bluuebunny/crossref_metadata_2025_split huggingface dataset:
Co-producing research on universal health system reform in the context of COVID-19
Authors: Crowley P , Burke S , Parker S , Schulmann K , Bruen C 
Published: October 2024

Abstract

Issue
How to co-produce and embed research into universal health system reform implementation in the context of COVID-19. In many respects the pandemic revolutionised the use of data and research, with near real-time data informing key health policy and system decisions. This was evident in the production of publicly available data sets tracking COVID-19 infection as well as health system dashboard tracking activity in real-time and influencing day-to-day decisions made. How can this use of data and research evidence become the norm for all health system reform and policy decisions?

Results
The Foundations’ research project is a partnership project in place since Autumn 2019. Initially focused on producing evidence to inform the design and implementation of new regional areas with the Department of Health Sláintecare Reform Office and the Irish national Health Service Executive as partners. When COVID-19 occurred all work on the regions was paused the research pivoted to harness the learnings form the COVID-19 response to inform universal health system reform. The partnership applied research nature of the programme allowed research to be coproduced and co-designed with health system leaders, meant the researchers understood if and when it was possible to engage with partners and how to feed result into the health system at the earliest opportunity.

Lessons
Trust and pre-existing working relationships with partners allowed the research to pivot and to continue during the pandemic. The applied partnership nature of the research meant that at times the health system was very engaged in the research and at other times (eg during COVID waves and surges or the cyber-attack) there was limited engagement. The co-production nature of the research allowed a dynamic, ongoing, two-way learning between the health system and the research team. It is extremely difficult to measure impact of research on health system and reform decisions.
Youth mental health and exposome
Authors: Lindert J , Olariu E , Lopes I 
Published: October 2024

Abstract

Mental health is a complex Public Health challenge, especially youth. A better understanding of factors that contribute to youth mental health and reduce the burden of youth mental health conditions such as executive and emotional functioning is needed to develop primary and secondary prevention interventions. One of the main challenges for better understanding mental health of youth is the complexity and diversity of exposures that individuals experience throughout their lifetime. There is a wide range of factors in the environment, and individuals are exposed to different combinations of external factors depending on their location, occupation, and lifestyles. These factors include physical (e.g., noise and indoor and outdoor air), chemical and social factors (e.g., neglect and abuse, relationship conflicts) based on the exposome framework. The exposome is a guiding framework for the multi-country study EARLY involving Albania, Belgium, Germany, Israel, Moldova, Portugal, Romania, Serbia, Spain, and Switzerland. EARLY is one of the first projects to theoretically explore and empirically investigate youth mental health in line with the exposome framework. We aim to identify factors influencing youth mental health with validated exposure measures. An exploratory list of measures was collected in Albania, Belgium, Germany, Israel, Moldova, Portugal, Romania, Serbia, Spain, and Switzerland. The measures vary widely. Besides the variation, there is still a lack of standardized methods for measuring environmental exposures. Limitations of measures affect reliability and validity. Therefore, an overview of available assessment methods and steps toward improving measures will be discussed in this talk.

Speakers/Panelists
Karin Boode
GGD GHOR Nederland, Utrecht, Netherlands
Peter Van Den Hazel
INCHES, Ellecom, Netherlands
Health loss after road transport injury – new perspectives
Authors: Friberg E 
Published: October 2024

Abstract

Background
Health loss in the road transport system is a major public health problem. Globally, about a fifth of all fatalities within the road transport system are represented by pedestrians, and bicyclists are the group with the highest number of severe injuries in the EU. Here we strive to add new perspectives of health loss in different road user groups examining sickness absence (SA) and disability pension (DP) and in the case of injuries after car crashes also relating them to permanent medical impairment (PMI).

Methods
Several register-based studies were conducted, based on microdata linked at individual level from several Swedish nationwide registers. In one study information about PMI from the insurance company Folksam was also used. In the main analyses we included all working individuals aged 20-59 years injured in a road traffic accident (pedestrians, bicyclists, car occupants, and other road users) in 2015 in Sweden and population-based matched references without any traffic-related injury. Diagnosis specific SA and DP were assessed during 1 year before and 4 years following the accident.

Results
A third of the traffic-related accidents involved bicyclists, 31% car occupants, 16% pedestrian, and 19% were other accidents. The excess SA days/year was elevated for all road user groups the whole study period. Excess SA due to injury diagnoses was 15-35 days/year during the first year following the accident. Among individuals injured in a car crash that reported the injury to Folksam, 2% had a new DP 2 years after the crash, and 8% had injuries resulting in PMI. A distinct trend showed that the proportion granted DP increased with increasing PMI grade.

