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Kristofferzon, Marja-LeenaORCID iD iconorcid.org/0000-0002-1864-5777
Publications (10 of 65) Show all publications
Hedlund, Å., Kristofferzon, M.-L., Boman, E. & Nilsson, A. (2023). A journey from darkness to a lighter, but changed, self: A qualitative study of women's drawings and comments describing their health and well-being after long-term sick leave for common mental disorders.
Open this publication in new window or tab >>A journey from darkness to a lighter, but changed, self: A qualitative study of women's drawings and comments describing their health and well-being after long-term sick leave for common mental disorders
2023 (English)In: Article in journal (Refereed) Submitted
National Category
Health Sciences
Research subject
Health-Promoting Work, Inkluderande arbetsliv
Identifiers
urn:nbn:se:hig:diva-43471 (URN)
Available from: 2023-12-18 Created: 2023-12-18 Last updated: 2023-12-18Bibliographically approved
Hedlund, Å., Boman, E., Kristofferzon, M.-L. & Nilsson, A. (2023). Development and psychometric evaluation of a theory-based questionnaire measuring women’s return-to-work beliefs after long-term sick leave for common mental disorders. Work: A journal of Prevention, Assessment and rehabilitation, 76(1), 109-124
Open this publication in new window or tab >>Development and psychometric evaluation of a theory-based questionnaire measuring women’s return-to-work beliefs after long-term sick leave for common mental disorders
2023 (English)In: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 76, no 1, p. 109-124Article in journal (Refereed) Published
Abstract [en]

Background: Common mental disorders (CMDs) are currently a major cause of long-term sick leave, with women being the most affected.Objective: Using the Theory of Planned Behaviour (TPB), we aimed to describe the development and psychometric evaluation of a new questionnaire to measure women's beliefs about return to work (RTW) after long-term sick leave for CMDs.Methods: Data were collected in central Sweden from women on long-term sick leave(2–24 months) for CMDs. The questionnaire was developed by conducting an elicitation study with 20 women and included direct and indirect measures. Subsequently, 282 women participated in a psychometric evaluation and 35 of them in a test-retest procedure. Psychometric properties were evaluated by determining reliability (internal consistency [Cronbach’s alpha] and test-retest stability [intraclasscorrelation coefficient]), construct validity (exploratory factor analysis) and content validity. Results: The development resulted in 60 questionnaire items. Content validity assessment showed that the women overall found it easy to complete the questionnaire. Reliability analyses showed satisfactory results for direct and indirect measures, with a few exceptions. Factor analyses of the indirect scales showed that items were generally in line with the TPB, but that items related to life as a whole/personal life and items related to work separated into two different factors. Conclusions: The questionnaire, called the RTW Beliefs Questionnaire, showed promising results and can among women with CMDs considered useful, especially scales for direct measures. This questionnaire gives the opportunity to identify new potential predictors for RTW.

Place, publisher, year, edition, pages
IOS Press, 2023
Keywords
Mental health recovery, Psychological Theory, Psychometrics, Rehabilitation
National Category
Nursing
Research subject
Health-Promoting Work
Identifiers
urn:nbn:se:hig:diva-40320 (URN)10.3233/WOR-220301 (DOI)001067722700009 ()36806536 (PubMedID)2-s2.0-85171600222 (Scopus ID)
Available from: 2022-10-29 Created: 2022-10-29 Last updated: 2024-01-03Bibliographically approved
Hedlund, Å., Kristofferzon, M.-L., Boman, E., Nieuwenhuijsen, K. & Nilsson, A. (2023). Women’s health and psychological well-being in the return-to-work process after long-term sick leave for common mental disorders: Women’s and first-line managers' perspectives. BMC Public Health
Open this publication in new window or tab >>Women’s health and psychological well-being in the return-to-work process after long-term sick leave for common mental disorders: Women’s and first-line managers' perspectives
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2023 (English)In: BMC Public Health, E-ISSN 1471-2458Article in journal (Refereed) Submitted
National Category
Health Sciences
Research subject
Health-Promoting Work, Inkluderande arbetsliv
Identifiers
urn:nbn:se:hig:diva-43470 (URN)
Available from: 2023-12-18 Created: 2023-12-18 Last updated: 2024-01-03Bibliographically approved
Hedlund, Å., Nilsson, A., Boman, E. & Kristofferzon, M.-L. (2022). Predictors of return to work and psychological well-being among women during/after long-term sick leave due to common mental disorders - a prospective cohort study based on the theory of planned behaviour. Health & Social Care in the Community, 30(6), 5245-5258
Open this publication in new window or tab >>Predictors of return to work and psychological well-being among women during/after long-term sick leave due to common mental disorders - a prospective cohort study based on the theory of planned behaviour
2022 (English)In: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524, Vol. 30, no 6, p. 5245-5258Article in journal (Refereed) Published
Abstract [en]

