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Hjalmarson, H. V., Jutengren, G. & Möller, M. (2014). Widening the perspectives of fracture prevention in osteoporosis by identifying subgroups: based upon sense of coherence, self-efficacy and physical capacity. In: Geir Arild Espnes (Ed.), Next Health: . Paper presented at Health Promotion Research - An international Forum Aug 25-27 Trondheim (pp. 71). Trondheim
Open this publication in new window or tab >>Widening the perspectives of fracture prevention in osteoporosis by identifying subgroups: based upon sense of coherence, self-efficacy and physical capacity
2014 (English)In: Next Health / [ed] Geir Arild Espnes, Trondheim, 2014, p. 71-Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Introduction: The potential importance of psychological aspects in relation to promoting healthy behaviour and preventing fractures has rarely been investigated in the field of osteoporosis. Aim: This study explores some psychological aspects and health behaviour of people detected to have osteoporosis at the time of a forearm fracture. Moreover, it aims at revealing subgroups within this population with relevance for managing secondary prevention actions.

Method: Data collection and analysis was based on questionnaires and physical tests of eighty-five individual profiles. The results confirm earlier research on a similar population having relatively good self-reported health behaviour encompassing high quality of life, high amount of physical activity and low alcohol intake. A majority reported good osteoporosis knowledge, a high sense of coherence (mean = 74) and high activity-specific balance confidence (mean = 81). Furthermore, hierarchical cluster analysis revealed a typology of two subgroups where 75% matched a health-resilient group while 25 % matched a health-vulnerable group. The vulnerable group had a significantly lower sense of coherence SOC (p = .02) added activity-specific balance confidence, ABC (p = .001). This pattern was confirmed from behavioural aspects but only regarding one traditional risk factor namely, history of fractures. Moreover, the health-vulnerable group achieved a significantly weaker physical profile including muscle weakness, gait speed and balance, also less reported time spent outdoors and lower quality of life. The differences found between the subgroups indicate that psychological aspects like self-efficacy and dimensions related to sense of coherence are relevant for widening perspectives in future research as well as achieving success in fracture prevention programmes.

 

Keywords: fracture prevention, health behaviour, sense of coherence, activity-specific balance confidence, cluster analysis

 

Place, publisher, year, edition, pages
Trondheim: , 2014
Series
Rapportserie fra Senter for helsefremmende forskning HiST/NTNU, ISSN 1892-6207 ; 2014/3
Keywords
fracture prevention, health behaviour, sense of coherence, activity-specific balance confidence, physical capacity and cluster analysis
National Category
Medical and Health Sciences
Research subject
Public Health Science
Identifiers
urn:nbn:se:kau:diva-33483 (URN)978-82-93158-23-3 (ISBN)
Conference
Health Promotion Research - An international Forum Aug 25-27 Trondheim
Note

Published in Health, 5 (2013) DOI: 10.4236/health.2013.57A2001

 

Available from: 2014-08-28 Created: 2014-08-28 Last updated: 2016-05-25Bibliographically approved
Hjalmarson, H. V. (2013). Benskör men stark: Hälsofrämjande frakturprevention. In: Robert Ekman (Ed.), Från Kunskap till Handling: State of the Art. Paper presented at 10:e nationella skadekonferensen Fokus på barn ungdom och äldre 15-16 okt Göteborg (pp. 58).
Open this publication in new window or tab >>Benskör men stark: Hälsofrämjande frakturprevention
2013 (Swedish)In: Från Kunskap till Handling: State of the Art / [ed] Robert Ekman, 2013, p. 58-Conference paper, Oral presentation with published abstract (Other academic)
Abstract [sv]

Benskör men stark – hälsofrämjande frakturprevention

Benskörhet är ett utbrett folkhälsoproblem där frakturförebyggande rutiner brister.  Detta skapar behov av ökad kunskap kring implementering såväl som fördjupad förståelse för motivationsprocesser vid benskörhet.  Föreläsaren presenterar delar ur en svensk avhandling och föreslår att rådande perspektiv vid osteoporos och frakturförprevention behöver vidgas.

