bluuebunny/crossref_metadata_2025_split huggingface dataset:
Developing tailor-made plant-based dishes with adolescents for school canteens
Authors: Kokkorou M , Dinnella C , Spinelli S , Wollgast J , Maragkoudakis P , Monteleone E 
Published: October 2023

Abstract

School interventions can have a significant impact on promoting plant-based (PB) diets, which can benefit both health and environmental sustainability. This co-creation and repeated exposure study was conducted in a high school and is divided into 3 parts, a) Co-creation with adolescents (aged 12-16) and chefs to develop innovative PB dishes, b) Global profile (liking, sensory properties, emotions) of the new dishes, c) Repeated exposure for 6 weeks. Using a combination of techniques, 25 adolescents and four chefs took part in iterative sessions of focus group discussions to identify ideas for new PB dishes. Interviews were conducted with 17 adolescents who tasted the five most-liked dishes, using the EmoSemio approach to define a global profile questionnaire. This was then used with 147 adolescents that were characterised for taste responsiveness and food neophobia, to study their liking, sensory/emotional responses to the dishes. The most promising dish was chosen and a 6-week exposure experiment was conducted with 60 adolescents. Results indicate that all five dishes were accepted (mean liking=54.6/100). Taste responsiveness and neophobia were significantly associated with the dish liking, with students who were less responsive to taste and more neophobic liking the dishes less (p &lt; 0.0001). Individual differences were further explored through preference mapping combined with hierarchical clustering. Four clusters with distinct hedonic patterns were identified, with two dishes, different in terms of sensory properties, being accepted by all clusters. One of the two induced positive emotions higher in arousal and novelty and appeared the most viable for school canteen use. Liking and positive emotional responses for the selected dish remained stable during a 6-week repeated exposure experiment, unlike a control dish with a plain taste. Co-creation with adolescents and chefs was effective for developing innovative and accepted PB dishes for school canteens.

Key messages
• Co-creating with adolescents and chefs and understanding individual differences are promising strategies for developing innovative and well-received PB dishes for sustainable school meals.
• Segmenting for psychological traits and taste responsiveness and evaluating the Global Profile of healthy PB dishes in terms of sensory/emotional profile is essential in developing tailor-made dishes.
Can a mindful movement-based program contribute to health? Results of a pre-post intervention study
Authors: de Waure C , Chiavarini M , Buratta L , Carestia R , Gobetti C , Lupi C , Sorci G , Mazzeschi C , Biscarini A , Spaccapanico Proietti S 
Published: October 2023

Abstract

Background
Mindful movement integrates interoceptive, proprioceptive, kinesthetic, tactile, spatial, emotional, psychological, and relational aspects ‘through’ and ‘into’ movement and is expected to contribute to individuals’ health. The objective of this study is to assess the impact of a mindful movement-based program (named Movimento Biologico, MB) on participants’ psychological well-being (PWB), positive mental health (PMH), sense of coherence (SOC), and interoceptive awareness.

Methods
We set up a training program based on MB for students attending the Degree in Exercise and Sport Science at the University of Perugia, Italy. The program included one session per week for a total of 8 weeks and 48 hours. Participants were requested to fill in four questionnaires before and after the MB program: 1) 18-item PWB scale; 2) 9-item PMH scale; 3) 13-item SOC scale; 4) 32-item scale for Multidimensional Assessment of Interoceptive Awareness (MAIA). Wilcoxon signed-rank test was performed to determine whether the MB program produced a significant difference in post-intervention scores. A p-value of less than 0.05 was deemed statistically significant.

Results
38 students (mean age 21.2 years; range 20-25; 60.5% males) attended the MB program. The majority of the MAIA subscales, including noticing (p = 0.003), attention management (p = 0,002), emotional awareness (p = 0.007), self-regulation (p = 0.001), body listening (p = 0.001), and trusting (p = 0.001), improved significantly after the MB program. A significant increase also occurred in the PMH score (p = 0.015) whereas SOC and PWB improved, but not significantly.

