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Hellström, A., Hagell, P., Broström, A., Ulander, M., Luik, A. I., Espie, C. A. & Årestedt, K. (2019). A classical test theory evaluation of the Sleep Condition Indicator accounting for the ordinal nature of item response data. PLoS ONE, 14(3), 1-13, Article ID e0213533.
Open this publication in new window or tab >>A classical test theory evaluation of the Sleep Condition Indicator accounting for the ordinal nature of item response data
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2019 (English)In: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 14, no 3, p. 1-13, article id e0213533Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Insomnia symptoms are common among young adults and affect about 5% to 26% of 19 to 34-year-olds. In addition, insomnia is associated with poor mental health and may affect daily performance. In research, as well as in clinical practice, sleep questionnaires are used to screen for and diagnose insomnia. However, most questionnaires are not developed according to current DSM-5 diagnostic criteria. An exception is the recently developed Sleep Condition Indicator (SCI), an eight-item scale screening for insomnia.

AIM: The aim of this study was to perform a Classical Test Theory (CTT) based psychometric evaluation of the SCI in a sample of Swedish university students, by taking the ordinal nature of item level data into account.

METHODS: The SCI was translated into Swedish and distributed online to undergraduate students at three Swedish universities, within programs of health, psychology, science or economy. Of 3673 invited students, 634 (mean age 26.9 years; SD = 7.4) completed the questionnaire that, in addition to the SCI, comprised other scales on sleep, stress, lifestyle and students' study environment. Data were analyzed according to CTT investigating data completeness, item homogeneity and unidimensionality.

RESULTS: Polychoric based explorative factor analysis suggested unidimensionality of the SCI, and internal consistency was good (Cronbach's alpha, 0.91; ordinal alpha, 0.94). SCI scores correlated with the Insomnia Severity Index (-0.88) as well as with sleep quality (-0.85) and perceived stress (-0.50), supporting external construct validity.

CONCLUSIONS: These observations support the integrity of the of the SCI. The SCI demonstrates sound CTT-based psychometric properties, supporting its use as an insomnia screening tool.

Place, publisher, year, edition, pages
Public Library of Science, 2019
National Category
Psychology Neurology
Identifiers
urn:nbn:se:hj:diva-43397 (URN)10.1371/journal.pone.0213533 (DOI)000461166300038 ()30870454 (PubMedID)2-s2.0-85062951355 (Scopus ID)GOA HHJ 2019;HHJADULTIS (Local ID)GOA HHJ 2019;HHJADULTIS (Archive number)GOA HHJ 2019;HHJADULTIS (OAI)
Available from: 2019-03-29 Created: 2019-03-29 Last updated: 2019-03-29Bibliographically approved
Saffari, M., Lin, C.-Y., Koenig, H. G., O’Garo, K.-G. N., Broström, A. & Pakpour, A. H. (2019). A Persian version of the Affiliate Stigma Scale in caregivers of people with dementia. Health Promotion Perspectives, 9(1), 31-39
Open this publication in new window or tab >>A Persian version of the Affiliate Stigma Scale in caregivers of people with dementia
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2019 (English)In: Health Promotion Perspectives, ISSN 2228-6497, Vol. 9, no 1, p. 31-39Article in journal (Refereed) Published
Abstract [en]

Background:

Dementia is prevalent among older adults and frequently causes dependence on family caregivers. Caregivers may experience a form of stigmatization called affiliate stigma that negatively affects their mental health. The current study sought to establish the psychometric properties of a tool to measure affiliate stigma among Iranian caregivers.

Methods:

Overall, 541 caregivers of older people with dementia were included in this cross-sectional study. Several measures were used to assess the psychometric properties of the Affiliate Stigma Scale (ASS) including the Zarit Burden Interview (ZBI), Hospital Anxiety and Depression Scale (HADS), Short Form 12 (SF-12), Rosenberg Self-Esteem Scale (RSES), and Multidimensional Scale of Perceived Social Support (MSPSS). Convergent and discriminate validity were examined. Exploratory and confirmatory factor analyses were utilized to assess the factor structure of the ASS and a Rasch model was used to evaluate the measurement functioning of the scale.

