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  • 1.
    Akner, Gunnar
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry. Karolinska Institutet.
    Larsson, Kjell
    Karolinska Institutet.
    Undernutrition state in patients with chronic obstructive pulmonary disease: A critical appraisal on diagnostics and treatment2016In: Respiratory Medicine, ISSN 0954-6111, E-ISSN 1532-3064, Vol. 117, p. 81-91Article in journal (Refereed)
    Abstract [en]

    Undernutrition state’ (UNS) is an ominous condition, in particular when associated with chronic obstructive pulmonary disease (COPD). In this review we discuss pathophysiological mechanisms and how UNS is defined and diagnosed. It seems unlikely that COPD-patients with established UNS have similar potential of reversibility (treatability) upon nutrition interventions as patients at a risk of developing such a condition, i.e. patients with low energy/nutrient intake, since pathophysiological, biochemical and metabolic conditions may differ substantially.

    We summarize the results of 7 of 17 published randomized controlled trials of nutritional supplementation in COPD-patients with defined UNS in the latest Cochrane review (2012). We thus excluded 10 of 17 trials included in review (2012), mostly because those studies also included patients with ’risk of’ UNS.

    The seven included trials exhibit extensive heterogeneity for all studied variables. Most studies did not show beneficial effects of nutritional supplementation, although some reported minor increase in body weight and physical function of unclear clinical relevance.

    In contrast to the Cochrane review we conclude that it is difficult to draw firm conclusions regarding the effect of nutritional supplements in patients with COPD and UNS. Improved knowledge in this area is of utmost importance and some factors which should be considered in future studies are suggested.

  • 2.
    Al-Seadi, Sara
    Linnaeus University, Faculty of Health and Life Sciences, Department of Chemistry and Biomedical Sciences.
    Leva med ADHD: En intervjustudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 3.
    Andersson, Julia
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Jarlh, Anna
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Föräldrars upplevelser av att ha ett kritiskt sjukt barn på en intensivvårdsavdelning.: - En systematisk litteraturstudie2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Barnintensivvård beskrivs som stark känsloladdad vård för både föräldrar och sjukvårdspersonal. Att ha ett barn inlagt på en intensivvårdsavdelning är förenat med stress och oro hos de flesta föräldrar. Barn är en särskilt utsatt patientkategori och när patienten är ett barn kan anhöriga kan uppfattas ställa högre krav på vården. Kunskapsökning om föräldrarnas situation skulle inte bara leda till ökad trygghet hos föräldrarna utan även hos intensivvårdssjuksköterskan, vilket kan generera i en bättre och tryggare vård för det sjuka barnet. Syfte: Syftet var att belysa föräldrars upplevelser av att ha ett kritiskt sjukt barn på en intensivvårdsavdelning. Metod: Systematisk litteraturstudie med kvalitativ ansats. Materialet från insamlad data har analyserats med hjälp av kvalitativ innehållsanalys. Resultat: Studiens resultat genererade i ett övergripande tema; att vara inkluderad i en surrealistisk värld, elva underkategorier och fyra kategorier: Föräldrars behov under vistelsen på intensivvårdsavdelningen; Upplevelser av intensivvården; En vårdmiljö som väcker känslor; och Upplevelsen av stöd. Slutsats: Vårdteamet och sjuksköterskans roll är central i den kliniska vården, genom att se familjen som en helhet med ett holistiskt helhetstänk. En god familjecentrerad omvårdnad kan bidra till att göra familjen trygg och stärka föräldrarna. Genom att bjuda in föräldrar i vården kring barnet blir de delaktiga, känner stöd och upplever sig inkluderade, vilket skapar ökad trygghet och tillit för både föräldrar och de som vårdar barnet. Vidare forskning skulle kunna öka förståelsen hos sjuksköterskan och leda till en mer specifik familjecentrerad vård, för att hjälpa och möta upp föräldrarnas behov i deras utsatta situation.

  • 4.
    Andréasson, Frida
    et al.
    Swedish Family Care Competence Centre (NKA).
    Broling, Lillemor
    Primary Health Care, Kalmar County Council.
    Enhanced participation, safety and security for older people and their carers with health supportive e-services2015In: Presented at the 6th International Carers Conference - Care and caring: future proofing the new demographics, Gothenburg, Sweden, September 3-6, 2015, 2015Conference paper (Refereed)
  • 5.
    Andréasson, Frida
    et al.
    Swedish Family Care Competence Centre (NKA).
    Hanson, Elizabeth
    Swedish Family Care Competence Centre (NKA).
    Dissemination event Sweden2015Conference paper (Other (popular science, discussion, etc.))
  • 6.
    Andréasson, Frida
    et al.
    Swedish Family Care Competence Centre (NKA).
    Hanson, Elizabeth
    Swedish Family Care Competence Centre (NKA).
    Online support for carers2016Conference paper (Other (popular science, discussion, etc.))
  • 7.
    Andréasson, Frida
    et al.
    Swedish Family Care Competence Centre (NKA).
    Hanson, Elizabeth
    Swedish Family Care Competence Centre (NKA).
    Lamura, Giovanni
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Barbabella, Francesco
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Lancioni, Cristina
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Papa, Roberta
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Poli, Arianna
    Italian National Institute of Health and Science on Aging (INRCA) ; Linköping University.
    Salzmann, Benjamin
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Döhner, Hanneli
    Eurocarers, Belgium.
    Efthymiou, Areti
    Eurocarers, Belgium.
    Anhörigstöd via internet: InformCare2015Conference paper (Other (popular science, discussion, etc.))
  • 8.
    Andréasson, Frida
    et al.
    Swedish Family Care Competence Centre (NKA).
    Hanson, Elizabeth
    Swedish Family Care Competence Centre (NKA).
    Lancioni, Cristina
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Papa, Roberta
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Barbabella, Francesco
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Lamura, Giovanni
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Online support for carers: using a social forum and social network as a means of developing the role of informal caregiving2015In: Presented at the 6th International Carers Conference - Care and caring: future proofing the new demographics, Gothenburg, Sweden, September 3-6, 2015, 2015Conference paper (Refereed)
  • 9.
    Andréasson, Frida
    et al.
    Swedish Family Care Competence Centre (NKA).
    Hanson, Elizabeth
    Eurocarers, Belgium.
    Lancioni, Cristina
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Papa, Roberta
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Barbabella, Francesco
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Lamura, Giovanni
    National Institute of Health and Science on Ageing (INRCA), Italy.
    The INNOVAGE-Eurocarers platform and current ICT-based services for informal carers of older people in Sweden2015In: Irish Ageing Studies Review, ISSN 1649-9972, Vol. 6, no 1, p. 88-88Article in journal (Refereed)
    Abstract [en]

    Background: Different support services for family carers are available in Sweden through information and communication technologies (ICTs) since late 1990s, like ACTION, My Joice, IPPI, ‘The Gap’, and Carer Sweden’s online ‘Carer’s Book’. The INNOVAGE-Eurocarers platform aimed to complement the offer of web services to carers through the provision of a new tailored package.

    Methods: The Swedish pilot test enrolled around 50 carers through contacts with professionals working with carers in different municipalities. They could access the following web-based services: information resources; individual support via e-mail and private messages; group support via social network and forum. Periodical writing activities were asked to active users in the forum, alternating expressive writing (EW) and time management (TM) writing tasks. Periodical reminders were sent in order to increase user involvement.

