Unni Mette Stamnes Köpp

• Ko, Hayley Manalang; Baugerud, Gunn Astrid; Köpp, Unni Mette Stamnes; Sinkerud Johnson, Miriam & Hovden, Ewa Alicja Szyszko (2024). Exploring Information-Gathering Techniques in Medical and Dental Interviews for Child Abuse and Neglect: A Comprehensive Scoping Review of Existing Gaps. International Journal on Child Maltreatment: Research, Policy and Practice. ISSN 2524-5236. doi: 10.1007/s42448-024-00197-w. Show summary

  Healthcare providers may regularly encounter victims of suspected child abuse or neglect. Conversations during medical evaluations and examinations may yield essential information and reliable accounts of a child’s experiences of abuse. However, knowledge of appropriate communication skills when interacting with suspected child abuse victims and information gathering techniques have not been well explored in healthcare providers. This scoping review assesses the state of the literature concerning medical interviewing in cases of child abuse and explores the communication and information gathering techniques used by healthcare providers when interacting with suspected child abuse victims. Ten studies were included in the analysis, collectively revealing a limited body of knowledge on information gathering techniques in child abuse cases in healthcare settings. Collecting a comprehensive medical history has emerged as a crucial tool for guiding medical examinations and assessments. The findings also highlight the absence of standardised guidelines for healthcare professionals to gather information from victims of child abuse. This review did not identify any studies that investigated the information gathering skills of oral healthcare providers in the context of child abuse. Further research is needed, and the creation of standardised protocols aimed at improving information gathering techniques within healthcare settings for cases of child abuse could prove beneficial. Improved communication and information gathering techniques can significantly contribute to the management of suspected cases of child abuse, safeguarding the well-being of vulnerable children.

• Håkstad, Katrine; Fegran, Liv; Hovden, Ewa Alicja Szyszko & Köpp, Unni Mette Stamnes (2023). Orofacial signs of child or adolescent maltreatment identified by dentists and dental hygienists: A scoping review. International Journal of Paediatric Dentistry. ISSN 0960-7439. p. 1–17. doi: 10.1111/ipd.13139. Full text in Research Archive Show summary

  Background Child maltreatment, the abuse or neglect of children aged 0–18 years, is a severe and underreported global problem. Compared with other body parts, the orofacial region displays more signs of child maltreatment. Dentists and dental hygienists are therefore well situated to identify orofacial signs of child maltreatment. Aim To map the current literature on orofacial signs of child maltreatment identified by dentists or dental hygienists. Design A scoping review was conducted based on systematic searches of Medline (Ovid), Embase (Ovid), and CINAHL (EBSCOhost) for primary qualitative and quantitative studies through June 6, 2022. Results Twenty-nine studies were included in this scoping review. Though all child maltreatment types were identified in dental settings, physical abuse and dental neglect were most commonly identified. Reports of caries dominated the orofacial signs, followed by bruises (intra- and extraoral), poor oral hygiene, dental trauma, and lacerations (intra- and extraoral). Case reports were used most commonly to describe orofacial signs of child maltreatment. Conclusion Dental clinicians identify orofacial signs of all child maltreatment types intraorally. Dentists identify the same extraoral signs as do other healthcare professionals, with bruising being the most common.

• Marvik, Åshild; Ravn, Lisbeth Marie; Randby, Hans; Köpp, Unni Mette Stamnes & Revhaug, Cecilie (2023). Skogflåttencefalitt hos barn. Tidsskrift for Den norske legeforening. ISSN 0029-2001. 143(14). doi: 10.4045/tidsskr.23.0222.
• Mølland, Eirin; Haraldstad, Kristin; Abildsnes, Eirik; Håland, Åshild Tellefsen; Köpp, Unni Mette Stamnes & Fegran, Liv [Show all 7 contributors for this article] (2023). Use of the Strengths and Difficulties Questionnaire in child and school health services among children aged 4 and 6 years in Southern Norway: clinical considerations. BMC Pediatrics. ISSN 1471-2431. 23. doi: 10.1186/s12887-023-03837-1. Full text in Research Archive Show summary

  Background Parent reported mental health can be assessed by the Strengths and Difficulties Questionnaire (SDQ). Currently, Norwegian norms for parent-reported SDQ do not exist, whereas Swedish, Danish, and United Kingdom (UK) norms have been published. We aimed to (1) describe parent-reported SDQ among children aged 4 and 6 years in Southern Norway, (2) evaluate empirical cutoff values within the context of the Starting RightTM project in relation to the Swedish, Danish, and UK cutoffs, and (3) evaluate the representativeness of the study sample with regard to parental socioeconomic status. Methods This study included parent-reported observations for 665 children (63% consent rate). Means and standard deviations were calculated for the domains of SDQ, and gender differences were assessed. Based on the Swedish, Danish, and UK cutoffs and the 80th and 90th percentile cutoff values within the study, we calculated the total number of children with borderline and abnormal scores. Results Boys had higher mean total difficulties (7.3 vs 5.6) and impact scores (0.3 vs 0.1) and lower prosocial scores (8.3 vs 8.8) than girls. The differences in means were largest in the case of externalizing symptoms (5.0 vs 3.6) and hyperactivity subscore (3.2 vs 2.3). Using the UK cutoff values, 28 and 25 children had borderline and abnormal total difficulties scores, respectively. The corresponding numbers using the within study or Scandinavian cutoff values were 84–99 and 54–79, respectively. Overall, our study sample was well representative of the target population. Conclusions Our findings consistently indicated that girls had better SDQ scores than boys among children aged 4 and 6 years. Fewer children would be identified as having mental health difficulties using the UK cutoff values than using the Scandinavian age- and gender-relevant cutoff values.

