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  • 1.
    Andersson, Mathias
    et al.
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Vårdvetenskap. Högskolan Dalarna, Institutionen för hälsa och välfärd, Idrotts- och hälsovetenskap. Smärtmottagningen Falun, Region Dalarna, Falun; Smärtehabilitering Säter, Region Dalarna, Säter.
    Åberg, Anna Cristina
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap. Uppsala University.
    von Koch, Lena
    Karolinska Institutet.
    Palstam, Annie
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap. University of Gothenburg; Sahlgrenska University Hospital, Gothenburg.
    Women with fibromyalgia prefer resistance exercise with heavy loads: A randomized crossover pilot study2021Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 18, artikkel-id 6276Artikkel i tidsskrift (Fagfellevurdert)
    Fulltekst (pdf)
    fulltext
  • 2.
    Arkkukangas, Marina
    et al.
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap. School of Health, Care and Social Welfare, Department of Physiotherapy, Mälardalen University, Västerås; Research and Development in Sörmland, Region Sörmland, Eskilstuna.
    Strömqvist Bååthe, Karin
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap.
    Ekholm, Anna
    Research and Development in Sörmland, Region Sörmland, Eskilstuna.
    Tonkonogi, Michail
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap.
    Short Multicomponent Group Exercise Intervention Promotes Long-Term Physical Activity Habits among Community-Dwelling Older Adults during COVID-19 Restrictions: A Cohort Study2022Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, nr 22, artikkel-id 15140Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This study investigated whether strength, balance, body mass index, falls self-efficacy, activity levels, self-rated health, and participation in a multicomponent exercise intervention could predict physical activity levels after 5 months of self-quarantine due to the COVID-19 pandemic. This study included baseline data of 200 community-dwelling older adults (79% women, 21% men) with a mean age of 72 years who participated in a randomized controlled trial investigating a multicomponent exercise program, with 7-month follow-up survey data of their physical activity levels. The results showed significant associations with the activity levels at the 7-month follow-up. The activity levels (odds ratio (OR): 2.83, 95% CI: 1.20-6.71), the self-rated health score (2.80, 1.42-5.53), and being allocated to a specific multicomponent group-based exercise program (2.04, 1.04-4.00) showed a significant association with the activity habits at the 7-month follow-up. As this study suggests, besides the physical activity levels and the self-rated health score, participation in a high challenge multicomponent exercise program was significantly associated with physical activity levels at the 7-month follow-up. This study indicates that a relatively short multicomponent group exercise program (6-9 weeks) can motivate individuals to sustain their own training and activity levels even several months after the program has been paused or terminated. Identifying older adults' physical activity levels and self-rated health scores and prescribing multicomponent group-based exercise programs to promote sustained physical activity habits may be a successful alternative to provide for older adults in the future.

    Fulltekst (pdf)
    fulltext
  • 3. B Åhman, Hanna
    et al.
    Berglund, Lars
    Cedervall, Ylva
    Kilander, Lena
    Giedraitis, Vilmantas
    McKee, Kevin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Socialt arbete.
    Ingelsson, Martin
    Rosendahl, Erik
    Åberg, Anna Cristina
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Medicinsk vetenskap. Uppsala University.
    Dual-Task Tests Predict Conversion to Dementia-A Prospective Memory-Clinic-Based Cohort Study2020Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 17, nr 21, artikkel-id E8129Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this study was to investigate whether Timed Up-and-Go (TUG) dual-task (TUGdt) tests predict dementia incidence among patients with subjective or mild cognitive impairment (SCI; MCI). Other study objectives were to determine whether TUGdt improves dementia prediction compared to a) demographic characteristics and standard cognitive tests alone; and b) TUG and Verbal Fluency performed separately. Patients (n = 172, age range 39-91 years, 78 women) with SCI or MCI performed TUGdt tests, including 1) naming animals and 2) reciting months backwards, and clinical cognitive tests at baseline. Diagnoses were identified at follow-up after 2.5 years. Logistic regression was used to predict dementia incidence, receiver operating characteristic (ROC) curves and c-statistics for predictive capacity. Analyses were stratified by age and gender. At follow-up, 51 patients had developed dementia. The TUGdt result "animals/10 s" was associated with dementia incidence (standardized odds ratio (OR) = 4.06, 95% confidence interval (CI) 2.28-7.23, p < 0.001), more so among patients under the median age of 72 years (standardized OR = 19.4, 95% CI 3.53-106.17, p < 0.001). TUGdt "animals/10 s" improved dementia prediction compared to demographic characteristics and standard tests alone (c-statistics 0.88 to 0.94) and single-task tests (c-statistics 0.86 to 0.89), but only in the younger patient group. TUGdt has the potential to become a useful tool for dementia prediction.

