Designing a community participation management model to control the epidemic of heart coronary artery diseases for Tehran province

Abstract

Background: Coronary artery disease (CAD) is the most important disease in the cardiovascular diseases and is the most important cause of death in developed and developing countries. Today, the participation of communities in government programs is considered as an important indicator of the success rate and development process of societies. This study was conducted with the aim of designing a community participation management model for control of CAD. Materials and Methods: This study was carried out practically, quantitatively, and qualitatively in seven steps. The sample consisted of 400 people. The instrument for measuring this research is a questionnaire of 35 questions that is gathered through referring to the centers and observing and interviewing and reviewing the findings of previous research. The data were analyzed using “exploratory and confirmatory factor analysis” and “Amos 24” and “SPSS 20” software. Results: A total of five factors have been identified as effective in managing people's participation in controlling the epidemic of CAD, including policy, planning, organizing, coordinating, and financing. Of these factors, policy-making and coordination have the most (0.96) and least (0.43) impact, respectively, on managing people's participation in controlling the epidemic of CADs. Conclusion: Results suggest that community-based CAD programs should be implemented and evaluated in accordance with clear rules and principles. All of the community should participate and establish close relationships with the national authorities.

Keywords

• community participation
• coronary artery disease
• disease control and prevention