The master thesis deals the development of HIV / AIDS in the Czech Republic and optimization methods of prevention in primary schools. The thesis is divided in the theoretical part and the practical part. The theoretical part analyzes data from the scientific literature and resources in the emergence of HIV infection, the modes of transmission of HIV, the development of AIDS, the investigative methods, the possibilities for treatment and prevention. The practical part of the research is based on an investigation which was carried out through interviews with professionals dealing with primary prevention of sexual transmitted infections. The aim of research was to find out whether there is sufficient quantity of primary prevention programs, how they are presented to pupils. The outcome of research suggests that education at the elementary school is not what it could be. In conclusion, recommendations are made to optimize education in practice. KEYWORDS Health promotion project, prevention, transmission of HIV, HIV infection, AIDS, WHO, sex Education

Drogkonsumtion är ett växande hälsoproblem bland ungdomar i Sverige och olika former av droger blir alltmer lättillgängligt. Skolans roll i det förebyggande arbetet mot droger är central där goda skolresultat och trygghet är exempel på skyddande faktorer för eleverna. Skolsköterskans uppdrag är att arbeta förebyggande och hälsofrämjande mot ohälsa och bruk av droger. Syfte: Att belysa skolsköterskors upplevelse av det förebyggande arbetet mot droger inom gymnasieskolan. Metod: Kvalitativ metod med induktiv ansats har tillämpats och data har inhämtats från intervjuer med fyra skolsköterskor. Analysen av datamaterialet gjordes med inspiration av Graneheim och Lundmans (2004) kvalitativa innehållsanalys. Resultat: Studien resulterade i tre kategorier som beskriver betydelsen av att bygga goda relationer med elever, att identifiera elever i riskzon och att arbeta med skyddande faktorer. Konklusion: Samarbetet med övrig personal inom skolan är en viktig faktor för att kunna agera, identifiera och stödja elever i riskzon. Skolsköterskorna beskriver även det relationsbyggande arbetet med eleverna som en viktig faktor i det förebyggande arbetet mot droger. Resultatet visar att skolsköterskornas arbete präglas av ett salutogent förhållningsätt. / Background: Drug consumption is a growing health problem among young people in Sweden and various forms of drugs are becoming increasingly accessible. The school's role in the preventive work against drugs is central, where good school results and security are examples of protective factors for students. The school nurse's task is to work on prevention and health promotion against illnes and drug use. Purpose: To shed light on school nurses' experience of the preventive work against drugs in upper secondary school. Method:Qualitative method with inductive approach has been applied and data have been obtained from interviews with four school nurses at upper secondary school level. The analysis of the data material was done with inspiration from Graneheim and Lundman's qualitative content analysis (2004). Results: The study resulted in three categories that describe the importance of building good relationships with students, identifying students at risk and working with protective factors. Conclusion: The collaboration with other staff within the school is an important factor in being able to act, identify and help students at risk. The school nurses also describe the relationship-building work with the students as an important factor in the preventive work against drugs. The results show that the school nurses' work is characterized by a salutogenic approach.

This study examined the interplay between parenting behaviors and self-regulatory focus in a sample of 320 university freshmen. Considering the theoretical assumptions and cultural differences, it is expected that specific parenting behaviors predict prevention and/or promotion self-regulatory focus. Especially, the dimensions of parental psychological control were expected to predict prevention focus. Participants completed multiple measures of parenting behaviors and self-regulatory focus. Self-regulatory focus was measured using both direct and indirect measures (i.e., value domains) considering the theoretical formulations underlying the indirect measures. The measures of specific parenting behaviors included parental support, behavioral control, psychological control, and overprotection. Results suggested that psychological control mainly predicts prevention focus. Whereas parental blaming and love withdrawal predicted prevention focus, guilt induction predicted promotion focus under certain conditions. Besides, parental overprotection was related with higher levels of both promotion and prevention self-regulatory focuses. As expected, parental behavioral control was associated with lower levels of prevention focus and parental support was associated with higher levels of promotion focus. Examination of the relationships between both types of self-regulatory focuses and the subscales of indirect measure comprised of value domains yielded results contradictory to the original formulations. For instance, contrary to the theoretical expectations, value domain of security was strongly associated with promotion focus rather than prevention focus, signifying a potential cultural difference. Finally, results have suggested that direct and indirect measures of self-regulatory focuses do not consistently overlap and they may measure different constructs. Results were discussed on the basis of the previous work in this area and further exploration was suggested to clarify the link between direct and indirect measures of self-regulatory focus and their links to parenting behaviors.

