Dalarna University's logo and link to the university's website

du.sePublications
Change search
Refine search result
12 1 - 50 of 73
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Rows per page
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sort
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
Select
The maximal number of hits you can export is 250. When you want to export more records please use the Create feeds function.
  • 1.
    Artzi-Medvedik, Rada
    et al.
    Ben-Gurion University of the Negev, Beer-Sheva, Israel; Maccabi Health Services, Southern District, Omer, Israel.
    Kob, Robert
    Friedrich-Alexander-Universität Erlangen-Nürnberg, Nürnberg, Germany.
    Di Rosa, Mirko
    Italian National Research Center on Aging (IRCCS INRCA), Ancona, Italy.
    Lattanzio, Fabrizia
    Italian National Research Center on Aging (IRCCS INRCA), Ancona, Italy.
    Corsonello, Andrea
    Italian National Research Center on Aging (IRCCS INRCA), Ancona, Italy.
    Yehoshua, Ilan
    Maccabi Health Services, Southern District, Omer, Israel.
    Roller-Wirnsberger, Regina E
    Medical University of Graz, Graz, Austria.
    Wirnsberger, Gerhard H
    Medical University of Graz, Graz, Austria.
    Mattace-Raso, Francesco U S
    University Medical Center Rotterdam, Rotterdam, The Netherlands.
    Tap, Lisanne
    University Medical Center Rotterdam, Rotterdam, The Netherlands.
    Gil, Pedro G
    Hospital Clinico San Carlos, Madrid, Spain.
    Formiga, Francesc
    Bellvitge University Hospital-IDIBELL-L'Hospitalet de Llobregat, Barcelona, Spain.
    Moreno-González, Rafael
    Bellvitge University Hospital-IDIBELL-L'Hospitalet de Llobregat, Barcelona, Spain.
    Kostka, Tomasz
    Medical University of Lodz, Lodz, Poland.
    Guligowska, Agnieszka
    Medical University of Lodz, Lodz, Poland.
    Ärnlöv, Johan
    Dalarna University, School of Health and Welfare, Medical Science. Karolinska Institutet, Huddinge.
    Carlsson, Axel C
    Karolinska Institutet, Huddinge; Stockholm Region, Stockholm.
    Freiberger, Ellen
    Friedrich-Alexander-Universität Erlangen-Nürnberg, Nürnberg, Germany.
    Melzer, Itshak
    Ben-Gurion University of the Negev, Beer-Sheva, Israel.
    Quality of Life and Kidney Function in Older Adults: Prospective Data of the SCOPE Study2023In: Journal of Clinical Medicine, E-ISSN 2077-0383, Vol. 12, no 12, article id 3959Article in journal (Refereed)
    Abstract [en]

    A longitudinal alteration in health-related quality of life (HRQoL) over a two-year period and its association with early-stage chronic kidney disease (CKD) progression was investigated among 1748 older adults (>75 years). HRQoL was measured by the Euro-Quality of Life Visual Analog Scale (EQ-VAS) at baseline and at one and two years after recruitment. A full comprehensive geriatric assessment was performed, including sociodemographic and clinical characteristics, the Geriatric Depression Scale-Short Form (GDS-SF), Short Physical Performance Battery (SPPB), and estimated glomerular filtration rate (eGFR). The association between EQ-VAS decline and covariates was investigated by multivariable analyses. A total of 41% of the participants showed EQ-VAS decline, and 16.3% showed kidney function decline over the two-year follow-up period. Participants with EQ-VAS decline showed an increase in GDS-SF scores and a greater decline in SPPB scores. The logistic regression analyses showed no contribution of a decrease in kidney function on EQ-VAS decline in the early stages of CKD. However, older adults with a greater GDS-SF score were more likely to present EQ-VAS decline over time, whereas an increase in the SPPB scores was associated with less EQ-VAS decline. This finding should be considered in clinical practice and when HRQoL is used to evaluate health interventions among older adults.

    Download full text (pdf)
    fulltext
  • 2.
    Borg, Johan
    et al.
    Lund University.
    Östergren, Per-Olof
    Larsson, Stig
    Rahman, A A
    Bari, Nazmul
    Khan, A N
    Assistive technology use is associated with reduced capability poverty: a cross-sectional study in Bangladesh2012In: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 7, no 2, p. 112-121Article in journal (Refereed)
  • 3.
    Breivik, Mia
    Dalarna University, School of Education, Health and Social Studies, Caring Science.
    Midwives’ perceptions of HIV-positive women’s sexual and reproductive health and rights in urban Namibia: An interview study with ten midwives2017Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Namibia has challenges in the area of sexual and reproductive health and rights. Working with sexual and reproductive health care, midwives are an important facilitating factor for a better sexual and reproductive health in Namibia.

    Aim:

    To explore midwives’ perceptions of HIV-positive women's sexual and reproductive health and rights in urban Namibia.

    Method:

    A qualitative study with ten midwives at a hospital in Windhoek. Individual interviews were done using an interview guide. The method used for analysis was phenomenography. The phenomenon being studied was the sexual and reproductive health and rights of HIV-positive women and the phenomenon was studied through the perceptions of midwives.

    Findings:

    The midwives perceived that improvements of HIV-positive women’s reproductive health were obstructed. The midwives perceived that the HIV-positive women’s reproductive possibilities and decisions were related to HIV. According to the midwives’ perceptions, sexual relations could be complicated by HIV and it was difficult for HIV-positive women to use condoms.

    Conclusion:

    The findings of this study can be used to reflect on the current situation for HIV-positive women in Namibia. The midwives' perceptions highlight the need to reduce the remaining stigma related to HIV and to work towards the empowerment of HIV-positive women.

  • 4.
    Brännlund, Anton
    et al.
    Dalarna University, School of Health and Welfare.
    Nystrand, Linda
    Dalarna University, School of Health and Welfare.
    Exercise Self-Efficacy in women with Fibromyalgia - a secondary analysis of a randomized controlled trial2021Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Fibromyalgia is characterized by generalized pain, often leading to a significant decrease in physical function and quality of life. Physical exercise is considered crucial in rehabilitation and self-efficacy for exercise is important in changing and maintaining exercise behaviour. Aim: The present study aims to examine exercise self-efficacy (ESE) in women with fibromyalgia who performed resistance exercise or relaxation therapy. Method: Secondary analysis of a 15-week randomized controlled trial comparing progressive resistance exercise with relaxation therapy in 130 Swedish women with fibromyalgia. Correlation analysis between ESE at baseline and several variables was performed. Comparative analysis of those in the intervention group who reached 80% of 1RM loads and those who did not regarding ESE at baseline was performed. Between-group analysis of change in ESE from baseline to post-intervention was performed. Results: Weak correlations were found between ESE and symptom duration (rs=-0.185), physical activity level (rs=0.237), fear avoidance beliefs (rs=-0.237), mental component of health-related quality of life (rs=0.177), symptoms of depression (rs=-0.186) and symptoms of anxiety (rs=-0.195). ESE at baseline did not differ between those who reached 80% of 1RM loads and those who did not. Progressive resistance exercise significantly increased ESE compared to relaxation therapy, with an effect-size of 0.85. Conclusion: ESE weakly correlates with several aspects of health, physical activity, and fear-avoidance. Resistance exercise with progression according to self-efficacy principles improves ESE compared to relaxation therapy. ESE do not determine successful load progression. Low ESE is not an obstacle for resistance exercise in women living with fibromyalgia.

  • 5. Conradsson, D.
    et al.
    Friden, C.
    Nilsson-Wikmar, L.
    Äng, Björn
    Ankle-joint mobility and standing squat posture in elite junior cross-country skiers. A pilot study2010In: Journal of Sports Medicine and Physical Fitness, ISSN 0022-4707, E-ISSN 1827-1928, Vol. 50, no 2, p. 132-8Article in journal (Refereed)
  • 6.
    Dahlberg, Lena
    Dalarna University, School of Education, Health and Social Studies, Social Work. Karolinska Institutet; Stockholm University.
    Ageing in a changing place: a qualitative study of neighbourhood exclusion2019In: Ageing & Society, ISSN 0144-686X, E-ISSN 1469-1779, Vol. 40, no 10, p. 2238-2256, article id PII S0144686X1900045XArticle in journal (Refereed)
    Abstract [en]

    An inclusive neighbourhood is a key facilitator enabling older adults to age in place. Neighbourhoods have been identified as a dimension of social exclusion important to older adults, and it has been argued that older adults are particularly vulnerable to neighbourhood change. The aim of this study was to explore older adults’ experiences of neighbourhood exclusion within the context of neighbourhood change. Focus groups were undertaken in the urban and rural areas of a metropolitan borough in England involving a total of 41 older adults, with data analysed via thematic analysis. Urban areas in the borough studied have transformed following the closure of the mining industry, with a high level of deprivation in many areas, while some rural areas have undergone gentrification. Within the context of structural neighbourhood change, four themes were identified: community cohesion, political agency, feelings of safety and the physical environment. The themes were interlinked, which calls for collaboration across traditional lines of professional responsibility, and for research that encompasses different aspects of neighbourhood exclusion. This study contributes with knowledge on older adults’ experiences of exclusion, including novel findings on the importance of political agency and collective memory, and identifies actions to combat exclusion. An active involvement of older adults in the development of initiatives to tackle social exclusion is recommended.

