Degree of disability among female healthcare workers who are overweight or obese

Background: The prevalence of overweight and obesity is increasing worldwide. Research has clarified that being overweight or obese can lead to disability in everyday life. Aim: The present study explores the association between the degrees of experienced disability in Danish female healthcare workers with a Body Mass Index (BMI) classified as being overweight or obese, compared to female healthcare workers classified as being normal weight. Material and methods: 67 females with a mean age of 49.5 years and a mean BMI of 27.5 kg/m2 completed a questionnaire exploring the degree of experienced disability in their everyday lives. Results: The degree of disability in the following activities were significantly higher among females who were obese compared to females who were normal weight; Walking up/down two or more staircases, Pedicure, Dressing the lower body and Exercising outside the home. No statistical differences were found between the females that were overweight and the females that were normal weight. Conclusion: Female healthcare workers who are obese experience a higher degree of disability, than females with a normal weight. Offering an occupational therapy intervention to reduce disability and facilitate participation in everyday life could be relevant

Target Framework for Sustainable Deployment of Welfare Technology in Eldercare

Building on existing research and experiences regarding the use of supportive and assistive technology -- called welfare technology -- in elderly care, we have developed a framework to represent a holistic view of the complex tangle of factors contributing to the sustainable integration of these technologies into the elder care context. The framework is described here for the purpose of initiating a conversation regarding the framework with interested researchers. We will also conduct discussions with managers, caregivers, and other stakeholders involved in welfare technology deployment in eldercare in Sweden to obtain their feedback on the framework. Our ultimate goal with the framework is to provide general guidelines that municipalities and care organizations can use to improve the quality of life for elderly citizens through the successful selection, rollout and use of welfare technology that meets the needs not only of the elderly citizens needing support but also of the care providers and organizations

Professionsidentitet blandt ergoterapeutstuderende

Den skabelsesproces, der skal til for at opbygge en professionsidentitet hos ergoterapeutstuderende, er kontekstafhængig, og den påvirkes især af den måde, professionen og ergoterapeutuddannelserne udformes lokalt. International forskning kan derfor ikke altid overføres til en dansk uddannelseskontekst. Gennem et narrativt studie undersøges sytten ergoterapeutstuderendes erfaringer med det kliniske undervisningsbidrag til skabelse af professionsidentitet. Empirien viser, at den kliniske undervisning spiller en central rolle i skabelsen af professionsidentitet. Artiklen diskuterer den kliniske undervisnings betydning ift. de studerendes afklaring af, om de kan se sig selv som ergoterapeuter, samt hvordan kobling mellem teori og praksis foregår i samarbejde med de kliniske undervisere

Implementing workplace health promotion:role of middle managers

Purpose The purpose of this paper is to address a missing link between top management and employees when it comes to understanding how to successfully implement and embed workplace health promotion (WHP) as a strategy within organizations: the role of the middle managers. Design/methodology/approach A conceptual framework based on review of theory is applied within an empirical multi-case study that is part of a health intervention research project on increased physical activity among office workers. The study involves six Danish organizations. Findings Middle managers play a key role in successful implementation of WHP, but feel uncertain about their role, especially when it comes to engaging with their employees. Uncertainty about their role appears to make middle managers reluctant to take action on WHP and leave further action to top management instead. Research limitations/implications Limitations included the middle managers’ low attendance at the half-day seminar on strategic health (50 percent attendance), the fact that they were all office workers and they were all from Denmark. Practical implications Middle managers ask for more knowledge and skills if they are to work with WHP in daily business. Social implications Implementing and embedding WHP as a health strategy raises ethical issues of interfering with employees’ health, is seen as the employee’s personal responsibility. Originality/value This study adds to knowledge of the difficulties of implementing and embedding WHP activities in the workplace and suggests an explicit and detailed research design. </jats:sec

