Blar i forfatter "Fleten, Nils"
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Are environmental characteristics in the municipal eldercare, more closely associated with frequent short sick leave spells among employees than with total sick leave: a cross-sectional study
Stapelfeldt, CM; Nielsen, CV; Andersen, NT; Krane, Line; Fleten, Nils; Borg, V; Jensen, C (Journal article; Tidsskriftartikkel; Peer reviewed, 2013)Background: It has been suggested that frequent-, short-term sick leave is associated with work environment factors, whereas long-term sick leave is associated mainly with health factors. However, studies of the hypothesis of an association between a poor working environment and frequent short spells of sick leave are few and results are inconsistent. Therefore, we aimed to explore associations ... -
Childhood violence and adult chronic pain among indigenous Sami and non-Sami populations in Norway: a SAMINOR 2 questionnaire study
Eriksen, Astrid M.A.; Schei, Berit; Hansen, Ketil Lenert; Sørlie, Tore; Fleten, Nils; Javo, Cecilie (Journal article; Tidsskriftartikkel; Peer reviewed, 2016-10-31)Background: Internationally, studies have shown that childhood violence is associated with chronic pain in adulthood. However, to date, this relationship has not been examined in any indigenous population. <p> Objective: The main objectives of this study were to investigate the association between childhood violence and reported chronic pain, number of pain sites and the intensity of pain in ... -
Comparing the New Interdisciplinary Health in Work Intervention With Conventional Monodisciplinary Welfare Interventions at Norwegian Workplaces: Protocol for a Pragmatic Cluster Randomized Trial
Höper, Anje Christina; Terjesen, Christoffer Lilja; Fleten, Nils (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-04-07)Background: Musculoskeletal and mental health complaints are the dominant diagnostic categories in long-term sick leave and disability pensions in Norway. Continuing to work despite health complaints is often beneficial, and a good work environment can improve work inclusion for people affected. In 2001, the Norwegian Labour and Welfare Administration began to offer inclusive work measures to ... -
Decisions on sick leave certifications for acute airways infections based on vignettes: A cross-sectional survey of GPs in Norway and Poland
Halvorsen, Peder Andreas; Wennevold, Katrine; Fleten, Nils; Muras, Magdalena; Kowalczyk, Anna; Godycki-Cwirko, Maciek; Melbye, Hasse (Journal article; Tidsskriftartikkel; Peer reviewed, 2011-02-17)Objective. To explore whether frequency and duration of sick-leave certifi cation for acute airway infections differ between general practitioners (GPs) in Poland and Norway. Design . Cross-sectional survey. Setting. Educational courses for GPs. Intervention. We used a questionnaire with four vignettes presenting patients with symptoms consistent with pneumonia, sinusitis, common cold, and ... -
Effect of Inpatient Multicomponent Occupational Rehabilitation Versus Less Comprehensive Outpatient Rehabilitation on Sickness Absence in Persons with Musculoskeletal- or Mental Health Disorders: A Randomized Clinical Trial
Aasdahl, Lene; Pape, Kristine; Vasseljen, Ottar; Johnsen, Roar; Gismervik, Sigmund Østgård; Halsteinli, Vidar; Fleten, Nils; Nielsen, Claus Vinther; Fimland, Marius Steiro (Journal article; Tidsskriftartikkel; Peer reviewed, 2017-04-11)Purpose: To assess effects of an inpatient multi-component occupational rehabilitation program compared to less comprehensive outpatient rehabilitation on sickness absence in persons with musculoskeletal- or mental health disorders. <br>Methods: Randomized clinical trial with parallel groups. Participants were individuals 18–60 years old on sick-leave for 2–12 months with a sick-leave diagnosis ... -
Family practitioners' advice about taking time off work for lower respiratory tract infections: A prospective study in twelve European primary care networks
Godycki-Cwirko, M.; Nocun, Marek; Butler, Christopher C; Little, Paul; Verheij, Theo; Hood, Kerenza; Fleten, Nils; Kowalczyk, Anna; Melbye, Hasse (Journal article; Tidsskriftartikkel; Peer reviewed, 2016)Background Acute cough and lower respiratory tract infections (LRTIs) are one of the most important causes of lost working hours. Aim to explore variation and predictors in family practitioners (FPs) advice to patients with LRTIs about taking time off work in different European countries. Methods Prospective observational study in primary care networks in 12 countries, with multilevel ... -
