Lydia Kwak

Lydia Kwak

Lektor | Docent
E-postadress: lydia.kwak@ki.se
Telefon: +46852487129
Besöksadress: Nobels väg 7, 17165 Solna
Postadress: C6 Institutet för miljömedicin, C6 IIR Kwak, 171 77 Stockholm

Om mig

  • My area of research is intervention and implementation research within the
    field of worker health, with a special focus on health promotion.
    I am an associate professor in health promotion, head of the unit
    Intervention and Implementation Research in worker health and assistent
    director of Doctoral Education at IMM.
    Master in Health Sciences, specialized in Health Education and Promotion and
    Biological Health Sciences, Maastricht University, Maastricht, the
    Netherlands.
    Doctoral degree in Health Sciences. Title: the NHF-NRG-In Balance-project:
    development, implementation and evaluation of a weight gain prevention
    program. Academic institution: Maastricht University, Nutrition and
    Toxicology Research Institute Maastricht (NUTRIM), Human Biology, Maastricht,
    the Netherlands.
    *Swedish publications*
    Evidensbaserat folkhälsoarbete, studentliteratur [1]
    Hälsofrämjande insatser riktade till arbetsplatsens fysiska arbetsmiljö
    och organisationsstruktur: effekt på arbetsrelaterade utfall [2]
    Företagshälsans riktlinjer [3]
    *Publications *
    Arapovic-Johansson, B., Wåhlin, C., Hagberg, J., *Kwak, L*., Axén, I.,
    Björklund C., Jensen I. Experience of stress assessed by text messages and
    its association with objective workload – a longitudinal study
    /International Journal of Environmental Research and Public Health, /2020


