Appendix Activities for Training Community Health Workers
Activities for Training Community Health Workers
The “Your Heart, Your Life” manual can be used as a teaching tool to train community health workers (promotores) about heart health. The manual also can be used as a guide to conduct sessions to educate community members about heart health.
Trained promotores can train other promotores. Trained promotores also can conduct heart health education sessions in the community to promote heart healthy behaviors, or they can conduct sessions in clinics to help patients control their risk factors for heart disease.
Part I - Training Session: Preparing To Make a Presentation
Note: If your goal is to train community health workers, deliver the following session after you have finished Sessions 1 and 7.
Effective community health workers must have good presentation skills. This section gives information on how a community health worker can prepare to teach the Your Heart, Your Life training.
At the end of Session 1
Community health workers can gain confidence as presenters by practicing how to teach a session. Listed below are two ways that your group can practice during the training: (1) group members can present a complete session, or (2) they can make short presentations on topics from each session. Choose the method that works best for your group.
Part II - The Ramírez Family Fotonovelas
The New Health Machine: Exercise
The Ramírez family just got their new “health machine.”
Mariano: The instructions say you have to “insert the tube perpendicular to the main axle of your Health Machine. Then tighten the two lateral screws...”
Carmencita: I told you, mamá, my friend Ana lost 10 pounds, and her machine isn't even a shadow of ours ...
Néstor: I hope it's easier to use than it is to put together!
Doña Fela: Hi everybody! I just took a brisk 30-minute walk with the neighbor and I feel like a 20-year-old again. What's this? Are you building a missile to send me to the moon?
Carmencita: It's the new exercise machine, Grandma.
Doña Fela: Life is good, but you have to keep active. You have to move.
Two hours later...
Néstor: The real exercise is to assemble it!
Doña Fela: Exercise machines usually give excellent results, but you don't have to wait to be able to buy the latest model to start getting in shape.
Doña Fela: To stay in shape, all you need is discipline and the desire to live a happy life.
Doña Fela: Take the stairs! Walk! Dance! Stay active!
Doña Fela: Keep active. Get 30 minutes of physical activity every day. An ounce of prevention is worth a pound of cure!
An Unsettling Surprise: Prevent High Blood Pressure
Virginia: Marianooooo! Did you take your high blood pressure pills, dear?
Mariano: Yesss, Virginia! Why do you ask, my dearest?
Virginia: For no reason, my love, no reason at all. You know what the doctor said. If you stop taking them, you could have a stroke.
Doña Fela: My son loves to practice his favorite sport. There he is navigating the channels on his remote control. How is he not going to have high blood pressure?
Door bell rings.
Carmencita: My God, that must be Lolo! You'll see, mamá, he's so handsome.
Virginia: Mariano, fix your collar! What will our little girl's boyfriend think?!
Mariano: What?... Who?... Whose boyfriend?
Doña Fela: We might lack certain things in this house, but emotions, we always have more than enough of.
Carmencita: Lolo, this is my father. Papa, this is Lolo. Papa?... Do you feel OK?
Mariano: Thinking “How can my daughter fall for this kid?”
Doña Fela: Mariano, I found your pills, and you haven't taken them. If you don't take them, you will not get to enjoy your grandchildren.
Doña Fela: If you have high blood pressure, you can control it. Take your pills, cut down on salt and sodium, watch your weight, and be more active. An ounce of prevention is worth a pound of cure!
The Crossword Puzzle: Lower Cholesterol
Mariano: This pie is delicious.
Virginia: I'd like a piece, too, Mariano.
Carmencita: Just give me a tiny piece. All that cream... it's too much saturated fat for me.
Virginia: This crossword puzzle gets harder every day.
Néstor: I can solve it, mamá. Just give me the clue.
Carmencita: They call him the King of Crossword Puzzles, mamá.
Virginia: A 10-letter word. Foods high in saturated fats make this go up, and some people have a high level.
Doña Fela: In this house, we eat too many foods high in saturated fats every day and do not get enough physical activity. What a family!
Mariano: Food rich in fats...?
Néstor: I have it – “gordura!”
Carmencita: Don't be silly, Néstor, “gordura” has only seven letters.
Doña Fela: “Gordura”?... Saturated fats?...Ten letters and some people have it too high?
Mariano: Ten letters... Why are you looking at me that way?
Doña Fela: “COLESTEROL!” With this pie so high in saturated fat, our cholesterol levels will rise.
Virginia: Bingo! “Co-les-te-rol.” Exactly, Doña Fela!
Doña Fela: Know your cholesterol level and protect your heart. Eat less saturated fats. An ounce of prevention is worth a pound of cure!
I Don't Like That Boy At All: Watch Your Weight
Virginia: Carmencita, I don't like that new boyfriend of yours at all.
Carmencita: Oh, but mamá, he's gorgeous.