Conclusions
Sickness absence is a common outcome among individuals injured in the road transport system. Together, these studies highlight the importance of preventing not only fatalities in the road transport system but also non-fatal injuries.
Public-Private Partnerships: A model for injury prevention and safety promotion – Benefitting communities and NGOs
Authors: Vaagland E 
Published: October 2024

Abstract

Injuries are a leading cause of death up to 45years, and 12% of all hospital beds in Norway are dedicated to accident-related treatments. Addressing injuries poses a significant public health challenge, and preventing accidents is crucial for saving money and resources. The Norwegian Act of Public Health mandates that municipalities promote the population’s health and well-being, contribute to favourable environmental conditions, and prevent mental and somatic illnesses and injuries. This is echoed in various laws and regulations, providing a supportive framework for injury prevention and safety promotion. However, translating these laws and regulations into effective policies and preventive activities necessitates collaboration across sectors and levels. To meet these demands, a public-private partnership for safety has been established through five-year cooperation agreements between the Ministry of Health, Finance Norway (Association for financial and insurance industry in Norway), and the Norwegian Safety Forum (NSF). As a non-profit organization, NSF is a national advocate for safety, specializing in home and leisure injury prevention, road safety and Safe Community initiatives in Norway.

Program Description
The collaboration aims to reduce accidents and injuries. The agreement secures basic financing for NSF and serves as a platform for knowledge sharing and competence building across sectors. It facilitates seminars and meetings to promote learning among different professions, benefiting municipalities and the public. The collaboration leverages the Ministry’s resources, insurance companies’ data and knowledge, and NSF’s expertise to develop injury prevention programs through dialogue with communities and organizations. This model brings together private-public and NGO perspectives. It also provides enhanced possibilities for coordination on both national and community level, enhancing data and knowledge availability and strengthening capacity for safety promotion.
K-HEALTHinAIR Open Access Platform: exploring user-profiles
Authors: Costa Ruiz B , Perez L , Ferri M , Mediavilla Martinez C , Acebes A 
Published: October 2024

Abstract

Background
There is a lack of awareness and accessible knowledge of IAQ effects on citizens’ health. The K-HEALTHinAIR project is working to provide a one-stop-shop for IAQ knowledge. With this aim, partners are co-designing with representatives of the quadruple helix a unique platform to allocate data, information, and relevant resources to research and foster IAQ in Europe. This platform is envisioned to store in an accessible and friendly manner datasets of concentrations of key indoor air pollutants and health parameters, standardized Key Performance Indicators, indoor location characterization information, IAQ recommendations and regulations and analytical models.

Methods
First, a stakeholders mapping was performed in all project pilot sites to identify the platform potential users. Second, partners identified with stakeholders which information, data and resources of the project would be of interest and how to present them. Findings were summarized in user-profiles according to the quadruple helix (academia, public administration, industry, and general society).

Results
A set of resources had been identified for each user profile. Each of them will be adapted and formatted according to the users’ needs before uploading it to the platform. The platform will allow users to access information according to their interest in an accessible a friendly manner. In this sense, a dashboard will be included in the website of the project for accessing the different modules of the platform: data management module and knowledge sharing module. The platform is being co-designed and will be tested in the project scenarios with representatives of the quadruple helix.

Conclusions
The K-HEALTHinAIR Open Access platform aims to be the one-stop-shop for IAQ knowledge.
Mental health and resilience of students with a refugee background in Greece.RaRE project findings
Authors: Stathopoulou T , Adamopoulou E , Cavounidis J , Bourazas K , Spyropoulou N , Zirganou-Kazolea L , Hatzinikolaou K 
Published: October 2024

Abstract

Background
Research highlights the mental health challenges faced by children and adolescents from refugee backgrounds due to various risk factors encountered during migration, including exposure to violence, family disruptions, insecure legal status, and educational interruptions. These factors increase the risk of psychological issues and academic difficulties. This study investigates the relationship between mental health and resilience in refugee adolescents in Greece.

Methods
The study focuses on refugee adolescents aged 12-18 from Syria, Iraq, Afghanistan, Somalia, and Ukraine, the countries with the highest numbers of school-age refugees in Greece. Data were collected from 37 refugee children, 37 teachers, 4 parents, and 19 guardians using Poisson sampling. Results are based on responses to the Strengths and Difficulties Questionnaire (SDQ) and the Child Youth Resilience Measure (CYRM), with triangulation of self-completed questionnaires from students, parents/legal guardians, and teachers. Pearson correlation coefficient was employed for analysis.

Results
We present the pairwise Pearson correlation coefficients of students’ responses to psychometric tests in relation to those of teachers, along with the corresponding p-values for a two-tailed test of significance. Specifically, cor(SDQst,SDQt)=0.443 (p-value=0.006), cor(SDQst,CYRMt)=-0.341 (p-value=0.039), cor(CYRMst,SDQt)=-0.333, (p-value=0.006), cor(CYRMst,CYRMt)=0.323 (p-value=0.051). All p-values are below 0.05 or very close to it, so we reject (or we are close to) the null hypothesis of no association at 5% significance level for every case. On the contrary, we note that the corresponding coefficients between students and parents/legal guardians are all statistically non-different from 0 at 5% significance level.

