bluuebunny/crossref_metadata_2025_split huggingface dataset:
Cost-effective and promising interventions relative to mental health of the health workforce and their delivery conditions
Authors: Petelos Elena 
Published: October 2021

Abstract
EXPH members and Opinion collaborators
Effective interventions to protect mental health of the health workforceare likely to be complex and multi-faceted, addressing modifiable risk factors to be implemented across multiple levels. In the context of the Opinion development, evidence from multiple sources, encompassing best practices, guidelines, toolkits, among others, was reviewed. This allowed for the identification of coordinated integrated approaches. Due to potential stigma and discrimination, efforts in the workplace to support mental health should be accompanied by due consideration of legal and ethical responsibilities. The excess burden of mental health issues in the health workforce is well-described, however assessing cost-effectiveness of interventions to address them remains complex given the challenges in quantifying the impacts to assess (economic, societal, ethical, etc.). Organisational delivery conditions are conceptualized in this Opinion using an implementation science framework, which posits that the success of implementation depends on how its delivery is organised and is context dependent. Contextual factors such workplace culture and leadership can largely influence implementation outcomes, whereas resource constraints and barriers, as well as facilitators are also examined. Specifically, we identified several core conditions for the delivery of mental health services. With respect to the intervention, meeting and adapting to evolving user needs is important, as well as assessing the role of stigma, whilst ensuring those with a history of mental health and/or pre-disposing factors are not targeted. Many delivery conditions focused on the workplace and included ensuring safe space and processes (e.g., for help-seeking) and fostering an environment of trust; training in mental health assessment and key delivery conditions for occupational health practitioners and managers while emphasising that there should be no adverse consequences for help-seeking behaviour; and driving transformation in organisational culture towards one of acceptance of the continuum of mental health issues. To support workplace interventions, a clear and comprehensive regulatory and financial structure and mechanisms of support are required. Attention to public and private sector organisations, including multinational corporations (MCNs) and small- and medium-sized enterprises (SMEs) is needed. These enabling structures should encompass sustainable support for long-term prevention and treatment programs, and research and development of innovative approaches, such as de-stigmatization, care re-organization, regulatory frameworks, and data collection and harmonization.
Available prevention and management interventions for fetal alcohol spectrum disorder (2007 to 2017)
Authors: Adebiyi B , Mukumbang F 
Published: October 2021

Abstract

Background
The global prevalence of Fetal Alcohol Spectrum Disorder (FASD) remains high despite the various preventive and management interventions that have been designed and implemented to tackle the issue in various settings. The scoping review aims to identify and classify prevention and management interventions of FASD reported globally across the life span and to map the concentration of these interventions across the globe.

Methods
We conducted a scoping review searching databases such as Ebsco Host (Academic Search Complete, ERIC, SoINDEX, Health Source: Nursing/Academic Edition, CINAHL, Medline and Psych-ARTICLES), SAGE Journals, Sabinet and PubMed. Two reviewers independently screened studies for eligibility and used the Effective Public Health Project assessment tool to assess the methodological rigour of the included studies. A framework approach to data analysis was done and a narrative approach was used to synthesise and report on the findings.

Results
Thirty-two prevention intervention studies and 41 management intervention studies were identified. All the interventions were reported to be effective or showed promising outcomes for the prevention and management of FASD, except four. Although Europe and Africa have a relatively higher prevalence of FASD, the lowest number of interventions to address FASD were identified in these regions. Most of the interventions for FASD were reported in North America with comparatively lower FASD prevalence.

Conclusions
The uneven distribution of interventions designed for FASD vis-à-vis the burden of FASD in the different regions calls for a concerted effort for knowledge and intervention sharing to enhance the design of contextually sensitive preventive and management policy in the different regions.

Key messages
There are effective interventions for the prevention and management of FASD, however, the interventions were not distributed according to the burden of FASD in different regions. There is a great need to share and implement context/culturally appropriate interventions for the prevention and management of FASD among regions.
3.A. Workshop: Integrating the use of genomic data in personalised healthcare: implications across the board
Authors:   Organised by: EUPHA-PHG, EUPHA-ETH, EUPHA-EPI, EUPHA-CHR,   Chair persons: Roberta Pastorino (EUPHA-PHG), Roza Adany (Hungary)
Published: October 2021

