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Literacy for Cardiovascular
Disease Prevention Education: The
Oklahoma Extension Initiative
By Youmasu J. Siewe, Ph.D; MPH
State Extension Specialist for Health Education
315 HES, Oklahoma State University
Stillwater, OK 74078
Tel: 405 744 6824
Email: [email protected]
Web: http://www.fcs.okstate.edu/health/
Abstract
Heart and blood vessel diseases also called cardiovascular diseases (CVD) are
the most feared the world over, and responsible for more deaths in the
United states than cancers, unintentional injuries, drug abuse and other
causes combined, (Healthy People 2010). The ever-expanding roles of the
extension professional, his/her proximity with the grass-root clientele, could
make the extension professional one of the most valuable front-line
interventionist in CVD prevention education, and improving the quality of lives
for Americans. As active partners in cardiovascular disease prevention,
extension educators need basic knowledge of the etiology and risk factors of
CVD, such as presented in this program which has been successfully used in
urban as well as rural settings.
Conference participants will understand the components of a science-based
but extension-friendly heart disease literacy (curriculum) that emphasizes
the alterable risk factors of cardiovascular disease. Familiarity with the use
of an evaluation tool to determine post teaching behavioral-change impact is
also discussed.
Session Objectives: Understand:
1. Background of CVD – why the fuss?
2. Components of the Oklahoma Literacy
for CVD Prevention Education
3. Ask Questions
Background of CVD
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Leading Cause of Death in America
910,000 deaths annually
1 death every 31 seconds
More common in people 65 >
Increasing in ages 15-34
70 million Currently have CVD
Cost in 2006 Estimated at $403
Billion
Source: CDC Heart Disease & Stroke at glance - 2006
Controllable Risk Factors of Heart or CVD
High blood pressure (Hypertension).
High Blood Cholesterol
Physical Inactivity.
Smoking/Use of Tobacco Products
Obesity & Overweight
Excess Stress and Personality Type
Diabetes
Introduction to Common CVD Terms
Cardio – vascular = Cardiovascular
Ventricles
Atrium
Blood
Cholesterol
Lipoprotein
Atherosclerosis
Angina
Thrombus, Embolus
Hypertension
Hypotension
Angioplasty; Stent; Beta & Calcium Channel
blockers; HDL; LDL; Bypass surgery
Common Types of CVD
 Hypertension.
Atherosclerosis
 Angina Pectoris
Heart Attack (MI)
 Arrhythmia (abnormal heart beat)
 Transient Ischemic Attack (TIA)
 Congestive Heart Failure (CHF)
 Heart Diseases in Children
 _____________
 Stroke or CVA
Focus:
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Basic Anatomy/Physiology Review
Risk Factors & Prevention
Basic Pathology (Disease Process)
Identifying Signs/Symptoms of CVD
Routine Health Care Visits
Behavior Change Processes
Cost Effectiveness of Healthy
Lifestyles and Hands-on Activities
Basic Anatomy & Physiology
Use of Heart Models
Use of Images: From Healthy Diseased Vessels
Images: Disease Process Cont.
Images: Disease Process cont.
Images: Disease Process cont.
Contributing Lifestyle – Physical Inactivity
Contributing Life Styles - Smoking
Contributing Lifestyles: Foods
Contributing Lifestyles: Food Portions
Lifestyle: Being Physically Active as
best as you can - in your own Way!
Excuses -
We need to do
something about your Obesity
But,
Obesity
Runs in
Our
Family
Maybe No One
Runs in Your
Family
Summary: Preventing Heart or
Cardiovascular Disease
 Stop smoking tobacco products (cigarettes, Pipes, Cigars
 Eat more fresh fruit and vegetables, at least 5 servings
per day.
 Reduce intake of foods high in cholesterol (fats from
animal sources, read food labels).
 Vigorous, moderate or tolerable exercise, at least 3 times
a week for 20-30 minutes or be active as best as you can.
 Learn to manage stress.
 Reduce your weight.
 Prevent/control/treat high blood pressure or hypertension.
Evaluation Component!
Bibliography
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State-specific Data on CVD:
http://www.cdc.gov/nccdphp/states/
Others:
http://www.cdc.gov/nccdph/cvd/
Healthy People 2010. http://www.health.gov/healthypeople>
http://www.nih.gov/nia/
Green, L., and Ottoson, J. (1999). Community and Population Health,
8th edition. Boston: WCB/McGraw-Hill.
U.S. Department of Health and Human Services (1991). Healthy
People 2000: National Health Promotion and Disease Prevention
Objectives. Washington, DC: U.S. Government Printing Office.
U.S. Department of Health and Human Services, 2001. Healthy People
2010. Washington, DC: U.S. Government Printing Office.
Internet Resources
U.S. Department of Health and Human Services.
The End
Evaluation
Component!