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Publications (10 of 112) Show all publications
Lundgren, D., Ernsth-Bravell, M., Börjesson, U. & Kåreholt, I. (2019). The impact of leadership and psychosocial work environment on recipient satisfaction in nursing homes and home care. Gerontology and geriatric medicine
Open this publication in new window or tab >>The impact of leadership and psychosocial work environment on recipient satisfaction in nursing homes and home care
2019 (English)In: Gerontology and geriatric medicine, E-ISSN 2333-7214Article in journal (Refereed) Epub ahead of print
Abstract [en]

This study examines the association between nursing assistants’ assessment of leadership, their psychosocial work environment, and satisfaction among older people receiving care in nursing homes and home care. Cross-sectional surveys were conducted with nursing assistants (n = 1,132) and people receiving care (n = 1,535) in 45 nursing homes and 21 home care units. Direct leadership was associated with the psychosocial work environment in nursing homes and home care. Furthermore, better leadership was related to higher satisfaction among nursing assistants and older people in nursing homes. Thus, indirect leadership had no effect on recipients’ satisfaction in either nursing homes or home care. The path analysis showed an indirect effect between leadership factors and recipient satisfaction. The findings suggest that the psychosocial work environment of nursing assistants and recipient satisfaction in nursing homes can be increased by improving leadership.

Place, publisher, year, edition, pages
Sage Publications, 2019
Keywords
satisfaction with care, nursing assistants, nursing homes, home care
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-41998 (URN)10.1177/2333721419841245 (DOI)
Note

Included in thesis in manuscript form.

Available from: 2018-11-09 Created: 2018-11-09 Last updated: 2019-04-24
Zupanic, E., Kåreholt, I., Norrving, B., Secnik, J., von Euler, M., Winblad, B., . . . Garcia-Ptacek, S. (2018). Acute stroke care in dementia: A cohort study from the Swedish Dementia and Stroke Registries. Journal of Alzheimer's Disease, 66(1), 185-194
Open this publication in new window or tab >>Acute stroke care in dementia: A cohort study from the Swedish Dementia and Stroke Registries
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2018 (English)In: Journal of Alzheimer's Disease, ISSN 1387-2877, E-ISSN 1875-8908, Vol. 66, no 1, p. 185-194Article in journal (Refereed) Published
Abstract [en]

METHODS: Retrospective analysis of prospectively collected data 2010-2014 from the Swedish national dementia registry (SveDem) and the Swedish national stroke registry (Riksstroke). Patients with dementia who suffered an acute ischemic stroke (AIS) (n = 1,356) were compared with matched non-dementia AIS patients (n = 6,755). Outcomes included length of stay in a stroke unit, total length of hospitalization, and utilization of diagnostic tests and assessments.

RESULTS: The median age at stroke onset was 83 years. While patients with dementia were equally likely to be directly admitted to a stroke unit as their non-dementia counterparts, their stroke unit and total hospitalization length were shorter (10.5 versus 11.2 days and 11.6 versus 13.5, respectively, p < 0.001). Dementia patients were less likely to receive carotid ultrasound (OR 0.36, 95% CI [0.30-0.42]) or undergo assessments by the interdisciplinary team members (physiotherapists, speech therapists, occupational therapists; p < 0.05 for all adjusted models). However, a similar proportion of patients received CT imaging (97.4% versus 98.6%, p = 0.001) and a swallowing assessment (90.7% versus 91.8%, p = 0.218).

CONCLUSIONS: Patients with dementia who suffer an ischemic stroke have equal access to direct stroke unit care compared to non-dementia patients; however, on average, their stay in a stroke unit and total hospitalization are shorter. Dementia patients are also less likely to receive specific diagnostic tests and assessments by the interdisciplinary stroke team.

BACKGROUND: Previous studies have shown that patients with dementia receive less testing and treatment for stroke.

OBJECTIVES: Our aim was to investigate hospital management of acute ischemic stroke in patients with and without dementia.

