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Johansson, Kjell
Publications (10 of 21) Show all publications
Carlfjord, S. & Johansson, K. (2012). Association Between Frequency of Heavy Episodic Drinking and Self-reported Consequences: A Cross-sectional Study in a Swedish Population. Alcohol and Alcoholism, 47(6), 719-724
Open this publication in new window or tab >>Association Between Frequency of Heavy Episodic Drinking and Self-reported Consequences: A Cross-sectional Study in a Swedish Population
2012 (English)In: Alcohol and Alcoholism, ISSN 0735-0414, E-ISSN 1464-3502, Vol. 47, no 6, p. 719-724Article in journal (Refereed) Published
Abstract [en]

Aims: To describe perceived negative consequences (PNCs) of alcohol consumption related to the frequency of heavy episodic drinking (HED) in a Swedish population attending primary health care (PHC). Methods: Data from a computer-based assessment, including questions about alcohol consumption and PNC, were collected from 28 PHC centres in Sweden. The analysis included 4559 responders. Risk ratios concerning PNC for different frequencies of HED were calculated. Results: Engaging in HED once a month for women and two to three times a month for men significantly raised the proportion of individuals reporting PNC, compared with engaging in HED less than once a month. The men reported PNC of alcohol consumption to a higher degree than the women, and in general, the proportion of individuals reporting PNC was associated with the frequency of HED. Conclusion: Engaging in HED once a month for women and two to three times a month for men are critical levels regarding PNC of alcohol consumption. To identify a cut-off value for categorizing individuals as hazardous alcohol consumers due to the frequency of HED, further studies are needed.

Place, publisher, year, edition, pages
Oxford University Press (OUP): Policy B, 2012
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-85849 (URN)10.1093/alcalc/ags080 (DOI)000310153200014 ()
Note

Funding Agencies|County Council of Ostergotland, Sweden||

Available from: 2012-11-30 Created: 2012-11-30 Last updated: 2017-12-07
Bendtsen, P., Stark Ekman, D., Johansson, A. L., Carlfjord, S., Andersson, A., Leijon, M., . . . Nilsen, P. (2011). Referral to an electronic screening and brief alcohol intervention in primary health care in Sweden: impact of staff referral to the computer. International Journal of Telemedicine and Applications, 2011, 1-11, Article ID 918763.
Open this publication in new window or tab >>Referral to an electronic screening and brief alcohol intervention in primary health care in Sweden: impact of staff referral to the computer
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2011 (English)In: International Journal of Telemedicine and Applications, ISSN 1687-6415, E-ISSN 1687-6423, Vol. 2011, p. 1-11, article id 918763Article in journal (Refereed) Published
Abstract [en]

The aim of this paper was to evaluate whether primary health care staff's referral of patients to perform an electronic screening and brief intervention (e-SBI) for alcohol use had a greater impact on change in alcohol consumption after 3 month, compared to patients who performed the test on their own initiative. Staff-referred responders reported reduced weekly alcohol consumption with an average decrease of 8.4 grams. In contrast, self-referred responders reported an average increase in weekly alcohol consumption of 2.4 grams. Staff-referred responders reported a 49% reduction of average number of heavy episodic drinking (HED) occasions per month. The corresponding reduction for self-referred responders was 62%. The differences between staff- and self-referred patient groups in the number who moved from risky drinking to nonrisky drinking at the followup were not statistically significant. Our results indicate that standalone computers with touchscreens that provide e-SBIs for risky drinking have the same effect on drinking behaviour in both staff-referred patients and self-referred patients.

Place, publisher, year, edition, pages
Hindawi Publishing Corporation, 2011
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-75303 (URN)10.1155/2011/918763 (DOI)21603024 (PubMedID)
Available from: 2012-02-24 Created: 2012-02-24 Last updated: 2017-12-07Bibliographically approved
Carlfjord, S., Johansson, K., Bendtsen, P., Nilsen, P. & Andersson, A. (2010). Staff perspectives on the use of a computer-based concept for lifestyle intervention implemented in primary health care. HEALTH EDUCATION JOURNAL, 69(3), 246-256
Open this publication in new window or tab >>Staff perspectives on the use of a computer-based concept for lifestyle intervention implemented in primary health care
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2010 (English)In: HEALTH EDUCATION JOURNAL, ISSN 0017-8969, Vol. 69, no 3, p. 246-256Article in journal (Refereed) Published
Abstract [en]

