Rolf Wynn

• Solbakken, Line Elisabeth; Bergvik, Svein Hugo & Wynn, Rolf (2024). Breaking down barriers to mental healthcare access in prison: a qualitative interview study with incarcerated males in Norway. BMC Psychiatry. ISSN 1471-244X. 24(1). doi: 10.1186/s12888-024-05736-w.
• Bystad, Martin Kragnes; Grønli, Ole Kristian & Wynn, Rolf (2024). Major depression mistaken as frontotemporal dementia due to PET scan. JRSM open. ISSN 2054-2704. doi: 10.1177/20542704241241113.
• Ramsdal, Gro Hilde & Wynn, Rolf (2024). Do Two Weeks in a Learning Camp after Ninth Grade Make a Difference? Experiences of Demotivated Boys with an Increased Risk of School Dropout. Behavioral Sciences. ISSN 2076-328X. 14(3). doi: 10.3390/bs14030189.
• Larbi, Dillys; Wynn, Rolf; Trondsen, Marianne Vibeke; Årsand, Eirik; Zanaboni, Paolo & Denecke, Kerstin [Show all 7 contributors for this article] (2024). What do adults living with obesity want from a chatbot for physical activity? – a qualitative study. BMC Digital Health. ISSN 2731-684X. 2. doi: 10.1186/s44247-024-00070-3. Full text in Research Archive
• Ramsdal, Gro Hilde & Wynn, Rolf (2024). Do fourteen days in a learning camp after ninth grade make a difference? Experiences of demotivated boys with an increased risk of school dropout. Behavioral Sciences. ISSN 2076-328X.
• Wynn, Rolf (2024). The patient or lay person as expert: A rejoinder. Communication & Medicine. An Interdisciplinary Journal of Healthcare, Ethics and Society. ISSN 1612-1783. 19(2), p. 186–188. doi: 10.1558/cam.26000.
• Ellingsen, Gunnar Adelsten; Hertzum, Morten; Severinsen, Gro-Hilde & Wynn, Rolf (2024). Medication Reconciliation as Repair Work. Studies in Health Technology and Informatics. ISSN 0926-9630. 310, p. 104–108. doi: 10.3233/SHTI230936.
• Ramsdal, Gro Hilde & Wynn, Rolf (2024). Guttas Campus sett fra et teoretisk ståsted. In Mekki, Omar; Roald, Knut & Tronsmo, Per (Ed.), Guttas Campus – et intensivt læringsløp for gutter som vil styrke seg faglig, personlig og sosialt. Cappelen Damm Akademisk. ISSN 9788202798031.
• Mevold, Silje; Johansen, Leif Inge; Wynn, Rolf & Ramsdal, Gro Hilde (2023). Experiences of individuals with intellectual disability who lecture in higher education. Frontiers in Psychiatry. ISSN 1664-0640. 14. doi: 10.3389/fpsyt.2023.1258337. Full text in Research Archive
• Ottosen, Karl-Ottar; Goll, Charlotte Bjørnskov; Wynn, Rolf & Sørlie, Tore (2023). ‘Days of Frustration’: A Qualitative Study of Adolescents’ Thoughts and Experiences of Schooling after Early Dropout. Behavioral Sciences. ISSN 2076-328X. 13(11). doi: 10.3390/bs13110894. Full text in Research Archive
• Solbakken, Line Elisabeth; Bergvik, Svein & Wynn, Rolf (2023). Beliefs about mental health in incarcerated males: a qualitative interview study. Frontiers in Psychiatry. ISSN 1664-0640. 14. doi: 10.3389/fpsyt.2023.1242756. Full text in Research Archive
• Oyeyemi, Sunday Oluwafemi; Fagbemi, Stephen; Busari, Ismaila Iyanda & Wynn, Rolf (2023). Belief in COVID-19 Conspiracy Theories, Level of Trust in Government Information, and Willingness to Take COVID-19 Vaccines Among Health Care Workers in Nigeria: Survey Study. JMIR Formative Research. ISSN 2561-326X. 7. doi: 10.2196/41925. Full text in Research Archive
• Krvavac, Sanja; Bystad, Martin Kragnes; Wynn, Rolf; Bukholm, Ida Rashida Khan & Jansson, Billy (2023). Characteristics of Patients Who Complete Suicide and Suicide Attempts While Undergoing Treatment in Norway: Findings from Compensation Claims Records. International Journal of Environmental Research and Public Health (IJERPH). ISSN 1661-7827. 20(5). doi: 10.3390/ijerph20054083. Full text in Research Archive
• Stelander, Line Tegner; Lorem, Geir F; Høye, Anne; Bramness, Jørgen Gustav; Wynn, Rolf & Grønli, Ole Kristian (2023). The effects of exceeding low-risk drinking thresholds on self-rated health and all-cause mortality in older adults: the Tromsø study 1994–2020. Archives of Public Health. ISSN 0778-7367. 81. doi: 10.1186/s13690-023-01035-0. Full text in Research Archive
• Denecke, Kerstin; Rivera-Romero, Octavio; Petersen, Carolyn; Benham-Hutchins, Marge; Cabrer, Miguel & Davies, Shauna [Show all 18 contributors for this article] (2023). Defining and Scoping Participatory Health Informatics - An eDelphi Study. Methods of Information in Medicine. ISSN 0026-1270. 62(03/04), p. 90–99. doi: 10.1055/a-2035-3008. Full text in Research Archive
• Gabarron, Elia; Skafle, Ingjerd; Nordahl-Hansen, Anders & Wynn, Rolf (2023). Social media interventions for autistic individuals: Systematic review. Frontiers in Psychiatry. ISSN 1664-0640. 14. doi: 10.3389/fpsyt.2023.1089452. Full text in Research Archive
• Bugge, Erlend; Wynn, Rolf; Mollnes, Tom Eirik; Reitan, Solveig Merete Klæbo; Lapid, Maria I. & Grønli, Ole Kristian (2023). C-reactive protein levels and depression in older and younger adults - A study of 19,947 individuals. The Tromsø study. Brain, Behavior, and Immunity - Health (BBI - Health). ISSN 2666-3546. 27:100571, p. 1–7. doi: 10.1016/j.bbih.2022.100571. Full text in Research Archive
• Ramsdal, Gro Hilde & Wynn, Rolf (2022). Theoretical Basis for a Group Intervention Aimed at Preventing High School Dropout: The Case of ‘Guttas Campus’. International Journal of Environmental Research and Public Health (IJERPH). ISSN 1661-7827. doi: 10.3390/ijerph192417025. Full text in Research Archive
• Krvavac, Sanja; Jansson, Billy; Bukholm, Ida Rashida Khan; Wynn, Rolf & Bystad, Martin Kragnes (2022). Patients Who Die by Suicide: A Study of Treatment Patterns and Patient Safety Incidents in Norway. International Journal of Environmental Research and Public Health (IJERPH). ISSN 1661-7827. 19(17). doi: 10.3390/ijerph191710686. Full text in Research Archive
• Solbakken, Line Elisabeth & Wynn, Rolf (2022). Barriers and opportunities to accessing social support in the transition from community to prison: A qualitative interview study with incarcerated individuals in Northern Norway. BMC Psychology. ISSN 2050-7283. 10, p. 1–11. doi: 10.1186/s40359-022-00895-5. Full text in Research Archive
• Skafle, Ingjerd; Nordahl-Hansen, Anders ; Quintana, Daniel; Wynn, Rolf & Gabarron, Elia (2022). Misinformation about Covid-19 Vaccines on Social Media: Rapid Review. Journal of Medical Internet Research. ISSN 1438-8871. 24(8). doi: 10.2196/37367. Full text in Research Archive
• Zanaboni, Paolo; Kristiansen, Eli; Lintvedt, Ove; Wynn, Rolf; Johansen, Monika Alise & Sørensen, Tove [Show all 7 contributors for this article] (2022). Impact on patient-provider relationship and documentation practices when mental health patients access their electronic health records online: a qualitative study among health professionals in an outpatient setting. BMC Psychiatry. ISSN 1471-244X. 22(1). doi: 10.1186/s12888-022-04123-7. Full text in Research Archive
• Ellingsen, Gunnar; Hertzum, Morten; Christensen, Bente & Wynn, Rolf (2022). Large-Scale EHR Suites and Path-Dependence. Studies in Health Technology and Informatics. ISSN 0926-9630. 295, p. 372–375. doi: 10.3233/SHTI220742. Full text in Research Archive
• Ellingsen, Gunnar; Christensen, Bente & Wynn, Rolf (2022). A Common Electronic Health Record for Norwegian Municipalities. In Otero, Paula; Martin, Susan Z. & Huesing, Elaine (Ed.), Medinfo 2021: One World, One Health. Proceedings of the 18th World Congress on Medical and Health Informatics. IOS Press. ISSN 978-1-64368-264-8. p. 1102–1103. doi: 10.3233/SHTI220288. Full text in Research Archive Show summary

