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Duberg, A., Möller, M. & Sunvisson, H. (2016). "I feel free": Experiences of a dance intervention for adolescent girls with internalizing problems. International Journal of Qualitative Studies on Health and Well-being, 11, Article ID 31946.
Open this publication in new window or tab >>"I feel free": Experiences of a dance intervention for adolescent girls with internalizing problems
2016 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 11, article id 31946Article in journal (Refereed) Published
Abstract [en]

Adolescent girls today suffer from internalizing problems such as somatic symptoms and mental health problems at higher rates compared to those of previous decades, and effective interventions are warranted. The aim of this study was to explore the experiences of participating in an 8-month dance intervention. This qualitative study was embedded in a randomized controlled trial of a dance intervention for adolescent girls with internalizing problems. A total of 112 girls aged 13-18 were included in the study. The dance intervention group comprised 59 girls, 24 of whom were strategically chosen to be interviewed. Data were analyzed using qualitative content analysis with an inductive approach. The experiences of the dance intervention resulted in five generic categories: (1) An Oasis from Stress, which represents the fundamental basis of the intervention; (2) Supportive Togetherness, the setting; (3) Enjoyment and Empowerment, the immediate effect; (4) Finding Acceptance and Trust in Own Ability, the outcome; and (5) Dance as Emotional Expression, the use of the intervention. One main category emerged, Finding Embodied Self-Trust That Opens New Doors, which emphasizes the increased trust in the self and the ability to approach life with a sense of freedom and openness. The central understanding of the adolescent girls' experiences was that the dance intervention enriched and gave access to personal resources. With the non-judgmental atmosphere and supportive togetherness as a safe platform, the enjoyment and empowerment in dancing gave rise to acceptance, trust in ability, and emotional expression. Taken together, this increased self-trust and they discovered a new ability to "claim space." Findings from this study may provide practical information on designing future interventions for adolescent girls with internalizing problems.

Place, publisher, year, edition, pages
Järfälla: Co-Action Publishing, 2016
Keyword
Adolescent health, dancing, non-judgmental, qualitative research, self-trust, stress, togetherness
National Category
Psychiatry
Identifiers
urn:nbn:se:oru:diva-51563 (URN)10.3402/qhw.v11.31946 (DOI)000381028400001 ()27416014 (PubMedID)2-s2.0-84982746148 (Scopus ID)
Note

Funding Agency:

Region Örebro County, Sweden

Available from: 2016-08-03 Created: 2016-08-02 Last updated: 2017-11-28Bibliographically approved
Karlberg-Traav, M., Cronqvist, A., Forsman, H., Johansson, G., Möller, M. & Eriksson, M. (2016). Leading for research: an intervention to facilitate research utilization. In: Nordic Conference in Nursing Research: Methods and Networks for the future. Paper presented at Nordic Conference in Nursing Research 2016, Stockholm, Sweden, 15-17 June. .
Open this publication in new window or tab >>Leading for research: an intervention to facilitate research utilization
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2016 (English)In: Nordic Conference in Nursing Research: Methods and Networks for the future, 2016Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Background: Nurses working in hospital wards, have been reported as low users of research when organizing their clinical work. Two main factors that could influence the nurses research utilization have been identified; leadership and time for reflection.

Aim: The overall aim was to evaluate an intervention organi- zed with the purpose of supporting nurse leaders to facilitate research utilization among clinically working nurses.

Design and methods: Based on focus group interviews with nurse leaders, an educational intervention for nurse leaders was developed. The intervention was given to approximately one third of the nurse leaders at a university hospital. It con- sists of four educational workshops with themes like practical research support, nursing theory, leading for research and literature search strategies, and was performed over a half-year period. The focus of the intervention was to provide practical paths to stimulate research utilization and to create a reflective approach among the nurse leaders.

We also provided the nurse leaders with a ”mentor of sci- ence”. Before and after the intervention a survey was sent to all nurses working on the hospital wards. The survey consisted of questions about the working climate and how they use research in their daily work.

Results: Preliminary results from the focus groups indicates that the nurse leaders ask for external support, and “hands on help” so the intervention was designed to provide that. The pre-intervention survey was answered by 591 nurses and will be repeated approximately one year after the intervention is completed. 

