Quality assessment form used in this systematic review, based on CASP (2013) and Viswanathan et al. [21, 22]. (DOCX 18 kb

Andrea de Winter (4262983)

Christine Fenenga (4262968)

Cinzia Giammarchi (4262980)

Inge Hutter (728974)

Liesbeth de Wit (4262974)

Louise Meijering (4262977)

Lucia di Furia (4262971)

BMC Public Health

FigShare

Additional file 3: of Community-based initiatives improving critical health literacy: a systematic review and meta-synthesis of qualitative evidence

Background: Critical health literacy enables older adults to make informed health decisions and take actions for the health and wellbeing of themselves and their community, within their own social and cultural context. A community-based approach has the potential to improve the critical health literacy of older adults and their communities. However, it is not clear how such initiatives consider critical health literacy. Therefore, this study explored how community-based initiatives address the critical health literacy of older adults and their communities.Methods: A systematic literature search was conducted. Two reviewers independently screened titles and abstracts, as well as the quality of the methodological and community-based elements of the studies. In addition, a meta-synthesis was carried out, consisting of a qualitative text analysis of the results sections of the 23 included studies.Results: We identified two main themes, which are practices that contribute to the critical health literacy of older adults as well as their communities: 1) collaborative learning, and 2) social support. In these practices we identified reciprocity as a key characteristic of both co-learning and social support.Conclusions: This study provides the first overview of community-based initiatives that implicitly address the critical health literacy of older adults and their community. Our results demonstrate that in the context of one's own life collaborative learning and social support could contribute to people's understanding and ability to judge, sift and use health information. We therefore suggest to add these two practices to the definition of critical health literacy.</p

de Wit, Liesbeth

Fenenga, Christine

Giammarchi, Cinzia

di Furia, Lucia

Hutter, Inge

de Winter, Andrea

Meijering, Louise

Dissertations of the University of Groningen

English

Community-based initiatives improving critical health literacy:a systematic review and meta-synthesis of qualitative evidence

Background: Critical health literacy enables older adults to make informed health decisions and take actions for the health and wellbeing of themselves and their community, within their own social and cultural context. A community-based approach has the potential to improve the critical health literacy of older adults and their communities. However, it is not clear how such initiatives consider critical health literacy. Therefore, this study explored how community-based initiatives address the critical health literacy of older adults and their communities. Methods: A systematic literature search was conducted. Two reviewers independently screened titles and abstracts, as well as the quality of the methodological and community-based elements of the studies. In addition, a meta-synthesis was carried out, consisting of a qualitative text analysis of the results sections of the 23 included studies. Results: We identified two main themes, which are practices that contribute to the critical health literacy of older adults as well as their communities: 1) collaborative learning, and 2) social support. In these practices we identified reciprocity as a key characteristic of both co-learning and social support. Conclusions: This study provides the first overview of community-based initiatives that implicitly address the critical health literacy of older adults and their community. Our results demonstrate that in the context of one's own life collaborative learning and social support could contribute to people's understanding and ability to judge, sift and use health information. We therefore suggest to add these two practices to the definition of critical health literacy

De Wit, L. (Liesbeth)

Fenenga, C. (Christine)

Giammarchi, C. (Cinzia)

Di Furia, L. (Lucia)

Hutter, I. (Inge)

Winter, A.F. (Andrea) de

Meijering, L. (Louise)

Erasmus University Digital Repository

Community-based initiatives improving critical health literacy: A systematic review and meta-synthesis of qualitative evidence

University of Groningen

Liesbeth de Wit

Christine Fenenga

Cinzia Giammarchi

Lucia di Furia

Inge Hutter

Andrea de Winter

Louise Meijering

Crossref

Community-based initiatives improving critical health literacy: a systematic review and meta-synthesis of qualitative evidence

