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Dr. Sabina De Rosis
Sant'Anna School of Advanced Studies

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Journal article
Published: 19 April 2021 in Social Science & Medicine
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In this paper,we present an original study on the use of social media data to analyze the structure of the global health networks (GHNs) relative to health organizations targeted to malaria, tuberculosis (TBC) and pneumonia as well as twitter popularity, evaluating the performance of their strategies in response to the arising health threats. We use a machine learning ensemble classifier and social network analysis to discover the Twitter users that represent organizations or groups active for each disease. We have found evidence that the GHN of TBC is the more mature, active and global. Meanwhile, the networks of malaria and pneumonia are found to be less connected and lacking global coverage. Our analysis validates the use of social media to analyze GHNs and to propose these networks as an important organizational tool in mobilizing the community versus global sustainable development goals.

ACS Style

Milena Lopreite; Michelangelo Puliga; Massimo Riccaboni; Sabina De Rosis. A social network analysis of the organizations focusing on tuberculosis, malaria and pneumonia. Social Science & Medicine 2021, 278, 113940 .

AMA Style

Milena Lopreite, Michelangelo Puliga, Massimo Riccaboni, Sabina De Rosis. A social network analysis of the organizations focusing on tuberculosis, malaria and pneumonia. Social Science & Medicine. 2021; 278 ():113940.

Chicago/Turabian Style

Milena Lopreite; Michelangelo Puliga; Massimo Riccaboni; Sabina De Rosis. 2021. "A social network analysis of the organizations focusing on tuberculosis, malaria and pneumonia." Social Science & Medicine 278, no. : 113940.

Journal article
Published: 08 April 2021 in Health Policy
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The incidence of overweight among youth in Western Countries requires the implementation of initiatives to promote healthy lifestyles. Although under particular conditions obesity is not preventable, drawing attention on factors affecting teenagers’ preferences can ameliorate the efficacy of public interventions designed for health promotion. This study aims at eliciting teenagers’ food preferences through a discrete choice experiment, conducted in Tuscany using a webAPP survey, with the participation of more than 4,700 teenagers. Respondents expressed their preferences for breakfast food based on three attributes: food quality, packaging and claim. The survey also collected information on respondents’ socio-demographic characteristics, social influence and media use for food information. Teenagers’ preferences for healthy foods seem positively related with their own level of food literacy. The tendency of respondents to read labels and nutritional facts is positively associated with preferences for healthier foods. Peers’ influence is not significant, while family influence has a positive impact on teenagers’ healthy choices. Internet usage is associated with unhealthy choices with a healthy aspect. The results can be useful in defining effective actions for the promotion of healthy behaviors among teenagers, either in communication and awareness campaigns or in education and activation initiatives, with respect to the reading and interpretation of nutritional facts and labels, the role of family and friends, and the use of media.

ACS Style

Ilaria Corazza; Francesca Pennucci; Sabina De Rosis. Promoting healthy eating habits among youth according to their preferences: Indications from a discrete choice experiment in Tuscany. Health Policy 2021, 125, 947 -955.

AMA Style

Ilaria Corazza, Francesca Pennucci, Sabina De Rosis. Promoting healthy eating habits among youth according to their preferences: Indications from a discrete choice experiment in Tuscany. Health Policy. 2021; 125 (7):947-955.

Chicago/Turabian Style

Ilaria Corazza; Francesca Pennucci; Sabina De Rosis. 2021. "Promoting healthy eating habits among youth according to their preferences: Indications from a discrete choice experiment in Tuscany." Health Policy 125, no. 7: 947-955.

