liu.seSearch for publications in DiVA
Change search
Link to record
Permanent link

Direct link
BETA
Alternative names
Publications (10 of 220) Show all publications
Rahimi, B., Nadri, H., Afshar, H. L. & Timpka, T. (2018). A Systematic Review of the Technology Acceptance Model in Health Informatics. Applied Clinical Informatics, 9(3), 604-634
Open this publication in new window or tab >>A Systematic Review of the Technology Acceptance Model in Health Informatics
2018 (English)In: Applied Clinical Informatics, ISSN 1869-0327, Vol. 9, no 3, p. 604-634Article in journal (Refereed) Published
Abstract [en]

Background One common model utilized to understand clinical staff and patients technology adoption is the technology acceptance model (TAM). Objective This article reviews published research on TAM use in health information systems development and implementation with regard to application areas and model extensions after its initial introduction. Method An electronic literature search supplemented by citation searching was conducted on February 2017 of the Web of Science, PubMed, and Scopus databases, yielding a total of 492 references. Upon eliminating duplicates and applying inclusion and exclusion criteria, 134 articles were retained. These articles were appraised and divided into three categories according to research topic: studies using the original TAM, studies using an extended TAM, and acceptance model comparisons including the TAM. Results The review identified three main information and communication technology (ICT) application areas for the TAM in health services: telemedicine, electronic health records, and mobile applications. The original TAM was found to have been extended to fit dynamic health service environments by integration of components from theoretical frameworks such as the theory of planned behavior and unified theory of acceptance and use of technology, as well as by adding variables in specific contextual settings. These variables frequently reflected the concepts subjective norm and self-efficacy, but also compatibility, experience, training, anxiety, habit, and facilitators were considered. Conclusion Telemedicine applications were between 1999 and 2017, the ICT application area most frequently studied using the TAM, implying that acceptance of this technology was a major challenge when exploiting ICT to develop health service organizations during this period. A majority of the reviewed articles reported extensions of the original TAM, suggesting that no optimal TAM version for use in health services has been established. Although the review results indicate a continuous progress, there are still areas that can be expanded and improved to increase the predictive performance of the TAM.

Place, publisher, year, edition, pages
GEORG THIEME VERLAG KG, 2018
Keywords
technology acceptance model; literature review; health information technology; technology acceptance; theoretical models; health informatics
National Category
Information Systems
Identifiers
urn:nbn:se:liu:diva-150878 (URN)10.1055/s-0038-1668091 (DOI)000441776700001 ()30112741 (PubMedID)
Note

Funding Agencies|Urmia University of Medical Sciences; [1395-01-52-2759]

Available from: 2018-09-06 Created: 2018-09-06 Last updated: 2019-05-01
Tillander, B., Gauffin, H., Dahlström, Ö. & Timpka, T. (2018). Associations between recreational runners anti-inflammatory drug use, coping strategies, and time loss due to injury and illness during preparations for a marathon event. Journal of Sports Medicine and Physical Fitness, 58(12), 1839-1843
Open this publication in new window or tab >>Associations between recreational runners anti-inflammatory drug use, coping strategies, and time loss due to injury and illness during preparations for a marathon event
2018 (English)In: Journal of Sports Medicine and Physical Fitness, ISSN 0022-4707, E-ISSN 1827-1928, Vol. 58, no 12, p. 1839-1843Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Due to the dominance of overuse injuries among runners, knowledge of how use of non-steroidal anti-inflammatory drugs (NSAIDs) and behavioral factors contribute to injury events is important. The aim of this study was to explore recreational marathon runners strategies for coping with injury and illness, including use of drugs for control of pain and inflammation, and to investigate whether these strategies were associated with the 1-year prevalence of time-loss injury and illness. METHODS: An online questionnaire was used for data collection in this cross-sectional study. The population consisted of runners who had registered for a marathon (N.=341). Strategies used to understand and manage perceptions of injury and illness were measured with the Brief COPE instrument and the use of NSAIDs was investigated. RESULTS: Complete survey data were provided by 161 runners (47%). 42% reported NSAID use. A notable injury in the past year was reported by 43%, and 19% reported having had a time-loss illness episode. Runners who reported NSAID use in the past year reported significantly fewer time-loss injuries (P=0.003). Time loss due to illness only showed a negative correlation with using emotional support for coping (P=0.010) and a positive correlation with self-blame (P=0.039). CONCLUSIONS: Runners stating NSAID use reported fewer time-loss running injuries than non-NSAID users. Time loss due to illness showed different correlates with NSAID use and coping strategies than time loss due to injury, i.e. no association with drug use, less use of emotional support for coping and more use of self-blame.