  Large-scale electronic health record (EHR) systems have increasingly become a staple of the European healthcare market. The Norwegian health care authorities are planning for the acquisition of a common large-scale EHR system for 291 of Norway’s 356 municipalities. This has resulted in much controversy among the stakeholders. We explore the key contested areas.

• Ellingsen, Gunnar; Hertzum, Morten; Christensen, Bente & Wynn, Rolf (2022). National Integration Components Challenge the Epic Implementation in Central Norway. Studies in Health Technology and Informatics. ISSN 0926-9630. 294, p. 500–504. doi: 10.3233/SHTI220509. Full text in Research Archive
• Wynn, Rolf; Traver Salcedo, Vincente & Ellingsen, Gunnar (2022). The Rising Importance of e-Health in Norway. Studies in Health Technology and Informatics. ISSN 0926-9630. 294, p. 604–608. doi: 10.3233/SHTI220540. Full text in Research Archive
• Grønli, Ole Kristian; Bramness, Jørgen Gustav; Wynn, Rolf & Høye, Anne (2022). Depressive symptoms in the general population: The 7th Tromsø Study. Journal of Affective Disorders Reports. ISSN 2666-9153. 8, p. 1–6. doi: 10.1016/j.jadr.2022.100322. Full text in Research Archive
• Yigzaw, Kassaye Yitbarek; Chomutare, Taridzo; Wynn, Rolf; Berntsen, Gro Karine Rosvold & Bellika, Johan Gustav (2022). A Privacy-Preserving Audit and Feedback System for the Antibiotic Prescribing of General Practitioners: Survey Study. JMIR Formative Research. ISSN 2561-326X. 6(7). doi: 10.2196/31650. Full text in Research Archive
• Ramsdal, Gro Hilde & Wynn, Rolf (2022). Attachment and School Completion: Understanding Young People Who Have Dropped Out of High School and Important Factors in Their Re-Enrollment. International Journal of Environmental Research and Public Health (IJERPH). ISSN 1661-7827. 19(7). doi: 10.3390/ijerph19073938. Full text in Research Archive Show summary