  • 17:680./ /
    Boström, M., Björklund, C., Bergström, G., Nybergh, L., Schäfer Elinder,
    L., Stigmar, K., Wåhlin, C., Jensen, I., *Kwak, L*. Health and work
    organization experiences among Swedish teachers in elementary school - a
    cross-sectional study. /International Journal of Environmental Research and
    Public Health/, 2020
  • 17(1):227.
    Nørregaard Rasmussen, CD., Højberg, L., Konring Larsen, A., Kold Munch, P.,
    Osborne, RH., *Kwak, L., * Jensen, I., Linnan, L., Birk Jørgensen, M.
    Evaluation and dissemination of a checklist to improve implementation of work
    environment initiatives in the eldercare sector - Study Protocol. /JMIR
    Research Protocols/, 2020.
    *Kwak, L.*, Lornudd, C., Björklund, C., Bergström, G., Nybergh, L.,
    Schäfer Elinder, L., Stigmar, K., Wåhlin, C., Jensen, I. Implementation of
    the Swedish Guideline for Prevention of Common Mental Disorders at the
    Workplace, in Schools: Study Protocol of a Cluster Randomized Controlled
    Trial, Using Multifaceted Implementation Strategies. /BMC Public Health,
    /2019
  • 19 (1):1668./ /
    Grimani, A, Aboagye, E, *Kwak, L*. The impact of worksite nutrition and
    physical activity interventions on productivity, work performance and
    workability: A Systematic Review. /BMC Public Health/, 2019
  • 1676
    Björk Brämberg, E., Sandman, L., Hellman T., *Kwak, L*. Facilitators,
    barriers and ethical values related to the coordination of return-to-work
    among employees on sick leave due to common mental disorders – a protocol
    for a qualitative study (The CORE-project). /BMJ Open/, 2019
  • 17: 9(9).
    Leitari, N., Kremers, S.P.J., Hagberg, J., Björklund, C. *Kwak, L*.
    Associations between job-strain, physical activity, health status and sleep
    quality among Swedish municipality workers. /Journal of Occupational and
    Environmental Medicine, /2018
  • Dec 11. PMID: 30540651.
    Björk Brämberg, E., Jensen, I., *Kwak, L*. Nation-wide implementation of a
    national policy for evidence-based rehabilitation facilitating return to work
    - a survey of perceived use, facilitators and barriers. /Disability and
    Rehabilitation, 2018
  • 4:1-9. /PMID: 30286664.
    Dohrn I., Sjöström, M., *Kwak, L*., Oja, P., Hagströmer, M. Replacing
    sedentary time with physical activity: a 15-year follow-up of mortality in a
    national cohort. /Clinical Epidemiology, /2018
  • 10: 179-186. PMID: 29416378.
    Arapovic-Johansson, B., Wåhlin C., Hagberg J., * Kwak, L*., Björklund, C.,
    Jensen, J. Participatory work place intervention for stress prevention in
    primary health care. A randomized controlled trial. /European Journal of Work
    and Organizational Psychology, /2018
  • 27(2): 219-234./ /
    Bergsten, E.L., Mathiassen, S.E., Larsson, J. &
  • *Kwak L*/./* *Implementation
    of an ergonomic intervention in a Swedish flight baggage handling company - A
    process evaluation. /Plos One, /2018
  • 13 (3). PMID: 29513671.
    Dohrn I., Sjöström, M., *Kwak, L*., Oja, P., Hagströmer, M.
    Accelerometer-measured sedentary time and physical activity - a 15 year
    follow-up of mortality in a Swedish population-based cohort. /Journal of
    Science and Medicine in Sports and Exercise, 2018
  • /21 (7): 702-707.
    / /PMID: 29128418. / /
    Aboagye, E. Hagberg, J., Axén, I., *Kwak, L*., Lohela-Karlsson, M.,
    Skillgate, E., Dahlgren, G., Jensen, I. Individual preferences for physical
    exercise as secondary prevention for non-specific low back pain: A discrete
    choice experiment./ Plos One, 2017
  • 12 (12). PMID: 29244841. /
    Axén, I. *Kwak L*, Hagberg, J., Jensen, I./ /Does physical activity buffer
    insomnia due to back and neck pain?/ Plos One, 2017
  • 12 (9). PMID:
    28931026. /
    Bergsten, E.L., *Kwak L*/./, Vingård, E., * *Mathiassen, S.E., Daily shoulder
    pain among flight baggage handlers and its association with work tasks and
    upper arm postures on the same day. /Annals of Work Exposures and Health,
    /2017
  • 61(9): 1145-1153. PMID: 29136416.
    Bergström, G., Lohela-Karlsson, M., *Kwak, L., * Bodin, L., Jensen, I.,
    Torgén, M., Nybergh, L. Preventing sickness absenteeism among employees with
    common mental disorders or stress-related symptoms at work: Design of a
    cluster randomized controlled trial of a problem-solving based intervention
    versus care-as-usual conducted at the Occupational Health Services/. BMC
    Public Health, 2017
  • 1217(1):436. PMID: 28494753. /
    Arapovic-Johansson, B., Wåhlin C., *Kwak, L*., Björklund, C., Jensen, J.
    Work-related stress assessed by a text message single-item stress question.
    /Occupational Medicine, 2017
  • 67(8): 601-608. /PMID: 29016877/ /
    Björk Brämberg, E., Bergström, G., Jensen, I., Hagberg, J. &
  • *Kwak, L*.
    Effects of yoga, strength training and advice on back pain: A randomized
    controlled trial. /BMC Musculoskeletal Disorders/, 2017
  • 18 (1):132. PMID:
    28356091.
    Leavy, B., *Kwak, L*., Hagströmer, M., Franzén, E. Evaluation and
    implementation of highly challenging balance training in clinical practice
    for people with Parkinson's disease: protocol for the HiBalance
    effectiveness-implementation trial. /BMC Neurology/, 2017
  • 17(27). PMID:
    28173775.
    Björk Brämberg, E., Nyman, T., *Kwak, L*., Alipour A., Bergström
  • G.,
    Schäfer Elinder, L., Hermansson, U., Jensen, I. Development of
    evidence-based practice in occupational health services in Sweden. A 3-year
    follow-up of attitudes, barriers and facilitators. /International Archives of
    Occupational and Environmental Health, /2017
  • 90 (4): 335-348. PMID:
    28204870.
    *Kwak, L., * Wåhlin, C., Stigmar, K., Jensen, I. Developing a practice
    guideline for the occupational health services through a community of
    practice: description and evaluation of the guideline development process.
    /BMC Public Health/, 2017
  • 17 (89). PMID: 28100201.
    Martinsson, C., Lohela Karlsson, M., *Kwak, L*., Bergström, G., Hellman, T.
    What incentives influence employers to engage in workplace health
    interventions? /BMC Public Health/, 2016
  • 16 (854). PMID: 27552912.
    *Kwak, L*., Berrigan, D., Van Domelen, D., Sjöström, M. &
  • Hagströmer, M.
    Examining differences in physical activity levels by employment status and/or
    job activity level: Gender-specific comparisons between the United States and
    Sweden. /Journal of Science and Medicine in Sports and Exercise/, /
    /2016/:/19(6)
  • 482-487. PMID:26095371.
    Hagströmer, M., *Kwak, L*., Oja, P. &
  • Sjöström, M. A 6-year longitudinal
    study of accelerometer-measured physical activity and sedentary time in
    Swedish adults. /Journal of Science and Medicine in Sports and Exercise/, /
    /2015/:/18(5)
  • 553-557. PMID:25277849.
    *Kwak, L.*, Hagströmer, M., Jensen, I. Lohela-Karlsson, M., Alipour, A. &

