"Thanks to my activists Friends": a qualitative study of perspectives of young adults and professionals on the factors related to seeking support among victims of sexual violence in Spain.

BACKGROUND: Sexual violence (SV) is a public health problem with high prevalence among the young population. The use of formal resources for SV care (e.g. institutional services) is low in this age group. This study applies a framework of health assets to identify the factors that positively influence the search for support for SV among young people, the functions of that support and the level of proximity as articulated by both young people and professionals. METHODS: A qualitative study was conducted through 38 semi-structured interviews with young people and professionals from SV resource centers and/or care services for the young population in Spain. A thematic theoretical analysis was conducted, embedded in inductive insights emerging from the data, following a particular adaptation of the constant comparative method, under the grounded theory approach. This analysis was carried out by coding the interview transcripts with the support of Atlas.ti. RESULTS: Young women identified assets, categorized as feminist, that they believe they are essential in the search for formal support services for SV. However, unlike young men, they considered the police and judicial system to be barriers and not assets. There were also differences between the young people and professionals in identifying assets. Young people also considered their partner and traditional media as health assets, in contrast to professionals who did not identify these as such valuable resources in the help-seeking process. Informal assets, such as family, friends and the internet are considered close resources. In contrast, specialized care services for gender-based violence/SV and the judicial and police systems were perceived as more distant resources among the young interviewees. CONCLUSIONS: This study shows similarities and discrepancies among young women and men and SV response professionals in identifying assets for seeking SV support among youth. The study shows an inverse relationship between perceptions of proximity and the level of formality of the asset. This study also contributes to map the relationships and information exchanges between assets. It is advisable to inform professionals about the assets that professionals do not acknowledge, and about actions that allow young people to access formal resources.

The Dynamic Model of Health Assets: a model development.

AIM: Epidemiological research on resistance and resilience can build on models of health developed in health promotion. Nevertheless, these models need to be adjusted to approaches currently employed in epidemiology; namely, included concepts should be easy to operationalize, and links between them should be simple enough to enable statistical modeling. In addition, these models should include both individual and environmental assets. The objective of this study is to consolidate the current knowledge on health assets, adjust them to epidemiological research needs, and propose a new model of health assets for epidemiological studies on health. DESIGN: The conceptual paper was conducted according to the guidelines for the model development. METHODS: The development of the new model was made from the perspective of salutogenesis - the branch of health promotion studying the origins of health. The analysis of literature on health promotion, public health, and positive psychology was conducted to find the links connecting individual and environmental assets. RESULTS: The newly developed Dynamic Model of Health Assets circularly links individual characteristics, actions, environments, and support. Each preceding component of the model contributes to the following one; each component also independently contributes to resistance and resilience. The new model may guide large-scale epidemiological research on resistance and resilience. The model's components are easy to operationalize; the model allows for constructing multilevel models and accounting for the dynamic nature of the relationships between components. It is also generic enough to be adjusted to studying contributors to resistance and resilience to different specific diseases. CONCLUSION: The new model can guide epidemiological studies on resistance and resilience.

Positive epidemiology, revisited: The case for centering human rights and economic justice.

In recent years, a growing body of research in positive epidemiology has sought to expand the traditional focus of epidemiologic research beyond risk factors for disease and towards a more holistic understanding of health that includes the study of positive assets that shape well-being more broadly. While this paradigm shift holds great promise for transforming people's lives for the better, it is also critiqued for showcasing decontextualized perspectives that could cause great harm to the public's health if translated uncritically into population-based interventions. In this commentary, we argue for orienting positive epidemiology within a human rights and economic justice framework to mitigate this threat and discuss two examples of previously proposed health assets (religious involvement and marriage) that demonstrate the urgent need for positive epidemiologic research to center health equity. Finally, to advance the field, we provide recommendations for how future research can address shortcomings of the extant literature by moving from individual-level applications to societal-level approaches. In doing so, we believe that positive epidemiology can be transformed into a powerful force for health equity.

Who Benefits and How: Five Dimensions of Adolescent Psychological Well-Being and Their Relative Impact on Cardiometabolic Health in Adulthood.

