Publications by authors named "Kirsten Lomborg"

PurposeThe purpose of the study was to explore experiences with use of a continuous glucose monitor (CGM) in people with type 2 diabetes (T2DM).MethodsA qualitative study with individual semistructured interviews at 2 time points was conducted; first with 14 adults, ages 45 to 74 years (8 women) and second with 9 of the first interviewed adults (5 women) approximately 2 years later. Participants used CGM before, during, and 3 months after the concentrated group intervention.

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Purpose: Chronic hematological malignancies progress slowly, potentially manifesting symptoms spanning months to years. HM-PRO is developed as a comprehensive clinical tool for assessing symptoms in hematology. The aim was to investigate the effect of a nurse-led systematic approach to symptom identification and management using HM-PRO in outpatient care in patients with chronic hematological malignancies.

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Purpose: The purpose of this study was to explore experiences with an interdisciplinary micro-choice-based concentrated group intervention for people with type 2 diabetes.

Methods: A qualitative study with individual semistructured interviews were conducted with 14 adults (8 women, ages 45-74 years) with type 2 diabetes. Purposive sampling was used, and participants from 3 different intervention groups in the micro-choice-based concentrated group intervention were recruited.

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Background: Individuals with diabetes and co-existing psychiatric disorders have more diabetes complications and lower life expectancy than those with diabetes but no co-existing psychiatric disorders. Psychiatric health professionals may have a role in improving these outcomes but often lack diabetes knowledge and skills. This study aims to examine the effectiveness of a diabetes training course for psychiatric health professionals on their diabetes knowledge and skills and clinical outcomes, diabetes support and diabetes distress among individuals with diabetes and psychiatric disorders treated in psychiatric outpatient clinics.

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Purpose: To explore study participants' experiences with chronic hematologic malignancies and their perspectives on symptom management based on patient-reported outcomes during follow-up care.

Methods: This qualitative descriptive study used semi-structured telephone interviews conducted from May 2022 to February 2023. A purposeful sample was recruited, with participants invited consecutively.

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Background: The integration of telehealth interventions into clinical practice is frequently delayed, hindering the full adoption. Previously, we developed a digital patient education (PE) programme for self-management in rheumatoid arthritis (RA). While the programme design considered crucial factors to ensure the likelihood of success in clinical practice, there is a need for a systematic evaluation of implementation perspectives.

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Patients with atopic dermatitis (AD) require both skills and support to effectively manage life with the disease. Here, we developed an agenda-setting tool for consultations with patients with AD to establish a collaborative agenda that enhances patient involvement and prioritizes on self-management support. Using the design thinking process, we included 64 end-users (patients and healthcare professionals (HCPs)) across the different phases of design thinking.

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Objectives: To evaluate the effectiveness of a novel digital patient education (PE) programme in improving self-management in patients newly diagnosed with rheumatoid arthritis (RA).

Methods: This was a parallel, open-label, two-armed, randomized controlled trial with superiority design. Patients from five rheumatology clinics were randomized into digital PE (intervention) or face-to-face PE (control).

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Background: Non-pharmacological interventions have the potential to enhance health-related quality of life (HRQoL) through symptom management. This systematic review aims to identify, collate, and assess randomized controlled trials investigating the effect of non-pharmacological interventions on symptoms and HRQoL within hematology.

Methods: MEDLINE/PUBMED, EMBASE, CINAHL, PSYCINFO and COCHRANE were searched up to April 2021.

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Patients with a chronic skin disease, eg, atopic dermatitis, need self-management skills to increase their quality of life. We explored patients' needs for self-management support from healthcare professionals and how these needs can be met in a dermatology setting. Interpretive description methodology was chosen for iterative data collection and analysis of qualitative interviews with patients with atopic dermatitis.

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Background: An integrative cooperation of different healthcare professional is a key component for high quality health services. With an aging population and many with long-term conditions, more health tasks and follow-up care are being transferred to primary care and locally where people live. Interprofessional collaboration among providers of different professional designations will be of increasing importance to optimizing primary care capacity in years to come.

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Objective: To evaluate Conversation Cards for shared agenda-setting between patients and nurses in status visits for type 2 diabetes.

Methods: Non-randomized comparison of survey responses between intervention and control groups. Content analysis of interview data of patient experiences from a purposive sample of the intervention group.

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Article Synopsis
  • The goal of the study was to understand how patients with rheumatoid arthritis feel about digital education tools that help them manage their condition.
  • Patients liked the e-learning program because it was flexible, fun, and they could learn at home, but they missed talking to healthcare providers for support.
  • The study concluded that while digital education is helpful, there should be different types offered to meet the needs of patients at different stages of their illness.
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Purpose: The present study aimed to investigate whether exposure to a patient decision aid (PDA) had an impact on the proportion of patients selecting non-surgical or surgical treatments after anterior cruciate ligament (ACL) injuries and whether exposure to a PDA affected the proportion of patients switching from non-surgical to surgical treatment within the first year.

