This page has only limited features, please log in for full access.

Dr. Serena Barello
Dipartimento di Psicologia, Università Cattolica del Sacro Cuore di Milano, Largo Agostino Gemelli, 1, 20123 Milano MI, Italia

Basic Info


Research Keywords & Expertise

0 Behavioral Health
0 Medical Education
0 Participatory Research
0 Shared Decision Making
0 behavioral change

Fingerprints

Medical Education
Participatory Research
Patient and consumer engagement in healthcare

Honors and Awards

The user has no records in this section


Career Timeline

The user has no records in this section.


Short Biography

The user biography is not available.
Following
Followers
Co Authors
The list of users this user is following is empty.
Following: 0 users

Feed

Correspondence
Published: 16 July 2021 in Patient Education and Counseling
Reads 0
Downloads 0
ACS Style

Jaime O. Herrera-Caceres; Rand Ajaj; Ricardo Leão; Serena Barello; Francisco Rodriguez-Covarrubias; Stenio C. Zequi; Deborah Maskens; Rachel H. Giles; Luke T. Lavallée; Michael A.S. Jewett. Joint cancer patient/clinician meetings shift views, inform health care providers and support collaboration to improve patient-centred care. Patient Education and Counseling 2021, 1 .

AMA Style

Jaime O. Herrera-Caceres, Rand Ajaj, Ricardo Leão, Serena Barello, Francisco Rodriguez-Covarrubias, Stenio C. Zequi, Deborah Maskens, Rachel H. Giles, Luke T. Lavallée, Michael A.S. Jewett. Joint cancer patient/clinician meetings shift views, inform health care providers and support collaboration to improve patient-centred care. Patient Education and Counseling. 2021; ():1.

Chicago/Turabian Style

Jaime O. Herrera-Caceres; Rand Ajaj; Ricardo Leão; Serena Barello; Francisco Rodriguez-Covarrubias; Stenio C. Zequi; Deborah Maskens; Rachel H. Giles; Luke T. Lavallée; Michael A.S. Jewett. 2021. "Joint cancer patient/clinician meetings shift views, inform health care providers and support collaboration to improve patient-centred care." Patient Education and Counseling , no. : 1.

Journal article
Published: 16 July 2021 in Journal of Personalized Medicine
Reads 0
Downloads 0

Ensuring multiple sclerosis (MS) patients’ adherence to therapy is often challenging, but it is crucial to their survival and health-related quality of life (HRQoL). The aim of the present study was to outline connections between adherence, physical and mental HRQoL, levels of psychological readiness to engage in a treatment, levels of social support, anthropometric, socio-demographic and clinical factors in patients suffering from MS. This cross-sectional study involved a sample of 237 Italian MS patients. A survey was conducted with a structured self-administered online questionnaire using validated measures of quality of life, adherence to therapy and anthropometric, socio-demographic, psychological and clinical variables. A path analysis was used to test the overall structure of the associations between the variables. The pathway indicates a positive association between mental health index and a stronger degree of engagement and being or having been in a long-term relationship. Physical health index was positively associated with age, having an occupation, and having a specific form of MS. Having had relapses in the previous year raised the odds of better adherence to therapy, while an increase in Body Mass Index (BMI) reduced them. Our findings could help in the management of MS patients, promoting behavioral interventions that take the psychological and socio-demographic peculiarities of each patient into account with a view to improving their adherence to therapy.

ACS Style

Alessandra Buja; Guendalina Graffigna; Simona Mafrici; Tatjana Baldovin; Carlo Pinato; Umberto Bolzonella; Serena Barello; Alessia Tognetto; Gianfranco Damiani. Adherence to Therapy, Physical and Mental Quality of Life in Patients with Multiple Sclerosis. Journal of Personalized Medicine 2021, 11, 672 .

AMA Style

Alessandra Buja, Guendalina Graffigna, Simona Mafrici, Tatjana Baldovin, Carlo Pinato, Umberto Bolzonella, Serena Barello, Alessia Tognetto, Gianfranco Damiani. Adherence to Therapy, Physical and Mental Quality of Life in Patients with Multiple Sclerosis. Journal of Personalized Medicine. 2021; 11 (7):672.

Chicago/Turabian Style

Alessandra Buja; Guendalina Graffigna; Simona Mafrici; Tatjana Baldovin; Carlo Pinato; Umberto Bolzonella; Serena Barello; Alessia Tognetto; Gianfranco Damiani. 2021. "Adherence to Therapy, Physical and Mental Quality of Life in Patients with Multiple Sclerosis." Journal of Personalized Medicine 11, no. 7: 672.

Journal article
Published: 21 June 2021 in BMC Health Services Research
Reads 0
Downloads 0

Background Family caregivers are key actors in the ageing society. They are mediators between practitioners and patients and usually provide also essential daily services for the elders. However, till now, few services have been deployed to help caregivers in their care tasks as in improving their mental health which can experience sever burden due to caregiving duties. The purpose of the study is to implement a community-based participatory research project to co-design an innovative organizational model of social services for family caregivers of elderly health consumers living in remote rural areas in Italy. Methods This is a community-based participatory research project in the remote area of Vallecamonica involving four main phases. These included a quantitative analysis of caregiver needs, a scoping review on existing services for caregivers, co-design workshops with local stakeholders and caregivers to create a novel service the piloting and a first implementation of the service and the assessment of project transferability to other contexts. Results As the hours dedicated to elder care increases, both objective and developmental caregiver’s burden significantly increases. Conversely, higher levels of engagement were associated with lower physical and emotional burden, and caregiver engagement was positively correlated with their perceived self-efficacy in managing disruptive patient behaviours. Based on these preliminary results, four co-design workshops with caregivers were conducted and led to the definition of the SOS caregivers service, built on four pillars structured upon the previous need analysis: a citizens’ management board, training courses, peer-to-peer meetings, and project and service information. We found that co-design is an effective means of creating new services for family caregivers, whose experiential knowledge proved to be a key resource for the project team in delivering and managing services. Less positively, the transferability analysis indicated that local municipalities remain reluctant to acknowledge caregivers’ pivotal role. Conclusions A dedicated support service for caregivers can ameliorate caregiving conditions and engagement levels. The service has resulted a successful co-productive initiative for a psycho-social intervention for family caregivers. For the future, we suggest that family caregiver should be considered an active partner in the process of designing novel psycho-social services and not just as recipients to enhance a better aging-in-place process.

