Nutrition and Coronary Heart Disease
During the seven-year period of the program, several hundred health expositions and
activities took place. For more details on the activities see German Study Group
(1988).
The Mass Media Intervention
This intervention is in essence a mass media campaign. Its most important aspect is that
it targets the whole population, not just a subset. Mass media campaigns are mainly
designed to be ‘educational’ and teach the community about the nature of the disease
and ways to prevent the disease. The activities contained in this intervention are based
on the Stanford Five City Project (see, for example, Mant (1997), Fortman et al (1990)
and Winkleby et al (1996).)
Some examples of the types of activities used in a media campaign are television and
radio announcements, a weekly column in local newspapers as well as printing and
distribution of educational materials for community groups and health professionals. All
these interventions can be used to increase awareness and knowledge, as well as teach
the skills required for behaviour modification.
State or Commonwealth Departments of Health or institutions such as the National
Heart Foimdation normally administer mass media campaigns. At the local level,
however, the Area Health Service can provide vital backup support by distributing
publications and establishing a presence at local events and with the local media.
The HospitalZRehabilitation Based Intervention
This intervention can be thought of as a Cardiac Rehabilitation Program Phase 2. The
range of interventions contained in this intervention include a six-week exercise
program, (designed for people who have suffered CHD), risk factor management such
as nutrition classes, lifestyle assessment and discussion Ofbehavioural changes.
Finally, the intervention also included additional monitoring of risk factors such as
blood screening. The activities in this intervention are based on the meta-analysis by
Oldridge et al (1988). For costing purposes the clinics are assumed to run for one year.
CHERE Project Report 11 — November 1999 18
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