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  • 1. Andersson, A
    et al.
    Ekberg, Kerstin
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Enthoven, Paul
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, Division of Physiotherapy.
    Kjellman, Görel
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, Division of Physiotherapy. Östergötlands Läns Landsting, Local Health Care Services in the West of Östergötland, Unit of Research and Development in Local Health Care, County of Östergötland.
    Ockander, Marlene
    Linköping University, Department of Department of Health and Society.
    Skargren, Elisabeth
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, Division of Physiotherapy.
    Åkerlind, Ingemar
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, General Practice. Östergötlands Läns Landsting, Local Health Care Services in the West of Östergötland, Unit of Research and Development in Local Health Care, County of Östergötland.
    Öberg, Birgitta
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, Division of Physiotherapy. Östergötlands Läns Landsting, Centre for Public Health Sciences, Centre for Public Health Sciences.
    Vad är en god arbetslivsinriktad rehabilitering? Slutsatser baserade på en litteratursammanställning2003Report (Other academic)
  • 2.
    Arneson, Hanna
    Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation. Linköping University, Faculty of Health Sciences.
    Empowerment and health promotion in working life2006Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Background: In ‘workplace health promotion’, empowerment is assumed to promote health. Nevertheless, few studies have examined the relationship between empowerment in working life, and health.

    Aim: To study the impact of empowerment in working life on health, with special focus on gender differences.

    Material and methods: Paper I is a review of the scientific literature, examining instruments intended to measure empowerment in working life. The second study (paper II) was a cross-sectional survey, assessing the relationship between psychological empowerment, and self-rated health and burnout among employees. Papers III and IV encompass a two-year longitudinal survey study of the gender-specific relationships between baseline levels of psychological empowerment, and the combination of psychological support and social support, and self-rated health and burnout two years later among employees. Study five (paper V) is a qualitative study, using focus-group interviews and phenomenography to evaluate a theory-based intervention method, problem-based learning, for workplace health promotion with regard to possible facilitation of empowerment processes.

    Results: In paper I, nine questionnaires were found and analysed. Most of the questionnaires focused on intra-individual issues, while a smaller number dealt with the interaction between individual and organisation. Control and competence were frequently used dimensions. The Psychological Empowerment Instrument had undergone the most comprehensive investigation, showing satisfactory validity and reliability. In paper II, men reported a greater degree of psychological empowerment than women in terms of self-determination and impact. Associations were found between psychological empowerment, and self-rated health and burnout (p<0.05). Men and women with higher levels of empowerment reported significantly better health, compared with those who had lower levels of empowerment. Papers III and IV show that for women, increasing levels of psychological empowerment at work at baseline were associated with better self-rated health as measured by the SF-36 scales physical role function, bodily pain, and mental health at the 2-year follow-up (p<0.05). Also for women, a combination of high psychological empowerment and high social support at the workplace was associated (p<0.05) with better self-rated health (bodily pain, general health, vitality, social functioning, emotional role, mental health, EQ-5D VAS, and EQ-5D index) and lower levels of work-related burnout at the 2-year follow-up. For men, psychological empowerment at baseline, and a combination of psychological empowerment and social support at the workplace, were associated with self-rated health at follow-up as measured by the EQ-5D VAS (p<0.05). Combinations of psychological empowerment and social support were associated with work-related burnout at the two-year follow-up for women only (p=0.002). The differences between men and women were confirmed in the gender×empowerment and social support interaction analysis for the measures bodily pain, social function, and work-related burnout (p<0.05). The phenomenographic analysis in paper V resulted in six descriptive categories: reflection, awareness and insight, self-direction and self-management, group coherence, social support and action. The results correspond to established theories on components of empowerment processes. The method “problem-based learning” initiated processes of change at organisational, workplace and individual levels. Social support and group coherence were expressed as essential in order to transform challenging strategies into action and goal realisation.

    Conclusions: This thesis demonstrates that psychological empowerment is associated with self-rated health and burnout. Psychological empowerment also impacts mental and somatic health after two years. The impact on health becomes more extensive when psychological empowerment is combined with social support at the workplace. Empowerment and social support are crucial core characteristics in ‘workplace health promotion’, but effects may differ for men and women. Empowerment processes can be facilitated by implementation of the participative intervention method known as “problem-based learning”. Practitioners and researchers who are active in health enhancement in working life should gain from implementing these findings, whether the focus is on health promotion, disease prevention, or rehabilitation back to work.

    List of papers
    1. Measuring empowerment in working life: a review
    Open this publication in new window or tab >>Measuring empowerment in working life: a review
    2006 (English)In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 26, no 1, p. 37-46Article in journal (Refereed) Published
    Abstract [en]

    This study identifies and describes questionnaires that measure empowerment in working life. Theoretical bases and empirical examination of the questionnaires are also reported. Nine questionnaires emerged from a database search including AMED, CINAHL, ERIC, MEDLINE and PSYCINFO. The main target groups were employees in general. Most authors share the same theoretical basis. Most of the questionnaires focus on intra- individual issues, while a smaller number deal with the interaction between individual and organization. Control and competence are frequently used dimensions. Cronbach's alpha for complete questionnaires ranged between 0.62 and 0.96. No comparisons with outcome of health were reported. Spreitzer's questionnaire [54] has undergone the most comprehensive investigation. Research is required to achieve better understanding of the interplay between conditions at work and empowerment and health.

    Keywords
    Empowerment; Health promotion; Measurement; Working life; Workplace health promotion
    National Category
    Medical and Health Sciences
    Identifiers
    urn:nbn:se:liu:diva-21811 (URN)16373978 (PubMedID)
    Available from: 2009-10-05 Created: 2009-10-05 Last updated: 2017-12-13Bibliographically approved
    2. Psychological empowerment and self-rated health and burnout in a sample of Swedish employees
    Open this publication in new window or tab >>Psychological empowerment and self-rated health and burnout in a sample of Swedish employees
    (English)Manuscript (preprint) (Other academic)
    Abstract [en]

    PURPOSE: To explore the gender-specific association between psychological empowerment and self-rated health and burnout in a working population.

    MATERIAL AND METHOD: A cross-sectional survey was carried out among 1,243 employees (response rate 81% (n=1007), 65 % females). Psychological empowerment was measured by the Spreitzer questionnaire, developed for a working life context. The questionnaire includes the subscales: meaning, competence, self-determination and impact. Self-rated health was evaluated with EQ-5D and SF-36 and the Copenhagen Burnout Inventory was used to measure burnout.

    RESULTS: Men reported a greater degree of empowerment than women in terms of self-determination and impact. Significant associations (p<0.05) were found between psychological empowerment and self-rated health and burnout. Men and women with higher levels of empowerment reported significantly better health compared to those with lower levels of empowerment. In multivitriate analyses, all four subscales of empowerment were associated with burnout among both men and women. The most pronounced association with self-rated health was seen for the subscale impact. These associations were particularly strong among women.

    CONCLUSION: Psychological empowerment in working life is associated with self-rated health and burnout. Interventions aiming to promote health at work or aiming to prevent burnout may therefore benefit if they comprise empowerment in terms of impact, self-determination, meaning and competence. Also, workplace health promotion that includes empowerment processes should be gender conscious.

