Marit Solbjør | Norwegian University of Science and Technology (original) (raw)

Papers by Marit Solbjør

Research paper thumbnail of Experiences from the implementation of a comprehensive development plan for user involvement in a mental health hospital: A qualitative case study

International Journal of Social Psychiatry, Jun 28, 2013

Background: Few studies have investigated user involvement initiatives in whole organizations. Th... more Background: Few studies have investigated user involvement initiatives in whole organizations. The aim was to explore the experiences of professionals and user representatives taking part in the implementation of a user involvement plan. Materials: A qualitative study in a mental health hospital included interviews and observational data. Discussion: Three different stories emerged. The first described the implementation as a success. The second described the implementation as a success, but after overcoming several obstacles. The third described that the development plan had limited impact. Conclusions: Close attention should be made to decision-making and resource allocation when implementing user involvement.

Research paper thumbnail of Brukermedvirkning i sykehusavdelinger

Tidsskrift for Den Norske Laegeforening, Sep 11, 2008

Research paper thumbnail of Patient participation in mental healthcare: When is it difficult? A qualitative study of users and providers in a mental health hospital in Norway

International Journal of Social Psychiatry, Oct 18, 2011

Background:In western countries, patient participation is requested in policies on mental health ... more Background:In western countries, patient participation is requested in policies on mental health services. Participation is built on ideas of democracy and individual responsibility. Mental illness has, however, been characterized by its irrational features.Aim:To investigate mental health service users’ and providers’ views on patient participation during episodes of mental illness.Methods:Qualitative interview study with 20 users and 25 staff from a mental health hospital in central Norway.Results:Both users and professionals saw poor illness phases as an obstacle to patient participation. Lack of insight, lack of verbal ability and difficulty cooperating made participation difficult. During such phases, patient participation was redefined. There was a shift in responsibility where professionals took charge through strategies of providing information, motivating patients and reducing choices. Respect and dignity were maintained and not redefined.Conclusions:In poor phases of mental illness, patient participation was redefined and weighed against what was perceived to be the patient’s best interest.

Research paper thumbnail of Brukermedvirkning i sykehusavdelinger - helsepersonellets erfaringer

Tidsskrift for Den norske lægeforening, 2011

Research paper thumbnail of Pakkeforløp for kreft: erfaringer blant helsepersonell og pasienter. Sluttrapport fra den forskningsbaserte evaluering av pakkeforløp for kreft

Research paper thumbnail of The pandemic as a trigger for decolonizing classroom teaching in qualitative health research?

University of Toronto Journal of Public Health, 2022

Teaching qualitative methods for health science students, we have previously focused on the impor... more Teaching qualitative methods for health science students, we have previously focused on the importance of physical presence in data collection and interaction between researcher and study participants. Such presence has also been vital in our pedagogy where we have urged students to be present at lectures and doing practical assignments for qualitative methods in order to be able to reflect upon interaction and construction of knowledge that happens within qualitative research. Due to the pandemic, our teaching had to move to digital platforms. The change in teaching format has shown promise for decolonizing classrooms through providing an opportunity for students at satellite campuses or those living in remote areas. In a country like Norway with scattered population this is an important contribution when we know that especially boys growing up in rural areas to a lesser degree graduate from universities, while girls go to the cities and graduates and never return to the rural area...

Research paper thumbnail of Technology and relational trust in care interactions

Research paper thumbnail of Nephrologists’ experiences with patient participation when long-term dialysis is required

BMC Nephrology, 2021

Background For individuals in need of dialysis, patient participation is important when determini... more Background For individuals in need of dialysis, patient participation is important when determining care goals and in decision making regarding dialysis modality. Nephrologists hold a key role in delivering evidence-based healthcare that integrates patient preferences and values throughout the trajectory, and their experiences with patient participation are important for improving health care. The aim of this study was to explore nephrologists’ experiences with patient participation in different phases of the end-stage renal disease trajectory for working-age individuals who require dialysis. Methods This explorative study comprised interviews with ten nephrologists from four different dialysis units in Central Norway. We analysed the interviews by applying an interpretive phenomenological approach. Results Nephrologists had varied experiences with patient participation throughout the different phases of the treatment trajectory. During decision making on the dialysis modality, neph...

