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Karlsson, N., Skagerström, J., O’Donnell, A., Abidi, L., Thomas, K., Nilsen, P. & Lid, T. G. (2023). Relationship Between Educational Level and Attitudes Towards Alcohol Conversations in Healthcare: A Cross-Sectional Survey Conducted in Four European Countries. International Journal of Public Health, 68, Article ID 1605634.
Open this publication in new window or tab >>Relationship Between Educational Level and Attitudes Towards Alcohol Conversations in Healthcare: A Cross-Sectional Survey Conducted in Four European Countries
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2023 (English)In: International Journal of Public Health, ISSN 1661-8556, E-ISSN 1661-8564, Vol. 68, article id 1605634Article in journal (Refereed) Published
Abstract [en]

Objectives: To examine the association between educational level and attitudes towards alcohol conversations in healthcare using population-based surveys of adults in England, the Netherlands, Norway, and Sweden; and to compare attitudes towards alcohol conversations in healthcare between these four countries. Methods: Cross-sectional surveys were conducted amongst adults in the general population in England (n = 3,499), the Netherlands (n = 2,173), Norway (n = 1,208), and Sweden (n = 3,000). Logistic regression analysis was used to examine associations between attitudes towards alcohol conversations in healthcare and educational level, key demographic variables, alcohol consumption, and country of residence. Results: In all four countries, low educational level (p < 0.001) and male gender (p < 0.001) were associated with holding negative attitudes towards discussing alcohol in healthcare. Risky drinkers had more negative attitudes than low risky drinkers towards discussing alcohol in healthcare (p < 0.001) in all countries except England (p = 0.48), and also reported low levels of perceived honesty and confidence in healthcare (p < 0.001). Conclusion: These findings highlight the importance of considering patients’ socio-economic status when developing and implementing alcohol prevention interventions in healthcare. Copyright © 2023 Karlsson, Skagerström, O’Donnell, Abidi, Thomas, Nilsen and Lid.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2023
Keywords
Adult; Alcohol Drinking; Attitude; Cross-Sectional Studies; Delivery of Health Care; Educational Status; Humans; Male; adult; attitude; cross-sectional study; drinking behavior; educational status; epidemiology; health care delivery; human; male; prevention and control
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:liu:diva-193212 (URN)10.3389/ijph.2023.1605634 (DOI)000963379100001 ()37035102 (PubMedID)2-s2.0-85151993866 (Scopus ID)
Note

Finding agency: University of Stavanger, Faculty ofHealth Sciences, Norway

Available from: 2023-04-21 Created: 2023-04-21 Last updated: 2023-05-04
Toros, A., Grodzinsky, E., Karlsson, N., Nilsson, M. & Sund-Levander, M. (2022). Use of temperature changes and pro-inflammatory biomarkers to diagnose bacterial infections in patients with severe cerebral trauma. Journal of Neurocritical Care, 15(1), 21-31
Open this publication in new window or tab >>Use of temperature changes and pro-inflammatory biomarkers to diagnose bacterial infections in patients with severe cerebral trauma
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2022 (English)In: Journal of Neurocritical Care, E-ISSN 2508-1349, Vol. 15, no 1, p. 21-31Article in journal (Refereed) Published
Abstract [en]

BackgroundIn patients undergoing neurosurgeries, inflammation and infection are strongly related; however, inflammation can be present without infection. Midregional proadrenomedullin (MR-proADM) is a relatively new sepsis biomarker that is rarely used clinically. Recently, the concept of DiffTemp was introduced, that is, a >1°C rise from individual normal temperature accompanied by malaise, as a more accurate definition of temperature assessed as fever. The aim of the present study was to examine the importance of C-reactive protein (CRP), white blood cells, procalcitonin, and MR-proADM levels and DiffTemp.MethodsThis prospective, comparative study had a quantitative approach. Forty-two patients, aged >18 years and presenting with severe cerebral trauma were included from a neurosurgical intensive care unit. The outcome variable was infection; group 0, no infection (n=11); group 1, suspected infection (n=15); and, group 2, confirmed infection (n=16). Group assignments were performed using biomarkers, medical records, bacterial cultures, and International Classification of Diseases-10, and by the clinical assessment of criteria for nosocomial infections by a neurosurgeon.ResultsOn comparing groups 1 and 2, MR-proADM and DiffTemp were associated with a higher risk of confirmed infection (odds ratio, 5.41 and 17.14, respectively). Additionally, DiffTemp had a 90.9% specificity in patients with no infection and a 93.8% sensitivity in patients with confirmed infections. CRP and procalcitonin levels were not associated with an increased risk of confirmed infection.ConclusionIncreased levels of MR-proADM were associated with a higher risk of confirmed infection. DiffTemp was associated with a higher risk of having a confirmed infection.

