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  • 1.
    Andersen, Pia
    et al.
    Region Kronoberg;Linköping University.
    Holmberg, Sara
    Region Kronoberg;Lund University.
    Lendahls, Lena
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Region Kronobergen.
    Nilsen, Per
    Linköping University.
    Kristenson, Margareta
    Linköping University.
    Physical Activity on Prescription with Counsellor Support: A 4-Year Registry-Based Study in Routine Health Care in Sweden2018In: Healthcare, E-ISSN 2227-9032, Vol. 6, no 2, article id 34Article in journal (Refereed)
    Abstract [en]

    Background: Public health gains from physical activity on prescription (PAP) depend on uptake in routine care. We performed an evaluation of the implementation, in a Swedish county council, of counsellors who give personalized support to PAP recipients aimed at facilitating PAP delivery. The aim was to compare characteristics between PAP recipients and the health care population as well as between PAP recipients who used and did not use counsellor support. We also investigated professional belonging and health care setting of health care professionals who prescribed PAP. Methods: All patients' >= 18 years who received PAP during 2009-2012 in primary and secondary care in the County Council of Kronoberg were included (n = 4879). Data were retrieved from electronic medical records. Main outcome measures were patient and professional characteristics. Results: A third of the PAP recipients had diseases in >= 5 diagnostic groups and more than half had >= 11 office visits the year before receiving PAP. Counsellor support was used by one-third and PAP recipients who used counsellor support had more multiple diagnoses and office visits compared with non-users. Physicians issued 44% of prescriptions and primary care was the predominant setting. The amount of PAP did not change over time, but the proportion of physicians' prescriptions decreased while the proportion of nurses' prescriptions increased. Conclusions: PAP recipients had high morbidity and were frequent health care attenders, indicating that PAP was predominantly used for secondary or tertiary prevention. PAP rates did not increase as intended after the implementation of counsellor support.

  • 2.
    Andersen, Pia
    et al.
    Region Kronoberg;Linköping University.
    Lendahls, Lena
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Region Kronoberg.
    Holmberg, Sara
    Region Kronoberg;Lund University.
    Nilsen, Per
    Linköping University.
    Patients' experiences of physical activity on prescription with access to counsellors in routine care: a qualitative study in Sweden2019In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 19, article id 210Article in journal (Refereed)
    Abstract [en]

    BackgroundPhysical activity on prescription (PAP) has been implemented in several countries, including Sweden, to support patients who might benefit from increased physical activity. This study explores the experiences of recipients of PAP in routine health care in Sweden that offers the recipients support from physical activity counsellors. The aim was to explore influences on engagement in physical activity by PAP recipients' from a long-term perspective.MethodsWe conducted individual semi-structured interviews using a topic guide with a purposively selected sample of 13 adult PAP recipients 1.5 to 2.5years after PAP. Interviews were recorded, transcribed verbatim and analysed through inductive and deductive content analysis. The questions were informed by Capability-Opportunity-Motivation-Behaviour (COM-B), which was also used as a framework to analyse the data by means of categorizing the factors (influences on the behaviour).ResultsTen factors (i.e. sub-categories) that influenced the participants' engagement in physical activity were identified. PAP recipients' capability to engage in physical activity was associated with adapting the PAP to the individual's physical capacity and taking into account the individual's previous experiences of physical activity. PAP recipients' opportunity to engage in physical activity was related to receiving a prescription, receiving professional counselling and follow-up from a physical activity counsellor, collaboration between prescriber and counsellor, having access to appropriate activities, having a balanced life situation and having support from someone who encouraged continued physical activity. PAP recipients' motivation to engage in physical activity was associated with the desire to improve his or her health condition and finding activities that encouraged continuation.ConclusionsPAP recipients' engagement in physical activity was influenced by their capability, opportunity and motivation to undertake this behaviour. Numerous extraneous factors influence capability and motivation. Physical activity counsellors were found to be important for sustained activity because they use an individual approach to counselling and flexible follow-up adapted to each individual's need of support.

