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Project Number 2005303

Priority area and action HD 2005-Promoting health and prevent disease through addressing health determinants across all policies and activities

Official Title Move Europe - A Campaign for the Improvement of Lifestyle-related Workplace Health Promotion in Europe

Name of beneficiary DIPARTMENT OF MEDICAL AND SURGICAL SPECIALTIES AND PUBLIC HEALTH University of Perugia

Postal Address Via del Giochetto, 06122 Perugia, Italy Tel +39755857365 Fax+39755857317 www.unipg.it www.move-europe.it www.enwhp.org enwhp@unipg.it

Name of Project Leader Masanotti Giuseppe

European Community contribution 1.129.817

Duration of project (in months) 36

Associated partners/Countries Vinnueftirlit Rkisins (Administration of Occupational Safety and Health) established in Reykjavik (Iceland) Bundesverband der Betriebskrankenkassen (Federal Association of Health Insurance Funds) established in Essen (Germany) Department of Health established in London (United-Kingdom) Ustav Normlnej a Patologickej Fyziolgie Slovenskej Akadmie Vied (Institute of Normal and Pathological Physiology of the Slovak Academy of Sciences) established in Bratislava (Slovakia) Tyterveyslaitos (Finnish Institute of Occupational Health) established in Helsinki (Finland) Tervishoiuamet (Health Care Board) established in Tallinn (Estonia) Institute of Social and Preventive Medicine established in Athens (Greece) PreventLux, Centre de Promotion du Bien-tre au Travail established in Leudelange (Luxembourg) Riga Stradina Universitate (Institute of Occupational and Environmental Health of Riga Stradins University) established in Riga (Latvia) . (Ministry of Labour and Social Insurance) established in Nicosia (Cyprus) Ministry of Health Health Promotion Department established in Msida (Malta) National Centre of Public Health Protection established in Sofia (Bulgaria) Arbetslivsinstitutet (National Institute for Working Life) established in Stockholm (Sweden) Hu Orszgos Egszsgfejlesztsi Intzet (National Institute for Health Development) established in Budapest (Hungary) Sttni Zdravotni stav (National Institute of Public Health) established in Praha (Czech Republic) Instituto Nacional de Seguridad e Higiene en al Trabajo established in

Madrid (Spain) Escola Nacional de Sade Pblica Established in Lisboa (Portugal) TNO Quality of Life/Work and Employment established in AS Hoofddorp - Amsterdam (The Netherlands) Instytut Medycyny Pracy (The Nofer Institute of Occupational Medicine) established in Lodz (Poland) Obersterreichische Gebietskrankenkasse established in Linz (Austria) Instituut voor Preventie, Bescherming en Welzijn op het Werk (Institut pour la Prvention, la Protection et le Bien-tre au Travail) established in Brussels (Belgium) Fundatia Romtens (The Romtens Foundation) established in Bucharest (Romania) Klinicni Center Ljubljana Zavod (University Medical Centre Ljubljana) established in Ljubljana (Slovenia) Work Research Centre Limited established in Dublin (Ireland) Statens arbeidsmiljinstitutt (National Institute of Occupational Health) established in Oslo (Norway)

ABSTRACT 1. General Objectives


The main goal of the project is to contribute towards improving the health status of the citizens in the European Union by disseminating quality- and evidence-based lifestyle-related health promotion at the workplace. General goals include: To convince European companies and other organisations to invest in programmes which help to improve life-style oriented behaviour in Europe, with a special focus to the following 4 fields for intervention: Physical Exercise, Smoking Prevention, Nutrition, Mental health To raise more awareness among stakeholders, companies and general public on the needs and benefits of Workplace Health Promotion (WHP) in the defined target fields. To foster exchange of experiences in the field of life-style related WHP and to facilitate the cross-border knowledge-transfer, particularly between states with a further advanced status and those lacking behind. To improve the practice and quality of lifestyle related WHP and of WHP in general. With this project the ENWHP seeks: To develop expertise of quality approaches and a concept for a quality scheme in the field of lifestyle related WHP. To develop instruments and guidelines for the assessment of good practice example To develop and implement an advocacy strategy which shall lead to efficient alliance building and to a successful recruitment and integration of external expertise in order to increase visibility and the number of supporting multipliers and dissemination channels. To attract companies from all countries to participate in the campaign by assessing their WHP activities To develop an online-generated questionnaire for self-assessment which will challenge organisations to self-reflect on WHP and lifestyle topics To collect Models of Good Practice in 26 countries To identify and award Good Practice examples To create conference platforms for knowledge exchange.

2. Strategic relevance & contribution to the Public health programme


To contribute towards improving the health status of the citizens in the European Union by disseminating quality- and evidence-based lifestyle-related health promotion at the workplace.

3. Methods and means


The initiative is designed as a campaign which sets quality standards for Good Practice in behaviour-related WHP, identifies complying models and disseminates these results throughout Europe. The campaign seeks to tackle European companies both directly as well as through multipliers and by targeting the general public. Companies shall be addressed directly via an electronic company database, providing them with information on the quality standard and benefits of lifestyle related workplace health promotion. They will be invited to join the campaign and to assess their health programmes through the questionnaire for self-assessment. Furthermore, the national contact offices will disseminate the quality standard and both identify and invite companies from their countries to join. For engaging intermediary stakeholders, ENWHP in the past has developed a dissemination strategy with support of the Commission, which predominantly rests on national infrastructures established in approx. 20 countries. These national networks and forums are open platforms for interested intermediary stakeholders and facilitate the exchange of information and experiences. The campaign will integrate these networks to disseminate project outcomes (quality criteria, reports, guidelines and recommendations, MOGPs, etc). To raise awareness among companies, stakeholders and the general public in each country, specific national conditions shall be considered. All relevant materials including press materials, brochures and products shall be translated and adapted to national requirements. The online questionnaire for self assessment will be made available on the ENWHP website in approx. 20 languages. Promoting nationalised media relations helps to communicate the campaign to the general public. Marketing tools such as partnership labels, audits and the contest will provide additional hooks for communication, creating incentives for participating companies and partners to get themselves engaged in the dissemination process. This shall result i.e. in national press coverage on company audits. The reports, model compilations, the Questionnaire and other products of the project will be disseminated via the networks secretariat, web-sites of the ENWHP, national fora and partners. The national dissemination symposiums provide a platform for presenting and discussing the campaigns issues and results (quality criteria, MOGP, recommendations, etc.) according to local needs. Since these events centre around the European conference, dissemination in both ways, from national to European level and vice versa, is possible. The European conference will also be the platform for awarding the models. The literature review, the quality standard and the developed tools will be discussed with NCOs, partners and experts from the related fields in Expert and Business Meetings. The advocacy programme includes actions such as advocacy kickoff meetings in Brussels and in each country.

4. Expected outcome
Outputs A list of organizations which are committed to improve health at workplaces A list of documented and audited Models of Good Practice Online-questionnaire for self-assessment A series of national events in the participating countries A European Conference Deliverables A report on the current status of European workplace health in the areas of physical exercise, smoking prevention, nutrition and mental health. Good Practice Guide for lifestyle related Workplace Health Promotion An evaluation report documenting the impacts of the campaign A Catalogue of Policy Recommendations The formation of a strong pan-European alliance of constituents working together for more health at workplaces A documentation of a general increase in the awareness of life-style related health risks at the workplace as well as a higher level of perception of the beneficiaries of life-style related interventions at workplaces in European countries.

Project Number 2005307

Priority area and action HD 2005-Promoting health and prevent disease through addressing health determinants across all policies and activities

Official Title Prioritization of building materials as indoor pollution sources

Name of beneficiary (University of West Macedonia) Department of Engineering and Management of Energy Resources Engineering

Postal Address Kastorias and Flemming Street GR-50100 Kozani GREECE Tel: +30/24610 49370-1-2 Fax: +30/24610 49371 Web site: www.uowm.gr

Name of Project Leader John BARTZIS

European Community contribution 966.707,00

Duration of project (in months) 36

Associated partners/Countries () (State General Laboratory of Cyprus) established in Cyprus

ABSTRACT 1. General Objective The project aims to thoroughly assess the human exposure to air hazards emitted by building materials commonly used in Europe. The project output is a major step to gain better understanding of the sources hazardous compounds existing in the indoor environment and play a key role in the determination of the well-being and comfortable living of occupants. More specifically, emission factors and exposure levels from building materials emissions most frequently used in Europe will be obtained. This wealth of information would be subsequently used by policy makers, health professionals and building material producers in the enlarged European Union. The general objectives of the project are: (1) To assess existing situation by collecting and reviewing existing indoor emission data from construction products covered by the CPD as well as emissions from other building materials, mostly used in Europe. (2) To conduct laboratory tests to study and prioritize building materials based on their toxic emissions in the indoor environment. (3) To conduct indoor pollution measurements in houses and public buildings. Effort will be made some schools to be included. The above objectives illustrate that the proposed action contains all the requirements needed to build a comprehensive and scientifically sound database that characterizes indoor emissions and toxic levels from building products and materials widely used within the enlarged European Union. The specific objectives of the project include: 1. The collection and review of existing emission factors from construction products covered by the CPD and other building materials used in Europe. The existing database of emitted compounds should be thoroughly analyzed to raise a variety of public health related questions and issues. Emission data will be used not only for a first step prioritization of building materials but also to quantify their emissions and expected exposure over different periods of time. Synergies with relevant research funded activities will be developed as well as sustained co-operation between WHO and the Council of Europe, to avoid overlapping and promote consistency and complementarity of approaches. The outcomes of the project will be exploited in order to recognize gaps in knowledge and existing data. 2. The execution of a large number of laboratory tests needed to characterize individual building material emissions. The test method ECA 18, recommended by the European Collaborative Action to characterize the behaviour of building materials, will be used through the whole experimental set up. The experiments will be carried out on an environmental chamber, offering the opportunity to efficiently study building materials emissions in the indoor environment. The analytical methodologies will run under a Quality System that guaranty the Quality Control of the protocols applied during the whole experimental work. 3. To conduct indoor pollution measurements in private houses and public buildings. 4. The output of the previous tasks will allow the calculation of emission factors that will be used to make a prioritisation of building materials used indoor and estimate chemical exposure concentration according to selected scenarios relevant to indoor environments. 2. Strategic relevance & contribution to the Public health programme Building products and materials represent the largest surfaces indoors and are the largest contributors of VOCs, formaldehyde and other pollutants, in the indoor environment. These substances are either in the original constituents used or created during the manufacturing process. This justifies the original philosophy behind source control of building product VOC emissions, as originally recommended by WHO for Europe in 1989 and recently in 1999. In the Guidance Paper H, of the construction products Directive-89/106/EEC, the most common substances identified in the mandates are asbestos, formaldehyde, cadmium, pentachlorophenol, radioactive substances and heavy metals. According to this Guidance, the fact that a substance is considered as dangerous does not automatically mean that the product which contains it is also dangerous. Solid scientific evidence is required to conclude whether there are health effects from the contents or the release of a substance, from building products and materials. The direct human health effects of indoor air pollution on the respiratory system vary according to both the intensity and the duration of exposure, and also with the human status of the population exposed. Certain parts of the population may be at greater risk, example, infants and the elderly, those already suffering from respiratory related diseases, hyper-responders and people exercising. Indoor organic compounds are released from a variety of building materials: vinyl tile and coving, carpets, particleboard and power cables. A large variety of consumer products can contribute to indoor levels of VOCs and SVOCs, including paints, paint thinners strippers and adhesives. Acid anhydrides/phthaltes are used in a wide range of products such as polishes and water based paints. High indoor concentrations, coupled with the fact that people spend a larger fraction of time indoors, make the indoor contribution to the total personal VOC exposure a serious health hazard. Thus, slow release of volatile components from polymeric materials can affect the performance and durability of products, and adversely affect indoor air quality (IAQ) and the well being of building occupants. In addition to gases and airborne particles, indoor fibres may pose health risks. As an example, the use of asbestos in US buildings has been banned. Avoiding asbestos fibres in old buildings is a top priority in indoor air quality management. Synthetic vitreous

