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  1. Article ; Online: Rasch Analysis and Its Relevance to Psychosomatic Medicine.

    Christensen, Kaj Sparle / Cosci, Fiammetta / Carrozzino, Danilo / Sensky, Tom

    Psychotherapy and psychosomatics

    2024  Volume 93, Issue 2, Page(s) 88–93

    MeSH term(s) Humans ; Psychosomatic Medicine ; Surveys and Questionnaires ; Outcome Assessment, Health Care ; Psychometrics ; Reproducibility of Results
    Language English
    Publishing date 2024-01-04
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 209490-3
    ISSN 1423-0348 ; 0033-3190
    ISSN (online) 1423-0348
    ISSN 0033-3190
    DOI 10.1159/000535633
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Lifestyle counselling as secondary prevention in patients with minor stroke or transient ischemic attack: a randomized controlled pilot study.

    Liljehult, Jacob / Molsted, Stig / Møller, Tom / Overgaard, Dorthe / Christensen, Thomas

    Pilot and feasibility studies

    2024  Volume 10, Issue 1, Page(s) 50

    Abstract: Background: Patients with minor stroke or transient ischemic attacks have an increased risk of future strokes. These patients are often discharged home with limited specialized follow-up, although close to half of them experience cognitive deficits. ... ...

    Abstract Background: Patients with minor stroke or transient ischemic attacks have an increased risk of future strokes. These patients are often discharged home with limited specialized follow-up, although close to half of them experience cognitive deficits. Simple encouragements to avoid smoking, be physically active, and to take preventive medication are often insufficient to ensure adherence and more comprehensive interventions are needed to support the patients in adapting healthy behaviour. The aim of this study was to test the feasibility and potential effect of an early initiated, patient-centred intervention to patients with minor stroke or transient ischemic attacks targeting smoking, physical activity, and medication adherence, in a randomized, controlled pilot trial.
    Methods: Hospitalized patients were randomized to usual care or an intervention consisting of health behavioural counselling based on the 5A's model, telephone follow-up (4 and 8 weeks), and monitoring of physical activity. Follow-up time was 12 weeks. Feasibility was on the following domains: eligibility, acceptance, demand and practicality, adherence, attrition, and implementation and integration.
    Results: Forty patients of 84 potentially eligible were randomized to the two treatment arms (20 intervention/20 usual care). Thirty-two completed the 12-week follow-up, while 8 were either excluded or lost to follow-up. With few changes, the intervention was feasible and possible to deliver according to the protocol.
    Conclusion: It was possible to identify relevant patients who could potentially benefit from a behavioural intervention, recruit and randomize them early after admission and retain most participants in the study until follow-up and derive statistical estimates to guide the design of large-scale randomized controlled trials.
    Trial registration: ClinicalTrials.gov Identifier: NCT03648957 . Registered 28 August 2018.
    Language English
    Publishing date 2024-03-22
    Publishing country England
    Document type Journal Article
    ZDB-ID 2809935-7
    ISSN 2055-5784
    ISSN 2055-5784
    DOI 10.1186/s40814-024-01478-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Book ; Thesis: Postoperative fatigue

    Christensen, Tom

    1995  

    Author's details Tom Christensen
    Language English
    Size 36 S. : graph. Darst.
    Publisher Laegeforeningens-Forl
    Publishing place København
    Publishing country Denmark
    Document type Book ; Thesis
    Thesis / German Habilitation thesis København, Univ., Diss., 1995
    HBZ-ID HT006634842
    Database Catalogue ZB MED Medicine, Health

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  4. Article: Balancing Governance Capacity and Legitimacy: How the Norwegian Government Handled the COVID-19 Crisis as a High Performer.

    Christensen, Tom / Lægreid, Per

    Public administration review

    2020  Volume 80, Issue 5, Page(s) 774–779

    Abstract: This essay addresses how the Norwegian government has handled the coronavirus pandemic. Compared with many other countries, Norway has performed well in handling the crisis. This must be understood in the context of competent politicians, a high-trust ... ...

