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“Outcomes of treatment for people with type 2 diabetes within two nurse-led clinics in primary care in Iceland”
(2025) Birgisdóttir, Matthildur; Skúladóttir, Hafdís; Sigurðardóttir, Árún Kristín; Faculty of Nursing
As the prevalence of type 2 diabetes increases in Iceland, more nurse-led diabetes clinics have been established in primary health. This study aimed to evaluate treatment outcomes in patients with type 2 diabetes at two rural nurse-led diabetes clinics and compare these outcomes with guidelines. A retrospective cohort study was conducted in primary care settings in Northern Iceland using secondary data from medical recording systems. The sample (n = 88) included patients with two glycated haemoglobin (HbA1c) measurements taken at least 6 months apart (Time 1 and 2). Between Time 1 and 2, HbA1c levels (p = 0.049), body mass index (p = 0.013), and systolic blood pressure (p = 0.040) decreased. At time 2, approximately 70% of patients reached clinical goals for HbA1c levels, 33% for body mass index, 56% for systolic blood pressure, and 49% for diastolic blood pressure. This finding is consistent with those of other European studies in diabetes care. Assessing healthcare outcomes is beneficial for small rural clinics, where work is often conducted in isolation. This programme evaluation study conducted in two nurse-led clinics in Iceland demonstrated improved diabetes outcomes with care aligned with clinical guidelines and provided a baseline for measuring future outcomes.
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Public Perceptions of Gambling in the UK Armed Forces : Understanding Stigma Via a Vignette Experiment
(2026-03) Smith, Jessica; Dymond, Simon; Torrance, Jamie; Department of Psychology
Gambling-related harm among armed forces (AF) personnel is a growing concern, yet public perceptions remain underexplored. Anticipated public stigma (the fear of how others perceive you) of gambling among the AF is a potential barrier to help-seeking. Understanding how the public perceives gambling in the AF is essential for shaping stigma-reduction strategies. A randomised, online 2 × 2 between-subjects experiment was conducted. A representative sample of the United Kingdom public (N = 396) was recruited through Prolific and randomly assigned to view a vignette featuring either an AF member or non-AF civilian who was described as engaging in either harmful or non-harmful gambling. Following exposure to their assigned vignette, participants completed measures assessing stigma and empathy towards the depicted individual. Participants perceived individuals from the AF as significantly more dangerous (p =.002) compared to non-AF civilians. When the vignette depicted gambling-related harm, as opposed to recreational gambling, participants reported significantly higher stigma across seven of the ten stigma measures (all p <.001). This study highlights how public stigma towards gambling harm is strong and can be shaped by military status, with AF personnel facing increased perceptions of dangerousness. Findings underscore the need for public stigma-reduction strategies that address both gambling-related and military-specific misconceptions.
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Applying the guided self-determination counselling method in primary healthcare among people at risk of developing type 2 diabetes : A qualitative study
(2025-11) Kolltveit, Beate Christin Hope; Arnardóttir, Elín; Oftedal, Bjørg Frøysland; Sigurðardóttir, Árún Kristín; Faculty of Nursing
Aim: To explore how nurses experienced using the Guided Self-Determination (GSD) counselling method in primary healthcare for the follow-up of patients at risk of developing type 2 diabetes. Design: This study had a qualitative design. Methods: We used individual interviews with nurses in Norway (n = 5) and Iceland (n = 6) to collect data. The nurses had prior to this qualitative study participated in a randomised controlled trial, by applying the GSD counselling method in primary healthcare. The data was analysed by using qualitative content analysis. Results: The findings in this study resulted in the identification of three categories: (1) Promoting change in patient awareness and motivation, (2) Facilitation of health behaviour change, and (3) Challenges in applying the GSD method in patient consultations. The counselling method assisted the nurses to approach patients in a different way and to ask questions that stimulated personal reflection and increased the patients´ health awareness. Patient or Public Contribution: Patient representatives contributed in discussing the relevance of the study objectives and justification for undertaking the research, and in the development of adequate written patient information for the study.
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Hypoglycaemia and its associations with diabetes and age-related factors in older home-dwelling people with diabetes
(2025-12) Fløde, Mari; Hermann, Monica; Igland, Jannicke; Hernar, Ingvild; Sigurðardóttir, Árún Kristín; Søfteland, Eirik; Åsberg, Anders; Jenssen, Trond Geir; Haugstvedt, Anne; Faculty of Nursing
Background: Studies have shown high rates of hypoglycaemia among home-dwelling older people receiving home care services. Hypoglycaemia can lead to severe consequences and in worst case, death. Therefore, knowledge about the factors associated with the occurrence of hypoglycaemia in this patient group is important. This study aimed to investigate the associations between hypoglycaemia and relevant diabetes and age-related factors among individuals with diabetes aged ≥ 65 years who received home care services. Methods: This prospective observational study included data from blinded continuous glucose monitoring to identify hypoglycaemia and glycaemic variability. Further, data from blood tests (HbA1c, serum creatinine), medication lists, and questionnaires on cognitive function, functional status with need of assistance, and nutritional status were collected. Data analysis was performed using Fisher’s exact tests and unadjusted logistic regression analyses. Results: In total, 56 individuals participated (52% men, median age 82 years). We identified a statistically significant association between hypoglycaemia and glycaemic variability (p < 0.001). All participants with a coefficient of variation (CV) ≥ 36% had undergone at least one hypoglycaemic event during the study period. Also, participants with CV ≥ 27% had higher risk of hypoglycaemia than those with CV < 27% (OR 5.3, 95% CI 1.6, 17.7). Among the 34 participants with HbA1c ≥ 53 mmol/mol, 32% experienced hypoglycaemia. In total, 93% were treated with medications that potentially interfered with the effect of their diabetes medications, and 64% were treated with medications that potentially affected their ability to detect symptoms of hypoglycaemia. The associations between hypoglycaemia and cognitive, functional, or nutritional status is uncertain due to limitations in sample size. Conclusions: This study highlights a significant association between glycaemic variability and hypoglycaemia among older home-dwelling adults with diabetes receiving home care services. The prevalence of drug-drug interactions raises concerns about diabetes treatment and emphasise the need for targeted interventions to improve safety and care for this vulnerable group of patients.
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Eyra - Speech Data Acquisition System for Many Languages
(2016) Petursson, Matthias; Klüpfel, Simon; Gudnason, Jon; Department of Engineering
Speech data acquisition is particularly important for under-resourced languages. The data gathering is the most labour-intensive part of developing speech technologies such as automatic speech recognizers and synthesizers. It is therefore important to facilitate this process with as much automation and labour-cutting tools as possible. This paper describes a new open-source system called Eyra which enables distributed speech data collecting through a variety of devices. It addresses internet connectivity issues by allowing the data collectors to run the back-end server off a local laptop, thereby facilitating automatic quality control and less labour-intensive data uploading and compiling. It can also be used in a crowd-sourcing set-up where volunteers can donate voice samples through a desktop web-browser interface. An initial test shows that the system works well in an offline mode using smart-phones for data collection.

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