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  • 101.
    Müller, Nicole
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neuro- och inflammationsvetenskap. Linköpings universitet, Medicinska fakulteten.
    Ball, Martin
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neuro- och inflammationsvetenskap. Linköpings universitet, Medicinska fakulteten.
    Clinical linguistics (and phonetics)2015Ingår i: Children's speech sound disorders / [ed] Caroline Bowen, Chichester: Wiley-Blackwell, 2015, 2, s. 28-31Kapitel i bok, del av antologi (Refereegranskat)
  • 102.
    Ng, Hoi Ning, Elaine
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Filosofiska fakulteten.
    Rönnberg, Jerker
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV).
    Hearing aid experience and background noise affect the robust relationship between working memory and speech recognition in noise2019Ingår i: International Journal of Audiology, ISSN 1499-2027, E-ISSN 1708-8186Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: The aim of this study was to examine how background noise and hearing aid experience affect the robust relationship between working memory and speech recognition.

    Design: Matrix sentences were used to measure speech recognition in noise. Three measures of working memory were administered. Study sample: 148 participants with at least 2 years of hearing aid experience.

    Results: A stronger overall correlation between working memory and speech recognition performance was found in a four-talker babble than in a stationary noise background. This correlation was significantly weaker in participants with most hearing aid experience than those with least experience when background noise was stationary. In the four-talker babble, however, no significant difference was found between the strength of correlations between users with different experience.

    Conclusion: In general, more explicit processing of working memory is invoked when listening in a multi-talker babble. The matching processes (cf. Ease of Language Understanding model, ELU) were more efficient for experienced than for less experienced users when perceiving speech. This study extends the existing ELU model that mismatch may also lead to the establishment of new phonological representations in the long-term memory.

  • 103.
    Nilsson, Abraham
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för kliniska vetenskaper. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Katastrofmedicinskt centrum.
    Åslund, Kristian
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för kliniska vetenskaper. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Katastrofmedicinskt centrum.
    Lampi, Maria
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för kliniska vetenskaper. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Katastrofmedicinskt centrum.
    Nilsson, Heléne
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för kliniska vetenskaper. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Katastrofmedicinskt centrum.
    Jonson, Carl-Oscar
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för kliniska vetenskaper. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Katastrofmedicinskt centrum.
    Improved and sustained triage skills in firemen after a short training intervention2015Ingår i: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, ISSN 1757-7241, E-ISSN 1757-7241, Vol. 23, nr 81, s. 1-6Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: A previous study has shown no measurable improvement in triage accuracy among physicians attending the Advanced Trauma Life Support (ATLS) course and suggests a curriculum revision regarding triage. Other studies have indicated that cooperative learning helps students acquire knowledge. Objective: The present study was designed to evaluate the effectiveness of trauma cards in triage training for firemen. Methods: Eighty-six firemen were randomly assigned into two groups: the trauma card group and the direct instruction group. Both groups received the same 30-min PowerPoint lecture on how to perform triage according to the Sort Assess Lifesaving interventions Treatment and transport (SALT) Mass Casualty Triage Algorithm. In the trauma card group, the participants were divided into groups of 3-5 and instructed to triage 10 trauma victims according to the descriptions on the trauma cards. In the direct instruction group, written forms about the same 10 victims were used and discussed as a continuation of the PowerPoint lecture. Total training time was 60 min for both groups. A test was distributed before and after the educational intervention to measure the individual triage skills. The same test was applied again 6 months later. Results: There was a significant improvement in triage skills directly after the intervention and this was sustained 6 months later. No significant difference in triage skills was seen between the trauma card group and the direct instruction group. Previous experience of multi-casualty incidents, years in service, level of education or age did not have any measurable effects on triage accuracy. Conclusions: One hour of triage training with the SALT Mass Casualty Triage Algorithm was enough to significantly improve triage accuracy in both groups of firemen with sustained skills 6 months later. Further studies on the first assessment on scene versus patient outcome are necessary to provide evidence that this training can improve casualty outcome. The efficacy and validity of trauma cards for disaster management training need to be tested in future studies.

  • 104.
    Nilsson, Doris
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten. Region Östergötland, Närsjukvården i centrala Östergötland, Barn- och ungdomspsykiatriska kliniken.
    Green, Sara
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Svedin, Carl Göran
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Barnafrid. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Närsjukvården i centrala Östergötland, Barn- och ungdomspsykiatriska kliniken.
    Dahlström, Örjan
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV).
    Psychoform and somatoform dissociation among children and adolescents: An evaluation of a new short screening instrument for dissociation, DSQ-122019Ingår i: European journal of trauma and dissociation, ISSN 2468-7499, s. 1-8Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction

    Today's assessment instruments for dissociation among adolescents are either relatively extensive or are specifically designed to identify either psychoform or somatoform dissociation.

    Objective

    A questionnaire that is shorter than any of the existing questionnaires and is concerned with both forms of dissociation would be helpful for both clinicians and researchers.

    Method

    Existing data from 462 adolescents who had answered Dis-Q Sweden and SDQ-20 were used to create a new questionnaire consisting of 12 items. A pilot study with 42 participants 15-19 years old, was carried out to test this new instrument, Dissociation Screening Questionnaire 12 (DSQ-12). DSQ-12 was then tested on 451 adolescents 10 to 20 years old. A matched clinical group of 25 adolescents in the same age range was used, in order to test the classification performance of DSQ-12.

    Results

    Results showed good reliability, convergent and construct validity was satisfactory, and dissociation differed between age groups as well as between genders.

    Conclusions

    Conclusions are that the developed DSQ-12 performed well psychometrically, was reliable and valid. DSQ-12 is easy to answer and is suitable for clinical screening purposes and future research.

    Publikationen är tillgänglig i fulltext från 2020-07-23 13:25
  • 105.
    Nilsson, Doris
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten. Östergötlands Läns Landsting, Närsjukvården i centrala Östergötland, Barn- och ungdomspsykiatriska kliniken.
    Lejonclou, Annika
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neuro- och inflammationsvetenskap. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Närsjukvården i centrala Östergötland, Barn- och ungdomspsykiatriska kliniken.
    Jonsson, Mattias
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Svedin, Carl Göran
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för kliniska vetenskaper. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Närsjukvården i centrala Östergötland, Barn- och ungdomspsykiatriska kliniken.
    Holmqvist, Rolf
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Somatoform dissociation among Swedish adolescents and young adults: The psychometric properties of the Swedish versions of the SDQ-20 and SDQ-52015Ingår i: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 69, nr 2, s. 152-160Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Somatoform dissociation is supposed to be a vital aspect of the general concept of dissociation. The Somatoform Dissociation Questionnaire-20 (SDQ-20) and the brief version SDQ-5 are self-report instruments constructed to identify somatic dissociation. Aim: In the present study, the psychometric qualities of the Swedish version of the SDQ-20 and its brief version, the SDQ-5, were examined among adolescents and young adults. Reliability and concurrent validity were investigated. Methods: A total of 512 adolescents and young adults participated in the study: 461 adolescents from a non-clinical sample and 50 adolescents and young adults from a clinical eating disorder outpatient unit. They completed the self-report instruments the SDQ-20, the SDQ-5 (part of SDQ-20), the Linköping Youth Life Experience Scale (LYLES, a trauma history scale) and the Dissociation Questionnaire-Sweden (Dis-Q-Sweden). Results: Both internal consistency and test-retest reliability of the Swedish version of SDQ-20 were good in both the non-clinical (α = 0.83) and the clinical groups (α = 0.84); the reliability for the SDQ-5 was, however, lower (non-clinical α = 0.50, clinical α = 0.64). Significant differences were found between the clinical and non-clinical groups on both somatoform and psychoform dissociation. Correlations between the Dis-Q-Sweden, SDQ-20 and SDQ-5 were generally high. The criterion and convergent validity was acceptable for both scales but somewhat better for SDQ-20 than for SDQ-5. Conclusion: The advantage with both the SDQ-20 and the SDQ-5 is that they are short questionnaires, but the results suggests that SDQ-20 is preferable based on the higher-quality psychometric properties of the SDQ-20.

  • 106.
    Nilsson, Evalill
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Institutionen för medicin och hälsa, Socialmedicin och folkhälsovetenskap. Linköpings universitet, Hälsouniversitetet.
    Aspects of health-related quality of life: Associations with psychological and biological factors, and use as patient reported outcome in routine health care2012Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    Background Health-related quality of life (HRQoL) is increasingly recognised as an important patient-reported outcome in health care research. However, the use is still restricted and several questions remain about the value and feasibility of using measures of HRQoL in routine health care. The general aims of the thesis were therefore to increase the understanding of these issues by studying 1) associations of HRQoL with psychological and biological factors, 2) comorbidity adjustments of HRQoL measurement results, and 3) the patient-perceived value and feasibility regarding the use of measures of HRQoL as patient-reported outcome in routine health care.

    Methods Three different data sets were used; baseline data (questionnaire, anthropometric, and biological) from the ongoing Life conditions, Stress, and Health Study (n=1007, papers I and II), data from a population survey from the County Council of Östergötland in combination with data from two national Swedish registries, the National Inpatient Register and the Causes of Death Register (n=6086, paper III), and data (questionnaire) from the multicentre Swedish Health Promoting Hospitals Network Health outcome assessment project (n=463, paper IV). The HRQoL measures used were the SF-36 and the EQ-5D. Statistical methods include variance, correlation and regression analyses.

    Results Psychological resources (Self-esteem, Sense of Coherence, and Perceived Control) as well as psychological risk factors (depressive mood) were found to relate independently to HRQoL (SF-36) in the expected directions (positive relations for resources and negative relations for risk factors), but with fewer sex differences than expected (Paper I). Low HRQoL (SF-36) was found to relate to higher levels of inflammatory biological factors (C-reactive protein, Interleukin-6, and MatrixMetalloProteinase-9), and, especially regarding Interleukin-6, many association remained significant, though attenuated, after adjustment for factors of known importance to HRQoL (age, sex, disease, lifestyle and psychological factors) (Paper II). A new comorbidity index, the Health-related Quality of Life Comorbidity Index (HRQL-CI), explicitly developed for use in HRQoL outcomes studies, showed higher explanatory power (higher R2 values) than the commonly used Charlson Comorbidity Index (CCI) regarding impact of comorbidity on HRQoL (SF-36 and EQ-5D). However, regarding mortality the CCI discriminated better between those who died within a year from answering the HRQoL questionnaires, died within ten years, or who were still alive after ten years. This result is in line with the CCI’s original purpose as a mortality predictor. Using morbidity data from mandatory, highly valid national health data bases was found to be useful in a large study of this kind, where using data from medical records might be impractical. (Paper III). Using measures of HRQoL as patient-reported outcome measures in routine health care was regarded as valuable by the majority of the patients in the Health outcome assessment project. A new concept was introduced, respondent satisfaction, and the respondent satisfaction summary score was in most cases equal, i.e. SF-36 and EQ-5D were found to be quite similar regarding the cognitive response process (understanding and responding to the items in the EQ-5D and the SF-36) and patient-perceived content validity (if EQ-5D and SF-36 gave patients the ability to describe their health in a comprehensive way) (Paper IV).

    Conclusions The four papers investigated different aspects of HRQoL that are important for the implementation of the use of measures of HRQoL within the health care system. In conclusion, 1) the use of measures of HRQoL to identify patients with low HRQoL for further health promoting interventions might be supported on a psychological (psychological resources are related to better HRQoL) and biological basis (low HRQoL being an important sign of increased biological vulnerability), 2) a comorbidity index specifically aimed to adjust for comorbidity in patient HRQoL outcomes studies was found to be valid in a normal population (that might serve as a reference population in future studies), and 3) patients perceived the use of measures of HRQoL to be valuable and feasible in routine health care, and questionnaire length and ease of response were not found to be crucial arguments in the choice between SF-36 and EQ-5D. Hence, in their own way, they all and together, contribute to removing obstacles in the implementation process of using patient-reported outcome measures in the health care system for quality improvement.

    Delarbeten
    1. Psychological factors related to physical, social,and mental dimensions of the SF-36: a populationbasedstudy of middle-aged women and men
    Öppna denna publikation i ny flik eller fönster >>Psychological factors related to physical, social,and mental dimensions of the SF-36: a populationbasedstudy of middle-aged women and men
    2010 (Engelska)Ingår i: patient related outcome measures, Vol. 1, s. 153-162Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    Background: Measures of health-related quality of life (HRQoL) are increasingly used as patient-reported outcome measures in routine health care. Research on determinants and correlates of HRQoL has, therefore, grown in importance. Earlier studies have generally been patient-based and few of them have examined differences between women and men. The aim of this study was to explore the relationship between psychological factors and physical, social, and mental dimensions of HRQoL, as measured by the Medical Outcome Study Short Form-36 Health Survey (SF-36), in a normal population and to see if observed relations were the same for women and men.

    Methods: Relations between scale scores for the eight scales of SF-36 and scale scores for Self-esteem, Sense of Coherence, Perceived Control, Depressed Mood (CES-D), and Cynicism were assessed through partial correlation and multiple linear regression analyses on a sample of 505 women and 502 men (aged 45–69 years), stratified for sex and adjusted for effects of age, presence of disease, back pain, lifestyle, and social support.

    Results: All psychological factors tested, except Cynicism, were significantly correlated to all scales of the SF-36 for women and men (Pearson product-moment partial correlation coefficient, |r| = 0.11–0.63 and |r| = 0.11–0.60, respectively). The addition of psychological factors into regression models resulted in significant total explained variance (R2) changes in all scales of the SF-36 for both sexes. Any discrepancies between women and men pertained more to the strength of relationships rather than the significance of different psychological factors.

    Conclusion: In this population-based study, psychological factors showed significant correlation, for women and men alike, with the physical and social scales of SF-36, as well as the mental scales. These findings suggest that assessments of HRQoL are not merely a measure of absolute function but are also dependent on people’s perception of their ability.

    Ort, förlag, år, upplaga, sidor
    Dove Medical Press Limited, 2010
    Nyckelord
    Health-related quality of life, patient-reported outcome measures, population
    Nationell ämneskategori
    Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
    Identifikatorer
    urn:nbn:se:liu:diva-66496 (URN)10.2147/PROM.S13209 (DOI)
    Projekt
    LSH-studien
    Tillgänglig från: 2011-03-17 Skapad: 2011-03-17 Senast uppdaterad: 2014-11-13Bibliografiskt granskad
    2. Associations between SF-36 and inflammatory biomarkers CRP, CXCL8, IL-1β, IL-6, IL-10, and MMP-9 in a normal middle-aged Swedish population
    Öppna denna publikation i ny flik eller fönster >>Associations between SF-36 and inflammatory biomarkers CRP, CXCL8, IL-1β, IL-6, IL-10, and MMP-9 in a normal middle-aged Swedish population
    (Engelska)Manuskript (preprint) (Övrigt vetenskapligt)
    Abstract [en]

    Objective: To evaluate associations between health-related quality of life, HRQoL, and inflammatory biomarkers in a normal population, and investigate whether associations could be explained by the presence of disease, lifestyle and/or psychological factors.

    Methods: A randomly selected sample of a middle-aged Swedish population (n=961; aged 45-70 years, 50% women) was investigated. Self-reported data on HRQoL (SF-36), presence of disease, lifestyle and psychological factors, and plasma levels of biomarkers of inflammation: C-reactive protein (CRP), CXCL8, interleukin (IL)-1β, 6, and 10, and matrix metalloproteinase-9, were analyzed using correlation and regression analyses.

    Results: After adjustment for sex and age, significant negative associations were seen for all scales of the SF-36 to plasma levels of IL-6 and CRP (except the Mental Health scale for CRP), and to a lesser extent to MMP-9, while only a few significant associations were noted for the other biomarkers. Associations with IL-6 were attenuated but generally remained significant after full adjustment (for age, sex, presence of disease, lifestyle and psychological factors) in regression analyses, while associations with CRP for many scales became nonsignificant after control for lifestyle factors.

    Conclusions: Poor HRQoL was related to low grade inflammation in a normal population. The results suggest a possible pathway for earlier observed effects of HRQoL on mortality risk and indicate that low HRQoL is a sign of increased biological vulnerability. The data further indicate that IL-6, CRP, and MMP-9 are more informative markers than CXCL8, IL-1β, and IL-10 for these relationships, but also that they may not convey exactly the same information.

