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Bäccman, Charlotte, LektorORCID iD iconorcid.org/0000-0002-8744-0425
Publications (10 of 29) Show all publications
Nilstomt, A., Gustavsson, J., Beckman, L., Bäccman, C., Nilson, F., Wagnsson, S. & Wästlund, E. (2024). Physical activity from the perspective of older adults: a convergent mixed-method study. BMC Geriatrics, 24(1), Article ID 768.
Open this publication in new window or tab >>Physical activity from the perspective of older adults: a convergent mixed-method study
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2024 (English)In: BMC Geriatrics, E-ISSN 1471-2318, Vol. 24, no 1, article id 768Article in journal (Refereed) Published
Abstract [en]

Background Older adults are insufficiently physically active, despite its importance for healthy aging. To develop appropriate physical activity interventions, it is necessary to understand their physical activity. This study applies a theoretical perspective, the COM-B model, and a mixed-method design to examine what influences older adults' physical activity levels with three questions: (1) What individual and external factors predict older adults' physical activity levels? (2) What do older adults perceive as influencing their levels of physical activity? (3) To what extent do the quantitative results on older adults' physical activity levels agree and disagree with the qualitative findings on older adults' physical activity levels? Methods A convergent mixed-method design was used with questionnaire (n = 334) and interview (n = 14) data from adults 65 years and older. Regression analyses were used for quantitative measurements: physical activity, age, subjective socioeconomic status, health status, capability, opportunity, motivation, and depression. Content analysis was applied to the qualitative data. The two forms of data were then integrated to provide greater insights than would be obtained by either dataset separately. Results The regression analyses showed that previous physical activity, current motivation, health status, and age significantly predicted older adults' physical activity levels. The content analysis revealed that participants addressed all subcomponents of the COM-B model, indicating its pertinence in understanding how older adults discuss their current physical activity levels. The integrated findings showed convergent and divergent results. Overall results indicated that previous physical activity engagement, present motivation, capability, and opportunity influenced older adults' physical activity levels. Conclusions This study is the first to use this mixed-methods design to examine factors influencing physical activity levels among older adults living in rental apartments with community hosts. The integrated result reveals convergence for findings on motivation and physical capability but divergence on psychological capability, opportunity, and previous physical activity. The findings underscore a complex interplay of factors influencing older adults' physical activity levels and indicate relevance for the COM-B model. The results can guide future research on theoretically informed interventions to promote physical activity and healthy aging. Future research should clarify the role of opportunity for older adults' physical activity.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2024
Keywords
Active aging, Physical activity, Community-dwelling older adults, COM-B model, Convergent mixed-methods, SDG 3: Good health and well-being
National Category
Other Health Sciences
Research subject
Psychology; Public Health Science; Risk and Environmental Studies; Sports Science
Identifiers
urn:nbn:se:kau:diva-101890 (URN)10.1186/s12877-024-05362-x (DOI)001315762700001 ()39294594 (PubMedID)2-s2.0-85204284275 (Scopus ID)
Funder
Karlstad University
Available from: 2024-10-07 Created: 2024-10-07 Last updated: 2024-10-07Bibliographically approved
Norlén, A., Bäccman, C., Thorén, A. & Almqvist, K. (2024). The Effectiveness of Child-Parent Psychotherapy on Traumatized Preschoolers and Their Caregivers: A Swedish Multi-Site Study. Evidence-Based Practice in Child and Adolescent Mental Health
Open this publication in new window or tab >>The Effectiveness of Child-Parent Psychotherapy on Traumatized Preschoolers and Their Caregivers: A Swedish Multi-Site Study
2024 (English)In: Evidence-Based Practice in Child and Adolescent Mental Health, ISSN 2379-4925Article in journal (Refereed) Epub ahead of print
Abstract [en]

Introduction: Trauma affects a child’s mental health and appears to be associated with challenges in caregiver-child dynamics. Nearly half of child trauma victims are under the age of six, yet few interventions are designed for this age group. Child-Parent Psychotherapy (CPP) is an attachment-based trauma treatment for preschool-aged victims of adversities and their caregivers. This study examines the effectiveness of CPP when implemented in a Swedish naturalistic multi-site clinical setting. Method: 57 children (age 2–6 years) with potentially traumatic experiences and their caregivers participated. They were recruited from 12 mental health services providing child treatment. The study has a one-group, pretest-posttest design. Outcome measures covered posttraumatic stress and general psychological symptoms in children and caregivers and caregivers’ perceptions of their relationship with their child. Paired t-tests were used to calculate within-group differences. Effect sizes were computed as Cohen’s d and associations between child and caregiver outcomes as Pearson’s correlation coefficient (r). A hierarchical regression analysis was tested to explore the correlation analysis. Results: Reductions in posttraumatic stress and general psychological symptoms with small-to-medium effect sizes were found in children and caregivers. Caregivers reported perceived improvements in their relationship with their child, with associations to findings in child posttraumatic stress reduction. Discussion: Findings support earlier results that CPP may be a suitable choice of treatment for preschoolers exposed to potentially traumatic events, such as violence. The dyadic treatment model seems to address the association between child traumatic stress and caregivers’ perceptions of the caregiving relationship. Further dissemination testing is suggested.

