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  • 1. Asplund, Ragnar
    et al.
    Marnetoft, Sven-Uno
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Selander, John
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Åkerström, Bengt
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Nocturia in relation to somatic health, mental health and pain in adult men and women2005In: BJU International, ISSN 1464-4096, E-ISSN 1464-410X, Vol. 95, no 6, p. 816-819Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To assess the relationship of nocturia to somatic health, mental health and bodily pain. SUBJECTS AND METHODS: A randomly selected group of men and women aged 20-64 years, living in three small municipalities in northern Sweden, or in the city of Ostersund or in Stockholm, were sent a postal questionnaire containing questions on somatic and mental health, satisfaction with life, pain, nocturnal voiding, work and sick-listing from work. RESULTS: Reports (from 1948 respondents) on poor somatic and mental health and on pain all increased in parallel with increasing frequency of nocturnal voids. In a multiple logistic regression analysis with sex, age, somatic health, mental health and bodily pain as the independent variables, significant independent correlates (odds ratios, confidence intervals) of nocturnal micturition (two or more episodes vs none or one) were: age 45-59 vs 20-44 years, 1.9 (1.3-2.7), > or =60 vs 20-44 years, 3.8 (2.4-6.0); somatic health, poor vs good, 2.3 (1.4-3.7); mental health, poor vs good, 1.9 (1.2-3.0); pain, rather mild vs very mild or none, 1.5 (1.0-2.3); rather severe vs very mild or none, 1.9 (1.1-3.2); and very severe vs very mild or none, 6.0 (2.5-14.0). Gender was deleted by the logistic model. Sick-listing for > or = 60 days during the past year was reported by 4.9%, 10.6%, 5.6% and 38.9% of the men with none, one, two or > or = three nocturnal voids, respectively, and by 10%, 12.4%, 23% and 46.7% (both P < 0.001) of the corresponding women, respectively. Life satisfaction decreased in parallel with increased nocturia. CONCLUSION: The impairment of both somatic and mental health was associated with increased nocturnal voiding. Pain was associated with a substantial increase in nocturia after adjusting for age and somatic and mental health. Sick-leave was more common in association with more nocturnal voids.

  • 2. Asplund, Ragnar
    et al.
    Marnetoft, Sven-Uno
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Selander, John
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Åkerström, Bengt
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Place of residence as a correlate of sickness absence in Sweden2007In: International Journal of Rehabilitation Research, ISSN 0342-5282, E-ISSN 1473-5660, Vol. 30, no 2, p. 147-151Article in journal (Refereed)
    Abstract [en]

    A postal questionnaire was sent to 1500 randomly selected men and women aged 20-64 years living in three sparsely populated municipalities in northern Sweden with high rates of sickness absence, and to 1000 corresponding inhabitants in the Swedish capital Stockholm with a low rate of sickness absence. The proportion of participants aged >or=45 years was higher and incomes were lower in municipalities with high rates of sickness absence. In multiple logistic regression analyses with age, education, income, somatic health, mental health, pain and place of residence as independent variables, significant correlates of sick listing in men were: age >or=45 years (odds ratio 5.0; 95% confidence interval 2.4-10.3), poor somatic health (5.4; 2.6-11.0) and severe musculoskeletal pain (4.7; 2.4-9.1); and in women: age >or=45 years (2.6; 1.5-4.8), poor somatic health (12.2; 6.1-24.4), poor mental health (4.5; 2.0-10.1) and severe musculoskeletal pain (5.4; 2.7-10.5). Mental health was deleted by the logistic model for men, and income, education and place of residence for both sexes. We conclude that no support was found for the assumption that factors attributable to place of residence could explain the regional differences in sickness absence.

  • 3. Asplund, Ragnar
    et al.
    Marnetoft, Sven-Uno
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Selander, John
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Åkerström, Bengt
    Sleep in relation to sickness absence, unemployment and place of residence2005In: Sleep and hypnosis, ISSN 1302-1192, Vol. 7, no 1Article in journal (Refereed)
    Abstract [en]

