bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Comprehensive Community Engagement Framework for Health and Well-being
Authors: Adnan H S , Venticich P M , Prevo L , Schneider F , Kremers S 
Published: November 2019

Abstract

Background
Community engagement (CE) and empowerment are required to support the sustainability and effectiveness of actions to reach Agenda 2030. There is a need to guide CE for health and well-being to take action on important societal challenges such as the growing burden of non-communicable diseases (NCDs) and health inequities. The framework proposed in this study has been designed to assist professionals, practitioners and communities to effectively engage.

Methods
A narrative review of existing grey literature, policy papers and models related to CE was performed. This guided the development of a systematic search strategy, performed by two researchers, which reviewed CE approaches and key influencing factors. The search strategy captured different terms used for CE.

Results
A total of 27 studies of different types, from around the world, were identified for inclusion into the review. The study compiled a set of widely-used theories and approaches to CE. Key factors such as governance, trust, accessibility and sociocultural contextualisation were also identified as important for the success of CE initiatives. Subsequently, the Comprehensive Community Engagement Framework (CCEF) was developed. It combines theoretical and empirical principles, proven participatory actions and key factors to produce evidence-based health and well-being outcomes across different sectors and levels of society.

Conclusions
This study has formed the basis of a forthcoming WHO report on CE. The CCEF enables the operationalisation of CE to guide for possible practical approaches to planning, initiating, sustaining and evaluating CE processes alongside the community. It can be used by the health sector as well as the non-health sectors to address health, well-being and broader societal challenges.

Key messages
The CCEF can be used to engage health and non-health stakeholders to tailor CE processes, increase impact of interventions and policies, building capacity and empowering communities. The proposed framework provides the first comprehensive guidance to conduct community engagement.
Self-regulation, norms and alcohol consequences: study on university freshman from four EU countries
Authors: Bacikova-Sleskova M 
Published: November 2019

Abstract

High alcohol consumption is undoubtedly one of the most serious health and public issues across Europe. In addition to other licit and illicit drugs, it causes more than 4% of all deaths in the EU for those aged between 25 and 39. Among protective factors the self-regulation (SR) has been frequently associated with lower levels of risky drinking. On the other hand, overestimated descriptive normative beliefs (NB) may serve as a powerful source of social influence on personal alcohol use. Both SR and NB may be especially important during the period when young adults leave their families and may feel less external control and more freedom to use alcohol what may lead to serious health consequences. Therefore this study explores the associations among SR and NB in relations to alcohol use and negative alcohol consequences.
Data among 2671 first-year college students were collected in 2011. Students from the Czech Republic (n = 357), Hungary (n = 783), Lithuania (n = 928) and Slovakia (603) who filled in the AUDIT test, Self-Regulation Questionnaire and questions regarding NB. Regression models (separately for each country) were computed to test whether different level of SR influences the relationship between NB and alcohol use and between alcohol use and negative consequences.
Overestimated NB were positively associated with risky drinking in all countries and similarly alcohol use increased the level of negative consequences. Moreover, in predicting risk drinking and alcohol consequences, a moderation effect of SR was confirmed as associations among NB and alcohol use and among alcohol use and negative consequences were stronger among those students with lower SR.
The protective effect of SR on risky alcohol and consequences together with social norms approach may potentially improve the intervention accuracy and make it a promising target for intervention among young adults.

Key messages
Students from all explored countries highly overestimated the actual alcohol use what was significantly associated with theirs higher alcohol consumption. Those students who overestimated the actual alcohol consumption but had higher levels of self-regulation were less likely to drink or report negative alcohol consequences than their peers.
Building a social marketing Strategy to reduce alcohol-related harm in France
Authors: Hochet M , Quatremère G , Andler R , Cogordan C , Nguyen Thanh V 
Published: November 2019

Abstract

Background
Alcohol use ranks among the top three risk factors in France, leading to about 40 000 deaths annually. French health authorities wished to renew the public health message about alcohol consumption and build a social marketing Strategy to lower the social and health consequences of alcohol consumption in France.

Objectives
Two main steps were followed: 1) gathering a group of experts to provide up-to-date low-risk drinking guidelines, 2) building, testing and implementing a social marketing Strategy based on this expertise.

Results
In 2017, the group of experts established low-risk drinking Guidelines based on both scientific evidence and socially acceptable risks for the French population. They suggested to increase awareness on alcohol-related harm as well as on the new Guidelines. In 2018, a social marketing Strategy was set up by Santé publique France, the French national public health Agency. Qualitative and quantitative pretests allowed to develop understandable and potentially effective communication materials consisting of the following message: “To protect your health, no more than 2 alcoholic drinks a day, and not every day”. A web-based brief intervention to assess a person’s alcohol consumption was developed, based on a previous tool whose effectiveness had been demonstrated. In 2019, the Campaign was launched: health professionals were informed at first, followed by a national mass media Campaign that was broadcasted for 3 weeks, targeting the general population (TV, radio, press, the Internet).