  When students drop out of high school, this is often negative for their development as well as for society, as those who drop out have an increased risk of unemployment, health problems, and social problems. The aim of the present study was to synthesize knowledge regarding processes related to school dropout in general and school re-enrollment in particular. We performed a narrative review of the literature, focusing on Norwegian and Nordic studies, but we also included studies from other countries when relevant. We discussed the findings in relation to attachment theory and our own research on the topic. As a result, we identified five main challenges to upholding educationrelated goals in long-term dropout processes: lack of relatedness, overchallenged self-regulation capacity, compensating for a history of failure, wounded learner identities, and coping with prolonged stress. In conclusion, the identified challenges converged on the importance of belonging and social support. The prerequisite for addressing the challenges seemed to be the establishment of a trustful relationship between the students who have dropped out and at least one teacher, and preferably also with other supportive adults. These relationships may provide sufficient social support and aid the students’ motivation to complete school.

• Stelander, Line Tegner; Høye, Anne; Bramness, Jørgen Gustav; Wynn, Rolf & Grønli, Ole Kristian (2022). Sex differences in at-risk drinking and associated factors–a cross-sectional study of 8,616 community-dwelling adults 60 years and older: the Tromsø study, 2015-16. BMC Geriatrics. ISSN 1471-2318. 22. doi: 10.1186/s12877-022-02842-w. Full text in Research Archive
• Wynn, Rolf (2022). Drawing on the doctor-patient relationship in e-health services. Studies in Health Technology and Informatics. ISSN 0926-9630. 289, p. 160–161. doi: 10.3233/SHTI210883. Full text in Research Archive
• Ramsdal, Gro Hilde & Wynn, Rolf (2021). How young people who had dropped out of high school experienced their re-enrollment processes . International Journal of Educational Research. ISSN 0883-0355. 106. doi: 10.1016/j.ijer.2021.101732. Full text in Research Archive
• Gabarron, Elia; Larbi, Dillys; Årsand, Eirik & Wynn, Rolf (2021). Engaging Social Media Users with Health Education and Physical Activity Promotion. Studies in Health Technology and Informatics. ISSN 0926-9630. 281, p. 789–793. doi: 10.3233/SHTI210283. Full text in Research Archive
• Stelander, Line Tegner; Høye, Anne; Bramness, Jørgen Gustav; Selbæk, Geir; Lunde, Linn Heidi & Wynn, Rolf [Show all 7 contributors for this article] (2021). The changing alcohol drinking patterns among older adults show that women are closing the gender gap in more frequent drinking: The Tromsø Study, 1994 – 2016 . Substance Abuse Treatment, Prevention, and Policy. ISSN 1747-597X. 16. doi: 10.1186/s13011-021-00376-9. Full text in Research Archive Show summary

  Background As the population of older adults continues to grow, changes in alcohol consumption are important to monitor because an increase may have public health consequences. Rates of alcohol use vary with geographical location. The aim of this study was to examine trends in alcohol consumption among older adults in a geographically defined area in Norway, especially changing sex differences in drinking patterns over a 22-year period. Methods Repeated cross-sectional survey (in 1994–95, 2007–08, and 2015–16) of a general population of older adults. Eligible for this study were 20,939 participants (aged 60–99 years). The data were analysed using generalized estimating equations, stratified by age and sex. Alcohol consumption and drinking patterns were assessed, using an adaptation of the AUDIT-C. Results Between 1994 and 2016, there has been a significant increase in the proportion of current drinkers among older adults. Furthermore, the probability of frequent drinking (alcohol consumption at least twice weekly) increased significantly between 1994 and 2016, particularly among older women; OR 8.02 (CI 5.97–10.79) and OR 5.87 (CI 4.00–8.63) in the age groups 60–69 and 70+ respectively for women, and OR 4.13 (CI 3.42–4.99) and OR 3.10 (CI 2.41–3.99), in the age groups 60–69 and 70+ respectively for men. The majority of older adults drank small amounts of alcohol on typical drinking days, but there was an increasing probability of drinking three drinks or more on each occasion over the study period, except among women aged 70+ years. Conclusions Among older adults in Norway, alcohol consumption in terms of frequency and quantity on typical drinking days has increased considerably from 1996 to 2016. This change is in the opposite direction of what has been reported among younger adults. The gap between women and men in frequent drinking has been markedly narrowed, which indicate that women’s drinking patterns are approaching those of men. This may involve a need to change alcohol policy in Norway to more targeted interventions aimed at older people.

• Gabarron Hortal, Elia Dolores; Oyeyemi, Sunday Oluwafemi & Wynn, Rolf (2021). Covid-19-related misinformation on social media: a systematic review. Bulletin of the World Health Organization. ISSN 0042-9686. 99(6), p. 455–463A. doi: 10.2471/BLT.20.276782. Full text in Research Archive
• Agha, Riaz A.; Franchi, Thomas; Sohrabi, Catrin; Mathew, Ginimol; Kerwan, Ahmed & Thoma, Achilles [Show all 58 contributors for this article] (2020). The SCARE 2020 Guideline: Updating Consensus Surgical CAse REport (SCARE) Guidelines. International Journal of Surgery (IJS). ISSN 1743-9191. 84, p. 226–230. doi: 10.1016/j.ijsu.2020.10.034.
• Agha, Riaz A.; Sohrabi, Catrin; Mathew, Ginimol; Franchi, Thomas; Kerwan, Ahmed & O'Neill, Niamh [Show all 55 contributors for this article] (2020). The PROCESS 2020 Guideline: Updating Consensus Preferred Reporting Of CasE Series in Surgery (PROCESS) Guidelines. International Journal of Surgery (IJS). ISSN 1743-9191. 84, p. 231–235. doi: 10.1016/j.ijsu.2020.11.005.
• Gabarron, Elia; Larbi, Dillys; Dorronzoro, Enrique; Hasvold, Per Erlend; Wynn, Rolf & Årsand, Eirik (2020). Factors Engaging Users of Diabetes Social Media Channels on Facebook, Twitter, and Instagram: Observational Study. Journal of Medical Internet Research. ISSN 1438-8871. 22(9). doi: 10.2196/21204. Full text in Research Archive
• Wynn, Rolf (2020). E-health in Norway Before and During the Initial Phase of the Covid-19 Pandemic. Studies in Health Technology and Informatics. ISSN 0926-9630. 272, p. 9–12. doi: 10.3233/SHTI200480. Full text in Research Archive
• Bakland, Maria; Rosenvinge, Jan H; Wynn, Rolf; Sørlie, Venke; Sundgot-Borgen, Jorunn & Mathisen, Therese Fostervold [Show all 10 contributors for this article] (2020). A new treatment for eating disorders combining physical exercise and dietary therapy (the PED-t): experiences from patients who dropped out. International Journal of Qualitative Studies on Health and Well-being. ISSN 1748-2623. 15(1). doi: 10.1080/17482631.2020.1731994. Full text in Research Archive Show summary

  Purpose: Eating disorders (ED) are complex and severe illnesses where evidence-based treatment is needed to recover. However, about half of the patients with ED do not respond to treatments currently available, which call for efforts to expand the portfolio of treatments. The aim of this study was to explore experiences from patients who dropped out of a new treatment for bulimia nervosa and binge ED, combining physical exercise and dietary therapy (PED-t). Methods: We conducted open-ended face-to-face interviews. The interviews were transcribed verbatim and the data were analysed with a phenomenological hermeneutical approach. Results: Three themes emerged: “standing on the outside”, “unmet expectations” and “participation not a waste of time”. Feelings of standing on the outside were elicited by being different from other group members and having challenges with sharing thoughts. Unmet expectations were related to treatment content and intensity, as well as the development of unhealthy thoughts and behaviours. Finally, some positive experiences were voiced. Conclusion: A need to clarify pre-treatment expectations and refining criteria for treatment suitability is indicated. The findings have contributed to the chain of clinical evidence regarding the PED-t and may lead to treatment modifications improving the treatment and thereby reducing drop out.

• Yigzaw, Kassaye Yitbarek; Wynn, Rolf; Ruiz, Luis Marco; Budrionis, Andrius; Oyeyemi, Sunday Oluwafemi & Fagerlund, Asbjørn Johansen [Show all 7 contributors for this article] (2020). The association between health information seeking on the internet and physician visits (The Seventh Tromsø Study - Part 4): Population-based questionnaire study. Journal of Medical Internet Research. ISSN 1438-8871. 22:e13120(3), p. 1–18. doi: 10.2196/13120. Full text in Research Archive Show summary

  Background: The internet is being widely used for seeking health information. However, there is no consensus on the association between health information seeking on the internet and the use of health care services. Objective: We examined the association between health information seeking via the internet and physician visits. In addition, we investigated the association between online health information seeking and the decisions to visit and not to visit a physician. Methods: We used the cross-sectional electronic health (eHealth) data of 18,197 participants from the seventh survey of the Tromsø Study (Tromsø 7). The participants were aged ≥40 years and living in Tromsø, Norway. We used logistic regression models to examine the association between online health information seeking and physician visits, the decision to visit a physician, and the decision not to visit a physician, with adjustment for the demographic status, socioeconomic status, and health status of the participants. Results: The use of Web search engines was associated with a physician visit. However, the association was moderated by age, and the OR decreased as age increased. The ORs for the use of Web search engines were 1.99 (95% CI 1.94-2.02) and 1.07 (95% CI 1.03-1.12) at ages 40 and 80 years, respectively. The decision to visit a physician was associated with the use of Web search engines (OR 2.95, 95% CI 2.03-4.46), video search engines (OR 1.43, 95% CI 1.21-1.70), and health apps (OR 1.26, 95% CI 1.13-1.42). The association between social media use and the decision to visit a physician was moderated by gender. Women who used social media had 1.42 (95% CI 1.31-1.55) times higher odds of deciding to visit a physician, whereas the decision to visit a physician was not different between men who used social media and those who did not use social media. Conversely, the decision not to visit a physician was associated with the use of Web search engines (OR 2.78, 95% CI 1.92-4.18), video search engines (OR 1.27, 95% CI 1.07-1.51), social media (OR 1.28, 95% CI 1.10-1.49), and health apps (OR 1.20, 95% CI 1.07-1.35). Conclusions: Health information found on the internet was positively associated with both the decision to visit a physician and the decision not to visit a physician. However, the association of health information seeking with the decision to visit a physician was slightly stronger than the association with the decision not to visit a physician. This could imply that the use of eHealth services is associated with a resultant increase in physician visits. In summary, our findings suggest that the internet serves as a supplement to health care services rather than as a replacement.

