Norwegian Cross-Cultural Adaptation of the Social and Communities Opportunities Profile-Mini for Persons with Concurrent Mental Health and Substance Use Disorders.

Persons with concurrent mental health and substance use disorders often do not participate actively in society and remain marginalized. The promotion of social inclusion is important for the care of persons with concurrent disorders. To measure social inclusion, the Social and Communities Opportunities Profile (SCOPE) was developed, followed by its mini version for English-speaking people in Singapore. In Norway, there is no instrument available to measure social inclusion. Thus, the aim was crosscultural adaptation of SCOPE Mini for persons with concurrent disorders. The Norwegian adaptation was performed using the systematic approach recommended by Beaton et al. After a forward–backward translation, the Norwegian SCOPE-Mini was pretested among 30 persons with a concurrent mental health and substance use disorder in three areas to check its psychometric properties. To evaluate comprehensibility and applicability, participants were asked five open questions. The Norwegian crosscultural adaptation of SCOPE Mini showed acceptable psychometric properties and was considered comparable to the original version. The results of the pre-test showed no linguistic inconsistency, but some indications of the necessity of semantic adaptation regarding the cultural context and persons with concurrent disorders. The Norwegian SCOPE Mini may be a practical tool for health professionals, social workers, and researchers to measure social inclusion among a vulnerable group such as persons with a concurrent mental health and substance use disorder. However, given the relatively small sample size in our study, further research on the validity and reliability of the instrument is recommended.publishedVersio

Norwegian Cross-Cultural Adaptation of the Social and Communities Opportunities Profile-Mini for Persons with Concurrent Mental Health and Substance Use Disorders.

Persons with concurrent mental health and substance use disorders often do not participate actively in society and remain marginalized. The promotion of social inclusion is important for the care of persons with concurrent disorders. To measure social inclusion, the Social and Communities Opportunities Profile (SCOPE) was developed, followed by its mini version for English-speaking people in Singapore. In Norway, there is no instrument available to measure social inclusion. Thus, the aim was cross-cultural adaptation of SCOPE Mini for persons with concurrent disorders. The Norwegian adaptation was performed using the systematic approach recommended by Beaton et al. After a forward–backward translation, the Norwegian SCOPE-Mini was pre-tested among 30 persons with a concurrent mental health and substance use disorder in three areas to check its psychometric properties. To evaluate comprehensibility and applicability, participants were asked five open questions. The Norwegian cross-cultural adaptation of SCOPE Mini showed acceptable psychometric properties and was considered comparable to the original version. The results of the pre-test showed no linguistic inconsistency, but some indications of the necessity of semantic adaptation regarding the cultural context and persons with concurrent disorders. The Norwegian SCOPE Mini may be a practical tool for health professionals, social workers, and researchers to measure social inclusion among a vulnerable group such as persons with a concurrent mental health and substance use disorder. However, given the relatively small sample size in our study, further research on the validity and reliability of the instrument is recommended

The effectiveness and cost-effectiveness of strength and balance Exergames to reduce falls risk for people aged 55 years and older in UK assisted living facilities: A multi-centre, cluster randomised controlled trial

Background: Falls are the leading cause of fatal and non-fatal unintentional injuries in older people. The use of Exergames (active, gamified video-based exercises) is a possible innovative, community-based approach. This study aimed to determine the effectiveness of a tailored OTAGO/FaME based strength and balance Exergame programme for improving balance, maintaining function and reducing falls risk in older people. Methods: A two-arm cluster randomised controlled trial recruiting adults aged 55 years and older living in 18 assisted-living (sheltered housing) facilities (clusters) in the UK. Standard care (physiotherapy advice and leaflet) was compared to a tailored 12-week strength and balance Exergame programme, supported by physiotherapists or trained assistants. Complete-case analysis (intention to treat) was used to compare Berg Balance Scale (BBS) at baseline and at 12 weeks. Secondary outcomes included: fear of falling, mobility, falls risk, pain, mood, fatigue, cognition, healthcare utilisation and health-related quality of life; self-reported physical activity and falls. Results: Eighteen clusters were randomised (9 to each arm) with 56 participants allocated to the intervention and 50 to the control (78% female, mean age 78 years). Fourteen participants withdrew over the 12 weeks (both arms), mainly for ill health. There was an adjusted mean improvement in balance (BBS) of 6.2 (95% CI 2.4 to 10.0), reduced fear of falling (p=0.007) and pain (p=0.02) in Exergame group. Mean attendance at sessions was 69% (mean exercising time of 33 minutes/week). 24% of control group and 20% of Exergame group fell over trial period. The change in falls rates significantly favoured the intervention (incident rate ratio 0.31 (95% CI 0.16 to 0.62, p=0.001)). The point estimate of the incremental cost effectiveness ratio (ICER) was £15,209.80 per QALY. Using 10,000 bootstrap replications, at the lower bound of the NICE threshold of £20,000 per QALY, there was a 61% probability of Exergames being cost-effective, rising to 73% at the upper bound of £30,000 per QALY. Conclusions: Exergames, as delivered in this trial, improve balance, pain and fear of falling and are a cost-effective fall prevention strategy in assisted living facilities for people aged 55 years or older

Norsklæring under Covid19 Nyankomne innvandreres opplevelse av norsklæring og sosial nedstengning under Covid 19.

Sammendrag Unge innvandrere møter ulike utfordringer, og kulturelle forventninger som kan komme i klem i møte med et nytt geografisk landområde. De neste kapitlene tar for seg tre unge menn som har innvandret til Norge, og deres opplevelser og utfordringer tilknyttet norsklæring under Covid19 pandemien. Denne studien har som mål å gi innsikt i hvordan integreringstiltakene ble påvirket av sosial nedstengning som følge av Covid19. Videre hvordan det sosiale rom blir redefinert i møte med digitale løsninger. Nye digitale møteplasser blir skapt der fysiske møteplasser blir fjernet. Jeg ønsker å belyse hvordan dette påvirker mennesker gjennom etnografien som presenteres her. Samfunnet har muligheten til å skape en trygg kulturell navigasjonsarena for flerkulturelle, og jeg argumenter her for at Covid19 pandemien har bidratt til økt stigma og polarisering i samfunnet. Basert på intervju, samtaler, og deltagende observasjon, har jeg fått innblikk i den norske læringsarena for nyankomne innvandrere, og hvordan sosial nedstengning har påvirket deres liv og norsklæring. Jeg ønsker å løfte frem utfordringer og teknologisk utvikling ved hjelp av stemmene som presenteres her, i håp om å gi et fargerikt bilde av de som har deltatt i studien