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Publications (10 of 24) Show all publications
Ferreira, T., Mauro Ellena, A., Jonsson, F., Barbosa, B., Uyan-Semerci, P., Tuna, E., . . . Fernandes-Jesus, M. (2024). Building bridges: community-based projects for participation and social inclusion of rural neets (1ed.). In: Francisco Simões; Emre Erdogan (Ed.), NEETs in European rural areas: individual features, support systems and policy measures (pp. 17-33). Springer
Open this publication in new window or tab >>Building bridges: community-based projects for participation and social inclusion of rural neets
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2024 (English)In: NEETs in European rural areas: individual features, support systems and policy measures / [ed] Francisco Simões; Emre Erdogan, Springer, 2024, 1, p. 17-33Chapter in book (Other academic)
Abstract [en]

This chapter focuses on factors that facilitate community-based projects for providing effective and sustainable responses to the challenges faced by young people Not in Employment, Education, or Training (NEETs) in rural areas and more specifically to promote their quality of life and social inclusion. In line with Bronfenbrenner’s bioecological model (1977, 1979) and considering community-based projects as part of the exosystem, we aim to identify the barriers and constraints faced by projects targeting young NEETs in rural areas. As part of the collaborative research developed by the members of the “WG1—Rural NEETs Social Networks and Social Inclusion” of the Rural NEET Youth Network, we identified five promising community-based projects in Portugal, Italy, Sweden, North Macedonia, and Lithuania and conducted semi-structured interviews with the project coordinators. Our analysis showed that the identified projects take into account the different levels of the bioecological model and the need to involve how young people and local communities. Both these factors are crucial for their success and sustainability over time.

Place, publisher, year, edition, pages
Springer, 2024 Edition: 1
Series
SpringerBriefs in Sociology (BRIEFSSOCY), ISSN 2212-6368, E-ISSN 2212-6376
Keywords
Rural NEETs, Youth inclusion, Quality of life, Participation, Community-based projects
National Category
Social Sciences Interdisciplinary
Identifiers
urn:nbn:se:umu:diva-220777 (URN)10.1007/978-3-031-45679-4_2 (DOI)978-3-031-45678-7 (ISBN)978-3-031-45679-4 (ISBN)
Available from: 2024-02-12 Created: 2024-02-12 Last updated: 2024-02-13Bibliographically approved
Norvell Gustavsson, I. & Jonsson, F. (2024). Exploring the experiences of NEET‑situated young people within the context of the COVID‑19 pandemic using resonance theory. Journal of Applied Youth Studies
Open this publication in new window or tab >>Exploring the experiences of NEET‑situated young people within the context of the COVID‑19 pandemic using resonance theory
2024 (English)In: Journal of Applied Youth Studies, ISSN 2204-9193Article in journal (Refereed) Epub ahead of print
Abstract [en]

This study explores the experiences of young people who are not in education, employment, or training (NEET) within the context of the COVID-19 pandemic in Sweden, using resonance theory as an analytical lens. It contributes knowledge about the importance of school and work (or lack thereof) for these youths during a time of uncertainty and gives insight into their quality of life and well-being from a social and relational perspective. The findings shed light on how the COVID-19 pandemic aggravated an already strained situation for this group while highlighting the importance of relationships, not only with friends and family, but with society as a whole. Adopting a non-materialistic approach to NEET situated young people's quality of life and well-being allowed resonant experiences to become evident in various aspects of their lives, which may be overlooked if the norms of an educationally underpinned work-centrism are in focus. The study calls for a broadened view on what constitutes or characterizes a good life for young people at the margins of the labor market and education system, while emphasizing the need to move beyond narrow concerns about integration into education or employment, towards focusing on their well-being.