• Wynn, Rolf; Oyeyemi, Sunday Oluwafemi; Budrionis, Andrius; Ruiz, Luis Marco; Yigzaw, Kassaye Yitbarek & Bellika, Johan Gustav (2020). Electronic Health Use in a Representative Sample of 18,497 Respondents in Norway (The Seventh Tromsø Study - Part 1): Population-Based Questionnaire Study. JMIR Medical Informatics. ISSN 2291-9694. 8(3). doi: 10.2196/13106. Full text in Research Archive Show summary

  Background: Electronic health (eHealth) services may help people obtain information and manage their health, and they are gaining attention as technology improves, and as traditional health services are placed under increasing strain. We present findings from the first representative, large-scale, population-based study of eHealth use in Norway. Objective: The objectives of this study were to examine the use of eHealth in a population above 40 years of age, the predictors of eHealth use, and the predictors of taking action following the use of these eHealth services. Methods: Data were collected through a questionnaire given to participants in the seventh survey of the Tromsø Study (Tromsø 7). The study involved a representative sample of the Norwegian population aged above 40 years old. A subset of the more extensive questionnaire was explicitly related to eHealth use. Data were analyzed using logistic regression analyses. Results: Approximately half (52.7%; 9752/18,497) of the respondents had used some form of eHealth services during the last year. About 58% (5624/9698) of the participants who had responded to a question about taking some type of action based on information gained from using eHealth services had done so. The variables of being a woman (OR 1.58; 95% CI 1.47-1.68), of younger age (40-49 year age group: OR 4.28, 95% CI 3.63-5.04), with a higher education (tertiary/long: OR 3.77, 95% CI 3.40-4.19), and a higher income (>1 million kr [US $100,000]: OR 2.19, 95% CI 1.77-2.70) all positively predicted the use of eHealth services. Not living with a spouse (OR 1.14, 95% CI 1.04-1.25), having seen a general practitioner (GP) in the last year (OR 1.66, 95% CI 1.53-1.80), and having had some disease (such as heart disease, cancer, asthma, etc; OR 1.29, 95% CI 1.18-1.41) also positively predicted eHealth use. Self-rated health status did not significantly influence eHealth use. Taking some action following eHealth use was predicted with the variables of being a woman (OR 1.16, 95% CI 1.07-1.27), being younger (40-49 year age group: OR 1.72, 95% CI 1.34-2.22), having a higher education (tertiary/long: OR 1.65, 95% CI 1.42-1.92), having seen a GP in the last year (OR 1.58, 95% CI 1.41-1.77), and having ever had a disease (such as heart disease, cancer or asthma; OR 1.26, 95% CI 1.14-1.39). Conclusions: eHealth appears to be an essential supplement to traditional health services for those aged above 40 years old, and especially so for the more resourceful. Being a woman, being younger, having higher education, having had a disease, and having seen a GP in the last year all positively predicted using the internet to get health information and taking some action based on this information.

• Ruiz, Luis Marco; Wynn, Rolf; Oyeyemi, Sunday Oluwafemi; Budrionis, Andrius; Yigzaw, Kassaye Yitbarek & Bellika, Johan Gustav (2020). Impact of Illness on Electronic Health Use (The Seventh Tromsø Study - Part 2): Population-Based Questionnaire Study. Journal of Medical Internet Research. ISSN 1438-8871. 22:e13116(3), p. 1–13. doi: 10.2196/13116. Full text in Research Archive Show summary

  Background: Patients who suffer from different diseases may use different electronic health (eHealth) resources. Thus, those who plan eHealth interventions should take into account which eHealth resources are used most frequently by patients that suffer from different diseases. Objective: The aim of this study was to understand the associations between different groups of chronic diseases and the use of different eHealth resources. Methods: Data from the seventh survey of the Tromsø Study (Tromsø 7) were analyzed to determine how different diseases influence the use of different eHealth resources. Specifically, the eHealth resources considered were use of apps, search engines, video services, and social media. The analysis contained data from 21,083 participants in the age group older than 40 years. A total of 15,585 (15,585/21,083; 73.92%) participants reported to have suffered some disease, 10,604 (10,604/21,083; 50.29%) participants reported to have used some kind of eHealth resource in the last year, and 7854 (7854/21,083; 37.25%) participants reported to have used some kind of eHealth resource in the last year and suffered (or had suffered) from some kind of specified disease. Logistic regression was used to determine which diseases significantly predicted the use of each eHealth resource. Results: The use of apps was increased among those individuals that (had) suffered from psychological problems (odds ratio [OR] 1.39, 95% CI 1.23-1.56) and cardiovascular diseases (OR 1.12, 95% CI 1.01-1.24) and those part-time workers that (had) suffered from any of the diseases classified as others (OR 2.08, 95% CI 1.35-3.32). The use of search engines for accessing health information increased among individuals who suffered from psychological problems (OR 1.39, 95% CI 1.25-1.55), cancer (OR 1.26, 95% CI 1.11-1.44), or any of the diseases classified as other diseases (OR 1.27, 95% CI 1.13-1.42). Regarding video services, their use for accessing health information was more likely when the participant was a man (OR 1.31, 95% CI 1.13-1.53), (had) suffered from psychological problems (OR 1.70, 95% CI 1.43-2.01), or (had) suffered from other diseases (OR 1.43, 95% CI 1.20-1.71). The factors associated with an increase in the use of social media for accessing health information were as follows: (had) suffered from psychological problems (OR 1.65, 95% CI 1.42-1.91), working part time (OR 1.35, 95% CI 0.62-2.63), receiving disability benefits (OR 1.42, 95% CI 1.14-1.76), having received an upper secondary school education (OR 1.20, 95% CI 1.03-1.38), being a man with a high household income (OR 1.67, 95% CI 1.07-2.60), suffering from cardiovascular diseases and having a high household income (OR 3.39, 95% CI 1.62-8.16), and suffering from respiratory diseases while being retired (OR 1.95, 95% CI 1.28-2.97). Conclusions: Our findings show that different diseases are currently associated with the use of different eHealth resources. This knowledge is useful for those who plan eHealth interventions as they can take into account which type of eHealth resource may be used for gaining the attention of the different user groups.

