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  1. Book ; Online: Patient Engagement in Health and Well-Being: Theoretical and Empirical Perspectives in Patient Centered Medicine

    Graffigna, Guendalina / Vegni, Elena

    2018  

    Abstract: At present citizens are more aware of their health and care rights and more literate about their disease. Furthermore the continuous development of technological and bio-medical solutions are alimenting the expectation for longer and better life ... ...

    Abstract At present citizens are more aware of their health and care rights and more literate about their disease. Furthermore the continuous development of technological and bio-medical solutions are alimenting the expectation for longer and better life expectancy, even despite the diagnosis. Patients require to be higher involved in the decision making about their care and are willing to deeply entangle all the possible treatment options, their advantages, and their risks. In other terms, citizens today want to be treated not only as "client" but mainly as partners of the medical action and as co-authors of the success of their healthcare pathway.Due to this socio-psychological change in patients' attitude, healthcare systems today are claimed to a deep revision of their practices and organizational models in order to become better responsive to patients' expectation and more sustainable and effective in the management of their services.Patient participation and engagement in healthcare management, indeed, is today acknowledged by policy makers and healthcare experts as a valuable option to orient changes and actions of the healthcare systems. Several empirical studies have demonstrated the positive outcomes of a participatory care approach at the clinical, psychosocial, and economic levels. Patient Engagement, thus, appears today not only an ethical but also a pragmatic imperative for the innovation and the improvement of healthcare system. Moving from these premises, this e-book collects first research experiences, conceptual contribution and review of good practices in the area of Patient Engagement promotion. The e-book also discusses the relevance and the theoretical linkages between the concept of Patient Engagement and that one of Patient Centered Medicine
    Keywords Science (General) ; Psychology
    Size 1 electronic resource (127 p.)
    Publisher Frontiers Media SA
    Document type Book ; Online
    Note English ; Open Access
    HBZ-ID HT020097498
    ISBN 9782889453702 ; 2889453707
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Article ; Online: Patient engagement as a crucial asset of preclinical biomedical research.

    Graffigna, G

    EBioMedicine

    2021  Volume 71, Page(s) 103528

    MeSH term(s) Biomedical Research ; Humans ; Patient Participation
    Language English
    Publishing date 2021-08-19
    Publishing country Netherlands
    Document type Journal Article ; Comment
    ZDB-ID 2851331-9
    ISSN 2352-3964
    ISSN (online) 2352-3964
    DOI 10.1016/j.ebiom.2021.103528
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 7090: Show issues Location:
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  3. Article ; Online: Engagement del paziente, crescita della consapevolezza e miglioramento dell’assistenza.

    Graffigna, Guendalina

    Recenti progressi in medicina

    2020  Volume 111, Issue 11, Page(s) 678–681

    Abstract: Research on citizen and patient health engagement is growing and enriching with contributions from many different disciplines. Quantitative studies, even randomized studies, are demonstrating that, if the parameter of patient engagement is measured, we ... ...

    Title translation Patient engagement, raising awareness and improving care.
    Abstract Research on citizen and patient health engagement is growing and enriching with contributions from many different disciplines. Quantitative studies, even randomized studies, are demonstrating that, if the parameter of patient engagement is measured, we really start to see effects, both in terms of improving therapeutic adherence, and in terms of increasing preventive behaviors. Improvement of subjective parameters, linked to the perceived quality of life, is measured. Patient engagement can also have a positive impact from the point of view of health expenditure. A very intriguing field of research concerns the reasons why certain behaviors are not activated, or are activated in a certain direction and not in another: it must be taken into consideration that patients may be more or less willing, from a motivational and psychological point of view, to be involved and this choice must be respected. In fact, the subjective dimension of why, if, how and when the patient is available to get involved in the engagement initiatives should be taken into account and in some way systematized.
    MeSH term(s) Humans ; Patient Participation ; Quality Improvement ; Quality of Life
    Language Italian
    Publishing date 2020-11-18
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 138266-4
    ISSN 2038-1840 ; 0034-1193
    ISSN (online) 2038-1840
    ISSN 0034-1193
    DOI 10.1701/3474.34573
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Michael H. Agar Lively Science Award for 2020.

