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The poster "Intervention through Mediators/Multiplicators" outlines a extended model for mediators and multiplicators. It mentions different sources of the idea to use mediators or multiplicators and shows, how they can be engaged in different tasks. A combination of both concepts to one model for mediators/multiplicators seems to be favorable for interventions in social and preventive medicine.

The case is described of a 32-year-old female patient who has suffered since puberty from acute migraine attacks and Raynaud syndrome of both hands. In June 1981 acute posterior cerebral ischemia occurred. 11/2 years later the patient was hospitalized for acute myocardial infarction with normal and patent coronary arteries. Thereafter, the patient was treated with nifedipin and anticoagulation, and no other vascular complications have since occurred. The authors suggest that the patient is suffering from a diffuse vasospastic disorder leading to migraine attacks, Raynaud syndrome, cerebrovascular ischemia and myocardial infarction, in view of the fact that the patient has no other known risk factors for early vascular complications.

General conditions, the theoretical frame, the contents and purposes of our preventive training of parents are discussed. The attention is drawn to the fact that our preventive training of parents is--at the time being--examined in a pilot study with regard to acceptability and understanding. First results let suppose that our preventive training supports the parents in their educational behavior. An extensive study with two control groups and an accompanying study basing on psycho-pedagogical and social-medical criteria are planned.

The Berne Härz-As (Ace of Heart) project is a randomized trial in changing cardiovascular risk factors, morbidity and subjective health. It further investigates to what extent psychosocial and somatic factors account for these health indicators in the course of at least 4 years. A pilot study conducted in two companies (N = 620) indicates that the project is feasible and acceptable to both management and employees and that the intervention goals are justified.

In an intervention study, parents were offered courses on interpersonal interaction and child education. The evaluation procedures are briefly described and results concerning two types of course contents (knowledge of definition of a technical term; familiarity with an educational concept) are presented. It appears that after 45 months, knowledge transmitted in the course is still present, although with a loss of differentiation, depending on practical relevance of the course materials.