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  • 301.
    Anderzen Carlsson, Agneta
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län.
    Leibring, Ingela
    Fear and coping during treatment for acute lymphatic leukemia: from the perspective of children 5-9 years old2018Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Background: The concept of fear can be defined as ”an unpleasant often strong emotion caused by expectation of danger”. It is reasonable to believe that fear and coping of fear, can vary during the course of treatment for ALL. The aim of the present study was to describe a longitudinal perspective on fear related to having ALL, based on children’s perspective, as well as to describe the strategies these children use when experiencing fear.

    Design: The study has a longitudinal descriptive qualitative design. Three girls and 10 boys, initially aged 5-9 were interviewed once to three times during their treatment period (approximately two months after the diagnosis, after one year and at the end of the 2.5-year long treatment). In total, 35 interviews were conducted. Data were analyzed using a matrix-based qualitative analysis method.

    Results: The children described fear of being subjected to needles and related to having a feeding tube, to remove adhesive tape and taking tablets, as well as fear related to the bodily changes caused by the ALL. Existential fears were most frequently mentioned at end of treatment. The children wanted to participate in their care. They used cognitive strategies, such as ”thinking the right way” and emotional strategies, such as crying out loud and kicking. The fears changed over time, but the fear of being subjected to needles remained for half of the children, but was less intense at the end of treatment. The strategies developed, and became more sophisticated over the treatment period.

    Conclusion: The fear changed throughout the course of treatment, and so did the strategies used. It is reasonable to believe that the need for support also vary, which is a topic for future research.

  • 302.
    Anderzen-Carlsson, Agneta
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län. Audiological Research Centre, Örebro University, Örebro, Sweden.
    A qualitative evaluation of the National Expert Team regarding the assessment and diagnosis of deafblindness in Sweden2017Inngår i: Scandinavian Journal of Disability Research, ISSN 1501-7419, E-ISSN 1745-3011, Vol. 19, nr 4, s. 362-374Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Deafblindness is a rare condition with multiple causes. Given its rarity, professionals generally have limited knowledge of this condition and insufficient experience managing it. Accordingly, in Sweden, a National Expert Team was established to assess and diagnose deafblindness. The aim of this study was to identify the conceptions of persons with deafblindness, parents of children with deafblindness and professionals involved in their care, rehabilitation and education regarding their participation in the assessment and diagnostic procedures performed by this national team. A phenomenographic design was employed. The main findings were illustrated by five descriptive categories: An opportunity for improvement in daily living, ability to interact with the cream of the crop, personal effort, effects of genetics beyond drawing blood and limited professional interaction.

  • 303.
    Anderzen-Carlsson, Agneta
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län. Audiological Research Centre.
    Health care consumption in infants with CHARGE syndrome: a case-study2017Konferansepaper (Fagfellevurdert)
  • 304.
    Anderzen-Carlsson, Agneta
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län.
    Knowledge, skills and information needs on older residents’ hearing loss and hearing aids: Translation and adaptation of a Norwegian instrument2020Konferansepaper (Fagfellevurdert)
  • 305.
    Anderzen-Carlsson, Agneta
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län.
    Almqvist, Kjerstin
    Källström, Åsa
    Örebro universitet, Institutionen för juridik, psykologi och socialt arbete.
    Appell, Petra
    Gillå, Cristina
    Lind, Maria
    Lindgren Fändriks, Anna
    Child Health Care: A Place for Asking about Domestic Violence2018Konferansepaper (Annet vitenskapelig)
  • 306.
    Anderzen-Carlsson, Agneta
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län.
    Bergström, Mattias
    Mäkki-Torkko, Elina
    Carlsson, Per-Inge
    Örebro universitet, Institutionen för medicinska vetenskaper.
    Bjuresäter, Kaisa
    Knowledge, skills and information needs on older residents’ hearing loss and hearing aids: Translation and adaptation of a Norwegian instrument2022Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Objective: The objective with the project is to find a valid and culturally appropriate instrument for measuring the professionals' knowledge, skills and information needs on older residents’ hearing loss and hearing aids. Such an instrument could optimally be used in clinical praxis, as well as in research, for cross-sectional studies and for measuring change related to educational interventions.

    Materials: The Norwegian instrument Knowledge, skills and information needs on residents’ hearing loss and hearing aids was identified in the literature. Its content was, by the research group regarded as relevant in a Swedish setting, although some cultural adaptations seemed to be necessary.

    Methods: The translation and cultural adaptations were performed in line with the International Society For Pharmacoeconomics and Outcomes Research (ISPOR) Task Force For Translation and Cultural Adapation, as outlined below:

    1. We first asked one of the original authors for permission to translate the instrument.

    2. Two of the authors (KB and MB) individually translated the content of the instrument. Their first language is Swedish, but both are familiar with the Norwegian language.

    3. The other authors individually and together checked the translations and judged whether the statements were comprehensible in Swedish, and made necessary cultural adaptations. For example, the nursing home settings, and job types within this sector are not identical in the two countries.

    4. An independent person, with knowledge of both Swedish and Norwegian (Norwegian being the first language), but with no previous knowledge of the instrument made a back-translation. This person had good knowledge of the setting, being a professor in geriatrics.

    5. The authors compared the original version of the instrument with the back-translated version and discussed some inconsistences with the first author of the original instrument, before we all agreed on a first preliminary Swedish version.

    6. 12 professionals having audiological competence, experience of nursing older people or teaching in nursing piloted the first preliminary Swedish version. They suggested some reformulations of questions and responses, which were discussed and decided on within the research group.

    7. The next step is to test the preliminary Swedish version of the instrument, which will take place during the winter of 2019-2020. A sample of professionals working in different nursing homes in two Swedish counties will be invited to participate. The plan is to include 400 professionals. The sample size is based on an optimal sample for performing a factor analysis as part of the assessment of the psychometric properties of the preliminary Swedish version. It also allows cross-sectional sub-analyses, based on different groups of professionals and level of nursing home.

    8. The project will be presented in a scientific journal, and used in a future intervention study. The instrument can also be used in clinical improvement work.

    Conclusion: The results are promising. To the best of our knowledge, there is no Swedish instrument available for measuring professionals' knowledge, skills and information needs on older residents’ hearing loss and hearing aids. It seems necessary to have such an instrument, as the number of older people increases in Sweden, as well as worldwide. Impaired hearing, as well as assistive needs increase with age, and thus it is of great importance to ensure that professionals working with older people have sufficient knowledge to assist them.

  • 307.
    Anderzen-Carlsson, Agneta
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län. University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden; Faculty of Health, Science and Technology, Department of Health Sciences, Karlstad University, Karlstad, Sweden.
    Bäccman, Charlotte
    Faculty of Arts and Social Sciences, Department of Social and Psychological Studies, Karlstad University, Karlstad, Sweden; Faculty of Arts and Social Sciences, Center for Service Research, Karlstad University, Karlstad, Sweden.
    Almqvist, Kjerstin
    Faculty of Arts and Social Sciences, Department of Social and Psychological Studies, Karlstad University, Karlstad, Sweden.
    The professional relationship forms the base: Swedish child health care nurses' experiences of encountering mothers exposed to intimate partner violence2021Inngår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 16, nr 1, artikkel-id 1988043Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    PURPOSE: This study aimed to explore child health care nurses' clinical experiences from encounters with mothers exposed to intimate partner violence (IPV), as little research has explored this topic.

    METHOD: Nine child health care nurses from two Swedish regions were interviewed. The interviews were analysed using thematic analysis.

    RESULTS: The narratives depicted the nurses' strong commitment to, and professional relationship with, the exposed mothers. The experience of working as a nurse and having encountered IPV in clinical practice made the nurses more confident, which impacted their performance and attitude towards this topic. The ability to uphold the professional relationship was threatened by lack of support and interprofessional collaborations.

    CONCLUSIONS: The professional relationship was central to the encounters, yet could impose an emotional burden on the nurses. While the nurses wanted to improve their knowledge of the process around the mother and child, they were happy to pass the primary responsibility over to other professionals. The findings highlight the challenge in establishing sustainable support for nurses, and building a transparent collaboration process between the health care sector and the social services, serving the well-being and safety of the mother and child.

  • 308.
    Anderzen-Carlsson, Agneta
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper. University Health Care Research Center, Region Örebro County, Örebro, Sweden; Faculty of Health, Science, and Technology, Department of Health Sciences, Nursing, Karlstad University, Karlstad, Sweden.
    Gillå, Cristina
    Central Child Health Unit, County Council of Varmland, Karlstad, Sweden.
    Lind, Maria
    Central Child Health Unit, Örebro County Region, Örebro, Sweden.
    Almqvist, Kjerstin
    Department of Social and Psychological studies, Karlstad University, Karlstad, Sweden.
    Fändriks, Anna Lindgren
    Central Child Health Unit, County Council of Varmland, Karlstad, Sweden.
    Källström, Åsa
    Örebro universitet, Institutionen för juridik, psykologi och socialt arbete.
    Child healthcare nurses' experiences of asking new mothers about intimate partner violence2018Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, nr 13-14, s. 2752-2762Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aims and objectives: The aim of this study was to investigate child health care nurses' experiences of asking mothers of 8-month-old children about intimate partner violence using a two-step questionnaire.

    Background: Exposure to intimate partner violence is detrimental to women and to their children, and its early detection is vital. Child health care is a promising setting for detecting intimate partner violence.

    Design: The overall project had a quasi-experimental design, and was employed in 2015 at 12 child health care centers in Sweden. The project aimed to test a two-step method for talking about intimate partner violence with mothers (n = 198) at the child health care center. In this paper we disclose the experiences of the intervention from the perspective of the nurses (n = 13) who were educated and involved in the intervention.

    Methods: Data were collected by semi-structured interviews, analyzed by thematic analysis.

    Results: Five categories emerged: Using the two-step questionnaire method, Asking about IPV as an important issue, Being comfortable in the professional role and with asking about IPV, The importance of time and place in asking about IPV, and Spill-over effects.

    Conclusions: Asking mothers visiting the child health clinic about their experiences of intimate partner violence was seen as an important task. Using a questionnaire could facilitate asking, but the questionnaire must be short and easy to use. Furthermore, the time and place for initiating a talk about this sensitive topic must be carefully chosen.

    Relevance to clinical practice: The Violence in Families questionnaire was regarded as a useful tool and could thus be implemented in practice. However, it is important to offer education to the nurses prior to implementing a routine of asking about intimate partner violence in the child healthcare setting.

