Siste publikasjoner - Avdeling for tverrfaglig helsevitenskap

• Sævareid, Trygve Johannes Lereim; Pedersen, Reidar & Thoresen, Lisbeth (2020). Nursing home residents with cognitive impairment can participate in advance care planning: A qualitative study. Journal of Advanced Nursing.  ISSN 0309-2402. . doi: https://doi.org/10.1111/jan.14661 Vis sammendrag

  Aims To describe advance care planning in nursing homes when residents with cognitive impairment and/or their next of kin participated and identify associated challenges. Design A qualitative study of nine advance care planning conversations in four Norwegian nursing home wards. During the implementation of advance care planning, we purposively sampled residents with cognitive impairment, their next of kin and healthcare personnel. The implementation followed a “whole‐ward” approach aimed at involving the whole ward in fostering an inclusive, holistic advance care planning discussion. Involving as many residents as possible, preferably together with their next of kin, were central. Methods From observed and audio‐recorded advance care planning conversations that took place from November 2015 to June 2016, we conducted a thematic analysis of the transcripts and field notes. Reporting adhered to the COREQ guidelines. Results Residents actively relayed their preferences regarding healthcare and end‐of‐life issues, despite the cognitive impairment. Next of kin provided constructive support and conversations were largely resident‐focused. However, involving residents was also challenging, findings included: residents’ preferences were often vague, relevant medical information from healthcare personnel lacked and the next of kin were sometimes unaware of the resident's previously held preferences. Moreover, residents tended to focus more on the past and present than the future end‐of‐life care. Conclusions Residents with cognitive impairment can participate actively and meaningfully in advance care planning, if the healthcare personnel actively listens. However, several challenges can arise. Supported decision‐making can improve communication and resident involvement, reinforcing a relational understanding of autonomy. Impact Persons with cognitive impairment should be invited to participate in advance care planning. Their participation may make its benefits and more person‐centred care attainable to persons that are often not involved. Successful involvement of persons with cognitive impairment in advance care planning may rely on robust implementation.

• Aouizerat, Bradley E.; Byun, Eeeseung; Pullinger, Clive R.; Gay, Caryl; Lerdal, Anners & Lee, Kathryn A. (2020). Sleep Disruption and Duration are Associated with Variants in Genes Involved in Energy Homeostasis in Adults with HIV/AIDS. Sleep Medicine.  ISSN 1389-9457. . doi: 10.1016/j.sleep.2020.08.028
• Lindberg, Maren Falch; Miaskowski, Christine; Rustøen, Tone; Cooper, Bruce A; Aamodt, Arild & Lerdal, Anners (2020). Preoperative risk factors associated with chronic pain profiles following total knee arthroplasty. European Journal of Pain.  ISSN 1090-3801.
• Elstad, Tiril; Ulleberg, Pål; Klonteig, Sandra; Hisdal, Jonny; Dyrdal, Gunvor Marie & Bjørndal, Arild (2020). The effects of yoga on student mental health: a randomised controlled trial. Health Psychology and Behavioral Medicine.  ISSN 2164-2850.  8(1), s 573- 585 . doi: 10.1080/21642850.2020.1843466
• Engebretsen, Eivind & Gladhaug, Ivar Prydz (2020). Er det plass til et sykepleievitenskapelig fagmiljø på et medisinsk fakultet?. Tidsskrift for Den norske legeforening.  ISSN 0029-2001.  140(9), s 1- 3 . doi: 10.4045/tidsskr.20.0311
• Hämäläinen, Soile Päivikki; Salamonsen, Anita; Mehus, Grete; Schirmer, Henrik; Graff, Ola & Musial, Frauke (2020). Yoik in Sami elderly and dementia care – A potential for a culture sensitive music therapy?. Nordic journal of music therapy.  ISSN 0809-8131. . doi: 10.1080/08098131.2020.1849364
• Andersen, Marit Helen; Urstad, Kristin Hjorthaug; Larsen, Marie Hamilton; Engebretsen, Eivind; Ødemark, John; Eriksen, Anne & Wahl, Astrid Klopstad (2020). Processes of knowing in the translation of a health communication intervention for dialysis patients awaiting kidney transplantation. Patient Education and Counseling.  ISSN 0738-3991.  s 1- 7 . doi: 10.1016/j.pec.2020.09.009
• Strand, Elin Bolle; Castro-Marrero, Jesus; Helland, Ingrid B; Alegre, Jose & Mengshoel, Anne Marit (2020). Pain and depression are associated with more anxiety in ME/CFS: A cross-sectional cohort study between Norway and Spain.. Clinical Medicine Insights: Psyciatry.  ISSN 1179-5573.  11, s 1- 8 . doi: 10.1177/1179557320941478 Fulltekst i vitenarkiv.
• Mengshoel, Anne Marit & Feiring, Marte (2020). Rethinkng recovery, In David Nicholls; Karen Synne Groven; Rani Lill Anjum & Anne Elisabeth Kinsella (ed.),  Mobilizing Knowledge in Physiotherapy Critical Reflections on Foundations and Practices.  Routledge.  ISBN 9780367428181.  Chapter 5.
• Fosdahl, Merete Aarsland; Jahnsen, Reidun Birgitta; Pripp, Are Hugo & Holm, Inger (2020). Change in popliteal angle and hamstrings spasticity during childhood in ambulant children with spastic bilateral cerebral palsy. A register-based cohort study. BMC Pediatrics.  ISSN 1471-2431.  20(1), s 1- 9 . doi: 10.1186/s12887-019-1891-y
• Lønning, Moa Nyamwathi; Houge, Anette Bringedal; Laupstad, Inga & Aasnes, Ann Evy (2020). “A random system”: The organisation and practice of torture rehabilitation services in Norway. Journal on Rehabilitation of Torture Victims and Prevention of Torture.  ISSN 1018-8185.
• Myhrvold, Birgitte Lawaetz; Irgens, Pernille Marie; Robinson, Hilde Stendal; Engebretsen, Kaia Beck; Natvig, Bård; Kongsted, Alice & Vøllestad, Nina Køpke (2020). Visual trajectory pattern as prognostic factors for neck pain. European Journal of Pain.  ISSN 1090-3801.  24(9), s 1752- 1764 . doi: 10.1002/ejp.1622
• Hompland, Ivar; Fauske, Lena; Lorem, Geir F & Bruland, Øyvind (2020). Use of a simple form to facilitate communication on long‑term consequences of treatment in sarcoma survivors. Clinical sarcoma research.  ISSN 2045-3329. . doi: 10.1186/s13569-019-0124-3 Fulltekst i vitenarkiv.
• Fauske, Lena; Hompland, Ivar; Lorem, Geir F; Sundby Hall, Kirsten & Bondevik, Hilde (2020). Striving towards Normality in Daily Life: A Qualitative Study of Patients Living with Metastatic Gastrointestinal Stromal Tumour in Long-Term Clinical Remission. Sarcoma.  ISSN 1357-714X.  (1814394) . doi: 10.1155/2020/1814394 Fulltekst i vitenarkiv.
• Enbakom, Mestawet Getachew; Lerdal, Anners; Småstuen, Milada Cvancarova; Gay, Caryl; Aamodt, Arild; Tesfaye, Million & Lindberg, Maren Falch (2020). High levels of preoperative pain and fatigue are red flags for moderate‐severe pain 12 months after total knee arthroplasty—A longitudinal cohort study. Musculoskeletal Care.  ISSN 1478-2189.  s 1- 7 . doi: 10.1002/msc.1522 Vis sammendrag

  Background: Moderate/severe pain after total knee arthroplasty (TKA) is a poor surgical outcome. Many studies have identified preoperative risk factors of painafter TKA, but studies of the joint contributions of co-occurring symptoms arelacking. Methods: Patients undergoing primary TKA (n=202) were enrolled in a longitu-dinal cohort study. Preoperatively, patients completed questionnaires measuring demographics and symptoms (pain, fatigue, sleep problems and depression). Painwas re-assessed 12 months after TKA. Logistic regression analysis was used to compute the probabilities of moderate-severe pain at 12 months based on preoperative symptom levels, and results were combined into a risk matrix. Results: More than one-third (40%) of patients (n=187) reported moderate-severepain after TKA. Among preoperative risk factors included in the logistic regressionanalyses were age, sex, pain, fatigue, sleep problems and depression. Adjusting forpossible confounders, fatigue (p=0.02) and pain (p=0.01) were significant riskfactors for moderate-severe pain at 12-months follow-up and were retained in the final risk matrix. The co-occurrence of high-preoperative fatigue and pain scores resulted in 57% estimated probability of moderate-severe pain at 12 months.Similarly, the co-occurrence of low-preoperative fatigue and pain scores resulted in14% estimated probability of moderate-severe pain 12 months after TKA. Conclusion: The combination of high fatigue and pain scores prior to surgery was akey risk factor for moderate-severe pain 12 months after TKA. Mapping of these factors could be used preoperatively to identify patients who are at risk to expe-rience a poor outcome of TKA.

