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Wired Science. First Impressions: The Science of Meeting People

Wired Science. First Impressions: The Science of Meeting People | Health promotion. Social marketing | Scoop.it
A strong handshake and assertive greeting may not be the best way to make a good first impression. New research suggests that people respond more positively to someone who comes across as trustworthy rather than confident.
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Health promotion. Social marketing
Health promotion: marketing sociale, comunicazione, salute, ambiente, disuguaglianze sociali.
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Social marketing guide for public health programme managers and practitioners

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Obesity Awareness: Public Service or Public Nuisance?

Obesity Awareness: Public Service or Public Nuisance? | Health promotion. Social marketing | Scoop.it

New “public service” advertising from a Swedish foundation features the brilliant physicist and cosmologist Stephen Hawking. But the advertising is more public nuisance than public service. Its objective appears to be promoting obesity awareness. The message is tired and false:

We eat too much and move too little. Fortunately, the solution is simple – more physical activity, a change in diet. It’s not rocket science. And for what it’s worth, how being sedentary has become a major health problem is beyond my understanding.

The most enlightening part of this ad was the honesty of this brilliant man in admitting that he has no understanding of obesity. The ad prompted exasperation from people who know better.

“Clearly being a genius in one area doesn’t translate to others,” said the University of Ottawa’s Yoni Freedhoff.

“Despite admitting he doesn’t know about obesity, he proceeds to make tired recommendations. Unacceptable,” said Andrew Brown of the University of Alabama at Birmingham.

“A brilliant cosmologist…is a brilliant cosmologist. Not a brilliant obesity expert. Even the brightest minds have some gaps in knowledge about what obesity is, and what it isn’t,” said Texas Tech’s Emily Dhurandhar.

“OK. Fine. I will stick to obesity, and stop expressing my views about the cosmos,” said Nikhil Dhurandhar, a past president of the Obesity Society.

Awareness of obesity is not much of a problem. People with obesity have mirrors. Even without mirrors, plenty of bystanders offer up daily insults about weight and body image. Rude, insulting, and stigmatizing behavior is not helping. It’s hurting. So obesity awareness “public service” advertising is really just a public nuisance.

The only awareness that’s lacking is awareness of the complexity of obesity and the need for evidence-based solutions that actually work. Hawking inadvertently proved that point with his ad. Tired advice to eat less and move more has been tried by virtually everyone who has struggled with excess weight. More often than not, it doesn’t cure the complex, chronic disease of obesity.

For that we will need more curiosity, more research, and better obesity care.

 

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John Yudkin Kenote : Overdiagnosis and the Epidemic of Prediabetes - YouTube

Pre-diabetes: a helpful concept?

There is no doubt that a lot of later-onset diabetes can be prevented simply by encouraging people to eat less and do more. But just as the pressures of commerce encourage us to eat more food and buy more cars, so the same pressures operating through pharmaceutical companies seek to create a vast market for drugs which offer people the prospect of avoiding diabetes while carrying on with their usual lifestyles. For this reason they have constructed a concept called “pre-diabetes”, to identify a group of people who are at added risk of developing type 2 diabetes. And since there is every incentive to make this group as large as possible, it now includes over half the adult population of China, and around one third of the population in the USA and the UK. Proponents of the “pre-diabetes” concept point out that diabetes is the leading cause of blindness, kidney failure and amputations in the population, and now accounts for 12% of NHS spending.......

Pre-diabetes is a classic case of an artificial diagnosis, a form of disease-mongering that is often now called “overdiagnosis”. For further discussion of pre-diabetes, watch John Yudkin’s brilliantly clear and entertaining lecture below.

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Santé connectée : entrez dans la cabine et dites 33 !

Santé connectée : entrez dans la cabine et dites 33 ! | Health promotion. Social marketing | Scoop.it
Faire un check-up ou obtenir un diagnostic sans aller chez le docteur, c’est possible grâce à la télémédecine. Exemple : cette station médicale que nous avons testée à Paris.

