Nutrition and Coronary Heart Disease
The Mass Media Intervention
The costs of this intervention are based on the NSW metropolitan “Quit” campaign run
in 1993/4 (Viney, Haas & Seymour, 1994). The effectiveness and the range of
interventions come from the Stanford five-city project.
The Stanford five city project was more than just a mass media campaign. It included
other health education interventions such as community education programs, patient
education materials for GP distribution. All programs were designed to encourage
individuals to Ieam about their risk factors and also about how to control for them.
One of the major assumptions made in this intervention is that the actual program ran
for six years. However, the effectiveness measures we have adopted from this study
have assumed that the program runs for only one year.
The HosmtalZRehabilitation Based Intervention
This intervention is aimed at only 4,800 people4, but we have assumed that
approximately 80% will follow the rehabilitation program. Hence, the intervention has
been costed for 3,936 people5.
The main focus of this intervention is on risk-factor management through consultations,
education and exercise programs. As such, the main costs of this intervention are risk-
factor monitoring, staffing, and education materials. An amount of approximately
$55,000 has been set aside for cholesterol screening. This figure is based on the MBS
fee and allows for each individual to be screened once and about 20 % of the target
group to receive a second cholesterol test.
The six-week exercise program includes a one-on-one assessment that will determine
the type of exercise program suitable for each individual. This assessment is part of the
initial consultation and therefore bears no additional cost.
4 The SWSAHS Coronary Heart Disease: A Strategic Plan for Improving Health 1997-2002 (1998) states
that there were approximately 5724 separations in SWSAHS for ICD 410-414. The figure used in the
target group has been adjusted for age group 25 to 75.
5 Campbell et al (1998) found a compliance rate of approximately 82 % for their trial in secondary
prevention clinics.
CHERE Project Report 11 - November 1999
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