ACS Style

Guendalina Graffigna; Eleonora Gheduzzi; Niccolò Morelli; Serena Barello; Massimo Corbo; Valeria Ginex; Roberta Ferrari; Andrea Lascioli; Carolina Feriti; Cristina Masella. Place4Carers: a multi-method participatory study to co-design, piloting, and transferring a novel psycho-social service for engaging family caregivers in remote rural settings. BMC Health Services Research 2021, 21, 1 -17.

AMA Style

Guendalina Graffigna, Eleonora Gheduzzi, Niccolò Morelli, Serena Barello, Massimo Corbo, Valeria Ginex, Roberta Ferrari, Andrea Lascioli, Carolina Feriti, Cristina Masella. Place4Carers: a multi-method participatory study to co-design, piloting, and transferring a novel psycho-social service for engaging family caregivers in remote rural settings. BMC Health Services Research. 2021; 21 (1):1-17.

Chicago/Turabian Style

Guendalina Graffigna; Eleonora Gheduzzi; Niccolò Morelli; Serena Barello; Massimo Corbo; Valeria Ginex; Roberta Ferrari; Andrea Lascioli; Carolina Feriti; Cristina Masella. 2021. "Place4Carers: a multi-method participatory study to co-design, piloting, and transferring a novel psycho-social service for engaging family caregivers in remote rural settings." BMC Health Services Research 21, no. 1: 1-17.

Letter
Published: 08 March 2021 in Psychological Medicine
Reads 0
Downloads 0
ACS Style

S. Barello; L. Palamenghi; G. Graffigna. Looking inside the ‘black box’ of vaccine hesitancy: unlocking the effect of psychological attitudes and beliefs on COVID-19 vaccine acceptance and implications for public health communication. Psychological Medicine 2021, 1 -2.

AMA Style

S. Barello, L. Palamenghi, G. Graffigna. Looking inside the ‘black box’ of vaccine hesitancy: unlocking the effect of psychological attitudes and beliefs on COVID-19 vaccine acceptance and implications for public health communication. Psychological Medicine. 2021; ():1-2.

Chicago/Turabian Style

S. Barello; L. Palamenghi; G. Graffigna. 2021. "Looking inside the ‘black box’ of vaccine hesitancy: unlocking the effect of psychological attitudes and beliefs on COVID-19 vaccine acceptance and implications for public health communication." Psychological Medicine , no. : 1-2.

Journal article
Published: 07 March 2021 in Health and Quality of Life Outcomes
Reads 0
Downloads 0

Background Patients diagnosed with inflammatory bowel disease (IBD) are required to deal with the unpredictability of this clinical condition, which is associated with poorer health-related quality of life (HRQoL) compared to other clinical conditions. Patient engagement is currently demonstrated to relate with chronic patients’ HRQoL, but few studies have been conducted among this population. Methods A cross-sectional study was conducted among 1176 IBD patients. Data were collected on participants’ HRQoL (SIBD-Q) and patient engagement (PHE-s®). Regression analysis was used to examine the effects of patient engagement on HRQoL. Results About the half of the sample (47%) reported a low patient engagement level. 30% of the sample reported a low level of HRQoL. Psycho-emotional functioning resulted to be the aspect of HRQoL most impacted in the 37% of the sample. The regression model showed that PHE-s® is significantly related to the SIBD-Q total score (B = .585; p < .001; R squared = .343) and to the subscales’ scores—systemic symptoms (B = .572; p < .001; R squared = .327), bowel symptoms (B = .482; p < .001; R squared = .232), social (B = .485; p < .001; R squared = .234) and psycho-emotional (B = .607; p < .001; R squared = .369) functioning. Conclusions Patients who are engaged in their IBD care pathway are more likely to report higher level of HRQoL, thus offering clues to potential therapeutic approaches to ameliorating IBD patients’ wellbeing. As this is a modifiable factor, screening for patient health engagement levels, coupled with appropriate interventions, could improve care, and ultimately improve HRQoL outcomes among IBD patients.

ACS Style

Serena Barello; Elena Guida; Salvatore Leone; Enrica Previtali; Guendalina Graffigna. Does patient engagement affect IBD patients’ health-related quality of life? Findings from a cross-sectional study among people with inflammatory bowel diseases. Health and Quality of Life Outcomes 2021, 19, 1 -9.

AMA Style

Serena Barello, Elena Guida, Salvatore Leone, Enrica Previtali, Guendalina Graffigna. Does patient engagement affect IBD patients’ health-related quality of life? Findings from a cross-sectional study among people with inflammatory bowel diseases. Health and Quality of Life Outcomes. 2021; 19 (1):1-9.

Chicago/Turabian Style

Serena Barello; Elena Guida; Salvatore Leone; Enrica Previtali; Guendalina Graffigna. 2021. "Does patient engagement affect IBD patients’ health-related quality of life? Findings from a cross-sectional study among people with inflammatory bowel diseases." Health and Quality of Life Outcomes 19, no. 1: 1-9.