Results:

Factor loadings ranged from 0.69 to 0.83 and test-retest reliability from 0.72 to 0.89. Item difficulty ranged widely from -0.66 to 0.89. No considerable differential item functioning (DIF) was found across gender. Confirmatory factor analysis confirmed the three cognitive, affective, and behavioral dimensions of the scale (comparative fit index [CFI]=0.931 to 0.995, root mean square error of approximation [RMSEA]=0.046 to 0.068). Internal consistency was acceptable (Cronbach’s alpha: 0.88 to 0.94). Significant and positive relationships were found between affiliate stigma and depression, anxiety, and caregiving burden (beta = 0.35 to 0.46).

Conclusion:

The ASS is a psychometrically valid measure for assessing affiliate stigma in Iranian caregivers of people with dementia. Application of this tool among other caregivers, languages and cultures deserves further study.

Place, publisher, year, edition, pages
Tabriz University of Medical Sciences, 2019
Keywords
Stigma, Family caregivers, Dementia, Psychometrics
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-43112 (URN)10.15171/hpp.2019.04 (DOI)000456575000004 ()30788265 (PubMedID)2-s2.0-85065551653 (Scopus ID)POA HHJ;HHJADULTIS (Local ID)POA HHJ;HHJADULTIS (Archive number)POA HHJ;HHJADULTIS (OAI)
Available from: 2019-02-20 Created: 2019-02-20 Last updated: 2019-06-12Bibliographically approved
Lin, C.-Y., Cheng, A. S. K., Nejati, B., Imani, V., Ulander, M., Browall, M., . . . Pakpour, A. H. (2019). A thorough psychometric comparison between Athens Insomnia Scale and Insomnia Severity Index among patients with advanced cancer. Journal of Sleep Research, Article ID e12891.
Open this publication in new window or tab >>A thorough psychometric comparison between Athens Insomnia Scale and Insomnia Severity Index among patients with advanced cancer
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2019 (English)In: Journal of Sleep Research, ISSN 0962-1105, E-ISSN 1365-2869, article id e12891Article in journal (Refereed) Epub ahead of print
Abstract [en]

For patients with cancer, sleep disturbance is commonplace. Using classical test theory and Rasch analyses, the present study compared two commonly used psychometric instruments for insomnia – Athens Insomnia Scale and Insomnia Severity Index – among patients with advanced cancer. Through convenience sampling, patients with cancer at stage III or IV (n = 573; 326 males; mean age = 61.3 years; SD = 10.7) from eight oncology units of university hospitals in Iran participated in the study. All the participants completed the Athens Insomnia Scale, Insomnia Severity Index, Edmonton Symptom Assessment Scale, Hospital Anxiety and Depression Scale, General Health Questionnaire-12, Epworth Sleepiness Scale and Pittsburgh Sleep Quality Index. Additionally, 433 participants wore an Actigraph device for two continuous weekdays. Classical test theory and Rasch analysis both supported the construct validity for Athens Insomnia Scale (factor loadings from confirmatory factor analysis = 0.61–0.87; test–retest reliability = 0.72–0.82; infit mean square = 0.81–1.17; outfit MnSq = 0.79–1.14) and for Insomnia Severity Index (factor loadings from confirmatory factor analysis = 0.61–0.81; test–retest reliability = 0.72–0.82; infit mean square = 0.72–1.14; outfit mean square = 0.76–1.11). Both Athens Insomnia Scale and Insomnia Severity Index had significant associations with Edmonton Symptom Assessment Scale, Hospital Anxiety and Depression Scale, General Health Questionnaire-12, Epworth Sleepiness Scale and Pittsburgh Sleep Quality Index, as well as having good sensitivity and specificity. Significant differences in the actigraphy measure were found between insomniacs and non-insomniacs based on Athens Insomnia Scale or Insomnia Severity Index score. With promising results, healthcare providers can use either Athens Insomnia Scale or Insomnia Severity Index to understand the insomnia of patients with advanced cancer. 