Background: Critical health literacy enables older adults to make informed health decisions and take actionsfor the health and wellbeing of themselves and their community, within their own social and cultural context.A community-based approach has the potential to improve the critical health literacy of older adults and theircommunities. However, it is not clear how such initiatives consider critical health literacy. Therefore, this studyexplored how community-based initiatives address the critical health literacy of older adults and their communities.Methods: A systematic literature search was conducted. Two reviewers independently screened titles andabstracts, as well as the quality of the methodological and community-based elements of the studies. In addition,a meta-synthesis was carried out, consisting of a qualitative text analysis of the results sections of the 23 includedstudies.Results: We identified two main themes, which are practices that contribute to the critical health literacy of olderadults as well as their communities: 1) collaborative learning, and 2) social support. In these practices weidentified reciprocity as a key characteristic of both co-learning and social support.Conclusions: This study provides the first overview of community-based initiatives that implicitly address thecritical health literacy of older adults and their community. Our results demonstrate that in the context of one’sown life collaborative learning and social support could contribute to people’s understanding and ability tojudge, sift and use health information. We therefore suggest to add these two practices to the definition ofcritical health literacy

De Wit, Liesbeth

Fenenga, Christine J.

Di Furia, Lucia

De Winter, Andrea F.

EUR Research Repository

Community-based initiatives improving critical health literacy: a systematic review and meta-analysis of qualitative evidence.

de Wit, L

Fenenga, C

Giammarchi, C

di Furia, L

Hutter, I

de Winter, A

Meijering, L

NARCIS 

Conraud, J.