fibres can be found in spray-applied fireproofing, ceiling tiles, thermal insulation, sound insulation, fabrics, filtration components, plasters and acoustic surface treatments. Vitreous fibres have been suspected as possible causes of certain SBS symptoms and may cause irritation to the eye, skin, mucous membranes and respiratory tract. Marked as a healthier' and greener alternative of vitreous fibres, the cellulose fibre is a recycled product made from newsprint. It contains boric acid for fire retardation. However, little information is available on the health effects of cellulose fibre exposure, although concerns have been raised about their potential to cause irritation to the mucous membranes and the upper respiratory tract. Inhomogeneity of industrial building materials with respect their indoor emissions is to be expected. Control of pollutant emissions from source materials is considered to be the optimum strategy for the control of indoor air pollution. This approach allows the identification and control of the major sources of hazardous pollutants, where these sources are shown to lead to unacceptable pollutant exposures. However, indoor pollutant emission control requires that: Source materials be properly identified as major contributors to the type, quantity and persistence of hazardous indoor air pollutants These properties are measurable On the basis of such measurement, criteria for low-polluting performance in buildings can be specified. Material emission mechanisms are complicated and therefore in a testing procedure many assumptions and compromises must be done and defined in order to ensure the repeatability and comparability of test results. The most important examples of these are time dependence of the emissions and the effects of substrate material when applying liquid products on different substrates. 3. Methods and means Initially, there will be a detailed listing of the construction products and the other building materials commonly used through-out Europe. This information will form the starting point of a database that will include information about the hazardous and toxic compounds emitted. Concentration levels of emitted compounds will be determined in two stages. Initially, an in-depth literature review including related EU projects and WHO reports will be performed to mine emissions data from building materials. The collected data will be quality assessed to identify those values that need to further examined. The second stage is to experimentally verify collected data and obtain data not available in the literature, by conducting a series of laboratory experiments. The test method ECA 18, recommended by the European Collaborative Action to characterize the behaviour of building materials, will be used through the whole experimental set up. The experiments will be carried out on an environmental chamber under temperature, relative humidity, illumination and ventilation rate conditions specified in ECA18. The analytical methodologies will run under a Quality System that guaranty the Quality Control of the protocols applied during the whole experimental work. Emphasis will be given to VOC (e.g. benzene, and its homologes) and the low molecular weight carbonyls (aldehydes and ketones e.g. formaldehyde, acetaldehyde, acetone). Indoor pollution measurements will be conducted in at least five (5) countries, including two (2) houses and two (2) public buildings, at two different seasons. In parallel, a questionnaire to identify the major sources of pollution in each particular building will be developed. This questionnaire will aim to cover all potential direct and indirect sources of emission and will be used as a tool for interpretation of the results and if necessary adjustment of the plan of emission campaign. The scientific validity of the questionnaire and the thorough interpretation of the results will be assessed using statistical analysis. The evaluation of the questionnaire and the results of the real measurements of indoor pollution will be used for verification of the results of the environmental chamber tests. Further more the results can feed the exposure model under real conditions. The indoor evaluation will be carried out during winter and summer period to catch any seasonal differences. The analysis will be carried out at the Accredited Lab of the State General Laboratory (Lab of Environment II). The analytical methodologies will run under a Quality System that will guarantee the Quality Control of all the results and evaluation. 4. Expected outcome Establish ways for the best possible communication of the results to a wide audience. There will be strong encouragement for the publication of the results by all partners. Mechanisms will include publications in journals, national and international forums and conferences. A home page on the internet and a CD-ROM with project outputs will be created. The dissemination of the project actions and results on scientific, health professionals and national and local construction related authorities. This will be aid by a mailing list of potential end users that will receive information material. It is foreseen that a Special Workshop will be organised with the aim to disseminate the project results and achievements and finally produce guidelines and best practice advice concerning emissions from building materials. The major action is the compilation of a database consisting of an analytic description and classification of building materials commonly used in construction process through out the enlarged European Union. This will be aided by national and European databases, consumer's protection organizations, and literature review. Data available in the literature and WHO projects will be used. This process will be enriched with results from chamber tests, when they become available. It is foreseen that building materials will be classified with respect to their emission levels. High risk materials will be prioritized to set up guidelines and policy making activities. Monitoring pollutant concentrations in the environmental test chamber. Chemicals released from the building materials in the environmental test chamber will be monitored at defined values of temperature, relative humidity and ventilation. This Task will be executed by a sub-contracting organization after the issuing of a call for tenders. Compilation of data set and reporting. The objective here is to analyse and evaluate the data sets obtained during the experimental work and provide reports summarizing the emission characteristics as calculated from the compounds measured in the environmental chamber test. The target compounds include the aromatics (benzene and its homologes) and carbonyls (aldehydes and ketones e.g. formaldehyde, acetaldehyde, acetone). A report per material tested will be issued. The output of the previous task will allow the calculation of emission factors that will be used to make a prioritisation of building materials used indoor and estimate chemical exposure concentration according to selected scenarios relevant to indoor environments. Furthermore, a questionnaire will be produced that will aid in the identification of the major sources of pollution in each particular building. This questionnaire will cover issues of new and old furniture, carpets, flooring, building and painting materials used, and other information to cover all materials, which will be used for the experiments in the chamber tests. Finally, this questionnaire will be used as a tool for interpretation of the results and fine-tuning of the plan for indoor pollutants measurements. Measurement campaigns will be conducted in order the indoor pollutants to be monitored. These campaigns will take place in at least five (5) countries and the will be performed in two (2) houses and two (2) public buildings at two different seasons, in each country. Effort will be made to include schools, as well, among the public buildings. The compounds to be analysed can be classified in the following categories: VOC (e.g. benzene, and its homologes) and the low molecular weight carbonyls (aldehydes and ketones e.g. formaldehyde, acetaldehyde, acetone). At least 40 samples are foreseen. However, based on the results and the needs identified, the number can be increase up to double (SGL). Moreover 20 complementary measurements

for quality assurance purposes will be conducted.

Project Number 2005308

Priority area and action HD 2005-Promoting health and prevent disease through addressing health determinants across all policies and activities

Official Title Health in the World of Work Prolonging Healthy Working Years

Name of beneficiary FIOH - Finnish Institute of Occupational Health

Postal Address Tyterveyslaitos, Topeliuksenkatu 41 a A FI-00250 Helsinki FINLAND Tel: +358/30-4741 Fax: +358/30474.2779 email: anneli.vartio@ttl.fi Web site: www.ttl.fi

Name of Project Leader Harri VAINIO

European Community contribution 247.865

Duration of project (in months) 20

Associated partners/Countries none

ABSTRACT 1. General Objective The general objective of the project is to improve occupational health at workplaces in the European countries. The general objective include enhancing the importance of health at work in social, employment and health policies to increase healthy working years and attract more people to enter and remain in labour market. In addition, the objective is to invest in maintenance and promotion of work ability, workplace development and workplace wellbeing to improve the quantity and quality of jobs and productivity of work, and attach and mainstream health at work to other policies of the EU and EU member states. The ultimate aim of the project is to get health at work to the agenda of the EU to improve health of the employees and significantly increase the attractiveness to enter and remain at work and labour market. Therefore, a political approach is needed for the solution of health at work by policies and strategies of the EU and EU member states. 2. Strategic relevance & contribution to the Public health programme The project contributes to the objectives of the Public health programme by enhancing health-promoting actions, networking between EU countries, pulling together expertise and experience from Member States on effective methods for implementation of health promotional and preventive interventions, and on strengthening intersectoral cooperation, especially the cooperation between public health, occupational health services, occupational health and safety and other actors in health at work to increase opportunities for better health and quality of the work life. By this the general aim and objective of the Public health programme concerning promoting health and preventing disease through addressing health determinants across all policies and activities will be supported. 3. Methods and means The project will bring together leading European experts and authorities in the field of workplace health promotion and attractiveness of the work life to discuss and develop the issue further. Based on the background reports and presentations given in two preparatory workshops in November 2005 and April 2006, and a Meeting in June 2006 an expert recommendation will be produced, agreed and submitted as input to the informal meeting of the Ministers for Employment, Social Policy and Health during the Finnish EU-presidency. The expert input including the expert recommendation will be gathered together in a publication widely distributed among EU and EU accession countries. The project leader and the organizing committee will be leading the project in collaboration with national officials and social partners. The Organising Committee consists of representatives of the FIOH, Finnish Ministry of Social Affairs and Health, Ministry of Labour, National Public Health Institute and social partners. The International Advisory Group will consist of representatives of ILO and WHO, EU DG SANCO and DG Employment representatives, and European social partner's associations in addition to Finnish members. 4. Expected outcome Through the international workshops and meetings arranged by the project state-of-the-art information on the subject will be disseminated among the EU countries, the awareness on workplace health promotion (WHP) will be raised and plans and programmes of developing WHP in EU countries gathered. The results of the project will be disseminated in the form of reports in the workshops. The ultimate outcome is to produce an expert recommendation to be submitted for discussions in the informal meeting of the work, social and health ministers during the Finnish EU presidency to attach WHP and health at work concepts to the EU and EU member states policies. The publication Health in the World of Work. Workplace Health Promotion as a Tool for Improving and Extending Work Life (http://www.stm.fi/Resource.phx/publishing/documents/9301/index.htx) will further disseminate the results of the project in EU member states). For further information see also the publication of J. Ilmarinen, FIOH: Towards a Longer Worklife! (to be ordered from the FIOH bookstore (https://komu.ttl.fi/default.aspx.

