Browsing by Author "Illario, Maddalena"
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- Creating a culture of health in planning and implementing innovative strategies addressing non-communicable chronic diseasesPublication . Tziraki-Segal, Chariklia; De Luca, Vincenzo; Santana, Silvina; Romano, Rosa; Tramontano, Giovanni; Scattola, Paola; Celata, Corrado; Gelmi, Giusi; Ponce Márquez, Sara; Lopez-Samaniego, Luz; Zavagli, Veronica; Halkoaho, Arja; Grimes, Corrina; Tomás, Maria Teresa; Fernandes, Beatriz; Calzà, Laura; Speranza, Patrizia; Coppola, Liliana; Jager-Wittenaar, Harriët; O'Caoimh, Rónán; Pietilä, Anna-Maija; Carriazo, Ana Maria; Apostolo, Joao; Iaccarino, Guido; Liotta, Giuseppe; Tramontano, Donatella; Molloy, William; Triassi, Maria; Viggiani, Vincenzo; Illario, MaddalenaOngoing demographic changes are challenging health systems worldwide especially in relation to increasing longevity and the resultant rise of non-communicable diseases (NCDs). To meet these challenges, a paradigm shift to a more proactive approach to health promotion, and maintenance is needed. This new paradigm focuses on creating and implementing an ecological model of the Culture of Health. The conceptualization of the Culture of Health is defined as one where good health and well-being flourish across geographic, demographic, and social sectors; fostering healthy equitable communities where citizens have the opportunity to make choices and be co-producers of healthy lifestyles. Based on Antonovsky's Salutogenesis model which asserts that the experience of health moves along a continuum across the lifespan, we will identify the key drivers for achieving a Culture of Health. These include mindset/expectations, sense of community, and civic engagement. The present article discusses these drivers and identifies areas where policy and research actions are needed to advance positive change in population health and well-being. We highlight empirical evidence of drivers within the EU guided by the activities within the thematic Action Groups of the European Innovation Partnership on Active and Healthy Aging (EIP on AHA), focusing on Lifespan Health Promotion and Prevention of Age-Related Frailty and Disease (A3 Action Group). We will specifically focus on the effect of Culture on Health, highlighting cross-cutting drivers across domains such as innovations at the individual and community level, and in synergies with business, policy, and research entities. We will present examples of drivers for creating a Culture of Health, the barriers, the remaining gaps, and areas of future research to achieve an inclusive and sustainable asset-based community.
- Creating a culture of health in planning and implementing innovative strategies addressing non-communicable chronic diseasesPublication . Tziraki-Segal, Chariklia; De Luca, Vincenzo; Santana, Silvina; Romano, Rosa; Tramontano, Giovanni; Scattola, Paola; Celata, Corrado; Gelmi, Giusi; Ponce Márquez, Sara; Lopez-Samaniego, Luz; Zavagli, Veronica; Halkoaho, Arja; Grimes, Corrina; Tomás, Maria Teresa; Fernandes, Beatriz; Calzà, Laura; Speranza, Patrizia; Coppola, Liliana; Jager-Wittenaar, Harriët; O'Caoimh, Rónán; Pietilä, Anna-Maija; Carriazo, Ana Maria; Apostolo, Joao; Iaccarino, Guido; Liotta, Giuseppe; Tramontano, Donatella; Molloy, William; Triassi, Maria; Viggiani, Vincenzo; Illario, MaddalenaOngoing demographic changes are challenging health systems worldwide especially in relation to increasing longevity and the resultant rise of non-communicable diseases (NCDs). To meet these challenges, a paradigm shift to a more proactive approach to health promotion, and maintenance is needed. This new paradigm focuses on creating and implementing an ecological model of the Culture of Health. The conceptualization of the Culture of Health is defined as one where good health and well-being flourish across geographic, demographic, and social sectors; fostering healthy equitable communities where citizens have the opportunity to make choices and be co-producers of healthy lifestyles. Based on Antonovsky's Salutogenesis model which asserts that the experience of health moves along a continuum across the lifespan, we will identify the key drivers for achieving a Culture of Health. These include mindset/expectations, a sense of community, and civic engagement. The present article discusses these drivers and identifies areas where policy and research actions are needed to advance positive change on population health and well-being. We highlight empirical evidence of drivers within the EU guided by the activities within the thematic Action Groups of the European Innovation Partnership on Active and Healthy Aging (EIP on AHA), focusing on Lifespan Health Promotion and Prevention of Age-Related Frailty and Disease (A3 Action Group). We will specifically focus on the effect of Culture on Health, highlighting cross-cutting drivers across domains such as innovations at the individual and community level, and in synergies with business, policy, and research entities. We will present examples of drivers for creating a Culture of Health, the barriers, the remaining gaps, and areas of future research to achieve an inclusive and sustainable asset-based community.
- Frailty as the future core business of public health: report of the activities of the A3 Action Group of the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA)Publication . Liotta, Giuseppe; Ussai, Silvia; Illario, Maddalena; O’Caoimh, Rónán; Cano, Antonio; Holland, Carol; Roller-Winsberger, Regina; Capanna, Alessandra; Grecuccio, Chiara; Ferraro, Mariacarmela; Paradiso, Francesca; Ambrosone, Cristina; Morucci, Luca; Scarcella, Paola; De Luca, Vincenzo; Palombi, Leonardo; Tomás, Maria TeresaBackground: The prevalence of frailty at population-level is expected to increase in Europe, changing the focus of Public Health. Here, we report on the activities of the A3 Action Group, focusing on managing frailty and supporting healthy ageing at community level. Methods: A three-phased search strategy was used to select papers published between January 2016 and May 2018. In the third phase, the first manuscript draft was sent to all A3-Action Group members who were invited to suggest additional contributions to be included in the narrative review process. Results: A total of 56 papers were included in this report. The A3 Action Group developed three multidimensional tools predicting short⁻medium term adverse outcomes. Multiple factors were highlighted by the group as useful for healthcare planning: malnutrition, polypharmacy, impairment of physical function and social isolation were targeted to mitigate frailty and its consequences. Studies focused on the management of frailty highlighted that tailored interventions can improve physical performance and reduce adverse outcomes. Conclusions: This review shows the importance of taking a multifaceted approach when addressing frailty at community level. From a Public Health perspective, it is vital to identify factors that contribute to successful health and social care interventions and to the health systems sustainability.