Heinemann 1986

Methods	Country: Democratic Republic of Germany Objective: To reduce cardiovascular risk factors, namely smoking, high cholesterol, high blood pressure and sedentary lifestyle. Study Sites: Schleiz and Doppoldiswade Programme name: The Schleiz Project Design: Quasi‐experimental, with Schleiz chosen as the intervention district and Doppoldiswade as the comparison district. Analysis: Cohort analyses, individual as the unit of analysis. Sample size estimates made.
Participants	Population of study sites: Schleiz ‐ 33,000, Doppoldiswade ‐ 46,000 Age: adults, age range not specified Sex: female and male Ethnicity: White
Interventions	Theoretical basis: none specified Components: improvement of the comprehensive healthcare system and optimization of use of existing resources. The programme involved health professionals, teachers, local businesses, local government, schools and sports groups, and also public lectures, and health education materials. Community leaders were expected to model healthy lifestyles, and health personnel could not smoke at work. For people at high risk for heart disease, there were individual consultations, and health education materials were distributed directly to them. Year started: 1976 Duration: 5 yrs Sustainability: No direct evidence was found. However, the programme was extended to other areas in the region and the launch of a number of national activities including CANON were attributed to the project.
Outcomes	Questionnaire: in‐person interview Biochemical measure of smoking: none Baseline: 1976, immediately preceding the intervention Outcome: 1981, 5 yrs after the intervention began. Further follow up: None reported.
Notes	Economic evaluation: A cost‐effectiveness analysis of the overall programme was conducted. Results were 'favourable', but no further information was provided.