    Fulltekst (pdf)
    fulltext
  • 4. Baudin, Katarina
    et al.
    Sundström, Angelina
    Borg, Johan
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap.
    Gustafsson, Christine
    Decision-Making Is in the Making! Aspects of Decision-Making in the Area of Assistive and Welfare Technology—A Qualitative Study2021Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 18, artikkel-id 4028Artikkel i tidsskrift (Fagfellevurdert)
    Fulltekst (pdf)
    fulltext
  • 5.
    Borg, Johan
    et al.
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap.
    Alam, Moudud
    Högskolan Dalarna, Institutionen för information och teknik, Statistik.
    Boström, Anne-Marie
    Karolinska Institutet, Huddinge; Karolinska University Hospital, Stockholm; Stockholms Sjukhem, Stockholm.
    Marmstål Hammar, Lena
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Omvårdnad. Karolinska Institutet, Huddinge; Mälardalen University, Västerås.
    Experiences of Assistive Products and Home Care among Older Clients with and without Dementia in Sweden2022Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, nr 19, artikkel-id 12350Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The purpose was to compare selection, use and outcomes of assistive products among older home care clients with and without dementia in Sweden, and to explore the relations between the use of assistive products and perceptions of home care, loneliness and safety. Self-reported data from 89,811 home care clients aged 65 years or more, of whom 8.9% had dementia, were analysed using regression models. Excluding spectacles, 88.2% of them used assistive products. Respondents without dementia were more likely to use at least one assistive product but less likely to use assistive products for remembering. Respondents with dementia participated less in the selection of assistive products, used less assistive products, and benefited less from them. Users of assistive products were more likely to be anxious and bothered by loneliness, to feel unsafe at home with home care, to experience that their opinions and wishes regarding assistance were disregarded by home care personnel, and to be treated worse by home care personnel. The findings raise concerns about whether the needs for assistive products among home care clients with dementia are adequately provided for. They also indicate a need to strengthen a person-centred approach to providing home care to users of assistive products.

    Fulltekst (pdf)
    fulltext
  • 6. Cedervall, Y.
    et al.
    Stenberg, A. M.
    Åhman, H.B.
    Giedraitis, V.
    Tinmark, F.
    Berglund, L.
    Halvorsen, K.
    Ingelsson, M.
    Rosendahl, E.
    Åberg, Anna Cristina
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Medicinsk vetenskap. Uppsala University.
    Timed up-and-go dual-task testing in the assessment of cognitive function: A mixed methods observational study for development of the UDDGait protocol2020Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 17, nr 5, artikkel-id 1715Artikkel i tidsskrift (Fagfellevurdert)
    Fulltekst (pdf)
    fulltext
  • 7.
    Falk Johansson, Marcus
    et al.
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Vårdvetenskap.
    McKee, Kevin
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Socialt arbete.
    Dahlberg, Lena
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Socialt arbete. Aging Research Center, Karolinska Institutet & Stockholm University.
    Summer Meranius, Martina
    Mälardalens Högskola .
    Williams, Christine L.
    Marmstål Hammar, Lena
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Omvårdnad. Mälardalens universitet; Karolinska institutet.
    Negative Impact and Positive Value of Caregiving in Spouse Carers of Persons with Dementia in Sweden2022Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, nr 3, artikkel-id 1788Artikkel i tidsskrift (Fagfellevurdert)
    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.

    Fulltekst (pdf)
    fulltext
  • 8.
    Fjellfeldt, Maria
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Socialt arbete.
    Developing Long-Term Sustainable Collaborations between Welfare Providers That Support and Promote Child and Youth Mental Health in Sweden: A Qualitative Interview Study2022Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, nr 13, artikkel-id 7730Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    When addressing child and youth mental health, policy makers around the world call for collaboration between welfare providers. Research shows, however, that cross-sector collaboration is challenging. This article aims to scrutinize the issue of sustainability in the collaborative work undertaken between welfare providers to jointly support and promote child and youth mental health. In a qualitative interview study, 19 key officials involved in collaborative mental health work in three Swedish municipalities were interviewed, 13 individually and 6 in three small groups. Data were analyzed through content analysis and the application of practice-oriented collaboration theories. The results show that informants feel collaboration is beneficial for child and youth mental health. The results also show that five aspects of this collaborative work can affect its sustainability: (1) how the collaborative work was set up: if it was a special project or part of existing organizational structures; (2) what model of funding was used; (3) how many organizational levels were involved; (4) if goals were common, concurrent or contradictive; and (5) if important stakeholders were seen to be 'missing'. Collaboration members felt their collaborative work had caused them to drift away from important non-participant stakeholders. This article concludes that to develop long-term sustainable collaborations addressing child and youth mental health, key features of collaborative work need to be taken into consideration.

