Rikke Jørgensen

• PhD
• Senior Researcher and Associate Professor at Aalborg University Hospital and Aalborg University

Adolescents with attention deficit hyperactivity disorder (ADHD) and a co-existing medical disorder face challenges because the two disorders interfere with each other in everyday life. To support adolescents’ management of co-existing ADHD and medical disorder, the Guided Self-Determination intervention was adapted to this group of adolescents. Th...

Plain Language Summary Users of healthcare services living with long-term health conditions may need empowerment-based support from healthcare providers to discover and develop their inherent capacity to be responsible for their own life. This ensures that healthcare users develop the skills needed to manage the many decisions and problems they fac...

This qualitative study explored the perspectives of Flexible Assertive Community Treatment managers on preparation and employment of peer support workers. The study was based on semi-structured interviews with managers (n = 5) in Outpatient Services in the North Denmark Region. The analysis was based on an inductive approach to content analysis whi...

Objectives: This qualitative study aims to examine parental experiences of feasibility and relational changes from participating in the Paediatric Autism Communication Therapy (PACT) intervention. Methods: Thirteen parents of children diagnosed with autism spectrum disorder (mean age 3.89 years) participated in semi-structured interviews. Thematic...

Peer support is a collaborative practice where people with lived experience of mental health conditions engage in supporting like-minded. Peer support impacts on personal recovery and empowerment and creates value at an organisational level. However, the implementation of peer support into existing mental health services is often impeded by barrier...

In forensic mental health care (FMHC), family caregivers perceive themselves as burdened in their relationships with the service user (the family member with mental illness) and by difficult collaboration with healthcare professionals (HCPs). There is a political objective to involve this group in the care and treatment of the service user in menta...

Background When implementing new interventions into clinical practice, it is of great importance to investigate the implementation process to better understand factors promoting and impeding the implementation to stimulate engagement and sustainability of the intervention. It is essential to consider perspectives both from the health professionals...

Accessible Summary What is known about the subject Treatment groups in Mental Health Service is cost‐effective, increases patients´ self‐understanding and stimulate change Research shows that people with mental illness have different barriers to attend group sessions which often originates from a lack of trust in other people, but it is known that...

I sundhedsvæsenet i Danmark såvel som i udlandet, ses et stigende antal mennesker k komplekse forløb, der går på tværs af sektorer, fx på grund af flere samtidige behandlingskrævende sygdomme. Tværprofessionelt samarbejde kan være komplekst og udfordrende. Dette kapitel introducerer samarbejdsmodellen Patientens team, som kan være med til at fremm...

Background Relational decision-making and problem-solving are powerful activities occurring daily across all healthcare contexts. Their empowering potential can be difficult to judge and is seldom fully exploited, and they can even be perceived as disempowering. This calls for assessment of the extent to which healthcare users perceive their intera...

Background Decision-making and problem-solving processes are powerful activities occurring daily across all healthcare settings. Their empowering potential is seldom fully exploited, and they may even be perceived as disempowering. We developed the EMPOWER-UP questionnaire to enable assessment of healthcare users’ perception of empowerment across h...

Purpose The purpose of this study was to understand the point of departure for peer support workers in an organization new to working alongside with peer support workers as equal colleagues. The aim of this study was to explore the perspectives of Flexible Assertive Community Treatment managers on preparation and employment of peer support workers,...

People with schizophrenia have shortened life expectancy partly due to physical ill health. Management of coexisting mental and physical health issues is complex, and knowledge in the field is lacking. This study investigated how physical health was managed among people with schizophrenia, by integrating findings from three separate analyses conduc...

Purpose To explore and describe the enactment of user involvement and combined care in a Danish clinic that aimed at providing integrated diabetes and mental health care. Design An ethnographic study. Data Sources and Methods Data consisted of field notes from 96 hours of participant observations and field notes from 32 informal conversations wit...

Person-specific evidence was developed as a grounded theory by analyzing 20 selected case descriptions from interventions using the guided self-determination method with people with various long-term health conditions. It explains the mechanisms of mobilizing relational capacity by including person-specific evidence in shared decision-making. Perso...

People with schizophrenia and type 2 diabetes face complex challenges in daily life and the management of both illnesses is burdensome. This qualitative interview study aimed to explore perceptions and understandings of the day-to-day management of schizophrenia and type 2 diabetes. Fourteen semi-structured interviews were conducted between January...

BACKGROUND Person-centered care responsive to individual preferences, needs, and values is recognized as an important aspect of high-quality healthcare, and patient empowerment is increasingly viewed as a central core value of person-centered care. Web-based interventions aimed at empowerment report a beneficial effect on patient empowerment and ph...

Background: Person-centered care responsive to individual preferences, needs, and values is recognized as an important aspect of high-quality health care, and patient empowerment is increasingly viewed as a central core value of person-centered care. Web-based interventions aimed at empowerment report a beneficial effect on patient empowerment and...

The aim of this ethnographic study was to explore how a group of nine Danish people with schizophrenia managed physical health issues as they naturally occurred in everyday life. Qualitative methods were used to generate of data. Thematic analysis led to the description of two typical strategies used by participants to manage debilitating physical...

The objective of this scoping review was to summarize, understand, and provide an overview of the empirical literature on interventions involving own treatment choice for people with co-existing diabetes (type 1 and 2) and severe mental illness. This scoping review, undertook a systematic literature assessment. Searches were performed in MEDLINE, E...

Mental health care professionals are at risk of experiencing burnout. This cross-sectional study aims to investigate burnout in two settings: open and closed psychiatric wards, and two professions: registered nurses and social healthcare assistants in eight psychiatric wards in Denmark. A total of 114 professionals completed the Copenhagen Burnout...

