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  • 301.
    Skobalj, Azra
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Wallberg, Jennie
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Samhällsprofessionernas erfarenheter av att möta kvinnor som utsätts för våld i nära relation: En litteraturstudie om vilka stödjande insatser samhällsorganisationer har2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background More than a third of all women were exposed to violence globally. In Sweden, one of six women, had reported to experience violence in a close relationship. Violence in close relationships committed against women is considered as a public health issue and a gender equality problem. Women subjected to physical or psychological violence committed by the woman's partner could depend on a lower level of education, abuse, norms in society or religion and belief. It was important that factors such as family, society and individual level worked so that violence in close relationships could be prevented.

    Aim To describe the supportive efforts of the community organizations that supported or took care of women who were exposed to violence in close relationships.

    Method This literature study was based on previous qualitative research that had examined how professionals worked and experienced the encounter with abused women.

    Results Two main themes were found. The results showed that the professionals who worked and met abused women felt that they did not have time, education and routines in the encounter with the woman. The lack of cooperation and clear guidelines was deficient and the professionals felt that they did not feel safe.

    Conclusion Education about violence in close relationships were basic premises for professionals who worked with women that were exposed. Professionals needed to gain more knowledge in how to deal with women that were exposed to violence and become confident in conducting screening of issues concerning domestic violence. A more developed cooperation between the various agencies were necessary in the work with women exposed to violence.

  • 302.
    Skogholm, Madelene
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Nilsson, Charlotte
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Det går inte att slå i en spik utan hammare: En studie om arbetet med närståendes delaktighet inom SiS, ur ett personalperspektiv2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Statens institutionsstyrelse (SiS) is responsible for the special youth homes in Sweden. This is where children and adolescents are placed when involuntary treatment is considered as the only alternative. Children and adolescents who are placed in SiS often have complex psychosocial problems, substance abuse problems and criminal behavior. It is a difficult target group and re-admissions are common. Previous research shows that the inclusion of young people related parties is a vital factor for the success of the treatment in order to achieve long-term results.

    Aim: The aim of the study is to examine the caring staff´s experience of working with related parties´ participation in SiS.

    Method: A qualitative research method was used.

    Results: The results was divided into two categories. The first was named The potential of participation and had two subcategories; The importance of related parties´ and To include. The second category was named Obstruction factors and Challenges and had four subcategories; Time of treatment, Geographical distance and lack of resources, Difficulties in the family and The professionals´ obligations- law and mission.

    Conclusion: It became clear that the participants had extensive experience in working with the related parties´ participation. The related parties´ are considered to be an important part of the adolescents recovery, both during the time in the institution and afterwards. The work with the unaccompanied children has open doors to expand the work with important people around the adolescent that is not in the closest family.

  • 303.
    Spaseska, Claudia
    et al.
    School of Allied Health, Australian Catholic University, Level 2,Melbourne (AUS).
    Lynch, Claire
    School of Allied Health, Australian Catholic University, Level 2,Melbourne (AUS).
    Joosten, Annette
    School of Allied Health, Australian Catholic University, Level 2,Melbourne (AUS).
    Areskoug Josefsson, Kristina
    University West, Department of Health Sciences, Section for health promotion and care sciences. Department of Behavioural Science, Oslo Metropolitan University, Oslo (NOR), Jönköping Academy for Improvement of Health and Welfare, Jönköping University, Jönköping (SWE).
    Experience of Recently Graduated Occupational Therapists in Addressing Sexuality with Their Clients2022In: Sexuality and disability, ISSN 0146-1044, E-ISSN 1573-6717, Vol. 40, no 4, p. 769-783Article in journal (Refereed)
    Abstract [en]

    Health care consumers have emphasised the importance of being able to express themselves in a sexual nature, regardless of their health conditions. Unfortunately, literature based on experienced occupational therapists and students, indicates sexuality is poorly addressed, despite being a meaningful occupation. There is limited literature based on Australian experiences or the experiences of recent graduates, therefore this study aimed to explore how comfortable and prepared 11 recent graduates who studied in Australia, were in addressing sexuality, as well as the enablers and challenges experienced. A qualitative research design was utilized, with results demonstrating that undergraduate curricula are not adequately preparing new graduates to feel equipped with the knowledge, skills, comfort and preparedness to address sexuality. Enablers such as education, professional development and supportive workplaces, can aid to facilitate positive change in this area of practice, which may improve client outcomes.

  • 304.
    Steffenburg Wennberg, Marie
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Personcentrerat arbetssätt – utveckling av mellanmänskliga färdigheter: Arbetsintegrerat lärande genom reflektion, uppskattande förhållningssätt och innovation2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Personcentrerad vård och arbetssätt har kommit att få stor plats i den svenska hälso- och sjukvården. Krav ställs på vården för införande genom lagar och politiska beslut. Det saknas dock konsensus av begreppet och hur det ska kunna mätas. Det upplevs också som provocerande och som kritik mot den vård som redan utförs idag. Syfte: Syftet med studien var att beskriva och jämföra framgångsfaktorer för implementering av personcentrerad vård/arbetssätt. Metod: Studien var baserad på en kvalitativ metod. Genom semistrukturerade intervjuer samlades data in från utvecklingsledare och förändringsledare för åtta vårdavdelningar, fyra öppenvårdsmottagningar, fyra vårdcentraler samt fokusgruppsintervju av åtta sjuksköterskor i klinisk verksamhet. Resultaten analyserades genom kvalitativ innehållsanalys. Resultat: Resultaten visar på flera gemensamma faktorer oavsett kontext och där personlig utveckling var bärande för utvecklingen Slutsats: Grunden ligger i en personlig utveckling av mellanmänskliga färdigheter och ett genuint intresse att förändra utifrån både vårdens och patientens perspektiv. Detta kan ske genom reflektion, individuellt, men framför allt tillsammans med andra, ett uppmuntrande förhållningssätt samt samverkan med patienterna. Avsaknad av modell och hur det ska införas har givit en handlingsfrihet att utveckla arbetet i sin egen kontext vilket har skapat delaktighet och meningsfullhet. Stöd från chefer och intresse från ledningsnivå krävs för att bekräfta att det är ett viktigt och högt prioriterat arbete. Tid för reflektion och utveckling samt långsiktiga politiska mål, behövs för implementering i det vardagliga arbetet.

  • 305.
    Stevanovic, Dejan
    et al.
    Department of Psychiatry, Clinic for Neurology and Psychiatry for Children and Youth, Belgrade (SRB).
    Damjanovic, Rade
    Department of Social Sciences, Faculty of Education in Sombor, University of Novi Sad, Sombor (SRB).
    Jovic, Vladimir
    Department of Psychiatry, Clinic for Neurology and Psychiatry for Children and Youth, Belgrade (SRB).
    Bador, Kourosh
    AGERA KBT AB, Gothenburg (SWE).
    Nguyen, Hang Thi Minh
    Department of Clinical Psychology, Faculty of Psychology, University of Social Sciences and Humanities, VNU, Hanoi (VNM).
    Senhaji, Meftaha
    Department of Biology, Faculty of Sciences, Abdelmalek Essaâdi University, Avenue de Sebta, Mhannech II, Tetouan (MAR).
    Kuch-Cecconi, Rachael H.
    Department of Psychiatry and Behavioral Sciences, SUNY Upstate Medical University, Syracuse, NY (USA).
    Meszaros, Zsuzsa Szombathyne
    Department of Psychiatry and Behavioral Sciences, SUNY Upstate Medical University, Syracuse, NY (USA).
    Kerekes, Nora
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Measurement properties of the life history of aggression in adolescents: Data from Morocco, Serbia, Sweden, Vietnam, and the USA.2022In: Psychiatry Research, ISSN 0165-1781, E-ISSN 1872-7123, Vol. 311, article id 114504Article in journal (Refereed)
    Abstract [en]

    The Life History of Aggression (LHA) is a frequently used scale for assessing trait aggression, but its psychometric properties have not been evaluated among adolescents. The aim of this study was to evaluate the psychometric properties of the LHA among high school students from Morocco, Serbia, Sweden, Vietnam, and the United States of America (USA). The total sample included 4867 adolescents, aged 15-19 years, from Morocco (n = 508), Serbia (n = 1067), Sweden (n = 1570), Vietnam (n = 1401), and the USA (n = 321). A two-factor, nine-item model containing an aggression factor (5 items) and a consequences/antisocial behavior factor (4 items) was created. The two-factor model had an acceptable-to-good model fit for the data for the total sample and all five countries, including gender. Cronbach's alpha (α) was satisfactory across countries. Still, the construct was noninvariant across countries and genders. The LHA with nine items in two subscales showed sound construct validity and internal consistency and can be used for group-level or within-group assessments of trait aggression in adolescents by either gender or country. However, it should not be used for cross-gender or cross-country comparisons due to a lack of measurement invariance.

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  • 306.
    Stevanovska Berg, Alexandra
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Skoglund, Lovisa
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    "Ta det som en man": Mäns utsatthet för våld i nära relationer2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Domestic violence is a debated and well-known social problem. Often, the dialogue is about men's violence against women and it is rarely mentioned that a man is subjected to violence by a female partner.

    Aim: The aim of the study was to describe men's experiences of being subjected to violence by a female partner in an intimate relationship.

    Method: A literature review was conducted which included five qualitative and three quantitative articles. The databases used were CINAHL, PsycInfo and PsycArticles. The data analysis was based on a three-step model and all articles were reviewed through a quality assessment template. Findings: During the analysis one main category that emerged was "Experiences and consequences caused by violence", with the sub categories "Physical acts of violence", "Psychological acts of violence", "Health effects" and "Social effects", another main category was "The ambiguity of the environment " with sub categories "The response of authorities " and "The approach of relatives" and the last main category was "The woman's power and control". The results show that men experience both physical, mental and sexual violence from a female partner in an intimate relationship. It also appears in the study's findings that underlying gender-based normsand stereotypical assumptions prevent men from being considered as actual victims.

    Conclusion: Men's exposure to violence in an intimate relationship is a complex problem that is strongly associated with society's norms and assumptions about masculinity. Professional shortcomings in the treatment of abused men can have major consequences for the man. In order to gain more knowledge and a better understanding of men's exposure to violence in an intimate relationship, the problem needs to be further visualized and discussed at both individual and societal levels. Practical implications: Adequate education can help professionals get the right tools to deal with abused men, which can lead to reduced vulnerability and increased health of abused men. The study can help to improve preventive work in, for example, health care and social services to prevent men from falling victim to violence, as these authorities often have a significant role indetecting violence. Suggestions for continued knowledge development: Further research is required on men's exposure to violence in intimate heterosexual relationships to break the stigma around the exposure of violence and to contribute with knowledge to professionals in the humantreatment professions who encounter these men.

