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Hedman Ahlström, BrittORCID iD iconorcid.org/0000-0001-5705-5705
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Publications (10 of 34) Show all publications
Lundström, S., Jormfeldt, H., Hedman Ahlström, B. & Skärsäter, I. (2019). Health-related lifestyle and perceived health among people with severe mental illness: Gender differences and degree of sense of coherence.. Archives of Psychiatric Nursing, 33(2), 82-188
Open this publication in new window or tab >>Health-related lifestyle and perceived health among people with severe mental illness: Gender differences and degree of sense of coherence.
2019 (English)In: Archives of Psychiatric Nursing, ISSN 0883-9417, E-ISSN 1532-8228, Vol. 33, no 2, p. 82-188Article in journal (Refereed) Published
Abstract [en]

People with severe mental illness (SMI) experience an increased risk of physical ill health and premature death, which appears to be partly related to unhealthy lifestyle habits. The aim of this study was to describe the distribution of health-related lifestyle habits and perceived health among people with severe mental illness. A further aim was to explore if there were any gender differences or differences based on degree of sense of coherence. The study adopted a cross-sectional design based on data from 65 people with SMI. The results show that degree of Sense of Coherence (SOC) does have relevance for perceived health and for dimensions of Quality of Life (QOL). Furthermore, among the participants with strong SOC, there were less daily smokers and they seemed to have less sedentary leisure time than those with low SOC. Men reported more anxiety/depression than women and women ate fruit more often than men, otherwise there were no gender differences. In comparison with the general population, people with SMI show a higher Body Mass Index are more sedentary, more often daily smokers, have lower SOC and perceive a lower QOL. This emphasizes the importance of health-promotion support that focuses on lifestyle changes, and support for strengthening SOC and QOL for people with SMI. © 2018 Elsevier Inc.

Keywords
Mental illness, health
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-13432 (URN)10.1016/j.apnu.2018.12.002 (DOI)000466833600008 ()30927988 (PubMedID)2-s2.0-85059175396 (Scopus ID)
Available from: 2019-03-21 Created: 2019-03-21 Last updated: 2019-06-05Bibliographically approved
Andrén, U., Hedman Ahlström, B., Kinnander, M., Kerekes, N., Skyvell Nilsson, M. & Nunstedt, H. (2019). Utveckling av ett nytt yrke inom socialpsykiatrisk vård. Trollhättan: Högskolan Väst
Open this publication in new window or tab >>Utveckling av ett nytt yrke inom socialpsykiatrisk vård
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2019 (Swedish)Report (Other academic)
Abstract [en]

The program in Social Psychiatric Care is a three-year program at the university level leading to a vocational qualification in social psychiatric care and a bachelor's degree in the field of Health Sciences. Until the spring of 2018, six litters have graduated. Students in the social psychiatric care program often have personal interest, previous professional experience from the business areas or inspiration from related friends working in the field of activity. Personal experiences of problems in the fields of activity are also prominent among the students. Students believe that personal experience, willingness and ability is important in order to work within the profession. Characteristics of the students are also an interest and a clear empathetic willingness to work with people and they consider that the profession primarily requires characteristics such as altruism, empathy, social skills and deeper knowledge and understanding in the field. Upon completion of education, students want a career role where they can help other people, feel motivated, or they aim for specific positions or areas of activity. Both managers and alumni from the Social Psychiatric Care program value the broad professional competence that the program leads to. Psychiatric competence is emphasized as particularly valuable by both alumni and managers. This competence means that they also complement the other professions in the activities. Students consider themselves possessed a professional identity that involves introducing psychiatric and custody skills to organizations that previously lacked these perspectives. Something that also brings new approaches to patients, users and clients. Being able to use knowledge from several disciplines are considered to be a strength and competence that are well-needed in environments where people with mental ill health are cared for. The alumni perceive their knowledge as both interdisciplinary and interprofessional.