  • 3.
    Bergevi, Charlotte
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Lendahls, Lena
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Region Kronoberg.
    Crang-Svalenius, Elizabeth
    Lund University.
    Oscarsson, Marie
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    From passive passenger to participating co-pilot - Pregnant women's expectations of being able to access their online journal from antenatal care2018In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 15, p. 35-39Article in journal (Refereed)
    Abstract [en]

    Objective: The aim of the study was to describe pregnant women's expectations of being able to access their electronic health records from antenatal care. Methods: Nine pregnant women passing 25 full gestational weeks were interviewed individually. Collected data were analysed with an inductive approach using content analysis. The study was performed in antenatal care units in southern Sweden. Results: The following five categories emerged from the analysis: Being able to achieve increased participation, being able to have more control, being more knowledgeable about the pregnancy, identification of possible risks, and perceptions of one's own well-being can predict usage. The five categories led to one main category: 'Shift in power from passive passenger to participating co-pilot'. Conclusion: The pregnant women expected that having access to electronic health records would give them more control, make them more knowledgeable and increase their participation. Access to electronic health records may empower pregnant women and contribute to a more person-centred approach. This could provide greater knowledge for the woman and her partner about her health, thus, allowing them to make evidence-based choices in relation to the newborn baby and the woman's health.

  • 4.
    Bjelke, Maria
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Region Kronoberg, Sweden.
    Lendahls, Lena
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Region Kronoberg, Sweden.
    Oscarsson, Marie
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Management of the passive phase of the second stage of labour in nulliparous women—Focus group discussions with Swedish midwives2019In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 75, p. 89-96Article in journal (Refereed)
  • 5.
    Bjelke, Maria
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Region Kronoberg, Sweden.
    Martinsson, Anna-Karin
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Region Kronoberg, Sweden.
    Lendahls, Lena
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Region Kronoberg, Sweden.
    Oscarsson, Marie
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Using the internet as a source of information during pregnancy: a descriptive cross-sectional study in Sweden2016In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 40, p. 187-191Article in journal (Refereed)
    Abstract [en]

    Objective

    The Internet plays a major role for pregnant women in seeking knowledge and for getting in touch with like-minded women. The information is available at all hours and can be accessed anywhere. The information provides the women with a sense of control and confidence but the large amount of information available can also be overwhelming. The aim of this study was to identify how women use the Internet as a source of information during their pregnancy and how it affects them.

    Design and setting

    A descriptive cross-sectional study was conducted.Data were collected through a questionnaire at antenatal clinics in the southern Sweden. The data were analyzed descriptively

    Participants

    A total of 193 Swedish women, pregnant at least 34 weeks, participated in the study. The response rate was 94%.

    Findings

    Almost all (95%) of the women in the study used the Internet as a source of information. The main reason was to find information and read about people in the same situation. Reading pregnancy-related information on the Internet was seen as positive. However, a majority of the woman experienced feelings of worry due to something they read online. These feelings were most commonly coped with by talking to a partner, relatives, and friends or by asking the midwife at their next appointment. Eleven per cent of the women contacted the general healthcare services because of their feelings of worry.

    Conclusion

    Almost all women in this study searched the Internet to find pregnancy-related information, despite being satisfied with the information they received from the ANC. Using the Internet was seen as complementary to the information from professionals. It also caused feelings of worry, which could lead to the woman contacting healthcare services for support. ANC could help to reduce these feelings for some women by informing about the advantages and disadvantages with online information and recommending suitable web pages.

  • 6.
    Edvardsson Aurin, Ingrid
    et al.
    Lund University ; Kronoberg County Council.
    Lendahls, Lena
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Kronoberg County Council.
    Haraldsson, Katarina
    Department of Research and Development, Sweden.
    Tobacco cesssation - as we want it!: an interview study with young people2018In: Abstract Book - 17th World Conference on Tobacco or Health: 7-9 March 2018, Cape Town, South Africa / [ed] James Elliott Scott & Israel Agaku, Heraklion, Crete, Greece: EUEP European Publishing , 2018, Vol. 16, no Suppl 1, p. 115-115, article id A302Conference paper (Other academic)
    Abstract [en]

    Background: Smoking among teenagers and young people is still common and about every third young smoker states that they want to quit smoking. There are no obvious evidence-based methods for tobacco cessation for young people, and therefore, the same methods are used for young people as well as adults. The aim was to study young people's views about what support they would like for quit smoking, with the intention of developing a model for tobacco cessation for young people through interviews with the target groups.

    Methods: A qualitative study using a descriptive and exploratory design was conducted. Young smokers 16 - 29 years old (n=25) were interviewed in five focus groups in southern Sweden. Data were analyzed by content analysis.

    Results: The results illuminate young people's suggestions to develop a model for tobacco cessation. Four main categories emerged; Existing support rejected - existing apps, support- by SMS, and self-help brochures did not appeal to young people. Agreement between friends - To sign an agreement between two friends which included a fee on relapse. Adult support - To organize the model with duo groups and give adapted support. Celebrate and competition - Lift the positive with the freedom of smoke and create the opportunity to win simple prizes to celebrate the achieved interim goals.