Texas A&amp;M Repository

Energy Management and Information SystemMcGill University – Utilities & Energy ManagementInternational Conference for Enhanced Building OperationMontréal, QCOctober 8‐10, 2013Presenter: Jerome Conraud, Eng., MASc, Energy ManagerESL-IC-13-10-05Proceedings of the 13th International Conference for Enhanced Building Operations, Montreal, Quebec, October 8-11, 2013outline• Who we are• Our challenges• Our approach• The EMIS project• Lessons learnedPhoto : Owen Egan/McGill University | Radio‐CanadaESL-IC-13-10-05Proceedings of the 13th International Conference for Enhanced Building Operations, Montreal, Quebec, October 8-11, 2013who we are• One of the oldest universities in Canada Established 1821• Top 1 university in Canada, among top 20 universities in the world• 21 facultiesMedicine, Law, Music, Chemistry, Engineering, Physics, Biochemistry, etc.• Old stock of buildingsAverage age: 50+ years• Research intensive12 Nobel Prize winners, $1.1 billion endowment in 2012ESL-IC-13-10-05Proceedings of the 13th International Conference for Enhanced Building Operations, Montreal, Quebec, October 8-11, 2013who we are• 36,000 students 11,000 faculty and staff• Total gross area: 800,000 m² (8.5 million sq. ft.)• Annual energy use: 1.4 million GJ(1.3 million MMBTU | 385 GWh‐e)• Annual energy cost: CAD $18M (€ 14 million)• 2 steam distribution networks500+ million lb steam / year• 2 power distribution networks30MW peak demand• 3 main chilled water distribution networks12,000‐ton capacity• ±1,000 HVAC systems Photo: Flicker User trepeluhttp://www.flickr.com/photos/trepelu/sets/72157605723430524/with/2596881066/ESL-IC-13-10-05Proceedings of the 13th International Conference for Enhanced Building Operations, Montreal, Quebec, October 8-11, 2013our challenges• Highly energy intensive university• Utilities not metered at building level• Numerous HVAC systems• Systems controlled by other unitESL-IC-13-10-05Proceedings of the 13th International Conference for Enhanced Building Operations, Montreal, Quebec, October 8-11, 2013our approach$30 million five‐year investment programto improve energy performanceImprove infrastructureenergy audits, HVAC upgrades, heat recovery, etc.Improve operationsprocesses and day‐to‐day operations, retro‐commissioningENERGY MANAGEMENT INFORMATION SYSTEMESL-IC-13-10-05Proceedings of the 13th International Conference for Enhanced Building Operations, Montreal, Quebec, October 8-11, 2013the projectHardware• $3.0 million investment• 400+ meters installedelectricity, steam, condensate, natural gas, hot water, chilled water• 70+ buildings monitored50% of campus gross area• 80% of energy use monitored• 18 months to install, set up, and integrate meters to existing metering platform• Procedures and toolsdeveloped to verify and validate installations, set‐ups, and equipment• CredibilityConsistent process, standard set‐ups, constant validationESL-IC-13-10-05Proceedings of the 13th International Conference for Enhanced Building Operations, Montreal, Quebec, October 8-11, 2013the projectSoftware• Collect and organize data• Plot energy demand in real time against external factors Tout, RHout, wind speed and direction,  net solar radiation• Generate reports to follow trends in long‐term energy use• Train “typical curves” to benchmark buildings against themselves and detect anomalies• Engage building occupantsESL-IC-13-10-05Proceedings of the 13th International Conference for Enhanced Building Operations, Montreal, Quebec, October 8-11, 2013the project“Humanware”• Multidisciplinary teamcomprising energy managers, HVAC managers, control technicians, and ad‐hoc guests• Analyse anomalies and implement measures− Corrective (short term solutions)− Preventive (long term solutions)• Coordinate operationsenergy generation and distribution vs energy demand on campus• Review processes, inform decision makers• Examples of anomalies:abnormal trend in energy use, random spike in demand, unnecessary energy use during unoccupied hours, etc.ESL-IC-13-10-05Proceedings of the 13th International Conference for Enhanced Building Operations, Montreal, Quebec, October 8-11, 2013the projectExamples of Measures• Review HVAC schedulesto realign occupants’ needs and optimal operations• Optimize ventilation and temperature set points• Enthalpy control of fresh air• Peak shavingsteam generation and peak powerESL-IC-13-10-05Proceedings of the 13th International Conference for Enhanced Building Operations, Montreal, Quebec, October 8-11, 2013the projectESL-IC-13-10-05Proceedings of the 13th International Conference for Enhanced Building Operations, Montreal, Quebec, October 8-11, 2013the projectESL-IC-13-10-05Proceedings of the 13th International Conference for Enhanced Building Operations, Montreal, Quebec, October 8-11, 2013the projectESL-IC-13-10-05Proceedings of the 13th International Conference for Enhanced Building Operations, Montreal, Quebec, October 8-11, 2013the project ‐ 5,000 10,000 15,000 20,000 25,000 30,000 35,000 40,000 45,000 50,000Sep‐12 Oct‐12 Nov‐12 Dec‐12 Jan‐13 Feb‐13 Mar‐13 Apr‐13 May‐13 Jun‐13 Jul‐13 Aug‐13Monthly Electricity Consumption (kWh)Optimization of the Ventilation ScheduleElectricity Savings – McGill BookstoreActual (kWh) Baseline (kWh)12‐month savings: $9k | 22% cost baselineESL-IC-13-10-05Proceedings of the 13th International Conference for Enhanced Building Operations, Montreal, Quebec, October 8-11, 2013 ‐ 50,000 100,000 150,000 200,000 250,000 300,000 350,000 400,000Sep‐12 Oct‐12 Nov‐12 Dec‐12 Jan‐13 Feb‐13 Mar‐13 Apr‐13 May‐13 Jun‐13 Jul‐13 Aug‐13Monthly Steam Consumption (lb)HVAC Schedule Optimization + Enthalpy Control + Steam Shutdown Steam Savings – McGill Bookstore Actual (lb) Baseline (lb)the project12‐month savings: $41k | 61% of cost baselineESL-IC-13-10-05Proceedings of the 13th International Conference for Enhanced Building Operations, Montreal, Quebec, October 8-11, 2013 ‐ 500 1,000 1,500 2,000 2,500 3,000Sep‐12 Oct‐12 Nov‐12 Dec‐12 Jan‐13 Feb‐13 Mar‐13 Apr‐13 May‐13 Jun‐13 Jul‐13 Aug‐13Total Monthly Energy Use (GJ)HVAC Schedule Optimization + Occupancy DetectionTotal Energy Savings ‐ Bronfman Management BuildingActual (GJ) Baseline (GJ)the project12‐month savings: $131k | 31% of cost baselineESL-IC-13-10-05Proceedings of the 13th International Conference for Enhanced Building Operations, Montreal, Quebec, October 8-11, 2013the projectQuantifiable Results• Review of HVAC schedules$180k | 18,000 GJ for 18 buildings reviewed (of 40)Other Benefits• Enhanced cooperation and better understanding of each party’s priorities• Pro‐active solution seeking and sharing of information• Positive impact on other energy projects (e.g., ReCx)• Increased awareness of Building Operations teamFodder for Projects• Student projects co‐supervised /supported by Energy Management team− Behaviour change project in dorms and labs− Steam demand forecast model− Steam generation optimization algorithmESL-IC-13-10-05Proceedings of the 13th International Conference for Enhanced Building Operations, Montreal, Quebec, October 8-11, 2013lessons learnedLimitations• Level of granularity of meteringMore granularity would allow us to pinpoint problems more easily but digesting ±400 meters has proved very tedious• Extensive monitoring means a lot of extra activities that aren’t core businesse.g., meter maintenance, annual verification of equipment, etc.http://www.greenbookblog.org/wp‐content/uploads/2013/07/lessons‐learned.jpghttp://greeneconsults2.com/bloggca/wp‐content/uploads/balance‐current‐needs‐with‐retirement‐needs.jpg• Recurring costto maintain new assets, pay for software fees, coordinating activities, etc.• Hardware and software doesn’t forgo the need for brain powerESL-IC-13-10-05Proceedings of the 13th International Conference for Enhanced Building Operations, Montreal, Quebec, October 8-11, 2013lessons learnedOn the Roadmap• Finish implementing revised HVAC schedules• Address occupancy detection, ventilation and temperature set points through retro‐commissioning• Better predict steam and power demand• Peak shaving and load shedding• Continuous building optimization?ESL-IC-13-10-05Proceedings of the 13th International Conference for Enhanced Building Operations, Montreal, Quebec, October 8-11, 2013thank youJerome ConraudEng., MASc., CEMEnergy ManagerUtilities & Energy MgmtMcGill Universityjerome.conraud@mcgill.ca514‐398‐5870Take a peek at our energy dashboard! mcgill.pulseenergy.cahttp://sheaf1.wpengine.netdna‐cdn.com/wp‐content/uploads/2012/03/Mcgill_ArtsBuilding_original.jpegESL-IC-13-10-05Proceedings of the 13th International Conference for Enhanced Building Operations, Montreal, Quebec, October 8-11, 2013

