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  • 1.
    Alijanzadeh, M.
    et al.
    Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, 3419759811, Iran.
    Ahorsu, D. K.
    Department of Rehabilitation Sciences, Faculty of Health & Social Sciences, The Hong Kong Polytechnic University, 11 Yuk Choi Rd Hung Hom, Hong Kong.
    Alimoradi, Z.
    Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, 3419759811, Iran.
    Mahmoudi, N.
    Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, 3419759811, Iran.
    Griffiths, M. D.
    Psychology Department, Nottingham Trent University, Nottingham, NG3 5DS, United Kingdom.
    Lin, C. -Y
    Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, 701401, Taiwan.
    Liu, H. -K
    Department of Pediatrics, E-DA Hospital, Kaohsiung, 82445, Taiwan.
    Pakpour, Amir H.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Fear of covid-19 and trust in the healthcare system mediates the association between individual’s risk perception and preventive covid-19 behaviours among iranians2021In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 18, no 22, article id 12146Article in journal (Refereed)
    Abstract [en]

    Problems caused by the novel coronavirus disease-2019 (COVID-19) and its mutations have brought challenges in pandemic control for all countries worldwide. The present study examines the mediating roles of fear of COVID-19 and trust in the healthcare system in the association between individual’s risk perception and performing preventive COVID-19 behaviours among Iranians. A cross-sectional study design was used to collect data from 3652 residents of Qazvin province in Iran from 3 February to 15 April 2021 using a multistage stratified cluster sampling method. Participants responded to an online questionnaire concerning their fear of COVID-19, risk perception, trust in the healthcare system, and preventive COVID-19 behaviours. Small to medium positive interrelationships were observed between the variables of the study. Fear of COVID-19, trust in the healthcare system or both (fear of COVID-19 and trust in the healthcare system) mediated the association between an individual’s risk perception and performing preventive COVID-19 behaviours. The study demonstrated there are at least four ways through which an individual’s risk perception can influence preventive COVID-19 behaviours. Therefore, clinicians, health communicators, and researchers may capitalize on these findings to enhance preventive COVID-19 behaviours to help mitigate the spread of COVID-19 infection.

  • 2.
    Alimoradi, Zainab
    et al.
    Qazvin Univ Med Sci, Res Inst Prevent Non Communicable Dis, Social Determinants Hlth Res Ctr, Qazvin 3419759811, Iran..
    Jafari, Elahe
    Qazvin Univ Med Sci, Res Inst Prevent Non Communicable Dis, Social Determinants Hlth Res Ctr, Qazvin 3419759811, Iran..
    Potenza, Marc N.
    Yale Univ, Ctr Child Study, Sch Med, Dept Psychiat, New Haven, CT 06511 USA.;Yale Univ, Ctr Child Study, Sch Med, Dept Neurosci, New Haven, CT 06511 USA..
    Lin, Chung-Ying
    Natl Cheng Kung Univ, Coll Med, Inst Allied Hlth Sci, Univ Rd, Tainan 701401, Taiwan..
    Wu, Chien-Yi
    E Da Hosp, Dept Pediat, Kaohsiung 82445, Taiwan.;I Shou Univ, Sch Med, Coll Med, Kaohsiung 82445, Taiwan..
    Pakpour, Amir H.
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Nursing Science. Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jonkoping Univ, Sch Hlth & Welf, Dept Nursing, S-55318 Jonkoping, Sweden..
    Binge-Watching and Mental Health Problems: A Systematic Review and Meta-Analysis2022In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, no 15, article id 9707Article, review/survey (Refereed)
    Abstract [en]

    Background: Binge-watching, the viewing of online videos or streamed content, may be associated with different types of mental health problems. The present study aimed to investigate the associations between binge-watching and five mental health concerns including depression, loneliness, sleep problems, anxiety, and stress. Methods: Academic databases of PubMed, Scopus, Web of Science, ProQuest, PsycINFO, and Psych Articles were systematically searched through February of 2022. The Newcastle-Ottawa Scale was used to assess the methodological quality. A meta-analysis was performed on Fisher's z values as effect sizes, using a random effect model. Publication bias, small study effect, and moderators in this association were assessed. Results: Binge-watching was significantly associated with the five types of mental health concerns with the most robust correlations found with stress (0.32) and anxiety (0.25). Stronger associations between binge-watching and two types of mental health problems (depression and sleep problems) were found during the COVID-19 pandemic than before the pandemic. Moreover, stronger associations between binge-watching and two types of mental health problems (stress and sleep problems) were found in developing countries than in developed countries. Conclusions: The associations between binge-watching and mental health concerns were significant and positive. Programs and interventions to reduce binge-watching should be considered and tested.

  • 3.
    Broberg, P.
    et al.
    Department of Management and Engineering, Business Administration Division, Linköping University, Linköping, 58183, Sweden.
    Tagesson, T.
    Department of Management and Engineering, Business Administration Division, Linköping University, Linköping, 58183, Sweden.
    Uman, Timur
    Jönköping University, Jönköping International Business School, JIBS, Business Administration. Jönköping University, Jönköping International Business School, JIBS, Centre for Family Entrepreneurship and Ownership (CeFEO). Jönköping University, Jönköping International Business School, JIBS, Media, Management and Transformation Centre (MMTC).
    Antecedents of psychological well-being among Swedish audit firm employees2020In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 17, no 10, article id 3346Article in journal (Refereed)
    Abstract [en]

    The attractiveness of audit firms as employers appears to have decreased in recent years and the audit profession is currently experiencing high employee turnover. A shortage of personnel increases the risk of long-term stress and illness. This paper therefore proposes audit firm employees’ well-being as an important research topic and explores the antecedents of well-being of Swedish audit firm employees in comparison with those of other business professionals. Based on a nationwide survey of members of the Swedish association of business professionals, with a focus on psychological well-being (measured through General Health Questionnaire-12 (GHQ-12)), the study shows that the psychological well-being of the professionals in this study generally aligns with the results from similar studies in a Swedish context. However, the findings indicate that audit industry respondents have the lowest psychological well-being and that employer change, job satisfaction, and life satisfaction were the strongest antecedents of their psychological well-being.

  • 4.
    Chen, J. -S
    et al.
    Department of Medical Research, E-Da Hospital, Kaohsiung, 82445, Taiwan.
    Huang, Y. -T
    Department of Social Work and Social Administration, The University of Hong Kong, RM543, Hong Kong.
    Lin, C. -Y
    Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, 70101, Taiwan.
    Yen, C. -F
    Department of Psychiatry, School of Medicine College of Medicine, Kaohsiung Medical University, Kaohsiung, 80708, Taiwan.
    Griffiths, M. D.
    International Gaming Research Unit, Psychology Department, Nottingham Trent University, Nottingham, NG1 4FQ, United Kingdom.
    Pakpour, Amir H.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Relationships of sexual orientation microaggression with anxiety and depression among lesbian, gay, and bisexual Taiwanese youth: Self-identity disturbance mediates but gender does not moderate the relationships2021In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 18, no 24, article id 12981Article in journal (Refereed)
    Abstract [en]

    The aims of this cross-sectional survey study were to examine the association between sexual orientation microaggression and anxiety and depression among young adult lesbian, gay, and bisexual (LGB) individuals in Taiwan, as well as to examine the mediating effect of self-identity disturbance and the moderating effect of gender. In total, 1000 self-identified LGB individuals participated in the study. The experience of sexual orientation microaggression was assessed using the Sexual Orientation Microaggression Inventory, self-identity disturbance was assessed using the Self-Concept and Identity Measure, anxiety was assessed using the State subscale on the Chinese version of the State-Trait Anxiety Inventory, and depression was assessed using the Center for Epidemiological Studies-Depression Scale. Structural equation modeling (SEM) was used to examine relationships between the variables. The SEM results demonstrated that sexual orientation microaggression was directly associated with increased anxiety and depression, as well as being indirectly associated with increased anxiety and depression via the mediation of self-identity disturbance among young adult LGB individuals. Gender did not moderate the relationships between any of the variables. Both sexual orientation microaggression and self-identity disturbance warrant program interventions for enhancing mental health among LGB individuals.