Conclusions
It is the first time in France that such a global Strategy is set up to promote an alcohol harm reduction message. A robust evaluation is in progress but this structured approach seems feasible and reproducible abroad.

Key messages
In France, an alcohol harm reduction Strategy has been built up and implemented, based on scientifically-established Guidelines. The social marketing campaign is rigorously evaluated to assess its impact and portability.
Implementation process of social prescribing to improve primary care patients’ health and well-being
Authors: Dias S , Figueiredo C , Coelho A , Hoffmeister L , Gama A 
Published: November 2019

Abstract

Social prescribing (SP) is an innovative approach to tackle social determinants of health. It enables general practitioners (GPs) to address non-medical causes of ill-health by linking primary care patients with non-medical community sources of support. Despite convincing results from punctual evaluations, comprehensive evaluation of SP is needed to provide guidance on what works and evidence on its impact.
A SP pilot-project started in 2018 in a primary care service in Lisbon. Its implementation process and outcomes are being evaluated through a longitudinal mixed-method evaluation study assessing patients’ wellbeing, quality of life, anxiety and depression in key stages of the intervention and stakeholders’ perspectives on facilitators/barriers to the intervention implementation.
GPs refer patients to a social worker of the service, who defines with the patient the individual intervention plan using community resources. Initially, GPs and social workers were trained on SP, a network of community partners was built, SP information was distributed to patients, a referral online platform was created and a baseline study is being conducted. In the 1st semester, 130 patients were referred: 39.2% were ≥65 years old, 70.8% were female, 45.4% had foreign nationality. Over two thirds were referred for multiple reasons mostly social isolation, immigration/social integration, mental health, sedentary lifestyle, access to social benefits and employment/skills training.
The project has enabling to support patients with multiple complex psychosocial needs. Regular meetings between GPs and partners have improving collaboration and patients’ supervision. The participatory approach and training emerged as facilitators of the intervention. Yet, the increased burden on social workers due to growing referral profile and some stakeholders’ scepticism toward SP need to be addressed. The triangulation of sources, methods and data provide evidence on the intervention impact and scalability.

Key messages
The social prescribing intervention has been effective in tackling multiple social determinants of health. Intervention evaluation is being key to identify facilitators and opportunities for scale up.
Facebook Intervention To Improve Physical Activity Level Among Youth
Authors: Todorovic J , Terzic-Supic Z , Piperac P , Stamenkovic Z , Santric-Milicevic M , Djikanovic B 
Published: November 2019

Abstract

Background
Physical activity level decreases during the transition from late adolescence to young adulthood. Social media are nowadays widely used and part of many people’s daily routines and the interventions on these websites have the possibilities to be integrated into those routines without becoming a burden. The aim of this study was to assess physical activity level among medical students and to assess the possibilities of using social media intervention with an aim to improve physical activity among them.

Methods
Prospective study was conducted during October of 2016 at the Faculty of Medicine, University of Belgrade, Serbia. The study included 375 first and fifth-year students. At the baseline, students filled in the questionnaire regarding social and lifestyle characteristics as well as their physical activity. Physical activity was assessed using the International Physical Activity Questionnaire (IPAQ). After completing the questionnaire, students were asked to join a Facebook discussion group. The intervention consisted of motivation for physical activity through motivational pictures, texts, and discussions. The second assessment was done after one month. Based on the reported physical activity level students were divided into two groups: sufficient (&gt;600MET-minutes/week) and insufficient physical activity (≤600 MET-minutes/week).

Results
Total of 85.4% of students were sufficiently active at the baseline, while 90.4% were sufficiently active after one month. Multivariate logistic regression analysis showed that students who were part of the Facebook group (OR: 3.51, 95% CI: 1.46-8.43) and students who had sufficient physical activity at the baseline (OR: 5.44, 95% CI: 2.44-12.13) had a higher likelihood to be sufficiently active after one month.

Conclusions
Social media can be used for interventions targeting lifestyle change among young adults and activities on these websites can be adjusted to meet the needs of the target population.

Key messages
Intervention on social media could lead to lifestyle change. Interventions on social media could be adjusted to fit the target population.
A Bridge to Wellness: Gains from a health fair among fishermen in the Port of New Bedford, USA
Authors: Brisbois M , Silva H , Santos A , Canasta H , Feno A , Cabral L , Soares R 
Published: November 2019

Abstract

Background
Globally, it has been noted that fishermen have a higher mortality from cardiovascular disease, cancer, and injury from work-related accidents when compared to the general population. A potential increase in unemployment in fishermen in New Bedford could result in a lower income level which relates to an increase in risk behaviors, less health screenings, and negative health behaviors. While there is a lack of health-related data among fishermen across the globe, there is little information regarding the health among fishermen, who are predominantly immigrants, in the US.

