Trygve Skonnord

• Skonnord, Trygve; Fetveit, Arne; Skjeie, Holgeir; Brekke, Mette; Grotle, Margreth & Klovning, Atle [Show all 7 contributors for this article] (2021). Cost-effectiveness analysis of acupuncture compared with usual care for acute non-specific low back pain: secondary analysis of a randomised controlled trial. Acupuncture in Medicine. ISSN 0964-5284. 40(2), p. 123–132. doi: 10.1177/09645284211055747. Full text in Research Archive Show summary

  Objective: To assess the cost-effectiveness of a single treatment session of acupuncture, when applied in addition to usual care for acute low back pain (ALBP). Methods: Secondary analysis of a multicentre randomised controlled trial in Norwegian general practice. In total, 171 participants with ALBP ⩽14 days were randomised to a control group (CG) receiving usual care or to an acupuncture group (AG) receiving one additional session of Western medical acupuncture alongside usual care. Primary outcome measures for this cost-effectiveness analysis were quality-adjusted life years (QALYs), health care costs and societal costs at days 28 and 365, the incremental cost-effectiveness ratio (ICER) and net monetary benefit (NMB). The NMB was calculated on the basis of the Norwegian cost-effectiveness threshold of NOK 275,000 (USD 35,628) per QALY gained. Missing data were replaced by multiple chained imputation. Results: Eighty-six participants in the CG and 81 in the AG were included in the analysis. We found no QALY gain at day 28. At day 365, the incremental QALY of 0.035 was statistically significant. The differences in health care costs and societal costs were not statistically significant. Three out of four calculations led to negative ICERs (cost saving) and positive NMBs. For the health care perspective at day 365, the ICER was USD –568 per QALY and the NMB was USD 1265, with 95.9% probability of acupuncture being cost-effective. Conclusion: To our knowledge, this is the first cost-effectiveness analysis of acupuncture for ALBP. The findings indicate that acupuncture may be cost-effective from a 1-year perspective, but more studies are needed. Trial registration number: NCT01439412 (ClinicalTrials.gov).

• Skonnord, Trygve T.; Skjeie, Holgeir; Brekke, Mette; Klovning, Atle; Grotle, Margreth & Aas, Eline [Show all 8 contributors for this article] (2020). Acupuncture for acute non-specific low back pain: a randomised, controlled, multicentre intervention study in general practice—the Acuback study. BMJ Open. ISSN 2044-6055. 10. doi: 10.1136/bmjopen-2019-034157. Full text in Research Archive
• Myklestul, Hans-Christian; Skonnord, Trygve T. & Brekke, Mette (2020). Point-of-care ultrasound (POCUS) in Norwegian general practice. Scandinavian Journal of Primary Health Care. ISSN 0281-3432. doi: 10.1080/02813432.2020.1753385. Full text in Research Archive
• Skjeie, Holgeir; Skonnord, Trygve T.; Brekke, Mette; Klovning, Atle; Fetveit, Arne & Landgren, Kajsa [Show all 8 contributors for this article] (2018). Acupuncture treatments for infantile colic: a systematic review and individual patient data meta-analysis of blinding test validated randomised controlled trials. Scandinavian Journal of Primary Health Care. ISSN 0281-3432. 36(1), p. 56–69. doi: 10.1080/02813432.2018.1426146. Full text in Research Archive
• Skonnord, Trygve T.; Steen, Finn; Skjeie, Holgeir; Fetveit, Arne; Brekke, Mette & Klovning, Atle (2016). Survey Email Scheduling and Monitoring in eRCTs (SESAMe): A Digital Tool to Improve Data Collection in Randomized Controlled Clinical Trials. Journal of Medical Internet Research. ISSN 1438-8871. 18(11). doi: 10.2196/jmir.6560. Full text in Research Archive
• Skjeie, Holgeir; Skonnord, Trygve T.; Fetveit, Arne & Brekke, Mette (2013). Acupuncture for infantile colic: A blinding-validated, randomized controlled multicentre trial in general practice. Scandinavian Journal of Primary Health Care. ISSN 0281-3432. 31(4), p. 190–196. doi: 10.3109/02813432.2013.862915. Full text in Research Archive
• Skonnord, Trygve T.; Skjeie, Holgeir; Brekke, Mette; Grotle, Margreth; Lund, Irene & Fetveit, Arne (2012). Acupuncture for acute non-specific low back pain: a protocol for a randomised, controlled multicentre intervention study in general practice--the Acuback Study. BMJ Open. ISSN 2044-6055. 2(3). doi: 10.1136/bmjopen-2012-001164. Full text in Research Archive
• Skjeie, Holgeir; Skonnord, Trygve T.; Fetveit, Arne & Brekke, Mette (2011). A pilot study of ST36 acupuncture for infantile colic. Acupuncture in Medicine. ISSN 0964-5284. 29(2), p. 103–107. doi: 10.1136/aim.2010.003590.