    Conclusions: The young people suggested that the model for tobacco cessation would contain adult support and involves an agreement between friends and has elements of celebration and competition. The challenge will be to implement this model into environments where young people live.

  • 7.
    Lendahls, Lena
    et al.
    University of Kalmar, School of Human Sciences.
    Edvardsson, Ingrid
    Håkansson, Anders
    When do adolescents become smokers?2008In: Scandinavian Journal of Primary Health Care, ISSN 0281-3432, E-ISSN 1502-7724, Vol. 1, p. 1-6Article in journal (Refereed)
  • 8.
    Lendahls, Lena
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Oscarsson, Marie
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Midwifery students´ experiences of simulation- and skills training2017In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 50, p. 12-16Article in journal (Refereed)
    Abstract [en]

    Background

    In Sweden, simulation- and skills training are implemented in midwifery education in order to prepare students for clinical practice. Research regarding the use of both low to high levels of fidelity in simulation in midwifery programme is limited.

    Aim

    The aim of this study was to explore midwifery students' experiences of simulation- and skills training.

    Methods

    Midwifery students (n = 61), at advanced level, were interviewed in 13 group interviews from 2011 to 2105. A semi-structured interview guide was used, and data were analysed by content analysis.

    Results

    The results are presented in four main categories: develops hands on skills and communication, power of collaborative learning, highly valued learning environment and facilitates clinical practice. The majority of students felt that the simulation- and skills training were necessary to become familiar with hands on skills. Having repetitive practices in a safe and secure environment was viewed as important, and students highly valued that mistakes could be made without fear of comprising patient safety. Student's collaboration, reflections and critical thinking increased learning ability. Simulation- and skills training created links between theory and practice, and the lecturer had an important role in providing instructions and feedback. Students felt prepared and confident before their clinical practice, and simulation- and skills training increased safety for all involved, resulting in students being more confident, as patients in clinical practice became less exposed. Furthermore, mentors were satisfied with students' basic skills.

    Conclusion

    Simulation- and skills training support the development of midwifery skills. It creates links between theory and practice, which facilitates students' learning ability. Training needs to include reflections and critical thinking in order to develop their learning. The lecturer has an important role in encouraging time for reflections and creating safe environment during the skills and simulation training.

  • 9.
    Oscarsson, Marie
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Medin, Erica
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Holmström, Ida
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Lendahls, Lena
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Region Kronoberg, Sweden.
    Using the Internet as source of information during pregnancy: a descriptive cross-sectional study among fathers-to-be in Sweden2018In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 62, p. 146-150Article in journal (Refereed)
    Abstract [en]

    Objective

    The aim of this study was to identify how fathers-to-be used the Internet as a source of information during their partners' pregnancy and how it affected them.

    Design and setting

    A descriptive cross-sectional study was conducted. Data were collected through a questionnaire and distributed at a maternity clinic in south of Sweden. The data were analysed descriptively.

    Participants

    Ninety-two Swedish fathers participated in the study, and the response rate was 98.9%.

    Findings

    Of all the fathers-to-be, 76% sought pregnancy-related information on the Internet. One sought information on a daily basis, 40.6% every week and 58% every month or more rarely. The fathers-to-be who participated at all/most visits at antenatal care searched for information on the Internet more often than those who only attended few/no visits (p = 0.012). A total of 33.4% of fathers-to-be had been recommended a web page by the midwife at the antenatal care. The main reason for using the Internet was to find information about pregnancy related subjects and read about people in similar situations. More than half of the fathers-to-be (61.8%) had at some point been worried by something they read online. These concerns were commonly addressed by asking the midwife at their next appointment (33.9%). Almost 26% of the fathers-to-be chose not to take any action at all to address their concerns.

    Conclusion

    The majority of all fathers-to-be searched for information on the Internet, and more than half of the fathers were, at some point, worried about the information they read on the Internet. One way to address questions and concerns could be for the fathers-to-be to ask and discuss with the midwives what they read online so that midwives can recommend appropriate and credible websites. To achieve this, there must be opportunities for midwives to gain knowledge on how best to use the Internet as a tool.

