Helle Molsted Alvesson's research while affiliated with Karolinska Institutet and other places

Publications (15)

Article
Full-text available
This study aimed to unravel experiences, identify barriers to self management of diabetes and hypertension and solicit solutions for enhancing chronic disease self management from patients and their healthcare providers. This was a qualitative study which collected data from eight in-depth interviews conducted with healthcare providers and four foc...
Article
Full-text available
Background Lifestyle interventions focusing on diet and physical activity for the prevention and management of type 2 diabetes have been found effective. Acceptance of the intervention is crucial. The Theoretical Framework of Acceptability (TFA) developed by Sekhon et al. (2017) describes the multiple facets of acceptance: Affective attitude, burde...
Article
Full-text available
Objective As ‘critical illness’ and ‘critical care’ lack consensus definitions, this study aimed to explore how the concepts’ are used, describe their defining attributes, and propose potential definitions. Design and methods We used the Walker and Avant approach to concept analysis. The uses and definitions of the concepts were identified through...
Article
Full-text available
Objective To compare experts’ perceived usefulness of audit filters from Ghana, Cameroon, WHO and those locally developed; generate context-appropriate audit filters for trauma care in selected hospitals in urban India; and explore characteristics of audit filters that correlate to perceived usefulness. Design A mixed-methods approach using a mult...
Article
Full-text available
Background Men who have sex with men (MSM) are at the epicenter of the HIV epidemic. Efforts to prevent sexually transmitted infections (STIs) and HIV transmission have traditionally focused on condoms and abstinence from high risk sexual practices. Recently, additional methods such as pre-exposure prophylaxis (PrEP) and viral load sorting have bee...
Preprint
Full-text available
Objective As critical illness and critical care lack consensus definitions, this study aims to explore how the concepts are used, describe their defining attributes and propose potential definitions. Design We used the Walker and Avant stepwise approach to concept analysis. The uses and definitions of the concepts were identified through a scoping...
Article
Full-text available
One way to prevent work-related stress, is to implement primary occupational health interventions aimed at improving the psychosocial work environment. However, such interventions have shown a limited effect, often due to implementation failure and poor contextual fit. Co-creation, where researchers, together with end-users and other relevant stake...
Article
Full-text available
Self-management support and lifestyle interventions with an empowerment approach have been found to be effective strategies for health improvement among people at risk for or living with type 2 diabetes. Telephone coaching seems particularly efficient for individuals with low socioeconomic status and culturally and linguistically diverse background...
Preprint
Full-text available
Objectives In many resource-limited health systems, point-of-care tests (POCTs) are the only means for clinical patient sample analyses. However, the speed and simplicity of POCTs also makes their use appealing to clinicians in high-income countries (HICs), despite their having greater laboratory accessibility. Although also part of the clinical ro...
Article
Full-text available
Background Recreational and sexual drug use among men who have sex with men may result in increased risk of poor health. The aim of this study was to better understand drug use and harm reduction techniques among Swedish men who have sex with men traveling to Berlin in order to improve the health of this population and inform public health strategi...
Article
Full-text available
Background The EQ-5D-5L, the EQ VAS, and the time trade-off (TTO) are commonly used to report and value health. Still, there is a need to better understand how these questionnaires and methods are perceived by the respondents, as well as the thoughts and motives behind their responses. The aim of this study was to increase knowledge of how individu...
Article
Full-text available
Objectives Fathers play an important role in household decision-making processes and child health development. Nevertheless, they are under-represented in child health research, especially in low-income settings. Little is known about what roles fathers play in the care-seeking processes or how they interact with the health system when their child...
Article
Full-text available
Introduction Type 2 diabetes (T2D) is increasingly contributing to the global burden of disease. Health systems in most parts of the world are struggling to diagnose and manage T2D, especially in low-income and middle-income countries, and among disadvantaged populations in high-income countries. The aim of this study is to determine the added bene...

Citations

... patients is to prevent the use of the procedure in patients with lesser injuries, who may be able to extubate successfully, and in those who have a rapidly progressive course of the disease and die early from their injuries. [13][14][15][16][17] In this study, there were differences in the length of stay in the intensive care unit for critically ill patients with mechanical ventilation who underwent early and late tracheostomy, where the length of stay was longer in the late tracheostomy group. This is consistent with studies that state that early tracheostomy is associated with a shorter average hospital stay (27 days) compared to standard tracheostomy (36 days) and late tracheostomy (48 days). ...
... Informal SAMs (iSAMs) for improving WASH service delivery have shown a limited effect (17,18), because the iSAMs processes are usually not carried out as intended, as such the implementation fidelity is low (19,20), due to the poor contextual fit of the processes (20-22) and a lack of readiness for change (20). To develop a more efficient and responsive process, co-creation, where childcare managers, parents and relevant actors develop the iSAM process is increasingly encouraged (21). ...
... 25 Ongoing analysis shows that participants, once having started the intervention, received it very well and quickly built a good rapport with their facilitator. 26 For the peer support intervention, all countries reported that engagement interest leveled off after several sessions. Ongoing analysis of the impact of the intervention on motivational mediators will provide more insights on how well the intervention has induced mechanisms of change at the individual level. ...
... In a statement from 2016, the Public Health Agency of Sweden advised against the use of HIVST, based on the argument that testing opportunities in the country are adequate and that HIVST leads to missed opportunities for counseling and testing for other STIs [27]. While previous studies and reports have investigated the prevention needs and preferences among Swedish MSM [15,[28][29][30][31][32][33], no previous studies concerning self-test in the Swedish setting have been identified by the authors. A greater understanding of prevention preferences enables decision makers to make informed policy decisions. ...
... migraine, multiple sclerosis, and epilepsy, patients may experience episodes with stronger symptoms [31,32]. The EQ-5D instrument asks about the health status 'today' but it has been shown that people effectively used different recall periods and times perspectives to answer the tool, particularly if they have fluctuating health states [32,33]. ...
... Other studies have highlighted male involvement in traditionally women-oriented household roles in the context of maternal and child health [74][75][76][77][78]. We have worked extensively with Zambian couples on HIV and unplanned pregnancy prevention, and collaboration between spouses is strongly associated with success in those domains [18,79,80]. ...
... This study was part of the formative phase of a larger study (A people-centred approach to Self-Management And Reciprocal Learning for the prevention and management of Type 2 Diabetes -SMART2D) which aimed to strengthen capacity for T2D care and self-management among people at risk of or diagnosed with T2D in three different income settings in Uganda, Sweden and South Africa [15]. The study was conducted in two community health centres providing chronic disease care for T2D/HTN in a predominantly black African township (99.5%) in Cape Town, South Africa. ...