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Niklasson, J., Fagerström, C., Backåberg, S., Lindberg, T. & Bergman, P. (2024). Daily activity patterns in older adults receiving initial support: the association between daily steps and sitting in bouts of at least 60 min. BMC Geriatrics, 24(1), Article ID 88.
Open this publication in new window or tab >>Daily activity patterns in older adults receiving initial support: the association between daily steps and sitting in bouts of at least 60 min
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2024 (English)In: BMC Geriatrics, E-ISSN 1471-2318, Vol. 24, no 1, article id 88Article in journal (Refereed) Published
Abstract [en]

Background: Aging has a significant impact on health, underlining the importance of maintaining physical function and reducing time spent sitting among older adults. To understand how to reduce prolonged sitting or increase physical activity, factors related to the daily living and observed daily activity patterns should be explored. This study aimed to investigate the association between daily steps, self-rated health, physical activity, sedentary behavior, motivation to exercise and fear of falling among older adults receiving initial support. Method: Cross-sectional design with total population questionnaire data from adults aged ≥ 60 years (n = 917), living at home with initial support from municipal care in southern Sweden. The older adults were offered to participate in a follow-up study measuring daily activity patterns with accelerometers (n = 72). Linear regression was used to analyze associations between daily steps and possible predictors. Results: The linear model ($$ {R}^{2}= $$ 0.478) showed that sitting in unbroken bouts of > 60 min (β = -0.313, p < 0.05), walking independently outdoors (β = 0.301, p < 0.05), intending to increase physical activity (β = -0.294, p < 0.05), sex (β = 0.279, p < 0.05), relative autonomy index (β = 0.258, p < 0.05), fear of falling (β = -0.238, p < 0.05), and self-rated health (β = 0.213, p < 0.05) predicted daily steps. Conclusion: The model of predictors brings new understanding regarding daily steps among community-dwelling older adults. The association between sitting in bouts of > 60 min and daily steps is interesting as 35% of participants had a number of sitting bouts that on average, showed 30% less steps taken. Minimizing long sitting bouts and maintaining physical functioning to promote independence when walking outdoors can be tools for clinical practitioners devising interventions to break prolonged sitting among community-dwelling older adults. Future research should prioritize studying older adults’ outdoor walking independence, including its relation to walking with or without assistive devices and its impact on physical activity and sedentary behavior. © 2024, The Author(s).

Place, publisher, year, edition, pages
BioMed Central (BMC), 2024
Keywords
Accelerometer, Aging, Physical activity, Sedentary behavior, Sitting, Walking independence
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:bth-25944 (URN)10.1186/s12877-024-04681-3 (DOI)001148301500001 ()2-s2.0-85182847415 (Scopus ID)
Available from: 2024-02-02 Created: 2024-02-02 Last updated: 2024-02-13Bibliographically approved
Niklasson, J., Backåberg, S., Lindberg, T., Bergman, P. & Fagerström, C. (2024). Embodied navigation: the influence of lived experience on physical activity and sedentary behavior among older adults. International Journal of Qualitative Studies on Health and Well-being, 19(1), Article ID 2313657.
Open this publication in new window or tab >>Embodied navigation: the influence of lived experience on physical activity and sedentary behavior among older adults
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2024 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 19, no 1, article id 2313657Article in journal (Refereed) Published
Abstract [en]

PurposeThe impact of a sedentary lifestyle on health and well-being is well recognized. However, there is limited understanding of how a lifetime of physical activity and sedentary behaviour influences an active lifestyle in older adults. The aim of this study was to describe how lived experience of physical activity and sedentary behaviour impacts daily activities among older adults, from a life course perspective.MethodsQualitative content analysis was used; individual telephone interviews were conducted with fourteen older adults aged 71 to 92 years. The participants received initial support from community care and lived in ordinary housing in southern Sweden.ResultsThe interviews yielded one theme, "Navigating with an embodied activity compass," and two sub-themes: "Being guided by the past" and "Unveiling pathways through body awareness."ConclusionsOur study highlights how older adults' lived experiences of physical activity, with their connections to body awareness and acceptance, impact daily physical activity. These findings offer new knowledge for clinical practitioners balancing recommendations of sedentary behaviour and physical activity, to promote healthy daily physical activity among older adults. Future research and policies should consider the lived experiences of older adults when addressing public health matters related to sedentary behaviour and physical activity.

