Digital tools are being implemented in every area of society. Digital healthcare, or E-health, is an area that is increasing in popularity with various mobile applications and online services available. Entergate, a company based in Halmstad, has developed a service called EnterMedic. It is a cloud service that collects data from patients through online questionnaires. Once submitted, the service can directly forward data from these questionnaires to patient journals. EnterMedic also helps researchers with data to develop effective work methods in healthcare. The service was however limited to the web. This thesis consists of developing a mobile version of the service as it is more convenient to use compared to a web-based one and research contributing to what E-health applications can be used for. Interactivity is a desired feature for applications. EnterMedic will provide the users with feedback after questionnaire submissions, to help them track their state of health. / Digitala verktyg blir implementerade i alla områden av samhället. Digital hälsovård, eller E-hälsa, är ett område som ökar i populäritet med olika mobiltelefon applikationer och on-line tjänster tillgängliga. Entergate, ett företag baserat i Halmstad, har utvecklat en tjänst som heter EnterMedic. Det ar en moln-tjänst som samlar data från patienter genom online formulär. När dessa skickas in kan tjänsten direkt vidarebefodra datan från formulären till patient journaler. EnterMedic hjälper även forskare med data för att utveckla mer effektiva arbetsmetoder inom hälsovården. Tjänsten är dock begränsad till webben. Det här examensarbetet består av att utveckla en mobil version av tjänsten då det är mer bekvämt att använda jämfört med en webb-baserad tjänst och forskning som bidrar till vad E-hälsa applikationer kan användas för. Interaktivitet är en önskad funktion för applikationer. EnterMedic kommer förse användare med återkoppling efter att ett formulär har skickats in, som i sin tur hjälper dem följa sitt hälsotillstånd.

The overall aim of this thesis was to evaluate effects of a multi-component pain and stress self-management group intervention (PASS) and to explore plausible predictors associated with short-term and long-term treatment effects among patients with persistent tension-type neck pain in primary health care (PHC). Study I was a pilot study in order to explore feasibility of the study design and methods. It included 37 participants randomly assigned to the intervention (n=18) or treatment-as-usual (n=19). Study II-III was a pragmatic randomized controlled trial that compared effects of the PASS and individually administered physiotherapy (IAPT) on patients with persistent tension-type neck pain in PHC. Study II evaluated short-term effects over a 20-week follow-up. Study III evaluated long-term effects on maintenance over a follow-up period of 2 years. Studies included 156 participants randomly assigned to PASS (n=77) or IAPT (n=79). Study IV explored predictive factors for favorable outcome in disability regarding participants assigned to PASS. The results showed that PASS had better effects than IAPT regarding coping with pain, in terms of patients’ ability to control pain, self-efficacy regarding activities interfered with by pain, disability and catastrophizing, over the 20-week follow-up, and treatment effects were largely maintained over a 2-year follow-up. Post-treatment scores in disability, self-efficacy and pain intensity were associated with long-term outcome in pain-related disability 2 years post-treatment following PASS. Pre-treatment characteristics explained only a minor proportion of variance in disability, and were assumed weakly associated with treatment success and long-term outcome. Key components for enhancement of long-term efficacy in pain self-management coping efforts were adequately targeted by PASS. It is suggested important to strengthen self-efficacy beliefs in regard to pain coping, to reduce disability and enhance pain self-management in the treatment of persistent neck pain, and to induce long-term maintenance of treatment gains on disability following a pain self-management intervention.

