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  • 1.
    Axelsson, Malin
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Conscientiousness – an influential personality trait of adherence behaviour in persons with asthma and allergic rhinitis2011Conference paper (Refereed)
  • 2.
    Axelsson, Malin
    University West, Department of Nursing, Health and Culture.
    Personality and adherence to medication treatment2011Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Striving for improved adherence to medication treatment is of vital concern, as low adherence is a major obstacle in treating many prevalent chronic diseases. Several factors have been identified that seem to influence adherence behaviour, but limited research exists on the significance of personality for adherence to medication treatment. According to the Five-Factor Model (FFM), personality can be described in terms of five broad personality traits: Neuroticism, Extraversion, and Openness to experience, Agreeableness, and Conscientiousness. Reports on health-related quality of life (HRQL), asthma control and selfefficacy may also be influenced by personality. Therefore, the overall aim of the present research project was to explore the significance of personality traits in relation to adherence to medication treatment and asthma control, health-related quality of life and self-efficacy. 

  • 3.
    Axelsson, Malin
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Personlighetens betydelse för uppnådd och upplevd astmakontroll2011In: Fagbladet Allergi i praksis, ISSN 0806-5462, ISSN 0806-5462, p. 12-15Article in journal (Other academic)
  • 4.
    Axelsson, Malin
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Lundgren, Jesper
    Avdelningen för psykologi, Göteborgs Universitet.
    Lötvall, Jan
    Krefting Research Center, Göteborgs universitet.
    Personality traits in relation to health-related quality of life in persons with asthma and/or allergic rhinitis2011In: 30th Congress of the European Academyof Allergy and Clinical Immunology in Istanbul, 2011Conference paper (Refereed)
  • 5.
    Axelsson, Malin
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Lötvall, Jan
    Krefting Research Center, Göteborgs universitet.
    Lundgren, Jesper
    Avdelningen för psykologi, Göteborgs Universitet.
    Patients´ adherence reasoning in relation to asthma medication2011In: 30th Congress of the European Academy of Allergy and Clinical Immunology in Istanbul, 11-15 june 2011, 2011Conference paper (Refereed)
  • 6.
    Axelsson, Malin
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Health Sciences, Section for nursing - graduate level.
    Lötvall, Jan
    Krefting Research Center, Göteborgs universitet.
    Recent educational interventions for improvement of asthma medication adherence.2012In: Asia Pacific allergy, ISSN 2233-8276, Vol. 2, no 1, p. 67-75Article in journal (Refereed)
    Abstract [en]

    Poor adherence to asthma medication treatment is a dilemma as it decreases the chance of achieving and maintaining a proper asthma control. Another dilemma is that there seems to be a small range of functional interventions that enhance adherence to long-term medication treatments. The aim was to review the last five years of published educational interventions for improving adherence to asthma medication. Through systematic database searches 20 articles were identified, which matched the inclusion criteria and described educational interventions to improve asthma self-management including adherence. The current review showed that addressing unintentional non-adherence in terms of incorrect inhaler technique by recurrent education improved the technique among many patients, but not among all. Phoning patients, as a means to remove medication beliefs as adherence barriers, seemed to be an effective educational strategy, shown as increased adherence. Involving patients in treatment decisions and individualising or tailoring educational support also seemed to have favourable effect on adherence. To conclude, addressing specific adherence barriers such as poor inhaler technique or medication beliefs could favour adherence. To change adherence behavior, the current review proposes that educational adherence support should be a collaborative effort between the patient and the health-care professional based on each individual patient's needs and patient factors, including elements such as personality traits.

  • 7.
    Gellerstedt, Martin
    et al.
    University West, Department of Economics and IT, Division of Computer Science and Informatics.
    Bengtsson, U
    Sahlgrenska University Hospital, Gothenburg, Sweden.
    Niggemann, B
    University Children’s Hospital Charité, Berlin, Germany.
    Methodological issues in the diagnostic work-up of food allergy: a real challenge.2007In: Journal of investigational allergology & clinical immunology, ISSN 1018-9068, E-ISSN 1698-0808, Vol. 17, no 6, p. 350-356Article in journal (Refereed)
    Abstract [en]

    The standard of reporting in diagnostic studies has generally been low. Fortunately, this issue has begun to be addressed in recent years through the discussion of important methodological issues in educational series, textbooks, and checklists. Double-blind, placebo-controlled, oral food challenges (DBPCFC) are considered to be the gold standard for diagnosis of food allergy. However, there is no consensus regarding how to interpret the outcome and how to define positive and negative provocations in DBPCFC. Furthermore, since most theories on the diagnosis of food allergy rely on the assumption that the DBPCFC has a high accuracy, this accuracy must be formally statistically evaluated. In this review, we discuss essential methodological issues for diagnostic accuracy studies in general and for oral food challenges in particular and discuss the importance of methodological issues as a guide for forthcoming studies of diagnostic procedures.

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