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Promising community-level indicators for evaluating cardiovascular health-promotion programs.

A Cheadle1, T D Sterling, T L Schmid

  • 1Department of Health Services, University of Washington, Seattle 98195, USA.

Health Education Research
|May 2, 2000
PubMed
Summary
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Community-level indicators (CLIs) offer a cost-effective method for evaluating health programs. These indicators assess community environments and behaviors, aiding in tracking cardiovascular disease prevention outcomes.

Area of Science:

  • Public Health
  • Health Program Evaluation
  • Community Health Assessment

Background:

  • Evaluating community-based health programs, especially for cardiovascular disease (CVD) prevention, can be expensive.
  • Individual-level surveys may not always be feasible or cost-effective for comprehensive program assessment.

Purpose of the Study:

  • To develop and assess Community-Level Indicators (CLIs) as a supplementary or alternative evaluation method.
  • To identify feasible, reliable, and valid CLIs for tracking CVD prevention program impacts at the community level.

Main Methods:

  • Convened a panel of experts in community-based program evaluation and CVD prevention.
  • Developed CLIs covering tobacco use, physical activity, diet, and cross-cutting behaviors.
  • Categorized indicators into policy/regulation, information, environmental change, and behavioral outcomes.

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  • Rated indicators for feasibility, reliability, and validity.

    • Main Results:

    • A list of CLIs was developed, categorized by behavior and type (policy, information, environment, outcome).
    • Examples include tobacco use laws, physical education policies, and menu guidelines.
    • These indicators provide a framework for communities to track CVD-related outcomes.

    Conclusions:

    • CLIs can supplement or offer a lower-cost alternative to individual-level measures in program evaluation.
    • CLIs are valuable for assessing environmental changes, often an intermediate goal of community programs.
    • The developed indicators serve as a starting point for communities aiming to monitor CVD prevention efforts.