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  • 307.
    Strand, Anna
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Wallin, Linda
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Att lyssna på en livshistoria som måste få berättas: Vårdpersonalens erfarenheter av att möta kvinnor utsatta för våld i nära relationer2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Mens violence against women occured in all cultures and social classes. The violence was a comprehensive public health issue, based on the gender gap between women and men, and occured hidden from insight. Health care professionals had an important role in identifying exposedness of violence, although being a complex issue in the current health care. Aim: To investigate health care professionals experience of encountering women suffering from domestic violence. Metod: The study was a litterature review. The literature was obtained from four databases, Cinahl with full text, MEDLINE, PsycINFO and PsycARTICLES. The selection contained eight qualitative studies, one quantitative study and one studie with methodology triangulation. The analyse was carried out in a three step model. Results: The result consisted of the following three main categories; emotional strain, the power and frustration of knowledge and the dilemma of responsibility. The result showed that health care professionals became affected in a powerful way by listening to womens narratives about violence and witnessing its concequences. There was a substancial need for increased knowledge and education in making health care professionals feel safe about encountering women exposed to violence and in women receiving adequate care with respect and understanding. Health care professionals had difficulties identifying, treating and caring for women suffering from domestic violence since they are feeling unsupported by management and coworkers. Conclusion: It was evident that there was a comprehensive lack of knowledge within health care settings when it came to treating, identifying and caring for women suffering from domestic violence. This review contributed to improving awareness, knowledge and understanding of the problem area, paramount to professionals within health care settings, and even on a community level.

  • 308.
    Ström Karlgren, Amanda
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Glader, Monika
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Att uppleva självskadebeteende i ungdomsåren: En litteraturstudie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Self-harm behavior in adolescents is a problem that has been more noticed in recent years and is now referred to as a public health problem. Self-harm behavior is a complex problem that today is considered difficult to handle. It is important to highlight adolescents experience of self-harm to create an understanding of what it means to live with the behavior. 

    Aim: The purpose is to highlight young people's experiences of self-harm. 

    Method: A literature study based on eight qualitative articles. The databases Cinahl and PsycINFO were used to systematically search the articles. 

    Results: The result consists of two themes with the titles “negative experiences of living with a self-harm behavior” and “emotional management and communication”. Self-harm behavior is a strategy for coping with emotions that are perceived as uncontrollable. It is emphasized that feelings such as aggression, frustration and anxiety are some of the most common feelings that contribute a young person to self-harm. There is a recurring experience among young people that it is of great importance how they are treated when they seek help for the problem, it can affect whether they choose to seek help or not in the future. 

    Conclusion: Young people feel that their problems are not taken seriously and that they are subjected to stigmatization. Many young people say that their self-harm is a strategy for dealing with an unwanted state of emotion.

  • 309.
    Ståhlberg, Ola
    et al.
    National Board of Forensic Medicine, Department of Forensic Psychiatry, Gothenburg, Sweden, Centre for Ethics, Law and Mental Health (CELAM), University of Gothenburg, Gothenburg, Sweden.
    Boman, Sofia
    Swedish Prison and Probation Services, Gothenburg, Sweden.
    Robertsson, Christina
    Child and Adolescent Psychiatry, Stenungsund/Tjorn, Kungalvs Hospital, Sweden.
    Kerekes, Nora
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Anckarsäter, Henrik
    Centre for Ethics, Law and Mental Health (CELAM), University of Gothenburg, Gothenburg, Sweden, Forensic psychiatry, Institute of Neuroscience and Physiology, University of Gothenburg, Ragarden, House 1, SU – East Hospital, SE-416 85 Gothenburg, Sweden.
    Nilsson, Thomas
    Centre for Ethics, Law and Mental Health (CELAM), University of Gothenburg, Gothenburg, Sweden, Forensic psychiatry, Institute of Neuroscience and Physiology, University of Gothenburg, Ragarden, House 1, SU – East Hospital, SE-416 85 Gothenburg, Sweden.
    A 3-year follow-up study of Swedish youths committed to juvenile institutions: Frequent occurrence of criminality and health care use regardless of drug abuse2017In: International Journal of Law and Psychiatry, ISSN 0160-2527, E-ISSN 1873-6386, Vol. 50, p. 52-60Article in journal (Refereed)
    Abstract [en]

    This 3-year follow-up study compares background variables, extent of criminality and criminal recidivism in the form of all court convictions, the use of inpatient care, and number of early deaths in Swedish institutionalized adolescents (N = 100) with comorbid substance use disorders (SUD) and Attention-Deficit/Hyperactivity Disorder (ADHD) (n = 25) versus those with SUD but no ADHD (n = 30), and those without SUD (n = 45). In addition it aims to identify whether potential risk factors related to these groups are associated with persistence in violent criminality. Results showed almost no significant differences between the three diagnostic groups, but the SUD plus ADHD group displayed a somewhat more negative outcome with regard to criminality, and the non-SUD group stood out with very few drug related treatment episodes. However, the rate of criminal recidivism was strikingly high in all three groups, and the use of inpatient care as well as the number of untimely deaths recorded in the study population was dramatically increased compared to a age matched general population group. Finally, age at first conviction emerged as the only significant predictor of persistence in violent criminality with an AUC of .69 (CI (95%) .54–.84, p = .02). Regardless of whether SUD, with or without ADHD, is at hand or not, institutionalized adolescents describe a negative course with extensive criminality and frequent episodes of inpatient treatment, and thus requires a more effective treatment than present youth institutions seem to offer today. However, the few differences found between the three groups, do give some support that those with comorbid SUD and ADHD have the worst prognosis with regard to criminality, health, and untimely death, and as such are in need of even more extensive treatment interventions.

  • 310.
    Sultan, Maja
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Olsson, Lisa
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Att arbeta inom den rättspsykiatriska enheten: en litteraturöversikt med personalens hälsa i fokus2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Staff working in a forensic psychiatric unit have to make sure to keep the unit safe, and at the same time care for the patients. Caring for convicted patients can therefore be described as a complex process, which can affect the staff's daily work and be related to their mental health.

    Aim: The purpose of this study was to describe the factors that has impact on the mental health of staff working on forensic psychiatric units.

    Method: A literature review was used as a method in which both qualitative and quantitative studies were used to collect data.

    Results: The results were analyzed and complied into three themes; Feeling of inadequacy, The caring relationship and To be supported. Each theme consists of two to four subthemes which describe different factors that influenced the staff.

    Conclusions: It shows that the factors affecting the staff can be positive or negative. Several factors can be linked to the complex group of patients being cared for. Resources and whether the need of support were met by the organization also have an impact on how the staff is experiencing their work situation.

  • 311.
    Sundberg, Jesper
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Sorg efter närståendes suicid: Efterlevandes erfarenheter2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Every 40th second someone commits suicide, leaving behind many survivors of suicide (SOS). SOS face complicated grief, with increased risk for physical and mental health issues and suicidal behaviours. SOS often feel lonely and alienated from their social networks. Suicide related grief often leads to unhealthy coping behaviours and feelings of guilt and shame.

    Aim: To depict SOS experiences of grief after the suicide of a loved one. 

    Method: A literature review based on qualitative articles. These were found using the databases Cinahl and PsycInfo. Their quality was examined with a template developed at University West.

    Results: Two main categories emerged, with three subcategories each. “The many faces of grief” with the subcategories “The initial shock – The brutality of sorrow”, “Below the surface – The depths of despair” and “Questions unanswered – The uncertainty of grief”, together with “To live or not to live” with the subcategories “Managing the unfathomable”, “Guilt strained relationships” and “The suicidal spiral”. The findings depict the complexity and profoundness of the SOS experiences. These range from the initial shock to more long-term, existential questions in the struggle to manage the unfathomable. 

    Conclusion: The findings show that earlier stages of grief are characterized by shock, confusion, pain, and difficulties finding meaning in the situation. In later phases SOS often experience existential questions, guilt and shame, lingering questions regarding why and unhealthy methods of dealing with grief. Personal records of SOS experiences and emotions can likely grant important insights to health professionals in their encounters with the targetgroup.

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  • 312.
    Suutari, Anne-Marie
    et al.
    The Jönköping Academy for Improvement of Health and Welfare, School of Health and Welfare, Jönköping University, Jönköping (SWE); Department of Internal Medicine and Geriatrics, the Highland Hospital (Höglandssjukhuset), Region Jönköping County, Eksjö (SWE).
    Thor, Johan
    The Jönköping Academy for Improvement of Health and Welfare, School of Health and Welfare, Jönköping University, Jönköping (SWE).
    Nordin, Annika
    The Jönköping Academy for Improvement of Health and Welfare, Jönköping University, Jönköping (SWE).
    Areskoug Josefsson, Kristina
    University West, Department of Health Sciences, Section for health promotion and care sciences. The Jönköping Academy for Improvement of Health and Welfare, Jönköping University, Jönköping (SWE)Department of Behavioral Science, Oslo Metropolitan University, Oslo (NOR).
    Improving heart failure care with an Experience-Based Co-Design approach: what matters to persons with heart failure and their family members?2023In: BMC Health Services Research, E-ISSN 1472-6963, Vol. 23, no 1, p. 1-17, article id 294Article in journal (Refereed)
    Abstract [en]

    Background

    Heart failure is a chronic heart condition. Persons with heart failure often have limited physical capabil‑ity, cognitive impairments, and low health literacy. These challenges can be barriers to healthcare service co-design with family members and professionals. Experience-Based Co-Design is a participatory healthcare quality improve‑ment approach drawing on patients’, family members’ and professionals’ experiences to improve healthcare. The over‑all aim of this study was to use Experience-Based Co-Design to identify experiences of heart failure and its care in a Swedish cardiac care setting, and to understand how these experiences can translate into heart failure care improve‑ments for persons with heart failure and their families.

    Methods

    A convenience sample of 17 persons with heart failure and four family members participated in this single case study as a part of an improvement initiative within cardiac care. In line with Experienced-Based Co-Design meth‑odology, feld notes from observations of healthcare consultations, individual interviews and meeting minutes from stakeholders’ feedback events, were used to gather participants’ experiences of heart failure and its care. Refexive thematic analysis was used to develop themes from data.

    Results

    Twelve service touchpoints, organized within fve overarching themes emerged. The themes told a story about persons with heart failure and family members struggling in everyday life due to a poor quality of life, lack of support networks, and difculties understanding and applying information about heart failure and its care. To be recognized by professionals was reported to be a key to good quality care. Opportunities to be involved in healthcare varied, Further, participants’ experiences translated into proposed changes to heart failure care such as improved information about heart failure, continuity of care, improved relations, and communication, and being invited to be involved in healthcare.

    Conclusions

    Our study fndings ofer knowledge about experiences of life with heart failure and its care, trans‑lated into heart failure service touchpoints. Further research is warranted to explore how these touchpoints can be addressed to improve life and care for persons with heart failure and other chronic conditions

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  • 313.
    Svarstad Solberg, Ada
    et al.
    Department of Nursing and health promotion, Oslo metropolitan University (NOR), Departmentof Behavioral Sciences, Oslo metropolitan University (NOR).
    Lunde, Gerd Hilde
    Departmentof Behavioral Sciences, Oslo metropolitan University (NOR).
    Helgeland, Kjersti
    Sustainable Passions (NOR).
    Johannessen, Lilja Marlen
    University Library, Oslo Metropolitan University (NOR).
    Wøhlk Gundersen, Malene
    University Library, Oslo Metropolitan University (NOR).
    Areskoug Josefsson, Kristina
    University West, Department of Health Sciences, Section for health promotion and care sciences. Department of Nursing and health promotion, Oslo metropolitan University (NOR), önköping Academy for Improvement of Health and Welfare, Jönköping University (SWE).
    Sexual health in prison with a positive approach: A scoping review protocol2022Other (Other academic)
    Abstract [en]

    Introduction

    Sexual health isa basic human need, also for those who live in prison. Sexual health includes physical, mental, social and spiritual needs throughout the lifespan. Sexual health is a neglected topic in Norwegian prisons. Prisoners are overrepresented in the statistics for sexual abuse, both as victims and perpetrators. Sexual health is important for quality of life, but in practice the topic is under-communicate despecially related to physical and mental health. This scoping review is part of a largerp roject ongoing in a Norwegian prison. The overall goal to the project is to contribute to a better quality of life, sense of mastery and a better return to life in society for prisoners. There is scarce knowledge of how to promote and sustain positive sexual health of prisoners. Time and life conditions of prisoners vary. A positive approach towards sexual health can for example be to allow focus on sexual wellbeing, intimate relationships and sexual health rights. To gain further knowledge about the topic this project searches to find information and experiences from this field, by conducting a scoping review.