Journal article
Published: 19 January 2021 in JMIR Research Protocols
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Background Mobile health (mHealth) has great potential to both improve the quality and efficiency of care and increase health literacy and empowerment of patient users. There are several studies related to the introduction of mHealth tools for supporting pregnancy and the postnatal period, with promising but not yet rigorously evaluated impacts. This article presents the protocol for evaluating an mHealth intervention (hAPPyMamma) applied in the maternal and child care pathway of a high-income country (in a pilot area of Tuscany Region, Italy). Objective The protocol describes hAPPyMamma and the methods for evaluating its impact, including the points of view of women and practitioners. The research hypothesis is that the use of hAPPyMamma will facilitate a more appropriate use of available services, a better care experience for women, and an improvement in the maternal competencies of the women using the app compared to the control group. The protocol also includes analysis of the organizational impact of the introduction of hAPPyMamma in the maternal pathway. Methods A pre-post quasiexperimental design with a control group is used to undertake difference-in-differences analysis for assessing the impact of the mHealth intervention from the mothers’ points of view. The outcome measures are improvement of maternal health literacy and empowerment as well as experience in the maternal care pathway of the control and intervention groups of sampled mothers. The organizational impact is evaluated through a quantitative and qualitative survey addressing professionals and managers of the maternal care pathway involved in the intervention. Results Following study recruitment, 177 women were enrolled in the control group and 150 in the intervention group, with a participation rate of 97%-98%. The response rate was higher in the control group than in the intervention group (96% vs 67%), though the intervention group had less respondent loss at the postintervention survey (10% compared to 33% of the control group). Data collection from the women was completed in April 2018, while that from professionals and managers is underway. Conclusions The study helps consolidate evidence of the utility of mHealth interventions for maternal and child care in developed countries. This paper presents a protocol for analyzing the potential role of hAPPyMamma as an effective mHealth tool for improving the maternal care pathway at individual and organizational levels and consequently helps to understand whether and how to scale up this intervention, with local, national, and international scopes of application. International Registered Report Identifier (IRRID) DERR1-10.2196/19073

ACS Style

Manila Bonciani; Sabina De Rosis; Milena Vainieri. Mobile Health Intervention in the Maternal Care Pathway: Protocol for the Impact Evaluation of hAPPyMamma. JMIR Research Protocols 2021, 10, e19073 .

AMA Style

Manila Bonciani, Sabina De Rosis, Milena Vainieri. Mobile Health Intervention in the Maternal Care Pathway: Protocol for the Impact Evaluation of hAPPyMamma. JMIR Research Protocols. 2021; 10 (1):e19073.

Chicago/Turabian Style

Manila Bonciani; Sabina De Rosis; Milena Vainieri. 2021. "Mobile Health Intervention in the Maternal Care Pathway: Protocol for the Impact Evaluation of hAPPyMamma." JMIR Research Protocols 10, no. 1: e19073.

Oncology
Published: 11 January 2021 in BMJ Open
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IntroductionMonitoring how patients feel and what they experience during the care process gives health professionals data to improve the quality of care, and gives health systems information to better design and implement care pathways. To gain new insights about specific gaps and/or strengths in breast cancer care, we measure patient-reported outcomes (PROs) and patient-reported experiences (PREs) for women receiving immediate breast reconstruction (iBR).Methods and analysisProspective, multicentre, cohort study with continuous and systematic web-based data collection from women diagnosed with breast cancer, who have an indication for iBR after mastectomy treated at any Breast Unit (BU) in Tuscany Region (Italy). Patients are classified into one of two groups under conditions of routine clinical practice, based on the type of iBR planned (implant and autologous reconstruction). Patient-reported information are obtained prior to and after surgery (at 3-month and 12-month follow-up). We estimate that there are around 700 annual eligible patients.Descriptive analyses are used to assess trends in PROs over time and differences between types of iBR in PROs and PREs. Additionally, econometric models are used to analyse patient and BU characteristics associated with outcomes and experiences. PREs are evaluated to assess aspects of integrated care along the care pathway.Ethics and disseminationThe study has been reviewed and obtained a nihil obstat from the Tuscan Ethics Committees of the three Area Vasta in 2017. Dissemination of results will be via periodic report, journal articles and conference presentations.

ACS Style

Francesca Ferrè; Sabina De Rosis; Anna Maria Murante; Kendall Jamieson Gilmore; Matteo Ghilli; Donatella Mariniello; Sabina Nuti; Manuela Roncella. Systematic and continuous collection of patient-reported outcomes and experience in women with cancer undergoing mastectomy and immediate breast reconstruction: a study protocol for the Tuscany Region (Italy). BMJ Open 2021, 11, e042235 .