Place, publisher, year, edition, pages
EDIZIONI MINERVA MEDICA, 2018
Keywords
Running; Athletic injuries; Psychological adaptation; Non-steroidal anti-inflammatory drugs
National Category
Sport and Fitness Sciences
Identifiers
urn:nbn:se:liu:diva-154733 (URN)10.23736/S0022-4707.18.07747-2 (DOI)000456479400017 ()29308843 (PubMedID)
Note

Funding Agencies|Research Council of South East Sweden (FORSS) [forss-655801]

Available from: 2019-02-27 Created: 2019-02-27 Last updated: 2019-05-01
Timpka, T., Schyllander, J., Ekman, D. S., Ekman, R., Dahlström, Ö., Hägglund, M., . . . Jacobsson, J. (2018). Community-level football injury epidemiology: traumatic injuries treated at Swedish emergency medical facilities. European Journal of Public Health, 28(1), 94-99
Open this publication in new window or tab >>Community-level football injury epidemiology: traumatic injuries treated at Swedish emergency medical facilities
Show others...
2018 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 28, no 1, p. 94-99Article in journal (Refereed) Published
Abstract [en]

Despite the popularity of the sport, few studies have investigated community-level football injury patterns. This study examines football injuries treated at emergency medical facilities using data from three Swedish counties. An open-cohort design was used based on residents aged 0-59 years in three Swedish counties (pop. 645 520). Data were collected from emergency medical facilities in the study counties between 1 January 2007 and 31 December 2010. Injury frequencies and proportions for age groups stratified by sex were calculated with 95% confidence intervals (95% CIs) and displayed per diagnostic group and body location. Each year, more than 1/200 person aged 0-59 years sustained at least one injury during football play that required emergency medical care. The highest injury incidence was observed among adolescent boys [2009 injuries per 100 000 population years (95% CI 1914-2108)] and adolescent girls [1413 injuries per 100 000 population years (95% CI 1333-1498)]. For female adolescents and adults, knee joint/ligament injury was the outstanding injury type (20% in ages 13-17 years and 34% in ages 18-29 years). For children aged 7-12 years, more than half of the treated injuries involved the upper extremity; fractures constituted about one-third of these injuries. One of every 200 residents aged 0-59 years in typical Swedish counties each year sustained a traumatic football injury that required treatment in emergency healthcare. Further research on community-level patterns of overuse syndromes sustained by participation in football play is warranted.

Place, publisher, year, edition, pages
OXFORD UNIV PRESS, 2018
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:liu:diva-145472 (URN)10.1093/eurpub/ckx053 (DOI)000424126000018 ()28510641 (PubMedID)
Note

Funding Agencies|Swedish Centre for Sports Research [P2013-0153]

Available from: 2018-03-07 Created: 2018-03-07 Last updated: 2019-05-02
Karlsson, D., Timpka, T., Jacobsson, J., Alonso, J.-M., Kowalski, J., Nilsson, S., . . . Edouard, P. (2018). Electronic data capture on athletes pre-participation health and in-competition injury and illness at major sports championships: An extended usability study in Athletics. Health Informatics Journal, 24(2), 136-145
Open this publication in new window or tab >>Electronic data capture on athletes pre-participation health and in-competition injury and illness at major sports championships: An extended usability study in Athletics
Show others...
2018 (English)In: Health Informatics Journal, ISSN 1460-4582, E-ISSN 1741-2811, Vol. 24, no 2, p. 136-145Article in journal (Refereed) Published
Abstract [en]

This study set out to identify factors critical for the usability of electronic data collection in association with championships in individual sports. A qualitative analysis of electronic data collection system usability for collection of data on pre-participation health from athletes and in-competition injury and illness from team physicians was performed during the 2013 European Athletics Indoor Championships. A total of 15 athletes and team physicians participated. Athletes were found to experience few problems interacting with the electronic data collection system, but reported concerns about having to reflect on injury and illness before competitions and the medical terminology used. Team physicians encountered problems when first navigating through the module for clinical reporting, but they were not subjected to motivational problems. We conclude that athletes motivation to self-report health data and the design of the human-computer interface for team physicians are key issues for the usability of electronic data collection systems in association with championships in individual sports.