Objectives
The objectives include designing a health promotion fair to prepare nursing students with the skills to educate fishermen associated with nutrition, diabetes mellitus, cancer and hypertension as identified by key informants in the community.

Results
Students expressed gains in achieving nursing competencies related to collaboration, communication, and teaching/learning by designing a fair with stations related to the four health topics with posters and activities. Educational materials were available in both Portuguese and English to support this aggregate who expressed learning new knowledge. Networking among local fishing agencies, nursing students and the fishermen supported this project from start to finish.

Conclusions
Despite limited access to this vulnerable group, learning nursing competencies and increased fishermen’s knowledge were realized. Connecting students with vulnerable populations is an effective way to promote learning for both groups.

Key messages
Multiple gains are noted when nursing students are paired with vulnerable community aggregates. Learning to work in the community with local agencies and groups is an effective teaching/learning pedagogy.
Learning from calorie posting/traffic light systems introduction in a University hospital canteen
Authors: Fitzpatrick P , Flood C , Cuniffe E , Doherty K , Lyons A , Stynes S , Pilkington A , Barnes L , Peare T , Kelleher C C 
Published: November 2019

Abstract

Calorie posting is now policy in hospitals in Ireland and restaurants will be required to display calorie counts on menus by end of 2019. The Health Promotion, Dietetics and Catering teams worked together to introduce calorie posting and a traffic light system (TLS) for all foodstuffs available in the staff canteen of a large University teaching hospital in Dublin, Ireland. A calorie posting launch took place in September 2018. The aim of this study was to determine staff perception of calorie posting and TLS.
One month after the launch, 343 staff members were surveyed using a short pre-designed Sphynx-software questionnaire at 3 time points daily over one week, at breakfast, lunch and evening mealtimes. SPSS was used for analysis.
Of the 353 respondents (65.3% female; 18-44 years 65.3%, 45+ 32.1%, unknown 2.6%), more staff found calorie posting helpful compared to TLS (66.5% vs 43.7%; p = 0.001). Staff stated they made themselves aware of calorie count always/mostly (46%) and sometimes (26.2%). More females than men found both calorie posting (72.3% vs 53.3%; p = 0.001) and TLS (49.1% vs 31.8%; p = 0.001) helpful. More respondents identified calorie posting than TLS as influencing food choice at least sometimes (60.3% vs 36%; p = 0.0001). Females were more likely to make a food choice change based on TLS (39.7 vs 20.6%; p = 0.01). Age and frequency of canteen use were not associated with either.
The results suggest calorie posting is used rather than TLS by all hospital staff and female hospital staff are likelier to use both. Learning from this study, the positioning of TLS in relation to individual foodstuffs has been reviewed, further promotion of TLS/calorie posting has taken place in the hospital and a regular audit has been established. Notwithstanding the challenges, important moves towards healthier choices were seen.

Key messages
Introduction of traffic light system and calorie posting needs evaluation. Females appear more likely to avail of traffic light systems and calorie posting in relation to food choices.
MRSA contamination in ambulances: a systematic review
Authors: Fattorini M , Quercioli C , Messina G , Nante N 
Published: November 2019

Abstract

Background
Methicillin-resistant Staphylococcus aureus (MRSA) is a multidrug resistant organism (MDRO) frequently involved in skin, soft tissue and bone infections. Moreover, it is one of the most frequently isolated pathogen in bloodstream infections in European countries. Because of its capacity to survive on inanimate surfaces, this microorganism could be detected not only on hospital environment, but also in other healthcare settings such as ambulances. We performed a systematic review in order to study the level of MRSA contamination in ambulances (vehicle surfaces and medical equipment).

Methods
In March 2019 we searched studies in PubMed using the key search terms “MRSA, ambulance”. We included different designs of studies in English.

Results
The research yielded 18 publications: after title, abstract and full text’s analysis, 9 manuscripts were included in this review. Studies were conducted from 2007 to 2018 in USA, Egypt, Poland, Germany and South Korea. Overall, the number of ambulances sampled for MRSA was 511 (min. 3-max. 150), and 64 (12.5%) resulted contaminated by MRSA. Sampling points examined for each vehicle varied from 5 to 33, for a total of 5872 (min. 39-max. 2136) samplings performed. The amount of MRSA positive samplings was 145/5872 (2.5%) (min. 1-max. 43). Stretcher resulted the most frequently contaminated fomite (29 of the 145 MRSA positive samplings, 20%).