Abstract

Genomics has the potential to benefit overall health by ensuring that citizens and patients receive timely and effective diagnosis, information, and treatment. Much progress has been made in genetic risk assessment for a wide variety of conditions, with implications for implementation of personalized medicine (PM). PM strategies include the use of decision-making processes based on biomarker-driven approaches that may have the desired discriminatory accuracy to distinguish between high-risk and low-risk subjects and may guide prevention strategies, prophylactic and therapeutic decisions. Many countries in Europe have nascent PM programmes, and human genomics is undergoing a step change from being a predominantly research-driven activity to one driven through healthcare. However, for any healthcare system, the integration of genomic data for PM requires extensive adjustments. These adjustments include, the development of technical infrastructure, competences and ethical legal social implications frameworks, for acquiring, storing, sharing, interpreting and delivering genomic information. This workshop will discuss how the access to genomic and linked phenotypic data at population-scale has tremendous potential to effectively advance PM in healthcare systems, but to fully realise this ambition, it is crucial that a genome and health data-sharing framework is developed and can effectively reach healthcare systems in European Member States and beyond.

Key messages
The adoption of genomics by European healthcare systems is crucial to fulfill the potential of Personalised Medicine for patients and citizens. Effective data sharing agreements are needed, because without them the personalised healthcare approach will not work.
Research use cases measuring the impact of COVID-19 on population health
Authors: Thißen M , Bernal-Delgado E , Rodriguez-Blazquez C , Estupiñán-Romero F , Forjaz J , Gonzalez-García J , Lyons R , Schmidt A , Seeling S , Zeitlin J 
Published: October 2021

Abstract

Background
Wide variations in COVID-19 infection and outcomes exist across Europe and within countries. PHIRI will look at COVID-19 impacts in specific subgroups by conducting research through use cases of immediate relevance for public health policies focusing on indirect effects of the pandemic related to healthcare and other policies to contain the pandemic. Furthermore, the use cases represent pilot activities for the benefits and added value of a research infrastructure by bringing together data from different European countries.

Methods
Four research use cases will focus on selected aspects of vulnerable population groups and risk factors, delayed medical care in cancer, perinatal health outcomes, as well as mental health outcomes and are selected based on public health importance, geographic coverage, feasibility of producing actionable insights and relevance for the PHIRI infrastructure. The use cases will demonstrate how a broad variety of secondary data (e.g. administrative and survey data) can be pooled and/or reused in a distributed way across Europe.

Results
The outputs of the use cases will be processed by formalizing data models, data management processes and analytical pipelines in an interoperable way to feed in the federated research infrastructure. The use cases facilitate research by making scalable, reproducible methods available within PHIRI and by publishing the FAIRified use cases analysis results on the Health Information Portal. They will provide outcomes to guide policy makers in preparedness and response scenarios and will ensure the development of a format for the timely dissemination of use case results to the targeted groups.

Conclusions
PHIRI will provide insights in real life use cases to generate immediate results on key health impacts of COVID-19 on population health to underpin decision making and will drive the development of the federated research infrastructure that allows rapid cycle analysis.
The COVID-19 International Student Well-being Study
Authors: Van De Velde S , Buffel V , Bracke P , Van Hal G , Wouters E 
Published: October 2021

Abstract

Background
We will present the COVID-19 International Student Well-being Study (C19 ISWS). The C19 ISWS is a cross-sectional multi-country study that collected data on higher education students during the first wave of the COVID-19 outbreak (spring 2020).

Methods
The dataset allows to describe (1) the living conditions, financial conditions and academic workload before and during the COVID-19 outbreak, (2) the current level of mental well-being and changes in healthy lifestyles, (3) perceived stressors, (4) resources (e.g., social support and economic capital), (5) COVID-19 related knowledge, and (6) attitudes towards COVID-19 measures implemented by the government and higher education institution (HEI). The dataset additionally includes information about COVID-19 measures taken by the government and HEI that were in place during the period of data collection.

Results
As a large international consortium of 26 countries and 110 higher education institutions (HEIs), we successfully developed and executed an online student survey during or directly after the initial peak of the Covid-19 pandemic.

Conclusions
The collected data provide a comprehensive and comparative dataset on student well-being. In this article, we present the rationale for this study, the development and content of the survey, the methodology of data collection and sampling, and the limitations of the study. In addition, we highlight the opportunities that the dataset provides for advancing social science research on student well-being during the COVID-19 pandemic in varying policy contexts. Thus far, this is the first cross-country student well-being survey during the COVID-19 pandemic, resulting in a unique dataset that enables high priority and socially relevant research.
Using GIS maps for measuring equitable community health and nutrition programs
Authors: Kim H , Ackerson J 
Published: October 2021

Abstract

Background
The University of Minnesota (UMN) Extension Supplemental Nutrition Assistance Program Education (SNAP-Ed) documents the geographic data of statewide community health and nutrition policy, systems, and environmental change (PSE) programs for low-income communities. SNAP-Ed collaborates with communities to organize food security efforts, offer direct nutrition education, and consult with organizations about promoting healthy foods and physical activities. UMN Extension's SNAP-Ed implemented 972 PSE programs with 1,077 community partners and reached 624,129 people between 2017 and 2020.

