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  • 1.
    Fröberg, Andreas
    et al.
    University of Gothenburg.
    Jonsson, Linus
    University of Gothenburg.
    Berg, Christina
    University of Gothenburg.
    Lindgren, Eva-Carin
    University of Gothenburg;Halmstad University.
    Korp, Peter
    University of Gothenburg.
    Lindwall, Magnus
    University of Gothenburg.
    Raustorp, Anders
    Linnaeus University, Faculty of Social Sciences, Department of Sport Science. University of Gothenburg.
    Larsson, Christel
    University of Gothenburg.
    Effects of an Empowerment-Based Health-Promotion School Intervention on Physical Activity and Sedentary Time among Adolescents in a Multicultural Area2018In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 15, no 11, article id 2542Article in journal (Refereed)
    Abstract [en]

    Physical activity (PA) decreases with age, and interventions are needed to promote PA during adolescence, especially, among those in low-socioeconomic status (SES) areas. The aim of this study was to investigate whether a two-year, empowerment-based health-promotion school intervention had any effects on changes in (a) moderate-to-vigorous PA (MVPA), (b) sedentary time (SED), (c) exercise training (ET) frequency, and (d) ET duration, among adolescents. Participants (aged 12-13 years at baseline) from one intervention school and two control schools, were recruited from a multicultural area of Sweden, characterized by low-SES. During the course of the two-year intervention, a total of 135 participants (43% boys) were included in the study. The intervention was developed and implemented as a result of cooperation and shared decision-making among the researchers and the participants. MVPA and SED were measured with accelerometers, and ET frequency and duration was self-reported at the beginning of the seventh, eighth, and ninth grade, respectively. There were no significant effects of the two-year, empowerment-based health-promotion school intervention on changes in the accelerometer-measured MVPA and SED, or the self-reported ET frequency and duration, among the adolescents. Overall, the intervention was unsuccessful at promoting PA and reducing SED. Several possible explanations for the intervention's lack of effects are discussed.

  • 2.
    Pagels, Peter
    et al.
    Linnaeus University, Faculty of Social Sciences, Department of Sport Science. Karolinska Institutet.
    Raustorp, Anders
    Linnaeus University, Faculty of Social Sciences, Department of Sport Science. University of Gothenburg.
    Guban, Peter
    Stockholm County Council.
    Fröberg, Andreas
    University of Gothenburg.
    Boldemann, Cecilia
    Karolinska Institutet.
    Compulsory school in- and outdoors: implications for school children’s physical activity and health during one academic year2016In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 13, no 7, p. 1-11, article id 699Article in journal (Refereed)
    Abstract [en]

    Regulated school days entail less free-living physical activity (PA) and outdoor stay, which may jeopardize the opportunities for cohesive moderate-to-vigorous physical activity (MVPA) and, by extension, children’s health. The role of outdoor stay during school time for pupils’ free-living PA vs. physical education (PE) and indoor stay was studied during one academic year in 196 pupils aged 7–14 years at four schools in mid-southern Sweden during five consecutive days each in September, March, and May. Actigraph GT3X+ Activity monitors were used. Predictors for PA during school stay were expressed as mean daily accelerometer counts and were measured per season, day, grade, gender, weather, and time outdoors. Overall, free-living PA outdoors generated the highest mean accelerometer counts for moderate and vigorous PA. Outdoor PA and PE, representing 23.7% of the total school time contributed to 50.4% of total mean accelerometer counts, and were the greatest contributors to moderate and vigorous PA. Age and weather impacted PA, with less PA in inclement weather and among older pupils. More time outdoors, at all seasons, would favorably increase school children’s chances of reaching recommended levels of PA.

  • 3.
    Swahnberg, Katarina
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Zbikowski, Anke
    Jönköpings County Hospital Ryhov, Sweden.
    Wijewardene, Kumudu
    Univ Sri Jayewardenepura, Sri Lanka.
    Josephson, Agneta
    Dramapedagogbyrån, Sweden.
    Khadka, Prembarsha
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Jeyakumaran, Dinesh
    Univ Sri Jayewardenepura, Sri Lanka.
    Mambulage, Udari
    Univ Sri Jayewardenepura, Sri Lanka.
    Infanti, Jennifer J.
    Norwegian Univ Sci & Technol, Norway.
    Can Forum Play Contribute to Counteracting Abuse in Health Care?: A Pilot Intervention Study in Sri Lanka2019In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 16, no 9, p. 1-10, article id 1616Article in journal (Refereed)
    Abstract [en]