Conclusions
Despite MRSA prevalence is decreasing in Europe, recent studies showed how this MDRO could still be responsible of a remarkable burden in terms of attributable deaths and costs. Implementing effective sanitation procedures with a continuative monitoring of the processes is highly recommended in all the healthcare settings, including ambulances. Automated terminal disinfection of these vehicles, adopting technologies such as ultraviolet germicidal irradiation or hydrogen peroxide aerosol, could reduce bacterial contamination hosted on surfaces and medical equipment.

Key messages
Although the percentage of isolates of MRSA in European countries is decreasing, the burden this multidrug resistant organism in terms of mortality and costs remains remarkable. Ambulances must be considered as a potential reservoir of MRSA because of its ability to survive on inanimate surfaces, and adequate sanitation procedures should be frequently performed.
Increasing awareness about psittacosis among bird owners
Authors: Overmars-Marx T 
Published: November 2019

Abstract

Background
Visitors of bird fairs and bird owners in general are at risk of becoming infected by Chlamydia psittaci bacterium. This bacterium is mainly found in birds and can be transmitted to humans. The knowledge about psittacosis is limited among the general public, bird owners and even among doctors.
Awareness to health problems regarding psittacosis, is important. By increasing this awareness among bird owners we encourage them to report these health problems and bird contact to the general practitioner. Experience shows that it is difficult to reach this particular group. The aim of this study was to gain more insight in the characteristics of bird owners to develop methods for providing appropriate information. This information aims to increase awareness regarding psittacosis.

Methods
The research adopted a qualitative approach and in depth interviews were held with sixteen bird owners using a semi-structured interview guide. The data collected was analysed using thematic analysis.

Results
Four themes were identified: social network related to birds, relationship with birds, awareness of risks and symptoms of psittacosis, information channels.

Conclusions
Most of the study participants were hobby breeders. They experience a strong connection with their birds and are experts in this field. In general they feel healthy. The bird owners are unaware of the fact they risk a disease as a consequence of their favourite hobby. However, they seem to be open for advice related to their health. It is recommendable to provide information from a near-by environment (e.g. through internet or at the local bird club) and use credible ambassadors. Increased awareness on the symptoms of psittacosis can be reached if appropriate information is received by bird owners. This might lead to more reports at the general practitioner and therefore prevents severe cases of psittacosis.

Key messages
Most bird owners were unaware of the health risks related to their birds. To prevent severe cases of psittacosis it is important to provide information from a near-by environment and to use credible ambassadors.
Vaccine hesitancy among parents in the general population in Sicily (South Italy): A survey study
Authors: Ferrante M , Cristaldi A , Cormaci L , Falla M G , Zuccarello P , Oliveri Conti G , Fiore M 
Published: November 2019

Abstract

Background
Vaccine hesitancy (VH) has become the focus of growing attention because of decreased vaccination rates and increased emergency department use, morbidity, and mortality. VH has not been deeply studied in Sicily. The aim of this study was to estimate the prevalence of VH among parents and to investigate the potential determinants.

Methods
We performed a survey from 1 March to 1 June 2018, using a random sample of parents who reported on median 10 year-old children. The parents were recruited in pediatrician’s offices and elementary schools. Information pertaining to socio-demographic characteristics, sources of information regarding vaccination and VH was collected. VH was calculated using the Parents Attitudes about Childhood Vaccines (PACV) questionnaire. Associations between VH and predictors were tested using Multivariable Logistic Regression.

Results
In total 471 questionnaires were collected, 77.7% of respondents were mothers. Based on the PACV 100-point scale, 73.2% (95% CI: 69.0-77.2) of parents had a 0 to &lt;49 score (low level of VH); and 26.8% (95% CI: 22.8-31.0) had a score of 50 and higher (high level of VH). Internet (66.9%, 95% CI: 62.4-71.1) was the main source of information on vaccination followed by television (29.1%, 95% CI: 25.0-33.4). In the bivariate analyses, VH was associated with education, marital status and occupation, but not with gender and age of parents. In multivariate analyses, highly educated (ORadj = 0.297, 95% CI = 0.141-0.626) and married (ORadj = 0.457, 95% CI = 0.213-0.977) parents were more prone to be nonhesitant, but not so unemployed parents (ORadj = 1.787, 95% CI = 1.083-2.956).

Conclusions
The prevalence of VH among the Sicilian parents was comparable with other populations. These results could be an important starting point to support the implementation of effective vaccination strategies.

Key messages
Implement interventions and strategies to further understand the issue of VH, to restore trust in authorities and vaccines. Suggest strategies that could improve childhood vaccination rates.