  • 309.
    Anderzen-Carlsson, Agneta
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län.
    Huus, Karina
    Wahlqvist, Moa
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län.
    Björk, Maria
    Health related quality of life, family climate and sense of coherence in family members in families where a parent has deafblindness2020Konferansepaper (Fagfellevurdert)
  • 310.
    Anderzen-Carlsson, Agneta
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län.
    Huus, Karina
    Wahlqvist, Moa
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län.
    Björk, Maria
    The experience of family life when one parent has deafblindness: the partner’s perspective2020Konferansepaper (Fagfellevurdert)
  • 311.
    Anderzen-Carlsson, Agneta
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län.
    Leibring, I.
    Karlstad University, Faculty of Health- Science and Technology- Department of Health Sciences- Nursing, Karlstad, Sweden.
    Fear and Coping During Treatment for Acute Lymphatic Leukemia - from the Perspective of Children 5-9 Years Old2018Inngår i: Pediatric Blood & Cancer, ISSN 1545-5009, E-ISSN 1545-5017, Vol. 65, nr Suppl.2, s. S598-S598Artikkel i tidsskrift (Annet vitenskapelig)
    Abstract [en]

    Background/Objectives: The concept of fear can be defined as ”an unpleasant often strong emotion caused by expectation of danger”. It is reasonable to believe that fear and coping of fear, can vary during the course of treatment for ALL. The aim of the present study was to describe a longitudinal perspective on fear related to having ALL, based on children's perspective, as well as to describe the strategies these children use when experiencing fear.

    Design/Methods: The study has a longitudinal descriptive qualitative design. Three girls and 10 boys, initially aged 5-9 were interviewed once to three times during their treatment period (approximately two months after the diagnosis, after one year and at the end of the 2.5-year long treatment). In total, 35 interviews were conducted. Data were analyzed using a matrix-based qualitative analysis method.

    Results: The children described fear of being subjected to needles and related to having a feeding tube, removing adhesive tape and taking tablets, as well as fear related to the bodily changes caused by the ALL. Existential fears were most frequently mentioned at the end of treatment. The children wanted to participate i n their care. They used cognitive strategies, such as ”thinking the right way” and emotional strategies, such as crying out loud and kicking. The fears changed over time, but the fear of being subjected to needles remained for half of the children, but was less intense at the end of treatment. The strategies developed, and became more sophisticated over the treatment period.

    Conclusions: The fear changed throughout the course of treatment, and so did the strategies used. It is reasonable to believe that the need for support also vary, which i s a topic for future research.

  • 312.
    Anderzen-Carlsson, Agneta
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län. University Health Care Research Center.
    Leibring, Ingela
    Karlstad University, Faculty of Health, Science and Technology, Institution for Health, Karlstad, Sweden.
    CHILDREN'S NARRATIVES OF SUPPORT FROM PARENTS WHEN EXPERIENCING FEAR RELATED TO ACUTE LYMPHOBLASTIC LEUKEMIA2022Inngår i: Pediatric Blood & Cancer, ISSN 1545-5009, E-ISSN 1545-5017, Vol. 69, nr Suppl. 5, s. S528-S528, artikkel-id P067Artikkel i tidsskrift (Annet vitenskapelig)
    Abstract [en]

    Background and Aims: Children diagnosed with Acute Lymphoblastic Leukemia (ALL) typically undergo intense treatment with frequent hospitalizations. Medical, as well as existential fears have been identified. It has also been found that children's coping strategies develop during their illness trajectory. The literature on what children with ALL find to be valuable support from parents when experiencing fear is sparse. Thus, the aim of this presentation is to describe what young children find to be important support from their parents when experiencing fear related to ALL.

    Methods: The study had a longitudinal descriptive qualitative design. Thirteen children (3 girls and 10 boys), initially 5-9 years old were interviewed once to three times during their treatment period (approximately 2 months after the diagnosis, after 1 year, and at end of treatment). Data were analyzed using a matrix-based qualitative analysis method.

    Results: The parents’ physical and emotional closeness was the most frequently reported support. It eased the children's medical and existential fears. The children also found it supportive when the parents facilitated for them to participate in their care and when the parents acted as their advocate. Other supportive measures were offering distraction, talking to the child about their fears, assisting the professionals in alleviating pain and fear, being playful and encouraging. Five children also appreciated when their parents restricted them, during medical procedures. The experiences of support varied between children and between different time points during treatment.

    Conclusions: Although being quite young, the children were able to describe what they found to be supportive when experiencing fear, or for preventing fear. The parental support had an impact on the child's emotional, social and physical wellbeing. Professionals should encourage parents to stay with their child, and offer support to the parents, so that they in turn can support their child.

  • 313.
    Anderzen-Carlsson, Agneta
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län.
    Leibring, Ingela
    Qualitative matrix based analysis: a useful alternative for analyzing longitudinal data of children’s experiences2020Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Background: Previously, researchers have pointed out the importance of giving voice to children’s experiences of health care, as well to follow these experiences over time.

    Objective: To describe experiences of fear in 5-9 year-old children, related to having Acute Lymphoblastic Leukemia (ALL).

    Method: 3 girls and 10 boys participated in one to three interviews during their treatment period. The interviews were performed approximately two months after diagnosis, after one year and at the end of treatment (after 2.5 years). The data comprised 35 interviews in total, with an average length of 35 minutes. To capture the longitudinal perspective, a qualitative matrix methodology was adopted. First, individual matrices for each child was developed, where all narratives about their fears during the entire treatment period were inserted. Next, a cross-case matrix was developed, where all text from all the individual case-matrices were compiled for each time point. The general idea of the matrices was to visualize data, thus enabling the researchers to easier identify common patterns, between cases and over time. In this step, common fears experienced by the children were identified, and finally, summary cross-case matrices were created. These were used to summarize how many children who had experienced various fears at the three time points, during treatment.

    Results: Fear of needles was the most commonly reported fear. This fear was most prominent and most often reported at the start of treatment. For >50% of the children this fear remained at the end of treatment. Fear related to the physical changes caused by the ALL or treatment, on the other hand increased during the treatment period.

    Conclusion: The qualitative matrix based methodology was found to be useful when analyzing qualitative longitudinal interview-data from children with ALL. The analysis was quite manifest, which suited the data derived from young children.

  • 314.
    Anderzén Carlsson, Agneta
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län. University Health Care Research Center.
    Leibring, Ingela
    Karlstad University, Faculty Of Health, Science And Technology, Institution For Health, Karlstad, Sweden.
    Children’s Narratives of Support From Professionals when Experiencing Fear Related to Acute Lymphoblastic Leukemia2020Inngår i: Pediatric Blood & Cancer, ISSN 1545-5009, E-ISSN 1545-5017, Vol. 67, nr S4, s. 120-120, artikkel-id 0255Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Children diagnosed with Acute Lymphoblastic Leukemia (ALL) typically face 2.5 years treatment, which initially is intense and includes frequent hospitalizations. Previous research has identified various fears during treatment: fear of getting needles, removal of adhesive tapes, having a feeding tube, taking tablets and the physical changes related to ALL itself, as well as to treatments. The children’s coping strategies develop during the course of illness. The literature on what children with ALL find to be supportive when experiencing fear is sparse. The aim of this presentation is thus to describe what children 5-9 years old find to be important support from professionals when experiencing fear related to ALL.

  • 315.
    Andjelkov, N.
    et al.
    Department of Orthopedics, Västmanlands Regional Hospital, Västerås, Sweden; Centre for Clinical Research, Uppsala University, Västmanlands Regional Hospital, Västerås, Sweden; Department of Orthopaedics, School of Medical Sciences, Örebro University, Örebro, Sweden.
    Riyadh, H.
    Department of Orthopedics, Västmanlands Regional Hospital, Västerås, Sweden.
    Ivarsson, Mikael
    Örebro universitet, Institutionen för hälsovetenskaper.
    Kacarevic-Popovic, Z.
    Department of Radiation Chemistry and Physics, Vinca Institute of Nuclear Sciences, University of Belgrade, Belgrade, Serbia.
    Krstic, J.
    Department of Radiation Chemistry and Physics, Vinca Institute of Nuclear Sciences, University of Belgrade, Belgrade, Serbia.
    Wretenberg, Per
    Örebro universitet, Institutionen för medicinska vetenskaper.
    The enhancement of cartilage regeneration by use of a chitosan-based scaffold in a 3D model of microfracture in vitro: a pilot evaluation2021Inngår i: Journal of experimental orthopaedics, E-ISSN 2197-1153, Vol. 8, nr 1, artikkel-id 12Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose: Even though various types of scaffolds have been used lately as a complement to microfracture, the exact mechanism of reported cartilage repair improvement when using scaffolds is still unclear. In this study, an effort has been made to identify the specific effects that scaffolds may have on the cells of reparation when using this technique.

    Methods: A 3‑D model in vitro, representing microfracture and containing both chondrocytes and bone marrow‑derived cells in different experimental conditions was made, and the cells were cultured for eight weeks. Subse‑quently, the constructs containing our 3‑D model were removed from the cell culture medium, fixed in paraffin and analyzed with immunohistochemistry.

    Results: Bone marrow – derived cells migrated to the upper compartment of the construct through a perforated nylon membrane containing both enzymatically digested‑ and non‑digested particulated cartilage. The histological sections were stained with hematoxylin, eosin, S‑100, SOX‑9, Gomori, and procollagen type I and II. When minced cartilage wasn’t pretreated with collagenase, exclusively bone‑derived cells have created new extracellular matrix as showed by the histological analysis.

    Conclusions: In this model of microfracture, bone‑derived cells but not chondrocytes have shown to have an active role in new cartilage formation without predigestion with collagenase. Moreover, it seems that the addition of a chitosan‑based scaffold may lead to the improvement of a new cartilage matrix synthesis and integration. This effect hasn’t been seen without the use of scaffold or when a fibrin‑ or a collagen‑based scaffold have been used.

  • 316.
    Andreasson, Isabell
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Sannum, Hanna
    Örebro universitet, Institutionen för hälsovetenskaper.
    Fysisk aktivitet vid stressrelaterad utmattning: En litteraturstudie2021Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
  • 317. Andreasson, Matilda
    et al.
    Eriksson, Mats
    Örebro universitet, Institutionen för hälsovetenskaper.
    Ullsten, Alexandra
    Örebro universitet, Institutionen för hälsovetenskaper. Örebro universitet, Musikhögskolan.
    State of the art in parent-delivered pain-relieving interventions in neonatal care2021Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Objectives: Parent’s active involvement during painful procedures is considered a critical first step in improving neonatal pain practices. Of the non-pharmacological approaches in use, the biopsychosocial perspective supports parent-delivered interventions, in which parents themselves mediate pain relief, consistent with modern family-integrated care. 

