Ellen Gabrielsen Hjelle

• Mangset, Margrete; Kitzmüller, Gabriele; Evju, Anne S.; Angel, Sanne; Aadal, Lena & Martinsen, Randi [Vis alle 12 forfattere av denne artikkelen] (2021). Perceived study-induced influence on the control group in a randomized controlled trial evaluating a complex intervention to promote psychosocial well-being after stroke : a process evaluation. Trials. ISSN 1745-6215. 22. doi: 10.1186/s13063-021-05765-w. Fulltekst i vitenarkiv Vis sammendrag

  Background: A commonly applied control condition in trials evaluating complex interventions in rehabilitation research is “usual care.” The main challenge is to ensure that the control group receives genuine usual care as delivered in everyday clinical practice. The assessment interviews and dialogues with the data collectors may influence the control group participants’ reflections on their condition and adjustments. This represents a threat to the internal validity of the trial. Thus, the aim of this study was to explore the perceived study-induced influence of assessment interviews on the adjustment of the members of a control group in a randomized clinical trial. The aim of the trial was to test a dialogue-based psychosocial intervention aiming at promoting the psychosocial well-being and adjustment of stroke survivors. Methods: Fifteen participants in the control group of a multicenter stroke rehabilitation trial participated in narrative semi-structured interviews. Ricoeur’s interpretation theory guided the analysis. Results: The perceived study-induced influence of the assessment interviews on the adjustment process of members of the control group varied considerably. The results demonstrated that the assessment interviews facilitated some participants’ feelings of control and their ability to cope. Other participants’ statements indicate that they relied on their existing personal capacity to cope and adjust and that the assessment interviews did not make any difference either on their coping ability or on their process of adjustment. Five themes were identified that described the perceived study-induced influence of the assessment interviews in the control group. The themes illustrated that the assessments served as a safety net, enhanced awareness and understanding, encouraged seeking support, allowed the opportunity to vent disappointment, or did not make any difference either way. Conclusions: RCT assessment interviews may influence the adjustment process and represent a serious problem in measuring interventions over time in trials of complex interventions in rehabilitation research. To uphold rigor and stringency, the usual care control conditions should be thoroughly assessed and described. Informing participants only about the treatment they were allocated to receive might counteract the potential to dilute the difference between the two arms of the trial.

• Martinsen, Randi; Kitzmüller, Gabriele; Mangset, Margrete; Kvigne, Kari Johanne; Evju, Anne Svelstad & Bronken, Berit Arnesveen [Vis alle 10 forfattere av denne artikkelen] (2021). Nurses’ and occupational therapists’ experiences of conducting a home-based psychosocial intervention following stroke: a qualitative process evaluation. BMC Health Services Research. ISSN 1472-6963. doi: 10.1186/s12913-021-06857-8. Fulltekst i vitenarkiv
• Bragstad, Line Kildal; Hjelle, Ellen Gabrielsen ; Zucknick, Manuela; Sveen, Unni; Thommessen, Bente & Bronken, Berit Arnesveen [Vis alle 13 forfattere av denne artikkelen] (2020). The effects of a dialogue-based intervention to promote psychosocial well-being after stroke: a randomized controlled trial. Clinical Rehabilitation. ISSN 0269-2155. 34(8), s. 1056–1071. doi: 10.1177/0269215520929737. Fulltekst i vitenarkiv Vis sammendrag

  Objective: To evaluate the effect of a dialogue-based intervention targeting psychosocial well-being at 12 months post-stroke. Design: Multicenter, prospective, randomized, assessor-blinded, controlled trial with two parallel groups. Setting: Community. Subjects: Three-hundred and twenty-two adults (⩾18 years) with stroke within the last four weeks were randomly allocated into intervention group (n = 166) or control group (n = 156). Interventions: The intervention group received a dialogue-based intervention to promote psychosocial well-being, comprising eight individual 1–1½ hour sessions delivered during the first six months post-stroke. Main measures: The primary outcome measure was the General Health Questionnaire-28 (GHQ-28). Secondary outcome measures included the Stroke and Aphasia Quality of Life Scale-39g, the Sense of Coherence scale, and the Yale Brown single-item questionnaire. Results: The mean (SD) age of the participants was 66.8 (12.1) years in the intervention group and 65.7 (13.3) years in the control group. At 12 months post-stroke, the mean (SE) GHQ-28 score was 20.6 (0.84) in the intervention group and 19.9 (0.85) in the control group. There were no between-group differences in psychosocial well-being at 12 months post-stroke (mean difference: −0.74, 95% confidence interval (CI): −3.08, 1.60). The secondary outcomes showed no statistically significant between-group difference in health-related quality of life, sense of coherence, or depression at 12 months. Conclusion: The results of this trial did not demonstrate lower levels of emotional distress and anxiety or higher levels of health-related quality of life in the intervention group (dialogue-based intervention) as compared to the control group (usual care) at 12 months post-stroke.

