PROCOME – Hanna Öfverström's and Marta Roczniewska's group

PROCOME focuses on research on effects and implementation of innovative improvement programs in different type of organisations, with specific focus on health and social care. The research aims to increase knowledge regarding the effects and implementation of different types of improvement programs.

Part of the:

Our research projects

Patients in the driver's seat
a female doctor with a female patient Photo: FatCamera

Patients in the driver's seat

The programme (PiF) operated between 2019-2024 in close cooperation with people with long-term illness and their family members as well as the healthcare providers that serve them.
Building on these partnerships, the programme was built on patient-driven innovations to promote self-care and co-care and studied their implementation into everyday health services and the daily life of patients. Read more about the learnings of the programme here!

Publications

All publications from group members

If you are looking for a certain PROCOME member's publications list, please search "first name surname KI" and you'll find their KI profile page where the publications are automatically linked and updated.

2022

What matters to persons living with brain tumors and their informal caregivers? An interview study of qualities in interpersonal relations
Dahlberg M, Bylund A, Gustavsson P, Herlestam Calero T, Wannheden C
Soc Sci Med. 2022 Jan;292:114575. Epub 2021 Nov 18.

2021

A dynamic systems view of clinical genomics: a rich picture of the landscape in Australia using a complexity science lens
Long Jc, Gul H, Mcpherson E, Best S, Augustsson H, Churruca K, Ellis La, Braithwaite J
BMC medical genomics 2021;14(1):63-

A Participatory Intervention to Improve the Psychosocial Work Environment and Mental Health in Human Service Organisations. A Mixed Methods Evaluation Study
Cedstrand E, Nyberg A, Sanchez-bengtsson S, Alderling M, Augustsson H, Bodin T, Mölsted Alvesson H, Johansson G
International journal of environmental research and public health 2021;18(7):-

Determinants for the use and de-implementation of low-value care in health care: a scoping review
Augustsson H, Ingvarsson S, Nilsen P, Von Thiele Schwarz U, Muli I, Dervish J, Hasson H
Implementation science communications 2021;2(1):13-

Correction to: Walking the tightrope-perspectives on local politicians' role in implementing a national social care policy on evidence-based practice
Bäck A, Ståhl C, Von Thiele Schwarz U, Richter A, Hasson H
International journal of mental health systems 2021;15(1):46-

Determinants for the use and de-implementation of low-value care in health care: a scoping review
Augustsson H, Ingvarsson S, Nilsen P, Von Thiele Schwarz U, Muli I, Dervish J, Hasson H
Implementation science communications 2021;2(1):13-

How to design, implement and evaluate organizational interventions for maximum impact: the Sigtuna Principles
Schwarz Uv, Nielsen K, Edwards K, Hasson H, Ipsen C, Savage C, Abildgaard Js, Richter A, Lornudd C, Mazzocato P, Reed Je
EUROPEAN JOURNAL OF WORK AND ORGANIZATIONAL PSYCHOLOGY 2021;30(3):415-427

In the eye of the beholder: how self-other agreements influence leadership training outcomes as perceived by leaders and their followers (Jan, 10.1007/s10869-020-09730-3, 2021)
Nielsen K, Tafvelin S, Schwarz Uv, Hasson H
JOURNAL OF BUSINESS AND PSYCHOLOGY 2021;

Primary care physicians' views of standardised care pathways in cancer care: A Swedish qualitative study on implementation experiences
Wells Mb, Delilovic S, Gunnarsson M, Dervish J, Von Knorring M, Hasson H
EUROPEAN JOURNAL OF CANCER CARE 2021;:e13426-

Professionals' management of the fidelity-adaptation dilemma in the use of evidence-based interventions-an intervention study
Von Thiele Schwarz U, Giannotta F, Neher M, Zetterlund J, Hasson H
Implementation science communications 2021;2(1):31-

What about me? The impact of employee change agents' person-role fit on their job satisfaction during organisational change
Nielsen K, Dawson J, Hasson H, Schwarz Uv
WORK AND STRESS 2021;35(1):57-73

Working with national quality registries in older people care: A qualitative study of perceived impact on assistant nurses' work situation
Westerlund A, Sparring V, Hasson H, Weinehall L, Nystrom Me
NURSING OPEN 2021;8(1):130-139

