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Kypri, K., Bowe, S. J., Karlsson, N. & McCambridge, J. (2020). Enrolment-latency in randomized behavior change trials: individual participant data meta-analysis showed association with attrition but not effect-size. Journal of Clinical Epidemiology, 118, 55-59
Åpne denne publikasjonen i ny fane eller vindu >>Enrolment-latency in randomized behavior change trials: individual participant data meta-analysis showed association with attrition but not effect-size
2020 (engelsk)Inngår i: Journal of Clinical Epidemiology, ISSN 0895-4356, E-ISSN 1878-5921, Vol. 118, s. 55-59Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Objectives: Nonresponse can bias prevalence estimates in population surveys. Effects of selective participation in behavior change intervention trials have been little studied. We tested hypotheses that trial participants who are hard to recruit are (1) more likely to be lost-to-follow-up and (2) less responsive to intervention. Study Design and Setting: We undertook a two-stage individual participant data meta-analysis of four alcohol intervention trials involving 9,251 university students in Australia, New Zealand, and Sweden, comparing participants who enrolled "late" (after the final invitation to participate) vs. "early" (before that). Outcomes were whether participants completed assessments at each trials primary endpoint (late/early) and number of drinks consumed per week (intervention/control) among late enrolees vs. early enrolees. Results: Late enrolees were more likely to be lost-to-follow-up than early enrolees (OR 2.3, 95% CI: 1.7, 2.9). Intervention effect estimates were smaller for late vs. early enrolees, but not significantly so (RR = 0.93; 95% CI: 0.79, 1.08). Conclusion: Greater effort to recruit trial participants was associated with higher attrition, but there was no clear evidence of bias in effect estimation. The possibility that intervention effect estimates do not generalize beyond a relatively compliant minority of trial participants may warrant further study. (C) 2019 Published by Elsevier Inc.

sted, utgiver, år, opplag, sider
Elsevier, 2020
Emneord
Intervention trial; Bias; Nonresponse; Selection; External validity; Generalizability
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-163658 (URN)10.1016/j.jclinepi.2019.09.019 (DOI)000509782100007 ()31706962 (PubMedID)2-s2.0-85075803227 (Scopus ID)
Tilgjengelig fra: 2020-02-18 Laget: 2020-02-18 Sist oppdatert: 2020-03-03bibliografisk kontrollert
Leijon, M., Åsberg, K., Karlsson, N., Skagerström, J., Dannapfel, P. & Arvidsson, D. (2019). A Weight-Loss and Healthy Living Program for Men Delivered in Swedish Football and Ice-Hockey Clubs (ViSiT): Results from the ViSiT Feasibility Study. Health, 11, 1473-1486
Åpne denne publikasjonen i ny fane eller vindu >>A Weight-Loss and Healthy Living Program for Men Delivered in Swedish Football and Ice-Hockey Clubs (ViSiT): Results from the ViSiT Feasibility Study
Vise andre…
2019 (engelsk)Inngår i: Health, ISSN 1949-4998, Vol. 11, s. 1473-1486Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: Men appear less interested than women in engaging in health-promoting programs. We investigated the feasibility and proof of concept of a novel intervention program targeting male supporters of professional sports clubs. Methods: Our intervention is called ViSiT and the target population in this study was overweight male supporters aged 35 - 65 years with a body mass index ≥ 28 kg/m2, recruited through one football and one ice-hockey club. The participants (n = 22) participated in a 12-week lifestyle intervention with a 52-week follow-up. Body fat was assessed using bioelectrical impedance analysis. Results: The retention rate was high with 21 participants completing the 12-week program and 17 attending at least 10 of 12 sessions. Mean (standard deviation) body weight and fat reduction after 12 weeks was 8.2 (4.6) kg and 6.6 (3.6) kg, respectively. At 52 weeks, body weight and fat reduction were maintained at 6.4 (6.7) kg and 4.5 (6.5) kg. Even after 52 weeks follow-up, the participants appreciated most components of the ViSiT program and perceived the ViSiT program to have high impact on most health-related aspects investigated. Conclusions: The ViSiT program demonstrated a successful retention rate and clinically relevant weight reduction in Swedish overweight men. The maintenance of bodyweight reduction and positive experience after 1 year indicate a long-term effect of the ViSiT concept.