• Bragstad, Line Kildal; Lerdal, Anners Vetle; Gay, Caryl L.; Kirkevold, Marit; Lee, Kathryn A. & Lindberg, Maren Falch [Vis alle 10 forfattere av denne artikkelen] (2020). Psychometric properties of a short version of Lee Fatigue Scale used as a generic PROM in persons with stroke or osteoarthritis: assessment using a Rasch analysis approach. Health and Quality of Life Outcomes. ISSN 1477-7525. 18, s. 1–8. doi: 10.1186/s12955-020-01419-8. Fulltekst i vitenarkiv
• Hjelle, Ellen Gabrielsen ; Bragstad, Line Kildal; Kirkevold, Marit; Zucknick, Manuela; Bronken, Berit Arnesveen & Martinsen, Randi [Vis alle 11 forfattere av denne artikkelen] (2019). Effect of a dialogue-based intervention on psychosocial well-being 6 months after stroke in Norway: A randomized controlled trial . Journal of Rehabilitation Medicine. ISSN 1650-1977. 51(8), s. 557–565. doi: 10.2340/16501977-2585. Fulltekst i vitenarkiv Vis sammendrag

  Abstract Objective: To evaluate the effect of a dialogue-based intervention on psychosocial well-being 6 months after stroke. Design: Multicentre, prospective, randomized controlled trial. Subjects: Adults (aged ≥ 18 years) who had their first or recurrent stroke within the last month, were medically stable, had sufficient cognitive functioning to participate and understood and spoke Norwegian. Methods: A total of 322 participants were randomly assigned to the intervention (n = 166) or control (n = 156) group. Participants in the intervention group received up to 8 individual sessions aimed at supporting the coping and life skills of stroke survivors in addition to usual care. The primary outcome was the proportion of participants with normal mood measured by the General Health Questionnaire-28 (GHQ-28). The secondary outcomes included health-related quality of life (Stroke and Aphasia Quality of Life Scale; SAQOL-39g), depression (Yale-Brown single-item questionnaire; Yale) and sense of coherence (SOC-13). Results: After controlling for the baseline values, no significant benefit was found in the intervention group over the control group (odds ratio (OR): 0.898: 95% confidence interval (95% CI): 0.54-1.50, p = 0.680) 6 months post-stroke. Conclusion: Psychosocial well-being improved during the first 6 months after stroke in both arms of the trial, but no statistically significant benefit of the dialogue-based intervention was found compared with usual care. Lay Abstract The aim of this study was to evaluate the effect of a dialogue-based intervention on psychosocial well-being 6 months after stroke. A total of 322 participants were assigned to an intervention (= 166) or control (= 156) group. Participants in the intervention group received up to 8 individual sessions aimed at supporting the coping and life skills of stroke survivors in addition to usual care. Psychosocial well-being improved during the first 6 months after the stroke in both arms of the trial. However, no benefit of the dialogue-based intervention was found compared with usual care.

• Hjelle, Ellen Gabrielsen; Bragstad, Line Kildal; Zucknick, Manuela; Kirkevold, Marit; Thommessen, Bente & Sveen, Unni (2019). The General Health Questionnaire-28 (GHQ-28) as an outcome measurement in a randomized controlled trial in a Norwegian stroke population. BMC Psychology. ISSN 2050-7283. 7(18). doi: 10.1186/s40359-019-0293-0. Fulltekst i vitenarkiv
• Kitzmüller, Gabriele; Mangset, Margrete; Evju, Anne Svelstad; Angel, Sanne; Aadal, Lena & Martinsen, Randi [Vis alle 12 forfattere av denne artikkelen] (2019). Finding the way forward : the lived experience of people with stroke after participation in a complex psychosocial intervention. Qualitative Health Research. ISSN 1049-7323. 29(12), s. 1711–1724. doi: 10.1177/1049732319833366. Fulltekst i vitenarkiv Vis sammendrag

  Stroke patients’ well-being is threatened after stroke. A psychosocial intervention was developed for Norwegian stroke patients living in the community. Eight individual sessions between people with stroke and a trained health care professional were conducted 1 to 6 months post-stroke with one group of participants and 6 to 12 months post-stroke with another group. Subsequently, 19 of these stroke patients were interviewed to gain an in-depth understanding of their lived experience of the influence of the intervention on their adjustment process. Interview texts were analyzed using Ricoeur’s interpretation theory. Two participants did not personally find the intervention useful. The remaining participants greatly appreciated dialogues with the empathetic intervention personnel, feeling free to discuss their fears and worries. The intervention raised these participants’ awareness of their needs and resources. They were guided to resume their everyday life and adopt a future-oriented attitude. The intervention facilitated their meaning-making endeavors and post-stroke adjustment.

