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ObjectivesTo 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).DesignA single-site pilot study was settled for evaluating the feasibility of the intervention, both using qualitative and quantitative data (ie, workshop, surveys).SettingThe pilot has been implemented in a Tuscan specialised hospital (Italy).Participants162 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.InterventionThe 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 measuresEnrolment, 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.ResultsThe 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.ConclusionIt 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.
Francesca Pennucci; Sabina De Rosis; Claudio Passino. Piloting a web-based systematic collection and reporting of patient-reported outcome measures and patient-reported experience measures in chronic heart failure. BMJ Open 2020, 10, e037754 .
AMA StyleFrancesca Pennucci, Sabina De Rosis, Claudio Passino. Piloting a web-based systematic collection and reporting of patient-reported outcome measures and patient-reported experience measures in chronic heart failure. BMJ Open. 2020; 10 (10):e037754.
Chicago/Turabian StyleFrancesca Pennucci; Sabina De Rosis; Claudio Passino. 2020. "Piloting a web-based systematic collection and reporting of patient-reported outcome measures and patient-reported experience measures in chronic heart failure." BMJ Open 10, no. 10: e037754.
Physical activity improves peoples’ well-being and can help in preventing weight gain, obesity, and related non-communicable diseases. Promoting healthy behaviors in the daily travels and transport choices of adolescents is very important in early establishing healthy habits that imply routine physical activity. For designing and developing effective strategies, it is relevant to study adolescents’ preferences for physical activity and what factors in the social and environmental contexts affect their preferences. The paper investigates these aspects by means of a discrete choice experiment, using data from more than 4300 16–17 year-old adolescents in Italy. The results show that adolescents generally prefer walking for long time alone. However, females prefer cycling, while adolescents from lower educated families prefer motorized means of transport. Environmental factors affect the adolescents’ preferences: living nearby a green area is associated with more active and healthier choices in their short daily travels. Conversely, adolescents living closer to an industrial or high traffic area prefer to use motorized vehicles. Such findings have been discussed and policy implications presented, in order to support policymakers in designing cross-sectoral policies to promote healthy choices related to physical activity in adolescence.
Sabina De Rosis; Ilaria Corazza; Francesca Pennucci. Physical Activity in the Daily Life of Adolescents: Factors Affecting Healthy Choices from a Discrete Choice Experiment. International Journal of Environmental Research and Public Health 2020, 17, 6860 .
AMA StyleSabina De Rosis, Ilaria Corazza, Francesca Pennucci. Physical Activity in the Daily Life of Adolescents: Factors Affecting Healthy Choices from a Discrete Choice Experiment. International Journal of Environmental Research and Public Health. 2020; 17 (18):6860.
Chicago/Turabian StyleSabina De Rosis; Ilaria Corazza; Francesca Pennucci. 2020. "Physical Activity in the Daily Life of Adolescents: Factors Affecting Healthy Choices from a Discrete Choice Experiment." International Journal of Environmental Research and Public Health 17, no. 18: 6860.
Patient Reported Outcome and Experience Measures (PROMs and PREMs) play an increasingly important role in monitoring the quality of the oncological pathway. The aim of this study is to describe the case of five hospitals a year after the adoption of PROMs and PREMs for robotic oncological colorectal surgery in Tuscany and to investigate how the clinicians can impact the process of implementation and the efficacy of such measures. We used 14 months of data from the five robotic centers in Tuscany. Above all, the physician's personal motivation to improve the treatment of patients, the teamwork, and the possibility to use data for research purposes proved to be the essential factors for their engagement and the successful implementation of patient reported measures. Physicians play a key role in the adoption of systematic PROMs and PREMs. The higher their level of engagement, the higher the collection success, both in terms of number of patients enrolled and response rates. Moreover, the collection of patient reported measures may become part of physicians' daily practice and may lead to a change in their relationship and communication with patients, as clinicians accept to have their job reviewed and are not afraid to be evaluated by their patients.
Daniel Adrian Lungu; Francesca Pennucci; Sabina De Rosis; Gaetano Romano; Franca Melfi. Implementing successful systematic Patient Reported Outcome and Experience Measures (PROMs and PREMs) in robotic oncological surgery—The role of physicians. The International Journal of Health Planning and Management 2019, 35, 773 -787.
AMA StyleDaniel Adrian Lungu, Francesca Pennucci, Sabina De Rosis, Gaetano Romano, Franca Melfi. Implementing successful systematic Patient Reported Outcome and Experience Measures (PROMs and PREMs) in robotic oncological surgery—The role of physicians. The International Journal of Health Planning and Management. 2019; 35 (3):773-787.
Chicago/Turabian StyleDaniel Adrian Lungu; Francesca Pennucci; Sabina De Rosis; Gaetano Romano; Franca Melfi. 2019. "Implementing successful systematic Patient Reported Outcome and Experience Measures (PROMs and PREMs) in robotic oncological surgery—The role of physicians." The International Journal of Health Planning and Management 35, no. 3: 773-787.
Evidence 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.
Francesca Pennucci; Sabina De Rosis; Anna Maria Murante; Sabina Nuti. Behavioural and social sciences to enhance the efficacy of health promotion interventions: redesigning the role of professionals and people. Behavioural Public Policy 2019, 1 -21.
AMA StyleFrancesca Pennucci, Sabina De Rosis, Anna Maria Murante, Sabina Nuti. Behavioural and social sciences to enhance the efficacy of health promotion interventions: redesigning the role of professionals and people. Behavioural Public Policy. 2019; ():1-21.
Chicago/Turabian StyleFrancesca Pennucci; Sabina De Rosis; Anna Maria Murante; Sabina Nuti. 2019. "Behavioural and social sciences to enhance the efficacy of health promotion interventions: redesigning the role of professionals and people." Behavioural Public Policy , no. : 1-21.