Implementing a standardized community-based cardiovascular risk assessment program in 20 Ontario communities

Area of Science:

• Public Health
• Cardiovascular Health
• Health Services Research

Background:

• Cardiovascular disease prevention requires effective community-based programs.
• Implementing multi-site health initiatives presents unique logistical challenges.
• The Cardiovascular Health Awareness Program (CHAP) aimed to address cardiovascular risk in mid-sized communities.

Purpose of the Study:

• To describe the implementation of CHAP across 20 Ontario communities.
• To identify critical success factors for delivering a collaborative cardiovascular risk assessment program at multiple sites.

Main Methods:

• A request for proposals identified lead organizations for program implementation.
• An Implementation Guide provided standardized steps for community mobilization and pharmacy-based risk assessment.
• Process data were gathered through final reports, debriefing meetings, and staff interviews.

Main Results:

• All 20 communities successfully implemented CHAP, with high physician (99%) and pharmacy (89%) participation.
• 577 volunteers conducted 27,358 risk assessments for 15,889 participants.
• Essential program components were maintained, though variations in materials, processes, and support were noted.

Conclusions:

• Successful multi-site delivery of CHAP was achieved through local expertise, centralized support, and engagement of opinion leaders.
• A balance between standardization and flexibility is crucial for transferable health program models.
• Monitoring implementation provides valuable insights for developing sustainable cardiovascular risk management strategies.