Abstract

This paper reviews issues that arise in the evaluation of community-based heart disease prevention programs and offers suggestions for improving future evaluations of these programs. A framework encompassing the evaluation of process, impact and social relevance guides this discussion. The goal of the framework is to divide the question, “do community-based health programs work?”, into more easily answered evaluation questions. in doing so, interventions that promote the health of community residents are likely to be designed and implemented successfully.

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