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Healthy Heart, Healthy Family

A Community Health Worker's Manual for the Filipino Community

NIH Publication No. 08-6339

September 2008Healthy Heart, Healthy Family

A Community Health Worker's Manual for the Filipino Community iiiIntroduction

Table of Contents

Dear Community Health Worker Letter........................................................................

.v introduction

The Role of the Community Health Worker ...............................................................vii

Acknowledgments ........................................................................ ...............................viii

About the "Healthy Heart, Healthy Family" Manual .................................................xiv

How To Use This Manual ........................................................................ ....................xv session 1 Knowledge Is Power: Know Your Risk for Heart Disease ..........................................1 session 2

Act in Time to Heart Attack Signs ........................................................................

.....29 session 3

Get Energized! Say YES to Physical Activity ............................................................57

session 4

Help Your Heart: Control Your High Blood Pressure ...............................................95

session 5

Be Heart Smart: Keep Your Cholesterol in Check ..................................................143

session 6

Keep The Beat: Aim for a Healthy Weight ..............................................................193

session 7

Protect Your Heart: Prevent and Control Diabetes ...................................................233

session 8

Welcome Heart Healthy Eating Into Your Home .....................................................283

ivHealthy Heart, Healthy Family: A Community Health Worker's Manual for the Filipino Community session 9 Eat in a Heart Healthy Way - Even When Time or Money Is Tight .......................325 session 10 Take Control of Your Health: Enjoy Living Smoke Free ........................................361 session 11 Review and Graduation ........................................................................ ....................401 session 12

Use Evaluation To Track Your Progress

(Especially for Community Health Workers) ............................................................435

appendix

Activities for Training Community Health Workers .................................................495

for more information........................................................................ ..524

Dear Community Health Worker:

Cardiovascular disease (CVD) is the #1 killer of all Americans and is one of the leading causes of death among Filipino Americans. High blood pressure, high blood cholesterol, overweight/obesity, smoking, not being physically active, and diabetes are all factors that increase a person's risk of CVD. The good news is that people can lower their risk by making some lifestyle changes, and community health workers like you can help. The “Healthy Heart, Healthy Family" manual can guide you as you begin this journey. “Healthy Heart, Healthy Family" is a heart health manual created especially for Filipino American communities by the National Heart, Lung, and Blood Institute (NHLBI) at the National Institutes of Health (NIH), U.S. Department of Health and Human Services (DHHS). The manual is taught by community health workers and focuses on helping people build skills to make practical, lasting changes to help fight heart disease and to improve their health. You will notice that cultural adaptations are used to make the manual more appealing and relevant to Filipino American communities. The “Healthy Heart, Healthy Family" manual provides all the information you need to put this heart health project into action in your community. This manual can be used to train community health workers as well as to educate members of the Filipino American community, or it can serve as the basis for other community activities. “Healthy Heart, Healthy Family" is dedicated to community health workers like you who devote time and energy to help others improve their health and live longer. Thank you for making a difference.

Much success,

Robinson Fulwood, Ph.D., M.S.P.H.

Chief

Enhanced Dissemination and Utilization Branch

Division for the Application of Research Discoveries

National Heart, Lung, and Blood Institute

vDear Community Health Worker viiIntroduction introduction

The Role of the Community Health Worker

Community health workers play a key role in promoting better health in Filipino American communities. They help people learn about health issues and show them ways to live healthier lives. Without them, many Filipino Americans might not receive such vital information. Successful community health workers have special qualities. They know their communities well. They are dedicated to improving the health of their communities. They enjoy teaching others, feel comfortable in front of a group, and know how to work with a group. Successful community health workers are also: Willing to try new ways to improve their own health

Let's Hear From You!

We thank you for your interest and efforts to help Filipino Americans take steps to protect their hearts. We invite you to give us your feedback on how you are using the manual in your community. Your feedback will help promote the expansion of the project in the United States and abroad and contribute to the growth of the Healthy Heart, Healthy Family network. Establishing a large network is important to keep the project going strong!

You may also send your feedback to:

Healthy Heart, Healthy Family Project

NHLBI / Division for the Application of

Research Discoveries

31 Center Drive, MSC 2480

Bethesda, Maryland 20892-2480

woov@mail.nih.gov. viiiHealthy Heart, Healthy Family: A Community Health Worker's Manual for the Filipino Community

Acknowledgments

The "Healthy Heart, Healthy Family" manual was developed with the dedication of many people. NHLBI gratefully acknowledges the contributions of community health workers, families, individuals, groups, institutions, and organizations to the success of this manual. We appreciate the time they dedicated to reviewing the manual, sharing their knowledge, and providing continuous support:

Noilyn Abesamis-Mendoza, M.P.H.