Conclusions
Educators exhibit a solid understanding of students’ challenges and resilience compared to parents and guardians. These promising findings support further research.
Evidence for AI in healthcare
Authors: Ghafur S , Patel M , Popescu M , Jangam S , Conroy D , Fontana G 
Published: October 2024

Abstract
In healthcare, novel AI solutions are being created to address some of the biggest challenges in the prognosis, diagnosis, and treatment of disease, as well as clinician workflows and service improvement. The emergence of generative AI presents a compelling opportunity to revolutionize diagnostics, treatment planning, medical research, and patient engagement. The hypothesized uses of generative AI are broad, ranging from medical education, providing information to patients, generating synthetic patient data for the validation of AI tools, to the analysis of continuous data from wearables to detect early signs of disease. Adoption of digital solutions and AI in healthcare is slower than in other industries. The majority of clinicians don’t have direct experience with AI technologies, only a quarter have recommended a digital therapeutic, and less than a fifth have prescribed one. Safety, quality and confidence can be built through appropriate governance, testing, careful implementation and appropriate clinical use. There is a responsibility for AI developers, health systems and providers, as well as regulators, to create clear expectations for evidence and solutions. AI solutions require unique model evidence (evidence for the underlying algorithm) and solution evidence (evidence for the product in which the algorithm is embedded). Models will need validation first on internal and then on external datasets (internal and external validation). This will indicate how accurate and reliable the model is, but will be limited to the dataset that a client has access to. By examining ways to evaluate evidence for AI in healthcare, we can develop a better understanding of how best to use AI to its most appropriate advantages.
Health Promotion and the case of social prescription of laughter
Authors: Vital P , Silvestri F , Saboga-Nunes L 
Published: October 2024

Abstract

Introduction
The use of laughter to change lifestyle and promote active and successful ageing is an area of interest within the scope of health promotion. The positive effects of laughter practices occur throughout the life cycle. That is why “laughing” has been identified and indicated as a human activity of social prescription promoting healthy lifestyles. This communication aims to (1) identify the benefits for health, health promotion, well-being, and healthy lifestyle of using laughter activities and practices, (2) identify “laughing” as a social prescription activity that promotes a healthy lifestyle.

Methods
This work is structured in a narrative review of the literature and the authors’ lived experience as professionals in the well-being area.

Results
Studies show that laughing and using laughter-inducing approaches have immediate effects on the person who experiences them (e.g. increased general well-being, reduced cortisol levels) with benefits for the immune system and cardiovascular health. Daily practices that are structured and systematic interventions that induce laughter were revealed to have lasting and durable effects. Studies also highlighted the effectiveness of laughter and its important role in improving communication in healthcare professional-patient encounters.

Discussion
Several behaviors are associated with well-being, happiness and positive affect, but the one that is accessible to all people and with the most immediate effects is laughter. Daily practices, structured and systematic interventions that induce laughter are part of non-pharmacological approaches that promote health and well-being. The principles underlying laughter practices are aligned with the Sustainable Development Goals, namely goal 3 (Health), goal 4 (Education) and goal 16 (Peace).
9.X.1. Protecting the mental health of healthcare workers: evidence, policy and implementation challenges
Authors:   Organised by: EUPHA-HCW, WHO Collaborating Center for Health Workforce Policies and Planning, European Observatory on Health Systems and Policies, WHO/Europe,   Chair persons: Ellen Kuhlmann (EUPHA-HCW), Tiago Correia (Portugal)
Published: October 2024

Abstract

Background
There is growing evidence that highlights increasing stress levels and declining mental health among the global healthcare workforce, exacerbated by challenges within workplace environments, labour market and policy frameworks. These conditions place additional strain on an already vulnerable healthcare workforce and consequently threaten the stability of health systems as a whole, given the escalating challenges in retaining, recruiting and reactivating healthcare workers. Although the problems are evident, awareness is increasing and international organisations such as the WHO have advanced policy recommendations, comprehensive and context-specific interventions effectively addressing these problems at varying levels are missing.

Objectives
This innovative workshop offers a platform for bridging the gap between research evidence and policy interventions, stimulating policy learning and knowledge exchange across countries. The session provides an overview of existing knowledge and engages representatives of academia as well as national policymaking, and international organisations to critically discuss challenges as well as good practice experiences with a focus on implementation and problem-solving. The following major questions will be explored: What evidence is available regarding the mental health and wellbeing needs of the healthcare workforce? How are different countries responding to these needs and supporting healthcare workers more effectively? What are some best practice cases focusing on improving mental health support for healthcare workers across various groups, considering diverse needs, gender-inclusiveness, and minority groups? Finally, how can evidence-based policymaking be improved, and how can the implementation of these policies be advanced in a more effective manner? Thesession will encourage critical debate and identify major policy recommendations, focusing on governance and implementation strategies. In the second half of the session, the panel will engage the audience in an interactive discussion to explore novel solutions that prioritise the wellbeing of healthcare workers and effectively address the healthcare workforce crisis in a more person-centred and ‘humanised’ manner. The workshop supports cross-country learning and networking opportunities.

