title: Observational study on factors related to health-promoting community activity development in primary care (frAC Project): a study protocol.
abstract: BACKGROUND
  According to Spanish health regulations, primary care professionals have the responsibility to carry out health-promoting community activities (CAs). However, in practice, their implementation is not as widespread as it should be. The aims of this study were to identify factors within the team, the community and the professionals that influence the development of these activities and to describe the community interventions in progress.
  
  
  METHODS
  This study is an observational analytical retrospective study. The information will be collected from five Spanish regions: Catalonia, Madrid, the Balearic Islands, Navarra and Aragón. The authors will contact primary care teams (PCTs) and identify the CAs from the previous year. The research team will conduct a peer review whether the inclusion criteria are met. In the health centres where CAs are implemented, the authors will select professionals carrying them out and randomly select an identical number of professionals not doing these activities. In the centres where no CA is implemented, three professionals will be randomly selected. The selected professionals will complete the questionnaires for individual-level variables. Information about the registered population and the PCTs will be collected through questionnaires and secondary sources.
  
  
  RESULTS
  Variables will be collected from the community, the PCTs, the individual professionals and CAs.
  
  
  METHODS
  A descriptive analysis of all the variables will be carried out, along with a bivariate and a logistic regression analysis, with CAs being the primary outcome.
  
  
  BACKGROUND
  This study has been approved by the Research Ethics Committee of the Jordi Gol y Gurina Foundation in Barcelona and area 11 in Madrid. The questionnaire distributed to the professionals will be anonymous.
authors.affiliation: Primary Care Research Unit of Mallorca, Baleares Health Services-IbSalut, Palma de Mallorca, Spain.
authors.forename: Sebastià
authors.initials: S
authors.lastname: March
authors.forename: Joana
authors.initials: J
authors.lastname: Ripoll
authors.forename: Juan Luís
authors.initials: JL
authors.lastname: Ruiz-Giménez
authors.forename: Isabel
authors.initials: I
authors.lastname: Montaner Gomis
authors.forename: Carmen Belén
authors.initials: CB
authors.lastname: Benedé Azagra
authors.forename: Lázaro
authors.initials: L
authors.lastname: Elizalde Soto
authors.forename: M Clara
authors.initials: MC
authors.lastname: Vidal
authors.forename: M de Lluc
authors.initials: Mde L
authors.lastname: Bauzà Amengual
authors.forename: Trinidad
authors.initials: T
authors.lastname: Planas Juan
authors.forename: Damiana
authors.initials: D
authors.lastname: Maria Pérez Mariano
authors.forename: Micaela
authors.initials: M
authors.lastname: Llull Sarralde
authors.forename: Rosa
authors.initials: R
authors.lastname: Bajo Viñas
authors.forename: Matilde
authors.initials: M
authors.lastname: Jordan Martin
authors.forename: Carmen
authors.initials: C
authors.lastname: Solano Villarubia
authors.forename: Maria
authors.initials: M
authors.lastname: Rodriguez Bajo
authors.forename: Manuela
authors.initials: M
authors.lastname: Cordoba Victoria
authors.forename: Marta
authors.initials: M
authors.lastname: Badia Capdevila
authors.forename: Elena
authors.initials: E
authors.lastname: Serrano Ferrandez
authors.forename: Maria
authors.initials: M
authors.lastname: Bosom Diumenjo
authors.forename: Nieves
authors.initials: N
authors.lastname: Zabaleta Del Olmo
authors.forename: Bonaventura
authors.initials: B
authors.lastname: Bolívar-Ribas
authors.forename: Angel
authors.initials: A
authors.lastname: Antoñanzas Lombarte
authors.forename: Samantha
authors.initials: S
authors.lastname: Bregel Cotaina
authors.forename: Ana
authors.initials: A
authors.lastname: Calvo Tocado
authors.forename: Barbara
authors.initials: B
authors.lastname: Olivan Blázquez
authors.forename: Rosa
authors.initials: R
authors.lastname: Magallón Botaya
authors.forename: Pilar
authors.initials: P
authors.lastname: Marín Palacios
authors.forename: Margarita
authors.initials: M
authors.lastname: Echauri Ozcoidi
authors.forename: M Jose
authors.initials: MJ
authors.lastname: Perez-Jarauta
authors.forename: Maria
authors.initials: M
authors.lastname: Ramos