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  • 1.
    Amsberg, Susanne
    et al.
    Sophiahemmet University.
    Anderbro, Therese
    Sophiahemmet University.
    Wredling, Regina
    Sophiahemmet University.
    Lisspers, Jan
    Lins, Per-Eric
    Adamson, Ulf
    Johansson, Unn-Britt
    Sophiahemmet University.
    A cognitive behavior therapy-based intervention among poorly controlled adult type 1 diabetes patients: a randomized controlled trial2009In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 77, no 1, 72-80 p.Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To examine the impact of a Cognitive Behavior Therapy (CBT)-based intervention on HbA(1c), self-care behaviors and psychosocial factors among poorly controlled adult type 1 diabetes patients. METHODS: Ninety-four type 1 diabetes patients were randomly assigned to either an intervention group or a control group. The intervention was based on CBT and was mainly delivered in group format, but individual sessions were also included. All subjects were provided with a continuous glucose monitoring system (CGMS) during two 3-day periods. HbA(1c), self-care behaviors and psychosocial factors were measured up to 48 weeks. RESULTS: Significant differences were observed with respect to HbA(1c) (P<0.05), well-being (P<0.05), diabetes-related distress (P<0.01), frequency of blood glucose testing (P<0.05), avoidance of hypoglycemia (P<0.01), perceived stress (P<0.05), anxiety (P<0.05) and depression (P<0.05), all of which showed greater improvement in the intervention group compared with the control group. A significant difference (P<0.05) was registered with respect to non-severe hypoglycemia, which yielded a higher score in the intervention group. CONCLUSION: This CBT-based intervention appears to be a promising approach to diabetes self-management. PRACTICE IMPLICATIONS: Diabetes care may benefit from applying tools commonly used in CBT. For further scientific evaluation in clinical practice, there is a need for specially educated diabetes care teams, trained in the current approach, as well as cooperation between diabetes care teams and psychologists trained in CBT.

  • 2.
    Amsberg, Susanne
    et al.
    Sophiahemmet University.
    Anderbro, Therese
    Sophiahemmet University.
    Wredling, Regina
    Sophiahemmet University.
    Lisspers, Jan
    Lins, Per-Eric
    Adamson, Ulf
    Johansson, Unn-Britt
    Sophiahemmet University.
    Experience from a behavioural medicine intervention among poorly controlled adult type 1 diabetes patients2009In: Diabetes research and clinical practice, ISSN 1872-8227, Vol. 84, no 1, 76-83 p.Article in journal (Refereed)
    Abstract [en]

    AIM: To describe experience from a behavioural medicine intervention among poorly controlled adult type 1 diabetes patients, in terms of feasibility, predictors and associations of improved glycaemic control. METHODS: Data were collected on 94 poorly controlled adult type 1 diabetes patients who were randomised to a study evaluating the effects of a behavioural medicine intervention. Statistics covered descriptive and comparison analysis. Backward stepwise regression models were used for predictive and agreement analyses involving socio-demographic and medical factors, as well as measures of diabetes self-efficacy (DES), diabetes locus of control (DLOC), self-care activities (SDSCA), diabetes-related distress (Swe-PAID-20), fear of hypoglycaemia (HFS), well-being (WBQ), depression (HAD) and perceived stress (PSS). RESULTS: The participation rate in the study was 41% and attrition was 24%. Of those patients actually participating in the behavioural medicine intervention, 13% withdrew. From the regression models no predictors or associations of improvement in HbA(1c) were found. CONCLUSIONS: The programme proved to be feasible in terms of design and methods. However, no clear pattern was found regarding predictors or associations of improved metabolic control as the response to the intervention. Further research in this area is called for.

