Christos Lionis
Biographic Data
| ID | 149275 |
|---|---|
| NAME | Christos Lionis |
| GIVEN NAMES | Christos |
| FAMILY NAME | Lionis |
| SIGNATURE | LIONIS C |
| AFFILIATIONS | University of Crete |
| ORCID | 0000-0002-9324-2839 |
| VERIFIED | Yes |
| TOTAL WORKS | 50 |
| TOTAL CITATIONS | 28 |
| AUTHOR COUNT | 50 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2005 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 3 |
Roadmap of integration of transgender health into healthcare systems: A TRANSCARE study
In this study, we summarize evidence from the European project TRANSCARE to identify key areas for improvement in transgender care and synthesize our experience into a roadmap of knowledge integration into healthcare systems. According to our roadmap, as a public health concern, progress in transgender care requires its integration into health policy, education and training for healthcare professionals, and availability of essential gender-affirm…
Exploring the Relationship between Wind Patterns and Hospital Admissions Due to Respiratory Symptoms in Children
Respiratory disorders significantly impact adolescents' health, often resulting in hospital admissions. Meteorological elements such as wind patterns have emerged as potential contributors to respiratory symptoms. However, it remains uncertain whether fluctuations in wind characteristics over extended periods have a tangible impact on respiratory health, particularly in regions characterized by distinct annual wind patterns. Crete is situated in …
Family Medicine at the Forefront: Lessons Learnt From the Covid-19 Vaccine Rollout in Crete, Greece
To date (October 1st, 2021), adults, and children from 13 years of age, have been presenting for vaccination to the VC of PAGNI in Crete. During the pre-vaccination consultation, a brief medical history, regarding comorbidities and medications was obtained, along with information on recent episodes of flu or other infections, recent vaccination uptake, and history of contact with
Beliefs, Perceptions, and Behaviors Regarding Chronic Respiratory Diseases of Roma in Crete, Greece: A Qualitative FRESH AIR Study
Background: The global burden of chronic respiratory diseases (CRDs) disproportionally affects Roma populations. Health interventions addressing CRD among Roma or other vulnerable groups often fail to be effective, as their implementation strategy misaligns with the local context. To design context-driven strategies, we studied CRD-related beliefs, perceptions, and behaviors among a Greek Roma population, focussing on asthma and COPD. Methods: Fo…
Vaccination coverage of patients with type 2 diabetes mellitus: Challenging issues from an outpatient secondary care setting in Greece
Background Increased morbidity/mortality due to vaccine preventable diseases (VPD) is encountered in type 2 diabetes (T2D) people. Aim of this study was to assess their vaccination coverage and describe trends possibly affecting compliance. Methods Information on vaccination coverage was retrieved from either documents or interview provided by patients, and/or their vaccination record card at a specialized outpatient diabetes center. The selectio…
Reporting Liver Cancer Trends in the Island of Crete, Greece: Results from a Geo-Epidemiological Study
Liver cancer is one of the most frequent cancers in Europe and Greece. An increase in specific risk factors, such as metabolic syndrome and obesity, has been observed in Greece. Therefore, exploring temporal trends of liver cancer incidence and mortality is crucial. This study aims to assess the "burden" of malignant liver tumors (MLT) in Crete, Greece, in terms of incidence and mortality rates, and identify the high-risk areas on the island (i.e…
Spatio-Temporal Variation of Lung Cancer in Crete, 1992–2013. Economic or Health Crisis
(1) Background: This is the first population-based study in Greece, with the aim to measure the changing trends of lung cancer (LC) and the associated risk factors before and after the economic crisis. Among the main objectives were the identification of LC hot spots and high-risk areas; (2) Methods: The study was conducted in Crete, the biggest island in Greece. Data (5057 LC cases) were collected from the Cancer Registry of Crete (CRC). The age…
Resilience Testing of Health Systems: How Can It Be Done
The resilience of health systems has received considerable attention as of late, yet little is known about what a resilience test might look like. We develop a resilience test concept and methodology. We describe key components of a toolkit and a 5-phased approach to implementation of resilience testing that can be adapted to individual health systems. We develop a methodology for a test that is balanced in terms of standardization and system-spe…
Involving migrants in the adaptation of primary care services in a ‘newly’ diverse urban area in Ireland: The tension between agency and structure
Robustness of the Europep questionnaire as regards data quality, reliability, and construct validity: The Greek experience before and after the economic crisis
Participatory implementation research in the field of migrant health: Sustainable changes and ripple effects over time
OBJECTIVE: This study aimed to explore whether positive impacts were sustained and unanticipated ripple effects had occurred four years after the implementation of interventions to improve cross-cultural communication in primary care. BACKGROUND: Sustaining the implementation of change using complex interventions is challenging. The EU-funded "RESTORE" study implemented guidelines and training on cross-cultural communication in five Primary Care …
High Variability in Implementation of Selective-Prevention Services for Cardiometabolic Diseases in Five European Primary Care Settings
(1) Background: Cardiometabolic diseases are the most common cause of death worldwide. As part of a collaborative European study, this paper aims to explore the implementation of primary care selective-prevention services in five European countries. We assessed the implementation process of the selective-prevention services, participants' cardiometabolic profile and risk and participants' evaluation of the services, in terms of feasibility and im…
Can Integrated Care Help in Meeting the Challenges Posed on Our Health Care Systems by Covid-19? Some Preliminary Lessons Learned from the European Vigour Project
The COVID-19 pandemic puts health and care systems under pressure globally. This current paper highlights challenges arising in the care for older and vulnerable populations in this context and reflects upon possible perspectives for different systems making use of nested integrated care approaches adapted during the work of the EU-funded project VIGOUR ("Evidence based Guidance to Scale-up Integrated Care in Europe", funded by the European Union…
Patients with chronic pain: Evaluating depression and their quality of life in a single center study in Greece
Chronic pain, as it has been studied within this PHC setting, is a common health care problem. Individuals who had experienced chronic pain and depression had a lower health-related quality of life
Assessing refugee healthcare needs in Europe and implementing educational interventions in primary care: A focus on methods
The current political crisis, conflicts and riots in many Middle Eastern and African countries have led to massive migration waves towards Europe. European countries, receiving these migratory waves as first port of entry (POE) over the past few years, were confronted with several challenges as a result of the sheer volume of newly arriving refugees. This humanitarian refugee crisis represents the biggest displacement crisis of a generation. Alth…
Material practices for meaningful engagement: An analysis of participatory learning and action research techniques for data generation and analysis in a health research partnership
BACKGROUND: The material practices which researchers use in research partnerships may enable or constrain the nature of engagement with stakeholder groups. Participatory learning and action (PLA) research approaches show promise, but there has been no detailed analysis of stakeholders' and researchers' experiences of PLA techniques for data generation and co-analysis. OBJECTIVES: To explore stakeholders' and researchers' experiences of PLA techni…
Stakeholders in support systems for self‐care for chronic illness: The gap between expectations and reality regarding their identity, roles and relationships
BACKGROUND AND OBJECTIVE: The spread of self-care holds the promise of containing chronic illness burden. Falling within the framework of a FP7 collaborative research project, this paper reports the views of key informants from six countries regarding who the main stakeholders are at different levels in the support system for self-care for patients with chronic illness (SSSC) and how they accomplish their role and collaborate. METHODS: 90 Intervi…
Implementing guidelines and training initiatives to improve cross-cultural communication in primary care consultations: A qualitative participatory European study
Migrants, primary care providers and other key stakeholders can work effectively together to adapt and implement G/TIs to improve communication in cross-cultural consultations, and enhance understanding and trust between GPs and migrant patients
Perinatal, sociodemographic and lifestyle correlates of increased total and visceral fat mass levels in schoolchildren in Greece: The Healthy Growth Study
Objective To identify possibly independent associations of perinatal, sociodemographic and lifestyle factors with childhood total and visceral body fat. Design A representative sample of 2655 schoolchildren (9–13 years) participated in the Healthy Growth Study, a cross-sectional epidemiological study. Setting Seventy-seven primary schools in four large regions in Greece. Subjects A sample of 1228 children having full data on total and visceral fa…
Negotiating Diet in Networks: A Cross-European Study of the Experiences of Managing Type 2 Diabetes
Food and diet are central aspects of diabetes self-management but the relevance of social networks for the way people are supported in their management of type 2 diabetes is often under-acknowledged. In this article, we aimed to explore the coalescences between these two phenomena among people with type 2 diabetes to increase knowledge of interactions within social network related to daily diet. The article is based on 125 qualitative interviews …
Connectivity, contest and the ties of self‐management support for type 2 diabetes: A meta‐synthesis of qualitative literature
This paper presents a meta-synthesis of the literature on community-based self-management to support experiences of people diagnosed with type 2 diabetes. The aim was to synthesise findings on both formal and informal self-management support with particular reference to the relevance and influence of the social context operating at different levels. The review forms part of EU-WISE, a project financed through EU's 7th Framework Programme. The rev…
