Re: Z-HEALTH, Intervention packages and responsibilities
Dear Marie, Roxanne, Krystle, We are making good progress with the Z-HEALTH grant application, but I need some small contributions from your team. Krystle had shared some time ago the attached document, which contains the aims of a grant application you have made in the US. This is very useful, but we will also need to include some details of the methods that will be used in this part of the project. We have been thinking of the practicalities of implementing this intervention in several countries and we have come up with some questions: 1. We understand that the self-management features would be implemented in individual apps, as opposed to being implemented on a device (e.g. smartphone). Is this correct? 2. How are the settings modified in practice? Does this require a manual intervention on each individual device by a technician/expert? Or is it done by kids themselves by running a programme on the device? We would appreciate your advice on this, because the resource requirement in each case would be very different. 3. Will implementing changes on apps/devices that run in languages other than English be a problem? On a separate matter, I would like to take you up on your offer to help with the design of a digital literacy programme, differentiated for the 12-18 and the 19-25 age groups. If you have a couple of papers that we can use as references in the proposal, this would be great. At the proposal stage, we only need a brief and high-level description of what the main areas of contents of this digital literacy programme will be. So, no need to spend much time on it. Thank you so much for your support. Questions 1-3 are a priority for us at the moment, because they have implications for the budget of the project. Franco From: Bragg, Marie Marie.Bragg@nyulangone.org<mailto:Marie.Bragg@nyulangone.org> Sent: 29 March 2026 15:21 To: Sassi, Franco <f.sassi@imperial.ac.uk>; Tsai, Krystle <Krystle.Tsai@nyulangone.org>; Dupuis, Roxanne <Roxanne.Dupuis@nyulangone.org> Subject: Re: Z-HEALTH, Intervention packages and responsibilities CAUTION: This message came from outside Imperial. Do not click links or open attachments unless you recognise the sender and were expecting this email. Hi Franco, Krystle and I pulled together comments from what you shared in your email (see attached). We are happy to write sections of the grant if you are able to point us to the appropriate documents/sections where we can contribute! Looking forward to seeing everyone in tomorrow’s meeting. I can attend the vast majority of the meeting, but have to step out for 15 minutes for a brief team meeting at 945am NY time. Best wishes, Marie From: Sassi, Franco <f.sassi@imperial.ac.uk<mailto:f.sassi@imperial.ac.uk>> Date: Thursday, March 19, 2026 at 2:33 PM To: zhealth-consort <zhealth-consort@imperial.ac.uk<mailto:zhealth-consort@imperial.ac.uk>> Cc: zhealth-mgmt <zhealth-mgmt@imperial.ac.uk<mailto:zhealth-mgmt@imperial.ac.uk>>, IRATI ERREGUERENA REDONDO <irati.erreguerenaredondo@bio-sistemak.eus<mailto:irati.erreguerenaredondo@bio-sistemak.eus>>, ANE FULLAONDO ZABALA <ane.fullaondozabala@bio-sistemak.eus<mailto:ane.fullaondozabala@bio-sistemak.eus>> Subject: [Z-health-consortium] Z-HEALTH, Intervention packages and responsibilities [EXTERNAL] Dear All, Thank you to all those who have been able to participate in the two consortium meetings last week. Both have been extremely helpful in getting to the next step of development of the proposal. Based on the inputs received last week, I have developed two “intervention packages”. You may find descriptions of those packages attached to this message, and in the shared Box folder (sub-folder “Interventions”). In order to help you follow the logic of those intervention packages, please, note the following points: 1. Based on comments received (no age group should be left out within the range provided by the call), I have collapsed the three originally envisaged transitions into two. The first will cover the age range from 12 to 18 and will be labelled transition from early to late adolescence. Intervention package 1 is designed to help this transition by preventing the formation of unhealthy habits, creating and consolidating healthy habits. Intervention package 2 will do the same in the later age group (19-25) supporting the transition to tertiary education/work/independent living. 2. Different domains in each intervention package reflect the structure I proposed on Friday, with several adaptations and specifications. 3. I am circulating these intervention descriptions as proposals (albeit an advanced one, that I would not expect to change to any large extent at this stage). The design of intervention package 1 is ultimately the responsibility of WP4 (led by NIPH) and its partners, and the design of intervention package 2 is the responsibility of WP5 (leadership yet to be assigned – any volunteers or proposals for additional partners who could do it, please, do come forward). 4. The attached intervention descriptions are key tools to be used when approaching country partners whom we expect to implement interventions. WHAT WILL WE THE ASK NEW PARTNERS IN POTENTIALLY IMPLEMENTING COUNTRIES? * What I see as the “ideal” approach here (and I would like to emphasise this is the ideal, but reality may require compromise) is that we include 6 countries implementing interventions in Z-HEALTH, three focusing on the age group 12-18, and three on the age group 19-25. The attached document describing Intervention package 1 currently lists Norway, Slovenia, and possibly Spain (Basque country - TBC) as the three implementing countries. We still need to determine what implementing countries will work on the later age group. * It is not expected that a single organisation (e.g. the Public Health Institute) takes care of implementing the entire package. They can work with other partners (locally or from other countries) on components they need support with. We could even envisage that implementing countries may be given the option of dropping one domain from the intervention package, if they really feel it would be difficult to implement in their countries, but this would not be ideal, because the different domains are meant to address different stages of the habit formation process, as set out in the project’s conceptual framework. * The value of implementing and evaluation a whole package of interventions is that this will enable us to assess synergies between components and across NCD areas. There would be easier options, potentially, involving countries picking and choosing from a menu of singe-domain/single-transition intervention options, but I think this would be inferior to the plan I have described before, and would reduce the value of the project. Apologies that this message is getting long, but I would like to address the issue of responsibilities for individual dimensions in the final part of this email, because we need those responsible to start shaping up the relevant tasks. The dimensions of each intervention package are listed below, along with the individual actions they involve. I have added the names of those I would expect to take responsibility for each of them. Please, look for your names in the list below and assess whether you agree with the proposed allocation and whether you are prepared to work on designing the relevant actions over the coming week (so that we can review those in the next Consortium meeting on 30th March). Intervention package 1 Domain 1. Health and digital literacy. a. TUTCH health literacy programme. [The CHOICE Foundation (Sweden) are interested in joining the proposal and can work with the European Medical Students’ Association [suggested by Katja, we can follow up with a direct contact and include them too] b. Digital literacy programme. [Marisa Miraldo (Imperial) on mis-information management; volunteers sought in support (Daniel, University of Cologne ? Damon, NYU? Others?)] Domain 2. Self-management of digital media use. [I would see the design of all three components here to be led by NYU, but others are welcome to support if interested] Domain 3. Healthy school environments and nudges. [WHO and EuroHealthNet can oversee this domain, specific contributions may be envisaged from Marisa and Daniel, especially on (a) and (b); others?] Domain 4. Resources and services. [Matey’s team NIJZ, supported by other countries implementing this intervention] Intervention package 2 Domain 1. Health and digital literacy. 1. Health literacy programme. [Possibly Ane, Irati, Biosistemak] 2. Advanced digital literacy programme. [Marisa, NYU team?] Domain 2. Device-assisted behavioural monitoring and feedback. [we need volunteers here] 1. Physical activity 2. Sleep [this could be covered by Matej’s team, but also potentially by NIPH?] 3. Eating patterns and diet [This would have to be Imperial] 4. Probably not suitable Domain 3. Healthy environments and nudges. 1. Food and physical activity environments [Marisa may work on this, but I realise her name is down too many times in this list] 2. Addictive product environments [maybe Daniel, again?] 3. Mental health environment, possibly resurrecting the idea of using the ABC framework. [would EuroHealthNet be interested in covering this?] I look forward to hearing from you. Franco ______________________________________ This email message, including any attachments, is for the sole use of the intended recipient(s) and may contain information that is proprietary, confidential, and exempt from disclosure under applicable law. Any unauthorized review, use, disclosure, or distribution is prohibited. If you have received this email in error please notify the sender by return email and delete the original message. Please note, the recipient should check this email and any attachments for the presence of viruses. The organization accepts no liability for any damage caused by any virus transmitted by this email.
