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Sjölund, Britt-MarieORCID iD iconorcid.org/0000-0002-4621-3816
Publications (10 of 22) Show all publications
Bjuhr, M., Lindberg, M., Engström, M., Welmer, A.-K. & Sjölund, B.-M. (2023). Antecedents of and experiences with voluntary early exit from working life before the expected retirement age in Sweden.
Open this publication in new window or tab >>Antecedents of and experiences with voluntary early exit from working life before the expected retirement age in Sweden
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2023 (English)In: Article in journal (Refereed) Submitted
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-42876 (URN)
Available from: 2023-08-23 Created: 2023-08-23 Last updated: 2023-09-14Bibliographically approved
Bjuhr, M., Engström, M., Welmer, A.-K., Elmståhl, S. & Sjölund, B.-M. (2023). Being active in working life at age 60, 66 and 72 - a study of two Swedish cross-sectional samples 12 years apart.
Open this publication in new window or tab >>Being active in working life at age 60, 66 and 72 - a study of two Swedish cross-sectional samples 12 years apart
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2023 (English)In: Article in journal (Refereed) Submitted
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-42875 (URN)
Available from: 2023-08-23 Created: 2023-08-23 Last updated: 2023-09-14Bibliographically approved
Bjuhr, M., Engström, M., Welmer, A.-K., Elmståhl, S. & Sjölund, B.-M. (2023). Health and work-related factors as predictors of still being active in working life at age 66 and 72 in a Swedish population: A longitudinal study. Work: A journal of Prevention, Assessment and rehabilitation, 76(4), 1481-1492
Open this publication in new window or tab >>Health and work-related factors as predictors of still being active in working life at age 66 and 72 in a Swedish population: A longitudinal study
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2023 (English)In: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 76, no 4, p. 1481-1492Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Health and work environment are known factors in being active in working life beyond legal retirement.

OBJECTIVE: To investigate sociodemographic, health and work environment factors as possible predictors of being active in working life at ages 66 and 72. Secondly, investigate eventual changes over time, shortly after a major reform in the Swedish pension system, and predictors of still being active in working life at age 66.

METHODS: We used a longitudinal design with two separate cohorts of people at age 60. One baseline assessment was made in 2001–2003 with two 6 years follow-ups, and one in 200–2009 with one 6 years follow-up. Data were accessed through a Swedish national population-based study and analysed using logistic regression. To examine possible differences between the two cohorts, interaction terms with each independent variable were analysed.

RESULTS: Being a man and working in a profession that requires at least three years of university education predicted that the person would still be active in working life at age 66 and 72. Additionally, having a light level of physical activity at work and being diagnosed with fewer than two diseases, also predicted still being active in working life at age 66. Only physical activity at work showed significant changes over time.

CONCLUSION: Shortly after a major reform of the public pension system, there was an increase in participation in working life after age 66 and 72. However, gender, profession, and health factors are still important considerations regarding older people’s participation in working life.

Place, publisher, year, edition, pages
IOS Press, 2023
Keywords
Extended working life, healthy ageing, older people
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-42671 (URN)10.3233/wor-220480 (DOI)001139629100019 ()37393472 (PubMedID)2-s2.0-85180303562 (Scopus ID)
Available from: 2023-07-03 Created: 2023-07-03 Last updated: 2024-02-09Bibliographically approved
Bjuhr, M., Lindberg, M., Engström, M., Welmer, K. & Sjölund, B.-M. (2023). Sustained health in working life among an aging population and an aging working force. In: : . Paper presented at Nordic Health Promotion Research Conference 2023, Halmstad, June 14–16.
Open this publication in new window or tab >>Sustained health in working life among an aging population and an aging working force
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2023 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Background. A crucial factor for social sustainability is equal health and social justice. With an aging population andincreased expectations on senior workers to prolong their working life, research focusing on sustainable working life incombination with healthy aging is needed.

Purpose. To explore factors related to and experiences of prolonging working life after the expected retirement age of65 among Swedish people.Methods. Cross-sectional and longitudinal data were used to assess associations with participation in working life atages 66 and 72. Additionally, qualitative data, based on 18 individual semi-structured interviews with workers 67–90years were used to gain an extended understanding of incentives for prolonged working life.

Findings. Male gender and profession were associated with participating in working life at age 72, additionally, fewerdiagnosed diseases and a light level of physical activity at work at 66. Senior workers described that workingcontributed to sustained internal and external resources, added meaningfulness to life and flexible working conditionsenabled a satisfying balance between work and leisure. Altogether, these different aspects of working life wereinterpreted as contributing to increased feelings of vitality, the innermost dimension of health.

Conclusion. Regardless of biological age, being able to remain active in working life can be beneficial to vitality.Actions to provide flexible working conditions, especially for disadvantaged senior workers, may facilitate working lifeafter the expected retirement age with extended equality.