  • 5.
    Fan, Chia-Wei
    et al.
    AdventHlth Univ, Dept Occupat Therapy, Orlando, FL 32803 USA..
    Chang, Kun-Chia
    Minist Hlth & Welf, Dept Gen Psychiat, Jianan Psychiat Ctr, Tainan 71742, Taiwan..
    Lee, Kuan-Ying
    Minist Hlth & Welf, Dept Child & Adolescent Psychiat, Jianan Psychiat Ctr, Tainan 71742, Taiwan..
    Yang, Wen-Chi
    E DA Hosp, Dept Internal Med, Div Hematol & Med Oncol, Kaohsiung 82445, Taiwan.;I Shou Univ, Coll Med, Fac Sch Med, Kaohsiung 84001, Taiwan..
    Pakpour, Amir H.
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Nursing Science. Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jonkoping Univ, Sch Hlth & Welf, Dept Nursing, SE-55111 Jonkoping, Sweden..
    Potenza, Marc N.
    Yale Sch Med, Dept Psychiat, New Haven, CT 06510 USA.;Connecticut Mental Hlth Ctr, New Haven, CT 06519 USA.;Connecticut Council Problem Gambling, Wethersfield, CT 06109 USA.;Yale Sch Med, Child Study Ctr, New Haven, CT 06510 USA.;Yale Univ, Dept Neurosci, New Haven, CT 06511 USA.;Yale Univ, Wu Tsai Inst, New Haven, CT 06510 USA..
    Lin, Chung-Ying
    Natl Cheng Kung Univ, Coll Med, Inst Allied Hlth Sci, Tainan 70101, Taiwan.;Natl Cheng Kung Univ, Natl Cheng Kung Univ Hosp, Coll Med, Biostat Consulting Ctr, Tainan 70403, Taiwan.;Natl Cheng Kung Univ, Coll Med, Dept Publ Hlth, Tainan 70101, Taiwan.;Natl Cheng Kung Univ, Coll Med, Dept Occupat Therapy, Tainan 70101, Taiwan..
    Rasch Modeling and Differential Item Functioning of the Self-Stigma Scale-Short Version among People with Three Different Psychiatric Disorders2022In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, no 14, article id 8843Article in journal (Refereed)
    Abstract [en]

    Self-stigma is prevalent in individuals with psychiatric disorders and can profoundly affect people. A unified assessment with sound psychometric properties is needed for evaluating self-stigma across psychiatric conditions. The aim of this study was to examine the psychometric properties of the Self-Stigma Scale-Short version (SSS-S) using Rasch modeling. Six-hundred and twelve participants with substance use disorders (n = 319), attention-deficit/hyperactivity disorder (n = 100), and schizophrenia (n = 193) completed the SSS-S. Rasch results confirmed the unidimensionality of the nine items of the SSS-S. The four-point Likert scale of the SSS-S reflected monotonical increases along the self-stigma continuum. No ceiling or floor effects were detected. Among the three subdomains of the SSS-S, cognitive items appeared to be the most robustly endorsed, and behavioral items were the least endorsed. Two items in the SSS-S displayed differential item functioning across the three diagnoses. Additionally, SSS-S scores showed weak to moderate correlation with depression, anxiety, and stress scale scores. The SSS-S had overall satisfactory psychometric properties. Healthcare professionals may use this assessment to assess self-stigma in multiple psychiatric groups, and information gained may facilitate improved care.

  • 6.
    Fung, X. C. C.
    et al.
    Department of Rehabilitation Sciences, Hong Kong Polytechnic University, Hung Hom, Hong Kong, China.
    Pakpour, Amir H.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran.
    Wu, Y. -K
    School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
    Fan, C. -W
    Department of Occupational Therapy, AdventHealth University, Orlando, United States.
    Lin, C. -Y
    Department of Rehabilitation Sciences, Hong Kong Polytechnic University, Hung Hom, Hong Kong, Chin.
    Tsang, H. W. H.
    Department of Rehabilitation Sciences, Hong Kong Polytechnic University, Hung Hom, Hong Kong, Chin.
    Psychosocial Variables Related to Weight-Related Self-Stigma in Physical Activity among Young Adults across Weight Status2020In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 17, no 1, article id 64Article in journal (Refereed)
    Abstract [en]

    A healthy lifestyle with sufficient physical activity (PA) can contribute to weight management. Yet, many people do not maintain a healthy lifestyle. To explain PA, we propose a model that incorporates the Theory of Planned Behavior (TPB) with weight-related self-stigma. We recruited 325 young adults to complete questionnaires regarding their physical activities, weight-related self-stigma, and TPB factors. We used structural equation modeling to examine the model fit and the path invariance across weight groups. The model showed excellent model fit, but path invariance was not supported. Weight-related self-stigma significantly explained the perceived behavioral control, behavioral intention, and engagement of PA. People without overweight and people with overweight have different considerations for PA. Weight-related self-stigma is important for PA as well. To promote a healthy lifestyle, healthcare providers should provide different suggestions or interventions that suit their patients' weight-related concerns.

  • 7.
    Gaber, Sophie N.
    et al.
    Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden; Faculty of Brain Sciences, University College London, London, UK.
    Nygård, Louise
    Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
    Brorsson, Anna
    Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
    Kottorp, Anders
    Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden; Faculty of Health and Society, Malmö University, Malmö, Sweden.
    Charlesworth, Georgina
    Research Department of Clinical, Educational and Health Psychology, University College London, London, UK; Research and Development Department, North East London NHS Foundation Trust, Maggie Lilley Suite, Goodmayes Hospital, Essex, UK.
    Wallcook, Sarah
    Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden; Faculty of Brain Sciences, University College London, London, UK.
    Malinowsky, Camilla
    Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
    Social participation in relation to technology use and social deprivation: A mixed methods study among older people with and without dementia2020In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 17, no 11, p. 1-19, article id 4022Article in journal (Refereed)
    Abstract [en]

    Social participation is a modifiable determinant for health and wellbeing among older people; however, social participation is increasingly dependent on technology use. This study investigated social participation in relation to Everyday Technology use and social deprivation of the living environment, among older people with and without dementia in the United Kingdom. Sixty-four people with dementia and sixty-four people without dementia were interviewed using standardized questionnaires: The Participation in ACTivities and Places OUTside Home Questionnaire and Everyday Technology Use Questionnaire. A mixed methods approach integrated statistical analyses and content analysis of free-text responses, through data visualizations. Small, statistically significant associations were found between social participation and Everyday Technology use outside home, for participants with dementia (Rs = 0.247; p = 0.049) and without dementia (Rs = 0.343; p = 0.006). A small, statistically significant association was identified between social participation and social deprivation in the living environment, among only participants with dementia (Rs = 0.267, p = 0.033). The content analysis and graphical joint display revealed motivators, considerations that require extra attention, and strategies for managing social participation. The results underline how Everyday Technology use can be assistive to social participation but also the need to consider social deprivation of the living environment, especially among people with dementia. © 2020 by the authors. Licensee MDPI, Basel, Switzerland.

