Skip to main content

Heart Health Program

Applying Social Influence Processes in a Large-Scale Community Health Promotion Program

  • Chapter
Social Influence Processes and Prevention

Abstract

Social influence processes have played an important role in the conceptual underpinnings, development, and implementation of the Minnesota Heart Health Program (MHHP). MHHP is a communitywide program developed to prevent illness and disability by helping people reduce their own risk factors associated with heart disease. This chapter describes the program as a way of illustrating how social influence processes have been used in a primary prevention program. (The program has been described at length elsewhere; see Blackburn et al., 1984; Mittelmark et al., 1986).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Englewood Cliffs, NJ: Prentice-Hall.

    Google Scholar 

  • Anderson, N. H. (1971). Integration theory and attitude change. Psychological Review, 78, 171–206.

    Article  Google Scholar 

  • Anderson, N. H. (1974). Cognitive algebra: Integration theory applied to social attribution. In L. Berkowitz (Ed.), Advances in experimental social psychology (Vol. 7). New York: Academic Press.

    Google Scholar 

  • Bagozzi, R. P. (1981). Attitudes, intentions, and behavior: A test of some key hypotheses. Journal of Personality and Social Psychology, 41, 607–627.

    Article  Google Scholar 

  • Bandura, A. (1977a). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84(2), 191–215.

    Article  PubMed  Google Scholar 

  • Bandura, A. (1977b). Social learning theory. Englewood Cliffs, NJ: Prentice-Hall.

    Google Scholar 

  • Bandura, A. (1978). The self system in reciprocal determinism. American Psychologist, 32, 344–358.

    Article  Google Scholar 

  • Becker, M. H. (1974). The health belief model and sick role behavior. Health Education Monographs, 2, 409–419.

    Google Scholar 

  • Bentler, P. M., & Speckart, G. (1979). Models of attitude-behavior relations. Psychological Review, 86, 452–464.

    Article  Google Scholar 

  • Blackburn, H., Luepker, R., Kline, F. G., Bracht, N., Carlaw, R., Jacobs, D., Mittelmark, M., Stauffer, L., & Taylor, H. L. (1984). The Minnesota Heart Health Program: A research and demonstration project in cardiovascular disease prevention. In J. D. Matarazzo, S. M. Weiss, J. A. Herd, N. E. Miller, & S. W. Weiss, Behavioral health: A handbook of health enhancement and disease prevention. New York: Wiley.

    Google Scholar 

  • Carlaw, R. W., Mittelmark, M. B., Bracht, N., & Luepker, R. (1984). Organization for a community cardiovascular health program: Experiences from the Minnesota Heart Health Program. Health Education Quarterly, 77(3), 243–252.

    Article  Google Scholar 

  • Finnegan, J. R., Bracht, N. F., & Viswanath, K. (1989). Community power and leadership analyses: Formative research strategies for lifestyle campaigns. In C. Salmon (Ed.), Information campaigns: Managing the process of social change (Annual Review of Communication Research, Vol. 18). Newbury Park, CA: Sage.

    Google Scholar 

  • Fishbein, M., & Ajzen, I. (1975). Beliefs, attitude, intentions, and behavior. Reading, MA: Addison-Wesley.

    Google Scholar 

  • Flay, B. R. (1985). What we know about social inference approach to smoking prevention: Review and recommendations. In C. Bell, Prevention research: Deterring drug abuse among children and adolescents U. S. Department of Health and Human Services Publication No. (APN) 85, 67–112. Washington DC: U. S. Government Printing Office.

    Google Scholar 

  • Flay, B. R. (1986). Efficacy and effectiveness trials (and other phases of research) in the development of health promotion programs. Preventive Medicine, 15, 451–474.

    Article  PubMed  Google Scholar 

  • Forster, J. L., Jeffreys, R. W., Schmid, T. L., & Kramer, M. (1988). Preventing weight gain in adults: A pound of prevention. Health Psychology, 7(6), 515–525.

    Article  PubMed  Google Scholar 

  • Fredricks, A. J., & Dossett, D. L. (1983). Attitude-behavior relations: A comparison of the Fishbein-Ajzen and Bentler-Speckart models. Journal of Personality and Social Psychology, 45, 501–512.

    Article  Google Scholar 

  • Godin, G., Valois, T., Shephard, R. J., & Desharnais, R. (1987). Prediction of Leisure-time exercise behavior: A path analysis (LISREL V) model. Journal of Behaviour Medicine, 70(2), 145–158.

    Article  Google Scholar 

  • Hoverstad, R., & Howard-Pitney, B. (1986). Involvement in heart health issues: A field experiment. In Advances in health care research (pp. 18-21). Snowbird, Utah: American Association for Advances in Health Care Research.

    Google Scholar 

  • Hovland, C. I., Janis, I. L., & Kelley, H. H. (1953). Communication and persuasion. New Haven: Yale University Press.

    Google Scholar 

  • Isen, A. M. (1984). Toward understanding the role of affect in cognition. In R. S. Wyer & T. Srull (Eds.), Handbook of social cognition (pp. 179–235). Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Janis, I. L., & Feshbach, S. (1953). Effects of fear-arousing communications. Journal of Abnormal and Social Psychology, 48, 78–92.

    Article  Google Scholar 

  • Jessor, R., & Jessor, S. L. (1977). Problem behavior and psychosocial development: A longitudinal study of youth. New York: Academic Press.

    Google Scholar 

  • Joreskog, K. G., & Sorbom, D. (1984). LISREL VI: Analysis of linear structural relationships by the method of maximum likelihood. Mooresvile, IN: Scientific Software.