    Results: Users were predominantly older, female carers, of which two thirds were over 65 years old. The web platform was perceived as a flexible tool, potentially accessible at any time, which gave users the possibility to exploit their experience as carers with others in similar situations. This peer exchange seemed to improve self empowerment, sense of solidarity and mutual learning. However, usage of the web platform was limited due to the low level of digital skills of some carers.

    Conclusions: Although results confirmed usefulness and appropriateness of implemented web services, it is fundamental to address the issue of usability and accessibility in order to ensure a wider accessibility. An option might be to offer initial digital skill training and continuous technical support for computer novices.

  • 10.
    Andréasson, Frida
    et al.
    Swedish Family Care Competence Centre (NKA).
    Hanson, Elizabeth
    Eurocarers, Belgium.
    Lancioni, Cristina
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Papa, Roberta
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Barbabella, Francesco
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Lamura, Giovanni
    National Institute of Health and Science on Ageing (INRCA), Italy.
    The INNOVAGE-Eurocarers platform and current ICT-based services for informal carers of older people in Sweden2015Conference paper (Refereed)
    Abstract [en]

    Background: Different support services for family carersare available in Sweden through information andcommunication technologies (ICTs) since late 1990s, likeACTION, My Joice, IPPI, ‘The Gap’, and Carer Sweden’son-line ‘Carer’s Book’. The INNOVAGE-Eurocarersplatform aimed to complement the offer of web services tocarers through the provision of a new tailored package.

    Methods: The Swedish pilot test enrolled around 50carers through contacts with professionals working withcarers in different municipalities. They could access thefollowing web-based services: information resources;individual support via e-mail and private messages; groupsupport via social network and forum. Periodical writingactivities were asked to active users in the forum,alternating expressive writing (EW) and time management(TM) writing tasks. Periodical reminders were sent in orderto increase user involvement.

    Results: Users were predominantly older, female carers,of which two thirds were over 65 years old. The webplatform was perceived as a flexible tool, potentiallyaccessible at any time, which gave users the possibility toexploit their experience as carers with others in similarsituations. This peer exchange seemed to improve selfempowerment,sense of solidarity and mutual learning.However, usage of the web platform was limited due to thelow level of digital skills of some carers.

    Conclusions: Although results confirmed usefulness andappropriateness of implemented web services, it isfundamental to address the issue of usability andaccessibility in order to ensure a wider accessibility. Anoption might be to offer initial digital skill training andcontinuous technical support for computer novices.

  • 11.
    Antonsson, Sara
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    A comparison of the accommodative response and contrast in young adults fitted with multifocal and monofocal contact lenses2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: The aim of this study was to compare the effect of multifocal and monofocal contact lenses in the accommodative response and contrast sensitivity in young emmetropic adults.

    Method: The requirements to take part in the current study were no ocular pathology, healthy corneas, no refractive surgery and an acuity of at least 1.0 on the Snellen chart with a good binocular vision. Thirteen individuals participated in the study, 9 females and 4 males, with an mean age of 22.6 years (SD=3.4). In separated fittings, participants were fitted with: 1) multifocal lenses, centre-distance design and 0.00D (add +2.00D) (Coopervision Biofinity) and with 2) single vision  +2.00D (Coopervision Biofinity. Refraction was assessed 3 times in both eyes: with each fitting and also without any lens. A Metropsis system (CRS) was used to measure the contrast sensitivity and visual acuity.

    Results: In this study we found statistically significant differences in accommodative response between the conditions non-lens and multifocal contact lens (p<0.05) and non-lens and monofocal lens (p<0.001). The difference between the multifocal lens and monofocal lens was not statistically significant. The results from the contrast measurement showed an increased contrast thresholds with the multifocal contact lens when compared with non-lens.

    Conclusion: This study shows that the multifocal lens reduce only partially the accommodative response in young individuals. In addition multifocal contact lenses, fitted in emmetropic participants, reduced contrast sensitivity.

  • 12.
    Aronsson, Sofie
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Hultgren, Kaisa
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Gestationsdiabetes: en journalgranskningsstudie2013Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 13.
    Asplund, Elin
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Prevalens av horisontella avståndsforier och avståndstropier bland hjälpsökande i Ghana2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of this study was to investigate the prevalence of distance heterophoria and heterotropia in a sample population of Ghana who attended vision screening camps from the Swedish non-profit organization called Vision For All.

    Vision For All collects, cleans and measures old spectacles in Sweden. During organized trips to less privileged countries in the world they perform eye examinations and donate spectacles.

    At first a simple eye examination was performed to find the patients’ best binocular spherical equivalent. Then to determine if a distance phoria or tropia was present, the unilateral and alternating cover test were used. If a heterophoria or heterotropia was found the prism cover test was performed using a prism bar to determine the size.

    153 people were included in the study, with an average age of 47±19 years and ranging between 5-85 years. The study found that 87,6 % were orthophoric at distance. 7,8 % were exophoric and 0,7 % were esophoric. Exo- and esotropia were 2,0 % respectively. The average deviation size for the whole group was 0,27±1,21 Δ exophoria, where 2 Δ exophoria was the most common. Only two of the six found tropias could be measured, they were 6 Δ esotropia and 10 Δ esotropia.

    Earlier studies confirm that the most common condition is no deviation at distance and that an exophoric state is the second most common condition. The presence of tropia in this study was more frequent than the mean of other studies presented in this paper.

    This study only shows a hint of how the prevalence of distance heterophoria and heterotropia is in Ghana. Desirably further prevalence studies should be conducted with more stable conditions, better spectacle correction and a bigger sample size to accomplish higher reliability.

  • 14. Barbabella, Francesco
    Family carers: Technology-based support services2015Book (Refereed)
  • 15.
    Barbabella, Francesco
    National Institute of Health and Science on Ageing (INRCA), Italy.
    [ Review of ] Blanche Le Bihan, Claude Martin and Trudie Knijn (eds.): Work and Care Under Pressure. Care Arrangements Across Europe. Amsterdam 2013: Amsterdam University Press, 197 pp2014In: Czech Sociological Review, ISSN 1210-3861, Vol. 6, p. 999-1001Article, book review (Other academic)
  • 16.
    Barbabella, Francesco
    et al.
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Chiatti, Carlos
    National Institute of Health and Science on Ageing (INRCA), Italy ; Lund University.
    Di Rosa, Mirko
    Marche Polytechnic University, Italy ; National Institute of Health and Science on Ageing (INRCA), Italy.
    La bussola di NNA: lo stato dell'arte basato sui dati2015In: L'assistenza agli anziani non autosufficienti in Italia: 5° Rapporto, Un futuro da ricostruire / [ed] N.N.A., Rimini: Maggioli Editore, 2015, p. 15-33Chapter in book (Refereed)
  • 17.
    Barbabella, Francesco
    et al.
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Chiatti, Carlos
    National Institute of Health and Science on Ageing (INRCA), Italy ; Marche Polytechnic University, Italy ; Lund University.
    Di Rosa, Mirko
    National Institute of Health and Science on Ageing (INRCA).
    Gori, Cristiano
    Università Cattolica del Sacro Cuore, Italy ; Istituto per la ricerca sociale, Italy ; London School of Economics, UK.
    La bussola di N.N.A.: lo stato dell'arte basato sui dati2013In: L'assistenza agli anziani non autosufficienti in Italia: 4° Rapporto, Tra crisi e ripartenza / [ed] N.N.A., Rimini: Maggioli Editore, 2013, p. 11-28Chapter in book (Refereed)
  • 18.
    Barbabella, Francesco
    et al.
    National Institute of Health & Science on Ageing (INRCA), Italy.
    Chiatti, Carlos
    National Institute of Health & Science on Ageing (INRCA), Italy.
    Di Rosa, Mirko
    National Institute of Health & Science on Ageing (INRCA), Italy.
    Lamura, Giovanni
    National Institute of Health & Science on Ageing (INRCA), Italy.
    Martin-Matthews, Anne
    University of British Columbia, Canada.
    Papa, Roberta
    National Institute of Health & Science on Ageing (INRCA), Italy.
    Svensson, Torbjörn
    Lund University.
    Launching an interdisciplinary “International Summer School on Ageing” (ISSA): Aims, methodology and outcomes2016In: Educational gerontology, ISSN 0360-1277, E-ISSN 1521-0472, Vol. 42, no 4, p. 253-264Article in journal (Refereed)
    Abstract [en]