    Fulltekst (pdf)
    fulltext
  • 9.
    Frögéli, Elin
    et al.
    Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
    Annell, Stefan
    Department of Leadership and Command & Control, Swedish Defence University, Stockholm, Sweden.
    Rudman, Ann
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Omvårdnad. Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
    Inzunza, Miguel
    Police Education and Research Unit, Umeå University, Umeå, Sweden.
    Gustavsson, Petter
    Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
    The Importance of Effective Organizational Socialization for Preventing Stress, Strain, and Early Career Burnout: An Intensive Longitudinal Study of New Professionals2022Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, nr 12, artikkel-id 7356Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Burnout was originally conceptualized based on experiences of new professionals. Role clarity, task mastery, and social acceptance are recognized as key resources enabling new professionals' management of the challenges of the new profession. However, relations between these resources and stress, strain, and burnout have not yet been thoroughly investigated at professional entry. Increased understanding of these relations could have implications for strategies to prevent burnout. The aim of the study was to investigate within- and between-individual effects over the first months and relations to burnout at one-year post-entry. Data (n = 322) was collected weekly over the first 13 weeks and again 9 months later. Relationships were modelled using a multilevel regression model and correlation analysis. Results showed that on weeks when participants experienced higher role clarity, task mastery, and social acceptance, they reported significantly less stress, and that participants who experienced higher levels of the resources in general, reported significantly less strain. Levels of the resources at three months were related to symptoms of burnout at 12 months. The study findings provide support of the role of task mastery, role clarity, and social acceptance as resources buffering the impact of demands at professional entry on experiences of stress, strain, and burnout.

    Fulltekst (pdf)
    fulltext
  • 10.
    Kalid, Mohamed
    et al.
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Vårdvetenskap. Högskolan Dalarna, Institutionen för hälsa och välfärd, Omvårdnad.
    Flacking, Renée
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Omvårdnad.
    Sulaiman, Munshi
    Osman, Fatumo
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Omvårdnad.
    Effects of Nutrition Counselling and Unconditional Cash Transfer on Child Growth and Family Food Security in Internally Displaced Person Camps in Somalia: A Quasi-Experimental Study2022Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, nr 20, artikkel-id 13441Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The effects of nutrition counselling (NC) and unconditional cash transfer (UCT) in improving growth in children under five and household food security are poorly understood in humanitarian settings. Therefore, this study aimed to evaluate the effects of NC and NC combined with unconditional cash transfer (NC + UCT) on children’s growth and food security in Somalia. The study was performed with a quasi-experimental design in two districts in the Banadir region of Somalia. Caregivers (n = 255) with mildly to moderately malnourished children aged 6 to 59 months old (n = 184) were randomized to the NC, NC + UCT and control groups. The interventions consisted of weekly NC for three months alone or in combination with UCT. The outcome variables were wasting, underweight, stunting, and food security. Difference-indifferences analysis was used to estimate the effect of the interventions. Our study did not find any significant impacts of NC or NC + UCT on child wasting, underweight, stunting, food security or household expenses. In conclusion, NC, alone or in combination with UCT, did not impact children’s growth or household food security. Thus, a culturally tailored NC programme over a longer period, supplemented with cash transfer, could be beneficial to consider when designing interventions to reduce malnutrition and food insecurity.

    Fulltekst (pdf)
    fulltext
  • 11.
    Kylén, Maya
    et al.
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Omvårdnad. Lund University.
    Schön, Ulla-Karin
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Socialt arbete. Stockholm University.
    Pessah-Rasmussen, Hélène
    Elf, Marie
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Omvårdnad.
    Patient Participation and the Environment: A Scoping Review of Instruments2022Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, nr 4, artikkel-id 2003Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Patient participation and the environment are critical factors in achieving qualitative healthcare. We conducted a systematic scoping review using Arksey and O’Malley’s framework to identify instruments intended to measure patient participation. We assessed those instruments’ characteristics, which areas of the healthcare continuum they target, and whether environmental factors are considered. Instruments were considered eligible if they represented the patient perspective and measured patient participation in healthcare. The search was limited to articles written in English and published in the last 10 years. We extracted concepts (i.e., patient empowerment, patient participation, and patient-centeredness) based on the framework developed by Castro et al. and outcomes of significance regarding the review questions and specific objectives. The search was conducted in PsycINFO, CINHAL/EBSCO, and PubMed in September 2019 and July 2020. Of 4802 potential titles, 67 studies reported on a total of 45 instruments that met the inclusion criteria for this review. The concept of patient participation was represented most often in these studies. Although some considered the social environment, no instrument was found to incorporate and address the physical environment. Thirteen instruments were generic and the remaining instruments were intended for specific diagnoses or healthcare contexts. Our work is the first to study instruments from this perspective, and we conclude that there is a lack of instruments that measure aspects of the social and physical environment coherently as part of patient participation. © 2022 by the authors. Licensee MDPI, Basel, Switzerland.

