HEIFA - HEalth and quality of life In a Family perspective

• Befus, Eva-Grethe; Helseth, Sølvi; Mølland, Eirin; Westergren, Per Christer Thomas; Fegran, Liv & Haraldstad, Kristin (2023). Use of KIDSCREEN health-related quality of life instruments in the general population of children and adolescents: a scoping review. Health and Quality of Life Outcomes. ISSN 1477-7525. 21. doi: 10.1186/s12955-023-02088-z. Full text in Research Archive Show summary

  Purpose Subjectively assessing health related quality of life (HRQoL) in children and adolescents is increasingly important in the public health feld. One valid and widely used generic HRQoL instrument is the KIDSCREEN question‑ naire. The aim of this study was to map all studies using KIDSCREEN instruments in the general population of children and adolescents aged 6–18 years. Methods A scoping review was conducted. The search strategy was formulated according to the Preferred Reporting Items for Systematic Reviews and Scoping Reviews guidelines. The databases Cinahl, socINDEX, Medline, Embase, APA Psychinfo, Scopus, and Eric were searched in October 2021. Results In total, 1365 papers were eligible for screening, 1031 were excluded and 334 reports were read in full. 252 reports were included. KIDSCREEN studies in the general population was predominantly conducted in Europe (n=211). Most studies (n=179) had a cross sectional design, while few experimental studies (n=24) were found. The three KIDSCREEN versions comprising of 10, 27 and 52 items, were equally distributed between studies. The selfreported version (n=225) of the KIDSCREEN instrument was more prevalent than the proxy version, while few studies discussed a cut point. Study contexts refected international trends of public health challenges, commonly including mental- and psychosocial health, physical activity, socioeconomic status, and obesity. Conclusion KIDSCREEN is widely used in cross sectional studies assessing common public health challenges. Experi‑ mental and longitudinal assessments, possibly including relevant cut ofs remain mainly unexplored and are recom‑ mended for future research.

• Kleppang, Annette Løvheim; Vettore, Mario Vianna; Hartz, Ingeborg; Haugland, Siri Håvås & Stea, Tonje Holte (2023). Patterns of unhealthy behaviours during adolescence and subsequent anxiety and depression in adulthood: a prospective register linkage study of the HUNT survey and health registries. International Journal of Behavioral Nutrition and Physical Activity. ISSN 1479-5868. 20. doi: 10.1186/s12966-023-01408-2. Full text in Research Archive Show summary

  Background There is increasing need for prospective investigations in the preventing role of health-related behaviours on mental health problems. The aim of this study is to identify patterns of health-related behaviours in adolescence, and the association between the behavioural patterns and the subsequent diagnoses and/or drug treatment for anxiety and/or depression in adulthood. Methods This prospective study consisted of 13–19-year-old participants in the Trøndelag Health Study (Young-HUNT3) in 2006–2008 (n = 2061, 1205 females and 856 males) in Norway, who also participated in HUNT4 (2017–2019). Survey data on health-related behaviours in adolescence, including low level of physical activity, low consumption of wholegrain bread, fish, fruit, vegetables and high consumption of sugar-sweetened beverages and insomnia were linked on an individual level to prospective information on drug use and diagnosis in national health registries. The different patterns of health-related behaviours were identified through latent class analysis. Subsequent anxiety or depression was defined as at least one recording in either of three registries covering recorded diagnosis in primary and specialist healthcare, or dispensed prescription drugs during 2008–2019. Additionally, self-reported psychological distress measured in young adulthood was applied as a supplemental outcome measure. Results Four patterns of health-related behaviours were identified: high risk behaviours (class 1), moderate to high risk behaviours (class 2), low to moderate risk behaviours (class 3) and low risk behaviours (class 4). Adolescents in class 3 showed higher odds of subsequent diagnoses for anxiety and/or depression in primary and specialist healthcare compared to class 4 participants. In addition, both class 1 and class 4 participants had higher odds for self-reported psychological distress than those class 4 (OR = 1.56 and OR = 1.86, respectively). Conclusions Our findings suggest that health-related behaviours are clustered among Norwegian adolescents. The patterns of unhealthy behaviours during adolescence only partly increased the risk of anxiety and depression in adulthood. Promoting healthy behaviours during adolescence may potentially reduce the burden of mental illness in adulthood, but further research is needed to clarify the nature of the relationships.

• Andreasen, Eva Mari; Høigaard, Rune; Berg, Helen; Steinsbekk, Aslak Irgens & Haraldstad, Kristin (2023). The perceived usability of desktop VR for practicing preoperative handovers using ISBAR among nursing students. Science Talks. ISSN 2772-5693. 5. doi: 10.1016/j.sctalk.2023.100140. Full text in Research Archive
• Gjellestad, Marianne; Haraldstad, Kristin; Enehaug, Heidi & Helmersen, Migle (2023). Women’s Health and Working Life: A Scoping Review. International Journal of Environmental Research and Public Health (IJERPH). ISSN 1661-7827. 20(2). doi: 10.3390/ijerph20021080. Full text in Research Archive Show summary

  Women’s health matters for participation in working life. The objective of this study was to explore female physiology in a work–life context and to investigate possible associations between women’s health, sickness absence and work ability. A scoping review was conducted to develop a systematic overview of the current research and to identify knowledge gaps. The search strategy was developed through a population, concept and context (PCC) model, and three areas of women’s health were identified for investigation in the context of work. A total of 5798 articles were screened by title and abstract and 274 articles were screened by full text; 130 articles were included in the review. The material included research from 19 countries; the majority of the studies used quantitative methods. The results showed an impact on the occupational setting and an association between sickness absence, work ability and all three areas of women’s health, but a holistic and overall perspective on female biology in the work context is missing. This review calls for more knowledge on health and work and possible gender differences in this regard. Women’s health and working life involve a complex connection that has the potential to develop new knowledge.

• Mølland, Eirin; Haraldstad, Kristin; Abildsnes, Eirik; Håland, Åshild Tellefsen; Köpp, Unni Mette Stamnes & Fegran, Liv [Show all 7 contributors for this article] (2023). Use of the Strengths and Difficulties Questionnaire in child and school health services among children aged 4 and 6 years in Southern Norway: clinical considerations. BMC Pediatrics. ISSN 1471-2431. 23. doi: 10.1186/s12887-023-03837-1. Full text in Research Archive Show summary

  Background Parent reported mental health can be assessed by the Strengths and Difficulties Questionnaire (SDQ). Currently, Norwegian norms for parent-reported SDQ do not exist, whereas Swedish, Danish, and United Kingdom (UK) norms have been published. We aimed to (1) describe parent-reported SDQ among children aged 4 and 6 years in Southern Norway, (2) evaluate empirical cutoff values within the context of the Starting RightTM project in relation to the Swedish, Danish, and UK cutoffs, and (3) evaluate the representativeness of the study sample with regard to parental socioeconomic status. Methods This study included parent-reported observations for 665 children (63% consent rate). Means and standard deviations were calculated for the domains of SDQ, and gender differences were assessed. Based on the Swedish, Danish, and UK cutoffs and the 80th and 90th percentile cutoff values within the study, we calculated the total number of children with borderline and abnormal scores. Results Boys had higher mean total difficulties (7.3 vs 5.6) and impact scores (0.3 vs 0.1) and lower prosocial scores (8.3 vs 8.8) than girls. The differences in means were largest in the case of externalizing symptoms (5.0 vs 3.6) and hyperactivity subscore (3.2 vs 2.3). Using the UK cutoff values, 28 and 25 children had borderline and abnormal total difficulties scores, respectively. The corresponding numbers using the within study or Scandinavian cutoff values were 84–99 and 54–79, respectively. Overall, our study sample was well representative of the target population. Conclusions Our findings consistently indicated that girls had better SDQ scores than boys among children aged 4 and 6 years. Fewer children would be identified as having mental health difficulties using the UK cutoff values than using the Scandinavian age- and gender-relevant cutoff values.

