Reducing the risk of cardiovascular disease: effects of a community-based campaign on knowledge and behavior.

Reducing the risk of cardiovascular disease: effects of a community-based campaign on knowledge and behavior.
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DOI:
10.1007/bf01674232
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发表时间:
1977-01-01
影响因子:
5.9
通讯作者:
Alexander, J
Alexander, J
中科院分区:
医学4区
文献类型:
--
作者:
Maccoby, N;Farquhar, J W;Alexander, J

文献摘要

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1972年,斯坦福大学心脏病预防项目发起了一项三个社区的实地研究。在两个加州社区(沃森维尔和吉尔罗伊)开展了为期两年的多媒体宣传活动,其中一个社区(沃森维尔)还辅之以针对高危对象的强化教学计划。第三个社区(特蕾西)被用作对照。这些活动旨在增加参与者对心血管疾病危险因素的认识,改变吸烟等危险行为,并减少参与者的卡路里,盐,糖,饱和脂肪和胆固醇的饮食摄入量。抽样调查的结果表明,在知识的实质性收益,在行为的修改,并在心血管疾病的估计风险可以通过这两种方法的干预。强化指导计划,当与大众医疗运动相结合时,对那些最初被评估为高危的参与者来说是最有效的。两年后的干预结果报告的知识和行为变化的总参与者样本和高风险的子样本在三个社区的影响。
In 1972 the Stanford Heart Disease Prevention Program launched a three-community field study. A multimedia campaign was conducted for two years in two California communities (Watsonville and Gilroy), in one of which (Watsonville) it was supplemented by an intensive-instruction program with high-risk subjects. A third community (Tracy) was used as a control. The campaigns were designed to increase participants' knowledge of the risk factors for cardiovascular disease, to change such risk-producing behavior as cigarette smoking, and to decrease the participants' dietary intake of calories, salt, sugar, saturated fat, and cholesterol. Results of a sample survey indicate that substantial gains in knowledge, in behavioral modification, and in the estimated risk of cardiovascular disease can be produced by both methods of intervention. The intensive-instruction program, when combined with the mass-medica campaign, emerged as the most effective for those participants who were initially evaluated to be at high risk. The results after two years of intervention are reported for effects on knowledge and behavioral change for the total participant samples and for the high-risk subsamples in each of the three communities.