Coeur en santé St-Henri is a five year, community based, multifactorial, heart health promotion programme in a low income, low education neighbourhood in Montreal, Canada.
The objectives of this programme are to improve heart-healthy behaviours among adults of St-Henri.
This paper describes the theoretical model underlying programme development as well as our early field experience implementing interventions.
The design of the intervention programme is based on a behaviour change model adapted from social learning theory, the reasoned action model, and the precede-proceed model.
The Ottawa charter for health promotion provided the framework for the development of specific interventions.
Each intervention is submitted to formative, implementation, and impact evaluations using simple and inexpensive methods.
Thirty nine distinct interventions have been developed and tested in the community, eight related to tobacco, 10 to diet, 7 to physical activity, and 14 which are multifactorial.
The interventions include smoking cessation and healthy recipes contests, a menu labelling and healthy food discount programme in restaurants, a point of choice nutrition education campaign, healthy eating and smoking cessation workshops, a walking club, educational material, print and electronic media campaigns, and community events.
An integrated heart health promotion programme is feasible in low income urban neighbourhoods but not all in.
Mots-clés Pascal : Prévention, Appareil circulatoire pathologie, Coeur, Programme sanitaire, Revenu individuel, Faible, Niveau étude, Modèle théorique, Canada, Comportement, Facteur risque, Homme, Promotion santé, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Prevention, Cardiovascular disease, Heart, Sanitary program, Personal income, Low, Education level, Theoretical model, Canada, Behavior, Risk factor, Human, Health promotion, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0555901
Code Inist : 002B30A01C. Création : 01/03/1996.