Research paper thumbnail of Forhandling, koordinering og kvalitetssikring

Norsk sosiologisk tidsskrift

Research paper thumbnail of Additional file 1 of 'What matters to you?' Normative integration of an intervention to promote participation of older patients with multi-morbidity – a qualitative case study

Additional file 1. Interview and observation guide

Research paper thumbnail of Deconstructing (e)health literacy: aspects that promote and inhibit understanding of health information in breast cancer patient pathways

International Journal of Qualitative Studies on Health and Well-being

Research paper thumbnail of Implementation of welfare technology in home care services – a qualitative study of health personnel’s experiences

International Journal of Integrated Care, 2021

Research paper thumbnail of Additional file 1 of Sick-listed workers' experiences with motivational interviewing in the return to work process: a qualitative interview study

Additional file 1. Interview guide. This document contains the questions used in the interviews w... more Additional file 1. Interview guide. This document contains the questions used in the interviews with the participants. Translated into an english language version.

Research paper thumbnail of Additional file 2 of Games of uncertainty: the participation of older patients with multimorbidity in care planning meetings – a qualitative study

Additional file 2. The emerging conceptual framework - Patient participation in the care-planning... more Additional file 2. The emerging conceptual framework - Patient participation in the care-planning game

Research paper thumbnail of Additional file 1 of Sharing responsibility: municipal health professionals' approaches to goal setting with older patients with multi-morbidity – a grounded theory study

Additional file 1. Interview guide.

Research paper thumbnail of Care relationships at stake? Home healthcare professionals’ experiences with digital medicine dispensers – a qualitative study

BMC Health Services Research, 2018

Background: Although digital technologies can mitigate the burdens of home healthcare services ca... more Background: Although digital technologies can mitigate the burdens of home healthcare services caused by an ageing population that lives at home longer with complex health problems, research on the impacts and consequences of digitalised remote communication between patients and caregivers is lacking. The present study explores how home healthcare professionals had experienced the introduction of digital medicine dispensers and their influence on patient-caregiver relationships. Methods: The multi-case study comprised semi-structured interviews with 21 healthcare professionals whose home healthcare service involved using the digital medicine dispensers. The constant comparative method was used for data analyses. Results: Altogether, interviewed healthcare professionals reported three main technology-related impacts upon their patient-caregiver relationships. First, national and local pressure to increase efficiency had troubled their relationships with patients who suspected that municipalities have sought to lower costs by reducing and digitalising services. Participants reported having to consider such worries when introducing technologies into their services. Second, participants reported a shift towards empowering patients. Digital technology can empower patients who value their independence, whereas safety is more important for other patients. Healthcare professionals needed to ensure that replacing care tasks with technology implies safe and improved care. Third, the safety and quality of digital healthcare services continues to depend upon surveillance and control mechanisms that compensate for less face-to-face monitoring. Participants did not consider the possibility that surveillance exposes information about patients' everyday lives to be problematic, but to constitute opportunities for adjusting services to meet patients' needs. Conclusions: Technologies such as digital medicine dispensers can improve the efficiency of healthcare services and enhance patients' independence when introduced in a way that empowers patients as well as safeguards trust and service quality. Conversely, the patient-caregiver relationship can suffer if the technology does not meet patients' needs and fails to offer safe and trustworthy services. Upon introducing technology, home healthcare professionals therefore need to carefully consider the benefits and possible disadvantages of the technology. Ethical implications for both individuals and societies need to be further discussed.

