bluuebunny/crossref_metadata_2025_split huggingface dataset:
Health literacy levels and related factors of patients admitted to an outpatient clinic in Malatya
Authors: Pehlivan E , Ozdemir K 
Published: October 2020

Abstract

Background
This study was conducted to determine the health literacy levels and related factors of the patients who applied to a health unit.

Methods
The population of this cross-sectional study was the patients who applied to a district outpatient clinic in the center of Malatya. Power 80% and in the 95% confidence interval based on the mean of health literacy scale of Turkey (29.5 ± 5.7) the sample size was determined as 317. In the first three months of 2019 outpatients and 384 randomized patients who agreed to participate in the study, developed by the Ministry of Health Literacy Turkey Health Questionnaire-32 (THLQ) was applied. The score obtained from the scale is considered to be insufficient of 25 and below, limited to &gt; 25-33 points and a score of &lt; 33 and above is sufficient. In the analysis of the data, Kolmogorov Smirnov, Mann Whitney U, Kruskal Wallis and Chi-Kare tests were used and p &lt; 0.05 was chosen as the level of error.

Results
49.9% of the participants were male and 50.1% were female. The average age is 35.94 ± 13.8. While 24% of the participants have secondary or lower education, 40.6% are graduates of higher education. In this study,the health literacy scale mean score of the participants is 15.85 ± 11.07. According to the results of THLQ-32, 78.1% of the participants were in the “insufficient” health literacy category, 14.0% in the “limited” category, only 7.9% in the “sufficient” category. Gender, age, educational background, frequency of applying to the health institution were determined as factors affecting the level of health literacy (p &lt; 0.05). However, the presence of a disease causing regular drug use was not identified as a related factor (p &gt; 0.05).

Conclusions
In this study, although of have a high education level of the participants were found to be inadequate of health literacy levels according to Turkey average value reflects the general.

Key messages
According to these results, it may be difficult for the groups that are insufficient in terms of health literacy to benefit from health services. Raising the health literacy level of the society can be an important component of health promotion.
Building health promoting sports clubs: A participative concept mapping approach
Authors: Johnson S , Van Hoye A , Donaldson A , Lemonnier F , Rostan F , Vuillemin A 
Published: October 2020

Abstract

Background
Sports clubs offer a unique position to increase performance and physical activity but may also provide additional health promoting opportunities. Research is limited on support clubs need to increase health promotion efforts. This study took a participative approach to gather French stakeholder ideas on perceived assistance sports clubs need to increase health promotion efforts and prioritized them based on ratings of importance and feasibility.

Methods
This concept mapping study had 4-steps: 1) drafting a focus prompt to a key issue, 2) brainstorming ideas in response to the focus prompt, 3) sorting ideas into themed piles and 4) rating ideas (1-6) based on two indicators. French stakeholders (45) in sports and health organizations were invited to respond using the groupwisdom™ platform. Researchers produced visual cluster maps of themed piles and Go-Zone graphs displaying ideas perceived as important and feasible.

Results
Participants generated 62 ideas responding to the focus prompt: 'What assistance would benefit sports clubs to become health-promoting settings?'. Once researchers edited ideas, 78 were available to sort. Final sorting formed 9 clusters: Tools for health promotion, Communication tools, Stakeholder training courses, Diagnostic & Financing, Awareness & Mobilization, Advocacy, Policies & Methods, Sharing & Networking, Communication & Dissemination. Importance and feasibility ratings produced Go-Zones with 34 ideas above the mean for both indicators. Top focus areas include: increasing awareness of health promotion benefits, mobilizing actors, advocating for support and educating club actors.

Conclusions
Understanding support stakeholders need to increase health promotion efforts in sports clubs is a crucial step to plan and implement policies. Including stakeholders' perceptions helps establish effective interventions by increasing the possibility of integration into current or emerging policies and acceptance from those working in clubs.

Key messages
Generating and organizing stakeholder ideas gives insight into perceptions of what support is needed to develop and implement health promotion interventions in the sports club context. Based on importance and feasibility, sports clubs can increase health promotion efforts by focusing on: increasing awareness of health promotion benefits, mobilizing actors, advocacy and education.
First year of implementation of a drug consumption room in Lisbon: the client’s profile
Authors: Pinto de Oliveiraa A , Gautier D , Nunes P , Correia V , Leite A , Taylor H , Pinto de Oliveira A , Curado A 
Published: October 2020

Abstract

Issue
Drug consumption rooms (DCR) are in place for more than three decades in Europe and have been proven to be effective as a public health response. However, their implementation remains slow and controversial in many countries. In Portugal, despite being legal since 2001, the first DCR only came into reality in 2019 by the initiative of the City Council of Lisbon.