  • 3.
    Andersson, Helene
    et al.
    Sophiahemmet University.
    Kalin, Mats
    Fossum, Bjöörn
    Sophiahemmet University.
    Lindholm, Christina
    Ortqvist, Ake
    Är MRSA-patienter olika smittsamma i olika län?2009In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 106, no 7, 412-3 p.Article in journal (Other academic)
  • 4.
    Arvidsson, Tobias
    et al.
    Sophiahemmet University College.
    Pettersson, Tommy
    Sophiahemmet University College.
    Omhändertagande av patienter med höftfrakturer: en forskningsöversikt2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 5.
    Axelsson, Christina
    et al.
    Sophiahemmet University College.
    Sondell, Pernilla
    Sophiahemmet University College.
    Vård på lika villkor: en genusfråga vid hjärtinfarkt?2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 6.
    Axelsson, Martina
    Sophiahemmet University College.
    Sjuksköterskors bekräftelse av patienters känsla av sammanhang inom vård och omsorg av äldre2009Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 7. Backman, Sara
    et al.
    Björling, Gunilla
    Sophiahemmet University.
    Johansson, Unn-Britt
    Sophiahemmet University.
    Lysdahl, Michael
    Markström, Agneta
    Schedin, Ulla
    Aune, Ragnhild E
    Frostell, Claes
    Karlsson, Sigbritt
    Material wear of polymeric tracheostomy tubes: a six-month study2009In: The Laryngoscope, ISSN 1531-4995, Vol. 119, no 4, 657-64 p.Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: The objectives were to study long-term material wear of tracheostomy tubes made of silicone (Si), polyvinyl chloride (PVC), and polyurethane (PU) after 3 and 6 months of clinical use. STUDY DESIGN: The study has a prospective and comparative design. METHODS: Nineteen patients with long-term tracheostomy, attending the National Respiratory Center in Sweden, were included, n = 6 with Si tubes, n = 8 with PVC tubes, and n = 5 with PU tubes. The tubes were exposed to the local environment in the trachea for 3 and 6 months and analyzed by scanning electron microscopy, attenuated total reflectance Fourier transform infrared spectroscopy, and differential scanning calorimetry. RESULTS: All tubes revealed severe surface changes. No significant differences were established after 3 or 6 months of exposure between the various materials. The changes had progressed significantly after this period, compared to previously reported changes after 30 days of exposure. The results from all analyzing techniques correlated well. CONCLUSIONS: All tubes, exposed in the trachea for 3-6 months, revealed major degradation and changes in the surface of the material. Polymeric tracheostomy tubes should be changed before the end of 3 months of clinical use.