Key messages
• Mental health and wellbeing of the healthcare workforce is crucial for health system resilience and needs stronger advocacy for coordinated multi-level governance action.
• Establish a health system and governance approach together with comprehensive monitoring and qualitative comparative workforce studies to identify transformational policies in contextual settings.
Transitions in heating systems and impact on perceived wellbeing: a qualitative study
Authors: Barlin H 
Published: October 2024

Abstract

Background
as part of the larger European WELLBASED project an urban program focusing on transitions in heating to tackle energy poverty, is implemented in 4 disadvantaged, predominantly Roma neighborhoods of Edirne, Türkiye. These neighborhoods have high levels of vulnerability, aid dependency, and energy poverty. This study investigated the impact on perceived wellbeing of implementing the heating system transition.

Methods
A qualitative methodology was applied; data was collected through semi-structured in-depth interviews among participants in the intervention group of the larger WELLBASED evaluation study. Diversity was ensured regarding gender, age, education level, and working status. Participants were 13 individuals from 13 households in which energy-efficient heating systems were installed. Interviews were audio-recorded, transcript verbatim and coded; thematic analysis was conducted.

Results
3 main themes and 7 sub-themes (st) emerged in the preliminary analysis with regard to impact on well-being: perceived changes in living conditions (st: physical changes, financial implications, domestic burden), perceived effects on health (st. mental health, physical health), and expectations versus reality (st. insulation, efficiency). Experiences differed as per housing condition, type of energy used, usage proficiency, and income level.

Conclusions
Energy efficient heating system transition to tackle energy poverty at homes may not be sufficient to realize impact on perceived wellbeing. Housing conditions (ie. insulation), supported energy sources and management of expectations need to be considered as part of the program.
Harnessing technology for co-creation: maximizing the collaborative potential
Authors: Loisel Quentin 
Published: October 2024

Abstract
Quentin will introduce the role of enabling technologies in maximizing hybrid intelligence for effective co-creation. This presentation sheds light on how technological advancements, particularly artificial intelligence, shape the co-creation landscape, emphasizing their pivotal contribution to enhancing collaboration. Through Quentin’s insights, delegates will understand how technology can optimize the co-creation process, facilitating communication, data integration, and collective problem-solving. Explore the transformative power of technology in driving innovative co-creation initiatives and unlocking new possibilities for collaboration in addressing complex challenges.
Assessment of adults’ misconceptions for Human papilloma virus through development of an instrument
Authors: Golbasi Koc S D , Oktar D , Salis E , Metintas S , Onsuz M F 
Published: October 2024

Abstract

Background
Misconceptions, myths, and conspiracy theories surrounding Human papilloma virus (HPV) are prevalent and diverse. To comprehensively address these misconceptions about HPV, the HPV Misconceptions Scale (HPV-MS) was developed and implemented, which supports public health initiatives aimed at combating HPV-related diseases.

Methods
This methodological and cross-sectional study collected data from May 2 to June 28, 2022, involving two sequential participant groups, starting with 150 and expanding to 471 individuals. The survey, which collected demographic data, HPV-MS responses, variables thought to be associated with HPV-MS scores, and knowledge levels using the HPV Knowledge Scale (HPV-KS), was distributed via social networks and analyzed using SPSS and JASP.

Results
The HPV-MS, which includes 26 items and explains 46.8% of the variance, demonstrated substantial reliability with a Cronbach’s alpha of 0.691. The scores ranged from 2 to 20, with a median score of 14. Higher HPV-MS scores, indicating fewer misconceptions, were associated with younger age, higher education levels, absence of a family history of cervical cancer, and greater knowledge about HPV. Analysis revealed that HPV-KS scores were significant predictors of HPV-MS outcomes, even when controlling for other variables.

Conclusions
HPV-KS scores significantly predicted HPV-MS outcomes, highlighting the importance of knowledge in reducing misconceptions. Additionally, the HPV-MS effectively identifies widespread misconceptions about HPV, which is crucial for designing targeted educational measures. The wider use of this tool could help refine strategies to address HPV-related misconceptions across diverse populations.

Key messages
• HPV-KS scores were significant predictors of HPV-MS outcomes, even when controlling for other variables, highlighting the importance of knowledge in reducing misconceptions about HPV.
• The HPV-MS effectively identifies widespread misconceptions about HPV, which is important for designing targeted educational measures.