    Nyckelord
    CRP; health-related quality of life; interleukin; MMP-9; population; SF-36
    Nationell ämneskategori
    Medicin och hälsovetenskap
    Identifikatorer
    urn:nbn:se:liu:diva-75137 (URN)
    Tillgänglig från: 2012-02-17 Skapad: 2012-02-17 Senast uppdaterad: 2020-01-16Bibliografiskt granskad
    3. Impact of comorbidity on health-related quality of life: a population-based study using the Charlson Comorbidity Index and the new Health-Related Quality of Life Comorbidity Index, with data from the Swedish National Inpatient Register
    Öppna denna publikation i ny flik eller fönster >>Impact of comorbidity on health-related quality of life: a population-based study using the Charlson Comorbidity Index and the new Health-Related Quality of Life Comorbidity Index, with data from the Swedish National Inpatient Register
    Visa övriga...
    (Engelska)Manuskript (preprint) (Övrigt vetenskapligt)
    Abstract [en]

    Objectives: To investigate the impact of comorbidity on general health-related quality of life (HRQoL) in a Swedish normal population using the Charlson Comorbidity Index (CCI), designed for mortality outcomes, and the new Health-Related Quality of Life Comorbidity Index (HRQL-CI, with physical and psychosocial subindexes) designed for HRQoL outcomes, and comorbidity analyses based on data from the Swedish national inpatient register.

    Study design and setting:L In 1999, 6083 women (54%) and men aged 20-74 (mean 46, SD 15) responded to a public health survey in the county of Östergötland, Sweden, including measures of general HRQoL (the SF-36 and the EQ-5D).

    Results: During 1987-1999, 478 (15 %) and 664 (21 %)/418 (13 %) persons had been registered with ≥1 hospital admission ICD-code included in the CCI and the HRQL-CI physical/psychosocial dimensions, respectively. Both indices discriminated between persons with different degrees of comorbidity regarding their HRQoL. The HRQL-CI received somewhat higher R2 values (e.g. SF-36 scales Physical Functioning 0.161 vs 0.067 and Mental Health 0.026 vs 0.004).

    Conclusions: The new HRQL-CI, created on the basis of self-reports, proved to be a valid measure of comorbidity in a Swedish normal population using national register data.

    Nationell ämneskategori
    Medicin och hälsovetenskap
    Identifikatorer
    urn:nbn:se:liu:diva-75138 (URN)
    Tillgänglig från: 2012-02-17 Skapad: 2012-02-17 Senast uppdaterad: 2012-02-17Bibliografiskt granskad
    4. Respondent satisfaction regarding SF-36 and EQ-5D, and patients' perspectives concerning health outcome assessment within routine health care
    Öppna denna publikation i ny flik eller fönster >>Respondent satisfaction regarding SF-36 and EQ-5D, and patients' perspectives concerning health outcome assessment within routine health care
    2007 (Engelska)Ingår i: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 16, nr 10, s. 1647-1654Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    Objective: To investigate respondent satisfaction regarding SF-36 and EQ-5D and patients' perspectives concerning health outcome assessment within routine health care. Methods: Eighteen Swedish hospitals participated in the study which included 30 patient intervention groups (e.g. education groups for patients with ischemic heart disease or chronic obstructive pulmonary disease). Patients responded to SF-36 and EQ-5D before and after ordinary interventions (n = 463), and then completed an evaluation form. Results: Regarding respondent satisfaction, most patients found both questionnaires easy to understand (70% vs. 75% for SF-36 and EQ-5D respectively), easy to respond to (54% vs. 60%), and that they gave the ability of describing their health in a comprehensive way (68% for both). Health outcome assessment in routine health care was perceived as valuable by 57% of the patients, while 4% disapproved. Most patients (68%) considered both questionnaires equally suitable, 25% preferred SF-36 and 8% EQ-5D. Among those who were more satisfied with a short questionnaire (EQ-5D), several still preferred a longer and more comprehensive questionnaire (SF-36). Conclusion: Health outcome assessment within routine health care seems to be acceptable, and even appreciated, by patients. Questionnaire length and ease of response were not found to be crucial arguments in choosing between SF-36 and EQ-5D. © 2007 Springer Science+Business Media B.V.

    Nyckelord
    outcome assessment, SF-36, EQ-5D, patient perspective, respondent satisfaction
    Nationell ämneskategori
    Samhällsvetenskap
    Identifikatorer
    urn:nbn:se:liu:diva-39617 (URN)10.1007/s11136-007-9263-8 (DOI)50285 (Lokalt ID)50285 (Arkivnummer)50285 (OAI)
    Tillgänglig från: 2009-10-10 Skapad: 2009-10-10 Senast uppdaterad: 2017-12-13
  • 107.
    Nord, Anette
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Hjärt- och Medicincentrum, Kardiologiska kliniken US.
    Hult, Hakan
    Karolinska Institute, Sweden.
    Kreitz-Sandberg, Susanne
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Pedagogik och didaktik. Linköpings universitet, Utbildningsvetenskap.
    Herlitz, Johan
    Borås University, Sweden.
    Svensson, Leif
    Karolinska Institute, Sweden.
    Nilsson, Lennart
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för kardiovaskulär medicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Hjärt- och Medicincentrum, Kardiologiska kliniken US.
    Effect of two additional interventions, test and reflection, added to standard cardiopulmonary resuscitation training on seventh grade students practical skills and willingness to act: a cluster randomised trial2017Ingår i: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 7, nr 6, artikel-id e014230Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objectives The aim of this research is to investigate if two additional interventions, test and reflection, after standard cardiopulmonary resuscitation (CPR) training facilitate learning by comparing 13-year-old students practical skills and willingness to act. Settings Seventh grade students in council schools of two municipalities in south-east Sweden. Design School classes were randomised to CPR training only (O), CPR training with a practical test including feedback (T) or CPR training with reflection and a practical test including feedback (RT). Measures of practical skills and willingness to act in a potential life-threatening situation were studied directly after training and at 6 months using a digital reporting system and a survey. A modified Cardiff test was used to register the practical skills, where scores in each of 12 items resulted in a total score of 12-48 points. The study was conducted in accordance with current European Resuscitation Council guidelines during December 2013 to October 2014. Participants 29 classes for a total of 587 seventh grade students were included in the study. Primary and secondary outcome measures The total score of the modified Cardiff test at 6 months was the primary outcome. Secondary outcomes were the total score directly after training, the 12 individual items of the modified Cardiff test and willingness to act. Results At 6 months, the T and O groups scored 32 (3.9) and 30 (4.0) points, respectively (pamp;lt;0.001), while the RT group scored 32 (4.2) points (not significant when compared with T). There were no significant differences in willingness to act between the groups after 6 months. Conclusions A practical test including feedback directly after training improved the students acquisition of practical CPR skills. Reflection did not increase further CPR skills. At 6-month follow-up, no intervention effect was found regarding willingness to make a life-saving effort.

  • 108.
    Nord, Anette
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Hjärt- och Medicincentrum, Kardiologiska kliniken US.
    Svensson, Leif
    Karolinska Institute, Sweden.
    Claesson, Andreas
    Karolinska Institute, Sweden.
    Herlitz, Johan
    University of Borås, Sweden.
    Hult, Håkan
    Karolinska Institute, Sweden.
    Kreitz-Sandberg, Susanne
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Pedagogik och didaktik. Linköpings universitet, Utbildningsvetenskap.
    Nilsson, Lennart
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för kardiovaskulär medicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Hjärt- och Medicincentrum, Kardiologiska kliniken US.
    The effect of a national web course "Help-Brain-Heart" as a supplemental learning tool before CPR training: a cluster randomised trial2017Ingår i: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, ISSN 1757-7241, E-ISSN 1757-7241, Vol. 25, artikel-id 93Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: The effectiveness of cardiopulmonary resuscitation (CPR) learning methods is unclear. Our aim was to evaluate whether a web course before CPR training, teaching the importance of recognition of symptoms of stroke and acute myocardial infarction (AMI) and a healthy lifestyle, could influence not only theoretical knowledge but also practical CPR skills or willingness to act in a cardiac arrest situation. Methods: Classes with 13-year-old students were randomised to CPR training only (control) or a web course plus CPR training (intervention). Data were collected (practical test and a questionnaire) directly after training and at 6 months. CPR skills were evaluated using a modified Cardiff test (12-48 points). Knowledge on stroke symptoms (0-7 points), AMI symptoms (0-9 points) and lifestyle factors (0-6 points), and willingness to act were assessed by the questionnaire. The primary endpoint was CPR skills at 6 months. CPR skills directly after training, willingness to act and theoretical knowledge were secondary endpoints. Training and measurements were performed from December 2013 to October 2014. Results: Four hundred and thirty-two students were included in the analysis of practical skills and self-reported confidence. The mean score for CPR skills was 34 points after training (control, standard deviation [SD] 4.4; intervention, SD 4.0; not significant [NS]); and 32 points at 6 months for controls (SD 3.9) and 33 points for intervention (SD 4.2; NS). At 6 months, 73% (control) versus 80% (intervention; P = 0.05) stated they would do compressions and ventilation if a friend had a cardiac arrest, whereas 31% versus 34% (NS) would perform both if the victim was a stranger. One thousand, two hundred and thirty-two students were included in the analysis of theoretical knowledge; the mean scores at 6 months for the control and intervention groups were 2.8 (SD 1.6) and 3.2 (SD 1.4) points (P amp;lt; 0.001) for stroke symptoms, 2.6 (SD 2.0) and 2.9 (SD 1.9) points (P = 0.008) for AMI symptoms and 3.2 (SD 1.2) and 3.4 (SD 1.0) points (P amp;lt; 0.001) for lifestyle factors, respectively. Discussion: Use of online learning platforms is a fast growing technology that increases the flexibility of learning in terms of location, time and is available before and after practical training. Conclusions: A web course before CPR training did not influence practical CPR skills or willingness to act, but improved the students theoretical knowledge of AMI, stroke and lifestyle factors.

  • 109.
    Nord, Anette
    et al.
    Linköpings universitet, Medicinska fakulteten. Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för kardiovaskulär medicin.
    Svensson, Leif
    Karolinska Institute, Sweden.
    Hult, Hakan
    Karolinska Institute, Sweden.
    Kreitz-Sandberg, Susanne
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Pedagogik och didaktik. Linköpings universitet, Utbildningsvetenskap.
    Nilsson, Lennart
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för kardiovaskulär medicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Hjärt- och Medicincentrum, Kardiologiska kliniken US.
    Effect of mobile application-based versus DVD-based CPR training on students practical CPR skills and willingness to act: a cluster randomised study2016Ingår i: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 6, nr 4, s. e010717-Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objectives: The aim was to compare students practical cardiopulmonary resuscitation (CPR) skills and willingness to perform bystander CPR, after a 30 min mobile application (app)-based versus a 50 min DVD-based training. Settings: Seventh grade students in two Swedish municipalities. Design: A cluster randomised trial. The classes were randomised to receive app-based or DVD-based training. Willingness to act and practical CPR skills were assessed, directly after training and at 6 months, by using a questionnaire and a PC Skill Reporting System. Data on CPR skills were registered in a modified version of the Cardiff test, where scores were given in 12 different categories, adding up to a total score of 12-48 points. Training and measurements were performed from December 2013 to October 2014. Participants: 63 classes or 1232 seventh grade students (13-year-old) were included in the study. Primary and secondary outcome measures: Primary end point was the total score of the modified Cardiff test. The individual variables of the test and self-reported willingness to make a life-saving intervention were secondary end points. Results: The DVD-based group was superior to the app-based group in CPR skills; a total score of 36 (3338) vs 33 (30-36) directly after training (pamp;lt;0.001) and 33 (30-36) and 31 (28-34) at 6 months (pamp;lt;0.001), respectively. At 6 months, the DVD group performed significantly better in 8 out of 12 CPR skill components. Both groups improved compression depth from baseline to follow-up. If a friend suffered cardiac arrest, 78% (DVD) versus 75% (app) would do compressions and ventilations, whereas only 31% (DVD) versus 32% (app) would perform standard CPR if the victim was a stranger. Conclusions: At 6 months follow-up, the 50 min DVD-based group showed superior CPR skills compared with the 30 min app-based group. The groups did not differ in regard to willingness to make a life-saving effort.

  • 110.
    Nordenfelt, Lennart
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för hälsa och samhälle. Linköpings universitet, Filosofiska fakulteten.
    Avicenna2012Ingår i: Filosofi och medicin: från Platon till Foucault / [ed] Lennart Nordenfelt, Stockholm: Thales, 2012, s. 75-90Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 111.
    Nordenfelt, Lennart
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för hälsa och samhälle. Linköpings universitet, Filosofiska fakulteten.
    Canguilhem2012Ingår i: Filosofi och medicin: från Platon till Foucault / [ed] Lennart Nordenfelt, Stockholm: Thales, 2012, s. 199-216Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 112.
    Nordström (Avby), Gunilla
    Hälsohögskolan i Jönköping.
    Gränsöverskridande kunskapsbildning: - praktik och teori i interaktion2009Ingår i: Vägval och dilemman i interaktiv forskning: kurspaper från Bridging the Gaps doktorandurs Interaktiv forskning 2008 / [ed] Mattias Elg, Boel Andersson Gäre, Jönköping: Landstinget i Jönköpings län , 2009, s. 27-43Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Abstract [sv]

    Vilka möjligheter och hinder kan uppstå i samband med forskningsprojekt där en interaktiv ansats eftersträvas? Vilka förutsättningar måste föreligga för att framgångsrikt kunna driva interaktiv forskning i praktiken i en hälso- och sjukvårdskontext? Vilka former av interaktiva forskningsansatser är lämpliga och i vilka typer av studier? Vad är det i forskningsmiljön som kan underlätta och vad är det som kan bromsa arbetet? I föreliggande antologi presenterar tretton doktorander sina tankar och reflektioner kring vägval och dilemman i att arbeta med en interaktiv forskningsansats. Utgångspunkten för antologin är en doktorandkurs som har genomförts under sommaren och hösten 2007 i samverkan mellan HELIX VINN Excellence Centre vid Linköpings universitet och forskarskolan Bridging the gaps vid Landstinget i Jönköpings län. De viktigaste kursmålen har riktats in på doktorandens förmåga att 1) beskriva grundläggande principer för interaktiv forskning; 2) redogöra för de vetenskaps- och kunskapsteoretiska grunderna för interaktiv forskning; 3) diskutera, beskriva och argumentera för hur interaktiv forskning kan organiseras i praktiken; 4) översiktligt redogöra för hur det egna forskningsprojektet kan organiseras utifrån en interaktiv forskningsansats samt; 5) skriftligt och muntligt reflektera över en eget vald uppgift som rör interaktiv forskning. De flesta av de medverkande doktoranderna genomförde kursen under ett tidigt stadium av sin forskarutbildning vilket har gjort att innehållet fått påverkan på deras forskningsdesign. Vi menar att antologin fyller ett viktigt syfte i och med att den redogör för de problem som den relativt färske doktoranden ställs inför. Förhoppningen är att skriften kan vara användbar för doktorander som på något sätt är kopplad till forskningsansatser som har interaktiv prägel. Vi tror att antologin kan stimulera till vidare diskussioner.

