Umeå University's logo

umu.sePublikasjoner
Endre søk
Link to record
Permanent link

Direct link
Alternativa namn
Publikasjoner (10 av 169) Visa alla publikasjoner
Brunström, M., Ng, N., Dahlström, J., Lindholm, L. H., Norberg, M., Nyström, L., . . . Carlberg, B. (2022). Association of education and feedback on hypertension management with risk for stroke and cardiovascular disease. Blood Pressure, 31(1), 31-39
Åpne denne publikasjonen i ny fane eller vindu >>Association of education and feedback on hypertension management with risk for stroke and cardiovascular disease
Vise andre…
2022 (engelsk)Inngår i: Blood Pressure, ISSN 0803-7051, E-ISSN 1651-1999, Vol. 31, nr 1, s. 31-39Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

PURPOSE: Education and feedback on hypertension management has been associated with improved hypertension control. This study aimed to assess the effectiveness of such interventions to reduce the risk of stroke and cardiovascular events. MATERIALS AND METHODS: Individuals ≥18 years with a blood pressure (BP) recording in Västerbotten or Södermanland County during the study period 2001 to 2009 were included in 108 serial cohort studies, each with 24 months follow-up. The primary outcome was risk of first-ever stroke in Västerbotten County (intervention) compared with Södermanland County (control). Secondary outcomes were first-ever major adverse cardiovascular event (MACE), myocardial infarction, and heart failure, as well as all-cause and cardiovascular mortality. All outcomes were analysed using time-to-event data included in a Cox proportional hazards model adjusted for age, sex, hypertension, diabetes, coronary artery disease, atrial fibrillation, systolic BP at inclusion, marital status, and disposable income. RESULTS: A total of 121 365 individuals (mean [SD] age at inclusion 61.7 [16.3] years; 59.9% female; mean inclusion BP 142.3/82.6 mmHg) in the intervention county were compared to 131 924 individuals (63.6 [16.2] years; 61.2% female; 144.1/81.1 mmHg) in the control county. A first-ever stroke occurred in 2 823 (2.3%) individuals in the intervention county, and 3 584 (2.7%) individuals in the control county (adjusted hazard ratio 0.96, 95% CI 0.90 to 1.03). No differences were observed for MACE, myocardial infarction or heart failure, whereas all-cause mortality (HR 0.91, 95% CI 0.87 to 0.95) and cardiovascular mortality (HR 0.91, 95% CI 0.85 to 0.98) were lower in the intervention county. CONCLUSIONS: This study does not support an association between education and feedback on hypertension management to primary care physicians and the risk for stroke or cardiovascular outcomes. The observed differences for mortality outcomes should be interpreted with caution.

sted, utgiver, år, opplag, sider
Taylor & Francis Group, 2022
Emneord
antihypertensive treatment, continuous medical education, Hypertension, implementation science, primary care
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-192773 (URN)10.1080/08037051.2022.2041393 (DOI)000757622100001 ()35179089 (PubMedID)2-s2.0-85124775764 (Scopus ID)
Forskningsfinansiär
Swedish Research Council, K2007-70X-20515-01-2Swedish Research Council, K2009-69X-20515-04-2Swedish Research Council, 2017-02246Västerbotten County CouncilSwedish Society for Medical Research (SSMF)
Tilgjengelig fra: 2022-03-09 Laget: 2022-03-09 Sist oppdatert: 2023-05-22bibliografisk kontrollert
Ng, N., Eriksson, M., Guerrero, E., Gustafsson, C., Kinsman, J., Lindberg, J., . . . Wennberg, P. (2021). Sustainable Behavior Change for Health Supported by Person-Tailored, Adaptive, Risk-Aware Digital Coaching in a Social Context: Study Protocol for the STAR-C Research Programme. Frontiers In Public Health, 9, Article ID 593453.
Åpne denne publikasjonen i ny fane eller vindu >>Sustainable Behavior Change for Health Supported by Person-Tailored, Adaptive, Risk-Aware Digital Coaching in a Social Context: Study Protocol for the STAR-C Research Programme
Vise andre…
2021 (engelsk)Inngår i: Frontiers In Public Health, ISSN 2296-2565, Vol. 9, artikkel-id 593453Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Introduction: The Västerbotten Intervention Programme (VIP) in the Region Västerbotten Sweden is one of the very few cardiovascular disease (CVD) prevention programmes globally that is integrated into routine primary health care. The VIP has been shown as a cost-effective intervention to significantly reduce CVD mortality. However, little is known about the effectiveness of a digital solution to tailor risk communication strategies for supporting behavioral change. STAR-C aims to develop and evaluate a technical platform for personalized digital coaching that will support behavioral change aimed at preventing CVD.

