• How mental health service systems are organized may affect the rate of acute admissions to specialized care: Report from a natural experiment involving 5338 admissions 

      Myklebust, Lars Henrik Ryther; Sørgaard, Knut W.; Wynn, Rolf (Journal article; Tidsskriftartikkel; Peer reviewed, 2017-07-10)
      Objectives: Studies on the dynamics between service organization and acute admissions to psychiatric specialized care have given ambiguous results. We studied the effect of several variables, including service organization, coercion, and patient characteristics on the rate of acute admissions to psychiatric specialist services. In a natural experiment-like study in Norway, we compared a ...
    • How young people who had dropped out of high school experienced their re-enrolment processes 

      Ramsdal, Gro Hilde; Wynn, Rolf (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-01-20)
      The study followed the re-enrolment processes of six young people in Northern Norway who had dropped out of high school. Early in the re-enrolment process, the participants focused on their experiences with lack of inner motivation, lack of endurance, and confusion concerning what they wanted to do with their lives. Later in the process, participants described positive changes in their inner ...
    • How young people who had dropped out of high school experienced their re-enrolment processes 

      Ramsdal, Gro Hilde; Wynn, Rolf (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-01-20)
      The study followed the re-enrolment processes of six young people in Northern Norway who had dropped out of high school. Early in the re-enrolment process, the participants focused on their experiences with lack of inner motivation, lack of endurance, and confusion concerning what they wanted to do with their lives. Later in the process, participants described positive changes in their inner motivation ...
    • Impact of Illness on Electronic Health Use (The Seventh Tromsø Study - Part 2): Population-Based Questionnaire Study 

      Ruiz, Luis Marco; Wynn, Rolf; Oyeyemi, Sunday Oluwafemi; Budrionis, Andrius; Yigzaw, Kassaye Yitbarek; Bellika, Johan Gustav (Journal article; Tidsskriftartikkel; Peer reviewed, 2020-03-05)
      <p><i>Background:</i> Patients who suffer from different diseases may use different electronic health (eHealth) resources. Thus, those who plan eHealth interventions should take into account which eHealth resources are used most frequently by patients that suffer from different diseases. <p><i>Objective:</i> The aim of this study was to understand the associations between different groups of chronic ...
    • Impact of the use of electronic health tools on the psychological and emotional well-being of electronic health service users (The Seventh Tromsø Study - Part 3): Population-based questionnaire study 

      Budrionis, Andrius; Wynn, Rolf; Ruiz, Luis Marco; Yigzaw, Kassaye Yitbarek; Bergvik, Svein; Oyeyemi, Sunday Oluwafemi; Bellika, Johan Gustav (Journal article; Tidsskriftartikkel; Peer reviewed, 2020-03-05)
      <p><i>Background:</i> Electronic health (eHealth) has been described as a silver bullet for addressing how challenges of the current health care system may be solved by technological solutions in future strategies and visions for modern health care. However, the evidence of its effects on service quality and cost effectiveness remains unclear. In addition, patients’ psychological and emotional ...
    • Impact on continuity of care of decentralized versus partly centralized mental health care in Northern Norway 

      Myklebust, Lars Henrik Ryther; Olstad, Reidun E.; Bjorbekkmo, Svein; Eisemann, Martin; Wynn, Rolf; Sørgaard, Knut (Journal article; Tidsskriftartikkel; Peer reviewed, 2011)
      The issue of continuity of care is central in contemporary psychiatric services research. In Norway, inpatient admissions are mainly to take place locally, in a system of small bed-units that represent an alternative to traditional central psychiatric hospitals. This type of organization may be advantageous for accessibility and cooperation, but has been given little scientific attention. To study ...
    • Impact on patient-provider relationship and documentation practices when mental health patients access their electronic health records online: a qualitative study among health professionals in an outpatient setting 

      Zanaboni, Paolo; Kristiansen, Eli; Lintvedt, Ove; Wynn, Rolf; Johansen, Monika Alise; Sørensen, Tove; Fagerlund, Asbjørn Johansen (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-07-28)
      Background - Patient accessible electronic health records (PAEHR) hold the potential to increase patient empowerment, especially for patients with complex, long-term or chronic conditions. However, evidence of its benefits for patients who undergo mental health treatment is unclear and inconsistent, and several concerns towards use of PAEHR emerged among health professionals. This study aimed at ...
    • The importance of cultural awareness when planning and implementing telepsychiatric services in rural and remote areas 

      Acharibasam, Jeremiah; Wynn, Rolf (Journal article; Tidsskriftartikkel; Peer reviewed, 2018-08-24)
      <p><i>Introduction</i>: Increasing populations and an increasing incidence of mental health problems challenge many developing countries, including Ghana. Long distances, financial limitations, lack of mental health personnel, and pessimism about the effectiveness of treatment, make it difficult for people to access help. In 2011, only 0.3% of Ghana’s 25 million population received psychiatric ...
    • Increased influence and collaboration: A qualitative study of patients' experiences of community treatment orders within an assertive community treatment setting 

      Stuen, Hanne Kilen; Rugkåsa, Jorun; Landheim, Anne; Wynn, Rolf (Journal article; Tidsskriftartikkel; Peer reviewed, 2015-09-23)
      <p><i>Background - </i>Since 2009, 14 assertive community treatment (ACT) teams have started up in Norway. Over 30 % of the patients treated by the ACT teams were subject to community treatment orders (CTOs) at intake. CTOs are legal mechanisms to secure treatment adherence for patients with severe mental illness. Little is known about patients’ views and experiences of CTOs within an ACT ...
    • Informed citizen and empowered citizen in health: results from an European survey 