  • 113.
    Ohlen, Joakim
    et al.
    Ersta Skondal University of Coll, Sweden; University of Gothenburg, Sweden; University of Gothenburg, Sweden.
    Russell, Lara
    St Pauls Hospital, Canada; University of Victoria, Canada.
    Hakanson, Cecilia
    Ersta Skondal University of Coll, Sweden; Karolinska Institute, Sweden.
    Alvariza, Anette
    Ersta Skondal University of Coll, Sweden; Karolinska Institute, Sweden.
    Furst, Carl Johan
    Lund University, Sweden.
    Årestedt, Kristofer
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för omvårdnad. Linköpings universitet, Medicinska fakulteten. Linaeus University, Sweden.
    Sawatzky, Richard
    St Pauls Hospital, Canada; Trinity Western University, Canada.
    Variations in Care Quality Outcomes of Dying People: Latent Class Analysis of an Adult National Register Population2017Ingår i: Journal of Pain and Symptom Management, ISSN 0885-3924, E-ISSN 1873-6513, Vol. 53, nr 1, s. 13-24Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Context. Symptom relief is a key goal of palliative care. There is a need to consider complexities in symptom relief patterns for groups of people to understand and evaluate symptom relief as an indicator of quality of care at end of life. Objectives. The aims of this study were to distinguish classes of patients who have different symptom relief patterns during the last week of life and to identify predictors of these classes in an adult register population. Methods. In a cross-sectional retrospective design, data were used from 87,026 decedents with expected deaths registered in the Swedish Register of Palliative Care in 2011 and 2012. Study variables were structured into patient characteristics, and processes and outcomes of quality of care. A latent class analysis was used to identify symptom relief patterns. Multivariate multinomial regression analyses were used to identify predictors of class membership. Results. Five latent classes were generated: "relieved pain, "relieved pain and rattles, "relieved pain and anxiety, "partly relieved shortness of breath, rattles and anxiety, and "partly relieved pain, anxiety and confusion.Important predictors of class membership were age, sex, cause of death, and having someone present at death, individual prescriptions as needed (PRN) and expert consultations. Conclusion. Interindividual variability and complexity in symptom relief patterns may inform quality of care and its evaluation for dying people across care settings. (C) 2016 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

  • 114.
    Ohlenforst, Barbara
    et al.
    Vrije University of Amsterdam Medical Centre, Netherlands; Amsterdam Public Health Research Institute, Netherlands; Oticon AS, Denmark.
    Zekveld, Adriana
    Linköpings universitet, Institutionen för beteendevetenskap och lärande. Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Filosofiska fakulteten. Vrije University of Amsterdam Medical Centre, Netherlands; Amsterdam Public Health Research Institute, Netherlands.
    Jansma, Elise P.
    Vrije University of Amsterdam, Netherlands.
    Wang, Yang
    Vrije University of Amsterdam Medical Centre, Netherlands; Amsterdam Public Health Research Institute, Netherlands; Oticon AS, Denmark.
    Naylor, Graham
    MRC CSO Institute Hearing Research, Scotland.
    Lorens, Artur
    Int Centre Hearing and Speech, Poland.
    Lunner, Thomas
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV). Oticon AS, Denmark.
    Kramer, Sophia E.
    Vrije University of Amsterdam Medical Centre, Netherlands; Amsterdam Public Health Research Institute, Netherlands.
    Effects of Hearing Impairment and Hearing Aid Amplification on Listening Effort: A Systematic Review2017Ingår i: Ear and Hearing, ISSN 0196-0202, E-ISSN 1538-4667, Vol. 38, nr 3, s. 267-281Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    Objectives: To undertake a systematic review of available evidence on the effect of hearing impairment and hearing aid amplification on listening effort. Two research questions were addressed: Q1) does hearing impairment affect listening effort? and Q2) can hearing aid amplification affect listening effort during speech comprehension? Design: English language articles were identified through systematic searches in PubMed, EMBASE, Cinahl, the Cochrane Library, and PsyclNFO from inception to August 2014. References of eligible studies were checked. The Population, Intervention, Control, Outcomes, and Study design strategy was used to create inclusion criteria for relevance. It was not feasible to apply a meta-analysis of the results from comparable studies. For the articles identified as relevant, a quality rating, based on the 2011 Grading of Recommendations Assessment, Development, and Evaluation Working Group guidelines, was carried out to judge the reliability and confidence of the estimated effects. Results: The primary search produced 7017 unique hits using the keywords: hearing aids OR hearing impairment AND listening effort OR perceptual effort OR ease of listening. Of these, 41 articles fulfilled the Population, Intervention, Control, Outcomes, and Study design selection criteria of: experimental work on hearing impairment OR hearing aid technologies AND listening effort OR fatigue during speech perception. The methods applied in those articles were categorized into subjective, behavioral, and physiological assessment of listening effort. For each study, the statistical analysis addressing research question Q1 and/or Q2 was extracted. In seven articles more than one measure of listening effort was provided. Evidence relating to Q1 was provided by 21 articles that reported 41 relevant findings. Evidence relating to Q2 was provided by 27 articles that reported 56 relevant findings. The quality of evidence on both research questions (Q1 and Q2) was very low, according to the Grading of Recommendations Assessment, Development, and Evaluation Working Group guidelines. We tested the statistical evidence across studies with nonparametric tests. The testing revealed only one consistent effect across studies, namely that listening effort was higher for hearing-impaired listeners compared with normal-hearing listeners (Q1) as measured by electroencephalographic measures. For all other studies, the evidence across studies failed to reveal consistent effects on listening effort. Conclusion: In summary, we could only identify scientific evidence from physiological measurement methods, suggesting that hearing impairment increases listening effort during speech perception (Q1). There was no scientific, finding across studies indicating that hearing aid amplification decreases listening effort (Q2). In general, there were large differences in the study population, the control groups and conditions, and the outcome measures applied between the studies included in this review. The results of this review indicate that published listening effort studies lack consistency, lack standardization across studies, and have insufficient statistical power. The findings underline the need for a common conceptual framework for listening effort to address the current shortcomings.

  • 115.
    Olsson, Monica
    et al.
    Karolinska Institute, Sweden; St Erik Eye Hospital, Sweden.
    Tear Fahnehjelm, Kristina
    Karolinska Institute, Sweden; Vrinnevi Hospital, Sweden.
    Rydberg, Agneta
    Karolinska Institute, Sweden; Karolinska University Hospital, Sweden.
    Ygge, Jan
    Karolinska Institute, Sweden; St Erik Eye Hospital, Sweden.
    Ocular Motor Score (OMS): a clinical tool to evaluating ocular motor functions in children. Intrarater and inter-rater agreement2015Ingår i: Acta Ophthalmologica, ISSN 1755-375X, E-ISSN 1755-3768, Vol. 93, nr 5, s. 444-449Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    PurposeOcular motor score (OMS) is a new clinical test protocol for evaluating ocular motor functions in children and young adults. OMS is a set of 15 important and relevant non-invasive ocular motor function parameters derived from clinical practice. The aim of the study was to evaluate OMS according to intrarater and inter-rater agreement. MethodsForty children aged 4-10years, 23 girls median age 6.5 (range 4.3-9.3) and 17 boys median age 5.8 (range 4.1-9.8) were included. The ocular motor functions were assessed and scored according to the OMS protocol. The examinations were videotaped. To obtain the intrarater agreement, the first author examined and scored the children twice, first in the clinic and 2weeks later by watching the videotape. To obtain the inter-rater agreement, three other raters independently scored the ocular motor function of the children by watching the videotapes. ResultsThe overall observed intrarater agreement was 88%, and the observed inter-rater agreement between the three raters was 80%. For none of the subtests was there an observed intrarater agreement lower than 65%. Three of the subtests had an observed inter-rater agreement of 65% or below. ConclusionOverall there was high observed intra- and inter-rater agreement for the OMS test protocol. Subtests such as saccades and smooth pursuit were more difficult for raters to score similarly according the clinical OMS test protocol.

  • 116.
    Peolsson, Michael
    Linköpings universitet, Institutionen för tema, Tema Kommunikation. Linköpings universitet, Filosofiska fakulteten.
    Att beskriva kronisk smärta: en lärprocess2000Licentiatavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [sv]

    Sammanfattningsvis syftar denna uppsats till att studera hur patienter beskriver sin smärta samt på vilka sätt de beskriver hur de utforskar sin smärta i vardagen. Jag vill med dessa beskrivningar som bakgrund lyfta fram patienters egen lärprocess om sin smärta. Avhandlingen syftar vidare till att diskutera hur vårdgivare kan lära sig av patienters smärtbeskrivningar. I detta sammanhang vill jag lyfta fram några begrepp som kan belysa hur patienterna i mina studier delger vad jag tolkar som smärtupplevelser.

    Delarbeten
    1. Experiencing and Knowing Pain: Patients’ Perspectives
    Öppna denna publikation i ny flik eller fönster >>Experiencing and Knowing Pain: Patients’ Perspectives
    2000 (Engelska)Ingår i: Advances in Physiotherapy, ISSN 1403-8196, E-ISSN 1651-1948, Vol. 2, nr 4, s. 146-155Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    This article focuses on patients’ accounts of chronic pain and the manner in which they communicate their experiences. The data have been generated through interviews with chronic pain patients undergoing treatment for their problems. The results show that patients develop a set of discursive markers by means of which they are able to make distinctions between different kinds of pain. These distinctions are made with respect to pain qualities and pain localizations in the body. Further, a majority of the patients report that one pain generally transforms into another. This subjectively perceived patterning we refer to as pain transformations and these, in turn, contain different pain phases. Most patients report pains as dynamic and tients report pains as dynamic and stable and consistent sensation. The results also show that some patients identify certain pain phases as precursors of more severe phases, and that they use this knowledge as a means for taking preventive actions. Since experiencing pain often involves a discursive element gaining linguistic control over one’s pain provides the person with an important resource for dealing with pain

    Nyckelord
    pain communication, pain discrimination, pain learning, pain localization, pain quality, pain phase, pain transformation
    Nationell ämneskategori
    Tvärvetenskapliga studier inom samhällsvetenskap
    Identifikatorer
    urn:nbn:se:liu:diva-79050 (URN)10.1080/140381900750063409 (DOI)
    Tillgänglig från: 2012-06-28 Skapad: 2012-06-28 Senast uppdaterad: 2018-01-12Bibliografiskt granskad
    2. Living with chronic pain: A dynamic learning process
    Öppna denna publikation i ny flik eller fönster >>Living with chronic pain: A dynamic learning process
    2000 (Engelska)Ingår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 7, nr 3, s. 114-125Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    This study focuses on how patients describe and manage their pain in their everyday life. The data consist of interviews with 37 patients undergoing treatment for chronic pain. The study focuses on how experiences of pain are mediated and interpreted with the help of the individual's discursive resources. It is argued that this kind of resource is important in constituting a structure of relations between a suffering person, pain and context. In the analysis of the material a four-step procedure was used, including both formal and content-related aspects. It was found that the patients describe chronic pain as a dynamic phenomenon. Patients learn about their pain by actively constituting relations among themselves, the pain and their activities. For the patients, chronic pain is a structured phenomenon. Patients often describe how pain is initiated, worsens and is alleviated. Patients thereby learn to distinguish different figures in their pain, which they are able to relate to in their management of pain. This suggests that a life in pain could be seen as an apprenticeship process. The heart of the matter in this process is learning to become sensitive to and flexible towards variations in the pain and potential pain triggers in the environment. This knowledge is important, as mastering pain is a balancing act between inner resources and environmental circumstances.

    Nyckelord
    apprenticeship, communication, coping, chronic pain, dynamic, language, learning, patient perspective
    Nationell ämneskategori
    Tvärvetenskapliga studier inom samhällsvetenskap
    Identifikatorer
    urn:nbn:se:liu:diva-22853 (URN)10.1080/110381200300006069 (DOI)2193 (Lokalt ID)2193 (Arkivnummer)2193 (OAI)
    Tillgänglig från: 2009-10-07 Skapad: 2009-10-07 Senast uppdaterad: 2018-01-13Bibliografiskt granskad
  • 117.
    Persson, Frida
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Logopedi. Linköpings universitet, Hälsouniversitetet.
    Hedenqvist, Clara
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Logopedi. Linköpings universitet, Hälsouniversitetet.
    Titta, lyssna och härma!: En studie som undersöker imitationsförmågan för auditivt och visuellt presenterat material hos typiskt utvecklade barn mellan 4 och 8 år.2013Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Syftet med studien var att undersöka imitationsförmågan för auditivt och visuellt presenterat material hos typiskt utvecklade barn mellan fyra och åtta år. Den visuella imitationen undersöktes i form av meningsfulla samt icke-meningsfulla handlingar. Den auditiva imitationen undersöktes i form av meningsfull meningsrepetition samt icke-meningsfull nonordsrepetition. Ytterligare ett test gjordes för att undersöka barnens icke-verbala intelligens. I studien deltog 10 typiskt utvecklade barn med svenska som modersmål, sjuflickor och tre pojkar mellan 4;11␣8;0år.

    Studiens  huvudfynd  var  att  barnens visuella uppmärksamhet var en avgörande faktor för hur barnen klarade av att imitera handlingarna. De meningsfulla handlingarna med objekt var lättare för barnen att utföra i jämförelse med de icke-meningsfulla handlingarna utan objekt. Resultatet på det icke-verbala intelligenstestet korrelerade med barnens ålder och de icke- meningsfulla handlingarna. Även nonord och meningsrepetition korrelerade med varandra. Vid analys av den auditiva modaliteten visade det sig att två- och fyrstaviga icke-meningsfulla nonord var något lättare att imitera än trestaviga. Ett konstaterande vid meningsrepetitionen var att barnens prestation såg olika ut beroende på meningens längd.

    Resultaten i denna studie måste tolkas med reservation för att undersökningen gjorts på en mycket liten grupp och vidare forskning inom ämnet vore önskvärt för ett mer tillförlitligt resultat. Slutsatsen är att det troligtvis inte förefaller finnas någon underliggande imitativ förmåga som medierar förmågan att imitera för visuellt och auditivt presenterat material. Ett samband mellan barnens visuella uppmärksamhet och deras prestation av imitativa handlingar kan dock konstateras.

  • 118.
    Pestoff, Rebecka
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för cellbiologi. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Diagnostikcentrum, Klinisk patologi och klinisk genetik.
    Ingvoldstad, Charlotta
    CLINTECH, Obstretrics and Gynaecology, Karolinska Institute, Solna, Sweden.
    Skirton, Heather
    Department of Applied Health Genetics, Plymouth University, Plymouth, UK.
    Genetic counsellors in Sweden: their role and added value in the clinical setting.2016Ingår i: European Journal of Human Genetics, ISSN 1018-4813, E-ISSN 1476-5438, Vol. 24, nr 3, s. 350-355Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Genetic testing is becoming more commonplace in general and specialist health care and should always be accompanied by genetic counselling, according to Swedish law. Genetic counsellors are members of the multi-disciplinary team providing genetic counselling. This study examined the role and added value of genetic counsellors in Sweden, using a cross-sectional on-line survey. The findings showed that the genetic counsellors added value in the clinical setting by acting as the 'spider-in-the-web' regarding case management, having a more holistic, ethical and psychological perspective, being able to offer continuous support and build a relationship with the patient, and being more accessible than medical geneticists. The main difference between a genetic counsellor and medical geneticist was that the doctor had the main medical responsibility. Thus genetic counsellors in Sweden contribute substantially to the care of patients in the clinical genetic setting.

  • 119.
    Peterson, Gunnel
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för fysioterapi. Linköpings universitet, Medicinska fakulteten.
    Neck muscle function in individuals with persistent pain and disability after whiplash injury2016Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    Background: Neck pain and disability are common after whiplash injury. One year after the accident up to 50 % still have symptoms called whiplash associated disorders (WAD). Despite decades of research the cause of persistent pain and disability are largely unknown and effective treatment and diagnostic tools are lacking. Altered neck muscle function may cause pain and disability, and real-time non-invasive methods that investigate both superficial and deep neck muscle function need to be evaluated.

    Aim: The general aim of the work presented in this thesis was to investigate mechanical neck muscle function and evaluate effects of three different exercise interventions related to neck muscle function in individuals with persistent pain and disability after whiplash injury.

    Method: The thesis comprised two studies, reported in four papers. Study A was a prospective randomized controlled trail with 216 participants. The effects of three exercise interventions; neck-specific exercises, neck-specific exercises with behavioral approach and prescription of physical activity were evaluated. Neck muscle endurance, perceived pain following testing, kinesiophobia and satisfaction with treatment were compared between the three groups (paper I). Study B was an experimental case-control study with participants consecutively recruited from the randomized controlled trial. Deformation and deformation rates in the neck muscles were investigated with real-time ultrasound imaging during ten repetitive arm elevations (paper II-IV). To investigate ventral neck muscles, 26 individuals with WAD were compared with 26 healthy controls (paper II). The dorsal neck muscles were investigated in paper III, including 40 individuals with WAD and 40 controls. In total 46 individuals, 23 with WAD and 23 healthy controls were included in paper IV to develop ventral neck muscle interaction models.

    Results: Paper I: Participants in the two neck-specific exercise groups (with and without behavioral approach) showed increased dorsal neck muscle endurance (p = 0.003), decreased pain intensity following testing (p = 0.04) and were more satisfied with treatment (p < 0.001) than participants in the prescribed physical activity group. Kinesiophobia did not significantly differ between groups (p > 0.12).

    Paper II: Deformation and deformation rate showed linear positive relationship between ventral muscle pairs in healthy controls, especially between superficial and deep neck muscles. This relationship was weaker or absent in the WAD group.

    Paper III: The WAD group had higher deformation rates in the deepest dorsal neck muscles during the first and tenth (only women) arm elevations compared to the control group (p < 0.04). Women in the WAD group showed a weaker linear relationship between the two deepest dorsal neck muscles compared to women in the control group.

    Paper IV: The results revealed two different ventral neck muscle models in individuals with WAD and healthy controls (R2Y = 0.72, Q2Y = 0.59). The models were capable to detect different neck muscle interplay in people with WAD.

    Conclusion: Neck-specific exercise intervention with or without a behavioral approach appears to improve neck muscle endurance in individuals with persistent WAD. Decreased pain after the neck muscle endurance test also suggests improved tolerance of load in these two groups. Altered mechanical neck muscle function was revealed in individuals with WAD indicating decreased muscular support for maintain a stable cervical spine during repetitive arm elevations. The results show great promise for improved diagnosis of neck muscle function in WAD.