AMA Style

Francesca Ferrè, Sabina De Rosis, Anna Maria Murante, Kendall Jamieson Gilmore, Matteo Ghilli, Donatella Mariniello, Sabina Nuti, Manuela Roncella. Systematic and continuous collection of patient-reported outcomes and experience in women with cancer undergoing mastectomy and immediate breast reconstruction: a study protocol for the Tuscany Region (Italy). BMJ Open. 2021; 11 (1):e042235.

Chicago/Turabian Style

Francesca Ferrè; Sabina De Rosis; Anna Maria Murante; Kendall Jamieson Gilmore; Matteo Ghilli; Donatella Mariniello; Sabina Nuti; Manuela Roncella. 2021. "Systematic and continuous collection of patient-reported outcomes and experience in women with cancer undergoing mastectomy and immediate breast reconstruction: a study protocol for the Tuscany Region (Italy)." BMJ Open 11, no. 1: e042235.

Health services research
Published: 03 December 2020 in BMJ Open
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IntroductionThe real-time continuous monitoring of vital parameters in patients affected by multiple chronic conditions and/or COVID-19 can lead to several benefits to the Italian National Healthcare System (IT-NHS). The UBiquitous Integrated CARE (UBICARE) technology is a novel health digital platform at the validation stage in hospital setting. UBICARE might support the urgent need for digitalisation and early intervention, as well as minimise the face-to-face delivery of care in both hospital and community-based care settings. This research protocol aims to design an early-stage assessment of the multidimensional impact induced by UBICARE within the IT-NHS alongside technology validation in a hospital ward.Methods and analysisThe targeted patients will be medium/high-risk hypertensive individuals as an illustrative first example of how UBICARE might bring benefits to susceptible patients. A mixed-method study will be applied to incorporate to the validation study a multistakeholder perspective, including perceived patient experiences and preferences, and facilitate technology adoption. First, semistructured interviews will be undertaken with a variety of stakeholders including clinicians, health managers and policy-makers to capture views on the likely technology utility, economic sustainability, impact of adoption in hospital practice and alternative adoption scenarios. Second, a monocentric, non-randomised and non-comparative clinical study, supplemented by the administration of standardised usability questionnaires to patients and health professionals, will validate the use of UBICARE in hospital practice. Finally, the results of the previous stages will be discussed in a multidisciplinary-facilitated workshop with IT-NHS relevant stakeholders to reconcile stakeholders’ perspectives. Limitations include a non-random recruitment strategy in the clinical study, small sample size of the key stakeholders and potential stakeholder recruitment bias introduced by the research technique.Ethics and disseminationThe Ethics Committee for Clinical Experimentation of Tuscany Region approved the protocol. Participation in this study is voluntary. Study results will be disseminated through peer-reviewed publications and academic conferences.

ACS Style

Stefania Manetti; Milena Vainieri; Elisa Guidotti; Sara Zuccarino; Francesca Ferré; Maria Sole Morelli; Michele Emdin. Research protocol for the validation of a new portable technology for real-time continuous monitoring of Early Warning Score (EWS) in hospital practice and for an early-stage multistakeholder assessment. BMJ Open 2020, 10, e040738 .

AMA Style

Stefania Manetti, Milena Vainieri, Elisa Guidotti, Sara Zuccarino, Francesca Ferré, Maria Sole Morelli, Michele Emdin. Research protocol for the validation of a new portable technology for real-time continuous monitoring of Early Warning Score (EWS) in hospital practice and for an early-stage multistakeholder assessment. BMJ Open. 2020; 10 (12):e040738.

Chicago/Turabian Style

Stefania Manetti; Milena Vainieri; Elisa Guidotti; Sara Zuccarino; Francesca Ferré; Maria Sole Morelli; Michele Emdin. 2020. "Research protocol for the validation of a new portable technology for real-time continuous monitoring of Early Warning Score (EWS) in hospital practice and for an early-stage multistakeholder assessment." BMJ Open 10, no. 12: e040738.

