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Improving Community Engagement in Health

What is EvaluA GPS? What is EVALGUÍA?

EvaluA GPS (Evaluate and Apply Health Promotion Guidelines) is a collaborative action-oriented research project. The EvaluA GPS project aims to design a tool (EVALGUÍA) to implement evidence-based guideline recommendations on how to improve community engagement for health and well-being and reduce inequalities (NICE Guideline NG44, adapted to the Spanish context).

In the development of the Action Plans of the Framework for Primary and Community Care, the EVALGUÍA tool has been adopted for the implementation of the Community Care Strategy within the Aragon Health System, Primary Care.

From now on, it will be available to health and non-health institutions, organizations, and the population of Aragon that wish to advance and strengthen community participation in health.

How was the EVALGUÍA tool designed?

EVALGUÍA was co-designed through applied research, combining the best possible evidence in the literature with the experience of implementing and using the tool in 13 projects distributed across Spain. See the publications and the full report to learn more about the design and piloting process.

Background

The EvaluA GPS project has its origin in a previous initiative, the AdaptA GPS project, “Adapt and Apply Health Promotion Guidelines”, which involved adapting the NG44 guideline of the United Kingdom’s National Institute for Health and Care Excellence (NICE) to the Spanish context. This guideline focuses on how to improve community participation based on available evidence. AdaptA GPS was carried out between 2017 and 2018, with the participation of 80 people organized into 10 working nodes from 10 autonomous communities: Andalusia, Aragon, Asturias, Catalonia, the Community of Madrid, the Valencian Community, Extremadura, the Balearic Islands, La Rioja, and the Region of Murcia.

As a result of this process, the new Clinical Practice Guideline on Community Participation—“Community Participation: Improving Health and Well-being and Reducing Health Inequalities. AdaptA GPS Project”—has been available since 2018 in the GuíaSalud Catalogue of the Ministry of Health. Alongside this guideline, an adapted version aimed at the general public was also developed. The project was promoted by the Directorate-General of Public Health of the Generalitat Valenciana, with the support of the Community Health Alliance, and benefited from methodological support from GuíaSalud of the Ministry of Health and the Aragon Health Sciences Institute. For the citizen-oriented version, collaboration took place with the Spanish Federation of Municipalities and Provinces (FEMP) and the Spanish Network of Healthy Cities (RECS).

In Aragon, the group responsible for the process was the Aragonese Primary Care Research Group (GAIAP) of the Aragon Institute of Health Research (IIS Aragón), together with the Community Care Strategy of the Aragon Health System’s Primary Care services.

Participating Entities and Funding

The transfer and implementation of EVALGUÍA has been made possible thanks to funding from the Ministry of Health for the roll-out of the Community Care Strategy within the Aragon Health System, Primary Care.

Project funded by the Ministry of Health of Spain

EvaluA GPS has been funded by the Instituto Carlos III, part of the Ministry of Science and Innovation, and co-financed by the European Union through the European Regional Development Fund, as stated in the Resolution of the Directorate of the Instituto de Salud Carlos III, O.A, M.P., which grants subsidies for Health Research Projects (Health Research Projects modality) of the 2019 call of the Strategic Health Action 2017-2020. The project involves three research institutes: IISA (Aragón), FISABIO (Comunitat Valenciana), and IMIBIC (Andalucía) with projects PI19/01079, PI19/00773, and PI19/01525 respectively; as well as the RICAPPS-RD21/0016/005 group (Chronicity Research Network, Primary Care, and Health Prevention and Promotion) and has been carried out thanks to the networked work of health professionals from seven autonomous communities: Aragón, Andalucía, Catalonia, Comunitat Valenciana, Illes Balears, La Rioja, and Galicia.

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