bluuebunny/crossref_metadata_2025_split huggingface dataset:
Planning tool for the development of interventions to prevent overweight in childhood and youth
Authors: Schröder M , Babitsch B , Hassel H 
Published: October 2020

Abstract

Background
Studies have shown that interventions to prevent excess weight gain in children and teenagers are often planned unsystematically and not evidence-based. Planning high-quality interventions to prevent childhood obesity is a complex process requiring time and personnel, both limited resources in health promotion. The aim of this project is to develop an evidence-based, user-oriented planning tool to support and optimize the planning process of interventions to prevent excess weight gain in children and teenagers.

Methods
To identify existing tools for planning interventions, a systematic literature review (SLR) was first conducted in the databases PubMed, LIVIVO and Cochrane. In addition, seven interviews were carried out with practitioners in schools and communities to determine difficulties encountered during the planning process. This data served as the foundation for the design of an initial draft of the planning tool, which was subsequently tested in focus group discussions (FGD) with potential users.

Results
The SLR identified a total of 23 planning tools. Of these, four comprehensive and evidence-based ones were chosen to compare planning steps and context requirements. The interviews revealed that practitioners require support with problem and needs analysis, target setting and the development of theory-based strategies. The first planning step of the tool was tested in FGD and modified in response to group feedback. An optimized version of the tool can be presented. Future work will focus on converting the tool into a web-based application and pretesting it in schools and communities.

Conclusions
The planning tool will support the systematic development of evidence-based prevention interventions. It provides a comprehensive roadmap to the planning process, guiding the user step by step. The conversion into a web-based application will simplify and support these planning steps. This project is supported by the Federal Ministry of Health, Germany.

Key messages
The tool enables time-saving, structured and quality-assured planning of prevention interventions. Requirements resulting from practice were considered in the development of the planning tool.
Health literacy and associated factors in patients with chronic diseases, Brazil
Authors: Tenani C F , Sousa M L R , Batista M J 
Published: October 2020

Abstract
Chronic diseases of the population have been a global challenge for public health. Considered a new field of study, health literacy (LS) is the ability to obtain and understand basic health information and services needed to make health decisions. Worse outcomes, such as less control of chronic diseases, have been associated with LS. Thus, the objective of the study was to investigate the association of LS, clinical and behavioral conditions in patients with chronic non-communicable diseases (NCDs) users of the public health service in Brazil. It was a cross-sectional study, conducted from July to December 2019, with 238 adult users of the public health service, in a random sample, from 10 basic health units, in Piracicaba-SP, Brazil. A questionnaire was applied to obtain socioeconomic, behavioral, and LS data (Suka et al, 2013). The outcome was LS (high, medium and low) and the independent variables: CNCDs (diabetes, systemic blood pressure), clinical conditions (pressure, tooth loss, pain, visible plaque and insertion loss), behaviors (brushing, use of dental floss), determinants (type and frequency of service use) and self-perception (oral health and quality of life) in health. Descriptive statistical analysis was performed, and the Chi-Square test, based on a conceptual model adapted for LS (5% significance level). They had low levels of literacy 35.3% (n = 84), average 35.7% (n = 85), and high 29.0% (n = 69). Low LS levels were associated with older individuals, low education, less brushing and flossing, irregular use of dental services, edentulism, pain, loss of insertion, negative self-perception of oral health and quality of life, and better systolic blood pressure index. The results of this study show the association of LS with behavioral and clinical factors, showing an important role in the health-disease process in this population. LS should be considered in health promotion policies in future studies.

Key messages
Our study shows the importance of health literacy, and its association with health outcomes in individuals with chronic non-communicable diseases. Within the important global epidemiological panorama of chronic diseases, better understanding the role of LS is important, and it can collaborate with health promotion strategies for this population.
The use of mobile applications as a tool supporting health
Authors: Grzebieluch J , Wołoch M , Felińczak A 
Published: October 2020

Abstract

Background
Mobile health (m-health) covers activities in the field of medicine and public health carried out by using mobile devices. It also includes mobile applications, which are one of the main branches of e-health. The aim of the study was to determine the relationship between the use of mobile health applications by students and everyday behaviour activities that promote health.

Methods
The study involved 208 students of three Wrocław universities. It was conducted from March till April 2018 and the online diagnostic survey (CAWI) method was used.

