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Published on: February 19, 2021
The "heartscore" program: a case study in limited evaluation
1Western Reserve Care System Youngstown, Ohio.
Insights
Coronary heart disease (CHD) is a leading cause of death in Youngstown, Ohio. The Heartscore program aims to reduce CHD by raising public awareness of controllable risk factors.
Area of Science:
- Public Health
- Cardiovascular Disease Prevention
- Health Promotion
Background:
- Coronary heart disease (CHD) is the leading cause of death and disability in greater Youngstown, Ohio.
- Regional CHD mortality rates exceed those in other parts of Ohio, indicating a critical public health need.
- A community health promotion program, Heartscore, was developed to address this issue.
Purpose of the Study:
- To describe the Heartscore program, a hospital-based initiative.
- To outline the methods for a limited evaluation of Heartscore's screening components.
- To demonstrate how evaluation data can refine interventions and improve CHD risk reduction.
Main Methods:
- The Heartscore program involved 2,135 participants.
- A limited evaluation focused on the screening aspects of the program due to resource constraints.
- Data from screenings were collected and analyzed to inform program adjustments.
Main Results:
- The evaluation provided useful insights despite resource limitations.
- Information gathered is actively being used to enhance the Heartscore program.
- Findings are guiding the development of more targeted interventions for CHD risk reduction.
Conclusions:
- Limited evaluations can yield valuable data for program improvement.
- Continuous refinement based on screening data is crucial for effective health promotion.
- The Heartscore program demonstrates a practical approach to addressing regional CHD disparities.
Abstract:
In greater Youngstown, Ohio coronary heart disease (CHD) is the number one cause of death and disability. Moreover, mortality rates from CHD are higher in this region than in any other part of Ohio. In response to the obvious need for risk reduction programs in this area the "Heartscore" program was created. Heartscore is a hospital-based community health promotion effort designed to help decrease the incidence of death and disability resulting from CHD by increasing the public's awareness of risk factors and the ways that they can be controlled. A total of 2,135 people took part in Heartscore. Resources for a comprehensive evaluation of the Heartscore program were scarce, therefore only a limited evaluation of the screening programs was conducted. Even a limited evaluation, however, can produce useful results. This article describes Heartscore giving particular attention to how information gathered during the evaluation of the screenings is being used to fine-tune Heartscore and to plan more specific interventions.
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