Background Loss of a spouse is a frequent occurrence in later life. While most older adults successfully process this loss and will return to a normal life, about 10% of the individuals are unable to cope, and progress to prolonged grief (PG). PG, in turn, can result in mental and physical problems including poor sleep, cardiovascular problems, depression, and suicidal tendencies. Objective LEAVES (optimizing the mentaL health and resiliencE of older Adults that haVe lost thEir spouSe via blended, online therapy) is an online bereavement program that will support the prevention and treatment of PG, so that elderly mourners can continue to lead an active, meaningful, and dignified life. LEAVES will cater to secondary end users (eg, family, informal caregivers) by reducing stress. Methods LEAVES will help older adults to process the loss of a spouse in an online environment, which consists of (1) an existing online grief self-help program LIVIA, (2) the Before You Leave program that allows for storing personal memories, (3) a virtual agent platform, and (4) an accessible front-end design. LEAVES can detect persons at risk for complications, reveal negative trends in their emotional life, and act to counter such trends. The service relies on online support whenever possible but is blended with telephone or face-to-face counseling when necessary. Results The project will take place between February 2020 and January 2023 and includes a real-life evaluation in which 315 end users will use the service across 3 countries (the Netherlands, Portugal, and Switzerland). The evaluation of LEAVES will focus on clinical effect, its business case, and technology acceptance. The results will pave the way for smooth integration into existing care paths and reimbursement schemes. Conclusions The LEAVES service aims to soften the mourning process, prevents depression or social isolation, strengthens widow(er)s resilience and well-being, and quickens one’s return to societal participation. International Registered Report Identifier (IRRID) DERR1-10.2196/19344

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The world population is growing at a rapid pace. Economic advance is increasing the global demand for food and diversified diets. Agricultural production contributes to the pollution of the environment. Given the limitation of water and land resources, a dietary change is necessary to contribute to food security and ensure the care of the planet. Sustainable and healthy eating, among which the Mediterranean diet is identified, could be the answer. Leaving the parental home to live independently during young adulthood is likely to influence food choice behavior towards the development of unhealthy and unsustainable food choice patterns. This paper draws on a small scale, mixed-methods qualitative study made with young Portuguese and Spanish millennials in 2019 to question the eating practices and perceptions when experiencing transition to adulthood. Based on food diaries and semi-structured interviews, results show that often participants choose the Mediterranean diet. Millennials express interest in continuing to prepare the homemade and traditional dishes they ate before becoming independent, arguing that they are accustomed to flavors, identifying traditional food with healthy food and valuing the affective memories with their family of origin. Overall, millennials' food practices transversally claim for a water-energy-food nexus, embracing SDGs.

BACKGROUND Loss of a spouse is a frequent occurrence in later life. While most older adults successfully process this loss and will return to a normal life, about 10% of the individuals are unable to cope, and progress to prolonged grief. Prolonged grief, in turn, can result in mental and physical problems including, poor sleep, cardiovascular problems, depression, and suicidal tendencies. OBJECTIVE LEAVES is an online bereavement program that will support the prevention and treatment of prolonged grief, so that elderly mourners can continue to lead an active, meaningful and dignified life. LEAVES will cater to secondary end-users (e.g., family, informal caregivers) by reducing stress. METHODS LEAVES will help older adults to process the loss of a spouse in an online environment, which consists of: (1) an existing online grief self-help program LIVIA, (2) the Before You Leave program that allows for storing personal memories, (3) a virtual agent platform, and (4) an accessible front-end design. LEAVES can detect persons at risk for complications, reveal negative trends in their emotional life, and act to counter such trends. The service relies on online support whenever possible but is blended with telephone or face-to-face counselling when necessary. RESULTS The project will take place between February 2020 and January 2023 and includes a real-life evaluation in which 315 end-users will use the service across three countries (the Netherlands, Portugal and Switzerland). The evaluation of LEAVES will focus on clinical effect, its business case, and technology acceptance. The results will pave the way for smooth integration into existing care paths and reimbursement schemes. CONCLUSIONS The LEAVES service aims to soften the mourning process, prevents depression or social isolation, strengthens widow(er)s resilience and wellbeing, and quickens one’s return to societal participation. CLINICALTRIAL NA

Este texto discute as potencialidades da plataforma WhatsApp no contexto mais amplo de uma investigação qualitativa sobre práticas alimentares entre a geração Millennial. Um estudo qualitativo misto foi desenvolvido em 2019, com 22 millennials, portugueses e espanhóis, conjugando um diário de alimentação partilhado através de WhatsApp com uma entrevista semiestruturada. A análise de dados e interpretação de resultados apoiada por NVivo fez emergir três temas chave para a problematização do recurso ao WhatsApp enquanto ferramenta ao serviço da investigação qualitativa: (1) o compromisso gerado entre entrevistadora e informante através da partilha por WhatsApp; (2) a gestão das expectativas em face de um eventual digital divide entre entrevistadora e informante; (3) e a questão ética associada à partilha de informação em rede. Como conclusão destaca-se a mais valia da ferramenta, assim como a necessidade de estabelecer directrizes éticas em torno da segurança, privacidade e integridade dos dados assim recolhidos. Palavras-chave: Millennials; Práticas Alimentares; WhatsApp; Metodologia Qualitativa.