0000000001235636
AUTHOR
Thomas Westergren
A nested case–control study: personal, social and environmental correlates of vigorous physical activity in adolescents with asthma
Objective: Physical activity (PA) is associated with health benefits. Children and adolescents with asthma may be limited in their PA, particularly at vigorous intensity due to asthma symptoms or poor psychological adjustment to asthma. We aimed to investigate if self-perceived competence, enjoyment, support from others and social-physical environment were associated with vigorous physical activity (VPA) and secondarily to assess if such associations were modified by asthma and asthma severity. Methods: Data from a nested case–control study at 13 years of age within the birth-cohort Environment and Childhood Asthma Study were compiled from 95 participants with and 79 without asthma. The par…
Experiences of Norwegian child and school health nurses with the "Starting Right" child health assessment innovation: a qualitative interview study
Abstract Background Although child health services are well established in Norway, the use of information technology for the systematic collection of evidence-based child- and proxy-reported health measures may be beneficial in the early identification of child development problems. The Norwegian “Starting Right™” health service innovation consists of parent- and child-reported online structured health assessments tools, including practical routines for child and school health assessments. The aim of this study was to explore the experiences of child and school health nurses with the Starting Right innovation. Methods We used a qualitative design and conducted three focus group interviews w…
Experiences of a non-clinical set of adolescents and young adults living with persistent pain:a qualitative metasynthesis
PurposeAround 15%–30% of adolescents and young adults (AYAs) experience persistent or chronic pain. The purpose of this study was to synthesise evidence from qualitative primary studies on how AYAs in a non-clinical population experience living with persistent pain.MethodA qualitative metasynthesis guided by Sandelowski and Barroso’s guidelines was used. The databases Medline, Embase, Cinahl, PsycINFO, Mednar and ProQuest were searched for studies from 1 January 2005 to 15 February 2021. Inclusion criteria were AYAs aged 13–24 years with first-hand experience of living with persistent, recurrent or episodic non-clinical pain in any body site. Pain associated with a medical diagnosis, malign…
Teachers’ experiences of adolescents’ pain in everyday life: a qualitative study
Objectives More adolescents report pain now than previously. In Norway, episodic pain problems have been reported by 60% of children and adolescents aged 8–18 years, with 21% reporting duration of pain of more than 3 months. Since adolescents spend much time at school, the attitude and behaviour of teachers play important roles regarding the experience of pain felt by adolescents in everyday life. Yet research on how teachers perceive the pain experienced by adolescents in a school setting is limited. We therefore seek to gain insight to teachers’ classroom experiences with (1) adolescent's self-reported pain symptoms; (2) adolescents management of their pain and (3) how to help adolescents…
Design and psychometric testing of instruments to measure qualified intensive care nurses’ attitudes toward obese intensive care patients
The purpose of this pilot study was to design and test research instruments to measure qualified intensive care nurses' implicit and explicit attitudes and behavioral intentions toward obese intensive care patients. In previous studies researchers have demonstrated that some health professionals hold negative attitudes toward obese patients; however, little is known about qualified intensive care nurses' attitudes toward these patients. Our cross-sectional pilot study involved Implicit Association Tests, the Anti-fat Attitude questionnaire, an explicit bias scale comprising ratings of explicit beliefs and feelings, assessment of behavioral intentions based on vignettes, and demographic ques…
"Pushing myself is easier when Physical activity is fun" : Children and adolescents with asthma and their perceptions of participation in physical activity
Active play exercise intervention in children with asthma: a pilot study
Objective Increased physical activity (PA) may be beneficial for children with asthma. Knowledge about how to intervene and encourage children with asthma to be physically active is required. In the present study, we aimed to pilot a 6-week exercise intervention designed as active play and examine attendance rate, exercise intensity and children9s perceptions of participating. Methods 6 children with asthma (4 boys, 2 girls) aged 10–12 years, participated in 60 min of active play exercise twice weekly. A mixed-methods design was applied. The data analysed included attendance rate, exercise intensity assessed by heart rate (HR) monitoring during exercise sessions, registration and descriptio…
Additional file 4 of Qualitative longitudinal research in health research: a method study
Additional file 4. List of excluded articles
How school nurses experience and understand everyday pain among adolescents
Abstract Background Pain problems are a rapidly growing health problem found among both children and adolescent, and about 15–30% have reported chronic pain problems. School nurses in Norway meet adolescents with various ailments, including pain. Yet research on how school nurses perceive the pain experienced by adolescents is limited. The aim of the present study was to explore how school nurses explain and experience the everyday pain of adolescents. Method A qualitative study with an explorative design comprising five focus group interviews. Each group consisted of three to five school nurses. Seventeen female school nurses in five junior high schools in Norway, age range 29–65 years par…