Preprint content
Published: 24 February 2021
Reads 0
Downloads 0

Background Family caregivers are key actors in the ageing society. They play a pivotal role in enabling the possibility of elders to age in place, so to live at home for as long as possible. They also are mediators between practitioners and patients and usually provide also essential daily services for the elders. However, till now, few services have been deployed to help caregivers in their care tasks as in improving their mental health which can experience sever burden due to caregiving duties. The purpose of the study is to implement a community-based participatory research project to co-design an innovative organizational model of social services for family caregivers of elderly citizens living in the remote rural area in Italy. Methods The project included a quantitative analysis of caregivers needs, a scoping review on existing services for caregivers, co-design workshops with local stakeholders and caregivers to create a new service the piloting and a first implementation of the service and the assessment of project transferability to other contexts. Results Family caregivers play a key role in the Western care system, but at expenses of experiencing negative psycho-social consequences. The actual support is largely insufficient to the meet the needs of service users. Caregivers expressed need to be better trained, informed and supported especially between peers. The service has been successful to co-produce a psycho-social intervention that has ameliorated already existing services, creating new support service for caregivers and increasing trust among users and providers. Conclusions A dedicated training or support service for caregivers can ameliorate caregiving conditions. The service SOS Caregivers has resulted a successful co-productive service for a psyho-social intervention on family caregivers. For the future, we suggest that they should be an active partner in the process of creating new psycho-social services and not just as recipients in order to enhance a better age in place process.

ACS Style

Guendalina Graffigna; Eleonora Gheduzzi; Niccolò Morelli; Serena Barello; Massimo Corbo; Valeria Ginex; Roberta Ferrari; Andrea Lascioli; Carolina Feriti; Cristina Masella. S.O.S. Caregivers: a multi-method participatory study to co-design, piloting, and transferring a novel psycho-social service for engaging family caregivers in remote rural settings. 2021, 1 .

AMA Style

Guendalina Graffigna, Eleonora Gheduzzi, Niccolò Morelli, Serena Barello, Massimo Corbo, Valeria Ginex, Roberta Ferrari, Andrea Lascioli, Carolina Feriti, Cristina Masella. S.O.S. Caregivers: a multi-method participatory study to co-design, piloting, and transferring a novel psycho-social service for engaging family caregivers in remote rural settings. . 2021; ():1.

Chicago/Turabian Style

Guendalina Graffigna; Eleonora Gheduzzi; Niccolò Morelli; Serena Barello; Massimo Corbo; Valeria Ginex; Roberta Ferrari; Andrea Lascioli; Carolina Feriti; Cristina Masella. 2021. "S.O.S. Caregivers: a multi-method participatory study to co-design, piloting, and transferring a novel psycho-social service for engaging family caregivers in remote rural settings." , no. : 1.

Journal article
Published: 26 December 2020 in Patient Education and Counseling
Reads 0
Downloads 0

Communication in healthcare has influenced and been influenced by the COVID-19 pandemic. In this position paper, we share observations based on the latest available evidence and experiential knowledge that have emerged during the pandemic, with a specific focus on policy and practice. This is a position paper that presents observations relating to policy and practice in communication in healthcare related to COVID-19. Through our critical observations as experts in the field of healthcare communication, we share our stance how healthcare communication has occured during the pandemic and suggest possible ways of improving policy and professional practice. We make recommendations for policy makers, healthcare providers, and communication experts while also highlighting areas that merit further investigation regarding healthcare communication in times of healthcare crises. We have witnessed an upheaval of healthcare practice and the development of policy on-the-run. To ensure that policy and practice are evidence-based, person-centred, more inclusive and equitable, we advocate for critical reflection on this symbiotic relationship between COVID-19 and the central role of communication in healthcare. This paper provides a summary of the key areas for development in communication in healthcare during COVID-19. It offers recommendations for improvement and a call to review policies and practice to build resilience and inclusive and equitable responsiveness in communication in healthcare.

ACS Style

Sarah J White; Serena Barello; Eugenia Cao Di San Marco; Cinzia Colombo; Edgard Eeckman; Conor Gilligan; Guendalina Graffigna; T Jirasevijinda; Paola Mosconi; Judy Mullan; Shakaib Ur Rehman; Sara Rubinelli; Elena Vegni; Demi Krystallidou. Critical observations on and suggested ways forward for healthcare communication during COVID-19: pEACH position paper. Patient Education and Counseling 2020, 104, 217 -222.

AMA Style

Sarah J White, Serena Barello, Eugenia Cao Di San Marco, Cinzia Colombo, Edgard Eeckman, Conor Gilligan, Guendalina Graffigna, T Jirasevijinda, Paola Mosconi, Judy Mullan, Shakaib Ur Rehman, Sara Rubinelli, Elena Vegni, Demi Krystallidou. Critical observations on and suggested ways forward for healthcare communication during COVID-19: pEACH position paper. Patient Education and Counseling. 2020; 104 (2):217-222.

Chicago/Turabian Style

Sarah J White; Serena Barello; Eugenia Cao Di San Marco; Cinzia Colombo; Edgard Eeckman; Conor Gilligan; Guendalina Graffigna; T Jirasevijinda; Paola Mosconi; Judy Mullan; Shakaib Ur Rehman; Sara Rubinelli; Elena Vegni; Demi Krystallidou. 2020. "Critical observations on and suggested ways forward for healthcare communication during COVID-19: pEACH position paper." Patient Education and Counseling 104, no. 2: 217-222.