Via Rémy TESTON
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Elements of a Strategic Communications Plan: Evaluate and Make Mid-Course Corrections

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Le financement de la télémédecine est enfin déverrouillé par l'article 47 de la loi de financement de la sécurité sociale pour 2017

Le financement de la télémédecine est enfin déverrouillé par l'article 47 de la loi de financement de la sécurité sociale pour 2017 | Health promotion. Social marketing | Scoop.it
On attendait ce jour depuis 2011 ! L'article 47 du LFSS 2017 lève la quasi totalité des obstacles administratifs et financiers qui freinaient le développement de la télémédecine en France, en particulier chez les médecins libéraux. Déjà voté en première lecture par l'Assemblée nationale, il vient d'être voté par le Sénat. Soulignons les points les plus significatifs et pratico-pratiques : Tout médecin exerçant sur le territoire français, dans le secteur ambulatoire ou dans le secteur hospitalier, peut désormais s'engager dans des pratiques de téléconsultation et/ou de téléexpertise chez des patients en ALD, c'est à dire atteints d'une maladie chronique. Il devra simplement déclarer cette activité de télémédecine à l'Agence Régionale de Santé dont il dépend (simple formulaire type qu'il pourra retrouver sur le site web de l'ARS), ainsi qu'au Conseil Départemental de l'Ordre des médecins où il est inscrit. Il devra également en informer son assurance en responsabilité civile (une obligation s'il est en libéral ou salarié d'un établissement privé, une simple recommandation s'il est salarié d'un établissement public). Il est libéré de toute charge administrative, que ce soit la démarche de contractualisation ou celle de participer à l'évaluation de ces nouvelles pratiques professionnelles. L'évaluateur sera externalisé et la HAS aura la mission de valider ou non le rapport d'évaluation. Il est rémunéré sur la base des tarifs qui ont été fixés par l'arrêté ministériel du 26 avril 2016, abrogeant le précédent arrêté d'avril 2015 qui ne ciblait que la prise en charge des plaies chroniques dans les EHPADs. S'agissant encore de l'expérimentation art. 36 prorogé d'un an jusqu'au LFSS 2018, avec une enveloppe financière limitée à 8,2 millions d'euros, le nombre d'actes et leur périmètre restent encadrés jusqu'au LFSS 2018. Pour la téléconsultation : 3 tarifs 26 euros par acte et jusqu'à trois actes par an et par patient pour un médecin généraliste ou un professionnel de santé non médical bénéficiant d'un transfert d'acte (art. 51 de la loi HPST). 28 euros par acte et jusqu'à trois actes par an et par patient pour un médecin spécialiste (sauf psychiatre et gériatre) ou un professionnel de santé non médical bénéficiant d'un transfert d'acte (art. 51 de la loi HPST). 43,7 euros par acte et jusqu'à cinq actes par an et par patient, pour un médecin psychiatre ou un professionnel de santé non médical bénéficiant d'un transfert d'acte (art. 51 de la loi HPST). Lorsqu'il s'agit d'une téléconsultation auprès d'un médecin spécialiste d'organe, le médecin traitant qui la demande (le requérant) n'est pas rémunéré. Pour la téléexpertise : un forfait Le montant forfaitaire de la rémunération est de 40 euros par an et par patient pour chaque professionnel spécialiste requis. Il n' y a pas de limitation par patient. Il y a une limite de 100 téléexpertises par an par professionnel requis. Le professionnel médical requérant devra fournir à l'ARS la liste nominative de 5 experts avec lesquels il souhaite réaliser des téléexpertises. Les rémunérations sont