Place, publisher, year, edition, pages
Sage Publications, 2018
Keywords
electronic data capture; human-computer interaction; qualitative research methods; sports epidemiology; usability
National Category
Other Health Sciences
Identifiers
urn:nbn:se:liu:diva-148086 (URN)10.1177/1460458216661861 (DOI)000432068300003 ()27502408 (PubMedID)2-s2.0-85046813739 (Scopus ID)
Note

Funding Agencies|Swedish Center for Sports Research (CIF) [FO2014-0048, P2014-0167]

Available from: 2018-05-30 Created: 2018-05-30 Last updated: 2019-05-01Bibliographically approved
Timpka, T., Bargoria, V., Halje, K. & Jacobsson, J. (2018). Infographic: Elite athletes anxiety over illness ups risk of injury in competition. British Journal of Sports Medicine, 52(15), 955-955
Open this publication in new window or tab >>Infographic: Elite athletes anxiety over illness ups risk of injury in competition
2018 (English)In: British Journal of Sports Medicine, ISSN 0306-3674, E-ISSN 1473-0480, Vol. 52, no 15, p. 955-955Article in journal, Editorial material (Other academic) Published
Abstract [en]

n/a

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2018
National Category
Basic Medicine
Identifiers
urn:nbn:se:liu:diva-150225 (URN)10.1136/bjsports-2017-098314 (DOI)000440172000007 ()28831015 (PubMedID)2-s2.0-85049161774 (Scopus ID)
Available from: 2018-08-22 Created: 2018-08-22 Last updated: 2019-05-01Bibliographically approved
Jacobsson, J., Bergin, D., Timpka, T., Nyce, J. M. & Dahlström, Ö. (2018). Injuries in youth track and field are perceived to have multiple-level causes that call for ecological (holistic-developmental) interventions: A national sporting community perceptions and experiences. Scandinavian Journal of Medicine and Science in Sports, 28(1), 348-355
Open this publication in new window or tab >>Injuries in youth track and field are perceived to have multiple-level causes that call for ecological (holistic-developmental) interventions: A national sporting community perceptions and experiences
Show others...
2018 (English)In: Scandinavian Journal of Medicine and Science in Sports, ISSN 0905-7188, E-ISSN 1600-0838, Vol. 28, no 1, p. 348-355Article in journal (Refereed) Published
Abstract [en]

Engaging in competitive sports as a youth can have many health benefits, but recent studies also report a high risk for injury. The long-term purpose of this Swedish research program is to develop a framework for safe track and field training for young athletes (aged 12-15years). The aim of this study was to establish what is perceived to contribute and cause injuries in youth track and field by compiling the best available experiential knowledge about the underlying factors and use this knowledge to identify appropriate areas to handle these in practical ways. Nine focus group interviews with in total 74 participants and confirming interviews with five individuals were performed in seven Swedish regions. Qualitative research methods were used for data analysis. Injuries in youth athletes were not considered to be strictly the result of individual factors but rather the result of the interactions between factors at different levels. Three major factors emerged as follows: Insufficient knowledge for athletic development in daily practice; shortsighted communities of practice and sports policies not adjusted to youth; and societal health behaviors. The experiential knowledge in the national sporting community suggests that if effective and sustainable injury prevention processes are to be implemented for youth track and field, an ecological (holistic-developmental) approach to injury prevention is needed. Such an approach allows a longitudinal development-focused strategy for prevention that spans an athletes entire career.

Place, publisher, year, edition, pages
WILEY, 2018
Keywords
athletics; child; safe sport; sports injury prevention
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:liu:diva-144897 (URN)10.1111/sms.12929 (DOI)000422630100039 ()28605065 (PubMedID)
Note

Funding Agencies|Swedish Athletics Association; Folksam Insurance Company

Available from: 2018-02-09 Created: 2018-02-09 Last updated: 2019-05-01
Edouard, P., Junge, A., Kiss-Polauf, M., Ramirez, C., Sousa, M., Timpka, T. & Branco, P. (2018). Interrater reliability of the injury reporting of the injury surveillance system used in international athletics championships. Journal of Science and Medicine in Sport, 21(9), 894-898
Open this publication in new window or tab >>Interrater reliability of the injury reporting of the injury surveillance system used in international athletics championships
Show others...
2018 (English)In: Journal of Science and Medicine in Sport, ISSN 1440-2440, E-ISSN 1878-1861, Vol. 21, no 9, p. 894-898Article in journal (Refereed) Published
Abstract [en]

