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Dannapfel, Petra
Publications (9 of 9) Show all publications
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: 2020-03-03Bibliographically approved
Dannapfel, P., Törnvall, E. & Wressle, E. (2017). Education to Increase Skills in Research Methods among Clinicians in Health Care. Journal of Health & Medical Informatics, 8(4)
Open this publication in new window or tab >>Education to Increase Skills in Research Methods among Clinicians in Health Care
2017 (English)In: Journal of Health & Medical Informatics, ISSN 2157-7420, Vol. 8, no 4Article in journal (Refereed) Published
Abstract [en]

Introduction

The aim of this study was to evaluate participants’ and managers’ experience of the design and content of an education programme. The Knowledge to Action (KTA) framework was applied to identify the steps of knowledge creation and action in the education programme.

Methods

Data were collected from 18 participants representing two groups: participants in the intervention and supervisors and managers. Two focus groups took place: two with participants in the intervention (4 and 3 in each) and one with eleven managers.

Results

All steps in the KTA framework were identified and discussed from several aspects. The importance of selecting projects that were relevant and added value in their clinics was mentioned by all participants. The participants also mentioned that after the education, they had further understanding and increased skills in how to be active and perform continuous improvement projects. The step in the KTA process regarding how to adapt knowledge to local context was not discussed explicitly by the participants or managers.

Discussion

Education in research methods and performing improvement projects to develop the clinic creates a more positive attitude to working with continuous improvement. The participant’s self-esteem and knowledge increased regarding how to work with improvements. It is important to have the manager’s support to perform a project. Emphasis was on knowledge inquiry and synthesis and presenting the results with or without possible solutions. The participants and managers talked about barriers and knowledge use more generally and at an organizational level. This means that the participants did not gain the last bit of nowledge needed to put the action into practice. This implies that the problem regarding lack of implementation skills in health care might remain.

Place, publisher, year, edition, pages
Los Angeles, United States: Omics Publishing Group, 2017
Keywords
Continuous education; Clinicians; Knowledge to Action
National Category
Other Medical Sciences not elsewhere specified
Identifiers
urn:nbn:se:liu:diva-142293 (URN)10.4172/2157-7420.1000282 (DOI)
Available from: 2017-10-25 Created: 2017-10-25 Last updated: 2018-05-03Bibliographically approved
Ehrlich, C. & Dannapfel, P. (2017). Shared decision making: People with severe mental illness experiences of involvement in the care of their physical health. Mental Health and Prevention, 5, 21-26
Open this publication in new window or tab >>Shared decision making: People with severe mental illness experiences of involvement in the care of their physical health
2017 (English)In: Mental Health and Prevention, ISSN 2212-6570, Vol. 5, p. 21-26Article in journal (Refereed) Published
Abstract [en]

Addressing the poor physical health of people with severe mental illness (SMI) occurs within a complex mix of individual requirements. People with SMI often have demanding health and illness management workloads, which they are required to perform on a daily basis. Most clinical studies lack information on how much people are affected by the side effects they experience and how to manage these problems. Mental health staff often consider that their primary target is to reduce psychotic symptoms rather than health promotion. Therefore, the objective of this qualitative study was to describe the current experience of people with SMI, with the view to exploring ways that they might be involved in managing their physical health. Thirty-two people with lived experience of mental illness within a defined geographic area in Queensland, Australia, participated in semi-structured face-to-face interviews. Data were digitally recorded, transcribed verbatim and analysed using qualitative content analysis. Four key areas in which people with SMI were able to be involved in their health were identified: care continuity within a fragmented care system; medication management; credibility and being mastered; and self-mastery and self-managing health. Shared decision making in mental health care can contribute to equality, control and recovery. Involving people with SMI in shared decision making will contribute positively to their overall health. However, substantial changes are required to shift the health system from a traditional “health professional as expert” approach to one with the patients in the centre. © 2016 Elsevier GmbH

Place, publisher, year, edition, pages
Elsevier, 2017
Keywords
Active health participants; Health outcomes; Physical health; Severe mental illness; Shared decision making
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:liu:diva-147010 (URN)10.1016/j.mhp.2016.12.002 (DOI)2-s2.0-85014207744 (Scopus ID)
Note