• Bragstad, Line Kildal; Bronken, Berit Arnesveen; Sveen, Unni; Hjelle, Ellen Gabrielsen; Kitzmüller, Gabriele & Martinsen, Randi [Vis alle 9 forfattere av denne artikkelen] (2019). Implementation fidelity in a complex intervention promoting psychosocial well-being following stroke: An explanatory sequential mixed methods study. BMC Medical Research Methodology. ISSN 1471-2288. 19(59). doi: 10.1186/s12874-019-0694-z. Fulltekst i vitenarkiv
• Kirkevold, Marit; Bragstad, Line Kildal; Bronken, Berit Arnesveen; Kvigne, Kari Johanne; Martinsen, Randi & Hjelle, Ellen Gabrielsen [Vis alle 13 forfattere av denne artikkelen] (2018). Promoting psychosocial well-being following stroke: study protocol for a randomized, controlled trial. BMC Psychology. ISSN 2050-7283. 6(12). doi: 10.1186/s40359-018-0223-6. Fulltekst i vitenarkiv Vis sammendrag

  Background: Stroke is a major public health threat globally. Psychosocial well-being may be affected following stroke. Depressive symptoms, anxiety, general psychological distress and social isolation are prevalent. Approximately one third report depressive symptoms and 20% report anxiety during the first months or years after the stroke. Psychosocial difficulties may impact significantly on long-term functioning and quality of life, reduce the effects of rehabilitation services and lead to higher mortality rates. The aim of the study is to evaluate the effect of a previously developed and feasibility tested dialogue-based psychosocial intervention aimed at promoting psychosocial well-being and coping following stroke among stroke survivors with and without aphasia. Methods: The study will be conducted as a multicenter, randomized, single blind controlled trial with one intervention and one control arm. It will include a total of 330 stroke survivors randomly allocated into either an intervention group (dialogue-based intervention to promote psychosocial well-being) or a control group (usual care). Participants in the intervention group will receive eight individual sessions of supported dialogues in their homes during the first six months following an acute stroke. The primary outcome measure will be psychosocial well-being measured by the General Health Questionnaire (GHQ). Secondary outcome measures will be quality of life (SAQoL), sense of coherence (SOC), and depression (Yale). Process evaluation will be conducted in a longitudinal mixed methods study by individual qualitative interviews with 15–20 participants in the intervention and control groups, focus group interviews with the intervention personnel and data collectors, and a comprehensive analysis of implementation fidelity. Discussion: The intervention described in this study protocol is based on thorough development and feasibility work, guided by the UK medical research council framework for developing and testing complex interventions. It combines classical effectiveness evaluation with a thorough process evaluation. The results from this study may inform the development of further trials aimed at promoting psychosocial well-being following stroke as well as inform the psychosocial follow up of stroke patients living at home

• Røe, Cecilie; Kirkevold, Marit; Andelic, Nada; Søberg, Helene L.; Sveen, Unni & Bautz-Holter, Erik [Vis alle 17 forfattere av denne artikkelen] (2018). The challenges of describing rehabilitation services: A discussion paper. Journal of Rehabilitation Medicine. ISSN 1650-1977. 50, s. 151–158. doi: 10.2340/16501977-2299. Fulltekst i vitenarkiv Vis sammendrag

  Objectives: To apply the Classi cation of Service Or- ganization in Rehabilitation (ICSO-R) classi cation of services to different target groups, include the user perspective, identify missing categories, and propose standardized descriptors for the categories from a Norwegian perspective. Design: Expert-based consensus conferences with user involvement. Subjects: Health professionals, stakeholders and users. Methods: Participants were divided into 5 panels, which applied the ICSO-R to describe the habilitation and rehabilitation services provided to children with cerebral palsy and people with Huntington’s disease, acquired brain injuries (traumatic brain injuries and stroke) and painful musculoskeletal conditions. Ba- sed on the Problem/Population, Intervention, Com- parison, Outcome (PICO) framework, the services were described according to the ICSO-R. Missing ca- tegories were identi ed. Results: The ICSO-R was found to be feasible and applicable for describing a variety of services pro- vided to different target groups in Norway, but the user perspective was lacking, categories were missing, and a need for standardized description of the categories was identi ed. Conclusion: The present work supports the need to produce an updated version of the ICSO-R and to en- courage national and international discussion of the framework. The ICSO-R has the potential to become a tool for the standardized assessment of rehabilita- tion services. For such purposes, more standardized descriptions of subcategories are necessary.