    Objective

    To identify and explore research articles containing sexual health as a health resource for prisoners with the following research questions:

    •What is known about the concept of sexual health as a health resource in prison?

    •Are there examples of positive approaches towards sexual health and sexuality in prisons?

    •How can sexual health promotion be done in prison?

    Methods

    A scoping review with narrative synthesis.

  • 314.
    Svarstad Solberg, Ada
    et al.
    Fakultet for helsevitenskap, Oslomet – storbyuniversitetet (NOR).
    Stojiljkovic, Marko
    Fakultet for helsevitenskap, Oslomet – storbyuniversitetet (NOR).
    Areskoug Josefsson, Kristina
    University West, Department of Health Sciences, Section for health promotion and care sciences. Fakultet for helsevitenskap, Oslomet – storbyuniversitetet (NOR).
    Sykepleierutdanningen må sikre kunnskap om seksuell helse2023In: Sykepleien Forskning, ISSN 1890-2936, E-ISSN 1891-2710, Vol. 111, p. 1-8, article id 90884Article in journal (Other academic)
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  • 315.
    Sveitz, Madeleine
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Arbetsglädje i ständig förändring - hållbart?2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The school staffs workload is today a topical theme, which is discussed both in the media and in political debates. Manpower shortage, declining academic results, overtime and demands from the school board imprints their environment. The school staff therefore faces challenges and constant changes in their environment as a result of this workload.

    The purpose of this study is to, from a health promotion perspective, explore the staff's experience of job satisfaction as a basis for business development and social sustainability. Therefore, a qualitative interview study has been conducted in which eleven volunteers from three schools in a Western Swedish municipality have been interviewed. A phenomenological analysis was performed based on the recorded material. Four different themes emerged from the analysis, which were developing relationships, supportive environments, setting limits and good leadership. Work development has a major focus in the paper, therefore the school staff's thoughts on business development are presented under the theme of learning from each other at the end of the thesis.

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  • 316.
    Sveitz, Madeleine
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Den co-coachande arbetsplatsen2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Today it is common to use a method called co-coaching between leaders and managers to exchange experience. The standard hierarchy at a workplace is that the leader/manager has the main responsibility for coaching the staff. What happens if co-coaching is used at employee level to exchange experience, discuss current problems or upcoming changes? The question above was the base of the study. However, it has been difficult to find similar studies with this particular research question, to carry out co-coaching on the employee level. This paper examines co-coaching further between colleagues by examining the descriptions of co-coaching at an early stage and how this co-coaching affected the participant's ability to act in the workplace after they tried to coach each other during four weeks.

    The essay is based on a qualitative method where empirical data were collected by interviews with six operational leaders working at a large organization in Gothenburg. The interviews were recorded, transcribed and analyzed from an interpretive thematic content analysis of key coding. The study uses a theoretical framework of empowerment in social theory and social support as well as previous studies done on the subject co-coaching.

    The result of the study showed that those who participated in general feel positive about co-coaching but have concern about the amount of time spent on this. Based on the participant's descriptions, the co-coaching method is perceived as empowering for the employees. The topics covered in the discussion of this study are; the relationship is important, experience exchange, it is time consuming and new understanding into action.

  • 317.
    Svensson, Olof
    et al.
    National Board of Forensic Medicine, Department of Forensic Psychiatry, Gothenburg, Sweden.
    Sörman, Karolina
    Karolinska Institutet, Department of Clinical Neuroscience, Stockholm, Sweden.
    Durbeej, Natalie
    Karolinska Institutet, Department of Clinical Neuroscience, Stockholm, Sweden.
    Lichtenstein, Paul
    Karolinska Institutet, Department of Medical Epidemiology and Biostatistics, Stockholm, Sweden.
    Anckarsäter, Henrik
    University of Gothenburg, Centre for Ethics, Law and Mental Health, Gothenburg, Sweden.
    Kerekes, Nora
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Nilsson, Thomas
    University of Gothenburg, Centre for Ethics, Law and Mental Health, Gothenburg, Sweden.
    Associations Between Conduct Disorder, Neurodevelopmental Problems and Psychopathic Personality Traits in a Swedish Twin Youth Population2018In: Journal of Psychopathology and Behavioral Assessment, ISSN 0882-2689, E-ISSN 1573-3505, Vol. 40, no 4, p. 586-592Article in journal (Refereed)
    Abstract [en]

    Previous research has found a complex relationship between psychopathic traits, neurodevelopmental problems (NDPs), and conduct disorder (CD) in children. This study explores associations between psychopathic traits, assessed with the Child Problematic Traits Inventory—Short Version (CPTI-SV), and CD in children with and without coexisting NDPs (i.e., attention deficit/hyperactivity disorder [ADHD] and autism spectrum disorder [ASD]) in a community-based sample of Swedish twins (n = 8762). Findings indicate weak to moderately strong correlations between psychopathic traits and CD, ADHD, and ASD, respectively. Furthermore, in univariable analyses, both psychopathic traits and NDPs displayed significant positive associations with being screened positive for CD, though only the grandiose-deceitful dimension of CPTI-SV and the ADHD domain concentration and attention deficits remained significantly associated with CD in a multivariable regression model. The results are relevant to screening and assessment in child and youth psychiatry, as a grandiose and deceitful interpersonal style may also be a valid sign of children at risk of developing CD.

  • 318.
    Swan, Julia
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Näslund, Lisa
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Hjälp och stöd vid hedersrelaterat våld och förtryck: Erfarenheter från utsatta kvinnor och verksamheter2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Honour-related violence and oppression is a problem which can imply mental and physical suffering for the victims and in the worst cases death. Honour can be held as an individual and wants to be preserved as it's seen as a social capital and this is done by following rules. To control if the rules are followed, control or violence is exercised. A consequence of honour-related violence and oppression could affect the mental health and therefore young girls and women seek help from others than the family.

    Aim: Describe girls', young women's and the public sector experiences of support in honour-related violence and oppression.

    Method: A literature study was done with searches through the databases CINAHL and PsycINFO. It resulted in three interview studies with a qualitative approach. The studies were analyzed with a three step model. Result: Two main categories were designed, Supporting activities and The face of vulnerability. Six subcategories are described, Working methods and protection, The staff's dilemma, Trust, The family's oppression and impact, Rescue or loss and Life after. The result showed that professionals were insecure about which help was the best. Confidentiality and trust were important factors for the victims who stood between two choices, freedom or a life without their family.

    Conclusion: The victims had in common that they were worried about the broken rules against their family's honour. The professionals judged how serious the consequences could be and acted from there. The study can contribute to illustrate the function and how well different support efforts work and what should be developed in the process to fight repression.

  • 319.
    Säfström, Alice
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Englund, Ida
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Att ta del av det svenska som asylsökande: En kvalitativ studie om vuxna asylsökande och volontärers perspektiv på språkinlärning2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    When the winds of change are blowing, and the world becomes a more global arena, the population in countries all over the world are changing. Immigration is becoming a common phenomenon all over the world and Sweden is not an exception. What are the challenges that these immigrants faces in their new country with regard to language and being a part of the community? In this study we have examined this through observations and interviews with adult asylum seekers and volunteers in a aid organisation located in the west of Sweden. This organisation operates a language café where asylum seekers and other immigrants are given a chance to learn Swedish through conversation and interaction with Swedish volunteers and other immigrants. The essence of our empiricism was that the asylum seekers learned through social interaction with swedes, and one of the most important conditions for learning is a place where such a kind of social exchange may happen. There are many different factors that affects how well immigrants will be included in society, this study have come to the conclusion that language is one of the most important. To be able to live and be a part of society it demands that you can communicate with other humans in everyday life, in school and at your worksite.

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  • 320.
    Sätterman, Kristoffer
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Molin, Maria
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Patienters delaktighet i den rättspsykiatriska vården: Ur ett personalperspektiv2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In 1995, a psychiatric reform took place in Sweden which accorded to The National Board of Health and Welfare emerged to improve patient participation, improve care and social support for humans with psychiatric illnesses. When the final report came in 1999 some improvements had been done, such as the possibilities to move to a permanent home after being discharged from a psychiatric ward and a better collaboration between social services and psychiatry. Although it was clear that there was still work to do. Through person centered care the individual gets listen to and gets a saying in their own care so alignment and patient participation can be formed. The aim of the study is to describe the caring staffs' experiences working with patient participation in forensic psychiatric care. The method used in the study was a qualitative research method and six informants were interviewed about their experiences regarding patient participation in forensic psychiatric care. The data analysis was conducted by means of a content analysis. The result revealed two categories. The first called Care relations significance for patient participation had two subcategories, A sense of us and Present personnel. The second category was called Care contents effect on patient participation and had three subcategories, Common goals, The teams' role and Purposive caring. It became evident that more research regarding patient participation needs to be done.

  • 321.
    Söderqvist, Helena
    et al.
    The Sahlgrenska Academy at University of Gothenburg, Department of Health and Rehabilitation , Institute of Neuroscience and Physiology , Sweden..
    Eklund, Kajsa
    The Sahlgrenska Academy at University of Gothenburg, Department of Health and Rehabilitation , Institute of Neuroscience and Physiology , Sweden..
    Hedman Ahlström, Britt
    University West, Department of Health Sciences, Section for health promotion and care sciences. The Vårdal Institute, Swedish Institute for Health Sciences , Lund , Sweden.
    Wentz, Elisabet
    The Vårdal Institute, Swedish Institute for Health Sciences , Lund , Sweden.
    The caregivers' perspectives of burden before and after an internet-based intervention of young persons with ADHD or autism spectrum disorder.2017In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 24, no 5, p. 383-392Article in journal (Refereed)
    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.

  • 322.
    Tengelin, Ellinor
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Cliffordson, Christina
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Dahlborg Lyckhage, Elisabeth
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Berndtsson, Ina
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Constructing the Norm-critical awareness scale: A scale for use in educational contexts promoting awareness of prejudice, discrimination, and marginalisation2019In: Equality, Diversity and Inclusion, ISSN 2040-7149, E-ISSN 2040-7157, Vol. 38, no 6, p. 652-667Article in journal (Refereed)
    Abstract [en]

    Purpose: Healthcare professionals' conscious or unconscious norms, values and attitudes have been identified as partial explanations of healthcare inequity. Norm criticism is an approach that questions what is generally accepted as "normal" in society, and it enables professionals to identify norms that might cause prejudice, discrimination and marginalisation. In order to assess norm-critical awareness, a measurement scale is needed. The purpose of this paper is to develop a scale for measuring norm-critical awareness. Design/methodology/approach: The scale-development process comprised a qualitative item-generating phase and a statistical reduction phase. The item pool was generated from key literature on norm criticism and was revised according to an expert panel, pilot studies and one "think aloud" session. To investigate the dimensionality and to reduce the number of items of the scale, confirmatory factor analysis was performed. Findings: The item-generation phase resulted in a 46-item scale comprising five theoretically derived dimensions revolving around function, consequences, identity, resistance and learning related to norms. The item-reduction phase resulted in an instrument consisting of five dimensions and 20 items. The analyses indicated that a summary score on the scale could be used to reflect the broad dimension of norm-critical awareness. Originality/value: The Norm-critical awareness scale comprises five theoretically derived dimensions and can be used as a summary score to indicate the level of norm-critical awareness in educational contexts. This knowledge is valuable for identifying areas in greater need of attention. © 2019, Emerald Publishing Limited.

