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Publications (10 of 27) Show all publications
Meili, K. W., Mulhern, B., Ssegonja, R., Norström, F., Feldman, I., Månsdotter, A., . . . Lindholm, L. (2023). Eliciting a value set for the Swedish capability-adjusted life years instrument (CALY-SWE). Quality of Life Research
Open this publication in new window or tab >>Eliciting a value set for the Swedish capability-adjusted life years instrument (CALY-SWE)
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2023 (English)In: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649Article in journal (Refereed) Epub ahead of print
Abstract [en]

Purpose: Our aim was to elicit a value set for Capability-Adjusted Life Years Sweden (CALY-SWE); a capability-grounded quality of life instrument intended for use in economic evaluations of social interventions with broad consequences beyond health.

Methods: Building on methods commonly used in the quality-adjusted life years EQ-5D context, we collected time-trade off (TTO) and discrete choice experiment (DCE) data through an online survey from a general population sample of 1697 Swedish participants. We assessed data quality using a score based on the severity of inconsistencies. For generating the value set, we compared different model features, including hybrid modeling of DCE and TTO versus TTO data only, censoring of TTO answers, varying intercept, and accommodating for heteroskedasticity. We also assessed the models’ DCE logit fidelity to measure agreement with potentially less-biased DCE data. To anchor the best capability state to 1 on the 0 to 1 scale, we included a multiplicative scaling factor.

Results: We excluded 20% of the TTO answers of participants with the largest inconsistencies to improve data quality. A hybrid model with an anchor scale and censoring was chosen to generate the value set; models with heteroskedasticity considerations or individually varying intercepts did not offer substantial improvement. The lowest capability weight was 0.114. Health, social relations, and finance and housing attributes contributed the largest capability gains, followed by occupation, security, and political and civil rights.

Conclusion: We elicited a value set for CALY-SWE for use in economic evaluations of interventions with broad social consequences.

Place, publisher, year, edition, pages
Springer Nature, 2023
Keywords
Quality-adjusted life year, Time trade-off, Discrete choice experiment, Capability approach, Hybrid modeling, Economic evaluation
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:umu:diva-214379 (URN)10.1007/s11136-023-03507-w (DOI)37695477 (PubMedID)2-s2.0-85170367443 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2018-00143Forte, Swedish Research Council for Health, Working Life and Welfare, 2018-00143
Available from: 2023-09-13 Created: 2023-09-13 Last updated: 2024-01-27
Tafvelin, S., Hjelte, J., Schimmer, R., Forsgren, M., Torra, V. & Stenling, A. (2023). Introducing robots and AI in human service organizations: what are the implications for employees and service users?. In: Simon Lindgren (Ed.), Handbook of critical studies of artificial intelligence: (pp. 726-736). Cheltenham: Edward Elgar Publishing
Open this publication in new window or tab >>Introducing robots and AI in human service organizations: what are the implications for employees and service users?
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2023 (English)In: Handbook of critical studies of artificial intelligence / [ed] Simon Lindgren, Cheltenham: Edward Elgar Publishing, 2023, p. 726-736Chapter in book (Refereed)
Abstract [en]

Robots and AI are increasingly being introduced in organizations to improve efficiency and replace dull and dangerous work. The implementation of robots and AI will change the way work is organized and managed with consequences for both employees and service users. In this chapter, we critically examine the implementation of robots and AI in human service organizations from work design, management, and ethical perspectives. We propose that the implementation of robots and AI introduces several challenges and risks for both employees and users that need to be addressed. However, we also suggest that these challenges may be overcome if knowledge about work design and user involvement is considered.

Place, publisher, year, edition, pages
Cheltenham: Edward Elgar Publishing, 2023
Keywords
Robots, AI, Work design, Algorithmic management, Ethical perspectives, User-centred
National Category
Robotics Social Work
Identifiers
urn:nbn:se:umu:diva-217519 (URN)10.4337/9781803928562.00074 (DOI)2-s2.0-85181783532 (Scopus ID)9781803928555 (ISBN)9781803928562 (ISBN)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2021-01422
Available from: 2023-12-06 Created: 2023-12-06 Last updated: 2024-01-25Bibliographically approved
Hjelte, J., Höög, E. & Nordström, A. (2023). Kunskap och expertis i små glesbygdskommuners socialtjänst: synen på utmaningar och lösningar. Socialvetenskaplig tidskrift, 30(1), 457-476
Open this publication in new window or tab >>Kunskap och expertis i små glesbygdskommuners socialtjänst: synen på utmaningar och lösningar
2023 (Swedish)In: Socialvetenskaplig tidskrift, ISSN 1104-1420, E-ISSN 2003-5624, Vol. 30, no 1, p. 457-476Article in journal (Refereed) Published
Abstract [en]

Small rural municipalities face major challenges in the area of welfare. One of these challenges is about providing knowledge and expertise within social services. As a result of its small scale, social services in rural areas have an integrated organisation where social workers are supposed to work with a wide range of social problems. At the same time, there are expectations that they should have expertise in defined areas. This article focuses on how representatives of social services in eight rural municipalities view the opportunities to provide knowledge and expertise.

Data collection was carried out within an action research project in connection with conferences and workshops. The results show that it can be challenging to develop knowledge and expertise. Since social services mainly have an integrated organisation, it is difficult to keep up-to-date on the state of knowledge in all areas. Another challenge is that it can be difficult to maintain skills in practice because certain types of cases are encountered relatively rarely.

To deal with the challenges, different collaborative solutions are seen as a way to balance expectations on knowledge and expertise, and to balance the expectations of knowledge and expertise with the conditions that prevail in rural environments. The attitude towards different kinds of digital technology – for example web-based education and supervision – as tools for knowledge development and access to expertise is consistently positive. The results also indicate that digital technology has the potential to change the perspectives on the organisation of knowledge development and expertise within social services in rural municipalities.

An overall interpretation of the results is that social services in rural areas must deal with different challenges in terms of knowledge and expertise than social services in larger and more densely populated areas. Therefore, the possible solutions are also different.

Place, publisher, year, edition, pages
FORSA (Förbundet för forskning i socialt arbete), 2023
Keywords
rural social services, challenges, knowledge and expertise, collaborative solutions, digital solutions
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Social Work
Identifiers
urn:nbn:se:umu:diva-208445 (URN)10.3384/SVT.2023.30.1.4116 (DOI)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2021-01381
Available from: 2023-05-24 Created: 2023-05-24 Last updated: 2023-05-24Bibliographically approved
Meili, K. W., Månsdotter, A., Richter Sundberg, L., Hjelte, J. & Lindholm, L. (2022). An initiative to develop capability-adjusted life years in Sweden (CALY-SWE): Selecting capabilities with a Delphi panel and developing the questionnaire. PLOS ONE, 17(2), Article ID e0263231.
Open this publication in new window or tab >>An initiative to develop capability-adjusted life years in Sweden (CALY-SWE): Selecting capabilities with a Delphi panel and developing the questionnaire
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2022 (English)In: PLOS ONE, E-ISSN 1932-6203, Vol. 17, no 2, article id e0263231Article in journal (Refereed) Published
Abstract [en]

Introduction: Capability-adjusted life years Sweden (CALY-SWE) are a new Swedish questionnaire-based measure for quality of life based on the capability approach. CALY-SWE are targeted towards use in cost-effectiveness evaluations of social welfare consequences. Here, we first motivate the measure both from a theoretical and from a Swedish policy-making perspective. Then, we outline the core principles of the measure, namely the relation to the capability approach, embedded equity considerations inspired by the fair-innings approach, and the bases for which capabilities should be considered. The aims were to 1) the most vital capabilities for individuals in Sweden, 2) to define a sufficient level of each identified capability to lead a flourishing life, and to 3) develop a complete questionnaire for the measurement of the identified capabilities.

Material and methods: For the selection of capabilities, we used a Delphi process with Swedish civil society representants. To inform the questionnaire development, we conducted a web survey in three versions, with each Swedish 500 participants, to assess the distribution of capabilities that resulted from the Delphi process in the Swedish population. Each version was formulated with different strictness so that less strict wordings of a capability level would apply to a larger share of participants. All versions also included questions on inequality aversion regarding financial, educational, and health capabilities.

Results: The Delphi process resulted in the following six capabilities: Financial situation & housing, health, social relations, occupations, security, and political & civil rights. We formulated the final phrasing for the questionnaire based on normative reasons and the distribution of capabilities in the population while taking into account inequality aversion.

Conclusion: We developed a capability-based model for cost effectiveness economic evaluations of broader social consequences, specific to the Swedish context.

Place, publisher, year, edition, pages
Public Library of Science (PLoS), 2022
National Category
Health Sciences
Research subject
health services research; Public health
Identifiers
urn:nbn:se:umu:diva-192308 (URN)10.1371/journal.pone.0263231 (DOI)000798968600010 ()35134053 (PubMedID)2-s2.0-85124191312 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2018-00143
Available from: 2022-02-08 Created: 2022-02-08 Last updated: 2024-01-27Bibliographically approved
Hjelte, J., Eliasson, B., Höög, E. & Westerlund, A. (2022). At the Interplay Between Needs and Expectations: Regional Perspectives on Being an Intermediary Support Structure in Knowledge Governance. Nordic Journal of Social Research, 13(2), 1-15
Open this publication in new window or tab >>At the Interplay Between Needs and Expectations: Regional Perspectives on Being an Intermediary Support Structure in Knowledge Governance
2022 (English)In: Nordic Journal of Social Research, E-ISSN 1892-2783, Vol. 13, no 2, p. 1-15Article in journal (Refereed) Published
Abstract [en]

Introduction: During the last decade, structures for ‘knowledge governance’ as a means of strengthening the quality of social services has been used by the Swedish government and national authorities. In this process, regional collaboration and support structures (RCSSs) have been identified as a key asset as an intermediary link between national and local actors. The aim of this study was to explore the perspectives of these regional actors on expectations associated with being an intermediary support structure in knowledge governance processes in social services in Sweden. Methods: The study uses an abductive, qualitative approach, mainly with open questions in an empirical-driven manner (inductively) and partly in a theory-driven manner (deductively). Interviews with representatives from the RCSSs were used for data collection. Conventional content analysis with elements of directed content analysis of the data material was used. Results: A variety of expectations on RCSSs was reported from the national and local levels. According to the respondents, the feeling of inadequacy in relation to the perceived expectations was recurrent because the expectations were hard to meet. They also experienced role ambiguity and that their mission was unclear. Conclusions: The findings show that RCSSs seem to handle the situation by considering, assessing, and prioritising different actors’ needs and expectations in relation to their own perception of the intermediary mission. The findings also indicate a lack of a collective sense-making process with other key actors on different levels in the knowledge governance system. To reach the core purpose of knowledge governance, it is necessary to establish a common understanding of the relationship between expectations and prerequisites for facilitation between national, regional, and local actors.

Place, publisher, year, edition, pages
Universitetsforlaget, 2022
Keywords
knowledge governance, intermediary support structure, facilitation, development, social services
National Category
Other Social Sciences Other Social Sciences not elsewhere specified
Identifiers
urn:nbn:se:umu:diva-200352 (URN)10.18261/njsr.13.2.5 (DOI)2-s2.0-85143585870 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare
Available from: 2022-10-17 Created: 2022-10-17 Last updated: 2023-12-08Bibliographically approved
Hjelte, J., Eliasson, B. & Berg, E. (2022). Changes in ideas on knowledge governance in the context of social services in Sweden. Nordic Social Work Research, 13(3), 431-444
Open this publication in new window or tab >>Changes in ideas on knowledge governance in the context of social services in Sweden
2022 (English)In: Nordic Social Work Research, ISSN 2156-857X, E-ISSN 2156-8588, Vol. 13, no 3, p. 431-444Article in journal (Refereed) Published
Abstract [en]

Over the past 20 years, the Swedish government and national authorities have organized a structure for knowledge governance in order to implement an evidence-based practice (EBP) for social services. Since the idea of a knowledge governance has not been implemented as expected, it was considered important to develop regional collaboration and support structures (RCSSs) as a link between national and local authorities. In this article, we discuss changes in ideas on knowledge governance at the national level, and also changes in expectations on RCSSs function in knowledge governance of the Swedish social service. Changes in governance also change the prerequisites for implementation of EBP. Therefore, it is important to further examine and analyse ideas on knowledge governance at the national level and whether they change over time. The empirical data consists of official documents and interviews with representatives of key actors at national level. A qualitative content analysis of the interviews was then performed and also an analysis of the official document was used to describe the changes on knowledge governance. This article shows that ideas on knowledge governance has changed over time, from an emphasis on top-down governance towards a more dialogue-based governance. This shift in governance ideals also appears to have had an impact on expectations regarding RCSSs, through an increased emphasis on their collaborative function in relation to both national and local levels. The knowledge governance and the function of the RCSSs appear to be fragile, as this collaboration is based on voluntary partnership and networks.

Place, publisher, year, edition, pages
Routledge, 2022
Keywords
Knowledge governance, evidence-based practice, regional cooperation and support structures, changes in governance
National Category
Social Work Political Science
Identifiers
urn:nbn:se:umu:diva-192175 (URN)10.1080/2156857x.2021.2024242 (DOI)2-s2.0-85124141786 (Scopus ID)
Funder
Swedish Research Council, 2017-02113
Available from: 2022-02-03 Created: 2022-02-03 Last updated: 2023-12-19Bibliographically approved
Jonsson, F., Goicolea, I., Hjelte, J. & Linander, I. (2022). Representing a Fading Welfare System that Is Failing Young People in 'NEET' Situations: a WPR Analysis of Swedish Youth Policies. Journal of Applied Youth Studies
Open this publication in new window or tab >>Representing a Fading Welfare System that Is Failing Young People in 'NEET' Situations: a WPR Analysis of Swedish Youth Policies
2022 (English)In: Journal of Applied Youth Studies, ISSN 2204-9193Article in journal (Refereed) Published
Abstract [en]

The situation of young people who are neither in employment, education nor training (referred to in political, scientific and public discourses as ‘NEETs’) has received widespread attention during the last decade. However, while policy responses to young people’s work- and school-related marginalisation have been analysed by international scholars in a variety of contexts, to the best of our knowledge, no study to date has scrutinised problem representations of ‘NEET’ young people in youth policies in Sweden. To bridge the current knowledge gap and uncover taken-for-granted assumptions about the otherwise largely unchallenged Nordic welfare model, the aim of this research was to explore how the ‘problem’ of ‘NEET’ young people is represented in Swedish policies and policy proposals. To facilitate this, a discursive approach to policy analysis was adopted, following Bacchi’s ‘What’s the Problem Represented to be?’ (WPR) methodology. By focusing on the solutions that have been proposed to reduce the size of the ‘NEET’ group in two selected policies, four problem representations were developed. These connect the ‘NEET’ problem in Sweden, at the general level, to the ‘vulnerability’ of young people on the margins of education and employment (especially certain sub-groups) and, more specifically, to the failure of a fading welfare system to provide services and support for these ‘vulnerable’ subjects. Beyond representing the ‘problem’ along these lines, the identified problem representations may contribute to silencing young people’s agency and ignoring the consequences of a growing labour-market precarisation in Sweden, while failing to provide a basis for equity and social justice.

Place, publisher, year, edition, pages
Springer, 2022
Keywords
Sweden, NEET, Young people, Policy analysis, WPR, Bacchi
National Category
Social Work
Identifiers
urn:nbn:se:umu:diva-193034 (URN)10.1007/s43151-022-00071-x (DOI)2-s2.0-85126040376 (Scopus ID)
Projects
2020–01339 - Hur kan vi stödja unga som varken arbetar eller studerar?
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2020-01339
Available from: 2022-03-10 Created: 2022-03-10 Last updated: 2022-07-19Bibliographically approved
Nordström, A., Höög, E. & Hjelte, J. (2020). Innovationskraft i små glesbygdskommuner: för en kunskapsbaserad socialtjänst. Umeå: FoU Välfärd, Region Västerbotten
Open this publication in new window or tab >>Innovationskraft i små glesbygdskommuner: för en kunskapsbaserad socialtjänst
2020 (Swedish)Report (Other academic)
Place, publisher, year, edition, pages
Umeå: FoU Välfärd, Region Västerbotten, 2020. p. 42
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-171640 (URN)978-91-519-5393-9 (ISBN)
Available from: 2020-06-08 Created: 2020-06-08 Last updated: 2020-09-16Bibliographically approved
Hjelte, J. & Ineland, J. (2020). Quality in professional encounters with students who have intellectual disabilities: experiences from special needs upper secondary schools in Sweden. European Journal of Special Needs Education, 35(5), 648-662
Open this publication in new window or tab >>Quality in professional encounters with students who have intellectual disabilities: experiences from special needs upper secondary schools in Sweden
2020 (English)In: European Journal of Special Needs Education, ISSN 0885-6257, E-ISSN 1469-591X, Vol. 35, no 5, p. 648-662Article in journal (Refereed) Published
Abstract [en]

The aim of this article is to analyse how professionals in special needs upper secondary schools in Sweden – assistants, teachers and Special Education Needs Coordinators – understand and define quality in their daily interactions with students who have intellectual disabilities. Our analysis draws on data collected via a digital questionnaire, including both open-ended and standardised (Likertscale) questions. In this study, written excerpts from open-ended questions comprised the primary empirical data used in the analysis. 129 respondents provided a total of 289 statements concerning their views on quality in professional encounters. In order to explore the semantic content of the written excerpts, the empirical data were analysed using thematic content analysis. Our findings show that perceptions of quality can be categorised differentiated into three typological themes or aspects: individual, relational and contextual. Our findings also show that differences in responses – both frequency and content – appear to be associated with the respondents' professional affiliation. Based on these findings, the article suggests the need for an established and shared theoretical basis –in education and practice – of what constitutes quality in professional encounters with students who have intellectual disabilities.

Place, publisher, year, edition, pages
Routledge, 2020
Keywords
Intellectual disabilities, special needs, professional encounters
National Category
Pedagogy
Identifiers
urn:nbn:se:umu:diva-169166 (URN)10.1080/08856257.2020.1743411 (DOI)000524571600001 ()2-s2.0-85082412681 (Scopus ID)
Projects
ORGID
Available from: 2020-03-23 Created: 2020-03-23 Last updated: 2023-03-24Bibliographically approved
Ineland, J. & Hjelte, J. (2018). Knowing, being or doing?: A comparative study on human service professionals' perceptions of quality in day-to-day encounters with clients and students with intellectual disabilities. Journal of Intellectual Disabilities, 22(3), 246-261
Open this publication in new window or tab >>Knowing, being or doing?: A comparative study on human service professionals' perceptions of quality in day-to-day encounters with clients and students with intellectual disabilities
2018 (English)In: Journal of Intellectual Disabilities, ISSN 1744-6295, E-ISSN 1744-6309, Vol. 22, no 3, p. 246-261Article in journal (Refereed) Published
Abstract [en]

What does it mean to decide, act and behave in a professional manner towards people with intellectual disabilities? This article analyses how professionals from three welfare organizations describe quality in daily encounters with people with intellectual disabilities. Four hundred and twenty-one respondents participated in the study. Our empirical data consisted of written excerpts exclusively. Findings revealed that quality in encounters with people with intellectual disabilities was associated with personal attributes, pertinent knowledge, professional actions and ideological awareness. Findings also show differences in responses, both quantitatively (frequency) and qualitatively (content), which seem to be associated with organization. This reflects that human service organizations, as normative environments, underpin ideas about relevance and appropriateness in day-to-day situations, forming actions and perceptions among its members. Our conclusion is that organizational context needs to be considered to enhance our knowledge on how different categories of professionals view quality and moral worth when working with people with intellectual disabilities.

Place, publisher, year, edition, pages
Sage Publications, 2018
Keywords
human service organizations, intellectual disabilities, quality, professional encounters
National Category
Pedagogy
Identifiers
urn:nbn:se:umu:diva-131973 (URN)10.1177/1744629517694705 (DOI)000442519500004 ()2-s2.0-85052245413 (Scopus ID)
Projects
ORGID
Available from: 2017-02-27 Created: 2017-02-27 Last updated: 2023-03-24Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-5269-1961

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