• Gamboa, Danil; Jørgenrud, Benedicte Marie; Bryun, Evgeny A.; Vindenes, Vigdis; Koshkina, Evgenya A.; Nadezhdin, Aleksei V.; Kabashi, Saranda; Tetenova, Elena J.; Berg, Thomas; Nyman, Anna Armika Tussilago; Kolgashkin, Alexey J.; Petukhov, Aleksei E.; Perekhodov, Sergey N.; Davydova, Elena N.; Lerdal, Anners; Nordby, Gudmund & Bogstrand, Stig Tore (2020). Prevalence of psychoactive substance use among acutely hospitalised patients in Oslo and Moscow: a cross-sectional, observational study. BMJ Open.  ISSN 2044-6055.  10:e032572(9), s 1- 15 . doi: 10.1136/bmjopen-2019-032572 Fulltekst i vitenarkiv.
• Sabab, Nabila; Moen, Anne & Bondevik, Hilde (2020). Språkbruk og mønstre i sykepleiernes journalføring. En diskursanalytisk tilnærming. Sykepleien Forskning.  ISSN 1890-2936. . doi: 10.4220/Sykepleienf.2020.82323
• Urstad, Kristin Hjorthaug; Andenæs, Randi; Wahl, Astrid Klopstad; Kvarme, Lisbeth Gravdal; Helseth, Sølvi & Moum, Torbjørn Åge (2020). The Health Literacy Questionnaire: Initial validity testing in a Norwegian sample. HLRP: Health Literacy Research and Practice.  ISSN 2474-8307.  4(4), s e190- e199 . doi: 10.3928/24748307-20200903-01 Fulltekst i vitenarkiv.
• Brørs, Gunhild; Wentzel-Larsen, Tore; Dalen, Håvard; Hansen, Tina B; Norman, Cameron D.; Wahl, Astrid Klopstad & Norekvål, Tone M. (2020). Psychometric properties of the norwegian version of the electronic health literacy scale (eheals) among patients after percutaneous coronary intervention: Cross-sectional validation study. Journal of Medical Internet Research.  ISSN 1438-8871.  22(7), s 1- 16 . doi: 10.2196/17312
• Eik, Hedda; Kirkevold, Marit; Solbrække, Kari Nyheim & Mengshoel, Anne Marit (2020). Rebuilding a tolerable life: narratives of women recovered from fibromyalgia. Physiotherapy Theory and Practice.  ISSN 0959-3985.  s 1- 11 . doi: 10.1080/09593985.2020.1830454
• Magelssen, Morten; Pedersen, Reidar; Karlsen, Heidi Marie & Thoresen, Lisbeth (2020). Implementing clinical ethics committees as a complex intervention: presentation of a feasibility study in community care. BMC Medical Ethics.  ISSN 1472-6939.  21(82) . doi: https://doi.org/10.1186/s12910-020-00522-1
• Stømer, Une Elisabeth; Wahl, Astrid Klopstad; Gøransson, Lasse & Urstad, Kristin Hjorthaug (2020). Exploring health literacy in patients with chronic kidney disease: a qualitative study. BMC Nephrology.  ISSN 1471-2369.  21, s 1- 9 . doi: 10.1186/s12882-020-01973-9 Fulltekst i vitenarkiv.
• Olsen, Unni Solveig Johansen; Lindberg, Maren Falch; Denison, Eva Marie-Louise; Rose, Christopher James; Gay, Caryl; Aamodt, Arild; Brox, Jens Ivar; Skare, Øystein; Furnes, Ove; Lee, Kathryn A & Lerdal, Anners (2020). Predictors of chronic pain and level of physical function in total knee arthroplasty: a protocol for a systematic review and meta-analysis. BMJ Open.  ISSN 2044-6055.  10:e03674, s 1- 9 . doi: 10.1136/bmjopen-2020-037674 Fulltekst i vitenarkiv. Vis sammendrag

  Abstract Introduction One in five patients undergoing total knee arthroplasty (TKA) experience unchanged or worse pain and physical function 1 year after surgery. Identifying risk factors for unfavourable outcomes is necessary to develop tailored interventions to minimise risk. There is a need to review more current literature with updated methodology that addresses the limitations of earlier systematic reviews and meta-analyses. We present a Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols compliant protocol for a systematic review and meta-analysis of predictors of chronic pain and impaired function after TKA. Methods and analysis This review will include prospective longitudinal observational studies, or randomised trials (including cluster and crossover designs) that report arm-wise predictors of chronic postsurgical pain or impaired physical function at 3 months, 6 months or 12 months. A comprehensive literature search of studies published between 2000 and 2019 will be performed in Medline, Embase, CINAHL, Cochrane Library and PEDro. Blinded assessment with consensus agreement will be applied for inclusion of studies, data extraction and assessment of bias risk (Quality in Prognosis Studies tool). The co-primary outcomes, pain and impaired function, at 12 months after TKA will be analysed separately. Estimates of association between each outcome and any preoperative or intraoperative factor that may predict chronic pain or impaired physical function will be extracted from the included studies, where possible. For randomised studies, results will only be extracted from TKA arms (or the first period of crossover trials). Estimates of association from the primary evidence will be synthesised narratively, and quantitatively using multivariate meta-analysis to provide ‘pooled’ estimates of association. Subgroup and sensitivity analyses will be performed. Certainty of evidence for each predictor will be derived from the Grading of Recommendations Assessment, Development and Evaluation framework. Ethics and dissemination No ethical issues are associated with this project. The results from this review will be published in peer-reviewed journals and presented at international conferences.

• Rehman, Yasser; Lindberg, Maren Falch; Arnljot, Kristine; Gay, Caryl; Lerdal, Anners & Aamodt, Arild (2020). More severe radiographic osteoarthritis is associated with increased improvements in patients' health state following a total knee arthroplasty. Journal of Arthroplasty.  ISSN 0883-5403.  35(11) . doi: 10.1016/j.arth.2020.06.025 Fulltekst i vitenarkiv. Vis sammendrag

  Background To assess whether preoperative radiological severity of osteoarthritis (OA) is related to the level of improvement in patients’ health state measured 1 year after total knee arthroplasty (TKA). Methods Radiographic severity of OA was graded using the Kellgren-Lawrence (KL) classification. Two independent observers were blinded to patients’ outcome scores. Health-related quality of life was measured using EQ-5D-3L preoperatively and at 12-month follow-up. The 5 dimensions of the EQ-5D were converted into a health state index score. The association between KL grade and improvement in health state score was analyzed using multiple linear regression. Results Among 156 consecutive patients (68% females, mean age 69 years) who underwent primary TKA, 3 knees (2%) were classified as KL grade 2, 115 as KL grade 3 (74%), and 38 as KL grade 4 (24%). Follow-up rate was 77%. There was substantial intra-rater and inter-rater agreement (Cohen’s kappa = 0.80 and 0.79). Most patients (64%) had clinically significant improvement in their health state score 1 year after TKA. However, after adjusting for relevant covariates, patients with severe OA (KL grade 4) were found to have significantly more improvement in their health state score than patients with mild or moderate OA (KL grade 2 or 3, respectively). Separate analysis of the 5 EQ-5D dimensions showed that the KL group differences were most evident in the “usual activities” and “pain/discomfort” dimensions. Conclusion Patients with severe OA have significantly more improvement in their usual activities and pain/discomfort 1 year after TKA than patients with less severe OA.