CAUTION: This message came from outside Imperial. Do not click links or open attachments unless you recognise the sender and were expecting this email. Hi Franco, Absolutely! I can work on this today and will send comments and edits soon! Marie ________________________________ From: Sassi, Franco <f.sassi@imperial.ac.uk> Sent: Thursday, April 9, 2026 10:48:00 AM To: Bragg, Marie <Marie.Bragg@nyulangone.org>; Tsai, Krystle <Krystle.Tsai@nyulangone.org>; Dupuis, Roxanne <Roxanne.Dupuis@nyulangone.org> Cc: zhealth-mgmt <zhealth-mgmt@imperial.ac.uk> Subject: RE: Z-HEALTH, Intervention packages and responsibilities [EXTERNAL] Dear Marie, Roxanne, Krystle, We are making good progress with the Z-HEALTH grant application, but I need some small contributions from your team. Krystle had shared some time ago the attached document, which contains the aims of a grant application you have made in the US. This is very useful, but we will also need to include some details of the methods that will be used in this part of the project. We have been thinking of the practicalities of implementing this intervention in several countries and we have come up with some questions: 1. We understand that the self-management features would be implemented in individual apps, as opposed to being implemented on a device (e.g. smartphone). Is this correct? 2. How are the settings modified in practice? Does this require a manual intervention on each individual device by a technician/expert? Or is it done by kids themselves by running a programme on the device? We would appreciate your advice on this, because the resource requirement in each case would be very different. 3. Will implementing changes on apps/devices that run in languages other than English be a problem? On a separate matter, I would like to take you up on your offer to help with the design of a digital literacy programme, differentiated for the 12-18 and the 19-25 age groups. If you have a couple of papers that we can use as references in the proposal, this would be great. At the proposal stage, we only need a brief and high-level description of what the main areas of contents of this digital literacy programme will be. So, no need to spend much time on it. Thank you so much for your support. Questions 1-3 are a priority for us at the moment, because they have implications for the budget of the project. Franco From: Bragg, Marie Marie.Bragg@nyulangone.org<mailto:Marie.Bragg@nyulangone.org> Sent: 29 March 2026 15:21 To: Sassi, Franco <f.sassi@imperial.ac.uk>; Tsai, Krystle <Krystle.Tsai@nyulangone.org>; Dupuis, Roxanne <Roxanne.Dupuis@nyulangone.org> Subject: Re: Z-HEALTH, Intervention packages and responsibilities CAUTION: This message came from outside Imperial. Do not click links or open attachments unless you recognise the sender and were expecting this email. Hi Franco, Krystle and I pulled together comments from what you shared in your email (see attached). We are happy to write sections of the grant if you are able to point us to the appropriate documents/sections where we can contribute! Looking forward to seeing everyone in tomorrow’s meeting. I can attend the vast majority of the meeting, but have to step out for 15 minutes for a brief team meeting at 945am NY time. Best wishes, Marie From: Sassi, Franco <f.sassi@imperial.ac.uk<mailto:f.sassi@imperial.ac.uk>> Date: Thursday, March 19, 2026 at 2:33 PM To: zhealth-consort <zhealth-consort@imperial.ac.uk<mailto:zhealth-consort@imperial.ac.uk>> Cc: zhealth-mgmt <zhealth-mgmt@imperial.ac.uk<mailto:zhealth-mgmt@imperial.ac.uk>>, IRATI ERREGUERENA REDONDO <irati.erreguerenaredondo@bio-sistemak.eus<mailto:irati.erreguerenaredondo@bio-sistemak.eus>>, ANE FULLAONDO ZABALA <ane.fullaondozabala@bio-sistemak.eus<mailto:ane.fullaondozabala@bio-sistemak.eus>> Subject: [Z-health-consortium] Z-HEALTH, Intervention packages and responsibilities [EXTERNAL] Dear All, Thank you to all those who have been able to participate in the two consortium meetings last week. Both have been extremely helpful in getting to the next step of development of the proposal. Based on the inputs received last week, I have developed two “intervention packages”. You may find descriptions of those packages attached to this message, and in the shared Box folder (sub-folder “Interventions”). In order to help you follow the logic of those intervention packages, please, note the following points: 1. Based on comments received (no age group should be left out within the range provided by the call), I have collapsed the three originally envisaged transitions into two. The first will cover the age range from 12 to 18 and will be labelled transition from early to late adolescence. Intervention package 1 is designed to help this transition by preventing the formation of unhealthy habits, creating and consolidating healthy habits. Intervention package 2 will do the same in the later age group (19-25) supporting the transition to tertiary education/work/independent living. 2. Different domains in each intervention package reflect the structure I proposed on Friday, with several adaptations and specifications. 3. I am circulating these intervention descriptions as proposals (albeit an advanced one, that I would not expect to change to any large extent at this stage). The design of intervention package 1 is ultimately the responsibility of WP4 (led by NIPH) and its partners, and the design of intervention package 2 is the responsibility of WP5 (leadership yet to be assigned – any volunteers or proposals for additional partners who could do it, please, do come forward). 4. The attached intervention descriptions are key tools to be used when approaching country partners whom we expect to implement interventions. WHAT WILL WE THE ASK NEW PARTNERS IN POTENTIALLY IMPLEMENTING COUNTRIES? * What I see as the “ideal” approach here (and I would like to emphasise this is the ideal, but reality may require compromise) is that we include 6 countries implementing interventions in Z-HEALTH, three focusing on the age group 12-18, and three on the age group 19-25. The attached document describing Intervention package 1 currently lists Norway, Slovenia, and possibly Spain (Basque country - TBC) as the three implementing countries. We still need to determine what implementing countries will work on the later age group. * It is not expected that a single organisation (e.g. the Public Health Institute) takes care of implementing the entire package. They can work with other partners (locally or from other countries) on components they need support with. We could even envisage that implementing countries may be given the option of dropping one domain from the intervention package, if they really feel it would be difficult to implement in their countries, but this would not be ideal, because the different domains are meant to address different stages of the habit formation process, as set out in the project’s conceptual framework. * The value of implementing and evaluation a whole package of interventions is that this will enable us to assess synergies between components and across NCD areas. There would be easier options, potentially, involving countries picking and choosing from a menu of singe-domain/single-transition intervention options, but I think this would be inferior to the plan I have described before, and would reduce the value of the project. Apologies that this message is getting long, but I would like to address the issue of responsibilities for individual dimensions in the final part of this email, because we need those responsible to start shaping up the relevant tasks. The dimensions of each intervention package are listed below, along with the individual actions they involve. I have added the names of those I would expect to take responsibility for each of them. Please, look for your names in the list below and assess whether you agree with the proposed allocation and whether you are prepared to work on designing the relevant actions over the coming week (so that we can review those in the next Consortium meeting on 30th March). Intervention package 1 Domain 1. Health and digital literacy. a. TUTCH health literacy programme. [The CHOICE Foundation (Sweden) are interested in joining the proposal and can work with the European Medical Students’ Association [suggested by Katja, we can follow up with a direct contact and include them too] b. Digital literacy programme. [Marisa Miraldo (Imperial) on mis-information management; volunteers sought in support (Daniel, University of Cologne ? Damon, NYU? Others?)] Domain 2. Self-management of digital media use. [I would see the design of all three components here to be led by NYU, but others are welcome to support if interested] Domain 3. Healthy school environments and nudges. [WHO and EuroHealthNet can oversee this domain, specific contributions may be envisaged from Marisa and Daniel, especially on (a) and (b); others?] Domain 4. Resources and services. [Matey’s team NIJZ, supported by other countries implementing this intervention] Intervention package 2 Domain 1. Health and digital literacy. 1. Health literacy programme. [Possibly Ane, Irati, Biosistemak] 2. Advanced digital literacy programme. [Marisa, NYU team?] Domain 2. Device-assisted behavioural monitoring and feedback. [we need volunteers here] 1. Physical activity 2. Sleep [this could be covered by Matej’s team, but also potentially by NIPH?] 3. Eating patterns and diet [This would have to be Imperial] 4. Probably not suitable Domain 3. Healthy environments and nudges. 1. Food and physical activity environments [Marisa may work on this, but I realise her name is down too many times in this list] 2. Addictive product environments [maybe Daniel, again?] 3. Mental health environment, possibly resurrecting the idea of using the ABC framework. [would EuroHealthNet be interested in covering this?] I look forward to hearing from you. Franco ______________________________________ This email message, including any attachments, is for the sole use of the intended recipient(s) and may contain information that is proprietary, confidential, and exempt from disclosure under applicable law. Any unauthorized review, use, disclosure, or distribution is prohibited. If you have received this email in error please notify the sender by return email and delete the original message. Please note, the recipient should check this email and any attachments for the presence of viruses. The organization accepts no liability for any damage caused by any virus transmitted by this email.
