bluuebunny/crossref_metadata_2025_split huggingface dataset:
Cost-effectiveness of mental health promotion and prevention for young people: a systematic review
Authors: Schmidt M , Werbrouck A , Verhaeghe N , Putman K , Simoens S , Annemans L 
Published: November 2019

Abstract

Background
Effective mental health promotion and mental disorder prevention interventions may reduce the impact that mental health problems have on young people’s wellbeing. The objectives of this research were to summarize and assess health economic evaluations of mental health promotion and prevention for children and adolescents aged 6-18 years.

Methods
Four electronic databases were searched for full health economic evaluations published between January 1, 2013 and October 31, 2018 that evaluated the cost-effectiveness of universal mental health promotion and primary mental disorder prevention interventions. Each study was subject to a systematic quality-appraisal.

Results
Nine studies were included. Eight were carried out in the European Union, and eight evaluated school-based interventions. All evaluated interventions led to incremental costs compared to their comparators and most were associated with small increases in quality-adjusted life years. Four studies evaluated the cost-effectiveness of cognitive behavioural therapy-based interventions for the prevention of depression or anxiety, with mixed results. Cost-effectiveness estimates for mental health promotion and anti-bullying interventions were promising. Drivers of cost-effectiveness were implementation costs, intervention effectiveness, delivery mode and duration, baseline prevalence, and the perspective of the evaluation. The overall study quality was reasonable, though most studies only assessed short-term costs and effects.

Conclusions
Few studies were found. This limits the possibility of drawing strong conclusions about cost-effectiveness. There is some evidence based on decision-analytic modelling that anti-bullying interventions represent value for money. There is a lack of studies that take into account long-term costs and effects.

Key messages
Based on the evidence, schools should be supported in the implementation of long-term anti-bullying programmes to improve young people’s wellbeing. More research is needed on the long-term costs and effects of mental health promotion and prevention for children and adolescents.
Parental Education, Health Literacy and Children’s Height in Adult Life
Authors: Jarosz E , Gugushvili A 
Published: November 2019

Abstract

Background
Adult’s body height has been positively associated with various health and social benefits. Studies have demonstrated that parental education is one of the key covariates of individual’s health and height in both childhood and adulthood. However, another important covariate of child’s health, parental functional literacy, has been largely overlooked in studies on height. The objective of this study was to analyse the associations between parents’ education, their health literacy and children’s adult body height.

Methods
We used data for 17,331 men and 21,909 women from the 2016 wave of the nationally representative Life in Transition Survey (LITS) conducted in 34 countries in Southern and Eastern Europe, the Middle East, and Central Asia. Using ordinary least squares and Poisson regression models, we analysed the links between both mothers’ and fathers’ educational attainment, parental functional literacy - measured by the number of books in childhood homes - and individuals’ height, while also taking into account other available individual and contextual explanations of height which occurred either before respondents’ birth or during their childhood.

Results
Our results demonstrate that mothers’ educational attainment and parental functional literacy have strong independent associations with children’s adult height. Sufficient literacy skills of the parent may have positive effect on children’s growth even if parental education is low. These associations hold for both men and women and remain significant across time.

Conclusions
This study offers a unique contribution by tracking the long-term trends in height and its socio-demographic and socioeconomic explanations. Reported differences in individuals’ adult height were linked with early childhood living conditions, specifically, with mothers’ education and parental functional literacy.

Key messages
We track the long-term trends in height and its socio-demographic and socioe-conomic explanations. Regardless of the level of maternal education, parental functional literacy is a strong and consistent predictor of individuals’ height.
Parents’ evaluation of early home visit by midwife
Authors: Sollesnes R , Nilsen A B V , Langeland E 
Published: November 2019

Abstract

Background
The Norwegian guidelines for postnatal care strongly recommend that families are offered home visit by a midwife within the first week after early discharge from maternity clinic, in addition to home visit by health visitor 7-10 days after delivery. Due to lack of midwifery resources out of hospital, Bergen municipality has started a project where selected groups such as first time mothers, minority families and women who during pregnancy are defined as being in need of extra follow up, receive a home visit by their antenatal midwives. The main purpose of the study is to explore user satisfaction with the home visit by the midwife, and the parents’ experience of security and coping the first week after the delivery.

Methods
The design is a mixed method design including a clinical controlled trial. In addition to questions about the home visit, Parents’ Postnatal Sense of Security is used to measure safety, and by The Orientation to Life Questionnaire, coping as a Sense of Coherence is measured. The trial includes an intervention group who receive home visit by midwife, and a control group who met the inclusion criteria, but of different reasons do not receive home visit by midwife. The data collection started in November 2018 and is in progress.