Keyword
Nursing research
National Category
Nursing
Research subject
Caring sciences
Identifiers
urn:nbn:se:oru:diva-50934 (URN)
Conference
Nordic Conference in Nursing Research 2016, Stockholm, Sweden, 15-17 June
Available from: 2016-06-19 Created: 2016-06-19 Last updated: 2017-10-17Bibliographically approved
Skoglund, I., Björkelund, C., Petzold, M., Gunnarsson, R. & Möller, M. (2013). A randomized controlled trial comparing two ways of providing evidence-based drug information to GPs. Scandinavian Journal of Primary Health Care, 31(2), 67-72.
Open this publication in new window or tab >>A randomized controlled trial comparing two ways of providing evidence-based drug information to GPs
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2013 (English)In: Scandinavian Journal of Primary Health Care, ISSN 0281-3432, E-ISSN 1502-7724, Vol. 31, no 2, p. 67-72Article in journal (Refereed) Published
Abstract [en]

Objective. To investigate whether tailored evidence-based drug information (EBDI) to general practitioners (GPs) can change the proportion of ACE inhibitor prescriptions more effectively than EBDI provided as usual three and six months after the intervention.

Design. Randomized controlled trial.

Setting. GPs in southern Sweden working at primary health care centres (PHCCs) in seven drug and therapeutic committee areas.

Intervention. EBDI tailored to motivational interviewing (MI) technique and focused on the benefit aspect was compared with EBDI provided as usual.

Subjects. There were 408 GPs in the intervention group and 583 GPs in the control group.

Main outcome measures. Change in proportion of ACE inhibitor prescriptions relative to the sum of ACE inhibitors and angiotensin receptor blockers, three and six months after the intervention.

Results. The GPs' average proportions of prescribed ACE inhibitors increased in both groups. No statistically significant differences in the change of proportions were found between intervention and control groups. Information was provided to 29% of GPs in both groups.

Conclusion. This study could not prove that specially tailored EBDI using MI implements guidelines more effectively than EBDI provided as usual.

Keyword
Benefit aspects, drug information services, drug prescriptions, evidence-based medicine, general practice, general practitioner, motivational interviewing, primary health care, Sweden
National Category
Medical and Health Sciences
Research subject
Medicine
Identifiers
urn:nbn:se:oru:diva-29602 (URN)10.3109/02813432.2012.757071 (DOI)000318643200002 ()
Available from: 2013-06-17 Created: 2013-06-17 Last updated: 2017-12-06Bibliographically approved
Philipsson, A., Duberg, A., Möller, M. & Hagberg, L. (2013). Cost-utility analysis of a dance intervention for adolescent girls with internalizing problems. Cost Effectiveness and Resource Allocation, 11(1), 4.
Open this publication in new window or tab >>Cost-utility analysis of a dance intervention for adolescent girls with internalizing problems
2013 (English)In: Cost Effectiveness and Resource Allocation, ISSN 1478-7547, E-ISSN 1478-7547, Vol. 11, no 1, p. 4-Article in journal (Refereed) Published
Abstract [en]

Background: The increasing prevalence of psychological health problems among adolescent girls is alarming. Knowledge of beneficial effects of physical activity on psychological health is widespread. Dance is a popular formof exercise that could be a protective factor in preventing and treating symptoms of depression. The aim of thisstudy was to assess the cost-effectiveness of a dance intervention in addition to usual school health services foradolescent girls with internalizing problems, compared with usual school health services alone.

Methods: A cost-utility analysis from a societal perspective based on a randomized controlled intervention trial wasperformed. The setting was a city in central Sweden with a population of 130 000. A total of 112 adolescent girls, 13–18 years old, with internalizing problems participated in the study. They were randomly assigned to intervention (n =59) or control (n = 53) group. The intervention comprised dance twice weekly during eight months in addition to usualschool health services. Costs for the stakeholder of the intervention, treatment effect and healthcare costs wereconsidered. Gained quality-adjusted life-years (QALYs) were used to measure the effects. Quality of life was measuredwith the Health Utility Index Mark 3. Cost-effectiveness ratios were based on the changes in QALYs and net costs forthe intervention group compared with the control group. Likelihood of cost-effectiveness was calculated.

Results: At 20 months, quality of life had increased by 0.08 units more in the intervention group than in the controlgroup (P = .04), translating to 0.10 gained QALYs. The incremental cost-effectiveness ratio was USD $3,830 per QALYand the likelihood of cost-effectiveness was 95%.

