{"id":"https://openalex.org/W2947632560","doi":"https://doi.org/10.1186/s12913-019-4117-y","title":"Cost-effectiveness of a community-based cardiovascular disease prevention intervention in medically underserved rural areas","display_name":"Cost-effectiveness of a community-based cardiovascular disease prevention intervention in medically underserved rural areas","publication_year":2019,"publication_date":"2019-05-16","ids":{"openalex":"https://openalex.org/W2947632560","doi":"https://doi.org/10.1186/s12913-019-4117-y","mag":"2947632560","pmid":"https://pubmed.ncbi.nlm.nih.gov/31096977","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/6524317"},"language":"en","primary_location":{"id":"doi:10.1186/s12913-019-4117-y","doi":"https://doi.org/10.1186/s12913-019-4117-y","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12913-019-4117-y","pdf_url":"https://bmchealthservres.biomedcentral.com/track/pdf/10.1186/s12913-019-4117-y","source":{"id":"https://openalex.org/S12898181","display_name":"BMC Health Services Research","issn_l":"1472-6963","issn":["1472-6963"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Health Services Research","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://bmchealthservres.biomedcentral.com/track/pdf/10.1186/s12913-019-4117-y","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"Hua Wang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I205783295","display_name":"Cornell University","ror":"https://ror.org/05bnh6r87","country_code":"US","type":"education","lineage":["https://openalex.org/I205783295"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Hua Wang","raw_affiliation_strings":["Cornell University, 292 Martha Van Rensselaer Hall, Ithaca, NY, 14853, USA. hw227@cornell.edu","Cornell University, 292 Martha Van Rensselaer Hall, Ithaca, NY, 14853, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cornell University, 292 Martha Van Rensselaer Hall, Ithaca, NY, 14853, USA. hw227@cornell.edu","institution_ids":["https://openalex.org/I205783295"]},{"raw_affiliation_string":"Cornell University, 292 Martha Van Rensselaer Hall, Ithaca, NY, 14853, USA","institution_ids":["https://openalex.org/I205783295"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5079340194","display_name":"Donald Kenkel","orcid":"https://orcid.org/0000-0002-9032-8477","observed_orcids":["https://orcid.org/0000-0002-9032-8477"]},"institutions":[{"id":"https://openalex.org/I205783295","display_name":"Cornell University","ror":"https://ror.org/05bnh6r87","country_code":"US","type":"education","lineage":["https://openalex.org/I205783295"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Donald Kenkel","raw_affiliation_strings":["Cornell University, 2310 Martha Van Rensselaer Hall, Ithaca, NY, 14853, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cornell University, 2310 Martha Van Rensselaer Hall, Ithaca, NY, 14853, USA","institution_ids":["https://openalex.org/I205783295"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5043346689","display_name":"Meredith L. Graham","orcid":"https://orcid.org/0000-0001-8989-1417","observed_orcids":["https://orcid.org/0000-0001-8989-1417"]},"institutions":[{"id":"https://openalex.org/I205783295","display_name":"Cornell University","ror":"https://ror.org/05bnh6r87","country_code":"US","type":"education","lineage":["https://openalex.org/I205783295"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Meredith L. Graham","raw_affiliation_strings":["Cornell University, 414 Savage Hall, Ithaca, NY, 14853, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cornell University, 414 Savage Hall, Ithaca, NY, 14853, USA","institution_ids":["https://openalex.org/I205783295"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5053778480","display_name":"Lynn C. Paul","orcid":"https://orcid.org/0000-0002-0581-5503","observed_orcids":["https://orcid.org/0000-0002-0581-5503"]},"institutions":[{"id":"https://openalex.org/I23732399","display_name":"Montana State University","ror":"https://ror.org/02w0trx84","country_code":"US","type":"education","lineage":["https://openalex.org/I23732399","https://openalex.org/I4210126032"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lynn