sted, utgiver, år, opplag, sider
Scientific Research Publishing, 2019
Emneord
Public Health;Overweight;Weight-Loss;Physical Activity;Lifestyle;Fans
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-163943 (URN)10.4236/health.2019.1110110 (DOI)
Tilgjengelig fra: 2020-02-27 Laget: 2020-02-27 Sist oppdatert: 2020-03-03bibliografisk kontrollert
O'Donnell, A., Abidi, L., Brown, J., Karlsson, N., Nilsen, P., Roback, K., . . . Thomas, K. (2018). Beliefs and attitudes about addressing alcohol consumption in health care: a population survey in England. BMC Public Health, 18(1), Article ID 391.
Åpne denne publikasjonen i ny fane eller vindu >>Beliefs and attitudes about addressing alcohol consumption in health care: a population survey in England
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2018 (engelsk)Inngår i: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 18, nr 1, artikkel-id 391Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

BACKGROUND: Despite robust evidence for their effectiveness, it has proven difficult to translate alcohol prevention activities into routine health care practice. Previous research has identified numerous provider-level barriers affecting implementation, but these have been less extensively investigated in the wider population. We sought to: (1) investigate patients' beliefs and attitudes to being asked about alcohol consumption in health care; and (2) identify the characteristics of those who are supportive of addressing alcohol consumption in health care.

METHODS: Cross-sectional household interviews conducted as part of the national Alcohol Toolkit Study in England between March and April 2017. Data were collected on age, gender, social grade, drinking category, and beliefs and attitudes to being asked about alcohol in routine health care. Unadjusted and multivariate-adjusted logistic regression models were performed to investigate associations between socio-demographic characteristics and drinking category with being "pro-routine" (i.e. 'agree completely' that alcohol consumption should be routinely addressed in health care) or "pro-personal" (i.e. 'agree completely' that alcohol is a personal matter and not something health care providers should ask about).

RESULTS: Data were collected on 3499 participants, of whom 50% were "pro-routine" and 10% were "pro-personal". Those in social grade C1, C2, D and E were significantly less likely than those in AB of being "pro-routine". Women were less likely than men to be "pro-personal", and those aged 35-44 or 65 years plus more likely to be "pro-personal" compared with participants aged 16-24. Respondents aged 65 plus were twice as likely as those aged 16-24 to agree completely that alcohol consumption is a personal matter and not something health care providers should ask about (OR 2.00, 95% CI 1.34-2.99).

CONCLUSIONS: Most adults in England agree that health care providers should routinely ask about patients' alcohol consumption. However, older adults and those in lower socio-economic groups are less supportive. Drinking status appears to have limited impact on whether people believe that alcohol is a personal matter and not something health care providers should ask about.

REGISTRATION: Open Science Framework ( https://osf.io/xn2st/ ).

sted, utgiver, år, opplag, sider
Springer, 2018
Emneord
Alcohol drinking, Alcohol toolkit study, Brief intervention, Implementation, Population-based, Prevention
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-147327 (URN)10.1186/s12889-018-5275-2 (DOI)000428266100007 ()29562901 (PubMedID)2-s2.0-85044199776 (Scopus ID)
Tilgjengelig fra: 2018-04-17 Laget: 2018-04-17 Sist oppdatert: 2018-08-14bibliografisk kontrollert
Thomas, K., Müssener, U., Linderoth, C., Karlsson, N., Bendtsen, P. & Bendtsen, M. (2018). Effectiveness of a Text Messaging-Based Intervention Targeting Alcohol Consumption Among University Students: Randomized Controlled Trial. JMIR mhealth and uhealth, 6(6), Article ID e146.
Åpne denne publikasjonen i ny fane eller vindu >>Effectiveness of a Text Messaging-Based Intervention Targeting Alcohol Consumption Among University Students: Randomized Controlled Trial
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2018 (engelsk)Inngår i: JMIR mhealth and uhealth, E-ISSN 2291-5222, Vol. 6, nr 6, artikkel-id e146Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: Excessive drinking among university students is a global challenge, leading to significant health risks. However, heavy drinking among students is widely accepted and socially normalized. Mobile phone interventions have attempted to reach students who engage in excessive drinking. A growing number of studies suggest that text message-based interventions could potentially reach many students and, if effective, such an intervention might help reduce heavy drinking in the student community. Objective: The objective of this study was to test the effectiveness of a behavior change theory-based 6-week text message intervention among university students. Methods: This study was a two-arm, randomized controlled trial with an intervention group receiving a 6-week text message intervention and a control group that was referred to treatment as usual at the local student health care center. Outcome measures were collected at baseline and at 3 months after the initial invitation to participate in the intervention. The primary outcome was total weekly alcohol consumption. Secondary outcomes were frequency of heavy episodic drinking, highest estimated blood alcohol concentration, and number of negative consequences attributable to excessive drinking. Results: A total of 896 students were randomized to either the intervention or control group. The primary outcome analysis included 92.0% of the participants in the intervention group and 90.1% of the control group. At follow-up, total weekly alcohol consumption decreased in both groups, but no significant between-group difference was seen. Data on the secondary outcomes included 49.1% of the participants in the intervention group and 41.3% of the control group. No significant between-group difference was seen for any of the secondary outcomes. Conclusions: The present study was under-powered, which could partly explain the lack of significance. However, the intervention, although theory-based, needs to be re-assessed and refined to better support the target group. Apart from establishing which content forms an effective intervention, the optimal length of an alcohol intervention targeting students also needs to be addressed in future studies.

