1. 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: Siewe@okstate.edu Web: http://www.fcs.okstate.edu/health /Siewe@okstate.edu Literacy for Cardiovascular Disease Prevention Education: The Oklahoma Extension Initiative

2. 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.

3. Session Objectives: Understand: 1.Background of CVD – why the fuss? 2.Components of the Oklahoma Literacy for CVD Prevention Education 3.Ask Questions

4. Background of CVD  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

5. 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

6. 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

7. Common Types of CVD  Hypertension.Atherosclerosis  Angina PectorisHeart Attack (MI)  Arrhythmia (abnormal heart beat)  Transient Ischemic Attack (TIA)  Congestive Heart Failure (CHF)  Heart Diseases in Children  _____________  Stroke or CVA

8. Focus:  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

9. Basic Anatomy & Physiology

10. Use of Heart Models

11. Use of Images: From Healthy - Diseased Vessels

12. Images: Disease Process Cont.

13. I Images: Disease Process cont.

14. Images: Disease Process cont.

15. Contributing Lifestyle – Physical Inactivity

16. Contributing Life Styles - Smoking

17. Contributing Lifestyles: Foods

18. Contributing Lifestyles: Food Portions

19. Lifestyle: Being Physically Active as best as you can - in your own Way!

20. Excuses - We need to do something about your Obesity But, Obesity Runs in Our Family Maybe No One Runs in Your Family

21. 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.

22. Evaluation Component!

23. Bibliography n State-specific Data on CVD: n http://www.cdc.gov/nccdphp/states/ http://www.cdc.gov/nccdphp/states/ n Others: n http://www.cdc.gov/nccdph/cvd/ http://www.cdc.gov/nccdph/cvd/ n Healthy People 2010. http://www.health.gov/healthypeople>http://www.health.gov/healthypeople> n http://www.nih.gov/nia/ n Green, L., and Ottoson, J. (1999). Community and Population Health, 8th edition. Boston: WCB/McGraw-Hill. n 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. n U.S. Department of Health and Human Services, 2001. Healthy People 2010. Washington, DC: U.S. Government Printing Office. n Internet Resources n U.S. Department of Health and Human Services.

24. The End Evaluation Component!