Research paper thumbnail of Motivational interviewing in long-term sickness absence: study protocol of a randomized controlled trial followed by qualitative and economic studies

BMC public health, Jan 18, 2018

Motivational interviewing (MI), mainly used and shown effective in health care (substance abuse, ... more Motivational interviewing (MI), mainly used and shown effective in health care (substance abuse, smoking cessation, increasing exercise and other life style changes), is a collaborative conversation (style) about change that could be useful for individuals having problems related to return to work (RTW). The aim of this paper is to describe the design of a randomized controlled trial evaluating the effect of MI on RTW among sick listed persons compared to usual care, in a social security setting. The study is a randomized controlled trial with parallel group design. Individuals between 18 and 60 years who have been sick listed for more than 7 weeks, with a current sick leave status of 50-100%, are identified in the Norwegian National Social Security System and invited to participate in the study. Exclusion criteria are no employment and pregnancy. Included participants are randomly assigned to the MI intervention or one of two control groups. The MI intervention consists of two MI s...

Research paper thumbnail of Psychosocial consequences among women with false-positive results after mammography screening in Norway

Scandinavian Journal of Primary Health Care, 2018

Background: Mammography screening may cause psychosocial harm for women experiencing a false-posi... more Background: Mammography screening may cause psychosocial harm for women experiencing a false-positive screening result. Previous studies suggest long-term consequences. The aim of the present study was to assess psychosocial consequences of false-positive findings on screening mammography within a six month follow-up. Methods: A prospective matched cohort survey study using the questionnaire 'Consequences of Screening for Breast Cancer' (COS-BC), which was translated from Danish to Norwegian. Psychometric analyses investigated the measurement properties of the Norwegian version. Two screening clinics in Norway distributed the survey to 299 women with an abnormal mammogram and 541 women with a normal screen. Women received the questionnaire when receiving the screening result, and one and six months after screening. Results: At six months, statistically significant differences appeared in two scales: existential values and breast examination. At six-month follow-up, women with false-positive results showed no statistically significant differences from women diagnosed with breast cancer in three outcomes: sense of dejection, anxiety, and keeping my mind off things. Conclusion: Our results indicate that the psychosocial consequences from having false-positive screening mammography results diminish after six months. The results support previous research describing breast-specific outcomes. However, our results indicate that Norwegian women are less frightened than other Scandinavian mammography screening participants.

Research paper thumbnail of Brukermedvirkning i avtaleverket for samhandlingsreformen

Tidsskrift for velferdsforskning, 2017

Research paper thumbnail of Exploring lifestyle and risk in preventing type 2 diabetes-a nested qualitative study of older participants in a lifestyle intervention program (VEND-RISK)

BMC Public Health, 2016

Background: Lifestyle intervention may reduce the development of type 2 diabetes among high-risk ... more Background: Lifestyle intervention may reduce the development of type 2 diabetes among high-risk individuals. The aim of this study was to explore how older adults perceived their own lifestyle and being at increased risk for type 2 diabetes while they participated in a lifestyle intervention programme. Methods: A nested qualitative study was performed with 26 participants (mean age 68 years) in the VEND-RISK Study. Participants had previously participated in the HUNT3 Study and the HUNT DE-PLAN Study, where their risk for developing type 2 diabetes (FIND-RISC ≥ 15) had been identified. The data were analysed using systematic text condensation. Results: Two main themes were identified. The first theme was having resources available for an active lifestyle, which included having a family and being part of a social network, having a positive attitude toward life, and maintaining established habits from childhood to the present. The second theme was being at increased risk for type 2 diabetes, which included varied reactions to the information on increased risk, how lifestyle intervention raised awareness about risk behaviour, and health-related worries and ambitions as type 2 diabetes prevention. Conclusions: Assessing a participant's resources could improve the outcomes of lifestyle intervention programmes. Both family history and risk perception could be used in preventive strategies to enhance changes in lifestyle. Trial registration: The VEND-RISK Study was registered in ClinicalTrials.gov on April 26, 2010, with the registration number NCT01135901.

