Tine Tjørnhøj-Thomsen

• University of Southern Denmark

Family caregivers often face challenges in navigating care decisions and maintaining involvement after their relatives transition to long-term care facilities. This study explores family caregivers’ perspectives on the benefits of engaging in conversations with professional caregivers in long-term dementia care. Semi-structured interviews were cond...

Background Partnerships between researchers and food retailers are advocated as necessary for developing sustainable and effective health-promotion initiatives in supermarkets. However, little is known about how such partnerships evolve and influence different phases of intervention research. This study explores how partnerships between researchers...

This article investigates how tensions between temporal structures influence the perceptions of Danish job centre pathways among long-term unemployed citizens and frontline professionals, as well as the challenges they face in aligning with the temporal imperatives of the job centre's institutional time. This study draws on qualitative individual i...

Aim(s): To evaluate the impact of the CARE intervention on healthcare professionals’ perceived confidence levels and understand the factors influencing confidence in ethical decision-making in dementia care. Design: Thematic analysis of post-intervention focus-group interviews. Methods: Twelve focus-group interviews were conducted post-intervention...

Purpose: Physical rehabilitation exercises (PRE) are commonly prescribed early after total hip arthroplasty (THA), but the fundamental effectiveness of PRE has been questioned. As little is known about stakeholder perceptions of PRE, the aim was to explore patients' and physical therapists' perceptions of using PRE in the early period after THA....

Background Rapid recognition of pediatric out‐of‐hospital cardiac arrest (POHCA) is a critical component to prompt initiation of bystander interventions. We aimed to investigate barriers for responding to POHCA during emergency medical calls. Methods and Results We included all POHCA calls (aged 0–18 years) from the emergency dispatch center in th...

Introduktion til nummeret Omsorg Under Forandring 2: Omsorgens Relationer.

Background Physical locations play an essential yet often overlooked role in healthcare implementation processes. Implementation Science frameworks such as the Theoretical Domains Framework, the Consolidated Framework for Implementation Research, and the Implementation in Context framework acknowledge the importance of the physical environment, but...

BACKGROUND Young children often experience with mild, and self-limiting symptoms that still lead to frequent acute healthcare utilization. OBJECTIVE To explore parental motivations for utilizing out-of-hours services when managing acute illness. METHODS Parents contacting the Medical Helpline 1813 (MH1813), Emergency Medical Services Capital Regi...

Background Young children often get sick, and although they usually do not need treatment, it can be distressing for parents and lead to a high rate of urgent health care use. As the demand for out-of-hours services grows, understanding parents’ concerns and needs when caring for an ill child is crucial for designing interventions that support info...

Background Physical locations play an essential yet often overlooked role in healthcare implementation processes. Implementation Science frameworks such as the Theoretical Domains Framework, the Consolidated Framework for Implementation Research, and the Implementation in Context framework acknowledge the importance of the physical environment, but...

Background Improving food environments like supermarkets has the potential to affect customers’ health positively. Scholars suggest researchers and retailers collaborate closely on implementing and testing such health-promoting interventions, but knowledge of the implementation of such interventions is limited. We explore the implementation of four...

Purpose To explore the mechanisms of the implementation strategy, “oilcloth sessions” and understand and explain the ripple effects of oilcloth sessions as a strategy to implement a new emergency department. Design/methodology/approach A qualitative design was used whereby data were collected using field notes from an ethnographic study of the oil...

With the outbreak of the COVID-19 pandemic, Denmark and Sweden’s governments and health authorities implemented social distancing measures as the main strategy to limit the spread of the coronavirus. In Denmark, these were mostly mandatory, whereas in Sweden they were primarily voluntarily based. The aim of this study was to explore how young adult...

Background The Danish Health Authority recommended the implementation of new types of emergency departments. Organizational changes in the hospital sector challenged the role, identity, and autonomy of medical specialists. They tend to identify with their specialty, which can challenge successful implementation of change. However, investigations on...

Historically, public health interventions in Greenland are primarily adopted from a Scandinavian context or developed centrally in the capital city instead of building on communities’ local resources and strengths. The aim of this article is to identify implementation determinants from professionals’ perspectives in the implementation of the parent...

Background: In Denmark, volunteer responders have been dispatched to suspected pediatric out-of-hospital cardiac arrests (OHCAs) through a smartphone application since February 2022. However, it is unknown how volunteer responders experience assisting pediatric OHCAs. Aim: To explore how volunteer responders experienced being involved in pediatric...