Personer, 50 +, som drabbas av handledsfraktur och har låg bentäthet har en ökad risk för att senare i livet drabbas av svårare frakturer likt höftfrakturer eller kotkompressioner. Resultaten från en nyligen publicerad svensk studie visar i likhet med andra internationella studier att detta ”generellt” är en benskör men hälsostark grupp. Djupare analys avslöjar att 75 % av gruppen var mycket hälsostarka medan 25 % upplevt flera tidigare frakturer och uppvisar svaga resurser till beteendeförändring. Skillnaderna mellan att vara hälsostarkt respektive hälsosvag sågs framförallt i tillit till fysisk förmåga samt känsla av sammanhang, fysik kapacitet och skattad livskvalitet. Vidare visar andra nordiska studier att personer som får osteoporosdiagnosen riskerar att hamna i en spiral av rädslor och negativ självbild som generar fysisk och social isolering. Mekanismer som försvårar en sund riskmedvetenhet mot en hälsofrämjande frakturförebyggande livsstil. Ett ökat fokus på beteenderelaterade processer torde enligt resultaten öka chanserna att särskilja olika behov för ett lyckat frakturförebyggande arbete.

Keywords
hälsobeteende, motivation, implementering, osteoporos, SOC
National Category
Social Sciences
Research subject
Public Health Science
Identifiers
urn:nbn:se:kau:diva-34720 (URN)
Conference
10:e nationella skadekonferensen Fokus på barn ungdom och äldre 15-16 okt Göteborg
Note

Presentationen bygger på delar ur avhandlingen Hälsofrämjande Frakturprevention - kraft till förändring

Available from: 2014-12-04 Created: 2014-12-04 Last updated: 2016-05-25Bibliographically approved
Hjalmarson, H. V., Åhgren, B. & Strandmark K, M. (2013). Developing interprofessional collaboration: a case of secondary prevention for patients with osteoporosis. Journal of Interprofessional Care, 27(2), 161-170
Open this publication in new window or tab >>Developing interprofessional collaboration: a case of secondary prevention for patients with osteoporosis
2013 (English)In: Journal of Interprofessional Care, ISSN 1356-1820, E-ISSN 1469-9567, Vol. 27, no 2, p. 161-170Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to explore the development of interprofessional collaboration aiming to improve secondary prevention of osteoporosis by studying this topic expansively from the perspectives of different stakeholders. The method used was a longitudinal single case study with both qualitative and quantitative data sources. The findings elucidate that the bottom-up structure used triggers a freedom to act for the professionals and a changed leadership. Such an approach seems to make managers aware of the need for a horizontal organizational focus that, in this case, was crucial for developing interprofessional collaboration. Furthermore, the study shows that continuous feedback was central to motivate professionals to collaborate. Constructive feedback was created by interprofessional and patient-centered interaction skills, facilitated by confirming leadership promoting ability to recognize the efficacy of joint collaboration. The interprofessional collaboration resulted in an improved chain of care with increased transparency and collective control with benefits for both patients and providers. Outcomes at the system level showed an appreciable increase in patients investigated for osteoporosis: 88% were followed up in primary care and nearly half had improved their health behavior. The implementation of a bottom-up structure where leaders and professionals are developing interdependency, measuring collective performance and using feedback loops generated, in this case, motivational forces for interprofessional collaboration. It is reasonable to assume that these findings could be transferable to similar healthcare settings. Read More: http://informahealthcare.com/doi/abs/10.3109/13561820.2012.724123?prevSearch=allfield%253A%2528Hjalmarson%2529&searchHistoryKey=

Place, publisher, year, edition, pages
Taylor & Francis, 2013
Keywords
interprofessional collaboration, osteoporosis, secondary prevention, bottom-up
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Science
Identifiers
urn:nbn:se:kau:diva-12552 (URN)10.3109/13561820.2012.724123 (DOI)000315410900009 ()23043549 (PubMedID)
Available from: 2012-03-27 Created: 2012-03-27 Last updated: 2019-07-11Bibliographically approved
Hjalmarson, H. V., Strandmark K, M. & Ahgren, B. (2013). Developing interprofessional collaboration: a longitudinal case of secondary prevention for patients with osteoporosis. In: Haglund and Fosse (Ed.), : . Paper presented at 7th Nordic Health Promotion Conference (NHPC)Vestfold University College 17-19 june 2013.
Open this publication in new window or tab >>Developing interprofessional collaboration: a longitudinal case of secondary prevention for patients with osteoporosis
2013 (English)In: / [ed] Haglund and Fosse, 2013Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

