Tilburg University
The online Personal Health Check
Van De Goor, L.A.M.; Kuunders, T.J.M.; Winters, C.; Raaijmakers, L.G.M.
Published in:
European Journal of Public Health
DOI:
10.1093/eurpub/ckx187.194
Publication date:
2017
Document Version
Publisher's PDF, also known as Version of record
Link to publication in Tilburg University Research Portal
Citation for published version (APA):
Van De Goor, L. A. M., Kuunders, T. J. M., Winters, C., & Raaijmakers, L. G. M. (2017). The online Personal
Health Check: How do Dutch citizens and professionals feel about it? European Journal of Public Health,
27(suppl.3). https://doi.org/10.1093/eurpub/ckx187.194
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Key messages:
mHealth interventions (e.g. MINISTOP) show promising results in aiding young children to change unhealthy behaviors. mHealth interventions have the potential to be implemented
into child healthcare at a low cost.
The online Personal Health Check – How do Dutch citizens and professionals feel about it?
Ien van de Goor
I van de Goor4, TJM Kuunders1, C Winters2, LGM Raaijmakers3 1GGD Hart voor Brabant/Tranzo-TiU, Den Bosch, Netherlands 2GGD Hart voor Brabant/Tranzo-TiU, Hoorn, Netherlands 3GGD West Brabant/Tranzo-TiU, Breda, Netherlands 4Tranzo, Tilburg University
Contact: L.vandegoor@uvt.nl
Background
Four Dutch cities implemented the Personal Health Check (PHC) among their citizens last year. The PHC includes an online questionnaire and diagnostic measures, generating a personal health profile with referral to a general practitioner (GP) if needed. The PHC aims at earlier identification of defined medical risk and at encouraging people to adopt healthier lifestyles. This study focused on acceptance of the PHC among citizens and professionals.
Methods
Questions on acceptance were based on the UTAUT model by Venkatesh et al (2012) and sent online to participants. Focus group, face to face and telephone interviews were held with participants, professionals and non-responders.
Results
Preliminary results showed response rates varying between 11 and 23%. Differences were related to the variation in manners of invitation. Invitation by the GP doubled the response rate. About 2,500 people filled in the online PHC. On average, 50% of the respondents had additional diagnostics measured. Overall, participants were positive about the PHC. It made them more conscious about their lifestyle. Some though found the PHC not easy in use. Professionals too were positive as to the awareness raised on healthy lifestyle. Contrary to their expectations, not too many ‘extra patient visits’ came up due to the PHC outcome. In addition, they wondered whether the PHC reached lower socioeconomic groups sufficiently. Main reasons for non-responding were privacy issues (directed towards municipalities mostly) and being already familiar with chronic diseases.
Conclusions
The online PHC seems promising in reaching large groups of people and raising awareness of health risks among them. Approach through primary care as compared to approach directly through municipalities increases acceptance and may solve privacy issues. Extra attention should be paid to simplifying PHC use and reaching lower socio economic groups at risk. Key messages:
An online tool such as the PHC can help raise the awareness on health lifestyles among large groups.
Collaborative action between local authorities and primary care is essential for the PHC to have an impact.
Digital health interventions to fight smoking habits in European countries: a systematic review
Francesco D’aloisio
F D’Aloisio1, D Pezzato1, G Gervasi2, A Ubiali3, NL Bragazzi4, V Chiesa5 1Department of Life, Health and Environmental Sciences, University of
L’Aquila, L’Aquila, Italy
2Hygiene and Public Health School, Dpt. Biomedicine and Public Health,
University of Tor Vergata, Rome, Italy
3Department of Biomedical and Neuromotor Sciences, University of
Bologna, Bologna, Italy
4School of Public Health, Department of Health Sciences (DISSAL),
University of Genoa, Genoa, Italy
5Department of Medicine and Surgery, Unit of Public Health, University of
Parma, Parma, Italy Contact: franz.dalo@yahoo.it
Background
Digital health is a growing phenomenon based on the use of information and communication technologies for health. In 2017, a systematic review (SR) has been developed by the working group ‘‘health promotion’’ of MDs belonging to Italian Medical resident Committee of the Italian Society of Hygiene, Preventive Medicine and Public Health in Public Health (SItI). The aim of our study was to systematically retrieve the available evidence on e-health interventions targeting smoking prevention, cessation and relapse.
Methods
We conducted a SR following the PRISMA guidelines. Studies were identified by searching Medline and consultation with experts in the field. We included studies focusing on e-Health interventions - i.e.: Internet and mobile application, sms reminders - targeting smoking prevention, cessation and relapse. Selected studies were published in English language, conducted in European countries with an observational or experimental study design between April 2012 and April 2017. Results
622 records were identified, 112 (18%) were selected at first screening and 41 papers met the inclusion criteria and were included the final analyses. Most of the studies were conducted in the UK and in Germany targeting adult smokers (n = 22), but also pregnant women (n = 7) and students (n = 5) have been considered. 92% of the studies were focused on smoking cessation (n = 38), 2 papers focused on relapse and only one was on smoke prevention. Text messaging has been used as the type of intervention in 44% (n = 19) of studies, proactive telephone counselling in 19% (n = 8), while mobile application and web-based interventions in 7 and 9 studies respectively.
Conclusions
As stressed by the WHO ‘‘eHealth is the cost-effective secure use of information communication technologies (ICT) in support of health and health-related fields’’. Public Health professionals should assess the advantages of spreading an ICT culture approach in individual’s behavior.
Key messages:
Available data suggest that e-Health interventions targeting smokers could be considered key strategies to fight smoking habits.
Considering that digital health could stimulate the empow-erment of people to self-manage their quality of life, it is desirable to develop further e-Health programmes to implement in other contexts.
Public Health from the very beginning: neonatal incubators safety in a clinical setting
Mattia Fattorini
M Fattorini1, S Burgassi1, MR Cardaci2, D Lenzi3, G Buonocore2,
K.P. Biermann4, G Cevenini5, G Messina2 1
Post Graduate School of Public Health, University of Siena, Siena, Italy
2Department of Molecular and Developmental Medicine, University of
Siena, Siena, Italy
3Medical Management, ‘‘Le Scotte’’ Teaching Hospital, Siena, Italy 4Clinical Trial Office, ‘‘Meyer’’ Teaching Hospital, Florence, Italy 5Department of Medical Biotechnologies, University of Siena, Siena, Italy
Contact: fattorini7@student.unisi.it
Background
Several studies demonstrated the role of environmental cleaning as an effective measure to contain the spread of Healthcare Associated Infections (HAIs). Neonatal incubators have been recognised as a source of microorganisms potentially implicated in the diffusion of HAIs. Moreover, due to their immature immune system, newborns are very susceptible for the acquisition of HAIs. Aim of the study was to assess the efficacy of a disinfection protocol for neonatal incubators.
10th European Public Health Conference: Parallel sessions 75
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