Background Families’ food and drink purchases are highly related to intake which affects several health outcomes. Various factors influence grocery shopping e.g., price, preferences, promotion, and availability. However, few studies have explored the relationship between these and how they are affected by major societal changes. This study aims to...

Background The health promotion literature advocates for partnerships with private actors, but scholars have called for detailed knowledge on the development of interventions in studies using such co-approaches. This study aims to increase our understanding of how such partnerships influence intervention development and content. In 2019, researcher...

Introduction In Denmark, multiple national initiatives have been associated with improved bystander defibrillation and survival following out-of-hospital cardiac arrest (OHCA) in public places. However, OHCAs in residential neighbourhoods continue to have poor outcomes. The Cardiac Arrest in Residential Areas with MoBile volunteer responder Activat...

Background The Danish Health Authority recommended the implementation of new types of emergency departments. Organizational changes in the hospital sector challenged the role, identity, and autonomy of medical specialists. They tend to identify with their specialty, which can challenge successful implementation of change. However, investigations on...

Nurturing care and protection from parents and community in the early years of life are fundamental for a child's development. The article aims to explore what relations parents see as meaningful in their child's upbringing and how these are shaped, and how these perspectives are reflected in MANU. MANU is a universal parenting programme in Greenla...

Objectives Smartphone dispatch of volunteer responders for out-of-hospital cardiac arrest (OHCA) is implemented worldwide. While basic life support courses prepare participants to provide CPR, the courses rarely address the possibility of meeting a family member or relative in crisis. This study aimed to examine volunteer responders’ provision of s...

Background The transition to parenthood has received increasing attention in research, partly due to evidence pointing out the crucial developmental period of a child’s first thousand days. Parenting programmes aim to prepare and support families in their transition and distress. For a programme to be implemented successfully it is important to con...

Background The aim of this study was to explore healthcare professionals, managers, and other key employees’ experiences of oilcloth sessions as a strategy when implementing new emergency departments in Denmark, based on their participations in these sessions. The study addresses the importance of securing alignment in implementation strategies. To...

Background Mobility interventions can prevent functional decline among older patients, but implementation of such interventions may be complicated by barriers in the clinical setting. The WALK-Copenhagen project (WALK-Cph) is aimed at promoting a 24-h mobility among older medical patients during hospitalization. The WALK-Cph intervention was co-des...

Background The aim of the study is two-fold. It explores how managers and key employees at the Emergency Department (ED) and specialist departments in a university hospital in the Capital Region of Denmark respond to the planned change to a new ED, and how they perceive the change involved in the implementation of the new ED. The study investigates...

An amendment to this paper has been published and can be accessed via the original article.

Background In Denmark, around 500 adolescents and young adults (AYAs) aged 15–29 are diagnosed with cancer each year. AYAs affected by cancer constitute a vulnerable group in need of special support in pursuing everyday life as young people. These needs are, however, not currently being adequately met. This study explores the distinctive needs of A...

Background Child mental health problems are a major public health concern associated with poor mental and physical health later in development. The study evaluates a new community-based intervention to promote sensitive parenting and reduce enduring mental health problems and unhealthy weight among vulnerable infants aged 9-24 months. Methods We u...

Background Selecting appropriate strategies to target barriers to implementing interventions represents a considerable challenge in implementation research and practice. The aim was to investigate what categories of implementation strategies were selected by health care practitioners and their managers in a co-design process and how they justified...

In Greenland, the universal parenting programme MANU was developed in 2016. After documenting the initial years of MANU’s implementation, this study aimed to identify implementation determinants focusing on i) which context MANU was conceptualised in and how it was developed and ii) how MANU was implemented and initially received in the healthcare...

This paper explores loneliness as it is understood and experienced by adolescents, with a special focus on the importance of their migration status. We recruited students from five schools following a maximum variation sampling scheme, and we conducted 15 semi-structured, individual interviews with eighth-grade adolescents (aged 14–15 years) that w...

Social distancing measures have been a key component in government strategies to mitigate COVID-19 globally. Based on official documents, this study aimed to identify, compare and analyse public social distancing policy measures adopted in Denmark and Sweden regarding the coronavirus from 1 March 2020 until 1 October 2020. A key difference was the...

Background There is a long-standing debate in implementation research on whether adaptations to evidence-based interventions (EBIs) are desirable in health care. If an intervention is adapted and not delivered as conceived and planned, it is said to have low fidelity. The WALK-Cph project was developed based on the assumption that involving stakeho...