• Budrionis, Andrius; Wynn, Rolf; Ruiz, Luis Marco; Yigzaw, Kassaye Yitbarek; Bergvik, Svein & Oyeyemi, Sunday Oluwafemi [Show all 7 contributors for this article] (2020). Impact of the use of electronic health tools on the psychological and emotional well-being of electronic health service users (The Seventh Tromsø Study - Part 3): Population-based questionnaire study. Journal of Medical Internet Research. ISSN 1438-8871. 22:e13118(3), p. 1–16. doi: 10.2196/13118. Full text in Research Archive Show summary

  Background: Electronic health (eHealth) has been described as a silver bullet for addressing how challenges of the current health care system may be solved by technological solutions in future strategies and visions for modern health care. However, the evidence of its effects on service quality and cost effectiveness remains unclear. In addition, patients’ psychological and emotional reactions to using eHealth tools are rarely addressed by the scientific literature. Objective: This study aimed to assess how the psychological and emotional well-being of eHealth service users is affected by the use of eHealth tools. Methods: We analyzed data from a population-based survey in Norway, conducted in the years 2015-2016 and representing 10,604 eHealth users aged over 40 years, to identify how the use of eHealth tools was associated with feeling anxious, confused, knowledgeable, or reassured. Associations between these four emotional outcomes and the use of four types of eHealth services (Web search engines, video search engines, health apps, and social media) were analyzed using logistic regression models. Results: The use of eHealth tools made 72.41% (6740/9308) of the participants feel more knowledgeable and 47.49% (4421/9308) of the participants feel more reassured about their health status. However, 25.69% (2392/9308) reported feeling more anxious and 27.88% (2595/9308) reported feeling more confused using eHealth tools. A high level of education and not having a full-time job were associated with positive reactions and emotions (feeling more knowledgeable and reassured), whereas low self-reported health status and not having enough friends who could provide help and support predicted negative reactions and emotions (ie, feeling anxious and confused). Overall, the positive emotional effects of eHealth use (feeling knowledgeable and reassured) were relatively more prevalent among users aged over 40 years than the negative emotional effects (ie, feeling anxious and confused). About one-fourth of eHealth users reported being more confused and anxious after using eHealth services. Conclusions: The search for health information on the internet can be motivated by a range of factors and needs (not studied in this study), and people may experience a range of reactions and feelings following health information searching on the Web. Drawing on prior studies, we categorized reactions as positive and negative reactions. Some participants had negative reactions, which is challenging to resolve and should be taken into consideration by eHealth service providers when designing services (ie, including concrete information about how users can get more help and support). There is a need for more studies examining a greater range of reactions to online health information and factors that might predict negative reactions to health information on the Web.

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• Wynn, Rolf (2023). Psykiske plager hos veteraner. Behandling og støtte for personer med posttraumatisk stress. Cappelen Damm Akademisk. ISBN 9788202755201. 166 p.