Research paper thumbnail of Experiences from the implementation of a comprehensive development plan for user involvement in a mental health hospital: A qualitative case study

International Journal of Social Psychiatry, Jun 28, 2013

Background: Few studies have investigated user involvement initiatives in whole organizations. Th... more Background: Few studies have investigated user involvement initiatives in whole organizations. The aim was to explore the experiences of professionals and user representatives taking part in the implementation of a user involvement plan. Materials: A qualitative study in a mental health hospital included interviews and observational data. Discussion: Three different stories emerged. The first described the implementation as a success. The second described the implementation as a success, but after overcoming several obstacles. The third described that the development plan had limited impact. Conclusions: Close attention should be made to decision-making and resource allocation when implementing user involvement.

Research paper thumbnail of Brukermedvirkning i sykehusavdelinger

Tidsskrift for Den Norske Laegeforening, Sep 11, 2008

Research paper thumbnail of Patient participation in mental healthcare: When is it difficult? A qualitative study of users and providers in a mental health hospital in Norway

International Journal of Social Psychiatry, Oct 18, 2011

Background:In western countries, patient participation is requested in policies on mental health ... more Background:In western countries, patient participation is requested in policies on mental health services. Participation is built on ideas of democracy and individual responsibility. Mental illness has, however, been characterized by its irrational features.Aim:To investigate mental health service users’ and providers’ views on patient participation during episodes of mental illness.Methods:Qualitative interview study with 20 users and 25 staff from a mental health hospital in central Norway.Results:Both users and professionals saw poor illness phases as an obstacle to patient participation. Lack of insight, lack of verbal ability and difficulty cooperating made participation difficult. During such phases, patient participation was redefined. There was a shift in responsibility where professionals took charge through strategies of providing information, motivating patients and reducing choices. Respect and dignity were maintained and not redefined.Conclusions:In poor phases of mental illness, patient participation was redefined and weighed against what was perceived to be the patient’s best interest.

Research paper thumbnail of Brukermedvirkning i sykehusavdelinger - helsepersonellets erfaringer

Tidsskrift for Den norske lægeforening, 2011

Research paper thumbnail of Pakkeforløp for kreft: erfaringer blant helsepersonell og pasienter. Sluttrapport fra den forskningsbaserte evaluering av pakkeforløp for kreft

Research paper thumbnail of The pandemic as a trigger for decolonizing classroom teaching in qualitative health research?

University of Toronto Journal of Public Health, 2022

Teaching qualitative methods for health science students, we have previously focused on the impor... more Teaching qualitative methods for health science students, we have previously focused on the importance of physical presence in data collection and interaction between researcher and study participants. Such presence has also been vital in our pedagogy where we have urged students to be present at lectures and doing practical assignments for qualitative methods in order to be able to reflect upon interaction and construction of knowledge that happens within qualitative research. Due to the pandemic, our teaching had to move to digital platforms. The change in teaching format has shown promise for decolonizing classrooms through providing an opportunity for students at satellite campuses or those living in remote areas. In a country like Norway with scattered population this is an important contribution when we know that especially boys growing up in rural areas to a lesser degree graduate from universities, while girls go to the cities and graduates and never return to the rural area...

Research paper thumbnail of Technology and relational trust in care interactions

Research paper thumbnail of Nephrologists’ experiences with patient participation when long-term dialysis is required

BMC Nephrology, 2021

Background For individuals in need of dialysis, patient participation is important when determini... more Background For individuals in need of dialysis, patient participation is important when determining care goals and in decision making regarding dialysis modality. Nephrologists hold a key role in delivering evidence-based healthcare that integrates patient preferences and values throughout the trajectory, and their experiences with patient participation are important for improving health care. The aim of this study was to explore nephrologists’ experiences with patient participation in different phases of the end-stage renal disease trajectory for working-age individuals who require dialysis. Methods This explorative study comprised interviews with ten nephrologists from four different dialysis units in Central Norway. We analysed the interviews by applying an interpretive phenomenological approach. Results Nephrologists had varied experiences with patient participation throughout the different phases of the treatment trajectory. During decision making on the dialysis modality, neph...