  • 8.
    Granlund, Mats
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Social Work. Jönköping University, School of Health and Welfare, HHJ. CHILD. Jönköping University, School of Education and Communication, HLK, CHILD. The Swedish Institute for Disability Research, Linköping, Sweden.
    Imms, Christine
    Department of Paediatrics, The University of Melbourne, Melbourne, Australia.
    King, Gillian
    Bloorview Research Institute, Torornto, Canada.
    Andersson, Anna Karin
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. CHILD. The Swedish Institute for Disability Research, Linköping, Sweden.
    Augustine, Lilly
    Jönköping University, School of Education and Communication, HLK, CHILD. Jönköping University, School of Health and Welfare, HHJ, Dept. of Social Work. Jönköping University, School of Health and Welfare, HHJ. CHILD. The Swedish Institute for Disability Research, Linköping, Sweden.
    Brooks, Rob
    School of Clinical and Applied Sciences, Leeds Beckett University, Leeds, UK.
    Danielsson, Henrik
    The Swedish Institute for Disability Research, Linköping, Sweden; Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
    Gothilander, Jennifer
    School of Health Sciences, Mälardalen University, Västeras, Sweden.
    Ivarsson, Magnus
    The Swedish Institute for Disability Research, Linköping, Sweden.
    Lundqvist, Lars-Olov
    The Swedish Institute for Disability Research, Linköping, Sweden; University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden .
    Lygnegård, Frida
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. CHILD. The Swedish Institute for Disability Research, Linköping, Sweden.
    Almqvist, Lena
    School of Health Sciences, Mälardalen University, Västerås, Sweden.
    Definitions and operationalization of mental health problems, wellbeing and participation constructs in children with NDD: Distinctions and clarifications2021In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 18, no 4, article id 1656Article in journal (Refereed)
    Abstract [en]

    Children with impairments are known to experience more restricted participation than other children. It also appears that low levels of participation are related to a higher prevalence of mental health problems in children with neurodevelopmental disorders (NDD). The purpose of this conceptual paper is to describe and define the constructs mental health problems, mental health, and participation to ensure that future research investigating participation as a means to mental health in children and adolescents with NDD is founded on conceptual clarity. We first discuss the difference between two aspects of mental health problems, namely mental disorder and mental illness. This discussion serves to highlight three areas of conceptual difficulty and their consequences for understanding the mental health of children with NDD that we then consider in the article: (1) how to define mental health problems, (2) how to define and assess mental health problems and mental health, i.e., wellbeing as separate constructs, and (3) how to describe the relationship between participation and wellbeing. We then discuss the implications of our propositions for measurement and the use of participation interventions as a means to enhance mental health (defined as wellbeing). Conclusions: Mental disorders include both diagnoses related to impairments in the developmental period, i.e., NDD and diagnoses related to mental illness. These two types of mental disorders must be separated. Children with NDD, just like other people, may exhibit aspects of both mental health problems and wellbeing simultaneously. Measures of wellbeing defined as a continuum from flourishing to languishing for children with NDD need to be designed and evaluated. Wellbeing can lead to further participation and act to protect from mental health problems.

  • 9.
    Hjelmfors, L.
    et al.
    Department of Health Medicine and Caring Sciences, Linköping University, Linköping, 581 83, Sweden.
    Mårtensson, Jan
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Strömberg, A.
    Department of Health Medicine and Caring Sciences, Linköping University, Linköping, 581 83, Sweden.
    Sandgren, A.
    Center for Collaborative Palliative Care, Department of Health and Caring Sciences, Linnaeus University, Växjö, 351 95, Sweden.
    Friedrichsen, M.
    Palliative Education & Research Centre, Vrinnevi Hospital, Norrköping, 601 82, Sweden.
    Jaarsma, T.
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Nursing Science. Department of Health Medicine and Caring Sciences, Linköping University, Linköping, 581 83, Sweden.
    Communication about Prognosis and End-of-Life in Heart Failure Care and Experiences Using a Heart Failure Question Prompt List2022In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, no 8, article id 4841Article in journal (Refereed)
    Abstract [en]

    Background: To further advance the use of a heart-failure-specific question prompt list (HF-QPL) for communication about prognosis and end-of-life care, knowledge about such communication and the perceptions and experiences of professionals is needed. Objectives: 1. to describe health care professionals’ perceptions of communication about prognosis and end-of-life in heart failure (HF) care, and 2. to describe their experiences of using a HF-QPL. Design: A qualitative design that analyzed material from written assignments of nurses and physicians who were using a HF-QPL while participating in a communication course. Methods: Fifteen health care professionals from different regions in the south of Sweden were included. The data were collected from course assignments on 1. their reflection on the suitable timepoint for talking about prognosis for the first time, 2. their reflection on the HF-QPL, and 3. their experiences of using the HF-QPL in clinical practice. Data were analyzed using thematic analysis. Results: Five overarching themes were identified. The first theme was awareness of professional role responsibilities that described the recognition of different responsibilities in these conversations within the HF team. The second theme described the importance of being optimally prepared, and the third that confidence and skills are required to use the HF-QPL. The fourth theme described the HF-QPL as a bridge in the communication between professionals, patients, and family members. The fifth theme identified challenges using the HF-QPL in HF care. Conclusions: Using a HF-QPL in HF care has the potential to start conversation and facilitate discussion about the HF trajectory.

  • 10.
    Hsieh, Yu-Hsin
    et al.
    Department of Special Education, Stockholm University, Stockholm, Sweden.
    Borgestig, Maria
    Department of Neuroscience, Uppsala University, Uppsala, Sweden.
    Gopalarao, Deepika
    Al Noor Training Centre for Persons with Disabilities, Dubai, United Arab Emirates.
    McGowan, Joy
    Easterseals of Southeastern Pennsylvania, Philadelphia, PA, USA.
    Granlund, Mats
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Social Work. Jönköping University, School of Health and Welfare, HHJ. CHILD. Jönköping University, School of Education and Communication, HLK, CHILD.
    Hwang, Ai-Wen
    Graduate Institute of Early Intervention, College of Medicine, Chang-Gung University, Tao-Yuan City, Taiwan; Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Tao-Yuan City, Taiwan.
    Hemmingsson, Helena
    Department of Special Education, Stockholm University, Stockholm, Sweden.
    Communicative Interaction with and without Eye-Gaze Technology between Children and Youths with Complex Needs and Their Communication Partners2021In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 18, no 10, article id 5134Article in journal (Refereed)
    Abstract [en]

    Use of eye-gaze assistive technology (EGAT) provides children/youths with severe motor and speech impairments communication opportunities by using eyes to control a communication interface on a computer. However, knowledge about how using EGAT contributes to communication and influences dyadic interaction remains limited. Aim: By video-coding dyadic interaction sequences, this study investigates the impacts of employing EGAT, compared to the Non-EGAT condition on the dyadic communicative interaction. Method: Participants were six dyads with children/youths aged 4–19 years having severe physical disabilities and complex communication needs. A total of 12 film clips of dyadic communication activities with and without EGAT in natural contexts were included. Based on a systematic coding scheme, dyadic communication behaviors were coded to determine the interactional structure and communicative functions. Data were analyzed using a three-tiered method combining group and individual analysis. Results: When using EGAT, children/youths increased initiations in communicative interactions and tended to provide more information, while communication partners made fewer communicative turns, initiations, and requests compared to the Non-EGAT condition. Communication activities, eye-control skills, and communication abilities could influence dyadic interaction. Conclusion: Use of EGAT shows potential to support communicative interaction by increasing children’s initiations and intelligibility, and facilitating symmetrical communication between dyads.

  • 11.
    Hwang, Ai-Wen
    et al.
    Graduate Institute of Early Intervention, College of Medicine, Chang Gung University, Kwei-Shan, Tao-Yuan City, Taiwan.
    Chang, Chia-Hsieh
    Department of Pediatric Orthopedics, Chang Gung Memorial Hospital, Linkou, Kwei-Shan, Tao-Yuan City, Taiwan.
    Granlund, Mats
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Social Work. Jönköping University, School of Health and Welfare, HHJ. CHILD. Jönköping University, School of Education and Communication, HLK, CHILD.
    Imms, Christine
    Department of Paediatrics, The University of Melbourne, Parkville, Victoria, Australia.
    Chen, Chia-Ling
    Graduate Institute of Early Intervention, College of Medicine, Chang Gung University, Kwei-Shan, Tao-Yuan City, Taiwan.
    Kang, Lin-Ju
    Graduate Institute of Early Intervention, College of Medicine, Chang Gung University, Kwei-Shan, Tao-Yuan City, Taiwan.
    Longitudinal trends of participation in relation to mental health in children with and without physical difficulties2020In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 17, no 22, article id 8551Article in journal (Refereed)
    Abstract [en]

    Children with physical disabilities (PD) are known to have participation restrictions when in inclusive settings alongside typically developing (TD) children. The restrictions in participation over time may affect their mental health status. This study aimed to investigate the longitudinal relationship between independence in activities (capability) and frequency of attendance in activities, in relation to perceived mental health status in children with and without PD. The participants were a convenience sample of parents of 77 school children with PD and 94 TD children who completed four assessments with a one-year interval between each assessment. Parents of these children were interviewed with the Functioning Scale of the Disability Evaluation System-Child version (FUNDES-Child). Three dimensions of mental health problems-loneliness, acting upset, and acting nervous-were rated by parents with the Child Health Questionnaire (CHQ). Linear trend was tested by repeated-measure ANOVA. The results revealed different longitudinal patterns of independence and frequency of attendance over time for children with PD and TD. Frequency of attending activities may be more important than independence in performing activities for experiencing fewer mental health problems. The findings highlight the need for supporting children's actual attendance in daily activities which may benefit their later mental health.

