ArticleAmerican journal of public health2015
National Dissemination of StrongWomen-Healthy Hearts: A Community-Based Program to Reduce Risk of Cardiovascular Disease Among Midlife and Older Women.
Article in American journal of public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled it.
What it found
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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.
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Who cites it
17 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Contextual factors influencing the integration of physical activity policy, systems, and environmental interventions in the cooperative extension system: a systematic review.The international journal of behavioral nutrition and physical activity · 2026Pooled it
- A systematic review of adaptations and effectiveness of scaled-up nutrition interventions.Nutrition reviews · 2022Pooled it
- How effective are physical activity interventions when they are scaled-up: a systematic review.The international journal of behavioral nutrition and physical activity · 2021Pooled it
- Evaluating the Application of the RE-AIM Planning and Evaluation Framework: An Updated Systematic Review and Exploration of Pragmatic Application.Frontiers in public health · 2021Pooled it
- Two-year scale-up dissemination study of a multi-strategic community-wide intervention promoting physical activity: a single-arm pre-post hybrid effectiveness-implementation trial.The international journal of behavioral nutrition and physical activity · 2024Trial
- Testing the Implementation of Function-focused Care in Assisted Living Settings.Journal of the American Medical Directors Association · 2021Trial
- The Strong Hearts, Healthy Communities Program 2.0: An RCT Examining Effects on Simple 7.American journal of preventive medicine · 2020Trial
- Process Evaluation of Strong Hearts, Healthy Communities: A Rural Community-Based Cardiovascular Disease Prevention Program.Journal of nutrition education and behavior · 2019Trial
- Strong Hearts, healthy communities: a rural community-based cardiovascular disease prevention program.BMC public health · 2016Trial
- Reach and representativeness within a rural randomized controlled trial designed to improve community health through civic engagement for built environment change in Texas and New York.Wellbeing, space and society · 2026Article
- Healthy Hearts for an Abundant Life: Feasibility of a Culturally Adapted Cardiovascular Disease Prevention Curriculum for African American Women.Health equity · 2021Article
- Predicting implementation of an empirically supported treatment for cancer patients using the theory of planned behavior.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2019Article
- Development and Implementation of theHealth literacy research and practice · 2019Article
- Strong Hearts for New York: A multilevel community-based randomized cardiovascular disease risk reduction intervention for rural women.Contemporary clinical trials · 2019Article
- Future directions in physical activity intervention research: expanding our focus to sedentary behaviors, technology, and dissemination.Journal of behavioral medicine · 2017Review
- Long-Term Body Weight Maintenance among StrongWomen-Healthy Hearts Program Participants.Journal of environmental and public health · 2017Article
- Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
objectivesWe describe the national dissemination of an evidence-based community cardiovascular disease prevention program for midlife and older women using the RE-AIM (reach effectiveness adoption implementation maintenance) framework and share key lessons learned during translation.
methodsIn a 2010 to 2014 collaboration between the StrongWomen program and the National Extension Association of Family and Consumer Sciences, we assessed reach, adoption, implementation, and maintenance using survey methods, and we assessed effectiveness using a pretest-posttest within-participants design, with weight change as the primary outcome.
resultsOverall reach into the population was 15 per 10,000. Of 85 trained leaders, 41 (48%) adopted the program. During the 12-week intervention, weight decreased by 0.5 kilograms, fruit and vegetable intake increased by 2.1 servings per day, and physical activity increased by 1238 metabolic equivalent (MET)-minutes per week (all P < .001). Average fidelity score was 4.7 (out of possible 5). Eleven of 41 adopting leaders (27%) maintained the program.
conclusionsThe StrongWomen-Healthy Hearts program can be implemented with high fidelity in a variety of settings while remaining effective. These data provide direction for program modification to improve impact as dissemination continues.
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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.