sted, utgiver, år, opplag, sider
JMIR PUBLICATIONS, INC, 2018
Emneord
alcohol consumption intervention; text message-based intervention; university students; brief intervention
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-149731 (URN)10.2196/mhealth.9642 (DOI)000436207100005 ()29941417 (PubMedID)
Merknad

Funding Agencies|Public Health Agency in Sweden [05670-2014-6.2]

Tilgjengelig fra: 2018-07-24 Laget: 2018-07-24 Sist oppdatert: 2019-04-03
Ekberg, K., Bernfort, L., Karlsson, N., Linderoth, C. & Persson, J. (2017). Arbetsgivares kostnader, åtgärder och anpassningar för sjuknärvarande och sjukfrånvarande medarbetare: samband med återgång i arbete och produktion. Linköping: Linköping University Electronic Press
Åpne denne publikasjonen i ny fane eller vindu >>Arbetsgivares kostnader, åtgärder och anpassningar för sjuknärvarande och sjukfrånvarande medarbetare: samband med återgång i arbete och produktion
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2017 (svensk)Rapport (Annet vitenskapelig)
Abstract [sv]

Studien syftade till att undersöka vilka åtgärder arbetsgivare gör för sjukskrivna medarbetare och vilka kostnader arbetsgivare och samhället har i samband med sjuknärvaro och sjukfrånvaro.

Totalt 3000 sjukskrivna personer i AFA Försäkrings register med diagnoserna psykiska besvär eller besvär i rörelseorganen fick ett informationsbrev och förfrågan om samtycke till att forskarna skulle få skicka en enkät till deras arbetsledare; 393 sjukskrivna gav samtycke. En  webbenkät skickades till dessa arbetsledare. Totalt 198 arbetsledare (50 %) till sjukskrivna personer besvarade enkäten.

Resultaten visar att arbetsgivare genomför en rad olika åtgärder och anpassningar när en medarbetare blir sjukskriven. Analyserna visade att dessa åtgärder och anpassningar i viss mån beror på vem den sjukskrivne medarbetaren är. Åtgärder och anpassningar var vanligare för sjukskrivna med psykiska diagnoser, för högutbildade och för sjukskrivna i högkvalificerade yrken. Kvinnor fick i högre grad anpassningar och åtgärder såsom ändrade arbetsuppgifter och psykosocialt stöd jämfört med män.

Demografiska faktorer visade sig ha mindre betydelse för om den sjukskrivne återgick i arbete eller ej. Multipla logistiska regressionsanalyser visade att åtgärder och anpassningar på arbetsplatsen hade signifikanta samband med en ökad chans för återgång i arbete. Resultaten visade också att för sjukskrivna medarbetare vars arbetsledare hade tagit många kontakter med andra aktörer, som HR-avdelningen, företagshälsan och/eller Försäkringskassan var sannolikheten lägre att den sjukskrivne medarbetaren återgick i arbete. Arbetsledare tog fler kontakter, om den sjukskrivne medarbetaren hade en psykisk diagnos.

Sjuknärvaro och produktionsförlust före, under och efter sjukskrivningen skattades av arbetsledarna. Sammanlagt beräknades produktionsförlusterna till cirka SEK 100 000 per sjukskrivningsfall. Härutöver lägger arbetsgivare tid på att ta kontakter, genomföra åtgärder och anpassningar och organisera om arbetet. Arbetsledare hade mycket oklar eller saknade helt uppfattning om vad tid, åtgärder och anpassningar kostar, varför detta inte har kunnat analyseras närmare. De beräknade genomsnittliga kostnaderna till följd av produktivitetsförluster är således en underskattning av de faktiska kostnaderna för arbetsgivare.

