The co-production of a workplace health promotion program: expected benefits, contested boundaries

Workplace health promotion (WHP) are often depicted as an opportunity for pursuing a better and broader well-being condition under the assumption that working environments affect the physical, mental, and social well-being of individuals who spend large proportion of waking hours at work. While most empirical studies provided medical evidence to the effectiveness of WHP programs, scholars question the instrumental purposes of these programs founded on the belief that “healthy workers are better workers”. Little is known, for instance, about the design of WHP programs and their acceptance by workers. Our study addresses this gap, analyzing the co-production of a WHP program in an Italian research institute promoted by the healthcare authority, the local government and the national center for prevention and security in the workplaces. To this aim, we adopt the notion of boundary object investigate how different stakeholders reclaim to take part and being involved in this process, re-shaping their goals and their boundaries and why a WHP program or parts of it may be rejected or re-negotiated by its recipients. Our analysis reveals how each stakeholder contributes to re-shape the WHP program which emerges as the modular product of the composition of each matter of concern. Most notably, the strong rooting in a clinical perspective and the original focus on only workers at risk is gradually flanked by initiatives to involve all employees. Moreover, workers draw a line as for the legitimacy of employers’ intervention in the personal sphere of health promotion, embracing interventions addressing diet and physical activity while rejecting measures targeting smoking and alcohol consumption

ANALYST RELUCTANCE IN CONVEYING NEGATIVE INFORMATION TO THE MARKET

This paper investigates one of the main sources of financial markets’ public information: financial analysts’ reports. We analyze reports on S&P 500 index through a multidisciplinary approach integrating behavioral finance with linguistic analysis to understand how financial phenomena reflect in or are deviated by language, i.e. whether financial and linguistic trends follow the same patterns, boosting each other, or diverge. In the latter, language could conceal financial events, mitigating analysts’ feelings and misleading investors. Therefore, we attempt to identify behavioral biases (mainly represented by cognitive dissonances) present in analysts’ reports. In doing so, we try to understand whether analysts try to hide perception of negative price-sensitive events or not, eventually anticipating and controlling the market “mood”. The study focuses on how analysts use linguistic strategies in order to minimize their risk of issuing wrong advice. Our preliminary results show reluctance to incorporate negative information in the reports. A slight asymmetry between the use of positive/negative keywords taken into account and the negative/positive trends of the index seems to emerge. In those weeks characterized by the index poor performances, the frequency of keywords with a negative meaning is lower. On the contrary, in the recovering weeks a higher use of keywords with a positive meaning does not clearly appear. A thorough investigation on the market moods, and the analysis of the text of the reports enable us to assess if and to what extent analysts have been willing to mitigate pessimism or emphasize confidence. Furthermore, we contribute to the existing literature also proposing a possible analysts’ value function based on the Prospect Theory [Kahneman and Tversky, 1979] where analysts try to maximize the value deriving from enhancing their reputation, taking into account the risks that may cause a reputational loss. This theoretical framework supports our preliminary findings and supports the idea that analysts are risk-averse when facing reputational gains and risk-seeking in case of potential reputational losses

On Old Age and Its Multiplicity: Exploring Discourses and Materialities about Getting Older

Old age is at the core of complex constellations composed by media discourses, care and mundane activities, and affective and technological practices that involve a wide range of human and non-human actors. While during the last years concepts such as “active” and “successful” ageing have more and more emphasised the individual responsibility of older adults in managing their own health, in the context of the Covid-19 pandemic elderly have been increasingly framed as vulnerable subjects. This Crossing Boundaries will explore the different instances assumed by the “old age” as an emerging object by the enactment of discourses and materialities. In doing so, this Crossing Boundaries mobilizes different theoretical perspectives, such as STS, media studies and sociology of health. The authors will explore three main issues: 1) the public discourse about the health status of older people; 2) the collective management of Alzheimer’s disease in and outside institutions; 3) the involvement of older adults in designing information and communication technologies

Infrastructuring primary prevention outside healthcare institutions: the governance of a Workplace Health Promotion program

Workplace Health Promotion (WHP) programs are undergoing significant changes mixing the healthy lifestyle promotion with the self-tracking opportunities offered by digital technologies. The shift to more pervasive (or intrusive) forms of primary prevention for chronic diseases requires to justify the existence of healthcare infrastructures in work settings and a redefinition of the role of employers and healthcare institutions. The paper describes and analyses a WHP initiative conducted in Italy to illustrate the infrastructuring of the governance of technologically-enhanced prevention in the workplace

Influence of Parental Health Locus of Control on Behavior, Self-Management and Metabolic Control, in Pediatric Patients with Type 1 Diabetes