Professionsidentitet blandt ergoterapeutstuderende: – et kvalitativt studie

Den skabelsesproces, der skal til for at opbygge en professionsidentitet hos ergoterapeutstuderende, er kontekstafhængig, og den påvirkes især af den måde, professionen og ergoterapeutuddannelserne udformes lokalt. International forskning kan derfor ikke altid overføres til en dansk uddannelseskontekst. Gennem et narrativt studie undersøges sytten ergoterapeutstuderendes erfaringer med det kliniske undervisningsbidrag til skabelse af professionsidentitet. Empirien viser, at den kliniske undervisning spiller en central rolle i skabelsen af professionsidentitet. Artiklen diskuterer den kliniske undervisnings betydning ift. de studerendes afklaring af, om de kan se sig selv som ergoterapeuter, samt hvordan kobling mellem teori og praksis foregår i samarbejde med de kliniske undervisere

Prospectus, September 6, 1990

https://spark.parkland.edu/prospectus_1990/1019/thumbnail.jp

Worksite interventions for preventing physical deterioration among employees in job-groups with high physical work demands: Background, design and conceptual model of FINALE

<p>Abstract</p> <p>Background</p> <p>A mismatch between individual physical capacities and physical work demands enhance the risk for musculoskeletal disorders, poor work ability and sickness absence, termed physical deterioration. However, effective intervention strategies for preventing physical deterioration in job groups with high physical demands remains to be established. This paper describes the background, design and conceptual model of the FINALE programme, a framework for health promoting interventions at 4 Danish job groups (i.e. cleaners, health-care workers, construction workers and industrial workers) characterized by high physical work demands, musculoskeletal disorders, poor work ability and sickness absence.</p> <p>Methods/Design</p> <p>A novel approach of the FINALE programme is that the interventions, i.e. 3 randomized controlled trials (RCT) and 1 exploratory case-control study are tailored to the physical work demands, physical capacities and health profile of workers in each job-group. The RCT among cleaners, characterized by repetitive work tasks and musculoskeletal disorders, aims at making the cleaners less susceptible to musculoskeletal disorders by physical coordination training or cognitive behavioral theory based training (CBTr). Because health-care workers are reported to have high prevalence of overweight and heavy lifts, the aim of the RCT is long-term weight-loss by combined physical exercise training, CBTr and diet. Construction work, characterized by heavy lifting, pushing and pulling, the RCT aims at improving physical capacity and promoting musculoskeletal and cardiovascular health. At the industrial work-place characterized by repetitive work tasks, the intervention aims at reducing physical exertion and musculoskeletal disorders by combined physical exercise training, CBTr and participatory ergonomics. The overall aim of the FINALE programme is to improve the safety margin between individual resources (i.e. physical capacities, and cognitive and behavioral skills) and physical work demands, and thereby reduce the physical deterioration in a long term perspective by interventions tailored for each respective job-group.</p> <p>Discussion</p> <p>The FINALE programme has the potential to provide evidence-based knowledge of significant importance for public health policy and health promotion strategies for employees at high risk for physical deterioration.</p> <p>Trial registrations</p> <p>ISRCTN96241850, NCT01015716 and NCT01007669</p

Identification of Important Factors Affecting Use of Digital Individualised Coaching and Treatment of Type 2 Diabetes in General Practice: A Qualitative Feasibility Study

Most type 2 diabetes patients are treated in general practice and there is a need of developing and implementing efficient lifestyle interventions. eHealth interventions have shown to be effective in promoting a healthy lifestyle. The purpose of this study was to test the feasibility, including the identification of factors of importance, when offering digital lifestyle coaching to type 2 diabetes patients in general practice. We conducted a qualitative feasibility study with focus group interviews in four general practices. We identified two overall themes and four subthemes: (1) the distribution of roles and lifestyle interventions in general practice (subthemes: external and internal distribution of roles) and (2) the pros and cons for digital lifestyle interventions in general practice (subthemes: access to real life data and change in daily routines). We conclude that for digital lifestyle coaching to be feasible in a general practice setting, it was of great importance that the general practitioners and practice nurses knew the role and content of the intervention. In general, there was a positive attitude in the general practice setting towards referring type 2 diabetes patients to digital lifestyle intervention if it was easy to refer the patients and if easily understandable and accessible feedback was implemented into the electronic health record. It was important that the digital lifestyle intervention was flexible and offered healthcare providers in general practice an opportunity to follow the type 2 diabetes patient closely