Keywords
extended working life, multidimensional health, older workers
National Category
Sociology Health Sciences
Research subject
Health-Promoting Work
Identifiers
urn:nbn:se:hig:diva-43410 (URN)
Conference
Nordic Health Promotion Research Conference 2023, Halmstad, June 14–16
Available from: 2023-12-07 Created: 2023-12-07 Last updated: 2023-12-08Bibliographically approved
Michelet, M., Selbaek, G., Strand, B. H., Lund, A., Engedal, K., Bieber, A., . . . Bergh, S. (2022). Associations between unmet needs for daytime activities and company and scores on the Neuropsychiatric Inventory-Questionnaire in people with dementia: a longitudinal study.. Aging & Mental Health, 26(4), 725-734
Open this publication in new window or tab >>Associations between unmet needs for daytime activities and company and scores on the Neuropsychiatric Inventory-Questionnaire in people with dementia: a longitudinal study.
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2022 (English)In: Aging & Mental Health, ISSN 1360-7863, E-ISSN 1364-6915, Vol. 26, no 4, p. 725-734Article in journal (Refereed) Published
Abstract [en]

Objectives: To examine prospectively the association between unmet needs for daytime activities and company and behavioural and psychological symptoms of dementia.; Methods: We included 451 people with mild or moderate dementia, from eight European countries, who were assessed three times over 12 months. Unmet needs were measured with the Camberwell Assessment of Need for the Elderly. Three sub-syndromes of the Neuropsychiatric Inventory-Questionnaire were regressed, one-by-one, against unmet needs for daytime activities and company, adjusting for demographic and clinical-functional covariates.; Results: Unmet needs for daytime activities were associated with more affective symptoms at baseline, six and twelve months, mean 0.74 ( p  < 0.001), 0.76 ( p  < 0.001) and 0.78 ( p  = 0.001) points higher score respectively, and with more psychotic symptoms at baseline (mean 0.39 points, p  = 0.007) and at six months follow-up (mean 0.31 points, p  = 0.006). Unmet needs for company were associated with more affective symptoms at baseline, six and twelve months, mean 0.44 ( p  = 0.033), 0.67 ( p  < 0.001) and 0.91 ( p  < 0.001) points higher score respectively, and with more psychotic symptoms at baseline (mean 0.40 points, p  = 0.005) and at six months (mean 0.35 points, p  = 0.002) follow-up.; Conclusion: Interventions to reduce unmet needs for daytime activities and company could reduce affective and psychotic symptoms in people with dementia.

Place, publisher, year, edition, pages
Taylor & Francis, 2022
Keywords
BPSD, Dementia, company, daytime activities, needs assessment
National Category
Clinical Medicine Health Sciences
Identifiers
urn:nbn:se:hig:diva-35683 (URN)10.1080/13607863.2021.1910792 (DOI)000641336100001 ()33860718 (PubMedID)2-s2.0-85128001738 (Scopus ID)
Available from: 2021-04-21 Created: 2021-04-21 Last updated: 2022-04-25Bibliographically approved
Bjuhr, M., Engström, M., Welmer, A.-K., Lindberg, M. & Sjölund, B.-M. (2022). Incentives behind and experiences of being active in working life after age 65 in Sweden. International Journal of Environmental Research and Public Health, 19(23), Article ID 15490.
Open this publication in new window or tab >>Incentives behind and experiences of being active in working life after age 65 in Sweden
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2022 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, no 23, article id 15490Article in journal (Refereed) Published
Abstract [en]

Since individual and societal expectations regarding the possibility of an extended working life after the expected retirement age are increasing, research on sustainable working life combined with healthy ageing is needed. This study explores the incentives behind and experiences of an extended working life after the expected retirement age of 65 among Swedish people. The inductive qualitative content analyses are based on 18 individual semi-structured interviews among persons 67–90 years old with varying characteristics and varying experiences of extended working lives. The analyses revealed that working contributed to (1) sustained internal resources, i.e., cognitive function, physical ability and increased vigor; (2) sustained external resources, i.e., social enrichment, better daily routines and economic benefits; (3) added meaningfulness to life, i.e., being needed, capability and satisfaction with working tasks. Meanwhile, having flexible working conditions enabled a satisfying balance between work and leisure. Altogether, these different aspects of overall health and working life were interpreted as contributing to increased feelings of vitality, the innermost dimension of health. Conclusions: regardless of biological age, our results indicate that being able to remain active in working life can be beneficial to vitality and could make these results valuable for both health-care personnel and employers.