Journal article
Published: 30 October 2020 in International Journal of Environmental Research and Public Health
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Co-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’ role.

ACS Style

Sabina De Rosis; Francesca Pennucci; Guido Noto; Sabina Nuti. Healthy Living and Co-Production: Evaluation of Processes and Outcomes of a Health Promotion Initiative Co-Produced with Adolescents. International Journal of Environmental Research and Public Health 2020, 17, 8007 .

AMA Style

Sabina De Rosis, Francesca Pennucci, Guido Noto, Sabina Nuti. Healthy Living and Co-Production: Evaluation of Processes and Outcomes of a Health Promotion Initiative Co-Produced with Adolescents. International Journal of Environmental Research and Public Health. 2020; 17 (21):8007.

Chicago/Turabian Style

Sabina De Rosis; Francesca Pennucci; Guido Noto; Sabina Nuti. 2020. "Healthy Living and Co-Production: Evaluation of Processes and Outcomes of a Health Promotion Initiative Co-Produced with Adolescents." International Journal of Environmental Research and Public Health 17, no. 21: 8007.

Health services research
Published: 05 October 2020 in BMJ Open
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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.

ACS Style

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 Style

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 (10):e037754.

Chicago/Turabian Style

Francesca 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.

Journal article
Published: 19 September 2020 in International Journal of Environmental Research and Public Health
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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.

ACS Style

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 Style

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 (18):6860.

Chicago/Turabian Style

Sabina 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.

Preprint content
Published: 02 April 2020
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BACKGROUND Mobile health (mHealth) has great potential to both improve the quality and efficiency of care and increase health literacy and empowerment of patient users. There are several studies related to the introduction of mHealth tools for supporting pregnancy and the postnatal period, with promising but not yet rigorously evaluated impacts. This article presents the protocol for evaluating an mHealth intervention (hAPPyMamma) applied in the maternal and child care pathway of a high-income country (in a pilot area of Tuscany Region, Italy). OBJECTIVE The protocol describes hAPPyMamma and the methods for evaluating its impact, including the points of view of women and practitioners. The research hypothesis is that the use of hAPPyMamma will facilitate a more appropriate use of available services, a better care experience for women, and an improvement in the maternal competencies of the women using the app compared to the control group. The protocol also includes analysis of the organizational impact of the introduction of hAPPyMamma in the maternal pathway. METHODS A pre-post quasiexperimental design with a control group is used to undertake difference-in-differences analysis for assessing the impact of the mHealth intervention from the mothers’ points of view. The outcome measures are improvement of maternal health literacy and empowerment as well as experience in the maternal care pathway of the control and intervention groups of sampled mothers. The organizational impact is evaluated through a quantitative and qualitative survey addressing professionals and managers of the maternal care pathway involved in the intervention. RESULTS Following study recruitment, 177 women were enrolled in the control group and 150 in the intervention group, with a participation rate of 97%-98%. The response rate was higher in the control group than in the intervention group (96% vs 67%), though the intervention group had less respondent loss at the postintervention survey (10% compared to 33% of the control group). Data collection from the women was completed in April 2018, while that from professionals and managers is underway. CONCLUSIONS The study helps consolidate evidence of the utility of mHealth interventions for maternal and child care in developed countries. This paper presents a protocol for analyzing the potential role of hAPPyMamma as an effective mHealth tool for improving the maternal care pathway at individual and organizational levels and consequently helps to understand whether and how to scale up this intervention, with local, national, and international scopes of application. INTERNATIONAL REGISTERED REPORT DERR1-10.2196/19073

ACS Style

Manila Bonciani; Sabina De Rosis; Milena Vainieri. Mobile Health Intervention in the Maternal Care Pathway: Protocol for the Impact Evaluation of hAPPyMamma (Preprint). 2020, 1 .