Place, publisher, year, edition, pages
IOS Press, 2018
Keywords
Cohort studies, dementia, hospital management, ischemic stroke
National Category
Neurology Cardiac and Cardiovascular Systems
Identifiers
urn:nbn:se:hj:diva-41987 (URN)10.3233/JAD-180653 (DOI)000448213400009 ()30248059 (PubMedID)2-s2.0-85055146830 (Scopus ID)
Funder
The Swedish Brain FoundationSwedish Research Council, 2012-2291; 2016-02317Swedish Association of Local Authorities and RegionsForte, Swedish Research Council for Health, Working Life and Welfare, 2017-01646The Dementia Association - The National Association for the Rights of the DementedSwedish Society for Medical Research (SSMF)
Available from: 2018-11-08 Created: 2018-11-08 Last updated: 2019-01-07Bibliographically approved
Zupanic, E., Garcia-Ptacek, S., Kåreholt, I., Religa, D., Kramberger, M., Norrving, B., . . . von Euler, M. (2018). Differences between men and women with ischemic stroke with and without pre-stroke dementia. Paper presented at 4th European Stroke Organisation Conference ​(ESOC 2018), 16-18 May 2018, Gothenburg, Sweden. European Stroke Journal, 3(1 (suppl.)), 57-57
Open this publication in new window or tab >>Differences between men and women with ischemic stroke with and without pre-stroke dementia
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2018 (English)In: European Stroke Journal, ISSN 2396-9873, E-ISSN 2396-9881, Vol. 3, no 1 (suppl.), p. 57-57Article in journal, Meeting abstract (Refereed) Published
Place, publisher, year, edition, pages
Sage Publications, 2018
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-42746 (URN)10.1177/2396987318770127#_i985 (DOI)
Conference
4th European Stroke Organisation Conference ​(ESOC 2018), 16-18 May 2018, Gothenburg, Sweden
Available from: 2019-01-24 Created: 2019-01-24 Last updated: 2019-01-24Bibliographically approved
Zupanic, E., Garcia-Ptacek, S., Kåreholt, I., Religa, D., Kramberger, M., Norrving, B., . . . von Euler, M. (2018). Differences between men and women with ischemic stroke with and without pre-stroke dementia. In: : . Paper presented at 4th European Stroke Organisation Conference ​(ESOC 2018), 16-18 May 2018, Gothenburg, Sweden.
Open this publication in new window or tab >>Differences between men and women with ischemic stroke with and without pre-stroke dementia
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2018 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-43434 (URN)
Conference
4th European Stroke Organisation Conference ​(ESOC 2018), 16-18 May 2018, Gothenburg, Sweden
Available from: 2019-04-08 Created: 2019-04-08 Last updated: 2019-04-08Bibliographically approved
Sindi, S., Kåreholt, I., Ngandu, T., Hovatta, I., Singh, D., Wolozin, B., . . . Soininen, A. (2018). Effects of a multidomain lifestyle intervention on telomere length: The FINGER trial. International Journal of Behavioral Medicine, 25, S153-S154
Open this publication in new window or tab >>Effects of a multidomain lifestyle intervention on telomere length: The FINGER trial
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2018 (English)In: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 25, p. S153-S154Article in journal, Meeting abstract (Refereed) Published
Place, publisher, year, edition, pages
Springer, 2018
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-42736 (URN)10.1007/s12529-018-9740-1 (DOI)000446532700474 ()
Available from: 2019-01-24 Created: 2019-01-24 Last updated: 2019-01-24Bibliographically approved
Sindi, S., Kåreholt, I., Ngandu, T., Hovatta, I., Singh, D., Wolozin, B., . . . Soininen, A. (2018). Effects of a multidomain lifestyle intervention on telomere length: The FINGER trial. In: : . Paper presented at 15th International Congress of Behavioral Medicine, 14-17 November, Santiago, Chile.
Open this publication in new window or tab >>Effects of a multidomain lifestyle intervention on telomere length: The FINGER trial
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2018 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-43418 (URN)
Conference
15th International Congress of Behavioral Medicine, 14-17 November, Santiago, Chile
Available from: 2019-04-03 Created: 2019-04-03 Last updated: 2019-04-08
Lygnegård, F., Augustine, L., Granlund, M., Kåreholt, I. & Huus, K. (2018). Factors Associated With Participation and Change Over Time in Domestic Life, Peer Relations, and School for Adolescents With and Without Self-Reported Neurodevelopmental Disorders. A Follow-Up Prospective Study. Frontiers in Education, 3, 1-13, Article ID 28.
Open this publication in new window or tab >>Factors Associated With Participation and Change Over Time in Domestic Life, Peer Relations, and School for Adolescents With and Without Self-Reported Neurodevelopmental Disorders. A Follow-Up Prospective Study
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2018 (English)In: Frontiers in Education, ISSN 2504-284X, Vol. 3, p. 1-13, article id 28Article in journal (Refereed) Published
Abstract [en]