    Methods: A scoping review was performed to achieve a broad understanding of the current level of evidence and uptake of parent-driven pain- and stress-relieving interventions in neonatal care. Specific objectives of the scoping review were to:1. Explore the breadth and extent of the literature, identify the types of available evidence, map and summarize the evidence, and inform future research on parent-delivered pain- and stress-relieving interventions in neonatal care. 2. Describe parents’ experiences of delivering pain and pain-related stress relief to their newborn infant. 3. Map and summarize recommendations as well as define knowledge gaps in national and international guidelines and in professional organizations or networks.

    
Results: There is strong evidence for the efficacy of skin-to-skin contact and breastfeeding, 
preferably in combination. These parent-delivered interventions are safe, valid, and ready for 
 prompt introduction in infants’ pain care globally. Research into parents’ motivations for, and 
experiences of, alleviating infant pain is scarce. More research on parent-delivered 
pain alleviation, including relationship-based interventions such as the parent’s musical 
presence, is needed to advance infant pain care. Guidelines need to be updated to include infant pain management, parent-delivered interventions, and the synergistic effects of 
combining these interventions and to address parent involvement in low-income and low-tech 
settings.

    
Conclusions: A knowledge-to-practice gap currently remains in parent-delivered pain 
management for infants’ procedure-related pain. This scoping review highlights the many advantages of involving parents in pain management for the benefit not only of the infant and 
parent, but also of health care.

  • 318.
    Anens, Elisabeth
    et al.
    Department of Neuroscience, Section for Physiotherapy, Uppsala, Sweden.
    Ahlström, Isabell
    Department of Neuroscience, Section for Physiotherapy, Uppsala, Sweden.
    Emtner, Margareta
    Department of Neuroscience, Section for Physiotherapy, Uppsala, Sweden.
    Zetterberg, Lena
    Department of Neuroscience, Section for Physiotherapy, Uppsala, Sweden.
    Nilsagård, Ylva
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län. Region Örebro County, University Research Health Care Centre, Örebro, Sweden.
    Hellström, Karin
    Department of Neuroscience, Section for Physiotherapy, Uppsala, Sweden.
    Validity and reliability of physical activity measures in multiple sclerosis2023Inngår i: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 39, nr 1, s. 137-153Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    PURPOSE: The purpose was to evaluate the psychometric properties of physical activity measures in persons with multiple sclerosis (PwMS).

    METHODS: Adults with multiple sclerosis were recruited, n = 30 (validation) and n = 57 (test-retest). Steps measured with PiezoRX, Yamax SW200 and ActiGraph GT9X Link (AGlink) and time in different positions measured with AGlink were validated against data from video analysis. Psychometric properties of the Physical Activity and Disability Survey - Revised Swedish version (PADS-R(Sw)) was evaluated.

    RESULTS: The most valid measures were AGlink using the low-frequency extension filter, and PiezoRX with median absolute percentage errors (MeAPEs) of 0.9-3.1% and 1.3-3.3%. The MeAPEs were higher for Yamax SW200 (2.9-21.0%), AGlink display (3.6-44.8%) and AGlink normal filter (8.9-48.9%), indicating low validity. AGlink was not valid in measurements of sitting (MeAPE 12.0-12.5%) or lying (MeAPE 31.0-41.7%). The correlation between PADS-R(Sw) and AGlink steps was r = 0.492 (p = .009). The relative reliability of PADS-R(Sw) was ICC2,1 0.85 (CI 0.76-0.91), and absolute reliability was SEM 0.54.

    CONCLUSION: AGlink and PiezoRX were valid measures of steps in PwMS. The questionnaire PADS-R(Sw) was valid, with high relative reliability, but its absolute reliability was unsatisfactory.

  • 319.
    Angelhoff, Charlotte
    et al.
    Department of Social and Welfare Studies, Division of Nursing Science, Linköping University, Norrköping, Sweden; Department of Clinical and Experimental Medicine, Department of Paediatrics, Linköping University, Linköping, Sweden.
    Blomqvist, Ylva Thernström
    Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
    Helmer, Charlotte Sahlén
    Department of Social and Welfare Studies, Division of Nursing Science, Linköping University, Norrköping, Sweden; Department of Clinical and Experimental Medicine, Department of Paediatrics, Linköping University, Linköping, Sweden.
    Olsson, Emma
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län. Department of Pediatrics.
    Shorey, Shefaly
    Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, National University Health System, Singapore, Singapore.
    Frostell, Anneli
    Division of Psychology, Department of Behavioral Sciences and Learning, Linköping University, Linköping, Sweden.
    Morelius, Evalotte
    Department of Social and Welfare Studies, Division of Nursing Science, Linköping University, Norrköping, Sweden.
    Effect of skin-to-skin contact on parents' sleep quality, mood, parent-infant interaction and cortisol concentrations in neonatal care units: study protocol of a randomised controlled trial2018Inngår i: BMJ Open, E-ISSN 2044-6055, Vol. 8, nr 7, artikkel-id e021606Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Introduction: Separation after preterm birth is a major stressor for infants and parents. Skin-to-skin contact (SSC) is a method of care suitable to use in the neonatal intensive care unit (NICU) to minimise separation between parents and infants. Less separation leads to increased possibilities for parent-infant interaction, provided that the parents' sleep quality is satisfactory. We aimed to evaluate the effect of continuous SSC on sleep quality and mood in parents of preterm infants born <33 weeks of gestation as well as the quality of parent-infant interaction and salivary cortisol concentrations at the time of discharge.

    Methods and analysis: A randomised intervention study with two arms-intervention versus standard care. Data will be collected from 50 families. Eligible families will be randomly allocated to intervention or standard care when transferred from the intensive care room to the family-room in the NICU. The intervention consists of continuous SSC for four consecutive days and nights in the family-room. Data will be collected every day during the intervention and again at the time of discharge from the hospital. Outcome measures comprise activity tracker (Actigraph); validated self-rated questionnaires concerning sleep, mood and bonding; observed scorings of parental sensitivity and emotional availability and salivary cortisol. Data will be analysed with pairwise, repeated measures, Mann Whitney U-test will be used to compare groups and analysis of variance will be used to adjust for different hospitals and parents' gender.

    Ethics and dissemination: The study is approved by the Regional Research Ethics Board at an appropriate university (2016/89-31). The results will be published in scientific journals. We will also use conferences and social media to disseminate our findings.

  • 320.
    Angelin, Mathias
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Hallor, Anton
    Örebro universitet, Institutionen för hälsovetenskaper.
    Kan koffein innan träning förbättra den aeroba prestationen över tid?2017Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Introduktion

    : För att prestera väl inom en uthållighetsbaserad idrott krävs en hög aerob förmåga. För att öka den aeroba prestationen krävs träning, vilket har varit känt länge. Att maximera effekten av träningen är av stort intresse hos de allra flesta idrottare. Forskare studerar hela tiden nya tekniker för att försöka optimera ökningar i den aeroba prestationen. Koffein ökar akut tiden till utmattning vid given belastning, men frågan kvarstår om koffein även skulle kunna öka den aeroba prestationen över tid.

    Syfte

    : Att undersöka den långvariga effekten vid intag av 5mg/kg kroppsvikt koffein innan högintensiva intervallpass över tid på den aeroba prestationen hos motionslöpare.

    Metod:

    En randomiserad mellangrupps-studie med 5mg/kg kroppsvikt koffein och placebo. 16 deltagare (3 kvinnor och 13 män; medelvärde ± SD, 42 ± 8 år, VO2max: 47,6 ± 6,6 ml/kg/min) deltog i studien. Pre- och post-tester gjordes för VO2max och 3km löpning. Intervention bestod av två högintensiva löp-pass per vecka med intag av antingen koffein eller placebo 30–60 minuter innan träning. Borgskalan (6–20) användes som mått på ansträngning under intervaller. För att beräkna skillnader mellan grupper användes oparat t-test mellan grupper samt parat t-test inom grupp. Signifikansnivån sattes till P <0,05.

    Resultat

    : Ingen signifikant skillnad i delta(Δ) uppmättes mellan Δkoffein och Δplacebo i någon av mätningarna. Signifikant förbättring i tid på 3km löpning (P <0,05) för båda grupper, signifikant förbättring i VO2max för placebogrupp.

    Slutsats

    : Intag av 5mg/kg kroppsvikt koffein 30–60 minuter innan 2 högintensiva intervallpass/vecka har ej ytterligare effekt på den aeroba prestationen jämfört med placebo över en sex veckor lång intervention.

    Fulltekst (pdf)
    fulltext
  • 321.
    Angeling, August
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Wikander, Gustav
    Örebro universitet, Institutionen för hälsovetenskaper.
    Att undervisa dans inom ämnet idrott & hälsa: En systematisk litteraturstudie om faktorer som kan påverka dansundervisning i skolan2018Independent thesis Basic level (university diploma), 10 poäng / 15 hpOppgave
    Abstract [en]

    Dance and movement to music within the subject of PE (physical education) in Sweden is considered complicated and is rather dismissed. Dance is an activity giving the students the opportunity to develop a good bodily ability, which means that a lack of dance is a problem that should be taken seriously. Instead, dance education is characterized by an uncertainty, both among students and teachers. The purpose of this systematic literature review is to investigate what factors can influence dance teaching within the school's walls.

    To search for articles for this systematic literature study, the databases ERIC (EBSCO) and SPORTDiscus have been used. The articles have developed through a search strategy that included a three-step selection process, where the headlines were read first, then abstract and finally the entire article. The result presented in this systematic literature study includes a totalof 19 scientific articles, all of which have been analyzed based on the purpose of the study to see what factors can affect dance education within the school's walls.

    The result of this systematic literature study shows that there are several clear factors that can influence dance classes in school. The study's results refer to three main factors, "teacher's own experience and attitude,"structured gender patterns," and "the teaching of dance education". Through this systematic literature study it is possible to conclude that performing dance is problematic for the sports teacher and is an area of sport education that is shaped by socially structured gender patterns. It is also possible to conclude that athletes are in need of a greater amount of practical experience and knowledge of dance in order to be able to perform an equivalent education.