AMA Style

Manila Bonciani, Sabina De Rosis, Milena Vainieri. Mobile Health Intervention in the Maternal Care Pathway: Protocol for the Impact Evaluation of hAPPyMamma (Preprint). . 2020; ():1.

Chicago/Turabian Style

Manila Bonciani; Sabina De Rosis; Milena Vainieri. 2020. "Mobile Health Intervention in the Maternal Care Pathway: Protocol for the Impact Evaluation of hAPPyMamma (Preprint)." , no. : 1.

Research article
Published: 03 December 2019 in The International Journal of Health Planning and Management
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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.

ACS Style

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 Style

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 (3):773-787.

Chicago/Turabian Style

Daniel 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.

Research article
Published: 20 October 2019 in Social Marketing Quarterly
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Adolescence 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 well-being 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.

ACS Style

Sabina De Rosis; Francesca Pennucci; Chiara Seghieri. Segmenting Adolescents Around Social Influences on Their Eating Behavior: Findings From Italy. Social Marketing Quarterly 2019, 25, 256 -274.

AMA Style

Sabina De Rosis, Francesca Pennucci, Chiara Seghieri. Segmenting Adolescents Around Social Influences on Their Eating Behavior: Findings From Italy. Social Marketing Quarterly. 2019; 25 (4):256-274.

Chicago/Turabian Style

Sabina De Rosis; Francesca Pennucci; Chiara Seghieri. 2019. "Segmenting Adolescents Around Social Influences on Their Eating Behavior: Findings From Italy." Social Marketing Quarterly 25, no. 4: 256-274.

Journal article
Published: 22 October 2018 in International Journal of Integrated Care
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ACS Style

Sabina De Rosis. The online communication of healthcare organisations in the 'post-truth' era: An analysis of 167 websites in Italy. International Journal of Integrated Care 2018, 18, 1 .

AMA Style

Sabina De Rosis. The online communication of healthcare organisations in the 'post-truth' era: An analysis of 167 websites in Italy. International Journal of Integrated Care. 2018; 18 (s2):1.

Chicago/Turabian Style

Sabina De Rosis. 2018. "The online communication of healthcare organisations in the 'post-truth' era: An analysis of 167 websites in Italy." International Journal of Integrated Care 18, no. s2: 1.

Journal article
Published: 22 October 2018 in International Journal of Integrated Care
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ACS Style

Manila Bonciani; Sabina De Rosis; Milena Vainieri. Promoting the women’s health literacy and their access to maternal-care-pathway in Italy through an integrated mHealth intervention. International Journal of Integrated Care 2018, 18, 1 .

AMA Style

Manila Bonciani, Sabina De Rosis, Milena Vainieri. Promoting the women’s health literacy and their access to maternal-care-pathway in Italy through an integrated mHealth intervention. International Journal of Integrated Care. 2018; 18 (s2):1.

Chicago/Turabian Style

Manila Bonciani; Sabina De Rosis; Milena Vainieri. 2018. "Promoting the women’s health literacy and their access to maternal-care-pathway in Italy through an integrated mHealth intervention." International Journal of Integrated Care 18, no. s2: 1.