    This study, a questionnaire survey, was undertaken to assess the influence of sickness absence and unemployment on sleep in a randomly selected group of men and women in five Swedish municipalities with very different demographic conditions, living conditions and health profiles. The survey comprised 1,948 randomly selected persons (47.7% men) of ages 20–64 years. Poor sleep was reported by 17.0% of the men and 18.5% of the women (NS). Poor sleep was 5.5 (3.5–8.6) times more common in sick listed men and 6.8 (4.7–9.9) times more common is such women than in men and women, respectively, who were not sick-listed. The proportion reporting poor sleep increased in parallel with increasing numbers of days on sickness benefit during the last year. In a multiple logistic regression analysis significant independent correlates of poor sleep in men were: being on sickness benefit (OR 2.1; 95%CI 1.1–3.8), poor somatic health (3.6; 2.0–6.3) and poor mental health (7.0; 4.0–12.3). The corresponding correlates in women were: being on sickness benefit (2.5; 1.4–4.3), poor somatic health (3.2; 1.8–5.8) and poor mental health (5.5; 3.3–9.2). Age, marital status, employment status and the place of residence were deleted by the logistic model for both sexes. It is concluded that poor sleep increased in men and women on sickness benefit but not those who were unemployed after adjustment for age, health, marital status and place of residence.

  • 4. Asplund, Ragnar
    et al.
    Marnetoft, Sven-Uno
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Selander, John
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Åkerström, Bengt
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Sleep in relation to somatic health, mental health and pain2004In: Sleep and Hypnosis, ISSN 1302-1192, Vol. 6, no 4, p. 148-154Article in journal (Refereed)
    Abstract [en]

    The present study, a questionnaire survey, was undertaken to assess the influence of somatic health, mental health, pain and age on sleep in a group of men and women. The survey comprised 1948 randomly selected persons (47.7% men) of ages 20-64 years. Poor somatic health was reported by 12.5% of the men and 15.3% of the women and poor mental health by 8.7% of the men and 10.6% of the women. Among the men very good sleep was reported by 34.7% and rather good, rather poor and very poor sleep by 52.8%, 10.9%, and 1.6%, respectively. The corresponding frequencies in women were 32.7%, 51.9%, 12.9% and 2.5%, respectively (NS). No or very light pain was reported by 50.7% of the men and rather light, rather severe or very severe pain by 35.7%, 12.0%, and 1.6%, respectively. The corresponding frequencies in women were 48.1%, 35.4%, 14.1% and 2.4%, respectively (NS). A forward stepwise regression analysis showed that in men, more severe sleep disturbances were associated with poorer mental health (R2=0.227), pain (R2=0.292) and poorer somatic health (R2=0.304). Correspondingly, more severe sleep disturbances were associated with poorer somatic health (R2 = 0.218), poorer mental health (R2=0.280) and pain (R2=0.326) in women. Age, education, being gainfully employed and income were deleted by the regression model in both sexes. It is concluded that poor mental health exerts the most detrimental influence on sleep in men, somatic health in women, and that age does not independently affect sleep at all.

  • 5. Axelsson, R
    et al.
    Bergroth, Alf
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Ekholm, J
    Marnetoft, Sven-Uno
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Schüldt Ekholm, Kristina
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Selander, John
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Vahlne Westerhäll, L
    Rehabiliteringsvetenskap: rehabilitering till arbetslivet i ett flerdisciplinärt perspektiv2006Book (Other academic)
  • 6.
    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.
    Hellzen, Ove
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Perspectives on Everyday Suffering among People with Adult Attention Deficit Hyperactivity Disorder and Concurrent Mental Disorders2017In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 7, p. 583-598Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe the perceptions of everyday suffering among adults with attention deficit hyperactivity disorder (ADHD) and comorbid mental disease. Directed content analysis guided by Eriksson’s theory on human suffering was performed on data from 20 individual interviews. Expressions of both suffering and well-being were identified; the former centred on loneliness and related to life, illness, and care, which supported Eriksson’s theory, whereas expressions of well-being related to ADHD diagnosis and supportive social relationships. Nevertheless, results indicate the need to expand those expressions in order to better contribute to developing a supportive rehabilitation regimen that can provide more interpersonal care.

  • 7.
    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.

  • 8.
    Buys, Nicholas J.
    et al.
    Griffith University, Australia.
    John, Selander
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Sun, Jing
    Griffith University, Australia.
    Employee experience of workplace supervisor contact and support during long-term sickness absence2019In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 41, no 7, p. 808-814Article in journal (Refereed)
    Abstract [en]

    Purpose: Workplace support is an important factor in promoting successful return to work. The purpose of this article is to examine relationships between supervisor contact, perceived workplace support and demographic variables among employees on long-term sickness absence.

    Materials and method: Data were collected from 204 public employees at a municipality in Sweden who had been on long term sickness absence (60 days or more) using a 23 question survey instrument that collected information on demographic variables, supervisor contact and perceived workplace support.