Project Number 2005309

Priority area and action HD 2005-Promoting health and prevent disease through addressing health determinants across all policies and activities

Official Title

Name of beneficiary Generalitat de Catalunya Departament de Salut (Department of Health of the Government of Catalonia)

Postal Address Travessera de les Corts 131-159 ES-08028 Barcelona SPAIN Tel: +34 93 227 29 00 Fax: + 34 93 227 29 00 Web site: www.phepa.net phepa@gencat.net joan.colom@gencat.net

Name of Project Leader Joan COLOM

EC contribution (in euro) 615.868

PHEPA - Project on Disseminating brief interventions on alcohol problems Europe wide

Duration of project (in months) 24

Associated partners/Countries Wetenschappelijke Vereniging van Vlaamse Huisartsen (Scientific Society of Flemish GP), Belgium ,, 21, Horizonti 21 Foundation, Bulgaria Sttn Zdravotn stav (National Institute of Public Health), the Czech Republic Research Unit of General Practice, Denmark Alkoholpolitisk Landsrad (Danish Alcohol Policy Network), Denmark Northumbria University, Division of Psychology, the United Kingdom hendus Alkoholivaba Eesti (The Estonian Temperance Union), Estonia University of Tampere, Medical School,GP Department, Finland ANPAA Association Nationale de Prvention en Alcologie et Addictologie, France Zentralinstitut fr seelische Gesundheit (Central Institute of Mental Health), Germany Hellenic Society for the study of addictive substances , Greece MAGYAR Addiktologiai Tarsasag (HAA - Hungarian Association of Addictologists), Hungary The Irish College of GP, Ireland Istituto Superiore di Sanit, Italy Narkologijas Valsts Agentra (State Addiction Agency), Latvia Vilniaus Priklausomybs Ligu Centras, Lithuania Stichting TRIMBOS Instituut (The Netherlands Institute of Mental Health and Addiction), The Netherlands Kolegium Lekarzy Rodzinnych W Polsce (The College of Family Physicians), Poland Direcao Geral da Sade (Directorate of Public Health), Portugal Ministerie Integrarie Europene (Ministry of European Integration), Romania Research Institute of child psychology and psychopathology, Slovakia Univerza V Ljubljani, Medicinska Fakulteta (University of Ljubljana, Medical Faculty), Slovenia Institute dInvestigacions Biomdiques August Pi I Sunyer, Universitat de Barcelona (Institute August Pi I Sunyer,) Alcohol Unit Spain Linkpings Universitet, Department of Social Medicine, Sweden Ttnsuz Yasam Dernegi (TYAD) (Tobacco Free Life Association), Turkey

ABSTRACT 1. General Objective The general objective of the present project is to build on the experience and products of PHEPA1 and promote the dissemination of best practice on early identification and brief interventions on alcohol problems within the general population.2. Strategic relevance & contribution to the Public health programme The project aims to support the European Commission and the European Member States in the implementation of effective policy to reduce the harm done by alcohol, in line with the Council Conclusions of 5 June 2001 on a Community strategy to reduce alcohol-related harm, reiterated by the Council Conclusions on alcohol and young people of 2 June 2004. There is considerable evidence for the effectiveness and cost effectiveness of early identification and brief intervention programmes to reduce the harm done by alcohol. 3. Methods and means The project recognizes the considerable evidence for the effectiveness and cost effectiveness of early identification and brief intervention programmes in leading to health gain, and, if widely disseminated, to reducing the disability and ill health resulting from harmful alcohol use in Europe. The project builds on the scientific evidence for the effectiveness of different strategies in disseminating brief interventions and on the experience of PHEPA1, co-financed by the European Commission, which developed European recommendations, a European training programme and country wide dissemination strategies in 16 European countries. The project also builds on the experience of Phases III and IV of the World Health Organizations project on early identification and brief interventions in primary care, which included participants from 12 European countries. The methodology adopted to promote the dissemination of best practice on early identification and brief interventions on alcohol problems within the general population builds on three main pillars: the creation of a European Platform, the assessment, documentation and sharing of existing experiences, strengths and limitations, and the country roll out of previously prepared European products. The associated partners include representatives from 25 European countries, from governmental and non-governmental bodies, Public Health institutes, professional and scientific organizations representing primary care providers and academic Institutes of general and family practice. Many of the partners were involved in both the PHEPA1 project and the Phases III and IV projects of the World Health Organization. 4. Expected outcome The two year project aims to: 1. Create a sustained European Platform of health professionals and policy makers with experience and responsibility for disseminating brief interventions widely within the general population. The Platform will have representation in all partner countries and will meet twice throughout the duration of the project, first in year one, and second in year two. The purpose of the Platform will be to share and document experience, and to identify strengths and weaknesses of the different country approaches to disseminating brief interventions. 2. Develop a model, an assessment tool and a registry to assess and document the current status of services for brief interventions in all partner countries from a health systems perspective. The model will be based on systematic reviews of the literature and will describe all the elements that are required for effective dissemination of brief interventions within a health care systems perspective including the domains of organization of health care, support for providing brief interventions, availability of brief interventions, provision of effective brief interventions by health care providers and uptake of effective brief interventions by the general population. The tool will be based on the final model and will document the current status of brief interventions in each of the partner countries, identifying strengths and limitations in the five health care system domains. The results of the assessment tool will be placed on an Internet site registry to allow sharing of experience form country to country on guidelines, training programmes, and the approaches adopted to ensure widespread uptake of brief interventions. 3. Create and promote the use of an Internet based resource centre for health professionals, policy makers and providers, on brief interventions providing information in the domains of effectiveness, cost effectiveness, policy, epidemiology and evaluation. The resource will be similar to the effective and well used resource for smoking cessation developed by the World Health Organization, www.treatobacco.net. 4. Based on the European training programme developed in the PHEPA1 project, to adapt and adopt the uptake of training in the Member States to upwardly harmonize the skills of European health professionals. Evidence has shown that trained health care providers, along with office based support are more likely to deliver early identification and brief intervention programmes for the general population. 5. Based on the European Recommendations developed in the PHEPA I project, to adapt and adopt the development and implementation of clinical guidelines in the Member States to upwardly harmonize the quality of brief interventions. To ensure uptake and ownership, it is necessary for country based professional associations to develop practice based guidelines relevant to their own country situation and needs of their own health care providers.

Project Number 2005312

Priority area and action HD 2005Promoting health and prevent disease through addressing health determinants across all policies and activities

Official Title

Name of beneficiary Piedmont Centre for Drug Addiction Epidemiology Osservatorio Epidemiologico delle Dipendenze Servizio di Epidemiologia ASL 5

Postal Address

Name of Project Leader Fabrizio Faggiano Barbara Zunino (administration)

European Community contribution 804.321

EUDAP 2 Implementation of EUDAP Project (European Drug addiction Prevention trial at a population level)

Via Sabaudia n. 164 IT-10095 GRUGLIASCO ITALY Tel. +49 011/40188309 Fax +49 011/40188301 Website: www.eudap.net email: fabrizio.faggiano@med.unipmn.it barbara.zunino@oed.piemonte.it

Duration of project (in months) 36

Associated partners/Countries PYXIDA (Compass) Drug abuse prevention and health promotion centre, established in Sykies, Greece Institut fr Sozial- und Gesundheitspsychologie, established in Wien, Austria Universit degli studi DellAquila, established in LAquila, Italy Stockholms lns landsting, Centrum fr folkhlsa, established in Stockholm, Sweden Provincialaat der Broeders van Liefde, De Sleutel, established in Gent, Belgium EDEX, established in Bilbao, Spain Universit del Piemonte Orientale, Dipartimento di Medicina Clinica e Sperimentale, established in Novara, Italy

ABSTRACT 1. General Objective Smoking, alcohol and drug use and misuse are causes of many deaths and diseases among the European population. Peto et al (2000) estimated that 14% of all deaths (n=3679000) are attributable to smoking in 15 members of former EU. Single (2000) estimated the use and misuse of alcohol, tobacco and illicit drugs accounted for 20.0% of deaths, 22.2% of years of potential life lost and 9.4% of admissions to hospital in the Canadian population in 1995. The use of these 3 substances shares the risk of addiction. Since it is commonly described as a chronic, relapsing disease, the best way to tackle it is prevention. School is an appropriate setting for substance use prevention programs for three reasons: first, four out of five tobacco and drug users begin before adulthood. Second, schools offer the most systematic and efficient way of reaching a large number of young persons every year. Third, schools can adopt and enforce a broad spectrum of educational policies. On these bases, the objectives of the first EU-Dap1 project were the development and rigorous evaluation of a school-based prevention program. The program has been built, based on the most recent evidence of effectiveness (Tobler 2000), translated in 7 European languages (Unplugged prevention program), and is actually implemented in 7 countries plus 2 Italian collaborating centres, involving more than 7000, 13-14 years old students. A Cluster Randomised Controlled Trial has been designed for the evaluation of effectiveness of the program in reducing the initiation of tobacco, alcohol and drug use, and the post test evaluation will be carried out in May 2005. As experienced in the first project, even in an experimental setting, in all involved countries the implementation of such a prevention program is expected to be difficult: the areas, schools or classes in which a failure in the implementation is more frequent are those where the need is higher. The objectives of EU-Dap 2 are the following: i) to conclude the EU-Dap 1 project with a long term evaluation of the effectiveness of the prevention program, and the improvement of the Unplugged program manual, according with the comments of teachers and of supervisors that already implemented it; ii) to plan and apply the implementation at a population level of the prevention program in the centres already involved in EU-Dap 1 as well as in new partners coming from new EU members states. This objective includes the evaluation of the effectiveness in practice of the intervention. 2. Strategic relevance & contribution to the Public health programme Based on a recent Cochrane review on effectiveness of school-based prevention of drug use (Faggiano 2005), only one of the 29 studies included comes from Europe. Taking into account the role on the social and cultural context in determining the effectiveness of such interventions, we can say that European population is lacking of an effective program to tackle substance use initiation at a school level. The EU-Dap project is aimed at providing European population with a drug prevention program which effectiveness is tested across different countries and populations. Moreover the Unplugged is aimed at contrasting the first use of tobacco and alcohol use, as well as the use of drugs together as the more recent theories on addiction suggest. The EU-Dap 2 is aimed to conclude the evaluation of efficacy, and to spread the intervention at a population level in the centres involved in the study. This spreading includes countries from across all the EU Mediterranean Latin countries, Scandinavian countries, Eastern new member states, and can be a test for the generalisability of the intervention.This part of the project will start with a development of a manual for the implementation of the program at a population level, to make easier the spreading. Moreover a system of indicators will be developed in order to monitor the process of evaluation. These elements will add a new side in the evaluation of the program, allowing a future Health Impact Assessment to assess ad quantify the impact at a population level of the effects of the intervention. The final aim of the EU-Dap project is to provide the European countries with an intervention program against the initiation of tobacco, alcohol and drug use, together with instruments for the implementation at a population level, which efficacy and effectiveness has been thoroughly evaluated 3. Methods and means The EU-Dap project is aimed at evaluating the efficacy and the effectiveness of a school-based intervention program against substance use, which has been developed using a theoretical frame and a set of components chosen among those with more consistent scientific evidence of effectiveness. The efficacy is being assessed using a study design, and many methodological choices, aimed at ensuring the rigour of the evaluation. The design adopted is a Cluster Randomised Controlled Trial (CRCT Murray 1998); the cluster characteristic is essential because, although the child is the unit of analysis, the children are grouped into classes and schools, and the entire school is randomized to an intervention arm. This procedure reduces the effective sample size, since there is a tendency for there to be greater similarity between the results for two children from the same cluster, compared to two children from different clusters. The second key element to ensure the rigour of the evaluation is the self-generated anonymous code: this is generated by the student from stable information known by him or herself, allowing for an individual linkage of all the questionnaires filled in across time, preserving anonymousness. The involvement of 7 countries in the research is aimed at evaluating the inter-cultural efficacy across countries, which has been frequently discussed in the scientific literature (Ashton 2003). The evaluation of the effects of the intervention limited to an experimental context can over-estimate the true effects, because the process of selection of schools could exclude those with less probability of effects and because the strict surveillance of the process maintained by researchers could protect the intervention from drop-outs. For this reason the development of the EU-Dap 2 project is aimed at the measure of the effectiveness of the intervention; its effects will be assessed after an implementation at a population level, in the area of reference of the partners involved in the project, in 8 countries and 10 centres around Europe. These centres are very different according to socio-economic conditions, urbanisation, cultural context, to ensure a deep analysis of the role as determinants of effectiveness. 4. Expected outcome The follow up of the EUDAP cohort of pupils will provide results of the effectiveness of the school program at the medium term, documented in reports and scientific papers. The modification of the Unplugged prevention package will deliver a programme manual more applicable and friendly. This programme should result more easy to be implemented in

terms of resources needed (training for teacher and time for each unit). The analysis of the problems faced during the experimental phase in order to carry out the prevention program in schools will be the base for the development of a 'Implementation guidance' to help professionals to find ways to spread programs at a population level. The Implementation guidance will be tested by the implementation of the programme Unplugged in countries either directly involved in the EUDAP 1 experimentation or new comers as the new European members. The results of this phase will provide evidence on the field effectiveness of the prevention programme outside the experimental and protective setting. This will be particularly interesting in Eastern Europe countries where drug prevention, in spite of the high prevalence of consumption, do not yet represents a Public Health priority and the actions carried out toward this objective are in a very first phase.