Results
Preliminary results shows that the families consider home visit by midwife as useful, and as a good support the first week after delivery. Results from comparing the two groups regarding Sense of Security and Sense of Coherence will be presented.

Conclusions
Implications for better postpartum care will be presented.

Key messages
Investigate parents’ satisfaction with postpartum care at home, and ‘sense of security’ and ‘coping as a sense of coherence’. Contribute with suggestions for how to improve the postnatal care in a health promoting perspective.
Positive health as a new concept for physiotherapy in the Netherlands?
Authors: De Bot C M A , Boemaars C , Dierx J A J 
Published: November 2019

Abstract

Background
The current WHO definition of health seems to no longer meet the changes in the current Dutch health system. An alternative approach which puts emphasis on health, not disease, is Positive Health. This focus shifts the emphasis on improving resilience and well-being rather than the perspective on what is lacking in health. In 2014, this new definition of Positive health was included in the professional profile ’physiotherapist’ of the Royal Dutch Association for Physiotherapy. This study examines the attitude of physiotherapists to Positive Health and to what extent they experience this concept in their current working practice.

Methods
A mixed method study was used, with a quantitative and qualitative method. A survey was completed by 276 physiotherapists and 7 semi-structured interviews were conducted among physiotherapists.

Results
Positive health was considered positive by 68% of the physiotherapists that health is seen as a dynamic concept rather than static, and 60.5% consider it important that the emphasis is on self-regulation. However, physiotherapists wonder if all patients have the ability to self-manage skills. The qualitative analysis shows that all therapists find the new definition positive and that it covers all aspects of health.

Conclusions
In general, physiotherapists are positive about the definition of positive health. Positive health can help physiotherapists in their work with clients and other professionals because of the multidisciplinary approach.

Key messages
Positive health can help physiotherapists to promote health in their clients. Positive health can stimulate cooperation between physiotherapists and client to increase self-management.
Dynamics of the occupational respiratory diseases in Bulgaria in the period 2009-2016
Authors: Tzacheva N , Tabanska-Petkova M , Lyubomirova K 
Published: November 2019

Abstract

Background
The number of occupational respiratory diseases has declined in recent years in Bulgaria. This is the result of technological advance, mechanization and automation of the processes generating high levels of dust in the work environment; adequate ventilation; personal protective equipment and, last but not least, the training of workers on preventive approaches.

Methods
The aim of the study is to find out the trends of registered occupational respiratory diseases in Bulgaria in 2009-2016, according to official statistics. Analytical and statistical methods were used.

Results
In 2016, the number of occupational diseases (n = 33), registered in Bulgaria decreased by 71.55% compared to 2009 (n = 116). In 2009, the relative share of silicosis from respiratory occupational diseases was 47.54% (n = 29), while in 2016 it grew to 64.29% (n = 9). Its share is also increasing as part of all occupational diseases in Bulgaria from 25% in 2009 to 27,27% in 2016. The registered cases of chronic rhinitis, nasopharyngitis and pharyngitis for the whole period are only 2, of professional asthma - 3; of chronic bronchitis - 5, less than cases of asbestosis - 9. In 2009, there were five reported cases of talcosis and the total number of cases of siderosis was 23 for the period of eight years. There are 4 cases of other pneumoconiosis and 2 of pneumoconiosis associated with tuberculosis, as well as 10 cases of toxic pulmonary fibrosis during the whole period.

Conclusions
It is worth noting the small number of occupational respiratory diseases that could be caused by other factors not necessarily related to the work environment, such as chronic bronchitis and asthma, although they are significantly more frequent than those mandatory caused by occupational hazards such as silicosis, asbestosis and toxic pulmonary fibrosis. This means that a significant proportion of these cases are counted as common chronic non-communicable diseases with significant negative social consequences.

Key messages
The registered occupational respiratory diseases decrease, but the relative share of those with strictly professional etiology, such as silicosis, is growing. A significant proportion of occupational respiratory diseases are reported as chronic non-communicable diseases.
Prevention of chronic diseases in family medicine in Croatia
Authors: Maric-Bajs M , Puljak A , Polić Vižintin M 
Published: November 2019

Abstract

Background
Inappropriate habits and behaviour patterns are risk factors for most chronic non-communicable diseases. Prevention and education are one of the continuous tasks of public health professionals. Primary preventive care requires an active approach from the health professionals.

Methods
This program includes preventive examination and certain laboratory tests persons older than 55 who did not visit their family doctor at least two years. 721 persons were examined and interviewed from 2014 to 2018. The paper shows analytic results expressed in percentages of the prevalence and 95% confidence interval (CI).

