CHOLESTEROL SCREENING--APPLICATION IN A BIRACIAL SETTING

美国健康基金会与 美国国家心肺血液研究所 协会和有关医生，正在开展一项运动， 提醒公众和医学界注意 血液胆固醇水平升高的危害。 的主旨 这些努力是为了教育公众， 了解他们的胆固醇水平的重要性， 医生的信息，以建议和治疗这些病人 有患心血管疾病的风险。 这个项目的总体目标是 建议是评估战略，这将提高 提高社区筛查的有效性， 个人寻求治疗的能力。 拟议项目的具体目标是开发一个模型， 社区血清胆固醇干预系统 减排计划将侧重于几个关键组成部分： 公众意识，参与者招募，参与者筛选， 并将有风险的参与者转介到卫生机构， 重新筛选和适当的治疗。 具体而言，提案 将设计干预系统：提高认识 关于了解他们的重要性， 胆固醇水平;激励目标人群 参与胆固醇筛查计划;激励 那些被确定为有遵守风险的参与者 转介进行适当的干预。 拟议的干预研究将以下定义为其主要终点： 成功转介高危人士， 适当的后续行动。 此外，开发的跟踪系统 这项研究将使重新筛选的风险参与者， 一年后，以确定其风险状态是否发生了变化。 拟议项目将分三个阶段进行。 的 第一阶段，项目的第1-6个月，将涉及 建立示范干预体系。 第二阶段， 月7日至24日的项目，将涉及应用这一点， 一个明确的目标人群和系统的 对该系统的总体功效进行评估， 适合于各种人口亚组（如黑人、低收入者、 收入等）。 第三阶段，24-36个月，将涉及随访 遵守情况和重新筛选参与者 识别风险。

The American Health Foundation in collaboration with the National Heart, Lung and Blood Institute, the American Heart Association and concerned physicians, is engaged in a campaign to alert both the public and the medical profession of the health hazards of elevated blood cholesterol levels. The main thrust of these efforts has been to educate the general public about the importance of knowing their cholesterol level and to provide physicians with the information to advise and treat those patients at-risk for cardiovascular disease. The overall goal of this proposal is the evaluate strategies which will enhance the effectiveness of community based screenings and improve the ability of individuals to seek treatment. The specific aim of the proposed project is to develop a model intervention system for a community-based serum cholesterol reduction program that will focus on several key components: public awareness, participant recruitment, participant screening, and referral of participants who are at-risk to a health facility for rescreening and appropriate treatment. Specifically, the propose intervention system will be designed: to increase the awareness of the population regarding the importance of knowing their cholesterol levels; to motivate the target population to participate in a cholesterol screening program and; to motivate those participants who are determined to be at-risk to comply with a referral for appropriate intervention. The propose intervention study defines as its primary endpoint of interest the successful referral of at risk individuals for appropriate follow-up. In addition, the tracking system developed for this study will enable the rescreening of at-risk participants one year later to determine if their risk status has been changed. The proposed project will be carried out in three phases. The initial phase, months 1-6 of the project, will involve the development of the model intervention system. The second phase, months 7-24 of the project, will involve the application of this model to a defined target population and the systematic evaluation of this system in terms of its overall efficacy and appropriateness for various population subgroups (e.g. black, low income, etc.). Phase three, months 24-36, will involve a follow-up of participants compliances and rescreening of participants identified at-risk.