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Sanmartin Berglund, Johan, ProfessorORCID iD iconorcid.org/0000-0003-4312-2246
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Publications (10 of 28) Show all publications
Piculell, E., Skär, L., Berglund, J. S., Anderberg, P. & Bohman, D. (2021). A concept analysis of health communication in a home environment: Perspectives of older persons and their informal caregivers. Scandinavian Journal of Caring Sciences, 35(3), 1006-1024
Open this publication in new window or tab >>A concept analysis of health communication in a home environment: Perspectives of older persons and their informal caregivers
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2021 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 35, no 3, p. 1006-1024Article in journal (Refereed) Published
Abstract [en]

Background Health communication (HC) is a vast research field focusing on changing health behaviours, and rapidly evolving technology is creating different ways and possibilities to reach target groups and audiences. In the context of home care, a deeper understanding of HC is lacking, specifically for older persons with care needs and their informal caregivers. The aim of this concept analysis is to identify and construct the meaning of HC from the perspective of older persons in need of care in the home environment and their informal caregivers. Materials and methods This study utilised Rogers' (2000) Evolutionary Concept Analysis Method (EMCA) to create and construct a meaning of the concept of HC. The EMCA was based on a systematic literature review of scientific articles, using CINAHL, Pubmed and Inspec (2000-2017). A total of 29 articles were retrieved and analysed. Results The identified attributes of the concept were as follows: resources of the recipient, influence on decisions and advantages of tailored information. HC was described as both contributing to knowledge as well as being overwhelming where habits and resources influenced the use of information. The attributes led to the following descriptive definition of HC: 'Tailored HC, based on needs and resources of the recipient influence care decisions'. The home environment influenced HC by habits and interactions between older persons and their informal caregivers. Conclusions The home environment influenced HC in terms of social aspects of interactions and habits and between the older person and the informal caregiver. Tailored information with the use of technology contributed to knowledge in care of older persons and their informal caregivers. HC was shown to contribute to improve care for older people in their home environment.

Place, publisher, year, edition, pages
John Wiley & Sons, 2021
Keywords
health communication, home environment, informal caregivers, older persons, technology
National Category
Nursing Geriatrics
Identifiers
urn:nbn:se:his:diva-19434 (URN)10.1111/scs.12928 (DOI)000585679000001 ()33145836 (PubMedID)2-s2.0-85096724974 (Scopus ID)
Funder
EU, Horizon 2020, 643399
Note

CC BY 4.0

First published: 03 November 2020

Available from: 2021-01-27 Created: 2021-01-27 Last updated: 2023-09-26Bibliographically approved
Kvist, O., Luiza Dallora, A., Nilsson, O., Anderberg, P., Berglund, J. S., Flodmark, C.-E. & Diaz, S. (2021). A cross-sectional magnetic resonance imaging study of factors influencing growth plate closure in adolescents and young adults. Acta Paediatrica, 110(4), 1249-1256
Open this publication in new window or tab >>A cross-sectional magnetic resonance imaging study of factors influencing growth plate closure in adolescents and young adults
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2021 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 110, no 4, p. 1249-1256Article in journal (Refereed) Published
Abstract [en]

Aim To assess growth plate fusion by magnetic resonance imaging (MRI) and evaluate the correlation with sex, age, pubertal development, physical activity and BMI. Methods Wrist, knee and ankle of 958 healthy subjects aged 14.0-21.5 years old were examined using MRI and graded by two radiologists. Correlations of growth plate fusion score with age, pubertal development, physical activity and BMI were assessed. Results Complete growth plate fusion occurred in 75%, 85%, 97%, 98%, 98% and 90%, 97%, 95%, 97%, 98% (radius, femur, proximal- and distal tibia and calcaneus) in 17-year-old females and 19-year-old males, respectively. Complete fusion occurs approximately 2 years earlier in girls than in boys. Pubertal development correlated with growth plate fusion score (rho = 0.514-0.598 for the different growth plate sites) but regular physical activity did not. BMI also correlated with growth plate fusion (rho = 0.186-0.384). Stratified logistic regression showed increased odds ratio (OR F: 2.65-8.71; M: 1.71-4.03) for growth plate fusion of obese or overweight subects versus normal-weight subjects. Inter-observer agreement was high (Kappa = 0.87-0.94). Conclusion Growth plate fusion can be assessed by MRI; occurs in an ascending order, from the foot to the wrist; and is significantly influenced by sex, pubertal development and BMI, but not by physical activity.