• Knorst, Jessica Klöckner; Vettore, Mario Vianna; Brondani, Bruna; Emmanuelli, Bruno & Ardenghi, Thiago Machado (2023). The Different Roles of Structural and Cognitive Social Capital on Oral Health-Related Quality of Life among Adolescents. International Journal of Environmental Research and Public Health (IJERPH). ISSN 1661-7827. 20(8). doi: 10.3390/ijerph20085603. Full text in Research Archive Show summary

  This study evaluated the relationship of structural and cognitive dimensions of social capital with oral health-related quality of life (OHRQoL) among adolescents. This was a cross-sectional study nested in a cohort of adolescents from southern Brazil. OHRQoL was evaluated using the short version of the Child Perceptions Questionnaire 11-14 (CPQ11-14). Structural social capital was measured by attendance of religious meetings and social networks from friends and neighbours. Cognitive social capital was evaluated through trust in friends and neighbours, perception of relationships in the neighbourhood, and social support during hard times. Multilevel Poisson regression analysis was performed to estimate the association between social capital dimensions and overall CPQ11-14 scores; higher scores corresponded to worse OHRQoL. The sample comprised 429 adolescents with a mean age of 12 years. Adolescents who attended religious meetings less than once a month or never presented higher overall CPQ11-14 scores. Adolescents who did not trust their friends and neighbours, those who believe that their neighbours did not have good relationships, and those reporting no support during hard times also presented higher overall CPQ11-14 scores. OHRQoL was poorer in individuals who presented lower structural and cognitive social capital, with the greatest impact related to the cognitive dimension.

• Costa, Liliane Ramos; Vettore, Mario Vianna; Quadros, Larissa Neves; Rebelo Vieira, Janete Maria; Herkrath, Ana Paula Corrêa de Queiroz & Queiroz, Adriana Corrêa de [Show all 9 contributors for this article] (2023). Socio-economic status, psychosocial factors, health behaviours and incidence of dental caries in 12-year-old children living in deprived communities in Manaus, Brazil. Journal of Dentistry. ISSN 0300-5712. 133. doi: 10.1016/j.jdent.2023.104504. Full text in Research Archive Show summary

  Objectives: This study examines the relationships between socio-economic status, psychosocial factors, healthrelated behaviours and the incidence of dental caries amongst 12-year-old schoolchildren living in deprived communities in Manaus, Brazil. Methods: A longitudinal study involving 312 children aged 12 years was conducted in the city of Manaus, Brazil. Baseline data including socio-economic status (number of goods, household overcrowding, parents’ schooling, family income), psychosocial factors (sense of coherence [SOC-13], social support [Social Support Appraisals questionnaire]) and health-related behaviours (frequency of toothbrushing, sugar consumption, sedentary behaviour) were collected through structured questionnaires. The number of decayed teeth was clinically assessed at baseline and one-year follow-up. A hypothesised model evaluating the direct and indirect pathways between the variables was tested using confirmatory factor analysis and structural equation modelling. Results: The incidence of dental caries at the one-year follow-up was 25.6%. Sugar consumption (β = 0.103) and sedentary behaviour (β = 0.102) directly predicted the incidence of dental caries. A higher socio-economic status was directly linked with lower sugar consumption (β = -0.243) and higher sedentary behaviour (β = 0.227). Higher social support directly predicted lower sugar consumption (β = -0.114). Lower socio-economic status (β = -0.046) and lower social support (β = -0.026) indirectly predicted the incidence of dental caries via sugar consumption and sedentary behaviour. Conclusions: In the population studied, sugar consumption and sedentary behaviour are meaningful predictors of the incidence of dental caries amongst schoolchildren living in deprived communities. Indirect pathways of lower socio-economic status and low social support with dental caries incidence via sugar consumption and sedentary behaviour were detected. These findings should be considered in oral interventions and oral health care policies to prevent dental caries amongst children living in deprivation. Clinical significance: Social conditions, social support, sedentary behaviour and sugar consumption directly influence dental caries in children.

• Wanderås, Magnus; Abildsnes, Eirik; Thygesen, Elin & Martinez, Santiago (2023). Video consultation in general practice: a scoping review on use, experiences, and clinical decisions. BMC Health Services Research. ISSN 1472-6963. 23(1). doi: 10.1186/s12913-023-09309-7. Full text in Research Archive
• Rohde, Gudrun E.; Johannessen, Berit; Maaseide, Markus; Flateland, Sylvi Monika; Skisland, Anne Valen -Sendstad & Moi, Ellen Benestad [Show all 7 contributors for this article] (2023). Being a nursing student during the coronavirus pandemic: a mixed methods study. BMC Nursing. ISSN 1472-6955. 22(1). doi: 10.1186/s12912-023-01218-8. Full text in Research Archive
• Gomes, Andressa Coelho; Vettore, Mario Vianna; Quadros, Larissa Neves; Rebelo, Maria Augusta Bessa & Rebelo Vieira, Janete Maria (2023). Does using the sociodental approach in oral health care influence use of dental services and oral health of adolescents living in deprived communities? a one-year follow up study. BMC Health Services Research. ISSN 1472-6963. 23(1). doi: 10.1186/s12913-023-09596-0. Full text in Research Archive
• Fernandes, Izabella Barbosa; Ramos-Jorge, Joana; Mourão, Priscila Seixas; Rodrigues, Angélica Beatriz; Coelho, Valéria Silveira & Vettore, Mario Vianna [Show all 7 contributors for this article] (2023). The Impact of Socio-Environmental, Individual, and Biological Factors on Oral Health-Related Quality of Life among Preschool Children: A Cohort Study with 3-Year Follow-Up. Caries Research. ISSN 0008-6568. 57(4), p. 470–484. doi: 10.1159/000529908. Full text in Research Archive Show summary

  This study assessed impact of socio-environmental, individual, and biological factors on the worsening and severe worsening of oral health-related quality of life (OHRQoL) among preschoolers and their families. A cohort study was conducted in Diamantina, Brazil, with 151 children between 1 and 3 years of age and their mothers, who were evaluated at baseline (2014) and re-evaluated after 3 years (2017). The children were clinically examined to assess the presence of dental caries, malocclusion, dental trauma, and enamel defects. The mothers answered the Early Childhood Oral Health Impact Scale (B-ECOHIS) and a questionnaire addressing individual characteristics of the child and socio-environmental factors. Extensive caries found in the follow-up (relative risk [RR] = 1.91; 95% confidence interval [CI] = 1.26–2.91) and failure to undergo the dental treatment recommended at baseline (RR = 2.49; 95% CI = 1.62–3.81) were associated with worsening of OHRQoL over 3 years. An increase in the number of children in the household (RR = 2.95; 95% CI = 1.06–8.25), occurrence of extensive caries in the follow-up (RR = 2.06; 95% CI = 1.05–4.07), and failure to undergo the dental treatment recommended at baseline (RR = 3.68; 95% CI = 1.96–6.89) were associated with a severe worsening of OHRQoL. In conclusion, the risk of worsening and severe worsening of OHRQoL was higher in preschoolers with extensive caries at follow-up and among those who did not undergo dental treatment. Furthermore, severe worsening of OHRQoL was also impacted by an increase in the number of children in the household.

• Abildsnes, Eirik; Paulsen, Sigurd & Gonzalez, Jose J (2023). Improving resilience against a pandemic: A novel technology for strategy development with practitioners and decision-makers. In Radianti, Jaziar; Dokas, Ioannis; LaLone, Nicolas & Khazanchi, Deepak (Ed.), 20th Global Information Systems for Crisis Response and Management Conference (ISCRAM 2023). ISCRAM. ISSN 979-8-218-21749-5. p. 964–974. Show summary

  The project Systemic Pandemic Risk Management (SPRM), funded by the Research Council of Norway, has developed methods to assess and manage pandemic systemic risks. The project consortium includes an enterprise leading the project, public partners and research institutions in Norway, Sweden, and Italy. Kristiansand municipality, a partner in the SPRM project, adopted the project methods to assess and manage systemic risks. Based on a scenario about the potential spread patterns of the COVID-19 Omicron variant developed by the Norwegian Institute of Public Health, staff from Kristiansand employed the SPRM project’s approach to facilitate systemic risk assessment and management workshops. Practitioners and decision-makers from the main hospital in the Agder county and several municipalities proposed risks, their causal consequences and identified practical and impactful mitigation strategies. The strategies were implemented at the county level. The approach can improve handling of systemic risk scenarios beyond pandemics.

