2023-09-28 14:46:10 +00:00
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abstract: 'PURPOSE: Widespread prevention of cardiovascular disease (CVD) requires
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significant aggregate lifestyle behavior changes. Extensive resources
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including money, time, access, facilities, materials, and programs are
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needed to bring about such behavior changes on a large scale. Over the
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past several decades, funds for large scale public health efforts and
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related CVD research have become more difficult to acquire, and
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prevention efforts have been shifting to state and community sites.
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Thus, large scale behavior modification for CVD prevention requires
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active efforts to access resources from partnerships with multiple
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private sector organizations.
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METHODS: Religious organizations (ROs) are a potentially valuable
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channel with many advantages for undertaking behavior change programming
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in partnership with public health researchers. ROs have a broad, direct
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`''reach'''' with people and provide social support structures, facilities,
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volunteers, communication channels and access to many sub-populations as
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well as a compatible mission and history of interest in health. In spite
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of the many advantages of partnerships between CVD health researchers
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and ROs, very few formal research studies have been conducted. Existing
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reports have emphasized the feasibility and powerful benefits of
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implementing RO-based health programs; however, little data or formal
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hypothesis testing have been reported. Very few formal CVD research
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projects have employed scientifically acceptable research designs with
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random assignment of intact groups to intervention and comparison
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conditions.
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RESULTS: In this review, conducted by the current authors, only six
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projects have been identified that meet these more rigorous scientific
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criteria. In a discussion of these projects, we classify RO-based
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studies into four levels of involvement of the RO: 1) use of ROs as
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sites for recruitment and tracking of experimental subjects; 2) use of
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RO facilities to conduct interventions; 3) involvement of RO members in
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delivering behavior change programs; and 4) the addition of significant
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religious components as an integral part of the intervention. This paper
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discusses the design, results and implications of these studies
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including information on what we already know about conducting research
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with ROs, gaps in existing research and recommendations for future
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studies.
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CONCLUSIONS: There is enormous untapped potential for RO-based CVD
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prevention research, but considerably more work is required to achieve
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the level of research that is currently conducted in other channels such
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as worksites and schools. Health practitioners/researchers and ROs are
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increasingly seizing the opportunity for partnerships to improve health.
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The knowledge gained from these projects and their documented successes
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will hopefully encourage other components of the public health system
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such as hospitals, managed care organizations and departments of health
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to continue developing ways of including ROs in health research and
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behavior change programming. (C) 1997 Elsevier Science Inc.'
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affiliation: 'Lasater, TM (Corresponding Author), BROWN UNIV,MEM HOSP RHODE ISL,CTR
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PRIMARY CARE \& PREVENT,111 BREWSTER ST,PAWTUCKET,RI 02860, USA.
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BROWN UNIV,SCH MED,DEPT COMMUNITY HLTH,PROVIDENCE,RI 02912.
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JOHNS HOPKINS UNIV,SCH MED,CTR HLTH PROMOT,BALTIMORE,MD.
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JOHNS HOPKINS UNIV,SCH MED,DIV GEN INTERNAL MED,BALTIMORE,MD.
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JOHNS HOPKINS UNIV,SCH NURSING,BALTIMORE,MD.'
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author: Lasater, TM and Becker, DM and Hill, MN and Gans, KM
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author_list:
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- family: Lasater
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given: TM
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- family: Becker
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given: DM
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- family: Hill
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given: MN
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- family: Gans
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given: KM
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da: '2023-09-28'
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doi: 10.1016/S1047-2797(97)80007-5
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files: []
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issn: 1047-2797
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journal: ANNALS OF EPIDEMIOLOGY
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keywords: 'religious organization; church; cardiovascular disease prevention;
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research design'
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keywords-plus: 'HEALTH-EDUCATION; CHURCH; COMMUNITY; PROGRAM; HEART; HYPERTENSION;
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INTERVENTION; VOLUNTEERS; PROMOTION; IMPACT'
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language: English
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month: OCT
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note: 'Conference on Community Trials for Cardiopulmonary Health - Directions
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for Public Health Practice, Policy and Research, BETHESDA, MD, SEP
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25-26, 1996'
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number: 7, S
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number-of-cited-references: '62'
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pages: S46-S53
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papis_id: 35202869c943f693c9bccfc63c8977d2
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ref: Lasater1997synthesisfindings
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times-cited: '72'
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title: Synthesis of findings and issues from religious-based cardiovascular disease
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prevention trials
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:A1997YD39500006
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usage-count-last-180-days: '0'
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usage-count-since-2013: '4'
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volume: '7'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '1997'
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