Results
A total of 721 patients were included. Sex ratio male:female was 0.47. The age (mean) was 61.4 years [standard deviation (SD) = 9.1]. Up to three alcoholic drinks per week consumed 22.1% respondents (37.1% male and 11.9% female). There were 24.1% smokers and 14.6% former smokers. Overweight (BMI 25-30) were 44.4% male and 36.3% female. Obese (BMI&gt;30) were 27.6% male and 30.3% female. Digitorectal examination was performed in 582 persons and detected pathological phenomena in 10.3% female and 19.4% male. Hypertension was found in 14.9% male and 18.2% female. Isolated systolic hypertension was found in 19.8% male and 16.7% female, and isolated diastolic hypertension in 3.9% male and 3.5% female. Suspicion on one or more newly diagnosed disease was placed in 55.9% (95% CI 52.3-59.5) respondents. In total, there was a suspicion of 696 newly diagnosed diseases. Newly diagnosed diseases were disorders of lipoprotein metabolism (n = 156, 21.6%), followed by hypertension (n = 69, 9.6%), obesity (n = 52, 7.2%) and independent of insulin diabetes (n = 51, 7,1%). 53 persons [7,4% (95% CI 5,4-9,3)] had suspected neoplasm and they were immediately referred for further diagnostic evaluation.

Conclusions
The public health significance of such programs with active approach and detecting malignant state as early as possible is extremely important.

Key messages
Primary preventive care requires an active approach from the health professionals. Detecting chronic non-communicable diseases in earlier phase is important and confirms the public health significance of prevention programs.
From the experience of planning a life with diabetes to the mechanisms of the management of illness
Authors: Mathilde M M , André W A , Paul K N P 
Published: November 2019

Abstract

Background
In the context of chronic diseases, it is now recognized that experiences of planning a new life with diabetes are very informative, and are a source of knowledge that can be used to improve patient care and quality of life. However, the professionals in health and the patients’ therapeutic education are still struggling to translate this knowledge into their practices or to make use of it, as long as its forms remain largely unknown and it is not known how to identify these. Objective: The study aims to identify these knowledges and to report on how it is produced, based on an analysis of the experiences of diabetic patients in Yaoundé, Cameroon.

Methods
The study combines a phenomenographic approach aiming at ethnographing the form and contents of lessons learned from life experiences with diabetes; and an operation of reflexive ethnography centered on the patient, apprehending the process of elaboration or production of these teachings. It includes six diabetics selected from the typical sampling method. The data collected were analysed using paradoxical analysis and interpreted in a pragmatic perspective.

Results
The results reveal various mechanisms of self-management of the disease and stigma, developed by patients, such as: identity recomposition; valorization of treatment by promoting its benefits to others; control of information about one’s illness oscillating between concealment and disclosure; therapeutic adjustments according to the life situations or interactions; rearrangement of individual and family habits; listening and decoding of the language of illness, body and the effects of food on the body; learning of conceptualized knowledge about diabetes and nutrition through various sources of information.

Conclusions
the study suggests that these mechanisms should be considered as relevant forms of knowledge; and the should be used to improve both preventive, therapeutic and educational practices and the quality of life of the diabetics.

Key messages
The mechanisms of self-management of diabetes and stigma develop by diabetics trough their experience of planning a new life with diabetes should be considered as relevant forms of knowledge. These mechanisms should be used by health professionnals and patients’ education professionals to improve their practices and the quality of life of diabetics.
Prevalence of multiple sclerosis in the South of Italy based on healthcare administrative data
Authors: Palladino R , Brescia Morra V , Lanzillo R , Giordana R , Fumo M G , Montuori P , Sormani M P , Triassi M , Moccia M 
Published: November 2019

Abstract

Background
Multiple sclerosis (MS) is an heterogenous disease whose prevalence varies in Europe. Hereby, we aimed to estimate prevalence of MS in the Campania Region of Italy.

Methods
To identify individuals with MS living in the Campania Region of Italy, we extracted data from the following healthcare administrative databases: hospital discharge records, regional drug registry, and specialist outpatient visits from Jan-2015 to 3Dec-2017. Individuals alive on the 1-Jan-2018 were included to capture prevalence on this date. Age-sex standardised prevalence rates were calculated using the direct standardisation method; the European population in 2018 was considered as reference population. To assess differences in the prevalence ratios across the five provinces of the region, standardised morbility ratios (SMR) were calculated. To calculate 95% confidence intervals (95%CI) for the standardised rates, the Byar’s approximation method based on the Poisson distribution was used.