Place, publisher, year, edition, pages
John Wiley & Sons, 2021
Keywords
growth plate, magnetic resonance imaging, maturation process, obesity, puberty
National Category
Orthopaedics Radiology, Nuclear Medicine and Medical Imaging
Identifiers
urn:nbn:se:his:diva-19449 (URN)10.1111/apa.15617 (DOI)000583231300001 ()33047349 (PubMedID)2-s2.0-85094635288 (Scopus ID)
Note

CC BY-NC-ND 4.0

First published: 12 October 2020

Available from: 2020-11-13 Created: 2021-02-04 Last updated: 2021-03-30Bibliographically approved
Ehn, B., Anderberg, P., Sanmartin Berglund, J. & Lilje, S. (2021). The process of opting for female permanent contraception: A qualitative study of women's experiences in Sweden. Contraception, 103(1), 48-52
Open this publication in new window or tab >>The process of opting for female permanent contraception: A qualitative study of women's experiences in Sweden
2021 (English)In: Contraception, ISSN 0010-7824, E-ISSN 1879-0518, Vol. 103, no 1, p. 48-52Article in journal (Refereed) Published
Abstract [en]

Objectives: We aimed to explore Swedish women's decision-making experiences regarding permanent contraception. Study design: In this study, we included 17 women aged 30–48 who were scheduled to undergo female permanent contraceptive procedures. We conducted semistructured interviews using two broad open-ended questions. We analyzed these data using systematic text condensation based on the principles of psychological phenomenological analysis. Results: The interviewees experienced no counseling or support from health care workers regarding permanent contraception until they specifically asked for it. Participants reported that they themselves place the responsibility of permanent contraception solely on women. Consequently, our participants described feeling hesitancy and ambivalence in the process of deciding to have the procedure. Once the decision was made and the women were on the waiting lists for surgery, they experienced relief and empowerment. Conclusions: Our findings suggest that health care providers in Sweden miss opportunities to support patient-centered decision-making regarding permanent contraception. This study indicates that women make deliberate and considered decisions regarding permanent contraception and are best positioned to know when the procedure should take place in their reproductive lives. Implication statements: Health care professionals should discuss permanent contraception as an option with all women desiring contraception to allow them to decide if that method is right for them. © 2020 Elsevier Inc.

Place, publisher, year, edition, pages
Elsevier, 2021
Keywords
Counseling, Family planning, Permanent contraception
National Category
Obstetrics, Gynecology and Reproductive Medicine Nursing
Identifiers
urn:nbn:se:his:diva-19432 (URN)10.1016/j.contraception.2020.10.003 (DOI)000600609900010 ()33068613 (PubMedID)2-s2.0-85096085483 (Scopus ID)
Note

© 2020 Elsevier Inc.

Available from: 2020-11-27 Created: 2021-01-27 Last updated: 2021-01-27Bibliographically approved
Guzman-Parra, J., Barnestein-Fonseca, P., Guerrero-Pertiñez, G., Anderberg, P., Jimenez-Fernandez, L., Valero-Moreno, E., . . . Mayoral-Cleries, F. (2020). Attitudes and use of information and communication technologies in older adults with mild cognitive impairment or early stages of dementia and their caregivers: cross-sectional study. Journal of Medical Internet Research, 22(6), Article ID e17253.
Open this publication in new window or tab >>Attitudes and use of information and communication technologies in older adults with mild cognitive impairment or early stages of dementia and their caregivers: cross-sectional study
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2020 (English)In: Journal of Medical Internet Research, E-ISSN 1438-8871, Vol. 22, no 6, article id e17253Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Information and communication technologies are promising tools to increase the quality of life of people with dementia or mild cognitive impairment and that of their caregivers. However, there are barriers to their use associated with sociodemographic factors and negative attitudes, as well as inadequate knowledge about technologies. OBJECTIVE: The aim of this study was to analyze technophilia (attitudes toward new technologies) and the use of smartphones and tablets along with associated factors in people with dementia/mild cognitive impairment and their caregivers. METHODS: Data from the first visit of the Support Monitoring and Reminder for Mild Dementia (SMART4MD) randomized multicenter clinical trial were used for this analysis. Data were obtained from two European countries, Spain and Sweden, and from three centers: Consorci Sanitari de Terrassa (Catalonia, Spain), Servicio Andaluz de Salud (Andalusia, Spain), and the Blekinge Institute of Technology (Sweden). Participants with a score between 20 and 28 in the Mini Mental State Examination, with memory problems (for more than 6 months), and who were over the age of 55 years were included in the study, along with their caregivers. The bivariate Chi square and Mann-Whitney tests, and multivariate linear and logistic regression models were used for statistical analysis. RESULTS: A total of 1086 dyads were included (N=2172). Overall, 299 (27.53%) of people with dementia/mild cognitive impairment had a diagnosis of dementia. In addition, 588 (54.14%) of people with dementia/mild cognitive impairment reported using a smartphone almost every day, and 106 (9.76%) used specific apps or software to support their memory. Among the caregivers, 839 (77.26%) used smartphones and tablets almost every day, and 181 (16.67%) used specific apps or software to support their memory. The people with dementia/mild cognitive impairment showed a lower level of technophilia in comparison to that of their caregivers after adjusting for confounders (B=0.074, P=.02) with differences in technology enthusiasm (B=0.360, P<.001), but not in technology anxiety (B=-0.042, P=.37). Technophilia was associated with lower age (B=-0.009, P=.004), male gender (B=-0.160, P<.001), higher education level (P=.01), living arrangement (living with children vs single; B=-2.538, P=.01), country of residence (Sweden vs Spain; B=0.256, P<.001), lower depression (B=-0.046, P<.001), and better health status (B=0.004, P<.001) in people with dementia/mild cognitive impairment. Among caregivers, technophilia was associated with comparable sociodemographic factors (except for living arrangement), along with a lower caregiver burden (B=-0.005, P=.04) and better quality of life (B=0.348, P<.001). CONCLUSIONS: Technophilia was associated with a better quality of life and sociodemographic variables in people with dementia/mild cognitive impairment and caregivers, suggesting potential barriers for technological interventions. People with dementia/mild cognitive impairment frequently use smartphones and tablets, but the use of specific apps or software to support memory is limited. Interventions using these technologies are needed to overcome barriers in this population related to sociodemographic characteristics and the lack of enthusiasm for new technologies. TRIAL REGISTRATION: ClinicalTrials.gov NCT03325699; https://clinicaltrials.gov/ct2/show/NCT03325699. ©Jose Guzman-Parra, Pilar Barnestein-Fonseca, Gloria Guerrero-Pertiñez, Peter Anderberg, Luis Jimenez-Fernandez, Esperanza Valero-Moreno, Jessica Marian Goodman-Casanova, Antonio Cuesta-Vargas, Maite Garolera, Maria Quintana, Rebeca I García-Betances, Evi Lemmens, Johan Sanmartin Berglund, Fermin Mayoral-Cleries.

Place, publisher, year, edition, pages
JMIR Publications, 2020
Keywords
aging, dementia eHealth, information and communication technology, mild cognitive impairment, technophilia
National Category
Neurosciences Geriatrics
Identifiers
urn:nbn:se:his:diva-19459 (URN)10.2196/17253 (DOI)000537035500001 ()32442136 (PubMedID)2-s2.0-85085905512 (Scopus ID)
Funder
European Commission
Note

CC BY 4.0

Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 01.06.2020.