    National Category
    Medical and Health Sciences
    Identifiers
    urn:nbn:se:liu:diva-84813 (URN)
    Available from: 2012-10-23 Created: 2012-10-23 Last updated: 2013-09-03Bibliographically approved
    3. Psychological empowerment, social support at the workplace and self-rated health and burnout: a 2-year longitudinal analysis in a sample of Swedish employees
    Open this publication in new window or tab >>Psychological empowerment, social support at the workplace and self-rated health and burnout: a 2-year longitudinal analysis in a sample of Swedish employees
    (English)Manuscript (preprint) (Other academic)
    Abstract [en]

    PURPOSE: To explore the gender-specific longitudinal association between a combination of psychological empowerment and social support at the workplace and self-rated health and burnout in a working population.

    MATERIAL AND METHOD: The participants were employees working in the public service sector in central Sweden. The baseline survey in two cohorts was carried out in 2001 and the follow-up in 2003. The questionnaire was answered by 715 respondents at both points in time (overall response rate 67%). Measures used were the Psychological Empowerment Instrument by Spreitzer, the social support dimension in the Demand-Control-Support Questionnaire, the SF-36, the EQ-5D, and the Copenhagen Burnout Inventory. Based on empirical medians, psychological empowerment and social support at baseline were combined into four categories. Mlltivariate comparisons adjusted for age, education, study cohort and SRH and burnout at baseline were performed using multiple linear regression analysis. The genderxempowerment and social support interaction effect was assessed in the multiple linear regression analysis. All analyses were performed for men and women separately.

    RESULTS: For women, a combination of high psychological empowerment and high social support at the workplace, in comparison with a combination of low psychological empowerment and low social support, is strongly associated with better SRH (bodily pain, general health, vitality, social functioning, emotional role, mental health, the EQ-5D VAS, and EQ-5D index) and lower levels of work-related burnout at the 2-year follow-up after adjusting for demographics and baseline SRH and burnout. For men, there are univariate associations with burnout and some associations with SRH. After adjustments for demographics and baseline SRH and burnout, psychological empowerment and social support is associated with SRH as measured by the EQ-5D VAS for men. The gender x empowerment and social support interaction analyses confirm gender differences regarding bodily pain, social function, and work-related burnout.

    CONCLUSION: A combination of psychological empowerment and social support in working life strongly affects SRH and work-related burnout two years later for women, but only in part for men.

    National Category
    Medical and Health Sciences
    Identifiers
    urn:nbn:se:liu:diva-84817 (URN)
    Available from: 2012-10-23 Created: 2012-10-23 Last updated: 2013-09-03Bibliographically approved
    4. Psychiological empowerment at the workplace and self-rated health and burnout: a 2-yeah longitudinal analysis in a sample of Swedish employees
    Open this publication in new window or tab >>Psychiological empowerment at the workplace and self-rated health and burnout: a 2-yeah longitudinal analysis in a sample of Swedish employees
    (English)Manuscript (preprint) (Other academic)
    Abstract [en]

    PURPOSE: To explore the gender-specific longitudinal association between psychological empowerment at the workplace and self-rated health and burnout in a working population.

    MATERIAL AND METHOD: The participants were employees working in the public service sector in central Sweden. The baseline survey was carried out in 2001 and the follow-up in 2003. The questionnaire was answered by 715 respondents at both points in time (overall response rate 67%). Measures used were Psychological Empowerment Instrument by Spreitzer, the SF-36, the EQ-5D, and the Copenhagen Burnout Inventory. Gender specific differences in average score for self-rated health and burnout at follow-up were assessed using multiple linear regression adjusted for age, education, study cohort and self-rated health and burnout at baseline. An analysis on interactional effects due to gender was also performed.

    RESULTS: For women, increasing levels of psychological empowerment at work at baseline are associated with less bodily pain, better physical role function and mental health in the multivariate analysis at follow-up two years later. For men, increased psychological empowerment at baseline is significantly associated with better self-rated health as measured by the EQ-5D VAS at follow-up in the multivariatc analysis. Higher levels of psychological empowerment at baseline show a statistically significant association with a lower degree of burnout at follow-up in the univariate analysis for men and women. However, the associations diminished after adjustments in the multivariate analyses. No significant gender x empowerment interaction appeared.

    CONCLUSION: Psychological empowerment in working life was associated with somatic and mental aspects of SRH two years later for women. Men seem to be less affected by psychological empowerment, yet an association with the EQ-5D V AS appeared. Psychological empowerment did not predict burnout two years later for either men or women.

    National Category
    Medical and Health Sciences
    Identifiers
    urn:nbn:se:liu:diva-84815 (URN)
    Available from: 2012-10-23 Created: 2012-10-23 Last updated: 2013-09-03Bibliographically approved
    5. Evaluation of empowerment processes in a workplace health promotion intervention based on learning in Sweden
    Open this publication in new window or tab >>Evaluation of empowerment processes in a workplace health promotion intervention based on learning in Sweden
    2005 (English)In: Health Promotion International, ISSN 0957-4824, E-ISSN 1460-2245, Vol. 20, no 4, p. 351-359Article in journal (Refereed) Published
    Abstract [en]

    The aim of this study was to evaluate a theory-based method for workplace health promotion (WHP) with regard to possible facilitation of empowerment processes. The intervention tool was the pedagogic method known as problem-based learning (PBL). The aim of the intervention was to promote empowerment and health among the employees. The intervention was implemented in three organizations within the public sector in Sweden, in a bottom-up approach. All employees, including management, in each organization, were offered the opportunity to participate (n = 113) and 87% (n = 97) participated. The intervention was implemented in 13 groups of six to eight participants who met once a week over a period of 4 months. The predetermined overall goal of the intervention was to promote employee health within the organizational setting. A facilitator in each group and a group-specific mutual agreement guided the intervention, as did the problem solving process. The participants set goals and developed strategies to reach their goals between the meetings. Thirty informants were interviewed in seven focus groups after the intervention about the intervention method and the process, following a semi-structured theme guide. The phenomenographic analysis resulted in six descriptive categories: reflection, awareness and insight, self-direction and self-management, group coherence, social support and actions. The results correspond to established theories of components of empowerment processes. The method initiated processes of change at organizational, workplace and individual levels as the participants examined their work situation, determined problems and initiated solutions. Social support and group coherence were expressed as essential in order to transform challenging strategies into action and goal realization. The findings indicate that systematic improvements of social support and group coherence among employees ought to be facilitated by the organization as a health-promoting arena. PBL appears to be a profitable and powerful instrument with the potential to enable empowerment.

