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Larsson, K
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Publications (10 of 47) Show all publications
Larsson, K., Roshanai, A. & Westerling, R. (2018). Ordinarie hälsokommunikation inom Stockholms län. Uppsala: Uppsala universitet
Open this publication in new window or tab >>Ordinarie hälsokommunikation inom Stockholms län
2018 (Swedish)Report (Other academic)
Abstract [sv]

En viktig metod för att främja hälsa hos nyanlända migranter är hälsokommunikation på det egna modersmålet. Flera initiativ har tagits för att utveckla hälsokommunikationen med migranter i Sverige. Särskild Hälsokommunikation har införts i flera delar av landet, däribland i Stockholms län. Sedan 2015 är hälsokommunikation integrerad i Samhällsorienteringen i Stockholms län, för de flyktingar som omfattas av etableringslagen.

I denna rapport presenteras en utvärdering av utvecklingen av den tidigare etablerade ordinarie hälsokommunikationen som ges av Stockholms läns landstings hälsokommunikatörer i tolv kommuner i länet. Syftet är att utvärdera vilka utvecklingsbehov som finns för den ordinarie hälsokommunikationen.

Genom intervjuer med aktörer inom landsting och kommuner har vi undersökt hur de aktuella kommunerna ser på organisation och finansieringsmodeller för ordinarie hälsokommunikation. Vidare har en enkätundersökning bland deltagare i hälsokommunikationen genomförts med syfte att kartlägga vad som kännetecknar deltagarna i den ordinarie hälsokommunikationen utifrån sociodemografiska och hälsorelaterade faktorer.

Utvärderingen pekar på flera utvecklingsområden för den ordinarie hälsokommunikationen.

Denna hälsokommunikation skulle exempelvis i större utsträckning kunna fördjupas och inriktas mot specifika målgruppers behov. Det finns också utrymme för att utveckla samverkan med andra aktörer som når målgrupperna, såsom Arbetsförmedling, hälso- och sjukvård och socialtjänst, samt att nå manliga migranter och yngre vuxna i större utsträckning.

Innehåll och metodik kan anpassat till målgruppens bristande hälsolitteracitet, d.v.s. förmåga att få tag på, förstå, värdera och använda sig av hälsoinformation. Det finns även ett intresse av att utveckla den lokala förankringen av verksamheten, samtidigt som den centrala samordningen och stödet har en viktig funktion. Rollfördelningen mellan de centrala funktionerna och de lokala aktörerna kan förtydligas och långsiktiga avtal anpassas till detta.

Place, publisher, year, edition, pages
Uppsala: Uppsala universitet, 2018. p. 38
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Social Medicine
Identifiers
urn:nbn:se:uu:diva-382433 (URN)
Available from: 2019-04-25 Created: 2019-04-25 Last updated: 2019-10-11Bibliographically approved
Andersén, Å., Larsson, K., Lytsy, P., Berglund, E., Kristiansson, P. & Anderzén, I. (2018). Strengthened General Self-Efficacy with Multidisciplinary Vocational Rehabilitation in Women on Long-Term Sick Leave: A Randomised Controlled Trial. Journal of occupational rehabilitation, 28(4), 691-700
Open this publication in new window or tab >>Strengthened General Self-Efficacy with Multidisciplinary Vocational Rehabilitation in Women on Long-Term Sick Leave: A Randomised Controlled Trial
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2018 (English)In: Journal of occupational rehabilitation, ISSN 1053-0487, E-ISSN 1573-3688, Vol. 28, no 4, p. 691-700Article in journal (Refereed) Published
Abstract [en]

Purpose To investigate the effects of two vocational rehabilitation interventions on self-efficacy, for women on long-term sick leave ≥ 1 year due to chronic pain and/or mental illness. Methods This study uses data from a randomised controlled trial consisting of two phases and comprising 401 women on long-term sick leave. They were allocated to either (1) a multidisciplinary team assessment and multimodal intervention (TEAM), (2) acceptance and commitment therapy (ACT), or (3) control group. Data were collected through repeated measurements from self-reported questionnaires before intervention, 6 and 12 months later and registry data. Data from measurements of general self-efficacy, sociodemographics, anxiety and depression were analysed with linear regression analyses. Results During the intervention period, the women in the TEAM group’s self-efficacy mean increased from 2.29 to 2.74. The adjusted linear regression model, which included group allocation, sociodemographics, self-efficacy pre-treatment, anxiety and depression showed increased self-efficacy for those in the TEAM intervention at 12 months (B = 0.25, 95% CI 0.10–0.41). ACT intervention had no effect on self-efficacy at 12 months (B = 0.02, 95% CI − 0.16 to 0.19). The results in the adjusted model also showed that higher self-efficacy at pre-treatment was associated with a higher level of self-efficacy at 12 months (B = 0.68, 95% CI 0.54–0.81). Conclusion A multidisciplinary team assessment and multimodal intervention increased self-efficacy in women on sick leave for an extremely long time (mean 7.8 years) who had a low mean level of self-efficacy prior to inclusion. Thus, self-efficacy needs to be addressed in vocational rehabilitation.

Keywords
Chronic pain, Mental illness, Multidisciplinary rehabilitation, Self-efficacy, Sick leave, Vocational rehabilitation, Women
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:uu:diva-339109 (URN)10.1007/s10926-017-9752-8 (DOI)000450856600011 ()29318421 (PubMedID)
Funder
Swedish Social Insurance AgencySwedish Association of Local Authorities and RegionsVårdal Foundation
Available from: 2018-01-16 Created: 2018-01-16 Last updated: 2019-01-22Bibliographically approved
Andersén, Å., Larsson, K., Pingel, R., Kristiansson, P. & Anderzén, I. (2018). The relationship between self-efficacy and transition to work or studies in young adults with disabilities. Scandinavian Journal of Public Health, 46(2), 272-278
Open this publication in new window or tab >>The relationship between self-efficacy and transition to work or studies in young adults with disabilities
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2018 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 46, no 2, p. 272-278Article in journal (Refereed) Published
Abstract [en]

Aim: To investigate perceived self-efficacy in unemployed young adults with disabilities and the association between self-efficacy and transition to work or studies.

Methods: This prospective cohort study collected data through self-report questionnaires and registry data from a vocational rehabilitation project with young adults, aged 19-29 years. The Swedish Social Insurance Agency, the Swedish Public Employment Service and the participating municipalities identified potential participants to the study. A total of 531 participants were included in the study, of which 249 (47%) were available for analysis. Multinomial logistic regression models were carried out to estimate the associations between self-efficacy, demographic, health and employment status. The latter was coded as: “no transition to work or studies”, “transition to studies”, and “transition to work”.

Results: A higher level of self-efficacy was associated with increased odds for “transition to work” (OR=2.37, p<0.05). This finding remained consistent when adjusting for possible confounders. The mean value of self-efficacy was low, and participants with lower self-efficacy reported worse self-rated health (p<0.001) compared with participants with higher self-efficacy.

Conclusions: The results from this study suggest that self-efficacy should be addressed in vocational rehabilitation of young adults with disabilities in order to support their transition and integration into the labour market.

Place, publisher, year, edition, pages
Sage Publications, 2018
Keywords
self-efficacy, young adults, disability, employment
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Social Medicine
Identifiers
urn:nbn:se:uu:diva-328794 (URN)10.1177/1403494817717556 (DOI)000429934600015 ()29569532 (PubMedID)
Funder
European Social Fund (ESF)Swedish Social Insurance Agency
Available from: 2017-08-31 Created: 2017-08-31 Last updated: 2018-06-19Bibliographically approved
Lejelind, E., Westerling, R., Fugl-Meyer, K. & Larsson, K. (2017). Condom use among Swedes while traveling internationally: A qualitative descriptive study. Nursing and Health Sciences, 19(2), 257-263
Open this publication in new window or tab >>Condom use among Swedes while traveling internationally: A qualitative descriptive study
2017 (English)In: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 19, no 2, p. 257-263Article in journal (Refereed) Published
Abstract [en]

This study explores factors influencing condom use among Swedish women and men who visited a sexual health clinic after unprotected sex during international travel. Semi-structured interviews were conducted with 25 women and 25 men. The data were analyzed using conventional content analysis. The informants' narratives were categorized as strategies and barriers. Strategies found were: risk assessment, testing, and treatment for sexually transmitted infections. The barriers were characterized as technical and personal or emotional. The findings indicate that sexual behavior may be different while traveling internationally, and that a release of social constraints and increased alcohol consumption were risk factors for practicing unprotected sex. Some of the strategies may be appropriate for the prevention of sexually transmitted infections, but several strategies and most barriers were used to explain why unprotected sex was practiced. Thus, people need the opportunity to reconsider strategies and strengthen confidence in their ability to use condoms. An individual-based approach employed within routine health care may support the practice of safer sex and prevent further transmission of sexually transmitted infections.

National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-322286 (URN)10.1111/nhs.12341 (DOI)000405151600019 ()
Funder
Public Health Agency of Sweden
Available from: 2017-05-18 Created: 2017-05-18 Last updated: 2017-10-11Bibliographically approved
Andersén, Å., Christian, S., Anderzén, I., Kristiansson, P. & Larsson, K. (2017). Positive experiences of a vocational rehabilitation intervention for individuals on long-term sick leave, the Dirigo project: a qualitative study. BMC Public Health, 17, Article ID 790.
Open this publication in new window or tab >>Positive experiences of a vocational rehabilitation intervention for individuals on long-term sick leave, the Dirigo project: a qualitative study
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2017 (English)In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 17, article id 790Article in journal (Refereed) Published
Abstract [en]

Background: The process of returning to work after long-term sick leave can sometimes be complex. Many factors, (e.g. cooperation between different authorities and the individual as well as individual factors such as health, emotional well-being and self-efficacy) may have an impact on an individual’s ability to work. The aim of this study was to investigate clients’ experiences with an individually tailored vocational rehabilitation, the Dirigo project, and encounters with professionals working on it. The Dirigo project was based on collaboration between rehabilitation authorities, individually tailored interventions and a motivational interviewing approach. 

Methods: A descriptive qualitative design was used with data collected through interviews. Fourteen individuals on long-term sick leave took part in individual semi-structured interviews. The interviews were analysed using content analysis.

Results: The analysis showed overall positive experience of methods and encounters with professionals in a vocational rehabilitation project. The positive experiences were based on four key factors: 1. Opportunities for receiving various dimensions of support.  2. Good overall treatment by the professionals. 3. Satisfaction with the working methods of the project, and 4. Opportunities for personal development.

Conclusions: The main result showed that the clients had an overall positive experience of a vocational rehabilitation project and encounters with professionals who used motivational interviewing as a communication method. The overall positive experience indicated that their interactions with the different professionals may have affected their self-efficacy in general and in relation to transition to work. The knowledge is essential for the professionals working in the area of vocational rehabilitation. However, vocational rehabilitation interventions also need a societal approach to be able to offer clients opportunities for job training and real jobs.

Keywords
Sick leave, vocational rehabilitation, motivational interviewing, cooperation, return-to-work, qualitative study
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Social Medicine
Identifiers
urn:nbn:se:uu:diva-328791 (URN)10.1186/s12889-017-4804-8 (DOI)000412684800001 ()29017504 (PubMedID)
Available from: 2017-08-31 Created: 2017-08-31 Last updated: 2018-01-19Bibliographically approved
Ståhl, C., Andersén, Å., Anderzén, I. & Larsson, K. (2017). Process evaluation of an interorganizational cooperation initiative in vocational rehabilitation: the Dirigo project. BMC Public Health, 17, Article ID 431.
Open this publication in new window or tab >>Process evaluation of an interorganizational cooperation initiative in vocational rehabilitation: the Dirigo project
2017 (English)In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 17, article id 431Article in journal (Refereed) Published
Abstract [en]

Background: This study analyzes the process of establishing and developing a cooperative vocational rehabilitation project with special focus on organizational and professional aspects. In the project, officials from the Swedish Social Insurance Agency and the Swedish Public Employment Service worked cooperatively with participants on long-term sick leave, youths with disability benefits, and people receiving social allowances. The officials used Motivational Interviewing (MI) as a method when meeting participants, and were able to offer flexible and tailored case management. The goal was to improve work ability and promote self-sufficiency.

Methods: The process evaluation was carried out through continuous data collection throughout the project (2012-2014), resulting in a total of 28 individual interviews and 17 focus groups with officials and managers. The material was categorized through an inductive content analysis, and analyzed using social capital as a theoretical frame.

Results: The evaluation points to how issues related to design, organization and management contributed to the project not reaching its goals, e.g. problems with recruitment of participants, the funding structure, and staffing problems on the managerial level. Still, officials reported positive effects of close cooperation, which was perceived as facilitating the case management by fostering a mutual understanding and access to resources and rehabilitation measures from more than one authority.

Conclusions: Cooperative work combined with the use of MI and flexible case management seem to promote an increased trust between officials from different authorities and participants, which in the study is conceptualized as bonding and bridging social capital (between officials) and linking social capital (between officials and participants). The organizational problems combined with the relatively large differences in approaches between the project and regular practice obstructed implementation, where the authorities involved did not appear to be ready for implementing methodologies that require organizational restructuring.

National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:uu:diva-322288 (URN)10.1186/s 12889-017-4357-x (DOI)000401863200003 ()28490328 (PubMedID)28490328 (Scopus ID)
Funder
European Social Fund (ESF)
Available from: 2017-05-18 Created: 2017-05-18 Last updated: 2018-04-04Bibliographically approved
Larsson, K., Lööf, L. & Nordin, K. (2017). Stress, coping and support needs of patientes with ulcerative colitis and Crohn's disease: a qualitative descriptive study. Journal of Clinical Nursing, 26(5-6), 648-657
Open this publication in new window or tab >>Stress, coping and support needs of patientes with ulcerative colitis and Crohn's disease: a qualitative descriptive study
2017 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 26, no 5-6, p. 648-657Article in journal (Refereed) Published
Abstract [en]

Aims and objectives

To examine disease‐related stress, coping strategies and the need for information and support in patients with inflammatory bowel disease (ulcerative colitis or Crohn's disease).

Background

Psychological stress is an important factor in ulcerative colitis and Crohn's disease, and therefore, coping strategies and support needs should be considered in routine clinical practice.

Design

This is a qualitative study using a descriptive interview‐based approach.

Method

Fifteen patients with ulcerative colitis (n = 7) or Crohn's disease (n = 8) were interviewed. The interviews were analysed with content analysis.

Results

The informants largely focused on disease‐related stress (e.g. access to a toilet, symptoms and worries) and relations to other people (various reactions from others and social situations). Behavioural strategies (i.e. taking actions and the need for making plans, prepare and adapt), social strategies (seeking help and information and sharing feelings about the disease with others) and emotional strategies (distraction, positive attitude and acceptance) were adopted to cope with the stress associated with the disease. The need for information and support concerned instrumental support (disease‐related information) and emotional support (to talk about disease management).

Conclusion

Faecal urgency and the fear of losing bowel control are important stressors for patients with inflammatory bowel disease. The patients handle this problem using various coping strategies depending on the type of stressful events. Both instrumental and emotional support were requested which primarily occurred at the time of diagnosis and disease flare‐ups.

Relevance to clinical practice

Patients with ulcerative colitis or Crohn's disease ask for information and psychosocial support that are tailored to their individual needs and at different stages in the disease trajectory to improve everyday life and strengthen self‐management strategies.

Keywords
content analysis, coping, Drohn's disease, stress, ulcerative colitis
National Category
Medical and Health Sciences Nursing
Research subject
Medical Science
Identifiers
urn:nbn:se:uu:diva-317413 (URN)10.1111/jocn.13581 (DOI)000398914400008 ()27626615 (PubMedID)
Available from: 2017-03-14 Created: 2017-03-14 Last updated: 2018-09-18Bibliographically approved
Anmyr, L., Larsson, K. & Olsson, M. (2016). Parents' Stress and Coping Related to Children's Use of a Cochlear Implant: A Qualitative Study. Journal of Social Work in Disability & Rehabilitation, 15(2), 150-167
Open this publication in new window or tab >>Parents' Stress and Coping Related to Children's Use of a Cochlear Implant: A Qualitative Study
2016 (English)In: Journal of Social Work in Disability & Rehabilitation, ISSN 1536-710X, E-ISSN 1536-7118, Vol. 15, no 2, p. 150-167Article in journal (Refereed) Published
Abstract [en]

The aim was to increase understanding of parents' experiences of having a child with cochlear implant (CI) and to explore how these related to children's use of CI. Twelve parents of children, full-time users or limited users of CI, participated in the study. Qualitative content analysis showed that the parents of children who used their CI differed from the parents with limited users in how they handled stressors. Support from health care professionals was seen as insufficient. Parents need to get involved in dynamic processes, where health care resources promote parental coping.

Keywords
Attitudes, children, cochlear implant, coping, interviews, parents stress, utilization
National Category
Public Health, Global Health, Social Medicine and Epidemiology Social Work
Identifiers
urn:nbn:se:uu:diva-281911 (URN)10.1080/1536710X.2016.1162123 (DOI)000387348100005 ()26958933 (PubMedID)
Available from: 2016-03-31 Created: 2016-03-31 Last updated: 2017-11-30Bibliographically approved
Lytsy, P., Larsson, K. & Anderzén, I. (2015). Health in women on long-term sick leave because of pain or mental illness. International Journal of Rehabilitation Research, 38(1), 27-33
Open this publication in new window or tab >>Health in women on long-term sick leave because of pain or mental illness
2015 (English)In: International Journal of Rehabilitation Research, ISSN 0342-5282, E-ISSN 1473-5660, Vol. 38, no 1, p. 27-33Article in journal (Refereed) Published
Abstract [en]

Mental illness and pain are common causes of long-term sick absence and major difficulties in vocational rehabilitation. The aim of this study was to investigate health in a group of women with pain or mental illness who had exhausted their days of sickness benefit. This cross-sectional study uses baseline data from 355 women on long-term sick leave participating in controlled intervention studies aiming at returning to work. The study population filled in a written questionnaire with questions of self-rated health and sleep quality and validated indexes of mental health, satisfaction with life and general self-efficacy. Clinical psychiatric screening was performed on 230 individuals. The study population had a mean age of 48.8 years (SD 8.4), with an average time on sick leave of 7.8 years (SD 3.2). Self-rated health and sleep quality was poor compared with other populations. In all, 80.1% had at least one psychiatric diagnosis according to the psychiatric screening, and the average numbers of psychiatric diagnoses were 2.2 (SD 1.9). Foreign-born women showed significantly higher levels of mental illness, poorer self-rated health and sleep quality and lower self-efficacy and life satisfaction than native Swedish women. Women with long sick leave because of mental illness and/or pain have poor self-rated health and sleep quality, high prevalence of mental illness and low self-efficacy and life satisfaction. Psychiatric screening suggests more extensive mental illness than what was stated on the sick leave certificates. The health of foreign-born women seems to be worse than that of native Swedish women.

National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:uu:diva-236183 (URN)10.1097/MRR.0000000000000080 (DOI)000349395900003 ()25203749 (PubMedID)
Available from: 2014-11-13 Created: 2014-11-13 Last updated: 2017-12-05Bibliographically approved
Andersén, Å., Larsson, K., Lytsy, P., Kristiansson, P. & Anderzén, I. (2015). Predictors of self-efficacy in women on long-term sick leave. International Journal of Rehabilitation Research, 38(4), 320-326
Open this publication in new window or tab >>Predictors of self-efficacy in women on long-term sick leave
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2015 (English)In: International Journal of Rehabilitation Research, ISSN 0342-5282, E-ISSN 1473-5660, Vol. 38, no 4, p. 320-326Article in journal (Refereed) Published
Abstract [en]

Self-efficacy has been shown to be related to sick leave and to be a predictor of return to work after sickness absence. The aim of this study was to investigate whether factors related to sick leave predict self-efficacy in women on long-term sick leave because of pain and/or mental illness. This cross-sectional study uses baseline data from 337 Swedish women with pain and/or mental illness. All included women took part in vocational rehabilitation. Data were collected through a sick leave register and a baseline questionnaire. General self-efficacy, sociodemographics, self-rated health, anxiety, depression, view of the future, and social support were measured and analyzed by univariate and multivariate linear regression analyses. The full multivariate linear regression model, which included mental health factors together with all measured factors, showed that anxiety and depression were the only predictive factors of lower self-efficacy (adjusted R-2 = 0.46, P < 0.001) and explained 46% of the variance in self-efficacy. The mean scores of general self-efficacy were low, especially in women born abroad, those with low motivation, those with uncertainties about returning to work, and women reporting distrust. Anxiety and depression are important factors to consider when targeting self-efficacy in vocational rehabilitation.

Keywords
anxiety, depression, self-efficacy, sick leave, vocational rehabilitation, women
National Category
Health Sciences
Identifiers
urn:nbn:se:uu:diva-268763 (URN)10.1097/MRR.0000000000000129 (DOI)000364627800006 ()26258448 (PubMedID)
Available from: 2015-12-15 Created: 2015-12-09 Last updated: 2018-01-19
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