• Psychometric properties of the SCREESCO questionnaire used in a color...
  Jervaeus, Anna; Fritzell, Kaisa; Hultcrantz, Rolf; Wengström, Yvonne; Kottorp, Anders   Journal article in Journal of Evaluation in Clinical Practice; : Wiley (2019)	Journal article

  

  

  English abstract:

  INTRODUCTION: Colorectal cancer (CRC) is one of the most common cancer diagnoses among both sexes. Sweden has not yet implemented any CRC screening programme, but a study, Screening of Swedish Colons (SCREESCO), is ongoing. The movement within the health care sector towards a more participatory perspective has led to the increased importance of shared decision making (SDM), and this is suggestively applied when deciding upon screening participation. There is no Swedish questionnaire for assessing the level of SDM in relation to CRC screening. Therefore, the CRC screening module of the National Survey of Medical Decisions was translated and culturally adapted into a Swedish context: the SCREESCO questionnaire. AIM: The SCREESCO questionnaire requires further evaluation, and therefore, the aim, by using the Rasch approach, was to evaluate the psychometric properties of the SCREESCO questionnaire. METHODS: A Rasch partial credit model was chosen to investigate the psychometric properties. The sample consisted of individuals invited to the SCREESCO programme, who have answered the SCREESCO questionnaire. RESULTS: Rating scale structures indicated stability for the response structure used. Satisfactory evidence for validity of internal structure was also shown for the whole questionnaire and two of three concepts/subscales, after deletion of a few items. Validity in response processes indicated acceptable, or close to acceptable, findings, while the results for unidimensionality and differential item functioning (DIF) were somewhat mixed. Separation index revealed less satisfactory results, both for the whole questionnaire and the concepts/subscales. CONCLUSION: This Rasch analysis of the SCREESCO questionnaire revealed that the questionnaire in its current form has difficulties to assess the level of SDM in relation to CRC screening. The achieved results will guide further evaluation and development with the long-term goal of having a Swedish questionnaire, to be used in the health care sector, assessing the level of SDM in relation to CRC screening.

  Jervaeus_et_al- ... n_in_Clinical_Practice.pdf   (767.1Kb)

  https://doi.org/10.1111/jep.13301

• Physical Activity Patterns Among Women and Men During Pregnancy and 8...
  Sjögren Forss, Katarina; Stjernberg, Louise   Journal article in Frontiers in Public Health; : Frontiers (2019)	Journal article

  

  

  English abstract:

  Background: Realizing the essential prerequisite of regular physical activity (PA) it is essential to have knowledge about how different life change events may influence individual's participation. Many studies have documented that pregnancy and the transition to parenthood are life change events associated with decreased PA among women however, the examination of changes of PA in the male parent during this major life change event has been largely neglected in scientific literature and a significant research gap can be found. In the light of this, this longitudinal study aimed to follow changing PA patterns among women and men during pregnancy and 8 months postpartum compared to pre-pregnancy. Methods: In this study, 123 women and 112 men (partners of the women) that lived in the municipality of Karlskrona, Sweden, were included. Data were collected between 2008 and 2010. The self-reported amount of PA performed outdoors and indoors before pregnancy throughout the entire pregnancy, and 8 months postpartum, were measured. Results: We found similar changes in PA patterns among both women and men during pregnancy and 8 months postpartum when compared to pre-pregnancy. In almost all the activities studied except for walking/strolling, a significant decline was found. Conclusions: Our findings contribute new knowledge about changes in men's PA patterns from pre-pregnancy to pregnancy and postpartum. As couples seem to change activity patterns similarly, it is important to promote family-based PA initiatives and encourage couples to be active together during pregnancy and postpartum.

  fpubh-07-00294.pdf   (4.580Mb)

  https://doi.org/10.3389/fpubh.2019.00294

• Refugee women's experience of the resettlement process : a qualitativ...
  Mangrio, Elisabeth; Zdravkovic, Slobodan; Carlson, Elisabeth   Journal article in BMC Women's Health;1 : Biomed Central (2019)	Journal article

