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Tell, M. N., Hedin, K., Nilsson, M., Golsäter, M. & Lingfors, H. (2024). Associations between food intake and psychosomatic symptoms in 16-year-old adolescents. Scandinavian Journal of Public Health
Open this publication in new window or tab >>Associations between food intake and psychosomatic symptoms in 16-year-old adolescents
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2024 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905Article in journal (Refereed) Epub ahead of print
Abstract [en]

AIMS: An increase in psychosomatic symptoms among adolescents has recently been reported. Few studies have examined the relation between food intake and psychosomatic symptoms. The aim was to study the association between food intake and overall psychosomatic burden and separate psychosomatic symptoms.

METHODS: In this cross-sectional study, we used data from 6248 girls and 7153 boys in south-east Sweden who turned 16 years of age during the academic years 2009/2010 to 2015/2016 and responded to a health questionnaire at the school health services. The association between overall healthy food intake and a low psychosomatic burden was calculated as odds ratios (95% confidence interval) and stratified for other lifestyle habits and gender.

RESULTS: Sixty-nine per cent of the boys and 35% of the girls had a low psychosomatic burden. There was a positive association between an overall healthy food intake and a low psychosomatic burden (P<0.0001), regardless of other lifestyle habits and gender. An overall healthy food intake was also positively associated with a lower frequency of the separate psychosomatic symptoms of concentration difficulties, sleep difficulties, a poor appetite or dizziness (P<0.0001).

CONCLUSIONS: A healthy food intake seems to be associated with a low psychosomatic burden among adolescents. Further knowledge is needed to explore whether an improved food intake can reduce psychosomatic symptoms and enhance mental health.

Place, publisher, year, edition, pages
Sage Publications, 2024
Keywords
Adolescents, healthy food intake, psychosomatic symptoms
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hj:diva-64068 (URN)10.1177/14034948241245770 (DOI)001208615200001 ()38664874 (PubMedID)2-s2.0-85191322678 (Scopus ID)HOA;;949196 (Local ID)HOA;;949196 (Archive number)HOA;;949196 (OAI)
Funder
Futurum - Academy for Health and Care, Jönköping County Council, Sweden
Available from: 2024-04-29 Created: 2024-04-29 Last updated: 2024-05-07
Johansson, L., Fransson, E. I., Lingfors, H. & Golsäter, M. (2024). Exploring how people achieve the recommended levels of physical activity despite self-reported economic difficulties: a sense of coherence perspective. BMC Primary Care, 25(1), Article ID 105.
Open this publication in new window or tab >>Exploring how people achieve the recommended levels of physical activity despite self-reported economic difficulties: a sense of coherence perspective
2024 (English)In: BMC Primary Care, E-ISSN 2731-4553, Vol. 25, no 1, article id 105Article in journal (Refereed) Published
Abstract [en]

Background

The salutogenic theory forms the basis for health promotion and describes health as a continuum from a dis-ease pole of health to an ease pole. The core concept for the salutogenic theory is sense of coherence (SOC). For a strong SOC, general resistance resources, such as solid economic situation, are essential. The aim was to explore how people – despite self-reported economic difficulties – comprehend, manage and find it meaningful to achieve the level of physical activity recommended by World Health Organisation (WHO).

Method

The study is based on interviews with people achieving the recommended physical activity (PA) level despite economic difficulties. The interviews were conducted at primary health care centres and family centres after a targeted health dialogue. We used a qualitative deductive content analysis based on sense of coherence as the main category, with the three generic categories of comprehensibility, manageability and meaningfulness.

Result

The findings elucidate a pattern of a process. In this process, the participants comprehend their knowledge of the health benefits of PA and have a plan for performing their PA. They utilise their resources in order to manage to apply their knowledge and plan for PA in their lives despite their challenges. When PA becomes meaningful to them, they have an intrinsic motivation to perform it and experience its benefits.

Conclusion

This study suggests a possible process that might help in achieving the recommended PA level among people with economic difficulties and other challenges. The findings might be used in health promotion work, such as targeted health dialogues in primary health care, to reduce health inequalities when supporting people who are not achieving the recommended levels of PA.