    Abstract This essay addresses how the Norwegian government has handled the coronavirus pandemic. Compared with many other countries, Norway has performed well in handling the crisis. This must be understood in the context of competent politicians, a high-trust society with a reliable and professional bureaucracy, a strong state, a good economic situation, a big welfare state, and low population density. The Norwegian government managed to control the pandemic rather quickly by adopting a suppression strategy, followed by a control strategy, based on a collaborative and pragmatic decision-making style, successful communication with the public, a lot of resources, and a high level of citizen trust in government. The alleged success of the Norwegian case is about the relationship between crisis management capacity and legitimacy. Crisis management is most successful when it is able to combine democratic legitimacy with government capacity.
    Keywords covid19
    Language English
    Publishing date 2020-07-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2045553-7
    ISSN 1540-6210 ; 0033-3352
    ISSN (online) 1540-6210
    ISSN 0033-3352
    DOI 10.1111/puar.13241
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Mastering Health Following Minor Stroke-A Qualitative Explorative Study.

    Liljehult, Jacob / Molsted, Stig / Christensen, Thomas / Møller, Tom / Overgaard, Dorthe

    Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association

    2022  Volume 31, Issue 8, Page(s) 106607

    Abstract: Background: Patients with minor stroke or transient ischemic attack are encouraged to adopt a healthy lifestyle to prevent recurrent stroke. After discharge health behaviour is performed in an individual everyday context and must be properly understood ... ...

    Abstract Background: Patients with minor stroke or transient ischemic attack are encouraged to adopt a healthy lifestyle to prevent recurrent stroke. After discharge health behaviour is performed in an individual everyday context and must be properly understood within this context, including which aspects act as facilitators or barriers for healthy behaviour.
    Objectives: To explore the experience of daily life in patients discharged home after minor stroke or transient ischemic attack, focusing on perceived health and reflection on health behaviour, and how this is associated with their overall experience of returning to their everyday context in relation to potential sequelae of stroke.
    Methods: Semi-structured qualitative interviews were conducted 3 - 13 months after discharge with sixteen patients discharged home after minor stroke or transient ischemic attack. Inductive thematic analysis was performed to analyse the interviews.
    Results: Participants associated their health and behaviour within a lens of worrying for future life prospect and triggered by perceived intrusive changes in their life condition. Even though some found it possible to resume participation in everyday life within weeks, they became increasingly aware that minor cognitive deficits, difficulties with planning, multi-tasking, memory, and fatigue influenced their health believes and behavioural patterns. The need for social and professional support had to be balanced against a wish for independence.
    Conclusion: Patients with minor stroke or transient ischemic attacks experience changes as both being concrete in the form of persisting symptoms and abstract in the form of worries and uncertainty about the future. Perceived health was associated with a new sense of vulnerability due to realisations about the risk of recurrent stroke. Worries were anchored within the individual to handle, but for some they serve as a motivator to regulate their behaviour in order to master health.
    MeSH term(s) Anxiety ; Fatigue/complications ; Humans ; Ischemic Attack, Transient/complications ; Ischemic Attack, Transient/diagnosis ; Ischemic Attack, Transient/therapy ; Qualitative Research ; Stroke/complications ; Stroke/diagnosis ; Stroke/therapy
    Language English
    Publishing date 2022-06-23
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1131675-5
    ISSN 1532-8511 ; 1052-3057
    ISSN (online) 1532-8511
    ISSN 1052-3057
    DOI 10.1016/j.jstrokecerebrovasdis.2022.106607
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Balancing Governance Capacity and Legitimacy

    Christensen, Tom / Lægreid, Per

    Public Administration Review

    How the Norwegian Government Handled the COVID ‐19 Crisis as a High Performer

    2020  Volume 80, Issue 5, Page(s) 774–779

    Keywords Marketing ; Sociology and Political Science ; Public Administration ; covid19
    Language English
    Publisher Wiley
    Publishing country us
    Document type Article ; Online
    ZDB-ID 2045553-7
    ISSN 1540-6210 ; 0033-3352
    ISSN (online) 1540-6210
    ISSN 0033-3352
    DOI 10.1111/puar.13241
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Book: The Routledge handbook to accountability and welfare state reforms in Europe

