No one can build this bridge alone: JACARDI strengthens the science–policy interface


How can data and evidence generated by a project reach policymakers and influence real-world decisions? And what enables a successful pilot intervention to become part of health systems, rather than remaining an isolated “island of excellence”? Generating robust evidence is only one step. To achieve lasting public health impact, project results must be understood, communicated and translated into solutions that respond to policy priorities, engage the relevant stakeholders and can be integrated into existing systems.

JACARDI is addressing this challenge through a consortium-wide science-to-policy capacity-building programme: 46 consortium members have been trained as trainers, who are expected to train up to 412 participants in national training sessions across 18 European countries.

As part of this wider initiative, a two-day science-to-policy training took place on 14-15 July at the Italian National Institute of Health (ISS), involving 35 Italian pilot teams within the JACARDI consortium. The training was developed at consortium level under JACARDI’s work package on sustainability and aimed at strengthening participants’ capacity to transform the knowledge generated through their pilots into evidence that can inform policies, institutional decisions and future public health action.

Grounded in JRC’s Evidence for Policy Programme, driven by collaboration and trust

“I believe that science-to-policy is the responsibility to ensure that the best available evidence contributes to improving decisions, systems, and, ultimately, people’s lives.” said Benedetta Armocida, JACARDI’s Coordinator. “This requires expertise, of course. But above all, it requires courage, collaboration, and mutual trust. No one can build this bridge alone.”


The training was grounded in the approach of the European Commission’s Joint Research Centre (JRC) Evidence for Policy Programme, designed to enhance the capacity to bridge the gap between science and policymaking. Within JACARDI, this bridge is particularly important: the Joint Action is implementing a wide range of pilot interventions to improve the prevention and management of cardiovascular diseases and diabetes across Europe, but their long-term value will depend on whether effective approaches can be sustained, transferred and embedded within health policies and services.


Turning scientific results into policy-relevant messages


Participants worked on communicating evidence and project results to policymakers and institutional stakeholders in a clear, targeted and actionable way. Rather than simply presenting data, they learned how to identify the most policy-relevant findings, understand the needs and priorities of different audiences and formulate messages that can support concrete decisions.


The training therefore addressed a central challenge at the science–policy interface: the same evidence may need to be communicated differently depending on whether the audience includes technical experts, health authorities, institutional leaders, patient representatives or political decision-makers. Participants explored how to select the appropriate messages, formats, channels and moments for engaging each audience.


Beyond technical communication skills, the course also provided participants with a deeper understanding of policymaking processes and the interaction between scientists, stakeholders, policymakers, and politicians. Particular attention was given to the role of evidence in decision-making and to the factors that influence the uptake of scientific results in policy contexts. This involved looking beyond the production of scientific evidence to consider the broader environment in which decisions are made, including institutional priorities, available resources, stakeholder interests, political feasibility and opportunities for change.


An interactive training based on real pilot cases

In addition, the training supported the development of Sustainability Action Plans of pilot projects, including stakeholder consultation processes and consensus-building activities. These tailored plans will help each pilot team identify the actors to involve, the evidence to communicate and the actions needed to preserve, integrate or scale up the most valuable elements of their work beyond the end of JACARDI.


The training was delivered in person over two days through an interactive format combining brief lectures, practical exercises, skills-based sessions, simulations, and role-play activities based on real pilot cases. It was conducted by three pairs of trainers, who were previously trained by two experts from the JRC, following a train-the-trainers approach. This model does more than transfer knowledge: it builds capacity within the JACARDI consortium, enabling the methods and skills acquired to be shared, adapted and applied across countries and future initiatives.


The interactive sessions allowed participants to apply the concepts directly to their work, making the training strongly practice-oriented and closely connected to the implementation challenges faced by pilot teams. Participants did not work on abstract scenarios, but on the actual evidence, stakeholders and sustainability challenges emerging from their interventions.


Building capacity that lasts beyond the project


A pilot cannot be considered fully successful solely because it produces positive results during its implementation. Its added value also lies in its capacity to inform broader change: improving existing services, influencing institutional practices, guiding resource allocation or contributing to new policies.


This capacity-building activity is expected to generate value beyond the immediate scope of JACARDI. The skills, tools and methodologies acquired will not only support the implementation and sustainability of the current pilot activities, but will also be transferable to future initiatives. By strengthening participants’ ability to work at the science-policy interface, the training contributes to building lasting institutional expertise that can continue to support evidence-informed public health decisions after the conclusion of the Joint Action.


Through this initiative, JACARDI is investing not only in the results of individual pilots across Europe, but also in the people, relationships and institutional capacities needed to turn evidence into action. The ultimate objective is to ensure that effective interventions do not remain isolated experiences, but contribute to more sustainable, transferable and equitable health policies and practices at both national and European levels.

