Digitaalinen murros kunnan palveluissa : huomioidaanko kuntalainen hyvinvoinnin toimijana?

Mental health promotion competencies in the health sector based on a Delphi study

Purpose Effective public mental health policy and practice call for a trained workforce that is competent in mental health promotion and delivering on improved mental health. Systematic information on what competencies are needed for mental health promotion practice in the health sector is lacking. The purpose of this paper is to investigate these competencies for mental health promotion. Design/methodology/approach A Delphi survey was carried out to facilitate a consensus-building process on development of the competencies. Professionals (n=32) working in mental health and mental health promotion took part in the survey. The experts were asked their professional views on the needed compet…

Effectiveness of peer support on health-related quality of life in recently diagnosed breast cancer patients : a randomized controlled trial

Purpose: Breast cancer is the most common cancer of Finnish women. Peer support could be a way to help breast cancer patients to deal with the disease but studies on its effectiveness have produced conflicting results. The aim of this randomized controlled trial was to study the effectiveness of peer support on health-related quality of life (HRQoL) of breast cancer patients. Methods: Patients with recently diagnosed breast cancer at the Helsinki University Hospital were randomly allocated to intervention (n = 130) or control (n = 130) groups. The intervention group patients received peer support via telephone one to five times according to their preference. The control group received usual…

Investigating student nurses' constructions of health promotion in nursing education

This article describes student nurses' constructions of health promotion and the change of these constructions during their nursing education in two Finnish polytechnics. The data consisted of essays written by the 19 student nurses before they began their nursing education in 1997 and of stimulated recall interviews with the same students during the second year of their education in 1998. The data were analyzed by using thematic analysis. During the first study year, 13 students' constructions of health promotion changed. Six students had initially broad constructions of health promotion and their constructions remained unchanged. Four basic changes were found in the students' construction…

Additional file 1: of Living alone and positive mental health: a systematic review

PRISMA checklist. This file presents the PRISMA 2009 checklist employed in the study. (DOC 65 kb)

Patients' readiness for dietary change at the beginning of counselling: a transtheoretical model-based assessment.

Background  The purpose of this study was to explore patients' readiness for dietary change within a theoretical framework of the transtheoretical model. The patients were recently diagnosed to have type 2 diabetes or impaired glucose tolerance. We discuss the theoretical aspects of appropriate dietary counselling strategies from a standpoint of patient-specific stages of change. Methods  The data included 32 audiotaped diabetes counselling sessions with 16 patients conducted by two nurses. The transcribed data was analysed by using deductive content analysis. Results  The patients were at different stages of change of diabetes-affected dietary behaviour. Their stages of change varied in di…

Knowledge expectations of recently diagnosed patients with knee osteoarthritis.

Aim The aim of this study was to assess the socio-demographic and disease-related symptoms and emotions and knowledge expectations of patients recently diagnosed with knee osteoarthritis. A further aim was to determine associations between selected demographic variables and patients' expected knowledge. Background Patient counselling and information provision are recommended for all patients with knee osteoarthritis. In healthcare centres, there is a good possibility to establish the knowledge expectations of patients with knee osteoarthritis during counselling. Recent empirical evidence indicates a lack of research on knowledge expectations among recently diagnosed patients with knee osteo…

Community-based oral health promotion practices targeted at children and adolescents in Finland--developing an assessment tool.

Objectives To develop an assessment tool for evaluating oral health promotion practices and to evaluate community-based oral health promotion practices targeted at children and adolescents with this tool. Methods A theoretical framework about health promotion planning, implementation and evaluation was made on the basis of a literature review. Then, information about Finnish community-based oral health promotion practices (n = 12) targeted at children and adolescents was collected using semi-structured interviews. Also, related documents, for example action plans and reports, were collected when available. Next, an assessment tool based on the theoretical framework was developed, and the re…

Public health nurses’ concerns in preschool-aged children’s health check-ups

The aim is to describe Finnish public health nurses’ concerns during regular health check-ups of preschool-aged children. In 2011, focus-group interviews were conducted with 12 public health nurses. The data were analysed using inductive content analysis. Public health nurses’ concerns dealt with the healthy growth and development of children and their ability to cope with difficult family situations, as well as the everyday reality of parenting. The concerns of public health nurses related to children’s health focused on their psychosocial development. Concerns also focused on the interaction between mother and baby, children’s behavioural problems and their cognitive development, parents…

Reflective questions in health counseling.