    Results: Most injured employees (97%) reported having contact with their supervisors during their sickness absence, with a majority (56%) reporting high levels of support, including early (58.6%) and multiple (70.7%) contacts. Most were pleased with amount of contact (68.9%) and the majority had discussed workplace accommodations (68.1%). Employees who self-initiated contact, felt the amount of contact was appropriate, had a personal meeting with their supervisors and discussed workplace adjustments reported experiencing higher levels of support from supervisors.

    Conclusions: Employees on long-term sickness absence appreciate contact from their supervisors and this is associated with perceived workplace support. However, the amount and employee experience of this contact is important. It needs to be perceived by employees as supportive, which includes a focus on strategies (e.g., work adjustment) to facilitate a return to work. Supervisor training is required in this area to support the return to work process.

    • Implications for Rehabilitation
    • Contact and support from workplace supervisors is important to workers on long-term sickness absence.

    • Employees appreciate frequent contact from supervisors during long-terms sickness absence.

    • Employees appreciate a personal meeting with supervisors and the opportunity to discuss issues related to return to work such as work adjustment.

    • Employers should provide training to supervisors on how to communicate and assist employees on long-term sickness absence.

  • 9.
    Ekberg, Kerstin
    et al.
    Linköpings Universitet.
    Tjulin, Åsa
    Mälardalens högskola.
    Selander, John
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Müssener, Ulrika
    Linköpings universitet.
    Sociala kontakter - på gott eller ont?2014Report (Other academic)
    Abstract [en]

    Syfte Studien syftade till att studera om sociala kontakter med arbetsplatsens aktörer under en sjukskrivning har betydelse för förväntningar om att kunna komma tillbaka i arbete Metod Studien genomfördes som en enkätstudie till anställda som varit sjukskrivna i mellan 60 och 90 dagar, vilka identifierades via Försäkringskassans register. Totalt svarade 534 individer (48%). Enkätstudien kombinerades med en fördjupad intervjustudie med sjukskrivna, arbetsledare och arbetskollegor. Resultat Majoriteten av de sjukskrivna hade kontakter med arbetsledare och arbetskamrater. Sjukskrivna med sämre hälsotillstånd, sjukskrivna i psykiska besvär och utlandsfödda hade färre kontakter med arbetsledare och arbetskamrater. Multipel logistisk regressionsanalys visar att främst kvaliteten i kontakterna, mätt som stödjande, konstruktiva och engagerade kontakter, med både arbetsledaren och arbetskamraterna, mer än fördubblade chansen att den sjukskrivne har goda förväntningar om att kunna återgå i arbete och att kunna kvarstå i arbete. Intervjustudien understödjer resultaten från enkätstudien i betydelsen av kvaliteten på de sociala kontakterna för en framgångsrik rehabilitering tillbaka till arbete. Förutsättningarna för hur en arbetsledare förhåller sig till den sjukskrivne medarbetaren påverkas av arbetsledarens egen situation. Det är vanligt att chefer är rörliga i arbetslivet, en långvarigt sjukskriven medarbetare kan därför ställas inför situationen att det är en helt ny chef som hon eller han förväntas kommunicera med, och den nye chefen har ingen personlig relation till medarbetaren. I det föränderliga arbetslivet kan en arbetsledares arbetssituation vara tidspressad och det blir lätt att prioritera bort det egna ansvaret för att hålla kontakten, arbetsledare betonar ömsesidigheten i ansvaret. Konklusioner Kvaliteten i kontakterna mellan sjukskrivna och deras arbetsledare och arbetskamrater är viktigare än demografiska faktorer och självskattad hälsa och arbetsförmåga för den sjukskrivnes förväntan om att kunna återgå och kvarstå i arbete. Det förekommer sociodemografiska skillnader i frekvensen av kontakter med arbetsledare och arbetskamrater, sjukskrivna med sämre hälsotillstånd, med psykiska besvär eller är utlandsfödda har färre kontakter.

  • 10.
    Ekholm, Jan
    et al.
    Karolinska institutet.
    Bergroth, Alf
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Selander, John
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Marnetoft, Sven-Uno
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Schüldt Ekholm, Kristina
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Jakobsson, Björn
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Ludvigsen Ehnhage, Pia
    Åhrberg, Yvonne
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Kärrholm, Jenny
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Hinder och framgångsfaktorer i rehabiliteringsprocessen: En sammanfattning baserad på kvantitativa och kvalitativa studier av faktorerer eller företeelser associerade med långtidsjukskrivnas återkomst i arbete2002Report (Other academic)
  • 11.
    Jakobsson, Björn
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Schüldt Håård, Ulrika
    Karolinska institutet.
    Selander, John
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Bergroth, Alf
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Ekholm, Jan
    Karolinska institutet.
    Improved co-operation in vocational rehabilitation with systematic rehabilitation group meetings.2002In: Disability and Rehabilitation, ISSN 0963-8288, Vol. 24, no 14, p. 734-740Article in journal (Refereed)
    Abstract [en]