Place, publisher, year, edition, pages
John Wiley & Sons, 2019
Keywords
confirmatory factor analysis, insomnia, oncology, psychometrics, Rasch analysis, sleep disorders
National Category
Neurology
Identifiers
urn:nbn:se:hj:diva-45538 (URN)10.1111/jsr.12891 (DOI)31328319 (PubMedID)2-s2.0-85069828622 (Scopus ID);HHJADULTIS (Local ID);HHJADULTIS (Archive number);HHJADULTIS (OAI)
Available from: 2019-08-12 Created: 2019-08-12 Last updated: 2019-08-12
Strand, M., Broström, A. & Haugstvedt, A. (2019). Adolescents' perceptions of the transition process from parental management to self-management of type 1 diabetes.. Scandinavian Journal of Caring Sciences, 33(1), 128-135
Open this publication in new window or tab >>Adolescents' perceptions of the transition process from parental management to self-management of type 1 diabetes.
2019 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 33, no 1, p. 128-135Article in journal (Refereed) Published
Abstract [en]

AIM: The aim of this study was to describe how adolescents perceive the transition from being dependent on their parents to managing their own type 1 diabetes.

DESIGN: An explorative design with a phenomenographic approach was used.

METHODS: Semistructured interviews took place during 2016-2017 with 18 strategically sampled adolescents (7 boys and 11 girls, aged 16-18 years) with type 1 diabetes from five Norwegian paediatric diabetes centres.

FINDINGS: Three descriptive categories, each comprising three perceptions, emerged: (1) Taking responsibility for own diabetes is a process comprised 'It is natural to take over responsibility for own diabetes', 'Expectations from parents and healthcare personnel', and 'The adolescents want more independence'. (2) Taking responsibility for own diabetes was dependent on coping comprised 'Feeling proud to handle their own diabetes', 'The transition is like a roller coaster', and 'Taking responsibility means that it is your fault if you make mistakes'. (3) It is demanding to take responsibility for own diabetes comprised 'Taking responsibility for own diabetes requires knowledge and skills', 'It is time-consuming to take responsibility for own diabetes', and 'Having responsibility for own diabetes is like being examined every day'.

CONCLUSIONS: Adolescents want to take over the responsibility for their diabetes treatment from their parents, but they need knowledge, experience and skills to succeed. Parents, friends and health professionals are important supporters during the transition.

RELEVANCE TO CLINICAL PRACTICE: Health professionals need to know their patients to identify the adolescents' need for support. Self-care is considered essential in the management of diabetes. Education sessions are an important part of the transition to control own diabetes. Such education should also include parents and friends.

Place, publisher, year, edition, pages
John Wiley & Sons, 2019
Keywords
adolescents, interviews, phenomenographic approach, qualitative method, transition, type 1 diabetes
National Category
Endocrinology and Diabetes
Identifiers
urn:nbn:se:hj:diva-41572 (URN)10.1111/scs.12611 (DOI)000462154100013 ()30152532 (PubMedID)2-s2.0-85053204767 (Scopus ID)HHJADULTIS (Local ID)HHJADULTIS (Archive number)HHJADULTIS (OAI)
Available from: 2018-09-25 Created: 2018-09-25 Last updated: 2019-04-11Bibliographically approved
Ericsson, C., Skagerström, J., Schildmeijer, K., Årestedt, K., Broström, A., Pakpour, A. H. & Nilsen, P. (2019). Can patients contribute to safer care in meetings with healthcare professionals? A cross-sectional survey of patient perceptions and beliefs.. BMJ Quality and Safety, 28(8), 657-666, Article ID bmjqs-2018-008524.
Open this publication in new window or tab >>Can patients contribute to safer care in meetings with healthcare professionals? A cross-sectional survey of patient perceptions and beliefs.
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2019 (English)In: BMJ Quality and Safety, ISSN 2044-5415, E-ISSN 2044-5423, Vol. 28, no 8, p. 657-666, article id bmjqs-2018-008524Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: To investigate patients' perceptions of their meetings with healthcare professionals and the extent to which they believe they can influence patient safety in these meetings.