Even though participation in everyday events is a vital part in the fulfilment of human rights, adolescents with neurodevelopmental disorders often face participation restrictions in every-day activities. Few studies have investigated the predictors for participation in different contexts, over time and in relation to the same outcome variables. The objective of the current study was therefore to investigate predictors of change in participation operationalized as frequency of attendance and perceived importance in domestic life activities, peer related activities, and school activities as experienced by adolescents with and without self-reported neurodevelopmental disorders. Method: Associations with participation, both in terms of frequency and perceived importance, in domestic life, peer relations, and the school setting were investigated using six independent variables measuring experience of time and self, sex, age, stress, support from siblings, and atmosphere in family at two-time (with approximately 2 years in between). The sample consisted of adolescents with and without self-reported neurodevelopmental disorders (n= 916). Adolescents with self-reported neurodevelopmental disorders were n=154 and adolescents without self-reported neurodevelopmental disorders was n= 762. Data was collected via self-reported questionnaires administered in schools. Results: Three key findings are presented. 1) more factors were associated with participation outcomes at time1 for adolescents without NDD than for adolescents with NDD, but this difference in the number of factors decreases with time; 2) few associations were related to time for both adolescents with and without NDD; and 3) patterns of predicting variables were different for adolescents with and without NDD. Conclusion: The findings indicate that the factors related to participation in and outside school differs between groups, when the impairment or disability is not considered as a predictor for participation. This study supports the need for using a multidimensional developmental and contextual perspective in addressing enhanced participation for adolescents with neurodevelopmental disorders.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2018
National Category
Educational Sciences
Identifiers
urn:nbn:se:hj:diva-39341 (URN)10.3389/feduc.2018.00028 (DOI)
Available from: 2018-05-02 Created: 2018-05-02 Last updated: 2018-09-17Bibliographically approved
Sindi, S., Kåreholt, I., Eskelinen, M., Hooshmand, B., Soininen, H., Ngandu, T. & Kivipelto, M. (2018). Healthy dietary changes in midlife are associated with a reduced dementia risk later in life. International Journal of Behavioral Medicine, 25, S167-S168
Open this publication in new window or tab >>Healthy dietary changes in midlife are associated with a reduced dementia risk later in life
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2018 (English)In: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 25, p. S167-S168Article in journal, Meeting abstract (Refereed) Published
Place, publisher, year, edition, pages
Springer, 2018
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-42737 (URN)10.1007/s12529-018-9740-1 (DOI)000446532700516 ()
Available from: 2019-01-24 Created: 2019-01-24 Last updated: 2019-01-24
Sindi, S., Kåreholt, I., Eskelinen, M., Hooshmand, B., Soininen, H., Ngandu, T. & Kivipelto, M. (2018). Healthy dietary changes in midlife are associated with a reduced dementia risk later in life. In: : . Paper presented at 15th International Congress of Behavioral Medicine, 14-17 November, Santiago, Chile.
Open this publication in new window or tab >>Healthy dietary changes in midlife are associated with a reduced dementia risk later in life
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2018 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-43421 (URN)
Conference
15th International Congress of Behavioral Medicine, 14-17 November, Santiago, Chile
Available from: 2019-04-04 Created: 2019-04-04 Last updated: 2019-04-08
Sindi, S., Kåreholt, I., Eskelinen, M., Hooshmand, B., Lehtisalo, J., Soininen, H., . . . Kivipelto, M. (2018). Healthy dietary changes in midlife are associated with reduced dementia risk later in life. Nutrients, 10(11), Article ID 1649.
Open this publication in new window or tab >>Healthy dietary changes in midlife are associated with reduced dementia risk later in life
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2018 (English)In: Nutrients, ISSN 2072-6643, E-ISSN 2072-6643, Vol. 10, no 11, article id 1649Article in journal (Refereed) Published
Abstract [en]

Diet is an important modifiable lifestyle factor related to dementia risk. Yet, the role of midlife dietary changes is unclear. The goal is to investigate whether midlife healthy dietary changes are associated with late-life dementia risk. Data were collected within the Cardiovascular Risk Factors, Aging, and Dementia (CAIDE) population-based cohort study (n = 2000) (mean baseline age = 56 years). Participants returned for two late-life re-examinations (mean age = 70 and 78 years). Self-reported midlife diet was measured in a sub-sample (n = 341) (mean total follow-up = 16.8 years). Changes in specific dietary components (fats, vegetables, sugar, salt) were measured in midlife. Dementia diagnoses were ascertained with detailed examinations. Analyses adjusted for potential confounders. Total midlife healthy dietary changes (improving quality of fats, increasing vegetables, decreasing sugar and salt) were associated with a reduced risk of dementia (fully adjusted odds ratio (OR) 0.41, 95% confidence interval (CI) = 0.20–0.85). In contrast, when each factor was assessed individually, associations were not significant. This study is the first to show that beneficial midlife dietary changes are associated with a reduced dementia risk later in life. The results highlight the importance of targeting dietary patterns, where various food items may have synergistic effects. 

Place, publisher, year, edition, pages
MDPI, 2018
Keywords
Dementia, Diet, Dietary change, Midlife protective factors, Public health
National Category
Nutrition and Dietetics Neurology
Identifiers
urn:nbn:se:hj:diva-42099 (URN)10.3390/nu10111649 (DOI)000451547700087 ()30400288 (PubMedID)2-s2.0-85056095071 (Scopus ID)HHJARNIS (Local ID)HHJARNIS (Archive number)HHJARNIS (OAI)
Available from: 2018-11-21 Created: 2018-11-21 Last updated: 2018-12-17Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-8617-0355

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