Ensuring the sustainability of school-based public health intervention activities remains a challenge. The Young and Active (Y&A) intervention used peer-led workshops to promote movement and strengthen students' sense of community in 16 Danish high schools. Peer mentors inspired first-year students to implement movement activities. To support susta...

Peer-led interventions are highlighted as promising strategies to promote health among adolescents, but little is known about the mechanisms underlying this approach. To better understand the role of peer mentors (PMs) as implementers in school-based health promotion, we combined participant observations, focus group interviews and video recordings...

Objective: To understand and describe mechanisms influencing social inequality in cancer communication between patients, companions and healthcare professionals. Methods: The study was based on observations of 104 encounters and 30 semi-structured interviews with nurses and medical doctors on three Danish oncology wards. Observations, interviews...

Background Prostate cancer is often labelled a couple’s disease wherein the partner plays an important role in the man’s illness management and related health promotion activities. The aim of this study was to explore partner experiences of prostate cancer patients’ engagement with a community-based football program. Methods Eight audio-visual rec...

Purpose The aim of this study is to explore and discuss key challenges associated with having stakeholders take part in co-designing a health care intervention to increase mobility in older medical patients admitted to two medical departments at two hospitals in Denmark. Design/methodology/approach The study used a qualitative design to investigat...

This article draws on ethnographic material from a study among young Danish adults who have complex psychosocial problems and are not engaged in education or employment. Engaging the concepts of recognition (Honneth 2003, 2006) and care (Tronto 1994), we examine the young adults’ experiences of attitudinal, practical and relational aspects of encou...

Objective All cancer sites show considerable social inequality in risk and patient survival. Despite the advantages of healthcare professionals (HPs) systematically registering information about patients’ social circumstances, this is not routine practice. Our aim was to understand the barriers to registering patients’ social histories. Methods We...

For years, bed rest and low mobility amongst older, hospitalized patients have attracted researchers' attention and efforts have been made to understand how and why interventions might work or not. This study explores older medical patients' experiences with the WALK Copenhagen (WALK-Cph) intervention, which aims at increasing in-hospital mobility...

Background: Social distancing policies to ensure physical distance between people have become a crucial strategy in the battle against the spread of the coronavirus. The aim of this project is to analyze and compare social distancing policies implemented in Denmark and Sweden in 2020. Despite many similarities between the two countries, their resp...

Background: The aim of this article is to explore preventive health dialogues in general practice in the context of a pilot study of a Danish primary preventive intervention 'TOF' (a Danish acronym for 'Early Detection and Prevention') carried out in 2016. The intervention consisted of 1) a stratification of patients into one of four groups, 2) a...

Background: Social distancing policies to ensure physical distance between people have become a crucial strategy in the battle against the spread of the Coronavirus. The aim of this project is to analyze and compare social distancing policies implemented in Denmark and Sweden in 2020. Despite many similarities between the two countries, their respo...

Background Prostate cancer is often labelled a couple’s disease wherein the partner plays an important role in the man’s illness management and related health promotion activities. The aim of this study was to explore partner experiences of prostate cancer patients’ engagement with a community-based football program. Methods Eight audio-visual reco...

Background Prostate cancer is often labelled a couple’s disease wherein the partner plays an important role in the man’s illness management and related health promotion activities. The aim of this study was to explore partner experiences of prostate cancer patients’ engagement with a community-based football program. Methods Eight audio-visual rec...

Early diagnosis and rapid treatment are deemed essential in relation to cancer. In 2007, Denmark implemented accelerated cancer patient pathways with predetermined time frames to reduce waiting time. In this article, based on fieldwork with observations at two hospitals and ethnographic interviews, we examine temporal experiences of the cancer pati...

Presently, there is a general understanding that health, illness and rehabilitation should be studied in a relational context, and that people’s experiences, perceptions and practices in relation to health and recovery are formed relationally and contextually. The aim of this paper is to consider and discuss how men experienced their marital relati...

This paper seeks to gain insight into the experiential dimensions of sexual consent as the basis for distinguishing sex from a sexual violation. Based on focus group and individual interviews with young people in Denmark we seek to explore how sexual experiences are co-constituted by discourses and experiences. We do this by exploring how young peo...

The international literature shows that primary care is well placed to address mental health problems in young people, but that primary care professionals experience a range of challenges in this regard. In Denmark, young adults who have complex psychosocial problems, and who are not in education or work, cause political and academic concern. They...