Place, publisher, year, edition, pages
Springer, 2024
Keywords
NEET-situated young people, COVID-19, Well-being, Sweden
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-220946 (URN)10.1007/s43151-024-00119-0 (DOI)2-s2.0-85185126459 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2021–01487
Available from: 2024-02-15 Created: 2024-02-15 Last updated: 2024-03-21
Rapo, E., Johansson, E., Jonsson, F., Hörnsten, Å., Lundgren, A. S. & Nilsson, I. (2023). Critical components of social prescribing programmes with a focus on older adults - a systematic review. Scandinavian Journal of Primary Health Care, 41(3), 326-342
Open this publication in new window or tab >>Critical components of social prescribing programmes with a focus on older adults - a systematic review
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2023 (English)In: Scandinavian Journal of Primary Health Care, ISSN 0281-3432, E-ISSN 1502-7724, Vol. 41, no 3, p. 326-342Article, review/survey (Refereed) Published
Abstract [en]

Aims: The aim of this study was to identify and evaluate critical components within social prescribing programmes that can impact loneliness, health, or well-being among older adults.

Methods: A systematic review with a narrative synthesis was conducted by systematically searching five databases. A total of 1193 hits were identified, screened, and assessed. Twelve studies were included, with data being extracted and deductively analysed in an iterative manner and then tabulated together with outcomes in order to find common narratives.

Results: Three critical components were identified: Assessment before prescription, matching participants with relevant activities, and individualised support from link worker. These critical components seemed important for the success of social prescribing programmes since they had an impact on loneliness, health, and well-being. All together, these results highlight the importance of person-centeredness in the prescribing process.

Conclusions: The three critical components identified may prove useful in further research, evaluation, or implementation of social prescribing programmes. Important aspects for further evaluation are discussed.

Place, publisher, year, edition, pages
Taylor & Francis, 2023
Keywords
loneliness, older adults, person-centred care, primary healthcare, Social prescribing
National Category
Public Health, Global Health, Social Medicine and Epidemiology Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:umu:diva-212498 (URN)10.1080/02813432.2023.2237078 (DOI)001032194000001 ()37485982 (PubMedID)2-s2.0-85165571862 (Scopus ID)
Available from: 2023-08-01 Created: 2023-08-01 Last updated: 2023-09-29Bibliographically approved
Jonsson, F., Blåhed, H. & Hurtig, A.-K. (2023). More than meets the eye: a critical discourse analysis of a Swedish health system reform. BMC Health Services Research, 23(1), Article ID 1226.
Open this publication in new window or tab >>More than meets the eye: a critical discourse analysis of a Swedish health system reform
2023 (English)In: BMC Health Services Research, E-ISSN 1472-6963, Vol. 23, no 1, article id 1226Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: In line with international trends acknowledging the importance of Primary Health Care (PHC) for improving population health and reducing health inequalities, the Swedish health system is undergoing a restructuring towards the coordinated development of a modern, equitable, accessible, and effective system, with PHC principles and functions at its core. Since discursive analyses of documents underpinning PHC reforms are scarce in Sweden and beyond, the aim of this study was to explore how the reorientation towards good quality and local health care has been represented in official government reports.

METHODS: Based on a policy-as-discourse analysis, four Swedish Government Official Reports underpinning the good quality and local health care reform were interrogated following four questions of Bacchi's "What's the Problem Represented to be?" (WPR) approach. By applying the first WPR question, concrete proposals guiding the reorientation were identified, analyzed and thematized into candidate problem representations. These problem representations were then analyzed in relation to previous empirical and conceptual research considering WPR questions two and three, which resulted in the development of three problem representations. Potential silences that the problem representations might produce were then identified by applying WPR question four.

RESULTS: The three problem representations connected the Swedish health system "problem" to a narrow mission, a siloed structure, and a front-line service disconnected, especially from the needs and preferences of individual patients. By representing the problem along these lines, the analysis also illustrated how the policy reorientation towards good quality and local health care risk silencing important PHC aspects such as health promotion, equitable access, and human resources.