Place, publisher, year, edition, pages
Taylor & Francis, 2024
Keywords
Acceptance, body awareness, healthy ageing, life course perspective, lived experience, physical activity, sedentary behaviour
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:bth-25999 (URN)10.1080/17482631.2024.2313657 (DOI)001161297400001 ()38349928 (PubMedID)2-s2.0-85185205340 (Scopus ID)
Available from: 2024-02-28 Created: 2024-02-28 Last updated: 2024-03-04Bibliographically approved
Mikaelsson Midlöv, E., Lindberg, T. & Skär, L. (2024). Relative's suggestions for improvements in support from health professionals before and after a patient's death in general palliative care at home: A qualitative register study. Scandinavian Journal of Caring Sciences
Open this publication in new window or tab >>Relative's suggestions for improvements in support from health professionals before and after a patient's death in general palliative care at home: A qualitative register study
2024 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Article in journal (Refereed) Epub ahead of print
Abstract [en]

Introduction: The efforts of relatives in providing palliative care (PC) at home are important. Relatives take great responsibility, face many challenges and are at increased risk of poor physical and mental health. Support for these relatives is important, but they often do not receive the support they need. When PC is provided at home, the support for relatives before and after a patient's death must be improved. This study aimed to describe relatives' suggestions to improve the support from health professionals (HPs) before and after a patient's death in general PC at home. Methods: This study had a qualitative descriptive design based on the data from open-ended questions in a survey collected from the Swedish Register of Palliative Care. The respondents were adult relatives involved in general PC at home across Sweden. The textual data were analysed using thematic analysis. Results: The analysis identified four themes: (1) seeking increased access to HPs, (2) needing enhanced information, (3) desiring improved communication and (4) requesting individual support. Conclusions: It is important to understand and address how the support to relatives may be improved to reduce the unmet needs of relatives. The findings of this study offer some concrete suggestions for improvement on ways to support relatives. Further research should focus on tailored support interventions so that HPs can provide optimal support for relatives before and after a patient's death when PC is provided at home. © 2024 The Authors. Scandinavian Journal of Caring Sciences published by John Wiley & Sons Ltd on behalf of Nordic College of Caring Science.

Place, publisher, year, edition, pages
John Wiley & Sons, 2024
Keywords
home care, palliative care, relatives, support improvements, support needs
National Category
Nursing
Identifiers
urn:nbn:se:bth-25940 (URN)10.1111/scs.13239 (DOI)001147115800001 ()2-s2.0-85183052281 (Scopus ID)
Available from: 2024-02-02 Created: 2024-02-02 Last updated: 2024-02-05Bibliographically approved
Stentagg, M., Skär, L. & Lindberg, T. (2023). Sexuality is not age-related: an interview study. Sexual and Relationship Therapy
Open this publication in new window or tab >>Sexuality is not age-related: an interview study
2023 (English)In: Sexual and Relationship Therapy, ISSN 1468-1994, E-ISSN 1468-1749Article in journal (Refereed) Epub ahead of print
Abstract [en]

Increased knowledge of how sexuality is expressed in older persons may create opportunities for healthcare professionals to perform care according to a person-centered approach. To describe older people’s experiences of sexuality concerning aging, a qualitative study was conducted. Eight persons aged 60 and above were interviewed, and the obtained data were analyzed using content analysis. The findings revealed that the participants were certain of being sexually active as they got older. Awareness of what old age can bring regarding illness and increased medication intake was clear, alongside the importance of discussing sexuality with friends or a partner. Age was not seen as an obstacle to continuously being sexually active, and new ways to maintain intimacy and sexuality were identified. According to our results sexuality in older people is about well-being and intimate relationships. Creating opportunities for a trusting, caring relationship can strengthen older people’s sexual health. Healthcare professionals must, therefore, make possibilities for trustful relationships to support and discuss sexuality with older people. © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Place, publisher, year, edition, pages
Taylor & Francis, 2023
Keywords
Aging, nursing, older people, sexual health, sexuality
National Category
Nursing
Identifiers
urn:nbn:se:bth-25502 (URN)10.1080/14681994.2023.2259325 (DOI)2-s2.0-85173759021 (Scopus ID)
Available from: 2023-10-30 Created: 2023-10-30 Last updated: 2023-10-30Bibliographically approved
Mikaelsson Midlöv, E., Lindberg, T., Sterner, T. & Skär, L. (2023). Support given by health professionals before and after a patient's death to relatives involved in general palliative care at home in Sweden: Findings from the Swedish Register of Palliative Care. Palliative & Supportive Care
Open this publication in new window or tab >>Support given by health professionals before and after a patient's death to relatives involved in general palliative care at home in Sweden: Findings from the Swedish Register of Palliative Care
2023 (English)In: Palliative & Supportive Care, ISSN 1478-9515, E-ISSN 1478-9523Article in journal (Refereed) Epub ahead of print
Abstract [en]