Results
70.2% of respondents declared they had mobile health applications installed on their smartphone.
49% declared that they used mobile health applications, while 51% did not. Respondents who used the application significantly more often than non-users, took care of their health in almost all of the ways listed in the questionnaire: care about mental health(28%), the quality and duration of sleep(41%), healthy diet(64 %), physical activity(81%), implementation of health-related activities in everyday behaviour(28%), monitoring my health(52%). People, who use health applications significantly more often, undertake most of the physical activities (running 42.2%, working out the gym 39.2%, riding bike 38.2%, attending group classes 33,3%, swimming 21.6%). Respondents use application mostly for 'Registering, supporting physical activity'(80%)

Conclusions
Almost half of the examined group of students use mobile health applications in their daily lives and this group assesses themselves as health-conscious people in its various manifestations and aspects.
These people are more likely to engage in various types of physical activity

Key messages
The results of the research clearly indicate the positive relationship between the use of mobile applications and health-promoting behaviours and undertaking physical activities. The development and dissemination of mobile applications can significantly affect the extension of possibilities for health promotion activities and supporting a healthy lifestyle.
E-health, community housing and nursing interprofessional clinic for equity
Authors: Chiasson R , Aboulhouda I , Roy G , Boucher A , Gagnon M-P , Boutin S , Kankindi B , Ouellet M 
Published: October 2020

Abstract

Problem
From a focus on transmittable diseases, attention to prevention and promotion has become a priority since 2011. Influenced by the Political Declaration of the High-level Meeting on the Prevention and Control of Non-communicable Diseases and The Rio Declaration on Social Determinants of Health, many countries across the world have identified targets aiming at chronic diseases prevention, preventable death and reduced morbidity. Individual behavior changes remain a challenge for health practitioners. Shanghai Declaration suggests that health literacy is a critical determinant for healthy choices and decisions.

Description
A healthy living program has been developed and offered in partnership between local public health and university Laval. We present the case of the community housing Mimosa du Quartier and its preventative nursing clinic. Eight-week Preventative circles and e-prevention interventions from kinesiologist, nutritionist and nurses are explored. IPads were provided to families and we used REACT technology.

Results
Discussion on e-health relevance, feasibility and impact is proposed. Program description, personalised action plan using SMART goals, health literacy and prevention gains are revealed. Relevance, feasibility and perceived impact are discussed. Learning about the user's experience, we can improve the telehealth program in support of continuity of care within the homes of families. This strategy is key to self-management and empowerment Lessons. Health promotion with e-prevention is strategic for sustainable family health. Combining strategies can improve outcomes. This pilot research shows promising results and practical considerations are given to the importance of the relational and alliance aspect of the care relationship even through technology use, to digital literacy capabilities, to family's motivation and engagement and finally to the advantages provided by the technology use.

Key messages
E-health prevention is an innovative avenue to fight chronic disease. Increased engagement in self-management leads to equity and less adverse outcomes for vulnerable families.
Improvement of the module for occupational diseases in the structure of occupational health record
Authors: Iancheva M , Kundurzhiev T , Tzacheva N , Hristova L 
Published: October 2020

Abstract
The study is based on the National Science Program 'eHealth in Bulgaria (e-Health)', funded by the Ministry of Education and Science. Partnership Contract No. D-01-200/16.11.2018

Issue
Occupational health is closely linked to public health and health system. In Bulgaria there are many software products related to the registration and reporting of occupational health.

Description of the Problem
It is necessary to study all the determinants of occupational health, including the risks of diseases and accidents in the occupational environment, social and individual factors. The establishment of electronic systems for registering and monitoring both the health status of each worker and the possible hazards in the work environment is associated with the introduction and use of the occupational health record of each worker.

Results
The methodology for improving the module for occupational diseases in the structure of the occupational health record in Bulgaria has been developed. The classifications are in compliance with the legislation in the country and the requirements of the developing Eurostat methodology for European statistics on occupational diseases are applied. The occupational health record will serve both employers and physicians working in Occupational Health Services.

Lessons
The occupational disease module in the structure of the occupational health record will contribute to the statistical comparability of occupational disease data at regional and national level. Not only will the registration of the harmful factors of the working environment and the diseases related to the work process, but also the introduction of timely measures to ensure good occupational and public health.