  • Schäfer-Elinder, L. Promoting physical activity and healthy dietary
    behaviour. The role of the occupational health services: a scoping review.
    /Journal of Occupational and Environmental Medicine, /2014: 56 (1)
  • 35-46.
    PMID:24351888.
    Cook, T.L., De Bourdeaudhuij, I., Maes, L., Haerens, L., Grammatikaki, E.,
    Widhalm, K., Kersting, M., *Kwak, L.*, Plada, M., Moreno, L.A. &
  • Manios, Y.
    on behalf of the HELENA group. Moderators of the effectiveness of a web-based
    tailored intervention promoting physical activity in adolescents: the HELENA
    Activ-O-Meter. /Journal of School Health, /2014: 84 (4)
  • 256-266. PMID:
    24617909.
    Cook, T.L., De Bourdeaudhuij, I., Maes, L., Haerens, L., Grammatikaki, E.,
    Widhalm, K., *Kwak, L.*, Plada, M., Moreno, L.A., Tountas, Y., Zampelas, A. &

  • Manios, Y. on behalf of the HELENA group. Psychosocial determinants and
    perceived environmental barriers as mediators of the effectiveness of a
    web-based tailored intervention promoting physical activity in adolescents:
    the HELENA Activ-O-Meter. /Journal of Physical Activity and Health, /2014:
    11(4)/ /741-751. PMID:23676337.
    Ortega, F.B., Ruiz, J.R., Labayen, I., Hurtig-Wennlöf, A., Harro, J., *Kwak,
    L.*, Oja, L., Merenäkk, L., Veidebaum, T. &
  • Sjöström, M. Role of
    socio-cultural factors on changes in fitness and adiposity in youth: A 6-year
    follow-up study. /Nutrition, Metabolism and Cardiovascular Disease, /2013

  • 23(9):883-890. PMID: 22795868.
    Hagströmer, M., Ainsworth, B.E., *Kwak, L.* &
  • Bowles, H.R. A checklist for
    evaluating the methodological quality of validation studies on self-reported
    instruments for physical activity and sedentary behavior. J/ournal of
    Physical Activity and Health, /2012
  • / /*Jan 9 *(Suppl 1):S29-36. PMID:
    22287445.
    *Kwak, L*., Hagströmer, M. &
  • Sjöström, M. Can the IPAQ-L be used to assess
    occupational physical activity? /Journal of Physical Activity and Health/,
    2012: *Nov* *9(*8)
  • 1130-7. PMID: 22207150.
    Ortega, F.B., Ruiz, J.R., Labayen, I., *Kwak, L*., Harro, J., Oja, L.,
    Veidebaum, T. &
  • Sjöström, M. Sleep duration and activity levels in Estonian
    and Swedish children and adolescents. /European Journal of Applied
    Physiology, /2011/ /Oct:* 111*(10)
  • 2615-23. PMID:21380543.
    *Kwak, L.*, Proper, K.I., Hagströmer, M. &
  • Sjöström, M. The repeatability
    and validity of questionnaires assessing occupational physical activity - a
    systematic review. /Scandinavian Journal of Work Environment and Health/,
    2011 Jan: *37*(1)
  • 6-29. PMID: 20802979.
    Ruiz, J.R., Ortega, F.B., Castillo, R., Martín-Matillas, M., *Kwak, L*.,
    Vicente-Rodríguez, G., Noriega, J., Tercedor, P., Sjöström, M. &
  • Moreno,
    L.A. Physical Activity, Fitness, Weight Status and Cognitive Performance in
    Adolescents
  • The AVENA Study. /Journal of Pediatrics, /2010: *157 (*6)