Abstract [sv]

Programmet i Socialpsykiatrisk vård är ett treårigt program på högskolenivå som leder till en yrkesexamen inom socialpsykiatrisk vård och en kandidatexamen i huvudområdet Vårdvetenskap. Fram till våren 2018 har sex kullar tagit sin examen. Studenter i programmet för Socialpsykiatrisk vård har ofta ett personligt intresse, tidigare yrkeserfarenhet från verksamhetsområdena eller inspiration från närstående/vänner som arbetar inom verksamhetsområdet. Även personliga erfarenheter av problem inom verksamhetsområdena är framträdande bland studenterna. Studenterna anser att den personliga erfarenheten, viljan och förmågan är viktigt för att kunna verka inom yrket. Utmärkande egenskaper hos studenterna är också ett specifikt intresse och en tydlig empatisk vilja av att arbeta med människor och de anser att yrket framförallt kräver egenskaper som altruism, empati, social kompetens samt en fördjupad kunskap och förståelse inom området. Efter avslutad utbildning önskar studenterna få möjligt till en yrkesroll där de kan hjälpa andra människor, eller så har de sikte på en specifik befattning eller ett speciellt verksamhetsområde. Såväl chefer som alumner från programmet Socialpsykiatrisk vård värdesätter den breda yrkeskompetens som programmet leder till. Den psykiatriska kompetensen betonas som särskilt värdefull av både alumner och chefer. Denna kompetens innebär att de också utgör ett komplement till övriga professioner inom verksamheterna. Studenterna anser sig ha erövrat en professionell identitet som handlar om att föra in psykiatriska och vårdande kunskaper till organisationer som tidigare saknat dessa perspektiv. Något som också medför nya förhållningssätt till patienter, brukare och klienter. Att kunna använda kunskap från flera discipliner anses som en styrka och en kompetens som är välbehövd i miljöer där personer med psykisk ohälsa vårdas. Alumnerna uppfattar sin kunskap som både tvärdisciplinär och interprofessionell.

Place, publisher, year, edition, pages
Trollhättan: Högskolan Väst, 2019. p. 42
Series
Reports University West, ISSN 2002-6188, E-ISSN 2002-6196 ; 2019:2
Keywords
Occupational socialization, student experience, interdisciplinary education, health sciences, psychiatry, social work, higher education, social psychiatric car
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-13907 (URN)978-91-88847-36-2 (ISBN)
Available from: 2019-06-05 Created: 2019-06-05 Last updated: 2019-06-07
Sehlin, H., Hedman Ahlström, B., Andersson, G. & Wentz, E. (2018). Experiences of an internet-based support and coaching model for adolescents and young adults with ADHD and autism spectrum disorder: a qualitative study. BMC Psychiatry, 18(1), Article ID 15.
Open this publication in new window or tab >>Experiences of an internet-based support and coaching model for adolescents and young adults with ADHD and autism spectrum disorder: a qualitative study
2018 (English)In: BMC Psychiatry, ISSN 1471-244X, E-ISSN 1471-244X, Vol. 18, no 1, article id 15Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: There is a great demand for non-medical treatment and support targeting the needs of adolescents and young adults with autism spectrum disorder (ASD) and attention-deficit/hyperactivity disorder (ADHD). There is also a lack of qualitative studies providing in-depth insight into these individuals' own experiences within this area. The current study aimed to explore how adolescents and young adults with ADHD, ASD or both experienced taking part in an internet-based support and coaching intervention.

METHODS: Sixteen participants with ASD, ADHD or both who had participated in an 8-week internet-based support and coaching model, were interviewed using semi-structured interviews. Data was analyzed using qualitative content analysis.

