Liselotte Schäfer Elinder

Liselotte Schäfer Elinder

Adjunct Professor | Research team leader
Visiting address: Solnavägen 1 E, 11365 Stockholm
Postal address: K9 Global folkhälsa, K9 GPH Schäfer Elinder, 171 77 Stockholm

About me

  • Adjunct professor in Public Health Sciences at the Department of Global Public Health [1] and leader of the reserach group Community Nutrition and Physical Activity [2]. I am also employed at the Centre for Epidemiology and Community Medicine, Region Stockholm [3] working with health promotion, disease prevention and R2P. After my PhD from the Academy of Technical Sciences in Denmark in 1990, I became a postdoc at researcher in the area of atherosclerosis research at Karolinska Institutet. In 1997 I became an associate professor in biochemistry. Shortly after, I got the opportunity to widen my competence in the area of public health by joining the Swedish National Institute of Public Health as head of the Unit for Diet and Physical Activity where I was engaged in the development of the Swedish Public Health Policy adopted in 2003. For 3 years, I served an adviser to the WHO Europe office in nutrition and physical activity. In 2006 I joined the Centre for Public Health in Stockholm County as head of the Unit for Applied Nutrition and returned to Karolinska Institutet as vice head for the Division of Intervention and Implementation Research, Department of Public Health Sciences where I became an adjunct senior lecturer in intervention and implementation research in 2013. In 2017 I was awarded professor in Public Health Sciences at the Department of Global Public Health.

    [1] https://ki.se/en/gph/department-of-global-public-health
    [2] https://ki.se/en/gph/community-nutrition-and-physical-activity-conpa-0
    [3] https://ces.regionstockholm.se/

Research

  • My research focuses on three main areas:
    * Epidemiological studies of healthy and sustainable dietary habits and physical activity and their upstream determinants
    * Multidisciplinary research on the development, implementation and evaluation of interventions and tools to promote health and prevent obesity and
    chronic diseases
    * Commissioned assignments within the group’s research competence

Teaching

  • Main activities:
    * Intervention and Implementation Research course 2454 (third cycle). Lecturer and examiner (5 ECTS)
    * Implementation and evaluation course in the Master of Public Health health promotion track, course leader and lecturer (7 ECTS)
    * Health, environment and society, medical students, lecturer

Articles

All other publications

Selected grants

  • A novel partnership model (Co-fam) for health promotion and early prevention of obesity – co-design and evaluation of family support for school and primary health care
    Swedish Research Council
    1 January 2025 - 31 December 2028
    Purpose and aims The aim is to co-design and evaluate a novel model for family support (Co-fam) linking school and primary health care to effectively promote health and prevent and manage obesity among children 6-12 years. Two evidence-based family support programs, the universal Healthy School Start and the targeted More and Less will be adapted and combined and delivered in a municipality with high levels of childhood obesity. We hypothesize that Co-fam is effective and feasible to implement with high fidelity and acceptable to professionals and families. Project organization, timeplan and methods The project will be carried out over 4 years consisting of a preparation phase where the model will be co-designed with stakeholders and an implementation and evaluation phase based on an implementation framework. Evaluation will take place in a controlled hybrid type-2 effectiveness-implementation study using mixed methods. Quantitative data will be collected on child and parent level and on fidelity to the model, and costs. Interviews will be performed with personnel and parents to assess acceptability and feasibility. Significance Bridging the gap between school and primary health care to reduce obesity and health inequalities has been urgently requested in national guidelines and recommendations but is still not done. By combining a universal and a targeted program we will create a new model tailored to family needs leaving no child behind and with great potential to be scaled up.
  • A partnership model for early prevention of cardiovascular disease – co-design and evaluation of a family support program for school and primary health care (Co-fam)
    Swedish Heart and Lung Foundation
    1 August 2024 - 31 July 2027
    Background Unhealthy diets, low physical activity and obesity are strong risk factors for chronic diseases. Schools are an ideal setting for implementing health promotion programs reaching all children. The universal Healthy School Start program (HSS) improves diet and physical activity of 6–7-year-old children and moderately reduces BMI in children with obesity. For younger children with overweight or obesity, the targeted parent support program More and Less (ML) effectively improves weight status and maintains effects long term. By combining and adapting the two evidence-based programs to older children, families with children 6-12 years can be offered a seamless family support program (Co-fam) tailored to individual needs and in line with national guidelines to improve child health and prevent future heart disease. Objectives Our hypothesis is that a family support program (Co-fam), co-designed between school and primary health care personnel and parents, is effective and feasible to implement with high fidelity, and acceptable by professionals and families. 1. Co-design a family support program for children 6-12 years including universal and targeted components together with school and primary health care to promote health, reduce overweight and obesity and prevent future CVD. 2. Evaluate the model in a case-control effectiveness-implementation study with health outcomes at child level, and fidelity and cost at organizational level. 3. A qualitative interview study with health professionals and parents to assess acceptability and feasibility of the model.
  • Implementation of evidence-based counselling within school health care to promote health and prevent disease
    National Research School for Care Sciences
    1 January 2018 - 1 January 2022
  • Swedish Research Council for Environment Agricultural Sciences and Spatial Planning
    1 January 2016 - 31 December 2019