    Delarbeten
    1. THE EFFECT OF 3 DIFFERENT EXERCISE APPROACHES ON NECK MUSCLE ENDURANCE, KINESIOPHOBIA, EXERCISE COMPLIANCE, AND PATIENT SATISFACTION IN CHRONIC WHIPLASH
    Öppna denna publikation i ny flik eller fönster >>THE EFFECT OF 3 DIFFERENT EXERCISE APPROACHES ON NECK MUSCLE ENDURANCE, KINESIOPHOBIA, EXERCISE COMPLIANCE, AND PATIENT SATISFACTION IN CHRONIC WHIPLASH
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    2015 (Engelska)Ingår i: Journal of Manipulative and Physiological Therapeutics, ISSN 0161-4754, E-ISSN 1532-6586, Vol. 38, nr 7, s. 465-746.e4Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    Objective: The purpose of this study was to compare the effects of 3 different exercise approaches on neck muscle endurance (NME), kinesiophobia, exercise compliance, and patient satisfaction in patients with chronic whiplash. Methods: This prospective randomized clinical trial included 216 individuals with chronic whiplash. Participants were randomized to 1 of 3 exercise interventions: neck-specific exercise (NSE), NSE combined with a behavioral approach (NSEB), or prescribed physical activity (PPA). Measures of ventral and dorsal NME (endurance time in seconds), perceived pain after NME testing, kinesiophobia, exercise compliance, and patient satisfaction were recorded at baseline and at the 3- and 6-month follow-ups. Results: Compared with individuals in the prescribed physical activity group, participants in the NSE and NSEB groups exhibited greater gains in dorsal NME (P = .003), greater reductions in pain after NME testing (P = .03), and more satisfaction with treatment (P less than .001). Kinesiophobia and exercise compliance did not significantly differ between groups (P greater than .07). Conclusion: Among patients with chronic whiplash, a neck-specific exercise intervention (with or without a behavioral approach) appears to improve NME. Participants were more satisfied with intervention including neck-specific exercises than with the prescription of general exercise.

    Ort, förlag, år, upplaga, sidor
    MOSBY-ELSEVIER, 2015
    Nyckelord
    Exercise Therapy; Neck Pain; Whiplash Injuries; Rehabilitation
    Nationell ämneskategori
    Sjukgymnastik Medicin och hälsovetenskap Hälsovetenskaper
    Identifikatorer
    urn:nbn:se:liu:diva-122438 (URN)10.1016/j.jmpt.2015.06.011 (DOI)000362450700003 ()26387858 (PubMedID)
    Anmärkning

    Funding Agencies|Swedish government; Swedish Social Insurance Agency through the REHSAM Foundation [RS2010/009]; Centre for Clinical Research Sormland at Uppsala University Sweden; Medical Research Council of Southeast Sweden; Center for Clinical Research of Ostergotland; Uppsala-Orebro Regional Research Council Sweden; Health Practitioner Research Fellowship from Queensland Health; University of Queensland (NHMRC CCRE Spinal Pain, Injury, and Health); Swedish Research Council; Wennergren Foundation

    Tillgänglig från: 2015-11-03 Skapad: 2015-11-02 Senast uppdaterad: 2017-12-01
    2. Altered ventral neck muscle deformation for individuals with whiplash associated disorder compared to healthy controls: A case-control ultrasound study
    Öppna denna publikation i ny flik eller fönster >>Altered ventral neck muscle deformation for individuals with whiplash associated disorder compared to healthy controls: A case-control ultrasound study
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    2015 (Engelska)Ingår i: Manual Therapy, ISSN 1356-689X, E-ISSN 1532-2769, Vol. 20, nr 2, s. 319-327Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    Previous studies have shown altered neck muscle function in individuals with chronic whiplash associated disorder (WAD). However, we lack real-time investigations with non-invasive methods that can distinguish between the different ventral neck muscle layers. This study investigated deformations and deformation rates in the sternocleidomastoid (SCM), longus capitis (Lcap), and longus colli (Lco) muscles with real-time ultrasonography. Twenty-six individuals with WAD were compared with 26 controls, matched for age and sex. Ultrasound imaging of the SCM, Lcap, and Lco were recorded during 10 repetitive arm elevations. The first and tenth arm elevations were post-process analyzed with speckle tracking. There were few significant differences in the deformations or deformation rates in the SCM, Lcap, and Lco between the WAD and control group. In controls, deformations and deformation rates showed linear positive relationships between SCM/Lcap, SCM/Lco, and Lcap/Lco which increased from the first arm elevation (R(2) = 0.14-0.70); to the tenth arm elevation (R(2) = 0.51-0.71). The WAD group showed similar or weaker linear relationship (R(2) < 0.19) during the tenth compared to the first (R(2) < 0.44) arm elevation except for deformations in Lcap/Lco (R(2) = 0.13-0.57). This result indicated that deformations and deformation rates in one muscle were correlated by similar deformations and deformation rates in other neck muscles in the control group, but this interplay between muscles was not found in the WAD group.

    Nationell ämneskategori
    Sjukgymnastik
    Identifikatorer
    urn:nbn:se:liu:diva-115920 (URN)10.1016/j.math.2014.10.006 (DOI)000352769200013 ()25454684 (PubMedID)
    Tillgänglig från: 2015-03-24 Skapad: 2015-03-24 Senast uppdaterad: 2017-12-04
    3. CHANGES IN DORSAL NECK MUSCLE FUNCTION IN INDIVIDUALS WITH CHRONIC WHIPLASH-ASSOCIATED DISORDERS: A REAL-TIME ULTRASOUND CASE-CONTROL STUDY
    Öppna denna publikation i ny flik eller fönster >>CHANGES IN DORSAL NECK MUSCLE FUNCTION IN INDIVIDUALS WITH CHRONIC WHIPLASH-ASSOCIATED DISORDERS: A REAL-TIME ULTRASOUND CASE-CONTROL STUDY
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    2016 (Engelska)Ingår i: Ultrasound in Medicine and Biology, ISSN 0301-5629, E-ISSN 1879-291X, Vol. 42, nr 5, s. 1090-1102Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    Impaired neck muscle function leads to disability in individuals with chronic whiplash-associated disorder (WAD), but diagnostic tools are lacking. In this study, deformations and deformation rates were investigated in five dorsal neck muscles during 10 arm elevations by ultrasonography with speckle tracking analyses. Forty individuals with chronic WAD (28 women and 12 men, mean age = 37 y) and 40 healthy controls matched for age and sex were included. The WAD group had higher deformation rates in the multifidus muscle during the first (p &lt; 0.04) and 10th (only women, p &lt; 0.01) arm elevations compared with the control group. Linear relationships between the neck muscles for deformation rate (controls: R-2 = 0.24-0.82, WAD: R-2 = 0.05-0.74) and deformation of the deepest muscles (controls: R-2 = 0.61-0.32, WAD: R-2 = 0.15-0.01) were stronger for women in the control group versus women with WAD, indicating there is altered interplay between dorsal neck muscles in chronic WAD. (C) 2016 World Federation for Ultrasound in Medicine & Biology.

    Ort, förlag, år, upplaga, sidor
    ELSEVIER SCIENCE INC, 2016
    Nyckelord
    Whiplash injury; Ultrasonography; Neck muscles; Spine
    Nationell ämneskategori
    Hälsovetenskaper
    Identifikatorer
    urn:nbn:se:liu:diva-127550 (URN)10.1016/j.ultrasmedbio.2015.12.022 (DOI)000373385300008 ()26921149 (PubMedID)
    Anmärkning

    Funding Agencies|Swedish government; Swedish Social Insurance Agency through the REHSAM Foundation [RS2010/009]; Swedish Research Council; Centre for Clinical Research Sormland at Uppsala University Sweden; Uppsala-Orebro Regional Research Council Sweden

    Tillgänglig från: 2016-05-04 Skapad: 2016-05-03 Senast uppdaterad: 2018-03-27
    4. Novel insights into the interplay between ventral neck muscles in individuals with whiplash-associated disorders
    Öppna denna publikation i ny flik eller fönster >>Novel insights into the interplay between ventral neck muscles in individuals with whiplash-associated disorders
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    2015 (Engelska)Ingår i: Scientific Reports, ISSN 2045-2322, E-ISSN 2045-2322, Vol. 5, nr 15289Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    Chronic whiplash-associated disorder (WAD) is common after whiplash injury, with considerable personal, social, and economic burden. Despite decades of research, factors responsible for continuing pain and disability are largely unknown, and diagnostic tools are lacking. Here, we report a novel model of mechanical ventral neck muscle function recorded from non-invasive, real-time, ultrasound measurements. We calculated the deformation area and deformation rate in 23 individuals with persistent WAD and compared them to 23 sex-and age-matched controls. Multivariate statistics were used to analyse interactions between ventral neck muscles, revealing different interplay between muscles in individuals with WAD and healthy controls. Although the cause and effect relation cannot be established from this data, for the first time, we reveal a novel method capable of detecting different neck muscle interplay in people with WAD. This non-invasive method stands to make a major breakthrough in the assessment and diagnosis of people following a whiplash trauma.

    Ort, förlag, år, upplaga, sidor
    NATURE PUBLISHING GROUP, 2015
    Nationell ämneskategori
    Sjukgymnastik
    Identifikatorer
    urn:nbn:se:liu:diva-122524 (URN)10.1038/srep15289 (DOI)000362884300001 ()26472599 (PubMedID)
    Anmärkning

    Funding Agencies|Swedish government; Swedish Social Insurance Agency through the REHSAM foundation; Swedish Research Council; Centre for Clinical Research Sormland at Uppsala University Sweden; Uppsala-Orebro Regional Research Council Sweden

    Tillgänglig från: 2015-11-09 Skapad: 2015-11-06 Senast uppdaterad: 2017-12-01
  • 120.
    Petersson, Joel
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Logopedi. Linköpings universitet, Hälsouniversitetet.
    Järåsen, Henrik
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Logopedi. Linköpings universitet, Hälsouniversitetet.
    En fältstudie av röstanvändning och självskattade röstbesvär hos lärare2012Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Studier har visat att lärare är en yrkeskategori som är överrepresenterad bland patienter med en diagnostiserad röststörning på logopedmottagningar i Sverige. Det beror på den röstbelastning lärare utsätts för i arbetet där rösten är ett viktigt redskap. På logopedmottagningen görs röstinspelningar i en tyst miljö för att kunna analysera röstens kvalitet. För att få en helhetsbild av patienternas röstbeteende har en apparat utvecklats som kan registrera röstbeteende utanför logopedmottagningen, kallad VoxLog. Det är en modern röstackumulator som registrerar grundtonsfrekvens, röststyrka, bakgrundsbuller samt fonationstid hos den enskilde individen. Studiens syfte var att undersöka fyra högstadielärares röstanvändning under en femdagarsperiod med hjälp av VoxLog och låta dem fylla i Rösthandikappindex inklusive halsskalan, RHI-T, i början och slutet av perioden. Resultaten från VoxLog och självskattningsformuläret RHI-T analyserades för att få en bild av lärarnas röstanvändning.

    I studien ingick fyra högstadielärare som alla jobbar med matematik och NO-ämnen, två män och två kvinnor mellan 38 och 46 år. Deltagarna bar röstackumulatorn VoxLog under en arbetsvecka, måndag till fredag under all vaken tid.

    Resultaten visade att lärarna i studien använder rösten mer under arbetet jämfört med på fritiden. Bullernivåerna som uppmättes låg under den skadliga nivån på 75 dB hos alla deltagare utom en. Bullernivåerna var emellertid högre på arbetet jämfört med på fritiden. Individuella skillnader i grundtonsfrekvens och röststyrka under femdagarsperioden påvisades även. Bland annat noterades en tendens till förhöjd röststyrka på eftermiddagarna. Ingen av deltagarna skattade sig själva inom den patologiska gränsen på 20 poäng gällande RHI. Den kategori som skattades högst av deltagarna var halsskalan.

  • 121.
    Pettersen, Trond R.
    et al.
    Haukeland Hosp, Norway.
    Martensson, Jan
    Jönköping Univ, Sweden.
    Axelsson, Asa
    Univ Gothenburg, Sweden.
    Jorgensen, Marianne
    Stavanger Univ Hosp, Norway.
    Strömberg, Anna
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för omvårdnad. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Hjärt- och Medicincentrum, Kardiologiska kliniken US.
    Thompson, David R.
    Univ Melbourne, Australia.
    Norekval, Tone M.
    Haukeland Hosp, Norway; Univ Bergen, Norway.
    European cardiovascular nurses and allied professionals knowledge and practical skills regarding cardiopulmonary resuscitation2018Ingår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 17, nr 4, s. 336-344Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: Cardiopulmonary resuscitation (CPR) remains a cornerstone in the treatment of cardiac arrest, and is directly linked to survival rates. Nurses are often first responders and need to be skilled in the performance of cardiopulmonary resuscitation. As cardiopulmonary resuscitation skills deteriorate rapidly, the purpose of this study was to investigate whether there was an association between participants cardiopulmonary resuscitation training and their practical cardiopulmonary resuscitation test results. Methods: This comparative study was conducted at the 2014 EuroHeartCare meeting in Stavanger (n=133) and the 2008 Spring Meeting on Cardiovascular Nursing in Malmo (n=85). Participants performed cardiopulmonary resuscitation for three consecutive minutes CPR training manikins from Laerdal Medical (R). Data were collected with a questionnaire on demographics and participants level of cardiopulmonary resuscitation training. Results: Most participants were female (78%) nurses (91%) from Nordic countries (77%), whose main role was in nursing practice (63%), and 71% had more than 11 years experience (n=218). Participants who conducted cardiopulmonary resuscitation training once a year or more (n=154) performed better regarding ventilation volume than those who trained less (859 ml vs. 1111 ml, p=0.002). Those who had cardiopulmonary resuscitation training offered at their workplace (n=161) also performed better regarding ventilation volume (889 ml vs. 1081 ml, p=0.003) and compression rate per minute (100 vs. 91, p=0.04) than those who had not. Conclusion: Our study indicates a positive association between participants performance on the practical cardiopulmonary resuscitation test and the frequency of cardiopulmonary resuscitation training and whether cardiopulmonary resuscitation training was offered in the workplace. Large ventilation volumes were the most common error at both measuring points.

  • 122.
    Plejert, Charlotta
    et al.
    Linköpings universitet, Institutionen för kultur och kommunikation, Avdelningen för språk och kultur. Linköpings universitet, Filosofiska fakulteten.
    Samuelsson, Christina
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neuro- och inflammationsvetenskap. Linköpings universitet, Medicinska fakulteten.
    Anward, Jan
    Linköpings universitet, Institutionen för kultur och kommunikation, Avdelningen för språk och kultur. Linköpings universitet, Filosofiska fakulteten.
    Enhanced patient involvement in Swedish aphasia intervention2016Ingår i: Clinical Linguistics & Phonetics, ISSN 0269-9206, E-ISSN 1464-5076, Vol. 30, nr 10, s. 730-748Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The present article is a case study in which participation is investigated in terms of the use of interactional practices that enhance the involvement of a man with severe aphasia in activities that aim to capture his and his wifes experiences of everyday communication, and their views of his speech and language intervention. Five practices are identified: 1) collaborative telling, 2) formulations, 3) yes/no questions, 4) declaratives and 5) hint-and-guess strategies. It is demonstrated how participants (wife, a speech and language pathologist, and two research assistants) use of these practices are beneficial for making the viewpoints of the man with aphasia come across, despite his communication difficulties. Results are discussed in light of the importance of finding ways to make patients influence their own intervention, both in terms of a raised awareness of facilitative interactional practices and of activities such as interviews and retrospection sessions with patients and their significant others.

  • 123.
    Poole, Jennifer
    et al.
    School of Social Work, Faculty of Community Services, Ryerson University, Toronto, Ontario, Canada.
    Ward, Jennifer
    School of Social Work, Faculty of Community Services, Ryerson University, Toronto, Ontario, Canada.
    DeLuca, Enza
    Division of Cardiology and Transplant, University Health Network, 585 University Avenue, Toronto, Ontario, Canada.
    Shildrick, Margrit
    Linköpings universitet, Institutionen för tema, Tema Genus. Linköpings universitet, Filosofiska fakulteten.
    Abbey, Susan
    Department of Psychiatry, University Health Network, Toronto, Ontario, Canada.
    Mauthner, Oliver
    Institute of Nursing Science, Faculty of Medicine, University of Basel, Basel, Switzerland.
    Ross, Heather
    Division of Cardiology and Transplant, University Health Network, Toronto, Ontario, Canada.
    Grief and loss for patients before and after heart transplant2016Ingår i: Heart & Lung, ISSN 0147-9563, E-ISSN 1527-3288, Vol. 45, nr 3, s. 193-198Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objectives

    The purpose of the study was to examine the loss and grief experiences of patients waiting for and living with new hearts.

    Background

    There is much scholarship on loss and grief. Less attention has been paid to these issues in clinical transplantation, and even less on the patient experience.

