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  • 151. Virveus, Annelie
    et al.
    Olander, Ewy
    Blekinge Tekniska Högskola, Sektionen för hälsa.
    Eggers, Thomas
    Blekinge Tekniska Högskola, Sektionen för hälsa.
    "Småprat" är inget hälsosamtal: En modell för att implementera hälsosamtal med stöd i motiverande samtal2012Rapport (Fagfellevurdert)
    Abstract [sv]

    Bakgrund: Kravet om att hälso- och sjukvården skall arbeta hälsofrämjande beskrivs i åtskilliga policy- och styrdokument. Trots detta visar forskning att det hälsofrämjande arbetet är föga genomslaget i den kliniska verksamheten. Forskning visar också att patienter önskar samtal om sina levnadsvanor i mötet med hälso- och sjukvårdspersonal. Följaktligen förväntas personal inom Hälso- och sjukvården bedriva någon form av samtal om hälsa. Primärvården har haft problem med att leva upp till åtagandet om hälsofrämjande insatser. Resurser, kompetens och mandat för det hälsofrämjande arbetet har brustit men framför allt har det saknats strategier för hur insatserna skall implementeras. Syfte: Syftet med studien var att identifiera förutsättningar och hinder i den lokala kontexten för implementering av hälsosamtal med stöd i motiverande samtal (MI) och utifrån dessa utveckla en strategi som kan utgöra en grund för implementering. Metod: Fyra fokusgruppintervjuer genomfördes med personal vid en vårdcentral som är ålagda att genomföra hälsosamtal. Intervjuerna transkriberades och analyserades med en kvalitativ innehållsanalys. Resultat: Analysen visade såväl förutsättningar som hinder i implementeringsprocessen av hälsosamtal med stöd i motiverande samtal. Två teman med dess tillhörande kategorier och underkategorier kunde urskiljas. Det ena temat fokuserade på att skapa förutsättningar och undanröja hinder inför implementering av hälsosamtal och det andra på temat på att skapa förutsättningar och undanröja hinder i genomförandet av hälsosamtal. Diskussion: Analysen visade att tiden utgör ett hinder för att bedriva samtal med stöd i motiverande samtal. Forskning påvisar dock att det inte krävs mer tid i mötet med patienten för att tillämpa MI. Förmodligen förutsätts det då att personalen känner sig bekväm och har vana av att arbeta med MI för att kunna uppleva metoden som mindre tidskrävande. Utbildning i MI och med träning i tillämpning kan då tolkas vara en förutsättning för en hållbar implementering, vilket också denna studie visar. Organisationsklimatet som bland annat utgörs av relationer, värderingar och samarbete inom organisationen är också påverkar implementeringsprocessen. Föreliggande resultat påvisar att det finns en del otydligheter avseende organisationsklimatet som bör beaktas i implementeringen av MI. Slutsats: För att lyckas med implementering av hälsosamtal med stöd i MI och därmed kunna erbjuda patienter hälsosamtal som utgår från evidensbaserad kunskap, är det väsentligt att följa en strategi som utgår från befintligt kunskapsunderlag och är förankrad i den lokala kontexten.

  • 152.
    Weiber, Ingrid
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.
    Children born to women with an intellectual or a developmental disability2015Doktoravhandling, med artikler (Annet vitenskapelig)
  • 153.
    Weiber, Ingrid
    et al.
    Blekinge Tekniska Högskola, Sektionen för hälsa.
    Berglund, Johan
    Blekinge Tekniska Högskola, Sektionen för hälsa.
    Tengland, Per-Anders
    Eklund, Mona
    Children born to women with intellectual disabilities: 5-year incidence in a Swedish county2012Inngår i: Journal of Intellectual Disability Research, Halifax, Canada: Wiley , 2012, Vol. 56, nr 7-8Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Aim: The aim of this study was to investigate the five-year incidence of children born to women with intellectual disabilities (ID) in a county in Sweden. Method: In the county of Blekinge, women born between 1975 and 1989 were identified from school registers for children and adolescents with ID. The women’s personal identification numbers were linked and matched with the Swedish Medical Birth Register. Results: In 2010, a total of 98 women with ID were identified from the school registers. The Medical Birth Register showed that nine of these women had given birth to children: one woman gave birth to two children, and eight women had had one child each. The ten children were born between 2004 and 2008. Conclusion: Approximately 2.12 per thousand children are born per year to women with intellectual disabilities according to the incidence rate calculated as a result of the present study. For the whole of Sweden that rate indicates an incidence of approximately 225 children each year. The prevalence of children (aged 0–18 years) being born to women with intellectual disabilities is, on the basis of this study, estimated at about 4,050.

