SynthesisAmerican journal of public health2003
Reconsidering community-based health promotion: promise, performance, and potential.
Synthesis in American journal of public health, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 229 papers, 10 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
229 citing papers in PubMed, 10 syntheses or guidelines pooled it.
- Definitions of community-level approaches to address substance-related harms and lessons learned: A systematic overview of reviews.American journal of community psychology · 2026Pooled it
- A systematic review of reviews on comprehensive community initiatives to prevent or reduce alcohol and other drug harms.Addiction (Abingdon, England) · 2026Pooled it
- Community-based interventions against HIV-related stigma: a systematic review of evidence in Sub-Saharan Africa.Systematic reviews · 2025Pooled it
- Systematic review on community-based interventions targeting prevention of overweight and obesity in children and adolescents.Frontiers in public health · 2025Pooled it
- Digital technology empowers exercise health management in older adults: a systematic review and meta-analysis of the effects of mHealth-based interventions on physical activity and body composition in older adults.Frontiers in public health · 2025Pooled it
- Mobilizing community-driven health promotion through community granting programs: a rapid systematic review.BMC public health · 2024Pooled it
- Barriers and facilitators to implementing community-based physical activity interventions: a qualitative systematic review.The international journal of behavioral nutrition and physical activity · 2021Pooled it
- Effectiveness of Community-Based Health Promotion Interventions in Urban Areas: A Systematic Review.Journal of community health · 2020Pooled it
- Effectiveness of capacity building interventions relevant to public health practice: a systematic review.BMC public health · 2018Pooled it
- Strengthening the rigour of population-wide, community-based obesity prevention evaluations.Public health nutrition · 2014Pooled it
- A Cluster-Randomized Trial of Blood-Pressure Reduction in Black Barbershops.The New England journal of medicine · 2018Trial
- Disentangling the effects of a multiple behaviour change intervention for diarrhoea control in Zambia: a theory-based process evaluation.Globalization and health · 2017Trial
- Effectiveness of a community paramedic-led health assessment and education initiative in a seniors' residence building: the Community Health Assessment Program through Emergency Medical Services (CHAP-EMS).BMC emergency medicine · 2017Trial
- Trials and tribulations of conducting interventional studies in urban slums of a developing country: Experiences from Kolkata, India.Human vaccines & immunotherapeutics · 2016Trial
- The Effect of a Community-Based Self-Help Intervention: Korean Americans With Type 2 Diabetes.American journal of preventive medicine · 2015Trial
- Social network targeting to maximise population behaviour change: a cluster randomised controlled trial.Lancet (London, England) · 2015Trial
- Relating coalition capacity to the adoption of science-based prevention in communities: evidence from a randomized trial of Communities That Care.American journal of community psychology · 2015Trial
- Community-based relapse prevention for opiate dependents: a randomized community controlled trial.Community mental health journal · 2015Trial
- Behavioral Decision Research Intervention Reduces Risky Sexual Behavior.Current HIV research · 2015Trial
- The Devon Active Villages Evaluation (DAVE) trial of a community-level physical activity intervention in rural south-west England: a stepped wedge cluster randomised controlled trial.The international journal of behavioral nutrition and physical activity · 2014Trial
169 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Contemporary public health emphasizes a community-based approach to health promotion and disease prevention. The evidence from the past 20 years indicates, however, that many community-based programs have had only modest impact, with the notable exception of a number of HIV prevention programs. To better understand the reasons for these outcomes, we conducted a systematic literature review of 32 community-based prevention programs. Reasons for poor performance include methodological challenges to study design and evaluation, concurrent secular trends, smaller-than-expected effect sizes, limitations of the interventions, and limitations of theories used. The effectiveness of HIV programs appears to be related in part to extensive formative research and an emphasis on changing social norms.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.