PERCHÉ SONO QUI CON VOI OGGI?

Il settore pubblico è esposto ed in sofferenza nel nostro Paese

Si può invertire la rotta e cambiare questa situazione

Una possibilità è valorizzare la persona e convogliare messaggi positivi

all’interno del sistema

OGGI PRESENTERÒ DEI MEZZI

POTENZIALMENTE UTILI A

MANTENERE SANI GLI IMPIEGATI

DEL COMPARTO PUBBLICO

PARLEREMO DI …

PROGETTO ″CREDITS FOR HEALTH″ (C4H)

PROGETTO BONETOUR

FONDAZIONE F.I.R.M.O.

Project Acronym: Credits4Health

Title: Credits-based, people-centric approach for the adoption of healthy life-styles and balanced Mediterranean diet in the frame of social

participation and innovation for health promotion.

Contract/Grant agreement number: 602386

Starting date: 01/09/2013

Duration: 36 months

Coordinator: Maria Luisa Brandi, MD, PhD

Goals of the Project

• The problem statement of C4H is to fight the increasing prevalence of lifestyle-related diseases through an innovative multi-stakeholder approach based on people empowerment.

• C4H is a social innovation and health promotion project aimed at designing, developing, and testing a preventive healthcare system with the following aims:o Reduce sedentary behaviours.

o Enhance the level of physical activity.

o Foster the adoption of healthy dietary styles in people living in the Euro-Mediterranean Countries.

The Consortium

Scientific Group

Technical Group

Institutional GroupCommunication Group

The C4H Model

• The C4H approach is based on an ICT platform aimed at stimulating people to become more physically active and follow a Mediterranean diet.

• The aim of the platform is to enhance people engagement and motivation, and further reinforce their motivation through an incentive system consisting of discounts on goods and services (related to health, nutrition, social and leisure activities, etc.).

The main features of the C4H model:

• A baseline screening for identifying each user’s personal profile (physical activity, anthropometric, socio-psychological, and nutritional status).

• A goal-setting system related to physical activity (and diet), tailored to participants on the basis of the screening.

• The personalized paths (web-based interventions) to support the users in reaching their goals, by enhancing their motivation, providing knowledge, and supporting them to plan and monitor their physical activities.

• Social and peer support. A social network that allows users to communicate and chat with other participants, and organize group activities.

• An incentive system, which allows users to gain credits on the basis of their performance, and eventually to get discounts on goods and services delivered by C4H industrial partners.

The C4H Model

A central role of the individual

People Empowerment

C4H advocates the shift from a one-way delivered healthcare to a multi-stakeholder approach in which people play the pivotal role, being actively involved in maintaining and improving their health status, being responsible for their well-being, and committing themselves knowingly to an active lifestyle and a healthy diet.

The aim is to gently support people to pursue a healthy lifestyle without any form of coercion nor forbidding any possible option: our approach strives for reinforcing people’s cognitive system on a long-term basis by providing knowledge to people, and supporting their decision-making processes with a short- or middle-term intervention (socio-psychological support).

The Intervention Paths. The interventions delivered through the platform deal with three major domains: psychology, nutrition, and physical activity. Both the assessment and the personalized interventions are based on evidence-based tools and methodologies.

• Psychology: Baseline screening to identify clusters of people Intervention aimed to motivate them in improving their behaviours (through important mediators of behaviour change).

• Physical activity: A baseline assessment questionnaire to define user profile and assess optimum MET expenditure A customizable weekly planning system A PA tracker to monitor physical activity.

• Nutrition: A baseline assessment to identify inadequate dietary behaviours A goal setting system to improve these behaviours Evidence-based nutrition intervention pathways (knowledge) Monitoring system to assess performance in the nutrition behavioural goals.

