Relación entre las motivaciones para consumir y el consumo problemático de cannabis

Active citizen participation in research is important to generate societal impact of outcomes. Even so, many times, the community input in these processes is limited or non-existent, and co-creation processes are often not documented. This paper describes a structured and systematised protocol to co-create a nature-based social prescribing intervention addressed to face loneliness in urban deprived neighbourhoods. As a result, a nature-based social prescription menu was co-developed with stakeholders from health, social prescription, nature, associative, and research sectors. The menu consists of open spaces and nature activities and will be offered to the participants of a randomised controlled trial to test actions for social prescribing in natural spaces.

Introduction: The Interdepartamental Public Health Plan of Catalonia (2014) seeks to enforce Health in All Policies (HiAP) at the regional and local levels. Within this context, the City Council of Sant Andreu de la Barca (SAB), the Metropolitan Area of Barcelona (MAB), and the Public Health Agency of Catalonia started a Health Impact Assessment (HIA) of an urbanistic redesign of the Llobregat fluvial area in SAB, the results of which are presented in this paper. Methodology: In 2018, after a HIA screening, a prospective nonquantitative HIA was conducted. Politicians, professionals, and citizens participated in identifying potential impacts. Impacts were prioritized and linked to health determinants, scientific evidence, and potentially affected social groups. Afterwards, recommendations were formulated in order to improve the health impacts of the project. Finally, indicators were selected to evaluate HIA implementation. Results: The HIA was successfully implemented with the participation of technicians and citizens of SAB. The health impacts identified were mainly related to environmental, public safety, lifestyle, socioeconomic, and political contexts. Ten recommendations were defined to minimize the potential negative health impacts of the project, with six of them directly included and only one dismissed due to incompatibility. Conclusion: A HIA was successfully carried out in the medium-sized town of Catalonia, promoting Health in all Policies at a local level and improving health impacts of an urbanistic project.

Objetivo: Este estudio analiza la implementación del mapeo en activos y la prescripción social en Cataluña, identificando factores facilitadores, desafíos y percepciones de impacto en la salud pública. Metodología: Se realizó un estudio de diseño mixto que incluyó un análisis descriptivo de la plataforma Activos y Salud con entrevistas semiestructuradas con 25 actores clave en 11 municipios, analizados mediante metodología cualitativa. Resultados: Entre 2016 y 2021 se registraron 4113 actividades y 4214 recursos en la plataforma Activos y Salud. Se observó disparidad en la cobertura según grupos de edad y provincias, con una representación limitada de actividades para jóvenes. El impacto del COVID-19 afectó significativamente el registro y sostenibilidad de las actividades. Los antecedentes comunitarios, como la existencia de procesos intersectoriales previos, fueron cruciales para el éxito del mapeo y la prescripción social. Las estrategias incluyeron reuniones intersectoriales, uso de herramientas digitales y colaboración con universidades. Los desafíos identificados abarcaron la falta de recursos específicos, las brechas digitales y las dificultades en la actualización continua de activos. La prescripción social se adaptó a las características locales mediante circuitos diferenciados. Los participantes destacaron impactos positivos como la creación de redes comunitarias, reducción del aislamiento y mayor participación social. Conclusiones: La implementación efectiva exige superar barreras, fortalecer capacidades locales, capacitar profesionales, mejorar infraestructura digital y participación comunitaria, incorporando inteligencia artificial y aprendizajes transferibles que orienten la implemen tación en otros contextos.