    Keywords
    Empowerment, Problem-based learning, Workplace health promotion
    National Category
    Medical and Health Sciences
    Identifiers
    urn:nbn:se:liu:diva-50354 (URN)10.1093/heapro/dai023 (DOI)
    Available from: 2009-10-11 Created: 2009-10-11 Last updated: 2017-12-12Bibliographically approved
  • 3.
    Arneson, Hanna
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Empowerment processes in workplace health promotion - implementation of a problem based intervention2005In: International Developments in Rehabilitation to Work,2005, 2005Conference paper (Refereed)
  • 4.
    Arneson, Hanna
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Vidmakthållande av hälsofrämjande processer vid arbetsplatser.2005In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 82, p. 241-254Article in journal (Other academic)
  • 5.
    Arneson, Hanna
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Ekberg, Kerstin
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Empowerment processes in workplace health promotion - implementation of a problem based intervention.2005In: Best practice for better health, 6th IUHPE European Conference on the Effectiveness and Quality of Health Promotion,2005, 2005Conference paper (Refereed)
  • 6.
    Arneson, Hanna
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Ekberg, Kerstin
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Empowerment processes in workplace health promotion - implementation of an intervention based on learning.2005In: Second ICOH Internatinal Conference on Psychosocial factors at Work.,2005, 2005Conference paper (Refereed)
  • 7.
    Arneson, Hanna
    et al.
    Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation. Linköping University, Faculty of Health Sciences.
    Ekberg, Kerstin
    Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation. Linköping University, Faculty of Health Sciences.
    Evaluation of empowerment processes in a workplace health promotion intervention based on learning in Sweden2005In: Health Promotion International, ISSN 0957-4824, E-ISSN 1460-2245, Vol. 20, no 4, p. 351-359Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to evaluate a theory-based method for workplace health promotion (WHP) with regard to possible facilitation of empowerment processes. The intervention tool was the pedagogic method known as problem-based learning (PBL). The aim of the intervention was to promote empowerment and health among the employees. The intervention was implemented in three organizations within the public sector in Sweden, in a bottom-up approach. All employees, including management, in each organization, were offered the opportunity to participate (n = 113) and 87% (n = 97) participated. The intervention was implemented in 13 groups of six to eight participants who met once a week over a period of 4 months. The predetermined overall goal of the intervention was to promote employee health within the organizational setting. A facilitator in each group and a group-specific mutual agreement guided the intervention, as did the problem solving process. The participants set goals and developed strategies to reach their goals between the meetings. Thirty informants were interviewed in seven focus groups after the intervention about the intervention method and the process, following a semi-structured theme guide. The phenomenographic analysis resulted in six descriptive categories: reflection, awareness and insight, self-direction and self-management, group coherence, social support and actions. The results correspond to established theories of components of empowerment processes. The method initiated processes of change at organizational, workplace and individual levels as the participants examined their work situation, determined problems and initiated solutions. Social support and group coherence were expressed as essential in order to transform challenging strategies into action and goal realization. The findings indicate that systematic improvements of social support and group coherence among employees ought to be facilitated by the organization as a health-promoting arena. PBL appears to be a profitable and powerful instrument with the potential to enable empowerment.

  • 8.
    Arneson, Hanna
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Ekberg, Kerstin
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation. Östergötlands Läns Landsting, Centre for Public Health Sciences, Centre for Public Health Sciences.
    Health Promotion Priorities by Employees in the Swedich Public Sector2002In: Humans in a Complex Environment,2002, 2002, p. 43-49Conference paper (Refereed)
  • 9.
    Arneson, Hanna
    et al.
    Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation. Linköping University, Faculty of Health Sciences.
    Ekberg, Kerstin
    Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation. Linköping University, Faculty of Health Sciences.
    Measuring empowerment in working life: a review2006In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 26, no 1, p. 37-46Article in journal (Refereed)
    Abstract [en]

    This study identifies and describes questionnaires that measure empowerment in working life. Theoretical bases and empirical examination of the questionnaires are also reported. Nine questionnaires emerged from a database search including AMED, CINAHL, ERIC, MEDLINE and PSYCINFO. The main target groups were employees in general. Most authors share the same theoretical basis. Most of the questionnaires focus on intra- individual issues, while a smaller number deal with the interaction between individual and organization. Control and competence are frequently used dimensions. Cronbach's alpha for complete questionnaires ranged between 0.62 and 0.96. No comparisons with outcome of health were reported. Spreitzer's questionnaire [54] has undergone the most comprehensive investigation. Research is required to achieve better understanding of the interplay between conditions at work and empowerment and health.

  • 10.
    Arneson, Hanna
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Ekberg, Kerstin
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Psychological empowerment and self-rated health in a sample of Swedish employees.2005In: Second ICOH International Conference on Psychosocial factors at Work.,2005, 2005Conference paper (Refereed)
  • 11.
    Arneson, Hanna
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Ekberg, Kerstin
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Teori och metod för participativ problembaserad interventionsmetod i hälsofrämjande arbetsliv.2004In: Folkhälsostämman,2004, 2004Conference paper (Refereed)
  • 12.
    Arneson, Hanna
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Ekberg, Kerstin
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Vidmakthållande av hälsofrämjande processer på arbetsplatser - exemplet problembaserad intervention.2004In: Folkhälsostämman,2004, 2004Conference paper (Refereed)
  • 13.
    Arneson, Hanna
    et al.
    Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation. Linköping University, Faculty of Health Sciences.
    Liljegren, Mats
    Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation. Linköping University, Faculty of Health Sciences.
    Nordlund, Anders
    Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation. Linköping University, Faculty of Health Sciences.
    Ekberg, Kerstin
    Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation. Linköping University, Faculty of Health Sciences.
    Psychiological empowerment at the workplace and self-rated health and burnout: a 2-yeah longitudinal analysis in a sample of Swedish employeesManuscript (preprint) (Other academic)
    Abstract [en]

    PURPOSE: To explore the gender-specific longitudinal association between psychological empowerment at the workplace and self-rated health and burnout in a working population.

    MATERIAL AND METHOD: The participants were employees working in the public service sector in central Sweden. The baseline survey was carried out in 2001 and the follow-up in 2003. The questionnaire was answered by 715 respondents at both points in time (overall response rate 67%). Measures used were Psychological Empowerment Instrument by Spreitzer, the SF-36, the EQ-5D, and the Copenhagen Burnout Inventory. Gender specific differences in average score for self-rated health and burnout at follow-up were assessed using multiple linear regression adjusted for age, education, study cohort and self-rated health and burnout at baseline. An analysis on interactional effects due to gender was also performed.

    RESULTS: For women, increasing levels of psychological empowerment at work at baseline are associated with less bodily pain, better physical role function and mental health in the multivariate analysis at follow-up two years later. For men, increased psychological empowerment at baseline is significantly associated with better self-rated health as measured by the EQ-5D VAS at follow-up in the multivariatc analysis. Higher levels of psychological empowerment at baseline show a statistically significant association with a lower degree of burnout at follow-up in the univariate analysis for men and women. However, the associations diminished after adjustments in the multivariate analyses. No significant gender x empowerment interaction appeared.

    CONCLUSION: Psychological empowerment in working life was associated with somatic and mental aspects of SRH two years later for women. Men seem to be less affected by psychological empowerment, yet an association with the EQ-5D V AS appeared. Psychological empowerment did not predict burnout two years later for either men or women.

