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Health Education Research Advance Access originally published online on June 15, 2004
Health Education Research 2004 19(5):596-607; doi:10.1093/her/cyg076
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Health Education Research Vol.19 no.5, © Oxford University Press 2004; All rights reserved

The Dutch Heart Health Community Intervention ‘Hartslag Limburg’: design and results of a process study

Gaby Ronda1,4, Patricia Van Assema1, Erik Ruland2, Mieke Steenbakkers2 and Johannes Brug1,3

1 Department of Health Education and Promotion, Maastricht University, PO Box 616, 6200 MD Maastricht, 2 Department of Public Health of the Regional Public Health Institute Maastricht, PO Box 3973, 6202 NZ Maastricht and 3 Department of Public Health, Erasmus Medical Center Rotterdam, PO Box 1738, 3000 DR Rotterdam, The Netherlands

4 Correspondence to: G. Ronda; E-mail: G.Ronda{at}GVO.unimaas.nl

In 1998, a regional cardiovascular diseases prevention program was started in The Netherlands. This paper presents the design and results of a process study on the community intervention. The main purpose of the study was to gain insight into the reasons why expected effects were or were not achieved. Data was collected using multiple data sources and/or methods to measure indicators of intervention implementation. The results indicate that the community analysis and the subsequent organization of nine local Health Committees had been satisfactory. However, some factors that might influence the actual functioning of the Health Committees could be improved. Furthermore, the expert training for the members of these Committees had not yet been carried out as planned and there were doubts about the added value of collaboration with experts thus far. Environmental strategies were felt to need more attention and ensuring long-term continuation requires continuous effort. Most of the 293 intervention activities had focused on nutrition, while smoking cessation activities had been given lowest priority. It is concluded that the process evaluation has provided information about successful and less successful elements of the community intervention.


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