RESULTS: Analysis yielded three themes; Deciding to participate, Taking part in the coaching process and The significance of format. Various motives for joining were expressed by participants, such as viewing the technology as familiar and appealing and expecting it to be better suited to their situation. There was also a previously unfulfilled need for support among participants. In deciding to take part in the intervention the coaches' competence and knowledge were considered essential, often in the light of previously negative experiences. Taking part in the coaching process meant feeling reassured by having someone to turn to in view of shared obstacles to seeking and receiving help. The support was used for talking through and receiving advice on matters related to their diagnosis. Findings further revealed appreciation for aspects relating to the format such as communicating through the written word, being in one's own home and an experience of immediacy. Some disadvantages were voiced including incomplete personal interaction and failing technology. There were also suggestions for greater flexibility.

CONCLUSIONS: The in-depth qualitative data obtained from this study suggest that the current model of support and the internet-based format have specific qualities that could play an important role in the support of adolescents and young adults with ADHD and ASD. Although not a replacement for face-to-face interaction, it could be a promising complement or alternative to other support and treatment options.

TRIAL REGISTRATION: "Internet-based Support for Young People with ADHD and Autism - a Controlled Study" retrospectively registered in www.clinicaltrials.gov ( ClinicalTrials.gov Identifier: NCT02300597 ) at 2014-11-10.

Keywords
ADHD, Adolescent, Adult, Autism, Coaching, Experiences, Internet-based, Qualitative, Support
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-12016 (URN)10.1186/s12888-018-1599-9 (DOI)000422771100001 ()29347983 (PubMedID)2-s2.0-85040723879 (Scopus ID)
Funder
Region Västra GötalandFredrik och Ingrid Thurings StiftelseVårdal Foundation
Note

Funders:  The Health and Medical Care Committee of the Regional Executive Board, Region Halland; The Swedish Institute for Health Sciences; The Department of Health Sciences at University West.

Available from: 2018-01-30 Created: 2018-01-30 Last updated: 2019-01-22Bibliographically approved
Hansson, A., Svensson, A., Hedman Ahlström, B., Larsson, L. G., Forsman, B. & Alsén, P. (2018). Flawed communications: Health professionals’ experience of collaboration in the care of frail elderly patients. Scandinavian Journal of Public Health, 46(7), 680-689
Open this publication in new window or tab >>Flawed communications: Health professionals’ experience of collaboration in the care of frail elderly patients
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2018 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 46, no 7, p. 680-689Article in journal (Refereed) Published
Abstract [en]

Aims: Frail elderly patients who have multiple illnesses do not fare well in modern health care systems, mainly due to a lack of care planning and flawed communication between health professionals in different care organisations. This is especially noticeable when patients are discharged from hospital. The aim of this study was to explore health care professionals’ experience of obstacles and opportunities for collaboration. Methods: Health professionals were invited to participate in three focus groups, each consisting of a hospital physician, a primary care physician, a hospital nurse, a primary care nurse, a municipal home care nurse or an assistant officer, a physical or occupational therapist and a patient or a family member representative. These individual people were then asked to discuss the obstacles and opportunities for communication between themselves and with the patients and their relatives when presented with the case report of a fictitious patient. Content analysis was used to identify categories. Results: Several obstacles were identified for effective communication and care planning: insufficient communication with patients and relatives; delayed collaboration between care-givers; the lack of an adequate responsible person for care planning; and resources not being distributed according to the actual needs of patients. The absence of an overarching responsibility for the patient, beyond organisational borders, was a recurring theme. These obstacles could also be seen as opportunities. Conclusions: Obstacles for collaboration were found on three levels: societal, organisational and individual. As health care professionals are well aware of the problems and also see solutions, management for health care should support employees’ own initiatives for changes that are of benefit in the care of frail elderly patients with multiple illnesses.