effectives pour les établissements au titre des consultations externes. Cette procédure de la téléexpertise conserve au moins deux insuffisances. La 1ère insuffisance est la non rémunération du médecin requérant dans cette expérimentation, ce qui signifie que la téléexpertise exclut pour l'instant le dialogue vocal entre médecins et ne prend en compte que les téléexpertises par image, photo ou par écrit. C'est assez réducteur et il faudra certainement élargir la téléexpertise au dialogue vocal qui est plus riche, plus formateur et qui représente la pratique la plus moderne et humaine de la médecine du XXIème siècle ! Le dialogue entre médecins est formateur tant pour le médecin traitant que pour le médecin spécialiste. La 2ème insuffisance est de limiter la téléexpertise à des correspondants "intuiti personae". Cette clause ne prend pas en compte le fonctionnement des téléexpertises au sein de l'hôpital public, où la dynamique de compétence est plus collective qu'individuelle, en dehors bien évidemment de l'hyperspécialiste dans un domaine donné. Ces deux insuffisances ont justifié le dépôt d'un amendement à l'article 47 par la FHF en faveur d'un nouvel arrêté ministériel qui pourrait reprendre toutes ces insuffisances de l'arrêté du 26 avril 2016, en particulier pour les téléexpertises effectuées au sein d'un GHT. Pour la télésurveillance : un intéressement des médecins aux résultats obtenus Nous reviendrons plus tard sur ce financement lorsque l'arrêté ministériel aura été publié (annoncé pour la fin novembre 2016 pour les trois pathologies chroniques que sont l'insuffisance cardiaque chronique, l'insuffisance respiratoire chronique et l'insuffisance rénale dialysée et transplantée et, pour le début 2017, pour le diabète complexe). La philosophie retenue par les pouvoirs publics est d'intéresser les médecins qui s'engageront dans la télésurveillance de ces maladies chroniques à domicile et qui démontreront une réduction des coûts liés aux hospitalisations. La télésurveillance est réservée aux malades les plus sévèrement atteints qui ont, de ce fait, de fréquentes hospitalisations. L'organisation d'une télésurveillance à domicile par des dispositifs médicaux (ayant un marquage CE) peut prévenir les complications et, par voie de conséquence, les hospitalisations. Reconnaissons qu'un grand pas a été franchi pour déverrouiller le financement de la télémédecine en France. Le choix des patients en ALD (malades atteints de maladies chroniques) est judicieux et devrait permettre d'entrer enfin dans une médecine de parcours structurée par la télémédecine. On reste néanmoins sceptique sur la qualité de l'étude médico-économique qui devrait être présentée lors du LFSS 2018, soit dans un an, alors que l'expériementation qui vise deux millions de personnes en ALD n'a pas encore débutée...Les pouvolrs publics seraient bien inspirés de prendre en compte les récentes études européennes médico-économiques qui ont échoué (WSD, Renewing Health, voir sur ce site le billet "A quoi ça sert" dans la rubrique "Edito de semaine"), en partie parce que le délai d'observation était trop court et, surtout, parce que les organisations des professionnels de santé n'avaient pas été prises en compte dans la méthodologie retenue. La télémédecine est d'abord une organisation professionnelle nouvelle pour des pratiques médicales nouvelles, avant d'être une évolution technologique.
Via Medecin Geek, Lionel Reichardt / le Pharmageek, Pharmacomptoir / Corinne Thuderoz
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PatientView's curator insight, November 20, 2016 5:23 AM