DESIGN: Cross-sectional survey of patients using a study-specific questionnaire. Data were analysed using both parametric and non-parametric statistics.

SETTING: The study was conducted in primary and secondary care in three county councils in southeast Sweden by means of a survey questionnaire despatched in January 2017.

PARTICIPANTS: Survey data were collected from 1445 patients, 333 of whom were complainants (patients who had filed a complaint about being harmed in healthcare) and 1112 regular patients (patients recruited from healthcare units).

MAIN OUTCOME MEASURES: Patients' perceptions of meetings with physicians and nurses, beliefs concerning patients' contributions to safer care and whether the patients had suffered harm in healthcare during the past 10 years.

RESULTS: Most respondents reported that it was easy to ask physicians and nurses questions (84.9% and 86.6%) and to point out if something felt odd in their care (77.7% and 80.7%). In general, complainants agreed to a higher extent compared with regular patients that patients can contribute to safer care (mean 1.92 and 2.13, p<0.001). Almost one-third (31.2%) of the respondents (both complainants and regular patients) reported that they had suffered harm in healthcare during the past 10 years.

CONCLUSIONS: Most respondents believed that healthcare professionals can facilitate patient interaction and increase patient safety by encouraging patients to ask questions and take an active part in their care. Further research will need to identify strategies to support such questioning in routine practice and ensure that it achieves its intended goals.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2019
Keywords
adverse events, epidemiology and detection, medical error, measurement/epidemiology, patient safety, patient satisfaction
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Nursing
Identifiers
urn:nbn:se:hj:diva-44175 (URN)10.1136/bmjqs-2018-008524 (DOI)000477894500008 ()31018984 (PubMedID)2-s2.0-85065298242 (Scopus ID)HOA HHJ 2019;HHJÖvrigtIS (Local ID)HOA HHJ 2019;HHJÖvrigtIS (Archive number)HOA HHJ 2019;HHJÖvrigtIS (OAI)
Available from: 2019-06-07 Created: 2019-06-07 Last updated: 2019-08-09Bibliographically approved
Nejati, B., Lin, C.-C., Aaronson, N. K., Cheng, A. S. K., Browall, M., Lin, C.-Y., . . . Pakpour, A. H. (2019). Determinants of satisfactory patient communication and shared decision making in patients with multiple myeloma. Psycho-Oncology, 28(7), 1490-1497
Open this publication in new window or tab >>Determinants of satisfactory patient communication and shared decision making in patients with multiple myeloma
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2019 (English)In: Psycho-Oncology, ISSN 1057-9249, E-ISSN 1099-1611, Vol. 28, no 7, p. 1490-1497Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To identify determinants of shared decision making in patients with multiple myeloma (MM) to facilitate the design of a program to maximize the effects of shared decision making.

METHODS: This prospective longitudinal study recruited 276 adult patients (52% male, mean age 62.86 y, SD 15.45). Each patient completed the eHealth Literacy Scale (eHEALS), Multidimensional Trust in Health Care Systems Scale (MTHCSS), Patient Communication Pattern Scale (PCPS), and 9-Item Shared Decision-Making Questionnaire (SDM-Q-9) at baseline and the SDM-Q-9 again 6 months later. One family member of the patient completed the Family Decision-Making Self-Efficacy (FDMSE) at baseline. Structural equation modeling (SEM) was used to investigate the associations between eHealth literacy (eHEALS), trust in the health care system (MTHCSS), self-efficacy in family decision making (FDMSE), patient communication pattern (PCPS), and shared decision making (SDM-Q-9).

RESULTS: SEM showed satisfactory fit (comparative fit index = 0.988) and significant correlations between the following: eHealth literacy and trust in the health care system (β = 0.723, P < 0.001); eHealth literacy and patient communication pattern (β = 0.242, P < 0.001); trust in the health care system and patient communication pattern (β = 0.397, P < 0.001); self-efficacy in family decision making and patient communication pattern (β = 0.264, P < 0.001); eHealth literacy and shared decision making (β = 0.267, P < 0.001); and patient communication pattern and shared decision making (β = 0.349, P < 0.001).

