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class="profile-profiles js-social-profiles-container"><i class="fa fa-spin fa-spinner"></i></li></ul></div></div></div><div class="right-panel-container"><div class="user-content-wrapper"><div class="uploads-container" id="social-redesign-work-container"><div class="upload-header"><h2 class="ds2-5-heading-sans-serif-xs">Uploads</h2></div><div class="documents-container backbone-social-profile-documents" style="width: 100%;"><div class="u-taCenter"></div><div class="profile--tab_content_container js-tab-pane tab-pane active" id="all"><div class="profile--tab_heading_container js-section-heading" data-section="Papers" id="Papers"><h3 class="profile--tab_heading_container">Papers by Gritt Overbeck</h3></div><div class="js-work-strip profile--work_container" data-work-id="127512230"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/127512230/Collaboration_between_general_practitioners_and_health_visitors_about_children_of_concern_in_Denmark_a_qualitative_study"><img alt="Research paper thumbnail of Collaboration between general practitioners and health visitors about children of concern in Denmark: a qualitative study" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title">Collaboration between general practitioners and health visitors about children of concern in Denmark: a qualitative study</div><div class="wp-workCard_item"><span>Journal of interprofessional care</span><span>, May 30, 2024</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span 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$('.js-work-strip[data-work-id=127512230]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":127512230,"title":"Collaboration between general practitioners and health visitors about children of concern in Denmark: a qualitative study","translated_title":"","metadata":{"publication_date":{"day":30,"month":5,"year":2024,"errors":{}},"publication_name":"Journal of interprofessional care"},"translated_abstract":null,"internal_url":"https://www.academia.edu/127512230/Collaboration_between_general_practitioners_and_health_visitors_about_children_of_concern_in_Denmark_a_qualitative_study","translated_internal_url":"","created_at":"2025-02-07T02:22:58.779-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":2450366,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Collaboration_between_general_practitioners_and_health_visitors_about_children_of_concern_in_Denmark_a_qualitative_study","translated_slug":"","page_count":null,"language":"en","content_type":"Work","summary":null,"owner":{"id":2450366,"first_name":"Gritt","middle_initials":null,"last_name":"Overbeck","page_name":"GrittOverbeck","domain_name":"ku-dk","created_at":"2012-09-06T06:05:08.323-07:00","display_name":"Gritt Overbeck","url":"https://ku-dk.academia.edu/GrittOverbeck"},"attachments":[],"research_interests":[{"id":588,"name":"Nursing","url":"https://www.academia.edu/Documents/in/Nursing"},{"id":334676,"name":"InterProfessional Education in Health Care","url":"https://www.academia.edu/Documents/in/InterProfessional_Education_in_Health_Care"},{"id":922368,"name":"Mandate","url":"https://www.academia.edu/Documents/in/Mandate"}],"urls":[{"id":46767077,"url":"https://www.tandfonline.com/doi/pdf/10.1080/13561820.2024.2357118?needAccess=true"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-127512230-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="127512229"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/127512229/Factors_promoting_and_impeding_efforts_to_deprescribe_antidepressants_among_nursing_home_residents_with_dementia_a_process_evaluation_guided_by_normalization_process_theory"><img alt="Research paper thumbnail of Factors promoting and impeding efforts to deprescribe antidepressants among nursing home residents with dementia– a process evaluation guided by normalization process theory" class="work-thumbnail" src="https://attachments.academia-assets.com/121234897/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/127512229/Factors_promoting_and_impeding_efforts_to_deprescribe_antidepressants_among_nursing_home_residents_with_dementia_a_process_evaluation_guided_by_normalization_process_theory">Factors promoting and impeding efforts to deprescribe antidepressants among nursing home residents with dementia– a process evaluation guided by normalization process theory</a></div><div class="wp-workCard_item"><span>BMC nursing</span><span>, Apr 28, 2024</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Background Despite recommendations against psychotropic medication in older nursing homes residen...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Background Despite recommendations against psychotropic medication in older nursing homes residents with behavioral and psychological symptoms of dementia (BPSD), antidepressants and other psychotropic drugs are still prescribed. We performed a cluster-randomized controlled trial to evaluate the effect of a complex intervention aiming to promote the deprescribing of antidepressants in institutionalized older persons with dementia. To understand the underlying mechanisms of trial outcomes, we conducted a process evaluation exploring the interventions implementation, areas of impact, and contextual factors. The aim of this study was to explore the implementation process and the key factors that promoted and inhibited intervention implementation in the care home setting (Clinicaltrials.gov: NCT04985305. Registered 30 July 2021). Methods Qualitative interviews were conducted between August 2022 and February 2023 with four general practitioners and eight nursing home staff from four associated nursing homes in the Capital Region of Denmark. We coded the interview data according to the four constructs of the Normalization Process Theory (coherence, cognitive participation, collective action, and reflexive monitoring). There was a common understanding of the intervention aim. We observed a raised awareness concerning the deprescription of antidepressants among healthcare professionals with good collaboration (coherence). An overall buy-in to a deprescribing mentality was seen (cognitive participation). There were barriers to the GPs and nursing home staff's use of the intervention elements and how they implemented it, but to some, a common language was created (collective action). Professionals overall valued the idea of deprescribing, but lack of time, high staff turnover, and low education level among nursing home staff hampered the integration (reflexive monitoring). Successful implementation seemed to be dependent on the quality of the relationship between the single GP and the single nursing home professional. A common deprescribing mentality promoted the uptake of the intervention. However, several barriers related to lack of resources hindered implementation.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="822c262b1cc028667ca0a1e65829e16e" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":121234897,"asset_id":127512229,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/121234897/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="127512229"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="127512229"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 127512229; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=127512229]").text(description); $(".js-view-count[data-work-id=127512229]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 127512229; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='127512229']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "822c262b1cc028667ca0a1e65829e16e" } } $('.js-work-strip[data-work-id=127512229]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":127512229,"title":"Factors promoting and impeding efforts to deprescribe antidepressants among nursing home residents with dementia– a process evaluation guided by normalization process theory","translated_title":"","metadata":{"grobid_abstract":"Background Despite recommendations against psychotropic medication in older nursing homes residents with behavioral and psychological symptoms of dementia (BPSD), antidepressants and other psychotropic drugs are still prescribed. We performed a cluster-randomized controlled trial to evaluate the effect of a complex intervention aiming to promote the deprescribing of antidepressants in institutionalized older persons with dementia. To understand the underlying mechanisms of trial outcomes, we conducted a process evaluation exploring the interventions implementation, areas of impact, and contextual factors. The aim of this study was to explore the implementation process and the key factors that promoted and inhibited intervention implementation in the care home setting (Clinicaltrials.gov: NCT04985305. Registered 30 July 2021). Methods Qualitative interviews were conducted between August 2022 and February 2023 with four general practitioners and eight nursing home staff from four associated nursing homes in the Capital Region of Denmark. We coded the interview data according to the four constructs of the Normalization Process Theory (coherence, cognitive participation, collective action, and reflexive monitoring). There was a common understanding of the intervention aim. We observed a raised awareness concerning the deprescription of antidepressants among healthcare professionals with good collaboration (coherence). An overall buy-in to a deprescribing mentality was seen (cognitive participation). There were barriers to the GPs and nursing home staff's use of the intervention elements and how they implemented it, but to some, a common language was created (collective action). Professionals overall valued the idea of deprescribing, but lack of time, high staff turnover, and low education level among nursing home staff hampered the integration (reflexive monitoring). Successful implementation seemed to be dependent on the quality of the relationship between the single GP and the single nursing home professional. A common deprescribing mentality promoted the uptake of the intervention. 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We performed a cluster-randomized controlled trial to evaluate the effect of a complex intervention aiming to promote the deprescribing of antidepressants in institutionalized older persons with dementia. To understand the underlying mechanisms of trial outcomes, we conducted a process evaluation exploring the interventions implementation, areas of impact, and contextual factors. The aim of this study was to explore the implementation process and the key factors that promoted and inhibited intervention implementation in the care home setting (Clinicaltrials.gov: NCT04985305. Registered 30 July 2021). Methods Qualitative interviews were conducted between August 2022 and February 2023 with four general practitioners and eight nursing home staff from four associated nursing homes in the Capital Region of Denmark. We coded the interview data according to the four constructs of the Normalization Process Theory (coherence, cognitive participation, collective action, and reflexive monitoring). There was a common understanding of the intervention aim. We observed a raised awareness concerning the deprescription of antidepressants among healthcare professionals with good collaboration (coherence). An overall buy-in to a deprescribing mentality was seen (cognitive participation). There were barriers to the GPs and nursing home staff's use of the intervention elements and how they implemented it, but to some, a common language was created (collective action). Professionals overall valued the idea of deprescribing, but lack of time, high staff turnover, and low education level among nursing home staff hampered the integration (reflexive monitoring). Successful implementation seemed to be dependent on the quality of the relationship between the single GP and the single nursing home professional. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-127512229-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="127512228"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/127512228/Uptake_of_signposting_to_web_based_resources_pregnant_women_s_use_of_a_preventive_web_based_intervention"><img alt="Research paper thumbnail of Uptake of signposting to web-based resources: pregnant women’s use of a preventive web-based intervention" class="work-thumbnail" src="https://attachments.academia-assets.com/121234895/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/127512228/Uptake_of_signposting_to_web_based_resources_pregnant_women_s_use_of_a_preventive_web_based_intervention">Uptake of signposting to web-based resources: pregnant women’s use of a preventive web-based intervention</a></div><div class="wp-workCard_item"><span>BMC Primary Care</span><span>, Sep 15, 2023</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Background Signposting to web-based interventions is becoming increasingly popular in primary car...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Background Signposting to web-based interventions is becoming increasingly popular in primary care. Most resources are focused on individuals with clinical problems, but less is known about the uptake of general practice (GP) signposted web-based interventions. GPs in Denmark are responsible for scheduled preventive care during pregnancy and the child's first five years. In the "Family Well-being in General Practice" trial the web-based intervention "Resilientchild.dk" is introduced at these consultations. Resilientchild.dk is designed to improve the capacity of parents to understand the mental state of themselves, their partners, and their children. In this study we assess the uptake and use of this web-based intervention. Objective To describe participant and practice characteristics associated with the use of a web-based psychoeducational intervention. Eligible participants were pregnant women presenting at their first antenatal assessment, usually around 6-10 gestational weeks. The study was nested in a cluster randomised trial of resilientchild.dk. We conducted a relative importance analysis, which allows for determination of the variables most strongly associated with website use. To assess the direction and magnitude of the influences of the identified variables, we applied multinomial generalized linear mixed modelling. A practice random effect allows us to account for clustering of women within practices. Parity and the absence of a nurse or midwife in the practice were important factors driving a decrease in the likelihood of using resilientchild.dk. Being a student or living outside the capital city were important factors driving an increase in the likelihood of using resilientchild.dk. The data offer unique opportunities to assess the utilisation of a web-based mental health-promotion intervention following advice from a clinician. This study draws conclusions about which patients are likely to access similar resources and which practice characteristics encourage their use. Registered in clinicaltrials.gov, Trial number: NCT04129359 Date of registration: 16/10/2019 ( caltr ials. gov/ ct2/ show/ NCT04 129359).</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="3ab1711cbab0cf3fc8878bd2b9e8e9d9" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":121234895,"asset_id":127512228,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/121234895/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="127512228"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="127512228"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 127512228; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=127512228]").text(description); $(".js-view-count[data-work-id=127512228]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 127512228; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='127512228']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "3ab1711cbab0cf3fc8878bd2b9e8e9d9" } } $('.js-work-strip[data-work-id=127512228]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":127512228,"title":"Uptake of signposting to web-based resources: pregnant women’s use of a preventive web-based intervention","translated_title":"","metadata":{"publisher":"BioMed Central","grobid_abstract":"Background Signposting to web-based interventions is becoming increasingly popular in primary care. Most resources are focused on individuals with clinical problems, but less is known about the uptake of general practice (GP) signposted web-based interventions. GPs in Denmark are responsible for scheduled preventive care during pregnancy and the child's first five years. In the \"Family Well-being in General Practice\" trial the web-based intervention \"Resilientchild.dk\" is introduced at these consultations. Resilientchild.dk is designed to improve the capacity of parents to understand the mental state of themselves, their partners, and their children. In this study we assess the uptake and use of this web-based intervention. Objective To describe participant and practice characteristics associated with the use of a web-based psychoeducational intervention. Eligible participants were pregnant women presenting at their first antenatal assessment, usually around 6-10 gestational weeks. The study was nested in a cluster randomised trial of resilientchild.dk. We conducted a relative importance analysis, which allows for determination of the variables most strongly associated with website use. To assess the direction and magnitude of the influences of the identified variables, we applied multinomial generalized linear mixed modelling. A practice random effect allows us to account for clustering of women within practices. Parity and the absence of a nurse or midwife in the practice were important factors driving a decrease in the likelihood of using resilientchild.dk. Being a student or living outside the capital city were important factors driving an increase in the likelihood of using resilientchild.dk. The data offer unique opportunities to assess the utilisation of a web-based mental health-promotion intervention following advice from a clinician. This study draws conclusions about which patients are likely to access similar resources and which practice characteristics encourage their use. 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Most resources are focused on individuals with clinical problems, but less is known about the uptake of general practice (GP) signposted web-based interventions. GPs in Denmark are responsible for scheduled preventive care during pregnancy and the child's first five years. In the \"Family Well-being in General Practice\" trial the web-based intervention \"Resilientchild.dk\" is introduced at these consultations. Resilientchild.dk is designed to improve the capacity of parents to understand the mental state of themselves, their partners, and their children. In this study we assess the uptake and use of this web-based intervention. Objective To describe participant and practice characteristics associated with the use of a web-based psychoeducational intervention. Eligible participants were pregnant women presenting at their first antenatal assessment, usually around 6-10 gestational weeks. The study was nested in a cluster randomised trial of resilientchild.dk. We conducted a relative importance analysis, which allows for determination of the variables most strongly associated with website use. To assess the direction and magnitude of the influences of the identified variables, we applied multinomial generalized linear mixed modelling. A practice random effect allows us to account for clustering of women within practices. Parity and the absence of a nurse or midwife in the practice were important factors driving a decrease in the likelihood of using resilientchild.dk. Being a student or living outside the capital city were important factors driving an increase in the likelihood of using resilientchild.dk. The data offer unique opportunities to assess the utilisation of a web-based mental health-promotion intervention following advice from a clinician. This study draws conclusions about which patients are likely to access similar resources and which practice characteristics encourage their use. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-127512228-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="127512226"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/127512226/Kritisk_l%C3%A6sning_af_kvalitative_forskningsartikler"><img alt="Research paper thumbnail of Kritisk læsning af kvalitative forskningsartikler" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title">Kritisk læsning af kvalitative forskningsartikler</div><div class="wp-workCard_item"><span>Ugeskrift for Læger</span><span>, Dec 31, 2023</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="127512226"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="127512226"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 127512226; 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Experiences from community-based testing settings show that there can be workload difficulties, logistical challenges and socioeconomic downsides to large scale Polymerase Chain Reaction (PCR) testing. Alternative testing arenas have therefore been considered. Rapid point-of-care (POC) PCR test methods have since been developed and could have potential to surveille viral respiratory infections. It is, however, unknown if PCR testing can be successfully implemented routinely in general practice. The aim of this study was to assess factors that enable and inhibit the implementation of point-of-care PCR testing for acute respiratory tract infection in general practice. Methods Fourteen general practices in the east Zealand area in Denmark were included in the study and given access to POC PCR testing equipment during a flu season. The participating clinics were initially trained in the use of a POC PCR testing device and then spent 6 weeks testing it. We conducted qualitative interviews with general practitioners (GPs) and their staff, before and after the testing period, specifically focusing on their clinical decision-making and internal collaboration in relation to POC PCR testing. We used normalization process theory to design the interview guides and to analyze the data. Results Professionals reported no clinical need for a POC PCR testing device in a non-pandemic clinical setting. Results were delivered faster, but this was only timesaving for the patient and not the GP, who had to perform more tasks. Conclusion In its current form, the added diagnostic value of using POC PCR testing in general practice was not sufficient for the professionals to justify the increased work connected to the usage of the diagnostic procedure in daily practice. Trial registration n/a.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="be4425c63346228929b86fd84d17ead7" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":118495829,"asset_id":124230388,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/118495829/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="124230388"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="124230388"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 124230388; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=124230388]").text(description); $(".js-view-count[data-work-id=124230388]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 124230388; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='124230388']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "be4425c63346228929b86fd84d17ead7" } } $('.js-work-strip[data-work-id=124230388]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":124230388,"title":"Implementing PCR testing in general practice—a qualitative study using normalization process theory","translated_title":"","metadata":{"publisher":"BioMed Central","grobid_abstract":"Background The COVID-19 pandemic brought attention to a need for rapid testing of large populations. Experiences from community-based testing settings show that there can be workload difficulties, logistical challenges and socioeconomic downsides to large scale Polymerase Chain Reaction (PCR) testing. Alternative testing arenas have therefore been considered. Rapid point-of-care (POC) PCR test methods have since been developed and could have potential to surveille viral respiratory infections. It is, however, unknown if PCR testing can be successfully implemented routinely in general practice. The aim of this study was to assess factors that enable and inhibit the implementation of point-of-care PCR testing for acute respiratory tract infection in general practice. Methods Fourteen general practices in the east Zealand area in Denmark were included in the study and given access to POC PCR testing equipment during a flu season. The participating clinics were initially trained in the use of a POC PCR testing device and then spent 6 weeks testing it. We conducted qualitative interviews with general practitioners (GPs) and their staff, before and after the testing period, specifically focusing on their clinical decision-making and internal collaboration in relation to POC PCR testing. We used normalization process theory to design the interview guides and to analyze the data. Results Professionals reported no clinical need for a POC PCR testing device in a non-pandemic clinical setting. Results were delivered faster, but this was only timesaving for the patient and not the GP, who had to perform more tasks. Conclusion In its current form, the added diagnostic value of using POC PCR testing in general practice was not sufficient for the professionals to justify the increased work connected to the usage of the diagnostic procedure in daily practice. 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Experiences from community-based testing settings show that there can be workload difficulties, logistical challenges and socioeconomic downsides to large scale Polymerase Chain Reaction (PCR) testing. Alternative testing arenas have therefore been considered. Rapid point-of-care (POC) PCR test methods have since been developed and could have potential to surveille viral respiratory infections. It is, however, unknown if PCR testing can be successfully implemented routinely in general practice. The aim of this study was to assess factors that enable and inhibit the implementation of point-of-care PCR testing for acute respiratory tract infection in general practice. Methods Fourteen general practices in the east Zealand area in Denmark were included in the study and given access to POC PCR testing equipment during a flu season. The participating clinics were initially trained in the use of a POC PCR testing device and then spent 6 weeks testing it. We conducted qualitative interviews with general practitioners (GPs) and their staff, before and after the testing period, specifically focusing on their clinical decision-making and internal collaboration in relation to POC PCR testing. We used normalization process theory to design the interview guides and to analyze the data. Results Professionals reported no clinical need for a POC PCR testing device in a non-pandemic clinical setting. Results were delivered faster, but this was only timesaving for the patient and not the GP, who had to perform more tasks. Conclusion In its current form, the added diagnostic value of using POC PCR testing in general practice was not sufficient for the professionals to justify the increased work connected to the usage of the diagnostic procedure in daily practice. Trial registration n/a.","owner":{"id":2450366,"first_name":"Gritt","middle_initials":null,"last_name":"Overbeck","page_name":"GrittOverbeck","domain_name":"ku-dk","created_at":"2012-09-06T06:05:08.323-07:00","display_name":"Gritt Overbeck","url":"https://ku-dk.academia.edu/GrittOverbeck"},"attachments":[{"id":118495829,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/118495829/thumbnails/1.jpg","file_name":"s12913-023-10355-4.pdf","download_url":"https://www.academia.edu/attachments/118495829/download_file","bulk_download_file_name":"Implementing_PCR_testing_in_general_prac.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/118495829/s12913-023-10355-4-libre.pdf?1727546925=\u0026response-content-disposition=attachment%3B+filename%3DImplementing_PCR_testing_in_general_prac.pdf\u0026Expires=1743577073\u0026Signature=eJvysCsZi45gmZXI0e4J4mveKBtc8DX9J158UzUwoTguhwyACXHjhw0UwEUXQ4ZJOA2E32YsO9RCSAHF5Mk3TDOafzimTaogrKgMrCnTkdiF3ENGnZ9zaRURmoii0Y39bXeQs9~YvhhExW5rVlwFHD8pX4kfAlfNmhcztMyRJ-ocqRR7fRh-CW93lVFf4BCxe4lNVmOdLmCId-Sv2el24altMdpVm--1fX5Up9c1f~EY8kQyLibZBeKnKU8AsdqDrxhvdb2nzP5tAkuxvz3A83hjdGWsznkS86fapIVKKPbkGrqbX9p2KQFiyms7IAiaBeCLiaN-SUr6d1cabYgssA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"},{"id":118495828,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/118495828/thumbnails/1.jpg","file_name":"s12913-023-10355-4.pdf","download_url":"https://www.academia.edu/attachments/118495828/download_file","bulk_download_file_name":"Implementing_PCR_testing_in_general_prac.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/118495828/s12913-023-10355-4-libre.pdf?1727546931=\u0026response-content-disposition=attachment%3B+filename%3DImplementing_PCR_testing_in_general_prac.pdf\u0026Expires=1743577073\u0026Signature=C9C53xjqqy20MDHllounuJ7ACSpi8n~ci22tGFm0tmSzf9pQ3fwJN9Ng-db-7AK~ChS0SuKE2pcux5FCnDzxyy150O5M~GNp-qtRMinA10vt~Vsle5uEk6waF5M-Q6B4DlUdgqaoCkfs3iiCq2-aHOOlN53hPEKKiuiSgKld4kEk~U3GjK76u9x8BbREPSlDmWL4YQp---NHbHPiho4P893V5aVzTy-t-mD4bDO9j02ObSDSzNtVCLwV3zjxod9s-7zNsRguVohscEzXuyIBmRszwDN~Pr8uN~PJBZHhcKautj23Du9dnYqD0NGgG0cbRvxLRceI95hQ0KjWCiClyg__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":165,"name":"Pathology","url":"https://www.academia.edu/Documents/in/Pathology"},{"id":422,"name":"Computer Science","url":"https://www.academia.edu/Documents/in/Computer_Science"},{"id":588,"name":"Nursing","url":"https://www.academia.edu/Documents/in/Nursing"},{"id":4376,"name":"Family Medicine","url":"https://www.academia.edu/Documents/in/Family_Medicine"},{"id":16288,"name":"Public Health","url":"https://www.academia.edu/Documents/in/Public_Health"},{"id":21560,"name":"Health Administration","url":"https://www.academia.edu/Documents/in/Health_Administration"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":44244,"name":"OPERATING SYSTEM","url":"https://www.academia.edu/Documents/in/OPERATING_SYSTEM"},{"id":53293,"name":"Software","url":"https://www.academia.edu/Documents/in/Software"},{"id":99773,"name":"Disease","url":"https://www.academia.edu/Documents/in/Disease"},{"id":111123,"name":"Point of Care","url":"https://www.academia.edu/Documents/in/Point_of_Care"},{"id":172784,"name":"Workload","url":"https://www.academia.edu/Documents/in/Workload"},{"id":182436,"name":"Alternative Medicine","url":"https://www.academia.edu/Documents/in/Alternative_Medicine"},{"id":914941,"name":"Point of Care Testing","url":"https://www.academia.edu/Documents/in/Point_of_Care_Testing"},{"id":1028827,"name":"Pandemic","url":"https://www.academia.edu/Documents/in/Pandemic"},{"id":1489478,"name":"Programming language","url":"https://www.academia.edu/Documents/in/Programming_language"},{"id":3686510,"name":"Coronavirus Disease 2019 (COVID-19)","url":"https://www.academia.edu/Documents/in/Coronavirus_Disease_2019_COVID-19_"}],"urls":[{"id":44862058,"url":"https://bmchealthservres.biomedcentral.com/counter/pdf/10.1186/s12913-023-10355-4"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-124230388-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="121235178"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/121235178/A_Cluster_randomized_Trial_of_a_Complex_Intervention_to_Encourage_Deprescribing_Antidepressants_in_Nursing_Home_Residents_With_Dementia_a_Study_Protocol"><img alt="Research paper thumbnail of A Cluster-randomized Trial of a Complex Intervention to Encourage Deprescribing Antidepressants in Nursing Home Residents With Dementia: a Study Protocol" class="work-thumbnail" src="https://attachments.academia-assets.com/116168363/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/121235178/A_Cluster_randomized_Trial_of_a_Complex_Intervention_to_Encourage_Deprescribing_Antidepressants_in_Nursing_Home_Residents_With_Dementia_a_Study_Protocol">A Cluster-randomized Trial of a Complex Intervention to Encourage Deprescribing Antidepressants in Nursing Home Residents With Dementia: a Study Protocol</a></div><div class="wp-workCard_item"><span>Research Square (Research Square)</span><span>, Nov 12, 2021</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Background: The effectiveness of psychotropic medication on behavioral and psychological symptoms...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Background: The effectiveness of psychotropic medication on behavioral and psychological symptoms in dementia (BPSD) is limited, while associated with a higher risk of adverse events. Nonpharmacological treatment of BPSD is advocated as treatment of rst choice. However, many general practitioners (GPs) nd it di cult to initiate deprescribing and when attempting to discontinue psychotropic medication in nursing home residents, they face many barriers. Therefore, we hypothesize that an intervention aimed at improving communication with and involvement of nursing home staff, relatives, and patients by GPs can optimize the pharmacological treatment of BPSD. The aim is to reduce the use of antidepressants in nursing home residents with dementia without increasing morbidity or mortality. Objective: The primary outcome is reduction of antidepressant. Secondary outcomes include difference in use of other psychotropic medication, mortality, morbidity, and severity of BPSD. Method: The study is a cluster-randomized controlled trial based in general practices in Denmark. We aim to include 22 practices, each of which will recruit up to 15 patients with dementia living in nursing homes. The intervention period is three months, and the total study period is one year. Randomization is 1:1 to intervention and control group by computer algorithm. Both groups receive education on BPSD and its evidence-based treatment. The intervention includes three tailored components; 1) teaching material and training to be used by the GP to educate nursing home staff on BPSD, 2) a pre-visit re ection tool to encourage nursing home staff to evaluate symptoms and re ect on relatives involvement in the discontinuation process and 3) a dialogue tool to facilitate shared decision making on optimization of BPSD treatment during the visits at the nursing home. The control group includes enhanced care as usual. The primary and secondary outcomes will be assessed at the end of the study period. An evaluation process will be conducted to assess the implementability. Discussion: We anticipate that the intervention will optimize the treatment of BPSD with antidepressants for nursing homes residents and enhance compliance with reduction of medication. The process evaluation should provide insights into the barriers and facilitators to changing the current practice of deprescribing.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="f549f4950314b1dcea17246ab59e8803" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":116168363,"asset_id":121235178,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/116168363/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="121235178"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="121235178"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 121235178; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=121235178]").text(description); $(".js-view-count[data-work-id=121235178]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 121235178; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='121235178']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "f549f4950314b1dcea17246ab59e8803" } } $('.js-work-strip[data-work-id=121235178]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":121235178,"title":"A Cluster-randomized Trial of a Complex Intervention to Encourage Deprescribing Antidepressants in Nursing Home Residents With Dementia: a Study Protocol","translated_title":"","metadata":{"publisher":"Research Square","ai_title_tag":"Deprescribing Antidepressants in Dementia Care","grobid_abstract":"Background: The effectiveness of psychotropic medication on behavioral and psychological symptoms in dementia (BPSD) is limited, while associated with a higher risk of adverse events. Nonpharmacological treatment of BPSD is advocated as treatment of rst choice. However, many general practitioners (GPs) nd it di cult to initiate deprescribing and when attempting to discontinue psychotropic medication in nursing home residents, they face many barriers. Therefore, we hypothesize that an intervention aimed at improving communication with and involvement of nursing home staff, relatives, and patients by GPs can optimize the pharmacological treatment of BPSD. The aim is to reduce the use of antidepressants in nursing home residents with dementia without increasing morbidity or mortality. Objective: The primary outcome is reduction of antidepressant. Secondary outcomes include difference in use of other psychotropic medication, mortality, morbidity, and severity of BPSD. Method: The study is a cluster-randomized controlled trial based in general practices in Denmark. We aim to include 22 practices, each of which will recruit up to 15 patients with dementia living in nursing homes. The intervention period is three months, and the total study period is one year. Randomization is 1:1 to intervention and control group by computer algorithm. Both groups receive education on BPSD and its evidence-based treatment. The intervention includes three tailored components; 1) teaching material and training to be used by the GP to educate nursing home staff on BPSD, 2) a pre-visit re ection tool to encourage nursing home staff to evaluate symptoms and re ect on relatives involvement in the discontinuation process and 3) a dialogue tool to facilitate shared decision making on optimization of BPSD treatment during the visits at the nursing home. The control group includes enhanced care as usual. The primary and secondary outcomes will be assessed at the end of the study period. An evaluation process will be conducted to assess the implementability. Discussion: We anticipate that the intervention will optimize the treatment of BPSD with antidepressants for nursing homes residents and enhance compliance with reduction of medication. The process evaluation should provide insights into the barriers and facilitators to changing the current practice of deprescribing.","publication_date":{"day":12,"month":11,"year":2021,"errors":{}},"publication_name":"Research Square (Research Square)","grobid_abstract_attachment_id":116168363},"translated_abstract":null,"internal_url":"https://www.academia.edu/121235178/A_Cluster_randomized_Trial_of_a_Complex_Intervention_to_Encourage_Deprescribing_Antidepressants_in_Nursing_Home_Residents_With_Dementia_a_Study_Protocol","translated_internal_url":"","created_at":"2024-06-19T08:39:45.580-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":2450366,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":116168363,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/116168363/thumbnails/1.jpg","file_name":"6f9988bd-35b3-4854-823d-1d24e1ae9ae4.pdf","download_url":"https://www.academia.edu/attachments/116168363/download_file","bulk_download_file_name":"A_Cluster_randomized_Trial_of_a_Complex.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/116168363/6f9988bd-35b3-4854-823d-1d24e1ae9ae4-libre.pdf?1718814221=\u0026response-content-disposition=attachment%3B+filename%3DA_Cluster_randomized_Trial_of_a_Complex.pdf\u0026Expires=1743577073\u0026Signature=bZtMPlo9J2PvV4n5uNcIHURrpTygAQDiZswuLggC5h1urwh4WyNuBMupW-Jv9xk5n3nrKMy61xxyd659y3zmvGKC~uI~zJ8~lTGfCJzx6cbc4wDB~lo7crNnkjRpH8yPhZe9O4UnrUw3CTpxdpRSEX-VpjCRhDJcI2lNFqlD-zbuYEZR-9DEac~O5yngnamip5Tq0jNZEcYwAP2OmKPfOEOO0VFrDkgToPa~tGtLpIZHjks9m89EELfedrrEPuAKdhnVz~2xL3kWJO5tyhq7uM6rQRm8uGezrxoNIqjw4T4seXjcGHCiKaZGVmnwMYUmCfQtxCoevq1IqJeG3GINRw__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"A_Cluster_randomized_Trial_of_a_Complex_Intervention_to_Encourage_Deprescribing_Antidepressants_in_Nursing_Home_Residents_With_Dementia_a_Study_Protocol","translated_slug":"","page_count":23,"language":"en","content_type":"Work","summary":"Background: The effectiveness of psychotropic medication on behavioral and psychological symptoms in dementia (BPSD) is limited, while associated with a higher risk of adverse events. Nonpharmacological treatment of BPSD is advocated as treatment of rst choice. However, many general practitioners (GPs) nd it di cult to initiate deprescribing and when attempting to discontinue psychotropic medication in nursing home residents, they face many barriers. Therefore, we hypothesize that an intervention aimed at improving communication with and involvement of nursing home staff, relatives, and patients by GPs can optimize the pharmacological treatment of BPSD. The aim is to reduce the use of antidepressants in nursing home residents with dementia without increasing morbidity or mortality. Objective: The primary outcome is reduction of antidepressant. Secondary outcomes include difference in use of other psychotropic medication, mortality, morbidity, and severity of BPSD. Method: The study is a cluster-randomized controlled trial based in general practices in Denmark. We aim to include 22 practices, each of which will recruit up to 15 patients with dementia living in nursing homes. The intervention period is three months, and the total study period is one year. Randomization is 1:1 to intervention and control group by computer algorithm. Both groups receive education on BPSD and its evidence-based treatment. The intervention includes three tailored components; 1) teaching material and training to be used by the GP to educate nursing home staff on BPSD, 2) a pre-visit re ection tool to encourage nursing home staff to evaluate symptoms and re ect on relatives involvement in the discontinuation process and 3) a dialogue tool to facilitate shared decision making on optimization of BPSD treatment during the visits at the nursing home. The control group includes enhanced care as usual. The primary and secondary outcomes will be assessed at the end of the study period. An evaluation process will be conducted to assess the implementability. Discussion: We anticipate that the intervention will optimize the treatment of BPSD with antidepressants for nursing homes residents and enhance compliance with reduction of medication. The process evaluation should provide insights into the barriers and facilitators to changing the current practice of deprescribing.","owner":{"id":2450366,"first_name":"Gritt","middle_initials":null,"last_name":"Overbeck","page_name":"GrittOverbeck","domain_name":"ku-dk","created_at":"2012-09-06T06:05:08.323-07:00","display_name":"Gritt Overbeck","url":"https://ku-dk.academia.edu/GrittOverbeck"},"attachments":[{"id":116168363,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/116168363/thumbnails/1.jpg","file_name":"6f9988bd-35b3-4854-823d-1d24e1ae9ae4.pdf","download_url":"https://www.academia.edu/attachments/116168363/download_file","bulk_download_file_name":"A_Cluster_randomized_Trial_of_a_Complex.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/116168363/6f9988bd-35b3-4854-823d-1d24e1ae9ae4-libre.pdf?1718814221=\u0026response-content-disposition=attachment%3B+filename%3DA_Cluster_randomized_Trial_of_a_Complex.pdf\u0026Expires=1743577074\u0026Signature=eIM0YyZCcBNft028n~1cKOqTUwI3ryanAsiO10sY3PL49yRYIm5641A0RDq2SnJ6Fq0IYHmWvQQ1oDUAFGaZieUYDBhV4udWQviWeEH03vZ-Rg4zBNsuqXE4E2YZk6ovySny46LlNX~2XDp~bFGKD7VE6t2d9KTYF1Ev17Y8m6MPTI6zvZYJOryk2kR7whrNSzbxdw3MjvvjNoQ9kudDxO3lNjAQdp8EqxJYs4xB~irxBbQ2lhyW65QJ-GLTMW3vriH8z-FI965WpXJ~C-105aeIs0BjnxT19M9CpcnUIreFdlgSxVHhA0foXPgPE6ZZ162t~dlKieCiv~VVq~y~AA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":3662,"name":"Dementia","url":"https://www.academia.edu/Documents/in/Dementia"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":181597,"name":"Root-Mean Square Error","url":"https://www.academia.edu/Documents/in/Root-Mean_Square_Error"},{"id":413196,"name":"Randomized Controlled Trial","url":"https://www.academia.edu/Documents/in/Randomized_Controlled_Trial"},{"id":805430,"name":"Guidance and Counseling Intervention Programs","url":"https://www.academia.edu/Documents/in/Guidance_and_Counseling_Intervention_Programs"},{"id":1488159,"name":"Deprescribing","url":"https://www.academia.edu/Documents/in/Deprescribing"},{"id":3331893,"name":"discontinuation","url":"https://www.academia.edu/Documents/in/discontinuation"}],"urls":[{"id":43069654,"url":"https://doi.org/10.21203/rs.3.rs-961563/v1"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-121235178-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="113372584"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/113372584/Association_of_self_reported_mother_infant_relationship_with_child_and_adolescent_mental_health"><img alt="Research paper thumbnail of Association of self-reported mother–infant relationship with child and adolescent mental health" class="work-thumbnail" src="https://attachments.academia-assets.com/110347831/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/113372584/Association_of_self_reported_mother_infant_relationship_with_child_and_adolescent_mental_health">Association of self-reported mother–infant relationship with child and adolescent mental health</a></div><div class="wp-workCard_item"><span>British Journal of Psychiatry Open</span><span>, Feb 20, 2023</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">The quality of the relationship between mother and infant may have profound implications for the ...