  • 154. Weiber, Ingrid
    et al.
    Berglund, Johan
    Tengland, Per-Anders
    Eklund, Mona
    Children born to women with intellectual disabilities: 5-year incidence in a Swedish county2011Inngår i: Journal of Intellectual Disability Research, ISSN 0964-2633, Vol. 55, nr 11, s. 1078-1085Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Families with parental intellectual disabilities are likely to need support in achieving a decent family life. In order to accurately plan for such support services, society needs data regarding the occurrence of those parents and their children. The aim of this study was to investigate the five-year incidence of children born to women with intellectual disabilities in a county in Sweden. Methods: Women born between 1975 and 1989 were identified from school registers for children and adolescents with intellectual disabilities in the county of Blekinge. The women’s personal identification numbers were, in 2010, linked and matched with the Swedish Medical Birth Register. Results: In total, 98 women with intellectual disabilities were identified. Nine of these had given birth to children; one woman to two children and eight women to one child each. The ten children were born between 2004 and 2008. Conclusion: The incidence rate calculated as a result of the present study indicates that approximately 2.12 per thousand children are born per year to women with intellectual disabilities. For the whole of Sweden that rate indicates an incidence of approximately 225 children each year. On the basis of this, the prevalence of children (aged 0-18 years) being born to women with intellectual disabilities is estimated at about 4,050.

  • 155.
    Weiber, Ingrid
    et al.
    Blekinge Tekniska Högskola, Sektionen för hälsa.
    Eklund, Mona
    Tengland, Per-Anders
    Professionals’ experiences of supporting families where a parent has an intellectual disability2012Inngår i: Journal of Intellectual Disability Research, Wiley , 2012, Vol. 56, nr 7-8Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Aim: The aim of this study was to describe the experiences of professionals supporting families where a parent had an intellectual disability (ID). Method: The professionals were identifi ed by purposive sampling. Seven focus groups were formed, including 29 professionals working for different welfare administrations on the county and municipality levels in the south of Sweden. The duration of the interviews varied between 45 minutes and 1 hour 45 minutes. The interviews were transcribed verbatim and were analyzed using qualitative content analysis. Results: The analyses are ongoing and the preliminary results are as follows: the professionals supported the families on the basis of strategies each administrative unit had developed; a need for more frequent cooperation between the units was highlighted; facilitating factors for successful support were parental ability and willingness to follow advice and support measures; aggravating factors were lack of cooperation and lack of adequate strategies among the various kinds of professionals involved, and parental fear that the social authorities would not let them keep the child. Conclusion: A tentative conclusion is that collaboration around these families is necessary and should include professionals from different areas in order to achieve adequate support.

  • 156. Weiber, Ingrid
    et al.
    Tengland, Per Anders
    Malmö högskola, SWE.
    Sanmartin Berglund, Johan
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.
    Eklund, Mona
    Malmö högskola, SWE.
    Everyday life when growing up with a mother with an intellectual or developmental disability: Four retrospective life-stories2018Inngår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: The voices of those who have grown up in a family with maternal intellectual or developmental disability (IDD) are valuable for gaining an understanding of their situation, which is essential in order to be able to support these families and avoid potentially detrimental situations. Aim: The study aim was to describe the experience of having grown up in a family where the mother has an IDD, with a focus on everyday life and perceived health consequences in adult life. Method: A qualitative method with retrospective narrative interviews and narrative content analysis was chosen. In-depth interviews were performed with four women who had experiences of a childhood with maternal IDD. Findings: Four themes emerged: Living under adverse circumstances; Dealing with one’s everyday life situation; Receiving insufficient support and wishing for more; and The echo from childhood into adult life. The findings revealed a distressing childhood, characterized by neglect, abuse, anxiety, and overburdening responsibilities, and also endeavors to keep the family situation a secret, while at the same time wanting the adult world to react. Discussion: The findings can hopefully stimulate occupational therapists and other professionals to more effectively identify the situation of these children and provide support to prevent adverse future health conditions and poor well-being. © 2019, © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

