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Articles /HS HV
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Articles /HS HV
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Quality of life and health promotion intervention : a follow up study... 
Eriksson-Sjöö, Tina; Cederberg, Margareta; Östman, Margareta; Ekblad, Solvig
Journal article in International Journal of Migration, Health and Social Care;3 : Emerald Group Publishing Limited (2012)peer-reviewed 
scientific
ARTICLE
English abstract: Purpose – This study aims to illuminate self-perceived health-related quality of life (HRQoL) among newly-arrived Arabic-speaking refugees in Malmo¨ , Sweden participating in a specific group Health Promotion activity. Design/methodology/approach – Data consist of questionnaires, observations and oral evaluations in groups. Questions about HRQoL was measured by EQ-5D self-assessment containing five dimensions and three response options of severity, including a visual analog health rating scale. Participants’ sleep patterns were measured by a sleep and recovery questionnaire with questions about sleep quality and sleep quantity. Findings – The results show that disturbed sleep relates to EQ-5D variables and to health rating scores. Moreover, there are changes over time and participants’ perceptions of their health and quality of life in most EQ-5D variables have significantly increased after the end of activity. In the variables pain and depression an improvement remains even at second follow up and health rating scores are higher at both follow ups relative to what it was originally. Sleep and recovery problems were perceived as less difficult at the course completion and second follow up. Research limitations/implications – Because of practical and ethical reasons there is an absence of a control group in this study. Practical implications – The paper includes implications for education in medicine, health care and social work, for the design of the refugee reception programs and for the inter-professional collaborations. Originality/value – The paper shows that health promotion interventions in group setting in the first stage of resettlement turn out to be useful according to HRQoL and knowledge of the health care system. Keywords Health promotion, Refugees, Arabic-speaking, Health-related quality of life, Sweden, Immigration, Health care 
Quality_of (2).pdf
(118.3Kb)
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A qualitative approach to assessing work ability
Tengland, Per-Anders
Journal article in Work: A Journal of Prevention, Assessment and Rehabilitation;2 : IOS Press (2012)peer-reviewed
scientific
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English abstract: Abstract. Problem: We often need to be able to assess the extent to which individuals have or lack work ability. For this we need instruments. Most of the instruments available have flaws. They either lack validity or they use roundabout methods when collecting information about the individual’s work ability. Objectives: The aim of this paper is to present a conceptual model for constructing a questionnaire that can be used for assessing work ability. Methods: The methods used are philosophical, i.e. analytical and deductive. A conceptual theory is provided, and based on the resulting definition of the concept of “work ability” conclusions are drawn regarding how to assess work ability. Results: When constructing quantitative instruments, we can increase validity through using a more strict definition of work ability. However, such an approach will only solve some of the problems noted above. The proposal is, instead, to create a qualitative questionnaire, founded on a definition of “work ability”, which focuses on the concrete problems concerning the work ability of the individual. Finally, a sketch of such an instrument is provided, with questions covering all the relevant aspects of work ability. Conclusion: The qualitative questionnaire proposed is believed to be superior to more traditional (quantitative) instruments for assessing a person’s work ability, as well as for finding solutions to her problems concerning work ability. -
Behavior change or empowerment : on the ethics of health-promotion st...
Tengland, Per-Anders
Journal article in Public Health Ethics;2 : Oxford University Prress (2012)peer-reviewed
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ARTICLE
English abstract: There are several strategies to promote health in individuals and populations. Two general approaches to health promotion are behavior change and empowerment. The aim of this article is to present those two kinds of strategies, and show that the behavior change approach has some moral problems, problems that the empowerment approach (on the whole) is better at handling. Two distinct “ideal types” of these practices are presented and scrutinized. Behavior-change interventions use various kinds of theory to target people’s behavior, which they do through information, persuasion, coercion and manipulation. Empowerment is a collaborative method where those “facilitated” participate in the change process. Some ethical problems with the behavior change model are that it does not sufficiently respect the right to autonomy of the individuals involved, and that it risks reducing their ability for autonomy of the individuals involved and risks increasing health inequalities. Empowerment, on the other hand, respects the participant’s right to autonomy, tends to increase the ability for autonomy, as well as increasing other coping skills, and is likely to reduce inequalities. A drawback with the method is that it often takes longer to realize.
