Jeanette Reffstrup Christensen

Jeanette Reffstrup Christensen
University of Southern Denmark | SDU · Research Unit of User Perspectives and Community-based Interventions; The Research Unit for General Practice, Department of Public Health

OT, Cand. Scient. San, Ph.D
DO:IT - Danish Obesity Intervention Trial; MOVE - Physical activity meets sustainability; DICTA; LIVA.

About

201
Publications
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Introduction
Main focus: To live the life you want to live! A two-fold interest: Occupational therapy and Health promotion. I create evidence for occupational therapy and rehabilitation. I work with intelligent physical activity, health promotion i.e. weight loss, behaviour change, motivation, habit change, presenteeism and absenteeism, implementations and maintenance strategies i.e. MRC framework, lifestyle redesign, EBP, rehabilitation of chronic diseases, pain management, COPM and quality of life.

Publications

Publications (201)
Conference Paper
Full-text available
Background: Patients with inflammatory arthritis (IA), i.e. rheumatoid arthritis, axial spondyloarthritis and psoriatic arthritis, experience low work ability, an increased risk of long-term sickness absence and up to 38% lose their job in the first years after diagnosis. This affects the patients’ identity and has economic consequences for the ind...
Article
Full-text available
Background At the Danish Hospital for Rheumatic Diseases, patients with rheumatoid arthritis (RA) have been invited to systematic cardiovascular (CV) risk assessments since 2011, in accordance with the EULAR recommendations.(1). Patients who are assessed to have high or very high risk for CV death according to the modified Systematic Coronary Risk...
Article
Background: Few studies are available regarding occupational therapist students' experiences relating to their professional identity during their education. Aim: The aim was to gain knowledge about the process that occupational therapist students undergo in the shaping of their professional identity. Method: Semi-structured interviews were con...
Article
Background: The course of spontaneous biological recovery indicates that no essential improvements in upper limb (UL) capacity should be expected 3 months after stroke. Likewise, UL performance as assessed with accelerometers does not seem to increase. However, this plateau may not apply to all patients with stroke. Objectives: This study aimed...
Article
Full-text available
Background: Healthy lifestyle is important to decrease health risks in individuals living with chronic pain. From an occupational therapy perspective, human health and lifestyle are linked to occupational engagement in meaningful everyday activities. This study is aimed at investigating the effect of including occupational engagement in chronic pa...
Article
Full-text available
IntroductionCurrently 1.9 billion adults worldwide are estimated to be overweight or obese. Weight loss sustainability is difficult, and weight loss rehabilitation programs have been criticised for having an individualistic approach. It has been suggested that occupational therapists could be used as part of a transdisciplinary approach because of...
Preprint
BACKGROUND Long-term weight loss among subjects with obesity can reduce the risk and progression of noncommunicable diseases (NCDs). Observational studies suggest that digital coaching can lead to long-term weight loss. OBJECTIVE We investigated whether an eHealth lifestyle coaching program (LIVA) for subjects with obesity with or without type 2 d...
Article
Background: Symptoms of stress are widespread in the working population and associated with long-term sickness absence and poor work functioning. Occupational therapy (OT)-based interventions are effective in improving return-to-work (RTW)-rates in stress-afflicted long-term sickness benefit beneficiaries (SBBs). No Danish standard on OT-RTW for s...
Article
Despite decades of attempts from doctors and dietitians to break the obesity curve, obesity rates are increasing in Denmark. To counteract this, municipal occupational therapy-based interventions are in development as part of the Danish Obesity Intervention Trial (DO: IT). The objective was to survey Danish adults on preferred content in an occupat...
Article
Introduction To establish the responsiveness of the Danish version of the Canadian Occupational Performance Measure (COPM-DK). Method A cross-sectional study was performed in three Danish settings, including 88 clients, 40 men, aged 16–90 years, with a variety of diagnoses. To determine construct responsiveness, the mean changes of the COPM perfor...
Article
Background Nature-based rehabilitation (NBR) is increasingly used within neurorehabilitation. The theoretical base is rooted in traditional neurorehabilitation professions, especially physiotherapy and occupational therapy, and relate to nature-based approaches. Objective: The objective was to explore the therapists’ experiences of and rationale fo...
Article
Full-text available
Purpose To present an overview of the evidence of the effect of job loss prevention interventions, aiming to improve work ability and decrease absenteeism and/or job loss in persons with inflammatory arthritis (IA). Method A systematic literature search in the databases PubMed, EMBASE, CINAHL, PsycINFO and the Cochrane Library was conducted. A sear...
Article
Full-text available
Background: People with inflammatory arthritis (IA) often experience low work ability, and up to 38% lose their jobs during the initial years after the diagnosis of IA. Aim: We explore the perceived challenges at work and identify the need for professional support among Danish people with IA. Materials/methods: Individual explorative interview...
Article
Full-text available
Introduction: The risk for cardiovascular diseases and other comorbidities increases with the number of unhealthy lifestyle factors in the general population. However, information on the combined number of unhealthy lifestyle factors in people with rheumatoid arthritis (RA) is scarce. Objectives: To study lifestyle factors and the association be...
Article