Methods: STAR-C employs a mixed-methods design in seven multidisciplinary projects, which runs in two phases during 2019–2024: (i) a formative intervention design and development phase, and (ii) an intervention implementation and evaluation phase. In the 1st phase, STAR-C will model the trajectories of health behaviors and their impact on CVDs (Project 1), evaluate the role of the social environment and social networks on behavioral change (Project 2) and assess whether and how social media facilitates the spread of health information beyond targeted individuals and stimulates public engagement in health promotion (Project 3). The findings will be utilized in carrying out the iterative, user-centered design, and development of a person-tailored digital coaching platform (Project 4). In the 2nd phase, STAR-C will evaluate the implementation of the coaching programme and its effectiveness for promoting behavioral change and the spreading of health information across social networks and via social media (Project 5). The cost-effectiveness (Project 6) and ethical issues (Project 7) related to the coaching programme intervention will be evaluated.

Discussion: The STAR-C research programme will address the knowledge and practice research gaps in the use of information technologies in health promotion and non-communicable disease (NCD) prevention programmes in order to narrow the health inequality gaps.

Ethics: STAR-C has received approval from the Swedish Ethical Review Authority (Dnr. 2019-02924;2020-02985).

Dissemination: The collaboration between Umeå University and Region Västerbotten will ensure the feasibility of STAR-C in the service delivery context. Results will be communicated with decision-makers at different levels of society, stakeholders from other regions and healthcare professional organizations, and through NGOs, local and social media platforms.

sted, utgiver, år, opplag, sider
Frontiers Media S.A., 2021
Emneord
behavioural change, digital coaching, interdisciplinary programme, formative research, evaluation ofintervention, social network, social media, health behaviour trajectories
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-180937 (URN)10.3389/fpubh.2021.593453 (DOI)000628667800001 ()2-s2.0-85102713934 (Scopus ID)
Tilgjengelig fra: 2021-03-03 Laget: 2021-03-03 Sist oppdatert: 2023-09-05bibliografisk kontrollert
Westerlund, A., Sparring, V., Hasson, H., Weinehall, L. & Nyström, M. E. (2021). Working with national quality registries in older people care: A qualitative study of perceived impact on assistant nurses' work situation. Nursing Open, 8(1), 130-139
Åpne denne publikasjonen i ny fane eller vindu >>Working with national quality registries in older people care: A qualitative study of perceived impact on assistant nurses' work situation
Vise andre…
2021 (engelsk)Inngår i: Nursing Open, E-ISSN 2054-1058, Vol. 8, nr 1, s. 130-139Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Aim: The aim was to investigate assistant nurses’ perceptions of how working with national quality registries affected their work situation in care of older people.

Design: Qualitative interview study.

Methods: Sixteen semi‐structured interviews were conducted at four special housing units in Sweden, and a conventional content analysis, with elements of thematic analysis, was applied.

Results: The introduction of national quality registries contributed to role clarifications and the development of new formal work procedures in terms of documentation and arenas and routines for communication. The increased systematics and effectiveness gained from these changes had a perceived positive effect on the work situation, workload, work satisfaction, staff interactions and learning and reflection.

sted, utgiver, år, opplag, sider
John Wiley & Sons, 2021
Emneord
care of older people, national quality registries, quality improvement, team interaction, work environment
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-175097 (URN)10.1002/nop2.611 (DOI)000564033700001 ()2-s2.0-85089989900 (Scopus ID)
Forskningsfinansiär
Vårdal Foundation, 2014-0112
Tilgjengelig fra: 2020-09-22 Laget: 2020-09-22 Sist oppdatert: 2023-03-23bibliografisk kontrollert
Harryson, L., Lundberg, C., Elwér, S., Weinehall, L., Höög, E. & Johansson, H. (2021). Örat mot marken, blicken mot horisonten: Västerbottensmodell för samordning avregionalt och lokalt folkhälsoarbete. Umeå: Länsstyrelsen Västerbotten
Åpne denne publikasjonen i ny fane eller vindu >>Örat mot marken, blicken mot horisonten: Västerbottensmodell för samordning avregionalt och lokalt folkhälsoarbete
Vise andre…
2021 (svensk)Rapport (Annet vitenskapelig)
Abstract [sv]