    Methods

    Part of a qualitative inquiry oriented to the work of Merleau-Ponty, a secondary analysis was carried out on audiovisual data from interviews with thirty participants.

    Results

    Patients experience loss and three forms of grief. Pre-transplant patients waiting for transplant experience loss and anticipatory grief related to their own death and the future death of their donor. Transplanted patients experience long-lasting complicated grief with respect to the donor and disenfranchised grief which may not be sanctioned.

    Conclusions

    Loss as well as anticipatory, complicated and disenfranchised grief may have been inadvertently disregarded or downplayed. More research and attention is needed.

  • 124.
    Prowse, Ashleigh
    et al.
    Department of Physiotherapy, Faculty of Health Science and Medicine, Bond University, Robina, Australia.
    Pope, Rodney
    Department of Physiotherapy, Faculty of Health Science and Medicine, Bond University, Robina, Australia.
    Gerdhem, Paul
    Department of Orthopaedics, Karolinska University Hospital, Stockholm, Sweden; Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden.
    Abbott, Allan
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för fysioterapi. Linköpings universitet, Hälsouniversitetet. Department of Physiotherapy, Karolinska University Hospital, Huddinge, Sweden.
    Reliability and validity of inexpensive and easily administered anthropometric clinical evaluation methods of postural asymmetry measurement in adolescent idiopathic scoliosis: a systematic review2016Ingår i: European spine journal, ISSN 0940-6719, E-ISSN 1432-0932, Vol. 25, nr 2, s. 450-466Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    PURPOSE:

    As accurate and reproducible measurements of spinal curvature are crucial in the examination of patients with adolescent idiopathic scoliosis (AIS), this systematic review aims to report on the reliability and validity of a range of inexpensive and easily administered anthropometric methods of postural asymmetry measurement in an AIS population, to inform practice in a clinical setting.

    METHODS:

    A systematic search of health research databases located studies assessing reliability and validity of inexpensive and easily administered anthropometric measures.

    RESULTS:

    Fourteen studies satisfied eligibility criteria. The methodological quality of included studies ranged from low to high. Validity studies were of moderate to high quality. In total, nine clinically applicable, inexpensive and easily administered anthropometric methods were identified, for assessing AIS curvature. All methods demonstrated high to very high inter-observer and intra-observer reliability. Reported criterion validity of the scoliometer and 2D photographs, when compared to Cobb angle assessed from radiographs, ranged from low to very high. iPhone measurements correlated well with scoliometer measurements. 2D photography results had a moderate to high correlation with 3D topography results.

    CONCLUSIONS:

    Overall, strong levels of evidence exist for iPhone and scoliometer measurements, with a high to very high reliability and moderate to very high validity. Moderate levels of evidence exist for scoliometer with mathematical formula and clinical examination with moderate and low validity, respectively. Limited evidence exists for aesthetic tools TRACE and AI and 2D photography. These results indicate there are accurate and reproducible anthropometric measures that are inexpensive and applicable in therapy settings to assess postural asymmetry; however, these only exist for measurement in the transverse plane, despite 3D characteristics of AIS. Further research is required into an inexpensive and easily administered method that can assess postural asymmetry in all anatomical planes.

  • 125.
    Prytz, Erik
    et al.
    Linköpings universitet, Institutionen för datavetenskap, Interaktiva och kognitiva system. Linköpings universitet, Filosofiska fakulteten.
    Hodza-Beganovic, Ruhije
    Region Östergötland, Katastrofmedicinskt centrum.
    Carlsson, Henrik
    Region Östergötland, Katastrofmedicinskt centrum.
    Nilsson, Helene
    Region Östergötland, Katastrofmedicinskt centrum. Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för kliniska vetenskaper. Linköpings universitet, Hälsouniversitetet.
    Jonson, Carl-Oscar
    Region Östergötland, Katastrofmedicinskt centrum. Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för kliniska vetenskaper. Linköpings universitet, Hälsouniversitetet.
    Identifying the Educational and Technical Needs of the Emergency Dispatch Service in Kosovo using Hierarchical Task Analysis2015Ingår i: Abstracts of Scientific Papers - 19th World Congress on Disaster and Emergency Medicine, Cambridge University Press, 2015, Vol. 30, s. s13-s14Konferensbidrag (Refereegranskat)
    Abstract [en]

    Study/Objective: The objective of this research is to document and evaluate the technical and educational needs for the emergency response system in Pristina, Kosovo. This is a current work in progress, and the part reported here focuses on the needs so far identified through Hierarchical Task Analyses (HTA) of the current dispatch system.

    Background: There is currently a lack of support systems for the emergency services in Pristina. Specifically, there are no support systems to aid coordination of the resources available to the emergency dispatch. This might delay emergency care to patients in need. This project relies on a Man-Technology-Organization (MTO) perspective and aims to create additional capacity for all parts (M, T, and O) in the emergency response chain.

    Methods: The ongoing research project will be conducted in several phases; the first of which is a data collection phase to analyze the needs of the emergency services as an advanced  socio-technical  system.  This  phase  relies  on interviews with staff and an analysis of the current technology in use.

    Results: Eight interviews have been conducted so far in the project. The HTA analyses of the collected data material for the different roles (dispatch, ambulance, and ER-staff) show that there are several time-consuming subtasks that might delay the dispatch of emergency services. Through the HTAs, improvement needs has been identified for all three MTO areas: the human area, the technological area, and the organizational area.

    Conclusion: The overall goal of this project is to create capacity and increase system resilience by introducing educational and technical interventions aimed at reducing or removing the identified, inefficient tasks. This increased capacity should result in faster and more time-efficient prehospital emergency response and, through this, improved patient outcome. The next phase of the project will implement interventions aimed at the needs identified in this project.

  • 126.
    Prytz, Erik
    et al.
    Linköpings universitet, Institutionen för datavetenskap, Interaktiva och kognitiva system. Linköpings universitet, Filosofiska fakulteten.
    Rybing, Jonas
    Linköpings universitet, Institutionen för datavetenskap, Interaktiva och kognitiva system. Linköpings universitet, Filosofiska fakulteten.
    Carlsson, Henrik
    Region Östergötland, Katastrofmedicinskt centrum.
    Jonson, Carl-Oscar
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för Kirurgi, Ortopedi och Onkologi. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Katastrofmedicinskt centrum.
    Evaluating learning and simulation exercise efficacy for a course on advanced prehospital trauma2017Ingår i: Abstracts of Scientific Papers-WADEM Congress on Disaster and Emergency Medicine 2017, Cambridge University Press, 2017, s. S222-S223Konferensbidrag (Övrigt vetenskapligt)
    Abstract [en]

    Study/Objective: In this study, we aimed to design a questionnaire battery for course and simulation exercise evaluation, and pilot-test the battery by evaluating a course on Advanced Prehospital Trauma Care (APTC).

    Background: Many course evaluations suffer from simplistic metrics, such as whether the course participants “enjoyed” the course. In contrast, the current study sought to measure (self-estimated) pre- and post-course knowledge, relevant to specific learning objectives, as well as questions pertaining to specific factors of the simulation exercises used in the course (eg, fidelity/realism, learning objective fit, transferability of tools/procedures, usefulness, among others) were selected based on simulation theory and simulation-based training literature.

    Methods: Data were collected during a course on APTC. Twelve students participated. The mean professional experience was 15.5 years. The participants completed an informed consent form prior to the study. They completed a pre-course questionnaire, a post-course questionnaire, and a course evaluation form.

    Results: The mean self-estimated improvement in theoretical knowledge pertaining to the course objectives was 8.23 on a 0 to 10 scale, and 8.25 for practical skills. Greatest improvement was in advanced airway management, physiological reactions to hypothermia, pneumothorax interventions, special considerations for patients injured by explosives (eg, blast injuries and burns), and medical decision making during an active shooter scenario. The evaluation of the simulation exercises received high marks (mean rating 4.53 [3.92-4.92] out of 5.0) on all aspects. The participants rated the overall course quality at 4.67 (on a 0 to 5 scale), with the simulations, practical exercises, and the structure of moving from theory to practice being mentioned as particularly positive.

    Conclusion: Overall, the results showed that the APTC course received high marks on almost all measured factors. Further validation of the questionnaires is needed before general implementation of the battery can be recommended. Such implementation would benefit diverse course development and quality assurance

  • 127.
    Prytz, Erik
    et al.
    Linköpings universitet, Institutionen för datavetenskap, Interaktiva och kognitiva system. Linköpings universitet, Filosofiska fakulteten.
    Scerbo, Mark
    Old Dominion University, Norfolk, Virginia, Unites States.
    Britt, Rebecca
    Eastern Virginia Western School, Norfolk, Virginia, United States.
    Kennedy, Rebecca
    Old Dominion University, Norfolk, Virginia, Unites States.
    Stefanidis, Dimitrios
    Carolinas Healthcare System, Charlotte, North Carolina, United States.
    Laparoscopic Skill and Mental Workload Measured over Retention Interval2016Ingår i: Abstracts to be Presented at the 16th Annual International Meeting on Simulation in Healthcare: January 16th – 20th, 2016 San Diego, CA, 2016Konferensbidrag (Refereegranskat)
    Abstract [en]

    Methods: Fourteen students (3 males, 12 females; ages 23Y28 years) from Eastern

    VirginiaMedical School’sMaster of Surgical Assisting Program participated in this IRB

    approved study. Participants practiced the peg transfer task from the FLS curriculum on

    a box simulator for 20Y30 minutes over 9Y15 weekly sessions. Their course schedule

    required all students to stop training after the 15th week irrespective of their performance

    level. They returned after a 1-month interval to resume training. The dependent

    measure was task completion time. The secondary task presented images of four balls in

    a simulated tunnel, superimposed at 50% transparency over the laparoscopic display so

    that both tasks were in focal vision. Images were presented for 300 msec every 2Y4 sec.

    On half of the presentations, one ball changed its position. Participants had to detect

    those changes by pressing a foot pedal. The dependent variables were the proportion of

    correctly identified targets and false alarms.

    Hypothesis: Performing laparoscopy places heavy demands on visual attention and

    requires extensive practice to achieve proficiency. Recently, some researchers have

    measured the mental workload imposed by laparoscopy using the secondary task

    technique.1,2 According to multiple resource theory, pools of attentional resources are

    distinguished by perceptual/cognitive processing stages, verbal and spatial processing

    codes, and sensory modality with the vision separated into focal and peripheral

    channels.3 Thus, a secondary task that competes for the same resources as a primary

    task will cause interference and can be sensitive to differences in mental workload. In

    this study,mental workload was assessed with a secondary task that uses the same visual

    spatial resources as laparoscopy.We studied effects of refraining from practice during a

    1-month interval. We expected to see a decline in performance after the delay, but our

    goal was to see if decline would be present in the workload measure.

    Results: Three sets of tests were performed: the data for the last two training trials (N

    and N-1), the last training trial (N) and the initial retention test after the delay interval,

    and the initial retention test vs. a final test after 30 minutes of retraining (see Table 1).

    All means were evaluated with dependent t tests (alpha = .05). There were no differences

    between the last two training trials on any measure. The peg task completion

    times were significantly longer on the initial test compared to the last training trial,

    t(13) = 2.36, p G .05. There were no differences between the initial and final test on any

    measure (p 9 .05).

    Conclusion: The results show minimal effects on the peg transfer task from the FLS

    program over a 1-month retention interval. Mean completion times were significantly

    longer after the delay interval, but only by 6 seconds (or less than 10%). There were no

    significant differences on the secondary task. Thus, the slower performance times were

    not accompanied by any appreciable changes in mental workload. These results show

    that 9 Y 15 training sessions were sufficient to establish robust skills for the peg transfer

    task and that these skills were fairly resilient to a moderate disruption in the training

    schedule. Further, the secondary task used in this study was shown to provide an alternative

    index of laparoscopic workload that can complement traditional metrics of

    speed and accuracy. Future research is needed to examine disruption effects over a

    wider range of laparoscopic tasks and longer intervals.

  • 128.
    Pyykko, Ilmari
    et al.
    University of Tampere, Finland.
    Manchaiah, Vinaya
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV). Lamar University, TX 77705 USA; Audiol India, India; Manipal University, India.
    Kentala, Erna
    University of Helsinki, Finland.
    Levo, Hilla
    University of Helsinki, Finland.
    Juhola, Martti
    University of Tampere, Finland.
    Internet-Based Self-Help for Menieres Disease: Details and Outcome of a Single-Group Open Trial2017Ingår i: American Journal of Audiology, ISSN 1059-0889, E-ISSN 1558-9137, Vol. 26, nr 4, s. 496-506Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: In this article, we present the details and the pilot outcome of an Internet-based self-help program for Menieres disease (MD).amp; para;amp; para;Method: The Norton-Kaplan model is applied to construct a strategic, person-focused approach in the enablement process. The program assesses the disorder profile and diagnosis. In the therapeutic component of the program, the participant defines vision and time frame, inspects confounding factors, determines goals, establishes a strategy, and starts to work on the important problems caused by the disorder. The program works interactively, utilizes collaboration with significant others, and enhances positive thinking. Participants took part in an Internet-based self-help program. Data were collected interactively using open-ended and structured questionnaires on various disease-specific and general health aspects. The pilot outcome of 41 patients with MD was evaluated.amp; para;amp; para;Results: The analysis of the pilot data showed statistically significant improvement in their general health-related quality of life (p amp;lt; .001). Also, the outcome of the Posttraumatic Growth Inventory (Cann et al., 2010) showed small to moderate change as a result of the intervention.amp; para;amp; para;Conclusions: The Internet-based self-help program can be helpful in the rehabilitation of patients with MD to supplement medical therapy.

  • 129.
    Pyykko, Ilmari
    et al.
    University of Tampere, Finland.
    Manchaiah, Vinaya
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV). Lamar University, TX 77710 USA; Audiol India, India.
    Levo, Hilla
    University of Helsinki, Finland.
    Kentala, Erna
    University of Helsinki, Finland.
    Impact evaluation and association with EuroQol 5D health-related utility values in Menieres disease2015Ingår i: SPRINGER INTERNATIONAL PUBLISHING AG, GEWERBESTRASSE 11, CHAM, CH-6330, SWITZERLAND, ISSN 2193-1801, Vol. 4, nr 717Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The study was aimed at evaluating the validity of impact measures among patients with Menieres disease (MD) with outcome variables of EuroQol generic health-related quality of life (HRQoL) measures (i.e., EQ-5D) by using Visual Analogue Scale (VAS) and EQ-5D index values. 183 members (out of 200 contacted) of the Finish Meniere Association returned the questionnaires that they had filled out. Various open-ended and structured questionnaires focusing on diagnostic aspects of symptoms and impairment caused by the disease were used. For activity limitation and participation restriction, standardized questionnaires were used. Open-ended questions on impact of the disease were asked, and subsequently classified based on the WHO-ICF classification. The general HRQoL was evaluated with EQ-5D index value and EQ VAS instruments. Correlation and linear regression analyses were used to explore the association between HRQoL and other aspects. Based on the explanatory power of different models the disease specific semeionic model provides the most accurate prediction in EQ-5D index calculations (38 % of the variance explained). In EQ VAS scores, HRQoL is most accurately determined by participation restriction (53 % of the variance explained), but the worst prediction was in ICF-based limitations (8 % of the variance explained). Interestingly, attitude and personal trait explained the reduction of HRQoL somewhat better than ICF-based variables. Activity limitation and participation restrictions are significant components of MD, but are less frequently recognized as significant factors in self-evaluating the effect of MD on the quality of life. The current study results suggest that MD patients seem to have problem identifying factors causing activity limitation and participation restrictions and hence use the semiotic description focusing on complaints.

  • 130.
    Pössel, Patrick
    et al.
    University of Louisville.
    Mitchell, Amanda M
    University of Louisville.
    Sjögren, Elaine
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Hälsouniversitetet.
    Kristenson, Margareta
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Hälsouniversitetet.
    Do Depressive Symptoms Mediate the Relationship Between Hopelessness and Diurnal Cortisol Rhythm?2015Ingår i: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 22, nr 2, s. 251-257Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Research has revealed a well-established relationship of depressive symptoms and hopelessness with a variety of physical illnesses that are associated with a dysfunction of the hypothalamic-pituitary-adrenal-axis.

    PURPOSE: The purpose of this study was to test if depressive symptoms mediate the relationship between hopelessness and cortisol, a measure of the hypothalamic-pituitary-adrenal-axis.

    METHODS: Hopelessness, depressive symptoms, and diurnal cortisol rhythm were measured in 257 adults (128 women and 129 men; age range, 20-74 years) in this cross-sectional study. To test the hypothesis, two linear regression analyses and asymmetrical confidence intervals around the regression weights were conducted. A second set of analyses was calculated to be able to exclude the possibility of hopelessness as a mediator between depressive symptoms and cortisol.