C. Paul","raw_affiliation_strings":["Montana State University, 322 Reid Hall, Bozeman, MT, 59717, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Montana State University, 322 Reid Hall, Bozeman, MT, 59717, USA","institution_ids":["https://openalex.org/I23732399"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5090457496","display_name":"Sara C. Folta","orcid":"https://orcid.org/0000-0002-4366-5622","observed_orcids":["https://orcid.org/0000-0002-4366-5622"]},"institutions":[{"id":"https://openalex.org/I121934306","display_name":"Tufts University","ror":"https://ror.org/05wvpxv85","country_code":"US","type":"education","lineage":["https://openalex.org/I121934306"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sara C. Folta","raw_affiliation_strings":["Tufts University, 150 Harrison Ave, Boston, MA, 02111, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Tufts University, 150 Harrison Ave, Boston, MA, 02111, USA","institution_ids":["https://openalex.org/I121934306"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039589467","display_name":"Miriam E. Nelson","orcid":"https://orcid.org/0000-0003-3342-9754","observed_orcids":["https://orcid.org/0000-0003-3342-9754"]},"institutions":[{"id":"https://openalex.org/I47631775","display_name":"Hampshire College","ror":"https://ror.org/03pe1mm80","country_code":"US","type":"education","lineage":["https://openalex.org/I47631775"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Miriam E. Nelson","raw_affiliation_strings":["Hampshire College, 893 West St, Amherst, MA, 01002, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hampshire College, 893 West St, Amherst, MA, 01002, USA","institution_ids":["https://openalex.org/I47631775"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5047315523","display_name":"David S. Strogatz","orcid":"https://orcid.org/0000-0002-5805-6280","observed_orcids":["https://orcid.org/0000-0002-5805-6280"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"David Strogatz","raw_affiliation_strings":["Bassett Research Institute, One Atwell Rd, Cooperstown, NY, 13326, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bassett Research Institute, One Atwell Rd, Cooperstown, NY, 13326, USA","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5080685522","display_name":"Rebecca A. Seguin\u2010Fowler","orcid":"https://orcid.org/0000-0002-5115-2341","observed_orcids":["https://orcid.org/0000-0002-5115-2341"]},"institutions":[{"id":"https://openalex.org/I205783295","display_name":"Cornell University","ror":"https://ror.org/05bnh6r87","country_code":"US","type":"education","lineage":["https://openalex.org/I205783295"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rebecca A. Seguin","raw_affiliation_strings":["Cornell University, 412 Savage Hall, Ithaca, NY, 14853, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cornell University, 412 Savage Hall, Ithaca, NY, 14853, USA","institution_ids":["https://openalex.org/I205783295"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I205783295"],"apc_list":{"value":2390,"currency":"USD","value_usd":2390},"apc_paid":{"value":2390,"currency":"USD","value_usd":2390},"fwci":0.6878,"has_fulltext":true,"cited_by_count":13,"citation_normalized_percentile":{"value":0.71947857,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":87,"max":97},"biblio":{"volume":"19","issue":"1","first_page":"315","last_page":"315"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T14212","display_name":"Health Promotion and Cardiovascular Prevention","score":0.4871000051498413,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T14212","display_name":"Health Promotion and Cardiovascular Prevention","score":0.4871000051498413,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10804","display_name":"Health Systems, Economic Evaluations, Quality of Life","score":0.2671000063419342,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13522","display_name":"Cardiovascular Health and Risk Factors","score":0.1851000040769577,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/cardiovascular-disease-prevention","display_name":"cardiovascular disease