Trial registration

Not applicable.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2024
Keywords
Sense of coherence, Physical activity, Deductive content analyse, Economic difficulties, Health promotion
National Category
Nursing Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hj:diva-63763 (URN)10.1186/s12875-024-02354-z (DOI)001197504700002 ()38575903 (PubMedID)2-s2.0-85189644392 (Scopus ID)GOA;;1843101 (Local ID)GOA;;1843101 (Archive number)GOA;;1843101 (OAI)
Funder
Futurum - Academy for Health and Care, Jönköping County Council, Sweden, FUTURUM-936841, FUTURUM-971225, FUTURUM-971225, FUTURUM-981886
Note

Included in doctoral thesis in manuscript form.

Available from: 2024-03-07 Created: 2024-03-07 Last updated: 2024-04-15Bibliographically approved
Wahlström, E., Harder, M., Holmström, I. K., Larm, P. & Golsäter, M. (2024). Reading the signs in health visits: Perspectives of adolescents with migration experiences on encounters with school nurses. Nursing Open, 11(6), Article ID e2217.
Open this publication in new window or tab >>Reading the signs in health visits: Perspectives of adolescents with migration experiences on encounters with school nurses
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2024 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 11, no 6, article id e2217Article in journal (Refereed) Published
Abstract [en]

Aim: To explore the experiences of health visits within the school health services from the perspective of adolescents with migration experiences. Design: A descriptive qualitative study. Methods: Data were collected using focus groups and semi-structured individual interviews with adolescents with migration experiences aged 13–17 years old. Analysis was conducted using reflexive thematic analysis. Results: The results described adolescents reading the signs in the guided interaction between them and the school nurses. Reading the signs illustrated the adolescents' continuous interpretation of the interaction with the school nurse, and their decisions on how to respond throughout the health visit. These interpretations influenced the adolescents' shifting willingness to talk about their health and how they adapted to the space of participation provided by the school nurse. The interpretation also influenced their experiences of health visits as focusing on their health without making them feel singled out. Conclusion: Although individual considerations might be warranted in health visits with adolescents with migration experiences, the results indicate that similarities in intrapersonal communication in various encounters between adolescents and health professionals might be greater than any differences. Healthcare encounters with adolescents with migration experiences might thus need to be conducted with an awareness that adolescents read the signs in the guided interaction and that similarities in this interaction are greater than any differences.

Place, publisher, year, edition, pages
John Wiley & Sons, 2024
Keywords
adolescents, health visits, migration, nursing, school, school health services, adolescent, aged, article, awareness, female, health practitioner, human, interpersonal communication, interview, male, participation, qualitative research, reading, school health nursing, school health service, thematic analysis, young adult
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-65371 (URN)10.1002/nop2.2217 (DOI)001249129100001 ()38890791 (PubMedID)2-s2.0-85196259123 (Scopus ID)HOA::959244 (Local ID)HOA::959244 (Archive number)HOA::959244 (OAI)
Available from: 2024-06-25 Created: 2024-06-25 Last updated: 2024-06-25Bibliographically approved
Johansson, L., Lingfors, H., Golsäter, M., Rolander, B. & Fransson, E. I. (2023). Agreement between questions about physical activity and sitting time, and device-based measures, used in Swedish targeted health dialogues in the context of primary health care. BMC Sports Science, Medicine and Rehabilitation, 15(1), Article ID 76.
Open this publication in new window or tab >>Agreement between questions about physical activity and sitting time, and device-based measures, used in Swedish targeted health dialogues in the context of primary health care
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2023 (English)In: BMC Sports Science, Medicine and Rehabilitation, ISSN 2052-1847, Vol. 15, no 1, article id 76Article in journal (Refereed) Published
Abstract [en]