Place, publisher, year, edition, pages
MDPI, 2022
Keywords
extended working life; multidimensional health; older workers; qualitative content analysis
National Category
Nursing
Research subject
Health-Promoting Work, Inkluderande arbetsliv
Identifiers
urn:nbn:se:hig:diva-40553 (URN)10.3390/ijerph192315490 (DOI)000896103700001 ()36497564 (PubMedID)2-s2.0-85143647936 (Scopus ID)
Available from: 2022-12-03 Created: 2022-12-03 Last updated: 2023-09-14Bibliographically approved
Jelley, H., Kerpershoek, L., Verhey, F., Wolfs, C., De Vugt, M., Bieber, A., . . . Woods, B. (2021). Carers' experiences of timely access to and use of dementia care services in eight European countries. Ageing & Society, 41(2), 403-420
Open this publication in new window or tab >>Carers' experiences of timely access to and use of dementia care services in eight European countries
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2021 (English)In: Ageing & Society, ISSN 0144-686X, E-ISSN 1469-1779, Vol. 41, no 2, p. 403-420Article in journal (Refereed) Published
Abstract [en]

Timely access to care services is crucial to support people with dementia and their family carers to live well. Carers of people with dementia (N = 390), recruited from eight countries, completed semi-structured interviews about their experiences of either accessing or not using formal care services over a 12-month period in the Access to Timely Formal Care (Actifcare) study. Participant responses were summarised using content analysis, categorised into clusters and frequencies were calculated. Less than half of the participants (42.3%) reported service use. Of those using services, 72.8 per cent reported timely access and of those not using services 67.2 per cent were satisfied with this situation. However, substantial minorities either reported access at the wrong time (27.2%), or feeling dissatisfied or mixed feelings about not accessing services (32.8%). Reasons for not using services included use not necessary yet, the carer provided support or refusal. Reasons given for using services included changes in the condition of the person with dementia, the service's ability to meet individual needs, not coping or the opportunity to access services arose. Facilitators and barriers to service use included whether participants experienced supportive professionals, the speed of the process, whether the general practitioner was helpful, participant's own proactive attitude and the quality of information received. To achieve timely support, simplified pathways to use of formal care services are needed.

Place, publisher, year, edition, pages
Cambridge University Press, 2021
Keywords
carers, dementia, Europe, formal care, service access
National Category
Health Sciences
Research subject
Health-Promoting Work
Identifiers
urn:nbn:se:hig:diva-30766 (URN)10.1017/S0144686X19001119 (DOI)000612424800009 ()2-s2.0-85072392166 (Scopus ID)
Available from: 2019-10-10 Created: 2019-10-10 Last updated: 2021-02-25Bibliographically approved
Røsvik, J., Michelet, M., Engedal, K., Bergh, S., Bieber, A., Gonçalves-Pereira, M., . . . Selbaek, G. (2021). Development of best practice recommendations to enhance access to and use of formal community care services for people with dementia in Europe: a Delphi process conducted by the Actifcare project. Aging & Mental Health, 25(12), 2298-2309
Open this publication in new window or tab >>Development of best practice recommendations to enhance access to and use of formal community care services for people with dementia in Europe: a Delphi process conducted by the Actifcare project
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2021 (English)In: Aging & Mental Health, ISSN 1360-7863, E-ISSN 1364-6915, Vol. 25, no 12, p. 2298-2309Article in journal (Refereed) Published
Abstract [en]

Objectives: Home-dwelling people with dementia and their informal carers experience barriers impeding access to community care services. This study is a part of the Actifcare project where eight countries participated. The aim was to achieve consensus on best practice recommendations for enhancing access to and use of formal community care services.

Method: A Delphi consensus process was conducted. A total of 48 professional experts, 14 people with dementia and 20 informal carers rated the importance of 72 statements on a 7-point Likert scale. Consensus was based on the median and level of dispersion.

Results: Sixty-two statements reached consensus, resulting in three categories of recommendations. An appointed contact person was central in Recommendations to enhance access . Coordination and flexibility in setting and type of services were among the Recommendations to enhance use . Training of health care personnel and person-centred care were central Recommendations that can facilitate access or use indirectly.

Conclusion: The Actifcare Best Practice Recommendations suggest practical measures that can be taken by decision makers to enhance access and use of community care services, and thereby enhance quality of care and quality of life for home dwelling people with dementia and their informal carers.