  • 12.
    Lecuona, Oscar
    et al.
    Faculty of Health Sciences, King Juan Carlos University, Móstoles, Spain.
    Lin, Chung-Ying
    Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
    Rozgonjuk, Dmitri
    Department of Molecular Psychology, Ulm University, Ulm, Germany.
    Norekvål, Tone M.
    Centre on Patient-Reported Outcomes, Department of Research and Development, Haukeland University Hospital, Bergen, Norway.
    Iversen, Marjolein M.
    Centre on Patient-Reported Outcomes, Department of Research and Development, Haukeland University Hospital, Bergen, Norway.
    Mamun, Mohammed A.
    CHINTA Research Bangladesh, Savar, Dhaka, Bangladesh.
    Griffiths, Mark D.
    Psychology Department, Nottingham Trent University, Nottingham, UK.
    Lin, Ting-I
    Department of Pediatrics, E-Da Hospital, Kaohsiung, Taiwan.
    Pakpour, Amir H.
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Nursing Science. Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable, Qazvin University of Medical Sciences, Qazvin, Iran.
    A Network Analysis of the Fear of COVID-19 Scale (FCV-19S): A Large-Scale Cross-Cultural Study in Iran, Bangladesh, and Norway2022In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, no 11, article id 6824Article in journal (Refereed)
    Abstract [en]

    The rapid spread of the coronavirus disease 2019 (COVID-19) has led to high levels of fear worldwide. Given that fear is an important factor in causing psychological distress and facilitating preventive behaviors, assessing the fear of COVID-19 is important. The seven-item Fear of COVID-19 Scale (FCV-19S) is a widely used psychometric instrument to assess this fear. However, the factor structure of the FCV-19S remains unclear according to the current evidence. Therefore, the present study used a network analysis to provide further empirical evidence for the factor structure of FCV-19S. A total of 24,429 participants from Iran (n = 10,843), Bangladesh (n = 9906), and Norway (n = 3680) completed the FCV-19S in their local language. A network analysis (via regularized partial correlation networks) was applied to investigate the seven FCV-19S items. Moreover, relationships between the FCV-19S items were compared across gender (males vs. females), age groups (18-30 years, 31-50 years, and >50 years), and countries (Iran, Bangladesh, and Norway). A two-factor structure pattern was observed (three items concerning physical factors, including clammy hands, insomnia, and heart palpitations; four items concerning psychosocial factors, including being afraid, uncomfortable, afraid of dying, and anxious about COVID-19 news). Moreover, this pattern was found to be the same among men and women, across age groups and countries. The network analysis used in the present study verified the two-factor structure for the FCV-19S. Future studies may consider using the two-factor structure of FCV-19S to assess the fear of COVID-19 during the COVID-19 era.

  • 13.
    Liao, Ya-Tzu
    et al.
    Graduate Institute of Early Intervention, College of Medicine, Chang Gung University, Taiwan.
    Hwang, Ai-Wen
    Graduate Institute of Early Intervention, College of Medicine, Chang Gung University, Taiwan.
    Liao, Hua-Fang
    The School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taiwan.
    Granlund, Mats
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Social Work. Jönköping University, School of Health and Welfare, HHJ. CHILD. Jönköping University, School of Education and Communication, HLK, CHILD. Jönköping University, School of Health and Welfare, HHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue).
    Kang, Lin-Ju
    Graduate Institute of Early Intervention, College of Medicine, Chang Gung University, Taiwan.
    Understanding the participation in home, school, and community activities reported by children with disabilities and their parents: A pilot study2019In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 16, no 12, article id 2217Article in journal (Refereed)
    Abstract [en]

    Participation has significant impact on children’s health and well-being. Knowledge is limited on how children with disabilities perceive their participation and whether their perceptions differ from their parents. This pilot study aimed to explore whether self-reported frequency of participation and prioritized activities differ between children with disabilities and their parents. Thirty children with disabilities eligible for special education in elementary school and their parents were included. Each of them were interviewed with the Chinese version of Picture My Participation (PMP), separately, to identify the child’s participation frequency in 21 activities at home, school, and community, desire-to-change activities, and the level of involvement in these activities. The results indicated that children’s ratings of participation frequency were significantly lower than parents’ ratings in home activities but not in school and community activities, as analyzed by the Wilcoxon Signed Ranked test. Nineteen (63%) child–parent pairs had selected entirely different items as their desire-to-change activities. Children selected the activities that they were somewhat to very involved in; while parents selected the activities they thought their children were less involved in. Our findings suggest that children with disabilities had unique views on life and this should be supported in their health care and individualized education plans.

  • 14.
    Lieshout, K.
    et al.
    Occupational Therapy, School of Allied Health, La Trobe University, Melbourne, VIC 3086, Australia.
    Oates, J.
    Evaluate, Sydney, NSW 2089, Australia.
    Baker, A.
    Occupational Therapy, School of Health, Federation University, Melbourne, VIC 3000, Australia.
    Unsworth, Carolyn
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Occupational Therapy, School of Allied Health, La Trobe University, Melbourne, VIC 3086, Australia.
    Cameron, I. D.
    John Walsh Institute for Rehabilitation Research, Faculty of Medicine and Health, The University of Sydney, St Leonards, NSW 2065, Australia.
    Schmidt, J.
    Occupational Therapy, School of Allied Health, La Trobe University, Melbourne, VIC 3086, Australia.
    Lannin, N. A.
    Occupational Therapy, School of Allied Health, La Trobe University, Melbourne, VIC 3086, Australia.
    Burden and preparedness amongst informal caregivers of adults with moderate to severe traumatic brain injury2020In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 17, no 17, article id 6386Article in journal (Refereed)
    Abstract [en]

    This study examined the patterns of informal (unpaid) caregiving provided to people after moderate to severe traumatic brain injury (TBI), explore the self-reported burden and preparedness for the caregiving role, and identify factors predictive of caregiver burden and preparedness. A cross-sectional cohort design was used. Informal caregivers completed the Demand and Difficulty subscales of the Caregiving Burden Scale; and the Mutuality, Preparedness, and Global Strain subscales of the Family Care Inventory. Chi-square tests and logistic regression were used to examine the relationships between caregiver and care recipient variables and preparedness for caregiving. Twenty-nine informal caregivers who reported data on themselves and people with a moderate to severe TBI were recruited (referred to as a dyad). Most caregivers were female (n = 21, 72%), lived with the care recipient (n = 20, 69%), and reported high levels of burden on both scales. While most caregivers (n = 21, 72%) felt “pretty well” or “very well” prepared for caregiving, they were least prepared to get help or information from the health system, and to deal with the stress of caregiving. No significant relationships or predictors for caregiver burden or preparedness were identified. While caregivers reported the provision of care as both highly difficult and demanding, further research is required to better understand the reasons for the variability in caregiver experience, and ultimately how to best prepare caregivers for this long-term role.