Related resources:

New RESIL-Card tool supports resilient and equitable cardiovascular care across Europe

A new online tool called RESIL-Card has been recently launched to help European healthcare professionals strengthen the resilience of cardiovascular care pathways and safeguard the continuity of lifesaving care during times of crisis.

The free resource was developed through the eponymous project, which is co-funded under the EU4Health Work Programme and led by the We CARE advocacy group. It provides a structured framework for assessing preparedness and identifying practical actions to ensure that essential cardiovascular services remain accessible when health systems are facing disruption.

Cardiovascular diseases remain the leading cause of death in Europe, making uninterrupted access to diagnosis, treatment and follow-up care a major public health priority. Following the COVID-19 pandemic and recent challenges, vulnerabilities in healthcare systems have been exposed, emphasising the importance of stronger preparedness planning. RESIL-Card was developed to help healthcare organisations move beyond crisis response and build resilience into routine service delivery.

Strengthening preparedness through collaboration and evidence

RESIL-Card is designed “by and for” hospital multidisciplinary teams involved in cardiovascular care. Through a structured, four-step self-assessment process, users can evaluate the preparedness of their care pathways, identify strengths and gaps, and define tailored actions to support and leverage improvement.

The tool was developed through an extensive co-creation process involving clinicians, public health experts, patient representatives, and policymakers from across Europe. By combining scientific evidence, existing preparedness frameworks and real-world experience, RESIL-Card translates resilience concepts into practical actions that can be implemented in diverse healthcare settings and geographies.

“The value of the RESIL-Card tool is that it gives our team a structured way to identify gaps we had intuitively recognised but never formally addressed,” says an early adopter of the tool.

Supporting JACARDI’s vision for stronger health systems

RESIL-Card’s objectives closely support JACARDI’s efforts to strengthen prevention, care pathways and health system sustainability across Europe. By helping healthcare organisations assess vulnerabilities, improve preparedness, and maintain the continuity of cardiovascular services during periods of disruption, the tool contributes to creating more sustainable and equitable health systems for people living with cardiovascular disease.

The initiative is also aligned with key European policy priorities, notably the EU Safe Hearts Plan and the health preparedness pillar of the EU Preparedness Union Strategy. RESIL-Card’s practical assessment framework helps translate these strategic objectives into concrete actions that healthcare providers can implement to strengthen preparedness, protect access to care and improve long-term system resilience.

By helping healthcare teams anticipate risks, improve coordination and strengthen service continuity, the tool supports a proactive approach to quality improvement and preparedness. It also encourages a patient-centred approach by prompting healthcare providers to identify and address vulnerabilities that could impact access to diagnosis, treatment and follow-up care. In doing so, RESIL-Card can help reduce inequalities in access to cardiovascular services and improve outcomes for people living with cardiovascular disease, particularly during periods of disruption.

“Cardiovascular care must remain uninterrupted regardless of the challenges health systems face. The RESIL-Card tool provides healthcare teams with a practical way to assess preparedness, identify improvement opportunities, and ultimately ensure that patients continue to receive lifesaving care when it matters most,” says Professor William Wijns, Research Professor in Interventional Cardiology at the University of Galway (Ireland) and coordinator of the RESIL-Card initiative.

By providing a common framework for assessing and strengthening preparedness, RESIL-Card contributes to ongoing European efforts to build more resilient health systems, promote the exchange of good practices across Member States, and support the implementation of strategies aimed at improving cardiovascular health, reducing inequalities and ensuring continuity of care during future crises.

RESIL-Card is already gaining traction across Europe, supported by national interventional cardiology working groups and hospitals that are helping drive its dissemination and implementation.

The tool is freely available through multiple dissemination channels to healthcare professionals, healthcare organisations, hospital groups, policymakers and other stakeholders who are committed to strengthening cardiovascular care resilience and protecting access to high-quality care for all, especially when it is needed most.

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Access the online RESIL-Card tool here
Learn more about the RESIL-Card initiative

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INCLIVA brings workplace health education to workers and employers across Spain

INCLIVA, the Health Research Institute of the Hospital Clínico Universitario de València, presented its work within JACARDI at Conecta INCLIVA, a public seminar held on 14 May in Valencia. Bringing together patients, researchers and clinicians, the event offered a space to connect ongoing European research with the people most affected by these conditions and shared the latest scientific advances in cardiovascular health and diabetes.

Cardiovascular diseases remain the leading cause of mortality in Europe, and diabetes already affects one in ten people over the age of 55 in Spain. These figures underline that public engagement with research is not just valuable, but necessary.

The event showcased four active European projects led or supported by INCLIVA‘s cardiovascular research team. The team consists of more than 200 researchers, has produced over 1,300 scientific publications, and currently has nearly 200 active projects and clinical studies. Among these, Dr. Clara Bonanad and Dr. Josep Redón presented JACARDI.