This study explores questions that nurses ask patients in order to awaken reflection on their health behavior in health counseling. Thirty-eight counseling situations were videotaped in a hospital. The data were analyzed using conversation analysis which was adapted for the purpose of this study. Nonverbal communication supported speech and was interpreted alongside it. This study found that nurses used only a few reflective questions, most of which were future-oriented or introduced hypotheses. In a nonreflective discussion, nurses used only check-up and alternative questions to get information about patients' illnesses and health care measures. Findings indicated that reflective conversa…

Postoperative Patient Education in Physiotherapy after Hip Arthroplasty : Patients' Perspective

The objective of the present study was to explore postoperative patient education in physiotherapy from total hip arthroplasty (THA) patients' perspectives, which has been a little-studied area of research. The usefulness of rehabilitation protocols after THA has been debated over the years, and there are no clear guidelines for physiotherapy after THA METHODS: The data for the present qualitative study were collected from nine patients with THA by using individual interviews at the hospital after surgery. The interviews were audio-recorded and analysed by using a phenomenographic method RESULTS: Four different categories of postoperative patient education in physiotherapy after hip arthrop…

High-risk individuals’ perspective on risk of Type 2 Diabetes and physical activity in the prevention of diabetes. A qualitative study

Communicator styles of hospital patients during nurse-patient counseling.

Abstract This article describes nurse–patient communication during counseling sessions. It focuses on the patient as a participant in a discussion and aims at a description of patients’ communicator styles, which were observed on videotape based on 38 counseling sessions transcribed word by word. Interviews of the participating nurses and patients were used for partial support of the interpretations. The analytic method chosen was typology, and it has been used for achieving a multifaceted qualitative description of patient communication. The research material yielded seven types of communicator styles: Quietly Assenting, Emotionally Expressive, Storyteller, Stoic Observer, Inquisitive of D…

Developing empowering health counseling measurement

Abstract Objective This article describes the derivation of an instrument (Empowering Speech Practices Scale) for assessing the empowerment of dyadic counseling, the evaluation of the validity and reliability of the ESPS and the results acquired with the instrument from hospital counseling. Methods ESPS was constructed on the basis of empowerment theory and foregoing conversation analytic research. Nurses and patients assessed the same counseling session by way of parallel statements. Structure and reliability of the scale were evaluated with Cronbach alpha, percentage of agreement, factor analysis and logistic regression analysis. Results According to these preliminary results, ESPS descri…

Yksittäisen hoitokäynnin tarkastelusta pitkäaikaissairaan vuorovaikutussuhteiden verkoston tarkasteluun

Implementation and Outcomes of Lay Health Worker–led Self-management Interventions for Long-Term Conditions and Prevention: A Systematic Review

The aim of this study was to systematically review lay health worker (LHW)–led self-management interventions for adults with long-term conditions to see how the interventions have been implemented and to compose a synthesis of research findings, taking into consideration the intervention components that have been applied. We conducted systematic searches for articles published between January 2010 and December 2015 in five databases: Cochrane, MEDLINE, CINAHL, PsycINFO, and Web of Science. Forty original studies were found that met the inclusion criteria: self-management with diabetes (n = 29), cardiovascular diseases (n = 8), and those at risk of cardiovascular diseases (n = 3). These cons…

Additional file 4: of Living alone and positive mental health: a systematic review

JBI critical appraisal checklist for prevalence studies. This file presents the JBI critical appraisal checklist for studies reporting prevalence data. (DOCX 17 kb)

Speech practices that facilitate patient participation in health counselling - A way to empowerment?