Center for the Study of Asian

American Health

New York University School of Medicine

New York, NY

Also representing:

Kalusugan Coalition, Inc.

Queens, NY, and Jersey City, NJ

Nina Agbayani, R.N.

Association of Asian Pacific Community

David Aguilar, M.A.

Project AsPIRE

Center for the Study of Asian

American Health

New York University School of Medicine

New York, NY

Also representing:

Kalusugan Coalition, Inc.

Queens, NY, and Jersey City, NJ

Sharonne Ancheta

Kokua Kalihi Valley Comprehensive

Family Services

Honolulu, HI

Marcia Aquino, R.N.

Association of Philippine Physicians

in Maryland (APPM)

Baltimore, MD

Gloria Balaiz

Kokua Kalihi Valley Comprehensive

Family Services

Honolulu, HI

Norma Benzon

Volunteer

Sugar Land, TX

Michael Byun, M.P.A.

Asian Service in Action

Sefie Cabiao

International Community Health Services

Seattle, WA

Yoyie Carlos-Castillo, R.N.

Volunteer

Hasbrouck Heights, NJ

Norma Castillo, M.D.

Association of Philippine Physicians in

Maryland (APPM)

Baltimore, MD

ixIntroduction

Hong Chartrand, M.P.A., M.A.

Asian Pacific Community in Action

Phoenix, AZ

Merlita Compton

Kokua Kalihi Valley Comprehensive

Family Services

Honolulu, HI

Kalusugan Community Services

National City, CA

Chin Du, M.P.H., M.Ed.

Health Promotion Council of Southeastern

Pennsylvania, Inc.

Philadelphia, PA

Lien Du

Vietnamese Association of Illinois

Chicago, IL

Diep N. Duong, R.N., Ph.D.

Lt. Col., USAF, NC

HQ PACAF/XPH

Pacific International Health Affairs

South East Asia Desk (Burma, Cambodia,

Laos, Viet Nam)

Hickam AFB, HI

Rico Foz

Project AsPIRE

Center for the Study of Asian

American Health

New York University School of Medicine

New York, NY

Also representing:

Kalusugan Coalition, Inc.

Queens, NY, and Jersey City, NJ

Purificacion Gac, M.D.

Volunteer

Honolulu, HI

Jesus Guarin

Kokua Kalihi Valley Comprehensive

Family Services

Honolulu, HI

Beverly J. Quan Gor, Ed.D., R.D., L.D.,

C.D.E.

Center for Research on Minority Health

University of Texas

M.D. Anderson Cancer Center

Houston, TX

John Paul Jael

Asian Human Services

Chicago, IL

Edwin Jocson

West Bay Filipino Multi-Service Center

San Francisco, CA

Miyong T. Kim, R.N., Ph.D., FAAN

School of Nursing

Johns Hopkins University

Baltimore, MD

Tana M. Le

West Seventh Community Center, Inc.

St. Paul, MN

Marichu Lee

Volunteer

Honolulu, HI

Harvey Lee

Institute for Family Enrichment

Honolulu, HI

xHealthy Heart, Healthy Family: A Community Health Worker's Manual for the Filipino Community

Donna R. Lew

American Heart Association

San Francisco, CA

Maria Macatumbas

Kokua Kalihi Valley Comprehensive

Family Services

Honolulu, HI

Potri R. Manis, R.N.

Project AsPIRE

Kalusugan Coalition, Inc.

Queens, NY, and Jersey City, NJ

Carmen Lavilla-Cortez, Ph.D.

Kalusugan Coalition, Inc.

Queens, NY, and Jersey City, NJ

Estrella B. Manio, M.S., R.N., P.N.P.

Chair, Filipino Community

Health Council

American Heart Association

San Francisco, CA

Melen McBride, R.N., Ph.D.

Stanford Geriatric Education Center

Center for Education in Family and

Community Medicine

Stanford University School of Medicine

Palo Alto, CA

Mary Cheryl B. Nacionales, M.P.H.,

CHES

Women's Health Partnership Director

Community Health Partnership

San Jose, CA

Vilma Nafarrete-Braga, L.M.S.W.

Filipino American Human Services, Inc.

Jamaica, NY

Phi-Loan Nguyen

Washington, DC

Phi-Nhung (Nina) Nguyen

Washington, DC

Thang D. Nguyen, Ph.D.

Falls Church, VA

Thoa Nguyen

Vietnamese Community Health Promotion

Project-UCSF

Health is Gold!

San Francisco, CA

Volunteer

Santa Clara, CA

Leo Pandac, Ph.D.

Pacific Asian Alcohol and Drug Program

Los Angeles County Refugee

Service Center

Los Angeles, CA

Dung Pham

Vietnamese Social Services of Minnesota

(VSSMN)

Vietnam Center

St. Paul, MN

xiIntroduction

Melga R. Rodriguez, M.A.Ed.