Conclusions: Intervention with dance twice weekly in addition to usual school health services may be consideredcost-effective compared with usual school health services alone, for adolescent girls with internalizing problems.

Keyword
Internalizing problems, Adolescent girls, Physical activity, Dance, Cost-utility analysis
National Category
Business Administration Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Business Studies
Identifiers
urn:nbn:se:oru:diva-38723 (URN)10.1186/1478-7547-11-4 (DOI)23425608 (PubMedID)2-s2.0-84873979104 (Scopus ID)
Note

Trial registration:

Name of the trial registry: “Influencing Adolescent Girls’ With Creative Dance Twice Weekly”

Trial registration number: NCT01523561

Available from: 2014-11-18 Created: 2014-11-18 Last updated: 2017-12-05Bibliographically approved
Duberg, A., Möller, M. & Taube, J. (2013). Dans kan ge unga skydd mot psykisk ohälsa. Läkartidningen, 110(36), 1539-1541.
Open this publication in new window or tab >>Dans kan ge unga skydd mot psykisk ohälsa
2013 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 110, no 36, p. 1539-1541Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Stockholm: Läkartidningen förlag AB, 2013
National Category
Psychiatry
Identifiers
urn:nbn:se:oru:diva-40269 (URN)24163907 (PubMedID)2-s2.0-84883792038 (Scopus ID)
Available from: 2015-01-08 Created: 2015-01-08 Last updated: 2017-12-05Bibliographically approved
Duberg, A., Hagberg, L., Sunvisson, H. & Möller, M. (2013). Influencing self-rated health among adolescent girls with dance intervention: a randomized controlled trial. JAMA pediatrics, 167(1), 27-31.
Open this publication in new window or tab >>Influencing self-rated health among adolescent girls with dance intervention: a randomized controlled trial
2013 (English)In: JAMA pediatrics, ISSN 2168-6203, E-ISSN 2168-6211, Vol. 167, no 1, p. 27-31Article in journal (Refereed) Published
Abstract [en]

Objective: To investigate whether dance intervention influenced self-rated health for adolescent girls with internalizing problems.

Design: Randomized controlled intervention trial with follow-up measures at 8, 12, and 20 months after baseline.

Setting: A Swedish city with a population of 130 000.

Participants: Girls aged 13 to 18 years with internalizing problems, ie, stress and psychosomatic symptoms. A total of 59 girls were randomized to the intervention group and 53 were randomized to the control group.

Intervention: The intervention comprised dance classes twice weekly during 8 months. Each dance class lasted 75 minutes and the focus was on the joy of movement, not on performance.

Main Outcome Measures: Self-rated health was the primary outcome; secondary outcomes were adherence to and experience of the intervention.

Results: The dance intervention group improved their self-rated health more than the control group at all follow-ups. At baseline, the mean score on a 5-point scale was 3.32 for the dance intervention group and 3.75 for the control group. The difference in mean change was 0.30 (95% CI, −0.01 to 0.61) at 8 months, 0.62 (95% CI, 0.25 to 0.99) at 12 months, and 0.40 (95% CI, 0.04 to 0.77) at 20 months. Among the girls in the intervention group, 67% had an attendance rate of 50% to 100%. A total of 91% of the girls rated the dance intervention as a positive experience.

Conclusions: An 8-month dance intervention can improve self-rated health for adolescent girls with internalizing problems. The improvement remained a year after the intervention

Place, publisher, year, edition, pages
Chicago, USA: American Medical Association, 2013
National Category
Other Health Sciences Nursing
Research subject
Medicine
Identifiers
urn:nbn:se:oru:diva-24206 (URN)10.1001/jamapediatrics.2013.421 (DOI)000316797500007 ()23403597 (PubMedID)2-s2.0-84873503070 (Scopus ID)
Note

Funding Agencies:

Örebro County Council 

municipality of Örebro 

Available from: 2012-08-03 Created: 2012-08-03 Last updated: 2017-12-07Bibliographically approved
Arvidsson, B., Bodin, L., Rask, E., Schwarcz, E. & Möller, M. (2013). Reference data for bone mineral density in Swedish women using digital X-ray radiometry. Journal of clinical densitometry, 16(2), 183-188.
Open this publication in new window or tab >>Reference data for bone mineral density in Swedish women using digital X-ray radiometry
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2013 (English)In: Journal of clinical densitometry, ISSN 1094-6950, E-ISSN 1559-0747, Vol. 16, no 2, p. 183-188Article in journal (Refereed) Published
Abstract [en]