Methods
SNAP-Ed's support of population-level health and nutrition initiatives is intended to increase access to healthy foods for SNAP-Ed eligible individuals. Geospatial analysis can identify if program efforts reach target populations. Low-income and low-food access census tracts were identified by using the U.S Treasury and USDA, respectively. In this study, buffer boundaries were set around SNAP-Ed designated PSE programs, paralleling USDA's access boundaries of 10 miles for rural areas and one mile for urban areas. Low-program access tracts were identified by their weighted population centroid or geographic boundary's intersection with the food security program buffers.

Results
Results show that 78.5% of low-food access and low-income areas have moderate to high-program access. Furthermore, moderate to high-program access communities tend to have higher percentages of BIPOC population and higher poverty rates when compared to low-program access communities among low-income and low-food access communities.

Conclusions
UMN Extension will continue to use GIS analysis for understanding where to promote, support, and organize around the implementation of food security programs and therefore better reach eligible audiences.

Key messages
Using geospatial analysis allows us to measure community health and nutrition PSE program access and program access equity. Minnesota's low-income and low-food access population has higher community health and nutrition programs access.
Implementation of The Daily Mile™: survey of primary schools in Greater London
Authors: Ram B , Chalkley A , van Sluijs E , Hargreaves D , Viner R , Saxena S 
Published: October 2021

Abstract

Background
The Daily Mile™ is a free school-based active mile intervention. Its main features include that children run or jog for 15 minutes at least 3 times a week (3x/wk) during school hours. The Daily Mile Foundation recommends 10 principles for successful implementation. These are it is (1) quick (15 minutes), (2) fun, (3) whole school participates, (4) it takes place in all weathers, (5) 3x/wk in addition to curricular lessons (not during PE, breaks, before/after school), (6) ideally in the school playground, (7) safe, (8) simple (no equipment), (9) children go at their own pace and (10) no change of clothes or shoes is needed. The aim of this study was to identify how many Greater London primary schools adopting The Daily Mile implement its 10 principles.

Methods
In September 2020, we sent all state-funded primary schools (n = 1721) in every Greater London borough (n = 32) a survey to find out if and how they implemented The Daily Mile.

Results
By June 2021, 368 (21%) schools responded to our survey (at least one from every London borough). Of these, 195 (53%) schools adopted The Daily Mile of which only 7 (4%) reported implementing all 10 principles; a median 7 (IQR: 6,8) principles were reported implemented. Whole school participation was reported by 93 (48%) Daily Mile schools, 104 (53%) reported implementing The Daily Mile for 15 minutes, 127 (65%) implemented it at least 3x/wk, and 149 (76%) schools reported that the children ran or jogged during The Daily Mile. A large proportion of schools reported implementing The Daily Mile in the school playground and that it was done simply (both n = 171, 88%), but only 85 (44%) schools reported implementing it during lessons.

Conclusions
Daily Mile schools in Greater London implement 7/10 principles on average. Whether implementing all the principles limits the success of its desired effect is unclear. Studies assessing effects of The Daily Mile should consider its implementation when reporting results.

Key messages
Of The Daily Mile’s 10 principles, an average of 7 are implemented in London schools. Studies examining The Daily Mile should consider implementation which may impact its desired effect.
Food and nutrition literacy: an education booklet and video on ultra-processed food
Authors: Pereira de Araújo T , Moraes M de , Afonso C , Rodrigues S 
Published: October 2021

Abstract

Background
The COVID-19 pandemic appears to have contributed to change in eating habits for a significant part of the Portuguese population. The increase in the snacks consumption during the confinement period was reported by almost a third of the population. Often the snacks chosen are ultra-processed foods: industrial formulations that include excess of sugar, oils, fats, salt, and additives, antioxidant, stabilizers and preservatives substances in their ingredients. Excessive ultra-processed food consumption has been associated with worse health indicators.

Objectives
To develop informative educational material about ultra-processed foods and their health risks to be available to the general Portuguese population, and thus to promote food and nutrition literacy.