Conclusions
The MB program significantly enhanced participants’ psychological well-being and interoceptive awareness. This can be due to the positive physiological sensation recognition and management, a deeper connection between physical sensations and emotional states, and a greater perception of one's own body's reliability.

Key messages
• Mindful movement is a practice based on the integration of more physical aspects with emotional, psychological, and relational ones and can contribute to individuals’ health.
• This study showed that a mindful movement-based training program for university students in significantly improved participants’ psychological well-being and interoceptive awareness.
The relationships of chronotype with BMI and cognitive performance among university students
Authors: Fukukawa Y , Takikawa R 
Published: October 2023

Abstract

Background
Chronotype is a sleep-wake cycle that reflects individuals’ daily activity patterns. It has been suggested that evening-type individuals have increased risk of adverse outcomes. However, chronotype also relates to their innate characteristics. The purpose of this study was to investigate whether those characteristics mediate the relationships of chronotype with physical and mental outcomes.

Methods
A total of 146 Japanese university students participated in a web survey in October 2022. The data of 131 respondents (44 males and 87 females: aged from 18 to 27 years) were eligible for analysis. The following information was assessed: 1) Munich Chrono Type Questionnaire (MCTQ: Roenneberg et al., 2003), 2) Body mass index (BMI: calculated from self-report height and weight), and 3) Cognitive reflection test (CRT: Frederick, 2005). We hypothesized that BMI would be higher in evening-type students compared to morning-type students. We also hypothesized that subjects’ CRT score would be better when they took the test at a proper action time, i.e., a time that is matched to their own chronotype.

Results
The percentage of students in morning-type was significantly higher for females (49.4 %) than males (31.8 %). Analysis of variance (ANOVA) indicated that morning-type males had significantly higher BMI compared to evening-type males. On the other hand, morning-type females had significantly lower BMI compared to evening-type females. Another ANOVA indicated that males who took the CRT at the time matched to their chronotype had significantly less errors. Such a difference, however, was not found in females.

Conclusions
As predicted, while chronotype was associated with BMI and CRT score, the relationships were moderated by gender and the task execution time. The implication of the study was that researchers would be required to consider those moderating factors when investigating the effect of chronotype on physical and mental health.

Key messages
• A web survey was conducted for 146 Japanese university students to examine the relationships of chronotype with body mass index and cognitive performance.
• The analysis indicated that gender and the task execution time moderate the effect of chronotype on physical and mental health.
Behavior integration for a sustainable COVID-19 vaccination in Serbia, North Macedonia, and Moldova
Authors: Mandić-Rajčević S , Cvjetković S , Oot L , Tasevski D , Meghani A , Costache A , Cotelnic T , Popović D , Cullen-Balogun T , Cogswell L 
Published: October 2023

Abstract

Issue/Problem
In Serbia, North Macedonia, and Moldova, USAID's MOMENTUM Routine Immunization Transformation and Equity project is using a behavioral integration approach to increase COVID-19 vaccine uptake in priority populations. This approach is aimed at changing provider and community behaviors to embrace COVID-19 vaccination as part of a healthy lifestyle. This approach may be applicable and replicable in countries around the world.

Description
In an effort to implement a sustainable model for COVID-19 integration into the primary healthcare system, the project applied a behavioural integration approach to understand barriers and motivators to COVID-19 vaccination. In all three countries, we collected qualitative data through interviews with public health decision-makers, immunization health professionals, and other key partners, and focus group discussions with members of the priority populations.

Results
The project created profiles for each priority behaviour, detailing barriers and motivators to adopt it, and supporting people and their actions. We conducted participatory workshops with relevant immunization stakeholders that validated and prioritized key behaviors, and conceptualized integrating COVID-19 vaccination into a healthy lifestyles’ framework. We identified effective messages to promote vaccine uptake, and a course curriculum focused on healthy lifestyles, life-course immunization, and person-centred care.