CAUTION: This message came from outside Imperial. Do not click links or open attachments unless you recognise the sender and were expecting this email. Hi Franco, Responses to your questions below. Happy to chat more if needed: 1. We understand that the self-management features would be implemented in individual apps, as opposed to being implemented on a device (e.g. smartphone). Is this correct? The changes are at the app level (e.g., via Instagram, TikTok, etc.), not the device level. 2. How are the settings modified in practice? Does this require a manual intervention on each individual device by a technician/expert? Or is it done by kids themselves by running a programme on the device? We would appreciate your advice on this, because the resource requirement in each case would be very different. The participants would download an app that Damon and his team created. It should be easy for most of them to do it on their own, though it would be helpful for a part-time person to serve in a ‘help desk’ sort of role if participants need help. 3. Will implementing changes on apps/devices that run in languages other than English be a problem? It is possible to support other languages, but some functionality of our app may need to be localized for each additional language. More on the other pieces soon! Marie From: Bragg, Marie <Marie.Bragg@nyulangone.org> Date: Friday, April 10, 2026 at 6:27 AM To: Sassi, Franco <f.sassi@imperial.ac.uk>, Tsai, Krystle <Krystle.Tsai@nyulangone.org>, Dupuis, Roxanne <Roxanne.Dupuis@nyulangone.org> Cc: zhealth-mgmt <zhealth-mgmt@imperial.ac.uk> Subject: Re: Z-HEALTH, Intervention packages and responsibilities Hi Franco, Absolutely! I can work on this today and will send comments and edits soon! Marie ________________________________ From: Sassi, Franco <f.sassi@imperial.ac.uk> Sent: Thursday, April 9, 2026 10:48:00 AM To: Bragg, Marie <Marie.Bragg@nyulangone.org>; Tsai, Krystle <Krystle.Tsai@nyulangone.org>; Dupuis, Roxanne <Roxanne.Dupuis@nyulangone.org> Cc: zhealth-mgmt <zhealth-mgmt@imperial.ac.uk> Subject: RE: Z-HEALTH, Intervention packages and responsibilities [EXTERNAL] Dear Marie, Roxanne, Krystle, We are making good progress with the Z-HEALTH grant application, but I need some small contributions from your team. Krystle had shared some time ago the attached document, which contains the aims of a grant application you have made in the US. This is very useful, but we will also need to include some details of the methods that will be used in this part of the project. We have been thinking of the practicalities of implementing this intervention in several countries and we have come up with some questions: 1. We understand that the self-management features would be implemented in individual apps, as opposed to being implemented on a device (e.g. smartphone). Is this correct? 2. How are the settings modified in practice? Does this require a manual intervention on each individual device by a technician/expert? Or is it done by kids themselves by running a programme on the device? We would appreciate your advice on this, because the resource requirement in each case would be very different. 3. Will implementing changes on apps/devices that run in languages other than English be a problem? On a separate matter, I would like to take you up on your offer to help with the design of a digital literacy programme, differentiated for the 12-18 and the 19-25 age groups. If you have a couple of papers that we can use as references in the proposal, this would be great. At the proposal stage, we only need a brief and high-level description of what the main areas of contents of this digital literacy programme will be. So, no need to spend much time on it. Thank you so much for your support. Questions 1-3 are a priority for us at the moment, because they have implications for the budget of the project. Franco From: Bragg, Marie Marie.Bragg@nyulangone.org<mailto:Marie.Bragg@nyulangone.org> Sent: 29 March 2026 15:21 To: Sassi, Franco <f.sassi@imperial.ac.uk>; Tsai, Krystle <Krystle.Tsai@nyulangone.org>; Dupuis, Roxanne <Roxanne.Dupuis@nyulangone.org> Subject: Re: Z-HEALTH, Intervention packages and responsibilities CAUTION: This message came from outside Imperial. Do not click links or open attachments unless you recognise the sender and were expecting this email. Hi Franco, Krystle and I pulled together comments from what you shared in your email (see attached). We are happy to write sections of the grant if you are able to point us to the appropriate documents/sections where we can contribute! Looking forward to seeing everyone in tomorrow’s meeting. I can attend the vast majority of the meeting, but have to step out for 15 minutes for a brief team meeting at 945am NY time. Best wishes, Marie From: Sassi, Franco <f.sassi@imperial.ac.uk<mailto:f.sassi@imperial.ac.uk>> Date: Thursday, March 19, 2026 at 2:33 PM To: zhealth-consort <zhealth-consort@imperial.ac.uk<mailto:zhealth-consort@imperial.ac.uk>> Cc: zhealth-mgmt <zhealth-mgmt@imperial.ac.uk<mailto:zhealth-mgmt@imperial.ac.uk>>, IRATI ERREGUERENA REDONDO <irati.erreguerenaredondo@bio-sistemak.eus<mailto:irati.erreguerenaredondo@bio-sistemak.eus>>, ANE FULLAONDO ZABALA <ane.fullaondozabala@bio-sistemak.eus<mailto:ane.fullaondozabala@bio-sistemak.eus>> Subject: [Z-health-consortium] Z-HEALTH, Intervention packages and responsibilities [EXTERNAL] Dear All, Thank you to all those who have been able to participate in the two consortium meetings last week. Both have been extremely helpful in getting to the next step of development of the proposal. Based on the inputs received last week, I have developed two “intervention packages”. You may find descriptions of those packages attached to this message, and in the shared Box folder (sub-folder “Interventions”). In order to help you follow the logic of those intervention packages, please, note the following points: 1. Based on comments received (no age group should be left out within the range provided by the call), I have collapsed the three originally envisaged transitions into two. The first will cover the age range from 12 to 18 and will be labelled transition from early to late adolescence. Intervention package 1 is designed to help this transition by preventing the formation of unhealthy habits, creating and consolidating healthy habits. Intervention package 2 will do the same in the later age group (19-25) supporting the transition to tertiary education/work/independent living. 2. Different domains in each intervention package reflect the structure I proposed on Friday, with several adaptations and specifications. 3. I am circulating these intervention descriptions as proposals (albeit an advanced one, that I would not expect to change to any large extent at this stage). The design of intervention package 1 is ultimately the responsibility of WP4 (led by NIPH) and its partners, and the design of intervention package 2 is the responsibility of WP5 (leadership yet to be assigned – any volunteers or proposals for additional partners who could do it, please, do come forward). 