• Stavnsbo, Mette; Stenling, Andreas; Berntsen, Sveinung; Chinapaw, Mai J. M.; Hansen, Bjørge Hermann & Manios, Yannis [Show all 12 contributors for this article] (2023). Does an obesogenic family environment moderate the association between sports participation and body composition in children? The ENERGY project. Pediatric Obesity. ISSN 2047-6302. 18(7). doi: 10.1111/ijpo.13031. Full text in Research Archive Show summary

  BackgroundPrevious research on the association between sports participation and body composition has shown mixed findings. The family home is considered one of the most influential environments on childhood obesity. Thus, the association between sports participation and body composition in children may be influenced by an obesogenic home environment.ObjectivesTo investigate if an obesogenic family environment moderates the association between sports participation and body composition in children.MethodsA total of 3999 children (54% girls; 11.6 ± 0.7 years) and their parent(s) were included from the ENERGY project. A composite obesogenic family environment risk score was created from 10 questionnaire items. Height, weight (to calculate body mass index), and waist circumference were obtained by trained researchers and used as indicators of body composition.ResultsThe composite risk score significantly moderated the association between sports participation and both waist circumference and body mass index. In children from families with moderate and high obesogenic risk, organized sports participation was significantly associated with smaller waist circumference (moderate risk: −0.29, 95% CI −0.45 to −0.14; high risk: −0.46, 95% CI −0.66 to −0.25) and lower body mass index (moderate risk: −0.10, 95% CI −0.16 to −0.04; high risk: −0.14, 95% CI −0.22 to −0.06), but not in children with a low obesogenic family risk score.ConclusionsEnrolling children in sports activities from an early age can be important for healthy weight maintenance, especially among children from obesogenic family environments.

• Andresen, Gunvor S.; Johannessen, Berit A. T.; Rohde, Gudrun E.; Haraldstad, Kristin & Skisland, Anne Valen -Sendstad (2023). Læreres erfaringer med veiledning av sykepleierstudenter i kliniske studier gjennom covid-19 pandemien. Sykepleien Forskning. ISSN 1890-2936. 18. doi: 10.4220/Sykepleienf.2023.92297.
• Grasaas, Erik; Rohde, Gudrun E.; Haraldstad, Kristin; Helseth, Sølvi; Småstuen, Milada Cvancarova & Skarstein, Siv [Show all 7 contributors for this article] (2023). Sleep duration in schooldays is associated with health-related quality of life in norwegian adolescents: a cross-sectional study. BMC Pediatrics. ISSN 1471-2431. 23(1). doi: 10.1186/s12887-023-04306-5. Full text in Research Archive Show summary

  Background Insufficient sleep is commonly reported in adolescence and is negatively associated with a wide range of health outcomes. A way to grasp the complicated challenge of how sleep impact different aspects of the adolescents´ everyday life is by examining the relationship between sleep duration in schooldays and weekends on different health-related quality of life (HRQOL) subscales. Furthermore, to expand the understanding of possible underlying mechanisms between sleep and HRQOL, testing for self-efficacy as a possible mediator is of importance. Methods A cross-sectional study was performed among 696 adolescents aged 13–15 years from a schoolbased setting. All participants completed an electronic survey in their respective classrooms. The survey included demographic data, the School Sleep Habits Survey, the KIDSCREEN-27 questionnaire measuring HRQOL, and the General Perceived Self-Efficacy Scale. Statistical analyses were conducted using SPSS Statistics software including PROCESS macro by Andrew Hayes. Results Our findings revealed overall similar sleep patterns in boys and girls including longer sleep duration in the study sample during weekends (10:09 h) than in schooldays (08:36 h). Regression analyses revealed that sleep duration in schooldays was positively and statistically associated with HRQOL subscales psychological well-being (95% CI [0.44 to 1.33]), autonomy and parents (95% CI [0.12 to 1.06]), school environment (95% CI [0.47 to 1.40]), and self-efficacy (95% CI [0.01 to 0.47]). Sleep duration in weekends revealed no associations with the HRQOL subscales, except for the HRQOL subscale psychological well-being (95% CI [0.09 to 0.85]). Mediation analyses revealed that sleep duration in schooldays explained most of the associations (64 −75%) in 4 out 5 HRQOL subscales, except in the association with the HRQOL subscale physical well-being revealing an indirect effect of 71.9%. Conclusions This cross-sectional study described sleep among Norwegian adolescents and demonstrated that sleep durations in weekends and schooldays impact HRQOL and self-efficacy, revealing overall better outcome in HRQOL and self-efficacy with sufficient sleep during schooldays. These findings support the regularity of sleep and highlight the importance of sufficient sleep during schooldays, especially in a school-based sample of adolescents.

• Fegran, Liv; Westergren, Per Christer Thomas; Hall, Elisabeth OC; Aagaard, Hanne & Ludvigsen, Mette Spliid (2023). Nurses’ and Doctors’ Experiences of Transferring Adolescents or Young Adults With Long-Term Health Conditions From Pediatric to Adult Care: A Metasynthesis. Global Qualitative Nursing Research. ISSN 2333-3936. 10. doi: 10.1177/23333936231189568. Full text in Research Archive Show summary

  The transfer of adolescents and young adults (AYA) with long-term health conditions from pediatric to adult care is a multidisciplinary enterprise where nurses and doctors play an important role. This review aimed to identify and synthesize evidence from qualitative primary reports on how nurses and doctors experience the transfer of AYA aged 13 to 24 years with long-term health conditions to an adult hospital setting. We systematically searched seven electronic databases for reports published between January 2005 and November 2021 and reporting nurses’ and doctors’ experiences. We meta-summarized data from 13 reports derived from 11 studies published worldwide. Using qualitative content analysis, we metasynthesized nurses’ and doctors’ experiences into the theme “being boosters.” Boosting AYA’s transfer was characterized by supporting AYA’s and their parents’ changing roles, smoothening AYA’s transition from pediatric to adult care, and handling AYA’s encounters with a different care culture.

• Grasaas, Erik; Mikkelsen, Hilde Elisabeth Timenes ; Haraldstad, Kristin; Helseth, Sølvi; Hagen, Milada & Skarstein, Siv [Show all 7 contributors for this article] (2023). Pain in Adolescence: Maternal and Paternal Factors Affecting Adolescents’ Pain in Norway—A Cross-Sectional Study. Children. ISSN 2227-9067. 10(12). doi: 10.3390/children10121915. Full text in Research Archive
• Bøe, Tormod; Ostojic, Helene Angelica; Haraldstad, Kristin; Abildsnes, Eirik; Wilson, Philip & Vigsnes, Kristine Løkås [Show all 7 contributors for this article] (2023). Self-reported and parent-reported mental health in children from low-income families in Agder, Norway: results from baseline measurements of New Patterns project participants. BMJ Open. ISSN 2044-6055. 13(11). doi: 10.1136/bmjopen-2023-076400. Full text in Research Archive Show summary

  Background Poverty may pose risks to child and adolescent mental health, but few studies have reported on this association among children and adolescents in low-income families in Norway. Methods Based on a sample participating in an intervention for low-income families in Norway, we report data from the survey administered at the start of the intervention. Mental health problems were measured using the Strengths and Difficulties Questionnaire (SDQ; self-report (SR) n = 148; parent/proxy-report (PR) n = 153, mean age = 10.8). Demographic and family characteristics were obtained from parent reported data. Results are presented by gender and migration background. Regression analysis was used to investigate the relative contribution of background factors to mental health symptoms. The distribution of scores is compared to UK norms. Results Participants reported relatively high scores on the Strengths and Difficulties Questionnaire (SDQ) Total Difficulties Scale (parent/proxy-report, PR mean=10.7; self-report, SR mean=10.1). Participants with non-immigrant backgrounds scored considerably higher on the Total Difficulties Scale (PR mean difference=2.9; SR 5.3) and on most other domains measured with the SDQ compared with their peers with immigration backgrounds. Participants generally scored higher than or equal to UK norms. Conclusion Participants in the current study had many symptoms of mental health problems, with large differences between those with and without a migrant background. Interventions for low-income families should be based on detailed knowledge about differences in family risks, resources and needs.