Lessons
Behavioural insights and the behavioural integration approach helped identify and prioritize critical COVID-related behaviours to increase vaccine uptake amongst key priority populations. For the first time in the region, we proposed the integration of COVID-19 vaccination into a primary healthcare platform, focused on healthy lifestyles and life course immunization, as well as person-centered care, which aligned well with both governments’ and populations’ priorities.

Key messages
• Behavioral insights and behavioral integration helped identify priority populations and behaviors, and better align the respective priorities of populations and governments for COVID-19 vaccination.
• Participatory workshops with relevant stakeholders, together with evidence from qualitative and quantitative research, allowed us to design and adapt public health interventions.
Migrant healthcare workers: exploring resilience and capacity for circular migration
Authors: Kuhlmann E , Ungureanu M , Thilo N , Fehr L M , Cosma N C , Brinzac M G , Dopfer-Jablonka A 
Published: October 2023

Abstract

Background
This study focuses on migrant healthcare workers’ experiences and explores mobility patterns in the middle of a global health crisis, aiming to explore the capacity for circular migration and support effective equitable healthcare workforce policy.

Methods
Romanian physicians working in Germany served as an empirical case study. We applied a qualitative explorative approach; interviews (n = 21) were collected from mid of September to early November 2022 and content analysis was performed.

Results
Migrant physicians showed strong resilience during the COVID-19 crisis and rarely complained. Commitment to high professional standards and career development were major pull factors towards Germany, while perceptions of limited career choices, nepotism and corruption in Romania caused strong push mechanisms. We identified two major mobility patterns that may support circular migration policies: well-integrated physicians with a wish to give something back to their home country, and mobile cosmopolitan physicians who flexibly balance career opportunities and personal/family interests.

Conclusions
Health policy must establish systematic monitoring of the migrant healthcare workforce including actor-centred approaches, support integration in destination countries as well as health system development in sending countries, and invest in evidence-based circular migration policy.

Key messages
• Effective retention policy must consider mobility patterns of healthcare workers and motivational factors, calling for systematic data and research evidence.
• Major push and pull factors reveal strong interconnectedness of healthcare systems and policy in sending and receiving countries, calling for more equitable health workforce policy.
Company commitments and practices on nutrition and environmental sustainability in Ireland
Authors: Steele M , Harrington J 
Published: October 2023

Abstract

Introduction
The Business Impact Assessment (BIA) tools were developed by INFORMAS to document companies’ commitments on population nutrition (BIA-Obesity) and environmental sustainability (BIA-Sustainability). As part of the EU-funded Food Systems that Support Transitions to Healthy and Sustainable Diets (FEAST) project, we used the BIA-Obesity and BIA-Sustainability to map the public commitments of a range of national and international food companies active in Ireland.

Methods
We selected companies (n = 39) across the packaged food, soft drinks, quick service restaurant, grocery retailers, infant formula, and catering industries. Selection was based primarily on the companies’ market shares in Ireland, as well as potential to compare findings across countries. We searched each company's website, annual reports, and other public sources, logging all commitments relevant to the domains of the BIAs. We then asked companies to provide evidence of any additional publicly available commitments not included in our data collection. Then we scored the final set commitments for each company in each domain. The domains were weighted differently in different industries based on current evidence on the impact of each industry.

Results
Within each industry, the results vary widely, with some companies making extensive and detailed public commitments while others made few if any public commitments. Many companies, especially larger multinational companies, make strong commitments on sustainability, while commitments to tackle obesity and non-communicable diseases still lag behind.