  • 323.
    Thapa, D. R.
    et al.
    Department of Nursing and Reproductive, Perinatal and Sexual Health, School of Health Sciences, University of Skövde, Skövde (SWE); School of Health and Welfare, Jönköping University, Jönköping (SWE) .
    Oli, N.
    Department of Community Medicine, Kathmandu Medical College, Sinamangal, Kathmandu (NPL).
    Vaidya, A.
    Department of Community Medicine, Kathmandu Medical College, Kathmandu, Sinamangal (NPL).
    Suominen, S.
    Department of Public Health, School of Health Sciences, University of Skövde, Skövde (SWE); Department of Public Health, University of Turku, Turku (FIN).
    Ekström-Bergström, Anette
    University West, Department of Health Sciences, Section for nursing - graduate level. Department of Nursing and Reproductive, Perinatal and Sexual Health, School of Health Sciences, University of Skövde, Skövde (SWE).
    Areskoug Josefsson, Kristina
    University West, Department of Health Sciences, Section for health promotion and care sciences. The Jönköping Academy for Improvement of Health and Welfare, Jönköping University, Jönköping (SWE);Department of Behavioural Sciences, Faculty of Health Sciences, Oslo Metropolitan University, Oslo (NOR): Faculty of Health Sciences, VID Specialized University, Sandnes (NOR) .
    Krettek, A.
    Department of Public Health, School of Health Sciences, University of Skövde, Skövde (SWE); Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Göteborg (SWE); Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø (NOR) .
    Determination and Evaluation of Sense of Coherence in Women in Semi-urban Nepal: A part of the Heart-health Associated Research, Dissemination, and Intervention in the Community (HARDIC) Trial.2021In: Kathmandu University Medical Journal, ISSN 1812-2027, E-ISSN 1812-2078, Vol. 19, no 73, p. 69-75Article in journal (Refereed)
    Abstract [en]

    Sense of coherence (SOC) is a core concept of salutogenesis which relates to individuals' overall life orientation. Stronger SOC associates with better coping strategies, better health, and better quality of life. Although the SOC-questionnaire is validated in many cultures and languages, it has not, to date, been applied in Nepal. Objective To determine and evaluate women's SOC before and after a health education intervention. Method This study was conducted as a part of the Heart-health Associated Research, Dissemination, and Intervention in the Community in the semi-urban JhaukhelDuwakot Health Demographic Surveillance Site in Nepal. Jhaukhel and Duwakot were selected as the control and intervention areas, respectively. Participants were women with children aged 1-7 years. Eight hundred and fifty-seven women before and 1,268 women after the health education intervention participated in the study. The statistical analysis was carried out with chi-square tests and one-way uni-variate ANOVA. Result Women's total SOC mean values at baseline were 51.1-57.4 and at follow up 54.4-54.9 in the intervention and control area, respectively. At baseline, SOC was significantly weaker in the intervention area compared to the control area (p < 0.001). At followup three months later, SOC was significantly stronger in the intervention area than in the control area (p < 0.001). Conclusion Nepalese women had weaker SOC than women in high-income countries, but comparable to neighboring country India with similar cultural features. Empowerment of women through community participation and health education strengthened SOC. The SOC-13-questionnaire in its Nepali version is recommended to be further evaluated.

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    KUMJ
  • 324.
    Thapa, Dip Raj
    et al.
    Department of Nursing and Reproductive, Perinatal and Sexual Health, School of Health Sciences, University of Skövde, Skövde, (SWE);School of Health and Welfare, Jönköping University, Jönköping, (SWE).
    Ekström Bergström, Anette
    University West, Department of Health Sciences, Section for nursing - graduate level. Department of Nursing and Reproductive, Perinatal and Sexual Health, School of Health Sciences, University of Skövde, Skövde, Sweden;Department of Health Sciences, University West, Trollhättan, (SWE).
    Krettek, Alexandra
    Department of Public Health, School of Health Sciences, University of Skövde, Skövde, (SWE);Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Gothenburg (SWE) ;Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, (NOR).
    Areskoug Josefsson, Kristina
    University West, Department of Health Sciences, Section for health promotion and care sciences. Faculty of Health Sciences, VID Specialized University, Sandnes, Norway;The Jönköping Academy for Improvement of Health and Welfare, Jönköping University, Jönköping, Sweden;Department of Behavioural Sciences, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway.
    Support and resources to promote and sustain health among nurses and midwives in the workplace: A qualitative study2021In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 41, no 3, p. 166-174Article in journal (Refereed)
    Abstract [en]

    Registered nurses and midwives are in short supply and have among the highest rates of sick leave in the global workforce. The aim of this study was therefore to explore and gain a deeper understanding of how nurses and midwives experience their everyday work, with a view toward promoting and sustaining their work-related health. Nine registered nurses and four registered midwives working in hospitals and community healthcare facilities in Sweden were interviewed. The interviews were analyzed using content analysis. This study is reported in accordance with COREQ. One main category emerged: ‘Quality of organizational and collegial support and opportunities to facilitate recovery, health, and patient care’. From this category, four generic categories describing the overall experiences of registered nurses and midwives could be discerned. Based on these results, it is recommended that employers adopt a systematic health-promotive approach to foster and maintain the workplace health of registered nurses and midwives.

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    Sage
  • 325.
    Thapa, Raj D.
    et al.
    Department of Nursing and Reproductive, Perinatal and Sexual Health, School of Health Sciences, University of Skövde, PO Box 408, 541 28 Skövde (SWE).
    Subedi, M.
    School of Public Health, Patan Academy of Health Sciences, GPO Box 26500, Lalitpur (NPL).
    Ekström-Bergström, Anette
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Areskoug Josefsson, Kristina
    University West, Department of Health Sciences, Section for health promotion and care sciences. School of Health and Welfare, Jönköping University, Box 1026, 551 11 Jönköping (SWE); 5 Department of Behavioural Sciences, Faculty of Health Sciences, Oslo Metropolitan University, PO Box 4, 0130 Oslo (NOR).
    Krettek, A.
    Department of Public Health, School of Health Sciences, University of Skövde, PO Box 408, 541 28 Skövde (SWE); Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Box 400, 405 30 Gothenburg (SWE); Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, POBox 6050, Langnes, 9037 Tromsø (NOR).
    A Qualitative Evaluation and Cross-Cultural Adaptation of the Short Form of the Sense of Coherence Scale (SOC-13) in Nepal2023In: Kathmandu University Medical Journal, ISSN 1812-2027, E-ISSN 1812-2078, Vol. 21, no 2, p. 112-117Article in journal (Refereed)
    Abstract [en]

    Background

    Sense of Coherence (SOC) relates to an individual’s overall life orientation, and stronger SOC is associated with better health, quality of life, and coping strategies. When our research group used the SOC-13 questionnaire for the first time in Nepal, we identified difficulties in response patterns. The findings necessitated further evaluation of the Nepali version of the SOC-13 questionnaire.

    Objective

    To qualitatively evaluate the SOC-13 questionnaire in Nepali for cross-cultural adaptation.MethodNineteen nurses were interviewed. We used the methodological approach of “think aloud” to obtain a deeper understanding of the interferences of the scales. Transcribed materials were analyzed using a deductive approach through qualitative content analysis. The original translated version of the SOC-13 questionnaire in Nepali was modified by replacing words that were easier to understand.

    Result

    Participants found the questionnaire content general and non-specific but easy to complete. The nurses experienced that the meanings and sentences in some of the items and response alternatives were difficult to understand. However, the overall comprehensiveness of most items and response alternatives was perceived as good. Nurses’ interpretation of the SOC-items in the translated version of the SOC-13 questionnaire in Nepali matched the original English version. Items that were experienced as difficult in the Nepali language were modified to increase their comprehensiveness. Modified items and response alternatives had the same content as before, but some words and meanings were substituted with easier language.

    Conclusion

    The current revised version of SOC-13 in Nepali is valid and useful to explore individuals’ overall life orientation and their abilities to deal and cope with various life events in the Nepalese context.

  • 326.
    Thorsen, Cecilia
    et al.
    University West, Department of Social and Behavioural Studies, Division for Educational Science and Languages.
    Cliffordson, Christina
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Teachers' Grading Assignment and the Predictive Validity of Norm-Referenced Grades2011In: The European Conference on Educational Research (ECER), Berlin, 12-16 September 2011: Urban Education, 2011Conference paper (Refereed)
  • 327.
    Thorsen, Cecilia
    et al.
    University West, Department of Social and Behavioural Studies, Division for Educational Science and Languages.
    Cliffordson, Christina
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Gustafsson, Jan-Eric
    Göteborgs Universitet.
    Effects of Gf and Gc on the development of knowledge and skills2013In: The 15th Biennial Conference, European Association for Research and Learning and Instruction (EARLI), Munich, 27-31 August, 2013: Book of Abstracts, 2013, p. 968-969Conference paper (Refereed)
    Abstract [en]

    The Investment theory (Cattell, 1987) states that learning in different fields is dependent on a general ability to reason in novel situations (Gf), and that development of knowledge and skill therefore is influenced by Gf, among other things. The Encapsulation theory (Gustafsson & Carlstedt,2006) makes the inference that Gf is encapsulated in measures of General Crystallized intelligence(Gc) and that information about Gf therefore does not add to prediction of further learning. The purpose of the present study was to investigate the effects of Gf and Gc on knowledge acquisition indifferent subjects in school. In all 9002 individuals from the Evaluation Through Follow-up longitudinal database were included. A path model was fitted to measures of Gf and Gc. Results showed that Gf had influence on measures of early and late Gc. However, there were no additional effects of Gf on subject grades, which was interpreted as providing partial support for the Encapsulation theory.

  • 328.
    Thorsen, Cecilia
    et al.
    University West, Department of Social and Behavioural Studies, Division for Educational Science and Languages.
    Henry, Alastair
    University West, Department of Social and Behavioural Studies, Division for Educational Science and Languages.
    Cliffordson, Christina
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    The case of a missing person? The current L2 self and the L2 Motivational Self System2020In: International Journal of Bilingual Education and Bilingualism, ISSN 1367-0050, E-ISSN 1747-7522, Vol. 3, no 5, p. 584-600Article in journal (Refereed)
    Abstract [en]

    In Dörnyei's (2009a) theorizing, motivation is conceptualized to be generated by discomfort associated with the learner's experience of a discrepancy between their current L2 self, and their ideal L2 self. However, in the L2 Motivational Self System, this discrepancy is not operationalized. A questionnaire containing measures of current L2 selves was administered to two cohorts of students learning English in Sweden, one in grade 7, and one in grade 9. Using structural equation modelling, results revealed that the discrepancy between the ideal L2 self and the current L2 selfwas greater for the grade 7 cohort. So too was the impact on a criterion variable measuring intended effort. Arguments for the operationalization of the selfdiscrepancy process in research designs are put forward. In studies tracking changes over time, it is suggested that the inclusion of a variable measuring the current L2self could provide important insights into self-discrepancy trajectories, facilitate the investigation of motivational dynamics, and bring greater sensitivity to intervention design.