Place, publisher, year, edition, pages
Routledge, 2024
National Category
Psychiatry
Research subject
Psychology
Identifiers
urn:nbn:se:kau:diva-100832 (URN)10.1080/23794925.2024.2358486 (DOI)2-s2.0-85196745346 (Scopus ID)
Available from: 2024-07-02 Created: 2024-07-02 Last updated: 2024-07-09Bibliographically approved
Beckman, L., Unenge Hallerbäck, M., Persson, L. & Bäccman, C. (2023). Hur föräldrar med psykisk ohälsa upplever sitt behov av stöd i föräldraskapet. Karlstad: Karlstads universitet
Open this publication in new window or tab >>Hur föräldrar med psykisk ohälsa upplever sitt behov av stöd i föräldraskapet
2023 (Swedish)Report (Other academic)
Abstract [sv]

Det finns ett starkt samband mellan psykisk ohälsa hos föräldern och psykisk ohälsa hos barnet. Barnen tycks även ha en förhöjd risk att utveckla psykisk och fysisk ohälsa som unga vuxna. Eftersom en stor del av patienter med psykisk ohälsa finns i öppenvårdspsykiatrin eller primärvård är andelen barn som lever med föräldrar med psykisk ohälsa  förmodligen mycket större än vad vi tror. Föräldrar med psykisk ohälsa kan behöva stöd i sitt föräldraskap för att bli den bästa föräldren de kan. Syftet med projektet är att identifiera behov av stöd i föräldraskapet som föräldrar eller blivande föräldrar med psykisk ohälsa upplever. Vi genomförde tio intervjuer med föräldrar med psykisk ohälsa och skickade ut en enkät. Slutsatserna från resultatet var att det finns ett behov av stöd i föräldraskapet bland föräldrar med psykisk ohälsa. Vi fann att Familjecentralen lyfts fram som ett gott exempel och här skulle ett samarbete med psykiatrin främja relationen barn - förälder, samt att patient-anhörigförening spelar en viktig roll för föräldrar med psykisk ohälsa. Att synliggöra dessa ännu mer kan bidra till situationen på ett positivt sätt. Slutligen, det behövs inte några komplexa insatser, för många handlar det om att få träffa likasinnade i grupp, eller en samtalskontakt i svåra situationer.

Place, publisher, year, edition, pages
Karlstad: Karlstads universitet, 2023. p. 41
Series
Karlstad University Studies, ISSN 1403-8099 ; 2023:22
Keywords
psykisk ohälsa, föräldrar, stöd, intervjuer, enkät
National Category
Health Sciences Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Science
Identifiers
urn:nbn:se:kau:diva-95766 (URN)978-91-7867-388-9 (ISBN)978-91-7867-389-6 (ISBN)
Funder
Region Värmland, LIVFOU-969007
Available from: 2023-06-27 Created: 2023-06-27 Last updated: 2023-08-15Bibliographically approved
Bäccman, C., Bergkvist, L. & Wästlund, E. (2023). Personalized Coaching via Texting for Behavior Change to Understand a Healthy Lifestyle Intervention in a Naturalistic Setting: Mixed Methods Study. JMIR Formative Research, 7, Article ID e47312.
Open this publication in new window or tab >>Personalized Coaching via Texting for Behavior Change to Understand a Healthy Lifestyle Intervention in a Naturalistic Setting: Mixed Methods Study
2023 (English)In: JMIR Formative Research, E-ISSN 2561-326X, Vol. 7, article id e47312Article in journal (Refereed) Published
Abstract [en]

Background: Digital health interventions, such as personalized SMS coaching, are considered affordable and scalable methods to support healthy lifestyle changes. SMS, or texting, is a readily available service to most people in Sweden, and personalizedSMS coaching has shown great promise in supporting behavior changes.

Objective: This study aims to explore the effectiveness of highly personalized SMS coaching for behavior change according to the Capability, Opportunity, Motivation–Behavior (COM-B) model on a sample of physically inactive adults in a nonprofit fitness organization in Sweden.

