1998
DOI: 10.1136/bmj.316.7134.818
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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

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Cited by 94 publications
(48 citation statements)
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“…The programme had a local design and an impact on dietary behaviours, the same as previous heart health promotion programmes (18)(19)(20)(21) . Compared with the North Karelia Project, which showed a reduction in SFA of 20 % in men and 24 % in women (22) , other programmes have shown lower population-wide changes (18)(19)(20)(21) . Joint analysis of the combined evaluation data of the Stanford Project, the Minnesota Heart Health Program and the Pawtucket Heart Health Program did not show any global acceptable impact on the main dietary variables, suggesting that statistical power was not an issue in the evaluation of the individual programmes (23) .…”
Section: Discussionmentioning
confidence: 99%
“…The programme had a local design and an impact on dietary behaviours, the same as previous heart health promotion programmes (18)(19)(20)(21) . Compared with the North Karelia Project, which showed a reduction in SFA of 20 % in men and 24 % in women (22) , other programmes have shown lower population-wide changes (18)(19)(20)(21) . Joint analysis of the combined evaluation data of the Stanford Project, the Minnesota Heart Health Program and the Pawtucket Heart Health Program did not show any global acceptable impact on the main dietary variables, suggesting that statistical power was not an issue in the evaluation of the individual programmes (23) .…”
Section: Discussionmentioning
confidence: 99%
“…7 Although the results were mixed, these projects have demonstrated that community-level interventions can be effective in reducing risk factor levels in populations. 2,[8][9][10] The North Karelia Project has reported results indicating that the intervention has reduced cardiovascular event rates; 11 however, the Minnesota Heart Health Project and the Stanford Five City Project have not been able to demonstrate compelling evidence of an intervention effect on morbidity or mortality.…”
mentioning
confidence: 99%
“…Therefore, public health efforts across inner cites must find solutions, which probably goes beyond health promotion trials aimed just at minor behavioral change. Such trials and other major population-directed interventions seem to not have had much impact yet (49,50). In 1998, Manchester was ranked the third most impoverished area in the U.K. (51).…”
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confidence: 99%