Out of context? Translating evidence from the North Karelia project over place and time.

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  • Author(s): McLaren L;McLaren L; Ghali LM; Lorenzetti D; Rock M
  • Source:
    Health education research [Health Educ Res] 2007 Jun; Vol. 22 (3), pp. 414-24. Date of Electronic Publication: 2006 Sep 18.
  • Publication Type:
    Journal Article; Research Support, Non-U.S. Gov't; Review; Validation Study
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Oxford University Press Country of Publication: England NLM ID: 8608459 Publication Model: Print-Electronic Cited Medium: Print ISSN: 0268-1153 (Print) Linking ISSN: 02681153 NLM ISO Abbreviation: Health Educ Res
    • Publication Information:
      Publication: Oxford : Oxford University Press
      Original Publication: Oxford ; Washington, D.C. : IRL Press, [c1986-
    • Subject Terms:
      Community Health Services*; Cardiovascular Diseases/*prevention & control ; Controlled Clinical Trials as Topic/*methods ; Health Promotion/*methods ; Primary Prevention/*methods; California ; Cardiovascular Diseases/ethnology ; Chronic Disease ; Evidence-Based Medicine ; Feeding Behavior ; Finland ; Humans ; Minnesota ; Reproducibility of Results ; Rhode Island ; Socioeconomic Factors ; Treatment Outcome
    • Abstract:
      Within the literature on community-based heart health promotion and chronic disease prevention, the North Karelia project is often viewed as a model program for achieving community-wide reductions in risk factors and mortality associated with cardiovascular disease. In the present study, we examine the tendency to attempt replication of elements of the North Karelia project, without due consideration of the unique population and setting being targeted. We analysed a sample of 64 articles reporting on community-based interventions targeting chronic disease, published between 1990 and 2002. Of these 64 articles, 43 (67%) made explicit reference to North Karelia or one of the other early projects (Stanford, Minnesota, Pawtucket). Of these 43 articles, 8 (19%) explicitly acknowledged the unique features of the population/setting in question, and articulated a need to adapt to these unique features, while 10 (23%) provided no acknowledgment of unique population/setting features. The remaining 25 (58%) were 'in between', and examples from each group are discussed. We conclude that for many contemporary community-based interventions, concern with replicating the North Karelia project is accompanied by inadequate consideration or reporting of the details of the unique context (including people, place and time), and this may undermine the success of community-based health promotion.
    • Number of References:
      70
    • Publication Date:
      Date Created: 20060920 Date Completed: 20070907 Latest Revision: 20191210
    • Publication Date:
      20240628
    • Accession Number:
      10.1093/her/cyl097
    • Accession Number:
      16982650