Place, publisher, year, edition, pages
Taylor & Francis, 2021
Keywords
Delphi process, Dementia, access, best practice, consensus, services
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-34134 (URN)10.1080/13607863.2020.1822286 (DOI)000576011000001 ()33030026 (PubMedID)2-s2.0-85092422426 (Scopus ID)
Available from: 2020-10-15 Created: 2020-10-15 Last updated: 2021-11-24Bibliographically approved
Sjölund, B.-M., Olsson, A. & Engström, M. (2021). Factors associated with improvement in depressive symptoms among older persons after hospitalisation – a prospective design with two follow-ups. Scandinavian Journal of Caring Sciences, 35(3), 923-928
Open this publication in new window or tab >>Factors associated with improvement in depressive symptoms among older persons after hospitalisation – a prospective design with two follow-ups
2021 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 35, no 3, p. 923-928Article in journal (Refereed) Published
Abstract [en]

Background

Depression is a common disorder in old age and increases with hospitalisation. The aim was to investigate whether improvement in depressive symptoms after hospitalisation is associated with education level, age, gender, living situation, self-efficacy, activities in daily living and quality of life by (1) examining the prevalence of depressive symptoms at baseline and at 1st and 2nd follow-up (2) examining different factors? association with depressive symptoms at baseline and (3) examining different factors? association with improvement in depressive symptoms at baseline and at 1st and 2nd follow-up.

Methods

The study consisted of 145 patients, 65 years and older. Data were collected between February 2015 and September 2016 through interviews conducted using structured protocols. The instrument used was Katz index of ADL, Geriatric Depression Scale-20, Life Satisfaction Questionnaire and the General Self-Efficacy Scale. The participants were interviewed before discharge from hospital, after 1.5 month and after 3 months.

Results

The prevalence of depressive symptoms in older persons was high after hospitalisation. Factors associated with improvement of depressive symptoms after hospitalisation were higher educational level, improvement in activities in daily living and quality of life. Non-significant results were found for improvement of depressive symptoms and gender, age, living situation or self-efficacy.

Conclusions

Depression is a common health problem in older persons, especially after hospitalisation. It is therefore important that healthcare staff screen older persons for depression during hospitalisation, as this allows identification of those in need and a possibility to help them in an appropriate manner. Persons with lower educational level and depressive symptoms need special attention.

Place, publisher, year, edition, pages
John Wiley & Sons, 2021
Keywords
depression, hospitalisation, older persons
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-33479 (URN)10.1111/scs.12910 (DOI)000565704500001 ()32885891 (PubMedID)2-s2.0-85090135467 (Scopus ID)
Available from: 2020-09-09 Created: 2020-09-09 Last updated: 2022-09-21Bibliographically approved
Sjölund, B.-M., Mamhidir, A.-G. & Engström, M. (2021). Pain prevalence among residents living in nursing homes and its association with quality of life and well-being. Scandinavian Journal of Caring Sciences, 35(4), 1332-1341
Open this publication in new window or tab >>Pain prevalence among residents living in nursing homes and its association with quality of life and well-being
2021 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 35, no 4, p. 1332-1341Article in journal (Refereed) Published
Abstract [en]

Pain is common and often more complex to assess among nursing homes residents with cognitive impairments. Thus, more research is needed of different pain assessment methods in elderly care and how these assessments outcomes are related to quality of life, as there mostly should be a negative relationship. There is a risk that pain are under diagnosed among persons with cognitive impairment.The aim was to describe and compare pain prevalence among nursing home residents (1) using different pain assessment methods (2) in relation to cognitive status and to (3) examine associations between pain and quality of life or well‐being.A cross‐sectional correlational design was used, participants were 213 nursing home residents and data were collected through interviews using standardised protocols. Instrument used were Katz index of ADL, Mini‐Mental‐State‐Examination, Quality of Life in Late‐Stage Dementia scale, WHO‐5 well‐being index, Numeric Rating Scale and Doloplus‐2 scale.The results showed high pain prevalence, but no significant difference based on cognitive level. Pain classification at the individual level varied somewhat when different instruments are used. The results indicated that use of a single‐item proxy‐measure for pain tends to show higher pain prevalence and was not statistically significant related to quality of life. The relationship with quality of life was statistically significant when self‐rated pain instruments or multi‐component observation were used.The study shows that it is difficult to estimate pain in residents living at nursing homes and that it continues to be a challenge to solve. Self‐rated pain should be used primarily to assess pain, and a multi‐component observation scale for pain should be used when residents are cognitively impaired. Both self‐rated pain and multi‐component observation also support the well‐known link between pain and quality of life. Single‐item proxy assessments should only be used in exceptional cases.

Place, publisher, year, edition, pages
Wiley, 2021
Keywords
pain assessment, quality of life, nursing homes, older residents.
National Category
Nursing
Research subject
Health-Promoting Work
Identifiers
urn:nbn:se:hig:diva-25928 (URN)10.1111/scs.12955 (DOI)000605177200001 ()33410189 (PubMedID)2-s2.0-85099104345 (Scopus ID)
Projects
Smärta hos äldre med eller utan kognitiv nedsättning - en interventionsstudie där äldres och vårdares perspektiv efterfrågas
Available from: 2018-01-04 Created: 2018-01-04 Last updated: 2022-07-21Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-4621-3816

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