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"<< Background >>Digital Health Literacy is the ability to search for, find, understand, and evaluate health information from computerised sources and to apply the acquired knowledge to address or solve a health problem. The project will enable citizens to better manage their health and disease, improve prevention, enable more accurate diagnosis and care and facilitate communication with health professionals. It will also help to ensure a more equal access to healthcare, facilitating access to health information for adults with fewer opportunities and fewer possibilities to access to reliable sources on a topic of great importance such as health, especially in this time of global health emergency.The efforts of the project will focus particularly on the recognition of news and their understanding, following the EU’s hope as well, which ""has committed itself to protecting societies, citizens and freedoms from hybrid threats, including misinformation and disinformation actions"", as underlined in the 2019-2024 strategic agenda. As for the pandemic and related news, there was even a talk of an ""infodemia"" and an increase in cybercrime in relation to covid-19 (WHO): a further incentive to work to ensure that every European citizen is equipped with the skills to move safely in the online information landscape.The health emergency has exacerbated the difficulties already present, increasing the differences between those who have digital and health literacy bases in general, and those who have more difficulties in accessing and understanding complex information. As a consequence, the following emerged: the circulation of unreliable news, the growing mistrust of citizens towards the institutions and at the same time an overload of health services that have to mediate between the need of citizens to be informed and unclear information circulating on the net. This becomes particularly urgent and important in this delicate period of mass vaccination of people in all European countries.At the same time, the DHeLiDA platform will offer an open space for dialogue and discussion, joint case solutions, and direct testimony from people.From the point of view of the participating organisations, it was found that there was a need to combine elements aimed at digitisation with those related to the more specific field of information in the context of social inclusion: the project was then built on the basis of the possibilities that each partner could bring for the common objective of creating an easy-to-use tool, with highly accessible content but based on scientific rigour and advanced digital skills.Working with viewpoints coming from different contexts within the EU, namely with countries in the Mediterranean area - sharing some features, including the specificity of migration - and countries in Northern Europe, certainly allows both to evaluate how much the contents to be produced can be made ""transversal"" and to understand how much need we have to develop and deepen challenges related to the context and individual specificities. Thus, the challenge that DHeLiDA receives is to hold together a strongly international context, providing tools that can give answers also at the local level. In addition, for this reason each partner will work on the territory with its network of contacts to further involve the target group. This approach is also confirmed by the typology of expected outputs, including the ""Netiquette"" on health, which also intends to be a means to ensure the replicability and sustainability of the project.<< Objectives >>The project has as general objectives the reduction of the digital health literacy gap, which can cause social exclusion, the inclusion of potentially vulnerable target groups (especially elderly people, migrants and their families) and the development of new skills that can bring to a better social and health care, both for the individual and for the community.Bearing this in mind, the specific objectives of our proposal are the following:1) Defining a framework of digital skills in health sector (DigcompHealth) to facilitate adult educators to plan and propose flexible training courses that meet the needs of the multiple target groups of adult education.2) Developing and testing a modular and blended training path, based on the previous framework aiming at advancing digital health literacy at European level by pointing at the proliferation of virtuous processes of collective awareness, peer learning and crowsdsourcing.3) Building a set of training tools (training toolkits) including a ""European Netiquette on Health"", an act of behaviour with recommendations on how to promote health literacy for training centres and policymakers, together with guidelines for transferability and upscaling of project results.<< Implementation >>The work programme of the project is designed for the effective achievement of the general and specific objectives, including all the necessary activities for this purpose: awareness raising and collective awareness (PR1), the skills framework and training tools (PR2 and PR3), health Netiquette for enhancement, sustainability and replicability (PR3). The PR2 and PR3 constitute the central phase of the project and together provide the distinctive structure around which the entire project is built from the andragogic point of view.The methodology is the following:Phase 1: Defining the information and skills framework environment (M1-M9)During the first nine months of the project, in addition to the focus on the beginning of the project activities from a technical and administrative point of view, the partners will cooperate in the production of the first two tangible products of the project (PR): The Digital Health Collective Awareness Platform (PR1) and the DigcompHealth Foundation Reference Skills Framework (PR2).Although on two different levels, both represent an essential element for running the training and carrying out research activities planned to achieve the operational objectives of the project. In both cases, from the first months of operation, the project proposes a participatory design methodology with the active inclusion of target groups and key stakeholders, fully embracing the Commission’s suggestions on the need to develop learner-centred training courses which are highly flexible in terms of usage methods and modularity of their content.Phase 2: Development of the methodological framework and instruments (M10-M14)In this five-months second phase, the tools and guidelines will be designed to equip adult trainers in the exploitation of the previously prepared resources and their application to the reference target group: Disadvantaged adults (patients, elderly, migrants, etc.). The conclusion of this phase will correspond with a transnational training of 25 educators who will then act as multipliers of the innovation proposed by the project.Phase 3: Field Trial (M15-M21)It is certainly the most delicate phase from the point of view of operational risks and the achievement of the expected objectives. From M15 to M21 the partners will mentor the respective trainers in joint activities of exploitation of the platform of collective awareness and validation of the training toolkit. At the same time, data will be collected to review project outputs and to publish documents that will promote the sustainability of the project.Phase 4: Digital health Netiquettes in Europe (M22-M24)Within the PR3, a section dedicated to the creation of a tool for the enhancement of the project and the tools contained in the toolkit has been planned. Thus, the last three months of the project will be dedicated to putting to use the results obtained during the project and to disseminate them through the organization of multiplier events and the direct involvement of policy makers and all other stakeholders interested in supporting the initiative even after the end of the period of eligibility.<< Results >>With regard to the tangible results of the project, the DHeLiDA project is expected to:- generate an online community of active and experienced users (at least 100) in the field of digital health who will become part of the collective awareness platform of the project (PR1);- map and make available a significant number (at least 500) of articles, web pages, applications, training resources, legal texts and best practices in Europe and worldwide on the topic of Digital Health Literacy (PR1);- develop the first DigcompHealth Foundation (Basic Digital Skills Framework in Health) deriving from DigComp 2.1 with examples of use for all five areas of core competence (1-2) (PR2);- design and experiment a modular and mixed 40-hours training course which can be used by adult trainers, health workers, youth workers, and all those (3 in each partnership country = 15 in total, which in turn will train five more educators each, for a total of 90 trained educators) who support the socio-educational inclusion of disadvantaged groups (PR3);- involve as many citizens as possible from disadvantaged groups (at least 10 for each trainer involved = 900 in total) in the use of training material and the platform of collective awareness (Crowdsourcing platform);- collect sufficient data to implement an initial impact assessment on which to base recommendations and guidelines on a European Netiquette for Health (PR3) accepted and signed by at least 50 institutions providing services in the digital health sector (universities, training centres, hospitals, health centres and professional associations).The Project Results are:PR1: Crowdsourcing Platform on Digital Health LiteracyPR2: DigCompHealth Foundation FrameworkPR3: DHeLIDA Training and sustainability ToolkitIn terms of other outcomes:The progress of digital health literacy will increasingly allow greater autonomy and personal empowerment, with a gradual improvement in the quality of life. Furthermore, considering the specificity of the target group, there will also be greater equity and sustainability of public health.Specifically, regarding skills, all those who will take part in the activities of the project, will have the opportunity to:- develop skills related to navigation, information search, evaluation, relevance, participation and collaboration in a digital health environment;- understand and use open data, mobile devices, applications and social media in an informed and correct manner;- create and promote common, ethical, responsible, information and exchange spaces and digital content about health by using existing tools, resources and by reporting possible alternatives."
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