Objectives: The quality of epidemiological injury data depends on the reliability of reporting to an injury surveillance system. Ascertaining whether all physicians/physiotherapists report the same information for the same injury case is of major interest to determine data validity. The aim of this study was therefore to analyse the data collection reliability through the analysis of the interrater reliability. Design: Cross-sectional survey. Methods: During the 2016 European Athletics Advanced Athletics Medicine Course in Amsterdam, all national medical teams were asked to complete seven virtual case reports on a standardised injury report form using the same definitions and classifications of injuries as the international athletics championships injury surveillance protocol. The completeness of data and the Fleiss kappa coefficients for the inter-rater reliability were calculated for: sex, age, event, circumstance, location, type, assumed cause and estimated time-loss. Results: Forty-one team physicians and physiotherapists of national medical teams participated in the study (response rate 89.1%). Data completeness was 96.9%. The Fleiss kappa coefficients were: almost perfect for sex (k = 1), injury location (k = 0.991), event (k = 0.953), circumstance (k = 0,942), and age = 0.870), moderate for type (k = 0.507), fair for assumed cause (k = 0.394), and poor for estimated time loss (k = 0.155). Conclusions: The injury surveillance system used during international athletics championships provided reliable data for "sex", "location", "event", "circumstance", and "age". More caution should be taken for "assumed cause" and "type", and even more for "estimated time-loss". This injury surveillance system displays satisfactory data quality (reliable data and high data completeness), and thus, can be recommended as tool to collect epidemiology information on injuries during international athletics championships. (C) 2018 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.

Place, publisher, year, edition, pages
ELSEVIER SCI LTD, 2018
Keywords
Injury surveillance; Methodology; Sports injury prevention; Track and field; Epidemiology; Prospective studies
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:liu:diva-150847 (URN)10.1016/j.jsams.2018.02.001 (DOI)000442335100007 ()29503161 (PubMedID)
Note

Funding Agencies|European Athletics

Available from: 2018-09-06 Created: 2018-09-06 Last updated: 2019-05-01
Rönnby, S., Lundberg, O., Fagher, K., Jacobsson, J., Tillander, B., Gauffin, H., . . . Timpka, T. (2018). mHealth Self-Report Monitoring in Competitive Middle- and Long-Distance Runners: Qualitative Study of Long-Term Use Intentions Using the Technology Acceptance Model. JMIR mhealth and uhealth, 6(8), Article ID e10270.
Open this publication in new window or tab >>mHealth Self-Report Monitoring in Competitive Middle- and Long-Distance Runners: Qualitative Study of Long-Term Use Intentions Using the Technology Acceptance Model
Show others...
2018 (English)In: JMIR mhealth and uhealth, E-ISSN 2291-5222, Vol. 6, no 8, article id e10270Article in journal (Refereed) Published
Abstract [en]

Background: International middle- and long-distance running competitions attract millions of spectators in association with city races, world championships, and Olympic Games. It is therefore a major concern that ill health and pain, as a result of sports overuse, lead to numerous hours of lost training and decreased performance in competitive runners. Despite its potential for sustenance of performance, approval of mHealth self-report monitoring (mHSM) in this group of athletes has not been investigated. Objective: The objective of our study was to explore individual and situational factors associated with the acceptance of long-term mHSM in competitive runners. Methods: The study used qualitative research methods with the Technology Acceptance Model as the theoretical foundation. The study population included 20 middle- and long-distance runners competing at national and international levels. Two mHSM apps asking for health and training data from track and marathon runners were created on a platform for web survey development (Briteback AB). Data collection for the technology acceptance analysis was performed via personal interviews before and after a 6-week monitoring period. Preuse interviews investigated experience and knowledge of mHealth monitoring and thoughts on benefits and possible side effects. The postuse interviews addressed usability and usefulness, attitudes toward nonfunctional issues, and intentions to adhere to long-term monitoring. In addition, the runners trustworthiness when providing mHSM data was discussed. The interview data were investigated using a deductive thematic analysis. Results: The mHSM apps were considered technically easy to use. Although the runners read the instructions and entered data effortlessly, some still perceived mHSM as problematic. Concerns were raised about the selection of items for monitoring (eg, recording training load as running distance or time) and about interpretation of concepts (eg, whether subjective well should encompass only the running context or daily living on the whole). Usefulness of specific mHSM apps was consequently not appraised on the same bases in different subcategories of runners. Regarding nonfunctional issues, the runners competing at the international level requested detailed control over who in their sports club and national federation should be allowed access to their data; the less competitive runners had no such issues. Notwithstanding, the runners were willing to adhere to long-term mHSM, provided the technology was adjusted to their personal routines and the output was perceived as contributing to running performance. Conclusions: Adoption of mHSM by competitive runners requires clear definitions of monitoring purpose and populations, repeated in practice tests of monitoring items and terminology, and meticulousness regarding data-sharing routines. Further naturalistic studies of mHSM use in routine sports practice settings are needed with nonfunctional ethical and legal issues included in the evaluation designs.