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• Juel, Niels Gunnar; Pedersen, Stein Jarle; Ekeberg, Ole Marius; Natvig, Bård & Skonnord, Trygve (2024). START-øvelser ved muskel- og skjelettplager i allmennpraksis. Tidsskrift for Den norske legeforening. ISSN 0029-2001. doi: 10.4045/tidsskr.24.0008.
• Skonnord, Trygve & Christina Louise, Lindhardt (2024). How to engage medical students in curriculum and attendance.
• Guddal, Maren Hjelle; Jahre, Henriette; Øiestad, Britt Elin; Smedbråten, Kaja; Grotle, Margreth & Johnsen, Marianne Bakke [Show all 11 contributors for this article] (2023). The HEYoung Intervention Study. Utvikle og teste gjennomførbarheten av en personsentrert intervensjon for ungdommer med vedvarende smerter.
• Nytrøen, Gunhild & Skonnord, Trygve (2023). Intervju i Leve Med nr. 7/2023. [Business/trade/industry journal]. Leve Med Personskadeforbundet LTN.
• Nytrøen, Gunhild & Skonnord, Trygve (2023). Overgang og samhandling-ortoped fastlege.
• Nytrøen, Gunhild; Solberg, Lene Bergendal; Skjeie, Holgeir; Natvig, Bård; Rosseland, Leiv Arne & Skonnord, Trygve (2023). A Pain and Coordination Plan for Reduced Opioid Use After Accidental Injuries. A Randomised Controlled Trial Protocol.
• Nytrøen, Gunhild; Solberg, Lene Bergendal; Skjeie, Holgeir; Natvig, Bård; Rosseland, Leiv Arne & Skonnord, Trygve (2023). A Pain And Coordination plan for reduced opioid use and improved quality of life after accidental injuries; an RCT protocol .
• Vøllestad, Nina Køpke; Brekke, Mette; Skonnord, Trygve & Heggen, Kristin (2023). Fremtidens fastleger som bærekraftsagenter. Tidsskrift for Den norske legeforening. ISSN 0029-2001. 143(15), p. 1–5. doi: 10.4045/tidsskr.23.0520.
• Emilsson, Louise; Brænd, Anja Maria Lyche; Dahli, Mina; Johannessen, Tonje Rambøll & Skonnord, Trygve (2023). Designing a new elective subject for third-year medical students on navigating medical guidelines. Show summary

  Background: Understanding how to navigate medical guidelines is an essential skill for future doctors. Recent emphasis has been placed on the importance of prioritization and time management when implementing guidelines into clinical practice. However, traditional medical education is offered topic by topic, with less emphasis given to patient-centred care, grading of recommendations and sometimes conflicting guidelines. Methods: Our objective was to develop a two-week elective subject titled "The Medical Profession: Navigating Medical Guidelines" for third-year medical students in Oslo. Through an intensive application of the nominal group technique (NGT), a group of five experienced primary care physicians and teachers collaborated during a two-day session to design the subject and its curriculum. Initially, we had concerns about the complexity of this topic for students at the third-year level due to their limited clinical experience. To assess the subject, the examination was designed to include an individual reflection note and a group presentation. Out of 16 students, 14 consented to having their reflection notes used for educational research purposes. Results: The NGT process led to development of a subject with interactive lectures, group and plenary discussions, as well as a clinical rotation day. Key topics included research guidelines, sensible choices and sustainability, patient-centered care, medical uncertainty, multi-morbidity, and navigating conflicting guidelines. A longitudinal patient-case video presentation accompanied the teaching with increasing complexity each day. Students were divided into two groups for the clinical rotation day at out-of-hour emergency care and nursing home facilities. Two teachers were present each day of the course to facilitate skill development and discussions. Students provided positive feedback, appreciating the reflection on their future professional roles. Conclusion(s): The NGT process proved effective in creating an elective subject well-received by both teachers and students. We encourage others to consider using similar models when designing new curricula.