    Download full text (pdf)
    fulltext
  • 7. de Alwis, M. P.
    et al.
    Lo Martire, Riccardo
    Äng, Björn
    Garme, K.
    Development and validation of a web-based questionnaire for surveying the health and working conditions of high-performance marine craft populations2016In: BMJ Open, E-ISSN 2044-6055, Vol. 6, no 6, article id e011681Article in journal (Refereed)
    Download full text (pdf)
    fulltext
  • 8.
    Dragsten, Mirjam
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science.
    Salmonsson, Ingela
    Dalarna University, School of Education, Health and Social Studies, Caring Science.
    Vårdpersonalens kunskapsläge i hjärtlungräddning samt följsamhet till det svenska hjärtlungräddningsregistret på ett länssjukhus i Mellansverige: En kvantitativ tvärsnittsstudie2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Objective: To identify the healthcare professional´s knowledge and training frequency of cardiopulmony resuscitation in a county hospital in central Sweden, and compliance of the Swedish Register of cardiopulmony resuscitation.

    Method: Survey with quantitative approach consisting of 177 respondents, as well as a retrospective observational study.

    Main results: Individuals answered correctly to all knowledge questions, but as a group, there were deficiencies in the knowledge of cardiopulmonary resuscitation. When comparing healthcare professional´s knowledge it was demonstrated that in four of the seven knowledge questions it was a significant difference in knowledge between the health professionals who have more regular training than those with fewer. Those who had more regular education had more right answers. A significant difference was also detected depending on when they had their latest CPR training, where those who have had their education more recently also had more right answers. Compliance of healthcare professional´s to register patients treated for cardiac arrest in hospital at the Swedish CPR registry, can be summarized by the deficiencies in reporting. Conclusion: It is important to create conditions for frequent training to health professionals to increase the knowledge and preparedness in CPR, which can also be seen as a quality assurance work. An improvement is necessary in order to improve compliance to registration.

    Download full text (pdf)
    fulltext
  • 9.
    Falk Johansson, Marcus
    et al.
    Dalarna University, School of Health and Welfare, Care Sciences.
    McKee, Kevin
    Dalarna University, School of Health and Welfare, Social Work.
    Dahlberg, Lena
    Dalarna University, School of Health and Welfare, Social Work.
    Summer Meranius, Martina
    Mälardalens Högskola.
    Williams, Christine L.
    Marmstål Hammar, Lena
    Dalarna University, School of Health and Welfare, Caring Science/Nursing. Mälardalen University.
    Negative Impact and Positive Value of Caregiving in Spouse Carers of Persons With Dementia in Sweden2021In: Family Caregiving and Persons with Dementia, 2021, Vol. 5, p. 154-Conference paper (Refereed)
    Abstract [en]

    As welfare providers struggle to meet the care needs of persons with dementia (PwDs), most of their needs are being met by a family carers, most often a spouse. The situation for spouse carers is unique, e.g., with grief, loneliness and loss of intimacy combining with stress and poor health. Research is needed to develop adequate support for spouse carers based on evidence of what influences negative and positive outcomes of care. The present study investigated psychosocial correlates of spouse carers’ (i) negative impact and (ii) positive value of caring. Data from a cross-sectional survey of 165 spouse carers community-resident in Sweden was analysed in two hierarchical regression models to predict negative impact and positive value of caring. Results found that negative impact and positive value were explained by different variables, significant predictors for negative impact included carer stress, health, and emotional loneliness, and change in intimacy with the care-recipient, while positive value was predicted by mutuality, change in closeness to the care-recipient and quality of support. Negative impact and positive value shared variance of only 17.2%. Thus, negative impact and positive value represent different aspects of the carer situation. Consequently, support needs to target several aspects in carers’ life, aiming to; facilitate for spouses to manage PwD’s impairment, increase emotional support while also strengthening the relationship between carer and PwD to reduce negative impact while increasing positive value.

    Download full text (pdf)
    fulltext
  • 10.
    Falk Johansson, Marcus
    et al.
    Dalarna University, School of Health and Welfare, Care Sciences.
    McKee, Kevin
    Dalarna University, School of Health and Welfare, Social Work.
    Dahlberg, Lena
    Dalarna University, School of Health and Welfare, Social Work. Aging Research Center, Karolinska Institutet & Stockholm University.
    Summer Meranius, Martina
    Mälardalens Högskola .
    Williams, Christine L.
    Marmstål Hammar, Lena
    Dalarna University, School of Health and Welfare, Caring Science/Nursing. Mälardalens universitet; Karolinska institutet.
    Negative Impact and Positive Value of Caregiving in Spouse Carers of Persons with Dementia in Sweden2022In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, no 3, article id 1788Article in journal (Refereed)
    Abstract [en]

    (1) Background: Spouse carers of persons with dementia (PwD) are particularly vulnerable to negative outcomes of care, yet research rarely focuses on their caregiving situation. This study explores factors associated with the positive value and negative impact of caregiving in spouse carers of PwD in Sweden. (2) Methods: The study was a cross-sectional questionnaire-based survey, with a convenience sample of spouse carers of PwD (n = 163). The questionnaire addressed: care situation, carer stress, health and social well-being, relationship quality and quality of support, and contained measures of positive value and negative impact of caregiving. (3) Results: Hierarchical regression models explained 63.4% variance in positive value and 63.2% variance in negative impact of caregiving. Three variables were significant in the model of positive value: mutuality, change in emotional closeness following dementia and quality of support. Six variables were significant in the model of negative impact: years in relationship, years as carer, behavioural stress, self-rated health, emotional loneliness and change in physical intimacy following dementia. (4) Conclusions: Support to spouse carers of PwD should address the carer–care-recipient relationship quality, although different aspects of the relationship should be addressed if both the positive value of caregiving is to be enhanced and the negative impact reduced.

    Download full text (pdf)
    fulltext
  • 11.
    Falk Johansson, Marcus
    et al.
    Dalarna University, School of Health and Welfare, Care Sciences. The Swedish National Graduate School for Competitive Science on Ageing and Health.
    McKee, Kevin
    Dalarna University, School of Health and Welfare, Social Work.
    Dahlberg, Lena
    Dalarna University, School of Health and Welfare, Social Work.
    Williams, Christine L.
    Florida Atlantic University Christine E Lynn College of Nursing.
    Martina, Summer Meranius
    Mälardalens Högskola.
    Marmstål Hammar, Lena
    Dalarna University, School of Health and Welfare, Caring Science/Nursing.
    Spouse’s supported and unsupported care of persons with dementia: Home care and the informal caregiver’s perspective2021Conference paper (Refereed)
    Abstract [en]

    Introduction. Caring for a person with dementia (PWD) can negatively affect the quality of life of informal carers, and research suggests spouse carers, often being older, are particularly vulnerable and requiring of support. Yet the formal support offered is rarely tailored to meet the needs of spouse carers of PWDs. The aim of the present study was to compare spouse carers to other carers of PWDs on a range of factors, as a foundation for a better understanding of their support needs. 

    Material and methods. Cross-sectional survey. In late 2018 a random stratified sample was taken of the Swedish population aged 18 and older. Of 30,009 people contacted, 11,168 completed and returned a questionnaire or completed a web-based version, a response rate of 37.3%. The questionnaire contained questions on whether the respondent was an informal carer for another person, the extent of care provided, contact with and support received from formal services, and impacts of care.

    Results. Of the respondents, 378 (3.38%) were carers of PWDs, of whom 107 (28.3%) were spouse carers. Spouse carers compared to other carers of PWD provide care more intenselyand are more informed on their right to support from local authorities. While more often being offered formal support in their carer role, they are less supported in providing care and report a higher negative impact (for all p<.05). 