Objective This study described nurse-patient communication during health counselling and focused on the linguistic realisations of empowering speech practices that emphasised patient participation. It aimed at a description of nurses' speech practices that facilitated the inclusion of patients' perspectives and preferences and encouraged patients to express themselves. Design and setting Thirty-eight videotaped nurse-patient health- counselling sessions that were conducted in a hospital were transcribed verbatim. Method The analysis of the videotaped data was based on the adaptation of Conversation Analysis (CA) and was carried out on a turn-by-turn basis. Results The research material rev…

Variation in assessing the need for change of snacking habits in schoolchildren's oral health counselling

Objectives.  This study examined counselling communication activities that were used for assessing schoolchildren's need for change of snacking habits. In addition, the schoolchildren's assessment of their need for change was explored after a follow-up year (2002–2003). Material and methods.  The follow-up research data included 66 counselling sessions in 2002 and 31 counselling sessions in 2003, with 31 schoolchildren. The sessions were conducted by four dental hygienists. The audio-taped data were analysed qualitatively by using content analysis. Results.  In 2002, the needs assessment was realized in three ways. Infrequently, the schoolchildren either disclosed their need for change or t…

Taciturn patients in health counseling at a hospital: passive recipients or active participators?

This study explored patients’ taciturnity as observed on videotape during hospital health counseling situations with a nurse. Health counseling sessions, 38 in number, were videotaped, transcribed verbatim, and analyzed by using an adaptation of conversation analysis. The data analysis included information on 18 selected patients who spoke little and did not introduce new topics, but rather supported the discussion on the theme chosen by the nurse. When we examined nurses’ and patients’ speech word by word, we discovered four participation frames that produced taciturnity: in the hands of professionals, compliant, guilty, and polite. These could fluctuate during interaction. The findings i…

A systematic concept analysis of mental health promotion

Living alone and positive mental health: a systematic review

Background Living alone has become more common in today’s societies. Despite the high number of the population living alone, research directed towards the mental wellbeing issues related to living alone has been limited. This systematic literature review aimed to assess the association between living alone and positive mental health. Methods We conducted searches in Medline, Web of Science, Cochrane Library, CINAHL, PsycINFO, and other complementary databases from January 1998 to May 2019. Randomised trials and observational studies investigating adults over 18 years of age and living alone (defined as living in a single household or a household size of one person) were eligible. The primar…

'I saw what the future direction would be...' : Experiences of diabetes risk and physical activity after diabetes screening

Objectives To improve understanding of how individuals at high risk of type 2 diabetes experience the risk of diabetes and how these experiences relate to the adoption of physical activity as a protective behaviour. Design A qualitative study using semi-structured interview with individuals identified by screening as at high risk of type 2 diabetes. Methods Fourteen individuals, aged 40–64, were interviewed twice, with a 2-year interval between. Participants' experiences of their risk of diabetes and physical activity were assessed. The transcribed interview data were analysed using inductive qualitative content analysis. Results Two themes emerged from the data: a threatening risk percepti…

Seasonal and daily variation in physical activity among three-year-old Finnish preschool children

The purposes of this study were to assess seasonal, daily, and gender variations in children’s physical activity (PA). ActiGraph GT3X accelerometers were used to record the three-year-old children’s PA levels for five consecutive days in autumn and winter. Complete data for both seasons were obtained for 47 children. Despite a significant difference in seasonal temperatures (p < .001), differences were only found for weekdays light PA (p = .021). No difference in PA was observed between weekdays and weekend days. Only 20% of the sample had ≥120 minutes light-to-vigorous PA (LMVPA), and 46% of children had ≥60 minutes moderate-to-vigorous PA (MVPA). Boys spent more minutes in LMVPA (p = .001…

Additional file 3: of Living alone and positive mental health: a systematic review

Search strategies by database. This file presents the search strategies by each database employed in the study. (DOCX 35 kb)

Nurse-led counseling for coronary artery disease patients : A 1-year follow-up study