Conclusions
There is still scope for food businesses to make more and clearer commitments on environmental sustainability and, especially, on population nutrition and health in Ireland. Now that a benchmark of companies’ commitments has been established, future work will focus on changing commitments over time, as well as, crucially, assessing practices related to these commitments.
Parents’ mental health state and self perceived difficulties of their children
Authors: Lioliou S , Bitsakos N , Vagionaki K , Pitsikaki S , Papadakaki M 
Published: October 2023

Abstract

Past research shows that parents’ mental health is highly associated with children's emotional and behavioural state. The study aimed to explore and verify the hypothesis that high self perceived parental depression and anxiety levels increase observed emotional/behavioural problems in their children. The sample included 53 parent-child pairs, residents of Crete, Greece where the average age of parents (88.7% females) was 42.30 yrs (SD = 5.41) and with mean child (54.7% males) age of 9.16 (SD = 1.36), who presented for learning difficulties assessment at a community Mobile Unit. Among them, 64.2% had university degree while 24.5% had secondary education. The tools used were Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) to assess depression and anxiety symptoms in parents and Child Behaviour CheckList (CBCL /6-18 DSM-oriented scales) to assess observed emotional/behavioural problems of their children (Emotional and Somatic Problems, Anxiety, Attention Deficit, Oppositional Defiant Problems, Conduct Problems). The study found a significant positive correlation (r=.400; p=.011) between BAI (M = 11.89, SD = 8.48) and Anxiety Problems in the CBCL (M = 2.93; SD = 2.11). Additionally, there was a significant positive correlation between BDI (M = 11.44, SD = 10.63) and Emotional Problems (M = 4.22, SD = 3.34), with r = 0.427 (p=.006) as well as with Anxiety Problems (r=.427; p=.006). These results indicate a link between parents’ self perceived anxiety with the anxiety they observe in their children and parents’ self perceived depression levels with the emotional and anxiety problems they identify in their children. It seems that anxious and depressed parents tend to highly identify same characteristics in their children. For the future it is recommended to test a bigger sample and also evaluate children's own beliefs. Nevertheless, the study confirms the connection between parental and child mental health which cannot be ignored when designing family based interventions.

Key messages
• Understanding parents’ mental health issues could improve children’s lives and inform health policy planning.
• Validated tools need to be introduced in community health setting to early detect parent mental health issues.
3.E. Workshop: Air pollution health impacts and costs in EU accessing countries
Authors:   Organised by: European Commission, Joint Research Centre, EUPHA-ENV,   Chair persons: Vlatka Matkovic (Belgium), Marija Jevtic (EUPHA-ENV)
Published: October 2023

Abstract

Air pollution is detrimental for health, climate, national economies and well-being in the European Union (EU) and in EU candidate countries. In many locations air quality levels are above the EU or national legal standards and/or the guidelines recommended by the World Health Organization. Very often EU neighbours and countries in the process of accessing the EU are disproportionately more affected by the impact of air pollution than others. The newest global evidence is suggesting that human health is affected even at low pollution levels below the current European standards and WHO guideline values. In 2021, the WHO published new air quality guidelines structured in Intermediate targets and final targets which are lower than the previous recommendations published in 2005. Estimating the costs of air pollution requires analysis of extensive data sets by means of econometric and statistical methodologies. In this session is discussed the assessment at country level for Europe and worldwide which is particularly valuable for estimating statistical value of life (VSL) and the value of a life year (VOLY) for counties that have not been the focus of global estimations so far. Moreover, this workshop adds valuable new information on the Western Balkans and Ukraine that could be used in systematic efforts to develop evidence-based air pollution reduction plans and to track progress toward reducing air pollution and consequently the health impacts. The studies included in this session represent valuable efforts to acquire evidence in support of further alignment of national air quality policies with those of the EU.