    Conclusions. Formal support is offered to spouse carers in their carer role, but might not be tailored to their specific needs of support.

  • 12. Farrohknia, Nasim
    et al.
    Castrén, Maaret
    Ehrenberg, Anna
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Lind, Lars
    Oredsson, Sven
    Jonsson, Håkan
    Asplund, Kjell
    Göransson, Katarina
    Karolinska institutet, Stockholm.
    Emergency department triage scales and their components: a systematic review of the scientific evidence2011In: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, E-ISSN 1757-7241, Vol. 19, no 42Article in journal (Refereed)
    Abstract [en]

    Emergency department (ED) triage is used to identify patients' level of urgency and treat them based on their triage level. The global advancement of triage scales in the past two decades has generated considerable research on the validity and reliability of these scales. This systematic review aims to investigate the scientific evidence for published ED triage scales. The following questions are addressed:

    1. Does assessment of individual vital signs or chief complaints affect mortality during the hospital stay or within 30 days after arrival at the ED?

    2. What is the level of agreement between clinicians' triage decisions compared to each other or to a gold standard for each scale (reliability)?

    3. How valid is each triage scale in predicting hospitalization and hospital mortality?

    A systematic search of the international literature published from 1966 through March 31, 2009 explored the British Nursing Index, Business Source Premier, CINAHL, Cochrane Library, EMBASE, and PubMed. Inclusion was limited to controlled studies of adult patients (≥15 years) visiting EDs for somatic reasons. Outcome variables were death in ED or hospital and need for hospitalization (validity). Methodological quality and clinical relevance of each study were rated as high, medium, or low. The results from the studies that met the inclusion criteria and quality standards were synthesized applying the internationally developed GRADE system. Each conclusion was then assessed as having strong, moderately strong, limited, or insufficient scientific evidence. If studies were not available, this was also noted.

    We found ED triage scales to be supported, at best, by limited and often insufficient evidence.

    The ability of the individual vital signs included in the different scales to predict outcome is seldom, if at all, studied in the ED setting. The scientific evidence to assess interrater agreement (reliability) was limited for one triage scale and insufficient or lacking for all other scales. Two of the scales yielded limited scientific evidence, and one scale yielded insufficient evidence, on which to assess the risk of early death or hospitalization in patients assigned to the two lowest triage levels on a 5-level scale (validity).

    Download full text (pdf)
    fulltext
  • 13. Gladh, K.
    et al.
    Lo Martire, Riccardo
    Äng, Björn
    Lindholm, P.
    Nilsson, J.
    Westman, A.
    Decelerations of parachute opening shock in skydivers2017In: Aerospace Medicine and Human Performance, ISSN 2375-6314, Vol. 88, no 2, p. 121-127Article in journal (Refereed)
  • 14. Gladh, K.
    et al.
    Äng, Björn
    Lindholm, P.
    Nilsson, J.
    Westman, A.
    Decelerations and muscle responses during parachute opening shock2013In: Aviation, Space and Environmental Medicine, ISSN 0095-6562, E-ISSN 1943-4448, Vol. 84, no 11, p. 1205-10Article in journal (Refereed)
  • 15.
    Granström, Therese
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Olsen, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Mentoring model in municipal health care in Dalarna, Sweden: A model for supporting new employeed nurses' professional role in municipal health care2012In: Ageing connects: book of abstracts, International Federation on Ageing. Global Conference on Ageing , 2012Conference paper (Refereed)
    Abstract [en]

    Background

    The society and health care units are increasing the demands on nurses.  Newly employed nurses   are expected to be able to work from the first day of employment independently.

    Aim

    That the newly employed nurses in communities within the County of Dalarna, receive support enabling them to feel safe in their professional role and ensure patient safety.

    The scope of the project

    The Mentor Model (MM) is based on the fact that the municipalities in Dalarna County (n = 15) appoints a Headmentor (HM).  The HM is responsible for appointing a mentor (M) for all newly employed nurses and has a supportive function for all mentors. The mentors (M) should have professional experience and are responsible for the newly employed nurses under a period of one year. In order for the M to provide support i.e. time for reflection with the HM and newly employed nurse sufficient, time must be allocated, i.e. two weeks.

    The (M) should be available to answer necessary, and networking with other mentors in Dalarna.

    Interviews with HM, M and newly employed in the municipalities showed positive gains with appointing an MM. The positive effects were: patient safety, the nurses felt more confident and the HM and M had opportunity to develop professionally.

  • 16. Grooten, W. J.
    et al.
    Conradsson, D.
    Äng, Björn
    Franzen, E.
    Is active sitting as active as we think?2013In: Ergonomics, ISSN 0014-0139, E-ISSN 1366-5847, Vol. 56, no 8, p. 1304-14Article in journal (Refereed)
  • 17. Grooten, W. J.
    et al.
    Äng, Björn
    Reliability of measurements of wrist extension force obtained with a Nicholas Manual Muscle Tester (NMMT)2010In: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 26, no 4, p. 281-7Article in journal (Refereed)
  • 18. Grooten, Wilhelmus Johannes Andreas
    et al.
    Tseli, Elena
    Karolinska Institutet.
    Äng, Björn
    Dalarna University, School of Education, Health and Social Studies, Medical Science. Karolinska institutet; Uppsala universitet.
    Boersma, Katja
    Stålnacke, Britt-Marie
    Gerdle, Björn
    Enthoven, Paul
    Elaborating on the assessment of the risk of bias in prognostic studies in pain rehabilitation using QUIPS-aspects of interrater agreement2019In: Diagnostic and Prognostic Research, ISSN 2397-7523, Vol. 3, article id 5Article in journal (Refereed)
    Abstract [en]

    Background: Many studies have been performed to identify important prognostic factors for outcomes after rehabilitation of patients with chronic pain, and there is a need to synthesize them through systematic review. In this process, it is important to assess the study quality and risk of bias. The "Quality In Prognosis Studies" (QUIPS) tool has been developed for this purpose and consists of several prompting items categorized into six domains, and each domain is judged on a three-grade scale (low, moderate or high risk of bias). The aim of the present study was to determine the interrater agreement of the risk of bias assessment in prognostic studies of patients with chronic pain using QUIPS and to elaborate on the use of this instrument.

    Methods: We performed a systematic review and a meta-analysis of prognostic factors for long-term outcomes after multidisciplinary rehabilitation in patients with chronic pain. Two researchers rated the risk of bias in 43 published papers in two rounds (15 and 28 papers, respectively). The interrater agreement and Cohen's quadratic weighted kappa coefficient (κ) and 95% confidence interval (95%CI) were calculated in all domains and separately for the first and second rounds.

    Results: The raters agreed in 61% of the domains (157 out of 258), with similar interrater agreement in the first (59%, 53/90) and second rounds (62%, 104/168). The overall weighted kappa coefficient (kappa for all domains and all papers) was weak: κ = 0.475 (95%CI = 0.358-0.601). A "minimal agreement" between the raters was found in the first round, κ = 0.323 (95%CI = 0.129-0.517), but increased to "weak agreement" in the second round, κ = 0.536 (95%CI = 0.390-0.682).

    Conclusion: Despite a relatively low interrater agreement, QUIPS proved to be a useful tool in assessing the risk of bias when performing a meta-analysis of prognostic studies in pain rehabilitation, since it demands of raters to discuss and investigate important aspects of study quality. Some items were particularly hard to differentiate in-between, and a learning phase was required to increase the interrater agreement. This paper highlights several aspects of the tool that should be kept in mind when rating the risk of bias in prognostic studies, and provides some suggestions on common pitfalls to avoid during this process.

    Trial registration: PROSPERO CRD42016025339; registered 05 February 2016.

    Download full text (pdf)
    fulltext
  • 19. Grooten, W.J.A.
    et al.
    Äng, Björn
    Hagstromer, M.
    Conradsson, D.
    Nero, H.
    Franzen, E.
    Does a dynamic chair increase office workers' movements? – Results from a combined laboratory and field study2017In: Applied Ergonomics, ISSN 0003-6870, E-ISSN 1872-9126, Vol. 60, p. 1-11Article in journal (Refereed)
    Abstract [en]

    PURPOSE:

    Dynamic chairs have the potential to facilitate movements that could counteract health problems associated with sedentary office work. This study aimed to evaluate whether a dynamic chair can increase movements during desk-based office work.