Nurse‐led counseling and systematic follow‐up has been shown to reduce cardiovascular risk factor levels. The study aim was to investigate if cardiovascular risk factor levels could be reduced in patients with coronary artery disease with a nurse‐led intervention and to report patients’ evaluations of nurse‐led counseling. The study design was a real‐life longitudinal follow‐up counseling intervention. Data were collected from November 2017 to May 2020. The nurse‐led intervention and patients’ follow‐up time was one year. Of the 78 patients recruited, 74 completed the study. The most significant findings were in the levels of total cholesterol, low‐density lipoprotein cholesterol and trigly…

Teachers’ views on curriculum development in health promotion in two Finnish polytechnics

This study describes teachers' views on how to improve the health promotion element in the curricula of two health care polytechnics in Finland. The theoretical background of this study draws on curriculum development in nursing education and how to promote a human- or resource-centred approach in health promotion. The research data were collected by interviewing 10 teachers from both the schools involved in nursing or public health nursing education since August 1997. The data were analysed using content analysis. The findings showed that most of the teachers interviewed were involved in local curriculum development. This work was impeded by lack of time and real commitment, as well as the…

Factors that foster or prevent sense of belonging among social and health care managers.

Purpose The purpose of this study is to identify factors that foster or prevent sense of belonging among frontline and middle managers in social and health-care services in Finland. Design/methodology/approach The data have been collected among social and health-care managers (n = 135; 64 per cent nursing managers) through two open-ended questions in a questionnaire concerning sense of community. The results of the open-ended questions have been analyzed using qualitative content analysis. Findings Among managers, six categories of factors that foster sense of belonging (open interaction, effective conversation culture, support and encouragement, common values, a shared vision of the work …

Additional file 1: of Living alone and positive mental health: a systematic review

PRISMA checklist. This file presents the PRISMA 2009 checklist employed in the study. (DOC 65 kb)

Negotiation in Type 2 Diabetes Counseling: From Problem Recognition to Mutual Acceptance During Lifestyle Counseling

Negotiation, an essential communication activity in lifestyle counseling, has rarely been studied at the micro level of interaction. Furthermore, the evidence for interpersonal negotiation to occur in counseling practice is inconclusive. In this study, the authors describe how negotiation focused on lifestyle changes was produced in nurse-patient interaction. The research data, 73 videotaped diabetes counseling situations, were analyzed using conversation analysis. The process of negotiation consisted of recognizing the problems in the patients' health behavior, offering proposals as solutions to the problems, and reaching an agreement on them. Negotiation had characteristics similar to th…

Questioning and advising in health counselling: results from a study of Finnish nurse counsellors

The purpose of this study is to describe the main ways in which nurse coun sellors' questions and advice are initiated, received, accepted or refused during health counselling. Thirty-eight health counselling situations were videotaped in a Finnish hospital and the data were examined using adapted conversation analysis. We found two types of health counselling models, which fluctuated during the encounters. Empowerment, 'reciprocal' health counselling began with the nurse counsellors' reflective questioning which took the form of check up questions about the patient's condition, followed by questions about the patient's feelings. The patients' answers guided the conversation. 'Non-recipro c…

Patient education in physiotherapy in total hip arthroplasty (THA) - The perspective of physiotherapists

Background and Purpose There is limited knowledge about patients’ and physiotherapists’ perceptions of patient education in physiotherapy in hip arthroplasty. The aim of this study was to describe physiotherapists’ conceptions of the patient education in physiotherapy needed by patients undergoing total hip arthroplasty. Methods The data for this qualitative study were collected using group and individual semi-structured interviews. Seven physiotherapists were interviewed. The research data were analyzed using a phenomenographic method. Results Three categories of patient education in physiotherapy in hip arthroplasty were produced and the categories formed a hierarchy. The narrowest descri…

Additional file 2: of Living alone and positive mental health: a systematic review

Review protocol. This file presents the protocol of the study. (DOC 93 kb)

Oral health counselling in changing schoolchildren's oral hygiene habits: a qualitative study.