CONCLUSIONS: Patient communication and eHealth literacy were found to be important determinants of shared decision making. These factors should be taken into consideration when developing strategies to enhance the level of shared decision making.

Place, publisher, year, edition, pages
John Wiley & Sons, 2019
Keywords
cancer, multiple myeloma, oncology, patient communication, shared decision making, structural equation modeling
National Category
Cancer and Oncology
Identifiers
urn:nbn:se:hj:diva-45078 (URN)10.1002/pon.5105 (DOI)31087365 (PubMedID)2-s2.0-85066822686 (Scopus ID);HHJADULTIS,HHJIMPROVEIS (Local ID);HHJADULTIS,HHJIMPROVEIS (Archive number);HHJADULTIS,HHJIMPROVEIS (OAI)
Available from: 2019-06-25 Created: 2019-06-25 Last updated: 2019-07-14Bibliographically approved
Lin, C.-Y., Imani, V., Broström, A., Årestedt, K., Pakpour, A. H. & Griffiths, M. D. (2019). Evaluating the Psychometric Properties of the 7-Item Persian Game Addiction Scale for Iranian Adolescents.. Frontiers in Psychology, 10, Article ID 149.
Open this publication in new window or tab >>Evaluating the Psychometric Properties of the 7-Item Persian Game Addiction Scale for Iranian Adolescents.
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2019 (English)In: Frontiers in Psychology, ISSN 1664-1078, E-ISSN 1664-1078, Vol. 10, article id 149Article in journal (Refereed) Published
Abstract [en]

The 7-item Gaming Addiction Scale (GAS) is a brief instrument based on DSM criteria to assess gaming addiction. Although the psychometric properties of the GAS have been tested using classical test theory, its psychometric properties have never been tested using modern test theory (e.g., Rasch analysis). The present study used a large adolescent sample in Iran to test the psychometric properties of the Persian GAS through both classical test and modern test theories. Adolescents (n = 4442; mean age = 15.3 years; 50.3% males) were recruited from Qazvin, Iran. In addition to the GAS, all of them completed the following instruments: the nine-item Internet Gaming Disorder Scale-Short Form (IGDS-SF9), Depression Anxiety Stress Scale (DASS), Pittsburgh Sleep Quality Index (PSQI), and a generic quality of life instrument. Two weeks later, all participants completed the GAS again. Confirmatory factor analysis (CFA) and Rasch analysis were used to test the unidimensionality of the GAS. Pearson correlation coefficients were used to test the test-retest reliability, and a regression model was used to test the criterion-related validity of the GAS. Both CFA and Rasch analysis supported the unidimensionality of the GAS. Pearson correlations coefficients showed satisfactory test-retest reliability of the GAS (r = 0.78 to 0.86), and the regression model demonstrated the criterion-related validity of the GAS (β = 0.31 with IGDS-SF9; 0.41 with PSQI). Based on the results, the Persian GAS is a reliable and valid instrument for healthcare providers to assess the level of gaming addiction among Persian-speaking adolescents.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2019
Keywords
Rasch model, adolescent gaming, confirmatory factor analysis, gaming addiction, online addiction
National Category
Psychology
Identifiers
urn:nbn:se:hj:diva-43223 (URN)10.3389/fpsyg.2019.00149 (DOI)000457845600002 ()30804841 (PubMedID)2-s2.0-85061038332 (Scopus ID)GOA HHJ 2019;HHJADULTIS (Local ID)GOA HHJ 2019;HHJADULTIS (Archive number)GOA HHJ 2019;HHJADULTIS (OAI)
Available from: 2019-03-01 Created: 2019-03-01 Last updated: 2019-03-01Bibliographically approved
Neher, M., Nygårdh, A., Nilsen, P., Broström, A. & Johansson, P. (2019). Implementing internet-delivered cognitive behavioural therapy for patients with cardiovascular disease and psychological distress: a scoping review. European Journal of Cardiovascular Nursing, 18(5), 346-357
Open this publication in new window or tab >>Implementing internet-delivered cognitive behavioural therapy for patients with cardiovascular disease and psychological distress: a scoping review
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2019 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 18, no 5, p. 346-357Article, review/survey (Refereed) Published
Abstract [en]

