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Ernsth-Bravell, MarieORCID iD iconorcid.org/0000-0003-4149-9787
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Publications (10 of 134) Show all publications
Finkel, D., Ernsth-Bravell, M. & Pedersen, N. L. (2020). Role of motor function and lung function in pathways to ageing and decline. Aging Clinical and Experimental Research
Open this publication in new window or tab >>Role of motor function and lung function in pathways to ageing and decline
2020 (English)In: Aging Clinical and Experimental Research, ISSN 1594-0667, E-ISSN 1720-8319Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background

Extensive research has investigated the association between age changes in various domains, including lung function and motor function. However, a few analyses have tested models that incorporate bidirectional longitudinal influences between lung and motor function to test the temporal chain of events in the disability process. Dual change score models (DCSM) assist with identification of leading indicators of change by leveraging longitudinal data to examine the extent to which changes in one variable influence subsequent changes in a second variable, and vice versa.

Aims

The purpose of the current-analysis study was to apply DCSM to data from the Swedish Adoption/Twin Study of ageing to examine the nature of the longitudinal relationship between motor functioning and lung function.

Methods

Three motor functioning factors were created from 20 performance measures, including measures of balance, flexibility, and fine motor skills. Peak expiratory flow measured lung function. Participants were 829 adults aged 50–88 at the first of 9 waves of testing covering a 27-year follow-up period; 80% participated in at least three waves.

Results

Model comparisons indicated that decline in lung function preceded and contributed to subsequent decline in motor function.

Discussion

Combined with previous results, these results suggest that declining lung function results in increasing difficulties in motor function, which contribute to subsequent declines in multiple domains.

Conclusion

Understanding the cascade of events that can lead to dependence can help in the development of interventions targeted early in the disablement process.

Place, publisher, year, edition, pages
Springer, 2020
Keywords
Lung function, Motor function, Physical function, Longitudinal, Ageing, Disablement
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-47803 (URN)10.1007/s40520-020-01494-3 (DOI)32056153 (PubMedID);HHJARNIS (Local ID);HHJARNIS (Archive number);HHJARNIS (OAI)
Available from: 2020-02-17 Created: 2020-02-17 Last updated: 2020-02-17
Jarling, A., Rydström, I., Ernsth-Bravell, M., Nyström, M. & Dalheim-Englund, A.-C. (2019). A responsibility that never rests – the life situation of a family caregiver to an older person. Scandinavian Journal of Caring Sciences
Open this publication in new window or tab >>A responsibility that never rests – the life situation of a family caregiver to an older person
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2019 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background

When the ageing population increases, the burden and responsibility of close family members will likely increase. Those closely related who assume a great responsibility can be significantly affected in health, well-being and daily life.

Aim

This study aims to describe the life situation when family caregivers are imposed responsibility for an older person with complex care needs in their own home.

Methods

In this Swedish qualitative study, ten family caregivers were strategically selected in order to achieve variations in the life situation. A reflective lifeworld research design based on phenomenological philosophy was used throughout the data collection with the lifeworld interviews and the analytic process.

Findings

In terms of extensive responsibility, the life situation is complex and involves emotions that are difficult to manage. In essence, a paradoxical life situation is described which is experienced as both voluntarily and nonchosen at the same time. The responsibility never rests. The essential meaning is further illustrated with three constituents: loss of freedom, contradictory feelings and affected relationships.

Conclusion

A life situation with extensive responsibility for an older family member interferes with the whole life situation with an impact on health and relationships with other people. The findings are crucial for professional caregivers in order to capture the nature of family support in a way that enables a meaningful life for both the family caregiver and the older person being cared for. Knowledge of this will give professional caregivers an increased awareness of the life situation of family caregivers and provide a better understanding of the support they are longing for, and, in some countries, such as Sweden, also are entitled to by law.

Place, publisher, year, edition, pages
John Wiley & Sons, 2019
Keywords
caring science, closely related, family caregiving, home care, informal care, lived experience, older people, phenomenology, reflective lifeworld research
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-43598 (URN)10.1111/scs.12703 (DOI)31058334 (PubMedID)2-s2.0-85065418558 (Scopus ID)
Available from: 2019-05-07 Created: 2019-05-07 Last updated: 2019-06-05
Finkel, D. & Ernsth-Bravell, M. (2019). Age changes in lung function precede and contribute to subsequent age changes in motor function and cognition. In: : . Paper presented at International Conference of Psychological Science, 7-9 March 2019, Paris, France.
Open this publication in new window or tab >>Age changes in lung function precede and contribute to subsequent age changes in motor function and cognition
2019 (English)Conference paper, Oral presentation only (Refereed)
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-43624 (URN)
Conference
International Conference of Psychological Science, 7-9 March 2019, Paris, France
Available from: 2019-05-09 Created: 2019-05-09 Last updated: 2019-05-09Bibliographically approved
Ernsth-Bravell, M. & Torgé, C. J. (2019). Delaktighet i hälso- och sjukvård i Jönköpings kommun. Jönköping: Jönköpings kommun
Open this publication in new window or tab >>Delaktighet i hälso- och sjukvård i Jönköpings kommun
2019 (Swedish)Report (Other academic)
Abstract [sv]

Under de senaste decennierna har det skett en rad organisatoriska förändringar inom vård och omsorg. En av de stora konsekvenserna av förändringarna är ett utökat hälso- och sjukvårds-ansvar för kommunerna i landet. Inom hälso- och sjukvården har det också skett lagföränd-ringar, där bland annat delaktighet lyfts fram tydligare nu. Den här studien syftade därför till att undersöka hur personer som erhåller hälso- och sjukvård i kommunen uppfattar sin del-aktighet i planering, genomförande och uppföljning av hälso- och sjukvårdsinsatser.