    RESULTS: As predicted, after adjusting for age, gender, awakening time, and medication use, more hopelessness predicted more depressive symptoms and more depressive symptoms predicted a flatter diurnal cortisol rhythm. The 95 % confidence intervals revealed that the indirect relationship between hopelessness and diurnal cortisol rhythm was significant. The analyses with hopelessness as a potential mediator revealed that hopelessness does not mediate the association between depressive symptoms and cortisol.

    CONCLUSIONS: While the relationship between hopelessness and cortisol was mediated by depressive symptoms in this cross-sectional study, many other risk factors of depression have not been examined. Thus, future longitudinal studies should examine the relationships between those risk factors of depression and the hypothalamic-pituitary-adrenal-axis.

  • 131.
    Rovner, Graciela S.
    et al.
    University of Gothenburg, Sweden; Danderyd Hospital, Sweden; Karolinska Institute, Sweden.
    Sunnerhagen, Katharina S.
    University of Gothenburg, Sweden.
    Björkdahl, Ann
    University of Gothenburg, Sweden; Ersta Skondal University of Coll, Sweden.
    Gerdle, Björn
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Smärt och rehabiliteringscentrum.
    Börsbo, Björn
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. County Hospital Ryhov, Sweden.
    Johansson, Fredrik
    Danderyd Hospital, Sweden.
    Gillanders, David
    University of Edinburgh, Scotland.
    Chronic pain and sex-differences; women accept and move, while men feel blue2017Ingår i: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 12, nr 4, artikel-id e0175737Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose The aim of this study is to explore differences between male and female patients entering a rehabilitation program at a pain clinic in order to gain a greater understanding of different approaches to be used in rehabilitation. Method 1371 patients referred to a specialty pain rehabilitation clinic, completed sociodemographic and pain related questionnaires. They rated their pain acceptance (CPAQ-8), their kinesiophobia (TSK), the impact of pain in their life (MPI), anxiety and depression levels (HAD) and quality of life scales: the SF-36, LiSat-11, and the EQ-5D. Because of the large sample size of the study, the significance level was set at the p amp;lt;= .01. Results Analysis by t-test showed that when both sexes experience the same pain severity, women report significantly higher activity level, pain acceptance and social support while men report higher kinesiophobia, mood disturbances and lower activity level. Conclusion Pain acceptance (CPAQ-8) and kinesiophobia (TSK) showed the clearest differences between men and women. Pain acceptance and kinesiophobia are behaviorally defined and have the potential to be changed.

  • 132.
    Rozental, Alexander
    et al.
    Stockholm Univ, Sweden; UCL, England.
    Shafran, Roz
    UCL, England.
    Wade, Tracey D.
    Flinders Univ S Australia, Australia.
    Kothari, Radha
    UCL, England.
    Egan, Sarah J.
    Curtin Univ, Australia.
    Ekberg, Linda
    Linköpings universitet, Institutionen för beteendevetenskap och lärande. Linköpings universitet, Filosofiska fakulteten.
    Wiss, Maria
    Linköpings universitet, Institutionen för beteendevetenskap och lärande. Linköpings universitet, Filosofiska fakulteten.
    Carlbring, Per
    Stockholm Univ, Sweden.
    Andersson, Gerhard
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten. Karolinska Inst, Sweden.
    Guided Web-Based Cognitive Behavior Therapy for Perfectionism: Results From Two Different Randomized Controlled Trials2018Ingår i: Journal of Medical Internet Research, ISSN 1438-8871, E-ISSN 1438-8871, Vol. 20, nr 4, artikel-id e154Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Perfectionism can become a debilitating condition that may negatively affect functioning in multiple areas, including mental health. Prior research has indicated that internet-based cognitive behavioral therapy can be beneficial, but few studies have included follow-up data. Objective: The objective of this study was to explore the outcomes at follow-up of internet-based cognitive behavioral therapy with guided self-help, delivered as 2 separate randomized controlled trials conducted in Sweden and the United Kingdom. Methods: In total, 120 participants randomly assigned to internet-based cognitive behavioral therapy were included in both intention-to-treat and completer analyses: 78 in the Swedish trial and 62 in the UK trial. The primary outcome measure was the Frost Multidimensional Perfectionism Scale, Concern over Mistakes subscale (FMPS CM). Secondary outcome measures varied between the trials and consisted of the Clinical Perfectionism Questionnaire (CPQ; both trials), the 9-item Patient Health Questionnaire (PHQ-9; Swedish trial), the 7-item Generalized Anxiety Disorder scale (GAD-7; Swedish trial), and the 21-item Depression Anxiety Stress Scale (DASS-21; UK trial). Follow-up occurred after 6 months for the UK trial and after 12 months for the Swedish trial. Results: Analysis of covariance revealed a significant difference between pretreatment and follow-up in both studies. Intention-to-treat within-group Cohen d effect sizes were 1.21 (Swedish trial; 95% CI 0.86-1.54) and 1.24 (UK trial; 95% CI 0.85-1.62) for the FMPS CM. Furthermore, 29 (59%; Swedish trial) and 15 (43%; UK trial) of the participants met the criteria for recovery on the FMPS CM. Improvements were also significant for the CPQ, with effect sizes of 1.32 (Swedish trial; 95% CI 0.97-1.66) and 1.49 (UK trial; 95% CI 1.09-1.88); the PHQ-9, effect size 0.60 (95% CI 0.28-0.92); the GAD-7, effect size 0.67 (95% CI 0.34-0.99); and the DASS-21, effect size 0.50 (95% CI 0.13-0.85). Conclusions: The results are promising for the use of internet-based cognitive behavioral therapy as a way of targeting perfectionism, but the findings need to be replicated and include a comparison condition.

  • 133.
    Rönnberg, Jerker
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV).
    Holmer, Emil
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV).
    Rudner, Mary
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV).
    Cognitive hearing science and ease of language understanding2019Ingår i: International Journal of Audiology, ISSN 1499-2027, E-ISSN 1708-8186, Vol. 58, nr 5, s. 247-261Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    Objective: The current update of the Ease of Language Understanding (ELU) model evaluates the predictive and postdictive aspects of speech understanding and communication.Design: The aspects scrutinised concern: (1) Signal distortion and working memory capacity (WMC), (2) WMC and early attention mechanisms, (3) WMC and use of phonological and semantic information, (4) hearing loss, WMC and long-term memory (LTM), (5) WMC and effort, and (6) the ELU model and sign language.Study Samples: Relevant literature based on own or others data was used.Results: Expectations 1-4 are supported whereas 5-6 are constrained by conceptual issues and empirical data. Further strands of research were addressed, focussing on WMC and contextual use, and on WMC deployment in relation to hearing status. A wider discussion of task demands, concerning, for example, inference-making and priming, is also introduced and related to the overarching ELU functions of prediction and postdiction. Finally, some new concepts and models that have been inspired by the ELU-framework are presented and discussed.Conclusions: The ELU model has been productive in generating empirical predictions/expectations, the majority of which have been confirmed. Nevertheless, new insights and boundary conditions need to be experimentally tested to further shape the model.

  • 134.
    Rönnberg, Niklas
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Teknisk audiologi. Linköpings universitet, Hälsouniversitetet.
    Stenfelt, Stefan
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Teknisk audiologi. Linköpings universitet, Hälsouniversitetet.
    Rudner, Mary
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Avdelningen för kognition, utveckling och handikapp (CDD). Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten.
    Lunner, Thomas
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Teknisk audiologi. Linköpings universitet, Institutionen för beteendevetenskap och lärande, Avdelningen för kognition, utveckling och handikapp (CDD). Linköpings universitet, Institutet för handikappvetenskap (IHV). Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Hälsouniversitetet.
    Testing listening effort for speech comprehension2011Konferensbidrag (Övrigt vetenskapligt)
    Abstract [en]

    One aim of hearing aid fitting is to reduce the effort of understanding speech, especially in noisy environments. For a good hearing aid fitting, knowledge about the patient’s auditory abilities is necessary, but knowledge about cognitive abilities may also be important.

     

    The Auditory Inference Span Test (AIST) is a dual-task hearing-in-noise test, that combines auditory and memory processing. In AIST, Hagerman sentences are presented in steady state speech-shaped noise at -2dB, -4dB or -6dB SNR and the subject is required to recall and process the information from the sentences by giving button-press responses to multiple-choice questions thereby assessing what the subject could infer from what was heard.

     

    AIST will be administered to 40 normal hearing subjects (29 to date) and performance related to speech reception threshold, working memory capacity and updating ability, as well as subjective rating of listening effort. Preliminary results show a greater SNR-related improvement in AIST scores at low SNRs than can be explained by improved audibility alone, consistent with release of memory resources due to reduced listening effort. There is also a trend towards a positive relationship between AIST scores and individual working memory capacity and updating ability.

  • 135.
    Samuelsson, Christina
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för Logopedi, Audiologi och Otorhinolaryngologi. Linköpings universitet, Medicinska fakulteten.
    Ekström, Anna
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för Logopedi, Audiologi och Otorhinolaryngologi. Linköpings universitet, Medicinska fakulteten.
    Digital communication support in interaction involving people with dementia2019Ingår i: Logopedics, Phoniatrics, Vocology, ISSN 1401-5439, E-ISSN 1651-2022, Vol. 44, nr 1, s. 41-50Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: People with dementia frequently suffer from communication disabilities, which usually influence their quality of life. The communication disabilities may affect a persons possibility to participate in interaction as a result of reduced ability to initiate new topics and difficulties in contributing new information to maintain the conversational topic. Technical aids have been proved useful to facilitate communicative activities by supporting memory and stimulating communicative initiatives. Purpose: The aim of the present study is to further understandings of how digital communication support may be used in interaction involving people with dementia. A further aim is to investigate how participants experience communication with and without the use of communication aids. Methods: The study is carried out in a Swedish context, and three dyads of older women with dementia and professional carers participated in the study. The dyads interact in the home environments of the persons with dementia using tablet computers and two web-based applications with generic pictures, videos, and music files (Computer Interactive Reminiscence and Communication Aid, CIRCA) and personalised pictures and films (Computer Interactive Reminiscence and Communication University of Sheffield, CIRCUS). The data include twenty-one video recorded activities. Results and Conclusion: The applications appear to provide support for the dyads in finding things to talk about. The participants talk both about the material and memories associated with the material. The participants experience the use of communication aids as positive.

  • 136.
    Sargenius Landahl, Kristina
    et al.
    Karolinska Inst, Sweden.
    Sandqvist, Jan
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för arbetsterapi. Linköpings universitet, Medicinska fakulteten. Danderyd Hosp, Sweden.
    Bartfai, Aniko
    Karolinska Inst, Sweden.
    Schult, Marie-Louise
    Karolinska Inst, Sweden.
    Is a structured work task application for the assessment of work performance in a constructed environment, useful for patients with attention deficits?2019Ingår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: The purpose of our study was to develop a Structured Work Task application for the Assessment of Work Performance for patients with attention deficits. Material and methods: We developed a computer-based registration task titled the Attention-demanding Registration Task. It had a structured administrative procedure with additional scoring regarding time and accuracy, also linked to the original scoring of the Assessment of Work Performance. We evaluated the Attention-demanding Registration Task for content validity. Furthermore, we investigated it concerning sensitivity and specificity in patients with attention deficits due to acquired brain injury (n = 65) against a comparison group of healthy people (n = 47). Results: Our investigation on content validity using the Assessment of Work Characteristics confirmed that the Attention-demanding Registration Task sets high demands on process skills, especially on energy, temporal organization, and adaptation. The Attention-demanding Registration Task showed high sensitivity and specificity in differing between patients with attention deficits and a healthy working group; nine out of ten participants were placed in the correct group. Conclusions: To assess work performance, the use of a Structured Work Task application, the Attention-demanding Registration Task, linked with the Assessment of Work Performance, proved to be sensitive to attention deficits.

  • 137.
    Saunders, Gabrielle H.
    et al.
    Portland VA Med Ctr, OR 56210 USA; Oregon Hlth and Sci Univ, OR 97201 USA.
    Frederick, Melissa T.
    Portland VA Med Ctr, OR 56210 USA.
    Silverman, ShienPei C.
    Portland VA Med Ctr, OR 56210 USA.
    Nielsen, Claus
    Oticon AS, Denmark.
    Laplante-Lévesque, Ariane
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Oticon AS, Denmark.
    Development and Pilot Evaluation of a Novel Theory-Based Intervention to Encourage Help-Seeking for Adult Hearing Loss2017Ingår i: Journal of american academy of audiology, ISSN 1050-0545, E-ISSN 2157-3107, Vol. 28, nr 10, s. 920-931Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Health behavior theories can provide an understanding of hearing health behaviors and, more importantly, can be used to develop theoretically based strategies to change these health behaviors. Purpose: To develop a theory-based brief intervention to increase help-seeking for adult hearing loss and to conduct a pilot study to evaluate its feasibility, effectiveness, and impact on hearing beliefs and behaviors. Research Design: An intervention was designed that could be easily administered by a health-care provider who does not have expertise in audiology-such as a primary care physician, community nurse, or social worker. The intervention aims to alter perceived benefit, severity, cues to action, and self-efficacy for seeking help by providing experiential/affective messaging and simultaneously providing intrinsic motivation for the recipient to seek hearing help. To first determine whether this intervention changed beliefs and increased help-seeking behavior, this study was conducted in a hearing research laboratory setting. Study Sample: A total of 101 adults aged 50-89 yr were recruited within 6 months of having attended an appointment at a primary care clinic at the VA Portland Health Care System. All were sent a letter inviting them to participate in a study if they had trouble with their hearing but had not had a scheduled hearing test or worn hearing aids in the prior 5 yr and also had functional oral and written English. Data from 87 individuals were available for analysis. Intervention: The intervention is designed for use in any health-care setting in which a health-care provider can facilitate a conversation about hearing. On arrival at a health-care facility, recipients are provided with nine emotionally evocative color photographs to prompt reflection on ways in which hearing difficulties impact them. A discussion with a health-care provider (facilitator) follows, during which recipients may identify the negative impacts of their hearing loss. If the recipient identifies negative impacts, the facilitator suggests that he or she consider having a hearing test and provides a list of local hearing-health professionals. Data Collection and Analysis: Participants completed baseline questionnaires assessing hearing beliefs and attitudes. They were then randomly assigned either to the group receiving the study intervention or to a control group. Six months after study enrollment, participants reported whether they had sought help for their hearing and completed a second set of questionnaires. Results: Twelve of 41 individuals (29.3%) in the intervention group and 7 of 46 individuals (15.2%) in the control group sought help within the 6-month follow-up period. A chi(2) test showed these numbers did not differ significantly; however, the odds ratio of having had a hearing test were 2.3 times greater for those who received the intervention than for those who did not. Conclusions: Despite not reaching statistical significance, the odds ratio suggests that the theory-based brief intervention is worthy of additional examination. We intend to work with health-care providers to conduct a larger study to investigate whether the intervention has value in the real world.

  • 138.
    Schötz, Susanne
    et al.
    Lund University.
    van de Weijer, Joost
    Lund University.
    Eklund, Robert
    Linköpings universitet, Institutionen för kultur och kommunikation, Avdelningen för språk och litteratur. Linköpings universitet, Filosofiska fakulteten.
    Phonetic Characteristics of Domestic Cat Vocalisations2017Ingår i: Proceedings of the 1st International Workshop on Vocal Interactivity in-and-between Humans, Animals and Robots, VIHAR 2017 / [ed] Angela Dassow, Ricard Marxer & Roger K. Moore, 2017, s. 5-6Konferensbidrag (Refereegranskat)
    Abstract [en]

    The cat (Felis catus, Linneaus 1758) has lived around or with humans for at least 10,000 years, and is now one of the most popular pets of the world with more than 600 millionindividuals. Domestic cats have developed a more extensive, variable and complex vocal repertoire than most other members of the Carnivora, which may be explained by their social organisation, their nocturnal activity and the long period of association between mother and young. Still, we know surprisingly little about the phonetic characteristics of these sounds, and about the interaction between cats and humans.

    Members of the research project Melody in human–cat communication (Meowsic) investigate the prosodic characteristics of cat vocalisations as well as the communication between human and cat. The first step includes a categorisation of cat vocalisations. In the next step it will be investigated how humans perceive the vocal signals of domestic cats. This paper presents an outline of the project which has only recently started.