INCLIVA participates in JACARDI as an affiliated entity under FundeSalud, which serves as the Spanish competent authority in the Joint Action. INCLIVA plays an active role across five pilots covering data, screening, prevention, personalised care and health education.

Taking health education into the workplace

Within JACARDI’s health education projects, INCLIVA is developing an online training programme for workers and employers. The initiative aims to equip participants with practical self-care tools, raise awareness about cardiovascular risk, and support the workplace inclusion of people living with these conditions.

The programme consists of ten short five-minute videos, complemented by downloadable materials for all participants. To assess the learning impact, the course includes an evaluation of the knowledge acquired, measures how that knowledge is integrated into daily routines, and solicits participants’ feedback about their experience of the platform. The roll-out of the initiative is currently in progress. 

Citizens as partners in research

The event also highlighted citizen science, private philanthropic funding, and the importance of integrating patient perspectives, including a discussion on gender equity in cardiovascular research. One of the event’s special guests,  Ms. Maite San Saturnino, President of the Spanish Heart Foundation‘s patient association and an important JACARDI stakeholder, joined in a conversation that opened into a wider audience discussion on the active role citizens can play in scientific progress. 

Ms. Mariola Penadés Fons, Director General of Research and Innovation at the Valencian Regional Health Ministry brought the event to a close by highlighting that research only fulfils its purpose when it reaches the people it was always meant to serve. It is precisely this spirit that drives JACARDI’s work and INCLIVA’s commitment to bringing it into workplaces, communities and everyday life.

Workbox for Inclusion: JACARDI helps build workplaces that work for everyone

JACARDI has launched the Workbox for Inclusion, a free, online training programme that helps organisations create more inclusive and health-supportive workplaces. Designed for managers, employers, HR professionals, disability managers and trade union representatives, the Workbox provides practical tools to assess workplace inclusiveness, identify areas for improvement and develop tailored action plans that support employees, including people living with non-communicable diseases such as cardiovascular diseases and diabetes.

Creating working environments that promote health, inclusion and long-term well-being is a key priority for JACARDI. The Workbox for Inclusion contributes to this goal by offering practical support to organisations, with a particular focus on people living with non-communicable diseases (NCDs).

The programme bridges the gap between policy recommendations and everyday practice, especially in small and medium-sized enterprises, by translating public health principles into clear, actionable steps. The Workbox provides tools to assess workplace inclusiveness and to design tailored action plans. These aim to improve employee well-being, support work ability and foster sustainable inclusion.

By combining evidence-based knowledge with practical guidance, the Workbox strengthens organisational capacity and contributes to healthier and more productive workplaces. With initiatives like this, JACARDI continues to take meaningful steps towards a more equitable society, one that enables, supports and empowers all.

The Workbox was developed by the leadership and co-leadership teams responsible for the Work Package on Labour participation of people living with cardiovascular diseases and diabetes within JACARDI. Its design was led by experts from the Istituto Neurologico Carlo Besta (Italy), Poznan University of Medical Sciences, and the Department of Health Prevention (Katedra i Zakład Profilaktyki Zdrowotnej), Poland.

Access the Workbox for Inclusion here.

Download the leaflet here.



Research highlights the potential of self-measurement tools in preventing cardiovascular disease and diabetes

Research conducted within JACARDI summarises evidence on non-clinical methods for measuring blood glucose and cholesterol. The findings point to the preventive potential of self-measurement approaches, while emphasising that wider public health use requires further research, standardisation and strong clinical quality assurance.

Cardiovascular diseases and diabetes are among the leading causes of ill health and premature mortality in Europe. Both conditions are largely preventable, but prevention requires timely data on risk factors and approaches that are accessible to different population groups. Traditional screening methods can be resource‑intensive and may not reach everyone equally.

The researchers reviewed existing evidence on non-clinical measurement methods, such as dried blood spot samples, finger‑prick capillary blood collection, and emerging non‑invasive technologies. Some of these approaches showed close agreement with standard venous blood tests for specific measurements, particularly glycated haemoglobin (HbA1c) and triglycerides.

Clinical standards remain essential

However, the review also makes clear that clinical standards remain essential. Accuracy varies between methods, and differences in sample collection, handling and analysis can affect results. For this reason, self-measurement tools cannot currently replace clinical screening and are not recommended for diagnostic or population-level screening purposes.

“Self-measurement technologies have clear potential to support prevention and reduce barriers to participation,” says researcher (PhD candidate) Hanna Elonheimo, lead author of the study. “At the same time, they should be seen as complementary tools, not alternatives to clinically validated methods.”

The authors highlight that accessible and user‑friendly measurement approaches may still play an important role in increasing awareness of cardiovascular and diabetes risk, supporting disease management, and informing future prevention strategies. Further research is needed to improve standardisation, reliability and regulatory validation before wider implementation can be considered.