  • 15.
    Lin, Chung-Ying
    et al.
    Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
    Tsai, Ching-Shu
    Department of Child and Adolescent Psychiatry, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Kaohsiung, Taiwan.
    Fan, Chia-Wei
    Department of Occupational Therapy, AdventHealth University, Orlando, FL, United States.
    Griffiths, Mark D.
    International Gaming Research Unit, Psychology Department, Nottingham Trent University, Nottingham, United Kingdom.
    Chang, Chih-Cheng
    Department of Psychiatry, Chi Mei Medical Center, Tainan, Taiwan.
    Yen, Cheng-Fang
    Department of Psychiatry, School of Medicine College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
    Pakpour, Amir H.
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Nursing Science. Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare.
    Psychometric Evaluation of Three Versions of the UCLA Loneliness Scale (Full, Eight-Item, and Three-Item Versions) among Sexual Minority Men in Taiwan2022In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, no 13, article id 8095Article in journal (Refereed)
    Abstract [en]

    The UCLA Loneliness Scale, with different short versions, is widely used to assess levels of loneliness. However, whether the scale is valid in assessing loneliness among sexual-minority men is unknown. Additionally, it is unclear whether the 8-item and 3-item short versions are comparable to the full 20-item version. The present study compared the validity of the three versions of the UCLA Loneliness Scale (i.e., 20-item, 8-item, and 3-item versions) among gay and bisexual men in Taiwan. The participants comprised 400 gay and bisexual men in Taiwan who completed a cross-sectional online survey, which included the UCLA Loneliness Scale, Center for Epidemiological Studies Depression Scale (CES-D) and State–Trait Anxiety Inventory (STAI). Confirmatory factor analysis was used to evaluate factorial validity. Convergent validity was examined between the three versions of the UCLA Loneliness Scale and the CES-D and STAI. Known-group validity was investigated with participants’ sexual orientation and educational levels. The unidimensional construct was supported in all three versions of the UCLA Loneliness Scale tested in the present study. Convergent validity was supported as the level of loneliness was correlated with the level of depression and anxiety for all three versions. There were no significant differences between gay and bisexual men, although significant differences were found across different educational levels. The study confirmed that all three versions of the UCLA Loneliness Scale were comparable with satisfactory reliability and validity in Taiwanese sexual-minority men.

  • 16.
    Lourenço, Miguel L.
    et al.
    Research Unit for Inland Development, Guarda Polytechnic Institute, Guarda, Portugal; Centre for Mechanical and Aerospace Science and Technologies, Department of Electromechanical Engineering, Universidade da Beira Interior, Covilhã, Portugal.
    Lanhoso, Fátima
    Centre for Mechanical and Aerospace Science and Technologies, Department of Electromechanical Engineering, Universidade da Beira Interior, Covilhã, Portugal.
    Coelho, Denis A.
    Jönköping University, School of Engineering, JTH, Supply Chain and Operations Management.
    Usability evaluation of slanted computer mice2021In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 18, no 8, article id 3854Article in journal (Refereed)
    Abstract [en]

    Prevention of musculoskeletal disorders is supported by use of slanted rather than horizontal pointing devices, but user acceptance of the former may be compromised due to lower perceived ease of use. This study compares subjectively rated usability (N = 37) for three sizes of slanted computer mice and includes a horizontal small conventional device as a reference. For a random subset of the sample (n = 10), objective usability parameters were also elicited. Participants followed a standard protocol which is based on executing graphical pointing, steering, and dragging tasks generated by a purpose-built software. Subjective ratings were collected for each of the four pointing devices tested. The three slanted devices differed in size but were chosen because of an approximately similar slant angle (around 50–60 degrees relative to the horizontal plane). Additionally, effectiveness and efficiency were objectively calculated based on data recorded for the graphical tasks’ software for a random subset of the participants (n = 10). The results unveil small differences in preference in some of the subjective usability parameters across hand size groups. This notwithstanding, the objective efficiency results are aligned with the subjective results, indicating consistency with the hypothesis that smaller slanted devices relative to the user’s hand size are easier to use than larger ones. Mean values of weighted efficiency recorded in the study range from 68% to 75%, with differences across devices coherent with preference rank orders.

  • 17.
    Lourenço, Miguel L.
    et al.
    Technical Scientific Unit of Engineering and Technology, Research Unit for Inland Development, Instituto Politécnico da Guarda, Guarda, Portugal; CMAST—Centre for Mechanical and Aerospace Science and Technology, Universidade da Beira Interior, Covilhã, Portugal.
    Pitarma, Rui A.
    Technical Scientific Unit of Engineering and Technology, Research Unit for Inland Development, Instituto Politécnico da Guarda, Guarda, Portugal; CISE—Electromechatronic Systems Research Centre, Universidade da Beira Interior, Covilhã, Portugal.
    Coelho, Denis A.
    Jönköping University, School of Engineering, JTH, Supply Chain and Operations Management.
    A Design Contribution to Ergonomic PC Mice Development2022In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, no 13, article id 8126Article in journal (Refereed)
    Abstract [en]

    Developing new manual computer pointing devices abiding to the requirements set out in ergonomic product design literature necessitates joining contributions from several areas, including the ergonomic guidelines applicable to hand tool design, human–system interaction, and certain user characteristics such as anthropometric data. Computer mice are hand tools enabling the interaction with the computer, for use by people from both sexes and practically all ages. Moreover, the PC mouse’s intensive usage is able to cause musculoskeletal disorders. This paper reports on a study aimed at developing new computer mouse shapes, reducing forearm pronation, and providing hand–palm holding, supported by a literature review and an adequate design methodology, starting from known shapes of commercial products, the traditional (horizontal) computer mouse, and the vertical computer mouse. In this regard, potential concepts were generated as solutions to the previously specified problem through a set of creative tasks based on the specifications. Four new shapes were proposed to be evaluated through an assessment matrix; as a result, two new PC mice geometries were designed and fully prototyped. This study also reports on selected results of usability and an electromyographic evaluation of the prototypes against three commercial PC mice (horizontal, slanted, and vertical) by a sample of 20 participants, supporting validation of the development process and the newly developed geometries, with emphasis on the slanted conical innovative shape. 

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  • 18.
    Lygnegård, Fredrik
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Natural Science and Biomedicine.
    Alricsson, M.
    Department of Sport Science, Linnaeus University, Kalmar/Växjö, 352 95, Sweden.
    Östenberg, A.H.
    Department of Sport Science, Linnaeus University, Kalmar/Växjö, 352 95, Sweden.
    Upper Secondary School Pupils’ Experience of a Lifestyle Plan Based on Physical Power, Mental Harmony, and Social Capacity2023In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 20, no 5, article id 4532Article in journal (Refereed)
    Abstract [en]

    Purpose: This study aimed to illustrate upper secondary school pupils’ experience using a self-administered web-based health-promoting tool, the Swedish Physical Power, Mental Harmony, and Social Capacity (FMS) student profile. Method: Five upper secondary schools in Sweden were included. Focus group interviews with pupils (10 girls, 5 boys, 15–19 years) were conducted, and data were analyzed using qualitative content analysis. Result: Two themes were generated from six categories: a sense of participation and self-control of health: everyday well-being, objective formulation, disappointment, health awareness, limitations, and health-promoting change. The participants experienced that using the FMS made them aware of factors that influence their health. They also reported that being given feedback visually from the FMS, peers, and staff involved in the school was beneficial in increasing their motivation to maintain a health-promoting change regarding physical activity and lifestyle factors. Conclusion: The use of a self-administered web-based health-promoting tool is viewed as beneficial for raising awareness and motivation to implement strategies that help attain a healthier lifestyle in upper secondary school students regarding factors affecting perceived health.

