bluuebunny/crossref_metadata_2025_split huggingface dataset:
10.G. Workshop: Digital interventions for improving public mental health
Authors:   Organised by: Heidelberg University (Germany),   Chair persons: Charlotte Gayer-Anderson (UK), Ulrich Reininghaus (Germany)
Published: October 2021

Abstract

While current routine mental health services provide a range of treatment options for individuals with mental health conditions, specialized support remains difficult to access and tailoring interventions to service users' needs remains challenging. Similarly, the use of, and access to, measures for prevention and mental health promotion continues to be limited, as these are often not tailored to individual needs, preferences, and real-world settings. There is increasing interest in utilizing digital health technologies for improving public mental health provision (i.e., mental health promotion, prevention and treatment of mental disorders) as they allow for adaptive, scalable, real-time, and real-world delivery of intervention components in individuals' daily life. This has driven the development of novel internet-based (eHealth) and app-based mobile health (mHealth) interventions for various mental health outcomes of which ecological momentary interventions (EMIs) represent a powerful approach. To accomplish this, novel research concepts (e.g., living labs) are increasingly being used to develop, optimize, evaluate, and implement digital interventions in routine public mental health provision through a transdisciplinary approach that involves users from the target population and relevant stakeholders throughout the research process to facilitate co-production and lowering barriers of implementation. The workshop's objective is to exemplify the multifaceted use of digital intervention in areas of public mental health and diverse communities and settings. This will include a) novel approaches to modifying continuum beliefs about mental health and an online anti-stigma intervention, b) an EMI to reduce suicide risk among adolescents (EMIRA), c) a self-Help app for Syrian refugees with posttraumatic stress (Sanadak), d) a location-based game to promote (mental) health literacy of adolescents (Nebolus), and e) an artificial intelligence-informed mHealth training for mental health promotion and prevention in adolescents and young adults (AI4U). The discussion will be led by Prof. Steffi Riedel-Heller, MD, MPH, and will focus on the benefits and opportunities afforded by digital technologies in public mental health provision.

Key messages
Digital interventions signal great promise for improving public mental health. There is a need to carefully evaluate digital interventions before implementation or making them publicly available.
A systematic literature review on the use of health care resources during pandemic response
Authors: Peelen A , Beishuizen B , Stein M , Tostmann A , Bleeker-Rovers C , Timen A 
Published: October 2021

Abstract

Background
The COVID-19 pandemic demonstrated the need for better pandemic preparedness and response, and more international collaboration. The H2020 EU-funded PANDEM-2 project aims to prepare Europe for future pandemics. As part of the project, an European dashboard consisting of epidemiological data and insights on available pandemic health care capacity is developed. To model and map the availability of pandemic resources, data on the use of these resources and interdependencies between resources are needed to parametrize the resource model of the PANDEM-2 dashboard.

Methods
We conduct a systematic literature review. The database Embase.com was searched on articles that include a model, scenario, or simulation of pandemic resources and/or describe resource parameters, for example PPE usage, length of stay on the ICU, or vaccine efficacy. Our search included data from all continents and focuses on infectious diseases that have been declared a pandemic by the WHO in the last twenty years, which are the H1N1 influenza (2009-2010) and COVID-19 (ongoing).

Preliminary results
The search query and additional sources resulted in 1215 articles, of which 187 are included for the full text eligibility assessment. We identified several pandemic resources in the field of vaccination (vaccine efficacy), contact tracing (apps), general practitioners, the hospital (staff, PPE, ventilators), and national and regional public health institutes. Furthermore, interdependencies between resources and possible resource gaps were found, for example in hospital staff and PPE.

Conclusions
To be better prepared and to be able to respond fast to a pandemic outbreak, it is important to have insight in the availability of pandemic resources on a national and regional level, their use and mutual dependencies. This makes it possible to anticipate on fast changes and possible shortages by reallocating resources within and between regions.
Identification of competences in regional health network management
Authors: Movia M , Amort F 
Published: October 2021

Abstract

Background
Aim of Com.HeNet is among others to identify competences which are needed to implement and manage a health network on regional level in European countries.