Description of the Problem
These Programs are aimed at high risk users with a very fragile social and health situation and for that reason usually they adopt a integrate model of care, offering other services behind supervised consumption: basic healthcare, social support, rapid testing and referral to other services. In context of the first year of implementation of a mobile DCR in Lisbon, we intend to investigate if the program was able to reach those at higher risk. Service data collected between April and December 2019 was used to define the client's profile.

Results
The data collected by the program indicates that the vast majority of registered users are men, over 40 years old and homeless. Most users have already been tested for HIV and viral hepatitis in their lifetime, however, there are still barriers in accessing and utilizing specialized care. We also observed high risk practices: injecting in public spaces, groin injection and high rates of benzodiazepine injection.

Lessons
The mobile DCR in Lisbon was able to reach those users at greater risk, both by the pattern of consumption, and by the social and health situation in which they find themselves.

Key message
DCR combined with other harm reduction responses and health services can contribute to improve the health of a very marginalized group of users.
Co-created training program to promote active ageing in people with Down syndrome
Authors: Fornes-Romero G , Llop-Medina L , Doñate-Martinez A , Garces-Ferrer J , Anaya S , DeToro J 
Published: October 2020

Abstract

Background
Population ageing is a current challenge for the European society. Specifically, People with Down Syndrome (PDS) are living longer than before, reaching some of them around 60 years old. However, it is known that they show premature ageing that in some cases may be misled with Alzheimer first signs. Hence, it is crucial to promote an Active Ageing (AA) and healthy living in this specific population by keeping their cognitive, physical and emotional functions, and also promoting social activities such as community participation. In such way, their Quality of Life (QoL) will be increased.

Objectives
The main objective of this study was to co-design a Training Program (TP) to promote AA in PDS, professionals, relatives and/or caregivers, on the framework of the DS-AGEING project (2018-1-ES01-KA204-050733).

Results
Co-creation sessions with PDS, professionals and relatives/informal caregivers from Spain, Portugal, Slovenia, Rumania and Greece were carried out to determine contents, methodology and materials of the TP. This methodology allows meeting their real needs but also it promotes inclusion. The resulting TP is formed by the next topics (and its subtopics): active ageing, cognitive functioning (attention, memory, executive functions, praxis, gnosis, etc.), facing transition events, physical health (healthy habits & postural control). Training will be performed by 3 types of activities: face-to-face, practical and e-training. Co-validation sessions with end-users were conducted to validate the TP. Also, an e-training platform to support the TP implementation will be designed.

Conclusions
An easy, practical and flexible TP was co-created to be adjusted to each PDS and to be used by any person with/without experience in training. In such way, this study has a holistic perspective as cover all end-users needs: PDS will be able to train in the affected areas and professionals and relatives will have tools to assist them in the training.

Key messages
This co-created TP will be a tool for professionals and relatives/caregivers to foster AA and increase QoL of PDS. This study will promote an early detection of deterioration symptoms and the preservation of abilities in PDS.
Impact of overweight on the burden of non-communicable diseases in Belgium: the WaIST project
Authors: Gorasso V , De Smedt D , Vandevijvere S , De Clercq E , Van der Heyden J , Doggen K , Pelgrims I , Devleesschauwer B 
Published: October 2020

Abstract

Issue
Excess weight status is one of the main metabolic risk factors for non-communicable diseases. According to the Belgian health interview survey of 2018, 49.3% of the adult population suffered from overweight. Despite the great national burden, and apart from isolated actions, there is not anymore a comprehensive nutritional and physical activity health plan in Belgium. Consequentially, Belgium requires action-oriented research to support the implementation of evidence-based policies for the prevention of excessive weight gain.

Description of the Problem
The WaIST project aims to assess the contribution of excess weight status to the societal impact of non-communicable diseases, disability and multi-morbidity, and to model and compare the potential impact of internationally recommended health policies. The project also aims to support knowledge translation and policy transfer through a close interaction with national decision makers and stakeholders.

Results
The disease burden of diabetes, cardiovascular diseases, cancer and musculoskeletal disorders will be estimated in terms of disability-adjusted life years (DALYs) and healthcare expenses from a societal perspective. For this purpose, survey, registry, health insurance, and hospital discharge data will be used. Subsequently, health interventions tackling overweight will be selected considering scientific evidence and stakeholder priorities. Health impact assessments will then be conducted projecting the future impact of the interventions on health outcomes and costs related to excess weight status.

Lessons
The use of national data for the computation of the burden of disease provides better estimates for DALYs and costs compared to European or global study results. Moreover, the results of the project will allow to explore the impact of health intervention specific for the Belgian case.

