bluuebunny/crossref_metadata_2025_split huggingface dataset:
Challenges to create an evidence-based programme register in France
Authors: Arwidson P , Verry-Jolive C 
Published: November 2019

Abstract
The majority of health promotion and disease prevention interventions implemented in both targeted and general populations have unknown effectiveness. This contrasts with drug treatments which must be proven effective before they can be prescribed. The recent evaluation of four addiction prevention interventions chosen by public health implementers showed that two had positive impacts on addiction prevention and two had deleterious effects.
Despite over 50 years’ worth of scientific literature on the evaluation of health promotion and disease prevention programmes, it is little known and little used by project promoters. These promoters cannot be blamed for not using this literature as it is often difficult to access, to read and to understand. Even if they successfully access and read the articles, interventions are often not described properly, rendering the text useless for implementers. It is therefore necessary to create interfaces that translate this literature into a form useful for funders and project promoters.
As a result, Public Health France has studied existing portals in both the United States and in Europe. An independent double-reviewing process comparable to the review process used by scientific journals for manuscripts as in the Norwegian portal was chosen for this reason.An expert committee has worked during more than one year to design and test a scoring grid that will be published soon.
The 80+ programme evaluations found in the scientific literature will now be reviewed with the approved grid.
Public Health France has also begun visiting each region in France to present the portal to local health authorities and NGOs to enable project promoters to submit their programmes soon and to promote the use of evidence-based or research-based programmes when possible.
School Health Research Network Wales: Development, implementation & contributing to public health policy
Authors: Young H 
Published: November 2019

Abstract
The School Health Research Network (SHRN) was launched in Wales in 2013 as a strategic partnership between Cardiff University, Welsh Government, Public Health Wales (part of the National Health Service) and Cancer Research UK (a research-focused charity). SHRN is led by a multidisciplinary team in the Centre for the Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer) at Cardiff University.
SHRN aims to: 1) provide health and well-being data from a biennial survey for national, regional and local stakeholders, including schools; 2) co-produce school-based health improvement research for Wales; and 3) build capacity for evidence-informed public health policy and practice.
Building on and integrating with HBSC infrastructure, a transdisciplinary complex adaptive systems (T-CAS) approach has been employed to develop SHRN, for a national culture of prevention for school health improvement. The T-CAS approach focuses on key stages and activities within a continuous network cycle to facilitate systems level change. The five key stages involve establishing transdisciplinary strategic partnerships, resource investment and linkage, network development, coproduction activities and reciprocal outputs.
SHRN has successfully established new cross-sector stakeholder partnerships at multiple levels, and embedded network activity within national and local policy. It has established a programme of school engagement activities to secure membership of 212 (100%) secondary schools in Wales and building on HBSC systems and structures has developed a national data infrastructure with the biennial collection of student and school-level health and wellbeing data. SHRN has co-produced scientific evidence and established a new data-led planning system (e.g. 56 research studies co-produced). It has also secured sustainability funding from health and education, while developing research capacity to generate evidence and support professional practice.
Learning from success: implementation & evaluation of a national program
Authors: Harel-Fisch Y 
Published: November 2019

Abstract
The WHO - Health Behavior in School-Aged Children (HBSC) cross national survey, has monitored changes in youth alcohol use throughout the past 3 decades in over 45 countries in Europe and North America. While Israel has usually shown relatively low rates of adolescent smoking, drinking and drug use, the rates of problem drinking increased dramatically during the years 1994-2009. The rate of binge drinking in P30D for teens aged 11-15 tripled from 6.2% in 1994 to 20.6% in 2009. Findings were cleverly used to impact policy. The scientific evidence were disseminated to the press and targeted parliament and cabinet members. Consequently, the government funded the development and implementation of a comprehensive, long-term national program to reduce alcohol drinking among youth. The program was funded and implemented in three consecutive stages: 2010-12, 2012-14 and 2014-16 and was coordinated by the Israel Anti-Drug Authority. HBSC data were used as the monitoring system of the program. Activities included: implementing a comprehensive national strategy, building partnerships with relevant agencies, developing consistent and coherent messages, implementing national media campaigns, passing and enforcing a host of new legislation, implementing a wide variety of age and culture-specific school programs, and implementing community-based interventions. HBSC findings show that as a result of this national intensive program, binge drinking by Israeli youth dropped from 20.6% in 2009 to 12.4% in 2011, to 10.7% in 2014 and finally to 6.2% in 2019. All in all, binge drinking dropped to about one third of its magnitude in 2009, prior to the implementation of the national program. The paper discusses the unique role of HBSC in identifying a critical increase in binge drinking, influencing decision makers, providing base-line data for the national program and serving as its evaluation system.
Measuring health and well-being with the help of the community
Authors: Williams G , Verma A 
Published: November 2019

Abstract

Issue
The Well North Programme is a multi-centre study focused on reducing inequalities in deprived communities through locally-led interventions and activities. As a locally driven project where the local stakeholders were involved in the programme of work, it was important to involve the community when deciding what to measure.