Available from: 2021-02-10 Created: 2021-02-10 Last updated: 2024-01-17Bibliographically approved
Dallora, A. L., Kvist, O., Berglund, J. S., Ruiz, S. D., Boldt, M., Flodmark, C.-E. & Anderberg, P. (2020). Chronological Age Assessment in Young Individuals Using Bone Age Assessment Staging and Nonradiological Aspects: Machine Learning Multifactorial Approach. JMIR Medical Informatics, 8(9), Article ID e18846.
Open this publication in new window or tab >>Chronological Age Assessment in Young Individuals Using Bone Age Assessment Staging and Nonradiological Aspects: Machine Learning Multifactorial Approach
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2020 (English)In: JMIR Medical Informatics, E-ISSN 2291-9694, Vol. 8, no 9, article id e18846Article in journal (Refereed) Published
Abstract [en]

Background: Bone age assessment (BAA) is used in numerous pediatric clinical settings, as well as in legal settings when entities need an estimate of chronological age (CA) when valid documents are lacking. The latter case presents itself as critical since the law is harsher for adults and granted rights along with imputability changes drastically if the individual is a minor. Traditional BAA methods suffer from drawbacks such as exposure of minors to radiation, do not consider factors that might affect the bone age and they mostly focus on a single region. Given the critical scenarios in which BAA can affect the lives of young individuals it is important to focus on the drawbacks of the traditional methods and investigate the potential of estimating CA through BAA.

Objective: This paper aims to investigate CA estimation through BAA in young individuals of 14 to 21 years with machine learning methods, addressing the drawbacks in the research using magnetic resonance imaging (MRI), assessment of multiple ROIs and other factors that may affect the bone age.

Methods: MRI examinations of the radius, distal tibia, proximal tibia, distal femur and calcaneus were carried out on 465 males and 473 females subjects (14-21 years). Measures of weight and height were taken from the subjects and a questionnaire was given for additional information (self-assessed Tanner Scale, physical activity level, parents' origin, type of residence during upbringing). Two pediatric radiologists assessed, independently, the MRI images as to their stage of bone development (blinded to age, gender and each other). All the gathered information was used in training machine learning models for chronological age estimation and minor versus adults classification (threshold of 18 years). Different machine learning methods were investigated.

Results: The minor versus adults classification produced accuracies of 90% and 84%, for male and female subjects, respectively, with high recalls for the classification of minors. The chronological age estimation for the eight age groups (14-21 years) achieved mean absolute errors of 0.95 years and 1.24 years for male and female subjects, respectively. However, for the latter lower error occurred only for the ages of 14 and 15.

Conclusions: This paper proposed to investigate the CA estimation through BAA using machine learning methods in two ways: minor versus adults classification and CA estimation in eight age groups (14-21 years), while addressing the drawbacks in the research on BAA. The first achieved good results, however, for the second case BAA showed not precise enough for the classification.

Place, publisher, year, edition, pages
JMIR Publications, 2020
Keywords
chronological age assessment, bone age, skeletal maturity, machine learning, magnetic resonance imaging, radius, distal tibia, proximal tibia, distal femur, calcaneus
National Category
Other Medical Sciences not elsewhere specified
Identifiers
urn:nbn:se:his:diva-19475 (URN)10.2196/18846 (DOI)000577388800006 ()32955457 (PubMedID)2-s2.0-85097465282 (Scopus ID)
Funder
Swedish National Board of Health and Welfare
Note

CC BY 4.0

Originally published in JMIR Medical Informatics (http://medinform.jmir.org), 21.09.2020.