Motivation for physical activity in adolescents with asthma
Objective: We explored motivation for physical activity (PA) and exercise in adolescents with asthma who entered and continued a 10-week play-based exercise intervention. Methods: Eighteen adolescents with asthma, aged 13–17 years, participated in a 10-week play- and interval-based indoor exercise intervention during winter and autumn months. Semi-structured focus group interviews were conducted in weeks 2 and 8, focusing on motivation for PA and exercise, as well as field observations of exercise sessions in weeks 2, 6, and 8. The first interview was analyzed separately from the second one and descriptive observational data were obtained using thematic analysis and self-determination theor…
Physical activity experiences of children and adolescents with asthma: a qualitative systematic review protocol
Objective: The objective of the review is to synthesize existing knowledge about experiences of children andadolescents with asthma related to participation in, or limitation of, physical activity.Introduction: Limitations of physical activity, expressed as a barrier of bodily movement, may relate to physiologicalrestraints, as well as emotional and social delimitation, in children and adolescents with asthma. Participation inphysical activity is related to management of asthma and is also important for social inclusion. Through childhoodand adolescence, physical activity enhances physical, cognitive, and social development, and a dose-responserelationship between physical activity and seve…
Adolescent boys with asthma : a pilot study on embodied gendered habits
Publkished version of an article from the journal: Journal of Multidisciplinary Healthcare. Also available from Dove Press:http://dx.doi.org/10.2147/jmdh.s37517 Purpose: Asthma is a common chronic disease with gender differences in terms of severity and quality of life. This study aimed to understand the gendered practices of male asthmatic adolescents in terms of living with and managing their chronic disease. The study applied a sociological perspective to identify the gender-related practices of participants and their possible consequences for health and disease. Patients and methods: The study used a combined ethnomethodology and grounded theory design, which was interpreted using Bourd…
Physical activity and sedentary time in children and adolescents with asthma: A systematic review and meta‐analysis
The influence of asthma on physical activity (PA) in youth remains equivocal. This review synthesizes the evidence regarding the influence of asthma on PA and sedentary time and evaluates the role of key moderators for this relationship. In accordance with PRISMA guidelines, six electronic databases and gray literature were searched. Primary studies in English were included if they reported device-assessed PA in youth with and without asthma. Random effects meta-analyses examined the effect of asthma on PA and, separately, sedentary time. Mixed-effect meta-regression analyses were conducted using age and sex as moderators, with sub-group comparisons for study quality and asthma diagnosis cr…
Qualitative Longitudinal Research in Health Research: A Method Study
Abstract Background Qualitative longitudinal research (QLR) comprises qualitative studies, with repeated data collection, that focus on the temporality (e.g., time and change) of a phenomenon. The use of QLR is increasing in health research since many topics within health involve change (e.g., progressive illness, rehabilitation). A method study can provide an insightful understanding of the use, trends and variations within this approach. The aim of this study was to map how QLR articles within the existing health research literature are designed to capture aspects of time and/or change. Methods This method study used an adapted scoping review design. Articles were eligible if they were wr…
Experiences of health care providers in the transfer of adolescent or young adults with a chronic condition from pediatric to adult hospital care: a systematic review protocol
REVIEW QUESTION What are the experiences of physicians and nurses (in this paper defined as health care providers in the transfer of adolescents or young adults with a chronic condition from pediatric to adult hospital care? Specifically, the review will explore the experiences of health care providers in: Preparing adolescents and young adults for their transfer from pediatric to adult care Continuity of care between pediatric and adult care Using standardized procedures to facilitate the adolescents and young adults transfer. OBJECTIVE The objective of this systematic review is to identify and synthesize the best available evidence from qualitative primary studies on the experiences of ph…
Does organized sports participation in childhood and adolescence positively influence health? A review of reviews
Highlights • Eight systematic reviews on organized sports participation related to health exist. • Organized sports participation has a moderate effect on crude body weight loss. • Dose relates to anxiety, depression, physical activity, and bone health responses. • Associations with psychological and social health were inconclusive. • Experimental and longitudinal population-based observational studies are needed.
Additional file 2 of Qualitative longitudinal research in health research: a method study
Additional file 2. Data base searches.
Implementation of the norwegian ‘Starting right’ child health service innovation: implementation adjustments, adoption, and acceptability
Abstract Background An increased and/or stable proportion of the child and adolescent population reports symptoms of impaired health, and the symptoms can be identified early. Therefore, structured child- and parent-reported outcome measures need to be implemented in child and school health services for decision support and identification of children at risk. We aimed to (a) qualitatively examine adjustments of active implementation from the pilot implementation of the Norwegian ‘Starting Right’ health service innovation including an online child health assessment tool and practical routines, and (b) measure practitioners´ adoption and parental acceptability. Methods We used a mixed-methods…
Additional file 3 of Qualitative longitudinal research in health research: a method study
Additional file 3. Guidelines for data charting
Perceived exercise limitation in asthma: The role of disease severity, overweight, and physical activity in children
Children with asthma may be less physically active than their healthy peers. We aimed to investigate whether perceived exercise limitation (EL) was associated with lung function or bronchial hyper-responsiveness (BHR), socioeconomic factors, prenatal smoking, overweight, allergic disease, asthma severity, or physical activity (PA).The 302 children with asthma from the 10-year examination of the Environment and Childhood Asthma birth cohort study underwent a clinical examination including perceived EL (structured interview of child and parent(s)), measure of overweight (body mass index by sex and age passing through 25 kg/mIn the final model explaining 30.1%, asthma severity score (OR: 1.49,…
Relationship between physical activity level and psychosocial and socioeconomic factors and issues in children and adolescents with asthma:a scoping review
Background: Asthma is a heterogeneous chronic airway disease which may reduce capability for physical activity. In healthy peers, physical activity is influenced by psychosocial and socioeconomic factors. Knowledge about the role of these factors has not been mapped in children and adolescents with asthma. Objective: The main objective of this scoping review was to identify psychosocial and socioeconomic factors associated with physical activity level in children and adolescents with asthma in the literature. The specific objectives were to map the instruments used to measure these factors, report on the construction and validation of these instruments, map psychosocial and socioeconomic is…
Adolescent boys with asthma – a pilot study on embodied gendered habits
Thomas Westergren,1 Ulla-Britt Lilleaas21Faculty of Health and Sport Science, Department of Health and Nursing Science, University of Agder, Grimstad, Norway; 2Faculty of Humanities and Education, Centre for Gender and Equality, University of Agder, Kristiansand, NorwayPurpose: Asthma is a common chronic disease with gender differences in terms of severity and quality of life. This study aimed to understand the gendered practices of male asthmatic adolescents in terms of living with and managing their chronic disease. The study applied a sociological perspective to identify the gender-related practices of participants and their possible consequences for health and disease.Patients and metho…
Cumbersome but desirable—Breaking the code of everyday cycling
IntroductionCycling for transport could integrate physical activity (PA) into daily routines and potentially increase total PA levels. However, for parents with young children, most factors affecting transport mode choice tend to facilitate car use. Greater insight is necessary into reasons for (not) using sustainable transport modes in parents with young children. Therefore, the objective of this study was to explore the experiences, including motives, perceptions, attitudes, and norms, of parents of young children by using an e-bike, a longtail bike, and a traditional bike for everyday travel to the workplace, kindergarten, and the grocery store during the autumn, winter, and spring, in n…
Use of KIDSCREEN health-related quality of life instruments in the general population of children and adolescents - A scoping review