Made available in DSpace on 2016-04-27T18:12:01Z (GMT). No. of bitstreams: 1 Final para biblioteca.pdf: 517561 bytes, checksum: 8ada3b8358b7ff570de6993d1d52b7c9 (MD5) Previous issue date: 2013-05-27 / Introduction: the International Classification of Functioning, Disability and Health offers a positive outlook of categorization to the individual that presents changes on function and/or of the structure of the body. Aims to describe the nature and severity of the limitations of functionality (OMS 2011). It is used as a statistical tool, clinical, educational, research and social policy. This classification has been incorporated and used in the sectors of health and multidisciplinary teams. Objective: to verify the applicability of the Hearing Handicap Inventory for the Elderly, to classify individuals according to the categories of the International Classification of Functioning, Disability and Health; establish the categories of the International Classification of Functioning, Disability and Health to individuals who have hearing loss and investigate the prevalence of changes to functionality in individuals with hearing loss. Method: it was applied the Hearing Handicap Inventory for the Elderly and then select the categories of the International Classification of Functioning, Disability and Health. Results: 44.83% showed severe perception of its inability. 62.1% presented: moderate hearing loss that affects the body's functions, the mental functions, perception and hearing (cod b1560.1), moderate hearing loss that affects the body's functions, sensory functions, the auditory functions and the detection of sound (cod b2300.1), qualitative change in the structure of the inner ear, in this case being characterized as sensorioneural bilateral moderate hearing loss (cod s2609.173); 62.1% does not present difficulty for situations involving conversation activities with the family (cod d 3508.0_); 58.6% does not present difficulty in hearing functions of auditory discrimination (cod b2308.0); 69.0% presents much difficulty to hear in their participation activities (cod d115.4 _), does not present difficulty in controlling emotions and impulses in complex personal interactions (cod d7202.0_), does not present difficulty to attend religious services (cod d 9309.0_); 51.7% presents great difficulties to participate in community life when it comes to ceremonies (cod d 9102.4_). Conclusion: the ICF offers important applicability to categorize individuals with hearing loss; the questionnaire used is partially applicable to classify on a complete form, the disabilities of the subjects with hearing loss / a Classificação Internacional de Funcionalidade, Incapacidade e Saúde propõe uma perspectiva positiva de categorização para o indivíduo que apresenta alterações de função e/ou da estrutura do corpo. Tem como objetivo descrever a natureza e a gravidade das limitações de funcionalidade (OMS 2011). Ë utilizada como uma ferramenta estatística, de pesquisa, clínica, pedagógica e de política social. Esta classificação vem sendo incorporada e utilizada nos setores da saúde e equipes multidisciplinares. Objetivo: verificar a aplicabilidade do Questionário de Auto-avaliação do Handicap Auditivo para Idosos, para classificar indivíduos segundo as categorias da Classificação Internacional de Funcionalidade, Incapacidade e Saúde; estabelecer as categorias da Classificação Internacional de Funcionalidade, Incapacidade e Saúde, para indivíduos que apresentem perda auditiva e investigar a prevalência de alterações na funcionalidade em indivíduos com perda auditiva. Método: foi realizado o Hearing Handicap Inventory for the Elderly e posteriormente selecionadas as categorias da Classificação Internacional de Funcionalidade, Incapacidade e Saúde. Resultados: 44,83% apresentaram percepção severa de sua incapacidade. 62,1% apresentaram: perda auditiva moderada que afeta as funções do corpo, as funções mentais, de percepção e auditiva (cod b1560.1), perda auditiva moderada que afeta as funções do corpo, as funções sensoriais, as funções auditivas e a detecção do som (cod b2300.1), alteração qualitativa na estrutura do ouvido interno, neste caso sendo caracterizada como perda auditiva sensorioneural moderada bilateral (cod s2609.173); 62,1% não apresenta dificuldade para situações que envolvam atividades de conversação com a família (cod d3508.0_); 58,6% não apresenta dificuldade nas funções auditivas de discriminação auditiva (cod b2308.0); 69,0% apresenta muita dificuldade para ouvir nas suas atividades de participação (cod d115.4_), não apresenta dificuldade em controlar emoções e impulsos nas interações pessoais complexas (cod d7202.0_), não apresenta dificuldade para frequentar serviços religiosos (cod d9309.0_); 51,7% apresenta grande dificuldade para participar na vida comunitária quando se trata de cerimônias (cod d9102.4_). Conclusão: a CIF apresenta importante aplicabilidade para categorizar indivíduos com perda auditiva; o questionário utilizado é parcialmente aplicável para classificar de forma completa as incapacidades dos sujeitos com perda auditiva

The current global changes and regulations in sustainability have a direct impact on suppliers to the automotive industry. Therefore, it is crucial for suppliers to the automotive industry to proactively monitor developments to avoid risking their competitiveness. This involves an increased focus on documentation and compliance with sustainability policies and certifications. Company X is a family-owned company located in Gnosjö, operating for nearly 80 years and supplying products to the automotive industry, among other sectors. The company specializes in industrial work and focuses on machining (turning and milling). To remain competitive and, above all, relevant for at least another 80 years, they strive for continuous development to meet customer demands. The guiding philosophy is to operate within the ”Global Automotive Sustainability Guiding Principles”, which clarify the automotive industry ́s expectations regarding sustainability efforts from their suppliers. In late 2022, Drive Sustainability, responsible for creating and maintaining the Self-Assessment Questionnaire (SAQ), raised the requirements from SAQ 4.0 to SAQ 5.0. The consequence of not being approved before June 2023 is the inability to initiate new business as a supplier to Scania. The thesis was conducted at Company X with the aim of investigating what is required for Business X to upgrade from SAQ 4.0 to SAQ 5.0. This involved identifying any gaps in the company’s environmental and quality management systems in relation to the SAQ portal. The project also aimed to examine whether the current quality and environmental management system needs adjustment to better reflect data in the SAQ portal. The main task of the author was to explore possible solutions to help Company X and other SMEs implement the SAQ process in a resource-efficient manner. To achieve the study ́s purpose, an analysis of the documentation in the company ́s environmental and quality management systems in relation to the SAQ portal was conducted. This analysis was used to identify the resources required to meet the requirements in the SAQ. Based on the formulated research questions, gaps in the company ́s environmental and quality management systems were identified concerning the SAQ portal. Additionally, proposals and arguments were provided for adjustments to the current management system. The result of the thesis was that Company X acted on the suggestions and was approved in SAQ 5.0 with a fulfillment rate of 81%, compared to the previous score 79% in SAQ 4.0. The model presented in the analysis of the SAQ scoring system can also be utilized by other SMEs to implement the SAQ process in a resource-efficient manner.