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Franzén Årestedt, Kristofer
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Publications (10 of 69) Show all publications
Lin, C.-Y., Pakpour, A. H., Brostrom, A., Fridlund, B., Franzén Årestedt, K., Strömberg, A., . . . Martensson, J. (2018). Psychometric Properties of the 9-item European Heart Failure Self-care Behavior Scale Using Confirmatory Factor Analysis and Rasch Analysis Among Iranian Patients. Journal of Cardiovascular Nursing, 33(3), 281-288
Open this publication in new window or tab >>Psychometric Properties of the 9-item European Heart Failure Self-care Behavior Scale Using Confirmatory Factor Analysis and Rasch Analysis Among Iranian Patients
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2018 (English)In: Journal of Cardiovascular Nursing, ISSN 0889-4655, E-ISSN 1550-5049, Vol. 33, no 3, p. 281-288Article in journal (Refereed) Published
Abstract [en]

Background: The 9-item European Heart Failure Self-Care Behavior scale (EHFScB-9) is a self-reported questionnaire commonly used to capture the self-care behavior of people with heart failure (HF). Objective: The aim of this study was to investigate the EHFScB-9s factorial structure and categorical functioning of the response scale and differential item functioning (DIF) across subpopulations in Iran. Methods: Patients with HF (n = 380; 60.5% male; mean [SD] age, 61.7 [9.1] years) participated in this study. The median (interquartile range) of the duration of their HF was 6.0 (2.4-8.8) months. Most of the participants were in New York Heart Association classification II (NYHA II, 61.8%); few of them had left ventricular ejection fraction assessment (11.3%). All participants completed the EHFScB-9. Confirmatory factor analysis was used to test the factorial structure of the EHFScB-9; Rasch analysis was used to analyze categorical functioning and DIF items across 2 characteristics (gender and NYHA). Results: The 2-factor structure ("adherence to regimen" and "consulting behavior") of the EHFSCB-9 was confirmed, and the unidimensionality of each factor was found. Categorical functioning was supported for all items. No items displayed substantial DIF across gender (DIF contrast, -0.25-0.31). Except for item 3 ("Contact doctor or nurse if legstfeet are swollen"; DIF contrast, -0.69), no items displayed substantial DIF across NYHA classes (DIF contrast, -0.40 to 0.47). Conclusions: Despite the DIF displayed in 1 item across the NYHA classes, the EHFScB-9 demonstrated sound psychometric properties in patients with HF.

Place, publisher, year, edition, pages
LIPPINCOTT WILLIAMS & WILKINS, 2018
Keywords
confirmatory factor analysis; heart failure; Rasch; self-care behavior scale
National Category
Nursing
Identifiers
urn:nbn:se:liu:diva-150299 (URN)10.1097/JCN.0000000000000444 (DOI)000440243400021 ()28858887 (PubMedID)
Available from: 2018-08-16 Created: 2018-08-16 Last updated: 2019-06-27
Andreae, C., Franzén Årestedt, K., Evangelista, L. & Strömberg, A. (2018). The associations between physical activity and appetite in patients with heart failure – a prospective observational study. In: : . Paper presented at American Heart Association. 10-12 November. Chicago, Illinois.. American Heart Association, Inc., 138, Article ID A14932.
Open this publication in new window or tab >>The associations between physical activity and appetite in patients with heart failure – a prospective observational study
2018 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Introduction: Physical activity and appetite both play a crucial role for health outcomes and quality of life in patients with heart failure. Nevertheless, both of these key functions are frequently decreased in patients with heart failure. Whilst most attention focuses independently on the physical activity levels, the associations with appetite has been insufficiently investigated. The aim was therefore to explore the associations between physical activity and appetite in community dwelling heart failure patients.

Methods: This prospective observational study consisted of 186 patients with symptomatic heart failure of whom 56 (30%) were women and 130 (70%) were men. Mean age was 70.7 (SD=11 years), the majority had NYHA-class II, 114 (63%). Objective and subjective methods were used to measure physical activity include a wearable actigraph (SenceWear) for 4 days and six minutes’ walk test. The actigraph calculate total energy expenditure, active energy expenditure, number of steps and METs daily average index. Patients also stated their physical activity level on a numeric rating scale. A self-reported questionnaire, the Council on Nutrition Appetite Questionnaire was used to assess appetite. Simple linear regression was conducted to explore the associations between physical activity and appetite at baseline and at 18-month follow-up.