Description
All participating countries have used the same method for data gathering. Templates in terms of method guidelines were developed and used uniformly. First, a structured literature search was conducted to gather data regarding circumstances, structures and challenges in relation to RHNM. Relevant existing papers, reports and officially released documents from public facilities or e.g. reports from governmental authorities have been included. Grey literature from online websites and resources were also accessed. The second method represents semi-structured guided expert interviews. The interview guideline was developed by European experts (n = 10) from divers fields e.g. Public Health, Sport science and Management. Afterwards pre-testing the interview guideline, relevant experts and stakeholders from diverse fields, were interviewed e.g. Public Health, Health Promotion, clinical services, politics, practitioners or research. Overall n = 33 interviews were carried out [Austria = 5, Bulgaria = 5, Germany = 5, Hungary =5, Spain= 6, Poland =7]. Afterwards the interviews have been transcribed and analysed. The statements were evaluated in a structured and summarizing analysis for homogeneity / diversity / quantity of the various opinions. All results were incorporated in a uniform predefined template (competence profile).

Conclusions
Semi-structured/ guided interviews represent a suitable method to gather data in terms of required competences for health network management. Desktop research / literature search is appropriate to support the qualitative data gathering.

Main message
The mix of the two methods as well as the international views of respective countries was a positive value for the project.
Does parental supply of alcohol predict later adolescent alcohol use in a highly permissive context?
Authors: Ksinan A , Ksinan Jiskrova G , Hrežová E , Pikhart H , Bobák M 
Published: October 2021

Abstract

Background
Considerable number of children and adolescents get their first experience with alcohol in a family setting. Evidence suggests that parental supply of alcohol is a risk factor for drinking later in life. However, the vast majority of previous studies have been conducted in North America or Western Europe. Czechia has amongst the highest alcohol consumption per capita, including among adolescents. Providing own children with sips of alcohol is widely perceived as a good way to introduce them to safe drinking. This study examined whether parental supply of alcohol would predict alcohol use among adolescents in an Eastern European alcohol-permissive context.

Methods
We used a subsample of 2,570 adolescents from ELSPAC, a longitudinal study of Czech mothers and their children. The outcome was adolescent alcohol use at age 15, reported by adolescents and their pediatricians. Different sources of alcohol (parents, family member, friend, own supply, or other sources) at age 11 were used as longitudinal predictors. The structural equation models controlled for sex, family structure, maternal education, and parental alcohol use.

Results
Parental supply of alcohol consistently emerged as the strongest longitudinal predictor of using alcohol in adolescence. The adjusted odds ratio for self-reported and pediatrician-reported frequent drinking at age 15 was 2.64 [1.45, 4.83]) and 2.68 [1.26, 5.67], respectively. The population risk fraction attributable to parental supply of alcohol at age 11 was 23%, reflecting the high prevalence of parental supply (18%),

Conclusions
Parental supply of alcohol is a risk factor for later adolescent alcohol use in this high alcohol-permissive population. These findings should encourage preventative strategies aiming to decrease the high rates of alcohol use among Czech adolescents by focusing on dispelling the myth of safe introduction to alcohol by parents.

Key messages
Parental supply of alcohol at the age of 11 was associated with increased alcohol use at age 15. These findings dispel the common myth in Czechia of safe introduction to alcohol by parents.
Housing and health: An empirical framework for refugee reception centres
Authors: Hintermeier M , Rast E , Ziegler S , Bozorgmehr K , Biddle L 
Published: October 2021

Abstract

Background
Housing is a key social determinant of health. Newly arriving asylum seekers and refugees (ASR) in Germany are assigned to reception centres (RC), comprising large, shared facilities in remote locations. Our aim was to explore how housing affects health from the perspective of ASR in order to develop an empirical framework for further research.

Methods
We conducted a secondary analysis of 47 qualitative interviews with ASR living in German RC and developed a multidimensional framework containing the effects of housing characteristics on health in this setting. An initial coding scheme with five dimensions was developed from the literature: material aspects, meaningful aspects, housing as an expression of socioeconomic status, community, and immediate environment. Using thematic analysis, sub-codes were generated inductively, resulting in the final framework.

Results
Important material aspects included building structure, basic amenities, sharing of living space and food provision. Among these, room sharing and food provision were particularly relevant for participants. Meaningful dimensions important for health included autonomy, privacy, safety and stability, which were limited in RC due to missing door locks, room sharing, restrictions of movement and frequent transfers between centres. Based on participants' statements, the community was divided into “outside” and “inside” the RC, which, unlike the “outside” community, have collective and organisational characteristics. We subsumed statements about distances to services and amenities into immediate environment. However, participants reported that short distances did not always guarantee access.