• Thoresen, Lisbeth & Røberg, Anne-Stine Bergquist (2020). Pasienttilpassede forløp i NOU 2017:16 På liv og død. En kritisk lesning. Omsorg: Nordisk tidsskrift for Palliativ Medisin.  ISSN 0800-7489.  2, s 61- 64
• Dahl, Kari Gire; Andersen, Marit Helen; Urstad, Kristin Hjorthaug; Falk, Ragnhild S.; Engebretsen, Eivind & Wahl, Astrid Klopstad (2020). Identifying core variables associated with health literacy in kidney transplant recipients.. Progress in transplantation.  ISSN 1526-9248.  30(1), s 38- 47 . doi: 10.1177/1526924819893285
• Hoel, Anders Telle; Tofft, Louise; Bjørnland, Kristin; Gjone, Helene; Teig, Catherine J; Øresland, Tom; Stenström, Pernilla & Andersen, Marit Helen (2020). Reaching adulthood with Hirschsprung's disease: Patient experiences and recommendations for transitional care. Journal of Pediatric Surgery.  ISSN 0022-3468. . doi: 10.1016/j.jpedsurg.2020.05.015 Fulltekst i vitenarkiv.
• Grongstad, Anita; Spruit, Martijn A.; Oldervoll, Line Merethe; Vøllestad, Nina Køpke & Edvardsen, Anne (2020). Pulmonary Rehabilitation in Patients with Pulmonary Sarcoidosis: Impact on Exercise Capacity and Fatigue. Respiration.  ISSN 0025-7931.  99(4), s 289- 297 . doi: 10.1159/000506295
• Moseng, Tuva; Dagfinrud, Hanne Solveig; Bodegom-Vos, Leti van; Dziedzic, Krysia; Hagen, Kåre Birger; Natvig, Bård; Røtterud, Jan H; Vlieland, Thea P.M. Vliet & Østerås, Nina (2020). Low adherence to exercise may have influenced the proportion of OMERACT-OARSI responders in an integrated osteoarthritis care model: secondary analyses from a cluster-randomised stepped-wedge trial. BMC Musculoskeletal Disorders.  ISSN 1471-2474. . doi: 10.1186/s12891-020-03235-z Vis sammendrag

  Background: To address the well-documented gap between hip and knee osteoarthritis (OA) treatment recommendations and current clinical practice, a structured model for integrated OA care was developed and evaluated in a stepped-wedge cluster-randomised controlled trial. The current study used secondary outcomes to evaluate clinically important response to treatment through the Outcome Measures in Rheumatology Clinical Trials clinical responder criteria (OMERACT-OARSI responder criteria) after 3 and 6 months between patients receiving the structured OA care model vs. usual care. Secondly, the study aimed to investigate if the proportion of responders in the intervention group was influenced by adherence to the exercise program inherent in the model. Methods: The study was conducted in primary healthcare in six Norwegian municipalities. General practitioners and physiotherapists received training in OA treatment recommendations and use of the structured model. The intervention group attended a physiotherapist-led OA education program and performed individually tailored exercises for 8–12 weeks. The control group received usual care. Patient-reported pain, function and global assessment of disease activity during the last week were evaluated using 11-point numeric rating scales (NRS 0–10). These scores were used to calculate the proportion of OMERACT-OARSI responders. Two-level mixed logistic regression models were fitted to investigate differences in responders between the intervention and control group. Results: Two hundred eighty-four intervention and 109 control group participants with hip and knee OA recruited from primary care in six Norwegian municipalities. In total 47% of the intervention and 35% of the control group participants were responders at 3 or 6 months combined; showing an uncertain between-group difference (ORadjusted 1.38 (95% CI 0.41, 4.67). In the intervention group, 184 participants completed the exercise programme (exercised ≥2 times/week for ≥8 weeks) and 55% of these were classified as responders. In contrast, 28% of the 86 non-completers were classified as responders. Conclusions: The difference in proportion of OMERACT-OARSI responders at 3 and 6 months between the intervention and control group was uncertain. In the intervention group, a larger proportion of responders were seen among the exercise completers compared to the non-completers.

• Løyland, Borghild; Hermansen, Åsmund; Dahl, Espen & Wahl, Astrid Klopstad (2020). Differences in income trajectories according to psychological distress and pain - A longitudinal study among Norwegian social assistance recipients. Scandinavian Journal of Public Health.  ISSN 1403-4948. . doi: 10.1177/1403494820939812
• Blixt, Line; Solbrække, Kari Nyheim & Bjorbærkmo, Wenche Schrøder (2020). Becoming data. Patient perspectives on using an eTool in physiotherapy sessions. Physiotherapy Theory and Practice.  ISSN 0959-3985.  s 1- 16 . doi: 10.1080/09593985.2020.1790071
• Gashaw, Bosena Tebeje; Schei, Berit; Solbrække, Kari Nyheim & Magnus, Jeanette H. (2020). Ethiopian Health Care Workers’ Insights into and Responses to Intimate Partner Violence in Pregnancy—A Qualitative Study. International Journal of Environmental Research and Public Health (IJERPH).  ISSN 1661-7827. . doi: 10.3390/ijerph17103745
• Hämäläinen, Soile; Musial, Frauke; Graff, Ola; Schirmer, Henrik; Salamonsen, Anita & Mehus, Grete (2020). The art of yoik in care: Sami caregivers' experiences in dementia in Northern Norway. Nordic Journal of Arts, Culture and Health.  2(1), s 22- 37 . doi: 10.18261/issn.2535-7913-2020-01-03 Fulltekst i vitenarkiv.
• Nilsson, Maria H.; Tangen, Gro Gujord; Palmqvist, Sebastian; van Westen, Danielle; Mattsson-Carlgren, Niklas*; Stomrud, Erik & Hansson, Oskar (2020). The effects of tau, amyloid and white matter lesions on mobility, dual tasking and balance in older people. The journals of gerontology. Series A, Biological sciences and medical sciences.  ISSN 1079-5006. . doi: 10.1093/gerona/glaa143 Vis sammendrag

  Background This study aimed to investigate whether white matter lesions (WML), β-amyloid- and tau pathologies are independently associated with mobility, dual tasking and dynamic balance performance in older non-demented individuals. Methods We included 299 older people (mean, SD, age: 71.8, 5.6 years) from the Swedish BioFINDER study, whereof 175 were cognitively unimpaired and 124 had mild cognitive impairment (MCI). In multivariable regression analyses, dependent variables included mobility (Timed Up & Go, TUG), dual tasking (TUG with a simultaneous subtraction task, i.e. TUG-Cog, as well as dual task cost), and balance (Figure-of-eight). The analyses were controlled for age, sex, education, diagnosis (i.e. MCI) and comorbidity (stroke, diabetes, and ischemic heart disease). Independent variables included WML volume, and measures of β-amyloid (abnormal CSF Aβ42/40 ratio) and tau pathology (CSF phosphorylated tau, p-tau). Results Multivariable regression analyses showed that an increased WML volume was independently associated with decreased mobility, i.e. TUG (standardized β=0.247; p<0.001). Tau pathology was independently associated with dual tasking both when using the raw data of TUG-Cog (β=0.224; p=0.003) and the dual task cost (β= -0.246; p=0.001). Amyloid pathology was associated with decreased balance, i.e. Figure-of-eight (β= 0.172; p=0.028). The independent effects of WML and tau pathology were mainly observed in those with MCI, which was not the case for the effects of amyloid pathology on balance. Conclusions Common brain pathologies have different effects where WML are independently associated with mobility, tau pathology has the strongest effect on dual tasking and amyloid pathology seems to be independently associated with balance. Although these novel findings need to be confirmed in longitudinal studies, they suggest that different brain pathologies have different effects on mobility, balance and dual tasking in older non-demented individuals.