    Despite the increasing availability of gerontological training programmes, knowledge of theircontents, characteristics, methods and outcomes remains limited. However, the transitionfrom multidisciplinarity to interdisciplinary orientations is now fundamental to such training,providing participants from diverse academic orientations and professional backgrounds withopportunities to interact ‘across boundaries’. In response to recommendations of the EUFuturage Road Map for European Ageing Research (2011) concerning training and careerdevelopmentneeds of future cohorts of practitioners and scholars in aging, an InternationalSummer School on Ageing (ISSA) was developed in 2012. Its aim was to initiate the practicalimplementation of some of the capacity building goals identified by Futurage. The design andstructure of the ISSA was informed by the experience of Canada’s Summer Programme inAgeing - run by the Institute of Aging of the Canadian Institutes of Health Research – and bythe cross-border academic training activities organized by Lund University (Sweden) inScandinavian countries. As Italy has lacked a tradition of comprehensive, interdisciplinarytraining programmes in gerontology, the Italian National Institute of Health and Science onAgeing undertook to launch the inaugural ISSA. In this article, the core aims andmethodology of the ISSA are presented, together with an analysis of its main outcomes, asmeasured by participant evaluations. These are discussed in the context of internationaldebate on this topic.

  • 19.
    Barbabella, Francesco
    et al.
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Chiatti, Carlos
    National Institute of Health and Science on Ageing (INRCA), Italy ; Marche Polytechnic University, Italy ; Lund University.
    Di Rosa, Mirko
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Pelliccia, Laura
    Alcuni profili dell’assistenza nelle regioni2013In: L'assistenza agli anziani non autosufficienti in Italia: 4° Rapporto, Tra crisi e ripartenza / [ed] N.N.A., Rimini: Maggioli Editore, 2013, p. 29-43Chapter in book (Refereed)
  • 20.
    Barbabella, Francesco
    et al.
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Chiatti, Carlos
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Lamura, Giovanni
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Increasing inclusion and participation of the young-old and the old-old2013In: The Journal of Nutrition, Health & Aging, ISSN 1279-7707, E-ISSN 1760-4788, Vol. 17, no Supplement, June/July, p. S132-S132Article in journal (Refereed)
    Abstract [en]

    Introduction: While healthy ageing represents a pre-condition for older people to enjoy a longer and disability-free life span, quality of life in older age is dependent also upon society’s ability to grant individuals social protection, as well as to promote their active participation in the community until the very end of life. These issues constitute a challenge for current and future research on ageing.

    Method: A 2-year consultation process with over 70 international experts was conducted within the FUTURAGE work-stream focussedon social and economic resources in ageing research. This process allowed a comprehensive discussion on most relevant social participation and protection issues involving scientists, users’ organisations, policy makers and other stakeholders, which led to a set of specific research priorities.

    Results: The main challenges identified for future ageing research concerning social participation are: ageism; migration; life-long learning; digital divide; spirituality; volunteering; mobility and accessibility; discrimination in the labour market; consumption and access to products and services; and work-life balance. As for social protection, the following core issues have been spotted: sustainability; support to informal carers (also through ICT-based services); efficiency; access to care; cost-effectiveness and quality of interventions; initiatives to improve intergenerational solidarity.

    Conclusion: Societal challenges related to social participation and sustainability of social protection systems clearly urge new actions in research, practices and policy on ageing. In particular, the identification of over-arching issues, barriers and enablers contributes to strengthen scientific research in the field, as well as to support policy makers in improving social life and quality of life of older people.

  • 21.
    Barbabella, Francesco
    et al.
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Chiatti, Carlos
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Masera, Filippo
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Bonfranceschi, Franco
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Rimland, Joseph M.
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Bartulewicz, Kristian
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Rossi, Lorena
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Lattanzio, Fabrizia
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Experimentation of an integrated system of services and AAL solutions for Alzheimer’s Disease patients and their caregivers in Marche: The UP-TECH project2014In: Ambient Assisted Living: Italian Forum 2013 / [ed] Sauro Longhi, Pietro Siciliano, Michele Germani, Andrea Monteriù, New York: Springer, 2014, p. 157-165Conference paper (Refereed)
  • 22.
    Barbabella, Francesco
    et al.
    Italian National Institute of Health and Science on Ageing (INRCA), Italy..
    Chiatti, Carlos
    Italian National Institute of Health and Science on Ageing (INRCA), Italy..
    Rimland, Joseph M
    Italian National Institute of Health and Science on Ageing (INRCA), Italy..
    Melchiorre, Maria Gabriella
    Italian National Institute of Health and Science on Ageing (INRCA), Italy..
    Lamura, Giovanni
    Italian National Institute of Health and Science on Ageing (INRCA), Italy..
    Lattanzio, Fabrizia
    Italian National Institute of Health and Science on Ageing (INRCA), Italy..
    Socioeconomic Predictors of the Employment of Migrant Care Workers by Italian Families Assisting Older Alzheimer's Disease Patients: Evidence From the Up-Tech Study2016In: The journals of gerontology. Series B, Psychological sciences and social sciences, ISSN 1079-5014, E-ISSN 1758-5368, Vol. 71, no 3, p. 514-525Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The availability of family caregivers of older people is decreasing in Italy as the number of migrant care workers (MCWs) hired by families increases. There is little evidence on the influence of socioeconomic factors in the employment of MCWs.

    METHOD: We analyzed baseline data from 438 older people with moderate Alzheimer's disease (AD), and their family caregivers enrolled in the Up-Tech trial. We used bivariate analysis and multilevel regressions to investigate the association between independent variables-education, social class, and the availability of a care allowance-and three outcomes-employment of a MCW, hours of care provided by the primary family caregiver, and by the family network (primary and other family caregivers).

    RESULTS: The availability of a care allowance and the educational level were independently associated with employing MCWs. A significant interaction between education and care allowance was found, suggesting that more educated families are more likely to spend the care allowance to hire a MCW.

    DISCUSSION: Socioeconomic inequalities negatively influenced access both to private care and to care allowance, leading disadvantaged families to directly provide more assistance to AD patients. Care allowance entitlement needs to be reformed in Italy and in countries with similar long-term care and migration systems.

  • 23.
    Barbabella, Francesco
    et al.
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Di Rosa, Mirko
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Chiatti, Carlos
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Melchiorre, Maria Gabriella
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Lamura, Giovanni
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Opportunities and challenges of migrant work in the Italian long-term care system2013In: The Journal of Nutrition, Health & Aging, ISSN 1279-7707, E-ISSN 1760-4788, Vol. 17, no Supplement, Juny/july, p. S133-S133Article in journal (Refereed)
    Abstract [en]

    Introduction: Italy is one of the most aged countries in the world, with a longstanding tradition of family care of the dependent elderly. Inrecent times, however, Italy has been witnessing in-depth social and cultural changes, which have been negatively impacting on informal care provision. In addition, the public long-term care (LTC) system highly relies on cash-for-care schemes for supporting older people, whereas “formal” care services are characterised by weak coverage and intensity. This situation has led to a remarkable increase in theprivate employment of migrant care workers (MCWs), whose number increased by four times in the last two decades.

