Ideas, Perspectives & Strategies for the future in Care in Tyrol
The Center for Social & Health Innovation (CSHI) at the MCI | The Entrepreneurial School® is conducting a study about concepts, perspectives and strategies for future developments within the care-system in Tyrol, by order of the Land Tirol. The project focuses on the explorative approach on new ways of care together with scientific and evidence-based input for the political discourse on the determination of the Tyrolean Care-Strategy. The practical implementation is based on including expertise, already existing database and the atmospheric picture of professionals within the care-system in Tyrol.
In case of any questions or if you want to participate in the process feel free to contact the CSHI-Team:
- Projectpartner: Land Tirol
Nonprofit, Social and Healthcare Management
Center for Social & Health Innovation
6020 Innsbruck, Austria
Phone: +43 512 2070 3710, Fax: -1299
Center for Social & Health Innovation
6020 Innsbruck, Austria
Phone: +43 512 2070-7461, Fax: -3799
working poor – precarious lifes at a glance
Working Poor, In-Work-Poverty, or Work and still poor are terms used to describe those circumstances in which the income generated through employment is insufficient to support daily subsistence. According to Eurostat’s definition, persons of age between 18 and 64 are at risk of poverty if they work for more than six months with an annual equalized disposable income below 60% of the national median household income. According to the Austrian Poverty Conference, the current at-risk-of-poverty threshold (May 2020) is €1,286 per month for a one-person household. The value increases by a factor of 0.5 per additional adult person in the household and by a factor of 0.3 per child (under 14).
In Austria, 16.9% of the population (1,472,000 people) were classified as ‘at risk of poverty or exclusion’ in 2019. In Tyrol, 19.7% of Tyrolians were affected during the assessment period from 2015 to 2017. The reasons are diverse and accumulate among children and young people from single-parent households, families with three or more children, single parents, people with a migration background, unemployed, and people over 65. In many cases, work is the decisive (certainly not exclusive) factor that defines participation opportunities. Poverty is usually an expression of a variety of problems with differing origins. The qualitative project intends to depict the everyday lives of people who, despite employment, do not have enough or barely enough to make a living. Thereby a voice is given to the experts on precarious living situations, the affected themselves. Recognizing path dependencies that cause ‘in-work poverty' is essential to identify inhibiting and enabling structures to end this condition. Ultimately, the goal is to provide indications to prevent and end in-work poverty. In addition, the impact of COVID-19 measures on the described phenomenon should not be neglected.
The project is funded by the province of Tyrol.
Cardiovascular diseases are among the most common health problems worldwide. Classic risk factors are, for example, obesity, elevated blood lipids, or lifestyle factors such as smoking or lack of physical activity. The parent clinical trial EVA4YOU addresses the prevalence and causes of early vascular aging in adolescents and aims to (1) assess risk factors for cardiovascular disease and early vascular aging in adolescents, (2) follow adolescents for one year, and (3) increase adolescents' physical activity.
Scientific studies show that health-related attitudes and behavioral habits are developed while growing up and are difficult to influence in adulthood. Consequently, interventions have a much greater impact on children and adolescents than on adults.
As part of the EVA4YOU study, the research project healthy.youth accompanies 500 Tyrolean adolescents aged 14 to 16 over a period of 12 months. During the first six months, a scientific health intervention focusing on physical activity is carried out. For this purpose, the students receive fitness trackers, which they wear over a period of 12 months and which record their physical activity behavior. At the same time, it will be examined whether interventions in the form of motivational mechanisms contribute to an increase in physical activity among adolescents. During baseline assessment and interviews at the beginning of the study, additional economic decision-making games will be conducted to measure time and risk preferences.
The long-term measurement allows the observation and explanation of intraindividual developments in health awareness, lifestyle, and vascular health of adolescents. The effect of a controlled intervention on the physical activity of 500 participants will be evaluated by quantitative methods.
Knowledge-based Management of COVID-19: Model Development Risk Management Winter Tourism 2020/21 in Tyrol & Vorarlberg
The past months, weeks, and days were and are still characterized by controversial debates about risks deriving from the SARS-CoV-2 coronavirus. Individual, as well as societal actions and life had to be aligned accordingly, which also applies to the tourism sector. The provinces of Tyrol and Vorarlberg are known for and depending on (winter) tourism, at the same the branch is discussed as a crucial factor among several others for the development of the infection incidence of COVID-19 in Europe. Accordingly, the tourism industry was already subject to close monitoring at the national and international level in the summer of 2020, especially in terms of the upcoming winter season. Crisis management alone was not enough to prepare for the 2020/21 winter season. Consequently, the expectations and demands for sound risk management in tourism for the winter season 2020/21 with COVID-19 were high.
With the start of the project in July 2020, the research project "COVID-19 – Risk Management Winter Tourism 2020/21" followed the approach of scientifically observing and evaluating the preparation of Tyrolean and Vorarlberg tourism, based on previous experience and existing knowledge, concerning the management of future risks in connection with COVID-19. With the support of the provinces of Tyrol and Vorarlberg, a survey was conducted to determine whether and to what extent decision-makers in Tyrolean and Vorarlberg tourism or other involved stakeholders can recognize the risks associated with COVID-19 contagion and identify, assess, and ultimately consider them in their own environment's processes.
A mixed-method approach consisting of qualitative and quantitative methods was used for this purpose. The theoretical basis was formed by current scientific findings, literature, and practical experience in the form of existing concepts for the management of infection risks and other publications (e.g. laws, handouts from ministries, and the WKO). The overall systematic analysis was preceded by focus groups with key tourism stakeholders in the model regions of St. Anton/Arlbergand and Alpbach as well as input from the Lech-Zürs region at the start of the project. A quantitative (online questionnaire) and qualitative survey (expert interviews) to identify potentials, needs, and challenges followed.
The publication of the results from this first research phase was realized with the guide for winter tourism – knowledge-based management of COVID-19: Model development risk management winter tourism. In the next step, the results from Phase I were transferred into a further online survey in the form of concrete proposals for measures for COVID-19 risk management in winter tourism and discussed by an extended target group. The results, analyses, methodology, the survey process, and derived needs for Tyrolean and Vorarlberg winter tourism of the entire research project can be found in the final report Knowledge-based Management of COVID-19: Model Development Risk Management Winter Tourism.
Social space-oriented and inclusive participation of people with disabilities in the border region Bavaria - Tyrol
For people with disabilities, needs-based care as well as the right to choose the service provider freely are generally more difficult to realise in rural areas than in urban contexts. Although the same language is spoken in Germany and Austria and people now live quite naturally in one country, work, shop or go to hospital in the other, people with disabilities mainly take part in participation services in their respective home countries. This is due not only to a lack of cross-border services but also to a lack of knowledge of the service structures and the ways to access the neighbouring country services. Additionally, there is also a lack of knowledge about personal rights. This project captures existing offers and services in the social space. By conducting 5 focus groups (2x affected persons, relatives, institutions, politics) and interviews, knowledge about the perception of participation services in the social space, hindering factors and perspectives as well as unmet needs, is generated. Additional knowledge is generated through a moderated large group event where affected persons and experts participate. First findings can be multiplied here. A legal opinion will be created at the same time, which will highlight legal and administrative barriers and opportunities for cross-border service participation. The findings from the focus groups and the large group event will be included. Recommendations for actions for further offers for the social space of the border region will be derived from the gained knowledge. These recommendations will be made available to those affected, to specialists and to social policy makers. This will be done via a brochure (professional public and social policy) as well as by means of an online platform. There the results will be presented in an understandable way, services and offers in the social space will be presented and further information will be provided.
- Project Partner: Diakonische Werk des Evang.-Luth. Dekanatsbezirks Rosenheim e. V
Program Evaluation „Gütesiegel Gesunde Schule Tirol“(„Hallmark Healthy School Tyrol“)
The hallmark Healthy School Tyrol Program is dedicated to a holistic conception of health and intends to change individual behavior in favor of a healthier lifestyle. To achieve this overarching goal early sensitization of the health topic is promoted in children and teenagers, as well as, in decision makers within the school context (e.g. teachers). Establishing health-promoting structures and processes should strengthen the individual self-efficacy (empowerment) and the psychosocial and physical well-being of students. Objectives of the evaluation are to assess 1) the implementation of the hallmark criteria, 2) the supervision during the conception and implementation and 3) the impact of the program on students. To grasp the impact of the hallmark in its full extend a mixed-method approach is utilized including qualitative and quantitative approaches. The qualitative part includes a document analysis and group discussions to identify restricting and/or activation factors for the implementation of the “Hallmark Healthy School Tyrol”. Examining the influence of the hallmark on the course of development in children and teenagers is the main concern of the quantitative part and achieved via a three-part panel analysis.
Health Literacy “Measuring Health Competencies in Children”
Data regarding health literacy in children within the Tyrolian context are scarce to non-existent. Owed to the fact that currently used survey tools were developed to measure health literacy in adults and teenagers above 13 years of age (e.g. HLS-EU) leading to the underrepresentation of children in health literacy data. To challenge this issue the Center for Social & Health Innovation in cooperation with the TGKK and GÖG will develop an appropriate measurement tool targeting children between the age of 9 and 13 years in close contact with experts from HLCA Research Consortium from Bielefeld. The developed tool is tested via pen & paper and digital questionnaires with around 1000 children. Accompanied by focus groups with children to allow for profound interpretations of the quantitative survey data.