Background: Precision medicine in type 1 diabetes (T1D) treatment considers context and environmental data to subclassify patients. Parental Health Locus of Control PHLOC) could influence behavior, self-management, and metabolic control of children with T1D. Methods: No. 135 pediatric patients with T1D (No. 57 with HbA1c ≤ 7.0%, “optimal” group, and No. 78 with >7.0%, “sub-optimal” group) were enrolled in the study. History, anthropometric and diabetes management data were collected, as well as caregiver’s data about socioeconomic status (SES). The PHLOC scale questionnaire and a semi-structured interview were administered. Results: Access to technology was lower in the “sub-optimal” group and, in particular, in the ethnic minority subgroup, only 8% used them. In the “sub-optimal” group ethnic minority status was higher (24%), the caregiver had a lower SES and showed lower internal HLOC. Conclusions: New care models have to be implemented to ensure equity in diabetes care and precision treatment, particularly for ethnic minority groups, because SES and external PHLOC are still an important barrier to “optimal” diabetes control. In the “sub-optimal” group, we have to implement strategies aimed at increasing self-efficacy, while in the “optimal” one, a personalised approach should be considered to facilitate the shifting of responsibilities within the family, avoiding psychological distress

Creating a WhatsApp Dataset to Study Pre-teen Cyberbullying

Although WhatsApp is used by teenagers as one major channel of cyberbullying, such interactions remain invisible due to the app privacy policies that do not allow ex-post data collection. Indeed, most of the information on these phenomena rely on surveys regarding self-reported data. In order to overcome this limitation, we describe in this paper the activities that led to the creation of a WhatsApp dataset to study cyberbullying among Italian students aged 12-13. We present not only the collected chats with annotations about user role and type of offense, but also the living lab created in a collaboration between researchers and schools to monitor and analyse cyberbullying. Finally, we discuss some open issues, dealing with ethical, operational and epistemic aspects

Occurrence and traceability of Salmonella spp. in five Sardinian fermented sausage facilities

The aims of the present study were to evaluate the presence of Salmonella in five fermented sausage processing plants and their products during the production process, and to trace the possible sources of contamination. A total of 270 samples were collected: mixture of ground pork meat and fat, products at the end of acidification, sausages at the end of ripening and, during production stages, surfaces in contact with meat and surfaces not in contact with meat. For samples of ground meat, product at the end of acidification and sausages at the end of ripening, the pH and water activity (aw), were determined. All the samples were tested for the presence of Salmonella. Thirtytwo Salmonella isolates were obtained, subjected to serotyping and PFGE. The sausages at the end of ripening pH and aw mean values were 5.39±0.24 and 0.91±0.03, respectively. Salmonella was detected in three processing plants with an overall prevalence of 16.7% in food samples and 5.8% in environmental samples. Salmonella prevalence was 24% in ground meat and products at the end of acidification and was also detected in a sample of sausage at the end of ripening (2%). In environmental samples, Salmonella was detected in 6.6% of surfaces in contact with meat and 5% of surfaces not in contact with meat. Five serotypes were identified among 32 isolates: S. Derby (37.5%), S. Typhimurium and S. Rissen (both 25%), S. Give and monophasic S. Typhimurium (both 6.25%). Six different pulsotypes were obtained with PFGE. The serotypes and the PFGE pattern of the strains were specific for each facility with no overlapping between different processing plants. The same observation can be pointed out considering different sampling days for the same processing plants, thus presumably indicating the raw material (ground pork meat and fat) as the source of contamination. The detection of Salmonella in a sample of sausage at the end of ripening highlights the ability of the pathogen to survive during manufacturing process

A Remote Monitoring System to Optimize the Home Management of Oral Anticancer Therapies (ONCO-TreC): Prospective Training-Validation Trial

Background: A platform designed to support the home management of oral anticancer treatments and provide a secure web-based patient–health care professional communication modality, ONCO-TreC, was tested in 3 cancer centers in Italy. Objective: The overall aims of the trial are to customize the platform; assess the system’s ability to facilitate the shared management of oral anticancer therapies by patients and health professionals; and evaluate system usability and acceptability by patients, caregivers, and health care professionals. Methods: Patients aged ≥18 years who were candidates for oral anticancer treatment as monotherapy with an Eastern Cooperative Oncology Group performance status score of 0 to 1 and a sufficient level of familiarity with mobile devices were eligible. ONCO-TreC consisted of a mobile app for patients and a web-based dashboard for health care professionals. Adherence to treatment (pill count) and toxicities reported by patients through the app were compared with those reported by physicians in medical records. Usability and acceptability were evaluated using questionnaires. Results: A total of 40 patients were enrolled, 38 (95%) of whom were evaluable for adherence to treatment. The ability of the system to measure adherence to treatment was high, with a concordance of 97.3% (95% CI 86.1%-99.9%) between the investigator and system pill count. Only 60% (3/5) of grade 3, 54% (13/24) of grade 2, and 19% (7/36) of grade 1 adverse events reported by physicians in the case report forms were also reported in the app directly by patients. In total, 94% (33/35) of patients had ≥1 app launch each week, and the median number of daily accesses per patient was 2. Approximately 71% (27/38) and 68% (26/38) of patients used the app for messages and vital sign entering, respectively, at least once during the study period. Conclusions: ONCO-TreC is an important tool for measuring and monitoring adherence to oral anticancer drugs. System usability and acceptability were very high, whereas its reliability in registering toxicity could be improved