bluuebunny/crossref_metadata_2025_split huggingface dataset:
Characterising Long COVID in an Irish cohort: a study of symptom type, severity and determinants
Authors: McGuire F , Fallon U , Kavanagh P , Carney P 
Published: October 2024

Abstract

Long COVID (LC) is a multisystem disorder impacting 65 million people globally. This secondary analysis of data from the Follow-up After Disease Acquisition (FADA) retrospective cohort study of COVID-19 recovery, aimed to characterise the nature and severity of LC in an Irish sample. The Modified COVID-19 Yorkshire Rehabilitation Scale categorised symptoms. Data analysis employed descriptive statistics and logistic regression. Of 4,671 respondents, 2,338 (50.1%) self-reported LC. LC participants were predominantly female (1,543, 66%), White Irish (1,512, 84.9%), and highly-educated (1,174, 65.8%). 907 (51.5%), had ≥one baseline co-morbidity. Most (1,076, 59.1%) had never smoked. Only 6.9% (162) of LC cases were ever hospitalised with acute COVID-19. Recovery was reported by 979 (41.9%). Of those with persistent symptoms 306 (31.6%) were classified as “moderate/severe.” Fatigue was predominant, (1,021, 75.1%) accompanied by cognitive dysfunction (932, 68.5%) and breathlessness (870, 64.0%). Functional impairment, assessed by the EQ-5D-5L score, was evident. Factors associated with LC persistence and severity included baseline co-morbidities (aOR persistent LC 1.44 [95% CI 1.12-1.85], p = 0.005; aOR moderate/severe LC 2.90 [1.92-4.37] p &lt; 0.001)), smoking (aOR persistent LC 1.59 [1.11-2.28] p = 0.01, aOR moderate/severe=1.65 [1.0-2.71] p = 0.05), and meeting/exceeding WHO’s physical activity guidelines (aOR persistent LC 1.49 [1.16-1.92], p = 0.002, aOR moderate/severe=1.69 [1.12-2.54], p = 0.01). LC’s diverse symptomatology and functional impairment serve as a call to action to the health service to equip itself to address this complexity. This study offers insights into LC symptom type, duration, and determinants, emphasising the need for Public Health to traverse domains, to improve all facets of population health. These findings add to the current understanding of LC, providing a foundation for the development of tailored LC services.

Key messages
• Long COVID causes a constellation of diverse symptoms.
• The Irish Health service needs to be equipped to manage the diverse symptomatologu.
MedDietMenus4Campus: Integrating Views from Nutrition, Marketing and Psychology to Improve Diets
Authors: Viegas C , Rocha A 
Published: October 2024

Abstract
Food service is an important setting for public health interventions, educating consumers and modulating behaviours through the meals provided. Social Marketing is one of the strategies designed to promote behaviour change, which contributions to health and well-being of consumers are widely recognised. This project aims to identify the compliance of food service menus with the Mediterranean Diet (MD) in public high education institutes (HEI) canteens, pinpointing opportunities to intervene, namely: 1) promoting changes in the food offer addressing proximity to the MD, creating, and offering plant-based meals, with seasonable and local food products and 2) developing tailored social marketing strategies to engage stakeholders to encourage healthier and sustainable food habits. It gathers a team comprised of nutrition experts on public health and food service, food technologists, gastronomy experts, psychologists, and marketers. To achieve the objectives researchers will: 1) develop an index to evaluate compliance of menus with the MD; 2) define priority stakeholders and define a methodology for engagement; 3) evaluate perceptions, barriers and facilitators; 4) develop a meal plan framework; 5) develop a new food concept “student bag” (meal on the go) and test it for industry scale-up; 6) use previous diagnosis to develop social marketing strategies directed to stakeholders and consumers to achieve food behaviour change and 7) measure the impacts of the implemented strategies. This research intends to create and implement a new healthy and sustainable food service concept, expecting to define the standpoint to inspire other food service settings to achieve an effective and sustainable food offer change and positively influence food service consumers’ food pattern towards Mediterranean recommendations, while addressing the Sustainable Development Goals (3 - good health and 12 - responsible consumption and production; 17 - partnerships for the goals).
Development of a tool to assess the compliance of canteen menus with the Mediterranean Diet
Authors: Neto B , Ferreira L , Rocha A , Viegas C 
Published: October 2024

