Back to Annual Meeting Page		American Public Health Association 133rd Annual Meeting & Exposition December 10-14, 2005 Philadelphia, PA

Abstract #114769

Dyann Matson-Koffman, DrPH¹, Mark A. Veazie, DrPH², James Galloway, MD³, Darwin LaBarthe, MD, MPH, PhD⁴, J. Nell Brownstein, PhD¹, Marian Emr⁵, Eric Bolton⁶, Eugene Freund, MD, MSPH⁷, Robinson Fulwood, PhD, MSPH⁸, Jeanette D. Guyton-Krishnan, PhD, MS⁸, Yuling Hong, MD, PhD, FAHA, Michael D. Lebowitz, PhD¹⁰, Emmeline Ochiai, MPH¹¹, Mark Schoeberl, MPA¹², and Rose Marie Robertson, MD, FAHA, FACC¹³. (1) Cardiovascular Health Branch, NCCDPHP, CDC, 4770 Bufford Highway NE, MS K47, Atlanta, GA 30341-3717, 770-488-2570, jnb1@cdc.gov, (2) Native American Cardiology Program, U.S. Indian Health Service, 1215 N. Beaver St., Suite 201, Flagstaff, AZ 86001, (3) Native American Cardiology Program, Flagstaff Medical Center Indian Health Service, 1215 N. Beaver St. Suite 201, Flagstaff, AZ 86001, (4) Cardiovascular Health Branch, Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, CDC/DHHS, 4770 Buford Hwy, NE, K-47, Atlanta, GA 30341-3717, (5) National Institute of Neurological Diseases and Stroke, National Institutes for Health, Bl 31 Room 8A06, 9000 Rockville Pike, Bethesda, MD 20892, (6) Communications, American Heart Association, 7272 Greenville Ave, Dallas, TX 75231, (7) Office of Clinical Standards and Quality, Centers for Medicare & Medicaid Services, 7500 Security Blvd., S3-02-01, Baltimore, MD 21043, (8) Office of Prevention, Education, and Control, National Heart, Lung, and Blood Institute, National Institutes of Health, 31 Center Drive, MSC 2480, Rm. 4A-10, Bethesda, MD 20892, (9) College of Public Health, University of Arizona, Arizona Prevention Center, 1145 N. Campbell Ave., Tucson, AZ 85721-0228, (10) Office of Disease Prevention & Health Promotion, US Department of Health and Human Services, 1101 Wootton Parkway, Suite LL100, Rockville, MD 20852, (11) Office of Advocacy, American Heart Association/American Stroke Association, 7272 Greenville Avenue, Dallas, TX 75231, (12) National Center, American Heart Association, 7272 Greenville Avenue, Dallas, TX 75231

Background: U.S. health objectives, as presented in Healthy People 2010, have placed a national emphasis on preventing heart disease and stroke and its risk factors. This report describes a model and strategies needed to translate the American Heart Association (AHA) Guide for Improving Cardiovascular Health at the Community Level into action to prevent and eliminate heart disease and stroke disparities. Methods: Members of The Healthy People 2010 Heart Disease and Stroke Partnership conducted a literature review and identified resources to develop a framework for implementing the AHA Community Level Guide. Representatives from CDC's State Heart Disease and Stroke Prevention Program and from Native American community groups reviewed the framework and provided feedback to make it a user-friendly document for communities. Results: The Taking the Initiative Framework includes the following steps: assessment, community-based planning, and widespread and sustained implementation. Every step in this cycle is supported by community mobilization and evaluation. Community mobilization involves identifying assets, resources, leadership, community capacity, and developing partnerships, trust, and a shared understanding of community participation and control that is supported by all the stakeholders. The Taking the Initiative Framework also includes a flowchart based on a socio-ecological logic model, assessment and evaluation measures, and resources to assist in selecting and implementing the AHA Community Level Guide. Conclusions: A comprehensive approach that addresses the environmental, social, and cultural aspects of health, as well as individual lifestyles and behaviors, offers the greatest prospect for achieving cardiovascular health of populations.

Learning Objectives: At the conclusion of the session, the participant (learner) will be able to

• Describe the purpose of the Taking the Initiative Framework.
• List the major steps in the Taking the Initiative Framework.
• Identify at list 2 assessment and evaluation measures, and 2 resources in the Taking the Initiative Framework to assist in selecting and implementing the AHA Community Level Guide.

Keywords: Community Health Planning, Heart Disease

Related Web page: www.cdc.gov/cvh/hp2010/index.htm

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.

Recorded presentation