Sharing Patient-Controlled Real-World Data Through the Application of the Theory of Commons: Action Research Case Study
Hager A, Lindblad S, Brommels M, Salomonsson S, Wannheden C
JOURNAL OF MEDICAL INTERNET RESEARCH 2021;23(1):e16842-

2020

Change and improvement 50years in the making: a scoping review of the use of soft systems methodology in healthcare
Augustsson H, Churruca K, Braithwaite J
BMC HEALTH SERVICES RESEARCH 2020;20(1):1063-

Implementation of e-mental health for depression and anxiety: A critical scoping review
Ellis La, Augustsson H, Grodahl Ai, Pomare C, Churruca K, Long Jc, Ludlow K, Zurynski Ya, Braithwaite J
JOURNAL OF COMMUNITY PSYCHOLOGY 2020;48(3):904-920

Study protocol of a co-created primary organizational-level intervention with the aim to improve organizational and social working conditions and decrease stress within the construction industry - a controlled trial
Cedstrand E, Nyberg A, Bodin T, Augustsson H, Johansson G
BMC PUBLIC HEALTH 2020;20(1):424-

Why do they do it? A grounded theory study of the use of low-value care among primary health care physicians
Ingvarsson S, Augustsson H, Hasson H, Nilsen P, Schwarz Uv, Von Knorring M
IMPLEMENTATION SCIENCE 2020;15(1):93-

Facing education reform: Change-related self-efficacy is linked to job insecurity via appraisal. Economic and Industrial Democracy.
Roczniewska, M., Puchalska-Kamińska, M., & Łądka-Barańska, A. (2020). https://doi.org/10.1177/0143831X20975479

I believe I can craft! introducing Job Crafting Self-Efficacy Scale (JCSES)
Roczniewska, M., Rogala, A., Puchalska-Kaminska, M., Cieślak, R., & Retowski, S. (2020). PloS one, 15(8), e0237250.

Predicting Sustainable Employability in Swedish Healthcare: The Complexity of Social Job Resources.
Roczniewska, M., Richter, A., Hasson, H., & Schwarz, U. V. T. (2020).  
International Journal of Environmental Research and Public Health, 17(4), 1200.

Aligning Perspectives?-Comparison of Top and Middle-Level Managers' Views on How Organization Influences Implementation of evidence-based practice
Back A, Schwarz Uv, Hasson H, Richter A
BRITISH JOURNAL OF SOCIAL WORK 2020;50(4):1126-1145

A Piece of the Boardroom Pie-An Interview Study Exploring What Drives Swedish Corporate Boards' Engagement in Occupational Health and Safety
Lornudd C, Stenfors T, Hasson H, Frykman M, Sundberg Cj, Schwarz Uvt
Journal of occupational and environmental medicine 2020;62(6):389-397

A typology of useful evidence: approaches to increase the practical value of intervention research
Hasson H, Leviton L, Schwarz Uv
BMC MEDICAL RESEARCH METHODOLOGY 2020;20(1):133-

Evaluation of iLead, a generic implementation leadership intervention: mixed-method preintervention-postintervention design
Richter A, Lornudd C, Von Thiele Schwarz U, Lundmark R, Mosson R, Eskner Skoger U, Hirvikoski T, Hasson H
BMJ open 2020;10(1):e033227-

Forms of participation: The development and application of a conceptual model of participation in work environment interventions
Abildgaard Js, Hasson H, Schwarz Uv, Lovseth Lt, Ala-laurinaho A, Nielsen K
ECONOMIC AND INDUSTRIAL DEMOCRACY 2020;41(3):746-769

How can evidence-based interventions give the best value for users in social services? Balance between adherence and adaptations: a study protocol
Hasson H, Gröndal H, Rundgren Åh, Avby G, Uvhagen H, Von Thiele Schwarz U
Implementation science communications 2020;1():15-

Predicting Sustainable Employability in Swedish Healthcare: The Complexity of Social Job Resources
Roczniewska M, Richter A, Hasson H, Schwarz Uvt
International journal of environmental research and public health 2020;17(4):-