CONCLUSION: The results from this study indicate that as discursively framed within concrete proposals, government official reports in Sweden represent the health system problem in particular ways and with these problem representations overlooking several aspects that are central to a health system characterized by PHC principles and functions. In the continued reorientation towards good quality and local health care, these silences might need to be acknowledged.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2023
Keywords
Discourse, Policy analysis, Primary health care, Reform, Sweden, WPR
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-216605 (URN)10.1186/s12913-023-10212-4 (DOI)37946232 (PubMedID)2-s2.0-85176104373 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2017-00183
Available from: 2023-11-13 Created: 2023-11-13 Last updated: 2023-11-16Bibliographically approved
Goicolea, I., Gotfredsen, A., Jonsson, F. & Wernesjö, U. (2023). The Promise of Belonging: Racialized Youth Subject Positions in the Swedish Rural North. Journal of International Migration and Integration, 24, 695-713
Open this publication in new window or tab >>The Promise of Belonging: Racialized Youth Subject Positions in the Swedish Rural North
2023 (English)In: Journal of International Migration and Integration, ISSN 1488-3473, E-ISSN 1874-6365, Vol. 24, p. 695-713Article in journal (Refereed) Published
Abstract [en]

This article analyses how youth subject positions of the ‘racialized other’ are produced, and how these positions interconnect with the concept of belonging to the rural community. We do this by analysing 15 group discussions with 63 young people living in rural areas in northern Sweden taking a discursive psychology approach, and focusing on how discourses produce certain subject positions of ‘the racialized other’. Drawing on the concepts of the politics of belonging and the ‘stranger’, we argue that discourses on belonging to the (rural) community create boundaries that exclude ‘other’ youth, as well as resistance and contestation. The subject positions that such discourses produce represent racialized youth in stereotypical ways and imply a promise of belonging for certain ‘others’ based on their fulfilment of particular norms. However, such a depoliticized promise of belonging that places the responsibility for becoming integrated on the ‘others’ was also challenged. Firstly, in relation to criticisms of the welfare system, and secondly, in relation to racism as an unwelcome threat in rural communities.

Place, publisher, year, edition, pages
Springer, 2023
Keywords
Subject positions, Politics of belonging, ‘Othering’, Racialization, Rural
National Category
Public Health, Global Health, Social Medicine and Epidemiology Social Psychology
Identifiers
urn:nbn:se:umu:diva-197433 (URN)10.1007/s12134-022-00973-y (DOI)000810804700001 ()2-s2.0-85131796904 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2016-00434
Available from: 2022-06-28 Created: 2022-06-28 Last updated: 2023-07-14Bibliographically approved
Jonsson, F., Pat, P., Mulubwa, C., Jegannathan, B. & Mathias, K. (2022). Conducting research with young people at the margins: lessons learnt and shared through case studies in Cambodia, India, Sweden and Zambia. BMC Public Health, 22(1), Article ID 2185.
Open this publication in new window or tab >>Conducting research with young people at the margins: lessons learnt and shared through case studies in Cambodia, India, Sweden and Zambia
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2022 (English)In: BMC Public Health, E-ISSN 1471-2458, Vol. 22, no 1, article id 2185Article in journal (Refereed) Published
Abstract [en]