Keywords
Communication barriers; community health services; discharge planning; prescription drugs; frail elderly patients; focus groups; organisational culture; patient safety; qualitative research
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-13429 (URN)10.1177/1403494817716001 (DOI)000452488900002 ()
Note

Funders: Fyrbodal Health Academy

Available from: 2019-01-21 Created: 2019-01-21 Last updated: 2019-05-27Bibliographically approved
Sfendla, A., Lemrani, D., Hedman Ahlström, B., Senhaji, M. & Kerekes, N. (2018). Risk and protective factors for drug dependence in two Moroccan high-risk male populations. PeerJ, 6, Article ID e5930.
Open this publication in new window or tab >>Risk and protective factors for drug dependence in two Moroccan high-risk male populations
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2018 (English)In: PeerJ, ISSN 2167-8359, E-ISSN 2167-8359, Vol. 6, article id e5930Article in journal (Refereed) Published
Abstract [en]

Background

Substance use is linked to biological, environmental, and social factors. This study provides insights on protective and risk factors for drug dependence in two Moroccan, high-risk, male samples.

Methods

Data from the "Mental and Somatic Health without borders" (MeSHe) survey were utilized in the present study. The MeSHe survey assesses somatic and mental health parameters by self-report from prison inmates (n = 177) and outpatients from an addiction institution (n = 54). The "Drug dependence" and the "No drug dependence" groups were identified based on the Arabic version of the Drug Use Disorder Identification Test's (DUDIT) validated cutoff for identifying individuals with drug dependence, specifically in Morocco.

Results

The majority of participants who had at least high school competence (67.6%), were living in a partnership (53.7%), were a parent (43.1%), and/or had a job (86.8%) belonged to the "No drug dependence" group, while the presence of mental health problems was typical among the "Drug dependence" group (47.4%). A multivariable regression model (χ2 (df = 5, N = 156) = 63.90, p < 0.001) revealed that the presence of depression diagnosis remains a significant risk factor, while a higher level of education, having a child, and being employed are protective factors from drug dependence.

Discussion

Findings support the importance of increasing academic competence and treating depression as prevention from the persistence of drug addiction in male high-risk populations.

Keywords
Arabic-DUDIT, Depression, Drug dependence, Employment, MeSHe study, Partnership, Protective factors, Risk factors
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Public health science
Identifiers
urn:nbn:se:hv:diva-13125 (URN)10.7717/peerj.5930 (DOI)000452328300010 ()2-s2.0-85056310232 (Scopus ID)
Available from: 2018-11-13 Created: 2018-11-13 Last updated: 2019-05-24Bibliographically approved
Söderqvist, H., Eklund, K., Hedman Ahlström, B. & Wentz, E. (2017). The caregivers' perspectives of burden before and after an internet-based intervention of young persons with ADHD or autism spectrum disorder.. Scandinavian Journal of Occupational Therapy, 24(5), 383-392
Open this publication in new window or tab >>The caregivers' perspectives of burden before and after an internet-based intervention of young persons with ADHD or autism spectrum disorder.
2017 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 24, no 5, p. 383-392Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Everyday life in a family with a young person with attention-deficit/hyperactivity disorder (ADHD) and/or autism spectrum disorder (ASD), is multifaceted and may be a burden to the caregivers. The aim was to explore experiences of the caregiver situation, and how they were affected when the young persons received Internet-Based Support and Coaching (IBSC).

METHOD: A multiple descriptive case design was used. Ten caregivers of 10 young persons with ADHD and/or ASD participated, and completed a questionnaire, measuring caregiver burden. Three analysis methods were used; statistical analysis of the caregivers' scores, case reports and qualitative content analysis of an open question.

RESULTS: Most of the caregivers never had to provide hands-on help with primary ADL, and were able to cope with the young person's problems. The caregivers' role required patience. They had major worries about the future, when they would no longer be around to provide support. After the intervention, there was no common trajectory for all caregivers; their situation either remained unchanged, improved or deteriorated.

CONCLUSIONS: The caregiver's burden is more or less complex when the young person undergoes the transition into adulthood. The caregiver burden decreased in some families following the young person's participation in IBSC.