    Fulltekst (pdf)
    fulltext
  • 12.
    Kylén, Maya
    et al.
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Von Koch, Lena
    Pessah-Rasmussen, Hélène
    Marcheschi, Elizabeth
    Ytterberg, Charlotte
    Heylighen, Ann
    Elf, Marie
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad. Chalmers University.
    The importance of the built environment in person-centred rehabilitation at home: study protocol2019Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 16, nr 13, artikkel-id E2409Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Health services will change dramatically as the prevalence of home healthcare increases. Only technologically advanced acute care will be performed in hospitals. This-along with the increased healthcare needs of people with long-term conditions such as stroke and the rising demand for services to be more person-centred-will place pressure on healthcare to consider quality across the continuum of care. Research indicates that planned discharge tailored to individual needs can reduce adverse events and promote competence in self-management. However, the environmental factors that may play a role in a patient's recovery process remain unexplored. This paper presents a protocol with the purpose to explore factors in the built environment that can facilitate/hinder a person-centred rehabilitation process in the home. The project uses a convergent parallel mixed-methods design, with ICF (International Classification of Functioning, Disability and Health) and person-environment theories as conceptual frameworks. Data will be collected during home visits 3 months after stroke onset. Medical records, questionnaires, interviews and observations will be used. Workshops will be held to identify what experts and users (patients, significant others, staff) consider important in the built environment. Data will be used to synthesise the contexts, mechanisms and outcomes that are important to support the rehabilitation process at home.

    Fulltekst (pdf)
    fulltext
  • 13.
    Larsson, Alexandra C
    et al.
    Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Department of Occupational Therapy and Physical Therapy, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Engwall, Marie
    Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Department of Health Sciences, University West, Trollhattan, Sweden.
    Palstam, Annie
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap. Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Department NeuroScience, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Persson, Hanna C
    Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Department of Occupational Therapy and Physical Therapy, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Self-Assessed Aspects of Health 3 Months after COVID-19 Hospitalization: A Swedish Cross-Sectional Stud2022Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, nr 13, artikkel-id 8020Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    It is not yet fully understood how the patients self-assess their overall health in the early recovery after COVID-19 and if certain patient groups are more prominent in perceived long-time effects of COVID-19. The aim of this study was to describe self-assessed aspects of health in body function, activity and participation 3 months after hospitalization due to COVID-19 and identify difference between groups depending in age, sex and level of hospital care. This cross-sectional study consists of self-assessed aspects of health and recovery in 168 participants (mean age 64 years old, 69% men) previously hospitalized patients due to COVID-19. We have previously published data, from hospital discharge, on this cohort were predominantly the older patients and previous ICU-treated participants were affected. In this study there were differences in between groups. Of the study population 72% perceived fatigue, 64% respiratory difficulties, 37% perceived symptoms of anxiety. Three-months after COVID-19 this cohort was overall still affected. The recovery process is multifaced and the cohort heterogeneous, hence the rehabilitation needs to be highly individualized, and the follow-up of this patient group is of importance regardless of age, sex and previous level of hospital care.

    Fulltekst (pdf)
    fulltext
  • 14. Larsson, Alexandra C
    et al.
    Palstam, Annie
    Sahlgrenska Academy, University of Gothenburg; Sahlgrenska University Hospital, Gothenburg.
    Persson, Hanna C
    Physical Function, Cognitive Function, and Daily Activities in Patients Hospitalized Due to COVID-19: A Descriptive Cross-Sectional Study in Sweden.2021Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 18, nr 21, artikkel-id 11600Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    An estimated 14-20% of people infected with COVID-19 require medical care. The aim of the present study was to evaluate physical function, cognitive function, and daily activities in patients hospitalized due to COVID-19, and to investigate differences depending on age and admission to the intensive care unit (ICU). This prospective descriptive cross-sectional study included a consecutive sample of 211 patients (mean age 65.1 years, 67.3% men) hospitalized due to COVID-19 in Sweden. Data regarding physical function and daily activities were collected in hospital from July 2020 to February 2021. The average length of hospital stay was 33.8 days, and 48.8% of the patients were admitted to the ICU. Physical function (grip- and lower body strength) was reduced in both groups, and significantly more in the older group, ≥65 years old, compared to the younger. Furthermore, the older group also had significantly less ability to perform activities in daily life, and had significantly reduced cognitive function as compared to the younger age group. In patients treated in the ICU, physical impairments as well as the activity level were significantly more pronounced compared to patients not treated in the ICU. Patients hospitalized due to COVID-19 are physically impaired, have mild cognitive impairments, and have difficulties performing daily activities. The findings in this study indicate the need for out-patient follow-up and rehabilitation for patients hospitalized due to COVID-19, especially in older patients and patients treated in the ICU.