Abstract
The Mediterranean Diet (MD) is one of the healthiest food patterns associated with important health benefits. Acknowledging this, it’s important to understand how the dietary patterns of the consumers align with the MD. Over time, different authors have formulated several indexes for this purpose. However, current indexes lack standardization, and they only evaluate the quality of the diet of individuals to be used by health professionals and political decision-makers. Although there are indexes to assess the food options at the restaurants, none of them assess the menu compliance with the MD. Due to the importance of the food services in the food choices and dietary patterns of the consumers, this research developed an index to assess the alignment of the food availability with the MD key points. To address this gap, after reviewing the existing indexes in the literature, the authors created a tool that assesses the degree of compliance of menus with the MD - MedCIn. This index is divided into 4 dimensions, the first one assesses the availability (part A) and variety (part B) of the food/food groups. The second dimension assesses the nutritional quality of the menus based on the nutritional declaration, the third dimension assesses the food portions and culinary options, and the fourth dimension allows the verification of the previous information on site. Although the use of all dimensions allows for a more comprehensive menu evaluation, dimension one can be used as a first approach MD compliance. The index is meant to be applied in a 4-week cycle, though it can be adapted for each food service. Validation of this tool included construct validity, internal consistency and inter-rater reliability, all of which returned high values (alpha-Cronbach=0.88; Coheńs Kappa=0.92). The researchers consider this a reliable tool to easily assess compliance of menus with MD key points, allowing for the identification of issues to be addressed and improved
Students’ Perceptions of Food Offer in Portuguese Canteens and Adherence to Mediterranean Diets
Authors: Souza C , Prada M 
Published: October 2024

Abstract
Adherence to healthy eating behaviors, as in the Mediterranean Diet, is related to a better quality of life, better educational performance, and reduced risk of physical illness among higher education students. The provision of good quality and sustainable food is imperative in university environments. Nevertheless, the availability of healthy options tends to be limited across campuses (e.g., affordable fast food; the convenience of high-sugary foods in vending machines), including university canteens. Understanding students’ views on canteens and the factors that prevent them from embracing healthy eating habits may help to improve the food supply on campuses. In the present study, we aimed to examine students’ perceptions of canteen services and its food supply and to verify students’ knowledge and promptness to comply with a Mediterranean Diet menu. A large sample of academic students from Portuguese universities answered an online survey with a mixed approach. Specifically, participants were requested to characterize their dietary practices and report their perceptions about food services and offers in campus canteens. Additionally, students were asked about their knowledge, perceptions, and adherence to Mediterranean Diet. Our findings allow us to map perceptions and attitudes regarding food offered in university canteens and to identify the potential to adhere to more sustainable and healthier food patterns according to individual. Moreover, we identified the main psychological and environmental barriers to adhering Mediterranean Diet. Correlational data indicated a relationship between health-related measures and food-related factors. Advancing data about modifiable factors associated with better adherence to healthy dietary habits in the university context informs the development of actions/interventions to prevent unhealthy food choices and overcome limited and unhealthy food offers in canteen campuses.
Tailoring vaccination interventions for the Turkish and Moroccan communities in the Netherlands
Authors: De Zeeuw J , Van Enter B , Vervoort H , Boersma C , Schloemer T 
Published: October 2024

Abstract

Background
People with a Turkish or Moroccan migration background in the Netherlands have low HPV vaccination uptake. Health system barriers, including a lack of awareness raising initiatives on HPV, health care professionals being insufficiently trained to provide tailored care and insufficient delivery of HPV (vaccination) information, contribute to low uptake. To understand which promising interventions could be transferred, the interventions were discussed with a variety of stakeholders including community members.

Methods
By interviews and focus groups 33 key stakeholders were engaged to discuss on the promising evidence-based interventions. The interventions were extensively discussed on their effectiveness, cultural appropriateness, and potential transferability for which the Population-Intervention-Environment-Transfer Model of Transferability (PIET-T) model was used.

Results
Two interventions will be implemented of which one is focusing on the use of health promotors (trusted community members) who will provide parents of vaccine-eligible children with information on HPV and HPV vaccination. The educational sessions will be held together with health professionals in, for example, community centers or at schools. The other intervention focuses on training of healthcare professionals.

Conclusions
By engagement of key stakeholders including community members following the PIET-T model, final interventions could be developed that are tailored to the specific needs and contexts of people with a Turkish or Moroccan migration background in the Netherlands.
Bridges between evidence on vaccination intervention and Ukrainian migrant community needs in Poland
Authors: Ganczak M , Kalinowski P , Kowalska M , Nyankowskyy S , Schloemer T 
Published: October 2024

Abstract

Background
Vaccination coverage in Ukrainian migrants’ (UM) children is lower compared to their Polish counterparts. We aimed to identify and adapt effective evidence-based interventions which would address health system barriers to HPV/MMR vaccination in this community.

