bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluation of minimum standards for communal catering in Styrian nursing homes
Authors: Lampl C , Aufschnaiter A L , Hatz M , Gunzer W , Fuchs-Neuhold B 
Published: November 2019

Abstract

Background
Nutritional standards in community catering facilities are essential for adequate quality of care. As part of the initiative GEMEINSAM G'SUND GENIESSEN of the Health Fund Styria, minimum standards for nursing homes were published. The aim was to investigate the current situation of the implementation of selected minimum standards for food and drink supply in Styrian nursing homes to create appropriate measures for healthy living for elderly people.

Methodology
Of 81 defined minimum standards, two thirds were examined in the study (n = 54; 66.6 %). To get detailed insights into the current degree of implementation, the project team worked with a mixed- methods-basis, consisting of an online survey (n = 94; 41.4% of all Styrian nursing homes), 46 guideline interviews and 169 weeks of menu analysis.

Results
Of the 54 minimum standards analysed, 34 were fulfilled (63.0%), nine were rather fulfilled (16.6%), five were rather not fulfilled (9.2%), four standards could not be fulfilled (7.4%) and two standards could not be investigated (3.7%). Nursing homes prefer seasonal and regional products, but pay less attention to the use of fair trade products or organic food. In addition, the food choice is determined by the preferences and acceptance of the residents, which are the main reasons for the low use of whole grain products and the rare offer of vegetarian dishes. With regard to the design of the menus, almost all plans are age-appropriate and attractively presented, but rarely meet the standard with regard to recommended labelling (e.g. alcohol aromas). Challenges in the daily practise are finding a way between the self-determination of the residents, the arranged diets as wells as meeting the minimum standards.

Conclusions
Results indicate that minimum standards in nursing homes are taken into account. In order to achieve a comprehensive implementation, further development of the standards as well as information and awareness-building interventions are needed.

Key messages
Challenges in the daily practise are finding a way between the self-determination of the residents, the arranged diets as wells as meeting the minimum standards. The range of vegetarian dishes, dishes with legumes and wholemeal products should be focused in the future. In addition, the provision of tools (age-and target-group- specific-menus) is recommended.
Paying attention to personnel in organizational changes: the impact of hospital mergers
Authors: Sisti L G , Mariani M , De Vito C , Isonne C , Nardi A , Mete R , Villari P , Ricciardi W , Damiani G 
Published: November 2019

Abstract

Background
The importance of paying attention to personnel satisfaction for the well-being of an organization is clearly stated also in healthcare organization. The trend of mergers of healthcare organizations represents an evident case of organizational change that could undermine personnel satisfaction if not adequately managed. The aim of our study was to investigate the impact of hospital merger on personnel perceptions and satisfaction.

Methods
A systematic review of the literature was carried out by querying scientific databases and grey literature. A search string was built using keywords including: merger, healthcare, personnel, satisfaction and synonyms. Inclusion criteria were primary studies reporting the outcome of interest and set in hospitals that has undergone a merger. Studies characteristics such country setting, design and time frame of the study, number and role of personnel interviewed and main findings were extracted and narratively synthesized.

Results
Search resulted in 3662 studies of which 9 were finally included in the analysis. Studies were mainly represented by post-merger qualitative research (77.8%) of which 55.6% semi and 54.4% structured interviews. Sample size ranged from 14 to 3119 and was represented by unspecified employees (55.6%), nurses and hospital executives (22.2% both). Findings showed that hospital executives consider merger positively especially regarding increased negotiation skills and costs reduction. Conversely, the other personnel mainly expressed critical issues as differences in organization of hospitals merged, goals and confirmation uncertainty, communication impairment and especially no involvement in follow-up in the post-merger phase.

Conclusions
The merger process strongly impacts healthcare personnel satisfaction, depending on the role played in the organization. If an initial enthusiasm and staff engagement in pre-merger phase is seen, this is not generally followed by their proper involvement over time.

Key messages
As personnel satisfaction and perceptions are strongly related to healthcare quality, they represent a central point in the merger process of healthcare organization. More attention must be paid to follow-up staff satisfaction after the merger in a continuous staff engagement to ensure the success of merger process as well as that of all organizational changes.
The social and economic benefit of health literacy interventions in the WHO EURO region
Authors: Stielke A , Dyakova M , Ashton K , van Dam T 
Published: November 2019

Abstract

Background
Health literacy (HL) allows people to make informed decisions regarding their health, enabling them to understand health promotion activities and to self-manage their disease or complication without requiring support from healthcare services. HL has the potential to support sustainability in health systems by decreasing healthcare spendings stemming from lowered disease occurrence and progression, it can also impact on the rest of peoples’ lives and their surroundings by allowing them to be more independent. This study researched the evidence for return on investment and the social return on investment for health literacy interventions within the WHO EURO region.