• Robstad, Anja Nastasja; Westergren, Per Christer Thomas; Mølland, Eirin; Abildsnes, Eirik; Haraldstad, Kristin & Køpp, Unni Mette Stamnes [Show all 8 contributors for this article] (2022). Experiences of Norwegian child and school health nurses with the “Starting Right™” child health assessment innovation: a qualitative interview study. BMC Health Services Research. ISSN 1472-6963. 22(1). doi: 10.1186/s12913-022-08088-x. Full text in Research Archive Show summary

  Background: Although child health services are well established in Norway, the use of information technology for the systematic collection of evidence-based child- and proxy-reported health measures may be benefcial in the early identifcation of child development problems. The Norwegian “Starting Right™” health service innovation consists of parent- and child-reported online structured health assessments tools, including practical routines for child and school health assessments. The aim of this study was to explore the experiences of child and school health nurses with the Starting Right innovation. Methods: We used a qualitative design and conducted three focus group interviews with 18 child and school health nurses from three child health centres one year after the implementation of the innovation. Results: The experiences of professionals with the Starting Right innovation were captured by three themes: (1) the digital innovation could be used to obtain a good overview of a child’s health and development; (2) interpreting the questionnaires was a challenge; and (3) implementing the new digital innovation was time-consuming. Conclusions: Overall, the child and school health nurses experienced that the Starting Right innovation was useful for providing a comprehensive overview of child development and health. The challenges related to interpreting the parents’ scores and follow-up of children, as well as providing the questionnaires in relevant foreign languages, should be addressed to allow all children and families to be reached

• Hennig, Camilla Bæck; Løkling, Hanne Lund; Harket, Marthe Smiseth & Køpp, Unni Mette (2022). Behandling av voksne med sykelig overvekt i spesialisthelsetjenesten: Effekt av 10 ukers gruppebasert livsstilsendringsbehandling. Norsk tidsskrift for ernæring (NTFE). ISSN 1503-5034. 1(6), p. 6–14. doi: 10.18261/ntfe.19.1.2.
• Westergren, Thomas; Fegran, Liv; Antonsen, Anne Jørstad; Mikkelsen, Hilde E. Timenes; Hennig, Camilla Bæck & Køpp, Unni Mette (2021). Prevention of overweight and obesity in a Norwegian public health care context: a mixed-methods study. BMC Public Health. ISSN 1471-2458. 21. doi: 10.1186/s12889-021-11096-x. Full text in Research Archive
• Westergren, Thomas; Mølland, Eirin; Haraldstad, Kristin; Håland, Åshild Tellefsen; Køpp, Unni Mette & Fegran, Liv [Show all 7 contributors for this article] (2021). Implementation of the norwegian ‘Starting right’ child health service innovation: implementation adjustments, adoption, and acceptability. BMC Health Services Research. ISSN 1472-6963. 21. doi: 10.1186/s12913-021-06096-x. Full text in Research Archive Show summary

  Background: An increased and/or stable proportion of the child and adolescent population reports symptoms ofimpaired health, and the symptoms can be identified early. Therefore, structured child- and parent-reportedoutcome measures need to be implemented in child and school health services for decision support andidentification of children at risk. We aimed to (a) qualitatively examine adjustments of active implementation fromthe pilot implementation of the Norwegian‘Starting Right’health service innovation including an online childhealth assessment tool and practical routines, and (b) measure practitioners ́ adoption and parental acceptability. Methods: We used a mixed-methods design to qualitatively examine adjustments from working notes andmeeting memoranda, and quantitatively assess adoption and acceptability from user rates provided by the systemslog. Twenty-one child and school health nurses (CSHNs) from two child health centers participated in theimplementation pilot of online health assessments in children aged 2-, 4- and 6-year. We used a deductive andnarrative analysis approach using Fixsen et al. ́s core implementation components to code and sort adjustments. Results: Core implementation components were adjusted throughout the pilot implementation. Researchers ́increased their availability in reciprocity with staff evaluation to integrate active implementation adjustments. Welaunched a project for improved data systems integration. The overall CSHNs adoption rate was satisfactory andhigher in center A, where a medical secretary supported the nurses through the entire pilot phase, than in center B(96 vs. 55 %). Parental acceptability rate was overall high (77 %) with increased rates among parents of 6-year-oldchildren (98 %) compared with younger ones (78–85 %), and in cases where both parents received thequestionnaires. Conclusions: The ‘Starting Right’ health service innovation implementation was actively adjusted by integration of core implementation components mainly based on staff evaluation. The CSHNs adopted the innovation which was also acceptable to parents.