Conclusions
We identified important interdependent dimensions of housing which affect health and well-being among ASR and consolidated them into an empirical framework which can serve as a basis for further research, including the future development of measurement instruments to assess effects of housing on ASR health.

Key messages
ASR narratives show that housing dimensions with importance for health in reception centres have specific characteristics and are interdependent. We developed a framework which can be used for further research on the effects of housing on ASR health in this setting, including the construction of quantitative measurement instruments.
The new Framework and the Core Elements of complex intervention research
Authors: Craig P , Skivington K , Moore L , Simpson S , Matthews L 
Published: October 2021

Abstract

The new framework will be presented. The main phases of intervention research: development or identification, feasibility, evaluation and implementation are connected to 6 core elements:
Context: any feature of the circumstances in which an intervention is conceived, developed, evaluated and implemented Programme theory: how an intervention is expected to lead to its effects and under what conditions. Programme theory should be tested and refined at all stages and used to guide the identification of uncertainties and research questions Stakeholders: those who are targeted by the intervention, involved in its development or delivery, or more broadly those whose personal or professional interests are affected, that is who have a stake in the topic. This includes patients, the public, and professionals Refinement: the process of ‘fine tuning' or making changes to the intervention once a preliminary version has been developed Uncertainties: identifying key uncertainties that exist given what is already known and what the programme theory, researchers and stakeholders identify as being most important to find out. These judgements inform the framing of research questions that, in turn, govern research perspective choice Economic considerations: exploring the comparative resource and outcome consequences of the interventions for those people and organisations affected
The presentation will discuss how to use the framework, highlighting that complex intervention research can be an iterative process. Repeating of phases is preferable to automatic progression to the next phase if uncertainties remain unresolved.

Main messages
Complex intervention research may begin at any phase, depending on what is appropriate for the intervention in question, and does not necessarily move sequentially through the phases. The core elements should be considered early and revisited continually throughout, as this will make it most likely that the intervention will be implementable in practice.
COVID-19 containment measures analysis
Authors: Bahr Thurid 
Published: October 2021

Abstract
On a bi-weekly basis, COVID-19 control measures were analyzed through a deeper investigation by the Evidence-Based Public Health Unit at ZIG. The biweekly analysis focused on a list of countries selected on the basis of their accelerating or decelerating COVID-19 epidemiological trend. For this, a policy analysis framework was developed to contextualize the epidemiological trend in conjunction with the change in the public policy landscape.
Evaluating and synthesizing COVID-19 evidence
Authors: Bcheraoui Charbel El 
Published: October 2021

Abstract
The Evidence-Based Public Health Unit monitored the peer reviewed literature for policy-relevant publications. New publications deemed relevant were evaluated using validated appraisal tools, and the findings were communicated in terms of their relevance to public health policy. Alternatively, evidence around specific public health policies were synthesized and also communicated in reports relatively to their effectiveness in controlling the pandemic.
Measuring the invisible: perinatal health outcomes of unregistered women giving birth in Belgium
Authors: Schönborn C , De Spiegelaere M , Racape J 
Published: October 2021

Abstract

Background
Research on the perinatal health of women without legal residence remains limited. We aimed to describe the sociodemographic profiles of women who were not registered in the Belgian National Population Registry, and to analyse the associations of registration status with pregnancy outcomes.

Methods
We analysed data from birth and death certificates linked with the National Population Registry for all singleton births between 2010 and 2016 (n = 871 283). With logistic regression we estimated the odds ratios for the associations between three perinatal outcomes and maternal registration status, stratified by nationality and adjusted for socioeconomic status.

Results
Mothers not legally residing in Belgium represented 1.9% of births. Unregistered women from newer EU member states and non-European countries were socioeconomically disadvantaged. Except for women with South American nationality, all other unregistered groups had higher rates of prematurity, low birthweight, and perinatal mortality, compared to registered mothers (p &lt; 0.0001). Unregistered women from Belgium and EU15 countries had higher rates of prematurity, low birthweight, and perinatal mortality, even after adjustment for socioeconomic status (p &lt; 0.0001). In contrast, the excess perinatal mortality in unregistered non-European mothers was partly attributed to their precarious socioeconomic situation.