  • 917-22. PMID:20673915.
    *Kwak, L*., Kremers, S.P.J., Candel, M.J.J.M, Visscher, T.L.S., Brug, J. &

  • van Baak, M.A. Changes in skinfold thickness and waist circumference after 12
    and 24 months resulting from the NHF-NRG In Balance-project. /International
    Journal of Behavioural Nutrition and Physical Activity, /2010: *7 *(7)
  • 26.
    PMID:20370934.
    *Kwak, L*., Kremers, S.P.J., Bergman P, Ruiz, J.R., Rizzo, N.S. &
  • Sjöström,
    M. Associations between physical activity, fitness, and academic achievement.
    /Journal of Pediatrics, /2009/:/*155 *(6)
  • 914-8. PMID:19643438.
    *Kwak, L*., Kremers, S.P.J., Visscher, T.L.S., van Baak, M.A. &
  • Brug, J.
    Behavioural and cognitive effects of a worksite-based weight gain prevention
    program: The NHF-NRG In Balance-project. /Journal of Occupational
    Environmental Medicine/, 2009: *51 *(12)
  • 1437-46. PMID:19952793.
    *Kwak, L*., Kremers, S.P.J., Brug, J. &
  • van Baak, M.A. Measuring physical
    activity in field studies: comparison of a questionnaire, 24h recall and
    accelerometer. /European Journal of Sport Science, /2007/: /*7 *(4)
  • 193-201.
    *Kwak, L*., Kremers, S.P.J., van Baak, M.A., &
  • Brug, J. A poster-based
    intervention to promote stair use in blue-and white-collar worksites.
    /Preventive Medicine, /2007/: /*45*
  • 177-81. PMID: 17610944.
    *Kwak, L*., Kremers, S.P.J., Werkman, A. Visscher, T.L.S., van Baak, M.A., &

  • Brug, J. The NHF-NRG In Balance-project: the application of Intervention
    Mapping in the development, implementation and evaluation of weight gain
    prevention at the worksite. /Obesity Reviews/, 2007: *8*
  • 347-61.
    PMID:17578384.
    *Kwak, L*., Kremers, S.P.J., van Baak, M.A., &
  • Brug, J. Formation of
    implementation intentions promotes stair use. /American Journal of Preventive
    Medicine/, 2007: *32*
  • 254-5. PMID:17241761.
    Werkman, A., Schuit, A.J., *Kwak, L*., Kremers, S.P.J., Visscher, T.L.S.,
    Kok, F.J., &
  • Schouten, E.G. Study protocol of a cluster randomized controlled
    trial investigating the effectiveness of a tailored energy balance program
    for recent retirees. /BMC Public Health/, 2006: *6*
  • 293. PMID:17147832.
    *Kwak, L*., Kremers, S.P.J., van Baak, M.A., &
  • Brug, J. Participation rates
    in worksite-based intervention studies: health promotion context as a crucial
    quality criterion. /Health Promotion International/, 2006: *21*
  • 66-9.
    PMID:16339773.
    *Kwak, L*., Kremers, S.P.J., Walsh, A., &
  • Brug, J. How is your walking group
    running? /Health Education/, 2006:*106*
  • 21-31.
    [1] https://www.studentlitteratur.se/#9789144088792/Evidensbaserat+folkh%C3%83%C6%92%C3%86%E2%80%99%C3%83%E2%80%A0%C3%A2%E2%82%AC%E2%84%A2%C3%83%C6%92%C3%A2%E2%82%AC%C5%A1%C3%83%E2%80%9A%C3%82%C2%A4lsoarbete
    [2] http://www.fhvforskning.se/publicerat/2017/effekt-pa-arbetsrelaterade-utfall
    [3] http://www.fhvforskning.se/foretagshalsans-riktlinjegrupp