Results: In general, the levels of physical activity in this sample was low and appetite was poor. There was a significant association between objective physical activity measures and appetite at baseline ranging between (p=<0.001-0.041). The number of steps and walking distance had the strongest association, each explaining 6% and 7% of the total variance in appetite. At the 18-month follow-up, all objective and subjective physical activity measures were associated with appetite (p=0.001-0.035) with the number of steps being most strongly associated (p=<0.001) explaining 14% of the total variation in appetite.

Conclusions: Patients with heart failure who are more physically active experiences better appetite. These findings underscore the importance of placing greater attention on both physical activity and appetite in clinical practice as these factors has implications for patient’s health outcomes. Further longitudinally oriented studies are needed to determine whether there is a causal relationship between physical activity and appetite in heart failure populations.

Keywords: Appetite, Heart Failure, Physical activity

Place, publisher, year, edition, pages
American Heart Association, Inc., 2018
Series
Circulation, ISSN 0569-6704 ; 138
National Category
Nursing
Identifiers
urn:nbn:se:liu:diva-153900 (URN)
Conference
American Heart Association. 10-12 November. Chicago, Illinois.
Available from: 2019-01-18 Created: 2019-01-18 Last updated: 2019-01-22Bibliographically approved
Andreae, C., Årestedt, K., Evangelista, L. L. & Strömberg, A. (2017). Physical activity and appetite in patients with stable heart failure – A cross sectional study. In: : . Paper presented at American Heart Association, Anaheim CA 11-15 November.
Open this publication in new window or tab >>Physical activity and appetite in patients with stable heart failure – A cross sectional study
2017 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Health Sciences Nursing
Identifiers
urn:nbn:se:liu:diva-151418 (URN)
Conference
American Heart Association, Anaheim CA 11-15 November
Available from: 2018-09-19 Created: 2018-09-19 Last updated: 2018-09-19
Andreae, C., Årestedt, K., Evangelista, L. & Strömberg, A. (2017). Sedentary lifestyle is associated with poor appetite in patients with heart failure.. In: : . Paper presented at EuroHeartCare Jönköping Sweden 18-20 May.
Open this publication in new window or tab >>Sedentary lifestyle is associated with poor appetite in patients with heart failure.
2017 (English)Conference paper, Oral presentation only (Refereed)
National Category
Health Sciences Nursing
Identifiers
urn:nbn:se:liu:diva-151410 (URN)
Conference
EuroHeartCare Jönköping Sweden 18-20 May
Available from: 2018-09-19 Created: 2018-09-19 Last updated: 2018-09-19
Andreae, C., Strömberg, A., Sawatzky, R. & Årestedt, K. (2016). Correction: Psychometric Evaluation of Two Appetite Questionnaires in Patients With Heart Failure (vol 21, pg 954, 2015). Journal of Cardiac Failure, 22(3), 245-245
Open this publication in new window or tab >>Correction: Psychometric Evaluation of Two Appetite Questionnaires in Patients With Heart Failure (vol 21, pg 954, 2015)
2016 (English)In: Journal of Cardiac Failure, ISSN 1071-9164, E-ISSN 1532-8414, Vol. 22, no 3, p. 245-245Article in journal (Other academic) Published
Abstract [en]

n/a

Place, publisher, year, edition, pages
CHURCHILL LIVINGSTONE INC MEDICAL PUBLISHERS, 2016
National Category
Clinical Medicine
Identifiers
urn:nbn:se:liu:diva-127054 (URN)10.1016/j.cardfail.2015.11.011 (DOI)000372211300015 ()
Available from: 2016-04-19 Created: 2016-04-13 Last updated: 2017-05-05
Ahlander, B.-M., Årestedt, K., Engvall, J., Maret, E. & Ericsson, E. (2016). Development and validation of a questionnaire evaluating patient anxiety during Magnetic Resonance Imaging: the Magnetic Resonance Imaging-Anxiety Questionnaire (MRI-AQ). Journal of Advanced Nursing, 72(6), 1368-1380
Open this publication in new window or tab >>Development and validation of a questionnaire evaluating patient anxiety during Magnetic Resonance Imaging: the Magnetic Resonance Imaging-Anxiety Questionnaire (MRI-AQ)
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2016 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 72, no 6, p. 1368-1380Article in journal (Refereed) Published
Abstract [en]