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• van Nimwegen, Dagmar; Hjelle, Ellen Gabrielsen ; Bragstad, Line Kildal; Kirkevold, Marit; Sveen, Unni & Hafsteinsdóttir, Thora [Vis alle 9 forfattere av denne artikkelen] (2022). Ensuring psychosocial well-being after stroke? Focus on all aspects of life.
• Bragstad, Line Kildal; Haavaag, Silje Bjørnsen & Hjelle, Ellen Gabrielsen (2022). OPTIM-PARK prosjektet.
• Navarta-Sánchez, Maria Victoria; Haahr, Anita; Bragstad, Line Kildal; Palmar-Santos, Ana; Roberts, Helen & Pedraz-Marcos, Azucena [Vis alle 17 forfattere av denne artikkelen] (2022). Optimization of community resources and systems of support to enhancethe process of living with Parkinson's Disease: A multicectoral intervention.
• Martinsen, Randi; Kitzmüller, Gabriele; Mangset, Margrete; Bronken, Berit Arnesveen; Evju, Anne Svelstad & Kvigne, Kari Johanne [Vis alle 10 forfattere av denne artikkelen] (2019). Helsepersonells erfaringer med å gjennomføre psykososial støtte til personer med hjerneslag.
• Hjelle, Ellen Gabrielsen ; Bragstad, Line Kildal; Kirkevold, Marit; Zucknick, Manuela; Bronken, Berit Arnesveen & Martinsen, Randi [Vis alle 11 forfattere av denne artikkelen] (2019). The effect of a psychosocial intervention on well-being 6 months after stroke – a multicentre prospective randomized controlled trial .
• Hjelle, Ellen Gabrielsen Hjelle; Bragstad, Line Kildal; Kirkevold, Marit; Zucknick, Manuela; Bronken, Berit Arnesveen & Martinsen, Randi [Vis alle 11 forfattere av denne artikkelen] (2019). The complexities of an intervention to promote psychosocial well-being after stroke: Implications for trial outcome .
• Mangset, Margrete; Kitzmüller, Gabriele; Evju, Anne Svelstad; Angel, Sanne; Aadal, Lena & Martinsen, Randi [Vis alle 12 forfattere av denne artikkelen] (2019). The influence of the assessment interviews on the control group participants in a complex psychosocial intervention study after stroke.
• Bragstad, Line Kildal; Hjelle, Ellen Gabrielsen; Sveen, Unni; Bronken, Berit Arnesveen; Martinsen, Randi & Kvigne, Kari Johanne [Vis alle 9 forfattere av denne artikkelen] (2019). Interpreting neutral results in an intervention aimed at promoting psychosocial well-being following stroke: A process evaluation .
• Bragstad, Line Kildal; Bronken, Berit Arnesveen; Sveen, Unni; Hjelle, Ellen Gabrielsen; Kitzmüller, Gabriele & Martinsen, Randi [Vis alle 9 forfattere av denne artikkelen] (2019). Implementation fidelity in an RCT evaluating psychosocial well-being following stroke: an explanatory sequential mixed methods study .
• Bronken, Berit Arnesveen; Bragstad, Line Kildal; Sveen, Unni; Hjelle, Ellen Gabrielsen; Kitzmüller, Gabriele & Martinsen, Randi [Vis alle 9 forfattere av denne artikkelen] (2018). Implementation fidelity in a complex intervention promoting psychosocial well-being following stroke: an explanatory sequential mixed methods study. Part Two.
• Bragstad, Line Kildal; Bronken, Berit Arnesveen; Sveen, Unni; Hjelle, Ellen Gabrielsen; Kitzmüller, Gabriele & Martinsen, Randi [Vis alle 9 forfattere av denne artikkelen] (2018). Implementation fidelity in a complex intervention promoting psychosocial well-being following stroke: an explanatory sequential mixed methods study. Part One. .
• Kitzmüller, Gabriele; Mangset, Margrete; Evju, Anne Svelstad; Angel, Sanne; Aadal, Lene & Martinsen, Randi [Vis alle 12 forfattere av denne artikkelen] (2018). To find oneself - The lived experience of persons with stroke after participation in a complex psychosocial intervention.