Project Number 2005313

Priority area and action HD 2005-Promoting health and prevent disease through addressing health determinants across all policies and activities

Official Title PHGENPublic Health Genetics

Name of beneficiary Landesinstitut fr den ffentlichen Gesundheitsdienst (LGD)

Postal Address Westerfelderstrasse 35/37 DE-33611 Bielefeld GERMANY Tel: +49(0)521.8007-261 Fax: +49(0)521.8007-202 Website: http://www.loegd.nrw.de E-mail: helmut.brand@loegd.nrw.de

Name of Project Leader Dr. Helmut Brand

European Community contribution 968.702

Duration of project (in months) 36

Associated partners/Countries Fachhochschule Bielefeld, established in Bielefeld, Germany Cambridge University Hospitals NHS Foundation Trust, established in Cambridge, Great Britain

ABSTRACT

1. General Objective

PHGEN aims at conducting a networking exercise the general objectives of which include the consideration of the following tasks of Public Health Genomics (PHG): The identification of authoritative information on genetic determinants for use by national administrations, professionals and other parties with an interest in the field of health, while respecting data protection requirements, in order to provide a sound basis for the monitoring of health. The identification of methodologies and tools for health monitoring and surveillance of evidence-based disease prevention, for assessing and prioritising health interventions, and for aiding health system development by fully integrating genome-based knowledge in all of these tasks. The sharing of experience on health risk reduction policies which aim at applying stratified strategies instead of one strategy for all. The identification of strategies and mechanisms for preventing, exchanging information on and responding to non-communicable disease threats such as rare diseases with genetic origin, which are of such low prevalence that special combined efforts are needed to address them.

In the long run, this interdisciplinary network can serve the European Commission as an early detection unit for horizon scanning, fact finding, and monitoring of genetic determinants relevant to public health and for identifying open questions regarding PHG.
2. Strategic relevance & contribution to the Public health programme

PHGEN covers an emerging field. To consider genetic determinants as a factor contributing to health and as such as a component for public health is a necessary step to enable good health for all. Thus, genetic determinants have to play an eminent role in a new EU Health Strategy. Policymakers now have the opportunity to protect consumers, to monitor the implications of genomics for health and to assure that genomic advances will be tapped not only to treat medical conditions, but also to prevent disease and improve health. To create sound genomic policies and programmes, public health should get involved and moreover take the lead by applying the three core functions of public health (assessment, policy development, assurance) to the provision of genome-based health services. Accordingly, in the work plan 2005 of the community action in the field of public health the European Commission calls for a networking exercise to lead to an inventory report on genetic determinants relevant to public health. This network will identify public health issues linked to current national

practices in applying genetic testing and on that basis will contribute to developing best practice in applying genetic testing. PHGEN not only sets out to fulfil this task against the background of the above described challenges. It will also include the many different policy implications that might flow from these, such as the regulation of technologies, working with the commercial sector and educational imperatives. PHGEN will lead to internal and external synergy effects. Internal synergy effects will be achieved by bringing together experts from the same countries who have not yet been working in the fields of Public Health Genomics. The external synergies are the result of the network bringing together experts from different countries. These synergies will be supported by the cooperation with other relevant networks and organisations/ institutions. Representatives of European networks such as EuroGentest, EUnetHTA, PHOEBE and Orphanet are in the Steering Group of PHGEN to ensure complementarity between EU-funded projects.
3. Methods and means

The approach PHGEN takes is the work in working groups that are built according to the three phases of PHGEN that follow the Public Health Trias (assessment, policy development, assurance). Furthermore, PHGEN National Task Forces work in PHGEN member countries and their work is responsive to the three phases of PHGEN as well. The core function of the assessment aspect is the systematic collection, assembly and analysis of information on the health of the community. For PHGEN this means to deal with issues and priorities of the integration of genome-based knowledge into public health and to work on basic concepts and issues and priorities. The core function of policy development is to deal with standards and guidelines which promote the appropriate use of genetic information and the effectiveness, accessibility and quality of genetic tests and services. Concretely, PHGEN will work on aspects such as policy development for health services, stakeholder involvement and education. Furthermore, a focus will be on legal and ethical aspects of Public Health Genomics. The core function of the third phase is to assure constituents that genetic information is used appropriately and that genetic tests and services meet agreed upon goals for effectiveness, accessibility and quality.
4. Expected outcome

A networking exercise on Public Health Genomics in Europe is conducted. Key experts relevant to Public Health Genomics in Europe will be identified and listed. PHGEN National Task Forces are built as sustainable mechanisms for Public Health Genomics discourses in European Union Member States and to deliver relevant information to PHGEN. PHGEN will provide an inventory of genetic determinants relevant to public health including an inventory of PHG-issues and priorities in Europe. The work of PHGEN is structured according to the Public Health Trias (assessment, policy development, assurance) and will deliver inventories and statements according to these steps. The final report will summarize the results of the work of the network. Publications in peer reviewed journals present results and preliminary results of PHGEN (as e.g. the thematic issue of the Italian Journal of Public Health on PHGEN, No 3/4, 2006). Also, the results are presented at international conferences and workshops.

Project Number 2005314

Priority area and action HD 2005-Promoting health and prevent disease through addressing health determinants across all policies and activities

Official Title European Partners in Action on AIDS

Name of beneficiary Stichting Aids Fonds - Soa Aids Nederland

Postal Address Keizersgracht 390 NL-1016 GB Amsterdam THE NETHERLANDS Tel: +31 206262669 Fax: +31 206275221 Website: www.aidsactioneurope.org E-mail: westernoffice@aidsactioneurope.org

Name of Project Leader Martine DE SCHUTTER

European Community contribution 686.384

Duration of project (in months) 36

Associated partners/Countries Aides Association, established in Pantin, France Sensoa Vzw, established in Antwerpen, Belgium National Aids Trust, established in London, Great Britain European Aids Treatment Group e.V., established in Dsseldorf, Germany Associata Romana Anti Sida, established in Constanta, Romania Deutsche Aids Stiftung, established in Bonn, Germany Stiftelsen Noaks Ark-Rda Korset, established in Stockholm, Sweden AIDS Fondet, established in Copenhagen, Denmark

ABSTRACT 1. General Objective To strengthen knowledge, capacities, discussion and exchange among AIDS-related non-governmental organisations (NGOs) and community-based organisations (CBOs) in Western and Eastern Europe in order to encourage concerted action and the acceleration of innovation in their approaches in the fight against HIV and AIDS. To strengthen the involvement of civil society at the European level and link HIV/AIDS and health policies and structures of the European Union with NGO practices and approaches. 2. Strategic relevance & contribution to the Public health programme Since its launch early 2004, AIDS Action Europe has played an active role in the development of new approaches and concerted actions among both non-governmental and governmental actors in the fight against HIV/AIDS, notably in the development of the Dublin (2004), Vilnius (2004) and Bremen (2007) Declarations on HIV and AIDS. The project enables AIDS Action Europe to further its coordinating and facilitating role to unite NGOs and their lessons learned at the European level. It contributes to the implementation of the Communication from the Commission and Council of European Parliament overall strategy on combating HIV/AIDS within the European Union and in the neighbouring countries 2006-2009. In particular, the projects European best practice seminars and Information Clearinghouse strengthen relations and exchange of lessons learned and best practices between Western European NGOs and NGOs from the new Member States and neighbouring countries. 3. Methods and means The project methodology consists of the development of an interactive online European Information Clearinghouse and the development of a series of European best practice seminars and guideline reports. European Information Clearinghouse on HIV/AIDS The Clearinghouse in English and Russian- will be built on to www.aidsactioneurope.org NGOs will be consulted from the start of the project to ensure that the Clearinghouse responds to the specific and most pressing information needs NGO will be able to send in abstracts and documentation in their own language The Clearinghouse will support the development of the European seminars through contacting NGOs and looking for information to be utilised for each best practice seminar The Clearinghouse will become gradually more interactive, and will function as a liaison between NGOs looking for information and partners, and NGOs providing information. Discussion groups and peer question and answer forums are the main means to do so. The Clearinghouse is a relatively cheap and widely accessible means for NGOs, especially those from the new member states, to update themselves about priorities and challenges in HIV/AIDS control. Series of best practice seminars and guideline development The general methodology for each seminar is as follows: Development and dissemination of state-of-the-art report on particular topic, by expert in the field, based on literature review and review NGO lessons learned Development of a scholarship programme, 20 participants will be financed for each seminar (with special attention to participation of the new member states) Implementation of best practice seminar with around 40 NGO experts Wide dissemination of seminar report Development, adaptation or modification of European guidelines and standards on the particular topic, developed by expert in the field Validation of European guidelines by seminar participants and AIDS Action Europe Steering Committee Wide dissemination of guideline publication The topics of four of the seminars are working with the media; legislation and judicial issues; gay mens health; voluntary testing and counselling. The topics of the remaining 3 seminars are determined by upcoming issues resulting from the European Think Tank on HIV/AIDS and the Civil Society Forum. In 2006 the topic monitoring and evaluation was chosen. 4. Expected outcome European Information Clearinghouse on HIV/AIDS To strengthen NGOs in Eastern & Western Europe through providing them with access to on-line information produced by other European NGOs and key actors regarding best practices; evidence-based approaches and projects and state-of-the-art reports on priority topics in HIV and AIDS prevention and control. To act as a Forum for exchange and sharing of information and experiences among European NGOs through an on-line database of contact information; electronic discussion forums; and matching of NGOs in search of input and partners. Series of best practice seminars and guideline development - European seminar on working with the media

To facilitate that NGOs have an understanding of the opportunities and limitations of mass media campaigns To strengthen NGOs capacities to work with the media To facilitate that NGOs contribute to a higher effectiveness of mass media campaigns in Europe - European seminar on legislation and judicial issues To conduct a comprehensive survey of EU member states legal and human rights frameworks in relation to HIV, analysing how the frameworks are implemented and the impact they have on HIV positive people, on communities vulnerable to HIV, and on public health across the EU. To evaluate this evidence with key EU partners at seminar, identify and share best practice. The report and guidelines would be a tool for HIV organisations EU-wide to advocate more effectively for improved legislative environments concerning HIV in their country, namely a human rights-based legal and judicial framework that addresses HIV-related stigma and discrimination. - European seminar on gay mens health To review and to showcase up-to-date and evidence-based prevention and support practices for men having sex with men To provide targeted support in priority for emerging men having sex with men health programmes in Central and Eastern Europe - European seminar on voluntary HIV counselling and testing To bring together European experts and determine best practices in voluntary HIV counselling and testing. To develop recommendations and guidelines for improving voluntary counselling and testing services in Europe. - 3 European best practice seminars & guidelines (topics to be decided based on upcoming priorities) To strengthen European NGO capacity through the development of a series of best practice seminars and consequent guideline development based on emerging and urgent topics that will call for action in the coming years. To strengthen the relation between European civil society and the European Commission and governmental structures, through linking these best practice seminars with topics arising from the European Civil Society Forum and Think Tank on HIV/AIDS.