• Haraldstad, Kristin; Abildsnes, Eirik; Bøe, Tormod; Vigsnes, Kristine Løkås; Wilson, Philip & Mølland, Eirin (2023). Health-related quality of life of children from low-income families: the new patterns study. BMC Public Health. ISSN 1471-2458. 23(1). doi: 10.1186/s12889-023-17335-7. Full text in Research Archive
• Andreasen, Eva Mari; Berg, Helen; Steinsbekk, Aslak Irgens; Høigaard, Rune & Haraldstad, Kristin (2023). The effect of using desktop VR to practice preoperative handovers with the ISBAR approach: a randomized controlled trial. BMC Medical Education. ISSN 1472-6920. 23. doi: 10.1186/s12909-023-04966-y. Full text in Research Archive Show summary

  Aim The aim was to investigate whether second-year undergraduate nursing students practicing the Identification-Situation-Background-Assessment-Recommendation (ISBAR) communication approach in a desktop virtual reality (VR) application had a non-inferior learning outcome compared with the traditional paper-based method when sorting patient information correctly based on the ISBAR structure. Methods A non-inferior parallel group assessor blinded randomized controlled trial, conducted in simulation sessions as part of preparation for clinical placements in March and April 2022. After a 20-minute introductory session, the participants were randomized to self-practice the ISBAR approach for 45 minutes in groups of three in either an interactive desktop VR application (intervention) or traditional paper-based (TP) simulation. The primary outcome concerned the proportion of nursing students who sorted all 11 statements of patient information in the correct ISBAR order within a time limit of 5 min. The predefined, one-sided, non-inferiority limit was 13 percentage points in favor of traditional paper-based simulation. Results Of 210 eligible students, 175 (83%) participated and were allocated randomly to the VR (N = 87) or TP (N = 88) group. Practicing in the desktop VR application (36% of everything correct) was non-inferior to the traditional paper-based method (22% everything correct), with a difference of 14.2 percentage points (95% CI 0.7 to 27.1) in favor of VR. The VR group repeated the simulation 0.6 times more (95% CI 0.5 to 0.7). Twenty percent more (95% CI 6.9 to 31.6) of the students in the VR group reported liked how they practiced. All the other outcomes including the System Usability Scale indicated non-inferiority or were in favor of VR. Conclusions Self-practicing with the ISBAR approach in desktop VR was non-inferior to the traditional paper-based method and gave a superior learning outcome.

• Stea, Tonje Holte; Vettore, Mario Vianna; Øvrebø, Bente & Abildsnes, Eirik (2023). Changes in dietary habits and BMI z-score after a 6-month non-randomized cluster-controlled trial among 6–12 years old overweight and obese Norwegian children. Food & Nutrition Research (FNR). ISSN 1654-6628. 67, p. 1–15. doi: 10.29219/fnr.v67.9617. Full text in Research Archive Show summary

  Background: Effective prevention programs to address the high prevalence of childhood overweight and obesity and the concomitant health consequences have been warranted. Objective: To improve dietary habits and weight status among Norwegian children with overweight/obesity in the primary care setting. Design: A 6-month non-randomized cluster-controlled intervention among 137 children, aged 6–12 years, with overweight/obesity and their parents. Intervention and control groups were recruited by public health nurses and followed-up by 12 Healthy Life Centers across Norway. The intervention group received individual family counseling and participated in nutrition courses and physical activity groups. A frequency questionnaire assessing sociodemographic characteristics and dietary habits was completed by the parents. Trained public health nurses measured height and weight using standardized methods to calculate body mass index (BMI) and BMI z-scores. Results: The intervention resulted in an increased odds of consuming evening meals (OR: 3.42), a decreased availability of salty snacks (β = –0.17), a decreased intake of salty snacks (−0.18), an increased consumption of water (β = 0.20), and a decreased estimated total intake of energy (β = –0.17), carbohydrates (β = –0.17), mono- and disaccharides (β = –0.21), sucrose (β = –0.24), and saturated fatty acids (β = –0.17). The intervention directly predicted lower BMI z-score (β = –0.17), and post-treatment levels of energy (β = –0.65), saturated fat (β = 0.43), and total carbohydrates (β = 0.41) were directly linked to BMI z-score after intervention. Age and sex were indirectly associated with BMI after intervention through energy and saturated fat intake. Conclusions: The intervention had a beneficial impact on nutrient intake and weight status among children with overweight/obesity. These findings provide support for implementing complex intervention programs tailored to local primary care settings.

• Leite, Sarah Debora Camardella; Herkrath, Fernando José; Vettore, Mario Vianna; Rebelo, Maria Augusta Bessa; Queiroz, Adriana Corrêa de & Pereira, Juliana Vianna [Show all 7 contributors for this article] (2023). The association between malocclusion and health-related quality of life in adolescents: A mediation analysis. European Journal of Oral Sciences. ISSN 0909-8836. doi: 10.1111/eos.12960.
• Audulv, Åsa; Westergren, Per Christer Thomas; Ludvigsen, Mette Spliid; Pedersen, Mona Kyndi; Fegran, Liv & Hall, Elisabeth O. C. [Show all 9 contributors for this article] (2023). Time and change: a typology for presenting research findings in qualitative longitudinal research. BMC Medical Research Methodology. ISSN 1471-2288. 23(1). doi: 10.1186/s12874-023-02105-1. Full text in Research Archive
• Penoni, Daniela Cia; Torres, Sandra Regina; Oliveira, Matheus L; Farias, Maria Lucia Fleiuss; Vettore, Mario Vianna & Leão, Anna Thereza Thomé Leão (2023). Untreated osteoporosis and higher FRAX as risk factors for tooth loss: a 5-year prospective study. Journal of Bone and Mineral Metabolism. ISSN 0914-8779. 41, p. 727–737. doi: 10.1007/s00774-023-01451-w.
• Canellas, João Vitor dos Santos; Ritto, Fabio Gamboa; Rodolico, Alessandro; Aguglia, Eugenio; Fernandes, Gustavo Vicentis de Oliveira & Figueredo, Carlos Marcelo da Silva [Show all 7 contributors for this article] (2023). The international platform of registered systematic review and meta-analysis protocols (INPLASY) at 3 years: an analysis of 4,658 registered protocols on inplasy.com, platform features, and website statistics. Frontiers in Research Metrics and Analytics. 8. doi: 10.3389/frma.2023.1135853. Full text in Research Archive
• Prado, Patricia Rezende do; Silveira, Renata Cristina Campos Pereira; Vettore, Mario Vianna; Fossum, Mariann; Vabo, Grete Lund & Gimenes, Fernanda Raphael Escobar (2023). Nursing interventions to prevent corneal injury in critically ill sedated and mechanically ventilated patients: A systematic review of interventions. Intensive & Critical Care Nursing. ISSN 0964-3397. 78. doi: 10.1016/j.iccn.2023.103447. Full text in Research Archive Show summary

  Objective: To identify the effectiveness of interventions to prevent corneal injury in critically ill, sedated, and mechanically ventilated patients. Research methodology: A systematic review of intervention studies was conducted in the following electronic databases: Cumulative Index to Nursing and Allied Health Literature, Cochrane Central Register of Controlled Trials, Embase, Latin American and Caribbean Literature in Health Sciences, LIVIVO, PubMed, Scopus and Web of Science, and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Study selection and data extraction were performed by two independent reviewers. Quality assessment of the randomized and non-randomized studies was performed using the Risk of Bias (RoB 2.0) and ROBINS-I Cochrane tools, respectively, and the Newcastle-Ottawa Scale for cohort studies. The certainty of the evidence was assessed according to the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system. Results: 15 studies were included. Meta-analysis showed that the risk of corneal injury in the lubricants group was 66% lower (RR = 0.34; 95 %CI: 0.13–0.92) than in the eye-taping group. The risk of corneal injury in the polyethylene chamber was 68% lower than in the eye ointment group (RR = 0.32; 95 %CI 0.07–1.44). The risk of bias was low in most of the studies included and the certainty of the evidence was evaluated. Conclusions: The most effective interventions to prevent corneal injury in critically ill sedated mechanically ventilated, who have compromised blinking and eyelid closing mechanisms, are ocular lubrication, preferably gel or ointment, and protection of the corneas with a polyethylene chamber. Implications for clinical practice: Critically ill, sedated, and mechanically ventilated patients who have compromised blinking and eyelid closing mechanisms must receive interventions to prevent corneal injury. Ocular lubrication, preferably gel or ointment, and protection of the corneas with a polyethylene chamber were the most effective interventions to prevent corneal injury in critically ill, sedated, and mechanically ventilated patients. A polyethylene chamber must be made commercially available for critically ill, sedated, and mechanically ventilated patients.

• Silva, Andréa Neiva da & Vettore, Mario Vianna (2023). Associations of academic environment, lifestyle, sense of coherence and social support with self-reported mental health status among dental students at a university in Brazil: a cross-sectional study. BMJ Open. ISSN 2044-6055. 13(12). doi: 10.1136/bmjopen-2023-076084. Full text in Research Archive
• Sjuls, Marianne; Ludvigsen, Mette Spliid; Robstad, Anja Nastasja & Fegran, Liv (2023). Fathers' experiences of living with a child with a progressive life-limiting condition without curative treatment options: A qualitative systematic review. Journal of Advanced Nursing. ISSN 0309-2402. doi: 10.1111/jan.15884. Full text in Research Archive Show summary

  Aim: To systematically review and synthesize findings across qualitative primary stud-ies about fathers' experiences of living with a child with a progressive life- limiting condition without curative treatment options (C3 conditions).Design: Systematic review and metasynthesis.Methods: Sandelowski and Barosso's qualitative research methodology guided this review and metasynthesis. A modification of Ricoeur's interpretation theory, de-scribed by Lindseth and Norberg, guided the synthesis of qualitative data. The quality of the studies was evaluated using the Joanna Briggs Institute Checklist for Qualitative Research.Data Sources: A systematic literature search was conducted on 6 May 2022 and up-dated on 19 July 2023 on MEDLINE, CINAHL Plus with Full Text, APA PsycInfo and Scopus. Inclusion criteria were English-written qualitative studies from the year 2000, from which we could extract data on fathers' experiences of living with a child from 0 to 18 years with a progressive life- limiting condition without curative treatment options.Results: Seven reports from Western countries contributed to the review. Through structural analysis, we developed the following themes: ‘Being shattered in the per-ception of fatherhood’, ‘Establishing a new normal’ and ‘Striving to be acknowledged as a part of the caring team’.Conclusion: Fathers had to establish a new normal, and they experienced anticipa-tory mourning, role conflicts and feeling sidelined in healthcare settings when living with a child with a C3 condition. An important issue for further research on paediatric palliative care (PPC) should be to include fathers in the research sample and report separately on fathers' or mothers' experiences instead of parents' experiences.Impact: The findings will be of interest to healthcare personnel and multidisciplinary teams working within PPC, as they give insight into fathers' experiences and suggest interventions to increase healthcare personnel's involvement with fathers, such as telemedicine. Reporting Method: Following EQUATOR guidelines, the study was reported accord-ing to the enhancing transparency in reporting the synthesis of qualitative research (ENTREQ) framework.Patient or Public Contribution: No patient or Public Contribution.

• Broomhead, Tom; Gibson, Barry C; Parkinson, C; Robinson, PG; Vettore, Mario Vianna & Baker, Sarah Ruth (2023). Development and psychometric validation of the gum health experience questionnaire. Journal of Clinical Periodontology. ISSN 0303-6979. p. 1–10. doi: 10.1111/jcpe.13878. Full text in Research Archive Show summary

  Aim To develop and validate a new health-related quality of life measure to capture a wide range of gum-related impacts. Materials and Methods The measure was developed using a multi-stage approach and a theoretical model. Development involved semi-structured interviews, pilot testing, cross-sectional analysis among a general population (n = 152) to assess psychometric properties and test–retest reliability among a subsample (n = 27). Results Psychometric analysis supports the validity and reliability of the measure's impact scale. The measure has excellent internal reliability (nearly all item-total correlations above .4; Cronbach's alpha between .84 and .91 for subscales), with test–retest reliability also performing well (Intra-class correlation coefficient [ICC] of .91–.97 for subscales). Good content validity (indicated by large standard deviations for item and total scores) and construct validity (correlations of .54–.73 with global gum health rating for subscales, all p < .05) were also observed. Qualitative and quantitative data indicate that people with gum health-related symptoms experience different degrees of discomfort and impacts caused by their condition. Conclusions The gum health experience questionnaire holds substantial promise as a measure of gum-related quality of life in people across the gum health–disease continuum. Further face validity, refining and reducing the number of items and longitudinal studies to test evaluative properties are required before the measure can be used with confidence.

• Mølland, Eirin; Lundberg, Kjetil; Haraldstad, Kristin; Vigsnes, Kristine Løkås; Bøe, Tormod & Danielsen, Hilde [Show all 9 contributors for this article] (2023). Economic composition and income volatility of Norwegian low-income families – a mixed method study of its implications. Nordic Journal of Social Research. ISSN 1892-2783. 14(1), p. 1–22. doi: 10.18261/njsr.14.1.2. Full text in Research Archive Show summary

  Background: There is a growing amount of research literature documenting increasing social inequality and an increase in the number of children growing up in families with persistently low income in all Scandinavian countries. However, there is a research gap on the issue of income composition; what the main income sources of low-income families are in relation to the families’ position to the labour market and to the welfare state, and possible implications of this to the families’ potential to escape poverty. The aim of this study was to describe the complexity in income sources experienced by low-income families with and without immigrant backgrounds in Norway. Method: Families with children aged 0–17 years (N = 168 families) with low income and in need of long-standing welfare services participated in the New Patterns project. We used a parallel mixed-methods design with quantitative and qualitative research methods, using questionnaires, register data, individual and focus group interviews, workshops with family coordinators and ethnographic fieldwork. Results: Most parents included in the study had low education (51%) and a low proportion participated in the labour market (21%). Twenty different income sources or benefits that the families received were identified and no clear pattern of type of income sources that families received emerged. Families with immigrant background were more likely to receive basic subsistence benefits than non-immigrant background families, and there were corresponding small differences in employment status upon entering the New Patterns project. Several benefits are reduced if families receive other types of income and the interdependence between the various revenue sources increases the unpredictability of total family income. The families have varying degrees of economic literacy, practical finance skills and competence in managing bureaucracy. Conclusion: Income volatility and mechanisms in the Norwegian welfare system contribute to a poverty trap for low-income families who depend on benefits that are not work-related.

• Reis, Renata Karina; Antonini, Marcela; Souza, Laelson Rochelle Milanes; Rocha, Karyanna Alves de Alencar; Naiff Ferreira, Glenda R.O. & Vettore, Mario Vianna [Show all 7 contributors for this article] (2023). Amplified HIV Transmission Risk Among People Living With HIV in Southeast Brazil. Journal of the Association of Nurses in AIDS Care. ISSN 1055-3290. 34(5), p. 469–480. doi: 10.1097/JNC.0000000000000421. Full text in Research Archive
• Mohamed, Seham A S; Baker, Sarah R; Deery, Christopher & Vettore, Mario Vianna (2023). The relationship of children's dental clinical status with school performance and school attendance in the Kingdom of Bahrain: A life-course approach. Community Dentistry and Oral Epidemiology. ISSN 0301-5661. doi: 10.1111/cdoe.12905. Show summary

  Objectives To examine the association between dental clinical status and school performance and school attendance in the Kingdom of Bahrain (KoB) using a life-course framework. Methods This time-ordered cross-sectional study included 466 school children in Grade 2 (aged 7–8 years) and their parents in the KoB. Data were collected through parents' self-administered questionnaires, children's face-to-face interviews and dental clinical examinations. Data on children's school performance and school attendance were gathered from parents and school records. Structural equation modelling (SEM) examined the direct and indirect pathways between variables. Results Children born in families with high socio-economic status (SES) were less likely to have dental caries and more likely to have better school performance at 7–8 years of age. Dentine caries was directly linked with poor school performance. Treated teeth directly predicted high school performance. The presence of dentine caries mediated the relationship of SES with school performance. Conclusions Birth and current socio-economic factors were significant predictors of dental clinical conditions and school performance. Dental caries and fewer treated teeth directly predicted poor school performance.