    Method: An overview of MCWs phenomenon in Italy is provided through the analysis of empirical data retrieved by available official sources at national level, as well as by results from own surveys conducted in recent years on large samples of MCWs.

    Results: The following opportunities and challenges concerning MCWs’ employment in the LTC sector were identified: improve MCW’s capacity to deliver quality care; reduce therisk of elder abuse and neglect and of meeting MCWs’ own care needs; increase their social integration in destination countries and reduce “care drain” in sending countries; and how to improve stakeholders’ involvement for a better exchange of good practices and more effective policy measures.

    Conclusion: In these years, privately employed MCWs have contributed to change the traditional Italian “family care model” into a new “migrant-in-the-family care model”. However, the issue concerning the sustainability of this model within the Italian LTC system in the future is still open.

  • 24.
    Barbabella, Francesco
    et al.
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Di Rosa, Mirko
    National Institute of Health and Science on Ageing (INRCA), Italy ; Marche Polytechnic University, Italy.
    Lamura, Giovanni
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Come opera l’assistenza domiciliare negli altri paesi europei?2013In: Welfare Oggi, ISSN 2240-3590, no 4, p. 30-34Article in journal (Refereed)
  • 25.
    Barbabella, Francesco
    et al.
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Di Rosa, Mirko
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Melchiorre, Maria Gabriella
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Lamura, Giovanni
    National Institute of Health and Science on Ageing (INRCA), Italy.
    The employment of migrant workers in Italy’s elder care: Opportunities and challenges2016In: Ageing in Contexts of Migration / [ed] Ute Karl, Sandra Torres, London: Routledge, 2016, p. 159-171Chapter in book (Other academic)
  • 26.
    Barbabella, Francesco
    et al.
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Efthymiou, Areti
    Eurocarers, Belgium.
    Poli, Arianna
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Lancioni, Cristina
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Andréasson, Frida
    Swedish Family Care Competence Centre (NKA).
    Salzmann, Benjamin
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Hanson, Elizabeth
    Swedish Family Care Competence Centre (NKA).
    Döhner, Hanneli
    Eurocarers, Belgium.
    Goodwin, Frank
    Eurocarers, Belgium.
    Lamura, Giovanni
    National Institute of Health and Science on Ageing (INRCA), Italy.
    A multilingual web platform supporting informal carers in 27 EU member states2015In: Broader, bigger, better: AAL solutions for Europe. Proceedings of the 6th AAL Forum 2014 / [ed] Adrian Curaj & Ioana Trif, Bucharest: UEFISCDI , 2015, p. 169-172Conference paper (Refereed)
    Abstract [en]

    Informal care is a hot topic in research and policy agendas at European and national level, since it greatly contributes to the sustainability and efficiency of national health care systems. A specific intervention – part of the wider INNOVAGE project funded by FP7 – was planned for developing and testing a new multilingual web platform for informal carers of dependent older people in the EU-27. Preliminary results of the pilot study, conducted in Italy, Germany and Sweden will be discussed. The final platform will be accessible in all official languages of the EU-27 and publicly available in spring 2015.

  • 27.
    Barbabella, Francesco
    et al.
    Italian National Institute of Health and Science on Aging (INRCA), Italy.
    Lamura, Giovanni
    Italian National Institute of Health and Science on Aging (INRCA), Italy.
    Schmidt, Andrea E.
    European Centre for Social Welfare Policy and Research, Austria.
    Personnes âgées dépendantes: la technologie au service desproches soignants2013In: Securité Sociale - CHSS, ISSN 1420-2689, Vol. 6, p. 325-328Article in journal (Refereed)
    Abstract [fr]

    Si la Suisse dispose d’un réseau bien organisé de structures de soins professionnelles, elle manque en revanche toujours de services d’assistance aux proches soignants. Les technologies de l’information et de la communication (TIC), connues pour leur souplesse et leur disponibilité, pourraient contribuer à combler cette lacune, puisqu’elles apportentde nouvelles réponses aux besoins des usagers. Toutefois, pour que leur potentiel et leur efficacité puissent être pleinement compris, il faut que les recherches se poursuivent, comme le montre une étude européenne récente.

  • 28.
    Barbabella, Francesco
    et al.
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Lancioni, Cristina
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Andréasson, Frida
    Swedish Family Care Competence Centre (NKA).
    Papa, Roberta
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Poli, Arianna
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Salzmann, Benjamin
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Efthymiou, Areti
    Eurocarers, Belgium.
    Lamura, Giovanni
    National Institute of Health and Science on Ageing (INRCA), Italy.
    How web-based services can support family carers of older people: New ways to promote social inclusion and quality of life2015In: Irish Ageing Studies Review, ISSN 1649-9972, Vol. 6, no 1, p. 87-87Article in journal (Refereed)
    Abstract [en]

    Background: Family carers can be negatively influenced by their situation, in terms of stress, social isolation, economic constraints and other difficulties. Web-based services addressing carers’ needs represent an efficient support. The goal of the INNOVAGE work package 3(WP3) study was to develop and test a new multilingual web platform for supporting family carers of older people, to be implemented in 27 European countries.

    Methods: A review of good practices and a consultation with stakeholders were conducted for identifying most appropriate types of services to be developed and tested. The prototype of web platform included information resources and interactive services for both peer and professional support. A convenient, overall sample of around 130 family carers was enrolled in three countries (Italy, Germany and Sweden) and could access services for 12-17 weeks. Data were collected through questionnaires and focus groups concerning impact onquality of life, social support, self-perception of carer’s role, as well as usability, usefulness and appropriateness of services.

    Results: Active users were generally satisfied with support (information, advice, counselling) provided by moderators (social workers or psychologists) and peers. Usability and appropriateness were confirmed, although some refinements were suggested and users with low digital skills often needed technical support. A portion of the sample remained inactive even if stimulation strategies were adopted.

    Conclusions: The pilot study confirmed the INNOVAGE Eurocarers web platform is a useful tool for family carers. Some challenges still exist for implementation in relation to digital skills required and users’ preferences on services at country level.

  • 29.
    Barbabella, Francesco
    et al.
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Melchiorre, Maria Gabriella
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Quattrini, Sabrina
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Papa, Roberta
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Lamura, Giovanni
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Using eHealth to improve integrated care for older people with multimorbidity: Francesco Barbabella2015In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 25, no Supplement 3, p. 48-48Article in journal (Refereed)
    Abstract [en]

    Issue

    The exploitation of eHealth tools in integrated care practices addressing multimorbidity might be a strong driver for facilitating access to the services provided to people with multiple chronic diseases. This is particularly true in the case of older people living in the community, since eHealth could enhance and reinforce care services at home, improving independent living and security of patients.

    Description of the problem

    One of the ICARE4EU project aims, was to explore whether and which kind of eHealth tools are implemented in integrated care practices for older people with multimorbidity across Europe. In fact, eHealth tools could differ widely across practices, requiring specific know-how by users and health professionals for using and maintaining technology-based solutions, adequate financial resources, compatible organisational and cultural environment with innovations.

    Results

    The ICARE4EU project selected 101 integrated care practices in 24 European countries, of which 85 included the provision of at least one eHealth tool. Out of 50 practices addressing needs of older people, 42 included some eHealth solution aimed at: enhancing digital communication (64%); monitoring care processes (58%); providing decision support systems (60%); supporting patients' self-management (32%). Two promising approaches exploiting eHealth are presented in detail: the ‘TeleRehabilitation project: Post ICU patient telerehabilitation services' at the Nicosia General Hospital and the ‘Strategy for chronic care' by the Regional Department of Health in Valencia.