Available from: 2020-05-26 Created: 2021-02-16 Last updated: 2022-04-29Bibliographically approved
Kvist, O. F. T., Dallora, A. L., Nilsson, O., Anderberg, P., Berglund, J. S., Flodmark, C.-E. & Diaz, S. (2020). Comparison of reliability of magnetic resonance imaging using cartilage and T1-weighted sequences in the assessment of the closure of the growth plates at the knee. Acta Radiologica Open, 9(9), 1-9, Article ID 2058460120962732.
Open this publication in new window or tab >>Comparison of reliability of magnetic resonance imaging using cartilage and T1-weighted sequences in the assessment of the closure of the growth plates at the knee
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2020 (English)In: Acta Radiologica Open, E-ISSN 2058-4601, Vol. 9, no 9, p. 1-9, article id 2058460120962732Article in journal (Refereed) Published
Abstract [en]

Background: Growth development is traditionally evaluated with plain radiographs of the hand and wrist to visualize bone structures using ionizing radiation. Meanwhile, MRI visualizes bone and cartilaginous tissue without radiation exposure. Purpose: To determine the state of growth plate closure of the knee in healthy adolescents and young adults and compare the reliability of staging using cartilage sequences and T1-weighted (T1W) sequence between pediatric and general radiologists. Material and Methods: A prospective, cross-sectional study of MRI of the knee with both cartilage and T1W sequences was performed in 395 male and female healthy subjects aged between 14.0 and 21.5 years old. The growth plate of the femur and the tibia were graded using a modified staging scale by two pediatric and two general radiologists. Femur and tibia were graded separately with both sequences. Results: The intraclass correlation was overall excellent. The inter- and intra-observer agreement for pediatric radiologists on T1W was 82% (kappa = 0.73) and 77% (kappa = 0.65) for the femur and 90% (kappa = 0.82) and 87% (kappa = 0.75) for the tibia. The inter-observer agreement for general radiologists on T1W was 69% (kappa = 0.56) for the femur and 56% (kappa = 0.34) for the tibia. Cohen's kappa coefficient showed a higher inter- and intra-observer agreement for cartilage sequences than for T1W: 93% (kappa = 0.86) and 89% (kappa = 0.79) for the femur and 95% (kappa = 0.90) and 91% (kappa = 0.81) for the tibia. Conclusion: Cartilage sequences are more reliable than T1W sequence in the assessment of the growth plate in adolescents and young adults. Pediatric radiology experience is preferable.

Place, publisher, year, edition, pages
London: Sage Publications, 2020
Keywords
Growth plate, cartilage, MRI of the knee, growth failure, growth development
National Category
Orthopaedics Radiology, Nuclear Medicine and Medical Imaging
Identifiers
urn:nbn:se:his:diva-19496 (URN)10.1177/2058460120962732 (DOI)000574701900001 ()33088592 (PubMedID)
Note

CC BY-NC 4.0

Article first published online: September 30, 2020; Issue published: September 1, 2020

Available from: 2021-02-24 Created: 2021-02-24 Last updated: 2022-04-20Bibliographically approved
Quintana, M., Anderberg, P., Berglund, J. S., Frögren, J., Cano, N., Cellek, S., . . . Garolera, M. (2020). Feasibility-usability study of a tablet app adapted specifically for persons with cognitive impairment—SMART4MD (Support monitoring and reminder technology for mild dementia). International Journal of Environmental Research and Public Health, 17(18), 1-21, Article ID 6816.
Open this publication in new window or tab >>Feasibility-usability study of a tablet app adapted specifically for persons with cognitive impairment—SMART4MD (Support monitoring and reminder technology for mild dementia)
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2020 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 17, no 18, p. 1-21, article id 6816Article in journal (Refereed) Published
Abstract [en]

Population ageing within Europe has major social and economic consequences. One of the most devastating conditions that predominantly affects older people is dementia. The SMART4MD (Support Monitoring and Reminder Technology for Mild Dementia) project aims to develop and test a health application specifically designed for people with mild dementia. The aim of this feasibility study was to evaluate the design of the SMART4MD protocol, including recruitment, screening, baseline examination and data management, and to test the SMART4MD application for functionality and usability before utilization in a full-scale study. The feasibility study tested the protocol and the app in Spain and Sweden. A total of nineteen persons with cognitive impairment, and their informal caregivers, individually performed a task-based usability test of the SMART4MD app model in a clinical environment, followed by four-week testing of the app in the home environment. By employing a user-centered design approach, the SMART4MD application proved to be an adequate and feasible interface for an eHealth intervention. In the final usability test, a score of 81% satisfied users was obtained. The possibility to test the application in all the procedures included in the study generated important information on how to present the technology to the users and how to improve these procedures. © 2020 by the authors. Licensee MDPI, Basel, Switzerland.

