{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T03:43:48Z","timestamp":1782791028105,"version":"3.54.5"},"reference-count":37,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T00:00:00Z","timestamp":1781049600000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100014791","name":"H\u00f6gskolan i Sk\u00f6vde","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100014791","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100021494","name":"Skaraborg Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100021494","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Scandinavian Caring Sciences"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Effective health\u2010promoting interventions can support older adults in maintaining and regaining good health and can foster healthy aging. The Reflective STRENGTH\u2010Giving Dialogues (STRENGTH) intervention was created to optimise a holistic healthcare delivery that supports older adults in learning to live with long\u2010term musculoskeletal pain. Findings from previous studies indicate that the dialogues contributed to an increased sense of well\u2010being and had an immediate pain\u2010alleviating effect. The aim of this extended study was to explore the health effects of the STRENGTH intervention among older community\u2010dwelling adults living with long\u2010term health problems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Older adults (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200947) in Sweden completed questionnaires inquiring about levels of well\u2010being, impact of health problems on daily life, depression symptom occurrences, health\u2010related quality of life, physical performance, and consumption of care using a quasi\u2010experimental design. Descriptive statistics were used to explain and compare results within groups. Data were collected before, during, and after the STRENGTH intervention in autumn 2017 and spring 2018. It consisted of health\u2010care professionals engaging in recurrent dialogues to guide and support older adults in ways that increase sense of well\u2010being, joy, strength, and meaning in life through carrying out small and large life projects.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>According to self\u2010reports, the STRENGTH intervention had immediate positive effects on perceived well\u2010being and health problems. From a longitudinal perspective, although no significant differences in health outcomes were found based on comparisons of baseline and follow\u2010up data within groups, positive effects were shown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>To contribute to healthy aging, HCPs need favourable conditions for conversations in care encounters, extensive knowledge about the importance and potential of dialogues, and an understanding of how to integrate dialogues into health and social care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/scs.70280","type":"journal-article","created":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T05:51:06Z","timestamp":1781157066000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Health Outcomes Following the Health\u2010Promoting \u201cReflective\n                    <scp>STRENGTH<\/scp>\n                    \u2010Giving Dialogue\u201d Intervention Among Community\u2010Dwelling Older Adults"],"prefix":"10.1111","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8554-352X","authenticated-orcid":false,"given":"Cecilia","family":"\u00c5berg","sequence":"first","affiliation":[{"name":"School of Health Sciences University of Sk\u00f6vde  Sk\u00f6vde Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3970-1288","authenticated-orcid":false,"given":"Catharina","family":"Gillsj\u00f6","sequence":"additional","affiliation":[{"name":"School of Health Sciences University of Sk\u00f6vde  Sk\u00f6vde Sweden"},{"name":"University of Rhode Island College of Nursing  Kingston Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2671-1041","authenticated-orcid":false,"given":"Mia","family":"Berglund","sequence":"additional","affiliation":[{"name":"School of Health Sciences University of Sk\u00f6vde  Sk\u00f6vde Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1819-0896","authenticated-orcid":false,"given":"Jenny","family":"Hallgren","sequence":"additional","affiliation":[{"name":"School of Health Sciences University of Sk\u00f6vde  Sk\u00f6vde Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,10]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"WHO \u201cAgeing: Healthy Ageing and Functional Ability \u201d(2020) https:\/\/www.who.int\/news\u2010room\/q\u2010a\u2010detail\/ageing\u2010health\u2010ageing\u2010and\u2010functional\u2010ability."},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13690\u2010020\u201000480\u20105"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11019\u2010008\u20109174\u20107"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/1539449215589728"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/opn.12431"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2015.0225"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.2147\/cia.S55925"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2016.1232367"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arr.2011.03.003"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12062\u2010019\u201009253\u20107"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10433\u2010020\u201000566\u20107"},{"key":"e_1_2_11_13_1","unstructured":"WHO \u201cWorld Report on Ageing and Health \u201d(2015) https:\/\/www.who.int\/ageing\/events\/world\u2010report\u20102015\u2010launch\/en\/."},{"key":"e_1_2_11_14_1","unstructured":"A.Nerg\u00e5rdh L.Andersson A.\u2010K.Brage N.Ekl\u00f6f C.\u2010O.Elg\u00e1n andM.Printz \u201cGod Och N\u00e4ra V\u00e5rd. 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