Line Kildal Bragstad

• Moger, Tron Anders; Holte, Jon Helgheim; Amundsen, Olav; Haavaag, Silje Bjørnsen; Edvardsen, Anne & Bragstad, Line Kildal [Show all 9 contributors for this article] (2024). Associations between outpatient care and later hospital admissions for patients with chronic obstructive pulmonary disease - a registry study from Norway. BMC Health Services Research. ISSN 1472-6963. 24(1). doi: 10.1186/s12913-024-10975-4. Full text in Research Archive
• Kleffelgård, Ingerid; Forslund, Marit Vindal; Hauger, Solveig Lægreid; Røe, Cecilie; Bragstad, Line Kildal & Søberg, Helene L. [Show all 8 contributors for this article] (2024). Process evaluation of a complex intervention evaluating the effectiveness of home-based rehabilitation in the chronic phase of traumatic brain injury. Disability and Rehabilitation. ISSN 0963-8288. doi: 10.1080/09638288.2024.2324119. Full text in Research Archive
• Amundsen, Olav; Moger, Tron Anders; Holte, Jon Helgheim; Haavaag, Silje Bjørnsen; Bragstad, Line Kildal & Hellesø, Ragnhild [Show all 8 contributors for this article] (2023). Combination of health care service use and the relation to demographic and socioeconomic factors for patients with musculoskeletal disorders: a descriptive cohort study. BMC Health Services Research. ISSN 1472-6963. 23(1). doi: 10.1186/s12913-023-09852-3. Full text in Research Archive
• Lindemann, Kristina Yvonne Kathe; Danbolt, Svana Heimisdottir; Ramberg, Lene Kristine Marsby; Eyjólfsdóttir, Brynhildur; Wang, Yun & Heli-Haugestøl, Anne Gjertine [Show all 15 contributors for this article] (2023). Patient-reported nausea after implementation of an enhanced recovery after surgery protocol for gynae-oncology patients. International Journal of Gynecological Cancer. ISSN 1048-891X. 33(8), p. 1287–1294. doi: 10.1136/ijgc-2023-004356. Full text in Research Archive
• Svendsen, Edel Jannecke; Killi, Eli Marie; Rohrer-Baumgartner, Nina Marit; Holthe, Ingvil Laberg; Sandhaug, Maria & Borgen, Ida Maria Henriksen [Show all 10 contributors for this article] (2023). Children’s, parents’, and teachers’ experiences of the feasibility of a telerehabilitation intervention for children with acquired brain injury in the chronic phase – a qualitative study of acceptability and participation in the Child In Context Intervention (CICI). BMC Health Services Research. ISSN 1472-6963. 23. doi: 10.1186/s12913-023-09589-z. Full text in Research Archive
• Hjelle, Ellen Gabrielsen ; Smidt, Helle Rønn; Haahr, Anita; Haavaag, Silje Bjørnsen; Sørensen, Dorthe & Navarta-Sánchez, Maria Victoria [Show all 8 contributors for this article] (2023). Filling the gap in service provision. Partners as family carers to people with Parkinson's disease: A Scandinavian perspective. Chronic Illness. ISSN 1742-3953. doi: 10.1177/17423953231174470.
• van Nimwegen, Dagmar; Hjelle, Ellen Gabrielsen ; Bragstad, Line Kildal; Kirkevold, Marit; Sveen, Unni & Hafsteinsdóttir, Thora [Show all 9 contributors for this article] (2023). Interventions for improving psychosocial well-being after stroke: A systematic review. International Journal of Nursing Studies. ISSN 0020-7489. 142. doi: 10.1016/j.ijnurstu.2023.104492. Full text in Research Archive
• Jeppestøl, Kristin; Kirkevold, Marit & Bragstad, Line Kildal (2023). Early warning scores and trigger recommendations must be used with care in older home nursing care patients: Results from an observational study. Nursing Open. ISSN 2054-1058. 10(7), p. 4737–4746. doi: 10.1002/nop2.1724. Full text in Research Archive
• Navarta-Sánchez, Maria Victoria; Palmar-Santos, Ana; Pedraz-Marcos, Azucena; Reidy, Claire; Soilemezi, Dia & Haahr, Anita [Show all 12 contributors for this article] (2023). Perspectives of people with Parkinson's disease and family carers about disease management in community settings: A cross-country qualitative study. Journal of Clinical Nursing (JCN). ISSN 0962-1067. 32(15-16), p. 5201–5218. doi: 10.1111/jocn.16636. Full text in Research Archive
• Soilemezi, Dia; Palmar-Santos, Ana; Navarta-Sánchez, Maria Victoria; Roberts, Helen; Pedraz-Marcos, Azucena & Haahr, Anita [Show all 11 contributors for this article] (2022). Understanding support systems for Parkinson's disease management in community settings: A cross‐national qualitative study. Health Expectations. ISSN 1369-6513. doi: 10.1111/hex.13691. Full text in Research Archive
• Nielsen, Tove Lise; Kruse, Naja Benigna; Haahr, Anita; Hjelle, Ellen Gabrielsen ; Bragstad, Line Kildal & Palmar-Santos, Ana [Show all 11 contributors for this article] (2022). Exploring health and social services in Denmark, Norway, Spain and the United Kingdom for the development of Parkinson's care pathways. A document analysis. Health and Social Care in the Community. ISSN 0966-0410. doi: 10.1111/hsc.13970. Full text in Research Archive
• Mangset, Margrete; Kitzmüller, Gabriele; Evju, Anne S.; Angel, Sanne; Aadal, Lena & Martinsen, Randi [Show all 12 contributors for this article] (2021). Perceived study-induced influence on the control group in a randomized controlled trial evaluating a complex intervention to promote psychosocial well-being after stroke : a process evaluation. Trials. ISSN 1745-6215. 22. doi: 10.1186/s13063-021-05765-w. Full text in Research Archive Show summary