Government funds for telemedicine - at last

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Women, power, and the cancer divide

Almost 100 years ago, Gabriela Mistral, Chilean poet and Nobel Prize winner, said that “every law, every freedom or culture movement, has left us for a long time in the shadows; that we always have arrived to the feast not as the reluctant guest who is arriving late, but as a comrade who is invited late and then hides in the banquet”.1 Mistral reminds us that, despite many hard won achievements, women in many parts of the world still remain “in the shadows”. Gender inequality and disempowerment of women have deep roots that plunge into the furthest recesses of our societies.

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Vaccinazioni, serve una nuova comunicazione

Vaccinazioni, serve una nuova comunicazione | Health promotion. Social marketing | Scoop.it
Alla fine, il film Vaxxed non è stato proiettato in Senato. In prospettiva, però, sarebbe meglio se quel portone istituzionale si aprisse alla discussione.
Un numero sempre maggiore di genitori sceglie - o preferirebbe scegliere - di non vaccinare i propri figli oppure di limitare il numero di vaccinazioni ai quali sottoporli. Negli Stati Uniti si parla del 7-9% di bambini non vaccinati e del 20% di piccoli sotto-vaccinati. Un pediatra statunitense su 5 si trova a interagire con famiglie che hanno dubbi o chiedono di rinviare le vaccinazioni (Hough-Telford, BMJ blogs 2016). Si tratta soprattutto di figli di famiglie bianche, benestanti e di buona istruzione. Anche in Italia i dati preoccupano e le caratteristiche delle famiglie che non intendono vaccinare sono simili a quelle degli altri Paesi: sono le persone che leggono e discutono di più a essere maggiormente critiche e, vivendo in ambienti culturalmente omogenei, si ritiene che in un caso del genere si inneschi il cosiddetto “assimilation bias”, che fa sì che qualsiasi nuova informazione si acquisisca venga usata per rinforzare l'opinione di cui si è convinti.
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Le pouvoir des médias sociaux dans l’arrêt du tabac

Le pouvoir des médias sociaux dans l’arrêt du tabac | Health promotion. Social marketing | Scoop.it

Une étude canadienne récente semble montrer que les médias sociaux auraient un impact favorable chez les jeunes adultes dans l’arrêt du tabac.

Arrêter de fumer n’est jamais simple et un coup de pouce est souvent nécessaire. En effet, les addictions telles que le tabagisme ou l’alcoolisme passent par le circuit de la récompense, lequel a un rôle majeur dans nos comportements alimentaires, sexuels et sociaux. Il fait notamment intervenir la dopamine connue comme l’une des hormones du bonheur. Ainsi, fumer procure une sensation de bien-être chez les fumeurs rendant difficile l’arrêt du tabac.

D’un autre côté, Internet est partout et les médias sociaux (dont les réseaux sociaux) ont envahi notre quotidien. Des chercheurs canadiens – des universités de Toronto et deWaterloo, de la société canadienne du cancer et du CENSE Research + Design – se sont donc demandé quel pourrait être l’impact d’une campagne pour arrêter de fumer sur les médias sociaux. Par ailleurs, les jeunes adultes (19-29 ans) sont très présents en ligne, et le ciblage sur les médias sociaux est relativement aisé. Les chercheurs ont donc pu concentrer leur étude sur cette tranche de la population et obtenir des données spécifiques la concernant.

 


Via Vigipharm, Philippe Marchal
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Trending now: future directions in digital media for the public health sector

Trending now: future directions in digital media for the public health sector | Health promotion. Social marketing | Scoop.it

The importance of communicating ideas about health, and facilitating learning and discussion amongst the public and particular interest groups, is an enduring component of the functioning of health systems across the world. Just as television and radio have become important vehicles of communicating health messages and concepts, the advent and exciting growth of digital media is set to revolutionise the way in which health information is communicated and gathered. Digital media has fundamentally altered the nature of the interactions around health issues. From a passive one-way transfer of information, often from health professionals to the public, digital media has democratized those interfaces with open dynamic dialogue taking place, often at a very fast pace and at all times of day. The propensity for ideas, information and comment to spread rapidly on digital media creates opportunities for health professionals and leaders to communicate and educate in new ways and to reach communities of interest that form and reform as issues develop.

The ability to gather data from digital media sources is growing rapidly. It can be used to track disease spread and mobilize responses to urgent and emerging problems. The opportunity to make data available on digital media in readily accessible forms can enhance the ability of individuals and communities to analyse, debate and understand health in new ways. The opportunity for healthcare and public health organizations to frame debates and communicate in a timely fashion with wide segments of the population using digital media will continue to grow. To take maximum advantage of these opportunities will require a new style of leadership however. Leaders will have to have an authentic presence in the world of digital media and have the confidence to interact with digital media, such as Twitter, as issues and debates develop. The managed face of media relations and the occasional press release will no longer suffice as the immediacy, intimacy and reach of digital media creates a new health commons of dynamic opportunity.