    PURPOSE: The present aim was to investigate the communicative pattern in two rehabilitation groups. The rehabilitation group consisted of the client, a supervisor, an employer representative, an occupational health physician, a rehabilitation counsellor from the national social insurance office and a support person. METHOD: Participatory observation of 22 rehabilitation meetings. The communication was tape-recorded and transcribed word for word. The transcripts were coded and analysed both qualitatively and quantitatively. RESULTS AND CONCLUSION: The client made the most utterances in the groups, but most often in the form of answers to questions from the other actors. Following the client, the physician made the next most frequent utterances, most often as questions. The subjects most discussed concerned the client's situation regarding work, health and material support. None of the "professionals" dominated the meetings, although one picture that emerged was that the physician and employer representative played more prominent roles as takers of initiative and as coordinators while the client was more passive than the other actors. The discussions were calm and much latitude was allowed for the participants to put forward their own requirements, thoughts and feelings. The rehabilitation group may be viewed as a meeting place for "experts" and clients. The further management of the rehabilitation was by the actor the client most immediately needed. In this, rehabilitation in the rehabilitation group differs from the "case management" common in the rehabilitation field.

  • 12.
    John, Selander
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Tjulin, Åsa
    Division of Public Health Sciences, School of Health, Care and Social Welfare, Mälardalens University, Sweden.
    Mussner, Ulrika
    Division of Community Medicine, Department of Medical and Health Sciences, Linkoping University, Sweden.
    Ekberg, Kerstin
    HELIX Vinn Excellence Centre, Linkoping University, Sweden.
    Contact With the Workplace During Long-Term Sickness Absence and Worker Expectations of Return to Work2015In: International Journal of Disability Mangement Research, ISSN 1833-8550, E-ISSN 1834-4887, Vol. 10, article id e3Article in journal (Refereed)
    Abstract [en]

    Since long-term sickness absence constitutes a problem in most western countries, research that can facilitate return to work (RTW) is important. Today there is evidence that the social context at the workplace has a significant impact on return to work. The dual aims of the study was firstly to investigate the pattern and quality of contact between employees on long-term sick leave and different actors at the workplace, and secondly to investigate whether contacts with the workplace were associated with expectations regarding return to work. An explorative method and descriptive design was used for the first aim. For the second aim, the data was analysed in a multivariate logistic regression model. The results show that employees had frequent and, in most cases, appreciated contact with their supervisor and co-workers. Contact with other workplace actors; that is, the occupational health unit, the union representative, and the human resources department, were less frequent. Employees who experienced the contact as supportive and constructive were far more positive and optimistic than others regarding return to work. It is concluded that supervisors and co-workers should be aware that they play a significant role in the return-to-work process, and that quality of contact is what matters.

  • 13.
    Klockmo, Carolina
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Marnetoft, Sven-Uno
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Selander, John
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Nordenmark, Mikael
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Important components to create personal working alliances with clients in the mental health sector to support the recovery process2014In: International Journal of Rehabilitation Research, ISSN 0342-5282, E-ISSN 1473-5660, Vol. 37, no 1, p. 40-47Article in journal (Refereed)
    Abstract [en]

    Personligt ombud (PO) is a Swedish version of case management that aims to support individuals with psychiatric disabilities. Guidelines to the PO service emphasize the different role that the PO plays with respect to the relationship with clients. The aim of this study was to investigate the components that POs found to be important in the relationship with clients. Telephone interviews with 22 POs across Sweden were carried out. The interviews were recorded, transcribed, and analyzed using qualitative content analysis. The relationship with each client was described as the foundation of the POs' work; it was the only 'tool' they had. The findings were reflected in a main theme, which showed the importance of creating personal working alliances with each client where POs put the client at the center of the work and adjusted their support according to the client's needs at the time. Important components were that the PO and the client trusted each other, that the power between the PO and the client was balanced, and to be a personal support. Many of the components that POs found to be important are shown as essential in recovery-oriented services. POs followed the client in the process and remained as long as necessary and this is one way of bringing hope to the client's recovery process. However, the personal tone can be fraught with difficulties and to maintain professionalism, it is necessary to reflect, through discussions with colleagues, with the leader and in supervision.