Funding Agencies|LP110200261, ARC, Australian Research Council

Available from: 2018-04-09 Created: 2018-04-09 Last updated: 2018-04-09
Dannapfel, P. (2015). Evidence-Based Practice in Practice: Exploring Conditions for Using Research in Physiotherapy. (Doctoral dissertation). Linköping: Linköping University Electronic Press
Open this publication in new window or tab >>Evidence-Based Practice in Practice: Exploring Conditions for Using Research in Physiotherapy
2015 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Research developments have led to increased opportunities for the use of improved diagnostic and treatment methods in physiotherapy and other areas of health care. The emergence of the evidence-based practice (EBP) movement has led to higher expectations for a more research-informed health care practice that integrates the best available research evidence with clinical experience and patient priorities and values. Physiotherapy research has grown exponentially, contributing to an increased interest in achieving a more evidence-based physiotherapy practice. However, implementation research has identified many individual and contextual barriers to research use. Strategies to achieve a more EBP tend to narrowly target individual practitioners to influence their knowledge, skills and attitudes concerning research use. However, there is an emerging recognition that contextual conditions such as leadership and culture are critical to successfully implementing EBP.

Against this background, the overall aim of this thesis was to explore conditions at different levels, from the individual level to the organizational level and beyond, for the use of research and implementation of an evidence-based physiotherapy practice. The thesis consists of four interrelated papers that address various aspects of the aim. Individual and focus group interviews were conducted with physiotherapists and managers within physiotherapy in various county councils in Sweden between 2011 and 2014. Data were analysed using qualitative content analysis, direct content analysis and hermeneutics.

It was found that many different types of motivation underlie physiotherapists’ use of research in their clinical practice, from amotivation (i.e. a lack of intention to engage in research use) to intrinsic motivation (research use is perceived as interesting and satisfying in itself). Most physiotherapists tend to view research use in favourable terms. Physiotherapists’ participation in a research project can yield many individual learning experiences that might contribute to a more research-informed physiotherapy practice. However, organizational learning was more limited. Numerous conditions at different levels (individual, workplace and extra-organizational levels) provide support for physiotherapists’ use of research in their clinical practice. However, physiotherapy leaders appear to contribute to a modest degree to establishing a culture that is conducive to implementing EBP in physiotherapy practice. Instead, EBP issues largely seem to depend on committed individual physiotherapists who keep to up to date with research in physiotherapy and inform colleagues about the latest research findings.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2015. p. 78
Series
Linköping University Medical Dissertations, ISSN 0345-0082 ; 1471
National Category
Physiotherapy
Identifiers
urn:nbn:se:liu:diva-122172 (URN)10.3384/diss.diva-122172 (DOI)978-91-7519-019-8 (ISBN)
Public defence
2015-11-06, Belladonna, Hus 511-001, Campus US, Linköping, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2015-10-23 Created: 2015-10-23 Last updated: 2019-11-15Bibliographically approved
Dannapfel, P. & Nilsen, P. (2015). Fostering a culture of evidence-based physiotherapy practice: a qualitative analysis of the influence of health care leaders in Sweden.
Open this publication in new window or tab >>Fostering a culture of evidence-based physiotherapy practice: a qualitative analysis of the influence of health care leaders in Sweden
2015 (English)Manuscript (preprint) (Other academic)
Abstract [en]

Background: Research in physiotherapy has increased rapidly over the last decade, yet studies have shown that many practice decisions continue to be based on knowledge obtained during initial physiotherapy education and/or personal experience, rather than findings from research. Both barriers and facilitators to achieving a more evidence-based practice (EBP) in physiotherapy have been identified. Leadership is one facilitator that has been recognized to have an important influence on the implementation of EBP in various settings. Our aim was to explore how physiotherapy leaders in Sweden influence the culture for implementation of evidence-based physiotherapy practice.

Methods: Nine interviews with managers of physiotherapy clinics were conducted in various settings in Sweden. Data were analysed using qualitative analysis and a framework developed by Schein (Schein EH. Organizational culture and leadership. 4th ed. San Francisco, CA: Jossey-Bass; 2010) was applied.

Results: The framework identifies a number mechanisms by which leaders can influence the culture of an organization and/or groups within an organization. The mechanisms of paying attention to, measuring and controlling on a regular basis as well as deliberate role modelling, teaching and coaching did have some relevance. However, EBP issues seemed to depend on committed individuals, often younger physiotherapists, who were interested in research.

Conclusions: Overall, there was limited relevance for most of the embedding mechanisms. The findings suggest that physiotherapy leaders in Sweden contribute to a modest degree to establishing a culture conducive to implementation of an evidence-based physiotherapy practice.