    Graffigna, Guendalina

    Qualitative health research

    2020  Volume 30, Issue 10, Page(s) 1467

    MeSH term(s) Agar ; Awards and Prizes ; History, 20th Century ; History, 21st Century ; Humans ; United States
    Chemical Substances Agar (9002-18-0)
    Language English
    Publishing date 2020-07-15
    Publishing country United States
    Document type Historical Article ; Journal Article
    ZDB-ID 1275716-0
    ISSN 1552-7557 ; 1049-7323
    ISSN (online) 1552-7557
    ISSN 1049-7323
    DOI 10.1177/1049732320932885
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 4632: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (2.OG)
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  5. Article ; Online: Patient engagement as a crucial asset of preclinical biomedical research

    G. Graffigna

    EBioMedicine, Vol 71, Iss , Pp 103528- (2021)

    2021  

    Keywords Medicine ; R ; Medicine (General) ; R5-920
    Language English
    Publishing date 2021-09-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    Full text online

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  6. Article ; Online: Food-Related Behavioral Patterns in Patients with Inflammatory Bowel Diseases: The Role of Food Involvement and Health Engagement.

    Palamenghi, Lorenzo / Usta, Dilara / Leone, Salvo / Graffigna, Guendalina

    Nutrients

    2024  Volume 16, Issue 8

    Abstract: Nutrition has been acknowledged as crucial in IBD and is relevant to patients' motives behind food choices, which are affected by health engagement (HE) and food involvement (FI). This study aimed to profile IBD patients according to their levels of ... ...

    Abstract Nutrition has been acknowledged as crucial in IBD and is relevant to patients' motives behind food choices, which are affected by health engagement (HE) and food involvement (FI). This study aimed to profile IBD patients according to their levels of health engagement and food involvement to identify patterns of different motives behind food choices, particularly regarding the use of food to regulate mood. A cross-sectional study was conducted with 890 Italian IBD patients who completed an online survey in April 2021. We measured health engagement, food involvement, motives behind food choices, emotional states, and food-related quality of life (Fr-QoL). K-means cluster analysis was performed to identify participants with similar levels of health engagement and food involvement. Four clusters were identified: "Health-conscious (high HE, low FI)", "Balanced (high HE, high FI)", "Hedonist (high FI, low HE)", and "Careless (low FI, low HE)". Clusters with high FI are inclined toward seeking pleasurable food, but when supported with high health engagement, individuals were less prone to use food to manage mood. Groups with higher health engagement demonstrated lower hospitalization rates and relapses and better Fr-QoL. Profiling IBD patients regarding FI and HE could aid clinicians in identifying individuals at greater risk of maladaptive food-related behaviors.
    MeSH term(s) Humans ; Male ; Female ; Inflammatory Bowel Diseases/psychology ; Adult ; Cross-Sectional Studies ; Quality of Life ; Middle Aged ; Feeding Behavior/psychology ; Food Preferences/psychology ; Health Behavior ; Surveys and Questionnaires ; Motivation ; Italy ; Young Adult ; Aged
    Language English
    Publishing date 2024-04-16
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2518386-2
    ISSN 2072-6643 ; 2072-6643
    ISSN (online) 2072-6643
    ISSN 2072-6643
    DOI 10.3390/nu16081185
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Evolution of Milk Consumption and Its Psychological Determinants: A Mini-Review.

    Castellini, Greta / Graffigna, Guendalina

    Frontiers in nutrition

    2022  Volume 9, Page(s) 845154

    Abstract: The consumption of lactose-free products and in particular lactose-free milk is increasing worldwide. Although many studies claim that this dietary trend is mainly determined by the number of lactose intolerant people that is growing, others state that ... ...

