This protocol describes the methodology for two population-based
surveys conducted before and after the co-creation process to assess changes
in key health and wellbeing indicators at the community level in Municipal District 2
of Elche, Spain.
A community-based participatory process will be implemented to
engage residents in co-creating initiatives to promote health and wellbeing over
a 3-year period (2026–2028). To evaluate population-level changes related to this
co-creation process, a representative survey of 600 adult residents (≥18 years) in
Municipal District 2 of Elche (Spain) will be conducted using stratified random
sampling, administered both before and after the co-creation process. The
survey will assess a set of selected indicators: health-related quality of life, critical
health literacy, community capital, social capital and cohesion, and knowledge,
attitudes, and practices related to antibiotic use. Sociodemographic data will
also be collected to enable equity-focused analyses, including both relative and
absolute differences between population groups. Findings from the baseline
survey will inform the design and implementation of the co-created initiatives,
particularly by highlighting equity considerations across population groups,while
a before–after comparisons of survey indicators will be used to explore the effect
of the co-created initiatives.
DOI: 10.3389/fpubh.2026.1766000
Publication Date: 2026-06-03