The aim of this study is to understand whether Dörnyei’s (2005, 2009) motivational self system fits well with the language learning motivation of the participants in this Turkish university context The study has been carried out in a university in Western Turkey. In order to answer the research questions, the study has adopted a quantitative research design. The study has been conducted using a 109 item Likert scale questionnaire. The total number of participants in the study is 250. The study includes English prep class participants from the Department of Molecular Biology and Genetics, the Department of Environmental Engineering, the Department of English Language Teaching, the Department of English Language and Literature and the Department of Biology. The results of the study show that the motivational self system partially fits well with the language learning motivation of the participants in this Turkish university context. As the results suggest, the model needs some modifications in order to fit within this context. The three main components of the motivational self system (ideal L2 self, ought to L2 self, and attitudes toward learning English) are seen to be related to the intended learning efforts of the participants, and are confirmed as distinct independent constructs that measure the different dimensions of L2 motivation. However, the two standpoints, own and other, overlap in terms of instrumentality promotion, instrumentality prevention and family influence. The contribution of attitudes toward learning English to the intended learning efforts of the participants is higher than the ideal L2 self, and the effect of the ought to L2 self is questionable. In addition to this, the study shows that family influence is related to the ought to L2 self, rather than the ideal L2 self, but, contrary to Dörnyei’s (2005, 2009) model, milieu does not have any significant relationship with the ought to L2 self. The results also show that instrumentality has two foci: instrumentality promotion is related to the ideal L2 self, and instrumentality prevention is related to the ought to L2 self. Furthermore, imagination is found to be related to the ideal L2 self, as shown in the motivational self system. The results also suggest that the international community is important instrumentally for the imagined selves of the participants. This result supports the discussion that the international position of English attracts the participants’ future selves as suggested in the L2MSS. Key words: motivational self system; ideal L2 self; ought to L2 self; attitudes toward learning English; instrumentality promotion; instrumentality prevention.

Submitted by isabela.moljf@hotmail.com (isabela.moljf@hotmail.com) on 2017-07-24T12:46:40Z No. of bitstreams: 1 nadiabarboszasantana.pdf: 2115958 bytes, checksum: 5c1c1bc2fcadd79b76dc0488455f1b53 (MD5) / Approved for entry into archive by Adriana Oliveira (adriana.oliveira@ufjf.edu.br) on 2017-08-08T18:11:36Z (GMT) No. of bitstreams: 1 nadiabarboszasantana.pdf: 2115958 bytes, checksum: 5c1c1bc2fcadd79b76dc0488455f1b53 (MD5) / Made available in DSpace on 2017-08-08T18:11:36Z (GMT). No. of bitstreams: 1 nadiabarboszasantana.pdf: 2115958 bytes, checksum: 5c1c1bc2fcadd79b76dc0488455f1b53 (MD5) Previous issue date: 2016-04-05 / CAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / A gravidez constitui-se como um processo natural da mulher. Nesse período é possível o aperfeiçoamento no manejo dessas mulheres no pré-natal, no sentido de que a gestante adquira hábitos de vida mais saudáveis, que irão evitar doenças e complicações indesejáveis. O objetivo deste estudo foi identificar e avaliar o perfil de saúde das gestantes brasileiras com enfoque nas DCNT e nos comportamentos em saúde, segundo características sociodemográficas. Avaliou-se 1.855 gestantes que responderam ao Inquérito Telefônico de Vigilância de Fatores de Risco e Proteção para Doenças Crônicas no período 2009-2013. Analisou-se o perfil sóciodemográfico das gestantes, bem como a prevalência dos comportamentos e doenças crônicas não transmissíveis: tabagismo, consumo de álcool, consumo regular de frutas e hortaliças, consumo de refrigerantes, consumo de leite, consumo de carne com gordura aparente, atividade física, hipertensão e diabetes. Avaliou-se, também, a autoclassificação do estado de saúde e o rastreamento de câncer cérvico-uterino. As análises dos dados foram realizadas por meio do programa