  • 139.
    Scott Burns, Anthony
    et al.
    University of Toronto, Canada; University of Health Network Toronto Rehabil Institute, Canada.
    Lanig, Indira
    Northern Colorado Rehabil Hospital, CO USA.
    Grabljevec, Klemen
    University of Rehabil Institute, Slovenia.
    Wayne New, Peter
    Caulfield Hospital, Australia; Monash University, Australia.
    Bensmail, Djamel
    University of Versailles St Quentin, France.
    Ertzgaard, Per
    Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Rehabiliteringsmedicinska kliniken. Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin.
    Vishwanath Nene, Anand
    Roessingh Centre Rehabil, Netherlands; Roessingh Research and Dev, Netherlands.
    Optimizing the Management of Disabling Spasticity Following Spinal Cord Damage: The Ability Network-An International Initiative2016Ingår i: Archives of Physical Medicine and Rehabilitation, ISSN 0003-9993, E-ISSN 1532-821X, Vol. 97, nr 12, s. 2222-2228Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Optimizing the treatment of disabling spasticity in persons with spinal cord damage is hampered by a lack of consensus regarding the use of acceptable definitions of spasticity and disabling spasticity, and the relative absence of decision tools such as clinical guidelines and concise algorithms to support decision-making within the broader clinical community. Many people with spinal cord damage are managed outside specialist centers, and variations in practice result in unequal access to best practice despite equal`need. In order to address these issues, the Ability Network an international panel of clinical experts was initiated to develop management algorithms to guide and standardize the assessment, treatment, and evaluation of outcomes of persons with spinal cord damage and disabling spasticity. To achieve this, consensus was sought on common definitions through facilitated, in-person meetings. To guide patient selection, an in-depth review of the available tools was performed and expert consensus sought to develop an appropriate instrument. Literature reviews are guiding the selection and development of tools to evaluate treatment outcomes (body functions, activity, participation, quality of life) as perceived by people with spinal cord damage and disabling spasticity, and their caregivers and clinicians. Using this approach, the Ability Network aims to facilitate treatment decisions that take into account the following: the impact of disabling spasticity on health status, patient preferences, treatment goals, tolerance for adverse events, and in cases of totally dependent persons, caregiver burden. (C) 2016 by the American Congress of Rehabilitation Medicine

  • 140.
    Shoeb, Mohammad
    et al.
    University of Dhaka, Bangladesh.
    Mondal, Prithu
    University of Dhaka, Bangladesh.
    Kylin, Henrik
    Linköpings universitet, Institutionen för tema, Tema Miljöförändring. Linköpings universitet, Filosofiska fakulteten.
    Nahar, Nilufar
    University of Dhaka, Bangladesh.
    Chemical and biological activity of mushrooms naturally occurring in Bangladesh2017Ingår i: Asian Journal of Pharmacognosy, E-ISSN 0128-1119, Vol. 1, nr 3, s. 42-51Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Five freeze-dried mushroom species namely Agaricus bisporus, Coprinus micaceus, Pleurotus ostreatus, Termitomyces clypeatus and T. heimii were extracted separately with dichloromethane:methanol followed by partitioned using hexane, dichloromethane and methanol. Silica gel column chromatography of hexane extract of T. heimii and dichloromethane extract of P. ostreatus afforded 2,4-di-hydroxy-9-octadecenoic acid and 2-hydroxy-9-octadecenoic acid, respectively. The n-hexane extracts of mushrooms were analyzed for the presence of n-alkanes and fatty acid compositions. n-Alkanes were found in T. heimii only. Different extracts of mushrooms were evaluated for antimicrobial activity against a wide range of Gram-positive and Gram-negative bacteria and fungi, general toxicity and antioxidant activity.

  • 141.
    Shorey, Shefaly
    et al.
    Natl Univ Singapore, Singapore.
    Ng, Yvonne Peng Mei
    Natl Univ Singapore Hosp, Singapore.
    Ng, Esperanza Debby
    Natl Univ Singapore, Singapore.
    Siew, An Ling
    Natl Univ Singapore, Singapore.
    Mörelius, Evalotte
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för omvårdnad. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Barn- och kvinnocentrum, H.K.H. Kronprinsessan Victorias barn- och ungdomssjukhus.
    Yoong, Joanne
    Natl Univ Singapore, Singapore.
    Gandhi, Mihir
    Singapore Clin Res Inst, Singapore.
    Effectiveness of a Technology-Based Supportive Educational Parenting Program on Parental Outcomes (Part 1): Randomized Controlled Trial2019Ingår i: Journal of Medical Internet Research, ISSN 1438-8871, E-ISSN 1438-8871, Vol. 21, nr 2, artikel-id e10816Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Transitioning into parenthood can be stressful for new parents, especially with the lack of continuity of care from health care professionals during the postpartum period. Short hospital stays limit the availability of support and time parents need to be well equipped with parenting and infant care skills. Poor parental adjustment may, in turn, lead to negative parental outcomes and adversely affect the child’s development. For the family’s future well-being, and to facilitate a smoother transition into parenthood, there is a need for easily accessible, technology-based educational programs to support parents during the crucial perinatal period.

    Objective: This study aimed to examine the effectiveness of a technology-based supportive educational parenting program (SEPP) on parenting outcomes during the perinatal period in couples.

    Methods: A randomized, single-blinded, parallel-armed, controlled trial was conducted. The study recruited 236 parents (118 couples) from an antenatal clinic of a tertiary hospital in Singapore. Eligible parents were randomly assigned to the intervention group (n=118) or the control group (n=118). The SEPP is based on Bandura’s self-efficacy theory and Bowlby’s theory of attachment. Components of the intervention include 2 telephone-based educational sessions (1 antenatal and 1 immediately postnatal) and a mobile health app follow-up for 1 month. The control group only received routine perinatal care provided by the hospital. Outcome measures including parenting self-efficacy (PSE), parental bonding, perceived social support, parenting satisfaction, postnatal depression (PND), and anxiety were measured using reliable and valid instruments. Data were collected over 6 months at 4 time points: during pregnancy (third trimester), 2 days postpartum, 1 month postpartum, and 3 months postpartum. Outcomes were standardized using baseline means and SDs. Linear mixed models were used to compare the groups for postpartum changes in the outcome variables.

    Results: The intervention group showed significantly better outcome scores than the control group from baseline to 3 months postpartum for PSE (mean difference, MD, 0.37; 95% CI 0.06 to 0.68; P=.02), parental bonding (MD −1.32; 95% CI −1.89 to −0.75; P<.001), self-perceived social support (MD 0.69; 95% CI 0.18 to 1.19; P=.01), parenting satisfaction (MD 1.40; 95% CI 0.86 to 1.93; P<.001), and PND (MD −0.91; 95% CI −1.34 to −0.49; P<.001). Postnatal anxiety (PNA) scores of the intervention group were only significantly better after adjusting for covariates (MD −0.82; 95% CI −1.15 to −0.49; P<.001).

    Conclusions: The technology-based SEPP is effective in enhancing parental bonding, PSE, perceived social support and parental satisfaction, and in reducing PND and PNA. Health care professionals could incorporate it with existing hands-on infant care classes and routine care to better meet parents’ needs and create positive childbirth experiences, which may in turn encourage parents to have more children.

  • 142.
    Skagerstrand, Åsa
    et al.
    Örebro University Hospital, Sweden; Örebro University, Sweden; Swedish Institute Disabil Research, Sweden.
    Kobler, Susanne
    Örebro University Hospital, Sweden; Örebro University, Sweden; Swedish Institute Disabil Research, Sweden.
    Stenfelt, Stefan
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för Logopedi, Audiologi och Otorhinolaryngologi. Linköpings universitet, Medicinska fakulteten. Swedish Institute Disabil Research, Sweden.
    Loudness and annoyance of disturbing sounds - perception by normal hearing subjects2017Ingår i: International Journal of Audiology, ISSN 1499-2027, E-ISSN 1708-8186, Vol. 56, nr 10, s. 775-783Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: Sounds in the daily environment may cause loudness and annoyance. The present study investigated the perception of loudness and annoyance for eight different sounds present in a daily sound environment and at nine different levels varying by +/- 20 dB around the recorded level. The outcomes were related to tests of participants auditory and cognitive abilities. Design: The participants undertook auditory and working memory (WM) tests prior to ratings of everyday sounds previously shown to be disturbing for persons with hearing impairment (hearing aid users). Study sample: Twenty-one participants aged between 24 and 71 years, with normal hearing threshold levels. Results: Both perceived loudness and annoyance were primarily driven by the sound level. Sounds emitted from paper were rated as having greater loudness and being more annoying than the other sound sources at the same sound level. Auditory and cognitive abilities did not influence the perception of loudness and annoyance. Conclusions: Loudness and annoyance ratings were mainly driven by sound level. Expectations of a sound seemed to influence the assessment of loudness and annoyance while auditory performance and WM capacity showed no influence on the ratings.

  • 143.
    Skogberg, Olle
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Rehabiliteringsmedicinska kliniken.
    Samuelsson, Kersti
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Rehabiliteringsmedicinska kliniken.
    Ertzgaard, Per
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Rehabiliteringsmedicinska kliniken.
    Levi, Richard
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Rehabiliteringsmedicinska kliniken.
    CHANGES IN BODY COMPOSITION AFTER SPASTICITY TREATMENT WITH INTRATHECAL BACLOFEN2017Ingår i: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 49, nr 1, s. 36-39Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: To assess changes in body composition, body weight and resting metabolic rate in patients who received intrathecal baclofen therapy for spasticity. Design: Prospective, longitudinal, quasi-experimental, with a pre/post design. Patients: Twelve patients with spasticity, fulfilling study criteria, and due for pump implantation for intrathecal baclofen therapy, completed the study. Methods: Data were obtained before, 6 months and 12 months after commencement of intrathecal baclofen therapy as regards body composition (by skinfold calliper), body weight, and resting metabolic rate (by resting oxygen consumption). Spasticity was assessed according to the Modified Ashworth Scale (MAS) and Penn Spasm Frequency Scale (PSFS). Results: A reduction in spasticity according to MAS occurred. Mean fat body mass increased and mean lean body mass decreased. Mean body weight showed a non-significant increase and resting metabolic rate a non-significant decrease. Conclusion: This explorative study indicates that unfavourable changes in body composition might occur after intrathecal baclofen therapy. Since obesity and increased fat body mass contribute to an increased cardiovascular risk, these findings may indicate a need for initiation of countermeasures, e.g. increased physical activity and/or dietary measures, in conjunction with intrathecal baclofen therapy. Further studies, including larger study samples and control groups, are needed to corroborate these findings.

  • 144.
    Sköld, C
    et al.
    Department of Clinical Neuroscience and Family Medicine, Karolinska Institute, Stockholm, Sweden.
    Harms-Ringdahl, K
    Department of Surgical Sciences, Section of Rehabilitation Medicine, Karolinska Institute, Stockholm, Sweden.
    Hultling, C
    Spinalis SCI Research Unit, Karolinska Institute, Stockholm, Sweden.
    Levi, Richard
    Department of Clinical Neuroscience and Family Medicine, Karolinska Institute, Stockholm, Sweden.
    Seiger, A
    Department of Clinical Neuroscience and Family Medicine, Karolinska Institute, Stockholm, Sweden.
    Simultaneous Ashworth measurements and electromyographic recordings in tetraplegic patients.1998Ingår i: Archives of Physical Medicine and Rehabilitation, ISSN 0003-9993, E-ISSN 1532-821X, Vol. 79, nr 8, s. 959-965Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: A recent prevalence study of 353 spinal cord injured (SCI) individuals in the greater Stockholm area showed problematic spasticity in 30% of this population. To treat spasticity, the evaluation becomes crucial. The modified Ashworth scale (MAS) is the clinically most-used scale to grade degree of spasticity. This study evaluated whether the MAS correlated with electromyographic (EMG) recordings of muscle activity.

    STUDY DESIGN: This cross-sectional study was performed at an outpatient clinic that has the responsibility to do a standardized, yearly follow-up of all SCI patients in the greater Stockholm area. Thirty-eight SCI individuals met the inclusion criteria; 15 of the 38 were randomly selected for the study. They were all motor-complete tetraplegic men; mean age was 33 years and mean time since injury was 9 years. Spasticity evaluation was performed by flexing and extending the knees during simultaneous EMG recordings and MAS assessment of the thigh muscle activity.

    RESULTS: Eighty percent of the individual EMG recordings correlated significantly with the corresponding Ashworth measurements. The spastic resistance, as measured both clinically and electromyographically, was stronger and lasted longer during extension than flexion movements. Spearman coefficients for correlation of quantitative spasticity measures with MAS grades were calculated. EMG and clinical measures of spasticity were more closely correlated for flexion movements. Among EMG parameters, duration of movement-associated electrical activity invariably correlated significantly with the MAS grades (p < .05). Furthermore, Ashworth measurements of movement-associated spasticity showed a positive correlation with the EMG parameters mean, peak, and start to peak of electrical activity. Each increasing grade on the MAS corresponded to increasing myoelectric activity levels for each movement.

    CONCLUSION: EMG parameters were significantly positively correlated with simultaneous MAS measurements of the spastic muscle contraction. The Ashworth scale may therefore accurately reflect the movement-provoked spasticity in motor-complete tetraplegic patients.

  • 145.
    Socher, Michaela
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten.
    Lyxell, Björn
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV). Univ Oslo, Norway.
    Ellis, Rachel
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten.
    Garskog, Malin
    Linköpings universitet, Institutionen för klinisk och experimentell medicin. Linköpings universitet, Medicinska fakulteten.
    Hedström, Ingrid
    Linköpings universitet, Institutionen för klinisk och experimentell medicin. Linköpings universitet, Medicinska fakulteten.
    Wass, Malin
    Lulea Univ Technol, Sweden.
    Pragmatic Language Skills: A Comparison of Children With Cochlear Implants and Children Without Hearing Loss2019Ingår i: Frontiers in Psychology, ISSN 1664-1078, E-ISSN 1664-1078, Vol. 10, artikel-id 2243Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Pragmatic language ability refers to the ability to use language in a social context. It has been found to be correlated with success in general education for deaf and hard of hearing children. It is therefore of great importance to study why deaf and hard of hearing children often perform more poorly than their hearing peers on tests measuring pragmatic language ability. In the current study the Pragmatics Profile questionnaire from the CELF-IV battery was used to measure pragmatic language ability in children using cochlear implants (N = 14) and children without a hearing loss (N = 34). No significant difference was found between the children with cochlear implants (CI) and the children without hearing loss (HL) for the sum score of the pragmatics language measure. However, 35.71% of the children with CI performed below age norm, while only 5.89% of the children without HL performed below age norm. In addition, when dividing the sum score into three sub-measures: Rituals and Conversational skills (RCS), Asking for, Giving, and Responding to Information (AGRI), and Nonverbal Communication skills (NCS), significant differences between the groups were found for the NCS measure and a tendency for a difference was found for the RCS measure. In addition, all three sub-measures (NCS, AGRI, RCS) were correlated to verbal fluency in the children with CI, but not the children without HL.

  • 146.
    Stenberg, Noomi
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Logopedi. Linköpings universitet, Hälsouniversitetet.
    Wik, Susanna
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Logopedi. Linköpings universitet, Hälsouniversitetet.
    Action Naming Test (ANT) - Reanalys och normering av insamlade data i en population svenska vuxna2013Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Många studier har påvisat en skillnad mellan förmågan att benämna verb respektive substantiv hos patienter med hjärnskada samt hos kontrollgrupper (Caramazza & Hills, 1991; Mätzig, Druks, Masterson &Vigliocco, 2009; Szekely et al., 2005). Samtidigt bedöms aktivitetsord utifrån vissa studier vara mer krävande att tolka, vilket kan vara en bidragande orsak till skillnader i benämningsförmåga (Liljeström et al., 2008; Mätzig et al., 2009).

    Action Naming Test (ANT) är ett verbbenämningstest utformat av Obler och Albert 1979 (Barth Ramsay, Nicholas, Au, Obler & Albert, 1999), vilket översattes till svenska och normerades av Lindahl och Oskarsson inom ramen för ett magisterarbete i logopedi (2011). I normeringen genererade vissa ord många felsvar och sågs som problematiska, och en reanalys av det insamlade materialet efterfrågades. Syftet med föreliggande studie är att genomföra en förnyad analys av insamlade data och ta fram en ny normering för ANT i en population svenska vuxna, efter exkludering av problematiska ord.

    I syfte att undersöka vilka ord som gav upphov till många felsvar och orsaker till detta, gjordes en ny genomgång av 120 tidigare insamlade testprotokoll, samt en felsvarsanalys baserad på Barth Ramsays och medarbetares utvecklade modell (1999). Efter genomgång av angivna svar, analys av felsvar och ordens användningsfrekvenser i svenska språket, exkluderades tolv ord.  Jämförelse av resultat mellan tre åldersgrupper (20-30år, 31-65år, 66-83år), två utbildningsnivåer (≤12 år, ≥13 år) och kön gjordes både före och efter borttagning av de tolvorden. I båda fallen återfanns signifikanta skillnader mellan den äldsta åldersgruppen och de två yngre grupperna. Likaså kvarstod en signifikant skillnad mellan de två utbildningsnivåerna. Ingen signifikant skillnad mellan könen fanns.