Original manuscript
Published: 18 November 2020 in Journal of Nursing Scholarship
Reads 0
Downloads 0

Purpose The literature provides few examples of family caregivers’ retrospective evaluation of nursing home services. This study aimed at analyzing narratives of Italian family caregivers of elders who experienced nursing home placement. Design and Methods Data were gathered through in‐depth interviews with family members after their relatives’ death. The interviews were based on the Critical Incident Technique, which allowed the categorization of the most memorable positive and negative events from the perspective of family members of elders deceased in nursing homes. Interviews were interpreted with a phenomenologically inspired thematic analysis approach. Participants were screened for complicated grief disorder as a confounding variable in relatives’ accounts of the treatment. Results Results suggested that positive long‐term recollection of the nursing home was associated with different themes emerging from the interviews: medical reliability and expertise, active demonstrations of care that extend beyond the contract with the facility, individualized attention, responsiveness, openness to dialog with family members about routines, management of the first impression, and family engagement. Lack of professionals’ expertise and medical failures, lack of care for patients’ personal goods, lack of family involvement, lack of individualized attention, lack of responsiveness, poor patient surveillance, and structural limits of the facilities were the themes that were more frequently negatively associated with the nursing home experience. Implications for Practice Focusing on the key dimensions connected to the quality of the experience of family members can enrich the quality of existing nursing home services and allow healthcare policymakers and managers to design better facilities for the patients.

ACS Style

Filippo Aschieri; Serena Barello; Ilaria Durosini. “Invisible Voices”: A Critical Incident Study of Family Caregivers’ Experience of Nursing Homes After Their Elder Relative’s Death. Journal of Nursing Scholarship 2020, 53, 65 -74.

AMA Style

Filippo Aschieri, Serena Barello, Ilaria Durosini. “Invisible Voices”: A Critical Incident Study of Family Caregivers’ Experience of Nursing Homes After Their Elder Relative’s Death. Journal of Nursing Scholarship. 2020; 53 (1):65-74.

Chicago/Turabian Style

Filippo Aschieri; Serena Barello; Ilaria Durosini. 2020. "“Invisible Voices”: A Critical Incident Study of Family Caregivers’ Experience of Nursing Homes After Their Elder Relative’s Death." Journal of Nursing Scholarship 53, no. 1: 65-74.

Empirical studies
Published: 17 November 2020 in Scandinavian Journal of Caring Sciences
Reads 0
Downloads 0

The interprofessional approach is part of the philosophy in palliative care, and its benefits are already documented. However, there are no evidence regarding the process through which the interprofessional team faces the process of the patient's end-of-life and how this experience might be of value for the team's development itself. The aim of this study was to analyse and understand the psychosocial processes that occurs when an interprofessional team accompanies patients and their families to death in palliative care, with the ultimate aim to develop a substantive theory to describe this phenomenon. A Grounded Theory method, as theorized by Strauss and Corbin, was adopted for this study. Data were collected through semi-structured interviews and then independently analysed using constant comparison analysis. Fourteen healthcare professionals - belonging to different disciplines (doctor, nurse coordinator, nurse, nurse assistant, psychologist) - were interviewed in a Northern Italy palliative care facility. The core category of this study was identified to be the process of accompaniment of the dying patient as an interprofessional ecosystem. Moreover, the results showed four main factors determining the development of the core psychosocial process: from professionals' 'Hidden Amazement' to 'Onerous Happiness' where 'Weaving of Professional Resources' and 'Work Meaning' are the underlying conditions to catalyse the process itself. Interprofessional care appears an essential value, which becomes the source of the team's strength when facing end-of-life experiences. Health policies and organisations should take the importance of the characteristics of the work environment more carefully. The meaning that professionals attribute to their work and to the team itself, indeed, it may have impact on the overall quality of care and contribute to sustain work engagement, even in stressful situations like end-of-life care.

ACS Style

Chiara Taffurelli; Serena Barello; Vittoria Cervantes Camacho; Maria Bertuol; Mariarosaria Savarese; Giovanna Artioli. Taking care of dying patients through an ‘interprofessional ecosystem’: a grounded theory study on the experience of an interprofessional team in palliative care. Scandinavian Journal of Caring Sciences 2020, 1 .

AMA Style

Chiara Taffurelli, Serena Barello, Vittoria Cervantes Camacho, Maria Bertuol, Mariarosaria Savarese, Giovanna Artioli. Taking care of dying patients through an ‘interprofessional ecosystem’: a grounded theory study on the experience of an interprofessional team in palliative care. Scandinavian Journal of Caring Sciences. 2020; ():1.

Chicago/Turabian Style

Chiara Taffurelli; Serena Barello; Vittoria Cervantes Camacho; Maria Bertuol; Mariarosaria Savarese; Giovanna Artioli. 2020. "Taking care of dying patients through an ‘interprofessional ecosystem’: a grounded theory study on the experience of an interprofessional team in palliative care." Scandinavian Journal of Caring Sciences , no. : 1.

Preprint content
Published: 30 October 2020
Reads 0
Downloads 0

Objective. During the first months of 2020, the coronavirus disease of 2019 (COVID-19) has rapidly spread as an unprecedented pandemic. With the increasing number of hospitalizations, the resources of medical and nursing personnel needed for the direct and indirect care of patients were soon inadequate. Consistently, medical volunteers became a key human resource and young medical residents in any specialty were hired on a voluntary basis to contribute to take care of patients with COVID-19. This study reports on the lived experience of residents in child neuropsychiatry who volunteered in Italian hotspot COVID-19-designated hospitals during the epidemic outbreak.Methods. A phenomenological, qualitative approach using semi-structured interviews with open-ended questions was used to obtain in-depth narratives of the experience of residents in child neuropsychiatry volunteering in the Italian hotspot COVID-19-designated hospitals. All residents (n=8) participated in the study. Interviews were conducted by an expert researcher trained in qualitative methods. Data analysis was performed by independent coders.Results. Five core themes were identified: Playing as a two-fold mediator, Facing the shock of COVID-19 reality, Capitalizing from the own specialty education, Growing as persons and professionals, and Humanizing medical care.Conclusions. This study is unique in providing an in-depth understanding of the experience of young residents in child neuropsychiatry volunteering in general hospitals during an unprecedented epidemic in Northern Italy. The findings suggest that this experience may be highly beneficial for both the residents and the hospital quality of care. Insights for accurate planning of residents’ engagement in future healthcare emergencies are provided.

ACS Style

Livio Provenzi; Stefano Parravicini; Serena Barello; Tiziana Nania; Serena Grumi; Elisa Rinaldi; Simona Orcesi; Renato Borgatti. Guardians of Care Humanization during the Pandemic: Child Neuropsychiatry Residents’ Experience as Volunteers in Italian COVID-19-Designated Hospitals. 2020, 1 .

AMA Style

Livio Provenzi, Stefano Parravicini, Serena Barello, Tiziana Nania, Serena Grumi, Elisa Rinaldi, Simona Orcesi, Renato Borgatti. Guardians of Care Humanization during the Pandemic: Child Neuropsychiatry Residents’ Experience as Volunteers in Italian COVID-19-Designated Hospitals. . 2020; ():1.

Chicago/Turabian Style

Livio Provenzi; Stefano Parravicini; Serena Barello; Tiziana Nania; Serena Grumi; Elisa Rinaldi; Simona Orcesi; Renato Borgatti. 2020. "Guardians of Care Humanization during the Pandemic: Child Neuropsychiatry Residents’ Experience as Volunteers in Italian COVID-19-Designated Hospitals." , no. : 1.

Letter to the editor
Published: 26 October 2020 in Vaccine
Reads 0
Downloads 0
ACS Style

Guendalina Graffigna; Lorenzo Palamenghi; Serena Barello; Boccia Stefania. “Cultivating” acceptance of a COVID-19 vaccination program: Lessons from Italy. Vaccine 2020, 38, 7585 -7586.

AMA Style

Guendalina Graffigna, Lorenzo Palamenghi, Serena Barello, Boccia Stefania. “Cultivating” acceptance of a COVID-19 vaccination program: Lessons from Italy. Vaccine. 2020; 38 (48):7585-7586.

Chicago/Turabian Style

Guendalina Graffigna; Lorenzo Palamenghi; Serena Barello; Boccia Stefania. 2020. "“Cultivating” acceptance of a COVID-19 vaccination program: Lessons from Italy." Vaccine 38, no. 48: 7585-7586.

Journal article
Published: 01 October 2020 in Vaccines
Reads 0
Downloads 0

The actual effectiveness of the still-to-come vaccination against the coronavirus SARS-CoV-2 might be challenged by vaccine hesitancy, a rather common and known phenomenon whose psychological predictors are, nevertheless, still largely debated. Our study aims at understanding how adult citizens’ health engagement, perceived COVID-19 susceptibility and severity, and general vaccine-related attitudes affect the willingness to vaccinate against COVID-19. To that end, on a sample of Italian citizens, we implemented a path model to test the impact of health engagement on the willingness to vaccinate against SARS-CoV-2, and whether this relationship is direct or mediated by the general attitude towards vaccines and the risk perception. Moreover, we tested the configural and weak invariance of the model across gender and three age groups. Results show that health engagement is positively related to the intention to vaccinate and that this relationship is partially mediated by the general attitude towards vaccines. The model appears invariant across genders and partially invariant across age groups, showing some differences in the role of perceived susceptibility. These findings vouch for the implementation of educational campaigns aimed at sustaining future vaccination programs that also include health engagement promotion.

ACS Style

Guendalina Graffigna; Lorenzo Palamenghi; Stefania Boccia; Serena Barello. Relationship between Citizens’ Health Engagement and Intention to Take the COVID-19 Vaccine in Italy: A Mediation Analysis. Vaccines 2020, 8, 576 .

AMA Style

Guendalina Graffigna, Lorenzo Palamenghi, Stefania Boccia, Serena Barello. Relationship between Citizens’ Health Engagement and Intention to Take the COVID-19 Vaccine in Italy: A Mediation Analysis. Vaccines. 2020; 8 (4):576.

Chicago/Turabian Style

Guendalina Graffigna; Lorenzo Palamenghi; Stefania Boccia; Serena Barello. 2020. "Relationship between Citizens’ Health Engagement and Intention to Take the COVID-19 Vaccine in Italy: A Mediation Analysis." Vaccines 8, no. 4: 576.

Literature review
Published: 25 September 2020 in International Nursing Review
Reads 0
Downloads 0

Aim To systematically and critically summarize the state of the evidence about the Synergy Model and its utilization in nursing practice. Background The Synergy Model emphasizes the importance of alignment between patient needs and nurse competencies in achieving adequate patient‐ and nurse‐related outcomes. It is a relatively new patient‐centred care model developed at the end of the 1990s. Introduction Despite the Synergy Model’s potential to support patient‐centred care, its practical application is still mainly limited. Thus far, literature about the Synergy Model has not yet been synthesized, undermining its broader utilization globally. Methods A systematic search was performed on the following databases: PubMed, CINAHL and Scopus. The authors used the Preferred Reporting Items for Systematic Reviews and Meta‐analyses (PRISMA) statement and checklist to guide the systematic search; 26 papers were included in this study. A critical interpretative synthesis was adopted to summarize the data extracted from the included papers. Results Five interpretative themes emerged: conceptualization, experiences from the field, nursing education, patient‐related outcomes and system‐related outcomes. Synergy Model shows a precise theoretical definition, and it was implemented in multiple clinical settings, mainly in critical care contexts. It seems to have a positive influence on patient‐related, nurse‐related and system‐related outcomes. Discussion Synergy Model seems to be positively associated with specific susceptible outcomes, such as patient satisfaction, reduction of patient’s complications, staff satisfaction, empowerment, and engagement of patients and healthcare providers. However, the level of evidence is still limited. Conclusion Future international research should demonstrate the feasibility of implementing the Synergy Model at an international level. More empirical research is needed to demonstrate the effectiveness of the model on susceptible outcomes. Implications for nursing and health policy This systematic review could support further development of international programmes based on the Synergy Model. The Synergy Model's implementation has the potential to optimize nursing competencies, patient‐ and nurse‐related outcomes.

ACS Style

T. Nania; S. Barello; R. Caruso; G. Graffigna; A. Stievano; F. Pittella; F. Dellafiore. The state of the evidence about the Synergy Model for patient care. International Nursing Review 2020, 68, 78 -89.

AMA Style

T. Nania, S. Barello, R. Caruso, G. Graffigna, A. Stievano, F. Pittella, F. Dellafiore. The state of the evidence about the Synergy Model for patient care. International Nursing Review. 2020; 68 (1):78-89.

Chicago/Turabian Style

T. Nania; S. Barello; R. Caruso; G. Graffigna; A. Stievano; F. Pittella; F. Dellafiore. 2020. "The state of the evidence about the Synergy Model for patient care." International Nursing Review 68, no. 1: 78-89.

Research article
Published: 11 September 2020 in PLoS ONE
Reads 0
Downloads 0

In January 2020, the coronavirus disease 2019 (COVID-19) started to spread in Italy. The Italian government adopted urgent measures to slow its spread. Enforcing compliance with such measures is crucial in order to enhance their effectiveness. Engaging citizens in the COVID-19 preventive process is urgent today both in Italy and around the world. However, to the best of our knowledge, no previous studies have investigated the role of health engagement in predicting citizens’ compliance with health emergency containment measures. An online survey was administered between February 28 and March 4, 2020 on a representative sample of 1000 Italians. The questionnaire included a measure of health engagement (Patient Health Engagement Scale), a 5-item Likert scale ranging from 1 to 7, resulting in 4 positions that describe the psychological readiness to be active in one’s own health management, and a series of ad hoc items intended to measure citizens’ perceived susceptibility and severity of the disease, orientation towards health management, trust in institutional bodies, health habits and food consumption. To investigate the relationship between health engagement and these variables, ANOVA analysis, logistic regression and contingency tables with Pearson’s chi-squared analysis have been carried out. Less engaged people show higher levels of perceived susceptibility to the virus and severity of the disease; they are less trustful of scientific and healthcare authorities, they feel less self-effective in managing their own health—both in normal conditions and under stress—and are less prone to cooperate with healthcare professionals. Low levels of health engagement also are associated with a change in the usual purchase behavior. The Patient Health Engagement model (PHE) provides a useful framework for understanding how people will respond to health threats such as pandemics. Therefore, intervention studies should focus on raising their levels of engagement to increase the effectiveness of educational initiatives intended to promote preventive behaviors.

ACS Style

Guendalina Graffigna; Serena Barello; Mariarosaria Savarese; Lorenzo Palamenghi; Greta Castellini; Andrea Bonanomi; Edoardo Lozza. Measuring Italian citizens’ engagement in the first wave of the COVID-19 pandemic containment measures: A cross-sectional study. PLoS ONE 2020, 15, e0238613 .

AMA Style

Guendalina Graffigna, Serena Barello, Mariarosaria Savarese, Lorenzo Palamenghi, Greta Castellini, Andrea Bonanomi, Edoardo Lozza. Measuring Italian citizens’ engagement in the first wave of the COVID-19 pandemic containment measures: A cross-sectional study. PLoS ONE. 2020; 15 (9):e0238613.

Chicago/Turabian Style

Guendalina Graffigna; Serena Barello; Mariarosaria Savarese; Lorenzo Palamenghi; Greta Castellini; Andrea Bonanomi; Edoardo Lozza. 2020. "Measuring Italian citizens’ engagement in the first wave of the COVID-19 pandemic containment measures: A cross-sectional study." PLoS ONE 15, no. 9: e0238613.

Review
Published: 04 September 2020 in International Journal of Public Health
Reads 0
Downloads 0

Objectives During a pandemic, healthcare workers (HCWs) are essential to the health system response. Based on our knowledge, little information is available regarding the psychosocial impact on HCWs or interventions for supporting them during pandemics. Therefore, the study aimed to assess available literature on perceived stress and psychological responses to influenza pandemics in HCWs and identify implications for healthcare practice and future research. Methods This is a rapid review of the literature. The review was conducted according to the Preferred Reporting Items for Systematic Review and Meta-Analysis. Results Across all the studies—both qualitative and quantitative—HCWs working during the epidemic reported frequent concerns regarding their own health and the fear of infecting their families, friends and colleagues. Moreover, social isolation, uncertainty, fears of stigmatization and reluctance to work or considering absenteeism were frequently reported. Moreover, many studies highlighted a high prevalence of high levels of stress, anxiety and depression symptoms, which could have long-term psychological implications in HCWs. Conclusions This rapid review offers an overview of the major concerns regarding HCWs’ psychosocial well-being and possible preventive strategies, which could be useful for the current COVID-19 outbreak and similar future pandemics. Studies suggested to invest on preventive psychological, social, family and physical support and to guaranteeing reasonable work conditions and others in order to protect HCWs from the long-lasting psychological effect of the COVID-19 pandemic.

ACS Style

Serena Barello; Anna Falcó-Pegueroles; Debora Rosa; Angela Tolotti; Guendalina Graffigna; Loris Bonetti. The psychosocial impact of flu influenza pandemics on healthcare workers and lessons learnt for the COVID-19 emergency: a rapid review. International Journal of Public Health 2020, 65, 1205 -1216.

AMA Style

Serena Barello, Anna Falcó-Pegueroles, Debora Rosa, Angela Tolotti, Guendalina Graffigna, Loris Bonetti. The psychosocial impact of flu influenza pandemics on healthcare workers and lessons learnt for the COVID-19 emergency: a rapid review. International Journal of Public Health. 2020; 65 (7):1205-1216.

Chicago/Turabian Style

Serena Barello; Anna Falcó-Pegueroles; Debora Rosa; Angela Tolotti; Guendalina Graffigna; Loris Bonetti. 2020. "The psychosocial impact of flu influenza pandemics on healthcare workers and lessons learnt for the COVID-19 emergency: a rapid review." International Journal of Public Health 65, no. 7: 1205-1216.

Health services research
Published: 11 August 2020 in BMJ Open
Reads 0
Downloads 0

IntroductionEngaging family caregivers could be a critical asset to make the ‘ageing-in-place’ imperative a reality. This is particularly evident in rural and remote areas, where caregivers can fill the gaps that exist due to the fragmentation of the welfare system. However, there is little knowledge about the expectations that family caregivers have from healthcare services in rural and remote areas.Place4Carers (P4C) project aims to co-produce an innovative organisational model of social and healthcare services for family caregivers of older citizens living in Vallecamonica (Italy). The project is expected to facilitate ageing-in-place for older citizens, thus helping caregivers in their daily care activities.Methods and analysisP4C is a community-based participatory research project featuring five work packages (WPs). WP1 consists of a survey of unmet needs of caregivers and older people receiving services in Vallecamonica. WP2 consists of a scoping literature review to map services that provide interventions of support to caregivers living in remote areas and promote engagement. WP3 organises co-creation workshops with caregivers to co-design, co-manage, and co-assess ideas and proposals for shaping caregiver-oriented services and organisational models. WP3 enriches the results of WP1 (survey) and WP2 (scoping literature review), and aims to co-create new ideas for intervention support with and for caregivers in relation to the objectives, features and characteristics of a new service able to address the caregivers’ needs and expectations. WP4 tests the service ideas co-created in WP3 through piloting an intervention based on ideas co-created with caregivers. Finally, WP5 assesses the transferability of the intervention to other similar contexts.Ethics and disseminationThe study has been approved by the Ethics Committees of the Department of Psychology of Università Cattolica del Sacro Cuore and Politecnico of Milan. Results will be disseminated through peer-reviewed journals, scientific meetings and meetings with the general population.

ACS Style

Guendalina Graffigna; Serena Barello; Niccolò Morelli; Eleonora Gheduzzi; Massimo Corbo; Valeria Ginex; Roberta Ferrari; Andrea Lascioli; Carolina Feriti; Cristina Masella. Place4Carers: a mixed-method study protocol for engaging family caregivers in meaningful actions for successful ageing in place. BMJ Open 2020, 10, e037570 .

AMA Style

Guendalina Graffigna, Serena Barello, Niccolò Morelli, Eleonora Gheduzzi, Massimo Corbo, Valeria Ginex, Roberta Ferrari, Andrea Lascioli, Carolina Feriti, Cristina Masella. Place4Carers: a mixed-method study protocol for engaging family caregivers in meaningful actions for successful ageing in place. BMJ Open. 2020; 10 (8):e037570.

Chicago/Turabian Style

Guendalina Graffigna; Serena Barello; Niccolò Morelli; Eleonora Gheduzzi; Massimo Corbo; Valeria Ginex; Roberta Ferrari; Andrea Lascioli; Carolina Feriti; Cristina Masella. 2020. "Place4Carers: a mixed-method study protocol for engaging family caregivers in meaningful actions for successful ageing in place." BMJ Open 10, no. 8: e037570.

Vaccine hesitancy
Published: 06 August 2020 in European Journal of Epidemiology
Reads 0
Downloads 0

The debate around vaccines has been in the spotlight over the last few years in Europe, both within the scientific community and the general public debate. In this regard, the case of the Italian vaccination debate is particularly worrying given that Italy has been one of the European countries with the highest number of measles cases in the recent past. According to this scenario, we conducted a cross-sectional study on a convenience sample of Italian university students aimed at: (1) exploring their attitudes towards a future vaccine to prevent COVID-19 and; (2) evaluating the impact of the university curricula (healthcare vs. non-healthcare curricula) on the intention to vaccinate. Descriptive analysis on the 735 students that answered to the question on the intention to vaccinate showed that 633 (86.1%) students reported that they would choose to have a vaccination for the COVID-19 coronavirus; on the other side, 102 (13.9%) students reported that they would not or be not sure to vaccine (low intention to vaccinate). This means that in our sample more than one student out of 10 shows low intention to vaccinate (vaccine hesitancy). Furthermore, when running analysis comparing healthcare students versus non-healthcare students we found no significant differences in responses’ percentage distribution (p = .097). Understanding the student’s perspective about the future COVID-19 vaccine and supporting their health engagement and consciousness may be useful in planning adequate response and multidisciplinary educational strategies—including the psychological perspective on vaccine hesitancy underlying factors - in the post-pandemic period.

ACS Style

Serena Barello; Tiziana Nania; Federica Dellafiore; Guendalina Graffigna; Rosario Caruso. ‘Vaccine hesitancy’ among university students in Italy during the COVID-19 pandemic. European Journal of Epidemiology 2020, 35, 781 -783.

AMA Style

Serena Barello, Tiziana Nania, Federica Dellafiore, Guendalina Graffigna, Rosario Caruso. ‘Vaccine hesitancy’ among university students in Italy during the COVID-19 pandemic. European Journal of Epidemiology. 2020; 35 (8):781-783.

Chicago/Turabian Style

Serena Barello; Tiziana Nania; Federica Dellafiore; Guendalina Graffigna; Rosario Caruso. 2020. "‘Vaccine hesitancy’ among university students in Italy during the COVID-19 pandemic." European Journal of Epidemiology 35, no. 8: 781-783.

Correspondence
Published: 24 June 2020 in Patient Education and Counseling
Reads 0
Downloads 0
ACS Style

Serena Barello; Lorenzo Palamenghi; Guendalina Graffigna. Empathic communication as a “Risky strength” for health during the COVID-19 pandemic: The case of frontline Italian healthcare workers. Patient Education and Counseling 2020, 103, 2200 -2202.

AMA Style

Serena Barello, Lorenzo Palamenghi, Guendalina Graffigna. Empathic communication as a “Risky strength” for health during the COVID-19 pandemic: The case of frontline Italian healthcare workers. Patient Education and Counseling. 2020; 103 (10):2200-2202.

Chicago/Turabian Style

Serena Barello; Lorenzo Palamenghi; Guendalina Graffigna. 2020. "Empathic communication as a “Risky strength” for health during the COVID-19 pandemic: The case of frontline Italian healthcare workers." Patient Education and Counseling 103, no. 10: 2200-2202.

Journal article
Published: 20 June 2020
Reads 0
Downloads 0

Due to the ageing of cancer patients, new approaches that require a more active participation in the self-management of cancer treatment at home are needed. Nurses are strategic in improving the patient’s engagement capability in this regard. Knowing which interventions are more effective for the promotion of patient engagement could be useful to improve the effectiveness of the care provided. Therefore, this study aims to systematically review nursing interventions or programs that promote patient engagement in oncological nursing care and summarizing the main evidence related to their impact on relevant clinical and psychosocial outcomes. This is a systematic review and meta-analysis protocol based on Cochrane Handbook for the systematic review of interventions. We will search the most important electronic databases (PUBMED, CINAHL, EMBASE, SCOPUS, ISI Web of Science, Cochrane library) to find out which patient engagement interventions (active adult patient involvement) are implemented in oncological settings and understand what is the effectiveness of these interventions on the outcomes reported in the literature. The GRADE methodology will be used to synthetize the evidence. If possible, also a meta-analysis will be performed. We registered the study protocol on the PROSPERO database (N° CRD42020146189). To our knowledge, this is the first systematic review to address this clinical question in the field of oncology. This review will offer health professionals indications on the most frequently adopted patient engagement interventions and verify their clinical effectiveness. Furthermore, any gaps in the scientific literature will be highlighted. (www.actabiomedica.it)

ACS Style

Loris Bonetti; Angela Tolotti; Dario Valcarenghi; Guendalina Graffigna; Tiziana Nania; Davide Sari; Paola Ferri; Serena Barello. Nurses’ interventions to promote cancer patient engagement and related outcomes: a systematic review and meta-analysis protocol. 2020, 91, 65 -70.

AMA Style

Loris Bonetti, Angela Tolotti, Dario Valcarenghi, Guendalina Graffigna, Tiziana Nania, Davide Sari, Paola Ferri, Serena Barello. Nurses’ interventions to promote cancer patient engagement and related outcomes: a systematic review and meta-analysis protocol. . 2020; 91 (Suppl 6):65-70.

Chicago/Turabian Style

Loris Bonetti; Angela Tolotti; Dario Valcarenghi; Guendalina Graffigna; Tiziana Nania; Davide Sari; Paola Ferri; Serena Barello. 2020. "Nurses’ interventions to promote cancer patient engagement and related outcomes: a systematic review and meta-analysis protocol." 91, no. Suppl 6: 65-70.

Journal article
Published: 11 June 2020 in International Journal of Environmental Research and Public Health
Reads 0
Downloads 0

Patient engagement has been recognized as a key priority in chronic care. However, scholars agree that guidelines are needed to ensure effective patient engagement strategies. To this end, a Consensus Conference process was promoted with the following methodological steps: (1) extensive literature review about patient engagement initiatives in chronic care; (2) a stakeholders survey to collect best practices and (3) workshops with experts. On the basis of the information collected, a consensus statement was drafted, revised, and finalized by a panel of select renowned experts. These experts agreed in defining engagement as an eco-systemic concept involving multiple actors all of which contribute to influence patients’ willingness and ability to engage in chronic care. Moreover, experts recommended, whenever possible, to adopt standardized instruments to assess engagement levels and related unmet needs. Then, experts strongly advised appropriate trainings for healthcare professionals about patient engagement strategies. Furthermore, the importance of promoting healthcare professionals’ wellbeing has been advocated. Family caregivers, as well as patients’ organizations - should be trained and engaged to increase the effectiveness of interventions dedicated to patients. Finally, experts agreed that digital technologies should be considered as a crucial enhancer for patient engagement in chronic care.

ACS Style

Guendalina Graffigna; Serena Barello; Giuseppe Riva; Massimo Corbo; Gianfranco Damiani; Primiano Iannone; Albino Claudio Bosio; Walter Ricciardi. Italian Consensus Statement on Patient Engagement in Chronic Care: Process and Outcomes. International Journal of Environmental Research and Public Health 2020, 17, 4167 .

AMA Style

Guendalina Graffigna, Serena Barello, Giuseppe Riva, Massimo Corbo, Gianfranco Damiani, Primiano Iannone, Albino Claudio Bosio, Walter Ricciardi. Italian Consensus Statement on Patient Engagement in Chronic Care: Process and Outcomes. International Journal of Environmental Research and Public Health. 2020; 17 (11):4167.

Chicago/Turabian Style

Guendalina Graffigna; Serena Barello; Giuseppe Riva; Massimo Corbo; Gianfranco Damiani; Primiano Iannone; Albino Claudio Bosio; Walter Ricciardi. 2020. "Italian Consensus Statement on Patient Engagement in Chronic Care: Process and Outcomes." International Journal of Environmental Research and Public Health 17, no. 11: 4167.