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• Wynn, Rolf (2024). Psykiske plager hos veteraner.
• Wynn, Rolf (2024). Psykiske plager hos veteraner.
• Wynn, Rolf (2024). Psykiske plager hos veteraner.
• Wynn, Rolf; Bellika, Johan Gustav; Fernandez, Lorena & Salcedo, Vicente Traver (2024). THE POPULATION-BASED TROMSØ 8 STUDY AND E-MENTAL HEALTH.
• Ramsdal, Gro Hilde & Wynn, Rolf (2024). GUTTAS CAMPUS’ – PARTICIPANTS’ EXPERIENCES OF A GROUP-BASED INTERVENTION TO PREVENT SCHOOL DROPOUT.
• Wynn, Rolf; Mevold, Silje & Johansen, Leif Inge (2023). Experiences of individuals with intellectual disability who lecture in higher education. . Frontiers in Psychiatry. ISSN 1664-0640.
• Wynn, Rolf (2023). Psykiske plager hos veteraner.
• Bystad, Martin Kragnes; Aas, N.R.; Sollid, Viktoria & Wynn, Rolf (2023). Age, gender, and the fear of getting Alzheimer’s disease. European psychiatry. ISSN 0924-9338. 66. doi: 10.1192/j.eurpsy.2023.1440.
• Solbakken, Line Elisabeth & Wynn, Rolf (2023). Barriers and facilitators to help-seeking for mental health problems in prison: A qualitative interview study with incarcerated males in Northern Norway. European psychiatry. ISSN 0924-9338. 66, p. S881–S882. doi: 10.1192/j.eurpsy.2023.1866.
• Wynn, Rolf (2023). The importance of case reporting as a medical genre.
• Ramsdal, Gro Hilde & Wynn, Rolf (2023). A group-based intervention to prevent school dropout in Norway.
• Kantola, kristina garfjell; Hadler-Olsen, Elin Synnøve; Johnsen, Jan Are Kolset & Wynn, Rolf (2023). Oral health in Norwegian psychiatric inpatients.
• Wynn, Rolf; Fagerlund, Asbjørn Johansen; Gerstenberger, Ciprian-Virgil; Budrionis, Andrius & Zanaboni, Paolo (2023). Did granting patients access to the electronic health records change the writing of clinicians?
• Wynn, Rolf (2023). Velferdsteknologi, digital helse og bærekraft.
• Larbi, Dillys; Wynn, Rolf; Årsand, Eirik; Denecke, Kerstin; Zanaboni, Paolo & Gabarron, Elia (2023). Exploring Obese Adults' Preferences for a Physical Activity Chatbot: Qualitative Study. Studies in Health Technology and Informatics. ISSN 0926-9630. 302, p. 478–479. doi: 10.3233/SHTI230179.
• Wynn, Rolf & Ellingsen, Gunnar (2023). Clinical implications of covert recording: A rejoinder. Communication & Medicine. An Interdisciplinary Journal of Healthcare, Ethics and Society. ISSN 1612-1783. 19(1), p. 90–92. doi: 10.1558/cam.22766.
• Wynn, Rolf & Bystad, Martin Kragnes (2022). The integration of home-based interventions for psychiatric care. International Journal of Integrated Care (IJIC). ISSN 1568-4156. 22, p. 19–19. doi: 10.5334/ijic.ICIC21291.
• Wynn, Rolf; Kantola, kristina garfjell; Hadler-Olsen, Elin Synnøve & Johnsen, Jan-Are Kolset (2022). Oral health in inpatients with psychiatric or substance use disorders. International Journal of Integrated Care (IJIC). ISSN 1568-4156. 22, p. 21–21. doi: 10.5334/ijic.ICIC21292.
• Ramsdal, Gro Hilde & Wynn, Rolf (2022). Use of technology during the Covid-19 pandemic in a program for re-enrolling high school dropouts. International Journal of Integrated Care (IJIC). ISSN 1568-4156. 22, p. 6–6. doi: 10.5334/ijic.ICIC21286.
• Seljenes, Kirsti & Wynn, Rolf (2022). Which predictive variables are emphasized when violence risk assessments are performed in Norway? European psychiatry. ISSN 0924-9338. 65, p. S602–S602. doi: 10.1192/j.eurpsy.2022.1542.
• vambheim, Sara Magelssen; Bystad, Martin Kragnes; Kirkøen, J; Aslaksen, Per M & Wynn, Rolf (2022). Doctors’ and nurses’ use of expectancy effects in clinical practice. European psychiatry. ISSN 0924-9338. 65, p. S687–S687. doi: 10.1192/j.eurpsy.2022.1769.
• Wynn, Rolf (2022). RECENT TRENDS IN MEDICAL CASE REPORTING.
• Ramsdal, Gro Hilde & Wynn, Rolf (2022). A SCHOOL DROPOUT PREVENTION PROGRAM.
• Andreassen, Anja & Wynn, Rolf (2022). EXPERIENCES WITH MENTAL HEALTH SERVICES FOR PEOPLE WITH INTELLECTUAL DISABILITIES IN NORWAY.
• Ellingsen, Gunnar & Wynn, Rolf (2022). SHARED ACCESS TO THE ELECTRONIC HEALTH RECORD.
• Wynn, Rolf (2022). RESEARCH ON INVOLUNTARY ADMISSION IN NORWAY: AN UPDATE.
• Fagerlund, Asbjørn Johansen; Zanaboni, Paolo; Lintvedt, Ove Kumetz Bomhoff; Kristiansen, Eli & Wynn, Rolf (2022). Patients’ online access to psychiatric records: Providers’ experiences. European psychiatry. ISSN 0924-9338. 65, p. S571–S571. doi: 10.1192/j.eurpsy.2022.1462.
• Wynn, Rolf (2022). Recent developments in the case report: increasing user involvement. International Journal of Integrated Care (IJIC). ISSN 1568-4156. 22, p. 371–371. doi: 10.5334/ijic.ICIC22363.
• Solbakken, Line Elisabeth & Wynn, Rolf (2022). The perceived importance of social support for prisoners' mental health. International Journal of Integrated Care (IJIC). ISSN 1568-4156. 22, p. 135–135. doi: 10.5334/ijic.ICIC22059.
• Gabarron, Elia; Skafle, Ingjerd; Nordahl-Hansen, Anders & Wynn, Rolf (2022). Social media interventions for autism.