Objectives. General palliative care (PC) is provided more at home, leading to increased involvement of relatives. Although support for relatives is a fundamental component of PC, there are deficiencies in the support provided to relatives when general PC is provided at home. This study aimed to describe the support provided by health professionals before and after a patient's death to relatives involved in general PC at home.

Methods. A cross-sectional register study was implemented, with data from the Swedish Register of Palliative care. The sample consisted of 160 completed surveys from relatives who had been involved in general PC at home, with 160 related surveys answered by health professionals. Only the questions about support to relatives were used from the surveys.

Results. The findings showed that although many relatives appear to receive support in general PC at home, not all relatives receive optimal support before or after a patient's death. The findings also indicated differences in whether relatives received some support before and after a patient's death depending on the type of relative. There were also differences in responses between health professionals and relatives regarding if relatives received counseling from a doctor about whether the patient was dying.

Significance of results. There is potential for improvements regarding support for relatives, especially after a patient's death, which has been confirmed in previous studies. The differences in whether relatives received support before and after a patient's death depending on the type of relative highlight the need for future research on how to support different types of relatives before and after a patient's death when general PC is provided at home.

Place, publisher, year, edition, pages
Cambridge University Press, 2023
Keywords
Home care, palliative care, relatives support, Of-Life Care, Family Caregivers, End, Cancer, People, Needs
National Category
Nursing
Identifiers
urn:nbn:se:bth-25485 (URN)10.1017/S1478951523001323 (DOI)001071522700001 ()37746762 (PubMedID)2-s2.0-85173773758 (Scopus ID)
Available from: 2023-10-19 Created: 2023-10-19 Last updated: 2023-11-06Bibliographically approved
Niklasson, J., Fagerström, C., Bergman, P., Lindberg, T. & Backåberg, S. (2023). The meaning of sedentary behavior among older adults: a phenomenological hermeneutic study. BMC Public Health, 23(1), Article ID 1134.
Open this publication in new window or tab >>The meaning of sedentary behavior among older adults: a phenomenological hermeneutic study
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2023 (English)In: BMC Public Health, E-ISSN 1471-2458, Vol. 23, no 1, article id 1134Article in journal (Refereed) Published
Abstract [en]

Background: A sedentary lifestyle has implications for health and well-being. For healthy ageing, it is recommended to interrupt prolonged sitting; however, little is known about the meaning of sedentary behavior among older adults. The aim of this study was to understand the meaning of sedentary behavior among older adults with initial support from community care. Methods: A phenomenological hermeneutics approach was used, and individual interviews were conducted with sixteen older adults aged 70 to 97 years, by phone and face to face. The older adults lived in ordinary housing in southern Sweden and received initial support from community care. Results: The interviews yielded three key themes: Being sedentary is an unnatural part of life, having an ageing body means unwanted frailty, and having a sedentary lifestyle is based on conscious choices. Conclusion: Being sedentary means having a lack of physical activity and social interactions, resulting in wanting to be more physically active than sometimes possible. Clinical practitioners should bear in mind that becoming more sedentary is inevitable with an ageing body, but that older adults may have an innate desire to be as physically active as possible. A lifelong exposure to physical activity, the possibility of well-being found in sedentary activities and the impact of social networks should not be overlooked when creating clinical interventions to break unhealthy sedentary behavior among older adults. To increase the understanding of sedentary behavior among older adults, future research could focus on the impact of physical impairment on sedentary behavior and the relationship between sedentary behavior and physical activity throughout life. © 2023, The Author(s).