Research paper thumbnail of Forhandling, koordinering og kvalitetssikring

Norsk sosiologisk tidsskrift

Research paper thumbnail of Additional file 1 of 'What matters to you?' Normative integration of an intervention to promote participation of older patients with multi-morbidity – a qualitative case study

Additional file 1. Interview and observation guide

Research paper thumbnail of Deconstructing (e)health literacy: aspects that promote and inhibit understanding of health information in breast cancer patient pathways

International Journal of Qualitative Studies on Health and Well-being

Research paper thumbnail of Implementation of welfare technology in home care services – a qualitative study of health personnel’s experiences

International Journal of Integrated Care, 2021

Research paper thumbnail of Additional file 1 of Sick-listed workers' experiences with motivational interviewing in the return to work process: a qualitative interview study

Additional file 1. Interview guide. This document contains the questions used in the interviews w... more Additional file 1. Interview guide. This document contains the questions used in the interviews with the participants. Translated into an english language version.

Research paper thumbnail of Additional file 2 of Games of uncertainty: the participation of older patients with multimorbidity in care planning meetings – a qualitative study

Additional file 2. The emerging conceptual framework - Patient participation in the care-planning... more Additional file 2. The emerging conceptual framework - Patient participation in the care-planning game

Research paper thumbnail of Additional file 1 of Sharing responsibility: municipal health professionals' approaches to goal setting with older patients with multi-morbidity – a grounded theory study

Additional file 1. Interview guide.

Research paper thumbnail of Care relationships at stake? Home healthcare professionals’ experiences with digital medicine dispensers – a qualitative study

BMC Health Services Research, 2018

Background: Although digital technologies can mitigate the burdens of home healthcare services ca... more Background: Although digital technologies can mitigate the burdens of home healthcare services caused by an ageing population that lives at home longer with complex health problems, research on the impacts and consequences of digitalised remote communication between patients and caregivers is lacking. The present study explores how home healthcare professionals had experienced the introduction of digital medicine dispensers and their influence on patient-caregiver relationships. Methods: The multi-case study comprised semi-structured interviews with 21 healthcare professionals whose home healthcare service involved using the digital medicine dispensers. The constant comparative method was used for data analyses. Results: Altogether, interviewed healthcare professionals reported three main technology-related impacts upon their patient-caregiver relationships. First, national and local pressure to increase efficiency had troubled their relationships with patients who suspected that municipalities have sought to lower costs by reducing and digitalising services. Participants reported having to consider such worries when introducing technologies into their services. Second, participants reported a shift towards empowering patients. Digital technology can empower patients who value their independence, whereas safety is more important for other patients. Healthcare professionals needed to ensure that replacing care tasks with technology implies safe and improved care. Third, the safety and quality of digital healthcare services continues to depend upon surveillance and control mechanisms that compensate for less face-to-face monitoring. Participants did not consider the possibility that surveillance exposes information about patients' everyday lives to be problematic, but to constitute opportunities for adjusting services to meet patients' needs. Conclusions: Technologies such as digital medicine dispensers can improve the efficiency of healthcare services and enhance patients' independence when introduced in a way that empowers patients as well as safeguards trust and service quality. Conversely, the patient-caregiver relationship can suffer if the technology does not meet patients' needs and fails to offer safe and trustworthy services. Upon introducing technology, home healthcare professionals therefore need to carefully consider the benefits and possible disadvantages of the technology. Ethical implications for both individuals and societies need to be further discussed.