  • 14.
    Arneson, Hanna
    et al.
    Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation. Linköping University, Faculty of Health Sciences.
    Liljegren, Mats
    Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation. Linköping University, Faculty of Health Sciences.
    Nordlund, Anders
    Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation. Linköping University, Faculty of Health Sciences.
    Ekberg, Kerstin
    Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation. Linköping University, Faculty of Health Sciences.
    Psychological empowerment and self-rated health and burnout in a sample of Swedish employeesManuscript (preprint) (Other academic)
    Abstract [en]

    PURPOSE: To explore the gender-specific association between psychological empowerment and self-rated health and burnout in a working population.

    MATERIAL AND METHOD: A cross-sectional survey was carried out among 1,243 employees (response rate 81% (n=1007), 65 % females). Psychological empowerment was measured by the Spreitzer questionnaire, developed for a working life context. The questionnaire includes the subscales: meaning, competence, self-determination and impact. Self-rated health was evaluated with EQ-5D and SF-36 and the Copenhagen Burnout Inventory was used to measure burnout.

    RESULTS: Men reported a greater degree of empowerment than women in terms of self-determination and impact. Significant associations (p<0.05) were found between psychological empowerment and self-rated health and burnout. Men and women with higher levels of empowerment reported significantly better health compared to those with lower levels of empowerment. In multivitriate analyses, all four subscales of empowerment were associated with burnout among both men and women. The most pronounced association with self-rated health was seen for the subscale impact. These associations were particularly strong among women.

    CONCLUSION: Psychological empowerment in working life is associated with self-rated health and burnout. Interventions aiming to promote health at work or aiming to prevent burnout may therefore benefit if they comprise empowerment in terms of impact, self-determination, meaning and competence. Also, workplace health promotion that includes empowerment processes should be gender conscious.

  • 15.
    Arneson, Hanna
    et al.
    Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation. Linköping University, Faculty of Health Sciences.
    Liljegren, Mats
    Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation. Linköping University, Faculty of Health Sciences.
    Nordlund, Anders
    Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation. Linköping University, Faculty of Health Sciences.
    Ekberg, Kerstin
    Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation. Linköping University, Faculty of Health Sciences.
    Psychological empowerment, social support at the workplace and self-rated health and burnout: a 2-year longitudinal analysis in a sample of Swedish employeesManuscript (preprint) (Other academic)
    Abstract [en]

    PURPOSE: To explore the gender-specific longitudinal association between a combination of psychological empowerment and social support at the workplace and self-rated health and burnout in a working population.

    MATERIAL AND METHOD: The participants were employees working in the public service sector in central Sweden. The baseline survey in two cohorts was carried out in 2001 and the follow-up in 2003. The questionnaire was answered by 715 respondents at both points in time (overall response rate 67%). Measures used were the Psychological Empowerment Instrument by Spreitzer, the social support dimension in the Demand-Control-Support Questionnaire, the SF-36, the EQ-5D, and the Copenhagen Burnout Inventory. Based on empirical medians, psychological empowerment and social support at baseline were combined into four categories. Mlltivariate comparisons adjusted for age, education, study cohort and SRH and burnout at baseline were performed using multiple linear regression analysis. The genderxempowerment and social support interaction effect was assessed in the multiple linear regression analysis. All analyses were performed for men and women separately.

    RESULTS: For women, a combination of high psychological empowerment and high social support at the workplace, in comparison with a combination of low psychological empowerment and low social support, is strongly associated with better SRH (bodily pain, general health, vitality, social functioning, emotional role, mental health, the EQ-5D VAS, and EQ-5D index) and lower levels of work-related burnout at the 2-year follow-up after adjusting for demographics and baseline SRH and burnout. For men, there are univariate associations with burnout and some associations with SRH. After adjustments for demographics and baseline SRH and burnout, psychological empowerment and social support is associated with SRH as measured by the EQ-5D VAS for men. The gender x empowerment and social support interaction analyses confirm gender differences regarding bodily pain, social function, and work-related burnout.

    CONCLUSION: A combination of psychological empowerment and social support in working life strongly affects SRH and work-related burnout two years later for women, but only in part for men.

  • 16.
    Barajas, Josefin
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Hälsofrämjande utvecklingsarbete - motsättningar och paradoxer2006In: Tid för utveckling? / [ed] Kerstin Ekberg, Lund: Studentlitteratur , 2006, 1, p. 161-188Chapter in book (Other academic)
    Abstract [sv]

      Tid, tidsanvändning och tidsbrist i arbetet är i fokus i debatten om de krav som det nya arbetslivet ställer. Vilka konsekvenser får sättet att organisera och rationalisera arbete för lärande, hälsa, jämställdhet och arbetsförhållanden? Forskare från fyra discipliner granskar och jämför skeenden i fyra offentliga organisationer som genomför organisationsförändringar. Boken vänder sig till alla, såväl studerande som yrkesverksamma, som hanterar arbetslivs-, organisations- och ledarskapsfrågor.

  • 17.
    Barajas, Josefin
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Interventionens olika ansikten - karakterisering utifrån interventionsansatser.2005In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 82, p. 223-240Article in journal (Other academic)
  • 18.
    Barajas, Josefin
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Ekberg, Kerstin
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Dilemmas in work place health promotion - the role of the leadership.2005In: Second ICOH International Conference on Psychosocial factors at Work.,2005, 2005Conference paper (Refereed)
  • 19.
    Barajas, Josefin
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Ekberg, Kerstin
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Interventionsprojektet Hälsa på akutkliniken - Arbetsprocessen.2004In: Folkhälsostämman,2004, 2004Conference paper (Refereed)
  • 20.
    Barajas, Josefin
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Ekberg, Kerstin
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Workplace health promotion - Intervention Process.2005In: Best Practice for Better Health, 6th IUPHE European Conference on the Effectiveness and Quality on Health Promotion,2005, 2005Conference paper (Refereed)
  • 21.
    Barajas, Josefin
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Ekberg, Kerstin
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Workplace health promotion - Intervention Process.2005In: Second ICOH International Conference on Psychosocial factors at Work.,2005, 2005Conference paper (Refereed)
  • 22.
    Barajas, Josefin
    et al.
    Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation. Linköping University, Faculty of Health Sciences.
    Gustavsson, Maria
    Linköping University, Department of Behavioural Sciences, Learning in Working Life and Educational Settings. Linköping University, Faculty of Arts and Sciences.
    Ekberg, Kerstin
    Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation. Linköping University, Faculty of Health Sciences.
    Hälsofrämjande arbetsplats: att skapa möjligheter för lärande och hälsa2006Report (Other academic)
    Abstract [sv]

    Under hösten 2002-hösten 2003 genomfördes ett interventionsprojekt vid akutkliniken, Universitetssjukhuset i Linköping. Projektet syftade till att utveckla förutsättningarna och kompetensen inom organisationen att hantera frågor som främjar hälsa.

    Alla medarbetare på kliniken har träffats i arbetsgrupper och under handledning arbetat enligt problembaserat lärande med frågor som berör hälsa i arbetet. Grupperna dokumenterade sitt arbete i s.k. loggböcker, samt i rapporteringar från två heldagar då alla medarbetare samlades. Ett strategiskt urval av medarbetarna har intervjuats vid interventionens början, samt efter avslutad interventionstid. Personalen har även följts med landstingets personalenkät och sjukfrånvarostatistik.