Publication: Innovative approaches to early detection of cardiovascular disease and diabetes risk: focus on glucose and cholesterol measuring
Authors: Hanna M Elonheimo, Alexandra Cucu, Gabriela Cristisor, Ciprian Ursu, Claudia Dima, Petru Milos, Giulia Franceschini, Katiuscia Dibiagio, Roberta Papa, Massimiliano Petrelli, Jelka Zaletel, Hanna Tolonen
Journal: European Journal of Public Health
Publication date: 9 February 2026
DOI: https://doi.org/10.1093/eurpub/ckag007

Shaping the EU Safe Hearts Plan: JACARDI joins high-level dialogue on regional and local perspectives

During a high-level discussion bringing together EU and regional stakeholders, JACARDI Coordinator Benedetta Armocida highlighted how coordinated European action can bridge research, policy, and implementation in advancing the EU Safe Hearts Plan. The meeting aimed to explore how regional and local authorities can contribute to shaping and implementing the plan, bringing forward territorial perspectives and feeding into the upcoming Committee of the Regions opinion.

On 6 May 2026, the Interregional Group on Health and Well-being of the European Committee of the Regions, with the support of EUREGHA, hosted the high-level discussion “Shaping the EU Safe Hearts Plan: regional perspectives for cardiovascular health” in Brussels.

The meeting brought together representatives from EU institutions, regional and local authorities, healthcare professionals, researchers, and public health stakeholders to discuss how to advance the implementation of the Safe Hearts Plan (SHP) through stronger multilevel governance and regional action. JACARDI contributed to the discussion as a key European initiative in this field to support the objectives of the SHP. 

Cardiovascular diseases remain the leading cause of death and disability in Europe, placing a major burden on individuals, health systems, and economies. Against this backdrop, the discussion highlighted the importance of translating European policy ambitions into concrete and equitable actions adapted to regional and local realities.

Speakers included: 

The discussion underscored several priorities for the future implementation of the SHP, including strengthening prevention and health promotion, improving early detection and screening, ensuring continuity and integration of care pathways, and addressing persistent inequalities in cardiovascular outcomes, including the cardiovascular gender gap, across and within European regions. 

Evidence-informed policies and prevention beyond healthcare settings


Participants also highlighted the growing importance of data systems and digital innovation in supporting evidence-informed and more equitable cardiovascular health policies. At the same time, speakers stressed that effective prevention strategies must extend beyond healthcare settings and reach people directly within schools, workplaces, and local communities, especially underserved populations and people living in vulnerable situations.

Coordinated European action through JACARDI


In this context, Benedetta Armocida presented JACARDI as a concrete example of how coordinated European action can support the objectives of the Safe Hearts Plan by bridging research, policy, and implementation. The Joint Action contributes to strengthening national and regional capacities, fostering collaboration across health systems, and reducing fragmentation in the prevention and management of cardiovascular diseases and diabetes. The discussion concluded with a shared recognition that achieving the ambitions of the EU Safe Hearts Plan will require sustained collaboration between EU, national, regional, and local actors, alongside continued investment in prevention, integrated care, and equity. 

The meeting further demonstrated the added value of creating spaces for dialogue between policymakers, researchers, healthcare professionals, and implementers. Bringing together actors operating at different governance levels allows for the exchange of practical experiences, the identification of shared challenges, and the co-development of solutions that are both evidence-based and feasible in real-world settings. Such multistakeholder engagement is essential to ensure that European strategies are translated into sustainable and impactful actions at the regional and local level.

Advancing cardiovascular prevention: regional results from the Italian Health Examination Survey – CUORE Project

Within JACARDI’s framework, the Italian Health Examination Survey (ITA-HES) – CUORE Project has delivered new regional results on major risk factors for non-communicable diseases. Implemented under Work Package 8, the pilot is being carried out in seven Italian regions and is coordinated by the Istituto Superiore di Sanità.

The initiative responds to the World Health Organization recommendation that Member States conduct health examination surveys every five years to monitor progress in prevention and control of non-communicable diseases, particularly cardiovascular diseases.

From data collection to regional action

Screening activities have been completed in four regions – Emilia-Romagna, Piedmont, Liguria and Lazio – and a dedicated report (for 2025) has been distributed to regional stakeholders in each territory.

The survey is based on direct health examinations of random samples of the adult population. It has a dual purpose:

  • to strengthen surveillance of cardiovascular and metabolic risk factors through objective measurements;
  • to provide population screening for early detection of risk conditions and promote health awareness at individual level.