Aim. To develop and validate a new instrument measuring patient anxiety during Magnetic Resonance Imaging examinations, Magnetic Resonance Imaging-Anxiety Questionnaire. Background. Questionnaires measuring patients anxiety during Magnetic Resonance Imaging examinations have been the same as used in a wide range of conditions. To learn about patients experience during examination and to evaluate interventions, a specific questionnaire measuring patient anxiety during Magnetic Resonance Imaging is needed. Design. Psychometric cross-sectional study with test-retest design. Methods. A new questionnaire, Magnetic Resonance Imaging-Anxiety Questionnaire, was designed from patient expressions of anxiety in Magnetic Resonance Imaging-scanners. The sample was recruited between October 2012-October 2014. Factor structure was evaluated with exploratory factor analysis and internal consistency with Cronbachs alpha. Criterion-related validity, known-group validity and test-retest was calculated. Results. Patients referred for Magnetic Resonance Imaging of either the spine or the heart, were invited to participate. The development and validation of Magnetic Resonance Imaging-Anxiety Questionnaire resulted in 15 items consisting of two factors. Cronbachs alpha was found to be high. Magnetic Resonance Imaging-Anxiety Questionnaire correlated higher with instruments measuring anxiety than with depression scales. Known-group validity demonstrated a higher level of anxiety for patients undergoing Magnetic Resonance Imaging scan of the heart than for those examining the spine. Test-retest reliability demonstrated acceptable level for the scale. Conclusion. Magnetic Resonance Imaging-Anxiety Questionnaire bridges a gap among existing questionnaires, making it a simple and useful tool for measuring patient anxiety during Magnetic Resonance Imaging examinations.

Place, publisher, year, edition, pages
WILEY-BLACKWELL, 2016
Keywords
anxiety; instrument development; magnetic resonance imaging; nurse; nursing; reliability; validity
National Category
Other Medical Sciences not elsewhere specified
Identifiers
urn:nbn:se:liu:diva-129145 (URN)10.1111/jan.12917 (DOI)000376007400014 ()26893007 (PubMedID)
Note

Funding Agencies|Swedish Heart and Lung Foundation; Futurum County Council of Jonkoping

Available from: 2016-06-13 Created: 2016-06-13 Last updated: 2017-11-28
Eriksson, K., Wikström, L., Fridlund, B., Årestedt, K. & Broström, A. (2016). Patients experiences and actions when describing pain after surgery - A critical incident technique analysis. International Journal of Nursing Studies, 56, 27-36
Open this publication in new window or tab >>Patients experiences and actions when describing pain after surgery - A critical incident technique analysis
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2016 (English)In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 56, p. 27-36Article in journal (Refereed) Published
Abstract [en]

Background: Postoperative pain assessment remains a significant problem in clinical care despite patients wanting to describe their pain and be treated as unique individuals. Deeper knowledge about variations in patients experiences and actions could help healthcare professionals to improve pain management and could increase patients participation in pain assessments. Objective: The aim of this study was, through an examination of critical incidents, to describe patients experiences and actions when needing to describe pain after surgery. Methods: An explorative design involving the critical incident technique was used. Patients from one university and three county hospitals in both urban and rural areas were included. To ensure variation of patients a strategic sampling was made according to age, gender, education and surgery. A total of 25 patients who had undergone orthopaedic or general surgery was asked to participate in an interview, of whom three declined. Findings: Pain experiences were described according to two main areas: "Patients resources when in need of pain assessment" and "Ward resources for performing pain assessments". Patients were affected by their expectations and tolerance for pain. Ability to describe pain could be limited by a fear of coming into conflict with healthcare professionals or being perceived as whining. Furthermore, attitudes from healthcare professionals and their lack of adherence to procedures affected patients ability to describe pain. Two main areas regarding actions emerged: "Patients used active strategies when needing to describe pain" and "Patients used passive strategies when needing to describe pain". Patients informed healthcare professionals about their pain and asked questions in order to make decisions about their pain situation. Selfcare was performed by distraction and avoiding pain or treating pain by themselves, while others were passive and endured pain or refrained from contact with healthcare professionals due to healthcare professionals large work load. (C) 2015 Elsevier Ltd. All rights reserved.

