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

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Appendix A contains the Program Design and Development Tracking Sheet. The following information moves through the decisions that need to be made. CONDUCTING THE ASSESSMENT You know at this point which programs are going to be measured. Make sure program staff incorporated heart-healthy elements into their scheduled program activities. Just take a few minutes to check these activities necessary to ensure the value of this process. Selecting and Using Assessment Tools Be sure to select assessment tools that are appropriate for the specific group whose outcomes are being measured. See the measures included in appendix A for guidance. Example: Giving children a survey that they are unable to comprehend would influence the results OR giving people an instrument measuring knowledge of blood pressure when you want to measure food shopping habits would be useless. Pretests and Posttests. To measure changes in knowledge, skills, attitudes, or behavior, it is necessary to measure them before the program starts and after the program ends. A second followup 6 months or after completion of the program, is of even greater value to see if changes continue over time. Example: Youth enrolled in a summer camp program complete the Physical Activity pretest on the first day of camp and then the posttest on the last day of camp. OR participants in a senior exercise program complete the Food and Eating Habits survey during the first week of class and then again at the end of the 10 weeks. Size of Sample. It is not necessary to survey all participants in a program. Select a manageable number to be surveyed who are representative of the program population. Suppose your 84 community has six after-school programs. Rather than survey all children in each program, survey 20 percent of the participants in each program or all participants in two of the six programs. The Need for Consistency. The approaches and timing of the pretests and posttests should be as consistent as possible. Things you should try to keep the same include instructions to participants about completing surveys as well as the time and day if tests are administered to more than one group with similar members. If staff at one day camp helped children complete their food forms and staff at other day camps did not, the results may differ. If two groups of senior citizens are not given the test on the same day and the second group takes the test after a news story on heart disease, that too could change the results. Tracking Participants. The tests track changes in knowledge, attitudes, and behaviors. Assign each individual a number to help ensure privacy; use the same number on both pretest and posttest. Informed Consent. You must obtain the informed consent of participants in the tests. If your participants are under 18, you must seek informed consent from their parents. Example: As part of the day camp registration parents were sent a letter indicating that their child would be part of this program, asked to sign a consent form and given a phone number to contact the department if they had any questions or objections. Adults are asked to sign a form indicating their understanding of what they will be asked to do as part of this process and their agreement.
In appendices A and B are several items to help you conduct assessments. They include: ■ Survey instruments: “What’s Your Food, Physical Activity and <strong>Heart</strong> Health I.Q.” for children, adolescents, and adults ■ Answer keys for the surveys ■ Score sheets for the surveys ■ Log sheets to record participant identification numbers ■ Tracking sheets ■ Sample permission letter ■ Sample permission form The following are activities and resources that you might use as part of the programming aspect to help people better understand heart-healthy behavior. Possible Outcomes: ■ Increase their knowledge of leisure-time physical activity ■ Increase their skill levels in leisure-time physical activity ■ Improve their attitude towards physical activity ■ Increase their level of physical activity ■ Increase their knowledge of healthy eating ■ Increase their skill level related to healthy eating ■ Improve their attitude towards healthy eating ■ Increase their level of healthy eating Appropriate Reproducibles: ■ See Resources chart, Information Sheets on page 49. These materials are found in the reproducible section of this guide. 85
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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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Page 41 and 42: Some North Carolina communities cre
Page 43 and 44: Fitting Activity Into Your Schedule
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Page 47 and 48: STAFF TRAINING/MEETING OUTLINES Peo
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Page 54 and 55: To influence people to sustain a he
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Page 71 and 72: HEARTS N’ PARKS: 4TH P—PARTNERI
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Page 85: ? 1. Call to order (department head
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Page 96 and 97: OUTLINE OF STAFF TRAINING FOR Staff
Page 98 and 99: RECOMMENDATIONS FOR ADMINISTERING H
Page 101 and 102: HEARTS N’ PARKS: CELEBRATING AND
Page 103: Remember that the goal of Hearts N
Page 107 and 108: How to use the Performance Question
Page 109 and 110: 6. People Served: (check all that a
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Page 115 and 116: A-10 Consent Form for Parents Thank
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Page 119 and 120: A-14 Child Check the correct box! 1
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Page 123 and 124: 4. Hot Dog Sandwich with Lettuce &
Page 125 and 126: 4. Which would you pick to drink? A
Page 127 and 128: A-22 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
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A-52 Adult ✔ Please tell us a lit
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9. Please indicate whether you thin
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A-56 Adult
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8. How likely are you to say each o
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10. Fit Score In the past 7 days, h
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Actions to control high blood chole
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B-2
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B-4 Child
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✲ ✲ ✲ ✲ ✲ ✲ ✲ What wo
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✲ ✲ ✲ ✲ ✲ ✲ Children Pr
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B-10 Child
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✲ **Correct and positive answers
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✲ 13. What Would You Do? (Eating/
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Adolescent Pre and Post Score Sheet
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✲ ✲ **Correct and positive answ
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7. On how many of the past 7 days d
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B-22 Adult
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✲ ✲ Level of Physical Activity
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C-2
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C-4
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C-6 1 week prior to the event • C
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C-8 1 to2 weeks prior to the event
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C-10
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Sample Pitch Letter for Media C-12
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Sample Media Advisory for Hearts N
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C-16 [IF POSSIBLE, ADD QUOTE OR DAT
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C-18 Sample Cover Letter to Parents
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D-2
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D-4 General and Heart Health Inform
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D-6 Nutrition and Weight Loss Type
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D-8 Gateways/Clearinghouses for Hea
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D-10
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E-2
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Overweight and Obesity • Approxim
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F-2
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F-4 individuals with high levels. R
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F-6 low-fat or fat-free dairy produ
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Take the time to be physically acti
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High Blood High Blood Obesity & Phy
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Eat Right FOODS HIGH IN SATURATED F
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Eat Right for a Healthy Heart Do yo
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Snacks Like These Are Okay! ☺ Fru
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Find The Foods! Look at the snacks
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Stay Young at Heart HERE ARE SOME M
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Dining Out—How to Choose GENERAL
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Foods In The Fast Lane When you eat
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Putting Heart Healthy Eating Habits
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BREADS, CEREALS, PASTA, RICE, DRY P
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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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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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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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