Journal article
Published: 22 October 2018 in International Journal of Integrated Care
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Introduction: According to a recent definition of integrated health service that collocates people into a continuum of services throughout their entire life-course (1),the prevention of chronic diseases is especially important at an early life-stage. However, the prevalence of obesity among adolescents reveals that often, by appointing adults as advice delivers, public campaigns stumble in promoting health among young people. In contrast, the identification of populations’ and individuals’ needs and the work in partnership with them are crucial (2, 3). In this paper, we present the results of assigning a group of students, involved in a large-scale participatory survey(‘beFood’), with the responsibility of informing their peers about healthy lifestyles.Methods: A peer educational model, teenagers-driven, was used. Fifty 16/17-year-old Tuscan students were involved in this two-phases project. In the initial phase, during the mandatory training course, students were: informed about healthy lifestyle with a collaborative approach; trained about possible ways to communicate healthy conducts; and directly involved in research co-production, which included the validation of a questionnaire thought to investigate youth lifestyles, and in the development of a webAPP by means of which they personally conducted the survey. In the second phase, they had the responsibility of informing their peers on healthy behaviours, delivering the questionnaire.Results: The initiative proved to be fruitful in two respects: a large number of responses (n=5029) was gathered in a peer-to-peer approach and, more importantly, the process of education, activation and engagement of the adolescents produced fertile terrain for their empowerment and evolution into trained 'testimonials and instructors'. The students improved their behaviours (54% eating; 48% physical activity). In playing the role of ‘influencers’ (40% high or very high influence), a large part of them took the initiative to advice people about healthier lifestyles (26% about nutrition; 22% about physical activity).Conclusions: The fifty students acted as powerful testimonials and ‘change agents’. This experience demonstrated that, if adequately supported and engaged, message recipients can modify their lifestyle-related behaviours and become effective producers and providers of health-related information to their peers.Lessons learned: An effective strategy of health promotion and prevention should be based on a direct involvement, activation and empowerment of individuals, as active partners in the design, planning and delivery of health-related initiatives. Healthcare professionals and providers should support (younger) people in actively undertaking learning processes that may lead to the responsibility for their health, to the adoption of healthy behaviours and to the sponsorship of these latter. The delivery of health promotion services should be integrated and centred on people, by introducing inter-sectoral actions and partnerships with individuals.References:1- WHO. Framework on integrated, people-centred health services. Geneva: World Health Organization; 2016. No: A69/392- WHO. Strengthening people-centred health systems in the WHO European Region: framework for action on integrated health services delivery. Copenhagen: World Health Organization, Regional Committee for Europe 66th session; 2016.3- Berwick DM. What 'patient-centered' should mean: confessions of an extremist. Health Aff (Millwood). 2009;28(4):w555-65.

ACS Style

Sabina De Rosis; Ilaria Corazza; Francesca Pennucci; Sabina Nuti. Healthy Living: when engaging people makes a difference. Evidences from an experiment with teenagers in Tuscany. International Journal of Integrated Care 2018, 18, 1 .

AMA Style

Sabina De Rosis, Ilaria Corazza, Francesca Pennucci, Sabina Nuti. Healthy Living: when engaging people makes a difference. Evidences from an experiment with teenagers in Tuscany. International Journal of Integrated Care. 2018; 18 (s2):1.

Chicago/Turabian Style

Sabina De Rosis; Ilaria Corazza; Francesca Pennucci; Sabina Nuti. 2018. "Healthy Living: when engaging people makes a difference. Evidences from an experiment with teenagers in Tuscany." International Journal of Integrated Care 18, no. s2: 1.

Journal article
Published: 30 October 2017 in HealthcarePapers
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The experience of the Tuscany regional healthcare performance measurement system, implemented more than 10 years ago, is an example of how to measure the quality of the whole care pathway including patient experience. The approach is based on a systematic, systemic and standardized collection of patient-reported experience measures in several healthcare pathways and evaluating them using a coherent graphical representation.

ACS Style

Sabina Nuti; Sabina De Rosis; Manila Bonciani; Manila Bonciani And Anna Maria Murante. Rethinking Healthcare Performance Evaluation Systems towards the People-Centredness Approach: Their Pathways, their Experience, their Evaluation. HealthcarePapers 2017, 17, 56 -64.

AMA Style

Sabina Nuti, Sabina De Rosis, Manila Bonciani, Manila Bonciani And Anna Maria Murante. Rethinking Healthcare Performance Evaluation Systems towards the People-Centredness Approach: Their Pathways, their Experience, their Evaluation. HealthcarePapers. 2017; 17 (2):56-64.

Chicago/Turabian Style

Sabina Nuti; Sabina De Rosis; Manila Bonciani; Manila Bonciani And Anna Maria Murante. 2017. "Rethinking Healthcare Performance Evaluation Systems towards the People-Centredness Approach: Their Pathways, their Experience, their Evaluation." HealthcarePapers 17, no. 2: 56-64.