Forskningsbeskrivning

  • I am head of the unit for Intervention and Implementation Research in worker
    health. My research activities are related to intervention and
    implementation research in the field of worker health. This means that I
    conduct research on how the health of the working population can be promoted
    at the workplace and how ill-health can be prevented. This research
    encompasses a broad range of research activities including gaining knowledge
    on determinants of health and health behaviour through observational studies,
    testing the effectiveness of methods targeting these determinants through
    intervention studies, assessing the methodological quality of measurement
    instruments through methodological studies and gaining knowledge on how
    effective interventions can be implemented into practice through
    implementation research studies.
    In addition to being unit head, I also lead a research group. At the moment
    we have several ongoing research-projects, including the following:
    * A large implementation study financed by AFA-insurance, which is being
    conducted among nineteen public primary schools in Sweden. The aim of the
    study is to compare the effectiveness of a multifaceted implementation
    strategy versus a single implementation strategy for implementing the
    /Guideline for the prevention of mental ill-health at the workplace/ [1]
    within schools. The effectiveness will be compared with regard to the
    extent to which the recommendations are implemented within the schools
    (implementation effectiveness) and with regard to social and
    organisational risk factors for mental ill-health (intervention
    effectiveness). ​​​​​​​
    * Implementation of the Swedish /Guideline for Prevention of Mental
    ill-health at the Workplace/: study protocol of a cluster randomized
    controlled trial [2]
    * Differences in how female and male elementary school teachers in Sweden
    experience their work environment. [3]
    * A study on teacher retention financed by FORTE. Teacher retention is a
    persistent problem for many schools to date. In some municipalities in
    Sweden as much as 15-25% percent of teachers quit every year, which
    roughly corresponds to 5 to 10 teacher changes during high-school years.
    While some turnover is considered necessary and healthy for schools, too
    much instability is harmful for both students’ results and teachers’
    health. There is therefore an urgent need to reduce teacher turnover. *The
    aim of this study *is therefore to increase our knowledge on how teacher
    turnover at schools can be reduced, and which specific strategies are
    needed for schools to keep their teachers. Based on the results of the
    project recommendations will be given to decision makers and schools
    regarding how to minimize teacher turnover. The next step is to develop
    and evaluate interventions aimed at preventing teacher turnover. None of
    the research aims of this project have been previously financed.
    You can read about some of the other research projects I am involved in here:
    Preventing sickness absenteeism among employees with common mental disorders
    or stress-related symptoms at work: Design of a cluster randomized controlled
    trial of a problem-solving based intervention versus care-as-usual conducted
    at the Occupational Health Services. [4]
    Facilitators and barriers and ethical aspects in relation to cooperation with
    the aim of increasing return to work among individuals with mental ill
    health. [5]
    Evaluation and implementation of highly challenging balance training in
    clinical practice for people with Parkinson's disease: protocol for the
    HiBalance effectiveness-implementation trial. [6]
    [1] https://foretagshalsa.mynak.se/kunskapsomraden/riktlinjer-for-foretagshalsor/
    [2] https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-019-7976-6
    [3] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6982179/
    [4] https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-017-4329-1
    [5] https://medarbetare.ki.se/people/elisbj?_ga=2.68352018.2039568949.1566540740-114836326.1556870257
    [6] https://bmcneurol.biomedcentral.com/articles/10.1186/s12883-017-0809-2

Undervisning

  • I am since 2011 course leader of the doctoral course Public Health
    Intervention and Implementation research at Karolinska Institutet. Moreover,
    I am course leader of the master course Introduction into program planning
    and development. I give lectures for undergraduate and graduate programmes
    on the topic of intervention and implementation research and supervise
    master-and doctoral students.
    For information on the doctoral course Public Health Intervention and
    Implementation research 2019 [1]please click on the link of the course or on
    the link of the doctoral program in Public Health Sciences [2]
    [1] http://kiwas.ki.se/katalog/kursplan/show/1978?_ga=2.180969380.2039568949.1566540740-114836326.1556870257
    [2] https://staff.ki.se/doctoral-programme-in-public-health-science-phsp

Artiklar

Alla övriga publikationer

Forskningsbidrag

Anställningar

  • Lektor, Institutet för miljömedicin, Karolinska Institutet, 2019-

Examina och utbildning

  • Docent, Hälsofrämjande arbete, Karolinska Institutet, 2017

Nyheter från KI

Kalenderhändelser från KI