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  • 329.
    Truong, Anh
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Alverbratt, Catrin
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Ekström, Anette
    University West, Department of Health Sciences, Section for nursing - graduate level. University of Skövde, Department of Nursing and Reproductive, Perinatal and Sexual Health, School of Health Sciences, Skövde (SWE).
    Antonsson, Helena
    University West, Department of Health Sciences, Section for nursing - graduate level. Umeå University, Department of Nursing, Umeå (SWE).
    Caring for Persons With Intellectual Disabilities and Challenging Behavior: Staff Experiences With a Web-Based Training Program2021In: Frontiers in Psychiatry, E-ISSN 1664-0640, Vol. 12, article id 580923Article in journal (Refereed)
    Abstract [en]

    Background: Clear and effective communication is a prerequisite to provide help and support in healthcare situations, especially in health, and social care services for persons with intellectual disabilities, as these clients commonly experience communication difficulties. Knowledge about how to communicate effectively is integral to ensuring the quality of care. Currently, however, there is a lack of such knowledge among staff working in the disabilities sector, which is exacerbated by challenges in the competence provision in municipal health and social care services. Therefore, the aim of the study was to explore staffs' experience of web-based training in relation to their professional caring for persons with intellectual disabilities and challenging behavior. The intention is to move toward well-evaluated and proven web-based training in order to contribute to competence provision in this specific context.

    Methods: Fourteen semi-structured interviews were carried out with individual staff members to gather data regarding their experiences with web-based training in relation to their profession. The collected data were analyzed using qualitative content analysis with a focus on both manifest and latent content.

    Results: The staff's experiences with the web-based training program were presented as a single main theme: "Web-based training for staff initiates a workplace learning process by promoting reflections on and awareness of how to better care for persons with intellectual disabilities and challenging behavior." This theme contained three categories which are based on eight sub-categories.

    Conclusion and clinical implications: The benefits of web-based training for workplace learning could clearly be observed in the strengthening of professional care for persons with intellectual disabilities and challenging behavior. Staff members claimed to have gained novel insights about how to better care for clients as well as about the importance of interactions in their encounters with clients. Professional teamwork is crucial to providing effective care for persons with intellectual disabilities and challenging behavior. Hence, future research aimed at investigating the views of other healthcare professionals, such as registered nurses, is recommended to improve the competence provision within municipal health and social care services and thereby enhance the quality of care.

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  • 330.
    Truong, Anh
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Ekström-Bergström, Anette
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Antonsson, Helena
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Johansson, Catrin
    University West, Department of Health Sciences, Section for health promotion and care sciences. Oslo Metropolitan University, Oslo (NOR); Jönköping University, Jönköping (SWE).
    Staff’s self-reported frequency and management difficulty of challenging behavior among persons with intellectual disabilities in connection with web-based training2022In: International Conference on Work Integrated Learning: Abstract Book, Trollhättan, 2022, Trollhättan: University West , 2022, p. 42-45Conference paper (Other academic)
    Abstract [en]

    Introduction: Healthcare professionals, nationally and internationally, experience that exposure to persons withintellectual disabilities (ID) during education is often insufficient. Professionals within the sector urge enhancedtraining that will better prepare them for working with their clients. Providing care and support to persons with IDis complex and places high demands on the professionals such as knowledge about ID and cha llenging behaviors(CB) as well as communication and interaction. Earlier studies have shown that knowledge deficiencies in theseareas may prevent healthcare professionals from understanding their clients and their behaviors, particularly thosebehaviors considered to be challenging.However, staff working with persons with ID reported CB as a problem they could not always address in thedesired manner while performing their work duties. This predicament was shown to often generate stress, angerand powerlessness among staff, increasing the likelihood of burnout. Helping staff to better understand and bebetter prepared prior to meeting, communicating and interacting with persons with ID, especially concerningaddressing CB, could therefore help to establish and maintain a healthy work environment and sustainable workinglife.In this study, we investigated the impact of web-based training on the staff´s perception of the frequency andmanagement difficulties of CB among persons with ID in residential settings in Sweden. The training addressedthe topics ID and CB as well as communication and interaction and was offered to the staff working in theresidences. Since the basic assumption was that CB is a consequence of interrupted communication and interactionbetween staff and persons with ID, we hypothesized that by introducing web-based training focusing on ID andCB as well as communication and interaction, the frequency of CB and degree of management difficulty of CB indaily care would be reduced.Aim: To explore staff’s perceptions about CB among clients with ID in residential settings before and after a web -based training program, specifically addressing ID and CB as well as communication and interaction.Research questions1. Do staff report a lower frequency of CB among clients with ID in residential settings after the web -basedtraining?2. Do staff report a lower degree of management difficulty of CB among clients with ID in residential settings afterthe web-based training?

    Methods: A within-subjects study design was applied in which the participants were exposed to the treatment –in this case, web-based training – and measurements were made using the survey instrument “Checklist ofChallenging Behavior” (CCB) before and after exposure to examine any potential changes that occurred.Cluster sampling was conducted whereby 20 residential facilities were included. All staff in those residences wereoffered web-based training and invited to participate in this study.A total of 212 participants accepted the invitation to the survey by filling in CCB and accordingly systematicallyrate the frequency of CB among the clients and the own difficulty in managing these behaviors as perceived byparticipating staff. The CCB includes 41 items related to topographies of aggressive and other CB divided alongthe dimensions of physical violence/aggressive behavior, property destruction, miscellaneous behavior and mentalillness. The CCB was developed by Harris and Humphreys, who assessed the instrument’s content validity andinter-rater reliability. The researchers concluded that the instrument was a reliable indicator of the presence orabsence of CB. All measurements were based on five-point scale.43First, descriptive analysis was performed to summarize the characteristics of the sample. Central measurementswere presented as the mean and dispersion by standard deviation. As the data were represented on an ordinal scale,the Wilcoxon signed-rank test was used to determine whether a lterations existed between the responses before andafter training concerning the frequency of CB and management difficulty of these behaviors.Considering the number of calculations performed, a significance value of p < 0.05 was established. In addition,p-values < 0.1 were interpreted as tendencies. In order to contribute to indications of practical significance, acorrelation coefficient r was calculated by converting the z-values, as described by Pautz and Olivier, of those subitems with significant values. According to the rule of thumb for interpretation of Cohen’s r: 0.1 = small effectsize, 0.3 = medium effect size and 0.5 = large effect size.

    Results: The demographic description revealed that, of those who provided information about their job ty pe andlevel of education, approximately 87% worked as support assistants in the facilities, and most had completedsecondary education. The analysis showed that, after training, staff self-reported a significantly lower degree offrequency on the dimension of property destruction, on the sub-item “damaging others’ clothes, furniture, or otherobjects”. Similarly, a significant difference was revealed in the dimension of mental illness. In addition, regardingthe management difficulty of CB, the analysis revealed that, after training, staff self-reported a significantly lowerdegree of management difficulty on all sub-items on the dimension of property destruction. However, the effectsizes were considered small. Apart from that, the calculations also showed tendencies towards significance on anumbers of sub-items e.g biting, throwing things at people, breaking windows and absconding.

    Discussions: The observed reduction in the frequency of CB after the web-based training may have been due toenhanced knowledge and understanding by staff of CB among their clients, which could have consequently ledthem to no longer consider these behaviors as challenging. In earlier research, it was found that the amount ofknowledge possessed by staff could act as a significa nt predictor of their behavioral responses to CB. Accordingly,it is reasonable to suspect that the reduced management difficulty of CB as perceived by staff may have been dueto their enhanced knowledge of such behaviors, which impacted their views and behavioral responses to CB.Considering the formal education the majority of the staff have and the complexity of the job within this sector, itwould be unreasonable to expect all of the staff to have the capability to perform all job duties without sufficientopportunities to expand their knowledge and improve their skills with the support of the relevant healthcareorganization. This aspect has been equally emphasized to promote a healthy and sustainable workplace from theview of Work-Integrated Learning.

    Conclusion: Considering the complexity of meeting the needs of persons with ID, in addition to job -specificknowledge, collaboration with multi-professional teams is also recommended. As such, routinely training tosupport Work-Integrated Learning should be offered to all professionals involved in caring for individuals withintellectual disabilities to reinforce social sustainability in the sector.

  • 331.
    Truong, Anh
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Ekström-Bergström, Anette
    University West, Department of Health Sciences, Section for nursing - graduate level. Department of Nursing and Reproductive, Perinatal and Sexual Health, School of Health Sciences, University of Skövde.
    Antonsson, Helena
    University West, Department of Health Sciences, Section for nursing - graduate level. Department of Nursing, Umeå University.
    Johansson, Catrin
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Staff’s self-reported frequency and management difficulty of challenging behaviour among persons with intellectual disabilities in connection with web-based training2022In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 43, no 1, p. 1-9Article in journal (Refereed)
    Abstract [en]

    Providing care and support to persons with intellectual disabilities (ID) requires in-depth knowledge about ID and challenging behaviour (CB) as well as communication and interaction. Knowledge deficiencies in these areas may prevent staff from understanding their clients and their behaviours, particularly those behaviours considered to be challenging. The aim of this study was to explore staff’s perceptions about CB among clients with ID in residential settings before and after a web-based training programme using the survey instrument ‘Checklist of Challenging Behaviour’ (CCB). The CRe-DEPTH guideline has served as a guide in this study. Upon completion of the training, staff perceived a reduced frequency of CB as well as reduced management difficulty of CB among clients. As such, training should routinely be offered to all staff in residential settings, but also healthcare professionals in general responsible for caring for clients exhibiting CB to ensure, improve and reinforce the quality of care and support provided to them.

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  • 332.
    Truong, Anh
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Johansson (Alverbratt), Catrin
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Ekström-Bergström, Anette
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Antonsson, Helena
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Caring for Persons With Intellectual Disabilities and Challenging Behavior: Staff Experiences With a Web-Based Training Program2022In: International Conference on Work Integrated Learning: Abstract Book, Trollhättan: University West , 2022, p. 39-41Conference paper (Other academic)
    Abstract [en]

    Background: The quality of care for persons with intellectual disabilities (ID) is affected by many factors, including the knowledge of the professionals. Educational training in, for example, general communication was identified as a priority issue among healthcare professionals working with persons with IDs, as it is the basis for a better understanding of the clients and their behavior, which can otherwise be perceived as problematic and challenging. Challenging behaviors (CB) have been reported by professionals as problems they frequently witness or experience and/or struggle to manage in the daily work. Yet they do not always have access to such training nor to the resources needed to practice skillful communication when supporting persons with IDs. In addition, challenges concerning the competence provision in the sector are likely to contribute to further deterioration of the situation.

    Earlier research has shown that web-based training for staff within healthcare settings can generate good results. In addition to being able to participate during work hours, staff can also overcome access issues in the delivery of training. With this study, we hope to advance an existing web-based training program with the intention to move toward well-evaluated and proven training in order to contribute to competence provision in the context of health and social care.