  • 19.
    Mamun, M. A.
    et al.
    CHINTA Research Bangladesh, Savar, Dhaka, 1342, Bangladesh.
    Alimoradi, Z.
    Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable.
    Gozal, D.
    Department of Child Health and the Child Health Research Institute, The University of Missouri School of Medicine, Columbia, 65201, MO, United States.
    Manzar, M. D.
    Department of Nursing, College of Applied Medical Sciences, Majmaah University, Majmaah, 11952, Saudi Arabia.
    Broström, Anders
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Lin, C. -Y
    Institute of Allied Health Sciences, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, 701401, Taiwan.
    Huang, R. -Y
    Department of Family and Community Medicine, E-DA Hospital, Kaohsiung, 82445, Taiwan.
    Pakpour, Amir H.
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Nursing Science.
    Validating insomnia severity index (Isi) in a bangladeshi population: Using classical test theory and rasch analysis2022In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, no 1, article id 225Article in journal (Refereed)
    Abstract [en]

    The COVID-19 outbreak is associated with sleep problems and mental health issues among individuals. Therefore, there is a need to assess sleep efficiency during this tough period. Unfortunately, the commonly used instrument on insomnia severity—the Insomnia Severity Index (ISI)—has never been translated and validated among Bangladeshis. Additionally, the ISI has never been validated during a major protracted disaster (such as the COVID-19 outbreak) when individuals encounter mental health problems. The present study aimed to translate the ISI into Bangla language (ISI-Bangla) and validate its psychometric properties. First, the linguistic validity of the ISI-Bangla was established. Then, 9790 Bangladeshis (mean age = 26.7 years; SD = 8.5; 5489 [56.1%] males) completed the Bangla versions of the following questionnaires: ISI, Fear of COVID-19 Scale (FCV-19S), and Patient Health Questionnaire-9 (PHQ-9). All the participants also answered an item on suicidal ideation. Classical test theory and Rasch analyses were conducted to evaluate the psychometric properties of the ISI-Bangla. Both classical test theory and Rasch analyses support a one-factor structure for the ISI-Bangla. Moreover, no substantial differential item functioning was ob-served across different subgroups (gender, depression status (determined using PHQ-9), and suicidal ideation). Additionally, concurrent validity of the ISI-Bangla was supported by significant and moderate correlations with FCV-19S and PHQ-9; known-group validity was established by the significant difference of the ISI-Bangla scores between participants who experienced suicidal ideation and those without. The present psychometric validation conducted during the COVID-19 outbreak suggests that the ISI-Bangla is a promising and operationally adequate instrument to assess insomnia in Bangladeshis.

  • 20.
    Masterson, Daniel
    et al.
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Centre for Health and Development, Staffordshire University, Stoke-on-Trent, UK.
    Triguero-Mas, Margarita
    Mariana Arcaya’s Research Lab, Department of Urban Studies and Planning, Massachusetts Institute of Technology, Cambridge, MA, USA; Barcelona Lab for Urban Environmental Justice and Sustainability, Institute for Environmental Science and Technology, Universitat Autònoma de Barcelona, Barcelona, Spain; IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain.
    Marquez, Sandra
    Centre for Research in Environmental Epidemiology (CREAL), ISGlobal, Carrer del Dr. Aiguader, Barcelona, Spain; Department of Medicine and Life Sciences, Universitat Pompeu Fabra (UPF), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain.
    Zijlema, Wilma
    Centre for Research in Environmental Epidemiology (CREAL), ISGlobal, Carrer del Dr. Aiguader, Barcelona, Spain; Department of Medicine and Life Sciences, Universitat Pompeu Fabra (UPF), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain.
    Martinez, David
    Centre for Research in Environmental Epidemiology (CREAL), ISGlobal, Carrer del Dr. Aiguader, Barcelona, Spain; Department of Medicine and Life Sciences, Universitat Pompeu Fabra (UPF), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain.
    Gidlow, Christopher
    Centre for Health and Development, Staffordshire University, Stoke-on-Trent, UK.
    Smith, Graham
    Centre for Health and Development, Staffordshire University, Stoke-on-Trent, UK.
    Hurst, Gemma
    Centre for Health and Development, Staffordshire University, Stoke-on-Trent, UK.
    Cirach, Marta
    Centre for Research in Environmental Epidemiology (CREAL), ISGlobal, Carrer del Dr. Aiguader, Barcelona, Spain; Department of Medicine and Life Sciences, Universitat Pompeu Fabra (UPF), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain.
    Grazuleviciene, Regina
    Department of Environmental Science, Vytauto Didžiojo Universitetas, Kaunas, Lithuania.
    Van den Berg, Magdalena
    Department of Public and Occupational Health, Institute for Health and Care Research, VU University Medical Centre (VUMC), Amsterdam, The Netherlands.
    Kruize, Hanneke
    National Institute for Public Health and the Environment, Bilthoven, The Netherlands.
    Maas, Jolanda
    Department of Public and Occupational Health, Institute for Health and Care Research, VU University Medical Centre (VUMC), Amsterdam, The Netherlands.
    Nieuwenhuijsen, Mark
    Centre for Research in Environmental Epidemiology (CREAL), ISGlobal, Carrer del Dr. Aiguader, Barcelona, Spain; Department of Medicine and Life Sciences, Universitat Pompeu Fabra (UPF), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain.
    Use of the Natural Outdoor Environment in Different Populations in Europe in Relation to Access: Implications for Policy2022In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, no 4, article id 2226Article in journal (Refereed)
    Abstract [en]

    This cross-cultural study explores the relationship of natural outdoor environment (NOE) use with NOE access. Most urban planning recommendations suggest optimal accessibility to be 300 m–500 m straight distance to spaces with vegetation of at least 1 hectare. Exploring this recommendation, we used data (n = 3947) from four European cities collected in the framework of the PHENOTYPE study: Barcelona (Spain), Doetinchem (The Netherlands), Kaunas (Lithuania) and Stoke-on-Trent (United Kingdom) to obtain residential access to NOE (straight or network distances, using 300 m and 150 m buffers, to NOE larger than 1 hectare or 0.5 hectare) and use of NOE (i.e., self-reported time spent in NOE). Poisson regression models were used to examine the associations between residential access and use of NOE. The models with the strongest association with time spent in NOE in the combined sample were for those living within 300 m straight line distance to either 0.5 ha or 1 ha NOE. Noting that the only indicator that was consistent across all individual cities was living with 150 m network buffer of NOE (of at least 1 ha), this warrants further exploration in reducing recommendations of 300 m straight-line distance to 150 m network distance to 1 ha of NOE for a general indicator for cities within Europe. 

  • 21.
    Ng, Kwok W.
    et al.
    Health Research Institute, University of Limerick, Limerick, Ireland.
    Augustine, Lilly
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Inchley, Jo
    School of Medicine, University of St. Andrews, St. Andrews, UK.
    Comparisons in Screen-Time Behaviours among Adolescents with and without Long-Term Illnesses or Disabilities: Results from 2013/14 HBSC Study2018In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 15, no 10, article id 2276Article in journal (Refereed)
    Abstract [en]

    Reducing sedentary behaviours can help prevent non-communicable diseases, particularly among young adolescents with long term illnesses or disabilities (LTID). Much of young people’s voluntary sedentary time is related to screen-time behaviours (STBs) such as TV viewing, playing computer games, and using the computer for other activities. Although public health data on adolescents’ STB is growing, information about adolescents with LTID is currently lacking in a European context. The purpose of this study is to compare time on STBs between adolescents with and without LTID in European Countries through the HBSC 2013/14 study. Young adolescents (n = 61,329; boys 47.8%) from 15 European countries reported the time spent on TV viewing, playing computer games, and using the computer for other purposes on weekdays and the weekend. STBs were dichotomised based on international recommendations of less than 2 h per day, and Chi-square tests of independence were performed to investigate differences. STB time was combined to produce a sum score as dependent variable in multiple analysis of covariance with age and family affluence as covariates. There were statistically significant differences in computer gaming among boys and other computer use among girls for both weekdays and weekends, whereby adolescents with LTID reported higher use. In addition, both boys and girls with LTID spent more time on STBs than their same sex peers without LTID (Boys, F = 28.17, p< 0.001; Girls, F = 9.60, p = 0.002). The results of this study indicate a need for preventive strategies to address high levels of STB among young adolescents with LTID and reduce the risk of poor health outcomes associated with higher levels of sedentary behaviour.