Keywords
Activities of daily living, ADHD, autism, internet-based support, caregiver burden
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-10655 (URN)10.1080/11038128.2016.1267258 (DOI)000405478700008 ()28140737 (PubMedID)2-s2.0-85011294173 (Scopus ID)
Funder
Vårdal FoundationSwedish Research CouncilRegion Västra Götaland
Note

Published online: 31 Jan 2017

Funders: Swedish Institute for Health Sciences; Wilhelm and Martina Lundgren foundation; Vinnvård

Available from: 2017-02-06 Created: 2017-02-06 Last updated: 2019-01-31Bibliographically approved
Lundström, S., Hedman Ahlström, B., Jormfeldt, H., Eriksson, H. & Skärsäter, I. (2017). The Meaning of the Lived Experience of Lifestyle Changes for People with Severe Mental Illness.. Issues in Mental Health Nursing, 38(9), 717-725
Open this publication in new window or tab >>The Meaning of the Lived Experience of Lifestyle Changes for People with Severe Mental Illness.
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2017 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 38, no 9, p. 717-725Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to elucidate the meaning of the lived experience of lifestyle changes as perceived by people with severe mental illness (SMI). People with SMI who have experience in managing lifestyle changes were interviewed (n = 10). The interviews were analyzed with a phenomenological hermeneutic approach. The findings reveal three themes: (1) struggling with inner and outer limitations, (2) on one's own but together with others and (3) longing for living a life in harmony. The meaning of lifestyle changes can be understood as a person's internal and external endeavors to make well-considered decisions about lifestyle changes. Support should focus on strengthening the person's self-efficacy and should be based on the person's experiences.

National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-11030 (URN)10.1080/01612840.2017.1330909 (DOI)000413793800007 ()28613126 (PubMedID)2-s2.0-85020737557 (Scopus ID)
Note

Published online: 14 Jun 2017

Available from: 2017-06-20 Created: 2017-06-20 Last updated: 2017-12-18Bibliographically approved
Hansson, A., Larsson, L. G., Svensson, A., Alsén, P., Ahlström, B. H. & Forsman, B. (2016). Vem tar bollen?: går vården för de mest sjuka äldre att förbättra?. Fyrbodals Hälsoakademi
Open this publication in new window or tab >>Vem tar bollen?: går vården för de mest sjuka äldre att förbättra?
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2016 (Swedish)Report (Other academic)
Abstract [sv]

Bakgrund Flera svenska rapporter visar att de mest sjuka äldre ofta far illa på grund av bristande samordning och oklar ansvarsfördelning mellan olika behandlingsinstanser. Primärvården, hemtjänsten och den kommunala hemsjukvården anses i otillräcklig omfattning ta över ansvaret efter utskrivningen av de sjuka äldre från sjukhuset. Svenska erfarenheter stämmer väl med vad man funnit i flera internationella studier: sjukvården är illa rustad för att möta de mest sjuka äldres komplexa behov av vård och omsorg.

Place, publisher, year, edition, pages
Fyrbodals Hälsoakademi, 2016
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-9330 (URN)
Available from: 2016-04-28 Created: 2016-04-28 Last updated: 2019-03-12Bibliographically approved
Hedman Ahlström, B. & Wentz, E. (2015). Performance and social life perceived by young persons with ADHD and autism. A chat-log analysis.. , 5(2), 114-124
Open this publication in new window or tab >>Performance and social life perceived by young persons with ADHD and autism. A chat-log analysis.
2015 (English)In: Vol. 5, no 2, p. 114-124Article in journal (Refereed) Published
Abstract [en]