    Abstract The consumption of lactose-free products and in particular lactose-free milk is increasing worldwide. Although many studies claim that this dietary trend is mainly determined by the number of lactose intolerant people that is growing, others state that most of them self-report an intolerance that has not been diagnosed by medical tests. However, many researchers reported that the consumption of lactose-free milk may put the consumers' health at risk especially when the subjects are not intolerant. Consequently, understanding this new dietary trend considering its main determinants it is necessary to generate educational and intervention campaigns useful to guide people toward healthier and more adequate eating styles. For these reasons we conducted a narrative mini review to summarize the factors contributing to the consumption of lactose-free milk as an alternative to cow's milk, exploring intrinsic and extrinsic product characteristics, biological and physiological, as well as psychological, situational and socio-cultural factors. This narrative mini-review shows that there are six categories of factors that affect the consumption of lactose-free milk. In particular, the intrinsic aspects linked to the product and the socio-demographic characteristics of the consumer are the most explored. On the contrary, situational and socio-cultural factors are the least studied. Finally, this study argues that there are too few studies that investigates the emotional, identity and social aspects underlying these food choices, suggesting the development of future research that investigate the implicit consumer subjective levers to decipher lactose-free milk consumptions.
    Language English
    Publishing date 2022-02-11
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2776676-7
    ISSN 2296-861X
    ISSN 2296-861X
    DOI 10.3389/fnut.2022.845154
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: "Food is more than just a source of nutrients": A qualitative phenomenological study on Food Involvement.

    Castellini, Greta / Graffigna, Guendalina

    Appetite

    2022  Volume 178, Page(s) 106179

    Abstract: The role of food in people's life has changed dramatically in recent years. In particular, it is becoming more symbolic and linked to subjective values. For this reason, recent scientific research has delved into the construct of Food Involvement. ... ...

    Abstract The role of food in people's life has changed dramatically in recent years. In particular, it is becoming more symbolic and linked to subjective values. For this reason, recent scientific research has delved into the construct of Food Involvement. However, to the best of our knowledge, there are no empirical studies aimed at exploring this construct deepening the symbolic value assumed by it. Accordingly, the current study aims to qualitatively explore the personal meanings that consumers attribute to Food Involvement and to detect the psychological domains that characterize this lived experience. The study included a purposive sample of adults selected according to three different prototypical profiles until reaching data saturation: mothers, cooks or athletes, all with medium or high levels of Food Involvement. Fourteen in-depth phenomenological interviews were conducted and analyzed according to the principles of Interpretative Phenomenological Analysis (IPA). Results showed that Food Involvement is characterized by a deep relationship between the consumer and food that allows satisfying one's ambitious transformative project that involves the self, the other or both actors. This symbolic role played by Food Involvement was recognized by both those with medium or high involvement. However, the orientations in one's transformative process of mothers, athletes and cooks is different. In particular, the transformative project of mothers is oriented towards the other, that of cooks towards the self and athletes' project towards the self and others. This study gives a scientific contribution to the literature about Food Involvement to create effective measurement scales that assess the symbolic role that Food Involvement has in people's lives.
    MeSH term(s) Adult ; Athletes ; Female ; Humans ; Mothers ; Nutrients ; Qualitative Research ; Research Design
    Language English
    Publishing date 2022-07-20
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1461347-5
    ISSN 1095-8304 ; 0195-6663
    ISSN (online) 1095-8304
    ISSN 0195-6663
    DOI 10.1016/j.appet.2022.106179
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Uncovering influential factors in human antibiotic prescribing: a meta-synthesis study informed by the Theoretical Domains Framework.

    Acampora, M / Paleologo, M / Graffigna, G / Barello, S

    The Journal of hospital infection

    2023  Volume 144, Page(s) 28–55

    Abstract: This study aimed to identify modifiable determinants (facilitators and barriers) related to the choice of prescribing antibiotics in human medicine across clinical settings. Enhanced management of antibiotics can help slow the spread of resistant ... ...

