• Curricula and learning objectives in nurse practitioner programmes : ...
  Ljungbeck, Birgitta; Forss, Katarina Sjogren; Finnbogadóttir, Hafrún; Carlson, Elisabeth   Magazine article in BMJ open;7 : BMJ Open (2019)	Magazine article

  

  

  Note:	BMJ Open

  Ljungbeck et al.pdf   (218.8Kb)

  http://dx.doi.org/10.1136/bmjopen-2018-028699

• General practitioners' reasoning on risk screening and primary preven...
  Patomella, Ann-Helen; Mickols, Gustav; Asaba, Eric; Nilsson, Gunnar; Friden, Cecilia; Kottorp, Anders; Bertilson, Bo Christer; Tham, Kerstin   Journal article in BMC Family Practice;1 : Biomed Central (2018)	Journal article

  

  

  English abstract:

  BackgroundBy screening and modifying risk factors, stroke incidence can be reduced. Clinical guidelines states that primary prevention of stroke is a responsibility and task of primary health care, but research shows that this not always the case. The aim of the study was to explore and describe what characterizes GPs' reasoning around risk screening and primary prevention among persons at risk for stroke in primary health care.MethodsA qualitative design based in a grounded theory approach was chosen in order to investigate this unexplored research area. Data collection was done using focus group interviews and data was analysed using a constant comparative method. Twenty-two GPs were interviewed in four focus groups.ResultsFindings showed that GPs perceived difficulties in prioritizing patients with an unhealthy lifestyle and described a lack of systematicity in their procedures, which complicated their clinical decisions concerning patients with stroke risk factors. The results showed a lack of systematic risk screening methods. Time constraints and the reimbursement system were described as hindering the preventive work.ConclusionThere is a need for a more proactive, transparent and systematic approach in the distribution of GPs' time and reimbursement of prevention in primary health care. The findings suggest, by developing new methods and approaches such as digital clinical decision-making tools and by implementing inter-professional team-work, the quality of the primary prevention of stroke could be improved.

  https://bmcfampract.biomedcentral.com/articles/10.1186/s12875-018-0883-6#article-info

• A support platform for migration and health (MILSA 2.0), Sweden
  Zdravkovic, Slobodan; Mangrio, Elisabeth; Håkansson, Peter; Westerling, Ragnar   Conference contribution in European Journal of Public Health; : Oxford University Press (2018) 11th European Public Health Conference Winds of change: towards new ways of improving public health in Europe (28 November–1 December 2018 : Ljubljana, Slovenia)	Conference contribution

  

  

  English abstract:

  Background: Solid health is a prerequisite for successful inclusion and participation in support systems for recently arrived migrants’ (RAM) i.e. refugees. The society support system may vary depending on the age of RAM but is equally important for an effective start of the establishing process. Understanding health needs of RAM in different phases of establishing is essential as such knowledge is central for the supporting system. Methods: MILSA 2.0 consists of five studies targeting various health aspects. The focus is depicted into an early phase of establishment as well as following the period after the mandatory process. The platform addresses health issues of families with children as well as various health aspects of Arabic speaking adult RAM soon after arrival to Sweden. Also, it focuses on RAM adolescents in relation to risk behavior, social capital and confidence as well as on health issues in adult RAM after the formal establishment process. The platform also illuminates an extended support system of civic and health communication both in time as well as lecturing environment primarily targeting social capital, coherence and self-efficacy. Results: MILSA 2.0 addresses different phases of an establishing process in Sweden. Several health and health related factors are addressed such as self-rated health, social capital, trust, physical activity, sexual and reproductive health and living conditions. The extended civic and health communication addresses increased program hours as well as new program environments such as libraries, museums, and workplaces. Conclusions: These five studies reveals health related knowledge in different aspects of the establishing process as well as it develops several questionnaires and reveals methodological aspects. The platform focuses on both adolescent and adult RAM during and after the mandatory public support system including both the recipients of the support as well as the supporting actors. Key messages: - MILSA 2.0 develops questionnaires and determines health related concerns both during and after the mandatory establishing process. - MILSA 2.0 evaluates the effect of a policy change regarding standard procedures of civic and health communication.