The aim of this study was to explore the development of interprofessional collaboration aiming to improve secondary prevention of osteoporosis by studying this topic expansively from the perspectives of different stakeholders. The method used was a longitudinal single case study with both qualitative and quantitative data sources. The findings elucidate that the bottom-up structure used triggers a freedom to act for the professionals and a changed leadership. Such an approach seems to make managers aware of the need for a horizontal organisational focus which, in this case, was crucial for developing interprofessional collaboration. Furthermore, the study shows that continuous feedback was central to motivate professionals to collaborate. Constructive feedback was created by interprofessional and patient-centered interaction skills, facilitated by confirming leadership promoting ability to recognise the efficacy of joint collaboration. The interprofessional collaboration resulted in an improved chain of care with increased transparency and collective control with benefits for both patients and providers. Outcomes at the system level showed an appreciable increase in patients investigated for osteoporosis: 88% were followed up in primary care and nearly half had improved their health behaviour. The implementation of a bottom-up structure where leaders and professionals are developing interdependency, measuring collective performance and using feedback loops generated, in this case, motivational forces for interprofessional collaboration. It is reasonable to assume that these findings could be transferable to similar health care settings.

 

Keywords: interprofessional collaboration, bottom-up approach, case study, secondary prevention and osteoporosis

National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Science
Identifiers
urn:nbn:se:kau:diva-34717 (URN)
Conference
7th Nordic Health Promotion Conference (NHPC)Vestfold University College 17-19 june 2013
Note

Innehåll från presentationen härstammar från publicerad artikel

Journal of Interprofessional Care. 2013 (27) 161-170.

Available from: 2014-12-04 Created: 2014-12-04 Last updated: 2019-07-11Bibliographically approved
Lundin-Olsson, L. & Hjalmarson, H. V. (2013). Fall och fallskador (2ed.). In: Systematiskt arbete för äldres säkerhet: om  fall, trafikolyckor,bränder och suicid (pp. 71-98). MSB, Myndigheten för samhällsskydd och beredskap
Open this publication in new window or tab >>Fall och fallskador
2013 (Swedish)In: Systematiskt arbete för äldres säkerhet: om  fall, trafikolyckor,bränder och suicid, MSB, Myndigheten för samhällsskydd och beredskap , 2013, 2, p. 71-98Chapter in book (Other academic)
Abstract [sv]

”Äldre människor är överrepresenterade vid nästan alla slags skadehändelser.” Att minska skadehändelser där äldre är inblandade är en av västvärldens stora utmaningar. Idag diskuteras klimatförändringar, pandemier etc. men vi har en närliggande och stor fråga att arbeta med, nämligen de äldres utsatthet i olika situationer och miljöer, vilket också har noterats av såväl EU 1 som OECD2.

Säkerhetsarbete för att minska skador bland äldre är även internationellt en viktig fråga. Det innebär att arbetet mycket väl kan jämställas med att driva hälsofrämjande processer. Systematiskt säkerhetsarbete som en del av de hälsofrämjande insatserna innebär då att samhället tar ansvar för att skapa system och strukturer som minskar skador bland äldre. Det innebär också att den äldre görs medvet en om sitt eget ansvar och att samhället ger stöd till de mest utsatta som inte själva kan vidta olycksförebyggande åtgärder.

Äldre mest olycksdrabbade

Äldre personer är överrepresenterade i nästan alla slags svåra skadehändelser, bland annat fall-, trafik-, brandolyckor och suicid. Förutom personligt lidande leder skadorna till stora kostnader för samhället. Enbart de äldres fallolyckor kostar samhället 9 miljarder kronor varje år i Sverige. Om inget görs kommer dessa kostnader att öka dramatiskt, i takt med att antalet äldre ökar.

Place, publisher, year, edition, pages
MSB, Myndigheten för samhällsskydd och beredskap, 2013 Edition: 2
Series
MSB551-maj 2013
Keywords
säkethetsarbete, äldre, fall, bränder, suicid
National Category
Social Sciences
Research subject
Sports Science
Identifiers
urn:nbn:se:kau:diva-29327 (URN)978-91-7383-334-9 (ISBN)
Available from: 2013-10-07 Created: 2013-10-07 Last updated: 2016-05-25Bibliographically approved
Hjalmarson, H. V., Jutengren, G. & Möller, M. (2013). Widening the perspectives of fracture prevention in osteoporosis by identifying subgroups based upon psychological aspects and health behaviour. Health, 5(7A2), 1-11, Article ID 34607.
Open this publication in new window or tab >>Widening the perspectives of fracture prevention in osteoporosis by identifying subgroups based upon psychological aspects and health behaviour
2013 (English)In: Health, ISSN 1949-4998, E-ISSN 1949-5005, Vol. 5, no 7A2, p. 1-11, article id 34607Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Scientific Research Publishing, 2013
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Science
Identifiers
urn:nbn:se:kau:diva-12549 (URN)10.4236/health.2013.57A2001 (DOI)
Note

Med titeln: Widening clinical and scientific perspectives on fracture prevension in osteoporosis :resilience resources and subgroups. i avh.