4. The attached intervention descriptions are key tools to be used when approaching country partners whom we expect to implement interventions. WHAT WILL WE THE ASK NEW PARTNERS IN POTENTIALLY IMPLEMENTING COUNTRIES? * What I see as the “ideal” approach here (and I would like to emphasise this is the ideal, but reality may require compromise) is that we include 6 countries implementing interventions in Z-HEALTH, three focusing on the age group 12-18, and three on the age group 19-25. The attached document describing Intervention package 1 currently lists Norway, Slovenia, and possibly Spain (Basque country - TBC) as the three implementing countries. We still need to determine what implementing countries will work on the later age group. * It is not expected that a single organisation (e.g. the Public Health Institute) takes care of implementing the entire package. They can work with other partners (locally or from other countries) on components they need support with. We could even envisage that implementing countries may be given the option of dropping one domain from the intervention package, if they really feel it would be difficult to implement in their countries, but this would not be ideal, because the different domains are meant to address different stages of the habit formation process, as set out in the project’s conceptual framework. * The value of implementing and evaluation a whole package of interventions is that this will enable us to assess synergies between components and across NCD areas. There would be easier options, potentially, involving countries picking and choosing from a menu of singe-domain/single-transition intervention options, but I think this would be inferior to the plan I have described before, and would reduce the value of the project. Apologies that this message is getting long, but I would like to address the issue of responsibilities for individual dimensions in the final part of this email, because we need those responsible to start shaping up the relevant tasks. The dimensions of each intervention package are listed below, along with the individual actions they involve. I have added the names of those I would expect to take responsibility for each of them. Please, look for your names in the list below and assess whether you agree with the proposed allocation and whether you are prepared to work on designing the relevant actions over the coming week (so that we can review those in the next Consortium meeting on 30th March). Intervention package 1 Domain 1. Health and digital literacy. a. TUTCH health literacy programme. [The CHOICE Foundation (Sweden) are interested in joining the proposal and can work with the European Medical Students’ Association [suggested by Katja, we can follow up with a direct contact and include them too] b. Digital literacy programme. [Marisa Miraldo (Imperial) on mis-information management; volunteers sought in support (Daniel, University of Cologne ? Damon, NYU? Others?)] Domain 2. Self-management of digital media use. [I would see the design of all three components here to be led by NYU, but others are welcome to support if interested] Domain 3. Healthy school environments and nudges. [WHO and EuroHealthNet can oversee this domain, specific contributions may be envisaged from Marisa and Daniel, especially on (a) and (b); others?] Domain 4. Resources and services. [Matey’s team NIJZ, supported by other countries implementing this intervention] Intervention package 2 Domain 1. Health and digital literacy. 1. Health literacy programme. [Possibly Ane, Irati, Biosistemak] 2. Advanced digital literacy programme. [Marisa, NYU team?] Domain 2. Device-assisted behavioural monitoring and feedback. [we need volunteers here] 1. Physical activity 2. Sleep [this could be covered by Matej’s team, but also potentially by NIPH?] 3. Eating patterns and diet [This would have to be Imperial] 4. Probably not suitable Domain 3. Healthy environments and nudges. 1. Food and physical activity environments [Marisa may work on this, but I realise her name is down too many times in this list] 2. Addictive product environments [maybe Daniel, again?] 3. Mental health environment, possibly resurrecting the idea of using the ABC framework. [would EuroHealthNet be interested in covering this?] I look forward to hearing from you. Franco ______________________________________ This email message, including any attachments, is for the sole use of the intended recipient(s) and may contain information that is proprietary, confidential, and exempt from disclosure under applicable law. Any unauthorized review, use, disclosure, or distribution is prohibited. If you have received this email in error please notify the sender by return email and delete the original message. Please note, the recipient should check this email and any attachments for the presence of viruses. The organization accepts no liability for any damage caused by any virus transmitted by this email.
CAUTION: This message came from outside Imperial. Do not click links or open attachments unless you recognise the sender and were expecting this email. Hi Franco, Sharing the paragraph on digital health literacy, with strong thanks to Krystle too. I’m also going through the draft document that has been circulating among several investigators today. Please don’t hesitate to let us know how else we can help! Marie From: Bragg, Marie <Marie.Bragg@nyulangone.org> Date: Friday, April 10, 2026 at 12:25 PM To: Sassi, Franco <f.sassi@imperial.ac.uk>, Tsai, Krystle <Krystle.Tsai@nyulangone.org>, Dupuis, Roxanne <Roxanne.Dupuis@nyulangone.org> Cc: zhealth-mgmt <zhealth-mgmt@imperial.ac.uk> Subject: Re: Z-HEALTH, Intervention packages and responsibilities Hi Franco, Responses to your questions below. Happy to chat more if needed: 1. We understand that the self-management features would be implemented in individual apps, as opposed to being implemented on a device (e.g. smartphone). Is this correct? The changes are at the app level (e.g., via Instagram, TikTok, etc.), not the device level. 2. How are the settings modified in practice? Does this require a manual intervention on each individual device by a technician/expert? Or is it done by kids themselves by running a programme on the device? We would appreciate your advice on this, because the resource requirement in each case would be very different. The participants would download an app that Damon and his team created. It should be easy for most of them to do it on their own, though it would be helpful for a part-time person to serve in a ‘help desk’ sort of role if participants need help. 3. Will implementing changes on apps/devices that run in languages other than English be a problem? It is possible to support other languages, but some functionality of our app may need to be localized for each additional language. More on the other pieces soon! Marie From: Bragg, Marie <Marie.Bragg@nyulangone.org> Date: Friday, April 10, 2026 at 6:27 AM To: Sassi, Franco <f.sassi@imperial.ac.uk>, Tsai, Krystle <Krystle.Tsai@nyulangone.org>, Dupuis, Roxanne <Roxanne.Dupuis@nyulangone.org> Cc: zhealth-mgmt <zhealth-mgmt@imperial.ac.uk> Subject: Re: Z-HEALTH, Intervention packages and responsibilities Hi Franco, Absolutely! I can work on this today and will send comments and edits soon! Marie ________________________________ From: Sassi, Franco <f.sassi@imperial.ac.uk> Sent: Thursday, April 9, 2026 10:48:00 AM To: Bragg, Marie <Marie.Bragg@nyulangone.org>; Tsai, Krystle <Krystle.Tsai@nyulangone.org>; Dupuis, Roxanne <Roxanne.Dupuis@nyulangone.org> Cc: zhealth-mgmt <zhealth-mgmt@imperial.ac.uk> Subject: RE: Z-HEALTH, Intervention packages and responsibilities [EXTERNAL] Dear Marie, Roxanne, Krystle, We are making good progress with the Z-HEALTH grant application, but I need some small contributions from your team. Krystle had shared some time ago the attached document, which contains the aims of a grant application you have made in the US. This is very useful, but we will also need to include some details of the methods that will be used in this part of the project. We have been thinking of the practicalities of implementing this intervention in several countries and we have come up with some questions: 1. We understand that the self-management features would be implemented in individual apps, as opposed to being implemented on a device (e.g. smartphone). Is this correct? 2. How are the settings modified in practice? Does this require a manual intervention on each individual device by a technician/expert? Or is it done by kids themselves by running a programme on the device? We would appreciate your advice on this, because the resource requirement in each case would be very different. 