    Abstract This study aimed to identify modifiable determinants (facilitators and barriers) related to the choice of prescribing antibiotics in human medicine across clinical settings. Enhanced management of antibiotics can help slow the spread of resistant bacteria. A qualitative meta-synthesis approach was used, according to Sandelowski and Barroso's method. Included studies were evaluated using the Critical Appraisal Skills Programme. Findings were extracted and organized to form a qualitative meta-summary. The Theoretical Domains Framework, the Capabilities-Opportunities-Motivation (COM-B) model and the Behaviour Change Wheel were used as a coding matrix for data interpretation. The analysis of 63 included studies revealed barriers and facilitators in 12 of 14 domains specified by the Theoretical Domains Framework. Prescribers' capabilities, motivation and opportunities were found to be the main drivers of antibiotic prescribing behaviour. Knowledge, skills, beliefs, expectations, the influence of patients and colleagues, organizational culture and infrastructure characteristics have a significant impact on prescribing behaviours. A comprehensive inventory of factors related to antibiotic prescribing has been compiled. Interventions to promote appropriate antibiotic prescribing should take a systemic approach rather than focusing solely on individual-level variables. Furthermore, the adoption of co-design approaches for such interventions is desirable to ensure greater applicability and sustainability in the real-world context of organizations.
    MeSH term(s) Humans ; Anti-Bacterial Agents/therapeutic use ; Motivation ; Practice Patterns, Physicians'
    Chemical Substances Anti-Bacterial Agents
    Language English
    Publishing date 2023-12-11
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 779366-2
    ISSN 1532-2939 ; 0195-6701
    ISSN (online) 1532-2939
    ISSN 0195-6701
    DOI 10.1016/j.jhin.2023.11.017
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1586: Show issues Location:
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  10. Article ; Online: How does patient engagement work in a real-world setting? Recommendations, caveats, and challenges from a psychosocial perspective.

    Graffigna, Guendalina / Barello, Serena

    Patient education and counseling

    2022  Volume 105, Issue 12, Page(s) 3567–3573

    Abstract: Objective: To propose a possible taxonomy for diverse stakeholders outside the healthcare communication field and to promote meaningful patient engagement in healthcare settings. Moreover, to support them in making more coherent policy, strategy, and ... ...

    Abstract Objective: To propose a possible taxonomy for diverse stakeholders outside the healthcare communication field and to promote meaningful patient engagement in healthcare settings. Moreover, to support them in making more coherent policy, strategy, and practice decisions to enhance patient participation in their healthcare systems.
    Discussion: This paper is part of the pEACH Position Papers Series and provides a critical and experience-based reflection on patient engagement in different healthcare-related settings. We propose a framework that operationalises actionable patient engagement at the micro-meso-macro levels. Finally, the authors will highlight some "points of attention" that need to be addressed to support patient engagement implementation in healthcare organisations.
    Conclusion and practice implications: Understanding and systematising the established meanings of patient engagement through a psychosocial lens is critical to addressing the following questions: "how can various health care organisations ensure that authentic patient engagement informs decision-making and strategies", "how can these organisations build authentic connections with their patients", and importantly, "how can patients gain valuable and reliable insights through patient engagement"? Answering these questions can enable key stakeholders to make informed decisions that ensure the quality and effectiveness of patient engagement initiatives in different healthcare settings.
    MeSH term(s) Humans ; Patient Participation ; Communication
    Language English
    Publishing date 2022-08-18
    Publishing country Ireland
    Document type Journal Article
    ZDB-ID 605590-4
    ISSN 1873-5134 ; 0738-3991
    ISSN (online) 1873-5134
    ISSN 0738-3991
    DOI 10.1016/j.pec.2022.08.009
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1465: Show issues Location:
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