Objective: The aim of this study was to evaluate staff experiences of the use of a computer-based concept for lifestyle testing and tailored advice implemented in routine primary health care (PHC). Design: The design of the study was a cross-sectional, retrospective survey. Setting: The study population consisted of staff at nine PHC units in the county of Ostergotland, Sweden. Method: After a computer-based concept for lifestyle intervention had been in operation for 1 year, a questionnaire was distributed to all staff members. The questions concerned experiences of and attitudes to the concept, and comments on addressing lifestyle issues in PHC. Results: Of the 291 potential respondents, 59 per cent returned the questionnaire. Eighty-five per cent found it positive to refer to the computer-based test, and 93 per cent of those who had read the written advice generated by the computer agreed with the advice provided. Seventy-five per cent thought that the concept could have an effect on a patients lifestyle, and 78 per cent had confidence in the computer-based test. Staff at smaller PHC units had more positive attitudes (p = 0.003) and referred a higher proportion of their patients to the computer-based test than staff at larger units (p = 0.000). Follow-up rates showed no significant differences between the categories. Staff believed that inclusion of more lifestyle areas, e. g. smoking and dietary habits, would make the test more useful. More time, education and the establishment of lifestyle practices were issues suggested in order to enhance the focus on lifestyle factors. Conclusion: Staff members have confidence in the computerized test and consider it a valuable tool. A development towards more lifestyle areas will make it even more useful.

Place, publisher, year, edition, pages
Health Education Authority, 2010
Keywords
computer-based, lifestyle intervention, primary health care, staff
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-59718 (URN)10.1177/0017896910364883 (DOI)000281677400003 ()
Note
Original Publication: Siw Carlfjord, Kjell Johansson, Preben Bendtsen, Per Nilsen and Agneta Andersson, Staff perspectives on the use of a computer-based concept for lifestyle intervention implemented in primary health care, 2010, HEALTH EDUCATION JOURNAL, (69), 3, 246-256. http://dx.doi.org/10.1177/0017896910364883 Copyright: Health Education Authority http://www.uk.sagepub.com/ Available from: 2010-09-24 Created: 2010-09-24 Last updated: 2013-09-30
Carlfjord, S., Nilsen, P., Andersson, A., Johansson, K. & Bendtsen, P. (2009). Computerized lifestyle intervention in routine primary health care: Evaluation of usage on provider and responder levels. PATIENT EDUCATION AND COUNSELING, 75(2), 238-243
Open this publication in new window or tab >>Computerized lifestyle intervention in routine primary health care: Evaluation of usage on provider and responder levels
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2009 (English)In: PATIENT EDUCATION AND COUNSELING, ISSN 0738-3991, Vol. 75, no 2, p. 238-243Article in journal (Refereed) Published
Abstract [en]

Objective: The aim of this study was to evaluate the use of a computerized concept for lifestyle intervention in routine primary health care (PHC).

Methods: Nine PHC units were equipped with computers providing a lifestyle test and tailored printed advice regarding alcohol consumption and physical activity. Patients were referred by staff, and performed the test anonymously. Data were collected over a period of I year.

Results: During the study period 3065 tests were completed, representing 5.7% of the individuals visiting the PHC units during the period. there were great differences between the units in the number of tests performed and in the proportion of patients referred. One-fifth of the respondents scored for hazardous alcohol consumption, and one-fourth reported low levels of physical activity. The majority of respondents found the test easy to perform, and a majority of those referred to the test found referral positive.

Conclusion: The computerized test can be used for screening and intervention regarding lifestyle behaviours in PHC. Responders are positive to the test and to referral.

Practice implications: A more widespread implementation of computerized lifestyle tests could be a beneficial complement to face-to-face interventions in PHC.

Keywords
Alcohol, Computer-based, Lifestyle intervention, Physical activity, Primary health care
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-18143 (URN)10.1016/j.pec.2008.10.004 (DOI)
Note
Original Publication: Siw Carlfjord, Per Nilsen, A Andersson, Kjell Johansson and Preben Bendtsen, Computerized lifestyle intervention in routine primary health care: Evaluation of usage on provider and responder levels, 2009, PATIENT EDUCATION AND COUNSELING, (75), 2, 238-243. http://dx.doi.org/10.1016/j.pec.2008.10.004 Copyright: Elsevier Science B.V., Amsterdam. http://www.elsevier.com/ Available from: 2009-05-20 Created: 2009-05-08 Last updated: 2013-09-30Bibliographically approved
Nordqvist, C., Johansson, K., Lindqvist, K. & Bendtsen, P. (2006). Attitude changes among emergency department triage staff after conducting routine alcohol screening. Addictive Behaviors, 31(2), 191-202
Open this publication in new window or tab >>Attitude changes among emergency department triage staff after conducting routine alcohol screening
2006 (English)In: Addictive Behaviors, ISSN 0306-4603, Vol. 31, no 2, p. 191-202Article in journal (Refereed) Published
Abstract [en]