Description
As part of the evaluation there was a need to produce a tool to capture health and wellbeing information that was relevant to the specific communities involved in the project. In order to do this, we established that we needed local people to define what they wanted to measure, and we would use evidence synthesis techniques to identify tools that could be used to measure it within the community.

Results
We formulated the Well North Star, a bespoke spider diagram designed to capture individual level data. The Star is a quantitative tool used to collect individual-level data at an individual, organisational and geographical level. Each arm of the star represents an important theme, selected for measurement by local people. Identified local stakeholders (including residents, voluntary sector, police and councillors) were invited to workshops in order to decide what issues were important locally. After group discussions and thematic analysis, up to seven issues were highlighted as the most important in the community. Two of the main issues highlighted within local communities were aspiration and access to local information. After extensive literature search, tools to measure these were insufficient (e.g. aspiration tools focused on aspiration to become famous) and so bespoke tools needed to be created.

Lessons
When conducting community driven research, it is important to involve representatives from the community in identifying issues that are important to them. There is a gap between what academics and researchers consider important in local communities and what the communities themselves consider important.
Workshop: Leaving no one outside: strategies for improving delivery of care undocumented migrants in Europe
Authors:   Organised by: Platform for International Cooperation on Undocumented Migrants (PICUM) Chair persons: Alyna Smith - Belgium
Published: November 2019

Abstract

A number of recent publications, including WHO’s Report on the health of refugees and migrants in the WHO European region: no public health without refugee and migrant health (2018) and the report of the UCL-Lancet Commission on migration and health have underscored the ways in which vulnerability to poor health outcomes can be exacerbated due to factors related to migration and migration status.
This workshop will explore opportunities to improve delivery of health care, using a practical tool intended to support the design of inclusive health services. This checklist has been elaborated by a coalition of organisations (“Nobody Left Outside” platform) centred on the situation and needs of underserved populations, including the homeless, sex workers, prisoners, people who use drugs and undocumented migrants. This workshop will aim to test and validate the tool, looking at a particular population: people who are undocumented.
The workshop will aim to: Improve understanding of factors that undermine delivery of health services to severely underserved groups, focusing on the specific example of people with insecure residence status.Promote understanding of service-design strategies that broadly benefit these groups, applying and validating a practical tool to support inclusive service delivery.
Format: The workshop will aim to be as interactive as possible. Following opening interventions from experts, participants will be invited to share their insights and expertise to validate the service delivery design checklist that will be shared with them, and to identify the necessary policies and practices that wold ensure its effective implementation.

Key messages
Test a solutions-based model for the design of health services that addresses underserved groups, focusing on undocumented migrants. Identify policies and actors needed to enable effective delivery to “left behind” populations.
Skills and knowledge to facilitate competence for health and wellbeing in Environmental Impact Assessment
Authors: Green L 
Published: November 2019

Abstract

Within Environmental Impact Assessments (EIA) any health impact assessed has routinely focused on environmental and socio-economic health determinants i.e. air quality/ emissions. However, the WHO recognises that health is much wider than this and health is influenced by a broad range of determinants, contexts, inequalities and experiences. Proposed development can affect a wide range of population groups and their health and well-being in diverse and significant ways.
The revised EU EIA Directive contains amended wording in relation to health consideration but also now requires ‘competent’ persons to undertake assessments. Competency can mean different things to different people but a clear set of standards, criteria and appraisal tools, training and professional competence and abilities are needed in order to be explicit to measure this and articulate how competence should be demonstrated in practice.

Findings
This paper describes a clear set of expected skills and knowledge outcomes that competent practitioners and multi-disciplinary teams need to exhibit; which policy makers and commissioners need to seek; and which reviewers should expect see applied, in order to ensure that high quality, fit for purpose EIAs are carried out which include the widest interpretation of health, wellbeing and inequalities. It discusses the work of the Wales HIA Support Unit to train and mentor practitioners and organisations and presents resources to enable this such as its Skills and Knowledge Development Framework, which provides a pathway to develop and support competence in practice, and the Quality Assurance Review Framework for HIA.