Project Number 2005316

Priority area and action HD 2005-Promoting health and prevent disease through addressing health determinants across all policies and activities

Official Title

Name of beneficiary P.A.U. Education S.L.

Postal Address

Name of Project Leader Brbara MAYORAL

EC contribution (in euro) 1.500.000

SHAPE UP: towards a European school network to impact the determinants of child obesity at the community level

Muntaner 262 ES-08021 Barcelona SPAIN Tel: +34.93.367.04.32 (-00) Fax: +34.93.414.62.38 Website: www.paueducation.com E-mail: barbara.mayoral@paueducation.c om

Duration of project (in months) 36

Associated partners/Countries Danmarks Paedagogiske Universitet, established in Copenhagen, Denmark ABCitt cooperative sociale r.l. onlus, established in Milano, Italy University of Hull, established in Hull, Great Britain Schulen ans Netz e.V., established in Bonn, Germany Municipio do Barreiro, established in Barreiro, Portugal Veselibas Izglitibas Centrs Krimulda (Krimulda secondary school), established in Ragana, Latvia Urzad Miasta Poznania, established in Poznan, Poland City of Turku, established in Turku, Finland Egszsges Vrosrt Alaptvny Pcs (Healthy City Foundation Pecs), established in Pecs, Hungary Zdravotniho ustavu se sidem V Brne (regional Institute of Public Health), established in Brno, Czech Republic Tervise arengu Instituut (National Institute for health development), established in Tallinn, Estonia Repubblika ta Malta Republic of Malte, Health Promotion Department, established in Msida, Malta Ville de Perpignan, established in Perpignan, France Commune di Monza, established in Monza, Italy Ayuntamiento de Mataro, established in Mataro, Spain Development agency of the municipality of Athens, established in Athens, Greece

sterreichischer Austauschdienst, established in Wien, Austria

ABSTRACT 1. General Objective This 3 year project (January 2006 - December 2008), called Shape Up, is a unique design for a European collaboration action-oriented project addressing young people, health and obesity. Our child-centred approach views children and schools as catalysts of health-promoting actions at a community level. It is built on and utilises the main experiences developed within the European Network of Health Promoting School. It builds on the hidden, often neglected capacities of schools to involve children in taking action to bring about changes in behaviours and living conditions that directly question the way we eat and move. Shape Up develops a participatory framework to have the school and the surrounding community started a constructive dialog on the many dimensions of eating including diet and nutrition, aesthetics and taste, food availability and production conditions, social relationships and societal image. This dialog also covers the various representations of body movement, considering not only physical exercise but also play, body image, and mobility conditions. A comprehensive network of 26 cities covering 25 Member States has been created to test and evaluate the framework in participating schools involving children aged 4 to 16. This geographical coverage fully accounts for the importance of cultural and geographical diversity in explaining child obesity determinants. We have paid special attention to select different environments to assess the impact of immigration, deprived economies, semi-urban settings, highly urbanized areas, medium-high level of incomes, sustainable urban planning policies. The relevance of the methodological approach for designing a common European framework for all Shape Up schools is first that it treats children as legitimate partners in influencing behaviours and living conditions related to eating and movement, and recognizes that no effective change is possible without involving adult stakeholders as essential and necessary participants. Second this approach allows for greater cultural and socioeconomic sensitivity (adjustment to the local and national conditions), which will not only ensure the outcomes in terms of the projects specific objectives, but will also result in larger commitment and sense of ownership among participants, crucial in ensuring both effectiveness and sustainability. Shape Up's specific objectives cover research, training, community participation, evaluation and dissemination and will all be dealt with in separate workpackages. On the research side, Shape Up will establish a common understanding of the main concepts related to the holistic approach to child obesity and more generally to a balanced growing-up. On the training side, Shape Up builds new capacities for teachers and local actors. On the community participation side, Shape Up will develop local activities in 26 cities and European synergies between all of them. On the evaluation side, precise indicators will measure Shape Up real impact in changing behaviours and living conditions regarding eating and body movement and assess the validity of the participatory framework. On the dissemination side, all results will be made visible locally and European-wide through Shape Up weeks in all cities. These specific objectives include also the creation of an internet portal www.shapeupeurope.net that helps managing the whole project and working continuously towards its extension. The Shape Up Competence Centres (P.A.U. Education, Danish University of Education, ABCitt, University of Hull and Schulen ans Netz) lead the project. The participating cities and the Shape Up Competence Centres bring their own funding. Kraft Cares, community partnership programme of Kraft Foods, is also supporting Shape Up Europe, as part of its ongoing commitment to help communities encourage healthy lifestyles in children and their families. To visualise the dynamic participation in the project, please visit the portals website: www.shapeupeurope.net 2. Strategic relevance & contribution to the Public health programme The Shape Up project, submitted in 2005, falls under the Health Determinants Priority Area of Work Plan 2005 and directly responds to the strategic necessity expressed in the Public Health programme to prepare and implement strategies () related to public awareness on life-style related health determinants such as nutrition and physical activities and encourage relevant training activities. Shape Up is an integrative approach to lifestyles, to fully integrate environmental and socio-economic considerations. The method takes a new look at child obesity determinants and directly addresses issues of urban development and other environmental determinants such as social capital, intergenerational dialog or urban planning.

Shape Ups training objective takes directly into account the importance of education of children and parents and training of teachers and local promoters of community actions. Local community participation is based on a greater involvement of children and related adults in decisions that concern their health. Evaluation will provide a basis for a common analysis of the factors affecting public health. Dissemination will use the experience of existing networks and specifically of the European Network of Health Promoting Schools thus ensuring constructive cooperation with the WHO. Shape Ups portal will make possible cross-cultural cooperation and dialogue between all participants from the 25 countries including eastern and central European countries. The exchange of experiences and best practices will take account of the development of new technologies and IT applications. This coordinated networking approach responds to the preoccupation for concrete actions expressed by another EU project with a longer-term planning cycle, namely the EU Platform on Diet, Physical Activity and Health. 3. Methods and means Shape Ups methodology builds on the research and experience obtained through the European Network of Health Promoting Schools. Essential to this methodology is that once the core assumptions of all the project participants and stakeholders are made explicit, they are then examined and negotiated in terms of their practice. This methodology creates conditions under which practitioners working with children can develop and test "theories of practice, documenting good examples and experiences in the process of deriving and sharing specific goals in a reflective and participatory manner. The relevance of the methodological approach for designing a common European framework for all Shape Up schools is first that it treats children as legitimate partners in influencing behaviours related to eating and movement, and recognizes that no effective change is possible without involving adult stakeholders as essential and necessary participants. Second this approach allows for greater cultural and socioeconomic sensitivity (adjustment to the local and national conditions), which will not only ensure the outcomes in terms of the projects specific objectives, but will also result in larger commitment and sense of ownership among participants, crucial in ensuring both effectiveness and sustainability. The participatory scheme that will be used for involving children meaningfully and actively in Shape Up is the IVAC (Investigation-Vision-Action-Change) approach developed by the Research Programme for Health and Environmental Education at the Danish University of Education (DPU). According to this scheme all the collaborative activities at school, as well as the activities at the local and international level catalysed by a local promoting group, will be focused on developing ways of supporting, facilitating and guiding children in investigating the issues related to eating and movement from a number of different perspectives (e.g. cultural, social, geographical, intergenerational, medical etc); develop visions and dreams about possible (ideal) solutions for the individual and societal determinants of child obesity; plan and take action to bring about health-promoting changes in their own behaviour and in their schools and local communities. The childrens critical reflection and continuous evaluation of the process are integrated in all the phases in the IVAC approach and supported by teachers and local promotion groups. 4. Expected outcome The production process milestones - and the resulting deliverables contents, tools and events - are part of an integrated strategy that requires intensive coordination at all levels (meetings and on-line monitoring with an Intranet Central Support Service). All outputs will be produced in a progressive way with constant revisions, adaptation to local situations, on-going assessments. The implementation of the specific objectives must answer the following questions: When will the projects practical implementation be made possible? Once the methodological guidelines have been produced and community actors have been trained European wide. Methods will come out of an intensive research process and training will follow. Guidelines will be published in 20 official European languages. Local training sessions will be organized and constant follow-up will take place. What will take place then? Community participation processes involving schools and surrounding communities in all participating cities. The resulting activities will constitute a set of best practices initiated by children and dealing with eating and body movement such as school gardening, walking to school projects, free play opportunities, intergenerational and intercultural projects, ecological mapping of everyday life, participatory space design. Local events will be organized to promote them and be known as Shape Up weeks to draw the attention of local media and reinforce the participation. The projects at the city level will involve the national education and health authorities to contribute to the further extension of Shape Up. How will we make the project visible at the European level? By producing evaluated results and disseminating them European wide. Research papers will be prepared. Actors experiences will be published in a book. Results will be presented at the closing conference in 2008. Moreover, Shape Up was presented at the WHO Ministerial Conference on Obesity in 2006. How will we ensure the project's continuity in the future? By contacting elearning communities and cities' networks and convincing them to join the project. This will take place in the project's last phase.

Project Number 2005318

Priority area and action HD 2005Promoting health and prevent disease through addressing health determinants across all policies and activities

Official Title

Name of beneficiary sterreichisches Rotes Kreuz

Postal Address Wiedner Hauptstrasse 32 AT-1041 Wien AUSTRIA Tel: ++43 +1 589 00 - 128 Fax: ++43 +1 589 00 - 420 E-mail: charlotte.struempel@roteskreuz.at Website: www.roteskreuz.at

Name of Project Leader Charlotte Strmpel

European Community contribution 625.549

healthPROelderly - Evidence Based Guidelines on Health Promotion for Older People: Social Determinants, Inequality and Sustainability www.healthproelderly.com

Duration of project (in months) 36

Associated partners/Countries University of Kent, established in Kent, Great Britain Forschungsinstitut des Wiener Roten Kreuzes, established in Vienna, Austria Univerzita Karlova v Praze (Charles University Prague), established in Pragues, Czech Republic Deutsches Rotes Kreuz e.V., established in Berlin, Germany Forschungsgesellschaft fr Gerontologie e.V., established in Dortmund, Germany Cruz Roja Espanola, established in Madrid, Spain National- and Kapodistrian University of Athens, established in Athens, Greece Emme & Erre S.p.A., established in Bolzano, Italy Universita degli Studi di Roma La Sapienza, established in Rome, Italy Stichting Dr. Hilda Verwey-Jonker Instituut, established in Utrecht, The Netherlands Uniwersytet Jagiellonski Collegium Medicum, established in Krakow, Poland Polskie Towarzystwo Pielegniarskie (Polish Nurses Association), established in Warsaw, Poland Rdeci Kriz Slovenije (Slovenian Red Cross), established in Ljubljana, Slovenia Univerza V Mariboru (University of Maribor), established in Maribor, Slovenia Obianske zdruenie Slovenska Asociacia

Verejneho Zdravia (Slovak Public Health Association), established in Kosice, Slovakia Comit Permanent des Infirmiers de lU.E. a.s.b.l., established in Brussels, Belgium

