Trial reportBMJ (Clinical research ed.)1997
A cost effective, community based heart health promotion project in England: prospective comparative study.
Trial report in BMJ (Clinical research ed.), 1997. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 4 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
12 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Community wide interventions for increasing physical activity.The Cochrane database of systematic reviews · 2015Pooled it
- Community interventions for reducing smoking among adults.The Cochrane database of systematic reviews · 2002Pooled it
- Dietary advice given by a dietitian versus other health professional or self-help resources to reduce blood cholesterol.The Cochrane database of systematic reviews · 2001Pooled it
- Guidance for commissioners on the cost effectiveness of smoking cessation interventionsThorax · 1998Guideline
- Long-term effectiveness of a lifestyle intervention on the prevention of type 2 diabetes in a middle-income country.Scientific reports · 2020Article
- The Economic Impact of Smoking and of Reducing Smoking Prevalence: Review of Evidence.Tobacco use insights · 2015Review
- Costs of the 'Hartslag Limburg' community heart health intervention.BMC public health · 2006Article
- Public health impact of community-based nutrition and lifestyle interventions.European journal of clinical nutrition · 2005Review
- Cost effectiveness of a community based research project to help women quit smoking.Tobacco control · 2005Article
- The impact of a community-based heart disease prevention program in a low-income, inner-city neighborhood.American journal of public health · 1999Article
- Effects of the Heartbeat Wales programme. Effects of government policies on health behaviour must be studied.BMJ (Clinical research ed.) · 1998Article
- Community based heart health promotion project in England. Self reporting overestimates smoking cessation rates.BMJ (Clinical research ed.) · 1998Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine whether a community based coronary heart disease health promotion project, undertaken over four years, was associated with changes in the prevalence in adults of lifestyle risk factors known to affect the development of coronary heart disease, and to estimate whether such an approach was cost effective.
designProspective, comparative study of the effects of a health promotion intervention on coronary heart disease lifestyle risk factors, assessed by postal questionnaire sent to a randomly chosen sample, both at baseline and after four years. SUBJECTS: Intervention and control populations of adults aged 18-64 in Rotherham, both from areas with a high incidence of coronary heart disease and similar socioeconomic composition.
main outcome measuresChanges in prevalence of lifestyle risk factors between the control and intervention communities from 1991 to 1995. The effect of the intervention on certain lifestyle behaviours was evaluated using multiple logistic regression to model the proportion with a particular behaviour in the study communities as a function of age (18-40 or 41-64 years), sex, the year of observation (1991 or 1995), and area (intervention of control).
results6.9% fewer people smoked and 8.7% more drank low fat milk in the intervention area, but no other statistically significant changes between the areas were detected. The estimated cost per life year gained was pounds 31.
conclusionsIt is possible to have a cost effective impact on coronary heart disease lifestyle risk factors in a population of adults over four years using only modest resources.
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