Place, publisher, year, edition, pages
PERGAMON-ELSEVIER SCIENCE LTD, 2016
Keywords
Critical incident technique; Pain assessment; Patients experiences; Postoperative pain
National Category
Clinical Medicine
Identifiers
urn:nbn:se:liu:diva-126797 (URN)10.1016/j.ijnurstu.2015.12.008 (DOI)000371844700004 ()26772655 (PubMedID)
Note

Funding Agencies|Futurum, the Academy for Health and Care, County Council of Jonkoping, Sweden; FORSS, Medical Research Council of Southeast Sweden

Available from: 2016-04-07 Created: 2016-04-05 Last updated: 2017-11-30
Andreae, C., Strömberg, A. & Årestedt, K. (2016). Prevalence and associated factors for decreased appetite among patients with stable heart failure. Journal of Clinical Nursing, 25(11-12), 1703-1712
Open this publication in new window or tab >>Prevalence and associated factors for decreased appetite among patients with stable heart failure
2016 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 25, no 11-12, p. 1703-1712Article in journal (Refereed) Published
Abstract [en]

Aims and objectivesTo explore the prevalence of decreased appetite and factors associated with appetite among patients with stable heart failure. BackgroundDecreased appetite is an important factor for the development of undernutrition among patients with heart failure, but there are knowledge gaps about prevalence and the factors related to appetite in this patient group. DesignObservational, cross-sectional study. MethodsA total of 186 patients with mild to severe heart failure were consecutively recruited from three heart failure outpatient clinics. Data were obtained from medical records (heart failure diagnosis, comorbidity and medical treatment) and self-rated questionnaires (demographics, appetite, self-perceived health, symptoms of depression and sleep). Blood samples were taken to determine myocardial stress and nutrition status. Heart failure symptoms and cognitive function were assessed by clinical examinations. The Council on Nutrition Appetite Questionnaire was used to assess self-reported appetite. Bivariate correlations and multivariate linear regression analyses were conducted to explore factors associated with appetite. ResultsSeventy-one patients (38%) experienced a loss of appetite with a significant risk of developing weight loss. The final multiple regression model showed that age, symptoms of depression, insomnia, cognitive function and pharmacological treatment were associated with appetite, explaining 27% of the total variance. ConclusionIn this cross-sectional study, a large share of patients with heart failure was affected by decreased appetite, associated with demographic, psychosocial and medical factors. Relevance to clinical practiceLoss of appetite is a prevalent problem among patients with heart failure that may lead to undernutrition. Health care professionals should routinely assess appetite and discuss patients experiences of appetite, nutrition intake and body weight and give appropriate nutritional advice with respect to individual needs.

Place, publisher, year, edition, pages
WILEY-BLACKWELL, 2016
Keywords
age; appetite; cognitive function; depression; heart failure; insomnia; outpatient; pharmacological treatment
National Category
Clinical Medicine
Identifiers
urn:nbn:se:liu:diva-128929 (URN)10.1111/jocn.13220 (DOI)000375866200022 ()26879764 (PubMedID)
Note

Funding Agencies|Centre for Clinical Research Sormland, Uppsala University, Eskilstuna, Sweden; Swedish Heart and Lung Foundation; King Gustaf V and Queen Victorias Freemason Foundation; Medical Research Council of Southeast Sweden

Available from: 2016-06-09 Created: 2016-06-07 Last updated: 2018-03-14
Årestedt, K., Ågren, S., Flemme, I., Moser, D. K. & Strömberg, A. (2015). A psychometric evaluation of the four-item version of the Control Attitudes Scale for patients with cardiac disease and their partners. European Journal of Cardiovascular Nursing, 14(4), 317-325
Open this publication in new window or tab >>A psychometric evaluation of the four-item version of the Control Attitudes Scale for patients with cardiac disease and their partners
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2015 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 14, no 4, p. 317-325Article in journal (Refereed) Published
Abstract [en]