PURPOSE: Positive dimensions of psychological well-being in adolescence may help youth preserve cardiometabolic health (CMH) as they age, but little is known about which aspects of well-being matter most and for whom. This study examines the differential impact of five dimensions of adolescent psychological well-being on CMH maintenance in adulthood and considers social patterning in both their distribution and respective health benefits. METHODS: Data were from the National Longitudinal Study of Adolescent Health (N = 3,464), five dimensions of psychological well-being were identified at baseline (1994-1995; mean age = 15 years): happiness, optimism, self-esteem, belonging, and feeling loved. CMH was measured using seven biomarkers related to chronic disease risk in 2008 (mean age = 28 years) and 2016-2018 (mean age = 38 years): high-density lipoprotein cholesterol, non-high-density lipoprotein cholesterol, systolic blood pressure, diastolic blood pressure, hemoglobin A1c, C-reactive protein, and body mass index. CMH maintenance in adulthood was characterized as having healthy levels of ≥6 biomarkers at each follow-up. RESULTS: Youth who reported higher levels of belonging in the teen years were more likely to maintain CMH across young adulthood than those who reported lower levels, regardless of one's social standing (ORper 1-standard deviation = 1.23, 95% CI = 1.03-1.46). Associations with other dimensions of well-being were heterogeneous by sex and race and ethnicity, while differences by socioeconomic factors were less apparent. DISCUSSION: Fostering belonging through supportive social environments may help set youth on positive health trajectories and prevent chronic disease across the lifespan.

Professional Perspectives on Children's Health Assets: A Delphi Study.

This study aims to describe a local community expert's perspective on the identification of and access to children's health assets and to gather proposals to promote children's health and well-being within their community. The health asset approach is essential for health promotion, and there is evidence of its benefits to individuals' or communities' health when this approach is observed. Children's health assets are gaining increasing interest, but the literature that captures the perception of professionals working with children is scarce. Qualitative research designed with Delphi methodology was carried out with the participation of 25 professionals working in a neighbourhood with children and families. The participants stated that this neighbourhood was a good environment for the healthy and happy growth of children but pointed out that there were inequities. They emphasised the importance of economic and physical security and feeling loved. The absolute best aspects of the neighbourhood according to these experts were its support networks, mutual help, educational and health services, and green spaces, and the most deficient aspects were the possibility of a hopeful future and emotional support within the family unit. Poverty and/or the scarcity of economic resources were identified as the main barriers to accessing health assets. Special difficulties in access to health for migrant and Roma children were also identified. The panel of experts made concrete action proposals. It was recommended to support resources and services that already exist in their community. The experts prioritised work with families, education, working in conjunction with vulnerable groups, community participation, and networking.

Generating Contextual Variables From Web-Based Data for Health Research: Tutorial on Web Scraping, Text Mining, and Spatial Overlay Analysis.