prevention","score":0.9079999923706055},{"id":"https://openalex.org/keywords/cost-effectiveness","display_name":"cost-effectiveness","score":0.8080000281333923},{"id":"https://openalex.org/keywords/rural-women","display_name":"rural women","score":0.7990000247955322},{"id":"https://openalex.org/keywords/medically-underserved-populations","display_name":"medically underserved populations","score":0.8560000061988831},{"id":"https://openalex.org/keywords/health-disparities","display_name":"health disparities","score":0.5699999928474426},{"id":"https://openalex.org/keywords/diet-and-physical-activity","display_name":"diet and physical activity","score":0.8360000252723694},{"id":"https://openalex.org/keywords/weight-loss","display_name":"weight loss","score":0.9750000238418579},{"id":"https://openalex.org/keywords/quality-adjusted-life-years","display_name":"quality-adjusted life years","score":0.9929999709129333},{"id":"https://openalex.org/keywords/community-based-intervention","display_name":"community-based intervention","score":0.6159999966621399},{"id":"https://openalex.org/keywords/resource-costs","display_name":"resource costs","score":0.4090000092983246},{"id":"https://openalex.org/keywords/willingness-to-pay-threshold","display_name":"willingness-to-pay threshold","score":0.7680000066757202}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9202489256858826},{"id":"https://openalex.org/C137992405","wikidata":"https://www.wikidata.org/wiki/Q1137608","display_name":"Health administration","level":3,"score":0.7839840650558472},{"id":"https://openalex.org/C518773536","wikidata":"https://www.wikidata.org/wiki/Q918533","display_name":"Nursing research","level":2,"score":0.7625774145126343},{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.7413970828056335},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.6668733358383179},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.637391209602356},{"id":"https://openalex.org/C2780877353","wikidata":"https://www.wikidata.org/wiki/Q2518253","display_name":"Health services research","level":3,"score":0.5576136112213135},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.5165426135063171},{"id":"https://openalex.org/C524218345","wikidata":"https://www.wikidata.org/wiki/Q31218","display_name":"Health economics","level":3,"score":0.5158054828643799},{"id":"https://openalex.org/C2775951005","wikidata":"https://www.wikidata.org/wiki/Q3473024","display_name":"Community health","level":3,"score":0.44817766547203064},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.4153946042060852},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.37386178970336914},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.33084672689437866},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.30520448088645935},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.212134450674057}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002318","descriptor_name":"Cardiovascular Diseases","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D002318","descriptor_name":"Cardiovascular Diseases","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":true},{"descriptor_ui":"D003362","descriptor_name":"Cost-Benefit Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008507","descriptor_name":"Medically Underserved Area","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009009","descriptor_name":"Montana","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009518","descriptor_name":"New York","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011314","descriptor_name":"Preventive Health Services","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015431","descriptor_name":"Weight Loss","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015438","descriptor_name":"Health Behavior","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019035","descriptor_name":"Rural Health Services","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D019057","descriptor_name":"Quality-Adjusted Life Years","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D050177","descriptor_name":"Overweight","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":5,"locations":[{"id":"doi:10.1186/s12913-019-4117-y","doi":"https://doi.org/10.1186/s12913-019-4117-y","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12913-019-4117-y","pdf_url":"https://bmchealthservres.biomedcentral.com/track/pdf/10.1186/s12913-019-4117-y","source":{"id":"https://openalex.org/S12898181","display_name":"BMC