bluuebunny/crossref_metadata_2025_split huggingface dataset:
Patient engagement, autonomy, access to mental care services – the case for integrated care in Crete
Authors: Petelos E , Papadakaki M , Lionis C 
Published: October 2020

Abstract
Access to comprehensive primary care (PC) services is imperative to address the complex biopsychosocial needs of patients with mental illness and their families, while it holds the potential to safeguard mental health and enhance resilience in communities. Integration of mental health and social care services in primary care has not yet been achieved, while access to such services for the mentally ill is still hindered by patient-, provider- and system-oriented barriers. Improving service integration, quality and access requires active engagement of patients and families in the design and planning of services.
Interprofessional collaboration, interdisciplinary approaches and sound deliberative processes are only the start of initiating discussions to establish the needs of local communities. Mapping care paths, involving stakeholders and engaging in practice-based research are impeded by the organisation and design of care provision, including siloed processes and semantic ambiguity in establishing common ground. Academic centres ought to act as hubs for bringing together all actors, creating living labs and addressing the needs of people in urban and rural areas. The case study from Crete will focus on the following questions: What actions are needed to improve access of people with mental health disorders to PC services and how could PC mediate effective communication with mental health services?To what extent people with mental health disorders experience violence, abuse or discriminatory behaviour in PC?To what extent PC services recognize and facilitate autonomy, self-determination and inclusion of people with mental health disorders?To what extent stakeholders and PC services engage people with mental health disorders in decision making process and local governance?To what extent educational interventions for PC practitioners could result in the reduction of discriminatory behaviour and safeguard the dignity among people with mental health disorders?
Developing concepts for early mental health prevention and treatment using the built environment
Authors: Rehn J , Chrysikou E 
Published: October 2020

Abstract

After the brief initial input presentations outlining relevant aspects such as the eco-psychosocial approach as well as facts regarding the context of the case study Crete, a co-creative multidisciplinary workshop is being facilitated that aims at developing concepts for early mental health prevention and treatment focusing on innovations in the built environment.
Touchpoint inventory for urban public mental health offerings
The key methodology of the workshop follows principles from experience design (Risbon et al., 2018) and service design (Stickdom et al., 2018) using the touchpoint inventory. The overall workshop is divided into two main phases. In the first phase participants will be divided into two groups. One of them will outline a chronological journey for early mental health interventions for stereotypical mentally ill person (e.g. preventive information, low threshold support groups, and so on). The second group will collect places and elements of the built environment that surf as a basis for interaction (”channels”) by which services for mental healthcare and prevention can be submitted (e.g. Shops, public places, coffee shops, libraries etc.).
In the second phase, results of both groups will be collected using a spreadsheet. All participants are then asked to ideate concepts for “touchpoints” at the intersection of both groups of elements. These concepts can serve as a conceptual starting point for more comprehensive developments on design for early mental health interventions.

References
Risdon, C., Quattlebaum, P., Rettig, M. (2018) Orchestrating experiences. Collaborative design for complexity. Brooklyn, New York: Rosenfeld Media
Stickdorn, M., Hormess, M., Lawrence, A., Schneider, J. (Hg.) (2018) This is service design doing. Applying service design thinking in the real world; a practitioners` handbook. First edition. Sebastapol, CA: O'Reilly
Conceptual framework on health and tourism – an interregional point of view of the Silver Economy
Authors: Maritati A , Leonardini L 
Published: October 2020

Abstract

Background
It is essential that both sectors of health and tourism, share experiences and integrate each other's excellence maintaining focus on citizens wellbeing. The demographic evolution mandates the development of a common planning that takes into account the needs and characteristics of each sector. The health care system should no longer be regarded as a cost-generating sector, but rather as a driving force of the economy. Quality health benefits and services can attract citizens who are concerned about maintaining or improving health and well-being as well as patients in search of high-quality services, thus contributing to the development of the tourism market. We aim to discuss with participants active and healthy ageing (Silver Economy), share a workable definition of health tourism, map tourist flow at national and international level, outline trajectories with a specific focus on recommendations.

Methods
Document and stakeholder analysis will be used to define health services 'attractiveness'.

Results
Health tourism can be considered an opportunity for the Silver Economy. Actions are necessary to profile customers/clients, countries/regions to seek for scalable best practices. Creating age-friendly tourism contexts while enhancing culture and tourism to support active ageing policies can be used to focus/prioritize and strengthen digital solutions.