ABSTRACT 1. General Objective The general objective of the "healthPRO-elderly" project is to promote health promotion for older people through producing evidence based guidelines with recommendations for potential actors in this field (at EU, national and local level). In this project we are identifying criteria for the sustainable implementation of health promotion projects for elderly people in the EU countries. In this context we are identifying how to (I) qualify and measure the status of health of the elderly as well as (II) the changes and developments it undergoes. Determinants which influence the health situation of the elderly will be highlighted, which will enable us to differentiate between the different target groups and their needs, taking into consideration the inequalities that the target groups are confronted with. 2. Strategic relevance & contribution to the Public health programme Within the EU Member States, various projects that aim to promote health for the elderly already exist. Most of these projects are of local and national character and do not take the EU wide context into account. This project is gathering information from the partner countries and identifying best practices in the field of health promotion for elderly. There is a focus on those models that have a sustainable approach and which regard socio-economic, environmental and life-style related determinants. Strategically the project focuses on (I) models that have shown to be successful in the implementation, (II) model projects that are to be integrated in the long-term programming and (III) models that target vulnerable groups (taking into consideration socio-economic, environmental and lifestyle related determinants) and address inequality. Moreover the project is using an interdisciplinary approach between Public Health institutes, several universities and their faculties and institutes, NGOs, geriatric institutes and the WHO and to establish a network between representatives of science and practice in order to ensure future developments of sustainable projects for the elderly. 3. Methods and means Within the project, partners are (I) summarising the findings of the literature review concerning the determinants of health for elderly, (II) developing a common vocabulary and a glossary in order to create a terminology and understanding for health promotion projects, (III) developing a set of criteria for the selection of successful models of best practices. These criteria should take into consideration sustainability, vulnerability and inequality, and socio-economic, environmental and lifestyle related determinants which have a serious impact on the health situation of elderly people, (IV) identifying models for health promotion and translating them into a standard scheme, easily understandable to everyone. These models will be available on the website (www.healthproelderly.com), which is accessible to the general public, (V) developing a strategic approach to communicate and disseminate the findings of the project and the identified models of best practice for health promotion, (VI) informing and raising awareness amongst experts and authorities throughout the EU on the issue of ageing and the impact of the demographic change on our society, (VII) building a network with sustainable partnerships, consisting of Public Health institutes, several universities and their faculties and institutes, NGO's, geriatric institutes and the WHO, at EU and Member State level, (VIII) developing guidelines with recommendations based on the criteria identified. These guidelines with recommendations should be used by (1) health authorities, such as the EU, national and regional governments (2) institutions and organisations, which provide health promotion programmes and projects (3) social and health professionals (4) universities and research departments. The project duration is running from April 2007 December 2008.. The work is divided into 8 work packages. The 18 partners (main partner and associated partners) and two collaborating partners from 11 EU Member States, three EU-wide networks and one international network, are involved in the work of all the work packages together. The project partners, which form the network, are partners from different sectors, such as universities, NGO's, Public Health networks, the WHO, etc. The mix of partners is ensuring the projects multi-disciplinary approach. The lead partner of the project is the Austrian Red Cross (ARC). The ARC, which is the recognised Red Cross Society in Austria, has long standing experience in leading and participating in International and European projects. In the framework of Health and Social Services, the ARC is very active in carrying out health promotion projects for older people. 4. Expected outcome The main deliverables of the project are the "Guidelines with recommendations", which are evidence- based guidelines that provide recommendations for the implementation of sustainable health promotion projects and the programmes for elderly. Further deliverables are i.e. the network that will be established, the glossary with a common terminology, articles in health related journals, the International Conference, etc.

Project Number 2005321

Priority area and action HD 2005-Promoting health and prevent disease through addressing health determinants across all policies and activities

Official Title

Name of beneficiary Deutsche Hauptstelle fr Suchtfragen (DHS) e.V.

Postal Address Westenwall 4 DE-59065 Hamm GERMANY Tel:02381 9015 10 Fax:02381 9015 30 Web site: www.dhs.de E-mail: farke@dhs.de

Name of Project Leader Walter Farke

EC contribution (in euro) 128.527

PHP - Pathways for Health Project on drink driving, binge drinking, health warnings and labelling for alcoholic beverages

Duration of project (in months) 18

Associated partners/Countries Centre de recherche et dinformation des organisations de consommateurs (CRIOC), established in Brussels, Belgium Institute of Alcohol Studies (IAS), London, United Kingdom Universitetet i Bergen (University of Bergen), Bergen, Norway

ABSTRACT 1. General Objective


The project aims to support the European Commission and the European Member States in the implementation of effective policy to reduce the harm done by alcohol, in line with the Council Conclusions of 5 June 2001 on a Community strategy to reduce alcohol-related harm, the Council Recommendation of 5th June 2001 on the drinking of alcohol by young people, reiterated by the Council Conclusions on alcohol and young people of 2nd June 2004. The Pathways for Health Project will aim to provide for each of the three topic areas, drink driving, binge drinking and health warnings and labelling a 15-20 page review of the evidence for effectiveness or public health importance; a data base and inventory of examples of innovative and best practice and experience, including relevant laws and regulations throughout the countries of Europe; and a 3-5 page summary of practical recommendations as to what could be done at European and Member State level.

2. Strategic relevance & contribution to the Public health programme


The project supports the European Council Conclusions to reduce alcohol related harm as mentioned in chapter 1. It also supports the EU strategy to reduce alcohol related harm in Europe, which was adopted by the Council in 2006. As mentioned in the WHO resolution on Public Health the project outcome contributes to reduce health problems caused by the harmful use of alcohol. This includes the Framework for Alcohol Policy in the WHO European Region.

3. Methods and means


During the project, questionnaires for the three topics are developed and discussed in expert meetings. The electronic versions of the questionnaires are sent to all project partners by email or are downloaded from the project website- In addition the University in Bergen developed a data base in which relevant information for all three topics are completed. There will also be reviews for the three topics based on systematic enquiries of the current literature. There will also be a 3-5 page summary of practical recommendations for the three topics.

4. Expected outcome
It is expected that data will be collected on innovative projects, practices and programmes from more than 24 countries. Most of the projects will be targeted to the topics drink driving and Binge Drinking. There will only e a few programmes that deal with labelling, because most of the countries do not have current initiatives in this area. All programmes will be put into a website and will be available for all interested people. The website could be used for an exchange of information about best practice programmes. The data base will also be a very important platform to obtain detailed information about the measures which are implemented to tackle the problems related to the three topic areas. The data base, the collected programmes, the reviews and recommendations should help and support implementation of the EU strategy to reduce alcohol harm in Europe.

Project Number 2005322

Priority area and action HD 2005-Promoting health and prevent disease through addressing health determinants across all policies and activities

Official Title

Name of beneficiary Centrum Pre Liebu Drogovch Zvislost

Postal Address Hranicna 2 SK-82105 Bratislava SLOVAKIA Tel: (+421 253 417 475) Fax: (+421) 253 417 475 Pesonal cell:(+421) 903 124 113 Website: http://www.cpldz.sk/ E-mail: alexandercikova@cpldz.sk

Name of Project Leader Zuzana ALEXANDERCIKOVA

European Community contribution 678.000

IATPAD Improvement of access to treatment for people with alcohol- and drugrelated problems

Duration of project (in months) 36

Associated partners/Countries University of Dundee, Division of Pathology and Neurosciences, established in Nethergate, United Kingdom Bulgarian Methadone Treatment Association, established in Sofia, Bulgaria National and Kapodistrian University of Athens, established in Athens, Greece Universit degli Studi di Roma La Sapienza Dipartimento di Medicina Clinico, established in Rome, Italy Instytut psychiatrii I neurologii, established in Warsaw, Poland Institut Municipal dAssistencia Sanitria, established in Barcelona, Spain Univerza V Ljubljani, Medicinska fakulteta (University of Ljubljana, Medical faculty), established in Ljubljana, Slovenija

ABSTRACT 1. General Objective


The present project is targeting the issue of access to treatment for people with alcohol- and drug-related problems. Problems of substance-related disorders, when not properly dealt with, produce dramatic costs to all societies in terms of lost productivity, transmission of infectious diseases such as HIV/AIDS, hepatitis C and B, family and social disorder, crime, excessive utilization of health care and, of course, decrease quality of life of the individual and of the entire EU community. The general objectives of the project are to decrease the above mentioned costs for the society and for the individual caused by delaying of or even preventing people with alcohol- and drug-related problems from treatment entry. It is the improvement of access to treatment for people with alcohol- and drug-related problems, as also suggested by research evidence, which has the potential to contribute to the achievement of strategic objectives such as decreasing the incidence of HIV, hepatitis C and B and other infectious diseases, reducing the prevalence of substance use and substance demand, reducing the incidence of substance use related health damage, reducing drug related crime, reducing excessive utilization of health care, increasing productivity and decreasing substance use related absenteeism and unemployment, increasing the level of security for the society, reducing the burden of distress for the family caused by substance use problems, reducing disease, injury, disability and premature death caused by substance use, reducing highrisk behaviours, including unsafe sex, especially among youth.

2. Strategic relevance & contribution to the Public health programme


The present project is in accordance with the Public Health Programme and the Work Plan 2005 priorities. The priorities 3.1.3. and 3.1.2. are to support key Community strategies on addictive substances which give the priority on treatment and reinsertion activities and aim to promote best practice as to improving availability of prevention and harm reduction services, and improvement of accessibility of services for drug and alcohol users. In compliance with this, the aim of the project is to explore and describe the health care systems in 8 European countries with respect to potential barriers of access to substance related disorder treatment, and on the basis of this, to provide recommendations on improvement of access to such treatment. This will enhance the opportunity to decrease negative impacts of alcohol and illicit psychoactive substances consumption on individuals and on society in the EU and accessing countries. A thorough overview of attitudes of health care personnel towards people with substance-related health problems, which might be an important problem hindering access to treatment in the respective partner countries, and perceived treatment system related barriers, will be obtained through surveys among health care personnel. Treatment of substance-related mental disorders serves as one of HIV/AIDS preventive measures. The project aims at identifying addiction treatment access barriers and providing recommendation on good practice in the field, thus addressing the priority 3.2.3. of the Work plan 2005. In accordance with 3.3.1 of the Work plan for 2005, the project focuses on developing targeted public health response strategies to address vulnerable groups, including access to and quality of health and social services, through transnational meetings, reports, Booklet (D9) and Publication (D11), which will present project findings and conclusions. The main output of the project will be provision of possible suggestions of good practice models and recommendations on innovative approaches to ease access to treatment.

3. Methods and means


In the first phase of the project in months one through nine, exploration and description of the current situation regarding health care systems with respect to potential barriers of access to addiction treatment for alcohol and/or drug using clients on the national level will be conducted. This will be done by means of analysis of relevant health care policy documents of the respective country. This could be supplemented by phone or face-to-face interviews with providers of specialised health care for alcohol and/or drug users, and by other methods where necessary. The collected data will be analysed by qualitative methods, summarised into national overviews and will serve as a material for hypotheses generation and fine-tuning of the proposed methods for the second phase of the project. Appropriateness of the method: since exploring a new field, qualitative methods are generally best for hypothesis generation. In the second phase of the project, the hypotheses about barriers to treatment entry connected with attitudes towards clients with substance-related problems and system barriers hindering their access to addiction treatment will be tested. A representative sample of the key health-care personnel exactly determined in the first phase of the project will be driven and data will be collected by questionnaire methods. Although the standard methodology will be exactly defined during the second Transnational Work Meeting, additional methods can be used on country levels where necessary. Data analysis will be conducted on national as well as international level, with the use of descriptive, as well as multivariate statistics. Appropriateness of the method: questionnaire method is the most cost-effective method for necessary data collection for the intended data analyses. Qualitative methods like focus groups and/or interviews will be used to explore patients' point of view of the barriers that were hindering their access to appropriate treatment. Appropriateness of the method: to explore a brand new point of view and to generate hypothesis for further research and projects, we find focus groups and interviews with patients the most appropriate methods.