    Aim: To explore staff experiences with a web-based training program in relation to their professional care for persons with ID and CB. 

    Methods: Staff working in residences for people with ID within municipal health and social care were offered the web-based training. In total 20 residences in a medium-size city in Sweden were included in this study. After completed training, fourteen semi-structured interviews were carried out with individual staff members to gather data regarding their experiences with web-based training in relation to their profession. The informants constituted of 11 women and 3 men, aged 27–55. Of the nine informants who had received upper secondary school education, five had specialized in the care of persons with IDs. More precisely, one informant had received higher vocational education, whereas the remaining four had received university education in the social sciences. The work experience with persons with IDs ranged from 8 to 30 years. The interviews were based on two open -ended questions: “What is your experience of attending the web-based training?” and “What do you think about the web-based training in relation to your daily work with persons with IDs and CB?” Follow-up questions were directed in such a way as to encourage the staff to freely share their experiences. 

    This study has an inductive approach. The collected data were analyzed using qualitative content analysis as described by Graneheim and Lundman (2014). 

    Results: The staff’s experiences with the web-based training program in relation to their professional care for persons with IDs and CB were presented as a single main theme: “Web-based training for staff initiates a workplace learning process by promoting reflections on and awareness of how to better care for persons with IDs and CB”. This theme contained three categories: “Web-based training provides freedom but also requires responsibility, both of which affect the learning outcome”, “The learning process contributes to generating insights about caring” and “The mutual impact of training and the opinions of staff about learning for the care of persons with IDs and CB”. These categories were based on eight sub-categories.

    Overall, the staff claimed that they had gained novel insights into the profession and into the caring process for the clients. Opinions about clients and CB changed somewhat, and the staff was inspired to adopt new ways of working which ultimately benefited interactions with the client. At the same time, requests were made for additional group discussions, and the desire for better planning to enhance learning among the staff was expressed.

    Discussion: In this study, web-based training seemed to have had a stimulating effect on workplace learning. Sharing self-reflections with group members in addition to individual study is essential for stimulating and consequently extracting knowledge from training. In the preparation of the training, close attention was paid to how to enable both individuals and social processes in learning but, judging from the results, further developments should focus on optimizing the effect of social interaction.

    Additionally, organizational support appears to be relevant for improving learning outcomes. However, prior research has shown significant differences in perceived workplace learning support from different occupational groups. Higher-status occupations offer a workplace environment that is more conducive to learning than that of lower-status occupations.These aspects must be addressed and overcome to fully develop the competence provision and counteract potential negative consequences in terms of job satisfaction and well-being among professionals working with persons with IDs.

    Conclusions and clinical implications: Our findings illustrate the complexity of providing staff training in the workplace through a web-based training program. Beyond the benefits of web-based training for workplace learning, some challenges also emerged. We conclude that web-based training, workplace organization, and individuals’ opinions each have an important impact on the learning outcome. To reach the best possible outcome, however, resources need to be invested in all three parts concurrently. This knowledge can contribute to the development of competence provision in municipal health and social care services more generally, where similar circumstances in terms of a notable downward trend in competence provision prevail, a pattern that could have negative impact on the welfare of the professionals.In addition to knowledge, cooperation in both healthcare and social services was also highlighted to improve care for persons with IDs and CB. In order to better meet their needs, professional teamwork is critically important. Hence, future research should investigate the views of other professionals e.g. nurses regarding education and competence development. This approach would enrich our knowledge and understanding of how the competence provision could be enhanced in this context to contribute to social sustainability in the sector. 

  • 333.
    Truong, Anh
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Nguyen, Cat Buu Ngoc
    University West, School of Business, Economics and IT, Divison of Informatics.
    Bohlin, Veronica
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Ramaj, Xhesika
    Faculty of Computer Science, Engineering and Economics, Østfold University (NOR).
    Investigating the Learning Environment for Sustainable Lifelong Learning in Small and Medium Enterprises2022In: International Conference on Work Integrated Learning: Abstract Book, Trollhättan: University West, 2022, p. -10Conference paper (Other academic)
  • 334.
    Truong, Anh
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Winman, Thomas
    University West, School of Business, Economics and IT, Divison of Informatics.
    Ekström-Bergström, Anette
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Johansson, Catrin
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    A Work-Integrated intervention in health and social care: Professionals´ experiences of joint education2022In: International Conference on Work Integrated Learning: Abstract Book, Trollhättan: University West , 2022, p. 97-98Conference paper (Other academic)
    Abstract [en]

    Introduction:

    Worldwide, educational interventions are carried out continuously as an ongoing activity linked to competence provision and development of the organization. In follow-up and evaluation of the interventions, the result, i.e., the effect of the intervention, has usually been the main concern whereas the mechanism behind the operation of the intervention is often obscured. The aim of this evaluation study is to contribute knowledge to the field of intervention research regarding aspects that should be considered in designing a learning-supportive educational intervention. Such knowledge would increase the likelihood that experiences generated from the intervention are implemented in the daily undertaking.

    Accordingly, knowledge within intervention research increased significantly since the field expanded rapidly in the past decade. However, critical voices have been raised regarding aspects that are often overlooked in the field and highlighted the tendency that intervention studies frequently focus on the meth ods used to test the intervention whereas the rigor of intervention development and design has not received the attention it deserves. When it comes to educational intervention, concerning the aforementioned viewpoint, the process of learning cannot be lef t out. Studying learning processes and studies in designing education to support learners´ learning process is one of the main areas of interests in Work-Integrated Learning (WIL), particularly in the matter of learning in relation to working life, where the goal is to help the learners to integrate knowledge from education into practice. From the perspective of WIL, the social dimension has a certain influential effect on learning, which should be taken into account. A key word in this dimension is interaction. 

    Nationally and internationally, within health care, recurring training, intraprofessional and/or interprofessional is given aiming to improve professionals' knowledge, attitudes, confidence levels and practices in care, in addition, to enhancing the collaboration to safeguard the patient safety and the quality-of-care. In Sweden, one area that has been debated and discussed regarding competence and knowledge scarcity among professionals and urged for measures to support competence provision, is health and social care for people with intellectual disabilities. In this context, the knowledge that can be applied in development and design of effective educational intervention appears to be almost zero. We are in the opinion that this knowledge gap should be a matter of concern and an area that needs to be explored.

    Methods:

    Data was gathered by way of semi structured interviews. Qualitative inductive analysis was applied using qualitative content analysis of Graneheim and Lundman.Totally, 24 individual interviews were conducted with the participating professionals. With guidance of the checklist COREQ, our ambition is to make the research process in this study as transparent as possible which further increases the replicability.

    Results:

    By exploring pa rticipants' experiences of the different components in an intervention with regard to their learning and knowledge development, both individual and of the group, in relation to their profession, finding answers to “what works” and “how it works”. Thereby gaining understanding and knowledge that can be applied in the design of future interventions and consequently, fill the existing knowledge gap.

    Ethics:

    Approval was obtained from the Swedish Ethical Review Authority, Dnr 35 517 for the project as whole. In addition, a supplemental application to phase two has made and is approved, on September 21, 2021, Dnr 2021-0460.

  • 335.
    Täljemark, Jakob
    et al.
    Lund University, Medical Faculty, Department of Clinical Sciences Lund, Child and Adolescent PsychiatryLundSweden.
    Råstam, Maria
    Lund University, Medical Faculty, Department of Clinical Sciences Lund, Child and Adolescent PsychiatryLundSweden; Gillberg Neuropsychiatry Centre, University of Gothenburg, Sweden.
    Lichtenstein, Paul
    Department of Medical Epidemiology and Biostatistics Karolinska Institutet Stockholm Sweden.
    Anckarsäter, Henrik
    CELAM (Centre for Ethics, Law and Mental Health), Institute of Neuroscience and Physiology University of Gothenburg Sweden.
    Kerekes, Nora
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    The coexistence of psychiatric and gastrointestinal problems in children with restrictive eating in a nationwide Swedish twin study2017In: Journal of Eating Disorders, E-ISSN 2050-2974, Vol. 5, no 1, article id 25Article in journal (Refereed)
    Abstract [en]

    Background

    Restrictive eating problems are rare in children but overrepresented in those with neurodevelopmental problems. Comorbidities decrease wellbeing in affected individuals but research in the area is relatively scarce. This study describes phenotypes, regarding psychiatric and gastrointestinal comorbidities, in children with restrictive eating problems.

    Methods

    A parental telephone interview was conducted in 9- or 12-year old twins (n = 19,130) in the Child and Adolescent Twin Study in Sweden. Cases of restrictive eating problems and comorbid problems were established using the Autism, Tics-AD/HD and other Comorbidities inventory, parental reports of comorbidity as well as data from a national patient register. In restrictive eating problem cases, presence of psychiatric and gastrointestinal comorbidity was mapped individually in probands and their co-twin. Two-tailed Mann–Whitney U tests were used to test differences in the mean number of coexisting disorders between boys and girls. Odds ratios were used to compare prevalence figures between individuals with or without restrictive eating problems, and Fisher exact test was used to establish significance.

    Results

    Prevalence of restrictive eating problems was 0.6% (concordant in 15% monozygotic and 3% of dizygotic twins). The presence of restrictive eating problems drastically increased odds of all psychiatric problems, especially autism spectrum disorder in both sexes (odds ratio = 11.9 in boys, odds ratio = 10.1 in girls), obsessive-compulsive disorder in boys (odds ratio = 11.6) and oppositional defiant disorder in girls (odds ratio = 9.22). Comorbid gastrointestinal problems, such as lactose intolerance (odds ratio = 4.43) and constipation (odds ratio = 2.91), were the most frequent in girls. Boy co-twins to a proband with restrictive eating problems generally had more psychiatric problems than girl co-twins and more girl co-twins had neither somatic nor any psychiatric problems at all.

    Conclusions

    In children with restrictive eating problems odds of all coexisting psychiatric problems and gastrointestinal problems are significantly increased. The study shows the importance of considering comorbidities in clinical assessment of children with restrictive eating problems.

  • 336.
    Vermehren, Jannike
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Shabani, Vlora
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Hinder och möjligheter till rehabilitering för narkotikamissbrukare2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    It is estimated that 0.5% of the population is a problem drug-user worldwide and only one fifth of them receives care. Do they get the help they need when they want to leave the drug addiction? With the review of relevant literature, we aim to collect those factors that can help or prevent addicts to reach a successful rehabilitation. The litterateur shows that when a drug addict doesn't want help to leave the addiction she or he can't be forced. The social network and caregivers play an important part in the rehabilitation process. If patients accept the help, caregivers and the patients' social network can be those who may help them to a better life-quality.

  • 337.
    Viking, Tuija
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    En studie om interprofessionellt lärande i teamarbete: Fallet med en 'best practice´ för tvångsvård2019Licentiate thesis, comprehensive summary (Other academic)
    Abstract [sv]

    Det interprofessionella lärandet, IPL, i team har blivit ett populärt medel för att öka samarbete och kvalité i den sociala sektorn och hälso- och sjukvård. En alltmer specialiserad och fragmentiserad vård, som ofta genomförs i team, har lett till stor spridning av interprofessionell utbildning, IPE. Studerande och/eller medlemmar från olika professioner lär sig därmed, med, från och om varandra. Sådant lärande antas ske vid utbyte av och reflektion över varandras olika erfarenheter, perspektiv och kunskaper, d.v.s. professionella skillnader, och leda till förbättrad effektivitet och kvalitet i vården.