  • 322.
    Angulu, Bilha
    Örebro universitet, Institutionen för hälsovetenskaper.
    Associations between objectively measured sedentary behavior and markers of adiposity in Older Men and Women2021Independent thesis Advanced level (degree of Master (Two Years)), 30 poäng / 45 hpOppgave
    Abstract [en]

    Introduction

    Obesity is a matter of concern globally and its prevalence continues to grow among older adults. Few studies have explored the association of sedentary behavior with obesity in older adults and substantial amount of these studies used only self-reported measures for assessment. Furthermore, the reported findings regarding the associations between sedentary behavior and obesity are inconsistent. The aim of the present study was to examine the associations between objectively measured sedentary behavior and adiposity markers in older men and women and to examine whether these associations are sex-specific and independent of physical activity level.

    Materials and Methods

    A cross sectional data analysis was performed on 229 participants (145 women, age 65-70 years). Using accelerometers, sedentary behavior (total, bouts of ≥ 10 minutes and ≥30 minutes), breaks in sedentary behavior and Moderate to Vigorous Physical Activity were monitored for 7 days. Markers of adiposity included are: Body Mass Index, Waist Circumference, Fat mass percentage and Trunk fat mass percentage, assessed using standardized anthropometrical tools and bioelectrical impedance analysis. Pearson’s partial correlation analysis, stratified by gender, was performed to determine the relationship between adiposity markers and the sedentary behavior parameters, while controlling for accelerometer wear time, MVPA and energy intake.

    Results

    Total sedentary time was associated with the adiposity markers (BMI: r=0.193, WC: r= 0.201, Fat mass percentage: r=0.329 and Trunk fat mass percentage: r=0.314 all p˂0.05) independent of time spent in MVPA in older women. Similar associations between adiposity markers and bouts of ≥ 10 minutes and ≥30 minutes of sedentary time was found in older women. An inverse significant relationship was also observed between breaks in sedentary time and all adiposity markers in older women. In contrast, no corresponding associations were observed in older men. Conclusion: Our findings emphasize the existence of sex-differences in links between sedentary behavior and adiposity in older adults. In older women only, sedentary behavior was associated with markers of adiposity. Thus, reduction of total sedentary time in order to counteract the development of obesity is particularly important for older women.

  • 323.
    Ankarswärd, Elisa
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Wästberg, Hanna
    Örebro universitet, Institutionen för hälsovetenskaper.
    Sjuksköterskans omvårdnad vid Anorexia Nervosa hos unga vuxna- En litteraturstudie2020Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    Sjuksköterskans omvårdnad vid Anorexia Nervosa hos unga vuxna - En litteraturstudie
  • 324.
    Annika, Lindh
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Theander, K.
    Arne, M.
    Lisspers, K.
    Lundh, L.
    Sandelowsky, H.
    Ställberg, B.
    Thors Adolfsson, E.
    Westerdahl, Elisabeth
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län.
    Zakrisson, Ann-Britt
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län.
    A descriptive study of incorrect inhalation technique in patients with COPD in primary care2018Konferansepaper (Fagfellevurdert)
  • 325.
    Annika, Lindh
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper. Centre for clinical research, County Council of Värmland, Karlstad, Sweden.
    Theander, Kersti
    Centre for clinical research, County Council of Värmland, Karlstad, Sweden.
    Arne, Mats
    Centre for clinical research, County Council of Värmland, Karlstad, Sweden; Department of Medical Sciences, Respiratory, Allergy & Sleep Research, Uppsala University, Karlstad, Sweden.
    Lisspers, Karin
    Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine, Uppsala University, Uppsala, Sweden.
    Lundh, Lena
    Academic Primary Health Care Centre, Stockholm, Sweden; Karolinska Institute, NVS, Division of Family Medicine and Primary Care, Stockholm, Stockholm, Sweden.
    Sandelowsky, Hanna
    Academic Primary Health Care Centre, Stockholm, Sweden; Karolinska Institute, NVS, Division of Family Medicine and Primary Care, Stockholm, Stockholm, Sweden.
    Ställberg, Björn
    Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine, Uppsala University, Uppsala, Sweden.
    Adolfsson, Eva Thors
    Primary health care, Region Västmanland, Västerås, Sweden.
    Westerdahl, Elisabeth
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län.
    Zakrisson, Ann-Britt
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län. University Healthcare Research Center.
    Description of inhalation technique in patients with COPD in primary care2018Inngår i: European Respiratory Journal, ISSN 0903-1936, E-ISSN 1399-3003, Vol. 52, nr Suppl. 62, artikkel-id PA2070Artikkel i tidsskrift (Annet vitenskapelig)
    Abstract [en]

    Introduction: A recent systematic review showed that only about one third of the patients had a correct inhalation technique and the number had not improved the last 40 years¹.

    Aim: The aim was to describe errors, separated into errors related to devices and errors related to inhalation technique, that occur when patients with COPD inhale medications.

    Method: In this descriptive study, patients with a COPD diagnosis were recruited from a randomized controlled trial performed 2015-2016 in primary care in four county councils in Sweden. A COPD nurse assessed the inhalation technique using a checklist with errors related to devices and to inhalation technique with possibility to write additional comments.

    Results: In total, 167 patients using 287 inhalers were assessed, 52% (n = 86) were female, mean age 71 years. A total of 163 errors were noted in the checklist, of which 87 were related to inhalation technique and 76 were related to devices. Except from this the COPD nurse had written comments regarding 53 errors that were not included in the checklist. At least one error (range: 1-7 errors) was made by 46% (n = 76) of the patients.

    Conclusion: The results show that many patients do not use the device correctly. Both errors related to inhalation technique and related to devices were present. This implies that there is a need to focus on both aspects when teaching patients how to inhale their medication. The checklist used in this study needs to be further improved.

  • 326.
    Annika, Lindh
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Theander, Kersti
    Arne, Mats
    Lisspers, Karin
    Lundh, Lena
    Sandelowsky, Hanna
    Ställberg, Björn
    Thors Adolfsson, Eva
    Zakrisson, Ann-Britt
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län.
    Incorrect inhalation technique is common in patients with COPD in primary care2018Konferansepaper (Fagfellevurdert)
    Abstract [en]

    The results show that many patients don’t use the inhaler correctly. Errors related to inhalation technique were twice as common as those related to devices. When teaching patients to use the inhalers it seems like there is a need to focus more on the inhalation technique itself. The checklist used in this study needs to be further improved.

  • 327.
    Annika, Lindh
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper. Centre for Clinical Research, Region Värmland, Karlstad, Sweden.
    Theander, Kersti
    Centre for Clinical Research, Region Värmland, Karlstad, Sweden.
    Arne, Mats
    Centre for Clinical Research, Region Värmland, Karlstad, Sweden; Department of Medical Sciences, Respiratory, Allergy & Sleep Research, Uppsala University, Uppsala, Sweden.
    Lisspers, Karin
    Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine, Uppsala University, Uppsala, Sweden.
    Lundh, Lena
    Academic Primary Health Care Centre, Stockholm, Sweden; Division of Family Medicine and Primary Care, Karolinska Institutet, NVS, Stockholm, Sweden.
    Sandelowsky, Hanna
    Academic Primary Health Care Centre, Stockholm, Sweden; Division of Family Medicine and Primary Care, Karolinska Institutet, NVS, Stockholm, Sweden.
    Ställberg, Björn
    dDepartment of Public Health and Caring Sciences, Family Medicine and Preventive Medicine, Uppsala University, Uppsala, Sweden.
    Westerdahl, Elisabeth
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län. University Health Care Research Centre.
    Zakrisson, Ann-Britt
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län. University Health Care Research Centre.
    Errors in inhaler use related to devices and to inhalation technique among patients with chronic obstructive pulmonary disease in primary health care2019Inngår i: Nursing Open, E-ISSN 2054-1058, Vol. 6, nr 4, s. 1519-1527Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: The aim of this study was to describe inhaler use in primary health care patients with chronic obstructive pulmonary disease (COPD) and to categorize these patients into those making errors related to devices, those making errors related to inhalation technique and those making errors related to both.

    Design: Observational study. Methods COPD nurses used a checklist to assess the use of inhalers by patients with spirometry-verified COPD (N = 183) from primary healthcare centres. The STROBE checklist has been used.

    Results: The mean age of the patients was 71 (SD 9) years. Almost half of them (45%) made at least one error; of these, 50% made errors related to devices, 31% made errors related to inhalation technique and 19% made errors related both to devices and to inhalation technique.

  • 328.
    Annika, Lindh
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper. Centre for Clinical Research and Education, Region Värmland, Sweden.
    Theander, Kersti
    Centre for Clinical Research and Education, Region Värmland, Sweden.
    Arne, Mats
    Centre for Clinical Research and Education, Region Värmland, Sweden; Department of Medical Sciences, Respiratory, Allergy & Sleep Research, Uppsala University, Sweden.
    Lisspers, Karin
    Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine, Uppsala University, Sweden.
    Lundh, Lena
    Academic Primary Health Care Centre, Stockholm, Sweden; Karolinska Institute, NVS, Division of Family Medicine and Primary Care, Stockholm, Sweden.
    Sandelowsky, Hanna
    Academic Primary Health Care Centre, Stockholm, Sweden; Karolinska Institute, NVS, Division of Family Medicine and Primary Care, Stockholm, Sweden.
    Ställberg, Björn
    Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine, Uppsala University, Sweden.
    Westerdahl, Elisabeth
    Örebro universitet, Institutionen för medicinska vetenskaper. Region Örebro län. University Health Care Research Center.
    Zakrisson, Ann-Britt
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län. University Health Care Research Center.
    One additional educational session in inhaler use to patients with COPD in primary health care: A controlled clinical trial2022Inngår i: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 105, nr 9, s. 2969-2975Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVE: To investigate whether one additional educational session about inhaler use, delivered to patients with COPD in primary healthcare, could affect the patients' skills in inhaler use. Specifically, to study the effects on errors related to handling the device, to inhalation technique, and to both.

    METHODS: This nonrandomized controlled clinical trial included 64 patients who used devices and made errors. COPD nurses assessed inhaler use using a checklist and educated patients. Intervention group received one additional educational session after two weeks.

