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  • 1.
    Backman Lönn, Beatrice
    et al.
    Region Västernorrland, Sundsvall Hospital, Sundsvall.
    Olofsson, Niclas
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Jong, Mats
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Translation and validation of the Clinical Trial Nursing Questionnaire in Swedish: A first step to clarify the clinical research nurse role in Sweden2019In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 28, no 13-14, p. 2696-2705Article in journal (Refereed)
    Abstract [en]

    Aim and objectives: To translate the Clinical Trial Nursing Questionnaire (CTNQ) into Swedish and test it for face and content validity as well as internal consistency and reproducibility using test–retest procedures. Introduction/Background: In many countries, as in Sweden, a registered nurse can be involved in research by becoming a clinical research nurse. The clinical research nurse plays a pivotal role in clinical studies as a part of the research team. Scales have been developed and used with the objective to clarify the role of clinical research nurses: one of them is the CTNQ. Methods: A quantitative cross-sectional design with a test–retest procedure was applied to validate the translated questionnaire. By using a snowball sampling method, relevant participants were identified and 49 registered nurses working in the field of research as clinical research nurses answered the questionnaire on two occasions. An expert panel of three clinical research nurses evaluated the questionnaire for face and content validity. The STROBE checklist for observational research has been followed for presenting the research (see File S1). Results: Face and content validity was agreed upon in the expert panel group. Tests for internal consistency of the CTNQ was calculated and showed a high Cronbach's alpha for both the frequency and importance subscales. The test–retest correlation analysis (reproducibility) also revealed a high correlation coefficient for both subscales. Conclusion: The CTNQ-SWE is a valid and robust instrument in a Swedish version. The instrument can be of importance in assessing the role of clinical research nurses in Sweden in future studies. Relevance to clinical practice: Use of the CTNQ-SWE in future research can be of value for clarification and professional development of the clinical research nurse role in Sweden. The further use of the CTNQ in Sweden can be of value in understanding the process where licensed nurses make a transition into becoming a clinical research nurse, and to identify needs for customised education.

  • 2.
    Björk, Annette
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Rönngren, Ylva
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Selander, John
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Vinberg, Stig
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Hellzén, Ove
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Olofsson, Niclas
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences. County Council of Västernorrland, Sundsvall.
    Health, lifestyle habits, and physical fitness among adults with ADHD compared with a random sample of a Swedish general population2018In: Society, health and vulnerability, E-ISSN 2002-1518, Vol. 9, no 1, article id UNSP 1553916Article in journal (Refereed)
    Abstract [en]

    Background: Persons with Attention Deficit Hyperactive Disorder (ADHD) represent a high-risk population according to health and lifestyles. In the present study, 48 adults with ADHD were recruited to a forthcoming lifestyle intervention. The ADHD sample was matched to a random sample of 42 persons from a Swedish general population that was selected from LIV (a Lifestyle-Performance-Health project).

    Objective: To identify potential differences in health, lifestyle habits, and physical fitness between adults with and without ADHD.

    Method: Self-reported questionnaires and physical fitness tests.

    Results: The ADHD group show worse health outcomes with higher odds ratios for bad general health (OR;13 CI; (3,4–50)), and poorer lifestyle habits with higher odds ratios for low weekly exercise (OR; 3,8 CI; (1,2–13)). When adjusting for education, employment status, and cash margin, the ADHD sample did not show decreased aerobic fitness (OR; 0,9 CI; (0,8–1,0), but lower odds ratios for doing less sit-ups (OR; 0,6 CI; (0,4–0,9)) compared to the general population group.

    Conclusion: It is not possible to prove that the ADHD diagnosis itself cause the worse health and lifestyle. Other lifestyle factors may have negative consequences of adult ADHD, such as lower levels of education, less succeed in working life, and minor financial margins.