• Skonnord, Trygve; Knutsen, Julie Solberg; Schei, Edvin & Eliassen, Knut Eirik Ringheim (2023). The experience of meeting a medical student at the GP's office. Show summary

  Background Practicing the role of a doctor with real patients is essential to integrate theoretical knowledge and practical skills. With an increasing number of medical students and longer durations of clinical placements for each student, more patients will encounter a student in the doctor's chair in the future. How do they experience it? Previous studies have focused on students and supervisors in clinical practice. Fewer have explored the patient's perspective. Patients may perceive that students have more time and are more thorough in their examinations, and they feel that they contribute to the students' learning by sharing their own stories and experiences. However, they may be hesitant with regards to mental illnesses or intimate examinations. Research question In this study we aim to explore patients’ attitudes and experiences meeting medical students at the General practitioners (GP’s) office. Methods Students in the later stages of their studies in Oslo and Bergen invite patients to respond to an anonymous questionnaire about their attitudes towards meeting students at their GP's office. Patients are recruited in the waiting rooms of the GP practices, where the students are in placements, and they respond digitally on their own smartphones or an available tablet. Responses are stratified based on whether respondents have had a personal experience of a student encounter or not. Those who have recently had a student consultation will also be asked detailed questions about their experience. Results The survey has been piloted at two doctor's offices in Bergen and data collection will be performed throughout 2023. Preliminary results will be presented at the conference. Conclusion To facilitate best possible clinical learning, we need to learn more about how patients experience meeting students. Through this study, we aim to facilitate good learning experiences while ensuring that the patients are well taken care of.

