... Sammenfatning Forfatter Didde Cramer Jensen, Eva Draborg, Jan Sørensen Institut CAST – Center... more ... Sammenfatning Forfatter Didde Cramer Jensen, Eva Draborg, Jan Sørensen Institut CAST – Center for Anvendt Sundhedstjenesteforskning og Teknologivurdering ... delrapporter sammenfattes. TKS blev oprindelig planlagt og gennemført på Fredericia og Kolding Sygehuse. ...
BACKGROUND Being overweight or obese is associated with higher risk of adverse maternal and fetal... more BACKGROUND Being overweight or obese is associated with higher risk of adverse maternal and fetal outcomes, including gestational diabetes and childhood obesity. Many women exceed the gestational weight gain recommendations. Thus, it is important to focus on the women's lifestyle between their pregnancies to lower the risk of weight retention before the next pregnancy as well as in a life course perspective. OBJECTIVE The objective of this study was to explore barriers postpartum women experience with respect to a healthy lifestyle during the postpartum period, and to assess whether an IT-based intervention might be a supportive tool to assist and motivate postpartum women to healthy lifestyle. METHOD A systematic text condensation was applied to semi-structured focus groups. Five focus group interviews were carried out with a total of 17 postpartum women and two interviews with a total of six health professionals. Participants were recruited through the municipality in Svendborg, Denmark, and at Odense University Hospital in Odense, Denmark, during a four-month period in early 2018. The results were analysed within the frame of the capability, opportunity, motivation and behaviour model (COM-B). RESULTS From the women's perspective, better assistance is needed from the health professionals to obtain or maintain a healthy lifestyle. The women need tools that inform and help them understand and prioritize own health related risks, and to motivate them to plan and take care of their own health. There is room for engaging the partner more in the communication related to the baby and family's lifestyle. Lastly, the women already use audiobooks and podcasts to obtain information. CONCLUSION Postpartum women need tools that inform and motivate for a healthy lifestyle postpartum. The tools should allow access to high quality information from health care professionals when the information is needed and also allow engagement from the partner. An IT-based intervention could be a way to support and motivate postpartum women for a healthy lifestyle.
Background Redundancy is an unethical, unscientific, and costly challenge in clinical health rese... more Background Redundancy is an unethical, unscientific, and costly challenge in clinical health research. There is a high risk of redundancy when existing evidence is not used to justify the research question when a new study is initiated. Therefore, the aim of this study was to synthesize meta-research studies evaluating if and how authors of clinical health research studies use systematic reviews when initiating a new study. Methods Seven electronic bibliographic databases were searched (final search June 2021). Meta-research studies assessing the use of systematic reviews when justifying new clinical health studies were included. Screening and data extraction were performed by two reviewers independently. The primary outcome was defined as the percentage of original studies within the included meta-research studies using systematic reviews of previous studies to justify a new study. Results were synthesized narratively and quantitatively using a random-effects meta-analysis. The pro...
Objective: To provide a systematic review of the literature and knowledge base of cost per qualit... more Objective: To provide a systematic review of the literature and knowledge base of cost per quality-adjusted life year of physical rehabilitation and care of older persons after hip fracture.Material and methods: A research librarian assisted in searching 9 databases (14 May to 27 May 2021), with exclusion of studies on cognitively impaired or institutionalized individuals. A stepwise selection process was conducted by 2 authors, study quality was assessed using Drummond et al.’s checklist, and comparison between different countries was assessed using Welte et al.’s checklist.Results: Three studies were included, which employed 3 different interventions initiated at 3 different postoperative time-points. One high-quality study demonstrated that comprehensive geriatric assessment was cost-effective compared with coordinated care. The other 2 studies did not find the interventions studied to be cost-effective, and both studies were deemed to be of moderate quality.Conclusion: The body ...