    METHODS:

    Fifteen healthy subjects performed desk-based office work using a dynamic office chair and compared to three other conditions in a movement laboratory. In a field study, the dynamic office chair was studied during three working days using accelerometry.

    RESULTS:

    Equivocal results showed that the dynamic chair increased upper body and chair movements as compared to the conventional chair, but lesser movements were found compared to standing. No differences were found between the conditions in the field study.

    CONCLUSIONS:

    A dynamic chair may facilitate movements in static desk-based office tasks, but the results were not consistent for all outcome measures. Validation of measuring protocols for assessing movements during desk-based office work is warranted.

  • 20. Heijne, A.
    et al.
    Äng, Björn
    Werner, S.
    Predictive factors for 12-month outcome after anterior cruciate ligament reconstruction2009In: Scandinavian Journal of Medicine and Science in Sports, ISSN 0905-7188, E-ISSN 1600-0838, Vol. 19, no 6, p. 842-9Article in journal (Refereed)
  • 21.
    Hesselgren, Katarina
    et al.
    Dalarna University, School of Education, Health and Social Studies, Medical Science.
    Enqvist, Linn
    Dalarna University, School of Education, Health and Social Studies, Medical Science.
    Översättning och validering av del III, Motor Examination, i bedömningsinstrumentet MDS-UPDRS för utvärdering av motoriska symtom vid Parkinsons sjukdom2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The Unified Parkinson’s Disease Rating Scale is a frequently used assessment tool world wide in clinics in care of people with Parkinson’s disease. In 2001, the assessment tool were reviewed and revised, which was titled Movement Disorder Society Unified Parkinson’s Disease Rating Scale. Part III of MDS-UPDRS aims to investigate motor symptoms and is considered important in, among other things, physiotherapists' investigation, and as evaluation after treatment. Currently, a Swedish validated translation of Part III is lacking. Aim: The aim of this study is to translate part III of MDS-UPDRS from english to swedish, and then analyze content validity for the swedish version. Method: The translation was done with the use of forward translation, backward translation and the content validity was analyzed with Content Validity Index (CVI). The translation were analyzed in two rounds, with help by five individual proficient to the area. The content validity were set by following domains and reference values: I-CVI (0,80), S-CVI/AVE (0,90) and SCVI/UA (0,80). Results: After two rounds, 20 questions out of 24 reached an I-CVI of 1,0. The remaining four questions reached an I-CVI of 0,80. The values of S-CVI/AVE and S-CVI/UA were 0,97 and 0,83 which meant that it exceeded the set reference values. The integer scale can be considered valid based on the reference values on S-CVI/AVE and S-CVI/UA. Conclusion: The integer translated version of MDS-UPDRS part III can be considered valid.

    Download full text (pdf)
    fulltext
  • 22.
    Holmgren, Amanda
    et al.
    Dalarna University, School of Health and Welfare.
    Lindhe, Anna
    Dalarna University, School of Health and Welfare.
    Föräldrars attityder till aktiva skoltransporter i Falu Kommun: - en webbaserad enkätstudie2021Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Most children and adolescents don't meet the generalrecommendations regarding physical activity. Active school transport (AST) canbe a way to increase the amount of physical activity. Parental attitudes towardsAST can influence decisions regarding children’s journey to school. Theory ofplanned behavior (TPB) is a model to explore attitudes. Few studies have surveyedparental attitudes in Sweden, especially during winter conditions.Aim: To survey parental attitudes to AST in Falu municipality and investigate therelationship between parental attitudes and social norms, geographical and sociodemographicvariables.Method:A cross-sectional web survey was conducted using the TPB-basedquestionnaire. The population consisted of parents of children in primary schoolwho attended a public school in Falun.The data was presented with descriptivestatistics. Differences between groups were analyzed with Mann-Whitney U Testand Kruskall Wallis test and relationships with Spearman's rank correlationcoefficient.Result: There were 465 parents who responded. The attitudes to AST werepredominantly neutral to positive. Women and higher educated were more positivecompared to men and lower educated. There was a weak correlation betweenattitudes and distance to school as well as social norms. Parents of children incentrally located schools were more positive compared to rural schools. Theattitude did not differ depending on the child's gender or age.Conclusion: Although the response rate was relatively low, the result is hopefullyhelpful in the work of increasing knowledge about parental attitudes to adaptfuture AST interventions.

  • 23.
    Karelis Hanna, Christina
    et al.
    Dalarna University, School of Health and Welfare.
    Schiller, Jeanette
    Dalarna University, School of Health and Welfare.
    Effekterna av aktiva e-hälsointerventioner på fysisk kapacitet, self-efficacy samt livskvalité hos personer med kroniskt obstruktiv lungsjukdom.: En strukturerad litteraturstudie2021Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Physical activity is an important part of the treatment of people with chronic obstructive pulmonary disease (COPD), as it can increase the person's self-efficacy. Physical activity may also increase the physical capacity and perceived quality of life. The demand for accessibility, participation and independence in self-care has increased as a result and rapid development of digital solutions. Knowledge gaps are still built in how effectively an active e-health intervention affects people with COPD.Aim: Through this structured literature study, to investigate whether the use of active e-health interventions has an effect on physical capacity, self-efficacy and perceived quality of life in people with COPD.Method: Data collection was performed in the databases Pubmed, Cinahl, Web of science. A screening based on title and abstract was followed by a relevance and quality assessment of potentially relevant articles. Ethical aspects were considered in the review. Data were extracted and compiled and analyzed qualitatively.Results: A total of seven studies were included: six randomized controlled trials and one experimental crossover study. The quality assessment for systematic bias was low to medium. Physical capacity and quality of life improved significantly in all studies physical capacity and quality of life improved significantly in all studies with the mentioned outcome measures. However, only one of the studies showed significant improvement compared with the control group for physical capacity and two studies for quality of life. Self-efficacy improved significantly in two of four studies, one of which showed a significant improvement compared with the control group. Conclusion: This structured literature study indicates that active e-health interventions lead to improvements in physical capacity and perceived quality of life in people with COPD and it can be used as an alternative to conventional treatment. It is not possible to draw any conclusions about the effect of an active e-health intervention on self-efficacy.

    Download full text (pdf)
    fulltext
  • 24.
    Klockar, Rickard
    et al.
    Dalarna University, School of Health and Welfare.
    Olverling, Helena
    Dalarna University, School of Health and Welfare.
    Rehabilitering efter rekonstruktion av det mediala patellofemorala ligamentet: En enkätstudie av aktuell praxis i Sverige2021Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    BackgroundPatellar dislocation is a common traumatic knee injury and can lead to injury of the medial patellofemoral ligament (MPFL). MPFL can be surgically reconstructed, the surgery is getting more common. There is no consensus regarding postoperative regime and best practice related to physiotherapeutic rehabilitation.Aim:The aim was to map regime, restrictions, interventions and evaluation methods related to physiotherapeutic rehabilitation that are applied and constitute practice in Swedish orthopaedic clinics after MPFL-reconstruction.MethodSurvey-based study, quantitative method. Data collection via a self-designed web questionnaire. The questionnaire consisted of 50 questions and was divided into seven domains. The questionnaire was content validated twice. Physiotherapists working at clinics where MPFL-reconstruction was performed were included.ResultsTwenty physiotherapists were recruited and responses were received from 15 of them. Orthosis is used postoperatively in half of the clinics and full weight bearing is usually allowed. The surgeon’s planning is perceived to be the main reason for the current postoperative regime and half of the clinics have a documented rehab protocol. Common physiotherapeutic interventions directly postoperatively are gait training, muscle activation/strength training, patient education and mobility training. The time regarding when other interventions during rehabilitation begin varies. Rehabilitation is frequently evaluated. Functional tests are a common evaluation method.ConclusionThe study indicates that regime, interventions and evaluation methods differ between Swedish orthopaedic clinics. This contributes with new knowledge that there is a lack of consensus in Sweden regarding postoperative regime and rehabilitation after MPFLR. Results may be interpreted with caution due to few participating clinics.

    Download full text (pdf)
    fulltext
  • 25.
    Knezevic, Zlatana
    Dalarna University, School of Health and Welfare, Social Work.
    Young and Vaccinated?: Children and Young People’s Perspectives on Covid-19 Vaccinations2022Conference paper (Other (popular science, discussion, etc.))
    Abstract [en]

    The research project is inspired by an ongoing study showing that although children and young people are central subjects to the debates on vaccine-preventable diseases, and constitute the main target of vaccines, young people are largely absent in public debates and research about vaccination-related attitudes and decision-making processes. 

