CHOLESTEROL SCREENING--APPLICATION IN A BIRACIAL SETTING

美国健康基金会与 美国国家心脏、肺脏和血液研究所 协会和相关医生正在开展一项运动，以 提醒公众和医学界注意健康 血液中胆固醇水平升高的危害。的主旨是 这些努力一直是为了教育普通公众关于 了解他们的胆固醇水平并提供 医生为这些患者提供建议和治疗的信息 心血管疾病的高危人群。这个项目的总体目标是 建议是评估策略，它将增强 基于社区的筛查的有效性和提高 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 一种基于社区的血清胆固醇干预系统 将重点放在几个关键组成部分的削减计划： 公众意识、参与者招募、参与者筛选、 以及将有风险的参与者转介到卫生机构进行 重新筛选和适当的处理。具体地说，该提案 将设计干预系统：提高意识 关于了解他们的重要性的人口 胆固醇水平；激励目标人群 参与胆固醇筛查计划，并激励 那些被确定为有遵守风险的参与者 并转介进行适当的干预。 拟议干预研究将其主要终点定义为 有兴趣成功转介高危人士 适当的后续行动。此外，开发的跟踪系统 因为这项研究将使有风险的参与者能够重新筛选 一年后，以确定他们的风险状态是否发生了变化。 拟议的项目将分三个阶段进行。这个 初始阶段，即项目的1-6个月，将涉及 模型干预系统的开发。第二阶段， 7-24个月的项目，将涉及这一应用 对已定义的目标人群和系统化的 评价这一系统的总体效果和 是否适合不同的人口亚群(如黑人、低层 收入等)。第三阶段，24-36个月，将涉及后续行动 参与者的遵守情况和参与者的重新筛选 已确定处于危险之中。

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.