Studien visar att arbetsledares kunskap om vad sjuknärvaro och sjukfrånvaro kostar för verksamheten och för samhället är begränsad. En ökad kostnadsmedvetenhet skulle kunna stimulera till att större resurser läggs på att implementera policys för hälsofrämjande åtgärder och att utbilda arbetsledare i att hantera frågor om hälsa och arbetsförmåga på arbetsplatsen.

sted, utgiver, år, opplag, sider
Linköping: Linköping University Electronic Press, 2017. s. 46
Serie
HELIX working papers, ISSN 1654-8213 ; 2017:3
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-142072 (URN)
Tilgjengelig fra: 2017-10-20 Laget: 2017-10-20 Sist oppdatert: 2018-08-14bibliografisk kontrollert
Müssener, U., Bendtsen, M., Karlsson, N., White, I. R., Mccambridge, J. & Bendtsen, P. (2016). Effectiveness of Short Message Service Text-Based Smoking Cessation Intervention Among University Students A Randomized Clinical Trial. JAMA Internal Medicine, 176(3), 321-328
Åpne denne publikasjonen i ny fane eller vindu >>Effectiveness of Short Message Service Text-Based Smoking Cessation Intervention Among University Students A Randomized Clinical Trial
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2016 (engelsk)Inngår i: JAMA Internal Medicine, ISSN 2168-6106, E-ISSN 2168-6114, Vol. 176, nr 3, s. 321-328Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

IMPORTANCE Smoking is globally the most important preventable cause of ill health and death. Mobile telephone interventions and, in particular, short message service (SMS) text messaging, have the potential to overcome access barriers to traditional health services, not least among young people. OBJECTIVE To determine the effectiveness of a text-based smoking cessation intervention among young people. DESIGN, SETTING, AND PARTICIPANTS A single-blind, 2-arm, randomized clinical trial (Nicotine Exit [NEXit]) was conducted from October 23, 2014, to April 17, 2015; data analysis was performed from April 23, 2014, to May 22, 2015. Participants included daily or weekly smokers willing to set a quit date within 1 month of enrollment. The study used email to invite all college and university students throughout Sweden to participate. INTERVENTIONS The NEXit core program is initiated with a 1- to 4-week motivational phase during which participants can choose to set a stop date. The intervention group then received 157 text messages based on components of effective smoking cessation interventions for 12 weeks. The control group received 1 text every 2 weeks thanking them for participating in the study, with delayed access to the intervention. MAIN OUTCOMES AND MEASURES The primary outcomes were self-reported prolonged abstinence (not having smoked >5 cigarettes over the past 8 weeks) and 4-week point prevalence of complete smoking cessation shortly after the completion of the intervention (approximately 4 months after the quit date). RESULTS A total of 1590 participants, mainly between 21 and 30 years of age, were randomized into the study; 827 (573 [69.3%] women) were allocated to the intervention group and 763 (522 [68.4%] women) were included in the control group. Primary outcome data were available for 783 (94.7%) of the intervention group and 719 (94.2%) of the control group. At baseline, participants were smoking a median (range) of 63 (1-238) and 70 (2-280) cigarettes per week, respectively. Eight-week prolonged abstinence was reported by 203 participants (25.9%) in the intervention group and 105 (14.6%) in the control group; 4-week point prevalence of complete cessation was reported by 161 (20.6%) and 102 (14.2%) participants, respectively, a mean (SD) of 3.9 (0.37) months after the quit date. The adjusted odds ratios (95% CIs) for these findings were 2.05 (1.57-2.67) and 1.56 (1.19-2.05), respectively. CONCLUSIONS AND RELEVANCE With the limitation of assessing only the short-term effect of the intervention, the effects observed in this trial are comparable with those for traditional smoking cessation interventions. The simple NEXit intervention has the potential to improve the uptake of effective smoking cessation interventions.

sted, utgiver, år, opplag, sider
AMER MEDICAL ASSOC, 2016
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-127282 (URN)10.1001/jamainternmed.2015.8260 (DOI)000372302500008 ()26903176 (PubMedID)
Merknad