Conclusions
To enable competent broad holistic assessments to be carried out a clear set of criteria, tools, resources and training opportunities are needed in order to enable and facilitate a wide range of personnel to deliver a wide and inclusive health appraisal as part of EIA.
Cancer literacy applied in national cancer control plans – from policy to strategic guidelines in the EU
Authors: Sørensen K 
Published: November 2019

Abstract

Background
The study concerned a systematic analysis of National Cancer Control Plans (NCCPs) regarding cancer literacy. A national cancer control programme (NCCP) is a public health strategy designed to reduce cancer cases and improve quality of life of cancer patients. Cancer literacy is critically important for cancer patients who must make a complex set of diagnostic and treatment-based decisions at times of physical and emotional distress. Yet, it is unclear to what extent cancer literacy is reflected in cancer strategies such as the NCCPs.

Methods
The aim was to identify NCCPs from the EU to explore if health literacy or cancer literacy was included as a strategic priority. The NCCPs were retrieved in August to November 2018 from online portals as well as through key informants specialised in public health and health literacy.

Results
The data collection yielded 45 NCCPs of which 31 originated from the EU Member States. The document analysis revealed that six out of 45 NCCPs specifically included the term health literacy. The countries concern Austria, Belgium, Germany, Portugal, New Zealand and Maryland, the U.S. In addition, only one NCCP entailed the term ‘cancer literacý, namely the plan from Maryland focusing on ‘oral cancer literacý, specifically.

Discussion
Although, it is politically recognized that improving the health literacy of the population can be an effective strategy to promote a more (cost)-effective use of the healthcare services and population health the study of NCCPs revealed that ‘health literacy’ in general and ‘cancer literacý in particular, have not yet been commonly implemented as part of NCCPs. The countries who have actively mentioned health literacy, were all countries where health literacy is on the political health agenda in various ways.
The action network for measuring population and organizational health literacy (M-POHL) and its Health Literacy Survey 2019 (HLS19)
Authors: Dietscher C , Pelikan J 
Published: November 2019

Abstract
The first European comparative survey of population health literacy (HL), HLS-EU, triggered a lot of health policy and health systems responses. In the sense of “What doesn’t get measured doesn’t get done”, data seem important to capture the attention of decision makers and to support evidence-informed policy and practice. This is one of the reasons why the WHO publication “Health Literacy - The Solid Facts” (2013) demands regular internationally comparative surveys of HL.
Building up on initiatives by HLS-EU researchers and the German-speaking WHO member states, the Action Network on Measuring Population and Organizational HL (M-POHL) under the umbrella of WHO Europe’s Health Information Initiative (EHII) was founded in 2018 to achieve this aim. M-POHL’s objectives are to support regular measurements of population HL and of organizational HL and to use the results to support evidence-informed policy and practice. A unique feature of M-POHL is that it brings together research and policy: countries typically participate with a research and a policy representative. Experiences so far show that policy representatives in M-POHL find the continuous collaboration with research extremely valuable for maintaining momentum around HL in their respective countries. So far, 24 countries have been involved in M-POHL.
M-POHL uses projects to meet its objectives. Its first project will be the next European comparative survey of population HL, abbreviated as “HLS19”. This will build up on HLS-EU by using a standard short form of the survey tool for all participating countries, completing it with optional packages on new topics (digital HL, communication and orientation in health care), and allowing for a few country-specific items. Data collection for HLS19 will start in autumn 2019 and last until March 2020. Based on current expressions of interest, between 10 and 14 countries will participate in the survey. An internationally comparative report will be available in 2021.
Using technology and cross-cultural teams to deliver trauma-informed medication management
Authors: Buckley T , Kuoch T , Scully M 
Published: November 2019

Abstract

Issue/Problem
Cambodian Americans have high rates of mental health conditions, diabetes and cardiovascular disease. Unique risk factors include history of malnutrition, torture, social isolation, and poor social determinants of health. Community CARES is a trauma-informed model applicable to any trauma community with complex chronic health and mental health problems.

Description of the problem
High-touch, high-tech approaches can improve access to culturally and linguistically appropriate medication therapy management (MTM) services. Over 12 months, pharmacists teamed with community health workers (CHWs) to provide MTM services in Connecticut and California. Face-to-face consultations occurred in Connecticut, while patients and CHWs in California used teleconferencing with the pharmacist in Connecticut. Project goals: improve drug therapy outcomes, reduce inappropriate medication use, improve medication adherence, display cost savings.

