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Community education for cardiovascular disease prevention: Risk factor changes in the Minnesota Heart Health Program

Author

Listed:
  • Luepker, R.V.
  • Murray, D.M.
  • Jacobs Jr., D.R.
  • Mittelmark, M.B.
  • Bracht, N.
  • Carlaw, R.
  • Crow, R.
  • Elmer, P.
  • Finnegan, J.
  • Folsom, A.R.
  • Grimm, R.
  • Hannan, P.J.
  • Jeffrey, R.
  • Lando, H.
  • McGovern, P.
  • Mullis, R.
  • Perry, C.L.
  • Pechacek, T.
  • Pirie, P.

Abstract

Objectives. The Minnesota Heart Health Program is a 13-year research and demonstration project to reduce morbidity and mortality from coronary heart disease in whole communities. Methods. Three pairs of communities were matched on size and type; each pair had one education site and one comparison site. After baseline surveys, a 5- to 6-year program of mass media, community organization, and direct education for risk reduction was begun in the education communities, whereas surveys continued in all sites. Results. Many intervention components proved effective in targeted groups. However, against a background of strong secular trends of increasing health promotion and declining risk factors, the overall program effects were modest in size and duration and generally within chance levels. Conclusions. These findings suggest that even such an intense program may not be able to generate enough additional exposure to risk reduction messages and activities in a large enough fraction of the population to accelerate the remarkably favorable secular trends in health promotion activities and in most coronary heart disease risk factors present in the study communities.

Suggested Citation

  • Luepker, R.V. & Murray, D.M. & Jacobs Jr., D.R. & Mittelmark, M.B. & Bracht, N. & Carlaw, R. & Crow, R. & Elmer, P. & Finnegan, J. & Folsom, A.R. & Grimm, R. & Hannan, P.J. & Jeffrey, R. & Lando, H. &, 1994. "Community education for cardiovascular disease prevention: Risk factor changes in the Minnesota Heart Health Program," American Journal of Public Health, American Public Health Association, vol. 84(9), pages 1383-1393.
    • Handle: RePEc:aph:ajpbhl:1994:84:9:1383-1393_0
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    Cited by:

    1. John B. McKinlay, 1996. "More Appropriate Evaluation Methods for Community-Level Health Interventions," Evaluation Review, , vol. 20(3), pages 237-243, June.
    2. Allen Cheadle & Edward Wagner & Carolyn Anderman & Mary Walls & Colleen McBride & Michelle A. Bell & Richard F. Catalano & Eric Pettigrew, 1998. "Measuring Community Mobilization in the Seattle Minority Youth Health Project," Evaluation Review, , vol. 22(6), pages 699-716, December.
    3. Nilsen, Oystein, 1996. "Community health promotion: concepts and lessons from contemporary sociology," Health Policy, Elsevier, vol. 36(2), pages 167-183, May.
    4. Anthony Biglan & Andrew C. Bonner & Magnus Johansson & Jessica L. Ghai & Mark J. Van Ryzin & Tiffany L. Dubuc & Holly A. Seniuk & Julia H. Fiebig & Lisa W. Coyne, 2020. "The State of Experimental Research on Community Interventions to Reduce Greenhouse Gas Emissions—A Systematic Review," Sustainability, MDPI, vol. 12(18), pages 1-19, September.
    5. Majid Ghayour-Mobarhan & Mohsen Moohebati & Habibollah Esmaily & Mahmoud Ebrahimi & Seyed Parizadeh & Ali Heidari-Bakavoli & Mohammad Safarian & Naghmeh Mokhber & Mohsen Nematy & Hamidreza Saber & Mar, 2015. "Mashhad stroke and heart atherosclerotic disorder (MASHAD) study: design, baseline characteristics and 10-year cardiovascular risk estimation," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(5), pages 561-572, July.

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