Abstract –  Objective:  This study explored oral health counselling concerning changes of oral hygiene habits in 11- to 13-year-old schoolchildren within a theoretical framework of the transtheoretical model and the motivational interview. Methods:  The follow-up data (2002–2003) formed two sequential parts: the first part comprised 66 counselling sessions in 2002; the second part included 31 counselling sessions in 2003. Thirty-one (n = 31) schoolchildren were included in the counselling sessions that were conducted by four dental hygienists. The audiotaped and transcribed data were analysed qualitatively by using content analysis. Results:  In 2002, nearly every schoolchild needed to esta…

Intersectoral partnerships and competencies for mental health promotion: a Delphi-based qualitative study in Finland.

Summary The importance of intersectoral collaboration and partnership working in mental health promotion, together with the requisite competencies for effective collaboration, is widely acknowledged. This Delphi-based qualitative study examined how intersectoral collaboration and partnership work are constructed and adopted in mental health promotion practice. Descriptive data from a Delphi panel of mental health promotion practitioners working in the health sector (n = 32) were used as a data source. Thematic analysis was used to analyze the data. Applying the theory of collaborative advantage, eight themes of collaboration advantage and the related competencies were identified: management…

Additional file 3: of Living alone and positive mental health: a systematic review

Search strategies by database. This file presents the search strategies by each database employed in the study. (DOCX 35 kb)

Mental health promotion competencies in the health sector in Finland : a qualitative study of the views of professionals

Aims: In this study, we aimed to investigate what competencies are needed for mental health promotion in health sector practice in Finland. Methods: A qualitative study was carried out to seek the views of mental health professionals regarding mental health promotion-related competencies. The data were collected via two focus groups and a questionnaire survey of professionals working in the health sector in Finland. The focus groups consisted of a total of 13 professionals. Further, 20 questionnaires were received from the questionnaire survey. The data were analysed using the qualitative data analysis software ATLAS.ti Scientific Software Development GmbH, Berlin. A content analysis was c…

Patients’ conceptions of preoperative physiotherapy education before hip arthroplasty

In Finland, over 7500 hip arthroplasties are performed annually. While the mean age of the patients has increased, the length of hospital stay has decreased, and this presents challenges for patient education. The aim of this study was to explore patients’ conceptions of preoperative physiotherapy education. This qualitative study included 10 hip arthroplasty patients. Data were collected using individual interviews at home before collecting preoperative information, and at the hospital after the operation. The interviews were tape-recorded and analysed using the phenomenographic method. Four hierarchically constructed categories of preoperative physiotherapy education were identified: read…

The gap between behavioral risk status and willingness to change behavior among healthcare professionals

Aims: This study explored behavioral health risk factors among healthcare professionals and investigated the at-risk persons’ satisfaction with their health habits and ongoing change attempts. Methods: The study was based on a cross-sectional web-based survey directed at the nurses and physicians ( N = 1233) in Finnish healthcare. Obesity, low physical activity, smoking, and risky alcohol drinking were used as behavioral health risk factors. Results: In all, 70% of the participants had at least one behavioral risk factor, and a significant number of at-risk persons were satisfied with their health habits and had no ongoing change process. Good self-rated health and good self-rated work abil…

A systematic concept analysis of mental health promotion

AbstractThis study explored and clarified the nature and characteristics of the concept of mental health promotion. The study also investigated how these characteristics appear in current policies and strategies. A total of 30 scientific articles and policy documents were identified and analysed using Rodgers’s systematic evolutionary concept analysis method. The analysis provided valuable information on the attributes, related concepts, antecedents, consequences and references of mental health promotion, indicating that the concept is a distinct concept comprising a unique set of attributes and characteristics. A concept mapping of mental health promotion was subsequently developed. The an…

Nurse‐led counseling for coronary artery disease patients: A 1‐year follow‐up study