An increasing number of young adults in Denmark experience difficulties in completing their education and holding down a job. Many of these young adults have psychosocial problems and common mental disorders. To retain public income support they must attend education and work-directed activities, known as ‘activation programmes’. Based on ethnograp...

Background The aim of this article is to explore preventive health dialogues in general practice in the context of a pilot study of a Danish primary preventive intervention ‘TOF’ (a Danish acronym for ‘Early Detection and Prevention’) carried out in 2016. The intervention consisted of 1) a stratification of patients into one of four groups, 2) a di...

Background: The aim of this article is to explore preventive health dialogues in general practice in the context of a pilot study of a Danish primary preventive intervention ‘TOF’ (a Danish acronym for ‘Early Detection and Prevention’) carried out in 2016. The intervention consisted of 1) a stratification of patients into one of four groups, 2) a d...

Background The aim of this article is to explore preventive health dialogues in general practice in the context of a pilot study of a Danish primary preventive intervention ‘TOF’ (a Danish acronym for ‘Early Detection and Prevention’) carried out in 2016. The intervention consisted of 1) a stratification of patients into one of four groups, 2) a di...

Aim Many older medical patients experience persistent functional limitations after hospitalization, such as dependency in activities of daily living, recurring fall incidents and increased mortality. Therefore, increased activity and mobilization during hospitalization are essential to prevent functional decline in older medical patients. No previo...

Assessing and managing risk are central to participation in preventive health checks, as the purpose is to identify adverse health behaviours and risk factors. Drawing on the cultural theory of risk, we explore why people without formal education participate in preventive health checks and discuss how this is related to their understandings of risk...

Binge-eating disorder (BED) is a severe eating disorder strongly associated with obesity. Treatments struggle to provide safe and effective ways of addressing weight in a BED context. This study explored a two-phased treatment for BED developed at a major out-patient eating disorder service in Denmark. The study used interviews and participant obse...

This article explores the issue of girls’ concerns about sexual activity in a liberal Nordic context. Drawing on ethnographic fieldwork among young people in Denmark, the article identifies three types of concerns girls can have about sexual activity: social expectations, relational expectations and dignity. Whilst contemporary research has tended...

Background: Patient and public involvement (PPI) is increasingly becoming a requirement in the effort to improve the relevance and quality of healthcare research. We examined how involving patients with lower education levels affected PPI in the development of the MyHealth randomized clinical trial of breast cancer follow-up from the perspectives o...

Objective Healthcare systems increasingly make use of case managers to handle organisational complexity. In Danish cancer patient pathways, case managers handle the complexities of cancer diagnostics and treatment while adhering to pathway guidelines. This article explores how case managers handle their various responsibilities and focuses on the m...

Background, aims and objectives: In general practice, obtaining patients' perspectives and finding common ground with patients has for many years been a core value. Negotiation is often associated with agenda setting as well as shared decision-making (SDM) and finding common ground between two parties. This study aims to connect the social meeting...

The practice of sending and receiving nude and semi-nude images without consent is gaining increasing public attention and has been identified as a new form of digital sexual violence, framing sexting as a risk behaviour. In order to account for the existence of non-consensual nude sharing among young people in Denmark, we set out to conduct an eth...

Background: Measurement of quality of life demands thoroughly developed and validated instruments. The development steps from theory to concepts and from empirical data to items are sparsely described in the literature of questionnaire development. Furthermore, there seems to be a need for an instrument measuring quality of life and participation...

Childhood sexual abuse is a severe problem worldwide. Childhood sexual abuse can be detrimental to children and their abilities to cope with and communicate in their subsequent adult intimate relationships. The aim of this review was to generate and summarize knowledge about how childhood sexual abuse manifests in adult intimate relationships so he...

Introduction Older medical patients (>65 years) represent 54% of the admissions to Danish medical and emergency departments. Acute admissions and bed-rest during hospitalisation are independent risk factors for death and dependency in older patients. Even short hospitalisations are associated with increased dependency in activities of daily living...

Facilitators and barriers to recess physical activity are not well understood. To date, research on recess physical activity has predominantly focused on quantitative measures typically focusing on a narrow set of predefined factors, often constructed by adults. To really understand the factors affecting recess physical activity it is crucial to ob...

Background: For more than 30 years policy action across sectors has been celebrated as a necessary and viable way to affect the social factors impacting on health. In particular intersectoral action on the social determinants of health is considered necessary to address social inequalities in health. However, despite growing support for intersecto...