  • 10.
    Stogianni, A.
    et al.
    Cent Hosp, Kronoberg ; Lund University.
    Lendahls, Lena
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Region Kronoberg .
    Thunander, M.
    Lund University ; Region Kronoberg.
    Maternal and perinatal outcomes in all diabetes pregnancies and controls in Kronoberg 2009-20122017In: Diabetologia, ISSN 0012-186X, E-ISSN 1432-0428, Vol. 60, p. S433-S433Article in journal (Other academic)
  • 11.
    Stogianni, Anna
    et al.
    Lund University, Sweden;Central Hospital Växjö, Sweden;Region Kronoberg, Sweden;Skåne University Hospital, Sweden.
    Lendahls, Lena
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Region Kronoberg, Sweden.
    Landin-Olsson, Mona
    Lund University, Sweden;Skåne University Hospital, Sweden.
    Thunander, Maria
    Lund University, Sweden;Central Hospital Växjö, Sweden;Region Kronoberg, Sweden.
    Obstetric and perinatal outcomes in pregnancies complicated by diabetes, and control pregnancies, in Kronoberg, Sweden2019In: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 19, article id 159Article in journal (Refereed)
    Abstract [en]

    BackgroundDiabetes during pregnancy is an increasingly common metabolic disorder, associated with significantly increased risks for both mother and child. Aim of this study was to compare maternal and perinatal outcomes in women with pregestational (PDM) type 1 (T1DM), type 2 diabetes (T2DM), gestational diabetes mellitus (GDM) and compare these to pregnancies not complicated with diabetes. This study also evaluated a specifically organized care-model mostly involving specialist diabetes nurses.MethodsRetrospective population-based records review 2009-2012. Rates of maternal (preeclampsia, pre-term delivery, cesarean section (CS)) and fetal outcomes (large for gestational age (LGA), macrosomia, congenital malformations/intrauterine death) were assessed and potential predisposing or contributing factors as maternal age, ethnicity, obesity, weight gain, parity, HbA1c levels, insulin types and doses.ResultsAmong 280 pregnancies 48 were PDM, 97 GDM and 135 without diabetes. Within the group with diabetes, early-pregnancy BMI was higher (p=0.0001), pregnancy weight gain lower (11.16.7kg vs 13.1 +/- 7.1kg, p=0.005), more delivered preterm (p=0.0001), by CS (p=0.05), and had more LGA neonates (p=0.06) than the group without diabetes. Among pregnancies with diabetes, GDM mothers gained less weight (9.9kg vs 13.5kg) (p=0.006), and rates of CS (p=0.03), preterm deliveries (p=0.001) and LGA (p=0.0001) were not increased compared to PDM; More T1DM infants were LGA, 60% vs. 27% in T2DM. In pregnancies with diabetes obesity, excessive weight gain and multiparity were associated with increased risk of LGA neonates, and mother's type of diabetes and gestational week were associated with higher rates of CS.Conclusion p id=Par4 Weight gain during pregnancy was lower in pregnancies with diabetes and prevalence of LGA, CS and preterm deliveries in GDM was not elevated, also for T2DM, except increased prevalence of LGA in T1DM that warrants increased clinical attention, indicating that this model of antenatal diabetes care may have contributed to improved maternal and fetal outcomes.

  • 12. Zarazaga, José
    et al.
    Lendahls, Lena
    Oscarsson, Marie
    Utvärdering av föräldragrupper inom Mödravården i norra Kalmar län2011Report (Other academic)
    Abstract [sv]

    Bakgrund: Ett tidigt stöd till föräldrar kan främja barns hälsa och utveckling samt hjälpa föräldrarna att möta det väntade och nyfödda barnet. Därför anordnas bl.a. föräldragrupper för föräldrar som väntar barn. För att garantera att föräldragruppernas utvecklas i takt med de riktlinjer som finns och efter föräldrarnas behov behövs ständiga utvärderingar.

    Syfte: Syfte med studien var att göra en utvärdering av föräldragrupperna inom mödrahälsovården i norra Kalmar län bland förstagångsföräldrar.

    Metod: Retrospektiv tvärsnittstudie med kvantitativt ansats. Data samlades in genom ett frågeformulär med strukturerade frågor och resultatet framställdes med hjälp av beskrivande statistik.

    Resultat: Tvåhundrafemtiotvå föräldrar deltog i studien. Av dessa hade 135 föräldrar deltagit i alla träffar. Resultatet visar på att föräldrarna tyckte att grupperna var meningsfulla (84,5 %) och att de uppfyllde deras behov (85,9 %). Föräldragrupperna ansågs vara en bra förlossningsförberedelse (85,1 %) och kunde stärka dem i föräldraskapet (75,5 %). Främst mödrar skapade kontakter och gemenskap med andra föräldrar. Det ämne som ej tagits upp i tillräcklig grad var parrelationen. Föräldrarna önskade att tidpunkten för träffarna skulle anpassas mer efter deras behov.

    Slutsats: Föräldrar upplevde de genomförda föräldragrupperna positivt.  De förbättringar som angavs var att tidpunkten kunde anpassa mer efter föräldrarnas behov samt att parrelationen kunde diskuteras mera.

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