    Fulltekst (pdf)
    fulltext
  • 15.
    Mauritzson, Elin
    et al.
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Vårdvetenskap. Högskolan Dalarna, Institutionen för hälsa och välfärd, Omvårdnad.
    McKee, Kevin J
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Socialt arbete.
    Elf, Marie
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Omvårdnad.
    Borg, Johan
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap.
    Older Adults' Experiences, Worries and Preventive Measures Regarding Home Hazards: A Survey on Home Safety in Sweden2023Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 20, nr 2, artikkel-id 1458Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Home safety is important for preventing injuries and accidents among older adults living at home. Feeling safe at home is also essential for older adults' well-being. Thus, this study aimed to explore older adults' perceptions of safety in their homes by examining their experiences, worries and preventive measures in relation to a range of potential home-based health and safety hazards. The study was a national cross-sectional telephone survey of 400 randomly selected adults over 70 years of age living at home in ordinary housing in Sweden. Participants were asked for their experience of, worry about, and preventive measures taken regarding fifteen home hazards. Data were also collected on background variables including age, health, and cohabitation status. Falls and stab/cut injuries were the most experienced hazards and worry was highest for burglary and falls, while preventive measures were most common for fire and burglary. While older adults' experience and worry regarding home hazards were associated with preventive measures, these associations were not strong and other factors were associated with preventive behaviour. Further identification of the main determinants of older adults' preventive behaviour can contribute to policy for effectively reducing home accidents.

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    fulltext
  • 16.
    Nordin, Susanna
    et al.
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Omvårdnad.
    Sturge, Jodi
    Ayoub, Maria
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Vårdvetenskap.
    Jones, Allyson
    McKee, Kevin
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Socialt arbete.
    Dahlberg, Lena
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Socialt arbete. Aging Research Center, Karolinska Institutet & Stockholm University.
    Meijering, Louise
    Elf, Marie
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Omvårdnad.
    The Role of Information and Communication Technology (ICT) for Older Adults’ Decision-Making Related to Health, and Health and Social Care Services in Daily Life—A Scoping Review2022Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, nr 1, artikkel-id 151Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Information and communication technology (ICT) can potentially support older adults in making decisions and increase their involvement in decision-making processes. Although the range of technical products has expanded in various areas of society, knowledge is lacking on the influence that ICT has on older adults’ decision-making in everyday situations. Based on the literature, we aimed to provide an overview of the role of ICT in home-dwelling older adults’ decision-making in relation to health, and health and social care services. A scoping review of articles published between 2010 and 2020 was undertaken by searching five electronic databases. Finally, 12 articles using qualitative, quantitative, and mixed-method designs were included. The articles were published in journals representing biology and medicine, nursing, informatics, and computer science. A majority of the articles were published in the last five years, and most articles came from European countries. The results are presented in three categories: (i) form and function of ICT for decision-making, (ii) perceived value and effect of ICT for decision-making, and (iii) factors influencing ICT use for decision-making. According to our findings, ICT for decision-making in relation to health, and health and social care services was more implicitly described than explicitly described, and we conclude that more research on this topic is needed. Future research should engage older adults and health professionals in developing technology based on their needs. Further, factors that influence older adults’ use of ICT should be evaluated to ensure that it is successfully integrated into their daily lives. 