• Nytrøen, Gunhild & Skonnord, Trygve (2023). Smerte.
• Nytrøen, Gunhild; Solberg, Lene Bergendal; Skjeie, Holgeir; Natvig, Bård; Rosseland, Leiv Arne & Skonnord, Trygve (2023). Kan en Smerte- Og Samhandlingsplan (SOS-plan) ved utskrivning etter alvorlig skade gi redusert opioidbruk og økt livskvalitet?
• Emilsson, Louise; Brænd, Anja Maria Lyche; Johannessen, Tonje Rambøll; Dahli, Mina & Skonnord, Trygve (2023). Development of a new elective subject for third-year students on navigating medical guidelines.
• Eliassen, Knut Eirik Ringheim; Skonnord, Trygve; Knutsen, Julie Solberg & Schei, Edvin (2023). Pasienters møte med medisinstudenter i fastlegerollen.
• Myklestul, Hans-Christian; Skjeie, Holgeir; Brekke, Mette & Skonnord, Trygve (2022). Fifty shades of grey and clinical uncertainty; Focus group study among general practitioners using point-of-care ultrasound (POCUS) as a part of clinical decision making.
• Myklestul, Hans-Christian; Skjeie, Holgeir; Brekke, Mette & Skonnord, Trygve (2022). Fifty shades of grey and clinical uncertainty; a focus group study among general practitioners using point-of-care ultrasound as a part of clinical decision making.
• Myklestul, Hans-Christian; Skonnord, Trygve & Brekke, Mette (2022). Point-of-care ultrasound (POCUS) in Norwegian general practice.
• Skonnord, Trygve; Brænd, Anja Maria & Fossum, Guro Haugen (2022). Patient experiences from the COVID-19 pandemic regarding health care seeking, self-care, concern for disease, and delayed diagnosis and treatment; a cross-sectional study in general practice.
• Skonnord, Trygve (2022). Kunnskapsbasert nålebehandling i klinisk praksis.
• Killingmo, Rikke Munk; Storheim, Kjersti; Zwart, John-Anker; Hartvigsen, Jan; Skonnord, Trygve T. & Vigdal, Ørjan Nesse [Show all 7 contributors for this article] (2020). Korsryggsmerter - tid for å endre praksis . Ryggstøtten. ISSN 1500-757X.
• Killingmo, Rikke Munk; Storheim, Kjersti; Zwart, John-Anker; Hartvigsen, Jan; Skonnord, Trygve T. & Vigdal, Ørjan Nesse [Show all 7 contributors for this article] (2020). Korsryggsmerter - tid for å endre praksis. Utposten. ISSN 0800-5680. 49(5), p. 6–7.
• Killingmo, Rikke Munk; Storheim, Kjersti; Zwart, John-Anker; Hartvigsen, Jan; Skonnord, Trygve T. & Vigdal, Ørjan Nesse [Show all 7 contributors for this article] (2020). Mens vi venter på nye retningslinjer for behandling av korsryggsmerter. Tidsskrift for Den norske legeforening. ISSN 0029-2001. doi: 10.4045/tidsskr.20.0181.
• Killingmo, Rikke Munk; Storheim, Kjersti; Zwart, John-Anker; Hartvigsen, Jan; Skonnord, Trygve T. & Vigdal, Ørjan Nesse [Show all 7 contributors for this article] (2020). Korsryggsmerter - tid for å endre praksis! Fysioterapeuten. ISSN 0016-3384. 87(4), p. 39–40.
• Myklestul, Hans-Christian; Skonnord, Trygve T. & Brekke, Mette (2019). AFU-prosjektbeskrivelse.
• Myklestul, Hans-Christian; Skonnord, Trygve T. & Brekke, Mette (2019). The UNG study: Ultrasound in Norwegian General practice, a prevalence study.
• Skonnord, Trygve T.; Skjeie, Holgeir; Brekke, Mette; Klovning, Atle; Grotle, Margreth & Aas, Eline [Show all 8 contributors for this article] (2019). Acupuncture for acute nonspecific low back pain: A randomised, controlled, multicentre intervention study in general practice — the Acuback study.
• Skonnord, Trygve T.; Skjeie, Holgeir; Brekke, Mette; Klovning, Atle; Grotle, Margreth & Aas, Eline [Show all 8 contributors for this article] (2019). The ACUBACK study: Acupuncture for acute non-specific low back pain.
• Skonnord, Trygve T.; Skjeie, Holgeir; Brekke, Mette; Klovning, Atle; Grotle, Margreth & Aas, Eline [Show all 8 contributors for this article] (2019). The ACUBACK study: Acupuncture for acute non-specific low back pain.
• Skonnord, Trygve T.; Skjeie, Holgeir; Brekke, Mette; Klovning, Atle; Grotle, Margreth & Fetveit, Arne (2018). ACUBACK-studien: Akupunktur for akutte korsryggsmerter – en randomisert, kontrollert multisenterstudie i allmennpraksis. .
• Skonnord, Trygve T.; Skjeie, Holgeir; Brekke, Mette; Grotle, Margreth; Klovning, Atle & Fetveit, Arne (2018). ACUBACK-studien: Akupunktur for akutte korsryggsmerter – en randomisert, kontrollert multisenterstudie i allmennpraksis. .
• Skonnord, Trygve T. (2018). Smertepasienten i primærhelsetjenesten: Hva kan fastlegen gjøre og hvordan samhandle bedre med spesialisthelsetjenesten?
• Skonnord, Trygve T.; Gjelstad, Svein; Larsen, Lars Bruun & Stenström, Per (2017). e-research: Changes and challenges in the use of digital tools in primary care research.
• Røysland, Kjetil & Skonnord, Trygve T. (2017). Exercise for secondary prevention of nonspecific low back pain: A literature search.
• Skonnord, Trygve T.; Steen, Finn; Fetveit, Arne; Brekke, Mette; Skjeie, Holgeir & Klovning, Atle (2016). Survey Email Scheduling And Monitoring in eRCTs (SESAMe): a digital tool to improve data collection in clinical trials.