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">The quality of the relationship between mother and infant may have profound implications for the development of a child. Early indicators of psychological vulnerability may allow targeting of support for the child's cognitive, emotional and social development. A challenging mother-infant relationship could be one indicator of risk. Aims This study examined variations in psychological well-being and psychopathology among boys and girls according to early maternal perception of the mother-infant relationship. Method This study is based on 64 663 mother-infant pairs from the Danish National Birth Cohort, for which data on the motherinfant relationship were collected at 6 months postpartum. Behavioural problems were assessed with the Danish version of the Strengths and Difficulties Questionnaire (SDQ) at child ages 7, 11 and 18 years, and we retrieved information on diagnosed childhood and adolescent psychiatric disorders and prescriptions of psychotropic drugs from Danish registries. Results Children in the challenging mother-infant relationship group had higher odds of behavioural problems at age 7 among both boys and girls. The same pattern of elevated estimates was identified for boys across all SDQ domains and for girls in three of five SDQ domains. All associations were attenuated at age 18, but increased odds of behavioural problems still existed. A challenging early mother-infant relationship increased the offspring's risk of being diagnosed with a psychiatric disorder or being prescribed a psychotropic drug before the age of 18. Conclusion A challenging self-reported mother-infant relationship was associated with later psychopathological difficulties. Routine clinical enquiry may be useful in identification of future vulnerability.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="0eab9e99e677b3f17c243f947a31cea2" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":110347831,"asset_id":113372584,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/110347831/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="113372584"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="113372584"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 113372584; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=113372584]").text(description); $(".js-view-count[data-work-id=113372584]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 113372584; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='113372584']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "0eab9e99e677b3f17c243f947a31cea2" } } $('.js-work-strip[data-work-id=113372584]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":113372584,"title":"Association of self-reported mother–infant relationship with child and adolescent mental health","translated_title":"","metadata":{"publisher":"Cambridge University Press","ai_title_tag":"Mother-Infant Relationship's Impact on Child Mental Health","grobid_abstract":"The quality of the relationship between mother and infant may have profound implications for the development of a child. Early indicators of psychological vulnerability may allow targeting of support for the child's cognitive, emotional and social development. A challenging mother-infant relationship could be one indicator of risk. Aims This study examined variations in psychological well-being and psychopathology among boys and girls according to early maternal perception of the mother-infant relationship. Method This study is based on 64 663 mother-infant pairs from the Danish National Birth Cohort, for which data on the motherinfant relationship were collected at 6 months postpartum. Behavioural problems were assessed with the Danish version of the Strengths and Difficulties Questionnaire (SDQ) at child ages 7, 11 and 18 years, and we retrieved information on diagnosed childhood and adolescent psychiatric disorders and prescriptions of psychotropic drugs from Danish registries. Results Children in the challenging mother-infant relationship group had higher odds of behavioural problems at age 7 among both boys and girls. The same pattern of elevated estimates was identified for boys across all SDQ domains and for girls in three of five SDQ domains. All associations were attenuated at age 18, but increased odds of behavioural problems still existed. A challenging early mother-infant relationship increased the offspring's risk of being diagnosed with a psychiatric disorder or being prescribed a psychotropic drug before the age of 18. Conclusion A challenging self-reported mother-infant relationship was associated with later psychopathological difficulties. Routine clinical enquiry may be useful in identification of future vulnerability.","publication_date":{"day":20,"month":2,"year":2023,"errors":{}},"publication_name":"British Journal of Psychiatry Open","grobid_abstract_attachment_id":110347831},"translated_abstract":null,"internal_url":"https://www.academia.edu/113372584/Association_of_self_reported_mother_infant_relationship_with_child_and_adolescent_mental_health","translated_internal_url":"","created_at":"2024-01-12T00:37:10.326-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":2450366,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":110347831,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347831/thumbnails/1.jpg","file_name":"div-class-title-association-of-self-reported-mother-infant-relationship-with-child-and-adolescent-mental-health-div.pdf","download_url":"https://www.academia.edu/attachments/110347831/download_file","bulk_download_file_name":"Association_of_self_reported_mother_infa.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347831/div-class-title-association-of-self-reported-mother-infant-relationship-with-child-and-adolescent-mental-health-div-libre.pdf?1705054639=\u0026response-content-disposition=attachment%3B+filename%3DAssociation_of_self_reported_mother_infa.pdf\u0026Expires=1743577074\u0026Signature=CQOJT0-hazhyVlQAdjd8eTwBdo5dljiTt1aS9HUmIaxWl1ZCyOJm60NzW4HaaL8Qe5jXn4bgb1tCyxQUwsZuLI2Sng06XNB5t7ThDrgUO5k2ADxjWuvA1~Mup~~JPlfypKQ7hAmqyrWmmgRALlfkFJoTUWx25HI9np3uPcgy-PLG6URRdeq5-NXW3maAEZgA4yWJaR78AU0EFjq6lrcqZ3XAIdgPWvTO5oF-qPZ5S1aWQVY42r3L4djqQUsqLnJbMU1G-82fRSzY172bC~mtehakVLUNE4dAcEFAucpBejZZXCOVyIK1CFtGlziIOeDDVLdpwYXjTr5aCVAJUbUV4A__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Association_of_self_reported_mother_infant_relationship_with_child_and_adolescent_mental_health","translated_slug":"","page_count":7,"language":"en","content_type":"Work","summary":"The quality of the relationship between mother and infant may have profound implications for the development of a child. Early indicators of psychological vulnerability may allow targeting of support for the child's cognitive, emotional and social development. A challenging mother-infant relationship could be one indicator of risk. Aims This study examined variations in psychological well-being and psychopathology among boys and girls according to early maternal perception of the mother-infant relationship. Method This study is based on 64 663 mother-infant pairs from the Danish National Birth Cohort, for which data on the motherinfant relationship were collected at 6 months postpartum. Behavioural problems were assessed with the Danish version of the Strengths and Difficulties Questionnaire (SDQ) at child ages 7, 11 and 18 years, and we retrieved information on diagnosed childhood and adolescent psychiatric disorders and prescriptions of psychotropic drugs from Danish registries. Results Children in the challenging mother-infant relationship group had higher odds of behavioural problems at age 7 among both boys and girls. The same pattern of elevated estimates was identified for boys across all SDQ domains and for girls in three of five SDQ domains. All associations were attenuated at age 18, but increased odds of behavioural problems still existed. A challenging early mother-infant relationship increased the offspring's risk of being diagnosed with a psychiatric disorder or being prescribed a psychotropic drug before the age of 18. Conclusion A challenging self-reported mother-infant relationship was associated with later psychopathological difficulties. Routine clinical enquiry may be useful in identification of future vulnerability.","owner":{"id":2450366,"first_name":"Gritt","middle_initials":null,"last_name":"Overbeck","page_name":"GrittOverbeck","domain_name":"ku-dk","created_at":"2012-09-06T06:05:08.323-07:00","display_name":"Gritt Overbeck","url":"https://ku-dk.academia.edu/GrittOverbeck"},"attachments":[{"id":110347831,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347831/thumbnails/1.jpg","file_name":"div-class-title-association-of-self-reported-mother-infant-relationship-with-child-and-adolescent-mental-health-div.pdf","download_url":"https://www.academia.edu/attachments/110347831/download_file","bulk_download_file_name":"Association_of_self_reported_mother_infa.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347831/div-class-title-association-of-self-reported-mother-infant-relationship-with-child-and-adolescent-mental-health-div-libre.pdf?1705054639=\u0026response-content-disposition=attachment%3B+filename%3DAssociation_of_self_reported_mother_infa.pdf\u0026Expires=1743577074\u0026Signature=CQOJT0-hazhyVlQAdjd8eTwBdo5dljiTt1aS9HUmIaxWl1ZCyOJm60NzW4HaaL8Qe5jXn4bgb1tCyxQUwsZuLI2Sng06XNB5t7ThDrgUO5k2ADxjWuvA1~Mup~~JPlfypKQ7hAmqyrWmmgRALlfkFJoTUWx25HI9np3uPcgy-PLG6URRdeq5-NXW3maAEZgA4yWJaR78AU0EFjq6lrcqZ3XAIdgPWvTO5oF-qPZ5S1aWQVY42r3L4djqQUsqLnJbMU1G-82fRSzY172bC~mtehakVLUNE4dAcEFAucpBejZZXCOVyIK1CFtGlziIOeDDVLdpwYXjTr5aCVAJUbUV4A__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology"},{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health"},{"id":8655,"name":"Psychopathology","url":"https://www.academia.edu/Documents/in/Psychopathology"},{"id":186224,"name":"Danish","url":"https://www.academia.edu/Documents/in/Danish"},{"id":2490625,"name":"Strengths and Difficulties Questionnaire","url":"https://www.academia.edu/Documents/in/Strengths_and_Difficulties_Questionnaire"}],"urls":[{"id":38485853,"url":"https://www.cambridge.org/core/services/aop-cambridge-core/content/view/D8B3341A15D0659F819AB296706B58C9/S2056472423000042a.pdf/div-class-title-association-of-self-reported-mother-infant-relationship-with-child-and-adolescent-mental-health-div.pdf"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-113372584-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="113372583"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/113372583/A_critical_examination_of_Danish_norms_for_the_Strengths_and_Difficulties_Questionnaire_SDQ_"><img alt="Research paper thumbnail of A critical examination of Danish norms for the Strengths and Difficulties Questionnaire (SDQ)" class="work-thumbnail" src="https://attachments.academia-assets.com/110347865/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/113372583/A_critical_examination_of_Danish_norms_for_the_Strengths_and_Difficulties_Questionnaire_SDQ_">A critical examination of Danish norms for the Strengths and Difficulties Questionnaire (SDQ)</a></div><div class="wp-workCard_item"><span>Research Square (Research Square)</span><span>, Jul 6, 2022</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Objective: The objective was to describe observed differences between the o cial Danish Strengths...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Objective: The objective was to describe observed differences between the o cial Danish Strengths and Di culties Questionnaire (SDQ)-norms and data from a sample based on the Danish National Birth Cohort (DNBC). We compared the categorisation, cutoff bandings and the group sizes between the Danish norms and the values found in our sample at ages 7, 11 and 18 years. Results: Two sets of norms are used in Denmark: Arnfred's norms, based on a sample from one single Danish municipality and Niclasen's norms, based on multiple Danish cohorts, including the DNBC. Inconsistencies were found between banding scores in the two existing norms and the banding scores identi ed in our sample from DNBC: discrepancies included banding scores for several of the problem scales for children and preadolescents. For adolescents, we found less apparent inconsistencies between Arnfred's sample and the DNBC. Results demonstrate that the existing SDQ norms do not apply to a largescale cohort sample in Denmark. The usefulness of the SDQ as a screening instrument to detect mental health problems without under-or over-diagnosis depends on appropriate norms. We therefore urge that the current Danish SDQ norms are used with caution and preferably revised.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="ca101e26dfcc01dd44218e9a3a6a257d" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":110347865,"asset_id":113372583,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/110347865/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="113372583"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="113372583"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 113372583; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=113372583]").text(description); $(".js-view-count[data-work-id=113372583]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 113372583; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='113372583']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "ca101e26dfcc01dd44218e9a3a6a257d" } } $('.js-work-strip[data-work-id=113372583]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":113372583,"title":"A critical examination of Danish norms for the Strengths and Difficulties Questionnaire (SDQ)","translated_title":"","metadata":{"publisher":"Research Square","ai_title_tag":"Reevaluating Danish SDQ Norms for Cohorts","grobid_abstract":"Objective: The objective was to describe observed differences between the o cial Danish Strengths and Di culties Questionnaire (SDQ)-norms and data from a sample based on the Danish National Birth Cohort (DNBC). We compared the categorisation, cutoff bandings and the group sizes between the Danish norms and the values found in our sample at ages 7, 11 and 18 years. Results: Two sets of norms are used in Denmark: Arnfred's norms, based on a sample from one single Danish municipality and Niclasen's norms, based on multiple Danish cohorts, including the DNBC. Inconsistencies were found between banding scores in the two existing norms and the banding scores identi ed in our sample from DNBC: discrepancies included banding scores for several of the problem scales for children and preadolescents. For adolescents, we found less apparent inconsistencies between Arnfred's sample and the DNBC. Results demonstrate that the existing SDQ norms do not apply to a largescale cohort sample in Denmark. The usefulness of the SDQ as a screening instrument to detect mental health problems without under-or over-diagnosis depends on appropriate norms. We therefore urge that the current Danish SDQ norms are used with caution and preferably revised.","publication_date":{"day":6,"month":7,"year":2022,"errors":{}},"publication_name":"Research Square (Research Square)","grobid_abstract_attachment_id":110347865},"translated_abstract":null,"internal_url":"https://www.academia.edu/113372583/A_critical_examination_of_Danish_norms_for_the_Strengths_and_Difficulties_Questionnaire_SDQ_","translated_internal_url":"","created_at":"2024-01-12T00:37:10.034-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":2450366,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":110347865,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347865/thumbnails/1.jpg","file_name":"latest.pdf","download_url":"https://www.academia.edu/attachments/110347865/download_file","bulk_download_file_name":"A_critical_examination_of_Danish_norms_f.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347865/latest-libre.pdf?1705054649=\u0026response-content-disposition=attachment%3B+filename%3DA_critical_examination_of_Danish_norms_f.pdf\u0026Expires=1743577074\u0026Signature=YPQDqj8UKXkBqDScFys7GIl0BFi9KV8R1rqt2kRBEyqznRcg-FRVDbj7It~v0iY9xRMt3rciQKlIhobgxdlMYxfZiiOMpbmqAIeB0~rKcZ8xfg~BSOJ0A~n8GWIOsusgbhH4CR8tYXcpTTnIIlfuKSmdhusOT0TKL9RzhoGOQ6EnAZmfjGgrMSpbuKMloflwGUPBGVAIMqOu~XUtwzQBgsUxpeJTC4QObx40e3I4rs0tIqpSA521ePgDdJwG1JnoyGIeqBjzRpS0IVtU3RPza~rJv9qQngz04b13dHyE2qQiiP0~aUVlXTqGUDuHAvatvtLIT4Vh5kcg~m~Sfse3nw__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"A_critical_examination_of_Danish_norms_for_the_Strengths_and_Difficulties_Questionnaire_SDQ_","translated_slug":"","page_count":15,"language":"en","content_type":"Work","summary":"Objective: The objective was to describe observed differences between the o cial Danish Strengths and Di culties Questionnaire (SDQ)-norms and data from a sample based on the Danish National Birth Cohort (DNBC). We compared the categorisation, cutoff bandings and the group sizes between the Danish norms and the values found in our sample at ages 7, 11 and 18 years. Results: Two sets of norms are used in Denmark: Arnfred's norms, based on a sample from one single Danish municipality and Niclasen's norms, based on multiple Danish cohorts, including the DNBC. Inconsistencies were found between banding scores in the two existing norms and the banding scores identi ed in our sample from DNBC: discrepancies included banding scores for several of the problem scales for children and preadolescents. For adolescents, we found less apparent inconsistencies between Arnfred's sample and the DNBC. Results demonstrate that the existing SDQ norms do not apply to a largescale cohort sample in Denmark. The usefulness of the SDQ as a screening instrument to detect mental health problems without under-or over-diagnosis depends on appropriate norms. We therefore urge that the current Danish SDQ norms are used with caution and preferably revised.","owner":{"id":2450366,"first_name":"Gritt","middle_initials":null,"last_name":"Overbeck","page_name":"GrittOverbeck","domain_name":"ku-dk","created_at":"2012-09-06T06:05:08.323-07:00","display_name":"Gritt Overbeck","url":"https://ku-dk.academia.edu/GrittOverbeck"},"attachments":[{"id":110347865,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347865/thumbnails/1.jpg","file_name":"latest.pdf","download_url":"https://www.academia.edu/attachments/110347865/download_file","bulk_download_file_name":"A_critical_examination_of_Danish_norms_f.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347865/latest-libre.pdf?1705054649=\u0026response-content-disposition=attachment%3B+filename%3DA_critical_examination_of_Danish_norms_f.pdf\u0026Expires=1743577074\u0026Signature=YPQDqj8UKXkBqDScFys7GIl0BFi9KV8R1rqt2kRBEyqznRcg-FRVDbj7It~v0iY9xRMt3rciQKlIhobgxdlMYxfZiiOMpbmqAIeB0~rKcZ8xfg~BSOJ0A~n8GWIOsusgbhH4CR8tYXcpTTnIIlfuKSmdhusOT0TKL9RzhoGOQ6EnAZmfjGgrMSpbuKMloflwGUPBGVAIMqOu~XUtwzQBgsUxpeJTC4QObx40e3I4rs0tIqpSA521ePgDdJwG1JnoyGIeqBjzRpS0IVtU3RPza~rJv9qQngz04b13dHyE2qQiiP0~aUVlXTqGUDuHAvatvtLIT4Vh5kcg~m~Sfse3nw__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology"},{"id":181597,"name":"Root-Mean Square Error","url":"https://www.academia.edu/Documents/in/Root-Mean_Square_Error"},{"id":186224,"name":"Danish","url":"https://www.academia.edu/Documents/in/Danish"},{"id":190203,"name":"Cohort","url":"https://www.academia.edu/Documents/in/Cohort"},{"id":2490625,"name":"Strengths and Difficulties Questionnaire","url":"https://www.academia.edu/Documents/in/Strengths_and_Difficulties_Questionnaire"}],"urls":[{"id":38485852,"url":"https://doi.org/10.21203/rs.3.rs-1544704/v1"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-113372583-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="113372582"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/113372582/The_feasibility_of_training_general_practitioners_to_do_cognitive_behavioural_therapy_in_routine_practice_A_qualitative_study"><img alt="Research paper thumbnail of The feasibility of training general practitioners to do cognitive behavioural therapy in routine practice—A qualitative study" class="work-thumbnail" src="https://attachments.academia-assets.com/110347866/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/113372582/The_feasibility_of_training_general_practitioners_to_do_cognitive_behavioural_therapy_in_routine_practice_A_qualitative_study">The feasibility of training general practitioners to do cognitive behavioural therapy in routine practice—A qualitative study</a></div><div class="wp-workCard_item"><span>Counselling and Psychotherapy Research</span><span>, Oct 1, 2019</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Most of these patients are treated exclusively in general practice without referral to specialist...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Most of these patients are treated exclusively in general practice without referral to specialist psychiatry (Goldberg & Goodyer, 2005), and most of them live with anxiety or depression. The treatment of mild and moderate forms of these disorders consists primarily of some form of psychotherapy or talking therapy (Davidsen & Fosgerau, 2014).</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="de96ddd0cbb30ce4667de3e7fcb7a332" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":110347866,"asset_id":113372582,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/110347866/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="113372582"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="113372582"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 113372582; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=113372582]").text(description); $(".js-view-count[data-work-id=113372582]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 113372582; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='113372582']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "de96ddd0cbb30ce4667de3e7fcb7a332" } } $('.js-work-strip[data-work-id=113372582]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":113372582,"title":"The feasibility of training general practitioners to do cognitive behavioural therapy in routine practice—A qualitative study","translated_title":"","metadata":{"publisher":"Wiley-Blackwell","ai_title_tag":"Training GPs in Cognitive Behavioural Therapy","grobid_abstract":"Most of these patients are treated exclusively in general practice without referral to specialist psychiatry (Goldberg \u0026 Goodyer, 2005), and most of them live with anxiety or depression. The treatment of mild and moderate forms of these disorders consists primarily of some form of psychotherapy or talking therapy (Davidsen \u0026 Fosgerau, 2014).","publication_date":{"day":1,"month":10,"year":2019,"errors":{}},"publication_name":"Counselling and Psychotherapy Research","grobid_abstract_attachment_id":110347866},"translated_abstract":null,"internal_url":"https://www.academia.edu/113372582/The_feasibility_of_training_general_practitioners_to_do_cognitive_behavioural_therapy_in_routine_practice_A_qualitative_study","translated_internal_url":"","created_at":"2024-01-12T00:37:09.606-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":2450366,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":110347866,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347866/thumbnails/1.jpg","file_name":"capr.1227020240112-1-in6edd.pdf","download_url":"https://www.academia.edu/attachments/110347866/download_file","bulk_download_file_name":"The_feasibility_of_training_general_prac.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347866/capr.1227020240112-1-in6edd-libre.pdf?1705054652=\u0026response-content-disposition=attachment%3B+filename%3DThe_feasibility_of_training_general_prac.pdf\u0026Expires=1743577074\u0026Signature=aublxwt0F0ieatuEALN2YLbUO1sV2oHcHVb1aqcQXpgRZFLxqVzmgBZb-~po2dF1TvmngOznmB1jFuabeC5lUsqwkRF5LThZdXqjMiHyuAJY2GMQtnF~MgsyIAXoGjZLw8x-IGFlvC~H1uCt5frI7U-IGCpTwZIxPBfjFy2o7Doypn58W~vGE8GghdhbJC9EXitgz12nTPiD6iDU2RmUdywYK75wCmpyTwkFX~t1C3nRgo3N~HXqwjwFS6HLLyb5eF0Nh39KrQTwBjpKET-LMCNyaZUMcoh6RkmwWpUq8eUH7KRtfaUa7bfWSJGt4BiGDNgi-kDoI1TWNhvOPJ~ahQ__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"The_feasibility_of_training_general_practitioners_to_do_cognitive_behavioural_therapy_in_routine_practice_A_qualitative_study","translated_slug":"","page_count":10,"language":"en","content_type":"Work","summary":"Most of these patients are treated exclusively in general practice without referral to specialist psychiatry (Goldberg \u0026 Goodyer, 2005), and most of them live with anxiety or depression. The treatment of mild and moderate forms of these disorders consists primarily of some form of psychotherapy or talking therapy (Davidsen \u0026 Fosgerau, 2014).","owner":{"id":2450366,"first_name":"Gritt","middle_initials":null,"last_name":"Overbeck","page_name":"GrittOverbeck","domain_name":"ku-dk","created_at":"2012-09-06T06:05:08.323-07:00","display_name":"Gritt Overbeck","url":"https://ku-dk.academia.edu/GrittOverbeck"},"attachments":[{"id":110347866,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347866/thumbnails/1.jpg","file_name":"capr.1227020240112-1-in6edd.pdf","download_url":"https://www.academia.edu/attachments/110347866/download_file","bulk_download_file_name":"The_feasibility_of_training_general_prac.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347866/capr.1227020240112-1-in6edd-libre.pdf?1705054652=\u0026response-content-disposition=attachment%3B+filename%3DThe_feasibility_of_training_general_prac.pdf\u0026Expires=1743577074\u0026Signature=aublxwt0F0ieatuEALN2YLbUO1sV2oHcHVb1aqcQXpgRZFLxqVzmgBZb-~po2dF1TvmngOznmB1jFuabeC5lUsqwkRF5LThZdXqjMiHyuAJY2GMQtnF~MgsyIAXoGjZLw8x-IGFlvC~H1uCt5frI7U-IGCpTwZIxPBfjFy2o7Doypn58W~vGE8GghdhbJC9EXitgz12nTPiD6iDU2RmUdywYK75wCmpyTwkFX~t1C3nRgo3N~HXqwjwFS6HLLyb5eF0Nh39KrQTwBjpKET-LMCNyaZUMcoh6RkmwWpUq8eUH7KRtfaUa7bfWSJGt4BiGDNgi-kDoI1TWNhvOPJ~ahQ__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology"},{"id":4212,"name":"Cognition","url":"https://www.academia.edu/Documents/in/Cognition"},{"id":12135,"name":"Qualitative Research","url":"https://www.academia.edu/Documents/in/Qualitative_Research"},{"id":21230,"name":"Spirituality \u0026 Counselling \u0026 Psychotherapy","url":"https://www.academia.edu/Documents/in/Spirituality_and_Counselling_and_Psychotherapy"}],"urls":[{"id":38485851,"url":"https://doi.org/10.1002/capr.12270"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-113372582-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="113372580"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/113372580/The_predictive_value_of_common_symptoms_in_early_pregnancy_for_complications_later_in_pregnancy_and_at_birth"><img alt="Research paper thumbnail of The predictive value of common symptoms in early pregnancy for complications later in pregnancy and at birth" class="work-thumbnail" src="https://attachments.academia-assets.com/110347832/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/113372580/The_predictive_value_of_common_symptoms_in_early_pregnancy_for_complications_later_in_pregnancy_and_at_birth">The predictive value of common symptoms in early pregnancy for complications later in pregnancy and at birth</a></div><div class="wp-workCard_item"><span>Acta Obstetricia et Gynecologica Scandinavica</span><span>, Oct 27, 2022</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">IntroductionThe aim was to investigate whether common pregnancy‐related symptoms—nausea, vomiting...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">IntroductionThe aim was to investigate whether common pregnancy‐related symptoms—nausea, vomiting, back pain, pelvic girdle pain, pelvic cavity pain, vaginal bleeding, itching of vulva, pregnancy itching, leg cramps, uterine contractions and varicose veins—in the first trimester of pregnancy add to the identification of women at high risk of future pregnancy and birth complications.Material and methodsSurvey data linked to national register data. All women booking an appointment for a first prenatal visit in one of 192 randomly selected General Practices in East Denmark in the period April 2015–August 2016. The General Practices included 1491 women to this prospective study. Two outcomes, pregnancy complications and birth complications, were collected from the Danish Medical Birth Register.ResultsAmong the 1413 included women, 199 (14%) experienced complications in later pregnancy. The most serious complication, miscarriage, was experienced by 65 women (4.6%). Other common pregnancy complications were gestational diabetes mellitus (n = 11, 0.8%), gestational hypertension without proteinuria (n = 34, 2.4%), mild to moderate preeclampsia (n = 34, 2.4%) and gestational itching with effect on liver (n = 17, 1.2%). Women who experienced pelvic girdle pain, pelvic cavity pain or vaginal bleeding in the first trimester of pregnancy had a higher risk of pregnancy complications later on in later pregnancy. None of the other examined symptoms showed associations to pregnancy complications. No associations were found between pregnancy‐related physical symptoms in first trimester and birth complications.ConclusionsSymptoms in early pregnancy do not add much information about the risk of pregnancy or birth complications, although pain and bleeding may give reason for some concern. This is an important message to women experiencing these common symptoms and to their caregivers.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="54422ff18f5324918b9d0743c223f3a6" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":110347832,"asset_id":113372580,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/110347832/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="113372580"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="113372580"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 113372580; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=113372580]").text(description); $(".js-view-count[data-work-id=113372580]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 113372580; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='113372580']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "54422ff18f5324918b9d0743c223f3a6" } } $('.js-work-strip[data-work-id=113372580]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":113372580,"title":"The predictive value of common symptoms in early pregnancy for complications later in pregnancy and at birth","translated_title":"","metadata":{"abstract":"IntroductionThe aim was to investigate whether common pregnancy‐related symptoms—nausea, vomiting, back pain, pelvic girdle pain, pelvic cavity pain, vaginal bleeding, itching of vulva, pregnancy itching, leg cramps, uterine contractions and varicose veins—in the first trimester of pregnancy add to the identification of women at high risk of future pregnancy and birth complications.Material and methodsSurvey data linked to national register data. All women booking an appointment for a first prenatal visit in one of 192 randomly selected General Practices in East Denmark in the period April 2015–August 2016. The General Practices included 1491 women to this prospective study. Two outcomes, pregnancy complications and birth complications, were collected from the Danish Medical Birth Register.ResultsAmong the 1413 included women, 199 (14%) experienced complications in later pregnancy. The most serious complication, miscarriage, was experienced by 65 women (4.6%). Other common pregnancy complications were gestational diabetes mellitus (n = 11, 0.8%), gestational hypertension without proteinuria (n = 34, 2.4%), mild to moderate preeclampsia (n = 34, 2.4%) and gestational itching with effect on liver (n = 17, 1.2%). Women who experienced pelvic girdle pain, pelvic cavity pain or vaginal bleeding in the first trimester of pregnancy had a higher risk of pregnancy complications later on in later pregnancy. None of the other examined symptoms showed associations to pregnancy complications. No associations were found between pregnancy‐related physical symptoms in first trimester and birth complications.ConclusionsSymptoms in early pregnancy do not add much information about the risk of pregnancy or birth complications, although pain and bleeding may give reason for some concern. This is an important message to women experiencing these common symptoms and to their caregivers.","publisher":"Informa","publication_date":{"day":27,"month":10,"year":2022,"errors":{}},"publication_name":"Acta Obstetricia et Gynecologica Scandinavica"},"translated_abstract":"IntroductionThe aim was to investigate whether common pregnancy‐related symptoms—nausea, vomiting, back pain, pelvic girdle pain, pelvic cavity pain, vaginal bleeding, itching of vulva, pregnancy itching, leg cramps, uterine contractions and varicose veins—in the first trimester of pregnancy add to the identification of women at high risk of future pregnancy and birth complications.Material and methodsSurvey data linked to national register data. All women booking an appointment for a first prenatal visit in one of 192 randomly selected General Practices in East Denmark in the period April 2015–August 2016. The General Practices included 1491 women to this prospective study. Two outcomes, pregnancy complications and birth complications, were collected from the Danish Medical Birth Register.ResultsAmong the 1413 included women, 199 (14%) experienced complications in later pregnancy. The most serious complication, miscarriage, was experienced by 65 women (4.6%). Other common pregnancy complications were gestational diabetes mellitus (n = 11, 0.8%), gestational hypertension without proteinuria (n = 34, 2.4%), mild to moderate preeclampsia (n = 34, 2.4%) and gestational itching with effect on liver (n = 17, 1.2%). Women who experienced pelvic girdle pain, pelvic cavity pain or vaginal bleeding in the first trimester of pregnancy had a higher risk of pregnancy complications later on in later pregnancy. None of the other examined symptoms showed associations to pregnancy complications. No associations were found between pregnancy‐related physical symptoms in first trimester and birth complications.ConclusionsSymptoms in early pregnancy do not add much information about the risk of pregnancy or birth complications, although pain and bleeding may give reason for some concern. This is an important message to women experiencing these common symptoms and to their caregivers.","internal_url":"https://www.academia.edu/113372580/The_predictive_value_of_common_symptoms_in_early_pregnancy_for_complications_later_in_pregnancy_and_at_birth","translated_internal_url":"","created_at":"2024-01-12T00:37:09.194-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":2450366,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":110347832,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347832/thumbnails/1.jpg","file_name":"pdf.pdf","download_url":"https://www.academia.edu/attachments/110347832/download_file","bulk_download_file_name":"The_predictive_value_of_common_symptoms.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347832/pdf-libre.pdf?1705054671=\u0026response-content-disposition=attachment%3B+filename%3DThe_predictive_value_of_common_symptoms.pdf\u0026Expires=1743577074\u0026Signature=czUxi~w6hZcOOHnxVTpnFT1MUsVmn6SoKTME9QlUiamJs-W1TuC5YeThc7oGB-jhgf93vSnIq7VI6yYCERIONiyjpcSlsbqB9ptOE1keWL86yoEObhDnimUjmVNmqxSgdGT9QSVsjuyK9ztjlvds4AuF-rbaR~j--WUEyrcNOb4RInQ4Ok5aymXIbvXq~I9KJsu4QOqo-pfwjo7BxiN-4cjeQPf3ufQi1LCh8yrjaLmQEtqf1QcIgE-N94Eaty4zjcGMBz9NpLzusBpH~tJHdTqw6Nl4dg3qXPca5VQ3kvXoyeQ9k~FLuE89cGDX15YIHr5QUkQtCMtzlbPs7L8dqQ__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"The_predictive_value_of_common_symptoms_in_early_pregnancy_for_complications_later_in_pregnancy_and_at_birth","translated_slug":"","page_count":10,"language":"en","content_type":"Work","summary":"IntroductionThe aim was to investigate whether common pregnancy‐related symptoms—nausea, vomiting, back pain, pelvic girdle pain, pelvic cavity pain, vaginal bleeding, itching of vulva, pregnancy itching, leg cramps, uterine contractions and varicose veins—in the first trimester of pregnancy add to the identification of women at high risk of future pregnancy and birth complications.Material and methodsSurvey data linked to national register data. All women booking an appointment for a first prenatal visit in one of 192 randomly selected General Practices in East Denmark in the period April 2015–August 2016. The General Practices included 1491 women to this prospective study. Two outcomes, pregnancy complications and birth complications, were collected from the Danish Medical Birth Register.ResultsAmong the 1413 included women, 199 (14%) experienced complications in later pregnancy. The most serious complication, miscarriage, was experienced by 65 women (4.6%). Other common pregnancy complications were gestational diabetes mellitus (n = 11, 0.8%), gestational hypertension without proteinuria (n = 34, 2.4%), mild to moderate preeclampsia (n = 34, 2.4%) and gestational itching with effect on liver (n = 17, 1.2%). Women who experienced pelvic girdle pain, pelvic cavity pain or vaginal bleeding in the first trimester of pregnancy had a higher risk of pregnancy complications later on in later pregnancy. None of the other examined symptoms showed associations to pregnancy complications. No associations were found between pregnancy‐related physical symptoms in first trimester and birth complications.ConclusionsSymptoms in early pregnancy do not add much information about the risk of pregnancy or birth complications, although pain and bleeding may give reason for some concern. This is an important message to women experiencing these common symptoms and to their caregivers.","owner":{"id":2450366,"first_name":"Gritt","middle_initials":null,"last_name":"Overbeck","page_name":"GrittOverbeck","domain_name":"ku-dk","created_at":"2012-09-06T06:05:08.323-07:00","display_name":"Gritt Overbeck","url":"https://ku-dk.academia.edu/GrittOverbeck"},"attachments":[{"id":110347832,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347832/thumbnails/1.jpg","file_name":"pdf.pdf","download_url":"https://www.academia.edu/attachments/110347832/download_file","bulk_download_file_name":"The_predictive_value_of_common_symptoms.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347832/pdf-libre.pdf?1705054671=\u0026response-content-disposition=attachment%3B+filename%3DThe_predictive_value_of_common_symptoms.pdf\u0026Expires=1743577074\u0026Signature=czUxi~w6hZcOOHnxVTpnFT1MUsVmn6SoKTME9QlUiamJs-W1TuC5YeThc7oGB-jhgf93vSnIq7VI6yYCERIONiyjpcSlsbqB9ptOE1keWL86yoEObhDnimUjmVNmqxSgdGT9QSVsjuyK9ztjlvds4AuF-rbaR~j--WUEyrcNOb4RInQ4Ok5aymXIbvXq~I9KJsu4QOqo-pfwjo7BxiN-4cjeQPf3ufQi1LCh8yrjaLmQEtqf1QcIgE-N94Eaty4zjcGMBz9NpLzusBpH~tJHdTqw6Nl4dg3qXPca5VQ3kvXoyeQ9k~FLuE89cGDX15YIHr5QUkQtCMtzlbPs7L8dqQ__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":625,"name":"Obstetrics","url":"https://www.academia.edu/Documents/in/Obstetrics"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":58130,"name":"Gestational diabetes","url":"https://www.academia.edu/Documents/in/Gestational_diabetes"},{"id":62550,"name":"Pregnancy","url":"https://www.academia.edu/Documents/in/Pregnancy"},{"id":410370,"name":"Public health systems and services research","url":"https://www.academia.edu/Documents/in/Public_health_systems_and_services_research-1"},{"id":1217276,"name":"Miscarriage","url":"https://www.academia.edu/Documents/in/Miscarriage"},{"id":1518880,"name":"Vaginal Bleeding","url":"https://www.academia.edu/Documents/in/Vaginal_Bleeding"},{"id":3789883,"name":"Paediatrics and reproductive medicine","url":"https://www.academia.edu/Documents/in/Paediatrics_and_reproductive_medicine"}],"urls":[{"id":38485850,"url":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9780714"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-113372580-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="113372578"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/113372578/Enactments_and_experiences_of_enhanced_interprofessional_communication_in_collaborative_care_a_qualitative_study"><img alt="Research paper thumbnail of Enactments and experiences of ‘enhanced interprofessional communication’ in collaborative care - a qualitative study" class="work-thumbnail" src="https://attachments.academia-assets.com/110347863/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/113372578/Enactments_and_experiences_of_enhanced_interprofessional_communication_in_collaborative_care_a_qualitative_study">Enactments and experiences of ‘enhanced interprofessional communication’ in collaborative care - a qualitative study</a></div><div class="wp-workCard_item"><span>Journal of Interprofessional Care</span><span>, Oct 25, 2018</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">One of the key components in collaborative care (CC) for anxiety and depression between general p...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">One of the key components in collaborative care (CC) for anxiety and depression between general practitioners (GPs) and psychiatry is 'enhanced interprofessional communication'. However, the literature contains few detailed descriptions of the interprofessional roles and specific collaborative behaviours that are required to enhance communication. Using semi-structured interviews and observations, this study explores how interprofessional communication was enacted in a CC intervention in Denmark. Analysis was by Interpretative Phenomenological Analysis and interaction analysis. In the intervention the components of the enhanced communication were a) weekly meetings between care managers (CMs) and GPs and b) group supervision of GPs by a psychiatrist. This study showed that the meetings between CMs and GPs were enacted very differently across clinics, with communication ranging from monological 'giving report'-style to more dialogical 'peer-discussion'-style with development of new shared knowledge. The type of communication depended on the GP's professional style. The supervision element was not perceived as being meaningful and GPs reacted by non-attendance and non-response. Engagement of the GPs in a shared process requires a more dialogical model. However, the choice depends on whether a referral or a collaborative model is aimed at. A dialogical model would demand the teaching and guidance of the professionals.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="a3291cce4e18a2017ea97491d5476c0d" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":110347863,"asset_id":113372578,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/110347863/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="113372578"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="113372578"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 113372578; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=113372578]").text(description); $(".js-view-count[data-work-id=113372578]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 113372578; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='113372578']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "a3291cce4e18a2017ea97491d5476c0d" } } $('.js-work-strip[data-work-id=113372578]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":113372578,"title":"Enactments and experiences of ‘enhanced interprofessional communication’ in collaborative care - a qualitative study","translated_title":"","metadata":{"publisher":"Informa","grobid_abstract":"One of the key components in collaborative care (CC) for anxiety and depression between general practitioners (GPs) and psychiatry is 'enhanced interprofessional communication'. However, the literature contains few detailed descriptions of the interprofessional roles and specific collaborative behaviours that are required to enhance communication. Using semi-structured interviews and observations, this study explores how interprofessional communication was enacted in a CC intervention in Denmark. Analysis was by Interpretative Phenomenological Analysis and interaction analysis. In the intervention the components of the enhanced communication were a) weekly meetings between care managers (CMs) and GPs and b) group supervision of GPs by a psychiatrist. This study showed that the meetings between CMs and GPs were enacted very differently across clinics, with communication ranging from monological 'giving report'-style to more dialogical 'peer-discussion'-style with development of new shared knowledge. The type of communication depended on the GP's professional style. The supervision element was not perceived as being meaningful and GPs reacted by non-attendance and non-response. Engagement of the GPs in a shared process requires a more dialogical model. However, the choice depends on whether a referral or a collaborative model is aimed at. A dialogical model would demand the teaching and guidance of the professionals.","publication_date":{"day":25,"month":10,"year":2018,"errors":{}},"publication_name":"Journal of Interprofessional Care","grobid_abstract_attachment_id":110347863},"translated_abstract":null,"internal_url":"https://www.academia.edu/113372578/Enactments_and_experiences_of_enhanced_interprofessional_communication_in_collaborative_care_a_qualitative_study","translated_internal_url":"","created_at":"2024-01-12T00:37:08.751-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":2450366,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":110347863,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347863/thumbnails/1.jpg","file_name":"13561820.2018.153810920240112-1-hfk6vv.pdf","download_url":"https://www.academia.edu/attachments/110347863/download_file","bulk_download_file_name":"Enactments_and_experiences_of_enhanced_i.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347863/13561820.2018.153810920240112-1-hfk6vv-libre.pdf?1705054639=\u0026response-content-disposition=attachment%3B+filename%3DEnactments_and_experiences_of_enhanced_i.pdf\u0026Expires=1743577074\u0026Signature=ZKVKm-qcoyYtBzpUflo5znto1ANMWmg~WAlaekMxDrVyGBmHjKuIlJ8ZB-pb0Qu5su5ZA6alUSbTHmgyXmdv5pdisyAJEEoige-FHAXFRce-916NAaZGnKNWuehMHNv2GgooNAkm9BURYVYCy9b6auXPYKGbGAh~nmxDCaBJuDbIcAi8Cep2KEf0hVo5lSiLaIbJ~pfXr9qXvJ5jAf601ll3yk1LyW7sW1hDsO2HMXD1ASACFXY5~-Rwv1hls2P-yxF0V~ZkSRAwIJRANT-bMd-rpGCP7DQDPcMIWDEG6IRZvxIfDc-eUhOE~4kGvmAal3CILam3Cp40AaE7YADWHA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Enactments_and_experiences_of_enhanced_interprofessional_communication_in_collaborative_care_a_qualitative_study","translated_slug":"","page_count":10,"language":"en","content_type":"Work","summary":"One of the key components in collaborative care (CC) for anxiety and depression between general practitioners (GPs) and psychiatry is 'enhanced interprofessional communication'. However, the literature contains few detailed descriptions of the interprofessional roles and specific collaborative behaviours that are required to enhance communication. Using semi-structured interviews and observations, this study explores how interprofessional communication was enacted in a CC intervention in Denmark. Analysis was by Interpretative Phenomenological Analysis and interaction analysis. In the intervention the components of the enhanced communication were a) weekly meetings between care managers (CMs) and GPs and b) group supervision of GPs by a psychiatrist. This study showed that the meetings between CMs and GPs were enacted very differently across clinics, with communication ranging from monological 'giving report'-style to more dialogical 'peer-discussion'-style with development of new shared knowledge. The type of communication depended on the GP's professional style. The supervision element was not perceived as being meaningful and GPs reacted by non-attendance and non-response. Engagement of the GPs in a shared process requires a more dialogical model. However, the choice depends on whether a referral or a collaborative model is aimed at. A dialogical model would demand the teaching and guidance of the professionals.","owner":{"id":2450366,"first_name":"Gritt","middle_initials":null,"last_name":"Overbeck","page_name":"GrittOverbeck","domain_name":"ku-dk","created_at":"2012-09-06T06:05:08.323-07:00","display_name":"Gritt Overbeck","url":"https://ku-dk.academia.edu/GrittOverbeck"},"attachments":[{"id":110347863,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347863/thumbnails/1.jpg","file_name":"13561820.2018.153810920240112-1-hfk6vv.pdf","download_url":"https://www.academia.edu/attachments/110347863/download_file","bulk_download_file_name":"Enactments_and_experiences_of_enhanced_i.