Funding Agencies|Swedish Research Council [521-2012-2865]; Swedish Medical Research Council [U105260558]

Tilgjengelig fra: 2016-04-20 Laget: 2016-04-19 Sist oppdatert: 2018-01-10
Fagerlind Ståhl, A.-C., Gustavsson, M., Karlsson, N., Johansson, G. & Ekberg, K. (2015). Associations between organisation of work, work conditions, work-relatedf low and performance: a multilevel analysis.
Åpne denne publikasjonen i ny fane eller vindu >>Associations between organisation of work, work conditions, work-relatedf low and performance: a multilevel analysis
Vise andre…
2015 (engelsk)Manuskript (preprint) (Annet vitenskapelig)
Abstract [en]

The aim of this study is to investigate how organisation of work in terms of sociotechnical characteristics and use of tools inspired by lean production, and psychosocial conditions at the workplace, are associated with work-related flow and performance.

A questionnaire including questions concerning work organisation, psychosocial work conditions, work-related flow and self-rated performance was sent to employees in ten Swedish organisations; 4442 people (56%) responded. Multilevel logistic regression analyses were used in order to investigate organisation of work and work conditions in relation to work-related flow and performance. In addition, the association between work-related flow and performance was investigated.

Our results show that a high degree of lean tool use in combination with a low degree of sociotechnical characteristics was negatively associated with work-related flow but positively associated with performance. When decision latitude, social capital, and innovative learning climate were included in the model, the association was no longer significant in relation to work-related flow, but remained and was strengthen in relation to performance. Work-related flow had a positive association with performance.

The conclusion is that work-related flow and work conditions that enable individual and collective skill use are important for increased performance. When lean tools are used to a high degree, good decision latitude, social capital and innovative learning climate buffer negative effects on health, and increase performance.

Emneord
Job resources; health; well-being; job design
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-117062 (URN)
Tilgjengelig fra: 2015-04-15 Laget: 2015-04-15 Sist oppdatert: 2015-04-15bibliografisk kontrollert
Fagerlind Ståhl, A.-C., Gustavsson, M., Karlsson, N., Johansson, G. & Ekberg, K. (2015). Lean production tools and decision latitude enable conditions for innovative learning in organizations: a multilevel analysis. Applied Ergonomics, 47, 285-291
Åpne denne publikasjonen i ny fane eller vindu >>Lean production tools and decision latitude enable conditions for innovative learning in organizations: a multilevel analysis
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2015 (engelsk)Inngår i: Applied Ergonomics, ISSN 0003-6870, E-ISSN 1872-9126, Vol. 47, s. 285-291Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

The effect of lean production on conditions for learning is debated. This study aimed to investigate how tools inspired by lean production (standardization, resource reduction, visual monitoring, housekeeping, value flow analysis) were associated with an innovative learning climate and with collective dispersion of ideas in organizations, and whether decision latitude contributed to these associations. A questionnaire was sent out to employees in public, private, production and service organizations (n = 4442). Multilevel linear regression analyses were used. Use of lean tools and decision latitude were positively associated with an innovative learning climate and collective dispersion of ideas. A low degree of decision latitude was a modifier in the association to collective dispersion of ideas. Lean tools can enable shared understanding and collective spreading of ideas, needed for the development of work processes, especially when decision latitude is low. Value flow analysis played a pivotal role in the associations.