    Inom hälso- och sjukvårdsområdet har man dock bara i mindre skala undersökt vad IPL i etablerade team innebär och hur professionella skillnader påverkar lärandet. Denna licentiatuppsats hade som övergripande syfte att bidra med ökad kunskap inom detta område. Här studerades ett arbete, med kliniska riktlinjer för psykiatrisk tvångsvård, som skulle genomföras av ett interprofessionellt team. Huvudfrågan var hur teamet arbetade med riktlinjerna och hur professionella skillnader kom till uttryck och gav implikationer för IPL. Licentiatuppsatsen är en fallstudie. Undersökningen baseras dels på material (mötesprotokoll, mejlkommunikation, dokument och mediarapporter) från teamets tre-åriga arbete, dels nio intervjuer och en observation av seminariet där teammedlemmar presenterade de färdiga riktlinjerna. Studie 1 syftade till att undersöka hur teamet hanterade en kontrovers och hur de strategier som användes gav konsekvenser för interprofessionellt lärande. Studie 2 syftade till att studera hur teamet granskade kön/genus i arbetet med riktlinjerna och vilka implikationer det blev för riktlinjerna och för interprofessionellt lärande. Fokus här är därmed på ett lärande i ett "färdigt" team. Resultaten i studierna baseras på fallbeskrivning och narrativ analys. Fynden i studierna tolkades huvudsakligen utifrån sociokulturell teori och idéer och insikter från kontroversstudier (studie 1) och det genusvetenskapliga fältet (studie 2).

    Resultatet i studie 1 visade att kontroversen hanterades främst genom en kompromiss. Resultatet visar också hur lärandestrategier nyttjades vid användning av texter. Lärandet utmanades dock när maktstrategier användes genom hävdande av auktoritet snarare än utforskande av kunskapsläget.

    Resultatet i studie 2 visade hur kön/genus aktualiserades i en diskussion om könsskillnader i användning av tvångsbälten. I diskussionen användes professionsspecifika erfarenheter och kunskaper om kön/genus, vilket kan antas främjade IPL. Teamets lärande om komplexiteten kring kön/genus resulterade i riktlinjer som betonar makt och med fokus på den individuella patienten. Därmed ledde teamets analys och lärande relaterat till kön/genus paradoxalt till könsneutrala riktlinjer. Slutsatsen är att studierna, på olika sätt, visade förekomst av IPL och hur detta påverkades både positivt och negativt av professionella skillnader.

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  • 338.
    Viking, Tuija
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Nilsson, Lena A.
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Ideas of how peer support workers facilitate interprofessional learning in mental health care teamwork: conceptual paper2022In: Mental Health and Social Inclusion, ISSN 2042-8308, E-ISSN 2042-8316Article in journal (Refereed)
    Abstract [en]

    Purpose – The purpose of this paper is to contribute theoretical ideas of how peer support workers (PSWs) bring added value to interprofessional learning (IPL) in mental health care teamwork. The question is: How can we theoretically understand the value of PSWs’ expertise for IPL in mentalhealth care teamwork?

    Design/methodology/approach – Initially, the authors formulate a hypothesis. Then, the authors describe the focus and context in IPL and PSWs, respectively, and the PSWs’ and mental health professions’ different roles, expertise and perspectives. The authors also refer to some peer provided programs related to IPL. Finally, the authors construct an outline and apply ideas from Wenger’s Communities of Practice (CoP).

    Findings – Using CoP, the PSWs as newcomers can by their perspectives change mental health professions’ perspectives and stimulate IPL in teamwork.

    Originality/value – The paper gives theoretical insights of how PSWs can facilitate IPL in mentalhealth care teamwork.

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  • 339.
    Viking, Tuija
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Wenzer, J.
    University of Gothenburg, Gothenburg (SWE).
    Hylin, U.
    Department of Clinical Science and Education, Karolinska Institutet, Stockholm (SWE).
    Nilsson, Lena A.
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Peer support workers´ role and expertise and interprofessional learning in mental health care:: a scoping review2022In: Journal of Interprofessional Care, ISSN 1356-1820, E-ISSN 1469-9567, Vol. 36, no 6, p. 828-838Article in journal (Refereed)
    Abstract [en]

    Interprofessional learning (IPL), which is learning arising from the interaction between representatives of two or more professions, has not been studied extensively in relation to peer support workers (PSWs) in mental health care teams. PSWs support others who face challenges with their own experience of similar challenges of mental health problems. The role of PSWs has been studied in mental health care interprofessional teams. However, researchers have not paid attention to IPL where the PSWs contribute their knowledge. This paper is a scoping review that aims to highlight existing knowledge of the PSW role and expertise in IPL in the context of mental health care. The findings show knowledge of (a) the key factors and challenges when interprofessional teams include the PSW role, (b) the legitimacy of the PSWs' role and expertise, and (c) the benefits of the PSW role. A knowledge gap was identified of teams' use of PSWs' expertise and its implications for IPL.

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  • 340.
    Vilca Garay, Valdemar
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Engdahl, Matilda
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Posttraumatiskt stressyndrom: Vad finns det för behandlingar att få? Och vad har dessa för effekter?En litteraturstudie2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    Sixteen procent of the population develops post-traumatic stress disorder after having experienced a traumatic event. A traumatic event can involve, for example, war, torture or sexual abuse. People who have been exposed to a traumatic event can have problems living in everyday life if they do not receive the right help from society. These people can be hit so hard that they can avoid places that they consider difficult or have difficult memories.

    Aim

    Describe what interventions and treatments there are in society for people suffering from posttraumatic stress disorder.

    Method

    Literature-based study based on previous quantitative and qualitative research that has proven that there are different interventions for people diagnosed with PTSD.

    Results

    The results showed that studies had been done where people had to try yoga, acupuncture and COPE, among other things. It has also conducted studies on pharmacological and psychological treatments that are considered to have worked on patients. The results showed that yoga and acupuncture have the same effect if not better for different symptoms.

    Conclusion

    Education about post-traumatic stress disorder is an important part of society to keep in mind as all people in society, especially healthcare will meet these patients and a deeper understanding would make working with patients safer and a security for both parties. A broader area of knowledge about what can be perceived as traumatic and what there is for treatments.

  • 341.
    Västlund, Sanna
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Roskvist, Emma
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Man visste inte vad som förväntades helt och hållet, man visste inte vad som kommer härnäst: En fenomenologiskt inspirerad studie kring områden vari man kan förstå unga kvinnors hälsa2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    This is a qualitative study aimed to identify areas in which young girls' health can be understood, this is done through some of the lessons and experiences women brought with them from their teenage years. Reports and statistics confirm that young girl's health nowadays is to be considered a public health issue. The study is inspired by a phenomenological approach in which 14 interviews were conducted with women between the ages of 22-30 years. The choice of informants is based on the idea that you need to become an adult before you can identify what lessons you have brought along with you from your adolescence. The recordings of the interviews have been transcribed and analyzed in several steps to find common themes in the stories. The theoretical framework of this study is used as support in order to describe the subject's development and health.

    The results show four different themes from which the informants experienced the most lasting lessons from their adolescence. The first theme, "Up and down" is about the difficulties of being a teenager. Two other were identified as "Close relations" that take place in the primary group and "Ambient relations" that occur in the secondary group. Both of these describes the importance within the different levels. The last theme is about "Gender norms", which is connected to a community level. Through the four themes one can raise the level of understanding for the young girl's health. Each theme includes both a positive and negative aspect and can be split into two different groups. One where the feelings are left behind the when you grow up and one with lasting lessons which are brought along into the transition into an adult.

  • 342.
    Wallin, Helene
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Dezhlani, Hanna
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Personals upplevelse av hot och våldssituationer  inom vård för unga2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The number of incidents when employees of juvenile care institutes experience threats or violence in their working place increases dramatically during the past years. Aim: The aims of the present study were to (1.) measure the frequency of the experience of threat and violence during the past year (2.) and to investigate if the prevalence of the experience of threats and violent acts varies by gender, age, educational level or by experience. Method: Staff members of juvenile care institutes from the region of West-Gothenburg completed voluntary and anonymously a web-based questionnaire Results: The experience of threats and violent acts did not differed between male and female employees, neither by the employees’ education level. However, positive associations between the number of experienced threats/violent acts and the employees’ age, and their work experience was found. Conclusion: Even if the present study has strong limitations, such as a very low number of participants, the results suggest that more experienced employees may experience more threats and violent acts.

  • 343.
    Weckfors, Carina
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Kontaktsjuksköterskan – på väg mot personcentrerad kommunikation2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Nurse coordinators are today obligated to form a person-centered communication with patients. Studies show that the communication with patients treated for cancer should be created from a sensitivity and a knowledge about different phases of illness and that the nurse coordinator need theory, work experience and systematic reflection to form the communication.

    Aim: To describe experiences of cancer nurse coordinators regarding person-centered communication and to headlight needs of work integrated learning related to a person-centered way of working.

    Method: A semi-structed interview study was conducted with seven cancer nurse coordinators from three different cancer care units in Västra Götalands region, Sweden. A qualitative content analysis was performed.

    Results: The analyze resulted in showing how cancer nurses use their experience working towards a person-centered communication and their thoughts about person-centered care. The result also headlights the nurses thoughts of work integrated learning related to person-centered way of working.

    Conclusion: The cancer nurse coordinators used their experience to shape a person-centered communication with the patient. The nurse was supported and developed the work through the support from knowledgeable co-workers. The results show that despite the support and learning trough co-workers, which gave partially development of the work integrated learning, the theoretical knowledge of a person-centered care was at times uncompleted.

  • 344.
    Wennerberg, Mia M.T.
    et al.
    University of Gothenburg, Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg, Sweden..
    Eriksson, Monica
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Lundgren, Solveig M.
    University of Gothenburg, Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg, Sweden..
    Danielson, Ella
    University of Gothenburg, Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg, Sweden..
    Unravelling Swedish informal caregivers' Generalized Resistance Deficits2018In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 32, no 1, p. 186-196Article in journal (Refereed)
    Abstract [en]

    In salutogenic theory, individual/contextual, immaterial/material characteristics enabling movements towards health are labelled Specific and Generalised Resistance Resources, SRRs/GRRs, and characteristics counteracting such movements Specific and Generalised Resistance Deficits, SRDs/GRDs. The aim of this paper was to present SRDs and GRDs described by caregivers as stemming from themselves and their care recipient. Guided by salutogenic theory, an explorative design was used to collect data through interviews with 32 Swedish informal caregivers. During the theory-driven analysis, SRDs were unravelled using within-case approaches. To be able to unite them as GRDs across cases, a serviceable GRD definition was developed from the existing theoretical GRR definition. In findings, SRDs are visualised in citations and GRDs described in detail. Caregivers' experiences of SRDs/GRDs are presented as themes: 'Experiencing personal deficiencies', when stemming from themselves; and 'Struggling with an uncooperative co-worker', when stemming from their care recipients. Findings indicate that if these themes dominate a caregiver's view of life, she/he seems to have reached the 'breaking point' when caregiving ends due to lack of usable SRRs/GRRs. To prolong the time until this occurs, support, making otherwise unusable SRRs/GRRs usable, is needed. When designing this type of 'salutogenic' support, it seems essential to involve the target group (e.g. caregivers, care recipients), to ascertain what their SRRs/GRRs and SRDs/GRDs may consist of. Such knowledge regarding SRRs/SRDs could be used to design individualised support, and regarding GRRs/GRDs to design generalised support at group level. This study suggests how such new knowledge regarding resistance resources and deficits could be acquired.