Methods: The study used a mixed methods design in which clients acted as their own controls. The participants were clients(n=28) and fitness consultants (n=12). Three types of data were collected: (1) quantitative data at baseline and after the SMS intervention and the waitlist from the clients, (2) qualitative data from semistructured interviews with the fitness consultants, and(3) pseudonymized texting conversations between the fitness consultants and clients.

Results: Overall, the results showed that personalized SMS coaching was effective in supporting the clients’ behavior changes. The quantitative analysis showed how the clients’ capabilities (Cohen d=0.50), opportunities (Cohen d=0.43), and relationship with the fitness consultants (Cohen d=0.51) improved during the SMS intervention in comparison with baseline. Furthermore, the qualitative analysis revealed how personalized texts added value to existing work methods (eg, increasing continuity and flexibility) and how the relationship between the clients and fitness consultants changed during the intervention, which helped motivate the clients.

Conclusions: Personalized SMS coaching is an effective method for supporting healthy behavior changes. The human connection that emerged in this study needs to be further explored to fully understand the effectiveness of a digital health intervention.

Place, publisher, year, edition, pages
JMIR Publications, 2023
Keywords
digital health intervention, behavior change, personalized SMS coaching, Capability, Opportunity, Motivation–Behavior, COM-B, physical activity, mixed methods design, mobile phone
National Category
Psychiatry Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Psychology; Information Systems
Identifiers
urn:nbn:se:kau:diva-97533 (URN)10.2196/47312 (DOI)001107498500007 ()37966893 (PubMedID)2-s2.0-85179176570 (Scopus ID)
Available from: 2023-11-27 Created: 2023-11-27 Last updated: 2024-03-25Bibliographically approved
Bäccman, C., Kristensson, P., Bergkvist, L. & Wästlund, E. (2022). Motivational intermissions: Optimizing fitness technology for the co-creation of motivation. In: Proceedings of the QUIS17 – The 17th International Research Symposium on Service Excellence in Management: . Paper presented at The 17th International Research Symposium on Service Excellence in Management (Quis17), Valencia, 12-14 January 2022 (pp. 28-36). Universitat Politècnica de València
Open this publication in new window or tab >>Motivational intermissions: Optimizing fitness technology for the co-creation of motivation
2022 (English)In: Proceedings of the QUIS17 – The 17th International Research Symposium on Service Excellence in Management, Universitat Politècnica de València , 2022, p. 28-36Conference paper, Published paper (Refereed)
Abstract [en]

This study focuses on how fitness technology services can be designed in order to support the co-creation of motivation to sustain a healthy behavior. The study used an exploratory qualitative design in which we interviewed eight seasoned runners about their running routines and their use of fitness trackers. The result shows that the fitness routines require careful planning and deliberation, and that the maintenance of a healthy lifestyle relies more on what happens between the activities than during said activity. Thus, fitness trackers should focus on feedback that allows users to co-create motivation during intermissions between health promoting behaviors. 

Place, publisher, year, edition, pages
Universitat Politècnica de València, 2022
Keywords
behavior change, fitness trackers, motivation, user experience, digital services
National Category
Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:kau:diva-89460 (URN)978-84-1396-019-7 (ISBN)
Conference
The 17th International Research Symposium on Service Excellence in Management (Quis17), Valencia, 12-14 January 2022
Available from: 2022-04-11 Created: 2022-04-11 Last updated: 2023-06-22Bibliographically approved
Wästlund, E., Bäccman, C., Bergkvist, L. & Kristensson, P. (2022). Personalized digital services to promote healthy behavior changes. In: : . Paper presented at The 17th International Research Symposium on Service Excellence in Management (Quis17).
Open this publication in new window or tab >>Personalized digital services to promote healthy behavior changes
2022 (English)Conference paper, Oral presentation only (Refereed)
Abstract [en]

Purpose and motivation: Research has repeatedly shown that physical activity contributes to physical and mental wellbeing. Nevertheless, the gap between intentions and behavior results in sedentary lifestyles, unhealthy habits, and lower wellbeing persists. This Transformative Service Research (TSR) project focuses on creating novel services that enhance the wellbeing of individuals, regardless of resources.

Myriad digital services have been designed to support behavioral changes with the goal of stimulating health, such as starting to exercise, losing weight, or sleeping better. These technological innovations help users integrate resources and manage their value-creation process toward health.