Nurse-led counseling and systematic follow-up has been shown to reduce cardiovascular risk factor levels. The study aim was to investigate if cardiovascular risk factor levels could be reduced in patients with coronary artery disease with a nurse-led intervention and to report patients’ evaluations of nurse-led counseling. The study design was a real-life longitudinal follow-up counseling intervention. Data were collected from November 2017 to May 2020. The nurse-led intervention and patients’ follow-up time was one year. Of the 78 patients recruited, 74 completed the study. The most significant findings were in the levels of total cholesterol, low-density lipoprotein cholesterol and trigly…

Neuvontakeskustelu : tutkimus potilaan osallistumisesta ja sen tukemisesta sairaalan terveysneuvonnassa

Kokemustieto yhteiskehittämisessä : hyppy asiakaslähtöisyyteen terveyspalveluissa

Kolmevuotiaiden päiväkotilasten mitattu fyysinen aktiivisuus

Tämän tutkimuksen tarkoituksena oli selvittää kolmevuotiaiden lasten fyysisen aktiivisuuden määrä ja intensiteetti sekä selvittää täyttyvätkö alle kouluikäisten Varhaiskasvatuksen liikunnan suositukset (2005) kahden tunnin reippaasta päivittäisestä liikunnasta tutkimukseen osallistuvilla lapsilla. Tutkimuksessa vertailtiin myös poikien ja tyttöjen sekä arki- ja viikonlopun päivien välisiä eroja. Aineisto kerättiin 14 vapaaehtoisesta päiväkodista elokuusta lokakuuhun 2010. Lasten fyysinen aktiivisuus mitattiin ActiGraph GT3Xkiihtyvyysmittareilla viiden peräkkäisen päivän ajan. Hyväksyttävä aineisto, vähintään kahdeksan tuntia mittausta kolmena arkipäivänä ja yhtenä viikonlopun päivänä, saati…

Empowering counseling--a case study: nurse-patient encounter in a hospital

This study illustrates practices that a nurse uses in order to empower patients. The emphasis is on speech formulae that encourage patients to discuss their concerns and to solicit information about impending surgery. The study is a part of a larger research project and a single case was selected for presentation in this article because it differed from the rest of the data by manifesting empowering practice. A videotaped nurse-patient health counseling session was conducted in a hospital and transcribed verbatim. The investigator interviewed the nurse and the patient after the conversation, and these interviews were transcribed as well. The encounter that is presented here as a case study …

Patients' narratives of patient education in physiotherapy after total hip arthroplasty.

Abstract Objective The aim of this study was to explore patients' narratives of patient education in physiotherapy after a total hip arthroplasty (THA). Method The data was collected via open thematic interviews from ten patients who had had a primary THA. The interviews were analysed using a qualitative, narrative method. Results Three story models of patient education in physiotherapy were identified: Supportive patient education in physiotherapy, Co-operative patient education in physiotherapy and Contradictory patient education in physiotherapy. The emphasis of narration in the first story model was on the trust in the guidance, functioning interaction in the second and insufficient pat…

Nurse-patient power relationship: preliminary evidence of patients' power messages.

The interactive relationship that is based on sharing power and control is the goal of health counseling practice. This research examined the nurse-patient power relationship and emphasized the patient's perspective. Health counseling sessions, 38 in number, were videotaped, transcribed verbatim, and analyzed by using an adaptation of conversation analysis (CA). The purpose of this research was to describe in detail how patients' minimized power asymmetry during hospital counseling. The results indicate that power is a complex and polysemic phenomenon that can be created jointly. Nurses' power is associated with their medical knowledge, which also patients construct. However, patients have …

Additional file 4: of Living alone and positive mental health: a systematic review

JBI critical appraisal checklist for prevalence studies. This file presents the JBI critical appraisal checklist for studies reporting prevalence data. (DOCX 17 kb)

From nurse-centered health counseling to empowermental health counseling.

