New technology and its impact on well being

Great changes have come about in the last decade regarding the organization of work. High technology and the steadily increasing ideology of technocracy has produced a profound effect on the organization of work in some workplaces. This effect has made the psychosocial and physical working environment tougher, especially for women. The results we are presenting here show that when dividing fishing factories into three technological stages; low technology, middle technology and high technology, the job strain was highest and the decision authority by the employee was lowest in the high technological factories. This even had an impact on health and on the atmosphere at the workplace, where the employees in the high technological factories were more likely to complain about several health problems as well as about low degrees of cheerfulness at the workplace and tiresome jobs. However, these same people were the most positive towards the implementation of the high technology and the new way of organizing their job that the technology introduced.     

Action theory: a tool for understanding in social work

This article presents a theoretical framework that can be used not only for understanding the client but also one's own action as a practitioner. This framework, which has its roots mainly within philosophy and social psychology, uses terms of everyday language that are given a more precise meaning in the conceptual analysis of the Finnish philosopher G. H. von Wright. The application of action theory to social work practice is briefly described. The approach can be seen as an expansion of the problem-solving method developed by Helen Harris Perlman.     

What matters most? Different stakeholder perspectives on estimands for an invented case study in COPD

In drug development, we ask ourselves which population, endpoint and treatment comparison should be investigated. In this context, we also debate what matters most to the different stakeholders that are involved in clinical drug development, for example, patients, physicians, regulators and payers. With the publication of draft ICH E9 addendum on estimands in 2017, we now have a common framework and language to discuss such questions in an informed and transparent way. This has led to the estimand discussion being a key element in study development, including design, analysis and interpretation of a treatment effect. At an invited session at the 2018 PSI annual conference, PSI hosted a role‐play debate where the aim of the session was to mimic a regulatory and payer scientific advice discussion for a COPD drug. Including role‐play views from an industry sponsor, a patient, a regulator and a payer. This paper presents the invented COPD case‐study design and considerations relating to appropriate estimands are discussed by each of the stakeholders from their differing viewpoints with the additional inclusion of a technical (academic) perspective. The rationale for each perspective on approaches for handling intercurrent events is presented, with a key emphasis on the application of while‐on‐treatment and treatment policy estimands in this context. It is increasingly recognised that the treatment effect estimated by the treatment policy approach may not always be of primary clinical interest and may not appropriately communicate to patients the efficacy they can expect if they take the treatment as directed.     

The predictive role of support in the birth experience: A longitudinal cohort study

Background

Several risk factors for negative birth experience have been identified, but little is known regarding the influence of social and midwifery support on the birth experience over time.

The Impact of Economic Crisis on Happiness

There is a common belief that economic crisis will lead to a decrease in subjective wellbeing. Previous studies indicate that income is correlated with happiness and unemployment with unhappiness. The relationship between increased income and happiness is well documented while the impact of decreased income has been less explored. The aim of this paper is to study how the economic downfall in Iceland, followed by reduced income and increased unemployment, affects happiness as well as to explore which groups are most vulnerable to changes in happiness and which are most resilient. The study is a longitudinal, nationally representative postal survey which assessed 5,918 individual’s aged 18–79. A total of 4,092 (77.3%) answered again in 2009. The relationship between economic factors and happiness was explored using multiple linear regression to find out how much they explain of the happiness variance and the changes in happiness, together with demographic factors, health and social relationships. Results indicate that income and unemployment did not predict happiness but financial difficulties did. A decrease in happiness was detected after the collapse. The change in happiness from 2007 to 2009 was normally distributed, 40% had the same score in both years and an equal number increased as decreased. The explored factors did not explain the changes in happiness. The economic crisis had a limited affect on happiness. Those with financial difficulties were hardest hit. Changes in happiness need to be studied further since they are not well explained by the factors which influence cross-sectional levels of happiness.     

Work or welfare – a dilemma in the declining Swedish welfare state

The number of welfare recipients among people of working age increased from 1985 to 1992 in Sweden. Unexpectedly, this increase also took place under the economic boom during the late 1980s, characterized by very low unemployment. This is shown in a study of a 10% representative sample of the Swedish population. Not only has the number of welfare recipients increased, there has been a parallel increase in the relative number of people who are gainfully employed. This trend prevails until 1991, when the employment rates start going down. Until then, the development is characterized by growing polarization (bifurcation) into those who depend on work for their subsistence and those who depend on transfer payments from the welfare system. The development of welfare dependence has been different for men and women. The reasons for this development are discussed. Data about the increasing cost of social security are also presented, showing that the welfare system has not been in any immediate economic crisis from 1985 to 1993.