Shared or different realities Self-other agreement on constructive and passive leadership and employee outcomes
Hasson H, Schwarz Uv, Tafvelin S
LEADERSHIP & ORGANIZATION DEVELOPMENT JOURNAL 2020;41(1):37-51

Why do they do it? A grounded theory study of the use of low-value care among primary health care physicians
Ingvarsson S, Augustsson H, Hasson H, Nilsen P, Schwarz Uv, Von Knorring M
IMPLEMENTATION SCIENCE 2020;15(1):93-

Evaluation of iLead, a generic implementation leadership intervention: mixed-method preintervention-postintervention design
Richter A, Lornudd C, Schwarz Uv, Lundmark R, Mosson R, Skoger Ue, Hirvikoski T, Hasson H
BMJ OPEN 2020;10(1):e033227-

Job Insecurity and Subsequent Actual Turnover: Rumination as a Valid Explanation?
Richter A, Vander Elst T, De Witte H
Frontiers in psychology 2020;11():712-

Predicting Sustainable Employability in Swedish Healthcare: The Complexity of Social Job Resources
Roczniewska M, Richter A, Hasson H, Schwarz Uv
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020;17(4):-

Validation of the QJIM: A measure of qualitative job insecurity
Blotenberg I, Richter A
WORK AND STRESS 2020;34(4):406-417

Digital tools as promoters for person-centered care practices in chronic care? Healthcare professionals' experiences from rheumatology care
Granstrom E, Wannheden C, Brommels M, Hvitfeldt H, Nystrom Me
BMC HEALTH SERVICES RESEARCH 2020;20(1):1108-

How People with Parkinson's Disease and Health Care Professionals Wish to Partner in Care Using eHealth: Co-Design Study
Wannheden C, Revenäs Å
Journal of medical Internet research 2020;22(9):e19195-

Satisfied or Frustrated? A Qualitative Analysis of Need Satisfying and Need Frustrating Experiences of Engaging With Digital Health Technology in Chronic Care
Wannheden C, Stenfors T, Stenling A, Von Thiele Schwarz U
Frontiers in public health 2020;8():623773-

2019

Building implementation capacity (BIC): a longitudinal mixed methods evaluation of a team intervention
Mosson R, Augustsson H, Bäck A, Åhström M, Von Thiele Schwarz U, Richter A, Gunnarsson M, Hasson H
BMC health services research 2019;19(1):287-

To do or not to do-balancing governance and professional autonomy to abandon low-value practices: a study protocol
Hasson H, Nilsen P, Augustsson H, Ingvarsson S, Korlén S, Von Thiele Schwarz U
Implementation science : IS 2019;14(1):70-

Messaging organizational change: How regulatory fit relates to openness to change through fairness perceptions. 
Roczniewska, M., & Higgins, E. T. (2019).
Journal of Experimental Social Psychology, 85, 103882.

Agreement of Safety Climate: Does it Affect Employees' and Managers' Health and Work Performance?
Tafvelin S, Hasson H
Journal of occupational and environmental medicine 2019;61(4):e125-e131

Are Formal Leaders the Only Ones Benefitting From Leadership Training? A Shared Leadership Perspective
Tafvelin S, Hasson H, Holmstrom S, Schwarz Uv
JOURNAL OF LEADERSHIP & ORGANIZATIONAL STUDIES 2019;26(1):32-43

Building implementation capacity (BIC): a longitudinal mixed methods evaluation of a team intervention
Mosson R, Augustsson H, Bäck A, Åhström M, Von Thiele Schwarz U, Richter A, Gunnarsson M, Hasson H
BMC health services research 2019;19(1):287-

Employees' and line managers' active involvement in participatory organizational interventions: Examining direct, reversed, and reciprocal effects on well-being
Tafvelin S, Von Thiele Schwarz U, Nielsen K, Hasson H
Stress and health : journal of the International Society for the Investigation of Stress 2019;35(1):69-80

Feasibility of referral to a therapist for assessment of psychiatric problems in primary care - an interview study
Pettersson A, Modin S, Hasson H, Krakau I
BMC family practice 2019;20(1):117-