    RESULTS: At baseline, patients in the IG had more devices (n = 2,1) compared to patients in the CG (n = 1,6) (p = 0.003). No other statistically significant differences were seen at baseline. At follow-up, intervention group showed a lower proportion of patients who made errors related to handling the device (p = 0.006). No differences were seen in the other categories.

    CONCLUSION: One additional educational session in inhaler use for patients with COPD was effective in reducing the proportion of patients making errors related to handling of their devices.

    PRACTICE IMPLICATIONS: Categorization of errors might help healthcare professionals to assess the suitability of patients' devices, tailor patient education, and thus improve patient health.

  • 329.
    Anrys, Charlotte
    et al.
    Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.
    Van Tiggelen, Hanne
    Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.
    Verhaeghe, Sofie
    Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium; Department Health Care, VIVES University College, Roeselare, Belgium.
    Van Hecke, Ann
    Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium; Nursing Department, Ghent University Hospital, Ghent, Belgium.
    Beeckman, Dimitri
    Örebro universitet, Institutionen för hälsovetenskaper. Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium; School of Nursing & Midwifery, Royal College of Surgeons in Ireland (RCSI), Dublin, Ireland.
    Independent risk factors for pressure ulcer development in a high-risk nursing home population receiving evidence-based pressure ulcer prevention: Results from a study in 26 nursing homes in Belgium2019Inngår i: International Wound Journal, ISSN 1742-4801, E-ISSN 1742-481X, Vol. 16, nr 2, s. 325-333Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this study was to identify independent risk factors for pressure ulcer (PU) development in a high-risk nursing home population receiving evidence-based PU prevention. This study was part of a randomised controlled trial examining the (cost-)effectiveness of static air support surfaces compared with alternating pressure air mattresses. The sample consisted of 308 residents at a high risk of PU development (presence of non-blanchable erythema, Braden score ≤ 12 or Braden subscale "mobility" ≤ 2). PU incidence was monitored for 14 days. Demographic variables; functional, physical, and psychological characteristics; and data on skin assessment were collected. Independent risk factors were identified using multiple logistic regression analysis. The overall PU incidence (category II-IV) was 8.4% (n = 26), and 1.9% (n = 6) of the residents developed a deep PU (category III-IV). PUs (category II-IV) were significantly associated with non-blanchable erythema, a lower Braden score, and pressure area-related pain in high-risk residents even if preventive care was provided. These results highlight the need of a systematic risk assessment, including pain assessment and skin observations, in order to determine and tailor preventive care to the needs of high-risk individuals.

  • 330.
    Antierens, Alain
    et al.
    CNO, BZIO Rehabilitation Hospital, Ostend, Belgium; Faculty of Medicine and Health Sciences, Department of public Health, University Center for Nursing and Midwifery, Ghent University, Ghent, Belgium.
    Beeckman, Dimitri
    Örebro universitet, Institutionen för hälsovetenskaper. Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Belgium; School of Nursing and Midwifery, Royal College of Surgeons in Ireland, Ireland.
    Verhaeghe, Sofie
    Faculty of Medicine and Health Sciences, Department of public Health, University Center for Nursing and Midwifery, Ghent University, Ghent, Belgium; Department of Nursing, VIVES University College, Roeselare, Belgium.
    Van Hecke, Ann
    Faculty of Medicine and Health Sciences, Department of public Health, University Center for Nursing and Midwifery, Ghent University, Ghent, Belgium; Staff member Nursing Department, Ghent University Hospital, Belgium.
    Wanted in health care: Lean experts with a broad perspective2019Inngår i: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 27, nr 6, s. 1332-1336Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    AIM: To reflect on Lean experts' perspective on components of Lean management in health care and its implications for practice.

    BACKGROUND: The involvement of Lean experts is one of the key success factors of a sustainable Lean transformation in health care.

    EVALUATION: Thirteen Lean experts participated in two focus groups. They all had experience in the implementation of Lean in healthcare organizations.

    KEY ISSUES: Lean experts all seem to have a unique perspective on Lean management in health care. Experts without a healthcare degree appear to focus more on the entire management system, where experts with a nursing degree seem to concentrate more on the soft Lean principles.

    CONCLUSION: The description of Lean and its components in health care differed between Lean experts. Their professional background appears to have an influence.

    IMPLICATIONS FOR NURSING MANAGEMENT: In selecting a Lean expert, nurse managers may want to gauge what elements the Lean expert tends to emphasize. It seems plausible to opt for a Lean expert without a healthcare degree to accomplish the Lean transformation as they have a broader view on Lean. It may also be useful for managers to involve several Lean experts, all with complementary perspectives and backgrounds.

  • 331.
    Anttila, Cilla
    Örebro universitet, Institutionen för hälsovetenskaper.
    Sjuksköterskans upplevelse av etiska dilemman i omvårdnadsrelationen på akutmottagningen– En intervjustudie2018Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 332.
    Apelthun, Paulina
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Hosseini, Adilah
    Örebro universitet, Institutionen för hälsovetenskaper.
    Sjuksköterskeledd patientutbildning ochdess påverkan på egenvård vidhjärtsvikt - En litteraturstudie2023Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund: Hjärtsvikt är ett kliniskt syndrom som innebär att hjärtat brister i sin förmåga attleverera tillräcklig hjärtminutvolym. Egenvård vid hjärtsvikt innefattar egna åtgärder för attbevara kroppens fysiska balans samt att så tidigt som möjligt upptäcka och sätta in lämpligaåtgärder vid symtom på försämring. Patientutbildning är centralt för omvårdnaden avhjärtsvikt. Syfte: Syftet var beskriva sjuksköterskeledd patientutbildning och hur den kanpåverka egenvården hos patienter med hjärtsvikt. Metod: En litteraturstudie utförd genomsystematisk sökning i databaser Cinahl och PubMed. En integrerad innehållsanalysgenomfördes på insamlade data. Resultat: Den patientutbildning som sjuksköterskanansvarar för kan ges med hjälp av olika typer av metoder som användning av multimedia,teach-back, uppföljningar samt patientutbildning i grupp. Dessa metoder visade ha en godeffekt för egenvård hos patienter med hjärtsvikt. Slutsats: Metoder som används avsjuksköterskan vid patientutbildning kan påverka egenvården hos patienter med hjärtsviktgenom att patienten får en utökad kunskap om sitt tillstånd och därmed förbättras patientensföljsamhet till egenvård.Nyckelord: Egenvård, hjärtsvikt, patientutbildning, sjuksköterska, självhantering

  • 333.
    Appelgren, Linnéa
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Engström, Linnéa
    Örebro universitet, Institutionen för hälsovetenskaper.
    Att bli validerad som människaEn litteraturstudie om transpersoner och ickebinäras upplevelser av könsbekräftande vård2023Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund: Transpersoner och ickebinära är personer vars könsidentitet och/eller könsuttryck inte överensstämmer med det juridiska könet som tilldelades vid födseln. Könsdysfori innebär att kropp och könsidentitet inte överensstämmer, tillsammans med ett obehag och/eller lidande. För att behandla könsdysfori finns könsbekräftande vård, där syftet är att öka samstämmigheten mellan kropp och könsidentitet. Transpersoner och ickebinära drabbas i större utsträckning av fysisk-och psykisk ohälsa än cispersoner. Det förekommer diskriminering och kränkande behandling inom hälso- och sjukvården, vilket skapar rädsla och en ovilja att söka vård. Sjuksköterskans roll är att bedriva personcentrerad vård och att utöva god omvårdnad med respekt för alla människors lika värde och motverka diskriminering.Syfte: Syftet med studien var att beskriva transpersoner och ickebinäras upplevelser av könsbekräftande vård.Metod: En deskriptiv litteraturstudie med systematisk sökning. Litteraturstudien inkluderade 12 vetenskapliga artiklar hämtade ur Cinahl, PsychInfo och Medline.Resultat: Transpersoner och ickebinära upplevde svårigheter i att erhålla könsbekräftande vård relaterat till olika maktstrukturer. De upplevde även en okunskap hos vårdgivare som gjorde att de ofta tog en utbildande roll. När vårdgivare använde fel namn, kön och pronomen upplevde individerna att de inte blev erkända som personer och att det påverkade sannolikheten att de avstår att söka könsbekräftande vård i framtiden.Slutsats: Tidigare forskning tillsammans med litteraturstudiens resultat kan påvisa vikten av ett holistiskt perspektiv i den könsbekräftande vården. Den könsbekräftande vården bör således inte enbart innebära medicinsk, kirurgisk och psykologisk vård. Det handlar i lika stor utsträckning om validering och acceptans av alla människor oavsett könsidentitet.Nyckelord: Könsbekräftande vård, ickebinära, transpersoner, upplevelser

    Fulltekst (pdf)
    Att bli validerad som människa En litteraturstudie om transpersoner och ickebinäras upplevelser av könsbekräftande vård
  • 334.
    Appelros, Peter
    et al.
    University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
    Arvidsson Lindvall, Mialinn
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län. University Health Care Research Center.
    Matérne, Marie
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län. University Health Care Research Center.
    Stroke prevalence in a medium-sized Swedish municipality2021Inngår i: Acta Neurologica Scandinavica, ISSN 0001-6314, E-ISSN 1600-0404, Vol. 143, nr 2, s. 210-216Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVES: Many patients who have had stroke survive with functional disability for years. Stroke prevalence is a fundamental measure of the impact of stroke in society. Stroke prevalence has never been evaluated in Sweden.

    MATERIALS & METHODS: 2019 with respect to stroke survivors (ICD-10 I60-I69) living in Kumla (population 21,738), a municipality well representative of Sweden.

    RESULTS: 330 individuals with stroke were found, of which 42% were women. The mean age was 74.1 years in men and 75.1 years in women. 11.5% of the patients had more than one stroke. The mean duration since the first stroke was 8.3 years. The crude prevalence per 100,000 was 1754 in men, 1281 in women and 1518 in both sexes. Adjusted to the European population, the ratio was 1570 per 100,000, and to the World population 936 per 100,000.

    CONCLUSIONS: In spite of a declining stroke incidence in Sweden, the stroke prevalence in Kumla, Sweden, is relatively high. Comparisons with other studies indicate that a decline in prevalence may have occurred since the early 2000s. Modern registers can support data collection, but the index stroke may have occurred almost forty years back in time.