During the last decade, digital X-ray radiometry (DXR) has been used to measure bone mineral density (BMD) in the metacarpal bones. The aim of this study was to establish Swedish reference material for bone mass in women, measured in the metacarpal bones with DXR, and compare these data with the data from the manufacturer. A sample of 1440 women aged 20-79yr living in Örebro County was randomly assigned from the population register. Microdose mammography was used (Sectra MDM L30; Sectra Imtec AB, Linköping, Sweden) to measure BMD. Cole's LMS method was used to calculate DXR. Six hundred sixty-nine (48.3%) women participated. Peak bone mass occurred at the age of 43.4yr with a BMD of 0.597g/cm(2) (standard deviation: 0.050). Our Swedish data correlated well with the manufacturer's material. Only among women aged 50-59yr did BMD differ, where the Swedish sample had lower values. The LMS method can be used to describe the DXR data and provide a more detailed picture of bone density distribution. DXR-BMD in Swedish women aged 20-79yr is equivalent to findings from other studies, showing the same distribution of BMD in most age groups except for ages 50-59yr.

Place, publisher, year, edition, pages
New York, USA: Elsevier, 2013
Keyword
Bone mineral density, Cole’s LMS method, digital X-ray radiogrammetry, osteoporosis, Swedish reference data
National Category
Medical and Health Sciences Endocrinology and Diabetes
Research subject
Medicine
Identifiers
urn:nbn:se:oru:diva-24201 (URN)10.1016/j.jocd.2012.03.002 (DOI)000319032700012 ()22704219 (PubMedID)2-s2.0-84877086033 (Scopus ID)
Note

Funding Agency:

Research Committee of Örebro County Council

Available from: 2012-08-03 Created: 2012-08-02 Last updated: 2017-12-07Bibliographically approved
Kollén, L., Frändin, K., Möller, M., Fagevik Olsén, M. & Möller, C. (2012). Benign paroxysmal positional vertigo is a common cause of dizziness and unsteadiness in a large populatioin of 75-year-olds. Aging Clinical and Experimental Research, 24(4), 317-323.
Open this publication in new window or tab >>Benign paroxysmal positional vertigo is a common cause of dizziness and unsteadiness in a large populatioin of 75-year-olds
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2012 (English)In: Aging Clinical and Experimental Research, ISSN 1594-0667, E-ISSN 1720-8319, Vol. 24, no 4, p. 317-323Article in journal (Refereed) Published
Abstract [en]

Background and aims: Studies have shown that 65% of people with dizziness may have a vestibular etiologic diagnosis, possibly benign paroxysmal positional vertigo (BPPV). The diagnosis of BPPV is based on medical history and findings after the Dix-Hallpike test. It is sometimes difficult to perform the Dix-Hallpike test in elderly persons, due to the limited range of motion when extending the neck. In this study, we used a side-lying test to stimulate the posterior semicircular canal, while the head and neck were fully supported on the examination table. The aims of this study were to investigate the prevalence of dizziness and/or impaired balance and BPPV in a population of 75-year-olds by means of a questionnaire and clinical tests, and to compare elderly persons with and without BPPV.

Methods: A representative population sample of 675 persons completed a questionnaire about dizziness and 571 persons underwent side-lying, static balance and dynamic walking tests.

Results: Subjective dizziness and/or impaired balance were found in 36% of subjects, especially when walking outdoors. A significant gender difference was found, with a higher prevalence in women (40%) compared with men (30%) (p<0.01). BPPV was found in 11% and was significantly more common in women (p<0.01). Elderly individuals with BPPV also displayed significantly impaired balance in static and dynamic balance tests compared with persons without BPPV (p<0.01). Persons with BPPV reported significantly more subjective problems with dizziness and balance compared with persons without BPPV (p<0.001).

Conclusions: Subjective and objective unsteadiness, dizziness and BPPV are common in the elderly.