• Skjeie, Holgeir; Skonnord, Trygve T.; Fetveit, Arne & Brekke, Mette (2015). Acupuncture for infantile colic: A blinding-validated, randomized controlled multicentre trial in general practice.
• Skonnord, Trygve T.; Steen, Finn; Fetveit, Arne; Brekke, Mette & Klovning, Atle (2015). SESAMe: Opening doors to improved digital data collection, enabling large randomised controlled trials in general practice. An inductive software development process.
• Landgren, Kajsa; Raith, Wolfgang; Schmölzer, Georg M.; Skjeie, Holgeir & Skonnord, Trygve T. (2015). Acupuncture in the treatment of infantile colic. The Italian Journal of Pediatrics. ISSN 1720-8424. doi: 10.1186/s13052-014-0105-3.
• Skonnord, Trygve T.; Steen, Finn & Klovning, Atle (2014). Utvikling av Survey Email Scheduler (SES) software; et verktøy som kan forbedre datainnsamlingen i kliniske studier i allmennpraksis.
• Skjeie, Holgeir; Skonnord, Trygve T.; Fetveit, Arne & Brekke, Mette (2014). Acupuncture for infantile colic.
• Skjeie, Holgeir; Skonnord, Trygve T.; Fetveit, Arne & Brekke, Mette (2014). Infants and acupuncture-is it advisable? The ST36 study of infantile colic.
• Skonnord, Trygve T.; Steen, Finn & Klovning, Atle (2014). Development of the Survey Email Scheduler (SES) software: A research tool that may improve data collection in clinical trials in general practice.
• Skjeie, Holgeir; Skonnord, Trygve T.; Fetveit, Arne & Brekke, Mette (2014). Acupuncture in infantile colic-is it advisable? Acupuncture for infantile colic: A blinding-validated, randomizedcontrolled multicentre trial in general practice.
• Skjeie, Holgeir; Skonnord, Trygve T.; Fetveit, Arne & Brekke, Mette (2014). Response to Letter to the Editor. Scandinavian Journal of Primary Health Care. ISSN 0281-3432. 32(1), p. 52–52. doi: 10.3109/02813432.2014.892305.
• Skonnord, Trygve T.; Steen, Finn & Klovning, Atle (2013). Development of the Survey Email Scheduler (SES) software; A tool that can improve data collection in clinical trials in general practice.
• Skonnord, Trygve T.; Steen, Finn & Klovning, Atle (2013). Development of the Survey Email Scheduler (SES) software; A tool that can improve data collection in clinical trials in general practice.
• Skonnord, Trygve T.; Skjeie, Holgeir; Brekke, Mette; Grotle, Margreth; Lund, Irene & Fetveit, Arne (2013). Acupuncture for acute non-specific low back pain: A protocol for a randomised controlled multicenter intervention study in general practice - the ACUBACK study.
• Skonnord, Trygve T.; Skjeie, Holgeir; Brekke, Mette; Grotle, Margreth; Lund, Irene & Fetveit, Arne (2013). Acupuncture for acute non-specific low back pain: A protocol for a randomised controlled multicenter intervention study in general practice - the ACUBACK study.
• Skonnord, Trygve T.; Skjeie, Holgeir; Brekke, Mette; Grotle, Margreth; Lund, Irene & Fetveit, Arne (2013). Acupuncture for acute non-specific low back pain: a protocol for a randomised, controlled multicentre intervention study in general practice--the Acuback Study.
• Skonnord, Trygve T.; Skjeie, Holgeir; Brekke, Mette; Grotle, Margreth; Lund, Irene & Fetveit, Arne (2012). Akupunktur for akutte korsryggsmerter - en randomisert, kontrollert multisenterstudie i allmennpraksis - ACUBACK-studien.
• Skonnord, Trygve T.; Skjeie, Holgeir; Brekke, Mette; Grotle, Margreth; Lund, Irene & Fetveit, Arne (2012). Acupuncture for acute non-specific low back pain: A protocol for a randomised controlled multicenter intervention study in general practice.
• Skonnord, Trygve T.; Skjeie, Holgeir; Brekke, Mette; Grotle, Margreth; Lund, Irene & Fetveit, Arne (2012). Akupunktur for akutte korsryggsmerter - en randomisert, kontrollert multisenterstudie i allmennmedisin - ACUBACK-studien. Utposten. ISSN 0800-5680. 41(7), p. 35–35.
• Skonnord, Trygve T.; Skjeie, Holgeir; Brekke, Mette; Grotle, Margreth; Lund, Irene & Fetveit, Arne (2012). Acupuncture for acute non-specific low back pain: A protocol for a randomised controlled multicenter intervention study in general practice.
• Skonnord, Trygve T. (2011). Acuback - en planlagt RCT på akutte korsryggsmerter.
• Skjeie, Holgeir & Skonnord, Trygve T. (2010). How to make GPs work in research projects for free. Challenges and roadblocks in setting up scientific protocols in environments not normally suited for it. The ongoing ST 36 infant colic project in Norway.
• Gjørven, Julie & Skonnord, Trygve T. (2010). Stikk mot kolikk. Foreldre og barn. ISSN 0332-513X. p. 96–97.
• Skjeie, Holgeir & Skonnord, Trygve T. (2010). Slik gjorde jeg det. Akupunktur mot kolikk.
• Skonnord, Trygve T. & Brekke, Mette (2008). Effekt av akupunktur ved spedbarnskolikk. Utposten. ISSN 0800-5680. 37(6), p. 41–41.

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