Methods
A narrative literature review on published peer-reviewed reviews and grey literature was conducted by use of keywords and MeSH terms. Google, Google Scholar and PubMed were used find literature. The search on PubMed was restricted to reviews, published within the last 10 years (2009-2019), in English.

Results
In total, 450 publications were screened 12 publications that analysed the economic or social aspect of HL interventions were identified. Five discussed the cost-effectiveness of health literacy, three the return on investment (ROI) and the remaining three the social return on investment (SROI) of HL. Types of HL interventions ranged from health promotion campaigns, web-based HL programs, prevention systems to education-based interventions. Cost-effectiveness differed between studies and fields. Evidence for ROI was found, the return ratios ranged from 0.62 to 27.4. Findings show SROI between 4.41 and 7.25, indicating additional value of social benefit next to improved health.

Conclusions
A link between cost-effectiveness and HL interventions was established and ROI and SROI showed positive ratios. Further research is required in order to investigate whether HL interventions consistently achieve a positive returns.

Key messages
A link between health literacy interventions and positive investment returns has been established. Health literacy interventions show potential for sustainable development of health systems.
Development of health management system with recording daily living habits and body compositions
Authors: Shibata T , Sata K , Oroguchi T , Ishii N 
Published: November 2019

Abstract

It is difficult for university students to maintain their health. Department of health management was opened at April 2018 in Tokai university, Japan. About two hundred students entered it last year. Health management system was developed to maintain their health through the college life. The system is named THINKss (Tokai Health INtelligence Knowledge Support System). The number of registered students increased about four hundred this year. Every student can record their daily physical and mental conditions, meal photos with the time, body temperature, blood pressure, bone density, body compositions on their smartphone. If they use activity trackers with a wrist-based heart rate sensor (Garmin co. ltd.), their daily activities and sleeping status are corrected through API automatically. The weather information around university is also recorded everyday. Every student can browse own measurements on their smartphones. Because physical status includes cold symptoms (sneeze, throat pain, cough, fatigue, articular pain, muscle pain, chill, and body temperature), the system can recommend visiting a clinic. Because three meal photos are shown alongside, the balance of the meals is known. It may improve their meals. Because the activity tracker records advanced sleeping status (rem, light, deep, and moving), the relationships between mental conditions and sleeping status should be analyzed. Our previous study for common workers showed that mental status related with sleeping status, taking lunch of convenience-store, standard deviation of time of taking lunch, and oversensitivity to noise. Relationships between body composition changes and the lifestyles should be analyzed for university students. Some alert logics for body composition changes and exacerbating mental conditions may be provided based on the evidences from cumulative data of the health management system. These evidence-based alerts will contribute to maintain student’s health through a college life.

Key messages
Health management system was developed to maintain student’s health through the college life. Evidence-based alerts will contribute to maintain student’s health through a college life.
A new health professional profile in Switzerland: the county practitioner?
Authors: Motamed S 
Published: November 2019

Abstract

In the vogue to provide Geneva with a health and social system with intermediate structures between practitioners and hospitals, many proposals have been made. All have the characteristic of omitting the fact that the general physician, central element of the system, could be set to one side. A family doctor remains a clinician, and is manager of the disease. The proposals lack what we call the community dimension and do not approach citizens from the point of view of their health.
Some components of this new professional profile are at the individual level and already form part of the primary care physician’s activity. Others, on the other hand, are akin to collective or community-based interventions, so are not generally included in the primary care practice. Thus, in collaboration with the central structures of the canton and the authorities, activities such as medicine at school or nursing home, epidemiological surveillance, participation in development projects and actions dealing with the environment, etc., could represent the community part of this new practice.
In view of this, the concept of ’county practitioner’ was implemented in the framework of a global project emanating from the authorities of a county of the state of Geneva in Switzerland, which aimed to develop social links, well-being and health through the complete restructuring of the village center. Other projects, in other municipalities, were inspired by this first experience, although the ’country practitioner’ is currently limited to a role of “health adviser”. Several examples could be presented.
The conditions for bringing into being such a profile are numerous: the drafting of specifications, the political will and the benevolence of fellow practitioners fearing a loss of power. Once again, the community doctor does not replace the attending physician, he completes his action mainly in the field of community health.

Key messages
The concept of ’county practitioner’ was implemented in the framework of a global project emanating from the authorities of a county of the state of Geneva. The conditions for implementing such a profile are numerous.
FINDRISK and occupation: need of prevention of diabetes type 2 at the workplace
Authors: Lyubomirova K , Tabanska M , Hristova L , Samuneva M , Yancheva M , Tzacheva N 
Published: November 2019

Abstract

Background
Diabetes mellitus is a risk factor for atherosclerosis, cardiovascular morbidity and increased mortality. Identifying people at a high risk of developing diabetes determine the prognosis and quality of life of the patients and prevent the development of macrovascular complications of diabetes. Within the framework of an international project, the ten-year risk of developing type 2 diabetes mellitus in two age groups workers (up to 25 and over 55) of four economic sectors (construction, clothing, hairdressing and cosmetics, and healthcare) has been estimated.