  • 3.
    Björk, Annette
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Rönngren, Ylva
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Vinberg, Stig
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Hellzén, Ove
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Wall, Erika
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Olofsson, Niclas
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    A nurse-led lifestyle intervention for adult persons with attention-deficit/hyperactivity disorder (ADHD) in SwedenIn: Article in journal (Refereed)
  • 4.
    Kristiansen, Lisbeth
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Karlström, Annika
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Rising Holmström, Malin
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Boman, Niklas
    Jonsson, Cathrin
    Olofsson, Niclas
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    A health promotion intervention strengthening Swedish high school students' wellbeing: A feasibility study2018In: British Journal of School Nursing, ISSN 1752-2803, E-ISSN 2052-2827, Vol. 13, no 6Article in journal (Refereed)
    Abstract [en]

    The majority of Swedish school children enjoy a general good health. Still, mental health problems are increasing among young people in Sweden. According to Swedish law all school staff members (teachers and student health professionals) have mutual responsibility to provide a safe school environment and health. Since 2010, there is an emphasis on health promotion in schools. The aim of this study is to describe the feasibility and pilot outcomes of a health promoting intervention targeting healthy high school students (the Strengthening Adolescent Wellbeing [SAW] project).

    A descriptive design was used with an intervention group that was assessed before and after the implementation of the programme using quantitative methods. The study was based on the Medical Research Council Framework. The study and the data collection were performed during the autumnof 2016 and the early spring of 2017.

    Public high school students' health professionals, that is school nurses, student counselors and specialist educators, facilitated a research-based intervention consisting of eight sessions with education and mind-body practices. Pre- and post-testing were carried out.

    The main findings showed enhanced levels of wellbeing among the participating students and the student-related measures all showed improvements.

    The intervention seems to have been feasible in this context. Findings from this study indicate that the SAW methodology contributed to an improvement in high school students' wellbeing. The study will provide a base for a full-scale evaluation study intended to evaluate the effect of this health-promoting programme.

  • 5.
    Kristiansen, Lisbeth
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Rising Holmström, Malin
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Olofsson, Niclas
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Assessing the Construct Validity and Reliability of School Health Records Using the 'Health Dialogue Questionnaire' in the Eleventh Grade2016In: AIMS Public Health, ISSN 2327-8994, Vol. 3, no 3, p. 470-486Article in journal (Refereed)
    Abstract [en]

    Background and aims: The aim for this study was to assess the construct validity and reliability of the Health Dialogue Questionnaire (HDQ (c)) for eleventh grade in school through comparison of the HDQ (c) with Paediatric Quality Of Life Inventory (PedsQL (TM)), Local monitoring of youth policy questionnaire (LUPP (R)), Health behaviour in Swedish school-aged children (HBSC (c)), Equal health (EH (c)) and The Swedish Survey Youth on Alcohol Consumption (SSYAC (c)). Methods: Cross-sectional samples of eleventh graders from the academic year 2009/2010 was used from the HDQ (c) (n = 2752), the HBSC (c) (n = 2090), the PedsQL (TM) (n = 666), the "LUPP (R)" questionnaires (n = 2400), EH (c) (n = 258), and SSYAC (c) (n = 1748) in the academic year 2009/2010. A comparison between HDQ (c) and the different proxies was done. Exploratory and confirmatory factor analyses were performed as well as a Multitrait-Multimethod Matrix (MTMM), in order to evaluate the construct validity and reliability of HDQ (c). Results: An average disagreement between HDQ (c) and proxies with 10 percentages was found. Exploratory factor analysis of HDQ (c) on the 2009/2010 sample suggested a four factor solution (girls factor solution 65% of total variance explained, and in the boys' solution 59% of total variance explained). A second sample 2010/2011 of eleventh graders were used for the confirmatory solution. Almost perfectly similar four factor solutions with were found (girls 58% of total variance explained and boys 56% of the total variance explained). Using MTMM the reliability was generally high and HDQ (c) and showed agreeable validity. Discussion and conclusions: The HDQ (c) questionnaire is a reliable and valid instrument for measuring eleventh graders self-reported-health in school.

