoting School: International Advances in Theory, Evaluation and Practice., Danmarks Pedagogiske Universtitets Forlag, Copenhagen. , 2006, p. 75-86Chapter in book (Other academic)
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