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    fulltext
  • 17.
    Nowak, Bartosch
    et al.
    Department Head Organs, Spine- and Neuromedicine, University Hospital Basel, Basel, Switzerland.
    Schwendimann, René
    Patient Safety Office, University Hospital Basel, Basel, Switzerland; Institute of Nursing Science, University of Basel, Basel, Switzerland.
    Lyrer, Philippe
    Department of Neurology and Stroke Center, University Hospital and University of Basel, Basel, Switzerland.
    Bonati, Leo H.
    Department of Neurology and Stroke Center, University Hospital and University of Basel, Basel, Switzerland.
    De Marchis, Gian Marco
    Department of Neurology and Stroke Center, University Hospital and University of Basel, Basel, Switzerland.
    Peters, Nils
    Department of Neurology and Stroke Center, University Hospital and University of Basel, Basel, Switzerland.
    Zúñiga, Franziska
    Institute of Nursing Science, University of Basel, Basel, Switzerland..
    Saar, Lili
    Department of Neurology, Universitätsklinik Freiburg, Freiburg im Breisgau, Germany.
    Unbeck, Maria
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Omvårdnad. Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden..
    Simon, Michael
    Institute of Nursing Science, University of Basel, Basel, Switzerland.
    Occurrence of No-Harm Incidents and Adverse Events in Hospitalized Patients with Ischemic Stroke or TIA: A Cohort Study Using Trigger Tool Methodology2022Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, nr 5, artikkel-id 2796Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Adverse events (AEs)-healthcare caused events leading to patient harm or even death-are common in healthcare. Although it is a frequently investigated topic, systematic knowledge on this phenomenon in stroke patients is limited. To determine cumulative incidence of no-harm incidents and AEs, including their severity and preventability, a cohort study using trigger tool methodology for retrospective record review was designed. The study was carried out in a stroke center at a university hospital in the German speaking part of Switzerland. Electronic records from 150 randomly selected patient admissions for transient ischemic attack (TIA) or ischemic stroke, with or without acute recanalization therapy, were used. In total, 170 events (108 AEs and 62 no-harm incidents) were identified, affecting 83 patients (55.3%; 95% CI 47 to 63.4), corresponding to an event rate of 113 events/100 admissions or 142 events/1000 patient days. The three most frequent AEs were ischemic strokes (n = 12, 7.1%), urinary tract infections (n = 11, 6.5%) and phlebitis (n = 10, 5.9%). The most frequent no-harm incidents were medication events (n = 37, 21.8%). Preventability ranged from 12.5% for allergic reactions to 100% for medication events and pressure ulcers. Most of the events found (142; 83.5%; 95% CI 76.9 to 88.6) occurred throughout the whole stroke care. The remaining 28 events (16.5%; 95% CI 11.4 to 23.1) were detected during stroke care but were related to care outside the stroke pathway. Trigger tool methodology allows detection of AEs and no-harm incidents, showing a frequent occurrence of both event types in stroke and TIA patients. Further investigations into events' relationships with organizational systems and processes will be needed, first to achieve a better understanding of these events' underlying mechanisms and risk factors, then to determine efforts needed to improve patient safety.

    Fulltekst (pdf)
    fulltext
  • 18. Persson, A. -C
    et al.
    Janeslätt, G.
    Dahlberg, Lena
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Socialt arbete. Aging Research Center, Karolinska Institutet & Stockholm University.
    Löfgren, M.
    Möller, M.
    Associations between Time Processing Ability, Daily Time Management, and Dementia Severity2022Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, nr 7, artikkel-id 3928Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This study investigated associations between time processing ability (TPA), daily time management (DTM), and dementia severity. Persons with dementia (PwDs) (n = 53) and their significant others (n = 49) participated in this cross-sectional study. Bivariate analyses were used to investigate associations between TPA and DTM and the dementia severity. Linear regression models were used to further predict the contribution of the subtests in the Mini Mental State Examination (MMSE) for TPA results. The results showed significant correlations between TPA and dementia severity, where visuospatial functions were the most highly correlated. TPA also showed a significant correlation to proxy-rated DTM. In addition, proxy-rated DTM was significantly correlated with dementia severity and PwDs’ own self-ratings of their DTM. Knowledge of the association between TPA, dementia severity, and visuospatial functions can enable early detection of TPA impairments. For a comprehensive assessment of TPA and DTM, objective measures should be used in combination with self-ratings and proxy-ratings. The findings can be used in clinical research and healthcare settings to develop methods to compensate for impaired TPA and support DTM in PwDs. © 2022 by the authors. Licensee MDPI, Basel, Switzerland.

    Fulltekst (pdf)
    fulltext
  • 19.
    Saha, Sanjib
    et al.
    Lund Univ, Hlth Econ Unit, Dept Clin Sci Malmo, Scheelevagen 2, SE-22381 Lund, Sweden..
    Nordström, Jonas
    Univ Copenhagen, Dept Food & Resource Econ, DK-1958 Frederiksberg, Denmark.;Lund Univ, Sch Econ & Management, Agrifood Econ Ctr, SE-22007 Lund, Sweden..
    Gerdtham, Ulf-G
    Lund Univ, Hlth Econ Unit, Dept Clin Sci Malmo, Scheelevagen 2, SE-22381 Lund, Sweden.;Lund Univ, Dept Econ, SE-22363 Lund, Sweden..
    Mattisson, Irene
    Natl Food Agcy, SE-75126 Uppsala, Sweden..
    Nilsson, Peter M.
    Skane Univ Hosp, Dept Emergency Care & Internal Med, SE-20502 Malmo, Sweden.;Lund Univ, Dept Clin Sci Malmo, SE-20502 Lund, Sweden..
    Scarborough, Peter
    Univ Oxford, British Heart Fdn, Ctr Populat Approaches Noncommunicable Dis Preven, Oxford OX3 7LF, England.;Univ Oxford, NIHR Biomed Res Ctr Oxford, Nuffield Dept Populat Hlth, Oxford OX3 7LF, England..
    Prevention of Cardiovascular Disease and Cancer Mortality by Achieving Healthy Dietary Goals for the Swedish Population: A Macro-Simulation Modelling Study2019Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 16, nr 5, artikkel-id 890Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The objective is to estimate the number of deaths attributable to cardiovascular diseases and diet-related cancers that could be prevented or delayed in Sweden if adults adhere to the official dietary recommendations. We used an age-group and sex-specific epidemiological macro-simulation model to estimate preventable deaths due to the discrepancies between actual intake and recommended intake of changes in food components. Data included in the model are a baseline scenario (actual dietary intake), a counterfactual scenario (recommended intake) and age- and sex-specific mortality for cardiovascular and diet-related cancer diseases together compared with the total population risk of a specific year. Monte Carlo analyses with 5000 iterations was performed to produce the 95% uncertainty intervals (UI). The model predicts that 6405 (95% UI: 5086-7086) deaths could be prevented or delayed if the Swedish population could adhere to official dietary recommendations in a year. More deaths would be saved for men than women. The recommendations for fruits and vegetables could have saved 47% of the deaths, followed by fiber intake (32%). For men, fruits and vegetables could have saved more compared to other dietary components, while for women dietary fiber was the prominent factor. Public health policies should consider ensuring healthy eating practices for the Swedish population.