  • 345.
    Wennerberg, Mia M.T.
    et al.
    University of Gothenburg, Department of Homecare Health and Nursing, Municipality of Orust , Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg , Sweden.
    Lundgren, Solveig M.
    University of Gothenburg , Sahlgrenska Academy, Institute of Health and Care Sciences, Gothenburg , Sweden.
    Eriksson, Monica
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Danielson, Ella
    University of Gothenburg, Department of Nursing , Mid Sweden University, Östersund, Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg , Sweden.
    Me and You in Caregivinghood: Dyadic resistance resources and deficits out of the informal caregiver's perspective2019In: Aging & Mental Health, ISSN 1360-7863, E-ISSN 1364-6915, Vol. 23, no 8, p. 1041-1048Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE:To present Specific and Generalized Resistance Resources (SRRs/GRRs) and Deficits (SRDs/GRDs) described by 32 informal caregivers as originating from themselves and their older adult carerecipients as dyads.METHOD:Salutogenic interviewing was used to assemble data from caregivers. A theory-driven, memo-guided and comparative analysis using within- and across- case analysis was applied to unravel resources and deficits influencing the outcomes when they managed tension associated with caregiving.FINDINGS:Living in fellowship in a well-functioning dyad unites the essence of having access to dyadic SRRs/GRRs. Such access enables dyads to use their specific dyadic tension management to resolve challenges through cooperation, derives 'positive' life-experiences and preserves dyad functioning. Struggling alone in a malfunctioning dyad indicates the presence of dyadic SRDs/GRDs counteracting such a development. If these SRDs/GRDs accumulate, the dyad become less able to resolve challenges, 'negative' life-experiences accumulates, the carerecipient's capability to cooperate decreases, caregiver's workload increases, the dyad becomes increasingly malfunctioning and moves towards the point where caregiving ends due to lack of usable SRRs/GRRs.CONCLUSIONS:Findings reveals the complex duality of caregiving and the necessity to assess all available SRRs/GRRs and SRDs/GRDs for caregiving dyads, including out of the carerecipient's perspective. Appropriate 'salutogenic' support reduces SRDs/GRDs, makes available SRRs/GRRs usable or provides alternative SRRs/GRRs, thereby dyadic tension management and dyadic functionality is preserved during this phase of life labelled Caregivinghood. The study adds new knowledge to the salutogenic framework regarding central, theoretical concepts and suggests how data for health promoting initiatives conducted the 'salutogenic way' may be acquired.

  • 346.
    Wigert, Helena
    et al.
    University of Gothenburg, (SWE) .
    Berg, Linda
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, (SWE).
    Arveklev Höglund, Susanna
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Morrison-Helme, Morag
    Faculty of Education, University of Cambridge, (GBR).
    Lepp, Margret
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, (SWE); Østfold University College, Halden, (NOR); School of Nursing and Midwifery, Griffith University, (AUS).
    Managing conflict situations nursing students encounter during their clinical practice, narrated and performed through Forum Play2021In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 56, p. -7, article id 103177Article in journal (Refereed)
    Abstract [en]

    Aim:

    To describe and illuminate conflict situations nursing students encounter during their clinical practice, narrated and performed through Forum Play.

    Background:

    Conflicts are common in healthcare settings and affect patient care and the wellbeing of nurses. To be able to manage complex practice situations, conflict management is an essential competence for nurses and should be highlighted during education. The aim of the study was to describe and illuminate conflict situations nursing students encounter during their clinical practice, narrated and performed through Forum Play.

    Design:

    The study was designed as a summative qualitative analysis of written group assignments related to nursing students participation in a drama workshop. Method: A summative qualitative content analysis of written group assignments related to nursing students participation in a drama workshop, focusing on conflict management. During the workshop the students explored conflict situations they had encountered during clinical practice, through Forum Play. After the workshop, the students handed in a mandatory written group assignment where they described one of the conflict situations. Results: The findings are presented in three categories; Parties; Arenas; Situations, one main theme;  Who knows best and two subthemes; Difficulties to adapt to the new and Difficulties reaching a mutual understanding.

    Conclusion:

    Conflict situations that nursing students encounter during their clinical practice often stem from the health care staff’s difficulties in adapting to the new and difficulty reaching a mutual understanding. Conflict management can be implemented as a powerful learning strategy in nursing education.  

  • 347.
    Winroth, Jan
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Organisationshälsa: En bok om hållbart arbetsliv2018Book (Other academic)
  • 348.
    Zouini, Btissame
    et al.
    Abdelmalek Essaadi University, Department of Biology, Faculty of Sciences, Tetouan, Morocco.
    Senhaji, Meftaha
    Abdelmalek Essaadi University, Department of Biology, Faculty of Sciences,Tetouan, Morocco.
    Kerekes, Nora
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Self-reported aggressive and antisocial behaviors in Moroccan high school students2019In: Psihologija, ISSN 1451-9283, Vol. 52, no 3, p. 235-247Article in journal (Refereed)
    Abstract [en]

    The aims of the present study were to map the level and distribution of aggressive and antisocial behaviors in a sample of Moroccan high school students and to define the level of these behaviors in adolescents who reported parental alcohol use problems and/or experienced abuse. In total, 375 high school students completed the "Mental and Somatic Health without borders (MeSHe)" survey that includes the Life History of Aggression scale. Male students had significantly higher scores for aggression and antisocial behaviors than female. The students who reported experience of abuse or parental alcohol use problems scored significantly higher for aggression, self-directed aggression, and antisocial behaviors compared to students not reporting these negative psychosocial factors. Previously shown gender-specific patterns in aggressive and antisocial behaviors, but not in self-harm behaviors were confirmed in these Moroccan high school students. Reported experience of abuse and/or parental alcohol use problems were associated with increased frequency of aggressive and antisocial behaviors.

  • 349.
    Zouini, Btissame
    et al.
    Abdelmalek Essaadi University, Department of Biology, Faculty of Sciences, Tetouan, Morocco.
    Sfendla, Anis
    Higher Institute of Nursing Professions and Health Techniques, Errachidia, Morocco.
    Hedman Ahlström, Britt
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Senhaji, Meftaha
    Abdelmalek Essaadi University, Faculty of Sciences, Tetouan, Morocco.
    Kerekes, Nora
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Mental health profile and its relation with parental alcohol use problems and/or the experience of abuse in a sample of Moroccan high school students: An explorative study2019In: Annals of General Psychiatry, E-ISSN 1744-859X, Vol. 18, no 1, article id 27Article in journal (Refereed)
    Abstract [en]

    Background: Studies on mental health are scarce from Arab countries, especially studies focusing on adolescents. In addition to the neurobiological and physiological changes that occur during adolescent development, psychological, societal and cultural influences have strong effects on adolescents’ behavior and on their somatic and mental health. The present study aimed (1) to describe the mental health profile, operationalized as psychological distress, of a sample of Moroccan adolescents, and (2) to investigate how specific psychosocial factors (parental alcohol use problems and the experience of physical and/or psychological abuse) may affect adolescents’ mental health. Methods: The sample included 375 adolescents from conveniently selected classes of four high schools in the city of Tetouan in Morocco. The participants responded to an anonymous survey containing, beside other inventories, the Brief Symptom Inventory (BSI) and identified those reporting parental alcohol use problems and/or the previous experience of abuse. The sample characteristics were defined using descriptive statistics. The effects of the defined psychosocial factors were identified using the Kruskal-Wallis test, followed by the post hoc Fisher’s least significant difference test. Results: The most common problems found in high school students from an urban region of Morocco were memory problems, concentration difficulties, restlessness, fear, nervosity and feelings of inadequacy during interpersonal interactions. The female students reported significantly higher psychological distress levels when compared to the male students (p < 0.001). The adolescents reporting parental alcohol use problems and the experience of physical/psychological abuse showed significantly higher levels of psychological distress (p = 0.02), especially symptoms of somatization (p < 0.001), hostility (p = 0.005) and anxiety (p = 0.01), than those not reporting any of these psychosocial factors. Conclusion: The mental health profile of female adolescents from an urban area of Morocco is worse than that of their male fellow students. Adolescents reporting parental alcohol use problems and/or the experience of physical/psychological abuse need synchronized support from social- A nd healthcare services. © 2019 The Author(s).

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  • 350.
    Zouini, Btissame
    et al.
    Abdelmalek Essaadi University, Department of Biology, Faculty of Sciences, Tetouan, Morocco.
    Sfendla, Anis
    Abdelmalek Essaadi University, Department of Biology, Faculty of Sciences, Tetouan, Morocco.
    Senhaji, Meftaha
    Abdelmalek Essaadi University, Department of Biology, Faculty of Sciences, Tetouan, Morocco.
    Råstam, Maria
    Lund University, Department of Clinical Sciences,Lund, Sweden.
    Kerekes, Nora
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Somatic health and its association with negative psychosocial factors in a sample of Moroccan adolescents2019In: SAGE Open Medicine, E-ISSN 2050-3121, Vol. 7, article id 2050312119852527Article in journal (Refereed)
    Abstract [en]

    Background: Adolescence is a distinct developmental phase characterized by multiple physical and psychological changes andby an increased vulnerability to somatic and mental health problems. These risk and vulnerability factors are part of a complexbiopsychosocial matrix, encompassing multiple factors, such as inherited biological determinants and psychological, societal,and cultural influences, which affect an adolescent's overall wellbeing. In Morocco, similar to other developing countries,adolescents (young people aged from 15 to 19years) constitute a substantial proportion of the population (almost 9%).However, studies about adolescents' health in developing countries are scarce. In this study, we describe adolescents' somatichealth in a sample of high school students from the city of Tetouan, Morocco, and investigate how negative psychosocialfactors, such as parental alcohol use problems and/or the experience of abuse, may influence them.Methods: The study sample included 655 adolescents (315 boys and 340 girls, M=16.64years, range=15–18years) fromconviniently selected classes of four high schools in the city of Tetouan in Morocco. The students responded to a survey thatassessed the prevalence of somatic complaints/disorders. They also indicated whether they had ever experienced physicaland/or psychological abuse and whether they had parents with alcohol use problems.Results: More than half of the adolescents suffered from headaches and one-third had substantial problems with diarrhea orconstipation. Both problems were more common in female students. The third most frequent somatic problem, affecting onein four in both genders, was allergy. Almost one-third of Moroccan adolescents (significantly more boys than girls; p=0.004)reported no somatic complaints. In adolescents who reported parental alcohol use problems and/or experience of physicaland/or psychological abuse, the prevalence of several somatic complaints (epilepsy, migraine, headache, diarrhea/constipation,gluten intolerance, allergy, and skin or thyroid disease) increased highly significantly compared to the adolescents whoreported no such psychosocial environmental factors.Conclusion: The results suggest that only 3 in 10 urban-living Moroccan adolescents are free of somatic complaints, whilethe majority suffer from some somatic problems, most often headaches and diarrhea/constipation. The association of certainnegative psychosocial factors with adolescents' somatic health suggests the need of a holistic approach to the treatment of affectedadolescents.

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