Fostering international collaboration in implementation science and research: a concept mapping exploratory study
Aarons Ga, Seijo C, Green Ae, Moullin Jc, Hasson H, Von Thiele Schwarz U, James S, Ehrhart Mg, Ducarroz S, Sevdalis N, Willging C
BMC research notes 2019;12(1):778-

Implementation of a national policy for improving health and social care: a comparative case study using the Consolidated Framework for Implementation Research
Strehlenert H, Hansson J, Nyström Me, Hasson H
BMC health services research 2019;19(1):730-

Implementing standardized cancer patient pathways (CPPs) - a qualitative study exploring the perspectives of health care professionals
Delilovic S, Hasson H, Åhström M, Von Knorring M
BMC health services research 2019;19(1):577-

Leader-team perceptual distance affects outcomes of leadership training: Examining safety leadership and follower safety self-efficacy
Tafvelin S, Nielsen K, Abildgaard Js, Richter A, Schwarz Uv, Hasson H
SAFETY SCIENCE 2019;:25-31

Leading for Safety: A Question of Leadership Focus
Molnar Mm, Schwarz Uv, Hellgren J, Hasson H, Tafvelin S
SAFETY AND HEALTH AT WORK 2019;10(2):180-187

The Value Equation: Three complementary propositions for reconciling fidelity and adaptation in evidence-based practice implementation
Von Thiele Schwarz U, Aarons Ga, Hasson H
BMC health services research 2019;19(1):868-

To do or not to do-balancing governance and professional autonomy to abandon low-value practices: a study protocol
Hasson H, Nilsen P, Augustsson H, Ingvarsson S, Korlén S, Von Thiele Schwarz U
Implementation science : IS 2019;14(1):70-

What happened and why? A programme theory-based qualitative evaluation of a healthcare-academia partnership reform in primary care
Uvhagen H, Hasson H, Hansson J, Von Knorring M
BMC health services research 2019;19(1):785-

A Meta-Analysis of Job Insecurity and Employee Performance: Testing Temporal Aspects, Rating Source, Welfare Regime, and Union Density as Moderators
Sverke M, Lastad L, Hellgren J, Richter A, Naswall K
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019;16(14):-

Building implementation capacity (BIC): a longitudinal mixed methods evaluation of a team intervention
Mosson R, Augustsson H, Bäck A, Åhström M, Von Thiele Schwarz U, Richter A, Gunnarsson M, Hasson H
BMC health services research 2019;19(1):287-

Job insecurity and trust: Uncovering a mechanism linking job insecurity to well-being
Richter A, Naswall K
WORK AND STRESS 2019;33(1):22-40

Leader-team perceptual distance affects outcomes of leadership training: Examining safety leadership and follower safety self-efficacy
Tafvelin S, Nielsen K, Abildgaard Js, Richter A, Schwarz Uv, Hasson H
SAFETY SCIENCE 2019;:25-31

Enhanced Patient Activation in Cancer Care Transitions: Protocol for a Randomized Controlled Trial of a Tailored Electronic Health Intervention for Men With Prostate Cancer
Ekstedt M, Schildmeijer K, Wennerberg C, Nilsson L, Wannheden C, Hellström A
JMIR research protocols 2019;8(3):e11625-

Through the eye of the service user representative, what key components contribute to value in integrated mental-health and social care services?
Klinga C, Hasson H, Sachs Ma, Hansson J, Wannheden C
INTERNATIONAL JOURNAL OF INTEGRATED CARE 2019;

2018

Empirical and conceptual investigation of de-implementation of low-value care from professional and health care system perspectives: a study protocol
Hasson H, Nilsen P, Augustsson H, Von Thiele Schwarz U
Implementation science : IS 2018;13(1):67-

The Need for Dual Openness to Change: A Longitudinal Study Evaluating the Impact of Employees' Openness to Organizational Change Content and Process on Intervention Outcomes
Augustsson H, Richter A, Hasson H, Schwarz Uv
JOURNAL OF APPLIED BEHAVIORAL SCIENCE 2017;53(3):349-368

Promotion or Prevention Messaging?: A Field Study on What Works When You Still Have to Work. 
Roczniewska, M. A., & Higgins, E. T. (2018).
Frontiers in psychology, 9, 1990.