Conclusions
Further actions are essential from the systems point of view like administrative simplification, emphasis in a collaborative and non-competitive approach; The creation of new business models (access and reimbursement paths, investment mergers, reinvestment of avoided costs for effective health promotion / prevention interventions); Communication campaigns (e.g. on the health benefits of thermal waters, derogation for the protection of specific labels); New training and education curricula for administrative, tourism, health and socio-health personnel are a new focus to be procured
Factors associated with suboptimal blood pressure control in a multi-ethnic population in Amsterdam
Authors: van der Linden E L , Collard D , Beune E J A J , Nieuwkerk P T , Galenkamp H , Haafkens J A , Moll van Charante E P , van den Born B J H , Agyemang C 
Published: October 2020

Abstract

Background
Among patients using antihypertensives, blood pressure (BP) control is generally low and appears to vary between ethnicities. We aimed to identify factors associated with suboptimal BP control in a multi-ethnic population.

Methods
Cross-sectional data of the Healthy Life in an Urban Setting (HELIUS) study were used, including participants aged 18-70 years, with Dutch, African Surinamese (AS), South-Asian Surinamese (SAS), Ghanaian, Turkish or Moroccan ethnicity living in Amsterdam, the Netherlands. Suboptimal BP control was defined as BP ≥ 140/90 mmHg among participants using antihypertensives. Logistic regression analysis was performed to identify sociodemographic, lifestyle, health and psychosocial factors associated with suboptimal BP control for the total population and for each ethnic group.

Results
A total of 3,571 participants (500 Dutch, 1052 AS, 656 SAS, 637 Ghanaian, 433 Turkish, 293 Moroccan) were included in the analysis, of whom 53.3% had suboptimal BP control. Female sex (OR 0.50, 95%CI 0.43-0.59), being married (0.83, 0.72-0.96), current smoking (0.78, 0.65-0.94), obesity (1.67, 1.35-2.06), cardiovascular disease (CVD) history (0.56, 0.46-0.68), non-adherence to antihypertensives (1.26, 1.00-1.58), and family history of hypertension (1.19, 1.02-1.38) were associated with suboptimal BP control. Among ethnic subgroups, female sex was associated with lower odds of suboptimal BP control in all ethnic groups, as was current smoking (Turkish) and CVD history (Dutch, SAS, AS), whereas obesity (Dutch, AS, Turkish), older age (Turkish) and non-adherence to antihypertensives (Dutch) were associated with higher odds of suboptimal BP control.

Conclusions
Our analysis identifies several factors that are independently associated with suboptimal BP control, with only small variation between ethnic groups, suggesting that focussing on well-known determinants of suboptimal BP control is worthwhile to improve BP control rates in a multi-ethnic population.

Key messages
Several factors are associated with suboptimal blood pressure control in a multi-ethnic population, with only small variation between ethnic groups. These findings suggest that focussing on well-known determinants of suboptimal BP control is worthwhile to improve BP control rates in a multi-ethnic population.
The HIV paradox: perinatal mortality is lower in HIV+ mothers. A case-control study in Ethiopia
Authors: Fonzo M , Dalla Zuanna T , Sperotto M , Resti C , Tsegaye A , Azzimonti G , Manenti F , Putoto G , Bertoncello C 
Published: October 2020

Abstract

Background
In Ethiopia, HIV prevalence is 1.2% in 15-49-year-old women, peaking at 3% in aged 40-44. Nationally, efforts have made to provide HIV testing and treatment to all HIV+ subjects, and prevention of mother-to-child transmission. This may imply a closer monitor of health conditions for HIV+ pregnant women. Moreover, antenatal care (ANC) in the third trimester of pregnancy is associated with lower perinatal mortality (PNM). Considering this, we aimed at comparing PNM between HIV+ and HIV- mothers.

Methods
The study was conducted in Wolisso Hospital, Oromiya Region, Ethiopia, a second level hospital with a 1,000,000-catchment area. Cases were all mothers who experienced a perinatal death before hospital discharge. For each case, two mothers who gave birth to a baby alive until discharge were selected as controls. A regression model was built, considering maternal age, rural-urban residence, grand multiparity, twin pregnancy, maternal ongoing chronic/infectious disease and provision of ANC as potential confounders.

Results
Overall, 1175 cases and 2350 controls were included. HIV+ women (n = 71; 2,0%) showed a crude OR = 0.44 (95%CI: 0.24-0.81) for PNM and an adjusted aOR=0.50 (95%CI: 0.25-0.98) when controlling for the aforementioned confounders, including provision of ANC. While 69,0% of HIV+ women received specific ANC, only 24,2% of HIV- women did (p(χ2)&lt;0.001).

Conclusions
Our findings show how the risk of PNM is 50% less in HIV+ mothers. Because of their HIV-positive-status, they are more likely to be in contact with healthcare providers and, thus, to have higher chances to be addressed to ANC services. A large part of the contribution seems to reside in activities directly related to HIV control. This evidence supports national policies against HIV and suggests a considerable improvement of PNM by extending high quality ANC to all pregnant Ethiopian women. Paradoxically, HIV stands out for being a health threat that reduces PNM.