Im ersten Teil des Artikels wurde die Methode GSD beschrieben. In diesem zweiten Teil des Artikels wird anhand eines Fallbeispiels die Umsetzung in der Praxis dargestellt. Dieses erfolgt am Beispiel der Anwendung von zwei Arbeitsblättern zur Reflexion. Bei dem ersten Arbeitsblatt steht die Frage im Mittelpunkt, welche Phasen in Bezug auf die Erkran...

Was ist zu diesem Thema bekannt? Guided Self-Determination (GSD) ist ursprünglich für die Zusammenarbeit in der Behandlung von Menschen mit der Diagnose Diabetes mellitus Typ 1 entwickelt worden. GSD hat sich auch in der Begleitung von Menschen mit anderen chronischen Erkrankungen als hilfreich erwiesen. Wie wird eine neue Perspektive eingebracht?...

Provision of physical health care to people diagnosed with severe mental illness is widely reported as inadequate. This interview study explored perspectives of a group of key informants on current practices of providing physical health care within two mental health care settings in Denmark. Thematic analysis of their accounts provided insights int...

Adolescents with ADHD are at increased risk of having a co-existing medical disorder. Research shows that having co-existing ADHD and a medical disorder interferes with the adolescents’ daily life, creating a dual task that cannot be managed as two independent disorders. Interventions to support adolescents in managing the dual task of living with...

Aims To map existing research‐based knowledge of everyday life and illness management among people with coexisting type 2 diabetes and severe mental illness, and to identify study designs, aims, populations and themes. Methods A systematic literature search was performed on 16 April 2019 using Medline, Embase, PsycINFO, Cinahl, the Cochrane Librar...

Aim The study aim was to explore adolescents' with co-existing ADHD and medical disorder (MD) perceptions of everyday life and support from parents and healthcare professionals. Design and methods In this qualitative study, 10 adolescents aged 13–17 years diagnosed with ADHD and a MD were included from a general pediatric hospital clinic and a chi...

Purpose: To explore and describe everyday life and hospital-based healthcare experiences and utilization in families of children with ADHD in Denmark. Design and methods: The present work is a multistage, mixed methods study. The design consists of three individual studies: a meta-synthesis, a focused ethnographic study, and a historical cohort...

Background Burnout in mental health professionals is documented widely in the literature as a significant problem in the fields of psychiatric and mental health. Burnout in mental health professionals is associated with variables as job satisfaction, unsupportive management, continuing education, inadequate numbers of staff and high risk and acutel...

Background: Life expectancy of people with severe mental illness (SMI) is greatly shortened compared to the general population, and despite extensive research, this issue is unsolved. Although it is widely recognised that people with SMI need support from health care services to manage health related issues, profound health inequalities exist withi...

Introduction Evidence‐based interventions are required in mental health nursing to improve quality and outcome for patients. However, there is a need to shed light on professionals’ reactions to the use of evidence‐based interventions to better understand and adjust the implementation process. Aim To explore mental health care professionals′ react...

Background: The use of physical coercive measures, e.g. mechanical restraint (MR), in mental health care, is a major infringement on the psychiatric patient’s autonomy. MR can cause physical and mental harm but may be necessary to avoid putting an individual’s health at risk. The nursing staff is tasked with protecting the life and health of, not o...

Objectives: To compare the mean number of medical and psychiatric hospital-based services in children with and without attention deficit hyperactivity disorder (ADHD) and to assess the effect of ADHD on hospital-based service use, including child-, parental-, and socioeconomic-related risk factors. Study design: A Danish birth cohort was followe...

Background Literature indicates that using smartphone technology is a feasible way of empowering young adults recently diagnosed with schizophrenia to manage everyday living with their illness. The perspective of young adults on this matter, however, is unexplored. Objective This study aimed at exploring how young adults recently diagnosed with sc...

Aim The aim of this qualitative study was to explore parental experiences of how healthcare practices and healthcare professionals in hospital clinics in Denmark influence everyday life of parents with a child with ADHD. Design and Methods The methodology was focused ethnography. Participant observation and interviews were used as the primary data...

Background: In the recent decades, patient involvement, shared decision-making, and recovery have become important factors in interventions in mental health care and treatment. The Guided Self-Determination (GSD) method is consistent with these demands and has been tested in an open randomized controlled trial and proved to reduce negative symptoms...

Smartphone technology is being increasingly viewed as key to engaging young adults with schizophrenia in their own mental health care. In an attempt to use smartphones as an engagement tool, we conducted a participatory design process, where young adults with schizophrenia (n = 4), healthcare providers (n = 7), software designers (n = 3), graphic d...

Aim: This systematic review is aimed to identify and synthesize the best available evidence on parenting experiences of living with a child with attention-deficit hyperactivity disorder, including their experiences of healthcare and other services. Methods: A meta-synthesis was conducted following the Joanna Briggs Institute (JBI) guidelines. Qu...

Poor insight has a negative impact on the outcome in schizophrenia; consequently, poor insight is a logical target for treatment. However, neither medication nor psychosocial interventions have been demonstrated to improve poor insight. A method originally designed for diabetes patients to improve their illness management, Guided Self-Determination...

Recruitment is one of the most serious challenges in performing randomized controlled trials. Often clinical trials with participants diagnosed with schizophrenia are terminated prematurely because of recruitment challenges resulting in a considerable waste of resources in the form of time, funding, and the participants' efforts. Dropout rates in s...

Delusions in persons with schizophrenia who have limited insight have been targeted with different treatment modalities with equivocal results. Working with the Guided Self-Determination method used in shared decision-making and problem solving, a 55-year-old male diagnosed with schizophrenia gained insight into his own delusions during a period of...