Building on the value of engaging with and enabling the participation of marginalised young people in research, theaim of this article was to profle practical and procedural issues faced when conducting studies with young peoplewho experience some form of marginalisation. Drawing on observations and research experiences from four diversecase studies involving young people who were either imprisoned in Cambodia, living in informal urban communitiesin North India, residing in rural northern Sweden or attending school in rural Zambia, learnings were identifed underthree thematic areas. Firstly, a need exists to develop trusting relationships with stakeholders, and especially the participating young people, through multiple interactions. Secondly, the value of research methods that are creative andcontext sensitive are required to make the process equitable and meaningful for young people. Thirdly, it is importantto fatten power relations between adults and young people, researchers and the researched, to maximise participation. These fndings can inform future youth research in the feld of global public health by detailing opportunitiesand challenges of engaging in research with young people on the margins to promote their participation.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2022
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-201284 (URN)10.1186/s12889-022-14427-8 (DOI)000888746900009 ()2-s2.0-85142539123 (Scopus ID)
Funder
Swedish Research Council, 2017-05421Forte, Swedish Research Council for Health, Working Life and Welfare, 2016-00434Swedish Research Council, 2016–05830Swedish Research Council, 2019–04448
Available from: 2022-11-26 Created: 2022-11-26 Last updated: 2023-09-05Bibliographically approved
Jonsson, F., Gotfredsen, A. C. & Goicolea, I. (2022). How can community-based (re)engagement initiatives meet the needs of ‘NEET’ young people? Findings from the theory gleaning phase of a realist evaluation in Sweden. BMC Research Notes, 15(1), Article ID 232.
Open this publication in new window or tab >>How can community-based (re)engagement initiatives meet the needs of ‘NEET’ young people? Findings from the theory gleaning phase of a realist evaluation in Sweden
2022 (English)In: BMC Research Notes, E-ISSN 1756-0500, Vol. 15, no 1, article id 232Article in journal (Refereed) Published
Abstract [en]

Objective: There has been a lack of systematic and theoretically underpinned evaluations, internationally and in Sweden, of local multi-component initiatives delivered outside public employment services and formal education systems to young people who are not in employment, education or training (‘NEETs’). To bridge this knowledge gap, the objective of this study was to present findings from the theory gleaning phase of a realist evaluation aimed at assessing how Swedish community-based initiatives may work to (re)engage vulnerable ‘NEET’ young people in education or employment, under what conditions and why.

Results: Based on insights gleaned and synthesised from various sources, three candidate programme theories were elicited drawing attention to the importance of community-based initiatives in Sweden adopting a ‘caring approach’, a ‘capability approach’ and a ‘collaborative approach’ to (re)engage ‘NEET’ young people in education or employment. While limited to the initial phase of theory gleaning, the study provides valuable insights into the potential functioning of (re)engagement initiatives directed towards vulnerable ‘NEETs’ in addition to increasing the transparency of a highly iterative research project.

Place, publisher, year, edition, pages
BioMed Central, 2022
Keywords
(Re)engagement, NEET, Realist evaluation, Sweden, Theory gleaning, Young people
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public health
Identifiers
urn:nbn:se:umu:diva-197993 (URN)10.1186/s13104-022-06115-y (DOI)000819015600004 ()35765048 (PubMedID)2-s2.0-85132987777 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2020-01339
Available from: 2022-07-11 Created: 2022-07-11 Last updated: 2024-01-17Bibliographically 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
Jonsson, F., Carson, D. B., Goicolea, I. & Hurtig, A.-K. (2022). Strengthening Community Health Systems Through Novel eHealth Initiatives? Commencing a Realist Study of the Virtual Health Rooms in Rural Northern Sweden. International Journal of Health Policy and Management, 11(1), 39-48
Open this publication in new window or tab >>Strengthening Community Health Systems Through Novel eHealth Initiatives? Commencing a Realist Study of the Virtual Health Rooms in Rural Northern Sweden
2022 (English)In: International Journal of Health Policy and Management, ISSN 2322-5939, E-ISSN 2322-5939, Vol. 11, no 1, p. 39-48Article in journal (Refereed) Published
Abstract [en]

Background: Unlike the large body of research that has examined the ‘success’ or ‘failure’ of eHealth in terms of patientand provider perceptions or cost- and clinical effectiveness, the current study teases out ways through which a noveleHealth initiative in rural northern Sweden might result in more distal or systemic beneficial outcomes. More specifically,this paper aims to explore how and under what circumstances the so-called virtual health rooms (VHRs) are expectedto improve access to person-centred care and strengthen community health systems, especially for elderly residents ofrural areas.

Methods: The first phase of the realist evaluation methodology was conducted, involving qualitative interviews with 8key stakeholders working with eHealth, business development, digitalisation, and process management. Using thematicanalysis and following an abductive-retroductive analytical process, an intervention-context-actor-mechanism-outcome(ICAMO) configuration was developed and elicited into an initial programme theory.