  • 14.
    Marnetoft, Sven Uno
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Selander, John
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Long-term effects of early versus delayed vocational rehabilitation - a four-year follow-up2002In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 24, no 14, p. 741-745Article in journal (Refereed)
    Abstract [en]

    Purpose : The aim of this study was to investigate whether early vocational rehabilitation is more effective than rehabilitation initiated at a later stage. Method : The study was based on a sample of 612 individuals on long-term sick leave (90 days or more) who had received vocational rehabilitation. A multivariate logistic regression analysis was used to investigate whether time before start of rehabilitation was associated with the outcome. Results : The study supports the hypothesis that early interventions are more effective than late, but only for women, and more so for the younger woman than for the older.

  • 15.
    Marnetoft, Sven-Uno
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Selander, John
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    A comparison of perceived health among employed and unemployed people in a rural area of Sweden. In manuscript.Manuscript (Other academic)
  • 16.
    Marnetoft, Sven-Uno
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Selander, John
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Multidisciplinary vocational rehabilitation focusing on work training and case management for unemployed sick-listed people2000In: International Journal of Rehabilitation Research, ISSN 0342-5282, E-ISSN 1473-5660, Vol. 23, no 4, p. 271-279Article in journal (Refereed)
    Abstract [en]

    Twenty-four unemployed sick-listed people were referred during 1996 and 1997 to a multidisciplinary vocational rehabilitation programme with additional work training and case management. Twelve months after the programme, 54.2% in the study group had lowered their benefit levels compared with those at the start while 26.1% in the control group - who underwent a conventional rehabilitation programme - had lowered their benefit levels (p = 0.050, Chi-squared test). There were no significant differences regarding fewer sick days three and 12 months after the programme between the study group and the control group. Regarding self-assessed quality of life, there were no significant differences within or between the groups. We conclude that this multidisciplinary vocational rehabilitation programme with work training and case-management affected the outcome positively regarding lowered level of benefits 12 months after termination of programme compared with level at start. Studies of the long-term effect of the programme should, however, be performed with more subjects in both study group and control group.

  • 17.
    Marnetoft, Sven-Uno
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Selander, John
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Åkerström, Bengt
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Asplund, Ragnar
    Dahl, Annika
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    A comparison of perceived health, attitudes to work, leisure time, and social welfare systems among people in a rural area in the north of Sweden and among people in the city of Stockholm2007In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 28, no 2, p. 153-164Article in journal (Refereed)
    Abstract [en]

    A problem attracting considerable attention in Sweden today is the substantial regional differences in sickness absence. The aim of the study was to investigate and compare how people, from a random sample of the population in both a rural area in the north of Sweden and the Swedish capital Stockholm, perceive their health, and what their attitudes are to work, leisure time and social welfare systems. Results showed that a larger proportion of those answering in Stockholm considered their health status to be "very good", compared with those in the rural area (p<0.0001). A majority in the rural area compared to the city of Stockholm reported a high or very high level of aches/pain (p<0.0001) and that work causes them physical problems p<0.0001). The population in both Stockholm and the rural area is of the opinion that the increase in sickness absence is mainly due to deterioration in the work environment. Almost half of the individuals in both the rural area and in Stockholm are of the opinion that many of those sick-listed are not actually ill. It may be that in the rural area in north Sweden people are more inclined to put their opinions to practice than those in Stockholm are

  • 18.
    Nordenmark, Mikael
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Gillander Gådin, Katja
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Selander, John
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Sjödin, Jenny
    Umeå Universitet.
    Sellström, Eva
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Self-rated health among young Europeans not in employment, education or training-with a focus on the conventionally unemployed and the disengaged2015In: Vulnerable Groups & Inclusion, ISSN 2000-8023, E-ISSN 2000-8023, Vol. 6, article id 25824Article in journal (Refereed)
    Abstract [en]

    NEET is an acronym for Not in Employment, Education or Training. For the year 2010, it isestimated that 12.5% of all young people aged 1524 in the OECD countries could be categorised as NEETs. Within this group, various subgroups of NEET are identified. Our study, which was conducted using cross-sectional data collected through the European Social Survey, focuses on the category of people who are assumed to be most marginalised and inactive: ‘‘the disengaged.’’ Participants in the study were men and women aged 1830, originating from 33 European countries. The results show that disengaged NEETs reported poorer health than both young people who were conventionally unemployed and those in employment or studying. It is also shown that ‘‘the disengaged’’ scored worse on other social and welfare variables, for example, trust and social activity. Being disengaged is discussed in relation to the gross domestic products of the different countries.