• Aagaard, Hanne; Hall, Elisabeth; Audulv, Åsa; Ludvigsen, Mette Spliid; Westergren, Per Christer Thomas & Fegran, Liv (2022). Parents’ experiences of transitioning to home with a very-low-birthweight infant: A meta-ethnography. Journal of Neonatal Nursing. ISSN 1355-1841. doi: 10.1016/j.jnn.2022.11.012. Full text in Research Archive Show summary

  Medical-technological advances and neurodevelopmental care have improved the survival of extremely- and very-low-birthweight infants born before 32 weeks’ gestation. After months in neonatal care, the infants are discharged, and parents exited but full of anxiety. This review is designed as a meta-ethnography, addressing parents’ discharge experiences to comprehend the synthesised research, which includes 12 eligible studies. From the analysis, we constructed three themes: ‘approaching discharge with both uncertainty and confidence’; ‘discharge as a longed-for though disordering turning point’; and ‘facing joys, worries and multiple challenges when at home’. The overarching interpretation was ‘discharge as double-edged sword’. We conclude that bringing home very-low-birthweight infants is a joyful event, yet parents also experience discharge as never- endingly worrying, as a time filled with challenges to which parents must adapt and as necessitating contin- uous support from knowledgeable providers.

• Marthinsen, Gunhild Nordbø; Helseth, Sølvi; Småstuen, Milada Cvancarova; Bjorvatn, Bjørn; Bandlien, Signe Marie & Fegran, Liv (2022). Sleep patterns and psychosocial health of parents of preterm and full-born infants: a prospective, comparative, longitudinal feasibility study. BMC Pregnancy and Childbirth. ISSN 1471-2393. 22. doi: 10.1186/s12884-022-04862-1. Full text in Research Archive
• Mikkelsen, Hilde Elisabeth Timenes ; Skarstein, Siv; Helseth, Sølvi; Småstuen, Milada Cvancarova; Haraldstad, Kristin & Rohde, Gudrun E. (2022). Health-related quality of life, health literacy and COVID-19-related worries of 16- to 17-year-old adolescents and parents one year into the pandemic: a cross-sectional study. BMC Public Health. ISSN 1471-2458. 22. doi: 10.1186/s12889-022-13737-1. Full text in Research Archive
• Knorst, Jessica Klöckner; Vettore, Mario Vianna; Brondani, Bruna; Emmanuelli, Bruno; Paiva, Saul Martins & Ardenghi, Thiago Machado (2022). Impact of community and individual social capital during early childhood on oral health-related quality of life: A 10-year prospective cohort study. Journal of Dentistry. ISSN 0300-5712. 126. doi: 10.1016/j.jdent.2022.104281. Full text in Research Archive Show summary

  Aim To evaluate the impact of community and individual social capital during early childhood on oral health-related quality of life (OHRQoL) over a 10-year follow-up period. Methods A prospective cohort study was conducted in the southern Brazil. Baseline (T1) data collection occurred in 2010 with preschool children aged 1-5 years. Participants were assessed in 2012 (T2), 2017 (T3), and 2020 (T4). OHRQoL was assessed using the B-ECOHIS at T1 and T2 and through CPQ8-10 at T3 and CPQ11-14 at T4. Community social capital was evaluated through the presence of formal institutions in the neighbourhood and individual social capital by social networks, both at T1. Demographic and socioeconomic characteristics were also evaluated. Multilevel Poisson regression analysis was performed to estimate the impact of social capital measures on OHRQoL. Results Of the 639 children assessed at T1, 469 were followed at T2 (73.3% response rate), 449 at T3 (70.3% response rate), and 429 at T4 (67.1% response rate). Individuals living in neighbourhoods with the presence of social class associations at T1 had higher OHRQoL at T3 and T4. Individuals whose families visit friends and neighbours less than once a month or never at T1 had lower OHRQoL at T1, T3 and T4. Attending religious meetings less than once a month or never at T1 was associated with lower OHRQoL at T2 and T4. Conclusion Social capital at the community level had a long-term effect on OHRQoL, especially during adolescence, while individual social capital levels impacted OHRQoL across the assessments. Clinical Significance: The findings indicate that psychosocial variables can impact OHRQoL, a fundamental aspect of clinical practice.

• Mikkelsen, Hilde Elisabeth Timenes ; Småstuen, Milada Cvancarova; Haraldstad, Kristin; Helseth, Sølvi; Skarstein, Siv & Rohde, Gudrun E. (2022). Changes in health-related quality of life in adolescents and the impact of gender and selected variables: a two-year longitudinal study. Health and Quality of Life Outcomes. ISSN 1477-7525. 20. doi: 10.1186/s12955-022-02035-4. Full text in Research Archive Show summary

  Background: Increased knowledge about factors that can impact changes in adolescents’ health-related quality of life (HRQOL) is needed. The present study aimed to investigate possible HRQOL changes in adolescents at 14 and 16 years, and assess the impact of sociodemographic factors, gender, pain, self-esteem, self-efcacy, loneliness, and stress on HRQOL changes over time. Further, to assess HRQOL stratifed by gender. Methods: A longitudinal study involving 211 adolescents was conducted. Sociodemographic variables, pain, selfesteem, self-efcacy, loneliness, and stress were all assessed with well-validated instruments. KIDSCREEN-27 was used to measure HRQOL. Data were analyzed using independent t-tests, paired samples t-tests, and linear mixed models for repeated measures. Results: When all variables were added to the linear mixed models, stress, loneliness, and pain were signifcantly, independently associated with a reduction in HRQOL change scores for four of the fve KIDSCREEN subscales. Time was signifcantly associated with a reduction in physical and psychological well-being. Self-efcacy and self-esteem were signifcantly associated with an increase in HRQOL change scores for four and two subscales, respectively. Male gender was signifcantly negatively associated with changes in social support and peers compared to female gender. Conclusion: Our results demonstrated a signifcant decline in adolescents’ HRQOL regarding physical and psychological well-being for the age range 14–16 years. Furthermore, we found that stress, loneliness, and pain have a signifcant negative impact on HRQOL changes, whereas self-esteem and self-efcacy have a signifcant positive impact. Our results highlight the importance of increased understanding regarding factors associated with changes in adolescents’ HRQOL to enable accurate and strategic interventions.

• Audulv, Åsa; Hall, Elisabeth O. C.; Kneck, Åsa; Westergren, Per Christer Thomas; Fegran, Liv & Pedersen, Mona Kyndi [Show all 9 contributors for this article] (2022). Qualitative Longitudinal Research in Health Research: A Method Study. BMC Medical Research Methodology. ISSN 1471-2288. 22(1), p. 1–19. doi: 10.1186/s12874-022-01732-4. Full text in Research Archive
• Ebitu, Anne Katrine Sandnes; Fegran, Liv; Haraldstad, Kristin; Johannessen, Berit; Chiduo, Mercy Grace & Hovland, Olav Johannes (2022). The banana project: A qualitative study of caregivers' and teachers' experiences of preschool children participating in a free banana school fruit scheme in rural Tanzania. BMJ Nutrition, Prevention and Health. ISSN 2516-5542. doi: 10.1136/bmjnph-2021-000403. Full text in Research Archive Show summary

  Introduction Good nutrition is the foundation of sustainable growth and development among children. The United Nations aims to achieve food security and improve nutrition through its Sustainable Development Goal 2 - Zero Hunger. In close collaboration with local communities and authorities, the Tanga International Competence Centre, Tanzania, supports projects aimed at achieving the United Nations Sustainable Development Goals. One of their initiatives, The Banana Project, which is a free school fruit scheme, started in 2011 based on a recognised need for nutritional support among preschool children at a rural school in Tanga District. In the interest of improving nutrition, the free school fruit scheme provides one banana 5 school days a week to each child in the class. This study aimed to explore caregivers’ (parents and/or guardians) and teachers’ experiences with preschool children’s participation in the project, with a specific focus on nutrition and health. Methods This qualitative study was performed in 2017. A total of 16 semistructured indepth interviews with 14 caregivers and 2 teachers of the preschool children participating in the project were conducted. Data were analysed using a hermeneutic perspective. Results Caregivers and teachers of the preschool children participating in the intervention experienced that bananas (1) reduced children’s hunger and nutritional deficiency, (2) increased fruit intake and improved their appetite for other foods, (3) improved their physical health and provided energy, and (4) supported cognitive and socioemotional development. Conclusion These findings indicate that the banana intervention has several benefits to preschool children and has an impact on their families. To improve health and reduce the risk of malnutrition of children in rural Tanzania, The Banana Project can be an recommended as a simple, cost-effective and sustainable health and nutrition promotion initiatives.

