1,720,985 research outputs found
Segmenting Adolescents Around Social Influences on Their Eating Behavior: Findings From Italy
Full text linkAdolescence is a fundamental period in everyone’s life. Teenagers have for the first time the possibility to take on responsibility about their choices in many domains, building their own “lifestyle.” Among these domains, food is one of the most important considering the implications for their future health.
Deep knowledge of teenagers’ behaviors and of factors affecting their choices can support tailored health policy and social marketing interventions for this population. The purpose of this article is to prospectively segment teenagers around food socialization factors as influencing factors of food preferences, attitudes, and behaviors of adolescents. A cluster analysis (CA) was performed on a sample of 4,749 respondents aged 15 and 18 years coming from Tuscany (Italy). Considering food wellbeing and consumer socialization frameworks, the CA used three food socialization variables related to influences and source of information/advices at intrapersonal, interpersonal, and broader societal levels. Five distinct groups were identified and described, showing deep differences in the adolescents’ food behaviors corresponding to different socialization patterns. Adolescents who reported broader food socialization at all investigated levels present better lifestyle habits. Social marketers, policy makers, and health professionals can work on specific influencing food socialization factors for tailoring marketing interventions and increasing their positive impact on adolescents’ food behaviors
Promoting healthy eating habits among youth according to their preferences: Indications from a discrete choice experiment in Tuscany
Full text linkIl circuito catanese del malaffare
No full textIl contributo si inserisce in uno studio che analizza le reti di corruzione osservando due casi empirici di particolare rilevanza nel contesto italiano. Nello specifico, si ricostruisce il contesto socio-criminale e territoriale in cui si definisce la c.d. zona grigia nella provincia di Catania, descrivendo la storia mafiosa locale, i principali affari illeciti che coinvolgono le cosche mafiose e la classe dirigente e la cointeressenza dei protagonisti delle inchieste giudiziarie prese in esam
Unlocking organizational change: a deep dive through a data triangulation in healthcare
Full text linkHealthy Living: when engaging people makes a difference. Evidences from an experiment with teenagers in Tuscany
Full text linkBehavioural and social sciences to enhance the efficacy of health promotion interventions: redesigning the role of professionals and people
Full text linkEvidence on the effectiveness of health promotion interventions is mixed, especially in terms of the magnitude of their impact and long-term adherence. This paper proposes a comprehensive approach informed by behavioural economics of developing behavioural change programmes, which is designed to educate, activate, engage and empower people by taking into consideration individual and social mechanisms. Three applied pilots and their results are presented in order to illustrate the approach using cognitive and social mechanisms to lead to better health outcomes, individually and community-wide. More research is needed to explore levers and barriers for the systemic adoption of this framework in implementing health promotion interventions
Was it really co-production? An evaluation by co-producers of an Italian health promotion initiative.
Full text linkOver the last two decades, the reconfiguration of relationships, roles and information exchanges has changed people expectations and roles with regards to producers and services providers. The co-production phenomenon have moved also the actors in the public domain into new directions.
With this work, the authors aim to evaluate a co-production process, by involving into the assessment the co-producers, both providers and users. The authors adopted the framework of Boyle and Harris (2009) and used a single case-study design with a mixed methodology for answering to the question “Was it really co-production?”. Data were gathered during the co-production initiative beFood, implemented in Tuscany (Italy) between 2016 and 2017.
The preliminary results show that the process followed in beFood were very good perceived by all the co-producers. Some differences emerged, showing that experts (the providers) assessed more positive the aspects related to their work of supporting people in being active partners and of recognizing and growing their skills. On the contrary, more efforts should be done for improving the experts capabilities and willingness in supporting people in being really active in sharing knowledge, in playing a role equal to the providers’ role and in creating more value for themselves and other people. Co-production implies a deep change in the providers’ training and role, as well as in the power structure within the provider organization
Piloting a web-based systematic collection and reporting of patient-reported outcome measures and patient-reported experience measures in chronic heart failure
Full text linkObjectives To evaluate the feasibility of a digital and continuous collection and reporting of patient-reported outcome measures (PROMs) and patient-reported experience measures (PREMs) for chronic heart failure (CHF).Design A single-site pilot study was settled for evaluating the feasibility of the intervention, both using qualitative and quantitative data (ie, workshop, surveys).Setting The pilot has been implemented in a Tuscan specialised hospital (Italy).Participants 162 patients were involved. Inclusion criteria were: a previous diagnosis of HF, age ≥18 years, absence of cognitive impairment or active tumours, ability to provide informed consent to study participation.Intervention The continuous collection and reporting of PROMs and PREMs has been designed and implemented in 2018. PREMs questionnaires for patients were developed, while Kansas City Cardiomyopathy Questionnaire-12 was used for assessing PROMs. Questionnaires are administered at specific time points: discharge; 30 days, 7 and 12 months after the discharge. Enrolment of patients, administration and real-time reporting of questionnaires are carried on through a digital platform.Outcome measures Enrolment, response and drop-out rates were considered to assess the feasibility of the intervention. Qualitative data were collected during meetings and workshops with health workers. The representativeness of the recruited sample with respect to the population characteristics was also evaluated.Results The system has been successfully implemented during 2018. Response rates have been consistently above 50%, demonstrating patients’ transversal willingness to participate. All the involved stakeholders acknowledged the feasibility of the design. The recruited sample is significantly different in terms of age and educational level compared with the overall population characteristics.Conclusion It is possible to run a web-based systematic collection and reporting system for CHF patient-reported data. Systematic collection and reporting of PROMs and PREMs data allows professionals to increasingly assume CHF patient perspective in their daily work. Limitations will be used to improve the system
Healthy Living and Co-Production: Evaluation of Processes and Outcomes of a Health Promotion Initiative Co-Produced with Adolescents
Full text linkCo-production is an approach to designing, delivering, and evaluating public services through strict collaboration among professionals and the people using services with an equal and reciprocal relationship. Health promotion initiatives that include education services rarely use the co-production approach. Nevertheless, the value of co-production is widely recognized, although it is considered a normative good, and scarce and mixed evidence is available in literature. The purpose of this paper is to provide evidence supporting the hypothesis that a co-production approach, applied to an intervention for preventing obesity, can be effective and efficient. To this end, an evaluation of the processes, outputs meant as intermediate results, and behavioral and economic outcomes of a public health-promotion initiative co-produced and co-delivered with adolescents (beFood) was conducted. Mixed methods were used, including field-observations, two self-reported questionnaires, and an opportunity–cost analysis that compared beFood to traditional approaches of public health promotion. The co-production model was successfully implemented and appears to be effective—more than 5000 adolescents were reached by only 49 co-producer adolescents, who reported behavioral changes (e.g., eating better and practicing more physical activity). The cost analysis showed that the co-production approach was also efficient, producing relevant savings and potentially making available more than 3000 h of professionals’ time. This research can support a re-thinking of public institutions’ organization, public initiatives’ design, and public servants’ rol
INDAGINE PROMs PATIENT-REPORTED OUTCOME MEASURES. RILEVAZIONE SISTEMATICA DELL'ESPERIENZA E DEGLI ESITI RIPORTATI DAI PAZIENTI NELLA SANITA' TOSCANA.
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