One important strategy for supporting behavior change is to provide feedback that helps users regulate their own behavior. Behavior change requires that digital solutions be designed for motivation and not just loaded with technical features. However, few digital solutions are equipped with functions, such as coaching, that can be adapted to fit the individuals’ value-creation process towards a better health and wellbeing. Therefore, the aims of this study were to explore whether an individually tailored digital service solution could support individual behavior changes, and to examine how the coaches experienced their situation. 

 

Methodology: We tested how people in need of behavior changes experienced individually tailored digital support. This was done by implementing a protocol for motivational communication via short text messaging (SMS). The participants in this study were clients and wellness consultants at a non-profit organization that helps individuals who need lifestyle changes regarding, for example, unhealthy dietary habits or sedentary lifestyles. The majority of the clients have been prescribed physical activity by a physician. Data consisted of both interviews with the wellness consultants and the clients, and their SMS conversations. The interviews and SMS conversations were analyzed with the aim of identifying themes in the data. The study was approved by an ethical advisor at Karlstad University.

 

Findings: The preliminary results show that both the wellness consultants and the clients found that the digital solution supported the clients’ motivation for behavior change, and hence goal achievements. The results further indicate that the SMS coaching enhanced the clients’ motivation and maintained an easy rapport between the face-to-face meetings. The added value provided by the SMS coaching to the existing service provision for both wellness consultant and client has led the non-profit organization to permanently offer this service to its clients.  

 

Originality/value: This study contributes to the growing body of TSR by showing how the application of digital solutions and service research perspectives can support individuals’ behavior change processes and wellness promotion.

Keywords
digital services, wellbeing, behavior change, transformative service research, tailored motivational communication
National Category
Psychology Information Systems
Research subject
Psychology; Information Systems
Identifiers
urn:nbn:se:kau:diva-89459 (URN)
Conference
The 17th International Research Symposium on Service Excellence in Management (Quis17)
Available from: 2022-04-11 Created: 2022-04-11 Last updated: 2022-11-07Bibliographically approved
Bäccman, C. & Wästlund, E. (2022). The use of fitness-trackers and the role of motivational intermissions to maintain healthy behaviors: an explorative case study on runners. South Florida Journal of Development, 3(6), 6629-6650
Open this publication in new window or tab >>The use of fitness-trackers and the role of motivational intermissions to maintain healthy behaviors: an explorative case study on runners
2022 (English)In: South Florida Journal of Development, ISSN 2675-5459, Vol. 3, no 6, p. 6629-6650Article in journal (Refereed) Published
Abstract [en]

This study explores a user perspective on fitness-trackers and how they are used to maintain healthy behaviors; and how fitness trackers could be designed to better maintain healthy behaviors. A thematic analysis was conducted on the transcriptions from semi-structured interviews with eight seasoned non-professional runners who regularly used fitness trackers in their exercise regime. The main findings are: (a) the maintenance of healthy behaviors rely more on what happens in the intermission – that is, between healthy behaviors – than during the actual behavior itself; and (b), by visualizing the history of healthy behaviors, intermission feedback help motivate the repetition of healthy behavior in a way that mimics broad choice bracketing and behavioral streaks. Thus, fitness-trackers should focus more on the motivational aspects during the intermission between the healthy behaviors rather than encouraging the performance during the target behavior.

Place, publisher, year, edition, pages
South Florida Publishing LLC, 2022
Keywords
behavior change maintenance, healthy behavior, motivation, fitness trackers, physical exercise
National Category
Applied Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:kau:diva-92895 (URN)10.46932/sfjdv3n6-020 (DOI)
Available from: 2023-01-09 Created: 2023-01-09 Last updated: 2023-01-19Bibliographically approved
Svensson, A., Bergkvist, L., Bäccman, C. & Durst, S. (2021). Challenges in implementing digital assistive technology in municipal healthcare (firsted.). In: P. Ekman ; P. Dahlin ; C. Keller (Ed.), Management and Information Technology after Digital Transformation: (pp. 81-90). Routledge
Open this publication in new window or tab >>Challenges in implementing digital assistive technology in municipal healthcare
2021 (English)In: Management and Information Technology after Digital Transformation / [ed] P. Ekman ; P. Dahlin ; C. Keller, Routledge, 2021, first, p. 81-90Chapter in book (Refereed)
Abstract [en]

This chapter focuses on the early preparatory phase of the digital assistive technology (DAT) implementation process, and explores the challenges older people, healthcare personnel, healthcare managers, and IT-staff may experience. The chapter is based on two independent case studies, both part of longitudinal projects on DAT implementation in municipalities in Sweden and Norway. The two cases provide insights into DAT implementation and its challenges, in relation to four different categories: 1) complex innovation characteristics, 2) external policy and incentives, 3) organizational characteristics, and 4) individual characteristics. The chapter demonstrates that DAT does not only transform work practices and daily routines but also the entire healthcare profession, from being primarily concerned with caring and nursing to a profession involving technological skills. DAT implementation is about transformation, and may even be disruptive. Successful digitalization of healthcare needs a new mindset, new work practices, as well as new roles and professions.