  • 6.
    Palm, Anna
    et al.
    Uppsala Univ, Uppsala; Sundsvall Hosp, Sundsvall.
    Hogberg, Ulf
    Uppsala Univ, Uppsala.
    Olofsson, Niclas
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Skalkidou, Alkistis
    Uppsala Univ, Uppsala.
    Danielsson, Ingela
    Umeå Univ, Umeå.
    No Differences in Health Outcomes After Routine Inquiry About Violence Victimization in Young Women: A Randomized Controlled Study in Swedish Youth Health Centers2020In: Journal of Interpersonal Violence, ISSN 0886-2605, E-ISSN 1552-6518, Vol. 35, no 1-2, p. 77-99Article in journal (Refereed)
    Abstract [en]

    Youth is a period in life when the risk of violence victimization is high and association between victimization and ill health is well established. Youth rarely reveal violence victimization to health professionals if not directly asked but favor health professionals asking about victimization. The study's primary aim was to examine health outcomes in young women being routinely asked about violence victimization and offered subsequent support, compared with controls, at 12-month follow-up. Secondary aims were to examine to what extent routine inquiry altered the consultation and re-victimization rates during the study period. A randomized controlled intervention study was conducted at Swedish youth health centers. Participants assigned to the intervention group were asked structured questions about violence. Victimized participants received empowering strategies and were offered further counseling. Participants in the control group completed questionnaires about victimization after the visit. Both groups answered questions about sociodemographics and health, constructed from validated instruments. A questionnaire was administered to all participants 12 months after baseline. Of 1,445 eligible young women, 1,051 (73%) participated, with 54% of the participants completing the 12-month follow-up. Lifetime violence victimization was reported by 53% in the intervention group and 60% in the control group, ns. There were no significant differences in health outcomes, between baseline and 12-month follow-up, within either group or between groups. Re-victimization rates were 16% in the intervention group and 12% in the control group, ns. Of victimized young women in the intervention group, 14% wanted and received further counseling. Routine inquiry about violence victimization and empowering strategies were feasible within ordinary consultations at youth health centers but did not demonstrate improved health outcomes at 12-month follow-up compared with controls. Questions about violence led to a high degree of disclosure, and 14% of victimized young women in the intervention group received further counseling as a result.

  • 7.
    Palm, Anna
    et al.
    Uppsala Univ, Dept Womens & Childrens Hlth, Sweden.
    Olofsson, Niclas
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Danielsson, Ingela
    Umea Univ, Dept Clin Sci Obstet & Gynaecol, S-90187 Umea, Sweden.
    Skalkidou, Alkistis
    Uppsala Univ, Dept Womens & Childrens Hlth, Sweden..
    Wennberg, Peter
    Stockholm Univ, Ctr Social Res Alcohol & Drugs SoRAD, Stockholm, Sweden.
    Hogberg, Ulf
    Uppsala Univ, Dept Womens & Childrens Hlth, Sweden..
    Motivational interviewing does not affect risk drinking among young women: A randomised, controlled intervention study in Swedish youth health centres2016In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 44, no 6, p. 611-618Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of this study was to analyse risk and binge drinking at 12-month follow-up in young women with risk drinking who received motivational interviewing compared with controls. Methods: Young women attending Swedish youth health centres were randomised into intervention or control groups. The intervention group members were asked about their alcohol consumption by a midwife/social worker using the Alcohol Use Disorders Identification Test Consumption. A score of 5 was used as the cut-off value for risk drinking. Participants with risk drinking in the intervention group received motivational interviewing within the same visit. Participants in the control group had a regular visit with a midwife/social worker and answered the same questions about alcohol consumption in a questionnaire after their visit. A questionnaire with the same questions was administered to participants 12 months after baseline. Results: Of 1445 eligible young women, 1051 (73%) consented to randomisation and were enrolled in the study. The follow-up rate was 54%. There was a significant decrease in risk- and binge drinking, from baseline to follow-up, in both the intervention and the control groups. Generalised estimating equation analyses demonstrated no significant effect between groups. Of participants who did not have risk drinking at baseline, about 20% in both groups had developed high-risk drinking by the 12-month follow-up. Conclusions: No significant differences in risk drinking between young women who received motivational interviewing and controls were found. There was a large intra-individual mobility in young women's risk drinking behaviour. This highlights the importance of finding reliable screening tools that can capture the mobility in drinking behaviour in youth. More research is needed before recommendations can be made.

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