  • 19.
    Rinaldo, Ulrika
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Selander, John
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Return to work after vocational rehabilitation for sick-listed workers with long-term back, neck and shoulder problems: A follow-up study of factors involved2016In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 55, no 1, p. 115-131Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Absence from work due to musculoskeletal disorders is a significant problem from a number of perspectives, and there is a great need to identify factors that facilitate return to work (RTW). OBJECTIVE: To identify factors related to RTW after vocational rehabilitation for sick-listed workers with long-term back, neck and/or shoulder problems, and to compare the results with those from a previous literature review based on studies from 1980 to 2000. METHODS: A literature review based on studies published 2001-2014 in PubMed, CINAHL, EMBASE, ERIC and the Cochrane Library. RESULTS: Major risk factors for not returning to work are: higher age, factors related to pain such as higher levels of pain and pain related fear, avoidance of activity, high distress and depression. Facilitating factors for RTW are: lower functional disability, gaining control over one's own condition, believing in RTW and work-related factors such as occupational training, and having a job coach or an RTW coordinator. Compared with the results from the previous review, the present review shows less of a focus on sociodemographic factors and more on psychological factors. Both studies highlight risk factors such as older age, higher levels of pain, depression and less internal locus of control. CONCLUSION: Psychosocial and work-related factors are important and should be included in interventions for the RTW of people with long-term back, neck and/or shoulder problems.

  • 20.
    Selander, Johan
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    A farewell to welfare ?: [editorial]2002In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Disability and Rehabilitation, ISSN 0963-8288, Vol. 24, no 14, p. 703.-Article in journal (Refereed)
  • 21.
    Selander, John
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Economic Incentives for Return to Work in Sweden: In Theory and in Practice2006In: International journal of Disability Management Research, ISSN 1833-8550, Vol. 1, no 1, p. 107-113Article in journal (Refereed)
    Abstract [en]

    A significant problem in Sweden is the large number of people on long-term sickness absence and disability pension. To prevent long-term absenteeism, increased focus has been put on employers and disability management (DM). Effective DM, however, also requires a motivated employee. One way to motivate employees to return to work (RTW), is to provide economic incentives. The aim of the current study was to investigate the occurrence of economic incentives for people in Sweden to RTW after long-term sickness absence. The study is based on three fictitious cases. The results show that only marginal economic incentives presently exist in the Swedish RTW system. The necessity for economic incentives in the RTW process can, of course, be usefully debated. Research suggests, however, that such incentives play a part in the RTW process. With stronger economic incentives for the employee, the effectiveness of DM and prospects of job return would, arguably, be enhanced

  • 22.
    Selander, John
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Is Employer-Based Disability Management Necessary in a Social-Democratic Welfare State like Sweden?2016In: International Journal of Disability Mangement Research, ISSN 1833-8550, E-ISSN 1834-4887, Vol. 11, article id e4Article in journal (Refereed)
    Abstract [en]

    In this article the need for employer-based disability management (DM) in a modern welfare state is discussed. The article is not a traditional research article, but rather a conceptual article with a purpose to discuss and reflect over existing perspectives, and argue for a stronger focus on welfare state issues in DM research. Focus is set on Sweden and it is concluded that much of the thought behind DM is indeed built into the comprehensive welfare system. In addition to the employer's responsibilities regarding ill-health prevention, the Acts and regulations of the governmental social insurance agency's responsibilities regarding return to work are comprehensive. As can be seen, however, this is no guarantee that the established process will work in practice. In too many cases, the system in Sweden is suffering from organisational and case-level related problems. Against this background, it is suggested that current responsibilities put on the social insurance agency can be removed and instead be put on the employer. The answer to the main question stated in this article (i.e., ‘Is employer-based DM necessary in a social-democratic welfare state like Sweden?’) is obviously yes.

  • 23.
    Selander, John
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Sjuktalet ger en skev bild av verklighetens sjukfrånvaro2015In: Dagens Nyheter, ISSN 1101-2447Article in journal (Other (popular science, discussion, etc.))
  • 24.
    Selander, John
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Buys, Nicholas
    Griffith University, Australia.
    Sickness absence as an indicator of health in Sweden2010In: International Journal of Disability Mangement Research, ISSN 1833-8550, E-ISSN 1834-4887, Vol. 5, p. 40-47Article in journal (Refereed)
    Abstract [en]

    For many years Sweden has experienced high rates of sickness absence among employees. Sickness absence is often regarded as an indicator of health in a population, with low rates of absence associated with good health and high degrees of absence associated with poor health. The aim of this article is to examine this hypothesis — that the high rates of sickness absence in Sweden is an indicator of poor health. Sickness absence and health data was obtained from official government statistics in order to compare Sweden with six other European countries and a number of health-related variables. The hypothesis was not supported by the results of this study. While Sweden has a high rate of sickness absence, it ranks highly on a range of health variables when compared to other European countries. Instead, sickness absence may be more strongly associated with rates of unemployment. In times of high unemployment, sickness absence is low, and in times low unemployment, sickness absence is high. While public health programs are essential components of primary health care initiatives, the evidence from this study indicates that they are unlikely to have significant impact on sickness absence in Sweden. Instead more effort should be made to intervene early following sickness absence through providing timely vocational rehabilitation and disability management programs.