    Lessons

    The use of eHealth seems to have many benefits in terms of improvement of integration and management of care, as well as quality of care. However, to realize this benefits, it is important to arrange adequate technical support, legislative frameworks and training of users and health professionals.

  • 30.
    Barbabella, Francesco
    et al.
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Melchiorre, Maria Gabriella
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Quattrini, Sabrina
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Papa, Roberta
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Lattanzio, Fabrizia
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Lamura, Giovanni
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Caring For People With Multiple Chronic Conditions In Italy: Policy And Practices2015In: Irish Ageing Studies Review, ISSN 1649-9972, Vol. 6, no 1, p. 71-71Article in journal (Refereed)
    Abstract [en]

    Background: An estimated 50 million people in the European Union live with multiple chronic diseases. In Italy, around 26.6% of the population aged 16 to 64 years, reported to have at least one long-standing illness or health problem in 2011. Moreover, around 46% of the population over 50 is suffering from multimorbidity. Some programmes addressing adult or older people with multimorbidity have been introduced.

    Methods: Data for the ICARE4EU study were collected in the first half of 2014. Eligible programmes focussed on providing care for adult people with two or more medically diagnosed chronic or long lasting diseases (at least onesomatic), involved formalised cooperation between two or more services (at least one medical) and evaluation was available. For each programme an on-line questionnaire was completed and included four main subjects: Patientcentredness, Management, Use of E-health technologies, and Financing systems.

    Results: In Italy, four programmes met the inclusion criteria. They address both daily patient care and policy/managerial levels. Integration of care services, improved collaboration between care providers, changes in resource utilisation and involvement of informal carers have been observed. In two programmes, older patients are addressed as specific subgroup and in two cases animprovement in the use of E-health tools has emerged.

    Conclusions: In Italy, new policies and integrated care programmes addressing multimorbidity have been recently introduced in some areas, with good preliminary results.

  • 31.
    Barbabella, Francesco
    et al.
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Schmidt, Andrea
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Chiatti, Carlos
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Lamura, Giovanni
    National Institute of Health and Science on Ageing (INRCA), Italy.
    A theoretical framework for assessing the impact of ICT-based interventions for carers2012In: Gerontechnology, ISSN 1569-1101, E-ISSN 1569-111X, Vol. 11, no 2, p. 393-393Article in journal (Refereed)
    Abstract [en]

    Purpose Initiatives using information and communication technologies (ICTs) as support for carers of dependent older people are reported since the early 1990s, mainly in form of phone services, computer networks, and video respite. Although the role of ICTs in home care gained increasing relevance in the last decades – for instance in the areas of social integration, care coordination and ambient assisted living (AAL) – few attempts have been made to systematically understand the potentialities of such technologies, overcoming single technology or intervention domains. In this respect, the issues of terminology ambiguity and lack of comparability represented major barriers, so that most of evaluation studies in this area led to mixed and/or inconclusive results. Drawing on the findings of the CARICT-project, this paper discusses the development of a theoretical and conceptual framework to assess the impact ofI CT-based interventions for carers. Method Literature review and a mapping exercise of 52 ICT-based initiatives for carers in 8 countries. Results & Discussion We will provide the results of a mapping exercise of 52 case studies, showing the diversity of existing good practices across Europe and carrying out a review of available impact assessment of these initiatives from a social ecological perspective (at micro-, meso- and macro-level). Subsewquently, we will discuss a theoretical and conceptual framework that is built on the basis of available evidence, leading toa proper classification of ICT-based interventions in relation to types of interactions between actors they support: an attempt is made to group the solutions in coherent and comprehensive classes, with related implications for impact assessments and comparative analysis. Main classes include: alarms, home automation, auto-communication, meta-services, information and training, cognitive stimulations and mental exercises, support group sessions, individual care and support services, and social participation tools. Finally, recommendations for future research in the field are formulated with regard to the assessment and comparability of these services, as well as to the testing and development of new solutions.

  • 32.
    Barbabella, Francesco
    et al.
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Schmidt, Andrea
    European Centre for Social Welfare Policy and Research, Austria.
    Chiatti, Carlos
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Lamura, Giovanni
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Impact of ICT-based interventions on family caregivers: A cross-analysis of 54 good practices in Europe2013In: The Journal of Nutrition, Health & Aging, ISSN 1279-7707, E-ISSN 1760-4788, Vol. 17, no Supplement, June/July, p. S447-S447Article in journal (Refereed)
    Abstract [en]

    Introduction: Information and communication technologies (ICTs) have gained an increasing relevance for delivering innovative care and support services for dependent older people and their family caregivers. Although ICT-based interventions can vary remarkably in terms of functions, target users, operational aspects and technologies used, little knowledge is available concerning their implementationand impact in Europe, a gap that the CARICT project (http://is.jrc.es/pages/EAP/eInclusion/carers.html) has tried to fill.

    Method: 54 ICT-based interventions addressing needs of older peopleor their family caregivers have been identified in 12 European countries through internet search, literature review and expert interviews. Reports have been delivered for each case studied, and cross-analysed to better understand their potential impact at micro, meso and macro level.

    Results: Little evidence was found for positive outcomes at micro-level, including improvements in users’ health relatedquality of life and social inclusion. At meso-level, implementation of 1st/2nd generation telecare contributes to reduce hospitalization and institutionalization rates of older users, as well asto cost savings for local care providers. At macro-level, only one intervention shows concrete effects on a larger scale through a targeted program evaluation, while most ICT-based interventions do not useany tool to assess their impact, and can thus demonstrate only technology acceptance or users’ satisfaction.

    Conclusion: The lack of relevant evidence at all levels, as well as difficulties in comparing and generalising results, strongly urge practitioners to improve impact assessment methodologies and researchers to develop a better general framework of ICT potentials at a conceptual, theoretical and methodological level in this area.

  • 33.
    Barbabella, Francesco
    et al.
    European Centre for Social Welfare Policy and Research, Austria ; National Institute of Health and Science on Ageing (INRCA), Italy.
    Schmidt, Andrea
    European Centre for Social Welfare Policy and Research, Austria.
    Lamontagne-Godwin, Frédérique
    European Centre for Social Welfare Policy and Research, Austria.
    Rodrigues, Ricardo
    European Centre for Social Welfare Policy and Research, Austria.
    Ruppe, George
    European Centre for Social Welfare Policy and Research, Austria.
    Lamura, Giovanni
    European Centre for Social Welfare Policy and Research, Austria ; National Institute of Health and Science on Ageing (INRCA), Italy.
    Assessing the Impact of ICT-based Solutions for Carers in Europe: Preliminary Findings from the CARICT Project2012In: Conference “Challenge Social Innovation: Innovating innovation by research – 100 years after Schumpeter”, ZSI , 2012Conference paper (Refereed)
    Abstract [en]

    Some evidence suggests that information and communication technologies (ICT) can be an efficient mean to improve not only the quality of care provided to dependent older people but also the support for informal carers and privately employed care workers. However, there is a lack of research on ICT-based initiatives and their impact on carers in the European context. Moving from the preliminary findings of the CARICTproject, the paper discusses the first attempt that has been made in Europe to assess the impact of ICTbased initiatives for carers. First, an overview of the developed methodological framework is presented: it includes both a conceptual framework and an impact assessment methodology (IAM) for evaluating multidimensional outcome. Furthermore, an overview of ICT-based solutions in Europe is provided through the analysis of 52 operational initiatives and selected as good practices. Finally, some recommendations and guidelines for further research in the field are discussed.