Our list of trends for digital media demonstrates the multi-faceted aspects of digital media and the growth opportunities we should expect to see on all sides—better informed programme planning, expansion of health information services, deeper relationship building, technology development, personalization of health issues, more robust and meaningful measurement and evaluation, and, ultimately, digital media as the singular driver of health changes.

Potential conflicts of interest: AB-G is an employee of Westat, an employee-owned corporation providing research services to agencies of the US Government, as well as businesses, foundations and state and local governments.

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Can a Free Wearable Activity Tracker Change Behavior? The Impact of Trackers on Adults in a Physician-Led Wellness Group

Can a Free Wearable Activity Tracker Change Behavior? The Impact of Trackers on Adults in a Physician-Led Wellness Group | Health promotion. Social marketing | Scoop.it
ABSTRACT

Background: Wearable activity trackers (trackers) are increasingly popular devices used to track step count and other health indicators. Trackers have the potential to benefit those in need of increased physical activity, such as adults who are older and face significant health challenges. These populations are least likely to purchase trackers and most likely to face challenges in using them, yet may derive educational, motivational, and health benefits from their use once these barriers are removed.

Objective: The aim of this pilot research is to investigate the use of trackers by adults with chronic medical conditions who have never used trackers previously. Specifically, we aim to determine (1) if participants would accept and use trackers to increase their physical activity; (2) if there were barriers to use besides cost and training; (3) if trackers would educate participants on their baseline and ongoing activity levels and support behavior change; and (4) if clinical outcomes would show improvements in participants’ health.

Methods: This study was conducted with patients (N=10) in a 12-week physician-led wellness group offered by Family Doctors, LLC. Patients were given trackers in the second week of The Wellness Group and were interviewed 2 to 4 weeks after it ended. The study investigators analyzed the interview notes to extract themes about the participants’ attitudes and behavior changes and collected and analyzed participants’ clinical data, including weight and low-density lipoprotein (LDL) cholesterol over the course of the study.

Results: Over the 12 to 14 weeks of tracker use, improvements were seen in clinical outcomes, attitudes towards the trackers, and physical activity behaviors. Participants lost an average of 0.5 lbs per week (SD 0.4), with a mean total weight loss of 5.97 lbs (P=.004). Other short-term clinical outcomes included a 9.2% decrease in LDL levels (P=.038). All participants reported an increase in well-being and confidence in their ability to lead more active lives. We identified the following 6 major attitudinal themes from our qualitative analysis of the interview notes: (1) barriers to tracker purchase included cost, perceived value, and choice confusion; (2) attitudes towards the trackers shifted for many, from half of the participants expressing excitement and hope and half expressing hesitation or trepidation, to all participants feeling positive towards their tracker at the time of the interviews; (3) trackers served as educational tools for baseline activity levels; (4) trackers provided concrete feedback on physical activity, which motivated behavior change; (5) tracker use reinforced wellness group activities and goals; and (6) although commitment to tracker use did not waver, external circumstances influenced some participants’ ongoing use.

Conclusions: Our findings suggest that adding trackers to wellness groups comprising primarily older adults with chronic medical conditions can support education and behavior change to be more physically active. The trackers increased participant self-efficacy by providing a tangible, visible reminder of a commitment to increasing activity and immediate feedback on step count and progress towards a daily step goal. While acceptance was high and attitudes ultimately positive, training and support are needed and short-term drop-off in participant use is to be expected. Future research will further consider the potential of trackers in older adults with chronic medical conditions who are unlikely to purchase them, and studies will use larger samples, continue over a longer period of time, and evaluate outcomes independent of a wellness group.

 

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Marketing sociale: vaccini, perché è fondamentale farli? - di Walter Ricciardi

Marketing sociale: vaccini, perché è fondamentale farli? -  di Walter Ricciardi | Health promotion. Social marketing | Scoop.it

La decisione della Regione Emilia Romagna di consentire per legge solo ai bambini vaccinati l'accesso agli asili nido ha suscitato nuove polemiche su un tema cruciale per la salute di tutti e già troppo inquinato da pregiudizi e false "verità" sulla presunta pericolosità delle vaccinazioni, in netto calo già da alcuni anni. Daniela Minerva, responsabile di Repubblica Salute, ne ha parlato con il professor Walter Ricciardi, presidente dell'Istituto Superiore di Sanità, per fare chiarezza e rispondere alle vostre domande.

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How to live longer, based on a Nobel Prize winning discovery

How to live longer, based on a Nobel Prize winning discovery | Health promotion. Social marketing | Scoop.it
Telomeres, withing your cells, are considered a 'life fuse' as they shorten from the day you die, but a whole-food, plant-based diet has been proven to lengthen them, writes DR MICHAEL GREGER.

Via Mark Kaylor
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Marc Kneepkens's curator insight, December 1, 2016 11:32 AM

Here is some insight in why certain approaches work in staying #healthy.

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Promoting Accountability
Through Methods and Tools for
Planning, Implementation, and
Evaluation

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The Case Against Energy Drinks Is Getting Stronger

The Case Against Energy Drinks Is Getting Stronger | Health promotion. Social marketing | Scoop.it
New research raises concerns about sugary, caffeine-filled energy drinks and their effects on young people

Energy drinks are popular among young teens and adults, but studies continue to show they may have unintended and potentially serious side effects, including high blood pressure, hyperactivity and more.

In a new report published in Pediatric Emergency Care,researchers conducted a questionnaire at two emergency departments fromJune 2011 to June 2013 that surveyed adolescents between ages 12 and 18. Of the 612 young people who responded, 33% said they frequently drank energy drinks. Among those teens, 76% said they experienced a headache in the last six months, 47% said they experienced anger and 22% reported difficulty breathing.

 

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Art Jones's curator insight, November 21, 2016 4:40 PM

Sugar taken alone causes too many health related problems to list here. Sugar mixed with caffeine what could go wrong with that concoction once inside the human body?

 

There is another category of Energy drink abuse that occurs widely within youth culture and that is when the sugar in an energy drink is mixed with alcohol. Energy drinks and alcohol is the drink of choice for many of the youth taking part in the party all night, until morning nightlife and club scene. 

 

The jury did not deliberate long in this case, energy drinks are guilty of promising short term gain (high energy) with long term debts that surely will come home to roost if these drinks are overused and abused with alcohol..

 

 

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La rougeole a tué plus de 134 000 enfants dans le monde en 2015

La rougeole a tué plus de 134 000 enfants dans le monde en 2015 | Health promotion. Social marketing | Scoop.it

Malgré la progression spectaculaire de la vaccination, seules les Amériques ont réussi à éradiquer la maladie.

En 2015, la rougeole a tué 134 200 enfants de moins de 5 ans dans le monde, soit de 350 à 400 enfants par jour. Cette maladie reste donc l’une des causes importantes de mortalité des jeunes enfants – après les infections respiratoires, les maladies diarrhéiques, le paludisme et les méningo-encéphalites –, et ce, malgré une progression considérable de la vaccination, de 18 % entre 2000 et 2015.
En savoir plus sur http://www.lemonde.fr/planete/article/2016/11/10/la-rougeole-a-tue-plus-de-134-000-enfants-dans-le-monde-en-2015_5029153_3244.html#Mw65S1OSJF2HXfqq.99

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Putting Sugary Soda Out of Reach

Putting Sugary Soda Out of Reach | Health promotion. Social marketing | Scoop.it

Can public health officials force Americans to break their soda habit?

The answer may come soon from the University of California, San Francisco, a health sciences center that has more than 24,000 employees on its sprawling campus. Last year, U.C.S.F. removed sugar-sweetened beverages from every store, food truck and vending machine on its campus. Even popular fast-food chains on the campus, like Subway and Panda Express, have stopped selling Sprite, Coca-Cola and their sugary brethren at the university’s request.

 

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Jeff French's curator insight, November 4, 2016 5:33 AM
One example of how cross sector action can work for all
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Social media not replacing doctor patient relationship - Noakes

Social media not replacing doctor patient relationship - Noakes | Health promotion. Social marketing | Scoop.it

Twitter is a wonderful medium to share knowledge to allow the public to make informed decisions about nutrition, but will never replace the doctor-patient relationship, Professor Tim Noakes said on Wednesday.

“Followers have the option of taking the advice I give, or not. It’s a space for experts to agree or challenge each other,” he testified during a conduct hearing against him at the Health Professions Council of SA (HPCSA).

He said through this medium, the power of the anointed is giving way to the wisdom of the crowd.

“We have to educate people that it’s up to each of us to make a decision on the basis of the best possible evidence. I may be right sometimes, but sometimes I will be wrong. It’s up to you to make the best possible decision.”

Noakes - whose book The Real Meal Revolution promotes a low-carbohydrate, high-fat (LCHF) diet - was called before the council after the former president of the Association for Dietetics in South Africa, Claire Julsing-Strydom, lodged a complaint against him.

 

Advice

READ: Banting diet 'cutting edge and science based' - Noakes

 

It was prompted by a tweet Noakes sent to a Pippa Leenstra after she asked him for advice on feeding babies and on breastfeeding.

Her tweet read: "@ProfTimNoakes @SalCreed is LCHF eating ok for breastfeeding mums? Worried about all the dairy + cauliflower = wind for babies?? [sic]"

Noakes advised her to wean her child onto LCHF foods, which he described as "real" foods.

His tweet read: "Baby doesn't eat the dairy and cauliflower. Just very healthy high-fat breast milk. Key is to ween [sic] baby onto LCHF."

Noakes had said his advice was anything but unconventional, quoting research from as far back as the 1800s, before the boom in obesity rates.

The HPCSA argued that it was inappropriate conduct to give advice via social media without a physical consultation.

Noakes countered that the tweet was general nutritional knowledge and not specifically directed at Leenstra.

He pointed out to the panel that they did not have enough knowledge on how Twitter worked.

“I am a very successful twitterer - I am able to get a message out. I am one of the expert twitterers and recognised as one of the leading twitterers in obesity research. I have over 77 000 followers.”

He insisted he had not been dispensing medical advice specifically to Leenstra in their exchange.

“If I was interested in providing medical information to patients on the internet, I would have done it years ago. But I don’t see myself as a doctor. I am a scientist focusing on scientific information.”

Social media was not replacing the doctor patient relationship, he said.

“It complements medicine and the doctor-patient relationship. It’s not ‘instead of’, it’s ‘in addition to’.”


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Socioeconomic status and treatment outcomes for individuals with HIV on antiretroviral treatment in the UK: cross-sectional and longitudinal analyses

Socioeconomic status and treatment outcomes for individuals with HIV on antiretroviral treatment in the UK: cross-sectional and longitudinal analyses | Health promotion. Social marketing | Scoop.it
Background

Few studies have assessed the effect of socioeconomic status on HIV treatment outcomes in settings with universal access to health care. Here we aimed to investigate the association of socioeconomic factors with antiretroviral therapy (ART) non-adherence, virological non-suppression, and virological rebound, in HIV-positive people on ART in the UK.

Methods

We used data from the Antiretrovirals, Sexual Transmission Risk and Attitudes (ASTRA) questionnaire study, which recruited participants aged 18 years or older with HIV from eight HIV outpatient clinics in the UK between Feb 1, 2011, and Dec 31, 2012. Participants self-completed a confidential questionnaire on sociodemographic, health, and lifestyle issues. In participants on ART, we assessed associations of financial hardship, employment, housing, and education with: self-reported ART non-adherence at the time of the questionnaire; virological non-suppression (viral load >50 copies per mL) at the time of questionnaire in those who started ART at least 6 months ago (cross-sectional analysis); and subsequent virological rebound (viral load >200 copies per mL) in those with initial viral load of 50 copies per mL or lower (longitudinal analysis).

Findings

Of the 3258 people who completed the questionnaire, 2771 (85%) reported being on ART at the time of the questionnaire, and 2704 with complete data were included. 873 (32%) of 2704 participants reported non-adherence to ART and 219 (9%) of 2405 had virological non-suppression in cross-sectional analysis. Each of the four measures of lower socioeconomic status was strongly associated with non-adherence to ART, and with virological non-suppression (prevalence ratios [PR] adjusted for gender/sexual orientation, age, and ethnic origin: greatest financial hardship vs none 2·4, 95% CI 1·6–3·4; non-employment 2·0, 1·5–2·6; unstable housing vs homeowner 3·0, 1·9–4·6; non-university education 1·6, 1·2–2·2). 139 (8%) of 1740 individuals had subsequent virological rebound (rate=3·6/100 person-years). Low socioeconomic status was predictive of longitudinal rebound risk (adjusted hazard ratio [HR] for greatest financial hardship vs none 2·3, 95% CI 1·4–3·9; non-employment 3·0, 2·1–4·2; unstable housing vs homeowner 3·3, 1·8–6·1; non-university education 1·6, 1·1–2·3).

Interpretation

Socioeconomic disadvantage was strongly associated with poorer HIV treatment outcomes in this setting with universal health care. Adherence interventions and increased social support for those most at risk should be considered.

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Is Pharma Ready to Realize the Value of mHealth?

Is Pharma Ready to Realize the Value of mHealth? | Health promotion. Social marketing | Scoop.it
mHealth experts at Partners' Connected Health Symposium say digital health tools could improve everything from clinical trials to drug efficacy. But progress is slow.When Apple launched its ResearchKit platform in 2015, healthcare providers and the pharma industry hailed the mHealth platform as a meaningful step toward better clinical trials.They’re starting to see that pay off.

Digital health tools have the potential to take “a big chunk” of the $3 billion clinical trial market, says John Dwyer Jr., president of the Global Alzheimer’s Platform Foundation. Not only can they streamline the trial process and open it up to larger populations, but they can also help providers and pharma companies make sure the right drug gets to the right patient.

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Carta italiana per la
promozione delle vaccinazioni. UNA CHIAMATA ALL’AZIONE

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Adults Not Vaccinated Against Flu Account for 70% of the Economic Burden Caused by All Anti-Vaxxers!

Adults Not Vaccinated Against Flu Account for 70% of the Economic Burden Caused by All Anti-Vaxxers! | Health promotion. Social marketing | Scoop.it

Vaccines save thousands of lives in the United States every year, but many adults remain unvaccinated. Low rates of vaccine uptake lead to costs to individuals and society in terms of deaths and disabilities, which are avoidable, and they create economic losses from doctor visits, hospitalizations, and lost income. To identify the magnitude of this problem, we calculated the current economic burden that is attributable to vaccine-preventable diseases among US adults. We estimated the total remaining economic burden at approximately $9 billion (plausibility range: $4.7–$15.2 billion) in a single year, 2015, from vaccine-preventable diseases related to ten vaccines recommended for adults ages nineteen and older. Unvaccinated individuals are responsible for almost 80 percent, or $7.1 billion, of the financial burden.

 

Sixty-five percent of the estimated annual economic burden, equivalent to $5.8 billion (plausibility range: $2.0–$11.6 billion), resulted from influenza alone—a vaccine-preventable disease that causes substantial numbers of hospitalizations and morbidity each year.

 

It should be noted that this study examined a static annual estimate of the unvaccinated cohort, and therefore not all cases in this group are necessarily preventable by increased vaccination because of less than 100 percent vaccine efficacy.


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