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Papers by Anna Terje

Research paper thumbnail of Reflections on the impact of digital health and care tools –initial findings from the mPower Project evaluation

Scotland’s Digital Health & Care Event DigiFest2020, Dec 7, 2020

Research paper thumbnail of Evaluating social prescribing: Insight 55

Research paper thumbnail of Relational policy analysis – integrating empirical knowledge, technical knowledge and practical wisdom

As humans, as cultures, and as humanity we confront relentless challenges—experienced in everyday... more As humans, as cultures, and as humanity we confront relentless challenges—experienced in everyday ephemeral moments and as pervasive environmental crises or manifestations of fragile economies and democracies. These challenges, and how we encounter them, play out in a dynamic, interdependent, relational space. It is a space that people make together and that remakes them. Relationality provides people a sense of how their lives are going, while also offering resources to glance forward to what may plausibly be—informed by experience—in order to act as if it were the case, and thereby increase the chance of it actually being the case. Therefore, relational policy analysis, most simply stated, accepts relationality as a key characteristic of our contemporary condition and seeks to reconfigure the policy process accordingly. The intention is to advance governance toward more sustainable futures.

Research paper thumbnail of Swedish-speaking Finns: a multi-method qualitative study of belonging and identification

The Swedish-speaking minority in Finland, often described as an ‘elite minority’, holds a special... more The Swedish-speaking minority in Finland, often described as an ‘elite minority’, holds a special position in the country. With linguistic rights protected by the constitution of Finland, Swedish-speakers, as a minority of only 5.3%, are often described in public discourse and in academic and statistical studies as happier, healthier and more well off economically than the Finnish-speaking majority. As such, the minority is a unique example of language minorities in Europe. Knowledge derived from qualitatively grounded studies on the topic is however lacking, meaning that there is a gap in understanding of the nature and complexity of the minority. Drawing on ethnographic research conducted in four different locations in Finland over a period of 12 months, this thesis provides a theoretically grounded and empirically informed rich account of the identifications and sites of belonging of this diverse minority. The thesis makes a contribution to theoretical, methodological and empiric...

Research paper thumbnail of Evaluating the mPower programme - A Formative Integrated Framework

Research paper thumbnail of Creating Swedish spaces in Finland: Social practices of Swedish-speaking Finns in two cities

This paper examines unilingually Swedish spaces that the Swedish-speaking minority in two cities ... more This paper examines unilingually Swedish spaces that the Swedish-speaking minority in two cities in Finland creates and makes use of. While there has been a large amount of research on the minority, it has mostly been based on quantitative data. My doctoral research addresses questions of social location and belonging by drawing on qualitative research, providing a more multi-faceted and in-depth view of the lived experience of the Swedish-speaking minority in Finland. In this paper I will draw on ethnographic research undertaken in two cities in Finland over a period of six months. I will examine how Swedish-speakers create unilingually Swedish spaces for themselves amidst a daily life that is otherwise often experienced through the use of Finnish, the first language of the majority of the population. This will be done using data from participant observation undertaken in different free-time clubs and societies, as well as in-depth individual interviews conducted with Swedish-speakers. I will discuss the meanings unilingually Swedish spaces take on for participants, how these spaces are experienced by them, as well as reflect on how this affects the social position of Swedish-speakers in Finnish cities.

Research paper thumbnail of Empowerment and Agency through Social Prescribing: Perspectives of Community Navigators in Scotland and Ireland