• Bystad, Martin Kragnes & Wynn, Rolf (2021). The integration of home-based interventions.
• Macallin, Anisa & Wynn, Rolf (2021). Narrative exposure therapy for refugees and asylum seekers. European psychiatry. ISSN 0924-9338. 64.
• Wynn, Rolf & Oyeyemi, Sunday Oluwafemi (2021). Recent developments in the use of e-health and e-mental health in Norway.
• Wynn, Rolf & Bergvik, Svein (2021). The value of case reporting in increasing scientific knowledge.
• Wynn, Rolf (2021). Integrating clinical understanding through case histories. International Journal of Integrated Care (IJIC). ISSN 1568-4156. 21, p. 232–232. doi: 10.5334/ijic.ICIC20221.
• Kantola, Kristina Garfjell; Hadler-Olsen, Elin Synnøve; Johnsen, Jan-Are Kolset & Wynn, Rolf (2021). ORAL HEALTH IN INPATIENTS WITH PSYCHIATRIC OR SUBSTANCE USE DISORDERS.
• Kantola, Kristina Garfjell; Johnsen, Jan-Are Kolset; Hadler-Olsen, Elin Synnøve & Wynn, Rolf (2021). DENTAL COMORBIDITY IN A PSYCHIATRIC INPATIENT POPULATION.
• Wynn, Rolf; Oyeyemi, Sunday Oluwafemi; Ruiz, Luis Marco; Budrionis, Andrius; Yigzaw, Kassaye Yitbarek & Bellika, Johan G. (2021). Use of e-Health by Healthcare Professionals vs. non-Healthcare Professionals. Studies in Health Technology and Informatics. ISSN 0926-9630. 281, p. 1–2. doi: 10.3233/SHTI210331.
• Bjerke, Trond Nergaard & Wynn, Rolf (2021). Physical training for inpatients. European psychiatry. ISSN 0924-9338. 64, p. S990–S990.
• Solbakken, Line Elisabeth & Wynn, Rolf (2021). Help-seeking behavior of inmates in Norwegian prisons. European psychiatry. ISSN 0924-9338. 64, p. S585–S585.
• Wynn, Rolf & Myklebust, Lars Henrik Ryther (2021). Adapting the traditional case report to a biopsychosocial format. European psychiatry. ISSN 0924-9338. 64, p. S745–S745.
• Fredheim, Kjersti & Wynn, Rolf (2021). Understanding schizophrenia as a self-disturbance. European psychiatry. ISSN 0924-9338. 64, p. S980–S980.
• Wynn, Rolf & Ellingsen, Gunnar (2020). The Master Study in Telemedicine and E-health at the University of Tromsø, Norway, 2005-2018. Studies in Health Technology and Informatics. ISSN 0926-9630. 275, p. 217–221. doi: 10.3233/SHTI200726. Full text in Research Archive
• Ramsdal, Gro Hilde & Wynn, Rolf (2020). Re-enrolling young people who had dropped out of high school. A follow up study describing experiences with a public intervention program. European psychiatry. ISSN 0924-9338. 63(1), p. S475–S475.
• Wynn, Rolf & Nissen, Trygve (2020). Case reporting as a tool for learning and teaching. European psychiatry. ISSN 0924-9338. 63(1), p. S580–S580.
• Wynn, Rolf; Gabarron, Elia; Johnsen, Jan-Are Kolset & Traver, Vicente (2020). Special issue on e-health services . International Journal of Environmental Research and Public Health (IJERPH). ISSN 1661-7827. 17(8). doi: 10.3390/ijerph17082885. Full text in Research Archive
• Bugge, Erlend; Wynn, Rolf; Mollnes, Tom Eirik; Reitan, Solveig Merete Klæbo; Lapid, Maria I. & Grønli, Ole Kristian (2019). Corrigendum to “Changes in cytokines during treatment of elderly, hospitalized psychiatric patients—A naturalistic study” (Psychoneuroendocrinology (2019) 108 (135–139), (S0306453019304019), (10.1016/j.psyneuen.2019.06.014)). Psychoneuroendocrinology. ISSN 0306-4530. 109. doi: 10.1016/j.psyneuen.2019.104427.
• Danielsson, Louisa Palmi; Krogstad, Isak Furu; Wynn, Rolf & Bergvik, Svein (2019). Fighting or accepting long-term pain - A qualitative study on acceptance and commitment therapy (ACT) in treatment of long-term pain.
• Wynn, Rolf; Ramsdal, Gro Hilde & Borch, Linea (2024). Er det sammenheng mellom postpartum depresjon, amming og mor- spedbarn-tilknytning? UiT Norges Arktiske Universitet.
• Johansen, Rikke & Wynn, Rolf (2023). Does mindfulness have an effect on PTSD-symptoms in veterans? UiT Norges Arktiske Universitet.
• Stelander, Line Tegner; Grønli, Ole Kristian; Wynn, Rolf & Høye, Anne (2022). Alcohol and aging: A longitudinal study of alcohol habits and health effects due to alcohol consumption in old adulthood . UiT Norges arktiske universitet. ISSN 978-82-7589-893-5.
• Bugge, Erlend; Wynn, Rolf & Grønli, Ole Kristian (2022). Some systemic markers of inflammation in older adults with psychiatric disorders. UiT Norges arktiske universitet.
• Wynn, Rolf & Nissen, Trygve (2020). Medical case reports: Some theoretical and empirical perspectives. UiT Norges arktiske universitet.
• Skogøy, Bjørg Eva; Ogden, Terje; Wynn, Rolf; Sørgaard, Knut W. & Maybery, Darryl (2019). Implementing changes in law to support and protect children of ill parents. UiT Norges arktiske universitet.
• Wynn, Rolf; Stuen, Hanne Kilen; Landheim, Anne & Rugkåsa, Jorun (2019). Community treatment orders in an Assertive Community Treatment setting: a qualitative study of experiences of patients, care providers and responsible clinicians. UiT Norges arktiske universitet. ISSN 978-82-7589-649-8.

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