  • 157.
    Wimo, A.
    et al.
    Karolinska Inst, SWE.
    Elmstål, S.
    Lunds universitet, SWE.
    Fratiglioni, L.
    Karolinska Inst, SWE.
    Sjölund, B.-M.
    Karolinska Inst, SWE.
    Sköldunger, A.
    Karolinska Inst, SWE.
    Fagerström, Cecilia
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.
    Sanmartin Berglund, Johan
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.
    Lagergren, M.
    Stockholm Gerontol Res Ctr., SWE.
    Formal and informal care of community-living older people: A population-based study from the Swedish National study on Aging and Care2017Inngår i: The Journal of Nutrition, Health & Aging, ISSN 1279-7707, E-ISSN 1760-4788, Vol. 21, nr §, s. 17-24Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives: Study formal and informal care of community-living older people in the Swedish National study of Aging and Care (SNAC). Design: Cross-sectional, population based cohort. Setting: Three areas in Sweden: Municipality of Nordanstig, Stockholm and Skåne County. Participants: 3,338 persons ≥72 years. Measurements: Patterns and amounts of informal and formal care by cognition and area of residence. Results: 73% received no care; 14% formal care; and 17% informal care (7% received both). In the whole study population, including those who used no care, individuals in small municipalities received 9.6 hours of informal care/month; in mid-size municipalities, 6.6; and in urban areas, 5.6. Users of informal care received 33.1 hours of informal care/month in small municipalities, 54.6 in mid-size municipalities and 36.1 in urban areas. Individuals with cognitive impairment received 14.1 hours of informal care/month, 2.7 times more than people with no/slight impairment. In the whole study population, individuals in small municipalities received an average of 3.2 hours of formal care/month; in mid-size municipalities 1.4; and in urban areas, 2.6. Corresponding figures for formal care users were 29.4 hours in small municipalities, 13.6 in mid-size municipalities and 16.7 in urban areas. Formal care users received 7.1 hours, and informal care users, 5.9 hours for each hour/month received by people in the study population as a whole. Conclusions: More informal than formal care was provided. Informal care is more frequent in small municipalities than urban areas and for those with than without cognitive impairment. The relationship between data on the whole population and the data on users or care indicates that population-based data are needed to avoid overestimates of care.

  • 158. Wranker, Lena Sandin
    et al.
    Rennemark, Mikael
    Berglund, Johan
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.
    Pain among older adults from a gender perspective: findings from the Swedish National Study on Aging and Care (SNAC-Blekinge)2016Inngår i: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 44, nr 3, s. 258-263Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background and aims: Pain is common in the elderly population and its prevalence varies according to the studied disease, clinical setting, sex and age. This study examines pain in an aging population from a gender perspective. Methods: The Swedish National study on Aging and Care (SNAC) is conducted at four research centres. Participants were recruited from the baseline sample (n=1402) at one of the research centres, SNAC-Blekinge. Individuals aged 60 years and older were included and non-participation was documented. Research personnel conducted the medical examination on two occasions. Results: The prevalence of pain was 769/1402 (54.8%), distributed as 496/817 (64.5%) women and 273/585 (35.5%) men, p<0.01. Women reported more pain located in the vertebral column, p<0.01. The most common pain location was the legs and feet. About 84% reported pain intensity as 4 or higher on the visual analogue scale (VAS). Pain intensity declines with age among men, p<0.01. The most frequent treatment was painkillers. A total of 128/263 (48.7%) of the men received no pain treatment compared with 177/478 (37.0%) of the women, p<0.01. In a multivariate logistic regression model, women yielded the highest OR [OR 1.94 (C.I. 1.51-2.49)] for pain. Conclusions: Pain is common among older adults and there are significant differences between the sexes. Almost 55% of participants reported pain, predominantly women. In the majority of cases the intensity was rated as moderate or severe (VAS >4) and women rated higher than men p<0.02. Almost half of the men (48.7%) did not receive any treatment compared to 37% of the women, p<0.01.