Bridging knowledge to develop an action plan for integrated care for chronic diseases in Greece
The health, social and economic impact of chronic diseases is well documented in Europe. However, chronic diseases threaten relatively more the “memorandum and peripheral” Eurozone countries (i.e. Greece, Spain, Portugal, and Ireland), which were under heavy recession after the economic crisis in 2009. Especially in Greece, where the crisis was the most severe across Europe, the austerity measures affected mainly people with chronic diseases. As …
Dynamics and nature of support in the personal networks of people with type 2 diabetes living in E urope: Qualitative analysis of network properties
BACKGROUND: Living with and self-managing a long-term condition implicates a diversity of networked relationships. This qualitative study examines the personal communities of support of people with type 2 diabetes. METHODS: We conducted 170 biographical interviews in six European countries (Bulgaria, Greece, the Netherlands, Norway, Spain and UK) to explore social support and networks. Analysis was framed with reference to three predetermined soc…
Identifying the socio-demographic and clinical determinants of family functioning in Greek patients with psychosis
BACKGROUND: Studies on determinants affecting family functioning of patients with psychosis are still limited in Greece. AIM: The aim of this study was to describe the socio-demographic and clinical characteristics associated with family functioning in patients with schizophrenia and bipolar disorder in Crete, Greece. METHODS: A total of 100 patients and their caregivers agreed to participate in the study. Family functioning was assessed in terms…
Meso level influences on long term condition self-management: Stakeholder accounts of commonalities and differences across six European countries
The results suggest reasons for giving increasing prominence to meso level influences as a means of rebalancing and improving the effectiveness of implementing an agenda for SMS. There is a need to acknowledge the greater economic and policy challenging environment operating in some countries which act as a source of inequality between countries in addressing SMS for chronic illness management and impacts on people's capacity to undertake self-ca…
Cross-Cultural Adaptation and Validation of the Greek Version of the Family Adaptability and Cohesion Evaluation Scales IV Package (Faces IV Package)
The aim of the present study was to examine the psychometric properties of the Greek version of Family Adaptability and Cohesion Evaluation Scales IV (FACES IV) Package. The original FACES IV displays a six-factor structure with two balanced scales-Balanced Cohesion and Balanced Flexibility-and four unbalanced scales-Disengaged, Enmeshed, Rigid, and Chaotic-and has been shown to have satisfactory internal and test-retest reliability. A total of 5…
Negotiating Diet in Networks: A Cross-European Study of the Experiences of Managing Type 2 Diabetes
Food and diet are central aspects of diabetes self-management but the relevance of social networks for the way people are supported in their management of type 2 diabetes is often under-acknowledged. In this article, we aimed to explore the coalescences between these two phenomena among people with type 2 diabetes to increase knowledge of interactions within social network related to daily diet. The article is based on 125 qualitative interviews …
Family Functioning in First-Episode and Chronic Psychosis: The Role of Patient’s Symptom Severity and Psychosocial Functioning
Can Integrated Care Help in Meeting the Challenges Posed on Our Health Care Systems by Covid-19? Some Preliminary Lessons Learned from the European Vigour Project
The COVID-19 pandemic puts health and care systems under pressure globally. This current paper highlights challenges arising in the care for older and vulnerable populations in this context and reflects upon possible perspectives for different systems making use of nested integrated care approaches adapted during the work of the EU-funded project VIGOUR ("Evidence based Guidance to Scale-up Integrated Care in Europe", funded by the European Union…
Bridging knowledge to develop an action plan for integrated care for chronic diseases in Greece
The health, social and economic impact of chronic diseases is well documented in Europe. However, chronic diseases threaten relatively more the 'memorandum and peripheral' Eurozone countries (i.e., Greece, Spain, Portugal and Ireland), which were under heavy recession after the economic crisis in 2009. Especially in Greece, where the crisis was the most severe across Europe, the austerity measures affected mainly people with chronic diseases. As …
The Role of Energy Balance in Successful Aging Among Elderly Individuals: The Multinational Medis Study
A diet with excessive energy intake and a positive energy balance seems to be associated with lower quality of life, as measured through successful aging
Involving migrants in the adaptation of primary care services in a ‘newly’ diverse urban area in Ireland: The tension between agency and structure
Long-Term Fish Intake Is Associated With Less Severe Depressive Symptoms Among Elderly Men and Women: The Medis (MEDiterranean ISlands Elderly) Epidemiological Study
Objectives. This work aims at exploring the association between fish intake and depressive symptoms, in older adults. Method. During 2005-2007, 1,190 men and women (>65 years) free living in various Greek islands and in Cyprus participated in the study. Depressive symptoms were assessed using the validated Geriatric Depression Scale (GDS), and foods intake through a Food Frequency Questionnaire. Results. Almost 70% of the participants scored abov…
Quality of Life of Women with Urinary Incontinence: Cross-cultural Performance of 15 Language Versions of the I-QOL
Identifying dyspepsia in the Greek population: Translation and validation of a questionnaire
This study indicates that the Greek translation is comparable with the English-language version in terms of validity and reliability, and is suitable for epidemiological research within the Greek primary health care setting
Risk factors for ischaemic heart disease in a Cretan rural population: A twelve year follow-up study
The study confirms the unfavorable risk factor profile of a well defined rural population in Crete. Its actual effect on the observed incidence of coronary events in Cretans remains yet to be defined
Individual determinants of primary healthcare utilisation in Gaza Strip, Palestine
OBJECTIVES: To examine the extent to which primary care patients are using the primary healthcare (PHC) services in Gaza Strip, Palestine, and to determine the factors that are associated with the use of these services. METHODS: Using Andersen's behavioural model, the authors interviewed 956 PHC attendees. Patients were questioned about predisposing factors: age, sex, marital status, education, work status, household size, life events (psychologi…
Integrated primary health care in Greece, a missing issue in the current health policy agenda: A systematic review
The Edinburgh Postnatal Depression Scale: Translation and validation for a Greek sample
Our data confirm the validity of the Greek version of the EPDS in identifying postnatal depression. The Greek EPDS scale could be used as a useful instrument in both clinical practice and research
Does urinary incontinence affect quality of life of Greek women less severely? A cross-sectional study in two Mediterranean settings
Level of Adherence to the Mediterranean Diet Among Elderly Individuals Living in Mediterranean Islands: Nutritional Report from the Medis Study
The level of adherence to the traditional Mediterranean diet was moderate. People living in rural areas seem to better hold these traditional dietary habits
Long-Term Fish Intake Is Associated With Less Severe Depressive Symptoms Among Elderly Men and Women: The Medis (MEDiterranean ISlands Elderly) Epidemiological Study
Objectives. This work aims at exploring the association between fish intake and depressive symptoms, in older adults. Method. During 2005-2007, 1,190 men and women (>65 years) free living in various Greek islands and in Cyprus participated in the study. Depressive symptoms were assessed using the validated Geriatric Depression Scale (GDS), and foods intake through a Food Frequency Questionnaire. Results. Almost 70% of the participants scored abov…
Self-reported health complaints in a primary care population living under stressful conditions in the Gaza Strip, Palestine
BACKGROUND: The population in the Gaza Strip has been living under chronically stressful conditions as a result of the ongoing Israeli-Palestinian conflict. OBJECTIVES: To identify health complaints reported by attendants consulting primary care physicians in the Gaza Strip. METHODS: The study took place in 10 governmental primary health care centres and 5 clinics of the United Nations Relief and Works Agency in the Gaza Strip, during autumn 2005…
What Defines an Effective Anti-Tobacco TV Advertisement? A Pilot Study among Greek Adolescents
As the Framework Convention on Tobacco Control (FCTC) calls for public health awareness on tobacco use, mass media campaigns should be appropriately designed so as to maximize their effectiveness. In this methodological pilot study, 95 Greek adolescents (mean age 15 +/- 1.8 years), were shown seven different anti tobacco ads, and asked to rate the ad theme, message and emotional context on a 1-7 Likert scale. Health related ads were rated the hig…
Socio-economic status, place of residence and dietary habits among the elderly: The Mediterranean islands study
Objective To investigate whether the socio-economic status (SES) of elderly eastern Mediterranean islanders is associated with their dietary habits, particularly with adherence to the traditional Mediterranean diet. Design Cross-sectional. Setting Adherence to the Mediterranean diet was measured by the MedDietScore (range: 0–55), whereas SES was estimated using education and financial status. Subjects During 2005–2007, 300 men and women from Cypr…
Perceived Stress Scale: Reliability and Validity Study in Greece
The Greek versions of the PSS-14 and PSS-10 exhibited satisfactory psychometric properties and their use for research and health care practice is warranted
Changes in tobacco industry advertising around high schools in Greece following an outdoor advertising ban: A follow-up study: Table 1
The outdoor advertising restriction in Greece has led to a reduced number of tobacco advertisements per POS, and the eradication of billboard advertising. Nevertheless, there is a need to regulate kiosks, which were identified as a key vector for tobacco advertising, and to increase compliance among regulated convenience stores