BACKGROUND: Comorbid psychological distress (i.e. insomnia and depression) is experienced by 20-40% of patients with cardiovascular disease. This has a considerable impact on their health and quality of life, leading to frequent re-hospitalisations, higher healthcare costs and a shorter life expectancy. Internet-based cognitive behavioural therapy shows great potential for treating psychological distress in cardiovascular disease. Effective and feasible treatments can, however, only benefit patients if they are fully implemented in clinical care.

AIM: This scoping review aimed to explore the literature for internet-based cognitive behavioural therapy in cardiovascular disease and for strategies to implement the intervention.

METHODS: We searched electronic databases, journals and internet sources to find original studies about internet-based cognitive behavioural therapy in cardiovascular disease, adhering to scoping methodology guidelines. After identifying 267 titles, we screened 40 abstracts and chose 11 full-text articles for full-text screening. The results sections in four articles were searched for outcomes that related to the effectiveness and implementation of internet-based cognitive behavioural therapy by directed qualitative content analysis using an implementation framework.

RESULTS: Three of the four articles fulfilling the inclusion criteria concerned internet-based cognitive behavioural therapy for treating mild to moderate depressive symptoms in cardiovascular disease, and none focused on insomnia. The studies showed evidence for the effectiveness of internet-based cognitive behavioural therapy, and/or described patient factors influencing clinical effectiveness. Our qualitative content analysis showed that many implementation aspects and stakeholder perspectives remain unexplored.

CONCLUSIONS: Internet-based cognitive behavioural therapy promises to alleviate patient suffering in cardiovascular disease. There is, however, little research about internet-based cognitive behavioural therapy for cardiovascular disease, and about how this evidence-based intervention is implemented.

Place, publisher, year, edition, pages
Sage Publications, 2019
Keywords
Implementation, computer-assisted therapy, depression, insomnia, internet, remote consultation
National Category
Cardiac and Cardiovascular Systems Psychiatry
Identifiers
urn:nbn:se:hj:diva-43367 (URN)10.1177/1474515119833251 (DOI)000469834300002 ()30795698 (PubMedID)2-s2.0-85062326670 (Scopus ID)
Available from: 2019-03-21 Created: 2019-03-21 Last updated: 2019-06-20Bibliographically approved
Alimoradi, Z., Lin, C.-Y., Broström, A., Bülow, P. H., Bajalan, Z., Griffiths, M. D., . . . Pakpour, A. H. (2019). Internet addiction and sleep problems: A systematic review and meta-analysis. Sleep Medicine Reviews, 47, 51-61
Open this publication in new window or tab >>Internet addiction and sleep problems: A systematic review and meta-analysis
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2019 (English)In: Sleep Medicine Reviews, ISSN 1087-0792, E-ISSN 1532-2955, Vol. 47, p. 51-61Article, review/survey (Refereed) Published
Abstract [en]

The pathological use of the internet – conceptualized as ‘internet addiction’ – might be crucial in initiating and increasing sleep disturbances in the community. While inconsistent evidence is reported regarding the association of internet addiction and sleep disturbances, the severity of this association remains unclear. This systematic review and meta-analysis were conducted to increase our understanding of the relationship between internet addiction and sleep disturbances. A systematic review was conducted through Scopus, PubMed Central, ProQuest, ISI Web of Knowledge, and EMBASE using keywords related to internet addiction and sleep problems. Observational studies (cohort, case-control or cross-sectional studies) focusing on association between internet addiction and sleep disturbances including sleep problems and sleep duration were selected. A meta-analysis using random-effect model was conducted to calculate the odds ratio (OR) for experiencing sleep problems and standardized mean differences (SMDs) for sleep duration. Eligible studies (N = 23) included 35,684 participants. The overall pooled OR of having sleep problems if addicted to the internet was 2.20 (95% CI: 1.77–2.74). Additionally, the overall pooled SMDs for sleep duration for the IA group compared to normal internet users was −0.24 (95% CI: −0.38, −0.10). Results of the meta-analysis revealed a significant OR for sleep problems and a significant reduced sleep duration among individuals addicted to the internet.