estatístico Statistical Software for Professional (Stata), versão 14.0 e os comandos do módulo Survey, levando em consideração os pesos e, por conseguinte, a representatividade da amostra. Para analisar as diferenças das prevalências segundo idade, escolaridade e região, foram estimadas as razões de prevalências ajustadas e os seus respectivos IC95% por meio de modelo de Regressão de Poisson com variância robusta justificando uso pela sua utilização em eventos mais frequentes. A maior proporção de gestantes tinha entre 26 e 34 anos de idade (48,0%), eram brancas (39,2%), tinham companheiro (61,2%), trabalhavam (60,7%) e possuíam de 9 a 11 anos de escolaridade (50,4%). A prevalência de gestantes foi maior nas regiões Sudeste (41,7%) e Nordeste (26,6%). As prevalências de consumo de álcool (13,5%, < 4 doses nos últimos 30 dias) e tabagismo (6,1%) foram baixas, mas não ideais. Por outro lado, detectou-se alta prevalência do consumo inadequado de frutas e hortaliças (62,9%) e de inatividade física (87,2%). O consumo excessivo de refrigerantes (5 ou mais dias/semana), bem como o consumo de carne com gordura aparente, foi observado em cerca de 30% das gestantes. Aproximadamente 96% delas apresentaram pelo menos um comportamento negativo. Os resultados encontrados apontam uma má qualidade da alimentação e sedentarismo das gestantes, em sua maioria, ressaltando a importância de estratégias e intervenções no âmbito de saúde pública para a melhoria da alimentação, comportamentos mais saudáveis e prevenção de doenças crônicas não transmissíveis nesse grupo populacional, o que poderia beneficiar desfechos positivos na saúde materna e fetal, propiciar qualidade de vida para o binômio e, consequentemente, reduzir a morbimortalidade materna e perinatal. / Pregnancy is constituted as a natural process of women. During this period the improvement is possible in the management of these women in prenatal care, in the sense that pregnant women get healthier lifestyle that will prevent disease and unwanted complications. The aim of this study was to identify and assess the health profile of Brazilian women with a focus on NCDs and health behaviors, according to sociodemographic characteristics. We evaluated 1,855 pregnant women who responded to the survey Risk Factors Surveillance and Protection for Chronic Diseases Telephone Survey in 2009-2013. Analyzed the sociodemographic profile of pregnant women, and the prevalence of behaviors and chronic diseases: tobacco use, alcohol consumption, regular consumption of fruits and vegetables, consumption of soft drinks, milk consumption, consumption of meat with visible fat, activity physical, hypertension and diabetes. It evaluated also the self-classification of health status and tracking of cervical cancer. Data analyzes were performed using the statistical program Statistical Software for Professional (Stata) version 14.0 and Survey module commands, taking into account the weight and therefore the representativeness of the sample. To analyze the differences in prevalence by age, education and region, the adjusted prevalence ratios and their respective 95% CI were estimated using Poisson regression model with robust variance justifying use by its use in more frequent events. The highest proportion of pregnant women were between 26 and 34 years of age (48.0%) were white (39.2%) had a partner (61.2%), working (60.7%) and had from 9 to 11 years of education (50.4%). The prevalence of pregnant women was higher in the Southeast (41.7%) and Northeast (26.6%). The prevalence of alcohol consumption (13.5% <4 doses in the last 30 days) and tobacco (6.1%) were low, but not ideal. On the other hand, found a high prevalence of inadequate intake of fruits and vegetables (62.9%) and physical inactivity (87.2%). Excessive consumption of soft drinks (5 or more days / week) as well as the consumption of meat with visible fat, was observed in about 30% of pregnant women. Approximately 96% of them had at least one negative behavior. The results show a poor quality of food and sedentary lifestyle of pregnant women, mostly emphasizing the importance of strategies and interventions in the public health system to better nutrition, healthier behavior and prevention of chronic diseases in this population, which could benefit from positive outcomes in maternal and fetal health, provide quality of life for the binomial and thus reduce maternal and perinatal morbidity and mortality.

Made available in DSpace on 2014-12-17T14:47:00Z (GMT). No. of bitstreams: 1 DanyellaARSC_DISSERT.pdf: 1002089 bytes, checksum: 8c39650c4f2757b157f3ced0428ababb (MD5) Previous issue date: 2013-06-21 / Universidade Federal do Rio Grande do Norte / Cancer of the cervix (cervical cancer) is the second most prevalent cancer among Brazilian women. The high rates of cervical cancer in Brazil justify the implementation of effective strategies to control this, which include actions to promote health, primary prevention, early detection, screening, treatment and palliative care. Despite the existence of the National Programme for Control of the CCU there was no reduction in the incidence and mortality of this disease in Brazil. The Family Health Strategy (FHS) has the potential to facilitate such control and, in this context, one should consider that nurses play a central role. The study aimed to know the general intervention strategies used by nurses FHS of Natal / RN in CCU control, and how specific: analyzing the knowledge of these nurses on the CCU, the actions developed in the ESF for the control of CCU and identify the difficulties faced by them to perform it. This is a descriptive exploratory quantitative developed through a structured interview guide with 106 nurses who have experience in controlling the CCU in FHS teams of Natal / RN. Data analysis was performed using descriptive statistic s. The results pointed to actions taken in the FHS to control the CCU, collection of cervical cancer screening, health education activities, nursing consultation, referral of suspected cases for medical monitoring and active women with abnormal test result . The actions that were not mentioned by the nurses included: forming groups of prevention and health promotion; expand coverage of exams and office hours of consultations, establishment of alternatives to end the pent-up demand in the health units, participation in treatment or rehabilitation process users with the CCU; interventions for pain management, alliances and partnerships with schools, in dustry and the use of protocols. This study can be seen that the practice nurses partially shares to the CCU in Natal / RN. The participants of this study, when asked about the CCU, specifically for signs and symptoms of disease and risk factors in general showed important gaps. Difficulties such as lack of materials for collection of Pap smear; inadequate physical space in the Health Units; pent-up demand in the service, delay in arrival of the test results; obstacles in the actions of referral and counter-referral and cultural factors make the CCU control is compromised. It is believed in this research contributed to a reflection on the importance of the role of nurses in the development of the ESF control actions CCU, pointing out the factors that affect these. It is important to involve all nurses who comprise the ESF as knowledgeable of the risk factors, signs and symptoms, and existing tools for the early detection of cervical cancer in the pursuit of quality improvement actions to promote women`s health, contributing in planning future interventions that may reduce mortality from this disease in Natal / RN. / O c?ncer do colo do ?tero (CCU) ? a segunda neoplasia mais prevalente entre as mulheres brasileiras. Os elevados ?ndices de CCU no Brasil justificam a implementa??o de estrat?gias efetivas para o controle deste, que incluem a??es de promo??o ? sa?de; preven??o prim?ria; detec??o precoce; rastreamento; tratamento e cuidados paliativos. Apesar da exist?ncia do Programa Nacional de Controle do CCU n?o houve redu??o na incid?ncia e mortalidade dessa doen?a no Brasil. A Estrat?gia Sa?de da Fam?lia (ESF) apresenta potencialidades para promover esse controle e, neste contexto, deve-se considerar que os enfermeiros t?m papel central. O estudo teve por objetivo geral conhecer as estrat?gias de interven??o utilizadas por enfermeiros da ESF do munic?pio de Natal/RN no controle do CCU, e como espec?ficos: analisar o conhecimento desses enfermeiros sobre o CCU, descrever as a??es desenvolvidas na ESF para o controle do CCU e identificar as dificuldades enfrentadas pelos mesmos para realiz?-la. Trata-se de um estudo descritivo explorat?rio, quantitativo desenvolvido por meio de um roteiro de entrevista estruturada com 106 enfermeiros que t?m experi?ncia no controle do CCU nas equipes de ESF de Natal/RN. A an?lise dos dados foi realizada por meio da estat?stica descritiva. Os resultados apontaram como a??es desenvolvidas na ESF para o controle do CCU, coleta do exame citopatol?gico, atividades de educa??o em sa?de, consulta de enfermagem, encaminhamento de casos suspeitos para o acompanhamento m?dico e busca ativa de mulheres com o resultado do exame alterado. As a??es que n?o foram citadas pelos enfermeiros constam de: forma??o de grupos de preven??o e promo??o ? sa?de; amplia??o da cobertura dos exames e do hor?rio de atendimento das consultas; estabelecimento de alternativas para acabar com a demanda reprimida nas Unidades de Sa?de; participa??o no tratamento ou processo de reabilita??o de usu?rias com o CCU; interven??es para o manejo da dor; alian?as e parcerias com escolas, ind?strias e utiliza??o de protocolos de atendimento. Com este estudo pode-se perceber que os enfermeiros praticam parcialmente a??es para o CCU no munic?pio de Natal/RN. Os participantes deste estudo, quando questionados sobre o CCU, especificamente quanto aos sinais e sintomas da doen?a e os fatores de risco, de forma geral apresentaram lacunas importantes. Dificuldades, como falta de material para coleta do exame preventivo; espa?o f?sico inadequado nas Unidades de Sa?de; demanda reprimida no servi?o; atraso na chegada do resultado dos exames; entraves nas a??es de refer?ncia e contra-refer?ncia e fatores culturais fazem com que o controle do CCU seja comprometido. Acredita-se com esta investiga??o contribuiu para uma reflex?o sobre a import?ncia do papel dos enfermeiros da ESF no desenvolvimento das a??es de controle do CCU, apontando os fatores que interferem nestas. ? importante o envolvimento de todos os enfermeiros que comp?em a ESF como conhecedores dos fatores de risco, sinais e sintomas e dos instrumentos existentes para a detec??o precoce do CCU na busca da melhoria da qualidade das a??es de promo??o ? sa?de da mulher, contribuindo no planejamento de interven??es futuras que possam reduzir a mortalidade causada por esta doen?a no munic?pio de Natal/RN

Svårigheter som anträffas inom vård- och omsorg är den arbetsmiljö som bedöms vara en stor risk för medarbetarna. Arbetsmiljöverket belyser organisatorisk och social arbetsmiljö i sin föreskrift AFS (2015:4), de påpekar att det är arbetsgivarens ansvar att ha kunskap om föreskriften innehåll. Det är viktigt för ledare inom vård- och omsorg att arbeta förebyggande och främjande för att bevara och utveckla medarbetarnas hälsa. Syftet med denna uppsats är att utifrån ett pedagogiskt perspektiv belysa hur ledare inom vård- och omsorg förebygger ohälsa och främjar hälsa med fokus på organisatorisk och social arbetsmiljö. För att kunna ta fram empiri har sju individuella intervjuer genomförts. Empirin transkriberades och en innehållsanalys utförde för att tydliggöra resultatets innehåll. Resultatet som synliggjordes är att ledarna upplever att deras resurser för att förebygga ohälsa och främja hälsa hos sina medarbetare är betydande för den organisatoriska och sociala arbetsmiljön. Ledarna använder sig av bland annat handledning, medarbetarsamtal, riskbedömningar tillsammans med skyddsombud och tar även hjälp av andra aktörer i syfte för att bemöta medarbetarnas behov. Det kompetensbehov ledarna ansåg medarbetarna behöva för att förebygga ohälsa och främja hälsa var genom olika utbildningar. Hinder ledare påpekar står emot att föreskriften följs är bland annat, budget, tidsbrist samt bristande kunskap. Slutsatsen är att ledarna bör fördjupa sig i föreskriften AFS (2015:4) om organisatorisk och social arbetsmiljö i stöd för att de inte kunde redogöra för dess innehåll och hur det implementeras i arbetsmiljön. Vi vill med hjälp av studien belysa samt inspirera ledare till att utveckla större engagemang till föreskriftens betydelse för medarbetarnas hälsa.