Research paper thumbnail of Motivational interviewing in long-term sickness absence: study protocol of a randomized controlled trial followed by qualitative and economic studies

BMC public health, Jan 18, 2018

Motivational interviewing (MI), mainly used and shown effective in health care (substance abuse, ... more Motivational interviewing (MI), mainly used and shown effective in health care (substance abuse, smoking cessation, increasing exercise and other life style changes), is a collaborative conversation (style) about change that could be useful for individuals having problems related to return to work (RTW). The aim of this paper is to describe the design of a randomized controlled trial evaluating the effect of MI on RTW among sick listed persons compared to usual care, in a social security setting. The study is a randomized controlled trial with parallel group design. Individuals between 18 and 60 years who have been sick listed for more than 7 weeks, with a current sick leave status of 50-100%, are identified in the Norwegian National Social Security System and invited to participate in the study. Exclusion criteria are no employment and pregnancy. Included participants are randomly assigned to the MI intervention or one of two control groups. The MI intervention consists of two MI s...

Research paper thumbnail of Psychosocial consequences among women with false-positive results after mammography screening in Norway

Scandinavian Journal of Primary Health Care, 2018

Background: Mammography screening may cause psychosocial harm for women experiencing a false-posi... more Background: Mammography screening may cause psychosocial harm for women experiencing a false-positive screening result. Previous studies suggest long-term consequences. The aim of the present study was to assess psychosocial consequences of false-positive findings on screening mammography within a six month follow-up. Methods: A prospective matched cohort survey study using the questionnaire 'Consequences of Screening for Breast Cancer' (COS-BC), which was translated from Danish to Norwegian. Psychometric analyses investigated the measurement properties of the Norwegian version. Two screening clinics in Norway distributed the survey to 299 women with an abnormal mammogram and 541 women with a normal screen. Women received the questionnaire when receiving the screening result, and one and six months after screening. Results: At six months, statistically significant differences appeared in two scales: existential values and breast examination. At six-month follow-up, women with false-positive results showed no statistically significant differences from women diagnosed with breast cancer in three outcomes: sense of dejection, anxiety, and keeping my mind off things. Conclusion: Our results indicate that the psychosocial consequences from having false-positive screening mammography results diminish after six months. The results support previous research describing breast-specific outcomes. However, our results indicate that Norwegian women are less frightened than other Scandinavian mammography screening participants.

Research paper thumbnail of Brukermedvirkning i avtaleverket for samhandlingsreformen

Tidsskrift for velferdsforskning, 2017

Research paper thumbnail of Exploring lifestyle and risk in preventing type 2 diabetes-a nested qualitative study of older participants in a lifestyle intervention program (VEND-RISK)

BMC Public Health, 2016

Background: Lifestyle intervention may reduce the development of type 2 diabetes among high-risk ... more Background: Lifestyle intervention may reduce the development of type 2 diabetes among high-risk individuals. The aim of this study was to explore how older adults perceived their own lifestyle and being at increased risk for type 2 diabetes while they participated in a lifestyle intervention programme. Methods: A nested qualitative study was performed with 26 participants (mean age 68 years) in the VEND-RISK Study. Participants had previously participated in the HUNT3 Study and the HUNT DE-PLAN Study, where their risk for developing type 2 diabetes (FIND-RISC ≥ 15) had been identified. The data were analysed using systematic text condensation. Results: Two main themes were identified. The first theme was having resources available for an active lifestyle, which included having a family and being part of a social network, having a positive attitude toward life, and maintaining established habits from childhood to the present. The second theme was being at increased risk for type 2 diabetes, which included varied reactions to the information on increased risk, how lifestyle intervention raised awareness about risk behaviour, and health-related worries and ambitions as type 2 diabetes prevention. Conclusions: Assessing a participant's resources could improve the outcomes of lifestyle intervention programmes. Both family history and risk perception could be used in preventive strategies to enhance changes in lifestyle. Trial registration: The VEND-RISK Study was registered in ClinicalTrials.gov on April 26, 2010, with the registration number NCT01135901.