ArticleBMJ (Clinical research ed.)1998
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.
Article in BMJ (Clinical research ed.), 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 9 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 9 syntheses or guidelines pooled it.
- Health-promotion interventions targeting multiple behaviors: A meta-analytic review of general and behavior-specific processes of change.Psychological bulletin · 2024Pooled it
- Mass media interventions for smoking cessation in adults.The Cochrane database of systematic reviews · 2017Pooled it
- When it comes to lifestyle recommendations, more is sometimes less: a meta-analysis of theoretical assumptions underlying the effectiveness of interventions promoting multiple behavior domain change.Psychological bulletin · 2015Pooled it
- Community wide interventions for increasing physical activity.The Cochrane database of systematic reviews · 2015Pooled it
- School-based programmes for preventing smoking.The Cochrane database of systematic reviews · 2013Pooled it
- Community interventions for preventing smoking in young people.The Cochrane database of systematic reviews · 2011Pooled it
- Multiple risk factor interventions for primary prevention of coronary heart disease.The Cochrane database of systematic reviews · 2011Pooled it
- Multiple risk factor interventions for primary prevention of coronary heart disease.The Cochrane database of systematic reviews · 2006Pooled it
- Community interventions for reducing smoking among adults.The Cochrane database of systematic reviews · 2002Pooled it
- Community-wide intervention and population-level physical activity: a 5-year cluster randomized trial.International journal of epidemiology · 2018Trial
- Community-wide promotion of physical activity in middle-aged and older Japanese: a 3-year evaluation of a cluster randomized trial.The international journal of behavioral nutrition and physical activity · 2015Trial
- A community-wide campaign to promote physical activity in middle-aged and elderly people: a cluster randomized controlled trial.The international journal of behavioral nutrition and physical activity · 2013Trial
- The Southampton Initiative for Health: a complex intervention to improve the diets and increase the physical activity levels of women from disadvantaged communities.Journal of health psychology · 2011Trial
- The PreCardio-study protocol--a randomized clinical trial of a multidisciplinary electronic cardiovascular prevention programme.BMC cardiovascular disorders · 2007Trial
- Article
- Primordial and primary prevention programs for cardiovascular diseases: from risk assessment through risk communication to risk reduction. A review of the literature.Clinics (Sao Paulo, Brazil) · 2016Review
- Increasing physical activity of high intensity to reduce the prevalence of chronic diseases and improve public health.The open cardiovascular medicine journal · 2013Article
- How explicable are differences between reviews that appear to address a similar research question? A review of reviews of physical activity interventions.Systematic reviews · 2012Review
- Effectiveness and cost effectiveness of cardiovascular disease prevention in whole populations: modelling study.BMJ (Clinical research ed.) · 2011Article
- Cardiovascular risk factor trends and potential for reducing coronary heart disease mortality in the United States of America.Bulletin of the World Health Organization · 2010Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the net 5 year effects of intervention of a community based demonstration project, the Heartbeat Wales programme, on modifiable behavioural risks for prevention of cardiovascular disease. DESIGN AND
settingQuasi-experimental design comparing results from two independent cross sectional population surveys conducted in 1985 and 1990 in Wales and a matched reference area in north east England. SUBJECTS: Random, stratified samples of people aged 18-64 years (18,538 in 1985 and 13,045 in 1990) in Wales and in north east England (1483 and 4534, respectively).
interventionA coordinated range of activities for heart health promotion in Wales entailing public education campaigns along with supportive policy and infrastructure change. In the reference area no additional community heart health promotion was planned, though considerable activity did take place, "contaminating" the reference area.
main outcome measuresFifteen self reported behavioural indicators relating to dietary choice, smoking, frequency of exercise, and weight.
resultsPositive changes (for health) in behavioural outcomes were observed among the population in Wales, including a reduction in reported smoking prevalence and improvements in dietary choice. There was no net intervention effect for the programme over and above observed change in the reference area.
conclusionsNo definite conclusions can be drawn concerning the efficacy of the programme in terms of behavioural outcomes. With hindsight, the difficulties of evaluating such a complex multifaceted intervention were underestimated. Further debate on the most appropriate methods for assessing the effectiveness of community based health promotion programmes is called for.
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