  Background: A commonly applied control condition in trials evaluating complex interventions in rehabilitation research is “usual care.” The main challenge is to ensure that the control group receives genuine usual care as delivered in everyday clinical practice. The assessment interviews and dialogues with the data collectors may influence the control group participants’ reflections on their condition and adjustments. This represents a threat to the internal validity of the trial. Thus, the aim of this study was to explore the perceived study-induced influence of assessment interviews on the adjustment of the members of a control group in a randomized clinical trial. The aim of the trial was to test a dialogue-based psychosocial intervention aiming at promoting the psychosocial well-being and adjustment of stroke survivors. Methods: Fifteen participants in the control group of a multicenter stroke rehabilitation trial participated in narrative semi-structured interviews. Ricoeur’s interpretation theory guided the analysis. Results: The perceived study-induced influence of the assessment interviews on the adjustment process of members of the control group varied considerably. The results demonstrated that the assessment interviews facilitated some participants’ feelings of control and their ability to cope. Other participants’ statements indicate that they relied on their existing personal capacity to cope and adjust and that the assessment interviews did not make any difference either on their coping ability or on their process of adjustment. Five themes were identified that described the perceived study-induced influence of the assessment interviews in the control group. The themes illustrated that the assessments served as a safety net, enhanced awareness and understanding, encouraged seeking support, allowed the opportunity to vent disappointment, or did not make any difference either way. Conclusions: RCT assessment interviews may influence the adjustment process and represent a serious problem in measuring interventions over time in trials of complex interventions in rehabilitation research. To uphold rigor and stringency, the usual care control conditions should be thoroughly assessed and described. Informing participants only about the treatment they were allocated to receive might counteract the potential to dilute the difference between the two arms of the trial.

• Jeppestøl, Kristin; Kirkevold, Marit & Bragstad, Line Kildal (2021). Assessing acute functional decline in older patients in home nursing care settings using the Modified Early Warning Score: A qualitative study of nurses’ and general practitioners’ experiences . International Journal of Older People Nursing. ISSN 1748-3735. p. 1–11. doi: 10.1111/opn.12416. Full text in Research Archive
• Martinsen, Randi; Kitzmüller, Gabriele; Mangset, Margrete; Kvigne, Kari Johanne; Evju, Anne Svelstad & Bronken, Berit Arnesveen [Show all 10 contributors for this article] (2021). Nurses’ and occupational therapists’ experiences of conducting a home-based psychosocial intervention following stroke: a qualitative process evaluation. BMC Health Services Research. ISSN 1472-6963. doi: 10.1186/s12913-021-06857-8. Full text in Research Archive Show summary

  Background: Persons with stroke are susceptible to psychosocial problems, and express disappointment at how health care professionals fail to meet their psychosocial needs following discharge to home. The responsibility of nurses and occupational therapists in stroke rehabilitation is to assist the persons and their families during the recovery and adjustment process. A home-based dialogical intervention aiming to enhance psychosocial support was therefore developed and tested in a randomized controlled trial. This study is a part of the process evaluation conducted alongside the trial. The aim was to explore the nurses’ and occupational therapists’ experiences of conducting the intervention. Methods: Eighteen nurses and four occupational therapists participated in six focus groups to explore their experiences when providing the intervention. The themes discussed in the focus groups were the aspects that facilitated the delivering of the intervention and the challenges they encountered during the study period. The interviews were analysed using qualitative content analysis. Results: The analysis generated two themes. The theme Developing a supportive relationship to facilitate the adjustment process following stroke had two subthemes: Getting personally involved and Handling challenges. This theme reveals how the nurses and occupational therapists experienced their relationship with the persons with stroke and potential threats which challenged them while conducting the intervention. The theme Developing professional skills in providing psychosocial support had two subthemes: Becoming confident in conducting dialogues and Integrating psychosocial topics. This theme reveals the aspects that the nurses and occupational therapists perceived as facilitating the development of their professional skills in conducting the dialogues. Conclusion: Delivering the psychosocial intervention was perceived as deeply meaningful and increased the nurses’ and occupational therapists’ understanding of how to support stroke survivors to live with the consequences of stroke. However, balancing the professional and the personal relationship was challenging. A basic educational programme, training, supervision and having dedicated time were crucial elements to instil confidence in professionals conducting theme-based dialogues to promote post-stroke psychosocial well-being. Individual clinical experience and knowledge of stroke care were considering important to enable professionals to integrate psychosocial rehabilitation into community health care.

• Jeppestøl, Kristin; Vitelli, Valeria; Kirkevold, Marit & Bragstad, Line Kildal (2021). Factors Associated With Care Trajectory Following Acute Functional Decline in Older Home Nursing Care Patients: A Prospective Observational Study. Home Health Care Management & Practice. ISSN 1084-8223. 34(1), p. 42–51. doi: 10.1177/10848223211034774. Show summary

  Health policies and previous research highlight the importance of early identification and treatment of clinical deterioration in older patients to prevent frailty, higher levels of care, and mortality. This study explores older home nursing care patients’ care trajectories and factors associated with clinical response (type and level of intervention) from the health care services, final level of community care and death within 3 months after an incidence of acute functional decline. This observational study with a prospective, descriptive design includes a sample of 135 older home nursing care patients with acute functional decline. Demographic, health-related, and clinical characteristics were analyzed and prediction models for care trajectories were fitted using Bayesian generalized mixed models. Age ranged from 65 to 100, with a median age of 85. Hospital admission were registered for 13.33% (T1) and 8.77% (T2) of the participants. Nine patients (6.7%) were transferred to a higher level of community care, and 11 patients (8.1%) died. Frequent transitions between levels of care characterized care trajectories for patients experiencing more severe functional decline. Age, living in a private home, and increased Modified Early Warning Scores (MEWS) were associated with level of clinical responses throughout the care trajectory. Living in a private home was associated with the patients’ final level of community care. Female gender, hospital admission, and increased MEWS scores were associated with death. Health care personnel must be vigilant when MEWS scores rise even slightly, as this might be an indication of acute functional decline with possible increased risk of mortality.

• Østensen, Elisabeth; Hardiker, Nicholas R.; Bragstad, Line Kildal & Hellesø, Ragnhild (2020). Introducing standardised care plans as a new recording tool in municipal health care. Journal of Clinical Nursing (JCN). ISSN 0962-1067. 29(17-18), p. 3286–3297. doi: 10.1111/jocn.15355. Full text in Research Archive Show summary

  Aims and Objectives: To explore how nurses use standardised care plans as a new recording tool in municipal health care, and to identify their thoughts and opinions. Background: In spite of being an important information source for nurses, care plans have repeatedly been found unsatisfactory. Structuring and coding information through standardised care plans is expected to raise the quality of recorded infor- mation, improve overviews, support evidence-based practice and facilitate data ag- gregation. Previous research on this topic has mostly focused on the hospital setting. There is a lack of knowledge on how standardised care plans are used as a recording tool in the municipal healthcare setting. Design: An exploratory design with a qualitative approach using three qualitative methods of data collection. The study complied with the Consolidated Criteria for Reporting Qualitative Research. Methods: Empirical data were collected in three Norwegian municipalities through participant observation and individual interviews with 17 registered nurses. In addi- tion, we collected nursing records from 20 electronic patient records. Results: Use of standardised care plans was influenced by the nurses' consideration of their benefits. Partial implementation created an opportunity for nonuse. There was no consensus regarding how much information to include, and the standardised care plans could become both short and generic, and long and comprehensive. The themes “balancing between the old and the new care planning system,” “considering the usefulness of standardised care plans as a source of information” and “balancing between overview and detail” reflect these findings. Conclusions: Nurses' use of standardised care plans was influenced by the plans' par- tial implementation, their views on usefulness and their personal views on the detail required in a care plan. Relevance to Clinical Practice: The structuring of nursing records is a fast-growing trend in health care. This study gives valuable information for those attempting to implement such structures in municipal health care.

• Bragstad, Line Kildal; Hjelle, Ellen Gabrielsen ; Zucknick, Manuela; Sveen, Unni; Thommessen, Bente & Bronken, Berit Arnesveen [Show all 13 contributors for this article] (2020). The effects of a dialogue-based intervention to promote psychosocial well-being after stroke: a randomized controlled trial. Clinical Rehabilitation. ISSN 0269-2155. 34(8), p. 1056–1071. doi: 10.1177/0269215520929737. Full text in Research Archive Show summary

  Objective: To evaluate the effect of a dialogue-based intervention targeting psychosocial well-being at 12 months post-stroke. Design: Multicenter, prospective, randomized, assessor-blinded, controlled trial with two parallel groups. Setting: Community. Subjects: Three-hundred and twenty-two adults (⩾18 years) with stroke within the last four weeks were randomly allocated into intervention group (n = 166) or control group (n = 156). Interventions: The intervention group received a dialogue-based intervention to promote psychosocial well-being, comprising eight individual 1–1½ hour sessions delivered during the first six months post-stroke. Main measures: The primary outcome measure was the General Health Questionnaire-28 (GHQ-28). Secondary outcome measures included the Stroke and Aphasia Quality of Life Scale-39g, the Sense of Coherence scale, and the Yale Brown single-item questionnaire. Results: The mean (SD) age of the participants was 66.8 (12.1) years in the intervention group and 65.7 (13.3) years in the control group. At 12 months post-stroke, the mean (SE) GHQ-28 score was 20.6 (0.84) in the intervention group and 19.9 (0.85) in the control group. There were no between-group differences in psychosocial well-being at 12 months post-stroke (mean difference: −0.74, 95% confidence interval (CI): −3.08, 1.60). The secondary outcomes showed no statistically significant between-group difference in health-related quality of life, sense of coherence, or depression at 12 months. Conclusion: The results of this trial did not demonstrate lower levels of emotional distress and anxiety or higher levels of health-related quality of life in the intervention group (dialogue-based intervention) as compared to the control group (usual care) at 12 months post-stroke.

• Bragstad, Line Kildal; Lerdal, Anners Vetle; Gay, Caryl L.; Kirkevold, Marit; Lee, Kathryn A. & Lindberg, Maren Falch [Show all 10 contributors for this article] (2020). Psychometric properties of a short version of Lee Fatigue Scale used as a generic PROM in persons with stroke or osteoarthritis: assessment using a Rasch analysis approach. Health and Quality of Life Outcomes. ISSN 1477-7525. 18, p. 1–8. doi: 10.1186/s12955-020-01419-8. Full text in Research Archive
• Hjelle, Ellen Gabrielsen ; Bragstad, Line Kildal; Kirkevold, Marit; Zucknick, Manuela; Bronken, Berit Arnesveen & Martinsen, Randi [Show all 11 contributors for this article] (2019). Effect of a dialogue-based intervention on psychosocial well-being 6 months after stroke in Norway: A randomized controlled trial . Journal of Rehabilitation Medicine. ISSN 1650-1977. 51(8), p. 557–565. doi: 10.2340/16501977-2585. Full text in Research Archive Show summary

  Abstract Objective: To evaluate the effect of a dialogue-based intervention on psychosocial well-being 6 months after stroke. Design: Multicentre, prospective, randomized controlled trial. Subjects: Adults (aged ≥ 18 years) who had their first or recurrent stroke within the last month, were medically stable, had sufficient cognitive functioning to participate and understood and spoke Norwegian. Methods: A total of 322 participants were randomly assigned to the intervention (n = 166) or control (n = 156) group. Participants in the intervention group received up to 8 individual sessions aimed at supporting the coping and life skills of stroke survivors in addition to usual care. The primary outcome was the proportion of participants with normal mood measured by the General Health Questionnaire-28 (GHQ-28). The secondary outcomes included health-related quality of life (Stroke and Aphasia Quality of Life Scale; SAQOL-39g), depression (Yale-Brown single-item questionnaire; Yale) and sense of coherence (SOC-13). Results: After controlling for the baseline values, no significant benefit was found in the intervention group over the control group (odds ratio (OR): 0.898: 95% confidence interval (95% CI): 0.54-1.50, p = 0.680) 6 months post-stroke. Conclusion: Psychosocial well-being improved during the first 6 months after stroke in both arms of the trial, but no statistically significant benefit of the dialogue-based intervention was found compared with usual care. Lay Abstract The aim of this study was to evaluate the effect of a dialogue-based intervention on psychosocial well-being 6 months after stroke. A total of 322 participants were assigned to an intervention (= 166) or control (= 156) group. Participants in the intervention group received up to 8 individual sessions aimed at supporting the coping and life skills of stroke survivors in addition to usual care. Psychosocial well-being improved during the first 6 months after the stroke in both arms of the trial. However, no benefit of the dialogue-based intervention was found compared with usual care.