    Felsvarsanalysen tyder på att många av felsvaren berodde på feltolkning av bild, eller att de översatta orden hade mycket låg användningsfrekvens i det svenska språket. Även ord som efter översättning motsvarades av verbfraser i svenskan, istället för ett självständigt verb, gav upphov till svårigheter. Flera studier har dessutom visat på att verbbenämning förenklas vid filmklipp som stimuli (den Ouden, Fix, Parrish & Thompson, 2009; d’Honincthun&Pillon, 2005), eftersom tid och rörelse då ej går förlorade. Att översätta test är komplicerat, varför utformning av ett nytt svenskt verbbenämningstest, där val av stimuli beaktas, är att föredra.

  • 147.
    Stensson, Niclas
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Smärt och rehabiliteringscentrum.
    Ghafouri, Nazdar
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Smärt och rehabiliteringscentrum.
    Träff, Håkan
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Smärt och rehabiliteringscentrum.
    Anderson, Chris D.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för cellbiologi. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Hjärt- och Medicincentrum, Hudkliniken i Östergötland.
    Gerdle, Björn
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Smärt och rehabiliteringscentrum.
    Ghafouri, Bijar
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Smärt och rehabiliteringscentrum.
    Identification of Lipid Mediators in Peripheral Human Tissues Using an Integrative In Vivo Microdialysis Approach2016Ingår i: Journal of analytical and bioanalytical techniques, ISSN 2155-9872, Vol. 7, nr 2, artikel-id 1000306Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Endocannabinoids and related N-acylethanolamines (NAEs) are lipid mediators involved in a number of physiological and pathological mechanisms in peripheral tissues. Microdialysis (MD) technique allows continues sampling of endogenous substances in the interstitial fluids of the tissues. The main limitation of MD sampling of lipophilic compounds is low recovery due to adsorption to the MD system and particularly to the catheter membranes. In this in vivo study microdialysate samples were collected from human trapezius muscle and forearm skin. The levels of arachidonoylethanolamide (AEA), 2-arachidonoylglycerol (2-AG), oleoylethanolamide (OEA), palmitoylethanolamide (PEA), and stearoylethanolamide (SEA) were analyzed in both microdialysate and in catheter membrane samples using liquid chromatography tandem mass spectrometry.

    OEA, PEA and SEA were identified in all microdialysate and catheter membrane samples from trapezius and skin. 2-AG was found in all catheter membrane samples from both tissues but not in the actual microdialysate.

    In conclusion sampling of OEA, PEA and SEA was achievable from trapezius and skin with the presented MD set-up. 2-AG is present in both trapezius muscle and skin tissue but adsorbs to the membranes in a higher extent than the NAEs. Furthermore, consideration of data conserved in the membrane during an MD experiment could be a relevant and more broadly applicable extension of MD sampling methodology which could fill an "information gap" and enhance an adequate interpretation of microdialysate data outcomes.

  • 148.
    Ståhl, Christian
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Linköpings universitet, HELIX Competence Centre.
    Gustavsson, Maria
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Arbete och arbetsliv. Linköpings universitet, Institutionen för beteendevetenskap och lärande, Pedagogik och sociologi. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, HELIX Competence Centre.
    Introducing motivational interviewing in a sickness insurance context: Translation and implementation challenges2018Ingår i: Journal of occupational rehabilitation, ISSN 1053-0487, E-ISSN 1573-3688, Vol. 28, nr 2, s. 357-364Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Motivational interviewing (MI) is a conversational method to support clients in need of behavioral change. In an organizational reform, most Swedish sickness insurance officials were trained in MI to promote clients’ return to work (RTW) after sick leave. The aim of this article is to investigate experiences of introducing MI as a tool to promote clients’ RTW within a sickness insurance context, with a special focus on the translation and implementation of the method. Methods A qualitative approach, comprising 69 interviews with officials, managers, and regional coordinators on two occasions. The material was analyzed through qualitative content analysis. Results Officials were positive about MI, but the application was limited to using certain tools with extensive individual variation. Officials struggled with translating MI into a sickness insurance context, where the implementation strategy largely failed to o er adequate support, due to low managerial priority, competing initiatives, and a high workload. Results of the educational intervention could therefore be seen on an individual but not an organizational level. Conclusions In order to translate MI into a sickness insurance context, training needs to be supported by organizational approaches that promote collective learning and sharing of experiences among officials. The results also illustrate how a method cannot be assumed to be implemented simply because training has been provided. Consequently, the application of the method needs to be carefully monitored in studies of interventions where MI is claimed to be used, in order to measure its effectiveness. 

  • 149.
    Suljanovic, Sabina
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Logopedi. Linköpings universitet, Hälsouniversitetet.
    Rydin, Maria
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Logopedi. Linköpings universitet, Hälsouniversitetet.
    Benämningsförmåga och språkförståelse hos äldre individer: Boston Naming test och Token test i en population 85-åringar2012Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Väl etablerade normativa data för äldre individer är av stor betydelse för att särskilja mellan normalt åldrande och tecken på demenssjukdom. Kortversioner av Boston Naming test och Token test ingår i screeningbatterier och används ofta vid neuropsykologiska undersökningar. Dock är befintliga normativa data för BNT30 och Token test begränsade vad gäller antalet individer över 80 år och inbegriper endast optimalt friska deltagare med hög utbildningsgrad. Denna tvärsnittsstudie inkluderar 213 kognitivt intakta 85-åringar. Syftet var att undersöka resultaten av benämningsförmåga och språkförståelse mätt med kortversioner av Boston Naming test (BNT30) och Token test (deltest V) samt att jämföra resultaten från denna studie med befintliga normativa data för BNT30 och Token test. Alla deltagare rekryterades ursprungligen till Linköping Screening Assessment (ELSA-85) projektet, en populationsbaserad studie med 85-åriga invånare i Linköping, Sverige. De resultat som erhållits i den aktuella studien avseende BNT30 (M = 24,71 ±3,13) och Token test (M = 4,88  ±1,05), visar på lägre resultat, med större variation, än vad som rapporteras i befintliga normativa data. Samband mellan demografiska variabler och prestation på testen undersöktes också. Data tyder på att utbildning och genus påverkar benämningsförmågan, mätt med BNT30. De normativa data från denna studie omfattar det hittills största urvalet individer över 80 år och är mer demografiskt varierade än i tidigare studier. Därför är de normer som denna studie presenterar mer representativa för kognitivt intakta 85-åringar. Dock ifrågasätter vi validiteten av den version av Token test som ingår i KSB (Kognitiva Screening Batteriet).

  • 150.
    Sundell, Anna Lena
    Linköpings universitet, Institutionen för klinisk och experimentell medicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Käkkliniken US. The Institute for Postgraduate Dental Education, Department of Paediatric Dentistry, Jönköping, Sweden.
    Children with orofacial clefts: dental caries and health-related quality of life2016Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    Background. The current understanding on caries and enamel developmental defects prevalence and frequency, caries risk, health-related quality life (HRQoL) and stress response in young children with cleft lip and/or palate (CL/P) are sparse. In this thesis these aspects were investigated in 5- and 10- year-old children with CL/P in comparison to non-cleft children in the same ages.

    Design. The studies in this thesis have a cross-sectional case-control design. Participants. The study group consisted of 139 children with CL/P (80 children aged 5 years and 59 aged 10 years) and 313 non-cleft controls (144 children aged 5 years and 169 aged 10 years).

    Method. Caries was scored according to International Caries Detection and Assessment System (ICDAS II) and developmental enamel defects were measured as presence and frequency of hypoplasia and hypomineralization. Oral hygiene was assessed using Quigley-Hein plaque index. Stimulated saliva samples were analyzed for mutans streptococci, lactobacilli, buffering capacity and secretion rates. Information regarding children’s oral hygiene routines, dietary habits and fluoride exposure were collected with questionnaires. Caries risk was evaluated with algorithm-based software, Cariogram while HRQoL was perceived with KIDSCREEN-52. Stress response was analyzed with cortisol concentration in saliva at three different time points using a commercial competitive radioimmunoassay.

    Results. Caries prevalence (36% versus 18%) and caries frequency (1.2 dmfs versus 0.9 dmfs) was significantly higher in 5-year-old children with CL/P in comparison to non-cleft controls. In 10-yearolds no significant difference was found between children with CL/P and non-cleft controls in caries prevalence (47% versus 38%) or in caries frequency (0.7 DMFS versus 0.5 DMFS). Children with CL/P had significantly higher prevalence of enamel defects, higher counts of salivary lactobacilli and less good oral hygiene. The odds of being categorized with high caries risk were elevated in children with CL/P. Children with CL/P had similar HRQoL and salivary cortisol concentrations as non-cleft controls. However, 10-year-old boys with CL/P had significantly higher cortisol concentrations in the evening than non-cleft boys.

    Conclusions. Preschool children with CL/P seem to have more caries in the primary dentition than non-cleft controls. Children with CL/P had increased odds of being categorized as high caries risk individuals compared to controls. Some of the contributing factors seem to be higher prevalence of enamel defects, impaired oral hygiene and elevated salivary lactobacilli. Furthermore, as measured with the help of cortisol concentrations in saliva, children with CL/P were not more stressed than noncleft controls and their HRQoL was comparable to a European norm population. It appears that regular comprehensive preventive oral care in children with CL/P is effective in preventing caries development in permanent teeth. However, children with CL/P are at risk of caries development and preventive oral care should be implemented and started earlier than today.

    Delarbeten
    1. Caries prevalence and enamel defects in 5-and 10-year-old children with cleft lip and/or palate: A case-control study
    Öppna denna publikation i ny flik eller fönster >>Caries prevalence and enamel defects in 5-and 10-year-old children with cleft lip and/or palate: A case-control study
    Visa övriga...
    2016 (Engelska)Ingår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 74, nr 2, s. 90-95Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    Objective. To determine the prevalence of dental caries and enamel defects in 5- and 10-year-old Swedish children with cleft lip and/or palate (CL(P)) in comparison to non-cleft controls. Materials and methods. The study group consisted of 139 children with CL(P) (80 subjects aged 5 years and 59 aged 10 years) and 313 age-matched non-cleft controls. All children were examined by one of two calibrated examiners. Caries was scored according to the International Caries Detection and Assessment System (ICDAS-II) and enamel defects as presence and frequency of hypoplasia and hypomineralization. Results. The caries prevalence among the 5-year-old CL(P) children and the non-cleft controls was 36% and 18%, respectively (p &lt; 0.05). The CL(P) children had higher caries frequency (initial and cavitated lesions) in the primary dentition than their controls (1.2 vs 0.9; p &lt; 0.05). A significantly higher prevalence of enamel defects was found in CL(P) children of both age groups and anterior permanent teeth were most commonly affected. Conclusions. Preschool children with cleft lip and/or palate seem to have more caries in the primary dentition than age-matched non-cleft controls. Enamel defects were more common in CL(P) children in both age groups.

    Ort, förlag, år, upplaga, sidor
    TAYLOR & FRANCIS LTD, 2016
    Nyckelord
    Cleft palate; cleft lip and palate; dental caries; hypomineralization; hypoplasia
    Nationell ämneskategori
    Klinisk medicin
    Identifikatorer
    urn:nbn:se:liu:diva-124077 (URN)10.3109/00016357.2015.1044562 (DOI)000366811600002 ()25972142 (PubMedID)
    Anmärkning

    Funding Agencies|FORSS Medical Research Council of Southeast Sweden; Futurum Academy of Health and Care Jonkoping County Council; Swedish Dental Association; Swedish Society of Paediatric Dentistry

    Tillgänglig från: 2016-01-25 Skapad: 2016-01-19 Senast uppdaterad: 2017-05-03
    2. Comparing caries risk profiles between 5-and 10-year-old children with cleft lip and/or palate and non-cleft controls
    Öppna denna publikation i ny flik eller fönster >>Comparing caries risk profiles between 5-and 10-year-old children with cleft lip and/or palate and non-cleft controls
    2015 (Engelska)Ingår i: BMC Oral Health, ISSN 1472-6831, E-ISSN 1472-6831, Vol. 15, nr 85Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    Background: Previous studies have suggested that children with oral clefts may have higher caries prevalence in comparison with non-cleft controls but the relative importance of the potential risk factors is not clear. The aim of this study was to compare the caries risk profiles in a group of cleft lip and/or palate (CL(P)) children with non-cleft controls in the same age using a computerized caries risk assessment model. Methods: The study group consisted of 133 children with CL(P) (77 subjects aged 5 years and 56 aged 10 years) and 297 non-cleft controls (133 aged 5 years and 164 aged 10 years). A questionnaire was used to collect data concerning the childs oral hygiene routines, dietary habits and fluoride exposure. Oral hygiene was assessed using Quigley-Hein plaque Index and the caries prevalence and frequency was scored according to the International Caries Detection and Assessment System. Whole saliva samples were analyzed for mutans streptococci, lactobacilli, buffering capacity and secretion rate. The risk factors and risk profiles were compared between the groups with aid of Cariogram and the estimated risk for future caries was categorized as "high" or "low". Results: Children with CL(P) (the entire study group) had significantly higher counts of salivary lactobacilli (p less than 0.05) and displayed less good oral hygiene (p less than 0.05). More 10-year-old children in the CL(P) group had low secretion rate but this difference was not significant. The average chance to avoid caries ranged from 59 to 67 % but there were no significant differences between the groups. The odds of being categorized with high caries risk in the CL(P) group was significantly elevated (OR = 1.89; 95 % CI = 1.25-2.86). In both groups, children in the high risk category had a higher caries experience than those with low risk. Conclusion: Children with CL(P) displayed increased odds of being categorized at high caries risk with impaired oral hygiene and elevated salivary lactobacilli counts as most influential factors. The results suggest that a caries risk assessment model should be applied in the routine CL(P) care as a basis for the clinical decision-making and implementation of primary and secondary caries prevention.

    Ort, förlag, år, upplaga, sidor
    BioMed Central, 2015
    Nyckelord
    Cleft lip; Cleft palate; Cleft lip and/or palate; Caries risk; Cariogram; Children
    Nationell ämneskategori
    Klinisk medicin
    Identifikatorer
    urn:nbn:se:liu:diva-120739 (URN)10.1186/s12903-015-0067-x (DOI)000358428000002 ()26208495 (PubMedID)
    Anmärkning

    Funding Agencies|FORSS - Medical Research Council of Southeast Sweden, Futurum, - Academy of Health and Care Jonkoping County Council; Swedish Dental Association; Swedish Society of Paediatric Dentistry

    Tillgänglig från: 2015-08-24 Skapad: 2015-08-24 Senast uppdaterad: 2017-12-04
    3. A comparison of health-related quality of life in 5- and 10-year-old Swedish children with and without cleft lip and/or palate
    Öppna denna publikation i ny flik eller fönster >>A comparison of health-related quality of life in 5- and 10-year-old Swedish children with and without cleft lip and/or palate
    2017 (Engelska)Ingår i: International Journal of Paediatric Dentistry, ISSN 0960-7439, E-ISSN 1365-263X, Vol. 27, nr 4, s. 238-246Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    Background The current understanding on health-related quality of life (HRQoL) in young Swedish children with cleft lip and/or palate (CL/P) is sparse, and therefore, research on impact of CL/P on HRQoL in children is needed.

    Aims To investigate HRQoL in 5- and 10-year-old Swedish children with CL/P in comparison with non-cleft controls. Also to analyse whether there were any differences in HRQoL between children with cleft lip (with or without cleft palate, CL ± P) and cleft palate only (CP) and/or gender differences. Design A total of 137 children with CL/P and 305 non-cleft controls participated. HRQoL was measured with KIDSCREEN-52.

    Results All children in the study exhibited HRQoL within or above the age-matched reference interval of the method with similar results in both groups; however, in the dimension ‘social support and peers’, the 10-year-old children with CL/P perceived lower HRQoL than the non-cleft controls, but it did not reach statistical significance. Type of cleft or gender did not influence HRQoL.

    Conclusions Both 5- and 10-year-old Swedish children with CL/P had HRQoL in the normal reference interval. Their general life situations were well adjusted to their clefts, but the older children with CL/P felt more excluded and less supported by peers.

    Ort, förlag, år, upplaga, sidor
    John Wiley & Sons, 2017
    Nationell ämneskategori
    Kirurgi Odontologi
    Identifikatorer
    urn:nbn:se:liu:diva-132622 (URN)10.1111/ipd.12253 (DOI)000403011100002 ()27464906 (PubMedID)
    Tillgänglig från: 2016-11-17 Skapad: 2016-11-17 Senast uppdaterad: 2018-05-07Bibliografiskt granskad
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