    Google Scholar 

  • Klepp, K. I., Halper, A., & Perry, C. L. (1986). The efficacy of peer leaders in drug abuse prevention. Journal of School Health, 56(9), 407–411.

    Article  PubMed  Google Scholar 

  • Lewin, K., (1948). Action research and minority problems. In G. W. Lewin (Ed.), Resolving social conflicts. New York: Harper.

    Google Scholar 

  • Loken, B., & Shimanski, J. (1988). Salient beliefs underlying salt use and smoking behaviors. Working paper.

    Google Scholar 

  • MacBride, C., Pirie, P., Sorenson, G., & Kurth, C. (1986). Organizational study involving Bloomington churches and worksites. Internal report to MHHP investigators.

    Google Scholar 

  • McGuire, W. J. (1969). The nature of attitudes and attitude change. In G. Lindzey & E. Aronson (Eds.), The handbook of social psychology (2nd ed., vol. 3, pp. 136–314). Reading, MA: Addison-Wesley.

    Google Scholar 

  • McGuire, W. J. (1985). Attitudes and attitude change. In G. Lindzey & E. Aronson (Eds.), The handbook of social psychology, (3rd. ed., vol. 2, pp. 233–346). New York: Random House.

    Google Scholar 

  • Mittelmark, M. B., Luepker, R. V., Jacobs, D. R., Bracht, N. F., Carlaw, R. W., Crow, R. S., Finnegan, J., Grimm, R. H., Jeffrey, R. W., Kline, F. G., Mullis, R. M., Murray, D. M., Pechacek, T. F., Perry, C. L., Pirie, P. L., & Blackburn, H. (1986). Community-wide prevention of cardiovascular disease education strategies of the Minnesota Heart Health Program. Preventive Medicine, 15, 1–17.

    Article  PubMed  Google Scholar 

  • Murray, D. M. (1986). Dissemination of community health promotion programs: The Fargo-Moorhead Heart Health Program. Journal of School Health, 56(9), 375–381.

    Article  PubMed  Google Scholar 

  • Murray, D. M., Luepker, R. V., Pirie, P. L., Grimm, R. H., Jr., Bloom, E., Davis, M. A., & Blackburn, H. (1986). Systematic risk factor screening and education: A community-wide approach to prevention of coronary heart disease. Preventive Medicine, 15, 661–672.

    Article  PubMed  Google Scholar 

  • National Heart, Lung, and Blood Institute. (1983). Guidelines for demonstration and education research grants. Washington, DC: Author.

    Google Scholar 

  • Perry, C. L. (1986). Community-wide health promotion and drug abuse prevention. Journal of School Health, 56(9), 359–363.

    Article  PubMed  Google Scholar 

  • Perry, C. L., & Jessor, R. (1985). The concept of health promotion and the prevention of adolescent drug abuse. Health Education Quarterly, 12(2), 169–184.

    Article  PubMed  Google Scholar 

  • Perry, C. L., & Murray, D. M. (1982). Enhancing the transition years: The challenge of adolescent health promotion. Journal of School Health, May, 307-310.

    Google Scholar 

  • Petty, R. E., & Cacioppo, J. T. (1981). Attitudes and persuasion: Classic and contemporary approaches. Dubuque, IA: Wm. C. Brown.

    Google Scholar 

  • Ray, M. L., & Ward, S. (1970). Fear: The potential of an appeal neglected in advertising. Journal of Marketing, 34, 54–62.

    Article  Google Scholar 

  • Rogers, E. M. (1983). Diffusion of innovations. New York: Free Press.

    Google Scholar 

  • Rogers, E., & Shoemaker, F. (1971). Communication of innovations: A cross-cultural approach. New York: Free Press.

    Google Scholar 

  • Rosenstock, I. M. (1966). Why people use health services. Milbank Memorial Fund Quarterly, 44, 97–127.

    Article  Google Scholar 

  • Salmon, C. T., Loken, B., & Finnegan, J., Jr. (1985). Direct mail in a cardiovascular health campaign: Use and effectiveness. Evaluation and the Health Professions, 8(4), 438–52.

    Article  Google Scholar 

  • Shimp, T. A., & Kavas, A. (1984). The theory of reasoned action applied to coupon usage. Journal of Consumer Research, 11, 795–809.

    Article  Google Scholar 

  • Sternthal, B., & Craig, C. S. (1974). Fear appeals: Revisited and revised. Journal of Consumer Research, 1, 22–34.

    Article  Google Scholar 

  • Swim, J., Loken, B., & Howard-Pitney, B. (1987). A longitudinal test of attitude behavior models. Paper presented at the Midwestern Psychological Association, Chicago.

    Google Scholar 

  • Swim, J., Loken, B., Leslie, M., & Bracht, N. (1988). Bloomington neighborhood “pilot” study. Internal report to MHHP investigators.

    Google Scholar 

  • Triandis, H. C. (1977). Interpersonal behavior. Monterey, CA: Brooks/Cole.

    Google Scholar 

  • Webb, R. A. J. (1974). Fear and communication. Journal of Drug Education, 4, 97–103.

    Article  Google Scholar 

  • Wyer, R. S., Jr. (1974). Cognitive organization and change: An information-processing approach. Hillsdale, NJ: Erlbaum.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1990 Springer Science+Business Media New York

About this chapter

Cite this chapter

Loken, B., Swim, J., Mittelmark, M.B. (1990). Heart Health Program. In: Edwards, J., Tindale, R.S., Heath, L., Posavac, E.J. (eds) Social Influence Processes and Prevention. Social Psychological Applications to Social Issues, vol 1. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-2094-2_7

Download citation

  • DOI: https://doi.org/10.1007/978-1-4899-2094-2_7

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-2096-6

  • Online ISBN: 978-1-4899-2094-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics