HeartsNParks Community Mobilization Guide - National Heart, Lung ...

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Consent and Waiver I hereby grant permission to [OFFICIAL NAME(S) OF ORGANIZATION(S)] to use, reproduce, publish, distribute, and exhibit my picture, portrait, likeness, or voice, or any or all of them (or those of a child under my guardianship), in or in connection with the production of a photograph, videotape, audiotape, CD-ROM, or in any manner and for any purpose as stated below, and... I hereby waive all rights of privacy or compensation (or those of a child under my guardianship) which I have in connection with the use of my picture, portrait, likeness or voice, or any or all of them, in or in connection with said photograph, videotape, audiotape, CD-ROM, or Web site, and any use to which the same or any material therein may be put, applied, or adapted by the organizations designated above. It is understood and agreed that the above waiver is limited to the use by the organizations listed above, or by any of their agencies, departments, or distributors for educational purposes only and not for profit or trade. It is also understood and agreed that this consent and waiver will not be made the basis of a future claim of any kind against the organizations as noted above or their affiliates. Participant’s Name: _______________________________ Address: _______________________________ _______________________________ _______________________________ *Signature:____________________________ Date:_____________ *If above is signature of parent or guardian (required if individual is a minor), please print name here: _______________________________ C-17
C-18 Sample Cover Letter to Parents of Children for Consent Form Dear Parent: On [DATE AND TIME], the [NAME OF ORGANIZATION] will host an event to launch Hearts N’ Parks, an innovative program that promotes the adoption of heart-healthy behaviors by people of all ages. Hearts N’ Parks was developed and is supported by the National Heart, Lung, and Blood Institute (NHLBI) of the National Institutes of Health and by the National Recreation and Park Association (NRPA). We invite you and your child to join us for this exciting event, which includes a news conference featuring [LIST PROMINENT SPEAKERS AND TITLES]. Heart-healthy activities to be held during the event include [ADD DETAILS]. We will have photographers [ADD “and videographers” IF APPROPRIATE] documenting the event. We would appreciate your signing the attached consent form to grant permission for your child to participate in this exciting event, including being photographed or videotaped. Please return it to [SPECIFY] by [PROVIDE DEADLINE]. If you have any questions, please contact [PROVIDE NAME AND PHONE NUM- BER]. Thank you for your cooperation. Sincerely, [NAME, TITLE, ETC.]
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NHLBI Obesity Education Initiative
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COMMUNITY MOBILIZATION GUIDE A proj
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❅ ❅ ❅ ❅ ❅ ❅ ❅ ❅ ❅
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INTRODUCTION Hearts N’ Parks is a
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valuable insights to the program in
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R ISK F ACTORS F OR H EART D ISEASE
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R ISK F ACTORS F OR H EART D ISEASE
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P HYSICAL A CTIVITY T IPS As a Hear
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Fats, Oils, & Sweets Use Sparingly
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HOW TO USE THIS GUIDE This Communit
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T O H E A R T S N ’ P A R K S The
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? ? 1 What qualifications do I need
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■ Orienting staff to Hearts N’
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■ Current Participants. People cu
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24 Take a look at some excerpts as
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OUTLINE OF STAFF 1. Orientation to
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HEARTS N’ PARKS: 2ND P—PROGRAMS
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To give you an idea of the wealth o
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S IGNS OF S UCCESS Many of the Nort
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Some North Carolina communities cre
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Fitting Activity Into Your Schedule
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✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔
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STAFF TRAINING/MEETING OUTLINES Peo
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? ? 1 We have a tight budget. How c
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46 Heart disease is the leading cau
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To influence people to sustain a he
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50 C ONSUMER F RIENDLY M ESSAGE The
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Remember to vary the message to rea
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54 Here’s a media strategy checkl
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✔ Prepare the tools you need to i
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58 Here’s a way to keep up with t
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60 SAMPLE: ARLINGTON, VIRGINIA’ S
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✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔
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HEARTS N’ PARKS: 4TH P—PARTNERI
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S IGNS OF S UCCESS ( CONTINUED) ■
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❉ ❉ ❉ ❉ ❉ ❉ 73 ❉ ❉
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❉ ❉ ❉ ❉ ❉ Name of Project
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✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔
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? 1. Call to order (department head
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82 Tracking Sheet for Activities Nu
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Appendix A contains the Program Des
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86 Your department can take various
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✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔
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OUTLINE OF STAFF TRAINING FOR Staff
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RECOMMENDATIONS FOR ADMINISTERING H