Key messages
Considering the burden associated with overweight-related diseases, preventing obesity is important from a public health and financial perspective. Integrating these results into evidence-based policies could provide governments and partners with a key tool for effective health interventions.
Valuing experiential knowledge in health promotion: a new method to build up knowledge in France
Authors: Laurent A , Ferron C ,   National committee to promote EKHP, Berry P , Soudier B , Georgelin B , Gaspard S , Berdougo F , Rush E , Lombrail P 
Published: October 2020

Abstract

Issue
Effectiveness analyses of health promotion (HP) interventions (HPI) abound nowadays in France, but few research details how HPI work, nor explains how practitioners can translate conclusive evidence from the literature into action. Furthermore, large amounts of experiential knowledge remain untapped and undervalued. To close these gaps, a national multidisciplinary committee, comprising public officials, academics and practitioners, has worked since 2016 at designing a new method to build up knowledge in HP.

CEKHP
The method aims at Capitalizing, collecting and circulating Experiential Knowledge in HP (CEKHP).
Committee members first investigated methods used in other countries to synthesize and share practical evidence, then drafted and experimented CEKHP in 11 different settings to test its relevance and applicability.

Results
Key components of CEKHP are: 1/CEKHP consists in in-depth semi-structured interviews and offers a guideline template adjustable for various contexts and multiple public health issues (behaviors, environments, etc.); 2/a trained outsider, mastering 7 core competencies, must conduct CEKHP; 3/CEKHP includes a framework for reporting key mechanisms that influence HPI outcomes. Detailed mechanisms include: context, partnerships, key steps, barriers and levers, ethics, theoretical foundations (intervention models, evidence-based literature, etc.), transferability. A guidebook and a toolkit are published in 2020. CEKHP successfully disseminates within the French HP community. It is currently used as the main data collection tool in a research project investigating health promoting sports clubs (PROCeSS) and in a practice-focused project documenting tobacco prevention (DCAP).

Lessons
Practitioners benefit from access to knowledge on how HPI work. CEKHP offers new tools to value and disseminate experiential knowledge. Given that policymakers increasingly prioritize funding in France on documented HPI, providing such tools and training is crucial.

Key messages
CEKHP offers a new method in the French context that has proven fruitful in various settings, for various public health issues, and can be useful to practitioners and researchers alike. Building up experiential knowledge with and for practitioners can be effective at both documenting practices and helping them gain new skills and better understanding of their interventions.
Articulation between hospital and primary healthcare: The experience of Brazilian pregnant women
Authors: Gouveia L M R , Pereira C G S , Gomes A V N S , Nascimento A B 
Published: October 2020

Abstract

Introduction
Primary healthcare was considered by the World Health Organization as one of the ten health priorities for 2019 in the fulfillment of the specific commitments undertaken in the Declaration of Astana in 2018. The integration of the healthcare network in primary healthcare through visits to a maternity of a Brazilian Public teaching Hospital is one of the resourced for the protection and bonding of the pregnant woman.

Objective
To describe the experience and assessment of pregnant women in relation to visits to the maternity through a participative action between the Teaching Hospital and Primary Healthcare.

Methods
Qualitative study through a Community Based Participatory Research. Phases: Reduction in the number of visits was identified by the multidisciplinary team associated to actions of the Brazilian Ministry of Health; meetings with primary and hospital healthcare leaders; eight interviews with nurses from the hospital; seven workshops with 34 primary healthcare nurses and interviews with 32 pregnant women after the visit. For the purpose of this study, the interviews with the pregnant women, recorded and transcribed, were stored and organized using the webQDA ® software and thematic analysis performed.

Results
The pregnant women were of ages between 25 and 32, 63% were primipara and with gestational periods of between 13 and 39. Seven descriptive categories were identified: Care, bonding and health promotion of pregnant women; Challenges of communication with the pregnant women in primary healthcare; Challenges of communication with the pregnant women in hospital care; Clarification of the pregnant women's needs; Strategies for encouraging visits; Reassurance and safety in relation to the hospital; Public healthcare system image.

Conclusions
Countless challenges are identified by the pregnant women for the rapprochement of primary healthcare and hospital care in the attention to childbirth promoting quality healthcare, bonding and protection.

Key messages
Integration of healthcare network in primary healthcare through visits to a maternity is one of the resources for the protection and bonding of pregnant woman. Enhance the challenges of pregnant women as the path for rapprochement of primary healthcare and hospital care in the attention to childbirth quality healthcare, bonding and protection.
E-learning and an action model for promoting psychosocial health: knowledge transfer in a university
Authors: Helfer T , Fäh D , Berg A , Frey S , Luijckx E 
Published: October 2020

Abstract

Background
Promotion of the psychosocial health of individuals, groups and society, is becoming an increasingly important task for healthcare professions. In the Department of Health Professions at the Bern University of Applied Sciences, an interdisciplinary team of professors and researchers developed an e-learning programme, which highlights a new action model. This innovative model guides health professionals in systematically utilizing health promotion and prevention, to promote psychosocial health among their target groups. Internationally, such a model does not exist. Therefore, it offers an new and systematic approach to promoting psychosocial health among various population health levels.