    Christensen, Tom / Lægreid, Per

    (Routledge handbooks)

    2017  

    Abstract: ... Norwegian Systems / Tom Christensen, Fleming Larsen and Karsten Vrangbaek -- Public Sector Reform and ... Security / Tom Christensen and Martin Lodge -- Accountability under Inquiry : Inquiry Committees after ... Administrative Reforms and Crises / Tom Christensen and Per Laereid -- Accountability in Times of Austerity ...

    Title variant Handbook to accountability and welfare state reforms in Europe
    Author's details edited by Tom Christensen and Per Lægreid
    Series title Routledge handbooks
    Abstract Democratic Order, Autonomy and Accountability / Johan P. Olsen -- Accountability, Performance and Legitimacy in the Welfare State : If Accountability is the Answer, What was the Question? / Werner Jann -- Combining Agency and Stewardship : Welfare Reforms and Accountability / Thomas Schillemans -- Hybrid Welfare Administrative Systems and Changing Accountability Relations : Comparing the Development of the Danish and Norwegian Systems / Tom Christensen, Fleming Larsen and Karsten Vrangbaek -- Public Sector Reform and Accountability Dynamics : The Changing Welfare Administration in Norway and Germany / Bastian Jantz -- The welfare state in flux : Individual responsibility and changing accountability relations in social services / Pieter Tõnurist and Wouter de Tavernier -- Dimensions of Accountability in Health Care / Haldor Byrkjeflot and Karsten Vrangbaek -- Accountability through performance management? : Hospital performance management schemes in Denmark, Germany and England / Tanja Klenk, Karsten Vrangbaek, John Appelby and Sarah Gregory -- Accountability, Legitimacy and Immigration Control : The Inclusion of Social Actors in Asylum Regulation in Norway, Denmark and Germany / Tord Lindén, Ina Radtke and Karsten Vrangbae -- Welfare Reforms, Accountability and Performance / Per Laegreid and Kristin Rubecksen -- Accountability, Transparency and Societal Security / Tom Christensen and Martin Lodge -- Accountability under Inquiry : Inquiry Committees after Internal Security Crises / Julia Fleischer -- Accountability Relations in Unsettled Situations : Administrative Reforms and Crises / Tom Christensen and Per Laereid -- Accountability in Times of Austerity : Democratic and Constitutional Gains but Learning Loss? / Hanne Foss Hansen and Mads Kristiansen -- Regulatory Reform, Accountability and Blame in Public Service Delivery : The Public Transport Crisis in Berlin / Tobias Bach and Kai Wegrich -- Principles meet Practicalities : Challenges of Accountability Reform in the British Civil Service / Thomas Elston -- Multiple Accountabilities in Public-Private Partnerships (PPPs) : How to Unravel the Accountability Paradox? / Tom Willems and Wouter van Dooren -- Digital Era Governance Reform and Accountability : The Case of Denmark / Niels Ejersro and Carsten Greve -- The Dynamics of the EU Accountability Landscape : Moving to an Ever Denser Union / Anchrit Wille
    Keywords Government accountability ; Public welfare administration ; Welfare state ; Reform ; Sozialstaat ; Sozialpolitik ; Neues Steuerungsmodell ; Verwaltungsreform ; EU-Staaten ; Europa
    Language English
    Size xiii, 296 Seiten
    Publisher Routledge, Taylor & Francis Group
    Publishing place London ; New York
    Document type Book
    Note Enthält 20 Beiträge
    ISBN 9781315612713 ; 9781472470591 ; 1315612712 ; 1472470591
    Database ECONomics Information System

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  8. Article: The coronavirus crisis—crisis communication, meaning-making, and reputation management

    Christensen, Tom / Lægreid, Per

    Int. Public Manage. J.