    Interventionsprojektet har lett fram till en mängd förbättringsförslag och genomförda åtgärder på alla nivåer i organisationen, såsom t.ex. ökad medicinsk-teknisk kompetens, förbättrat socialt klimat, ökad regelbundenhet i personalutvecklingssamtal, ökade förutsättningar för patientflödet i verksamheten och utveckling av strategier för att hantera långtidssjukskrivna. PB-gruppernas rangordning av prioriterade områden för hälsofrämjande utvecklingsarbete var ledarskap, organisation, kompetens, information och kommunikation, samt vårdkvalitet.

    Interventionen har bidragit till ett ökat erfarenhetsutbyte mellan personalen, vilket har inneburit både ett individuellt och ett kollektivt lärande. Personalen har också under interventionsprojektet ökat sin kompetens att hantera verksamhetsförändringar.

    Medarbetarna har utvecklat synen på hälsa, och vad som påverkar den arbetsrelaterade hälsan. Interventionsprojektet har belyst vikten av reflektion under arbetstid, samt betydelsen av delaktighet under förändringsprocesser.

    Resultaten visar på tre framträdande faktorer av betydelse för genomförandet och utfallet av interventionsprojektet. För det första har ledningen en väsentlig roll i utvecklingen av hälsofrämjande processer på arbetsplatsen. Ledningen behöver stötta och legitimera  utvecklingsarbetet. Ett sådant hälsofrämjande ledarskap ställer krav på kompetens hos ledningen. Ledare behöver därför extra stöd och utvidgad kompetens i hälsofrämjande utvecklingsarbete.

    För det andra är det viktigt att organisera för lärande och kollektiv reflektion. Det kräver en medveten strategi. Det problembaserade arbetssättet under interventionsprojektet har fungerat som ett forum där medarbetarna kontinuerligt har fått utrymme att tänka i nya banor. Resultatet av en sådan organisering för lärande har givit utslag i verksamheten i form av olika åtgärder och förändringar.

    För det tredje har de problembaserade grupperna fungerat som en buffert i organisationen, där medarbetarna har lärt en handlings- och förändringsberedskap. De har ökat sin kompetens i att hantera inre och  yttre krav på förändring, liksom att påverka sin egen organisation i riktning mot en hälsofrämjande arbetsplats.

  • 23.
    Barajas, Josefin
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Nordlund, Anders
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Ekberg, Kerstin
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Employee-Perceived Leadership Behaviour and Effort-Reward Imbalance & Overcomittment2006In: 28th International Congress on Occupational Health,2006, 2006, p. 105-105Conference paper (Other academic)
    Abstract [en]

      

  • 24.
    Barajas, Josefin
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Nordqvist, Cecilia
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Ekberg, Kerstin
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation. Östergötlands Läns Landsting, Centre for Public Health Sciences, Centre for Public Health Sciences.
    Intervention Elucidate Intra Organisational Hindrance to Employee Development2002In: Humans in a Complex Environment,2002, 2002, p. 67-70Conference paper (Refereed)
  • 25.
    Bendtsen, Preben
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, Division of Preventive and Social Medicine and Public Health Science. Östergötlands Läns Landsting, Local Health Care Services in Central Östergötland, Department of Acute Internal Medicine.
    Johansson, Kjell
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, Division of Preventive and Social Medicine and Public Health Science.
    Åkerlind, Ingemar
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation. Östergötlands Läns Landsting, Local Health Care Services in the West of Östergötland, Unit of Research and Development in Local Health Care, County of Östergötland.
    Feasibility of an email-based electronic screening and brief intervention (e-SBI) to college students in Sweden.2006In: Addictive Behaviours, ISSN 0306-4603, E-ISSN 1873-6327, Vol. 31, p. 777-787Article in journal (Refereed)
  • 26.
    Bernfort, Lars
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, Center for Medical Technology Assessment.
    Persson, Jan
    Linköping University, The Institute of Technology. Linköping University, Department of Department of Health and Society, Center for Medical Technology Assessment.
    Ekberg, Kerstin
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Öberg, Birgitta
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, Division of Physiotherapy. Östergötlands Läns Landsting, Centre for Public Health Sciences, Centre for Public Health Sciences.
    Nordlund, Anders
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Economic evaluation in a cluster randomized controlled study of work place intervention in south-east Sweden2006In: International workshop Economic Evaluations of Occupational Health Interventions,2006, 2006Conference paper (Refereed)
  • 27. Cucchiara, B
    et al.
    Kasner, SE
    Wolk, DA
    Lyden, PD
    Knappertz, VA
    Ashwood, T
    Odergren, T
    Nordlund, Anders
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Lack of hemispheric dominance for consciousness in acute ischaemic stroke2003In: Journal of Neurology, Neurosurgery and Psychiatry, ISSN 0022-3050, E-ISSN 1468-330X, Vol. 74, no 7, p. 889-892Article in journal (Refereed)
    Abstract [en]

    Background: Previous reports have suggested left hemispheric dominance for maintaining consciousness, although there is controversy over this claim. Objective: To compare early impairment of level of consciousness between patients with right and left hemispheric stroke. Methods: Data from 564 patients with ischaemic stroke enrolled in the placebo arm of a trial of a putative neuroprotectant were analysed. All patients had major hemispheric stroke with cortical dysfunction, visual field deficit, and limb weakness, with symptom onset within 12 hours of enrolment. Patients were prospectively evaluated on a predefined scale (1-6, 1 = fully awake, higher scores representing greater impairment) to measure level of consciousness at multiple time points over the initial 24 hours after presentation. The National Institutes of Health (NIH) stroke scale score at presentation and infarct volume at 30 days were determined. Results: Some degree of impairment in level of consciousness was observed in 409 of the 564 patients (73%). Median maximum sedation score was 2 for both right and left hemispheric stroke (p = 0.91). Mean sedation score over 24 hours was 1.5 for both right and left stroke (p = 0.75). There was no difference between level of consciousness scores in right and left stroke at any individual time point during the 24 hour monitoring period. No association between side and impairment in level of consciousness was seen after adjustment for stroke severity and infarct volume. Conclusions: In contrast to previous reports, there was no evidence for hemispheric dominance for consciousness in the setting of a major hemispheric stroke.

  • 28. Cucchiara, BL
    et al.
    Kasner, SE
    Messe, SR
    Lyden, PD
    Knappertz, VA
    Ashwood, T
    Odergren, T
    Nordlund, Anders
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Adjusting for the NIH stroke scale bias toward left hemisphere stroke.2004In: 29th International Stroke Conference,2004, 2004Conference paper (Other academic)
  • 29.
    Ekberg, Kerstin
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Arbetslivsinriktad rehabilitering2004In: Arbetsliv och hälsa 2004 / [ed] Rolf Å Gustafsson och Ingvar Lundberg, Stockholm: Liber Idéförlag , 2004, 1, p. 365-380Chapter in book (Other academic)
    Abstract [sv]

    Den här antologin presenterar aktuell forskning kring hälsa och ohälsa inom svenskt arbetsliv under de senaste åren.Läs merBoken, som till stor del skrivits av forskare på Arbetslivsinstitutet, ger en bred analys av arbetslivets villkor och dess utvecklingsmöjligheter. Några exempel på områden som tas upp är sjukskrivningar, förtidspensioneringar, inflytande på arbetsplatsen och nedskärningar inom skola, vård och omsorg

  • 30.
    Ekberg, Kerstin
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation. Östergötlands Läns Landsting, Centre for Public Health Sciences, Centre for Public Health Sciences.
    Rehabiliation and Health Promotion at the Work Place2002In: Humans in a Complex Environment,2002, 2002, p. 209-214Conference paper (Refereed)
  • 31.
    Ekberg, Kerstin
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Sjukskriven - Arbetsplatsens betydelse för rehabilitering och hälsa2002In: Svensk rehabilitering, ISSN 1403-4468, Vol. 3Article in journal (Other academic)
  • 32.
    Ekberg, Kerstin
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Vem hinner tänka på hälsa?2006In: Tid för utveckling? / [ed] Kerstin Ekberg, Lund: Studentlitteratur , 2006, 1, p. 133-160Chapter in book (Other academic)
    Abstract [sv]

      Tid, tidsanvändning och tidsbrist i arbetet är i fokus i debatten om de krav som det nya arbetslivet ställer. Vilka konsekvenser får sättet att organisera och rationalisera arbete för lärande, hälsa, jämställdhet och arbetsförhållanden? Forskare från fyra discipliner granskar och jämför skeenden i fyra offentliga organisationer som genomför organisationsförändringar. Boken vänder sig till alla, såväl studerande som yrkesverksamma, som hanterar arbetslivs-, organisations- och ledarskapsfrågor

  • 33.
    Ekberg, Kerstin
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Eklund, JörgenLinköping University, The Institute of Technology. Linköping University, Department of Mechanical Engineering, Industrial Ergonomics.Ellström, Per-ErikLinköping University, Faculty of Arts and Sciences. Linköping University, Department of Behavioural Sciences and Learning, Work and Working Life. Linköping University, Department of Behavioural Sciences and Learning, Learning in Working Life and Educational Settings.Johansson, StinaUmeå universitet.
    Tid för utveckling?2006Collection (editor) (Other academic)
    Abstract [sv]

    Tid, tidsanvändning och tidsbrist i arbetet är i fokus i debatten om de krav som det nya arbetslivet ställer. Vilka konsekvenser får sättet att organisera och rationalisera arbete för lärande, hälsa, jämställdhet och arbetsförhållanden? Forskare från fyra discipliner granskar och jämför skeenden i fyra offentliga organisationer som genomför organisationsförändringar. Boken vänder sig till alla, såväl studerande som yrkesverksamma, som hanterar arbetslivs-, organisations- och ledarskapsfrågor

  • 34.
    Ekberg, Kerstin
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Heide, Anders
    Petersson, Bo
    Förutsättningar för en effektiv selekteringsprocess i utredningsarbetet på försäkringskassorna2002In: Fakta & debatt, ISSN 1650-5816, no 1Article in journal (Other (popular science, discussion, etc.))
  • 35.
    Ekberg, Kerstin
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Nordlund, Anders
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Organisational Development under Stressful Working Conditions2006In: 28th International Congress on Occupational Health,2006, 2006, p. 153-153Conference paper (Other academic)
    Abstract [en]

       

  • 36.
    Ekberg, Kerstin
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Strindlund, Lena
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Nordlund, Anders
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Effort-Reward Imbalance and Overcomittment among Sick-listed Health Care Workers with Mental Adjustment Problems2006In: 28th International Congress on Occupational Health,2006, 2006, p. 56-56Conference paper (Other academic)
  • 37. Faresjö, Åshild
    et al.
    Grodzinsky, Ewa
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, General Practice. Östergötlands Läns Landsting, Local Health Care Services in the West of Östergötland, Unit of Research and Development in Local Health Care, County of Östergötland.
    Timpka, Toomas
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, Division of Preventive and Social Medicine and Public Health Science. Östergötlands Läns Landsting, Centre for Public Health Sciences, Centre for Public Health Sciences.
    Åkerlind, Ingemar
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation. Östergötlands Läns Landsting, Local Health Care Services in the West of Östergötland, Unit of Research and Development in Local Health Care, County of Östergötland.
    A case-control study of irritable bowel syndrome in primary care - female patients are seriously affected by psychosocial problems in their every day life2006In: EUPHA 14th annual conference,2006, 2006Conference paper (Other academic)
  • 38.
    Henriksson, Martin
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society.
    Nordlund, Anders
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Janzon, Magnus
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Medicine and Care, Cardiology. Östergötlands Läns Landsting, Heart Centre, Department of Cardiology.
    Swahn, Eva
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Medicine and Care, Cardiology. Östergötlands Läns Landsting, Heart Centre, Department of Cardiology.
    A comparison of EQ-5D and SF-6D utilities2003In: iHEA 2003, San Francisco. Muntlig posterpresentation,2003, 2003Conference paper (Refereed)
  • 39.
    Liljegren, Mats
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Att bedriva FoU verksamhet i nätverk.2006In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 83, no 2, p. 147-155Article in journal (Other academic)
  • 40.
    Liljegren, Mats
    Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation. Linköping University, Faculty of Health Sciences.
    Delrapport 1, Utvärdering av projektet utifrån tidigare gjorda interventioner och studier2005Report (Other academic)
    Abstract [sv]

            

  • 41.
    Liljegren, Mats
    Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation. Linköping University, Faculty of Health Sciences.
    Delrapport 2, Processutvärdering av projektet2006Report (Other academic)
    Abstract [sv]

         

  • 42.
    Liljegren, Mats
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Delrapport 3, Resultatutvärdering av projektet.2006Report (Other academic)
    Abstract [sv]

    Föreliggande rapport är en tredje delrapport i utvärderingen av Arbetsmarknadsverkets, AMV:s, ”Projekt Hälsa”. Syftet med delrapporten är att genomföra och redovisa en resultatutvärdering av det aktuella projektet.  Av särskild vikt är det att ställa projektets resultat mot dess målsättningar och att försöka klarlägga effekten av den interventionsmetod som projektet bygger på.

    Projektet har genomfört de aktiviteter som det avsåg att göra och ambitionsnivån har varit hög. När det gäller effekten av projektet saknas vissa mättal, som exempelvis på hälsa, vilket gör att det är svårt att skatta effekten på det genomförda projektet i vissa avseenden. Interventionen har dock inte haft någon nämnvärd effekt på den positiva utvecklingen inom AMV utan orsakerna till den utvecklingen ligger utanför projektet.  