Place, publisher, year, edition, pages
New York, USA: Springer, 2012
Keyword
Benign paroxysmal positional vertigo, dizziness, dynamic balance, elderly, static balance
National Category
Medical and Health Sciences Gerontology, specialising in Medical and Health Sciences
Research subject
Medicine
Identifiers
urn:nbn:se:oru:diva-26645 (URN)000326839700002 ()23238307 (PubMedID)2-s2.0-84871915813 (Scopus ID)
Available from: 2012-12-11 Created: 2012-12-11 Last updated: 2018-01-12Bibliographically approved
Nilsson, P., Baigi, A., Swärd, L., Möller, M. & Månsson, J. (2012). Lateral epicondylalgia: a structured programme better than corticosteroids and NSAID. Scandinavian Journal of Occupational Therapy, 19(5), 404-410.
Open this publication in new window or tab >>Lateral epicondylalgia: a structured programme better than corticosteroids and NSAID
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2012 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 19, no 5, p. 404-410Article in journal (Refereed) Published
Abstract [en]

Aim: To evaluate whether patients with lateral epicondylalgia had less pain or function loss two years following treatment by a structured programme and if the number of recurrent episodes and sick leave days differed compared with a control group.

Subjects: All of the patients were diagnosed by a physician with the diagnosis code M77.1 (lateral epicondylitis). The intervention group (n = 103) was treated by a physiotherapist and an occupational therapist with a home training programme that included ergonomic advice. Wrist supports and/or night bandages were also available. Controls (n = 194) were diversely treated by different professionals.

Major findings: In the total study group (n = 297), 54% of the patients experienced pain and 55% experienced function loss after two years. The intervention group had less pain than patients treated with corticosteroid injections (p < 0.0001) or NSAIDs (p = 0.048) and experienced better function than those treated with corticosteroid injections (p = 0.002). The intervention group had a lower recurrence (p < 0.0001) and fewer sick leave days at the time of the visit to the health care centre (p = 0.005).

Principal conclusions: A structured treatment programme was more effective than corticosteroid injections and NSAIDs. Patients did not require additional treatment or sick leave and had learned self-treatment of the disorder.

Place, publisher, year, edition, pages
Oxon, United Kingdom: Taylor & Francis, 2012
National Category
Occupational Therapy
Research subject
Nursing Science w. Occupational Therapy Focus
Identifiers
urn:nbn:se:oru:diva-24200 (URN)10.3109/11038128.2011.620983 (DOI)000307993200003 ()22050362 (PubMedID)2-s2.0-84865319344 (Scopus ID)
Available from: 2012-08-02 Created: 2012-08-02 Last updated: 2017-12-07Bibliographically approved
Skoglund, I., Bjorkelund, C., Mehlig, K., Gunnarsson, R. & Möller, M. (2011). GPs' opinions of public and industrial information regarding drugs: a cross-sectional study. BMC Health Services Research, 11, 204.
Open this publication in new window or tab >>GPs' opinions of public and industrial information regarding drugs: a cross-sectional study
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2011 (English)In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 11, p. 204-Article in journal (Refereed) Published
Abstract [en]

Background: General Practitioners {GP} in Sweden prescribe more than 50% of all prescriptions. Scientific knowledge on the opinions of GPs regarding drug information has been sparse. Such knowledge could be valuable when designing evidence-based drug information to GPs. GPs' opinions on public- and industry-provided drug information are presented in this article. Methods: A cross-sectional study using a questionnaire was answered by 368 GPs at 97 primary-health care centres {PHCC}. The centres were invited to participate by eight out of 29 drug and therapeutic committees {DTCs}. A multilevel model was used to analyse associations between opinions of GPs regarding drug information and whether the GPs worked in public sector or in a private enterprise, their age, sex, and work experience. PHCC and geographical area were included as random effects. Results: About 85% of the GPs perceived they received too much information from the industry, that the quality of public information was high and useful, and that the main task of public authorities was to increase the GPs' knowledge of drugs. Female GPs valued information from public authorities to a much greater extent than male GPs. Out of the GPs, 93% considered the main task of the industry was to promote sales. Differences between the GPs' opinions between PHCCs were generally more visible than differences between areas. Conclusions: Some kind of incentives could be considered for PHCCs that actively reduce drug promotion from the industry. That female GPs valued information from public authorities to a much greater extent than male GPs should be taken into consideration when designing evidence-based drug information from public authorities to make implementation easier.

National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:oru:diva-20882 (URN)10.1186/1472-6963-11-204 (DOI)000294961700001 ()
Available from: 2012-01-11 Created: 2012-01-11 Last updated: 2017-12-08Bibliographically approved
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ORCID iD: ORCID iD iconorcid.org/0000-0003-2411-1795

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