Grants

  • Swedish Research Council for Health Working Life and Welfare
    1 January 2025 - 31 December 2027
    Research problem and hypothesisThis project aims to co-design and evaluate a novel model for family support (Co-fam) linking school and primary health care to promote healthy lifestyle and prevent and manage overweight and obesity among children 6-12 years. Two evidence-based family support programs, the universal Healthy School Start (HSS) and the targeted More and Less (ML) will be combined and delivered in a municipality with a high level of childhood obesity. We hypothesize that Co-fam is effective and feasible to implement with high fidelity and acceptable to professionals and families.Data and methodThe project will be carried out in two phases. In phase 1, the research team together with school and primary health care personnel and parents will co-design the model based on the implementation framework EPIS (Exploration, Preparation, Implementation, Sustainment). We will define referral criteria, identify barriers and facilitators of implementation, and design suitable implementation strategies. Adaptations will be made in both programs to children 6-12 years. Phase 2 consists of an 18-month controlled hybrid type 2 effectiveness-implementation study using mixed methods. Quantitative data will be collected on child and parent level and on fidelity to the model components and costs. Interviews will be performed with key personnel to assess acceptability and feasibility.Societal relevance and utilization The high prevalence of unhealthy behaviors, overweight and obesity among children underlines the societal relevance of this project. Combining a universal and a targeted program creates a new synergistic model tailored to all children’s and families’ needs with potential to be scaled up, lacking today. Bridging the gap between school and primary health care to reduce health inequalities has been urgently requested in national guidelines and recommendations.Plan for project realizationThis project will be performed by skilled intervention and implementation researchers in collaboration with personnel from schools, primary health care and parents. HSS, launched in 2022 in the municipality in collaboration with the education administration, is well-established in all public schools. A primary health care unit in the municipality, partner in this project, has started to implement ML with parents of pre-school age children. This means that the project partners are in the starting blocks and highly motivated to participate in this study.
  • Swedish Research Council for Health Working Life and Welfare
    10 December 2024 - 30 November 2026
    The purpose of the project is to develop a training and implementation support package to enhance the uptake and impact of the evidence-based Healthy School Start (HSS) family support programme. Family support is recommended in national guidelines for the prevention and treatment of unhealthy behaviours in children aged 6-12 years but is not provided routinely in Sweden today. In a series of randomised-controlled trials in areas with high health needs we have developed, implemented and evaluated this programme, which has shown beneficial effects on child diet, physical activity and weight development. Several school organisations are now interested in establishing the HSS permanently but need training and implementation support to get started. The ongoing IMPROVE implementation study, financed by Forte, is in its final stage and will provide essential knowledge on the type and level of implementation support needed for high fidelity, making this project very timely.Based on our extensive experience of the school context we will develop and provide a central training and implementation support package in collaboration with Karolinska Institutet Executive and Professional Education (KI-EPE) on the online platform Canvas. KI-EPE has a high level of credibility as a training provider for professionals. The target groups for the educational package are school administration personnel, school principals, teachers and school nurses. KI-EPE reaches a wide range of individuals in the health sector, schools, municipalities, school organisations and regions, providing an excellent opportunity to spread information about the training to a broad and relevant audience.This package will offer continuous technical support for implementation throughout Sweden at a reasonable cost for stakeholders. KI-EPE holds high quality and has the necessary competence to perform this training package successfully together with the researchers behind the programme.
  • Swedish Research Council
    1 December 2024 - 30 November 2028
    Purpose and aimsThe aim is to co-design and evaluate a novel model for family support (Co-fam) linking school and primary health care to effectively promote health and prevent and manage obesity among children 6-12 years. Two evidence-based family support programs, the universal Healthy School Start and the targeted More and Less will be adapted and combined and delivered in a municipality with high levels of childhood obesity. We hypothesize that Co-fam is effective and feasible to implement with high fidelity and acceptable to professionals and families.Project organization, timeplan and methodsThe project will be carried out over 4 years consisting of a preparation phase where the model will be co-designed with stakeholders and an implementation and evaluation phase based on an implementation framework. Evaluation will take place in a controlled hybrid type-2 effectiveness-implementation study using mixed methods. Quantitative data will be collected on child and parent level and on fidelity to the model, and costs. Interviews will be performed with personnel and parents to assess acceptability and feasibility.SignificanceBridging the gap between school and primary health care to reduce obesity and health inequalities has been urgently requested in national guidelines and recommendations but is still not done. By combining a universal and a targeted program we will create a new model tailored to family needs leaving no child behind and with great potential to be scaled up.
  • Evaluation of a health intervention through school health care to promote health and prevent disease
    Familjen Kamprads Stiftelse
    1 January 2017 - 1 January 2020
  • Effectiveness of a universal theory-based parental support programme within school health care targeting children's dietary habits , physical activity and body weight
    National Research School for Care Sciences
    1 January 2012 - 1 January 2016

Employments

  • Adjunct Professor, Department of Global Public Health, Karolinska Institutet, 2017-2029

Degrees and Education

  • Docent, Karolinska Institutet, 1997

Leadership and responsibility assignments

  • Research team leader, Community Nutrition and Physical Activity, Global Public Health, Karolinska Institutet, 2009-

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