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  • 11
    Online Resource
    Online Resource
    Linnaeus University ; 2011
    In:  Scandinavian Journal of Optometry and Visual Science Vol. 4, No. 1 ( 2011-06-01), p. 23-29
    In: Scandinavian Journal of Optometry and Visual Science, Linnaeus University, Vol. 4, No. 1 ( 2011-06-01), p. 23-29
    Type of Medium: Online Resource
    ISSN: 1891-0890
    URL: Issue
    Language: Unknown
    Publisher: Linnaeus University
    Publication Date: 2011
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  • 12
    Online Resource
    Online Resource
    Linnaeus University ; 2021
    In:  Scandinavian Journal of Optometry and Visual Science Vol. 14, No. 1 ( 2021-07-14), p. 1-6
    In: Scandinavian Journal of Optometry and Visual Science, Linnaeus University, Vol. 14, No. 1 ( 2021-07-14), p. 1-6
    Abstract: Optometrists are primary eye care providers, and it is essential that they efficiently identify patients who will benefit from dry eye management. The aim of the study was to explore case finding of dry eye disease (DED) in optometric practice. A cross-sectional study examining dry eye symptoms and signs in 186 patients (18–70 years of age) attending a routine eye examination, with DED defined according to the criteria of the Tear Film and Ocular Surface Society Dry Eye Workshop II. Standard statistical tests were used, and clinical diagnostics were explored using sensitivity, specificity, and receiveroperating curve (ROC) statistics. Fifty-six patients were contact lens wearers, and they were significantly younger than the non-contact lens wearers (mean age 35 (SD = 1) versus 48 (± 2) years). The mean best corrected visual acuity (BCVA) in the better eye was 1.0 (± 0.1) (decimal acuity). There was no difference in BCVA between contact lens wearers and non-contact lens wearers. The mean Ocular Surface Disease Index (OSDI) score was 22 (± 19), and 138 patients had at least one positive homeostasis marker. Eighty-six had DED, 52 had signs without symptoms, and 23 had symptoms without signs of DED. The sensitivity and specificity of OSDI in detecting any positive homeostasis marker were 62% and 54%, respectively. In all, 106 patients had meibomian gland dysfunction (MGD), of which 49 were asymptomatic. In a ROC analysis, an OSDI ≥ 13 showed a diagnostic ability to differentiate between patients with a fluorescein breakup time (FBUT) 〈 10 seconds and a fluorescein breakup time ≥ 10 seconds, but not between patients with and without staining or MGD. The majority of patients had dry eye signs and/or dry eye symptoms. Routine assessment of FBUT and meibomian glands may enable case finding of DED in optometric practice.
    Type of Medium: Online Resource
    ISSN: 1891-0890 , 1891-0882
    URL: Issue
    Language: Unknown
    Publisher: Linnaeus University
    Publication Date: 2021
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  • 13
    Online Resource
    Online Resource
    Linnaeus University ; 2016
    In:  Scandinavian Journal of Optometry and Visual Science Vol. 9, No. 2 ( 2016-11-26), p. 8-12
    In: Scandinavian Journal of Optometry and Visual Science, Linnaeus University, Vol. 9, No. 2 ( 2016-11-26), p. 8-12
    Abstract: The aim of this study was to examine the relationship between optometry students’ communication self-efficacy and their level of mindfulness and empathy. The study had a cross-sectional design. The sample included qualified optometrists in their first year of the Masters’ degree programme. The students reported level of communication self-efficacy, empathy and mindfulness by responding to three questionnaires: Ammentorp’s Clear-Cut Communication with Patients, Jefferson Scale of Empathy, and Mindful Attention Awareness Scale. Thirty-three students participated. The communication self-efficacy sum score was 111 (95% CI 106 to 116), the empathy sum score was 107 (95% CI 103 to 111) and the mindfulness sum score was 52 (95% CI 103 to 111). There was a significant positive correlation between communication self-efficacy and mindfulness (r = 0.295, n = 29, p = 0.029), but not between communication self-efficacy and empathy. Mindfulness correlates with communication self-efficacy. Mindfulness could therefore be important in training communication skills and could contribute to the effect of communication skills training. Most optometrists provide services in a retail setting, linking person-centred communication and care, evidence-based medicine, product technology and customer service. Further studies should explore how communication self-efficacy, explicit and tactic knowledge, empathy, mindfulness, emotional intelligence, patient satisfaction and customer service relate to communication and patientcentred care.