Key messages
• The newest evidence supports efforts to further aligning the Western Balkans and Ukrainian air quality policies with those of the EU and contribute to national and local implementation.
• The meta-analysis of existing literature leads to the development of econometric models for estimating VSL and VOLY at country level worldwide.
Validation of a translated comprehensive mental health literacy measure for adolescents (KAMHS-NL)
Authors: Tullius J M , Geboers BJM , Reijneveld S A , de Winter A F 
Published: October 2023

Abstract

Mental health literacy (MHL) is considered to be of crucial importance for early recognition and self-management of mental health problems, and for the use and acceptance of mental health services. MHL has been identified as an important factor for the promotion and prevention of mental health problems, especially during adolescence. Recently, the Knowledge and Attitudes to Mental Health Scales (KAMHS) has been developed to assess MHL in adolescents. Studies show that the KAMHS is a comprehensive instrument that could potentially be widely used within the research community. However, it has thus far not been validated in different contexts. Therefore, the aim of the current study was to assess the content, structural, and construct validity of a translated version of the KAMHS in another country, namely the Netherlands. First, we established the content validity of the translated KAMHS (KAHMS-NL) through cognitive interviewing with adolescents (n = 16). Next, we collected data among adolescents aged 13-16 attending secondary schools in the Netherlands (n = 404) on mental health literacy (KAMHS-NL), mental health, resilience, and use of mental health support. We then assessed structural validity by applying confirmatory and exploratory factor analysis. Lastly, construct validity was assessed by analyzing convergent and divergent correlations between subscales of the KAMHS-NL and other instruments. Preliminary results suggest that the KAMHS-NL has good content validity, while the factor structure previously identified by the developers was confirmed with two models for the Dutch version. For construct validity, significant although relatively small-to-moderate convergent correlations with the reference scales (r = 0.14-0.40) and small divergent correlations (r = 0.00-0.06) were found. More detailed results will be made available at the time of the presentation. We conclude that the KAMHS-NL is a reliable and valid measure for adolescent MHL which deserves wider implementation.

Key messages
• The KAMHS-NL is a reliable and valid measure for adolescent mental health literacy.
• Cross-cultural translation and validation of the KAMHS is needed for wider and more streamlined measurement of adolescent mental health literacy.
Holistically assessing digital public health systems: The Digital Public Health Maturity Index
Authors: Maaß L , Zeeb H , Rothgang H 
Published: October 2023

Abstract

Background
In their toolkit on national eHealth strategies, the WHO lists core areas for a holistic approach to digital public health (DiPH) systems: governance, investment, services, infrastructure, interoperability, workforce, legislation, policy, and compliance. However, addressing all of them is challenging, time-consuming, and expensive. Therefore, countries must first assess their DiPH system's maturity to identify gaps or improvement areas and prioritise investments. This ensures that policies align with the system's current state and guide future policy and regulation development. Assessing the system also has international advantages, as global benchmarking and policy learning are possible when multiple countries use the same tool for evaluating their DiPH system's maturity. However, until now, no index asses DiPH systems as comprehensively as the WHO proposes. This is where our research seeks to support public health policymakers by proposing the Digital Public Health Maturity Index (DiPHMI) to holistically assess the maturity of national DiPH systems following the WHO toolkit.

Methods
We developed the DiPHMI through systematic literature research on the characteristics and requirements of DiPH interventions. Indicators were collected through a Delphi process and compared with validated indicators by the EU, the World Bank, and the ITU.

Results
Our composite index consists of four main topics:
1. The required ICT infrastructure
2. The legal framework and political support
3. The attitudes of the population and public health workforce toward DiPH
4. The level of national DiPH intervention rollout
Each area includes thematic subgroups to measure various aspects of national maturity. It will allow experts and policymakers to systematically assess their DiPH system's strengths, weaknesses, and opportunities.

Conclusions
We are confident that using the DiPHMI to evaluate and compare European countries will enable the continent to move forward in unprecedented ways.

Key messages
• The digitalisation of national health systems increases their complexity and needs to be evaluated accordingly. One can only identify its potential and barriers by applying a holistic approach.
• The DiPHMI is currently the only tool that follows the holistic approach suggested by the WHO: Supporting ICT infrastructure and legislative, tool-application level, and social interest in tool use.