Results
We identified 5,361 individuals with MS (females 64.5%, age 45.6±12.7 years). Standardised prevalence rate per 100,000 people was 90.0 cases (95%CI=87.60, 92.40) (112.07 for females [95%CI=108.36, 115.88] and 66.20 for males [95%CI=63.26, 69.25]). The SMR in the province of Naples, the most densely populated, was 0.90 (95%CI=0.86, 0.96), whereas the highest SMR was found in the province of Salerno (SMR=1.30; 95%CI=1.23, 1.38), and the lowest in the province of Caserta (SMR=0.89; 95%CI=0.82-0.96).

Conclusions
Prevalence of MS in the Campania Region is lower than previous estimates from smaller areas in the North of Italy, suggesting a longitudinal gradient. Differences within the Region could be explained by genetic/environmental background and healthcare organization (e.g., missing diagnoses). In the future, healthcare administrative databases could be used to monitor MS prevalence/incidence and to plan healthcare resource utilization.

Key messages
Prevalence of MS in the Campania Region is 90 cases per 100,000 people. It is lower than previous estimates from smaller areas in the North of Italy, suggesting a longitudinal gradient. Differences within the Region could be explained by genetic/environmental background and healthcare organization (e.g., missing diagnoses).
Improving chronic diseases management using Learning from Excellence (LfE) model
Authors: Borghini A , Vola F , Pennucci F , Seghieri C , Nuti S 
Published: November 2019

Abstract

Background
Learning from excellence (LfE) model demonstrated to be an effective method in the promotion of quality improvement in healthcare and in the reduction of patient’s harm. We applied LfE to identify the best models that could represent the excellence in the management of chronic heart failure (CHF) patients among the models adopted among 98 healthcare providers across 10 Italian Regions.

Methods
The research consisted of 2 phases: 1) the creation of a 9 indicators set to map CHF pathways and the analysis of these indicators through a quantitative approach using a modified positive deviance model which identified the best performers among our sample of hospitals and local health authorities (H/LHA) grouped in geographical Areas. We transformed 3 indicators (“tracking” indicators) into a 0-5 scale to assure direct comparison. 2) The H/LHA best performers were asked to share their organizational and clinical model during a workshop where every stakeholder involved could take part.

Results
Among the 10 investigated Italian Regions, 42 Areas were ranked and ranged 1,83-3,91. The three best performing areas that ranked above the 3rd quartile and were interested in taking part in this new approach were selected. The results arising from the qualitative analysis of these areas showed that communication, trust and shared goals among healthcare professionals resulted to play a key role among the best performing H/LHA. Indeed, the same role is played by all the policies and practices that enabled Interactions among healthcare workforce and patients, thus representing the ‘integration of care’.

Conclusions
The identification-celebration of best performers LfE implementation model holds the potential to promote quality improvement of processes among healthcare providers. This potential also unlocks in the chronic disease management field, making the sharing of best performers’ experience possible at a Regional and National level.

Key messages
Learning from excellence model demonstrated to be an effective method in the promotion of best models in the management of chronic diseases. Communication, trust and shared goals among healthcare professionals resulted to play a key role among the best performing hospital and local health authority.
Participatory approach in developing the long-term care strategy in Slovakia
Authors: Katreniakova Z , Levyova M , Giertl M , Nagyova I 
Published: November 2019

Abstract

Issue/problem
In Slovak Republic (SR) old-age dependency will rise rapidly in the near future and will more than double in the next 15 years. This profound demographic changes will require restructuring of health and social care systems with more people working in the long-term care (LTC) sector and most likely a higher level of public spending to cover the growing LTC needs.

Description of the problem
Providing LTC in Slovakia has many problem areas. It is governed by several acts and regulations, which are not always linked and sometimes do not cover the situation entirely. There is not coordinated and integrated LTC model implemented and the distribution of the roles between the health and social care systems is lacking.

Results
Since 2017 a policy dialog between the key stakeholders - the Ministry of Health of the SR; the Ministry of Labour, Social Affairs and Family of the SR; and civic societies led by the Association for the Patients’ Rights Protection has been in place with aim to improve the current LTC Strategy Proposal. Online survey was carried out in May - June 2018, which brought deeper insights into the needs regarding demand and supply, and uncovered the main limitations of the current LTC system, e.g. insufficient capacity of LTC beds or a malfunctioning information system. This was followed by six workshops for professional and lay public, organised between February and March 2019 with aim to collect further evidence on regional level.

Lessons
The LTC Strategy Proposal development is one of 12 pilot projects within the national project - Promoting partnership and dialogue on participatory public policy making in SR. The initiative takes into account the needs and demands of LTC target groups and will serve as a starting point for further action in this area. [Grant Support: APVV-15-0719].

Key messages
In Slovakia, a complex solution of long-term care issues is essential. Developing the LTC Strategy Proposal through participatory approach is an important starting point for future action.