• Martinsen, Randi; Kirkevold, Marit; Mangset, Margrete; Kitzmüller, Gabriele; Bronken, Berit Arnesveen & Bragstad, Line Kildal [Vis alle 10 forfattere av denne artikkelen] (2018). Nurses’ and occupational therapists’ experiences of their roles in supporting stroke survivors during rehabilitation.
• Hjelle, Ellen Gabrielsen; Bragstad, Line Kildal; Kirkevold, Marit; Bronken, Berit Arnesveen; Martinsen, Randi & Kvigne, Kari Johanne [Vis alle 10 forfattere av denne artikkelen] (2017). Psykososial helse etter hjerneslag - en kontrollert, randomisert multisenter studie.
• Hjelle, Ellen Gabrielsen; Bragstad, Line Kildal; Kirkevold, Marit; Bronken, Berit Arnesveen; Martinsen, Randi & Kvigne, Kari Johanne [Vis alle 10 forfattere av denne artikkelen] (2017). Promoting Psychosocial well-being following stroke .
• Bragstad, Line Kildal; Hjelle, Ellen Gabrielsen; Sveen, Unni; Bronken, Berit Arnesveen; Martinsen, Randi & Kvigne, Kari [Vis alle 9 forfattere av denne artikkelen] (2017). Guidet egenbeslutning for å fremme psykososial helse etter hjerneslag. Ergoterapeuten. ISSN 0800-3475. 60(6), s. 31–33.
• Bragstad, Line Kildal; Hjelle, Ellen Gabrielsen; Sveen, Unni; Bronken, Berit Arnesveen; Martinsen, Randi & Kvigne, Kari Johanne [Vis alle 9 forfattere av denne artikkelen] (2017). Guidet egenbeslutning for å fremme psykososial helse etter hjerneslag. En samtalebasert intervensjon.
• Kitzmüller, Gabriele; Mangset, Margrete; Evju, Anne Svelstad; Angel, Sanne; Aadal, Lena & Kvigne, Kari Johanne [Vis alle 12 forfattere av denne artikkelen] (2017). Promoting psychosocial well-being following stroke: Stroke patients' experiences of participating in a complex psychosocial intervention.
• Bronken, Berit Arnesveen; Bragstad, Line Kildal; Martinsen, Randi; Kitzmüller, Gabriele; Mangset, Margrete & Hjelle, Ellen Gabrielsen [Vis alle 8 forfattere av denne artikkelen] (2017). Promoting psychosocial well-being following stroke: Facilitating implementation of a complex intervention in primary Healthcare.
• Bragstad, Line Kildal; Bronken, Berit Arnesveen; Hjelle, Ellen Gabrielsen; Sveen, Unni; Martinsen, Randi & Kitzmüller, Gabriele [Vis alle 9 forfattere av denne artikkelen] (2017). Promoting psychosocial wellbeing following stroke: Evaluating implementation fidelity in a multi-center RCT – a quantitative study of intervention adherence.
• Martinsen, Randi; Kitzmüller, Gabriele; Mangset, Margrete; Evju, Anne Svelstad; Bronken, Berit Arnesveen & Bragstad, Line Kildal [Vis alle 10 forfattere av denne artikkelen] (2017). Promoting psychosocial wellbeing following stroke: Nurses' and occupational therapists' experiences of delivering an individualized dialogue-based intervention to support stroke survivors the first six months following stroke.
• Hjelle, Ellen Gabrielsen; Bragstad, Line Kildal; Kirkevold, Marit; Bronken, Berit Arnesveen; Martinsen, Randi & Kvigne, Kari [Vis alle 10 forfattere av denne artikkelen] (2016). Promoting psychosocial well-being following stroke: A randomized, single blind, controlled trial.
• Bragstad, Line Kildal; Hjelle, Ellen Gabrielsen; Sveen, Unni & Kirkevold, Marit (2016). Evaluating complex interventions: Methodological challenges of assessing intervention fidelity in a randomized controlled trial targeting psychosocial wellbeing following stroke .
• Bragstad, Line Kildal; Hjelle, Ellen Gabrielsen; Bronken, Berit Arnesveen; Martinsen, Randi; Kvigne, Kari & Kouwenhoven, Siren Eriksen [Vis alle 10 forfattere av denne artikkelen] (2015). Psychosocial wellbeing following stroke: A randomized, single blind, controlled trial.
• Bragstad, Line Kildal & Hjelle, Ellen Gabrielsen (2015). Psychosocial wellbeing following stroke: A randomized, single blind, controlled trial.

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