Results
96 patients, average age 69, completed the project. Patients averaged 6.6 medical conditions and 10.3 medications. Pharmacists identified 604 medication-related problems, resolving 93%. Drug therapy outcomes increased 35%, medication adherence improved 23%, inappropriate medication use decreased 35%, and depression screening scores improved 25%. Return on investment ratio was 6:1, a savings of $3032/patient/year. Health improvements from face-to-face and telehealth MTM consultations were similar.

Lessons
Healthcare workforce is optimized by linking CHWs with pharmacists and technology to deliver cost-effective MTM services. The approach is generalizable to populations challenged by distance, disability, language, or culture. Public health care policies need to reflect team approaches and value-based payment models.
Main messages: The virtual cross-cultural team MTM model for underserved populations has the potential to meet the triple aim goals of better care, better health, and lower costs in multiple settings.

Key messages
Virtual cross-cultural team MTM model for underserved populations. Meets the triple aim goals of better care, better health, and lower costs in multiple settings.
Health and healthcare in the year 2040 – Facts for planning a complex and uncertain future
Authors: Funk T , Forsberg B 
Published: November 2019

Abstract

Background
In the Stockholm region, a regional political assembly is responsible for health care services for a population of 2.3 million. In November 2017, the political leadership decided on a programme to project health and healthcare developments in the Stockholm region until 2040 as a basis for a longterm health plan. This presentation aims to describe the methodology used, share some results and raise some questions for further work. Through the presentation we also seek collaboration with European partners involved in similar health planning work.

Methodology
Six perspectives for analysis were defined and under each a set of areas for deeper analysis identified. It was agreed that the planning should be fact-driven. Under the constraint of availability, data covering the period 2000 to 2017 was collected for around 90 variables. Data was gathered from various publicly available databases and was analysed in Microsoft Excel.

Results
Stockholm’s population increased continuously since the millennial shift and could increase by another 28% until 2040. Since 2000, life expectancy increased by 2 years for women and 3 years for men. More than 85% of the burden of disease is caused by chronic diseases. However, the overall disease burden per 100 000 population has been decreasing over the years. In 2017, more than 21 million outpatient care visits were done. Extrapolations of these trends show that the disease burden per capita will continue to decrease, but the total burden of disease as well as demand for health care will continue to increase.

Discussion
A fact-based analysis of future health and healthcare proved to be an efficient base for planning and discussions of future health care services. Results confirmed some well-established perceptions of developments but also pointed to some misconceptions and established “facts” that proved to be false. New digital services make prediction of the future health service mix dynamic and challenging.

Key messages
To meet future health care needs, future health and health care trends should be planned for and considered in decision making processes. Forecasts and health care planning should be fact-based to have an as accurate picture of future health and health care trends as possible.
Models and evidence of intersectoral cooperation in prevention and health promotion
Authors: Walter U , Röding D , Kruse S , Heinze N , Rana V , Komainda N , Haß W , Quilling E 
Published: November 2019

Abstract

Background
Inter-sectoral coalitions are regarded as a key principle of health promotion. The study examines the questions of how these are defined, which scientific theories and models are available, and which methods and parameters are used for their evaluation.

Methods
The scoping review in three databases (PubMed, Web of Science, LIVIVO) included studies in English and German published in 1/2010 to 5/2018. The results were analyzed qualitatively. In addition, relevant websites and textbooks in the field of public health, health promotion and social work were subjected to a document analysis in an iterative procedure.

Results
The database searches yielded 186 hits, of which 48 publications were systematically examined. Document analysis revealed 128 materials. Six common terms on inter-sectoral cooperation (network, collaboration, partnership, coalition, cooperation, alliance) were identified. Uniform definitions and unambiguous distinctions do not exist. Overall, only a few of the identified inter-sectoral collaborations are theoretically based, nine publications present models. Only seven studies provide insights into the effectiveness of model/theory-based strategies, whereby these almost exclusively examine output parameters. In particular, there are parameters on structure and process (e.g. team functioning, coalition capacity). Qualitative success factors and barriers were identified (e.g. integration of different actors, development of new financial sources, formalization). Eight validated instruments are identified. Four studies also examine the outcome level and demonstrate intended effects on behavioral parameters.

Conclusions
For research and practice, it is necessary to sharpen the terminology of intersectoral cooperation. Existing models should be systematically used and evaluated. In the future, an evaluation of the outcome of inter-sectoral cooperation and long-term effects will be increasingly necessary.

Key messages
Inter-sectoral coalitions are an evolving field, and both their theoretical foundation and empirical testing are still in their infancy. While success factors are well investigated, evaluations at the outcomes level are particularly necessary.