Common mental disorders are associated with long-term sick leave, especially among women. There is a lack of theory-based research regarding the impact of personal factors on return to work and psychological well-being. Therefore, the aim of this study was to examine whether return-to-work beliefs and perceived health were predictors of return to work and psychological well-being among women during or after long-term sick leave for common mental disorders, based on the Theory of Planned Behaviour. This was a prospective cohort study with a 1-year follow-up. At baseline, women (n = 282) had been on full- or part-time sick leave for common mental disorders for 2–24 months. Data were collected in October 2019–January 2020 and October 2020–January 2021 in Sweden. The Social Insurance Agency identified the women at baseline. The Return-To-Work Beliefs Questionnaire, EuroQol Visual Analogue Scale and General Health Questionnaire-12 were used. Multiple logistic and linear regression analyses were conducted. The women were divided into two groups: full-time sick leave or part-time sick leave at baseline. The results showed that stronger return-to-work intention significantly predicted return to work among women on full-time sick leave at baseline. No significant predictors of return to work were found among women on part-time sick leave at baseline. Psychological well-being was predicted by stronger social pressure to return to work (full-time group) and a more positive attitude toward returning to work and better perceived health (part-time group). We concluded that the Theory of Planned Behaviour can be useful for understanding return to work among women on full-time sick leave, and what underlies psychological well-being in both groups. However, return to work and psychological well-being were predicted by different factors, indicating that a multifactorial approach should be used in supporting women to return to work after long-term sick leave for common mental disorders.

Place, publisher, year, edition, pages
Wiley, 2022
Keywords
Common mental disorders, Psychological well-being, Return to work, Women
National Category
Nursing
Research subject
Health-Promoting Work
Identifiers
urn:nbn:se:hig:diva-39596 (URN)10.1111/hsc.13943 (DOI)000830456300001 ()35894151 (PubMedID)2-s2.0-85134969819 (Scopus ID)
Available from: 2022-07-13 Created: 2022-07-13 Last updated: 2024-01-03Bibliographically approved
Hedlund, Å., Kristofferzon, M.-L., Boman, E. & Nilsson, A. (2022). Vägen tillbaka: Vilka föreställningar har kvinnor till att återgå i arbete efter långtidssjukskrivning för psykisk ohälsa?. In: : . Paper presented at Forum för ArbetslivsForskning (FALF), Luleå Tekniska Universitet, 13-15 juni 2022.
Open this publication in new window or tab >>Vägen tillbaka: Vilka föreställningar har kvinnor till att återgå i arbete efter långtidssjukskrivning för psykisk ohälsa?
2022 (Swedish)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Health Sciences
Research subject
Health-Promoting Work, Inkluderande arbetsliv
Identifiers
urn:nbn:se:hig:diva-41755 (URN)
Conference
Forum för ArbetslivsForskning (FALF), Luleå Tekniska Universitet, 13-15 juni 2022
Available from: 2023-05-12 Created: 2023-05-12 Last updated: 2023-09-14Bibliographically approved
Hedlund, Å., Kristofferzon, M.-L., Boman, E. & Nilsson, A. (2021). Are return to work beliefs, psychological well-being and perceived health related to return-to-work intentions among women on long-term sick leave for common mental disorders? A cross-sectional study based on the Theory of Planned Behaviour. BMC Public Health, 21(1), Article ID 535.
Open this publication in new window or tab >>Are return to work beliefs, psychological well-being and perceived health related to return-to-work intentions among women on long-term sick leave for common mental disorders? A cross-sectional study based on the Theory of Planned Behaviour
2021 (English)In: BMC Public Health, E-ISSN 1471-2458, Vol. 21, no 1, article id 535Article in journal (Refereed) Published
Abstract [en]