3. Will implementing changes on apps/devices that run in languages other than English be a problem? On a separate matter, I would like to take you up on your offer to help with the design of a digital literacy programme, differentiated for the 12-18 and the 19-25 age groups. If you have a couple of papers that we can use as references in the proposal, this would be great. At the proposal stage, we only need a brief and high-level description of what the main areas of contents of this digital literacy programme will be. So, no need to spend much time on it. Thank you so much for your support. Questions 1-3 are a priority for us at the moment, because they have implications for the budget of the project. Franco From: Bragg, Marie Marie.Bragg@nyulangone.org<mailto:Marie.Bragg@nyulangone.org> Sent: 29 March 2026 15:21 To: Sassi, Franco <f.sassi@imperial.ac.uk>; Tsai, Krystle <Krystle.Tsai@nyulangone.org>; Dupuis, Roxanne <Roxanne.Dupuis@nyulangone.org> Subject: Re: Z-HEALTH, Intervention packages and responsibilities CAUTION: This message came from outside Imperial. Do not click links or open attachments unless you recognise the sender and were expecting this email. Hi Franco, Krystle and I pulled together comments from what you shared in your email (see attached). We are happy to write sections of the grant if you are able to point us to the appropriate documents/sections where we can contribute! Looking forward to seeing everyone in tomorrow’s meeting. I can attend the vast majority of the meeting, but have to step out for 15 minutes for a brief team meeting at 945am NY time. Best wishes, Marie From: Sassi, Franco <f.sassi@imperial.ac.uk<mailto:f.sassi@imperial.ac.uk>> Date: Thursday, March 19, 2026 at 2:33 PM To: zhealth-consort <zhealth-consort@imperial.ac.uk<mailto:zhealth-consort@imperial.ac.uk>> Cc: zhealth-mgmt <zhealth-mgmt@imperial.ac.uk<mailto:zhealth-mgmt@imperial.ac.uk>>, IRATI ERREGUERENA REDONDO <irati.erreguerenaredondo@bio-sistemak.eus<mailto:irati.erreguerenaredondo@bio-sistemak.eus>>, ANE FULLAONDO ZABALA <ane.fullaondozabala@bio-sistemak.eus<mailto:ane.fullaondozabala@bio-sistemak.eus>> Subject: [Z-health-consortium] Z-HEALTH, Intervention packages and responsibilities [EXTERNAL] Dear All, Thank you to all those who have been able to participate in the two consortium meetings last week. Both have been extremely helpful in getting to the next step of development of the proposal. Based on the inputs received last week, I have developed two “intervention packages”. You may find descriptions of those packages attached to this message, and in the shared Box folder (sub-folder “Interventions”). In order to help you follow the logic of those intervention packages, please, note the following points: 1. Based on comments received (no age group should be left out within the range provided by the call), I have collapsed the three originally envisaged transitions into two. The first will cover the age range from 12 to 18 and will be labelled transition from early to late adolescence. Intervention package 1 is designed to help this transition by preventing the formation of unhealthy habits, creating and consolidating healthy habits. Intervention package 2 will do the same in the later age group (19-25) supporting the transition to tertiary education/work/independent living. 2. Different domains in each intervention package reflect the structure I proposed on Friday, with several adaptations and specifications. 3. I am circulating these intervention descriptions as proposals (albeit an advanced one, that I would not expect to change to any large extent at this stage). The design of intervention package 1 is ultimately the responsibility of WP4 (led by NIPH) and its partners, and the design of intervention package 2 is the responsibility of WP5 (leadership yet to be assigned – any volunteers or proposals for additional partners who could do it, please, do come forward). 4. The attached intervention descriptions are key tools to be used when approaching country partners whom we expect to implement interventions. WHAT WILL WE THE ASK NEW PARTNERS IN POTENTIALLY IMPLEMENTING COUNTRIES? * What I see as the “ideal” approach here (and I would like to emphasise this is the ideal, but reality may require compromise) is that we include 6 countries implementing interventions in Z-HEALTH, three focusing on the age group 12-18, and three on the age group 19-25. The attached document describing Intervention package 1 currently lists Norway, Slovenia, and possibly Spain (Basque country - TBC) as the three implementing countries. We still need to determine what implementing countries will work on the later age group. * It is not expected that a single organisation (e.g. the Public Health Institute) takes care of implementing the entire package. They can work with other partners (locally or from other countries) on components they need support with. We could even envisage that implementing countries may be given the option of dropping one domain from the intervention package, if they really feel it would be difficult to implement in their countries, but this would not be ideal, because the different domains are meant to address different stages of the habit formation process, as set out in the project’s conceptual framework. * The value of implementing and evaluation a whole package of interventions is that this will enable us to assess synergies between components and across NCD areas. There would be easier options, potentially, involving countries picking and choosing from a menu of singe-domain/single-transition intervention options, but I think this would be inferior to the plan I have described before, and would reduce the value of the project. Apologies that this message is getting long, but I would like to address the issue of responsibilities for individual dimensions in the final part of this email, because we need those responsible to start shaping up the relevant tasks. The dimensions of each intervention package are listed below, along with the individual actions they involve. I have added the names of those I would expect to take responsibility for each of them. Please, look for your names in the list below and assess whether you agree with the proposed allocation and whether you are prepared to work on designing the relevant actions over the coming week (so that we can review those in the next Consortium meeting on 30th March). Intervention package 1 Domain 1. Health and digital literacy. a. TUTCH health literacy programme. [The CHOICE Foundation (Sweden) are interested in joining the proposal and can work with the European Medical Students’ Association [suggested by Katja, we can follow up with a direct contact and include them too] b. Digital literacy programme. [Marisa Miraldo (Imperial) on mis-information management; volunteers sought in support (Daniel, University of Cologne ? Damon, NYU? Others?)] Domain 2. Self-management of digital media use. [I would see the design of all three components here to be led by NYU, but others are welcome to support if interested] Domain 3. Healthy school environments and nudges. [WHO and EuroHealthNet can oversee this domain, specific contributions may be envisaged from Marisa and Daniel, especially on (a) and (b); others?] Domain 4. Resources and services. [Matey’s team NIJZ, supported by other countries implementing this intervention] Intervention package 2 Domain 1. Health and digital literacy. 1. Health literacy programme. [Possibly Ane, Irati, Biosistemak] 2. Advanced digital literacy programme. [Marisa, NYU team?] Domain 2. Device-assisted behavioural monitoring and feedback. [we need volunteers here] 1. Physical activity 2. Sleep [this could be covered by Matej’s team, but also potentially by NIPH?] 3. Eating patterns and diet [This would have to be Imperial] 4. Probably not suitable Domain 3. Healthy environments and nudges. 1. Food and physical activity environments [Marisa may work on this, but I realise her name is down too many times in this list] 2. Addictive product environments [maybe Daniel, again?] 3. Mental health environment, possibly resurrecting the idea of using the ABC framework. [would EuroHealthNet be interested in covering this?] I look forward to hearing from you. Franco ______________________________________ This email message, including any attachments, is for the sole use of the intended recipient(s) and may contain information that is proprietary, confidential, and exempt from disclosure under applicable law. Any unauthorized review, use, disclosure, or distribution is prohibited. If you have received this email in error please notify the sender by return email and delete the original message. Please note, the recipient should check this email and any attachments for the presence of viruses. The organization accepts no liability for any damage caused by any virus transmitted by this email.