Conclusions
Unregistered women giving birth in Belgium are socioeconomically heterogeneous, with some living in Belgium (undocumented) and others abroad. Overall, unregistered women had increased risks of adverse perinatal outcomes, but the causal mechanisms probably differ starkly between Belgians, Europeans and non-Europeans; further research is needed to understand these accrued rates. Studying the populations “invisible” in national statistics is important to identify the groups in most need of integration and access to services.

Key messages
Unregistered women were a heterogenous group with increased risks of adverse perinatal outcomes. Unregistered women from non-EU countries were presumably undocumented migrants. Their accrued rates of adverse outcomes were partly, but not entirely, explained by their worse socioeconomic situation.
School teachers’ perception on parental migration and left-behind children in rural Georgia
Authors: Antia K , Berner-Rodoreda A , Winkler V 
Published: October 2021

Abstract

Background
Georgia, like other Eastern European countries, showed a dramatic increase of international labour emigration after becoming independent in 1991. Since then, thousands of children are left-behind (LBC) in the care of extended family members while their parents work abroad. School teachers are frequently in contact with LBC and their caregivers. The main aim of this study is to explore school teachers' perceptions on parental migration and LBC in rural Georgia.

Methods
In this qualitative study, we conducted six focus-group discussions with public school teachers and six in-depth interviews with school principals from two migrant sending regions. We applied a reflexive thematic analysis approach, systematically analysed data and identified main themes and sub-themes from the collected data. The theoretical framework of the socio-ecological model of human development underpins this study.

Results
We identified the following themes expressed by both teachers and school principals: parental migration and transnational families as a survival strategy; LBC's vulnerabilities and dangers due to migratory separation; school teachers as mediators and supporters for LBC. School teachers and school principals perceive parental migration as a negative experience for children causing problems of physical and mental health, well-being and academic performance. Structural factors such as poverty, lack of support and lack of community involvement further worsen this situation. Teachers see themselves as the only supporters for LBC and their transnational families. School principals mitigate the situation by employing various strategies, such as regular meetings with class tutors, extra-tutoring for LBC, psychological counselling and developing/enacting internal guidelines.

Conclusions
LBC, transnational families and public schools in Georgia are in urgent need of external support such as providing psychological services at schools.

Key messages
Left-behind children in transnational families are vulnerable. Community and school-based interventions are needed to support LBC and teachers in fostering resilience and coping mechanisms among LBC.
Does the Family Affluence Scale reflect parental earned income, education and occupational status?
Authors: Corell M , Chen Y , Friberg P , Petzold M , Löfstedt P 
Published: October 2021

Abstract

Background
The Family Affluence Scale (FAS) is an alternative measure of families' socioeconomic conditions, developed for surveys to children and adolescents. It was adopted by the Health Behaviour in School-aged Children (HBSC) survey in 1993/94 and is frequently used in international research examining socioeconomic inequalities in health among children and adolescents. It has been validated in several countries, but not with register data. The aim of this study was to examine the external validity of the FAS among adolescents in Sweden, by using register data for parental earned income, level of education and occupational status.

Methods
Data from the baseline (2015 − 2019) of the Study of Adolescence Resilience and Stress (STARS), comprising 2 283 13-year-olds in the region of Västra Götaland, were used. The FAS III consists of six items; unshared bedroom, car ownership, computer/tablet ownership, dishwasher, number of bathrooms and number of holidays abroad. Register data from Statistics Sweden (2014 − 2018) were linked to the adolescents. Pearson's and Spearman's correlation coefficients were calculated.

Results
Total parental earned income was moderately correlated to adolescents' scoring on FAS (0.31 &lt; r &lt; 0.48, p &lt; 0.01), depending on examination year. Correlations between mothers' and fathers' educational level and adolescent's scoring on FAS were low (r = 0.19 and r = 0.21 respectively, p &lt; 0.01). FAS was higher among adolescents with working parents, but the correlation between parent's occupational status and FAS was low (r = 0.22, p &lt; 0.01). The low FAS group mainly comprised low income households and the high FAS group mainly high income households. However, in the medium FAS group, all income quintiles were equally represented. Consequently, the medium FAS group should be used as the reference group.

Conclusions
The FAS was moderately associated to total parental earned income and mainly identified low income and high income households.

Key messages
The FAS may be used as an alternative measure of total parental earned income in studies based on self-reported socioeconomic status among adolescents. Ensuring that instruments intended to measure socioeconomic conditions are valid is crucial in public health.