El GT3 relacionado con el objetivo específico 3 convergerá hacia la experimentación de acciones piloto en las áreas del proyecto. Estas acciones permitirán la implementación concreta de nuevos dispositivos (como servicios, equipos, herramientas, métodos o enfoques) derivados de una reflexión conjunta o demostrarán la viabilidad/transferibilidad de soluciones existentes a un territorio/sector específico.
Conduct of a randomised multicenter clinical trial with intervention and control group in 300 elderly patients of the Geriatric/Internal Medicine service in the hospitals participating in the project. The hospital care model of the HUN Geriatrics Service has demonstrated, through scientific evidence, the prevention of disability generated during hospitalisation in 60 % of patients who perform the individualised exercise program. Starting from the basis of this model, and seeking its optimisation, an innovative hospital care model will be developed jointly that will be implemented in HDFF (Portugal), CHU-T (France), SAAS (Andorra) and HUN (Spain). The design of the clinical trial will take into account the needs, possibilities and characteristics of each hospital for its implementation and subsequent follow-up after 3 months of the intervention, in order to assess the adherence and the results of the practice of physical exercise and adoption of healthy habits. This pilot activity will begin with the joint elaboration of the protocol, and, after its approval by the different Ethical Committees, the recruitment of patients in the 3 hospitals that will be randomised through a blind procedure (month 7) will begin. The duration of the clinical trial is estimated at 2 years, and once completed, the results analysis will be carried out. The results of this pilot activity tested in the three hospitals will allow the development of a solution that can be easily transferred to other hospitals in different territories. The implementation of this pilot activity in three hospitals in different countries and regions brings added value to the results, since it includes a heterogeneous population with different social and economic characteristics of the SUDOE territory and with different health systems, increasing the impact of the results at a scientific level with social and political impact.
Prueba piloto de la plataforma predictiva “HENKO” basada en IA y tecnologías digitales innovadoras con usuarios finales de cuidados paliativos (A3.2): personas con necesidades de cuidados paliativos (N=120), familiares (N=50), profesionales (N=25). (1 acción piloto implementada en los 7 beneficiarios asistenciales, INTRAS, GSS, SALUD, DIPBI, CHUB, PM, IPO).
Evaluation of each pilot case, analysing its social impact, the functioning of the business unit and the sustainability of each pilot. Conclusions will be drawn that may favor its future replication and a comparative economic analysis of the expenditure in each pilot versus the savings induced in public health services will be made. This savings will serve to look for public-private solutions that allow the replication of pilot experiences.
Prueba piloto o mini-pilotos de la “Caja de Herramientas” (A3.3): Breve experimentación de tecnologías o servicios innovadores en el mercado o con suficiente madurez tecnológica, así como innovaciones de proceso o modelos de atención. Metodología “soft evaluation”. (1 acción piloto implementada en los 7 beneficiarios asistenciales, INTRAS, GSS, SALUD, DIPBI, CHUB, PM, IPO).
Joint design and definition of a pilot project for proof of the concept of dynamisation hubs and stops on the CaS Road. The pilot will be developed in 5 territories: 1 in Portugal, 3 in Spain and 1 in France, to ensure the representativeness of the Sudoe collaboration area. Dynamisation Hub: Working group to carry out, among others, the mapping of key actors, the involvement of key stakeholders, a strategic analysis, the development of methodology and work plan, the measurement of impact, the collection of lessons learned and replicability models to other territories. The stop on the Camino will be a physical and virtual place where you can taste, acquire and send typical agri-food products, artisans and creatives. It will offer cultural, tourist, environmental and leisure information in a physical and virtual way, with connections to the network, and collect evaluations of products and services. It will serve as a meeting point between the inhabitants of rural areas and visitors and users of the roads. This pilot project will be based on the collaboratively designed common strategy and will monitor its simultaneous implementation in the 5 selected territories (A3.2 and A3.3). The information obtained from this development will serve to continuously improve the final version of the common strategy and action plan.
Realización de un ensayo clínico multicéntrico aleatorizado con grupo intervención y control en 300 pacientes ancianos del servicio de Geriatría/Medicina Interna en los hospitales participantes en el proyecto. El modelo de atención hospitalario del Servicio de geriatría del HUN ha demostrado, a través de evidencia científica, la prevención de la discapacidad generada durante la hospitalización en un 60% de los pacientes que realizan el programa de ejercicio individualizado. Partiendo de la base de este modelo, y buscando su optimización, se desarrollará conjuntamente un innovador modelo de atención hospitalaria que se implementará en HDFF (Portugal), CHU-T (Francia), SAAS (Andorra) y HUN (España). El diseño del ensayo clínico tendrá en cuenta las necesidades, posibilidades y características de cada hospital para su implementación y posterior seguimiento a los 3 meses de la intervención, con el fin de valorar la adherencia y los resultados de la práctica de ejercicio físico y adopción de hábitos saludables. Esta actividad piloto se iniciará con la elaboración conjunta del protocolo, y, tras su aprobación por los diferentes Comités Éticos, se iniciará el reclutamiento de pacientes en los 3 hospitales que serán aleatorizados mediante un procedimiento ciego (mes 7). La duración del ensayo clínico se estima en 2 años, y una vez finalizado, se procederá al análisis de resultados. Los resultados de esta actividad piloto probada en los tres hospitales permitirán el desarrollo de una solución que podrá ser transferida fácilmente a otros hospitales de diferentes territorios. La realización de esta actividad piloto en tres hospitales de diferentes países y regiones aporta un valor añadido a los resultados, puesto que incluye una población heterogénea con diferentes características sociales y económicas del territorio SUDOE y con diferentes sistemas sanitario, aumentando el impacto de los resultados a nivel científico con repercusión social y político.
The different pilot experiences are structured into three groups, each identified with a theme and leading to a solution: The first group (digitalisation) will generate a solution in terms of digitisation of the agrotourism experience (demand) and improvement of business competitiveness (offer). — New digital technologies (mixed and augmented reality) for the creation of immersive agrotouristic experiences (CDA24). — Intelligent data management system (Smart Data) for the improvement of the competitiveness of agrotourism companies from the improvement of customer knowledge and the subsequent segmentation of products and tourism experiences. The second group (environmental sustainability) will generate a solution of valorisation and differentiation of agrotouristic products with low environmental impact: — Creation of tourist itineraries aimed at sustainable development and promotion of km0 agri-food products (CRTLO) and connection with environmental protection figures (products of the Biosphere Reserve, in the case of the RBOV). — Creation of a digital product passport with information on environmental footprint, origin, quality certifications, etc. (CIM VDL). The third group (segmentation of audiences) will generate innovative experiences adapted to different audiences particularly suitable for the agrotourism sector: — Agrotourism experiences designed for children and youth audiences of urban origin (F. Ávila), including collaboration in traditional trades. — Valuation of agri-food products among hikers (CDA09), both in destination (Ariège) and origin (concept store in Toulouse). — Design of agrotourism circuits for urban family audiences (SODEBUR), including intangible heritage associated with traditional rural life. The project therefore plans to develop a total of three pilot actions within the framework of RCO84.
Evaluación de cada caso piloto, analizando su impacto social, el funcionamiento de la unidad empresarial y la sostenibilidad de cada piloto. Se extraerán las conclusiones que puedan favorecer su replicación futura y se hará un análisis económico comparativo del gasto en cada piloto versus el ahorro inducido en los servicios públicos de salud. Este ahorro servirá para buscar soluciones público-privadas que permitan la replicación de las experiencias piloto.
The pilot action of WG3 is the most ambitious of the three developed in the project as it focuses on the definition of effective knowledge transfer mechanisms to make the cultural heritage of mountain landscapes a lever of development for the territories. The transfer is usually located as the last stage of the patrimonialisation processes and often does not materialise, or only in a very partial and institutionalised way, which generates in the end many equipment/equity resources practically abandoned, without a real use and exploitation, that languish and deteriorate quickly because the local population and the territorial actors do not really know them or consider them as their own. This pilot action aims to respond to this problem, completely turning it around from the processes of social innovation. Cultur-MONTS is committed to working on the transfer of heritage from the beginning of the project, placing as protagonists, and active agents of change, local communities, authorities, institutions and territorial actors (especially economic actors). This is how it is intended to test the application of methods of participation, such as “the path of impact”, through the promotion of formal spaces (physical or virtual) of encounter between all the agents involved: the clusters of sociocultural innovation and sustainable development. The idea that local communities express from the beginning what is the impact they expect from the project: what would you like to see achieved with CULTUR-MONTS; and from here, together with the consortium, determine what are the results to achieve and the best tools to achieve them.