The main goals of this study were to examine aspects of the delivery and reception of advice and questions in interaction between nurses and patients and to describe linguistic features that constructed nurse-centered and empowermental health counseling. The research data, 38 health counseling sessions, were videotaped, transcribed verbatim, and analyzed by using an adaptation of conversational analysis. During nurse-centered discussions, the nurses' advice did not correspond to the patients' need for information. These counseling sessions began with check-up questions about the patients' condition and continued with factual questions about their illnesses and health care measures. During e…

Individual differences in processes of lifestyle changes among people with obesity: an acceptance and commitment therapy (ACT) intervention in a primary health care setting

Abstract Aim: To explore what thoughts, feelings, and learning processes were involved in obese participants’ lifestyle change during an acceptance and commitment therapy (ACT) lifestyle intervention delivered in primary health care. Background: Previous studies have revealed that lifestyle interventions are effective at promoting initial weight loss, but reduced weight is often difficult to sustain because of the failure to maintain healthy lifestyle changes. Achieving and maintaining lifestyle changes requires to learn self-regulation skills. ACT-based lifestyle interventions combine many self-regulatory skill factors, and the results from previous studies are promising. Research on the i…

Additional file 2: of Living alone and positive mental health: a systematic review

Review protocol. This file presents the protocol of the study. (DOC 93 kb)

Directly Observed Physical Activity among 3-Year-Olds in Finnish Childcare

The main purpose of the study was to determine 3-year-olds’ physical activity levels and how these vary across season, gender, time of day, location, and the physical and social environment in childcare settings in Finland. A modified version of the Observational System for Recording Physical Activity in Children-Preschool (OSRAC-P) was used to measure physical activity levels and contextual variables (e.g., group composition, prompts) of children attending childcare centres. In total, 81 children (42 boys and 39 girls) were observed in autumn and in winter. Three-level linear regression analyses were used to assess differences between the seasons in the association between the context vari…

An mHealth App for Supporting Quitters to Manage Cigarette Cravings With Short Bouts of Physical Activity: A Randomized Pilot Feasibility and Acceptability Study

BackgroundWhile gains in reducing smoking rates in Finland have been made, prevalence rates are still substantial. Relapse rates among smokers engaged in quit-smoking programs are high. Physical activity has been proposed as one means to help smokers manage cravings. Software and apps on mobile phone and handheld devices offer an opportunity to communicate messages on how to use physical activity to manage cravings as part of quit-smoking programs. ObjectiveWe aimed to test the feasibility, acceptability, usability, and preliminary efficacy of an mHealth mobile phone app, Physical activity over Smoking (PhoS), to assist smokers in quitting smoking in a randomized controlled trial. The app w…

Implementation and Outcomes of Lay Health Worker-Led Self-Management Interventions for Long-Term Conditions and Prevention: A Systematic Review.

The aim of this study was to systematically review lay health worker (LHW)–led self-management interventions for adults with long-term conditions to see how the interventions have been implemented and to compose a synthesis of research findings, taking into consideration the intervention components that have been applied. We conducted systematic searches for articles published between January 2010 and December 2015 in five databases: Cochrane, MEDLINE, CINAHL, PsycINFO, and Web of Science. Forty original studies were found that met the inclusion criteria: self-management with diabetes ( n = 29), cardiovascular diseases ( n = 8), and those at risk of cardiovascular diseases ( n = 3). These …

Postoperative Patient Education in Physiotherapy after Hip Arthroplasty : Patients' Perspective

Objective The objective of the present study was to explore postoperative patient education in physiotherapy from total hip arthroplasty (THA) patients' perspectives, which has been a little‐studied area of research. The usefulness of rehabilitation protocols after THA has been debated over the years, and there are no clear guidelines for physiotherapy after THA Methods The data for the present qualitative study were collected from nine patients with THA by using individual interviews at the hospital after surgery. The interviews were audio‐recorded and analysed by using a phenomenographic method Results Four different categories of postoperative patient education in physiotherapy after hip…

Yhteisöt terveyden edistäjinä : miten toimintaa voitaisiin edistää arvioida ja tehostaa?

