Publications by authors named "Lotte Nygaard Andersen"

Cognitive behavioural therapy (CBT) is the most widely used stress management intervention for work-related stress, however the effect on return to work is unclear. Further, there is a lack of knowledge about the mechanisms and contexts that make CBT interventions work (or not). This project aims to use a realist evaluation approach to explore the outcomes of a stress management intervention at a Danish Occupational Health Clinic and to understand if, how and why it works (mechanisms), for whom and in what circumstances (contexts).

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Objective: To investigate if a combination of an online and onsite implementation strategy was superior to an online-only strategy in enhancing the use of an injury prevention exercise programme (IPEP) and in reducing the risk of shoulder, knee and ankle injuries in youth community handball players (age 11-17) over a handball season.

Methods: In this 30-week hybrid effectiveness-implementation cluster randomised type 3 study, 20 youth handball clubs were randomly assigned 1:1 to either a combined online and onsite implementation strategy (coach workshop using the health action process approach behaviour change model and health service provider (HSP) support) or an online-only strategy (control group). The primary implementation outcome was coach-reported adherence, measured as the average IPEP exercise usage by the team over 30 weeks.

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Background: High-string players, such as violinists and violists, are prone to neck problems. One factor can be their body posture, with often a rotated and flexed neck position with the jaw placed on a flat chinrest. The Kréddle chinrest (EC) was specifically designed to promote a more neutral neck position and prevent musculoskeletal problems among high-string players.

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Background: Interdisciplinary rehabilitation programmes (IRP) are used in municipality settings to assist unemployed citizens with complex health and/or life issues. Individually tailored IRP activities help people develop their personal working life skills and increase their chances of re-entering the work force. The aims of this paper were to describe citizens' wellbeing in terms of health aspects, explore the impact of stressful life events on wellbeing and obtain understanding of how IRP activities affect the participants' development towards future employment.

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Background: Vocational rehabilitation programs (VRP) developing and improving work ability are used in Denmark to assist long-term unemployed citizens with complex problems. The aims of this study were to (1) describe VRP-participants in relation to general health, well-being, work ability and self-efficacy at baseline and one-year follow-up, (2) obtain an understanding of VRP-participants' personal development towards improving work ability, and (3) explore VRP-participants' hopes and thoughts about their future.

Methods: In a mixed methods approach, data from a longitudinal survey and semi-structured interviews were collected.

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Objective: Brain tumours are relatively rare but hold a significant place in cancer rehabilitation due to their pronounced disabling capacity to promote physical, cognitive and psychosocial sequelae. This small-scale qualitative study used coping and motivational theories to gain understanding and knowledge of patients' experience of being diagnosed with a severe disease and of their view of a rehabilitation process.

Design: Qualitative interview study.

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Background: The aim of the present study was to describe the development of strategies to prevent and rehabilitate musculoskeletal pain among surgeons. Musculoskeletal pain affects surgeons' life, and evidence on interventions for effective prevention and rehabilitation is lacking for this occupational group.

Methods: An Intervention Mapping approach was used to develop intervention strategies specifically tailored to surgeons.

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Background: In 2013 vocational rehabilitation programmes (VRP) were given official and legal approval under Danish law to assist occupationally marginalized citizens in gaining general life skills, building their work ability, and increasing their chances of entering the work force. The project's aim is to develop a detailed understanding of the health, psychosocial and work circumstances of participating citizens, and of the important processes and mechanisms underlying the potential effects of participating in the VRP.

Methods: This study uses an exploratory mixed methods approach with sequential use of quantitative and qualitative methods.

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Background and objective Chronic pain is a growing phenomenon worldwide. It is considered a medical problem because, besides the socio-economic issues involved, pain is often accompanied by psychosocial problems. Apart from the physical pain, living with chronic pain has many additional consequences.

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Purpose: To explore how psychologically vulnerable citizens experienced performing their everyday-life activities, identify activities experienced as particularly challenging and evaluate the significance of the Acceptance and Commitment Theory-based (ACT)-based program, Well-being in Daily Life, had on the participants everyday-life activities.

Methods: Semi-structured interviews were conducted with eight participants from the Well-being in Daily Life program. Data were analysed using Systematic Text Condensation.

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Unlabelled: Musculoskeletal symptoms, especially in the upper body, are frequent among professional symphony orchestra musicians. Physical exercise may relieve pain but might also interfere with playing performance.

Objective: To evaluate the feasibility and effect of "specific strength training" (SST) versus "general fitness training" (GFT).

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Article Synopsis
  • The study aimed to assess the long-term effectiveness of Tailored Physical Activity (TPA) and Chronic Pain Self-management Program (CPSMP) in helping sick-listed individuals with back or upper body pain return to work compared to a reference group.
  • Conducted as a randomized controlled trial, 141 participants received health guidance and were divided into three groups: TPA, CPSMP, and a reference group, with outcomes measured over 11 months.
  • Findings revealed no significant differences in return-to-work rates or other health measures among the groups, indicating that TPA and CPSMP did not offer additional benefits over the reference group in the long-term context.
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Objectives: The aim was to evaluate the efficacy of 'Tailored Physical Activity' (TPA) and a 'Chronic Pain Self-management Programme' (CPSMP) compared with a reference group (REF) on return to work after 3 months as sick-listed citizens with pain related to the back or the upper body.

Methods: Using a randomised controlled trial design all participants (n= 141) received health guidance for 1.5 hours and were randomised to TPA, CPSMP or REF.

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Aim: The aim was to evaluate efficacy of "Tailored Physical Activity" (TPA) versus a reference group (REF) in reducing the number of self-reported days of sickness absence for health care workers in the Sonderborg Municipality.

Methods: In this randomised controlled trial, all participants (n = 54) received health guidance for 1.5 h and were randomised to TPA or REF.

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Individual health counseling is a form of intervention designed to minimize the effects of chronic health disease and to offer a path towards good health practices. The aim of the present study was to explore the experiences of those persons who participated in health counseling in order to assess the psychosocial significance of the counseling upon their health behavior. In addition the study was concerned with the factors which underlay peoples' decision to sign up for health counseling.

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Musculoskeletal pain impacts upon everyday life. A degree of chronicity may pose an increased risk of sickness absence. One of two rehabilitative interventions, "Tailored Physical Activity" or "Chronic Pain Self-Management Program", was offered to sick-listed citizens who experienced pain.

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Article Synopsis
  • The study aims to evaluate the effectiveness of 'Tailored Physical Activity' in reducing work-related musculoskeletal disorders among health care workers in Sonderborg Municipality.
  • All participants, who already experience musculoskeletal pain, will undergo 'Health Guidance' and the experimental group will receive an additional regimen of physical activity, while the reference group will only receive the guidance.
  • The primary measure of success will be the self-reported sickness absence due to musculoskeletal issues, assessed at 3 and 12 months, along with various secondary health indicators.
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Background: Professional musicians experience high rates of musculoskeletal pain, but only few studies have investigated how this pain is accepted by musicians.

Aim: To investigate the culture of pain and to explore how professional musicians experience and cope with pain.

Methods: Ten semi-structured in-depth interviews were conducted; 8 with musicians and 2 with professional elite athletes.

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Background: Pain affects quality of life and can result in absence from work. Treatment and/or prevention strategies for musculoskeletal pain-related long-term sick leave are currently undertaken in several health sectors. Moreover, there are few evidence-based guidelines for such treatment and prevention.

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