  • 43.
    Liljegren, Mats
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    "Orättvisa" organisationsförändringar, hälsa och utbrändhet.2003In: Förändringskraft Centrum för studier av människa, teknik och organisation, CMTO,2003, 2003Conference paper (Other academic)
    Abstract [sv]

       

  • 44.
    Liljegren, Mats
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Ekberg, Kerstin
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    A dual-level intervention process to increase workplace health, decrease sick-leave and implement a structured and effective method for work-related rehabilitation.2006In: Nordic Health Promotion Research Conference,2006, 2006Conference paper (Other academic)
    Abstract [en]

    Abstract ID: 98  

  • 45.
    Liljegren, Mats
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Nordlund, Anders
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Ekberg, Kerstin
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    The Associations between Perceived Organizational Justice and Self-Rated Health and Burnout.2005In: International Conference on Psychosocial Factors at Work,2005, 2005Conference paper (Other academic)
  • 46.
    Lundkvist, j
    et al.
    Uppsala.
    Åkerlind, Ingemar
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Borgquist, Lars
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, General Practice.
    Mölstad, S
    Jönköping.
    The more time spent on listening, the less time spent on prescribing antibiotics in general practice2002In: Family Practice, ISSN 0263-2136, E-ISSN 1460-2229, Vol. 19, no 6, p. 638-640Article in journal (Refereed)
    Abstract [en]

    Objective. To analyse the variation between primary care centres (PCCs) with regard to prescribing antibiotics and to investigate whether the variation can be explained by factors related to patient satisfaction and to socio-demographic characteristics of the populations in the catchment areas of the PCCs. Methods. The frequency of prescription of antibiotics by GPs at the PCCs was used as the dependent variable in a multivariate regression analysis. Questionnaire data for patient satisfaction and register data for socio-demographic characteristics were used as explanatory variables. The study was set in a county in south-east Sweden, and 6734 patients consulting GPs at 39 out of the 41 PCCs in the county participated. Variables correlating with the frequency of antibiotics prescription at PCC level and with patient satisfaction were the main outcome measures. Results. A seven-fold variation in the extent of the prescription of antibiotics between the PCCs was observed. In the multivariate analysis, a high antibiotic prescription rate relates to high overall patient satisfaction with GP consultation as well as to the share of males in the listed population but to low satisfaction with the time spent by the GP on listening to the patient. Conclusion. A high frequency of prescription of antibiotics at a PCC may reflect a general disposition among GPs to give priority to maintaining good relations with the patients. However, a low level of prescription may be consistent with patient satisfaction if more time is spent on listening to and informing the patients. Thus more time spent on listening to the patients may reduce the prescription of antibiotics without reducing patient satisfaction.

  • 47.
    Medin, Jennie
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Hälsa, folkhälsa och intervention.2005In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 82, p. 198-209Article in journal (Other academic)
  • 48.
    Medin, Jennie
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Om hälsa, hälsofrämjande, functional foods och mervärdesmat.2001In: Scandinavian Journal of Nutrition/Næringsforskning, ISSN 1102-6480, E-ISSN 1651-2359, Vol. 45, p. 105-107Article in journal (Refereed)
  • 49.
    Medin, Jennie
    Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation. Linköping University, Faculty of Health Sciences.
    Stroke among people of working age: from a public health and working life perspective2006Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Background: Stroke is a major cause of serious disability and death. In Sweden approximately 30,000 people suffer from stroke each year, and 20% of them are under 65 years of age.

    Aim: The aim of this thesis was to study stroke among people aged 30-65 years. Specific aims were: a) to compare the incidence of stroke in Sweden between the periods 1989-1991 and 1998-2000 in persons aged 30-65 years, b) to explore sick leave, disability pension and health-care-seeking behaviour among people 30-65 years of age prior to their stroke in year 2001 in the county of Östergötland, Sweden, c) to explore whether organisational change and work-related stress, as measured by the Job Content Questionnaire, was associated with first-ever stroke among working people aged 30-65, d) to describe the experience of return to work (RTW) after stroke from the patient’s perspective in comparison with experiences of patients on long-term sick leave.

    Material and methods: Studies I and II are based on retrospective register data. Study I is based on data from the SHDR and the CDR during 1989-2000, and NSR Östergötland during the period 1989-2000. Study II is based on data from the HCDWÖ and the social insurance office. Study III is a case–control study where the cases are obtained from four hospitals in the south-east of Sweden and the controls come from the base populations at each respective hospital. Studies IV and V are qualitative studies and the informants in study IV are cases from Linköping and Norrköping included in study III. Study V is a case study based upon a focus group interview with 7 women who had undergone a problem-based rehabilitation.

    Results: Stroke incidence increased in Sweden for both men and women between 1989 and 2000, especially for women. Future stroke patients showed more sick leave compared with the general population. For men, accumulated sick leave of more than 29 days was associated with an increased risk of later stroke. Frequent health-care-seeking behaviour is not a tool for identifying women who develop stroke, while it may be an indicator for men. We found partial support for an association between organisational change, work-related stress and stroke. The likelihood of stroke was significantly lower for people in active job situations. The individual stroke patient’s capacity and ability to return to work was perceived as enhanced by motivation or ‘will’ and self-efficacy, in combination with external support. Self-efficacy was not only a personal trait or internal factor; it was enhanced and encouraged in interaction with contextual conditions. When the more medically oriented rehabilitation is finished, other aspects of the individual’s abilities should be in focus. There seem to be similarities between the RTW process and processes of health promotion.

    Conclusion: Stroke among younger people in regard to work related risk factors and work related rehabilitation is a field where few studies have been carried out, and further research is needed in order to investigate risk factors and planning for prevention, health promotion and rehabilitation. The thesis also indicates the need for gender-specific studies.

    List of papers
    1. Increasing stroke incidence in Sweden between 1989 and 2000 among persons aged 30 to 65 years: evidence from the Swedish Hospital Discharge Register
    Open this publication in new window or tab >>Increasing stroke incidence in Sweden between 1989 and 2000 among persons aged 30 to 65 years: evidence from the Swedish Hospital Discharge Register
    2004 (English)In: Stroke, ISSN 0039-2499, E-ISSN 1524-4628, Vol. 35, no 5, p. 1047-1051Article in journal (Refereed) Published
    Abstract [en]

    Background and Purpose— Stroke mortality is decreasing in Sweden, as is the case in other Western European countries. However, both decreases and increases have been reported in Sweden for persons younger than age 65 years. The aim of this study was to compare the incidence of stroke in Sweden between the periods 1989 and 1991 and 1998 and 2000 in persons aged 30 to 65 years.

    Methods— All first-ever stroke patients aged 30 to 65 years in the Swedish Hospital Discharge Register between 1989 and 2000 were included.

    Results— The age-standardized, 3-year average incidence increased by 19%, from 98.9 to 118.0 per 100 000 among men, and by 33%, from 48.4 to 64.4 among women, between 1989 and 1991 and 1998 and 2000. The largest increase was seen among those younger than 60 years. On a county level, the change in age-standardized stroke incidence varied from small decreases (−3%) to large increases (82%).

    Conclusion— Stroke incidence increased in Sweden for both men and women between 1989 and 2000. The increase was larger among women. This calls for action when it comes to studying risk factors and planning for prevention and health promotion and indicates the need for gender-specific studies.