BACKGROUND: Contextual variables that capture the characteristics of delimited geographic or jurisdictional areas are vital for health and social research. However, obtaining data sets with contextual-level data can be challenging in the absence of monitoring systems or public census data. OBJECTIVE: We describe and implement an 8-step method that combines web scraping, text mining, and spatial overlay analysis (WeTMS) to transform extensive text data from government websites into analyzable data sets containing contextual data for jurisdictional areas. METHODS: This tutorial describes the method and provides resources for its application by health and social researchers. We used this method to create data sets of health assets aimed at enhancing older adults' social connections (eg, activities and resources such as walking groups and senior clubs) across the 374 health jurisdictions in Catalonia from 2015 to 2022. These assets are registered on a web-based government platform by local stakeholders from various health and nonhealth organizations as part of a national public health program. Steps 1 to 3 involved defining the variables of interest, identifying data sources, and using Python to extract information from 50,000 websites linked to the platform. Steps 4 to 6 comprised preprocessing the scraped text, defining new variables to classify health assets based on social connection constructs, analyzing word frequencies in titles and descriptions of the assets, creating topic-specific dictionaries, implementing a rule-based classifier in R, and verifying the results. Steps 7 and 8 integrate the spatial overlay analysis to determine the geographic location of each asset. We conducted a descriptive analysis of the data sets to report the characteristics of the assets identified and the patterns of asset registrations across areas. RESULTS: We identified and extracted data from 17,305 websites describing health assets. The titles and descriptions of the activities and resources contained 12,560 and 7301 unique words, respectively. After applying our classifier and spatial analysis algorithm, we generated 2 data sets containing 9546 health assets (5022 activities and 4524 resources) with the potential to enhance social connections among older adults. Stakeholders from 318 health jurisdictions registered identified assets on the platform between July 2015 and December 2022. The agreement rate between the classification algorithm and verified data sets ranged from 62.02% to 99.47% across variables. Leisure and skill development activities were the most prevalent (1844/5022, 36.72%). Leisure and cultural associations, such as social clubs for older adults, were the most common resources (878/4524, 19.41%). Health asset registration varied across areas, ranging between 0 and 263 activities and 0 and 265 resources. CONCLUSIONS: The sequential use of WeTMS offers a robust method for generating data sets containing contextual-level variables from internet text data. This study can guide health and social researchers in efficiently generating ready-to-analyze data sets containing contextual variables.

Fotovoz de activos en Cornellà de Llobregat, una experiencia de los profesionales sanitarios para conocer la comunidad / Photovoice of Cornellà de Llobregat assets, an experience for healthcare professionals to get to know the community

Introducción. La prescripción social es el proceso de recomendación de activos beneficiosos para la salud y bienestar. Para ello es necesario conocer los activos de la comunidad de trabajo. El fotovoz es una técnica de investigación participativa que permite conocer una comunidad con la fotografía.Objetivos. Elaborar un fotovoz con los activos de salud de la comunidad.Métodos. Se formó a profesionales y se hizo un paseo comunitario para identificar y fotografiar activos de la comunidad. Se hizo una puesta en común de las fotografías recogidas y una selección. Se creó un fotovoz que se expuso en el centro.Resultados. Un total de 17 profesionales sanitarios hicieron 91 fotografías a activos. Se hizo una selección y se llevó a cabo una discusión, y como resultado, se creó un fotovoz con 16 activos.Conclusión. El fotovoz es un proceso participativo basado en la comunidad que permite mejorar el conocimiento que los profesionales sanitarios tienen sobre los recursos de salud disponibles en su entorno y hacer una prescripción social. (AU)

Introduction. Social prescribing is the process of recommending assets beneficial to health and well-being. To do this, it is necessary to get to know the assets of the working community. Photovoice is a participatory research technique that enables getting to know a community with photography.Objectives. Prepare a Photovoice with community health assets.Methods. Professionals were trained and a community walk was held to identify and photograph community assets. A sharing the photographs collected and made a selection. A Photovoice was created and exhibited in the centre.Results. A total of 17 healthcare professionals took 91 asset photographs. A selection was made and a discussion held. As a result a photovoice was created with 16 assets.Conclusion. PhotoVoice is a community-based participatory process that enables improving health professionals' knowledge of the health resources available in their setting and enables social prescribing. (AU)

Iniciativas de autonomía alimentaria como escenarios para la acción comunitaria en salud basada en activos / Food autonomy initiatives as scenarios for community action in health based on assets

Se expone el desarrollo de un proceso territorial de acción comunitaria para la salud basada en activos, que tuvo como objetivo generar estrategias concretas para combatir el hambre y la malnutrición en un barrio popular de la ciudad de Tunja (Colombia) con altas brechas de desigualdad económica y fragmentación social. A partir de la identificación y la dinamización de diversas iniciativas de autonomías alimentarias se generó una red comunitaria que facilitó la utilización colectiva de recursos, saberes y prácticas propias alrededor del proceso agroalimentario. Con ello se promovió la accesibilidad a alimentos saludables y culturalmente legítimos, a la vez que se configuró un espacio vincular de autonomía, organización, participación y cooperación solidaria entre vecinos. Esto demuestra la potencialidad salutogénica de las acciones locales en salud y de abordar la alimentación de manera participativa, hecho que señalamos como una propuesta político-popular y académica para la promoción de la salud colectiva.(AU)

