O'Loughlin J, Renaud L, Richard L, Gomez L S, Paradis G
Public Health Department, Montreal General Hospital, Quebec, Canada. jenniol.epid.lan.mcgill.ca
Prev Med. 1998 Sep-Oct;27(5 Pt 1):702-12. doi: 10.1006/pmed.1998.0348.
This study investigated factors related to the perceived sustainability of 189 heart health promotion interventions initiated by a public health department or research initiative and implemented in a variety of organizations across Canada.
Data were collected in a telephone survey of key informants from schools, restaurants, grocery stores, health care facilities, and sports facilities that had implemented a heart health promotion intervention (risk factor screening, courses for smoking cessation, healthy eating or physical activity, support groups to promote healthy lifestyles, environmental modification, dissemination of information) in the past 8 years.
Overall, 43.6% of 189 interventions were perceived to be very permanent, 34.8% were somewhat permanent, and 21.5% were not permanent. Independent correlates of perceived sustainability included intervention used no paid staff (odds ratio (OR) 95% confidence interval (95% Cl) = 3.7 (1.8, 7.5)), intervention was modified during implementation (OR (95% Cl) = 2.7 (1.4, 5.0)), there was a good fit between the local provider and the intervention (OR (95% Cl) = 2.4 (1.2, 5.0)), and there was the presence of a program champion (OR (95% Cl) = 2.3 (1.2, 4.4)).
Consideration of these factors by health promotion program planners could increase the potential for sustainability of health promotion interventions implemented in the community.
本研究调查了与加拿大公共卫生部门发起或研究项目开展的189项心脏健康促进干预措施的可持续性认知相关的因素，这些干预措施在加拿大各地的各类组织中实施。
通过电话调查从学校、餐馆、杂货店、医疗保健机构和体育设施的关键信息提供者处收集数据，这些机构在过去8年中实施了心脏健康促进干预措施（风险因素筛查、戒烟课程、健康饮食或体育活动、促进健康生活方式的支持小组、环境改造、信息传播）。
总体而言，189项干预措施中，43.6%被认为非常可持续，34.8%有些可持续，21.5%不可持续。与可持续性认知相关的独立因素包括干预措施未使用带薪工作人员（优势比（OR）95%置信区间（95%Cl）=3.7（1.8，7.5））、干预措施在实施过程中进行了修改（OR（95%Cl）=2.7（1.4，5.0））、当地提供者与干预措施匹配良好（OR（95%Cl）=2.4（1.2，5.0））以及有项目支持者（OR（95%Cl）=2.3（1.2，4.4））。
健康促进项目规划者考虑这些因素可能会增加社区实施的健康促进干预措施的可持续性潜力。