Tässä artikkelissa esitellään suomenkielinen versio yhteisölähtöisen terveyden edistämisen arviointimittarista (Blomqvist ym. 2014). Yhteisölähtöisellä terveyden edistämisellä tarkoitetaan yhteisöjen (mm. päiväkoti, koulu, harrasteryhmä, työpaikka, koti, kylä, kunta/kaupunki) kanssa työskentelyä, jonka tavoitteena on yhteisöjen kehittyminen, voimaantuminen ja sitoutuminen hyvinvointia ja terveyttä edistävään toimintaan (Green & Tones 2010, 401-2). Toiminta on kokonaisvaltaista ja monialaista ihmisten elinpiiriin vaikuttamista. Yhteisölähtöinen terveyden edistäminen kiteytyy ajatukseen ”Terveyttä luodaan ja ylläpidetään siellä, missä ihmiset viettävät jokapäiväistä elämäänsä, eli siellä miss…

Lifestyle counseling in type 2 diabetes prevention: a case study of a nurse's communication activity to produce change talk.

As a case study, this article describes a nurse's communication activity, focusing on change talk during lifestyle counseling in primary healthcare. All videotaped counseling sessions with a single patient within a period of two years were transcribed verbatim. In the analysis, an emphasis was placed on the nurse's communication activity that produced change talk, how the nurse initiated change talk, and how the patient received it. The observations provide evidence that the dilemma of simultaneously maintaining professional authority and patient perspective leads to sensitivity in lifestyle counseling. Three categories of change talk were identified: rejected, restrictive, and expansive ch…

Can peer-tutored psychological flexibility training facilitate physical activity among adults with overweight?

Objective An increase in psychological flexibility has been found to be associated with health behavior changes. Peer-led interventions have been advantageous in improving physical activity among individuals at health risk. This study aimed to discover whether an ACT-based peer-tutored online intervention can increase self-reported physical activity participation and psychological flexibility among adults with overweight. Design The study was a non-randomized longitudinal intervention study. The intervention participants (N = 177) were primary health care clients with overweight. They participated in a 24-month program provided by health services, including three online modules of ACT of si…

Knowledge expectations of recently diagnosed patients with knee osteoarthritis

Aim The aim of this study was to assess the socio-demographic and disease-related symptoms and emotions and knowledge expectations of patients recently diagnosed with knee osteoarthritis. A further aim was to determine associations between selected demographic variables and patients' expected knowledge. Background Patient counselling and information provision are recommended for all patients with knee osteoarthritis. In healthcare centres, there is a good possibility to establish the knowledge expectations of patients with knee osteoarthritis during counselling. Recent empirical evidence indicates a lack of research on knowledge expectations among recently diagnosed patients with knee osteo…

Effectiveness of a Mobile Phone App for Adults That Uses Physical Activity as a Tool to Manage Cigarette Craving After Smoking Cessation: A Study Protocol for a Randomized Controlled Trial

Article

Tunnesidonnainen toiminnan säätely ja kokemusasiantuntijoiden sisäänpääsy sairaalaorganisaatioon. Päiväkirja-analyysin yhtymäkohdat Norbert Eliasin teoriaan

Sosiaali- ja terveyspalvelujen parissa kokeillaan yhä useammin uudenlaisia kokemusasiantuntija­käytäntöjä, jotka asettavat asiantuntijaorganisaatioita uuteen tilanteeseen. Tutkimuksessa selvitettiin kuuden kehittämiskumppanuuskokeiluun osallistuneen kokemusasiantuntijan päiväkirjojen avulla kokemusasiantuntijoiden sairaalaorganisaatioon astumisen ensivaiheita ja organisaatioon sisään pää­semistä. Tulosten mukaan kokemusasiantuntijatoiminnan aloittamiseen sairaalassa liittyy sosiaalisesti ja kulttuurisesti muodostuvia tunteita. Toiminnan ulkoinen säätely sekä subjektiivisten ja sosiaalisten tunnekokemusten itsesäätely ovat organisaatioon sisäänpääsemisen prosesseissa keskeisiä. Tuloksia on m…