Background: It is important that easy-to-use measures like subjective questions about physical activity (PA) and sedentary behaviour are valid and reliable providing accurate measures, when they are used in health promotion work aiming to support people to improve their lifestyle habits such as PA. The aim of this study was to evaluate the concurrent validity of a structured interview form estimating self-reported PA and a question about sitting time used in Swedish targeted health dialogues in the context of primary health care. Method: The study was conducted in the southern part of Sweden. To evaluate concurrent validity of the interview form, time spent in moderate-to-vigorous physical activities (MVPA) and energy expenditure related to MVPA estimated by an interview form was compared with the same measures assessed by an ActiGraph GT3X-BT accelerometer. To evaluate a question about sitting time, the Swedish School of Sport and Health Sciences’ single-item question about sitting time (SED-GIH) was compared with measures from an activPAL inclinometer. Statistical analyses included deriving Bland‒Altman plots and calculating Spearman’s rank correlation coefficients. Result: Bland‒Altman plots indicated lower absolute variation in the difference between self-reported and device-based PA measures for lower PA levels, both for energy expenditure and time spent in MVPA. No systematic over- or underestimation was observed. The Spearman’s correlation coefficient between self-reported and device-based PA measures was 0.27 (p = 0.014) for time spent in MVPA and 0.26 (p = 0.022) for energy expenditure. The correlation coefficient between the single item question and device-based sitting time measures was 0.31 (p = 0.002). Sitting time was underestimated by 74% of the participants. Conclusion: The PA interview form and the SED-GIH question on sitting time may be of value in targeted health dialogues in primary health care with the intention to support sedentary and insufficiently physically active persons in increasing their physical activity and limiting their sitting time. The questionnaires are easy to use and are more cost effective than device-based measures, especially regarding population-based interventions conducted in primary health care for thousands of participants such as targeted health dialogues. Clinical trial registration: Not applicable.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2023
Keywords
Accelerometry, Bland-Altman plot, Evaluation, Physical activity interview form, Targeted health dialogue, active transport, adult, aged, Article, autumn, concurrent validity, controlled study, degree of freedom, energy expenditure, female, human, human experiment, indirect calorimetry, interview, male, middle aged, physical activity, primary health care, running, sedentary lifestyle, sedentary time, sitting, social psychology, spring, standing, structured interview, summer, Swedish citizen, walking, winter
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hj:diva-62175 (URN)10.1186/s13102-023-00690-8 (DOI)001020017300001 ()37403124 (PubMedID)2-s2.0-85164119970 (Scopus ID)GOA;;897251 (Local ID)GOA;;897251 (Archive number)GOA;;897251 (OAI)
Funder
Medical Research Council of Southeast Sweden (FORSS)Futurum - Academy for Health and Care, Jönköping County Council, Sweden
Available from: 2023-08-17 Created: 2023-08-17 Last updated: 2024-03-07Bibliographically approved
Golsäter, M., Karlsson Fialoss, M., Olsson Vestvik, S., Anefur, H. & Harder, M. (2023). Child health care nurses' cultural competence in health visits with children of foreign background. Nursing Open, 10(3), 1426-1436
Open this publication in new window or tab >>Child health care nurses' cultural competence in health visits with children of foreign background
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2023 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 10, no 3, p. 1426-1436Article in journal (Refereed) Published
Abstract [en]

AIM: The aim of this study is to investigate child health care nurses' cultural competence in health visits with children and their families of foreign background.

DESIGN: A cross-sectional design combined with a qualitative explorative design.

METHODS: The nurses assessed their cultural competence using a modified version of the Clinical Cultural Competency Questionnaire. Interviews were used to obtain a detailed description of the nurses' cultural competence.

RESULTS: The nurses assessed themselves as rather culturally competent. They scored above mid-score in the total score for cultural competence and on all subscales. Education in cultural diversity at the nurses' workplace had the highest association to cultural competence. The nurses described their awareness as recognizing each child and her/his family rather than their cultural background, and viewing the child as a unique part of her/his cultural context. Despite their high scores on cultural competence, the nurses described a lack of cultural knowledge and explained their need of further knowledge.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023
Keywords
child health care, cultural competence, deductive content analysis, nurses, questionnaire
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-58575 (URN)10.1002/nop2.1393 (DOI)000862154100001 ()36180979 (PubMedID)2-s2.0-85139077534 (Scopus ID)GOA;;835274 (Local ID)GOA;;835274 (Archive number)GOA;;835274 (OAI)
Funder
Futurum - Academy for Health and Care, Jönköping County Council, Sweden
Available from: 2022-10-03 Created: 2022-10-03 Last updated: 2023-08-30Bibliographically approved
Stenmarker, M., Björk, M., Golsäter, M. & Enskär, K. (2023). Everyday life during the childhood cancer trajectory—childhood cancer survivors’ descriptions of the role of caring support. Frontiers in Rehabilitation Sciences, 4, Article ID 1098933.
Open this publication in new window or tab >>Everyday life during the childhood cancer trajectory—childhood cancer survivors’ descriptions of the role of caring support
2023 (English)In: Frontiers in Rehabilitation Sciences, ISSN 2673-6861, Vol. 4, article id 1098933Article in journal (Refereed) Published
Abstract [en]