    Obstetric violence refers to the mistreatment of women in pregnancy and childbirth care by their health providers. It is linked to poor quality of care, lack of trust in health systems, and adverse maternal and neonatal outcomes. Evidence of interventions to reduce and prevent obstetric violence is limited. We developed a training intervention using a participatory theatre technique called Forum Play inspired by the Theatre of the Oppressed for health providers in Sri Lanka. This paper assesses the potential of the training method to increase staff awareness of obstetric violence and promote taking action to reduce or prevent it. We conducted four workshops with 20 physicians and 30 nurses working in three hospitals in Colombo, Sri Lanka. Participants completed a questionnaire before and three-to-four months after the intervention. At follow-up, participants more often reported that they had been involved in situations of obstetric violence, indicating new knowledge of the phenomenon and/or an increase in their ability to conceptualise it. The intervention appears promising for improving the abilities of health care providers to recognise obstetric violence, the first step in counteracting it. The study demonstrates the value of developing further studies to assess the longitudinal impacts of theatre-based training interventions to reduce obstetric violence and, ultimately, improve patient care.

  • 4.
    Tuvesson, Hanna
    et al.
    Blekinge Institute of Technology ; Malmö University.
    Eklund, Mona
    Lund university.
    Psychosocial work environment, stress factors and individual characteristics among nursing staff in psychiatric in-patient care2014In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 11, no 1, p. 1161-1175Article in journal (Refereed)
    Abstract [en]

    The psychosocial work environment is an important factor in psychiatric in-patient care, and knowing more of its correlates might open up new paths for future workplace interventions. Thus, the aims of the present study were to investigate perceptions of the psychosocial work environment among nursing staff in psychiatric in-patient care and how individual characteristics—Mastery, Moral Sensitivity, Perceived Stress, and Stress of Conscience—are related to different aspects of the psychosocial work environment. A total of 93 nursing staff members filled out five questionnaires: the QPSNordic 34+, Perceived Stress Scale, Stress of Conscience Questionnaire, Moral Sensitivity Questionnaire, and Mastery scale. Multivariate analysis showed that Perceived Stress was important for Organisational Climate perceptions. The Stress of Conscience subscale Internal Demands and Experience in current units were indicators of Role Clarity. The other Stress of Conscience subscale, External Demands and Restrictions, was related to Control at Work. Two types of stress, Perceived Stress and Stress of Conscience, were particularly important for the nursing staff’s perception of the psychosocial work environment. Efforts to prevent stress may also contribute to improvements in the psychosocial work environment.

  • 5.
    Zubak, Zoran
    et al.
    University of Mostar, Bosnia and Herzegovina ; Special Orthopedic Hospital Biograd, Croatia.
    Zenic, Natasa
    University of Split, Croatia.
    Ostojic, Ljerka
    University of Mostar, Bosnia and Herzegovina ; University of Split, Croatia ; Academy of Medical Sciences, Bosnia and Herzegovina.
    Zubak, Ivana
    University of Zadar, Croatia.
    Pojskić, Haris
    Mid Sweden University.
    A Prospective study on the influence of scholastic factors on the prevalence and initiation of illicit drug misuse in adolescence2018In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 15, no 5, p. 1-12, article id 874Article in journal (Refereed)
    Abstract [en]

    Background: This study aimed to prospectively investigate the scholastic factors related to illicit drug misuse (IDM) and the initiation of IDM among older adolescents from Bosnia andHerzegovina. Methods: This 2-year prospective study included 436 participants (202 females), who were an average of 16 years old at the beginning of the study (baseline). The participants were tested at baseline and follow-up (20 months later). The predictors included variables of scholastic-achievement (grade point average, school absences, unexcused absences and behavioral grade). The criteria were: (i) IDM at baseline; (ii) IDM at follow-up; and (iii) initiation of IDM over the study course. Results: Logistic regression indicated increased odds of IDM in adolescents who were more frequent absent from school (baseline: Odds Ratio (OR): 3.73, 95% Confidence Interval (CI): 2.12–6.57; follow-up: OR: 2.91, 95% CI: 1.90–4.65). The lower grade point average and more unexcused absences were evidenced for adolescents who consumed drugs on follow-up(OR: 1.67, 95% CI: 1.11–2.51; OR: 1.74, 95% CI: 1.30–2.32 for grade point average and unexcused absences, respectively). Initiation of IDM was predicted by frequent absences from school (OR: 2.2,95% CI: 1.3–3.8), and lower behavioral grades (OR: 1.9, 95% CI: 1.2–3.3). Conclusions: The findings confirmed strong correlations between scholastic failure and IDM. Absences from school and lower behavioral grades at baseline were predictive of the initiation of IDM in older adolescents.

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