  • 34.
    Berglund, Charlotte
    Linnaeus University, Faculty of Social Sciences, Department of pedagogy.
    Samverkan - en gemensam angelägenhet: En kvalitativ studie kring socialsekreterares organisatoriska och professionella villkor i samarbetet med sjukvården kring personer med missbruksproblem2017Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte: Syftet med studien var att undersöka olika aspekter av samverkan såsom de uppfattades av en grupp socialsekreterare, för att beskriva organisatoriska och professionella villkor som påverkar samverkan och styr det dagliga arbetet. Metod: Studien utgick från ett fenomenologiskt vetenskapsteoretiskt perspektiv med fokus på människans uppfattning av ett fenomen. Kvalitativa intervjuer gjordes med åtta socialsekreterare med hjälp av vinjettmetoden. Analysen genomfördes enligt fenomenologisk modell utan tolkningar och med fenomenologisk objektivitet. Resultat: Analysen av socialsekreterarnas berättelser visade att klienterna är en gemensam angelägenhet för socialtjänsten och sjukvården. Brister i samverkan påverkar relationen mellan socialtjänsten och sjukvården negativt och kan få allvarliga konsekvenser för klienterna. God och väl fungerande samverkan verkar enande och belönande för såväl socialtjänsten och sjukvården som för klienten. Särskilt poängterades en tydlig och öppen kommunikation, personliga möten och personlig kännedom om varandra och varandras verksamheter. Slutsatser: Olika organisatoriska och professionella villkor för samverkan påverkar varandra ömsesidigt. Viktigt är att skapa hållbara strukturer för en god samverkan. Fortsatta studier krävs för att utveckla en fungerande samverkan i praktiken.

     

  • 35.
    Berglund, Johan
    et al.
    University of Kalmar, School of Human Sciences.
    Åkerman Sturup, Erik
    University of Kalmar, School of Human Sciences.
    Sjuksköterskors erfarenheter av att vårda barn i livets slutskede och deras föräldrar: Döden såväl som födelsen hör sammman med livet2010Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund

    : Vård av barn i livets slutskede och deras föräldrar innefattar att försöka se både barnet och föräldrarnas behov och som sjuksköterska bemöta dessa. Syfte: Syftet är att utifrån aktuell forskning beskriva sjuksköterskors erfarenheter av att vårda till barn i livets slutskede och till deras föräldrar. Metod: Studien är utförd som en systematisk litteraturstudie på kvalitativa studier. Sökningarna utfördes i PubMed, Cinahl och PsychINFO. Sex artiklar inkluderades efter kvalitetsgranskning och analyserades med innehållsanalys. Resultat: Sjuksköterskorna upplever att det är emotionellt påfrestande men också givande och bekräftande att vårda till barn i livets slutskede. Sjuksköterskornas erfarenhet är att barnens existentiella frågor är svåra att bemöta. Samtidigt anser de att organisatoriska faktorer försvårar och upptar tid och resurser från patientarbetet. Copinstrategier var något sjuksköterskorna använde sig av eller som saknades för att klara av arbetet. Slutsats: Sjuksköterskor erfar svårighet att svara på barns frågor om döden och inte engagera sig för mycket emotionellt. Det professionella förhållningssättet var något som var problematiskt att upprätthålla vid vård av barn i livets slutskede. Brist på resurser och tid genererade att de kände en oförmåga att lindra barnens psykiska och fysiska lidande och föräldrarnas sorg. Sjuksköterska har behov informella och formella strategier för att klara av att vårda barn i livets slutskede och deras föräldrar.

  • 36.
    Berner, Jessica
    et al.
    Blekinge Tekniska Högskola.
    Rennemark, Mikael
    Blekinge Tekniska Högskola.
    Jogreus, Claes
    Blekinge Tekniska Högskola.
    Berglund, Johan
    Blekinge Tekniska Högskola.
    Factors associated with change in Internet usage of the swedish older adults between 2004 and 20102012In: Health Informatics Journal, ISSN 1460-4582, E-ISSN 1741-2811, Vol. 19, no 2, p. 152-162Article in journal (Refereed)
    Abstract [en]

    Abstract: The increased reliance on Internet use in social functions has presumably left out a part of the population: the oldest-older adults. These are people who have not kept themselves up to date with the technological developments for various reasons. There are, however, exceptions from whom we have something to learn. This study investigates the older people in Sweden who started to use the Internet over a period of 6 years. Cognition, extraversion, openness, functional disability, household economy, sex, age and education were investigated in relation to starting to use the Internet. A chi-square test, Spearman correlation and a logistic regression analysis were conducted. It was found that higher cognition, being male and being between the ages of 60 and 80 years were determining factors in starting to use the Internet for the Swedish older adult. Our results indicate that the oldest-older adults are slow to adapt to using the Internet and more attention should be paid on how to support this group.

  • 37.
    Bevilacqua, Roberta
    et al.
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Di Rosa, Mirko
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Felici, Elisa
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Stara, Vera
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Barbabella, Francesco
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Rossi, Lorena
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Towards an impact assessment framework for ICT-based systems supporting older people: Making evaluation comprehensive through appropriate concepts and metrics2014In: Ambient Assisted Living: Italian Forum 2013 / [ed] Sauro Longhi, Pietro Siciliano, Michele Germani, Andrea Monteriù, New York: Springer, 2014, p. 215-222Conference paper (Refereed)
  • 38.
    Borg, Kristin
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Gustafsson, Madelene
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Patienter som inte medföljt ambulans: en journalgranskning2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    AbstraktBakgrund: Ambulanssjukvården som arbete och yrke har utvecklats de senaste årtiondena, från att enbart haft krav på att köra ambulans utan sjukvårdsutbildning till att idag vara bemannad med specialiserade ambulanssjuksköterskor. Med hjälp av en korrekt första bedömning kan patienter hänvisas till rätt vårdnivå. Syfte: Syftet med denna studie var att beskriva patienter som inte medföljer ambulans utifrån ambulanssjuksköterskans bedömning av sökorsak eller symtom, SOS prioritet, ålder samt variation över dygnet.Metod: En retroperspektiv journalgranskning med en kvantitativ ansats vilken 120 journaler inkluderades. Resultat: Svårigheten som SOS operatören står inför är att under tidspress göra en adekvat bedömning av sökorsak och brådskandegrad. Resultatet visar på 91 % av ambulansuppdragen, där patienter som inte medföljde ambulans, visade att SOS har prioriterat utkörning med prioritet 1 och 2. Det var en jämn fördelning mellan åldrarna, men två åldergrupper som lämnades hemma mer frekvent var mellan åldrarna 0-9 år och 60-69 år. Tidpunkten på dygnet var jämn spridning, men visade viss ökning mellan kl 18-21 och kl 21-00. Det ambulanssjuksköterskan klassade in som vanligast sökorsak var övrigt, då det inte finns någon annan sökorsak som anses lämplig. De andra större grupperna som lämnades i hemmet var sökorsaken bröstsmärta/bröstkorgsmärta, feber och andningsbesvär/dyspne/andnöd. Slutsats: Det visar på vikten av att SOS operatörens bedömning kompletteras med en bedömning av en sjuksköterska som har möjlighet att se patienten och mäta vitalparametrar. Samtidigt som patienten behöver bli bekräftad i sin upplevelse av sin akuta sjukdom. Ambulanssjuksköterskan besitter en kompetens och är en viktig resurs i vårdkedjan för att lotsa patienten till rätt vårdnivå.