Purpose: We explored which shared aspects of social relations were considered important to the quality of life of persons between the ages of 10 and 40 years living with a disability. We examined how social relations were experienced as affecting quality of life and social participation. Materials and methods: Fifteen focus groups involving 48 pers...

INTRODUCTION: Undergoing acute high-risk abdominal (AHA) surgery is associated with reduced survival and a great risk of an adverse outcome, especially in the elderly. The primary aim of this study was to investigate the residential status and quality of life in elderly patients undergoing AHA surgery. METHODS: From 1 November 2014 to 30 April 2015...

The aim of the chapter is to introduce the readers to ethnographic fieldwork including participant observation and ethnographic interviews. Ethnographic fieldwork is a robust research methodology to study patients’ experiences and perspectives and, therefore, particularly valuable for HTA. Furthermore, it leads to important insights that are releva...

Ideas about intersectoral action and policy-making for health (ISA) are prominent among public health professionals. They are often presented as effective ways to address root causes of poor health and health inequality, and as such the best way to promote population health. The implementation of such ideas has proven difficult though. In this pape...

Background Student training in use of automated external defibrillators and deployment of such defibrillators in schools is recommended to increase survival after out-of-hospital cardiac arrest. Low implementation rates have been observed, and even at schools with a defibrillator, challenges such as delayed access have been reported. The purpose of...

How people understand mental health has important implications for designing and implementing mental health promotion, and particularly where campaigns developed in one culture are implemented in another. Hence, as part of an adaptation of the Australian Act-Belong-Commit mental health promotion campaign into the Danish context, this qualitative st...

In this article, we explore what had become a predominant focus on the body and on shaping and refining the body through frequent, intensive workout and strict, controlled diets among a group of young people engaged in strength training in fitness gyms in Denmark. Theoretically and analytically, we draw inspiration from French sociologist Loïc Wacq...

This poster is based on findings published in a report in Danish based on my doctoral research. The poster presents Danish young people's perceptions of the criminal aspects of unwanted sexual experiences and reporting to the police

Objective Cardiopulmonary resuscitation (CPR) training in schools is recommended to increase bystander CPR and thereby survival of out-of-hospital cardiac arrest, but despite mandating legislation, low rates of implementation have been observed in several countries, including Denmark. The purpose of the study was to explore barriers to implementati...

Background Increasing recess physical activity has been the aim of several interventions, as this setting can provide numerous physical activity opportunities. However, it is unclear if these interventions are equally effective for all children, or if they only appeal to children who are already physically active. This study was conducted to explor...

Background This paper is embedded in a randomised controlled trial (Alcohol and Employment) that investigated whether welfare-to-work schemes combined with alcohol treatment were more effective than welfare-to-work schemes alone for helping unemployed welfare recipients with alcohol problems get back to employment and reduce their alcohol problems....

Research within health science is often based on developing, implementing and evaluating interventions in a randomized controlled trial (RCT) design, with patients or other health care users as the target group. The results of RCTs can have limited generalizability. Since a trial often takes place in a controlled setting, it may be difficult to imp...

Introduction: Cardiopulmonary resuscitation (CPR) training has been implemented widely across communities but little is known about what empowers trained bystanders to initiate and perform CPR. We sought to identify which factors that empower bystanders to initiate and perform CPR. Methods: From January 2012-April 2015, we conducted 128 semi-struct...

Boys are more physically active than girls and the greatest gender difference in children’s physical activity is found in institutional settings such as school recess. However, research on gender relations, performances and practices that maintain gendered differences in physical activity during recess is still limited. Drawing on a qualitative dat...

The aim of the study was to describe third-party disability experienced by adult-children as a result of hearing impairment (HI) in a parent. Using semi-structured interviews, participants were asked to describe the impact of a parent's HI on their relationship and communication. Interpretative phenomenological analysis, a qualitative method to exp...

This article describes the rationale and contents of an intervention program aimed at strengthening students' social relations in order to reduce dropout from vocational schools in Denmark. Taking its theoretical cue from the concept of 'social participation', a qualitative study was performed to investigate the specific relationships between the s...

The authors explored the characteristics and meaning of social relations between marginalized parents and their children, from the perspective of the parents, and the significance of these relations for parents’ mental well-being and life perspective. Based on in-depth interviews with 20 users of shelters and drop-in centers in Denmark, the authors...