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347863/13561820.2018.153810920240112-1-hfk6vv-libre.pdf?1705054639=\u0026response-content-disposition=attachment%3B+filename%3DEnactments_and_experiences_of_enhanced_i.pdf\u0026Expires=1743577074\u0026Signature=ZKVKm-qcoyYtBzpUflo5znto1ANMWmg~WAlaekMxDrVyGBmHjKuIlJ8ZB-pb0Qu5su5ZA6alUSbTHmgyXmdv5pdisyAJEEoige-FHAXFRce-916NAaZGnKNWuehMHNv2GgooNAkm9BURYVYCy9b6auXPYKGbGAh~nmxDCaBJuDbIcAi8Cep2KEf0hVo5lSiLaIbJ~pfXr9qXvJ5jAf601ll3yk1LyW7sW1hDsO2HMXD1ASACFXY5~-Rwv1hls2P-yxF0V~ZkSRAwIJRANT-bMd-rpGCP7DQDPcMIWDEG6IRZvxIfDc-eUhOE~4kGvmAal3CILam3Cp40AaE7YADWHA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":49426,"name":"Attendance","url":"https://www.academia.edu/Documents/in/Attendance"},{"id":105510,"name":"Journal Article","url":"https://www.academia.edu/Documents/in/Journal_Article"},{"id":334676,"name":"InterProfessional Education in Health Care","url":"https://www.academia.edu/Documents/in/InterProfessional_Education_in_Health_Care"},{"id":404061,"name":"Dialogical self","url":"https://www.academia.edu/Documents/in/Dialogical_self"},{"id":410370,"name":"Public health systems and services research","url":"https://www.academia.edu/Documents/in/Public_health_systems_and_services_research-1"},{"id":805430,"name":"Guidance and Counseling Intervention Programs","url":"https://www.academia.edu/Documents/in/Guidance_and_Counseling_Intervention_Programs"}],"urls":[{"id":38485848,"url":"https://doi.org/10.1080/13561820.2018.1538109"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-113372578-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="113372576"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/113372576/Family_wellbeing_in_general_practice_a_study_protocol_for_a_cluster_randomised_trial_of_the_web_based_resilience_programme_on_early_child_development"><img alt="Research paper thumbnail of Family wellbeing in general practice: a study protocol for a cluster-randomised trial of the web-based resilience programme on early child development" class="work-thumbnail" src="https://attachments.academia-assets.com/110347827/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/113372576/Family_wellbeing_in_general_practice_a_study_protocol_for_a_cluster_randomised_trial_of_the_web_based_resilience_programme_on_early_child_development">Family wellbeing in general practice: a study protocol for a cluster-randomised trial of the web-based resilience programme on early child development</a></div><div class="wp-workCard_item"><span>Trials</span><span>, Jan 4, 2023</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Background: Social, emotional and behavioural problems in early childhood are associated with inc...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Background: Social, emotional and behavioural problems in early childhood are associated with increased risk for a wide range of poor outcomes associated with substantial cost and impact on society as a whole. Some of these problems are rooted in the early mother-infant relationship and might be prevented. In Denmark, primary health care has a central role in preventive care during pregnancy and the first years of the child's life and general practice provides opportunities to promote a healthy mother-infant relationship in early parenthood. Objective: In the context of standardised antenatal and child development assessments focused on psychosocial wellbeing, we examine the impact of a complex intervention designed to improve maternal mentalisation skills, involving training of general practice clinicians and signposting towards a web-based resource. Joint main outcomes are child socio-emotional and language development at age 30 months measured by parentally reported questionnaires (Communicative Development Inventory and Strengths and Difficulties Questionnaire). Methods: The study is a cluster-randomised controlled trial based in general practices in the Capital Region and the Zealand Region of Denmark. Seventy practices were included. Practices were randomised by a computer algorithm in a ratio of 1:1 to intervention or control groups. Each practice was asked to recruit up to 30 women consecutively at their first scheduled antenatal assessment. Clinicians in both groups received one day of training in preventive antenatal and child development consultations with added focus on parental psychosocial well-being, social support, and parent-child interaction. These preventive consultations delivered in both trial arms require enhanced data recording about psychosocial factors. In intervention clinics, clinicians were asked to signpost a web page at three scheduled antenatal consultations and at four scheduled consultations when the child is 5 weeks, 5 months, 1 and 2 years. Discussion: We hypothesise that the intervention will increase mothers' ability to be sensitive to their child's mental state to an extent that improves the child's language and mental state at 30 months of age measured by parentreported questionnaires.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="1bba84c0343325342ff2fbe9576fa5c3" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":110347827,"asset_id":113372576,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/110347827/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="113372576"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="113372576"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 113372576; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=113372576]").text(description); $(".js-view-count[data-work-id=113372576]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 113372576; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='113372576']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "1bba84c0343325342ff2fbe9576fa5c3" } } $('.js-work-strip[data-work-id=113372576]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":113372576,"title":"Family wellbeing in general practice: a study protocol for a cluster-randomised trial of the web-based resilience programme on early child development","translated_title":"","metadata":{"publisher":"Springer Science+Business Media","ai_title_tag":"Impact of a Resilience Program on Child Development in Families","grobid_abstract":"Background: Social, emotional and behavioural problems in early childhood are associated with increased risk for a wide range of poor outcomes associated with substantial cost and impact on society as a whole. Some of these problems are rooted in the early mother-infant relationship and might be prevented. In Denmark, primary health care has a central role in preventive care during pregnancy and the first years of the child's life and general practice provides opportunities to promote a healthy mother-infant relationship in early parenthood. Objective: In the context of standardised antenatal and child development assessments focused on psychosocial wellbeing, we examine the impact of a complex intervention designed to improve maternal mentalisation skills, involving training of general practice clinicians and signposting towards a web-based resource. Joint main outcomes are child socio-emotional and language development at age 30 months measured by parentally reported questionnaires (Communicative Development Inventory and Strengths and Difficulties Questionnaire). Methods: The study is a cluster-randomised controlled trial based in general practices in the Capital Region and the Zealand Region of Denmark. Seventy practices were included. Practices were randomised by a computer algorithm in a ratio of 1:1 to intervention or control groups. Each practice was asked to recruit up to 30 women consecutively at their first scheduled antenatal assessment. Clinicians in both groups received one day of training in preventive antenatal and child development consultations with added focus on parental psychosocial well-being, social support, and parent-child interaction. These preventive consultations delivered in both trial arms require enhanced data recording about psychosocial factors. In intervention clinics, clinicians were asked to signpost a web page at three scheduled antenatal consultations and at four scheduled consultations when the child is 5 weeks, 5 months, 1 and 2 years. 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Some of these problems are rooted in the early mother-infant relationship and might be prevented. In Denmark, primary health care has a central role in preventive care during pregnancy and the first years of the child's life and general practice provides opportunities to promote a healthy mother-infant relationship in early parenthood. Objective: In the context of standardised antenatal and child development assessments focused on psychosocial wellbeing, we examine the impact of a complex intervention designed to improve maternal mentalisation skills, involving training of general practice clinicians and signposting towards a web-based resource. Joint main outcomes are child socio-emotional and language development at age 30 months measured by parentally reported questionnaires (Communicative Development Inventory and Strengths and Difficulties Questionnaire). Methods: The study is a cluster-randomised controlled trial based in general practices in the Capital Region and the Zealand Region of Denmark. Seventy practices were included. Practices were randomised by a computer algorithm in a ratio of 1:1 to intervention or control groups. Each practice was asked to recruit up to 30 women consecutively at their first scheduled antenatal assessment. Clinicians in both groups received one day of training in preventive antenatal and child development consultations with added focus on parental psychosocial well-being, social support, and parent-child interaction. These preventive consultations delivered in both trial arms require enhanced data recording about psychosocial factors. In intervention clinics, clinicians were asked to signpost a web page at three scheduled antenatal consultations and at four scheduled consultations when the child is 5 weeks, 5 months, 1 and 2 years. Discussion: We hypothesise that the intervention will increase mothers' ability to be sensitive to their child's mental state to an extent that improves the child's language and mental state at 30 months of age measured by parentreported questionnaires.","owner":{"id":2450366,"first_name":"Gritt","middle_initials":null,"last_name":"Overbeck","page_name":"GrittOverbeck","domain_name":"ku-dk","created_at":"2012-09-06T06:05:08.323-07:00","display_name":"Gritt Overbeck","url":"https://ku-dk.academia.edu/GrittOverbeck"},"attachments":[{"id":110347827,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347827/thumbnails/1.jpg","file_name":"s13063-022-07045-7.pdf","download_url":"https://www.academia.edu/attachments/110347827/download_file","bulk_download_file_name":"Family_wellbeing_in_general_practice_a_s.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347827/s13063-022-07045-7-libre.pdf?1705054644=\u0026response-content-disposition=attachment%3B+filename%3DFamily_wellbeing_in_general_practice_a_s.pdf\u0026Expires=1743577074\u0026Signature=cfe3mYdS8UxhEnkF-p4opif3Gz8SRoT4Noi7ksxeQqrC7CSuv8dUhAtuqEJ4RqK9CnwhO1djAVizg1OygqW~nQ4OYh80pw2BmAPo2oeRhPCco~izyszjilQdjVCtfGjMF2X4wqjl0V8o~bU4w5GUROLudDSGYDV53n1KAc~tmtudfBEJfEDZSSDDgJ-189m09pQ9BFFI-z7q~tL~GPZpMLAQml1wPSd1uoTr-w~NFuPONPPEo26u41VC-r2UnepT4JtXc6DPNpG61ksBGuX8SWbnoT4xdepaUeJFAWlQlLMQQh~Yi7f5u0r7-lCmFB~e80glfbJAlE1~UoetPMZd7g__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":144043,"name":"Psychosocial","url":"https://www.academia.edu/Documents/in/Psychosocial"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":435017,"name":"Trials","url":"https://www.academia.edu/Documents/in/Trials"},{"id":805430,"name":"Guidance and Counseling Intervention Programs","url":"https://www.academia.edu/Documents/in/Guidance_and_Counseling_Intervention_Programs"},{"id":3789879,"name":"Cardiovascular medicine and haematology","url":"https://www.academia.edu/Documents/in/Cardiovascular_medicine_and_haematology"}],"urls":[{"id":38485846,"url":"https://trialsjournal.biomedcentral.com/counter/pdf/10.1186/s13063-022-07045-7"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-113372576-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="113372574"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/113372574/Selection_bias_in_general_practice_research_analysis_in_a_cohort_of_pregnant_Danish_women"><img alt="Research paper thumbnail of Selection bias in general practice research: analysis in a cohort of pregnant Danish women" class="work-thumbnail" src="https://attachments.academia-assets.com/110347859/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/113372574/Selection_bias_in_general_practice_research_analysis_in_a_cohort_of_pregnant_Danish_women">Selection bias in general practice research: analysis in a cohort of pregnant Danish women</a></div><div class="wp-workCard_item"><span>Scandinavian Journal of Primary Health Care</span><span>, Oct 1, 2020</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Objective: The aim of the present study was to examine selection in a general practice-based preg...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Objective: The aim of the present study was to examine selection in a general practice-based pregnancy cohort. Design: Survey linked to administrative register data. Setting and subjects: In spring 2015, GPs were recruited from two Danish regions. They were asked to invite all pregnant women in their practice who had their first prenatal care visit before 15 August 2016 to participate in the survey. Outcome measures: The characteristics of GPs and the pregnant women were compared at each step in the recruitment processthe GP's invitation, their agreement to participate, actual GP participation, and the women's participationwith an uncertainty coefficient to quantify the step where the largest selection occurs. Results: Significant differences were found between participating and non-participating practices with regards to practice characteristics such as the number of patients registered with the practice, the age and sex of doctors, and the type of practice. Despite these differences, the characteristics of the eligible patients differed little between participating and non-participating practices. In participating practices significant differences were, however, observed between recruited and non-recruited patients. Conclusion: The skewed selection of patients was mainly caused by a high number of non-participants within practices that actively took part in the study. We recommend that a focus on the sampling within participating practices be the most important factor in representative sampling of patient populations in general practice. KEY POINTS Selection among general practitioners (GPs) is often unavoidable in practice-based studies, and we found significant differences between participating and non-participating practices. These include practice characteristics such as the number of GPs, the number of patients registered with the GP practice, as well as the sex and age of the GPs. Despite this, only small differences in the characteristics of the eligible patients were observed between participating and non-participating practices. In participating practices, however, significant differences were observed between recruited and non-recruited patients. Comprehensive sampling within participating practices may be the best way to generate representative samples of patients.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="079d45301408ff7299066103fa4e9462" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":110347859,"asset_id":113372574,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/110347859/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="113372574"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="113372574"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 113372574; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=113372574]").text(description); $(".js-view-count[data-work-id=113372574]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 113372574; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='113372574']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "079d45301408ff7299066103fa4e9462" } } $('.js-work-strip[data-work-id=113372574]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":113372574,"title":"Selection bias in general practice research: analysis in a cohort of pregnant Danish women","translated_title":"","metadata":{"publisher":"Taylor \u0026 Francis","ai_title_tag":"Selection Bias in General Practice Research on Pregnant Women","grobid_abstract":"Objective: The aim of the present study was to examine selection in a general practice-based pregnancy cohort. Design: Survey linked to administrative register data. Setting and subjects: In spring 2015, GPs were recruited from two Danish regions. They were asked to invite all pregnant women in their practice who had their first prenatal care visit before 15 August 2016 to participate in the survey. Outcome measures: The characteristics of GPs and the pregnant women were compared at each step in the recruitment processthe GP's invitation, their agreement to participate, actual GP participation, and the women's participationwith an uncertainty coefficient to quantify the step where the largest selection occurs. Results: Significant differences were found between participating and non-participating practices with regards to practice characteristics such as the number of patients registered with the practice, the age and sex of doctors, and the type of practice. Despite these differences, the characteristics of the eligible patients differed little between participating and non-participating practices. In participating practices significant differences were, however, observed between recruited and non-recruited patients. Conclusion: The skewed selection of patients was mainly caused by a high number of non-participants within practices that actively took part in the study. We recommend that a focus on the sampling within participating practices be the most important factor in representative sampling of patient populations in general practice. KEY POINTS Selection among general practitioners (GPs) is often unavoidable in practice-based studies, and we found significant differences between participating and non-participating practices. These include practice characteristics such as the number of GPs, the number of patients registered with the GP practice, as well as the sex and age of the GPs. Despite this, only small differences in the characteristics of the eligible patients were observed between participating and non-participating practices. In participating practices, however, significant differences were observed between recruited and non-recruited patients. Comprehensive sampling within participating practices may be the best way to generate representative samples of patients.","publication_date":{"day":1,"month":10,"year":2020,"errors":{}},"publication_name":"Scandinavian Journal of Primary Health Care","grobid_abstract_attachment_id":110347859},"translated_abstract":null,"internal_url":"https://www.academia.edu/113372574/Selection_bias_in_general_practice_research_analysis_in_a_cohort_of_pregnant_Danish_women","translated_internal_url":"","created_at":"2024-01-12T00:37:08.145-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":2450366,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":110347859,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347859/thumbnails/1.jpg","file_name":"Selection_bias_in_general_practice_research.pdf","download_url":"https://www.academia.edu/attachments/110347859/download_file","bulk_download_file_name":"Selection_bias_in_general_practice_resea.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347859/Selection_bias_in_general_practice_research-libre.pdf?1705054641=\u0026response-content-disposition=attachment%3B+filename%3DSelection_bias_in_general_practice_resea.pdf\u0026Expires=1743577074\u0026Signature=JtAimPhaJQ7pJGaHumQo~O3kJ1ih-y3feIjBV3sQ-qDo2PF0wfLfXE7PEFiXZzCcTF9kHY26QekzHN62vDiMFb212H13~Z10qsbymC2npHd8ZFJ07Jmh3EXtIzIayd8ML-5ydpI5cOZmuSi2aThNGG9i4IALIXusu3TNT38QDuiDcp46x6h8mac~G459DekP6T27D~qZirOXPNBvB4Rl0leIDVox0pneUcMDb6g5PqMPcDslFmPkAjcthRao-Xp0s-cBrnR16FQJKhUk4rVAkAYm0jlRGsQ9~Y5PJWQ8grHv~6pSR3TSAHI6dytP-seTZROAVDFwsVokmXLfa8Nw4Q__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Selection_bias_in_general_practice_research_analysis_in_a_cohort_of_pregnant_Danish_women","translated_slug":"","page_count":11,"language":"en","content_type":"Work","summary":"Objective: The aim of the present study was to examine selection in a general practice-based pregnancy cohort. Design: Survey linked to administrative register data. Setting and subjects: In spring 2015, GPs were recruited from two Danish regions. They were asked to invite all pregnant women in their practice who had their first prenatal care visit before 15 August 2016 to participate in the survey. Outcome measures: The characteristics of GPs and the pregnant women were compared at each step in the recruitment processthe GP's invitation, their agreement to participate, actual GP participation, and the women's participationwith an uncertainty coefficient to quantify the step where the largest selection occurs. Results: Significant differences were found between participating and non-participating practices with regards to practice characteristics such as the number of patients registered with the practice, the age and sex of doctors, and the type of practice. Despite these differences, the characteristics of the eligible patients differed little between participating and non-participating practices. In participating practices significant differences were, however, observed between recruited and non-recruited patients. Conclusion: The skewed selection of patients was mainly caused by a high number of non-participants within practices that actively took part in the study. We recommend that a focus on the sampling within participating practices be the most important factor in representative sampling of patient populations in general practice. KEY POINTS Selection among general practitioners (GPs) is often unavoidable in practice-based studies, and we found significant differences between participating and non-participating practices. These include practice characteristics such as the number of GPs, the number of patients registered with the GP practice, as well as the sex and age of the GPs. Despite this, only small differences in the characteristics of the eligible patients were observed between participating and non-participating practices. In participating practices, however, significant differences were observed between recruited and non-recruited patients. Comprehensive sampling within participating practices may be the best way to generate representative samples of patients.","owner":{"id":2450366,"first_name":"Gritt","middle_initials":null,"last_name":"Overbeck","page_name":"GrittOverbeck","domain_name":"ku-dk","created_at":"2012-09-06T06:05:08.323-07:00","display_name":"Gritt Overbeck","url":"https://ku-dk.academia.edu/GrittOverbeck"},"attachments":[{"id":110347859,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347859/thumbnails/1.jpg","file_name":"Selection_bias_in_general_practice_research.pdf","download_url":"https://www.academia.edu/attachments/110347859/download_file","bulk_download_file_name":"Selection_bias_in_general_practice_resea.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347859/Selection_bias_in_general_practice_research-libre.pdf?1705054641=\u0026response-content-disposition=attachment%3B+filename%3DSelection_bias_in_general_practice_resea.pdf\u0026Expires=1743577074\u0026Signature=JtAimPhaJQ7pJGaHumQo~O3kJ1ih-y3feIjBV3sQ-qDo2PF0wfLfXE7PEFiXZzCcTF9kHY26QekzHN62vDiMFb212H13~Z10qsbymC2npHd8ZFJ07Jmh3EXtIzIayd8ML-5ydpI5cOZmuSi2aThNGG9i4IALIXusu3TNT38QDuiDcp46x6h8mac~G459DekP6T27D~qZirOXPNBvB4Rl0leIDVox0pneUcMDb6g5PqMPcDslFmPkAjcthRao-Xp0s-cBrnR16FQJKhUk4rVAkAYm0jlRGsQ9~Y5PJWQ8grHv~6pSR3TSAHI6dytP-seTZROAVDFwsVokmXLfa8Nw4Q__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":588,"name":"Nursing","url":"https://www.academia.edu/Documents/in/Nursing"},{"id":634,"name":"General Practice","url":"https://www.academia.edu/Documents/in/General_Practice"},{"id":4376,"name":"Family Medicine","url":"https://www.academia.edu/Documents/in/Family_Medicine"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":62550,"name":"Pregnancy","url":"https://www.academia.edu/Documents/in/Pregnancy"},{"id":69833,"name":"Representativeness","url":"https://www.academia.edu/Documents/in/Representativeness"},{"id":160433,"name":"Selection","url":"https://www.academia.edu/Documents/in/Selection"},{"id":186224,"name":"Danish","url":"https://www.academia.edu/Documents/in/Danish"},{"id":190203,"name":"Cohort","url":"https://www.academia.edu/Documents/in/Cohort"},{"id":410370,"name":"Public health systems and services research","url":"https://www.academia.edu/Documents/in/Public_health_systems_and_services_research-1"},{"id":1190911,"name":"R","url":"https://www.academia.edu/Documents/in/R"},{"id":4011383,"name":"Representativity","url":"https://www.academia.edu/Documents/in/Representativity"}],"urls":[{"id":38485844,"url":"https://doi.org/10.1080/02813432.2020.1847827"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-113372574-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="113372573"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/113372573/Pregnant_womens_concerns_and_antenatal_care_during_COVID_19_lock_down_of_the_Danish_society"><img alt="Research paper thumbnail of Pregnant women's concerns and antenatal care during COVID-19 lock-down of the Danish society" class="work-thumbnail" src="https://attachments.academia-assets.com/110347860/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/113372573/Pregnant_womens_concerns_and_antenatal_care_during_COVID_19_lock_down_of_the_Danish_society">Pregnant women's concerns and antenatal care during COVID-19 lock-down of the Danish society</a></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">INTRODUCTION: INTRODUCTION: Pandemics are known to cause stress and anxiety in pregnant women. Du...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">INTRODUCTION: INTRODUCTION: Pandemics are known to cause stress and anxiety in pregnant women. During the coronavirus disease 2019 (COVID-19) lockdown of the Danish society, pregnant women were considered to be at increased risk, and access to antenatal care changed. METHODS: METHODS: On 8 April 2020A, a questionnaire was sent to 332 pregnant women previously sampled by general practitioners in two Danish regions. The women were contacted via secured e-mail (e-Boks), and questionnaires were returned until 6 May. RESULTS: RESULTS: The questionnaire was returned by 257 women (77%). More than half believed that they were at a high risk of infection with COVID-19, and a third of the women were concerned about the risk of serious disease-especially for their unborn child. Almost 90% isolated at home most of the time. The majority were worried about possible consequences of the pandemic for antenatal care, but very few had actually missed a scheduled preventive consultation with their general practitioner, and only 15% had missed an appointment with their midwife. The majority of the women preferred normal consultations and found no added safety in shifting the consultation from the normal clinical setting. CONCLUSIONS: CONCLUSIONS: The COVID-19 pandemic and lockdown have had a major impact on Danish pregnant women. Even so, concerns were more focused on access to care than on the risk of COVID-19 infection. Contacts with the antenatal healthcare system have only been moderately affected.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="8468aca13015e1d083eb457d84ef5b83" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":110347860,"asset_id":113372573,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/110347860/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="113372573"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="113372573"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 113372573; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=113372573]").text(description); $(".js-view-count[data-work-id=113372573]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 113372573; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='113372573']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "8468aca13015e1d083eb457d84ef5b83" } } $('.js-work-strip[data-work-id=113372573]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":113372573,"title":"Pregnant women's concerns and antenatal care during COVID-19 lock-down of the Danish society","translated_title":"","metadata":{"grobid_abstract":"INTRODUCTION: INTRODUCTION: Pandemics are known to cause stress and anxiety in pregnant women. During the coronavirus disease 2019 (COVID-19) lockdown of the Danish society, pregnant women were considered to be at increased risk, and access to antenatal care changed. METHODS: METHODS: On 8 April 2020A, a questionnaire was sent to 332 pregnant women previously sampled by general practitioners in two Danish regions. The women were contacted via secured e-mail (e-Boks), and questionnaires were returned until 6 May. RESULTS: RESULTS: The questionnaire was returned by 257 women (77%). More than half believed that they were at a high risk of infection with COVID-19, and a third of the women were concerned about the risk of serious disease-especially for their unborn child. Almost 90% isolated at home most of the time. The majority were worried about possible consequences of the pandemic for antenatal care, but very few had actually missed a scheduled preventive consultation with their general practitioner, and only 15% had missed an appointment with their midwife. The majority of the women preferred normal consultations and found no added safety in shifting the consultation from the normal clinical setting. CONCLUSIONS: CONCLUSIONS: The COVID-19 pandemic and lockdown have had a major impact on Danish pregnant women. Even so, concerns were more focused on access to care than on the risk of COVID-19 infection. Contacts with the antenatal healthcare system have only been moderately affected.","publication_date":{"day":20,"month":11,"year":2020,"errors":{}},"grobid_abstract_attachment_id":110347860},"translated_abstract":null,"internal_url":"https://www.academia.edu/113372573/Pregnant_womens_concerns_and_antenatal_care_during_COVID_19_lock_down_of_the_Danish_society","translated_internal_url":"","created_at":"2024-01-12T00:37:08.037-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":2450366,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":110347860,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347860/thumbnails/1.jpg","file_name":"Overbeck_et_al_DMJ_PregnantWomenConcern_VoR.pdf","download_url":"https://www.academia.edu/attachments/110347860/download_file","bulk_download_file_name":"Pregnant_womens_concerns_and_antenatal_c.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347860/Overbeck_et_al_DMJ_PregnantWomenConcern_VoR-libre.pdf?1705054642=\u0026response-content-disposition=attachment%3B+filename%3DPregnant_womens_concerns_and_antenatal_c.pdf\u0026Expires=1743577074\u0026Signature=fYy5uTBvZosDCU1QCejbt107cg9x~-5hyKMsUE-zxI8c2ZvklDVfWXUqBmG1UNf~CjInME80OC6gRt2sf6YIXagwrORyX8GiwJvdi2Vi4V70Z0kRsPw8SpGASmGv0RDQVwFVbSM4EjLRotKBaHoS5Lr5O-OURq6FQVjyO2Xg~kXT3dEn-tA7XGWv0yb3srmD3f5lfsq3lGNAi1zNhMP4lU-NAwsWisluGC-urT~Bd57lSnQ8VBX3c-G2wUR75uSBhVxrk74bD-jR1DZFTv5tCmISN6~jBnmeNgymsQ11DnJL3ysi9MpZFSe7kR1HFGq8s5R8PPeNY8bUNHwNnNWEXg__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Pregnant_womens_concerns_and_antenatal_care_during_COVID_19_lock_down_of_the_Danish_society","translated_slug":"","page_count":7,"language":"en","content_type":"Work","summary":"INTRODUCTION: INTRODUCTION: Pandemics are known to cause stress and anxiety in pregnant women. During the coronavirus disease 2019 (COVID-19) lockdown of the Danish society, pregnant women were considered to be at increased risk, and access to antenatal care changed. METHODS: METHODS: On 8 April 2020A, a questionnaire was sent to 332 pregnant women previously sampled by general practitioners in two Danish regions. The women were contacted via secured e-mail (e-Boks), and questionnaires were returned until 6 May. RESULTS: RESULTS: The questionnaire was returned by 257 women (77%). More than half believed that they were at a high risk of infection with COVID-19, and a third of the women were concerned about the risk of serious disease-especially for their unborn child. Almost 90% isolated at home most of the time. The majority were worried about possible consequences of the pandemic for antenatal care, but very few had actually missed a scheduled preventive consultation with their general practitioner, and only 15% had missed an appointment with their midwife. The majority of the women preferred normal consultations and found no added safety in shifting the consultation from the normal clinical setting. CONCLUSIONS: CONCLUSIONS: The COVID-19 pandemic and lockdown have had a major impact on Danish pregnant women. Even so, concerns were more focused on access to care than on the risk of COVID-19 infection. Contacts with the antenatal healthcare system have only been moderately affected.","owner":{"id":2450366,"first_name":"Gritt","middle_initials":null,"last_name":"Overbeck","page_name":"GrittOverbeck","domain_name":"ku-dk","created_at":"2012-09-06T06:05:08.323-07:00","display_name":"Gritt Overbeck","url":"https://ku-dk.academia.edu/GrittOverbeck"},"attachments":[{"id":110347860,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347860/thumbnails/1.jpg","file_name":"Overbeck_et_al_DMJ_PregnantWomenConcern_VoR.pdf","download_url":"https://www.academia.edu/attachments/110347860/download_file","bulk_download_file_name":"Pregnant_womens_concerns_and_antenatal_c.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347860/Overbeck_et_al_DMJ_PregnantWomenConcern_VoR-libre.pdf?1705054642=\u0026response-content-disposition=attachment%3B+filename%3DPregnant_womens_concerns_and_antenatal_c.pdf\u0026Expires=1743577074\u0026Signature=fYy5uTBvZosDCU1QCejbt107cg9x~-5hyKMsUE-zxI8c2ZvklDVfWXUqBmG1UNf~CjInME80OC6gRt2sf6YIXagwrORyX8GiwJvdi2Vi4V70Z0kRsPw8SpGASmGv0RDQVwFVbSM4EjLRotKBaHoS5Lr5O-OURq6FQVjyO2Xg~kXT3dEn-tA7XGWv0yb3srmD3f5lfsq3lGNAi1zNhMP4lU-NAwsWisluGC-urT~Bd57lSnQ8VBX3c-G2wUR75uSBhVxrk74bD-jR1DZFTv5tCmISN6~jBnmeNgymsQ11DnJL3ysi9MpZFSe7kR1HFGq8s5R8PPeNY8bUNHwNnNWEXg__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":4376,"name":"Family Medicine","url":"https://www.academia.edu/Documents/in/Family_Medicine"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":62550,"name":"Pregnancy","url":"https://www.academia.edu/Documents/in/Pregnancy"},{"id":186224,"name":"Danish","url":"https://www.academia.edu/Documents/in/Danish"},{"id":1028827,"name":"Pandemic","url":"https://www.academia.edu/Documents/in/Pandemic"},{"id":1190911,"name":"R","url":"https://www.academia.edu/Documents/in/R"},{"id":3686510,"name":"Coronavirus Disease 2019 (COVID-19)","url":"https://www.academia.edu/Documents/in/Coronavirus_Disease_2019_COVID-19_"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-113372573-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="113372572"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/113372572/Depression_and_anxiety_symptoms_in_pregnant_women_in_Denmark_during_COVID_19"><img alt="Research paper thumbnail of Depression and anxiety symptoms in pregnant women in Denmark during COVID-19" class="work-thumbnail" src="https://attachments.academia-assets.com/110347821/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/113372572/Depression_and_anxiety_symptoms_in_pregnant_women_in_Denmark_during_COVID_19">Depression and anxiety symptoms in pregnant women in Denmark during COVID-19</a></div><div class="wp-workCard_item"><span>Scandinavian Journal of Public Health</span><span>, May 20, 2021</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Aims. Maternal mental distress in pregnancy can be damaging to the mother and child's physical an...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Aims. Maternal mental distress in pregnancy can be damaging to the mother and child's physical and mental health. This study aimed to provide insight into mental wellbeing of pregnant women in Denmark during COVID-19, by assessing symptoms of depression and anxiety. Methods. Data from two cohorts of pregnant women recruited from Danish general practice were compared. A COVID-19 lockdown cohort (n=330) completed questionnaires between April 8th and May 6th. Responses were compared to those from a control cohort of women from 2016 (n=1428). Mental wellbeing was measured with the Major Depression Inventory (MDI) and the Anxiety Symptom Scale (ASS). Results. Questionnaires were returned by 83% of the COVID-19 lockdown cohort and by 93% of the control cohort. A multivariable analysis controlling for age, cohabitation status, occupation, smoking, alcohol use, chronic disease, fertility treatment, parity and children living at home showed no difference in depressive symptoms (MDI). Anxiety symptoms (ASS) were slightly worse in the COVID-19 lockdown cohort (mean difference 1.4 points), mainly driven by questions concerning general anxiety. The largest differences in anxiety were seen in first trimester (adjusted mean difference: 4.0 points). Conclusion. Pregnant women questioned during COVID-19 showed no change in symptoms of depression and only a modest elevation of anxiety when compared to pregnant women questioned during a nonpandemic period in 2016.</span></div><div class="wp-workCard_item"><div class="carousel-container carousel-container--sm" id="profile-work-113372572-figures"><div class="prev-slide-container js-prev-button-container"><button aria-label="Previous" class="carousel-navigation-button js-profile-work-113372572-figures-prev"><span class="material-symbols-outlined" style="font-size: 24px" translate="no">arrow_back_ios</span></button></div><div class="slides-container js-slides-container"><figure class="figure-slide-container"><a href="https://www.academia.edu/figures/50222937/table-1-depression-and-anxiety-symptoms-in-pregnant-women-in"><img alt="" class="figure-slide-image" src="https://figures.academia-assets.com/110347821/table_001.jpg" /></a></figure><figure class="figure-slide-container"><a href="https://www.academia.edu/figures/50222944/table-2-value-of-likelihood-ratio-test-for-difference-in"><img alt="‘p-value of a likelihood ratio test for difference in cohort effect between the covariate categories. Table II: Depression symptoms assessed by Major Depression Inventory (MDI-score) in the COVID-19 lockdown cohort compared to the control cohort from 2016. " class="figure-slide-image" src="https://figures.academia-assets.com/110347821/table_002.jpg" /></a></figure><figure class="figure-slide-container"><a href="https://www.academia.edu/figures/50222950/table-3-value-of-likelihood-ratio-test-for-difference-in"><img alt="‘p-value of a likelihood ratio test for difference in cohort effect between the covariate categories. Table III: Anxiety symptoms assessed by Anxiety Symptom Scale (ASS-score) in the COVID-19 lockdown cohort compared to the control cohort form 2016. " class="figure-slide-image" src="https://figures.academia-assets.com/110347821/table_003.jpg" /></a></figure><figure class="figure-slide-container"><a href="https://www.academia.edu/figures/50222956/table-4-iv-items-from-the-anxiety-symptom-scale-in-the-covid"><img alt="Table IV: Items from the Anxiety Symptom Scale in the COVID-19 lockdown cohort compared to the control cohort from 2016 in relation to the trimester of pregnancy. " class="figure-slide-image" src="https://figures.academia-assets.com/110347821/table_004.jpg" /></a></figure><figure class="figure-slide-container"><a href="https://www.academia.edu/figures/50222965/table-5-depression-and-anxiety-symptoms-in-pregnant-women-in"><img alt="" class="figure-slide-image" src="https://figures.academia-assets.com/110347821/table_005.jpg" /></a></figure></div><div class="next-slide-container js-next-button-container"><button aria-label="Next" class="carousel-navigation-button js-profile-work-113372572-figures-next"><span class="material-symbols-outlined" style="font-size: 24px" translate="no">arrow_forward_ios</span></button></div></div></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="54c7ec95b7deb1cbd24802ba1cdf47d6" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":110347821,"asset_id":113372572,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/110347821/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="113372572"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="113372572"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 113372572; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=113372572]").text(description); $(".js-view-count[data-work-id=113372572]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 113372572; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='113372572']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "54c7ec95b7deb1cbd24802ba1cdf47d6" } } $('.js-work-strip[data-work-id=113372572]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":113372572,"title":"Depression and anxiety symptoms in pregnant women in Denmark during COVID-19","translated_title":"","metadata":{"publisher":"SAGE Publishing","ai_title_tag":"Pregnant Women's Mental Health during COVID-19","grobid_abstract":"Aims. Maternal mental distress in pregnancy can be damaging to the mother and child's physical and mental health. This study aimed to provide insight into mental wellbeing of pregnant women in Denmark during COVID-19, by assessing symptoms of depression and anxiety. Methods. Data from two cohorts of pregnant women recruited from Danish general practice were compared. A COVID-19 lockdown cohort (n=330) completed questionnaires between April 8th and May 6th. Responses were compared to those from a control cohort of women from 2016 (n=1428). Mental wellbeing was measured with the Major Depression Inventory (MDI) and the Anxiety Symptom Scale (ASS). Results. Questionnaires were returned by 83% of the COVID-19 lockdown cohort and by 93% of the control cohort. A multivariable analysis controlling for age, cohabitation status, occupation, smoking, alcohol use, chronic disease, fertility treatment, parity and children living at home showed no difference in depressive symptoms (MDI). Anxiety symptoms (ASS) were slightly worse in the COVID-19 lockdown cohort (mean difference 1.4 points), mainly driven by questions concerning general anxiety. The largest differences in anxiety were seen in first trimester (adjusted mean difference: 4.0 points). Conclusion. Pregnant women questioned during COVID-19 showed no change in symptoms of depression and only a modest elevation of anxiety when compared to pregnant women questioned during a nonpandemic period in 2016.","publication_date":{"day":20,"month":5,"year":2021,"errors":{}},"publication_name":"Scandinavian Journal of Public Health","grobid_abstract_attachment_id":110347821},"translated_abstract":null,"internal_url":"https://www.academia.edu/113372572/Depression_and_anxiety_symptoms_in_pregnant_women_in_Denmark_during_COVID_19","translated_internal_url":"","created_at":"2024-01-12T00:37:07.852-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":2450366,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":110347821,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347821/thumbnails/1.jpg","file_name":"Overbeck_et_al_SJPH_DepressionAndAnxietySymptoms_AAM.pdf","download_url":"https://www.academia.edu/attachments/110347821/download_file","bulk_download_file_name":"Depression_and_anxiety_symptoms_in_pregn.