Methods
The survey included 150 workers from four economic activities. The FINDRISK questionnaire was distributed among them. Plasma glucose and serum lipids (HDL, LDL, triglycerides) were analyzed. The statistical analysis of the results was done using SPSS 16.

Results
The mean FINDRISK score for the age group up to 25 years is 3.6 ± 3.8, and for respondents above 55 years - 10.1 ± 5.0. The analysis highlights the higher risk of developing diabetes among healthcare workers, where the score of older workers is 11.63 ± 6.61, as well as in the textile and clothing industry (11.17 ± 4.3). These results call attention to a potential link between the occupation and the risk of developing type 2 diabetes in these sectors of the economy and the need for additional measures to search for causes and prevention.

Conclusions
A significant proportion of the participants over 55 years old in the healthcare and textile and clothing sectors are at an increased risk of developing type 2 diabetes, which requires a change in lifestyle, as well as the identification of workplace hazards that lead to these results. The FINDRISK questionnaire can serve as an indirect assessment of the cardiovascular risk of older workers. Additional preventive measures are needed to limit the risk of developing type 2 diabetes mellitus as well as cardiovascular risk in the identified risky occupations.

Key messages
Occupation could contribute to the life style risk factors for developing diabetes type 2. Occupational risk reduction measures and health promotion are needed to protects workers.
Socioeconomic and health differences in physical activity: a cross sectional study in Lithuania
Authors: Dedele A , Miskinyte A 
Published: November 2019

Abstract

Background
Physical activity (PA) influences people’s individual health and quality of life and contributes to prevent non-communicable diseases. Research shows that only one third of the EU inhabitants satisfy the World Health Organisation’s recommendations for PA levels. Global decline in PA levels is associated with economic development, an increase in urbanization, communication technologies and the use of passive modes of transport. The aim of the study was to assess the levels of PA depending on socioeconomic factors and health among adults.

Methods
A cross sectional study of a random sample of Kaunas residents was conducted to investigate the habits of PA. A representative sample of 1111 individuals who completed the questionnaire were included in the study. Validated questionnaires were used to collect data. Multivariate logistic regressions were used to assess the relationship between the levels of PA and socioeconomic factors and health, adjusting for confounders.

Results
Our findings showed that non-workers were three times (OR 3.16; 95% CI 1.23-8.13) more likely to reach the levels of recommended PA compared to workers. The results revealed that car disposal and the increase in body mass index (BMI) were the two most important factors that reduced odds of reaching recommended levels of PA by 64 % (OR 0.36; 95% CI 0.14-0.93) and 13 % (OR 0.87; 95% CI 0.80-0.96).

Conclusions
The differences in PA levels by individual socioeconomic factors and health were investigated in this study. The European Commission actively promotes Sustainable Urban Mobility Planning by developing guidelines for the local authorities to promote active mobility and increase PA.

Key messages
The study highlights the importance of considering different individual characteristics when assessing PA and evaluating related health effects. It is important to improve the accessibility of urban areas and create cleaner and more sustainable transport modes to increase PA.
Health relay students’ goals, training and assessment: result from a French national consensus
Authors: Gerbaud L , Born E , Gourbeuil M , Perrève A ,   Bureau ADSSU
Published: November 2019

Abstract

Issue
Health relay students (HRS) is one of the prevention policy rapidly increasing for the French students. It is mainly based on peer effects, peer to peer communication, but the state of play show very various practices.

Description of the problem
The variety of practices may imply heterogeneity, and actions that are too disparate. In October 2016, the national association of directors of Health Services for Students (SSU) decided to make a formal consensus process (based on single scripting strategies developed in parallel by 10 to 20 people) involving 61 persons (physician, nurses, prevention officer, members of prevention associations) from 29 French universities and based on three axes: goals; training and assessment.

Results
No disagreement was left. The goals must be validated by the SSU, as it is the unit that is able to link students ’associations wishes and health policy objectives. This need a constant dialogue with the university board, students associations, local authorities and health administration. The HRS are also important to help to know the students practices, notably thanks to their presence on social networks. Institutional policies for HRS must be consistent to the goals, and HRS must be managed by specific prevention officers. Training always associate health education topics and health prevention knowledge. It may be more or less intensive according to the goals, but need the help of association of health prevention and a validation by the SSU. HRS must be diverse, in genders and type of studies. The training must encourage HRS autonomy and creativity in their actions, while accepting to respect the University health policy. Creativity means also to open any way of communication wanted by HRS, such as social networks.
Assessment is based on lean management, HRS satisfaction and University satisfaction (institution as well as teachers, administrative workers and students). HRS empowerment is perhaps the main criteria of assessment.