Keywords
Leadership; Culture; Evidence-based practice; Implementation; Physiotherapy
National Category
Physiotherapy
Identifiers
urn:nbn:se:liu:diva-122171 (URN)
Available from: 2015-10-23 Created: 2015-10-23 Last updated: 2015-10-23Bibliographically approved
Dannapfel, P., Peolsson, A. & Nilsen, P. (2014). A Qualitative Study of Individual and Organizational Learning through Physiotherapists’ Participation in a Research Project. International Journal of Clinical Medicine, 5(9), 514-524
Open this publication in new window or tab >>A Qualitative Study of Individual and Organizational Learning through Physiotherapists’ Participation in a Research Project
2014 (English)In: International Journal of Clinical Medicine, ISSN 2158-284X, E-ISSN 2158-2882, Vol. 5, no 9, p. 514-524Article in journal (Refereed) Published
Abstract [en]

The need for evidence-based practice has been recognized by physiotherapy organizations over the past decades. Earlier studies have documented facilitators and barriers that affect the use and implementation of evidence-based practice. Less is known about what kind of interventions might be useful to implement evidence-based practice. This study explores what physiotherapists learn through participation in a research project relevant to their professional development towards achieving a more evidence-based physiotherapy practice. To what extent this learning was transferred to colleagues for organizational learning is also examined. This study was set in Sweden, where health care is publicly funded. Patients do not need a referral from a physician to consult a physiotherapist. Eleven interviews were conducted with physiotherapists who had participated in a randomized, controlled, multicenter, physiotherapy intervention investigating neck-specific exercise for patients with whiplash disorder. Gadamer’s hermeneutics was used to analyze the data. The physiotherapists described a range of learning experiences from their project participation, including instrumental learning (the concrete application of knowledge to achieve changes in practice) and conceptual learning (changes in knowledge, understanding or attitudes). The research project enabled the physiotherapists to develop new treatment techniques for broader application and extend their competence in techniques already known (instrumental learning). The physiotherapists believed that project participation enhanced their overall competence as physiotherapists, increased their job motivation and strengthened their self-confidence and self-efficacy (conceptual learning). Physiotherapists’ participation in the research project yielded many individual learning experiences, fostered positive attitudes to research and was conducive to achieving a more research-informed physiotherapy practice. Participation was associated with a deeper understanding of the challenges involved in conducting research. The transfer from indi-

Place, publisher, year, edition, pages
OMICS, 2014
National Category
Information Systems, Social aspects
Identifiers
urn:nbn:se:liu:diva-119152 (URN)10.4236/ijcm.2014.59071 (DOI)
Available from: 2015-06-10 Created: 2015-06-10 Last updated: 2019-01-10
Dannapfel, P., Peolsson, A., Ståhl, C., Öberg, B. & Nilsen, P. (2014). Applying self-determination theory for improved understanding of physiotherapists rationale for using research in clinical practice: a qualitative study in Sweden. Physiotherapy Theory and Practice, 30(1), 20-28
Open this publication in new window or tab >>Applying self-determination theory for improved understanding of physiotherapists rationale for using research in clinical practice: a qualitative study in Sweden
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2014 (English)In: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 30, no 1, p. 20-28Article in journal (Refereed) Published
Abstract [en]

Physiotherapists are generally positive to evidence-based practice (EBP) and the use of research in clinical practice, yet many still base clinical decisions on knowledge obtained during their initial education and/or personal experience. Our aim was to explore motivations behind physiotherapists use of research in clinical practice. Self-Determination Theory was applied to identify the different types of motivation for use of research. This theory posits that all behaviours lie along a continuum of relative autonomy, reflecting the extent to which a person endorses their actions. Eleven focus group interviews were conducted, involving 45 physiotherapists in various settings in Sweden. Data were analysed using qualitative content analysis and the findings compared with Self-Determination Theory using a deductive approach. Motivations underlying physiotherapists use of research in clinical practice were identified. Most physiotherapists expressed autonomous forms of motivation for research use, but some exhibited more controlled motivation. Several implications about how more evidence-based physiotherapy can be achieved are discussed, including the potential to tailor educational programs on EBP to better account for differences in motivation among participants, using autonomously motivated physiotherapists as change agents and creating favourable conditions to encourage autonomous motivation by way of feelings of competence, autonomy and a sense of relatedness.