Colliding ideals - an interview study of how intervention researchers address adherence and adaptations in replication studies
Von Thiele Schwarz U, Förberg U, Sundell K, Hasson H
BMC medical research methodology 2018;18(1):36-

Empirical and conceptual investigation of de-implementation of low-value care from professional and health care system perspectives: a study protocol
Hasson H, Nilsen P, Augustsson H, Von Thiele Schwarz U
Implementation science : IS 2018;13(1):67-

Factors influencing early stage healthcare-academia partnerships
Uvhagen H, Von Knorring M, Hasson H, Øvretveit J, Hansson J
International journal of health care quality assurance 2018;31(1):28-40

How do iLead? Validation of a scale measuring active and passive implementation leadership in Swedish healthcare
Mosson R, Von Thiele Schwarz U, Hasson H, Lundmark R, Richter A
BMJ open 2018;8(6):e021992-

Leading top-down implementation processes: a qualitative study on the role of managers
Uvhagen H, Hasson H, Hansson J, Von Knorring M
BMC health services research 2018;18(1):562-

Making it fit: Associations of line managers' behaviours with the outcomes of an organizational-level intervention
Lundmark R, Von Thiele Schwarz U, Hasson H, Stenling A, Tafvelin S
Stress and health : journal of the International Society for the Investigation of Stress 2018;34(1):163-174

The Impact of Inner and Outer Context on Line Managers' Implementation Leadership
Mosson R, Schwarz Uv, Richter A, Hasson H
BRITISH JOURNAL OF SOCIAL WORK 2018;48(5):1447-1468

Understanding the dynamics of sustainable change: A 20-year case study of integrated health and social care
Klinga C, Hasson H, Andreen Sachs M, Hansson J
BMC health services research 2018;18(1):400-

How do iLead? Validation of a scale measuring active and passive implementation leadership in Swedish healthcare
Mosson R, Von Thiele Schwarz U, Hasson H, Lundmark R, Richter A
BMJ open 2018;8(6):e021992-

The associations between job insecurity, depressive symptoms and burnout: The role of performance-based self-esteem
Blom V, Richter A, Hallsten L, Svedberg P
ECONOMIC AND INDUSTRIAL DEMOCRACY 2018;39(1):48-63

The development and validation of a scale to explore staff experience of governance of economic efficiency and quality (GOV-EQ) of health care
Korlén S, Richter A, Amer-wåhlin I, Lindgren P, Von Thiele Schwarz U
BMC health services research 2018;18(1):963-

The Impact of Inner and Outer Context on Line Managers' Implementation Leadership
Mosson R, Schwarz Uv, Richter A, Hasson H
BRITISH JOURNAL OF SOCIAL WORK 2018;48(5):1447-1468

Co-Designing an eHealth Service for the Co-Care of Parkinson Disease: Explorative Study of Values and Challenges
Revenäs Å, Hvitfeldt Forsberg H, Granström E, Wannheden C
JMIR research protocols 2018;7(10):e11278-

Developing an eHealth Tool to Support Patient Empowerment at Home
Schildmeijer K, Wannheden C, Nilsson L, Frykholm O, Hellström A, Flink M, Ekstedt M
Studies in health technology and informatics 2018;247():925-929

Incidence of tuberculosis and the need of prophylactic treatment in persons living with HIV in Stockholm during the era of anti-retroviral therapy 1996-2013
Norrby M, Wannheden C, Ekström Am, Berggren I, Lindquist L
Infectious diseases (London, England) 2018;50(11-12):807-816

2017

How Person-Organization Fit Impacts Employees’ Perceptions of Justice and Well-being. 
Roczniewska, M., Retowski, S., & Higgins, E. T. (2017).
Frontiers in Psychology, 8, 2318.

Are managers also ‘crafting leaders’? The link between organizational rank, autonomy, and job crafting. 
Roczniewska, M. A., & Puchalska-Kamińska, M. (2017).
Polish Psychological Bulletin, 48(2), 198-211.