    In the pre-pandemic time, vaccination attitudes were commonly discussed in relation to parents’ views and decision-making processes concerning preventable “child diseases”. Despite the fact that the focus has been on parents, children have been central to arguments and practices, as both positive and negative attitudes toward immunizations may be expressed as care for children. The perspectives of children and young people themselves, particularly in relation to covid-19 vaccinations, are largely unexplored. 

    In this research project, interviews will be conducted with children and young people, from the age of 12, about their views, decision-making processes and resistances in the context of covid-19 vaccinations. Focusing particularly on children and young people in Sweden whose views differ from the views of parents, health professionals or other adults, this project aims to foreground resistances in childhoods and youth in general and expand the notion of resistance in vaccination contexts in particular. Experiences from different Swedish Regional Councils and diverse procedures concerning assessments of age and maturity will be included in order to explore how young people navigate in terrains that requires adult consent and how these procedures enable but also constrain children and young people’s vaccination-related decision-making. 

  • 26.
    Liechti, Seraina
    et al.
    Bern University of Applied Sciences, Department of Health Professions, Division of Physiotherapy, Bern, Switzerland.
    Tseli, Elena
    Dalarna University, School of Health and Welfare, Medical Science. Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Division of physical therapy, Huddinge, Sweden.
    Taeymans, Jan
    Bern University of Applied Sciences, Department of Health Professions, Division of Physiotherapy, Bern, Switzerland; Vrije Universiteit Brussel, Department of Movement and Sport Science & Rehabilitation.
    Grooten, Wilhelmus
    Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Division of physical therapy, Huddinge, Sweden; Women's Health and Allied Health Professionals Theme. Medical unit Occupational Therapy and Physiotherapy. Karolinska University Hospital, Stockholm, Sweden.
    Prognostic factors for quality of life after interdisciplinary pain rehabilitation in patients with chronic pain: a systematic review2023In: Pain medicine, ISSN 1526-2375, E-ISSN 1526-4637, Vol. 24, no 1, p. 52-70Article in journal (Refereed)
    Abstract [en]

    BACKGROUND AND OBJECTIVE: Health-related quality of life (hrQoL) is a core outcome in evaluating interdisciplinary pain rehabilitation (IPR). This systematic review aimed to identify prognostic factors for hrQoL at least six months after IPR in chronic pain patients.

    METHODS: A systematic search was conducted in MEDLINE, PsycINFO, EMBASE, CINAHL, Web of Science and Cochrane CENTRAL until September 2020. Included were prognostic studies on the outcome hrQoL in adults aged 18 to 67 years with chronic pain (excluding malignancies, systemic-, inflammatory or degenerative joint diseases) who had undergone IPR. Studies were assessed with The Quality in Prognostic Studies-tool. Potential prognostic factors at baseline for the domains pain, psychological and physical functioning were qualitatively synthesized for hrQoL. Grading of Recommendations Assessment, Development and Evaluation was used to evaluate the level of evidence.

    RESULTS: Fourteen studies on 6668 participants (mean age 37.4-52.8y), with musculoskeletal pain/fibromyalgia and a pain duration ranging between 13.1 to 177.4 months were considered eligible. With a very low certainty of evidence, pain intensity, emotional distress and physical functioning at baseline were inconsistent for prediction of hrQoL and pain duration was not predictive. With low certainty of evidence, fewer pain sites, lower levels of negative cognitive behavioral factors, and higher levels of positive cognitive behavioral factors predicted a better outcome.

    CONCLUSIONS: The overall certainty of evidence was low to very low, making it difficult to reach definitive conclusions at present. Future studies with a predefined core set of predictors investigating hrQoL in patients with chronic pain after IPR are needed.

    Download full text (pdf)
    fulltext
  • 27.
    Lindén, Erwin
    et al.
    Dalarna University, School of Health and Welfare.
    Arnmark, Joakim
    Dalarna University, School of Health and Welfare.
    En kamp om identitet, tilltro och kontroll - En deskriptiv intervjustudie om erfarenheter av att leva med och rehabilitera patellatendinopati2021Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    BackgroundPatellar tendinopathy (PT) is common within an active population, especially elite athletes, but less is known about the presence among sedentary people. Previous research has focused on the physical impairments with modest effect on outcomes like pain and function through different training protocols. Nonetheless, PT tends to be persistent and many fail to recover. Current international consensus highlights the lack of knowledge of tendinopathy through a biopsychosocial perspective. No studies have explored people with PT and their experiences with living and rehabilitating the condition.PurposeTo explore the experiences of living with and rehabilitating PT among people who exercise or do sports recreationally.MethodA descriptive interview study with semi-structured online interviews was performed. A total of 10 participants participated. A thematic analysis was performed with a semantic and inductive procedure.ResultsFive main-themes were identified from the data: (1) Threatened identity, (2) Not being able to live your life to the fullest, (3) A adverse relationship with pain, (4) To feel in charge over ones situation brought back control (5) To be seen as a whole and not just a knee was crucial to rehab.ConclusionPT has a larger impact beyond the physical impairments. Negative cognitions and emotions coupled with maladaptive behaviours in relation to the pain emerged to a considerable degree. These results could have an important clinical message, that the management of PT would benefit from being person-centred where the biopsychosocial impact of pain is acknowledged. Caution should be taken in regards to this study's transferability to a wider population due to methodological aspects.

    Download full text (pdf)
    fulltext
  • 28. Lo Martire, Riccardo
    et al.
    Gladh, K.
    Westman, A.
    Lindholm, P.
    Nilsson, J.
    Äng, Björn
    Neck muscle activity in skydivers during parachute opening shock2016In: Scandinavian Journal of Medicine and Science in Sports, ISSN 0905-7188, E-ISSN 1600-0838, Vol. 26, no 3, p. 307-16Article in journal (Refereed)
  • 29.
    Lundqvist, Lars-Olov
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Matérne, Marie
    Örebro universitet, Institutionen för hälsovetenskaper.
    Strandberg, Thomas
    Örebro universitet, Institutionen för juridik, psykologi och socialt arbete.
    Risk markers for not returning to work among people with acquired brain injury2019Conference paper (Refereed)
    Abstract [en]

    BACKGROUND: Research shows that variety of factors are related to risks of not returning to work among people with acquired brain injury (ABI). In Sweden, 40% of those with ABI in working age return to work within two years after the injury, which in line with international findings. However, since countries may differ in work rehabilitation, social security systems, culture and laws, different factors may influence the possibilities of returning to work across countries.

    AIMS: The aim of this study was to investigate person, injury, activity and rehabilitation related risk markers for not return to work among persons with ABI in Sweden.

    METHODS: Retrospective data of an ABI cohort of 2008 people from the WebRehab Sweden quality register were used.

    RESULTS: Analyses showed that the risk ratio for not returning to work was larger for people that, among the Personal factors, were woman, born outside of Sweden, had low education level, and not having children in the household; among the injury related factors, had long (> 2 months) hospital stay, aphasia, low motor function, low cognitive function, high pain/discomfort, and high anxiety/depression; among the activity related factors, had low function in self-care, inability to perform usual activities, and had their driver´s license suspended; and finally among the rehabilitation related factors, were satisfied with treatment and having influence over their rehabilitation plan.

    DISCUSSION / CONCLUSION: Several factors in different areas were risk markers for not returning to work among people with ABI. This suggest that work rehabilitation and interventions, in addition to direct injury related issues, need to address personal related, activity related and rehabilitation related factors in order to increase the patient´s possibility to return to work. Influences of general and country specific factors on returning to work among people with ABI will be discussed.

  • 30.
    Lydén, Henrik
    Dalarna University, School of Education, Health and Social Studies, Medical Science.
    Självskattad smärta och funktion hos individer som tidigare diagnosticerats med tendinopati i hälsenans mittportion – en långtidsuppföljning2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    INTRODUCTION Mid-portion achilles tendinopathy (AT) is common within both the active and the less active population and often leads to persistent pain and loss of performance. The condition remains a challenge for both patients and clinicians alike. This study aimed to evaluate self-reported pain and function in patients with AT, five years after being treated with eccentric exercise, ultrasound-guided sclerosing injections or ultrasound-guided surgery in a randomized controlled pilot study. METHODS 32 individuals participating in a randomized controlled pilot study between 2012–2015 were contacted. Through questionnaires they were asked to rate their present pain during rest and activity on a visual analogue scale (100 mm). Self-reported function was evaluated using the Victorian Institute of Sports Assessment-Achilles (VISA-A). In addition, they were asked if they, during the follow-up period, had had additional treatment. RESULTS 27 participants (84 %) answered the questionnaires. Mean follow-up duration was 5,2 years. At follow-up, the participants rated their pain during rest and activity to a median of 1 (IQR 0–3) mm and 3 (IQR 0–10) mm, respectively. Median VISA-A score for self-reported function was 94 (88–98). Four participants (15 %) had additional treatments during the follow-up period. 3 CONCLUSION This study showed that self-reported pain and function was vastly improved among individuals previously diagnosed with AT, five years after treatment, and that only a minor part had had additional treatment during the follow-up period.