Uppdrag: I denna rapport sammanfattas det regeringsuppdrag som Länsstyrelsen Västerbotten haft under åren 2019–2021. Syftet med uppdraget var att utveckla metoder och arbetssätt för samordning av ett regionalt arbete för en god och jämlik hälsa utifrån bestämningsfaktorerna i de åtta målområdena, med målet att skapa bättre förutsättningar för det lokala främjande och förebyggande folkhälsoarbetet i länet. 

Genomförande: Uppdraget har genomförts i nära samarbete mellan Länsstyrelsen Västerbotten, Region Västerbotten och Umeå Universitet. Tillsammans har dessa tre aktörer genomfört en omfattande och noggrann inventering av förutsättningarna för lokalt och regionalt folkhälsoarbetet i länet, vilken har legat till grund för aktiviteter som genomförts och processer som startats under pilotprojektets tid. Detta innefattar i huvudsak kommunbesök, dialoger, samverkanskonferenser, utbildning i folkhälsa och folkhälsoarbete, studiebesök till Bodö samt förankring och framtagande av en avsiktsförklaring för en god, jämlik och jämställd hälsa.

Resultat: Pilotprojektet har bidragit till goda förutsättning för att etablera en samordningsstruktur som stimulerar och förtydligar det gemensamma regionala folkhälsoarbetet, vilket i sin tur stärker det lokala folkhälsoarbetet. Arbetet med pilotprojektet har lett till ökad kunskap hos beslutsfattare och andra aktörer om betydelsen av och förutsättningarna för att bedriva ett folkhälsoarbete med fokus på jämlikhet. Pilotprojektet har även bidragit till att utveckla relationer, kunskaper, drivkrafter, engagemang och motivation hos länets folkhälsoaktörer. Med utgångspunkt i de lokala behoven har pilotprojektet utvecklat arbetssätt för samordning av lokalt och regionalt folkhälsoarbete. Detta arbetssätt kan sammanfattas i en modell som möjliggör för aktörer att bidra till, få hjälp med och samarbeta efter de egna förutsättningarna i syfte att stärka både det lokala och regionala folkhälsoarbetet. Västerbottensmodellen består av följande komponenter:

Lyssna – ett behovsorienterat förhållningssätt: Lokala perspektiv och behov styr hur samverkan fungerar och utvecklas för att olika aktörer tillsammans ska kunna bidra till ett gott folkhälsoarbete utifrån sina förutsättningar.

Lita på varandra – en tillitsbaserad arbetsprocess: Det behovsorienterade förhållningssättet karakteriserar såväl de externa som det interna arbetsprocesserna med en kontinuerlig dialog mellan lokala och regionala aktörer.

Göra – strukturerade metoder: Gemensamt utformade och väl förankrade metoder ger goda förutsättningar för att kunna etablera en samordningsstruktur för lokalt och regionalt folkhälsoarbete.

När pilotprojektet tar slut behövs en samordnade funktion som tar vid helheten av det pilotprojektet stått för, varför pilotprojektet tog initiativ till att bilda Forum för folkhälsa i Västerbotten. Intentionen är att Forum för folkhälsa i Västerbotten ska förvalta och utveckla de metoder och arbetssätt för regional samordning som pilotprojektet arbetat fram, vilka inkluderar: kunskapshöjande insatser, dialoger, överenskommelser, samverkanskonferenser och informationsspridning. Förhoppningen är att Forum för folkhälsa i Västerbotten kommer utgöra ett nav för samverkan som både främjar och stödjer dialog, informations- och erfarenhetsutbyte, utveckling och utbildning och bidrar till uppföljning av folkhälsoarbetet i länet. 

sted, utgiver, år, opplag, sider
Umeå: Länsstyrelsen Västerbotten, 2021. s. 114
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-190921 (URN)
Tilgjengelig fra: 2022-01-03 Laget: 2022-01-03 Sist oppdatert: 2023-07-11bibliografisk kontrollert
Brunström, M., Ng, N., Dahlström, J., Lindholm, L. H., Lönnberg, G., Norberg, M., . . . Carlberg, B. (2020). Association of Physician Education and Feedback on Hypertension Management With Patient Blood Pressure and Hypertension Control. JAMA Network Open, 3(1), Article ID e1918625.
Åpne denne publikasjonen i ny fane eller vindu >>Association of Physician Education and Feedback on Hypertension Management With Patient Blood Pressure and Hypertension Control
Vise andre…
2020 (engelsk)Inngår i: JAMA Network Open, E-ISSN 2574-3805, Vol. 3, nr 1, artikkel-id e1918625Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Importance: Elevated systolic blood pressure (SBP) is the most important risk factor for premature death worldwide. However, hypertension detection and control rates continue to be suboptimal.

Objective: To assess the association of education and feedback to primary care physicians with population-level SBP and hypertension control rates.

Design, Setting, and Participants: This pooled series of 108 population-based cohort studies involving 283 079 patients used data from primary care centers in 2 counties (Västerbotten and Södermanland) in Sweden from 2001 to 2009. Participants were individuals aged 18 years or older who had their blood pressure (BP) measured and recorded in either county during the intervention period. All analyses were performed in February 2019.

Exposures: An intervention comprising education and feedback for primary care physicians in Västerbotten County (intervention group) compared with usual care in Södermanland County (control group).

Main Outcomes and Measures: Difference in mean SBP levels between counties and likelihood of hypertension control in the intervention county compared with the control county during 24 months of follow-up.

Results: A total of 136 541 unique individuals (mean [SD] age at inclusion, 64.6 [16.1] years; 57.0% female; mean inclusion BP, 142/82 mm Hg) in the intervention county were compared with 146 538 individuals (mean [SD] age at inclusion, 65.7 [15.9] years; 58.3% female; mean inclusion BP, 144/80 mm Hg) in the control county. Mean SBP difference between counties during follow-up, adjusted for inclusion BP and other covariates, was 1.1 mm Hg (95% CI, 1.0-1.1 mm Hg). Hypertension control improved by 8.4 percentage points, and control was achieved in 37.8% of participants in the intervention county compared with 29.4% in the control county (adjusted odds ratio, 1.30; 95% CI, 1.29-1.31). Differences between counties increased during the intervention period and were more pronounced in participants with higher SBP at inclusion. Results were consistent across all subgroups.

Conclusions and Relevance: This study suggests that SBP levels and hypertension control rates in a county population may be improved by educational approaches directed at physicians and other health care workers. Similar strategies may be adopted to reinforce the implementation of clinical practice guidelines for hypertension management.

sted, utgiver, år, opplag, sider
American Medical Association, 2020
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-167169 (URN)10.1001/jamanetworkopen.2019.18625 (DOI)000606753400005 ()31913490 (PubMedID)2-s2.0-85077675217 (Scopus ID)
Tilgjengelig fra: 2020-01-10 Laget: 2020-01-10 Sist oppdatert: 2023-09-05bibliografisk kontrollert
Santosa, A., Zhang, Y., Weinehall, L., Zhao, G., Wang, N., Zhao, Q., . . . Ng, N. (2020). Gender differences and determinants of prevalence, awareness, treatment and control of hypertension among adults in China and Sweden. BMC Public Health, 20(1), Article ID 1763.
Åpne denne publikasjonen i ny fane eller vindu >>Gender differences and determinants of prevalence, awareness, treatment and control of hypertension among adults in China and Sweden
Vise andre…
2020 (engelsk)Inngår i: BMC Public Health, E-ISSN 1471-2458, Vol. 20, nr 1, artikkel-id 1763Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

BACKGROUND: Failure to promote early detection and better management of hypertension will contribute to the increasing burden of cardiovascular diseases. This study aims to assess the gender differences in the prevalence, awareness, treatment and control of hypertension, together with its associated factors, in China and Sweden.

METHODS: We used data from two cross-sectional studies: the Västerbotten Intervention Program in northern Sweden (n = 25,511) and the Shanghai survey in eastern China (n = 25,356). We employed multivariable logistic regression to examine the socio-demographics, lifestyle behaviours, and biological factors associated with the prevalence, awareness, treatment and control of hypertension.

RESULTS: Men had a higher prevalence of hypertension (43% in Sweden, 39% in China) than their female counterparts (29 and 36%, respectively). In Sweden, men were less aware of, less treated for, and had less control over their hypertension than women. Chinese men were more aware of, had similar levels of treatment for, and had less control over their hypertension compared to women. Awareness and control of hypertension was lower in China compared to Sweden. Only 33 and 38% of hypertensive Chinese men and women who were treated reached the treatment goals, compared with a respective 48 and 59% in Sweden. Old age, impaired glucose tolerance or diabetes, a family history of hypertension or cardiovascular diseases, low physical activity and overweight or obesity were found to increase the odds of hypertension and its diagnosis.

CONCLUSIONS: This study shows the age and gender differences in the prevalence, awareness, treatment and control of hypertension among adults in China and Sweden. Multisectoral intervention should be developed to address the increasing burden of sedentary lifestyle, overweight and obesity and diabetes, all of which are linked to the prevention and control of hypertension. Development and implementation of the gender- and context-specific intervention for the prevention and control of hypertension facilitates understanding with regard to the implementation barriers and facilitators.

sted, utgiver, år, opplag, sider
BioMed Central, 2020
Emneord
High blood pressure, Hypertension diagnosis, Hypertension treatment, Inequalit
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-177226 (URN)10.1186/s12889-020-09862-4 (DOI)000595794400014 ()33228600 (PubMedID)2-s2.0-85096430058 (Scopus ID)
Forskningsfinansiär
The Swedish Foundation for International Cooperation in Research and Higher Education (STINT), IB2017–7380Forte, Swedish Research Council for Health, Working Life and Welfare, 2015–01499
Merknad

Correction: Ailiana Santosa et al. Ailiana Santosa et al. "Correction to: Gender differences and determinants of prevalence, awareness, treatment and control of hypertension among adults in China and Sweden". BMC Public Health, 2021;21:13. DOI: 10.1186/s12889-020-10009-8

It was highlighted that the original article [1] contained the wrong Figs. 1, 2, 3 and 4. This Correction article shows the correct Figs. 1, 2, 3 and 4. The original article has been updated.

Tilgjengelig fra: 2020-12-02 Laget: 2020-12-02 Sist oppdatert: 2023-08-28bibliografisk kontrollert
Tinc, P. J., Jenkins, P., Sorensen, J. A., Weinehall, L., Gadomski, A. & Lindvall, K. (2020). Key factors for successful implementation of the National Rollover Protection Structure Rebate Program: A correlation analysis using the consolidated framework for implementation research. Scandinavian Journal of Work, Environment and Health, 46(1), 85-95
Åpne denne publikasjonen i ny fane eller vindu >>Key factors for successful implementation of the National Rollover Protection Structure Rebate Program: A correlation analysis using the consolidated framework for implementation research
Vise andre…
2020 (engelsk)Inngår i: Scandinavian Journal of Work, Environment and Health, ISSN 0355-3140, E-ISSN 1795-990X, Vol. 46, nr 1, s. 85-95Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Objectives: On US farms, tractor overturns are the leading cause of death; however, these fatalities are preventable with the use of a rollover protection structure (ROPS). A ROPS rebate program was established in New York in 2006 to address these fatalities. Due to its success, the program expanded to six additional states before being implemented as the National ROPS Rebate Program (NRRP) in 2017. The aim of this study was to evaluate the success of the NRRP implementation using short- and long-term ROPS outcome measures and identify which components of the consolidated framework for implementation research (CFIR) correlate with these outcomes.

Methods: Stakeholders involved in the NRRP implementation were surveyed at four time points, beginning at the time of the NRRP launch and then every six months. These surveys measured 14 relevant CFIR constructs. Correlations between CFIR survey items (representing constructs) and three outcome measures (intakes, funding progress, and retrofits) were used to identify CFIR survey items that are predictive of the outcomes.

Results: Eight CFIR survey items were highly correlated (rho ≥0.50) with at least one of the three outcome measures. These eight CFIR survey items included four constructs: access to knowledge and information, leadership engagement, engaging (in fundraising and funding requests), and reflecting and evaluating.

Conclusions: The results of this study provide important guidance for continuing the implementation of the NRRP. Similarly, these findings can inform the evaluation of other similarly structured implementation efforts and the application of CFIR in a variety of settings.

sted, utgiver, år, opplag, sider
Nordic Association of Occupational Safety and Health (NOROSH), 2020
Emneord
agriculture, consolidated framework for implementation research, correlation analysis, factor, implementation, National Rollover Protection Structure Rebate Program, occupational safety, rollover, safety, scale-up, stakeholder engagement
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-162438 (URN)10.5271/sjweh.3844 (DOI)000515153200010 ()31365746 (PubMedID)2-s2.0-85077404390 (Scopus ID)
Tilgjengelig fra: 2019-08-20 Laget: 2019-08-20 Sist oppdatert: 2023-03-24bibliografisk kontrollert
Ng, N., Santosa, A., Weinehall, L. & Malmberg, G. (2020). Living alone and mortality among older people in Västerbotten County in Sweden: a survey and register-based longitudinal study. BMC Geriatrics, 20, Article ID 7.
Åpne denne publikasjonen i ny fane eller vindu >>Living alone and mortality among older people in Västerbotten County in Sweden: a survey and register-based longitudinal study
2020 (engelsk)Inngår i: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 20, artikkel-id 7Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

BACKGROUND: Living alone is increasingly common and has been depicted as an important cause of mortality. We examined the association between living alone and mortality risks among older men and women in northern Sweden, by linking two unique longitudinal datasets.

METHODS: We used the Linnaeus database, which links several population registers on socioeconomic and health. This register-based study included 22,226 men and 23,390 women aged 50 and 60 years in Västerbotten County who had participated in the Västerbotten Intervention Program (VIP) during 1990-2006, with a total of 445,823 person-years of observation. We conducted Cox-proportional hazard regression to assess the risk of living alone on the mortality that was observed between 1990 and 2015, controlling for socio-demographic factors, chronic disease risk factors and access to social capital.

RESULTS: Older men and women who lived alone with no children at home were at a significantly higher risk of death compared to married/cohabiting couples with children at home (with an adjusted hazard ratio of 1.38, 95% CI of 1.26-1.50 in men and 1.27, 95% CI of 1.13-1.42 in women). Living alone was an even stronger factor than the well-established chronic disease risk factors and a lack of access to social capital.

CONCLUSIONS: A significant association between living alone and mortality among the older adult population in Sweden was observed. Providing good social support for older people is important in preventing the negative health impact of living alone.

sted, utgiver, år, opplag, sider
BioMed Central, 2020
Emneord
Deaths, Family network, Living alone, Living arrangement, Older people, Social support
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-167215 (URN)10.1186/s12877-019-1330-9 (DOI)000513669300001 ()31906868 (PubMedID)2-s2.0-85077544241 (Scopus ID)
Forskningsfinansiär
Riksbankens Jubileumsfond, P11–1058:1Forte, Swedish Research Council for Health, Working Life and Welfare, 2013–2056Forte, Swedish Research Council for Health, Working Life and Welfare, 2015–01499
Tilgjengelig fra: 2020-01-13 Laget: 2020-01-13 Sist oppdatert: 2023-03-24bibliografisk kontrollert
Lindgren, H., Guerrero, E., Jingar, M., Lindvall, K., Ng, N., Richter Sundberg, L., . . . Weinehall, L. (2020). The STAR-C Intelligent Coach: a Cross- Disciplinary Design Process of a Behaviour Change Intervention in Primary Care. In: Blobel, B., Lhotska, L., Pharow, P., Sousa, F. (Ed.), pHealth 2020: Proceedings of the 17th International Conference on Wearable Micro and Nano Technologies for Personalized Health. Paper presented at pHealth 2020, virtual conference, 14–16 September, 2020 (pp. 203-208). IOS Press, 273
Åpne denne publikasjonen i ny fane eller vindu >>The STAR-C Intelligent Coach: a Cross- Disciplinary Design Process of a Behaviour Change Intervention in Primary Care
Vise andre…
2020 (engelsk)Inngår i: pHealth 2020: Proceedings of the 17th International Conference on Wearable Micro and Nano Technologies for Personalized Health / [ed] Blobel, B., Lhotska, L., Pharow, P., Sousa, F., IOS Press, 2020, Vol. 273, s. 203-208Konferansepaper, Publicerat paper (Fagfellevurdert)
Abstract [en]