Regional reports present key indicators recommended for monitoring non-communicable diseases, including:

  • Blood pressure: levels, hypertension, awareness and treatment
  • Lipid profile: total cholesterol, HDL, triglycerides, hypercholesterolemia, awareness and treatment
  • Glycaemic status: blood glucose, diabetes prevalence, awareness and treatment
  • Body mass index, obesity, overweight, normal weight, waist and hip circumference
  • Nutrition habits based on 24-hour urine collection salt and potassium intake
  • Physical activity: inactivity prevalence and daily steps
  • Smoking habits: prevalence and cigarette consumption
  • Overall absolute cardiovascular risk

Strengthening prevention and equity through evidence

Beyond estimating health indicators, the pilot assessed the impact of screening at individual level, including awareness of risk conditions and opportunities for health promotion. By combining surveillance and prevention, the ITA-HES – CUORE Project supports JACARDI’s objectives to reduce the burden of cardiovascular diseases and diabetes, promote early detection, and improve equity in access to preventive services.

The experience from these four regions demonstrates the feasibility and added value of systematic health examination surveys at regional level. The next steps include completion of activities in the remaining regions and continued collaboration with regional stakeholders to translate findings into targeted prevention policies and actions.

What the results reveal

The analysis of the data collected in the four regions highlights a substantial burden of modifiable cardiovascular risk factors in the adult population, together with important gaps in awareness and treatment. Across regions, elevated blood pressure, high total cholesterol and altered glycaemic status were frequently identified through direct measurements, and a proportion of individuals with these conditions were not aware of their risk status or were not receiving treatment.

In the Piedmont region, 40% of men and 24% of women with hypertension (systolic blood pressure >=140 mmHg and/or diastolic blood pressure >=90 mmHg and/or under specific treatment) were unaware of possible blood pressure problems, and 10% of men and 8% of women who were aware were not receiving treatment.

The results also show relevant levels of overweight and obesity based on body mass index and waist circumference, as well as non-optimal salt intake measured through 24-hour urine collection. In the Emilia-Romagna region, 79% of men and 69% of women were overweight or obese, and more than half of the population consumed more salt than recommended.

In addition, physical inactivity and current smoking remain present in a significant share of the population. Compared to data collected approximately 15 years ago, a common trend in all four regions examined shows a significant reduction in hypercholesterolemia. High cholesterol was defined as having total cholesterol levels of 240 mg/dl or higher, or taking medication to treat it. Overall, the results of main health indicators underline the need for strengthened primary prevention, early detection and targeted health promotion strategies at both national and regional level, in line with JACARDI’s objectives.

Access available results from all regions here.

Work ability literacy in action: how Finnish leaders are strengthening workplace resilience

In Finland, the concept of work ability literacy, the knowledge and skills needed to understand, support, and strengthen employees’ capacity to work well, is moving from research into real-world practice. Through JACARDI pilot interventions led by the Finnish Institute of Occupational Health, healthcare and social services leaders are being equipped with tools and strategies that help them support work ability, promote recovery, and lead healthier, more resilient work communities.

The Finnish healthcare system has been undergoing changes for several years. In the reform implemented in 2023, healthcare and social services (HSS) were transferred from municipalities to the responsibility of regional authorities known as wellbeing services counties. This brought significant changes to organizational structures and their operations, as well as to the roles and positions of personnel. The healthcare and social services sector has certain profession-specific work strain factors, such as ethical strain, work pressure and shift work. With the reform, employees had some new stress factors to face: new working methods, in some cases new colleagues and a new organization. 

Based on research, work-related stress factors, such as work pressure, job stress, ethical strain, and uncertainty in work, have a significant impact on employees’ well-being. Work stress, shift work and sleep problems related to these increase the risk of cardiovascular diseases (CVD) and type 2 diabetes (T2D). Before the start of JACARDI, in autumn 2023, 38% of Finnish HSS personnel reported lowered work ability and only 35% reported good work recovery. The results are based on the “Mitä kuuluu?” (“How are you?”) study and surveys on well-being at work, conducted for Finnish wellbeing services counties.

Thus, the Finnish Institute of Occupational Health is conducting JACARDI pilots for the Finnish social and healthcare sector aiming to train HSS leaders to better support work ability in their work units. The aim is to increase the work ability literacy of the HSS leaders so that they can support employees who have or are at risk of CVD or T2D, and to support prevention of these diseases. Additionally, the pilots aimed to promote work recovery, health, and work ability through training for so-called work ability partners – employees of the participating work units. These work ability partners are expected to implement tasks that improve work ability in their units alongside their leaders.

What is work ability literacy?
Work ability literacy is defined as the understanding of the demands and the effects of work on one’s health and ability to work, and actions to promote one’s own work ability during work and leisure. 

The concept of work ability literacy was developed by the Finnish Institute of Occupational Health. It builds on health literacy principles and the Work Ability House model. It expands health literacy principles to include the context of work, profession, demands and effects of work on work ability, working conditions, and actions to promote and maintain work ability. By promoting work ability literacy, workplaces can better support employees in maintaining health and work capacity, ultimately contributing to improved labor participation for those living with cardiovascular disease and diabetes.

Put on your own oxygen mask first before assisting others

Starting the work at the end of 2023 and at the beginning of 2024, representatives of wellbeing services counties pointed out that the leaders are stressed and overworked, and the first priority should be to enhance their work ability and work recovery. Thus, the training program is initially aimed at helping leaders strengthen their work ability and recovery skills. 

The leaders began the training online with four group discussions designed to help them reflect on their situation, identify what is going well and where there is room for improvement, and try out methods to enhance one’s work recovery and work ability. The aim was also to provide opportunities for peer support. Subjects of the training included work recovery, work ability and work ability literacy, lifestyle factors, stress management techniques and psychological flexibility.

Results from the “Mitä kuuluu?” (“How are you?) study and well-being at work surveys conducted for Finnish wellbeing services counties: 
Research of the HSS personnel in Finland shows that around 50% of unit supervisors, managers and executive management experience high job demands. However, the management also has high decision latitude, which is why supervisors and managers tend to experience less work stress. 49% to 50% of social and health care unit supervisors, managers and executive management have felt insecurity due to workload exceeding their capacity during the years 2024 and 2025. In autumn 2025, the experiences of uncertainty due to the threat of job termination were most common among managers and executives (32%) as well as unit supervisors (31%).

After the training to improve leaders’ work recovery and work ability, the focus shifts to training aimed at motivating them and teaching them skills to lead work recovery and work ability in their work units, as well as facilitating and supporting the development efforts of their work communities. An important aim is to integrate actions improving work ability into the work processes and structures, such as regular meetings and other recurring events.

The aim is also to support discussions about work ability at the workplace, focusing on work rather than individual work ability. Leaders receive training on how to conduct one-on-one discussions and group discussions. They are also trained on psychological safety within the work community. One of the main tasks in the training is to build an annual cycle for improving work ability. 

Simultaneously, with leaders training, there is ongoing partner training for work ability. Work ability partners are employees of the work units, who received training to improve work ability and work recovery in the work units together with the leaders. These partners delivered tasks and challenges for individuals and the community to improve work recovery, health behaviors and mental wellbeing.

The work ability annual cycle as a solution for implementation

The work ability annual cycle compiles key actions that promote work ability and recovery within the workplace community. It helps leaders to systematically lead the development of work ability and recovery. The work ability annual cycle makes the promotion of work ability a shared responsibility, not just for supervisors or management. This applies to both the planning and implementation. The work ability annual cycle integrates the promotion of work ability and recovery into the daily life of the workplace, highlighting small daily actions. Annual planning facilitates operations amidst everyday busyness. It encourages supervisors to reflect on and discuss work ability, and to seek common solutions and development methods with their teams.

Permanent structures for work ability support

During the JACARDI project, the Finnish HSS sector has faced new challenges due to economic difficulties. HSS organizations have been undergoing downsizing. Challenges in HSS in Finland seem to continue, and the need for work ability support is extremely important now and in the future. Permanent structures for work ability support are needed.

Leaders in HSS play a significant role in promoting work ability and work recovery of the work unit. To lead work ability in their units in an ever-changing work environment, they must first take care of themselves. The work ability annual cycle, developed together with the workplace community, can be utilized by embedding the theme of work ability into workplace meetings and thus keeping the theme alive systematically throughout the year.

Learn more at the Finnish Institute of Occupational Health’s dedicated project page.

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Cantabrians take control of their health: new workshops for heart health and diabetes

The Valdecilla Health Research Institute (IDIVAL) is leading and supporting an initiative in Cantabria focused on heart health and diabetes workshops, contributing its expertise in nursing research and community-based interventions to JACARDI.

As an institutional partner of JACARDI, IDIVAL is implementing a pilot scheme within JACARDI’s Work Package 10 focused on patients’ self-management. The pilot aims to support people living with chronic conditions in developing the practical skills and confidence needed to manage their health effectively.

The Nursing Research Group at IDIVAL is supporting the development, communication and implementation of the workshop series called ‘Taking Control of Your Health’ (‘Tomando el control de su salud’).  These workshops are an adaptation of an evidence-based intervention created at Stanford University by Kate Lorig. The concept of these workshops is rooted in the Chronic Disease Self-Management Programmes (CDSMP), based on Albert Bandura’s theory of self-efficacy and the Chronic Care Model. The Spanish adaptation ensures that the approach is accessible and relevant to the local context. 

Initially implemented in the Cantabria region by the Escuela Cántabra de Salud, it is now responsible for the delivery, development, management of the workshops, and other related initiatives. The local health education center provides logistical support, conducts a multidimensional evaluation of the program, and explores opportunities for further improvement.

Participants learn from each other and strengthen their self-efficacy, as well as their confidence in their ability to act. Seeing peers address similar challenges and achieving small, realistic goals, fosters a strong sense of shared progress. “It helped me to be responsible and not fall into bad health habits, like leading a too sedentary lifestyle”, noted one participant. 