Abstract Purpose Subjectively assessing health related quality of life (HRQoL) in children and adolescents is increasingly important in the public health field. One valid and widely used generic HRQoL instrument is the KIDSCREEN questionnaire. The aim of this study was to map all studies using KIDSCREEN instruments in the general population of children and adolescents aged 6–18 years. Methods A scoping review was conducted. The search strategy was formulated according to the Preferred Reporting Items for Systematic Reviews and Scoping Reviews guidelines. The databases Cinahl, socINDEX, Medline, Embase, APA Psychinfo, Scopus, and Eric were searched in October 2021. Results In total, 1365 pap…
Being cross pressured-parents’ experiences of the transfer from paediatric to adult care services for their young people with long term conditions: A systematic review and qualitative research synthesis
BACKGROUND: Family members of young people (13-24 years) with long-term conditions tend to experience multiple challenges when their children transfer from paediatric to adult care, as do the patients themselves.OBJECTIVES: To identify, interpret and theoretically conceptualise the meaning of parents' experiences of the transfer from paediatric to adult care of their young people with long-term conditions.DESIGN: A qualitative research synthesis.DATA SOURCES: We obtained articles from Medline, CINAHL, PsycINFO, EMBASE, Scopus, and Web of Science. Unpublished theses and dissertations were searched for using Google Scholar, Mednar, and ProQuest Dissertations and Theses.REVIEW METHODS: Based o…
Intensive care nurses’ implicit and explicit attitudes and their behavioural intentions towards obese intensive care patients
To examine qualified intensive care nurses' implicit and explicit attitudes towards obese intensive care patients and whether their attitudes are associated with their behavioural intentions towards these patients.Obese intensive care patients may experience more stress than do normal-weight patients. Intensive care nurses' attitudes and the way they address their care are thus vital. Despite a range of studies revealing that health professionals hold anti-fat attitudes towards obese patients, there is a lack of knowledge about intensive care nurses' implicit and explicit attitudes and if such attitudes are associated with behavioural intention.A cross-sectional survey.From November 2017 - …
Basic self-reports as an indicator of physical activity
Introduction: Basic self-reports of physical activity (PA) has been applied by clinicians to identify whether adolescents with asthma are physically active. Aim: To investigate whether basic self-reports of PA in adolescents with and without asthma can be used as an indicator of PA with objective measures as criterion. Methods: One-hundred-and sixty (99 boys) adolescents (mean age 13.5 yrs) with (n=88) and without (n=72) asthma completed recordings of PA for three consecutive week-days and one weekend-day using the SenseWear TM Pro 2 Armband (BodyMedia Inc., Pittsburgh, PA). Cut off point defining moderate to vigorous intensity PA (MVPA) was 3 metabolic equivalents. Self-reported PA was ass…
Prevention of overweight and obesity in a Norwegian public health care context: a mixed-methods study
Abstract Background Greater understanding about the prevention and treatment of overweight and obesity in preschool children within public health care is needed. This study assessed the impact of The First Steps module in routine primary health care including mapping of height/weight and diet followed by parental counselling of healthy habits on overweight and obesity in children aged 2 to 7 years. Further, we explored the experiences of public health nurses (PHNs) with the module. Methods Body weight and height obtained in 2014 and 2016 were extracted retrospectively for 676 children from the health records of children at 2, 4, or 6 years of age in five child health centers in Southern Nor…
Additional file 5 of Qualitative longitudinal research in health research: a method study
Additional file 5. Table of included articles (author(s), year of publication, reference, country, aims and research questions, methodology, type of data material, length of data collection period, number of participants)
Additional file 1 of Qualitative longitudinal research in health research: a method study
Additional file 1. PRISMA-ScR checklist.
Additional file 6 of Qualitative longitudinal research in health research: a method study
Additional file 6. Dataset