• Larsen, Marie Hamilton; Strumse, Yndis S.S.; Borge, Christine Råheim; Andersen, Marit Helen & Wahl, Astrid Klopstad (2020). Relevant associations between alexithymia and health-literacy in persons with psoriasis. Journal of dermatological treatment (Print).  ISSN 0954-6634. . doi: 10.1080/09546634.2020.1756204
• Wahl, Astrid Klopstad; Hermansen, Åsmund; Osborne, Richard H & Larsen, Marie Hamilton (2020). A validation study of the Norwegian version of the Health Literacy Questionnaire: A robust nine-dimension factor model. Scandinavian Journal of Public Health.  ISSN 1403-4948. . doi: 10.1177%2F1403494820926428 Fulltekst i vitenarkiv.
• Bonsaksen, Tore; Skogstad, Laila; Grimholt, Tine Kristin; Heir, Trond; Ekeberg, Øivind; Lerdal, Anners & Bredal, Inger Schou (2020). Substance use in the Norwegian general population: Prevalence and associations with disease. Journal of Substance Use.  ISSN 1465-9891. . doi: 10.1080/14659891.2020.1784303 Fulltekst i vitenarkiv.
• Lindberg, Maren Falch; Schweitz, Turid Undebakke; Aamodt, Arild; Gay, Caryl & Lerdal, Anners (2020). High pre- and postoperative symptom burden in non-responders to total knee arthroplasty. PLOS ONE.  ISSN 1932-6203.  15(5)(5), s 1- 14 . doi: 10.1371/journal.pone.0233347 Vis sammendrag

  Objectives One in five patients does not improve in pain with walking (non-responders) 12 months after total knee arthroplasty (TKA). This longitudinal study investigated a broad range of symptoms before and after TKA and evaluated possible differences in symptom distress between responders and non-responders with regards to pain with walking after TKA. Methods Prior to TKA surgery, 182 patients completed a demographic questionnaire and the Memorial Symptom Assessment Scale—Short Form (MSAS-SF). The MSAS-SF was repeated 12 months following TKA. Clinical data were extracted from medical records. Patients were categorized as responders or non-responders based on their trajectories of pain with walking assessed prior to surgery, on postoperative day 4, at 6 weeks, and at 3 and 12 months. Results Overall, the most distressful preoperative symptoms were pain, lack of energy, difficulty sleeping, feeling drowsy, worrying, feeling bloated, and problems with sexual interest or activity. However, compared with patients classified as responders to TKA, non-responders had higher total symptom distress scores both preoperatively and 12 months postoperatively. Preoperatively, non-responders scored higher than responders on five of the seven most distressing symptoms (i.e., all except difficulty sleeping and feeling bloated), and 12 months postoperatively, non-responders scored higher than responders on six of the seven most distressing symptoms (i.e., all but feeling bloated). In a multivariate analysis, higher preoperative distress scores for pain and problems with sexual interest or activity were significant predictors of non-response to TKA, controlling for other relevant factors. Conclusions Patients’ preoperative symptom burden may be a useful indicator of their risk for nonimprovement following TKA surgery. Future studies need to evaluate the effect of reducing patients’ preoperative symptom burden on TKA outcomes

• Berg, Bjørnar; Roos, Ewa M.; Englund, Martin; Kise, Nina Jullum; Tiulpin, Aleksei; Saarakkala, Simo; Engebretsen, Lars; Eftang, Cathrine N.; Holm, Inger & Risberg, May Arna (2020). Development of osteoarthritis in patients with degenerative meniscal tears treated with exercise therapy or surgery: a randomized controlled trial. Osteoarthritis and Cartilage.  ISSN 1063-4584. . doi: 10.1016/j.joca.2020.01.020 Vis sammendrag

  Objective: To evaluate progression of individual radiographic features 5 years following exercise therapy or arthroscopic partial meniscectomy as treatment for degenerative meniscal tear. Design: Randomized controlled trial including 140 adults, aged 35–60 years, with a magnetic resonance image verified degenerative meniscal tear, and 96% without definite radiographic knee osteoarthritis. Participants were randomized to either 12-weeks of supervised exercise therapy or arthroscopic partial meniscectomy. The primary outcome was between-group difference in progression of tibiofemoral joint space narrowing and marginal osteophytes at 5 years, assessed semi-quantitatively by the OARSI atlas. Secondary outcomes included incidence of radiographic knee osteoarthritis and symptomatic knee osteoarthritis, medial tibiofemoral fixed joint space width (quantitatively assessed), and patient-reported outcome measures. Statistical analyses were performed using a full analysis set. Per protocol and as treated analysis were also performed. Results: The risk ratios (95% CI) for progression of semi-quantitatively assessed joint space narrowing and medial and lateral osteophytes for the surgery group were 0.89 (0.55–1.44), 1.15 (0.79–1.68) and 0.77 (0.42–1.42), respectively, compared to the exercise therapy group. In secondary outcomes (full-set analysis) no statistically significant between-group differences were found. Conclusion: The study was inconclusive with respect to potential differences in progression of individual radiographic features after surgical and non-surgical treatment for degenerative meniscal tear. Further, we found no strong evidence in support of differences in development of incident radiographic knee osteoarthritis or patient-reported outcomes between exercise therapy and arthroscopic partial meniscectomy.

• Mengshoel, Anne Marit; Helland, Ingrid B; Catro-Marrero, Jesus; Pheby, Derek & Strand, Elin Bolle (2020). Patients’ experiences and effects of non-pharmacological treatment for myalgic encephalomyelitis/chronic fatigue syndrome – a scoping mixed methods review. International Journal of Qualitative Studies on Health and Well-being.  ISSN 1748-2623.  15(1) . doi: 10.1080/17482631.2020.1764830 Vis sammendrag

  Purpose The EU COST Action 15111 collaboration on myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) aims to assess current research and identify knowledge gaps in Europe. Presently, our purpose is to map the effects of non-pharmacological therapies (NPTs) for ME/CFS, and what patients find important in the treatment process. Methods A scoping mixed methods literature review of European studies identified 16 papers fulfiling our inclusion criteria. The quantitative and qualitative studies were synthesized separately in tables. Additionally, extracts from the qualitative studies were subjected to translational analysis. Results Effect studies addressed cognitive behavioural therapy (CBT, n = 4), multimodal rehabilitation (n = 2) and activity-pacing (n = 2). CBT reduced fatigue scores more than usual care or waiting list controls. The effects of rehabilitation and activity-pacing were inconsistent. The contents, assessment methods and effects of rehabilitation and activity pacing studies varied. For patients, health professionals’ recognition of ME/CFS and support were crucial, but they expressed ambiguous experiences of what the NPTs entail. Conclusions Methodological differences make comparisons across NPTs impossible, and from a patient perspective the relevance of the specific contents of NPTs are unclear. Future well-designed studies should focus on developing NPTs tailored to patients’ concerns and evaluation tools reflecting what is essential for patients.

• Hamre, Sophia Charlotta; Fure, Brynjar; Helbostad, Jorunn L.; Wyller, Torgeir Bruun; Ihle-Hansen, Hege; Vlachos, Georgios; Ursin, Marie Helene & Tangen, Gro Gujord (2020). Impairments in spatial navigation during walking in patients 70 years or younger with mild stroke. Topics in Stroke Rehabilitation.  ISSN 1074-9357. . doi: 10.1080/10749357.2020.1755814 Fulltekst i vitenarkiv. Vis sammendrag

  Background: Spatial navigation, the ability to determine and maintain a route from one place to another, is needed for independence in everyday life. Knowledge about impairments in spatial navigation in people with mild stroke is scarce. Objectives: To explore impairments in spatial navigation in patients ≤70 years after first-ever mild ischemic stroke (NIHSS≤3) and to explore which variables are associated with these impairments 12 months later. Methods: Patients were examined in the acute phase, and after 3 and 12 months. To assess impairments in spatial navigation, we used the Floor Maze Test (FMT), with time and FMT-errors as outcomes. Patients’ perceived navigational skills were collected using self-report. Logistic regression was used to explore which variables (sociodemographic data, stroke characteristics, cognition, and mobility) were associated with impaired navigation ability. Results: Ninety-seven patients (20 females) were included. The mean (SD) age was 55.5 (11.4) years. Timed FMT improved significantly from the acute phase to 12 months (p = <.001). At 12 months, 24 (24.7%) of the participants walked through the maze with errors, and 22 (22.7%) reported spatial navigational problems. The Trail Making Test (TMT)-B was the only variable from the acute phase associated with FMT-errors at 12 months, and being female was the only variable associated with self-reported navigational problems at 12 months. Conclusion: Nearly one in four patients experienced spatial navigation problems 12 months after a mild stroke. Executive function (TMT-B), measured in the acute phase, was associated with navigational impairments (FMT-errors) at 12 months, and being female was associated with self-reported navigational problems