• Linnerud, SIlje Christin Wang & Bragstad, Line Kildal (2019). Faktorer som har sammenheng med fatigue etter hjerneslag. Sykepleien Forskning. ISSN 1890-2936. 14(76701). doi: 10.4220/Sykepleienf.2019.76701. Full text in Research Archive Show summary

  Sammendrag Bakgrunn: Fatigue er et fremtredende symptom som ofte rammer hjerneslagpasienter. Fatigue karakteriseres som vedvarende tretthet, utmattelse og redusert energikapasitet og assosieres ofte med nedsatt livskvalitet. Tidligere studier viser stor variasjon i assosierte faktorer og forekomsten av fatigue etter hjerneslag (PSF, post-stroke fatigue). Hensikt: Å undersøke om det er sammenheng mellom fatigue etter hjerneslag og sosiodemografiske, medisinske og kliniske karakteristika i et norsk utvalg. Metode: Tverrsnittsstudie som inkluderte 321 hjerneslagpasienter rekruttert fra 11 sykehus i Norge i perioden 2014–2016. Vi foretok datainnsamling med strukturert spørreskjema i individuelle intervjuer 4–6 uker etter hjerneslaget. Fatigue ble målt med en kortversjon av Fatigue Questionnaire (FQ). Vi benyttet multivariat logistisk regresjonsanalyse i denne studien. Resultat: Prevalensen av fatigue etter hjerneslag var 43,6 prosent i denne studien. Tidligere sykdommer (OR, odds ratio = 4,99), depresjon (OR = 4,47), omsorgsansvar for andre (OR = 2,86) og hjerneslagets alvorlighetsgrad (OR = 1,16) var faktorer som økte oddsen for å oppleve fatigue 4–6 uker etter hjerneslag. Konklusjon: Studien støtter tidligere funn om at fatigue er utbredt etter hjerneslag. Studien identifiserte fire faktorer som økte oddsen for å rapportere om fatigue 4–6 uker etter hjerneslaget. Forekomsten av PSF og hvilke faktorer som er assosiert med PSF, er viktig kunnskap for sykepleiere og annet helsepersonell for å identifisere hvem som kan trenge oppfølging knyttet til fatigue etter hjerneslag.

• Østensen, Elisabeth; Bragstad, Line Kildal; Hardiker, Nicholas & Hellesø, Ragnhild (2019). Nurses' information practice in municipal health care—A web-like landscape. Journal of Clinical Nursing (JCN). ISSN 0962-1067. 28(13-14), p. 2706–2716. doi: 10.1111/jocn.14873.
• Hjelle, Ellen Gabrielsen; Bragstad, Line Kildal; Zucknick, Manuela; Kirkevold, Marit; Thommessen, Bente & Sveen, Unni (2019). The General Health Questionnaire-28 (GHQ-28) as an outcome measurement in a randomized controlled trial in a Norwegian stroke population. BMC Psychology. ISSN 2050-7283. 7(18). doi: 10.1186/s40359-019-0293-0. Full text in Research Archive
• Kitzmüller, Gabriele; Mangset, Margrete; Evju, Anne Svelstad; Angel, Sanne; Aadal, Lena & Martinsen, Randi [Show all 12 contributors for this article] (2019). Finding the way forward : the lived experience of people with stroke after participation in a complex psychosocial intervention. Qualitative Health Research. ISSN 1049-7323. 29(12), p. 1711–1724. doi: 10.1177/1049732319833366. Full text in Research Archive Show summary

  Stroke patients’ well-being is threatened after stroke. A psychosocial intervention was developed for Norwegian stroke patients living in the community. Eight individual sessions between people with stroke and a trained health care professional were conducted 1 to 6 months post-stroke with one group of participants and 6 to 12 months post-stroke with another group. Subsequently, 19 of these stroke patients were interviewed to gain an in-depth understanding of their lived experience of the influence of the intervention on their adjustment process. Interview texts were analyzed using Ricoeur’s interpretation theory. Two participants did not personally find the intervention useful. The remaining participants greatly appreciated dialogues with the empathetic intervention personnel, feeling free to discuss their fears and worries. The intervention raised these participants’ awareness of their needs and resources. They were guided to resume their everyday life and adopt a future-oriented attitude. The intervention facilitated their meaning-making endeavors and post-stroke adjustment.

• Bragstad, Line Kildal; Bronken, Berit Arnesveen; Sveen, Unni; Hjelle, Ellen Gabrielsen; Kitzmüller, Gabriele & Martinsen, Randi [Show all 9 contributors for this article] (2019). Implementation fidelity in a complex intervention promoting psychosocial well-being following stroke: An explanatory sequential mixed methods study. BMC Medical Research Methodology. ISSN 1471-2288. 19(59). doi: 10.1186/s12874-019-0694-z. Full text in Research Archive Show summary

  Background: Evaluation of complex interventions should include a process evaluation to give evaluators, researchers, and policy makers greater confidence in the outcomes reported from RCTs. Implementation fidelity can be part of a process evaluation and refers to the degree to which an intervention is delivered according to protocol. The aim of this implementation fidelity study was to evaluate to what extent a dialogue-based psychosocial intervention was delivered according to protocol. A modified conceptual framework for implementation fidelity was used to guide the analysis. Methods: This study has an explanatory, sequential two-phase mixed methods design. Quantitative process data were collected longitudinally along with data collection in the RCT. Qualitative process data were collected after the last data collection point of the RCT. Descriptive statistical analyses were conducted to describe the sample, the intervention trajectories, and the adherence measures. A scoring system to clarify quantitative measurement of the levels of implementation was constructed. The qualitative data sources were analyzed separately with a theory-driven content analysis using categories of adherence and potential moderating factors identified in the conceptual framework of implementation fidelity. The quantitative adherence results were extended with the results from the qualitative analysis to assess which potential moderators may have influenced implementation fidelity and in what way. Results: The results show that the core components of the intervention were delivered although the intervention trajectories were individualized. Based on the composite score of adherence, results show that 80.1% of the interventions in the RCT were implemented with high fidelity. Although it is challenging to assess the importance of each of the moderating factors in relation to the other factors and to their influence on the adherence measures, participant responsiveness, comprehensiveness of policy description, context, and recruitment appeared to be the most prominent moderating factors of implementation fidelity in this study. Conclusions: This evaluation of implementation fidelity and the discussion of what constitutes high fidelity implementation of this intervention are crucial in understanding the factors influencing the trial outcome. The study also highlights important methodological considerations for researchers planning process evaluations and studies of implementation fidelity. Trial registration: ClinicalTrials.gov, NCT02338869; registered 10/04/2014. Keywords: Process evaluation, Implementation fidelity, Stroke, Psychosocial intervention, Mixed methods

• Kirkevold, Marit; Bragstad, Line Kildal; Bronken, Berit Arnesveen; Kvigne, Kari Johanne; Martinsen, Randi & Hjelle, Ellen Gabrielsen [Show all 13 contributors for this article] (2018). Promoting psychosocial well-being following stroke: study protocol for a randomized, controlled trial. BMC Psychology. ISSN 2050-7283. 6(12). doi: 10.1186/s40359-018-0223-6. Full text in Research Archive Show summary

  Background: Stroke is a major public health threat globally. Psychosocial well-being may be affected following stroke. Depressive symptoms, anxiety, general psychological distress and social isolation are prevalent. Approximately one third report depressive symptoms and 20% report anxiety during the first months or years after the stroke. Psychosocial difficulties may impact significantly on long-term functioning and quality of life, reduce the effects of rehabilitation services and lead to higher mortality rates. The aim of the study is to evaluate the effect of a previously developed and feasibility tested dialogue-based psychosocial intervention aimed at promoting psychosocial well-being and coping following stroke among stroke survivors with and without aphasia. Methods: The study will be conducted as a multicenter, randomized, single blind controlled trial with one intervention and one control arm. It will include a total of 330 stroke survivors randomly allocated into either an intervention group (dialogue-based intervention to promote psychosocial well-being) or a control group (usual care). Participants in the intervention group will receive eight individual sessions of supported dialogues in their homes during the first six months following an acute stroke. The primary outcome measure will be psychosocial well-being measured by the General Health Questionnaire (GHQ). Secondary outcome measures will be quality of life (SAQoL), sense of coherence (SOC), and depression (Yale). Process evaluation will be conducted in a longitudinal mixed methods study by individual qualitative interviews with 15–20 participants in the intervention and control groups, focus group interviews with the intervention personnel and data collectors, and a comprehensive analysis of implementation fidelity. Discussion: The intervention described in this study protocol is based on thorough development and feasibility work, guided by the UK medical research council framework for developing and testing complex interventions. It combines classical effectiveness evaluation with a thorough process evaluation. The results from this study may inform the development of further trials aimed at promoting psychosocial well-being following stroke as well as inform the psychosocial follow up of stroke patients living at home

• Røe, Cecilie; Kirkevold, Marit; Andelic, Nada; Søberg, Helene L.; Sveen, Unni & Bautz-Holter, Erik [Show all 17 contributors for this article] (2018). The challenges of describing rehabilitation services: A discussion paper. Journal of Rehabilitation Medicine. ISSN 1650-1977. 50, p. 151–158. doi: 10.2340/16501977-2299. Full text in Research Archive Show summary

  Objectives: To apply the Classi cation of Service Or- ganization in Rehabilitation (ICSO-R) classi cation of services to different target groups, include the user perspective, identify missing categories, and propose standardized descriptors for the categories from a Norwegian perspective. Design: Expert-based consensus conferences with user involvement. Subjects: Health professionals, stakeholders and users. Methods: Participants were divided into 5 panels, which applied the ICSO-R to describe the habilitation and rehabilitation services provided to children with cerebral palsy and people with Huntington’s disease, acquired brain injuries (traumatic brain injuries and stroke) and painful musculoskeletal conditions. Ba- sed on the Problem/Population, Intervention, Com- parison, Outcome (PICO) framework, the services were described according to the ICSO-R. Missing ca- tegories were identi ed. Results: The ICSO-R was found to be feasible and applicable for describing a variety of services pro- vided to different target groups in Norway, but the user perspective was lacking, categories were missing, and a need for standardized description of the categories was identi ed. Conclusion: The present work supports the need to produce an updated version of the ICSO-R and to en- courage national and international discussion of the framework. The ICSO-R has the potential to become a tool for the standardized assessment of rehabilita- tion services. For such purposes, more standardized descriptions of subcategories are necessary.

• Weum, Maren; Bragstad, Line Kildal & Glavin, Kari (2017). Hvordan helsesøstre bruker kunnskapskilder. Sykepleien Forskning. ISSN 1890-2936. 12. doi: 10.4220/Sykepleienf.2017.64242. Full text in Research Archive
• Bragstad, Line Kildal & Foss, Christina (2017). Studying Complex Care Transitions from a Quantitative Perspective. In Aase, Karina; Waring, Justin & Schibevaag, Lene (Ed.), Researching quality in care transitions : international perspectives. Palgrave Macmillan. ISSN 978-3-319-62345-0. p. 49–68. doi: 10.1007/978-3-319-62346-7_3. Full text in Research Archive Show summary

  In this chapter, Bragstad and Foss highlight key methodological challenges and lessons learned when studying complex care transitions from a quantitative perspective. Key challenges with regard to designing and planning the study, developing survey instruments and conducting survey research on transitional care is emphasized. The research examples used throughout this chapter are predominantly linked to a study exploring older patients’ and their next of kin’s experiences with transition from hospital to municipal care. The methodological challenges are, however, applicable to a wider context.

