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May 1, 1994American Journal of Public HealthOpen Access

A community-based heart disease intervention: predictors of change.

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Key result

During a 6-year community-based intervention, 69% of participants improved their cardiovascular risk factor score, with older, high-risk adults showing the highest rate of positive change (83%).

Why the study?

What sociodemographic, psychosocial, and physiologic characteristics predict positive change in cardiovascular disease risk factors during a community-based intervention in adults?

Population

411 adults (221 women and 190 men) aged 25 through 74 years who participated in four cohort surveys

Design

Cohort

Follow-up

6 years

Authors

MWMarilyn A. WinklebyJFJune A. FloraHKHelena C. Kraemer

Discussion

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Overview

Baseline factors may identify intervention responders; leaves open targeted strategies for nonresponders in future trials.

Study Design

Type

Cohort (n=411)

Structured PICO

What sociodemographic, psychosocial, and physiologic characteristics predict positive change in cardiovascular disease risk factors during a community-based intervention in adults?

P
Population
411 adults aged 25 to 74 years followed for 6 years to identify baseline predictors of positive change in cardiovascular risk factors during a community intervention.
E
Exposure
6-year multiple risk factor community-based intervention
O
Outcome
Positive change in a composite risk factor scoresurrogate

Community cardiovascular disease interventions have differential effectiveness based on age, socioeconomic, and cultural factors, highlighting the need for targeted approaches.

Cite This Study

Winkleby et al. (1994) conducted a cohort in cardiovascular disease risk factors (n=411). Community-based multiple risk factor intervention was evaluated on positive change in a composite risk factor score. During a 6-year community-based intervention, 69% of participants improved their cardiovascular risk factor score, with older, high-risk adults showing the highest rate of positive change (83%).

synapsesocial.com/papers/6a6d2de06ceb2bbd16df91d9https://doi.org/10.2105/ajph.84.5.767
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