• Engebretsen, Liv Karin Mohn & Bjorbærkmo, Wenche Schrøder (2020). Out of Chaos—Meaning Arises: The Lived Experience of Re-Habituating the Habitual Body When Suffering From Burnout. Qualitative Health Research.  ISSN 1049-7323. . doi: https://doi.org/10.1177/1049732320914584 Fulltekst i vitenarkiv.
• Meisingset, Ingebrigt; Vasseljen, Ottar; Vøllestad, Nina Køpke; Robinson, Hilde Stendal; Woodhouse, Astrid; Engebretsen, Kaia Beck; Glette, Mari; Øverås, Cecilie Krage; Nordstoga, Anne Lovise; Evensen, Kari Anne Indredavik & Skarpsno, Eivind S. (2020). Novel approach towards musculoskeletal phenotypes. European Journal of Pain.  ISSN 1090-3801. . doi: 10.1002/ejp.1541
• Kjeverud, Anita; Østlie, Kristin; Schanke, Anne-Kristine; Gay, Caryl; Thoresen, Magne & Lerdal, Anners (2020). Trajectories of fatigue among stroke patients from the acute phase to 18 months post-injury: A latent class analysis. PLOS ONE.  ISSN 1932-6203.  15(4), s 1- 14 . doi: 10.1371/journal.pone.0231709 Fulltekst i vitenarkiv. Vis sammendrag

  Using GMM, three latent classes of fatigue trajectories over 18 months were identified, characterized by differing levels of fatigue: low, moderate and high. The mean FSS score for each class remained relatively stable across all four time points. In the univariate analyses, age

• Bredal, Inger Schou; Bonsaksen, Tore; Ekeberg, Øivind; Skogstad, Laila; Grimholt, Tine Kristin; Lerdal, Anners & Heir, Trond (2020). Sexual assault and the association with health, quality of life and self-efficacy in the general Norwegian population. Journal of Interpersonal Violence.  ISSN 0886-2605. . doi: 10.1177/0886260520926307 Fulltekst i vitenarkiv.
• Bondevik, Hilde & Engebretsen, Eivind (2020). Kunnskapsbasert praksis og translasjon: Om kunnskapstyper og standardisering, I: Dag Jenssen; Monica Kjørstad; Sissel Seim & Per Arne Tufte (red.),  Vitenskapsteori for sosial- og helsefag.  Gyldendal Akademisk.  ISBN 9788205518377.  2.  s 55 - 78
• Bonsaksen, Tore; Heir, Trond; Skogstad, Laila; Grimholt, Tine K.; Ekeberg, Øivind; Lerdal, Anners & Bredal, Inger Schou (2020). Daily use of alcohol in the Norwegian general population: Prevalence and associated factors. Drugs and alcohol today.  ISSN 1745-9265. . doi: 10.1108/DAT-02-2020-0010 Fulltekst i vitenarkiv.
• Hansen, Frank; Berntsen, Gro Karine Rosvold & Salamonsen, Anita (2020). Medical pluralism in the aftermath of cancer: health seeking actions and cancer patients’ shaping of trajectories to healing. Anthropology & Medicine.  ISSN 1364-8470.  27(3) . doi: 10.1080/13648470.2019.1676637
• Sverdrup, Karen; Bergh, Sverre; Selbæk, Geir; Saltyte Benth, Jurate; Røen, Irene Mari; Husebø, Bettina & Tangen, Gro Gujord (2020). Trajectories of physical performance in nursing home residents with dementia. Aging Clinical and Experimental Research.  ISSN 1594-0667. . doi: 10.1007/s40520-020-01499-y Fulltekst i vitenarkiv. Vis sammendrag

  Background In nursing homes (NH) the prevalence of dementia ranges from 50 to 84% and most residents have extensive physical-performance impairments. However, from time of admission, development of physical performance in NH residents with dementia remains unexplored. Aims To explore the overall trend in physical performance, associated characteristics, and groups following distinct trajectories from time of admission, in NH residents with dementia. Methods We followed newly admitted NH residents diagnosed with dementia (N=583) from 47 NHs across Norway for 3 years. Individual assessments were conducted biannually, and main outcome measure was the Short Physical Performance Battery (SPPB). Facility-level characteristics included unit size, staf-to-resident ratio, and quality of the physical environment (Special Care Unit Environmental Quality Scale, SCUEQS). Results From time of admission, NH residents with dementia showed a signifcant overall decline in physical performance. Further, we identifed three distinct trajectory groups with signifcantly diferent baseline physical-performance status (“good,” “moderate,” and “poor”), diferences between groups maintained and all declined across time. Younger age, good general medical health, less-severe dementia, and less musculoskeletal pain were associated with both an average higher overall trend and better baseline group-belonging. Additionally, less apathy and more psychosis were associated with a higher overall trend, and agitation was associated with poorer baseline group-belonging. Conclusions To prevent excessive decline in physical performance in this population, NH clinicians should focus eforts specifcally on assessment of physical performance at admission and on identifcation and management of musculoskeletal pain and neuropsychiatric symptoms. Keywords Physical performance · Trajectories · Dementia · Nursing home

• Holmen, Heidi; Larsen, Marie Hamilton; Sallinen, Merja Helena; Thoresen, Lisbeth; Ahlsen, Birgitte; Andersen, Marit Helen; Borge, Christine Råheim; Eik, Hedda; Wahl, Astrid Klopstad & Mengshoel, Anne Marit (2020). Working with patients suffering from chronic diseases can be a balancing act for health care professionals - a meta-synthesis of qualitative studies. BMC Health Services Research.  ISSN 1472-6963. . doi: 10.1186/s12913-019-4826-2 Fulltekst i vitenarkiv.
• Bale, Kjersti & Bondevik, Hilde (2020). Magical thinking: experiences of grief and mourning in George Saunders' Lincoln in the Bardo and Jesmyn Ward's Sing, Unburied, Sing, In Michael Hviid Jacobsen & Anders Petersen (ed.),  Exploring Grief. Towards a sociology of sorrow.  Routledge.  ISBN 978-0-367-19246-4.  Kapittel 4.  s 69 - 83
• Hamre, Sophia Charlotta; Fure, Brynjar; Helbostad, Jorunn L.; Wyller, Torgeir Bruun; Ihle-Hansen, Hege; Vlachos, Georgios; Ursin, Marie Helene & Tangen, Gro Gujord (2020). Balance and Gait After First Minor Ischemic Stroke in People 70 Years of Age or Younger: A Prospective Observational Cohort Study. Physical Therapy.  ISSN 0031-9023.  100(5), s 798- 806 . doi: 10.1093/ptj/pzaa010 Fulltekst i vitenarkiv. Vis sammendrag

  BACKGROUND: Two-thirds of patients with stroke experience only mild impairments in the acute phase, and the proportion of patients <70 years is increasing. Knowledge about balance and gait and predictive factors are scarce for this group. OBJECTIVE: The objective of this study was to explore balance and gait in the acute phase and after 3 and 12 months in patients <=70 years with minor ischemic stroke (National Institutes of Health Stroke Scale score <=3). This study also explored factors predicting impaired balance after 12 months. DESIGN: This study was designed as an explorative longitudinal cohort study. METHODS: Patients were recruited consecutively from 2 stroke units. Balance and gait were assessed with the Mini-Balance Evaluation Systems Test (Mini-BESTest), Timed Up and Go, and preferred gait speed. Predictors for impaired balance were explored using logistic regression. RESULTS: This study included 101 patients. Mean (SD) age was 55.5 (11.4) years, 20% were female, and mean (SD) National Institutes of Health Stroke Scale score was 0.6 (0.9) points. The Mini-BESTest, gait speed, and Timed Up and Go improved significantly from the acute phase to 3 months, and gait speed also improved from 3 to 12 months. At 12 months, 26% had balance impairments and 33% walked slower than 1.0 m/s. Poor balance in the acute phase (odds ratio = 0.92, 95% confidence interval = 0.85-0.95) was the only predictor of balance impairments (Mini-BESTest score <=22) at 12 months poststroke. LIMITATIONS: Limitations include lack of information about pre-stroke balance and gait impairment and poststroke exercise. Few women limited the generalizability. CONCLUSION: This study observed improvements in both balance and gait during the follow-up; still, about one-third had balance or gait impairments at 12 months poststroke. Balance in the acute phase predicted impaired balance at 12 months.