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347821/Overbeck_et_al_SJPH_DepressionAndAnxietySymptoms_AAM-libre.pdf?1705054646=\u0026response-content-disposition=attachment%3B+filename%3DDepression_and_anxiety_symptoms_in_pregn.pdf\u0026Expires=1743577074\u0026Signature=Jo6nA21sl6d3PI0QK5BmD-p903gGaJGewEs-x~AXOUq7dqootKLZH7I-lCqcgkYaTqTl-8U4WnWalJvV5TNUlj9Cg8js4YNEOEzYI62UPUq-wfJOXetXrbQsT7EQ7iZx4bv8lbKGWZAZ4zUu6WXVH3apKJaVQAjjyL5HqiL3BWHHS7~I5LuGOIzN-Z4yoLeFC18WWgsfkj9RXMh88Hju4IbCxkkTd763StDbwOFDXEA6e36qfy61K7Lc2VN6qeAahdmL3rk6H4AKowZgInzCsczCZC26awrKz7VQ354qnvr6dIQd3rGZcf7dfNv7hFa~5rzKZbm3xmkukf9tzT8b9Q__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Depression_and_anxiety_symptoms_in_pregnant_women_in_Denmark_during_COVID_19","translated_slug":"","page_count":21,"language":"en","content_type":"Work","summary":"Aims. Maternal mental distress in pregnancy can be damaging to the mother and child's physical and mental health. This study aimed to provide insight into mental wellbeing of pregnant women in Denmark during COVID-19, by assessing symptoms of depression and anxiety. Methods. Data from two cohorts of pregnant women recruited from Danish general practice were compared. A COVID-19 lockdown cohort (n=330) completed questionnaires between April 8th and May 6th. Responses were compared to those from a control cohort of women from 2016 (n=1428). Mental wellbeing was measured with the Major Depression Inventory (MDI) and the Anxiety Symptom Scale (ASS). Results. Questionnaires were returned by 83% of the COVID-19 lockdown cohort and by 93% of the control cohort. A multivariable analysis controlling for age, cohabitation status, occupation, smoking, alcohol use, chronic disease, fertility treatment, parity and children living at home showed no difference in depressive symptoms (MDI). Anxiety symptoms (ASS) were slightly worse in the COVID-19 lockdown cohort (mean difference 1.4 points), mainly driven by questions concerning general anxiety. The largest differences in anxiety were seen in first trimester (adjusted mean difference: 4.0 points). Conclusion. Pregnant women questioned during COVID-19 showed no change in symptoms of depression and only a modest elevation of anxiety when compared to pregnant women questioned during a nonpandemic period in 2016.","owner":{"id":2450366,"first_name":"Gritt","middle_initials":null,"last_name":"Overbeck","page_name":"GrittOverbeck","domain_name":"ku-dk","created_at":"2012-09-06T06:05:08.323-07:00","display_name":"Gritt Overbeck","url":"https://ku-dk.academia.edu/GrittOverbeck"},"attachments":[{"id":110347821,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347821/thumbnails/1.jpg","file_name":"Overbeck_et_al_SJPH_DepressionAndAnxietySymptoms_AAM.pdf","download_url":"https://www.academia.edu/attachments/110347821/download_file","bulk_download_file_name":"Depression_and_anxiety_symptoms_in_pregn.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347821/Overbeck_et_al_SJPH_DepressionAndAnxietySymptoms_AAM-libre.pdf?1705054646=\u0026response-content-disposition=attachment%3B+filename%3DDepression_and_anxiety_symptoms_in_pregn.pdf\u0026Expires=1743577074\u0026Signature=Jo6nA21sl6d3PI0QK5BmD-p903gGaJGewEs-x~AXOUq7dqootKLZH7I-lCqcgkYaTqTl-8U4WnWalJvV5TNUlj9Cg8js4YNEOEzYI62UPUq-wfJOXetXrbQsT7EQ7iZx4bv8lbKGWZAZ4zUu6WXVH3apKJaVQAjjyL5HqiL3BWHHS7~I5LuGOIzN-Z4yoLeFC18WWgsfkj9RXMh88Hju4IbCxkkTd763StDbwOFDXEA6e36qfy61K7Lc2VN6qeAahdmL3rk6H4AKowZgInzCsczCZC26awrKz7VQ354qnvr6dIQd3rGZcf7dfNv7hFa~5rzKZbm3xmkukf9tzT8b9Q__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"},{"id":110347822,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347822/thumbnails/1.jpg","file_name":"Overbeck_et_al_SJPH_DepressionAndAnxietySymptoms_AAM.pdf","download_url":"https://www.academia.edu/attachments/110347822/download_file","bulk_download_file_name":"Depression_and_anxiety_symptoms_in_pregn.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347822/Overbeck_et_al_SJPH_DepressionAndAnxietySymptoms_AAM-libre.pdf?1705054649=\u0026response-content-disposition=attachment%3B+filename%3DDepression_and_anxiety_symptoms_in_pregn.pdf\u0026Expires=1743577074\u0026Signature=Kix4PUt8FV~kgxgzYNO40Oq6r2bhtha69LsW4dwuLpiERq3NmUDYz6hEZqakHeA2kg-T2xB7dTabx2ZJqK8ldbcAJLeQnFCIIRsDgoej3bHtBJnwpo2psW6T5BmVRfdAqgWwo6mths0jtH42oENMPI3-unoenkH7LsXhSEUDdY0DDYWX~QnE4XKSh2P1~Ge9QBgf5Vr6pcZ7RTYaSBHba22NAfVNi1frr~eyfVlTZ8CHTc-VhL9AIVle5NjWHc~zmOnhqgklBNKxWRjnXdzOtPDhH4bzCNZWX-M39BCppHitXNggD931xd8hr5tXTDkqr6ifPusbCaLyb0IqsRvixg__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":635,"name":"Psychiatry","url":"https://www.academia.edu/Documents/in/Psychiatry"},{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health"},{"id":3217,"name":"Depression","url":"https://www.academia.edu/Documents/in/Depression"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":38676,"name":"Anxiety","url":"https://www.academia.edu/Documents/in/Anxiety"},{"id":62550,"name":"Pregnancy","url":"https://www.academia.edu/Documents/in/Pregnancy"},{"id":131185,"name":"Cohort Study","url":"https://www.academia.edu/Documents/in/Cohort_Study"},{"id":190203,"name":"Cohort","url":"https://www.academia.edu/Documents/in/Cohort"},{"id":410370,"name":"Public health systems and services research","url":"https://www.academia.edu/Documents/in/Public_health_systems_and_services_research-1"},{"id":623821,"name":"ANXIETY","url":"https://www.academia.edu/Documents/in/ANXIETY-1"},{"id":1028827,"name":"Pandemic","url":"https://www.academia.edu/Documents/in/Pandemic"},{"id":1190911,"name":"R","url":"https://www.academia.edu/Documents/in/R"},{"id":1327745,"name":"Prenatal Care","url":"https://www.academia.edu/Documents/in/Prenatal_Care"}],"urls":[{"id":38485843,"url":"https://aura.abdn.ac.uk/bitstream/2164/15944/1/Overbeck_et_al_SJPH_DepressionAndAnxietySymptoms_AAM.pdf"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (true) { Aedu.setUpFigureCarousel('profile-work-113372572-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="113372571"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/113372571/The_work_and_challenges_of_care_managers_in_the_implementation_of_collaborative_care_A_qualitative_study"><img alt="Research paper thumbnail of The work and challenges of care managers in the implementation of collaborative care: A qualitative study" class="work-thumbnail" src="https://attachments.academia-assets.com/110347864/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/113372571/The_work_and_challenges_of_care_managers_in_the_implementation_of_collaborative_care_A_qualitative_study">The work and challenges of care managers in the implementation of collaborative care: A qualitative study</a></div><div class="wp-workCard_item"><span>Journal of Psychiatric and Mental Health Nursing</span><span>, Feb 15, 2018</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">We have maintained the anonymity of all participants and, in particular, the psychiatrists who we...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">We have maintained the anonymity of all participants and, in particular, the psychiatrists who were fewer in number and therefore more easily identifiable. According to Danish legislation the study needed no approval from the Committee on Health Research Ethics as it did not involve biomedical research. The study was notified to the Danish Data Protection.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="e47224d1d5312c881f18eab19e74faf4" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":110347864,"asset_id":113372571,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/110347864/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="113372571"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="113372571"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 113372571; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=113372571]").text(description); $(".js-view-count[data-work-id=113372571]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 113372571; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='113372571']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "e47224d1d5312c881f18eab19e74faf4" } } $('.js-work-strip[data-work-id=113372571]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":113372571,"title":"The work and challenges of care managers in the implementation of collaborative care: A qualitative study","translated_title":"","metadata":{"publisher":"Wiley-Blackwell","ai_title_tag":"Challenges Facing Care Managers in Collaborative Care","grobid_abstract":"We have maintained the anonymity of all participants and, in particular, the psychiatrists who were fewer in number and therefore more easily identifiable. According to Danish legislation the study needed no approval from the Committee on Health Research Ethics as it did not involve biomedical research. The study was notified to the Danish Data Protection.","publication_date":{"day":15,"month":2,"year":2018,"errors":{}},"publication_name":"Journal of Psychiatric and Mental Health Nursing","grobid_abstract_attachment_id":110347864},"translated_abstract":null,"internal_url":"https://www.academia.edu/113372571/The_work_and_challenges_of_care_managers_in_the_implementation_of_collaborative_care_A_qualitative_study","translated_internal_url":"","created_at":"2024-01-12T00:37:07.615-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":2450366,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":110347864,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347864/thumbnails/1.jpg","file_name":"jpm.1244920240112-1-8imqrm.pdf","download_url":"https://www.academia.edu/attachments/110347864/download_file","bulk_download_file_name":"The_work_and_challenges_of_care_managers.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347864/jpm.1244920240112-1-8imqrm-libre.pdf?1705054632=\u0026response-content-disposition=attachment%3B+filename%3DThe_work_and_challenges_of_care_managers.pdf\u0026Expires=1743577075\u0026Signature=P-yQU9~5IjfkojRbVspoDqlkJ1mJwkIryZck616Hl9H8TzihGS1mhdv~KUClsP8Gem-J~~VAB2OyNB~vCR9lskqaBRw5HoK3eFliHv3xm-BspupslmYwcbnSEfpjP346opJcFAEWj7Wd0hT0tsxYIaRVFlhAYqUUXdn-iMfD-PgWKanNntjhi~DHUEo5wXqRxtxiGA1AZpyfMfxjZ1NvYK0V-l50q7YZtwLExCd7vMmV7lYr-aPwdn~NG73UjhlCETObc4j7ZtRgFzUi~lI-szOkirPy~~0ObpZdu4ouImbK1-qQU-mPXPmYJZw8FKF5P6QDYKMW~Vt1y1BbQQB8Lw__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"The_work_and_challenges_of_care_managers_in_the_implementation_of_collaborative_care_A_qualitative_study","translated_slug":"","page_count":21,"language":"en","content_type":"Work","summary":"We have maintained the anonymity of all participants and, in particular, the psychiatrists who were fewer in number and therefore more easily identifiable. According to Danish legislation the study needed no approval from the Committee on Health Research Ethics as it did not involve biomedical research. 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Interventions designed to care for maternal mental well-being during pregnancy and early parenthood, are therefore likely to support healthy child development. Mentalization is a skill parents can practice, improving the emotional bond to the child, offering insights into their own and the child's mental states and potentially improving parental mental well-being. Most pregnant women in Denmark schedule antenatal consultations in general practice, potentially offering a solid platform to promote web-based interventions aiming to enhance mentalization skills. Signposting towards online resources has several advantages including high accessibility, ease of distribution and cost-effectiveness. We aimed to explore the attitudes and experiences of clinicians in general practice in signposting women towards a webintervention to increase parental mentalization skills. Methods The intervention was offered to pregnant women at their primary preventive antenatal consultation in Danish general practice around week eight of pregnancy, and was designed to be incorporated into the following antenatal-and pediatric consultations until the child's second birthday. Semi-structured interviews about clinicians' experiences with signposting the intervention were conducted with 11 general practitioners (GP), three practice midwives (MW) and one practice nurse (NR). Results Clinicians wanted to enhance the focus on mental well-being in pregnancy and early childhood during preventive consultations. The main barriers to signposting the web-program were decreasing motivation over time, lack of financial viability and time limitations. Utilizing a psychoeducational web-intervention was generally accepted by clinicians, but ideally not carried out solely in general practice. Conclusion Signposting web-programs to improve parental mentalization skills can be welcomed by clinicians in general practice but need to be more tailored to suit the everyday workflow of the clinics. Addressing parental mentalization remains largely unchartered territory for pregnant women and clinicians alike, therefore training clinicians on the subject and its presentation should be offered.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="10e8baef5ba5da515a3923fe7fcb8548" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":110347829,"asset_id":113372570,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/110347829/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="113372570"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="113372570"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 113372570; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=113372570]").text(description); $(".js-view-count[data-work-id=113372570]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 113372570; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='113372570']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "10e8baef5ba5da515a3923fe7fcb8548" } } $('.js-work-strip[data-work-id=113372570]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":113372570,"title":"Clinicians’ experiences in signposting an online mental health resource to expectant mothers: a qualitative study","translated_title":"","metadata":{"publisher":"BioMed Central","grobid_abstract":"Background Poor maternal mental well-being and a lack of secure parent-infant attachment, have been identified as important factors associated with adverse mental health outcomes later in a child's life. Interventions designed to care for maternal mental well-being during pregnancy and early parenthood, are therefore likely to support healthy child development. Mentalization is a skill parents can practice, improving the emotional bond to the child, offering insights into their own and the child's mental states and potentially improving parental mental well-being. Most pregnant women in Denmark schedule antenatal consultations in general practice, potentially offering a solid platform to promote web-based interventions aiming to enhance mentalization skills. Signposting towards online resources has several advantages including high accessibility, ease of distribution and cost-effectiveness. We aimed to explore the attitudes and experiences of clinicians in general practice in signposting women towards a webintervention to increase parental mentalization skills. Methods The intervention was offered to pregnant women at their primary preventive antenatal consultation in Danish general practice around week eight of pregnancy, and was designed to be incorporated into the following antenatal-and pediatric consultations until the child's second birthday. Semi-structured interviews about clinicians' experiences with signposting the intervention were conducted with 11 general practitioners (GP), three practice midwives (MW) and one practice nurse (NR). Results Clinicians wanted to enhance the focus on mental well-being in pregnancy and early childhood during preventive consultations. The main barriers to signposting the web-program were decreasing motivation over time, lack of financial viability and time limitations. Utilizing a psychoeducational web-intervention was generally accepted by clinicians, but ideally not carried out solely in general practice. Conclusion Signposting web-programs to improve parental mentalization skills can be welcomed by clinicians in general practice but need to be more tailored to suit the everyday workflow of the clinics. Addressing parental mentalization remains largely unchartered territory for pregnant women and clinicians alike, therefore training clinicians on the subject and its presentation should be offered.","publication_date":{"day":10,"month":5,"year":2023,"errors":{}},"publication_name":"BMC Pregnancy and Childbirth","grobid_abstract_attachment_id":110347828},"translated_abstract":null,"internal_url":"https://www.academia.edu/113372570/Clinicians_experiences_in_signposting_an_online_mental_health_resource_to_expectant_mothers_a_qualitative_study","translated_internal_url":"","created_at":"2024-01-12T00:37:07.437-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":2450366,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":110347829,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347829/thumbnails/1.jpg","file_name":"s12884-023-05671-w.pdf","download_url":"https://www.academia.edu/attachments/110347829/download_file","bulk_download_file_name":"Clinicians_experiences_in_signposting_an.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347829/s12884-023-05671-w-libre.pdf?1705054638=\u0026response-content-disposition=attachment%3B+filename%3DClinicians_experiences_in_signposting_an.pdf\u0026Expires=1743577075\u0026Signature=XxAJ6g2qx7mq0kEb4moH9bil~GwdD22TmUOIAr4Ws7NbXuTo5~Es0G2PDMhj8SqQ6riji4kGLRetwOF3qDVy~aqGlEGF6tJ2SeOOPL-N3J6xLo9wxIxADLS1LED1A7I-SwnCKvUKcJ4VxebKnAOhXr3i6BMm94HCMHI0Ovs2sOlpmlyaygWW7YXvwdo42xo-DsR1TyOCqXgb37~EDQNfubiC8ba9AA0J2NLYUnpSvRKIxweBBWltZqN3H1I8JfNB2m6rZpYqhaMkLu7qWE0M0sp3mTjeflQKdfkXFCghTcZmF276OVR8re1Lcrakk5mJ1YmocE~JDJOcQo28CPdFFg__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Clinicians_experiences_in_signposting_an_online_mental_health_resource_to_expectant_mothers_a_qualitative_study","translated_slug":"","page_count":7,"language":"en","content_type":"Work","summary":"Background Poor maternal mental well-being and a lack of secure parent-infant attachment, have been identified as important factors associated with adverse mental health outcomes later in a child's life. Interventions designed to care for maternal mental well-being during pregnancy and early parenthood, are therefore likely to support healthy child development. Mentalization is a skill parents can practice, improving the emotional bond to the child, offering insights into their own and the child's mental states and potentially improving parental mental well-being. Most pregnant women in Denmark schedule antenatal consultations in general practice, potentially offering a solid platform to promote web-based interventions aiming to enhance mentalization skills. Signposting towards online resources has several advantages including high accessibility, ease of distribution and cost-effectiveness. We aimed to explore the attitudes and experiences of clinicians in general practice in signposting women towards a webintervention to increase parental mentalization skills. Methods The intervention was offered to pregnant women at their primary preventive antenatal consultation in Danish general practice around week eight of pregnancy, and was designed to be incorporated into the following antenatal-and pediatric consultations until the child's second birthday. Semi-structured interviews about clinicians' experiences with signposting the intervention were conducted with 11 general practitioners (GP), three practice midwives (MW) and one practice nurse (NR). Results Clinicians wanted to enhance the focus on mental well-being in pregnancy and early childhood during preventive consultations. The main barriers to signposting the web-program were decreasing motivation over time, lack of financial viability and time limitations. Utilizing a psychoeducational web-intervention was generally accepted by clinicians, but ideally not carried out solely in general practice. Conclusion Signposting web-programs to improve parental mentalization skills can be welcomed by clinicians in general practice but need to be more tailored to suit the everyday workflow of the clinics. Addressing parental mentalization remains largely unchartered territory for pregnant women and clinicians alike, therefore training clinicians on the subject and its presentation should be offered.","owner":{"id":2450366,"first_name":"Gritt","middle_initials":null,"last_name":"Overbeck","page_name":"GrittOverbeck","domain_name":"ku-dk","created_at":"2012-09-06T06:05:08.323-07:00","display_name":"Gritt Overbeck","url":"https://ku-dk.academia.edu/GrittOverbeck"},"attachments":[{"id":110347829,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347829/thumbnails/1.jpg","file_name":"s12884-023-05671-w.pdf","download_url":"https://www.academia.edu/attachments/110347829/download_file","bulk_download_file_name":"Clinicians_experiences_in_signposting_an.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347829/s12884-023-05671-w-libre.pdf?1705054638=\u0026response-content-disposition=attachment%3B+filename%3DClinicians_experiences_in_signposting_an.pdf\u0026Expires=1743577075\u0026Signature=XxAJ6g2qx7mq0kEb4moH9bil~GwdD22TmUOIAr4Ws7NbXuTo5~Es0G2PDMhj8SqQ6riji4kGLRetwOF3qDVy~aqGlEGF6tJ2SeOOPL-N3J6xLo9wxIxADLS1LED1A7I-SwnCKvUKcJ4VxebKnAOhXr3i6BMm94HCMHI0Ovs2sOlpmlyaygWW7YXvwdo42xo-DsR1TyOCqXgb37~EDQNfubiC8ba9AA0J2NLYUnpSvRKIxweBBWltZqN3H1I8JfNB2m6rZpYqhaMkLu7qWE0M0sp3mTjeflQKdfkXFCghTcZmF276OVR8re1Lcrakk5mJ1YmocE~JDJOcQo28CPdFFg__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"},{"id":110347828,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347828/thumbnails/1.jpg","file_name":"s12884-023-05671-w.pdf","download_url":"https://www.academia.edu/attachments/110347828/download_file","bulk_download_file_name":"Clinicians_experiences_in_signposting_an.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347828/s12884-023-05671-w-libre.pdf?1705054644=\u0026response-content-disposition=attachment%3B+filename%3DClinicians_experiences_in_signposting_an.pdf\u0026Expires=1743577075\u0026Signature=JZxQQF9Ar--2lpRAkP-c8uSdYK4AHX8Z0wf~omzpjS5JBMnlmGvTqsnes9rK2LSeWDnu7ZMbMbVKpYJQW5gabBS9a~cI1LZ7NHSGSPLKLsGt9GIeFsw5i8q72lt2CcKts41cMCE9RZa-39PDdFwbdT9qDQPNpEpePgV5PBzI2T3A4jLlabrARGxeRF5ipKIlnlOeUhd87FuNGoXghf2h3lzf~npswTmPJMSMumhaX-jGCu445lMCgxMK~R1brLL~gE0CBXU~imrGu28szZ51YMOrT~fSSVm~GHQd~yCMUTCqBimZf~-GcO9gdDAXLQIefdzx7POYkm8lGxaMgI-W6Q__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":588,"name":"Nursing","url":"https://www.academia.edu/Documents/in/Nursing"},{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":116278,"name":"Psychological Intervention","url":"https://www.academia.edu/Documents/in/Psychological_Intervention"},{"id":217865,"name":"Reproductive medicine","url":"https://www.academia.edu/Documents/in/Reproductive_medicine"},{"id":410370,"name":"Public health systems and services research","url":"https://www.academia.edu/Documents/in/Public_health_systems_and_services_research-1"},{"id":805430,"name":"Guidance and Counseling Intervention Programs","url":"https://www.academia.edu/Documents/in/Guidance_and_Counseling_Intervention_Programs"},{"id":3789883,"name":"Paediatrics and reproductive medicine","url":"https://www.academia.edu/Documents/in/Paediatrics_and_reproductive_medicine"}],"urls":[{"id":38485841,"url":"https://bmcpregnancychildbirth.biomedcentral.com/counter/pdf/10.1186/s12884-023-05671-w"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-113372570-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="113372569"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/113372569/Implementing_Collaborative_Care_for_anxiety_and_depression_a_qualitative_study_from_the_Capital_Region_of_Denmark"><img alt="Research paper thumbnail of Implementing Collaborative Care for anxiety and depression: a qualitative study from the Capital Region of Denmark" class="work-thumbnail" src="https://attachments.academia-assets.com/110347817/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/113372569/Implementing_Collaborative_Care_for_anxiety_and_depression_a_qualitative_study_from_the_Capital_Region_of_Denmark">Implementing Collaborative Care for anxiety and depression: a qualitative study from the Capital Region of Denmark</a></div><div class="wp-workCard_item"><span>International Journal of Integrated Care</span><span>, Oct 17, 2017</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Introduction: Mental health problems constitute a substantial burden for patients and health syst...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Introduction: Mental health problems constitute a substantial burden for patients and health systems. In order to improve the treatment of patients suffering from anxiety and depression, collaborative care models have been developed. Collaborative care is a complex intervention</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="4758495e81967518e894d2f28a8a6911" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":110347817,"asset_id":113372569,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/110347817/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="113372569"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="113372569"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 113372569; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=113372569]").text(description); $(".js-view-count[data-work-id=113372569]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 113372569; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='113372569']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "4758495e81967518e894d2f28a8a6911" } } $('.js-work-strip[data-work-id=113372569]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":113372569,"title":"Implementing Collaborative Care for anxiety and depression: a qualitative study from the Capital Region of Denmark","translated_title":"","metadata":{"publisher":"Ubiquity Press","grobid_abstract":"Introduction: Mental health problems constitute a substantial burden for patients and health systems. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-113372569-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="113372568"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/113372568/Increasing_the_psychosocial_focus_in_child_developmental_assessments_a_qualitative_study"><img alt="Research paper thumbnail of Increasing the psychosocial focus in child developmental assessments: a qualitative study" class="work-thumbnail" src="https://attachments.academia-assets.com/110347824/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/113372568/Increasing_the_psychosocial_focus_in_child_developmental_assessments_a_qualitative_study">Increasing the psychosocial focus in child developmental assessments: a qualitative study</a></div><div class="wp-workCard_item"><span>BMC Pediatrics</span><span>, Jan 25, 2023</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Background Previous studies have indicated a need for increased psychosocial focus on children an...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Background Previous studies have indicated a need for increased psychosocial focus on children and their families to improve children's wellbeing and mental health. Child developmental assessments could be a place to implement changes to achieve this. A standardised record might be helpful to clinicians trying to increase psychosocial focus. The aim of this study is to investigate clinical barriers and facilitators when introducing standardised child records with increased focus on psychosocial wellbeing and mental health into child developmental assessments. Methods This is a qualitative study based on 12 semi-structured interviews with four midwives and nine doctors who carry out child developmental assessments in general practice. Data is analysed in the framework of Normalisation Process Theory. Results General practice-based clinicians were positive towards increasing the psychosocial focus in child developmental assessments. The main barriers when clinicians used the standardised child records were: feeling forced to ask certain questions, in turn making the conversation rigid; leaving less room for parents to bring up other issues; making clinicians feel awkward when addressing problems that they cannot solve; the need for extended consultation time; and medico-legal concerns when registering findings. The experience of positive aspects when using the standardised child records facilitated continuous use of the records. Positive aspects included having a standardised approach to recording important findings, thereby uncovering psychosocial problems that could potentially be overlooked. Additionally, structured observation of parent-child interaction and gaining a new vocabulary to describe the findings were valued by clinicians. Balancing a standardised approach with clinicians' ability to steer the consultation and explore topics in depth while preserving the potential for patients to bring up other issues became an important theme. Conclusion Clinicians need to be well-equipped to handle psychosocial problems through coping strategies, referral options and communication techniques in the psychosocial domain. The parent-child-interaction assessment might expose potentially dysfunctional parenting behaviours and could improve communication between health professionals. Implementing standardised child development records with an increased psychosocial focus is feasible but improvements could optimise the use of the records. Parental views on an increased psychosocial focus during child developmental assessments should be investigated prior to further implementation. Trial registration Trial registry number for the FamilieTrivsel (Family Wellbeing) trial: NCT04129359.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="93b97b2695a5a97986b843e721aa7ebe" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":110347824,"asset_id":113372568,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/110347824/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="113372568"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="113372568"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 113372568; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=113372568]").text(description); $(".js-view-count[data-work-id=113372568]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 113372568; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='113372568']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "93b97b2695a5a97986b843e721aa7ebe" } } $('.js-work-strip[data-work-id=113372568]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":113372568,"title":"Increasing the psychosocial focus in child developmental assessments: a qualitative study","translated_title":"","metadata":{"publisher":"Springer Science+Business Media","ai_title_tag":"Enhancing Psychosocial Focus in Child Assessments","grobid_abstract":"Background Previous studies have indicated a need for increased psychosocial focus on children and their families to improve children's wellbeing and mental health. Child developmental assessments could be a place to implement changes to achieve this. A standardised record might be helpful to clinicians trying to increase psychosocial focus. The aim of this study is to investigate clinical barriers and facilitators when introducing standardised child records with increased focus on psychosocial wellbeing and mental health into child developmental assessments. Methods This is a qualitative study based on 12 semi-structured interviews with four midwives and nine doctors who carry out child developmental assessments in general practice. Data is analysed in the framework of Normalisation Process Theory. Results General practice-based clinicians were positive towards increasing the psychosocial focus in child developmental assessments. The main barriers when clinicians used the standardised child records were: feeling forced to ask certain questions, in turn making the conversation rigid; leaving less room for parents to bring up other issues; making clinicians feel awkward when addressing problems that they cannot solve; the need for extended consultation time; and medico-legal concerns when registering findings. The experience of positive aspects when using the standardised child records facilitated continuous use of the records. Positive aspects included having a standardised approach to recording important findings, thereby uncovering psychosocial problems that could potentially be overlooked. Additionally, structured observation of parent-child interaction and gaining a new vocabulary to describe the findings were valued by clinicians. Balancing a standardised approach with clinicians' ability to steer the consultation and explore topics in depth while preserving the potential for patients to bring up other issues became an important theme. Conclusion Clinicians need to be well-equipped to handle psychosocial problems through coping strategies, referral options and communication techniques in the psychosocial domain. The parent-child-interaction assessment might expose potentially dysfunctional parenting behaviours and could improve communication between health professionals. Implementing standardised child development records with an increased psychosocial focus is feasible but improvements could optimise the use of the records. Parental views on an increased psychosocial focus during child developmental assessments should be investigated prior to further implementation. 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Child developmental assessments could be a place to implement changes to achieve this. A standardised record might be helpful to clinicians trying to increase psychosocial focus. The aim of this study is to investigate clinical barriers and facilitators when introducing standardised child records with increased focus on psychosocial wellbeing and mental health into child developmental assessments. Methods This is a qualitative study based on 12 semi-structured interviews with four midwives and nine doctors who carry out child developmental assessments in general practice. Data is analysed in the framework of Normalisation Process Theory. Results General practice-based clinicians were positive towards increasing the psychosocial focus in child developmental assessments. The main barriers when clinicians used the standardised child records were: feeling forced to ask certain questions, in turn making the conversation rigid; leaving less room for parents to bring up other issues; making clinicians feel awkward when addressing problems that they cannot solve; the need for extended consultation time; and medico-legal concerns when registering findings. The experience of positive aspects when using the standardised child records facilitated continuous use of the records. Positive aspects included having a standardised approach to recording important findings, thereby uncovering psychosocial problems that could potentially be overlooked. Additionally, structured observation of parent-child interaction and gaining a new vocabulary to describe the findings were valued by clinicians. Balancing a standardised approach with clinicians' ability to steer the consultation and explore topics in depth while preserving the potential for patients to bring up other issues became an important theme. Conclusion Clinicians need to be well-equipped to handle psychosocial problems through coping strategies, referral options and communication techniques in the psychosocial domain. The parent-child-interaction assessment might expose potentially dysfunctional parenting behaviours and could improve communication between health professionals. Implementing standardised child development records with an increased psychosocial focus is feasible but improvements could optimise the use of the records. Parental views on an increased psychosocial focus during child developmental assessments should be investigated prior to further implementation. 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If the patie...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Background Many elderly people wish to die at home but end up dying at the hospital. If the patient wishes to die at home, palliative care provided by General Practitioners (GPs) may increase the chance of dying at home, however, there is a lack of knowledge on how GPs should provide palliative care. We aimed to identify roles, tasks and approaches of GPs enabling palliative care, by exploring the experiences of GPs, other healthcare professionals, patients, and relatives through a systematic review of the qualitative literature. Methods We searched PubMed, EMBASE, PsycINFO, Web of Science, and CINAHL in March 2022. Thematic analysis was used for synthesizing the results. Results Four thousand five hundred sixty three unique records were retrieved, and 12 studies were included for review. Of these, ten were interview or focus group studies and two were survey studies with additional open-ended questions. Only qualitative findings from the studies were used in synthesizing the results. Thematic analysis produced four main themes describing the roles, tasks and approaches of GPs enabling palliative care to increase the chance for patients to die at home. GPs can support patients in the final phases of life by applying a holistic, patientcentred, and proactive approach to palliative care and by having sufficient education and training. Furthermore, the palliative care consultation should include symptom management, handling psychosocial and spiritual needs, maintaining a fragile balance, and proper communication with the patient. Lastly, GPs must address several palliative care elements surrounding the consultation including initiating the palliative care, being available, being the team coordinator/collaborator, providing continuous care and having sufficient knowledge about the patient. Conclusions The roles, tasks and approaches of the GPs enabling palliative care include being aware of elements in the palliative care consultation and elements surrounding the consultation and by having sufficient education and training and a broad, proactive, and patient-centred approach.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="4ca426e7bf132150179b70e6013b6bca" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":110347826,"asset_id":113372566,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/110347826/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="113372566"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="113372566"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 113372566; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=113372566]").text(description); $(".js-view-count[data-work-id=113372566]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 113372566; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='113372566']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "4ca426e7bf132150179b70e6013b6bca" } } $('.js-work-strip[data-work-id=113372566]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":113372566,"title":"Increasing the chance of dying at home: roles, tasks and approaches of general practitioners enabling palliative care: a systematic review of qualitative literature","translated_title":"","metadata":{"publisher":"Springer Nature","grobid_abstract":"Background Many elderly people wish to die at home but end up dying at the hospital. If the patient wishes to die at home, palliative care provided by General Practitioners (GPs) may increase the chance of dying at home, however, there is a lack of knowledge on how GPs should provide palliative care. We aimed to identify roles, tasks and approaches of GPs enabling palliative care, by exploring the experiences of GPs, other healthcare professionals, patients, and relatives through a systematic review of the qualitative literature. Methods We searched PubMed, EMBASE, PsycINFO, Web of Science, and CINAHL in March 2022. Thematic analysis was used for synthesizing the results. Results Four thousand five hundred sixty three unique records were retrieved, and 12 studies were included for review. Of these, ten were interview or focus group studies and two were survey studies with additional open-ended questions. Only qualitative findings from the studies were used in synthesizing the results. Thematic analysis produced four main themes describing the roles, tasks and approaches of GPs enabling palliative care to increase the chance for patients to die at home. GPs can support patients in the final phases of life by applying a holistic, patientcentred, and proactive approach to palliative care and by having sufficient education and training. Furthermore, the palliative care consultation should include symptom management, handling psychosocial and spiritual needs, maintaining a fragile balance, and proper communication with the patient. Lastly, GPs must address several palliative care elements surrounding the consultation including initiating the palliative care, being available, being the team coordinator/collaborator, providing continuous care and having sufficient knowledge about the patient. Conclusions The roles, tasks and approaches of the GPs enabling palliative care include being aware of elements in the palliative care consultation and elements surrounding the consultation and by having sufficient education and training and a broad, proactive, and patient-centred approach.","publication_date":{"day":23,"month":3,"year":2023,"errors":{}},"publication_name":"BMC Primary Care","grobid_abstract_attachment_id":110347823},"translated_abstract":null,"internal_url":"https://www.academia.edu/113372566/Increasing_the_chance_of_dying_at_home_roles_tasks_and_approaches_of_general_practitioners_enabling_palliative_care_a_systematic_review_of_qualitative_literature","translated_internal_url":"","created_at":"2024-01-12T00:37:06.839-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":2450366,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":110347826,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347826/thumbnails/1.jpg","file_name":"s12875-023-02038-0.pdf","download_url":"https://www.academia.edu/attachments/110347826/download_file","bulk_download_file_name":"Increasing_the_chance_of_dying_at_home_r.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347826/s12875-023-02038-0-libre.pdf?1705054645=\u0026response-content-disposition=attachment%3B+filename%3DIncreasing_the_chance_of_dying_at_home_r.pdf\u0026Expires=1743577075\u0026Signature=G7iT3g~uYwcwxP-VTf6O2nK12N9y5qzm0hExvVX5yvl8w2Nl-wJj-5Rh~CFd8EpkknyYB0s7Zbii6CzeBm9-OpqpliOtpmr7gubqEOREA-bGv19-pG1X38DNuGBPyVAK~DOY0w-B4d~zvmYWWxaWsx0Uaunc4C2TQOcXZ~fmoKAoJ8e4VigaGLKWFW-UW6LNRFcRSfgM-diReoT7T3pbOuUngxFcgkBnhomSQ4V78Q7cZk6h5Sg8942rdZLk3qm8ypVqda6IEPpDpKG6uj3g5YWMFmS7JSLrvqDPeCcXeFvCxtGdA8W0xZ75CWIcq7iLst1ZKVX~JlFKUD1udxjrEA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Increasing_the_chance_of_dying_at_home_roles_tasks_and_approaches_of_general_practitioners_enabling_palliative_care_a_systematic_review_of_qualitative_literature","translated_slug":"","page_count":11,"language":"en","content_type":"Work","summary":"Background Many elderly people wish to die at home but end up dying at the hospital. If the patient wishes to die at home, palliative care provided by General Practitioners (GPs) may increase the chance of dying at home, however, there is a lack of knowledge on how GPs should provide palliative care. We aimed to identify roles, tasks and approaches of GPs enabling palliative care, by exploring the experiences of GPs, other healthcare professionals, patients, and relatives through a systematic review of the qualitative literature. Methods We searched PubMed, EMBASE, PsycINFO, Web of Science, and CINAHL in March 2022. Thematic analysis was used for synthesizing the results. Results Four thousand five hundred sixty three unique records were retrieved, and 12 studies were included for review. Of these, ten were interview or focus group studies and two were survey studies with additional open-ended questions. Only qualitative findings from the studies were used in synthesizing the results. Thematic analysis produced four main themes describing the roles, tasks and approaches of GPs enabling palliative care to increase the chance for patients to die at home. GPs can support patients in the final phases of life by applying a holistic, patientcentred, and proactive approach to palliative care and by having sufficient education and training. Furthermore, the palliative care consultation should include symptom management, handling psychosocial and spiritual needs, maintaining a fragile balance, and proper communication with the patient. Lastly, GPs must address several palliative care elements surrounding the consultation including initiating the palliative care, being available, being the team coordinator/collaborator, providing continuous care and having sufficient knowledge about the patient. Conclusions The roles, tasks and approaches of the GPs enabling palliative care include being aware of elements in the palliative care consultation and elements surrounding the consultation and by having sufficient education and training and a broad, proactive, and patient-centred approach.","owner":{"id":2450366,"first_name":"Gritt","middle_initials":null,"last_name":"Overbeck","page_name":"GrittOverbeck","domain_name":"ku-dk","created_at":"2012-09-06T06:05:08.323-07:00","display_name":"Gritt Overbeck","url":"https://ku-dk.academia.edu/GrittOverbeck"},"attachments":[{"id":110347826,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347826/thumbnails/1.jpg","file_name":"s12875-023-02038-0.pdf","download_url":"https://www.academia.edu/attachments/110347826/download_file","bulk_download_file_name":"Increasing_the_chance_of_dying_at_home_r.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347826/s12875-023-02038-0-libre.pdf?1705054645=\u0026response-content-disposition=attachment%3B+filename%3DIncreasing_the_chance_of_dying_at_home_r.pdf\u0026Expires=1743577075\u0026Signature=G7iT3g~uYwcwxP-VTf6O2nK12N9y5qzm0hExvVX5yvl8w2Nl-wJj-5Rh~CFd8EpkknyYB0s7Zbii6CzeBm9-OpqpliOtpmr7gubqEOREA-bGv19-pG1X38DNuGBPyVAK~DOY0w-B4d~zvmYWWxaWsx0Uaunc4C2TQOcXZ~fmoKAoJ8e4VigaGLKWFW-UW6LNRFcRSfgM-diReoT7T3pbOuUngxFcgkBnhomSQ4V78Q7cZk6h5Sg8942rdZLk3qm8ypVqda6IEPpDpKG6uj3g5YWMFmS7JSLrvqDPeCcXeFvCxtGdA8W0xZ75CWIcq7iLst1ZKVX~JlFKUD1udxjrEA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"},{"id":110347823,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347823/thumbnails/1.jpg","file_name":"s12875-023-02038-0.pdf","download_url":"https://www.academia.edu/attachments/110347823/download_file","bulk_download_file_name":"Increasing_the_chance_of_dying_at_home_r.