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Stanford Five-City Project Analysis

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National Institutes of Health

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  1. Logistically the Stanford Five-City Project was a large-scale program with intervention efforts targeted at multiple populations, channels, and risk factors
  2. The Stanford Five-City Project approached a variety of risk factors and population characteristics
  3. Once the foundation of the Stanford Five-City Project was established, they moved to implement appropriate campaigns according to the groups and issues they defined.
  4. The Stanford Five-City Project's dispassionate results about CVD prevention
  5. The Stanford Five-City Project considerably contributed to public health promotion knowledge

The connection between risk factors and disease prevention are fundamental to the public health purpose. As the prevalence of cardiovascular disease was rising at alarming rates, public health professionals at Stanford University sought to clarify the most influential risk factors and most effective prevention techniques. They designed a program that analyzed well-supported risk factors, and employed a variety of communication channels. Their goal was to find both the risk factors and intervention methods that would produce the most dynamic effect on cardiovascular disease. The Stanford Five-City Project was a monumental public health program that gained a wealth of information about CVD prevention and prevention campaigns in general.

[...] The Stanford Five-City Project had the objectives of increasing awareness and knowledge of personal risk for CVD, increasing positive attitudes and self-efficacy concerning CVD prevention, and actually reducing risky behavior prevalence and intensity. More specifically, the program promoted reducing cholesterol levels through diet changes, reducing blood pressure through regular exercise, regular blood pressure checks, reducing weight and increasing exercise as necessary, maintaining full adherence to antihypertensive medications, and reducing smoking. The primary source for measuring impact was medical records of cardiovascular incidents and related deaths. [...]

[...] The Stanford Five-City Project also explored an extremely broad and comprehensive range of educational channels and components. This program was one of the first to encompass such a multi-dimensional intervention, and was able to offer sound evidence as to which media and educational methods were most effective. For example, one element of the project was the ?Health Living Program,? which involved bimonthly newsletters, self- help behavior change kits, contests, lectures, and TV programs, and program logos on various newspaper ads, posters, and TV PSAs. [...]

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