Background: Long-term sick leave due to common mental disorders (CMDs) is a great burden in several countries. Women are more likely to be affected by CMDs. A strong intention to return to work (RTW) as well as symptom relief may facilitate RTW in this group. However, there is a lack of knowledge regarding what constitutes a strong intention. The Theory of Planned Behaviour is well-suited to identifying underlying beliefs about intentions to perform a behaviour. By including psychological well-being and perceived health, a more comprehensive picture of determinants of RTW intention might be achieved. Thus, the aim of the present study was to identify associations between RTW beliefs, psychological well-being, perceived health and RTW intentions among women on long-term sick leave due to CMDs, and to do so based on the Theory of Planned Behaviour.

Methods: The study was cross-sectional. Between October 2019 and January 2020, 282 women on long-term sick leave (>2 months) due to CMDs were included in the study. The questionnaires for data collection were: “RTW Beliefs Among Women-Questionnaire”, the “General Health Questionnaire -12” and the “EuroQol Visual Analogue Scale”. Standard multiple regression analysis was performed both with and without adjustment for potential confounders.

Results: The results showed that more positive attitude towards RTW, stronger social pressure to RTW, higher perceived control over RTW and higher psychological well-being were associated with stronger RTW intention. The adjusted analysis eliminated the importance of psychological well-being for RTW intention, but showed that women who reported that their employer had taken actions to facilitate their RTW had stronger RTW intention. 

Conclusion: The RTW beliefs, derived from the Theory of Planned Behaviour, were all important for a strong RTW intention, while psychological well-being and perceived health showed weaker associations. Furthermore, having an employer that take actions for facilitating RTW was associated with stronger RTW intentions. Though some caution is warranted regarding the representativeness of the sample, the results do improve our understanding of some important determinants of RTW intention among women on long-term sick leave for CMDs. 

Place, publisher, year, edition, pages
Springer, 2021
Keywords
Beliefs, Common mental disorders, Long-term sick leave, Return to work, Women
National Category
Health Sciences
Research subject
Health-Promoting Work
Identifiers
urn:nbn:se:hig:diva-34726 (URN)10.1186/s12889-021-10562-w (DOI)000631559800004 ()33740921 (PubMedID)2-s2.0-85102831363 (Scopus ID)
Available from: 2021-01-15 Created: 2021-01-15 Last updated: 2024-01-03Bibliographically approved
Hedlund, Å., Kristofferzon, M.-L., Boman, E. & Nilsson, A. (2021). Beliefs about return to work among women during/after long-term sick leave for common mental disorders: a qualitative study based on the theory of planned behaviour. Journal of occupational rehabilitation, 31, 604-612
Open this publication in new window or tab >>Beliefs about return to work among women during/after long-term sick leave for common mental disorders: a qualitative study based on the theory of planned behaviour
2021 (English)In: Journal of occupational rehabilitation, ISSN 1053-0487, E-ISSN 1573-3688, Vol. 31, p. 604-612Article in journal (Refereed) Published
Abstract [en]

Purpose: Long-term sick leave due to common mental disorders (CMDs) is an increasing problem, especially among women. To help these women return to work (RTW) sustainably, we need to know more about their own beliefs about RTW. One applicable theory is the theory of planned behaviour (TPB). Thus, the present study aimed to describe, based on the TPB, women's beliefs about RTW during or after long-term sick leave for a CMD.

Methods: A qualitative approach was used. Twenty women were included during a long-term sick leave period due to a CMD. A deductive content analysis was conducted using predetermined factors from the TPB: behavioural beliefs (advantages – disadvantages of RTW), normative beliefs (supporters and non-supporters of RTW), and control beliefs (facilitators of – barriers to RTW).

Results: The women believed that RTW would give them meaning and balance in life, but also that it would be challenging to maintain balance after RTW. They believed they had several supporters of RTW, but that the support was sometimes perceived as stressful rather than encouraging. Furthermore, individual adaptation and high demands were the most mentioned facilitator and barrier, respectively. Workplace conditions and personal strategies were thought to be important aspects.

Conclusions: By using the TPB, the present study was able to offer new findings on women’s beliefs about RTW after long-term sick leave for a CMD. Based on the findings, we suggest that various RTW stakeholders should focus on striving to provide the tasks and work pace women need so they can maintain their professional competence and sense of meaning.

Place, publisher, year, edition, pages
Springer, 2021
Keywords
Common mental disorders, Return to work, Sick leave, Women
National Category
Health Sciences
Research subject
Health-Promoting Work
Identifiers
urn:nbn:se:hig:diva-34319 (URN)10.1007/s10926-020-09946-3 (DOI)000611491100001 ()33492634 (PubMedID)2-s2.0-85099818163 (Scopus ID)
Available from: 2020-11-20 Created: 2020-11-20 Last updated: 2021-12-07Bibliographically approved
Rashid, M., Heiden, M., Nilsson, A. & Kristofferzon, M.-L. (2021). Do work ability and life satisfaction matter for return to work? Predictive ability of the work ability index and life satisfaction questionnaire among women with long-term musculoskeletal pain. BMC Public Health, 21(1), Article ID 584.
Open this publication in new window or tab >>Do work ability and life satisfaction matter for return to work? Predictive ability of the work ability index and life satisfaction questionnaire among women with long-term musculoskeletal pain
2021 (English)In: BMC Public Health, E-ISSN 1471-2458, Vol. 21, no 1, article id 584Article in journal (Refereed) Published
Abstract [en]

Objectives: To determine whether work ability and well-being predict return to work (RTW) among women with long-term neck/shoulder and/or back pain at a 1-year follow-up, and to assess the ability of the Work Ability Index (WAI) and Life Satisfaction questionnaire (LiSat-11) to discriminate between those who did RTW and those who did not RTW. 

Methods: A survey was sent to 600 women receiving time-loss benefits from the Swedish Social Insurance Agency. In total, 208 women responded at baseline, and 141 at a 1-year follow-up. To identify whether work ability and well-being predicted RTW, multiple logistic regression analyses were performed with and without adjustment for type of work and pain intensity. To assess the discriminative ability of the WAI and LiSat-11 for women who did RTW and those who did not RTW, Receiver Operating Characteristic curves were fitted.  

Results: Work ability predicted RTW, and the results remained significant after adjusting for type of work and pain intensity (OR 1.12, 95% CI: 1.04-1.22). Well-being was not significant. The WAI at baseline adequately discriminated between RTW and no RTW after one year (AUC 0.78, 95% CI 0.70-0.86), but the LiSat-11 did not.

Conclusions: Our results indicate that work ability is an important factor for RTW among women on SL for long-term neck/shoulder and/or back pain. The WAI has adequate discriminatory ability in this population, but the LiSat-11 has not.  

 

Keywords: Life satisfaction, Musculoskeletal pain, Sickness absence, Work status

Place, publisher, year, edition, pages
BMC, 2021
Keywords
musculoskeletal disorders, quality of life, sickness absence, work capacity, work status
National Category
Occupational Health and Environmental Health Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hig:diva-30960 (URN)10.1186/s12889-021-10510-8 (DOI)000634838800003 ()33761910 (PubMedID)2-s2.0-85103347678 (Scopus ID)
Available from: 2019-11-14 Created: 2019-11-14 Last updated: 2023-08-28Bibliographically approved
Rashid, M., Kristofferzon, M.-L. & Nilsson, A. (2021). Predictors of return to work among women with long-term neck/shoulder and/or back pain: a 1-year prospective study. PLOS ONE, 16(11), Article ID e0260490.
Open this publication in new window or tab >>Predictors of return to work among women with long-term neck/shoulder and/or back pain: a 1-year prospective study
2021 (English)In: PLOS ONE, E-ISSN 1932-6203, Vol. 16, no 11, article id e0260490Article in journal (Refereed) Published
Abstract [en]

Background

Sick leave due to musculoskeletal pain, particularly in the neck/shoulders and back, is one of the major public health problems in Western countries such as Sweden. The aim of this study was to identify predictors of return to work (RTW) among women on sick leave due to long-term neck/shoulder and/or back pain.

