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ABSTRACT: Objective: Functional, interactive and critical skills to use and act on health information, i.e. health literacy, are central preconditions for decision-making. To construct a decision aid that strengthens women's abilities to make decisions during sick leave, knowledge is needed about factors that increase health literacy. The aim of this study was for that reason to explore and describe women's experiences of factors that contribute to their ability to make informed decisions about the process of rehabilitation and return to work.Participants: Nineteen women with a period of sick leave during the previous 12 months participated. Methods: A qualitative design with a focus group methodology was used. The qualitative data analysis was based on five focus group discussions. Results: A number of factors emerged that were experienced as supporting. They were distributed over five qualitative categories. Trusting in, valuing and using one's own resources, taking the initiative and obtaining information were described as crucial to making well-founded decisions. Being coached by a professional or being supported by significant others were other factors that contributed to decision-making. The women also experienced that a trustful, transparent, continuous relationship with the professionals involved in the rehabilitation process contributed to well-founded decisions. Conclusions: The factors experienced as contributing to sick-listed women's ability to make informed decisions were both personal and environmental. Some have a connection with theories that conceptualize intentional relationships and self-efficacy. The factors may be useful as an initial source for the development of a decision aid for women.
Work 06/2012; 43(2):237-48. · 0.52 Impact Factor
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Lakartidningen 12/2011; 108(51-52):2718-20.
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ABSTRACT: A growing responsibility on the part of individuals to make decisions in health issues implies the need of access to health information and personal skills to comprehend the information. Health literacy comprises skills in obtaining, understanding and acting on information about health issues in ways that promote and maintain health. A lack of health literacy may have effects at both the individual and societal levels. There are thus reasons for health care professionals to gain a comprehensive understanding of health literacy. The aim of this review was to explore how health literacy is described in the scientific literature and to give a synthesis of its different meanings.
The review was based on approximately 200 scientific articles published 2000-2008. The analysis process was inspired by the methods of narrative literature review.
Two different approaches to health literacy became visible, one in which health literacy is expressed as a polarized phenomenon, focusing on the extremes of low and high health literacy. The definitions of health literacy in this approach are characterized by a functional understanding, pointing out certain basic skills needed to understand health information. The other approach represents a complex understanding of health literacy, acknowledging a broadness of skills in interaction with the social and cultural contexts, which means that an individual's health literacy may fluctuate from one day to another according to the context. The complex approach stresses the interactive and critical skills needed to use information or knowledge as a basis for appropriate health decisions. We conclude that health literacy is a heterogeneous phenomenon that has significance for both the individual and society. Future research will aim at the development of assessments that capture the broadness of skills and agents characteristic for health literacy as a complex phenomenon.
Scandinavian Journal of Caring Sciences 06/2011; 26(1):151-60. · 0.89 Impact Factor
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ABSTRACT: The objective of the study was to describe participants' experiences of a rehabilitation programme for persons with chronic pain.
A qualitative design with focus group methodology was used. The sample consisted of 24 individuals with chronic pain who were divided into six focus groups. The rehabilitation programme, which was led by an occupational therapist and a physiotherapist, took place at a healthcare centre and comprised 12 group sessions.
The qualitative themes described the programme as a meaningful place to which to belong and as an encouraging environment. They also included a criticism of the format and content of the programme. The participants had, however, not reflected over their possibility of influencing parts of the programme, as they took for granted that it was predetermined. The themes furthermore described the participants' expectations of being regarded as sick, but also their valuing of their own contribution in taking responsibility for carrying out the programme and for having integrated the content and becoming aware of their limitations.
The participants' experiences of the design, content and format of the programme were positioned between two extremes: A passive and an active role; their own responsibility and that of the leaders; weakness and ego-strength; and commitment and lack of commitment.
Disability and Rehabilitation 09/2006; 28(16):985-95. · 1.50 Impact Factor
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ABSTRACT: Chronic pain leads to high costs in the form of compensation for absence from work due to illness, production loss and health care utilization. Multidisciplinary treatment programmes at pain clinics can result in return to work and a decrease in doctor visits. The aim of this study was to evaluate the long-term influences of a rehabilitation programme in primary health care for chronic pain patients with regard to doctor visits, frequency of sick-leave and level of disability.
A longitudinal, intervention study design was used over a three-year period.
A biopsychosocial rehabilitation programme based on ego-strengthening psychotherapy was used. An occupational therapist and a physiotherapist led the intervention, which comprised two meetings per week for six weeks. The study was performed in a primary health care area in the southwest of Sweden with 54 chronic pain patients.
The results showed a significant decrease in the number of doctor visits as well as sick-leave days. The level of absenteeism due to occupational disability changed significantly from being on sick leave to receiving a disability pension.
The rehabilitation programme reduced patient attendance at health care facilities but did not increase the numbers of patients returning to work.
Musculoskeletal Care 02/2004; 2(3):152-64.