HelseIArbeid – et tiltak for økt mestring og arbeidsdeltakelse? - Kvalitativ del. Følgeforskning på HelseIArbeid – Bedriftstiltaket. En brukerorientert kvalitativ, etnografisk studie fra to arbeidsplasser
Seppola-Edvardsen, Tone Mari; Fleten, Nils; Höper, Anje Christina (Research report; Forskningsrapport, 2023)<p>UiT Norges arktiske universitet ved Institutt for samfunnsmedisin har gjennomført følgeforskning på HelseIArbeid – Bedriftstiltaket (HIA) i Troms og Finnmark. Prosjektet er finansiert med FoU-midler fra Arbeids- og velferdsdirektoratet og interne midler fra UiT. <p>Tiltaket innebærer en satsing på helsefremmende og forebyggende kunnskapsformidling på arbeidsplassen, som grunnlag for mestring ... -
High referral rates to secondary care by general practitioners in Norway are associated with GPs' gender and specialist qualifications in family medicine, a study of 4350 consultations
Ringberg, Unni; Fleten, Nils; Deraas, Trygve Sigvart; Hasvold, Toralf; Førde, Olav Helge (Journal article; Tidsskriftartikkel; Peer reviewed, 2013)Referral rates of general practitioners (GPs) are an important determinant of secondary care utilization. The variation in these rates across GPs is considerable, and cannot be explained by patient morbidity alone. The main objective of this study was to assess the GPs’ referral rate to secondary care in Norway, any associations between the referral decision and patient, GP, health care characteristics ... -
Inpatient multimodal occupational rehabilitation reduces sickness absence among individuals with musculoskeletal and common mental health disorders: a randomized clinical trial.
Gismervik, Sigmund Østgård; Aasdahl, Lene; Vasseljen, Ottar; Fors, Egil Andreas; Rise, Marit By; Johnsen, Roar; Hara, Karen Walseth; Jacobsen, Henrik Børsting; Pape, Kristine; Fleten, Nils; Jensen, Chris; Fimland, Marius Steiro (Journal article; Tidsskriftartikkel; Peer reviewed, 2020)Objectives - This study aimed to investigate whether inpatient multimodal occupational rehabilitation (I-MORE) reduces sickness absence (SA) more than outpatient acceptance and commitment therapy (O-ACT) among individuals with musculoskeletal and mental health disorders.<p> <p>Methods - Individuals on sick leave (2-12 months) due to musculoskeletal or common mental health disorders were randomized ... -
Intertester reliability of shoulder complaints diagnoses in primary health care
Storheil, Benny; Klouman, Elise; Holmvik, Stian; Emaus, Nina; Fleten, Nils (Journal article; Tidsskriftartikkel; Peer reviewed, 2016-07-12)Objective: Shoulder complaints are frequently encountered in general practice, but precise diagnosing is challenging. This study investigated agreement of shoulder complaints diagnoses between clinicians in a primary health care setting. Design: Cross-sectional study. Setting: Four primary health care clinicians used patients’ history and functional examination of the shoulder by selective ... -
Length of sick leave – Why not ask the sick-listed? Sick-listed individuals predict their length of sick leave more accurately than professionals
Fleten, Nils; Johnsen, Roar; Førde, Olav Helge (Journal article; Tidsskriftartikkel; Peer reviewed, 2004-10-12)Background: The knowledge of factors accurately predicting the long lasting sick leaves is sparse, but information on medical condition is believed to be necessary to identify persons at risk. Based on the current practice, with identifying sick-listed individuals at risk of long-lasting sick leaves, the objectives of this study were to inquire the diagnostic accuracy of length of sick leaves ... -
The level of health anxiety before and during the COVID-19 pandemic
Norbye, Anja Margrete Davis; Farbu, Erlend Hoftun; Terjesen, Christoffer Lilja; Fleten, Nils; Höper, Anje Christina (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-05-24)Background<p> <p>Concerns about disease and an increase in health anxiety levels are expected consequences of the COVID-19 pandemic. However, there have been few longitudinal studies of health anxiety in the general population during this time period. The aim of this study was to examine health anxiety levels before and during the COVID-19 pandemic in an adult, working population in Norway. <p>Material ... -