Objectives We investigated the associations between health-related quality of life (HRQoL) and health, pain and lifestyle factors, as well as motivation for lifestyle changes, in adults living with chronic pain referred to a Danish pain centre. Methods A total of 144 outpatients completed a questionnaire on HRQoL (EQ-5D-5L), health, pain, lifestyl...
Article
Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. Research has focused on diet, exercise, and cognitive–behavioral therapy as the core components of weight loss programs. However, a sustainable weight loss is still challenging, maybe because of an individual perspective. Our long-term aim is t...
Conference Paper
Background: Usage of new technologies for physical training as a part of disease management and rehabilitation has grown in parallel with the decentralization of healthcare, shifting from skilled facility-to in-home care. However, little is known about the feasibility and efficacy of Motion-Based Technology (MBT) training at home for people with de...
Article
Full-text available
Purpose: As part of intervention feasibility evaluation before conducting a clinical trial, this study aimed to investigate perspectives of patients and clinicians involved in the occupational therapy lifestyle-oriented programme REVEAL(OT) [Redesign your EVEveryday Activities and Lifestyle with Occupational Therapy] which was added to multidiscipl...
Article
Introduction This study aims to assess the reliability of the Danish version of the Canadian Occupational Performance Measure (COPM). Method 151 clients, 42.4% male, mean age 66.9 years ( SD: 14.4, range: 16–90), from two hospitals and two rehabilitation centres were interviewed twice with the COPM over a ten-day mean interval ( SD: 4.9, range: 2–...
Conference Paper
Full-text available
Baggrund: Til trods for at ergoterapeuter har kompetencer der kan styrke arbejdsrettet rehabilitering overses ergoterapeuter ofte når kommuner ansaetter nyt personale indenfor dette arbejdsområde. På nuvaerende tidspunkt er der begraenset evidens for ergoterapeutiske indsatser indenfor arbejdsrettet rehabilitering, ligesom der er begraenset viden o...
Article
Full-text available
Background People with inflammatory arthritis (IA), i.e. rheumatoid arthritis, psoriatic arthritis and axial spondyloarthritis, often experience low work ability and up to 38% lose their job during the first years after being diagnosed with IA (1). As a result, people with IA have a higher risk of job loss and permanent exclusion from the labor mar...
Article
Full-text available
Background In people with rheumatoid arthritis (RA), modifiable lifestyle factors such as smoking, being overweight/obese, alcohol overuse and physical inactivity may not only affect treatment response and quality of life, but can also increase the risk for cardio-vascular diseases and other comorbidities (1,2). Evidence and EULAR guidelines (3) su...
Article
Full-text available
Most type 2 diabetes patients are treated in general practice and there is a need of developing and implementing efficient lifestyle interventions. eHealth interventions have shown to be effective in promoting a healthy lifestyle. The purpose of this study was to test the feasibility, including the identification of factors of importance, when offe...
Article
Full-text available
Background Preventive primary care programs that aim to reduce morbidity and mortality from lifestyle-related diseases are often affected by low-to-moderate participation rates. Improving participation rates is essential for clinical effectiveness and cost-effectiveness. In 2016-2017, we conducted a pilot study (TOF pilot1) for a preventive primary...
Article
Full-text available
Objectives: The risk of musculoskeletal pain increases when there is an imbalance between work demands and physical capacity. Work in elder care requires frequent periods of high mechanical loading. Body weight can further amplify this load, while muscle strength may lessen the relative strain on the musculoskeletal system. The purpose of this stud...
Preprint
BACKGROUND Lifestyle interventions can delay and reverse the onset of type 2 diabetes (T2D) and decrease morbidity and mortality. Studies suggest that digital coaching based on real-time monitoring can lead to clinically relevant weight loss, as well as decreased or normalized hemoglobin A1c (HbA1c) for a significant number of patients. OBJECTIVE...
Article
Full-text available
Background Currently 1.9 billion adults worldwide are estimated to be overweight or obese. In Denmark the municipalities hold the responsibility to deliver weight loss programmes to overweight and obese citizens. There is a tendency to assume that weight loss programmes that show positive effects in specialized hospital settings are directly transf...
Preprint
BACKGROUND Primary-care-based preventive programs that aim to reduce morbidity and mortality from lifestyle-related diseases often suffer from low to moderate participation rates. Improving participation rates is essential to clinical effect and cost effectiveness. In 2016-2017 we conducted the first pilot study (TOF pilot1) testing a primary-care-...
Article
Full-text available
Introduction Myalgic encephalomyelitis is a complex systemic condition, causing severe symptoms that limit the quality of life of the people living with it. This study examined changes in life, coping strategies, and the ability to obtain a successful occupational adaptation in people with myalgic encephalomyelitis in Denmark, viewed from the persp...
Article
Full-text available
Objective Obesity is an increasing public health challenge and most weight loss programmes are still inadequate to support sustainable weight loss. One reason for the continued lack of success might be the dominant biomedical, individualised approach to weight loss. Holistic approaches that focus on overall health and well-being in addition to weig...
Article
Full-text available
Objectives To determine the attitudes of eldercare services managers to the potential health benefits of workplace health promotion programmes (WHPPs), including physical exercise during working hours and the feasibility of implementing a WHPP at the workplace. Study design A cross-sectional study. Methods Respondents filled out a 14-item questio...