Background: Being diagnosed with cancer in childhood often has a direct impact on the child’s opportunities to participate in activities and the child’s sense of belonging in different life situations. Experiences of illness in youth affect the lives of these individuals in numerous ways and they need pronounced support to regain their normal life after treatment.

Purpose: To illustrate how childhood cancer survivors describe the role of the caring support provided by healthcare professionals at diagnosis and during the cancer trajectory.

Methods: A mixed methods approach was applied. Swanson’s Theory of Caring was used to deductively analyze the answers in a study-specific questionnaire with Likert scales (1–5). Descriptive and comparative statistics and exploratory factor analyses were performed.

Results: Sixty-two former patients, diagnosed with solid tumors/lymphoma in 1983 to 2003 in Sweden, participated. The mean time passed since treatment was 15.7 years. Swanson’s caring processes Being with and Doing for were the most prominent loading categorical factor indicators. Higher scores for healthcare professionals being emotionally present (Being with), doing for others what they would do for themselves (Doing for) and being willing to understand the sick child’s situation (Knowing) were highlighted by survivors older than 30 years, compared to those younger than 30 years (p=0.041, p=0.045, and p=0.013, respectively). An increased vulnerability regarding their ability to cope with difficulties (Maintain belief) was found among participants who were treated during adolescence, related to schoolchildren (p=0.048), and among those who had been treated with extra-cranial irradiation in comparison with no extra-cranial irradiation (p=0.004). The role of having a partner in comparison with being single was underlined among those who felt they had acquired the tools they needed to take care of themselves (Enabling) (p=0.013). The total explained variance was 63%.

Conclusions: A person-centered care approach during treatment for childhood cancer, reflected by a caring model, highlights the role of healthcare professionals being emotionally present, involving children, performing actions, and with an approach that has potential long-term implications. Childhood cancer patients and survivors need not only clinically competent professionals, but professionals who provide caring interactions with compassion.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2023
Keywords
childhood cancer survivor, child, adolescents, swanson caring theory, participation, every day life, long term health conditions
National Category
Cancer and Oncology Pediatrics Nursing
Identifiers
urn:nbn:se:hj:diva-61326 (URN)10.3389/fresc.2023.1098933 (DOI)001019074000001 ()37397267 (PubMedID)2-s2.0-85174960813 (Scopus ID)GOA;;886497 (Local ID)GOA;;886497 (Archive number)GOA;;886497 (OAI)
Funder
Swedish Childhood Cancer Foundation
Available from: 2023-06-20 Created: 2023-06-20 Last updated: 2023-11-06Bibliographically approved
Johansson, L., Eriksson, M., Dahlin, S., Lingfors, H. & Golsäter, M. (2023). Healthcare professionals' experiences of targeted health dialogues in primary health care. Scandinavian Journal of Caring Sciences
Open this publication in new window or tab >>Healthcare professionals' experiences of targeted health dialogues in primary health care
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2023 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Article in journal (Refereed) Epub ahead of print
Abstract [en]

BACKGROUND: In Sweden, population-based targeted health dialogues are an important part of health promotion and disease prevention in primary health care. Targeted health dialogues are performed with a pedagogical approach to allow individuals to reflect over their resources, situation and motivation to change lifestyle habits together with a healthcare professional.

AIM: The aim of this study was to explore healthcare professionals' experiences of targeted health dialogues in primary health care.

METHODS: Three focus group interviews were conducted with 20 healthcare professionals. The interviews were analysed using qualitative content analysis.