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347823/s12875-023-02038-0-libre.pdf?1705054648=\u0026response-content-disposition=attachment%3B+filename%3DIncreasing_the_chance_of_dying_at_home_r.pdf\u0026Expires=1743577075\u0026Signature=QvsW9PmJzBwaGUQ3KZHzq3-otKhyzSQPQTRn6mZV5kM4W1E-GzZvi9xC9y5fTF1Qgf98bFX65d23YBkEVfyQNO4pBxumSTfGTk0er3bRk0XUodwar4fa9bLU7Ky1NaXf-2D41Z1h~czPnzSl~nN5RkqK8lViDVvHMkKrKinJIURZ618Ijvq8Gru93YcPFSOwJw8KCfgEfocXjPNeq~MOTRNgEoHEBtY70DyvNClzymtrDM6OFeBccKoyjYAXBD5i9EOkOjLkUD0CEQF0nNu2DtiuQvA41aHhv~vyYQ8XCF52Redab2b26asnJGe7uL0n~shfEinFbrcYDfGi9BY-uA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":588,"name":"Nursing","url":"https://www.academia.edu/Documents/in/Nursing"},{"id":4482,"name":"Palliative Care","url":"https://www.academia.edu/Documents/in/Palliative_Care"},{"id":12135,"name":"Qualitative Research","url":"https://www.academia.edu/Documents/in/Qualitative_Research"},{"id":36437,"name":"Thematic Analysis","url":"https://www.academia.edu/Documents/in/Thematic_Analysis"},{"id":113272,"name":"Focus Group","url":"https://www.academia.edu/Documents/in/Focus_Group"},{"id":144043,"name":"Psychosocial","url":"https://www.academia.edu/Documents/in/Psychosocial"}],"urls":[{"id":38485838,"url":"https://bmcprimcare.biomedcentral.com/counter/pdf/10.1186/s12875-023-02038-0"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-113372566-figures'); } }); </script> </div><div class="profile--tab_content_container js-tab-pane tab-pane" data-section-id="12151061" id="papers"><div class="js-work-strip profile--work_container" data-work-id="127512230"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/127512230/Collaboration_between_general_practitioners_and_health_visitors_about_children_of_concern_in_Denmark_a_qualitative_study"><img alt="Research paper thumbnail of Collaboration between general practitioners and health visitors about children of concern in Denmark: a qualitative study" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title">Collaboration between general practitioners and health visitors about children of concern in Denmark: a qualitative study</div><div class="wp-workCard_item"><span>Journal of interprofessional care</span><span>, May 30, 2024</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="127512230"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="127512230"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 127512230; 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-127512230-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="127512229"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/127512229/Factors_promoting_and_impeding_efforts_to_deprescribe_antidepressants_among_nursing_home_residents_with_dementia_a_process_evaluation_guided_by_normalization_process_theory"><img alt="Research paper thumbnail of Factors promoting and impeding efforts to deprescribe antidepressants among nursing home residents with dementia– a process evaluation guided by normalization process theory" class="work-thumbnail" src="https://attachments.academia-assets.com/121234897/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/127512229/Factors_promoting_and_impeding_efforts_to_deprescribe_antidepressants_among_nursing_home_residents_with_dementia_a_process_evaluation_guided_by_normalization_process_theory">Factors promoting and impeding efforts to deprescribe antidepressants among nursing home residents with dementia– a process evaluation guided by normalization process theory</a></div><div class="wp-workCard_item"><span>BMC nursing</span><span>, Apr 28, 2024</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Background Despite recommendations against psychotropic medication in older nursing homes residen...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Background Despite recommendations against psychotropic medication in older nursing homes residents with behavioral and psychological symptoms of dementia (BPSD), antidepressants and other psychotropic drugs are still prescribed. We performed a cluster-randomized controlled trial to evaluate the effect of a complex intervention aiming to promote the deprescribing of antidepressants in institutionalized older persons with dementia. To understand the underlying mechanisms of trial outcomes, we conducted a process evaluation exploring the interventions implementation, areas of impact, and contextual factors. The aim of this study was to explore the implementation process and the key factors that promoted and inhibited intervention implementation in the care home setting (Clinicaltrials.gov: NCT04985305. Registered 30 July 2021). Methods Qualitative interviews were conducted between August 2022 and February 2023 with four general practitioners and eight nursing home staff from four associated nursing homes in the Capital Region of Denmark. We coded the interview data according to the four constructs of the Normalization Process Theory (coherence, cognitive participation, collective action, and reflexive monitoring). There was a common understanding of the intervention aim. We observed a raised awareness concerning the deprescription of antidepressants among healthcare professionals with good collaboration (coherence). An overall buy-in to a deprescribing mentality was seen (cognitive participation). There were barriers to the GPs and nursing home staff's use of the intervention elements and how they implemented it, but to some, a common language was created (collective action). Professionals overall valued the idea of deprescribing, but lack of time, high staff turnover, and low education level among nursing home staff hampered the integration (reflexive monitoring). Successful implementation seemed to be dependent on the quality of the relationship between the single GP and the single nursing home professional. A common deprescribing mentality promoted the uptake of the intervention. However, several barriers related to lack of resources hindered implementation.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="822c262b1cc028667ca0a1e65829e16e" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":121234897,"asset_id":127512229,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/121234897/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="127512229"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="127512229"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 127512229; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=127512229]").text(description); $(".js-view-count[data-work-id=127512229]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 127512229; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='127512229']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "822c262b1cc028667ca0a1e65829e16e" } } $('.js-work-strip[data-work-id=127512229]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":127512229,"title":"Factors promoting and impeding efforts to deprescribe antidepressants among nursing home residents with dementia– a process evaluation guided by normalization process theory","translated_title":"","metadata":{"grobid_abstract":"Background Despite recommendations against psychotropic medication in older nursing homes residents with behavioral and psychological symptoms of dementia (BPSD), antidepressants and other psychotropic drugs are still prescribed. We performed a cluster-randomized controlled trial to evaluate the effect of a complex intervention aiming to promote the deprescribing of antidepressants in institutionalized older persons with dementia. To understand the underlying mechanisms of trial outcomes, we conducted a process evaluation exploring the interventions implementation, areas of impact, and contextual factors. The aim of this study was to explore the implementation process and the key factors that promoted and inhibited intervention implementation in the care home setting (Clinicaltrials.gov: NCT04985305. Registered 30 July 2021). Methods Qualitative interviews were conducted between August 2022 and February 2023 with four general practitioners and eight nursing home staff from four associated nursing homes in the Capital Region of Denmark. We coded the interview data according to the four constructs of the Normalization Process Theory (coherence, cognitive participation, collective action, and reflexive monitoring). There was a common understanding of the intervention aim. We observed a raised awareness concerning the deprescription of antidepressants among healthcare professionals with good collaboration (coherence). An overall buy-in to a deprescribing mentality was seen (cognitive participation). There were barriers to the GPs and nursing home staff's use of the intervention elements and how they implemented it, but to some, a common language was created (collective action). Professionals overall valued the idea of deprescribing, but lack of time, high staff turnover, and low education level among nursing home staff hampered the integration (reflexive monitoring). Successful implementation seemed to be dependent on the quality of the relationship between the single GP and the single nursing home professional. 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We coded the interview data according to the four constructs of the Normalization Process Theory (coherence, cognitive participation, collective action, and reflexive monitoring). There was a common understanding of the intervention aim. We observed a raised awareness concerning the deprescription of antidepressants among healthcare professionals with good collaboration (coherence). An overall buy-in to a deprescribing mentality was seen (cognitive participation). There were barriers to the GPs and nursing home staff's use of the intervention elements and how they implemented it, but to some, a common language was created (collective action). Professionals overall valued the idea of deprescribing, but lack of time, high staff turnover, and low education level among nursing home staff hampered the integration (reflexive monitoring). Successful implementation seemed to be dependent on the quality of the relationship between the single GP and the single nursing home professional. A common deprescribing mentality promoted the uptake of the intervention. However, several barriers related to lack of resources hindered implementation.","owner":{"id":2450366,"first_name":"Gritt","middle_initials":null,"last_name":"Overbeck","page_name":"GrittOverbeck","domain_name":"ku-dk","created_at":"2012-09-06T06:05:08.323-07:00","display_name":"Gritt Overbeck","url":"https://ku-dk.academia.edu/GrittOverbeck"},"attachments":[{"id":121234897,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/121234897/thumbnails/1.jpg","file_name":"s12912-024-01932-x.pdf","download_url":"https://www.academia.edu/attachments/121234897/download_file","bulk_download_file_name":"Factors_promoting_and_impeding_efforts_t.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/121234897/s12912-024-01932-x-libre.pdf?1738926107=\u0026response-content-disposition=attachment%3B+filename%3DFactors_promoting_and_impeding_efforts_t.pdf\u0026Expires=1743577073\u0026Signature=KjS8VAiPV3~hM27h8KKx6Zf8oSnz5WI6zIUqHaNY37qSF5GECdz75M0ZhyRb38D9tQuCJo2enh4kE4xy5hzUsx~WvOr4NGXm9vlo3pntolyoHOXocAcFGEFlNoAbyuFel3By1mCr0MO2XHdKRB-Ogcnq7tBMU19NJCvv65C5FXh721DtncZXDiBhICQIheWa0ENKkdo0saHqXZ4X8OryTqgaDv05xnUWIsUvd8t0JJjul2TfwFGXkt3MKdKhxcYmdQwuyvRlBMWVhVvafMi3QXFPJe9lnDCKon8ZxmV3ZAas3IGK4X7dc-y5ykZuq96BZs97ujic7UdIopeCuIXRVw__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"},{"id":121234896,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/121234896/thumbnails/1.jpg","file_name":"s12912-024-01932-x.pdf","download_url":"https://www.academia.edu/attachments/121234896/download_file","bulk_download_file_name":"Factors_promoting_and_impeding_efforts_t.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/121234896/s12912-024-01932-x-libre.pdf?1738926103=\u0026response-content-disposition=attachment%3B+filename%3DFactors_promoting_and_impeding_efforts_t.pdf\u0026Expires=1743577073\u0026Signature=f1JP7ceDuafoQA-PR7gzwLyiK7Gg3NB-axyRTpcVI3Fd5NFrVyimxm4pVav7f9ez5-v4VI-tQy0vhmQVDhkDIqeARqIzCNShjB4O4PbujUq2wcbY~COrrFqwiSeZacvoGjExw4ePxpmMUSlIuQpy1l3O3oJ-1fCqh1UCo3GixhuPHfB5~tv4Qep~uic~WkAvjlTku9h2uzt9w1l7p-ER4PS0OZD~XT3kYCYh2R4HW3l0mBJrA1JzQYXtEAvdYPwDuAUatUqVuAI0atw0C92uXfzBp4gnyxj6c19tWc32y7vyGxDO6-YACuOTDRZccrV3md07q5jh3mYicvm0ExOE~Q__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":588,"name":"Nursing","url":"https://www.academia.edu/Documents/in/Nursing"},{"id":3662,"name":"Dementia","url":"https://www.academia.edu/Documents/in/Dementia"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":57294,"name":"Nursing Research","url":"https://www.academia.edu/Documents/in/Nursing_Research"},{"id":116278,"name":"Psychological Intervention","url":"https://www.academia.edu/Documents/in/Psychological_Intervention"},{"id":805430,"name":"Guidance and Counseling Intervention Programs","url":"https://www.academia.edu/Documents/in/Guidance_and_Counseling_Intervention_Programs"},{"id":1488159,"name":"Deprescribing","url":"https://www.academia.edu/Documents/in/Deprescribing"}],"urls":[{"id":46767076,"url":"https://bmcnurs.biomedcentral.com/counter/pdf/10.1186/s12912-024-01932-x"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-127512229-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="127512228"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/127512228/Uptake_of_signposting_to_web_based_resources_pregnant_women_s_use_of_a_preventive_web_based_intervention"><img alt="Research paper thumbnail of Uptake of signposting to web-based resources: pregnant women’s use of a preventive web-based intervention" class="work-thumbnail" src="https://attachments.academia-assets.com/121234895/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/127512228/Uptake_of_signposting_to_web_based_resources_pregnant_women_s_use_of_a_preventive_web_based_intervention">Uptake of signposting to web-based resources: pregnant women’s use of a preventive web-based intervention</a></div><div class="wp-workCard_item"><span>BMC Primary Care</span><span>, Sep 15, 2023</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Background Signposting to web-based interventions is becoming increasingly popular in primary car...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Background Signposting to web-based interventions is becoming increasingly popular in primary care. Most resources are focused on individuals with clinical problems, but less is known about the uptake of general practice (GP) signposted web-based interventions. GPs in Denmark are responsible for scheduled preventive care during pregnancy and the child's first five years. In the "Family Well-being in General Practice" trial the web-based intervention "Resilientchild.dk" is introduced at these consultations. Resilientchild.dk is designed to improve the capacity of parents to understand the mental state of themselves, their partners, and their children. In this study we assess the uptake and use of this web-based intervention. Objective To describe participant and practice characteristics associated with the use of a web-based psychoeducational intervention. Eligible participants were pregnant women presenting at their first antenatal assessment, usually around 6-10 gestational weeks. The study was nested in a cluster randomised trial of resilientchild.dk. We conducted a relative importance analysis, which allows for determination of the variables most strongly associated with website use. To assess the direction and magnitude of the influences of the identified variables, we applied multinomial generalized linear mixed modelling. A practice random effect allows us to account for clustering of women within practices. Parity and the absence of a nurse or midwife in the practice were important factors driving a decrease in the likelihood of using resilientchild.dk. Being a student or living outside the capital city were important factors driving an increase in the likelihood of using resilientchild.dk. The data offer unique opportunities to assess the utilisation of a web-based mental health-promotion intervention following advice from a clinician. This study draws conclusions about which patients are likely to access similar resources and which practice characteristics encourage their use. Registered in clinicaltrials.gov, Trial number: NCT04129359 Date of registration: 16/10/2019 ( caltr ials. gov/ ct2/ show/ NCT04 129359).</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="3ab1711cbab0cf3fc8878bd2b9e8e9d9" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":121234895,"asset_id":127512228,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/121234895/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="127512228"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="127512228"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 127512228; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=127512228]").text(description); $(".js-view-count[data-work-id=127512228]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 127512228; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='127512228']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "3ab1711cbab0cf3fc8878bd2b9e8e9d9" } } $('.js-work-strip[data-work-id=127512228]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":127512228,"title":"Uptake of signposting to web-based resources: pregnant women’s use of a preventive web-based intervention","translated_title":"","metadata":{"publisher":"BioMed Central","grobid_abstract":"Background Signposting to web-based interventions is becoming increasingly popular in primary care. Most resources are focused on individuals with clinical problems, but less is known about the uptake of general practice (GP) signposted web-based interventions. GPs in Denmark are responsible for scheduled preventive care during pregnancy and the child's first five years. In the \"Family Well-being in General Practice\" trial the web-based intervention \"Resilientchild.dk\" is introduced at these consultations. Resilientchild.dk is designed to improve the capacity of parents to understand the mental state of themselves, their partners, and their children. In this study we assess the uptake and use of this web-based intervention. Objective To describe participant and practice characteristics associated with the use of a web-based psychoeducational intervention. Eligible participants were pregnant women presenting at their first antenatal assessment, usually around 6-10 gestational weeks. The study was nested in a cluster randomised trial of resilientchild.dk. We conducted a relative importance analysis, which allows for determination of the variables most strongly associated with website use. To assess the direction and magnitude of the influences of the identified variables, we applied multinomial generalized linear mixed modelling. A practice random effect allows us to account for clustering of women within practices. Parity and the absence of a nurse or midwife in the practice were important factors driving a decrease in the likelihood of using resilientchild.dk. Being a student or living outside the capital city were important factors driving an increase in the likelihood of using resilientchild.dk. The data offer unique opportunities to assess the utilisation of a web-based mental health-promotion intervention following advice from a clinician. This study draws conclusions about which patients are likely to access similar resources and which practice characteristics encourage their use. 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Most resources are focused on individuals with clinical problems, but less is known about the uptake of general practice (GP) signposted web-based interventions. GPs in Denmark are responsible for scheduled preventive care during pregnancy and the child's first five years. In the \"Family Well-being in General Practice\" trial the web-based intervention \"Resilientchild.dk\" is introduced at these consultations. Resilientchild.dk is designed to improve the capacity of parents to understand the mental state of themselves, their partners, and their children. In this study we assess the uptake and use of this web-based intervention. Objective To describe participant and practice characteristics associated with the use of a web-based psychoeducational intervention. Eligible participants were pregnant women presenting at their first antenatal assessment, usually around 6-10 gestational weeks. The study was nested in a cluster randomised trial of resilientchild.dk. We conducted a relative importance analysis, which allows for determination of the variables most strongly associated with website use. To assess the direction and magnitude of the influences of the identified variables, we applied multinomial generalized linear mixed modelling. A practice random effect allows us to account for clustering of women within practices. Parity and the absence of a nurse or midwife in the practice were important factors driving a decrease in the likelihood of using resilientchild.dk. Being a student or living outside the capital city were important factors driving an increase in the likelihood of using resilientchild.dk. The data offer unique opportunities to assess the utilisation of a web-based mental health-promotion intervention following advice from a clinician. This study draws conclusions about which patients are likely to access similar resources and which practice characteristics encourage their use. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-127512228-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="127512226"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/127512226/Kritisk_l%C3%A6sning_af_kvalitative_forskningsartikler"><img alt="Research paper thumbnail of Kritisk læsning af kvalitative forskningsartikler" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title">Kritisk læsning af kvalitative forskningsartikler</div><div class="wp-workCard_item"><span>Ugeskrift for Læger</span><span>, Dec 31, 2023</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="127512226"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="127512226"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 127512226; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=127512226]").text(description); $(".js-view-count[data-work-id=127512226]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 127512226; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='127512226']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=127512226]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":127512226,"title":"Kritisk læsning af kvalitative forskningsartikler","translated_title":"","metadata":{"publisher":"Danish Medical Association","publication_date":{"day":31,"month":12,"year":2023,"errors":{}},"publication_name":"Ugeskrift for Læger"},"translated_abstract":null,"internal_url":"https://www.academia.edu/127512226/Kritisk_l%C3%A6sning_af_kvalitative_forskningsartikler","translated_internal_url":"","created_at":"2025-02-07T02:22:24.580-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":2450366,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Kritisk_læsning_af_kvalitative_forskningsartikler","translated_slug":"","page_count":null,"language":"da","content_type":"Work","summary":null,"owner":{"id":2450366,"first_name":"Gritt","middle_initials":null,"last_name":"Overbeck","page_name":"GrittOverbeck","domain_name":"ku-dk","created_at":"2012-09-06T06:05:08.323-07:00","display_name":"Gritt Overbeck","url":"https://ku-dk.academia.edu/GrittOverbeck"},"attachments":[],"research_interests":[{"id":184,"name":"Sociology","url":"https://www.academia.edu/Documents/in/Sociology"},{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology"},{"id":422,"name":"Computer Science","url":"https://www.academia.edu/Documents/in/Computer_Science"},{"id":534,"name":"Law","url":"https://www.academia.edu/Documents/in/Law"},{"id":2008,"name":"Machine Learning","url":"https://www.academia.edu/Documents/in/Machine_Learning"},{"id":4455,"name":"Medical Education","url":"https://www.academia.edu/Documents/in/Medical_Education"},{"id":4486,"name":"Political Science","url":"https://www.academia.edu/Documents/in/Political_Science"},{"id":12135,"name":"Qualitative Research","url":"https://www.academia.edu/Documents/in/Qualitative_Research"},{"id":13923,"name":"Computer Security","url":"https://www.academia.edu/Documents/in/Computer_Security"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":251894,"name":"Qualitative Analysis","url":"https://www.academia.edu/Documents/in/Qualitative_Analysis"},{"id":1197942,"name":"Social Science","url":"https://www.academia.edu/Documents/in/Social_Science"},{"id":1354400,"name":"Reading Process","url":"https://www.academia.edu/Documents/in/Reading_Process"}],"urls":[{"id":46767073,"url":"https://doi.org/10.61409/v08230491"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-127512226-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="124230388"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/124230388/Implementing_PCR_testing_in_general_practice_a_qualitative_study_using_normalization_process_theory"><img alt="Research paper thumbnail of Implementing PCR testing in general practice—a qualitative study using normalization process theory" class="work-thumbnail" src="https://attachments.academia-assets.com/118495829/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/124230388/Implementing_PCR_testing_in_general_practice_a_qualitative_study_using_normalization_process_theory">Implementing PCR testing in general practice—a qualitative study using normalization process theory</a></div><div class="wp-workCard_item"><span>BMC Health Services Research</span><span>, Nov 29, 2023</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Background The COVID-19 pandemic brought attention to a need for rapid testing of large populatio...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Background The COVID-19 pandemic brought attention to a need for rapid testing of large populations. Experiences from community-based testing settings show that there can be workload difficulties, logistical challenges and socioeconomic downsides to large scale Polymerase Chain Reaction (PCR) testing. Alternative testing arenas have therefore been considered. Rapid point-of-care (POC) PCR test methods have since been developed and could have potential to surveille viral respiratory infections. It is, however, unknown if PCR testing can be successfully implemented routinely in general practice. The aim of this study was to assess factors that enable and inhibit the implementation of point-of-care PCR testing for acute respiratory tract infection in general practice. Methods Fourteen general practices in the east Zealand area in Denmark were included in the study and given access to POC PCR testing equipment during a flu season. The participating clinics were initially trained in the use of a POC PCR testing device and then spent 6 weeks testing it. We conducted qualitative interviews with general practitioners (GPs) and their staff, before and after the testing period, specifically focusing on their clinical decision-making and internal collaboration in relation to POC PCR testing. We used normalization process theory to design the interview guides and to analyze the data. Results Professionals reported no clinical need for a POC PCR testing device in a non-pandemic clinical setting. Results were delivered faster, but this was only timesaving for the patient and not the GP, who had to perform more tasks. Conclusion In its current form, the added diagnostic value of using POC PCR testing in general practice was not sufficient for the professionals to justify the increased work connected to the usage of the diagnostic procedure in daily practice. Trial registration n/a.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="be4425c63346228929b86fd84d17ead7" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":118495829,"asset_id":124230388,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/118495829/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="124230388"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="124230388"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 124230388; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=124230388]").text(description); $(".js-view-count[data-work-id=124230388]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 124230388; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='124230388']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "be4425c63346228929b86fd84d17ead7" } } $('.js-work-strip[data-work-id=124230388]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":124230388,"title":"Implementing PCR testing in general practice—a qualitative study using normalization process theory","translated_title":"","metadata":{"publisher":"BioMed Central","grobid_abstract":"Background The COVID-19 pandemic brought attention to a need for rapid testing of large populations. Experiences from community-based testing settings show that there can be workload difficulties, logistical challenges and socioeconomic downsides to large scale Polymerase Chain Reaction (PCR) testing. Alternative testing arenas have therefore been considered. Rapid point-of-care (POC) PCR test methods have since been developed and could have potential to surveille viral respiratory infections. It is, however, unknown if PCR testing can be successfully implemented routinely in general practice. The aim of this study was to assess factors that enable and inhibit the implementation of point-of-care PCR testing for acute respiratory tract infection in general practice. Methods Fourteen general practices in the east Zealand area in Denmark were included in the study and given access to POC PCR testing equipment during a flu season. The participating clinics were initially trained in the use of a POC PCR testing device and then spent 6 weeks testing it. We conducted qualitative interviews with general practitioners (GPs) and their staff, before and after the testing period, specifically focusing on their clinical decision-making and internal collaboration in relation to POC PCR testing. We used normalization process theory to design the interview guides and to analyze the data. Results Professionals reported no clinical need for a POC PCR testing device in a non-pandemic clinical setting. Results were delivered faster, but this was only timesaving for the patient and not the GP, who had to perform more tasks. Conclusion In its current form, the added diagnostic value of using POC PCR testing in general practice was not sufficient for the professionals to justify the increased work connected to the usage of the diagnostic procedure in daily practice. Trial registration n/a.","publication_date":{"day":29,"month":11,"year":2023,"errors":{}},"publication_name":"BMC Health Services Research","grobid_abstract_attachment_id":118495829},"translated_abstract":null,"internal_url":"https://www.academia.edu/124230388/Implementing_PCR_testing_in_general_practice_a_qualitative_study_using_normalization_process_theory","translated_internal_url":"","created_at":"2024-09-28T10:44:57.563-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":2450366,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":118495829,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/118495829/thumbnails/1.jpg","file_name":"s12913-023-10355-4.pdf","download_url":"https://www.academia.edu/attachments/118495829/download_file","bulk_download_file_name":"Implementing_PCR_testing_in_general_prac.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/118495829/s12913-023-10355-4-libre.pdf?1727546925=\u0026response-content-disposition=attachment%3B+filename%3DImplementing_PCR_testing_in_general_prac.pdf\u0026Expires=1743577073\u0026Signature=eJvysCsZi45gmZXI0e4J4mveKBtc8DX9J158UzUwoTguhwyACXHjhw0UwEUXQ4ZJOA2E32YsO9RCSAHF5Mk3TDOafzimTaogrKgMrCnTkdiF3ENGnZ9zaRURmoii0Y39bXeQs9~YvhhExW5rVlwFHD8pX4kfAlfNmhcztMyRJ-ocqRR7fRh-CW93lVFf4BCxe4lNVmOdLmCId-Sv2el24altMdpVm--1fX5Up9c1f~EY8kQyLibZBeKnKU8AsdqDrxhvdb2nzP5tAkuxvz3A83hjdGWsznkS86fapIVKKPbkGrqbX9p2KQFiyms7IAiaBeCLiaN-SUr6d1cabYgssA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Implementing_PCR_testing_in_general_practice_a_qualitative_study_using_normalization_process_theory","translated_slug":"","page_count":9,"language":"en","content_type":"Work","summary":"Background The COVID-19 pandemic brought attention to a need for rapid testing of large populations. Experiences from community-based testing settings show that there can be workload difficulties, logistical challenges and socioeconomic downsides to large scale Polymerase Chain Reaction (PCR) testing. Alternative testing arenas have therefore been considered. Rapid point-of-care (POC) PCR test methods have since been developed and could have potential to surveille viral respiratory infections. It is, however, unknown if PCR testing can be successfully implemented routinely in general practice. The aim of this study was to assess factors that enable and inhibit the implementation of point-of-care PCR testing for acute respiratory tract infection in general practice. Methods Fourteen general practices in the east Zealand area in Denmark were included in the study and given access to POC PCR testing equipment during a flu season. The participating clinics were initially trained in the use of a POC PCR testing device and then spent 6 weeks testing it. We conducted qualitative interviews with general practitioners (GPs) and their staff, before and after the testing period, specifically focusing on their clinical decision-making and internal collaboration in relation to POC PCR testing. We used normalization process theory to design the interview guides and to analyze the data. Results Professionals reported no clinical need for a POC PCR testing device in a non-pandemic clinical setting. Results were delivered faster, but this was only timesaving for the patient and not the GP, who had to perform more tasks. Conclusion In its current form, the added diagnostic value of using POC PCR testing in general practice was not sufficient for the professionals to justify the increased work connected to the usage of the diagnostic procedure in daily practice. Trial registration n/a.","owner":{"id":2450366,"first_name":"Gritt","middle_initials":null,"last_name":"Overbeck","page_name":"GrittOverbeck","domain_name":"ku-dk","created_at":"2012-09-06T06:05:08.323-07:00","display_name":"Gritt Overbeck","url":"https://ku-dk.academia.edu/GrittOverbeck"},"attachments":[{"id":118495829,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/118495829/thumbnails/1.jpg","file_name":"s12913-023-10355-4.pdf","download_url":"https://www.academia.edu/attachments/118495829/download_file","bulk_download_file_name":"Implementing_PCR_testing_in_general_prac.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/118495829/s12913-023-10355-4-libre.pdf?1727546925=\u0026response-content-disposition=attachment%3B+filename%3DImplementing_PCR_testing_in_general_prac.pdf\u0026Expires=1743577073\u0026Signature=eJvysCsZi45gmZXI0e4J4mveKBtc8DX9J158UzUwoTguhwyACXHjhw0UwEUXQ4ZJOA2E32YsO9RCSAHF5Mk3TDOafzimTaogrKgMrCnTkdiF3ENGnZ9zaRURmoii0Y39bXeQs9~YvhhExW5rVlwFHD8pX4kfAlfNmhcztMyRJ-ocqRR7fRh-CW93lVFf4BCxe4lNVmOdLmCId-Sv2el24altMdpVm--1fX5Up9c1f~EY8kQyLibZBeKnKU8AsdqDrxhvdb2nzP5tAkuxvz3A83hjdGWsznkS86fapIVKKPbkGrqbX9p2KQFiyms7IAiaBeCLiaN-SUr6d1cabYgssA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"},{"id":118495828,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/118495828/thumbnails/1.jpg","file_name":"s12913-023-10355-4.pdf","download_url":"https://www.academia.edu/attachments/118495828/download_file","bulk_download_file_name":"Implementing_PCR_testing_in_general_prac.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/118495828/s12913-023-10355-4-libre.pdf?1727546931=\u0026response-content-disposition=attachment%3B+filename%3DImplementing_PCR_testing_in_general_prac.pdf\u0026Expires=1743577073\u0026Signature=C9C53xjqqy20MDHllounuJ7ACSpi8n~ci22tGFm0tmSzf9pQ3fwJN9Ng-db-7AK~ChS0SuKE2pcux5FCnDzxyy150O5M~GNp-qtRMinA10vt~Vsle5uEk6waF5M-Q6B4DlUdgqaoCkfs3iiCq2-aHOOlN53hPEKKiuiSgKld4kEk~U3GjK76u9x8BbREPSlDmWL4YQp---NHbHPiho4P893V5aVzTy-t-mD4bDO9j02ObSDSzNtVCLwV3zjxod9s-7zNsRguVohscEzXuyIBmRszwDN~Pr8uN~PJBZHhcKautj23Du9dnYqD0NGgG0cbRvxLRceI95hQ0KjWCiClyg__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":165,"name":"Pathology","url":"https://www.academia.edu/Documents/in/Pathology"},{"id":422,"name":"Computer Science","url":"https://www.academia.edu/Documents/in/Computer_Science"},{"id":588,"name":"Nursing","url":"https://www.academia.edu/Documents/in/Nursing"},{"id":4376,"name":"Family Medicine","url":"https://www.academia.edu/Documents/in/Family_Medicine"},{"id":16288,"name":"Public Health","url":"https://www.academia.edu/Documents/in/Public_Health"},{"id":21560,"name":"Health Administration","url":"https://www.academia.edu/Documents/in/Health_Administration"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":44244,"name":"OPERATING SYSTEM","url":"https://www.academia.edu/Documents/in/OPERATING_SYSTEM"},{"id":53293,"name":"Software","url":"https://www.academia.edu/Documents/in/Software"},{"id":99773,"name":"Disease","url":"https://www.academia.edu/Documents/in/Disease"},{"id":111123,"name":"Point of Care","url":"https://www.academia.edu/Documents/in/Point_of_Care"},{"id":172784,"name":"Workload","url":"https://www.academia.edu/Documents/in/Workload"},{"id":182436,"name":"Alternative Medicine","url":"https://www.academia.edu/Documents/in/Alternative_Medicine"},{"id":914941,"name":"Point of Care Testing","url":"https://www.academia.edu/Documents/in/Point_of_Care_Testing"},{"id":1028827,"name":"Pandemic","url":"https://www.academia.edu/Documents/in/Pandemic"},{"id":1489478,"name":"Programming language","url":"https://www.academia.edu/Documents/in/Programming_language"},{"id":3686510,"name":"Coronavirus Disease 2019 (COVID-19)","url":"https://www.academia.edu/Documents/in/Coronavirus_Disease_2019_COVID-19_"}],"urls":[{"id":44862058,"url":"https://bmchealthservres.biomedcentral.com/counter/pdf/10.1186/s12913-023-10355-4"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-124230388-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="121235178"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/121235178/A_Cluster_randomized_Trial_of_a_Complex_Intervention_to_Encourage_Deprescribing_Antidepressants_in_Nursing_Home_Residents_With_Dementia_a_Study_Protocol"><img alt="Research paper thumbnail of A Cluster-randomized Trial of a Complex Intervention to Encourage Deprescribing Antidepressants in Nursing Home Residents With Dementia: a Study Protocol" class="work-thumbnail" src="https://attachments.academia-assets.com/116168363/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/121235178/A_Cluster_randomized_Trial_of_a_Complex_Intervention_to_Encourage_Deprescribing_Antidepressants_in_Nursing_Home_Residents_With_Dementia_a_Study_Protocol">A Cluster-randomized Trial of a Complex Intervention to Encourage Deprescribing Antidepressants in Nursing Home Residents With Dementia: a Study Protocol</a></div><div class="wp-workCard_item"><span>Research Square (Research Square)</span><span>, Nov 12, 2021</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Background: The effectiveness of psychotropic medication on behavioral and psychological symptoms...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Background: The effectiveness of psychotropic medication on behavioral and psychological symptoms in dementia (BPSD) is limited, while associated with a higher risk of adverse events. Nonpharmacological treatment of BPSD is advocated as treatment of rst choice. However, many general practitioners (GPs) nd it di cult to initiate deprescribing and when attempting to discontinue psychotropic medication in nursing home residents, they face many barriers. Therefore, we hypothesize that an intervention aimed at improving communication with and involvement of nursing home staff, relatives, and patients by GPs can optimize the pharmacological treatment of BPSD. The aim is to reduce the use of antidepressants in nursing home residents with dementia without increasing morbidity or mortality. Objective: The primary outcome is reduction of antidepressant. Secondary outcomes include difference in use of other psychotropic medication, mortality, morbidity, and severity of BPSD. Method: The study is a cluster-randomized controlled trial based in general practices in Denmark. We aim to include 22 practices, each of which will recruit up to 15 patients with dementia living in nursing homes. The intervention period is three months, and the total study period is one year. Randomization is 1:1 to intervention and control group by computer algorithm. Both groups receive education on BPSD and its evidence-based treatment. The intervention includes three tailored components; 1) teaching material and training to be used by the GP to educate nursing home staff on BPSD, 2) a pre-visit re ection tool to encourage nursing home staff to evaluate symptoms and re ect on relatives involvement in the discontinuation process and 3) a dialogue tool to facilitate shared decision making on optimization of BPSD treatment during the visits at the nursing home. The control group includes enhanced care as usual. The primary and secondary outcomes will be assessed at the end of the study period. An evaluation process will be conducted to assess the implementability. Discussion: We anticipate that the intervention will optimize the treatment of BPSD with antidepressants for nursing homes residents and enhance compliance with reduction of medication. The process evaluation should provide insights into the barriers and facilitators to changing the current practice of deprescribing.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="f549f4950314b1dcea17246ab59e8803" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":116168363,"asset_id":121235178,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/116168363/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="121235178"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="121235178"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 121235178; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=121235178]").text(description); $(".js-view-count[data-work-id=121235178]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 121235178; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='121235178']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "f549f4950314b1dcea17246ab59e8803" } } $('.js-work-strip[data-work-id=121235178]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":121235178,"title":"A Cluster-randomized Trial of a Complex Intervention to Encourage Deprescribing Antidepressants in Nursing Home Residents With Dementia: a Study Protocol","translated_title":"","metadata":{"publisher":"Research Square","ai_title_tag":"Deprescribing Antidepressants in Dementia Care","grobid_abstract":"Background: The effectiveness of psychotropic medication on behavioral and psychological symptoms in dementia (BPSD) is limited, while associated with a higher risk of adverse events. Nonpharmacological treatment of BPSD is advocated as treatment of rst choice. However, many general practitioners (GPs) nd it di cult to initiate deprescribing and when attempting to discontinue psychotropic medication in nursing home residents, they face many barriers. Therefore, we hypothesize that an intervention aimed at improving communication with and involvement of nursing home staff, relatives, and patients by GPs can optimize the pharmacological treatment of BPSD. The aim is to reduce the use of antidepressants in nursing home residents with dementia without increasing morbidity or mortality. Objective: The primary outcome is reduction of antidepressant. Secondary outcomes include difference in use of other psychotropic medication, mortality, morbidity, and severity of BPSD. Method: The study is a cluster-randomized controlled trial based in general practices in Denmark. We aim to include 22 practices, each of which will recruit up to 15 patients with dementia living in nursing homes. The intervention period is three months, and the total study period is one year. Randomization is 1:1 to intervention and control group by computer algorithm. Both groups receive education on BPSD and its evidence-based treatment. The intervention includes three tailored components; 1) teaching material and training to be used by the GP to educate nursing home staff on BPSD, 2) a pre-visit re ection tool to encourage nursing home staff to evaluate symptoms and re ect on relatives involvement in the discontinuation process and 3) a dialogue tool to facilitate shared decision making on optimization of BPSD treatment during the visits at the nursing home. The control group includes enhanced care as usual. The primary and secondary outcomes will be assessed at the end of the study period. An evaluation process will be conducted to assess the implementability. Discussion: We anticipate that the intervention will optimize the treatment of BPSD with antidepressants for nursing homes residents and enhance compliance with reduction of medication. The process evaluation should provide insights into the barriers and facilitators to changing the current practice of deprescribing.","publication_date":{"day":12,"month":11,"year":2021,"errors":{}},"publication_name":"Research Square (Research Square)","grobid_abstract_attachment_id":116168363},"translated_abstract":null,"internal_url":"https://www.academia.edu/121235178/A_Cluster_randomized_Trial_of_a_Complex_Intervention_to_Encourage_Deprescribing_Antidepressants_in_Nursing_Home_Residents_With_Dementia_a_Study_Protocol","translated_internal_url":"","created_at":"2024-06-19T08:39:45.580-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":2450366,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":116168363,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/116168363/thumbnails/1.jpg","file_name":"6f9988bd-35b3-4854-823d-1d24e1ae9ae4.pdf","download_url":"https://www.academia.edu/attachments/116168363/download_file","bulk_download_file_name":"A_Cluster_randomized_Trial_of_a_Complex.