Marilyn A. Winkleby|J A Flora|Helena C. Kraemer
A community-based heart disease intervention: predictors of change.
Stanford University|Stanford University|Stanford University
paper presents prospective examination sociodemographic psychosocial physiologic characteristics associated positive change cardiovascular disease risk factors 6year multiple risk factor intervention studydata presented 221 women 190 men aged 25 74 years participated four cohort surveys 1979 1985 signal detection model used identify baseline variables best divide sample subgroups basis probability positive change composite risk factor scoresixtynine percent respondents showed positive change risk factor score intervention subgroup highest proportion positive changers 83 composed older adults 55 years highest perceived risk highest health media use highest blood pressure cholesterol levels subgroup lowest proportion positive changers 42 least educated likely hispanic lowest health knowledge selfefficacy scoresthe differing composition subgroups respond respond community cardiovascular disease interventions illustrates need develop specific interventions target different age socioeconomic cultural subgroups