• Gjevjon, Edith L Roth; Romøren, Tor Inge; Bragstad, Line Kildal & Hellesø, Ragnhild (2016). Older Patients’ and Next of Kin’s Perspectives on Continuity in Long-Term Home Health Care. Home Health Care Management & Practice. ISSN 1084-8223. 28(3), p. 142–149. doi: 10.1177/1084822315626001.
• Bragstad, Line Kildal; Kirkevold, Marit & Foss, Christina (2014). The indispensable intermediaries: a qualitative study of informal caregivers’ struggle to achieve influence at and after hospital discharge. BMC Health Services Research. ISSN 1472-6963. 14. doi: 10.1186/1472-6963-14-331. Full text in Research Archive
• Bragstad, Line Kildal; Kirkevold, Marit; Hofoss, Dag & Foss, Christina (2014). Informal caregivers' participation when older adults in Norway are discharged from the hospital. Health and Social Care in the Community. ISSN 0966-0410. 22(2), p. 155–168. doi: 10.1111/hsc.12071. Show summary

  This paper describes the participation of informal caregivers in the discharge process when patients aged 80 and over who were admitted from home to different hospitals in Norway were discharged to long-term community care. Data for this cross-sectional survey were collected through telephone interviews with a consecutive sample of 262 caregivers recruited between October 2007 and May 2009. The Discharge of Elderly Questionnaire was developed by the research team and was designed to elicit data concerning informal caregivers' self-reported perceptions on participation in the discharge process. A descriptive and comparative analysis of Thompson's levels of participation reported by the older generation (spouses and siblings) and the younger generation (adult children and children-in-law, nieces and grandchildren) was undertaken using bivariate cross-tabulations and chi-square tests for association and trend. Analyses showed that the younger generation of caregivers received and provided information to hospital staff to a greater degree than the older generation. Overall, 52% of the informal caregivers reported co-operating with the staff to a high or to some degree. A multivariate logistic regression analysis was used to analyse factors predicting the likelihood of informal caregivers reporting co-operation with hospital staff. The odds of younger generation caregivers reporting co-operation were more than twice as high (OR = 2.121, P = 0.045) as the odds of the older generation. Caregivers of patients with a hearing impairment had higher odds of reporting co-operation (OR = 1.722, P = 0.049) than caregivers of patients with no such impairment. The length of hospital stay, the caregiver's and patient's gender and education level were not significantly associated with caregiver's co-operation. The informal caregivers' experiences with information practices and user participation in hospitals highlight important challenges that must be taken seriously to ensure co-operation between families and hospitals when elderly patients are discharged back to the community.

• Foss, Christina; Hofoss, Dag; Romøren, Tor Inge; Bragstad, Line Kildal & Kirkevold, Marit (2012). Eldres erfaringer med utskrivning fra sykehus. Sykepleien Forskning. ISSN 1890-2936. 7(4), p. 324–333. doi: 10.4220/sykepleienf.2012.0154.
• Bragstad, Line Kildal; Kirkevold, Marit; Hofoss, Dag & Foss, Christina (2012). Factors predicting a successful post-discharge outcome for individuals aged 80 years and over. International Journal of Integrated Care (IJIC). ISSN 1568-4156. 12. doi: 10.5334/ijic.691.
• Bragstad, Line Kildal & Kirkevold, Marit (2010). Individualisert musikk for personer med demens. Sykepleien Forskning. ISSN 1890-2936. p. 110–118.