Place, publisher, year, edition, pages
Korean Neurocritical Care Society, 2022
Keywords
Infection; Fever; DiffTemp; Trauma; Body temperature; Midregional proadrenomedullin
National Category
Infectious Medicine
Identifiers
urn:nbn:se:liu:diva-192633 (URN)10.18700/jnc.210031 (DOI)2-s2.0-85133640021 (Scopus ID)
Available from: 2023-03-27 Created: 2023-03-27 Last updated: 2023-05-04Bibliographically approved
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
Open this publication in new window or tab >>Enrolment-latency in randomized behavior change trials: individual participant data meta-analysis showed association with attrition but not effect-size
2020 (English)In: Journal of Clinical Epidemiology, ISSN 0895-4356, E-ISSN 1878-5921, Vol. 118, p. 55-59Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
Elsevier, 2020
Keywords
Intervention trial; Bias; Nonresponse; Selection; External validity; Generalizability
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:liu:diva-163658 (URN)10.1016/j.jclinepi.2019.09.019 (DOI)000509782100007 ()31706962 (PubMedID)2-s2.0-85075803227 (Scopus ID)
Available from: 2020-02-18 Created: 2020-02-18 Last updated: 2020-03-03Bibliographically approved
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
Open this publication in new window or tab >>A Weight-Loss and Healthy Living Program for Men Delivered in Swedish Football and Ice-Hockey Clubs (ViSiT): Results from the ViSiT Feasibility Study
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2019 (English)In: Health, ISSN 1949-4998, Vol. 11, p. 1473-1486Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
Scientific Research Publishing, 2019
Keywords
Public Health;Overweight;Weight-Loss;Physical Activity;Lifestyle;Fans
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:liu:diva-163943 (URN)10.4236/health.2019.1110110 (DOI)
Available from: 2020-02-27 Created: 2020-02-27 Last updated: 2021-12-28Bibliographically approved
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.
Open this publication in new window or tab >>Beliefs and attitudes about addressing alcohol consumption in health care: a population survey in England
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2018 (English)In: BMC Public Health, E-ISSN 1471-2458, Vol. 18, no 1, article id 391Article in journal (Refereed) 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/ ).

Place, publisher, year, edition, pages
Springer, 2018
Keywords
Alcohol drinking, Alcohol toolkit study, Brief intervention, Implementation, Population-based, Prevention
National Category
Health Sciences
Identifiers
urn:nbn:se:liu:diva-147327 (URN)10.1186/s12889-018-5275-2 (DOI)000428266100007 ()29562901 (PubMedID)2-s2.0-85044199776 (Scopus ID)
Available from: 2018-04-17 Created: 2018-04-17 Last updated: 2023-08-28Bibliographically approved
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.
Open this publication in new window or tab >>Effectiveness of a Text Messaging-Based Intervention Targeting Alcohol Consumption Among University Students: Randomized Controlled Trial
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2018 (English)In: JMIR mhealth and uhealth, E-ISSN 2291-5222, Vol. 6, no 6, article id e146Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
JMIR PUBLICATIONS, INC, 2018
Keywords
alcohol consumption intervention; text message-based intervention; university students; brief intervention
National Category
Substance Abuse
Identifiers
urn:nbn:se:liu:diva-149731 (URN)10.2196/mhealth.9642 (DOI)000436207100005 ()29941417 (PubMedID)
Note

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

Available from: 2018-07-24 Created: 2018-07-24 Last updated: 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
Open this publication in new window or tab >>Arbetsgivares kostnader, åtgärder och anpassningar för sjuknärvarande och sjukfrånvarande medarbetare: samband med återgång i arbete och produktion
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2017 (Swedish)Report (Other academic)
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.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2017. p. 46
Series
HELIX working papers, ISSN 1654-8213 ; 2017:3
National Category
Public Health, Global Health, Social Medicine and Epidemiology Work Sciences Social Sciences Interdisciplinary
Identifiers
urn:nbn:se:liu:diva-142072 (URN)
Available from: 2017-10-20 Created: 2017-10-20 Last updated: 2018-08-14Bibliographically approved
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
Open this publication in new window or tab >>Effectiveness of Short Message Service Text-Based Smoking Cessation Intervention Among University Students A Randomized Clinical Trial
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2016 (English)In: JAMA Internal Medicine, ISSN 2168-6106, E-ISSN 2168-6114, Vol. 176, no 3, p. 321-328Article in journal (Refereed) 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 &gt;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.

Place, publisher, year, edition, pages
AMER MEDICAL ASSOC, 2016
National Category
Basic Medicine Computer and Information Sciences
Identifiers
urn:nbn:se:liu:diva-127282 (URN)10.1001/jamainternmed.2015.8260 (DOI)000372302500008 ()26903176 (PubMedID)
Note

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

Available from: 2016-04-20 Created: 2016-04-19 Last updated: 2021-12-28
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.
Open this publication in new window or tab >>Associations between organisation of work, work conditions, work-relatedf low and performance: a multilevel analysis
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2015 (English)Manuscript (preprint) (Other academic)
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.

Keywords
Job resources; health; well-being; job design
National Category
Learning Work Sciences Other Medical Sciences
Identifiers
urn:nbn:se:liu:diva-117062 (URN)
Available from: 2015-04-15 Created: 2015-04-15 Last updated: 2015-04-15Bibliographically approved
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
Open this publication in new window or tab >>Lean production tools and decision latitude enable conditions for innovative learning in organizations: a multilevel analysis
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2015 (English)In: Applied Ergonomics, ISSN 0003-6870, E-ISSN 1872-9126, Vol. 47, p. 285-291Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
Elsevier, 2015
Keywords
psychosocial work conditions, job resources, learning climate
National Category
Other Health Sciences Learning
Identifiers
urn:nbn:se:liu:diva-112552 (URN)10.1016/j.apergo.2014.10.013 (DOI)000347663600033 ()
Available from: 2014-12-02 Created: 2014-12-02 Last updated: 2017-12-05Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-0279-5903

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