Key messages
In Wolisso hospital, a second level general hospital in Ethiopia, babies born to HIV+ women have a -50% risk of perinatal death. Extending high quality ANC is worth the effort: removing barriers to access and reaching all pregnant women would lead to a massive reduction in perinatal mortality.
The National Collaborating Centre for Methods and Tools: Supporting evidence-informed decision making
Authors: Howarth C , Neil-Sztramko S , Dobbins M 
Published: October 2020

Abstract

Background
Public health continuously evolves to address an uncertain future, and public health professionals must effectively and efficiently adapt to changes. Evidence-informed decision making (EIDM) is one way to adapt to change. The National Collaborating Centre for Methods and Tools (NCCMT) provides high quality resources, training and mentorship to support the EIDM process through both in-person and distance-based formats. Freely accessible resources including online training opportunities can help public health professionals globally put evidence into practice and be ready to respond to change.

Objectives
The NCCMT's work is driven by the belief that everyone deserves optimal health and well-being and this can be achieved by using the best available evidence in practice. Our training and education resources include thirteen online learning modules, an EIDM skills assessment, video series, a rapid review guidebook and regular webinars, amongst others. These resources are self-paced and they can be accessed when and where it is most convenient for public health professionals.

Results
The NCCMT's resources are highly accessed, with over 320, 000 visits to the NCCMT website from around the world from April 2018-March 2019. There were also over 42,000 downloads of knowledge products in the same time period. The NCCMT's resources have been integrated into public health organizations and curriculum in public health postsecondary programs in Canada. We are continuously evolving by engaging our users. We will be launching an updated version of our Learning Centre in April 2020.

Conclusions
The NCCMT houses useful resources for all public health professionals to learn about finding, understanding, and using evidence. Public health professionals from around the world have used the NCCMT's educational resources to put evidence into practice. The NCCMT is committed to working with global organizations to support them to achieve their EIDM goals.

Key messages
The NCCMT supports public health professionals to use the best available evidence in practice. The NCCMT offers high quality resources, training and mentorship to public health professionals.
Using Instagram to deliver a theory-based wellness intervention designed to promote behavior change
Authors: Blackstone S , Russie C 
Published: October 2020

Abstract

Background
With a high number of users, social networking sites (SNS), such as Instagram, have the potential to serve as a tool to dispense health information and promote health. This pilot study examined the effect of a four-week wellness intervention on Instagram users with targeted posts regarding fitness, nutritious eating, and self-care behaviors.

Methods
A review of best practices in Instagram posts was conducted to create daily posts relating to Theory of Planned Behavior constructs for the wellness areas of fitness (e.g., daily movement), nutritious eating (e.g., vegetable and fruit consumption, healthy recipes), and self-care (e.g., social time, journaling). The intervention group (N = 22) and control group (N = 11) were assessed pre and post test using a Theory of Planned Behavior survey.

Results
At post-test, self-care intention for the intervention group was significantly higher compared to the control. However, there was not a significant difference between the intervention group and control for engaging in actual self-care behaviors reported at post-test. There were no significant differences between the groups for other constructs pre to post-test. User engagement or lack of engagement with posts did not relate to any differences in constructs at post-test.

Conclusions
A wellness intervention delivered through Instagram did not impact health behaviors over a four-week period in the intervention group compared to the control group. Future research should continue examining if SNS interventions, specifically changing what users see and interact with, can influence health behavior outcomes. This pilot study also provides an example of a theory-based intervention that can be tailored to examine effects on behavior change in other populations.

Key messages
Though there is potential to use social networking sites as health promotion tools, there is a lack of understanding how to best use this technology, engage participants, and promote health. Using health behavior change theories in intervention research using social networking sites is considered the best approach to evoke and understand behavior change among populations.
What can you find online about Nursing-home? A website analysis on the Metropolitan City of Milan
Authors: Gasparri S , Facchetti I , Pietronigro A , Gandolfi C E , Boncinelli S , Colaianni A 
Published: October 2020

Abstract

Background
Websites are among the most important communication distribution tools in everyday life. Does this apply to assisted living facility too? Can website information be used to assess quality of care? Can Public Health Administration use information provided on nursing home websites to define whether accreditation standards are met? The aim of this study was to assess websites of all the assisted living facility of the Metropolitan City of Milan (MCM) Agency for Health Protection (ATS) territory according to five dimensions: Description, Utility tools, eHealth literacy, Accreditation Standard and Usability, to answer the questions above.

Methods
A total of 141 websites for MSM ATS nursing homes were identified. A tailored check-list approach was used to investigate each of the 5 dimensions for all websites. For the dimension Description we analyse 20 items, for the Utility tools 14 items, for the eHealth literacy 12 items, for the Accreditation Standard 5 item and for Usability 6 item. A score was assigned to each dimension based on completeness of check-list items.