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• Kirkevold, Marit; Blix, Bodil Hansen; Graue, Marit; Bragstad, Line Kildal; Hellesø, Ragnhild & Brinchmann, Berit Støre [Show all 8 contributors for this article] (2024). Nye forskningsmidler fordrer tilpasset forskningskompetanse. Dagens medisin. ISSN 1501-4290.
• Bragstad, Line Kildal (2024). Care pathways and collaborative practices for people with long-term conditions.
• Amundsen, Olav; Moger, Tron Anders; Vøllestad, Nina Køpke; Tjerbo, Trond; Hellesø, Ragnhild & Bragstad, Line Kildal [Show all 8 contributors for this article] (2023). INOREG workshop.
• Haahr, Anita; Vester, Louise Buus; Bragstad, Line Kildal; Nielsen, Tove Lise; Kruse, Naja Benigna & Hjelle, Ellen Gabrielsen [Show all 13 contributors for this article] (2023). Coordinated care in Parkinson's Disease.
• Hjelle, Ellen Gabrielsen ; Nielsen, Tove Lise; Callesen, Jacob; Kruse, Naja Benigna; Vester, Louise Buus & Haahr, Anita [Show all 17 contributors for this article] (2023). Evaluating a cross-national multisevtoral OPTIM-PARK intervention for People with Parkinson's disease and their family carers in the community: a feasibility study.
• Bragstad, Line Kildal; Nielsen, Tove Lise; Hjelle, Ellen Gabrielsen ; Kruse, Naja Benigna; Vester, Louise Buus & Haahr, Anita [Show all 16 contributors for this article] (2023). The OPTIM-PARK project: Assessing acceptability of a cross-national multisectoral intervention for people affected by Parkinson's disease.
• Haahr, Anita; Vester, Louise Buus; Bragstad, Line Kildal; Nielsen, Tove Lise; Kruse, Naja Benigna & Hjelle, Ellen Gabrielsen [Show all 13 contributors for this article] (2023). The Coordinator - someone to turn to. Experiences of the OPTIM-PARK intervention from people with Parkinson's disease and their family carers.
• Bragstad, Line Kildal (2023). Using CSNAT as a conversation tool in the OPTIM-PARK intervention in Parkinson’s disease .
• Palmar-Santos, Ana; Navarta-Sánchez, Maria Victoria; Pedraz-Marcos, Azucena; Haahr, Anita; Sørensen, Dorthe & Bragstad, Line Kildal [Show all 9 contributors for this article] (2022). Manejo de la enfermedad de Parkinson en el ámbito comunitario en cuatro países europeos: ¿cómo optimizar los recursos? [Håndtering av Parkinsons sykdom på samfunnsnivå i fire europeiske land: hvordan optimalisere ressursene?].
• Holthe, Ingvil Laberg; Rohrer-Baumgartner, Nina; Svendsen, Edel Jannecke; Strand-Saugnes, Anine; Hauger, Solveig Lægreid & Forslund, Marit [Show all 12 contributors for this article] (2022). Treating Chronic Symptoms of Pediatric Acquired Brain Injury Through a Telehealth Intervention:A feasibility Study of the Child in Context Intervention (CICI).
• Killi, Eli Marie; Svendsen, Edel Jannecke; Holthe, Ingvil Laberg; Rohrer-Baumgartner, Nina; Bragstad, Line Kildal & Sandhaug, Maria [Show all 7 contributors for this article] (2022). A qualitative interview study of feasibility and acceptability of a telerehabilitation intervention for children with acquired brain injury: The Child In Context Intervention (CICI).
• Navarta-Sánchez, Maria Victoria; Pedraz-Marcos, Azucena; Palmar-Santos, Ana; Bragstad, Line Kildal; Haahr, Anita & Portillo-Vega, Mari Carmen (2022). Patient and Public Involvement in a research to improve Parkinson’s disease management in Spain.
• van Nimwegen, Dagmar; Hjelle, Ellen Gabrielsen ; Bragstad, Line Kildal; Kirkevold, Marit; Sveen, Unni & Hafsteinsdóttir, Thora [Show all 9 contributors for this article] (2022). Ensuring psychosocial well-being after stroke? Focus on all aspects of life.
• Bragstad, Line Kildal; Haavaag, Silje Bjørnsen & Hjelle, Ellen Gabrielsen (2022). OPTIM-PARK prosjektet.
• Navarta-Sánchez, Maria Victoria; Haahr, Anita; Bragstad, Line Kildal; Palmar-Santos, Ana; Roberts, Helen & Pedraz-Marcos, Azucena [Show all 17 contributors for this article] (2022). Optimization of community resources and systems of support to enhancethe process of living with Parkinson's Disease: A multicectoral intervention.
• Rohrer-Baumgartner, Nina; Holthe, Ingvil Laberg; Svendsen, Edel Jannecke; Røe, Cecilie; Egeland, Jens & Borgen, Ida Maria Henriksen [Show all 21 contributors for this article] (2022). Rehabilitation for children with chronic acquired brain injury in the Child in Context Intervention (CICI) study: study protocol for a randomized controlled trial. Trials. ISSN 1745-6215. 23. doi: 10.1186/s13063-022-06048-8. Full text in Research Archive
• Navarta-Sánchez, Maria Victoria; Palmar-Santos, Ana; Pedraz-Marcos, Azucena; Haahr, Anita; Bragstad, Line Kildal & Soilemezi, Dia [Show all 9 contributors for this article] (2021). OPTIM-PARK cross-country project: patients with PD and family carers perspectives about intersectoral collaboration.
• Bragstad, Line Kildal (2021). Patient and public involvement in research in an international context. Examples from the OPTIM-PARK project.
• Killi, Eli Marie; Sandhaug, Maria; Kristoffersen, Ann-Elise; Bragstad, Line Kildal; Rohrer-Baumgartner, Nina & Holthe, Ingvil Laberg [Show all 8 contributors for this article] (2021). INTERVENTION ACCEPTABILITY AS EXPERIENCED FROM CHILDREN WITH ABI AND THEIR PARENTS AND TEACHERS Quality feasibility data related to The Child in Context Intervention (CICI) RCT study.
• Holthe, Ingvil Laberg; Rohrer-Baumgartner, Nina; Svendsen, Edel Jannecke; Strand-Saugnes, Anine; Hauger, Solveig Lægreid & Forslund, Marit Vindal [Show all 12 contributors for this article] (2021). Treating Chronic Symptoms of Pediatric Acquired Brain Injury Through a Telehealth Intervention: A Feasibility Study of the Child in Context Intervention (CICI) .
• Martinsen, Randi; Kitzmüller, Gabriele; Mangset, Margrete; Bronken, Berit Arnesveen; Evju, Anne Svelstad & Kvigne, Kari Johanne [Show all 10 contributors for this article] (2019). Helsepersonells erfaringer med å gjennomføre psykososial støtte til personer med hjerneslag.
• Hjelle, Ellen Gabrielsen ; Bragstad, Line Kildal; Kirkevold, Marit; Zucknick, Manuela; Bronken, Berit Arnesveen & Martinsen, Randi [Show all 11 contributors for this article] (2019). The effect of a psychosocial intervention on well-being 6 months after stroke – a multicentre prospective randomized controlled trial .
• Mangset, Margrete; Kitzmüller, Gabriele; Evju, Anne Svelstad; Angel, Sanne; Aadal, Lena & Martinsen, Randi [Show all 12 contributors for this article] (2019). The influence of the assessment interviews on the control group participants in a complex psychosocial intervention study after stroke.
• Bragstad, Line Kildal; Hjelle, Ellen Gabrielsen; Sveen, Unni; Bronken, Berit Arnesveen; Martinsen, Randi & Kvigne, Kari Johanne [Show all 9 contributors for this article] (2019). Interpreting neutral results in an intervention aimed at promoting psychosocial well-being following stroke: A process evaluation .
• Bragstad, Line Kildal; Bronken, Berit Arnesveen; Sveen, Unni; Hjelle, Ellen Gabrielsen; Kitzmüller, Gabriele & Martinsen, Randi [Show all 9 contributors for this article] (2019). Implementation fidelity in an RCT evaluating psychosocial well-being following stroke: an explanatory sequential mixed methods study .