Studien omfattar tre olika kontexter; 1) hälso- och sjukvård i ordinärt boende, 2) hälso- och sjukvård i särskilt boende för äldre samt 3) hälso- och sjukvård i boende inom socialpsykiatrin. Olika metoder har använts (enkäter i studie 1 och 3 och intervjuer i studie 2) och rapporten är därför uppbyggd i tre delar.

Resultaten visar dock att delaktighet är viktigt för personerna i samtliga tre kontexter men att det kan vara svårt att sätta ord på vad delaktighet egentligen betyder. Personer som ingår i studien ger flera goda exempel på när de känt sig delaktiga, men även det motsatta. Delaktighet är således en fråga som ständigt är aktuell och som man ständigt behöver arbeta med.   

Place, publisher, year, edition, pages
Jönköping: Jönköpings kommun, 2019. p. 40
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hj:diva-43383 (URN)
Available from: 2019-03-26 Created: 2019-03-26 Last updated: 2019-04-01Bibliographically approved
Jegermalm, M., Torgé, C. J., Wilińska, M., Ernsth-Bravell, M., Bülow, P. H. & Bülow, P. (2019). Filling the gaps? – The role of voluntary organizations in supporting older people with severe mental illnesses in Sweden: Towards increased responsibility for the civil society beyond the dichotomous substitute-or-complement paradigm. In: : . Paper presented at International Association of Gerontology and Geriatrics European Region Congress 2019, 23rd – 25th May 2019, Gothenburg, Sweden.
Open this publication in new window or tab >>Filling the gaps? – The role of voluntary organizations in supporting older people with severe mental illnesses in Sweden: Towards increased responsibility for the civil society beyond the dichotomous substitute-or-complement paradigm
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2019 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-43756 (URN)
Conference
International Association of Gerontology and Geriatrics European Region Congress 2019, 23rd – 25th May 2019, Gothenburg, Sweden
Available from: 2019-05-22 Created: 2019-05-22 Last updated: 2019-05-23Bibliographically approved
Finkel, D. & Ernsth-Bravell, M. (2019). Genetic influences on lung function contribute to subsequent age changes in motor and cognitive function. Paper presented at 49th Annual Meeting of the Behavior-Genetics-Association (BGA), JUN 26-29, 2019, Karolinska Inst, Stockholm, SWEDEN. Behavior Genetics, 49(6), 492-492
Open this publication in new window or tab >>Genetic influences on lung function contribute to subsequent age changes in motor and cognitive function
2019 (English)In: Behavior Genetics, ISSN 0001-8244, E-ISSN 1573-3297, Vol. 49, no 6, p. 492-492Article in journal, Meeting abstract (Refereed) Published
Place, publisher, year, edition, pages
Springer, 2019
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-47167 (URN)000494050500024 ()
Conference
49th Annual Meeting of the Behavior-Genetics-Association (BGA), JUN 26-29, 2019, Karolinska Inst, Stockholm, SWEDEN
Available from: 2019-12-18 Created: 2019-12-18 Last updated: 2019-12-18Bibliographically approved
Johansson, L., Ernsth-Bravell, M. & Finkel, D. (2019). Health and social care in the most ill older persons. In: : . Paper presented at International Association of Gerontology and Geriatrics European Region Congress 2019, 23rd – 25th May 2019, Gothenburg, Sweden.
Open this publication in new window or tab >>Health and social care in the most ill older persons
2019 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-43785 (URN)
Conference
International Association of Gerontology and Geriatrics European Region Congress 2019, 23rd – 25th May 2019, Gothenburg, Sweden
Available from: 2019-05-27 Created: 2019-05-27 Last updated: 2019-06-12Bibliographically approved
Ernsth-Bravell, M. (2019). Higher prevalence of pressure ulcers in people receiving palliative care is not necessarily an indicator of poor care. Evidence-Based Nursing
Open this publication in new window or tab >>Higher prevalence of pressure ulcers in people receiving palliative care is not necessarily an indicator of poor care
2019 (English)In: Evidence-Based Nursing, ISSN 1367-6539, E-ISSN 1468-9618, Evidence Based NursingArticle in journal (Refereed) Epub ahead of print
Abstract [en]