Results
The development of this new tool started in September 2020 and in April 2021 the booklet was approved by the UPPER Project team to be made available through digital media (cell phone, computer, laptop and tablet) or print. The booklet contains 33 pages with illustrative images and simple and didactic language. It is focused in seven main topics: “What are ultra-processed foods?”, “Which are they?”, “How to recognize them when purchasing?”, “What are worth for?”, “What is the relationship with health?”, and “What foods to choose?”. A short video with 2 minutes duration, summarizing and explaining the booklet, was also produced. The booklet impact will be piloted in a school intervention project that has been designed and submitted for ethical approval.

Conclusions
The developed booklet and explanatory video are didactic materials in simple language to achieve all general Portuguese population.

Key messages
The booklet is an instrument intending to improve literacy in ultra-processed foods. The booklet is a tool that can be used in health promotion programs and public policies in food and nutrition.
Transferring and piloting the Belgian best practice of community-based mental health networks in participating countries to the JA ImpleMENTAL
Authors: Bélorgey N , Di Fiandra T , Lora A 
Published: October 2021

Abstract
Community-based mental health services are key to improving mental health systems and health outcomes. Across Europe, mental health systems still stand at different levels of a change process that involves elaborating, testing and refining diverse models of interorganisational collaboration for mental health service delivery in local settings. Central to these endeavours are the principles that community-based mental health service delivery is patient-centred, integrates medical, psychological and social interventions, including prevention, health promotion and rehabilitation, and contributes to improving continuity of care. The transfer and piloting of the Belgian practice of community-based service networks is the focus of a specific work package which involves 14 countries working together under the leadership of the German Federal Centre for Health Education and the Italian Lombardy Region. The presentation gives an overview of main features and lessons learned from the Belgian practice and presents the work package activities conducted within a four-step approach entailing a preparatory, analysis, piloting and evaluation phase. The whole process is supported by a training action and the use of indicators for assessing networks and services. The six-months preparatory phase involves mobilising relevant stakeholders at various levels and elaborating a conceptual framework for transfer and piloting of selected elements of the Belgian practice in a wide variety of countries and regions in terms of socio-economic, cultural and political context and stages of transition towards deinstitutionalisation of mental health service delivery. This will help identifying challenges and facilitators of network development and collaboration across sectors and framing a tailored approach that allows for flexibility in addressing the heterogeneity of pre-existing practices, implementation scale and field preparation. Early findings of this phase will be shared with the audience.
The impact of the COVID-19 epidemic and anti-epidemic measures in the Roma neighborhood in Bulgaria
Authors: Kamburova M , Georgieva S 
Published: October 2021

Abstract

Introduction
COVID-19 is becoming an indicator of inequality in societies. Due to the difficult socio-economic situation, Roma in Bulgaria face a higher risk of suffering and death due to COVID-19 than general population. The aim of the report is to analyze the impact of the epidemic of COVID-19 and the anti-epidemic measures applied among the Roma community in Sliven district, Bulgaria.

Material and methods
An exploratory qualitative study design was adopted, combining focus group discussion and qualitative interviews. One focus group with 8 representatives of the Roma ethnic group, and 7 in-depth interviews with specialists working with the Roma community were conducted in November 2020. Data were subjected to thematic analysis. 6 priority topics have been formulated and a hierarchical framework of codes has been built through free software. The experts, assessment of 13 university professors of public health was applied. The COREQ - checklist for reporting quality research was used.

Results
A segregated Roma community of about 20 000 people lives in the Nadezhda neighborhood in the town of Sliven. The impressions of the author from the in-depth conducted interviews with the specialists were compared with the summarized view of the experts, reflecting the information received from the Roma population in focus group. Matching the codes of the author and the experts in relation to 5 of the topics such as: work - work; fear - insecurity; healthcare - doctor; ‘closing the neighborhood' - police; despair, pessimistic views, deterioration of the epidemic situation - disease, misery, famine was found. No coincidences were found regarding future measures to reduce the negative effects of the COVID-19 crisis.

Conclusions
The measures taken against the spread of the pandemic further worsen the medical and social situation of the Roma ethnic group in Bulgaria. Our findings pointed to the importance of a multi-sectoral strategy to improve Roma health during and after a COVID-19.

Key messages
Due to the socio-economic situation, Roma in Bulgaria face a higher risk of suffering and death due to COVID-19 than general population and multi-sectoral strategy to improve Roma health is needed. According Roma ethnic group in Bulgaria the measures taken against the spread of the COVID-19 pandemic further worsen their medical and social situation and lead to disease, misery and famine.