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/116168363/6f9988bd-35b3-4854-823d-1d24e1ae9ae4-libre.pdf?1718814221=\u0026response-content-disposition=attachment%3B+filename%3DA_Cluster_randomized_Trial_of_a_Complex.pdf\u0026Expires=1743577073\u0026Signature=bZtMPlo9J2PvV4n5uNcIHURrpTygAQDiZswuLggC5h1urwh4WyNuBMupW-Jv9xk5n3nrKMy61xxyd659y3zmvGKC~uI~zJ8~lTGfCJzx6cbc4wDB~lo7crNnkjRpH8yPhZe9O4UnrUw3CTpxdpRSEX-VpjCRhDJcI2lNFqlD-zbuYEZR-9DEac~O5yngnamip5Tq0jNZEcYwAP2OmKPfOEOO0VFrDkgToPa~tGtLpIZHjks9m89EELfedrrEPuAKdhnVz~2xL3kWJO5tyhq7uM6rQRm8uGezrxoNIqjw4T4seXjcGHCiKaZGVmnwMYUmCfQtxCoevq1IqJeG3GINRw__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"A_Cluster_randomized_Trial_of_a_Complex_Intervention_to_Encourage_Deprescribing_Antidepressants_in_Nursing_Home_Residents_With_Dementia_a_Study_Protocol","translated_slug":"","page_count":23,"language":"en","content_type":"Work","summary":"Background: The effectiveness of psychotropic medication on behavioral and psychological symptoms in dementia (BPSD) is limited, while associated with a higher risk of adverse events. Nonpharmacological treatment of BPSD is advocated as treatment of rst choice. However, many general practitioners (GPs) nd it di cult to initiate deprescribing and when attempting to discontinue psychotropic medication in nursing home residents, they face many barriers. Therefore, we hypothesize that an intervention aimed at improving communication with and involvement of nursing home staff, relatives, and patients by GPs can optimize the pharmacological treatment of BPSD. The aim is to reduce the use of antidepressants in nursing home residents with dementia without increasing morbidity or mortality. Objective: The primary outcome is reduction of antidepressant. Secondary outcomes include difference in use of other psychotropic medication, mortality, morbidity, and severity of BPSD. Method: The study is a cluster-randomized controlled trial based in general practices in Denmark. We aim to include 22 practices, each of which will recruit up to 15 patients with dementia living in nursing homes. The intervention period is three months, and the total study period is one year. Randomization is 1:1 to intervention and control group by computer algorithm. Both groups receive education on BPSD and its evidence-based treatment. The intervention includes three tailored components; 1) teaching material and training to be used by the GP to educate nursing home staff on BPSD, 2) a pre-visit re ection tool to encourage nursing home staff to evaluate symptoms and re ect on relatives involvement in the discontinuation process and 3) a dialogue tool to facilitate shared decision making on optimization of BPSD treatment during the visits at the nursing home. The control group includes enhanced care as usual. The primary and secondary outcomes will be assessed at the end of the study period. An evaluation process will be conducted to assess the implementability. Discussion: We anticipate that the intervention will optimize the treatment of BPSD with antidepressants for nursing homes residents and enhance compliance with reduction of medication. The process evaluation should provide insights into the barriers and facilitators to changing the current practice of deprescribing.","owner":{"id":2450366,"first_name":"Gritt","middle_initials":null,"last_name":"Overbeck","page_name":"GrittOverbeck","domain_name":"ku-dk","created_at":"2012-09-06T06:05:08.323-07:00","display_name":"Gritt Overbeck","url":"https://ku-dk.academia.edu/GrittOverbeck"},"attachments":[{"id":116168363,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/116168363/thumbnails/1.jpg","file_name":"6f9988bd-35b3-4854-823d-1d24e1ae9ae4.pdf","download_url":"https://www.academia.edu/attachments/116168363/download_file","bulk_download_file_name":"A_Cluster_randomized_Trial_of_a_Complex.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/116168363/6f9988bd-35b3-4854-823d-1d24e1ae9ae4-libre.pdf?1718814221=\u0026response-content-disposition=attachment%3B+filename%3DA_Cluster_randomized_Trial_of_a_Complex.pdf\u0026Expires=1743577074\u0026Signature=eIM0YyZCcBNft028n~1cKOqTUwI3ryanAsiO10sY3PL49yRYIm5641A0RDq2SnJ6Fq0IYHmWvQQ1oDUAFGaZieUYDBhV4udWQviWeEH03vZ-Rg4zBNsuqXE4E2YZk6ovySny46LlNX~2XDp~bFGKD7VE6t2d9KTYF1Ev17Y8m6MPTI6zvZYJOryk2kR7whrNSzbxdw3MjvvjNoQ9kudDxO3lNjAQdp8EqxJYs4xB~irxBbQ2lhyW65QJ-GLTMW3vriH8z-FI965WpXJ~C-105aeIs0BjnxT19M9CpcnUIreFdlgSxVHhA0foXPgPE6ZZ162t~dlKieCiv~VVq~y~AA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":3662,"name":"Dementia","url":"https://www.academia.edu/Documents/in/Dementia"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":181597,"name":"Root-Mean Square Error","url":"https://www.academia.edu/Documents/in/Root-Mean_Square_Error"},{"id":413196,"name":"Randomized Controlled Trial","url":"https://www.academia.edu/Documents/in/Randomized_Controlled_Trial"},{"id":805430,"name":"Guidance and Counseling Intervention Programs","url":"https://www.academia.edu/Documents/in/Guidance_and_Counseling_Intervention_Programs"},{"id":1488159,"name":"Deprescribing","url":"https://www.academia.edu/Documents/in/Deprescribing"},{"id":3331893,"name":"discontinuation","url":"https://www.academia.edu/Documents/in/discontinuation"}],"urls":[{"id":43069654,"url":"https://doi.org/10.21203/rs.3.rs-961563/v1"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-121235178-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="113372584"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/113372584/Association_of_self_reported_mother_infant_relationship_with_child_and_adolescent_mental_health"><img alt="Research paper thumbnail of Association of self-reported mother–infant relationship with child and adolescent mental health" class="work-thumbnail" src="https://attachments.academia-assets.com/110347831/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/113372584/Association_of_self_reported_mother_infant_relationship_with_child_and_adolescent_mental_health">Association of self-reported mother–infant relationship with child and adolescent mental health</a></div><div class="wp-workCard_item"><span>British Journal of Psychiatry Open</span><span>, Feb 20, 2023</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">The quality of the relationship between mother and infant may have profound implications for the ...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">The quality of the relationship between mother and infant may have profound implications for the development of a child. Early indicators of psychological vulnerability may allow targeting of support for the child's cognitive, emotional and social development. A challenging mother-infant relationship could be one indicator of risk. Aims This study examined variations in psychological well-being and psychopathology among boys and girls according to early maternal perception of the mother-infant relationship. Method This study is based on 64 663 mother-infant pairs from the Danish National Birth Cohort, for which data on the motherinfant relationship were collected at 6 months postpartum. Behavioural problems were assessed with the Danish version of the Strengths and Difficulties Questionnaire (SDQ) at child ages 7, 11 and 18 years, and we retrieved information on diagnosed childhood and adolescent psychiatric disorders and prescriptions of psychotropic drugs from Danish registries. Results Children in the challenging mother-infant relationship group had higher odds of behavioural problems at age 7 among both boys and girls. The same pattern of elevated estimates was identified for boys across all SDQ domains and for girls in three of five SDQ domains. All associations were attenuated at age 18, but increased odds of behavioural problems still existed. A challenging early mother-infant relationship increased the offspring's risk of being diagnosed with a psychiatric disorder or being prescribed a psychotropic drug before the age of 18. Conclusion A challenging self-reported mother-infant relationship was associated with later psychopathological difficulties. Routine clinical enquiry may be useful in identification of future vulnerability.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="0eab9e99e677b3f17c243f947a31cea2" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":110347831,"asset_id":113372584,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/110347831/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="113372584"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="113372584"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 113372584; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=113372584]").text(description); $(".js-view-count[data-work-id=113372584]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 113372584; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='113372584']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "0eab9e99e677b3f17c243f947a31cea2" } } $('.js-work-strip[data-work-id=113372584]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":113372584,"title":"Association of self-reported mother–infant relationship with child and adolescent mental health","translated_title":"","metadata":{"publisher":"Cambridge University Press","ai_title_tag":"Mother-Infant Relationship's Impact on Child Mental Health","grobid_abstract":"The quality of the relationship between mother and infant may have profound implications for the development of a child. Early indicators of psychological vulnerability may allow targeting of support for the child's cognitive, emotional and social development. A challenging mother-infant relationship could be one indicator of risk. Aims This study examined variations in psychological well-being and psychopathology among boys and girls according to early maternal perception of the mother-infant relationship. Method This study is based on 64 663 mother-infant pairs from the Danish National Birth Cohort, for which data on the motherinfant relationship were collected at 6 months postpartum. Behavioural problems were assessed with the Danish version of the Strengths and Difficulties Questionnaire (SDQ) at child ages 7, 11 and 18 years, and we retrieved information on diagnosed childhood and adolescent psychiatric disorders and prescriptions of psychotropic drugs from Danish registries. Results Children in the challenging mother-infant relationship group had higher odds of behavioural problems at age 7 among both boys and girls. The same pattern of elevated estimates was identified for boys across all SDQ domains and for girls in three of five SDQ domains. All associations were attenuated at age 18, but increased odds of behavioural problems still existed. A challenging early mother-infant relationship increased the offspring's risk of being diagnosed with a psychiatric disorder or being prescribed a psychotropic drug before the age of 18. Conclusion A challenging self-reported mother-infant relationship was associated with later psychopathological difficulties. Routine clinical enquiry may be useful in identification of future vulnerability.","publication_date":{"day":20,"month":2,"year":2023,"errors":{}},"publication_name":"British Journal of Psychiatry Open","grobid_abstract_attachment_id":110347831},"translated_abstract":null,"internal_url":"https://www.academia.edu/113372584/Association_of_self_reported_mother_infant_relationship_with_child_and_adolescent_mental_health","translated_internal_url":"","created_at":"2024-01-12T00:37:10.326-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":2450366,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":110347831,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347831/thumbnails/1.jpg","file_name":"div-class-title-association-of-self-reported-mother-infant-relationship-with-child-and-adolescent-mental-health-div.pdf","download_url":"https://www.academia.edu/attachments/110347831/download_file","bulk_download_file_name":"Association_of_self_reported_mother_infa.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347831/div-class-title-association-of-self-reported-mother-infant-relationship-with-child-and-adolescent-mental-health-div-libre.pdf?1705054639=\u0026response-content-disposition=attachment%3B+filename%3DAssociation_of_self_reported_mother_infa.pdf\u0026Expires=1743577074\u0026Signature=CQOJT0-hazhyVlQAdjd8eTwBdo5dljiTt1aS9HUmIaxWl1ZCyOJm60NzW4HaaL8Qe5jXn4bgb1tCyxQUwsZuLI2Sng06XNB5t7ThDrgUO5k2ADxjWuvA1~Mup~~JPlfypKQ7hAmqyrWmmgRALlfkFJoTUWx25HI9np3uPcgy-PLG6URRdeq5-NXW3maAEZgA4yWJaR78AU0EFjq6lrcqZ3XAIdgPWvTO5oF-qPZ5S1aWQVY42r3L4djqQUsqLnJbMU1G-82fRSzY172bC~mtehakVLUNE4dAcEFAucpBejZZXCOVyIK1CFtGlziIOeDDVLdpwYXjTr5aCVAJUbUV4A__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Association_of_self_reported_mother_infant_relationship_with_child_and_adolescent_mental_health","translated_slug":"","page_count":7,"language":"en","content_type":"Work","summary":"The quality of the relationship between mother and infant may have profound implications for the development of a child. Early indicators of psychological vulnerability may allow targeting of support for the child's cognitive, emotional and social development. A challenging mother-infant relationship could be one indicator of risk. Aims This study examined variations in psychological well-being and psychopathology among boys and girls according to early maternal perception of the mother-infant relationship. Method This study is based on 64 663 mother-infant pairs from the Danish National Birth Cohort, for which data on the motherinfant relationship were collected at 6 months postpartum. Behavioural problems were assessed with the Danish version of the Strengths and Difficulties Questionnaire (SDQ) at child ages 7, 11 and 18 years, and we retrieved information on diagnosed childhood and adolescent psychiatric disorders and prescriptions of psychotropic drugs from Danish registries. Results Children in the challenging mother-infant relationship group had higher odds of behavioural problems at age 7 among both boys and girls. The same pattern of elevated estimates was identified for boys across all SDQ domains and for girls in three of five SDQ domains. All associations were attenuated at age 18, but increased odds of behavioural problems still existed. A challenging early mother-infant relationship increased the offspring's risk of being diagnosed with a psychiatric disorder or being prescribed a psychotropic drug before the age of 18. Conclusion A challenging self-reported mother-infant relationship was associated with later psychopathological difficulties. Routine clinical enquiry may be useful in identification of future vulnerability.","owner":{"id":2450366,"first_name":"Gritt","middle_initials":null,"last_name":"Overbeck","page_name":"GrittOverbeck","domain_name":"ku-dk","created_at":"2012-09-06T06:05:08.323-07:00","display_name":"Gritt Overbeck","url":"https://ku-dk.academia.edu/GrittOverbeck"},"attachments":[{"id":110347831,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347831/thumbnails/1.jpg","file_name":"div-class-title-association-of-self-reported-mother-infant-relationship-with-child-and-adolescent-mental-health-div.pdf","download_url":"https://www.academia.edu/attachments/110347831/download_file","bulk_download_file_name":"Association_of_self_reported_mother_infa.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347831/div-class-title-association-of-self-reported-mother-infant-relationship-with-child-and-adolescent-mental-health-div-libre.pdf?1705054639=\u0026response-content-disposition=attachment%3B+filename%3DAssociation_of_self_reported_mother_infa.pdf\u0026Expires=1743577074\u0026Signature=CQOJT0-hazhyVlQAdjd8eTwBdo5dljiTt1aS9HUmIaxWl1ZCyOJm60NzW4HaaL8Qe5jXn4bgb1tCyxQUwsZuLI2Sng06XNB5t7ThDrgUO5k2ADxjWuvA1~Mup~~JPlfypKQ7hAmqyrWmmgRALlfkFJoTUWx25HI9np3uPcgy-PLG6URRdeq5-NXW3maAEZgA4yWJaR78AU0EFjq6lrcqZ3XAIdgPWvTO5oF-qPZ5S1aWQVY42r3L4djqQUsqLnJbMU1G-82fRSzY172bC~mtehakVLUNE4dAcEFAucpBejZZXCOVyIK1CFtGlziIOeDDVLdpwYXjTr5aCVAJUbUV4A__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology"},{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health"},{"id":8655,"name":"Psychopathology","url":"https://www.academia.edu/Documents/in/Psychopathology"},{"id":186224,"name":"Danish","url":"https://www.academia.edu/Documents/in/Danish"},{"id":2490625,"name":"Strengths and Difficulties Questionnaire","url":"https://www.academia.edu/Documents/in/Strengths_and_Difficulties_Questionnaire"}],"urls":[{"id":38485853,"url":"https://www.cambridge.org/core/services/aop-cambridge-core/content/view/D8B3341A15D0659F819AB296706B58C9/S2056472423000042a.pdf/div-class-title-association-of-self-reported-mother-infant-relationship-with-child-and-adolescent-mental-health-div.pdf"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-113372584-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="113372583"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/113372583/A_critical_examination_of_Danish_norms_for_the_Strengths_and_Difficulties_Questionnaire_SDQ_"><img alt="Research paper thumbnail of A critical examination of Danish norms for the Strengths and Difficulties Questionnaire (SDQ)" class="work-thumbnail" src="https://attachments.academia-assets.com/110347865/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/113372583/A_critical_examination_of_Danish_norms_for_the_Strengths_and_Difficulties_Questionnaire_SDQ_">A critical examination of Danish norms for the Strengths and Difficulties Questionnaire (SDQ)</a></div><div class="wp-workCard_item"><span>Research Square (Research Square)</span><span>, Jul 6, 2022</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Objective: The objective was to describe observed differences between the o cial Danish Strengths...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Objective: The objective was to describe observed differences between the o cial Danish Strengths and Di culties Questionnaire (SDQ)-norms and data from a sample based on the Danish National Birth Cohort (DNBC). We compared the categorisation, cutoff bandings and the group sizes between the Danish norms and the values found in our sample at ages 7, 11 and 18 years. Results: Two sets of norms are used in Denmark: Arnfred's norms, based on a sample from one single Danish municipality and Niclasen's norms, based on multiple Danish cohorts, including the DNBC. Inconsistencies were found between banding scores in the two existing norms and the banding scores identi ed in our sample from DNBC: discrepancies included banding scores for several of the problem scales for children and preadolescents. For adolescents, we found less apparent inconsistencies between Arnfred's sample and the DNBC. Results demonstrate that the existing SDQ norms do not apply to a largescale cohort sample in Denmark. The usefulness of the SDQ as a screening instrument to detect mental health problems without under-or over-diagnosis depends on appropriate norms. We therefore urge that the current Danish SDQ norms are used with caution and preferably revised.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="ca101e26dfcc01dd44218e9a3a6a257d" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":110347865,"asset_id":113372583,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/110347865/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="113372583"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="113372583"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 113372583; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=113372583]").text(description); $(".js-view-count[data-work-id=113372583]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 113372583; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='113372583']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "ca101e26dfcc01dd44218e9a3a6a257d" } } $('.js-work-strip[data-work-id=113372583]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":113372583,"title":"A critical examination of Danish norms for the Strengths and Difficulties Questionnaire (SDQ)","translated_title":"","metadata":{"publisher":"Research Square","ai_title_tag":"Reevaluating Danish SDQ Norms for Cohorts","grobid_abstract":"Objective: The objective was to describe observed differences between the o cial Danish Strengths and Di culties Questionnaire (SDQ)-norms and data from a sample based on the Danish National Birth Cohort (DNBC). We compared the categorisation, cutoff bandings and the group sizes between the Danish norms and the values found in our sample at ages 7, 11 and 18 years. Results: Two sets of norms are used in Denmark: Arnfred's norms, based on a sample from one single Danish municipality and Niclasen's norms, based on multiple Danish cohorts, including the DNBC. Inconsistencies were found between banding scores in the two existing norms and the banding scores identi ed in our sample from DNBC: discrepancies included banding scores for several of the problem scales for children and preadolescents. For adolescents, we found less apparent inconsistencies between Arnfred's sample and the DNBC. Results demonstrate that the existing SDQ norms do not apply to a largescale cohort sample in Denmark. The usefulness of the SDQ as a screening instrument to detect mental health problems without under-or over-diagnosis depends on appropriate norms. 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The treatment of mild and moderate forms of these disorders consists primarily of some form of psychotherapy or talking therapy (Davidsen & Fosgerau, 2014).</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="de96ddd0cbb30ce4667de3e7fcb7a332" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":110347866,"asset_id":113372582,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/110347866/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="113372582"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="113372582"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 113372582; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=113372582]").text(description); $(".js-view-count[data-work-id=113372582]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 113372582; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='113372582']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "de96ddd0cbb30ce4667de3e7fcb7a332" } } $('.js-work-strip[data-work-id=113372582]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":113372582,"title":"The feasibility of training general practitioners to do cognitive behavioural therapy in routine practice—A qualitative study","translated_title":"","metadata":{"publisher":"Wiley-Blackwell","ai_title_tag":"Training GPs in Cognitive Behavioural Therapy","grobid_abstract":"Most of these patients are treated exclusively in general practice without referral to specialist psychiatry (Goldberg \u0026 Goodyer, 2005), and most of them live with anxiety or depression. 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All women booking an appointment for a first prenatal visit in one of 192 randomly selected General Practices in East Denmark in the period April 2015–August 2016. The General Practices included 1491 women to this prospective study. Two outcomes, pregnancy complications and birth complications, were collected from the Danish Medical Birth Register.ResultsAmong the 1413 included women, 199 (14%) experienced complications in later pregnancy. The most serious complication, miscarriage, was experienced by 65 women (4.6%). Other common pregnancy complications were gestational diabetes mellitus (n = 11, 0.8%), gestational hypertension without proteinuria (n = 34, 2.4%), mild to moderate preeclampsia (n = 34, 2.4%) and gestational itching with effect on liver (n = 17, 1.2%). Women who experienced pelvic girdle pain, pelvic cavity pain or vaginal bleeding in the first trimester of pregnancy had a higher risk of pregnancy complications later on in later pregnancy. None of the other examined symptoms showed associations to pregnancy complications. No associations were found between pregnancy‐related physical symptoms in first trimester and birth complications.ConclusionsSymptoms in early pregnancy do not add much information about the risk of pregnancy or birth complications, although pain and bleeding may give reason for some concern. This is an important message to women experiencing these common symptoms and to their caregivers.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="54422ff18f5324918b9d0743c223f3a6" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":110347832,"asset_id":113372580,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/110347832/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="113372580"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="113372580"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 113372580; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=113372580]").text(description); $(".js-view-count[data-work-id=113372580]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 113372580; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='113372580']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "54422ff18f5324918b9d0743c223f3a6" } } $('.js-work-strip[data-work-id=113372580]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":113372580,"title":"The predictive value of common symptoms in early pregnancy for complications later in pregnancy and at birth","translated_title":"","metadata":{"abstract":"IntroductionThe aim was to investigate whether common pregnancy‐related symptoms—nausea, vomiting, back pain, pelvic girdle pain, pelvic cavity pain, vaginal bleeding, itching of vulva, pregnancy itching, leg cramps, uterine contractions and varicose veins—in the first trimester of pregnancy add to the identification of women at high risk of future pregnancy and birth complications.Material and methodsSurvey data linked to national register data. All women booking an appointment for a first prenatal visit in one of 192 randomly selected General Practices in East Denmark in the period April 2015–August 2016. The General Practices included 1491 women to this prospective study. Two outcomes, pregnancy complications and birth complications, were collected from the Danish Medical Birth Register.ResultsAmong the 1413 included women, 199 (14%) experienced complications in later pregnancy. The most serious complication, miscarriage, was experienced by 65 women (4.6%). Other common pregnancy complications were gestational diabetes mellitus (n = 11, 0.8%), gestational hypertension without proteinuria (n = 34, 2.4%), mild to moderate preeclampsia (n = 34, 2.4%) and gestational itching with effect on liver (n = 17, 1.2%). Women who experienced pelvic girdle pain, pelvic cavity pain or vaginal bleeding in the first trimester of pregnancy had a higher risk of pregnancy complications later on in later pregnancy. None of the other examined symptoms showed associations to pregnancy complications. No associations were found between pregnancy‐related physical symptoms in first trimester and birth complications.ConclusionsSymptoms in early pregnancy do not add much information about the risk of pregnancy or birth complications, although pain and bleeding may give reason for some concern. This is an important message to women experiencing these common symptoms and to their caregivers.","publisher":"Informa","publication_date":{"day":27,"month":10,"year":2022,"errors":{}},"publication_name":"Acta Obstetricia et Gynecologica Scandinavica"},"translated_abstract":"IntroductionThe aim was to investigate whether common pregnancy‐related symptoms—nausea, vomiting, back pain, pelvic girdle pain, pelvic cavity pain, vaginal bleeding, itching of vulva, pregnancy itching, leg cramps, uterine contractions and varicose veins—in the first trimester of pregnancy add to the identification of women at high risk of future pregnancy and birth complications.Material and methodsSurvey data linked to national register data. All women booking an appointment for a first prenatal visit in one of 192 randomly selected General Practices in East Denmark in the period April 2015–August 2016. The General Practices included 1491 women to this prospective study. Two outcomes, pregnancy complications and birth complications, were collected from the Danish Medical Birth Register.ResultsAmong the 1413 included women, 199 (14%) experienced complications in later pregnancy. The most serious complication, miscarriage, was experienced by 65 women (4.6%). Other common pregnancy complications were gestational diabetes mellitus (n = 11, 0.8%), gestational hypertension without proteinuria (n = 34, 2.4%), mild to moderate preeclampsia (n = 34, 2.4%) and gestational itching with effect on liver (n = 17, 1.2%). Women who experienced pelvic girdle pain, pelvic cavity pain or vaginal bleeding in the first trimester of pregnancy had a higher risk of pregnancy complications later on in later pregnancy. None of the other examined symptoms showed associations to pregnancy complications. No associations were found between pregnancy‐related physical symptoms in first trimester and birth complications.ConclusionsSymptoms in early pregnancy do not add much information about the risk of pregnancy or birth complications, although pain and bleeding may give reason for some concern. This is an important message to women experiencing these common symptoms and to their caregivers.","internal_url":"https://www.academia.edu/113372580/The_predictive_value_of_common_symptoms_in_early_pregnancy_for_complications_later_in_pregnancy_and_at_birth","translated_internal_url":"","created_at":"2024-01-12T00:37:09.194-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":2450366,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":110347832,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347832/thumbnails/1.jpg","file_name":"pdf.pdf","download_url":"https://www.academia.edu/attachments/110347832/download_file","bulk_download_file_name":"The_predictive_value_of_common_symptoms.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347832/pdf-libre.pdf?1705054671=\u0026response-content-disposition=attachment%3B+filename%3DThe_predictive_value_of_common_symptoms.pdf\u0026Expires=1743577074\u0026Signature=czUxi~w6hZcOOHnxVTpnFT1MUsVmn6SoKTME9QlUiamJs-W1TuC5YeThc7oGB-jhgf93vSnIq7VI6yYCERIONiyjpcSlsbqB9ptOE1keWL86yoEObhDnimUjmVNmqxSgdGT9QSVsjuyK9ztjlvds4AuF-rbaR~j--WUEyrcNOb4RInQ4Ok5aymXIbvXq~I9KJsu4QOqo-pfwjo7BxiN-4cjeQPf3ufQi1LCh8yrjaLmQEtqf1QcIgE-N94Eaty4zjcGMBz9NpLzusBpH~tJHdTqw6Nl4dg3qXPca5VQ3kvXoyeQ9k~FLuE89cGDX15YIHr5QUkQtCMtzlbPs7L8dqQ__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"The_predictive_value_of_common_symptoms_in_early_pregnancy_for_complications_later_in_pregnancy_and_at_birth","translated_slug":"","page_count":10,"language":"en","content_type":"Work","summary":"IntroductionThe aim was to investigate whether common pregnancy‐related symptoms—nausea, vomiting, back pain, pelvic girdle pain, pelvic cavity pain, vaginal bleeding, itching of vulva, pregnancy itching, leg cramps, uterine contractions and varicose veins—in the first trimester of pregnancy add to the identification of women at high risk of future pregnancy and birth complications.Material and methodsSurvey data linked to national register data. All women booking an appointment for a first prenatal visit in one of 192 randomly selected General Practices in East Denmark in the period April 2015–August 2016. The General Practices included 1491 women to this prospective study. Two outcomes, pregnancy complications and birth complications, were collected from the Danish Medical Birth Register.ResultsAmong the 1413 included women, 199 (14%) experienced complications in later pregnancy. The most serious complication, miscarriage, was experienced by 65 women (4.6%). Other common pregnancy complications were gestational diabetes mellitus (n = 11, 0.8%), gestational hypertension without proteinuria (n = 34, 2.4%), mild to moderate preeclampsia (n = 34, 2.4%) and gestational itching with effect on liver (n = 17, 1.2%). Women who experienced pelvic girdle pain, pelvic cavity pain or vaginal bleeding in the first trimester of pregnancy had a higher risk of pregnancy complications later on in later pregnancy. None of the other examined symptoms showed associations to pregnancy complications. No associations were found between pregnancy‐related physical symptoms in first trimester and birth complications.ConclusionsSymptoms in early pregnancy do not add much information about the risk of pregnancy or birth complications, although pain and bleeding may give reason for some concern. This is an important message to women experiencing these common symptoms and to their caregivers.","owner":{"id":2450366,"first_name":"Gritt","middle_initials":null,"last_name":"Overbeck","page_name":"GrittOverbeck","domain_name":"ku-dk","created_at":"2012-09-06T06:05:08.323-07:00","display_name":"Gritt Overbeck","url":"https://ku-dk.academia.edu/GrittOverbeck"},"attachments":[{"id":110347832,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347832/thumbnails/1.jpg","file_name":"pdf.pdf","download_url":"https://www.academia.edu/attachments/110347832/download_file","bulk_download_file_name":"The_predictive_value_of_common_symptoms.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347832/pdf-libre.pdf?1705054671=\u0026response-content-disposition=attachment%3B+filename%3DThe_predictive_value_of_common_symptoms.pdf\u0026Expires=1743577074\u0026Signature=czUxi~w6hZcOOHnxVTpnFT1MUsVmn6SoKTME9QlUiamJs-W1TuC5YeThc7oGB-jhgf93vSnIq7VI6yYCERIONiyjpcSlsbqB9ptOE1keWL86yoEObhDnimUjmVNmqxSgdGT9QSVsjuyK9ztjlvds4AuF-rbaR~j--WUEyrcNOb4RInQ4Ok5aymXIbvXq~I9KJsu4QOqo-pfwjo7BxiN-4cjeQPf3ufQi1LCh8yrjaLmQEtqf1QcIgE-N94Eaty4zjcGMBz9NpLzusBpH~tJHdTqw6Nl4dg3qXPca5VQ3kvXoyeQ9k~FLuE89cGDX15YIHr5QUkQtCMtzlbPs7L8dqQ__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":625,"name":"Obstetrics","url":"https://www.academia.edu/Documents/in/Obstetrics"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":58130,"name":"Gestational diabetes","url":"https://www.academia.edu/Documents/in/Gestational_diabetes"},{"id":62550,"name":"Pregnancy","url":"https://www.academia.edu/Documents/in/Pregnancy"},{"id":410370,"name":"Public health systems and services research","url":"https://www.academia.edu/Documents/in/Public_health_systems_and_services_research-1"},{"id":1217276,"name":"Miscarriage","url":"https://www.academia.edu/Documents/in/Miscarriage"},{"id":1518880,"name":"Vaginal Bleeding","url":"https://www.academia.edu/Documents/in/Vaginal_Bleeding"},{"id":3789883,"name":"Paediatrics and reproductive medicine","url":"https://www.academia.edu/Documents/in/Paediatrics_and_reproductive_medicine"}],"urls":[{"id":38485850,"url":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9780714"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-113372580-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="113372578"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/113372578/Enactments_and_experiences_of_enhanced_interprofessional_communication_in_collaborative_care_a_qualitative_study"><img alt="Research paper thumbnail of Enactments and experiences of ‘enhanced interprofessional communication’ in collaborative care - a qualitative study" class="work-thumbnail" src="https://attachments.academia-assets.com/110347863/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/113372578/Enactments_and_experiences_of_enhanced_interprofessional_communication_in_collaborative_care_a_qualitative_study">Enactments and experiences of ‘enhanced interprofessional communication’ in collaborative care - a qualitative study</a></div><div class="wp-workCard_item"><span>Journal of Interprofessional Care</span><span>, Oct 25, 2018</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">One of the key components in collaborative care (CC) for anxiety and depression between general p...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">One of the key components in collaborative care (CC) for anxiety and depression between general practitioners (GPs) and psychiatry is 'enhanced interprofessional communication'. However, the literature contains few detailed descriptions of the interprofessional roles and specific collaborative behaviours that are required to enhance communication. Using semi-structured interviews and observations, this study explores how interprofessional communication was enacted in a CC intervention in Denmark. Analysis was by Interpretative Phenomenological Analysis and interaction analysis. In the intervention the components of the enhanced communication were a) weekly meetings between care managers (CMs) and GPs and b) group supervision of GPs by a psychiatrist. This study showed that the meetings between CMs and GPs were enacted very differently across clinics, with communication ranging from monological 'giving report'-style to more dialogical 'peer-discussion'-style with development of new shared knowledge. The type of communication depended on the GP's professional style. The supervision element was not perceived as being meaningful and GPs reacted by non-attendance and non-response. Engagement of the GPs in a shared process requires a more dialogical model. However, the choice depends on whether a referral or a collaborative model is aimed at. A dialogical model would demand the teaching and guidance of the professionals.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="a3291cce4e18a2017ea97491d5476c0d" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":110347863,"asset_id":113372578,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/110347863/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="113372578"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="113372578"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 113372578; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=113372578]").text(description); $(".js-view-count[data-work-id=113372578]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 113372578; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='113372578']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "a3291cce4e18a2017ea97491d5476c0d" } } $('.js-work-strip[data-work-id=113372578]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":113372578,"title":"Enactments and experiences of ‘enhanced interprofessional communication’ in collaborative care - a qualitative study","translated_title":"","metadata":{"publisher":"Informa","grobid_abstract":"One of the key components in collaborative care (CC) for anxiety and depression between general practitioners (GPs) and psychiatry is 'enhanced interprofessional communication'. However, the literature contains few detailed descriptions of the interprofessional roles and specific collaborative behaviours that are required to enhance communication. Using semi-structured interviews and observations, this study explores how interprofessional communication was enacted in a CC intervention in Denmark. Analysis was by Interpretative Phenomenological Analysis and interaction analysis. In the intervention the components of the enhanced communication were a) weekly meetings between care managers (CMs) and GPs and b) group supervision of GPs by a psychiatrist. This study showed that the meetings between CMs and GPs were enacted very differently across clinics, with communication ranging from monological 'giving report'-style to more dialogical 'peer-discussion'-style with development of new shared knowledge. The type of communication depended on the GP's professional style. The supervision element was not perceived as being meaningful and GPs reacted by non-attendance and non-response. Engagement of the GPs in a shared process requires a more dialogical model. However, the choice depends on whether a referral or a collaborative model is aimed at. A dialogical model would demand the teaching and guidance of the professionals.","publication_date":{"day":25,"month":10,"year":2018,"errors":{}},"publication_name":"Journal of Interprofessional Care","grobid_abstract_attachment_id":110347863},"translated_abstract":null,"internal_url":"https://www.academia.edu/113372578/Enactments_and_experiences_of_enhanced_interprofessional_communication_in_collaborative_care_a_qualitative_study","translated_internal_url":"","created_at":"2024-01-12T00:37:08.751-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":2450366,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":110347863,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347863/thumbnails/1.jpg","file_name":"13561820.2018.153810920240112-1-hfk6vv.pdf","download_url":"https://www.academia.edu/attachments/110347863/download_file","bulk_download_file_name":"Enactments_and_experiences_of_enhanced_i.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347863/13561820.2018.153810920240112-1-hfk6vv-libre.pdf?1705054639=\u0026response-content-disposition=attachment%3B+filename%3DEnactments_and_experiences_of_enhanced_i.pdf\u0026Expires=1743577074\u0026Signature=ZKVKm-qcoyYtBzpUflo5znto1ANMWmg~WAlaekMxDrVyGBmHjKuIlJ8ZB-pb0Qu5su5ZA6alUSbTHmgyXmdv5pdisyAJEEoige-FHAXFRce-916NAaZGnKNWuehMHNv2GgooNAkm9BURYVYCy9b6auXPYKGbGAh~nmxDCaBJuDbIcAi8Cep2KEf0hVo5lSiLaIbJ~pfXr9qXvJ5jAf601ll3yk1LyW7sW1hDsO2HMXD1ASACFXY5~-Rwv1hls2P-yxF0V~ZkSRAwIJRANT-bMd-rpGCP7DQDPcMIWDEG6IRZvxIfDc-eUhOE~4kGvmAal3CILam3Cp40AaE7YADWHA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Enactments_and_experiences_of_enhanced_interprofessional_communication_in_collaborative_care_a_qualitative_study","translated_slug":"","page_count":10,"language":"en","content_type":"Work","summary":"One of the key components in collaborative care (CC) for anxiety and depression between general practitioners (GPs) and psychiatry is 'enhanced interprofessional communication'. However, the literature contains few detailed descriptions of the interprofessional roles and specific collaborative behaviours that are required to enhance communication. Using semi-structured interviews and observations, this study explores how interprofessional communication was enacted in a CC intervention in Denmark. Analysis was by Interpretative Phenomenological Analysis and interaction analysis. In the intervention the components of the enhanced communication were a) weekly meetings between care managers (CMs) and GPs and b) group supervision of GPs by a psychiatrist. This study showed that the meetings between CMs and GPs were enacted very differently across clinics, with communication ranging from monological 'giving report'-style to more dialogical 'peer-discussion'-style with development of new shared knowledge. The type of communication depended on the GP's professional style. The supervision element was not perceived as being meaningful and GPs reacted by non-attendance and non-response. Engagement of the GPs in a shared process requires a more dialogical model. However, the choice depends on whether a referral or a collaborative model is aimed at. A dialogical model would demand the teaching and guidance of the professionals.","owner":{"id":2450366,"first_name":"Gritt","middle_initials":null,"last_name":"Overbeck","page_name":"GrittOverbeck","domain_name":"ku-dk","created_at":"2012-09-06T06:05:08.323-07:00","display_name":"Gritt Overbeck","url":"https://ku-dk.academia.edu/GrittOverbeck"},"attachments":[{"id":110347863,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347863/thumbnails/1.jpg","file_name":"13561820.2018.153810920240112-1-hfk6vv.pdf","download_url":"https://www.academia.edu/attachments/110347863/download_file","bulk_download_file_name":"Enactments_and_experiences_of_enhanced_i.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347863/13561820.2018.153810920240112-1-hfk6vv-libre.pdf?1705054639=\u0026response-content-disposition=attachment%3B+filename%3DEnactments_and_experiences_of_enhanced_i.pdf\u0026Expires=1743577074\u0026Signature=ZKVKm-qcoyYtBzpUflo5znto1ANMWmg~WAlaekMxDrVyGBmHjKuIlJ8ZB-pb0Qu5su5ZA6alUSbTHmgyXmdv5pdisyAJEEoige-FHAXFRce-916NAaZGnKNWuehMHNv2GgooNAkm9BURYVYCy9b6auXPYKGbGAh~nmxDCaBJuDbIcAi8Cep2KEf0hVo5lSiLaIbJ~pfXr9qXvJ5jAf601ll3yk1LyW7sW1hDsO2HMXD1ASACFXY5~-Rwv1hls2P-yxF0V~ZkSRAwIJRANT-bMd-rpGCP7DQDPcMIWDEG6IRZvxIfDc-eUhOE~4kGvmAal3CILam3Cp40AaE7YADWHA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":49426,"name":"Attendance","url":"https://www.academia.edu/Documents/in/Attendance"},{"id":105510,"name":"Journal Article","url":"https://www.academia.edu/Documents/in/Journal_Article"},{"id":334676,"name":"InterProfessional Education in Health Care","url":"https://www.academia.edu/Documents/in/InterProfessional_Education_in_Health_Care"},{"id":404061,"name":"Dialogical self","url":"https://www.academia.edu/Documents/in/Dialogical_self"},{"id":410370,"name":"Public health systems and services research","url":"https://www.academia.edu/Documents/in/Public_health_systems_and_services_research-1"},{"id":805430,"name":"Guidance and Counseling Intervention Programs","url":"https://www.academia.edu/Documents/in/Guidance_and_Counseling_Intervention_Programs"}],"urls":[{"id":38485848,"url":"https://doi.org/10.1080/13561820.2018.1538109"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-113372578-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="113372576"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/113372576/Family_wellbeing_in_general_practice_a_study_protocol_for_a_cluster_randomised_trial_of_the_web_based_resilience_programme_on_early_child_development"><img alt="Research paper thumbnail of Family wellbeing in general practice: a study protocol for a cluster-randomised trial of the web-based resilience programme on early child development" class="work-thumbnail" src="https://attachments.academia-assets.com/110347827/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/113372576/Family_wellbeing_in_general_practice_a_study_protocol_for_a_cluster_randomised_trial_of_the_web_based_resilience_programme_on_early_child_development">Family wellbeing in general practice: a study protocol for a cluster-randomised trial of the web-based resilience programme on early child development</a></div><div class="wp-workCard_item"><span>Trials</span><span>, Jan 4, 2023</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Background: Social, emotional and behavioural problems in early childhood are associated with inc...