Evaluating community-based preventive cardiovascular programs: Problems and experiences from the North Karelia project

Pekka Puska, Jukka T. Salonen, Jaakko Tuomilehto, Aulikki Nissinen, Thomas E. Kottke

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

Among the different approaches to the study of cardiovascular disease prevention are community-based programs. This type of program concerns a whole community and the intervention takes advantage of the existing service structure and community organization. The evaluation assesses the feasibility, effects on risk factor and disease reduction, costs, process, and other consequences associated with the program. Several such programs have recently been launched in the United States and some other countries. The first major community-based control program was the North Karelia project in Finland, started in 1972 and recently evaluated for its first five-year period. This paper discusses the problems in evaluating community-based CVD control programs on the experiences obtained in the North Karelia project.

Original languageEnglish (US)
Pages (from-to)49-64
Number of pages16
JournalJournal of Community Health
Volume9
Issue number1
DOIs
StatePublished - Sep 1983

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