Place, publisher, year, edition, pages
BioMed Central (BMC), 2023
Keywords
Ageing, Frailty, Lived experience, Ordinary housing, Physical activity sedentary behavior
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:bth-25057 (URN)10.1186/s12889-023-16052-5 (DOI)001009432100002 ()2-s2.0-85161830861 (Scopus ID)
Available from: 2023-06-30 Created: 2023-06-30 Last updated: 2023-08-28Bibliographically approved
Christel, B., Tell, J., Lindberg, T., Nilsson, L., Olsson, A., Forsbrand, M. & Skär, L. (2022). Problem-based learning with digitals tools in the nursing programme during the Covid-19 pandemic. Högre Utbildning, 12(2), 117-122
Open this publication in new window or tab >>Problem-based learning with digitals tools in the nursing programme during the Covid-19 pandemic
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2022 (English)In: Högre Utbildning, E-ISSN 2000-7558, Vol. 12, no 2, p. 117-122Article in journal (Refereed) Published
Abstract [en]

During the spring 2019, the prerequisites for conducting education were changed due to the pandemic. For higher education in Sweden almost all education switches on to digital education. Nursing education has focus on both theoretical and practical courses, which is a challenge for digital or distance education. Furthermore, the nursing programme at the studied university used problem-based learning (PBL), with base-groups at campus. Instead of physical meetings at campus, the base-groups took part with digital tools. The impact of base-groupsmeeting with digital tools are important to reflect on, especially since the education and learning of future probably will be more hybrid. © 2022 Christel Borg, Johanna Tell, Terese Lindberg, Lina Nilsson, Anki Olsson, Malin Forsbrand & Lisa Skär.

Place, publisher, year, edition, pages
Cappelen Damm Akademisk, 2022
Keywords
Covid-19 pandemic, digital tools, nursing education, problembased learning
National Category
Pedagogy Nursing
Identifiers
urn:nbn:se:bth-24694 (URN)10.23865/hu.v12.3560 (DOI)2-s2.0-85159665814 (Scopus ID)
Available from: 2023-06-02 Created: 2023-06-02 Last updated: 2023-06-05Bibliographically approved
Stentagg, M., Skär, L., Sanmartin Berglund, J. & Lindberg, T. (2021). Cross-Sectional Study of Sexual Activity and Satisfaction Among Older Adult's >= 60 Years of Age. Sexual Medicine, 9(2), Article ID 100316.
Open this publication in new window or tab >>Cross-Sectional Study of Sexual Activity and Satisfaction Among Older Adult's >= 60 Years of Age
2021 (English)In: Sexual Medicine, E-ISSN 2050-1161, Vol. 9, no 2, article id 100316Article in journal (Refereed) Published
Abstract [en]

Introduction: Despite the rapidly increasing population of older adults, little is currently known about sexual activity and sexual satisfaction among the oldest people. Aim: The present study aimed to investigate sexual activity and sexual satisfaction among people of >= 60 years of age. We also examined whether sexual activity and sexual satisfaction were influenced by age, gender, cohabiting, socioeconomic factors, education, functional ability, and self-reported health. Methods: We performed a descriptive analysis of self-stated sexual activity and sexual satisfaction among 1680 participants who were 60 years and older from the Swedish National Study on Aging and Care. Chi-square tests and logistic regression were used to analyze relationships between factors. Main Outcome Measure: Sexual activity and sexual satisfaction. Results: Among participants aged >= 90 years, about 10% were sexually active. Within the total study population, 46% (654/1680) were sexually active. Overall, sexually activity was more commonly reported by men (55%) than women (40%). However, men in all age cohorts reported sexual dissatisfaction more commonly than women. In the total sample, 24% (246/1680) reported dissatisfaction with their sex life. Sexual activity and sexual satisfaction were positively associated with self-reported health and cohabitation. Conclusion: The present results suggest that sexual activity is present throughout life. For persons older than 90 years, about 10% of participants were sexually active, regardless of gender. Every third man reported dissatisfaction with his sex life. Women were more satisfied with their sex lives than men, and this difference varies more widely among age cohorts. These findings confirm that it is important that health professional take sexuality into account during caring encounters with older persons. Copyright (C) 2021, The Authors. Published by Elsevier Inc. on behalf of the International Society for Sexual Medicine.