    Type of Medium: Online Resource
    ISSN: 1891-0890 , 1891-0882
    Language: Unknown
    Publisher: Linnaeus University
    Publication Date: 2016
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  • 14
    Online Resource
    Online Resource
    Linnaeus University ; 2023
    In:  Scandinavian Journal of Optometry and Visual Science Vol. 16, No. 1 ( 2023-05-23)
    In: Scandinavian Journal of Optometry and Visual Science, Linnaeus University, Vol. 16, No. 1 ( 2023-05-23)
    Abstract: The purpose of this study was to estimate the prevalence and incidence of keratoconus in Sweden. The study had a cross-sectional descriptive design, using data from the Swedish Patient Register. Data about keratoconus registered from 1st January, 2010, to 31st December, 2020, were analysed. Prevalence was estimated from the total number of patients registered. Incidence was estimated from the number of first-time registrations per year for the age group 0 to 40 years and stratified by decades of age. From 2010 to 2020, 16,055 patients were registered with keratoconus in the Swedish Patient Register, giving a total estimated keratoconus prevalence of 169.5 per 100,000 (95% CI: 144.9–194.1), 74.2% were male. The estimated annual incidence of keratoconus was 11.8 per 100,000 (95% CI: 5.1–18.5). The average annual incidence was highest in the decade 21 to 30 years, 26.1 per 100,000 (95% CI: 16.1–36.1). For the age group 0 to 40 years, the estimated incidence of keratoconus was 22.5 per 100,000 (95% CI: 13.7–32.3). Keratoconus should not be regarded as an uncommon condition. The prevalence of keratoconus may be even higher because of under-registration among older citizens. The estimated prevalence and incidence of keratoconus in Sweden is comparable to estimated prevalence in Norway.
    Type of Medium: Online Resource
    ISSN: 1891-0890
    URL: Issue
    Language: Unknown
    Publisher: Linnaeus University
    Publication Date: 2023
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  • 15
    Online Resource
    Online Resource
    University of Buckingham Press ; 2018
    In:  European Journal for Person Centered Healthcare Vol. 6, No. 2 ( 2018-06-01), p. 209-
    In: European Journal for Person Centered Healthcare, University of Buckingham Press, Vol. 6, No. 2 ( 2018-06-01), p. 209-
    Abstract: Introduction: Integrating person-centered values with randomized controlled trials methodology is a novel idea. Person-centeredness is gaining steadily more prominence and attention in healthcare and health-related policy and research. Randomized controlled trials are considered as the gold standard in evidence-based medicine for evaluating the effects of treatment or determining the causal effect. A wide array of study designs is available, but there is a lack of designs with both strong person-centered principles and a strong position with respect to the level of evidence. In this paper we intend to introduce a novel design to fill such a gap.Aims and objectives: The aim of this paper is to introduce a novel study design where essential values of person-centered care (PCC) are integrated with randomized controlled trial (RCT) methodology into a novel study design termed a person-centered randomized controlled trial (PC-RCT).Methods: In this paper we discuss the importance and role of evidence in clinical research, levels of evidence, as well as the significance of study design in evidence-based medicine. Moreover, we discuss randomized controlled trials that are considered the gold standard to achieve high quality evidence. In this paper we will explain what the concept of person-centered care is and discuss the values associated with person-centeredness.The theoretical and methodological considerations that are relevant in applying this concept will be discussed before presenting how we intend to incorporate person-centered values into a randomized controlled trial in a novel study design that is both person-centered and randomized controlled (PC-RCT). Different aspects of this proposed novel study design will be discussed, including the theory and methods underlying this new proposed design, its novelty, different stages and practical steps involved in this proposed design. Challenges, drawbacks and possible solutions for addressing challenges of this novel design will be explored, focusing on the construct, dynamics, advantages, disadvantages and novelty of PC-RCT design.Conclusion: This paper presents how person-centered values and traditional randomised controlled trial principal values are integrated into one study design where the strengths of both concepts are merged into one. The proposed novel study design has stronger person-centered characteristics and is solid in its RCT features. This design ensures that participants have much more active participation in decision-making and gain more choice in their treatment. The proposed novel study design in this paper has clearly an important role to play in satisfying the need for a study design that can address both the need for rendering higher levels of evidence as well as simultaneously securing greater integration of person-centered values in the same study design.