Submitted by Renata Lopes (renatasil82@gmail.com) on 2016-09-16T13:50:39Z No. of bitstreams: 1 heloisahelenadasilvaguedes.pdf: 828564 bytes, checksum: c49b428aeb22ad8b853bdec20dec88cd (MD5) / Approved for entry into archive by Diamantino Mayra (mayra.diamantino@ufjf.edu.br) on 2016-09-26T20:21:54Z (GMT) No. of bitstreams: 1 heloisahelenadasilvaguedes.pdf: 828564 bytes, checksum: c49b428aeb22ad8b853bdec20dec88cd (MD5) / Made available in DSpace on 2016-09-26T20:21:54Z (GMT). No. of bitstreams: 1 heloisahelenadasilvaguedes.pdf: 828564 bytes, checksum: c49b428aeb22ad8b853bdec20dec88cd (MD5) Previous issue date: 2010-08-27 / O presente trabalho discute as práticas de saúde desenvolvidas para o enfrentamento da epidemia com vistas à prevenção, promoção da saúde e adesão ao tratamento, tendo por cenário a experiência de Juiz de Fora/MG, considerado segundo município de Minas Gerais com o maior número de casos. Discute-se as práticas desenvolvidas, em especial as de cunho educativo, uma vez que, a aids no Brasil e no mundo configura-se numa epidemia que necessita de práticas de saúde de longo alcance, que visem não apenas o aspecto biológico da doença – a infecção pelo vírus HIV – mas também incorpore a influência de aspectos sociais, culturais e econômicos presentes na vida dos indivíduos que carregam o vírus ou estão sujeitos a ele. O estudo aponta que, para controle da aids, o governo brasileiro disponibiliza ações e serviços de saúde visando abarcar a sociedade como um todo. Assim, o estudo em questão torna-se relevante, na medida em que descortina como se materializam as práticas de saúde para enfrentamento da epidemia e no que elas contribuem para contenção do avanço da doença. / This article discusses the health practices designed to combat the epidemic with a view to prevention, health promotion and treatment adherence, with the background of experience in Juiz de Fora / MG, considered second city of Minas Gerais with the largest number of cases. It discusses the practices developed, especially with an educational, as, AIDS in Brazil and the world presents itself in an epidemic that requires health practices long-range, aiming not only the biological aspect of the disease - the HIV virus - but also incorporates the influence of social, cultural and economic life of the present in individuals who carry the virus or are subject to it. The study shows that to control AIDS, the Brazilian government provides health services and actions aimed at encompassing society as a whole. Thus, the study in question becomes relevant in that it reveals how they materialize health practices to combat the epidemic and what they contribute to containment of disease progression.

