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Improving Community Engagement in Health

What is EvaluA GPS?

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).

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.

Participating Entities and Funding

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.

Dissemination and Publications

Cassetti, V., López-Ruiz, M. V., Egea-Ronda, A., Juan Ulpiano, D. A., & Benedé Azagra, C. B. (2025). Facilitators and barriers to implement community engagement approaches in health promotion projects: A qualitative study in 13 projects in Spain. Public Health in Practice, 9.

Equipo coordinador EvaluA GPS. Proyecto EvaluA GPS. Co-creando herramientas para fomentar la transferencia de evidencia: informe metodológico sobre el desarrollo de la herramienta EVALGUÍA, ruta para la participación comunitaria. Zaragoza: Instituto de Investigación Sanitaria
de Aragón IISA; 2024

López-ruiz, M. V., Pola, M., Enríquez, N., Cassetti, V., Iriarte, T., Santos, D. L., & Benedé, B. (2024). Atención Primaria ¿ Cómo mejoramos la participación comunitaria en salud ? Análisis de las acciones propuestas tras la aplicación de una herramienta de evaluación. Atención Primaria, 56(5).

Cassetti, V., López-Ruiz, M. V., Gallego-Royo, A., Egea-Ronda, A., Gea-Caballero, V., Aviño Juan Ulpiano, D., Baraza-Cano, MP., Romero Rodriguez, E., EvaluA GPS Research Group (2023). Asistir, consultar, involucrar: ¿es necesario redefinir el concepto de participación comunitaria? Gaceta Sanitaria, 37:

Cassetti, V., López-Ruiz, M. V., Domínguez, M., Gallego-Royo, A., García, A. M., Gea-Caballero, V., … Benedé Azagra, C. B. (2023). Evaluating the implementation of community engagement guidelines (EVALUA GPS project): a study protocol. BMJ Open, 13(2), e062383:

Cassetti, V., Lopez-Ruiz, M. V., Pola García, M., García, A. M., Paredes-Carbonell, J. J., Perula de Torres, L. A., & Benedé Azagra, C. B. (2022). An integrative review of the implementation of public health guidelines. Preventive Medicine Reports, 22:

Escartín Lasierra P, Benedé Azagra CB. Análisis de los consejos de salud de zona y otras formas de participación comunitaria en las agendas comunitarias de los equipos de Atención Primaria aragoneses. Comunidad. 2024;26(3):100-106.

Background

The EvaluA GPS project has its origins in a previous project, the AdaptA GPS project “Adapt and Apply Health Promotion Guidelines,” which involved adapting the NG44 guideline from the UK’s National Institute for Health and Care Excellence (NICE) to the Spanish context on how to improve community engagement based on evidence. In this project, carried out in 2017-2018, a total of 80 people participated, organised into 10 working nodes across 10 autonomous communities: Andalusia, Aragon, Asturias, Catalonia, Community of Madrid, Valencian Community, Extremadura, Balearic Islands, La Rioja, and Region of Murcia. As a result of this process, the first public health guideline on how to improve community engagement in health has been available since 2018 in the GuiaSalud Catalog (the Spanish Clinical Guidelines repository) of the Ministry of Health. The project was promoted by the Directorate General of Public Health of the Generalitat Valenciana, with the support of the Community Health Alliance and the PACAP group, and has had the methodological support of GuideSalud of the Ministry of Health and the Institute of Health Sciences of Aragon.

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