• Stømer, Une Elisabeth; Wahl, Astrid Klopstad; Gøransson, Lasse & Urstad, Kristin Hjorthaug (2020). Health literacy in kidney disease: associations with quality of life and adherence. Journal of Renal Care.  ISSN 1755-6678.  46(2), s 85- 94 . doi: 10.1111/jorc.12314 Fulltekst i vitenarkiv.
• Ljoså, Tone Marte; Bondevik, Hilde; Halvorsen, Jon Anders; Carr, Eloise & Wahl, Astrid Klopstad (2020). The Complex Experience of Psoriasis Related Skin Pain: A Qualitative Study. Scandinavian Journal of Pain.  ISSN 1877-8860.  20(3), s 491- 498 . doi: 10.1515/sjpain-2019-0158 Fulltekst i vitenarkiv. Vis sammendrag

  Background and aims: Psoriasis is a common chronic skin condition, causing skin lesions with thickened and scaling skin, as well as erythema and inflammation that may involve painful sores, cracks, and pustules. Previously psoriasis was regarded as a painless skin condition. However, over the past decade studies show that skin pain is a frequently reported and bothersome symptom in patients with psoriasis. There is however a lack of rich narratives describing the experience of skin pain in these patients. The aims of this qualitative study were therefore to explore in depth how patients experience psoriasisrelated skin pain, and how they deal with it. Methods: Thirteen patients with psoriasis were recruited from a dermatology ward and outpatient clinic. One of the investigators (TML) performed individual, semi-structured interviews at an undisturbed room in the hospital. Interviews were thematically analyzed using the method of Systematic Text Condensation as described by Malterud (2012). Results: Three main themes were identified from the interviews. First, the skin pain experience was complex. Patients used a variety of adjectives and metaphors to describe their pain, and their skin was sensitive to stimuli of everyday activities. Itch was a common cosymptom, and could both mask pain but also cause severe pain due to excessive scratching and damage to the skin. Second, skin pain had a negative impact on patients’ life. Skin pain reduced their physical activity level, impaired their sleep, and made them irritable, depressed, unconcentrated on tasks, as well as withdrawn from other people and social activities. Third, patients dealt with their skin pain in various ways. Although some took action to relieve the pain and distract themselves from pain, most of the patients applied maladaptive and passive coping strategies such as put up with it, avoid painful activities, become fearful or trivialize their pain. Conclusions: The experience of psoriasis related skin pain is complex. The pain has a major negative impact on patients’ life in terms of physical, emotional, cognitive, and social functions. Patients use a variety of adaptive but most frequently maladaptive coping strategies in order to deal with their skin pain. Implications: This study provides new and in-depth knowledge on psoriasis related skin pain. This information is valuable for further work on pain assessment tools and pain management recommendations customized for skin pain experienced by patients with psoriasis.

• Ingskog, Wibeche & Bjorbærkmo, Wenche Schrøder (2020). The ambiguity of preparing and being prepared for a patient consultation. Communication & Medicine. An Interdisciplinary Journal of Healthcare, Ethics and Society.  ISSN 1612-1783. . doi: 10.1558/cam.32765 Fulltekst i vitenarkiv.
• Houge, Anette Bringedal (2019). Explaining (Away) Individual Agency: A Criminological Take on Direct Perpetrator Re-Presentations at the ICTY, In Marina Aksenova; Elies van Sliedregt & Stephan Parmentier (ed.),  Breaking the Cycle of Mass Atrocities: Criminological and Socio-Legal Approaches in International Criminal Law.  Hart Publishing Ltd.  ISBN 978-1-50991-944-4.  Chapter 9.  s 181 - 196
• Keijser, Wouter A.; Handgraaf, Henricus J.M.; Isfordink, Liz M.; Janmaat, Vincent T.; Vergroesen, Pieter-Paul A.; Verkade, Julia M.J.S.; Wieringa, Sietse & Wilderom, Celeste P.M. (2019). Development of a national medical leadership competency framework: The Dutch approach. BMC Medical Education.  ISSN 1472-6920.  19:441, s 1- 19 . doi: 10.1186/s12909-019-1800-y
• Briggs, Andrew M.; Persaud, Jennifer G.; Deverell, Marie L.; Bunzli, Samantha; Tampin, Brigitte; Sumi, Yuka; Amundsen, Olav; Houlding, Elizabeth M.G.; Cardone, Anontella; Hugosdóttir, Thora; Rogers, Sophia; Pozsgai, Miklós & Slater, Helen (2019). Integrated prevention and management of non-communicable diseases, including musculoskeletal health: A systematic policy analysis among OECD countries. BMJ Global Health.  ISSN 2059-7908.  4:e001806(5), s 1- 24 . doi: 10.1136/bmjgh-2019-001806
• Leirbakk, Maria Jensberg; Magnus, Jeanette H.; Torper, Johan & Zeanah, Paula (2019). Look to Norway: Serving new families and infants in a multiethnic population. Infant Mental Health Journal.  ISSN 0163-9641.  40(5), s 659- 672 . doi: 10.1002/imhj.21804 Vis sammendrag

  Despite recognition that immigrant women face significant health challenges, addressing the healthcare needs of immigrants is a source of debate in the United States. Lack of adequate healthcare for immigrants is recognized as a social justice issue, and other countries have incorporated immigrants into their healthcare services. Oslo, the fastest growing capital in Europe, is rapidly shifting to a heterogeneous society prompting organizational action and change. The New Families Program serves first‐time mothers and their infants in an Oslo district serving 53% minorities from 142 countries. Anchored in salutogenic theory, the program aims to support the parent–child relationship, children's development and social adaptation, and to prevent stress‐related outcomes. Formative research has informed the successful program development and implementation within the existing maternal and child healthcare service. Implications for addressing maternal and child health needs of an immigrant population are presented.

• Annexstad, Ellen Johanne; Bollerslev, Jens; Westvik, Jostein; Myhre, A. G.; Godang, Kristin; Holm, Inger & Rasmussen, Magnhild (2019). The role of delayed bone age in the evaluation of stature and bone health in glucocorticoid treated patients With Duchenne muscular dystrophy.. International Journal of Pediatric Endocrinology.  ISSN 1687-9848.  4 . doi: 10.1186/s13633-019-0070-0
• Bostrøm, Katrine; Mæhlum, Sverre; Småstuen, Milada Cvancarova & Storheim, Kjersti (2019). Clinical comparative effectiveness of acupuncture versus manual therapy treatment of lateral epicondylitis: feasibility randomized clinical trial.. BMC Pilot and Feasibility Studies.  ISSN 2055-5784.  5(110) . doi: 10.1186/s40814-019-0490-x Fulltekst i vitenarkiv. Vis sammendrag

  Background: Lateral epicondylitis (LE) is a challenging condition for clinicians, and research has yet not proven the superiority of one specific treatment approach. However, manual therapy (elbow mobilization) in addition to eccentric exercise has been found to be superior to exercise alone. As well, acupuncture is effective in short-term pain relief when compared with sham treatment, but there is little knowledge on the comparative effectiveness of manual therapy and acupuncture treatment of LE in terms of pain relief. The primary objective of this pilot trial was to assess the feasibility (retention and adherence rates) of performing a randomized controlled trial (RCT) to explore the clinical effectiveness of acupuncture and manual therapy treatment of LE. Methods: This pilot trial took place in an outpatient interdisciplinary institute of sports medicine and rehabilitation in Oslo, Norway. Thirty-six adults with clinically diagnosed LE were randomly allocated into one of three groups: eccentric exercise alone, eccentric exercise plus acupuncture, or eccentric exercise plus manual therapy for a 12-week treatment period. Primary outcomes were patient retention and adherence rates. Secondary outcomes included patient-reported pain (NRS), level of disability (Quick-DASH), and participant's satisfaction with treatment and global perceived effect. Results: Nine (69%) patients in the acupuncture group completed the 1-year follow-up, compared to eight (67%) in the manual therapy group and five (45%) in exercise alone. Our goal was to demonstrate a retention rate above 80% to avoid serious threats to validity, but the result was lower than expected. The majority of participants (64%) in both treatment groups received only three-treatment sessions; the reasons included non-attendance or recovery from pain. Secondary outcomes support the rationale for conduction of an RCT. There were no adverse advents related to study participation. Conclusions: Based on differences in pain relief between groups, patient retention, and adherence rates, an RCT seems to be feasible to assess treatment effectiveness more precisely. In a future definitive trial, greater dropout may be reduced by maintaining contact with the participants in the exercise alone group throughout the intervention, and objective assessments might be considered. Trial registration: ClinicalTrials.gov, NCT02321696.

