An App about Healthy Habits as an Educational Resource during the Pandemic

Educational institutions and their agents play a fundamental role in improving people’s health literacy and quality of life. We intend here to describe and justify an educational resource embodied in an application for mobile devices developed through a subsidized project by the Ministry of Health (Government of Andalusia); the purpose of this app is to educate young people in healthy habits. The application was designed to be easily used in both smartphones and tablets with the aim of achieving good physical, psychological and social health. The project comprises several phases and the results we have so far show that, from an early age, health institutions and educational settings must work in partnership, increasing health literacy levels. This cooperative work combined with the use of this innovative approach presents an important potential for change in the lifestyles of younger generations. This type of intervention took on a special role in the pandemic context, allowing for the maintenance of the educational stimulus in a safe context.

URMC Universal Depression Screening Initiative: Patient Reported Outcome Assessments to Promote a Person-Centered Biopsychosocial Population Health Management Strategy

Background: Patient-reported outcomes (PROs) can promote person-centered biopsychosocial health care by measuring outcomes that matter to patients, including functioning and well-being. Data support feasibility and acceptability of PRO administration as part of routine clinical care, but less is known about its effects on population health, including detection of unmet healthcare needs. Our objectives were to examine differences in rates of clinically significant depression across sociodemographic groups and clinical settings from universal depression screens in a large health system, estimate the number of patients with untreated depression detected by screenings, and examine associations between biopsychosocial PROs—physical, psychological, and social health.Methods: We analyzed data from over 200,000 adult patients who completed depression screens—either PROMIS (Patient Reported Outcomes Measurement Information System) or PHQ-2/9—as part of routine outpatient care.Results: Depression screens were positive in 14.2% of the sample, with more positive screens among younger vs. older adults, women vs. men, non-White vs. White, and Hispanics vs. non-Hispanics. These same sociodemographic indicators, as well as completing screening in primary care (vs. specialty care) were also associated with greater likelihood of detected depression in the medical record.Discussion: Universal screening for depression symptoms throughout a large health system appears acceptable and has the potential to detect depression in diverse patient populations outside of behavioral health. Expanded delivery of PROs to include physical and social health as well as depression should be explored to develop a clinically-relevant model for addressing patients' biopsychosocial needs in an integrated fashion across the health system.

Social Justice Leadership for Co-Educating Refugee and Migrant Students in Greek Primary Schools Through Distance Education During COVID-19

2020 is the year marked by the global pandemic of coronavirus (COVID-19), which affected humanity to a great extent, creating unfavorable social, health, and economic conditions. As in the world, so in Greece the school is affected by this new social situation, resulting in schools having been closed for long periods of time and the lessons for all their students done remotely through a special electronic platform. Principals are called upon to manage a crisis situation, creating smooth e-learning conditions for all the students, including the children who belong to ethnic minorities. This study aims to demonstrate that school leaders can play a significant role in the co-education of the refugee and migrant students through distance learning. At the same time, the author also offers proposals regarding the implementation of relevant actions in this direction.

Eudaemonic Design to Achieve Well-Being at Work, Wherever That May Be

The concept of eudaemonia originates from neo-Aristotelian philosophy and is associated with human flourishing. Self-determination theory, a means to attain eudaemonia, is examined here as a foundational approach to drive Eudaemonic Design--a novel design strategy that aims to achieve holistic physical, mental, and social health, or eudaemonic well-being. This chapter advances Eudaemonic Design as an architectural and organizational approach to create healthful work environments that support employee and business flourishing. The authors argue that the importance of adopting Eudaemonic Design has grown in need and complexity as work is (re)shaped by the constraints and opportunities presented by the pandemic. By contrasting dominant pre-COVID-19 Work from Office expectations against the post-COVID-19 Work from Anywhere model, this chapter explores the application of Eudaemonic Design to deliver holistic workplace well-being, rather than single variable health and wellness alone, now and into the post-COVID-19 future of work.

Mental and Psycho-social Health and Quality-of-Life Before and After Cardiac Rehabilitation: A Prospective Cohort Study With Comparison to Specific Population Norms

Background. Data on mental health improvement after cardiac rehabilitation (CR) are contradicting. The aim was to examine the mental and psycho-social health of patients admitted to our rehabilitation center following hospital treatment for acute coronary syndrome, before and after multidisciplinary CR.Methods. Outcome was measured at admission and discharge by the 36-Item Short Form Survey (SF-36), the Symptom Checklist-90 Revised (SCL-90R), the Coping Strategy Questionnaire (CSQ) and the 6-minute-walking distance test. The patients’ health status was compared with norms of sex-, age- and comorbidity-matched data from the German general population. Score differences from norms were measured by standardized mean differences (SMDs); health changes were quantified by standardized effect sizes (ESs). Their importance for comprehensive assessment was quantified by explorative factor analysis.Results. Of n=70 patients followed-up (male: 79%; mean age: 66.6 years), 79% had ≥3 comorbidities. At baseline, SF-36 Physical functioning (SMD=–0.75), Role physical (–0.90), Social functioning (SMD=–0.44), and Role emotional (SMD=–0.45) were significantly worse than the norm. After CR, almost all scores significantly improved by ES=0.23 (SCL-90R Interpersonal sensitivity) to 1.04 (SF-36 Physical functioning). The strongest factor (up to 41.1% explained variance) for health state and change was the mental health domain, followed by function&pain (up to 26.3%).Conclusions. Normative deficits in physical and psycho-social health were reported at baseline. After CR, at follow-up, all scores, except phobia, showed significant improvement. The comprehensive measurement of bio-psycho-social health should not be limited to depression and anxiety but include, especially, the somatization and social participation dimensions.