ABSTRACT Mange menneskers liv eller livskvalitet afh�nger af muligheden for at kunne modtage et o... more ABSTRACT Mange menneskers liv eller livskvalitet afh�nger af muligheden for at kunne modtage et organ fra et andet menneske, men antallet af tilg�ngelige organer svarer langt fra til eftersp�rgslen. B�de i Danmark og i andre lande har man fors�gt forskellige initiativer til at reducere denne forskel. Det har b�de drejet sig om at �ge antallet af personer, som er villige til at afgive organer, om at �ndre p� kravene til mulige organdonorer og organer og p� den m�de �ge antallet af mulige donorer samt at forbedre udnyttelsen af de foreliggende donorer. Gennem de seneste �r er forskellige initiativer rettet mod andre faktorer med betydning for gennemf�relsen af organdonationer, og fokus er her lagt p� de organisatoriske faktorer i forbindelse med organdonationer. Projektet her omhandler en evaluering af en ny-organisering af organdonationsomr�det i Region Syddanmark, og det er et del-projekt af et st�rre organisatorisk projekt p� landsplan, hvor m�let for tre ny-etablerede regionale organdonationskorps er, at de p� hver deres egen m�de skal udvikle og afpr�ve en regionalt tilpasset organisationsform. Det endelige m�l for alle tre regionale organdonationskorps er at �ge antallet af organdonationer. Det samlede organisations�ndringsprojekt udspringer fra Dansk Center for Organdonation (DCO), som er en ny-etableret central enhed fra 2007, der har til form�l at koordinere, udvikle og fremme organdonationer i Danmark. DCO har initieret det regionale projekt i Region Syddanmark og har finansieret projektet og de tilknyttede donationsaktiviteter i en indledende fase fra september 2008 til februar 2010, hvorefter en evaluering skal kortl�gge projektets grad af m�lopfyldelse samt komme med anbefalinger til videre tiltag p� omr�det. Projektet gennemf�res af en projektgruppe best�ende projektleder, neurokirurg, overl�ge Jane Linnet, an�stesiolog, overl�ge Karsten B�low, transplantationskoordinator, sygeplejerske Annette Boe, n�gleperson, sygeplejerske
... Sammenfatning Forfatter Didde Cramer Jensen, Eva Draborg, Jan Sørensen Institut CAST – Center... more ... Sammenfatning Forfatter Didde Cramer Jensen, Eva Draborg, Jan Sørensen Institut CAST – Center for Anvendt Sundhedstjenesteforskning og Teknologivurdering ... delrapporter sammenfattes. TKS blev oprindelig planlagt og gennemført på Fredericia og Kolding Sygehuse. ...
BACKGROUND Being overweight or obese is associated with higher risk of adverse maternal and fetal... more BACKGROUND Being overweight or obese is associated with higher risk of adverse maternal and fetal outcomes, including gestational diabetes and childhood obesity. Many women exceed the gestational weight gain recommendations. Thus, it is important to focus on the women's lifestyle between their pregnancies to lower the risk of weight retention before the next pregnancy as well as in a life course perspective. OBJECTIVE The objective of this study was to explore barriers postpartum women experience with respect to a healthy lifestyle during the postpartum period, and to assess whether an IT-based intervention might be a supportive tool to assist and motivate postpartum women to healthy lifestyle. METHOD A systematic text condensation was applied to semi-structured focus groups. Five focus group interviews were carried out with a total of 17 postpartum women and two interviews with a total of six health professionals. Participants were recruited through the municipality in Svendborg, Denmark, and at Odense University Hospital in Odense, Denmark, during a four-month period in early 2018. The results were analysed within the frame of the capability, opportunity, motivation and behaviour model (COM-B). RESULTS From the women's perspective, better assistance is needed from the health professionals to obtain or maintain a healthy lifestyle. The women need tools that inform and help them understand and prioritize own health related risks, and to motivate them to plan and take care of their own health. There is room for engaging the partner more in the communication related to the baby and family's lifestyle. Lastly, the women already use audiobooks and podcasts to obtain information. CONCLUSION Postpartum women need tools that inform and motivate for a healthy lifestyle postpartum. The tools should allow access to high quality information from health care professionals when the information is needed and also allow engagement from the partner. An IT-based intervention could be a way to support and motivate postpartum women for a healthy lifestyle.