• Gallefoss, Lisbeth; Gabrielsen, Karin Berle; Haugland, Siri Håvås; Clausen, Thomas & Vederhus, John-Kåre (2022). Effects of a brief pre‑admission telephone reminder on no‑show and dropout rates in substance use disorder treatment: a quasi‑experimental study. Substance Abuse Treatment, Prevention, and Policy. ISSN 1747-597X. 17(1). doi: 10.1186/s13011-022-00489-9. Full text in Research Archive
• Grasaas, Erik; Skarstein, Siv; Mikkelsen, Hilde Elisabeth Timenes ; Småstuen, Milada Cvancarova; Rohde, Gudrun E. & Helseth, Sølvi [Show all 7 contributors for this article] (2022). The relationship between stress and health-related quality of life and the mediating role of self-efficacy in Norwegian adolescents: a cross-sectional study. Health and Quality of Life Outcomes. ISSN 1477-7525. 20, p. 1–9. doi: 10.1186/s12955-022-02075-w. Full text in Research Archive
• Moi, Ellen Benestad; Skisland, Anne Valen -Sendstad; Johannessen, Berit; Haraldstad, Kristin; Rohde, Gudrun E. & Flateland, Sylvi Monika (2022). Working as a nurse in community health services during Covid-19: a qualitative study . BMC Nursing. ISSN 1472-6955. 21(1). doi: 10.1186/s12912-022-01141-4. Full text in Research Archive
• Rohde, Gudrun E.; Helseth, Sølvi; Skarstein, Siv; Småstuen, Milada Cvancarova; Mikkelsen, Hilde Elisabeth Timenes & Haraldstad, Kristin (2022). Health-related quality of life in parents of adolescents one year into the COVID-19 pandemic: a two-year longitudinal study. Health and Quality of Life Outcomes. ISSN 1477-7525. 20. doi: 10.1186/s12955-022-02069-8. Full text in Research Archive
• Alkhaled, Tariq; Rohde, Gudrun E.; Lie, Birgit & Johannessen, Berit (2022). Beyond challenges and enrichment: a qualitative account of cross-cultural experiences of nursing patients with an ethnic minority background in Norway. BMC Nursing. ISSN 1472-6955. 21. doi: 10.1186/s12912-022-01102-x. Full text in Research Archive
• Vettore, Mario Vianna; Rebelo, Maria Augusta Bessa; Rebelo Vieira, Janete Maria; Cardoso, Evangeline Maria; Birman, Dina & Leão, Anna Thereza Thomé (2022). Psychometric Properties of the Brazilian Version of GOHAI among Community-Dwelling Elderly People. International Journal of Environmental Research and Public Health (IJERPH). ISSN 1661-7827. 19(22). doi: 10.3390/ijerph192214725. Full text in Research Archive
• Broomhead, Tom; Gibson, Barry; Parkinson, CR; Vettore, Mario Vianna & Baker, Sarah Ruth (2022). Gum health and quality of life-subjective experiences from across the gum health-disease continuum in adults. BMC Oral Health. ISSN 1472-6831. 22(1). doi: 10.1186/s12903-022-02507-5. Full text in Research Archive
• Grasaas, Erik; Helseth, Sølvi; Fegran, Liv; Stinson, Jennifer; Småstuen, Milada Cvancarova & Lalloo, Chitra [Show all 7 contributors for this article] (2022). App-based intervention among adolescents with persistent pain: a pilot feasibility randomized controlled trial. BMC Pilot and Feasibility Studies. ISSN 2055-5784. 8. doi: 10.1186/s40814-022-01113-0. Full text in Research Archive Show summary

  Background: Persistent pain in adolescence adversely afects everyday life and is an important public health problem. The primary aim was to determine the feasibility of an 8-week app-based self-management intervention to reduce pain and improve health-related quality of life in a community-based population of adolescents with persistent pain. A secondary aim was to explore diferences in health outcomes between the intervention and control groups. Methods: A sample of 73 adolescents aged 16–19 years with persistent pain from a community-based population were randomized into 2 groups. The intervention group received the Norwegian culturally adapted version of the iCanCope with PainTM app, which includes symptom tracking, goal setting, self-management strategies, and social support. The attention control group received a symptom tracking app. Feasibility was assessed as attrition rates and level of engagement (interactions with the app). The secondary outcomes included pain intensity, health-related quality of life, self-efcacy, pain self-efcacy, perceived social support from friends, anxiety and depression, and patient global impression. Statistical analyses were conducted using SPSS. Results: Demographic and baseline outcome variables did not difer between the 2 groups. No diferences were found between the participants completing the study and those who withdrew. Twenty-eight adolescents completed the intervention as planned (62% attrition). Both groups had a low level of app engagement. Intention-to-treat analysis (n = 19 + 14) showed no signifcant diferences in outcomes between groups. However, the large efect size (Cohen’s d = .9) for depression suggested a lower depression score in the intervention group. Conclusions: High treatment attrition and low engagement indicate the need for changes in trial design in a fullscale randomized controlled trial to improve participant retention.

• Flølo, Tone Nygaard; Gjeilo, Kari Hanne; Andersen, John Roger; Haraldstad, Kristin; Hjelmeland, Inger Helen Hardeland & Iversen, Marjolein M. [Show all 13 contributors for this article] (2022). The impact of educational concerns and satisfaction on baccalaureate nursing students’ distress and quality of life during the Covid-19 pandemic; a cross-sectional study. BMC Nursing. ISSN 1472-6955. 21(1). doi: 10.1186/s12912-022-00962-7. Full text in Research Archive
• Andreasen, Eva Mari; Høigaard, Rune; Berg, Helen; Steinsbekk, Aslak & Haraldstad, Kristin (2022). Usability Evaluation of the Preoperative ISBAR (Identification, Situation, Background, Assessment, and Recommendation) Desktop Virtual Reality Application: Qualitative Observational Study. JMIR Human Factors. ISSN 2292-9495. 9(4). doi: 10.2196/40400. Full text in Research Archive