RESULTS: The main category A possibility to promote healthy behaviours and prevent disease describes how the targeted health dialogues were experienced as a valuable opportunity to promote health among inhabitants. The significance of the primary healthcare centre's health promotion and prevention strategies was emphasised to enable the targeted health dialogues as a part of the assignment to promote health. These strategies were expressed as shared focus and organisational space and support making it possible for example to reach all socioeconomic groups. The work with targeted health dialogue was described as a complex task requiring extensive competence. Furthermore, the pedagogical tool including the visual health profile was experienced to have an important impact on the dialogue offering direction for actions to promote health and prevent disease.

CONCLUSIONS: Targeted health dialogues can be a valuable opportunity for healthcare professionals in primary health care to promote a healthy lifestyle among inhabitants. Certain preconditions at both the meso- and the micro level is however required for this to come about.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023
Keywords
focus groups, health promotion and disease prevention, lifestyle habits, pedagogical tool, primary health care, targeted health dialogues
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hj:diva-62542 (URN)10.1111/scs.13216 (DOI)001070206600001 ()37749903 (PubMedID)2-s2.0-85172071600 (Scopus ID)HOA;;906588 (Local ID)HOA;;906588 (Archive number)HOA;;906588 (OAI)
Funder
Futurum - Academy for Health and Care, Jönköping County Council, Sweden, FUTURUM-930362Futurum - Academy for Health and Care, Jönköping County Council, Sweden, FUTURUM-933375
Available from: 2023-09-27 Created: 2023-09-27 Last updated: 2023-10-09
Wahlström, E., Golsäter, M., Holmström, I. K., Larm, P. & Harder, M. (2023). In search of factors related to migration affecting children’s health: an analysis of documents guiding health visits within the Swedish school health services. Archives of Public Health, 81(1), Article ID 103.
Open this publication in new window or tab >>In search of factors related to migration affecting children’s health: an analysis of documents guiding health visits within the Swedish school health services
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2023 (English)In: Archives of Public Health, ISSN 0778-7367, E-ISSN 2049-3258, Vol. 81, no 1, article id 103Article in journal (Refereed) Published
Abstract [en]

Background

Migration affects the health of children worldwide. Therefore, school nurses who encounter these children as part of their everyday practice need support from guidelines on how to promote the health of children who have migrated or whose parents have migrated. Yet knowledge regarding such content in guidelines of school nursing practice is sparse. Therefore, this study aims to investigate how municipal and regional guidelines and health questionnaires used in health visits in the Swedish school health services include factors related to migration that affect children’s health.

Methods

A document analysis of municipal and regional guidelines and health questionnaires guiding school nurses’ practice in health visits was conducted during the autumn of 2020. In total, 687 guidelines and health questionnaires were analyzed using deductive content analysis.

Results

The results show that municipal and regional guidelines and health questionnaires used in health visits in the Swedish school health services include content on many factors related to migration that affect children’s health. Yet the content was limited, and none was found on factors related to discrimination based on ethnicity or origin.

Conclusion

Guidance related to promoting the health of children who have migrated or whose parents have migrated should include all factors affecting these children’s health. Therefore, to strengthen school nurses’ evidence-based practice, guideline development might be needed, although guidelines and health questionnaires exist and include content on many factors related to migration affecting the health of children in order to provide equitable healthcare for all children, regardless of country of origin.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2023
Keywords
Guidelines, Children, Migration, Health disparities, Health determinants, School nursing, Document analysis, Evidence-based practice
National Category
Public Health, Global Health, Social Medicine and Epidemiology International Migration and Ethnic Relations
Identifiers
urn:nbn:se:hj:diva-61067 (URN)10.1186/s13690-023-01125-z (DOI)001006088800001 ()37312228 (PubMedID)2-s2.0-85161851681 (Scopus ID)GOA;;885836 (Local ID)GOA;;885836 (Archive number)GOA;;885836 (OAI)
Available from: 2023-06-13 Created: 2023-06-13 Last updated: 2023-06-30Bibliographically approved
Rangert, A., Oldin, C., Golsäter, M., Ludvigsson, J. & Åkesson, K. (2023). No association between incidence of type 1 diabetes and rotavirus vaccination in Swedish children. Frontiers in Immunology, 14, Article ID 1175071.
Open this publication in new window or tab >>No association between incidence of type 1 diabetes and rotavirus vaccination in Swedish children
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2023 (English)In: Frontiers in Immunology, E-ISSN 1664-3224, Vol. 14, article id 1175071Article in journal (Refereed) Published
Abstract [en]

Background: Rotavirus infection is a potential trigger of type 1 diabetes (T1D) and rotavirus vaccination is hypothesized to decrease the incidence of T1D. In Sweden, rotavirus vaccination was introduced in 2014 in two regions and from 2019, nationwide. This study aims to investigate the association between rotavirus vaccination and incidence of T1D in Swedish children and whether rotavirus vaccination is associated with a change in clinical manifestation at diabetes onset.