  • 335. Appelros, Peter
    et al.
    Matérne, Marie
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län.
    Jarl, Gustav
    Region Örebro län. Örebro universitet, Institutionen för hälsovetenskaper.
    Arvidsson Lindvall, Mialinn
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län. University Health Care Research Center .
    Comorbidity in Stroke Survivors in a Medium-Sized Swedish Municipality2023Konferansepaper (Annet vitenskapelig)
  • 336.
    Appelros, Peter
    et al.
    University Health Care Research Center,Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
    Matérne, Marie
    Örebro universitet, Institutionen för hälsovetenskaper. University Health Care Research Center.
    Jarl, Gustav
    Region Örebro län. Örebro universitet, Institutionen för hälsovetenskaper. University Health Care Research Center; Department of Prosthetics and Orthotics.
    Arvidsson Lindvall, Mialinn
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län. University Health Care Research Center.
    Comorbidity in stroke survivors in a medium-sized Swedish municipality2023Inngår i: Brain Injury, ISSN 0269-9052, E-ISSN 1362-301X, Vol. 37, nr Suppl. 1, s. 135-136Artikkel i tidsskrift (Annet vitenskapelig)
    Abstract [en]

    Objectives: The purpose of this study was to evaluate the prevalence and impact of stroke-related comorbidity in a community-based sample of stroke survivors. With respect to the patients’ functional outcomes and general health, we wanted to find out which types of comorbidity were most important.

    Materials and Methods: All stroke survivors (n = 330) living in a medium-sized Swedish municipality were included. To determine the presence of comorbidities patient records were reviewed. A selection of patient reported outcomes were used to assess subjective symptoms, functional outcomes, and general health. All patients were asked to answer a questionnaire, the Swedish Stroke Register (Riksstroke). Three questions from the questionnaire were used as additional measures of comorbidity. “Do you feel tired?,” “Do you have pain?” and “Do you feel depressed?” As outcome measures the patient reported measures from the Riksstroke questionnaire were used: * Do you still have problems after your stroke? * Have you been able to return to the life and activities you had before the stroke? * How is your mobility now? * Do you get help from someone when visiting the toilet? * Do you get help with dressing and undressing? * How do you assess your general health? Logistic regression models were used to investigate the association between comorbidities, residual symptoms, and subjective symptoms on the one hand, and functional outcomes and general health on the other hand.

    Results: Hypertension (80%) was the most common cardiovascular risk factor. Ischemic heart disease was found in 18% and congestive heart failure in 10%. Of non-cardiovascular disorders, orthopedic diseases were commonest (30%). Psychiatric disorders and cognitive impairment were present in 11% and 12% respectively. Logistic regression analyses found that hemiparesis was associated with both poorer functional outcomes and lower general health. Additionally, orthopedic disorders, vertigo, cognitive impairment, nicotine use, chronic pulmonary disorders, and older age, were also associated with poorer functional outcomes. Psychiatric, orthopedic and neurological disorders were associated with poorer general health. The patient-reported outcome measure “feeling of tiredness” was a predictor of both outcomes, while “feeling depressed” and “having pain” were associated with poorer general health.

    Conclusions: Many medical conditions, several of which have received little attention so far, are associated with poorer functional outcome and lower general health among stroke survivors. Future research into comorbidities relevant to function and general health in stroke patients could further focus on these disorders that hitherto have received little attention.

  • 337.
    Appelros, Peter
    et al.
    University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
    Matérne, Marie
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län. University Health Care Research Center.
    Jarl, Gustav
    Region Örebro län. Örebro universitet, Institutionen för hälsovetenskaper. University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden; Department of Prosthetics and Orthotics, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
    Arvidsson Lindvall, Mialinn
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län. University Health Care Research Center.
    Comorbidity in Stroke-Survivors: Prevalence and Associations with Functional Outcomes and Health2021Inngår i: Journal of Stroke & Cerebrovascular Diseases, ISSN 1052-3057, E-ISSN 1532-8511, Vol. 30, nr 10, artikkel-id 106000Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVES: The purpose of this study was to evaluate the prevalence and impact of stroke-related comorbidity in a community-based sample of stroke survivors. We sought to find out which types of comorbidity that were most important with respect to the patients' functional outcomes and general health.

    MATERIALS AND METHODS: All stroke survivors (n = 330) living in a medium-sized Swedish municipality were included. Patient records were reviewed to determine the presence of comorbidities. A selection of patient reported outcomes were used to assess subjective symptoms, functional outcomes, and general health. Logistic regression models were used to investigate the association between comorbidities, residual symptoms, and subjective symptoms on the one hand, and functional outcomes and general health on the other hand.

    RESULTS: Hypertension (80%) was the most common cardiovascular risk factor. Ischemic heart disease was found in 18% and congestive heart failure in 10%. Of non-cardiovascular disorders, orthopaedic diseases were commonest (30%). Psychiatric disorders and cognitive impairment were present in 11% and 12% respectively. Hemiparesis is associated with both functional outcomes and general health. Additionally, orthopedic disorders, vertigo, cognitive impairment, nicotine use, chronic pulmonary disorders, and age, are associated with different functional outcomes. Psychiatric, orthopedic and neurological disorders are related to general health. The patient-reported outcome measure "feeling of tiredness" is important for many of the outcomes, while "feeling depressed" and "having pain" are associated with general health.

    CONCLUSIONS: Many medical conditions, several of which have received little attention so far, are associated with functional outcome and general health in stroke survivors. If the intention is to describe comorbidity relevant to function and general health in stroke patients, disorders that hitherto have received little attention, must be considered.

  • 338.
    Appelros, Peter
    et al.
    Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Örebro, Sweden.
    Svensson, Elisabeth
    Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Örebro, Sweden.
    Heidenreich, Kaja
    Örebro universitet, Institutionen för medicinska vetenskaper. Health Care Research Center.
    Svantesson, Mia
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län.
    Ethical issues in stroke thrombolysis revisited2021Inngår i: Acta Neurologica Scandinavica, ISSN 0001-6314, E-ISSN 1600-0404, Vol. 144, nr 6, s. 611-615Artikkel i tidsskrift (Fagfellevurdert)
  • 339.
    Arenhall, Eva
    et al.
    Örebro universitet, Institutionen för medicinska vetenskaper. Department of Cardiology, Faculty of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Eriksson, Mats
    Örebro universitet, Institutionen för hälsovetenskaper.
    Nilsson, Ulrica
    Örebro universitet, Institutionen för hälsovetenskaper.
    Steinke, Elaine
    School of Nursing, Wichita State University, Wichita, USA.
    Fridlund, Bengt
    School of Health and Welfare, Jönköping University, Jönköping, Sweden.
    Decreased sexual function in partners after patients’ first-time myocardial infarction2018Inngår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 17, nr 6, s. 521-526Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: A myocardial infarction event affects not only patients but also partners, although how it affects the partners’ sexual function is not studied.

    Aim: The purpose of this study was to describe and compare how partners experienced their sexual function one year before with one year after first-time myocardial infarction of their partner.

    Methods: A longitudinal and comparative design was used. Self-reported data on Watts Sexual Function Questionnaire was collected retrospectively at two occasions from 123 partners (87 women and 36 men), measuring the year prior to the first-time myocardial infarction and the year after. Data were analysed using descriptive and inferential statistics.

    Results: The total score for Watts Sexual Function Questionnaire showed a significant decrease over time. In all four subscales a decrease was found, which were statistically significant in three out of the four subscales (sexual desire, 19.39 vs 18.61; p<0.001, orgasm, 14.11 vs 13.64; p=0.027 and satisfaction, 12.61 vs 12.31; p=0.042). Twenty-six partners reported that their intercourse frequencies decreased over time, while six partners reported an increased intercourse frequency.

    Conclusions: Partners’ sexual function decreased after patients’ first-time myocardial infarction. It is important for health personnel to offer information and discussion about sexual function and concerns with both patients and partners after a first-time myocardial infarction.

    Fulltekst (pdf)
    Accepted version
  • 340.
    Areskoug Sandberg, Elin
    et al.
    University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden; Center for Primary Health Care Research, Department of Clinical Sciences, Lund University, Malmö, Sweden.
    Duberg, Anna
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län. University Health Care Research Center.
    Lorenzon Fagerberg, Ulrika
    Centre for Clinical Research, Department of Paediatrics, Västmanland Hospital, Region Västmanland, Uppsala University, Västerås, Sweden; Department of Women’s and Children’s Health, Karolinska Institutet, Stockholm, Sweden.
    Mörelius, Evalotte
    School of Nursing and Midwifery, Edith Cowan University, Joondalup WA, Australia; Perth Children’s Hospital, Nedlands WA, Australia.
    Särnblad, Stefan
    Örebro universitet, Institutionen för medicinska vetenskaper.
    Saliva Cortisol in Girls With Functional Abdominal Pain Disorders: A Randomized Controlled Dance and Yoga Intervention2022Inngår i: Frontiers in Pediatrics , E-ISSN 2296-2360, Vol. 10, artikkel-id 836406Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Introduction: Functional abdominal pain disorders (FAPDs) are common among girls and has been associated with stress. Cortisol is one of the major stress hormones. Dance and yoga have been shown to reduce abdominal pain among girls with FAPDs.

    Aim: To investigate the effect of an 8-month intervention with dance and yoga on cortisol levels in saliva among girls with FAPDs.

    Methods: A total of 121 girls aged 9-13 years with irritable bowel syndrome (IBS) or functional abdominal pain were included in the study. Participants were randomized into an intervention group and a control group. The intervention group attended a combined dance and yoga session twice a week for 8 months. Saliva samples were collected during 1 day, in the morning and evening, at baseline, and at 4 and 8 months. Subjective pain and stress were assessed as well.

    Results: No significant effects on saliva cortisol levels between groups were observed after completion of the intervention at 8 months. However, evening cortisol and evening/morning quotient were significantly reduced at 4 months in the intervention group compared to the control group (p = 0.01, p = 0.004). There was no association between cortisol quota and pain or stress.

    Conclusion: Improvements in cortisol levels were seen in the intervention group at 4 months but did not persist until the end of the study. This indicates that dance and yoga could have a stress-reducing effect during the ongoing intervention.

