Primary Prevention Clinical Trial
Official title:
ProSALUTE: a New Community Program for Cardiovascular Health
The purpose of this study is to determine the efficacy and cost/effectiveness (change in CV risk factors and lifestyle vs costs) of ProSALUTE as a new organizational model of primary CV prevention.
Primary Cardiovascular (CV) prevention programs in the healthcare place and community-based
interventions have a variable impact on health at the population level. The largest benefit
may be obtained by addressing high-risk, disadvantaged and traditionally hard-to-reach
groups.
Effective actions include health promotion, timely screening of modifiable risk factors,
application of evidence-based targets and interventions, broad access to heart-friendly
environments/facilities and dissemination of favorable social norms. Thus, community
prevention is a multifaceted task that requires multidisciplinary collaboration. A suitable
program should be tailored to the specific social context and make the most of local
resources to improve access, adherence and continuity, as well as sustainability.
ProSALUTE is a new model of primary CV prevention for the prevalently low-income and
multiethnic community of Ponte Lambro (n=3600 adults), the neighborhood where the
coordinating hospital (Centro Cardiologico Monzino, Milan, Italy) is located.
Under the coordination of a Case Manager (a Nursing Researcher) the citizens are involved in
a prevention program, which is personalized (content and intensity) according to the
individual global risk and specific risk factors. The citizens follow an individualized
schedule of short-term specialist care. Besides, the participants are "gently nudged" to
make use of local resources that may contribute to sustain a healthy life-style (e.g. parks,
gyms, social services, etc). Moreover, public preventive events for the community are
devised (e.g. healthy-cooking course, walking groups, etc) through a collaborative network
with representatives of the neighborhood.
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