Persistent pain associated with socioeconomic and personal factors in a Sami and Non-Sami population in Norway: an analysis of SAMINOR 2 survey data
Damsgård, Elin; Thrane, Gyrd; Fleten, Nils; Bagge, Johan; Sørlie, Tore; Anke, Audny; Broderstad, Ann Ragnhild (Journal article; Tidsskriftartikkel; Peer reviewed, 2020-08-11)In international studies, higher prevalence of persistent pain has been reported in indigenous populations compared to majority populations. The present study aimed to determine the prevalence of persistent pain within a Sami and a non-Sami population in northern Norway, with adjustment for the confounding factors of age, sex, marital status, education, income, mental health, smoking status and ... -
Prosjekt egenmelding Kristiansand kommune : evaluering av kontrollert intervensjonsforsøk i stor skala, med utvidet rett til egenmelding i kombinasjon med økt og formalisert samhandling mellom arbeidstaker og arbeidsplassen ved sykefravær
Fleten, Nils; Johnsen, Roar (Working paper; Arbeidsnotat, 2005) -
Rehabilitation time before disability pension
Støver, Morten; Pape, Kristine; Johnsen, Roar; Fleten, Nils; Sund, Erik; Claussen, Bjørgulf; Ose, Solveig Osborg; Bjørngaard, Johan Håkon (Journal article; Tidsskriftartikkel; Peer reviewed, 2012)The decision to grant a disability pension is usually the end of a long process of medical examinations, treatment and rehabilitation attempts. This study investigates to what extent the time spent on rehabilitation time prior to disability pension is associated with characteristics of the individual or the local employment and welfare office, measured as municipality variance. A study of 2,533 40 ... -
Reliability of sickness certificates in detecting potential sick leave reduction by modifying working conditions. A clinical epidemiology study
Fleten, Nils; Johnsen, Roar; Østrem, Bente Skipenes (Journal article; Tidsskriftartikkel; Peer reviewed, 2004-03-25)Background: Medical sickness certificates are generally the main source for information when scrutinizing the need for aimed intervention strategies to avoid or reduce the individual and community side effects of sick leave. This study explored the value of medical sickness certificates related to daily work in Norwegian National Insurance Offices to identify sick-listed persons, where modified ... -
Sick leave patterns as predictors of disability pension or long-term sick leave: A 6.75-year follow-up study in municipal eldercare workers
Stapelfeldt, C; Nielsen, C; Andersen, N; Krane, Line; Borg, Vilhelm; Fleten, Nils; Jensen, Chris (Journal article; Tidsskriftartikkel; Peer reviewed, 2014) -
The sick-listed : an under-recognised resource in handling sickness absence
Fleten, Nils (Doctoral thesis; Doktorgradsavhandling, 2006-04-29)In July 1993, several measures to stimulate return to work, like Active Sick Listing, formal decisions on sick leave beyond 12 weeks and commitments for employers to consider potential job adjustment were incorporated. The role of sickness as main cause to be entitled sickness benefits was simultaneously emphasised. However, despite av increasing focus on improving the necessary medical certificates ... -
Sickness absence patterns and trends in the health care sector: 5-year monitoring of female municipal employees in the health and care sectors in Norway and Denmark
Krane, Line; Johnsen, Roar; Fleten, Nils; Nielsen, Claus Vinther; Stapelfeldt, Christina Malmose; Jensen, Chris; Braaten, Tonje (Journal article; Tidsskriftartikkel; Peer reviewed, 2014) -
Unemployment and disability pension-an 18-year follow-up study of a 40-year-old population in a Norwegian county
Støver, Morten; Pape, Kristine; Johnsen, Roar; Fleten, Nils; Sund, Erik Reidar; Claussen, Bjørgulf; Bjørngaard, Johan Håkon (Journal article; Tidsskriftartikkel; Peer reviewed, 2012)This study explored the association of unemployment and an increased risk of receiving disability pension, and the possibility that this risk is attributed to municipality-specific characteristics. A cohort of 7,985 40-42 year olds was followed for 18 years in national registers, identifying new episodes of unemployment and cases of disability pension. The association between an unemployment period ...