  • 39.
    Boström, Maria
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Rahm, Sofia
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Upplevelsen av andningsfokuserad gruppträning för patienter med KOL: -en interventionsstudie2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Med diagnosen kronisk obstruktiv lungsjukdom (KOL) tillkommer en risk för fysisk inaktivitet. I januari 2015 startade en hälsofrämjande intervention för patienter med diagnosen KOL på en vårdcentral i södra Sverige. Interventionen innebar andningsfokuserad gruppträning för att öka patientens känsla av kontroll över KOL-sjukdomen och öka den fysiska aktiviteten.

    Syfte: Syftet med studein var att beskriva upplevelser efter deltagande i andningsfokuserad gruppträning för patienter med KOL.

    Metod: En kvalitativ intervjustudie omfattande sex patienter med KOL. stadie 1-3, som genomgått andningsfokuserad gruppträning. Materialet transkkriberades och analyserades med en kvalitativ induktiv innehållsanalys.

    Resultat: Informanternas upplevelser resulterade i fyra underkategorier och två kategorier. Underkategorierna; Tilltro till kunskap  coh förmåga och Livsstilsförändring formulerades i kategorin Kunskapsutveckling. Underkategorierna; MOtivation och Fysisk, psykisk och social ohälsa formulerades i kategorin Resurs- och risktillstånd. Alla kategorier samverkade genom att Resurs- och risktillstånd påverkade var informanten befann sig i sin Kunskapsutveckling.

    Slutsats: Andningsfokuserad gruppträning för patienter med KOL kan bidra till ökad kunskap om andningskontroll och ökad motivation till fysisk aktivitet för patienten. Detta kan möjligen skapa förutsättning för patienten att nå förstärkt egenmakt. Andningsfokuserad gruppträning kan användas som en kontinuerlig behandling för patienter med KOL. Patienterna kan regelbundet delta i eller återkomma till gruppträningen om de drabbas av försämring av KOL-sjukdomen eller annan ohälsa.

  • 40.
    Busse, Linda
    Linnaeus University, Faculty of Social Sciences, Department of Sport Science.
    Prevalence of shoulder pain among young Swedish swimmers: A retrospective study2018Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
  • 41.
    Campbell, John
    et al.
    Tokyo University, Japan ; University of Michigan, USA.
    Ikegami, Naoki
    Keio University, Japan.
    Gori, Cristiano
    London School of Economics, UK ; Catholic University of Milan, Italy.
    Barbabella, Francesco
    National Institute of Health and Science on Ageing (INRCA), Italy.
    D'Amico, Francesco
    London School of Economics, UK.
    Holder, Holly
    The Nuffield Trust, UK.
    Ishibashi, Tomoaki
    Dia Foundation for Research on Ageing Societies, Japan.
    Johansson, Lennarth
    Jönköping University.
    Komisar, Harriet
    AARP’s Public Policy Institute, USA.
    Ring, Magnus
    Lund University.
    Theobald, Hildegard
    University of Vechta, Germany.
    How different countries allocate long-term care resources to older users: a comparative snapshot2016In: Long-term care reforms in OECD countries: Successes and failures / [ed] Cristiano Gori, José-Luis Fernandez, Raphael Wittenberg, Bristol: Policy Press, 2016, p. 47-76Chapter in book (Refereed)
  • 42. Carretero, Stephanie
    et al.
    Stewart, James
    Centeno, Clara
    Barbabella, Francesco
    Schmidt, Andrea
    Lamontagne-Godwin, Frédérique
    Lamura, Giovanni
    Can Technology-based Services support Long-term Care Challenges in Home Care?: Analysis of evidence from social innovation good practices across the EU : CARICT project summary report2012Book (Other (popular science, discussion, etc.))
    Abstract [en]

    Deployment and use of technological services for informal carers is still limited, mainly due to users' low digital skills, the lack of demonstrated business cases, and the poor evidence of the impact and sustainability of these services. The CARICT project aimed to collect evidence-based results on the impact of ICT-enabled domiciliary care services, and to make policy recommendations to develop, scale and replicate them in the European Union. The methodology was based on a mapping of 52 ICT-based services for informal carers developed in Europe, and a cross–analysis of 12 of these initiatives to get data on their impacts, drivers, business models, success factors, and challenges. The main results show that there is a wide range of successful, not very costly and beneficial examples of ICT-based support for carers across Europe. The cross-analysis indicated that these services had positive impacts on the quality of life of elderly people and informal carers, the quality of care and the financial sustainability of the health and social systems. The data also confirm that policy at European, national, regional and local levels can promote the successful development, implementation and transferability of these services through funding, policy leadership and by promoting stronger cooperation among stakeholders including end-users, mainly from the third sector and informal carers, to create a new value chain in the provision of long-term care. These findings help to achieve the objectives of European policy defined by the 2020 Strategy, and more specifically the Digital Agenda for Europe (DAE) and the European Innovation Partnership on Healthy and Active Ageing (EIP AHA)

  • 43.
    Carretero, Stephanie
    et al.
    Institute for Prospective Technological Studies (IPTS), Spain.
    Stewart, James
    Institute for Prospective Technological Studies (IPTS), Spain.
    Centeno, Clara
    Institute for Prospective Technological Studies (IPTS), Spain.
    Barbabella, Francesco
    European Centre for Social Welfare Policy and Research, Austria.
    Schmidt, Andrea
    European Centre for Social Welfare Policy and Research, Austria.
    Lamontagne-Godwin, Frédérique
    European Centre for Social Welfare Policy and Research, Austria.
    Lamura, Giovanni
    European Centre for Social Welfare Policy and Research, Austria.
    Can Technology-based Services support Long-term Care Challenges in Home Care?: Analysis of Evidence from Social Innovation Good Practices across the EU: CARICT Project Summary Report2012Report (Other (popular science, discussion, etc.))
    Abstract [en]

    Deployment and use of technological services for informal carers is still limited, mainly due to users' low digital skills, the lack of demonstrated business cases, and the poor evidence of the impact and sustainability of these services. The CARICT project aimed to collect evidence-based results on the impact of ICT-enabled domiciliary care services, and to make policy recommendations to develop, scale and replicate them in the European Union. The methodology was based on a mapping of 52 ICT-based services for informal carers developed in Europe, and a cross–analysis of 12 of these initiatives to get data on their impacts, drivers, business models, success factors, and challenges. The main results show that there is a wide range of successful, not very costly and beneficial examples of ICT-based support for carers across Europe. The cross-analysis indicated that these services had positive impacts on the quality of life of elderly people and informal carers, the quality of care and the financial sustainability of the health and social systems. The data also confirm that policy at European, national, regional and local levels can promote the successful development, implementation and transferability of these services through funding, policy leadership and by promoting stronger cooperation among stakeholders including end-users, mainly from the third sector and informal carers, to create a new value chain in the provision of long-term care. These findings help to achieve the objectives of European policy defined by the 2020 Strategy, and more specifically the Digital Agenda for Europe (DAE) and the European Innovation Partnership on Healthy and Active Ageing (EIP AHA)

  • 44.
    Cavellan, Nicklas
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Wedebrand, Marcus
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Det är min sjukdom också: Hur en livspartner till någon som drabbas av en hjärtinfarkt påverkas, en systematisk litteraturstudie.2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 45.
    Cederborg, Ida
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Kan Knaves synergonomiska enkät användas för att se skillnad i ögon, muskel- och ledbesvär efter en kortare period?2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of this study was to investigate if vision ergonomics advice, could improve eye, muscles and joint symptoms.