Article
Published: 08 August 2017 in The International Journal of Health Planning and Management
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EHealth is expected to contribute in tackling challenges for health care systems. However, it also imposes challenges. Financing strategies adopted at national as well regional levels widely affect eHealth long-term sustainability. In a public health care system, the public actor is among the main “buyers” eHealth. However, public interventions have been increasingly focused on cost containment. How to match these 2 aspects? This article explores some central issues, mainly related to financial aspects, in the development of effective and valuable eHealth strategies in a public health care system: How can the public health care system (as a “buyer”) improve long-term success and sustainability of eHealth solutions? What levers are available to match in the long period different interests of different stakeholders in the eHealth field? A case study was performed in the Region of Tuscany, Italy. According to our results, win-win strategies should be followed. Investments should take into account the need to long-term finance solutions, for sustaining changes in health care organizations for obtaining benefits. To solve the interoperability issues, the concept of the “platform approach” emerged, based on collaboration within and between organizations. Private sector as well as beneficiaries and final users of the eHealth solutions should participate in their design, provision, and monitoring. For creating value for all, the evidence gap and the financial needs could be addressed with a pull mechanism of funding, aimed at paying according to the outcomes produced by the eHealth solution, on the base of an ongoing monitoring, measurement, and evaluation of the outcomes.

ACS Style

Sabina De Rosis; Sabina Nuti. Public strategies for improving eHealth integration and long-term sustainability in public health care systems: Findings from an Italian case study. The International Journal of Health Planning and Management 2017, 33, e131 -e152.

AMA Style

Sabina De Rosis, Sabina Nuti. Public strategies for improving eHealth integration and long-term sustainability in public health care systems: Findings from an Italian case study. The International Journal of Health Planning and Management. 2017; 33 (1):e131-e152.

Chicago/Turabian Style

Sabina De Rosis; Sabina Nuti. 2017. "Public strategies for improving eHealth integration and long-term sustainability in public health care systems: Findings from an Italian case study." The International Journal of Health Planning and Management 33, no. 1: e131-e152.

Journal article
Published: 01 January 2017 in International Journal of Healthcare Technology and Management
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ACS Style

Sara Barsanti; Sabina De Rosis. Multi-level determinants of tele-healthcare innovations: an Italian case study. International Journal of Healthcare Technology and Management 2017, 1, 1 .

AMA Style

Sara Barsanti, Sabina De Rosis. Multi-level determinants of tele-healthcare innovations: an Italian case study. International Journal of Healthcare Technology and Management. 2017; 1 (1):1.

Chicago/Turabian Style

Sara Barsanti; Sabina De Rosis. 2017. "Multi-level determinants of tele-healthcare innovations: an Italian case study." International Journal of Healthcare Technology and Management 1, no. 1: 1.

Journal article
Published: 01 January 2017 in International Journal of Healthcare Technology and Management
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The routine deployment of tele-healthcare solutions in healthcare systems and at the system-level is challenging and often problematic. This article reports the results of a case study in Tuscany (Italy), aimed at investigating the factors that may affect these processes. A multi-level and multi-stakeholder sample of 32 informants were interviewed in-depth about topics based on a previous literature analysis. Crucial determinant factors in the management of tele-healthcare services were identified in relation to technological, individual, organisational and contextual aspects. A reorganisation of healthcare in line with more participatory dynamics of teamwork, and more collaborative relationships within and among healthcare organisations, as well as with other stakeholders could contribute to integrate tele-healthcare into practice. Leadership and a strategic vision could also strongly influence the implementation and deployment of tele-healthcare.

ACS Style

Sabina De Rosis; Sara Barsanti. Multi-level determinants of tele-healthcare: a case study in Italy. International Journal of Healthcare Technology and Management 2017, 16, 227 .

AMA Style

Sabina De Rosis, Sara Barsanti. Multi-level determinants of tele-healthcare: a case study in Italy. International Journal of Healthcare Technology and Management. 2017; 16 (3/4):227.

Chicago/Turabian Style

Sabina De Rosis; Sara Barsanti. 2017. "Multi-level determinants of tele-healthcare: a case study in Italy." International Journal of Healthcare Technology and Management 16, no. 3/4: 227.