Place, publisher, year, edition, pages
MDPI, 2020
Keywords
Dementia, E-health, Feasibility study, Monitoring
National Category
Nursing Neurosciences
Identifiers
urn:nbn:se:his:diva-19506 (URN)10.3390/ijerph17186816 (DOI)000580145500001 ()32961993 (PubMedID)2-s2.0-85091118595 (Scopus ID)
Funder
EU, Horizon 2020, 643399
Note

CC BY 4.0

Available from: 2021-03-03 Created: 2021-03-03 Last updated: 2021-03-10Bibliographically approved
Dallora, A. L., Minku, L., Mendes, E., Rennemark, M., Anderberg, P. & Berglund, J. S. (2020). Multifactorial 10-year prior diagnosis prediction model of dementia. International Journal of Environmental Research and Public Health, 17(18), 1-18, Article ID 6674.
Open this publication in new window or tab >>Multifactorial 10-year prior diagnosis prediction model of dementia
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2020 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 17, no 18, p. 1-18, article id 6674Article in journal (Refereed) Published
Abstract [en]

Dementia is a neurodegenerative disorder that affects the older adult population. To date, no cure or treatment to change its course is available. Since changes in the brains of affected individuals could be evidenced as early as 10 years before the onset of symptoms, prognosis research should consider this time frame. This study investigates a broad decision tree multifactorial approach for the prediction of dementia, considering 75 variables regarding demographic, social, lifestyle, medical history, biochemical tests, physical examination, psychological assessment and health instruments. Previous work on dementia prognoses with machine learning did not consider a broad range of factors in a large time frame. The proposed approach investigated predictive factors for dementia and possible prognostic subgroups. This study used data from the ongoing multipurpose Swedish National Study on Aging and Care, consisting of 726 subjects (91 presented dementia diagnosis in 10 years). The proposed approach achieved an AUC of 0.745 and Recall of 0.722 for the 10-year prognosis of dementia. Most of the variables selected by the tree are related to modifiable risk factors; physical strength was important across all ages. Also, there was a lack of variables related to health instruments routinely used for the dementia diagnosis. 

Place, publisher, year, edition, pages
MDPI, 2020
Keywords
Cost sensitive learning, Decision tree, Dementia, Machine learning, Modifiable risk factors, Prognosis, Wrapper feature selection, health risk, mental disorder, modeling, prediction, risk factor, symptom, Sweden
National Category
Geriatrics Neurology
Identifiers
urn:nbn:se:his:diva-19527 (URN)10.3390/ijerph17186674 (DOI)000579987200001 ()32937765 (PubMedID)2-s2.0-85090858921 (Scopus ID)
Funder
Swedish Research Council
Note

CC BY 4.0

open access

© 2020 by the authors. Licensee MDPI, Basel, Switzerland.

(This article belongs to the Special Issue Applied Health Technology)

Available from: 2021-03-11 Created: 2021-03-11 Last updated: 2021-03-19Bibliographically approved
Tell, J., Olander, E., Anderberg, P. & Berglund, J. S. (2020). Nurses' use and ways of understanding web-based national guidelines for child healthcare. Computers, Informatics, Nursing, 38(2), 62-70
Open this publication in new window or tab >>Nurses' use and ways of understanding web-based national guidelines for child healthcare
2020 (English)In: Computers, Informatics, Nursing, ISSN 1538-2931, E-ISSN 1538-9774, Vol. 38, no 2, p. 62-70Article in journal (Refereed) Published
Abstract [en]

The national Rikshandbokenfor child healthcare, is a web-based guideline for child health care in Sweden containing knowledge- and methodological guidance and a national child health care program in progress to be implemented. The aim with the study was to examine child health care nurses use and ways of understanding the national web-basedRikshandbokenfor child health care.  Mixed method with sequential explanatory design in two phases was used; a web-survey with descriptive statistic followed by telephone interviews with phenomenographic analysis. The study showed variations in use and contribute with deeper knowledge of child healthcare nurse´s ways of understanding the unit RHB whose varied parts interact with each other. To be reliable, useful and relevant for nurses in their context, Rikshandbokenmust be kept updated and involve the end-users in the development process. Access to technical devices and optimal use of the possibilities with information and communication technology, the national web-based Rikshandbokencan be a resource for continuing learning and a tool in everyday work and a possible determinant to an equal child healthcare. The study contributes with valuable knowledge when designing web-based clinical practice guidelines for healthcare, making them useful and relevant for the end-users

Place, publisher, year, edition, pages
Wolters Kluwer, 2020
Keywords
Child healthcare nurses, national guidelines, information and communication technology, mixed method, phenomenography
National Category
Engineering and Technology Nursing
Identifiers
urn:nbn:se:his:diva-19541 (URN)10.1097/CIN.0000000000000578 (DOI)000513579100003 ()31688092 (PubMedID)2-s2.0-85079085154 (Scopus ID)
Note

open access

CC BY-NC-ND 4.0

Copyright © 2019 The Authors. Published by Wolters Kluwer Health, Inc

Available from: 2021-03-19 Created: 2021-03-19 Last updated: 2021-03-31Bibliographically approved
Ghani, Z., Jarl, J., Sanmartin Berglund, J., Andersson, M. & Anderberg, P. (2020). The Cost-Effectiveness of Mobile Health (mHealth) Interventions for Older Adults: Systematic Review. International Journal of Environmental Research and Public Health, 17(15), Article ID 5290.
Open this publication in new window or tab >>The Cost-Effectiveness of Mobile Health (mHealth) Interventions for Older Adults: Systematic Review
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2020 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 17, no 15, article id 5290Article, review/survey (Refereed) Published
Abstract [en]

The objective of this study was to critically assess and review empirical evidence on the cost-effectiveness of Mobile Health (mHealth) interventions for older adults. We systematically searched databases such as Pubmed, Scopus, and Cumulative Index to Nursing and Allied Literature (CINAHL) for peer-reviewed economic evaluations published in English from 2007 to 2018. We extracted data on methods and empirical evidence (costs, effects, incremental cost-effectiveness ratio) and assessed if this evidence supported the reported findings in terms of cost-effectiveness. The consolidated health economic evaluation reporting standards (CHEERS) checklist was used to assess the reporting quality of the included studies. Eleven studies were identified and categorized into two groups: complex smartphone communication and simple text-based communication. Substantial heterogeneity among the studies in terms of methodological approaches and types of intervention was observed. The cost-effectiveness of complex smartphone communication interventions cannot be judged due to lack of information. Limited evidence of cost-effectiveness was found for interventions related to simple text-based communications. Comprehensive economic evaluation studies are warranted to assess the cost-effectiveness of mHealth interventions designed for older adults.

Place, publisher, year, edition, pages
MDPI, 2020
Keywords
Aged, Cost-benefit analysis, Economic evaluation, Gerontechnology, Telemedicine, database, elderly care, elderly population, health care, information system, literature review, mobile communication, mobile phone, technology adoption, chronic obstructive lung disease, cost benefit analysis, cost effectiveness analysis, cost minimization analysis, cost utility analysis, diabetes mellitus, follow up, heart disease, human, intervention study, malignant neoplasm, Parkinson disease, peer review, practice guideline, quality adjusted life year, Review, systematic review, text messaging, Unified Parkinson Disease Rating Scale, Willingness To Pay, Scopus
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:his:diva-20281 (URN)10.3390/ijerph17155290 (DOI)000567271000001 ()32708016 (PubMedID)2-s2.0-85088283747 (Scopus ID)
Funder
EU, Horizon 2020, 643399
Note

CC BY 4.0

Available from: 2021-08-06 Created: 2021-08-06 Last updated: 2021-08-06
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