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Your Heart, Your Life: Voiceover Script

INTRODUCTION
SESSION 1 - ARE YOU AT RISK FOR HEART DISEASE?
SESSION 2 - ACT IN TIME TO HEART ATTACK SIGNS
SESSION 3 - PHYSICAL ACTIVITY
SESSION 4 - WHAT YOU NEED TO KNOW ABOUT HIGH BLOOD PRESSURE, SALT, AND SODIUM
SESSION 5 - ALL YOU NEED TO KNOW ABOUT CHOLESTEROL
SESSION 6 - MAINTAIN HEALTHY WEIGHT
SESSION 7 - WHAT YOU NEED TO KNOW ABOUT DIABETES
SESSION 8 - MAKE HEART HEALTHY EATING A FAMILY AFFAIR
SESSION 9 - EAT IN A HEART HEALTHY WAY- EVEN WHEN TIME AND MONEY IS TIGHT
SESSION 10 - ENJOY LIVING SMOKE-FREE
SESSION 11 - REVIEW AND GRADUATION


INTRODUCTION

One out of every four Latinos dies of heart disease...

The good news is that some risk factors can be reduced by making simple lifestyle changes.

With a little information, a few skills, a bit of motivation, and a positive attitude these changes can be made for a healthy heart.

The National Heart, Lung, and Blood Institute established the Salud para su Corazón Initiative to spread this vital information. This Initiative has been alive in the community for 10 years.

Promoting heart healthy behaviors and practices in Latino communities is this initiative's primary goal.

The philosophy of Salud su para Corazón Initiative is "people helping people" as depicted in our logo.

The hands coming together around the community in the shape of a heart depicts the focus of the initiative—heart health.

The hands symbolize that the decision to take care of the heart is in one's hands.

Together, we work as a community to motivate each other to engage in activities that promote heart health.

Lay health educators play a key role in bringing better heart health to Latino communities.

Without them, many Latinos might not receive such vital information.

Successful lay health educators have special qualities.

They are dedicated to improving the health of their community.

They enjoy teaching others...feel comfortable in front of a group and know how to work with a group.

They are good listeners...they are caring and patient...they care about improving their own personal health...

They are non-judgmental, pleasant, approachable, open-minded and confident.

The program includes the "Your Heart, Your Life" manual, picture cards with teaching notes, fotonovelas, and videos.

The manual can be used to train promotores de salud as well as a guide to conduct heart health educational sessions in community settings

The manual provides worksheets and handouts for group members to take home and share with family and friends.

It offers "hands on" activities that help people build the skills they need to make simple, practical, and lasting

A website to access more information is noted at the end of this video for your convenience.

SESSION 1

ARE YOU AT RISK FOR HEART DISEASE?

In this session you will learn about the risk factors for heart disease.

You will learn things you and your family can do to have a healthy heart.

The risk factors that can be prevented and controlled are:

High blood pressure...High blood cholesterol...Overweight and obesity...Diabetes...Physical inactivity...and smoking.

The risk factors on the screen in Spanish
High blood pressure
High blood cholesterol
Overweight and obesity
Diabetes
Lack of physical activity
Cigarette smoking

Participants learn about the heart and its structure and how the heart works.

Because the heart is such an important organ it is necessary to keep it healthy.

You learn that if we take care of the heart, we take care of our life.

We use puppets to represent the different attitudes of the Ramirez family as they journey towards heart health behaviors.

We invite participants to identify their attitude for change.

SESSION 2

ACT IN TIME TO HEART ATTACK SIGNS

In this session, we learn about what a heart attack is and how it develops.

We learn of the importance to seek treatment quickly if a heart attack happens.

Participants identify the myths and reasons why people delay seeking medical help.

We discuss the benefits of calling emergency medical services 9-1-1.

Participants learn the steps to survival in response to heart attack warning signs and what to do if one happens.

Knowing what to do and planning ahead can help a person survive a heart attack.

Participants role play scenarios to prepare for a real situation.

SESSION 3

PHYSICAL ACTIVITY

In this session we learn that physical activity is good for the heart and overall health.

We present the benefits of physical activity and the many types of physical activity.

Recommendations about the duration of physical activity for adults are emphasized.

For example, many adults need up to 60 minutes of moderate physical activity on most days to prevent unhealthy weight gain.

We learn that that there are ways to fit more activity into a busy schedule.

We learn that physical activity can help your heart and lungs work better, lower your blood pressure and blood cholesterol, lower your blood sugar, reduce stress, and help you control your appetite and weight.

It can also make you feel more energetic and good about yourself.

The "foot steps" activity will help us learn that physical activity can be fun!

SESSION 4

WHAT YOU NEED TO KNOW ABOUT HIGH BLOOD PRESSURE, SALT, AND SODIUM

This session discusses how to prevent and control high blood pressure or hypertension.

You will learn about blood pressure numbers,

for example, a blood pressure of less than 120 over 80 is normal; a blood pressure between 120 over 80 and 139 over 89 is considered pre-hypertension.