  • 159. Wranker Sandin, L.W
    et al.
    Rennemark, Mikael
    Blekinge Tekniska Högskola, Sektionen för hälsa.
    Berglund, Johan
    Blekinge Tekniska Högskola, Sektionen för hälsa.
    Pain among older adults with gender perspective: findings from the SNAC study2011Konferansepaper (Fagfellevurdert)
  • 160.
    Wästberg, Birgitta
    et al.
    Skånes universitetssjukhus, SWE.
    Sandström, Boel
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.
    Pooremamali, Parvin
    Umeå Universitet, SWE.
    A Turning Point Towards Recovery: An Interview Study with Participants in the Culture and Health Programme for Clients with Long-Term Mental Health Disorders in Sweden2019Inngår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 40, nr 5, s. 373-381Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The study aimed to explore participants’ perceptions and experiences of the Culture and Health programme in Sweden for clients with long-term mental health disorders. A qualitative approach with interviews was applied. Grounded Theory guided the analysis and selection of informants. A total of 15 informants were interviewed. A core category ‘A turning point in dealing with everyday life beyond the mental illness’ with three categories: inner life, social life and occupational life emerged. A theory indicating the importance of asking clients about their expectations, was formulated. Further studies are warranted, including studies of effects. © 2019, © 2019 Taylor & Francis Group, LLC.

  • 161.
    Zarea, Kourosh
    et al.
    University of Medical Sciences, IRN.
    Ghanbari, Samira
    University of Medical Sciences, IRN.
    Beiranvand, Saeed
    University of Medical Sciences, IRN.
    Tuvesson, Hanna
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.
    Incidence of gastrointestinal cancers in Iran: A systematic review2017Inngår i: Jundishapur Journal of Chronic Disease Care, ISSN 3758-2322, Vol. 6, nr 1Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Context: In service planning, indicators such as incidence can aid the development of strategies for service provision. The current systematic review was carried out to provide a general viewpoint on incidence, geographical and age distribution of gastrointestinal (GI) cancers in Iran.

    Evidence Acquisition: A detailed Science Direct, PubMed, Scopus, Google Scholar, Iran Medex, Magiran and SID (scientific information databases) search was made from 2005 to 2015. The basic inclusion criteria were all relevant studies focused on GI cancers incidence and epidemiologic data from Iran.

    Results: Overall incidence of cancer was 19.4 and 17.2 per 100 000 in males and females, respectively. The three most common GI cancers in males were: esophagus, stomach and colorectal and in females: colorectal, stomach and esophagus. The highest incidence rate was observed in Golestan province and in the age group over 65 years.

    Conclusions: According to increasing incidence rate of GI cancers in Iran, development, establishment and implement of comprehensive national cancer control program should be the first priorities for health policy makers.

  • 162.
    Zhang, Peng
    Blekinge Tekniska Högskola, Sektionen för teknik, Avdelningen för för interaktion och systemdesign.
    Multi-Agent Systems Supported Collaboration in Diabetic Healthcare2008Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    This thesis proposes a holistic and hierarchical architecture to Multi-agent System design, in order to resolve the collaboration problem in diabetic healthcare system. A diabetic healthcare system is a complex and social system in the case that it involves many actors and interrelations. Collaborations among various healthcare actors are vital to the quality of diabetic healthcare. The collaboration problem is manifested by the problems of accessibility and interoperability. To support the collaboration in diabetic healthcare as such a complex and social system, the MAS must have corresponding social entities and relationships. Therefore, it is assumed that theories explaining social activity can be applied to design of MAS. Activity Theory, specifically its holistic triangle model from Engström and hierarchy thinking, provides theoretical supports to the design of individual agent architecture and MAS coordination mechanism. It is argued that the holistic and hierarchical aspects should be designed in a MAS when applied to the healthcare setting. The diabetic healthcare system is analyzed on three levels based on the hierarchy thinking. The collaboration problem is analyzed and resolved via MAS coordination. Based on the holistic activity model in Activity Theory, Müller’s Vertical Layered Architecture is re-conceptualized in the Control Unit and Knowledge Base design. It is also argued that autonomy, adaptivity and persona should be especially focused when designing the interaction between an agent system and human users. This study has firstly identified some important social aspects and the technical feasibility of embedding those identified social aspects in agent architecture design. Secondly, a MAS was developed to illustrate how to apply the proposed architecture to design a MAS to resolve the collaboration problem in diabetic healthcare system. We have designed and implemented an agent system – IMAS (Integrated Multi-agent System) to validate the research questions and contributions. IMAS system provides real time monitoring, diabetic healthcare management and decision supports to the diabetic healthcare actors. A user assessment has been conducted to validate that the quality of the current diabetic healthcare system can be improved with the introduction of IMAS.

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