{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:23:43Z","timestamp":1753878223196,"version":"3.41.2"},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T00:00:00Z","timestamp":1738627200000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The introduction of screening tests for Sars\u2010CoV\u20102 has been an extraordinary prevention and control tool during the COVID\u201019 pandemic. However, pandemic control interventions, including screening and vaccine mandates, induced refusal reactions in many people. To date, little information is available on the levels of acceptance of screening practices by the young population in school settings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>The objective of this work is to survey students' attitudes, behaviours and emotions towards Covid\u201019 screening tests by the means of a participatory research method, the World Caf\u00e9 (WC).<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Between March and May 2023, three WC sessions were conducted in three high schools, with 70 students enrolled on a voluntary basis. As per standard procedure, a moderator was assigned at each table to facilitate dialogue and the WCs were recorded, transcribed and imported into ATLAS.ti software for qualitative analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The analysis showed that the themes most reported during the WCs were those regarding the emotional domain, particularly feelings of distress, anxiety, fear, frustration, inadequacy and loneliness.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Although the themes \u2018Emotions\/thoughts\u2019 appear to be the most prominent among students, also \u2018Public health policies\u2019 constitutes a predominant theme group. Finally, the theme \u2018Communication\u2019 sparked lively debate, being the fourth most discussed topic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The many insights from the WC analysis, when properly reframed, bring out useful elements for taking actions during prevention campaigns. Institutions and schools should focus on disseminating clear and targeted messages to help fight misinformation and distrust. Moreover, such evidence suggests that the World Caf\u00e9 method proves to be useful and effective for exploring the emotional sphere of adolescents and analysing their thoughts, attitudes and knowledge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patient or Public Contribution<\/jats:title><jats:p>The research team collaborated with the school personnel to set up the right setting for running the World Caf\u00e9 sessions. The World Caf\u00e9 method allowed the researchers to gather students' insights by the means of a participative process. Honest debate and active engagement of students provided the researchers with a list of statements very useful for informing health policy and recommendations.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hex.70137","type":"journal-article","created":{"date-parts":[[2025,2,5]],"date-time":"2025-02-05T06:40:31Z","timestamp":1738737631000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The World Caf\u00e9 as a Tool for Evaluating the Level of Acceptance of SARS\u2010CoV\u20102 Screening in School Settings, Puglia Region, Italy, 2023"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-6217-9581","authenticated-orcid":false,"given":"Valeria","family":"Gabellone","sequence":"first","affiliation":[{"name":"Department of Experimental Medicine University of Salento Lecce Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2272-0191","authenticated-orcid":false,"given":"Fabiana","family":"Nuccetelli","sequence":"additional","affiliation":[{"name":"Department of Experimental Medicine University of Salento Lecce Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0534-7452","authenticated-orcid":false,"given":"Elisa","family":"Gabrielli","sequence":"additional","affiliation":[{"name":"Department of Prevention Local Health Unit Lecce Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-5413-9716","authenticated-orcid":false,"given":"Leonardo","family":"Ascatigno","sequence":"additional","affiliation":[{"name":"Department of Medical and Surgical Science University of Foggia Foggia Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3181-8054","authenticated-orcid":false,"given":"Pier Luigi","family":"Lopalco","sequence":"additional","affiliation":[{"name":"Department of Experimental Medicine University of Salento Lecce Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8138-5835","authenticated-orcid":false,"given":"Rosa","family":"Prato","sequence":"additional","affiliation":[{"name":"Department of Medical and Surgical Science University of Foggia Foggia Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,2,4]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"National Institute of Health COVID\u201019 Integrated Surveillance System EpiCentro accessed 15 May2024 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