Health Services Research","issn_l":"1472-6963","issn":["1472-6963"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Health Services Research","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:5503477","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6524317","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:6524317","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6524317","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Health Serv Res","raw_type":"Text"},{"id":"pmid:31096977","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/31096977","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC health services research","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:3277456c1964457f95457d86c7042d35","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/3277456c1964457f95457d86c7042d35","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMC Health Services Research, Vol 19, Iss 1, Pp 1-13 (2019)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1186/s12913-019-4117-y","doi":"https://doi.org/10.1186/s12913-019-4117-y","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12913-019-4117-y","pdf_url":"https://bmchealthservres.biomedcentral.com/track/pdf/10.1186/s12913-019-4117-y","source":{"id":"https://openalex.org/S12898181","display_name":"BMC Health Services Research","issn_l":"1472-6963","issn":["1472-6963"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Health Services Research","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"},{"id":"https://metadata.un.org/sdg/10","score":0.5,"display_name":"Reduced inequalities"},{"id":"https://metadata.un.org/sdg/1","score":0.41670000553131104,"display_name":"No poverty"}],"study_designs":[],"awards":[{"id":"https://openalex.org/G2305005192","display_name":"Strong Hearts_Healthy Communities_A Rural Community CVD Prevention Program","funder_award_id":"R01HL120702","funder_id":"https://openalex.org/F4320337338","funder_display_name":"National Heart, Lung, and Blood Institute"}],"funders":[{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"},{"id":"https://openalex.org/F4320337338","display_name":"National Heart, Lung, and Blood Institute","ror":"https://ror.org/012pb6c26"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2947632560.pdf","grobid_xml":"https://content.openalex.org/works/W2947632560.grobid-xml"},"referenced_works_count":40,"referenced_works":["https://openalex.org/W75741114","https://openalex.org/W125973902","https://openalex.org/W1749910810","https://openalex.org/W1858536314","https://openalex.org/W1946008748","https://openalex.org/W1965742150","https://openalex.org/W1970606072","https://openalex.org/W1989477582","https://openalex.org/W1994943716","https://openalex.org/W2004101677","https://openalex.org/W2033268404","https://openalex.org/W2043178855","https://openalex.org/W2046046404","https://openalex.org/W2048255680","https://openalex.org/W2055619155","https://openalex.org/W2055757622","https://openalex.org/W2060146440","https://openalex.org/W2080218939","https://openalex.org/W2082563882","https://openalex.org/W2092317085","https://openalex.org/W2102907023","https://openalex.org/W2106941839","https://openalex.org/W2110299939","https://openalex.org/W2114952676","https://openalex.org/W2117950220","https://openalex.org/W2119036567","https://openalex.org/W2127269539","https://openalex.org/W2132305200","https://openalex.org/W2148621823","https://openalex.org/W2149827605","https://openalex.org/W2152802657","https://openalex.org/W2168536722","https://openalex.org/W2181669463","https://openalex.org/W2228687341","https://openalex.org/W2282858650","https://openalex.org/W2519603001","https://openalex.org/W2791453970","https://openalex.org/W2801254450","https://openalex.org/W2984280663","https://openalex.org/W3001764054"],"related_works":["https://openalex.org/W4415304485","https://openalex.org/W2971735711","https://openalex.org/W2282858650","https://openalex.org/W2946470255","https://openalex.org/W1970606072","https://openalex.org/W2055619155","https