Clinical interventions, implementation interventions, and the potential greyness in between -a discussion paper
Eldh Ac, Almost J, Decorby-watson K, Gifford W, Harvey G, Hasson H, Kenny D, Moodie S, Wallin L, Yost J
BMC health services research 2017;17(1):16-

Exploring the Role of Line Managers in Implementing Evidence-Based Practice in Social Services and Older People Care
Mosson R, Hasson H, Wallin L, Schwarz Uv
BRITISH JOURNAL OF SOCIAL WORK 2017;47(2):542-560

In agreement? Leader-team perceptual distance in organizational learning affects work performance
Tafvelin S, Schwarz Uv, Hasson H
JOURNAL OF BUSINESS RESEARCH 2017;:1-7

Leading for change: line managers' influence on the outcomes of an occupational health intervention
Lundmark R, Hasson H, Schwarz Uv, Hasson D, Tafvelin S
WORK AND STRESS 2017;31(3):276-296

Meeting patient needs trumps adherence. A cross-sectional study of adherence and adaptations when national guidelines are used in practice
Kakeeto M, Lundmark R, Hasson H, Von Thiele Schwarz U
Journal of evaluation in clinical practice 2017;23(4):830-838

The Need for Dual Openness to Change: A Longitudinal Study Evaluating the Impact of Employees' Openness to Organizational Change Content and Process on Intervention Outcomes
Augustsson H, Richter A, Hasson H, Schwarz Uv
JOURNAL OF APPLIED BEHAVIORAL SCIENCE 2017;53(3):349-368

The work is never ending: uncovering teamwork sustainability using realistic evaluation
Frykman M, Von Thiele Schwarz U, Muntlin Athlin Å, Hasson H, Mazzocato P
Journal of health organization and management 2017;31(1):64-81

Using kaizen to improve employee well-being: Results from two organizational intervention studies
Von Thiele Schwarz U, Nielsen Km, Stenfors-hayes T, Hasson H
Human relations; studies towards the integration of the social sciences 2017;70(8):966-993

The Need for Dual Openness to Change: A Longitudinal Study Evaluating the Impact of Employees' Openness to Organizational Change Content and Process on Intervention Outcomes
Augustsson H, Richter A, Hasson H, Schwarz Uv
JOURNAL OF APPLIED BEHAVIORAL SCIENCE 2017;53(3):349-368

Boosting Quality Registries with Clinical Decision Support Functionality*. User Acceptance of a Prototype Applied to HIV/TB Drug Therapy
Wannheden C, Hvitfeldt-forsberg H, Eftimovska E, Westling K, Ellenius J
Methods of information in medicine 2017;56(4):339-343