• Bronken, Berit Arnesveen; Bragstad, Line Kildal; Sveen, Unni; Hjelle, Ellen Gabrielsen; Kitzmüller, Gabriele & Martinsen, Randi [Show all 9 contributors for this article] (2018). Implementation fidelity in a complex intervention promoting psychosocial well-being following stroke: an explanatory sequential mixed methods study. Part Two.
• Østensen, Elisabeth; Bragstad, Line Kildal; Hardiker, Nicholas R. & Hellesø, Ragnhild (2018). ICNP® in Nursing Documentation – When Expectations Meet Reality . Studies in Health Technology and Informatics. ISSN 0926-9630. 250. doi: 10.3233/978-1-61499-872-3-235. Full text in Research Archive
• Bragstad, Line Kildal; Bronken, Berit Arnesveen; Sveen, Unni; Hjelle, Ellen Gabrielsen; Kitzmüller, Gabriele & Martinsen, Randi [Show all 9 contributors for this article] (2018). Implementation fidelity in a complex intervention promoting psychosocial well-being following stroke: an explanatory sequential mixed methods study. Part One. .
• Kitzmüller, Gabriele; Mangset, Margrete; Evju, Anne Svelstad; Angel, Sanne; Aadal, Lene & Martinsen, Randi [Show all 12 contributors for this article] (2018). To find oneself - The lived experience of persons with stroke after participation in a complex psychosocial intervention.
• Martinsen, Randi; Kirkevold, Marit; Mangset, Margrete; Kitzmüller, Gabriele; Bronken, Berit Arnesveen & Bragstad, Line Kildal [Show all 10 contributors for this article] (2018). Nurses’ and occupational therapists’ experiences of their roles in supporting stroke survivors during rehabilitation.
• Hjelle, Ellen Gabrielsen; Bragstad, Line Kildal; Kirkevold, Marit; Bronken, Berit Arnesveen; Martinsen, Randi & Kvigne, Kari Johanne [Show all 10 contributors for this article] (2017). Psykososial helse etter hjerneslag - en kontrollert, randomisert multisenter studie.
• Hjelle, Ellen Gabrielsen; Bragstad, Line Kildal; Kirkevold, Marit; Bronken, Berit Arnesveen; Martinsen, Randi & Kvigne, Kari Johanne [Show all 10 contributors for this article] (2017). Promoting Psychosocial well-being following stroke .
• Bragstad, Line Kildal; Hjelle, Ellen Gabrielsen; Sveen, Unni; Bronken, Berit Arnesveen; Martinsen, Randi & Kvigne, Kari [Show all 9 contributors for this article] (2017). Guidet egenbeslutning for å fremme psykososial helse etter hjerneslag. Ergoterapeuten. ISSN 0800-3475. 60(6), p. 31–33.
• Bragstad, Line Kildal; Hjelle, Ellen Gabrielsen; Sveen, Unni; Bronken, Berit Arnesveen; Martinsen, Randi & Kvigne, Kari Johanne [Show all 9 contributors for this article] (2017). Guidet egenbeslutning for å fremme psykososial helse etter hjerneslag. En samtalebasert intervensjon.
• Kitzmüller, Gabriele; Mangset, Margrete; Evju, Anne Svelstad; Angel, Sanne; Aadal, Lena & Kvigne, Kari Johanne [Show all 12 contributors for this article] (2017). Promoting psychosocial well-being following stroke: Stroke patients' experiences of participating in a complex psychosocial intervention.
• Bronken, Berit Arnesveen; Bragstad, Line Kildal; Martinsen, Randi; Kitzmüller, Gabriele; Mangset, Margrete & Hjelle, Ellen Gabrielsen [Show all 8 contributors for this article] (2017). Promoting psychosocial well-being following stroke: Facilitating implementation of a complex intervention in primary Healthcare.
• Bragstad, Line Kildal; Bronken, Berit Arnesveen; Hjelle, Ellen Gabrielsen; Sveen, Unni; Martinsen, Randi & Kitzmüller, Gabriele [Show all 9 contributors for this article] (2017). Promoting psychosocial wellbeing following stroke: Evaluating implementation fidelity in a multi-center RCT – a quantitative study of intervention adherence.
• Martinsen, Randi; Kitzmüller, Gabriele; Mangset, Margrete; Evju, Anne Svelstad; Bronken, Berit Arnesveen & Bragstad, Line Kildal [Show all 10 contributors for this article] (2017). Promoting psychosocial wellbeing following stroke: Nurses' and occupational therapists' experiences of delivering an individualized dialogue-based intervention to support stroke survivors the first six months following stroke.
• Hjelle, Ellen Gabrielsen; Bragstad, Line Kildal; Kirkevold, Marit; Bronken, Berit Arnesveen; Martinsen, Randi & Kvigne, Kari [Show all 10 contributors for this article] (2016). Promoting psychosocial well-being following stroke: A randomized, single blind, controlled trial.
• Bragstad, Line Kildal; Kirkevold, Marit & Foss, Christina (2016). De uunnværlige mellomledd. Pårørendes deltagelse under og etter utskrivning fra sykehus.
• Bragstad, Line Kildal; Hjelle, Ellen Gabrielsen; Sveen, Unni & Kirkevold, Marit (2016). Evaluating complex interventions: Methodological challenges of assessing intervention fidelity in a randomized controlled trial targeting psychosocial wellbeing following stroke .
• Bragstad, Line Kildal (2016). De uunnværlige mellomledd. Pårørendes rolle når eldre skrives ut fra sykehus.
• Bragstad, Line Kildal; Hjelle, Ellen Gabrielsen; Bronken, Berit Arnesveen; Martinsen, Randi; Kvigne, Kari & Kouwenhoven, Siren Eriksen [Show all 10 contributors for this article] (2015). Psychosocial wellbeing following stroke: A randomized, single blind, controlled trial.
• Bragstad, Line Kildal & Hjelle, Ellen Gabrielsen (2015). Psychosocial wellbeing following stroke: A randomized, single blind, controlled trial.
• Bronken, Berit Arnesveen; Kirkevold, Marit; Sveen, Unni; Martinsen, Randi; Kvigne, Kari & Kouwenhoven, Siren Eriksen [Show all 8 contributors for this article] (2014). Promoting psychosocial well-being following stroke. A randomized, single blind, controlled trial.
• Bragstad, Line Kildal (2014). The indispensable informal caregivers. The role of informal caregivers in the dishcarge process of older relatives.
• Bragstad, Line Kildal (2013). Eldre på flyttefot og pårørendesamarbeid.
• Bragstad, Line Kildal (2013). Eldre på flyttefot - Pårørendes deltagelse i og erfaringer med overganger til kommunale pleie- og omsorgstjenester.
• Bragstad, Line Kildal (2012). Pårørendes medvirkning når eldre over 80 skrives ut fra sykehus.
• Bragstad, Line Kildal (2012). Pårørendes medvirkning når eldre over 80 skrives ut fra sykehus.
• Bragstad, Line Kildal & Hofoss, Dag (2012). Transitions from Hospital to Long-term Care in Norway.
• Bragstad, Line Kildal (2009). Individualisert musikk for personer med demens— en litteraturgjennomgang.
• Haavaag, Silje Bjørnsen & Bragstad, Line Kildal (2021). "Du har Parkinson 365 dager i året" En kvalitativ studie om hjemmeboende personer med Parkinsons sykdom sine erfaringer fra møter med helsevesenet, med andre og seg selv. Universitetet i Oslo.
• Bragstad, Line Kildal (2015). Indispensable intermediaries. The role of informal caregivers in the dishcarge process of older relatives. Universitetet i Oslo. ISSN 978-82-8264-853-0.
• Bragstad, Line Kildal & Hem, Marit Helene (2008). Jeg vil være oppegående så lenge jeg kan. En kvalitativ studie av livet med funksjonsnedsettelser og tekniske hjelpemidler. Universitetet i Oslo.

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