Journal article
Published: 01 November 2016 in Health Policy
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Whether patients choice to share information found online with the doctor depends on the ability of the doctor to engage patients in decision-making, e-health can produce a 'double-empowerment' process: experienced by the patient on the Internet, and legitimated by the doctor during encounters.

ACS Style

Sabina De Rosis; Sara Barsanti. Patient satisfaction, e-health and the evolution of the patient–general practitioner relationship: Evidence from an Italian survey. Health Policy 2016, 120, 1279 -1292.

AMA Style

Sabina De Rosis, Sara Barsanti. Patient satisfaction, e-health and the evolution of the patient–general practitioner relationship: Evidence from an Italian survey. Health Policy. 2016; 120 (11):1279-1292.

Chicago/Turabian Style

Sabina De Rosis; Sara Barsanti. 2016. "Patient satisfaction, e-health and the evolution of the patient–general practitioner relationship: Evidence from an Italian survey." Health Policy 120, no. 11: 1279-1292.

Journal article
Published: 19 September 2016 in International Journal of Healthcare Management
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Background: The use of Information and\ud Communication Technologies (ICTs) in healthcare\ud has been presented as a potential solution to the\ud current challenges that healthcare systems have to\ud face. The introduction of ICTs may need initial investments\ud and, moreover, may produce changes in the\ud routine practice of the healthcare system. Financial\ud incentives are expected to be an effective managerial\ud tool to communicate a strategic vision and a\ud mandate, to improve the adherence to the strategy\ud and to promote a consistent individual behaviour.\ud In this perspective, financial incentives are assumed\ud to accelerate the ICTs adoption and use in healthcare.\ud The aim of this study was to investigate whether and\ud how Italian Regional healthcare systems use the Chief\ud Executive Officers’ (CEOs) reward scheme to stimuli\ud the implementation of ICT in healthcare.\ud Materials and methods: A content analysis was\ud conducted on the Italian Regional acts on healthcare\ud CEOs incentive schemes, that were approved\ud in the period 2010–2012 and with a legal validity\ud that ranged from 1 to 4 years (until 2014). The\ud acts cover around 60% of the Italian Regions. ICT\ud goals were identified, categorized, and compared\ud using descriptive statistics.\ud Results: This study identified two areas on which\ud financial incentives related to ICTs were mainly\ud focused: (i) ICT infrastructure and architecture; (ii)\ud flows and processing of economic and financial\ud data. The use of technology to better store and\ud process medical data (i.e. EHR-like systems) were\ud only marginally present. Use of e-Health and mHealth\ud solutions for providing healthcare services,\ud valorization of ‘health big data’ in a community\ud care perspective, more advanced applications of\ud technology for monitoring or preventing diseases\ud were not incentivized for CEOs in Italy.\ud Conclusion: The use of ICTs in healthcare appears\ud to be of general interest in Italy: a great number of\ud Italian Regions introduced specific goals into CEOs\ud financial schemes. Efforts in this field seem to be\ud not linked to the objectives of better care at sustainable\ud cost, while it appears important to ensure a\ud better and wider presence of enabling environments\ud and to implement ICT-based control systems.\ud Keywords: ICT, Financial incentives, Incentive\ud scheme, Healthcare CEO, Italy, Region

ACS Style

Sabina De Rosis; Milena Vainieri. Incentivizing ICT in healthcare: A comparative analysis of incentive schemes in Italian Regions. International Journal of Healthcare Management 2016, 10, 1 -12.

AMA Style

Sabina De Rosis, Milena Vainieri. Incentivizing ICT in healthcare: A comparative analysis of incentive schemes in Italian Regions. International Journal of Healthcare Management. 2016; 10 (1):1-12.

Chicago/Turabian Style

Sabina De Rosis; Milena Vainieri. 2016. "Incentivizing ICT in healthcare: A comparative analysis of incentive schemes in Italian Regions." International Journal of Healthcare Management 10, no. 1: 1-12.