Excessive alcohol consumption is common among injury patients, but routine alcohol interventions seem to be difficult to implement in emergency departments. An obstacle seen in previous studies is the limited time available in a real-world setting for staff to participate in routine alcohol screening and interventions. In the present study, ordinary staff participated in a simple alcohol screening procedure. The aim of the study was to evaluate the feasibility of this procedure and if there was any change in attitudes and practices among triage staff after the implementation. We analyzed interviews with six staff members and questionnaires completed by 29 nurses and medical secretaries before and after a period of systematic routine screening. The staff reported that the routine worked well and that few patients reacted negatively. A positive change was seen in attitudes towards alcohol preventive measures in general. However, this seems not to be sufficient for the staff to spontaneously engage more actively. In fact, more of the staff were uncertain after the study period whether the emergency department is an appropriate place for alcohol screening and intervention despite an increased role legitimacy and perceived competence. There is a need for further development of alcohol prevention models that are acceptable for the staff to implement as part of the daily routine.

Keywords
Nurses; Medical secretaries; Attitude change; Emergency department; Obstacles to screening; Role legitimacy; Routine screening
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-13757 (URN)10.1016/j.addbeh.2005.04.021 (DOI)
Available from: 2006-01-16 Created: 2006-01-16
Bendtsen, P., Johansson, K. & Åkerlind, I. (2006). Feasibility of an email-based electronic screening and brief intervention (e-SBI) to college students in Sweden.. Addictive Behaviours, 31, 777-787
Open this publication in new window or tab >>Feasibility of an email-based electronic screening and brief intervention (e-SBI) to college students in Sweden.
2006 (English)In: Addictive Behaviours, ISSN 0306-4603, E-ISSN 1873-6327, Vol. 31, p. 777-787Article in journal (Refereed) Published
Keywords
Alcohol habits, College students, computerized normative feedback; Sweden
National Category
Social Sciences
Identifiers
urn:nbn:se:liu:diva-34267 (URN)10.1016/j.addbeh.2005.06.002 (DOI)21191 (Local ID)21191 (Archive number)21191 (OAI)
Available from: 2009-10-10 Created: 2009-10-10 Last updated: 2017-12-13
Johansson, K., Bendtsen, P. & Åkerlind, I. (2005). Advice to patients in Swedish primary care regarding alcohol and other lifestyle habits: how patients report the actions of GPs in relation to their own expectations and satisfaction with the consultation. European Journal of Public Health, 15(6), 615-620
Open this publication in new window or tab >>Advice to patients in Swedish primary care regarding alcohol and other lifestyle habits: how patients report the actions of GPs in relation to their own expectations and satisfaction with the consultation
2005 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 15, no 6, p. 615-620Article in journal (Refereed) Published
Abstract [en]

Background: Lifestyle advice given by general practitioners (GPs) may be a cost-effective means of health promotion; however, it is not fully put into routine practice. The aim of this study was to explore to what extent GPs' patients expect and receive advice concerning alcohol, tobacco, exercise and diet in relation to sociodemographic characteristics, type of visit and patient satisfaction.

Methods: A postal questionnaire was sent to a representative sample (n = 9750) of patients who had consulted GPs in a county in Sweden. The response rate was 69% (n = 6734).

Results: Exercise was the most (16%) and alcohol the least (5%) common type of advice. The patients received advice more often than they expected in all areas except alcohol. The patients reported the highest rate of unfulfilled advice expectation and the lowest rate of unexpected advice in the case of alcohol. Male gender, poorer self-rated health and scheduled appointment were independent predictors of all types of advice. Continuity of GP contact was only favourable for exercise and diet advice. The patients who received advice were more satisfied with their visit to the doctor.

Conclusions: A tertiary preventive perspective guides GPs' practice of giving advice. Male patients with advanced illnesses are given priority. Women and patients with long-term risk habits are more neglected. The GPs tend to misjudge the expectations and needs of their patients and are too restrained in their counselling practice. Alcohol is the most disregarded area of advice in proportion to the patients' expectations and needs.

