Wagner E H, Koepsell T D, Anderman C, Cheadle A, Curry S G, Psaty B M, Von Korff M, Wickizer T M, Beery W L, Diehr P K
Center for Health Studies, Group Health Cooperative of Puget Sound, Seattle, WA 98101.
J Clin Epidemiol. 1991;44(7):685-99. doi: 10.1016/0895-4356(91)90029-9.
The Kaiser Family Foundation's Community Health Promotion Grant Program (CHPGP) provides funding and technical assistance in support of community-based efforts to prevent major health problems. The first phase of the program was implemented in 11 communities in the western United States. This paper describes the evaluation design of the CHPGP in the West, the methods of data collection, and the baseline comparability of intervention and control communities. Major features of the evaluation design include: (1) the randomization of qualified communities making application into funded and unfunded comparison groups; (2) a second set of matched control communities for some intervention sites; (3) data gathering through repeated surveys of community residents (probability samples of adults and adolescents) and institutions (health-related organizations and randomly sampled grocery stores and restaurants); and (4) the use of secondary data to monitor health events. Selected baseline data show that intervention and control communities differ in racial/ethnic composition, but relevant health behaviors and ratings of community activation for health promotion appear comparable.
凯撒家庭基金会的社区健康促进资助项目（CHPGP）提供资金和技术援助，以支持基于社区的预防重大健康问题的努力。该项目的第一阶段在美国西部的11个社区实施。本文描述了西部CHPGP的评估设计、数据收集方法以及干预社区和对照社区的基线可比性。评估设计的主要特点包括：（1）将申请的合格社区随机分为资助组和非资助对照组；（2）为一些干预地点设置第二组匹配的对照社区；（3）通过对社区居民（成年人和青少年的概率样本）和机构（与健康相关的组织以及随机抽样的杂货店和餐馆）进行重复调查来收集数据；（4）使用二手数据监测健康事件。选定的基线数据表明，干预社区和对照社区在种族/族裔构成上存在差异，但相关的健康行为以及促进健康的社区活跃度评分似乎具有可比性。