Place, publisher, year, edition, pages
Elsevier, 2019
Keywords
Internet addiction, Meta-analysis, Problematic internet use, Sleep problems, Systematic review, diagnostic accuracy, diagnostic error, disease association, human, Pittsburgh Sleep Quality Index, psychometry, Review, sleep disorder, sleep quality, sleep time, validation process
National Category
Neurology
Identifiers
urn:nbn:se:hj:diva-45441 (URN)10.1016/j.smrv.2019.06.004 (DOI)31336284 (PubMedID)2-s2.0-85069606681 (Scopus ID)PP HHJ 2019 embargo 12;HHJADULTIS,HHJSALVEIS (Local ID)PP HHJ 2019 embargo 12;HHJADULTIS,HHJSALVEIS (Archive number)PP HHJ 2019 embargo 12;HHJADULTIS,HHJSALVEIS (OAI)
Available from: 2019-08-05 Created: 2019-08-05 Last updated: 2019-08-20Bibliographically approved
Eriksson, K., Årestedt, K., Broström, A. & Wikström, L. (2019). Nausea intensity as a reflector of early physical recovery after surgery. Journal of Advanced Nursing, 75(5), 989-999
Open this publication in new window or tab >>Nausea intensity as a reflector of early physical recovery after surgery
2019 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 75, no 5, p. 989-999Article in journal (Refereed) Published
Abstract [en]

Aim: To compare different levels of self-rated average nausea intensity with early physical recovery and determine if nausea can reflect recovery in patients undergoing general or orthopaedic surgery.

Background: Nausea has been found to influence postoperative physical recovery. Despite the incidence of nausea in postoperative care, there is a knowledge gap about the possibility of using average nausea intensity to reflect recovery, motivating further investigation.

Design: An observational design with repeated measures.

Methods: General and orthopaedic patients answered a questionnaire (October 2012–January 2015) about nausea and impact on recovery on postoperative days 1 (N = 479) and 2 (N = 441). Questions about average nausea intensity at rest and during activity were answered based on the Numeric Rating Scale (NRS) (0–10). Impact on recovery was evaluated using three dimensions from the postoperative recovery profile tool.

Results: About one-fifth of the patients reported nausea intensity as moderate to severe on days 1 and 2. Nausea intensity was associated with eight of nine aspects of recovery on postoperative day 1. Nausea intensity on day 1 also reflected four of nine aspects of recovery on day 2. About reflecting physical recovery, the association was strongest between nausea intensity and appetite changes.

Conclusions: As postoperative nausea is common, regular assessments by healthcare professionals are needed. Assessment of nausea is of importance since it reflects physical recovery. This also shows the importance of treating nausea without delay. Using the NRS to measure nausea intensity is a simple method that is easy to use in clinic. 

Place, publisher, year, edition, pages
John Wiley & Sons, 2019
Keywords
nausea, numeric rating scale, nursing, physical recovery, postoperative care
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-42336 (URN)10.1111/jan.13893 (DOI)000465107000008 ()30375009 (PubMedID)2-s2.0-85057897106 (Scopus ID)PP HHJ 2019 embargo 12 (Local ID)PP HHJ 2019 embargo 12 (Archive number)PP HHJ 2019 embargo 12 (OAI)
Funder
Futurum - Academy for Health and Care, Jönköping County Council, Sweden, 598311Medical Research Council of Southeast Sweden (FORSS), 376851
Available from: 2018-12-18 Created: 2018-12-18 Last updated: 2019-05-27Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-1884-5696

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