4. Expected outcome
Results to be achieved Work package 1: Coordination of the project This work package is linked to co-ordination of work and subsequent achievement of all 5 specific objectives. Its goals are to ensure synergy between partners, common time schedule, comparability and synthesis of their work. This will be done through a unique informatics platform created within the project period. Work package 2: Dissemination of the results This work package is directly linked to dissemination of the project itself, as well as of the results of specific objectives 1 through 5. The objective is to r each all target groups that work in the field or have the possibility to contribute to change in the current situation regarding substance use treatment entry. Work package 3: Evaluation of the project This package will evaluate achievement of specific objectives 1 through 5, as well as of extra outputs. It will also provide evaluation of project coordination. Work package 4: Country overviews of access to treatment barriers

This WP is linked to specific objective number 1: detection of barriers hindering access to substance use treatment for people with substance use problems through qualitative analysis of the treatment systems in partner countries. Work package 5: Survey among health care professionals and clients This WP is linked to specific objectives 2 and 3: Measurement of health care personnel attitudes towards substance users by a survey in primary and specialised health care, and Analysis of the impact of (a) health care personnel attitude towards clients with substance use problems and (b) system barriers on treatment accessibility with the use of multivariate statistical methods and qualitative approaches. Work package 6: Publications production The objective of this work package is to produce the Publication. It refers to all other specific objectives, since it will contain a description of all methodologies and outputs of the project. Work package 7: Transnational Work Meetings 1 5 (TWM 15) This WP refers to specific objectives 1 through 5 for it provides the possibility to agree on comparative approach to the problem that will be necessary in all parts of the project conduction to come to a findings comparable between the partner countries, and to the possibility of development of recommendations of innovative approaches in facilitation of positive attitudes of health care personnel towards such clients and aspects of health care system that promote easy access to treatment.

Project Number 2005323

Priority area and action HD 2005-Promoting health and prevent disease through addressing health determinants across all policies and activities

Official Title

Name of beneficiary Universitt Leipzig Klinik und Poliklinik fr Psychiatrie

Postal Address Johannisallee 20 04317 Leipzig GERMANY Tel.: +49.(0)89.5160-5529 Fax: +49.(0)89.5160-5557 Website: www.uni-leipzig.de E-mail: Annette.Hohmann@gabo.de

Name of Project Leader Prof. Dr. Ulrich Hegerl

European Community contribution 1.050.000

EAAD II European Alliance Against Depression II

Duration of project (in months) 30

Associated partners/Countries Katholieke Universiteit Leuven, established in Leuven, Belgium Gesellschaft fr Psychische Gesundheit Psychohygiene Tirol, established in Innsbruck, Austria Bayerische Julius-MaximiliansUniversitt Wrzburg, established in Wrzburg, Germany GABO:mi, Gesellschaft fr Ablauforganisation :milliarium, established in Munich, Germany Est-Sw MH and Suicidology Institute ESSI, established in Tallinn, Estonia Hospital de la Santa Creu i Sant Pau, established in Barcelona, Spain South Ostrobothnia Hospital District, established in Finland Accueil psychiatrique Hpital Ren Dubos, established in Pontoise, France University of Edinburgh, established in Edinburgh, Great Britain Semmelweis University Budapest, established in Budapest, Hungary National Suicide Research Foundation, established in Cork, Ireland Directorate of Health, established in Reykjavik, Iceland Autonome Provinz Bozen-Sdtirol, Gesundheitsassessorat der Autonomen Provinz Bozen-Sdtirol, Landesrat fr Gesundheits- und Sozialwesen, established in Bozen, Italy Centre Hospitalier de Luxembourg, established in Luxembourg, Luxembourg Stichting Trimbos-Instituut, established in Utrecht, The Netherlands Direco de Geral da Sade, Direco de Servios de Psiquiatria e Sade Mental, established in Lisboa, Portugal Institut za varovanje zdravja RS, established in Ljubljana, Slovenia

ABSTRACT 1. General objective


The European Alliance Against Depression (EAAD) is an international network of experts with the common aim of improving the care of persons suffering from depression and preventing suicidality in Europe. Special emphasis will be placed on children and adolescents due to the increased risk of this vulnerable population.

2. Strategic relevance & contribution to the public health programme


In line with the ECs Public Health Action Programme 2003-2008 and the Mental Health Action Plan (WHO 2005), EAAD realises concrete community-based interventions targeting at depressive disorders, suicidal behaviour and mental well-being. Experiences and results gained within EAAD will systematically be summarised to prepare concrete recommendations for decision makers to plan and implement efficient strategies in the area of mental health care.

3. Methods and means


The method of the EAAD consists of a successful, proven 4-level intervention programme which was originally conducted in Nuremberg, Germany in 2001/2002. This community-based and action-oriented project was clearly effective in reducing suicidality and improving the care of depressed patients. The EAAD has adapted the Nuremberg intervention concept and has complemented it with materials and experiences from 17 European network partners. The 4 level approach consists of the following elements: (1) Cooperation with primary care physicians (GPs and pediatrists) via training sessions, video, phone hotline (2) Public relations informational campaigns aimed at destigmatising depression and increasing treatment (3) Cooperation with community facilitators (e.g. priests, social workers, teachers, educators etc.) (4) Interventions with high-risk populations. Including self-help activities This four-level approach, with its corresponding large set of materials, has been and will be used to expand community-based interventions on regional and national levels in the participating countries. Those partners who have already implemented, or at least initiated, comprehensive intervention programmes during EAAD I will primarily target at a nation-wide expansion of their model intervention and at the reinforcement of activities addressing special target groups. Those partners who are newer to the EAAD will focus on building networks in their local area and on initiating the 4-level intervention. Partners are also engaged in project evaluation based on an agreed upon set of evaluation criteria. All measures conducted on these levels will aim at improving the medical, therapeutic, and social care of depressed people. Taking into account the severe problem of adolescent mental health and the high rate of suicide attempts among adolescents, additional emphasis has been set on the topic of child and youth depression. General materials that have already been proven effective and helpful within the regional activities (e.g. posters, educational training manuals etc.) will carefully be modified and applied within the target group of children and young adults. Additional offers for schools and for the use within the educational and parental context will be developed and provided.

4. Expected outcome
Following the 4-level intervention, the EAAD will produce sustainable results by establishing human networks on regional, national and international levels and producing ready-to-use materials, concepts and recommendations for conducting community-based intervention programmes in the field of mental health. Measurable output of the activities are: 1. Educational training packages for GPs, pediatrists and medical specialists 2. Educational training packages for community facilitators (e.g. teachers, social workers, priests, etc.) 3. Informational videos for professionals and patients 4. Brochures and leaflets informing about depression and at different stages of life 5. CD-ROMs containing disease related information 6. Public relations material (e.g. posters and guidelines for media) 7. Guidelines on how to set up interdisciplinary regional networks 8. Recommendations for implementing community based 4-level action programmes (e.g. step-by-step information and checklists) 9. Information and material for self-help groups 10. Training concepts for youth workers 11. Information for teachers (school based prevention) and parents (booklets, leaflets, training) 12. Regional homepages informing about regional help offers 13. A toolbox of instruments based on best practice models within the participating countries 14. Working regional networks which are able to cover various topics in the field of mental health, internationally linked to partner regions All official EAAD campaign material is listed in a catalogue serving as reference document for EAAD. A first version of this catalogue was developed during EAAD I and is continuously updated and expanded. A catalogue of recommended evaluation instruments has also been compiled by the EAAD project group. These evaluation procedures address various related aspects (e.g. suicide rates in the intervention regions, attitudes and knowledge of various groups toward depression and suicide, and prescription profiles of GPs and psychiatrists).

Project Number 2005324

Priority area and action HD 2005-Promoting health and prevent disease through addressing health determinants across all policies and activities

Official Title

Name of beneficiary Scottish Development Centre for Mental Health

Postal Address 17A Graham Street GB-EH6 5QN Edinburgh UNITED KINGDOM Tel: 0131 555 5959 Fax: 0131 555 0285 Web-site: www.supportproject.eu Email: supportproject@sdcmh.org.uk

Name of Project Leader Dr. Allyson MCCOLLAM

EC contribution (in euro) 549.998

Support for European Strategy on Mental Health (SUPPORT)

Duration of project (in months) 36

Associated partners/Countries Sosiaali-Ja Terveysalan TutkimusJa Kehittamiskeskus (National research and development centre for welfare and health), STAKES, established in Helsinki, Finland NHS Health Scotland, established in Edinburgh, Great Britain

ABSTRACT 1. General Objective The SUPPORT project exists to support the development, delivery and implementation of the EU mental health strategy, arising from the Green Paper published in 2005. The project will profile and promote the visibility of the Commission's priorities for mental health, and the activities and outcomes of Commission funded projects relating to mental health. The project has five goals directed at achieving these objectives: 1. To Support the EUs Mental Health Strategy and Associated Structures. 2. To Engage And Collaborate With Relevant Projects And Networks 3. To Promote The Exchange Of Knowledge And Practice 4. To Make Effective Policy Contributions In Relevant Forums 5. To Facilitate The Use Of Mental Health Information 2. Strategic relevance & contribution to the Public health programme The SUPPORT project (due to run until 2009) was integral to the consultation process of the EU Green Paper on Mental Health, and has continued to provide research, administrative and technical support to the development of the EU Mental Health Strategy due for publication in Summer 2007. In addition to explicitly supporting The Strategy, SUPPORT will play an important role in drawing together policy agendas relevant to mental health in the EU, promoting discussion and debate, and collecting and disseminating outcomes and good practice in the field. Finally, SUPPORT will maintain links with general health information and health monitoring instruments to ensure the position of mental health information in this development. . 3. Methods and means The project is using a broad range of methods and activities to ensure the participation of as many relevant stakeholders as possible. These include: Initiating and participating in activities and events related to The Strategy Communicating effectively with all policy arenas and stakeholder groups To facilitate effective knowledge transfer through the project website. Producing relevant and timely briefings for a range of audiences Encouraging partnership and reflective practice Maximising opportunities to bring together diverse groups, opinions and facts.

To coordinate where appropriate, and contribute where relevant to areas of activity related to The Strategy. 4. Expected outcome The project will play a key role in implementing the EU Mental Health Strategy each stage. The interactive project website will become an online community of practice exchange.