Methods

This was a prospective cohort study with a 1-year follow-up. The study participants were recruited from a local Swedish Social Insurance Agency register and had all been on sick leave for ≥ 1 month due to long-term (≥ 3 months) neck/shoulder and/or back pain. Data on predictors and outcome were collected using a self-administered questionnaire. A total of 208 women aged 23–64 years were included at baseline, and 141 responded at the 1-year follow-up. Cluster analyses were performed to identify one predictor from each cluster for use in the regression model.

Results

At the 1-year follow-up, 94 of the 141 women had RTW and 47 had not. Women who engaged in more coping through increasing behavioral activities (OR: 1.14, 95% CI: 1.03–1.25) and those who more strongly believed they would return to the same work within 6 months (OR: 1.22, 95% CI: 1.10–1.37) had an increased probability of RTW. Receiving more social support outside work (OR: 0.50, 95% CI: 0.28–0.92) decreased the odds of RTW at the 1-year follow-up.  

Conclusions

Behavioral activities, beliefs about returning to the same work, and social support outside work were predictors of RTW at the 1-year follow-up. Healthcare professionals should consider these predictors in their efforts to prevent prolonged sick leave and to promote RTW in this population.

Keywords: Follow-up study, Musculoskeletal pain, Prognostic factors, Return to work, and Sickness absence.

Place, publisher, year, edition, pages
PLoS, 2021
National Category
Occupational Health and Environmental Health Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Health-Promoting Work
Identifiers
urn:nbn:se:hig:diva-30963 (URN)10.1371/journal.pone.0260490 (DOI)000755756800038 ()34813601 (PubMedID)2-s2.0-85120036367 (Scopus ID)
Available from: 2019-11-14 Created: 2019-11-14 Last updated: 2022-03-07Bibliographically approved
Lindberg, M., Carlsson, M., Engström, M., Kristofferzon, M.-L. & Skytt, B. (2020). Nursing student's expectations for their future profession and motivating factors - a longitudinal descriptive study from Sweden. Nurse Education Today, 84, Article ID 104218.
Open this publication in new window or tab >>Nursing student's expectations for their future profession and motivating factors - a longitudinal descriptive study from Sweden
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2020 (English)In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 84, article id 104218Article in journal (Refereed) Published
Abstract [en]

Background

The shortage of registered nurses is a global concern. Motives to become registered nurses can be to help others, altruism, personal development and career security. Motives in combination with student expectations regarding the role are not explored.

Objective

To describe students' motives to become registered nurses and their expectations regarding their future profession.

Design

A longitudinal descriptive design with a qualitative approach was used to follow nursing students in the beginning, during and at the end of their education.

Participants and setting

A purposive sampling of a group with initially 75 students starting a three-year nursing program at a university in Sweden.

Methods

A study specific questionnaire with open-ended questions was used in the beginning, during and the end of the students' education. At data collection two and three, a copy of the earlier answers was attached. Data were analysed using manifest and latent content analysis.

Results

An important profession with career opportunities, interesting duties and team work were described. Students expected diversified duties, possibilities for development and work satisfaction. Increased concerns regarding their upcoming work life was described at the end of the education.

Conclusion

The students had a positive understanding of the profession and perceived their forthcoming role as interesting. The leading role of coordinating patient care was more comprehensive than expected. Supportive conditions and well planned transition periods could strengthen newly graduated nurses in their professional role and could be an important aspect in the future retention of RNs.

Place, publisher, year, edition, pages
Elsevier, 2020
Keywords
Expectations, Longitudinal qualitative study, Nursing students, Professional role
National Category
Health Sciences Nursing
Research subject
Health-Promoting Work
Identifiers
urn:nbn:se:hig:diva-30703 (URN)10.1016/j.nedt.2019.104218 (DOI)000501643800026 ()31698292 (PubMedID)
Available from: 2019-09-27 Created: 2019-09-27 Last updated: 2021-04-28Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-1864-5777

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