sted, utgiver, år, opplag, sider
Elsevier, 2015
Emneord
psychosocial work conditions, job resources, learning climate
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-112552 (URN)10.1016/j.apergo.2014.10.013 (DOI)000347663600033 ()
Tilgjengelig fra: 2014-12-02 Laget: 2014-12-02 Sist oppdatert: 2017-12-05bibliografisk kontrollert
Bendtsen, P., Bendtsen, M., Karlsson, N., White, I. R. & McCambridge, J. (2015). Online Alcohol Assessment and Feedback for Hazardous and Harmful Drinkers: Findings From the AMADEUS-2 Randomized Controlled Trial of Routine Practice in Swedish Universities. Journal of Medical Internet Research, 17(7), e170
Åpne denne publikasjonen i ny fane eller vindu >>Online Alcohol Assessment and Feedback for Hazardous and Harmful Drinkers: Findings From the AMADEUS-2 Randomized Controlled Trial of Routine Practice in Swedish Universities
Vise andre…
2015 (engelsk)Inngår i: Journal of Medical Internet Research, ISSN 1438-8871, E-ISSN 1438-8871, Vol. 17, nr 7, s. e170-Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: Previous research on the effectiveness of online alcohol interventions for college students has shown mixed results. Small benefits have been found in some studies and because online interventions are inexpensive and possible to implement on a large scale, there is a need for further study. Objective: This study evaluated the effectiveness of national provision of a brief online alcohol intervention for students in Sweden. Methods: Risky drinkers at 9 colleges and universities in Sweden were invited by mail and identified using a single screening question. These students (N=1605) gave consent and were randomized into a 2-arm parallel group randomized controlled trial consisting of immediate or delayed access to a fully automated online assessment and intervention with personalized feedback. Results: After 2 months, there was no strong evidence of effectiveness with no statistically significant differences in the planned analyses, although there were some indication of possible benefit in sensitivity analyses suggesting an intervention effect of a 10% reduction (95% CI -30% to 10%) in total weekly alcohol consumption. Also, differences in effect sizes between universities were seen with participants from a major university (n=365) reducing their weekly alcohol consumption by 14% (95% CI -23% to -4%). However, lower recruitment than planned and differential attrition in the intervention and control group (49% vs 68%) complicated interpretation of the outcome data. Conclusions: Any effects of current national provision are likely to be small and further research and development work is

sted, utgiver, år, opplag, sider
Journal of Medical Internet Research / JMIR Publications, 2015
Emneord
alcohol drinking; behavior therapy; students; Internet; electronic mail; feedback
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-120461 (URN)10.2196/jmir.4020 (DOI)000358010200001 ()26159179 (PubMedID)
Merknad

Funding Agencies|Swedish Council for Working Life and Social Research (FAS, in Swedish) [2010-0024]; Wellcome Trust Research Career Development fellowship in Basic Biomedical Science [WT086516MA]; Medical Research Council [U105260558]

Tilgjengelig fra: 2015-08-12 Laget: 2015-08-11 Sist oppdatert: 2018-01-11
Bendtsen, P., Anderson, P., Wojnar, M., Newbury-Birch, D., Müssener, U., Colom, J., . . . Gual, A. (2015). Professionals Attitudes Do Not Influence Screening and Brief Interventions Rates for Hazardous and Harmful Drinkers: Results from ODHIN Study. Alcohol and Alcoholism, 50(4), 430-437
Åpne denne publikasjonen i ny fane eller vindu >>Professionals Attitudes Do Not Influence Screening and Brief Interventions Rates for Hazardous and Harmful Drinkers: Results from ODHIN Study
Vise andre…
2015 (engelsk)Inngår i: Alcohol and Alcoholism, ISSN 0735-0414, E-ISSN 1464-3502, Vol. 50, nr 4, s. 430-437Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

To determine the relation between existing levels of alcohol screening and brief intervention rates in five European jurisdictions and role security and therapeutic commitment by the participating primary healthcare professionals. Health care professionals consisting of, 409 GPs, 282 nurses and 55 other staff including psychologists, social workers and nurse aids from 120 primary health care centres participated in a cross-sectional 4-week survey. The participants registered all screening and brief intervention activities as part of their normal routine. The participants also completed the Shortened Alcohol and Alcohol Problems Perception Questionnaire (SAAPPQ), which measure role security and therapeutic commitment. The only significant but small relationship was found between role security and screening rate in a multilevel logistic regression analysis adjusted for occupation of the provider, number of eligible patients and the random effects of jurisdictions and primary health care units (PHCU). No significant relationship was found between role security and brief intervention rate nor between therapeutic commitment and screening rate/brief intervention rate. The proportion of patients screened varied across jurisdictions between 2 and 10%. The findings show that the studied factors (role security and therapeutic commitment) are not of great importance for alcohol screening and BI rates. Given the fact that screening and brief intervention implementation rate has not changed much in the last decade in spite of increased policy emphasis, training initiatives and more research being published, this raises a question about what else is needed to enhance implementation.

sted, utgiver, år, opplag, sider
Oxford University Press (OUP): Policy B - Oxford Open Option D, 2015
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-120454 (URN)10.1093/alcalc/agv020 (DOI)000357867100009 ()25787012 (PubMedID)
Merknad

Funding Agencies|Netherlands Organization for Health Research and Development (ZonMW) [200310017]

Tilgjengelig fra: 2015-08-12 Laget: 2015-08-11 Sist oppdatert: 2018-01-11
Organisasjoner
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0003-0279-5903