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  • 22.
    Pakpour, Amir H.
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Lin, C. -K
    Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, 02115, MA, United States.
    Safdari, M.
    Department of Environmental Health Engineering, School of Medical Sciences, Tarbiat Modares University, Tehran, 1411713116, Iran.
    Lin, C. -Y
    Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, 701401, Taiwan.
    Chen, S. -H
    School of Nursing, Fooyin University, Kaohsiung, 83102, Taiwan.
    Hamilton, K.
    School of Applied Psychology, Menzies Health Institute Queensland, Griffith University, Brisbane, 4122, QLD, Australia.
    Using an integrated social cognition model to explain green purchasing behavior among adolescents2021In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 18, no 23, article id 12663Article in journal (Refereed)
    Abstract [en]

    Strengthening pro-environmental behaviors such as green purchasing behavior is important for environmental sustainability. An integrated social cognition model which incorporates constructs from habit theory, health action process approach (HAPA), and theory of planned behavior (TPB) is adopted to understand Iranian adolescents’ green purchasing behavior. Using a correlational-prospective design, the study recruited Iranian adolescents aged between 14 and 19 years (N = 2374, n = 1362 (57.4%) females, n = 1012 (42.6%) males; Mean (SD) age = 15.56 (1.22)). At baseline (T1), participants self-reported on the following constructs: past behavior; habit strength (from habit theory); action planning and coping planning (from HAPA); and intention, perceived behavioral control, subjective norm, and attitude (from TPB) with respect to green purchasing behavior. Six months later (T2), participants self-reported on their actions in terms of purchasing green goods. Our findings reported direct effects of perceived behavioral control, subjective norms, attitude, and past behavior on intention; intention and perceived behavioral control on green purchase behavior; intention on two types of planning (i.e., action and coping planning); both types of planning on green purchase behavior; and past green purchase behavior and habits on prospectively measured green purchase behavior. These results indicate that adolescent green purchasing behavior is underpinned by constructs representing motivational, volitional, and automatic processes. This knowledge can help inform the development of theory-based behavior change interventions to improve green purchasing in adolescents, a key developmental period where climate change issues are salient and increased independence and demands in making self-guided decisions are needed.

  • 23.
    Peral-Gómez, P.
    et al.
    Miguel Hernandez Univ, Dept Pathol & Surg, Alicante 03550, Spain.
    López-Roig, S.
    Miguel Hernandez Univ, Dept Hlth Psychol, Alicante 03550, Spain.
    Pastor-Mira, M. Á
    Miguel Hernandez Univ, Dept Hlth Psychol, Alicante 03550, Spain.
    Abad-Navarro, E.
    Miguel Hernandez Univ, Dept Pathol & Surg, Alicante 03550, Spain.
    Valera-Gran, D.
    Miguel Hernandez Univ, Dept Pathol & Surg, Alicante 03550, Spain.
    Håkansson, C.
    Lund Univ, Dept Occupat & Environm Med, S-22363 Lund, Sweden.
    Wagman, Petra
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Cultural adaptation and psychometric properties of the spanish version of the occupational balance questionnaire: An instrument for occupation-based research2021In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 18, no 14, article id 7506Article in journal (Refereed)
    Abstract [en]

    Occupational balance (OB) may be a major determinant of health outcomes due to its role in bringing a sense of purpose in the occupations that are personally experienced as a process of getting health and wellness. The Occupational Balance Questionnaire (OBQ) is a reliable instrument for measuring OB, although it has not been adapted and validated in Spain so far; therefore, this study had a double aim: (1) to translate and cross-culturally adapt the original OBQ version into Spanish (OBQ-E); (2) to analyze the psychometric properties for its use in the Spanish population. Standard procedures were used for the cross-adaptation process and pilot testing was carried out using three different samples to extend the applicability of the OBQ-E. Validation measures of the final version of the OBQ-E were conducted in a sample of 219 participants. The OBQ-E showed that items and instructions were culturally appropriate and written clearly. Psychometric testing showed excellent internal consistency (Cronbach’s alpha = 0.87; Guttman split-half coefficient = 0.85), good test–retest reliability (rs (Spearman rho) = 0.73), and acceptable convergent validity (overall status, rs = 0.37; Related Quality of Life, rs = 0.42; Satisfaction with Life Scale, rs = 0.54). The findings suggest that the OBQ-E may be a suitable instrument for assessing OB in the Spanish population; hence, it is a promising tool for epidemiological research that will significantly contribute to the understanding of OB as a health-related factor. Nevertheless, further investigation is also warranted to explore the potentiality of this instrument for clinical purposes.

  • 24.
    Persson, Jessica
    et al.
    Univ West, Dept Hlth Sci, S-46186 Trollhattan, Sweden.;Reg Vastra Gotaland, Ctr Gerodontol, Publ Dent Serv, S-40233 Gothenburg, Sweden..
    Johansson, Isabelle
    Reg Vastra Gotaland, Ctr Gerodontol, Publ Dent Serv, S-40233 Gothenburg, Sweden.;Univ Gothenburg, Sahlgrenska Acad, Inst Odontol, Dept Periodontol, S-40530 Gothenburg, Sweden..
    Torgé, Cristina Joy
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Bergstrom, Eva-Karin
    Reg Vastra Gotaland, Ctr Gerodontol, Publ Dent Serv, S-40233 Gothenburg, Sweden.;Univ Gothenburg, Sahlgrenska Acad, Inst Odontol, Dept Cariol, S-40530 Gothenburg, Sweden..
    Hagglin, Catharina
    Reg Vastra Gotaland, Ctr Gerodontol, Publ Dent Serv, S-40233 Gothenburg, Sweden.;Univ Gothenburg, Sahlgrenska Acad, Inst Odontol, Dept Behav & Community Dent, S-40530 Gothenburg, Sweden..
    Wardh, Inger
    Karolinska Inst, Dept Dent Med, S-14152 Huddinge, Sweden.;Karolinska Inst, Acad Ctr Geriatr Dent, S-14152 Huddinge, Sweden.;Karlstad Univ, Dept Hlth Sci, S-65188 Karlstad, Sweden..
    Oral Care Cards as a Support in Daily Oral Care of Frail Older Adults: Experiences and Perceptions of Professionals in Nursing and Dental Care-A Qualitative Study2022In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, no 15, article id 9380Article in journal (Refereed)
    Abstract [en]

    Frail older adults often have poor oral health. In Sweden, oral care cards are designed to be used as an interprofessional tool for documenting the oral health status of older adults with extensive care needs and to describe oral care recommendations. The aim of this study was to explore nursing and dental professionals' experiences and perceptions of oral care cards. Nursing and dental care staff were interviewed in groups or individually. The recorded data were transcribed verbatim and analyzed using qualitative content analysis. A theme emerged: Navigating an oral care responsibility that is not anchored in the nursing and dental care context. The theme was elucidated in three categories: "Accessibility and usefulness", "Coordination between nursing and dental care", and "Ethical approach". The participants perceived a lack of surrounding frameworks and collaboration concerning oral care and the use of oral care cards. An oral care card could ideally facilitate interprofessional and person-centered oral care. However, oral health does not seem to have found its place in the nursing care context. Further research is needed to investigate how oral care cards ought to be developed and designed to support oral health care work.

  • 25.
    Samuels, A.
    et al.
    Centre for Augmentative and Alternative Communication, University of Pretoria, Pretoria, 0028, South Africa.
    Dada, S.
    Centre for Augmentative and Alternative Communication, University of Pretoria, Pretoria, 0028, South Africa.
    Van Niekerk, K.
    Centre for Augmentative and Alternative Communication, University of Pretoria, Pretoria, 0028, South Africa.
    Arvidsson, Patrik
    Jönköping University, School of Health and Welfare, HHJ. CHILD. Centre for Research & Development, Uppsala University, Region Gävleborg, Gävle, 801 88, Sweden.
    Huus, Karina
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. CHILD.
    Children in south africa with and without intellectual disabilities’ rating of their frequency of participation in everyday activities2020In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 17, no 18, p. 1-12, article id 6702Article in journal (Refereed)
    Abstract [en]

    In a low-and middle-income country (LMIC) such as South Africa, not much is known about how children with intellectual disabilities (ID) participate in everyday activities, as no studies to date have compared their participation to peers without ID from the same background. Using a newly developed, contextually valid measure of participation, Picture my Participation (PmP), 106 children with (73) and without ID (33), rated their frequency of participation in activities of daily living. Previous international research has established that children with ID tend to participate less frequently than children without ID in everyday activities outside of the school setting. However, much of this research is based on proxy ratings from caregivers rather than children with ID themselves. There is a growing body of evidence that suggests children with disabilities have uniquely different views of their own participation than their caregivers. The existing research evidence is also delimited to studies conducted predominantly in high income contexts (HICSs). Since it is universally acknowledged that participation patterns are affected by the environment, it is important to evaluate the generalizability of the current evidence to LMICs. The current study found that there were many similar patterns of participation between the two groups although significant differences were noted in social, community, leisure and self-care activities. We compare these results to findings from studies conducted in HICs and find that there are similarities but also differences across contexts. This study highlights the importance of gaining a child’s perspective of participation and understanding how intellectual disability can affect participation relative to peers without ID in LMICS.

  • 26.
    Schiariti, V.
    et al.
    Division of Medical Sciences, University of Victoria, Victoria, BC V8W 2Y2, Canada.
    Simeonsson, Rune J.
    Jönköping University, School of Education and Communication, HLK, CHILD.
    Hall, K.
    School Psychology Program, University of North Carolina, Chapel Hill, NC 27599, United States.
    Promoting developmental potential in early childhood: A global framework for health and education2021In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 18, no 4, p. 1-15, article id 2007Article in journal (Refereed)
    Abstract [en]

    In the early years of life, children’s interactions with the physical and social environment-including families, schools and communities—play a defining role in developmental trajectories with long-term implications for their health, well-being and earning potential as they become adults. Importantly, failing to reach their developmental potential contributes to global cycles of poverty, inequality, and social exclusion. Guided by a rights-based approach, this narrative review synthe-sizes selected studies and global initiatives promoting early child development and proposes a universal intervention framework of child-environment interactions to optimize children’s developmental functioning and trajectories.

  • 27.
    Schmidt, Manuela
    et al.
    Faculty of Health Science, Kristianstad University, Kristianstad, Sweden; Department of Health Sciences, Lund University, Lund, Sweden.
    Stjernswärd, Sigrid
    Department of Health Sciences, Lund University, Lund, Sweden.
    Garmy, Pernilla
    Faculty of Health Science, Kristianstad University, Kristianstad, Sweden; Department of Health Sciences, Lund University, Lund, Sweden.
    Janlöv, Ann-Christin
    Faculty of Health Science, Kristianstad University, Kristianstad, Sweden.
    Encounters with persons who frequently use psychiatric emergency services: healthcare professionals' views2020In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 17, no 3, p. 1-16, article id 1012Article in journal (Refereed)
    Abstract [en]

    Encounters and interactions between healthcare professionals and patients are central in healthcare services and delivery. Encountering persons who frequently use psychiatric emergency services (PES), a complex patient group in a complex context, may be particularly challenging for healthcare professionals. The aim of the study was to explore healthcare professionals' experiences of such encounters. Data were collected via individual interviews (N = 19) and a focus group interview with healthcare professionals consisting of psychiatric nurses, assistant nurses, and physicians. The data were analyzed with qualitative content analysis. This study focused on the latent content of the interview data to gain a rich understanding of the professionals' experiences of the encounters. Two themes were identified: "Nurturing the encounter with oneself and colleagues for continuous, professional improvement" and "Striving for a meaningful connection with the patient". The professionals experienced their encounters with persons who frequently use PES as caring, professional, and humane processes. Prerequisites to those encounters were knowing and understanding oneself, having self-acceptance and self-compassion, and working within person-centered cultures and care environments.

  • 28.
    Unsworth, Carolyn
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Department of Rehabilitation. Institute of Health and Wellbeing, Federation University, Churchill Campus, Churchill, VIC, Australia; Department of Neurosciences, Monash University, Melbourne, VIC, Australia; Department of Occupational Therapy, James Cook University, Townsville City, QLD, Australia.
    Timmer, Amanda J.
    Institute of Health and Wellbeing, Federation University, Churchill Campus, Churchill, VIC, Australia; Ramsay Health Care, Donvale Rehabilitation Hospital, Donvale, VIC, Australia.
    A Systematic Review of Wheelchair and Mobility Scooter Containment Systems Used Internationally on Public Transit Buses.2023In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 20, no 20, article id 6952Article, review/survey (Refereed)
    Abstract [en]

    Despite the daily need for people to travel on public transit buses using their wheeled mobility devices, relatively little information is available regarding the most efficacious, affordable, and independent approaches to assist passengers with keeping their mobility devices in the designated wheelchair access space. A systematic review was undertaken to summarize this literature, place it within a geographical and temporal context, appraise its quality, and establish common themes. Key academic and grey literature transportation databases and government websites searched from 1990 to May 2022 identified 33 documents, which were appraised using the Mixed Methods Appraisal Tool (MMAT) or the Authority, Accuracy, Coverage, Objectivity, Date, Significance (AACODS) tool. Overall, the documents included were of good quality. The literature retrieved focused on the development and testing of the active containment systems favored for use in North America with a contrastingly small examination of the effectiveness of passive or semi-passive containment systems. Almost no literature was retrieved in English from European researchers documenting the use or effectiveness of rearward-facing passive systems. While tip or slide events are relatively rare among mobility device users, the effective use of containment systems is vital to minimize these. Further research is required to support transport policy makers, operators, and bus drivers to identify and correctly implement optimal containment systems to promote safety for all passengers on public buses.

  • 29.
    Wong, Hiu Yan
    et al.
    Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong.
    Mo, Hoi Yi
    Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong.
    Potenza, Marc N
    Departments of Psychiatry and Neuroscience and the Child Study Center, School of Medicine, Yale University, New Haven, USA.
    Chan, Mung Ni Monica
    Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong.
    Lau, Wai Man
    Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong.
    Chui, Tsz Kwan
    Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong.
    Pakpour, Amir H.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran.
    Lin, Chung-Ying
    Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong.
    Relationships between severity of internet gaming disorder, severity of problematic social media use, sleep quality and psychological distress2020In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 17, no 6, article id E1879Article in journal (Refereed)
    Abstract [en]

    Internet gaming and social media use are prevalent and integral to many people's lives. However, excessive engagement in either could lead to negative health impacts. This study aimed to investigate relationships between severities of internet gaming disorder (IGD) and problematic social media use (operationalized as social media addiction; SMA) with sleep quality and psychological distress among young adults. A cross-sectional study with snowball sampling was conducted among Hong Kong university students in 2019. All participants (n = 300; mean (SD) age = 20.89 (1.48); 122 males (40.67%)) responded to an online survey that included Chinese versions of the Internet Gaming Disorder Scale-Short Form (IGDS9-SF), Bergen Social Media Addiction Scale (BSMAS), Pittsburgh Sleep Quality Index (PSQI), and Depression Anxiety Stress Scales (DASS-21). Multiple linear regressions demonstrated that IGDS-SF9 scores demonstrated associations with psychological distress measures (standardized coefficient (β) = 0.295 for depression, 0.325 for anxiety, 0.339 for stress, all p < 0.001). BSMAS scores showed similar albeit numerically less robust associations (β = 0.235 for depression, p < 0.001; 0.219 for anxiety, p = 0.001; 0.262 for stress, p < 0.001). BSMAS scores demonstrated associations with poorer sleep quality (β = 0.292; p < 0.001) and IGDS9-SF scores (β = 0.157; p = 0.024) showed a significantly less robust association (p = 0.01 for comparing the two βs). These findings suggest that both severities of IGD and SMA associate with more psychological distress and poorer sleep quality, although the strengths of associations may differ.

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