      Santana, Silvina; Lausen, Berthold; Bujnowska-Fedak, M; Chronaki, C; Prokosch, H.-U.; Wynn, Rolf (Journal article; Tidsskriftartikkel; Peer reviewed, 2011)
      The knowledge about the relationship between health-related activities on the Internet (i.e. informed citizens) and individuals’ control over their own experiences of health or illness (i.e. empowered citizens) is valuable but scarce. In this paper, we investigate the correlation between four ways of using the Internet for information on health or illness and citizens attitudes and behaviours toward ...
    • Integrating psychoeducation in a basic computer skills course for people suffering from social anxiety: participants' experiences 

      Løhr, Hildegard Dorothea; Rosenvinge, Jan H; Wynn, Rolf (Journal article; Tidsskriftartikkel; Peer reviewed, 2011)
      We describe a psychoeducational program integrated in a basic computer skills course for participants suffering from social anxiety. The two main aims of the course were: that the participants learn basic computer skills, and that the participants learn to cope better with social anxiety. Computer skills were taught by a qualified teacher. Psychoeducation and cognitive therapy skills, including ...
    • Internet-based provider-patient communication in Ghana: recent findings 

      Wynn, Rolf; Kwabia, Eric; Osei-Bonsu, Felix (Conference object; Konferansebidrag, 2016-11-15)
      While most people in the West have had easy access to the Internet for some time [1], with the dissemination of smart phones with Internet access this is now also rapidly becoming the case in West Africa [2]. Until recently, provider-patient communication has typically taken the form of face-toface interactions or telephone calls [3]. In Africa, the Internet and especially the social media are ...
    • Involuntary admission in Norwegian adult psychiatric hospitals: A systematic review 

      Wynn, Rolf (Journal article; Tidsskriftartikkel; Peer reviewed, 2018-03-22)
      Background: It is an important objective of the psychiatric services to keep the use of involuntary procedures to a minimum, as the use of coercion involves clinical, ethical, and legal issues. It has been claimed that Norway has a relatively high rate of involuntary admissions. We reviewed the peer-reviewed literature on the use of involuntary admission in Norway, with the purpose of identifying ...
    • Involuntary psychiatric admission: how the patients are detected and the general practitioners' expectations for hospitalization. An interview-based study 

      Røtvold, Ketil; Wynn, Rolf (Journal article; Tidsskriftartikkel; Peer reviewed, 2016-03-08)
      <p>Background: In Norway, it is usually GPs that refer patients to involuntary admission. A high proportion of such referrals come from out-of-hours clinics. Little is known about who first initiate the contact between the patients and the referring doctors and which expectations the referring doctors have with respect to the involuntary admissions. The aim of the study was to examine who first ...
    • Is there a negative impact of winter on mental distress and sleeping problems in the sub-arctic? 

      Johnsen, May Trude; Wynn, Rolf; Bratlid, trond (Journal article; Tidsskriftartikkel; Peer reviewed, 2012)
    • Is there a weekly pattern for health information searching and is the pattern unique to health topics? 

      Gabarron, Elia; Lau, Annie YS; Wynn, Rolf (Journal article; Tidsskriftartikkel; Peer reviewed, 2015-12)
      Background: Online health information–seeking behaviors have been reported to be more common at the beginning of the workweek. This behavior pattern has been interpreted as a kind of “healthy new start” or “fresh start” due to regrets or attempts to compensate for unhealthy behavior or poor choices made during the weekend. However, the observations regarding the most common health information–seeking ...
    • Language of motivation and emotion in an internet support group for smoking cessation: Explorative use of automated content analysis to measure regulatory focus 

      Johnsen, Jan-Are Kolset; Vambheim, Sara Magelssen; Wynn, Rolf; Wangberg, Silje C (Journal article; Tidsskriftartikkel; Peer reviewed, 2014)
      The present study describes a novel approach to the identification of the motivational processes in text data extracted from an Internet support group (ISG) for smoking cessation. Based on the previous findings that a “prevention” focus might be more relevant for maintaining behavior change, it was hypothesized that 1) language use (ie, the use of emotional words) signaling a “promotion” focus would ...
    • Large-Scale EHR Suites and Path-Dependence 

      Ellingsen, Gunnar; Hertzum, Morten; Christensen, Bente; Wynn, Rolf (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-06-29)
      Large-scale electronic health record (EHR) suites are expected to cover a broad range of use scenarios for healthcare workers in hospitals, nursing homes, home-care services, and general practitioner (GP) clinics. However, preparation for the implementation of EHR suites requires years of detailed planning and consumes considerable financial and human resources. A key problem, then, is that there ...
    • Local inpatient units may increase patients' utilization of outpatient services: A comparative cohort-study in Nordland County, Norway 

      Myklebust, Lars Henrik Ryther; Sørgaard, Knut W.; Wynn, Rolf (Journal article; Tidsskriftartikkel; Peer reviewed, 2015-10-28)
      Objectives: In the last few decades, there has been a restructuring of the psychiatric services in many countries. The complexity of these systems may represent a challenge to patients that suffer from serious psychiatric disorders. We examined whether local integration of inpatient and outpatient services in contrast to centralized institutions strengthened continuity of care. <p>Methods: Two ...
    • Local psychiatric beds appear to decrease the use of involuntary admission: A case-register study 

      Myklebust, Lars Henrik Ryther; Sørgaard, Knut; Wynn, Rolf (Journal article; Tidsskriftartikkel; Peer reviewed, 2014)
      Background: Studies on the effect of organizational factors on the involuntary admission of psychiatric patients have been few and yielded inconclusive results. The objective was to examine the importance of type of service-system, level of care, length of inpatient stay, gender, age, and diagnosis on rates of involuntary admission, by comparing one deinstitutionalized and one locally institutionalized ...