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

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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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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 › Medicine › Public Health, Environmental and Occupational Health › 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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Theory and delivery of health programming in the community: The Pawtucket Heart Health Program

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