Social determinants of health and wellbeing include intersecting inequalities of social exclusion... more Social determinants of health and wellbeing include intersecting inequalities of social exclusion, deprivation, and (geographical) isolation. With a drive in the UK public health agenda to move towards community-based solutions and preventative approaches to ill health, social prescribing has been thought to support individual and community resilience in this context. The medicalisation critique posits that autonomy and capacity of individuals to manage their health is restricted by viewing social and societal problems through the scientific lens. This in particular affects disempowered groups, drawing attention away from the social inequalities that are at the root of reduced agency (Lupton, 1997). Critics of the medicalisation narrative have advocated for empowerment of patients through engaging in preventative social and physical measures, thus {\textquoteleft}taking control{\textquoteright} of their health. mPower is an INTERREG VA funded cross-border initiative, addressing demands on health and social care in seven partnerships across Scotland, Ireland and Northern Ireland. It provides its beneficiaries (aged 65 and over, with one or more long-term condition) with a social prescribing service, with co-produced personalised Wellbeing Plans, as well as eHealth interventions enabling self-management. This paper presents initial findings from the mPower evaluation, drawing on qualitative interviews with Community Navigators in Scotland. Looking at processes of empowerment through narratives of front line staff connecting patients to local resources, this paper will focus on the themes of connectedness, community and agency. We will explore the role of mPower in beneficiaries{\textquoteright} engagement in practices of the self that enhance wellbeing, thus enabling increased control over their health.

Research paper thumbnail of Swedish-speaking Finns : a multi-method qualitative study of identity and belonging

Research paper thumbnail of Voices of Community Navigators – Enabling wellbeing through eHealth and Social Prescribing in Scotland

Research paper thumbnail of Experiences of the medical encounter in social prescribing: Narratives of patients in Scotland

With a drive in the UK public health agenda to move towards community-based solutions and prevent... more With a drive in the UK public health agenda to move towards community-based solutions and preventative approaches to ill health, social prescribing has been positioned as supporting individual and community resilience. mPower is an INTERREG VA funded cross-border initiative, addressing demands on health and social care through seven partnerships in Scotland, Ireland and Northern Ireland. It provides its beneficiaries (aged 65 and over, with one or more long-term condition) with a social prescribing service, with co-produced personalised Wellbeing Plans designed with Community Navigators, as well as eHealth interventions enabling self-management.This paper presents findings from the mPower evaluation, drawing on qualitative interviews with patients in Scotland. We examine the {\textquoteleft}medical encounters{\textquoteright} patients engage in with Community Navigators and how these are experienced by patients and differ from primary care encounters. Empowerment, encouraged by the collaborative creation of Wellbeing Plans, is suggested to lead to patients engaging in activities that promote social interaction and physical activity and, thus, act as preventative measures buffering the effects of aging and isolation. This enables older people to feel that they are taking control of their own health. This paper will show that while this is the desired outcome, the experience of encounters with Community Navigators may be the most valued part of the process by patients.

Research paper thumbnail of Prevalence of multiple risks to health among Scottish adults - results from the Scottish Health Survey

Research paper thumbnail of Making Data Meaningful: Evidence use in a community planning partnership in Scotland

This report provides insight from an ethnographic study of evidence use in the everyday practice ... more This report provides insight from an ethnographic study of evidence use in the everyday practice of reforming local public services in Scotland. The data is drawn from an in-depth case study of a single local authority area and includes interviews with 20 participants in community planning including service providers, community members and research and policy officers. This case highlights the complex and diverse ways in which public services use a wide range of evidence in decision-making processes. While the findings of this study are not generalisable across all Scottish community planning partnerships (CPPs), they provide important insights into the types of knowledge and evidence that become meaningful in this context, and why.

Research paper thumbnail of History, Place and Belonging on a Swedish-speaking Island in Finland

Suomen Antropologi: Journal of the Finnish Anthropological Society

This article brings together the themes of identi cation, belonging, and community. Based on ethn... more This article brings together the themes of identi cation, belonging, and community. Based on ethnographic research on a small island in Finland with a majority of Swedish-speakers, it provides a distinctive approach to the research on the minority, which has often focussed on quantitative measures of identity and ethnicity, positioned against the Finnish- speaking majority. The article carefully unpicks markers of identi cation and commonality, while illuminating contradictions and tensions within the community. The article contributes to theoretical debates on identity, belonging, and community, by bringing them together, thus illuminating the way in which identi cations, commonalities, connectedness, and groupness shape how participants view themselves and others. It also provides a knowledge contribution to existing conceptions of Swedish- speaking Finns, by providing a case study of a subset of the minority that challenges the often uncritical use of the word identity in debates...