    Type of Medium: Online Resource
    ISSN: 2052-5656 , 2052-5648
    URL: Issue
    Language: Unknown
    Publisher: University of Buckingham Press
    Publication Date: 2018
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  • 16
    Online Resource
    Online Resource
    SAGE Publications ; 2022
    In:  DIGITAL HEALTH Vol. 8 ( 2022-01), p. 205520762211203-
    In: DIGITAL HEALTH, SAGE Publications, Vol. 8 ( 2022-01), p. 205520762211203-
    Abstract: Nature Connectedness, an individual’s cognitive, affective, and behavioral connection with the natural world, has been linked to various health and well-being outcomes. As Nature Connectedness can be elicited and strengthened through direct contact with nature, in the past decade studies have investigated whether similar effects can be achieved through technologies that simulate highly immersive and realistic experiences of nature, such as Immersive Virtual Nature. This protocol describes the methodology for a systematic review that will summarize the existing evidence on the effects of Immersive Virtual Nature on Nature Connectedness in non-clinical populations. Methods The review will be conducted following the guidelines of Preferred Reporting Items for Systematic Reviews and MetaAnalyses. Terms such as “immersive virtual environment,” “natural setting*,” and “contact with nature” were searched in Scopus, WebOfScience, GoogleScholar, Medline, and GreenFILE (22–28 November 2021). Papers in English, describing experimental studies, with or without control/comparison, and testing the effects of Immersive Virtual Nature interventions on Nature Connectedness outcomes in non-clinical populations were included. The risk of bias will be assessed using Cochrane’s Risk of Bias 2 for randomized studies, and the Risk Of Bias In Non-randomized Studies - of Interventions. The data synthesis will be performed through meta-analysis, assuming that the Cochrane Consumers and Communication Group guidelines are met. Conclusion The findings will be relevant for understanding the potential and challenges of Immersive Virtual Nature as a tool to promote health and well-being in the general population, providing information on the consistency and limitations of the existing literature and recommendations for future research.