  https://academic.oup.com/eurpub/article/28/suppl_4/cky260/5187184

• Development and evaluation of the effect and feasibility of a person-...
  Guidetti, S.; Gustavsson, M.; Fors, U.; Tham, Kerstin; Andersson, M.; Ytterberg, C.   Conference contribution in International Journal of Stroke;Suppl. 3; : Sage (2018) UK Stroke Forum (4 – 6 December 2018 : Telford, UK)	Conference contribution

  

  

  English abstract:

  Introduction: The aim of this study was to evaluate the feasibility of using a person-centred ICT based intervention (F@CE) within multidisciplinary teams to increase the clients’ participation in everyday life after stroke in terms of study design and outcomes. The F@CE intervention was developed in collaboration with web developers and future users based on the Medical Research Council guidelines. A web-platform was created to provide a structure for the rehabilitation process and facilitate change by integrating a global problem solving strategy with SMS-reminders. Methods: 3 teams consisting of occupational therapists and physiotherapists working in neurological rehabilitation took part in 3 workshops including lectures, discussions and practical exercises. The participating teams then enrolled 10 clients with stroke that participated in the intervention. Goals were set using COPM and the clients scored their 3 goals each day during 8 weeks. Data was collected at inclusion, at 4 and 8 weeks using COPM, SIS, Self-Efficacy, LISAT-11, follow-up survey, daily ratings in the web-platform and by logbooks. Results: Response rates were 44–100% (mean 78%). Improvement was shown by COPM on both performance and satisfaction. In SIS 3.0 the items strength and ADL were those were the largest proportion of participants had improved at follow-up were strength and ADL/IADL (80 %) followed by memory, communication and mobility (70 %). Conclusion: All were satisfied with F@CE and the benefits of daily reminders of the goals which encouraged them to be more active. The only downside described was that they felt obligated to practice, although described as “a positive must”.

  https://journals.sagepub.com/doi/full/10.1177/1747493018801108#_i875

• A feasibility study of a mobile phone supported family-centred activi...
  Guidetti, S.; Kamwesiga, J.; Eriksson, G.; Tham, Kerstin; Fors, U.; Ndiwalana, A.; von Koch, L.   Conference contribution in International Journal of Stroke;Suppl. 3 : Sage (2018) UK Stroke Forum (4 – 6 December 2018 : Telford, UK)	Conference contribution

  

  

  English abstract:

  Introduction: The aim of this study was to evaluate the feasibility of: i) a mobile phone supported family-centred intervention, F@ce, ii) the study design for evaluating the effects of the intervention on the perceived impact of stroke, perceived participation in everyday life, and self-efficacy in everyday activities among persons with stroke and their families in Uganda. Methods: A pre-post design with an intervention group (IG) and a control group (CG) (n¼30). The inclusion criteria were: confirmed stroke diagnosis, access to and ability to use a mobile phone, able to express themselves in English and/or Luganda, >18 years of age, resident in Kampala and its surroundings <40 km, and a modified Rankin Scale level 2 to 4. The F@ce entailed goalsetting and problemsolving strategies intended to improve valued activities in everyday life. The participants received daily reminders of their goals by SMS. Data was collected at baseline and after 8 weeks. Primary outcomes were performance and satisfaction of valued daily activities in everyday life assessed using the Canadian Occupational Performance Measure (COPM), self-efficacy in performance of activities in daily life, and perceived impact of stroke. Results: There were differences between IG and CG in changes between baseline and follow-up in the primary outcomes in favour of IG. The SMS reminders and reports back to the occupational therapists functioned as planned with minor technical problems. Conclusion: The results support the need to further evaluate the effects of F@ce since the intervention appears to be feasible for persons with stroke and family members with some technical adjustments.

  https://journals.sagepub.com/doi/full/10.1177/1747493018801108#_i249

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