Place, publisher, year, edition, pages
Informa Healthcare, 2014
Keywords
Physiotherapy, research use, self-determination theory
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-102843 (URN)10.3109/09593985.2013.814185 (DOI)000328150600004 ()
Available from: 2014-01-07 Created: 2014-01-02 Last updated: 2017-12-06
Dannapfel, P., Poksinska, B. & Thomas, K. (2014). Dissemination strategy for Lean thinking in health care. International Journal of Health Care Quality Assurance, 27(5), 391-404
Open this publication in new window or tab >>Dissemination strategy for Lean thinking in health care
2014 (English)In: International Journal of Health Care Quality Assurance, ISSN 0952-6862, E-ISSN 1758-6542, Vol. 27, no 5, p. 391-404Article in journal (Refereed) Published
Abstract [en]

Purpose – The purpose of this paper is to contribute to knowledge about dissemination strategies for Lean thinking throughout multiple healthcare organisations.

Design/methodology/approach – The Östergötland county council, Sweden (CCÖ ) was chosenas a case study for an healthcare Lean-thinking dissemination strategies. Document analysis and interviews were used and results were compared with similar strategies employed by staff at the National Health Service Institute for Innovation (NHSI) and improvement in Great Britain and the Odense University Hospital in Denmark.

Findings – The Lean improvement programme was introduced to tackle challenges such as anageing society, rising care expectations and budgetary and economic constraints. It was designedas a long-term programme to create added value for patients and employee involvement. The dissemination strategy was: forming clear visions and objectives; piloting; training potential adopters; and formal dissemination. The CCÖ strategy was focused primarily on managers and was not meant to involve all staff until the implementation stage. Staff at the NHS attempted to address nurses’ needs during dissemination, which questioned whether the CCÖ managers’ dissemination strategy is sustainable.

Practical implications – This paper inspires healthcare managers and decision makers who aim to disseminate Lean production in their organisations.

Originality/value – There are many case studies describing Lean implementation in single healthcare organisations, but little is known about effective dissemination and implementation strategies in large healthcare systems. The authors, therefore, suggest activities for developing and implementing dissemination strategies in multiple healthcare organisations.

Keywords
Lean production, Dissemination strategy, Implementation approach
National Category
Basic Medicine Mechanical Engineering
Identifiers
urn:nbn:se:liu:diva-113703 (URN)25087337 (PubMedID)
Available from: 2015-01-29 Created: 2015-01-29 Last updated: 2018-08-14
Dannapfel, P., Peolsson, A. & Nilsen, P. (2013). What supports physiotherapists’ use of research in clinical practice? A qualitative study in Sweden. Implementation Science, 8
Open this publication in new window or tab >>What supports physiotherapists’ use of research in clinical practice? A qualitative study in Sweden
2013 (English)In: Implementation Science, ISSN 1748-5908, E-ISSN 1748-5908, Vol. 8Article in journal (Refereed) Published
Abstract [en]

Background

Evidence-based practice has increasingly been recognized as a priority by professional physiotherapy organizations and influential researchers and clinicians in the field. Numerous studies in the past decade have documented that physiotherapists hold generally favorable attitudes to evidence-based practice and recognize the importance of using research to guide their clinical practice. Research has predominantly investigated barriers to research use. Less is known about the circumstances that actually support use of research by physiotherapists. This study explores the conditions at different system levels that physiotherapists in Sweden perceive to be supportive of their use of research in clinical practice.

Methods

Patients in Sweden do not need a referral from a physician to consult a physiotherapist and physiotherapists are entitled to choose and perform any assessment and treatment technique they find suitable for each patient. Eleven focus group interviews were conducted with 45 physiotherapists, each lasting between 90 and 110 minutes. An inductive approach was applied, using topics rather than questions to allow the participants to generate their own questions and pursue their own priorities within the framework of the aim. The data were analyzed using qualitative content analysis.

Results

Analysis of the data yielded nine favorable conditions at three system levels supporting the participant’s use of research in clinical practice: two at the individual level (attitudes and motivation concerning research use; research-related knowledge and skills), four at the workplace level (leadership support; organizational culture; research-related resources; knowledge exchange) and three at the extra-organizational level (evidence-based practice guidelines; external meetings, networks, and conferences; academic research and education).

Conclusions

Supportive conditions for physiotherapists’ use of research exist at multiple interdependent levels, including the individual, workplace, and extra-organizational levels. Research use in physiotherapy appears to be an interactive and interpretative social process that involves a great deal of interaction with various people, including colleagues and patients.

Place, publisher, year, edition, pages
BioMed Central, 2013
Keywords
Physical therapy, Evidence-based practice, Research use, System levels, Attitudes, Clinical practice
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-93865 (URN)10.1186/1748-5908-8-31 (DOI)000318418500001 ()
Available from: 2013-06-11 Created: 2013-06-11 Last updated: 2017-12-06
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