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Background: Social, emotional and behavioural problems in early childhood are associated with increased risk for a wide range of poor outcomes associated with substantial cost and impact on society as a whole. Some of these problems are rooted in the early mother-infant relationship and might be prevented. In Denmark, primary health care has a central role in preventive care during pregnancy and the first years of the child's life and general practice provides opportunities to promote a healthy mother-infant relationship in early parenthood. Objective: In the context of standardised antenatal and child development assessments focused on psychosocial wellbeing, we examine the impact of a complex intervention designed to improve maternal mentalisation skills, involving training of general practice clinicians and signposting towards a web-based resource. Joint main outcomes are child socio-emotional and language development at age 30 months measured by parentally reported questionnaires (Communicative Development Inventory and Strengths and Difficulties Questionnaire). Methods: The study is a cluster-randomised controlled trial based in general practices in the Capital Region and the Zealand Region of Denmark. Seventy practices were included. Practices were randomised by a computer algorithm in a ratio of 1:1 to intervention or control groups. Each practice was asked to recruit up to 30 women consecutively at their first scheduled antenatal assessment. Clinicians in both groups received one day of training in preventive antenatal and child development consultations with added focus on parental psychosocial well-being, social support, and parent-child interaction. These preventive consultations delivered in both trial arms require enhanced data recording about psychosocial factors. In intervention clinics, clinicians were asked to signpost a web page at three scheduled antenatal consultations and at four scheduled consultations when the child is 5 weeks, 5 months, 1 and 2 years. Discussion: We hypothesise that the intervention will increase mothers' ability to be sensitive to their child's mental state to an extent that improves the child's language and mental state at 30 months of age measured by parentreported questionnaires.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="1bba84c0343325342ff2fbe9576fa5c3" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":110347827,"asset_id":113372576,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/110347827/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="113372576"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="113372576"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 113372576; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=113372576]").text(description); $(".js-view-count[data-work-id=113372576]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 113372576; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='113372576']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "1bba84c0343325342ff2fbe9576fa5c3" } } $('.js-work-strip[data-work-id=113372576]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":113372576,"title":"Family wellbeing in general practice: a study protocol for a cluster-randomised trial of the web-based resilience programme on early child development","translated_title":"","metadata":{"publisher":"Springer Science+Business Media","ai_title_tag":"Impact of a Resilience Program on Child Development in Families","grobid_abstract":"Background: Social, emotional and behavioural problems in early childhood are associated with increased risk for a wide range of poor outcomes associated with substantial cost and impact on society as a whole. Some of these problems are rooted in the early mother-infant relationship and might be prevented. In Denmark, primary health care has a central role in preventive care during pregnancy and the first years of the child's life and general practice provides opportunities to promote a healthy mother-infant relationship in early parenthood. Objective: In the context of standardised antenatal and child development assessments focused on psychosocial wellbeing, we examine the impact of a complex intervention designed to improve maternal mentalisation skills, involving training of general practice clinicians and signposting towards a web-based resource. Joint main outcomes are child socio-emotional and language development at age 30 months measured by parentally reported questionnaires (Communicative Development Inventory and Strengths and Difficulties Questionnaire). Methods: The study is a cluster-randomised controlled trial based in general practices in the Capital Region and the Zealand Region of Denmark. Seventy practices were included. Practices were randomised by a computer algorithm in a ratio of 1:1 to intervention or control groups. Each practice was asked to recruit up to 30 women consecutively at their first scheduled antenatal assessment. Clinicians in both groups received one day of training in preventive antenatal and child development consultations with added focus on parental psychosocial well-being, social support, and parent-child interaction. These preventive consultations delivered in both trial arms require enhanced data recording about psychosocial factors. In intervention clinics, clinicians were asked to signpost a web page at three scheduled antenatal consultations and at four scheduled consultations when the child is 5 weeks, 5 months, 1 and 2 years. Discussion: We hypothesise that the intervention will increase mothers' ability to be sensitive to their child's mental state to an extent that improves the child's language and mental state at 30 months of age measured by parentreported questionnaires.","publication_date":{"day":4,"month":1,"year":2023,"errors":{}},"publication_name":"Trials","grobid_abstract_attachment_id":110347827},"translated_abstract":null,"internal_url":"https://www.academia.edu/113372576/Family_wellbeing_in_general_practice_a_study_protocol_for_a_cluster_randomised_trial_of_the_web_based_resilience_programme_on_early_child_development","translated_internal_url":"","created_at":"2024-01-12T00:37:08.414-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":2450366,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":110347827,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347827/thumbnails/1.jpg","file_name":"s13063-022-07045-7.pdf","download_url":"https://www.academia.edu/attachments/110347827/download_file","bulk_download_file_name":"Family_wellbeing_in_general_practice_a_s.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347827/s13063-022-07045-7-libre.pdf?1705054644=\u0026response-content-disposition=attachment%3B+filename%3DFamily_wellbeing_in_general_practice_a_s.pdf\u0026Expires=1743577074\u0026Signature=cfe3mYdS8UxhEnkF-p4opif3Gz8SRoT4Noi7ksxeQqrC7CSuv8dUhAtuqEJ4RqK9CnwhO1djAVizg1OygqW~nQ4OYh80pw2BmAPo2oeRhPCco~izyszjilQdjVCtfGjMF2X4wqjl0V8o~bU4w5GUROLudDSGYDV53n1KAc~tmtudfBEJfEDZSSDDgJ-189m09pQ9BFFI-z7q~tL~GPZpMLAQml1wPSd1uoTr-w~NFuPONPPEo26u41VC-r2UnepT4JtXc6DPNpG61ksBGuX8SWbnoT4xdepaUeJFAWlQlLMQQh~Yi7f5u0r7-lCmFB~e80glfbJAlE1~UoetPMZd7g__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Family_wellbeing_in_general_practice_a_study_protocol_for_a_cluster_randomised_trial_of_the_web_based_resilience_programme_on_early_child_development","translated_slug":"","page_count":12,"language":"en","content_type":"Work","summary":"Background: Social, emotional and behavioural problems in early childhood are associated with increased risk for a wide range of poor outcomes associated with substantial cost and impact on society as a whole. Some of these problems are rooted in the early mother-infant relationship and might be prevented. In Denmark, primary health care has a central role in preventive care during pregnancy and the first years of the child's life and general practice provides opportunities to promote a healthy mother-infant relationship in early parenthood. Objective: In the context of standardised antenatal and child development assessments focused on psychosocial wellbeing, we examine the impact of a complex intervention designed to improve maternal mentalisation skills, involving training of general practice clinicians and signposting towards a web-based resource. Joint main outcomes are child socio-emotional and language development at age 30 months measured by parentally reported questionnaires (Communicative Development Inventory and Strengths and Difficulties Questionnaire). Methods: The study is a cluster-randomised controlled trial based in general practices in the Capital Region and the Zealand Region of Denmark. Seventy practices were included. Practices were randomised by a computer algorithm in a ratio of 1:1 to intervention or control groups. Each practice was asked to recruit up to 30 women consecutively at their first scheduled antenatal assessment. Clinicians in both groups received one day of training in preventive antenatal and child development consultations with added focus on parental psychosocial well-being, social support, and parent-child interaction. These preventive consultations delivered in both trial arms require enhanced data recording about psychosocial factors. In intervention clinics, clinicians were asked to signpost a web page at three scheduled antenatal consultations and at four scheduled consultations when the child is 5 weeks, 5 months, 1 and 2 years. Discussion: We hypothesise that the intervention will increase mothers' ability to be sensitive to their child's mental state to an extent that improves the child's language and mental state at 30 months of age measured by parentreported questionnaires.","owner":{"id":2450366,"first_name":"Gritt","middle_initials":null,"last_name":"Overbeck","page_name":"GrittOverbeck","domain_name":"ku-dk","created_at":"2012-09-06T06:05:08.323-07:00","display_name":"Gritt Overbeck","url":"https://ku-dk.academia.edu/GrittOverbeck"},"attachments":[{"id":110347827,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347827/thumbnails/1.jpg","file_name":"s13063-022-07045-7.pdf","download_url":"https://www.academia.edu/attachments/110347827/download_file","bulk_download_file_name":"Family_wellbeing_in_general_practice_a_s.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347827/s13063-022-07045-7-libre.pdf?1705054644=\u0026response-content-disposition=attachment%3B+filename%3DFamily_wellbeing_in_general_practice_a_s.pdf\u0026Expires=1743577074\u0026Signature=cfe3mYdS8UxhEnkF-p4opif3Gz8SRoT4Noi7ksxeQqrC7CSuv8dUhAtuqEJ4RqK9CnwhO1djAVizg1OygqW~nQ4OYh80pw2BmAPo2oeRhPCco~izyszjilQdjVCtfGjMF2X4wqjl0V8o~bU4w5GUROLudDSGYDV53n1KAc~tmtudfBEJfEDZSSDDgJ-189m09pQ9BFFI-z7q~tL~GPZpMLAQml1wPSd1uoTr-w~NFuPONPPEo26u41VC-r2UnepT4JtXc6DPNpG61ksBGuX8SWbnoT4xdepaUeJFAWlQlLMQQh~Yi7f5u0r7-lCmFB~e80glfbJAlE1~UoetPMZd7g__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":144043,"name":"Psychosocial","url":"https://www.academia.edu/Documents/in/Psychosocial"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":435017,"name":"Trials","url":"https://www.academia.edu/Documents/in/Trials"},{"id":805430,"name":"Guidance and Counseling Intervention Programs","url":"https://www.academia.edu/Documents/in/Guidance_and_Counseling_Intervention_Programs"},{"id":3789879,"name":"Cardiovascular medicine and haematology","url":"https://www.academia.edu/Documents/in/Cardiovascular_medicine_and_haematology"}],"urls":[{"id":38485846,"url":"https://trialsjournal.biomedcentral.com/counter/pdf/10.1186/s13063-022-07045-7"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-113372576-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="113372574"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/113372574/Selection_bias_in_general_practice_research_analysis_in_a_cohort_of_pregnant_Danish_women"><img alt="Research paper thumbnail of Selection bias in general practice research: analysis in a cohort of pregnant Danish women" class="work-thumbnail" src="https://attachments.academia-assets.com/110347859/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/113372574/Selection_bias_in_general_practice_research_analysis_in_a_cohort_of_pregnant_Danish_women">Selection bias in general practice research: analysis in a cohort of pregnant Danish women</a></div><div class="wp-workCard_item"><span>Scandinavian Journal of Primary Health Care</span><span>, Oct 1, 2020</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Objective: The aim of the present study was to examine selection in a general practice-based preg...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Objective: The aim of the present study was to examine selection in a general practice-based pregnancy cohort. Design: Survey linked to administrative register data. Setting and subjects: In spring 2015, GPs were recruited from two Danish regions. They were asked to invite all pregnant women in their practice who had their first prenatal care visit before 15 August 2016 to participate in the survey. Outcome measures: The characteristics of GPs and the pregnant women were compared at each step in the recruitment processthe GP's invitation, their agreement to participate, actual GP participation, and the women's participationwith an uncertainty coefficient to quantify the step where the largest selection occurs. Results: Significant differences were found between participating and non-participating practices with regards to practice characteristics such as the number of patients registered with the practice, the age and sex of doctors, and the type of practice. Despite these differences, the characteristics of the eligible patients differed little between participating and non-participating practices. In participating practices significant differences were, however, observed between recruited and non-recruited patients. Conclusion: The skewed selection of patients was mainly caused by a high number of non-participants within practices that actively took part in the study. We recommend that a focus on the sampling within participating practices be the most important factor in representative sampling of patient populations in general practice. KEY POINTS Selection among general practitioners (GPs) is often unavoidable in practice-based studies, and we found significant differences between participating and non-participating practices. These include practice characteristics such as the number of GPs, the number of patients registered with the GP practice, as well as the sex and age of the GPs. Despite this, only small differences in the characteristics of the eligible patients were observed between participating and non-participating practices. In participating practices, however, significant differences were observed between recruited and non-recruited patients. Comprehensive sampling within participating practices may be the best way to generate representative samples of patients.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="079d45301408ff7299066103fa4e9462" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":110347859,"asset_id":113372574,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/110347859/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="113372574"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="113372574"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 113372574; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=113372574]").text(description); $(".js-view-count[data-work-id=113372574]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 113372574; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='113372574']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "079d45301408ff7299066103fa4e9462" } } $('.js-work-strip[data-work-id=113372574]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":113372574,"title":"Selection bias in general practice research: analysis in a cohort of pregnant Danish women","translated_title":"","metadata":{"publisher":"Taylor \u0026 Francis","ai_title_tag":"Selection Bias in General Practice Research on Pregnant Women","grobid_abstract":"Objective: The aim of the present study was to examine selection in a general practice-based pregnancy cohort. Design: Survey linked to administrative register data. Setting and subjects: In spring 2015, GPs were recruited from two Danish regions. They were asked to invite all pregnant women in their practice who had their first prenatal care visit before 15 August 2016 to participate in the survey. Outcome measures: The characteristics of GPs and the pregnant women were compared at each step in the recruitment processthe GP's invitation, their agreement to participate, actual GP participation, and the women's participationwith an uncertainty coefficient to quantify the step where the largest selection occurs. Results: Significant differences were found between participating and non-participating practices with regards to practice characteristics such as the number of patients registered with the practice, the age and sex of doctors, and the type of practice. Despite these differences, the characteristics of the eligible patients differed little between participating and non-participating practices. In participating practices significant differences were, however, observed between recruited and non-recruited patients. Conclusion: The skewed selection of patients was mainly caused by a high number of non-participants within practices that actively took part in the study. We recommend that a focus on the sampling within participating practices be the most important factor in representative sampling of patient populations in general practice. KEY POINTS Selection among general practitioners (GPs) is often unavoidable in practice-based studies, and we found significant differences between participating and non-participating practices. These include practice characteristics such as the number of GPs, the number of patients registered with the GP practice, as well as the sex and age of the GPs. Despite this, only small differences in the characteristics of the eligible patients were observed between participating and non-participating practices. In participating practices, however, significant differences were observed between recruited and non-recruited patients. Comprehensive sampling within participating practices may be the best way to generate representative samples of patients.","publication_date":{"day":1,"month":10,"year":2020,"errors":{}},"publication_name":"Scandinavian Journal of Primary Health Care","grobid_abstract_attachment_id":110347859},"translated_abstract":null,"internal_url":"https://www.academia.edu/113372574/Selection_bias_in_general_practice_research_analysis_in_a_cohort_of_pregnant_Danish_women","translated_internal_url":"","created_at":"2024-01-12T00:37:08.145-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":2450366,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":110347859,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347859/thumbnails/1.jpg","file_name":"Selection_bias_in_general_practice_research.pdf","download_url":"https://www.academia.edu/attachments/110347859/download_file","bulk_download_file_name":"Selection_bias_in_general_practice_resea.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347859/Selection_bias_in_general_practice_research-libre.pdf?1705054641=\u0026response-content-disposition=attachment%3B+filename%3DSelection_bias_in_general_practice_resea.pdf\u0026Expires=1743577074\u0026Signature=JtAimPhaJQ7pJGaHumQo~O3kJ1ih-y3feIjBV3sQ-qDo2PF0wfLfXE7PEFiXZzCcTF9kHY26QekzHN62vDiMFb212H13~Z10qsbymC2npHd8ZFJ07Jmh3EXtIzIayd8ML-5ydpI5cOZmuSi2aThNGG9i4IALIXusu3TNT38QDuiDcp46x6h8mac~G459DekP6T27D~qZirOXPNBvB4Rl0leIDVox0pneUcMDb6g5PqMPcDslFmPkAjcthRao-Xp0s-cBrnR16FQJKhUk4rVAkAYm0jlRGsQ9~Y5PJWQ8grHv~6pSR3TSAHI6dytP-seTZROAVDFwsVokmXLfa8Nw4Q__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Selection_bias_in_general_practice_research_analysis_in_a_cohort_of_pregnant_Danish_women","translated_slug":"","page_count":11,"language":"en","content_type":"Work","summary":"Objective: The aim of the present study was to examine selection in a general practice-based pregnancy cohort. Design: Survey linked to administrative register data. Setting and subjects: In spring 2015, GPs were recruited from two Danish regions. They were asked to invite all pregnant women in their practice who had their first prenatal care visit before 15 August 2016 to participate in the survey. Outcome measures: The characteristics of GPs and the pregnant women were compared at each step in the recruitment processthe GP's invitation, their agreement to participate, actual GP participation, and the women's participationwith an uncertainty coefficient to quantify the step where the largest selection occurs. Results: Significant differences were found between participating and non-participating practices with regards to practice characteristics such as the number of patients registered with the practice, the age and sex of doctors, and the type of practice. Despite these differences, the characteristics of the eligible patients differed little between participating and non-participating practices. In participating practices significant differences were, however, observed between recruited and non-recruited patients. Conclusion: The skewed selection of patients was mainly caused by a high number of non-participants within practices that actively took part in the study. We recommend that a focus on the sampling within participating practices be the most important factor in representative sampling of patient populations in general practice. KEY POINTS Selection among general practitioners (GPs) is often unavoidable in practice-based studies, and we found significant differences between participating and non-participating practices. These include practice characteristics such as the number of GPs, the number of patients registered with the GP practice, as well as the sex and age of the GPs. Despite this, only small differences in the characteristics of the eligible patients were observed between participating and non-participating practices. In participating practices, however, significant differences were observed between recruited and non-recruited patients. Comprehensive sampling within participating practices may be the best way to generate representative samples of patients.","owner":{"id":2450366,"first_name":"Gritt","middle_initials":null,"last_name":"Overbeck","page_name":"GrittOverbeck","domain_name":"ku-dk","created_at":"2012-09-06T06:05:08.323-07:00","display_name":"Gritt Overbeck","url":"https://ku-dk.academia.edu/GrittOverbeck"},"attachments":[{"id":110347859,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347859/thumbnails/1.jpg","file_name":"Selection_bias_in_general_practice_research.pdf","download_url":"https://www.academia.edu/attachments/110347859/download_file","bulk_download_file_name":"Selection_bias_in_general_practice_resea.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347859/Selection_bias_in_general_practice_research-libre.pdf?1705054641=\u0026response-content-disposition=attachment%3B+filename%3DSelection_bias_in_general_practice_resea.pdf\u0026Expires=1743577074\u0026Signature=JtAimPhaJQ7pJGaHumQo~O3kJ1ih-y3feIjBV3sQ-qDo2PF0wfLfXE7PEFiXZzCcTF9kHY26QekzHN62vDiMFb212H13~Z10qsbymC2npHd8ZFJ07Jmh3EXtIzIayd8ML-5ydpI5cOZmuSi2aThNGG9i4IALIXusu3TNT38QDuiDcp46x6h8mac~G459DekP6T27D~qZirOXPNBvB4Rl0leIDVox0pneUcMDb6g5PqMPcDslFmPkAjcthRao-Xp0s-cBrnR16FQJKhUk4rVAkAYm0jlRGsQ9~Y5PJWQ8grHv~6pSR3TSAHI6dytP-seTZROAVDFwsVokmXLfa8Nw4Q__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":588,"name":"Nursing","url":"https://www.academia.edu/Documents/in/Nursing"},{"id":634,"name":"General Practice","url":"https://www.academia.edu/Documents/in/General_Practice"},{"id":4376,"name":"Family Medicine","url":"https://www.academia.edu/Documents/in/Family_Medicine"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":62550,"name":"Pregnancy","url":"https://www.academia.edu/Documents/in/Pregnancy"},{"id":69833,"name":"Representativeness","url":"https://www.academia.edu/Documents/in/Representativeness"},{"id":160433,"name":"Selection","url":"https://www.academia.edu/Documents/in/Selection"},{"id":186224,"name":"Danish","url":"https://www.academia.edu/Documents/in/Danish"},{"id":190203,"name":"Cohort","url":"https://www.academia.edu/Documents/in/Cohort"},{"id":410370,"name":"Public health systems and services research","url":"https://www.academia.edu/Documents/in/Public_health_systems_and_services_research-1"},{"id":1190911,"name":"R","url":"https://www.academia.edu/Documents/in/R"},{"id":4011383,"name":"Representativity","url":"https://www.academia.edu/Documents/in/Representativity"}],"urls":[{"id":38485844,"url":"https://doi.org/10.1080/02813432.2020.1847827"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-113372574-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="113372573"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/113372573/Pregnant_womens_concerns_and_antenatal_care_during_COVID_19_lock_down_of_the_Danish_society"><img alt="Research paper thumbnail of Pregnant women's concerns and antenatal care during COVID-19 lock-down of the Danish society" class="work-thumbnail" src="https://attachments.academia-assets.com/110347860/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/113372573/Pregnant_womens_concerns_and_antenatal_care_during_COVID_19_lock_down_of_the_Danish_society">Pregnant women's concerns and antenatal care during COVID-19 lock-down of the Danish society</a></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">INTRODUCTION: INTRODUCTION: Pandemics are known to cause stress and anxiety in pregnant women. Du...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">INTRODUCTION: INTRODUCTION: Pandemics are known to cause stress and anxiety in pregnant women. During the coronavirus disease 2019 (COVID-19) lockdown of the Danish society, pregnant women were considered to be at increased risk, and access to antenatal care changed. METHODS: METHODS: On 8 April 2020A, a questionnaire was sent to 332 pregnant women previously sampled by general practitioners in two Danish regions. The women were contacted via secured e-mail (e-Boks), and questionnaires were returned until 6 May. RESULTS: RESULTS: The questionnaire was returned by 257 women (77%). More than half believed that they were at a high risk of infection with COVID-19, and a third of the women were concerned about the risk of serious disease-especially for their unborn child. Almost 90% isolated at home most of the time. The majority were worried about possible consequences of the pandemic for antenatal care, but very few had actually missed a scheduled preventive consultation with their general practitioner, and only 15% had missed an appointment with their midwife. The majority of the women preferred normal consultations and found no added safety in shifting the consultation from the normal clinical setting. CONCLUSIONS: CONCLUSIONS: The COVID-19 pandemic and lockdown have had a major impact on Danish pregnant women. Even so, concerns were more focused on access to care than on the risk of COVID-19 infection. Contacts with the antenatal healthcare system have only been moderately affected.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="8468aca13015e1d083eb457d84ef5b83" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":110347860,"asset_id":113372573,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/110347860/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="113372573"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="113372573"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 113372573; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=113372573]").text(description); $(".js-view-count[data-work-id=113372573]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 113372573; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='113372573']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "8468aca13015e1d083eb457d84ef5b83" } } $('.js-work-strip[data-work-id=113372573]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":113372573,"title":"Pregnant women's concerns and antenatal care during COVID-19 lock-down of the Danish society","translated_title":"","metadata":{"grobid_abstract":"INTRODUCTION: INTRODUCTION: Pandemics are known to cause stress and anxiety in pregnant women. During the coronavirus disease 2019 (COVID-19) lockdown of the Danish society, pregnant women were considered to be at increased risk, and access to antenatal care changed. METHODS: METHODS: On 8 April 2020A, a questionnaire was sent to 332 pregnant women previously sampled by general practitioners in two Danish regions. The women were contacted via secured e-mail (e-Boks), and questionnaires were returned until 6 May. RESULTS: RESULTS: The questionnaire was returned by 257 women (77%). More than half believed that they were at a high risk of infection with COVID-19, and a third of the women were concerned about the risk of serious disease-especially for their unborn child. Almost 90% isolated at home most of the time. The majority were worried about possible consequences of the pandemic for antenatal care, but very few had actually missed a scheduled preventive consultation with their general practitioner, and only 15% had missed an appointment with their midwife. The majority of the women preferred normal consultations and found no added safety in shifting the consultation from the normal clinical setting. CONCLUSIONS: CONCLUSIONS: The COVID-19 pandemic and lockdown have had a major impact on Danish pregnant women. Even so, concerns were more focused on access to care than on the risk of COVID-19 infection. 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During the coronavirus disease 2019 (COVID-19) lockdown of the Danish society, pregnant women were considered to be at increased risk, and access to antenatal care changed. METHODS: METHODS: On 8 April 2020A, a questionnaire was sent to 332 pregnant women previously sampled by general practitioners in two Danish regions. The women were contacted via secured e-mail (e-Boks), and questionnaires were returned until 6 May. RESULTS: RESULTS: The questionnaire was returned by 257 women (77%). More than half believed that they were at a high risk of infection with COVID-19, and a third of the women were concerned about the risk of serious disease-especially for their unborn child. Almost 90% isolated at home most of the time. The majority were worried about possible consequences of the pandemic for antenatal care, but very few had actually missed a scheduled preventive consultation with their general practitioner, and only 15% had missed an appointment with their midwife. The majority of the women preferred normal consultations and found no added safety in shifting the consultation from the normal clinical setting. CONCLUSIONS: CONCLUSIONS: The COVID-19 pandemic and lockdown have had a major impact on Danish pregnant women. Even so, concerns were more focused on access to care than on the risk of COVID-19 infection. Contacts with the antenatal healthcare system have only been moderately affected.","owner":{"id":2450366,"first_name":"Gritt","middle_initials":null,"last_name":"Overbeck","page_name":"GrittOverbeck","domain_name":"ku-dk","created_at":"2012-09-06T06:05:08.323-07:00","display_name":"Gritt Overbeck","url":"https://ku-dk.academia.edu/GrittOverbeck"},"attachments":[{"id":110347860,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347860/thumbnails/1.jpg","file_name":"Overbeck_et_al_DMJ_PregnantWomenConcern_VoR.pdf","download_url":"https://www.academia.edu/attachments/110347860/download_file","bulk_download_file_name":"Pregnant_womens_concerns_and_antenatal_c.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347860/Overbeck_et_al_DMJ_PregnantWomenConcern_VoR-libre.pdf?1705054642=\u0026response-content-disposition=attachment%3B+filename%3DPregnant_womens_concerns_and_antenatal_c.pdf\u0026Expires=1743577074\u0026Signature=fYy5uTBvZosDCU1QCejbt107cg9x~-5hyKMsUE-zxI8c2ZvklDVfWXUqBmG1UNf~CjInME80OC6gRt2sf6YIXagwrORyX8GiwJvdi2Vi4V70Z0kRsPw8SpGASmGv0RDQVwFVbSM4EjLRotKBaHoS5Lr5O-OURq6FQVjyO2Xg~kXT3dEn-tA7XGWv0yb3srmD3f5lfsq3lGNAi1zNhMP4lU-NAwsWisluGC-urT~Bd57lSnQ8VBX3c-G2wUR75uSBhVxrk74bD-jR1DZFTv5tCmISN6~jBnmeNgymsQ11DnJL3ysi9MpZFSe7kR1HFGq8s5R8PPeNY8bUNHwNnNWEXg__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":4376,"name":"Family Medicine","url":"https://www.academia.edu/Documents/in/Family_Medicine"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":62550,"name":"Pregnancy","url":"https://www.academia.edu/Documents/in/Pregnancy"},{"id":186224,"name":"Danish","url":"https://www.academia.edu/Documents/in/Danish"},{"id":1028827,"name":"Pandemic","url":"https://www.academia.edu/Documents/in/Pandemic"},{"id":1190911,"name":"R","url":"https://www.academia.edu/Documents/in/R"},{"id":3686510,"name":"Coronavirus Disease 2019 (COVID-19)","url":"https://www.academia.edu/Documents/in/Coronavirus_Disease_2019_COVID-19_"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-113372573-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="113372572"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/113372572/Depression_and_anxiety_symptoms_in_pregnant_women_in_Denmark_during_COVID_19"><img alt="Research paper thumbnail of Depression and anxiety symptoms in pregnant women in Denmark during COVID-19" class="work-thumbnail" src="https://attachments.academia-assets.com/110347821/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/113372572/Depression_and_anxiety_symptoms_in_pregnant_women_in_Denmark_during_COVID_19">Depression and anxiety symptoms in pregnant women in Denmark during COVID-19</a></div><div class="wp-workCard_item"><span>Scandinavian Journal of Public Health</span><span>, May 20, 2021</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Aims. Maternal mental distress in pregnancy can be damaging to the mother and child's physical an...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Aims. Maternal mental distress in pregnancy can be damaging to the mother and child's physical and mental health. This study aimed to provide insight into mental wellbeing of pregnant women in Denmark during COVID-19, by assessing symptoms of depression and anxiety. Methods. Data from two cohorts of pregnant women recruited from Danish general practice were compared. A COVID-19 lockdown cohort (n=330) completed questionnaires between April 8th and May 6th. Responses were compared to those from a control cohort of women from 2016 (n=1428). Mental wellbeing was measured with the Major Depression Inventory (MDI) and the Anxiety Symptom Scale (ASS). Results. Questionnaires were returned by 83% of the COVID-19 lockdown cohort and by 93% of the control cohort. A multivariable analysis controlling for age, cohabitation status, occupation, smoking, alcohol use, chronic disease, fertility treatment, parity and children living at home showed no difference in depressive symptoms (MDI). Anxiety symptoms (ASS) were slightly worse in the COVID-19 lockdown cohort (mean difference 1.4 points), mainly driven by questions concerning general anxiety. The largest differences in anxiety were seen in first trimester (adjusted mean difference: 4.0 points). Conclusion. Pregnant women questioned during COVID-19 showed no change in symptoms of depression and only a modest elevation of anxiety when compared to pregnant women questioned during a nonpandemic period in 2016.</span></div><div class="wp-workCard_item"><div class="carousel-container carousel-container--sm" id="profile-work-113372572-figures"><div class="prev-slide-container js-prev-button-container"><button aria-label="Previous" class="carousel-navigation-button js-profile-work-113372572-figures-prev"><span class="material-symbols-outlined" style="font-size: 24px" translate="no">arrow_back_ios</span></button></div><div class="slides-container js-slides-container"><figure class="figure-slide-container"><a href="https://www.academia.edu/figures/50222937/table-1-depression-and-anxiety-symptoms-in-pregnant-women-in"><img alt="" class="figure-slide-image" src="https://figures.academia-assets.com/110347821/table_001.jpg" /></a></figure><figure class="figure-slide-container"><a href="https://www.academia.edu/figures/50222944/table-2-value-of-likelihood-ratio-test-for-difference-in"><img alt="‘p-value of a likelihood ratio test for difference in cohort effect between the covariate categories. Table II: Depression symptoms assessed by Major Depression Inventory (MDI-score) in the COVID-19 lockdown cohort compared to the control cohort from 2016. " class="figure-slide-image" src="https://figures.academia-assets.com/110347821/table_002.jpg" /></a></figure><figure class="figure-slide-container"><a href="https://www.academia.edu/figures/50222950/table-3-value-of-likelihood-ratio-test-for-difference-in"><img alt="‘p-value of a likelihood ratio test for difference in cohort effect between the covariate categories. Table III: Anxiety symptoms assessed by Anxiety Symptom Scale (ASS-score) in the COVID-19 lockdown cohort compared to the control cohort form 2016. " class="figure-slide-image" src="https://figures.academia-assets.com/110347821/table_003.jpg" /></a></figure><figure class="figure-slide-container"><a href="https://www.academia.edu/figures/50222956/table-4-iv-items-from-the-anxiety-symptom-scale-in-the-covid"><img alt="Table IV: Items from the Anxiety Symptom Scale in the COVID-19 lockdown cohort compared to the control cohort from 2016 in relation to the trimester of pregnancy. " class="figure-slide-image" src="https://figures.academia-assets.com/110347821/table_004.jpg" /></a></figure><figure class="figure-slide-container"><a href="https://www.academia.edu/figures/50222965/table-5-depression-and-anxiety-symptoms-in-pregnant-women-in"><img alt="" class="figure-slide-image" src="https://figures.academia-assets.com/110347821/table_005.jpg" /></a></figure></div><div class="next-slide-container js-next-button-container"><button aria-label="Next" class="carousel-navigation-button js-profile-work-113372572-figures-next"><span class="material-symbols-outlined" style="font-size: 24px" translate="no">arrow_forward_ios</span></button></div></div></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="54c7ec95b7deb1cbd24802ba1cdf47d6" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":110347821,"asset_id":113372572,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/110347821/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="113372572"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="113372572"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 113372572; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=113372572]").text(description); $(".js-view-count[data-work-id=113372572]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 113372572; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='113372572']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "54c7ec95b7deb1cbd24802ba1cdf47d6" } } $('.js-work-strip[data-work-id=113372572]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":113372572,"title":"Depression and anxiety symptoms in pregnant women in Denmark during COVID-19","translated_title":"","metadata":{"publisher":"SAGE Publishing","ai_title_tag":"Pregnant Women's Mental Health during COVID-19","grobid_abstract":"Aims. Maternal mental distress in pregnancy can be damaging to the mother and child's physical and mental health. This study aimed to provide insight into mental wellbeing of pregnant women in Denmark during COVID-19, by assessing symptoms of depression and anxiety. Methods. Data from two cohorts of pregnant women recruited from Danish general practice were compared. A COVID-19 lockdown cohort (n=330) completed questionnaires between April 8th and May 6th. Responses were compared to those from a control cohort of women from 2016 (n=1428). Mental wellbeing was measured with the Major Depression Inventory (MDI) and the Anxiety Symptom Scale (ASS). Results. Questionnaires were returned by 83% of the COVID-19 lockdown cohort and by 93% of the control cohort. A multivariable analysis controlling for age, cohabitation status, occupation, smoking, alcohol use, chronic disease, fertility treatment, parity and children living at home showed no difference in depressive symptoms (MDI). Anxiety symptoms (ASS) were slightly worse in the COVID-19 lockdown cohort (mean difference 1.4 points), mainly driven by questions concerning general anxiety. The largest differences in anxiety were seen in first trimester (adjusted mean difference: 4.0 points). Conclusion. Pregnant women questioned during COVID-19 showed no change in symptoms of depression and only a modest elevation of anxiety when compared to pregnant women questioned during a nonpandemic period in 2016.","publication_date":{"day":20,"month":5,"year":2021,"errors":{}},"publication_name":"Scandinavian Journal of Public Health","grobid_abstract_attachment_id":110347821},"translated_abstract":null,"internal_url":"https://www.academia.edu/113372572/Depression_and_anxiety_symptoms_in_pregnant_women_in_Denmark_during_COVID_19","translated_internal_url":"","created_at":"2024-01-12T00:37:07.852-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":2450366,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":110347821,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347821/thumbnails/1.jpg","file_name":"Overbeck_et_al_SJPH_DepressionAndAnxietySymptoms_AAM.pdf","download_url":"https://www.academia.edu/attachments/110347821/download_file","bulk_download_file_name":"Depression_and_anxiety_symptoms_in_pregn.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347821/Overbeck_et_al_SJPH_DepressionAndAnxietySymptoms_AAM-libre.pdf?1705054646=\u0026response-content-disposition=attachment%3B+filename%3DDepression_and_anxiety_symptoms_in_pregn.pdf\u0026Expires=1743577074\u0026Signature=Jo6nA21sl6d3PI0QK5BmD-p903gGaJGewEs-x~AXOUq7dqootKLZH7I-lCqcgkYaTqTl-8U4WnWalJvV5TNUlj9Cg8js4YNEOEzYI62UPUq-wfJOXetXrbQsT7EQ7iZx4bv8lbKGWZAZ4zUu6WXVH3apKJaVQAjjyL5HqiL3BWHHS7~I5LuGOIzN-Z4yoLeFC18WWgsfkj9RXMh88Hju4IbCxkkTd763StDbwOFDXEA6e36qfy61K7Lc2VN6qeAahdmL3rk6H4AKowZgInzCsczCZC26awrKz7VQ354qnvr6dIQd3rGZcf7dfNv7hFa~5rzKZbm3xmkukf9tzT8b9Q__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Depression_and_anxiety_symptoms_in_pregnant_women_in_Denmark_during_COVID_19","translated_slug":"","page_count":21,"language":"en","content_type":"Work","summary":"Aims. Maternal mental distress in pregnancy can be damaging to the mother and child's physical and mental health. This study aimed to provide insight into mental wellbeing of pregnant women in Denmark during COVID-19, by assessing symptoms of depression and anxiety. Methods. Data from two cohorts of pregnant women recruited from Danish general practice were compared. A COVID-19 lockdown cohort (n=330) completed questionnaires between April 8th and May 6th. Responses were compared to those from a control cohort of women from 2016 (n=1428). Mental wellbeing was measured with the Major Depression Inventory (MDI) and the Anxiety Symptom Scale (ASS). Results. Questionnaires were returned by 83% of the COVID-19 lockdown cohort and by 93% of the control cohort. A multivariable analysis controlling for age, cohabitation status, occupation, smoking, alcohol use, chronic disease, fertility treatment, parity and children living at home showed no difference in depressive symptoms (MDI). Anxiety symptoms (ASS) were slightly worse in the COVID-19 lockdown cohort (mean difference 1.4 points), mainly driven by questions concerning general anxiety. The largest differences in anxiety were seen in first trimester (adjusted mean difference: 4.0 points). Conclusion. Pregnant women questioned during COVID-19 showed no change in symptoms of depression and only a modest elevation of anxiety when compared to pregnant women questioned during a nonpandemic period in 2016.","owner":{"id":2450366,"first_name":"Gritt","middle_initials":null,"last_name":"Overbeck","page_name":"GrittOverbeck","domain_name":"ku-dk","created_at":"2012-09-06T06:05:08.323-07:00","display_name":"Gritt Overbeck","url":"https://ku-dk.academia.edu/GrittOverbeck"},"attachments":[{"id":110347821,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347821/thumbnails/1.jpg","file_name":"Overbeck_et_al_SJPH_DepressionAndAnxietySymptoms_AAM.pdf","download_url":"https://www.academia.edu/attachments/110347821/download_file","bulk_download_file_name":"Depression_and_anxiety_symptoms_in_pregn.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347821/Overbeck_et_al_SJPH_DepressionAndAnxietySymptoms_AAM-libre.pdf?1705054646=\u0026response-content-disposition=attachment%3B+filename%3DDepression_and_anxiety_symptoms_in_pregn.pdf\u0026Expires=1743577074\u0026Signature=Jo6nA21sl6d3PI0QK5BmD-p903gGaJGewEs-x~AXOUq7dqootKLZH7I-lCqcgkYaTqTl-8U4WnWalJvV5TNUlj9Cg8js4YNEOEzYI62UPUq-wfJOXetXrbQsT7EQ7iZx4bv8lbKGWZAZ4zUu6WXVH3apKJaVQAjjyL5HqiL3BWHHS7~I5LuGOIzN-Z4yoLeFC18WWgsfkj9RXMh88Hju4IbCxkkTd763StDbwOFDXEA6e36qfy61K7Lc2VN6qeAahdmL3rk6H4AKowZgInzCsczCZC26awrKz7VQ354qnvr6dIQd3rGZcf7dfNv7hFa~5rzKZbm3xmkukf9tzT8b9Q__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"},{"id":110347822,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347822/thumbnails/1.jpg","file_name":"Overbeck_et_al_SJPH_DepressionAndAnxietySymptoms_AAM.pdf","download_url":"https://www.academia.edu/attachments/110347822/download_file","bulk_download_file_name":"Depression_and_anxiety_symptoms_in_pregn.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347822/Overbeck_et_al_SJPH_DepressionAndAnxietySymptoms_AAM-libre.pdf?1705054649=\u0026response-content-disposition=attachment%3B+filename%3DDepression_and_anxiety_symptoms_in_pregn.pdf\u0026Expires=1743577074\u0026Signature=Kix4PUt8FV~kgxgzYNO40Oq6r2bhtha69LsW4dwuLpiERq3NmUDYz6hEZqakHeA2kg-T2xB7dTabx2ZJqK8ldbcAJLeQnFCIIRsDgoej3bHtBJnwpo2psW6T5BmVRfdAqgWwo6mths0jtH42oENMPI3-unoenkH7LsXhSEUDdY0DDYWX~QnE4XKSh2P1~Ge9QBgf5Vr6pcZ7RTYaSBHba22NAfVNi1frr~eyfVlTZ8CHTc-VhL9AIVle5NjWHc~zmOnhqgklBNKxWRjnXdzOtPDhH4bzCNZWX-M39BCppHitXNggD931xd8hr5tXTDkqr6ifPusbCaLyb0IqsRvixg__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":635,"name":"Psychiatry","url":"https://www.academia.edu/Documents/in/Psychiatry"},{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health"},{"id":3217,"name":"Depression","url":"https://www.academia.edu/Documents/in/Depression"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":38676,"name":"Anxiety","url":"https://www.academia.edu/Documents/in/Anxiety"},{"id":62550,"name":"Pregnancy","url":"https://www.academia.edu/Documents/in/Pregnancy"},{"id":131185,"name":"Cohort Study","url":"https://www.academia.edu/Documents/in/Cohort_Study"},{"id":190203,"name":"Cohort","url":"https://www.academia.edu/Documents/in/Cohort"},{"id":410370,"name":"Public health systems and services research","url":"https://www.academia.edu/Documents/in/Public_health_systems_and_services_research-1"},{"id":623821,"name":"ANXIETY","url":"https://www.academia.edu/Documents/in/ANXIETY-1"},{"id":1028827,"name":"Pandemic","url":"https://www.academia.edu/Documents/in/Pandemic"},{"id":1190911,"name":"R","url":"https://www.academia.edu/Documents/in/R"},{"id":1327745,"name":"Prenatal Care","url":"https://www.academia.edu/Documents/in/Prenatal_Care"}],"urls":[{"id":38485843,"url":"https://aura.abdn.ac.uk/bitstream/2164/15944/1/Overbeck_et_al_SJPH_DepressionAndAnxietySymptoms_AAM.pdf"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (true) { Aedu.setUpFigureCarousel('profile-work-113372572-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="113372571"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/113372571/The_work_and_challenges_of_care_managers_in_the_implementation_of_collaborative_care_A_qualitative_study"><img alt="Research paper thumbnail of The work and challenges of care managers in the implementation of collaborative care: A qualitative study" class="work-thumbnail" src="https://attachments.academia-assets.com/110347864/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/113372571/The_work_and_challenges_of_care_managers_in_the_implementation_of_collaborative_care_A_qualitative_study">The work and challenges of care managers in the implementation of collaborative care: A qualitative study</a></div><div class="wp-workCard_item"><span>Journal of Psychiatric and Mental Health Nursing</span><span>, Feb 15, 2018</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">We have maintained the anonymity of all participants and, in particular, the psychiatrists who we...