Methods
With the help of the Participatory Action Research (PAR) approach, 4 researchers, 6 experts, 6 UM, 7 Ukrainian GPs and 3 teachers identified and discussed transferability of promising HPV/MMR vaccination interventions and their adaptation from the Polish and contextual perspective. The Population-Intervention-Environment-Transfer Model of Transferability (PIET-T) model was used to accompany the steps for determining transferability.

Results
Three intervention elements were considered as capable for increasing HPV/MMR vaccination uptake: a health promoter, group educational sessions and an online provider training. Adaptations were needed to make them consistent with the contextual needs. The intervention was adapted to involve Ukrainian GPs delivering culturally sensitive education and a Ukrainian coordinator offering navigation support; barriers (lack of information/language barrier) were addressed. The education sessions for parents were taken into account as having potential to increase knowledge and facilitate making informed decisions regarding vaccination. The online education course was assessed as a strategy to possibly enhance GPs knowledge to let them make strong HPV/MMR vaccine recommendations to UMs.

Conclusions
Both, community-based PAR approach, and the PIET-T model, facilitated the assessment of intervention transferability and adaptation in terms of covering the individual context, pattern and needs of UMs community in Poland, to finally increase HPV/MMR vaccination uptake.
Tailoring intervention targeting HPV vaccination in marginalized Roma communities in Slovakia
Authors: Filakovska Bobakova D , Plavnicka J , Urbancikova I , Schloemer T 
Published: October 2024

Abstract

Background
Marginalized Roma communities (MRCs) are among underserved groups facing limited access to vaccination services and presumably low HPV vaccination rates. The most significant health system barriers to HPV vaccination include financial costs, lack of appropriate information and restricted capacities of healthcare providers. Two interventions identified as promising for implementation in the context of MRCs were discussed with a variety of stakeholders and community members to tailor intervention that would be well accepted and effective to increase HPV vaccination rates in MRCs.

Methods
The first intervention uses health promoters - trusted and trained community members to address cultural and language barriers and serve as a vital link between healthcare providers and community members. The second multilevel intervention is providing education, navigation, and vaccine access. Initial discussions were conducted with 23 stakeholders, and follow-up discussions were held with 16 stakeholders, including representatives of healthcare professionals, schools, local authorities, and community members.

Results
An intervention to be implemented in Slovakia focuses on the use of Roma health mediators who will provide parents and vaccine-eligible children (12-14 years old) from MRCs with information on HPV and HPV vaccination, invite them to educational sessions organized in community centres and at schools and navigate them through the vaccination process. The intervention also combines components such as videos and discussions with healthcare professionals, aligning with the needs and wishes of the target group.

Conclusions
This intervention will help to deliver reliable and understandable information on vaccination and enable people from MRCs to make informed decisions about vaccination. Roma health mediators will take the burden of providing information from overloaded healthcare providers and navigate community members through the vaccination process.
Future-Proofing Analysis of the 2017 EU AMR Action Plan
Authors: Parkinson S 
Published: October 2024

Abstract
Antimicrobial resistance (AMR) is a serious public health concern and has been deemed a top priority amongst public health authorities internationally. AMR is a complex issue, which is affected by a wide range of diverse factors including antimicrobial use, vaccines, surveillance, climate change and global conflicts. In thinking about how to address AMR, it is important to not only consider how multiple factors interact to contribute to the issue, but also how these factors may develop in the future. In 2017, the European Commission published the European One Health Action Plan against AMR, which set out objectives and priory areas for actions across EU/EEA Member States. This presentation will discuss the results of a future proofing study of this Plan. The study included a series of scenarios for how AMR might develop over the next ten years, in order to gather stakeholder perspectives on how the Plan can be improved to mitigate against future risks, take advantage of future opportunities and move towards more favorable futures. In particular, this presentation will focus on how this futures method was used to arrive at specific and actionable recommendations about how to better prepare for the future of AMR.
Public Health Challenges for 2050 in the Netherlands
Authors: Den Broeder L , Couwenbergh C , Dekker L , Hilderink H , Janssen-van Eijndt T , Spijkerman A , Staatsen B , Van Zoonen K 
Published: October 2024