Project Number 2005325

Priority area and action HD 2005-Promoting health and prevent disease through addressing health determinants across all policies and activities

Official Title Smokefree Class Competition, a school-based smoking prevention

Name of beneficiary Institute for Therapy and Health Research Private Law Body

Postal Address Dsternbrooker Weg 2 24105 Kiel GERMANY Tel: +49 (0)431 / 57029-0 Fax: +49 (0)431 / 57029-29 E-mail: hanewinkel@iftnord.de Web site: http://www.iftnord.de/

Name of Project Leader Reiner Hanewinkel

European Community contribution 477.055

Duration of project (in months) 12

Associated partners/Countries Vlaams Instituut voor Gezondheidspromotie, established in Gustave Schildkneckstraat 9, 1020 Brussels, Belgium Masaryk University, established in Komenskeho 2, 66243 Brno, Czech Republic. National Institute for Health Development, established in Hiiu 42, 11619 Tallinn, Estonia. Finnish Health Association, established in Hitsaajankatu 9 A. 7th floor, 00810 Helsinki, Finland. Classes Non Fumeurs, established in 106, rue de charenton, 75012 Paris, France. Hellenic Cancer Society, established in 18-20 A. Tsoha Street, 11512 Athens, Greece. letnk Legyen az Egszsggel Teljes Alaptvny, established in Szentmihlyi utca 35, 1144 Budapest, Hungary. Public Health Institute of Iceland, established in Laugaveg 116, 105 Reykjavik, Iceland. Centro Studi e Formazione Sociale Fondazione E. Zancan, established in Via Vescovado 66, 35141 Padova, Italy. Health Promotion State Agency, established in Skolas street 3, LV1010 Riga, Latvia. Institute for Biomedical Research of Kaunas University of Medicine, established in Eiveniu str. 4, LT50009 Kaunas, Lithuania. Fondation Luxembourgeoise Contre le Cancer, established in route dArlon 11, L-1150 Luxembourg, Luxembourg. Poznan University of Medical Sciences, established in Dojazd 30, 60-631 Poznan, Poland. Conselho de Preveno de Tabagismo, established in Av. Des Estados Unidos da Amrica 53D, 4 andar, 1700-165 Lisboa, Portugal. AER Pur Romania, established in Str. Argentina 35, 011753 Bucharest, Romania. Stop fajeniu, oblanske zdruenie, established in Krajinska 91, 825 56 Bratislava, the Slovak Republic.

Public Health Agency, Barcelona, established in Plaa Lesseps 1, 08023 Barcelona, Spain. STIVORO voor een rookvrije toekomst, established in Parkstraat 83, 16070 Den Haag, The Netherlands. National Assembly of Wales, established in Cathays Park, CF10 3NQ Cardiff, United Kingdom.

ABSTRACT 1. General Objective Smokefree Class Competition is a school-based smoking prevention project aiming to de-normalise smoking and to delay or prevent the onset of smoking in young people. 2. Strategic relevance & contribution to the Public health programme Smoking is an important life style related health determinant and this project aims to support Community strategies on the reduction of smoking in Europe by developing and networking a prevention activity focussing on the school setting. 3. Methods and means The project targets pupils aged 11-14 from all school-types. The project is carried out as a competition, in which classes commit themselves not to smoke for a period of up to 6 months. Classes that refrain from smoking can win a number of attractive prizes. The international prize is a class trip to one of the other participating countries. All participating countries produce their own materials and involve health authorities in their countries. In most of the countries the programme is actively supported and promoted by the Ministries of Education and Health, and other health authorities. 4. Expected outcome The project will: a) organise a Smokefree Class Competition; b) encourage school classes to carry out health promotion activities within the competition; c) support the exchange of information and good practice among member states; d) contribute to the WHO Framework convention on Tobacco Control (art. 12) on establishing and offering broad access to effective and comprehensive educational tobacco control programmes.

Project Number 2005326

Priority area and action HD 2005-Promoting health and prevent disease through addressing health determinants across all policies and activities

Official Title

Name of beneficiary European Network for Smoking Prevention

Postal Address 114, chausse dIxelles B-1050 Brussels BELGIUM Tel: (32) 2/230.65.15 Fax: (32) 2/230.75.07 Web site: www.ensp.org email: francis.grogna@ensp.org

Name of Project Leader Francis GROGNA

European Community contribution 614.106

European Network for Smoking Prevention

Duration of project (in months) 12

Associated partners/Countries -

ABSTRACT 1. General Objective This project aims to promote comprehensive tobacco control policies and greater coherence between smoking prevention activities at regional, national and EU levels. 2. Strategic relevance & contribution to the Public health programme Smoking is the leading cause of death in the EU and therefore an important life-style related health determinant. The project, addressing this health determinant, complements the development of national tobacco control policies. 3. Methods and means The project brings together, from EU Member States, Norway, Iceland and Switzerland, more than 600 organisations active in the field of tobacco control. The project will coordinate a ENSP network conference and a technical stakeholders meeting as well as board meetings, seminars and actions, to promote consensus building and strategically decide the way forward and priorities as well as providing information and exchanging good practices on specific tobacco control issues. 4. Expected outcome The project will promote comprehensive tobacco control policies and greater coherence between smoking prevention activities at regional, national and EU levels. ENSP will be producing a report titled ENSP Strategy for tobacco control with at least four chapters (the prevention of sales to children and adolescents, pricing and taxation, prohibition of advertisements and second hand smoke). They will all have a EU dimension and with the aim of identifying the state of art and benchmark recommendations and analysis will be encouraged. ENSP will produce a working document EU Tobacco Research Strategy witch aims at complying the views of all levels of stakeholders (government/national/regional/NGO and Academic) on the needed direction of the tobacco research portfolio. ENSP will create a compilation table (web-based) on research options and interventions at Regional, national and EU level in full collaboration with the Regional network for Tobacco Control, stakeholders at national level and Globalink. ENSP will in partnership with Cancer Research UK produce a report investigating the impact of health warnings and colour photographs on tobacco packages on consumer habits in particular to young people.

Project Number

Priority area and action HD 2005-Promoting health and prevent disease through addressing health determinants across all policies and activities

Official Title

Name of beneficiary

Postal Address Vanderlindenstraat 15 1030 Brussels BELGIUM Tel: +32 2 423 03 58 Fax: +32 2 423 03 34 E-mail: johan.rosiers@vad.be Web site: www.vad.be

Name of Project Leader Johan ROSIERS

European Community contribution 494.961

2005327

ECAT - To Empower the Community in response to Alcohol Threats

Duration of project (in months) 24

Associated partners/Countries Diakonisches Werk der Evangelischen Landeskirche in Baden E.V. - established in Germany Istituto Superiore di Sanita established in Italy Institute of Public Health Kranj (ZZV Kranj) - established in Slovenia Ludwig Boltzmann Gesellschaft sterreichische Vereinigung zur Frderung der Wissenschaftlichen Forschung - established in Austria Alcohol Concern - established in the United Kingdom

Vereniging voor Alcohol en andere Drugproblemen (VAD)

ABSTRACT 1. General Objective To raise the effectiveness of alcohol prevention campaigns through the elaboration of tailored messages towards different target groups and through the embedding of the campaigns in a local alcohol policy and inclusive approach. By translating the gathered evaluated results of the national ECAT-prevention campaigns into a general applicable manual of guidelines, an important added value is created on a European level. This general objective will be achieved via the following strategic objectives: to define prior target groups and topics through the conduct of a quick scan for community analysis (social, epidemiological, behavioural and environmental assessment) to design a local community alcohol policy based on the results of the community analysis, including an information and sensitisation campaign directed at the prior target groups and focused on prior topics to develop evidence based guidelines for tailor-made alcohol prevention campaigns on a local community level to set up local, cross-sectoral networks of stakeholders (e.g. general practitioners), in order to respond to the needs and questions of the target groups to evaluate the reach, visibility and impact of the campaigns to synthesise the best practices in a manual and to present the results and developed concept at a closing European conference. 2. Strategic relevance & contribution to the Public health programme Strategic relevance: There is a lack of experience and good practices in evaluated local alcohol prevention campaigns. Alcohol prevention campaigns are in general organised on a higher geographical level (national or regional) and aimed at the general population. The experiences in the ECAT-project can add important complementary value to alcohol prevention campaigning, since they incorporate a focus on specific target groups and specific alcohol topics that are highly relevant in a local community setting. There is a lack of quick scan methods for needs assessments in local communities. To implement relevant actions in the field of alcohol prevention, it is essential to have a good "outlook" on the prevalent situation and the influencing factors of (problematic) alcohol use. By developing, implementing and evaluating an applicable quick scan method for local community analysis, the ECAT-project intends to narrow this gap. Every alcohol prevention campaign that informs and sensitises the population or specific target groups aims at a change in behaviour patterns. This includes an increased request for professional help in problematic situations. But the needed support afterwards is not always available. Too often, campaigns do not pay attention to the consequences of the campaign in terms of capacity-building to handle the problems. By setting up a cross-sectoral network of stakeholders in the local community and by the implementation of relevant supporting actions, the ECAT-project incorporates this success factor. The evaluation results will lead to recommendations in this domain. Contribution to Public health programme: The ECAT-project mainly focuses on the health determinants priority "supporting key community strategies on alcohol to reduce alcohol related harm" in the work plan 2005. More specifically, by embedding the alcohol campaigns in reliably mapped alcohol policy plans and by setting up cross-sectoral stakeholder networks, the projects objectives are linked to the work plan action "innovative and cross-sector awareness raising activities (...) to improve synergy and coordination of campaigns and consumer information to reduce under-age drinking, especially binge-drinking". Further, the elaboration of guidelines for alcohol campaigns, based on evidence based practices/good practices, fits with the work plan action "best practices on information to the public, including consumer information and, in particular, health warnings and labelling.

Moreover, the inclusion of a quick scan method for a community analysis to counter the prevention paradox and to include all potential risk groups responds to the actions "a specific focus on developing targeted public health response strategies to address vulnerable groups (...)" and "a special focus should be given to (...) tackling inequalities", both described in the priority area Public health actions to address wider determinants of health: environmental determinants. The whole project, including the development of the evaluation tool, has clear matches with the cooperation between the EC and the WHO, as described on page 2 of the work plan 2005: "Generating, collecting, processing and disseminating authorative information and data (...) in order to provide a sound basis for the monitoring of health and health determinants, the design of effective policies and measures, the undertaking and evaluation of implementing activities (...)." 3. Methods and means Methods: I.A. Evidence based guidelines for tailored campaigns: literature search of evidence based practices gathering good practices of alcohol prevention campaigns in each participating region translation of the results into guidelines for tailored campaigns consultation meeting on the elaborated guidelines I.B. Embedding the campaign in a local community alcohol policy: development of a quick scan method for community analysis, based on similar good practices consultation meeting on the community analysis and common stipulation on the stakeholders actions and the implementation of the alcohol campaign set-up of a stakeholders network in each participating country, organisation of a needs assessment and provision of training and support towards these networks II. Preparations and implementation of an alcohol campaign in a local community III. Evaluation of the campaigns elaboration of a tool for the campaign evaluation in both the population and the involved professional stakeholders network analysis of the results of the population evaluation and the stakeholders evaluation consultation meeting on the evaluation of the ECAT-campaigns To reach the best cost-benefit, the evaluation method will aim to a maximum of information from a limited number of respondents, i.c. to measure the impact of the campaigns in the stakeholder networks and to measure the reach and visibility of the campaigns in the population. IV. Dissemination writing a conceptual manual for alcohol campaigning based on the main findings of the project consultation meeting on the final deliverables closing European conference (cf. infra). It is obvious that this methodological action plan needs a substantial input of manpower and campaign costs. 4. Expected outcome 1. Conceptual manual for local alcohol prevention campaigns, including: guidelines for elaborating an alcohol prevention policy plan on a local community level guidelines for the build-up of a local network of stakeholders guidelines for tailored alcohol prevention campaigns, based on evidence based/good practices methodological guidelines for supporting actions, e.g. quick scan method for community analysis and evaluation tool for measuring the reach, visibility and impact of campaigns. 2. Closing European ECAT-conference for all EU-member states, including: presentation of the conceptual outline and the main findings presentation of good practices within the ECAT-project workshops on different sub topics (community approach in collaboration with networks of stakeholders, evaluation of community based alcohol campaigns, results of specific campaigns.