Virginia: Néstor, can you pass me more rice?
Néstor: Papa, can you pass me more ham?
Mariano: That kid is strange. Mamá, can I have some more beans?
Doña Fela: While they tear apart my granddaughter's boyfriend, they are eating too much. It's proof that this family doesn't lose its appetite, even under the most dramatic of circumstances.
Néstor: You should've invited him, little sister. Come on, be good and pass me more butter...
Carmencita: Don't get into this, Néstor. Lolo graduated with honors from engineering school. The fact that he's a modern guy doesn't mean that he is a loser...
Mariano: Pass me more sauce!
Carmencita: Pass me...
Virginia: Please, would you pass me the salt again?
Néstor: Pass me...
Doña Fela: Would you allow me to speak?
Doña Fela: My dear family, don't you realize that if you eat so much, you will get fat? Pass me more of this ... pass me more of that. We are what we eat, and this family is eating enough for a family of ten.
Doña Fela: To prevent heart disease, watch your weight, serve yourself small portions, and eat foods lower in fat and calories! An ounce of prevention is worth a pound of cure!
The Big Game: Quit Smoking
Television: Ladies and gentlemen, it's getting tense. Carlos Cartin is near the gate. The goalie advances, he falls. Carlos Cartin touches the ball and...
Mariano: Goooooal! Gooooooal!
Néstor: Goooooal! Gooooooal! We won, Dad! We won!
Doña Fela: Nobody wins until you both stop smoking. Don't you know what smoking is doing to your health and to the health of the entire family. Keep your promise!
Néstor: Your grandmother is right.
Mariano: What one promises...
Néstor: one must fulfill.
Doña Fela: Now we are all winners!
Doña Fela: You put your life and your family's life at risk when you smoke. Break the habit now. An ounce of prevention is worth a pound of cure.
Part III - Additional Information and Activities
Community health workers may add activities to the “Your Heart, Your Life” manual sessions to help with the training. This section of the appendix offers instructions on how to present five additional activities to the group members.
Activity 1: Face the Heart Truth
Note: You can review The Heart Truth information with group members and tell them how they can participate. The Heart Truth is a national awareness campaign for women about heart disease.
The Heart Truth for Women
Act Now To Protect Your Heart
Activity 2: How To Organize a Walking Club
Walking is an excellent form of physical activity. It is fun and easy, and it builds good health and well-being. Walking is inexpensive, and you do not need special equipment.
Promote the benefits of walking as a group.
Activity 3: Nutrition Displays
Displays are a great way to teach about nutrition. They visually encourage participants to learn about healthy food choices. Nutrition displays make a class or presentation more interesting, and they can be used with this manual. There are three nutrition displays that you can create and use along with nutrition activities in Sessions 4 through 9.
What you need:
Activity 4: Take Time for Sleep: Additional Presentation
Most adults need 7 to 8 hours of sleep each night. School-aged children and teens need at least 9 hours of sleep a night. Like eating healthy and being physically active, getting a good night's sleep is important to your heart health and your mood, and it is important when you are completing your daily activities. Not getting enough sleep can cause problems.
Sleep disorders, such as sleep apnea, can disturb how well you sleep and leave you sleepy the next day. In people with sleep apnea, their breathing stops briefly or becomes very shallow during sleep. They usually snore loudly and often.
If you don't get enough sleep each night, or if you have sleep apnea that is not treated, you may be at increased risk of becoming overweight or developing high blood pressure, heart disease, or diabetes.
The Dos and Don'ts of Getting a Good Night's Sleep
To learn more about sleep and sleep disorders, visit the National Heart, Lung, and Blood Institute (NHLBI) Web site at www.nhlbi.nih.gov, and click on “sleep.”
Activity 5: Heart Healthy Cooking Demonstrations
Cooking demonstrations can be an important part of group discussions. A cooking demonstration can show participants how to prepare foods that still taste good, but include less saturated fat, trans fat, cholesterol, and salt and sodium. Most people like to eat, and they will be interested in learning how to prepare food in a heart healthy way. This section gives you more information about how to use cooking demonstrations as a part of the training and how to make sure they go smoothly.
The scientific content of this manual comes from the following sources:
For More Information
The NHLBI Health Information Center is a service of the NHLBI of the National Institutes of Health. The Health Information Center provides information to health professionals, patients, and the public about the treatment, diagnosis, and prevention of heart, lung, and blood diseases. Please contact the Health Information Center for prices and availability of publications.
NHLBI Health Information Center
Information on this page is taken from the English print version of “Your Heart, Your Life, A Community Health Worker's Manual.” U.S. Department of Health and Human Services, National Institutes of Health, National Heart Lung and Blood Institute, NIH Publication No. 08-3674, Originally Printed 1999, Revised May 2008.
Last Updated March 2012