• Robinson, Hilde Stendal & Tangen, Gro Gujord (2019). Fysisk aktive eldre og treningsvaner?. Fysioterapeuten.  ISSN 0016-3384.  86(4), s 24- 28 Fulltekst i vitenarkiv.
• Øyehaug, Gro Askland; Smedsrud, Aina Paulsen; Vøllestad, Nina Køpke & Robinson, Hilde Stendal (2019). Prioritering og ventetid hos avtalefysioterapeuter – en tverrsnittstudie. Fysioterapeuten.  ISSN 0016-3384.  7, s 22- 27 Vis sammendrag

  Hensikt: Undersøke hva som karakteriserer personer som står på venteliste hos avtalefysioterapeuter, hvilken prioritet de får og hvor lenge de venter på behandling, sett opp mot prioriteringsnøkkel med maks anbefalt ventetid. Design: Tverrsnittstudie. Materiale: Personer som ble satt på ventelistene til 6 fellespraksiser i to østlandskommuner i løpet av 6 måneder. Metode: Ventelisteskjema med informasjon om demografi, prioritet og ventetid for hver person. Resultater: Totalt 837 personer sto på ventelistene. Av disse var 68% kvinner, 66% var i yrkesaktiv alder og 88% var fra egen kommune. Henvendelsene ble gitt prioritet fra 1-4 etter hastegrad, der 73% fikk prioritet 1 eller 2. Personer som fikk tilbud innenfor maks anbefalt ventetid etter prioriteringsnøkkelen: Prioritet 1: 48%, prioritet 2: 25%, prioritet 3: 14% og prioritet 4:18%. Tjueto prosent av alle på ventelistene ventet over 6 måneder uten å få tilbud. Ventetiden var signifikant lengre til psykomotorisk fysioterapi sammenlignet med annen fysioterapi. Konklusjon: Avtalefysioterapeutene vurderte et stort flertall av henvendelsene til å få høy prioritet. Totalt sett ble under halvparten tatt inn innen maks anbefalt ventetid. Resultatene tyder på at man bør se nærmere på gjeldende inntakspraksis, prioriteringsnøkkel, og tiltak for å redusere ventetiden.

• Molland, Ragnhild Susanne; Brox, Jens Ivar; Stuge, Britt; Holm, Inger; Riise, Rolf Bjarne & Kibsgård, Thomas (2019). Health related quality of life and physical activity after multiple-surgeries in patients with early onset scoliosis.. Spine Deformity.  ISSN 2212-134X.  7(6), s 1010- 1010 . doi: 10.1016
• Mengshoel, Anne Marit & Sallinen, Merja Helena (2019). Bringing qualitative research into rehabilitation - a worked example of developing a rehabilitation program for patients with fibromyalgia., In Christopher* Hayre* & Dave* Muller (ed.),  Enhancing healthcare and rehabilitation. The impact of qualitative research.  Taylor & Francis Group.  ISBN 9781351116824.  14.  s 223 - 241 Fulltekst i vitenarkiv.
• Borren, Ingrid; Eidet, Lise Mette; Dahlgren, Astrid; Hammerstrøm, Karianne Thune; Bjørndal, Arild; Sund, Anne Mari & Morken, Ida Sund (2019). Kunnskapsoppsummering: effekt av tiltak for angstlidelser hos barn og unge- oppdatert versjon. Håndbok for barn og unges psykiske helse: oppsummert forskning om effekt av tiltak.  ISSN 2535-7220. . doi: 10.21337/1021

Se alle arbeider i Cristin

• Thoresen, Lisbeth; Rugseth, Gro & Bondevik, Hilde (2020). Fenomenologi i helsefaglig forskning. Universitetsforlaget.  ISBN 9788215028897.  140 s.
• Lerdal, Anners (2020). Hvordan skrive den gode vitenskapelige artikkelen?. Gyldendal Akademisk.  ISBN 9788205538573.  80 s.

Se alle arbeider i Cristin

• Lerdal, Anners (2020). Sleep and fatigue, It's not that simple.
• Aanesen, Fiona; Øiestad, Britt Elin; Løchting, Ida; Grotle, Margreth; Solli, Rune; Wynne-Jones, Gwenllian; Sowden, Gail; Storheim, Kjersti & Eik, Hedda (2020). Prosessevaluering av et skreddersydd arbeidsrettet samtaletiltak. Vis sammendrag

  Bakgrunn og formål med studien: Muskel- og skjelettplager er hovedårsaken til sykefravær og uføretrygd i Norge. Det er viktig å forebygge langvarig sykefravær som kan føre til nedsatt helse og livskvalitet for den enkelte og store utgifter for samfunnet. I MI-NAV studien ble det gjennomført en randomisert kontrollert studie (RCT) for å undersøke om to ulike intervensjoner kunne hjelpe personer med muskel- og skjelettplager med å komme raskere tilbake i arbeid enn ved ordinær oppfølging fra NAV. Den ene intervensjonen ble gitt av fysioterapeuter og var et skreddersydd arbeidsrettet samtaletiltak tilpasset deltagernes risiko for langvarig sykefravær: ‘stratified vocational advice intervention’ (SVAI). Målet med oppfølgingen var å kartlegge deltagerens arbeids- og helsesituasjon, identifisere hindringer for retur til arbeid, gi kunnskapsbasert informasjon om arbeid og helse og hjelpe deltagerne med å komme tilbake i arbeid. SVAI er en kompleks intervensjon som kan være vanskelige å implementere. Formålet med denne del-studien er derfor å gjøre en prosessevaluering av SVAI for å beskrive implementeringen og gjennomføringen av intervensjonen. Metode: Vi har fulgt rammeverket for prosessevalueringer av komplekse intervensjoner utviklet av det medisinske forskningsrådet i Storbritannia (MRC guidance) og har benyttet metode triangulering. Kvantitative data er hentet fra logger som fysioterapeutene har ført etter samtaler med hver av deltagerne. Antall telefonsamtaler, fysiske møter, og møter på arbeidsplassen ble registrert, samt tiltaksplaner og deltagernes rapporterte hindringer for retur til arbeid. Kvantitative data ble analysert v.h.a. deskriptive analyser. Kvalitative data ble hentet fra lydopptak av samtaler med ca.8% av deltagerne. Opptakene ble transkribert og innholdet kodet og analysert v.h.a. tematisk analyse for å gi en beskrivelse av hovedtemaene i samtalene. Vi gjennomførte også tematisk analyse av møtereferater fra veiledningssamtalene vi hadde hver måned med fysioterapeutene. Resultater: I september 2020 var totalt 460 deltagere som var sykmeldt >7 uker på grunn av muskel- og skjelettplager inkludert i RCT-studien og av disse var 151 personer randomisert til SVAI. Det var gjort opptak av 12 telefonsamtaler og gjennomført 16 veiledningssamtaler med fysioterapeutene. Når datainnsamlingen er fullført vil vi presentere kvantitative data fra alle deltagere i SVAI armen for å beskrive mengden og typen av oppfølging som er gitt (antall telefonsamtaler, møter og annen type oppfølging). Kvalitative data fra opptak av telefonsamtaler og møtereferater fra veiledningsmøter med fysioterapeutene vil bli sammenfattet. Vi vil gi en oppsummering av innholdet i samtalene med deltagerne og beskrive kontekstuelle faktorer som har hemmet eller fremmet implementeringen av SVAI. Konklusjon: Resultatene fra prosessevalueringen vil gi kunnskap om hvordan intervensjonen er gitt til deltagerne og faktorer som har vært med å påvirke implementeringen av SVAI. Denne informasjonen er viktig for å tolke resultatene av RCT studien og for å kunne reprodusere studien i andre kontekster. En detaljert beskrivelse av alle forhold knyttet til gjennomføringen av SVAI vil gi kunnskap om hvordan man kan implementere SVAI i praksis