    Fulltekst (pdf)
    Saliva Cortisol in Girls With Functional Abdominal Pain Disorders: A Randomized Controlled Dance and Yoga Intervention
  • 341.
    Arevström, Lilith
    et al.
    Department of Cardiology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
    Bergh, Cecilia
    Örebro universitet, Institutionen för medicinska vetenskaper. Region Örebro län.
    Landberg, Rikard
    Department of Food Science, Swedish University of Agricultural Sciences, Uppsala, Sweden; Department of Biological Engineering, Food and Nutrition Science, Chalmers University of Technology, Göteborg, Sweden.
    Wu, Huaxing
    Department of Food Science, Swedish University of Agricultural Sciences, Uppsala, Sweden.
    Rodriguez-Mateos, Ana
    Department of Nutritional Sciences, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.
    Waldenborg, Micael
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län. Department of Cardiology.
    Magnuson, Anders
    Clinical Epidemiology and Biostatistics, School of Medical Sciences, Örebro University, Örebro, Swede.
    Blanc, Stephane
    Department of Ecology, Physiology and Ethology, Hubert Curien Pluridisciplinary Institute, University of Strasbourg, Strasbourg, France.
    Fröbert, Ole
    Örebro universitet, Institutionen för medicinska vetenskaper. Department of Cardiology.
    Freeze-dried bilberry (Vaccinium myrtillus) dietary supplement improves walking distance and lipids after myocardial infarction: an open-label randomized clinical trial2019Inngår i: Nutrition Research, ISSN 0271-5317, E-ISSN 1879-0739, Vol. 62, s. 13-22Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Bilberries, Vaccinium myrtillus, have a high content of phenolic compounds including anthocyanins, which could provide cardiometabolic health benefits following acute myocardial infarction (AMI). We hypothesized that standard medical therapy supplemented with freeze-dried bilberry after AMI would have a more beneficial effect on cardiovascular risk markers and exercise capacity than medical therapy alone. Patients were allocated in a 1:1 ratio within 24 hours of percutaneous coronary intervention in an 8-week trial either to V myrtillus powder (40 g/d, equivalent to 480 g fresh bilberries) and standard medical therapy or to a control group receiving standard medical therapy alone. High-sensitivity C-reactive protein and exercise capacity measured with the 6-minute walk test were the primary biochemical and clinical end points, respectively. Fifty subjects completed the study. No statistically significant difference in high-sensitivity C-reactive protein was detected between groups. The mean 6-minute walk test distance increased significantly more in the bilberry group compared to the control group: mean difference 38 m at follow-up (95% confidence interval 14-62, P = .003). Ex vivo oxidized low-density lipoprotein was significantly lowered in the bilberry group compared to control, geometric mean ratio 0.80 (95% confidence interval 0.66-0.96, P = .017), whereas total cholesterol and low-density lipoprotein cholesterol did not differ significantly between groups. Anthocyanin-derived metabolites in blood increased significantly in the bilberry group during the intervention and were different after 8 weeks between the bilberry group and control. Findings in the present study suggest that bilberries may have clinically relevant beneficial effects following AMI; a larger, double-blind clinical trial is warranted to confirm this.

  • 342.
    Arifi, Gjylsyme
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Rosemar, Hanna
    Örebro universitet, Institutionen för hälsovetenskaper.
    Sjuksköterskors erfarenhet av att bemötaanhöriga i den palliativa vården på sjukhusEn litteraturstudie2022Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
  • 343.
    Ariko, Daily
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Jarl, Nathalie
    Örebro universitet, Institutionen för hälsovetenskaper.
    Datortomografiundersökningar med dubbelenergi: Fördelar och nackdelar2021Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 344.
    Arinell, Karin
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper. Department of Cardiology, Örebro University Hospital, Örebro, Sweden.
    Sahdo, Berolla
    Department of Clinical Medicine, Örebro University, Örebro, Sweden.
    Evans, Alina L.
    Faculty of Forestry and Wildlife Management, Hedmark University College, Evenstad, Norway; Section of Arctic Veterinary Medicine, Norwegian School of Veterinary Science, Tromsø, Norway.
    Arnemo, Jon M.
    Faculty of Forestry and Wildlife Management, Hedmark University College, Evenstad, Norway; Department of Wildlife Fish and Environmental Studies, Faculty of Forest Sciences, Swedish University of Agricultural Sciences, Umeå, Sweden.
    Baandrup, Ulrik
    Department of Pathology, Vendsyssel Hospital, Hjørring, Denmark; Faculty of Medical Sciences, Aalborg, Denmark.
    Fröbert, Ole
    Region Örebro län. Örebro universitet, Institutionen för medicinska vetenskaper. Department of Cardiology, Örebro University Hospital, Örebro, Sweden.
    Brown Bears (Ursus arctos) Seem Resistant to Atherosclerosis Despite Highly Elevated Plasma Lipids during Hibernation and Active State2012Inngår i: Clinical and Translational Science, ISSN 1752-8054, E-ISSN 1752-8062, Vol. 5, nr 3, s. 269-272Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Hibernation is an extreme physiological challenge for the brown bear (Ursus arctos) in which metabolism is based mainly on lipids. The study objective was to compare plasma lipids in hibernating and active free-ranging brown bears and relate them to arterial histopathology. Blood was drawn from seven immobilized free-ranging brown bears (three females, 23 years old) during hibernation in February and from the same bears while active in June and analyzed by enzymatic and automated hematology methods within 48 hours of sampling. Left anterior descending coronary arteries and aortic arches from 12 bears (six females, 1.512 years old) killed in hunting were examined by histopathology. Total plasma cholesterol decreased from hibernation to the active period (11.08 +/- 1.04 mmol/L vs. 7.89 +/- 1.96 mmol/L, P= 0.0028) as did triglyceride (3.16 +/- 0.62 mmol/L vs. 1.44 +/- 0.27 mmol/L, P= 0.00012) and LDL cholesterol (4.30 +/- 0.71 mmol/L vs. 2.02 +/- 1.03 mmol/L, P= 0.0075), whereas HDL cholesterol was unchanged. No atherosclerosis, fatty streaks, foam cell infiltration, or inflammation were seen in any arterial samples. Brown bears tolerate elevated cholesterol levels, obesity, physical inactivity, and circulatory slow flow during hibernation without signs of -atherosclerosis. This species might serve as a reverse translational model for atherosclerosis resistance.

  • 345.
    Arkemar, Helena
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Claesson, Ida
    Örebro universitet, Institutionen för hälsovetenskaper.
    Hälsofrämjande insatser som kan användas av företagshälsovården vid arbetsrelaterad psykisk ohälsa- En litteraturstudie2021Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 346.
    Arnelind, Petter
    Örebro universitet, Institutionen för hälsovetenskaper.
    Hälsa ur ett elevperspektiv: Hur gymnasieelever anser att ämnet idrott och hälsa behandlar hälsa2015Independent thesis Advanced level (professional degree), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    Hälsa ur ett elevperspektiv
  • 347.
    Arnell, Susann
    Örebro universitet, Institutionen för hälsovetenskaper.
    Participation in physical activity among adolescents with autism spectrum disorder: the perspectives of adolescents, parents and professionals2022Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    Findings from previous research show generally lower levels of physical activity (PA) among adolescents with autism spectrum disorder (ASD). The reasons for the low PA participation are complex and depend on several factors, often described as barriers to PA. However, the overall picture concerning participation in PA among adolescents with ASD remains incomplete, as it lacks the adolescents’ own perspectives. The mission to promote healthy PA habits is shared by several actors, including the family or parents and the education, health and municipal services. In order to understand and comprehensively describe these adolescents’ PA participation, different PA contexts and perspectives need to be included. The overall aim of this thesis was therefore to study participation in PA among adolescents with ASD from the adolescents’ (study I), parents’ (study II) and professionals’ (study III) perspectives. The findings from study I showed a conditional participation behaviour in PA among adolescents with ASD. In studies II and III, the results revealed a need to give PA issues increased priority and support through collaborative efforts. Complementary roles are needed to promote participation in PA. In study IV, the feasibility of using a Q-sort tool to map conditions for participation in PA was investigated. The results showed that Q-sort is a feasible method that can be used to offer tailored support according to the adolescents’ individual-specific conditions for participation. In conclusion, a condition-controlled behaviour when participating in PA was described in all four studies. When promoting participation in PA, these individual-specific conditions for participation need to be recognized and tailored support offered. 

    Delarbeid
    1. Perceptions of Physical Activity Participation Among Adolescents with Autism Spectrum Disorders: A Conceptual Model of Conditional Participation
    Åpne denne publikasjonen i ny fane eller vindu >>Perceptions of Physical Activity Participation Among Adolescents with Autism Spectrum Disorders: A Conceptual Model of Conditional Participation
    2018 (engelsk)Inngår i: Journal of autism and developmental disorders, ISSN 0162-3257, E-ISSN 1573-3432, Vol. 48, nr 5, s. 1792-1802Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    Adolescents with an autism spectrum disorder (ASD) are less physically active compared to typically developing peers. The reasons for not being physically active are complex and depend on several factors, which have not been comprehensively described from the adolescent's perspective. Therefore, the aim was to describe how adolescents with an ASD perceive, experience and reflect on their participation in physical activity. Interviews with 24 adolescents diagnosed with high-functioning ASD, aged 12-16 years, were analysed with qualitative content analysis with an inductive approach. They expressed a variety of reasons determining their willingness to participate, which were conceptualized as: Conditional participation in physical activities. The present study presents an alternative perspective on participation in physical activity, with impact on intervention design.

    sted, utgiver, år, opplag, sider
    New York, NY, USA: Springer, 2018
    Emneord
    Autism spectrum disorder; Adolescent; Physical activity; Participation
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-63403 (URN)10.1007/s10803-017-3436-2 (DOI)000429476300029 ()29236210 (PubMedID)2-s2.0-85037992493 (Scopus ID)
    Merknad

    Funding Agencies:

    Sunnerdahls Handikappfond  

    Kempe-Carlgrenska fonden  

    Region Örebro County, Sweden 

    Tilgjengelig fra: 2017-12-19 Laget: 2017-12-19 Sist oppdatert: 2022-11-02bibliografisk kontrollert
    2. Parents' perceptions and concerns about physical activity participation among adolescents with autism spectrum disorder
    Åpne denne publikasjonen i ny fane eller vindu >>Parents' perceptions and concerns about physical activity participation among adolescents with autism spectrum disorder
    2020 (engelsk)Inngår i: Autism, ISSN 1362-3613, E-ISSN 1461-7005, Vol. 24, nr 8, s. 2243-2255, artikkel-id 1362361320942092Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    The parents of adolescents with autism spectrum disorder have a vital and proactive role in encouraging healthy physical activity habits, and they possess important knowledge about the adolescents' needs when it comes to enhancing participation in physical activity. But promoting healthy physical activity habits in adolescents can be difficult. The purpose of this study was thus to describe parents' perceptions of their adolescent child's participation in physical activity and to describe the parental role in promoting such participation. Twenty-eight parents of adolescents aged 12-16 years with autism spectrum disorder were interviewed. The interviews were analyzed using an inductive content analysis approach. The parents described how challenging participation in physical activities could be for their adolescents. Despite this, they wanted to see their children participate more in physical activity but found the promotion of physical activity to be an overwhelming task that was difficult to cope with on their own. The results reveal a need for support and collaborative efforts among different actors to give these issues increased priority in order to promote the adolescents' physical activity participation. Lay abstract What is already known about the topic?The parents of adolescents with autism spectrum disorder have a vital and proactive role in encouraging healthy physical activity habits. But promoting healthy physical activity habits in adolescents can be difficult. The purpose of this study was thus to describe the parental perceptions of their adolescent child's participation in physical activity and to describe the parental role in promoting such participation. Twenty-eight parents of adolescents aged 12-16 years with autism spectrum disorder were interviewed. What this paper adds?The parents described how challenging participation in physical activities could be for their adolescents. Despite this, they wanted to see their children participate more in physical activity but found the promotion of physical activity to be an overwhelming task that was difficult to cope with on their own. Implications for practice, research, or policy.The results reveal a need for support and collaborative efforts among different actors to give these issues increased priority in order to promote the adolescents' physical activity participation.

    sted, utgiver, år, opplag, sider
    Sage Publications, 2020
    Emneord
    adolescent, autism spectrum disorder, family, parent, participation, physical activity
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-85046 (URN)10.1177/1362361320942092 (DOI)000552729100001 ()32713182 (PubMedID)2-s2.0-85088439335 (Scopus ID)
    Merknad

    Funding Agency:

    Region Örebro County, Sweden

    Tilgjengelig fra: 2020-08-27 Laget: 2020-08-27 Sist oppdatert: 2022-11-02bibliografisk kontrollert
    3. Experiences of stakeholder collaboration when promoting participation in physical activity among adolescents with autism spectrum disorder
    Åpne denne publikasjonen i ny fane eller vindu >>Experiences of stakeholder collaboration when promoting participation in physical activity among adolescents with autism spectrum disorder
    2022 (engelsk)Inngår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 44, nr 9, s. 1728-1736Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    PURPOSE: Various stakeholders contribute to the development of healthy physical activity habits in adolescents with autism spectrum disorder (ASD). Parents and stakeholders seek collaborative actions but little is still known about such efforts. The purpose of this study was thus to explore how professionals from different services experience stakeholder collaboration when promoting participation in physical activity for these adolescents.

    METHOD: Five focus group discussions were held with 17 professionals from education, health care, community, and sports organizations, engaged in the promotion of physical activity in adolescents with ASD. The data were analyzed with qualitative content analysis.

    RESULTS: . The professionals though experienced that this collaboration was hampered by the low priority given to physical activity issues within different organizations, by limited resources, lack of knowledge, and unclear roles.

    CONCLUSIONS: Notwithstanding the professionals' different roles, all agreed that physical activity issues need to be prioritized and that each stakeholder needs to acknowledge the shared responsibility of collaboration. However, more clear routines for collaboration that include joined efforts but also highlight the organization-specific responsibilities might enhance the collaborative efforts.

    • In-depth understanding of both the adolescents' needs and the environments in which physical activity is promoted is required if participation in physical activity among adolescents with ASD is to be enhanced.
    • Families and professionals within different organizations need to be supported to collaborate when mapping and meeting the adolescents' physical activity needs.
    • Issues regarding developing physical activity habits need to be prioritized.
    • Professionals, such as education, health, and community professionals who are important for the promotion of healthy physical activity habits need to be included in multi-stakeholder meetings.
    sted, utgiver, år, opplag, sider
    Informa Healthcare, 2022
    Emneord
    Autism spectrum disorder, adolescent, collaboration, participation, physical activity
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-89922 (URN)10.1080/09638288.2021.1887944 (DOI)000620890000001 ()33621137 (PubMedID)2-s2.0-85101405257 (Scopus ID)
    Merknad

    Funding Agency:

    Region Örebro County, Sweden 

    Tilgjengelig fra: 2021-02-25 Laget: 2021-02-25 Sist oppdatert: 2023-12-08bibliografisk kontrollert
    4. Feasibility of using Q-sort to map conditional participation in physical activity in adolescents with autism spectrum disorder
    Åpne denne publikasjonen i ny fane eller vindu >>Feasibility of using Q-sort to map conditional participation in physical activity in adolescents with autism spectrum disorder
    (engelsk)Manuskript (preprint) (Annet vitenskapelig)
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-100810 (URN)
    Tilgjengelig fra: 2022-08-24 Laget: 2022-08-24 Sist oppdatert: 2022-11-02bibliografisk kontrollert
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  • 348.
    Arnell, Susann
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper. University Health Care Research Center (UFC) Region Örebro County, Örebro, Sweden.
    Jerlinder, K.
    Faculty of Health and Occupational Studies, University of Gävle, Gävle , Sweden.
    Lundqvist, Lars-Olov
    Örebro universitet, Institutionen för juridik, psykologi och socialt arbete. University Health Care Research Center (UFC) Region Örebro County, Örebro, Sweden.
    Participation in physical activities: a multilevel challenge for adolescents with autism spectrum disorders2017Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    Introduction: Physical inactivity is one of the biggest current public health problems. Few adolescents with autism spectrum disorder (ASD) achieve the recommendation of daily physical activity (PA). The reasons for not being physically active depend on several complex factors, yet not comprehensively described from the adolescents’point of view. The absence of their perspective means that intervention strategies for health enhancing physical activity may not encompass the experiences of the adolescents themselves. Therefore the purpose of this study was to develop an understanding of the perceptions, experiences and reflections of adolescents with ASDs’participation in PA.

    Participants and methods: Twenty-four adolescents, diagnosed with ASD without a co-occurring intellectual disability, aged 12-16 years, participated in the study.Data was collected using qualitative interviews and inductively analyzed using qualitative content analysis.

    Results: Adolescents with ASD were a heterogeneous group in regard to their current PA habits and preferences. Their willingness to participate in PA was conditioned regarding; what, where, when and with whom. They described challenges in the activity and the social context during PA, especially during the mandatory physical education. Perceived demands, freedom of choice, physical ability and sense of control affected their PA participation.

    Conclusion: Findings indicate that the adolescents’willingness to participate was associated with interacting and individual-related conditions, which can be misinterpreted as unwillingness to participate in PA. Thus aspects of autonomy and knowledge about individual conditions and needs have to be recognized when intervention strategies for health enhancing physical activities are planned for this population.

  • 349.
    Arnell, Susann
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper. University Health Care Research Center, Örebro University, Örebro, Sweden; The Swedish Institute for Disability Research (SIDR), Örebro University, Örebro, Sweden.
    Jerlinder, Kajsa
    The Swedish Institute for Disability Research (SIDR), Örebro University, Örebro, Sweden; Faculty of Health and Occupational Studies, University of Gävle, Gävle, Sweden.
    Geidne, Susanna
    Örebro universitet, Institutionen för hälsovetenskaper.
    Lundqvist, Lars-Olov
    Örebro universitet, Institutionen för hälsovetenskaper. University Health Care Research Center, Örebro University, Örebro, Sweden; The Swedish Institute for Disability Research (SIDR), Örebro University, Örebro, Sweden.
    Experiences of stakeholder collaboration when promoting participation in physical activity among adolescents with autism spectrum disorder2022Inngår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 44, nr 9, s. 1728-1736Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    PURPOSE: Various stakeholders contribute to the development of healthy physical activity habits in adolescents with autism spectrum disorder (ASD). Parents and stakeholders seek collaborative actions but little is still known about such efforts. The purpose of this study was thus to explore how professionals from different services experience stakeholder collaboration when promoting participation in physical activity for these adolescents.

    METHOD: Five focus group discussions were held with 17 professionals from education, health care, community, and sports organizations, engaged in the promotion of physical activity in adolescents with ASD. The data were analyzed with qualitative content analysis.

    RESULTS: . The professionals though experienced that this collaboration was hampered by the low priority given to physical activity issues within different organizations, by limited resources, lack of knowledge, and unclear roles.

    CONCLUSIONS: Notwithstanding the professionals' different roles, all agreed that physical activity issues need to be prioritized and that each stakeholder needs to acknowledge the shared responsibility of collaboration. However, more clear routines for collaboration that include joined efforts but also highlight the organization-specific responsibilities might enhance the collaborative efforts.

    • In-depth understanding of both the adolescents' needs and the environments in which physical activity is promoted is required if participation in physical activity among adolescents with ASD is to be enhanced.
    • Families and professionals within different organizations need to be supported to collaborate when mapping and meeting the adolescents' physical activity needs.
    • Issues regarding developing physical activity habits need to be prioritized.
    • Professionals, such as education, health, and community professionals who are important for the promotion of healthy physical activity habits need to be included in multi-stakeholder meetings.
  • 350.
    Arnell, Susann
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Jerlinder, Kajsa
    Faculty of Health and Occupational Studies, University of Gävle, Gävle, Sweden.
    Lundqvist, Lars-Olov
    Örebro universitet, Institutionen för hälsovetenskaper.
    Feasibility of Using Q-Sort to Map Conditional Participation in Physical Activity in Adolescents With Autism Spectrum Disorder2023Inngår i: Adapted Physical Activity Quarterly, ISSN 0736-5829, E-ISSN 1543-2777, Vol. 40, nr 1, s. 63-85Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Participation in physical activity among adolescents with autism is often conditional. However, there is a lack of methods for identifying these specific conditions. Therefore, the purpose of this study was to develop and investigate the feasibility of a Q-sort tool to map individual-specific conditions for participation in physical activity among adolescents with autism and to identify different viewpoints regarding conditions for such participation.

    METHOD: An exploratory mixed-methods design was employed to investigate the feasibility of using Q methodology and the Q-sort procedure to identify what individual-specific conditions are important for participation in physical activity for adolescents with autism.

    RESULTS: The adolescents ranked the statements with varying levels of ease. Two viewpoints were identified: Autonomous participation without surprises and Enjoyment of activity in a safe social context.

    CONCLUSION: Q-sort is a feasible method for mapping conditions for participation, which can guide the development of tailored physical activity interventions.

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