  • 20. Skillgate, E.
    et al.
    Isacson Hjortzberg, M.
    Strömwall, P.
    Hallqvist, J.
    Onell, C.
    Holm, L. W.
    Bohman, Tony
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap. Karolinska Institutet, Stockholm.
    Non-preferred work and the incidence of spinal pain and psychological distress—a prospective cohort study2021Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 18, nr 19, artikkel-id 10051Artikkel i tidsskrift (Fagfellevurdert)
    Fulltekst (pdf)
    fulltext
  • 21. Spiritus-Beerden, Eva
    et al.
    Verelst, An
    Devlieger, Ines
    Langer Primdahl, Nina
    Botelho Guedes, Fábio
    Chiarenza, Antonio
    De Maesschalck, Stephanie
    Durbeej, Natalie
    Osman, Fatumo
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Omvårdnad. Uppsala University.
    Derluyn, Ilse
    Mental Health of Refugees and Migrants during the COVID-19 Pandemic: The Role of Experienced Discrimination and Daily Stressors.2021Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 18, nr 12, artikkel-id 6354Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The COVID-19 pandemic is a defining global health crisis of our time. While the impact of COVID-19, including its mental health impact, is increasingly being documented, there remain important gaps regarding the specific consequences of the pandemic on particular population groups, including refugees and migrants. This study aims to uncover the impact of the COVID-19 pandemic on the mental health of refugees and migrants worldwide, disentangling the possible role of social and daily stressors, i.e., experiences of discrimination and daily living conditions. Descriptive analysis and structural equation modeling were used to analyze the responses of N = 20,742 refugees and migrants on the self-reporting global ApartTogether survey. Survey findings indicated that the mental health of refugees and migrants during the COVID-19 pandemic was significantly impacted, particularly for certain subgroups, (i.e., insecure housing situation and residence status, older respondents, and females) who reported experiencing higher levels of increased discrimination and increases in daily life stressors. There is a need to recognize the detrimental mental health impact of the COVID-19 pandemic on particular refugee and migrant groups and to develop interventions that target their unique needs.

    Fulltekst (pdf)
    fulltext
  • 22.
    Tonkonogi, Michail
    et al.
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap.
    Arkkukangas, Marina
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap.
    Strömqvist Bååthe, Karin
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap.
    Ekholm, Anna
    High challenge exercise and learning safe landing strategies among community dwelling older adults: a randomized controlled trial2022Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, nr 12, artikkel-id 7370Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    There is limited research on optimal exercise programs that effectively decrease falls and fall-related injuries in older populations. This randomized controlled trial (RCT) aimed to explore the effects of a 12-week Judo4Balance program on falling techniques, physical and psychological functions, health status, and physical activity levels among 200 community-dwelling older adults (79% women and 21% men) with a mean age of 72 years. The 200 participants were randomly allocated for the Judo4Balce program (n = 100) or control group (n = 100). The RCT intervention started in mid-January 2020 and was abruptly interrupted because of the COVID-19 pandemic. A restart of the RCT was initiated in September 2021, and the 12-week intervention was offered to two groups. This study reports the results from three points of assessment: baseline, 20-month follow-up, and 12-week postintervention. At 20 months follow-up, the control group had significantly decreased physical activity levels (summer p = 0.002 and winter p = 0.003); similar changes were not seen in the exercise group. In the exercise group, learning falling techniques in 6-9 weeks led to sustained fall competence at 20 months follow-up. Further, significant improvements in physical function (exercise group p = 0.009 and control group p &lt; 0.001) and learning falling techniques (p &lt; 0.001 for both groups) were noted in both groups after the 12-week intervention. This effective, supervised, group-based, high-challenge multicomponent exercise program needs to be further evaluated for possible impact on falls and fall-related injuries. 