• Bondevik, Hilde & Stene-Johansen, Knut (2020). Fra mikroorganismenes karriereveier: mot den hvite død. BLA - Bokvennen litterær avis.  ISSN 2464-3971.
• Houge, Anette Bringedal (2020). Rehabilitering av torturskader i Norge [Fagseminar: en invitasjon til allmennmedisin, UiO].
• Gay, Caryl; Berg, Søren; Hansen, Aleksander Grande; Ihle-Hansen, Hege; Johansen Skogestad, Ingrid; Stubberud, Jan; Larsson, Petra & Lerdal, Anners (2020). Fatigue and sleep apnea three months after first-ever stroke.
• Astrup, Guro Lindviksmoen; Rohde, Gudrun E.; Rimehaug, Stein Arne; Andersen, Marit Helen; Bernklev, Tomm; Bjordal, Kristin; Falk, Ragnhild Sørum; Høyning, Nina Marie; Stavem, Knut & Amdal, Cecilie Delphin (2020). Comparing the use of patient-reported outcomes in clinical studies in Europe in 2008 and 2018; a literature review.
• Vandeskog, Hilde Ousland (2020). Everything is political - a critical lense on gender and aid.
• Solbrække, Kari Nyheim & Bondevik, Hilde (2020). Hva vil det si å erfare kreft?. Dagsavisen - Nye Meninger.
• Rose, Christopher James; Olsen, Unni; Lindberg, Maren Falch; Denison, Eva Marie-Louise; Aamodt, Arild & Lerdal, Anners (2020). A new multivariate meta-analysis model for many variates and few studies. arXiv. 1.
• Kjøbli, John; Engell, Thomas; Tømmerås, Truls; Rognstad, Kristian; Hammerstrøm, Karianne Thune & Bjørndal, Arild (2020). Virksomme elementer. Tidsskrift for Norsk Psykologforening.  ISSN 0332-6470.
• Fystro, Joar Røkke (2020). Når jus og moral møtes. Tidsskrift for Den norske legeforening.  ISSN 0029-2001.  134(10), s 993- 995 . doi: https://doi.org/10.4045/tidsskr.19.0799
• Dahl, Espen; Bråthen, Magne; Heggebø, Kristian; Lødemel, Ivar; Løyland, Borghild & Wahl, Astrid Klopstad (2020). Kan ikke, vil ikke. KAI-kronikken.
• Berg, B.; Roos, Ewa M.; Kise, Nina Jullum; Engebretsen, Lars & Risberg, May Arna (2020). Response to Letter to the Editor: “Osteoarthritis progression after exercise therapy or meniscectomy in patients with degenerative meniscal tears”. Osteoarthritis and Cartilage.  ISSN 1063-4584.  28(8), s 1148- 1149 . doi: 10.1016/j.joca.2020.05.003
• Larsen, Marie Hamilton; Strumse, Yndis S.S.; Borge, Christine Råheim; Andersen, Marit Helen & Wahl, Astrid Klopstad (2020). Viktige sammenhenger mellom aleksitymi og helsekompetanse hos pasienter med psoriasis som har deltatt i klimabehandling. Best Practice Nordic.  (JUNI)
• Hämäläinen, Soile; Musial, Frauke; Olsen, Torjer Andreas; Graff, Ola & Salamonsen, Anita (2020). Yoik experiences and possible positive health outcomes: an explorative pilot study.
• Løyland, Borghild; Dahl, Espen; Wahl, Astrid Klopstad; Lødemel, Ivar; van der Wel, Kjetil A.; Hermansen, Åsmund; Bråthen, Magne & Heggebø, Kristian (2020). Sluttrapport Prosjekt 12/2243 - Arbeidsinkludering, Utdanning eller velferdsytelser. Hvordan har det gått med personer som var langtidsmottakere av sosialhjelp i 2005?.
• Solbrække, Kari Nyheim (2020). Kjønnsperspektiver på sykdom og helse.
• Ahlsen, Birgitte & Eik, Hedda (2019). Nordic Network for Narratives in Medicine.
• Tsarpali, Vasiliki; Lønning, Kjersti; Midtvedt, Karsten; Bernklev, Tomm; Von der Lippe, Nanna; Andersen, Marit Helen & Heldal, Kristian (2019). Getting Life Back »-Kidney Transplantation in the Elderly Patient.
• Tsarpali, Vasiliki; Lønning, Kjersti; Midtvedt, Karsten; Bernklev, Tomm; Von der Lippe, Nanna; Andersen, Marit Helen & Heldal, Kristian (2019). « Getting Life Back »-Kidney Transplantation in the Elderly Patient.
• Mandal, H.T.; Aaby, A; Bonnen, A; Debussche, X; Borge, Christine Råheim; Kolarcik, P; Batterham, R; Osborne, R; Collins, T & Morrisey, J (2019). Symposium: “WHO National Health Literacy Demonstration Projects (NHLDPs): European Action Network for intervention development and implementation.
• Borge, Christine Råheim (2019). Helsekompetanse. Nøkkelen til helse for personer med kronisk obstruktiv lungesykdom (kols). Et samarbeidsprosjekt mellom Lovisenberg Diakonale Sykehus, Helsekonferansen 9 mai 2019. Presentasjon.
• Kvernflaten, Birgit (2019). Assistert befruktning og reproduksjonsteknologi: Ufrivillig barnløses erfaringer og refleksjoner.
• Groven, Karen Synne & Bjorbærkmo, Wenche Schrøder (2019). Kroppspress i idretten: En verdig og oppbyggende idrettskultur som ser hele utøveren?. VG-Nett.
• Tveter, Anne Therese; Kleven, Linn; Østerås, Nina; Nossum, Randi; Eide, Ruth Else Mehl; Klokkeide, Åse; Matre, Karin Hoegh; Olsen, Monika; Andreassen, Øyvor & Kjeken, Ingvild (2019). Ergoterapi i ventetiden før kirurgisk vurdering for pasienter med carpometacarpal artrose – en helseøkonomisk vurdering.
• Gravås, Else Marit Holen; Kjeken, Ingvild; Nossum, Randi; Eide, Ruth Else Mehl; Klokkeide, Åse; Matre, Karin Hoegh; Olsen, Monika; Andreassen, Øyvor; Haugen, Ida Kristin; Østerås, Nina & Tveter, Anne Therese (2019). Pasienters mål og motivasjon for operasjon i tommelens carpometacarpal-ledd.
• Tveter, Anne Therese; Nossum, Randi; Eide, Ruth Else Mehl; Klokkeide, Åse; Matre, Karin Hoegh; Olsen, Monika; Andreassen, Øyvor; Østerås, Nina & Kjeken, Ingvild (2019). Short-term effect of occupational therapy intervention on hand function and pain in patients with thumb base osteoarthritis – secondary analyses of a randomized controlled trial.
• Gravås, Else Marit Holen; Østerås, Nina; Nossum, Randi; Eide, Ruth Else Mehl; Klokkeide, Åse; Matre, Karin Hoegh; Olsen, Monika; Andreassen, Øyvor; Tveter, Anne Therese; Haugen, Ida Kristin & Kjeken, Ingvild (2019). Does occupational therapy delay or reduce the proportion of patients who receives thumb carpometacarpal surgery? a randomized controlled trial.
• Bakker, M; Putrik, P; Aaby, A; Debussche, X; Morrissey, J; Borge, Christine Råheim; Nascimento, do Ó D; Batterham, R; Osborne, Richard H & Maindal, H.T. (2019). Acting together –WHO National Health literacy demonstration projects (NHLDPs) adress health literacy needs in the Eruopen Region.. Public Health Panorama.  5, s 2- 3 . doi: https://apps.who.int/iris/handle/10665/327059.
• Saus, Merete; Douglas, Marcela; Hansen, Ketil Lenert & Salamonsen, Anita (2019). Hva kan barnevernet gjøre for å øke sin kompetanse om den romske minoriteten og andre minoriteter.
• Thoresen, Lisbeth (2019). Mellom åpenhet og etikk.
• Thoresen, Lisbeth (2019). Tøyelig etikk? Om åpenhet om sykdom og helse.

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