Results
Of the 160 nursing homes in the MSM ATS, 141 had a website (88%). No website was complete of all items. The average score was 34% the higher was 65% the lower 12%. The five dimensions description, utility tools, eHealth literacy, accreditation standard and usability scored 44%, 16%, 25%, 18% and 29% respectively. The Item more founded was Mission, 137 sites (97%), the least was Customer Satisfaction in 5 Sites (4%). We evaluated the Social Media presence: 81 facility (57%) have at least one social media.

Conclusions
Notwithstanding the Internet and Social Media are a powerful tool to promote eHealth Literacy are underused. Health promotion is shared more with the social media rather than the webpages. The webpage could become a powerful instrument to use by Administration to define whether accreditation standards are met but the contents on the sites are few and non-consistent.

Key messages
11.500 people are assisted by our nursing homes, so part of the population can be reach through websites. We analyse them and discover that health promotion is spread by social media not by websites. We wanted to understand if Public Health Administration can evaluate accreditation standards through the website. We discover that standards can be evaluated on line rather than in-site assessment.
Automated surveillance of orthopaedic implants: a systematic review
Authors: Dhalluin T , Fakhiri S , Herbert J , Bouzillé G , Cuggia M , Guillon L 
Published: October 2020

Abstract

Introduction
More than 200,000 orthopaedic implants are implanted each year in France. Automating the data collection of device-related patient outcomes in orthopaedics is a challenge to improve device monitoring and though orthopaedic practices. The goal of this study was to assess the existing models of automated surveillance of medical devices in orthopaedics, by performing a systematic review.

Methods
The research equation contained the following MeSH terms from PubMed [Arthroplasty, Replacement], combined with [Patient Generated Health Data], [Public Reporting of Healthcare Data], [Medical Records Systems, Computerized], or [Data Warehousing]. Articles were extracted among peer-reviewed journal, in English. Titles and abstracts of selected articles were double-blind reviewed to include the articles in the study according to the following criteria: data obtained automatically, without duplicate data entry by caregivers or review of medical records one by one. For each study, we recorded: device location, targeted population, population size, methods and objectives.

Results
From the 54 articles identified through PubMed, 23 articles met the inclusion criteria after review of titles and abstracts 18 considered surveillance of knee devices and 13 hip devices. Monitoring of other joint prosthesis was practically absent. The aims of the analyses primarily concerned postoperative complications and length of stay, but the objectives were widely various.

Discussion
There were few studies using electronic medical records or clinical data warehouses to monitor devices in orthopaedics. The majority of the included studies were performed on claim databases. An information bias about data collection methods was frequently identified in the abstracts. The literature review highlighted the potential uses of health data in joint replacement and the current underuse of the medical records and/or data warehouse in orthopaedic surveillance.

Key messages
There were few studies using automated surveillance to monitor devices in orthopaedics. The aims of automated surveillance concerned postoperative complications and length of stay.
Developing a smartphone app with UK migrants for UK migrants: lessons learned from focus group work
Authors: Burns R , Hugenholtz G C G , Kirkby V , Elsay N , Aldridge R W 
Published: October 2020

Abstract

Background
In 2018, 14% of people living in the UK were born abroad, yet we have a limited understanding of the broader determinants of their health. To address this knowledge gap, the Health on the MovE (HOME) smartphone application (app) study was conceived. Through app-based surveys, the study will examine how risk factors for health and well-being are distributed among migrants and how these vary over time since migration to the UK. There is a lack of research addressing the development of apps for longitudinal data collection in the general population - and we did not find any in migrant groups.

Methods
To better inform the design of the HOME app study, three workshops were held in 2018 and 2019, involving both migrants and App development experts. We used a semi-structured interview schedule focused on five themes: smartphones, apps and research, HOME app wireframe (screen-by-screen review of the app), types of surveys and survey schedules, resource section content, and participant engagement strategies. The participants were purposively sampled to reflect the migrant population arriving in the UK from non-EU countries.

Results
Migrants reported high smartphone use and were positive about the app design and app-based research. Concerns around privacy and data protection were highlighted and limits were suggested for the frequency of surveys and the number of questions used. Mental health was identified as a key topic for research. Participants requested the inclusion of resources concerning asylum claim procedures and immigrant and labour laws. Migrants advised that study recruitment material should clearly state the purpose and scope of the research and requested regular feedback on study outcomes.

Conclusions
The workshops provided important feedback and facilitated the co-production of the HOME app. Overall findings suggest that the study would be both acceptable to the migrant population and feasible for real-time data collection.

Key messages
The process identified potential barriers to the acceptability and feasibility of an app-based study for real-time data collection in the UK migrant population. Organising workshops with migrants allowed for an iterative process of co-production of the HOME app. Their critical comments resulted in subsequent changes to the app design and study methodology.