Place, publisher, year, edition, pages
JMIR PUBLICATIONS, INC, 2018
Keywords
running; mHealth; health technology; diagnostic self-evaluation; remote sensing technology; self-evaluation programs; qualitative research
National Category
Sport and Fitness Sciences
Identifiers
urn:nbn:se:liu:diva-150487 (URN)10.2196/10270 (DOI)000441427300001 ()30104183 (PubMedID)
Available from: 2018-08-24 Created: 2018-08-24 Last updated: 2019-05-01
Timpka, J., Dahlström, Ö., Spreco, A., Nilsson, M. H., Iwarsson, S., Timpka, T. & Odin, P. (2018). Reduced workforce participation 5 years prior to first Parkinsons disease sick-leave. NPJ Parkinsons disease, 4, Article ID 36.
Open this publication in new window or tab >>Reduced workforce participation 5 years prior to first Parkinsons disease sick-leave
Show others...
2018 (English)In: NPJ Parkinsons disease, ISSN 2373-8057, Vol. 4, article id 36Article in journal (Refereed) Published
Abstract [en]

The importance of understanding the prodromal phase of Parkinsons disease (PD) by systematic recording of prediagnostic symptoms and reductions in body functions has been highlighted. The aim of this study was to investigate whether persons later diagnosed with PD exhibit increased physician-certified sickness absence 1, 2, and 5 years prior to a first sick-leave episode attributed to PD. A case-control study was performed to analyze data from all nontrivial (exceeding 14 days) sick-leave episodes in Sweden between 2008 and 2014. The 537 incident PD sick-leave episodes were identified as PD sick-leave cases and compared to 537 sick-leave controls identified by matching age, sex, and date of the first day of the sick-leave episode. The total sickness absence and sickness absence due to musculoskeletal diagnoses were found to be increased among the PD sick-leave cases from 5 years prior to the first sick-leave episode ascribed to PD when compared to the controls. No differences between PD sick-leave cases and sick-leave controls were found with regard to mental and behavioral diagnoses. We conclude that the capacity to participate in working life is reduced already at the early prediagnostic stages of PD. This finding can be used as a basis for further research into the process of identifying individuals at risk for developing PD, particularly in combination with further investigation into biochemical, genetic, and imaging biomarkers.

Place, publisher, year, edition, pages
Nature Publishing Group, 2018
National Category
General Practice
Identifiers
urn:nbn:se:liu:diva-156078 (URN)10.1038/s41531-018-0072-2 (DOI)000454257200001 ()30564630 (PubMedID)
Available from: 2019-04-02 Created: 2019-04-02 Last updated: 2019-06-28Bibliographically approved
Timpka, T., Nyce, J. M. & Amer-Wahlin, I. (2018). Value-Based Reimbursement in Collectively Financed Healthcare Requires Monitoring of Socioeconomic Patient Data to Maintain Equality in Service Provision. Journal of general internal medicine, 33(12), 2240-2243
Open this publication in new window or tab >>Value-Based Reimbursement in Collectively Financed Healthcare Requires Monitoring of Socioeconomic Patient Data to Maintain Equality in Service Provision
2018 (English)In: Journal of general internal medicine, ISSN 0884-8734, E-ISSN 1525-1497, Vol. 33, no 12, p. 2240-2243Article in journal (Refereed) Published
Abstract [en]

Value-based purchasing is increasingly discussed in association with efforts to develop modern healthcare systems. These models are the most recent example of models derived from health economics research intended to reform collectively financed healthcare. Previous examples have ranged from creation of pseudo-markets to opening these markets for competition between publicly and privately owned enterprises. Most value-based purchasing models tend to ignore that health service provision in collectively financed settings is based on an insurance with political, social obligations attached that challenge the notion of free market and individualist premises which these models rest on. Central social issues related to healthcare in any modern complex society, such as inequality in service provision, can all too easily disappear in value-based reform efforts. Based on an analysis of Swedish policy development, we contend that management information systems need to be extended to allow routine monitoring of socioeconomic data when models such as value-based purchasing are introduced in collectively financed health services. The experiences from Sweden are important for health policy in Europe and other regions with collectively financed healthcare plans.

Place, publisher, year, edition, pages
SPRINGER, 2018
Keywords
health service administration; value-based models; socioeconomic disparity; health economy; collectively financed healthcare
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:liu:diva-153523 (URN)10.1007/s11606-018-4661-x (DOI)000451437800041 ()30206793 (PubMedID)
Available from: 2019-01-02 Created: 2019-01-02 Last updated: 2019-05-01
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-6049-5402

Search in DiVA

Show all publications