    Type of Medium: Online Resource
    ISSN: 2055-2076 , 2055-2076
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2022
    detail.hit.zdb_id: 2819396-9
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  • 17
    In: Patient Education and Counseling, Elsevier BV, Vol. 102, No. 7 ( 2019-07), p. 1288-1295
    Type of Medium: Online Resource
    ISSN: 0738-3991
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2019
    detail.hit.zdb_id: 2019572-2
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  • 18
    Online Resource
    Online Resource
    Ovid Technologies (Wolters Kluwer Health) ; 2023
    In:  Optometry and Vision Science
    In: Optometry and Vision Science, Ovid Technologies (Wolters Kluwer Health)
    Abstract: Dry eye disease causes ocular pain, blurred vision, reduced visual quality of life, and reduced workplace performance. This disease is underreported and underdiagnosed despite being highly prevalent in optometric care. Purpose This study aims to explore the vision-related quality of life of dry eye disease patients and the potential benefits of screening for dry eye disease in Norwegian optometric practice. Methods This study adopted an observational, prospective, cross-sectional design. All patients between 18 and 70 years of age who were examined between June 8 and July 5, 2018, at Erøy Optikk, Kristiansand, Norway, were invited to participate. Dry eye disease was assessed according to Tear Film & Ocular Surface Society International Dry Eye Workshop II report recommendations. Vision-related quality of life was assessed with National Eye Institute 25-Item Visual Function Questionnaire. Results 49 patients participated in the study; 29 (59 %) were female, and 29 (59 %) had dry eye disease. The patients with dry eye disease reported significantly more ocular pain and (vision-specific) role difficulties than the patients without dry eye disease. After adjusting for age, sex, and habitual visual acuity, dry eye disease was found to be an independent predictor of both ocular pain ( r 2 = .328, P = .001) and (vision-specific) role difficulties ( r 2 = .240, P = .015). Both habitual visual acuity and dry eye disease were predictors of reduced general vision, a reduced score for near activity, and (vision-specific) mental health. Conclusions Dry eye disease was an independent predictor of ocular pain, (vision-specific) role difficulties, and reduced general vision, near vision, and (vision-specific) mental health. Optometrists should consider dry eye disease as a cause of reduced vision and quality of vision. Further, we propose that screening for dry eye disease in Norwegian optometric practice can promote better vision and health among patients.
    Type of Medium: Online Resource
    ISSN: 1538-9235 , 1040-5488
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2023
    detail.hit.zdb_id: 2083924-8
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  • 19
    Online Resource
    Online Resource
    Oxford University Press (OUP) ; 2023
    In:  European Journal of Public Health Vol. 33, No. Supplement_1 ( 2023-09-11)
    In: European Journal of Public Health, Oxford University Press (OUP), Vol. 33, No. Supplement_1 ( 2023-09-11)
    Abstract: Human-nature interactions, including visitation of nature and nature connectedness (NC), a psychological construct defining an individual’s cognitive and affective connection with the natural world, are associated with a variety of health and well-being indicators. University students often experience high levels of stress and mental health challenges, while having little access to and few opportunities to interact with nature. This randomized controlled trial explored the effectiveness of a virtual nature intervention, delivered either through two-dimensional (2D) or immersive virtual reality (VR) devices, in eliciting increased NC and the likelihood of visiting a naturalistic location among university students. Methods Thirty-eight university students (age 24.7±5.4 year) were randomized into two groups and viewed a video of a naturalistic location in the vicinity of the university campus either through VR or 2D devices. Further, participants received information about the naturalistic location and were invited to an organized hiking tour in that location. Pre- and post-assessment of NC, intention to engage in active nature visits, intention to visit the location viewed in VR or 2D, and intention to participate in the hiking tour were collected. Additionally, participation in the hiking tour was recorded. Results A mixed between-within subjects ANOVA showed that both conditions significantly improved NC (F1,35 = 293.302; p  & lt; 0.001), intention to visit the location (F1,36 = 18.848; p  & lt; 0.001), and intention to participate in the hiking tour (F1,36 = 12.450; p  & lt; 0.001), but did not improve intention to engage in active nature visits, with no significant differences between the type of virtual nature exposures (VR vs. 2D). Six (16.7%) students participated in the organized tour, three from each condition. The type of virtual nature exposure was not a significant predictor for participating in the tour. Conclusions This study provides evidence of the potential of virtual nature exposure in promoting NC and visitation of nature among university students, regardless of the technology employed (VR or 2D). More research is needed to better understand the impact of such types of intervention in supporting behavior changes and health in this population.
    Type of Medium: Online Resource
    ISSN: 1101-1262 , 1464-360X
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2023
    detail.hit.zdb_id: 2033525-8
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  • 20
    In: Patient Education and Counseling, Elsevier BV, Vol. 99, No. 12 ( 2016-12), p. 1955-1963
    Type of Medium: Online Resource
    ISSN: 0738-3991
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2016
    detail.hit.zdb_id: 2019572-2
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