This paper presents the development of a territorial process of community action for health based on assets. Its objective was to generate concrete strategies to combat hunger and malnutrition in a working-class neighbourhood of the Colombian city of Tunja where there are significant gaps in terms of economic inequality and social fragmentation. Through the identification and dynamization of diverse initiatives of food autonomy, a community network was created which facilitated the collective use of their own resources, knowledge, and practices around the agri-food process. This promoted access to healthy and culturally accepted foods and a space where autonomy, organisation, participation, and cooperation among neighbours converged. The above shows the salutogenic potentiality of local actions in health and of approaching food in a participative way, something that we point out as a political-popular and academic proposal for the promotion of collective health.(AU)

[Food autonomy initiatives as scenarios for community action in health based on assets]. / Iniciativas de autonomía alimentaria como escenarios para la acción comunitaria en salud basada en activos.

This paper presents the development of a territorial process of community action for health based on assets. Its objective was to generate concrete strategies to combat hunger and malnutrition in a working-class neighbourhood of the Colombian city of Tunja where there are significant gaps in terms of economic inequality and social fragmentation. Through the identification and dynamization of diverse initiatives of food autonomy, a community network was created which facilitated the collective use of their own resources, knowledge, and practices around the agri-food process. This promoted access to healthy and culturally accepted foods and a space where autonomy, organisation, participation, and cooperation among neighbours converged. The above shows the salutogenic potentiality of local actions in health and of approaching food in a participative way, something that we point out as a political-popular and academic proposal for the promotion of collective health.

Use of community resources as health assets for rehabilitation of people with Long COVID in northeastern Spain two years after the outbreak of the COVID-19 pandemic: qualitative study.

INTRODUCTION: The epidemiology of Post COVID Condition is not yet known. There are different treatment options, but they are not recommended or suitable for all those affected. For this reason and due to the lack of health treatment, many of these patients have tried to carry out their own rehabilitation through the use of community resources. OBJECTIVE: The objective of this study is to deepen into the understanding about the use of community resources as assets for health and rehabilitation by people with Long COVID and their utility. METHODOLOGY: A qualitative design was carried out with the participation of 35 Long COVID patients, of which 17 subjects were interviewed individually and 18 of them were part of two focus groups. The participating patients were recruited in November and December 2021 from the Primary Health Care centers and through the Association of Long COVID patients of Aragon. The research topics were the use of community resources, before and after their infection by COVID-19, rehabilitation through their use, as well as barriers and strengths for their employment. All analyses were performed iteratively using NVivo software. RESULTS: Long COVID patients who have used community resources for rehabilitation have seen an improvement in their physical and mental health. Most of them, specifically those affected, have used green spaces, public facilities, physical or cultural activities and associations. The main barriers identified have been the symptoms themselves and the fear of reinfection, with the main advantage of these activities being the perceived health benefits. CONCLUSION: The use of community resources seems to be beneficial in the recovery process of Long COVID patients, so it is necessary to continue delving into this topic and promote the formal use of the Recommendation of Health Assets from Primary healthcare.

Definitions of positive health: a systematic scoping review.

An agreed definition, model, and indicators of positive health would contribute to a better understanding and wider use of the term, thus favoring the development of the positive health approach in public health. However, there is no consensus even on the definition of positive health. In this study, we systematically reviewed its definitions. We conducted a scoping review as per PRISMA guidelines. We queried the MEDLINE, Embase, PsychINFO, and Web of Science databases. The PubMed search equation was: 'positive health' [Title/Abstract] AND ('health' [MeSH] OR 'health status' [MeSH] OR 'health status indicators' [MeSH]). Definitions of positive health referring to a 'one-dimensional' conceptualization of health are: (i) positive health as a state 'far beyond a mere absence of disease'; (ii) positive health as wellbeing; and those referring to a 'two-dimensional' conceptualization are (iii) positive health as resilience and (iv) positive health as (a reserve in) capacities. This work contributes to the refining of the salutogenic vocabulary. At this stage of the ongoing discussion on health promotion vocabulary, we propose the 'reserve in capacities' as the candidate for the definition of positive health.