A broad range of aspects are needed to be taken into consideration in the design and development of personalized coaching systems based on artificial intelligence methodologies. This research presents the initial phase of joining different professional and stakeholder perspectives on behavior change technologies into a flexible design proposal for a digital coaching system. The diversity and sometimes opposed views on content, behavior, purposes and context were managed using a structured argument-based design approach, which also feed into the behavior of the personalized system. Results include a set of personalization strategies that will be further elaborated with the target user group to manage sensitive issues such as ethics, social norms, privacy, motivation, autonomy and social relatedness.

sted, utgiver, år, opplag, sider
IOS Press, 2020
Serie
Studies in Health Technology and Informatics, ISSN 0926-9630, E-ISSN 1879-8365 ; 273
Emneord
personalization, behavior change, participatory action design, intelligent agents, cardiovascular diseases, argumentation theory, persuasive technology
HSV kategori
Forskningsprogram
datalogi; människa-datorinteraktion; medicinsk informatik
Identifikatorer
urn:nbn:se:umu:diva-175213 (URN)10.3233/SHTI200640 (DOI)000648601600025 ()33087613 (PubMedID)2-s2.0-85092433894 (Scopus ID)978-1-64368-112-2 (ISBN)
Konferanse
pHealth 2020, virtual conference, 14–16 September, 2020
Forskningsfinansiär
Forte, Swedish Research Council for Health, Working Life and Welfare
Tilgjengelig fra: 2020-09-21 Laget: 2020-09-21 Sist oppdatert: 2023-09-05bibliografisk kontrollert
Tinc, P. J., Sorensen, J. A., Weinehall, L. & Lindvall, K. (2019). An exploration of rollover protective structures (ROPS) rebate program media coverage: strategies for implementation and sustainment. BMC Public Health, 19(1), Article ID 1257.
Åpne denne publikasjonen i ny fane eller vindu >>An exploration of rollover protective structures (ROPS) rebate program media coverage: strategies for implementation and sustainment
2019 (engelsk)Inngår i: BMC Public Health, E-ISSN 1471-2458, Vol. 19, nr 1, artikkel-id 1257Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: Media advocacy plays an important role in public health initiatives, as it can provide vital information to target populations, policy makers, or other relevant stakeholders. Unfortunately, little is currently known about the use of media advocacy to promote occupational safety and health programs. This study explores media coverage related to the Rollover Protection Structure (ROPS) Rebate Programs, which were designed to encourage the use of rollover protection on agricultural tractors, thus reducing the risk of tractor overturn fatalities. The Program’s portrayal in the media, as well as the role that the media has played in implementing and sustaining these Programs.

Methods: Media articles pertaining to any of the state-based or National ROPS Rebate Programs and published between November 1, 2006 and October 31, 2018 were included for review. Discourse analysis was used to understand the messages portrayed by the media and how those messages shaped the outcomes of the ROPS Rebate Programs.

Results: During the study period, 212 unique articles were published about the ROPS Rebate Programs. While these articles all portrayed the ROPS Rebate Programs in a largely positive light, they were used at different stages, from pre-implementation through sustainment of the ROPS Rebate Programs, and to different extents.

Conclusions: Media articles have played an important role in implementing and sustaining the ROPS Rebate Programs. Based on the results of this study, more robust and continuous media coverage are important for the longevity and success of public health programs.

sted, utgiver, år, opplag, sider
Springer, 2019
Emneord
Rollover protection, Media advocacy, Implementation, Discourse analysis
HSV kategori
Forskningsprogram
arbets- och miljömedicin
Identifikatorer
urn:nbn:se:umu:diva-163613 (URN)10.1186/s12889-019-7586-3 (DOI)000485299600004 ()31510988 (PubMedID)2-s2.0-85072131863 (Scopus ID)
Tilgjengelig fra: 2019-09-30 Laget: 2019-09-30 Sist oppdatert: 2023-08-28bibliografisk kontrollert
Prosjekter
Från policy till praktik: Vad hindrar vården i Sverige och USA att arbeta förebyggande? [2012-00944_Forte]; Umeå universitet
Organisasjoner
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0003-3025-2690