  • 25.
    Selander, John
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Marnetoft, Sven-Uno
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Case-Management in Vocational Rehabilitation: A case study with promising results2005In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 24, p. 297-304Article in journal (Refereed)
    Abstract [en]

    PURPOSE: The aim of the current study was to investigate whether Case Management and the strengths model could be a successful method in vocational rehabilitation of unemployed people on long term sick leave in Sweden. An additional aim was to further highlight the actual rehabilitation process. MATERIAL AND METHOD: Ten clients, five men and five women aged between 35 and 40, were included in the project. All ten were at the project start both long-term unemployed (2-13 years) and on long term sick leave (2-6 years). The project was evaluated from four perspectives: Quality of life (SF 36), sickness absence, and contact with working life were investigated before and after the project. The rehabilitation process was investigated during and after the project. RESULTS AND CONCLUSION: The result from the study was positive. Of the 10 clients who participated in the project, six have improved their quality of life, seven have a diminished sickness absence and seven have a closer contact to working life after the project than before. With regards to the rehabilitation process, the results here also impart a positive picture. It should be noted, however, that the study is small and not based on a random sample. The results should not be generalized, but recognized instead as a positive indication.

  • 26.
    Selander, John
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Marnetoft, Sven-Uno
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Bergroth, A.
    Ekholm, J.
    Return to work following vocational rehabilitation for neck, back and shoulder problems: Risk factors reviewed2002In: Disability and Rehabilitation, ISSN 0963-8288, Vol. 24, no 14, p. 704-712Article in journal (Refereed)
    Abstract [en]

    PURPOSE: The present aim was an overview of factors associated with return to work following vocational rehabilitation for problems in the neck, back, and shoulders. METHOD: Studies were identified through a systematic keyword search in databases. For inclusion, return to work had to be in focus and studies to have been published between 1980 and 2000. RESULTS AND CONCLUSION: A great number of demographic, psychological, social, medical, rehabilitation-related, workplace-related and benefit-system-related factors are associated with return to work. The different types of risk factor are associated in many ways. People with greater chances of job return after vocational rehabilitation are younger, native, highly educated, have a steady job and high income, are married and have stable social networks, are self-confident, happy with life, not depressed, have low level of disease severity and no pain, high work seniority, long working history and an employer that cares and wishes them back to the work place. Unfortunately, people with the above profile are seldom found among the long-term sick.

  • 27.
    Selander, John
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Marnetoft, Sven-Uno
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Åkerström, Bengt
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Asplund, Ragnar
    Locus of control and regional differences in sickness absence in Sweden.2005In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 27, no 16, p. 925-928Article in journal (Refereed)
    Abstract [en]

    PURPOSE: The aim of this study was to investigate if there are differences in locus of control (LOC), at a societal level, between two residential areas in Sweden with substantial differences in sickness absence. METHOD: A postal questionnaire was sent to 1500 randomly selected men and women aged 20 - 64 years. Five hundred questionnaires were sent to people living in Stromsund (a sparsely populated municipality in northern Sweden with high rates of sickness absence) and 1000 questionnaires to people in the Swedish capital of Stockholm, which has a low rate of sickness absence. RESULTS AND CONCLUSION: A comparison of LOC in the two study areas supported our hypothesis to a certain extent, external locus being more prominent in Stromsund. When physical and mental health and income were considered, however, the differences disappeared. Consequently, this study did not support the opinion that differences in sickness absence can be explained by LOC at a societal level

  • 28.
    Selander, John
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Marnetoft, Sven-Uno
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Åsell, Malin
    Umeå University.
    Predictors for successful vocational rehabilitation for clients with back pain problems2007In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 29, no 3, p. 215-220Article in journal (Refereed)
    Abstract [en]

    PURPOSE: The aim of this study was to identify predicting factors for successful vocational rehabilitation for people with back pain problems. METHOD: The study was based on data from 347 long-term sick-listed clients collected at the onset of vocational rehabilitation. The outcome was measured 6 months after the conclusion of rehabilitation. RESULTS: In a first bi-variate analysis, a considerable number of variables were associated with the rehabilitation outcome. In a second multivariate analysis, only four associations remained. These were age, general health, vitality and internal locus of control. Young vital clients in good general health, with a high internal locus of control were more likely than others to return to work. CONCLUSION: The findings regarding age, general health and vitality are well in line with previous studies. The findings regarding internal locus of control are more unique.

