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Cited by 155Community Health and DevelopmentHealth Promotion and Cardiovascular PreventionCardiovascular Health and Risk Factors

Theory and delivery of health programming in the community: The Pawtucket Heart Health Program

Lefebvre, R.Craig, Lasater, Thomas M., Carleton, Richard A., Peterson, Gussie·1987·Preventive Medicine
DOI 10.1016/0091-7435(87)90008-9
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Abstract

The Pawtucket Heart Health Program is one of the community studies examining whether population-based efforts to lower cardiovascular risk factors will reduce cardiovascular morbidity and mortality. The Pawtucket Heart Health Program intervention is based on a blend of social learning theory, community organization models, community psychology tenets, and diffusion research. This model allows for multifaceted programs that target individuals, groups, organizations, and the entire community to alter their cardiovascular risk through managing blood pressure, lowering blood cholesterol, quitting smoking, increasing fitness, and maintaining desirable weight levels. A dominant feature of the intervention is the emphasis that it places on volunteers for program delivery. The role of volunteers in providing direct services to help citizens lower their blood pressure and lose weight is highlighted to demonstrate the feasibility and effectiveness of these services. In addition, church-based programming which utilizes volunteers to manage and direct programs is also presented as an example of community-based health promotion efforts that promote collective efficacy.

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Crossref · 10.1016/0091-7435(87)90008-9

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  • Similar media and education strategies in the Minnesota Heart Health Program and the Pawtucket Heart Health Program did not lead to significant improvements in cardiovascular risk factors or events when compared with control communities.

    “In contrast, similar media and education strategies in the Minnesota Heart Health Program and the Pawtucket Heart Health Program did not lead to significant improvements in cardiovascular risk factors or events when compared with control communities.61–63”

    From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [63]

  • In the Minnesota and Pawtucket studies, secular improvements in risk factors were also seen in the control communities, perhaps in response to similar national campaigns targeting these risk factors; these trends may have limited detection of any added effects of the community-level interventions.

    “In the latter studies, secular improvements in risk factors were also seen in the control communities, perhaps in response to similar national campaigns targeting these risk factors; these trends may have limited detection of any added effects of the community-level interventions.”

    From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [63]

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Authors
Lefebvre, R. C., Lasater, T. M., Carleton, R. A., & Peterson, G.
Affiliations
  • Brown University (US)
  • Memorial Hospital of Rhode Island (US)
Corresponding author
Lefebvre, R.Craig
ORCID
Lefebvre, R.Craig
Venue
Preventive Medicine
Publisher
Elsevier BV
Published
1987-01
Volume
16
Issue
1
Pages
80-95
ISSN
0091-7435 (ISSN-L)
DOI
10.1016/0091-7435(87)90008-9
OpenAlex
W2143112522
Cited by
155
References
19
Citations by year
2023: 1 · 2019: 1 · 2018: 2 · 2017: 1 · 2014: 2 · 2012: 2
FWCI
42.66
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Preventive Medicine (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Heart, Lung, and Blood Institute (HL 236901A)
Topics
  • Health Sciences › Health Professions › General Health Professions › Community Health and Development
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
Keywords
community health promotion, cardiovascular risk reduction, social learning theory, community organizations, community psychology, diffusion of innovations, blood pressure control, cholesterol lowering, smoking cessation, physical fitness, weight loss, collective efficacy, population-level interventions
MeSH terms
Adolescent, Adult, Aged, Aged, 80 and over, Blood Pressure, Body Weight, Child, Christianity, Coronary Disease, Delivery of Health Care, Female, Health Education, Humans, Male, Mass Screening, Middle Aged, Models, Theoretical, Population Surveillance, Religion and Medicine, Rhode Island, Volunteers

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