Research paper thumbnail of Knowledge mobilisation in public service reform: integrating empirical, technical and practical wisdom

Evidence & Policy: A Journal of Research, Debate and Practice

Background Public service practitioners on all levels aim to solve increasingly complex policy pr... more Background Public service practitioners on all levels aim to solve increasingly complex policy problems by making use of different forms of evidence. While there are many complex models of knowledge mobilisation, not enough attention is paid to the types of knowledge that are mobilised for public service reform. Ward (2017) has returned to Aristotle’s knowledge types; empirical, technical and practice wisdom, to address this gap.Aims and objectives This paper applies the theoretical work of Ward (2017) and Flyvbjerg (2001) to the everyday work and practice of frontline public service providers with the aim of identifying core elements of knowledge mobilisation in the practice of public service reform in the context of local governance.Methods The data is from a case study of a Scottish local authority conducted as part of the What Works Scotland research programme. The paper derives insights from 16 qualitative interviews with service providers in housing, waste management, policing...

Research paper thumbnail of Knowledge mobilisation in public service reform: integrating empirical, technical and practical wisdom

Evidence & Policy: A Journal of Research, Debate and Practice

Background Public service practitioners on all levels aim to solve increasingly complex policy pr... more Background Public service practitioners on all levels aim to solve increasingly complex policy problems by making use of different forms of evidence. While there are many complex models of knowledge mobilisation, not enough attention is paid to the types of knowledge that are mobilised for public service reform. Ward (2017) has returned to Aristotle’s knowledge types; empirical, technical and practice wisdom, to address this gap.Aims and objectives This paper applies the theoretical work of Ward (2017) and Flyvbjerg (2001) to the everyday work and practice of frontline public service providers with the aim of identifying core elements of knowledge mobilisation in the practice of public service reform in the context of local governance.Methods The data is from a case study of a Scottish local authority conducted as part of the What Works Scotland research programme. The paper derives insights from 16 qualitative interviews with service providers in housing, waste management, policing...

Research paper thumbnail of Reflections on the impact of digital health and care tools –initial findings from the mPower Project evaluation

Scotland’s Digital Health & Care Event DigiFest2020, Dec 7, 2020

Research paper thumbnail of Evaluating social prescribing: Insight 55

Research paper thumbnail of Relational policy analysis – integrating empirical knowledge, technical knowledge and practical wisdom

As humans, as cultures, and as humanity we confront relentless challenges—experienced in everyday... more As humans, as cultures, and as humanity we confront relentless challenges—experienced in everyday ephemeral moments and as pervasive environmental crises or manifestations of fragile economies and democracies. These challenges, and how we encounter them, play out in a dynamic, interdependent, relational space. It is a space that people make together and that remakes them. Relationality provides people a sense of how their lives are going, while also offering resources to glance forward to what may plausibly be—informed by experience—in order to act as if it were the case, and thereby increase the chance of it actually being the case. Therefore, relational policy analysis, most simply stated, accepts relationality as a key characteristic of our contemporary condition and seeks to reconfigure the policy process accordingly. The intention is to advance governance toward more sustainable futures.

Research paper thumbnail of Swedish-speaking Finns: a multi-method qualitative study of belonging and identification

The Swedish-speaking minority in Finland, often described as an ‘elite minority’, holds a special... more The Swedish-speaking minority in Finland, often described as an ‘elite minority’, holds a special position in the country. With linguistic rights protected by the constitution of Finland, Swedish-speakers, as a minority of only 5.3%, are often described in public discourse and in academic and statistical studies as happier, healthier and more well off economically than the Finnish-speaking majority. As such, the minority is a unique example of language minorities in Europe. Knowledge derived from qualitatively grounded studies on the topic is however lacking, meaning that there is a gap in understanding of the nature and complexity of the minority. Drawing on ethnographic research conducted in four different locations in Finland over a period of 12 months, this thesis provides a theoretically grounded and empirically informed rich account of the identifications and sites of belonging of this diverse minority. The thesis makes a contribution to theoretical, methodological and empiric...