Keywords
alcohol drinking, counselling, health behaviour, patient satisfaction, primary health care
National Category
Social Sciences
Identifiers
urn:nbn:se:liu:diva-29717 (URN)10.1093/eurpub/cki046 (DOI)15111 (Local ID)15111 (Archive number)15111 (OAI)
Available from: 2009-10-09 Created: 2009-10-09 Last updated: 2017-12-13Bibliographically approved
Nordqvist, C., Johansson, K., Lindqvist, K. & Bendtsen, P. (2005). Alcohol prevention measures at an emergency department: physicians` perspectives. Short communication. Public Health, 119(9), 789-791
Open this publication in new window or tab >>Alcohol prevention measures at an emergency department: physicians` perspectives. Short communication
2005 (English)In: Public Health, ISSN 0033-3506, Vol. 119, no 9, p. 789-791Article in journal (Refereed) Published
Keywords
Physicians' attitudes; Routine alcohol screening; Prevention of alcohol problems; Emergency department
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-13756 (URN)10.1016/j.puhe.2004.10.008 (DOI)
Available from: 2006-01-16 Created: 2006-01-16
Johansson, K., Bendtsen, P. & Åkerlind, I. (2005). Factors influencing GPs' decisions regarding screening for high alcohol consumption: a focus group study in Swedish primary care. Public Health, 119(9), 781-788
Open this publication in new window or tab >>Factors influencing GPs' decisions regarding screening for high alcohol consumption: a focus group study in Swedish primary care
2005 (English)In: Public Health, ISSN 0033-3506, E-ISSN 1476-5616, Vol. 119, no 9, p. 781-788Article in journal (Refereed) Published
Abstract [en]

Objective The aim of this study was to explore factors that influence general practitioners' (GPs') decisions regarding screening for high alcohol consumption.

Methods GPs working at three primary healthcare centres in Sweden participated in focus group interviews. The interviews were recorded and transcribed verbatim, and a deductive framework approach was used for the analysis.

Results The majority of the participating GPs did not believe in asking all patients about their alcohol consumption. Reported factors that influenced how many and which patients were questioned about alcohol consumption were time, age of the patient, consultation setting, patient–physician relationship, what symptoms the patient presented with, and knowledge of measures if patients appear to have a high alcohol consumption. Thus, alcohol screening and intervention were not performed in all patient groups as was originally intended, but were performed in limited groups of patients such as those with alcohol-related symptoms.

Conclusions Although the number of participants in this study was small and the conclusions cannot be generalized, the results provide some valuable insights into why GPs are hesitant to engage in screening for high alcohol consumption. Since prevention of alcohol-related health problems is an important public health issue, many different screening and intervention strategies have to be formulated and evaluated in order to reach patients with both hazardous and harmful alcohol consumption within the healthcare system. Screening all consecutive patients for a limited period or screening patient groups known to include a fairly high frequency of high alcohol consumers are two ways of limiting the time requirements and increasing role legitimacy. Still, there is a need for a broader public health strategy involving many players in the community in alcohol preventive measures, especially in more primary preventive approaches.

Keywords
Alcohol, screening, primary health care, dissemtion, GPs attitudes
National Category
Social Sciences
Identifiers
urn:nbn:se:liu:diva-29718 (URN)10.1016/j.puhe.2004.12.006 (DOI)15112 (Local ID)15112 (Archive number)15112 (OAI)
Available from: 2009-10-09 Created: 2009-10-09 Last updated: 2017-12-13Bibliographically approved
Karlsson, A., Johansson, K., Nordqvist, C. & Bendtsen, P. (2005). Feasibility of a computorized alcohol screening and personalized written advice in the ED: opportunities and obstacles. Accident and Emergency Nursing, 13, 44-53
Open this publication in new window or tab >>Feasibility of a computorized alcohol screening and personalized written advice in the ED: opportunities and obstacles
2005 (English)In: Accident and Emergency Nursing, ISSN 0965-2302, E-ISSN 1532-9267, Vol. 13, p. 44-53Article in journal (Refereed) Published
Keywords
Emergency department, alcohol prevention, computerized screening, nursing staff
National Category
Social Sciences
Identifiers
urn:nbn:se:liu:diva-24755 (URN)10.1016/j.aaen.2004.10.013 (DOI)7010 (Local ID)7010 (Archive number)7010 (OAI)
Available from: 2009-10-07 Created: 2009-10-07 Last updated: 2017-12-13
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