Thank, you, Marie and Krystle. This is really helpful. Thank you also for answering my questions earlier today. The section that was circulated to you today is a description of Work Package 3, which is supposed to evaluate trends and drivers of the conditions we are considering in the project (obesity, mental health, addictions). We have assigned the task on addictions to NYU, provided you are OK with this. We are nearly there. Thank you so much for your help. Franco ________________________________ From: Bragg, Marie <Marie.Bragg@nyulangone.org> Sent: Friday, April 10, 2026 11:35:21 pm To: Sassi, Franco <f.sassi@imperial.ac.uk>; Tsai, Krystle <Krystle.Tsai@nyulangone.org>; Dupuis, Roxanne <Roxanne.Dupuis@nyulangone.org> Cc: zhealth-mgmt <zhealth-mgmt@imperial.ac.uk> Subject: Re: Z-HEALTH, Intervention packages and responsibilities Hi Franco, Sharing the paragraph on digital health literacy, with strong thanks to Krystle too. I’m also going through the draft document that has been circulating among several investigators today. Please don’t hesitate to let us know how else we can help! Marie From: Bragg, Marie <Marie.Bragg@nyulangone.org> Date: Friday, April 10, 2026 at 12:25 PM To: Sassi, Franco <f.sassi@imperial.ac.uk>, Tsai, Krystle <Krystle.Tsai@nyulangone.org>, Dupuis, Roxanne <Roxanne.Dupuis@nyulangone.org> Cc: zhealth-mgmt <zhealth-mgmt@imperial.ac.uk> Subject: Re: Z-HEALTH, Intervention packages and responsibilities Hi Franco, Responses to your questions below. Happy to chat more if needed: 1. We understand that the self-management features would be implemented in individual apps, as opposed to being implemented on a device (e.g. smartphone). Is this correct? The changes are at the app level (e.g., via Instagram, TikTok, etc.), not the device level. 2. How are the settings modified in practice? Does this require a manual intervention on each individual device by a technician/expert? Or is it done by kids themselves by running a programme on the device? We would appreciate your advice on this, because the resource requirement in each case would be very different. The participants would download an app that Damon and his team created. It should be easy for most of them to do it on their own, though it would be helpful for a part-time person to serve in a ‘help desk’ sort of role if participants need help. 3. Will implementing changes on apps/devices that run in languages other than English be a problem? It is possible to support other languages, but some functionality of our app may need to be localized for each additional language. More on the other pieces soon! Marie From: Bragg, Marie <Marie.Bragg@nyulangone.org> Date: Friday, April 10, 2026 at 6:27 AM To: Sassi, Franco <f.sassi@imperial.ac.uk>, Tsai, Krystle <Krystle.Tsai@nyulangone.org>, Dupuis, Roxanne <Roxanne.Dupuis@nyulangone.org> Cc: zhealth-mgmt <zhealth-mgmt@imperial.ac.uk> Subject: Re: Z-HEALTH, Intervention packages and responsibilities Hi Franco, Absolutely! I can work on this today and will send comments and edits soon! Marie ________________________________ From: Sassi, Franco <f.sassi@imperial.ac.uk> Sent: Thursday, April 9, 2026 10:48:00 AM To: Bragg, Marie <Marie.Bragg@nyulangone.org>; Tsai, Krystle <Krystle.Tsai@nyulangone.org>; Dupuis, Roxanne <Roxanne.Dupuis@nyulangone.org> Cc: zhealth-mgmt <zhealth-mgmt@imperial.ac.uk> Subject: RE: Z-HEALTH, Intervention packages and responsibilities [EXTERNAL] Dear Marie, Roxanne, Krystle, We are making good progress with the Z-HEALTH grant application, but I need some small contributions from your team. Krystle had shared some time ago the attached document, which contains the aims of a grant application you have made in the US. This is very useful, but we will also need to include some details of the methods that will be used in this part of the project. We have been thinking of the practicalities of implementing this intervention in several countries and we have come up with some questions: 1. We understand that the self-management features would be implemented in individual apps, as opposed to being implemented on a device (e.g. smartphone). Is this correct? 2. How are the settings modified in practice? Does this require a manual intervention on each individual device by a technician/expert? Or is it done by kids themselves by running a programme on the device? We would appreciate your advice on this, because the resource requirement in each case would be very different. 3. Will implementing changes on apps/devices that run in languages other than English be a problem? On a separate matter, I would like to take you up on your offer to help with the design of a digital literacy programme, differentiated for the 12-18 and the 19-25 age groups. If you have a couple of papers that we can use as references in the proposal, this would be great. At the proposal stage, we only need a brief and high-level description of what the main areas of contents of this digital literacy programme will be. So, no need to spend much time on it. Thank you so much for your support. Questions 1-3 are a priority for us at the moment, because they have implications for the budget of the project. Franco From: Bragg, Marie Marie.Bragg@nyulangone.org<mailto:Marie.Bragg@nyulangone.org> Sent: 29 March 2026 15:21 To: Sassi, Franco <f.sassi@imperial.ac.uk>; Tsai, Krystle <Krystle.Tsai@nyulangone.org>; Dupuis, Roxanne <Roxanne.Dupuis@nyulangone.org> Subject: Re: Z-HEALTH, Intervention packages and responsibilities CAUTION: This message came from outside Imperial. Do not click links or open attachments unless you recognise the sender and were expecting this email. Hi Franco, Krystle and I pulled together comments from what you shared in your email (see attached). We are happy to write sections of the grant if you are able to point us to the appropriate documents/sections where we can contribute! Looking forward to seeing everyone in tomorrow’s meeting. I can attend the vast majority of the meeting, but have to step out for 15 minutes for a brief team meeting at 945am NY time. Best wishes, Marie From: Sassi, Franco <f.sassi@imperial.ac.uk<mailto:f.sassi@imperial.ac.uk>> Date: Thursday, March 19, 2026 at 2:33 PM To: zhealth-consort <zhealth-consort@imperial.ac.uk<mailto:zhealth-consort@imperial.ac.uk>> Cc: zhealth-mgmt <zhealth-mgmt@imperial.ac.uk<mailto:zhealth-mgmt@imperial.ac.uk>>, IRATI ERREGUERENA REDONDO <irati.erreguerenaredondo@bio-sistemak.eus<mailto:irati.erreguerenaredondo@bio-sistemak.eus>>, ANE FULLAONDO ZABALA <ane.fullaondozabala@bio-sistemak.eus<mailto:ane.fullaondozabala@bio-sistemak.eus>> Subject: [Z-health-consortium] Z-HEALTH, Intervention packages and responsibilities [EXTERNAL] Dear All, Thank you to all those who have been able to participate in the two consortium meetings last week. Both have been extremely helpful in getting to the next step of development of the proposal. Based on the inputs received last week, I have developed two “intervention packages”. You may find descriptions of those packages attached to this message, and in the shared Box folder (sub-folder “Interventions”). In order to help you follow the logic of those intervention packages, please, note the following points: 1. Based on comments received (no age group should be left out within the range provided by the call), I have collapsed the three originally envisaged transitions into two. The first will cover the age range from 12 to 18 and will be labelled transition from early to late adolescence. Intervention package 1 is designed to help this transition by preventing the formation of unhealthy habits, creating and consolidating healthy habits. Intervention package 2 will do the same in the later age group (19-25) supporting the transition to tertiary education/work/independent living. 2. Different domains in each intervention package reflect the structure I proposed on Friday, with several adaptations and specifications. 3. I am circulating these intervention descriptions as proposals (albeit an advanced one, that I would not expect to change to any large extent at this stage). The design of intervention package 1 is ultimately the responsibility of WP4 (led by NIPH) and its partners, and the design of intervention package 2 is the responsibility of WP5 (leadership yet to be assigned – any volunteers or proposals for additional partners who could do it, please, do come forward). 