Background Redundancy is an unethical, unscientific, and costly challenge in clinical health rese... more Background Redundancy is an unethical, unscientific, and costly challenge in clinical health research. There is a high risk of redundancy when existing evidence is not used to justify the research question when a new study is initiated. Therefore, the aim of this study was to synthesize meta-research studies evaluating if and how authors of clinical health research studies use systematic reviews when initiating a new study. Methods Seven electronic bibliographic databases were searched (final search June 2021). Meta-research studies assessing the use of systematic reviews when justifying new clinical health studies were included. Screening and data extraction were performed by two reviewers independently. The primary outcome was defined as the percentage of original studies within the included meta-research studies using systematic reviews of previous studies to justify a new study. Results were synthesized narratively and quantitatively using a random-effects meta-analysis. The pro...
Objective: To provide a systematic review of the literature and knowledge base of cost per qualit... more Objective: To provide a systematic review of the literature and knowledge base of cost per quality-adjusted life year of physical rehabilitation and care of older persons after hip fracture.Material and methods: A research librarian assisted in searching 9 databases (14 May to 27 May 2021), with exclusion of studies on cognitively impaired or institutionalized individuals. A stepwise selection process was conducted by 2 authors, study quality was assessed using Drummond et al.’s checklist, and comparison between different countries was assessed using Welte et al.’s checklist.Results: Three studies were included, which employed 3 different interventions initiated at 3 different postoperative time-points. One high-quality study demonstrated that comprehensive geriatric assessment was cost-effective compared with coordinated care. The other 2 studies did not find the interventions studied to be cost-effective, and both studies were deemed to be of moderate quality.Conclusion: The body ...
ABSTRACT Mange menneskers liv eller livskvalitet afh�nger af muligheden for at kunne modtage et o... more ABSTRACT Mange menneskers liv eller livskvalitet afh�nger af muligheden for at kunne modtage et organ fra et andet menneske, men antallet af tilg�ngelige organer svarer langt fra til eftersp�rgslen. B�de i Danmark og i andre lande har man fors�gt forskellige initiativer til at reducere denne forskel. Det har b�de drejet sig om at �ge antallet af personer, som er villige til at afgive organer, om at �ndre p� kravene til mulige organdonorer og organer og p� den m�de �ge antallet af mulige donorer samt at forbedre udnyttelsen af de foreliggende donorer. Gennem de seneste �r er forskellige initiativer rettet mod andre faktorer med betydning for gennemf�relsen af organdonationer, og fokus er her lagt p� de organisatoriske faktorer i forbindelse med organdonationer. Projektet her omhandler en evaluering af en ny-organisering af organdonationsomr�det i Region Syddanmark, og det er et del-projekt af et st�rre organisatorisk projekt p� landsplan, hvor m�let for tre ny-etablerede regionale organdonationskorps er, at de p� hver deres egen m�de skal udvikle og afpr�ve en regionalt tilpasset organisationsform. Det endelige m�l for alle tre regionale organdonationskorps er at �ge antallet af organdonationer. Det samlede organisations�ndringsprojekt udspringer fra Dansk Center for Organdonation (DCO), som er en ny-etableret central enhed fra 2007, der har til form�l at koordinere, udvikle og fremme organdonationer i Danmark. DCO har initieret det regionale projekt i Region Syddanmark og har finansieret projektet og de tilknyttede donationsaktiviteter i en indledende fase fra september 2008 til februar 2010, hvorefter en evaluering skal kortl�gge projektets grad af m�lopfyldelse samt komme med anbefalinger til videre tiltag p� omr�det. Projektet gennemf�res af en projektgruppe best�ende projektleder, neurokirurg, overl�ge Jane Linnet, an�stesiolog, overl�ge Karsten B�low, transplantationskoordinator, sygeplejerske Annette Boe, n�gleperson, sygeplejerske
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