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HEARTS N’ PARKS: CELEBRATING AND
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Remember that the goal of Hearts N
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How to use the Performance Question
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6. People Served: (check all that a
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A-6
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A-8
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A-10 Consent Form for Parents Thank
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A-12
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A-14 Child Check the correct box! 1
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4. Cold Cereal Eggs and Bacon 5. Re
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4. Hot Dog Sandwich with Lettuce &
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4. Which would you pick to drink? A
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A-22 Child
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A-24 Child
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A-26 Child Check the correct box! 1
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4. Cold Cereal Eggs and Bacon 5. Re
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4. Hot Dog Sandwich with Lettuce &
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4. Which would you pick to drink? A
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A-34 Child
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A-36 Child
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A-38 Adolescent
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A-40 Adolescent Check the correct b
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7. Which food is better for your he
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11. For the following statements ab
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A-46 Adolescent
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A-48 Adolescent
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A-50 Adult
Page 157 and 158: A-52 Adult ✔ Please tell us a lit
Page 159 and 160: 9. Please indicate whether you thin
Page 161 and 162: A-56 Adult
Page 163 and 164: 8. How likely are you to say each o
Page 165 and 166: 10. Fit Score In the past 7 days, h
Page 167 and 168: Actions to control high blood chole
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Page 171 and 172: B-4 Child
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Page 177 and 178: B-10 Child
Page 179 and 180: ✲ **Correct and positive answers
Page 181 and 182: ✲ 13. What Would You Do? (Eating/
Page 183 and 184: Adolescent Pre and Post Score Sheet
Page 185 and 186: ✲ ✲ **Correct and positive answ
Page 187 and 188: 7. On how many of the past 7 days d
Page 189 and 190: B-22 Adult
Page 191 and 192: ✲ ✲ Level of Physical Activity
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Page 197 and 198: C-6 1 week prior to the event • C
Page 199 and 200: C-8 1 to2 weeks prior to the event
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Page 203 and 204: Sample Pitch Letter for Media C-12
Page 205 and 206: Sample Media Advisory for Hearts N
Page 207: C-16 [IF POSSIBLE, ADD QUOTE OR DAT
Page 211 and 212: D-2
Page 213 and 214: D-4 General and Heart Health Inform
Page 215 and 216: D-6 Nutrition and Weight Loss Type
Page 217 and 218: D-8 Gateways/Clearinghouses for Hea
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Page 223 and 224: Overweight and Obesity • Approxim
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Page 227 and 228: F-4 individuals with high levels. R
Page 229 and 230: F-6 low-fat or fat-free dairy produ
Page 231 and 232: Take the time to be physically acti
Page 234: High Blood High Blood Obesity & Phy
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Page 240 and 241: Eat Right FOODS HIGH IN SATURATED F
Page 242 and 243: Eat Right for a Healthy Heart Do yo
Page 244 and 245: Snacks Like These Are Okay! ☺ Fru
Page 246 and 247: Find The Foods! Look at the snacks
Page 248 and 249: Stay Young at Heart HERE ARE SOME M
Page 250 and 251: Dining Out—How to Choose GENERAL
Page 252 and 253: Foods In The Fast Lane When you eat
Page 254 and 255: Putting Heart Healthy Eating Habits
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SWEETS & SNACKS Nutrients: Saturate
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The Heart-Healthy Eating Plan The f
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Help Your Family To Better Heart He
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Cooking The Heart-Healthy Way Now i
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Shop To Your Heart’s Content Use
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SWEETS AND SNACKS CHOOSE MORE OFTEN
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New Ways To Use Favorite Recipes Lo
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❍ ❍ ❍ ❍ ❍ ❍ ❍ ❍ ❍
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Fast Get Moving Can you run for a b
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Check Your Physical Activity and He
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lungs and burn off extra calories.
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Get Want more energy? Want less str
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Get Here are a few activities that
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Guide To Physical Activity Both hea
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❂ ❂ ❂ ❂ ❂ ❂ ❂ ❂ ❂
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Check Your Weight and Heart Disease
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the weight loss. A steady weight lo
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GUIDELINES ON Overweight and Obesit
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High Blood Pressure 63 ✻ ✻ ✻
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Check Your Healthy Heart Answer “
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foods low in saturated fat is the m
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Check Your High Blood Pressure Prev
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10 True. Americans eat way too much
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High Blood Cholesterol 73 ✫ ✫
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Check Your Cholesterol and Heart Di
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7 False. Most vegetable oils—cano
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Eat foods low in saturated fat, tot
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A project of the National Heart, Lu
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