Process evaluation of a community-based program for prevention and control of non-communicable disease in a developing country: The Isfahan Healthy Heart Program, Iran

Abstract

BackgroundCardiovascular diseases are the most common cause of mortality in Iran. A six-year, comprehensive, integrated community-based demonstration study entitled Isfahan Healthy Heart Program (IHHP) conducted in Iran, and it started in 2000. Evaluation and monitoring are integrated parts of this quasi-experimental trial, and consists of process, as well as short and long-term impact evaluations. This paper presents the design of the "process evaluation" for IHHP, and the results pertaining to some interventional strategies that were implemented in workplacesMethodsThe process evaluation addresses the internal validity of IHHP by ascertaining the degree to which the program was implemented as intended. The IHHP process evaluation is a triangulated study conducted for all interventions at their respective venues. All interventional activities are monitored to determine why and how some are successful and sustainable, to identify mechanisms as well as barriers and facilitators of implementation.ResultsThe results suggest that factory workers and managers are satisfied with the interventions. In the current study, success was mainly shaped by the organizational readiness and timing of the implementation. Integrating most of activities of the project to the existing ongoing activities of public health officers in worksites is suggested to be the most effective means of implementation of the health promoting activities in workplaces.ConclusionThe results of our experience may help other developing countries to plan for similar interventions.

Pp-095 Effects of 5-Year Interventions on Cardiovascular Risk Factors of Factories and Offices Employees of Isfahan and Najafabad: Worksite Intervention Project-Isfahan Healthy Heart Program

“…Therefore, it can be concluded that WIP, as a practical tool for health promotion among factory and office workers in their worksites, creates tangible changes in people's lifestyle which not only ensures healthy workers, but also leads to a healthy societycells 9, 11–13. The results of this study which are indicative of relative reducing in negative surface charge of LDL particle in the presence of CRP, are in line with the results of a study conducted by Rufail et al It is noteworthy that in that study, the result of electrophoresis was obtained only after 2 hours of incubation, but in the present study, this period was extended to 18 hours 19.…”

“…In both phases, Pars Azmoon kits (Iran) were used to measure serum lipids and Biosystems for blood sugars. IHHP's execution facts were completely explained elsewhere 10, 11…”

Why it Remains Difficult for Remote Cardiologist to Obtain the Locus of Control for Ambulatory Health Care Conditions Such as Congestive Heart Failure? A Tug of War between General Practice, Administrators and Implementable Research Findings

“…For cardiovascular disease as a whole, some large studies have been reported, mostly positive [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23], although longer term translation of findings into actual clinical care within those systems is unknown.…”

Relation between usual daily walking time and metabolic syndrome

“…It is a quasi-experimental trial that includes a reference area and several levels of evaluation including process, impact and outcome evaluations. IHHP involves individual, community and environmental changes to support health behaviour modification 2021…”