1
|
Tan AL, Co SAL, Modina CAEM, Espinosa CIM, Fowler KC, Wong JQ. Using the Ophelia (Optimising Health Literacy and Access to Health Services) process as a practical tool for health promotion program delivery in various Philippine communities. Health Promot J Austr 2023; 34:910-922. [PMID: 36746622 DOI: 10.1002/hpja.701] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2022] [Revised: 12/19/2022] [Accepted: 02/02/2023] [Indexed: 02/08/2023] Open
Abstract
ISSUE ADDRESSED The Ophelia (Optimising Health Literacy and Access to Health Services) process can be used as a practical tool for effective health promotion program delivery because of its multi-sector and pragmatic approach to designing health interventions. An initial case study showed how its first phase was successfully adapted in a pilot community in Leyte, Philippines. In this study, the three phases of the Ophelia process were implemented in Leyte, along with additional communities in Mindoro and Surigao. METHODS After conducting needs assessment and community profiling in phase 1, the results were transformed into vignettes, hypothetical personas representing the health needs of the community. These were used in phase 2, which involved focus group discussions and workshops to cocreate intervention ideas with government organisations, practitioners, and community representatives. A rapid realist review was conducted in phase 3 to check for the feasibility of interventions. RESULTS Through this, the top evidence-based health interventions for each life stage were listed and presented for prioritisation. Program implementation and impact evaluation plans were created for the top health intervention prior to implementation. CONCLUSIONS The Ophelia process ensured that health promotion interventions addressed community needs and were designed using community resources and the wisdom of health practitioners that have been immersed in the local health system. SO WHAT?: The study demonstrated the usefulness of vignettes in presenting data to lay people and how the rapid realist review approach is a practical tool for policy-makers to ensure that program plans designed by the communities and health practitioners are evidence-based without sacrificing the timeliness of implementation.
Collapse
Affiliation(s)
| | | | | | | | | | - John Q Wong
- EpiMetrics Inc., Parañaque City, Philippines
| |
Collapse
|
2
|
Giorgi Rossi P, Ferrari F, Amarri S, Bassi A, Bonvicini L, Dall'Aglio L, Della Giustina C, Fabbri A, Ferrari AM, Ferrari E, Fontana M, Foracchia M, Gallelli T, Ganugi G, Ilari B, Lo Scocco S, Maestri G, Moretti V, Panza C, Pinotti M, Prandini R, Storani S, Street ME, Tamelli M, Trowbridge H, Venturelli F, Volta A, Davoli AM. Describing the Process and Tools Adopted to Cocreate a Smartphone App for Obesity Prevention in Childhood: Mixed Method Study. JMIR Mhealth Uhealth 2020; 8:e16165. [PMID: 32357123 PMCID: PMC7308901 DOI: 10.2196/16165] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2019] [Revised: 02/04/2020] [Accepted: 02/21/2020] [Indexed: 11/26/2022] Open
Abstract
Background Childhood obesity prevention is a public health priority in industrialized countries. The Reggio Emilia Local Health Authority has implemented a program involving primary and secondary prevention as well as the care of obese children. There are many health-promoting mobile apps, but few are targeted to children and very few are sponsored by public health agencies. Objective The goal of the research was to describe the process and tools adopted to cocreate a mobile app sponsored by the Reggio Emilia Local Health Authority to be installed in parents’ phones aimed at promoting child health and preventing obesity. Methods After stakeholder mapping, a consulting committee including relevant actors, stakeholders, and users was formed. Key persons for childhood obesity prevention were interviewed, focus groups with parents and pediatricians were conducted, and community reporting storytelling was collected. The results of these activities were presented to the consulting committee in order to define the functionalities and contents of the mobile app. Results Three key trends emerged from community reporting: being active, playing, and being outdoors; time for oneself, family, and friends; and the pressures of life and work and not having time to be active and socialize. In focus groups, interviews, and labs, mothers showed a positive attitude toward using an app to manage their children's weight, while pediatricians expressed concerns that the app could increase their workload. When these findings were explored by the consulting committee, four key themes were extracted: strong relationships with peers, family members, and the community; access to safe outdoor spaces; children’s need for age-appropriate independence; and professional support should be nonjudgmental and stigma-free. It should be a dialogue that promotes family autonomy. The app functions related to these needs include the following: (1) newsletter with anticipatory guidance, recipes, and vaccination and well-child visit reminders; (2) regional map indicating where physical activity can be done; (3) information on how to manage emergencies (eg, falls, burns, fever); (4) module for reinforcing the counseling intervention conducted by pediatricians for overweight children; and (5) a function to build a balanced daily diet. Conclusions The pilot study we conducted showed that cocreation in health promotion is feasible, with the consulting committee being the key co-governance and cocreation tool. The involvement of stakeholders in this committee made it possible to expand the number of persons and institutions actively contributing to the project.