  • 8.
    Beime, Sandra
    et al.
    Sophiahemmet University College.
    Karlsson, Kristine
    Sophiahemmet University College.
    Upprätthållande av patienters autonomi och integritet i samband med blodtransfusion2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 9.
    Bergström, Sara
    et al.
    Sophiahemmet University College.
    Tjus, Anna
    Sophiahemmet University College.
    Patienters behov av prehospital akutsjukvård i storstad och på landsbygd2009Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 10.
    Bisgaard-Liljeborg, Ann
    et al.
    Sophiahemmet University College.
    Boqvist, Sophia
    Sophiahemmet University College.
    Patienters upplevelse av smärta och bemötande på en ortopedisk vårdavdelning2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 11.
    Bjelkenstrand, Ann-Catrin
    et al.
    Sophiahemmet University College.
    Larsson, Guen
    Sophiahemmet University College.
    Vårdpersonals uppfattning om palliativ vård i livets slutskede på äldreboende2009Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 12.
    Björling, Gunilla
    Sophiahemmet University College.
    Long-term tracheostomy: how to do it2009In: Breathe: continuing medical education for respiratory professionals, ISSN 1810-6838, Vol. 5, no 3, 204-13 p.Article in journal (Refereed)
  • 13.
    Björncrona, Gunnel
    et al.
    Sophiahemmet University College.
    Lundberg, Jeanette
    Sophiahemmet University College.
    Sjuksköterskans omvårdnad av patienter som drabbats av pares till följd av stroke2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 14.
    Boman, My
    et al.
    Sophiahemmet University College.
    Dolph, Monica
    Sophiahemmet University College.
    Patienters upplevelser av isolering vid smittsam sjukdom: en systematisk litteraturstudie2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 15.
    Botond, Agnes
    Sophiahemmet University.
    Positiv posttraumatisk personlighetsutveckling: om Posttraumatic Growth (PTG) och dess kliniska relevans2009In: Psykisk hälsa, ISSN 0033-3212, Vol. 50, no 2, 39-43 p.Article in journal (Other (popular science, discussion, etc.))
  • 16.
    Botond, Agnes
    Sophiahemmet University.
    Trauma kan leda till positiv personlighetsutveckling2009In: Psykologtidningen, ISSN 0280-9702, Vol. 55, no 7, 15-17 p.Article in journal (Other (popular science, discussion, etc.))
  • 17.
    Carlsson, Paula
    et al.
    Sophiahemmet University College.
    Traoré, Bintou
    Sophiahemmet University College.
    Kognitiv beteendeterapi som smärtlindring hos personer med fibromyalgi2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 18.
    Clarving, Isabelle
    et al.
    Sophiahemmet University College.
    Lagergren, Maria
    Sophiahemmet University College.
    D-vitamin i ett globalt folkhälsoperspektiv med fokus på gravida, fosterutveckling och barn2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 19.
    Damberg, Charlotte
    Sophiahemmet University College.
    Närståendes levda erfarenhet av en demensdialog2009Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 20.
    Danielsson, Awa
    Sophiahemmet University College.
    Faktorer som påverkar följsamhet vid behandling av lungtuberkolos2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 21.
    Degard, Hanna
    et al.
    Sophiahemmet University College.
    Lindahl, Terese
    Sophiahemmet University College.
    Omvårdnadsåtgärder utifrån psyk-vipsmodellen vid behandling av egentlig depression2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 22.
    Edelsvärd, Sophie
    et al.
    Sophiahemmet University College.
    Lindholm, Joakim
    Sophiahemmet University College.
    Individanpassad patientinformation vid hjärtinfarkt2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 23.
    Ekerbring, Johanna
    et al.
    Sophiahemmet University College.
    Eriksson, Sofia
    Sophiahemmet University College.
    Stöd till föräldrar vars barn drabbats av cancer: sjuksköterskors erfarenheter2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 24.
    Eklund, Sandra
    et al.
    Sophiahemmet University College.
    Ludvigsson, Therese
    Sophiahemmet University College.
    Hantering av långvarig smärta hos kvinnor respektive män2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 25.
    El-helou, Darine
    et al.
    Sophiahemmet University College.
    Krohn, Sofia
    Sophiahemmet University College.
    Sjuksköterskors erfarenheter av spontan beröring: en intervjustudie på en hjärtintensivavdelning2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 26.
    Enlund, Madeleine
    et al.
    Sophiahemmet University College.
    Isaksson, Helena
    Sophiahemmet University College.
    Att överleva skiftarbete: preventiva åtgärder för att förbättra skiftarbetares hälsa2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 27.
    Eriksson, Jenny
    et al.
    Sophiahemmet University College.
    Söderström, Jenny
    Sophiahemmet University College.
    Leva som närstående till patienter efter stroke2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 28.
    Evén, Gudrun
    Sophiahemmet University College.
    Vuxna patienters erfarenhet av omhändertagandet i samband med ett besök vid en akutmottagning2009Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 29.
    Franzén, Marcia
    Sophiahemmet University College.
    Kroppsuppfattning hos personer som har stomiopererats: en systematisk litteraturstudie2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 30. Freyschuss, Bo
    et al.
    Johansson, Unn-Britt
    Sophiahemmet University.
    Leksell, Janeth
    Steen Carlsson, Katarina
    Thorsén, Håkan
    Werkö, Sophie
    Wikblad, Karin
    Hammarlund, Cecilia
    Johansson, Ida
    Patientutbildning vid diabetes: en systematisk litteraturöversikt2009Report (Other academic)
  • 31.
    Furenbrink, Thomas
    et al.
    Sophiahemmet University College.
    Jonsson, Bo
    Sophiahemmet University College.
    Prehospital smärtbehandling av patienter med buksmärta2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 32.
    Georgsson Öhman, Susanne
    Sophiahemmet University.
    Fosterdiagnostik2009 (ed. 1)Book (Other academic)
  • 33.
    Georgsson Öhman, Susanne
    Sophiahemmet University.
    Övriga fosterdiagnostiska undersökningar samt psykologiska aspekter2009In: Lärobok för barnmorskor / [ed] Annette Kaplan et al., Lund: Studentlitteratur , 2009, 3, 214-15 p.Chapter in book (Other academic)
  • 34.
    Georgsson Öhman, Susanne
    et al.
    Sophiahemmet University.
    Grunewald, Charlotta
    Waldenström, Ulla
    Perception of risk in relation to ultrasound screening for Down's syndrome during pregnancy2009In: Midwifery, ISSN 1532-3099, Vol. 25, no 3, 264-76 p.Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: to explore how information about being at risk of carrying a fetus with Down's syndrome was understood, and whether the actual risk and the woman's perception of risk was associated with worry or depressive symptoms during and after pregnancy. DESIGN AND SETTING: observational study. The sample was drawn from the intervention group of a Swedish randomised controlled trial of ultrasound screening for Down's syndrome by nuchal translucency measurement. MEASUREMENTS: data were collected by three questionnaires. Questions were asked about recall of the risk score and perception of risk. The Cambridge Worry Scale and the Edinburgh Postnatal Depression Scale measured worry and depressive symptoms, respectively, on all three occasions. FINDINGS: of the 796 women who provided data for this study, one in five was unaware that the risk score was noted in her case record. In total, 620 women stated that they had received a risk score, but only 64% of them recalled the figure exactly or approximately. The actual risk was associated with the perceived risk, but of the 31 women who perceived the risk to be high, only 14 were actually at high risk. A high-risk score was not associated with worry or depressive symptoms in mid-pregnancy, in contrast to a woman's own perception of being at high risk. Two months postpartum, no associations were found between maternal emotional well-being and actual or perceived risk. CONCLUSIONS: information about fetal risk is complicated and women's perception of risk does not always reflect the actual risk, at least not when presented as a numerical risk score. The possibility that the information may cause unnecessary emotional problems cannot be excluded. IMPLICATIONS FOR PRACTICE: caregivers should ascertain that information about fetal risk is interpreted correctly by pregnant women.

