1. “Challenging but worth it!” : the purpose of participatory research in urban health, an evaluation and derived frameworkMaria Alejandra Rubio, Rok Novak, Laura Hidalgo, Jill Litt, Don Slater, David Kocman, 2026, original scientific article Abstract: Participatory approaches are becoming paramount to harness the relationship between researchers, government, industry, and civil society to inform programs and policies. However, variability in implementation and limited standardized reporting hinder the systematic evaluation of their effectiveness. This study characterizes participatory methodologies in urban health research and proposes a framework for evaluating and reporting such approaches. Using an explanatory sequential design, this study evaluated 20 participatory pilot studies from the Urban Health Cluster (Horizon 2020 European Commission Programme), combining survey data and semi-structured interviews with project leads. The analysis identified four primary purposes for participatory methods: to assess health-environment correlations; raise awareness; co-create interventions; and assess health-related effects. Case studies exemplify each of these purposes. Findings informed a “purpose framework” nested within a theory-of-change model, which clarifies the rationale behind participatory approaches and maps their processes and intended impacts. The framework includes indicators for purpose, stakeholder involvement, participation mechanisms, facilitators, challenges, expected outcomes, and evaluation strategies, reported across all 20 projects. Public authorities (90 %) and civil society (85 %) are the most frequently engaged stakeholders, typically involved during project identification and deployment. Engagement was facilitated by shared motivation to address local needs, while long-term commitment posed challenges. Our results highlight the limited use of theory-of-change models in current practice and the value of structured frameworks for enhancing the reproducibility and transformative impact of participatory urban health research. The proposed framework can help align participatory methods with a theory of change and foster more effective urban health transformations.
Keywords: participatory research, public engagement, standardized reporting, urban health
Published in DiRROS: 03.12.2025; Views: 43; Downloads: 22
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2. Total and free sugars consumption in a Slovenian population representative sampleNina Mikec, Hristo Hristov, Matej Gregorič, Urška Blaznik, Nataša Delfar, Barbara Koroušić-Seljak, Eric L. Ding, Nataša Fidler Mis, Igor Pravst, 2020, original scientific article Keywords: free sugar, sugar intake, dietary intake, 24-hour recall, nutrition survey, public health, EU Menu, Slovenia
Published in DiRROS: 18.11.2025; Views: 136; Downloads: 60
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3. Nutrihealth study : seasonal variation in vitamin D status among the Slovenian adult and elderly populationMaša Hribar, Hristo Hristov, Matej Gregorič, Urška Blaznik, Katja Zaletel, Adrijana Oblak, Joško Osredkar, Anita Kušar, Katja Žmitek, Irena Rogelj, Igor Pravst, 2020, original scientific article Keywords: 25(OH)vitamin D, biomarkers, dietary survey, public health, EU Menu, Slovenia, Europe
Published in DiRROS: 18.11.2025; Views: 146; Downloads: 103
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4. Volatile organic compounds (VOCs) and polycyclic aromatic hydrocarbons (PAHs) in indoor environments: a review and analysis of measured concentrations in EuropeNikolina Račić, Ivana Terzić, Nina Karlović, Anja Bošnjaković, Teo Terzić, Ivana Jakovljević, Gordana Pehnec, Tajana Horvat, Goran Gajski, Bojana Žegura, 2025, review article Abstract: Indoor air quality is a significant aspect of public health, yet it remains less studied than outdoor air pollution. Understudied indoor pollutants include volatile organic compounds (VOCs) and polycyclic aromatic hydrocarbons (PAHs). This review focuses on these two groups of compounds known for their health effects, including respiratory issues, neurological disorders, and carcinogenicity. We systematically compiled and analyzed data from studies reporting measured concentrations of VOCs and PAHs in European indoor environments—homes, schools, and offices—published in the past two decades. Concentration levels vary substantially across studies, influenced by regional differences, climate, building type, ventilation systems, and indoor activities. Identified sources include tobacco smoke, cooking, heating (e.g., biomass burning), and off-gassing from construction and furnishing materials. Our analysis reveals clear geographic patterns: lower concentrations of VOCs and PAHs are consistently reported in Northern and Western European countries, likely due to stricter air quality regulations, cleaner outdoor air, greater use of electric heating, and more advanced ventilation systems. Conversely, higher concentrations are more commonly observed in Southern and Eastern Europe, where biomass heating and poorer ventilation remain more prevalent. Seasonal variation also has a significant role, with higher indoor levels typically measured during colder months due to increased heating and reduced air exchange. This highlights the need for improved indoor air quality management practices and regulatory standards to minimize the health risks associated with VOCs and PAHs. This review of 46 scientific publications is aimed at informing future studies and guiding future field measurements and risk assessments in epidemiological studies.
Keywords: health risks, indoor air quality, PAHs, public health, VOCs
Published in DiRROS: 08.09.2025; Views: 337; Downloads: 133
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5. Winners or losers? Two academic years in experiences of COVID-19 pandemicIvana Milovanović, Radenko Matić, Brigita Banjac, Saša Pišot, 2024, original scientific article Abstract: Background. The COVID-19 pandemic declared on March 11th, 2020, has had a substantial impact on the lives of all over the world. The student population, being one of the most vulnerable and substile ones, was forced to face specific unexpected circumstances for the first time in their lives. Objective. In this paper, the authors explored the reflections of the COVID-19 experience and basic segments of everyday life of university students after the first academic year under pandemic measures and a follow-up year with their subjective perception of to what extent their lives have changed and how they were able to adapt to COVID-19 emergency measures. Design. The field research was conducted among students in two European countries: Slovenia and Serbia. The qualitative semi-structured interviews with students (N=20, 50% male) were executed in June-July 2020 and June-July 2021. Results. The basic segments of students' daily lives underwent significant changes, yet they successfully coped and adapted to the COVID-19 emergency measures. Notably, improvements were observed in study strategies, reducing fear and loneliness. Above all, the primary longing was for social contact and gathering with friends. In their private lives, they were more concerned about opportunities but on the other hand, they gained more free time for various non-academic activities. Finally, sports science students have proven better-coping mechanisms with extraordinary circumstances. Conclusion. This study contributes to a deeper understanding of the changes in the daily lives of students during the first and second waves of the COVID-19 pandemic.
Keywords: students, everyday practice, e-learning, perspective of the future, fear, loneliness, COVID-19 pandemic measures, public health
Published in DiRROS: 06.11.2024; Views: 731; Downloads: 502
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6. The International cookbook for wastewater practitioners : testing wastewater for public health, SARS-CoV-2Bernd Manfred Gawlik, Sara Comero, Daniel A. Deere, Gertjan Medema, Ismahane Remonnay, Jean-François Loret, Ana Maria de Roda Husman, Stephanie Rinck-Pfeiffer, Shelesh Agrawal, Ion Gutiérrez-Aguirre, 2024, final research report Abstract: During the 2020-2023 COVID-19 Global Public Health Emergency of International Concern, rapid progress was made with the application of Wastewater-Based Surveillance (WBS) (also known as Wastewater-Based Epidemiology (WBE)) to provide population-scale evidence of SARS-CoV-2 shedding into wastewater. The information gained was used to help monitor, communicate, and manage the COVID-19 pandemic.
Rapid and significant innovations in the field of WBS were realised in parallel in multiple jurisdictions globally. Global collaboration resulted in step-change improvements in multiple aspects of WBS simultaneously, including: health sector leadership; integration with public health surveillance; social and ethical guidance; high-level tactical wastewater catchment sampling strategies; wastewater sampling techniques; transport and storage of samples; laboratory analysis; normalisation and standardisation; data analysis and interpretation; and communication of results.
Innovations in WBS relating to COVID-19 continue to take place, and the benefits of those improvements are now being applied to other targets, such as other pathogens and genes. There are many journal articles and other publications describing these innovations. However, valuable lessons from the COVID-19 pandemic for WBS have not been systematically documented into a practical and readily digestible format.
The purpose of this ‘Cookbook’ is to provide practical and proven ‘recipes’ for WBS for SARS-CoV-2 for two reasons: firstly to help those considering new or extended WBS programmes targeting SARS-CoV-2; and secondly to provide a valuable record of what has been learned from the 2020- 2023 period to help inform WBS programmes to respond to future pandemics and for surveillance of other targets.
The Cookbook is structured into eight parts: 1. Introduction; 2. High-level Overview; 3. Health Sector Perspectives; 4. Methods and Methodologies - From data to action; 5. Methods and Methodologies - Measurement and testing; 6. Methods and Methodologies - Sampling; 6. Methods and Methodologies - Transportation protocols; 8. Conclusions. Multiple authors have contributed to each part, primarily from the European Union, as well as others from the global community of practice.
The Cookbook has been drafted by a global team of authors, with one or more lead authors identified for each chapter and working with their co-authors. The chapters were then subjected to extensive peer review from the external review group. These authors and reviewers are acknowledged in the Cookbook.
Keywords: coronavirus disease, disease surveillance, innovation, public health, report, sampling, standardisation, testing, wastewater
Published in DiRROS: 02.09.2024; Views: 893; Downloads: 5386
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7. The Superblock model : a review of an innovative urban model for sustainability, liveability, health and well-beingMark J. Nieuwenhuijsen, Audrey De Nazelle, Marta Cirach Pradas, Carolyn Daher, Angel M. Dzhambov, Cynthia Echave, Stefan Gössling, Tamara Iungman, Haneen Khreis, Nicolina Kirby, Jernej Tiran, 2024, original scientific article Abstract: Introduction
Current urban and transport planning practices have significant negative health, environmental, social and economic impacts in most cities. New urban development models and policies are needed to reduce these negative impacts. The Superblock model is one such innovative urban model that can significantly reduce these negative impacts through reshaping public spaces into more diverse uses such as increase in green space, infrastructure supporting social contacts and physical activity, and through prioritization of active mobility and public transport, thereby reducing air pollution, noise and urban heat island effects. This paper reviews key aspects of the Superblock model, its implementation and initial evaluations in Barcelona and the potential international uptake of the model in Europe and globally, focusing on environmental, climate, lifestyle, liveability and health aspects.
Methods
We used a narrative meta-review approach and PubMed and Google scholar databases were searched using specific terms.
Results
The implementation of the Super block model in Barcelona is slow, but with initial improvement in, for example, environmental, lifestyle, liveability and health indicators, although not so consistently. When applied on a large scale, the implementation of the Superblock model is not only likely to result in better environmental conditions, health and wellbeing, but can also contribute to the fight against the climate crisis. There is a need for further expansion of the program and further evaluation of its impacts and answers to related concerns, such as environmental equity and gentrification, traffic and related environmental exposure displacement. The implementation of the Superblock model gained a growing international reputation and variations of it are being planned or implemented in cities worldwide. Initial modelling exercises showed that it could be implemented in large parts of many cities.
Conclusion
The Superblock model is an innovative urban model that addresses environmental, climate, liveability and health concerns in cities. Adapted versions of the Barcelona Superblock model are being implemented in cities around Europe and further implementation, monitoring and evaluation are encouraged. The Superblock model can be considered an important public health intervention that will reduce mortality and morbidity and generate cost savings for health and other sectors.
Keywords: urban geography, transport, public health, pollution, sustainable development, Barcelona (Spain)
Published in DiRROS: 07.08.2024; Views: 1321; Downloads: 726
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8. The differences of Slovenian and Italian daily practices experienced in the first wave of covid-19 pandemicSaša Pišot, Boštjan Šimunič, Ambra Gentile, Antonino Bianco, Gianluca Lo Coco, Rado Pišot, Patrik Drid, Ivana Milovanović, 2022, original scientific article Abstract: Background: The COVID-19 pandemic situation with the lockdown of public life caused serious changes in people’s everyday practices. The study evaluates the diferences between Slovenia and Italy in health-related everyday practices induced by the restrictive measures during frst wave of the COVID-19 pandemic. Methods: The cross-sectional cohort study examined changes through an online survey conducted in nine European countries from April 15–28, 2020. The survey included questions from a simple activity inventory questionnaire (SIMPAQ), the European Health Interview Survey, and some other questions. To compare diference in changes between European countries we examined Italy with severe and its neighbour country Slovenia with low incidence and victims of COVID-19 epidemic. 956 valid responses from Italy (N=511; 50% males) and Slovenia (N=445; 26% males) were investigated. Results: During the survey, there was a 4.7-fold higher incidence and 12.1-fold more deaths (per 100,000) in Italy than in Slovenia. Barring periods and measures were similar, the latter more stringent in Italy. We found more changes in Italy than in Slovenia: physical inactivity increased (Italy:+65% vs. Slovenia:+21%; p<0.001), walking time decreased (Italy: -68% vs. Slovenia: -4.4%; p<0.001); physical work increased by 38% in Slovenia (p<0.001), and recreation time decreased by 37% in Italy (p<0.001). Italians reported a decrease in quality of general health, ftness level, psychological well-being, quality of life and care for own health (p<0.001); Slovenians showed a decline in psychological well-being and quality of life (p<0.001) but generally had a higher concern for their own health (p=0.005). In pooled participants, changes in eating habits (meal size and consumption of unhealthy food), age and physical inactivity were positively correlated with increases in body mass, while changes in general well-being and concern for health were negatively correlated. Conclusion: The study shows that the negative impact of COVID -19 measures is greater in Italy where the pandemic COVID -19 was more prevalent than in Slovenia with low prevalence. Additional consideration should be given to the negative impact of COVID-19 measures on some health-related lifestyle variables when implementing further measures to mitigate the COVID-19 pandemic.
Keywords: coronavirus pandemic, pandemic measures, home confinement, public health, physical activity, physical inactivity, dietary habits, eating habits, well-being
Published in DiRROS: 18.02.2022; Views: 1794; Downloads: 1092
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9. Globally altered sleep patterns and physical activity levels by confinement in 5056 individuals : ECLB COVID-19 international online surveyKhaled Trabelsi, Achraf Ammar, Liwa Masmoudi, Omar Boukhris, Hamdi Chtourou, Bassem Bouaziz, Michael Brach, Boštjan Šimunič, Rado Pišot, Saša Pišot, 2021, original scientific article Abstract: Symptoms of psychological distress and disorder have been widely reported in people under quarantine during the COVID-19 pandemic; in addition to severe disruption of peoples% daily activity and sleep patterns. This study investigates the association between physical-activity levels and sleep patterns in quarantined individuals. An international Google online survey was launched in April 6th, 2020 for 12-weeks. Forty-one research organizations from Europe, North-Africa, Western-Asia, and the Americas promoted the survey through their networks to the general society, which was made available in 14 languages. The survey was presented in a differential format with questions related to responses %before% and %during% the confinement period. Participants responded to the Pittsburgh Sleep Quality Index (PSQI) questionnaire and the short form of the International Physical Activity Questionnaire. 5056 replies (59.4% female), from Europe (46.4%), Western-Asia (25.4%), America (14.8%) and North-Africa (13.3%) were analysed. The COVID-19 home confinement led to impaired sleep quality, as evidenced by the increase in the global PSQI score (4.37 % 2.71 before home confinement vs. 5.32 % 3.23 during home confinement) (p < 0.001). The frequency of individuals experiencing a good sleep decreased from 61% (n = 3063) before home confinement to 48% (n = 2405) during home confinement with highly active individuals experienced better sleep quality (p < 0.001) in both conditions. Time spent engaged in all physical-activity and the metabolic equivalent of task in each physical-activity category (i.e., vigorous, moderate, walking) decreased significantly during COVID-19 home confinement (p < 0.001). The number of hours of daily-sitting increased by ~2 hours/days during home confinement (p < 0.001). COVID-19 home confinement resulted in significantly negative alterations in sleep patterns and physical-activity levels. To maintain health during home confinement, physical-activity promotion and sleep hygiene education and support are strongly warranted.
Keywords: coronavirus, COVID-19, pandemic, public health, restrictions, isolation, home confinement, psychosocial health, sleep, sedentary lifestyle, physical activities, lifestyle, behaviours
Published in DiRROS: 24.03.2021; Views: 11636; Downloads: 1687
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10. A cross-country examination on the fear of COVID-19 and the sense of loneliness during the first wave of COVID-19 outbreakGianluca Lo Coco, Ambra Gentile, Ksenja Bosnar, Ivana Milovanović, Antonino Bianco, Patrik Drid, Saša Pišot, 2021, original scientific article Abstract: The aim of the current study is to examine gender, age. and cross-country differences in fear of COVID-19 and sense of loneliness during the lockdown, by comparing people from those countries with a high rate of infections and deaths (e.g., Spain and Italy) and from countries with a mild spread of infection (e.g., Croatia, Serbia, Slovakia, Slovenia, and Bosnia and Herzegovina). A total of 3876 participants (63% female) completed an online survey on %Everyday life practices in COVID-19 time% in April 2020, including measures of fear of COVID-19 and loneliness. Males and females of all age groups in countries suffering from the powerful impact of the COVID-19 pandemic reported greater fear of COVID-19 and sense of loneliness. In less endangered countries, females and the elderly reported more symptoms than males and the young; in Spanish and Italian samples, the pattern of differences is considerably more complex. Future research should thoroughly examine different age and gender groups. The analysis of emotional well-being in groups at risk of mental health issues may help to lessen the long term social and economic costs due to the COVID-19 outbreak.
Keywords: coronavirus, COVID-19, pandemic, public health, restrictions, isolation, loneliness, fear, psychosocial distress
Published in DiRROS: 15.03.2021; Views: 2147; Downloads: 1918
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