Supporting mental health - Effects, communicative processes and experiences of a person-centred eHealth intervention
Corresponding to the appeal to develop supportive strategies for people on sick leave with common mental disorders (CMDs), focusing beyond illness and towards mental health, this thesis evaluates an eHealth intervention based on person-centred care (PCC). The overall aim was to evaluate and explore the effects and processes of a person-centred eHealth intervention for patients on sick leave with CMDs by illuminating experiences and communicative practices constituting and taking part in a PCC intervention in an eHealth setting. Different methods were used in the individual studies, corresponding to the overarching and individual aims. One paper comprised a study protocol of the design and methodological choices of the project. Effects were evaluated in a randomised controlled trial, interactive processes related to narrative elicitation were explored in a conversation analysis, and participants’ experiences were explored in a mixed methods analysis. Findings: the evaluation of effects demonstrated an increase in general self-efficacy among intervention participants but no effect on level of sick leave. The elicitation of narratives was a central communicative task in the patient-professional interaction which provided opportunities for meaning-making processes but could also give rise to interactive challenges. Patients in the intervention group overall found the intervention to have offered meaningful support, particularly the phone communication with intervention professionals. The support participants perceived was due to the recognition they felt from the intervention professionals and the continuous availability that was enabled by the eHealth format. In conclusion, the thesis contributes to understanding how health care can support persons on sick leave with CMDs. Drawing from findings in the individual studies, communicative processes inherent to the PCC agenda of eliciting narratives and forming partnerships were central to how support was enacted in the intervention and to the participants’ experience of the intervention’s meaningfulness. The essential elements of the intervention were the provision of a meaningful professional support within reach, through the continuous access to professionals provided by the eHealth format.
Parts of work
I. Cederberg, M., Ali, L., Ekman, I., Glise, K., Jonsdottir, I.H., Gyllensten, H., Swedberg, K. & Fors, A. A person-centred eHealth intervention for patients on sick leave due to common mental disorders: Protocol of a randomised controlled trial and process evaluation (PROMISE). BMJ Open. 2020;10:e037515. ::doi::10.1136/bmjopen-2020-037515II. Cederberg, M., Alsén, S., Ali, L., Ekman, I., Glise, K., Jonsdottir, I.H., Gyllensten, H., Swedberg, K. & Fors, A. Effects of a person-centered eHealth intervention for patients on sick leave due to common mental disorders (PROMISE study): Open randomized controlled trial. JMIR Ment Health. 2022 Mar 15;9(3):e30966. ::doi::10.2196/30966III. Cederberg, M., Fors, A., Ali, L., Goulding, A. & Mäkitalo, Å. The interactive work of narrative elicitation in person-centred care: Analysis of phone conversations between health care professionals and patients with common mental disorders. Health Expectations. 2022 Feb 11. ::doi::10.1111/hex.13440IV. Cederberg, M., Barenfeld, E., Ali, L., Ekman, I., Goulding, A. & Fors, A. Trusting professional support to be within reach: A mixed methods process evaluation of participants’ experiences of a person-centred eHealth intervention. In manuscript
Doctor of Philosophy (Health Care Sciences)
University of Gothenburg. Sahlgrenska Academy
Institute of Health and Care Sciences
Fredagen den 10 juni 2022, kl. 13.00, Hörsal Arvid Carlsson, Academicum, Medicinaregatan 3, Göteborg
Date of defence
common mental disorders
health care interactions
randomised controlled trial
MetadataShow full item record
Showing items related by title, author, creator and subject.
Physical activity on prescription in primary care. Impact on physical activity level, metabolic health and health-related quality of life, and its cost-effectiveness - a short- and long-term perspective Lundqvist, Stefan (2020-10-08)Non-communicable diseases (NCDs) are the leading cause of death globally and one of the major health challenges of the 21st century. In Sweden, NCDs are estimated to account for 90 % of all deaths. Strong evidence indicates ...
Blomstrand, Ann (2014-03-13)ABSTRACT Aims: To describe a self-administered preventive tool dealing with risk factors for cardiovascular disease and its effectiveness to involve persons in need of life style changes. To evaluate the feasibility of ...
Choulagai, Bishnu Prasad (2017-05-18)Background Skilled birth attendants (SBAs) provide important services that improve maternal and newborn health and reduce maternal and newborn mortality. Utilization and coverage of SBA services reveal wide disparities ...