  • 31.
    Marmstål Hammar, Lena
    et al.
    Dalarna University, School of Health and Welfare, Caring Science/Nursing. Mälardalens Högskola.
    Falk Johansson, Marcus
    Dalarna University, School of Health and Welfare, Care Sciences.
    Dahlberg, Lena
    Dalarna University, School of Health and Welfare, Social Work.
    McKee, Kevin
    Dalarna University, School of Health and Welfare, Social Work.
    Summer Meranius, Martina
    Mälardalens Högskola.
    Exhausted and trapped in isolation. Caring for a spouse with dementia during the Covid-19 pandemic2021In: Family Caregiving (HS Poster), 2021, p. 800-801Conference paper (Refereed)
    Abstract [en]

    Even before the Covid-19 pandemic, spouse carers of persons with dementia (PwDs) found their care responsibilities overwhelming and had little time to focus on their own lives. To minimize the risk of being infected with Covid-19, older persons are recommended to self-isolate in their homes, while formal support such as respite care and day care centers are withdrawn. This study involved semi-structured interviews with 24 spouse carers of community-living PwDs, with the aim of describing their situation during the pandemic. The interviews were analyzed with qualitative content analysis. Results revealed that they commonly declined help because of the perceived risk of their spouse being infected with Covid-19 and thus also possibly causing their death. They described feelings of being trapped in their situation, as they experienced having no choice than take all responsibility for the care of their partner themselves, with cost of being unable to take necessary breaks. This was described as making an already strained situation almost unbearable, which led to conflicts with their partner. However, the spouses also described positive aspects due to strategic changes in health and social care provision to prevent the spread of the virus, such as greater staff continuity in home care services, and patient transportation service. These made the PwD less stressed and influenced their everyday life positively. It could be concluded that the extent burden during the Covid-19 pandemic calls for extensive development of tailored support to better tackle the rapid changes that can occur in a society.

    Download full text (pdf)
    fulltext
  • 32.
    Marmstål Hammar, Lena
    et al.
    Mälardalens högskola.
    Williamn, Christine
    Florida Atlantic University.
    Swall, Anna
    Sophiahemmet Högskola.
    Engström, Gabriella
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Humming as a mean of communicating during meal time situations: A Single Case study involving a women with severe dementia and her caregiver2012In: Journal of Nursing Education and Practice, ISSN 1925-4040, E-ISSN 1925-4059, Vol. 2, no 3, p. 93-102Article in journal (Refereed)
    Abstract [en]

    Objective:

    ‘Music Therapeutic Caregiving’, when caregivers sing for or together with persons with dementia during morning care situations, has been shown to increase verbal and nonverbal communication between persons with dementia and their caregivers, as well as enhance positive and decrease negative emotions in persons with dementia. No studies about singing during mealtimes have been conducted, and this pilot project was designed to elucidate this. However, since previous studies have shown that there is a risk that persons with dementia will start to sing along with the caregiver, the caregiver in this study hummed such that the person with dementia did not sing instead of eat. The aim of this pilot project was threefold: to describe expressed emotions in a woman with severe dementia, and describe communication between her and her caregivers without and with the caregiver humming. The aim was also to measure food and liquid intake without and with humming.

    Method: The study was constructed as a Single Case ABA design in which the ordinary mealtime constituted a baseline which comprised a woman with severe dementia being fed by her caregivers in the usual way. The intervention included the same woman being fed by the same caregiver who hummed while feeding her. Data comprised video observations that were collected once per week over 5 consecutive weeks. The Verbal and Nonverbal Interaction Scale and Observed Emotion Rating Scale were used to analyze the recorded interactions.

    Results:

    A slightly positive influence of communication was shown for the woman with dementia, as well as for the caregiver. Further, the women with dementia showed a slight increase in expressions of positive emotions, and she ate more during the intervention.

    Conclusion:

    Based on this pilot study no general conclusions can be drawn. It can be concluded, however, that humming while feeding persons with dementia might slightly enhance communication, and positive expressed emotions in persons with dementia. To confirm this, more studies on group levels are needed. Because previous studies have found that caregiver singing during caring situations influences persons with dementia positively it might be desirable to test the same during mealtime.

    Download full text (pdf)
    fulltext
  • 33.
    Matérne, Marie
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Lundqvist, Lars-Olov
    Örebro universitet, Institutionen för hälsovetenskaper.
    Strandberg, Thomas
    Örebro universitet, Institutionen för juridik, psykologi och socialt arbete.
    Opportunities and barriers for successful return to work after acquired brain injury: A patient perspective2017In: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 56, no 1, p. 125-134Article in journal (Refereed)
    Abstract [en]

    Background: Many people who suffer an acquired brain injury (ABI) are of working age. There are benefits, for the patient, the workplace, and society, to finding factors that facilitate successful return to work (RTW).

    Objective: The aim was to increase knowledge of opportunities and barriers for a successful RTW in patients with ABI.

    Method: Five men and five women with ABI participated. All had successfully returned to work at least 20 hours a week. Their experiences were gathered by semi-structured interviews, which were subsequently subjected to qualitative content analysis.

    Results: Three themes that influenced RTW were identified: individually adapted rehabilitation; motivation for RTW; and cognitive and social abilities. An individually adapted rehabilitation was judged important because the patients were involved in their own rehabilitation and required individually adapted support from rehabilitation specialists, employers, and colleagues. A moderate level of motivation for RTW was needed. Awareness of the person's cognitive and social abilities is essential, in finding compensatory strategies and adaptations.

    Conclusions: It seems that the vocational rehabilitation process is a balancing act in individualized planning and support, as a partnership with the employer needs to be developed, motivation needs to be generated, and awareness built of abilities that facilitate or hinder RTW.

  • 34.
    Matérne, Marie
    et al.
    Örebro university Hospital, Örebro, Sweden.
    Strandberg, Thomas
    Örebro universitet, Institutionen för juridik, psykologi och socialt arbete.
    Möjligheter och hinder för återkomst i arbetslivet efter förvärvad hjärnskada2015In: Hjärnkraft, ISSN 1651-5714, no 2, p. 10-11Article, review/survey (Other (popular science, discussion, etc.))
  • 35.
    Nerpin, Elisabet
    Dalarna University, School of Education, Health and Social Studies, Medical Science. Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap, Geriatrik.
    The kidney in different stages of the cardiovascular continuum2013Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Patients with chronic kidney disease are at higher risk of developing cardiovascular disease. The complex, interaction between the kidney and the cardiovascular system is incompletely understood, particularly at the early stages of the cardiovascular continuum.

    The overall aim of this thesis was to clarify novel aspects of the interplay between the kidney and the cardiovascular system at different stages of the cardiovascular continuum; from risk factors such as insulin resistance, inflammation and oxidative stress, via sub-clinical cardiovascular damage such as endothelial dysfunction and left ventricular dysfunction, to overt cardiovascular death.

    This thesis is based on two community-based cohorts of elderly, Uppsala Longitudinal Study of Adult Men (ULSAM) and Prospective Investigation of the Vasculature in Uppsala Seniors (PIVUS).

    The first study, show that higher insulin sensitivity, measured with euglycemic-hyperinsulinemic clamp technique was associated to improve estimated glomerular filtration rate (eGFR) in participants with normal fasting plasma glucose, normal glucose tolerance and normal eGFR. In longitudinal analyses, higher insulin sensitivity at baseline was associated with lower risk of impaired renal function during follow-up. In the second study, eGFR was inversely associated with different inflammatory markers (C-reactive protein, interleukin-6, serum amyloid A) and positively associated with a marker of oxidative stress (urinary F2-isoprostanes). In line with this, the urinary albumin/creatinine ratio was positively associated with these inflammatory markers, and negatively associated with oxidative stress.