• Rønneberg, Anne; Szyszko, Ewa Alicja; Bie, Thea Martine Granvoll; Willumsen, Tiril & Køpp, Unni Mette (2019). Klinisk rettsodontologiske undersøkelser ved Statens Barnehus - veier til tverrprofesjonell samhandling til barnets beste. Den norske tannlegeforenings tidende. ISSN 0029-2303. 129, p. 884–892.
• Ulseth, Elisabeth Tallaksen; Freuchen, Anne & Køpp, Unni Mette (2019). Akutt forgiftning blant barn og ungdom i Agder. Tidsskrift for Den norske legeforening. ISSN 0029-2001. 139(13). doi: 10.4045/tidsskr.17.1116.
• Bjørnsen, Thomas; Salvesen, Svein; Berntsen, Sveinung; Hetlelid, Ken Joar; Stea, Tonje Holte & Seiler, Hilde Lohne [Show all 17 contributors for this article] (2015). Vitamin C and E supplementation blunts increases in total lean body mass in elderly men after strength training. Scandinavian Journal of Medicine & Science in Sports. ISSN 0905-7188. 26(7). doi: 10.1111/sms.12506. Show summary

  The aim of this study was to investigate the effects of vitamin C and E supplementation on changes in muscle mass (lean mass and muscle thickness) and strength during 12 weeks of strength training in elderly men. Thirty-four elderly males (60–81 years) were randomized to either an antioxidant group (500 mg of vitamin C and 117.5 mg vitamin E before and after training) or a placebo group following the same strength training program (three sessions per week). Body composition was assessed with dual-energy X-ray absorptiometry and muscle thickness by ultrasound imaging. Muscle strength was measured as one-repetition maximum (1RM). Total lean mass increased by 3.9% (95% confidence intervals: 3.0, 5.2) and 1.4% (0, 5.4) in the placebo and antioxidant groups, respectively, revealing larger gains in the placebo group (P = 0.04). Similarly, the thickness of m. rectus femoris increased more in the placebo group [16.2% (12.8, 24.1)] than in the antioxidant group [10.9% (9.8, 13.5); P = 0.01]. Increases of lean mass in trunk and arms, and muscle thickness of elbow flexors, did not differ significantly between groups. With no group differences, 1RM improved in the range of 15–21% (P < 0.001). In conclusion, high-dosage vitamin C and E supplementation blunted certain muscular adaptations to strength training in elderly men.

• Køpp, Unni Mette Stamnes; Dahl-Jørgensen, Knut; Stigum, Hein; Andersen, Lene Frost; Næss, Øyvind & Nystad, Wenche (2012). The associations between maternal pre-pregnancy body mass index or gestational weight change during pregnancy and body mass index of the child at 3 years of age. International Journal of Obesity. ISSN 0307-0565. 36(10), p. 1325–1331. doi: 10.1038/ijo.2012.140.
• Køpp, Unni Mette Stamnes; Andersen, Lene Frost; Dahl-Jørgensen, Knut; Stigum, Hein; Næss, Øyvind & Nystad, Wenche (2012). Maternal pre-pregnant body mass index, maternal weight change and offspring birthweight. Acta Obstetricia et Gynecologica Scandinavica. ISSN 0001-6349. 91(2), p. 243–249. doi: 10.1111/j.1600-0412.2011.01321.x.

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• Håkstad, Katrine; Fegran, Liv; Hovden, Ewa Alicja Szyszko & Köpp, Unni Mette Stamnes (2024). Orofacial signs of child or adolescent maltreatment identified by dentists and dental hygienists.
• Köpp, Unni Mette Stamnes (2024). Klinisk rettsondontologisk erklæring. Besvarelse av mandatet.
• Köpp, Unni Mette Stamnes (2023). Når og hvordan samhandler den sakkyndige tannlegen med barnelegen ved Statens Barnehus?
• Ødegård, Rønnaug Astri; Juliusson, Pétur Benedikt; Kokkvoll, Ane Sofie; Kristiansen, Hege; Köpp, Unni Mette Stamnes & Rolin, Johannes [Show all 9 contributors for this article] (2023). Ungdom med alvorlig fedme bør få legemiddel på blå resept. Tidsskrift for Den norske legeforening. ISSN 0029-2001. 143(3), p. 1–4. doi: 10.4045/tidsskr.23.0069.
• Rolin, Johannes; Ødegård, Rønnaug; Amundsen, Viktoria Vedeler; Køpp, Unni Mette; Kokkvoll, Ane Sofie & Juliusson, Pétur Benedikt [Show all 7 contributors for this article] (2022). Medikamentell tilleggsbehandling for vektreduksjon hos ungdom med alvorlig fedme. Tidsskrift for Den norske legeforening. ISSN 0029-2001. 142(14), p. 1–3. doi: 10.4045/tidsskr.22.0540.
• Stensland, Synne & Køpp, Unni Mette (2018). Kapittel 12. Psykiske lidelser og psykososiale tilstander. Generell veileder. Pediatriveiledere. Norsk barnelegeforening.

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