Conscious self-care supported


A central element of the sessions is the use of ‘action plans’, which helps participants turn intentions into concrete, achievable commitments.

“In Cantabria, we are observing that when people feel supported and truly heard, change becomes possible”, concludes Gina Lladó, Coordinator of the pilot in Cantabria. “We want these workshops to be more than a standalone initiative. Our aim is for them to become a sustainable tool that can be firmly integrated into the community and reach more and more people over time. What we are seeing during the ongoing implementation encourages us to continue refining and strengthening this initiative”

By equipping people with the skills to manage cardiovascular disease and diabetes, the pilot supports JACARDI’s objectives of promoting health equity, prevention, and sustainable, person-centered care. Ongoing evaluation and collaboration with community partners will inform the program’s future expansion and integration into routine practice.

Strengthening European Health: JACARDI at the JARED Consortium Day

The Joint Action on REspiratory Diseases (JARED) is a major European initiative dedicated to reducing the burden of chronic respiratory diseases through improved prevention, early detection, and integrated care models across the EU. Since chronic conditions like respiratory diseases, diabetes, and cardiovascular issues often share common risk factors, building strategic synergies between Joint Actions is essential to create a unified, high-impact approach to public health and societal prosperity.

In this context, JACARDI contributes to these goals by strengthening prevention and management strategies for cardiovascular diseases and diabetes across Europe within a single framework. By promoting health promotion, reinforcing screening, integrated care pathways and self-management, together with labour participation and improved data governance, JACARDI reinforces a cross-disease, system-based approach that complements JARED’s goals.

Addressing shared risk factors — such as tobacco use, unhealthy diets, physical inactivity, environmental exposures, and social determinants of health — allows both Joint Actions to amplify their impact beyond single disease areas and move toward a more cohesive NCD strategy at EU level.

Building synergies across European public health initiatives

The event program featured a high-level opening with remarks from the WHO and the European Respiratory Society (ERS), followed by a deep dive into JARED’s first-year achievements in indoor air quality, patient pathways, and reaching vulnerable populations. A dedicated session on Strategic Synergies brought together coordinators from various European projects to discuss how to align our efforts for maximum impact.

During this session, Benedetta Armocida, Coordinator of JACARDI presented on building synergies for impact between JACARDI, JARED, and JA PreventNCD, focusing on how coordinated intervention strategies can drive broader societal prosperity. Together, we are ensuring that European health interventions are not just individual projects, but a cohesive movement toward a healthier future.

Three JACARDI pilots showcased at the 45th French Hypertension Days

At the 45th French Hypertension Days in Marseille in December 2025, the French Public Health Agency (Santé publique France) hosted a special session to showcase three innovative JACARDI pilot projects addressing hypertension. 

This annual congress, organized by the French Society of Hypertension, brings together more than 500 healthcare professionals from French-speaking countries to share advances in hypertension management.

Session Highlights 

The session opened with Dr. Clémence Grave, who presented key French epidemiological insights:

  • Hypertension affects over 17 million French adults
  • It accounts for nearly 9% of all deaths, yet 1 in 2 adults with hypertension remain unaware of their condition.

To bridge the gap between these alarming statistics and clinical practice, Dr. Grégory Lailler introduced the three main interventions within JACARDI, implemented in the framework of hypertension prevention and health promotion:

  • Tension’Elles: A targeted intervention in maternity clinics to raise awareness among women who experienced hypertensive disorders during pregnancy about their future cardiovascular risk, while supporting healthier lifestyle changes. This intervention pilot introduces an innovative care pathway that improves follow-up for women and enhances coordination between hospitals and community care. By identifying risks early, it ensures a seamless transition for women, connecting them with community-health professionals to manage their long-term cardiovascular health and boost the health literacy in these populations.
  • TAC (Tension Artérielle – les Chiffres): A public communication campaign to increase awareness of blood pressure numbers and hypertension thresholds, piloted in four high-prevalence French areas.
  • TA Tension: A pharmacy-based screening program to identify undiagnosed or uncontrolled hypertension, with loaned self-measurement devices to confirm diagnoses. Leveraging the strategic role of pharmacists as accessible, frontline healthcare providers, this program decentralizes screening. It transforms local pharmacies into key diagnostic hubs, providing patients with low-threshold access to professional medical devices and expert guidance right in their neighborhoods.

Dr. Olivier Obrecht concluded by outlining the National Health Insurance’s nationwide strategies to combat hypertension:

  • free self-measurement devices for all newly practicing general practitioners, ensuring better access to diagnostic tools;
  • a nationwide awareness campaign to improve hypertension screening rates;
  • a newsletter reaching nearly 30 million insured individuals, promoting prevention and early detection;
  • an action plan against therapeutic inertia, assessing the effectiveness of antihypertensive treatments after prescription to optimize patient care.