Commentary on: Ferris A, Price A, Harding K. Pressure ulcers in patients receiving palliative care: a systematic review. Palliat Med 2019;33:770-782. doi: 10.1177/0269216319846023.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2019
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-46757 (URN)10.1136/ebnurs-2019-103156 (DOI)31666287 (PubMedID)2-s2.0-85074522283 (Scopus ID)
Available from: 2019-11-01 Created: 2019-11-01 Last updated: 2019-11-25
Jones, J. W., Fauth, E. B., Ernsth-Bravell, M., Johansson, B. & Ledermann, T. (2019). Longitudinal correspondence between subjective and objective memory in the oldest old: A parallel process model by gender. European Journal of Ageing, 16(3), 317-326
Open this publication in new window or tab >>Longitudinal correspondence between subjective and objective memory in the oldest old: A parallel process model by gender
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2019 (English)In: European Journal of Ageing, ISSN 1613-9372, E-ISSN 1613-9380, Vol. 16, no 3, p. 317-326Article in journal (Refereed) Published
Abstract [en]

Subjective memory and objective memory performance have predictive utility for clinically relevant outcomes in older adults. Previous research supports certain overlap between objective performance and subjective ratings of memory. These studies are typically cross-sectional or use baseline data only to predict subsequent change. The current study uses a parallel process model to examine concurrent changes in objective memory and subjective memory. We combined data from two population-based Swedish studies of individuals aged 80 + years, assessed every 2 years (OCTO—3 measurement occasions, OCTO-Twin—5 measurement occasions) yielding 607 participants (66% female). The results confirmed that both objective and subjective memory declined over time. The association between the slope of objective memory and subjective memory was statistically significant for women but not for men. This pattern remained after accounting for age and depressive symptoms. Our findings suggest that, in population-based samples of the oldest old, women seem to show better metacognitive abilities in detecting and reporting changes in memory. Memory changes for men may be better identified by objective performance as their self-assessment of memory changes is not associated with actual change in memory performance.

Place, publisher, year, edition, pages
Springer, 2019
Keywords
objective memory, oldest old, parallel processes, subjective memory
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-43233 (URN)10.1007/s10433-019-00500-6 (DOI)000485031500006 ()31543726 (PubMedID)2-s2.0-85061023886 (Scopus ID);HHJARNIS (Local ID);HHJARNIS (Archive number);HHJARNIS (OAI)
Available from: 2019-03-05 Created: 2019-03-05 Last updated: 2020-01-20Bibliographically approved
Lin, C.-Y., Ganji, M., Griffiths, M. D., Ernsth-Bravell, M., Broström, A. & Pakpour, A. H. (2019). Mediated effects of insomnia, psychological distress and medication adherence in the association of eHealth literacy and cardiac events among Iranian older patients with heart failure: a longitudinal study. European Journal of Cardiovascular Nursing
Open this publication in new window or tab >>Mediated effects of insomnia, psychological distress and medication adherence in the association of eHealth literacy and cardiac events among Iranian older patients with heart failure: a longitudinal study
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2019 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background:

Given the importance of improving health for patients with heart failure, the present study examined the temporal associations between eHealth literacy, insomnia, psychological distress, medication adherence, quality of life and cardiac events among older patients with heart failure.

Methods:

With a longitudinal design older patients with echocardiography verified heart failure (N=468; 50.4% New York Heart Association class II, mean age 69.3±7.3 years; 238 men) in need of cardiac care at seven Iranian university outpatient clinics went through clinical examinations and completed the following questionnaires at baseline: eHealth literacy scale (eHEALS, assessing eHealth literacy); 5-item medication adherence report scale (MARS-5, assessing medication adherence); Minnesota living with heart failure questionnaire (MLHFQ, assessing quality of life); insomnia severity index (ISI, assessing insomnia); and hospital anxiety and depression scale (HADS, assessing psychological distress). All the patients completed the ISI and HADS again 3 months later; and the MARS-5 6 months later. Also, their cardiac events were collected 18 months later. Three mediation models were then conducted.

Results:

eHealth literacy had direct and indirect effects (through insomnia and psychological distress) on medication adherence and quality of life. Moreover, eHealth literacy had protecting effects on cardiac events (hazard ratio (HR) 0.53; 95% confidence interval (CI) 0.37, 0.65) through the mediators of insomnia (HR 0.19; 95% CI 0.15, 0.26), psychological distress (HR 0.08; 95% CI 0.05, 0.12) and medication adherence (HR 0.05; 95% CI 0.04, 0.08).

Conclusion:

As eHealth literacy was a protector for patients with heart failure, healthcare providers may plan effective programmes to improve eHealth literacy for the population. Additional benefits of improving eHealth literacy in heart failure may be decreased insomnia and psychological distress, improved quality of life, as well as decreased cardiovascular events.

Place, publisher, year, edition, pages
Sage Publications, 2019
Keywords
Cardiac events, eHealth literacy, heart failure, mediation model, quality of life
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-46418 (URN)10.1177/1474515119873648 (DOI)000488358900001 ()31516036 (PubMedID)2-s2.0-85073990682 (Scopus ID);HHJARNIS (Local ID);HHJARNIS (Archive number);HHJARNIS (OAI)
Available from: 2019-10-02 Created: 2019-10-02 Last updated: 2019-11-19
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-4149-9787

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