Methods: A nationwide register-based study with all Swedish children <15 years of age, diagnosed with T1D 2009-2019 was conducted. 7893 children were retrieved. Nationwide vaccine coverage was collected from Child Health Services. Three vaccine groups were created: I: Vaccination start 2014; II: Gradual vaccination start 2016-2018; III: No vaccination. Incidence rates of T1D before (2009-2014) and after (2014-2019) introduction of rotavirus vaccine were compared.

Findings: The mean incidence of T1D in children <15 years was 42·61 per 100 000 during the observed period. When comparing the years before and after 2014 the incidence rate ratio (IRR) for children <5 years was 0·86 in group I (p=0·10), 0·85 (p=0·05) in group II and 0·87 (p=0·06) in group III. A similar IRR reduction was also seen among older children who received no vaccine. Children developing or not developing T1D were vaccinated to the same extent. No differences regarding clinical manifestation at onset associated with rotavirus vaccination were seen.

Interpretation: There is no association between rotavirus vaccination in children and incidence or clinical manifestation of T1D.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2023
National Category
Pediatrics
Identifiers
urn:nbn:se:hj:diva-62279 (URN)10.3389/fimmu.2023.1175071 (DOI)001082374700001 ()37638044 (PubMedID)2-s2.0-85168680900 (Scopus ID)GOA;;898368 (Local ID)GOA;;898368 (Archive number)GOA;;898368 (OAI)
Funder
Swedish Child Diabetes Foundation
Available from: 2023-08-24 Created: 2023-08-24 Last updated: 2024-01-17Bibliographically approved
Moberg, M., Golsäter, M. & Norman, Å. (2023). Parents' Thoughts Regarding Their Normal-Weight Children's Food and Physical Activity as Expressed During Health Conversations With the School Nurse: A Qualitative Analysis Informing Health-Promoting Practices. Journal of School Nursing, 39(5), 385-395
Open this publication in new window or tab >>Parents' Thoughts Regarding Their Normal-Weight Children's Food and Physical Activity as Expressed During Health Conversations With the School Nurse: A Qualitative Analysis Informing Health-Promoting Practices
2023 (English)In: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364, Vol. 39, no 5, p. 385-395Article in journal (Refereed) Published
Abstract [en]

Parents are key to promoting children's healthy growth and development. However, school nurses need knowledge about how to best support parents' health-promoting activities. This study aimed to explore parents' thoughts regarding their normal-weight 6-year-old children's food and physical activity behaviors as expressed during health conversations with the school nurse. Qualitative content analysis of audio-recorded conversations (n = 30) showed that parents think of their children's behaviors in terms of: (a) children's personality in relation to food and physical activity; (b) recognizing children's food and physical activity behaviors; (c) parenting in relation to food and physical activity; (d) interaction with children in situations around food and physical activity; and (e) contextual circumstances to promote children's healthy food and physical activity behaviors. The study contributes with novel knowledge regarding clinical work in health promotion, with suggestions for how school nurses can engage parents in promoting and sustaining healthy food and physical activity behaviors.

Place, publisher, year, edition, pages
Sage Publications, 2023
Keywords
children, health promotion, healthy behaviors, lifestyle, parenting, parents, qualitative content analysis, school nurse
National Category
Nursing Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hj:diva-54080 (URN)10.1177/10598405211025440 (DOI)000669332500001 ()34184918 (PubMedID)HOA;;54080 (Local ID)HOA;;54080 (Archive number)HOA;;54080 (OAI)
Funder
The Kamprad Family FoundationForte, Swedish Research Council for Health, Working Life and Welfare
Available from: 2021-07-14 Created: 2021-07-14 Last updated: 2023-09-07Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-0156-6677

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