Adolescent Psychological Assets and Cardiometabolic Health Maintenance in Adulthood: Implications for Health Equity.

Background Positive cardiometabolic health (CMH) is defined as meeting recommended levels of multiple cardiometabolic risk factors in the absence of manifest disease. Prior work finds that few individuals-particularly members of minoritized racial and ethnic groups-meet these criteria. This study investigated whether psychological assets help adolescents sustain CMH in adulthood and explored interactions by race and ethnicity. Methods and Results Participants were 3478 individuals in the National Longitudinal Study of Adolescent Health (49% female; 67% White, 15% Black, 11% Latinx, 6% other [Native American, Asian, or not specified]). In Wave 1 (1994-1995; mean age=16 years), data on 5 psychological assets (optimism, happiness, self-esteem, belongingness, and feeling loved) were used to create a composite asset index (range=0-5). In Waves 4 (2008; mean age=28 years) and 5 (2016-2018; mean age=38 years), CMH was defined using 7 clinically assessed biomarkers. Participants with healthy levels of ≥6 biomarkers at Waves 4 and 5 were classified as maintaining CMH over time. The prevalence of CMH maintenance was 12%. Having more psychological assets was associated with better health in adulthood (odds ratio [OR]linear trend, 1.12 [95% CI, 1.01-1.25]). Subgroup analyses found substantive associations only among Black participants (OR, 1.35 [95% CI, 1.00-1.82]). Additionally, there was some evidence that racial and ethnic disparities in CMH maintenance may be less pronounced among participants with more assets. Conclusions Youth with more psychological assets were more likely to experience favorable CMH patterns 2 decades later. The strongest associations were observed among Black individuals. Fostering psychological assets in adolescence may help prevent cardiovascular disease and play an underappreciated role in shaping health inequities.

[Proposals for the community orientation of primary health care: to identify key agents for training]. / Propuestas para la orientación comunitaria de la atención primaria: identificar agentes clave para la formación.

OBJECTIVE: To identify the strengths available for the community orientation of primary health care (PHC) in the context of the evaluation of the piloting of a training program in Community Health for Resident Internal Specialists in Andalusia (Spain). METHOD: We will conduct a qualitative, phenomenologically-oriented, explanatory research in which the opinion of the participants is analyzed. Sixty-seven professionals from six PHC Districts of Andalusia which were part of the training program called Project to Support the Revitalization of Primary Care Assets for Community Health (PARAC) were interviewed. RESULTS: There is consensus in giving training a key weight in the community orientation of PHC. For this reason, those agents linked to training are identified as assets: general practice (GP) trainers, young professionals in training who bring updated perspectives and approaches to accredited PHC training centers, whose professionals must respond to the needs of their GP trainees, the multi-professional teaching units responsible for the GP trainees training and a medium and long-term health system thinking along with structures that coordinate and support the community work at the PHC centers. CONCLUSIONS: The community orientation of PHC is an objective that requires the participation of all levels of the health system. Knowing its assets and working with them can contribute to provide proposals to advance towards a community-oriented PHC system.

Propuestas para la orientación comunitaria de la atención primaria: identificar agentes clave para la formación / Proposals for the community orientation of primary health care: to identify key agents for training

Objetivo: Identificar las fortalezas disponibles para la orientación comunitaria de la atención primaria de salud (APS) en el contexto de la evaluación del pilotaje de un programa formativo en salud comunitaria para especialistas internos residentes en Andalucía. Método: Estudio cualitativo explicativo de diseño fenomenológico, en el que se analiza la opinión de las personas participantes, que fueron 67 profesionales pertenecientes a seis distritos sanitarios de Andalucía implicados en el proceso formativo del Proyecto de Apoyo a la Revitalización de la Atención Primaria Activos para la Salud Comunitaria (PARAC). Resultados: Existe consenso en que la formación tiene un papel clave en la orientación comunitaria de la APS. Se identifican como activos los agentes vinculados a la docencia: los/las residentes, jóvenes profesionales en formación que traen perspectivas y enfoques renovados a los centros de salud docentes, donde los/las profesionales deben dar respuesta a las necesidades de sus residentes, coordinados con las unidades docentes multiprofesionales responsables de la formación de los/las residentes en un sistema sanitario con la vista puesta en el medio y largo plazo con estructuras que permitan organizar y apoyen la labor comunitaria de los centros de salud. Conclusiones: La orientación comunitaria de la APS es un objetivo que requiere el concurso de todos los niveles del sistema sanitario. Conocer y trabajar con los activos de la APS puede aportar propuestas para avanzar hacia la orientación comunitaria de esta. (AU)

Objective: To identify the strengths available for the community orientation of primary health care (PHC) in the context of the evaluation of the piloting of a training program in Community Health for Resident Internal Specialists in Andalusia (Spain). Method: We will conduct a qualitative, phenomenologically-oriented, explanatory research in which the opinion of the participants is analyzed. Sixty-seven professionals from six PHC Districts of Andalusia which were part of the training program called Project to Support the Revitalization of Primary Care Assets for Community Health (PARAC) were interviewed. Results: There is consensus in giving training a key weight in the community orientation of PHC. For this reason, those agents linked to training are identified as assets: general practice (GP) trainers, young professionals in training who bring updated perspectives and approaches to accredited PHC training centers, whose professionals must respond to the needs of their GP trainees, the multi-professional teaching units responsible for the GP trainees training and a medium and long-term health system thinking along with structures that coordinate and support the community work at the PHC centers. Conclusions: The community orientation of PHC is an objective that requires the participation of all levels of the health system. Knowing its assets and working with them can contribute to provide proposals to advance towards a community-oriented PHC system. (AU)

Community Assets for Health Model and Assessment Scale: A Delphi-Based Analysis and Expert Validation.

The salutogenesis theory of Aaron Antonovsky and the Health Assets Model of Morgan and Ziglio have given rise to a notable interest in defining the resources available to individuals and the community to maintain or improve their health and well-being. The present study began by identifying the universal dimensions of Community Assets for Health, and then analyzed and validated an assessment scale following the Delphi method. A high degree of consensus was achieved among 13 experts from different disciplines. The results of the content analysis and statistical analysis led to a reconfiguring of an instrument that is so far unique in its approach. It is composed of 103 items across 14 dimensions (utility, intention, previous use, affordability, proximity, walkability, connectivity, intelligibility, identity, design, safety, diversity, public dimension, and sustainability).

Factors affecting the sustainability of community mental health assets: A systematic review.

Resources and activities offered by Voluntary, Community and Social Enterprise (VCSE) organisations could play a key role in supporting communities with their mental health. Whilst policy makers have become increasingly interested in using such asset-based approaches to improve mental health and well-being, the sustainability of these approaches remains underresearched. In this review, we explored the factors affecting the sustainability of community mental health assets. We conducted a systematic review of the literature using keywords based on three key terms: 'sustainability', 'mental health issues' and 'service provision'. Our search strategy was deployed in four electronic databases (MEDLINE, Web of Science, ASSIA and IBSS) and relevant websites were also searched. The literature search was conducted in November and December 2020 and yielded 2486 results. After title and abstract screening, 544 articles were subjected to full-text review. A total of 16 studies were included in a narrative synthesis. Studies included a broad range of community interventions and 30 factors affecting sustainability were identified across three sustainability levels: micro (individual), meso (organisational) and macro (local/national/global). Factors were discussed as barriers or facilitators to sustainability. A key barrier across all sustainability levels was funding (cost to individual participants, lack of available funding for VCSEs, economic uncertainty) whilst a key facilitator was connectedness (social connections, partnering with other organisations, linking with national public health systems). Nearly all articles included no definition of sustainability and the majority of factors identified here were at the meso/organisational level. As funding was found to be such a prevalent barrier, more research into macro level factors (e.g. government policies) is required.

La toma de decisiones en salud comunitaria a través del mapeo de activos en salud / Community health decision-making through the assets mapping

Se presenta la experiencia de redefinición de la metodología de mapeo de activos en salud, que tuvo como objetivo hacer posible el análisis según desigualdades de salud, así como su utilización como herramienta en procesos participativos de toma de decisiones en el ámbito de la Administración local. Para ello se diseñó un procedimiento replicable y apto para todas las edades y todos los colectivos. A su vez, se estableció una extensa clasificación de los activos no solo en el plano geográfico, sino también según el perfil de la persona y las características de los activos. El volcado de los datos en un sistema de información geográfica y la gran cantidad de activos recogidos permitieron ampliar la interpretación habitual de los datos obtenidos y presentar la información de forma dinámica. (AU)

This is a report about the experience on redefining the health asset mapping methodology. The aim of this experience consisted of making an analysis on health inequalities, as well as of using it as a tool in decision-making participative processes in the local administration area. Thus, a replicable procedure for all ages and groups was designed. Besides this, assets have been widely classified, in accordance with the territorial distribution, people's profiles and asset features. Both the upload of data to a geographical information system and the large amount of data gathered allowed us to enlarge the common interpretation of data and present the information in a dynamic way. (AU)

Investigación: acción participativa para evaluar el impacto de la difusión vía online de activos de salud / Research – participatory action to evaluate the impact of the online dissemination of health assets

Antecedentes: La identificación de activos de salud y la difusión de los mismos por parte de los profesionales de Atención Primaria (AP) mejora la calidad de vida de las personas. En este proyecto se pretende dar voz a diversos activos comunitarios del Área Sanitaria de Vigo e iniciar la formación de una red local para la salud en el área. Método: Estudio cualitativo de investigación-acción participativa (IAP). Se hicieron cuatro entrevistas en formato vídeo a asociaciones que trabajan con grupos de población especialmente afectados por la situación sanitaria de pandemia de la COVID-19. Se publicaron en el canal de YouTube de la Unidad Docente de Atención Familiar y Comunitaria (UDAFyC) de Vigo. Se acompañaron de la transcripción de la entrevista y de la documentación facilitada por la propia asociación. Fueron difundidos por el grupo promotor del proyecto y otros recursos externos. Se evaluó el impacto analizando las visualizaciones en cada una de ellas. Resultados: Los vídeos tuvieron una duración media de 10 minutos. El pico de visualizaciones se encuentra entre los 2-3 primeros días tras su publicación y las visitas al canal de YouTube fueron un total de 618, siendo las aplicaciones externas WhatsApp (178) y Facebook (86) las más utilizadas para acceder a la plataforma. Únicamente una de las asociaciones entrevistadas compartió el vídeo realizado en sus redes sociales. Discusión: La mayor parte de la difusión ha sido a través del grupo promotor y de la Unidad Docente Multidisciplinar de Vigo, siendo efectiva la instauración del recurso de difusión vía telemática. La mayoría de los activos comunitarios están dispuestos a colaborar en este tipo de proyectos, aunque no tienen gran peso en la difusión posterior del vídeo. Es importante mantener este tipo de difusiones y evaluaciones en el tiempo para ampliar y mejorar los conocimientos de los activos comunitarios por parte de la población. (AU)

Background. The identification of community assets and their dissemination by primary care professionals improves people's quality of life. Therefore, in this project we tried to give a voice to different community assets in the Vigo Health Area and to start training a local health network in the area. Method. By means of qualitative study research - participatory action we performed four interviews in video format with associations who work with population groups especially affected by the COVID-19 pandemic health situation. They were published on the Vigo Family and Community Attention Teaching unit (UDAFyC) YouTube channel and were disseminated by the group promoting the project and other external resources. Next, we evaluated the impact by analyzing the number of times they were seen. Results. The videos lasted on average 10 minutes. The peak number of views was between the first two to three days after their publication and the YouTube channel received a total of 618 visits; WhatsApp and Facebook being the applications most used to access the platform. Only one association interviewed shared the video on their social networks. Discussion. Most dissemination was by means of the promoter group and the Vigo Multidisciplinary Teaching Unit. Establishment of the online dissemination resource was effective. Most community assets are willing to collaborate in this type of project, although they do not have a great weight in subsequent dissemination of the video. It is important to maintain this type of dissemination and evaluations over time to expand and improve the knowledge of community assets by the population. Conclusions. In total, the channel received a total of 618 visits with external sources such as WhatsApp and Facebook being the most used for access. (AU)

Mapeando en tiempos de la COVID-19 / Mapping out in COVID-19 times

Introducción y objetivos: La COVID-19 hace evidente la urgencia de crear un sistema equitativo en el acceso a la salud. Así, se decide realizar un enfoque salutogénico basado en los activos para la salud. Para ello, se pretende identificar los principales problemas de salud de nuestra comunidad y conocer los recursos comunitarios disponibles, con el fin de establecer alianzas y proyectos futuros de colaboración. Métodos: Inicialmente, el Grupo Promotor (GP) hace el diagnóstico de salud y delimita el área de intervención. Una vez ubicados los activos por internet, se representan en el mapa. Se elige la entrevista individual como técnica de recogida de información. Cuando la situación epidemiológica lo permite, se organiza una reunión con los representantes de los recursos comunitarios, donde se analizan los resultados y se identifican los problemas más emergentes. Resultados: A lo largo de 7 meses, se hicieron 16 entrevistas con distintos representantes sociales de la comunidad Los principales problemas encontrados fueron desempleo, migración, prostitución, adicción y suicidio. La mayoría de las actividades comunitarias se han visto interrumpidas durante el confinamiento por la COVID-19, aunque han surgido nuevas iniciativas. Conclusión/discusión: El mapeo de recursos comunitarios y diagnóstico en salud aporta una visión real de la comunidad. Además, implica a sus representantes, profesionales y ciudadanía en la búsqueda de soluciones, desarrollando mejores condiciones de vida. (AU)

Introduction and objectives. COVID-19 reveals the urgency of creating an equitable system in access to healthcare. Thus, it has been decided to perform a salutogenic approach based on health assets. For that to be accomplished, it is intended to identify our community’s main health problems and to ascertain the available community resources to establish alliances and future collaboration projects. Methodology. Initially, the Promoter Group (PG) performs the health diagnosis and defines the area of intervention. Once the assets are found on the internet, they are placed on the map. The data collection technique chosen was the individual interview. When the epidemiological situation enables this, a meeting is organized with the representatives of the community resources, where the results are analyzed and the most emerging problems are identified. Results. Over seven months, 16 interviews were held with different social representatives of the community. The fundamental problems detected were unemployment, migration, prostitution, addiction and suicide. Most community activities were interrupted during the COVID-19 lockdown, although new initiatives have arisen. Conclusion/Discussion. Asset mapping and diagnosis in health provides an actual vision of the Community. Furthermore, it involves its representatives, professionals and citizens in the search for solutions, providing a better quality of life. (AU)

Emotional Wellbeing in Adolescents Living With Chronic Conditions: A Metasynthesis of the Qualitative Literature.

Adolescents living with chronic conditions (ALWCCs) are at a higher risk of suicide (odds ratio: 4.3) than their peers. No consensus exists in the scientific community on a definition or conceptual elements of emotional well-being in this vulnerable population, hindering informed interventional research. This study investigated the meaning of emotional well-being in ALWCCs. A systematic metasynthesis of the qualitative literature was performed and structured using ENTREQ guidelines for reporting qualitative metasynthesis. A final sample of 11 primary qualitative studies met inclusion criteria and was critically analyzed using a team-based thematic synthesis and reciprocal translation approach. The meaning of emotional well-being in ALWCCs is having positive relationships that ease loss, foster hope and resilience, and promote self-efficacy and self-actualization. The role of healthcare providers as a safe, stable nurturing relationship which promotes hope and positive body image emerges an area for future research. Spirituality as it relates to emotional well-being in this population is scarce in the qualitative literature and should be further explored.