Background:The four-item Control Attitudes Scale (CAS) was developed to measure control perceived by patients with cardiac disease and their family members, but extensive psychometric evaluation has not been performed.Objective:The aim was to translate, culturally adapt and psychometrically evaluate the CAS in a Swedish sample of implantable cardioverter defibrillator (ICD) recipients, heart failure (HF) patients and their partners.Methods:A sample (n=391) of ICD recipients, HF patients and partners were used. Descriptive statistics, item-total and inter-item correlations, exploratory factor analysis, ordinal regression modelling and Cronbach's alpha were used to validate the CAS.Results:The findings from the factor analyses revealed that the CAS is a multidimensional scale including two factors, Control and Helplessness. The internal consistency was satisfactory for all scales (α=0.74-0.85), except the family version total scale (α=0.62). No differential item functioning was detected which implies that the CAS can be used to make invariant comparisons between groups of different age and sex.Conclusions:The psychometric properties, together with the simple and short format of the CAS, make it to a useful tool for measuring perceived control among patients with cardiac diseases and their family members. When using the CAS, subscale scores should be preferred.

Place, publisher, year, edition, pages
Sage Publications, 2015
Keywords
Family; heart disease; prevention and control; psychometrics
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-107731 (URN)10.1177/1474515114529685 (DOI)000357949600006 ()24671774 (PubMedID)
Available from: 2014-06-19 Created: 2014-06-19 Last updated: 2017-12-05
Holm, M., Carlander, I., Furst, C.-J., Wengstrom, Y., Årestedt, K., Ohlen, J. & Henriksson, A. (2015). Delivering and participating in a psycho-educational intervention for family caregivers during palliative home care: a qualitative study from the perspectives of health professionals and family caregivers. BMC Palliative Care, 14(16)
Open this publication in new window or tab >>Delivering and participating in a psycho-educational intervention for family caregivers during palliative home care: a qualitative study from the perspectives of health professionals and family caregivers
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2015 (English)In: BMC Palliative Care, ISSN 1472-684X, E-ISSN 1472-684X, Vol. 14, no 16Article in journal (Refereed) Published
Abstract [en]

Background: Family caregivers in palliative care have a need for knowledge and support from health professionals, resulting in the need for educational and supportive interventions. However, research has mainly focused on the experiences of family caregivers taking part in interventions. To gain an increased understanding of complex interventions, it is necessary to integrate the perspectives of health professionals and family caregivers. Hence, the aim of this study is to explore the perspectives of health professionals and family caregivers of delivering and participating in a psycho-educational intervention in palliative home care. Methods: A psycho-educational intervention was designed for family caregivers based on a theoretical framework describing family caregivers need for knowing, being and doing. The intervention was delivered over three sessions, each of which included a presentation by healthcare professionals from an intervention manual. An interpretive descriptive design was chosen and data were collected through focus group discussions with health professionals and individual interviews with family caregivers. Data were analysed using framework analysis. Results: From the perspectives of both health professionals and family caregivers, the delivering and participating in the intervention was a positive experience. Although the content was not always adjusted to the family caregivers individual situation, it was perceived as valuable. Consistently, the intervention was regarded as something that could make family caregivers better prepared for caregiving. Health professionals found that the work with the intervention demanded time and engagement from them and that the manual needed to be adjusted to suit group characteristics, but the experience of delivering the intervention was still something that gave them satisfaction and contributed to them finding insights into their work. Conclusions: The theoretical framework used in this study seems appropriate to use for the design of interventions to support family caregivers. In the perspectives of health professionals and family caregivers, the psycho-educational intervention had important benefits and there was congruence between the two groups in that it provided reward and support. In order for health professionals to carry out psycho-educational interventions, they may be in need of support and supervision as well as securing appropriate time and resources in their everyday work.

Place, publisher, year, edition, pages
BioMed Central, 2015
Keywords
Family caregivers; Health professionals; Home care; Psycho-educational intervention; Palliative care; Support
National Category
Clinical Medicine
Identifiers
urn:nbn:se:liu:diva-118244 (URN)10.1186/s12904-015-0015-1 (DOI)000353625800001 ()25903781 (PubMedID)
Note

Funding Agencies|Erling-Persson Family Foundation; Swedish Cancer Society; Ragnhild and Einar Lundstrom

Available from: 2015-05-22 Created: 2015-05-22 Last updated: 2017-12-04
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