Funding

Grants

  • Swedish Research Council for Health Working Life and Welfare
    1 January 2025 - 31 December 2027
    Research problem and specific questions: The acute staffing crisis in healthcare calls for the need to redesign care delivery models to meet the needs of patients in efficient ways. Remote patient monitoring (RPM) has been proposed as a new model of care to achieve this. Yet, RPM often fails to be implemented due to difficulties in integrating new or changed tasks into the daily work of an already strained workforce. Task shifting has been recommended as a strategy to make best use of available resources, but the shifting of tasks from healthcare staff to patients, caregivers, and digital health technologies remains largely unexplored. Our specific research questions are:How do healthcare professionals, patients, and informal caregivers experience their work tasks related to RPM?How can task shifting and sharing be made explicit in the context of RPM?How does the shifting and sharing of tasks in the context of RPM influence patient, caregiver, and staff experiences?How does the shifting and sharing of tasks in the context of RPM influence healthcare costs?Data and method: The study context will involve four hospitals in the Stockholm Region that are developing RPM services for various care processes. We will engage with the hospitals using an action research approach involving three phases. In phase 1, we will explore experiences of work tasks related to RPM
    in phase 2, we will engage relevant actors in co-designing task shifting strategies
    in phase 3, we will evaluate experiences and costs of task shifting. Data will be collected qualitatively (observations, interviews, focus group discussions, co-design workshops, documents) and quantitatively (questionnaires, care utilization, costs).Societal relevance and utilization: This project addresses the societal challenge of ensuring high-quality healthcare in the face of workforce shortages and increasing patient demands. By exploring how task shifting can be supported in the context of RPM, we aim to provide evidence-based solutions that can improve resource utilization in healthcare, and the experiences of healthcare professionals, patients, and informal caregivers.Plan for project realization: Access to the study setting has been established. Data collection and analysis will be carried out longitudinally by experienced researchers with interdisciplinary expertise, as well as co-researchers from the study context. The costs cover mainly personnel, analysis, and dissemination activities.
  • Swedish Research Council for Health Working Life and Welfare
    1 October 2023 - 30 September 2029
    Research problem and specific questions: This program sheds light on the implementation challenges involved in changing health determinants to achieve improvements in public health. The aim of the program is to explore implementation challenges related to decision-making and practical implementation of structural interventions as well as preventive programs and their implication for health equity. The program combines expertise in public health and implementation science with the goal of identifying ways to close the gaps in health among societal groups. Data and method: The program builds on complexity theory to reflect that implementation of public health initiative involves multiple, often interdependent, stakeholders, decisions and activities. The program has three phases. The first is an exploratory qualitative phase including interviews with local politicians and administrators (in municipalities and regions) to understand how they make decisions about public health, including how the needs of different societal groups and conflicting societal goals are prioritized. The second phase involves several naturalistic experiments of local implementation and de-implementation cases investigating barriers and facilitators to these processes, strategies to overcome barriers, management of fidelity and adaptations and implementation outcomes. This entails a participatory approach in which the local actors implement initiatives and participate in collecting data. Analysis includes qualitative and quantitative cross-case comparisons. In the third phase, implementation capacity-building interventions aimed at decision-makers and implementers of public health initiatives are designed and evaluated. Relevance and utilisation: Although Sweden has one of the most developed welfare systems and ambitious public health policy goals, health inequalities are growing and systematic inequalities in health remain in almost all health outcomes and determinants. Implementation of structural interventions and preventive programs are needed, yet implementation research shows that these too often fail to reach, retain and deliver value to those most in need. If implementation between groups diverge, implementation of public health initiatives may increase rather than decrease health inequalities. This program addresses this contradiction by developing new knowledge on how public health initiatives can be implemented for disadvantaged populations. Plan for program realisation: This multidisciplinary program takes a participatory approach involving three research environments at two universities. A total of 63% of the costs cover salaries for the 12 participating junior and senior researchers. Operating costs (15%) include reference group reimbursement, communication activities and data collection.
  • Swedish Research Council for Health Working Life and Welfare
    1 October 2023 - 30 September 2029
    Research problem and specific questionsAdults spend a considerable part of their waking hours in the workplace, which means that it is often singled out as an important arena for public health interventions. Nevertheless, the workplace has even greater potential to influence public health: the organization and design of the work itself can contribute to health  – or ill-health. Female dominated municipal administration stands out due to major problems with work-related ill-health which is rooted in problematic working conditions. The purpose of this program is to address ill-health in the female dominated municipal sector by mapping ill-health in occupations and at workplaces and by exploring organizational efforts intending to address its root causes. Data and method and plan for program realisationThe program consists of five projects. The first project uses longitudinal annual register data and quantitative methods to examine the association between female-dominated occupations, female-dominated workplaces, and sickness absence in the municipality sector and how different factors mediate these associations. The second project deals with governance linked to employees and first-line managers in the municipality and the consequences of increased autonomy in connection with trust-based governance. This