Research paper thumbnail of Evaluating the mPower programme - A Formative Integrated Framework

Research paper thumbnail of Creating Swedish spaces in Finland: Social practices of Swedish-speaking Finns in two cities

This paper examines unilingually Swedish spaces that the Swedish-speaking minority in two cities ... more This paper examines unilingually Swedish spaces that the Swedish-speaking minority in two cities in Finland creates and makes use of. While there has been a large amount of research on the minority, it has mostly been based on quantitative data. My doctoral research addresses questions of social location and belonging by drawing on qualitative research, providing a more multi-faceted and in-depth view of the lived experience of the Swedish-speaking minority in Finland. In this paper I will draw on ethnographic research undertaken in two cities in Finland over a period of six months. I will examine how Swedish-speakers create unilingually Swedish spaces for themselves amidst a daily life that is otherwise often experienced through the use of Finnish, the first language of the majority of the population. This will be done using data from participant observation undertaken in different free-time clubs and societies, as well as in-depth individual interviews conducted with Swedish-speakers. I will discuss the meanings unilingually Swedish spaces take on for participants, how these spaces are experienced by them, as well as reflect on how this affects the social position of Swedish-speakers in Finnish cities.

Research paper thumbnail of Empowerment and Agency through Social Prescribing: Perspectives of Community Navigators in Scotland and Ireland

Social determinants of health and wellbeing include intersecting inequalities of social exclusion... more Social determinants of health and wellbeing include intersecting inequalities of social exclusion, deprivation, and (geographical) isolation. With a drive in the UK public health agenda to move towards community-based solutions and preventative approaches to ill health, social prescribing has been thought to support individual and community resilience in this context. The medicalisation critique posits that autonomy and capacity of individuals to manage their health is restricted by viewing social and societal problems through the scientific lens. This in particular affects disempowered groups, drawing attention away from the social inequalities that are at the root of reduced agency (Lupton, 1997). Critics of the medicalisation narrative have advocated for empowerment of patients through engaging in preventative social and physical measures, thus {\textquoteleft}taking control{\textquoteright} of their health. mPower is an INTERREG VA funded cross-border initiative, addressing demands on health and social care in seven partnerships across Scotland, Ireland and Northern Ireland. It provides its beneficiaries (aged 65 and over, with one or more long-term condition) with a social prescribing service, with co-produced personalised Wellbeing Plans, as well as eHealth interventions enabling self-management. This paper presents initial findings from the mPower evaluation, drawing on qualitative interviews with Community Navigators in Scotland. Looking at processes of empowerment through narratives of front line staff connecting patients to local resources, this paper will focus on the themes of connectedness, community and agency. We will explore the role of mPower in beneficiaries{\textquoteright} engagement in practices of the self that enhance wellbeing, thus enabling increased control over their health.

Research paper thumbnail of Swedish-speaking Finns : a multi-method qualitative study of identity and belonging

Research paper thumbnail of Voices of Community Navigators – Enabling wellbeing through eHealth and Social Prescribing in Scotland

Research paper thumbnail of Experiences of the medical encounter in social prescribing: Narratives of patients in Scotland

With a drive in the UK public health agenda to move towards community-based solutions and prevent... more With a drive in the UK public health agenda to move towards community-based solutions and preventative approaches to ill health, social prescribing has been positioned as supporting individual and community resilience. mPower is an INTERREG VA funded cross-border initiative, addressing demands on health and social care through seven partnerships in Scotland, Ireland and Northern Ireland. It provides its beneficiaries (aged 65 and over, with one or more long-term condition) with a social prescribing service, with co-produced personalised Wellbeing Plans designed with Community Navigators, as well as eHealth interventions enabling self-management.This paper presents findings from the mPower evaluation, drawing on qualitative interviews with patients in Scotland. We examine the {\textquoteleft}medical encounters{\textquoteright} patients engage in with Community Navigators and how these are experienced by patients and differ from primary care encounters. Empowerment, encouraged by the collaborative creation of Wellbeing Plans, is suggested to lead to patients engaging in activities that promote social interaction and physical activity and, thus, act as preventative measures buffering the effects of aging and isolation. This enables older people to feel that they are taking control of their own health. This paper will show that while this is the desired outcome, the experience of encounters with Community Navigators may be the most valued part of the process by patients.