Impact and Outcomes 

The session generated strong interest from all healthcare professionals, especially regarding the implementation of new strategies at a national level to tackle the burden of hypertension. It fostered the following:

  • Collaboration: a platform for professionals to exchange ideas and refine interventions with national and local stakeholders.
  • Network expansion: opportunities to engage with new partners in the JACARDI project and align efforts across France.

The session offered a pivotal moment to unify stakeholders and strengthen collective action against hypertension.

Contributors:

In addition to the main author listed above, this article was prepared with contributions from Santé publique France:

Grégory Lailler, Clémence Grave, Diane Gozlan, Mounia El Yamani, Salima Afiri, Morgane Merat, Andrea Guajardo Villar

From pilots to policy: highlights from the Irish JACARDI Heart Health Symposium

The Irish JACARDI Heart Health Symposium took place on 13 February at University College Dublin, bringing together clinicians, researchers, policymakers and programme leads from across Europe. The day showcased the strength of collaboration under JACARDI and the practical progress being made in cardiovascular and diabetes prevention.

The symposium opened with a welcome from Ireland’s Minister for Health, Jennifer Carroll MacNeill, setting the tone of innovation and equity in cardiovascular and diabetes prevention. Dr Benedetta Armocida, Coordinator of JACARDI, provided an overview of JACARDI’s objectives, highlighting the Joint Action’s commitment to shared learning and scalable implementation across Member States.

The spotlight then turned to the pilots – the core of JACARDI. Six pilots from Ireland, Finland, Belgium, Hungary and Ukraine presented their work, with a particular focus on cardiovascular screening and patient self-management.

Pilot presentations: progress across Europe

  • Ireland:
  • Finland: Mia Färm (Finnish Diabetes Association) presented the Finnish Risk Calculator, supporting early identification and timely lifestyle intervention.
  • Belgium: William Leysen (Diabetes Liga) shared preliminary results from the Halt2Diabetes studies, demonstrating the value of coordinated community‑level screening.
  • Hungary: Gréta Máto (OKFŐ) discussed the role of advanced nurse practitioners in strengthening cardiovascular and diabetes screening in primary care.
  • Ukraine: Nataliia Hryb (Public Health Centre Ukraine) discussed how they are delivering type 2 diabetes screening in challenging circumstances, underscoring resilience and commitment to patient care.

Across all pilots, a clear message emerged: prevention must be systematic, data-informed and patient-centred.

Symposium Organisers (L-R) Prof. Ken McDonald, Ms Katie Ellwood, Dr Sonja Moore, Ms Pooja Salgar and Dr Joe Gallagher

Women and cardiovascular health: advancing equity

The mid-morning session turned the focus on women with cardiovascular disease (CVD), a key pillar of JACARDI’s commitment to equity and diversity in cardiovascular and diabetes care. The session featured a keynote from JACARDI’s own Dr Héctor Bueno, Co-Leader on the Work Package on Data, who delivered a powerful message: “women are not small men”. His presentation emphasised the need to recognise sex-specific differences in disease presentation, diagnosis, and management.

This was further explored by Dr Mary Ryder, Associate Professor of General Nursing, and Prof. Amy O’Higgins, Consultant Obstetrician at The Coombe Hospital, offering complementary perspectives. Dr Ryder discussed the importance of addressing social determinants of health in cardiovascular prevention, while Prof O’Higgins focused on optimising cardiovascular health during pregnancy, a critical window for long‑term outcomes.


The session was rounded out by a patient story, providing a personal perspective on living with CVD. Her experiences reinforced the human impact behind the statistics and research, leaving a lasting impression on all attendees.

Diabetes and cardiovascular health

The afternoon session turned to diabetes, reflecting its deep interconnection with cardiovascular disease. Dr James (Jim) Januzzi from Harvard Medical School delivered a keynote on heart failure risk across the spectrum of dysglycaemia, stressing the need for integrated approaches. Dr Lisa Devine outlined the successes of Ireland’s Chronic Disease Management Programme, demonstrating how structured, national-level programmes can support early detection, patient engagement, and improved outcomes.


Finally, Prof. Sean Dinneen discussed progress toward a National Diabetes Registry in Ireland, reinforcing the importance of robust data to ensure interventions reach those who need them most, and highlighted the synergies brought about by projects such as JACARDI.

People at the heart of prevention

One of the strongest impressions from the day was how much can be achieved when expertise, curiosity, and compassion are translated into structured action. The symposium wasn’t just about data, tools, or programmes. It was about people: the teams working on the ground across Europe translating strategy into practice, the patients whose stories remind us why these efforts matter, and the exchange of knowledge among colleagues united in a common purpose.

The symposium left attendees not only informed but inspired. It reaffirmed the importance of integrated, patient-centred approaches for a healthier and stronger Europe.