Chart on the screen

Less than 120/80 normal
120/80-139/89 prehypertension
140/90 ó more high blood pressure

Prehypertension means that you don't have high blood pressure YET but are likely to develop it in the future unless you adopt healthy lifestyle changes.

Losing weight, increasing physical activity and cutting back on salt can help prevent and control high blood pressure.

Participants learn how to read the food label to choose those lower in salt and sodium.

Dona Fela's recipe is introduced on how to prepare a mixture of spices and herbs as a salt-free seasoning to add flavor to food.

SESSION 5

ALL YOU NEED TO KNOW ABOUT CHOLESTEROL

This session is about cholesterol and how it affects the body.

Participants learn about cholesterol levels.

LDL: the bad cholesterol...HDL: the good cholesterol...and triglicerides.

You learn steps to take to help lower cholesterol levels.

Participants watch a video called "The Crossword Puzzle: Lower Cholesterol".

It will motivate participants for action.

As an activity, participants create an artery model to show the healthy artery... and the artery that collects cholesterol on its wall?

The model shows how cholesterol can block the flow of blood in the artery and cause heart attacks or stroke.

Participants also learn about fats... saturated, unsaturated and trans fat.

A game is played to guess the amount of fat in certain foods.

Cooking methods for cooking with less fat are reviewed.

SESSION 6

MAINTAIN HEALTHY WEIGHT

In this session, we discuss that overweight and obesity is a serious problem that affects many families.

Being overweight is a risk factor for high blood cholesterol, high blood pressure, diabetes, and heart disease and stroke

We learn what it means to have a healthy weight, and about overweight and obesity.

Participants are motivated to weight themselves, measure their waist and determine their body mass index.

For example, overweight means to have a BMI of 25 to 29.9.

A waist measurement of more than 35 inches for women and more than 40 inches for men is high.

Weight chart
>35 inches for women
>40 inches for men
= high waist mesurement

A high waist measurement increases the risk of heart disease.

The healthy way to lose weight is discussed.

For example, a key to choosing a healthy diet and loosing weight is to know what to eat and how much.

The serving size activity helps to learn about eating smaller portions.

In a group, participants discuss ways to overcome the barriers for losing weight.

SESSION 7

WHAT YOU NEED TO KNOW ABOUT DIABETES

This session teaches about diabetes as a serious disease among Latinos.

You learn how diabetes is an important risk factor for heart disease.

What exactly is diabetes? What are the symptoms and complications? These are all discussed.

A demonstration is done to compare the consistency of normal blood to blood with a high sugar level.

You will see that the consistency of blood high in glucose is dense, thick and sticky. High blood glucose causes diabetes. If diabetes is uncontrolled, it can lead to serious problems in the heart, eyes, kidney, and possible amputation of the feet and leg.

Participants learn to take care of their heart with the ABCs of diabetes control:

A stands for A1C test which is short for hemoglobin A1C--measures your average blood glucose over the last 3 months:

B is for blood pressure monitoring,

and C is for a cholesterol check.

A food display is shown of drinks that are consumed frequently such as soda and sugared drinks.

These drinks contain high amounts of sugar and calories that lead to weight gain.

SESSION 8

MAKE HEART HEALTHY EATING A FAMILY AFFAIR

This session discusses Latino traditional food such as beans, corn tortilla, fruits and vegetables.

In a practical way, tips are reviewed as to how to prepare these foods in a heart healthy way.

The MYpyramid is introduced as a guide to help plan a healthy meal for the family.

The activity "Lets make a healthy meal" helps participants combine the food groups and eat a variety of food.

SESSION 9

EAT IN A HEART HEALTHY WAY- EVEN WHEN TIME AND MONEY IS TIGHT

In this session participants learn quick and easy food preparation and mealtime tips.

Participants learn how to make healthy choices when eating out and how to save money on their food bill.

You are introduced to Rosa's dilemna regarding her busy schedule and healthy meals for the family and discuss solutions.

As an activity, we go over different advertising themes that are used to get people to buy food products.

SESSION 10

ENJOY LIVING SMOKE-FREE

In this session, participants learn how cigarette smoking harms the smoker and how second hand smoke harms people who are near the smoker.

Tips that can help a smoker who want to quit are discussed.

Even ways to ask people not to smoke are reviewed.

The effects of smoking on infants and children... youths and smoking...

the cost of smoking as well as lists of smoking cessation programs can be provided.

Finally, friendly smoke-free family signs are included in the manual.

SESSION 11

REVIEW AND GRADUATION

During this session, we go over information we have learned in all the sessions.

Participants are congratulated for making the effort to learn how to improve heart health for themselves and their families.

The group participates in an activity called "Letter to Myself" and list healthy changes they will continue to work on.

They place the letter in a stamped envelope and the trainer will mail it to them in 3 months.

Graduation is a celebration recognizing the group efforts and accomplishments.

Participants receive a diploma, gifts, tools, resources and much applause for their success.

They are encouraged to talk about what they found helpful in this training and share short stories.

We thank you for your interest and your willingness to help Latinos protect the health of their hearts.

You are making a positive difference in your community!


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