://openalex.org/W2803949389","https://openalex.org/W2153547577","https://openalex.org/W2846716113","https://openalex.org/W4324062078"],"abstract_inverted_index":{"BACKGROUND:":[0],"Rural":[1],"women":[2,189],"experience":[3],"health":[4,153],"disparities":[5],"in":[6,52,56,74,165,255,299,308],"terms":[7,53],"of":[8,27,39,54,177,186,200,218,316],"cardiovascular":[9],"disease":[10],"(CVD)":[11],"risk":[12,58],"compared":[13,47,160,190],"to":[14,31,48,82,161,191,226,234,268,313],"urban":[15,310],"women.":[16],"Cost-effective":[17],"CVD-prevention":[18],"programs":[19,307],"are":[20,302],"needed":[21],"for":[22,144,182,277,326],"this":[23,28],"population.":[24],"The":[25,128,168,197,206],"objective":[26],"study":[29],"was":[30,202,214],"conduct":[32],"cost":[33,129,199,235],"analysis":[34,130],"and":[35,63,76,95,120,134,147,175,318],"cost-effectiveness":[36,208,259],"analyses":[37,251],"(CEAs)":[38],"the":[40,132,145,151,156,162,166,172,192,211,238,245,256],"Strong":[41],"Hearts,":[42],"Healthy":[43],"Communities":[44],"(SHHC)":[45],"program":[46,51,90,109,297],"a":[49,84,103,178,183,222,314],"control":[50,108,148],"change":[55],"CVD":[57],"factors,":[59],"including":[60],"body":[61],"weight":[62,219],"quality-adjusted":[64],"life":[65],"years":[66,123],"(QALYs).":[67],"METHODS:":[68],"Sixteen":[69],"medically":[70],"underserved":[71],"rural":[72,300],"towns":[73],"Montana":[75],"New":[77],"York":[78],"were":[79,115,126,159],"randomly":[80],"assigned":[81],"SHHC,":[83],"six-month":[85],"twice-weekly":[86],"experiential":[87],"learning":[88],"lifestyle":[89,106],"focused":[91],"predominantly":[92],"on":[93,275,338],"diet":[94],"physical":[96,319],"activity":[97,320],"behaviors":[98],"(n":[99,110],"=":[100,111],"101),":[101],"or":[102,118,124],"monthly":[104],"healthy":[105],"education-only":[107],"93).":[112],"Females":[113],"who":[114],"sedentary,":[116],"overweight":[117],"obese,":[119],"aged":[121],"40":[122],"older":[125],"enrolled.":[127],"calculated":[131],"total":[133],"per":[135,204,216,228],"participant":[136],"resource":[137,198],"costs":[138,143,158,174,298],"as":[139,141,322,324],"well":[140,323],"participants'":[142],"SHHC":[146,180,201,231,264],"programs.":[149],"In":[150],"intermediate":[152],"outcomes":[154],"CEAs,":[155],"incremental":[157,163,173,207,258],"changes":[164],"outcomes.":[167],"QALY":[169,229],"CEA":[170],"compares":[171],"effectiveness":[176],"national":[179,263],"intervention":[181,265],"hypothetical":[184],"cohort":[185],"2.2":[187],"million":[188],"status":[193],"quo":[194],"alternative.":[195],"RESULTS:":[196],"$775":[203],"participant.":[205],"ratios":[209],"from":[210,237,244],"payer's":[212],"perspective":[213],"$360":[215],"kg":[217],"loss.":[220],"Over":[221],"10-year":[223],"time":[224],"horizon,":[225],"avert":[227],"lost":[230],"is":[232,266,294],"estimated":[233,257],"$238,271":[236],"societal":[239],"perspective,":[240],"but":[241,282],"only":[242],"$62,646":[243],"healthcare":[246],"sector":[247],"perspective.":[248],"Probabilistic":[249],"sensitivity":[250],"show":[252],"considerable":[253],"uncertainty":[254],"ratios.":[260],"CONCLUSIONS:":[261],"A":[262],"likely":[267],"be":[269,285],"cost-effective":[270],"at":[271,286],"willingness-to-pay":[272],"thresholds":[273],"based":[274],"guidelines":[276],"federal":[278],"regulatory":[279],"impact":[280],"analysis,":[281],"may":[283],"not":[284],"commonly":[287],"used":[288],"lower":[289],"threshold":[290],"values.":[291],"However,":[292],"it":[293],"possible":[295],"that":[296],"areas":[301],"higher":[303],"than":[304],"previously":[305],"studied":[306],"more":[309],"areas,":[311],"due":[312],"lack":[315],"staff":[317],"resources":[321],"availability":[325],"partnerships":[327],"with":[328],"existing":[329],"organizations.":[330],"TRIAL":[331],"REGISTRATION:":[332],"ClinicalTrials.gov":[333],"identifier":[334],"NCT02499731":[335],",":[336],"registered":[337],"July":[339],"16,":[340],"2015.":[341]},"counts_by_year":[{"year":2026,"cited_by_count":3},{"year":2025,"cited_by_count":4},{"year":2024,"cited_by_count":3},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":1}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2019-06-07T00:00:00"}