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Unlike the large community-based cardiovascular prevention and smoking cessation trials, where the interventions and evaluations were strongly influenced by research teams and were standardized across communities, the CHPGP attempted to see if local communities could design and implement effective programs (Tarlov, Kehrer, Hall, et al.
In terms of the primary outcome of behavior change, the CHPGP was, like other recently reported community-based efforts (Luepker, Murray, Jacobs, et al.
These declines in the prevalence of substance use may reflect social desirability in responses to the questionnaire, regression to the mean, or the energetic and visible set of activities put in place by the CHPGP program.
Further, in contrast to the NIH programs, the CHPGP evaluation relied exclusively on self-reported measures of behavior.
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