Place, publisher, year, edition, pages
Elsevier, 2021
Keywords
Elderly; Older Adults; Sexual Activity; Sex; Sexual Health; Sexual Satisfaction; SNAC
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:bth-21431 (URN)10.1016/j.esxm.2020.100316 (DOI)000640009400011 ()33676227 (PubMedID)
Note

open access

Available from: 2021-05-27 Created: 2021-05-27 Last updated: 2023-06-02Bibliographically approved
Lindberg, T., Sandström, B., Andersson, E. K., Christel, B., Hjelm, M., Nilsson, L., . . . Skär, L. (2021). Older persons' experience of eHealth services in home health care: A meta-ethnography eHealth services in home health care. Health Informatics Journal, 27(4)
Open this publication in new window or tab >>Older persons' experience of eHealth services in home health care: A meta-ethnography eHealth services in home health care
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2021 (English)In: Health Informatics Journal, ISSN 1460-4582, E-ISSN 1741-2811, Vol. 27, no 4Article in journal (Refereed) Published
Abstract [en]

This study aimed to describe older persons' experiences of eHealth services in home health care. A meta-ethnographic approach was applied, and a systematic literature search was conducted in three databases. In total, 11 articles were included and analysed, which resulted in two themes and six sub-themes. The results show that for older persons to use the eHealth services, they must provide some additional value compared to current contacts with healthcare professionals. Those with regular healthcare contact do not experience the eHealth service as adding anything to the care they already receive. The introduction of eHealth services involves learning how to use the new technology, and some older persons experience the technology as motivating and inspiring. The eHealth service makes some feel safer while some do not trust the technology. In order to make the best use of eHealth services, it is important that the services are adjusted not only to each person's needs but also to their personal capabilities and resources, while the older person must feel valued as an active partner in the care process. Thus, when using eHealth services, the older person's perspective needs to be given priority and decisions should not only be based on organizational considerations.

Place, publisher, year, edition, pages
Sage Publications, 2021
Keywords
eHealth, experiences, home health care, older persons, ADULTS
National Category
Nursing
Identifiers
urn:nbn:se:bth-22784 (URN)10.1177/14604582211059370 (DOI)000760144200001 ()2-s2.0-85125782374 (Scopus ID)
Note

open access

Available from: 2022-10-14 Created: 2022-10-14 Last updated: 2023-06-02Bibliographically approved
Lindberg, T. & Fagerström, C. (2020). Nonpharmacological methods: frequency of use and follow-up actions among healthcare staff in the care of older people. Scandinavian Journal of Caring Sciences, 34(3), 622-626
Open this publication in new window or tab >>Nonpharmacological methods: frequency of use and follow-up actions among healthcare staff in the care of older people
2020 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 34, no 3, p. 622-626Article in journal (Refereed) Published
Abstract [en]

Older people are at risk of developing multi-comorbidity and thus being exposed to multiple treatments and drugs to manage the emerging health complaints. More focus has been put on nonpharmacological alternatives. However, studies revealing the healthcare staff perspective on using nonpharmacological methods (NPMs) in the care of older people are still lacking. Thus, the aim of this study was to map the use of NPMs in daily practices and the follow-up thereof. A population-based survey with questionnaires was performed, included all healthcare professionals (n = 163; nurses and paramedical professionals) working in one district of elderly care in Sweden. The older person's anxiety and worry (76.1%), sleeping problems (53.1%) and pain (41.1%) were the health problems in daily life most likely to trigger use of NPMs. To manage the emerging health problems, interactions (87.1%), diet and nutrition supplements (63.2%) and physical activity were commonly used, particularly by nurses. One third (n = 54) stated that they did not evaluate the NPMs used, with no statistical differences between nurses and paramedical professionals. The present study indicated that NPMs were used in care of older people among nurses and paramedical professionals, but not in a systematic way and often without follow-up.

Place, publisher, year, edition, pages
WILEY, 2020
Keywords
elderly care, health problems, nonpharmacological methods, older people, survey
National Category
Nursing
Identifiers
urn:nbn:se:bth-18909 (URN)10.1111/scs.12761 (DOI)000492671500001 ()31657057 (PubMedID)
Available from: 2019-11-14 Created: 2019-11-14 Last updated: 2023-06-02Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-3166-0274

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