Collapse
Affiliation(s)
- Paolo Giorgi Rossi
- Servizio Epidemiologia, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Francesca Ferrari
- Servizio Epidemiologia, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Sergio Amarri
- Pediatria Arcispedale Santa Maria Nuova, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Andrea Bassi
- Dipartimento di scienze politiche e sociali, Università di Bologna, Bologna, Italy
| | - Laura Bonvicini
- Servizio Epidemiologia, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Luca Dall'Aglio
- Servizio Tecnologie Informatiche e Telematiche Interaziendale, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Claudia Della Giustina
- Servizio Igiene degli Alimenti e Nutrizione, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Alessandra Fabbri
- Servizio Igiene degli Alimenti e Nutrizione, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Anna Maria Ferrari
- Dipartimento di Salute Pubblica, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Elena Ferrari
- Pediatra di libera scelta, Dipartimento di cure primarie, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Marta Fontana
- Pediatria Arcispedale Santa Maria Nuova, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Marco Foracchia
- Servizio Tecnologie Informatiche e Telematiche Interaziendale, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | | | - Giulia Ganugi
- Dipartimento di scienze politiche e sociali, Università di Bologna, Bologna, Italy
| | - Barbara Ilari
- Medicina dello Sport e Prevenzione Cardiovascolare, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Sara Lo Scocco
- Pediatria Arcispedale Santa Maria Nuova, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Gianluca Maestri
- Dipartimento di scienze politiche e sociali, Università di Bologna, Bologna, Italy
| | - Veronica Moretti
- Dipartimento di scienze politiche e sociali, Università di Bologna, Bologna, Italy
| | - Costantino Panza
- Pediatra di libera scelta, Dipartimento di cure primarie, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Mirco Pinotti
- Dipartimento di cure primarie, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Riccardo Prandini
- Dipartimento di scienze politiche e sociali, Università di Bologna, Bologna, Italy
| | - Simone Storani
- Dipartimento di cure primarie, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Maria Elisabeth Street
- Pediatria Arcispedale Santa Maria Nuova, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Marco Tamelli
- Servizio di igiene pubblica, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | | | - Francesco Venturelli
- Servizio Epidemiologia, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.,Clinical and Experimental Medicine PhD Program, University of Modena and Reggio Emilia, Modena, Italy
| | - Alessandro Volta
- Dipartimento di cure primarie, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Anna Maria Davoli
- Pediatra di libera scelta, Dipartimento di cure primarie, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | -
- Cocreation of Service Innovation in Europe Project, Reggio Emilia, Italy
| |
Collapse
|
3
|
Montagni I, Cariou T, Feuillet T, Langlois E, Tzourio C. Exploring Digital Health Use and Opinions of University Students: Field Survey Study. JMIR Mhealth Uhealth 2018; 6:e65. [PMID: 29549071 PMCID: PMC5876492 DOI: 10.2196/mhealth.9131] [Citation(s) in RCA: 58] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2017] [Revised: 02/05/2018] [Accepted: 02/11/2018] [Indexed: 11/13/2022] Open
Abstract
Background During university, students face some potentially serious health risks, and their lifestyle can have a direct effect on health and health behaviors later in life. Concurrently, university students are digital natives having easy access to the internet and new technologies. Digital health interventions offer promising new opportunities for health promotion, disease prevention, and care in this specific population. The description of the current use of and opinions on digital health among university students can inform future digital health strategies and interventions within university settings. Objective The aim of this exploratory study was to report on university students’ use and opinions regarding information and communication technologies for health and well-being, taking into account sociodemographic and self-rated general and mental health correlates. Methods This field survey was conducted from March to April 2017. An informed consent form and a paper questionnaire were given to students aged 18 to 24 years in 4 university campuses in Bordeaux, France. The survey was formulated in 3 sections: (1) sociodemographic characteristics and self-rated general and mental health, (2) information about the use of digital health, and (3) opinions about digital health. Data were analyzed using descriptive statistics and tests of independence. Results A total of 59.8% (303/507 females) students completed the questionnaire. Concerning digital health use, 34.9% (174/498) had at least 1 health app mostly for physical activity (49.4%, 86/174) and general health monitoring (41.4%, 72/174,), but only 3.9% (20/507) of students had a wearable device. Almost all (94.8%, 450/476) had searched for Web-based health-related information at least once in the last 12 months. The most sought health-related topics were nutrition (68.1%, 324/476); pain and illnesses (64.5%, 307/476); and stress, anxiety, or depression (51.1%, 243/476). Although Wikipedia (79.7%, 357/448) and general health websites (349/448, 77.9%) were the most consulted sources, students considered institutional or official websites as the most credible sources (309/335, 92.2%). There were significant differences in digital health use by gender, field, and year of study. No statistically significant association was found between digital health use and self-rated general and mental health status. Concerning opinions on digital health, although 94.1% (475/505) of students estimated that today’s digital health cannot replace traditional health services and medical consultations, 44.6% (207/464) of students declared that this could be possible in the future, provided that digital health interventions are promoted by institutional or official entities. Conclusions University students are largely using the internet for health information seeking, but using less mobile health apps and very few wearable devices. Our data suggest that digital health has the potential for improving health and well-being at the university, especially if digital health interventions take into account students’ profiles, interests, and needs.
Collapse
Affiliation(s)
- Ilaria Montagni
- Team HEALTHY, Bordeaux Population Health Research Center (Unité Mixte de Recherche 1219), University of Bordeaux / Institut National de la Santé et de la Recherche Médicale, Bordeaux, France
| | - Tanguy Cariou
- Team HEALTHY, Bordeaux Population Health Research Center (Unité Mixte de Recherche 1219), University of Bordeaux / Institut National de la Santé et de la Recherche Médicale, Bordeaux, France
| | - Tiphaine Feuillet
- Team HEALTHY, Bordeaux Population Health Research Center (Unité Mixte de Recherche 1219), University of Bordeaux / Institut National de la Santé et de la Recherche Médicale, Bordeaux, France
| | - Emmanuel Langlois
- Science Politique et Sociologie Comparative, Centre Emile Durkheim (Unité Mixte de Recherche 5116), University of Bordeaux, Bordeaux, France
| | - Christophe Tzourio
- Team HEALTHY, Bordeaux Population Health Research Center (Unité Mixte de Recherche 1219), University of Bordeaux / Institut National de la Santé et de la Recherche Médicale, Bordeaux, France
| |
Collapse
|