4. The attached intervention descriptions are key tools to be used when approaching country partners whom we expect to implement interventions. WHAT WILL WE THE ASK NEW PARTNERS IN POTENTIALLY IMPLEMENTING COUNTRIES? * What I see as the “ideal” approach here (and I would like to emphasise this is the ideal, but reality may require compromise) is that we include 6 countries implementing interventions in Z-HEALTH, three focusing on the age group 12-18, and three on the age group 19-25. The attached document describing Intervention package 1 currently lists Norway, Slovenia, and possibly Spain (Basque country - TBC) as the three implementing countries. We still need to determine what implementing countries will work on the later age group. * It is not expected that a single organisation (e.g. the Public Health Institute) takes care of implementing the entire package. They can work with other partners (locally or from other countries) on components they need support with. We could even envisage that implementing countries may be given the option of dropping one domain from the intervention package, if they really feel it would be difficult to implement in their countries, but this would not be ideal, because the different domains are meant to address different stages of the habit formation process, as set out in the project’s conceptual framework. * The value of implementing and evaluation a whole package of interventions is that this will enable us to assess synergies between components and across NCD areas. There would be easier options, potentially, involving countries picking and choosing from a menu of singe-domain/single-transition intervention options, but I think this would be inferior to the plan I have described before, and would reduce the value of the project. Apologies that this message is getting long, but I would like to address the issue of responsibilities for individual dimensions in the final part of this email, because we need those responsible to start shaping up the relevant tasks. The dimensions of each intervention package are listed below, along with the individual actions they involve. I have added the names of those I would expect to take responsibility for each of them. Please, look for your names in the list below and assess whether you agree with the proposed allocation and whether you are prepared to work on designing the relevant actions over the coming week (so that we can review those in the next Consortium meeting on 30th March). Intervention package 1 Domain 1. Health and digital literacy. a. TUTCH health literacy programme. [The CHOICE Foundation (Sweden) are interested in joining the proposal and can work with the European Medical Students’ Association [suggested by Katja, we can follow up with a direct contact and include them too] b. Digital literacy programme. [Marisa Miraldo (Imperial) on mis-information management; volunteers sought in support (Daniel, University of Cologne ? Damon, NYU? Others?)] Domain 2. Self-management of digital media use. [I would see the design of all three components here to be led by NYU, but others are welcome to support if interested] Domain 3. Healthy school environments and nudges. [WHO and EuroHealthNet can oversee this domain, specific contributions may be envisaged from Marisa and Daniel, especially on (a) and (b); others?] Domain 4. Resources and services. [Matey’s team NIJZ, supported by other countries implementing this intervention] Intervention package 2 Domain 1. Health and digital literacy. 1. Health literacy programme. [Possibly Ane, Irati, Biosistemak] 2. Advanced digital literacy programme. [Marisa, NYU team?] Domain 2. Device-assisted behavioural monitoring and feedback. [we need volunteers here] 1. Physical activity 2. Sleep [this could be covered by Matej’s team, but also potentially by NIPH?] 3. Eating patterns and diet [This would have to be Imperial] 4. Probably not suitable Domain 3. Healthy environments and nudges. 1. Food and physical activity environments [Marisa may work on this, but I realise her name is down too many times in this list] 2. Addictive product environments [maybe Daniel, again?] 3. Mental health environment, possibly resurrecting the idea of using the ABC framework. [would EuroHealthNet be interested in covering this?] I look forward to hearing from you. Franco ______________________________________ This email message, including any attachments, is for the sole use of the intended recipient(s) and may contain information that is proprietary, confidential, and exempt from disclosure under applicable law. Any unauthorized review, use, disclosure, or distribution is prohibited. If you have received this email in error please notify the sender by return email and delete the original message. Please note, the recipient should check this email and any attachments for the presence of viruses. The organization accepts no liability for any damage caused by any virus transmitted by this email.
CAUTION: This message came from outside Imperial. Do not click links or open attachments unless you recognise the sender and were expecting this email. Hi Franco, I sent over comments on the addiction section. Please feel free to assign me additional sections. I’m happy to draft sections or review with a critical eye over the weekend and next week! Marie From: Sassi, Franco <f.sassi@imperial.ac.uk> Date: Friday, April 10, 2026 at 5:51 PM To: Bragg, Marie <Marie.Bragg@nyulangone.org>, Tsai, Krystle <Krystle.Tsai@nyulangone.org>, Dupuis, Roxanne <Roxanne.Dupuis@nyulangone.org> Cc: zhealth-mgmt <zhealth-mgmt@imperial.ac.uk> Subject: Re: Z-HEALTH, Intervention packages and responsibilities [EXTERNAL] Thank, you, Marie and Krystle. This is really helpful. Thank you also for answering my questions earlier today. The section that was circulated to you today is a description of Work Package 3, which is supposed to evaluate trends and drivers of the conditions we are considering in the project (obesity, mental health, addictions). We have assigned the task on addictions to NYU, provided you are OK with this. We are nearly there. Thank you so much for your help. Franco ________________________________ From: Bragg, Marie <Marie.Bragg@nyulangone.org> Sent: Friday, April 10, 2026 11:35:21 pm To: Sassi, Franco <f.sassi@imperial.ac.uk>; Tsai, Krystle <Krystle.Tsai@nyulangone.org>; Dupuis, Roxanne <Roxanne.Dupuis@nyulangone.org> Cc: zhealth-mgmt <zhealth-mgmt@imperial.ac.uk> Subject: Re: Z-HEALTH, Intervention packages and responsibilities Hi Franco, Sharing the paragraph on digital health literacy, with strong thanks to Krystle too. I’m also going through the draft document that has been circulating among several investigators today. Please don’t hesitate to let us know how else we can help! Marie From: Bragg, Marie <Marie.Bragg@nyulangone.org> Date: Friday, April 10, 2026 at 12:25 PM To: Sassi, Franco <f.sassi@imperial.ac.uk>, Tsai, Krystle <Krystle.Tsai@nyulangone.org>, Dupuis, Roxanne <Roxanne.Dupuis@nyulangone.org> Cc: zhealth-mgmt <zhealth-mgmt@imperial.ac.uk> Subject: Re: Z-HEALTH, Intervention packages and responsibilities Hi Franco, Responses to your questions below. Happy to chat more if needed: 1. We understand that the self-management features would be implemented in individual apps, as opposed to being implemented on a device (e.g. smartphone). Is this correct? The changes are at the app level (e.g., via Instagram, TikTok, etc.), not the device level. 2. How are the settings modified in practice? Does this require a manual intervention on each individual device by a technician/expert? Or is it done by kids themselves by running a programme on the device? We would appreciate your advice on this, because the resource requirement in each case would be very different. The participants would download an app that Damon and his team created. It should be easy for most of them to do it on their own, though it would be helpful for a part-time person to serve in a ‘help desk’ sort of role if participants need help. 3. Will implementing changes on apps/devices that run in languages other than English be a problem? It is possible to support other languages, but some functionality of our app may need to be localized for each additional language. More on the other pieces soon! Marie From: Bragg, Marie <Marie.Bragg@nyulangone.org> Date: Friday, April 10, 2026 at 6:27 AM To: Sassi, Franco <f.sassi@imperial.ac.uk>, Tsai, Krystle <Krystle.Tsai@nyulangone.org>, Dupuis, Roxanne <Roxanne.Dupuis@nyulangone.org> Cc: zhealth-mgmt <zhealth-mgmt@imperial.ac.uk> Subject: Re: Z-HEALTH, Intervention packages and responsibilities Hi Franco, Absolutely! I can work on this today and will send comments and edits soon! Marie ________________________________ From: Sassi, Franco <f.sassi@imperial.ac.uk> Sent: Thursday, April 9, 2026 10:48:00 AM To: Bragg, Marie <Marie.Bragg@nyulangone.org>; Tsai, Krystle <Krystle.Tsai@nyulangone.org>; Dupuis, Roxanne <Roxanne.Dupuis@nyulangone.org> Cc: zhealth-mgmt <zhealth-mgmt@imperial.ac.uk> Subject: RE: Z-HEALTH, Intervention packages and responsibilities [EXTERNAL] Dear Marie, Roxanne, Krystle, We are making good progress with the Z-HEALTH grant application, but I need some small contributions from your team. Krystle had shared some time ago the attached document, which contains the aims of a grant application you have made in the US. This is very useful, but we will also need to include some details of the methods that will be used in this part of the project. We have been thinking of the practicalities of implementing this intervention in several countries and we have come up with some questions: 1. We understand that the self-management features would be implemented in individual apps, as opposed to being implemented on a device (e.g. smartphone). Is this correct? 