Abstract
Every 4 years, the National Institute for Public Health and the Environment (RIVM) carries out the Dutch Public Health Foresight Study, commissioned by the Ministry of Health. The ninth edition (PHFS-2024) compiles an outlook on future public health and the health care system in the Netherlands. It combines a business-as-usual Trend Scenario with literature study and a range of qualitative and mixed-methods approaches. The Trend Scenario comprises projections up to 2050 for a broad range of epidemiological indicators. Such as (healthy) life expectancy, disease burden, life style factors. The qualitative and mixed methods approaches supported an incremental intersubjective process. Methods were a focus groups study, stakeholder sessions and workshops. An important innovation in this study was the Citizen Council and Panel. The outcomes show that demographic development, in particular growth of the group people at high age with multimorbidity, will lead to high pressure on the formal and informal health care system but also on e.g. mental health. A life course approach applied shows that decreasing mental health of youth will have long term consequences. Also, overweight will deeply impact older people’s health in the future. Lastly, climate change in combination with e.g. energy transition will deeply affect our society and living environment. Next to these challenges, there will also be opportunities to improve health. Building a climate-proof living environment that also stimulates healthy life styles and social interaction is one of them. However, improving health has linkages with policy areas outside the traditional public health domain as well and requires, firstly, a Health in/for All Policies approach. Secondly a whole-of-society approach in which companies and civil organizations take action is needed. All these efforts can only be effective if people and communities are put at the core of all health policies.
The future of public health in Europe
Authors: Costongs C , Wagenführ-Leroyer A , Eliasen B , Gallen P , Jerez Pombo J 
Published: October 2024

Abstract
EuroHealthNet - in collaboration with the Copenhagen Institute for Futures Studies - has conducted a Foresight study to collect insights and identify risks and opportunities. The study investigates the role of public health by 2035 in achieving health equity through health promotion and prevention, in the context of the digital and green transition. The multi-round study ran from June to November 2023. It consisted of a workshop, a kick-off meeting, two rounds of surveys using the Delphi method, and a final back-casting expert panel. The Foresight exercise involved 35 experts across Europe and covered six themes: public health policy and governance; public health financing and spending; sustainability and the green transition; health promotion and disease prevention; equity and society; digitalisation in public health. The presentation will highlight some of the outcomes, recommendations as well as experiences from this Foresight exercise and how it can be applied in practice.
8.Q. Skills building seminar: “The Church of Fail”: Learning from Our Mistakes in Co-Creation
Authors:   Organised by: Aarhus University (Denmark), Glasgow Caledonian University (UK), VIA University College (Denmark), Health Cascade,   Chair persons: Knud Ryom (Denmark), Danielle Agnello (UK)
Published: October 2024

Abstract

When delving into the co-creation research literature, it might seem that researchers consistently attain success in their projects without any exceptions. At the extremes, co-creation might even be portrayed as a quasi-moral scientific approach, where the results are inherently positive and beneficial to all participants. Rarely do researchers openly discuss failures or mistakes encountered during co-creation projects, despite the well-established understanding that co-creation presents significant challenges and demands for those involved. Therefore, we aim to use the well-established “Church of Fail” method to underscore the importance of learning from failures, particularly within the dynamic and demanding landscape of co-creation. Therefore, we invite participants to embrace the inevitability of failures, emphasizing that the key lies in deriving valuable lessons from these. Failures present the greatest potential for professional growth and innovation. Reasons for the workshop: Ensuring the professional growth of researchers and practitioners is vital to unlocking the full potential of co-creation and participatory methodologies. It may appear that success in co-creation is guaranteed by applying principles such as building ownership or fostering shared understanding. However, in reality, co-creation demands significant effort, resources, and dedication from everyone involved. One way to avoid mistakes or failures is to embrace them and learn from them, thereby fostering professional growth and innovation.

Objectives
This workshop will: 1) Increase awareness of co-creation as a methodology within public health, by generating an open and safe learning environment for professional growth; 2) Exchange experiences with failure, to learn and encourage professional growth. The presenters will engage the participants with cases that illustrate different known pitfalls within co-creation, such as power imbalance, participation fatigue, recruitment strategies, and aligning objectives; 3) Discuss important consideration on co-creation approaches, to achieve the best possibility for success in such research projects in public health in the future.

Key messages
• Failure is not a flaw, but an opportunity to learn and innovate.
• Success in co-creation is not a given, even though it sometimes seems so when reading the literature.
“The Church of Fail”: Learning from Our Mistakes in Co-Creation (part I)
Authors: Agnello D , Ryom K , Jacobsen J S , Laursen M G , McCaffrey L , Vogelsang M , Chastin S 
Published: October 2024

Abstract
Our workshop commences with a short presentation about what co-creation is, and the power that lies in learning from failures. Then, the facilitator will open the sharing session with the aim to set a safe space by presenting some ground rules for engagement. Then, the participants will be invited to step forward and share their story of failure. Each participant is invited to introduce themselves, and answer three simple questions: What did you fail at? How did you cope with it? What would you do differently? When the participant finishes their story, the facilitator will thank them and the audience will applaud them for sharing. This part of the workshop will go as long as there are people who want to share (with limitations).