Community-Based Intervention: The Coronary Risk Factor Study (CORIS)

Rossouw, Jacques E.; Jooste, P. L.; Chalton, D. O.; Jordaan, Esme; Langenhoven, M. L.; Jordaan, Pieter; Steyn, M.; Swanepoel, A. S. P.; Rossouw, Lesley J

doi:10.1093/ije/22.3.428

Cited by 60 publications

(45 citation statements)

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“…In addition, hypertension decreased in the intervention group by 21%, and this reduction was greater for women than men. Others have found similar reductions in blood pressure 100 or no change at all. 96 Change in cholesterol levels.…”

Section: Community Settingsmentioning

confidence: 80%

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Cardiovascular Health Interventions in Women: What Works?

Krummel

Koffman²,

Bronner³

et al. 2001

Journal of Women's Health & Gender-Based Medicine

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Women's Cardiovascular Health Network members representing 10 Prevention Research Centers completed a literature review of approximately 65 population-based studies focused on improving women's cardiovascular health through behavior change for tobacco use, physical inactivity, or diet. A framework was developed for conducting the search. Databases (Medline, Psychlit, Smoking and Health, Cumulative Index to Nursing and Allied Health Literature) of studies published from 1980 to 1998 were searched. The review was presented at a meeting of experts held in Atlanta, Georgia. Output from the meeting included identification of what has worked to improve cardiovascular health in women and recommendations for future behavioral research. Additional information is available at www.hsc.wvu.edu/womens-cvh. Cardiovascular health interventions geared toward women are scant. Based on the available studies, program components that emerged as effective included personalized advice on diet and physical activity behaviors and tobacco cessation, multiple staff contacts with skill building, daily self-monitoring, and combinations of strategies. Recommendations for community-based tobacco, physical activity, and diet interventions are discussed. A few overarching recommendations were to (1) conduct qualitative research to determine the kinds of interventions women want, (2) examine relapse prevention, motivation, and maintenance of behavior change, (3) tailor programs to the stage of the life cycle, a woman's readiness to change, and subgroups, that is, minority, low socioeconomic, and obese women, and (4) evaluate policy and environmental interventions. The effects of cardiovascular interventions in women have been inappropriately understudied in women. Our review found that few studies on cardiovascular risk factor modification have actually targeted women. Hence, adoption and maintenance of behavior change in women are elusive. Intervention research to improve women's cardiovascular health is sorely needed.

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Section: Community Settingsmentioning

confidence: 80%

“…[94][95][96][97][98][99][100][101] Because the type of interventions varied, it is not possible to say which strategy worked best in the community. None were designed to study women primarily, but all included women and reported findings based on gender.…”

Section: Interventions Targeting Multiple Risk Factorsmentioning

confidence: 99%

Cardiovascular Health Interventions in Women: What Works?

Krummel

Koffman²,

Bronner³

et al. 2001

Journal of Women's Health & Gender-Based Medicine

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“…[15][16][17] Finally, the strata were divided according to 3 levels of total cholesterol: Ͻ5.18 mmol/L (200 mg/dL), 5.18 to 7.25 mmol/L (200 to 280 mg/dL), and Ն7.25 mmol/L (280 mg/dL). 18,19 The proportion in each stratum of the cohort reflected the results of the 1998 South African Demographic and Health Survey 12 for age, sex, smoking status, and blood pressure. The distributions of cholesterol and diabetes mellitus were stratified with mean values according to sex, because few data exist to determine their relationship to the other risk factors.…”

Section: South Africa Cvd Risk Stratificationmentioning

confidence: 99%

Cost-Effectiveness Analysis of Hypertension Guidelines in South Africa

et al. 2005

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Background-Hypertension is responsible for more deaths worldwide than any other cardiovascular risk factor. Guidelines based on blood pressure level for initiation of treatment of hypertension may be too costly compared with an approach based on absolute cardiovascular disease (CVD) risk, especially in developing countries. Methods and Results-Using a Markov CVD model, we compared 6 strategies for initiation of drug treatment-2 different blood pressure levels (160/95 and 140/90 mm Hg) and 4 different levels of absolute CVD risk over 10 years (40%, 30%, 20%, and 15%)-with one of no treatment. We modeled a hypothetical cohort of all adults without CVD in South Africa, a multiethnic developing country, over 10 years. The incremental cost-effectiveness ratios for treating those with 10-year absolute risk for CVD Ͼ40%, 30%, 20%, and 15% were $700, $1600, $4900, and $11 000 per quality-adjusted life-year gained, respectively. Strategies based on a target blood pressure level were both more expensive and less effective than treatment decisions based on the strategy that used absolute CVD risk of Ͼ15%. Sensitivity analysis of cost of treatments, prevalence estimates of risk factors, and benefits expected from treatment did not change the ranking of the strategies. Conclusions-In South Africa, current guidelines based on blood pressure levels are both more expensive and less effective than guidelines based on absolute risk of cardiovascular disease. The use of quantitative risk-based guidelines for treatment of hypertension could free up major resources for other pressing needs, especially in developing countries.