  • 29.
    Selander, John
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Marnetoft, Sven-Uno
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Åsell, Malin
    Selander, Ulrika
    Internal locus of control and vocational rehabilitation2008In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 30, no 2, p. 149-155Article in journal (Refereed)
    Abstract [en]

     

    In previous studies, internal locus of control (ILC) has been pointed out as a

    key factor for return to work after vocational rehabilitation. The aim of the

    current study was to gain a deeper understanding of the concept of ILC in a

    Swedish vocational rehabilitation context. The study was based on data from

    347 long-term sick-listed clients collected at the onset of vocational

    rehabilitation. A first bi-variate analysis showed that ILC was positively

    associated with physical functioning and general health, and negatively

    associated with bodily pain. The analysis also showed that women, more than

    men, reported high internal locus of control. After a second multivariate

    analysis, only bodily pain remained associated. It is concluded that there

    exist a strong and negative association between bodily pain and internal

    locus of control. Clients with severe pain often also suffer from low internal

    locus of control. This should be kept in mind when providing vocational

    rehabilitation.

     

  • 30.
    Tjulin, Åsa
    et al.
    Division of Public Health Sciences, School of Health, Care and Social Welfare, Malardalens University, Sweden .
    Mussner, Ulrika
    Division of Community Medicine, Department of Medical and Health Sciences, Linkoping University, Sweden .
    Selander, John
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Ekberg, Kerstin
    National Centre for Work and Rehabilitation, Department of Medical and Health Sciences, Linkoping University, Sweden .
    Learning Experiences in Return to Work Among Workplace Actors2015In: International Journal of Disability Mangement Research, ISSN 1833-8550, E-ISSN 1834-4887, Vol. 10, article id e1Article in journal (Refereed)
    Abstract [en]

    Purpose: The objective of this article was to investigate how individual learning emerges among workplace actors during the return-to-work process, and whether the prerequisites for collective learning at the workplace are present and managed by the actors. Learning in this context is viewed as a change in the preconceptions, experience or competence of the individual as a result of interactions in the workplace due to the return-to-work process. Method: A qualitative method was used, consisting of open-ended interviews with 19 individuals across 11 workplaces in the public and private sector. Inductive content analysis was performed. Results: The key findings from this study are that individual learning emerges in the return-to-work process due to previous experience, communication with other workplace actors, or insights into what works for the individual. However, the individual learning that occurs in the return-to-work process is not carried over into workplace learning due to barriers in understanding the needs and opportunities that may be present in the process. Conclusion: Our findings suggest that individual learning occurs within social practices through social interaction between the actors involved (workers on sickness absence supervisors and colleagues) and individual experiences. A greater knowledge of the factors that contribute to workplace learning could facilitate biopsychosocial and ecological return-to-work interventions, which allow workplace actors to draw on previous experiences from one return-to-work process to another.

  • 31.
    Wall, Erika
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Social Sciences. Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    John, Selander
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Return to Work After Long-Term Sick Leave: Stories of Employed Women With Common Mental Disorders2018In: International Journal of Disability Mangement Research, ISSN 1833-8550, E-ISSN 1834-4887, Vol. 13, no e4, p. 1-7Article in journal (Refereed)
    Abstract [en]

    The aim of this study is to investigate the perceptions of female employees on long-term sickness absence due to common mental disorders (CMDs), in relation to what they perceive would best help them to return to work. Data were collected through a survey answered by employees at a municipality in Sweden on long-term sick leave. Results of the current study are based on a part of that material, namely from 56 women with CMDs who responded to the final open question. The analysis involves two steps. Initially, we explored themes that form the accounts in the findings. Secondly, based on the themes, collective narratives, storylines were identified. Three different storylines were found to be prominent in the findings. The storylines describe how the participants collectively expressed themselves in relation to the possibilities for return to work, and the following storylines were derived: It feels like too much, Things are moving too fast, and I have to get out of here!. The findings are related to perceived demands, control and support. From a disability management perspective, we have learned the importance of restoring the balance between demands, control and support — not only to prevent absence from work, but also to facilitate return to work after a period of long-term sickness.

1 - 31 of 31
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