The project came out as a practical answer to the context of the ageing population in EU. The needs of the beneficiaries targeted and then involved in the project showed that qualified medical assistance for palliative medicine in the partner countries was scarce and in many situations palliative health-care assistants acquired basic knowledge and skills on the job. The need to train qualified medical staff to meet the growing demand of assistance in the field of palliation in EU is a must. How to do this in a qualified, standardised way and with knowledge and skills aligned to the most recent research findings in the field was the practical challenge to be met and jointly answered in the project by the EU partnership. The project created a very comprehensive interdisciplinary MOOC which offers 20 fundamental palliative medicine procedures. Each procedure has a description that follows a standardised approach, with videos to illustrate how the procedure is being done, including the communication that accompanies the performance of that procedure and with a linguistic unit that practices that specialised communication flow. The 20 procedures with the videos and the accompanying linguistic units are available in 6 EU languages: DT, EN, FR, IT, ES, RO.The interdisciplinary approach is definitely an innovation where the medical content is fertilised by the linguistic approach; due to the inter-disciplinarity proposed by this resource, combined knowledge and skills from the medical and linguistic fields ensue plus specialised communication skills in the domain of palliative medicine are practise.The MOOC approach was a total innovation for all the countries involved in connection to the specialised field of palliative medicine. Added to this the pedagogy specific to technology-enriched education is a first applied to resources from the domain of palliative care. Collaborative learning and evaluation of knowledge and skills, networking and constructivism at the basis of introducing and practising skills for palliation through the MOOC resources and techniques are innovatively applied to a vocational field much indebted otherwise to classic teacher-centred approaches. The project covers the following specific objectives:- Promote stronger coherence between different EU and national transparency and recognition tools and ensure that skills are recognised across borders by identifying, defining and standardizing the palliative medical and nursing skills, which allow students across Europe to be active participants in clinical routine after their first year of medical studies.- Improve the level of key competences and skills, with particular regard to their relevance for the labour market (everyday medical practice), through strengthened cooperation between the world of education and training and the world of work; - Improve the teaching and learning of languages and promote the EU's broad linguistic diversity and intercultural awareness- Develop innovative and multidisciplinary approaches to teaching and learning and eLearning materials which support students both during their skills training and their practical module- Foster quality improvements, innovation excellence and internationalisation at the level of education and training institutions, in particular through enhanced transnational cooperation between education and training providers and other stakeholdersStarting with a partnership of 9 partners from 4 countries having complementary significant expertise and experience both academic (medical: P1, P2, P5, P6; linguistic & training: P3, P8, P9) and in the world of work (P4, P7); the project addresses and have a consistent impact on its direct target groups: - Lecturers & students in Medical Universities- (Foreign) in-service medical staff - Social assistants or other staff dealing with palliative care (hospitals/hospices/homecare)- Language teachers/trainers in medical institutions- Volunteering bodies - Educational centres- Companies active in social corporate responsibilityMain project results are:-Specialized research of medical literature and practice about palliative care in Romania, Italy, Spain and Belgium-Guide of 20 Medical Procedures in 6 languages, topics covered are: Catheterisation; Paracentesis; Automatic syringe; Bed transfer; Conspiracy of silence; Active listening; Communicating news; Spiritual assessment; Nutrition; Oral care; Patient bath; Pain assessment; Pain prescribing; Burn out syndrome; End of life care; Terminal phase; Prevention Ulcer; Awareness level; Patients’ network; Caregivers’ needs.-20 videos with simulation of palliative care procedures-120 language units for 6 languages-2 MOOCs in the fields of palliative care and medical communication-7 Educational Toolkits published on hard copies with DVDs (319 copies)-Project website - http://medlang.eu -1.469 people directly involved by the project activities and other 320.000 reached

Major depressive disorder, dementia, anxiety disorders, and substance abuse affect a substantial part of the European older population. Over 70% of Europeans reside in cities, and this percentage will increase in the next decades. Urbanization and ageing have enormous implications for public mental health. Cities pose major challenges for older citizens, but also offer opportunities for the design of policies, clinical and public health interventions that promote mental health. The overall aim of the MINDMAP project is to identify the opportunities offered by the urban environment for the promotion of mental wellbeing and cognitive function of older individuals in Europe. The project will advance understanding by bringing together longitudinal studies across cities in Europe, the US and Canada to unravel the causal pathways and multi-level interactions between the urban environment and the social, behavioural, psychosocial and biological determinants of mental health and cognitive function in older adults. Specifically, the project will (a) assess the impact of the urban environment on the mental wellbeing and disorders associated with ageing, and estimate the extent to which exposure to specific urban environmental factors and policies explain differences in ageing-related mental and cognitive disorders both within as well as between European cities, (b) assess the causal pathways and interactions between the urban environment and the individual determinants of mental health and cognitive ageing in older adults, (c) use agent-based modelling to simulate the effect of urban environmental, prevention and care policies on the trajectories of mental health and cognitive ageing across cities in Europe. Knowledge will significantly contribute to future-proof preventive strategies in urban settings favouring the mental dimension of healthy ageing, the reduction of the negative impact of mental disorders on co-morbidities, and maintaining cognitive ability in old age.

ImpleMentAll will develop, apply, and evaluate tailored implementation strategies in the context of on-going eHealth implementation initiatives in the EU and beyond. Common mental health disorders account for an alarming proportion of the global burden of disease. Being regarded as an evidence-based psychotherapeutic eHealth intervention, Internet-based Cognitive Behavioural Therapy (iCBT), has the potential to answer to this societal challenge by providing an efficacious and efficient treatment from which more people can benefit. As a result, various iCBT implementation projects are currently conducted across the world. We propose to use this natural laboratory to develop and evaluate a toolkit for tailored implementation strategies that is expected to make implementation trajectories more efficient. The objectives for ImpleMentAll are: 1) To develop a generic Integrated Theory-based Framework for Intervention Tailoring Strategies (the ItFits-toolkit) for data-driven tailored implementation of evidence-based eHealth services. 2) To demonstrate the impact of the ItFits toolkit on the implementation of eHealth for common mental disorders, in 9 European countries, 2 LMIC, and Australia. 3) To disseminate the validated toolkit in various healthcare contexts across Europe. ImpleMentAll is a true multidisciplinary international collaboration that unites key experts in clinical practice, health innovation, clinical research, and implementation science. Combined with it’s unique setup, ImpleMentAll will be able to test if tailoring implementation strategies lead to more efficient implementation. The resulting ItFits-toolkit will enable data driven evaluation of eHealth implementation projects in terms key performance indicators for process, effectiveness, and efficiency outcomes. Its methods, materials, and strategies will provide concrete guidance on tuning implementation interventions to local determinant of practice across a variety of health care systems.

Health inequities have been increasing in Europe, particularly in a context of an ageing society and economic crisis. In countries with different levels of infrastructures and health system preparedness, inequities create significant policy challenges. The main goal of this project is to advance knowledge of policies that have the highest potential to enhance health and health equity across European regions with particular focus on metropolitan areas. To achieve this goal, the project will develop tools – based on a population health index – to evaluate the health and wellbeing of European population. This index will be informed by evidence on the relationship between multiple determinants (e.g. demographic, social, economic, environmental, lifestyle, and health care) and health outcomes in the past 15 years. It will be constructed using a multicriteria model structure, following a socio-technical approach: integrating the technical elements of a multicriteria value model and the social elements of interdisciplinary and participatory processes. The index will be applied to evaluate the population’s health in 273 NUTS 2 European regions and 9 selected pilot metropolitan areas (covering populations of 28 EU countries). The space-time analysis and comparison of the population health index will be enabled by a user-friendly web-based Geographic Information System. The population health index will be used to foresee and discuss the impact of multilevel policies and combinations of policies in population health and health equity across European regions, thus providing a basis for policy dialogue. Multicriteria resource allocation models, conflict analyses, analysis of policies’ feasibility, and scenario analyses will then assist in providing evidence on which policies have the highest potential to improve health and reduce health inequities at different geographical levels, and in suggesting alternative policy options for health policy development and regulation.

Head and neck cancer can take away a patient’s “right to feel human,” and its impact on physical appearance, physical functioning, psychological status and general quality of life (QoL) can be devastating. Over the past several decades, the number of patients who survive head and neck cancer (HNC) has increased; this makes lifelong surveillance critical. HNC imposes an extremely high socioeconomic burden on patients during and after cancer compared to other tumors, including costs from treatment-induced morbidities, loss of workforce participation and short-term disability. Current survivorship care plans mostly focus on functional and health conditions of treated patients, whereas socioeconomic determinants of quality of life are often neglected due to difficult data collection. The widespread technologies for social communication and unobtrusive personal monitoring embedded in smartphones and object we commonly use and in our living environments have the potential to unobtrusively collect wealth of indicators of individual QoL. BD4QoL objective is to improve HNC survivor’s Quality of Life through person-centred monitoring and follow-up plan by contribution of artificial intelligence and big data unobtrusively collected from commonly used mobile devices, in combination with multi-source clinical, -omic, socioeconomic data and patients reported outcomes, to profile HNC survivors for pBD4QoL objective is to improve HNC survivor’s Quality of Life through person-centred monitoring and follow-up plan by contribution of artificial intelligence and big data unobtrusively collected from commonly used mobile devices, in combination with multi-source clinical, -omic, socioeconomic data and patients reported outcomes, to profile HNC survivors for personalized monitoring and support. The analysis of QoL indicators collected over time will allow to early detect risks, prevent long-term effects of treatment and inform patients and caregivers for personalized interventions.