Key messages
Through the occupational disease module, the structure of the occupational health record introduces the possibility of taking adequate measures to ensure good occupational health. The occupational health record will serve both employers and physicians working in Occupational Health Services.
Could artificial intelligence make human doctors obsolete? A survey based on public attitudes
Authors: Chen Y Y , Li Y , Li C J 
Published: October 2020

Abstract

Background
With the outbreak of pandemics such as SARS, MERS and COVID-19 etc., making full use of artificial intelligence (AI) become the focus of social discussion. Some experts think AI can reduce infection probability of medical staffs and improve medical efficiency, while opponents believe AI will increase unemployment and medical ethical crises. We try to answer the question: From public perspective, could AI replace human doctors?

Methods
According to occupational status and biological gender, we select four groups as respondents: on-job and retired men, on-job and retired women. We investigate their attitudes towards AI application in medical field. After collecting 400 anonymous questionnaires, we use sample statistics, ANOVA and cluster method (CFSFDP) to find out cognitive similarities and differences between different groups.

Results
Reliability (Cronbach's alpha coefficient) and validity (KMO test) of questionnaires are 0.740 and 0.875 respectively. To the four groups, there are significant (p &lt; 0.01) differences in answers of 7 questions but non-significant differences in the remaining 3 questions. By CFSFDP, questionnaires are automatically grouped into two clusters. Largest group in two clusters are on-job women and on-job men, respectively. Although 82.5% of respondents pay attention to news about AI, the overall average score for “public attitude to AI application in medical field” is 2.828 (full-score is 5.000), below neutral-score (3.000).

Conclusions
To AI application in medical field, cognitive differences among different groups are in existence, especially between on-job men and women. But in general, the public held a negative attitude towards the AI application in medical field, and trust human doctors more.

Key messages
According to the survey, it seems that AI is lesser probability to replace human doctors in recent years. It is also necessary to consider the public attitudes when promoting medical AI.
“The nurse assistant app” to improve healthcare worker performance during antenatal care in Tanzania
Authors: van Pelt S , Massar K , van der Eem L , Shields-Zeeman L , de Wit J B F , Ruiter R A C 
Published: October 2020

Abstract

Background
The Nurse Assistant App (NAA) was developed to improve the quality of antenatal care in Magu District Tanzania by providing digital assistance to healthcare workers. The NAA guides healthcare workers step by step through all necessary antenatal care interventions and provides tailored advice and suggestions for follow-up actions. We used the Intervention Mapping framework to retrospectively evaluate the development of the NAA.

Methods
Desk research into the content, evidence base, and development of the NAA was performed combined with semi-structured interviews with two initial developers to fill in a planning tool consisting of 40 criteria for systematic evaluation of the data.

Results
Findings showed that the NAA was developed based on existing literature on antenatal care guidelines as well as the knowledge and experience of a broad variety of stakeholders and that five of the six steps of Intervention Mapping were performed. However, the development of the NAA lacked a theoretical foundation on behaviour change models. Future research will focus on the experiences of healthcare workers providing antenatal care using the NAA.

Conclusions
The NAA was developed in collaboration with relevant stakeholders and took practical matters as well as evidence from existing literature into account. However, we recommend that the responsibility and ownership of the NAA should be shared with the local government to increase the potential and sustainability of the NAA.

Key messages
The NAA was developed to improve the quality of antenatal care in rural Tanzania targeting healthcare workers. The current evaluation informs future digital health tool developers in sub-Saharan Africa about elements to take into account during the development phase such as systematic mapping of the process.
Digitally-enabled approach to improving primary care in a rural and remote low-resource setting
Authors: Ansell L 
Published: October 2020

Abstract

Introduction
An innovative digitally-supported multi-sectoral solution for supporting end-to-end primary care for rural and remote low-income populations in Western Visayas, Philippines was examined to determine its efficacy in supporting health access. This solution brings together multisectoral stakeholders using a digital platform to coordinate the provision of a virtual primary care system. The solution also supports ordering and delivery of low-cost insurance and medicines, with the aim of reducing out-of-pocket payments and complementing public-sector services.

Methods
Processes and outputs for a novel data-driven digital health solution were documented and analyzed through a mixed methods approach. Researchers conducted interviews with a range of stakeholders, including program beneficiaries and partners. Quantitative data focusing on the project outputs were also examined.