  • 35. Guldbrandsson, Karin
    et al.
    Fossum, Bjöörn
    Sophiahemmet University.
    An exploration of the theoretical concepts policy windows and policy entrepreneurs at the Swedish public health arena2009In: Health Promotion International, ISSN 1460-2245, Vol. 24, no 4, 434-44 p.Article in journal (Refereed)
    Abstract [en]

    In John Kingdon's Policy Streams Approach policy formation is described as the result of the flow of three 'streams', the problem stream, the policy stream and the politics stream. When these streams couple, a policy window opens which facilitate policy change. Actors who promote specific solutions are labelled policy entrepreneurs. The aim of this study was to test the applicability of the Policy Streams Approach by verifying whether the theoretical concepts 'policy windows' and 'policy entrepreneurs' could be discernable in nine specified cases. Content analyses of interviews and documents related to child health promoting measures in three Swedish municipalities were performed and nine case studies were written. The policy processes preceding the municipal measures and described in the case studies were scrutinized in order to find statements related to the concepts policy windows and policy entrepreneurs. All conditions required to open a policy window were reported to be present in eight of the nine case studies, as was the most important resource of a policy entrepreneur, sheer persistence. This study shows that empirical examples of policy windows and policy entrepreneurs could be identified in child health promoting measures in Swedish municipalities. If policy makers could learn to predict the opening of policy windows, the planning of public health measures might be more straightforward. This also applies to policy makers' ability to detect actors possessing policy entrepreneur resources.

  • 36.
    Gustafsson, Camilla
    Sophiahemmet University College.
    Patientundervisningens betydelse för patienter med ländryggssmärta2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 37.
    Hansen, Jenny
    Sophiahemmet University College.
    Hur hanterar patienter att leva med en obotlig cancerdiagnos?2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 38.
    Hansson, Anna
    Sophiahemmet University.
    Subjective Well-being in an Adult Swedish Population: Findings from a Population-based Study2009Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    This doctoral thesis examines various factors associated with subjective well-being (SWB) in an adult Swedish population, aged 20-64 years, using cross-sectional and longitudinal data. The thesis includes four studies based on the PART study, a current population-based study on mental health, work, and relations in Stockholm County, Sweden. Research has shown that there is a relationship between mental health problems such as depression and low well-being. It is therefore of great interest to investigate various factors associated with SWB in order to promote or increase mental health. We also examined if the well-being scale used in all studies could be used as a screening instrument for depression.

    The specific aim of Study I was to examine if age, gender, foreign background (i.e. not born in Sweden), cohabitation, education, financial strain, social support, childhood conditions and negative life events and their associations with SWB could be replicated in our data. In Study II we investigated strategies people chose to employ in order to improve or maintain their well-being and whether these were associated with SWB. Study III examined if changes in cohabiting, social support or the financial situation influenced SWB, after controlling for neuroticism at a 3-year follow-up. The change in the study sample’s SWB was also studied during the same time period. In Study IV the aim was to investigate whether the well-being scale, the (WHO) Ten Well-being index, could be used as a screening instrument for depression.

    Results from Study I showed that men had higher SWB than women, and that positive childhood conditions, cohabiting, greater age, sound financial situation, absence of negative life events, and support from friends were all positively associated with SWB. Social support had the strongest relationship. Together, these factors explained 20 % of the variance in SWB and the findings replicated earlier research. The strategies reported in Study II were physical exercise, physical health,engaging in pleasurable activities, relaxation, plan/set limits, social support, professional contacts, positive thinking, and work. Of these, social support, relaxation, physical exercise and physical health were associated with higher SWB. Social support showed the strongest association. In Study III changes in financial situation, social support, or cohabiting influenced SWB after controlling for neuroticism. The results also suggested that SWB was relatively stable over a period of three years. Preliminary findings from Study IV indicate that the (WHO) Ten Well-being index can work as a screening instrument for depression in populationbased samples.