    Abstract: This article addresses the Norwegian government’s meaning-making, crises communication and reputation management during the Corona pandemic crisis. It argues that reputation management can be seen as a combination of governance capacity and legitimacy ... ...

    Abstract This article addresses the Norwegian government’s meaning-making, crises communication and reputation management during the Corona pandemic crisis. It argues that reputation management can be seen as a combination of governance capacity and legitimacy reflected in a well performing crisis communication and meaning-making. Under the slogan “working together” the government emphasized the need for a supportive and cohesive culture in order to to balance efforts at increasing governance capacity as well as governance legitimacy, through shaping a common understanding and broad consensus on what the crisis was about and what needed to be done to deal with it. A main lesson learned from the Norwegian case is that the effectiveness of the government in controlling the pandemic was enhanced by successful meaning-making and communication with the public, and to the high level of citizens’ trust in government.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #740118
    Database COVID19

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  9. Article ; Online: "Moving on to an Open World": A Study of Participants' Experience in Meaningful Activities and Recovery (MA&R).

    Tepavicharov, Nanna Kaas / Christensen, Jeanette Reffstrup / Møller, Tom / Eplov, Lene Falgaard / Bjørkedal, Siv Therese Bogevik

    Occupational therapy international

    2022  Volume 2022, Page(s) 7418667

    Abstract: Background: Meaningful activities and Recovery (MA&R) is a peer coled occupational therapy intervention, to support occupational engagement among persons with psychiatric disabilities.: Aim: To investigate participants' perspectives on how MA&R ... ...

    Abstract Background: Meaningful activities and Recovery (MA&R) is a peer coled occupational therapy intervention, to support occupational engagement among persons with psychiatric disabilities.
    Aim: To investigate participants' perspectives on how MA&R influenced occupational engagement and recovery processes.
    Results: MA&R was perceived as a practical approach to recovery, by providing an opportunity for reorientation, meaning, making in mundane activities, and a new outlook on everyday life. Participating in MA&R challenged a black and white approach to activities, put emphasis on "the little things", and enhanced curiosity, presence, and joy in occupational engagement.
    Conclusion: MA&R supported participants in developing a new "lens" on meaningful activities. The lens enhanced occupational engagement and made it possible to live according to personal preference. Results can inform further development and delivery of recovery-oriented occupational therapy interventions and add to the understandings of how occupational engagement and recovery are intertwined and manifested through everyday experiences. Thus, occupational engagement is an important target for recovery-oriented interventions. Occupational therapists and peer-workers coleading such interventions is feasible and makes good sense to the participants.
    MeSH term(s) Male ; Humans ; Female ; Occupational Therapy ; Occupational Therapists ; Mental Health Services ; Qualitative Research
    Language English
    Publishing date 2022-11-08
    Publishing country England
    Document type Journal Article
    ZDB-ID 2095334-3
    ISSN 1557-0703 ; 0966-7903
    ISSN (online) 1557-0703
    ISSN 0966-7903
    DOI 10.1155/2022/7418667
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Balancing governance capacity and legitimacy - how the Norwegian government handled the COVID-19 crisis as a high performer

    Christensen, Tom / Lægreid, Per

    PAR. Public administration review

    Abstract: This paper addresses how the Norwegian government has handled the corona pandemic. Compared to many other countries Norway performs well in handling the crises and this must be understood in the context of competent politicians, a high trust society with ...

    Abstract This paper addresses how the Norwegian government has handled the corona pandemic. Compared to many other countries Norway performs well in handling the crises and this must be understood in the context of competent politicians, a high trust society with a reliable and professional bureaucracy, a strong state, a good economic situation, a big welfare state and low density of the population. The government managed to control the pandemic rather quickly by adopting a suppression strategy, followed by a control strategy, based on a collaborative and pragmatic decision-making style, successful communication with the public, a lot of resources and a high level of citizens' trust in government. The alleged success of the Norwegian case is about the relationship between crisis management capacity and legitimacy. Crisis management is most successful when it is able to combine democratic legitimacy with government capacity. This article is protected by copyright. All rights reserved.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #343348
    Database COVID19

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