Research paper thumbnail of Prevalence of multiple risks to health among Scottish adults - results from the Scottish Health Survey

Research paper thumbnail of Making Data Meaningful: Evidence use in a community planning partnership in Scotland

This report provides insight from an ethnographic study of evidence use in the everyday practice ... more This report provides insight from an ethnographic study of evidence use in the everyday practice of reforming local public services in Scotland. The data is drawn from an in-depth case study of a single local authority area and includes interviews with 20 participants in community planning including service providers, community members and research and policy officers. This case highlights the complex and diverse ways in which public services use a wide range of evidence in decision-making processes. While the findings of this study are not generalisable across all Scottish community planning partnerships (CPPs), they provide important insights into the types of knowledge and evidence that become meaningful in this context, and why.

Research paper thumbnail of History, Place and Belonging on a Swedish-speaking Island in Finland

Suomen Antropologi: Journal of the Finnish Anthropological Society

This article brings together the themes of identi cation, belonging, and community. Based on ethn... more This article brings together the themes of identi cation, belonging, and community. Based on ethnographic research on a small island in Finland with a majority of Swedish-speakers, it provides a distinctive approach to the research on the minority, which has often focussed on quantitative measures of identity and ethnicity, positioned against the Finnish- speaking majority. The article carefully unpicks markers of identi cation and commonality, while illuminating contradictions and tensions within the community. The article contributes to theoretical debates on identity, belonging, and community, by bringing them together, thus illuminating the way in which identi cations, commonalities, connectedness, and groupness shape how participants view themselves and others. It also provides a knowledge contribution to existing conceptions of Swedish- speaking Finns, by providing a case study of a subset of the minority that challenges the often uncritical use of the word identity in debates...

Research paper thumbnail of Knowledge mobilisation in public service reform: integrating empirical, technical and practical wisdom

Evidence & Policy: A Journal of Research, Debate and Practice

Background Public service practitioners on all levels aim to solve increasingly complex policy pr... more Background Public service practitioners on all levels aim to solve increasingly complex policy problems by making use of different forms of evidence. While there are many complex models of knowledge mobilisation, not enough attention is paid to the types of knowledge that are mobilised for public service reform. Ward (2017) has returned to Aristotle’s knowledge types; empirical, technical and practice wisdom, to address this gap.Aims and objectives This paper applies the theoretical work of Ward (2017) and Flyvbjerg (2001) to the everyday work and practice of frontline public service providers with the aim of identifying core elements of knowledge mobilisation in the practice of public service reform in the context of local governance.Methods The data is from a case study of a Scottish local authority conducted as part of the What Works Scotland research programme. The paper derives insights from 16 qualitative interviews with service providers in housing, waste management, policing...

Research paper thumbnail of Knowledge mobilisation in public service reform: integrating empirical, technical and practical wisdom

Evidence & Policy: A Journal of Research, Debate and Practice

Background Public service practitioners on all levels aim to solve increasingly complex policy pr... more Background Public service practitioners on all levels aim to solve increasingly complex policy problems by making use of different forms of evidence. While there are many complex models of knowledge mobilisation, not enough attention is paid to the types of knowledge that are mobilised for public service reform. Ward (2017) has returned to Aristotle’s knowledge types; empirical, technical and practice wisdom, to address this gap.Aims and objectives This paper applies the theoretical work of Ward (2017) and Flyvbjerg (2001) to the everyday work and practice of frontline public service providers with the aim of identifying core elements of knowledge mobilisation in the practice of public service reform in the context of local governance.Methods The data is from a case study of a Scottish local authority conducted as part of the What Works Scotland research programme. The paper derives insights from 16 qualitative interviews with service providers in housing, waste management, policing...