Methods: In a consecutive case series, proportions of surgery and non-surgery were compared before and after patients' exposure to a PDA. Data were collected from the health records of patients with ACL injuries who presented to the Clinic of Sports Traumatology.

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Aims: User involvement is pivotal for health development, but there are significant gaps in our understanding of the concept. The Copenhagen Diabetes Consensus on User Involvement in Diabetes Care, Prevention and Research (CODIAC) was established to address these gaps, share knowledge and develop best practices.

Methods: A literature review of user involvement was undertaken in diabetes care, prevention and research.

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Background: Unmet care needs and more than one reasonable discharge solution have been identified among patients in the emergency department. Less than half of the patients attending emergency care have reported being involved in decisions to the degree they have wanted. Having a person-centered approach, such as involving patients in decisions regarding their discharge, has been reported as being associated with beneficial outcomes for the patient.

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Article Synopsis
  • Patients in the emergency room want to be part of the decision-making process about their care, but they often aren't.
  • Healthcare professionals face challenges that make it hard to include patients, like busy routines and different patient needs.
  • To help patients be more involved, healthcare workers need better ways to talk with them about their care choices when they are ready to leave the hospital.
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  • This study created a new tool called Conversation Cards to help nurses and patients talk about important topics during diabetes check-ups.
  • The researchers used a step-by-step design process, involving lots of input from nurses and patients, to make sure the cards were useful.
  • The aim of these cards is to make discussions in diabetes visits better by focusing on what the patients want to talk about, but more testing is needed to see how well they work.
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  • Patients are very involved in health research, but usually researchers decide what happens. In the Kidney Connect project, patients took charge and led the work!
  • The article talks about how patients led the project, what worked well, and what didn’t go as planned compared to research led by scientists!
  • It shows that while patient-led projects might have some issues, they can still get good results, and it’s better when both patients and researchers work together!
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Background: Successful diabetes management requires collaboration between patients and healthcare professionals and should be aligned with an individual's condition and resources. We developed a flexible, individualised, patient-reported outcome (PRO)-based telehealth intervention called "DiabetesFlex Care" in which patients completed an annual self-reported questionnaire from home, one required face-to-face appointment, and two optional outpatient consultations. In this study, we investigated patients' experiences using DiabetesFlex Care.

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Article Synopsis
  • The study looks into problems that come up when people using open-source insulin delivery systems talk to their doctors and nurses.
  • It found three main issues: people don't share their experiences with their healthcare providers, there is confusion about who is responsible for problems, and each side has different expectations about technology and support.
  • To improve these interactions, both users and healthcare professionals need to communicate better, understand the technology more, and focus on the emotional needs of the users.
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  • The study evaluated the reliability and measurement error of Danish versions of the WHO-5 and PAID questionnaires in telehealth for assessing mental health and diabetes distress in type 1 diabetes patients.
  • A total of 146 patients completed the assessments twice, showing high test-retest reliability with ICC scores of 0.87 for the WHO-5 and 0.89 for the PAID scales.
  • The findings suggest that both questionnaires are reliable tools for monitoring mental health and diabetes support needs in patients, although the WHO-5 showed a larger measurement error than the PAID scale.
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Unlabelled: Patients with anterior crucial ligament injury are faced with a choice between surgery or nonsurgical treatment with intensive rehabilitation. Patients must be involved in the decision making to choose a treatment that meets their individual values, lifestyle, and conditions. The aim of the study was to describe, develop, and evaluate a patient decision aid to support shared decision making.

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Aim: The objective of this study was to assess the impact of health care-initiated visits versus patient-controlled flexible visits on clinical and patient-reported outcomes in people with type 1 diabetes.

Methods: The DiabetesFlex trial was a randomized controlled, pragmatic non-inferiority 15-month follow-up study comparing standard care (face-to-face visits every 4 months) with DiabetesFlex (patient-controlled flexible visits using patient-reported, outcome-based telehealth follow-up). Of 343 enrolled participants, 160 in each group completed the study.

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Background: Patient education is integral to the treatment and care of patients with rheumatoid arthritis. Change is taking place in the organisation of healthcare systems because of a demographic shift towards ageing populations, an increasing use of technology and advancements in digital technologies, allowing for new interventions. This study will aim to evaluate the effectiveness of a newly developed e-learning patient education programme based on self-management that targets patients with rheumatoid arthritis.

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