    Keywords
    Epidemiology, Incidence, Stroke
    National Category
    Medical and Health Sciences
    Identifiers
    urn:nbn:se:liu:diva-45752 (URN)10.1161/01.STR.0000125866.78674.96 (DOI)
    Available from: 2009-10-11 Created: 2009-10-11 Last updated: 2017-12-13Bibliographically approved
    2. Sick leave, disability pension and health-care-seeking behaviour prior to stroke, among people aged 30–65: a case–control study
    Open this publication in new window or tab >>Sick leave, disability pension and health-care-seeking behaviour prior to stroke, among people aged 30–65: a case–control study
    2007 (English)In: Brain Injury, ISSN 0269-9052, E-ISSN 1362-301X, Vol. 21, no 5, p. 457-463Article in journal (Refereed) Published
    Abstract [en]

    Primary objective: To explore sick leave, disability pension and health-care-seeking behaviour among people 30–65 years of age prior to their stroke in 2001 in the county of Östergötland, Sweden.

    Research design: A register-based, retrospective case–control study for the period 1 January 1998–31 December 2000. Cases (n = 212): patients aged 30–65 with first-ever stroke in 2001. Controls (n = 4606): people aged 30–65, randomly selected from the same base population.

    Main outcomes and results: More than 91 days of accumulated sick leave among women was associated with increased likelihood of developing stroke (OR = 1.89). Among men, 29–90 days and more than 91 days on sick leave increased the likelihood of stroke (OR = 2.34 and OR = 3.43, respectively).

    Conclusion: Frequent health-care-seeking behaviour is not a tool for identifying women who develop stroke, while it may be an indicator for men. Accumulated sick leave may be a tool for identifying men and women with higher risk of stroke.

    Read More: http://informahealthcare.com/doi/abs/10.1080/02699050701317643

    Keywords
    Sick-leave, stroke, public health, health-care seeking behaviour
    National Category
    Medical and Health Sciences
    Identifiers
    urn:nbn:se:liu:diva-38631 (URN)10.1080/02699050701317643 (DOI)45108 (Local ID)45108 (Archive number)45108 (OAI)
    Available from: 2009-10-10 Created: 2009-10-10 Last updated: 2017-12-13Bibliographically approved
    3. Organisational change, job strain and increased risk of stroke?: a pilot study
    Open this publication in new window or tab >>Organisational change, job strain and increased risk of stroke?: a pilot study
    2008 (English)In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 31, no 4, p. 443-449Article in journal (Refereed) Published
    Abstract [en]

    Aims: The objective of this pilot study was to explore whether organisational change and work-related stress, as measured by the Job Content Questionnaire, were associated with first-ever stroke among working people aged 30–65.

    Methods: In a case-control study a total of 65 consecutive cases, aged 30–65 years of age, with first-ever stroke were recruited from four hospitals in Sweden during 2000–2002. During the same period, 103 random population controls in the same age interval were recruited. Data on job-related stress and traditional medical risk factors were collected by a questionnaire.

    Results: In the multivariate analyses, organisational change (OR 3.38) increased the likelihood of stroke, while experiencing an active job (OR 0.37) decreased the likelihood of stroke. Regarding risk factors outside work, age (OR 1.11), low physical activity (OR 5.21), low education (OR 2.48) and family history of stroke (OR 2.59) were associated with increased likelihood of stroke.

    Conclusion: This study suggests an association between organisational change, work-related stress and stroke. The likelihood of stroke was lower for people in active job situations.

    Keywords
    Stroke, downsizing, work-related stress
    National Category
    Medical and Health Sciences
    Identifiers
    urn:nbn:se:liu:diva-16715 (URN)
    Available from: 2009-02-14 Created: 2009-02-13 Last updated: 2017-12-14Bibliographically approved
    4. Stroke patients' experiences of return to work
    Open this publication in new window or tab >>Stroke patients' experiences of return to work
    2006 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 28, no 17, p. 1051-1060Article in journal (Refereed) Published
    Abstract [en]

    Purpose. The aim of this study was to describe the experience of return to work (RTW) after stroke from the patient's perspective.

    Method. Six patients who had their first ever stroke in 2001, were <65 years of age and were working at the time of their stroke were included. Information was obtained via an open-ended interview. The material was transcribed verbatim and analysed using Giorgi's empirical phenomenology.

    Results. Rehabilitation was perceived as primarily aimed at restoring bodily functions and a return to everyday activities, rather than at promoting a return to work. It was not experienced as adapted to the participants' needs or their age. The workplace was experienced as very important in the rehabilitation process. When the informants experienced that the rehabilitation professionals were not taking action, they took control of the situation themselves. The informants expressed pride in their own capacity to take the initiative and in their ability to take action. Both self-employed and employed informants said they had possibilities and opportunities to take action since their work situation was flexible. The informants' adaptation to a new role at work was perceived as facilitated by the understanding and positive attitude of co-workers.

    Conclusion. Among this group of stroke patients, the individual patient's capacity and ability to return to work was enhanced by motivation or “will” and self-efficacy in combination with external support. Self-efficacy was not only a personal trait or internal factor; it was enhanced and encouraged in interaction with contextual conditions. There are similarities between the RTW process and processes of health promotion.

    Keywords
    Return-to-work, rehabilitation, stroke
    National Category
    Social Sciences
    Identifiers
    urn:nbn:se:liu:diva-36610 (URN)10.1080/09638280500494819 (DOI)31744 (Local ID)31744 (Archive number)31744 (OAI)
    Available from: 2009-10-10 Created: 2009-10-10 Last updated: 2017-12-13Bibliographically approved
    5. Health promotion and rehabilitation: a case study
    Open this publication in new window or tab >>Health promotion and rehabilitation: a case study
    2003 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 25, no 16, p. 908-915Article in journal (Refereed) Published
    Abstract [en]

    Background: Since the number of people in Sweden on long-term sick leave has rapidly increased since 1996, new non-biomedical models of occupational rehabilitation are at stake. A group of seven women who had finished medical treatment and rehabilitation but were still on sick leave or temporary disability pension for several years, worked in a problem-based rehabilitation group for 6 months. Focus for the group was on a process of change towards health and work ability.

    Purpose: The aim of this case study was to improve understanding of effects of a problem-based rehabilitation model (PBR) on health promoting processes amongst a group of women on long-term sick leave. Method: Data source was a focus group interview. The analysis follows the guidelines of qualitative analysis that emerges from grounded theory.

    Results: The pedagogical model of PBR enhanced the participant's internal resources such as self-confidence and ability to act in a social setting. External resources such as social support were improved. An individual follow-up was conducted 2 years after the rehabilitation process and four out of seven women had returned to work.

    Conclusion: Among this group of women PBR launched health-promoting processes. When the more medically oriented treatment is finished or is not able to contribute further to the individual's recovery, other aspects of the individuals abilities and health resources will be focused upon.

    National Category
    Social Sciences
    Identifiers
    urn:nbn:se:liu:diva-26255 (URN)10.1080/0963828031000122212 (DOI)10761 (Local ID)10761 (Archive number)10761 (OAI)
    Available from: 2009-10-08 Created: 2009-10-08 Last updated: 2017-12-13Bibliographically approved
  • 50.
    Medin, Jennie
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, National Centre for Work and Rehabilitation.
    Alexanderson, Kristina
    Linköping University, Department of Department of Health and Society, Division of Preventive and Social Medicine and Public Health Science.
    Begreppen Hälsa och Hälsofrämjande - en litteraturstudie.2000Other (Other (popular science, discussion, etc.))
12 1 - 50 of 71
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