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• Gallefoss, Lisbeth & Øen, Kirsten Gudbjørg (2023). Helsesykepleiere driver utstrakt psykisk helsearbeid. Tidsskriftet sykepleien. ISSN 0806-7511. 2023;11191150):e-91150. doi: 10.4220/Sykepleiens.2023.91150.
• Robstad, Anja Nastasja; Haddeland, Kristine & Gallefoss, Lisbeth (2023). Presentasjon på Forskningstorv i forbindelse med Forskningsdagene 2023. .
• Erland, Kathrine; Mølland, Eirin & Lindtveit, Maria Cecilie (2023). Forelesning: "Nye mønstre" holdt av Maria Lindtveit og Kathrine Erland. Praksiserfaringer og forskningsresultater. .
• Lindtveit, Maria Cecilie; Erland, Kathrine & Mølland, Eirin (2023). Forelesning: "Nye mønstre" holdt av Maria Lindtveit og Kathrine Erland. Praksiserfaringer og forskningsresultater. .
• Vigsnes, Kristine Løkås & Mølland, Eirin (2023). Podcast:#05 Om barnefattigdom og nye mønstre. [Internet]. Fremtidens kommuner Podcast.
• Vigsnes, Kristine Løkås; Mølland, Eirin & Abildsnes, Eirik (2023). Nye mønstre - Hvordan organisere tjenester til familier med komplekse behov? Forebygging.no. ISSN 2535-4000.
• Mølland, Eirin (2023). Nyhetsinnslag om forskningsresultater Nye mønstre. [TV]. NRK Sørlandet.
• Mølland, Eirin (2023). Ny metode for å hjelpe fattige familier viser oppløftende svar. [Internet]. NRK Sørlandet.
• Mølland, Eirin (2023). Flere fattige familier mottar mange stønader. [Newspaper]. Fædrelandsvennen.
• Vigsnes, Kristine Løkås & Abildsnes, Eirik (2023). Presentasjon av Nye mønstre på rapportlansering: "Rapid review of inequalities in health and wellbeing in Norway since 2014".
• Vigsnes, Kristine Løkås; Abildsnes, Eirik & Kiland, Charlotte (2023). Policy Development and Implementation in Public Health – Dealing with Complexity .
• Vigsnes, Kristine Løkås; Kiland, Charlotte & Abildsnes, Eirik (2023). Co-creation in Public Health Policy: Dealing with complexity .
• Mølland, Eirin (2023). Familier holdes i vedvarende fattigdom. [Newspaper]. Fædrelandsvennen.
• Mølland, Eirin (2023). Hjelp mennesker å hjelpe seg selv. [Newspaper]. Fædrelandsvennen.
• Mølland, Eirin; Bøe, Tormod; Ask, Torunn Alise; Lundberg, Kjetil; Danielsen, Hilde & Abildsnes, Eirik [Show all 8 contributors for this article] (2023). Spør en forsker! Presentasjon og drøfting av funn av fra forskningsprosjektet Nye mønstre på familiekoordinator-samling.
• Gallefoss, Lisbeth; Bråten, Gro & Tonstad, Inger Turid (2023). Dette er et stort folkehelseproblem. Agderposten. ISSN 0805-3723.
• Gallefoss, Lisbeth; Bråten, Gro & Tonstad, Inger Turid (2023). Vold og seksuelle overgrep er et folkehelseproblem. lokalavisen fedrelandsvennen.
• Vigsnes, Kristine Løkås & Mølland, Eirin (2023). Blir fanga i ei fattigdomsfelle . [Newspaper]. Klasssekampen.
• Mølland, Eirin (2023). Nye Mønstre.
• Mølland, Eirin (2023). Det minner oss om hvem vi er her for - en kvalitativ studie av familiekoordinatorerers erfaring med bruk av kartleggingsverktøy.
• Kleppang, Annette Løvheim; Abildsnes, Eirik; Haraldstad, Kristin & Stea, Tonje Holte (2023). Changes in Health-Related Quality of Life and Sleep Habits after a 6-Month Non-Randomised Cluster-Controlled Trial among Children with Overweight or Obesity.
• Johannessen, Berit; Gundersen, Ellen Dahl; Kalhovd, Malin & Seljås, Cathrine T (2023). Støttende ledere og brukervennlige systemer kan bidra til at sykepleiere melder avvik. Sykepleien. ISSN 0802-9768.
• Johannessen, Berit & Hovland, Olav Johannes (2023). kulturell kompetanse.
• Sjuls, Marianne (2023). Fathers experiences of having a child with a progressive life limiting disease without curative treatment options. Show summary

  Presentation of Pediatric Palliative Care in Norway and findings from qualitative systematic review about fathers experiences of having a child with a progressive life limiting disease without curative treatment options.

• Haraldstad, Kristin (2023). Generic patient-reported outcome measures (PROMs): conditions for use and usefulness in randomized controlled trials. A systematic review .
• Haraldstad, Kristin (2023). A systematic review of quality of life research in medicine and health sciences .
• Haraldstad, Kristin (2023). Urovekkende om unge og smerte, -Et varsel om at noe ikke er bra. [Newspaper]. VG.
• Antonini, Marcela; Vettore, Mario Vianna; Øgård-Repål, Anita; Rocha, Daniel Macêdo; De Alencar, Karyanna Alves & Elias, Henrique Ciabotti [Show all 10 contributors for this article] (2023). Chlamydia trachomatis e Neisseria gonorrhoeae em usuários de PrEP: comparação entre diferentes sítios anatômicos.
• Mølland, Eirin; Abildsnes, Eirik & Vigsnes, Kristine Løkås (2023). Nye mønstre – hvordan organisere tjenester til familier med komplekse behov? Forebygging.no. ISSN 2535-4000. doi: 10.21340/e7q5-qc87.
• Mølland, Eirin (2023). Nye Mønstre - Familiekoordinator samling.
• Mølland, Eirin; Abildsnes, Eirik & Vigsnes, Kristine Løkås (2023). New Patterns for Low-income Families - A model for comprehensive and coordinated efforts.
• Mølland, Eirin (2023). Fattig i velferdsstaten Norge: Resultater fra Nye mønstre prosjektet.
• Befus, Eva-Grethe (2023). The use of youth healthcare services and its association with health-related quality of life, physical and mental health and over-the-counter medication use in 13–19-year-old adolescents: a cross-sectional study.
• Befus, Eva-Grethe (2023). Livskvalitet og psykisk helse hos 6-åringer i Agder.
• Befus, Eva-Grethe (2023). Quality of life and mental health in children and adolescents, Starting Right.
• Rohde, Gudrun E.; Helseth, Sølvi; Småstuen, Milada Cvancarova; Mikkelsen, Hilde Elisabeth Timenes ; Skarstein, Siv & Haraldstad, Kristin (2022). Changes in health-related quality of life in parents of adolescents, and the impact of gender, sociodemographic and psychological factors, and pain on the changes: A two-year longitudinal study.
• Westergren, Per Christer Thomas (2022). Godt begynt for og om barns subjektive helse i helsestasjon og skolehelsetjenesten - teknologi til å spørre, forstå og anvende.
• Andreasen, Eva Mari; Høigaard, Rune; Berg, Helen; Steinsbekk, Aslak & Haraldstad, Kristin (2022). Is desktop VR more motivational than traditional practice when learning ISBAR? A usability study of desktop VR for learning ISBAR.
• Andreasen, Eva Mari; Høigaard, Rune & Haraldstad, Kristin (2022). Nursing students’ satisfaction with clinical placements – The importance of the supervisory relationship.
• Westergren, Per Christer Thomas (2022). Ages 2 to 7 years as a window of opportunity.
• Vigsnes, Kristine Løkås; Bersvendsen, Tore; Mølland, Eirin & Abildsnes, Eirik (2022). Nye mønstre - trygg oppvekst. Koordinert, tverrfaglig innsats til barnefamilier med lavinntekt.
• Mølland, Eirin; Abildsnes, Eirik; Bersvendsen, Tore & Skår, Ingvild (2022). Nye mønstre for barnefamilier som har komplekse utfordringer. dagensmedisin.no.
• Hovland, Henriette; Karlsen, Cecilie; Haraldstad, Kristin & Thygesen, Elin (2022). Abstracts presented at the Norwegian Public Health Conference, 18–19 October 2022, Hamar, Norway. Scandinavian Journal of Public Health. ISSN 1403-4948. 50(1). doi: 10.1177/14034948221121568.
• Kleppang, Annette Løvheim; Vettore, Mario Vianna; Hartz, Ingeborg; Haugland, Siri Håvås & Stea, Tonje Holte (2022). Patterns of unhealthy behaviours during adolescence and subsequent anxiety and depression in adulthood. A prospective register linkage study of the HUNT survey and health registries.
• Mølland, Eirin & Bøe, Tormod (2022). Exploring Living Conditions in Low-income Families .
• Mølland, Eirin (2022). Exploring Living Conditions in Low-income Families .
• Mølland, Eirin (2022). Nye mønstre for barnefamilier som strever med lavinntekt: Bidrar familiekoordinator til endring for familiene?
• Mølland, Eirin (2022). Levekår blant familier som strever med lav-inntekt og som delta i Nye Mønstre.
• Knudsen, Else Christine Melbye; Johannessen, Berit & Bjørkkjær, Tormod (2022). En kvallitativ studie om opplevelsen av tiltaket gratis skolefrokost blant ansatte og elever i videregående skole i Agder.
• Stea, Tonje Holte; Vettore, Mario Vianna; Øvrebø, Bente & Abildsnes, Eirik (2022). Changes in dietary habits after a six-months intervention study among overweight and obese children.
• Mikkelsen, Hilde Elisabeth Timenes (2022). The Start Young study. Health-related quality of life and pain in adolescents and associated factors; a prospective cohort study of adolescents and their parents. University of Agder. ISSN 978-82-8427-104-0. Full text in Research Archive

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