Results: The findings indicate that a novel eHealth initiative, which provides reliable technologies in a customizedfacility that connects communities and providers, might improve access to person-centred care and strengthencommunity health systems for rural populations. This is theorized to occur if mechanisms acting at individual (suchas knowledge, skills and trust) and collective (like a common vision and shared responsibilities) levels are triggered incontexts characterised by supportive societal transitions, sufficient organisational readiness and the harnessing of ruralcohesiveness and creativity.

Conclusion: The elicited initial programme theory describes and explains how a novel eHealth initiative in ruralnorthern Sweden is presumed to operate and under what circumstances. Further testing, refinements and continuedgradual building of theory following the realist evaluation methodology is now needed to ascertain if the ‘VHRs’ work asintended, for whom, in what conditions and why.

Keywords
Northern Sweden, eHealth, Realist Evaluation, Community Health System, Person-Centred Care
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
health services research; Public health
Identifiers
urn:nbn:se:umu:diva-179738 (URN)10.34172/ijhpm.2021.08 (DOI)000719956900001 ()33619935 (PubMedID)2-s2.0-85121661658 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2017-00183
Available from: 2021-02-09 Created: 2021-02-09 Last updated: 2022-03-10Bibliographically approved
Tetui, M., Hurtig, A.-K., Jonsson, F., Whyle, E., Zulu, J., Schneider, H. & Hernandez, A. (2022). Strengthening Research and Practice in Community Health Systems: A Research Agenda and Manifesto. International Journal of Health Policy and Management, 11(1), 17-23
Open this publication in new window or tab >>Strengthening Research and Practice in Community Health Systems: A Research Agenda and Manifesto
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2022 (English)In: International Journal of Health Policy and Management, ISSN 2322-5939, E-ISSN 2322-5939, Vol. 11, no 1, p. 17-23Article in journal (Refereed) Published
Abstract [en]

While there have been increased calls for strengthening community health systems (CHSs), key priorities for this field have not been fully articulated. This paper seeks to fill this gap, presenting a collaboratively defined research agenda, accompanied by a 'manifesto' on strengthening research and practice in the CHS. The CHS research agenda domains were developed through a modified concept mapping process with a team of 33 experts on the CHS including policy-makers, implementers and researchers from institutions in six countries: Uganda, Guatemala, South Africa, Sweden, Tanzania and Zambia. The process began remotely with brainstorming research priorities and concluded in a one-week workshop that was held in Zambia where priorities for strengthening CHS were discussed, grouped into domains, interpreted, and drafted into a collective declaration. Eight domains of research priorities for CHSs were identified: clarifying the purpose and values of the CHS, ensure inclusivity; design, implementation and monitoring of strategies to strengthen the CHS; social, political and historical contexts of CHS; community health workers (CHWs); social accountability; the interface between the CHS and the broader health system; governance and stewardship; and finally, the ethical methodologies forresearching the CHS. By harnessing a set of diverse and rich experiences and perspectives on CHS through a structured process, a multifaceted research agenda and manifesto that transcend context, disciplines and time were developed. We posit this as an entry into greater debate and diversity in the field as we continue to find ways to strengthen research and practice in the CHS. 

Place, publisher, year, edition, pages
Kerman University of Medical Sciences, 2022
Keywords
Community Health Systems, Priority Setting, Research Agenda, Multi-disciplinary, Diverse Contexts
National Category
Public Health, Global Health, Social Medicine and Epidemiology Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:umu:diva-185885 (URN)10.34172/ijhpm.2021.71 (DOI)000720037700001 ()34380193 (PubMedID)2-s2.0-85125550158 (Scopus ID)
Note

Special Issue.

ePublished: 11 July 2021

Available from: 2021-07-11 Created: 2021-07-11 Last updated: 2022-03-15Bibliographically approved
Organisations
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ORCID iD: ORCID iD iconorcid.org/0000-0002-5902-3798

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