Energy Management and Information Systems

Abstract Background Critical health literacy enables older adults to make informed health decisions and take actions for the health and wellbeing of themselves and their community, within their own social and cultural context. A community-based approach has the potential to improve the critical health literacy of older adults and their communities. However, it is not clear how such initiatives consider critical health literacy. Therefore, this study explored how community-based initiatives address the critical health literacy of older adults and their communities. Methods A systematic literature search was conducted. Two reviewers independently screened titles and abstracts, as well as the quality of the methodological and community-based elements of the studies. In addition, a meta-synthesis was carried out, consisting of a qualitative text analysis of the results sections of the 23 included studies. Results We identified two main themes, which are practices that contribute to the critical health literacy of older adults as well as their communities: 1) collaborative learning, and 2) social support. In these practices we identified reciprocity as a key characteristic of both co-learning and social support. Conclusions This study provides the first overview of community-based initiatives that implicitly address the critical health literacy of older adults and their community. Our results demonstrate that in the context of one’s own life collaborative learning and social support could contribute to people’s understanding and ability to judge, sift and use health information. We therefore suggest to add these two practices to the definition of critical health literacy

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https://figshare.com/articles/Additional_file_3_of_Community-based_initiatives_improving_critical_health_literacy_a_systematic_review_and_meta-synthesis_of_qualitative_evidence/5230099

Energy Management and Information Systems

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Dissertations of the University of Groningen

Dissertations of the University of Groningen

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University of Groningen

Crossref

EUR Research Repository

NARCIS

Texas A&M Repository

Directory of Open Access Journals

Energy Management and Information Systems

Abstract

Similar works

Full text

Available Versions

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Dissertations of the University of Groningen

Dissertations of the University of Groningen

Erasmus University Digital Repository

University of Groningen

Crossref

EUR Research Repository

NARCIS

Texas A&amp;M Repository

Directory of Open Access Journals

Texas A&M Repository