2. How are the settings modified in practice? Does this require a manual intervention on each individual device by a technician/expert? Or is it done by kids themselves by running a programme on the device? We would appreciate your advice on this, because the resource requirement in each case would be very different. 3. Will implementing changes on apps/devices that run in languages other than English be a problem? On a separate matter, I would like to take you up on your offer to help with the design of a digital literacy programme, differentiated for the 12-18 and the 19-25 age groups. If you have a couple of papers that we can use as references in the proposal, this would be great. At the proposal stage, we only need a brief and high-level description of what the main areas of contents of this digital literacy programme will be. So, no need to spend much time on it. Thank you so much for your support. Questions 1-3 are a priority for us at the moment, because they have implications for the budget of the project. Franco From: Bragg, Marie Marie.Bragg@nyulangone.org<mailto:Marie.Bragg@nyulangone.org> Sent: 29 March 2026 15:21 To: Sassi, Franco <f.sassi@imperial.ac.uk>; Tsai, Krystle <Krystle.Tsai@nyulangone.org>; Dupuis, Roxanne <Roxanne.Dupuis@nyulangone.org> Subject: Re: Z-HEALTH, Intervention packages and responsibilities CAUTION: This message came from outside Imperial. Do not click links or open attachments unless you recognise the sender and were expecting this email. Hi Franco, Krystle and I pulled together comments from what you shared in your email (see attached). We are happy to write sections of the grant if you are able to point us to the appropriate documents/sections where we can contribute! Looking forward to seeing everyone in tomorrow’s meeting. I can attend the vast majority of the meeting, but have to step out for 15 minutes for a brief team meeting at 945am NY time. Best wishes, Marie From: Sassi, Franco <f.sassi@imperial.ac.uk<mailto:f.sassi@imperial.ac.uk>> Date: Thursday, March 19, 2026 at 2:33 PM To: zhealth-consort <zhealth-consort@imperial.ac.uk<mailto:zhealth-consort@imperial.ac.uk>> Cc: zhealth-mgmt <zhealth-mgmt@imperial.ac.uk<mailto:zhealth-mgmt@imperial.ac.uk>>, IRATI ERREGUERENA REDONDO <irati.erreguerenaredondo@bio-sistemak.eus<mailto:irati.erreguerenaredondo@bio-sistemak.eus>>, ANE FULLAONDO ZABALA <ane.fullaondozabala@bio-sistemak.eus<mailto:ane.fullaondozabala@bio-sistemak.eus>> Subject: [Z-health-consortium] Z-HEALTH, Intervention packages and responsibilities [EXTERNAL] Dear All, Thank you to all those who have been able to participate in the two consortium meetings last week. Both have been extremely helpful in getting to the next step of development of the proposal. Based on the inputs received last week, I have developed two “intervention packages”. You may find descriptions of those packages attached to this message, and in the shared Box folder (sub-folder “Interventions”). In order to help you follow the logic of those intervention packages, please, note the following points: 1. Based on comments received (no age group should be left out within the range provided by the call), I have collapsed the three originally envisaged transitions into two. The first will cover the age range from 12 to 18 and will be labelled transition from early to late adolescence. Intervention package 1 is designed to help this transition by preventing the formation of unhealthy habits, creating and consolidating healthy habits. Intervention package 2 will do the same in the later age group (19-25) supporting the transition to tertiary education/work/independent living. 2. Different domains in each intervention package reflect the structure I proposed on Friday, with several adaptations and specifications. 3. I am circulating these intervention descriptions as proposals (albeit an advanced one, that I would not expect to change to any large extent at this stage). The design of intervention package 1 is ultimately the responsibility of WP4 (led by NIPH) and its partners, and the design of intervention package 2 is the responsibility of WP5 (leadership yet to be assigned – any volunteers or proposals for additional partners who could do it, please, do come forward). 4. The attached intervention descriptions are key tools to be used when approaching country partners whom we expect to implement interventions. WHAT WILL WE THE ASK NEW PARTNERS IN POTENTIALLY IMPLEMENTING COUNTRIES? * What I see as the “ideal” approach here (and I would like to emphasise this is the ideal, but reality may require compromise) is that we include 6 countries implementing interventions in Z-HEALTH, three focusing on the age group 12-18, and three on the age group 19-25. The attached document describing Intervention package 1 currently lists Norway, Slovenia, and possibly Spain (Basque country - TBC) as the three implementing countries. We still need to determine what implementing countries will work on the later age group. * It is not expected that a single organisation (e.g. the Public Health Institute) takes care of implementing the entire package. They can work with other partners (locally or from other countries) on components they need support with. We could even envisage that implementing countries may be given the option of dropping one domain from the intervention package, if they really feel it would be difficult to implement in their countries, but this would not be ideal, because the different domains are meant to address different stages of the habit formation process, as set out in the project’s conceptual framework. * The value of implementing and evaluation a whole package of interventions is that this will enable us to assess synergies between components and across NCD areas. There would be easier options, potentially, involving countries picking and choosing from a menu of singe-domain/single-transition intervention options, but I think this would be inferior to the plan I have described before, and would reduce the value of the project. Apologies that this message is getting long, but I would like to address the issue of responsibilities for individual dimensions in the final part of this email, because we need those responsible to start shaping up the relevant tasks. The dimensions of each intervention package are listed below, along with the individual actions they involve. I have added the names of those I would expect to take responsibility for each of them. Please, look for your names in the list below and assess whether you agree with the proposed allocation and whether you are prepared to work on designing the relevant actions over the coming week (so that we can review those in the next Consortium meeting on 30th March). Intervention package 1 Domain 1. Health and digital literacy. a. TUTCH health literacy programme. [The CHOICE Foundation (Sweden) are interested in joining the proposal and can work with the European Medical Students’ Association [suggested by Katja, we can follow up with a direct contact and include them too] b. Digital literacy programme. [Marisa Miraldo (Imperial) on mis-information management; volunteers sought in support (Daniel, University of Cologne ? Damon, NYU? Others?)] Domain 2. Self-management of digital media use. [I would see the design of all three components here to be led by NYU, but others are welcome to support if interested] Domain 3. Healthy school environments and nudges. [WHO and EuroHealthNet can oversee this domain, specific contributions may be envisaged from Marisa and Daniel, especially on (a) and (b); others?] Domain 4. Resources and services. [Matey’s team NIJZ, supported by other countries implementing this intervention] Intervention package 2 Domain 1. Health and digital literacy. 1. Health literacy programme. [Possibly Ane, Irati, Biosistemak] 2. Advanced digital literacy programme. [Marisa, NYU team?] Domain 2. Device-assisted behavioural monitoring and feedback. [we need volunteers here] 1. Physical activity 2. Sleep [this could be covered by Matej’s team, but also potentially by NIPH?] 3. Eating patterns and diet [This would have to be Imperial] 4. Probably not suitable Domain 3. Healthy environments and nudges. 1. Food and physical activity environments [Marisa may work on this, but I realise her name is down too many times in this list] 2. Addictive product environments [maybe Daniel, again?] 3. Mental health environment, possibly resurrecting the idea of using the ABC framework. [would EuroHealthNet be interested in covering this?] I look forward to hearing from you. Franco ______________________________________ This email message, including any attachments, is for the sole use of the intended recipient(s) and may contain information that is proprietary, confidential, and exempt from disclosure under applicable law. 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participants (2)
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Bragg, Marie
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Sassi, Franco