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“…As the same impact was not observed in the small-scale rural area studies within the study period, it may be preferable to investigate the effects of intervention across society (18). South Africa (19), America-Missouri (20) and Sweden (21) studies are successful examples of such an approach.…”

Section: Discussionmentioning

confidence: 91%

Application of healthy heart program in the two semi-rural areas in Eskişehir

Arıkan¹,

Metintaş²,

Kalyoncu³

2011

Anadolu Kardiyol Derg

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ÖZETAmaç: Çalışma Eskişehir'in yarı kırsal iki bölgesinde halkta kardiyovasküler hastalık (KVH) risk faktörleri konusunda, uygun davranış değişikliğini sağlamak ve bu konuda farkındalığı arttırmak amacıyla planlandı. Yöntemler: Bu çalışma yarı deneysel bir çalışma olup, iki aşamalı olarak planlandı. Çalışmanın ilk aşamasında evler ziyaret edildi. Müdahale ve kontrol bölgelerinde bireylere Framingham risk skorlarının (FRS) yazıldığı katılım formları dağıtıldı. Diğer eğitim materyalleri ise müdahale bölgesine dağıtıldı. İkinci aşama yuvalandırılmış vaka-kontrol çalışması şeklinde planlandı. Birinci aşama 2766 kişide, ikinci aşama 778 kişide gerçekleşti. Verilerin değerlendirmesinde bağımsız gruplarda Pearson Ki-kare ve bağımsız örneklem Student t-testi, bağımlı gruplarda Mc-Nemar Ki-kare ve eşleştirilmiş t-testi uygulandı. Bulgular: Birinci aşamada Framingham Risk puanının %10'un üzerinde olma sıklığı kontrol bölgesinde erkeklerde %22.9, kadınlarda %14.9, müda-hale bölgesinde erkeklerde %26.2, kadınlarda %18.1 olup puanlama açısından erkek ve kadınlarda kontrol ve müdahale bölgeleri arasında bir fark bulunamadı (p>0.05). İkinci aşamada müdahale bölgesinde erkeklerde %15.4 (p<0.001), kadınlarda %10.2'lik bir azalma saptanırken (p<0.001), kontrol bölgesinde erkeklerde %8.2 (p=0.011), kadınlarda %3.8'lik bir artış bulundu (p=0.078). Sonuç: Yirmi yaş üzeri bireylere KVH ve risk faktörleri açısından eğitim verilmesinin KVH risk faktörlerinin azaltılmasında etkin bir yöntem olduğu bulundu. (Anadolu Kardiyol Derg 2011; 11: 485-91) Anahtar kelimeler: Kardiyovasküler hastalık, toplum tabanlı korunma, müdahale, sağlık eğitimi ABSTRACT Objective: The purpose of this study was to raise awareness of people in two semi-rural regions of Eskişehir in terms of cardiovascular diseases (CVD) risk factors and to promote related heart-healthy behaviors. Methods: The study was a semi-experimental intervention and featured as a two-phase design. In the first phase of the study, participants received visits at home. Individuals in intervention and control areas were given a participation form that indicated the Framingham Risk Score (FRS). Other training materials were distributed throughout the intervention area. The second phase was planned as a nested case-control study. The first phase included 2.766 persons and the second phase included 778 persons. In the evaluation of the data the Pearson Chi-square and Student's t-test for independent samples, Mc-Nemar Chi-square and the paired t-test for dependent samples were applied. Results: During the first phase, the frequency of FRS metrics above 10% was 26.2% for males, 18.1% for females in the intervention area, 22.9% for males, and 14.9% for females in the control area. There was no difference between males and females in terms of scoring for control and intervention areas (p>0.05). Based on the FRS data, the second phase revealed a decrease of 15.4% in males (p<0.001) and 10.2% in females (p<0.001) in the intervention area and an increase of 8.2% in males (p=0.011) and 3.8% in females ...

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Community-Based Intervention: The Coronary Risk Factor Study (CORIS)

Cited by 60 publications

References 0 publications

Cardiovascular Health Interventions in Women: What Works?

Cardiovascular Health Interventions in Women: What Works?

Cost-Effectiveness Analysis of Hypertension Guidelines in South Africa

Application of healthy heart program in the two semi-rural areas in Eskişehir

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