Available from: 2012-03-27 Created: 2012-03-27 Last updated: 2018-10-11Bibliographically approved
Hjalmarson, H. V. & Strandmark K, M. (2012). Forming a learning culture to promote fracture prevention activities. Health Education, 112(5), 421-435
Open this publication in new window or tab >>Forming a learning culture to promote fracture prevention activities
2012 (English)In: Health Education, ISSN 0965-4283, Vol. 112, no 5, p. 421-435Article in journal (Refereed) Published
Abstract [en]

Purpose – The purpose of this paper is to explore interprofessional experiences of incorporating fracture prevention activities in clinical practice inspired by an empowerment approach.

Design/methodology/approach – Data collection consisted primarily of focus groups interviews, systematized and analyzed by the grounded theory method. The study took place in a health-care district in a county in Sweden and involved health professionals from primary health care and orthopaedic departments.

Findings – The findings generated the core category forming a learning culture in managing to incorporate fracture prevention activities in clinical practice. In this learning culture, new forms of interaction with patients were practised and the collaboration developed between multidisciplinary teams added meaning and triggered personal and collective learning in particular about the need for breaking professional patterns, creating more empowering meetings, making the preventive links visible and constructing a greater sense of prevention within the community.

Practical implications – The findings show that learning processes through patient-centred interaction and face-to face collaboration based on the professionals' own requests and experiences can be an important motivator to promote fracture prevention activities.

Originality/value – This study provides some interprofessional elements in achieving a learning culture concerning health education and fracture prevention.

Keywords
Interprofessional collaboration, empowerment, health education, organizational culture
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Science
Identifiers
urn:nbn:se:kau:diva-12550 (URN)10.1108/09654281211253434 (DOI)
Available from: 2012-03-27 Created: 2012-03-27 Last updated: 2019-07-11Bibliographically approved
Hjalmarson, H. V. (2012). Hälsofrämjande frakturprevention vid osteoporos: Kraft till förändring. (Doctoral dissertation). Karlstad: Karlstads universitet
Open this publication in new window or tab >>Hälsofrämjande frakturprevention vid osteoporos: Kraft till förändring
2012 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Alternative title[en]
Preventing fractures by promoting health : Empowering for change
Place, publisher, year, edition, pages
Karlstad: Karlstads universitet, 2012
Series
Karlstad University Studies, ISSN 1403-8099 ; 2012:15
Keywords
frakturprevention, osteoporos, motivation, empowerment, salutogenesis implementering, hälsopromotion, Grounded theory, fallstudie samt hierarkisk klusteranalys
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Science
Identifiers
urn:nbn:se:kau:diva-12555 (URN)978-91-7063-419-2 (ISBN)
Public defence
2012-05-11, Geijersalen 12A, Karlstads Universitet, Karlstad, 13:00 (Swedish)
Opponent
Supervisors
Available from: 2012-04-17 Created: 2012-03-27 Last updated: 2019-07-11Bibliographically approved
Andersson, R. & Hjalmarson, H. (2009). Att förklara kommunala skillnader i fallskador bland äldre - En kunskapssammanställning. Sveriges Kommuner och Landsting
Open this publication in new window or tab >>Att förklara kommunala skillnader i fallskador bland äldre - En kunskapssammanställning
2009 (Swedish)Report (Refereed)
Place, publisher, year, edition, pages
Sveriges Kommuner och Landsting, 2009
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Science
Identifiers
urn:nbn:se:kau:diva-11235 (URN)
Available from: 2012-02-08 Created: 2012-02-08 Last updated: 2016-05-25Bibliographically approved
Andersson, R. & Hjalmarson, H. (2009). Fallskador bland äldre-: En sammanfattning av en kunskapsöversikt om fallskador. Stockholm: Sveriges Kommuner och Landsting
Open this publication in new window or tab >>Fallskador bland äldre-: En sammanfattning av en kunskapsöversikt om fallskador
2009 (Swedish)Report (Refereed)
Place, publisher, year, edition, pages
Stockholm: Sveriges Kommuner och Landsting, 2009. p. 33
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Science
Identifiers
urn:nbn:se:kau:diva-11236 (URN)978-91-7164-441-1 (ISBN)
Available from: 2012-02-08 Created: 2012-02-08 Last updated: 2016-05-25Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-2249-3868

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