Lefebvre R C, Lasater T M, Carleton R A, Peterson G
Prev Med. 1987 Jan;16(1):80-95. doi: 10.1016/0091-7435(87)90008-9.
The Pawtucket Heart Health Program is one of the community studies examining whether population-based efforts to lower cardiovascular risk factors will reduce cardiovascular morbidity and mortality. The Pawtucket Heart Health Program intervention is based on a blend of social learning theory, community organization models, community psychology tenets, and diffusion research. This model allows for multifaceted programs that target individuals, groups, organizations, and the entire community to alter their cardiovascular risk through managing blood pressure, lowering blood cholesterol, quitting smoking, increasing fitness, and maintaining desirable weight levels. A dominant feature of the intervention is the emphasis that it places on volunteers for program delivery. The role of volunteers in providing direct services to help citizens lower their blood pressure and lose weight is highlighted to demonstrate the feasibility and effectiveness of these services. In addition, church-based programming which utilizes volunteers to manage and direct programs is also presented as an example of community-based health promotion efforts that promote collective efficacy.
波塔基特心脏健康项目是一项社区研究，旨在探讨基于人群降低心血管危险因素的努力是否会降低心血管疾病的发病率和死亡率。波塔基特心脏健康项目的干预措施基于社会学习理论、社区组织模式、社区心理学原理和传播研究的综合运用。该模式允许开展多方面的项目，针对个人、群体、组织和整个社区，通过控制血压、降低血胆固醇、戒烟、增强体质和维持理想体重水平来改变心血管疾病风险。该干预措施的一个主要特点是强调由志愿者来实施项目。突出了志愿者在提供直接服务以帮助市民降低血压和减轻体重方面的作用，以证明这些服务的可行性和有效性。此外，还介绍了利用志愿者来管理和指导项目的教会项目，作为促进集体效能的社区健康促进努力的一个例子。