    In study three, higher eGFR was associated with better endothelial function as assessed by the invasive forearm model. Further, in study four, higher eGFR was significantly associated with higher left ventricular systolic function (ejection fraction). The 5th study of the thesis shows that higher urinary albumin excretion rate (UAER) and lower eGFR was independently associated with an increased risk for cardiovascular mortality. Analyses of global model fit, discrimination, calibration, and reclassification suggest that UAER and eGFR add relevant prognostic information beyond established cardiovascular risk factors in participants without prevalent cardiovascular disease.

    Conclusion: this thesis show that the interaction between the kidney and the cardiovascular system plays an important role in the development of cardiovascular disease and that this interplay begins at an early asymptomatic stage of the disease process.

    Download full text (pdf)
    fulltext
  • 36. Nilsson, J.
    et al.
    Friden, C.
    Buren, V.
    Westman, A.
    Lindholm, P.
    Äng, Björn
    Musculoskeletal pain and related risks in skydivers: a population-based survey2013In: Aviation, Space and Environmental Medicine, ISSN 0095-6562, E-ISSN 1943-4448, Vol. 84, no 10, p. 1034-40Article in journal (Refereed)
  • 37. Nilsson, J.
    et al.
    Friden, C.
    Buren, V.
    Äng, Björn
    Development and validation of a web-based questionnaire for surveying skydivers2011In: Aviation, Space and Environmental Medicine, ISSN 0095-6562, E-ISSN 1943-4448, Vol. 82, no 6, p. 610-4Article in journal (Refereed)
  • 38.
    Nilsson, Johnny
    et al.
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science. The Swedish School of Sport and Health Sciences, Stockholm.
    Cardinale, Daniele
    Running economy and blood lactate accumulation in elite football players with high and low maximal aerobic power2015In: LASE Journal of Sport Science, ISSN 1691-7669, E-ISSN 1691-9912, Vol. 6, no 2, p. 44-51Article in journal (Refereed)
    Abstract [en]

    The purpose was to determine running economy and lactate threshold among a selection of male elite football players with high and low aerobic power. Forty male elite football players from the highest Swedish division (“Allsvenskan”) participated in the study. In a test of running economy (RE) and blood lactate accumulation the participants ran four minutes each at 10, 12, 14, and 16 km•h-1 at horizontal level with one minute rest in between each four minutes interval. After the last sub-maximal speed level the participants got two minutes of rest before test of maximal oxygen uptake (VO2max). Players that had a maximal oxygen uptake lower than the average for the total population of 57.0 mL O2•kg-1•minute-1 were assigned to the low aerobic power group (LAP) (n=17). The players that had a VO2max equal to or higher than 57.0 mL O2•kg-1•minute-1 were selected for the high aerobic power group (HAP) (n=23). The VO2max was significantly different between the HAP and LAP group. The average RE, measured as oxygen uptake at 12, 14 and 16km•h-1 was significantly lower but the blood lactate concentration was significantly higher at 14 and 16 km•h-1 for theLAP group compared with the HAP group.

    Download full text (pdf)
    fulltext
  • 39.
    Nordin, Susanna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Elf, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Wijk, Helle
    Att översätta och anpassa ett engelskt instrument för bedömning av fysisk miljö på särskilt boende till svenska förhållanden: utmaningar och erfarenheter2012Conference paper (Refereed)
  • 40.
    Nordin, Susanna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Wijk, Helle
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Elf, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    A review of existing tools for assessing the design quality of healthcare environments2011Conference paper (Other academic)
  • 41.
    Nordin, Susanna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Wijk, Helle
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Elf, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Assessment of the physical environment - a way to high quality care2012Conference paper (Refereed)
  • 42.
    Olai, Lena
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Support to elderly care nurses: developing a knowledge centre2012Conference paper (Refereed)
    Abstract [en]

    Objectives: Nurses working in elderly health care in the municipalities needs a wide competence. They have to deal with a broad range of health problems, multi-morbidity, medical and nursing treatment, supervision of patients, relatives and staff. The nurses also have to handle with national guidelines (NG) and evidenced based methods (EBM) as well as documenting the care process in data records. The aim of the knowledge centre is to support and coordinate work and care development in elderly health care, based on research and evidence based practice.

    Methods: All 15 local authorities in the county of Dalarna and the Dalarna University have developed a Knowledge Centre (KC) for elderly health care. A Senior Lecturer (SL) supervise and develop the work in near collaboration with the nursing staff. The first step was identifying the nurses needs, i.e. support and education, and the identifying process is still going on. The second step was work in small groups under supervision from the (SL). Documents, local care programmes, and working routines from all authorities, together with NG’s and EBM’s, were compiled and developed to updated regional care programmes, in consensus.

    Results: So far, the work has contributed to a brief production of documents in nursing care related areas such as patient security, implementing national guidelines, routines for delegating health care duties to unqualified staff, i.e., care assistants, mentor-program for newly employed registered nurses, networks for nurses with responsibilities in dementia, diabetic care etc. The production of documents produced by the knowledge centre is available on a Swedish web-site www.du.se/kommunalvardutveckling with free access. The work has generated a number of ideas for diploma work for nursing students and some ideas for research have also been formulated. The KC has contributed to cooperation between nurses in different authorities.

    Conclusions: The KC contributes support regarding processes and structures for knowledge dispersion and practical issues with a special focus on elderly care nurses, and has been successfully implemented.

  • 43.
    Olsson, Helén
    Mittuniversitetet, Avdelningen för omvårdnad.
    Att minska risken för våld och att främja återhämtning i den rättspsykiatriska vården: Patienters och personalens erfarenheter av vägen mot återhämtning2013Doctoral thesis, comprehensive summary (Other academic)
    Abstract [sv]

    Detta avhandlingsarbete är utfört inom en rättspsykiatrisk vårdkontext och återspeglar patienters[1] och personals[2] erfarenheter och upplevelser av vändpunkter i samband med minskad risk för våld och återhämtning. Med utgångspunkt från ett holistiskt och salutogent hälsovetenskapligt perspektiv har avhandlingen ett tvärvetenskapligt förhållningssätt.   Teoretiska ämnesdiscipliner såsom psykiatrisk omvårdnad, kriminologi och sociologi har influerat arbetet.

    Avhandlingens övergripande syfte var att utifrån de salutogena aspekterna i det rättspsykiatriska omvårdnadsarbetet undersöka vad som är relaterat till vändpunkter i samband med minskad risk för våld och vad som bidrar till återhämtning. Avhandlingen baseras på fyra olika studier. Syftet med den inledande kvantitativa delstudien (I) var att identifiera och jämföra rättspsykiatriska patienter som sänkt sin bedömda risk för våld med 30 % eller mer enligt riskbedömningsinstrument HCR-20. Resultatet visade att den bedömda risken för våld minskade över tid. En demografisk analys genomfördes för att studera skillnader mellan de patienter som sänkt sin bedömda risk för våld och de som inte sänkt sin risk. Det framgick att rättspsykiatriska patienter som bedömts med hjälp av riskbedömningsinstrumentet HCR-20, minskade den bedömda risken för våld, både på kort och på lång sikt. Den rättspsykiatriska vården fungerade bäst när det gällde att förbättra de kliniska riskfaktorerna (C-skalan).

    Riskhanteringen (R-skalan) gällande eventuell utskrivning och framtida friförmåner visade inte samma goda progress. Demografiska karaktäristika såsom ålder, alkohol och drogmissbruk och psykiatriska diagnoser var inte relaterade till minskad risk för våld, dock var kvinnliga patienter och patienter utan psykopatidiagnos mer benägna att sänka sin risk för våld. Ett urval av de patienter som minskade sin risk för våld med 30 % eller mer utgjorde basen för delstudie II och III.

    I delstudie II intervjuades tretton rättspsykiatriska patienter om upplevelser och erfarenheter kring vad som bidrar till minskad respektive ökad risk för våld inne på en rättspsykiatrisk avdelning. Data analyserades med hjälp av en tolkande beskrivning (Interpretive Description). Studien visade att orsakerna till ökad respektive minskad risk för våld var processrelaterad, där interaktioner mellan personal och patienter bidrog till en utveckling som antingen präglades av välbefinnande eller disharmoni. Delstudie II utgjorde en viktig kunskapskälla som präglade ansatsen i delstudie III och IV. Detta med hänvisning till att flertalet patienter i delstudie II lämnade intressanta beskrivningar av vändpunkter i samband med minskad risk för våld och återhämtning.