Smoking cessation and the risk of cardiovascular disease outcomes predicted from established risk scores: Results of the Cardiovascular Risk Assessment among Smokers in Primary Care in Europe (CV-Aspi…
The findings of this study reinforce the importance of smoking as a significant predictor of long-term cardiovascular events. One of the best gains in health could be obtained by tackling the most important modifiable risk factors; these results suggest smoking is among the most important
Are Current Dietary Habits in Mediterranean Islands a Reflection of the Past? Results from the Medis Study
In the 1960s, the recorded dietary pattern of Southern European populations was typical of the traditional Mediterranean diet. However, diets have been rapidly changing. The aim of the current work was to examine the extent by which present food habits of inhabitants residing in various Mediterranean islands uphold past dietary traditions of the Mediterranean diet. A population-based, multi-stage sampling method was used to voluntarily enroll 876…
Spiritual care in the integrated care paradigm: A road map for physiological aging and chronic illness
Background: Spiritual care has been shown to be beneficial for patient in the settings of oncology and intensive care [1-5]. We propose that the quality of care given to the aging or to individuals with chronic illness might also improve as a result of the inclusion of spiritual care interventions in the integrative care models which guide the management of such individuals. The research studies to date that point to a positive impact of spiritua…
Cross-Cultural Adaptation and Validation of the Greek Version of the Family Adaptability and Cohesion Evaluation Scales IV Package (Faces IV Package)
The aim of the present study was to examine the psychometric properties of the Greek version of Family Adaptability and Cohesion Evaluation Scales IV (FACES IV) Package. The original FACES IV displays a six-factor structure with two balanced scales-Balanced Cohesion and Balanced Flexibility-and four unbalanced scales-Disengaged, Enmeshed, Rigid, and Chaotic-and has been shown to have satisfactory internal and test-retest reliability. A total of 5…
Identification of lifestyle patterns associated with obesity and fat mass in children: The Healthy Growth Study
Objective To investigate possible associations of lifestyle patterns with obesity and fat mass in children. Design Cross-sectional epidemiological study. Principal component analysis was used to identify lifestyle patterns. Setting Primary schools from four regions in Greece. Subjects A total of 2073 schoolchildren (aged 9–13 years). Results Children in the fourth quartile of the lifestyle pattern combining higher dairy foods with more adequate b…
Dietary patterns and breakfast consumption in relation to insulin resistance in children. The Healthy Growth Study
Objective Insulin resistance is a significant cross-point for the manifestation of several chronic diseases in children and adults. The aim of the present study was to investigate the possible relationship of certain dietary patterns and breakfast consumption habits with insulin resistance in children. Subjects A representative sample of 1912 schoolchildren (aged 9–13 years) participated in a cross-sectional epidemiological study, the Healthy Gro…
Management of Victimized Patients in Greek Primary Care Settings: A Pilot Study
Dynamics and nature of support in the personal networks of people with type 2 diabetes living in E urope: Qualitative analysis of network properties
BACKGROUND: Living with and self-managing a long-term condition implicates a diversity of networked relationships. This qualitative study examines the personal communities of support of people with type 2 diabetes. METHODS: We conducted 170 biographical interviews in six European countries (Bulgaria, Greece, the Netherlands, Norway, Spain and UK) to explore social support and networks. Analysis was framed with reference to three predetermined soc…
Identifying the socio-demographic and clinical determinants of family functioning in Greek patients with psychosis
BACKGROUND: Studies on determinants affecting family functioning of patients with psychosis are still limited in Greece. AIM: The aim of this study was to describe the socio-demographic and clinical characteristics associated with family functioning in patients with schizophrenia and bipolar disorder in Crete, Greece. METHODS: A total of 100 patients and their caregivers agreed to participate in the study. Family functioning was assessed in terms…
Meso level influences on long term condition self-management: Stakeholder accounts of commonalities and differences across six European countries
The results suggest reasons for giving increasing prominence to meso level influences as a means of rebalancing and improving the effectiveness of implementing an agenda for SMS. There is a need to acknowledge the greater economic and policy challenging environment operating in some countries which act as a source of inequality between countries in addressing SMS for chronic illness management and impacts on people's capacity to undertake self-ca…
Reporting effectiveness of an extract of three traditional Cretan herbs on upper respiratory tract infection: Results from a double-blind randomized controlled trial
Medicine (46 works) · Psychology (19 works) · Environmental health (17 works) · Population (15 works) · Internal Medicine (14 works) · Political science (14 works) · Demography (13 works) · Demography (13 works) · Nursing (13 works) · Sociology (13 works)