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Key factors in developing effective digital health promotion tools for cancer prevention and health behavior change in adolescence through a multi-country survey

Bibliographic Data

ID15360952
AuthorsVassilis Kilintzis (0000-0002-9783-6757, Mediterranean University, corresponding author), Haridimos Kondylakis (0000-0002-9917-4486, Hellenic Mediterranean University), Aristeidis Petrakis (Hellenic Mediterranean University), Kleio Koutra (0000-0001-9713-5013, Hellenic Mediterranean University), Katerina Micheli (0000-0002-5556-2989, Hellenic Mediterranean University), Magdalini Pelekidou (Hellenic Mediterranean University), Chariklia Tziraki (0000-0002-2662-6023, Hellenic Mediterranean University), Emmanouil Tsiknakis (0000-0001-8454-1450, Hellenic Mediterranean University), Severin Haug (0000-0002-6539-5045), Nikolaos Boumparis (0000-0002-3693-0168), Nikolai Kiselev (0000-0003-0617-0353), Laura Campo (0000-0003-3846-7741, Fondazione FADOI), Laura Maria Del Campo, Eunate Arana Arri (BioCruces Health research Institute), Polonca Serrano (0000-0002-5240-7748, Alma Mater Europaea), Teresa de Pablo Pardo (Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana), Stefanie Verduyn (Vlaams Instituut Gezond Leven), Gloria Cea (0000-0002-6947-4672, Tallinn University), Alba Gallego (0000-0003-2858-0919, Tallinn University), Maria Krini (0000-0001-8122-963X, The Patients Association), Andreas Triantafyllidis (0000-0002-6938-8256, Centre for Research and Technology Hellas)
Year2026
Volume26
Issue1
Publication date2026-02-21
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueBMC Public Health (JOURNAL)
Journal identifiersISSN: 1471-2458 • E-ISSN: 1471-2458
PublisherBioMed Central (PUBLISHER • GB)
DOI10.1186/s12889-026-26412-6
PMID41723390
OpenAlexW7130847485
LanguageEN
References cited14

Primary cancer prevention through behavior change in adolescence, a crucial period for shaping lifelong health habits, presents a major public health challenge across Europe. Addressing this, the SUNRISE project aims to tackle the challenge of primary cancer prevention in adolescents by developing and implementing an innovative, digitally-enhanced life-skills program tailored to diverse socio-economic, cultural, and environmental backgrounds by incorporating various Digital Health Promotion (DHP) tools to foster sustainable health behavior change in adolescents. The present study aims to identify key requirements and features that should be considered while developing effective DHP tools, based on a multi-stakeholder survey conducted across seven European countries. The survey was conducted on 505 stakeholders (students, parents, and educators), from seven European countries to assess a set of key features for effective DHP tools for their importance on a five-point likert scale. Our findings revealed that seven of the proposed DHP tools’ features were identified as important considering all the stakeholder groups, while significant differences in the importance of certain features across different stakeholder groups and countries were identified. Students, as primary users, demonstrated distinct preferences, which often diverged from educators and parents, suggesting that stakeholders hold distinct priorities driven by their roles and contextual backgrounds. Additionally, country-level variations were notable; for example, Swiss participants rated the proposed features, in general, as of lower importance than the Spanish respondents. These insights emphasize the necessity of developing adaptable and context-sensitive DHP tools that reflect the diverse needs and preferences of adolescents across Europe. The large-scale implementation and evaluation of this program will provide valuable data for shaping future digital health interventions aimed at cancer prevention in youth

Behavior change · Biostatistics · Cancer prevention · Developing country · Digital health · Health promotion · Public health · Stakeholder · Digital Mental Health Interventions · Health Literacy and Information Accessibility · Mobile Health and mHealth Applications · Health Informatics

  • Adolescence

    Open Access•Susan M Sawyer, Rima Afifi et al.•The Lancet•2012

  • How technology use is changing adolescents’ behaviors and their social, physical, and cognitive development

    Open Access•Marco Benvenuti, Michelle F Wright et al.•Current Psychology•2023

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