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">We have maintained the anonymity of all participants and, in particular, the psychiatrists who were fewer in number and therefore more easily identifiable. According to Danish legislation the study needed no approval from the Committee on Health Research Ethics as it did not involve biomedical research. The study was notified to the Danish Data Protection.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="e47224d1d5312c881f18eab19e74faf4" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":110347864,"asset_id":113372571,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/110347864/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="113372571"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="113372571"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 113372571; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=113372571]").text(description); $(".js-view-count[data-work-id=113372571]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 113372571; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='113372571']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "e47224d1d5312c881f18eab19e74faf4" } } $('.js-work-strip[data-work-id=113372571]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":113372571,"title":"The work and challenges of care managers in the implementation of collaborative care: A qualitative study","translated_title":"","metadata":{"publisher":"Wiley-Blackwell","ai_title_tag":"Challenges Facing Care Managers in Collaborative Care","grobid_abstract":"We have maintained the anonymity of all participants and, in particular, the psychiatrists who were fewer in number and therefore more easily identifiable. According to Danish legislation the study needed no approval from the Committee on Health Research Ethics as it did not involve biomedical research. The study was notified to the Danish Data Protection.","publication_date":{"day":15,"month":2,"year":2018,"errors":{}},"publication_name":"Journal of Psychiatric and Mental Health Nursing","grobid_abstract_attachment_id":110347864},"translated_abstract":null,"internal_url":"https://www.academia.edu/113372571/The_work_and_challenges_of_care_managers_in_the_implementation_of_collaborative_care_A_qualitative_study","translated_internal_url":"","created_at":"2024-01-12T00:37:07.615-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":2450366,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":110347864,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347864/thumbnails/1.jpg","file_name":"jpm.1244920240112-1-8imqrm.pdf","download_url":"https://www.academia.edu/attachments/110347864/download_file","bulk_download_file_name":"The_work_and_challenges_of_care_managers.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347864/jpm.1244920240112-1-8imqrm-libre.pdf?1705054632=\u0026response-content-disposition=attachment%3B+filename%3DThe_work_and_challenges_of_care_managers.pdf\u0026Expires=1743577075\u0026Signature=P-yQU9~5IjfkojRbVspoDqlkJ1mJwkIryZck616Hl9H8TzihGS1mhdv~KUClsP8Gem-J~~VAB2OyNB~vCR9lskqaBRw5HoK3eFliHv3xm-BspupslmYwcbnSEfpjP346opJcFAEWj7Wd0hT0tsxYIaRVFlhAYqUUXdn-iMfD-PgWKanNntjhi~DHUEo5wXqRxtxiGA1AZpyfMfxjZ1NvYK0V-l50q7YZtwLExCd7vMmV7lYr-aPwdn~NG73UjhlCETObc4j7ZtRgFzUi~lI-szOkirPy~~0ObpZdu4ouImbK1-qQU-mPXPmYJZw8FKF5P6QDYKMW~Vt1y1BbQQB8Lw__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"The_work_and_challenges_of_care_managers_in_the_implementation_of_collaborative_care_A_qualitative_study","translated_slug":"","page_count":21,"language":"en","content_type":"Work","summary":"We have maintained the anonymity of all participants and, in particular, the psychiatrists who were fewer in number and therefore more easily identifiable. According to Danish legislation the study needed no approval from the Committee on Health Research Ethics as it did not involve biomedical research. The study was notified to the Danish Data Protection.","owner":{"id":2450366,"first_name":"Gritt","middle_initials":null,"last_name":"Overbeck","page_name":"GrittOverbeck","domain_name":"ku-dk","created_at":"2012-09-06T06:05:08.323-07:00","display_name":"Gritt Overbeck","url":"https://ku-dk.academia.edu/GrittOverbeck"},"attachments":[{"id":110347864,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347864/thumbnails/1.jpg","file_name":"jpm.1244920240112-1-8imqrm.pdf","download_url":"https://www.academia.edu/attachments/110347864/download_file","bulk_download_file_name":"The_work_and_challenges_of_care_managers.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347864/jpm.1244920240112-1-8imqrm-libre.pdf?1705054632=\u0026response-content-disposition=attachment%3B+filename%3DThe_work_and_challenges_of_care_managers.pdf\u0026Expires=1743577075\u0026Signature=P-yQU9~5IjfkojRbVspoDqlkJ1mJwkIryZck616Hl9H8TzihGS1mhdv~KUClsP8Gem-J~~VAB2OyNB~vCR9lskqaBRw5HoK3eFliHv3xm-BspupslmYwcbnSEfpjP346opJcFAEWj7Wd0hT0tsxYIaRVFlhAYqUUXdn-iMfD-PgWKanNntjhi~DHUEo5wXqRxtxiGA1AZpyfMfxjZ1NvYK0V-l50q7YZtwLExCd7vMmV7lYr-aPwdn~NG73UjhlCETObc4j7ZtRgFzUi~lI-szOkirPy~~0ObpZdu4ouImbK1-qQU-mPXPmYJZw8FKF5P6QDYKMW~Vt1y1BbQQB8Lw__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology"},{"id":588,"name":"Nursing","url":"https://www.academia.edu/Documents/in/Nursing"},{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health"},{"id":12135,"name":"Qualitative Research","url":"https://www.academia.edu/Documents/in/Qualitative_Research"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":38676,"name":"Anxiety","url":"https://www.academia.edu/Documents/in/Anxiety"},{"id":105510,"name":"Journal Article","url":"https://www.academia.edu/Documents/in/Journal_Article"},{"id":116278,"name":"Psychological Intervention","url":"https://www.academia.edu/Documents/in/Psychological_Intervention"},{"id":623821,"name":"ANXIETY","url":"https://www.academia.edu/Documents/in/ANXIETY-1"},{"id":1423074,"name":"Collaborative Care","url":"https://www.academia.edu/Documents/in/Collaborative_Care"},{"id":1771442,"name":"Psychiatric Mental Health Nursing","url":"https://www.academia.edu/Documents/in/Psychiatric_Mental_Health_Nursing"},{"id":2922956,"name":"Psychology and Cognitive Sciences","url":"https://www.academia.edu/Documents/in/Psychology_and_Cognitive_Sciences"},{"id":3763225,"name":"Medical and Health Sciences","url":"https://www.academia.edu/Documents/in/Medical_and_Health_Sciences"}],"urls":[{"id":38485842,"url":"https://doi.org/10.1111/jpm.12449"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-113372571-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="113372570"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/113372570/Clinicians_experiences_in_signposting_an_online_mental_health_resource_to_expectant_mothers_a_qualitative_study"><img alt="Research paper thumbnail of Clinicians’ experiences in signposting an online mental health resource to expectant mothers: a qualitative study" class="work-thumbnail" src="https://attachments.academia-assets.com/110347829/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/113372570/Clinicians_experiences_in_signposting_an_online_mental_health_resource_to_expectant_mothers_a_qualitative_study">Clinicians’ experiences in signposting an online mental health resource to expectant mothers: a qualitative study</a></div><div class="wp-workCard_item"><span>BMC Pregnancy and Childbirth</span><span>, May 10, 2023</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Background Poor maternal mental well-being and a lack of secure parent-infant attachment, have be...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Background Poor maternal mental well-being and a lack of secure parent-infant attachment, have been identified as important factors associated with adverse mental health outcomes later in a child's life. Interventions designed to care for maternal mental well-being during pregnancy and early parenthood, are therefore likely to support healthy child development. Mentalization is a skill parents can practice, improving the emotional bond to the child, offering insights into their own and the child's mental states and potentially improving parental mental well-being. Most pregnant women in Denmark schedule antenatal consultations in general practice, potentially offering a solid platform to promote web-based interventions aiming to enhance mentalization skills. Signposting towards online resources has several advantages including high accessibility, ease of distribution and cost-effectiveness. We aimed to explore the attitudes and experiences of clinicians in general practice in signposting women towards a webintervention to increase parental mentalization skills. Methods The intervention was offered to pregnant women at their primary preventive antenatal consultation in Danish general practice around week eight of pregnancy, and was designed to be incorporated into the following antenatal-and pediatric consultations until the child's second birthday. Semi-structured interviews about clinicians' experiences with signposting the intervention were conducted with 11 general practitioners (GP), three practice midwives (MW) and one practice nurse (NR). Results Clinicians wanted to enhance the focus on mental well-being in pregnancy and early childhood during preventive consultations. The main barriers to signposting the web-program were decreasing motivation over time, lack of financial viability and time limitations. Utilizing a psychoeducational web-intervention was generally accepted by clinicians, but ideally not carried out solely in general practice. Conclusion Signposting web-programs to improve parental mentalization skills can be welcomed by clinicians in general practice but need to be more tailored to suit the everyday workflow of the clinics. Addressing parental mentalization remains largely unchartered territory for pregnant women and clinicians alike, therefore training clinicians on the subject and its presentation should be offered.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="10e8baef5ba5da515a3923fe7fcb8548" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":110347829,"asset_id":113372570,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/110347829/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="113372570"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="113372570"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 113372570; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=113372570]").text(description); $(".js-view-count[data-work-id=113372570]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 113372570; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='113372570']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "10e8baef5ba5da515a3923fe7fcb8548" } } $('.js-work-strip[data-work-id=113372570]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":113372570,"title":"Clinicians’ experiences in signposting an online mental health resource to expectant mothers: a qualitative study","translated_title":"","metadata":{"publisher":"BioMed Central","grobid_abstract":"Background Poor maternal mental well-being and a lack of secure parent-infant attachment, have been identified as important factors associated with adverse mental health outcomes later in a child's life. Interventions designed to care for maternal mental well-being during pregnancy and early parenthood, are therefore likely to support healthy child development. Mentalization is a skill parents can practice, improving the emotional bond to the child, offering insights into their own and the child's mental states and potentially improving parental mental well-being. Most pregnant women in Denmark schedule antenatal consultations in general practice, potentially offering a solid platform to promote web-based interventions aiming to enhance mentalization skills. Signposting towards online resources has several advantages including high accessibility, ease of distribution and cost-effectiveness. We aimed to explore the attitudes and experiences of clinicians in general practice in signposting women towards a webintervention to increase parental mentalization skills. Methods The intervention was offered to pregnant women at their primary preventive antenatal consultation in Danish general practice around week eight of pregnancy, and was designed to be incorporated into the following antenatal-and pediatric consultations until the child's second birthday. Semi-structured interviews about clinicians' experiences with signposting the intervention were conducted with 11 general practitioners (GP), three practice midwives (MW) and one practice nurse (NR). Results Clinicians wanted to enhance the focus on mental well-being in pregnancy and early childhood during preventive consultations. The main barriers to signposting the web-program were decreasing motivation over time, lack of financial viability and time limitations. Utilizing a psychoeducational web-intervention was generally accepted by clinicians, but ideally not carried out solely in general practice. Conclusion Signposting web-programs to improve parental mentalization skills can be welcomed by clinicians in general practice but need to be more tailored to suit the everyday workflow of the clinics. Addressing parental mentalization remains largely unchartered territory for pregnant women and clinicians alike, therefore training clinicians on the subject and its presentation should be offered.","publication_date":{"day":10,"month":5,"year":2023,"errors":{}},"publication_name":"BMC Pregnancy and Childbirth","grobid_abstract_attachment_id":110347828},"translated_abstract":null,"internal_url":"https://www.academia.edu/113372570/Clinicians_experiences_in_signposting_an_online_mental_health_resource_to_expectant_mothers_a_qualitative_study","translated_internal_url":"","created_at":"2024-01-12T00:37:07.437-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":2450366,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":110347829,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347829/thumbnails/1.jpg","file_name":"s12884-023-05671-w.pdf","download_url":"https://www.academia.edu/attachments/110347829/download_file","bulk_download_file_name":"Clinicians_experiences_in_signposting_an.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347829/s12884-023-05671-w-libre.pdf?1705054638=\u0026response-content-disposition=attachment%3B+filename%3DClinicians_experiences_in_signposting_an.pdf\u0026Expires=1743577075\u0026Signature=XxAJ6g2qx7mq0kEb4moH9bil~GwdD22TmUOIAr4Ws7NbXuTo5~Es0G2PDMhj8SqQ6riji4kGLRetwOF3qDVy~aqGlEGF6tJ2SeOOPL-N3J6xLo9wxIxADLS1LED1A7I-SwnCKvUKcJ4VxebKnAOhXr3i6BMm94HCMHI0Ovs2sOlpmlyaygWW7YXvwdo42xo-DsR1TyOCqXgb37~EDQNfubiC8ba9AA0J2NLYUnpSvRKIxweBBWltZqN3H1I8JfNB2m6rZpYqhaMkLu7qWE0M0sp3mTjeflQKdfkXFCghTcZmF276OVR8re1Lcrakk5mJ1YmocE~JDJOcQo28CPdFFg__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Clinicians_experiences_in_signposting_an_online_mental_health_resource_to_expectant_mothers_a_qualitative_study","translated_slug":"","page_count":7,"language":"en","content_type":"Work","summary":"Background Poor maternal mental well-being and a lack of secure parent-infant attachment, have been identified as important factors associated with adverse mental health outcomes later in a child's life. Interventions designed to care for maternal mental well-being during pregnancy and early parenthood, are therefore likely to support healthy child development. Mentalization is a skill parents can practice, improving the emotional bond to the child, offering insights into their own and the child's mental states and potentially improving parental mental well-being. Most pregnant women in Denmark schedule antenatal consultations in general practice, potentially offering a solid platform to promote web-based interventions aiming to enhance mentalization skills. Signposting towards online resources has several advantages including high accessibility, ease of distribution and cost-effectiveness. We aimed to explore the attitudes and experiences of clinicians in general practice in signposting women towards a webintervention to increase parental mentalization skills. Methods The intervention was offered to pregnant women at their primary preventive antenatal consultation in Danish general practice around week eight of pregnancy, and was designed to be incorporated into the following antenatal-and pediatric consultations until the child's second birthday. Semi-structured interviews about clinicians' experiences with signposting the intervention were conducted with 11 general practitioners (GP), three practice midwives (MW) and one practice nurse (NR). Results Clinicians wanted to enhance the focus on mental well-being in pregnancy and early childhood during preventive consultations. The main barriers to signposting the web-program were decreasing motivation over time, lack of financial viability and time limitations. Utilizing a psychoeducational web-intervention was generally accepted by clinicians, but ideally not carried out solely in general practice. Conclusion Signposting web-programs to improve parental mentalization skills can be welcomed by clinicians in general practice but need to be more tailored to suit the everyday workflow of the clinics. Addressing parental mentalization remains largely unchartered territory for pregnant women and clinicians alike, therefore training clinicians on the subject and its presentation should be offered.","owner":{"id":2450366,"first_name":"Gritt","middle_initials":null,"last_name":"Overbeck","page_name":"GrittOverbeck","domain_name":"ku-dk","created_at":"2012-09-06T06:05:08.323-07:00","display_name":"Gritt Overbeck","url":"https://ku-dk.academia.edu/GrittOverbeck"},"attachments":[{"id":110347829,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347829/thumbnails/1.jpg","file_name":"s12884-023-05671-w.pdf","download_url":"https://www.academia.edu/attachments/110347829/download_file","bulk_download_file_name":"Clinicians_experiences_in_signposting_an.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347829/s12884-023-05671-w-libre.pdf?1705054638=\u0026response-content-disposition=attachment%3B+filename%3DClinicians_experiences_in_signposting_an.pdf\u0026Expires=1743577075\u0026Signature=XxAJ6g2qx7mq0kEb4moH9bil~GwdD22TmUOIAr4Ws7NbXuTo5~Es0G2PDMhj8SqQ6riji4kGLRetwOF3qDVy~aqGlEGF6tJ2SeOOPL-N3J6xLo9wxIxADLS1LED1A7I-SwnCKvUKcJ4VxebKnAOhXr3i6BMm94HCMHI0Ovs2sOlpmlyaygWW7YXvwdo42xo-DsR1TyOCqXgb37~EDQNfubiC8ba9AA0J2NLYUnpSvRKIxweBBWltZqN3H1I8JfNB2m6rZpYqhaMkLu7qWE0M0sp3mTjeflQKdfkXFCghTcZmF276OVR8re1Lcrakk5mJ1YmocE~JDJOcQo28CPdFFg__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"},{"id":110347828,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347828/thumbnails/1.jpg","file_name":"s12884-023-05671-w.pdf","download_url":"https://www.academia.edu/attachments/110347828/download_file","bulk_download_file_name":"Clinicians_experiences_in_signposting_an.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347828/s12884-023-05671-w-libre.pdf?1705054644=\u0026response-content-disposition=attachment%3B+filename%3DClinicians_experiences_in_signposting_an.pdf\u0026Expires=1743577075\u0026Signature=JZxQQF9Ar--2lpRAkP-c8uSdYK4AHX8Z0wf~omzpjS5JBMnlmGvTqsnes9rK2LSeWDnu7ZMbMbVKpYJQW5gabBS9a~cI1LZ7NHSGSPLKLsGt9GIeFsw5i8q72lt2CcKts41cMCE9RZa-39PDdFwbdT9qDQPNpEpePgV5PBzI2T3A4jLlabrARGxeRF5ipKIlnlOeUhd87FuNGoXghf2h3lzf~npswTmPJMSMumhaX-jGCu445lMCgxMK~R1brLL~gE0CBXU~imrGu28szZ51YMOrT~fSSVm~GHQd~yCMUTCqBimZf~-GcO9gdDAXLQIefdzx7POYkm8lGxaMgI-W6Q__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":588,"name":"Nursing","url":"https://www.academia.edu/Documents/in/Nursing"},{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":116278,"name":"Psychological Intervention","url":"https://www.academia.edu/Documents/in/Psychological_Intervention"},{"id":217865,"name":"Reproductive medicine","url":"https://www.academia.edu/Documents/in/Reproductive_medicine"},{"id":410370,"name":"Public health systems and services research","url":"https://www.academia.edu/Documents/in/Public_health_systems_and_services_research-1"},{"id":805430,"name":"Guidance and Counseling Intervention Programs","url":"https://www.academia.edu/Documents/in/Guidance_and_Counseling_Intervention_Programs"},{"id":3789883,"name":"Paediatrics and reproductive medicine","url":"https://www.academia.edu/Documents/in/Paediatrics_and_reproductive_medicine"}],"urls":[{"id":38485841,"url":"https://bmcpregnancychildbirth.biomedcentral.com/counter/pdf/10.1186/s12884-023-05671-w"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-113372570-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="113372569"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/113372569/Implementing_Collaborative_Care_for_anxiety_and_depression_a_qualitative_study_from_the_Capital_Region_of_Denmark"><img alt="Research paper thumbnail of Implementing Collaborative Care for anxiety and depression: a qualitative study from the Capital Region of Denmark" class="work-thumbnail" src="https://attachments.academia-assets.com/110347817/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/113372569/Implementing_Collaborative_Care_for_anxiety_and_depression_a_qualitative_study_from_the_Capital_Region_of_Denmark">Implementing Collaborative Care for anxiety and depression: a qualitative study from the Capital Region of Denmark</a></div><div class="wp-workCard_item"><span>International Journal of Integrated Care</span><span>, Oct 17, 2017</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Introduction: Mental health problems constitute a substantial burden for patients and health syst...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Introduction: Mental health problems constitute a substantial burden for patients and health systems. In order to improve the treatment of patients suffering from anxiety and depression, collaborative care models have been developed. Collaborative care is a complex intervention</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="4758495e81967518e894d2f28a8a6911" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":110347817,"asset_id":113372569,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/110347817/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="113372569"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="113372569"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 113372569; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=113372569]").text(description); $(".js-view-count[data-work-id=113372569]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 113372569; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='113372569']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "4758495e81967518e894d2f28a8a6911" } } $('.js-work-strip[data-work-id=113372569]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":113372569,"title":"Implementing Collaborative Care for anxiety and depression: a qualitative study from the Capital Region of Denmark","translated_title":"","metadata":{"publisher":"Ubiquity Press","grobid_abstract":"Introduction: Mental health problems constitute a substantial burden for patients and health systems. In order to improve the treatment of patients suffering from anxiety and depression, collaborative care models have been developed. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") if (false) { Aedu.setUpFigureCarousel('profile-work-113372569-figures'); } }); </script> <div class="js-work-strip profile--work_container" data-work-id="113372568"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/113372568/Increasing_the_psychosocial_focus_in_child_developmental_assessments_a_qualitative_study"><img alt="Research paper thumbnail of Increasing the psychosocial focus in child developmental assessments: a qualitative study" class="work-thumbnail" src="https://attachments.academia-assets.com/110347824/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/113372568/Increasing_the_psychosocial_focus_in_child_developmental_assessments_a_qualitative_study">Increasing the psychosocial focus in child developmental assessments: a qualitative study</a></div><div class="wp-workCard_item"><span>BMC Pediatrics</span><span>, Jan 25, 2023</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Background Previous studies have indicated a need for increased psychosocial focus on children an...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Background Previous studies have indicated a need for increased psychosocial focus on children and their families to improve children's wellbeing and mental health. Child developmental assessments could be a place to implement changes to achieve this. A standardised record might be helpful to clinicians trying to increase psychosocial focus. The aim of this study is to investigate clinical barriers and facilitators when introducing standardised child records with increased focus on psychosocial wellbeing and mental health into child developmental assessments. Methods This is a qualitative study based on 12 semi-structured interviews with four midwives and nine doctors who carry out child developmental assessments in general practice. Data is analysed in the framework of Normalisation Process Theory. Results General practice-based clinicians were positive towards increasing the psychosocial focus in child developmental assessments. The main barriers when clinicians used the standardised child records were: feeling forced to ask certain questions, in turn making the conversation rigid; leaving less room for parents to bring up other issues; making clinicians feel awkward when addressing problems that they cannot solve; the need for extended consultation time; and medico-legal concerns when registering findings. The experience of positive aspects when using the standardised child records facilitated continuous use of the records. Positive aspects included having a standardised approach to recording important findings, thereby uncovering psychosocial problems that could potentially be overlooked. Additionally, structured observation of parent-child interaction and gaining a new vocabulary to describe the findings were valued by clinicians. Balancing a standardised approach with clinicians' ability to steer the consultation and explore topics in depth while preserving the potential for patients to bring up other issues became an important theme. Conclusion Clinicians need to be well-equipped to handle psychosocial problems through coping strategies, referral options and communication techniques in the psychosocial domain. The parent-child-interaction assessment might expose potentially dysfunctional parenting behaviours and could improve communication between health professionals. Implementing standardised child development records with an increased psychosocial focus is feasible but improvements could optimise the use of the records. Parental views on an increased psychosocial focus during child developmental assessments should be investigated prior to further implementation. Trial registration Trial registry number for the FamilieTrivsel (Family Wellbeing) trial: NCT04129359.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="93b97b2695a5a97986b843e721aa7ebe" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":110347824,"asset_id":113372568,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/110347824/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="113372568"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="113372568"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 113372568; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=113372568]").text(description); $(".js-view-count[data-work-id=113372568]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 113372568; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='113372568']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "93b97b2695a5a97986b843e721aa7ebe" } } $('.js-work-strip[data-work-id=113372568]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":113372568,"title":"Increasing the psychosocial focus in child developmental assessments: a qualitative study","translated_title":"","metadata":{"publisher":"Springer Science+Business Media","ai_title_tag":"Enhancing Psychosocial Focus in Child Assessments","grobid_abstract":"Background Previous studies have indicated a need for increased psychosocial focus on children and their families to improve children's wellbeing and mental health. Child developmental assessments could be a place to implement changes to achieve this. A standardised record might be helpful to clinicians trying to increase psychosocial focus. The aim of this study is to investigate clinical barriers and facilitators when introducing standardised child records with increased focus on psychosocial wellbeing and mental health into child developmental assessments. Methods This is a qualitative study based on 12 semi-structured interviews with four midwives and nine doctors who carry out child developmental assessments in general practice. Data is analysed in the framework of Normalisation Process Theory. Results General practice-based clinicians were positive towards increasing the psychosocial focus in child developmental assessments. The main barriers when clinicians used the standardised child records were: feeling forced to ask certain questions, in turn making the conversation rigid; leaving less room for parents to bring up other issues; making clinicians feel awkward when addressing problems that they cannot solve; the need for extended consultation time; and medico-legal concerns when registering findings. The experience of positive aspects when using the standardised child records facilitated continuous use of the records. Positive aspects included having a standardised approach to recording important findings, thereby uncovering psychosocial problems that could potentially be overlooked. Additionally, structured observation of parent-child interaction and gaining a new vocabulary to describe the findings were valued by clinicians. Balancing a standardised approach with clinicians' ability to steer the consultation and explore topics in depth while preserving the potential for patients to bring up other issues became an important theme. Conclusion Clinicians need to be well-equipped to handle psychosocial problems through coping strategies, referral options and communication techniques in the psychosocial domain. The parent-child-interaction assessment might expose potentially dysfunctional parenting behaviours and could improve communication between health professionals. Implementing standardised child development records with an increased psychosocial focus is feasible but improvements could optimise the use of the records. Parental views on an increased psychosocial focus during child developmental assessments should be investigated prior to further implementation. 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Child developmental assessments could be a place to implement changes to achieve this. A standardised record might be helpful to clinicians trying to increase psychosocial focus. The aim of this study is to investigate clinical barriers and facilitators when introducing standardised child records with increased focus on psychosocial wellbeing and mental health into child developmental assessments. Methods This is a qualitative study based on 12 semi-structured interviews with four midwives and nine doctors who carry out child developmental assessments in general practice. Data is analysed in the framework of Normalisation Process Theory. Results General practice-based clinicians were positive towards increasing the psychosocial focus in child developmental assessments. The main barriers when clinicians used the standardised child records were: feeling forced to ask certain questions, in turn making the conversation rigid; leaving less room for parents to bring up other issues; making clinicians feel awkward when addressing problems that they cannot solve; the need for extended consultation time; and medico-legal concerns when registering findings. The experience of positive aspects when using the standardised child records facilitated continuous use of the records. Positive aspects included having a standardised approach to recording important findings, thereby uncovering psychosocial problems that could potentially be overlooked. Additionally, structured observation of parent-child interaction and gaining a new vocabulary to describe the findings were valued by clinicians. Balancing a standardised approach with clinicians' ability to steer the consultation and explore topics in depth while preserving the potential for patients to bring up other issues became an important theme. Conclusion Clinicians need to be well-equipped to handle psychosocial problems through coping strategies, referral options and communication techniques in the psychosocial domain. The parent-child-interaction assessment might expose potentially dysfunctional parenting behaviours and could improve communication between health professionals. Implementing standardised child development records with an increased psychosocial focus is feasible but improvements could optimise the use of the records. Parental views on an increased psychosocial focus during child developmental assessments should be investigated prior to further implementation. 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If the patie...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Background Many elderly people wish to die at home but end up dying at the hospital. If the patient wishes to die at home, palliative care provided by General Practitioners (GPs) may increase the chance of dying at home, however, there is a lack of knowledge on how GPs should provide palliative care. We aimed to identify roles, tasks and approaches of GPs enabling palliative care, by exploring the experiences of GPs, other healthcare professionals, patients, and relatives through a systematic review of the qualitative literature. Methods We searched PubMed, EMBASE, PsycINFO, Web of Science, and CINAHL in March 2022. Thematic analysis was used for synthesizing the results. Results Four thousand five hundred sixty three unique records were retrieved, and 12 studies were included for review. Of these, ten were interview or focus group studies and two were survey studies with additional open-ended questions. Only qualitative findings from the studies were used in synthesizing the results. Thematic analysis produced four main themes describing the roles, tasks and approaches of GPs enabling palliative care to increase the chance for patients to die at home. GPs can support patients in the final phases of life by applying a holistic, patientcentred, and proactive approach to palliative care and by having sufficient education and training. Furthermore, the palliative care consultation should include symptom management, handling psychosocial and spiritual needs, maintaining a fragile balance, and proper communication with the patient. Lastly, GPs must address several palliative care elements surrounding the consultation including initiating the palliative care, being available, being the team coordinator/collaborator, providing continuous care and having sufficient knowledge about the patient. Conclusions The roles, tasks and approaches of the GPs enabling palliative care include being aware of elements in the palliative care consultation and elements surrounding the consultation and by having sufficient education and training and a broad, proactive, and patient-centred approach.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="4ca426e7bf132150179b70e6013b6bca" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":110347826,"asset_id":113372566,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/110347826/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="113372566"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="113372566"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 113372566; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=113372566]").text(description); $(".js-view-count[data-work-id=113372566]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 113372566; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='113372566']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "4ca426e7bf132150179b70e6013b6bca" } } $('.js-work-strip[data-work-id=113372566]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":113372566,"title":"Increasing the chance of dying at home: roles, tasks and approaches of general practitioners enabling palliative care: a systematic review of qualitative literature","translated_title":"","metadata":{"publisher":"Springer Nature","grobid_abstract":"Background Many elderly people wish to die at home but end up dying at the hospital. If the patient wishes to die at home, palliative care provided by General Practitioners (GPs) may increase the chance of dying at home, however, there is a lack of knowledge on how GPs should provide palliative care. We aimed to identify roles, tasks and approaches of GPs enabling palliative care, by exploring the experiences of GPs, other healthcare professionals, patients, and relatives through a systematic review of the qualitative literature. Methods We searched PubMed, EMBASE, PsycINFO, Web of Science, and CINAHL in March 2022. Thematic analysis was used for synthesizing the results. Results Four thousand five hundred sixty three unique records were retrieved, and 12 studies were included for review. Of these, ten were interview or focus group studies and two were survey studies with additional open-ended questions. Only qualitative findings from the studies were used in synthesizing the results. Thematic analysis produced four main themes describing the roles, tasks and approaches of GPs enabling palliative care to increase the chance for patients to die at home. GPs can support patients in the final phases of life by applying a holistic, patientcentred, and proactive approach to palliative care and by having sufficient education and training. Furthermore, the palliative care consultation should include symptom management, handling psychosocial and spiritual needs, maintaining a fragile balance, and proper communication with the patient. Lastly, GPs must address several palliative care elements surrounding the consultation including initiating the palliative care, being available, being the team coordinator/collaborator, providing continuous care and having sufficient knowledge about the patient. Conclusions The roles, tasks and approaches of the GPs enabling palliative care include being aware of elements in the palliative care consultation and elements surrounding the consultation and by having sufficient education and training and a broad, proactive, and patient-centred approach.","publication_date":{"day":23,"month":3,"year":2023,"errors":{}},"publication_name":"BMC Primary Care","grobid_abstract_attachment_id":110347823},"translated_abstract":null,"internal_url":"https://www.academia.edu/113372566/Increasing_the_chance_of_dying_at_home_roles_tasks_and_approaches_of_general_practitioners_enabling_palliative_care_a_systematic_review_of_qualitative_literature","translated_internal_url":"","created_at":"2024-01-12T00:37:06.839-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":2450366,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":110347826,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347826/thumbnails/1.jpg","file_name":"s12875-023-02038-0.pdf","download_url":"https://www.academia.edu/attachments/110347826/download_file","bulk_download_file_name":"Increasing_the_chance_of_dying_at_home_r.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347826/s12875-023-02038-0-libre.pdf?1705054645=\u0026response-content-disposition=attachment%3B+filename%3DIncreasing_the_chance_of_dying_at_home_r.pdf\u0026Expires=1743577075\u0026Signature=G7iT3g~uYwcwxP-VTf6O2nK12N9y5qzm0hExvVX5yvl8w2Nl-wJj-5Rh~CFd8EpkknyYB0s7Zbii6CzeBm9-OpqpliOtpmr7gubqEOREA-bGv19-pG1X38DNuGBPyVAK~DOY0w-B4d~zvmYWWxaWsx0Uaunc4C2TQOcXZ~fmoKAoJ8e4VigaGLKWFW-UW6LNRFcRSfgM-diReoT7T3pbOuUngxFcgkBnhomSQ4V78Q7cZk6h5Sg8942rdZLk3qm8ypVqda6IEPpDpKG6uj3g5YWMFmS7JSLrvqDPeCcXeFvCxtGdA8W0xZ75CWIcq7iLst1ZKVX~JlFKUD1udxjrEA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Increasing_the_chance_of_dying_at_home_roles_tasks_and_approaches_of_general_practitioners_enabling_palliative_care_a_systematic_review_of_qualitative_literature","translated_slug":"","page_count":11,"language":"en","content_type":"Work","summary":"Background Many elderly people wish to die at home but end up dying at the hospital. If the patient wishes to die at home, palliative care provided by General Practitioners (GPs) may increase the chance of dying at home, however, there is a lack of knowledge on how GPs should provide palliative care. We aimed to identify roles, tasks and approaches of GPs enabling palliative care, by exploring the experiences of GPs, other healthcare professionals, patients, and relatives through a systematic review of the qualitative literature. Methods We searched PubMed, EMBASE, PsycINFO, Web of Science, and CINAHL in March 2022. Thematic analysis was used for synthesizing the results. Results Four thousand five hundred sixty three unique records were retrieved, and 12 studies were included for review. Of these, ten were interview or focus group studies and two were survey studies with additional open-ended questions. Only qualitative findings from the studies were used in synthesizing the results. Thematic analysis produced four main themes describing the roles, tasks and approaches of GPs enabling palliative care to increase the chance for patients to die at home. GPs can support patients in the final phases of life by applying a holistic, patientcentred, and proactive approach to palliative care and by having sufficient education and training. Furthermore, the palliative care consultation should include symptom management, handling psychosocial and spiritual needs, maintaining a fragile balance, and proper communication with the patient. Lastly, GPs must address several palliative care elements surrounding the consultation including initiating the palliative care, being available, being the team coordinator/collaborator, providing continuous care and having sufficient knowledge about the patient. Conclusions The roles, tasks and approaches of the GPs enabling palliative care include being aware of elements in the palliative care consultation and elements surrounding the consultation and by having sufficient education and training and a broad, proactive, and patient-centred approach.","owner":{"id":2450366,"first_name":"Gritt","middle_initials":null,"last_name":"Overbeck","page_name":"GrittOverbeck","domain_name":"ku-dk","created_at":"2012-09-06T06:05:08.323-07:00","display_name":"Gritt Overbeck","url":"https://ku-dk.academia.edu/GrittOverbeck"},"attachments":[{"id":110347826,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347826/thumbnails/1.jpg","file_name":"s12875-023-02038-0.pdf","download_url":"https://www.academia.edu/attachments/110347826/download_file","bulk_download_file_name":"Increasing_the_chance_of_dying_at_home_r.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347826/s12875-023-02038-0-libre.pdf?1705054645=\u0026response-content-disposition=attachment%3B+filename%3DIncreasing_the_chance_of_dying_at_home_r.pdf\u0026Expires=1743577075\u0026Signature=G7iT3g~uYwcwxP-VTf6O2nK12N9y5qzm0hExvVX5yvl8w2Nl-wJj-5Rh~CFd8EpkknyYB0s7Zbii6CzeBm9-OpqpliOtpmr7gubqEOREA-bGv19-pG1X38DNuGBPyVAK~DOY0w-B4d~zvmYWWxaWsx0Uaunc4C2TQOcXZ~fmoKAoJ8e4VigaGLKWFW-UW6LNRFcRSfgM-diReoT7T3pbOuUngxFcgkBnhomSQ4V78Q7cZk6h5Sg8942rdZLk3qm8ypVqda6IEPpDpKG6uj3g5YWMFmS7JSLrvqDPeCcXeFvCxtGdA8W0xZ75CWIcq7iLst1ZKVX~JlFKUD1udxjrEA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"},{"id":110347823,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/110347823/thumbnails/1.jpg","file_name":"s12875-023-02038-0.pdf","download_url":"https://www.academia.edu/attachments/110347823/download_file","bulk_download_file_name":"Increasing_the_chance_of_dying_at_home_r.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/110347823/s12875-023-02038-0-libre.pdf?1705054648=\u0026response-content-disposition=attachment%3B+filename%3DIncreasing_the_chance_of_dying_at_home_r.pdf\u0026Expires=1743577075\u0026Signature=QvsW9PmJzBwaGUQ3KZHzq3-otKhyzSQPQTRn6mZV5kM4W1E-GzZvi9xC9y5fTF1Qgf98bFX65d23YBkEVfyQNO4pBxumSTfGTk0er3bRk0XUodwar4fa9bLU7Ky1NaXf-2D41Z1h~czPnzSl~nN5RkqK8lViDVvHMkKrKinJIURZ618Ijvq8Gru93YcPFSOwJw8KCfgEfocXjPNeq~MOTRNgEoHEBtY70DyvNClzymtrDM6OFeBccKoyjYAXBD5i9EOkOjLkUD0CEQF0nNu2DtiuQvA41aHhv~vyYQ8XCF52Redab2b26asnJGe7uL0n~shfEinFbrcYDfGi9BY-uA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":588,"name":"Nursing","url":"https://www.academia.edu/Documents/in/Nursing"},{"id":4482,"name":"Palliative Care","url":"https://www.academia.edu/Documents/in/Palliative_Care"},{"id":12135,"name":"Qualitative Research","url":"https://www.academia.edu/Documents/in/Qualitative_Research"},{"id":36437,"name":"Thematic Analysis","url":"https://www.academia.edu/Documents/in/Thematic_Analysis"},{"id":113272,"name":"Focus Group","url":"https://www.academia.edu/Documents/in/Focus_Group"},{"id":144043,"name":"Psychosocial","url":"https://www.academia.edu/Documents/in/Psychosocial"}],"urls":[{"id":38485838,"url":"https://bmcprimcare.biomedcentral.com/counter/pdf/10.1186/s12875-023-02038-0"}]}, dispatcherData: dispatcherData }); 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