MELIORA – Multimodal Engagement and sustainable Lifestyle Interventions Optimizing breast cancer Risk reduction supported by Artificial intelligence
Programme: Horizon Europe
Project Status: ONGOING (January 2024 – January 2028)
What aims and scope
MELIORA aims to bring sustainable behavioural change to reduce effectively and cost-effectively the risk of breast cancer (BC) through the development and implementation of a novel intervention. The MELIORA intervention will be implemented in real-world settings in assorted studies targeting different social groups, including women at risk of developing cancer, cancer patients and survivors both in rural and urban areas. Particularly, these intervention studies will evaluate behavioural to nutritional, physical and alcohol consumption improvements fostering sustainable behavioural change.
How it will become possible
In the realm of the MELIORA project, digital tools will play a pivotal role, particularly in crafting intervention materials for virtual coach involvement. These are intricately designed to deliver a personalised and interactive user experience, incorporating various functionalities to amplify engagement and efficacy. The integration of digital tools in the MELIORA project will not only facilitate the delivery of intervention material but also ensure a tailored and culturally sensitive approach, promoting positive health-related behaviour change across diverse populations and healthcare settings.
Guided by the COM-B framework, which identifies capability (C), opportunity (O), and motivation (M) as pivotal factors influencing behaviour change, MELIORA strives to elevate participants’ capacities, chances, and drive for behavioural transformation, aiming for a valuable and personalised approach to mitigate the risk of breast cancer.
At the core of this approach lies the development of a Virtual Coach, able to generate personalised recommendations, accounting for participants’ geographical, familial, occupational, and social contexts. These recommendations will specifically target areas such as healthy food options, strategies for reducing alcohol intake, and innovative methods to increase physical activity. This approach aligns seamlessly with the principles outlined in the European Code Against Cancer.
To validate its findings and assess progress, the project will conduct cluster-randomised studies involving a total of 2080 participants across four European countries: Greece, Lithuania, Spain, and Sweden. This diverse participant pool will include healthy women at risk, their families, breast cancer patients, and survivors, providing a comprehensive and representative foundation for the assessment of MELIORA’s impact.
Where EHMA will deliver
EHMA leads project communication and dissemination efforts, boosting awareness of the project and its network to amplify research visibility. We will aid in transferring MELIORA’s technology to market actors for future solutions. Through workshops involving diverse stakeholders, EHMA will gather data while also analysing the scalability and transfer potential of the MELIORA AI virtual coach. Additionally, we will establish a European Stakeholder and Policy Advisory Board, advising prevention programs internationally for replicating and scaling the project’s successes in cancer prevention plans.
Funded by the European Union. Views and opinions expressed are however those of the author(s) only and do not necessarily reflect those of the European Union or HaDEA. Neither the European Union nor HaDEA can be held responsible for them.
REBECCA – REsearch on BrEast Cancer induced chronic conditions supported by Causal Analysis of multi-source data
The REBECCA project taps into the potential of Real-World Data to support clinical research and to improve existing clinical workflows.View More
PREVENT – Improving and upscaling primary prevention of cancer by addressing childhood obesity
PREVENT will identify barriers, survey successful practices, and develop legislative proposals to minimise cancer risk and promote healthier lifestyles among children and adolescents.View More
What our Members say
I have been active in EHMA since the first years of the '90s and I have seen its evolution from a small association of members interested in sharing knowledge on health management practices to the current status of reference and advisory key player for EU, health systems and organisations, stakeholders associations, industry and universities. EHMA is now a unique knowledge hub, policy advisor, community of practice and network of best in class organisations involved in health policy and management. A place where health managers can build their competences, policy-makers and stakeholder associations envision how to implement and sustain change through health management, industry leaders understand how to engage more effectively with health organisations and systems. The right place to nurture and grow health management capabilities and capacity for every stakeholder of health systems.
Prof. Federico Lega, University of Milan, Italy
Health management has a crucial function in shaping public health and health system challenges. The Medical University of Varna, Bulgaria had success in collaborating with EHMA on EU-funded projects that has resourced us to create new health management competencies for the future workforce. In addition to all classical definitions, health management is a science dealing with individuals, groups, and society at large. It is an art contributing to the beauty of our lives and an interactive communication process at all levels of institutions and human energy. I have also had the pleasure to chair the South Eastern European Special Interest Group which gives members a space to discuss and tools to address how health systems are managed in our regions.
Prof. Todorka Kostadinova, Medical University of Varna, Bulgaria
I enjoy the high level of interaction and engagement in EHMA’s activities, in particular during the annual conference where the panel discussions are rich and well prepared. As a hospital manager and professor of health management, EHMA motivates and inspires me to be creative. You go back home feeling energised from seeing old friends and making new connections, as well as being convinced of serving as EHMA’s ambassador. It’s a strong feeling of interdisciplinary engagement, but it also feels like being part of family-like community.
Prof. Sandra C. Buttigieg, University of Malta, Malta
EHMA is a pre-eminent organisation for everyone working in planning, managing and delivering health services across Europe. As a long standing member of EHMA I have always been impressed by the vibrant community of managers, researchers and academics it has created and by the many opportunities for sharing knowledge and funding opportunities it has brought to its members. Its international scope is impressive and its impact is often felt in management and research across European and national health systems.
Prof. Axel Kaehne, Edge Hill University, UK
Health workforce has become more essential in operating, managing and maintaining health systems lately, particularly in crisis and emergency situations. European healthcare professions and the workforce need to be high on the agenda of managers and decision makers. The Health Services Management Training Centre, Semmelweis University in Hungary is a longstanding EHMA member, because it connects us with collaborators and experts, with whom we can have complex debates, from whom we can learn and at the end find solutions in various challenging fields of healthcare management.
Dr Eszter Kovács, Health Services Management Training Centre, Semmelweis University, Hungary
As a hospital administrator and health management professor, I see on a daily basis that the healthcare challenges require talented and skilled managers to transform it. the EHMA membership has been beneficial to bring healthcare management research and education to the demanding healthcare services world, promoting healthcare management competencies and knowledge creation.
Dr Alexandre Lourenco, APAH - Association of Portuguese Hospital Managers, Portugal
Many healthcare systems in Europe and beyond are facing similar challenges which require innovative and creative solutions. EHMA’s annual conference, webinars, Programme Directors’ group and other activities and resources provide incredible opportunities for networking, connecting and sharing experiences. A distinct feature of EHMA is the diversity of members with representation from many countries, sectors and different communities of practice – academic, policy-makers, practitioners, managers, leaders and students. The annual conference is a highlight in the calendar year, offering a friendly, fun and learningful environment for emerging and established members to engage, collaborate and meet up with old and new friends. I am proud to be a member of the EHMA Board.
Prof. Ann Mahon, University of Manchester, UK
Society evolution, pandemics and ageing modify health needs. So, health policies and services are to change dramatically. EHMA, through webinars, workshops and annual conference provides an excellent insight to a professional changing world, favouring closeness to management innovation and the protagonists of these changes. As a primary care services’ manager, participating in EHMA activities is really worth it and allows to involve oneself in the innovation processes.
Dr Antoni Peris Grao, Consorci Castelldefels Agents de Salut (CASAP), Spain