Place, publisher, year, edition, pages
Routledge, 2021 Edition: first
Series
Routledge Studies in Innovation, Organizations and Technology
Keywords
digital assistive technology, implementation challenges, healthcare, municipality, multi-actor perspective
National Category
Other Social Sciences Information Systems, Social aspects
Research subject
Information Systems
Identifiers
urn:nbn:se:kau:diva-86303 (URN)10.4324/9781003111245-10 (DOI)2-s2.0-85118341787 (Scopus ID)
Available from: 2021-10-25 Created: 2021-10-25 Last updated: 2023-07-21Bibliographically approved
Anderzen-Carlsson, A., Bäccman, C. & Almqvist, K. (2021). The professional relationship forms the base: Swedish child health care nurses' experiences of encountering mothers exposed to intimate partner violence. International Journal of Qualitative Studies on Health and Well-being, 16(1), Article ID 1988043.
Open this publication in new window or tab >>The professional relationship forms the base: Swedish child health care nurses' experiences of encountering mothers exposed to intimate partner violence
2021 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 16, no 1, article id 1988043Article in journal (Refereed) Published
Abstract [en]

Purpose This study aimed to explore child health care nurses' clinical experiences from encounters with mothers exposed to intimate partner violence (IPV), as little research has explored this topic. Method Nine child health care nurses from two Swedish regions were interviewed. The interviews were analysed using thematic analysis. Results The narratives depicted the nurses' strong commitment to, and professional relationship with, the exposed mothers. The experience of working as a nurse and having encountered IPV in clinical practice made the nurses more confident, which impacted their performance and attitude towards this topic. The ability to uphold the professional relationship was threatened by lack of support and interprofessional collaborations. Conclusions The professional relationship was central to the encounters, yet could impose an emotional burden on the nurses. While the nurses wanted to improve their knowledge of the process around the mother and child, they were happy to pass the primary responsibility over to other professionals. The findings highlight the challenge in establishing sustainable support for nurses, and building a transparent collaboration process between the health care sector and the social services, serving the well-being and safety of the mother and child.

Place, publisher, year, edition, pages
Taylor & Francis, 2021
Keywords
Family violence, intimate partner violence, health care professionals, qualitative methods
National Category
Nursing Sociology
Research subject
Nursing Science; Social Work
Identifiers
urn:nbn:se:kau:diva-87299 (URN)10.1080/17482631.2021.1988043 (DOI)000710715800001 ()34694958 (PubMedID)2-s2.0-85118230096 (Scopus ID)
Available from: 2021-11-22 Created: 2021-11-22 Last updated: 2022-12-08Bibliographically approved
Bäccman, C., Bergkvist, L. & Kristensson, P. (2020). Elderly and care personnel's user experiences of a robotic shower. Journal of Enabling Technologies (JET), 14(1), 1-13
Open this publication in new window or tab >>Elderly and care personnel's user experiences of a robotic shower
2020 (English)In: Journal of Enabling Technologies (JET), ISSN 2398-6263, E-ISSN 2398-6271, Vol. 14, no 1, p. 1-13Article in journal (Refereed) Published
Abstract [en]

Purpose The purpose of this study is to explore the expectations and experiences regarding a robotic shower, from a dual user perspective. Design/methodology/approach This was an explorative qualitative study in which elderly and personnel were interviewed before the robotic shower was installed and again after four or five months of usage. Findings The elderly participants found the robotic shower empowering. The personnel's experiences encompassed their own work conditions, as well as the user value for the elderly. A shared experience for both user groups was a more independent shower situation for the elderly. Originality/value This study presents a dual user experience of a DAT in an intimate care situation and shows the importance of including both elderly and personnel to fully understand the value of DATs.

Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2020
Keywords
Empowerment, Elderly, User experience, Care personnel, Digital assistive technology, Learned helplessness
National Category
Nursing Human Computer Interaction Applied Psychology
Research subject
Nursing Science; Psychology
Identifiers
urn:nbn:se:kau:diva-77100 (URN)10.1108/JET-07-2019-0033 (DOI)000512175900001 ()
Available from: 2020-02-27 Created: 2020-02-27 Last updated: 2021-01-14Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-8744-0425

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