    The participants worked at Profil Gruppen. They all worked in front of a computer part of the day. This study included 15 participants, 9 men and 6 women. The average age was 44 years. They did not need to have any glasses or lenses, the only criteria was that they worked in front of a computer.

    The participants answered Knave’s questionnaire about eye, muscles and joint symptoms, illumination at work and some general health questions. A visit was made at the participants’ workplace. During the visit the illuminance, luminance, distance to the screen, the horizontal line of sight to the screen and the size on the letters were measured. The workers were also given advice about improved ergonomics. Three weeks after the visit they answered two of the questions from the questionnaire again, to compare if the eye, muscles and joint symptoms had changed. One of the participants did not answer the questionnaire the second time and therefore is not included in the study.

    The median for eye discomfort were 1.5 before the visit and 1 after. The median for muscle and joint discomfort were 3 before and 4 after the visit.

    A Wilcoxon test were performed and it shows that there is no significant difference before and after the vision ergonomics recommendations.

    This study shows that there is no major difference in the symptoms after vision ergonomics advice have been given to the participants.

  • 46.
    Chiatti, Carlos
    et al.
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Barbabella, Francesco
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Di Rosa, Mirko
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Lamura, Giovanni
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Martin-Matthews, Anne
    University of British Columbia, Canada.
    Papa, Roberta
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Svensson, Torbjörn
    Lund University.
    ISSA 2012: The medium-term impact of the first ISSA in the eyes of its participants2015In: Irish Ageing Studies Review, ISSN 1649-9972, Vol. 6, no 1, p. 44-44Article in journal (Refereed)
    Abstract [en]

    Background: This contribution aims at illustrating the perspective of students attending the first International Summer School on Ageing (ISSA), highlighting the midterm impact exerted by this initiative on their own educational career.

    Methods: The reported findings are based on a follow-up assessment questionnaire sent out to and filled-in by ISSA participants (n= 20) six months after the Summer School’s conclusion, with the aim of identifying whether participation in the ISSA had brought any advantage to each participant's professional and educational life.

    Results: Among the ISSA-related aspects identified as “important” for their future research activity, the main ones were “interacting with established researchers” (100%) and “being part of a research network” (85%), followed by “use of different approaches” and “training environment”. As for the aspects “influenced” by the ISSA, the “development of a professional network” was the most frequently mentioned (100%), followed by “research training” (84%), “research interest” (79%) and “career” (71%). The majority of participants reported that, since their ISSA attendance, had remained in contact with each other for study-related (65%) or work-related (60%) purposes. This networking activity has led to joint scientific collaborations with both mentors (one joint conference presentation and two peer-review publications) and fellow students (preparation of a project proposal in response toa research call and organisation of a scientific event).

    Conclusions: The reported findings show that the ISSA has been useful in creating a collaborative multidisciplinary network of younger and older researchers on ageing-related issues, which is likely to bear more fruitin the long-term.

  • 47.
    Chiatti, Carlos
    et al.
    Marche Polytechnic University, Italy ; National Institute of Health and Science on Ageing (INRCA), Italy.
    Barbabella, Francesco
    Università degli Studi di Macerata, Italy ; National Institute of Health and Science on Ageing (INRCA), Italy.
    Lamura, Giovanni
    National Institute of Health and Science on Ageing (INRCA), Italy ; European Centre for Social Welfare Policy and Research, Austria.
    Gori, Cristiano
    Università Cattolica del Sacro Cuore, Italy ; Istituto per la ricerca sociale, Italy ; London School of Economics, UK.
    La "bussola" di NNA: lo stato dell'arte basato sui dati2010In: L'assistenza agli anziani non autosufficienti in Italia: 2° Rapporto, Rapporto promosso dall’IRCCS-INRCA per il Network nazionale per l’invecchiamento / [ed] N.N.A., Rimini: Maggioli Editore, 2010, p. 13-39Chapter in book (Refereed)
  • 48.
    Chiatti, Carlos
    et al.
    National Institute of Health and Science on Ageing (INRCA), Italy ; University of Newcastle upon Tyne, UK.
    Barbabella, Francesco
    National Institute of Health and Science on Ageing (INRCA) ; European Centre for Social Welfare Policy and Research of Vienna, Austria.
    Lamura, Giovanni
    National Institute of Health and Science on Ageing (INRCA) ; European Centre for Social Welfare Policy and Research of Vienna, Austria.
    Gori, Cristiano
    London School of Economics, UK.
    La "bussola" di N.N.A.: lo stato dell'arte basato sui dati2011In: L'assistenza agli anziani non autosufficienti in Italia: 3° Rapporto, Il monitoraggio degli interventie il punto sulla residenzialità / [ed] N.N.A., Rimini: Maggioli Editore, 2011, p. 13-34Chapter in book (Refereed)
  • 49.
    Chiatti, Carlos
    et al.
    National Institute of Health and Science on Ageing (INRCA), Italy Marche Polytechnic University, Italy ; Lund University.
    Barbabella, Francesco
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Masera, Filippo
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Gli standard ed i requisiti di qualità nei servizi di assistenza residenziale2013In: L'assistenza agli anziani non autosufficienti in Italia: 4° Rapporto, Tra crisi e ripartenza / [ed] N.N.A., Rimini: Maggioli Editore, 2013, p. 71-91Chapter in book (Refereed)
  • 50.
    Chiatti, Carlos
    et al.
    National Institute of Health and Science on Ageing (INRCA), Italy ; Lund University.
    Di Rosa, Mirko
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Barbabella, Francesco
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Greco, Cosetta
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Melchiorre, Maria Gabriella
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Principi, Andrea
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Santini, Sara
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Lamura, Giovanni
    Migrant care work for elderly households in Italy2013In: Ageing in the Mediterranean / [ed] Joseph Troisi, Hans-Joachim von Kondratowitz, Bristol: Policy Press, 2013, p. 235-256Chapter in book (Other academic)
    Abstract [en]

    This paper aims at pointing out the need for a more equitable, internationally driven approach to solve elder care staff shortages, on the background of the implications deriving from the widespread phenomenon of employing migrant care workers in the Italian elder care sector. The paper describes at first how this form of care provision has become so popular in this country to face the long term care needs characterising its ageing population. Main reasons are identified, on the one hand, in the decreasing availability of informal care, due to the increasing female participation in the labor market, a longer working life and a reduction in the support provided by social networks. On the “formal” side, a major role has been played also by the lack of appropriate long term care services, such as residential and public home care, as well as by a chronic shortage of nursing staff and a shorter length of hospital stays. The traditionally “cash-oriented” profile of the Italian welfare system – more based on cash-for-care measures rather than in-kind services – has ended up with perpetuating familistic tendencies stimulating the employment of foreign migrant care workers, often on a live-in, undeclared basis. The paper’s conclusions focus on the analysis of the main opportunities and challenges raised by this phenomenon, trying to catch all involved parties’ perspectives: the older care recipients’ families; the migrant care workers; the receiving and the sending societies. This approach allows to identify core advantages of this solution in the possibility to increase ageing in place opportunities (thus reducing institutionalisation rates) and to provide a more personalised home care at reasonable costs. On the other hand, drawbacks can occur in terms of low quality of care, risk of widespread undeclared labour conditions, possible exploitation of foreign migrants and abuse of older people, as well as “brain and care drain” effects in sending countries. A more neutral, internationally driven governance is therefore suggested in order to minimize these risks and promote equitable solutions to solve care provision shortages in some countries without “plundering the future” of other nations.

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