Objectives
2019-2023: utilization of programme by department professors and researchers, and transfer of this knowledge to students, or to research projects (via internal marketing and incentives); integration of programme into interdisciplinary bachelor curriculum (via learning packages designed for use with students); national and international dissemination of the new model. How is the programme and model perceived among the professors and researchers? What is the models' relevance for public health?

Results
Preliminary results according to various professors, suggest that the programme is user-friendly and very useful. It has been integrated into the interdisciplinary bachelor curriculum. Researchers provided less feedback; however, ongoing incentives should result in its increased integration into research projects. Additional feedback is that the model is an innovative tool, and is relevant for health professionals at the international level. Its dissemination will begin in spring 2020, through its submission for publishing.

Conclusions
This e-learning programme and model are considered to be valuable and innovative. Upon publication, this systematic approach to improving the psychosocial health of target group(s) will be widely available for health professionals.

Key messages
An innovative action-model has been developed for the promotion of psychosocial health. A new understanding of how health promotion and prevention can applied to promote psychosocial health is offered.
Conceptualizing health literacy promotion in second language courses based on a realistic review
Authors: Harsch S , Bittlingmayer U 
Published: October 2020

Abstract

Background
Second language courses (SLC) and adult basic education courses are considered appropriate settings for promoting health literacy (HL) of vulnerable and hard-to-reach migrants and refugees. Yet, these courses and the process of HL promotion in SCL are not yet empirically well-understood. In the project SCURA, funded by the German Federal Ministry of Education and Research, we explored the role of SLC in HL promotion and developed interventions to improve the HL of newcomers. This study's aim was to analyze projects on HL promotion in SCL and to develop an empirically based theory of change.

Methods
We conducted a systematic literature search on HL and SCL on four databases (PubMed, PsycInfo, ERIC, google scholar) and a free online research. Two researchers screened titles, abstracts and full-text and identified 20 articles of 13 interventions eligible for a realistic review (Pawson 2005). We extracted the context and characteristics of the programs, methods, results, influences and triangulated the data to create a model.

Results
Despite the heterogeneous contexts, HL can be successfully promoted in SLC. The theory of change unfolds key program activities, outputs and outcomes, supporting factors and their relationships, and specifies the roles of teachers, health professionals, schools and students. The study reveals factors ensuring sustainability e.g. integrating health topics in the standard SLC, capacity building of teachers and institution, partnerships with local health services and focusing on language for health.

Conclusions
HL can be improved in SLC, but interventions need to adapt flexibly to the context and situation. Further relevant factors and process are depicted in the empirical-informed model facilitating the development of interventions and to advance the discussion on HL in SLC.

Key messages
Empirical data proves second language courses are adequate settings for promoting health literacy. The empirically-informed theory of change helps to guide the development of promising interventions to develop health literacy in second language courses.
“CicloExpresso das Barrocas”: a Portuguese example of promoting physical activity
Authors: Matos J 
Published: October 2020

Abstract

Issue
Active travel to school is one of the main forms of physical activity for children, contributing to attainment of several of the United Nations Sustainable Development Goals. Young people who travel to school in an active way increase the overall amount of time they spend being physically active each day.

Description of the Problem
In 2017 the association Ciclaveiro created the 'CicloExpresso das Barrocas” in Aveiro. The 'CicloExpresso das Barrocas” is a “bike train” comprising a group of children cycling to their school - Escola Básica das Barrocas - accompanied by parents. It is organized by a group of parents, with the support of the local parish council and school parents associations. The main objective was to promote sustainable mobility and get children to go to school in sustainable and healthy means of transport.

Results
Since 2017 more “train lines” were created to different schools, involving more children and parents. In the near future, the aim is to increase the numbers of “train lines”, schools involved,”trains” per week and children and parents who use them regularly. Physical activity has not only health benefits and contributes to a child's physical, mental and emotional development but also has potentially broad social and academic gains. Additionally it contributes to social cohesion, which in turn can boost confidence and self-esteem.

Lessons
The promotion of active travel to school can be challenging and may require support from sectors other than education. This example shows it can be implemented successfully through collaboration among relevant sectors. CicloExpresso have been getting public recognition. In Aveiro it received a “family-community involvement award for his work with CicloExpresso”.This example of good practice can provide inspiration for policy-makers, schools and researchers. They provide an overview of actions taken to increase physical activity among children and adolescents.

Key messages
Children who travel to school in an active way increase the time they spend being physically active each day. Active travel to school can be challenging and may require support from many sectors.