INTERNET-BASED BEHAVIOR OF IT PROFESSIONALS: IMPLICATIONS FOR ONLINE ERGONOMIC EDUCATION TO PREVENT WORK-RELATED MUSCULOSKELETAL DISORDERS By Priyadarshini Pattath, Ph.D. A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy at Virginia Commonwealth University Virginia Commonwealth University, 2017 Director: Dr. Robin Hurst, Assistant Professor of Adult Learning, Teaching and Learning, School of Education The purpose of this study was to explore the preferences of medium of ergonomic education and views about self-directed online training modules to prevent musculoskeletal disorders in computer professionals and understand their perspectives and experiences about online health information seeking using a self-directed learning framework. To accomplish this, a qualitative research design was used to analyze data from interviews and observation. An exploratory case study research design was employed to examine the experiences of fifteen information technology professionals. The findings revealed that the preference for the mode of delivery of ergonomic education depends on the individual attitude and on the perceived attributes of the particular mode of delivery. The findings highlighted the role of the Internet in making significant lifestyle and contextual modifications. Finally, the findings highlighted the barriers that were faced when seeking health information on the Internet. The findings of this study were limited by the nature of the research and sample size. Additional research is needed to support the findings. Implications for research and practice are discussed.

Skollagen (SFS 2010:800) slår fast att elever som riskerar att inte nå målen ska ges den ledning och stimulans som behövs för att utvecklas i riktning mot målen. Studiens syfte är att beskriva specialpedagogens roll i arbetet med stödinsatser för de elever som riskerar att inte nå målen. Studiens tre teman är Stödinsatser, Specialpedagogens roll och Främjande och förebyggande arbete. En kvalitativ metod har använts med semistrukturerade intervjuer med nio specialpedagoger. För att bearbeta intervjumaterialet har kvalitativ innehållsanalys använts. Analysen har gjorts utifrån systemteori och de specialpedagogiska perspektiven relationellt perspektiv, kategoriskt perspektiv och dilemmaperspektiv. Resultatet visar att specialpedagogens roll i arbetet med stödinsatser är komplex. Dels handlar det om att i samråd med läraren identifiera elever, att välja adekvat anpassning eller stödinsats och att utvärdera dessa. Resultatet visar också att alla specialpedagogernas arbetsuppgifter ryms inom ramen för examensordningen men att de inbördes kan skilja sig åt i det att vissa arbetar mer elevfokuserat medan andra arbetar mer på organisationsnivå (SFS 2017:1111). Det skiljer sig också åt i hur mycket specialpedagogerna är involverade i systematiskt kvalitetsarbete och att utveckla undervisningen på skolan. En slutsats som dras är att specialpedagogerna till stor del använder samma typ av extra anpassningar och stödinsatser, men att det skiljer sig mycket i vilka stödinsatser som förespråkas mest och i hur specialpedagogerna motiverar användandet av dem med utgångspunkt i användbarhet. En annan slutsats är att dokumentation av extra anpassningar är en förutsättning för att kunna utvärdera hur de har fungerat, och att många skolor gör detta trots de motsatta intentionerna i reformen kring extra anpassningar som kom 2014 (Skolinspektionen, 2016; Skolverket, 2014). / The Education Act (SFS 2010:800) states that students who are at risk of not reaching the minimum standards are entitled to support. The aim of this study is to describe the role of the Special Education Coordinator (SENCo) regarding the support given to students who risk not receiving a passing grade in at least one subject. The study has three parts: Support, The role of the SENCo, Promotion and prevention. The study has been conducted using a qualitative method with semi-structured interviews and qualitative analysis with nine SENCos. The analysis has been made using system theory and three perspectives: the relational perspective, the categorical perspective and the dilemma perspective. The result shows that the role of the SENCo regarding support is complex. The role includes cooperation with teachers in identifying students, in choosing the correct supplemental support and in evaluating the support given. The result also shows that the roles of the SENCo are included in the System of Qualifications (SFS 2017:1111), but that the SENCOs that were interviewed have different perspectives where some are more inclined to work close to the students whereas others operate on an organizational level. There is also a clear difference between how involved the SENCos are in the systematic quality work and in developing the teaching methods in order to reduce the amount of support provided to individual students. One conclusion is that the SENCos use the same types of supplemental support but that they motivate their use in different ways. Another conclusion is that documentation of supplemental support is necessary to be able to evaluate them and that many schools do this despite the intention in the reform from 2014 (Swedish Schools Inspectorate 2016; Swedish National Agency for Education, 2014).