The C4H Intervention

Mobile App

The C4H technological tools

ICT Platform

Accelerometer

The Social forum

• The user can share experience, results, and opinions with the community

The C4H supporting Community

1. City of Florence (Italy) 300,000 pop. 40 square miles2. Region of Salento (Italy) 1,500,000 pop. 2,057 square miles3. City of Girona (Spain) 97,000 pop. 15 square miles4. Pylos Nestoras/Kalamata (Greece) 90,000 pop. 700 square miles

The context: The 4 Study Areas

Field-tests and Target Users

A phased approach. Complex web-based interventions like C4H need a phased approach to gradually test each component of the final system. C4H is designed on the basis of a such a framework:

• We conducted two preliminary studies aimed at testing the proposed system, the technical/digital tools and the evaluation parameters (involving around 600 people in the three Pilot areas);

• We are currently conducting a Randomized Controlled Trial (Pilot 3), aiming at assessing the effectiveness of the intervention (platform + credits) with respect to the objectives of the research study.

The target users of the final C4H product are European citizens willing to improve or maintain their health status.

The C4H approach is being tested on a total of almost 2,000 participants (aged 18-65) in apparent good health, recruited in 4 Euro-Mediterranean study areas.

Incentives

• Increasing usage of credits systems. The use of material or financial incentives has been increasingly adopted by public bodies to stimulate the adoption of behaviours deemed beneficial both to the individuals and the society in which they live (e.g. “Time credits” in London City; fitness tax credits in USA).

• Types of incentives and credits in C4H. Taxing unhealthy products, like cigarettes, can be considered a negative incentive. C4H approach uses positive incentives, that are used to promote specific practices (e.g. subsidizing healthy food to facilitate their consumption).

• Effectiveness of credits. For what concerns the effectiveness of incentives in promoting behavioural change, in particular in the health domain, the current evidence is quite encouraging, but still needs further analyses and testing on the field.

The C4H Credits system

Thank you from the C4H Group

VENUS

MARS

Adapted from: J Dairy Science 94:5253, 2011

Calcium and vitamin D daily intakes by life stage and sex from the Italian National Food Consumption Survey INRAN-SCAI 2005–2006

0

5

10

15

20

25

nord centro sud

16,7

23,6

15,1nord

centro

sud

Prevalenza dieta priva di latticini

Campione totale

Donne Uomini

15.8% 25.6% 15.0%

< 40 anni

40-49 anni

50-59 anni

60-69 anni

70-79 anni

≥ 80 anni

Totale

20.7% 16.3% 14.5% 16.7% 14.0% 15.1% 15.8%

Bone Tour

www.fondazionefirmo.com

Campagna di prevenzione dell’osteoporosi – Fondazione FIRMO

# 7305 soggetti (# 6114 donne, # 1191 uomini) in 20 città italiane,

anni 2011/2012

Questionario per la valutazione del rischio di frattura + esame

ultrasonografico al calcagno

Dieta priva di latticini associata a bassi valori di T-score alla

densitometria ossea (p<0.01)

Manoscritto: in press

Progetto Mister Bonedal 2008, coinvolti oltre 700 studenti delle scuole elementari, con migliaia di contatti sul sito MisterBone:

Pubblicazioni scientifiche relative al progettoValidation of a food-frequency questionnaire for the assessment of calcium intake in schoolchildrenaged 9-10 years, Calcified Tissue Int. 2013 Jul;93(1):23-38. doi: 10.1007/s00223-013-9721-y. Epub2013 Mar 30.Growing Strong and Healthy with Mister Bone: An Educational Program to Have Strong Bones Laterin Life. Nutrients 2015 Dec 2;7(12):9985-98

INFORMAZIONE

10 anni di Brochure IOF Traduzione e diffusione delle Brochure IOF per il WOD: stampate e diffuse in oltre 20.000 copie ciascuna

INFORMAZIONE

RICERCA

FirmoLab nasce in partenariato con lo

Stabilimento Chimico Farmaceutico Militare di Firenze.

Esempio innovativo di collaborazione pubblico-privato.Un laboratorio destinato alla ricerca nel campo della biologia cellulare e della genetica molecolareper la cura delle malattie dello scheletro.

RICERCA

RARE BONE DYSPLASIAS

Over 400 different disorders

Il nostro FOCUS!

Eccessi di Mineralizzazione

Calcinosi Tumorale Esostosi Multiple Artrosi con Osteofiti

FirmoLab: The Stakeholders

PeopleMedia and Communication