Department of Public Health

City and County of San Francisco

Bicol University

Legazpi City, Philippines

Teodulfo V. Rodriguez

Volunteer

Baypoint, CA

La Sarmiento, L.M.T.

Volunteer

Washington, DC

Fe Seligman

National City, CA

Henry Soliveres

Project AsPIRE

Center for the Study of Asian

American Health

New York University School of Medicine

New York, NY

Also representing:

Kalusugan Coalition, Inc.

Queens, NY, and Jersey City, NJ

Ho L. Tran, M.D., M.P.H.

Asian & Pacific Islander American Health

Forum (APIAHF)

San Francisco, CA

Rhodora Ursua, M.P.H.

Project AsPIRE

Center for the Study of Asian

American Health

New York University School of Medicine

New York, NY

Also representing:

Kalusugan Coalition, Inc.

Queens, NY, and Jersey City, NJ

Mila Velasquez, M.N., R.N., C.S.,

APRN, BC

Philippine Nurses Association of America

Cerritos, CA

Dia Kim Vu

Vietnamese Social Services of Minnesota

(VSSMN)

St. Paul, MN

Candice Wong, M.D., Ph.D.

University of California, San Francisco

Department of Physiological Nursing

San Francisco, CA

Jing Zhang, Ph.D.

Asian Human Services, Inc.

Chicago, IL

xiiHealthy Heart, Healthy Family: A Community Health Worker's Manual for the Filipino Community

Special Recognition

NHLBI extends special recognition to the following individuals and organizations for assisting NHLBI in helping make the material culturally appropriate and for sampling selected sessions and/or activities of the manual with the community:

Theresa P. Castillo, M.A., C.H.E.S.

Public Health Fellow

U.S. Department of Health and Human Services

Emerging Leaders Program

Bethesda, MD

Center for the Study of Asian American Health

New York University School of Medicine

New York, NY

American Heart Association

Asian Cultural Health Initiatives

San Francisco, CA

Kalusugan Coalition, Inc.

Queens, NY, and Jersey City, NJ

May the “Healthy Heart, Healthy Family" manual lead to a new cycle of action to strengthen and sustain heart health in the Filipino American communities. xiiiIntroduction

NHLBI Staff

Matilde Alvarado, R.N., M.S.N.

Coordinator

Minority Health Education and

Division for the Application of

Research Discoveries

Bethesda, MD

Janet de Jesus, M.S., R.D.

Nutrition Education Specialist

Division for the Application of

Research Discoveries

Bethesda, MD

Robinson Fulwood, Ph.D., M.S.P.H.

Chief

Enhanced Dissemination and

Utilization Branch

Division for the Application of

Research Discoveries

Bethesda, MD

Madeleine Wallace, Ph.D.

Public Health Analyst

Division for the Application of

Research Discoveries

Bethesda, MD

Terri Williams, M.S.A.

Production Manager

Division for the Application of

Research Discoveries

Bethesda, MD

Violet Ryo-Hwa Woo, M.S., M.P.H.

Public Health Advisor

Division for the Application of

Research Discoveries

Bethesda, MD

Contract Support

IQ Solutions, Inc.

Rockville, MD

xivHealthy Heart, Healthy Family: A Community Health Worker's Manual for the Filipino Community About the “Healthy Heart, Healthy Family" Manual To teach the "Healthy Heart, Healthy Family" manual, the following materials are needed: "Healthy Heart, Healthy Family" manual and picture cards "Filipinos Take It to Heart: A 'How-To' Guide for Bringing Heart Health to Your Community" highlights steps that can be taken to implement successful awareness-raising and health-promoting activities in the community to prevent and control cardiovascular risk factors. Six easy-to-read bilingual booklets on heart healthy living:

Are You at Risk for Heart Disease?

Help Your Heart: Control Your High Blood Pressure

Keep the Beat: Aim for a Healthy Weight

Be Heart Smart: Keep Your Cholesterol in Check

Protect Your Heart: Prevent and Control Diabetes

Be Heart Healthy: Enjoy Living Smoke Free

xvIntroduction

How To Use This Manual

Community health workers, this

manual is for you! The “Healthy Heart,

Healthy Family" manual can be used to

train community health workers. After you have been trained, you can conduct your own trainings and teach others how to be community health workers.

The “Healthy Heart, Healthy Family"

manual consists of 12 sessions that include step-by-step instructions on how to teach 11 fun and educational sessions to community residents or patients.

Each session is taught in motivational

and interactive ways to keep the attention of the group members. Each session helps people learn what they can do to prevent heart disease. The manual includes worksheets and handouts for project participants (group members) to take home to read and share with family and friends.

It also includes a special session for

community health workers on howquotesdbs_dbs27.pdfusesText_33

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