  

  

  English abstract:

  BACKGROUND: Resettlement can be particularly challenging for women as having a lower socioeconomic status and language barriers, may impede women's access to education, employment opportunities, health-care services, as well as the cultural, social, material and resilience factors that facilitate adjustment and adaption. Thus, the aim of this study is to further explore the perception of refugee women in Sweden concerning their situation during active participation in the resettlement process in the country. METHODS: Qualitative interview study with 11 recently arrived refugee women who had received their residence permits and were enrolled in the resettlement process. The interviews were conducted in Swedish with the support of an authorized Arabic translator present by telephone. RESULTS: Refugee women suffered from being separated from their loved ones and felt compelled to achieve something of value in the host country. All experienced both physical and mental anguish. CONCLUSIONS: Stakeholders in societies that receive refugee women should stress the importance of finding opportunities for and fast entrance into employment in the host countries. This would be beneficial for the integration and well-being of refugee women after migration.

  s12905-019-0843-x.pdf   (539.7Kb)

  https://doi.org/10.1186/s12905-019-0843-x

• Refugee women`s experince of the resettlement process : a qualitative...
  Mangrio, Elisabeth; Zdravkovic, Slobodan; Carlson, Elisabeth Malmö University. Malmö Institute for Studies of Migration, Diversity and Welfare (MIM)   Journal article in BMC Women´s Health; : BioMed Central (2019)	Journal article

  

  

  English abstract:

  Background: Resettlement can be particularly challenging for women as having a lower socioeconomic status and language barriers, may impede women’s access to education, employment opportunities, health-care services, as well as the cultural, social, material and resilience factors that facilitate adjustment and adaption. Thus, the aim of this study is to further explore the perception of refugee women in Sweden concerning their situation during active participation in the resettlement process in the country. Methods: Qualitative interview study with 11 recently arrived refugee women who had received their residence permits and were enrolled in the resettlement process. The interviews were conducted in Swedish with the support of an authorized Arabic translator present by telephone. Results: Refugee women suffered from being separated from their loved ones and felt compelled to achieve something of value in the host country. All experienced both physical and mental anguish. Conclusions: Stakeholders in societies that receive refugee women should stress the importance of finding opportunities for and fast entrance into employment in the host countries. This would be beneficial for the integration and well-being of refugee women after migration. Keywords: Migration, resettlement, qualitative research, women

  Kvinno artikel MILSA.pdf   (539.7Kb)

  https://doi.org/10.1186/s12905-019-0843-x

• First-time mothers' satisfaction with their birth experience : a cros...
  Johansson, Christel; Finnbogadottir, Hafrun   Journal article in Midwifery; : Elsevier (2019)	Journal article

  

  

  English abstract:

  Objective: To explore first-time mothers' satisfaction with their birth experience using Visual Analog Scale and to identify possible risk factors for a negative birth experience. Design: A cross-sectional design using retrospective data collection from electronic medical files. Setting: A birthing center in southern Sweden, which has approximately 1400 births annually. Participants: Primiparous women (N = 584) who gave birth during 2017. The cut-off point for a negative birth experience was set as <= 4 on the Visual Analog Scale. Measurements and findings: The mean age of the women was 29 years (SD 5.1; range 16-47 years). Prevalence of a negative birth experience was 9.6%. The strongest risk factors for a negative birth experience were having obstetric anal sphincter injuries (AOR 2.8 CI 95% 1.1-7.2) and oxytocin augmentation started in the first stage of labor (AOR 2.2 CI 95% 1.1-4.4). Key conclusions: Women who had their labours augmented with oxytocin or sustained an anal sphincter injury were statistically significantly more likely to have a negative birth experience. However, it is uncertain whether the women scored pain experience or birth experience when they reported their satisfaction on the Visual Analog Scale; further investigation is required. Implications for practice: It is important to use a reliable and validated instrument to measure birth experience in order to promote respectful and supportive care for new mothers. (C) 2019 Elsevier Ltd. All rights reserved.

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