This study focuses on young persons with ADHD (attention-deficit/hyperactivity disorder) and ASD (autism spectrum disorders), and on their everyday life. Follow-up studies on ADHD and ASD persisting into adulthood describe residual impairments affecting everyday life. Previous studies have focused on interventions and programmes aiming to support these young persons in their attempts to learn, understand and manage social interaction in real life. However, few studies involve the young person’s reflections on their own view of their everyday life. The aim was to elucidate how young persons with ADHD and ASD describe aspects of everyday life based on analysis of Internet-based chat logs. Twelve young persons (seven males and five females aged 15-26 years) with ADHD and ASD participated in an eight-week IBSC (internet-based support and coaching) study, comprising chat via Internet. Data consisted of 12 chat logs (445 pages of text) produced interactively by the participants and their personal coaches. The text was analysed using qualitative content analysis. Two themes were revealed: (1) “When performance is an achievement” with the subthemes; “to cope with the problems caused by the disability”, “the impact of treatment on performance”, and “to perform well enough”; and (2) “When social life is an achievement” with the subthemes; “desire for closeness” and “dealing with social relations”. The study reveals the young persons’ efforts to overcome obstacles to performance and social interaction stemming from their disabilities. They master strategies in terms of SOC while simultaneously they actuate their laborious transition into adulthood. Their ability to express these processes in an IBSC chat became evident. Using e-coaching in this population makes available new opportunities for health-care professionals to pay serious attention to these young persons’ problems.

Keywords
ADHD, autism, qualitative content analysis, effects of medication, everyday life, Internet-based support, social interaction, young persons
National Category
Medical and Health Sciences
Research subject
NURSING AND PUBLIC HEALTH SCIENCE
Identifiers
urn:nbn:se:hv:diva-7601 (URN)10.17265/2159-5542/2015.02.004 (DOI)
Available from: 2015-05-24 Created: 2015-05-24 Last updated: 2019-05-14Bibliographically approved
Ahlström, B. H. & Wentz, E. (2014). Difficulties in everyday life: Young persons with attention-deficit/hyperactivity disorder and autism spectrum disorders perspectives. A chat-log analysis.. International Journal of Qualitative Studies on Health and Well-being, 9, 23376
Open this publication in new window or tab >>Difficulties in everyday life: Young persons with attention-deficit/hyperactivity disorder and autism spectrum disorders perspectives. A chat-log analysis.
2014 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 9, p. 23376-Article in journal (Refereed) Published
Abstract [en]

This study focuses on the everyday life of young persons with attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD). There are follow-up studies describing ADHD, and ASD in adults, and residual impairments that affect life. Few qualitative studies have been conducted on the subject of their experiences of everyday life, and even fewer are from young persons' perspectives. This study's aim was to describe how young persons with ADHD and ASD function and how they manage their everyday life based on analyses of Internet-based chat logs. Twelve young persons (7 males and 5 females aged 15-26) diagnosed with ADHD and ASD were included consecutively and offered 8 weeks of Internet-based Support and Coaching (IBSC). Data were collected from 12 chat logs (445 pages of text) produced interactively by the participants and the coaches. Qualitative content analysis was applied. The text was coded and sorted into subthemes and further interpreted into themes. The findings revealed two themes: "fighting against an everyday life lived in vulnerability" with the following subthemes: "difficult things," "stress and rest," and "when feelings and thoughts are a concern"; and the theme "struggling to find a life of one's own" with the following subthemes: "decide and carry out," "making life choices," and "taking care of oneself." Dealing with the problematic situations that everyday encompasses requires personal strength and a desire to find adequate solutions, as well as to discover a role in society. This study, into the provision of support and coaching over the Internet, led to more in-depth knowledge about these young persons' everyday lives and revealed their ability to use IBSC to express the complexity of everyday life for young persons with ADHD and ASD. The implications of the findings are that using online coaching makes available new opportunities for healthcare professionals to acknowledge these young persons' problems.

Keywords
ADHD, Internet-based support, autism, coaching, content analysis, everyday life, vulnerability, young persons
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science; Child and Youth studies
Identifiers
urn:nbn:se:hv:diva-6295 (URN)10.3402/qhw.v9.23376 (DOI)000336908700001 ()24875238 (PubMedID)2-s2.0-84902362438 (Scopus ID)
Available from: 2014-06-05 Created: 2014-06-05 Last updated: 2017-12-05Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-5705-5705

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