Key messages
Health relay students policies are very varied and need a consensual framework under the control of health services for students. Training must associate health education and prevention objectives, develop students’ empowerment.
Free access to nicotine substitutes and e-cigarette for tobacco cessation: STOP a pilot intervention
Authors: Héron M , Melchior M , El-Khoury F 
Published: November 2019

Abstract

Background
Smoking rates in France are high, and present a substantial socio-economic gradient. Smokers with low socio-economic position (SEP) may be more dependent on nicotine, and have more financial difficulties to buy nicotine substitutes. Tailored approaches are therefore needed.

Methods
STOP (Sevrage Tabagique à l’aide d’Outils dédiés selon la Préférence) is an ongoing pilot study, examining the acceptability of a smoking cessation intervention. Smokers with low SEP are recruited in six healthcare centres in Greater Paris area by health professionals and are offered substitute(s) of their choice for 4 weeks. Participants can choose between different types of nicotine substitutes (NS; patches, inhalers, etc.) and/or an e-cigarette delivered free of charge. The acceptability of this approach is examined in patients and doctors, using a mixed-method approach.

Results
So far, 30 smokers have been included in our study, 20% chose e-cigarettes, 36% chose NS, 36% chose both, and 2 participants (8%) chose neither. More than half of participants quit smoking (66%) at one week after inclusion, with 11 reporting tobacco abstinence out of 16 participants followed for 4 weeks. The average number of cigarettes smoked decreased from 15(sd = 10) at inclusion to 8.5 (sd = 5) among those who didn’t quit at four week. In qualitative interviews, one of the facilitators highlighted by health professionals was the perceived “met need” of smokers with low SEP when given free quitting aids without upfront-payment. One of the reported obstacles is the difficulty in scheduling consecutive follow-up meetings in short time.

Discussion
It is feasible to implement a smoking cessation programme aimed at smokers with low SEP, and embedded in the healthcare system. If proven effective, this intervention could contribute to decreasing social inequalities with regard to tobacco use. Recruitment in a randomised controlled multicentre trial based on this pilot study will start at the end of 2019.

Key messages
It is feasible to put in place a smoking cessation intervention among socially-disadvantaged in healthcare centres. Free access to nicotine substitutes and e-cigarettes could be a promising smoking cessation intervention among smokers with low socio-economic position.
Effectiveness of Mois sans tabac 2016, a French social marketing campaign against smoking
Authors: Guignard R , Richard J-B , Andler R , Pasquereau A , Quatremère G , Nguyen-Thanh V 
Published: November 2019

Abstract

Background
In October 2016, Santé publique France, the National Public Health Agency, launched a social marketing campaign aiming at triggering quit attempts among smokers: “Mois sans tabac”, inspired by the English ’Stoptober’. This campaign sets smokers the objective of being smokefree for one month, in November. It combines a national mass-media communication with provision of cessation help services (quitline, website, mobile application, self-help kit) and local actions, in connection with the health regional agencies. The study aims at evaluating the effectiveness of this intervention.

Methods
The effectiveness evaluation is based on a specific analysis of the 2017 Health Barometer, a random survey representative of the population living in metropolitan France conducted between January and July 2017 on a sample of 25,319 individuals aged 18-75 years-old. The participation rate was 48.5%. Multivariate logistic regressions allowed testing the association between recall of the campaign and quit attempts (QA) in the last quarter of 2016, adjusted for sociodemographic confounders (N = 6,341). Respondents who attempted to quit were contacted at one-year for a follow-up.

Results
Nearly one in six daily smokers (15.9% [14.9-17.1]) reported making a 24-hour QA in the last quarter of 2016, and 18.4% [15.5-21.3] of them reported that it was related to Mois sans tabac, which represents approximately 380,000 QA [310,000-440,000] related to the operation. Among smokers who made a QA, 31% have been abstinent for at least 30 days [27%-34%] and 18% [15%-21%] reported they did not smoke anymore in 2017. Recall of Mois sans tabac was associated with QA in the last quarter of 2016 (aOR=1.3 [1.1-1.6], p &lt; 0.01) and with cessation in 2017 (aOR=2.4 [1.4-4.2], p &lt; 0.01), and odds-ratios increased with frequency of exposure and number of sources of information.

Conclusions
These results show that the first edition of Mois sans tabac was successful in triggering quit attempts among smokers.

Key messages
Mass-media campaigns for smoking cessation, combined with provision of help services and local actions, can be effective for triggering quit attempts. Importing foreign social marketing programs can be effective.