part will be based on two questionnaire surveys that are designed based on qualitative interviews. The survey data will be analysed using quantitative methods. The third is a collaborative project with municipalities where organizational measures to achieve good health through a better balance between work requirements and resources are created and evaluated using a multi-method approach including both qualitative and quantitative methods. In the fourth project, an experiment examines politicians’ decisions that affect resource allocation in the municipality. This project too has a mixed methods-approach incompassing both qualitative and quantitative methods. Finally, an exploratory project is carried out based on new questions that arise by combining results from the various projects. Relevance and utilisationThe program is closely linked to the national overarching goal for public health, i.e. to create societal conditions for good and equal health in the entire population. The program´s research questions are clearly linked to four of the eight intermediate sub-goals for public health.The unique contribution of the program is that the research question is tackled across several system levels – from the labour market and societal perspective to the decision-making and organizational perspective using an interdisciplinary approach including the disciplines of public health, work life studies, business administration, psychology, sociology and economics. Through the project’s cross-disciplinary approach, the goal is ground-breaking new knowledge with a major impact on both policy and practice.
  • Swedish Research Council for Health Working Life and Welfare
    1 July 2023 - 30 June 2026
    Those who takes care of our youngest and oldest for a living tend to have poorer working condition than many others, causing ill health and sickness absence. Previous research has identified several organizational root-causes of work-related ill health, such as understaffing and low decision latitude, calling for solutions on the structural level, that is, in how work is organized, designed and managed. Yet, such organizational occupational health interventions (OOHI) are complex with many factors interacting, making them challenging to evaluate and often yielding inconclusive results. Research-practice collaboration and more sophisticated evaluation methods are needed. This project, co-designed between researchers at Mälardalen university and the municipality of Eskilstuna, aims to explore how a municipality can address root causes of work-related ill-health in female-dominated workplaces. This will be done through a co-creation process to design, implement and evaluate OOHIs in a collaborative, mixed-method, natural longitudinal experiment (around 50 intervention units
    3000 employees). Data collections, including questionnaires and workshops, are integrated in existing organizational processes to both yield new knowledge and support the local change process. Data will be analyzed using an innovative statistical method – coincidence analysis – making it possible to mirror the complex reality where factors may be necessary but not sufficient for reducing sickness absence, or sufficient, but not necessary. In addition, since senior managers are the gatekeepers of OOHIs, we will investigate their beliefs about causes of work-related ill health and if co-creation change those beliefs. This project creates an empirical foundation for a highly needed theory development that can help explain under which conditions implementation of OOHIs succeed or fail as well as provide actionable information for practitioners struggling with implementation.
  • Swedish Research Council for Health Working Life and Welfare
    1 July 2023 - 30 June 2029
    Among female dominated workplaces, municipal administration stands out due to major problems with work-related ill-health which is rooted in problematic working conditions. The purpose of this program is to address sickness absence in the female dominated municipal sector by mapping the ill-health in occupations and at workplaces and by exploring organizational efforts intending to address the root causes of this work-related ill-health. The program’s unique contribution is that the research question is tackled across several structural levels – from the labor market and societal perspective to the decision-making and organizational perspective using an interdisciplinary approach including the disciplines of sociology, psychology, economics, business administration and work life studies. The program consists of five projects. The first project uses longitudinal annual register data to examine the association between female-dominated occupations, female-dominated workplaces, and sickness absence in the municipality sector and how different factors mediate these associations. The second project deals with governance linked to employees and first-line managers in the municipality and the consequences of increased autonomy in connection with trust-based governance. This part will be based on two questionnaire surveys that are designed based on qualitative interviews. The third is a collaborative project with municipalities where organizational measures to achieve a better balance between work requirements and resources are created and evaluated using a multi-method approach. In the fourth project, an experiment examines politicians’ decisions that affect resource allocation in the municipality. Finally, an exploratory project is carried out based on new questions that arise by combining results from the various projects. Through the project’s cross-disciplinary approach, the goal is groundbreaking new knowledge with a major impact on both policy and practice.
  • Swedish Research Council for Health Working Life and Welfare
    1 July 2020 - 30 June 2024
  • Swedish Research Council for Health Working Life and Welfare
    1 July 2020 - 30 June 2024
  • Swedish Research Council for Health Working Life and Welfare
    1 July 2020 - 30 June 2024
  • Swedish Research Council for Health Working Life and Welfare
    1 December 2018 - 30 November 2024

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Collaborations

PROCOME has considerable national and international collaboration. PROCOME also collaborates with the Unit for Implementation and Evaluation at the Center for Epidemiology and Community Medicine at Stockholm County Council. The aim fo the unit is to provide evidence-based information, tools and support for implementation to the regional service and care managers and co-workers. Several of the members of the PROCOME research group also work part time at the Unit for Implementation and Evaluation.

Keywords:
Epidemiology Health Care Service and Management, Health Policy and Services and Health Economy Implementation Science Low-Value Care Occupational Health Show all
Content reviewer:
Hanna Öfverström
04-09-2025