Behavior Change or Empowerment.pdf
(911.1Kb)
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Swedish Child Health Care nurses conceptions of overweight in childre...
Isma, Gabriella E; Bramhagen, Ann-Cathrine; Ahlström, Gerd; Östman, Margareta; Dykes, Anna-Karin
Journal article in BMC Family Practice;57 : BioMed Central (2012)peer-reviewed
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ARTICLE
English abstract: Abstract Background: Registered Sick Children’s Nurses and District Nurses employed at Child Health Care centres are in a position to help prevent childhood overweight and obesity. Prevention of this challenging public health threat could be improved through having a better understanding of how this group of nurses perceives childhood obesity. The aim of this study was to elucidate the conceptions of childhood overweight, including obesity, among nurses working in Child Health Care. Method: A qualitative study using a phenomenographic approach, based on open-ended interviews with 18 Child Health Care nurses (CHC-nurses) strategically selected from 17 Child Health Care Centres in the southern part of Sweden. Results: Four categories of description emerged from the data: Perception of childhood overweight changes, Overweight in younger children a neglected concern, Overweight a delicate issue and Importance of family lifestyle. The participating CHC-nurses conceived overweight in children, primarily obesity in children to be an extensive and serious problem which affects children, families and the surrounding society. Overweight in children was further perceived as a consequence of their parent’s lifestyle and their awareness of the problem, which was considered by the CHC-nurses as a sensitive and a provoking issue. It was also perceived that overweight in children is not taken seriously during the pre-school period and that concerns regarding overweight in younger children were mainly about the appearance and not the health of the child. The CHC-nurses perceived that the proportion of overweight children has increased, which Swedish society and the CHC-nurses have adapted to. This adaptation makes it difficult for CHC-nurses to define those children who are overweight. Conclusion: CHC-nurses provide a comprehensive and complex picture of childhood overweight, which includes several difficulties dealing with this issue. Attention to CHC-nurse’s conceptions of overweight in children is important since it can affect the parent-nurse relationship and thereby the nurse’s, as well as the parent’s efforts to influence the children’s weight. It is suggested that CHC- nurses should work with person centered counseling and empowerment concerning parent to child relations in cases involving overweight. Keywords: Child, Conceptions, Nurses, Overweight, Perceptions, Primary health care, Qualitative research
Isma et al 2012 Artikel I.pdf
(237.8Kb)
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Mental health status in pregnancy among native and non-native Swedish...
Wangel, Anne-Marie; Schei, Berit; Ryding, Elsa Lena; Östman, Margareta
Journal article in Acta Obstetricia et Gynecologica Scandinavica;12 : Wiley-Blackwell (2012)peer-reviewed
scientific
ARTICLE
English abstract: Objectives. To describe mental health status in native and non-native Swedish-speaking pregnant women and explore risk factors of depression and of posttraumatic stress symptoms. Design and setting. A cross-sectional questionnaire study was conducted at midwife-based antenatal clinics in Southern, Sweden. Sample. A non-selected group of women in mid-pregnancy participated. Methods. Participants completed a questionnaire including background characteristics, social support, life events, mental health variables and the short Edinburgh Depression Scale. Main outcome measures. Depressive symptoms during last week and posttraumatic stress symptoms during past year. Results. Out of 1003 women, 21.4% reported another language than Swedish as their mother tongue and were defined as non-native. These women were more likely to be younger, have fewer years of education, potential financial problems, and lack of social support. More non-native speakers self-reported depressive, posttraumatic stress, anxiety and, psychosomatic symptoms, and fewer had had consultations with a psychiatrist or psychologist. Of all women 13.8% had depressive symptoms defined by Edinburgh Depression Scale as 7 or above. Non-native status was associated with statistically increased risks of depressive symptoms and having ≥ 1 posttraumatic stress symptom compared to native speaking women. Multivariate modeling including all selected factors resulted in adjusted OR for depressive symptoms of 1.75 (95% CI: 1.11-2.76) and of 1.56 (95% CI: 1.10-2.34) for posttraumatic stress symptoms in non-native Swedish speakers. Conclusion. Non-native Swedish-speaking women had a more unfavorable mental health status than native speakers. In spite of this, non-native speaking women had sought less mental health care.
j.1600-0412.2012.01512.x.pdf
(74.06Kb)
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