Results
Through an integrated digital platform to coordinate inputs from the public sector (Department of Health); private sector (pharmaceutical, insurance, and telecom firms); and community (in the form of a peer-worker network), this model offers an example of an innovative approach to primary health delivery in low-resource settings. These inputs are leveraged and informed by a 'big-data' precision approach, based on detailed epidemiological profiles of community residents. This dataset allows for the evidence-based identification of village-specific health priorities and development of corresponding interventions. This approach has contributed to increased access to medicines; affordability of medicines and health services; and community resilience among the target populations. However, barriers involving a local shortage of health human resources and cumbersome eHealth regulations affect program impact.

Conclusions
This research provides evidence for the scale-up of a multisectoral digital approach to support the implementation of UHC targets in Philippines.

Key messages
Implementing digital health solutions in low-resource settings is possible. Changes are needed in Philippines health regulations for digital health to properly support UHC implementation.
Information needs of public health professionals in Russia
Authors: Kaygorodova T , Kriukova I 
Published: October 2020

Abstract

Purpose
To analyze information needs of the Russian public health professionals

Methods
Statistical, sociological, bibliometrics and content analysis

Objectives
To analyze results of a survey of information needs of public health professionals; To analyze requests by public health professionals; To present topics and types of information resources needed by public health professionals

Results
public health professionals usually prepare informational and analytical reports and reviews for decision-makers. Therefore, it is important to understand what issues this group of information consumers is interested in, as well as what information resources they may need. To address this purpose, the authors have surveyed this group of specialists and analyzed their requests for information submitted to WHO Documentation Center in the Russian Federation. The results obtained made it possible to define major information needs of Russian public health professionals. By topics, they are arranged as follows: analysis and trends in mortality by age and cause of death; analysis and trends in fertility; analysis of information resources on healthy lifestyles, physical activity, healthy diet an risk factors, as well as analysis of international experience and comparisons. Distribution by information resources used by the public health professionals: Russian collections of statistical data, National report on health; articles from Russian journals on public health and nutrition; statistical databases of the World Health Organization; Eurostat; WHO reports on different public health issues (tobacco control, excessive alcohol consumption, obesity and unhealthy diet, etc.); WHO/Europe reports on health and well-being; WHO evidence reports on public health problems; PubMed - articles on public health questions; Cochrane library, etc.

Key messages
This poster presents the results of a study of the information needs of public health professionals. The study was conducted by interviewing these specialists at conferences and seminars.
Evaluation of Nomophobia and Loneliness in High School Students in Turkey
Authors: Kılınç A , Çam C , Ünsal A , Arslantaş D 
Published: October 2020

Abstract

Background
Nomophobia, short for “no mobile phone phobia”, is defined as having an involuntary and unreasonable fear when the mobile device is unreachable or uncommunicable. Students who are going through the puberty are vulnerable to nomophobia. In the study we aimed to evaluate nomophobia and loneliness levels of high school students.

Methods
This cross - sectional study was conducted in the first academic semester of 2018 and 850 high school students in Eskisehir constituted the study group. To evaluate the nomophobia levels of the students, Nomophobia Questionnaire (NMP-Q) and to evaluate the loneliness levels, UCLA Loneliness Scale was used. The questionnaire prepared in accordance with the literature was filled out by the students under the observation of the researchers. Mann Whitney U, Kruskal Wallis, Spearman Correlation analyses and Multiple Linear Regression was used. P values less than 0.05 was accepted as statistically significant.

Results
In the study group, 429 (50.5%) were female and 421 (49.5%) were male and their ages ranged from 13 to 19, the mean age (SD) was 15.66 (1.18) years. The mean score (SD) obtained from NMP-Q was 54.92 (14.87) while the mean score (SD) obtained from UCLA loneliness scale was 13.95 (4.60). Advanced analysis showed that; in females, in those who first used smartphone before the age of 13 and in those who have more friends on social medias than in real life nomophobia levels were higher. It was also found that the students' nomophobia levels increase with the the number of times they check their phones and the amount of time they spent on their smart phones (F = 28.424, P &lt; 0.001, R²=0.213). There was a positive weak correlation between nomophobia and loneliness levels (r = 0.353, p = 0.001).

Conclusions
It was concluded that nomophobia is an important public health issue among adolescents. Factors that can be changed, such as phone use habits and loneliness was important determinants for nomophobia.

Key messages
Nomophobia may affect the adolescents’ daily but most importantly school life negatively. It might be helpful to plan education programs to raise awareness among the students, parents and teachers for reducing the nomophobia.