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    fulltext
  • 23. Zhang, Wei
    et al.
    Eide, Arne H.
    Pryor, Wesley
    Khasnabis, Chapal
    Borg, Johan
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap.
    Measuring Self-Reported Access to Assistive Technology Using the WHO Rapid Assistive Technology Assessment (rATA) Questionnaire: Protocol for a Multi-Country Study2021Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 18, nr 24, s. 13336-13336Artikkel i tidsskrift (Fagfellevurdert)
    Fulltekst (pdf)
    fulltext
  • 24.
    Åberg, Anna Cristina
    et al.
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Medicinsk vetenskap. Uppsala University.
    Halvorsen, Kjartan
    Uppsala University.
    From, Ingrid
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Bergman Bruhn, Åsa
    Högskolan Dalarna, Akademin Industri och samhälle, Arbetsvetenskap.
    Oestreicher, Lars
    Uppsala University.
    Melander-Wikman, Anita
    Luleå University of Technology.
    A study protocol for applying user participation and co-learning: lessons learned from the eBalance project2017Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 14, nr 5, artikkel-id 512Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The eBalance project is based on the idea that serious exergames—i.e., computer gaming systems with an interface that requires physical exertion to play—that are well adapted to users, can become a substantial part of a solution to recognized problems of insufficient engagement in fall-prevention exercise and the high levels of fall-related injuries among older people. This project is carried out as a collaboration between eight older people who have an interest in balance training and met the inclusion criteria of independence in personal activities of daily living, access to and basic knowledge of a computer, four staff working with the rehabilitation of older adults, and an interdisciplinary group of six research coordinators covering the areas of geriatric care and rehabilitation, as well as information technology and computer science. This paper describes the study protocol of the project’s initial phase which aims to develop a working partnership with potential users of fall-prevention exergames, including its conceptual underpinnings. The qualitative methodology was inspired by an ethnographical approach implying combining methods that allowed the design to evolve through the study based on the participants’ reflections. A participatory and appreciative action and reflection (PAAR) approach, accompanied by inquiries inspired by the Normalization Process Theory (NPT) was used in interactive workshops, including exergame testing, and between workshop activities. Data were collected through audio recordings, photos, and different types of written documentation. The findings provide a description of the methodology thus developed and applied. They display a methodology that can be useful for the design and development of care service and innovations for older persons where user participation is in focus.

    Fulltekst (pdf)
    fulltext
  • 25.
    Åhlfeldt, Douglas Anderson
    et al.
    Department of Health, Medicine and Caring Sciences (HMV), Linköping University, SE-581 83 Linköping, Sweden.
    Vixner, Linda
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap.
    Stålnacke, Britt-Marie
    Department of Community Medicine and Rehabilitation, Umeå University, SE-901 87 Umeå, Sweden.
    Boersma, Katja
    The Center for Health and Medical Psychology, School of Law, Psychology and Social Work, Örebro University, SE-701 82 Örebro, Sweden.
    Löfgren, Monika
    Division of Rehabilitation Medicine, Department of Clinical Sciences, Karolinska Institutet, SE-171 77 Stockholm, Sweden;Department of Rehabilitation Medicine, Danderyd University Hospital, SE-182 88 Stockholm, Sweden.
    Fischer, Marcelo Rivano
    Department of Health Sciences, Research Group Rehabilitation Medicine, Lund University, SE-221 00 Lund, Sweden;Department of Neurosurgery and Pain Rehabilitation, Skåne University Hospital, SE-221 85 Lund, Sweden.
    Enthoven, Paul
    Department of Health, Medicine and Caring Sciences (HMV), Linköping University, SE-581 83 Linköping, Sweden.
    Healthcare Professionals’ Perceptions of and Attitudes towards a Standardized Content Description of Interdisciplinary Rehabilitation Programs for Patients with Chronic Pain: A Qualitative Study2023Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 20, nr 9, artikkel-id 5661Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Interdisciplinary pain rehabilitation (IPR) is a recommended treatment for people with chronic pain. An inadequate description of the content of IPR programs makes it difficult to draw conclusions regarding their effects. The purpose of this study was to describe the perceptions and attitudes of healthcare professionals toward a content description of IPR programs for patients with chronic pain. Individual interviews with healthcare professionals (n = 11) working in IPR teams in Sweden were conducted between February and May 2019. Analysis of the interviews resulted in a theme: interdisciplinary pain rehabilitation is a complex intervention, with three categories: limitations in the description of IPR programs; lack of knowledge about IPR and chronic pain; and facilitating and hindering factors for using the content description of IPR programs. Conclusion: Healthcare professionals perceived that IPR programs could be described through a general content description. A general content description could enhance the quality of IPR programs through a better understanding of their content and a comparison of different IPR programs. Healthcare professionals also expressed the importance of a content description being a guide rather than a steering document.

    Fulltekst (pdf)
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