A partnership with minority populations: a community model of effectiveness research.

D. M. Levine, D. M. Becker, L. R. Bone, F. A. Stillman, M. B. Tuggle, M. Prentice, J. Carter, J. Filippeli

Research output: Contribution to journalArticlepeer-review

40 Scopus citations


This paper describes a community-based approach, including a partnership of an academic medical institution and a high-risk, urban, African-American population, directed at decreasing premature morbidity and mortality and enhancing health and functional status. The intervention approach is based on a model of community-based leadership and "ownership" of interventions and programs to enhance sustainability of effective approaches, and it follows specific stages to assure appropriate assessment and evaluation. Initial efforts were directed at the control of hypertension and were coordinated through decentralized mayor's stations in Baltimore, Maryland. This approach was successful in significantly enhancing control of hypertension and reducing related morbidity and mortality. Over time, an enhanced partnership has been coordinated through churches in the community and organized around a program entitled "Heart, Body, and Soul." Current efforts are directed at the major risk factors and preventable and/or controllable problems in the population, such as hypertension, smoking, obesity, diabetes, hyperlipidemia, and cervical and breast cancer. Key components include the training of neighborhood health workers to provide screening, counseling, monitoring, support, and follow-up; enhanced access to care; training of high school students as health counselors; and use of media to promote healthier life-styles.

Original languageEnglish (US)
Pages (from-to)296-305
Number of pages10
JournalEthnicity & disease
Issue number3
StatePublished - Jun 1 1992

ASJC Scopus subject areas

  • Epidemiology


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