    In summary, the findings suggest that demographics and psychosocial factors explain only a small part of the variance in SWB, replicating previous data. Certain self-care strategies are positively associated with SWB. In addition, changes in life circumstances influence SWB, even after controlling for neuroticism over a period of three years despite the stability of SWB. Furthermore, the preliminary findings indicate that the well-being scale can work as a screening instrument for depression in a population-based sample. The overall conclusion from the results of this thesis suggests that it is important for the health care services to be aware that negative life events/circumstances may affect people’s SWB over several years. Furthermore, selfhelp interventions might be important in order to maintain or increase SWB.

  • 39.
    Hedlund, Veronica
    et al.
    Sophiahemmet University College.
    Pulkkinen, Anders
    Sophiahemmet University College.
    Effekten av mjuk massage på smärta2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 40.
    Hemming Lombard, Christina
    Sophiahemmet University College.
    Sjuksköterskors omvårdnad i samband med akut konfusion: äldre patienter med höftfraktur på ortopedklinik2009Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 41.
    Hillstierna, Helene
    et al.
    Sophiahemmet University College.
    Flodin, Monica
    Sophiahemmet University College.
    Rädslor hos diabetespatienter: rädslans effekt på livskvalité och vikten av patientundervisning2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 42.
    Hultin, Sandra
    et al.
    Sophiahemmet University College.
    Myrberg, Jemma
    Sophiahemmet University College.
    Kvinnor som utsatts för sexuella övergrepp2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 43.
    Hägg-Martinell, Ann
    Sophiahemmet University College.
    Egenvårdsbeteende och välbefinnande hos patienter med hjärtsvikt2009Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 44.
    Ifvarsson, Anna
    et al.
    Sophiahemmet University College.
    Maslov, Mikaela
    Sophiahemmet University College.
    Upplevd känsla av sammanhang hos patienter med cancersjukdom utifrån begreppen begriplighet, hanterbarhet och meningsfullhet2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 45.
    Janson, Ingela
    et al.
    Sophiahemmet University College.
    Söderholm, Elisabeth
    Sophiahemmet University College.
    Behov av stöd hos kvinnor i fertil ålder med bröstcancer2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 46.
    Jansson Pravitz, Elin
    et al.
    Sophiahemmet University College.
    Lietzén, Emma
    Sophiahemmet University College.
    Smärtskattning av barn med postoperativ smärta2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 47.
    Johansson, Unn-Britt
    et al.
    Sophiahemmet University.
    Leksell, Janeth
    Psykosociala aspekter2009In: Diabetes / [ed] Carl-David Agardh & Christian Berne, Stockholm: Liber , 2009, 4, 449-59 p.Chapter in book (Other academic)
  • 48.
    Johansson, Unn-Britt
    et al.
    Sophiahemmet University.
    Wredling, Regina
    Sophiahemmet University.
    Kvalitetsindikatorer för patienter med diabetes2009In: Kvalitetsindikatorer inom omvårdnad / [ed] Ewa Idvall, Stockholm: Svensk sjuksköterskeförening ; Gothia , 2009, 5, 37-44 p.Chapter in book (Other academic)
  • 49.
    Järvinen, Johanna
    et al.
    Sophiahemmet University College.
    Nystedt, Ida
    Sophiahemmet University College.
    Vikten av kommunikation inför ett kirurgiskt ingrepp2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 50. Lager, Anton C J
    et al.
    Fossum, Bjöörn
    Sophiahemmet University.
    Rörvall, Göran
    Bremberg, Sven G
    Children's overweight and obesity: local and national monitoring using electronic health records2009In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 37, no 2, 201-5 p.Article in journal (Refereed)
    Abstract [en]

    AIM: To test the feasibility of a system for monitoring children's obesity and overweight based on data from electronic health records in the school health services. METHODS: Data on weight and height from electronic health records at school health services were collected for 10-year-olds in 2003-2004, 2004-2005 and 2005-2006. School health personnel extracted group-level data with a simple program installed on the computer containing the health records. Four Swedish municipalities were included in the study: Karlstad, Umeå, Västerås, and Ystad. RESULTS: The system achieved coverage of 92-96% of all children in 2005-2006. The overall prevalence rates were 4.2% (3.8-4.7%) obese and 22.0% (21.1-23.0%) overweight, including obesity. CONCLUSIONS: A system based on electronic health records from the school health services can successfully provide data. The system has practical, economical and ethical strengths.

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