ArticleJournal of epidemiology and community health1993
Maintaining evaluation designs in long term community based health promotion programmes: Heartbeat Wales case study.
Article in Journal of epidemiology and community health, 1993. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Mass media interventions for smoking cessation in adults.The Cochrane database of systematic reviews · 2017Pooled it
- Mass media interventions for preventing smoking in young people.The Cochrane database of systematic reviews · 2017Pooled it
- Community interventions for reducing smoking among adults.The Cochrane database of systematic reviews · 2002Pooled it
- Cross-sectional analysis of self-efficacy and social capital in a community-based healthy village project in Santa Cruz, Bolivia.BMC international health and human rights · 2015Article
- 'Never heard of it'- understanding the public's lack of awareness of a new electronic patient record.Health expectations : an international journal of public participation in health care and health policy · 2010Article
- Is reporting on interventions a weak link in understanding how and why they work? A preliminary exploration using community heart health exemplars.Implementation science : IS · 2008Article
- What is the "golden standard" for assessing population-based interventions?--problems of dilution bias.Journal of epidemiology and community health · 2000Review
- Effects of the Heartbeat Wales programme. Programme that originated in Finland should be adopted.BMJ (Clinical research ed.) · 1999Article
- Effects of the Heartbeat Wales programme over five years on behavioural risks for cardiovascular disease: quasi-experimental comparison of results from Wales and a matched reference area.BMJ (Clinical research ed.) · 1998Article
- Promoting health into the 21st century: new horizons from Wales. HM Queen Elizabeth the Queen Mother Lecture 1992.Journal of the Royal College of Physicians of London · 1993Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
objectiveTo examine the difficulties of developing and maintaining outcome evaluation designs in long term, community based health promotion programmes.
designSemistructured interviews of health promotion managers.
settingWales and two reference health regions in England.
participantsNine health promotion managers in Wales and 18 in England. MEASUREMENTS AND MAIN
resultsInformation on selected heart health promotion activity undertaken or coordinated by health authorities from 1985-90 was collected. The Heartbeat Wales coronary heart disease prevention programme was set up in 1985, and a research and evaluation strategy was established to complement the intervention. A substantial increase in the budget occurred over the period. In the reference health regions in England this initiative was noted and rapidly taken up, thus compromising their use as control areas.
conclusionInformation on large scale, community based health promotion programmes can disseminate quickly and interfere with classic intervention/evaluation control designs through contamination. Alternative experimental designs for assessing the effectiveness of long term intervention programmes need to be considered. These should not rely solely on the use of reference populations, but should balance the measurement of outcome with an assessment of the process of change in communities. The development and use of intervention exposure measures together with well structured and comprehensive process evaluation in both the intervention and reference areas is recommended.
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