Kottke T E, Nissinen A, Puska P, Salonen J T, Tuomilehto J
Scand J Prim Health Care. 1984 Sep;2(3):99-104. doi: 10.3109/02813438409018082.
The North Karelia Project was a community-based pilot programme in an Eastern Finnish community of 180,000 adults. During the intervention period from 1972 to 1977, the project successfully demonstrated that changing risk factors at the community level was feasible and could result in a significant reduction in disease rates. The North Karelia Project used mass media for dissemination of the message, but relied on face-to-face contact to persuade people to adopt the new lifestyles. Training seminars for professionals were a key programme component. On average, one seminar was conducted every two and a half weeks. Total project costs were only one per cent of the total health services costs for the county during the project. These findings suggest that community programmes can improve both subjective and objective cardiovascular health, and that the strategy of integrating funding into the project recruitment and commitment process is appropriate and may even be necessary for a successful community based heart disease prevention programme.
北卡累利阿项目是在芬兰东部一个有18万成年人的社区开展的一项基于社区的试点项目。在1972年至1977年的干预期间，该项目成功证明在社区层面改变风险因素是可行的，并且可以显著降低疾病发病率。北卡累利阿项目利用大众媒体传播信息，但依靠面对面接触来说服人们采用新的生活方式。针对专业人员的培训研讨会是该项目的一个关键组成部分。平均每两周半举办一次研讨会。项目总成本仅占项目期间该县卫生服务总成本的1%。这些发现表明，社区项目可以改善主观和客观的心血管健康，并且将资金纳入项目招募和承诺过程的策略是合适的，甚至对于成功的基于社区的心脏病预防项目可能是必要的。