    Sålunda intervjuades i delstudie III, tio rättspsykiatriska patienter om deras upplevelser av förändringsprocesser i samband med vändpunkter och återhämtning. Dataanalysen skedde med hjälp av en kvalitativ innehållsanalys. Processen beskrevs utifrån tre faser där man i högriskfasen upplevde kaotiska och överväldigande känslor. Vändpunkten upplevdes som ett känsligt skede som präglades av att tvingas hitta en ny, konstruktiv väg i livet. Återhämtningsfasen präglades av ett accepterande och en mognad. Stöd och erkännande från omgivningen ansåg främja dessa processer.

    Delstudie IV bestod av intervjuer med tretton personal. Syftet var att belysa upplevelser och erfarenheter kring rättspsykiatriska patienters vändpunkter och återhämtning. Kvalitativ innehållsanalys användes för att analysera data. Beskrivningar kring hur en vändpunkt kunde bevaras och främjas baserades på vikten av att vara uppmärksam, lyhörd och att inte skynda på processen. En vändpunkt upplevdes genom att patienten uppvisade synbara positiva förändringar. Sammansättningen på personalen och patienterna ansågs påverka atmosfären på avdelningen, och bidrog till huruvida processen mot vändpunkter och återhämtning underlättades eller försvårades.

    Avhandlingen visar hur ett ständigt växelspel mellan patienter och mellan personal bidrog till huruvida vårdatmosfären upplevdes såsom hälsofrämjande eller ej. Vidare framgår att processer kring vändpunkter i samband med minskad risk för våld och återhämtning präglades av känslor av sårbarhet och utsatthet. Processen beskrevs som ett känsligt förlopp som behövde understödjas av förtroendefulla relationer med andra, samt möjligheter att få vistas i en trygg miljö.

    [1] Den vetenskapliga litteraturen använder sig av begrepp såsom client, consumer, service user eller forensic patient för att beteckna människor som är inskrivna inom den rättspsykiatriska vården. Inom det psykiatriska svenska fältet kan begreppen brukare, vårdtagare eller patient förekomma. I denna avhandling kommer begreppet patient och vårdtagare omväxlande att användas för att beteckna de människor som är föremål för den rättspsykiatriska vården. De patienter som deltagit i avhandlingens två delstudier kommer omväxlande att benämnas såsom deltagare eller patienter, för att åstadkomma en varierande och läsvänlig text.

    [2] I denna avhandling anser begreppet personal den personalkategori som arbetar med omvårdnad inom en rättspsykiatrisk kontext. Det är främst sjuksköterskor och skötare som inkluderas i begreppet omvårdnadspersonal inom den vetenskapliga litteraturen. Sjuksköterskor benämns såsom registered mental health nurses eller registered nurses. Övrig omvårdnadspersonal tituleras till exempel som nurse manager eller assistant nurses. När begreppen personal, vårdare eller omvårdnadspersonal används i denna avhandling avses då den personalkategori som arbetar närmast patienten med omvårdnad och ingen åtskillnad kommer att göras mellan de båda yrkesgrupperna. Personalen som deltar i delstudie IV har omväxlande kallats för personal eller vårdare.

    Download full text (pdf)
    FULLTEXT01
  • 44.
    Orrell, Alison
    et al.
    University of Sheffield.
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Dahlberg, Lena
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Gilhooly, Mary
    Brunel University.
    Parker, Stuart
    University of Sheffield.
    Improving continence services for older people from the service-providers’ perspective: a qualitative interview study2013In: BMJ Open, E-ISSN 2044-6055, Vol. 3, no 7Article in journal (Refereed)
    Abstract [en]

    Objective: To examine in depth the views and experiences of continence service leads in England on key service and continence management characteristics in order to identify and to improve our understanding of barriers to a good-quality service and potential facilitators to develop and to improve services for older people with urinary incontinence (UI).

    Design: Qualitative semistructured interviews using a purposive sample recruited across 16 continence services.

    Setting: 3 acute and 13 primary care National Health Service Trusts in England.

    Participants: 16 continence service leads in England actively treating and managing older people with UI.

    Results: In terms of barriers to a good-quality service, participants highlighted a failure on the part of commissioners, managers and other health professionals in recognising the problem of UI and in acknowledging the importance of continence for older people and prevalent negative attitudes towards continence and older people. Patient assessment and continence promotion regardless of age, rather than pad provision, were identified as important steps for a good-quality service for older people with UI. More rapid and appropriate patient referral pathways, investment in service capacity, for example, more trained staff and strengthened interservice collaborations and a higher profile within medical and nurse training were specified as being important facilitators for delivering an equitable and highquality continence service. There is a need, however, to consider the accounts given by our participants as perhaps serving the interests of their professional group within the context of interprofessional work.

    Conclusions: Our data point to important barriers and facilitators of a good-quality service for older people with UI, from the perspective of continence service leads. Further research should address the views of other stakeholders, and explore options for the empirical evaluation of the effectiveness of identified service facilitators.

    Download full text (pdf)
    fulltext
  • 45. Peterson, Kerstin
    et al.
    Persson, Margareta
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Nilses, Carin
    Haglund, Ingrid
    Skoglund, Yvonne
    Lindkvist, Marie
    Mogren, Ingrid
    Mödrahälsovårdsregistret: studier av intern validitet och registeranvändarnas erfarenheter, uppfattningar samt nyttjande av registret2012Report (Other academic)
    Download full text (pdf)
    fulltext
  • 46. Platts, Loretta G.
    et al.
    Ignatowicz, Agniezka
    Westerlund, Hugo
    Rasoal, Dara
    Dalarna University, School of Health and Welfare, Caring Science/Nursing. Mälardalen University.
    The nature of paid work in the retirement years2023In: Ageing and Society, ISSN 1469-1779, Vol. 43, p. 1310-1332Article in journal (Refereed)
    Abstract [en]

    Ever more people are in paid work following the age of state pension availability, andyet the experience of working in this phase of the late career has been little studied.We interviewed a purposive sample of 25 Swedish people in their mid- to late sixtiesand early seventies, many of whom were or had recently been working while claimingan old-age pension. The data were analysed with constant comparative analysis inwhich we described and refined categories through the writing of analytic memos and diagramming.We observed that paid work took place within a particular material, normativeand emotional landscape: a stable and secure pension income decommodifying theseworkers from the labour market, a social norm of a retired lifestyle and a loomingsense of contraction of the future. This landscape made paid work in these yearsdistinctive: characterised by immediate intrinsic rewards and processes of containingand reaffirming commitments to jobs. The oldest workers were able to craft assertivelythe temporal flexibility of their jobs in order to protect the autonomy and freedom thatretirement represented and retain favoured job characteristics. Employed on short-term(hourly) contracts or self-employed, participants continually reassessed their decision towork. Participation in paid work in the retirement years is a distinctive second stage inthe late career which blends the second and third ages.

    Download full text (pdf)
    fulltext
  • 47. Pousette, M. W.
    et al.
    Lo Martire, Riccardo
    Linder, J.
    Kristoffersson, M.
    Äng, Björn
    Neck Muscle Strain in Air Force Pilots Wearing Night Vision Goggles2016In: Aerospace Medicine and Human Performance, ISSN 2375-6314, E-ISSN 2375-6322, Vol. 87, no 11, p. 928-932Article in journal (Refereed)
  • 48. Rasmussen-Barr, E.
    et al.
    Campello, M.
    Arvidsson, I.
    Nilsson-Wikmar, L.
    Äng, Björn
    Factors predicting clinical outcome 12 and 36 months after an exercise intervention for recurrent low-back pain2012In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 34, no 2, p. 136-44Article in journal (Refereed)
  • 49. Rasmussen-Barr, E.
    et al.
    Granstrom, H.
    Äng, Björn
    Inter- and intra-observer reliability of three movement control tests for the lumbo-pelvic complex2015In: Physiotherapy, ISSN 0031-9406, E-ISSN 1873-1465, Vol. 101, no suppl. 1, p. e1259-e1260Article in journal (Refereed)
  • 50. Rasmussen-Barr, E.
    et al.
    Äng, Björn
    Arvidsson, I.
    Nilsson-Wikmar, L.
    Graded exercise for recurrent low-back pain: a randomized, controlled trial with 6-, 12-, and 36-month follow-ups2009In: Spine, ISSN 0362-2436, E-ISSN 1528-1159, Vol. 34, no 3, p. 221-8Article in journal (Refereed)
12 1 - 50 of 73
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf