Periodic Reporting for period 1 - SUNRISE (SUstaiNable inteRventions and healthy behavIours for adoleScent primary prEvention of cancer with digital tools)
Période du rapport: 2024-01-01 au 2025-06-30
Primary prevention of cancer through behaviour changes in adolescence – a critical period in which many risk behaviours are initiated –, is a huge health and societal challenge in Europe. In alignment with this need, SUNRISE will co-create, implement and evaluate an innovative digitally-enhanced life-skills programme for primary prevention of cancer through sustainable health behaviour change in adolescents, tailored to their socio-economic, cultural and environmental diversities. SUNRISE will combine an established, evidence-based digital solution for smoking prevention, with novel intervention approaches such as peer social media campaigns, advertising literacy training, educational games, and social robot platforms, to take cancer prevention approaches for adolescents in the EU to the next level. The digitally-enhanced programme and its components will be developed through co-creation with schools-as-living-labs methods involving multiple societal actors such as educators, adolescents, parents, public health experts, and policy-makers. The programme will be implemented and evaluated at large scale across 154 schools and 7500 students in urban and rural regions of 8 European countries - Greece, Switzerland, Slovenia, Spain, Cyprus, Italy, Belgium, Romania -, including socially disadvantaged groups such as migrants and ethnic minorities. The effectiveness of both methods for achieving long-term health behaviour change, as well as the implementation strategy for solution adoption and multi-country sustainability, will be evaluated.
WP1: a) Established 5 working groups (n=40), i.e. “Councils”, with adolescents, parents, educators, public health experts, and local policy-makers, b) Completed large cross-sectional survey with adolescents (n>5000) across all 8 countries to assess (digital) health literacy, cancer literacy, cancer risk behaviours and environmental factors, >20% migrants and ethnic minorities, c) Completed 2 workshops with established Councils to analyse and prioritise adolescents’ health behaviour risks, d) Finished semi-structured interviews (n=10 for each country, total n=80) with education administrators, local policy-makers and public health experts to identify easy to implement cancer prevention pathways, e) Completed online survey with adolescents, parents, and educators (n=500), to elicit digital tools requirements, f) Completed feasibility, data protection impact, and risk assessment of the cancer prevention programme, g) Completed 2 plenary workshops (M5, M15) on socio-technical scenarios of the utilisation and sustainability of the programme, h) Finished the first round of co-creation activities (8 sessions in health topics) with school-as-a-living-lab methods for >100 participants across the 8 countries.
WP2: a) Completed the Inventory with evidence-based cancer prevention strategies and Repository of persuasive multimedia content, b) Finished 3 literature reviews for 1) factors influencing adherence to digital health programmes in adolescents; 2) effective and sustainable digital health behaviour change techniques; 3) successful implementation strategies for digital health interventions with potential impact on reducing health inequalities, c) Completed a delphi-survey with health experts and stakeholders (n=30) to identify implementation strategies for the adoption and sustained use of the health promotion programme
WP3: a) Improved the ISGF SmartCoach evidence-based life-skills digital intervention through addition of persuasive multimedia content, b) Finished the development of a website for novel social media influencer campaigns on promotion of healthy diet behaviours, c) Completed the development of an interactive social bot platform promoting preventive behaviours, d) Completed educational games for advertising and health literacy training, e) Completed an interactive health education module for adolescents, parents and educators, f) Finished a digital platform with authoring and monitoring tools for the interventional programme
WP4: a) Finished the protocols of the 2 studies, b) Coordinated the ethical approval applications in the 8 participating countries, c) developed training materials and support systems for educators and pilot administrators.
WP6: a) Developed the dissemination and communication strategy, launched the project website and LinkedIn, visual identity, produced videos, attended and contributed to events and webinars, and press releases, b) Completed the IPR policy document which provides a structured and transparent framework for ensuring responsible management and maximising impact and sustainability of the project results, c) Developed the ongoing Exploitation Strategy and planning which defines how the project results will be translated into practical use, identifying Key Exploitable Results (KERs), target users and pathways and ensuring results are adopted, scaled, and sustained, d) Performed a key Policy Making Event in the EU Parliament to engage with MEPs and policy-makers.
WP2: a) Completed the Inventory with evidence-based cancer prevention strategies and Repository of persuasive multimedia content, b) Finished 3 literature reviews for 1) factors influencing adherence to digital health programmes in adolescents; 2) effective and sustainable digital health behaviour change techniques; 3) successful implementation strategies for digital health interventions with potential impact on reducing health inequalities, c) Completed a delphi-survey with health experts and stakeholders (n=30) to identify implementation strategies for the adoption and sustained use of the health promotion programme
WP3: a) Improved the ISGF SmartCoach evidence-based life-skills digital intervention through addition of persuasive multimedia content, b) Finished the development of a website for novel social media influencer campaigns on promotion of healthy diet behaviours, c) Completed the development of an interactive social bot platform promoting preventive behaviours, d) Completed educational games for advertising and health literacy training, e) Completed an interactive health education module for adolescents, parents and educators, f) Finished a digital platform with authoring and monitoring tools for the interventional programme
WP4: a) Finished the protocols of the 2 studies, b) Coordinated the ethical approval applications in the 8 participating countries, c) developed training materials and support systems for educators and pilot administrators.
WP6: a) Developed the dissemination and communication strategy, launched the project website and LinkedIn, visual identity, produced videos, attended and contributed to events and webinars, and press releases, b) Completed the IPR policy document which provides a structured and transparent framework for ensuring responsible management and maximising impact and sustainability of the project results, c) Developed the ongoing Exploitation Strategy and planning which defines how the project results will be translated into practical use, identifying Key Exploitable Results (KERs), target users and pathways and ensuring results are adopted, scaled, and sustained, d) Performed a key Policy Making Event in the EU Parliament to engage with MEPs and policy-makers.
a) The large-scale survey with >5000 adolescents, revealed differences in health behaviours and literacy among 8 European countries, b) The SUNRISE inventory and multimedia repository provide accessible, evidence-based educational materials on cancer prevention for schools, c) 3 systematic literature reviews on digital health interventions for adolescents provide insights for the research community, d) The SmartCoach intervention for life skills training was enhanced with digital story-telling and culturally adapted for 8 countries, e) A website for hosting novel social media influencer campaigns with focus on adolescences has been developed, f) The SUNRISE Social Bot has been developed for promoting cancer prevention awareness in adolescence through engaging communication, g) A Lesson Kit for food advertising and literacy has been prepared, h) A novel authoring and monitoring tool has been developed supporting the creation, adaptation, monitoring, and evaluation of the SUNRISE intervention.