Junod B, Gutzwiller F
Soz Praventivmed. 1977 Jul-Aug;22(4):157-8. doi: 10.1007/BF02078735.
The main objectives of the Swiss National Research Program on primary prevention of cardiovascular diseases are: 1) the reduction of known cardiovascular risk factors among the local populations of two intervention Communities compared to two "regular care" communities and 2) the provision of tested cost-effective methods for nation-wide use in the future control of CVD. The main focus during both the screening and the three years intervention phase will be on the total mobilization of community resources to induce behavior change (active participation of the population as well as the local health and social services system both in planning and implementation). A program such as this has to meet the challenge of developing a design that combines the needs for rigorous evaluation with a maximal amount of flexibility regarding the results of local initiative and involvement.
1）与两个“常规护理”社区相比，降低两个干预社区当地人群中已知的心血管危险因素；2）提供经过测试的具有成本效益的方法，以便在未来全国范围内控制心血管疾病时使用。在筛查和三年干预阶段，主要重点将是全面调动社区资源以促使行为改变（让民众以及当地卫生和社会服务系统积极参与规划和实施）。这样一个项目必须应对设计方面的挑战，既要满足严格评估的需求，又要在当地主动性和参与结果方面具有最大程度的灵活性。
